Akaka a me ka waihoʻoluʻu ʻole, ʻauʻau ka wai interstitial a hoʻopuni i nā keʻena o ke kino a he mea ia e hoʻolako ai i nā mea i nā cell. Pehea e wehewehe ai? He aha kona kuleana a me kona haku? He aha ka ʻokoʻa me ka lymph?

ʻO ka ʻōnaehana lymphatic ka hōʻiliʻili o nā moku a me nā ʻōpū lymph e lawe ana i kahi wai i kapa ʻia ʻo lymph a kōkua i ke kino e pale aku i nā maʻi a mālama i ka holo pono ʻana o nā cell i kahi wai i kapa ʻia ka wai interstitial.

ʻO ka wai interstitial ka wai e noho ana ma waena o nā capillaries koko a me nā pūnaewele. Mai kēia wai e loaʻa ai i nā cell kā lākou meaʻai a me ka oxygen a hoʻomaʻamaʻa i ka hoʻololi ʻana o nā meaʻai a me nā ʻōpala ma waena o lākou. Hoʻokahe ʻia ka wai interstitial nui e nā capillaries lymphatic a lilo i lymph.

Hana ʻia nā cell i ka wai, nā amino acids, nā sugars, fatty acids, coenzymes, hormones, neurotransmitters, salts, a me nā huahana cell.

No ka hoʻokō pono ʻana o nā cell e hōʻoiaʻiʻo ʻia, pono e loaʻa i kēia ʻano me kahi ʻano paʻa a me ka leo. I kēlā me kēia lā, ʻoi aku ma mua o 10 mau lita o ka wai e kahe ana mai loko mai o nā capillaries koko a lilo i ʻāpana o ka wai interstitial. ʻO ia ka ʻōnaehana lymphatic nona ke kuleana no ka hoʻohui ʻana i ke koena ma o ka hoʻihoʻi ʻana i ka wai interstitial nui i loko o ke kahe koko. ʻO ka mea nui i kapa ʻia ʻo lymph he kuleana nui i ka hoʻomaʻemaʻe ʻana i ka ʻōpala mai ke kino a me ka hakakā ʻana i nā mea maʻi maʻi.

ʻO nā lymph nodes, e like me nā nodes ma ke ala lymph, lawelawe ma ke ʻano he kānana a hoʻomaka koke i nā hopena pale pale.

Hoʻihoʻi ka ʻōnaehana lymphatic i nā protein koko i loko o ka wai interstitial a hiki ʻole ke hele maʻalahi i ka paia o nā capillaries koko no ka nui loa. Lawe nā moku lymphatic i nā lipid, i hoʻokomo ʻia i loko o ka ʻōpū liʻiliʻi, i ke ake.

Hiki ke hoʻopili ʻia ka lymph e nā pathologies like ʻole:

• ʻO ka lymphoma non-Hodgkin : ka maʻi 'aʻai e hoʻomaka ana ma ka ʻōnaehana lymphatic. ʻO ka mea maʻamau, hoʻomaka ia ma nā lymph nodes, no laila kona inoa ʻo "cancer of the lymph". ʻO nā hōʻailona ka piʻi ʻana o ka nui o ka lymph node e hiki ke ʻike ʻia, ke kuni i wehewehe ʻole ʻia, ka wela nui o ka pō a me ke kaumaha o ke kaumaha;
• ʻO ka lymphoma o Hodgkin (a i ʻole ka maʻi o Hodgkin) he ʻano maʻi kanesa o ka ʻōnaehana lymphatic a ʻike ʻia e ka piʻi ʻana o ka nui o nā lymphocytes;
• Lymphedema : hōʻike iā ia iho ma ka paʻa ʻana o ka wai interstitial (lymph) i ka wā ʻaʻole hiki ke kaʻa maʻamau ma muli o kahi keʻakeʻa a hoʻoulu i ka pehu (edema) o nā ʻiʻo palupalu a puni, aia pinepine ma nā ʻaoʻao, i kapa ʻia hoʻi he lymphatic obstruction. Ke hoʻoneʻe ʻia a hōʻino ʻia paha nā puʻupuʻu lymph ma muli o ka maʻi kanesa a laila e piʻi aʻe ka pilikia o ka lymphedema me ka nui o nā lymph nodes i hoʻopilikia ʻia;
• ʻO Lymphangitis: ka maʻi o hoʻokahi a ʻoi aʻe paha nā moku lymphatic, ma muli o ka bacteria (case of erysipelas) a hopena i kahi ʻulaʻula, pehu a ʻeha hoʻi o ka moku lymph i nīnau ʻia me ka piʻi ʻana o ka nui o ka lymph node.

La lymphoscintigraphy ʻo ia ka hoʻokolokolo e hiki ai iā ʻoe ke ʻike i ka ʻōnaehana lymphatic.

Hoʻokumu ʻia ka hōʻailona maʻamau o ka lymphoma non-Hodgkin a me ka lymphoma Hodgkin ma:

• ka hoʻoholo ʻana i ke ʻano o ka lymphoma, kahi e koi ai i kahi biopsy node lymph, ʻo ia hoʻi ka wehe ʻana i kahi laʻana o ka ʻiʻo mai kekahi o nā nodes ʻano ʻole;
• ka loiloi hoʻonui e ʻimi ana e ʻike i nā wahi āpau o ka maʻi;
• ka loiloi maʻamau o ka mea maʻi i mea e loiloi ai i nā pathologies ʻē aʻe e hiki mai ana, ʻo ia hoʻi ka naʻau, a e hoʻoholo ai i nā lāʻau lapaʻau.

ʻO ka hōʻailona no ka lymphedema: ʻO ka iympho-MRI "ʻoi aku ka nui o ka hoʻomaʻamaʻa ʻana i ka hoʻomaʻamaʻa ʻana, ke ʻoi aku ka nui o ke anawaena o kahi lālā ma mua o ka lālā ʻē aʻe, ʻoi aku ka maikaʻi o ka ʻike ʻana i ka emi ʻana o ke kahe. lymphatic.

ʻO ka hōʻailona no ka lymphangitis : ʻO ka hiʻohiʻona maʻamau a me nā hoʻāʻo koko e hōʻike pinepine i ka piʻi ʻana o ka nui o nā keʻokeʻo keʻokeʻo e hakakā nei i ka maʻi.

No kēia mau pathologies like ʻole, eia nā lāʻau lapaʻau i hāʻawi ʻia:

• ʻO ka lymphoma non-Hodgkin : ʻO ka chemotherapy, radiotherapy a me ka immunotherapy kekahi ʻāpana o ka mālama ʻana ma muli o ke ʻano a me ke ʻano o ka lymphoma, a me nā mea ʻē aʻe;
• ʻO ka lymphoma o Hodgkin : ʻo ka chemotherapy ka lāʻau lapaʻau mua;
• Lymphedema : ʻaʻohe lāʻau lapaʻau. Inā hiki i ka wā mua, hiki i ka physiotherapy decongestant ke hōʻemi i ka pehu a hoʻomaha i nā hōʻailona;
• Lymphangitis : mālama ʻia i ka hapa nui o ka manawa me nā lāʻau ʻokoʻa antistreptococcal.