1 - Concept → accessory system and independent from the bloodstream to flow of f
luid from tissue spaces. 2 - Constitution → plexus lymphatic: lymphatic capillar ies (a layer of overlapping endothelial cells) lymphatic vessels (three layers s imilar veins, presence of valves) → trunks lymphatic: lymphatic duct right thora cic duct lymph → → → organs lymph nodes 3 - Functions → to return to the bloodst ream of vital substances, especially proteins → defend the body against diseases by phagocytosis and the immune response, formation of a defense mechanism for t he body, when a foreign protein is drained from an infected area, specific antib odies this protein are produced by immunologically competent cells and lymphocyt es, or dispatched to the infected area. → absorb lipids that are digested in the alimentary canal, fat absorption and transport, in which special lymph capillar ies (milk), get all fat absorbed (kilo) of the intestine and lead through the th oracic duct into the venous system. → drainage of tissue fluid, plasma collectio n of lymphatic tissue spaces and transport lymph to the venous system. → conserv ation of plasma proteins and fluid. 4 - Capillaries → smaller lymph vessels of t he lymphatic system drivers have thin walls → → originate from microscopic funds blind → contains few valves and is larger and more irregular → blood capillarie s are found in most areas where blood capillaries are located 5 - → lymphatic ve ssels are of larger caliber lymphatic capillaries draining the presence of many valves → → walls similar veins with three layers 1 6 - → increased thoracic duct lymph vessel body → is common trunk of all lymphat ic vessels of the body except: ▫ upper right lobe of the liver ▫ ▫ right lung an d pleura of the right side of the heart's right upper limb ▫ ▫ of right side of the head, neck and chest → originates in the abdomen (chyle cistern), under the diaphragm → reaches the left subclavian vein and left internal jugular vein → ri ses with the aorta to the left, right azygos vein, esophagus previously vertebra l bodies and later; → presence of valves, at the time → T4, T5 and T6 crosses to the left; → through the aortic hiatus, and located in the posterior mediastinum 7 - → duct right lymphatic vessel with 4 cm long, resting on the anterior scalen e muscle; → flows at the confluence of the right internal jugular vein and right subclavian vein; → drains lymph from: ▫ upper right lobe of the liver ▫ ▫ right lung and pleura of the right side of the heart's right upper limb ▫ ▫ right sid e of the head, neck and chest in August - → Lymph nodes vary in shape, size and color → are small oval bodies found along the course of lymphatic vessels → Stru cture: ▫ surrounded by a fibrous capsule called extensions have ▫ ▫ trabeculae h ilus where blood vessels enter and leave; ▫ cortex with presence of lymphocytes forming nodules; ▫ marrow with the presence of lymphocytes that form strands; ▫ presence of vessels afferent and efferent (breasts); → Function: ▫ protection by filtering, removing the potentially harmful material before it enters the blood stream. Main → ▫ deep cervical lymph nodes: located in the carotid sheath draini ng head and neck; ▫ Axillary: upper limbs, mammary glands, skin and muscles of t he chest, back and bottom of the back of the neck; 2 ▫ tracheobronchial: positioned around the thoracic part of trachea and bronchi, draining the lungs and heart; ▫ pre-aortic: located ventrally to the aorta by dr aining the gastrointestinal tract, liver, pancreas, spleen and lymph nodes more than 100 of the mesentery; ▫ inguinal: located in the groin, drain the lower lim b, external genitalia and anterior wall of the abdomen; 9 - The Lymph → Lymph co nsists of: Part Net Similar to blood plasma, originates in the interstitial spac es, so your net is basically the interstitial fluid, and that we define as the n et surplus. Compulsory charge Lymphatic It consists of macromolecules of protein , fatty acids and also by bacteria and cellular debris, which must be taken from the interstitial to ensure homeostasis (maintenance of the normal internal envi ronment). For this function, the lymphatic capillaries, represent the only possi bility of withdrawal. The Lymph also contains cells such as lymphocytes, granulo cytes, erythrocytes,macrophages and possibly cancer cells. Fibrinogen is also p resent in small amounts, so the lymph coagulates slowly. Lymph flow of the lymph flow is relatively slow during periods of inactivity of an area or organ. Muscl e activity causes the onset of faster flow and regular. The lymph circulation in creases during peristalsis (movement of the viscera of the digestive tract) and also with the increase of respiration, but is little influenced by elevated bloo d pressure. → → → → clear, colorless liquid, except in vessels of the intestine low concentration of protein and few red blood cells greater number of leukocyte s (lymphocytes) lymph flow: ▫ ▫ action of skeletal muscles by the increased rate of respiration ▫ contraction of smooth muscles of the walls → importance of the vascular flow of lymph: ▫ replacement of proteins that are lost from the capill aries into the bloodstream protection ▫ ▫ an inadequate flow of lymph may cause edema, leading to deformities (lymphedema) 3 10 - Lymphatic Drainage 10.1) Mamas ▫ mammary papilla, areola, and lobules of th e gland (subareolar lymphatic plexus) → axillary lymph nodes and parasternal. 