{"id":17583,"date":"2019-11-29T11:20:04","date_gmt":"2019-11-29T09:20:04","guid":{"rendered":"https:\/\/biomed.lt\/uncategorized\/limfedema-2\/"},"modified":"2026-04-18T11:23:54","modified_gmt":"2026-04-18T08:23:54","slug":"limfedema-2","status":"publish","type":"post","link":"https:\/\/biomed.lt\/en\/limfodrenazas-kompresine-terapija\/limfedema-2\/","title":{"rendered":"Limfedemos simptomai, diagnoz\u0117, gydymas"},"content":{"rendered":"

Limfedema yra <\/span>l\u0117tin\u0117 liga<\/span><\/strong>\u00a0kuri sulaukia vis didesnio d\u0117mesio i\u0161 tyr\u0117j\u0173 ir mokslinink\u0173, d\u0117l to, jog atrandama vis efektyvesni\u0173 jos gydymo b\u016bd\u0173. Dabartiniame pasaulyje tai jau neb\u0117ra \u201epad\u0117tis be i\u0161eities\u201c, o labiau tikt\u0173 limfedemos apib\u016bdinimas, kaip ligos, kuri turi daugyb\u0119 atviro gydymo potencialo bei \u012fvairi\u0173 gydymo galimybi\u0173.<\/span><\/p>\n

Limfedema yra <\/span>edemos r\u016b\u0161is, kurios metu kaupiasi skys\u010diai, vyksta tinimas, kartu su auk\u0161ta tarpini\u0173 (intersticini\u0173) baltym\u0173 koncentracija. <\/span><\/strong>Tai yra suma\u017e\u0117jusi\u0173 limf\u0173 metabolizmo (cirkuliacijos arba perne\u0161imo) rezultatas.<\/span><\/p>\n

I\u0161augusi baltym\u0173 koncentracija atskiri\u0105 \u0161i\u0105 lig\u0105 nuo kit\u0173 edemos r\u016b\u0161i\u0173 bei sukelia simptomus ir \u017eenklus, kurie leid\u017eia klasifikuoti lig\u0105 \u012f pirmin\u0119 bei antrin\u0119 limfedem\u0105.<\/span><\/p>\n

Pirmin\u0117 limfedema <\/span><\/strong>apib\u016bdina limfedem\u0105, kuri pastebima jau pirmais gyvenimo m\u0117nesiais, k\u016bdikyst\u0117je arba jauname am\u017eiuje. \u012eprastai \u0161i kondicija pasirei\u0161kia kaip jau nuo gimimo esan\u010di\u0173 strukt\u016brini\u0173 limfin\u0117s sistemos pakitim\u0173. <\/span><\/p>\n

Antrin\u0117 limfedema <\/span><\/strong>apib\u016bdina tok\u012f ligos por\u016b\u0161\u012f, kuris i\u0161ry\u0161k\u0117ja po tam tikr\u0173 \u012fvyki\u0173. Tai gali b\u016bti limfmazgi\u0173 pa\u0161alinimas po v\u0117\u017eio operacijos, limfmazgi\u0173 degeneracija d\u0117l radioterapijos, traumos ar net parazitini\u0173 u\u017ekr\u0117tim\u0173 (\u012fskaitant filariaz\u0119).<\/span><\/p>\n

Edema<\/span><\/strong><\/h2>\n

Paprastai edema apib\u016bdinama kaip <\/span>skys\u010di\u0173 susikaupimas tarpin\u0117se organizmo vietose.<\/span><\/strong><\/p>\n

Egzistuoja daugyb\u0117 edemos tip\u0173, nuo \u201efiziologini\u0173\u201c iki \u201epatologini\u0173\u201c<\/span>. <\/span><\/strong>\u0160i\u0105 problem\u0105 da\u017eniausiai sukelia organ\u0173 ligos.<\/span><\/p>\n

Fiziologinio tipo edema,<\/span><\/strong>\u00a0pvz. hidrostatin\u0117 edema, prie\u0161menstruacin\u0117 edema bei n\u0117\u0161\u010diosios edema apib\u016bdinama trumpalaikiais disfunkcijos atvejais, da\u017eniausiai atsirandan\u010diais d\u0117l perkrovos.<\/span><\/p>\n

Patologin\u0117s edemos atveju<\/span><\/strong>, da\u017enai nustatomos organ\u0173 ligos. Tai gali b\u016bti inkst\u0173, \u0161irdies ar kepen\u0173 edema. Kitais atvejais (mi\u0161ri edema, reumatin\u0117 edema, lipedema, limdefema) nustatoma specifin\u0117 liga ar sutrikimas, kuriuo sergama.<\/span><\/p>\n

Limfin\u0117s sistemos anatomija-psichologija<\/span><\/strong><\/h2>\n

M\u016bs\u0173 organizmuose yra <\/span>dvi pagrindin\u0117s kraujo perne\u0161imo sistemos: arterin\u0117 ir venin\u0117. <\/span><\/strong>Abi sistemos susilieja periferijoje, tose vietose kur susijungia arteriniai, veniniai bei intersticiniai kapiliarai. <\/span><\/p>\n

