Seoul National University Tsev Kho Mob

Rov los saib dua:Ib qho electrocardiogram (ECG) tau sau cia uas siv cov electrodes tso rau ntawm daim tawv nqaij. Lawv khaws cov hluav taws xob kev co ntawm lub plawv cov pob txha, uas tso cai rau koj teeb tsa qhov loj ntawm lub siab lub plawv, li xwm yeem ntawm kev txiav txim siab lub plawv thiab lwm yam tsis dhau. Ib qho electrocardiogram tuaj yeem tshawb pom ntau yam kev tsis txaus siab ntawm lub plawv, suav nrog cov kab mob plawv, lub plawv tsis ua haujlwm, kev kho plawv, kho lub plawv, lub plawv tsis zoo, lub siab ntsws pathologies, lossis pericarditis. Qhov nruab nrab ntev nyob rau txawv teb chaws: 1 - 2 hnubYog hais tias tus electrocardiogram tsis qhia txog kab mob hauv lub siab, tus neeg mob tuaj yeem ya los ntawm dav hlau tam sim ntawd tom qab tau sai.

Kev kho mob hlwb, tseem hu ua kev kho hluav taws xob sab hauv, yog txoj kev kho mob qog noj ntshav uas qhov tshuaj txhaj nrog cov khoom hluav taws xob tau txhaj rau hauv lub cev. Cov txheej txheem kev kho mob no txo ​​cov nyhuv ntawm cov duab hluav taws xob nyob ib puag ncig cov ntaub so ntswg thiab cov plab hnyuv siab raum, piv rau hluav taws xob sab nraud, thaum tsis tsuas yog lub qog ua rau tawg.Kev kho mob hlwb yog tau ua nyob rau hauv kev tswj hwm ntawm qib siab lossis qis, thaum lub xov tooj cua tau txais kev tswj hwm ib ntus lossis txuas ntxiv (nyob rau tom kawg, cov khoom siv xov tooj cua poob lawv cov haujlwm lawv tus kheej). Kev siv hom kev kho mob nyob ntawm hom mob cancer thiab yam ntxwv ntawm txhua tus neeg mob. Cov koob tshuaj loj thiab ruaj khov siv tas mus li ntawm cov tshuaj radioactive yog siv, raws li txoj cai, rau kev mob qog nqaij hlav prostate.Pom zoo rau- Mob ntsws cancer - Prostate cancer - Khees xawj mis - Mob nqaij hlav plab - Mob kheesxaws ntawm poj niam lub paum nqaij hlav - Kev mob qog nqaij hlav cancer - Kab mob qog nqaij hlav

Qhov nruab nrab, kev hloov pauv los ntawm tus ceev xwm ceev mus rau qog mob qog noj yuav siv sij hawm 2 txog 15 xyoos. Txoj kev hloov tom ntej los ntawm thawj theem ntawm tus mob qog nqaij hlav mus rau zaum kawg tau kav 1-2 xyoos.Cervical cancer yog mob qog, uas raws li kev tshawb fawb txog kev mob ntawm cov kab mob oncological uas tshwm sim hauv kev sib deev ncaj ncees, nyob rau qhov chaw thib plaub (tom qab mob qog nqaij hlav hauv lub plab, tawv nqaij thiab qog nqaij hlav).Qhov keeb ntawm mob khees-xaws ncauj tsev menyuam yog cov qe ntshav uas npog lub ncauj tsev menyuam. Ntau tshaj 600 txhiab hauv cov hlav no tau kuaj txhua xyoo.cov neeg mob. Txawm hais tias kheesxaws ncauj tsev menyuam feem ntau tshwm sim thaum hnub nyoog 40-60 xyoo, tab sis, hmoov tsis zoo, nws nyuam qhuav dhau los hluas.Kev kho mob ncauj tsev menyuam yog sib koom ua ke thiab suav nrog kev phais mob, kev kho tshuaj thiab hluav taws xob kho. Hauv txhua kis, kev kho yog raug qhia ntawm tus kheej, nws nyob ntawm theem ntawm tus kab mob, kab mob concomitant, qhov mob ntawm ncauj tsev menyuam, thiab muaj cov mob tshwm sim rau tam sim no.Thaum lub sijhawm kev phais mob, qog yuav tshem tawm nrog ib feem ntawm