Lipedema: kurapwa kwekutsanya

Tsanangudzo ye lipedema:

Lipedema, iyo inonziwo pole leg disease, chirwere chekuzvarwa kwekuparadzirwa kwemafuta kunobata makumbo nemaoko.

Kazhinji kazhinji mitezo ina inobatwa, kwatinoona kuunganidzwa kwemafuta asina kuchinjirwa kune morphology yevakadzi kana varume.

Mune iyi adipose tissue, pane kukanganisa kwekugadzirwa kwe lymph uye kubuda kwayo. Kugadzirwa kweLymph kwakawandisa kana kuchienzaniswa nezvinogona kubviswa. Izvi zvinokonzera kunonoka mu lymph uye kuwedzera kwekumanikidzwa mumasumbu. Izvi zvinoratidzwa nekurwadziwa kana ukabatwa.

Zvisinei, chiratidzo chinonyanya kushamisa che lipedema ndechokuti mafuta mumakumbo nemaoko haagoni kubviswa kuburikidza nekuderedza uremu.

Iyi adipose tissue, iri pamakumbo nemakumbo, haina hukama nemafuta atakawana panguva yekurema. Iyi imhando yakasiyana yemafuta.

Vakadzi vakawanda vakaedza zvokudya zvisingaverengeki pasina kubudirira. Vanovanza makumbo avo, uye dzimwe nguva vanotarisana nokushorwa kubva kune vamwe. Ipapo ivo vanofara kwazvo pavanosangana nachiremba anoona lipedema sechirwere.

lipedema yeruoko

Zvinowanzotaurwa mumagazini ezvokurapa kuti maoko anobatwawo mu30 kana 60% yevarwere vane lipedema. Kutaura zvazviri, maoko anokanganisawo kakawanda. Asi sezvo vakadzi vachitsvaka kurapwa zvikurukuru nokuda kwokurwadziwa kwegumbo uye ipapo kazhinji kazhinji vanonzverwa nokuda kwehosha yetsinga inobvira, maoko haarangarirwi. Kugoverwa kwemafuta mumaoko kunowanzofanana ne lipedema mumakumbo.

Lipedema, lymphedema kana lipolymphedema?

Lymphedema inokura nekuda kwekutyorwa kwechikamu che lymphatic system. Mucheka uzere nezvinhu zvakadai semvura uye mapuroteni asingakwanise kubviswa zvakanaka nekuda kwehuturu. Izvi zvinotungamira mukufambira mberi kusingaperi kuzvimba uye kukuvadzwa kwenguva refu kune inobatanidza tishu. Kune yekutanga lymphedema uye yechipiri lymphedema.

• Primary lymphedema is congenital underdevelopment ye lymphatic uye vascular system. Zviratidzo zvinowanzoonekwa vasati vasvika makore makumi matatu nemashanu. 
• Secondary lymphedema inokonzerwa nekunze kwemaitiro akadai sekushungurudzika, kupisa, kana kuzvimba. Lymphedema inogonawo kukura mushure mekuvhiyiwa.

Chiremba ane ruzivo anogona kuona kana iri lipedema kana lymphedema. Misiyano iri nyore kuziva kwaari:

• Muchiitiko che lymphedema, makumbo anobatwa pamwe chete nechemberi. Ganda racho rakatsetseka uye rakatsetseka, hapana peel yeorenji. Palpation inoratidza edema uye kuzvimba kwakapfava, ichisiya maronda. Ukobvu hweganda reganda rinopfuura masendimita maviri. Murwere kazhinji haanzwi kurwadziwa.
• Kune rumwe rutivi, munyaya ye lipedema, forefoot haina kumbokanganiswa. Ganda racho rakapfava, rakapfava uye rine mafundo. Orange peel ganda rinowanzoonekwa. Pa palpation, nzvimbo dzakakanganiswa dzine mafuta. Ukobvu hwemapete eganda hwakakwana. Varwere vanonzwa kurwadziwa, kunyanya kurwadziwa kana vakamanikidzwa.
• Chiyero chemhando yakavimbika ndiyo inonzi Stemmer sign. Pano chiremba ari kuedza kusimudza kupeta kweganda pamusoro pechipiri kana chetatu chigunwe. Kana izvi zvisingakwanisi, inyaya ye lymphedema. Kune rumwe rutivi, munyaya ye lipedema, ganda reganda rinogona kubatwa pasina kuoma.

Sei kusaenzana kwakadaro muadipose tissue, hematomas inobva kupi uye nei varwere vachinzwa kurwadziwa?

