JP2018102778A - Care pad and shorts for lymphedema - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a care pad or the like for the lymphedema capable of preventing the lymphedema at the public part and the external genitalia, improving the symptom, or suppressing worsening thereof.SOLUTION: The care pad for the lymphedema includes: a first pad part having an elongated sheet-like shape and formed to cover an area at least from an anterior part of the anus of a wearer via the external genitalia to the public part; and a second pad having a sheet-like shape that has, on at least a part thereof, such a shape as to expand from a first-pad-part-side end portion to an opposite-side end portion and formed to cover an area from the public part of the wearer to the hypogastrium. Further, irregular parts are dispersedly provided at least on parts of wearer's-side surfaces of the respective first and second pads.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a lymphedema care pad and shorts for wearing the pad, and more particularly to a care pad and shorts for reducing symptoms of lymphedema and lymphatic leakage in the pubic and vulva.

  For cancer treatment, it is known that lymphedema and lymph leakage are likely to occur when lymph nodes are removed by surgery or radiotherapy is performed. Lymphedema refers to a state in which interstitial fluid has accumulated in the subcutaneous tissue due to a decrease in the absorption, transport, and elimination functions of lymph fluid in lymphatic vessels. Lymphatic leakage refers to a state in which lymphatic fluid leaks from a portion where the lymphatic vessel just below the skin expands and becomes a foamy bubble. Lymphedema is difficult to cure once it develops, and patients must go along with lifelong lymphedema. In particular, lymphoedema in the vulva and pubic area that develops after pelvic lymphadenectomy or inguinal lymphadenectomy by gynecological surgery presents symptoms of vulva lymphatic leakage that, when worsened, leaks lymph from the vulva . When this happens, the patient's physical and mental distress is not uncommon. Moreover, since regular treatment is required, the financial burden is very large.

  On the other hand, lymphedema in the pubic region or vulva may be able to prevent onset, reduce symptoms, or suppress deterioration by performing early care. Therefore, it is very important to provide appropriate care before the onset of lymphedema or at an early stage of symptoms.

  Here, according to the latest cancer statistics summary in Japan by the National Cancer Center (see Non-Patent Document 1), there are 865,238 newly diagnosed cancers (predicted national value of disease) in 2012 (503,970 males, 361,268 females) are reported. In addition, lymphedema that develops after surgery increases every year at a rate of about 2,000 in the upper limbs and about 3,500 in the lower limbs. When combined with secondary acquired by lymph node dissection, etc., it is estimated to be 150,000 to 150,000. In particular, it is said that lymphedema after gynecological surgery, such as treatment for uterine cancer, occurs in 1 in 4 cases, and the prevention of the development of lymphedema and the care of the affected patients are urgent issues. It has become.

  Treatment methods for lymphedema include manual lymph drainage by a lymphedema therapist, compression therapy, exercise therapy under compression, selection of elastic clothing and guidance on wearing, skin care, and the like. Manual lymph drainage (hereinafter referred to as “drainage”) refers to gently swirling the surface of the skin with the palm in close contact with the skin, and slowly applying pressure in the direction of draining the lymph for 2-3 seconds. It is a medical massage for improving edema by inducing lymph fluid to a normally functioning lymph node by being stretched about once.

  However, since the effect of drainage is temporary and lasts only for a short time, post-drainage compression therapy is indispensable to sustain the effect. Compression therapy has the effect of increasing the pressure in the subcutaneous tissue and preventing leakage of lymph fluid from the capillaries and retention of the lymph fluid, so it can be done after drainage to maintain drainage-induced lymph flow. In addition, the symptom can be improved by assisting the induction from the superficial lymphatic vessel to the deep lymphatic vessel. Such compression therapy is generally performed using an elastic garment such as an elastic sleeve, an elastic glove, or an elastic stocking, or an elastic bandage.

  As a technique related to compression therapy, for example, Patent Document 1 discloses an abdominal pad for treatment of lymphedema having two cushions formed in a substantially inverted triangular shape in plan view (Patent Document 1, paragraphs 0065 to 0070 and FIG. 7). And a pudendal pad for treating lymphedema (see paragraphs 0077 to 0083 and FIG. 8) including a main body and a wing portion formed in a substantially rhombus shape in plan view. These abdominal pads for treatment of lymphedema and pubic pads for treatment of lymphedema are formed with stitches that are longitudinal when mounted, thereby forming a convex shape between the stitches, Longitudinal saddle shapes are arranged in parallel.

  Non-Patent Document 2 discloses a tape-shaped (band-shaped) compression article in which a cube-shaped sponge is sandwiched between nonwoven fabrics.

Utility Model Registration No. 3113340

"Cancer Information Site Latest Cancer Statistics" website, National Cancer Center Cancer Information Service, [searched November 16, 2016], Internet <URL: http://ganjoho.jp/reg_stat/statistics/stat /summary.html> “MOBIDERM (registered trademark)” website, Solve Corporation, [searched November 16, 2016], Internet <URL: http://www.solve-net.com/MakerBusiness/THUASNE/Goods_THUASNE.html >

  At present, there are no commercially available products that can properly compress the pubic and vulva. For example, a tape-shaped compression device as described above is usually used by wrapping around a portion to be cared for and fixing it to the portion using a band or the like. Such a compression device is applied to the pubic or vulva. Wrapping is difficult, and even if a band or the like is used, kinking or displacement occurs, and it is difficult to continue to properly press the pubic or vulva.

