{"id":602,"date":"2020-01-19T23:09:00","date_gmt":"2020-01-19T20:09:00","guid":{"rendered":"http:\/\/www.caferabbasoglu.com\/?p=602"},"modified":"2020-01-21T18:29:56","modified_gmt":"2020-01-21T15:29:56","slug":"meme-ameliyatindan-sonra-kollardaki-lenfodemin-nedenleri-ve-tedavisi","status":"publish","type":"post","link":"https:\/\/www.caferabbasoglu.com\/en\/2020\/01\/meme-ameliyatindan-sonra-kollardaki-lenfodemin-nedenleri-ve-tedavisi\/","title":{"rendered":"Meme Ameliyat\u0131ndan Sonra Kollardaki Lenf\u00f6demin Nedenleri Ve Tedavisi"},"content":{"rendered":"\n

\"KoldaLenf\u00f6dem, lenf ak\u0131m\u0131n\u0131n engellenmesi sonras\u0131 ortaya \u00e7\u0131kan tedavisi \u00e7ok zor olan bir rahats\u0131zl\u0131kt\u0131r. \u00c7e\u015fitli nedenlerden \u00f6t\u00fcr\u00fc zarar g\u00f6ren ve bozulan lenfatik sistem uygun miktarda lenf ak\u0131m\u0131n\u0131 sa\u011flayamazsa s\u0131v\u0131 h\u00fccreler aras\u0131 bo\u015flu\u011fa veya lenfatik bo\u015flu\u011fa dolar. Alt extremiteleri etkiledi\u011fi gibi \u00fcst extremiteleri de etkileyen lenf\u00f6dem v\u00fccutta g\u00f6vde ve bazen y\u00fczde bile g\u00f6r\u00fclebilir.<\/p>\n

\u0130ki t\u00fcrl\u00fc lenf\u00f6dem vard\u0131r :<\/p>\n

Primer lenf\u00f6dem zedelenme, burkulma, \u00e7arpma veya d\u00fc\u015fme sonucunda ortaya \u00e7\u0131kan bir hastal\u0131k durumudur. Primer lenf\u00f6dem kal\u0131tsal olup genelde kad\u0131nlarda 35 ya\u015f \u00f6ncesinde hamilelik d\u00f6neminde ortaya \u00e7\u0131kar.<\/strong><\/h3>\n

Sekonder lenf\u00f6dem ise t\u00fcm\u00f6r cerrahisi ( meme veya rahim kanseri ameliyat\u0131) sonras\u0131 olu\u015fan ve tekrarlayan insizyon yerlerinde olu\u015fur. Post enflamasyona u\u011fram\u0131\u015f skarlar, izler, travma, tiroid hastal\u0131klar\u0131 obezite, kronik ven\u00f6z yetmezlik sonras\u0131 ortaya \u00e7\u0131kan lenfatik sistemin t\u0131kanmas\u0131d\u0131r.Genelde tek tarafl\u0131 alt extremitede olmas\u0131na ra\u011fmen bazen alt ve \u00fcst extremite birlikte olabilir.<\/strong><\/h3>\n

Lenf\u00f6dem hastalar\u0131n\u0131n \u015fi\u015fliklerini tedavi etmek \u00e7ok zor oldu\u011fundan hastalar genelde \u00e7ok stresli olurlar.<\/p>\n

<\/p>\n

Meme kanseri sonras\u0131 lenf\u00f6dem olu\u015fumu:<\/h1>\n

\"KoldaMeme kanseri ameliyat\u0131 s\u0131ras\u0131nda cerrah taraf\u0131ndan koltukalt\u0131 ve \u00e7evresinden lenf d\u00fc\u011f\u00fcmlerinin al\u0131nmas\u0131yla olu\u015fan lenf yolu harabiyeti kollarda kronik lenf\u00f6deme neden olmaktad\u0131r. Koltukaltlar\u0131nda genelde hastadan hastaya de\u011fi\u015fen 22 ile 30 aras\u0131nda lenf d\u00fc\u011f\u00fcm\u00fc bulunmaktad\u0131r. Cerrahi s\u0131ras\u0131nda baz\u0131 hastalarda bunlar\u0131n 20 den fazlas\u0131 al\u0131nmaktad\u0131r. Sonras\u0131nda ise lenf ak\u0131\u015f\u0131nda sorun ya\u015fanmakta, lenf s\u0131v\u0131s\u0131 yukar\u0131ya do\u011fru ak\u0131t\u0131lamad\u0131\u011f\u0131ndan kol boyunca , el bile\u011finde veya parmaklarda kalarak a\u011fr\u0131s\u0131z \u015fi\u015flikler olu\u015fturmaktad\u0131r.<\/p>\n

