Tisztelt Érdeklődő!
Kérem bátran tegye fel itt közérdekű kérdéseit és én hamarosan megválaszolom ezen a fórumon.
Üdvözlettel
Füredi Rita, diplomás gyógytornász, nyirok terapeuta
Kérem bátran tegye fel itt közérdekű kérdéseit és én hamarosan megválaszolom ezen a fórumon.
Üdvözlettel
Füredi Rita, diplomás gyógytornász, nyirok terapeuta
Kedves Furedi Rita!
Szeretnem tudni, hogy mellmutet utan mire kell fokozottan vigyazni, hogy odema ne alakulhasson ki.
Egyaltalan megelozheto a nyirokodema kialakulasa?
Udvozlettel:
Stroud Hildegaqrde
Kedves Hildegard!
Sok minden befolyásolja, hogy a mellműtét után kialakul-e a karon nyiroködéma. Függ attól, hogy az emlőműtétnél eltávolították-e az összes hónalji nyirokcsomót, azaz blokkdisszekciót végeztek vagy csak az őrszemet azaz a sentinelt távolították el további vizsgálódás céljából. A sebészi beavatkozást követően további kiegészítő terápiák is történhetnek pl. a műtéti területen felgyülemlett folyadék leszívása, kemo és sugár. Mindezek jelentősen károsíthatják az érintett oldali karban a nyirokkeringést, nagyobb a kockázat a dagadásra. Tilos infúziót adni a műtött oldali karba. Ha mindkét oldal érintett, akkor a kisebb kockázatúba vagy a régebben operált oldaliba lehet. Ilyen esetben ideálisabb lenne, ha alsó végtagi vénába lehetne adni a kemoterápiát. Ismert olyan kemoterápiás szer, ami mindenképpen kiváltja a karödémát, ami azonnal szövődményes, nehezen kezelhető állapotban jelenik meg.
Élete végéig ajánlott odafigyelnie a műtött oldali karjára, és csak kímélve használhatja. Állandóan óvnia kell a túlzott melegtől, hidegtől, egészségügyi beavatkozásoktól pl. vérnyomásmérés, valamint a megerőltetéstől. Vigyázzon a sérülésekre, mert a szúrás, égés, vágás elfertőződhet. Különösen figyeljen, hogy ne essen rá a karjára és ne szenvedjen csuklótörést, mert a gipszelés után fokózodhat az ödéma rizikója.
Sajnos még évek múlva is kialakulhat a nyiroködéma, amikor már nem számít rá. pl. megerőltető tornagyakorlatot (fekvőtámasz), sütő- vagy ablakpucolást követően, vagy nehéz cipekedés után.
Könnyű tornagyakorlatok végzése napi rendszerességgel ajánlott, mert a nyirokáramlás beindítását és a keringés javítását kizárólag izommunkával érhetjük el. A nyirokelvezetés segítésére javasolnék kézi nyirokdrenázst, amennyiben nincs onkológiai ellenjavallata. Megelőzés céljából napközben hordhat kompressziós karharisnyát. Különösen figyeljen arra, hogy ne szorítsa el a kar keringését, mert azzal a nyiroködéma kialakulásának kedvezne.
Üdv. Füredi Rita
Kedves Furedi Rita!
Nagyon szepen koszonom reszletes es mindenre kiterjedo valaszat.
Udvozlettel: Stroud Hildegarde
Kedves Füredi Rita!
