| Popis: |
This bachelor thesis discusses the treatment options for lymphoedema and the influence of individual regimens on the treatment of this disease. I have divided the theoretical part into four chapters. In the first chapter I explain the anatomy of the lymphatic system, the second chapter describes its physiological function and then its pathology. The third chapter is devoted to lymphoedema, I explain the principle of the different types of lymphoedema, how to prevent them, how to diagnose them and what complications can occur. The last chapter of the theoretical part discusses in detail the methods of treatment, the essential method is manual and instrumental lymphatic drainage, then I discuss bandaging, physical exercise, breathing excercises, selected types of physical therapy and last but not least I mention skin care, pharmacotherapy and spa treatment. The practical part of the research was carried out in the form of qualitative research. I worked with 4 patients, two of them are treated with primary lymphedema and two with secondary lymphedema. The patients practiced every day an agreed exercise unit, which was uniform for all of them, at the same time, based on the doctor's recommendation, they attended manual and instrumental lymphatic drainage at the outpatient clinic, while following the regimen, in which there were minor nuances for each patient. I evaluated the results by means of an entrance and exit kinesiological analysis, in which somatometry and goniometry played a major role, an entrance and exit interview and a comparison of photographs. I compared the objective results according to the results of somatometry and goniometry, where there was an improvement in reduction of swelling and increase in range of motion in 3 out of 4 cases. Subjective evaluation was provided by the patients based on semi-structured interviews, which I used to find out what lifestyle change the patients found most influential. Here the results were quite different, with the primary lymphoedema patient reporting feeling the greatest improvement after showering with cold water, and the secondary lymphoedema being most affected by bandages and regular exercise. |
