Ua noʻonoʻo paha ʻoe i ka nui o nā mea kupaianaha e hana nei i loko o ko kākou kino me ka ʻike ʻole ʻia? I kēia lā e kamaʻilio mākou e pili ana i nā capillaries lymphatic, a i ʻole ma ka ʻōlelo Pelekania '(Lymphatic Capillaries)', ka mea e lawelawe mālie iā mākou e like me nā koa liʻiliʻi. ʻAʻole paha ʻoe i lohe i kēia inoa, akā he mea kupaianaha ka lawelawe a kēia poʻe e mālama ai i ko mākou kino.
He aha kēia mau capillaries lymphatic? No ke aha lākou i koʻikoʻi ai?
I ka ʻōlelo maʻalahi, ʻo nā capillaries lymphatic he pūnaewele o nā kahawai liʻiliʻi a palupalu e holo ana ma ko mākou kino. ʻO kekahi o lākou he lahilahi e like me ke kaula o ko mākou lauoho. Ua lohe anei ʻoe i nā kīʻaha koko, a i ʻole nā capillaries koko? Ua like lākou, akā me kekahi mau ʻokoʻa. Ua pani ʻia kēia mau capillaries lymphatic ma kekahi ʻaoʻao, e like me kahi ʻeke liʻiliʻi. ʻO kekahi hiʻohiʻona, hiki i nā wai ke komo i kēia mau kahawai, akā ʻaʻole hiki iā lākou ke puka i waho, e like me ka puka e wehe wale ana i hoʻokahi ala.
No kā mākou 'ʻōnaehana lymphatic' kēia ʻōnaehana liʻiliʻi o nā kahawai. He ʻāpana koʻikoʻi loa kēia ʻōnaehana lymphatic o kā mākou 'ʻōnaehana pale'. Hana ka ʻōnaehana pale e like me ka pūʻali koa pale o ko mākou kino. No laila, ua like nā capillaries lymphatic me nā koa i hoʻomaʻamaʻa kūikawā ʻia i loko o kēia pūʻali koa pale. ʻO kā lākou kuleana nui ka hōʻiliʻili ʻana i nā wai keu, i kapa ʻia ʻo 'lymph', e hōʻiliʻili ana ma nā ʻāpana like ʻole o ko mākou kino a mālama pono iā ia.
He aha nā lawelawe a nā capillaries lymphatic e hāʻawi ai i ko mākou kino?
He nui ka hana a kēia mau kahawai liʻiliʻi e hana ai, e pololei:
1. Ka mālama ʻana i ke kaulike wai i loko o ke kino: ʻO ke wai keu e hōʻiliʻili ana a puni ko kākou mau cell, i kapa ʻia ʻo 'interstitial fluid', ua omo ʻia e kēia mau capillaries lymphatic. Ua kapa ʻia kēia wai i omo ʻia ʻo 'lymph'.
2. Ka kaohi ʻana i ke koko a me ka nui o ke koko: Kōkua kēia i ka mālama ʻana i ke koko a me ka nui o ke koko ma ka hoʻohui ʻana i ka lymph i loko o kā mākou ʻōnaehana hoʻopuni koko.
3. Ke kāohi ʻana i ka pehu ʻana: Kōkua pū kēia mau capillaries lymphatic i ka pale ʻana i ka pehu ʻana (edema) mai ka hōʻiliʻili ʻana ma nā ʻāpana like ʻole o ke kino. E noʻonoʻo e like me ka hana pono ʻole ʻana o nā ʻauwai i loko o ko mākou hale, e hōʻiliʻili ka wai a hoʻopiha i ka pā hale.
ʻAʻole anei he mea kupaianaha? Pehea ka hana ʻana o kēia ʻōnaehana kahawai liʻiliʻi?
He ʻano hana paʻakikī loa kēia, akā he nani loa. E noʻonoʻo i kēia ʻano.
He mea kūikawā loa nā paia o nā capillaries lymphatic. Hiki i ke wai ke komo ma o lākou, akā ʻaʻole hiki ke haʻalele hou. No laila, ke omo ʻia ke wai keu ma waena o nā cell i loko o kēia mau kahawai, e piʻi mālie ke kaomi i loko o ke kahawai. Ma muli o kēlā kaomi e neʻe ai ka lymph i mua, ʻo ia hoʻi, i ko kākou puʻuwai.
