Symptoms and treatment options for the lymphostasis of the lower extremities. Limphostasis of the lower extremities: treatment, symptoms, causes of lymical lymphostasis

The lymphatic system is a kind of shield to protect the body from viruses and bacteria. Functions:

• provides excess flow of fluid from the intercellular space (preventing edema);
• protects the body from harmful substances (lymph nodes act as a kind of filter in the body);
• provides the body with lymphocytes (immunity cells);
• passes the body with fats and large proteins.

Lymphostasis of limbs is a violation of the lymphatic exchange (congenital or acquired) with a fluid delay (lymphs) in tissues. If measures are not taken, the edema is constantly progressing and increases in the amount, causing pain in the legs.

Leg lymphostasis is determined by two types: primary and secondary.

Primary - detects a congenital character, the likelihood of detection of the disease at the child immediately after birth, although this happens extremely rarely. More often the disease is manifested in the period of growing up the child when the children's body begins to rebuild (puberty occurs).

The secondary (purchased) lymphostasis of the legs occurs at:

• detection of tumors (neoplasms) of the lymphatic system (benign, malignant).
• injury to lymph nodes (damage, dislocations, fractures, strong bruises of lower extremities, burns).
• with a sedentary lifestyle (more often in patients with beds bedding).
• transferred operations to remove lymph nodes, operations carried out in the chest area (mastectomy - the removal of dairy glasses).
• a set of excess weight (obesity).
• burning lymph nodes.
• patching vessels.
• transferred infectious diseases.

Treatment of lymphostasis

Treatment is carried out at mandatory. The faster the treatment becomes, the greater the chance of a favorable outcome. Treat stagnation of lymphs in the legs is required, starting with the detection of the cause of the disease, then symptoms are removed. Treatment is assigned to restore lymphotok in the affected limbs, normalize the work and functioning of the legs.

After passing the examination and confirming the diagnosis, prescribe: a different type of massage (manual, underwater soul massage), magneto- and laser-therapy, hardware pneumocompression, LFC (therapeutic physical education), visiting the pool. Medical preparations lead to the norm of blood flow, strengthen immunity, normalize the work of the veins (increasing the tone and elasticity), strengthen the walls of the vessels, dilute blood, reduce the emana of the legs. In the necrophoresis, it is necessary to wear compression tights, stockings, golfs, or clarify the sick leg elastic bandages. At night linen (bandages) is removed. In the afternoon, sick leg recommend raising up for 10-15 minutes, put on the pillow at night (roller).

In the lymphostase of the legs, it is recommended to observe a diet, item is extremely important, most patients are overweight people. It should be limited to the consumption of fatty and high-carbonic products, reduce the amount of salt consumed, remove fried and very sharp dishes from the diet. Alcoholic beverages under the ban. Include in the diet of vegetables, fish, dairy and milk products, cereals.

Any treatment appoints a doctor. The prescribed recommendations are shown to strictly perform. Do not:

• go to the bath (sauna).
• walking in the shoes on a high heel, if there are laces it is impossible to delay much.
• lifting heavy bags.
• there is a long time in a stationary state.
• wear close underwear.
• sit down "foot, leg" either twisting legs, under the ass.

Folk remedies for the treatment of lymphostasis

A variety of folk recipes are known, capable of providing a positive result in treatment. Recipes are tested by time, doctors do not discern to recommend herbal infancy and compresses on the sore leg.

Improves the work of the lymphosystem, accelerates the metabolic processes in the body. Fresh beet beet juice. For a pleasant taste, it is allowed to add a small slice of an apple, a piece of carrots, tomato, pumpkin. You should not start using juice in large volumes, the body should get used to the use of the product. Start from a teaspoon a day, gradually bring a portion to one hundred grams. As the body is addicted to the juice, remove the apple and carrots, moving to the use of pure beet juice. Use juice 2 weeks, then take a break. Before use, examine contraindications for the reception of beet juice.

To prevent dryness and cracking the skin on your feet, it is useful to use baths on herbs. The decoction of chamomile and a series contributes to the removal of the edema of the legs. Five tablespoons, mixed herbs 1: 1 (permissible to brew and the only grass, chamomile or a trainer), pour 0.5 liters of boiling water, withstand in a water bath with low heat for 20-25 minutes. After cooling the decoction to strain. Similar baths are desirable to spend 2 times a day. Treatment should not exceed three weeks.

In pharmacies, you can choose a ready-made urgered herbal collection. As a rule, infusions are used in the morning and in the evening half an hour before meals. Dorganic teas will help to cope with legs of legs, contribute to the removal of excess fluid from the body, reducing the lymph stagnation in the limbs. Before the start of the course of diuretic fees, it is recommended to clarify contraindications to the use of herbs.

The task of the doctor when prescribing treatment to achieve a reduction in the cluster of lymphs in the legs and restore the performance of the affected limb. To achieve the goal, doctors prescribe hirudotherapy (leeches). Procedures reduce the edema, stimulate lymphotock, exhausted fluid is derived. The procedures are carried out twice a week, 3 - 5 leeches are put on the sore leg. The course of treatment is 8-10 times. The use of the procedure will help reduce the lymph stagnation in the legs.

Exercises with clogs of lymphs in the legs

After receiving a consultation in a physiotherapist, it is recommended to perform separate exercises at home. Training are held daily, preferably twice a day. The patient performs exercises in compression linen (stockings, tights, golf, elastic bandages). Gymnastics is carried out in a slow rhythm, at least 15 minutes.

The first well-known exercise is "bike". LED exercise on the floor. The foot should bend and blending (forcing the hip and the ankle joints). The foot is obliged to be involved (thumbs pulled out of themselves, then pulled to themselves).

Exercise "Frog" is performed from the position of lying on the floor. Feet bent, feet on the floor, heels together, I consider the position in the original. Slowly reveal (dragging) the knees aside, we try to maximize to the floor. When performing the exercise of the deflection in the back should not be, the back is tightly pressed to the floor.

"Scissors" lying on side. The initial position of the lying on the side, the foot is straight, raised by 45 degrees from the floor. Do not strain the muscles of the leg, slowly get behind the back, the body (body) remains on the spot, the foot works. Slowly return to its original position, we take the leg forward. Exercise to perform one leg 8-10 times. Then perform an exercise on the second leg.

Source position, as in the previous exercise. Knee pull to the chin, slowly straighten the leg back. Exercise repeat for the second leg.

Simple steep rotation. Perform a lying on the back, slightly raising the legs above the floor. We carry out the tilts of the stop left - right, draw circles in the same side, try to draw the sign "Infinity", pull your fingers from ourselves, then pull to yourself.

