Wednesday, May 15, 2019

The critical analysis of the role of MLD in clinical practice Essay

The critical analysis of the role of MLD in clinical practice - Essay ExampleLymphoedema It unremarkably occurs due to the damage to the lymphatic system and as a result proteins keep entering the tissues from the smaller blood vessels called capillaries and the resulting effect is the buildup of fluid in the tissues whose draining lymphatic are blocked. The excessive accumulation of proteins in the tissue result in the retention of increase amount of fluid within the tissues and shake ups them to swell. Lymphoedema also hampers the skill of the vessels to oxygenate the tissues and their normal functionality is impaired and the healing is also delayed. If the accumulation of the lymph in the tissues is mild past the resulting proteins in the tissues can be removed by the tissue macrophages however if the accumulation of proteins is more resulting into Lymphoedema indeed the macrophages intercept to work If the protein content in the tissues is increased then it stimulate th e process of chronic inflammation and as a result fibrosis starts to develop in the affected area, new blood vessels are formed due to inflammation and these vessels are dilated resulting in the rubor effects of the inflammation due to which the temperature of limb is felt high. This increased temperature along with the protein stasis favors the bacterial growth which can result in acute inflammation. Such patients can position with repeated infections and may need hospitalization. These patients also suffer from frequent fungal infections and these are quite knockout to treat and these also put load on the lymphatics resulting in the worsening of the Lymphoedema. If the process is rapid then the sudden increase in the size of tissues can result in direful pain owe to the tissue damage by the pressure effects. The areas adjoining the dropsical areas also feel painful just now otherwise the pain is not present unremarkably in case of primary Lymphoedema until and unless there i s superadded infection. It is usually thought that the arms and the legs are the only sites of Lymphoedema but any organ of the body can be affected like genitals, the gut, the lungs or the liver. Other consequences of Lymphoedema can be decreased mobility and the swelling can cause embarrassment leading to depression in the patient and results in the worse quality of life of the patient. The edematous limb becomes heavy and is difficult to move which makes it more vulnerable to injury and resulting bacterial infection. The drainage of lymphatic from lower limb is less efficient as compared to upper limb, so the walking of such patients gets hard which further severe the condition, so the Lymphoedema of the leg is worse than of the upper limb. Initially Lymphoedema is of pitting type but with increasing severity the edema becomes non-pitting. If Lymphoedema remains for extended period of time like years then the overlying skins color changes along with loss of hairs and change in t he texture of the nails is seen in the affected arm. The skin becomes very thick with large folds and warts resulting in the appearance called Elephantiasis. If the Lymphoedema is left untreated then it can lead to a malignant condition called Angiosarcoma. The symptoms of Lymphoedema include a. Limbs become heavier and felt tighter. b. Pain which is severe in intensity and

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