What is Lymhedema?

Lymphedema is a combination of fluid that causes swelling (ødem) in the areas of the body. It typically happens in the arms or legs. Sometimes it can happen both arms and legs concurrently.
Lymphedema er normalt forårsaget af fjernelsen eller beskadigelse af dine lymfeknuder som en del af kræftbehandlingen. Det er resultatet af en .a blokering i dit lymfesystemet, der er en bestanddel af immunsystemet. Blokeringen forhindrer. Lymfevæske at dræne godt. Og den væske oprustning fører til hævelse.
Der er ingen kur for Lymphedema. Men det kan mere effektivt behandles med tidlig diagnose og flittige pleje af din skadede lemmer.

Symptomer på Lymphedema
Lymphedema symptomer, som typisk arme eller ben, omfatte:

  • Swelling of part or all of your arm or leg, including fingers or toes.
  • A feeling of heaviness or tightness
  • Restricted range of motion
  • Aching or discomfort
  • Recurring infections
  • Hardening and thickening of the skin

The swelling produced by lymphedema fluctuates from mild, hardly detectable changes in the size of your arm or leg to drastic changes that make the limb hard to use. Lumhedmai caused by cancer treatment may occur until months or years after treatments.
Hvornår bør du se en læge
Make an appointment with your doctor if you observe persistent swelling in your arm or leg.

Årsager
Your lymphatic system is essential to keeping your body healthy. It circulates protein-rich lymph fluid throughout your body collecting bacteria, waste products, and viruses. 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. Causes include:
Kirurgi – removal of or injury lymph nodes and lymph vessels may result in lymphedema. For eksempel, 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. Radiation can generate scarring and inflammation of your lymph nodes or lymph vessels.
KræftIf cancer cells block lymphatic vessels lymphedema may result. For eksempel, a tumor growing near a lymph node or lymph vessel could enlarge enough to prevent the flow of the lymph fluid.
Infektion, An infection of the lymph nodes or parasitic, can restrict the flow of lymph fluid infection related lymphedema is most common in the tropical and subtropical region and is more likely to occur in developing countries.

Causes of primary 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’ sygdom (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.

Risikofaktorer
Factors that may increase your risk of developing lymphedema after cancer, cancer treatment or other secondary causes inlcude>
Excess weight or obesity
Older age
Psoriatic arthritis or Rheumatoid

Komplikationer
Lymphedema in your arm or leg can lead to severe complications, såsom :
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.
Infektioner. Possible infections that may lead from lymphedema include a dangerous bacterial infection of the skin (cellulitis) 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 – for eksempel. 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-scanning. 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 (ultralyd) 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:
Øvelser – 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. Spørg din læge, hvor du kan købe kompression tøj. Nogle mennesker vil kræve skræddersyede komprimering beklædningsgenstande.
Komplet decongestive terapi (CDT) Denne tilgang kræver kombinerer behandlinger med livsstilsændringer. CDT ikke anbefales til folk, der har forhøjet blodtryk diabetes, hjertefejl, lammelse, akut infektioner eller blod klynger.
I situationer med alvorlig Lymphedema, lægen kan overveje operation for at fjerne overskydende væv i din arm eller ben for at mindske hævelse.

Forebyggelse
Hvis du har haft eller vil få kræft kirurgi, spørge din læge, om din procedure vil inkludere dine lymfeknuder eller lymfekar, Spørg om din strålebehandling vil blive rettet mod lymfeknuder, så din strålebehandling vil være rettet mod lymfeknuder, så du vil være opmærksomme på den mulige risiko
For at mindske risikoen for Lymphedema du bør:
Beskyt din arm eller dit ben. Prøv at holde sig væk fra aktiviteter, der kan forårsage skade på din afficerede ekstremitet, forbrændinger, nedskæringer eller rester kan blive infektion sites. Vogt dig selv mod skarpe genstande. Et eksempel kunne være at barbere med en elektrisk barbermaskine bære handsker, når du haven eller kok. Brug et fingerbøl, når du syr. Hvis muligt, undgå medicinske procedurer, såsom blod tegner og injektioner i din afficerede ekstremitet. Hvil din arm eller ben mens overvinde. Efter kræftbehandling, udspænding og motion er ordineret. Du burde, imidlertid, undgå anstrengende aktivitet, indtil du har genvundet fra kirurgi eller strålebehandling.
Undgå varme på din arm eller ben. Må ikke anvendes varme eller is, such as with a heating paid to your affected limb. Også, 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.