Loky on his back, legs together, stretched forward. Each foot take turns trying to pull forward. Exercise will help relax legs.

When a strong stagnation of lymphs is formed in the legs, it will help to remove the edema a simple raising leg up. Legped legs into the wall, just lie down for 10-15 minutes.

Loki either sitting (rushing back on the wall), legs together, stretched forward. Slowly, bending limbs in the knees, attract the body.

Exercise is permissible to perform lying or sitting. Straight legs closed together. The left leg remains on the spot, right to take as much as possible (working with a circulation). In the knee, we try not to bend my leg, do the exercise, we carry out a straight foot, trying to start the foot every time. By completing the task of 8-12 times, go to work the second leg.

Proper treatment and implementation of uncomplicated exercises will help achieve good results in the fight against the disease.

Prevention, or how to deal with legs

Excluding Lymph Stagnation in the legs, remember health. With the slightest hint on the enemy's enemy, it is not necessary to postpone the goal to the doctor, you will need to go through a complete examination for the identification of the reasons, entailing the edema.

With sedentary work, pay due attention to physical exertion, promoting good metabolism, preventing stagnation of lymphs in the legs. A wonderful sport in the prevention of lymphostasis will be swimming in the pool and the Scandinavian walking with sticks. Perform simple exercises that prevent stagnation of lymphs.

Shoes should be comfortable, and only then beautiful. Come from work, make a relaxing footbath, allow the footsteps to relax, putting the legs on the roller.

Remember your health, lead a healthy lifestyle, follow leg care rules. It is easier to prevent the disease than to treat. Take care of your own health and health.

If you are diagnosed with lymphostasis, treatment primarily should be directed to the resumption of stable circulation of lymph in the affected body part. Depending on the stage of the disease of one reception of drugs, unfortunately may not be enough. In difficult cases, effective therapy should imply a comprehensive impact, immediately in two directions:

• medicate
• physical

Physical therapy consists in delivering from the accumulated surplus lymph mechanically - therefore, so often specialists are prescribed to patients a massage of the required body.

But we will tell about the technique of massage in varicose veins a little later - first introduce an overview of drugs that will improve the condition with such a disease as lymphostasis and. Phlebotonic treatment gives a resistant tonic effect for the walls of venous vessels. Normalize in them the processes of metabolism will help angioprotectors and enzymes. Also, it will not be excessive reception of immunity stimulants.

What drugs can prescribe a doctor during lymphostase

When making a diagnosis of lymphostasis, medication is treated in reception of phlebotonics and other types of drugs. Most often, "Vasokt", "Phlebodia", "Detralex" - these means are significantly improved in the affected tissues microcirculation processes. The basis of venotonic drugs includes a glycoside of saponin with a medicinal substance produced from brown-tree fruits. Reception of "detext" twice a day during food for three months will help improve the patient's condition.

As for the duration of the course of treatment at the protracted stage of lymphostasis, it is up to six months. If the patient proceeds to treatment at an early stage of the disease, then the drugs "Versoruta" and Troksevazin will be quite effective (produced in the form of gels, tablets capsules), as well as steam capsules - their reception guarantees an increase in the tone of the veins and the removal of lymph tone. If the lymphostasis of the lower extremities is diagnosed, the treatment should include the reception of anti-inflammatory and anti-ethnicity drugs.

Trokserutin is available in the forms of capsules and ointments. Removing inflammation and putting a toning effect on veins, the drug increases the elasticity of the vessels. The dose of the drug in a capsule form is one capsule three times a day during food intake. The duration of course treatment is five weeks. The drug in the form of a gel is needed 203 times a day to apply a thin layer on the affected body.

The escine preparation produced on the basis of horse chestnuts, as well as the previous, relieves inflammation and edema extremities, but its admission is contraindicated in renal failure.

Another category of drugs that can register your doctor - diuretics, or diuretic medicines. They provide improvement by eliminating fluid clusters. However, it is necessary to take them carefully and only from the appointment of a doctor, to avoid harm.

Do not forget about the concomitant diseases, the cause of which can become lymphostasis. The treatment of drugs with the appearance at the feet of fungal infection is to take antimicotic drugs, and the eczema is eliminated by local action.

Useful impact of massage

Lymphodenge massage

If your health has broken the lymphostasis of the lower extremities, treatment can be not only receiving various drugs. One of the appointments of the doctor is a special lymphodine. A specialist with the help of exposure to his hands helps reduce the vessels, thereby improving the circulation of lymph. Its fast and stable vessel promotion significantly reduces the extremity edema. In addition to the hand-type lymphatic massage, a hardware massage is promoted to reduce the vessels, which is called pneumatic compression among specialists.

Bandaging

The healing effect also has bandage, this technique is to binding the lower extremities with a special elastic bandage. Their successfully can be replaced with compression linen - golf, and made of medical knitness with compression effects.

Therapeutic physical education guarding the health of vessels

Special exercises make it possible to significantly improve the quality of life if the lymphostasis of the lower extremities entered it. Treatment of illness is regularly execution 2 times a day special. For the occurrence of a positive effect of quite motor activity within a quarter of an hour. Do not forget to install a bandage from compression materials on the sore feet.

Imagine a list of useful exercises:

• Fingering and straightening the fingers on the legs
• "Bicycle"
• "Drawing" in the "eight" feet
• Rotating movements of the feet alternately in different directions

In addition to massage and physical exercise, patients are recommended for swimming and assign such therapeutic procedures as magnetotherapy, laser therapy and other physiotherapy procedures.

Compliance with diet with lymphostase

A properly compiled diet also helps to reduce the negative impact of the disturbed circulation of lymph. Most often, this disease is suffering from overweight patients - that is why when lymphostase compliance with a special diet is extremely important. What advice can give a nutritionist?

1. Reduce the use of fluid, as well as salted food from which thirst arises. The salt in the body contributes to the concentration in fluid tissues - it will interfere with the proceedings.
2. Restrict the use of carbohydrate food (especially many of them are contained in bread, rice, pasta, potatoes, sugar).
3. Make more fruits and vegetables to the diet, fermented milk products will be useful.

These simple recommendations will help you cope with lymphostasis. Remember also that in this disease the body is in dire need of vitamins C and P - these active substances contribute to reduce the viscosity of lymphs so that it easily passed through the vessels. Sources of a large number of vitamins are:

• Pomegranate juice
• Shipovnik
• Grapes
• Cranberry
• Rowan
• Currant fruits and leaves

Operational intervention

If the treatment of lymphostasis listed conservative methods does not help and your lymphotok dysfunction is preserved, then surgical operations remain. In essence, they allow you to create additional paths in the limbs for which the limp circulation will occur. As a result of such a technique, patients observe improvement in well-being, and the effects of lymphostasis can be reduced.

