{"id":4125,"date":"2022-01-12T13:26:44","date_gmt":"2022-01-12T12:26:44","guid":{"rendered":"http:\/\/10.14.1.26\/website\/?post_type=service&p=4125"},"modified":"2022-06-29T12:48:28","modified_gmt":"2022-06-29T10:48:28","slug":"lipoedeme","status":"publish","type":"service","link":"https:\/\/www.stpierre-bru.be\/en\/service\/medecine-interne\/medecine-physique-readaptation\/clinique-de-lymphologie\/lipoedeme\/","title":{"rendered":"Lip\u0153d\u00e8me"},"content":{"rendered":"\n[et_pb_section fb_built=”1″ _builder_version=”4.14.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.14.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.14.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.14.7″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]

Le lip\u0153d\u00e8me, une affection mal connue.<\/span><\/strong><\/h3>\n

Cette pathologie, longtemps n\u00e9glig\u00e9e par le monde m\u00e9dical,\u00a0<\/span>a \u00e9t\u00e9 souvent consid\u00e9r\u00e9e comme une forme gyno\u00efde de l\u2019ob\u00e9sit\u00e9<\/b>. Aujourd\u2019hui, plusieurs \u00e9quipes de cliniciens et chercheurs, dont celle de la\u00a0<\/span>Clinique de Lymphologie de Bruxelles<\/a>, \u00e9tudient plus attentivement cette maladie qui impacte la qualit\u00e9 de vie des patientes.<\/p>\n

 <\/p>\n

Caract\u00e9ristiques du lip\u0153d\u00e8me<\/span><\/strong><\/h3>\n

Le lip\u0153d\u00e8me\u00a0<\/span>s\u2019installe progressivement<\/b>\u00a0<\/span>depuis l\u2019adolescence, mais il montre ses signes sp\u00e9cifiques entre la deuxi\u00e8me et la troisi\u00e8me d\u00e9cade de la vie. Ensuite, la pathologie \u00e9volue plus ou moins rapidement (figure ci-dessous) pour devenir\u00a0<\/span>parfois tr\u00e8s handicapante<\/b>.<\/p>\n

Le lip\u0153d\u00e8me se reconna\u00eet par une\u00a0<\/span>distribution morphologique caract\u00e9ristique du tissu graisseux et des signes cliniques sp\u00e9cifiques<\/b>. Il n\u2019est pas \u00e0 confondre avec l\u2019ob\u00e9sit\u00e9.<\/p>\n

Aux deux premiers stades de la maladie, les chevilles et les pieds ne sont pas atteints voir figure ci-dessus).<\/p>\n

Dans le lip\u0153d\u00e8me, le tissus adipeux contient\u00a0<\/span>beaucoup d\u2019eau s\u00e9questr\u00e9e entre les lobules graisseux<\/b>, donnant la sensation de petites balles de ping-pong sous les doigts de l\u2019examinateur. Ces patientes ont une\u00a0<\/span>fragilit\u00e9 de la microcirculation superficielle<\/b>, leur peau est blanche et fragile, au moindre choc elles d\u00e9veloppent de petits h\u00e9matomes.<\/p>\n

 <\/p>\n

Traitement du lip\u0153d\u00e8me<\/span><\/strong><\/h3>\n

La Clinique de Lymphologie de Bruxelles accompagne les patientes atteintes de\u00a0<\/span>lip\u0153d\u00e8me<\/b>\u00a0<\/span>dans leur parcours de traitement.<\/p>\n

A l\u2019inverse de l\u2019ob\u00e9sit\u00e9, la graisse de ces patientes\u00a0<\/span>ne r\u00e9agit que mod\u00e9r\u00e9ment \u00e0 l\u2019exercice physique et une nutrition contr\u00f4l\u00e9e<\/b>. M\u00eame la chirurgie bariatrique n\u2019a que des effets limit\u00e9s chez ces patientes. Cette situation complexe tend \u00e0 les d\u00e9courager.<\/p>\n

Par contre, le volume des cuisses et des jambes\u00a0<\/span>r\u00e9agit positivement aux exercices musculaires sous bandages multicomposants<\/b>. Une partie de l\u2019eau s\u00e9questr\u00e9e est lib\u00e9r\u00e9e et \u00e9vacu\u00e9e.<\/p>\n

Le traitement physique peut \u00eatre compl\u00e9t\u00e9 par la\u00a0<\/span>lipo-aspiration<\/b>\u00a0<\/span>pour redessiner la r\u00e9gion trochant\u00e9rienne et la zone des fesses.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"

Le lip\u0153d\u00e8me est une affection du tissus adipeux, avec une composante lymphatique, qui touche quasi exclusivement les femmes, 11% de la population f\u00e9minine en est affect\u00e9 \u00e0 des degr\u00e9s divers.<\/p>\n","protected":false},"featured_media":0,"parent":4122,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false},"categories":[1880,44],"tags":[],"class_list":["post-4125","service","type-service","status-publish","hentry","category-chirurgie","category-specialite"],"acf":[],"yoast_head":"\nLip\u0153d\u00e8me - 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