Որն է Lymhedema?

Lymphedema մի համադրություն հեղուկ է, որ առաջացնում է ուռուցք (edema) ոլորտներում մարմնի. Այն սովորաբար կատարվում է զենքի կամ ոտքերը. Երբեմն դա կարող է տեղի ունենալ երկու ձեռքերը եւ ոտքերը միաժամանակ.
Lymphedema սովորաբար առաջանում են վերացման կամ վնաս պատճառել Ձեր ավիշ հանգույցների, որպես մաս քաղցկեղի բուժման. Դա հանգեցնում է .մի blockage է ձեր ավշային համակարգի, which is a component of the immune system. The blockage prevents. Lymph fluid from draining well. And the fluid buildup leads to swelling.
There is no cure for lymphedema. But it can be more effectively treated with early diagnosis and diligent care of your injured limb.

Symptoms of Lymphedema
Lymphedema signs and symptoms, which is typically arm or leg, ներառում:

  • 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.
Երբ պետք է բժշկի
Make an appointment with your doctor if you observe persistent swelling in your arm or leg.

Պատճառները
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:
վիրաբուժություն – removal of or injury lymph nodes and lymph vessels may result in lymphedema. Օրինակ, 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.
քաղցկեղIf cancer cells block lymphatic vessels lymphedema may result. Օրինակ, a tumor growing near a lymph node or lymph vessel could enlarge enough to prevent the flow of the lymph fluid.
վարակ, 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’ հիվանդություն (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.

ռիսկի գործոնները
Factors that may increase your risk of developing lymphedema after cancer, cancer treatment or other secondary causes inlcude>
Excess weight or obesity
Ավելի հին տարիքը
Psoriatic arthritis or Rheumatoid

բարդություններ
Lymphedema in your arm or leg can lead to severe complications, ինչպես, օրինակ, :
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.
վարակների. Possible infections that may lead from lymphedema include a dangerous bacterial infection of the skin (Ցելյուլիտ) 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 – օրինակ. 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 սկան. 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 (ուլտրաձայնային) 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:
վարժություններ – 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. Զորավարժությունների չպետք է ծանր կամ դող ձեզ, բայց պետք է կենտրոնանալ տոհմային կծկում է մկանների ձեր թեւի կամ ոտքը. Վավերացված lymphedema թերապեւտ կարող կսովորեցնեմ զորավարժություններին, որոնք կարող են օգնել.
Փաթաթում ձեր ձեռքը կամ ոտքը – warping ձեր ամբողջ վերջույթը նպաստում ավիշ հեղուկ շարժում դեպի միջքաղաքային ձեր մարմնի. Վիրակապ պետք է ամենադեֆիցիտ շուրջ ձեր մատը կամ toes եւ թուլացնել, քանի որ այն շարժվում է ձեր ձեռքը ոտքը. A lymphedema թերապեւտ կարող է ուսուցանել ձեզ, թե ինչպես պետք է փաթեթավորեք ձեր ոտքը եւ arm.
մերսում – A 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) Այս մոտեցումը պահանջում է համատեղելով բուժման հետ կենսակերպի փոփոխությունների. CDT խորհուրդ չի տրվում այն ​​մարդկանց համար, ովքեր ունեն արյան բարձր ճնշման շաքարախտ, Սրտի կանգ, կաթված, սուր վարակների կամ արյան պարկիկները.
Իրավիճակներում ծանր lymphedema, բժիշկը կարող է համարել վիրահատության է հեռացնել ավելորդ հյուսվածքի ձեր թեւի կամ ոտքը նվազեցնել ուռուցք.

կանխում
Եթե ​​դուք արդեն ունեցել կամ պետք քաղցկեղի վիրահատության, հարցրեք ձեր բժշկին, թե արդյոք Ձեր ընթացակարգը կներառի ձեր ավիշ հանգույցների կամ ավիշ անոթների, 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, Burns, cuts or scraps can become infection sites. Guard yourself against sharp objects. An example would be to shave with an electric razor wear gloves when you garden or cook. Use a thimble when you sew. If feasible, avoid medical procedures, such as blood draws and injections in your affected limb. Rest your arm or leg while recovering. Following cancer treatment, stretching and exercise are prescribed. You should, սակայն, avoid strenuous activity until you have recovered from surgery or radiation.
Avoid heat on your arm or leg. Do not apply heat or ice, such as with a heating paid to your affected limb. նույնպես, 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.