Funds of traditional medicine against lymphostasis

If the attending physician has diagnosed with lymphostasis, it is also capable of improving the condition of the body, but the means of so-called alternative medicine it is necessary to use extremely carefully. In addition, it is worth aware of: similar illness requires treatment for a long time - take care of patience and use the means systematically. We present you several recipes from which you can choose a suitable treatment for you.

Beck juice

Several amazing properties of beet juice helps to significantly improve the condition of the body: exchange processes will be more active in it, and the release of harmful substances will be activated. Thanks to these qualities, the regular use of beet juice stabilizes the function of circulating the lymphatic fluid on the vessels. It is also worth adding that red wine has a similar effect.

At home, you can easily prepare a diuretic decoction, which is able to improve the outflow of lymph of the organ affected by lymphostasis. Take an equal number of currant sheets and rose riding fruits, mix and brew as ordinary tea. Take a ready-made straight drink by 100 ml portions for half an hour before each meal.

To eliminate lymphostasis, home treatment is usually complemented by such a means like decoction based on dandelion roots. Its convenience consists in various ways of use, because the therapeutic effect is achieved both with external use and when admitting inside. To get a medicinal decoction, do the following:

1. Grind dry dandelion root
2. The resulting raw materials in the amount of one tablespoon fill with two glasses of boiling water
3. Bring the blend to the boil on the plate
4. After boiling, slow the intensity of the fire and continue to cook the mixture for five minutes
5. After the time expires, the hot decoction in the container and give half an hour, pre-wrapped the tank capacity.
6. Perfoliate the infused decoction - you will receive a medicine

Drink ready-made dandelion decoction at half a glass twice a day, also use it for compresses. On the affected body of the body moistened in the brand compress for 30 minutes. In this case, follow simple recommendations: the body of the body with the compress is slightly lifted in such a way as to arrange it above the level of the entire body, and thoroughly insulate this place.

An already described dandelion can also add compress based on rye flour and kefira - this combination of products will also improve the circulation of lymphatic fluid. The recipe for the preparation of the mixture is simple:

A ready compress attach to the body site that struck lymphostasis. Treatment with a compress must be made daily twice a day until the edema decreases.

Note the installed compress for greater efficiency should be fixed on the body with a bandage from another layer of fabric or gauze

To improve the condition of the skin on a plot hit by lymphostatic disease, you can take therapeutic baths, which are based on the plants of a series. Making baths at home in this manual:

From the finished means you can make a bath for the affected body. Take them twice a day for three weeks. The duration of each therapeutic procedure should be about 20 minutes.

Preventive measures

The lymphostatic disease is very difficult to cure, but it is worth knowing: the development of this ailment can be warned. To do this, you need to adjust the lifestyle and diet of your feed.

The most important component of oppolymphatic measures is therapeutic physical education. Stimulate the circulation of lymph according to vessels allows the regular execution of a complex of special exercises. Also, recreational gymnastics makes your muscles more elastic and prevents stagnation of venous blood. Often, medicine practices therapeutic gymnastics performed in the pool.

From time to time, experts advise visit resorts and sanatoriums providing the restoration of the lymphatic system.

In everyday life, it is also worth sticking to simple recommendations that will eliminate lymphostasis: treatment of damage on the skin timely, walking or cycling, swimming - the active lifestyle is useful in principle, in order not to be formed. Avoid smoking and drinking alcohol, long static loads, burns, injury to limbs. Pay attention to healthy work cardiovascular system, eliminate kidney disease in a timely manner.

Lymphostasis certainly becomes the cause of psychological and physical discomfort in patients, but modern integrated treatment is capable of renewing the luminary alumination on lymphatic vessels. Be stubborn and persistent in treatment, and will help you with a positive configuration of recovery.

And at least once in life, each person came across. Excessive loads, uncomfortable or new shoes - all this can lead to a temporary "swelling" of the limbs. Usually such symptoms do not last longer than 12 hours. Another thing, if the legs are constantly in swollen state. In this case, we are already a pathological lymphatic edema - lymphostase.

What is a parable

Lymphostasis is called the oversupply of the fluid, which accumulates in the subcutaneous tissue tissues and is not displayed in normal mode (no outflow does not occur). Evenkers can appear both on the lower and on the upper limbs, but the legs most often suffer.

Lymphostasis refers to the category of progressive sluggish diseases. Nevertheless, this does not mean that when the edema appears, it needs to be ignored. If it is raised, this will cause minimal harm to the body, but in case of problems in large tissue ducts, it will begin to deform. In the launched cases, doctors are diagnosed in patients developing lymphodes (this ailment requires more complex treatment).

The lymphatic swelling of the hand is extremely rare, and the representatives of the beautiful floor aged from 35 years suffer from it.

The reasons

Most often, lymphostasis develops against the background of varicose veins, thrombophlebitis, thrombosis and trophic ulcers. Also, pathology is diagnosed in the elderly and in those who lead a sedentary, sedentary lifestyle. The lymphatic edema of the legs often occur in the disabled. Also, a long and impaired blood circulation can also be given to this disease.

In addition, people suffering from:

• congenital deficiency of lymphatic vessels;
• cancer tumors;
• heart failure;
• injuries and burns of the upper and lower extremities;
• chronic type;
• arterial and venous fistulas;
• streptococcal lesions;
• inflammation of the skin of the hands and legs;
• serious kidney pathologies;
• endocrine system failures.

In addition, the lymphatic edema of the limbs may develop due to radiation therapy sessions.

Hand lymphostasis is most often manifested after surgery. This ailment is mostly occurring in women who have undergone operations to remove parts of the pectoral muscles.

Symptoms and Stages of Development

There are 3 degrees of manifestation of lymphstase:

1. Reversible spontaneous edema (lymphederma). This is the easiest stage of illness, which manifests itself in the form of regular legs in the evening. As a rule, all the symptoms take place after a night rest. Escapes of this type are well noticeable and usually appear after severe physical exertion on the limb. The swollen space is easily palpable. At the initial stage of development, the disease is treated with conservative methods and does not destructive influence on the body.
2. Irreversible spontaneous swelling (fibritection). For the middle stage of lymphostasis, the culbble of the skin is characterized. This is due to the growth of connective tissue. Such edema is clearly visible to the naked eye. They are very solid, when pressed on the inflamed area, the patient feels severe pain due to stretched skin. The swelling of this type is considered to be launched. He does not disappear after rest. Because of the borders frozen in vessels, new symptoms begin to develop - convulsions and fast fatigue of the affected limb.
3. Irreversible swelling (elephantity). This stage of lymphostasis is the hardest. Due to severe damage to the tissue, the limb is deformed, dried and becomes almost fixed. The outflow of lymph is completely violated. In patients with fabrics there are foci of fibrous-cystic lesion. Elephantism is not amenable to treatment and in some cases leads to a fatal outcome.

