CONTRAINDICATIONS

禁忌证


MANUAL LYMPHATIC DRAINAGE

手法淋巴引流

Absolut 绝对禁忌证

  • acute infections

  • 急性感染
  • untreated congestive heart failure
  • 未治疗的充血性心衰
  • acute DVT
  • 急性深静脉血栓
  • untreated cancer
  • 未治疗的癌症

Relative 相对禁忌证

  • renal dysfunction
  • 肾功能不全
  • fungal infections
  • 真菌感染
  • radiation induced ulcers
  • 放射性溃疡
  • if paresthesia or pain occurs in treatment
  • 如果治疗过程中出现感觉异常或疼痛
  • if collateral veins appear near the irradiated area
  • 如果在放疗区域附近出现侧支静脉
  • classical massage is contraindicated on oedema area
  • 水肿部位忌用常规的按摩


Deep MLD techniques on the trunk

躯干深部MLD

  • all general contras
  • 所有一般禁忌证
  • radiation fibrosis – how deep is the damage?/is there nerve or bone damage?
  • 放疗纤维化-损伤有多深?有神经或骨骼损伤吗?
  • osteoporosis
  • 骨质疏松症
  • bone metastases (bone Ca)
  • 骨转移(骨癌)
  • haemophilia
  • 血友病
  • anticoagulants
  • 抗凝剂
  • undiagnosed pain
  • 未确诊的疼痛
  • Hx of DVT
  • 深静脉血栓病史
  • varicosity
  • 静脉曲张


MLD to the neck region

颈部MLD

  • all general contraindications
  • 所有一般禁忌证
  • cardiac arrhythmia
  • 心律失常
  • hypersensitivity of carotid sinus
  • 颈动脉窦过敏症
  • hyperthyroidism
  • 甲状腺机能亢进
  • caution in patients over 60
  • 60岁以上患者更需注意


Deep abdominal clearance

深腹部清空

  • all general contraindications
  • 所有一般禁忌证
  • pregnancy
  • 妊娠
  • menstruation
  • 月经
  • recent abdominal surgery
  • 近期腹部手术
  • radiation colitis
  • 放射性结肠炎
  • radiation fibrosis
  • 放射性纤维化
  • radiation cystitis
  • 放射性膀胱炎
  • abdominal aortic aneurysm
  • 腹主动脉瘤
  • after DVT’s
  • 深静脉血栓后
  • liver cirrhosis
  • 肝硬化
  • current hernia
  • 当前的疝气
  • unexplained pain
  • 无法解释的疼痛


COMPRESSION THERAPY

压力治疗

  • occlusive arterial disorders
  • 闭塞性动脉疾病
  • arterial wounds
  • 动脉性伤口
  • arterial disease (ABI .8 or less)
  • 动脉疾病(ABI<0.8)
  • acute DVT
  • 急性深静脉血栓
  • cardiac oedema
  • 心源性水肿
  • acute trauma without diagnosis
  • 无诊断的急性创伤
  • allergies to bandaging materials
  • 对绷带材料过敏
  • peripheral neuropathy /radiation-induced plexopathy
  • 周围神经病变或放射性神经丛病变
  • acute infections
  • 急性感染


EXERCISE

功能锻炼

  • the area affected by radiation should not be subjected to pulling or swinging forces
  • 放疗区域不应受到拉力或摇摆力的影响
  • radiation-induced osteoporosis and radiation affected lungs require great care
  • 放疗引起的骨质疏松症和放疗影响的肺部需要非常小心
  • HYDROTHERAPY - unstable medical conditions and anyone with a fear of water
  • 水疗-不稳定的医疗条件和任何害怕水的人