ตัวอย่างผู้ป่วย Case Study 520355 (Gigantic)
Patients History
- Thai woman 51 year old, BW = 196 kg, BMI = 87.1 kg/m2
- Can not walk for more than 4 years.
- Left Leg cellulitis in 1995, after that both left leg swelling
for 11 years until now.
- BP = 129/98, Pulse = 72
Diagnosis
- Diagnosis from Ramathibodi Hospital: 1. Pulmonary Hypertension, 2. Hypothyroidism, 3. Morbid obesity
4. Chronic renal failure, 5. Lymphatic obstruction
- Lymphedema (Gigantic)
Treatment
1. Reduction Phase (Admid in Hospital)
- Day 1- 5: Elastic bandaging (20-30 mmHg) and Supporter wrapping (30-40 mmHg)
for 6-8 hour a day (in patient car)
- Day 5- 12: Elastic bandaging (20-30 mmHg) and Supporter wrapping (30-40 mmHg)
for 6-8 hour a day (in Hospital for Tropical Diseases)
- Day 13-26: Twisting Tourniquet Technique (TTT) at Lymphedema Day Care Center
- Vegan diet (adjuvant therapy)
2. Maintenance Phase: Apply
- Compression stocking (20-30 mmHg)
- Self-bandage by use elastic bandage (20-40 mmHg)
- Self-TTT at home during free time
- Vegan diet (All 3 meals a day)
Result Day 0 Day 13 Day 26
- Edema Severity 180.3 % 143.5 % 31.1 %
- Left Leg Volume Reduction 3,569 mL 9,001 mL 36,494 mL
- Left Volume Reduced Rate - 20.4 % 82.7 %
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Patient History - Thai man 14 year old - BW = 89.0 kg, BMI = 38.5 kg/m² - Right leg swelling for 14 years Diagnosis - Primary Lymphedema Congenital Treatment 1. Redu...
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Patient History - Thai woman 55 years old - BW = 64.5 kg, BMI = 28.6 kg/m² - Left arm swelling for 1 years - Breast cancer surgery, chemotherapy, radiation 5 years ago...
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Patient History - Thai man 28 year old - BW = 51.9 kg, BMI = 21.6 kg/m² - Left leg swelling for 18 years Diagnosis - Primary Lymphedema Praecox Treatment 1. Reduction Pha...
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Patient History - Thai woman 29 year old - BW = 83.3 kg, BMI = 33.8 kg/m² - Left leg swelling for 17 years Diagnosis - Primary Lymphedema Praecox, Stage 3, Grade 4 Tre...