Lee is dangerous lymphostasis

The initial stages of the disease do not pose a high risk. However, it is necessary to take into account that the lymphatic edema affects the quality of the patient's life. The affected limbs hurt pretty much, the coma of this, against the background of the illness, infectious diseases are developing. If the skin on the swollen leg is bursting, the dangerous bacteria can be penetrated through the wound into the body, which will lead to a whole "bouquet" of new ailments.

With the appearance of a protracted edema, you need to visit the doctor as soon as possible.

Diagnostics

First of all, the doctor examines the limb with lymphatic swelling and determines the stage of development of pathology. After that, a number of diagnostic measures are appointed, which allow you to more accurately determine the degree of lesion of tissues, foci of inflammation and possible complications:

• urine and blood tests;
• veins scanning;
• lymphography.

In some cases, CT or MRI is carried out. Based on the obtained data, the doctor appoints the course of therapeutic drugs and procedures.

Lymphatic swelling: Treatment

In order to cure the disease, it is necessary to restore the outflow of lymphs from the limbs. Most often, the edema is removed by the non-operational method, by compression therapy, massage and medicines. In more running stages, surgery is required - reconstruction of lymphoottock paths.

Regardless of the degree of illness, the patient must regularly visit the angiohururgogo and in time to treat the diseases of the kidneys, hearts and venous vessels.

Preparations

There are many different drugs from the lymph edema of the feet, which can be both aggressive and more conservative. To restore the normal circulation of lymph, reduce the permeability of vessels and increase their elasticity, it is recommended to take the following tablets:

• "Troksevazin" and "Detralex" is phlebotropic agents, stimulating the outflow of an extra fluid of blood and tissue.

• "Vobenzym" and "Flakenzyme" - refer to the category of enzyme preparations that increase immunity and reduce swelling.
• "Kumarin" is a benzropron, reducing swelling and diluent blood.
• "Lymphomyazot" is a homeopathic preparation, restoring fluid outflow. Also, when it is accelerated, the elimination of toxins from human blood is accelerated. This drug is considered the most harmless. Its safely can be taken to treat the lymphatic edema of the legs to elderly people and pregnant women.

In addition to these drugs, doctors prescribe diuretics, antiagregants and immunomodulators. Not excess will begin to take vitamin complexes (P, PP and E), which reduce the permeability of the vessels.

Doctors are not against folk remedies from edema if they are accepted together with the prescribed course of treatment.

ethnoscience

In order to remove the lymphatic edema at home, you can cook simple decoctions and apply compresses. Here are some effective recipes:

• Compress made from honey and bow. To make it cooking, you need to crumple one bulb and add 1 tablespoon of tar to the resulting mass. After that, a little honey is poured into the mixture. Such a compress must be imposed on the night.
• Medovo garlic tincture. For its preparation it is necessary to grind 250 g of garlic. After that, the resulting mass is mixed with 300 ml of liquid honey and insisted in a dark cool place for 7 days. Take infusion you need once a day before eating 1 tablespoon. Course treatment - 2 months.
• Decoration from the plantain. For its cooking you need to brew 1 teaspoon of grass with glass boiling water. Course treatment - 2 months. A decoction of 70 ml is accepted daily before meals.
• Royal milk. From this natural product you can make compresses or drink it in pure form. If mixed in equal proportions and honey, it will strengthen the effectiveness of the means.

If the legs constantly swell in the evenings, it is recommended to make baths with a series. 6 spoons of dry grass are added in 2-3 liters of boiling water. After that, you need to wait until the fluid cools down, and the series will swell. When the water temperature drops slightly, it is necessary to keep the foot in the bath for 20 minutes. You can perform such procedures 3 times a day, but not more than 3 weeks.

Physiotherapy

In addition to drugs and traditional medicine, physiotherapeutic procedures that include physiotherapy procedures are well helped from lymphatic edema, which include:

• massages;
• compression bandages;
• medical physical education.

Massage treatments are one of the most efficient methods that will allow to get rid of unpleasant sensations. To fulfill this procedure, it is not necessary to visit cosmetology or medical centers. Remove the small edema at home. To do this, it is necessary to rhythmically massage the skin of the swollen area. Movements must be smooth, no more than 12 clicks per minute. Massage is often not recommended. The limbs need to massage not more than 1 hour per day.

However, it is not necessary to get involved in self-medication, since any unpleasant symptoms may be signs of more dangerous diseases. Therefore, it is worth consulted with a doctor and clarify whether this pathology is dangerous.

Lymphostasis (lymphedema) - Symptoms and treatment

What is lymphostasis (lymphedema)? The causes of the occurrence, diagnosis and methods of treatment will analyze in the article of Dr. Ivanov O. O., Flebogol with experience in 10 years.

Definition of the disease. Causes of the disease

Lymphostasis, or lymphidem - It is an excess accumulation of liquid rich protein in tissues.

The impaired function of lymphatic vessels disrupts the drainage function of the lymphatic system, which is also part of the circulatory system as arterial and venous. Lymphatic vessels remove excess fluid from tissues and transfer it back to the bloodstream. In addition, immune cells are ripening in the lymphatic system, and thus it represents one of the most basic protective systems of the whole organism. The lymphatic capillaries located in the dermis are plexuses that merge into lymphatic vessels in the subcutaneous tissue, ultimately go to a deeper system and breast duct. The lymphidem can be both primary and secondary. Regardless of the etiology, the clinically given condition is characterized by chronic edema, localized pain, atrophic changes in the skin and secondary infections.

The lymphidem in accordance with etiology is divided into primary (hereditary) or secondary (acquired). The primary lymphedema is sufficiently rare and is the result of genetic mutations, which lead to underdevelopment of lymphatic vessels and insufficiency of the lymphatic drainage function.

Primary lymphidema It can be an isolated disease or part of the complex syndrome. Most cases of primary lymphedem are inherited by an autosomal-dominant sign with incomplete penetration and variable gene expression. Almost 30% of patients with primary lymphedema have identifiable genetic mutations, often in a signaling version for the endothelial growth factor C. It has been established that more than 20 genes are associated with lymphatic anomalies during primary lymphedeme. However, there is a high degree of genetic heterogeneity. The primary lymphidem is often found in the lower limbs, and only in rare cases it may appear on genitalia or upper limbs. The incidence of women is twice as often as men.

Depending on the age, the primary lymphidem is divided into 3 types:

• congenital lymphidema (manifests itself at or shortly after birth);
• pubertate lymphedema;
• late lymphidem, which appears at the end of life.