Nagyon örülök , hogy megtaláltam azt az oldalt. Köszönöm! Mellem egy részét eltávolitották, hónaljmirigyeimet jobb oldalon teljesen kivették.Kocogással kezdtem a mozgást. Nem volt számomra eléggé kielégitö, ezért heti háromszor járok spinningezni. Nagyon szeretem nagyon élvezem. Azt szeretném megkérdezni hogy milyen intenzitással, terheléssel végezzem a kar gyakorlatokat. S milyen nehézségi fokozattal végezzem a tekeréseket. A gyakorlatok után kicsit duzzatabbnek érzem a karomat. Olyan érzés mintha valami lenne a hónóm alatt.Másnap feszesebbek az ujjaim.Ilyenkor pár karemelést végzek. Talán egy kicsit segit. A másik kérdésem az, hogy ahol kivették a hónaljmirigyeimet azon felén / esetemben jobb oldal / lehetséges hogy a combom belsőfele is kicsit duzzatabb?- az edzések után. Mérőszalaggal még nem mértem meg egyik testrészemet sem. / még nem mertem /
Nagyon szeretném megelőzni a lymphoödéma kialakulását. Szeretném kérdezni hogy Ön mint szakember mit ajánl .Vagy el kellene mennem szakembernek megmutatni? Válaszát privátba kérem . Köszönöm!
Üdvözlettel : Ibolya
Kedves Ibolya!
Kérem bocsásson meg, hogy kérése ellenére nem privát üzenetben válaszolok. Már sok emlődaganatos beteg keresett meg hasonló panaszokkal. Általános tanácsokat talál az Életmódi tanácsok/Mellműtötteknek szóló menüpontban és a Torna menüpontban.
A spinningezés közben valószínűleg túlerőlteti a műtött oldali karját.Ilyenkor több szövetközötti folyadék termelődik az izmok erőltetett munkája következtében. A károsodott nyirokkeringés nem képes elszállítani a felesleges vizet, fehérjéket és salakanyagokat, emiatt dugó keletkezik a hónalji területen. Érdemes lenne a nyirok önkezelést megtanulnia, ezzel segítheti a nyirokerek munkáját. Először laza vállemeléseket,vállkörzéseket végezzen, ezzel aktiválja a nyaki nyirokcsomókat. Utána a nem műtött oldali hónalji nyirokcsomókat masszírozza át gyengéden. Majd a szegycsont közepén elhelyezkedő nyirokerek között kell kapcsolatot létesíteni és az ún. vízválasztót megnyitni úgy, hogy a bőrön felületes simító, toló mozdulatokat végez a kezével és átsimítja a nem operált oldalra. Amikor tornáztatja a karját ne csak karemeléseket végezzen, hanem keringésjavító gyakorlatokat is: pl. pumpálás integetés. Ritka eset,hogy a hónalji nyirokcsomók eltávolítását követően a lágyékhajlati nyirokcsomókban is dugó keletkezik, hacsaknem túlerőlteti az alsó végtagját. Lehet, hogy az Ön esetében erről van szó. Amennyiben a dagadás és feszülésérzet nem múlik, mindenképpen javaslom, hogy forduljon szakemberhez. Fontos a nyiroködéma korai felismerése és a kezelés azonnali megkezdése. Így elkerülhető a jelentős állapotromlás és a szövődmények kialakulása. Ha további kérdése illetve hozzászólása lenne, bátran írjon ebbe a fórumba. Ha inkább privátban szeretne üzenni, küldjön emailt az odemakezelo@gmail.com-ra vagy telefonáljon a Kapcsolatban megadott számra. Üdvözlettel: Rita
Kedves Füredi Rita!
Nagyon örülök hogy megtaláltam az Ön oldalát!
Segítséget,tanácsot szeretnék kérni!Édesapámat január elején megműtötték nyelőcső daganattal,és a nyakán a bal oldali nyirokcsomót eltávolították.A műtét óta gyomor szondával táplálkozik,és nyelni nem tud.Kb 2hete elkezdett feldagadni az arca jobb oldalon,utána bal oldalon,és most már a szeméig folyamatosan fel van dagadva,és nagy fájdalmai vannak!Jártunk már több orvosnál,diagnózis több esetben nyiroködéma,de kezelés terén nem jutottunk előre!Jelen pillanatban ott tartunk az egész arca a szeméig nagyon csúnyán be van dagadva,alig felismerhető,és feszíti a fájdalom!Előre is köszönöm a segítségét!
Üdvözlettel:Tóth László!
Kedves László!