  In addition, as described above, in order to improve the symptoms of lymphedema of the pubic region and vulva, it is effective to induce lymph from the superficial lymph vessels toward the deep lymph vessels. It is important to induce not only the flow in the vertical direction) but also the flow from the left and right center of the body toward the left and right pelvis. In this regard, in Patent Document 1, the lower abdomen is pressurized by wearing a lymphedema treatment abdominal pad using a belt, thereby causing lymph fluid in the longitudinal direction (direction of arrow F in FIG. 7 of Patent Document 1). To assist the flow of Also, the pubic area is pressurized by attaching a pudendal pad for the treatment of lymphedema using a belt, thereby assisting the flow of lymph fluid in the longitudinal direction (the direction of arrow GH in FIG. 8 of Patent Document 1). . That is, in Patent Document 1, only the flow of lymph in one direction (vertical direction or vertical direction) is considered.

  The present invention has been made in view of the above, and provides a lymphedema care pad and shorts that can prevent lymphedema in the pubic region and vulva, improve symptoms, or suppress worsening. Objective.

  In order to solve the above-mentioned problems, the lymphedema care pad according to one aspect of the present invention has an elongated sheet shape, and is formed so as to cover an area extending from at least the front of the anus to the pubic region through the vulva. A first pad portion and a sheet shape having at least a part of a shape extending from an end portion on the first pad portion side toward an end portion on the opposite side, and extending from the pubic portion of the wearer to the lower abdomen. A second pad portion formed so as to cover the region, and unevenness is provided on at least a part of the surface on the wearer side of each of the first and second pads. Is.

  In the lymphedema care pad, the unevenness is provided by disposing a plurality of protrusions formed of an elastic material on at least a part of the surface of each of the first and second pad portions. May be.

  In the lymphedema care pad, the plurality of protrusions are arranged in at least one row in the first pad portion along the longitudinal direction of the first pad portion, and the second pad portion. Are arranged in at least one row along the same direction as the longitudinal direction of the first pad portion, and in the left and right regions of the central region of the second pad portion, the longitudinal direction May be arranged in at least one row in an oblique direction.

In the lymphedema care pad, each apex of the plurality of protrusions may be curved in a spherical shape or an aspherical shape.
In the lymphedema care pad, the plurality of protrusions may include a plurality of types of protrusions having different heights.

In the lymphedema care pad, the first and second pad portions and the plurality of protrusions may be made of silicone rubber.
In the lymphedema care pad, the first and second pad portions and the plurality of protrusions may be integrally formed.

  In the lymphedema care pad, a plurality of through holes may be formed in the first and second pad portions.

  Shorts according to another aspect of the present invention are lymphedema care shorts that are formed into a short sheet body and an elongated sheet shape so as to cover a region extending from at least the front of the anus to the pubic region through the vulva. A first pad portion formed in a sheet shape having at least a portion extending from an end portion on the first pad portion side toward an end portion on the opposite side, from the pubic portion of the wearer And at least one pocket for storing a second pad portion formed so as to cover an area extending over the lower abdomen.

  In the shorts, an opening may be provided at a rear end portion of the at least one pocket.

  According to the present invention, both the region extending from the pubic region to the pubic region and the region extending from the pubic region to the lower abdomen are distributed by the first and second pad portions. Pressure can be applied by the unevenness. As a result, it is possible to induce not only the flow of lymph in one direction but also a two-dimensional flow, prevent lymphedema in the pubic and vulva, improve symptoms, or suppress deterioration. Become.

It is a schematic diagram which shows the front side of the pad for lymphedema care which concerns on embodiment of this invention. It is a schematic diagram which shows the back side of the pad for lymphedema care shown in FIG. It is a schematic diagram which shows the positional relationship of a pad and the pelvis at the time of mounting | wearing the lymphedema care pad shown in FIG. It is a perspective view which expands and shows a part of pad for lymphedema care shown in FIG. FIG. 2 is an enlarged longitudinal sectional view of the lymphedema care pad shown in FIG. 1. It is a schematic diagram for demonstrating the arrangement | sequence of the protrusion shown in FIG. It is a schematic diagram for demonstrating the arrangement | sequence of the protrusion shown in FIG. It is a schematic diagram for demonstrating the arrangement | sequence of the protrusion shown in FIG. It is a schematic diagram for demonstrating the further arrangement | positioning method of the protrusion shown in FIG. It is a schematic diagram for demonstrating the further arrangement | positioning method of the protrusion shown in FIG. It is a schematic diagram which shows the back surface (front side) of the shorts which concern on embodiment of this invention. It is a schematic diagram which shows the back surface (rear side) of the shorts which concern on embodiment of this invention. It is a schematic diagram which shows the state which made the wearer wear the shorts shown in FIG.