Eia ka mea e hana ʻia ma kēia huakaʻi:
- ʻO ka mea mua, hōʻiliʻili ʻia ka lymph mai kēia mau capillaries lymphatic liʻiliʻi a laila ua hoʻokomo ʻia i loko o nā kīʻaha lymphatic nui iki.
- Hoʻohui pū kēia mau ʻaʻa lymphatic e hana i nā ʻauwai hōʻiliʻili nui aʻe. Aia i loko o kēia mau ʻauwai nā ʻauwai liʻiliʻi, e like me nā puka. ʻAe wale kēia mau ʻauwai i ka lymph e kahe i hoʻokahi ʻaoʻao, ʻaʻole ma kekahi ʻaoʻao.
- ʻO ka mea aʻe, hui pū ka lymph mai kēia mau 'ducts hōʻiliʻili' i ka 'duct lymphatic ʻākau a hema paha'. Ua kapa ʻia hoʻi kēia ʻo ka 'thoracic duct'.
- Mai kēia mau kahawai lymphatic, kahe ka lymph i loko o nā kīʻaha koko nui i kapa ʻia nā aa koko subclavian i loko o ko kākou ʻāʻī.
- Hoʻohui pū kēia mau aa koko e hana i kahi kīʻaha koko nui i kapa ʻia ʻo ka vena cava kiʻekiʻe.
- ʻO ka mea hope loa, ʻo ka vena cava ka mea e hoʻihoʻi i ka wai lymphatic i hoʻomaʻemaʻe ʻia i ko mākou koko.
I loko o kēia huakaʻi, hele ka lymph ma o nā lymph nodes i loko o ko kākou kino. E like me kā kākou kānana wai, kānana kēia mau lymph nodes a hoʻomaʻemaʻe i ka lymph o nā mea pono ʻole, e like me nā germs. A laila wale nō e hoʻihoʻi ʻia ka lymph maʻemaʻe i ke koko. ʻAʻole anei he hana kupaianaha?
Ma hea i loko o ko kākou kino e loaʻa ai kēia mau capillaries lymphatic?
E kahaha paha ʻoe i ka ʻike ʻana ua loaʻa lākou ma nā wahi āpau o ko kākou kino! ʻO ka pololei, loaʻa pinepine lākou ma nā hakahaka ma waena o ko kākou mau cell (ka "interstitial space"). Hiki ke loaʻa iā lākou i loko o nā ʻiʻo o kēlā me kēia ʻōkana o ko kākou kino. Eia nō naʻe, aia kekahi mau wahi i loaʻa ʻole ai lākou. ʻO kēia nā "iwi iwi" a me nā ʻiʻo ʻaʻohe kīʻaha koko. No ka laʻana, ʻaʻole lākou i loaʻa i loko o ko kākou "cartilage" (ka ʻāpana palupalu ma waena o nā iwi) a me ka papa "epithelial" ma luna o ka ʻili.
He aha nā ʻāpana o kahi capillary lymphatic? He ʻano ʻepekema iki, akā pono ke ʻike!
Ua hana ʻia kēia kahawai liʻiliʻi me kekahi mau ʻāpana nui:
- Nā pūnaewele endothelial: ʻO kēia nā mea e hana ai i nā paia o nā capillaries. Ua hoʻopili ʻia lākou kekahi ma luna o kekahi, e like me nā piliki.
- ʻO ka ʻili lalo: ʻO kēia ka mea e kākoʻo ana i nā ʻele endothelial a mālama iā lākou i ko lākou wahi.
- `Nā kiwikā liʻiliʻi`: Ua kamaʻilio mua mākou e pili ana i kēia mau mea. ʻAe wale lākou i nā wai e komo mai, ʻaʻole i waho.
- Nā filament hoʻopaʻa: Ua like kēia me nā kaula liʻiliʻi. ʻO lākou ka mea e hoʻopili ai i nā cell endothelial i nā ʻiʻo a puni. He elastic lākou.
Pehea ke ʻano o kēia mau mea? Ua like maoli anei lākou me ka lauoho?
ʻAe, he palupalu loa ia. Ua like ke kapikala lymphatic me kahi paipu. ʻO kona anawaena, ʻo ia hoʻi, kona mānoanoa, ma kahi o 50 micrometers. ʻO ia ka nui o kahi kaula o ko mākou lauoho. Ua pani ʻia kekahi wēlau o kēia paipu, e like me ke ʻano o ka lau ʻoka.
