Cov kua dej hauv nruab nrab: txhais, lub luag haujlwm thiab sib txawv nrog cov qog ntshav?

Cov kua dej hauv nruab nrab: txhais, lub luag haujlwm thiab sib txawv nrog cov qog ntshav?

Ntshiab thiab tsis muaj xim, cov kua dej interstitial da dej thiab nyob ib puag ncig cov hlwb ntawm lub cev thiab yog ib txoj hauv kev muab cov khoom rau cov hlwb. Yuav txhais li cas? Nws lub luag hauj lwm thiab nws muaj pes tsawg leeg yog dab tsi? Dab tsi yog qhov txawv ntawm lymph?

Anatomy ntawm cov kua dej interstitial?

Cov kab mob lymphatic yog cov khoom sib sau ntawm cov hlab ntsha thiab cov qog nqaij hlav uas nqa cov kua dej hu ua lymph thiab pab lub cev tiv thaiv kab mob thiab ua kom cov hlwb khiav zoo hauv cov kua dej hu ua interstitial kua.

Interstitial kua yog cov kua dej uas nyob qhov chaw ntawm cov ntshav capillaries thiab cov hlwb. Nws yog los ntawm cov kua no uas cov hlwb tau txais lawv cov zaub mov thiab oxygen thiab pab txhawb kev sib pauv cov as-ham thiab pov tseg ntawm lawv. Cov kua dej ntau dhau yog ntws los ntawm cov lymphatic capillaries thiab ua, lymph.

Cells yog tsim los ntawm dej, amino acids, suab thaj, fatty acids, coenzymes, cov tshuaj hormones, neurotransmitters, ntsev, thiab cov khoom ntawm tes.

Lub luag haujlwm ntawm cov kua dej interstitial?

Txhawm rau kom ua haujlwm zoo ntawm cov hlwb kom ntseeg tau, qhov nruab nrab no yuav tsum muaj qhov ruaj khov thiab ntim. Txhua hnub, tsuas yog ntau tshaj 10 litres ntawm cov kua ntws tawm ntawm cov ntshav capillaries thiab dhau los ua ib feem ntawm cov kua nruab nrab. Nws yog lub lymphatic system uas yog lub luag haujlwm rau kev sib haum xeeb ntawm kev sib npaug los ntawm kev nqa cov kua dej ntau dhau rov qab rau hauv cov hlab ntsha. Qhov ntau dhau hu ua lymph muaj lub luag haujlwm tseem ceeb hauv kev ntxuav cov khoom pov tseg ntawm lub cev thiab hauv kev tawm tsam cov kab mob sib kis.

Cov qog nqaij hlav, zoo li cov qog ntawm cov qog ntshav, ua haujlwm lim thiab ua rau lub cev tiv thaiv kab mob sai sai.

Lub lymphatic system coj rov qab mus rau cov ntshav cov proteins uas muaj nyob rau hauv cov kua dej interstitial thiab uas tsis yooj yim dhau los ntawm phab ntsa ntawm cov ntshav capillaries vim lawv loj heev. Cov hlab ntsha lymphatic thauj cov lipids, uas tau noj hauv cov hnyuv me, mus rau daim siab.

Anomaly / pathologies ntawm cov kua dej interstitial?

Cov qog nqaij hlav tuaj yeem cuam tshuam los ntawm ntau yam pathologies:

  • Tsis-Hodgkin lymphoma : mob qog noj ntshav uas pib hauv lymphatic system. Feem ntau, nws pib hauv cov qog nqaij hlav, yog li nws lub npe "mob qog noj ntshav". Cov tsos mob yog qhov nce ntawm cov qog ntshav qog ntshav uas tuaj yeem hnov, ua npaws tsis tau piav qhia, tawm hws hmo ntuj hnyav thiab poob phaus;
  • Hodgkin lymphoma ua (los yog Hodgkin's kab mob) yog ib hom mob qog noj ntshav ntawm lymphatic system thiab tus cwj pwm los ntawm qhov txawv txav ntawm qhov ntim ntawm lymphocytes;
  • Lymphedema : manifests nws tus kheej los ntawm kev khaws cia ntawm cov kua dej interstitial (lymph) thaum nws tsis tuaj yeem ncig ib txwm vim muaj kev cuam tshuam thiab ua rau o (edema) ntawm cov ntaub so ntswg ib puag ncig, feem ntau nyob rau hauv cov extremities, kuj hu ua lymphatic obstruction. Thaum cov qog nqaij hlav qog tau raug tshem tawm lossis puas vim yog mob qog noj ntshav ces qhov kev pheej hmoo ntawm lymphedema nce ntxiv nrog rau cov qog ntshav qog ntshav;
  • Lymphangitis: kab mob ntawm ib los yog ntau dua lymphatic hlab ntsha, feem ntau yog los ntawm cov kab mob (cov ntaub ntawv ntawm erysipelas) thiab ua rau ib tug liab, o thiab mob nyob rau hauv lub lymphatic hlab ntsha nyob rau hauv nqe lus nug nrog ib tug nce nyob rau hauv lub ntim ntawm cov lymph node.

Kev kuaj mob ntawm cov kua dej interstitial?

La lymphoscintigraphy yog qhov kev ntsuam xyuas uas tso cai rau koj pom cov kab mob lymphatic.

Kev kuaj mob raug cai ntawm non-Hodgkin lymphoma thiab Hodgkin lymphoma yog raws li:

  • Kev txiav txim siab cov duab ntawm lymphoma, uas yuav tsum tau muaj cov qog nqaij hlav qog nqaij hlav, uas yog hais txog kev tshem tawm cov qauv ntawm cov ntaub so ntswg los ntawm ib qho ntawm cov kab mob txawv txav;
  • qhov kev ntsuam xyuas txuas ntxiv uas lub hom phiaj txhawm rau nrhiav txhua qhov chaw ntawm tus kab mob;
  • qhov kev ntsuam xyuas dav dav ntawm tus neeg mob txhawm rau txhawm rau txheeb xyuas lwm yam pathologies uas tuaj yeem tshwm sim, tshwj xeeb hauv plawv, thiab txiav txim siab txog kev kho mob tau.

Kev kuaj mob rau lymphedema: Tus iympho-MRI "yog siv ntau dua hauv kev kuaj mob, thaum txoj kab uas hla ntawm ib ceg ceg loj dua li ntawm tus ceg ceg, kuj zoo dua los txheeb xyuas qhov qeeb ntawm kev ncig. lymphatic.

Kev kuaj mob rau lymphangitis : Cov tsos mob thiab kev kuaj ntshav feem ntau qhia tau tias muaj ntau cov qe ntshav dawb uas tiv thaiv kab mob.

Dab tsi kho rau cov kua dej interstitial?

Rau cov pathologies sib txawv, ntawm no yog cov kev kho mob:

  • Tsis-Hodgkin lymphoma : Tshuaj kho mob, radiotherapy thiab immunotherapy yog ib feem ntawm cov kev kho mob nyob ntawm seb hom thiab theem ntawm lymphoma, nrog rau lwm yam;
  • Hodgkin lymphoma ua : chemotherapy yog thawj kab kev kho mob;
  • Lymphedema : tsis muaj kev kho mob. Yog hais tias nws yog ntxov, decongestant physiotherapy yog zoo los txo o thiab txo cov tsos mob;
  • Lymphangitis : feem ntau yog kho nrog tshuaj tua kab mob antistreptococcal.

Sau ntawv cia Ncua