  Hereinafter, a pad and shorts for lymphedema care according to embodiments of the present invention will be described with reference to the drawings. In addition, this invention is not limited by the following embodiment. Moreover, in description of each drawing, the same code | symbol is attached | subjected and shown to the same part. The drawings referred to in the following description only schematically show shapes, sizes, ratios, and positional relationships so that the contents of the present invention can be understood. That is, the present invention is not limited only to the shape, size, ratio, and positional relationship exemplified in each drawing.

  In the present application, “care” for lymphedema is intended to include reduction of symptoms of lymphedema and the accompanying lymphatic leakage, suppression of exacerbation, and prevention, and prevention of the onset of lymphedema.

  1 and 2 are schematic views showing a lymphedema care pad (hereinafter simply referred to as “pad”) according to an embodiment of the present invention. Among these, FIG. 1 shows the front side of the pad, and FIG. 2 shows the back side of the pad. Here, the front side of the pad is the side facing the wearer when the pad is worn. FIG. 3 is a schematic diagram showing the positional relationship between the pad and the pelvis when the lymphedema care pad shown in FIG. 1 is worn. FIG. 4 is an enlarged perspective view showing a part of the pad.

  As shown in FIG. 1, a pad 100 according to the present embodiment includes a sheet-like first pad portion 101 as a whole and a sheet-like second pad portion 102 connected to an end portion of the first pad portion 101. With. The 2nd pad part 102 has a shape which spreads toward the other side (upper side of a figure) from the edge part side (lower side of a figure) of the 1st pad part 101 as a whole. At least a part of the first pad portion 101 and the second pad portion 102 is provided with at least part of the surface (the entire surface in FIG. 1) with irregularities dispersed therein. The skin of the wearer who wears 100 is pressurized.

  The shape and size of the pad 100 are determined such that the first pad portion 101 and the second pad portion 102 can press a necessary part of the wearer (such as the lower abdomen and the vulva). The size of the portion to be pressurized by the pad 100 varies greatly depending on the wearer's body shape, the presence or absence of the onset of lymphedema, the degree of onset, and the like. For example, between wearers who have similar body shapes but who have not yet developed lymphedema, and those who have developed lymphedema symptoms, the diameter of the lower abdomen and the lower abdomen The length of the part will vary greatly. Therefore, it is preferable to measure the body shape of each wearer and determine the shape and size of the pad 100 according to the measurement result. Or in order to improve versatility, it is good also as setting S size, M size, L size, etc. and the size of the pad 100 in steps, and selecting an appropriate size according to a wearer's body shape and symptom. In the latter case, for example, taking into account the increase in size due to the development of lymphedema, aiming at the average value of the pelvic dimensions by the external pelvic measurement method (method of measuring between the two points outside the large pelvis from above the skin) Set each size.

  Of the pad 100, the first pad portion 101 is a portion that covers a region extending from the wearer's at least the front of the anus to the pubic region 301 through the vulva 301. The length L1 of the first pad portion 101 is preferably about 13 cm to 16 cm so as to cover the region from the front of the anus to the pubic portion. Of course, there is no problem even if the first pad portion 101 exceeds the front of the anus and reaches the back of the anus or the back side of the anus. That is, the first pad portion 101 may cover a part of the wearer's anus or may cover the entire anus. The width W1 of the first pad portion 101 is preferably about 5 cm to 9 cm corresponding to the width of the crotch so as to sufficiently cover the width of the vulva and not hinder walking. In FIG. 1, the end portion 103 of the first pad portion 101 that is not connected to the second pad portion 102 has a substantially semicircular shape, but the shape of the end portion 103 is not limited to this. For example, a rectangular shape may be used, or a rectangular shape may be chamfered. However, in consideration of irritation to the wearer's skin, it is preferable that the end 103 has a shape with as few corners as possible.

  The 2nd pad part 102 is a part which covers the area | region ranging from a wearer's pubic part 302 to the lower abdominal part 303. FIG. In the present embodiment, the shape of the second pad portion 102 is an inverted triangle as a whole in accordance with this region. Specifically, the second pad portion 102 is provided with two sides 104 and 105 that form a predetermined angle with each other, and these sides 104 and 105 are respectively connected to two sides in the longitudinal direction of the first pad portion 101. The second pad portion 102 extends from the first pad portion 101 side. The angle formed by the two sides 104 and 105 is not particularly limited, but is preferably approximately 80 ° or more in order to cover the lower abdomen (pubic portion) of the wearer widely. The length L2 of the second pad portion 102 is preferably about 10 cm to 15 cm so that the region from the pubic portion 302 to the lower abdomen 303 can be covered. In addition, the width W2 of the second pad portion 102 is preferably about 22 cm to 27 cm so as to cover the iliac crest distance k1 and the anterior iliac spine distance k2 as much as possible and substantially cover the iliac bone.

