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13.34. What is the insufficiency of lymphokinesia? Name its main forms.

Insufficiency lymphokinesia –it’s a state of inability of lymphatic vessels to carry out their main function - realization of a constant and effective drainage of interstitium.

The following forms of insufficiency lymphokinesia are distinguished.

1. Mechanical insufficiency. It is shown by difficulty of outflow of lymph because of presence of organic (pinching a tumour or a cicatrix, an obliteration of lymphatic vessels at their inflammation, a thrombosis, etc.) or the functional reasons (increase of pressure in the main venous vessels, a spasm of lymphatic vessels, the discontinuance of muscular reductions, etc.).

2. Dynamic insufficiency. It arises when the volume of transudation of interstitial liquid exceeds opportunities of lymphatic system to provide an effective drainage of intercellular space.

3. Resorbtion insufficiency. It is caused by structural changes of interstitial tissue, accumulation of fibers and sedimentation of their pathological kinds in interstitium.

The main displays of insufficiency of lymphokinesia in acute stage are the hypostasis, accumulation of fibers and products of their disintegration in interstitial space, and in a chronic stage - development of fibrosis and of sclerosis.

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