Az arc területéről kézi nyirokdrenázzsal segíthetjük az ödémafolyadék elvezetését, ezzel a terápiával az arcödéma eredményesen kezelhető. A meglévő jobb oldali nyaki nyirokcsomók és főleg a nyakszirtnél lévő nyirokcsomók kezelésével kezdeném az arckezelést. Utána óvatosan körkörös ujjbegyes állókörös mozdulatokkal az álltól kiindulva hátrafelé a tarkó felé drenálnám a nyirokfolyadékot. Végig haladva sávokban az arcon, úgy hogy a középvonaltól kezdeném hátrafelé haladva a “masszírozást”,a fül alatt átvezetve a nyak hátsó területére. Ezek a sávok: a száj körüli terület, az orr körüli terület és a szem körüli terület.Ez így leírva elég bonyolultnak hangzik. Miután egyszer megmutatja a terapeuta, már a beteg vagy hozzátartozója is tudja az egyszerűsített kezelést végezni. Naponta többször ajánlott a gyógytornász által betanított arc és nyak torna, mely az arc- és mimikai izmok megdolgoztatásával javítja a keringést és segíti a nyirokfolyadék kiürítését pl. grimaszolás.
Ha további kérdése van, keressen az egyéb elérhetőségeimen. Szívesen segítek az önkezelés és torna betanításával.
Üdv. Füredi Rita
Kedves Füredi Rita!
A férjemnek prosztatarák műtét során 11 db medencei nyirokcsomót is eltávolítottak 2014.júliusában. Novemberben a sugárkezelésen is átesett. Kb. három hete, vagyis 2015. április elején vettük észre, hogy duzzadtabb a bal lába. Nyiroködéma alakult ki, amivel a háziorvos, az urológus és az onkológus sem igazán foglalkozik. Kiírták a 12 cm-es fáslit, meg a vízhajtót. A lábát megultrahangozták, érkárosodás nincs.
A fáslit használjuk, ill. gyógyászati segédeszköz boltban kompressziós harisnyát is megvettük, a vízhajtót nem vette be.
Nincs jelentős túlsúlya, sportol is (bowling, túrázás).
Abban szeretném a segítségét kérni, hogy a mozgásban mennyire kell mértéket tartania (20-25 km-t is szoktunk gyalogolni, hetente 1x megyünk), ill. Debrecenben tud-e olyan szakembert, aki a kezelést illetően tanáccsal el tudna látni bennünket. Annak mi a módja, hogy az Ön rendelését igénybe vegye?
A válaszát köszönöm!
Üdvözlettel: Győrfi Mária
Kedves Mária!
Egyénileg eltérő lehet, hogy ki mennyit bír mozogni anélkül, hogy túlságosan kifárasztaná a szervezetét. A 25 km séta egyenes terepen többszöri pihenők közbeiktatásával akár jó is lehet a nyiroködémára. Ismerek olyan ödémás beteget, aki jól bírja a túrázást. Az is lehet, hogy a férjének ez már sok. Nem tudom a túrák után mennyire dagad meg a lába. Mindenképpen ajánlom, hogy hetente többször iktassanak be könnyű mozgásgyakorlatokból álló keringésjavító tornát vagy szobabiciklizést, ami igazán segíti a nyirokfolyadék áramlását. Ha a megfelelő mozgás és fáslizás ellenére nem javul a nyiroködémás állapota, szükségessé válhat kézi nyirokdrenázs kezelés. Debrecen környékéről sajnos nem ismerek nyirokterapeutát, akit tudnék Önöknek ajánlani. A budapesti Szent István kórház Lymphoedema Rehabilitációs osztályát ajánlom figyelmükbe, ahol komplex ödémamentesítő kezelésben részesülhetnek, csak valószínűleg sokat kell várni a bekerülésre. Ha hozzám szeretnének jönni, telefonon egyeztethetünk időpontot. 2-3 héten belül biztosan tudom fogadni Önöket.
