Friday, June 11, 2010
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an accumulation of interstitial fluid in the middle. Colloquially it is referred to as swelling. When the cause is a malfunction of the lymphatic system is called lymphedema.
postmastectomy lymphedema is caused by interruption or slowing of lymphatic flow of the arm as a result of radiotherapy and lymphadenectomy (removal all or part of the axillary lymph nodes).
lymphatic circulatory system's mission is to absorb the excess fluid produced in the body also play an important role in immunity. When the lymphatic system not working properly there is edema, or swelling.
Lymph nodes are stations within the lymphatic system which cleans the lymphatic fluid or lymph. The lack of lymph nodes as a result of surgery or radiation injury can cause lymph edema.
Lymphedema can occur immediately after axillary surgery or radiotherapy, may appear months or years later, or never appear. Sometimes there is an underlying cause: a shot in the arm, a small infection, etc. Since its emergence can occur at any time, women affected or at risk of involvement should continue to take precautions as detailed at the end of the article.
lymphedema is detected by palpation and measurement of the affected limb. When presented originally in the hands is usually affected detecting lymphedema, as the fingers or the back of the hand is swollen slightly or substantially.
When presented: in the arm, underarm, above the elbow or forearm may initially passed unnoticed by the patient.
An easy way to self-diagnosis is bending your elbows and place them in the mirror noting that both have the same volume and contours. It is quite common
lymphedema undetectably small for the patient because they just increase the volume of the affected limb. If however these should also be treated lymphedema.
Fortunately most of the lymphedema with manual processing. The sooner you start treatment the greater the chance of success. With proper treatment, the affected limb may have a similar volume unaffected. Small lymphedema
are easier to treat. Sometimes the patient's own self-draining lymph can keep it controlled.
WHAT PRECAUTIONS SHOULD BE THE WOMAN WITH A Lymphedema?
The following lines describe the precautions to be taken any woman with postmastectomy lymphedema or at risk of developing it.
Al manicure
must exercise extreme caution when performing. Any injury no matter how small it takes longer to heal and the chance of infection is high. Once infection occurs, the risk of lymphedema occur or increase it.
If you perform a manicure on the affected arm. Should be followed carefully the following recommendations:
• There should be no injuries.
• Material be sterilized before each session.
• Avoid pushing and cut cuticles. It can cause a fungal infection (fungal).
• Do not use artificial nails (porcelain, gel, etc..) Can be a source of fungal infection.
By plucking ...
lymphedema affected women should not shave the wax into the armpit of the affected arm, the reason is that after waxing can cause folliculitis (infection of the skin pores). In a healthy woman folliculitis has no major consequences and disappears in a few days, but can be harmful when there is risk of developing lymphedema.
should not shaving blade because of the danger of infection or cause small cuts in the skin tissue edematicen. Nor
Electrolysis is recommended that the prick of the needle can cause microedema and overloading the affected limb.
hair removal is ideal for these women with electric razor, laser or pulsed light
When massaging ...
should not be given vigorous massage on the affected arm lymphedema. These maneuvers can injure tissue and edematous lymphatics.
Manual lymph drainage is always indicated when done by a specialist.
addition to the above activities, or employment described must:
• Avoid injuries, insect bites and burns.
• Do not take the stress or perform a blood test, they should not get injections or acupuncture needles.
• Avoid being overweight. Obese people have more risk of developing lymphedema. Limit salt intake.
• Take extra care of the skin because it has less defenses.
• Do not wear watches, bracelets or rings on the affected arm.
• Do not carry too much weight on the affected arm.
• Use rubber gloves in the kitchen or garden.
• No sewing, if it is imperative to use thimbles.
• Carry bag on the side opposite the affected arm.
• Raise your arm at night (by placing a pillow under your elbow and forearm on the chest).
• Raise and support the arm while sitting.
• Wear with wide sleeves and strapless bras that fasten in the back.
• Avoid excessive heat and cold. Avoid sudden temperature changes.
• Do not sleep on the side with lymphedema. • Apply daily
few minutes of draining.
tramientos In our postoperative recovery include the prevention and treatment of small lymphedema.
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