Lipedema: kev kho mob ntawm fastenings

Kev txhais ntawm lipedema:

Lipedema, tseem hu ua tus kab mob ncej puab, yog ib qho kev tsis sib haum xeeb ntawm cov rog faib uas cuam tshuam rau ob txhais ceg thiab caj npab.

Feem ntau cov plaub ceg ceg raug cuam tshuam, qhov chaw uas peb soj ntsuam cov tsub zuj zuj ntawm cov rog tsis hloov mus rau morphology ntawm cov poj niam los yog txiv neej.

Nyob rau hauv cov ntaub so ntswg adipose, muaj kev ua txhaum ntawm kev tsim cov qog thiab nws cov excretion. Lymph ntau lawm ntau dua piv rau qhov uas yuav raug tshem tawm. Qhov no ua rau qeeb hauv cov qog ntshav thiab nce siab hauv cov ntaub so ntswg. Qhov no yog tshwm sim los ntawm qhov mob thaum kov.

Txawm li cas los xij, cov tsos mob zoo tshaj plaws ntawm lipedema yog cov rog hauv ob txhais ceg thiab caj npab tsis tuaj yeem tshem tawm los ntawm kev poob phaus.

Cov ntaub so ntswg adipose, nyob ntawm cov ceg, tsis cuam tshuam nrog cov rog uas peb tau txais thaum lub cev hnyav. Qhov no yog hom rog sib txawv.

Ntau tus poj niam tau sim suav tsis txheeb noj zaub mov tsis tau tiav. Lawv nkaum lawv ob txhais ceg, thiab qee zaum ntsib kev thuam ntawm lwm tus. Tom qab ntawd lawv zoo siab heev thaum lawv ntsib tus kws kho mob uas xav tias lipedema yog pathology.

lipedema ntawm tes

Nws feem ntau tau teev nyob rau hauv cov ntawv kho mob uas txhais tes tseem cuam tshuam rau 30% lossis 60% ntawm cov neeg mob lipedema. Qhov tseeb, txhais tes kuj raug cuam tshuam rau feem ntau. Tab sis txij li thaum cov poj niam nrhiav kev kho mob feem ntau yog mob ceg thiab tom qab ntawd feem ntau kuaj xyuas cov kab mob hauv cov hlab ntsha, cov caj npab tsis tau txiav txim siab. Kev faib cov rog hauv caj npab feem ntau zoo ib yam li lipedema hauv ob txhais ceg.

Lipedema, lymphedema lossis lipolymphedema?

Lymphedema tshwm sim vim yog kev ua txhaum ntawm txoj hauv kev hauv lymphatic system. Cov ntaub yog saturated nrog cov khoom xws li dej thiab cov proteins uas tsis tuaj yeem raug tshem tawm kom zoo vim muaj turbidity. Qhov no ua rau muaj kev mob ntev ntev thiab kev puas tsuaj rau cov ntaub so ntswg ntev. Muaj thawj lymphedema thiab theem nrab lymphedema.

• Primary lymphedema yog congenital underdevelopment ntawm lymphatic thiab vascular system. Cov tsos mob feem ntau tshwm sim ua ntej hnub nyoog 35 xyoos. 
• Secondary lymphedema yog tshwm sim los ntawm kev cuam tshuam sab nraud xws li kev raug mob, kub hnyiab, lossis mob. Lymphedema kuj tuaj yeem tshwm sim tom qab phais.

Ib tus kws kho mob paub txog tuaj yeem txiav txim siab seb nws yog lipedema lossis lymphedema. Qhov sib txawv yog ib qho yooj yim kom paub rau nws:

