anatomie sistemului limfatic.ppt

8/9/2019 Anatomie sistemului limfatic.ppt

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ANATOMIA ŞI CLASIFICAREAPROCESELOR PATOLOGICE ALESISTEMULUI LIMFATIC

Doctor în medicină, asist. univ. Catedrachirurgie oro-maxilo-facială, implantologieorală şi stomatologie terapeutică “ArsenieGuţan”


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ANATOMIA SISTEMULUI LIMFATIC:

Sistemul limfatic este compus din ganglionilimfatici, vase limfatice, ducturi limfatice.Sistemul limfatic este o parte a sistemului

vascular şi conţine: capilare, vase, noduri

limfatice; trunchiul limfatic-drept, stâng, jugular,

subclavicular, bronho-mediastinal şi lumbal.

Ductul limfatic principal – se mparte n sectorultoracal şi cervical, care se deschide n venele

cervicale stngi. Limfa – este un lichidinterţestiţial, se afl! depo"itat ntre ţesuturi şi apoi

se adun! n capilarele, vasele, nodurile limfatice şi

mai departe – n ductul principal limfatic şi n

sângele venos.


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#anglionii limfatici sunt plasaţi pe traiectul trunchiurilor limfatice,

având diferite forme: rotun"i, fu"iformi, semilunari şi volume care pot

egala sau chiar dep!şi pe cel al unei alune, dar pot fi şi cât o g!m!lie

de ac. Se g!sesc ntotdeauna n aceleaşi regiuni; n unele regiuni

e$ist! un singur ganglion, n alte regiuni se g!sesc grupe ganglionare.

%oţiunea de ganglioni regionali desemnea"! elemente ganglionare

care primesc primele, limfaticele unui organ; ori ,,regional& inseamn!

apartenenţa acelor elemente ale unei regiuni, deci termenul poate

genera confu"ii pentru c! ganglionii nu primesc toate limfaticeleorganului vecin, dar ganglionii regionali ai unui organ au ca afluenţi si

limfaticele altor organe. 'eci denumirea corecta se pare ca va fi

&ganglion al primului grup&.

'in punct de vedere al topografiei generale a ganglionilor, aceştia pot fi superficiali şi profun"i. (a cap, gât şi trunchi ganglionii sunt

dispuşi n general n lungul vaselor, e$istând e$ceptii când ganglionii

se nşir! de-a lungul nervilor)nervul spinal şi nervul recurent*.


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+* #anglionii occipitali;

* #anglionii mastoidieni;

* #anglionii parotidieni

superficiali;

* #anglionii parotidieni profun"i:

/* ganglionii preauriculari;

0* auriculari inferiori;

1* intraglandulari;

2* #anglionii faciali: /* jugali;

0* na"olabiali;

1* malari;

3* perimandibulari;

4* linguali;5* #anglionii submentonieri;

6* #anglionii submandibulari.


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DRENAUL LIMFATIC !N TERITORIUL ORO"MA#ILO"FACIAL$

Grup %an%li&nar$ Terit&riul 'renat$ Urmat&area sta(ie %an%li&nar) %an%li&nii &ccipitali - tegumentul regiunii occipitale - ganglionii cervicali superiori.

%an%li&nii mast&i'ieni " tegumentul regiunii parietale, faţa e$tern! a pavilionuluiauricular - ganglionii parotidieni şi ganglionii cervicali.

%an%li&nii par&ti'ieni superficiali - regiunea temporal!, parietal!, frontal!)sprâncean!, pleoap!, pavilion, conduct auditiv e$tern* - ganglionii cervicali profun"i.

%an%li&nii par&ti'ieni pr&fun*i - urechea medie, v!l, luet!, fose na"ale " ganglionii

cervicali profun"i. %an%li&nii su+man'i+ulari - faţ!, bu"!, nas, limb!, dinţi - ganglionii cervicali

profun"i.

%an%li&nii su+ment&nieri - tegumentul mentonului, bu"!, planşeu, vârf limb! - ganglionii cervicali profun"i.

%an%li&nii retr&farin%ieni - fose na"ale, trompa 7ustachio, urechea medie -ganglioniicervicali profun"i.

%an%li&nii faciali pr&fun*i - muşchii masticatori, spaţiul temporal, fosa pterigopalatin!,orbite, fose na"ale, v!8 palatin, faringe - ganglionii cervicali profun"i.


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%an%li&nii cer,icali anteri&ri pr&fun*i - laringe, tiroid!,trahee - ganglionii cervicali profun"i.

%an%li&nii cer,icali anteri&ri superficiali " tegumentulregiunii cervicale -ganglionii cervicali profun"i inferiori.

