Privatklinik Döbling (Vienna)

Chikhazikitso cha mano ndi lingaliro laling'ono lomwe limapangidwa pachibwano la nsagwada kuti lilowe m'malo mwa dzino lachilengedwe. Imagwira ngati mizu ya dzino ndipo pamapeto pake imatsatira mwamphamvu fupa lachilengedwe.Nthawi zambiri, amadzalamo fupa la nsagwada ndipo mkati mwa miyezi 1.5-6 mumamera mizu mkati mwake, nkumasakaniza. Chifukwa chake, amachiritsa osakakamizidwa chifukwa cha kutafuna, komwe kumachepetsa chiopsezo cha kuchira osachiritsidwa. Pambuyo poti ziziwalirazo, dotolo wam mano amapanga chithunzi kuti apange korona, yemwe adzaikapo pamwambakulowetsa ndi kutulutsa (cholumikizira).Kutengera ndi kupindika kwa fupa la nsagwada ndi zina, nthawi yomwe ikulowetsedwa ndikukhazikika kwa chikhazikitso chokhazikika imakhala yosiyana pa milandu iliyonse. Madokotala ena amati masabata 6 ndi okwanira, mwa ena amawaika mano tsiku lililonse tsiku lililonse pogwiritsa ntchito malowedwe ofanana ndi Straumann.Chowalitsira mano chitha kugwiritsidwa ntchito kukhazikitsa dzino limodzi kapena ngati chinthu chothandizira kukhazikitsa mano. Pankhani ya ma prostate athunthu amadzala a 4 ndi milatho ina ndipomano opeka onyenga ozikidwa pamalowo amagwiritsidwa ntchito molingana ndi mtundu wina wa ma prostate omwe amathandizira gawo lonse la mano (mpaka mano 10 kapena 12).Zilowetso zamano zimagwiritsidwa ntchito kwa odwala omwe amaphonya mano ndikufufuza njira yokhazikika, yomwe imawalola kuti azikhala olimba mtima ndi mawonekedwe awo, komanso mphamvu yodya komanso kuyankhula bwino.Nthawi zambiri, amadzalamo amaikidwa m'nsagwada kenako nkuchiritsidwa (ndikusokonekera kwambiri) pakati pa masabata 6 mpaka 6 miyezi.Izi zimathandizira wofunikayo kuchira popanda kukakamizidwa ndi kutafuna komanso kumachepetsa chiopsezo chakulephera kulowa. Kapangidweko kukakhala kotetezeka, dokotala wamano amatenga lingaliro pakamwa kuti apange korona kuti akhale pamwamba pamalowo ndi cholumikizira (cholumikizira, pakati pa awiri).Nthawi yofunikira pakati pa kuyikidwa kwa chikhazikitso ndikugwiritsidwa ntchito kwa chidziwitso chomaliza cha mankhwalawa imatha kusiyanasiyana, kutengera kutsekeka kwa chibwano ndi zina. Madokotala ena amati masabata 6 ndiokwanira, ndipo zipatala zina zimapereka mano atsopano patsiku pogwiritsa ntchito machitidwe mongaInstantum Straumann Katundu wam'mano.Chingwe chama mano chitha kugwiritsidwa ntchito kuchirikiza dzino limodzi, komanso chitha kukhala gawo la kubwezeretsa pakamwa konse. Zosankha monga All-4 ndi ena Kukwaniritsa-Kothandizidwa ndi Miyezo Yamalowedwe Opangira Ma mano Dongosolo limagwiritsa ntchito mitundu ingapo ya mano kuti ithandizire kuyimitsa mutu wonse (mpaka mano 10 kapena 12).YalangizidwaZilowetso zamano zimalimbikitsidwa ngati mano atayika, ngati njira yokhazikika yokhazikika yomwe ingapatse wodwalayo chidaliro chawo, imawalola kudya ndi kuyankhula popanda zopinga.

Kayezetsa kachirombo ka HIV nthawi zambiri kumatchedwa kuyesa kapena kukayezetsa, kuchokera ku Chingerezi kukayezetsa, mayeso aumoyo wa wodwalayo. Kayezetsa kuchipatala kumatha kuthandizanso kuzindikira mavuto anu kuyambira pachiyambire, ngakhale isanayambike zizindikiro, komanso kungalimbikitse odwala omwe ali ndi nkhawa chifukwa cha thanzi lawo kapena ali ndi zizindikiro zokayikitsa.Kuyesedwa kwakanthawi kachipatala (kuyendera) ndikulimbikitsidwa kuti kuchitike zaka zingapo zilizonse. Makamaka kwa odwala omwe ali ndi zochulukirapokulemera, zizolowezi zoipa, kapena mbiri ya banja yakudwala monga matenda a mtima, khansa, kapena matenda ashuga. Kupimidwa kungathandize kuzindikira mavuto monga kuthamanga kwa magazi kapena matenda a mtima oyamba. Odwala azitha kusintha momwe amakhalira ndi moyo wawo, ndipo ngati kuli kotheka, ayambe kumwa mankhwala, kupewa matenda opitilira muyeso.Pali mayeso osiyanasiyana osiyanasiyana komanso mayeso omwe angaphatikizidwe kokayezetsa kuchipatala, kuphatikizakuyezetsa magazi, kulingalira za matenda, kufufuza mtima ndi ena ambiri. Kufufuzako kungaphatikizeponso kuyesa kwa magazi kwa zotupa zomwe zimazindikira ma cell a khansa mthupi.Kuyendera ndikulimbikitsidwa kwa aliyense amene amakayikira za thanzi lawo kapena amene ali ndi zizindikilo zomwe zimafuna kuwunikidwa nthawi zonse.YalangizidwaKuyesedwa kwachipatala kwakanthawi zonse kumalimbikitsidwa kwa odwala onse, makamaka iwo omwe ali pachiwopsezo chachikulu chotenga matenda ena.

