viernes, 28 de junio de 2019

WHAT IS THE BEST TREATMENT FOR ELEPHANTIASIS - HOW CAN LYMPHATIC ELEPHANTIASIS BE TREATED - PRIMARY LYMPHEDEMA, SECONDARY LYMPHEDEMA, LYMPHATIC FILARIASIS, PODOCONIOSIS - ACUTE DERMATOLYMPHANGIOADENITIS (ADLA)

First of all one question must be asked, “ is patient basic home setting management, consisting of skin hygiene, motion exercises and limb elevation, enough to reduce and stop progression of lymphedema towards Stage-4-elephantiasis ?”

The effectiveness of basic hygiene, skin care, motion exercises, and limb elevation interventions on lymphedema (lymphostatic oedema), is part of basic daily self-care routine for patients, and meant for prevention of possible dermal infections, but this is not enough to prevent acute Dermatolymphangioadenitis - ADLA (Cellulitis), Erysipelas, lymphangitis, or the progressive inflamation and swelling of oedema. Clinical outcomes on interventions to manage lymphedema, show that simple hygiene-based measures are necessary, but this alone will not reduce the limb size and volume. All lymphedema whatever the cause or setting, need reductive compression therapy and compression garments as treatment, to maintain the progression of the disease. Without daily use of compression garments, it is impossible in the majority of cases, to control the chronic progressive swelling of lymphostatic oedema. Elephantiasis is the advanced form of all Lymphedema whatever the cause, and special care is necessary for reduction and disability management.


lymphedema without compression treatment and garments, even with the intervention of simple hygiene-based measures and elevation of limbs, is not enough to control inflammatory episodes of acute bacterial dermatolymphangioadenitis (ADLA). Available evidence strongly supports the effectiveness of management of lymphedema with good reduction therapy and compression garments, to control the progression and advance of the inflamation and swelling.

International protocols and best practice guides recommend simple hygiene-based measures for almost all diseases, but in the case of lymphedema this is not enough for its volume control, and to prevent the progression of its severe clinical manifestations. Lymphostatic oedema without treatment or inadequately treated, are more likely to develop lethal complications, such as septicemia (sepsis) or lymphangiosarcoma. With reference to Secondary Lymphedema due to filarial infection (lymphatic filariasis), there are countries that have successfully interrupted transmission by means of mass treatment with antiparasitic drugs, but access to good compression treatment and compression garments to prevent morbidity management and disability due to the lymphoestatic oedema, has lagged behind and so people continue to suffer from the disabling and stigmatizing effects of Stage 4-Lymphedema (lymphatic elephantiasis).

CLICK TO SEE VIDEO OF THE BEST TREATMENT OPTION FOR ELEPHANTIASIS-STAGE-4-LYMPHOEDEMA (NON-SURGICAL TREATMENT):


References of interest:
Consensus Document of the ISL (International Society of Lymphology) file:///C:/Users/usuario/Downloads/20106-35060-1-PB.PDF

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For global awareness it is being asked that the 
WHO - WORLD HEALTH ORGANIZATION
name: 
"LYMPHEDEMA - AWARENESS & CURES"
as the World Health Day campaign 

  

  KATHY BATES
LYMPHEDEMA EMBASSADOR


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