%an%li&nii cer,icali pr&fun*i superi&ri - aferenţe de la toateregiunile capului şi gâtului direct sau prin intermediul altor

staţii ganglionare - canalul toracic stâng şi marea ven!

8imfatic! dreapt! %an%li&nii cer,icali pr&fun*i inferi&ri - aferenţe de la toate

regiunile capului şi gâtului direct sau prin intermediul altor

staţii ganglionare - canalul toracic stâng şi marea ven!

8imfatic! dreapt!. %an%li&nii spinali " triunghiul posterior al gâtului - ganglionii

cervicali profun"i.


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FUNC-IILE SISTEMULUI LIMFATIC: Susţinerea constantei sistemului şi schimbului de lichid interstiţial;

9sigurarea leg!turii umorale ntre lichidul interstiţial a tuturor organelor şi

ţesuturilor, aparatului limfoid şi sânge; 9bsorbţia produselor de descompunere a celulelor interstiţiale a

microbilor celulelor maligne ts.

8a parte n reacţia imunologic! a organismului prin transportarea celulelor

pla"matice, macroflorei, limfociţilor imuni ;

8a parte n reacţia stres.

de filtrare;

ap!rare;

8munologic! - ia parte n reacţia imunologic! a organismului prin

transportarea celulelor pla"matice, macroflorei, limfociţilor imuni ;

limfocitopoietic!.

'e schimb şi re"ervuar


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Particularit)(ile anat&m&"t&p&%rafice asistemului limfatic:

'e la dinte)alt organ* limfa se drenea"! n mai

mulţi )-2* ganglioni limfatici.eţeaua deas! de drenare limfatic! anastamo"ea"!

dreapta cu stnga.


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CLASIFICAREA PROCESELOR PATOLOGICE ALESISTEMULUI LIMFATIC:

'up! etiologie: odontogen!, rinogen!,

ton"ilogen!, traumatic!, dermatogen!,

tumoral!, stomatogen!, specifice.'up! no"ologie: limfangita, limfadenita,

adenoabcesul, adenoflegmonul.

'up! clinic!: acut! şi cronic!, cronic!e$acerbat!.


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Limfan%ita: -inflamaţia vaselor limfatice.)(imfangoitele-limfangitele*, care se de"volt! nre"ultatul penetr!rii microflorei, to$inelor n c!ile

limfatice.


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Eti&l&%ia – agenţii provocatori sunt stafilococii,escherichia colli, proteus, asociaţii microbiene.=ocarele principale de infecţie pot fi : infecţii

odontogene, ton"ilogene, pl!gi infectate, e$coriaţie,

furunculul, carbunculul, abcesul, flegmonul, penetrarea n vasele limfatice a celulelor descompuse

ale tumorilor, corpi str!ini. >ondiţiile ce aprecia"!

de"voltarea limfangitei e locali"area şi dimensiunile

focarului primar de infecţie, de virulenţa microbilor.


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CLASIFICAREA LIMFANGITELOR

'up! caracterul şi gradul de de"voltare a focarului

inflamator se deosebesc: seroas! şi purulent!.

Limfa%ita acut), n form! reticular! şi truncular!,

superficiale şi profunde.Limfan%it) cr&nic) – e un re"ultat de trecere a

inflamaţiei acute a organi"mului ori n re"ultatul

tratamentului incorect, neadecvat.


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Limfan%it) reticular) se caracteri"ea"! prin :

8nflamaţia reţelei superficiale a capilarelor limfatice n jurul pl!gii, sau focarelor inflamatorii : acne,

foliculite, furuncule, carbuncule ş.a.

?iperemie şi dureri ;

=!şii roşii-nguste de la focar spre periferie ;

@emperatura corpului 6-A grade > ;

9lte semne ale into$icaţiei )depuneri pe limb!,

cefalee, pierderea poftei de mncare* ;

=risoane .


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Limfan%ita tr&ncular) – se locali"ea"! n vaselimfatice de un calibru mai mare :


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LIMFANGITEI

'ilatarea peretelui e$tern a vasului limfatic afectat. 'ilatarea – permiabili"area – hiperpermiabilitate –

e$udarea.

oagularea fibrinei n vase aduce la trombo"a lor şi

limfosta"!, la cele cronice se depistea"! cu edem al

feţei. %odulii limfatice regionali cresc n volum care"ultat a inflamaţiei reactive.


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Dia%n&sticul limfangitei reticulare superficialenu e dificil, când se observ! cordoanelehiperemiate pe tegument. (a pre"enţa

hiperemiei difu"e se poate confunda cu

eri"ipelul feţei; n ca" de edem pe ba"a

limfangitei tronculare – cu flebita; la edemul

difu" şi mai mare – cu un flegmon. (imfangita

profund! poate simula tromboflebita.


