Linfedema
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Transcript of Linfedema
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Linfoterapeuta Isis Maia, 2012
Terapia Complexa Descongestiva
Tratamento do Linfedema
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Linfoterapeuta Isis Maia, 2012
Apresentação
• Fisioterapeuta
• Especialista em Linfodrenagem Manual
• Especialista em Estética em Cirurgia Plástica
• Diretora da Ass. Brasileira de Crochetagem
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Linfoterapeuta Isis Maia, 2012
Apresentação• Docente de Pós Graduação em Fisioterapia Dermato da Gama Filho da Unisuam em Estética Clínica da UNESA
do Instituto Embelleze e cursos de aperfeiçoamento da Ass. Bras. Crochetagem
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Linfoterapeuta Isis Maia, 2012
TCD – FCD- FD• Terapia da área da Fisioterapia
Objetivo recuperar
a funcionalidade
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Linfoterapeuta Isis Maia, 2012
Funcionalidade Mem Sup.
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Linfoterapeuta Isis Maia, 2012
Funcionalidade Mem.Inf.
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Linfoterapeuta Isis Maia, 2012
Funcionalidade da Expressão
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Linfoterapeuta Isis Maia, 2012
Então, a TCD trata o linfedema e suas
peculiaridades
Mas o que é oLINFEDEMA?
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Linfoterapeuta Isis Maia, 2012
Linfedema• Aumento de volume visível e
palpável causado por excesso de líquidos com proteínas de alto peso molecular no espaço intersticial
(Földi,M.)
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Linfoterapeuta Isis Maia, 2012
Linfedema bilateral membro inferior
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Linfoterapeuta Isis Maia, 2012
Linfedema região escrotal
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Linfoterapeuta Isis Maia, 2012
Linfedema homolateral direitomembro superior pós CA mama
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Linfoterapeuta Isis Maia, 2012
Classificação do Linfedema
Primárioa)Congênito
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Linfoterapeuta Isis Maia, 2012
Causas 1) Falha de drenagem do sistema Linfático - na absorção pelos capilares - na deficiência valvular
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Linfoterapeuta Isis Maia, 2012
Causas 2) Má formação congênita no sistema linfático - hipoplasia / hiperplasia dos vasos - redução do numero de linfonodos
Imagem video programa Balanço Geral, Wagner Montes – 17/05
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Linfoterapeuta Isis Maia, 2012
Classificação do Linfedema
Primáriob) Precoce -da puberdade ao 35 anos
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Linfoterapeuta Isis Maia, 2012
Classificação do Linfedema
Primárioc)Tardio - após 35 anos
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Linfoterapeuta Isis Maia, 2012
Classificação do Linfedema
SecundárioMá formação adquirida do sist linfático
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Linfoterapeuta Isis Maia, 2012
Classificação do LinfedemaSecundário
-Traumatismos- Filariose- Pós infecção - erisipela- Neoplasias- Cirurgias
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Linfoterapeuta Isis Maia, 2012
Causas do Linfedema Acidentes
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Linfoterapeuta Isis Maia, 2012
Causas do LinfedemaCirurgias
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Linfoterapeuta Isis Maia, 2012
Causas do LinfedemaPós Filariose
Verme Wuchereria bancrofti
Culex
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Linfoterapeuta Isis Maia, 2012
Causas do LinfedemaCA mama
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Linfoterapeuta Isis Maia, 2012
EpidemiologiaEpidemiologia ano2010ano2010
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Linfoterapeuta Isis Maia, 2012
Incidência CA mama
15%
11%6%
50%
Quadrante superior medial
Quadrante inferior medial
Quadrante superior Lateral
Quadrante inferior Lateral
central17%
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Linfoterapeuta Isis Maia, 2012
Controle do CA mama
• Atenção:Assimetria da Mama
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Linfoterapeuta Isis Maia, 2012
Controle do CA mama• Rachadura no mamilo
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Linfoterapeuta Isis Maia, 2012
Controle do CA mamaAparecimento de nódulos em um ou ambos
os seios
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Linfoterapeuta Isis Maia, 2012
Controle do CA mama• Secreção no mamilo
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Linfoterapeuta Isis Maia, 2012
Controle do CA mama• Alterações da pele do seio
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Linfoterapeuta Isis Maia, 2012
Controle do CA mama• Mudanças no mamilo ou por alteração
na posição ou por retração
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Linfoterapeuta Isis Maia, 2012
Controle do CA mama• Diagnóstico médico precoce• Mamografia anual a partir dos 35/40
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Linfoterapeuta Isis Maia, 2012
Controle do CA mama• Auto – exame
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Linfoterapeuta Isis Maia, 2012
TOQUE-SE
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Linfoterapeuta Isis Maia, 2012
linfedema quando não tratado.....