10 .2) Lungs, trachea and bronchi of the lungs lymphatic plexus ▫ superficial and d eep → → bronchopulmonary lymph nodes tracheobronchial lymph trunk → → broncomedi astinais right lymphatic duct. 10.3) Heart ▫ subepicardial lymphatic plexus → tr acheobronchial lymph nodes. 10.4) Stomach ▫ gastric lymphatic vessels → → gastro mentais gastric lymph nodes and celiac lymph nodes. 4 10.5) Duodenum ▫ duodenal lymphatic vessels → pancreaticoduodenal lymph nodes py loric → → → superior mesenteric lymph nodes celiac 10.6) Intestine ileocolic lym ph nodes and mesenteric ▫ ▫ upper transverse colon: middle colic lymph nodes and mesenteric superior. 10.7) Kidneys ▫ lumbar lymph nodes 10.8) Ureters ▫ common iliac lymph nodes, lumbar (lateral aortic), internal iliac and external. 10.9) L eg ▫ superficial and deep lymphatic vessels; ▫ lymphatic vessels that accompany the great saphenous vein → → superficial inguinal lymph nodes deep inguinal and external iliac. ▫ lymphatic vessels accompanying the small saphenous vein → popl iteal lymph nodes. ▫ lymphatic vessels → deep popliteal lymph nodes, deep inguin al and iliac extrnos. 10.10) Superior Members ▫ There are five main groups of ly mph nodes: Apical - receives lymph from all other axillary lymph nodes; Ches t - chest wall and breasts; Subscapula - upper quadrant of the back; Humeral - every member except that lymph coming from the cephalic vein; Central - pec toral, subscapular and humeral; 10.11) Face ▫ lymph nodes submental, submandibul ar, parotid, mastoid and occipital → deep cervical lymph nodes; 5 10.12) Language ▫ third revision → superior deep cervical lymph nodes; ▫ 2 / 3 a nterior and medial inferior deep cervical lymph nodes →; ▫ 2 / 3 and lateral → s ubmandibular lymph nodes, submental lymph → ▫ apex; 10.13) Head and Neck Super ficial Lymph Nodes: ▫ ▫ ▫ ▫ ▫ ▫ ▫ ▫ lymph lymph lymph lymph lymph lymph lymph ly mph nodes superficial occipital mastoid parotid oral submental submandibular jug ular-omo-hyoid Deep Lymph Nodes: ▫ ▫ ▫ ▫ ▫ ▫ ▫ lymph lymph lymph lymph lymph lymph retrophari ngeal deep cervical jugular-omo-hyoid jugular-digastric submental submandibular infra-hyoid 11 - lymphoid organs thymus → → → tonsils, spleen 11.1) Timo → flattened body wi th two lobes → location: the anterosuperior portion of the chest in front of the aorta and posterior to the sternum → characterized by the arrangement of lobes → function: the body's defense 10.2 ) → Spleen organ oval, located on the left s ide of the abdomen under the diaphragm and behind the ribs (left hypochondrium) → Size: 12.5 cm long and 7.5 cm wide → Weight: 200g → sided diaphragmatic and vi sceral → top edges (bevels) and lower extremities and back → 6 → → splenic hilum splenic tissue is formed by the white pulp and red pulp; → Tra beculae that are projections of the capsule dividing it into a series of compart ments are incomplete; → function: ▫ ▫ defense filtering the blood through the im mune response of blood vessel ▫ ▫ destruction of erythrocytes 10.3) Tonsils → guard the entrance and exit of food and respiratory tracts again st microbial invasion,forming a ring lymphatic → Classification: tonsils, adeno ids and lingual. 7 Guided Study 1 - What are the components of the lymphatic system? 2 - What are l ymph nodes? What are the key chains of lymph nodes in our bodies and what they d rain? 3 - Explain the importance of the tonsils in the formation of lymphatic ri ng. 4 - Featuring anatomically spleen. 5 - What are the lymphatic ducts of our b ody and what regions they drain? 6 - What are the functions of the lymphatic sys tem? 7 - What is lymphedema? GUIDE TO CLASSROOM PRACTICE - SYSTEM LINFÁTICOEste script is an aid to their study in practical and theoreti cal classes. It is by no means a list of topics that may be charged in theoretic al or practical evidence. Thus, the student should not limit their study to this script or its subject matter treated. It is essential to consult the recommende d bibliography and frequency classes. 1 - Identify the main chains of lymph nodes, 2 - Identify the lymph ducts, 3 - S pleen: Find it and relates it with other organs of the cavity; Identify your margins, face, extremities and impressions; Identify the splenic hilum and it s contents as the splenic artery and vein, and 4 - Tonsils Identify the lingua l tonsils, palate and pharynx. 8 9