Üdvözlettel: Füredi Rita
Tisztelt Rita. azt szeretném megkérdezni 2014-ben combtö blokkdiszeciót végeztek sugár kezelést kaptam.Még acombomel van zsibbadva és nagyon dagad az egész lábam. Fásli nélkül nem is tudok lenni.Kérném tanácsát hogy hogyan legyen tovább,vagy van-e kilátás javulásra? Köszönettel ILI.
Kedves Ili! Mindenképpen kézi nyirokdrenázsra és keringésjavító tornára is szükség lenne a fáslizás mellett, hogy javuljon a lába. A lágyékhajlati nyirokcsomók eltávolítását követően meg kell segíteni a nyirokelvezetést. Erre vannak különböző technikák, amit csak szakértő terapeuta tud végezni. Esetleg Ön számára is betaníthatók az egyszerűbb fogások, amiket otthon is végezhet az állapotromlás megakadályozása céljából. Eredményesen javulni azonban csak komplex ödémamentesítő kezeléssel fog. Javaslom, hogy vállaljon be 1-2 hét kórházi rehabilitációt Limfödéma osztályon vagy ajánlással keressen egy nyirokterapeutát az Ön környékén, és minél előbb kezdjék el a kúrát. Ha lenne még kérdése, a továbbiak is szívesen segítek akár itt, akár telefonon.
Üdvözlettel: Rita
Tisztelt Rita!
23 éves vagyok. Tavaly májusban vette észre a háziorvosom a lábaimon, hogy valami nem stimmel (egy bőrprobléma miatt közelről nézegette őket). Elküldött Pestre, ahol novemberben meg is tudott nézni egy orvos, aki azt mondta, nyiroködémám van, ill. a térdeimen zsírödémám is. Márciusban feküdtem be először. Azt mondták bent, hogy nagyon kevés és nagyon laza a nyiroködémám, az lenne az elsődleges, hogy lefogyjak (március elején 126 voltam, most 115.)
Eztán visszamentem a háziorvosomhoz, akivel átbeszéltük az egészet, és Ő valószínűnek tartja, hogy ha lefogyok, akkor a nyirokrendszerem lehet, hogy felszabadul, összeszedi magát, és beindul megint az egész folyamat, ezáltal elmúlik a nyiroködémám.
Az lenne a kérdésem, hogy ez lehetséges? Én végülis logikusnak tartom…
Illetve kíváncsi lennék még arra is, hogy ha nagyon sok vizet iszom minden nap, az segíthet valamit a tisztulásban? És ha igen, Ön mekkora mennyiséget ajánl?
Nem szeretném így leélni az életem. Az már biztos, hogy mindenképp lefogyok, mert eldöntöttem, de ez az ödéma…
Előre is köszönöm szépen válaszát!
Üdvözlettel: Dóra
Kedves Dóra! A fogyása az első lépés a csinosabb lábak eléréséhez. Ajánlanám még Önnek a kompressziós kezeléseket. A gépi nyirokmaszázzsal – amennyiben a pneumatikus csizma méretileg megfelelő- azonnali térfogat- és súlycsökkentés érhet el ahogy megszabadul felesleges salakanyagoktól és víztől. A súly csökkentés biztosan javítani fog ödémás állapotán és a térd izületeinek is jót tesz. A nyiroködéma teljes elmúlásával azért nem biztatnám. Felhívnám figyelmét, sajnos a térdek kopása is együtt járhat a zsírödémás állapottal.
Fontos a bőséges folyadék bevitel, amely főleg ásványvíz ( alacsony nátrium tartalmú) vagy szűrt csapvíz legyen. Kerülje a koffeintartalmú és szénsavas italokat, a cukros üdítőket. Egy felnőtt ember szervezete kb. 60%-ban tartalmaz vizet. A napi átlagos vízveszteségünk kb. 2,3-2,5 l. Önnek is legalább 2,5-3 liter vizet kellene meginnia.
Ha továbbiakban kérdése van, hívjon bizalommal.
Üdvözlettel: Rita
Kedves Rita!