Ameliyat sonras\u0131 bir\u00e7ok hasta hen\u00fcz lenf\u00f6dem belirtileri ortaya \u00e7\u0131kmadan y\u00fcz\u00fck veya bileziklerinin s\u0131kmas\u0131yla \u015fi\u015fliklerin fark\u0131na varmaktad\u0131r. Hasta e\u011fer tedavi s\u00fcrecini uzat\u0131rsa bu \u015fi\u015flik artarak el ve kol hareketlerini k\u0131s\u0131tlamakta bazen kalem bile tutamamaktad\u0131r. \u0130leri safhalarda lenf yollar\u0131n\u0131n ve lenf ak\u0131\u015f\u0131n\u0131n g\u00f6\u011f\u00fcsteki ana damara bo\u015falmas\u0131 engellendi\u011fi i\u00e7in koldan sar\u0131 bir suyun geldi\u011fi g\u00f6r\u00fclmektedir. G\u00fcn ge\u00e7tik\u00e7e cilt alt\u0131 kal\u0131nla\u015f\u0131r, deri ise renk de\u011fi\u015ftirerek fil s\u0131rt\u0131 g\u00f6r\u00fcn\u00fcm\u00fc almakta dolay\u0131s\u0131yla kolda lenf \u00f6dem geli\u015fmektedir.<\/p>\n

Lenf\u00f6dem Tedavisinde Uygulanan Y\u00f6ntemler Ve LLLT<\/h1>\n

\"\"<\/p>\n

Bu tedavi sonucunda kolda olu\u015fan \u015fi\u015fkinli\u011fi azaltmak veya buna benzer problemleri ortadan kald\u0131rmak i\u00e7in baz\u0131 giri\u015fimler mevcuttur. Genelde t\u00fcm hastalarda klasik tedavinin yan\u0131 s\u0131ra; klasik fizik tedavi, manuel lenfatik drenaj veya haval\u0131 pompa tedavisi, kompresyonlu kol \u00e7oraplar\u0131 ile tedavi uygulanmaktad\u0131r. Son y\u0131llarda bu tedavilere en iyi ek tedavi olarak LLLT (d\u00fc\u015f\u00fck enerjili lazer tedavisi ) ilave edilmi\u015ftir. Bu tedavi F.D.A. ( Amerikan ila\u00e7 onaylama cemiyeti) taraf\u0131ndan onayl\u0131 olup 2007\u2019den bu yana ABD\u2019de post mastektomi sonras\u0131 kullan\u0131lmaktad\u0131r. Ayr\u0131ca Avrupa Medikal Cemiyeti de LLLT’yi a\u011fr\u0131s\u0131z, yak\u0131c\u0131, aseptik olmayan ama tedavi eden yan etkisiz bir tedavi olarak tan\u0131mlam\u0131\u015ft\u0131r.<\/p>\n

\u00a0<\/p>\n

LLLT\u2019nin Meme Ameliyat\u0131 Sonras\u0131 Lenf\u00f6demde Kullan\u0131m\u0131<\/h1>\n

Bu tip lenf \u00f6demlerin tedavisi k\u0131s\u0131tl\u0131 oldu\u011fu i\u00e7in d\u00fc\u015f\u00fck doz lazer tedavisi yeni bir yakla\u015f\u0131m olarak d\u00fc\u015f\u00fcn\u00fclmektedir. D\u00fc\u015f\u00fck doz lazer tedavisi meme ameliyat\u0131 sonras\u0131 olu\u015fan lenf \u00f6demin derecesine g\u00f6re de\u011fi\u015fik renk ve dalga boyundaki \u0131\u015f\u0131nlardan se\u00e7ilerek lenf\u00f6dem olmayan kola uygulan\u0131r. Sa\u011fl\u0131kl\u0131 kolda a\u00e7\u0131lan damar yolundan k\u00fc\u00e7\u00fck bir katater yard\u0131m\u0131yla kanda oksijenlenmeyi olu\u015fturacak \u0131\u015f\u0131nlama verilir.<\/h4>\n

De\u011fi\u015fik dalga boylar\u0131ndaki \u0131\u015f\u0131nlar\u0131 emen kan hastal\u0131kl\u0131 b\u00f6lgelerdeki lenf yollar\u0131 ve d\u00fc\u011f\u00fcmlerini geni\u015fleterek ve yeni lenf yollar\u0131 olu\u015fturarak lenf drenaj\u0131n\u0131 ba\u015flatmaktad\u0131r. Dolay\u0131s\u0131yla zamanla \u015fi\u015flik azalmakta hastalar rahatl\u0131kla parmaklar\u0131n\u0131 ve kollar\u0131n\u0131 kullanarak ya\u015fam kalitelerini y\u00fckseltmektedirler.<\/h4>\n

