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Samenvatting cardio/pneumo: compressietherapie graduaat VPK vives/Rhizo $3.23   Add to cart

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Samenvatting cardio/pneumo: compressietherapie graduaat VPK vives/Rhizo

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in dit document is compressietherapie samengevat

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  • May 31, 2022
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  • 2021/2022
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Compressietherapie

- Ambulante compressietherapie?
o Ondersteunen van de spierpomp kuit
o Gebruik maken van zwachtels om oedeem in VB. arm of been terug te dringen tot
een normale omvang.
o Door constante druk van buitenaf

- Type handeling (wettelijk)
o B2 handeling  start op voorschrift van de arts
o Enkel bij veneuze aandoeningen
o TED-kousen niet het zelfde effect

- Mogelijke indicaties waar dit wordt toegepast
o Chronisch veneuze insufficiëntie
 Varices
 Veneuze ulcus cruris
 Thromboflebitis
 Post-thrombotiscch syndroom
 …..
o Lymfatische aandoeningen
 Lymfoedeen
 Erysipelas (wondroos) na de acute fase
o Oedeem tgv andere oorzaken
 Tgv trauma
 Tgv inflammatoire processen

- Tegen indicaties
o Ulcus aan been van niet vasculaire oorsprong
 Infectieus  vb. wondroos
 Oncologisch ulcus
o Verstoppingen van het diep veneuze systeem met oppervlakkige venen als
retourcompartiment
o Arterieel lijden
 Ernstige hartdecompensatie
 Hypertensie
 Diabetes
 Arteriële insufficiëntie
 Slechte enkel  armindex = systolische enkeldruk of armdruk (uitkomst
hoger dan 0.8 veilig om te zwachtelen

- Werking compressieth. Bij chronische veneuze insufficiëntie
o = druk om veneuze terugstroom te onderdrukken
 Dichtdrukken oppervlakkige en (insufficiënte) perforante venen
 Terug laten sluiten van kleppen en verlagen vloedvolume omdat lumen van
venen vernauwd
 Verminderd uitreden vocht naar interstitiële ruimte
 Verminderen stagnatie vocht in interstitiële ruimte (oedeem verminderen)
 Ondersteunen spierpomp kuit
 = ambulante compressietherapie

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