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.

Matenda ofalaKhunyu, yomwe imakhudza anthu opitilira 50 miliyoni padziko lonse lapansi, imayambitsa gawo lalikulu la matenda padziko lonse lapansi. Akuyerekeza kuti gawo la anthu onse okhala ndi khunyu (ndiye kuti, pogwirira ntchito mosalekeza kapena kufunika kwa chithandizo) munthawi yochokera ndikuchokera kwa 4 mpaka 10 pa anthu 1000. Komabe, zotsatira za kafukufuku wina m'maiko otsika ndi ochepa amapeza kuti kuchuluka kumeneku ndikwambiri - kuchokera pa 7 mpaka 15 pa anthu 1000.Akuti padziko lonse lapansi, khunyu umapezeka chaka chilichonseAnthu 2.4 miliyoni. M'mayiko omwe amalandila ndalama zambiri, chiwerengero cha anthu omwe amadwala chaka ndi chaka pamatenda opezeka pakati pa 30 ndi 50 pa 100,000. M'mayiko omwe amalandila ndalama zochepa komanso apakati, chiwerengerochi chingakhale chokwera kawiri.Mitengo okwera kwambiri m'maiko otsika ndi apakati imatha kuphatikizidwa ndi chiwopsezo cha matenda opezeka ndi malungo ndi neurocysticercosis; kuchuluka kwa ngozi zapamsewu; kuvulala kwa kubala, komanso kusiyana pakumanga kwachipatala, kupezeka kwa mapulogalamu othandizira kupewa komanso kulandira chithandizo chamankhwala chodalirika.nullnullnullnullmankhwala, opaleshoni ingathandize.KupewaIdiopathic khunyu sitingapewere. Komabe, pazifukwa zodziwika za khunyu yachiwiri, njira zoteteza zingathe kuchitidwa.    Kupewa kuvulala kumutu ndiye njira yothandiza kwambiri yopewa matenda amkati.     Kusamalira moyenera kumathandizira kuchepetsa zovuta za khunyu zatsopano chifukwa chovulala pakubadwa.     Kugwiritsa ntchito mankhwala osokoneza bongo komanso njira zina zochepetsera kutentha kwa thupi kwa ana omwe ali ndi malungo kumachepetsa mwayi wolandidwa.     Matenda amitsempha chapakati ndiomwe amachititsa kwambiri matenda a khunyu m'malo otentha kumenepali mayiko ambiri akutukuka. Kuwonongeka kwa majeremusi pansi pa mikhalidwe iyi ndi ntchito yophunzitsira yokhudza kupewa matenda ndi njira zabwino zochepetsera kulemera kwa khunyu padziko lonse lapansi, mwachitsanzo, khunyu chifukwa cha neurocysticercosis.Allhospital akufuna kuvomereza Profesa Antonio Russi (Teknon Kiron Clinic, Barcelona), m'modzi mwa akatswiri othandiza kwambiri matenda akhunyu ku Europe. Malinga ndi Pulofesa Russi, odwala 95 mwa 100 aliwonse amatha kuthetseratu matendawa atalandira chithandizo choyenera.Siyani pempho patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi vuto lanu.

Ndemanga:Kuthandizira kwa bongo Kutalika kwakukulu kukakhala kunja: milunguNthawi yomwe amagwiritsidwa ntchito kuchipatala imatengera mtundu wa aneurysm. Ndi aneurysm wosakhazikika, nthawi yochira pambuyo poti chithandizo imakhala yofupikirapo kuposa kupukuta.

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.