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Linfoterapeuta Isis Maia, 2012
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Linfoterapeuta Isis Maia, 2012
Proposta de TratamentoDo Linfedema
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Linfoterapeuta Isis Maia, 2012
Fisioterapia Descongestiva
• Dr.Michael Földi
• Alemanha – 1970
• Terapia em 2 fases
• Associada 4 pilares
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Linfoterapeuta Isis Maia, 2012
Fisioterapia Descongestiva
Fase I
Fase II
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Linfoterapeuta Isis Maia, 2012
Fase I para Fase II
Tamanho mais próximo da normalidade
• Enfaixamento• Atendimento mensal - acompanhamento
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Linfoterapeuta Isis Maia, 2012
Fase II : Enfaixamento elástico
lymphedivas
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Linfoterapeuta Isis Maia, 2012
Fisioterapia Descongestiva
Os 4 Pilares:
• 1/4- Drenagem Linfática Manual
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Linfoterapeuta Isis Maia, 2012
Wathersheds - divisor de águas
Transversal anterior superior
Transversal Anterior inferior
Sagital anterior
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Linfoterapeuta Isis Maia, 2012
Fisioterapia Descongestiva
Anastomoses linfáticas
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Linfoterapeuta Isis Maia, 2012
2/4- Cuidados com a pele
• Prevenção ressecamento , fissuras
• Infecção bacterianas • Processos inflamatórios• Micoses
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Linfoterapeuta Isis Maia, 2012
3/4 : Enfaixamento inelástico
• As somas das pressões de
trabalho e de repouso das contrações musculares estimulam os linfangions,
aumentando a reabsorção das
proteínas (Godoy,2001)
GoHGConsu
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Linfoterapeuta Isis Maia, 2012
4/4 -EXERCÍCIOS• Membro enfaixado• A favor da força da gravidade • Maneira lenta• de 5 a 10 repetições• 2 séries por dia• 30 minutos de duração (Godoy,2006)
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Linfoterapeuta Isis Maia, 2012
Exercício Mem.Inf.passivo
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Linfoterapeuta Isis Maia, 2012
Exercício de Mem.Infativo
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Linfoterapeuta Isis Maia, 2012
Exercicio Mem.Suppassivo
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Linfoterapeuta Isis Maia, 2012
Exercicio Mem.Sup.ativo
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Linfoterapeuta Isis Maia, 2012
Exercicio Mem.Sup
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Linfoterapeuta Isis Maia, 2012
Exercicio Mem.Sup
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Linfoterapeuta Isis Maia, 2012
Exercicio Mem.Sup
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Linfoterapeuta Isis Maia, 2012
Contenção com Gorgurão
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Linfoterapeuta Isis Maia, 2012
Devem ser prescrito de acordo com
• Estágio do linfedema• Idade do paciente• Atividade profissional• Estilo de vida• Saúde do paciente
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Linfoterapeuta Isis Maia, 2012
Atividades da Vida Diária
• Capaz de realizar as AVDS • Participar do convívio social familiar• Se sentir útil• Se sentir produtiva
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Linfoterapeuta Isis Maia, 2012
ConclusãoA FD evita as complicações decorrentes do linfedema: - limitações articulares e fibroses- alterações posturais e psicológicas- mudanças sociais
• Quando mais cedo o início do tratamento menor a deformação, melhor o resultado e um rápido retorno às avds (Godoy,2010)
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Linfoterapeuta Isis Maia, 2012
Funcionalidade acometida
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Linfoterapeuta Isis Maia, 2012
Fisioterapia
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Linfoterapeuta Isis Maia, 2012
Funcionalidade restabelecida
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Linfoterapeuta Isis Maia, 2012
AgradecimentosDr.José Maria Godoy
Cirugião VascularSão José do Rio Preto
www.drenagemlinfatica.com.br
Prof.Henrique Baumgarth