D\u00f6nem d\u00f6nem kontrollere gelerek dopler ultrasonla cilt alt\u0131ndaki ven\u00f6z ak\u0131\u015f\u0131 arteryel ak\u0131\u015f\u0131 ve lenf yollar\u0131ndaki ak\u0131\u015f\u0131 cilt alt\u0131ndaki lenf yollar\u0131n\u0131n drenaj\u0131n\u0131 g\u00f6r\u00fcnt\u00fcleyerek hastalara tedavisi hakk\u0131nda bilgi verilmekte ve tedavisi d\u00fczenlenmektedir.<\/h4>\n

\u00a0<\/h1>\n

Lllt tedavi sonras\u0131 etkisi<\/h1>\n

LLLT \u00f6ncesi lenf \u00f6demi olan ve olmayan koldaki \u00e7ap \u00f6l\u00e7\u00fcld\u00fc\u011f\u00fc zaman belirgin bir farkl\u0131l\u0131\u011f\u0131n oldu\u011fu g\u00f6r\u00fclmektedir. Lllt uygulamas\u0131ndan sonra bakt\u0131\u011f\u0131m\u0131zda ise kollar\u0131n kol \u00e7evresindeki \u015fi\u015flikte ,a\u011fr\u0131da azalma, hareket kabiliyetinde artma g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bu da bize lenf\u00f6demin sekonder tiplerinde de LLLT\u2019nin ciddi bir \u015fekilde etkili oldu\u011funu g\u00f6stermektedir.<\/h4>\n

Primer tip lenf \u00f6demde LLLT\u2019nin etkinli\u011fini g\u00f6steren postmastektomi sonras\u0131 lenf \u00f6dem \u00f6ncesine g\u00f6re ciddi bir gerileme kaydederek \u00e7ok daha iyi oldu\u011fu g\u00f6r\u00fclmektedir.<\/h4>\n

LLLT nin lenf\u00f6dem tedavisinde yeni lenfatik damarlar olu\u015fmas\u0131n\u0131 sa\u011flayarak h\u00fccreler ve dokular \u00fczerine lenfangio genezis yap\u0131yor.<\/h4>\n

LLLT lenfatik damarlar\u0131n olu\u015fmas\u0131n\u0131 sa\u011flayarak lenf \u00f6demde h\u00fccre ve dokular\u0131n \u00fczerinde yaratt\u0131\u011f\u0131 faydal\u0131 etkisiyle lenfatik ak\u0131m\u0131 destekler ve immum sistemi uyar\u0131r.<\/h4>\n

\u00a0LLLT kolajen yap\u0131m\u0131n\u0131 art\u0131r\u0131r ve DNA sentezini de\u011fi\u015ftirebilir. Harap olmu\u015f kas ve sinir fonksiyonlar\u0131n\u0131 pozitif y\u00f6nde d\u00fczenler.<\/h4>\n","protected":false},"excerpt":{"rendered":"

Lenf\u00f6dem, lenf ak\u0131m\u0131n\u0131n engellenmesi sonras\u0131 ortaya \u00e7\u0131kan tedavisi \u00e7ok zor olan bir rahats\u0131zl\u0131kt\u0131r. \u00c7e\u015fitli nedenlerden \u00f6t\u00fcr\u00fc zarar g\u00f6ren ve bozulan lenfatik sistem uygun miktarda lenf ak\u0131m\u0131n\u0131 sa\u011flayamazsa s\u0131v\u0131 h\u00fccreler aras\u0131 bo\u015flu\u011fa veya lenfatik bo\u015flu\u011fa dolar. Alt extremiteleri etkiledi\u011fi gibi \u00fcst extremiteleri de etkileyen lenf\u00f6dem v\u00fccutta g\u00f6vde ve bazen y\u00fczde bile g\u00f6r\u00fclebilir. \u0130ki t\u00fcrl\u00fc lenf\u00f6dem vard\u0131r […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"two_page_speed":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-602","post","type-post","status-publish","format-standard","hentry","category-genel"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"en","enabled_languages":["tr","en"],"languages":{"tr":{"title":true,"content":true,"excerpt":false},"en":{"title":false,"content":false,"excerpt":false}}},"yoast_head":"\nMeme Ameliyat\u0131ndan Sonra Kollardaki Lenf\u00f6demin Nedenleri Ve Tedavisi - Opr.Dr.Cafer Abbaso\u011flu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.caferabbasoglu.com\/2020\/01\/meme-ameliyatindan-sonra-kollardaki-lenfodemin-nedenleri-ve-tedavisi\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Meme Ameliyat\u0131ndan Sonra Kollardaki Lenf\u00f6demin Nedenleri Ve Tedavisi - 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