  In FIG. 1, the left and right corners of a side (upper side in FIG. 1) 106 corresponding to the base of the inverted triangle are rounded, but the shape of the left and right end portions is not limited to this. For example, the left and right ends of the side 106 may be left as inverted triangular corners, or these corners may be chamfered. In the latter case, the second pad portion 102 has a polygonal shape such as a hexagon or an octagon as a whole. Further, the side 106 in FIG. 1 may be curved in a convex shape or a concave shape. For example, the second pad portion 102 may be fan-shaped as a whole. However, like the first pad portion 101, it is preferable that the second pad portion 102 has a shape with as few corners as possible in consideration of irritation to the wearer's skin.

  FIG. 5 is an enlarged vertical sectional view of the pad 100. As shown in FIG. 5, in the present embodiment, the first pad portion 101 and the second pad portion 102 are uneven by providing a plurality of protrusions 111 on the front surface of the sheet 110. The sheet 110 and the protrusion 111 may be integrally formed at the same time, or the sheet 110 may be integrated later with the protrusion 111 manufactured separately. In the latter case, the composition of the sheet 110 and the protrusion 111 does not necessarily have to be the same. Further, a plurality of through holes 112 are formed in a region of the sheet 110 where the protrusions 111 are not provided. In the present embodiment, the back surface of the sheet 110 is a smooth surface.

  The seat 110 is formed of a material having flexibility that easily deforms along the wearer's body shape when the wearer wears the pad 100. Further, the protrusion 111 is formed of a material having flexibility and elasticity that does not cause the wearer to feel pain and can moderately press the wearer's skin when pressed against the body surface of the wearer. Has been.

  As a material for the sheet 110 and the protrusion 111, it is preferable to use elastic rubber such as natural rubber or synthetic rubber, particularly soft elastic rubber. Among these, silicone rubber, which is a rubber-like silicone resin, has flexibility and elasticity that can continue to press the wearer's skin with a certain amount of force. The sheet 110 and the protrusion 111 preferably have flexibility and elasticity close to human skin, for example. In the case of silicone rubber, the flexibility and elasticity are controlled by adjusting the amount of silicone oil to be blended. There is an advantage that you can.

  Since this silicone rubber has been recognized for its high safety, it is also used in the medical field and food field, and is a material that is gentle to the skin. It can also be used continuously for a long time in contact with the skin. In addition, silicone rubber has durability that can withstand repeated use, and since there is little change in physical properties due to temperature, it can maintain a constant pressing force even when the wearer's body temperature changes. Therefore, it is suitable as a material for the sheet 110 and the protrusion 111. In the present embodiment, the sheet 110 and the protrusions 111 are formed of silicone rubber.

  The thickness t of the sheet 110 depends on the characteristics (flexibility) of the material used, but is preferably about 0.5 mm to 2 mm. If the thickness t is smaller than this range, the durability of the pad 100 may be lowered and the pad 100 becomes difficult to handle. On the other hand, if the thickness t is thicker than this range, the wearer may feel uncomfortable such as wobbling at the time of wearing, and the weight may be a burden.

  The shape of each protrusion 111 is not particularly limited, but is preferably a shape in which the pressing force against the wearer's skin tends to concentrate on one point, specifically, the tip is curved convexly, such as spherical or aspheric. It is good to make the shape. By adopting such a shape, coupled with the elasticity of each protrusion 111, the tip region of the protrusion 111 that is in contact with the wearer's skin directly or through a thin cloth or the like does not leave the skin. A massaging action that gently strokes the skin by stroking the skin with a substantially constant pressure or pressurizing while shaking along the skin occurs.

  The diameter φ1 at the base end portion of each protrusion 111 is preferably about 7 mm to 13 mm. When the diameter φ1 is smaller than the above range, the pressure that the wearer receives from the protrusion 111 may be too strong. On the other hand, when the diameter φ1 is larger than the above range, the pressure received by the wearer from the protrusion 111 becomes easy to disperse, and the distance between the tips of the protrusion 111 serving as a point of pressing against the wearer's skin is too far apart. Therefore, there is a possibility that the lymph fluid inducing action by the plurality of protrusions 111 may not be sufficiently exhibited.

  The height h of each protrusion 111 (measured from the back side surface of the sheet 110) h is preferably about 3 mm to 7 mm. Although depending on the ratio to the diameter φ1, when the height h is lower than the above range, the above-described massage action may not be sufficiently exhibited. On the other hand, when the height h is higher than the above range, the pressure on the wearer's skin may become too strong. In the present embodiment, the protrusion 111 has a substantially hemispherical shape having a diameter of about 11 mm and a height of about 5 mm.

  Here, the height h of the protrusions 111 need not be uniform among all the protrusions 111. By mixing a plurality of types of protrusions 111 having different heights, the surface of the pad 100 (the surface connecting the vertices of the protrusions 111) has subtle irregularities as a whole, so that the skin of the wearer can be more effectively applied. Can be pressurized. In this case, the height h of the protrusion 111 may be changed within a range of about 3 mm to about 7 mm, for example.

