Department of Clinical Rehabilitation, University of Physical Education, Krakow, Poland; Lymphedema Clinic, Krakow, Poland.
J Vasc Nurs. 2021 Jun;39(2):43-46. doi: 10.1016/j.jvn.2021.04.002. Epub 2021 May 24.
Lower limb edema with its accompanying subjective ailments has been increasingly frequent in gravid women and in the postpartum period. The management is essentially non-interventional based on compression therapy (CT) with physical exercise adapted to the severity of venous disease and edema. A case of lower limb edema in a woman in the thirty third week of pregnancy was described. CT including compressive bandaging (CB) by short-stretch bandage and compression garments (CG) with physical activity was applied. Edema volume reduction, changes in consistency from hard to mild in palpation and reduction of accompanying ailments by use of CB after two weeks were observed. Further improvement by use of CG before and after delivery, and 3 years later was confirmed. Compression and physical exercise have a positive impact on edema reduction and leg symptoms intensity during pregnancy and should be recommended.
下肢水肿及其伴随的主观不适在孕妇和产后期间越来越常见。其治疗主要是非介入性的,基于基于压缩疗法(CT),结合根据静脉疾病和水肿严重程度调整的体育锻炼。描述了一名妊娠 33 周的下肢水肿女性的病例。采用包括短拉伸绷带的压迫性包扎(CB)和压缩服装(CG)的 CT 治疗,同时进行体育活动。在两周后,观察到水肿体积减小,触诊时从坚硬变为柔软,伴随的不适症状减轻。在分娩前和分娩后以及 3 年后进一步使用 CG,得到了进一步改善。在怀孕期间,压缩和体育锻炼对减轻水肿和腿部症状的强度有积极影响,应该推荐使用。