Manual Lymphatic Drainage

Lymphedema

Certain of the lymphatic system has a carrying capacity. This is the load on the carrying capacity, which results in the formation of lymphatic tissue in the subcutaneous (under the skin), especially rich in protein and water accumulate abnormal lymphatic load is called lymphedema.

Lymphedema is seen in other parts of the body, and it is preventable.

Lymphedema head, neck, trunk, abdomen (tummy), external genitalia, and extremities (arms and legs) and the internal organs can be seen.

While some patients with lymphedema occur slowly, very fast you can watch some patients.

Lymphedema disease in most patients, especially in women, after breast surgery and radiation therapy develops. In addition filariazis also (parasites) leads to the lymphedema.

Lymphedema is a progressive disease. For this reason, it must be treated in the early stages.

According to surveys, one in every eight woman are at risk of developing breast cancer during her life showed.

Types of lymphedema 

1.Primary lymphedema:

Hereditary or congenital anomaly of the lymphatic system is emerging as primary lymphedema (dysplasia).

Collectors of these anomalies in the lymphatic system (veins) or the small number of the collector or the collector may occur as a result of the inability of the valves in the lymph nodes can be caused by problems with. Congenital lymphedema showed symptoms in some patients, while some patients may occur at a later age.

-In the East is called Milroy's disease which arose to lymphedema.

-Adolescence and middle age (35den small) Meige's disease with resulting lymphedema is called.

2.Secondary lymphedema:

There is an innate problem in secondary lymphedema. The lymphatic system is the result of a strain or injury. Among the most common reasons after surgery, radiation, infection, tumors, trauma, immobility, chronic venous insufficiency is considered.

Stages Of Lymphedema

Latency Stage: There is no swelling.

Lenfanjiopati: It has reduced transport capacity, it is normal for tissue integrity.

Stage 1 (Phase Reversible): Soft and edema formation(gode leaves), Secondary tissue changes, there is the visual integrity is intact in elevation decrease the swelling shows.

Stage 2 (Reversible Spontaneous Phase): Lenfostatik fibrosis(the formation of fibrous tissue), tissue is removed(there is formation gode), episodes of infection are seen.

Stage 3 (Lenfostatik Elefantiazis): There are changes increased tissue(tumor are, fistulas, fog, etc.), the extra volume has been increasing tissue stiffness to maximize.

Lymphedema Treatment Approaches In Patients

The earlier the disease lymphedema treatment start, the better the result. At the stage of lymphedema, and in the process of treatment, patient compliance is very important.

The treatment process consists of two stages. The first phase is called lymphedema, the swelling of the intensive phase i.e. Phase 1 is intended to be minimized and the person. 4 at this stage component. These manual lymph drainage, Skin Care, Exercise and compression bandajlamas. This is a four-component, and the person should be done as the swelling of intensive phase 1 should be reduced to a minimum. At this stage, the patient, the doctor and physical therapist should work with you. The complications that can occur in person against the treatment applied by the doctor to the patient and that are determined by the physical therapist taught. If it is evaluated how well the treatment is so successful.

Lymphedema Treatment In The Process

1.Intensive phase ( Phase 1: in this phase, the patient is taken to the treatment and revealed swelling in the body section on a daily basis, continues until it is. Continuity is very important in this phase as much as possible. Daily 5-6 days of the week unloader complex patients so they must be treated physiotherapy should be done.

At this stage the patient manual lymph drainage, compression bandaging, exercise, skin care and requires. One of the most important points in this stage is to teach the patient to the treatment components. The most important thing is to learn the patient's the patient's own skin care badajlaman teaching, and always do what is taught and what the patient's egzersizle to avoid the arrangement. Upper extremity lymphedema in the lower extremities while the intensive phase patients are generally continues until for 2-3 weeks 2-4 weeks for. Of course, this process of the patient, stage of the disease and treatment may vary according to the time of starting. The patient reached a certain value if it is not downloaded and the swelling now is no longer stroke and more suitable to be passed to the second stage

2. Developer and protective phase ( Phase 2 ): at this stage outfit worn during the day and at night, when produced according to special measures per bandage continue to carry out. Patients themselves may be forced to do that sometimes at night in bandages bandaging alternative clothing is recommended, but no bandaging method is not as effective. Phase 1 of the patient, the doctor and physical therapist with Phase 2 when you play it is the responsibility of the patient. Phase 1 and Phase 2 also taught make them yourself, because all components of the patient should be explained. It should be noted lymphedema is a lifelong disorder and complex physiotherapy unloader should be a part of the patient's life.

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