  The distance d between adjacent protrusions 111 is preferably about 2 mm to 15 mm. When the distance d is narrower than the above range, rather than the individual protrusions 111 pressurizing the wearer's skin, the plurality of protrusions 111 are pressed into a planar shape, and the action of inducing lymph is reduced. There is a risk that. Further, there is no space for providing a through hole 112 described later. On the other hand, when the distance d is wider than the above range, the distance between the tips of the protrusions 111 serving as the pressing points to the skin of the wearer is too far away, and the lymph fluid inducing action may not be sufficiently exhibited. There is.

  The through hole 112 is a hole having a diameter φ2 of about 3 mm to 9 mm, for example, and is formed by punching the sheet 110. The arrangement of the through holes 112 is not particularly limited, but may be arranged so as to be dispersed throughout the sheet 110 so as to surround the protrusions 111. Thus, by providing a large number of through holes 112 in the sheet 110, the pad 100 can be provided with air permeability, and the wearer can use the pad 100 without feeling stuffy. In the present embodiment, the diameter φ2 of the through hole 112 is about 6 mm.

  Next, a preferable arrangement of the protrusions 111 in the first pad portion 101 and the second pad portion 102 will be described. 6 to 8 are schematic diagrams for explaining the arrangement of the protrusions 111.

  The superficial lymphatic system has an attribute, and in a large lymphatic vessel such as a collecting lymphatic vessel, it is determined which lymphatic fluid flowing through which lymphatic vessel enters which lymph node. In addition, at positions such as the left and right centers of the body, the height of the umbilicus, the height of the clavicle, a boundary line is drawn to reduce the connection between the collecting tubes. This boundary is called lymphatic basin. Normally, it is difficult for the lymph fluid to flow over the lymphatic basin, and the lymph fluid flows into the collecting lymphatics through the capillary lymphatics from the gaps between the tissues in each region divided by the lymphatic basin. To the lymph node to which it belongs. Furthermore, the lymph fluid is carried deeper in the body (subfascia) and flows into the left and right supraclavicular fossa through the deep lymphatic vessels.

  Therefore, if lymphedema is caused by dissection of a lymph node in a certain region, if lymph can be induced to flow from the region to the lymph node belonging to another region, beyond the lymph basin, Symptoms of lymphedema can be improved. Since the lymph nodes are dissected in this area, even if the lymph fluid cannot be drained from the collecting lymphatic vessels belonging to this lymph node, the lymph fluid is passed through the capillary lymphatic vessels directly under the skin so as to cross the lymphatic basin. By inducing, the lymph fluid can flow into the collecting lymphatics belonging to another lymph node.

  Capillary lymphatic vessels at the end of lymph in the superficial lymphatic vessels that exist directly under the skin are very finely branched and stretched in a mesh form in subcutaneous fat. Moreover, since the capillary lymphatic vessel does not have a valve structure, the lymphatic fluid flows in any direction. Therefore, in the pad 100, in consideration of the characteristics of the capillary lymph vessel, the protrusion 111 is arranged so that the lymph fluid easily flows in the necessary direction in the capillary lymph vessel.

  As described above, the pad 100 is mounted such that the first pad portion 101 is applied to the region extending from the pudendal portion 301 to the pubic portion 302 and the second pad portion 102 is applied to the region extending from the pubic portion 302 to the lower abdominal portion 303. (See FIG. 3). Thereby, the vulva 301, the pubic region 302, and the lower abdominal region are compressed to induce the flow of lymph fluid from the capillary vein to the lymphatic vessels, and the lymph is induced from the vulva 301 side to the pubic portion 302 side, The lymph fluid is induced from the pubic bone 302 side to the vicinity of the left pelvis portion 305 and the right pelvis portion 304 to assist and promote the lymph fluid to flow into normally functioning (not dissected) lymph nodes.

  At this time, if the inguinal lymph nodes and the pelvic lymph nodes are not dissected, the lymph fluid induced from the vulva 301 side to the pubic portion 302 side can flow into the inguinal lymph nodes and the pelvic lymph nodes as they are. However, when the inguinal lymph nodes and pelvic lymph nodes are dissected, the fluidity of the lymph fluid induced by the pressure stimulation is increased, but there is no place for the lymph fluid near the pubic region 302 or the lower abdomen 303. Become. However, even in this case, if the flow to the dorsal lymph nodes and axillary lymph nodes occurs in the pelvic part, the lymph fluid flows out and the pressure in the lymph vessels in the pelvic part decreases. As a result, the lymph fluid induced from the vulva 301 to the pubic region 302 and the lower abdomen 303 can be pushed over the lymphatic varicella and flow into the dorsal and axillary lymph nodes.

In order to efficiently induce such a flow of lymph fluid, the protrusions 111 are arranged in a predetermined arrangement in each of the first pad portion 101 and the second pad portion 102.
First, in the first pad portion 101, in order to cause the flow of lymph from the vulva portion 301 to the pubic portion 302, as shown in FIG. They are arranged so as to form at least one row (5 rows in FIG. 6) in the longitudinal direction. At this time, in order to induce a flow in the direction from the pudendal part 301 to the pubic part 302 and further to the hip joint part 306, as shown in FIG. More preferable. That is, in the first pad portion 101, it is preferable to arrange the protrusions 111 at the intersections between the vertical rows shown in FIG. 6 and the diagonally upward rows shown in FIG.

