Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro's A New Approach to Manual Lymphatic Drainage PDF

By Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy

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The accumulation of liquid in the interstitium leads to increase interstitial pressure on adjacent structures and lymphatic capillaries. This causes the separation of its fixating filaments, distending the endothelial cells and opening intercellular spacings. Increase pressure on lymphatics provokes increased frequency and lymphatic flow. The collectors end up by dilating to a marked extent and their valves loose the capacity to avoid reflux. The pumping activity of the lymphangions is also impaired, causing stasis and lymphedema.

57 At navel height is made the transition of the direction of the drainage, above towards the axillary lymph nodes and below, towards the inguinal ones. At the region of the abdomen, we find the union of the lumbar, mesentery and bronchomediastinal trunks to form the beginning of the lymphatic duct at a deep level. 58 The drainage of the abdominal wall is made towards the axillary lymph nodes. As we can observe, we have a superficial and a deep drainage going in different, but not opposite directions.

As observed in this illustration, gliding the rod permitted the emptying of the conduit 38 Observe in this illustration two conduits, one full, dilated showing in its extremity the presence of a dilatation. In the other vessel, walls are not dilated and have a normal liquid volume and pressure. These illustrations give us an idea of the functioning of the new method of drainage and of the care to be taken in this type and any other type of lymph drainage. In the model, we observe a system, which is occluded, capable of simulating a clogged lymphatic vessel, as for example during a mastectomy.

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A New Approach to Manual Lymphatic Drainage by Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy

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