Chipatala cha Heidelberg University

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.

Acute lymphoblastic leukemia, yemwenso imafupikitsidwa monga ONSE (ndi zilembo zoyambirira za matendawa), ndipo nthawi zina mumatha kupeza dzina la pachimake lymphocytic leukemia - matenda oopsa a hematopoietic system. Matendawa amayambira m'mongo. Mafuta athu akumafupa ndi fakitale yamagazi osiyana. Mafuta a m'mafupa akadwala, ndiye kuti fakitoli, m'malo mwa athanzi (madokotala amalankhula za maselo okhwima), imayamba kupanga maselo oyera amisempha yambiri.Munthu akadwala, ndiye kuti maselo onse am'magazi amakula ndikusinthidwa bwino, zonse zimachitika mosamala. Maselo a m'magazi amakula pang'onopang'ono, ndipo kusinthaku kumakhala kovuta kwambiri. Koma litimwana amadwala ndi pachimake lymphoblastic leukemia, i.e. ZONSE, njira yokhwima imasinthiratu.Maselo oyera, ndiye kuti leukocytes, mwadzidzidzi amasiya kukhwima kwathunthu ndipo sakhala ndi magulu onse ogwira ntchito. M'malo mwake, amayamba kugawana mwachangu komanso mosalamulirika. Ntchito ya hematopoietic dongosolo ikusokonekera bwino: maselo odwala amatenga maselo athanzi ndikukhala mulufupa. Mwana wodwala amakhala wopanda maselo oyera am'magazi, maselo ofiira a m'magazi (maselo ofiira), kapena mapulateleti am magazi.Ichi ndichifukwa chake ana amatha kukhala ndi magazi m'thupi (anemia), matenda osiyanasiyana opatsirana (matenda), komanso magazi pafupipafupi. Ndipo iziAwo ndi zizindikiro zoyambirira zomwe zimatha kulankhula za khansa ya m'mimba mwa mwana. Koma nthendayo yokha, ZONSE, kuyambira pa chiyambi siziri m'chigawo chilichonse cha thupi. Kuchokera m'mphepete mwa mafupa, imalowa m'magazi, kulowa m'matumbo a lymphatid ndi ziwalo zina zonse. Ntchito yamakina onse a ziwalo, ndiye kuti, ziwalo zonse, zimayamba kusokonekera. Ndiye chifukwa chake ONSE, monga mitundu ina yonse ya khansa, amatchedwa matenda oopsa, ndiye kuti, matendawa amawononga thupi lonse ngati dongosolo.ZONSE zimafalikira m'thupi lonse mwachangu. Popanda chithandizo, maselo a leukemia amasowa kulikonse, ayizopinga misonkhano. Ziwalo komwe adasiya kugwira ntchito moyenera ndipo nthenda zazikulu zatsopano zimayamba mwa iwo. Ngati khansa ya m'magazi singalandire, ndiye kuti imfa imachitika m'miyezi ingapo.Siyani pulogalamu yaulere patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi mlandu wanu. Njira zochizira matendawa zimatengera zaka komanso momwe wodwalayo alili, mtundu ndi gawo la kukula kwa matendawa, ndipo nthawi zonse amawerengedwa payekhapayekha payekhapayekha.Pali mitundu iwiri yayikulu yamankhwala othandizira khansa ya m'mimba - chemotherapy ndi chithandizo cha opaleshoni - kuphatikizira kwa m'mafupa.Chemotherapy amapangidwa ndinjira ziwiri zotsatizana:• Cholinga cha gawo loyamba ndikupereka chikhululukiro. Ndi chemotherapy, oncologists amakwaniritsa kuchepa kwamitundu yama cell a blast• Kuphatikiza kofunikira kuti muwononge maselo otsala a khansaKubwezeretsanso, monga lamulo, kubwereza kwathunthu chiwembu (mankhwala, ma dosages, pafupipafupi oyang'anira) oyambira• Kuphatikiza pa mankhwala a chemotherapeutic, cytostatics amakhalapo pamalamulo azonse othandizira.Malinga ndi ziwerengero, kutalika konse kwa mankhwala a chemotherapy a leukemia pachimake ndi pafupifupi zaka ziwiri.Chemotherapy yophatikizidwa ndi cytostatics ndinjira yankhanza yowonetsera, kuyambitsa zotsatira zingapo zoyipa (nseru, kusanza, kudwala, kusowa tsitsi, ndi zina zambiri). Pofuna kuchepetsa vuto la wodwalayo, chithandizo chogwirizana chimayikidwa. Kuphatikiza apo, kutengera ndi momwe zinthu zilili, maantibayotiki, othandizira ma detoxization, maselo ophatikizika ndi erythrocyte, ndikuwonjezereka magazi.Kufupika kwa mafupaKuphatikizika kwa mafupa kumapereka wodwalayo maselo abwino olimbitsa, omwe pambuyo pake amakhala makolo a maselo abwinobwino a magazi.Chofunika kwambiri pakuzika ndikuchotsa kwathunthu matendawa. Ndikofunikira kuti marongo oyeretsedwa kuchokera ku maselo a kuphulika amadzazidwanso ndi maselo athanzi.Pofuna kukonzekeretsa wodwalayo opaleshoni,mankhwala apadera a immunosuppressive amachitika. Izi ndizofunikira kuwononga maselo a leukemia ndikupondera chitetezo cha mthupi kuti muchepetse chiopsezo chokana kupatsirana.Contraindication kuti kufalikira kwa mafupa:• Kuphwanya kachitidwe ka ziwalo zamkati• Matenda opatsirana pachimake• Kubwezeretsanso kwamatenda a leukemia, osamasulira ngati chikhululukiro• ukalambaSiyani pempho patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi vuto lanu.

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.

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.