  In addition, in the second pad portion 102, the lymph fluid induced from the vulva portion 301 to the pubic portion 302 by the first pad portion 101 is further guided from the lower abdominal portion 303 to the upper pelvis 307, as shown in FIG. The plurality of protrusions 111 are arranged so as to form at least one row (13 rows in FIG. 6) in the vertical direction (the same direction as the longitudinal direction of the first pad portion 101). In addition, in order to guide the lymph fluid guided upward from the pubic bone 302 also above the upper pelvis 307, the right pelvis 304, and the left pelvis 305, as shown in FIG. They are also arranged so as to form at least one row from the central region 113 in the diagonally upward direction on the left and right in the figure. Further, in order to guide lymph fluid guided upward from the pubic portion 302 to the right pelvis portion 304 and the left pelvis portion 305, a plurality of protrusions 111 are drawn in an arc from the central region 113 as shown in FIG. Are arranged so as to form at least one column from side to side. In other words, in the second pad portion 102, the protrusions 111 are arranged at the intersections of the vertical rows shown in FIG. 6, the diagonally upward rows shown in FIG. 7, and the horizontal rows shown in FIG. Is preferred.

  9 and 10 are schematic diagrams for explaining a further arrangement method of the protrusions 111. The protrusions 111 may be arranged irregularly after being regularly arranged as described above. Specifically, the protrusion 111 disposed in the central region 113 of the pad 100 and the protrusion 111 disposed at the intersection of the three directions shown in FIGS. The protrusions 111 are sequentially arranged in a range that does not approach and is not separated from the diameter 2r of the protrusion 111. In other words, a concentric circle with a radius r, a concentric circle with a radius 2r, and a concentric circle with a radius 3r are drawn around the center point O of a certain protrusion 111, and on a region S surrounded by a concentric circle with a radius 2r and a concentric circle with a radius 3r, The protrusion 111 is disposed. The position of the protrusion 111 is not limited as long as it is on the area S, and may be, for example, a position in contact with the inner circumference of the area S (see the protrusion 111a), or a position where a part of the area S is applied (see the protrusion 111b). Or a position in contact with the outer circumference circle of the region S (see the protrusion 111c). When the position of the new protrusion 111 (see the protrusions 111a to 111c) is determined in this way, the position of the next protrusion 111 is determined in the same manner based on the center point O. Thereby, as shown in FIG. 10, the irregular arrangement | positioning of the protrusion 111 can be formed.

  In this way, by disposing the protrusions 111 irregularly between the protrusions 111 regularly arranged in consideration of the direction in which the lymph fluid flows, it is possible to assist and promote the dispersed flow of the lymph fluid. Become.

  Next, the shorts according to the present embodiment will be described. FIG. 11 is a schematic diagram showing the back surface (front side) of the shorts according to the present embodiment. FIG. 12 is a schematic view showing a back surface (rear side) of the shorts. FIG. 13 is a schematic view showing a state in which the wearer is wearing the shorts.

  As shown in FIGS. 11 and 12, a shorts 200 according to the present embodiment includes a shorts main body 201 and a pocket 202 provided on the back surface of the shorts main body 201. The structure of the shorts body 201 is the same as that of general women's shorts, but it is preferable to set the size larger than a general one in consideration of edema. As a material for the shorts body 201, it is preferable to use a 100% cotton fabric in consideration of irritation to the wearer's skin.

  The pocket 202 is a storage unit for the pad 100 shown in FIG. 1 and is for fixing the position of the pad 100 with respect to the shorts body 201. The pocket 202 is formed in accordance with the shape of the pad 100 and is provided from the front side to the rear side of the shorts body 201, and has a long and narrow first storage part 203 that stores the first pad part 101, and the front side of the shorts body 201. And a second storage unit 204 that stores the second pad unit 102. The pocket 202 is sewn to the shorts body 201 at the peripheral edge except for a part thereof.

  The upper end 205 of the second storage unit 204 is sewn to the shorts main body 201 only in a predetermined range on the left and right sides (for example, a range of about 4 to 5 cm on each of the left and right sides). ing. The opening 206 is an entrance / exit of the pad 100. The width of the opening 206 is not particularly limited as long as the pad 100 can be inserted, and may be about 15 cm, for example.

  The rear end 207 of the first storage portion 203 is sewn to the shorts main body 201 only in a predetermined range on the left and right sides (for example, a range of about 3 to 5 cm on each of the left and right sides). It has been. Here, as described above, since the pad 100 is formed of a flexible material, the pad 100 is bent or clogged in the middle of the pocket 202 just by pushing the pad 100 through the opening 206, and in a flat state. It is difficult to store the pad 100 in the pocket 202. Therefore, the pad 100 can be easily stored in the pocket 202 by inserting a finger or the like through the opening 208 and pulling the pad 100. The width of the opening 208 is not particularly limited as long as a finger or the like can be inserted and the pad 100 can be gripped, and may be about 3 to 5 cm, for example.