Secondary lymphedemait is much more common than primary. It arises due to damage or obstruction of previously normal lymphatic vessels in various diseases, recurrent infections, injuries, surgical interventions, obesity or due to malignant processes and their treatment, such as radiation therapy. The lymphidem may occur with chronic venous hypertension and venous ulcers, which is associated with a disturbed lymphatic function with this pathology. Patients with chronic diseases of the veins in 20% of cases also have a secondary lymphatic damage due to liquid overload. Thus, the phlebolymfemed refers to the lymphidem caused by chronic venous insufficiency. Secondary lymphidem may also be associated with genetic predisposition.

Infectious diseases. Lymphatic phylarysis (also known as elephantism) is the most common cause of secondary lymphidem worldwide. This acquired infection caused by Mosquito Wucherria Bancrofti. She infects people who live or arrive in areas endemic to this disease, mainly in sub-Saharan Africa and India. The larvae of an adult worm is planted on the human skin with mosquitoes. Then these larvae migrate into lymphatic vessels, causing obstruction of lymphatic ducts. Herpetic infection can also, although rarely, cause lymphidem. Recurrent cellulite and the grinding instance also lead to damage to the skin lymphatic ducts and may cause one-sided lymphedema.

Venericual lymphogranuloma is a disease transmitted by sexually caused by chlamydia, there may be caused by the lempshot of the external genital organs. The lymphatic nodes of the neck affected by tuberculosis are a much less common cause of the lymphidem.

Surgical removal of lymph nodes during mastectomy during breast cancer or treatment of melanoma leads to a violation of the lymphatic drainage function. Radiation therapy, which leads to almost irreversible damage to intradermal lymphatic vessels and nodal fibrosis. The above postterapeutic lymphedema is usually manifested by chronic one-sided edema. However, interventions on the prostate gland and cervix can cause bilateral edema.

The bottomroom is the cause of noncommunicable elephant caused by chronic damage to the stop, with a long walking barefoot on clay soil containing silica. This is the second frequency of the cause of tropical lymphidem worldwide. Mineral particles absorbed through the skin induce inflammation of lymphatic vessels and cause subendothelial lymphatic edema and vessel obstruction. Pedoyoniosis is an endemic disease in highlands of tropical Africa, Northern India and Central America.

Morbid obesity is one of the main risk factors for the development of secondary lymphedem. An increase in the number of adipose tissues in the dependent areas causes the obstruction of lymphatic vessels. Reducing physical activity in obesity patients is an aggravating factor.

When you find similar symptoms, consult your doctor. Do not self-medicate - it is dangerous for your health!

Symptoms of lymphostasis

Changes of skin. Lymphidem may be one-sided or bilateral. Patients often complain about the feeling of gravity and discomfort in the affected limb, especially at the end of the day. Transient slight swelling is an early symptom of lymphedhma. Over time, the skin acquires a patch texture by the type of "orange peel". As the disease progresses, the skin becomes more texture and coarse due to her thickening and fibrosis. Resistant, unreliable and non-compensated edema indicates an irreversible stage of lymphedems. The inability to pinch the skin fold at the base of the second finger (stemmer sign) is extremely pathognomonic for chronic lymphedhma. In addition, the lymphedemy is characterized by such a symptom as the edema of the back of the foot, which is called the "buffalo hump".

Over time develops elephantiasis. The skin over the affected area has a warthamy hyperkeratotic or "mossy" "appearance. The skin in chronic lymphedeme usually has cracks, ulceration with recurrent cellulite phenomena. It is characteristic of the release of transparent light yellow liquid (lymodrane). Impochigo is also a common manifestation.

In more rare cases, patients with a long-term existing lymphede are risk of skin angiosarcoma. This aggressive tumor is usually a reddish purple spots or nodules that can increase, ulcerate and in rare cases metastasis. In the early stages of the lymphedem, it may be difficult to distinguish between other common causes of edema of the limbs, such as verikous disease, lipidema and mortal obesity. Edema in chronic venous insufficiency can imitate the early stage of lymphedems. Although in both cases, swelling unpaid and very similar, venous edema is usually associated with other clinical manifestations of veins, such as varicose veins, hyperpigmentation, lipodermalmatosclerosis and the presence of venous ulcers. Moreover, the venous edema is fed after raising the limb. In chronic venous swelling, swelling is usually associated with an increase in capillary hydrostatic pressure. In the lymphideme, it is usually normal, and therefore the lifting of the legs does not lead to a decrease in edema. This is the main difference from chronic venous insufficiency.

Lipidema, also known as lipomatosis of the lower limbs, is a chronic progressive disorder of adhesive tissue. It is often mistakenly diagnosed as primary lymphostasis. Lipidema is almost extremely characteristic of women and most often occurs a few years after the occurrence of puberty. It is manifested as a bilateral symmetric accumulation of subcutaneous fat, mainly in the lower limbs, with small hematomas and a tendency to a progressive feet. One of the distinguishing features is that the swelling stops sharply at the level of ankle. Light hematomas are associated with increased fragility of capillaries in adipose tissue.

Pathogenesis of lymphostasis

The lymphatic system consists of the following lymphatic organs: lymph nodes, almonds, thymus and spleen. All of them are associated through a network of lymphatic vessels that pass parallel to the venous vascular network.

The lymphatic system has three basic functions: drainage of excess interstitial fluid, fat absorption and immune control. The interstitial fluid refers to a part of the liquid, which comes out of the capillaries into the interstitial spaces. A greater amount of interstitial liquid (90%) is re-absorbed by the venous microcirculation and returns back to the bloodstream. The remaining part (10%) of the interstitial fluid has a relatively high protein concentration and drains lymphatic capillaries. When this interstitial fluid enters the lymphatic capillaries, it is already called lymph. Then the lymph is transferred through collecting lymphatic vessels filtered through lymph nodes, and ultimately, to the point next to the right atrium. Normal lymphatic current is 2-3 liters per day. In contrast to lymphatic capillaries, collecting lymphatic vessels have a smooth muscles in their walls and, therefore, can compress and promote the lymphatic fluid proximally.

The disorder caused by obstruction or lymphatic hypoplasia leads to the accumulation of interstitial fluid and tissue edema known as lymphidem. The subsequent decrease in the content of oxygen voltage in tissues leads to chronic inflammation and tissue reactive fibrosis.

The lymphatic system also performs an immune function by circulating various antigens and antibodies. The skin has an extensive presence of lymphatic capillaries. Patients with lymphhedra are prone to recurrent skin infections due to the accumulation of peripheral tissue antigens in it, which leads to chronic inflammation and subsequent fibrosis of soft tissues.

