THE EFFECT OF COMPLETE DECONGESTIVE THERAPY IN THE TREATMENT OF LYMPHOEDEMA AFTER MASTECTOMY ON THE QUALITY OF LIFE

Karcinom dojke jedan je od najčešćih malignih tumora u žena. U žena s multicentričnim, velikim ili ponovljenim karcinomom nakon konzervativne terapije obično se radi mastektomija, odnosno kirurško odstranjenje cijele dojke. Kao posljedica odstranjenja dojke najčešće se poremeti rad limfnog sustava uz mogućnost nastanka limfnog edema. Zbog brojnih posljedica koje mogu biti tjelesne, duhovne, psihosocijalne i profesionalne naravi, limfedem kao kronično stanje smanjuje kvalitetu svakodnevnog života u žena nakon mastektomije. S ciljem smanjenja volumena limfnog edema i sprječavanja ponovnog nakupljanja limfe, provodi se kompletna dekongestivna terapija koja uključuje: manualnu limfnu drenažu, kompresivno bandažiranje, kineziterapiju, njegu kože i edukaciju pacijenta. Cilj završnog rada je utvrditi učinak kompletne dekongestivne terapije limfedema na kvalitetu života u žena nakon mastektomije.Breast cancer is one of the most common malignant tumors in female population. Women with multicentric, large or recurrent cancer, afer conservative therapy, usually undergo a mastectomy– the surgical removal of the entire breast. Once the breast is removed, the most frequent outcome is dysfunction of lymphatic system with a possibility of developing lymphedema. Due to numerous consequences that may be physical, psychological and psychosocial; lymphedema, as a chronic condition, negatively affects the quality of women's life after having a mastectomy procedure. With the aim of reducing lymphedema volume and preventing lymph re-accumulations, a complete decongestive therapy needs to be performed, and it includes: manual lymph drainage, compressive bandaging, kinesitherapy, skin care and educating the patient. The purpose of this final paper is to determine the effect of complete decongestive lymphoedema therapy on the quality of life of women after having the mastectomy