He lahilahi loa hoʻi nā paia o kēia mau mea, hoʻokahi wale nō keena ka mānoanoa. Ma muli o ka hoʻopili ʻia ʻana o nā keena ma luna o kekahi, komo maʻalahi ka "wai interstitial" i loko o ke capillary.
Ua like kēia me ko kākou mau aa koko, nā aa koko e lawe ana i ke koko. ʻOiaʻiʻo, e like me nā aa koko, ke kahe wale nei ke wai i hoʻokahi ʻaoʻao i loko o nā capillaries lymphatic. A he mau paia lahilahi ko lāua ʻelua.
He aha nā maʻi maʻamau e hoʻopilikia ai i nā capillaries lymphatic? E makaʻala pū kākou i kēia!
Inā paha he nāwaliwali a i ʻole kekahi pilikia ʻē aʻe, aia kekahi mau maʻi e hiki ke hoʻopilikia i kēia mau capillaries lymphatic. Eia kekahi o lākou:
- ʻO Hodgkin lymphoma a me ka non-Hodgkin lymphoma: ʻElua ʻano maʻi kanesa kēia e ulu ana i loko o ka ʻōnaehana lymphatic. Hoʻomaka lākou i loko o nā keʻena koko keʻokeʻo i kapa ʻia ʻo lymphocytes.
- ʻEdema: Ua kamaʻilio mākou e pili ana i kēia ma mua. Hiki mai ka pehu ʻana i ka wā e hōʻiliʻili ai ka wai interstitial i loko o nā ʻiʻo ma mua o ka hiki ke wehe ʻia mai ke kino.
- ʻElepani / filariasis lymphatic: Ua lohe paha ʻoe i kēia. Ke ālai ʻia ka ʻōnaehana lymphatic, hōʻiliʻili ka wai lymphatic a hoʻoulu i ka pehu ʻana ma nā ʻāpana like ʻole o ke kino, ʻoiai nā lima, nā wāwae, a me nā ʻōpū.
- Lymphangitis: ʻO ka mumū o nā kīʻaha lymphatic i hoʻokumu ʻia e kahi ʻeha, ʻoki, a i ʻole ka maʻi me nā virus a bacteria paha.
- Lymphedema: Hōʻiliʻili ka lymph keu i loko o nā ʻiʻo palupalu o ke kino, ʻoi aku hoʻi nā lima a me nā wāwae, e hoʻoulu ai i ka pehu. He maʻi mau loa kēia a lōʻihi. Hoʻōla pinepine ʻia me ke ʻoki ʻole ʻana.
He aha nā hōʻailona o kēia maʻi? E makaʻala i kēia mau mea!
Inā he pilikia me nā capillaries lymphatic, nā hōʻailona e like me:
- Luhi : ʻAʻole wale ka luhi, akā, ka luhi nui loa.
- kuni
- Ke anu nei (`Chills`)
- ʻEha ʻōpū ('ʻEha ʻōpū')
- Nā kikowaena lymph pehu : Nā kikowaena lymph pehu i ka ʻāʻī, nā armpits, a me ka ʻūhā.
- Ka pohō kaumaha i wehewehe ʻole ʻia
- Paʻakikī i ka hele wāwae a i ʻole ka hanu ʻana
- Pehu ʻana : Pehu ʻana o nā wahi e like me nā lima, nā wāwae, a me ka maka.
He mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻaʻole ia he manaʻo he pilikia kou ma ka ʻōnaehana lymphatic. Eia nō naʻe, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau.
He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o nā capillaries lymphatic?
Inā kānalua kāu kauka i kekahi mea, hiki iā lākou ke kauoha i nā hoʻokolohua e like me kēia:
- Nā hoʻāʻo koko
- ʻO ke kiʻi CT (CT scan - tomography i helu ʻia)
- ʻO ke kiʻi MRI (MRI scan - magnetic resonance imaging)
- ʻO ke kiʻi PET (positron emission tomography)
- ʻO ke kani ultrasound Doppler : Hiki ke hoʻohana ʻia kēia e ʻike i ke kahe ʻana o ke wai i loko o nā kīʻaha koko a me nā kīʻaha lymph.
- ʻO ka biopsy ʻili : Ke lawe ʻana i kahi ʻāpana ʻili liʻiliʻi a nānā iā ia.
He aha nā lāʻau lapaʻau no ia mau pilikia?
ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka maʻi a me kona koʻikoʻi. Hoʻohana pinepine ʻia nā lāʻau lapaʻau penei:
- Lāʻau lapaʻau : No nā maʻi, ʻeha, pehu, a pēlā aku.
- 'Lapaʻau hoʻopili' : Ke kau ʻana i ke kaomi i ka ʻāpana pehu me nā kāʻei kūikawā a i ʻole nā lole.
- Lomilomi hoʻokahe lymphatic : He ʻano lomilomi kūikawā kēia e hoʻoulu ai i ke kahe o ka lymph.
- 'Chemotherapy' : I nā maʻi kanesa.
- Immunotherapy : I nā hihia maʻi kanesa, hoʻohana ʻia ka ʻōnaehana pale ponoʻī o ke kino e kōkua i ke kaua ʻana i ka maʻi kanesa.
- `Radiation therapy` : I nā maʻi kanesa.
- ʻO ke ʻoki kino : Pono paha i kekahi mau hihia.
Pehea e mālama pono ai i ko kākou mau capillaries lymphatic? E kōkua kēia mau ʻōlelo aʻoaʻo liʻiliʻi iā ʻoe!
Eia kekahi mau mea maʻalahi e hiki ai iā kākou ke hana e mālama pono i kēia mau mea hana leo ʻole i loko o ko kākou kino:
- E inu i ka wai he nui a noho hydrated: He wai ka Lymph. No laila, i mea e neʻe maʻalahi ai i loko o ke kino, pono mākou e inu i ka wai he nui.
- E noho mamao aku mai nā kemika ʻino: E hōʻemi i kou pili ʻana i nā mea e like me nā pesticides a me nā wai hoʻomaʻemaʻe. He mea ʻino kēia i ko kākou kino.
- E hoʻoikaika kino no ka liʻiliʻi he 150 mau minuke i ka pule: Hoʻomaikaʻi ka hoʻoikaika kino i ke kahe ʻana o ka lymph.
- E mālama i ke kaumaha olakino: ʻO ka momona nui ke kau i kahi kaumaha ma ka ʻōnaehana lymphatic.
- Inā ʻike ʻia ua loaʻa ka maʻi i kahi ʻeha, e ʻike koke i ke kauka: He mea nui e mālama i kahi ʻeha liʻiliʻi e pale aku ai i ka loaʻa ʻana o ka maʻi.
Āhea ʻoe e ʻike ai i ke kauka? E makaʻala hoʻi i kēia!
He mea nui loa ka hoʻomau ʻana i nā hoʻokolohua lapaʻau i hiki ke ʻike ʻia i ka wā mua inā loaʻa kekahi pilikia.
Eia kekahi, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokaʻulua e ʻike i ke kauka:
- Inā ʻaʻole e ho'ōla koke ka ʻeha.
- ʻO ka luhi i loaʻa no kekahi mau pule a ʻaʻole hiki ke loaʻa ke kumu.
- ʻO ka pehu i kū mai no kekahi mau pule me ke kumu ʻole a ke hoʻopilikia nei i nā hana o kēlā me kēia lā.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻIke ʻoe, ua like kēia mau capillaries lymphatic me nā koa liʻiliʻi i loko o ko mākou kino e hana ana i kahi hana mālie akā koʻikoʻi loa. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e noʻonoʻo e pili ana iā lākou, koe wale nō ka wā e maʻi ai mākou a i ʻole ka wā e pehu ai ko mākou kino.
Eia nō naʻe, ma ka mālama ʻana i kahi nohona olakino a me ka loaʻa ʻana o nā nānā lapaʻau maʻamau , hiki iā mākou ke pale iā mākou iho mai nā pilikia he nui e kū mai ana i loko o ka ʻōnaehana lymphatic. Inā manaʻo ʻoe he mau hōʻailona kāu e pili ana i nā capillaries lymphatic, he mea nui loa ia e ʻike koke i ke kauka a loaʻa kahi hōʻailona pololei a me ka lāʻau lapaʻau. E hoʻomanaʻo, he mīkini kupaianaha ko mākou kino. ʻO kā mākou kuleana ke mālama pono iā ia!
Nā Capillaries Lymphatic , ʻŌnaehana Lymphatic, ʻŌnaehana Palekana, Edema, Nā Pūnaehana Lymph, Kaulike Wai i loko o ke Kino
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