Kesehatan Vegan – dr. Satyawira Aryawan Deng

Makanan Sehat, Kacang-Kacangan, Biji-Bijian, Buah Kering, Organik, Natural, MPASI, Grosir & Eceran https://linktr.ee/kesehatanvegan

Kasus Lymphedema (Gigantic)


Patients History  

   – Thai woman 51 year old, BW = 196 kg, BMI = 87.1 kg/m2

   –  Can not walk for more than 4 years.

   –  Left Leg cellulitis in 1995, after that both left leg swelling

      for 11 years until now.

   – BP = 129/98, Pulse = 72

Diagnosis

   – Diagnosis from Ramathibodi Hospital: 1. Pulmonary Hypertension, 2. Hypothyroidism, 3. Morbid obesity

     4. Chronic renal failure, 5. Lymphatic obstruction 

   – Lymphedema (Gigantic)

Treatment

1. Reduction Phase (Admid in Hospital)

    – Day 1- 5:   Elastic bandaging (20-30 mmHg) and Supporter wrapping (30-40 mmHg)

                        for 6-8 hour a day (in patient car)

    – Day 5- 12: Elastic bandaging (20-30 mmHg) and Supporter wrapping (30-40 mmHg)

                        for 6-8 hour a day (in Hospital for Tropical Diseases)

    – Day 13-26: Twisting Tourniquet Technique (TTT) at Lymphedema Day Care Center 

    – Vegan diet (adjuvant therapy)

2. Maintenance Phase:  Apply  

     – Compression stocking (20-30 mmHg)

     – Self-bandage by use elastic bandage (20-40 mmHg)

     – Self-TTT at home during free time

     – Vegan diet (All 3 meals a day) 

Result                                             Day 0            Day 13          Day 26

    – Edema Severity                        180.3 %          143.5 %          31.1 %

    – Left Leg Volume Reduction      3,569 mL         9,001 mL      36,494 mL

    – Left Volume Reduced Rate              –                  20.4 %           82.7 %

https://www.lymphedema-thailand.com/15023692/%E0%B8%95%E0%B8%B1%E0%B8%A7%E0%B8%AD%E0%B8%A2%E0%B9%88%E0%B8%B2%E0%B8%87%E0%B8%9C%E0%B8%B9%E0%B9%89%E0%B8%9B%E0%B9%88%E0%B8%A7%E0%B8%A2-case-study-520355-gigantic