Classification and stage of development of lymphostasis

Most of the members of the International Society of Limphologists are generally rely on a three-step classification scale of lymphidem, an increase in the number determines step 0 (or Ia), which gives a reference to a hidden or subclinical state, where the edema has not yet been manifested, despite damaged lymphodynamics and subtle mechanisms of disorders in the tissues ( Liquid / composition) and already visible clinical changes in subjective specific symptoms. This condition can exist for a long time as months and years before the edema (stage I-III) appears.

Stage I.it is an early accumulation of fluid with a relatively high protein content (for example, compared with the "venous" edema) and is manifested by an edema that decreases when the limb is lifted. This stage may have a Pitting (trace of pressing). In addition, in this stage there is an increase in various proliferating cells.

Stage II: The sublime position of the limb does not lead to a decrease in tissue edema, which is manifested by the above pitting. The late stage of the second stage is characterized by persistent edema, hyperplasia of adipose tissue and fibrosis.

Stage III Includes lymphostatic elephantism where pitting may be absent. In addition, trophic skin disorders are revealed, changes such as acanthosis, fat deposition and fibrosis, wart expansions. These stages relate only to the physical state of the limbs. A more detailed and comprehensive classification should be formulated in accordance with the understanding of the pathogenetic lempedhem mechanism (for example, from the point of view of the genesis and degree of lymphangiodysispension, violations of the lymphatic flow, dysfunction of lymph nodes, both on the basis of anatomical visual features and via physiological and visualization methods of diagnostics) . It is also important to study the lympedhem of genetic violations underlying the pathogenesis, which are gradually clarified by experts in this area. Recent publications that unite as physical (phenotypic) results with functional lymphatic visualization (on lymphangioscintigraphy (LAS) at the moment) can give a forecast for the future evolution of the classification of this disease.

In addition, it is worth noting that the inclusion of genotypical information, which is now available even at the current screening, will give in the future valuable information to preliminary diagnosis and classification of patients with peripheral (and other) lymphede. At each stage, a simple classification can be used, although limited, but nevertheless, the functional assessment of the severity of the disease using a simple measurement of the volume of the limbs.

The minimum degree of lymphedema is characterized by<20% увеличением объема конечности, умеренная степень это увеличение на 20-40% в объеме, тяжелая - > 40% volume. Clinicians also include factors such as the extensiveness, the presence of attacks, inflammation and other descriptors or their individual definitions of severity. Some doctors rely on working capacity loss classification, according to the rules of the World Health Organization. Quality of quality of life (social, emotional, physical disadvantages, etc.) can also be considered by individual doctors to establish the stage of the disease.

Complications of lymphostasis

The main complication of the lymphedemy is common multiple skin ulcers. Patients with lymphoundable susceptible to recurrent infections of soft tissues, such as cellulite and corrosive inflammation. The main cause of cellulite is the patient's infection of the group A. Each episode of cellulite leads to additional damage to the lymphatic system, which contributes to the deterioration of the patient's condition.

Such a fungal disease, such as the dramophitis of the stop, is extremely common in patients with lymphostasis due to chronic interpal macerations. In addition, these patients have a 10% risk of developing an angiosarcoma. Moreover, it is typical for patients with chronic lymphedewic duration of 10 years. Stuart-Trevis syndrome belongs precisely to the skin angiosarcoma, developing in patients with postmactomic lymphede. Angiosarcoma is a highly aggressive malignant tumor with an extremely negative forecast and a 5-year survival rate of less than 10%.

In the periodic medical literature there were reports and other malignant tumors, which are also associated with the lymphydess: plane carcinoma, basal cell carcinoma, skin lymphoma, melanoma and sarcoma caps. Despite the prevalence of specific oncological diseases in these patients, it was still failed to establish a clear causal relationship between the lymphede and the development of tumors. One possible explanation may be a violation of a local immune response in a lymphedhematoundic limb.

In addition, important complications are psychosocial stigmatization and a decrease in self-esteem, which are considered common among patients with lymphostasis due to impairment of mobility, difficulties in selection of clothing, limb deformations and genitals. Summarizing the foregoing, it can be stated that the chronic swelling of the lower or upper limbs causes discomfort and the loss of the full functional state of the affected organ. Recurrent bacterial and fungal infections are sufficiently common in the lymphedem. Recurrent cellulite and lymphangitis contribute to the progression of damage to the entire lymphatic system. Frequently arise trophic chronic hard ulcers. Skin angiosarcoma is rare and often with a fatal complication, the main morphological sign of which is the appearance of red-purple spots. Serious psychosocial consequences may occur due to persistent cosmetic disorders and limit the quality of life of patients with lymphostasis.

Diagnosis of lymphostasis

Lymphedema is primarily a clinical diagnosis, and therefore a thorough collection of anamnesis and physical examination play an invaluable role. Late stages of lymphostasis can be diagnosed clinically without the help of additional methods. However, in the early stages of the disease, concomitant states, such as obesity, lipodystrophy and venous insufficiency, can complicate the formulation of the correct diagnosis, therefore additional methods of surveys can be extremely necessary. There are many diagnostic tools to estimate the lymphatic function. But the decision to use any of them should be based on the patient's state. Early diagnosis of lymphostasis is important because it significantly increases the success of therapy.

Collection of anamnesis and physical inspection

Anamnesis should include the age of the onset of the disease, the family history of lymphostasis, the presence of various injuries, infections, cancer, cardiac pathology, hypothyroidism, hypoalbuminemia, sepsis, venous insufficiency or lymphatic obstruction. In addition, the most important fact of the history is the transferred radiation therapy on the inguinal / axillary regions, lymphadenectomy, as well as travel to areas endemic in pylariasis. Limphostasis of the lower limb usually manifests itself as swelling on the dorsal surface of the foot and fingers with a characteristic blunt "square" appearance. The lymphedema usually begins with the edema of the distal part of the limb, and then the edema progresses proximally. Leather or membrane texture of the skin (orange peel phenomenon) and a sign of a copier-stemmer (the impossibility of pinching the skin folds on the dorsal surface of the base of the second finger) are characteristic signs of chronic lymphostasis. In the later stages, the skin on the affected area becomes hyperkeratical, papules, plaques and nodules with severe fibrosis are developing.

Visualization techniques

In most cases, the use of various visualization methods is not required for diagnosis. However, they can be used to confirm the diagnosis and evaluation of the degree of lesion of the lymphatic system to determine the most optimal therapeutic tactics.

Laboratory diagnostics methods that assess the liver and kidney function are also used. Histological studies have low sensitivity and specificity for the diagnosis of lymphostasis.