ncauj tsev menyuam, tshem tawm cov qog nrog raulub ncauj tsev menyuam, thiab qee zaum nrog lub tsev menyuam nws tus kheej. Feem ntau, kev khiav hauj lwm yog ntxiv los ntawm kev tshem tawm cov qog ntawm lub pelvis (yog tias cov qog ntshav tau tswj tau mus siv tau rau nws). Qhov teeb meem ntawm zes qe menyuam tshem tawm feem ntau yog txiav txim siab ib leeg zuj zus (hauv cov theem thaum ntxov ntawm mob qog nqaij hlav hauv cov pojniam hluas, zes qe menyuam tuaj yeem khaws cia).Tom qab kev phais mob, yog tias tsim nyog, cov neeg mob tau xaj hluav taws xob kho. Txoj kev kho mob nrog ionizing hluav taws xob tuaj yeem ua ob qho tib si ntxiv kev phais mob, thiab tuaj yeem kho sib cais. Hauv kev kho mob khees xaws ncauj tsev menyuam, kev kho tshuaj, tshuaj tshwj xeeb uas ua kom tsis txhob loj hlob tuaj yeem siv tau.thiab cov cell faib cancer. Hmoov tsis zoo, lub peev xwm ntawm kev siv tshuaj kho rau tus kab mob no tsawg heev.Kev ua tiav ntawm kev kho mob qog nqaij hlav menyuam mos yog nyob ntawm lub hnub nyoog ntawm tus neeg mob, qhov tseeb ntawm kev xaiv ntawm kev kho, thiab, tseem ceeb tshaj, ntawm kev paub txog tus kab mob thaum ntxov. Thaum kuaj pom kab mob khees-xaws ncauj tsev menyuam thaum nyuam qhuav pib tshwm sim, kev kuaj pom muaj txiaj ntsig zoo thiab kab mob tuaj yeem kho los ntawm kev phais mob ib leeg.Tso tawm qhov kev thov hauv peb lub vev xaib thiab peb cov kws tshaj lij yuav tiv tauj koj thiab pab koj xaiv lub tsev kho mob zoo tshaj plaws raws li koj kis tsis pub dawb.

CyberKnife yog ib txoj kev kho mob tsis yog phais mob qog thiab mob qog. Nrog kev pab ntawm software thiab vis dis aus, qog cov qog kom sai raws li qhov muaj peev xwm tau thiab muaj kev cuam tshuam zoo nrog qhov siab ntawm hluav taws xob.

Tom qab tus neeg mob kuaj pom tias muaj qog nqaij hlav cancer thiab tau kuaj mob, nws raug xa mus rau kev sab laj oncological. Nov yog kev sib tham nrog kws kho mob thaum lub hom phiaj kho yuav tau tham.Tom qab tus neeg mob kuaj pom tias muaj qog nqaij hlav cancer thiab tau kuaj mob, nws raug xa mus rau kev sab laj oncological. Nov yog kev sib tham nrog kws kho mob thaum lub hom phiaj kho yuav tau tham. Tus kws tshaj lij oncologist yuav coj nws. Nws yuav qhia koj txhua yam koj xav paub txog koj tus kab mob thiab kev kho mob. Lub sijhawm, qhov tshwm sim, qhov xav tau tshwm sim, thiab koj cov kev cia siab. Lawm, koj tuaj yeem nug oncologist tag nrho koj cov lus nug.Thaum kho, koj tseem yuav sab laj nrog koj tus kws kho mob, uas yuav soj qab qhov kev vam meej ntawm kev kho.Pom zoo rau    Mob Cancer

nullqhia lawv tus kheej thaum ntxov ntawm tus kab mob (nrog rau kev zam ntawm stromal).Qhov muaj feem pheej hmoo pheej hmoo nrog rau:     hnub nyoog siab heev - raws li txoj cai, tus kab mob loj hlob ntawm cov poj niam tom qab lub hnub lawm, hnub nyoog 50 txog 60 xyoo (8 tawm ntawm 10 kis);      Cov poj niam muaj lub caij pib ntxov (txog 12 xyoos) thiab lub hnub ntus (tom qab 52 xyoos);      haus luam yeeb      rog dhau      noj tshuaj rau cov me nyuam hauv plab thiab kev hloov kho cov tshuaj hormones;      polycystic;      