What is Lymhedema?

Lymphedema is 'n kombinasie van vloeistof wat swelling veroorsaak (edeem) in die gebiede van die liggaam. Dit gebeur gewoonlik in die arms of bene. Soms kan dit beide arms en bene gelyktydig gebeur.
Lymphedema word gewoonlik veroorsaak deur die uitskakeling van of skade aan jou limfknope as 'n deel van die behandeling van kanker. Dit spruit uit 'n voorsien vol blokkasie in jou limfatiese stelsel, wat is 'n komponent van die immuunstelsel. Die blokkasie verhoed. Limf vloeistof uit goed dreineer. En die vloeistof opbou lei tot swelling.
Daar is geen kuur vir lymphedema. Maar dit kan meer effektief behandel word met vroeë diagnose en ywerig sorg van jou beseerde ledemaat.

Simptome van Lymphedema
Lymphedema tekens en simptome, wat is tipies arm of been, insluit:

  • Swelling van 'n deel van of al jou arm of been, insluitend vingers of tone.
  • 'N Gevoel van bekommernis of benoude
  • Beperk die omvang van beweging
  • Seer of ongemak
  • herhalende infeksies
  • Verharding en verdikking van die vel

Die swelsel wat deur lymphedema skommel van 'n sagte, skaars waarneembaar veranderinge in die grootte van jou arm of been te verander wat maak die been hard te gebruik drastiese. Lumhedmai wat veroorsaak word deur die behandeling van kanker kan voorkom totdat maande of jare na behandeling.
Wanneer moet jy 'n dokter te sien
Maak 'n afspraak met jou dokter as jy aanhoudende swelsel in ag te neem in jou arm of been.

oorsake
Jou limfatiese stelsel is noodsaaklik vir die behoud van jou liggaam gesond. dit sirkuleer proteïenryke limf vloeistof deur jou hele liggaam invordering van bakterieë, afval produkte, en virusse. Your lymphatic system comes this fluid and harmful substances through your lymph vessels, with lead to lymph nodes. The wastes are then filtered out by lymphocytesinfection-fighting cells that live in your lymph nodesand eventually flushed from your body.

Lymphedema occurs when your lymph vessels are unable to adequately drain lymph fluid, usually from an arm or leg. Lymphedema can be either principal or secondary. This means it can occur on its primary lymphedema) or it can be affected by another disease or condition (secondary lymphedema). Secondary lymphedema is far more prevalent than primary lymphedema.

Causes of secondary lymphedema
Any ailment or procedure that destroys your lymph nodes or lymph vessels can cause lymphedema. oorsake sluit:
chirurgie – removal of or injury lymph nodes and lymph vessels may result in lymphedema. Byvoorbeeld, lymph nodes may be removed to check for spread of breast cancer, and lymph nodes may be injured in surgy that involves blood vessels in your limbs.
Radiation treatment for cancer. Bestraling kan letsels en inflammasie van jou limfknope of limfvate genereer.
Kanker – As kankerselle blok limfvate lymphedema kan lei. Byvoorbeeld, 'n gewas groei naby 'n limfknoop of limfvat kon vergroot genoeg om die vloei van die limf vloeistof voorkom.
infeksie, 'N infeksie van die limfknope of parasitiese, kan die vloei van limf vloeistof infeksie wat verband hou lymphedema beperk is mees algemeen in die tropiese en subtropiese streek en is meer geneig om te voorkom in ontwikkelende lande.

Oorsake van primêre lymphedema
Primary lymphedema is a rare, genetic condition prompted by issues with the formation of the lymph vessels in your body. Specific causes of primary lymphedema include:

Milroy’s disease (congenital lymphedema). This disease begins in infancy and causes lymph nodes to form abnormally.
Meigs’ siekte (lymphedema praecox). This disorder often causes lymphedema around puberty r during pregnancy though it can occur later, until age 35.
Late -onset lymphedema (lymphedema trade). This rarely happens and usually begins to begin after age 35.

Risiko faktore
Factors that may increase your risk of developing lymphedema after cancer, cancer treatment or other secondary causes inlcude>
Excess weight or obesity
ouer ouderdom
Psoriatic arthritis or Rheumatoid

komplikasies
Lymphedema in your arm or leg can lead to severe complications, soos :
Lymphangiosarcoma. This is a rare form of soft tissue cancer can result from the most-severe cases of untreated lymphedema Possible signs of lymphangiosarcoma include blue -red or purple marks n the skin.
infeksies. Possible infections that may lead from lymphedema include a dangerous bacterial infection of the skin (sellulitis) and an infection of the lymph vessels (lymphangitis) The smallest injury to your arm or leg can be an entry point for infection.

