First, after axillary lymph node dissection for breast cancer, why is rehabilitation critical?
Postoperative edema of breast cancer is very common, some appear in a short time after operation, some appear later, and even appear more than 10 years after operation. After the occurrence of lymphedema, it is not only an unsightly problem, but also brings serious pain, infection, and even the inability to buy suitable clothes, which seriously affects the quality of life of patients.
Therefore, rehabilitation and exercise after breast cancer surgery are particularly critical.
Second, why is there edema after breast cancer surgery?
Many patients will wonder why the arm is swollen because the axillary lymph nodes were cut off during the operation. In fact, the lymph of the whole body flows to the heart like venous blood, the road is lymphatic catheter, and lymph nodes are like the gates of toll stations. Resection of some lymph nodes during the operation is equivalent to closing part of the gate, but the lymph itself has not decreased, so congestion will occur when passing through the gate, and in severe cases, lymph will be missed, that is, edema will be formed.
Because axillary lymph dissection cuts off the reflux path of upper limb lymph, it leads to insufficient drainage of upper limb lymph, and postoperative scar formation also aggravates upper limb edema. Radiotherapy will cause occlusion and lymphatic destruction of irradiation field vein, cause local radiation skin lesions and radiation lymphangitis, and also compress veins and lymphatic vessels due to local muscle fibrosis, which will affect upper limb reflux and upper limb function.
Third, what should I do about lymphedema of upper limbs after breast cancer surgery?
At present, there are many treatments for lymphedema of upper limbs. The purpose of treatment is to relieve edema and other symptoms, protect the function of the affected limb and prevent the disease from getting worse. For patients with mild to moderate lymphedema, conservative treatment is often the first choice. Surgical treatment is mainly used for severe lymphedema.
Fourth, how to exercise after lymph node dissection for breast cancer?
Many people know that postoperative rehabilitation of breast cancer requires more exercise, but unreasonable exercise may bring discomfort to patients and even affect the rehabilitation effect.
After breast cancer surgery, you can take a walk, jog, do upper limb rotation, rotation, shrug and so on. During exercise, adjust according to personal physical fitness to make the whole body sweat slightly for 20-30 minutes at a time. Exercise should avoid excessive force and intensity, and pay attention to protecting the affected limb.
Every time you exercise, you should adjust the amount of exercise step by step, and haste makes waste. In addition, for the modified radical operation, it is suggested that the affected limb should be raised moderately during walking, jogging and other sports to avoid the patient or arm drooping for a long time. Try to avoid playing badminton and other sports after operation.
Rehabilitation exercise is very important after axillary lymph node dissection for breast cancer. The purpose of rehabilitation treatment is to prevent shoulder joint stiffness, restore the normal function of upper limbs and prevent lymphedema of upper limbs. Therefore, the rehabilitation exercise after breast cancer surgery is very particular:
One: Why should breast cancer clean axillary lymph nodes?
This is determined by the metastasis mechanism of breast cancer: the main metastasis route of breast cancer is that cancer cells enter the blood circulation and then transfer along the lymphatic vessels of breast sentinel lymph nodes, ipsilateral axillary lymph nodes, subclavian lymph nodes, supraclavicular lymph nodes and thoracic duct veins.
Therefore, axillary lymph nodes are the first line of defense for breast cancer, and axillary lymph node metastasis is an important index for staging breast cancer, predicting postoperative recurrence risk and guiding radiotherapy and chemotherapy.
Therefore, the purpose of axillary lymph node dissection is to clarify the metastasis of axillary lymph nodes, reduce the tumor load as much as possible and improve the cure rate.
Two: How to do upper limb exercise after breast cancer surgery?
The purpose of rehabilitation exercise is to prevent shoulder joint stiffness, restore the normal function of upper limbs and prevent lymphedema of upper limbs. Details are as follows:
Of course: insist on rehabilitation exercise after exercise, every day. Tai Ji Chuan, Wuqinxi and other sports are also suitable. Infusion is forbidden for life in the affected upper limb. It is a very important preventive measure not to lift heavy objects and heavy work on the affected upper limbs!
I'm Dr. Yang from the Breast Department. If you have any questions, please pay attention and leave a message for consultation!
The scope is relatively small.
It is good to act slowly.
Looks like an armpit
The blood vessels, nerves and other systems connecting the upper and lower arms.
High frequency of action causes edema.
irreversible