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Interview on Lymphedema (S. Michelini)

What treatment options we use today?
In addition to some possibility of surgical treatment of the lymphatic system with microsurgical techniques performed only at a few highly specialized centers, not always solvers, and drug treatments that have a moderate effect only in the clinical stages of the disease, the treatment is the physical rehabilitation which plays a leading role in this area. Through a combination of manual and mechanical techniques of drainage and the application of the band followed by a specific type of exercise you can, in most cases, obtaining good clinical results that can be maintained and strengthened by wearing an elastic girdle and adopting a healthy lifestyle. Given the specific nature of the problem is obvious that the team that takes care of the patient must be familiar with the problem (with all diagnostic and differential diagnosis of the case requires) and be prepared specifically for the individual therapeutic approach.

Where can I send a patient with lymphedema and with such prospects

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?
Ci sono centri affidabili distribuiti in macro-regioni.

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Per conoscerli è sufficiente consultare Internet e, in particolare, il sito di qualche associazione di pazienti, che si formino liberamente (ovviamente, i pazienti con linfedema con tutta la loro storia, comune agli altri, di vagare alla ricerca di una soluzione di continuità stabile al vostro problema). Visitando i siti web si possono trovare le esperienze di molti pazienti che, in un modo o nell’altro, hanno trovato il loro equilibrio per il controllo di una malattia cronica che, se lasciato a se stesso, ha una naturale tendenza a flare cliniche e complicanze cliniche. We can best describe the fate of patients with lymphedema in the Italy in 2010 and how to correct this if necessary to achieve a ‘good health’? The latest report on the ‘politics of chronicity’ just by Active citizenship (with the collaboration of the Tribunal for Patients Rights’ and the National Coordination of Associations of the chronically ill) points out, at the beginning, one of 14 entered the European Charter Patient Rights’ states: Everyone has the right to access health services that his state of health. The health services must guarantee equal access to everyone, without discrimination on the basis of financial resources, place of residence, type of illness or time of access to services’. Today in Europe, it is not.

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There are local situations where at least elastic clothing, essential for disease control shall be reimbursed or provided directly. In most other regions, this does not happen. But the paradox of the paradox is that a European citizen is permitted to carry out treatments abroad (and this happens far too easily by the various countries responsible for these permits, although there are many national centers qualified to perform such services).

We need a central legislation (and in this sense, the scientific guidelines of the Scientific Society as the European Society of Lymphology have great practical value) that is passed to the level of individual regions which must incorporate the need to establish regional reference centers they receive and resolve problems in the territory of many patients who are still waiting for concrete answers to their care needs.

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One Response to Interview on Lymphedema (S. Michelini)

  1. [...] Il sito è ovviamente dedicato ai professionisti della cura del Linfedema, ma contiene anche alcuni articoli sul linfedema in generale che  possono interessare quanti hanno a che fare con il linfedema dall’altra parte della barricata. (interessante una intervista sul linfedema fatta proprio al prof. Michelini) [...]



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