Breast cancer most common post-operative complications are limb edema, and its incidence is about 80%, most of which is mild edema, and edema that is restricted to the proximal arm, which occurred only a few and severe edema.
The upper extremity edema occurred main reasons are the following :
(1) the most common causes of the medial arm of the lymphatic surgery had been destroyed. Radical Mastectomy, including axillary lymph node dissection group, the medial arm armpit to the lymphatic inevitably be damaged, lymph flow.
(2) in the axillary vein compression bandaging wounds when. To axillary wound healing as soon as possible, the general postoperative wound dressings, were axillary Department pad to dressing, to increase the pressure, more or less axillary vein compression will enable the return of upper extremity blocked.
(3) If more patients with obesity, armpit wide transfer, surgical incision will be extended to the upper arm, was the first vein ligation, resulting in the recovery of more difficult edema.
(4) activities in the late postoperative arm. After early, means, in a planned and orderly function of upper extremity rehabilitation exercises, upper extremity veins can promote blood circulation and lymphatic flow, on the contrary, lymphatic regeneration slow, longer duration of edema.
(5) axillary long effusion and mild infections. Due to improper handling of the wound or other causes not axillary wound healing, long effusion, or with mild infections will make residual lymphatic further damage, if repeated infection, it may even cause subclavian or axillary vein occlusion, leading to severe edema.
(6) after upper arm, and axillary Superclavical Department of recurrence and metastasis. These parts of recurrence and metastasis, will cause local venous and lymphatic return to the oppressive barriers, often forming sexual increased edema is not reversible.
(7) preoperative or postoperative radiotherapy. Regardless of preoperative or postoperative radiotherapy would cause radiation field of venous occlusion, lymphatic destruction, but also because of local muscle fibrosis oppression veins and lymphatics, and the impact of the return of upper extremity function of the upper extremity.
Postoperative treatment of upper extremity edema
(1) often mild edema due to injury surgery and axillary lymphatic vein, in bandaging the wounds caused by pressure when, with the wound healing, recovery, most edema can gradually reduce.
(2) breast cancer after a timely upper extremity functional training, reduce edema, while upper limb function was restored. Generally days after cameras can be started forearm and elbow movement came movements, each doing five to 10 times a day for five to six times. After the first three days available contralateral hand hold its limb movements done so to give the affected hand with the head-phase, each done three times a day to do three to four times. The first four days available contralateral limb grabbed the hand thumb, do Straight Boom elevation until over his head, three times every day three to four times. After the first five days, with stress on the affected contralateral hand on the elbow slowly move to make it over head and stretch out as far as possible, each two times a day three to four times. After the first six days available to the affected limb hand fingertip Shunzhaoqiang swerved upward gradually, gradually increase each two times a day three to four times. After 7 days, 8 Angels thigh palm across his head and a possible touch contralateral ear, each two times a day three to four times. After the first nine days of the affected shoulder joint can to do spin axis, rotation after circumference, each two times a day three to four times. After the first 10 days to try the thigh cite objects over the first, two times each, twice a day. Under the subsequent physical, wound healing regular upper extremity flattering, spin, spin, outreach and various other sports. During irradiation, in particular exercise can not relax, to minimize radioactive phlebitis, radioactive muscle fibrosis caused by edema.
(3) usually pay attention to protecting the thigh, try to avoid using heavy weights with the affected limb, infusion, sleeping, not oppression thigh and may be appropriate heel is conducive to the veins, lymphatic flow.
(4) Chinese medicine in the prevention of breast cancer after upper extremity edema are unique. The systemic use of Chinese medicine can meet outside the area, to enhance the effectiveness of topical, often chosen Jianpi Lishui, Huoxue Tongluo new responsibilities, such as Zhuling, Poria, Zexie, plantago meters, 1.83, Pericarpium Arecae, Mulberry, turmeric, Retinervus luffae fructus, Clematis, peach pit, Ezhu so.
Breast Cancer: breast cancer Treatment,
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