Goldenes Kreuz Private Hospital (Vienna)

Ndemanga:Hysterectomy ndi ntchito yochotsa chiberekero. Ndi hysterectomy, chiberekero chokha chimachotsedwa, kapena khomo lachiberekero, mazira ndi mazira a fallopian. A hysterectomy amatha kuchitika kudzera pamimba pamimba (m'mimba hysterectomy) kapena kudzera mu nyini (vagst hysterectomy). A hysterectomy amatha kuchitidwa opaleshoni yotseguka kapena opaleshoni ya laparoscopic (arthroscopic surge). Uterine fibroids ndizomwe zimayambitsa hysterectomy. Popeza nthawi yokonzanso ndi yayitali kwambiri, ntchito ikuwonetsedwa mkati mokhangati chithandizo china sichinaphule kanthu. Pambuyo pa hysterectomy, mkazi amasiya kusamba, sangakhale ndi ana, ndipo amamuthandizira kulandira mankhwala osintha ma hormone. Kutalika kwakukulu kukakhala kunja: 1 - 3 milunguPambuyo pa opaleshoni, mkazi amafunika milungu ingapo ya kukonzanso asanasamuke. Dotolo ayenera kuonetsetsa kuti wodwalayo akhazikika, ndipo ali wokonzeka kuyenda.

Chinthu choyamba chomwe odwala ndi mayi aliyense ayenera kudziwa pokhudzana ndi khansa ya m'mawere (monga, momwe ziliri ndi mtundu uliwonse wa khansa): lero lino si chiganizo, gawo loyambirira la matendawa, limwopseza mwayi wogonjetsa khansa kwathunthu. Ngakhale m'magawo apambuyo pake, pali mipata yambiri komanso yambiri yolimbana ndi matendawa chifukwa cha njira zamakono zosinthira chithandizo (onani pansipa).Ndani ali pachiwopsezo? Khansa ya m'mawere ndi vuto loipitsitsa lomwe limapezeka pafupifupi mwa akazi khumi. Khansa ya m'mawere imatha kupezeka ali ndi zaka zilizonse, koma zikafika zaka 65, ndiye kuti chiwopsezochochotupa mapangidwe ndi 6 kuchulukirapo kuposa kale. Ofufuzawo anazindikira izi zomwe zimayambitsa matendawa:1) cholowa cholemetsa: ngati achibale, makamaka akakhala ndi amayi, apezeka ndi khansa ya m'mawere, ziwalo zoberekera za amayi, komanso matenda ena a oncological, ndiye kuti chiopsezo chokhala ndi khansa ya m'mawere chikuwonjezeka;2) kumayambiriro kwa kusamba (mpaka zaka 12) komanso kutha kwa msambo (pambuyo pa zaka 55);3) osabereka, nthawi yoyamba kubadwa (pambuyo pa zaka 30), kuchepa kwa mkaka kapena nthawi yochepa yoyamwitsa, pambuyo pake;4) moyo wosagonana wogonana;5) kuvulala kwa gland;6) matenda a "dishormonalmammary gland hyperplasia ”;7) kunenepa kwambiri;8) kukanika kwa chithokomiro;9) kusintha kwa mahomoni.Zizindikiro za Khansa ya M'mawere Muzochitika zachipatala, chotupa mu chithokomiro cha mammary nthawi zambiri chimapezeka ndi mzimayi kapena mkazi, zomwe zimachitikanso. Chotupa chija chitha kuwoneka pakufufuzidwa ndi a mammologist, gynecologist, opaleshoni, kapena kungakhale mwangozi pofufuza mayeso.Zizindikiro ziti    kuphatikiza pakumvetsetsa kwamaphunziro m'mawere, mayi amatha kuwona kusintha kwa nsonga zake: zilonda zam'mimba, kuzimiririka, kuwona kuchokera ku nsonga zamabele. Uwu ndi nthawi yolankhula ndi dokotala nthawi yomweyo!     pambuyo pake magawo angapokufooka okulira, kuwonongeka kwa thanzi, kutsokomola, kupuma movutikira, kupweteka kwa mafupa kumatha kuchitika.Chithandizo cha Khansa ya M'mawere Chithandizo cha khansa ya m'mawere chimachitika m'magawo angapo pogwiritsa ntchito njira zosiyanasiyana. Njira zitatu zazikulu zomwe zikugwiritsidwa ntchito masiku ano:Mankhwala antitumor mankhwala.Pali mitundu ingapo ya mankhwalawa, yomwe ndi:* chemotherapy: Pankhaniyi, mankhwala omwe cholinga chake ndi kuwononga maselo a chotupa amagwiritsidwa ntchito;* mankhwala a mahomoni, ndiye kuti, kugwiritsa ntchito mankhwala osokoneza bongo omwe amachitika mu chotupa ndi m'thupi;* Chithandizo cholunjika ndi njira yatsopano, njira yomwe mankhwala "amawongolera" pazomwe zimapangitsa maselo a chotupa ndikuchita mosamalitsa wathanziminofu yaumunthu;* Immunotherapy ndiye njira yatsopano kwambiri, yomwe masiku ano pamakamponi apadziko lonse a oncologists amatchedwa imodzi mwanjira zapamwamba komanso zolimbikitsira zolimbana ndi khansa zamitundu mitundu. Chinsinsi cha immunotherapy ndichopangira mwapadera maselo chitetezo cha wodwalayo. Chifukwa cha ukadaulo wawo wapadera, amasintha kukhala chida champhamvu chomwe chimatha kuzindikira ndikuwonongeratu maselo a khansa.Pozindikira khansa ya m'mawere, chithandizo chamankhwala othandizira ndi chithandizo cha radiation imagwiritsidwanso ntchito.Siyani pempho patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi vuto lanu.