• Nyob rau hauv cov ntaub ntawv ntawm lymphedema, ob txhais ceg raug cuam tshuam nrog rau lub forefoot. Cov tawv nqaij yog du thiab elastic, tsis muaj txiv kab ntxwv tev. Palpation qhia edema thiab mob me me, tawm hauv cov kab. Lub thickness ntawm daim tawv nqaij quav yog ntau tshaj ob centimeters. Tus neeg mob feem ntau tsis hnov ​​mob.
• Ntawm qhov tod tes, nyob rau hauv cov ntaub ntawv ntawm lipedema, forefoot yeej tsis cuam tshuam. Cov tawv nqaij yog mos, wavy thiab knotty. Txiv kab ntxwv tev tawv nqaij feem ntau pom. Ntawm palpation, cov cheeb tsam cuam tshuam yog oily. Lub thickness ntawm daim tawv nqaij folds yog ib txwm. Cov neeg mob muaj mob, tshwj xeeb tshaj yog mob thaum nias.
• Ib qho kev txheeb cais kev ntseeg tau yog qhov hu ua Stemmer kos npe. Ntawm no tus kws kho mob sim nqa cov quav ntawm daim tawv nqaij hla tus ntiv taw thib ob lossis thib peb. Yog tias qhov no ua tsis tiav, nws yog kis ntawm lymphedema. Ntawm qhov tod tes, nyob rau hauv cov ntaub ntawv ntawm lipedema, daim tawv nqaij quav tuaj yeem tuav tsis muaj teeb meem.

Vim li cas qhov tsis sib xws hauv cov ntaub so ntswg adipose, hematomas tuaj qhov twg thiab vim li cas cov neeg mob hnov ​​mob?

Lipedema yog ib qho kev tsis sib haum xeeb ntawm cov rog uas tsis paub qhov tshwm sim uas tshwm sim hauv cov poj niam symmetrically ntawm tus ncej puab, pob tw thiab ob txhais ceg, thiab feem ntau kuj ntawm caj npab.

Thawj cov cim qhia ntawm lipedema yog ib qho kev xav ntawm nro, mob thiab qaug zog ntawm ob txhais ceg. Lawv pib thaum koj sawv los yog zaum ntev, mob zuj zus mus thoob plaws ib hnub, thiab tuaj yeem ncav cuag qib siab. Qhov mob yog tshwj xeeb tshaj yog excruciating ntawm qhov kub thiab txias, nrog rau thaum tsis muaj atmospheric siab (cua mus txawv tebchaws). Qhov mob tsis txo qis txawm tias thaum ob txhais ceg nce siab. Hauv qee tus poj niam, nws yog qhov tshwj xeeb tshaj tawm ob peb hnub ua ntej kev coj khaub ncaws.

Cov tsos mob no tsis yog vim tsis muaj kev qhuab ntuas lossis vim muaj qee tus neeg muaj lipedema ntawm ob txhais ceg, lub npe hu ua ncej ceg, noj tsis txaus, tab sis tsuas yog vim lawv muaj teeb meem kev noj qab haus huv. Tias nws tsis yog lawv qhov txhaum. 

Qee lub sij hawm nws yog ib qho kev pab rau cov neeg mob thaum lawv paub tias nws yog dab tsi thiab muaj peev xwm kho tau zoo.

Lipedema feem ntau tshwm sim. Txawm li cas los xij, qhov "kev nce qib" no txawv ntawm ib tus neeg mus rau ib tus neeg thiab tsis tuaj yeem xav txog hauv ib tus neeg mob. Hauv qee tus poj niam, qhov kev loj hlob ntawm cov ntaub so ntswg adipose nce mus txog qee qhov kev siv thiab tseem nyob hauv lub xeev no thoob plaws lub neej. Hauv lwm tus, ntawm qhov tod tes, lipedema nce sai heev txij thaum pib. Thiab qee zaum nws nyob tsis tu ncua rau xyoo ua ntej maj mam zuj zus. Feem ntau ntawm lipedema tshwm sim thaum muaj hnub nyoog 20 thiab 30.

Nyob ntawm qhov hnyav, muaj peb theem ntawm lipedema:

Theem I: theem I ceg lipedema 

Ib qho kev nyiam rau cov duab ntawm "eeb" yog pom, daim tawv nqaij yog du thiab txawm tias koj nias rau nws (nrog rau cov ntaub so ntswg subcutaneous!) (pinch test), koj tuaj yeem pom qhov sib xws ntawm "txiv kab ntxwv tev", cov ntaub so ntswg subcutaneous. yog ntom thiab mos. Qee zaum (tshwj xeeb tshaj yog nyob rau sab hauv ntawm tus ncej puab thiab hauv caug) koj tuaj yeem palpate tsim uas zoo li pob.