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Tratamentul se ba"ea"! pe urm!toarele:(ichidarea focarelor de infecţie: asanarea focarelor

cau"ale odontogene, ton"ilogene, dermatogene etc.

8ntervenţia chirurgical! local!-adecvat!;@ratamentul adecvat raţional antiinflamator;

'eshidratarea organismului.


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Pr&n&sticul n ca"ul tratamentului adecvat

raţional – e favorabil.C&mplica(ii/'e"voltarea abceselor pe parcursul vasului

limfatic afectat.Stare septic!, septicemie, septicopiemie.

'escompunerea nodulilor limfatici regionali.


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Pr&fila0ia/ tratamentul adecvat, raţional, latimp a tuturor focarilor infecţioase –

odontogene, ton"ilogene şi dermatogene.


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1234562789:28 ; B/CDEFEGHIJ DE KELM

FNOP/QNRHCNK CECMLE1 N 1OHCQH C INONCECQ/1FTUQ FNOP/QNRHCMU CNCQHOM. VIN

T1FTUQCT EB3/I/ON FNOPEDEWX/ N

E0B/XE1/INT /IQNQHF. YNOP/QNRHCNH MXFJ,

EQEBJH E/XJ1/UQCT DHB1JON I/ DMQNFNOP/QNRHCNK CECMLE1, IHCMZNH FNOPM NX

L/IIE[ E0F/CQN QHF/ )BH3NEI/* NFN EB3/I/,

CRNQ/UQCT BH3NEI/BIJON.


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\/GLJ[ FNOP/QNRHCN[ MXHF DEBJQ CEHLNINQHF]IEQ/IIE[ /DCMFE[

)capsula nodi l^mphatici*, EQ EQEBE[ 1IMQB] MXF/ EQKELTQ /DCMFTBIJH

QB/0HMFJ )trabeculae nodi l^mphatici*. _/ DE1HBKIECQN MXF/ NOHHQCT 1L/1FHINH -

1EBEQ/ MXF/ )hilus nodi l^mphatici*. `HBHX 1EBEQ/ DBEIN/UQ 1 MXHF /BQHBNN N

IHB1J, 1JKELTQ 1HIJ N 1JIECTZNH FNOP/QNRHCNH CECMLJ.


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VQ /DCMFJ 1 E0F/CQN 1EBEQ EQKELTQ 1 D/BHIKNOM MXF/ 1EBEQIJH

)KNF/BIJH* QB/0HMFJ. EBEQIJH N /DCMFTBIJH QB/0HMFJ

CEHLNITUQCT, DBNL/1/T FNOP/QNRHCEOM MXFM LEF]R/QEHCQBEHINH. /DCMFE[ MXF/ N QB/0HMF/ON C1TX/I/ CQBEO/ MXF/,

E0B/XE1/II/T BHQNMFTBIE[ CEHLNINQHF]IE[ Q/I]U, 1 DHQFTK

EQEBE[ I/KELTQCT FHQN BE1N, 3F/1IJO E0B/XEO FNOPENQJ.

HQNMFTBI/T Q/I] N FHG/ZNH 1 HH DHQFTK FHQN CECQ/1FTUQ

D/BHIKNOM MXF/, EQEBMU DELB/XLHFTUQ I/ EBE1EH N OEX3E1EH

1HZHCQ1E. EBE1EO 1HZHCQ1H )0FNXEO /DCMFH*

B/CDEF/3/UQCT OHFNH MXHFN, NFN PEFFNMFJ )noduli s. folliculi

l^mphatici*, CELHBG/ZNH DBHNOMZHCQ1HIIE

NOOMIEEODHQHIQIJH FHQN )-FNOPENQJ*.


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EX3E1EH 1HZHCQ1E DBHLCQ/1FHIE OTEQIJON QTG/ON )chorda medullaris*,

T1FTUZNONCT XEIE[ CEDFHINT -FNOPENQE1, C1TX/IIJK C 1JB/0EQE[

3MOEB/F]IE3E NOOMINQHQ/. HGLM /DCMFE[, QB/0HMFE[ N D/BHIKNOE[

NOHUQCT ZHFN - FNOP/QNRHCNH CNIMCJ )sinus nodi l^mphatici*. E CNIMC/OQHRHQ FNOP/, DECQMDN1/T 1 FNOP/QNRHCN[ MXHF. VI/ CI/R/F/ DECQMD/HQ 1

