LYMPH NODES

LYMPH NODES


1.       INTRODUCTION:

    Lymph nodes are oval or bean-shaped organs.
2.       SITUTATION :
Lymph nodes are present in groups,along the length of lymph vessels.
3.       SHAPE:
Oval or bean  shape, size varies some are small as a pin head and the largest are about the size of an almond.
4.       STRUCTURE :

v  Lymph nodes have an outer capsule of fibrous tissue that dips down into the node substance forming partitions, or trabeculae.
v  The main substance of the node consists of reticular and lymphatic tissue containing many lymphocytes and macrophages.

v  As many as four or five afferent lymph vessels may enter a lymph node while only one efferent vessel  carries lymph away from the node.
v  Each node has a concave surface called the hilum, where an artery enters and a vein and the efferent lymph vessel leave.
v  The large numbers of lymph nodes situated in strategic positions throughout the body are arranged in deep and superficial cervical needs.
v  Lymph from the head and neck passes through deep and superficial cervical nodes.

v  Lymph from the upper limbs passes through nodes situated in the elbow region,then through the deep and superficial axillary nodes.
v  Lymph  from organs and tissues in the thoracic cavity drains through groups of nodes situated close to the mediastenium,large airways,oesophagus and chest wall.

v  Most of the lymph from the breast passes through the axillary nodes.

v  Lymph from the pelvic and abdominal cavities passes through many lymph nodes before entering the cistern chyli.

5.       BLOOD SUPPLY:

The abdominal and pelvic nodes are situated mainly in association with the blood vessels supplying the organs and close to the main arteries, i.e.  the aorta and the external and internal iliac arteries.

6.       FUNCTIONS:
Ø  FILTERING AND PHAGOCYTOSIS .
§  Lymph is filtered by the reticular and lymphoid tissue as it passes through lymph nodes.
§  Particulate matter may include microbes,dead and alive phagocytes containing ingested microbes,cells from malignant tumours,worn-out and damaged tissue cells and inhaled particles.
§  Organic material is destroyed in lymph nodes by macrophages and antibodies.
§  In some cases where phagocytosis of microbes is incomplete they may stimulate inflammation and enlargement of node.(lymphoadenopathy).

Ø  PROLIFERATION OF LYMPHOCYTES:
§  Activated T-and B-lymphocytes multiply in lymph nodes.

§  Antibodies produced by sensitised  B-lymphocytes enter lymph and blood draining the node.

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