OLGU SUNUMLARI
İlerlemiş Lenfödem ve Lenforenin Tedavisinde Rehabilitasyon Yaklaşımı: Bir Olgu Sunumu ve Literatürün Gözden Geçirilmesi
Rehabilitation Approach in the Treatment of Advanced Lymphedema and Lymphorrhea: A Case Report and Review of the Literature
Received Date : 26 Jan 2021
Accepted Date : 05 Jul 2021
Available Online : 09 Jul 2021
Yeliz BAHAR ÖZDEMİRa, Esin ÇATAKKAYAa, Pınar BORMANa
aDepartment of Physical Medicine and Rehabilitation, Hitit University Erol Olçok Training and Research Hospital, Çorum, TURKEY
bClinic of Physical Medicine and Rehabilitation, Ankara City Hospital, Ankara, TURKEY
Doi: 10.31609/jpmrs.2021-81652 - Makale Dili: EN
J PMR Sci. 2021;24(3):308-12
ÖZET
Lenfödem, yaşam kalitesini önemli ölçüde bozan, hareketliliği
ve fiziksel işlevi etkileyen kronik bir durumdur. Komplet dekonjestif tedavi
(KDT) manuel lenf drenajı, kompresyon teknikleri, egzersiz ve
cilt bakımını içermektedir fakat komplike lenfödemde tedavi planlanırken
ek yaklaşımlardan da yararlanılmalıdır. Bu olgu sunumunda, alt
ekstremitesinde lenfore mevcut ileri evre lenfödemli bir hastanın detaylı
değerlendirmesi ve tedavi basamaklarında uygulanan yöntemler
anlatılmıştır. Enfeksiyon ve lenfore antibiyotik ve 4 katmanlı bandaj
ile tedavi edildikten sonra hastaya KDT uygulanmış ve tedavi sonucunda
bacak çaplarında belirgin azalma gözlenmiştir.
Anahtar Kelimeler: Komplet dekonjestif tedavi; kompresyon tedavisi; dört katmanlı bandaj; lenfödem; lenfore
ABSTRACT
Lymphedema is a chronic condition that significantly reduces
the quality of life and affects mobility and physical function. Although
the complete decongestive therapy (CDT) includes manual
lymph drainage, compression techniques, exercise, and skincare, additional
approaches should be used when planning the treatment in case
of lymphedema complications. In this report, a detailed evaluation of a
patient with advanced lymphedema with lymphorrhea in the lower extremity
and the methods applied in the treatment steps were explained.
After the infection and lymphorrhea were treated with antibiotics and
the four-layer bandage, the CDT was applied to the patient and leg diameters
decreased distinctly.
Keywords: Complete decongestive therapy; compression therapy; four-layer bandaging; lymphoedema; lymphorrhea
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