B/H1E[ CNIMC, I/KELTZN[CT DEL /DCMFE[ MXF/ )sinus marginalis*, 1

EQEBJ[ EQBJ1/UQCT DBNIECTZNH FNOP/QNRHCNH CECMLJ. /FHH EI/

DBEIN/HQ 1 CNIMCJ EBE1E3E N OEX3E1E3E 1HZHCQ1/, / X/QHO 1 1EBEQIJ[

CNIMC )sinus hilaris* N NX IH3E 1 1JIECTZNH FNOP/QNRHCNH CECMLJ. _/C1EHO DMQN FNOP/ / 0J DBEC/RN1/HQCT Q/GH RHBHX D/BHIKNOM MXF/ N

QHRHQ DE B/H1EOM CNIMCM 0EFHH EBEQNO DMQHO EQ DBNIECTZNK

FNOP/QNRHCNK CECMLE1 1JIECTZNO. 1EX] CQHIN CNIMCE1 1 D/BHIKNOM

FNOP/QNRHCE3E MXF/ DBEIN/UQ N Q/O I//DFN1/UQCT NIEBELIJH R/CQNJ,

DEL1HB3/UZNHCT 1EXLH[CQ1NU FNOPJ.

\/GLJ[ FNOP/QNRHCN[ MXHF E0NF]IE BE1ECI/0G/HQCT DBNRHO /BQHBNN


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\/GLJ[ FNOP/QNRHCN[ MXHF E0NF]IE BE1ECI/0G/HQCT, DBNRHO /BQHBNN

DBEIN/UQ 1 IH3E IH QEF]E RHBHX 1EBEQ/, IE N RHBHX /DCMFM. CDHBNOHIQ/F]IE

LE/X/I E0OHI 1 FNOP/QNRHCNK MXF/K OHGLM BE1]U N FNOPE[.

CFE1IE 1JLHFTUQ QND/ FNOP/QNRHCNK MXFE1.

HB1J[ QND K/B/QHBNXMHQCT, 1 R/CQIECQN, QHO, RQE M IH3E DFEZ/L] EBE1E3E1HZHCQ1/ IHCEF]E OHI]H DFEZ/LN OEX3E1E3E. YNOP/QNRHCNH MXFJ DHB1E3E

QND/ 0JCQBE N NIQHICN1IE I/DEFITUQCT BHIQ3HIEEIQB/CQIE[ O/CCE[.

YNOP/QNRHCNH MXFJ 1QEBE3E QND/ EOD/QIJH. VIN K/B/QHBNXMUQCT

DBHE0F/L/INHO O/CCJ EBE1E3E 1HZHCQ1/ I/L OEX3E1JO N BHIQ3HIEFE3NRHCN

OHLFHIIJO N CF/0JO EIQB/CQNBE1/INHO. kB/ICDEBQI/T PMINT Q/NK MXFE1

ONINO/F]I/.

`/ZH 1CH3E 1CQBHR/UQCT FNOP/QNRHCNH MXFJ QBHQ]H3E QND/ - DBEOHGMQERIJH.

/CC/ EBE1E3E N OEX3E1E3E 1HZHCQ1/ 1 INK DBNOHBIE ELNI/E1/.

HIQ3HIEEIQB/CQIJO 1HZHCQ1EO EIN X/DEFITUQCT KEBEE. K EICQBMNT

WPPHQN1IE E0HCDHRN1/HQ E0B/0EQM FNOPJ N QB/ICDEBQIMU PMINU.


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VQOHRHIIJH 1/BN/NN FNOP/QNRHCNK MXFE1, NILN1NLM/F]IJH

ECE0HIIECQN NK EICQBMNN N CEEQ1HQCQ1HIIE PMINEI/F]IJH

DEQHINN 1 NX1HCQIE[ OHBH E0MCFE1FN1/UQ B/XFNRIMU 1JGN1/HOECQ]EIEFE3NRHCNK 0EF]IJK. YNOP/QNRHCNH MXFJ DHBHCQB/N1/UQCT 1

QHRHINH 1CH[ GNXIN, 1 QEO RNCFH M DEGNFJK N CQ/BJK FULH[. VQ

UIEHCE3E 1EXB/CQ/ )+5-+ 3EL* LE DEGNFE3E )4-52 FHQ* EFNRHCQ1E

NK MOHI]/HQCT 1 + +- B/X/. E OHBH M1HFNRHINT 1EXB/CQ/ RHFE1H/

1 MXF/K, DBHNOMZHCQ1HIIE CEO/QNRHCNK, DBENCKELTQ MQEFZHINH/DCMFJ N QB/0HMF, M1HFNRHINH CEHLNINQHF]IE[ Q/IN, X/OHZHINH

D/BHIKNOJ GNBE1E[ Q/I]U. k/NH MXFJ QHBTUQ C1EN HCQHCQ1HIIJH

CQBEHINH N C1E[CQ1/, X/DMCQH1/UQ N CQ/IE1TQCT IHDBEKELNOJON LFT

FNOPJ. `NCFE FNOP/QNRHCNK MXFE1 MOHI]/HQCT N X/ CRHQ CB/CQ/INT

L1MK MXFE1, FHG/ZNK BTLEO, 1 0EFHH BMDIJ[ FNOP/QNRHCN[ MXHF.