Még húsvét előtt kétoldali boka,lábfej,alsó lábszár ödémám alakult ki.Sőt úgy vettem észre,hogy ez inkább majdnem az egész testemet érinti,estére a melltartóm is szorít,a combom is vastagabb,egy mérettel nagyobb fehérneműm is szorít.Reggel jobb a helyzet,de a lábfejem és a bokám mindig ödémás marad. Éjjelente a kézfejem is bedagad,nagyon zsibbad,fáj a csuklóm,térdeim,a bokám.A zsibbadást,”csak” a felső végtagon tapasztaltam,eleinte csak éjjel,(fizikoterápián kaptam 10 kezelést)de mostanában már nappalra is állandósult.Nyaki problémámat(porckopás stb.)2004-ben diagnosztizálták,a jobb oldalon,arra kaptam már többször kezelést.De ez most más,mert mind a két oldalt érinti,és nem használt a kezelés ami eddig jó volt.A lábszáramon a boka fölött bevérzések keletkeztek,a bőrgyógyászaton diagnosztizálták a lymphoedemát,(3 napja végre)és a piros foltok a zokni szorításától vannak.A lábamból szivárog a nyirok sajnos.A mellem alatt,érzek fájdalmat mindkét oldalon ,és a szegycsontom fölött,ami a hátamba sugárzik.Estére már alig tudok ülni,mert mindenem fáj,szorít.Most az ortopédiai szakrendelésre várok,oda kaptam beutalót,hátha valami nyomja az idegeket és attól vannak a tünetek.Ettől lehet az ödémám? A kézfej ödémám(és a felkarom is narancsbőrös,vastag)már régen kezdődött,kb.14-15 éve,de csak éjjel dagad meg,és nagyon fáj.Ez gondolom mástól lehet.48 éves vagyok,és most kezdődött a menopauzám,és sajnos az utóbbi egy évben 16kg-ot híztam(hypothyreosis-om van,de az eredményeim a Letrox-szal jók),inkább a diéta hiánya,és a menopauza miatt híztam.A súlynövekedés miatt is kialakulhatott az ödémám?Vagy csak rosszabbodik?Voltam már kardiológusnál,nőgyógyásznál. Krémet kaptam a bőrömre,de más semmit.Kivizsgálás alatt vagyok,mindenki ezt írja le,de én félek a szövődményektől.
Válaszát előre is köszönöm!
Üdvözlettel:Katalin
Kedves Katalin!
Eléggé összetett problémáról van szó. Szétválasztanám a felkar és kéz dagadását és az alsó végtagi ödémáját. Érdemes megnézetni az ortopéd orvosnál, hogy nincs-e kéztő alagút szindrómája. Az éjszakai fájdalom és duzzadtságérzés, ami nappalra jobb lesz, jellegzetes tünetei az említett szindrómának. Valószínűleg a menopauza és a pajzsmirigy alulműködése válthatta ki Önnél a fokozott ödémásodást, vizesedést. Érdemes kideríteni, hogy 14 éve mitől alakult ki a kézdagadás.Számtalan oka lehet. Szteroidos kezelést nem kapott akkoriban? A szegycsont fölötti fájdalmára sajnos nincs ötletem.
A lábödémája elég súlyosnak tűnik, amit szigorúan kezelni kell több rétegű fáslizással és tornával. A nyirokcsorgás veszélyes lehet, mert fertőződhet, és orbánc alakulhat ki a lábán, ami tovább ronthat az állapotán. Minél előbb forduljon nyirokterapeutához, aki megtanítja Önnek a fáslizást és a keringésjavító gyakorlatokat. Ha már nincs nyirokcsorgása, a kézi nyirokdrenázst is sürgősen el kell kezdeni javulása érdekében.
Üdvözlettel: Rita
Tisztelt Füredi Rita. A vádlim 2cm-rel meg vastagodot a másikhoz képest a zoknim bevág egy kicsit fáj is a vádlim. EZ NYIROK keringés zavar. Maszirozással meg szüntethetö?
