Transcript for:
Lymfevorming en regulatie processen

In this video, formation of lymph will be  discussed. In the last video we discussed on   lymphatic vessels. Hope you guys watched it.  If not, please do watch the video for better   understanding, before proceeding to this video.  The link of the video is given in the description.  So, let's start with the  microcirculation and capillary system.   Microcirculation is the most important  part of the circulatory system,   as transport of nutrients to the tissue  and removal of cell waste occurs.  Each nutrient artery that enters the organ,  branches 6 to 8 times to form the arterioles,   then each arteriole branches 2 to  5 times to form the capillaries.   The branch of the arteriole which  connects directly with capillary is   called a meta-arteriole. Meta arterioles  are different from the arterioles.   In meta arterioles the smooth muscle coat is not  continuous, as in arterioles. It circles the meta   arterioles at intermittent points. At the point  where capillaries arise from the meta arteriole,   there is smooth muscle fibre encircling it, to  form precapillary sphincter. This precapillary   sphincter, opens and closes to regulate the blood  flow into the capillaries, according to the local   condition of the tissue. The most important  factor is oxygen concentration in the tissue.   When there less oxygen concentration  in the tissues, these sphincters open,   and allows more blood in to the capillaries, so  that more oxygen can be delivered to the tissues.   From the capillaries, venules arise  and then drains into larger veins.  Capillaries is made of a single layer of  endothelial cells. And it is surrounded   by a thin basement membrane. There are two very  small pathways in the endothelium for transport   of nutrients to the interstitial spaces. One  of the pathway is the intercellular cleft.   This cleft allows fluid, small solutes, and  water soluble ions to freely pass from the   capillaries into the interstitial spaces.  But albumin molecules cannot freely pass,   as the cleft space is slightly narrow  for the protein molecules to escape.  Second pathway is the plasmalemmal vesicles.  It can imbibe small amount of plasma or   extracellular fluid, and transport  across the endothelium, as shown.   These vesicles can sometime combine to  form vesicular channel for the transport   of nutrients from plasma to tissues, or  waste products from tissues into the plasma.  Interstitium, is made of solid and fluid parts.  The solid part is formed by the collagen fiber   bundles, and proteoglycan filaments. Collagen  bundles gives the Interstitium tensional strength.   The fluid in these solid spaces  is called interstitial fluid.   The interstitial fluid is derived from the  blood capillaries by diffusion and filtration.   So, the interstitial fluid is similar to  plasma, but contains less of proteins.   As capillaries, doesn t allow proteins  to escape easily from the circulation.  There are four pressures, that regulate the  fluid movement through the capillary membrane.   First pressure is capillary pressure. The  capillary pressure, pushes the fluid outwards   through the capillary membrane. The second  pressure is, interstitial fluid pressure, it tends   to push the fluid into the capillaries. The third  pressure is, capillary, plasma colloid osmotic   pressure, which tends to cause osmosis of fluid  into the capillaries from the interstitial spaces.   The fourth pressure, is interstitial  fluid colloid osmotic pressure,   which tends to cause osmosis of fluid into  the Interstitium from the capillaries.   So, when all these forces are summed up,  it is called the net filtration pressure.   If the net filtration pressure is positive,  then fluid flows across the capillaries into   the Interstitium. If the net filtration pressure  is negative, the interstitial fluid is absorbed   into the capillaries. In normal condition, the  net filtration pressure is slightly positive,   so that fluid flows across the  capillaries, into the Interstitium.  Now, we will discuss, how the lymph is formed. The  fluid that is filtered by the arterial end of the   capillaries, supplies the nutrients to tissues,  and collects the metabolic waste from the tissues.   Most of the fluid is reabsorbed back into  the venous end of the blood capillaries.   This excess fluid that is left behind, when enters  the lymphatic capillaries, is called the lymph.   On an average per day, about 20 litres of  fluid is filtered at the arterial end of   the blood capillaries, and about 18 litres of  this fluid is reabsorbed back at the venous end   of the blood capillaries. So, if this excess 2  litres of interstitial fluid are left behind,   it causes tissue edema. This is where  the lymphatic system come in to role.   It absorbs the excess 2 litres of the fluid, and  drains back into the circulatory system as lymph.   So, lymphatic system forms an accessory  pathway to the circulatory system,   in aiding in drainage of the  tissue fluid back into circulation.  What regulates this lymph flow. This can  easily be summarised into two factors.   Namely, interstitial fluid pressure, and activity  of the lymphatic pump. When more fluid accumulates   in the interstitial spaces, the interstitial  pressure increases, it causes tissue to swell,   the anchoring filaments, attached to the  endothelial cells of the lymphatic capillaries,   move apart, and allowing the excess fluid to  enter the lymphatic capillaries. Once entered,   the fluid cannot re-enter the Interstitium, due to  overlapping arrangement of the lymphatic capillary   endothelium, as it acts as a flap valve. Once the  excess fluid is inside the lymphatic system, the   flow now depends on the lymphatic pump. Lymphatic  pump can be divided into intrinsic and extrinsic.   Intrinsic pump is due to contraction of the  lymphatic vessels by its smooth muscle fibres.   Which help in aiding the forward flow of  the lymph. It should be noted that the   backflow of the lymph in lymphatic vessels  is prevented by the presence of many valves.   The external pump is due to the following factors.  Contraction of the surrounding skeletal muscle.   Movements of the parts of the body.  Pulsation of the adjacent arteries.   And compression of the  tissues by external objects.  The pathway of the lymphatic vessels was already  discussed in the previous video. We request you   to watch the video for better understanding. The  link of the video is given in the description.  We conclude the video here. Hope it was useful. In the next video, we will discuss   on the lymphoid organs. See you soon, in the next video.