Arterinis kraujas keliauja kapiliarais ir perne\u0161a maistines med\u017eiagas audiniams, o tuo tarpu venin\u0117 sistema surenka nebereikalingas atliekas.<\/span><\/p>\n

Intersticium\u0105 sudaro l\u0105steli\u0173 bei audini\u0173 tinklas. Per j\u012f teka intersticiumo skystis, sudarytas i\u0161 vandens, baltym\u0173, mineralini\u0173 drusk\u0173 bei \u012fvairiausi\u0173 tip\u0173 l\u0105steli\u0173, \u012fskaitant virusus bei bakterijas.<\/span><\/p>\n

Limfin\u0117 sistema yra tarsi drena\u017eas, veikiantis i\u0161 vien su venomis<\/span><\/strong>. Pagrindin\u0117 limf\u0173 u\u017eduotis \u2013 \u201enudrenuoti\u201c intersticiumo skys\u010dius i\u0161 periferinio jungiamojo audinio. Jeigu intersticinio skys\u010dio gamyba i\u0161auga, limfin\u0117 sistema savaime stengsis palaikyti balans\u0105 bei lygyb\u0119.<\/span><\/p>\n

B\u016btent jeigu to balanso sistema nepaj\u0117gia palaikyti, i\u0161tinka diagnoz\u0117, kuri\u0105 vadiname edema.<\/span><\/strong><\/p>\n

Simptomai<\/span><\/strong><\/h2>\n

Limfedema sukelia signalinius ir pakankamai pastebimus simptomus, \u012fskaitant <\/span>l\u0117tin\u012f gal\u016bni\u0173 tinim\u0105<\/span><\/strong>, <\/span>sunkumo poj\u016bt\u012f, sustabar\u0117jim\u0105 bei paveiktos gal\u016bn\u0117s skausmus.<\/span><\/strong><\/p>\n

Tai diagnoz\u0117, kuri <\/span>pasirei\u0161kia nesimetri\u0161kai. <\/span><\/strong>\u017dod\u017eiu \u201enesimetri\u0161kai\u201c turime omenyje, kad limfedema paveikia tik vien\u0105 rank\u0105 arba koj\u0105. Net retais atvejais, kada abejos gal\u016bn\u0117s paveikiamos, viena vis tiek b\u016bna labiau i\u0161tinusi u\u017e kit\u0105.<\/span><\/p>\n

Tinimas gali b\u016bti lengvas arba stiprus iki tokio lygio, kad pasirei\u0161kia net paskutinis <\/span>limfostaz\u0117s <\/span><\/strong>paskutinis etapas \u2013 <\/span>\u201enegr\u012f\u017etama dramblioz\u0117\u201c. <\/span><\/strong>Dramblioz\u0117 apib\u016bdina lig\u0105, kurios pagrindinis po\u017eymis \u2013 smarkus bei po apa\u010dia esan\u010dio jungiamojo audinio sustor\u0117jimas.<\/span><\/p>\n

Tai n\u0117ra vieninteliai limfedemos pacient\u0173 juntami simptomai.<\/span><\/p>\n

Beveik visi simptomai apima odos b\u016bkl\u0119. <\/span><\/strong>Oda, prie to, kad sustor\u0117ja ir patank\u0117ja, gali taip pat pasidaryti trapesn\u0117 bei pa\u017eeid\u017eiamesn\u0117 infekcijoms. Taip pat gali kisti spalva, oda atrodys blizgesn\u0117 bei netekusi spalvos.<\/span><\/p>\n

Kai kuriais atvejais pacientai prie vis\u0173 t\u0173 simptom\u0173 junta ir odos sustabar\u0117jim\u0105 bei nie\u017eul\u012f. <\/span><\/p>\n

\u0160tai d\u0117l ko limfedema da\u017enai yra erzinanti, ta\u010diau ne skausminga kondicija. <\/span><\/p>\n

Suk\u0117l\u0117jai \/ prie\u017eastys<\/span><\/strong><\/h2>\n

Tarp limfedemos suk\u0117l\u0117j\u0173 galime \u012fvardinti:<\/span><\/p>\n

1. Infekcinis celiulitas \u2013 <\/strong>odos ir poodinio sluoksnio u\u017edegimas, sukeltas bakterin\u0117s infekcijos<\/p>\n<\/div>\n
2. Diabetas \u2013<\/strong>\u00a0cukraus kaupimasis kraujyje<\/p>\n<\/div>\n
3. Erysipelas (ro\u017e\u0117) \u2013 <\/strong>tai \u016bmi odos infekcija, kuri kamuoja koj\u0173, rank\u0173 bei veido limfas<\/p>\n<\/div>\n
4. Nutukimas \u2013 <\/strong>b\u016bkl\u0117, kada \u017emogaus organizme yra didelis k\u016bno riebal\u0173 perteklius<\/p>\n<\/div>\n
5. Ternerio sindromas \u2013 <\/strong>moterims b\u016bdingas sutrikimas, kada n\u0117ra vienos i\u0161 dviej\u0173 X chromosom\u0173<\/p>\n<\/div>\n
6. Flebotromboz\u0117 \u2013 <\/strong>dar vadinama gili\u0173j\u0173 ven\u0173 tromboze, b\u016bna sukelta venoje susikaupusio kraujo kre\u0161ulio (trombo), net, jeigu sienel\u0117 seniau nebuvo pa\u017eeista u\u017edegimo<\/p>\n<\/div>\n
7. Nudegimai \u2013 <\/strong>pa\u017eeid\u017eiama oda bei poodiniai audiniai<\/p>\n<\/div>\n