Khansa ya lung lero ndi imodzi mwazinthu zodziwika bwino kwambiri za neoplasms. Pa avareji, pali anthu 40 odwala matenda a khansa m'mapapo anthu 100,000 padziko lonse lapansi, kuposa apo, amuna amapezeka ndi matendawa maulendo 10 kuposa azimayi, ndipo kuchuluka kwa okhala m'mizinda nthawi zonse kumakhala kochulukirapo kuposa kuchuluka kwa anthu akumudzi. Komabe, mankhwala amakono ali ndi zida zamphamvu zochizira matenda a oncology awa: kugwiritsa ntchito panthawi yake thandizo, ndizotheka kuti sikuti kungoletsa chitukuko, komanso kuiwalako za nthawi yonseyi.Khansamapapu: Mbiri ya matenda ndi kudalirika kwa machiritsoPafupifupi anthu 5 miliyoni amafa ndi khansa ya m'mapapo chaka chilichonse padziko lapansi. Matenda a mtunduwu amatchedwanso bronchogenic carcinoma, kapena khansa ya bronchogenic. Chotupacho chimayamba kuchokera ku epithelium ya mucous ya bronchi, alveoli ndi epithelium ya bronchial gland. Ngakhale kuti etiology yamatendawa sichikudziwikabe, zifukwa zazikulu zomwe zimachitikira zimaphatikizapo: kusuta; kukhudzana ndi radon ndi ma carcinogens ena (mchere wa asbestos ndiowopsa kwambiri pamapapu); mitundu ina ya ma virus; kuchuluka kwa kuchuluka kwa fumbi mlengalenga. Pathogenesis wa khansa ya m'mapaponullnullmapapu.Khansa ya m'mapapo 1 ya 1 imadziwika ndi chotupa mpaka kukula kwakukulu kwa 3 cm, komwe sikunachitikebe. Neoplasm imakhala mu gawo limodzi la mapapu kapena mkati mwa bronchus.Gawo lachiwiri - chotupa mpaka 6 cm chimakhala gawo limodzi la mapapu kapena mkati mwa bronchus. Metastases amodzi mu pulmonary ndi bronchopulmonary lymph node amawonedwa.Gawo lachitatu - chotupa chachikulu kuposa 6 cm chomwe chimasandulika kukhala pafupi ndi mapapo kapena kumera kwa bronchus yoyandikira kapena bronchus. Ma metastases amapezeka mu bifurcation, tracheobronchial, paratracheal lymph node.4gawo la khansa ya m'mapapo limadziwika ndi metastases m'magulu akutali ndi ziwalo, pleurisy ndi / kapena pericarditis imagwira. Kugawikaku kumagwira ntchito pokhapokha patakhala cell carcinoma. Pankhani ya khansa yaying'ono yamaselo, yomwe imayamba msanga, magawo awiri okha ndiomwe amadziwika. Yoyamba - gawo lochepera - imayendera limodzi ndi kufalikira kwa maselo amtundu umodzi m'mapapu amodzi ndi pafupi. Mu gawo lachiwiri, chotupacho chimakumana ndi gawo lakunja kwa mapapu komanso ziwalo zakutali.Mankhwala othandizira khansaKudziwitsa bwino matenda a pulmonary oncology ndikofunikira kwambiri, chifukwa kusankha njira zoyenera zamankhwala kumadalira. Njira zazikulu ndiopaleshoni othandizira, chemo ndi radiation chithandizo. Chifukwa cha kukula kwatsopano kwaukadaulo wazachipatala, njira izi zikuyamba kukhala zotetezeka komanso zothandiza.1. Mankhwala othandizira opaleshoni amagwiritsidwa ntchito ngati squamous cell carcinoma. Pa opaleshoni, chotupa chonse cha khansa kapena gawo lake limachotsedwa. Kuchuluka kwa minofu yomwe imachotsedwa kumadalira mtundu wa chotupacho ndi malo ake. Zochitika pakalipano pochiza khansa yamapapu ndikugwiritsa ntchito njira zowononga zachilengedwe, zomwe zimapangidwa pogwiritsa ntchito kamera ya kanema yaying'ono. Njirayi imatchedwa Video-Anathandiza Thoracoscopic Surgery (VATS). Kuchita koteroko kumayendetsedwa ndi ululu wocheperako, ndipo njira yokonzanso pambuyo pawo imatha mofulumira.2. Chemotherapy- Chithandizo chachikulu cha odwala ambiri omwe ali ndi khansa ya m'mapapo. Chinsinsi chake chagona pa kumwa mankhwala omwe amawononga ma cell a khansa.3. Chithandizo (chotsimikizika) cha khansa yam'mapapo. Mankhwalawa amazindikira maselo owopsa ndi machitidwe awo ndikuwawononga, amakhudza ntchito zofunika (kukula, kugawa). Kuphatikiza apo, mankhwalawa amasokoneza magazi m'magazi. Chithandizo chowongoleredwa (cholozera) chitha kutumikiridwa monga njira yodziyimira payokha kapena kuphatikiza ndi chemotherapy kuti uthandize kuwonjezera chithandizo.4. Katemera wa immunological pothana ndi khansa yamapapu ndi njira yatsopano komanso yolimbikitsa kwambirioncology yolimbikitsa. Chithandizo choterechi chimakupatsani mwayi wokhazikitsa maselo a chitetezo chathu mthupi kuphatikiza ma cell a khansa ndipo "chandamale" chimakhudza maselo a chotupa.5. Radiotherapy. Kuwotcha kwa chotupacho ndi mtanda wokulirapo wa ma gamma misewu, chifukwa chomwe maselo a khansa amwalira (amaletsa kukula ndi kubereka). Kuchitika ndi njira yakutali kapena yayikulu. Ndi chithandizo chowopsa cha radiation, chotupa chokha komanso zigawo za metastasis yam'madera zimayatsidwa ndi radiation. Radiation therapy imagwiritsidwanso ntchito ngati khansa yaing'ono ya cell.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.