Theem II: theem II ceg lipedema 

Cov duab "eeb" zoo, tsis sib xws ntawm daim tawv nqaij nrog cov tubercles loj thiab pob qhov loj ntawm walnut lossis txiv apples, cov ntaub so ntswg subcutaneous yog tuab, tab sis tseem mos.

Theem III: theem III ceg lipedema 

pronounced nce nyob rau hauv ib ncig, muaj zog thickened thiab compacted subcutaneous ntaub so ntswg,

ntxhib thiab deforming tsub zuj zuj ntawm cov rog (tsim ntawm daim tawv nqaij loj tsub zuj zuj) ntawm sab hauv ntawm tus ncej puab thiab lub hauv caug pob qij txha (kev sib txhuam ulcers), fatty rollers, ib nrab dai rau ntawm pob taws.

Cov lus ceeb toom tseem ceeb: qhov hnyav ntawm cov tsos mob, tshwj xeeb tshaj yog mob, tsis tas yuav cuam tshuam rau theem kev faib tawm!

Secondary lymphedema, hloov lipedema mus rau lipolymphedema, tuaj yeem tshwm sim ntawm txhua theem ntawm lipoedema! Concomitant rog tuaj yeem ua rau qhov tshwm sim no.

Kev kho mob ntawm lipedema

Cov neeg uas muaj tus kab mob no yuav tsum paub tias muaj 2 txoj kev kho mob sib txawv lipedema ntawm ob txhais ceg :

Cov neeg uas muaj tus kab mob no yuav tsum paub tias muaj 2 txoj kev kho mob sib txawv: kev kho mob thiab kev phais. Lawv xaiv txoj kev uas haum rau lawv. Rau kev kho mob ntawm lipedema, kev pab them nqi yog nyob ntawm tus mob thiab hom kev kho mob.

Classic conservative txoj kev:

Txoj kev no pab txav cov lymphatic ntws mus rau qhov chaw ntawm lub plawv. Rau qhov no, tus kws kho mob tau sau ntawv qhia txog cov kua dej lymphatic.

Qhov kev kho mob no yog tsom rau kev cuam tshuam zoo rau lub sijhawm luv ntawm cov qog ntshav tawm thiab tso tawm. Nws yog rau kev kho mob, tab sis nws yog ib qho kev kho tas mus li. Qhov phem tshaj plaws, qhov no txhais tau tias 1 teev / 3 zaug hauv ib lub lis piam. Thiab yog tias koj tsis kam kho, qhov teeb meem tshwm sim dua.

Rau lipedema, kev kho mob ntuj tsim muaj kev noj zaub mov kom zoo thiab ua haujlwm tsis tu ncua.

2nd tov: lymphological liposculpture:

Txoj kev no tau siv thawj zaug hauv xyoo 1997 tom qab ntau xyoo ntawm kev tshawb fawb.

Tsuas yog qhov ua tau ntawm kev daws teeb meem mus sij hawm ntev lipedema ntawm ob txhais ceg muaj nyob rau hauv kev tshem tawm cov ntaub so ntswg adipose phais, ntawm chav kawm, tsis txhob muaj kev puas tsuaj rau cov hlab ntsha lymphatic thiab yog li kho qhov disproportion ntawm zus tau tej cov lymph nyob rau hauv cov ntaub so ntswg adipose thiab nws excretion los ntawm cov hlab ntsha thiab rov qab mus rau nws li qub.

Txawm li cas los, nws tsis yog dog dig, raws li nyob rau hauv . Nws yuav tsum paub tias lub hom phiaj ntawm qhov kev ua haujlwm no tsis yog ua kom muaj kev sib haum xeeb ntawm silhouette, tab sis pom tseeb tias tus kws phais yuav tsum coj mus rau hauv tus account qhov zoo nkauj thaum nws ua haujlwm, tab sis lub ntsiab lus txiav txim siab yog kho lymphological kho ntawm pathology.

Tias yog vim li cas kev tshem tawm cov roj lipedema tuaj yeem ua tau los ntawm tus kws kho mob tshwj xeeb hauv thaj tsam lymphology.

Kev kuaj mob ntawm lipedema feem ntau yog ua los ntawm keeb kwm noj, kuaj thiab palpation.

