Lymphatic edema of the extremities: treatment
With the swelling of the feet and hands, every person in the life encountered at least once. Excessive loads, uncomfortable or new shoes - all this can lead to temporary "swelling" of the limbs. Usually such symptoms do not last longer than 12 hours. Another thing is if the feet are constantly in a swollen condition. In this case, it is already a pathological lymphatic edema - lymphostasis.
What is the ailment of
Lymphostasis is an overabundance of fluid that accumulates in the tissues of subcutaneous tissue and is not excreted in normal mode( no outflow occurs).Edema can appear on both the lower and upper limbs, but most often the legs are affected.
Lymphostasis belongs to the category of progressive sluggish diseases. However, this does not mean that when an edema appears it should be ignored. If lymphatic vessels are affected, it will cause minimal harm to the body, but in the event of problems in large ducts, tissues will begin to deform. In neglected cases, doctors diagnose developing lymphodem in patients( this ailment requires more complicated treatment).
Lymphatic edema of the hand is extremely rare, and usually it affects the fair sex at the age of 35 years.
Most often, lymphostasis develops against a background of varicose veins, thrombophlebitis, thrombosis and trophic ulcers. Also, pathology is diagnosed in the elderly and in those who lead a sedentary, sedentary lifestyle. Lymphatic edema of the feet often occurs in people with disabilities. Also, this disease can lead to a long bed rest and broken blood circulation.
In addition, at risk are people suffering from:
- congenital insufficiency of lymphatic vessels;
- of cancerous tumors;
- heart failure;
- injuries and burns of upper and lower extremities;
- venous insufficiency of chronic type;
- arterial and venous fistula;
- streptococcal lesions;
- inflammation of the skin of the hands and feet;
- serious kidney pathologies;
- disruptions in the endocrine system.
In addition, lymphatic swelling of the extremities can develop due to radiation therapy sessions.
Lymphostasis of the hands is most often manifested after surgery. This ailment is found mainly in women who underwent surgery to remove a part of the pectoral muscles.
Symptoms and developmental stages of
There are 3 degrees of manifestation of lymphostasis:
- Reversible spontaneous edema( lymphaderma).This is the easiest stage of the disease, which manifests itself in the form of regular foot swelling in the evening. As a rule, all symptoms pass after a night rest. Edemas of this type are well marked and usually appear after heavy physical exertion on the limbs. The swollen place is easily palpated. At the initial stage of development, the ailment is treated with conservative methods and does not have a destructive effect on the body.
- Irreversible spontaneous edema( fibriderma).The middle stage of lymphostasis is characterized by hardening of the skin. This is due to the growth of connective tissue. Such swelling is clearly visible to the naked eye. They are very hard, when pressed on the inflamed area the patient feels severe pain due to stretched skin. Swelling of this type is considered to be neglected. He does not disappear after rest. Because of the frozen in the vessels of the bodices, new symptoms begin to develop - convulsions and fast fatigue of the affected limb.
- Irreversible edema( elephantiasis).This stage of lymphostasis is the most severe. Because of severe tissue damage, the limb is deformed, heavier and becomes practically immobile. The outflow of lymph is completely disturbed. In diseased tissues, foci of fibrocystic lesions appear. Elephantism does not respond to treatment and in some cases leads to death.
lymphostasis is dangerous. The initial stages of the disease do not pose a high risk. However, it must be taken into account that lymphatic edema affects the quality of life of the patient. Affected limbs are quite painful, coma of this, against the background of the disease develop infectious diseases. If the skin on the swollen foot breaks, then through the wound in the body can enter dangerous bacteria that lead to a whole "bouquet" of new ailments.
If you develop a prolonged swelling, you should visit your doctor as soon as possible.
First of all, the doctor examines the limb with lymphatic edema and determines the stage of development of pathology. After that, a number of diagnostic measures are appointed, which allow more accurate determination of the degree of tissue damage, inflammation foci and possible complications:
- urine and blood tests;
- scans of veins;
In some cases, CT or MRI is performed. Based on the findings, the doctor prescribes a course of medicinal preparations and procedures.
Lymphatic edema: treatment of
In order to cure the disease, it is necessary to restore the outflow of lymph from the extremities. Most often, swelling is removed by a non-surgical method, by compression therapy, massage and medication. In more advanced stages, surgical intervention is required-reconstruction of the lymph drainage pathways.
Regardless of the degree of the disease, the patient should regularly visit the angio-surgeon and treat the diseases of the kidneys, heart and venous vessels on time.
There are many different medications from lymphatic leg edema that can be both aggressive and more conservative. To restore normal circulation of lymph, reduce vascular permeability and increase their elasticity, it is recommended to take the following tablets:
- "Troxevasin" and "Detralex" are phlebotrophic drugs that stimulate the outflow of excess fluid from blood and tissues.
- "Wobenzym" and "Flobenzim" - belong to the category of enzyme preparations, which increase the immunity and reduce swelling.
- "Kumarin" is a benzopyrone that reduces swelling and thinning of the blood.
- "Lymphomiazot" is a homeopathic remedy that restores fluid outflow. Also, when it is taken, the elimination of toxins from human blood is accelerated. This drug is considered the most harmless. It can be safely taken for treatment of lymphatic edema of the legs of elderly people and pregnant women.
In addition to these drugs, doctors prescribe diuretics, antiaggregants and immunomodulators. It is not superfluous to start taking vitamin complexes( P, PP and E), which reduce vascular permeability.
Doctors are not against folk remedies for edema if they are taken together with a prescribed course of treatment.
In order to remove lymphatic edema at home, you can prepare simple decoctions and apply compresses. Here are some effective recipes:
- Compress from honey and onions. To make it, you need to grind one onion and add 1 tablespoon of tar to the resulting mass. After that, a little honey is poured into the mixture. This compress should be applied at night.
- Honey-garlic tincture. To make it, you need to grind 250 grams of garlic. After this, the resulting mass is mixed with 300 ml of liquid honey and infused in a dark cool place for 7 days. Take infusion should be once a day before meals for 1 tablespoon. The course of treatment is 2 months.
- Broth from plantain. For its preparation, it is necessary to brew 1 teaspoon of grass with a glass of boiling water. The course of treatment is 2 months. A decoction of 70 ml is taken daily before meals.
- Royal Jelly. From this natural product you can make compresses or drink it in its pure form. If you mix in equal proportions royal jelly and honey, this will enhance the effectiveness of the product.
If the feet swell constantly in the evenings, it is recommended to make trays with a turn.6 spoons of dry herbs are added in 2-3 liters of boiling water. After this, you need to wait until the liquid cools down a bit, and the string swells. When the water temperature drops a little, you need to lower the swollen foot in the tub for 20 minutes. Perform such procedures can be 3 times a day, but not more than 3 weeks.
In addition to medicines and traditional medicine, physiotherapeutic procedures are well assisted by lymphatic edema, which include:
- compression bandages;
- therapeutic exercise.
Massage procedures - this is one of the most effective methods that will get rid of discomfort. To perform this procedure, it is not necessary to visit cosmetology or medical centers. You can remove a small swelling in the home. For this, it is necessary to rhythmically massage the skin of the swollen area. Movements should be smooth, no more than 12 clicks per minute. It is often not recommended to perform massage. Limbs should be massaged no more than 1 hour a day.
However, you should not get involved in self-medication, because any unpleasant symptoms can be signs of more dangerous diseases. Therefore, it is worth consulting with a doctor and to clarify whether this pathology is dangerous.