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1EXB/CQEO OHITHQCT N PEBO/ MXFE1. OEFELEO

1EXB/CQH DBHE0F/L/UQ MXFJ EBM3FE[ N E1/F]IE[PEBOJ, M DEGNFJK N CQ/BJK FULH[ EIN / 0J

1JQT3N1/UQCT 1 LFNIM. k/NO E0B/XEO, M

DEGNFJK N CQ/BJK FULH[ EFNRHCQ1E

PMINEINBMUZNK FNOP/QNRHCNK MXFE1MOHI]/HQCT X/ CRHQ NK /QBEPNN N CB/CQ/INT

LBM3 C LBM3EO, 1 BHXMF]Q/QH RH3E M FN CQ/BH3E

1EXB/CQ/ DBHE0F/L/UQ BMDIJH FNOP/QNRHCNH

MXFJ.

?@@B542 =234562789:2 9@9;@ 2 ;


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?@@B542 =234562789:2 9@9;@ 2 ;


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MQN EQQE/ FNOPJ EQ DE1HBKIECQIJK E0B/XE1/IN[ 3EFE1J N HN, 1NL CDB/1/:

+ EEFEMIJH MXFJ; ZRIJ[ MXHF; DELDEL0EBELERIJH MXFJ;

DELINGIHRHFUCQIJH MXFJ; 2 TBHOIE-FED/QERIE-DELqTXJRIJ[ MXHF; 4

INGINH 3FM0ENH F/QHB/F]IJH H[IJH MXFJ; 5 1HBKINH 3FM0ENH F/QHB/F]IJH

H[IJH MXFJ; 6 TBHOIE-L1M0BUIJ[; A X/QJFERIJH MXFJ; +

CECH1NLIJH MXFJ


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VQ1ELTZNH FNOP/QNRHCNH CECMLJ EGN CBHLIH[ R/CQN FN/ DBEKELTQ I/L

ONONRHCNON OJ/ON предушным,нижнеушным =2H8>3 ;3 )nodi submandibulares* N 88238>3 ;3 2 @@@@@7>3 )nodi submandibulars et

submentales*.


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+ FNOP/QNRHCNH CECMLJ, EQ1ELTZNH FNOPM EQ 1HBKMN TXJ/; HIQB/F]IJH

EQ1ELTZNH FNOP/QNRHCNH CECMLJ; B/H1JH EQ1ELTZNH FNOP/QNRHCNH CECMLJ;

0/X/F]IJH EQ1ELTZNH FNOP/QNRHCNH CECMLJ; 2 C1TXN C CECML/ON

DBEQN1EDEFEGIE[ CQEBEIJ; 4 TBHOIE-FED/QERIE-DELqTXJRIJ[ MXHF; 5

3FM0ENH F/QHB/F]IJH H[IJH MXFJ; 6 TBHOIE-L1M0BUIJ[ MXHF; A DELINGIHRHFUCQIE[ MXHF; + DELDEL0EBELERIJ[ MXHF


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YNOP/QNRHCNH MXFJ @:@=@;@ @=5962DBHLCQ/1FHIJ DE1HBKIECQIE[ N 3FM0EE[ 3BMDD/ON

).. /RHC, +A4*. E1HBKIECQI/T 3BMDD/ CECQENQ NX- MXFE1 – DBH/MBNMFTBIJK FNOP/QNRHCNK MXFE1,FHG/ZNK 1IH /DCMFJ GHFHXJ N -2 MXFE1,

B/CDEFEGHIIJK M INGIH3E DEFUC/ EEFEMIE[

GHFHXJ. FM0E/T 3BMDD/ FNOP/QNRHCNK MXFE1 WQE[E0F/CQN DBHLCQ/1FHI/ - MXF/ON, B/CDEFEGHIIJON 1QEFZH C/OE[ GHFHXJ N +-- 1 HH INGIHO EQLHFH. k/NOE0B/XEO, 1 E0F/CQN EEFEMIE[ GHFHXJ

I/CRNQJ1/HQCT EQ A LE + FNOP/QNRHCNK MXFE1.