Treatment of lymphostasis

Unfortunately, lymphostasis is an incurable disease. On the other hand, effective treatment with this pathology is available. The two main directions of treatment include non-surgical and surgical options. The basis of non-surgical methods of treatment of the elephant is complete decongestive (anti-eternal) therapy, compression therapy, modern methods of hardware pneumatic compression and special exercises. These treatment methods are mainly effective at the early stage of the lymphedemy. Today there is a global trend towards surgical interference and surgical methods, including physiological and rehabilitation methods.

Non-surgical treatment

Training of self-control patients is simultaneously a decisive and mandatory factor for effective treatment of lymphostasis. The basic principles of self-control are skin care, the execution of the election massage on their own, control over the right position of dressings and clothing, proper nutrition, exercise and weight control.

Full decongestive or anti-ease therapy. Full anti-edema therapy is considered a gold standard in the treatment of lymphedema and includes two phases: a reductive (phase 1) and the maintenance phase (phase 2). This therapy includes manual lymphatic drainage, compression therapy, exercise, skin care, and then wearing a compression knit. Although it is safe and efficient, but for most patients it costs and requires a lot of time and the presence of qualified doctors to control the quality of the procedures performed.

Manual lymphodroenzh It differs from the standard massage in that it focuses the lymphedhematose fluid on the proper functioning of lymph nodes. Kohranov's research showed its meaningful effectiveness in combination with compression therapy, especially in patients with initial forms of lymphostasis. External compression is important at all stages of treatment of lymphedem. The effectiveness of compression therapy is one or in combination with manual lymphatic drainage massage proved by numerous randomized clinical studies.

Compression It reaches several purposes: improving the lymphatic and venous outflow, a decrease in the accumulation of protein-sharing products of tissues, proper formation of the limb, resistant control of the limb, maintain the integrity of the skin and protect the limb from potential injury. A number of randomized studies also reported that low-level laser therapy improves the measured physical parameters, as well as the subjective criteria for evaluating pain in patients with lymphostasis. Laser therapy increases lymphatic drainage, stimulating the formation of new lymphatic vessels, improving the lymphatic motility and preventing the formation of fibrous tissue. Typically, this method is used in combination with other non-surgical methods. In addition, in conservative complex therapy of lymphostasis, hardware methods of pneumocompression, special exercises are used. Effectively showed itself a method of lifting legs for a physical increase in lymphatic outflow, especially in the early stages of the disease. Reducing body weight and skin hygiene play an important role at all stages of the disease. Diuretics and gasopiron drugs did not show their effectiveness in the treatment of lymphostasis.

Surgery

Various surgical methods were tested for many years in the past. However, most of these methods were rejected due to their extreme inefficiency. Only a few surgical approaches are still viable. They are applicable for severe elephantity and massive local lymphedema, especially when conservative therapy is unsuccessful.

There are the following the main approaches to the surgical treatment of lymphedemes:

1. Debulation (reduction of liquid and tissue, or citituction);
2. Reconstructive approaches (Restoring the function of the lymphatic system).

Debulation is resection of excess lymphedhematose tissue. At the same time, normal tissues that are still drained by the competent lymphatic system remain intact, after which the area is covered with skin autotransplants. The most frequently used method is the Charles method and the Thompson procedure.

The reconstructive approach includes two microsurgical treatment methods that showed promising results: the creation of lymphovenous anastomoses and revascularization of lymph nodes. However, surgical treatment has limitations. Weak healing of wounds remains the most important factor. Additional surgical risks include sensuous damage, hypertrophic scarring, transplant necrosis, exofic keratosis and recurrence of lymphedems.

Forecast. Prevention

The recent release of the list of risk factors of the secondary lymphedemy in the type "to do this, and this is not done" to a large extent, anecdotal and not enough investigated. Although some warnings are based on quite reliable physiological principles (for example, avoid excessive heating of an interested limb or to prevent infection), others are less supported.

It should be noted that the majority of published studies in the frequency of the occurrence of secondary lymphedema report less than 50% of the probability of lymphedemy development. Therefore, the standard use of some of these prevention methods for the "prevention" of the lymphedemy may be unacceptable and probably subjected patients of unnecessary therapy. Many methods of prevention do not have an evidence base and have not demonstrated clearly defined risks and preventive measures.

Along with the blood hall, the lymphatic system is functioning in the human body. Its capillaries, as well as blood, permeate all the fabrics of a person. Lymph is constantly moving on them - transparent liquid, as viscous, like blood. The movement takes place from the bottom up the lymphatic ducts due to the reduction of muscles and due to the functioning of the valves that prevent its reverse current. In case of violation of their operation, the normal outflow of the lymphatic fluid is broken. First of all, lymph accumulates in the lower limbs, contributing to the development of edema and the emergence of the lymphostasis of the lower extremities.

The lymphostasis of the lower extremities (LNA) is a fairly common disease, which, according to the statistics of the World Health Organization, is more likely to suffer from a weak floor representative. Signs of the lymphostasis of the lower extremities in one degree or another severity are celebrated in each tenth woman. The selectivity of the disease can be explained by the fact that it was on women that nature laid the duty to dry out and the birth of offspring, and one of the factors provoking the development of such a disease, as the lymphostasis of the legs, is a consistently increased load on them, inevitably occurring during pregnancy.

To understand what is the lymphostasis of the lower extremities and why it occurs, it is necessary to carefully consider how the lymphatic system is functioning in the human body.

The lymphatic substance is a blood plasma filtering product that accumulates and outlined slags. It falls into the lymphocapillary, then in the lymphatic network and in lymph nodes, from where after cleaning it returns back to the bloodstream. In addition to the purification function, the lymph displays an excess liquid from the blood, preventing the development of edema. Therefore, the main sign of violation of the normal functioning of this system is the swelling caused by stagnation. Since the lower limbs are located on the periphery of the human body, it is primarily a favorable conditions for the occurrence of such a state.

Limpostasis of the lower limbs is most often found in women

Depending on which reasons contribute to the manifestation of pathology, experts identify primary and secondary lymphostasis. The primary lymphostasis, also called Milroy's disease, is a rare genetic disease that can manifest itself from representatives of the same family over several generations.

The emergence of secondary lymphostasis of the lower extremities can be provoked by a number of reasons, among which, in addition to pregnancy:

1. Varicose expansion of foot vessels, as well as its complications - thrombophlebitis and thrombosis.
2. Cardiac and / or renal failure, against which swelling occurs.
3. Complication of infectious and inflammatory lesions of subcutaneous fiber tissues - the development of boils and phlegm.
4. Postoperative lymphostasis of the lower extremities provoke scars in the field of lymph nodes and vessels, squeezing them and preventing the normal fluid outflow.
5. Neof formation, the location of the localization of which is an interstitial space.