  The side where the pocket 202 is provided is not limited to the back side of the shorts body 201. Depending on the fabric for knitting the shorts body 201, if the fabric of the shorts body 201 is thin enough to transmit the pressure applied by the protrusions 111 of the pad 100 to the wearer's skin, the pocket 202 is formed on the front side of the shorts body 201. May be provided.

  When mounting the pad 100, the pad 100 is inserted into the pocket 202 with the side on which the protrusion 111 is provided facing the inside of the shorts 200. By wearing the shorts 200 in which the pad 100 is housed in this way, the pad 100 is accurately pressed against the wearer's pelvis, lower abdomen, pubic part, vulva and anterior anus. In the present embodiment, since the pad 100 is formed of silicone rubber, the pad 100 is difficult to slip and slip in the pocket 202. Therefore, even if the wearer of the shorts 200 walks or moves around, the state where the pad 100 is appropriately pressed against each part of the wearer can be maintained.

  As described above, according to this embodiment, the wearer's first pad portion 101 and the sheet-like second pad portion 102 formed so as to spread from the first pad portion 101 can be used by the wearer. It is possible to cover at least the area extending from the front of the anus to the pubic region through the vulva and the pubic region and lower abdomen, and appropriately pressurizing these regions.

  Moreover, according to this embodiment, since unevenness | corrugation is distributed and provided in the pad 100, skin can be pressurized by the convex part among these in a substantially dot shape. That is, unlike the case of pressurizing the skin into a continuous line, the lymph can flow in all directions starting from the pressurized location. Thus, not only lymph flow along the vertical direction of the body but also two-dimensional lymph flow from the center of the body toward the left and right sides can be induced. Accordingly, it is possible to prevent the development of lymphedema in the pubic region and vulva, improve the symptoms of lymphedema and lymphorrhea, or suppress their deterioration.

  As a result of using the pad 100, if the symptoms of edema improve, the wearer's body shape becomes smaller with respect to the size of the pad 100, so the pad 100 passes over the anus of the wearer and hits the back side from the back of the anus. It becomes like this. However, even if this portion is pressed with the pad 100, the lymph fluid on the posterior side of the anus flows to the back side due to the water split, so there is no possibility that the lymph fluid stagnates. Therefore, there is no problem even if the wearer continues to use the pad 100 of the same size for the prevention of lymphedema (preventing recurrence). Of course, there is no problem even if the pad 100 having a size larger than the wearer's body shape is used even during the development of lymphedema. Also in this case, since the lymph fluid flows in a predetermined direction on the anus front side and the posterior anal side by the above-described diversion pad, an effect of reducing the symptoms of edema can be obtained.

  In addition, according to the present embodiment, the first pad portion 101 and the second pad portion 102 are provided with the plurality of protrusions 111 in an arrangement corresponding to the portion applied to the wearer's body, so that the lymph fluid in a preferred direction It becomes possible to assist the flow.

  Moreover, according to this embodiment, since the several protrusion 111 is formed with the material which has elasticity, the massage effect | action by the protrusion 111 can be acquired not only to just press a wearer's skin. Therefore, it is possible to further promote the flow of lymph.

  Moreover, according to this embodiment, since the pad 100 is formed of silicone rubber, it is possible to gently pressurize the skin naturally along the affected area or body shape of the wearer and obtain a massage action and a compression action. In addition, durability for repeated use over a long period of time and durability can be imparted to the pad 100.

  Further, according to the present embodiment, since the plurality of through holes 112 are formed in the sheet 110, air permeability can be ensured. Therefore, even while the pad 100 is being worn, it is possible to suppress the stuffiness in the onset site of lymphedema and lymph leakage, and the wearer can use the pad 100 comfortably.

  Further, according to the present embodiment, by storing the pad 100 in the shorts 200 in which the pocket 202 is provided in the shorts main body 201, the wearer simply wears the shorts 200, and the pelvis, lower abdomen, pubic bone, vulva In addition, the pad 100 can be appropriately applied to the whole anus area and can be pressurized, and the state can be maintained even if the wearer moves.

  By using such pad 100 and shorts 200, the wearer can easily perform self-care for lymphedema and lymphorrhea.

  In the development stage of the lymphedema care pad and shorts according to this embodiment, under the guidance of a lymphedema therapist, three patients A to C who have developed lymphedema try on the pad and shorts. As a result, the symptoms were improved as follows. The lymphedema care pad according to the present embodiment is intended to improve symptoms in very sensitive parts such as the pubic area and vulva, so all of the following effects are based on the declaration of the wearer. is there.

  Since patient A did not readily improve lymphedema, he moved from hospital to hospital, and the period since the onset of lymphedema was long. Because of severe symptoms of lymphedema on the thigh, she initially wore elastic stockings after undergoing lymph drainage. However, in the course of treatment, the patient complained that lymphedema had developed in the vulva, so when I tried wearing a pad and shorts for lymphedema care, it was 2-3 days after wearing. The person felt a reduction in edema in the vulva. Also, when the vulva symptoms were severe, the edema of the thigh was heavy and it was very difficult to move the legs themselves, so it was difficult to move up and down the stairs, but for lymphedema care After starting to wear pads and shorts, he was able to go up and down stairs easily when he noticed.

