Diseases of the lymphatic system are common among adults and children. There are many types of these pathologies that require different treatment approaches. The most common problem is lymphedema, which develops when the formation of lymph and its outflow through the capillaries and lymphatic vessels from the organs and tissues of the extremities is disrupted.
The lymphatic system is part of the body’s fluid transport system; it keeps fluids flowing in the body and cleans its tissues of waste and decomposition products. If there is lymphedema, protein-rich intracellular fluid accumulates, and one can observe a permanent progressive swelling of the limb and its increase in size, thickening of the subcutaneous tissue, hyperkeratosis, cracks, and ulcers.
Two types of lymphedema are distinguished: primary, caused by an abnormality of the lymph vessels at birth, and secondary, caused by an intervention in the lymphatic system. The causes of secondary lymphedema are diverse. It occurs more frequently among overweight people and may be caused by cardiac insufficiency, chronic venous insufficiency in its decompensated forms, damage (mechanical and surgical trauma, burns) (Kayiran et al., 2017). It can also be caused by tumors or inflammatory infiltrates, preventing lymphatic drainage, streptococcal lymphangitis, or parasitic infection.
Doctors identify several stages of lymphedema for a better diagnosis process. In what is known as stage zero, the lymphatic vessels are damaged, but there is no visible swelling yet. In the second stage, the swelling develops during the day but partially or entirely disappears when the limb is in an elevated position. When a finger is pressed on the skin, a dimple forms. When the patient is in the third stage, the swelling persists even with prolonged rest, and the skin thickens.
The final, third stage is characterized by severe swelling and changes to the skin. For instance, it may be perforations from which lymphatic fluid leaks out. Another name for this stage of lymphedema is elephantiasis (Kayiran et al., 2017). It is advisable to consult a doctor at the earliest possible stage (ideally at the first stage). The doctor will recommend suitable treatment and ensure that the swelling does not increase but begins to decrease or at least stabilize.
Lymphedema is a chronic condition that cannot be cured entirely. Nevertheless, proper and, above all, continuous treatment produces excellent results. Comprehensive physical anti-edema therapy has proven to be particularly successful. The initial focus is on skincare and hygiene, thoroughly clean and care for the affected areas. Then the therapist performs manual lymph drainage and then immediately applies a compression bandage. Without a bandage, the swelling will return in about two hours.
It is essential to be physically active during getting rid of the swelling, preferably immediately after manual lymph drainage and with a bandage. Once the swelling removal phase is complete, the second phase begins the maintenance phase. The four components are the same as for swelling: hygiene, lymph drainage, compression, and physical activity. Therefore, with proper treatment and timely diagnosis, the symptoms of lymphedema can be successfully managed.
References
Kayiran, O., De la Cruz, C., Tane, K., & Soran A. (2017). Lymphedema: From diagnosis to treatment. Turkish Journal of Surgery, 33(2), 51-57. Web.