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YNOP/QNRHCNH CECMLJ 6838@ 2 29@7@ @=5968 / Q/GHMIE[ B/E1NIJ I/DB/1FTUQCT DEX/LNMIJO FNOP/QNRHCNOMXF/O. YNOP/QNRHCNH CECMLJ EQ 1HBKIH3E N INGIH3E 1H/,DHBHLINK EQLHFE1 QHOHIIE[ N 1NCERIE[ E0F/CQH[, I/BMGIE3E

CFMKE1E3E DBEKEL/, EEFEMIE[ GHFHXJ I/DB/1FTUQCT DE1HBKIECQIJO EEFEMIJO FNOP/QNRHCNO MXF/O. JIECTZNHCECMLJ WQNK MXFE1 1D/L/UQ 1 3FM0ENH EEFEMIJH FNOP/QNRHCNHMXFJ, / 1JIECTZNH CECMLJ, B/CDEFEGHIIJH I/ MBE1IH INGIH[RHFUCQN - 1 3FM0ENH H[IJH FNOP/QNRHCNH MXFJ.

_ECE3M0IJH FNOP/QNRHCNH MXFJ I/KELTQCT I/ MBE1IH I/BMGIJKIECE1JK EQ1HBCQN[ 1 E0F/CQN IECE3M0IE[ 0EBEXLJ NFN DEL INGINOB/HO 3F/XINJ. E INO L1NGHQCT FNOP/ NX DE1HBKIECQIJK R/CQH[FN/ DEL3F/XINRIE[ E0F/CQN. XFJ IHDECQETIIJH.


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YNOP/QNRHCNH CECMLJ ;682 @=@2 8: @95 8:2


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де!"$с" на$ри %руппы& передние )B/CDEF/3/UQCT 1DHBHLN FNH1E[ /BQHBNN*,

средние )OHGLM /BQHBNH[ N 1HIE[* N задние )DEX/LN 1HIJ*.


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YNOP/QNRHCNH CECMLJ, NLMZNH EQ DHBHLINK EQLHFE1 /F]1HEFTBIE3EEQBECQ/ INGIH[ RHFUCQN )LHCIJ N XM0E1*, EIRN/ TXJ/,DELqTXJRIE[ E0F/CQN, INGIH[ 3M0J N DEL0EBEL/, I/DB/1FTUQCT @@@@@7>3 FNOP/QNRHCNO MXF/O, EQEBJH I/KELTQCT OHGLMDHBHLINON 0BU/ON L1MK0BUIE[ OJJ. `NCFE N K - EQ LE 4.


36/43

FM0ENH FNOP/QNRHCNH CECMLJ, NLMZNH EQ Q1HBLE3E NOT3E3E I0/, IECE1E[ R/CQN 3FEQN, DEFECQN BQ/,

1HBKIHRHFUCQIJK D/XMK, ONIL/FNI, CBHLIH3E MK/,I/DB/1FTUQCT @:@=@B=@6@7>3 (заглоточным)FNOP/QNRHCNO MXF/O, EQEBJH I/KELTQCT CX/LN NC0EM EQ 3FEQN. QN MXFJ B/CDEF/3/UQCT 1 X/LIHO

EQLHFH X/3FEQERIE3E DBECQB/ICQ1/, RQE CDECE0CQ1MHQ0JCQBEOM B/CDBECQB/IHINU 1ECD/FNQHF]IE3E DBEHCC/DE CECMLNCQEOM 1F/3/FNZM 1 DHBHLIHH N X/LIHHCBHLECQHINH, / Q/GH 11HBK 1 RHBHD.


37/43

VQ1ELTZNH FNOP/QNRHCNH CECMLJ, NLMZNH EQ MXFE1 RHFUCQIE-FNH1E[E0F/CQN, DECQMD/UQ 1 =234562789:28 ; 82 EQEBJHDELB/XLHFTUQCT I/ п'ер)н'с$ные и %!у'*ие+

E1HBKIECQIJH H[IJH FNOP/QNRHCNH MXFJ LHFTQCT I/ передние)I/KELTQCT DE KELM DHBHLIH[ TBHOIE[ 1HIJ* N боковые )B/CDEF/3/UQCTDE KELM I/BMGIE[ TBHOIE[ 1HIJ*. QN FNOP/QNRHCNH DMQNCEHLNITUQCT LBM3 C LBM3EO N C FNOP/QNRHCNON CECML/ONDBEQN1EDEFEGIE[ CQEBEIJ.

FM0ENH FNOP/QNRHCNH MXFJ HN T1FTUQCT MXF/ON 1QEBE3E N QBHQ]H3EDEBTL/. VCE0E 1/GIJON CRNQ/UQCT TBHOIE-L1M0BUIJH, TBHOIE-FED/QERIE-DELqTXJRIJH N TXJRIJH FNOP/-QNRHCNH MXFJ. Q83@";K>8 MXFJ I/KELTQCT EEFE TBHOIE[ 1HIJ I/ MBE1IH 0EF]E3E

BE3/ DELqTXJRIE[ ECQN N CE0NB/UQ FNOPM EQ 1IMQBHIINK EB3/IE1 HN- 3FEQN, 3EBQ/IN, QB/KHN, H[IE[ R/CQN DNZH1EL/, ZNQE1NLIE[ GHFHXJ

N OJ HN.