endometriosis (mob txawv txav ntawm sab hauv ntawm lub tsev menyuam);muaj mob muaj keeb (caj hlav raum) - muaj cov txheeb ze nyob ze ntawm zes qe menyuam, mis, lossis mob cancer.Cov poj niam tsis muaj menyuam thiab tsis tau pub mis rau menyuam noj kuj tseem muaj kev pheej hmoo.Qib thiab hom mob ntawm zes qe menyuamMuaj 4 theem:    Ntawm theem 1, qhov mob tshwm sim hauv ib lossis ob lub zes qe menyuam. Qhov kuaj pom yog qhov tshwm sim, txoj kev kho yog qhov zoo, feem ntau cov neeg mob mus rau hauv kev kho kom ruaj khov yam tsis rov muaj tus mob.    Ntawm cov qib 2, lub neoplasm kis mus rau lwm qhov ntawm pelvic kab noj hniav. Nyob rau hauv dav dav, thiab nyob rau theem no, kev kwv yees yog qhov zoo, raws li kev txheeb cais nyob rau hauv tsib xyoos ntaunullraws li lub degree ntawm malignancy:    chav kawm A (muaj qhov tsis zoo) - lub qog ua qog ua kom sai, cov qog hlwb nrog cov quag tsis muaj zog (muaj qhov sib txawv);     chav kawm B (mob sib tsuam) - ntau cov lus hais morphological hloov hauv qog cov hlwb piv nrog kev sib txawv heev;     chav kawm C (muaj qhov tsis zoo) - ua qog ua hlav sai, ua qes-qes.Kev Kho Mob OvarianKev sib xyaw ua ke feem ntau muaj kev sib txuas ntawm cov txheej txheem phais (phais) thiab kev siv tshuaj kho.Kev phais mobRaws li txoj cai, thaum phais mob qog nqaij hlav rau zes qe menyuam, ob leeg ob leeg sib txuam, ob leeg txoj hlab qe menyuam thiab lub tsev menyuam, cov leeg nyob ze thiab qhov quav ntawm adipose nqaij hauv lub plab ua kom tshem tawm,uas tus kabmob kis tau kis mus.Yog tias tus poj niam hluas tuaj yeem tshawb pom tus kab mob thaum pib (nyob rau theem 1), qee kis muaj kev cuam tshuam maj mam phais mob nrog kev tshem tawm lub zes qe menyuam thiab txoj hlab qe ntshav ntawm ib sab. Ntxiv nrog rau qhov tseeb tias kev kuaj mob kho mob hauv qhov teebmeem no yog qhov zoo, qhov no pab kom muaj kev cia siab ntawm cev xeeb tub.Txo kom txo kev raug mob thiab qhov yuav ua rau muaj teeb meem, ntxiv rau kev kho kom zoo nkauj, kev phais mob qog nqaij hlav rau zes qe menyuam tuaj yeem ua tiav siv cov Robot da Vinci ntse lub cev tsis muaj zog.Kws khomobKev siv tshuaj kho rau zes qe menyuam feem ntau yog tshuaj tom qab phais mob ua ib feem ntawm txoj kev kho mob. Cov tshuaj feem ntau yog caimus rau txoj leeg ntshav lossis ncaj qha rau hauv plab plab, ua ke ntawm cov hau kev no kuj tseem siv.Hauv cov theem tom qab, kev siv tshuaj khomob tuaj yeem raug xaiv raws li cov qauv tseem ceeb ntawm kev kho.Kev siv hluav taws xobMuaj qee zaus (nrog mob hnyav, los ntshav los ntawm qog), kho hluav taws xob sab nraud los yog xoo hluav taws xob (sib chwv hluav taws xob) muaj nyob rau hauv kev kho mob rau mob qog mis hlav.Rov qab los tom qab kev kho mobNrog kev rov kho dua qub, tag nrho cov kev rov qab los tom qab kev kho mob ntawm zes qe menyuam hauv cov poj niam yuav siv sijhawm li 6 lub lis piam. Yog hais tias lub tsev menyuam tau raug tshem tawm, hauv 3-4 lub lis piam nws yog qhov tsim nyog yuav tsum tau tso pov tseg kev sib deev. Hauv qee kis, koj tus kws kho mob tuaj yeem sau tshuaj hormones thiab vitamin D.

