In the operation on the mammary gland in women are often removed lymphatic nodes. The consequence of this, as well as subsequent therapy, is that the outflow of lymphs in the hand on the side of the operation can be difficult or impossible. It causes edema limb.We'll figure it out how to prevent the occurrence of lymphatic edema.
Content
In the operation on the mammary gland in women are often removed lymphatic nodes. The consequence of this, as well as subsequent therapy, is that the outflow of lymphs in the hand on the side of the operation can be difficult or impossible. It causes edema limb. Treatment is quite long and requires serious participation of specialists.
Prevention of the emergence of lymphatic edema
To prevent the occurrence of lymphatic edema, the following rules must be followed:
- Never ignore the appearance of even insignificant swelling of the hands, brushes, fingers or chest (immediately consult with the doctor).
- For injection, blood taking should not be used damaged hand.
- Measure blood pressure only on intact hand, or leg (hip).
- The necessary hygiene must be observed, after bathing, use moisturizing lotions, wipe your hand carefully, but carefully. Make sure that there are dry all folds and skin between your fingers.
- Avoid repetitive energetic, opposing anything damaged by hand (clean, push, pull and t.D.).
- Avoid lifting heavy things damaged hand. Never carry heavy bags over the shoulder or in hand on the side of the operation. Do not raise more than 6-7 kg.
- Do not wear close jewelry, elastic ribbons on damaged hand and fingers.
- Avoid strong temperature fluctuations when bathing, washing dishes, and it is also not recommended to visit saunas and take hot baths (at least keep the hand outside the bath). Always protect your hand from the sun.
- Try to avoid any injury damaged hands (blows, cuts, solar or other burns, sports damage, insect bites, scratches). Watch out for the possible advent of infection.
- When performing work on the house, in the garden or other work, in which even minimal damage is possible, use gloves.
- Avoid cutting cuticles during manicure.
- Discuss with your doctor a set of exercises. Do not overload damaged hand: if it starts to root, you need to lie down and raise your hand up. Recommended Exercises: Walking, Swimming, Easy Aerobics, Bike Riding, Special Ballet and Yoga.
- With flights, people with lymphede (or those who have the occurrence of lymphedhma) must be a compression sleeve of the appropriate size. Additional bandages may be required with a long flight. Being in the air, increase the amount of fluid consumed.
- Women with big breasts must wear lightweight prostheses (heavy prostheses can have too much pressure on the on-idle lymph nodes. Soft layers or strips of matter can be used. The bra must be submitted in the right way: not too close and uncommon «Wheel».
- To remove hair in the area of the axillary depression, use an electric razor. Watch for a razor, do not forget to change the blades on time.
- People with lymphedem during the whole time of wakefulness must wear a well-selected compression sleeve. Attend a doctor who you are watching at least every 4-6 months. If the sleeve is too free, it is most likely that the volume of the hand has decreased or the sleeve is separated.
- With the appearance of a rash, itching, redness of the skin, pain, increasing the temperature immediately contact the doctor. Inflammation (infection) of the damaged hand may be the beginning or impairment of the lymphedemy.
- Try to maintain your normal weight. Low-grade (with low sodium content) enriched with fiber, diet should be well balanced. Do not smoke and do not drink alcoholic beverages. The diet must contain an easy-to-fish protein (fish, chicken, tofu).
Medicine sleeves
Therapeutic sleeves are an effective means of treating and preventing lymphostasis (swelling) of the upper limbs of various etiology.
Sleeves made of natural rubber, are characterized by a high degree of thread strength, which fully retains its properties at repeated (up to 2000 times) stretching. Products made of natural rubber are most durable, and the special structure of mating allows you to maintain optimal water and heat exchange of the skin. Special fixing belts are provided to ensure due effect.
When creating other types of healing sleeves, a thin synthetic thread is used. The advantages of these products are: increased comfort when wearing, lack of fixing belts, aesthetically attractive appearance while maintaining all necessary medical qualities.
Applied at:
- Lymphedhem and chronic lymphatic edema of the upper extremities after mastectomy and subsequent radiation therapy
Contraindications:
- Elephantiasis
- Acute infection of soft tissues (corrosive inflammation)
- Purulent processes in soft tissues
- Dermatitis of various origin
Recommendations for hand care on the operation side
The main tasks and principles of therapeutic gymnastics, which should be carried out at least 6 months after the operation daily, and in the future you can perform exercise 2-3 times a week:
- The volume of limb movements should recover to a normal level for 1.5 months after surgery.
- The edema of the upper limb should be reduced to a minimum.
- Complete painless movements in all directions. The edema of the upper limb can persist for a long time.
It is considered usual in cases where the diameter of the shoulder in the middle third of the operation is diverged with a healthy side of no more than 2 cm. The outflow of lymphs from the upper limb will be recovered on the rear surface of the shoulder, the blades and the test area where you and you will feel; Sometimes not only an increase in size, but also moderate pain.
Restrictions for hand
Restrictions for the upper limb from the operation:
The hand should not have a long time to be in the same inconvenient position or be lowered down (knitting, sewing is preferably eliminated).
- Hand should be protected from cuts, injuries, scratches, burns. "Dirty" Homework must be performed in gloves (floor washing, washing, cleaning vegetables, etc.). Damage treatment requires antiseptic solutions (iodine tincture, alcohol solution of diamond greenery).
- Need to follow the nails, prevent cracks, "Besups", Daily lubricate for the night with a special cream for the skin of the hands, do not wear hours on this hand, rings, bracelets.
- Do not follow the sick limb in the first 5-6 months to raise gravity more than 2 kg.
If the hand hurts or swells more than usual, then you either exceeded the allowed load, or created an inconvenient position for it. In this case, it is advisable 1-2 times a day to rub into the area of the sick hand and the shoulder belt from the defeat of the cream of the following composition: children's cream, olive oil, retinol (vitamin A, oil solution) for one part; Mazi Throcksevazina 2 parts.
