Primary Lymphoedema

[Guest guest]

Can you research this topic and give me an idea of how

to treat this illness? This is a child of about 3,

and have been asked to help,just need some ideas on

what to do.

 

Thanks, Juanita Sanchez

 

 

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Dear Juanita,

 

Atma namaste.

 

Thank you for your email.

 

Please interview the patient and provide more

information regarding this case including a scanning

report of the major chakras and organs.

 

The medical background of the ailment is given below.

 

Love,

 

Marilette

 

 

Medical Background:

 

Lymphoedema is the progressive swelling of a limb

because of impaired fluid transport by the lymphatic

system. This results in the accumulation of

extracellular fluid in the interstitial compartment.

It is a chronic condition and usually affects one or

more limbs. In some cases it involves the trunk, head

or genital area. Primary Lymphoedema occurs as a

result of congenital or hereditary abnormalities of

the lymphatic system. Secondary lymphoedema occurs

because of lymphatic system obstruction or damage

which is acccounted for by an acquired cause.Primary

lymphoedema is classified as congenital when it

presents in the first year of life, praecox when it

presents less than 35 years and tarda when it presents

after 35 years, but these probably represent varieties

of the same disease spectrum. True congenital familial

lymphoedema (Milroy’s Disease) is a rare, autosomally

inherited condition.

 

Worldwide, filarial infection is the most common cause

of secondary lymphoedema, affecting 90 million people.

Parasitic helminths are transmitted via insect bite

and cause lymphatic fibrosis due to an acute

inflammatory reaction. The limb distal to the

obstruction becomes swollen causing “elephantiasis”.

In Western societies, secondary lymphoedema is more

commonly seen following the treatment of malignancy by

surgical excision or radiotherapy, e.g.

post-mastectomy. Lymphatic obstruction may also occur

due to malignancy e.g. peau d’orange in breast

carcinoma, due to infective causes, following vascular

surgery, or in association with morbid obesity.

 

Other causes of chronic swelling should be excluded

before a diagnosis of lymphoedema is made. These

include cardiac failure, venous disease, malignancy,

connective tissue disorders etc.

 

A careful history can help exclude many of the above

differential diagnoses. In lymphoedema, limb swelling

is the usual presenting feature but patients may

present with recurrent limb cellulitis or ulceration

initially. The swelling is associated with discomfort

or heaviness in the affected limb, often affecting

mobility. On examination, swelling may be unilateral

or bilateral and is usually non-pitting by the time

patients present due to established subcutaneous

fibrosis. With disease progression, hyperkeratosis,

secondary infection , skin fissuring and ulceration

can occur. Lower limb lymphoedema gives a “tree-trunk

appearance” and “buffalo-hump” of the medial aspect of

the ankle.

 

There are no specific laboratory investigations for

lymphoedema but it may be appropriate to exclude other

causes of limb swelling. More specific tests may be

indicated to rule out other diagnoses e.g. ECG and

echocardiogram if a cardiac cause is suspected.

 

Duplex ultrasound is a useful non-invasive initial

investigation if there is a possibility that the

symptoms are due to chronic venous insufficiency.

Ultrasound or CT imaging can exclude venous or

lymphatic obstruction because of a pelvic or abdominal

tumour. In addition, CT may show a characteristic

honeycomb appearance of subcutaneous fluid. MRI,

especially T2 weighted imaging, can also help

distinguish lymphatic from any possible venous

swelling. Lymphangioscintigraphy involves the

injection of a radiolabelled isotope into a web space

of the affected limb. The emitted gamma rays can be

imaged at intervals to assess the transit of

radionuclide through the lymphatic circulation.

Scintigraphy cannot readily differentiate between

primary and any secondary lymphoedama because the

patterns and transit times for both are often similar.

 

There is no real cure for lymphoedema. Early treatment

should focus on reducing limb swelling, improving

function and reducing the risk of infection. Patient

education forms a vital part of management and

patients should understand the benefits of elevating

the affected limb whenever possible and undertaking

regular exercise to increase lymphatic drainage.

Meticulous skin care (using ointments) can help reduce

the risk of infection. Patients should seek help

rapidly if these develop and early antibiotic therapy

may avert troublesome and prolonged cellulitis. Class

two or three compression stockings or compression

bandaging are useful in managing swelling. Manual

lymphatic drainage by a physiotherapist and

intermittent pneumatic compression also enhance

lymphatic flow. The aforementioned therapies may be

combined into “complex decongestive therapy” for an

overall improvement in the condition.

 

There is no proven role for medication such as

diuretics in the treatment of lymphoedema. Surgical

treatment is rarely effective and is largely of

historical interest. Homan’s procedure and the Charles

operation involving extensive excision of the

lymphoedematous subcutaneous tissues were associated

with high complication rates.

 

Lymphoedema is a chronic condition requiring lifelong

therapy which, can be managed successfully with a

combination of conservative and physical therapies.

Surgery is rarely, if ever, indicated. Some recent

research trials are investigating inducing

lymphangiogenesis, but these are still at an animal

model stage.

 

Source: " Lymphoedema - Life Needs Long Therapy, "

Irish Medical News, Staff at the Vascular Surgery

Unit, Tallaght Hospital:Roisin Fitzgerald MB;Seamus

Murphy MRCSI;Brian Barry MD MRCSI;Sean Tierney MCh

FRCSI;

Bridget Egan MCh FRCS;IMartin Feeley MCh FRCSI;

 

 

 

 

 

 

 

Source: MASTER CHOA KOK SUI - Miracles Through Pranic Healing, Advanced Pranic

Healing, Pranic Psychotherapy, Pranic Crystal Healing.

 

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1. Pranic Healing is not intended to replace orthodox medicine, but rather to

complement it. If symptoms persist or if the ailment is severe, please consult

immediately a medical doctor and a Certified Pranic Healer.

2. Pranic Healers who are are not medical doctors should not prescribe nor

interfere with prescribed medications and/or medical treatments. ~ Master Choa

Kok Sui

 

MCKS Pranic Healing website: http://www.pranichealing.org.

 

 

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