İnsan vücudunun iki ana dolaşım sistemi vardır bunlar kan ve lenfatik sistemlerdir. Her iki sistem birçok işlevsel, yapısal ve anatomik benzerliği paylaşmış olmasına rağmen, iki vasküler sistemin bilim ve tıpta çok farklılıkları vardır. Kan vasküler sistemi uzun süre yoğun ve kapsamlı bir şekilde çalışılmış olsa da buna karşın lenfatik sistem kan vasküler sistemine ikincil olarak görülmüş, daha az önemli olarak kabul edilmiştir. Her ne kadar bu alanda çalışmalar artsa da, egzersizle ilgili olarak lenfatik sistem, spor tıbbı literatüründe büyük ilgi gören bir fizyolojik sistem olmamıştır ve bu alanla ilgili yanlış bilgiler türeyip, yorumlar yapılmıştır. Bu çalışmanın amacı egzersizin lenfatik sistem üzerine etkilerini ortaya koymak ve olası etki mekanizmalarını açıklamaktır.

Exercise and Lymphatic System

The human body has two main circulatory systems, the blood and lymphatic systems. Although both systems share many functional, structural and anatomical similarities, the two vascular systems have many differences in science and medicine. Although the blood vascular system has been studied extensively and extensively for a long time, the lymphatic system has been seen as secondary to the blood vascular system and has been considered less important. Although studies in this area have increased, the lymphatic system has not been a physiological system that has received great attention in the sports medicine literature, and misinformation has been derived and comments have been made about this area. The aim of this study is to reveal the effects of exercise on the lymphatic system and to explain its possible mechanisms of action.

___

  • 1. Adair TH, and Guyton AC. Lymph formation and its modification in the lymphatic system. In “Experimental Biology of the Lymphatic Circulation”(MG Johnston, Ed.) 1985.
  • 2. Alitalo K, Carmeliet P. Molecular mechanisms of lymphangiogenesis in health and disease. Cancer Cell. 2002; 1: 219–227.
  • 3. Alitalo K. Growth factors controlling angiogenesis and lymphangiogenesis. Ugeskr Laeger. 2002; 164: 3170–3172.
  • 4. Aukland K, and Reed RK. Interstitial-lymphatic mechanisms in the control of extracellular fluid volume. Physiological reviews, 1993; 73(1), 1-78.
  • 5. Choi I, Lee S ve Hong YK. The new era of the lymphatic system: no longer secondary to the blood vascular system. Cold Spring Harbor perspectives in medicine, 2012; 2(4), a006445.
  • 6. Coates G, O’Brodovich H, Goeree G. Hindlimb and lung lymph flows during prolonged exercise J Appl Physiol, 1993; 75 (2): 633-8.
  • 7. Havas E, Lehtonen M, Vuorela J, Parviainen T, & Vihko V. Albumin Clearance from Human Skeletal Muscle During Prolonged Steady‐State Running. Experimental physiology, 2000; 85(6), 863-868.
  • 8. Havas E, Parviainen T, Vuorela J, Toivanen J, Nikula T, & Vihko V. Lymph flow dynamics in exercising human skeletal muscle as detected by scintography. The Journal of physiology, 1997; 504(1), 233-239.
  • 9. Hetrick H. Lymphedema complicating healing. In McCulloch, JM, and Kloth, LC (eds): Wound Healing: Evidence-Based Management, ed. 4. Philadelphia: FA Davis, pp 279–291. 2010. 10. Karkkainen MJ, Makinen T, Alitalo K. Lymphatic endothelium: A new frontier of metastasis research. Nat Cell Biol, 2002; 4: E2–E5.
  • 11. Kisner C, Colby LA, Borstad J. Therapeutic exercise: Foundations and techniques. Fa Davis.2017.
  • 12. Krasnow AZ, Hellman RS. Lymphoscintigraphy revisited. In: Freeman LM, editor. Nuclear medicine annual. Philadelphia (PA): Lippincott, Williams & Wilkins 17-97, 1999. 13. Lane K, Worsley D, & McKenzie D. Exercise and the lymphatic system. Sports medicine, 2005; 35(6), 461-471.
  • 14. McGeown JG, McHale NG, & Thornbury KD. The role of external compression and movement in lymph propulsion in the sheep hind limb. The Journal of physiology, 1987; 387(1), 83-93.
  • 15. Schmid-Scho¨nbein GW.. Microlymphatics and lymph flow, Physiol. Rev. 1990; 70 987–1028.
  • 16. Swartz MA.. The physiology of the lymphatic system. Advanced drug delivery reviews, 2001; 50(1-2), 3-20.
  • 17. Zawieja, DC. Proceedings of a mini-symposium: Lymphedema— an overview of the biology, diagnosis, and treatment of the disease (contractile physiology of lymphatics). Lymphatic Research & Biology 2009; 7(2):87.