Swell and flow of feet
Heaviness, swelling in the legs. In modern medicine, elephantiasis is called lymphedema. This is a chronic edema of the tissues of the lower limbs, associated with a violation of the structure of the lymphatic channel. Lymphodema is divided into primary and secondary.
Primary is a consequence of unclear violations in the lining and development of the lymphatic system in the fetus. More often it is detected in women - in 85%.
Edema of the lower extremities with such a lymphedema canbegin immediately after the birth of the child, from adolescence or from 35 years. Secondary lymphedema is equally found in both men and women over 40 years of age.
At the heart of this variant of the disease liemechanical obstacles that prevent the outflow of lymph from the lower limbs, and sometimes from the upper limbs. These are malignant diseases, X-ray and radiotherapy of them, inflammation of the lymphatic vessels and nodes, traumas of limbs, damage to the lymph vessels during operations on the veins.
In contrast to edema of cardiac origin withlymphedema begins with the foot and rises up, covering the entire limb. Edema at first soft and leaves after pressing a finger with a pit or deep furrow from the shoe.
Edema in chronic venous insufficiencyresembles lymphedema, but it has its own nuances: it comes and arises after loads, disappears or decreases by the morning and is susceptible to certain treatment. Bunches of dilated venous vessels are a frequent companion of such edema.
There is another kind of edema on the legs that occurswith joint diseases. It is local or limited and is accompanied by all signs of inflammation: local fever, pain, restriction of movement in the joints and reddening of the skin around. Active anti-inflammatory therapy with this kind of edema gives good results.
Lymphedema flows through the stages. At the first swelling of the tissues is unstable. At the second - the edema is stable. With the third develop fibro-sclerotic changes in tissues. With the fourth swelling becomes elephant.
The success of lymphedema treatment is laid down in an early appeal to the specialist-lymphologist.
Thus, the first and second stages are amenableconservative treatment, with the third - the effect is lower. At the fourth stage, it is sometimes suggested that surgical removal of edematous tissues or the application of shunts to lymphatic trunks be suggested. However, the choice is complex therapy, which is spent the whole life.
The patient should be patient, do not despair and follow all the doctor's instructions.
The treatment program includes a manuallimfodre-nazh, which is conducted by medical workers with special training, wearing compression knitwear, exercise therapy and lymphotonia drugs such as detraleksa. Aspirin, ointment of hepatrombin or lyoton for lymphedema are not used.
You can not successfully treat lymphedema without reducingloads on the legs or even without changing the work profile. If it is not possible to completely eliminate the load, then during the work to do a few pauses for 10-15 minutes, or even better to take a horizontal position with slightly raised legs.
For better discharge of the lymphatic system, a soft roller is placed under the feet for the night.
You can not sit for a long time, putting one foot on the other. This disposes of stagnation of lymph, as well as wearing too tight clothes and shoes. The question of a bath and a sauna is decided by the doctor.
The first stage of treatment provides for two weekssemi-posture regime, elevated limb position, detralex and diet with restriction of salt and protein. Overloading with water, alcohol, beer will lead to an increase in the volume of circulating lymph and its retention in vessels and nodes, and this will respond with swelling.
The second stage lasting 4 months includes a free regime, wearing a compression knitwear of the 3rd class, detraleks, swimming, a bicycle or an exercise bike and the above-mentioned diet.
The third stage is carried out twice a year for 3 months with the activities of the second stage with the connection of pneumocompression, if it is available in the arsenal of the medical institution.
Modern elastic bandages due to smallextensibility and misalignment may even be harmful for lymphedema. An alternative to them is the jersey of the third compression class from a fabric of flat knitting. Stockings or knee socks are selected with minimal edema of the limb and depending on the height of the edema.
Knitwear is worn in the morning, after 10-20 minutesafter lifting and removed in the evening for 1,5-2 hours before sleep. It is replaced with wear, or a new one is selected, depending on the changed size of the limb during treatment. Wash the knitwear in warm water with laundry soap, squeezing water in the fist.
Folk remedies and phototherapy are not forlymphedema. Hoping for them means losing time to start active treatment. Drugs and food additives to "clean" the lymphatic system of modern medicine has not yet come up, and what is offered by advertising, does not have a scientific basis.