38/43

+ 3FEQERIE-0/XNFTBI/T P/CNT; X/3FEQERIJH MXFJ; 1IMQBHIITT

TBHOI/T 1HI/; X/LIHH 0BUE L1M0BUIE[ OJJ; 2 3BMLNIE-

FURNRIE-CECH1NLI/T OJ/; 4 1CQ/1ERIJH MXFJ; 5 TBHOIE-

L1M0BUIJ[ MXHF; 6 3FM0ENH F/QHB/F]IJH H[IJH MXFJ; A TBHOIE-

FED/QERIE-DELqTXJRIJ[ MXHF

Q83@"=@56@7@"@7> FNOP/QNRHCN[ MXHF B/CDEFEGHI I/


39/43

P M BDHBHLIH[ DE1HBKIECQN 1IMQBHIIH[ TBHOIE[ 1HIJ I/L FED/QERIE-DELqTXJRIE[

OJH[ N DBNINO/HQ FNOPM EQ TXJ/, DEL DEL0EBELERIE[ N

DELINGIHRHFUCQIJK E0F/CQH[. Q7> )1HBKIN[ 3FM0EN[ H[IJ[*FNOP/QNRHCN[ MXHF DEFMR/HQ FNOPM EQ X/LIH[ QBHQN TXJ/, I/KELNQCT I/

MBE1IH CHBHLNIJ DEL0EBELERIE - TXJRIE[ OJJ.

EF] FNOP/QNRHCE[ CNCQHOJ DBN 3IE[IJK DEB/GHINTK EB3/INXO/

X/FUR/HQCT 1 BHXEB0NN 0/QHBN[ NX EBMG/UZNK Q/IH[ N

QB/ICDEBQNBE1/INN NK 1 FNOP/QNRHCNH MXFJ. YNOP/ E0B/XMHQCT DMQHO

1C/CJ1/INT QB/ICCML/Q/ NX NIQHBCQNN/F]IE[ Q/IN 1 /DNFFTBJ

FNOP/QNRHCE[ CNCQHOJ, / X/QHO 1 MXFJ. QBEHINH FNOP/QNRHCNK MXFE1DELBE0IE EDNC/IE 1 FNQHB/QMBH. VCE0J[ NIQHBHC DBHLCQ/1FTHQ I/FNRNH 1

/DCMFH N QB/0HMF/K FNOP/QNRHCNK MXFE1 3F/LEOJHRIJK FHQE. VIN

Q/GH 1KELTQ 1 CQHIN FNOP/QNRHCNK CECMLE1, RQE E0HCDHRN1/HQ CEB/ZHINH

FNOP/QNRHCNK MXFE1 N CECMLE1 N CDECE0CQ1MHQ DBEQ/FN1/INU FNOPJ.

56@=@B2789:5 556@32$ BN D/QEOEBPEFE3NRHCEO NCCFHLE1/INN


40/43

B BP L

EQOHRHIE I/0MK/INH CQHIE FNOP/QNRHCNK CECMLE1 N M1HFNRHINH NK

DBEIN/HOECQN. \FHQR/Q/ 1LEF] CECMLE1 DBEDNQJ1/HQCT FH[ENQ/ON

)DHBNFNOP/I3ENQ*. BHXMF]Q/QH CMGHINT DBEC1HQ/ N CFMZN1/INT

WILEQHFN/F]IJK FHQE FNOP/QNRHCNK CECMLE1 1 INK E0B/XMUQCT QBEO0J,

RQE 1JXJ1/HQ CQE[N[ FNOPECQ/X. BN LFNQHF]IEO B/X1NQNN 1ECD/FNQHF]IE3EDBEHCC/ I/0FUL/HQCT NK E0FNQHB/NT N 1EXIN/UQ XI/RNQHF]IJH EQHN. BN

ECQBJK FNOP/LHINQ/K MXFJ M1HFNRHIJ, DEFIEBE1IJ, CECMLJ B/CNBHIJ,

1EXIN/HQ EQH. /BHIKNO/ FNOP/QNRHCE3E MXF/ DBEDNQJ1/HQCT CHBEXIJO

WCCML/QEO. 1HFNRN1/UQCT E0qHO N NIPNF]QB/NT Q/IH[ FNOP/QNRHCE3E

MXF/, I/0FUL/HQCT DBEFNPHB/NT FNOP/QNRHCNK WFHOHIQE1, EFNRHCQ1EFH[ENQE1 M1HFNRN1/HQCT.