Also the cause of the lymphostasis of the lower extremities can be a sedentary lifestyle. Sometimes it occurs with long-term observance of the beddown in people who have undergone a stroke or severe injury.

Symptomatics

Lymphostasis is a long-term progressive disease, which, as its development, sometimes for tens years, passes several stages.

Limphostasis code of the lower limbs on the ICD-10 (a tenth version of the international classification of diseases, where each known science pathology is indicated by alphanumeric cipher) - I89.8.

Specialists, focusing on symptoms, distinguish the three main stages of the limb lymphostasis:

1. Weak spontaneous swelling, or, indicates the initial stage of pathology. Usually such lymphostasis occurs in the root and feet at the end of the day. It does not have painful manifestations and does not cause special concern. Leather legs at this stage of secondary lymphostasis retains natural color and softness, not compacted. When you click on it there is a small bember, which quickly disappears. After a night recreation, these edema will fall independently.
2. The irreversible edema (Fibredham) is characterized by changing the structure of the tissue - it becomes painful, hardens (it is impossible to squeeze into a fold), acquires a dark brown tint. Press on it causes the formation of recesses, which are not smoothed long. During palpation, dense fibroids are fought. The epidermis under the influence of the edema is significantly stretched, which causes the formation of cracks on the skin surface. The risk of infection through injured skin appears, as evidenced by spilled red spots on its surface. Due to blood circulation, cramps arise in the legs. The limb changes the normal outlines, motor functions are disturbed - flexion is hampered in the joints.
3. At the last stage of the lymphostase of the lower extremities, the so-called elephant is formed. The affected areas of the epidermis are distinguished by strong hypertrophy, swelling changes the outlines of the limbs. Patients are constantly experiencing indisposition, weakness, head and articular pain. Motor functions of the limbs are significantly violated, it can no longer serve as a reliable support when walking. It is difficult to serve trophic ulcers appear on the skin, the threat of the development of corrosive inflammation and / or gangrene, the final of which can become a fatal outcome.

In order for the disease does not accept an irreversible nature, it is necessary to contact the doctor at the early stage of the lymphostasis of the lower limbs. Timely diagnosis and proper treatment will avoid such a situation development.

Diagnostics

The diagnosis of lymphostasis and subsequent therapy is engaged in a lymphologist

The diagnosis and treatment of lymphostasis is engaged in a lymphologist, but it is possible to find such a specialist in large cities, therefore, most often patients with this pathology accepts phlebologist (specialist in vessels) or surgeon. An experienced doctor is able to put a preliminary diagnosis in the first examination of the patient, based on the external signs of the disease. But for absolute confidence in it it is necessary to conduct a number of studies, including:

• blood tests - to determine such indicators as the erythrocyte sedimentation rate (excess of the norm signals the presence of the inflammatory process), platelet levels (determines the blood viscosity indicator affecting blood and lymph circulation);
• urine tests - allow us to exclude the connection of the edema of legs with a kidney disease;
• x-ray lymphography, computer and magnetic resonance tomography of the lower extremities provide detailed information on the degree of severity and the nature of the flow of pathological processes;
• differential diagnosis in order to exclude the thrombosis of the deep-speaking veins or post-fubitic syndrome.

Having received the results of the surveys, the doctor makes a decision on which methods of treatment should be applied in this case. At the same time, it takes into account both the stage of the disease, and the condition of the patient and the presence of related pathologies.

Therapeutic techniques

The course of conservative therapy of lymphostasis of the lower limbs includes drug and physiotherapeutic treatment.

Among the pharmaceutical preparations used in this pathology can be called the following:

1. Detralex, vasochet, phlebodia - phlebotonics, improving the process of metabolism in the tissues of the legs.
2. Troksevazin, Trokserutin, venorutant - medicines that increase the tone of the veins, the best result is shown at the initial stage of the disease.
3. Kuraltil, Trental - Harvesting agents, softening congestion and preventing the formation of thromboms.

In addition, diuretics are prescribed to remove swells. Since the systematic use of such drugs causes a potassium deficiency in the body, the doctor usually recommends taking them simultaneously with potassium-containing drugs (orotat potassium).

Physiosparcesters for lymphostase include magnetic and laser therapy, hydrotherapy (hydromassage), ultraviolet irradiation of autobrings.

With lymphostase, good efficiency is shown magnetic and laser therapy

Also, a good effect in lymphostase gives, performed by a professional massage therapist, and the healing physical culture, which must be engaged constantly at least two times a day. It is advisable to introduce classes on the exercise bike or cycling.

It is necessary to constantly carry the compression knitwear - golfs or stockings, which should be worn in the morning, to lifting from bed.

Another method of treating and preventing the progression of the lymphostasis of the lower extremities - Hildrapery (treatment with leeches). The procedure must perform a qualified specialist using animals specifically grown in sterile conditions. The re-using them is excluded.

Dietary food during lymphostase lower limbs should include dairy products, lean grade of meat and fish, chicken eggs, vegetables and fruits. Excess in the diet of sugar, confectionery, fatty products, sharp seasonings and salts are unwanted. Frying as a method of cooking is not recommended.

Surgery

In the absence of positive dynamics of conservative treatment, surgical correction is shown in order to improve the outflow of lymphs from the lower extremities. The operation conducts a vascular surgeon in a hospital.

Popular treatment

People's treatment of lymphostasis can be engaged only at the initial stages of the disease.

The use of methods of traditional medicine at home is permissible at the initial stages of the disease, after the obligatory consultation with the attending physician. This includes first of all phytotherapy - treatment with vegetable raw materials. Folk healers recommend the following recipes:

1. Grinding the root of licorice (10 g) pour the glass of boiling water and put on a water bath. After 30 minutes, it is removed from the fire, strain, cool and add water to the initial volume. Take on a tablespoon three times a day for three weeks.
2. Dilute the apple vinegar in half with water and massage their legs in the bottom upwards, to the inguinal lymph nodes. Massage must be soft, without push.
3. Mix the baked bulb in Kashitz to mix with a pharmacy tar, the resulting ointment to impose on a problem section of the leg, fixing the bandage. It should be imposed on the night, wash off in the morning warm water.

Prevention and forecast

For prevention, excessive load should be avoided, including static, and high weight lifting. Shoes should be easy and convenient. Careful skin care is important, timely disinfection of abrasion, scratches and scuffs. In addition, it is necessary to abandon bad habits - overeating, smoking, abuse of alcoholic beverages.

The answer to the question is whether the lymphostasis of the lower extremities can be cured, depends on the pathology stage. Fully get rid of the disease is possible only at an early stage. In the future, the use of therapy can slow down the course of the disease, allowing a person to maintain ability to work and lead an active lifestyle.