Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
Owing to intracapillary pressure, the lymph transudes into the
lymph spaces and bathes the tissues, being carried away again by
the lymphatics. The amount of transudation is determined by the
blood pressure--the greater the pressure, the greater the amount of
transudation--and is increased by some organic action of the cells in
the walls of the vessels. In the process of transudation a certain
amount of solid matter goes through the wall of the vessel and it is
probable that certain protein elements can be carried thus from the
blood-vessels to the lymphatics, though they do not pass through the
capillary wall as readily as other substances. Some lymph is also
probably formed by the action of the tissues themselves, though the
process is not understood.
All muscular movements, active or passive, including the respiratory
movements, tend to drive the lymph on its way by pressure, the valves
of the vessels keeping it from flowing back. Moreover, its flow is
from the capillaries to the veins or from a region of high pressure to
one of less pressure. There is probably also some contraction in the
walls of the vessels themselves, and the continual formation of lymph
helps to drive it along. If an obstruction to the circulation occurs,
however, back-pressure results and causes too great transudation. In
that event a limb becomes swollen, pale, and generally cool. It pits
on pressure, the pressure driving the lymph out and there being no
circulation to bring it back. This condition is called œdema and occurs
in liver, kidney, and heart troubles, being generally first observed at
the ankles. In ascites, hydrothorax, hydrocephalus, and pericardial and
pleural effusions the fluid corresponds to lymph in its composition and
the large amount is due to excessive formation of the fluid, which is
normally present in small quantities.
Lymph gives the tissues substances from the blood that they need and
carries off those they do not, whether waste or substances of use to
other tissues. Because they thus absorb certain materials not needed
by the tissues and convey them to the circulation, the lymphatics have
also been called absorbents. Indeed, lymph may be spoken of as the
middleman between the blood and the tissues.
Another function of the lymph is to lubricate. Thus, the synovial fluid
of the joints is lymph and the pleuræ and the pericardium contain lymph
or serum to reduce the friction between the adjoining surfaces as much
as possible. The brain and spinal cord do not quite fill the cavities
of the cranium and the spinal column but float on a cushion of lymph,
the cerebro-spinal fluid. When the brain, which is subject to increase
and diminution in size, increases in size, it drives the lymph out, and
when it diminishes, the lymph returns.
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