ĐĎॹá>ţ˙ ?Aţ˙˙˙>˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ěĽÁq` đżhbjbjqPqP 8&::h˙˙˙˙˙˙¤¤¤¤¤¤¤¤TŽ#Ž#Ž#Ž# ş#$f ź.2ę#ę#ę#ę#ę#ę#ę#ę#;.=.=.=.=.=.=.$î/hV2^a.¤)ę#ę#))a.¤¤ę#ę#v.ę*ę*ę*)N¤ę#¤ę#;.ę*);.ę*ę*Ç-¤¤.ę#Ţ# ŔIÓzÄŽ#N*‚ß-;.Œ.0ź.ç-,´2Đ*´2.´2¤.(ę#€j%ę*|&ÜX'¨ę#ę#ę#a.a.ŕ* ę#ę#ę#ź.))))f f f ¤ ¤ f f f ¸4ě"¤¤¤¤¤¤˙˙˙˙ St Ann’s Hospice Lymphoedema This leaflet aims to give some information about Lymphoedema - what it is, how it can be managed and the service provided by St Ann's Hospice. Lymphoedema - What is it? Lymphoedema is a long term swelling of one part of the body, usually a limb, which is caused by failure of part of the body's lymphatic drainage system. This may be because the lymphatic system has failed to develop properly, causing swelling, which can be present at birth, or may not develop until later in life, this is called Primary Lymphoedema and can run in families. People can also be at risk when the lymphatic system has been damaged or blocked by tumour, surgery, radiotherapy, accident or serious infection. This type is called Secondary Lymphoedema. What does the lymphatic drainage system do? The body's tissues are bathed in a clear fluid that leaks out of the small blood vessels to nourish and cleanse them. The lymphatic drainage system carries away the excess water, protein and waste products from the tissues through a network of fine channels. It filters the lymph fluid through the lymph nodes, before emptying the cleansed fluid back into the blood stream. Is there a cure for lymphoedema? Once damaged the lymphatic system can never recover fully although not all people at risk develop lymphoedema. If however swelling does develop there are a variety of things that will help to reduce and control it. If you think you are at risk of lymphoedema it helps to get advice on preventing problems developing. How can lymphoedema be treated? Experts in this country and throughout the world all recommend that lymphoedema is controlled and managed by: Skin-Care Moisturise the skin daily to keep it healthy and supple and protect it from injury or infection. Infection can cause a sudden increase in swelling that can be difficult to reduce. Exercise and Movement Keep the affected part of the body moving even when resting and follow a daily programme of exercise. Over exertion is not helpful. At rest support the affected limb so that it does not hang down. Compression garments Well fitting specialist elastic hosiery will control the accumulation of fluid and support the muscles helping to pump the lymph along the lymphatic channels. A course of daily multi-layer bandaging may be necessary to reduce and reshape the limb before hosiery can be fitted. Massage A simple self -massage routine can be learnt which carried out daily will improve the lymph drainage. Manual Lymphatic Drainage is a specialised massage practised by trained therapists. It is particularly effective when combined with bandaging. Successful management of lymphoedema needs time to be set aside each day for exercise, skin-care etc., but it does pay off if you persevere. Sadly there are no easy solutions, the fluid cannot be drained off and water tablets do not help with this type of swelling. Where can I get the advice and treatment I need? There are specialist clinics in some hospitals and hospices and lists of these can be obtained from the addresses on the back of this leaflet. St. Ann's Hospice at Little Hulton and Heald Green run Clinics for people with Primary and Secondary Lymphoedema. Staff in our clinics are fully qualified to give advice and treatments including intensive courses of Manual Lymphatic Drainage massage and bandaging. Referrals You can be referred to the Lymphoedema Service at St Ann's Hospice by any Doctor, Nurse, or Physiotherapist who is involved in your medical care. The referral is made by filling in the standard Hospice Referral Form and posting or faxing it to your nearest St Ann's Hospice site: St Ann's Hospice St Ann's Road North Heald Green Cheadle, Cheshire SK8 3SZ Tel: 0161 437 8136 Fax: 0161 498 9640 St Ann's Hospice Peel Lane Little Hulton Worsley M28 0FE Tel: 0161 702 8181 Fax: 0161 790 0186 Queries If you have any problems or queries about the Lymphoedema Service, please contact us at either of the above addresses. Useful addresses Lymphoedema Support Network St Lukes Crypt, Sydney Street London SW3 6NH Tel: 020 7351 4480 www.lymphoedema.org/lsn Offers support and advice and has a quarterly newsletter for members. 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