Kedves Tibor! Sok egyéb oka lehet a lábödémájának. A nyiroködémára nem jellemző, hogy fájna a láb, kivéve ha már annyira meg van dagadva, hogy borzasztóan feszít. A 2 cm-es különbség még nem tekinthető súlyos állapotnak. Ha tisztázza az okát lábdagadásának (pl. gyulladás, baleset, visszérbetegség, stb.), akkor a kezelése is jobban tervezhetővé válik. Lehet, hogy állapota javításához elég a keringésjavító torna, és/vagy a gépi nyirokmasszázs és/vagy a fáslizás. Amennyiben kiderül, hogy valóban nyirokpangás áll fenn Önnél, forduljon nyirokterapeutához. Eredményes kezelések hatására akár tünetmentessé is válhat, de attól még állandó odafigyelést igényel az ödémás alsó végtagja, illetve rendszeres kezelést is, ha szükséges, (pl. torna végzése és gyógyharisnya viselése). Üdvözlettel: Rita
Kedves Füredi Rita!
Fél évvel ezelőtt térdprotézis műtétem volt. Kb. 1 hónapja a műtött lábamon dagad a bokám, lábfejem, de ebben a nagy melegben már a másik lábam is egy picit .A térdműtött lábamon sajnos az újbenyomat megmarad. Detralexet szedek, vizhajtót lehet szedni? Érsebész látta, megvizsgálta, mivel 3 éve visszér műtét volt ue. a lábamon, vagy is mindkettőn, de a másik az már régebben. A magas vérnyomásra szedett gyógyszereimben is van vizhajtó. Köszönettel várom válaszát. Üdv. Nagymama
Kedves Nagymama! Ha a vízhajtót a magas vérnyomása miatt kell szedni,akkor mindenképpen be kell vennie az előírt adagban. A térdprotézises lábán bizonyára nem jó a vénás és a nyirokkeringés. Jó lenne, ha Limfödémára specializálódott szakorvosnak megmutatná, hogy minél előbb elkezdhető legyen az ödémás lábak fáslizása. A protézis műtét után nem mozog kevesebbet? mert a mozgásszegény életmód miatt is kialakulhat a nyirokpangás. Üdvözlettel:Rita
Tisztelt Füredi Rita!
A hasüregem van megduzzadva, mint egy 7 hónapos kismamának. A folyadék nyagyon feszít és éget. A jobb combomon érzek kivülről zsibbadást, égető érzést. Iszonyatos büdös folyadék távozik a hónaljamban, csak kevés.
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Kedves Micus! Mikor volt utoljára nőgyógyászati rákszűrésen? Ha több mint egy éve, feltétlenül menjen el. A hasüregi folyadék (ascites) több betegség miatt is lehet. Érdemes egy teljes labort és vérképet csináltatni a háziorvosával, főleg a májenzimek és a fehérje mennyisége miatt. A combzsibbadás lehet akár gerincből kiinduló kóros folyamat eredménye. A vizsgálatok után visszajelzést várok Öntől, hogy mire jutottak az orvosok a diagnosztizálásban. Üdv. Rita
Kedves Rita!
Ezt mar tobb helyen is lattam: “A nyiroködémából sajnos nem lehet meggyógyulni, de eredményesen kezelhető, akár tünetmentessé is válhat a páciens.”, illetve “megfelelo kezelessel, stb, stb, … fenntartható az ödéma mentes állapot.”
A Facebook oldalon pedig nagy orommel es bizakodassal ezt olvasom: “A nyiroködéma kezelhető”
Probalom megfejteni, mindez mit is jelent.
Ha tunetmentes a paciens, tehat mar odemamentes a szobanforgo testresz, es normalisan mukodik, akkor az nem azt jelenti, hogy meggyogyult? Ha kezelheto, akkor az nem azt jelenti, hogy meg lehet belole gyogyulni?
Lattam rengeteg elotte-utana kepet, amikor kezeles eredmenyekepp teljesen normalis meretu lett a vegtag. Nos, az illeto meggyogyult, vagy sem?
Ha igen, akkor miert az az elterjedt allaspont, hogy a nyirokodema nem gyogyithato – viszont ha nem, akkor mi kellene meg a gyogyulashoz?
