淋巴引流

• lymph-obligatory substances: all material, that must be transported by the lymphatic system
强制性淋巴物质:淋巴循环系统中流动的所有物质
• lymphangio-motor function: autonomous motor function, passive stretching, auxiliary pumps
脉管系的组成部分，最终淋巴流入静脉
Lymph system Pathology MLD
• „one way“ system单向流动 • transports lymph from periphery back to heart回流至心脏 • function: evacuation of debris (proteins, bacteria,...)
Pathology MLD
• proteins, fatty acids enter/exit cells through endo- and exocytosis蛋白质，脂肪酸进出内皮细胞，内吞作用，包 裂外排/胞外分泌
Pathology MLD Treatment
Vena subclavia left & right (venous angle) 左右静脉角
CDT
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Lymph nodes淋巴结
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• MLD founded and developed in 1930s 上世纪30年代创立和发展 • regular part of physiotherapy/physical therapy since 1970s
上世纪70年代运用到临床治疗中
• 3 main different techniques of MLD 三种不同的技术
CDT
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Transportation of Lymph淋巴流动
History
Osmosis
渗透 Lymph system
Pathology
MLD
Treatment
Manual Lymph Drainage
淋巴引流手法
soreha education
Contents内容
Contents History Lymph system Pathology MLD Treatment
• History of Manual Lymph Drainage淋巴引流手法概述 • Anatomy & Physiology of the Lymph System 淋巴系统解剖学分析 • Pathology of the Lymph System淋巴系统病理学 • Contraindications of Manual Lymph Drainage 徒手淋巴引流禁忌症
吸收距离越长，所需时间越长
Balance of concentration 间液浓度平衡
soreha education
Anatomy & Physiology of Lymph System
淋巴系统解剖学知识
Contents
Transportation of Lymph淋巴流动
History
Diffusion
功能：收集细胞间隙液（组织液）称为淋巴液，简称淋巴
• lead into the precollectors汇合形成淋巴管
Treatment
CDT
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Lymph Capillaries毛细淋巴管
Anatomy & Physiology of Lymph System
Contents History Lymph system Pathology MLD
淋巴系统解剖学知识
Lymph Capillaries毛细淋巴管
• anchor filaments 彼此吻合成网 • function: absorption of interstitial fluid, generating lymph
CDT
soreha education
History of Manual Lymph Drainage
Contents History
手法概述
• 16th century: first descriptions of Lymph System
十六世纪：首先对淋巴系统进行了描述
Lymph system Pathology MLD
淋巴流动功能：自主运动功能，被动牵伸，辅助动力
CDT
soreha education
Anatomy & Physiology of Lymph System
淋巴系统解剖学知识
Contents History
Transportation of Lymph 淋巴流动 Diffusion弥散
Lymph system Pathology
功能：过滤淋巴液，免疫反应 /免疫防御，调节蛋白质 和水的密度/ 浓度
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Drainage divides分水线
History
Lymph system
Pathology
History
Lymph system
Pathology
MLD
Treatment
CDT
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Precollectors淋巴管
History
• few muscular tissue少量的肌肉组织
• particles move from places with higher concentration to places with lower concentration (molecular movement)
由高浓度向低浓度渗入（分子运动）
MLD Treatment CDT
•the longer the transit distance the more time is needed
淋巴系统解剖学知识
Contents
Lymph Capillaries毛细淋巴管
History
• initial lymph vessel是淋巴管道的起始段
Lymph system • cover whole body surface 覆盖全身表面
Pathology • glove-finger shaped, blind origing in the tissue膨大的盲端起始
History
• are interposed into lymph vessel system
Lymph system 在淋巴管行程的通路上
Pathology MLD Treatment CDT
• 600 lymph nodes 600个淋巴结 • function: biological filter, specific immune defense, regulation of protein and water concentration
MLD Treatment
• overlapping endothelial cells管壁由单层内皮细胞构成
•windows: influx of intersitial fluid & lymph-obligatory substances组织液只能进不能出
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Lymph system • valves avoid reflux内瓣膜防止回流
Pathology MLD Treatment
• function: generation and transportation of lymph
功能：产生和运输淋巴液
•lead into the collectors 汇合形成淋巴干
Lymph system Pathology MLD Treatment
• 2 fluids with different concentration seperated by semipermeable membrane被半透性的薄膜分离成两种浓 度不同的液体
solvent wanders in direction of higher concentration向高浓度方向溶解
弥散 Lymph system
Pathology
MLD
Treatment
CDT
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Transportation of Lymph淋巴流动
History
Osmosis渗透
功能：清除和过滤（蛋白质，细菌，。。。）
Treatment CDT
•balance of filtration and resorption: maintenance of interstitial pressure回收和过滤平衡：维持组织间液平衡
soreha education
Anatomy & Physiology of Lymph System
CDT
soreha education
Anatomy & Physiology of Lymph System
淋巴系统解剖学知识
Contents History
Collectors淋巴干 • above & below muscular fascia在肌肉筋膜上下
Lymph system Pathology MLD
CDT
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Transportation of Lymph淋巴流动
History
Transcytosis胞吞转运作用
Lymph system • active mode of transportation自主运输模式
soreha education
Anatomy & Physiology of Lymph System
淋巴系统解剖学知识
Contents
Central collectors淋巴导管
History
• Ductus thoracicus胸导管
Lymph system •Ductus lymphaticus 左导管/右淋巴导管
MLD
Treatment
CDT
soreha education
Anatomy & Physiology of Lymph System
Contents
淋巴系统解剖学知识
Definitions定义
History
• lymph淋巴: content of lymphatic vessel淋巴管内液体
Lymph system Pathology MLD Treatment
• Principles of Manual Lymph Drainage 淋巴引流手法原则 • Technique of Manual Lymph Drainage 淋巴引流手法技术 • Treatment of Arm & Leg 手臂和腿部治疗 • Complex Decongestion Therapy 综合性降充血治疗
• consist of lymphangions由淋巴管构成 • built of muscular tissue & valves肌肉组织和瓣膜结构 • internal pressure increases 内压增加
Treatment
CDT
lymphangions contract reflectory淋巴管反射性收缩
Treatment
Dr Vodder‘s Manual Lymph Drainage
CDT
Vodder博士淋巴引流手法
soreha education
Anatomy & Physiology of Lymph System
Contents History
淋巴系统解剖学知识
• vascular system in completion to blood vessel system