He Heilongjiang readers He asked: I am 78 years old this year, began to lower extremity edema 20 years ago, in July this year, diagnosed as lymphedema. Now the following knee rupture of the skin, water flow. Eat Chinese medicine has no effect. How do I rule?
Central South University Xiangya Hospital, chief physician vascular surgery Huang Jianhua answer: Lymphedema is lymphatic drainage obstruction, swelling of the soft tissue caused by the accumulation of lymph fluid.Your situation from the beginning of edema more than 20 years ago, should belong to secondary lymphedema. Secondary causes are divided into non-inflammatory and inflammatory, the former, such as lymph node removal, Malignant tumor metastasis, filariasis, etc .; the latter, such as chronic recurrent erysipelas, etc. Lymphatic drainage disorders, accumulation of lymph in the tissue, due to edema long-term non-refundable, leading to an increasing protein content in the organization, prompting fibroblast proliferation and the machine The formation of a special clinical, non-collapsible, irreversible swelling of the lower limb.Fiber fibrosis has been formed will further oppression and damage to the lymphatic vessels, causing a vicious cycle, so that the disease is getting worse.
I suggest you find out the reasons as soon as possible to the specialist, trial due to rule. Early attempts to relieve lymphatic obstruction, to promote edema as soon as possible, such as the use of elastic socks or bandages, raising the limbs, concentric massage limbs, etc., to enhance blood and lymph Circulation, and promote the absorption of lymph fluid .Infectives should be early enough antibiotics to control infection, and physical therapy or heat to promote absorption and so on.Lateral limb hypertrophy affect patient activity and function, you can try partial surgical resection, Appropriate cases can try lymphatic - venous anastomosis.