Kisse zavaros nekem, megkoszonom, ha segit kitisztazni.
Udvozlettel, Andrea
Kedves Andrea! A tünetmentesség nem jelenti, hogy meggyógyult a betegségből. Amikor valakinek az ödémamentesítő kezelések hatására a nyiroködémás állapota nagyon jó, azaz tünetmentes, akkor is be kell tartania az életmódjára vonatkozó tanácsokat, pl. rendszeresen tornázni kell, figyelni a súlyára. Ha ugyanis bármi olyan változás éri a szervezetet, ami elősegíti a nyiroködémás állapot romlását, újra megjelenhetnek a tünetek és még rosszabbodhat is az előzőekhez képest. Sajnos van erre tapasztalatom beteggel kapcsolatban. Akinek már kialakult a nyiroködéma bármely végtagján, testrészén valamilyen nyirokér, nyirokcsomó károsodás miatt, annak élete végéig figyelnie kell magára , és gondozásra járni pl. gyógyharisnya felírása céljából. Remélem, segítettem tisztázni a félreérthető megfogalmazásokat. Írjon, ha még kérdése van a dologgal kapcsolatban. Üdv. Rita
Kedves Rita!
Feleségem 6 éve daganatos mellműtéten(nyirokrendszer eltávolítás) esett át, 5 év tünetmentesség után 2014.ősszel máj áttétet állapítottak meg nála aminek az operáció utáni kezelése folyamatban van.A műtött karon és lábon súlyosbodó nyiroködéma jelentkezik, annak ellenére, hogy már többször kapott kezelést. A kézre orvosi javaslatra kompressziós harisnyát és kesztyűt kapott, ami inkább rontott a helyzeten , (vagy nem jó a méret?), ugyanis a kesztyű viselése ellenére a folyadék leáramlott a kézfejbe ,így vissza álltunk a fáslira , ami jobbnak tűnik. Szándékunkban van felkeresni Önt, mivel városunkban (Szfehérvár) úgy látjuk nincs sajnos megfelelőn képzett szakember.
Kérdésem addig is mit javasol?
Üdvözlettel : Tamás
Kedves Tamás!
Mivel a műtétek után a feleségének a karja és a lába is dagad, minél előbb el kellene kezdeni a drenázs kezelést az elvezető nyirokutak megnyitásával. Találkozásunkig fáslizzanak továbbra is, az ujjakat jó lenne gézpólyával (mollelast) betekerni. Figyeljenek a kompresszió erősségére, a kézfej területén legyen a legerősebb és onnan felfelé fokozatosan csökkenjen. A csuklóhajlatban és könyökhajlatban vigyázzanak, hogy ne szorítsák el, mert kidörzsölődhet. A nyirokkeringés javítására ajánlom a keringésjavító tornát, ami a weboldalon megtalálható a kezelések között. Lehetőleg fásliban végezze a gyakorlatokat. Az ödémás lábat is jó lenne bandázsolni.
Szeptember 14-ig szívesen állok rendelkezésükre, utána pár hétig nem leszek elérhető.
Üdv. Rita
Tisztelt Hölgyem!
Az édesámnak Limfödémás mindkét lábszára.
Nagykanizsai lakoslévén, és rokkantsága miatt nehézkes lenne a feljutásunk Önhöz. Ezért kérem, hogy pár mondatban segíteni szíveskedjen! Több orvosnál is jártunk már, és keringési elégtelenség okozta limfödémát állapítottak meg. Szeptemberben egy pár hates korházi kézi nyirok masszázst javasoltak neki! Ugyanakkor egy elismert orvos szerint, orbánc okozta és előbb ezt kéne megszüntetni, amire két fajta antibiotikumot AUGMENTIN DUO 875/125MG-KLION250MG együttes szedését javasolta. Az Édesanyámnak Myasthenia gravis betegsége is van több éve, aminek nem igazán tenne jót az Augmentin a kapott ellenjavallatok szerint.
Szeretném a tapasztalatára és tudására alapozva,a véleményét kikérni!