Lipedema chirwere chepathological chekuparadzirwa kwemafuta kwechikonzero chisingazivikanwe chinoitika muvakadzi symmetrically pazvidya, matako nemakumbo ese, uye kazhinji zvakare pamaoko.

Zviratidzo zvekutanga zve lipedema kunzwa kwekushushikana, kurwadziwa uye kuneta mumakumbo. Vanotanga kana iwe wakamira kana kugara kwenguva yakareba, unowedzera kuipa kwezuva rose, uye unogona kusvika mazinga asingatsungiririki. Marwadzo anonyanya kuoma pakupisa kwepamusoro, pamwe nekuderera kwemhepo yemhepo (kufamba kwemhepo). Marwadzo haaderedzi zvakanyanya kunyange kana makumbo akakwidziridzwa. Mune vamwe vakadzi, inonyanya kutaurwa mazuva mashomanana vasati vaenda kumwedzi.

Zviratidzo izvi hazviiti nekuda kwekushaya chirango kana nekuda kwekuti vamwe vanhu vane lipedema yemakumbo, avo vanonzi makumbo emakumbo, vanodya zvisina mwero, asi nekuda kwekuti vane matambudziko ehutano. Kuti haisi mhosva yavo. 

Dzimwe nguva zvinorerutsira varwere kana vachinge vaziva kuti chii uye vachikwanisa kurapwa nemazvo.

Lipedema inowedzera kuwedzera. Zvisinei, "kufambira mberi" uku kunosiyana zvikuru kubva kumunhu kusvika kune munhu uye hazvizivikanwi muzviitiko zvega. Mune vamwe vakadzi, kufambira mberi kweadipose tissue kunosvika kune imwe simba uye inoramba iri mune iyi mamiriro kwehupenyu hwose. Mune vamwe, kune rumwe rutivi, lipedema inowedzera nokukurumidza kubva pakutanga. Uye dzimwe nguva inoramba iripo kwemakore isati yanyanya kuipa. Iyo yakawanda yakawanda ye lipedema inowanikwa pakati pemakore makumi maviri ne20.

Zvichienderana nekuoma, kune matanho matatu e lipedema:

Danho I: danho I gumbo lipedema 

Chimiro chechimiro che "saddle" chinoonekwa, ganda rakatsetseka uye kunyange, kana ukadzvanya pariri (ine subcutaneous tishu!) (pinch test), unogona kuona kuwirirana kwe "orange peel", iyo subcutaneous tishu. yakaoma uye yakapfava. Dzimwe nguva (kunyanya mukati mehudyu nemabvi) unogona palpate maitiro anoita semabhora.

Danho II: danho II gumbo lipedema 

Inonzi "saddle" chimiro, isina kuenzana pamusoro peganda rine machubhu makuru uye mapundu saizi yewalnut kana apuro, subcutaneous tishu yakakora, asi ichiri nyoro.

Nhanho III: nhanho III gumbo lipedema 

yakawedzera kuwedzera kwedenderedzwa, yakakora zvakasimba uye yakabatana subcutaneous tishu,

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Chinokosha chiziviso: kuoma kwezviratidzo, kunyanya kurwadziwa, hazvirevi hazvo kune danho rekugadzirisa!

Sekondari lymphedema, kushandura lipedema kuita lipolymphedema, inogona kuitika pamatanho ese e lipoedema! Concomitant kufutisa kunogona kukonzera chiitiko ichi.

Kurapa kwe lipedema

Vanhu vane chirwere ichi vanofanira kuziva kuti kune 2 nzira dzakasiyana dzekurapa lipedema yemakumbo :

Vanhu vane chirwere ichi vanofanira kuziva kuti kune nzira mbiri dzakasiyana dzekurapa: kuchengetedza uye kuvhiyiwa. Vanosarudza nzira inovakodzera. Kurapa kwe lipedema, kuvhara kunoenderana nemamiriro uye rudzi rwekurapa.

Classic Conservative nzira:

Iyi nzira inoshanda kufambisa lymphatic kuyerera kwakananga pakati kuenda kumoyo. Nokuda kweizvi, chiremba anoenda anorayira manual lymphatic drainage.

Kurapa uku kunonangana nekupesvedzera zvakanaka nguva yenguva pakati pekugadzirwa kwelymph uye kubuda. Ndezvekunyaradza marwadzo, asi kurapa kweupenyu hwese. Mumamiriro ezvinhu akaipisisa, izvi zvinoreva 1 awa / 3 nguva pavhiki. Uye kana ukaramba kurapwa, dambudziko rinoonekwa zvakare.

Kune lipedema, kurapwa kwechisikigo kunosanganisira kudya kwakaringana uye kugara uchisimbisa muviri.