Cov theem ntawm lipedema phais

Kev kho phais yog ua nyob rau hauv ob peb theem. 

Thaum lub sijhawm ua haujlwm thawj zaug, tus kws phais tshem tawm cov nqaij rog tawm ntawm sab nraud ntawm ob txhais ceg. Thaum lub sij hawm thib ob ntawm caj npab thiab lub sij hawm thib peb ntawm sab hauv ntawm ob txhais ceg. 

Cov kev cuam tshuam no yuav tsum tau ua nyob rau ntawm plaub lub lis piam.

Vim li cas lipedema yuav tsum tau kho nyob rau ntau theem?

Yog tias peb xav txog tias thaum lub sijhawm ua haujlwm tus kws phais tshem tawm txog li 5 litres ntawm cov ntaub so ntswg ntau dua, ces qhov no yog qhov ntim loj heev, uas txhais tau hais tias lub cev yuav tsum tau siv rau nws. Qhov no yog kev ua haujlwm loj, tab sis tus yuam sij rau kev vam meej kuj yog nyob rau hauv kev saib xyuas tom qab phais.

Postoperative kev kho mob ntawm lipedema

Hauv kev kho mob tom qab phais, tus neeg mob tau muab cov kua dej lymphatic tam sim ntawd tom qab kev phais. Los ntawm lub rooj khiav hauj lwm, nws mus ncaj nraim mus rau hauv txhais tes ntawm tus kws kho mob lub cev. Cov kua dej lymphatic no yog txhawm rau tshem tawm cov kua dej, nrog rau kev npaj cov hlab ntsha lymphatic rau kev ua haujlwm ib txwm, tom qab ntawd siv cov ntaub qhwv nruj. Tom qab ntawd tus neeg mob raug xa mus rau lub tsev kho mob, qhov chaw uas nws siv sijhawm hmo ntuj, kom muaj kev tswj xyuas tom qab phais, vim qhov no yog qhov kev cuam tshuam loj. 

Tom qab ntawd tus neeg mob uas rov qab los tsev yuav tsum hnav cov luv compression rau ib lub lim tiam, nruab hnub thiab hmo ntuj, thiab tom ntej no 3 lub lis piam rau lwm 12 teev ib hnub twg. Qhov compression no tseem ceeb heev tom qab kev phais kom paub meej ntawm daim tawv nqaij.

Plaub lub lis piam tom qab kev ua haujlwm, tag nrho cov kev mob tshwm sim tsis zoo, thiab daim tawv nqaij, ncab nrog cov ntaub so ntswg ntau, rov qab los rau nws qhov loj me hauv thawj rau lub hlis. 

Tsis tshua muaj, tus kws phais yuav tsum tau tshem tawm cov tawv nqaij ntau dhau. Thiab qhov no tsis yog qhov tsim nyog, vim hais tias nrog rau txoj haujlwm no, tus kws phais mob tau mus rau qee yam ntawm kev ncab ua ntej los ntawm inflating nrog kua. Thiab tom qab ntawd nws yog ib yam ntawm cov tshuaj tiv thaiv elastic kom rov zoo li qub.

Tom qab XNUMX lub hlis lossis ib xyoos, tus neeg mob yuav tsum mus ntsib nws tus kws phais mob kom kuaj xyuas zaum kawg.

Thaum lub sij hawm qhov kev ntsuam xyuas zaum kawg no, tus kws phais neeg tuaj koom txiav txim siab seb cov kob ntawm cov roj lipedemic tseem nyob ntawm no los yog nyob ntawd, uas tuaj yeem ua rau mob hauv zos. Thiab yog tias muaj, ces nws qhia meej meej tshem nws.

Thiab tam sim no cov neeg mob thaum kawg tuaj yeem faib cov ntsiab lus ntawm lipedema. 

Lipedema kab mob yog kho tau. Ntawm chav kawm, muaj qhov ua tau ntawm kev saib xyuas kev kho mob. Tab sis yog tias koj xav kho, koj yuav tsum tau ua haujlwm. Nws yuav tsis rov qab los vim nws yog innate.

Cov lipedema raug tshem tawm, tus kab mob tau kho thiab kev kho mob tiav.

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