Zowoneka bwino komanso zopanda mtundu, madzimadzi am'kati amasambitsa ndikuzungulira ma cell a thupi ndipo ndi njira yoperekera zida kuma cell. Kodi mungafotokoze bwanji? Kodi ntchito yake ndi yotani? Kodi pali kusiyana kotani ndi lymph?

The lymphatic system ndi kusonkhanitsa kwa ziwiya ndi ma lymph nodes omwe amanyamula madzi otchedwa lymph ndikuthandizira thupi kuteteza ku matenda ndikusunga ma cell akuyenda bwino mumadzimadzi otchedwa interstitial fluid.

Interstitial fluid ndi madzimadzi omwe amakhala pakati pa ma capillaries amagazi ndi ma cell. Ndi madzi awa omwe maselo amapeza chakudya ndi mpweya wawo ndikuthandizira kusinthana kwa michere ndi zinyalala pakati pawo. The owonjezera interstitial madzimadzi chatsanulidwa ndi zamitsempha capillaries ndi kukhala, zamitsempha.

Maselo amapangidwa ndi madzi, ma amino acid, shuga, mafuta acids, coenzymes, mahomoni, ma neurotransmitters, mchere, ndi zinthu zama cell.

Kuti magwiridwe antchito a cell atsimikizidwe, sing'anga iyi iyenera kukhala yokhazikika komanso kuchuluka kwake. Tsiku lililonse, malita opitilira 10 amadzimadzi amatuluka m'mitsempha yamagazi ndipo amakhala gawo lamadzi am'kati. Ndi ma lymphatic system omwe ali ndi udindo wogwirizanitsa bwino pobweretsa madzi ochulukirapo a interstitial kubwerera m'magazi. Kuchulukirachulukira komwe kumatchedwa lymph kumakhala ndi gawo lalikulu pakutsuka zinyalala m'thupi komanso polimbana ndi tizilombo toyambitsa matenda.

Ma lymph nodes, omwe amafanana ndi ma lymph path, amakhala ngati fyuluta ndikuyambitsa chitetezo chamthupi mwachangu.

Ma lymphatic system amabweretsanso mapuloteni a magazi omwe ali mu interstitial fluid ndipo sangathe kudutsa khoma la ma capillaries a magazi chifukwa cha kukula kwake kwakukulu. Mitsempha ya lymphatic imanyamula lipids, yomwe imalowetsedwa m'matumbo aang'ono, kupita ku chiwindi.

Lymph imatha kukhudzidwa ndi ma pathologies osiyanasiyana:

• Non-Hodgkin lymphoma : khansa yomwe imayambira mu lymphatic system. Nthawi zambiri, imayambira mu ma lymph nodes, motero amatchedwa "khansa ya lymph". Zizindikiro ndi kuwonjezeka kwa ma lymph node kukula komwe kumatha kumveka, kutentha thupi kosaneneka, kutuluka thukuta kwambiri usiku komanso kuchepa thupi;
• Hodgkin's lymphoma (kapena matenda a Hodgkin) ndi mtundu wa khansa ya lymphatic system ndipo imadziwika ndi kuwonjezeka kwachilendo kwa ma lymphocytes;
• Lymphedema : imadziwonetsera yokha mwa kusungidwa kwa interstitial fluid (lymph) pamene sichingayende bwino chifukwa cha chopinga ndipo imayambitsa kutupa (edema) ya minofu yofewa yozungulira, yomwe nthawi zambiri imakhala m'mphepete mwa nyanja, yomwe imatchedwanso kuti lymphatic obstruction. Pamene lymph nodes achotsedwa kapena kuonongeka chifukwa cha khansa ndiye chiopsezo lymphedema ukuwonjezeka ndi chiwerengero cha mwanabele akhudzidwa;
• Lymphangitis: matenda a mitsempha imodzi kapena zingapo za lymphatic, nthawi zambiri chifukwa cha mabakiteriya (nkhani ya erysipelas) ndipo zimabweretsa kufiira, kutupa ndi kupweteka kwa mitsempha ya mitsempha yomwe ikukhudzidwa ndi kuwonjezeka kwa voliyumu ya lymph node.

La lymphoscintigraphy ndiye kuyesa komwe kumakupatsani mwayi wowonera ma lymphatic system.

Kuzindikira kovomerezeka kwa non-Hodgkin lymphoma ndi Hodgkin lymphoma kumachokera pa:

• kudziwa mawonekedwe a lymphoma, umene umafunika mwanabele biopsy, ndiko kunena kuti kuchotsa chitsanzo cha minofu imodzi ya nthenda mfundo;
• kuwunika kowonjezereka komwe cholinga chake ndi kupeza malo onse a matendawa;
• kuwunika kwa wodwalayo kuti awone ma pathologies ena omwe angakhalepo, makamaka mtima wamtima, komanso kudziwa zomwe zingatheke.

Kuzindikira matenda a lymphedema: Iympho-MRI “imachitidwa mochulukira pozindikira matendawo, pamene m’mimba mwake m’mimba mwake muli waukulu kwambiri kuposa wa mbali ina, komanso yothandiza kwambiri kuzindikira kuchedwetsa kwa kuyendayenda. lymphatic.

Kuzindikira kwa lymphangitis : Maonekedwe ndi kuyezetsa magazi nthawi zambiri kumawonetsa kuchuluka kwa maselo oyera amagazi omwe amalimbana ndi matenda.

Kwa ma pathologies osiyanasiyana awa, chithandizo chimaperekedwa:

• Non-Hodgkin lymphoma : mankhwala amphamvu, radiotherapy ndi immunotherapy ndi mbali ya mankhwala malinga ndi mtundu ndi siteji lymphoma, komanso zinthu zina;
• Hodgkin's lymphoma : mankhwala amphamvu ndi mankhwala oyamba;
• Lymphedema : palibe mankhwala ochiritsira. Ngati kuyambika, physiotherapy ya decongestant imathandiza kuchepetsa kutupa ndi kuthetsa zizindikiro;
• Lymphangitis : amathandizidwa nthawi zambiri ndi ma antistreptococcal antibiotic.