Daim tawv nqaij mob yog ib qho teeb meem tshwm sim ntau. Hauv ntiaj teb no, Australia, New Zealand thiab Tebchaws USA ua rau cov neeg mob melanoma coob leej nyob rau ib xyoos. Hauv Lavxias, raws li lwm qhov nyob hauv lub ntiaj teb, cov lus qhia morbidity tau loj hlob.Raws li Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv, 132,000 tus neeg mob melanoma tshiab tau qhia txhua xyoo hauv ntiaj teb. Cov neeg mob feem ntau yog cov neeg laus, tom qab 50 xyoo tus naj npawb ntawm cov txiv neej mob yog 2-3 npaug dua li poj niam. Tab sis rau cov tub hluas thiab ntxhais hluas, kev mob tawv nqaij yuav tshwm sim ntau zaus. Raws li cov kws kuaj xyuas kabmob, qhov noKab mob kheesxaws hauv tebchaws Russia thib ob tsuas yog mob ntsws, mob cancer mis thiab mob cancer prostate. Hauv lwm lo lus, qhov no tsis yog hais txog qee qhov kab mob txawv, tab sis hais txog kev hem thawj rau kev noj qab haus huv.Hom ntawm daim tawv nqaij oncologyCov tawv nqaij uas nquag muaj xws li:Basal cell carcinoma - cov qog ntshav no kuaj hauv 7 kis ntawm daim tawv nqaij ua tawm ntawm 10. Basalioma zoo li zoo li hnia lossis qhov caws pliav xim liab-xim av lossis xim paj yeeb, uas feem ntau tshwm rau ntawm lub ntsej muag. Ib qho neoplasm tuaj yeem qee zaum khaus, mob lossis los ntshav - nws maj mam nce loj,yam uas tsis ua rau ib tus neeg qhia tias tsis xis nyob, uas yog vim li cas kev mus ntsib kws kho mob yuav qeeb. Hmoov zoo, cov qog no tsis tshua muaj kis thoob plaws lub cev (muab metastases), yog li ntawd, kev kwv yees rau cov neeg mob feem ntau yog qhov muaj txiaj ntsig.Squamous cell carcinoma ntawm daim tawv nqaij (squamous cell carcinoma) feem ntau zoo li lub nceb hauv cov duab: ib puag ncig lub cev nrog lub ceg nyias nyias. Cov qog no zoo ib yam li pob txhaws: feem ntau nws muaj nyob ntawm thaj ntsej muag, thaj av ntawm thaj chaw qis. Hauv qee qhov ntau ntawm squamous cell carcinoma, ib lub neoplasm tuaj yeem lees paub tsuas yog hloov xim ntawm daim tawv nqaij: hauv thaj chaw pathologicalnws zoo li daj lossis tawv nqaij. Hauv theem tom qab, carcinoma ua rau kev tsim cov metastases thiab qee zaum tsis tuaj yeem tiv thaiv.Melanoma yog hom qog nqaij uas txaus ntshai tshaj plaws uas ua rau neeg tuag ntawm daim tawv nqaij feem ntau. Nws tshwm sim feem ntau los ntawm moles - ntau zuj zus ntawm cov xim hlwb, melanocytes, tab sis tsis tsuas: melanoma tuaj yeem cuam tshuam rau retina, cov qog ua kua (qhov ncauj ntawm qhov ncauj, lub paum, lub qhov quav). Qhov no neoplasm yog tus cwj pwm los ntawm kev loj hlob sai thiab ntxim rau qhov tsim ntawm ntau cov metastases nyob deb - hauv cov pob txha, lub hlwb, lub ntsws, lub siab. Txawmnrog cov kev kho mob kom raws sij hawm, cov neeg mob melanoma feem ntau muaj mob huam rov qab - qog ua qog nce ntxiv tom qab ob peb xyoos.Nws muaj ntau txoj hauv kev rau kev tawm tsam mob cancer ntawm daim tawv nqaij.Kev phais mob yog txoj kev pheej hmoo tshaj plaws kom tshem tau cov qog. Kev ua haujlwm loj tshaj plaws tau muab sau cia thaum ntxov, thaum lub qog ntshav tsis cuam tshuam rau cov qog ntshav thiab lwm yam kabmob thiab cov nqaij. Tom qab tshem tawm cov qog, cov kws phais tau ua kev ceevfaj (electrocoagulation) thiab kho mob (kho) ntawm lub qhov