2nd mhinduro: lymphological liposculpture:

Iyi nzira yakatanga kushandiswa muna 1997 mushure memakore akawanda ekutsvakurudza.

Iko chete mukana wekugadzirisa kwenguva refu lipedema yemakumbo inosanganisira kubvisa adipose tissue nekuvhiyiwa, hongu kudzivirira chero kukanganisa kumidziyo ye lymphatic uye nekudaro kugadzirisa kusaenzana pakati pekugadzirwa kwe lymph mu adipose tissue uye kubuda kwayo nemidziyo nekuidzorera kune yayo yakajairika.

Zvisinei, hazvina kujairika, semu. Izvo zvinofanirwa kuzivikanwa kuti chinangwa chekuvhiya uku hachisi chekuwiriranisa silhouette, asi zviri pachena kuti chiremba anovhiya anofanirwa kufunga nezve aesthetic chimiro paanenge ashanda, asi chinhu chinogadzirisa ndeye lymphological kurapa kwechirwere.

Ndokusaka kubviswa kwe lipedema mafuta kunogona kuitwa nenyanzvi mumunda we lymphology.

Kuongororwa kwe lipedema kunonyanya kuitwa pahwaro hwekutora nhoroondo, kuongorora uye palpation.

Matanho ekuvhiya lipedema

Kuvhiya kurapwa kunoitwa mumatanho akawanda. 

Munguva yekutanga kuvhiyiwa, chiremba anovhiya anobvisa mafuta ane mafuta kubva kunze kwemakumbo. Munguva yechipiri pamaoko uye panguva yechitatu mukati memakumbo. 

Kupindira uku kunofanirwa kuitwa mukati memavhiki mana.

Sei lipedema ichida kurapwa mumatanho akati wandei?

Kana isu tichifungidzira kuti panguva yekuvhiya chiremba anovhiya anobvisa kusvika ku5 litres ematishu zvakanyanya, saka iyi ihombe yakanyangarika vhoriyamu, izvo zvinoreva kuti muviri unofanirwa kujaira. Uku kuvhiya kukuru, asi kiyi yekubudirira zvakare iri mukuchengetwa kwepashure.

Postoperative kurapwa kwe lipedema

Mukurapa kwepashure, murwere anopiwa bhuku re lymphatic drainage pakarepo mushure mekuvhiyiwa. Kubva patafura yekushanda, inoenda zvakananga mumaoko e physiotherapist. Iyi lymphatic drainage ine chinangwa chekubvisa majekiseni emvura, pamwe nekugadzirira midziyo ye lymphatic kuti iite zvakajairika, mushure mezvo bandage yakasimba inoshandiswa. Murwere anobva aendeswa kuchipatara, kwaanopedza usiku, kuti ave nechokwadi chekutonga kwemashure, sezvo ichi chiri kupindira kukuru. 

Ipapo murwere anodzokera kumba anofanira kupfeka zvikabudura zvekumanikidzira kwevhiki, masikati neusiku, uye mavhiki matatu anotevera kwemamwe maawa gumi nemaviri pazuva. Iyi compression yakakosha mushure mekuvhiyiwa kuve nechokwadi kuomesa ganda.

Vhiki ina mushure mekuvhiyiwa, mhedzisiro yese inopera, uye ganda, rakatambanudzwa nemafuta akawandisa, rinodzokera pakukura kwaro mumwedzi mitanhatu yekutanga. 

Kashoma, chiremba anovhiya anodiwa kuti abvise ganda rakawandisa. Uye izvi hazvidiwi, nekuti neiyi nzira yekuvhiya, chiremba anovhiya anoenderera kune imwe mhando yekutanga kutambanudza nekuputira nemvura. Uye zvino imhando ye elastic reaction kuti iwanezve chimiro chayo.

Mushure memwedzi mitanhatu kana gore, murwere anofanira kuenda kuna chiremba wake kuti aongorore kwekupedzisira.

Munguva yekuongororwa kwekupedzisira, chiremba anovhiya anosarudza kana chitsuwa chemafuta ane lipedemic chinoramba chiri pano kana apo, izvo zvinogona kutungamirira kumarwadzo emunharaunda. Uye kana zvakadaro, anobva aibvisa pachena.

Uye ikozvino varwere vanogona pakupedzisira kuronga nyaya ye lipedema. 

Chirwere cheLipedema chinorapika. Zvechokwadi, kune mukana wekurapa kwekuchengetedza. Asi kana uchida kuporeswa, unofanira kuvhiya. Hachidzokeri nekuti chazvarwa.

Iyo lipedema inobviswa, chirwere chinorapwa uye kurapwa kunopedzwa.

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