Lymhedema काय आहे?

Lymphedema की सूज कारणीभूत द्रवपदार्थ संयोजन आहे (सूज) शरीराच्या भागात. सामान्यत: हात किंवा पाय घडते. कधी कधी ती स्वतंत्ररित्या हात आणि पाय दोन्ही घडू शकते.
Lymphedema सहसा कर्करोग उपचार एक भाग म्हणून आपल्या लसीका नोडस् लोप किंवा नुकसान झाले आहे. तो आपल्या सुस्त प्रणाली मध्ये एक .एक अडथळा परिणाम, 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, include:

  • 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.
तेव्हा आपण डॉक्टर पाहू नये
Make an appointment with your doctor if you observe persistent swelling in your arm or leg.

कारणे
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:
शस्त्रक्रिया – removal of or injury lymph nodes and lymph vessels may result in lymphedema. उदाहरणार्थ, 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. उत्सर्जित आपल्या लसिकाजोड किंवा लसीका वस्तू व्रण आणि दाह निर्माण करू शकता.
कर्करोग – कर्करोगाच्या पेशी सुस्त वस्तू अवरोधित केल्यास lymphedema होऊ शकते. उदाहरणार्थ, एक लसीका नोड किंवा लसीका भांडे जवळ वाढत एक गाठ लसीका द्रव प्रवाह प्रतिबंध करण्यासाठी पुरेसे मोठे नाही.
संक्रमण, लसीका नोडस् किंवा परजीवी एक संक्रमण, लसीका द्रव संसर्ग संबंधित lymphedema प्रवाह प्रतिबंधित करू शकता उष्णदेशीय आणि subtropical भागातील सर्वसामान्य आहे आणि विकसनशील देशांमध्ये येऊ होण्याची अधिक शक्यता आहे.

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.
Meigsdisease (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.

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

समस्या
Lymphedema in your arm or leg can lead to severe complications, जसे :
Lymphangiosarcoma. या निळा -red किंवा जांभळा गुण n त्वचा समावेश मऊ मेदयुक्त कर्करोग एक दुर्मिळ फॉर्म lymphangiosarcoma च्या उपचार न lymphedema संभाव्य चिन्हे सर्वात-गंभीर प्रकरणांमध्ये होऊ शकतात आहे.
संक्रमण. lymphedema पासून होऊ शकते की शक्य संक्रमण त्वचा एक धोकादायक जिवाणू संसर्ग समावेश (संयोजक पेशीजालात पुख्यत: त्वचेखालील पेशीजालात पसरणारा दाह) आणि लसीका वस्तू एक संक्रमण (रसवाहिन्यांना झालेला दाह) आपल्या हात किंवा पाय लहान इजा संसर्ग नोंद बिंदू असू शकते.

साठी Lymphedema कसोटी आणि निदान
आपण lymphedema धोका आहे, तर – उदाहरणार्थ. 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.
सीटी स्कॅन. 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 (अल्ट्रासाऊंड) 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:
व्यायाम – 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.
आपल्या हाताने किंवा लेग ओघ – आपल्या संपूर्ण फांदी warping आपल्या शरीराच्या ट्रंक दिशेने परत लसीका द्रव चळवळ प्रोत्साहन देते. मलमपट्टी आपल्या हाताचे बोट किंवा पायाची बोटं सुमारे tightest आणि पायाच्या आपल्या हाताने वर हलवेल म्हणून सोडविणे पाहिजे. एक lymphedema थेरपिस्ट आपण कसे आपल्या लेग लपेटणे आणि हाताने शिकवू शकता.
मालिश – मॅन्युअल लसीका ड्रेनेज म्हणतात विशेष मालिश तंत्र आपल्या हात किंवा पाय बाहेर लसीका द्रव प्रवाह प्रोत्साहित शकते. आणि विविध मालिश उपचार सक्रिय कर्करोग लोकांना फायदा होऊ शकतो. 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, युद्ध प्रभावित फांदी व्यायाम करताना एक संक्षेप वस्त्र.

व्यावसायिक मदत प्राप्त करून आपला संक्षेप वस्त्र योग्य तंदुरुस्त प्राप्त. आपण संक्षेप कपडे खरेदी करू शकता, जेथे आपल्या डॉक्टरांना विचारा. काही लोक ऑर्डरप्रमाणे तयार संक्षेप कपडे आवश्यक आहे.
पूर्ण decongestive थेरपी (CDT) हा दृष्टिकोन जीवनशैली बदल यात चिकित्सा आवश्यक आहे. Cdt लोक उच्च रक्तदाब मधुमेह आहे शिफारस केलेली नाही, हृदय अपयश, अर्धांगवायू, तीव्र संक्रमण किंवा रक्त क्लस्टर्समध्ये.
गंभीर lymphedema परिस्थीती मध्ये, the doctor may consider surgery to remove excess tissue in your arm or leg to reduce swelling.

प्रतिबंध
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, बर्न्स, 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, मात्र, 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. तसेच, 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.