txhab ua kom puas tsuaj rau cov qog nqaij hlav uas tseem tshuav. Txij li thaum mob tawv nqaij feem ntau loj hlob ntawm lub ntsej muag, muaj kev cuam tshuam maj mam,uas txo qis qhov zoo nkauj tsis zoo. Cov no suav nrog kev quaj ntsuag, uas lub qog yuav khov nrog kua nitrogen thiab muab tshem tawm yam tsis muaj kev raug mob nqaij ntau. Txawm li cas los xij, nws yuav tsum to taub tias nyob rau hauv cov mob muaj kev txhoj puab heev ntawm cov mob qog nqaij hlav - squamous cell carcinoma thiab melanoma - nws tsis yooj yim sua kom ua kev xaiv kom haum qhov tsawg kawg ntawm kev phais. Kev phais mob micrographic, raws li tus txheej txheem MOHS (Mohsa), suav tias yog kev nyab xeeb thiab muaj txiaj ntsig zoo tshaj plaws niaj hnub kev phais mob rau cov mob qog nqaij hlav. Nrog nws, tawv nqaij nrog cov qog nqaij hlav tawm hauv cov khaubncaws sab nraud povtseg, hauv qab tswj hwm ntawm lub tshuab tsom, thiab txhua txheej yog ncaj qha rau hauvthaum lub sijhawm ua haujlwm raug xa mus rau kev tshuaj xyuas ntxiv mus rau chav kuaj ntshav. Tus kws phais mob tso tseg txoj kev cuam tshuam tsuas yog nyob rau lub sijhawm thaum cov kws tshawb nrhiav pom tias qhov txhab yog dawb ntawm cov hlwb malignant.Kev siv hluav taws xob yog siv los ua qhov txiav txuas rau txoj kev phais mob. Kev xoo hluav taws xob yog cuam tshuam rau cov hlwb ua rau kev loj hlob sai, yog li ntawd, qhia cov kab hluav taws xob ntawm ionizing hluav taws xob tuaj yeem txo qhov loj ntawm cov qog, ntxiv rau rhuav tshem cov hlwb malignant uas muaj sia nyob tom qab kev phais mob. Lub sijhawm ntsuas hluav taws xob ntev thiab koob tshuaj hluav taws xob ntau yog rau txhua tus neeg mob.Kev siv tshuaj zawv plaub hau yog kab ke thiab hauv zos. Nrog rau kev teem sijhawm ntawm cov txheej txheem no, cytotoxic (cuam tshuam raucov hlwb) ib lub tshuaj yog tso rau hauv qhov ntswg lossis thov ncaj qha rau cov qog. Xws li txoj hauv kev yog qhov tseem ceeb heev hauv kev txheeb xyuas cov metastases thaum foci ntawm qog nqaij hlav nyob sab nraud tsis ncav cuag ntawm cov kws phais neeg.Photodynamic kev kho mob cuam tshuam nrog kev puas tsuaj ntawm cov qog los ntawm cov nqaj laser tom qab ua ntej kev ua tiav photosensitization (nce rhiab ntawm cov hlwb rau lub teeb). Qhov qauv no yog qhov tshiab, thiab nws siv tsis tau phais yog raug rau kev sib tham. Txawm li cas los xij, kev tsim kho thev naus laus zis ua rau qhov tseeb hais tias kev kho duab photodynamic yog maj mam pib qhia rau hauv kev kho mob hauv tsev kho mob.Kev siv tshuaj tiv thaiv thiab kho kom zoo - cov txheej txheem nyuaj thiab cog lus nrog cov phiaj.cov qog los ntawm kev ua kom muaj zog hauv lub cev lossis kev qhia cov tshuaj tsim tshwj xeeb rau qee hom mob qog nqaij hlav raws tus neeg keeb kwm ntawm tus neeg mob. Qee cov kws tshaj lij paub tseeb tias dhau sijhawm thaj chaw no hauv oncology yuav hloov tag nrho lwm txoj kev kho tus mob neoplasms, tab sis tam sim no, kev tiv thaiv kab mob thiab kev kho mob tau siv nrog rau lwm cov txheej txheem thiab - rau kev tiv thaiv kom rov huam mob tuaj.Tso tawm qhov kev thov hauv peb lub vev xaib thiab peb cov kws tshaj lij yuav tiv tauj koj thiab pab koj xaiv lub tsev kho mob zoo tshaj plaws raws li koj kis tsis pub dawb.

