MASTEKTOMİ SONRASI GELİŞEN LENFÖDEM VE TEDAVİ YAKLAŞIMI

Öz

Lenfödem; primer olarak subkutan dokuda ve subfasial tabakada plazma proteinlerinin, ekstravaskuler kan elemanlarının, immunglobulin ve sitokinlerin olduğu sıvının anormal miktarda birikimi ile karakterize bir durumdur. Lenfatik taşıma kapasitenin üstünde sıvı birikimi veya yetersiz lenfatik transport sonucu lenfödem tablosu oluşur. Lenfödem kronik progresif bir hastalıktır. Dolayısıyla erken tanı ve tedavi oluşabilecek komplikasyonları (disabilite, enfeksiyon, depresyon, ağrı, malign transformasyon) önlemek adına önemlidir. Tedavinin temelini manuel lenfatik drenaj diye adlandırılan özel bir masaj tekniği, cilt bakımı, kompresyon bandajı ve egzersizler oluşturmaktadır. Lenfödem için uygulanan egzersizler genellikle; remedial egzersizler, kuvvetlendirme egzersizleri, aerobik egzersizler ve germe egzersizleridir. Verilecek egzersiz programıda kişiye özel düzenlenmelidir.

Anahtar Kelimeler

• Lenfödem
• Kompleks Dekonjestif Fizyoterapi
• Manuel Lenfatik Drenaj
• Egzersiz
• Tedavi

LYMPHODEMA DEVELOPING AFTER MASTECTOMY AND THE TREATMENT APPROACH

Öz

Lymphedema is a condition characterized by abnormal accumulation of fluid containing plasma proteins, extravascular blood elements, immunoglobulins and cytokines, primarily in the subcutaneous tissue and subfascial layer. Lymphedema occurs as a result of fluid accumulation above the lymphatic carrying capacity or insufficient lymphatic transport. Lymphedema is a chronic progressive disease. Therefore, early diagnosis and treatment are important to prevent complications (disability, infection, depression, pain, malignant transformation). The basis of the treatment is a special massage technique called manual lymphatic drainage, skin care, compression bandage and exercises. Exercises applied for lymphedema are generally; remedial exercises, strengthening exercises, aerobic exercises and stretching exercises. The exercise program to be given should be tailored to the individual.

Anahtar Kelimeler

• Lymphedema
• Complex Decongestive Physiotherapy
• Manual Lymphatic Drainage
• Exercise
• Treatment

Kaynakça

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