Ha a kézi masszázs sem hoz eredményt,minden képen felkeresném Önt és megoldanám bármilyen módon a személyes kapcsolatot Önnel!
Mielőbbi válaszát várva, maradok Tisztelettel: Hüveli Zoltán Tel:06209454087
Kedves Rita!
Jelenleg melyvenas trombozisbol labadozom es ket napja azt vettem eszre, hogy a bokamnal egy kis teruleten bevizesedett.
Haziorvosom azt mondta, ez elotordulhat, hiszen oda vannak a venaim.
O tovabbra is azt tanacsolta, pihentessem a labam, rovid setakat beiktathatok hazon belul es tornztassam agyban a labam.
Reggeltol estig kettes erossegu kompresszios harisnyat viselek, mely combtoig er ugy tornaztattam. Ket napon keresztul ugy ereztem a kompresszios harisnyaban, lefagynak a labujjaim, nagyon szorit. Tegnap agyban nem vegeztem tornat, csak pihentettem, minimalis setakat tettem es nem ereztem a fent leirt tuneteket.
Nem tudom, hogy friss (2015. 10. 06.) trombozissal es ezzel az enyhebb vizesedessel mit csinalhatok, mi a jo a labamnak, a keringesemnek?
Valaszat elore is koszonom!
Tisztelettel:Rita
Kedves Rita!
Trombózis után még sokáig dagadhatnak a lábai. Csináltak Doppler UH-ot az alsó végtagi visszereiről? Tudni kéne milyen állapotban van a vérrög, ami a trombózist okozta. Ha a kompressziós harisnya szoros Önnek, akkor inkább fáslizza a lábait. A keringésjavító tornát mindenképpen ajánlanám, de a gyakorlatok és a séta mennyisége attól függnek, hogy milyen állapotban van a vénás keringése, UH vizsgálat alapján. Ha nem javulnak a tünetei, forduljon angiológus belgyógyászhoz és végezzék el a szükséges vizsgálatokat. Meg kell találni az okot, hogy mi okozta trombózisát. A tönkrement vénabillentyűk újabb trombózist okozhatnak, évek múlva pedig posttrombotikus állapothoz vezethet, amiből súlyos esetben lábszárfekély is lehet.
Üdvözlettel: F. Rita
Tisztelt Füredi Rita!
Nálam kb. 20 éve diagnosztizálták a nyirokkeringés zavarát, mindkét alsó végtagomon. Ez alatt az idő alatt egyszer kaptam gépi és kézi kezelést. Sajnos, -(főleg anyagi) problémák miatt- elhanyagoltam a folyamatosan kezelést, fáslizást is csak néha alkalmaztam. Most ott tartok, hogy a munkahelyemen már csak erős fájdalmak árán tudom ellátni a feladatomat. 3 műszakban dolgozom, folyamatos álló munkában. Jelenleg táppénzen vagyok. Az István kórházban voltam előzetes állapotfelmérő vizsgálaton. Időpontot kaptam kezelésre februárra. Ennek nagyon örülök, mert bízom benne, hogy javítani tudnak az állapotomon. Viszont kaptam egy szakorvosi véleményt -saját kérésre-, miszerint a folyamatos ülő ill. álló munka nem javasolt. Háziorvosom szerint meg kellene próbálni a leszázalékoltatás valamilyen formáját, saját jogon. Ön szerint érdemes elkezdenem a folyamatot, vagy ez még nem olyan “súlyos” betegség, amivel ez megvalósítható lenne. Sajnos a környezetemben csak olyan munkahelyek vannak, ahol álló munkavégzés folyik. Viszont a jelenlegi munkahelyemen van egy olyan terület, ahol megváltozott munkaképességűeket alkalmaznak. Továbbra is szeretnék dolgozni, “teljes értékű” tagja lenni a társadalomnak, de elég nehéz jelen körülmények között. Kérem, amennyiben van tudomása a lehetőségekről, szíveskedjen mielőbb választ küldeni. Köszönettel és tisztelettel: H. Bernadett
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