nullKev siv tshuaj thiab hluav taws xob tau txuas nrog rau kev ua haujlwm. Cov kev xaiv ntawm txoj hauv kev ntawm txoj hau kev kho yog sau los ntawm qhov loj thiab qhov chaw ntawm qog, tus neeg mob thiab cov kab mob concomitant.Nrog rau lub qog me me uas tsis tawm mus rau mucosa, tsuas yog cov mucosa nrog cov hauv qab txheej yog xa rov qab nrog txoj hnyuv phais, thiab cov txiaj ntsig kho tau zoo heev.Ntawm theem I - II ntawm cov qog nqaij hlav, ib feem ntawm txoj hlab pas tshem tawm, qhov ua tsis tiav tau puv nrog ib ntu ntawm txoj hnyuv lossis lub raj tau tsim los ntawm lub plab. Niaj hnub no nws muaj peev xwm siv cov khoom siv endoscopic rau cov haujlwm no.Nrog rau kev sib kis ntawm cov qog mus rau cov leeg txheej thiab ntxiv mus, kev ua haujlwm kuj tseem ua, tab sis qhov nonullQee zaum chemoradiotherapy yog ua nrog kev phais neeg tsis txaus. Kev siv tshuaj kho mob tuaj yeem ua yog tias kev phais mob tsis tuaj yeem, thaum lub qog loj dhau, lossis nrog lub qog ntshav me, tab sis nrog rau qhov dav dav contraindications rau kev phais mob. Hauv qhov kev xaiv tshwj xeeb no, kev ciaj sia los piv nrog kev phais mob. Nyob rau hauv muaj ntawm fistulas, chemoradiotherapy tsis tau. Siv tshuaj kho yuav nyuaj los ntawm qhov mob tshwm sim ntawm txoj hnyuv quav ntawm txoj hlab pas, uas yuav xav noj ib pluas mov.Tso tawm qhov kev thov hauv peb lub vev xaib thiab peb cov kws tshaj lij yuav tiv tauj koj thiab pab koj xaiv lub tsev kho mob zoo tshaj plaws raws li koj kis tsis pub dawb.

Rov los saib dua:Kev phais mis yog txoj kev phais mob rau kev hloov qhov loj thiab cov duab ntawm cov qog mammary. Nws ib txwm ua los siv kev cog hniav ntxig rau ntawm lub mis, tab sis ib daim ntaub so ntswg adipose kuj tseem siv. Hauv rooj plaub thib ob, nrog kev pab ntawm liposuction, rog yog tau los ntawm lub plab thiab lub duav, thiab tom qab ntawd nws tau qhia rau hauv qog mammary. Raws li txoj cai, kev hloov ntawm daim ntaub adipose tso cai rau koj nce lub mis loj los ntawm qhov siab tshaj 200 cubic centimeters (kwv yees li ib qho loj). Qhov nruab nrab ntev nyob rau txawv teb chaws: 1 lub lis piam