Download PDF by Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro: A New Approach to Manual Lymphatic Drainage

By Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy

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The advantages reside in offering the patients an opportunity of treatment at a lesser cost. 43 STEP-BY-STEP DEMONSTRATION OF THE TECHNIQUE On the first figure observe the orientation of the illustrations. On the second, third and fourth illustrations, see the main lymph node chains which are normally drained: axillar, cervical and inguinal. Observe in this illustration the schematic representation of lymph vessels and the direction of flow. Green symbols represent the trajectory of vessels that flow together towards the ganglia.

Such infirm tisssues, rich in proteins are propitious for the installation of infection, as by streptoccoci, which will further lesion vessels decreasing functional reserves. These patients should be evaluated by a specialist, to identify the type of lesion and the best therapeutic approach to be used. Lymphatic drainage is one of the most important therapeutic measures and it is up to the specialist to direct and follow the whole evolution of this treatment. Hygienic care, the prevention and treatment of infections, the use of drugs like benzopyrone and lymphokinetic exercises, are part of the therapeutic approach to these patients.

From the height of the umbilical region on, drainage is made towards the axillary lymph nodes. 57 At navel height is made the transition of the direction of the drainage, above towards the axillary lymph nodes and below, towards the inguinal ones. At the region of the abdomen, we find the union of the lumbar, mesentery and bronchomediastinal trunks to form the beginning of the lymphatic duct at a deep level. 58 The drainage of the abdominal wall is made towards the axillary lymph nodes. As we can observe, we have a superficial and a deep drainage going in different, but not opposite directions.

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A New Approach to Manual Lymphatic Drainage by Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy

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