Test and Diagnosis for Lymphedema
If you are at risk of lymphedema – byvoorbeeld. If you have recently had cancer surgery involving your lymph nodes our doctor may diagnose lymphedema based on your signs and symptoms.

If the cause of your lymphedema is not as clear, your doctor may order an imaging test to get a look at your lymph system. The test may include:
MRI scan. Using a magnetic field and radio waves, an MRI produces 3-D, high-resolution images.
CT skandering. This X-ray technique produces detailed, cross sectional images of your body’s structures, CT scans can reveal blockages in the lymphatic system.
Doppler ultrasound. This version of the traditional ultrasound looks at blood flow and force by bouncing high-frequency sound waves (ultrasound) off red blood cells.Ultrasound can assist in finding obstructions.
Radionuclide imaging of your lymphatic system (lymphoscintigraphy) During this test you are given a shot of radioactive dye and then scanned by a machine. The produced pictures show the dye moving through your lymph vessels highlighting blockages.

Treatments and Drugs of Lymphedema
There’s no cure for lymphedema. Treatment concentrates on reducing the swelling and controlling the pain. Lymphedema treatments include:
oefeninge – light exercises in which you move your affected limb may encourage him fluid drainage and assist in preparing you for everyday tasks such as carrying groceries. Exercise should not be strenuous or tire you but should focus on the gentile contraction of the muscles in your arm or leg. A certified lymphedema therapist can instruct you on exercises that may help.
Wrapping your arm or Legwarping your entire limb promotes lymph fluid movement back toward the trunk of your body. The bandage should be tightest around your finger or toes and loosen as it moves up your arm of leg. A lymphedema therapist can teach you how to wrap your leg and arm.
MassageA special massage technique called manual lymph drainage may encourage the flow of lymph fluid out of your arm or leg. And various massage treatment may benefit people with active cancer. Be sure to work with someone specially trained in these techniques.
Massage is not for everyone. Avoid messages if you have a skin infection or blood clots.
Pneumatic compression. A sleeve is worn over the affected arm or leg attached to a pump that intermittently inflates the sleeve, putting force on your limb and moving lymph fluid away from your fingers or toes. Compression garments. Long sleeve or stocking make to compress your arm or leg encourage the flow of the lymph fluid out of your affected limb, War a compression garment when exercising the affected limb.

Obtain a suitable fit for your compression garment by getting professional help. Ask your doctor where you can buy compression clothing. Some people will require custom-made compression garments.
Complete decongestive therapy (CDT) This approach requires combining therapies with lifestyle changes. Cdt is not recommended for people who have high blood pressure diabetes, hartversaking, verlamming, acute infections or blood clusters.
In situations of severe lymphedema, the doctor may consider surgery to remove excess tissue in your arm or leg to reduce swelling.

voorkoming
If you’ve had or will have cancer surgery, ask your doctor whether your procedure will include your lymph nodes or lymph vessels, Ask if your radiation treatment will be directed at lymph nodes, so your radiation treatment will be aimed at lymph nodes so that you will be aware of the possible risk
To reduce your risk of lymphedema you should:
Protect your arm or your legs. Try to stay away from activities that can cause injury to your affected limb, brandwonde, cuts or scraps can become infection sites. Guard yourself against sharp objects. 'N Voorbeeld sou wees om te skeer met 'n elektriese skeermes Dra handskoene wanneer jy tuin of kook. Gebruik 'n vingerhoed wanneer jy naaldwerk. As haalbaar, vermy mediese prosedures, soos bloed trek en inspuitings in jou aangetaste ledemaat. Rus jou arm of been terwyl herstel. Volgende kankerbehandeling, strek en oefening voorgeskryf. Jy behoort, egter, vermy inspannende aktiwiteit totdat jy uit chirurgie of bestraling herstel.
Vermy hitte op jou arm of been. Moenie hitte of ys nie van toepassing, soos met 'n verwarming betaal om jou aangetaste ledemaat. ook, protect your affected limb from intense cold weather
Elevate your arm or leg. When ever you can elevate your affected limb above and level of your heart.
Avoid tight clothing. Avoid everything that you could contact our arm or leg, such as tight-fitting clothing and in the case of your arm, blood pressure cuffs. Ask that your blood pressure is taken in your other arm. Keep your arm or leg clean. Make skin and nail high care priorities. Examine the skin on your arm or leg daily, watching for changes or breaks in your skin that could lead to infection do not walk around barefoot.