MASTEKTOMİ SONRASI GELİŞEN LENFÖDEM VE TEDAVİ YAKLAŞIMI
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
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.
Keywords:
Lymphedema, Complex Decongestive Physiotherapy, Manual Lymphatic Drainage, Exercise, Treatment,
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- Başlangıç: 2022
- Yayıncı: Atatürk Üniversitesi