  Patient B is engaged in a business that often carries relatively heavy loads, and usually wears elastic stockings. However, because of lymphatic leakage during work, he took a rest from work and waited for recovery according to the doctor's instructions. However, even when lying at home, the symptoms did not improve at all. Patient B was in the acute phase of lymphatic leakage, but when lymphedema care pads and shorts were tried on, the symptoms of lymphatic leakage were resolved after 2 days.

  Patient C had lymphedema symptoms in his pubic area, and was asked to try on a lymphedema care pad and shorts. Patient C has very little activity in his life due to his medical condition, but his pubic edema has subsided.

  Thus, by wearing the lymphedema care pad and shorts according to the present embodiment, the symptoms of lymphedema and lymphatic leakage could be improved in a short period of time. As a result, the physical and mental pain of the patient can be reduced and the quality of life can be improved. In addition, the number of visits and costs in hospitals and treatment clinics can be reduced, and income can be secured when returning to work, which may lead to a reduction in economic burden as a result. .

  In the embodiment of the present invention described above, the case where the first pad portion 101 and the second pad portion 102 are integrated has been described, but they may be separated. In this case, the first pad unit 101 may be stored in the first storage unit 203 and the second pad unit 102 may be stored in the second storage unit 204 using the shorts 200, or instead of the shorts 200, the first pad unit 101 may be stored. Shorts in which a pocket for storing the first pad portion 101 and a pocket for storing the second pad portion 102 are separately provided may be used. In any case, it is sufficient that the first pad portion 101 and the second pad portion 102 are adjacent to each other to ensure the continuity of the arrangement of the protrusions 111 provided on both.

  Further, in the above embodiment, the protrusions 111 are distributed and arranged on the entire front surface of the first pad portion 101 and the second pad portion 102. However, the region where the protrusions 111 are disposed is a part of the front surface. There may be. For example, the second pad portion 101 is formed in a large size so as to cover the entire lower abdomen, and the protrusion 111 is disposed only in a substantially inverted triangular region covering the lower abdomen from the wearer's pubic portion. Also good.

100 Lymphedema care pad (pad)
DESCRIPTION OF SYMBOLS 101 1st pad part 102 2nd pad part 103 End part 104,105,106 side 110 sheet | seat 111, 111a-111c protrusion 112 through-hole 113 center area | region 200 shorts 201 shorts main body 202 pocket 203 1st storage part 204 2nd storage Part 205 upper end 206, 208 opening 207 rear end 301 vulva part 302 pubic part 303 lower abdominal part 304 right pelvis part 305 left pelvis part 306 hip joint part 307 upper pelvis

Claims (10)

A first pad portion that is in the form of an elongated sheet, and is formed so as to cover a region extending from the wearer's at least the front of the anus to the pubic region through the vulva,
Formed in a sheet shape having at least part of a shape extending from the end on the first pad portion side toward the opposite end portion, and formed to cover a region extending from the pubic portion of the wearer to the lower abdomen. A second pad portion;
With
A pad for care of lymphedema, wherein unevenness is provided on at least a part of the wearer-side surface of each of the first and second pads.   2. The unevenness according to claim 1, wherein the unevenness is provided by disposing a plurality of protrusions formed of an elastic material on at least a part of the surface of each of the first and second pad portions. Lymphedema care pad. The plurality of protrusions are
In the first pad portion, the first pad portion is arranged in at least one row along the longitudinal direction of the first pad portion,
In the left and right central regions of the second pad portion, arranged in at least one row along the same direction as the longitudinal direction of the first pad portion,
3. The lymphedema care pad according to claim 2, wherein in the left and right regions of the central region of the second pad portion, the pads for lymphedema care are arranged in at least one row in an oblique direction with respect to the longitudinal direction.   4. The lymphedema care pad according to claim 2, wherein each vertex of the plurality of protrusions is curved in a spherical shape or an aspherical shape. 5.   The lymph edema care pad according to any one of claims 2 to 4, wherein the plurality of protrusions include a plurality of types of protrusions having different heights.   The lymph edema care pad according to any one of claims 2 to 5, wherein the first and second pad portions and the plurality of protrusions are formed of silicone rubber.   The lymph edema care pad according to any one of claims 2 to 6, wherein the first and second pad portions and the plurality of protrusions are integrally formed.   The pad for lymphedema care according to claim 1, wherein a plurality of through holes are formed in the first and second pad portions. Shorts for the treatment of lymphedema,
Shorts body,
A first pad portion formed in an elongated sheet shape so as to cover at least a region extending from the front of the anus to the pubic region of the wearer through the pudendal region, and opposite to the end on the first pad portion side At least one pocket for accommodating a second pad portion formed so as to cover a region extending from the pubic portion to the lower abdomen of the wearer in a sheet shape having a shape extending at least in part toward the end portion; ,
Shorts with.   The short according to claim 9, wherein an opening is provided at a rear end of the at least one pocket.

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