Diagnoz\u0117<\/span><\/strong><\/h2>\n

Limfedemos diagnozavimas yra labai svarbi proced\u016bra, norint nustatyti pat\u012f tinkamiausi\u0105 gydym\u0105 bei reabilitacij\u0105.<\/span><\/p>\n

Limfedema da\u017eniausiai nustatoma klinikiniu b\u016bdu, tiesiogiai ap\u017ei\u016brint pa\u017eeist\u0105\/paveikt\u0105 gal\u016bn\u0119, <\/span><\/strong>nors tai galima padaryti ir instrumentin\u0117mis diagnozavimo priemon\u0117mis, kad b\u016bt\u0173 patvirtinti gydytoj\u0173 \u012ftarimai.<\/span><\/p>\n

Pagrindinis veiksnys, supaprastinantis diagnoz\u0119 yra tai, jog liga paveikia (\u012fprastai) tik vien\u0105 gal\u016bn\u0119. Tai rei\u0161kia, jog nustatymas bus lengvesnis ir supaprast\u0117ja \u0161io sutrikimo atskyrimas nuo kit\u0173.<\/span><\/p>\n

Diferencin\u0117 diagnoz\u0117 (tokia, kurios metu bandoma i\u0161 \u012fvairi\u0173 tinkam\u0173 diagnozi\u0173 pa\u0161alinti tas, kurios neatitinka tyrimo metu nustatyt\u0173 simptom\u0173), turi b\u016bti atlikta tada, kai yra edema, susijusi su staziniu \u0161irdies, inkst\u0173 ar kepen\u0173 nepakankamumu. Ties\u0105 sakant, \u0161i\u0173 trij\u0173 lig\u0173 simptomu da\u017enai b\u016bna edema.<\/span><\/p>\n

Gydymas<\/span><\/strong><\/h2>\n

Yra daugyb\u0117 <\/span>\u012fmanom\u0173 limfedemos gydymo b\u016bd\u0173. <\/span><\/strong>Tarp j\u0173:<\/span><\/p>\n

1. Limfodrena\u017eas<\/p>\n<\/div>\n
2. Presoterapija<\/p>\n<\/div>\n
3. Kv\u0117pavimo tak\u0173 fizioterapija<\/p>\n<\/div>\n
4. Hidrokinetin\u0117 terapija<\/p>\n<\/div>\n
5. Dietos pakeitimai<\/p>\n<\/div>\n
6. Vaist\u0173 terapija<\/p>\n<\/div>\n
7. Fizin\u0117 terapija (pvz. elektrostimuliacija)<\/p>\n<\/div>\n
8. Mikrochirurgija<\/p>\n<\/div>\n

Ypa\u010d <\/span>presoterapija <\/span><\/strong>pasiteisina, kaip veiksmingas terapijos metodas. Ji padeda i\u0161judinti skys\u010dius, kas paspartin\u0105 med\u017eiag\u0173 apykait\u0105 venose bei limfose. Toks rezultatas apriboja stagnacij\u0105 bei kitus procesus, trukdan\u010dius <\/span>atsikratyti limfa. <\/span><\/strong>V\u0117liau suma\u017e\u0117ja tinimai bei susij\u0119 skausmai.<\/span><\/p>\n

Jeigu manote, kad \u0161is straipsnis naudingas, kod\u0117l gi nepasidalinus juo su \u0161eima, draugais ar kolegomis?<\/p>\n

\u0160altinis:\u00a0<\/span>https:\/\/www.itechmedicaldivision.com\/en\/pathology\/lymphedema\/<\/span><\/a><\/p>","protected":false},"excerpt":{"rendered":"

Limfedema yra l\u0117tin\u0117 liga\u00a0kuri sulaukia vis didesnio d\u0117mesio i\u0161 tyr\u0117j\u0173 ir mokslinink\u0173, d\u0117l to, jog atrandama vis efektyvesni\u0173 jos gydymo<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"post_folder":[],"class_list":["post-17583","post","type-post","status-publish","format-standard","hentry","category-limfodrenazas-kompresine-terapija"],"yoast_head":"\nLimfedemos simptomai, diagnoz\u0117, gydymas<\/title>\n<meta name=\"description\" content=\"Limfedema: simptomai, sukel\u0117jai ir prie\u017eastys, diagnoz\u0117 ir gydymas. Atsakymai \u012f J\u016bs\u0173 klausimus. 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