BN I/FNRNN ECQBE3E FNOP/LHINQ/ /DCMF/ MXF/ 1CH3L/ EQHRI/T, /

CEHLNINQHF]I/T Q/I] B/XBJKFHI/. BN I/3IEHINN MXF/ /DCMF/

NIPNF]QBNBMHQCT FH[ENQ/ON.


41/43

YNOP/QNRHCNH MXFJ, 0F/3EL/BT WF/CQNRIECQN /DCMF, DBN

1ECD/FNQHF]IJK DBEHCC/K OE3MQ LHDEINBE1/Q]

XI/RNQHF]IEH EFNRHCQ1E FNOPJ, M1HFNRN1/TC] DBN WQEO 1

- B/X/ DE CB/1IHINU CE C1EH[ DHB1EI/R/F]IE[ 1HFNRNIE[ ,IH QHBTT DBN WQEO PMINEI/F]IE[ CDECE0IECQN.

KBEINRHCE[ CQ/LNN FNOP/LHINQ K/B/QHBNXMHQCT

3NDHBDF/XNH[ FNOPENLIJK WFHOHIQE1, EQEBJH

1DECFHLCQ1NN X/OHZ/UQCT CEHLNINQHF]IE[ Q/I]U./QTGIE[ KBEINRHCN[ DBEHCC N DHBHIHCHIIEH 3IE[IEH

1ECD/FHINH CEDBE1EGL/UQCT MQEFZHINHO /DCMFJ N

B/XB/CQ/INHO PN0BEXIE[ Q/IN. YNOP/QNRHCN[ MXHF

COEBZN1/HQCT N DBH1B/Z/HQCT 1 PN0BEXIJ[ QTG.

=599242:5H2


42/43

4 YNOP/LHINQJ, 1 X/1NCNOECQN EQ FE/FNX/NN 1KELIJK 1EBEQ NIPHNN, LHFTQCT

I/: 'д'н$'%енные, $'н-и!!'%енные, рин'%енные, '$'%енные, с$'ма$'%енные и

дерма$'%енные+ VIN 1KELTQ 1 3BMDDM 1QEBNRIJK FNOP/LHINQE1.

/XFNR/UQ Q/GH спе.и/и0ес*ие и неспе.и/и0ес*ие FNOP/LHINQJ.X/1NCNOECQN EQ K/B/QHB/ QHRHINT DBEHCC/ 1JLHFTUQ острые, хронические и

обострившиеся хронические лимфадениты. @96>3 4@353 59H82;K2V =2345826>$

BN 1ECD/FNQHF]IE[ NIPNF]QB/NN Q/IH[, EBMG/UZNK FNOP/QNRHCN[ MXHF,

B/X1N1/HQCT периаденит. EGHQ 1EXIN/Q] аденофлегмона- B/XFNQEH 3IE[IEH

1ECD/FHINH FHQR/QN, EBMG/UZH[ FNOP/QNRHCN[ MXHF.

@2789:23 @95=823 =234562789:@B@ ;B28=5962789:2V =2345826$


43/43

X/1NCNOECQN EQ FE/FNX/NN 1KELIJK 1EBEQ NIPHNN M

1XBECFJK R/ZH 1CQBHR/UQCT ECQBJH @@6@B8>8 FNOP/LHINQJ,DBNRNIE[ EQEBJK T1FTUQCT DHBNELEIQNQJ, /F]1HEFNQJ,

DHBNECQNQJ, ECQHEONHFNQJ, I/3IEN1NHCT NCQJ.\ 8@@6@B8>3 FNOP/LHINQ/O CFHLMHQ EQIHCQN

1ECD/FNQHF]IJH DBEHCCJ 1 FNOP/QNRHCEO MXFH, EQEBJH

1EXIN/UQ 1CFHLCQ1NH QEIXNFFNQE1, BNINQE1, NIPNNBE1/IIJK

B/I EGN N CFNXNCQE[ E0EFERN, EQNQE1, PMBMIMFE1 N

/B0MIMFE1 N LB. BHLN 1CHK FNOP/LHINQE1 RHFUCQIE- FNH1E[

E0F/CQN ECE0EH OHCQE X/INO/UQ Q/ I/XJ1/HOJH первичные

лимфадениты, DBN 1EXINIE1HINN EQEBJK IH ML/HQCT

E0I/BMGNQ] NK 1NLNOMU C1TX] C /NO-FN0E D/QEFE3NRHCNO

ER/3EO

anatomie sistemului limfatic.ppt

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