OVERVIEW
OVERVIEW
Obesity edema refers to obese people often due to the increased accumulation of subcutaneous adipose tissue, the support of superficial veins to reduce the role of vasodilatation, vasodilatation, venous pressure in the lower extremities, blood stagnation, resulting in blood and tissue fluid reflux affected by the edema. Edema usually disappears with the disappearance of obesity.
Whether medical insurance
Yes, it is
Department
Endocrinology
Clinical symptoms
Overweight, firm and puffy skin, depressed ankle edema, and loss of appetite.
Harmful effects
It affects the appearance of the face, and can also involve the cardiovascular, skeletal motor and other systems.
Examination
Physical examination, body mass index, waist circumference, thickness of subcutaneous fat accumulation, visceral fat measurement. Pancreatic function test, thyroid function test, sex hormone test, pituitary hormone and hypothalamus hormone excitation test, etc. if necessary.
Diagnosis
According to the degree of obesity, combined with the eyelids, skin swelling and laxity, ankle, anterior tibial depression edema and other causes of edema can be excluded from the diagnosis.
Treatment principle
Treatment of obesity to improve edema.
Curable
Curable with active treatment.
Dietary recommendations
Low-salt, low-fat diet, increased intake of vegetables and fruits are recommended.
Etiology
Epidemiology
Mostly seen in obese patients.
Etiology
This disease is caused by the accumulation of subcutaneous fat, reducing the support of superficial veins, superficial vein dilatation, elevated venous pressure in the lower limbs, blood stasis, blood and tissue fluid reflux is affected by impaired reflux.
Symptoms and Diagnosis
Typical Symptoms
Obesity, typically 20% of body weight over standard weight, or body mass index greater than 28; or significant weight gain in a short period of time. The skin is firm and concavity is not apparent, but concave edema may still be present in the tibialis anterior, ankle, and foot. The skin of the eyelids, insteps, ankles and lower legs is usually puffy and loose. Prone to cold hands and feet, average appetite, dislike of exercise, etc.
Diagnostic basis
1. obese body shape, weight more than 20% of standard body weight, or body mass index more than 28, or significant weight gain in a short period of time. 2. Sunken edema can be found in the front of the shin, ankle, foot, etc. The skin of eyelids, insteps, ankles and calves is puffy and loose.3. Other organic diseases causing edema are excluded.
Treatment
Treatment guidelines
Treat against obesity to improve edema.
Medication
Depending on the patient’s condition, medication can be considered to reduce weight, such as the use of orlistat and phenylbutazone.
Surgery
If necessary, surgical treatment can be used to reduce weight, such as liposuction, lipotomy, vertical ligation gastroplasty, etc.
Other treatments
Formulate a reasonable and effective weight loss program, including diet control, exercise therapy, behavioral therapy, herbal treatment, acupuncture treatment, massage and tuina, etc.
Prognosis
Active treatment and long-term persistence can improve the symptoms, and the general prognosis is good.
Nursing care
Daily care
1. Increase physical exercise to improve blood circulation. 2. Don’t wear tight clothes and try to keep a regular routine. 3. Don’t sit for a long time and don’t stand for a long time. 4. Do exercises to elevate the lower limbs and massage the lower limbs. 5.
Diet
Eat a reasonable diet, low-salt, low-fat diet, increase the intake of vegetables and fruits. Develop good eating habits, avoid overeating.