Le lymphœdème peut survenir à la suite des nombreux traitements mis en place pour lutter contre le cancer du sein. La réalisation d’une cure thermale en phlébologie permet de limiter ce « gros bras » et aide la patiente dans la gestion de son quotidien. Ainsi, le thermalisme se positionne comme une prise en charge parallèle permettant d’accompagner la patiente dans sa convalescence.
Le lymphœdème du bras, une séquelle en post-cancer du sein
Souvent résumé au terme du « gros bras », le lymphœdème est l’un des effets secondaires possibles de l’éradication d’une tumeur cancéreuse. Il survient lorsque l’opération s’effectue à proximité de l’aisselle. Il est causé par l’ablation ou la fragilisation des ganglions lymphatiques.
Ce phénomène se traduit par une sérieuse augmentation du volume du bras qui est due à un ralentissement ou un blocage de la circulation de la lymphe. Celle-ci s’accumule du fait de l’absence de drainage.
Après une telle opération, une patiente peut voir la circonférence de son bras augmenter à tout moment. Le lymphœdème peut apparaître dans les mois ou les années qui suivent. Si le gonflement d’une partie ou de la totalité du bras est au départ indolore, il devient rapidement douloureux et gênant. Le lymphœdème engendre une importante fragilisation de la zone en entrainant des difficultés de mobilité dans la vie quotidienne, voire une incapacité dans l’utilisation du bras.
Pourquoi faire une cure thermale dans le cadre d’un lymphœdème du bras ?
Les différents soins réalisés durant un séjour en cure thermale, les rencontres avec des professionnels et des personnes ayant la même pathologie permettent d’apporter une véritable prise en charge aux patients, dans le but d’améliorer leur quotidien.
Ainsi, la cure thermale et les soins réalisés permettront de :
- stimuler la circulation de la lymphe afin de réduire le gonflement
- réduire l’inflammation,
- augmenter la mobilité du bras touché,
- assouplir l’oedème,
- améliorer l’élasticité de la peau,
- réduire les complications.
À la suite d’une cure thermale pour le lymphœdème, le patient constate une réduction de ses symptômes et une amélioration de sa qualité de vie.
Les soins thermaux adaptés pour le lymphœdème
Lors d’une cure thermale, les effets sont dus tant à la composition des eaux thermales, composées d’une multitude de minéraux aux nombreuses vertus, qu’à l’action mécanique des soins. En fonction de l’état de santé du patient, le médecin thermal adaptera sa prescription. De façon générale, on retrouvera dans cette prescription les soins suivants :
- le bain local ( bain pour le bras)
- la douche au jet
- la douche pénétrante
- des poses de bandage
- les bains, aérobains, bains avec hydromassage
- des massages drainants effectués par un kinésithérapeute
- des compresses d’eau thermale
- des soins spécifiques développés en exclusivité dans certaines stations thermales.
Lors d’une cure thermale, le patient reçoit 4 soins thermaux par jour, durant 18 jours. Ces soins peuvent être complétés par des programmes d’éducation thérapeutique ou des programmes complémentaires afin d’assurer une prise en charge globale.
Où faire une cure thermale pour le lymphœdème ?
Les établissements thermaux ayant une orientation en phlébologie
Les établissements thermaux ayant l’orientation en phlébologie sont indiqués dans la prise en charge du lymphœdème :
Les établissements thermaux spécialisés dans le lymphœdème
Face à cette pathologie, certaines stations thermales proposent des cures thermales dédiées permettant une prise en charge optimale du lymphœdème afin d’accroître l’autonomie des patientes.
Les thermes d’Argelès-Gazost
Situé dans les Hautes-Pyrénées, le centre est spécialisé depuis plus de 20 ans dans la prise en charge du lymphœdème du membre supérieur suite au traitement contre le cancer du sein. Il propose une cure spécialisée dans le lymphœdème avec la possibilité de suivre un programme d’Éducation Thérapeutique « Thermoedeme ». Au programme des ateliers d’auto-drainage, d’hygiène de vie, de contention active et passive ou encore le soin spécifique le “Thalaxbras”.
Les thermes de La Léchère-les-Bains
Situé en Savoie, le centre thermal propose une cure thermale spécialisée dans le lymphœdème dans le cadre d’une simple ou d’une double orientation. Il propose également le programme d’Éducation Thérapeutique « Thermoedeme » ainsi que des ateliers santé spécifiques. Il est conseillé de se renseigner directement auprès du centre pour connaître les dates des sessions de cure.
Les thermes de Luz-Saint-Sauveur
Situé dans les Hautes-Pyrénées, le centre propose une cure thermale spécifique dans la prise en charge du lymphœdème, mise en place après plus de 15 ans de recherche et de formation de l’équipe thermale. La cure thermale spécialisée « Lympho’Thermes » permet de traiter chaque saison plus de 600 curistes.
Les thermes de Barbotan-les-Thermes
Le centre thermal situé au cœur de l’Armagnac, entre forêt des Landes et Pyrénées propose une cure thermale pour le lymphœdème avec la possibilité de suivre un programme d’Éducation Thérapeutique « Vivre mieux avec un lymphœdème »
Les thermes d’Evaux-les-Bains
Situés dans le département de la Creuse, les Thermes d’Evaux-les-Bains accueillent chaque année de nombreux curistes dans une atmosphère familiale et chaleureuse. Le centre thermal prend en charge les personnes souffrant de lymphœdème en leur proposant des soins spécifiques et adaptés, dans le cadre d’une cure thermale conventionnée en phlébologie.
À savoir
La patiente doit être en rémission et ne présenter aucune contre-indication afin de suivre une cure thermale. Une cure thermale conventionnée peut être prise en charge partiellement par l’Assurance maladie. Toutefois, les modules complémentaires ainsi que les programmes d’éducation thérapeutique (ETP) restent à la charge du patient.
Thermalisme et prise en charge, quelles sont les étapes ?
Une cure conventionnée est une démarche médicale. Elle se réalise sur prescription et avis médical. Durant son séjour de 3 semaines en cure, la curiste recevra des soins quotidiens (hors dimanche). Les soins seront prescrits par un médecin thermal que la curiste rencontre avant le début de sa cure. Cela permet d’adapter le séjour aux besoins de la patiente et à son état de santé.
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