Where the edema of the legs is treated with pneumocompression in Vinnitsa

Successful treatment of lymphostasis depends on correct compression during treatment, and the correct selection of compression tricade.

At any stage of the disease on the area of ​​edemapressure is necessary. In this case, the pressure on the leg, which is provided by compression stockings or bandages, should increase in the incidence rate. The more serious the disease, the stronger the pressure.

How does compression affect the diseased organ?

By squeezing bandages occursthe rejection of excess protein and intercellular fluid, which is collected in tissues with the disease of lipoderm and lymphedema. To enhance the effect, in addition to compression, it is recommended to use a hardware pneumomassage performed by a professional lymphologist. The use of compression stockings prevents the accumulation of protein and liquids. In addition, the skin is protected from excessive tension due to swelling.

What are the phases of the disease?

In the treatment of lymphedema and lipoedema by compression, the following phases are considered:

</ li>
  • Prevention of the development of the disease.
  • Remission, which consists in the desire to achieve a result in which the tissue state could be considered satisfactory.</ p>

    The healing properties of compression stockings are of great importance in the case of lymphedema and lipodermia, but they can not completely replace bandages.

    Compression stockings can also be used asaddition, putting them under bandages. It should be noted that the compression stockings look very neat, aesthetic and attractive, do not disfigure your legs. Microfiber fibers in these stockings make them breathable for air, beautifully fitting, comfortable, similar to the most common opaque stockings. Dressing compression stockings is somewhat difficult, especially in the mornings, but over time this problem is eliminated, thanks to daily training. There are special devices that can make it easier to put on stockings.

    What are stockings for?

    Stockings are needed to prevent edema, so theirit is strongly recommended to dress early in the morning. With lymphedema or lipoedema, stockings do not cope with this task in full, so more radical measures are required, which are ensured by bandage and manual lymph drainage.

    There are 4 classes of compression

    They are distinguished by the fit force, recommended at different stages of the disease.

    Provides crushing force from 18 to 21 mm pc above the ankle. Not applicable for lymphedema and lipodem.

    Pressure from 25 to 35 mm pc above the ankle. It is used for remission, which was preceded by intensive therapy, to fix the result with not pronounced symptoms.

    It exerts pressure from 36 to 46 mm pc on the ankle, is used then. when the disease has been going on for several years.

    The pressure is from 59 mm pc to the ankle. Stockings of this class are worn with difficulty.

    Recommendations for practical application.

    Compression stockings of the third and fourth classdress with effort. To achieve compression of the third class, you can consistently put on stockings of the second and first class. This will allow the leg to keep the motor activity, the stockings of these compression classes are easier to dress, and after the time, if the discomfort appears, you can remove the upper stocking. In this case, the lower stocking with a higher tension will continue to affect the limb. How can I buy compression stockings?

    Since the compression stockings are one of themethods of general therapy in the treatment of the disease, they can be purchased with a prescription from a doctor. The size of the stocking is determined by the volume of the leg without swelling. Compression stockings can meet certain standards, which differ in color gradation, and can be manufactured by different manufacturers. You can make an individual order for their production.

    They are used for active therapy. The pressure of bandages having a small degree of stretching is comparable to the action of a pump moving the liquid towards the heart. The effect of compression stockings, in this case, is limited, which upsets some patients who are forced to wear them during therapy.

    Recommendations for practical application

    The maximum result is achieved thanks toa combination of bandages and compression stockings. A favorable effect in getting rid of swelling can be achieved by putting a bandage on the compression stocking from the ankle to the knee.

    The use of bandages gives a number of advantages. First, they allow the ankle to move freely, like the foot, as they remain free. In this case, there is no need to wear larger shoes or to worry that it will stretch and become larger. Secondly, the use of the combined method is convenient in that the compression stocking does not allow the bandages to slide. At the same time with the bandages can necessarily enhance compression exerted by a stocking, which abutment is fixed. Simultaneous use of compression stockings and bandages makes it possible to combine them during the day, depending on the circumstances.

    For treatment by manual lymph drainage and the method of wearing compression stockings and bandages additionally apply apparatus pneumocompression. which is included in the therapy of lymphedema anddiseases of the venous system. Pneumocompression is prescribed to patients, taking into account the individual characteristics of the disease. In some cases, it is impossible to do without it when bandaging and manual lymph drainage. Hardware lymphocompression gives good results when the disease has a protracted character and is difficult to treat, bandaging and manual lymph drainage are particularly effective in this case. The use of devices is indicated when the method of bandaging and manual lymph drainage is not available.

    According to the German phlebology society, pneumocompressive apparatus is used with the following indications:

  • With primary lymphedema, it complements bandaging and massage.
  • With secondary lymphedema without a proximal obstruction, it complements bandaging and massage.
  • With a lipodem.
  • With post-traumatic edema.
  • With venous edema.
  • Ulcus crirus venosum.
  • Thromboseprophylaxe.
  • When paresis or partial paresis, when swelling occurs as a result of immobility.
  • With peripheral arterial obstruction (strictly controlled).</ p>

    There are absolute contraindications tothe use of pneumocompression, which are very important and require compliance. These include the patient's condition associated with a recent myocardial infarction, decompensated heart failure, with pulmonary edema, edema associated with cardiac and renal diseases. Absolute contraindications are also due to thrombophlebitis, thrombosis and suspicion of thrombosis, with erysipelas, malignant lymphedema and trauma to the shin.

    For relative contraindications, the tumor in the proximal area of ​​the outflow and the occurrence of pain during treatment are important.

    Devices and their types

    The system is ineffective, there is a uniform pressure throughout the leg, fluid to the heart does not move. Instruments do more harm than good. A multi-chamber system consisting of 3 to 6 chambers.

    The chamber of the device is subsequently filled with air. Are indicated for simple venous problems, contraindicated in venous complications, not recommended for lymphedema.

    Multi-chamber system. the number of chambers of which is more than 12.

    The device is used for lymphedema and lipodem, andalso in severe cases, with complications and long-term diseases of the venous system. Under the action of the device, lymph purposely and gently pushes to the heart and provides accurate manual lymph drainage.

    How to choose the right cuff?

    The cuff should be proportionate to the limbs, haverequired length. With lymphedema, which is characterized by complete defeat of the limb, to avoid backflow of lymph, the cuff should end and be fixed in the groin area. For this, there is a special cuff that provides a transition to this area.