Pafupifupi, kusintha kwa precancer kukhala chotupa cha khansa kumatenga zaka ziwiri mpaka 15. Kusintha kwotsatira kuyambira gawo loyambirira la khansa kupita komaliza kumatha zaka 1-2.Khansa ya khomo lachiberekero ndi chotupa chowopsa, chomwe malinga ndi ziwerengero zamankhwala pakati pa matenda a oncological omwe amapezeka pakati pa kugonana koyenera, chimatenga malo achinayi (pambuyo pa khansa yam'mimba, khungu ndi ma gonia a mammary).Gwero la khansa ya khomo pachibelekeropo ndi maselo abwinobwino omwe amaphimba khomo pachibelekeropo. Zoposa 600,000 zotupa izi zimapezeka pachaka.odwala. Ngakhale khansa yamchiberekero imakonda kupezeka pakati pa zaka 40-60, koma, mwatsoka, posachedwa idakula kwambiri.Chithandizo cha khansa ya khomo lachiberekero chimaphatikizidwa ndikuphatikiza opaleshoni, chemotherapy ndi radiation. Munthawi zonsezi, chithandizo chimagwiritsidwa ntchito payekhapayekha, zimatengera gawo la matendawa, matenda oyanjana, momwe khomo lachiberekero limakhalira, komanso kukhalapo kwa matenda opatsirana pakalipano.Pakupanga opaleshoni, chotupa chimatha kuchotsedwa ndi mbali ina ya khomo pachibelekeropo, kuchotsa chotupa chijakhomo pachibelekeropo, ndipo nthawi zina ndi chiberekero lokha. Nthawi zambiri, opareshoni imathandizidwa ndi kuchotsedwa kwa ma lymph node a pelvis (ngati maselo a khansa atha kuzolowera). Nkhani yakuchotsa kwamchiberekero nthawi zambiri imasankhidwa payekhapayekha (kumayambiriro kwa khansa m'mayi achichepere, thumba losunga mazira limatha kusungidwa).Pambuyo pa opaleshoni, ngati kuli kotheka, odwala amapatsidwa mankhwala a radiation. Kuchiza ndi ionizing radiation kumatha kuphatikiza chithandizo cha opaleshoni, ndipo amatha kuperekedwa padera. Pochiza khansa ya khomo lachiberekero, chemotherapy, mankhwala apadera omwe amaletsa kukula angagwiritsidwe ntchito.ndi khansa kugawanika. Tsoka ilo, kuthekera kwa chemotherapy kwa matendawa ndizochepa.Kupambana kwamankhwala othandizira khansa ya khomo pachifuwa kumadalira msinkhu wa wodwalayo, kulondola kwa kusankha kwa mankhwalawo, ndipo koposa zonse, pakudziwitsa matendawo. Khansa ya khomo lachiberekero ikapezeka kumayambiriro kwake, matendawa ndi abwino kwambiri ndipo matendawa amatha kuchiritsidwa ndi njira zopangira opaleshoni yokha.Siyani pempho patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi vuto lanu.

Zomwe muyenera kudziwa pokhudzana ndi njira yolimbitsira thupi ngati mukufuna kuchita IVF?Kwa mabanja ambiri, IVF ndiyo njira yokha yokhala ndi mwana yemwe akuyembekezeredwa kwa nthawi yayitali. Ndondomeko yamtundu wanji, ndiotetezeka, kukonzekera IVF kumayenda bwanji ndipo ndalama zingati?Chinsinsi cha njira ya IVFIVF ndi njira ya umuna kunja kwa thupi: mazira ndi umuna amachotsedwa m'thupi, umuna umachitika mu labotale. Kenako mazira okhathamirawa amaikidwa mu chofungatira kwa masiku 5-6 ndipo mothandizidwa ndi magawo obzalidwa chiberekero.Zizindikiro zakusankhidwaIVF ikuwonetsedwa mu zochitika zambiri za kusabereka: •pamwambapa, nthawi zambiri ndizopangidwa ndi ukadaulo wothandiza.ICSI - kuyambitsa umuna mu dzira pogwiritsa ntchito singano yopyapyala. Zachitika ngati •labotale zinthu. Imagwiritsidwa ntchito ngati kukondoweza kulephera. Amapewa kukondoweza kwa mahomoni.Kuthandizidwa kumalumikizidwa ndi ukadaulo womwe umathandizira kukhazikitsidwa kwa mluza kulowa m'chiberekero. Mluza umazunguliridwa ndi chipolopolo chocheperako, chomwe chimawonongedwa asanamilidwe.Kukonzekera IVF, kuchita ndendende ndikuwunikira pambuyo pa IVFKukonzekera IVF kumatenga pafupifupi milungu iwiri ndipo kumakhala ndi mayeso kwa okwatirana. Pulogalamu ya IVF nthawi zambiri imaphatikizapo: •nullNgati IVF sichikupereka zotsatira zoyenera, maanja ena amatembenukira ku ntchito za amayi omwe ali ndi mayi wongobwera kumene.M'mayiko ena, kuphatikiza maulamuliro ndi koletsedwa ndi malamulo, koma kuli mayiko omwe ma surrogacy amafunikira kwambiri, mwachitsanzo, ku Kazakhstan.Masiku ano ku Russia, Kazakhstan ndi maiko ena a CIS, ndizotheka kuchita IVF kwaulere ndi mtundu uliwonse wa kusabereka.Siyani pempho patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi vuto lanu.