Privatklinik Döbling (Vienna)

Kuisirwa mazino chikwangwani chidiki chakakoshwa mugwaya kuti chigadzirise zino rechisikigo. Iyo inoshanda semidzi yezino uye pakupedzisira inonamatira kune pfupa rechisikigo.Kazhinji, chinhu chakamisirwa inoiswa mutsipa uye mukati memwedzi 1.5-6 unotora midzi mukati mawo, wakasangana nawo. Nekudaro, inoporesa isina kuiswa pasi pekumanikidzwa nekuda kwekutsenga, izvo zvinoderedza njodzi yekuisirwa isiri yekurapa. Mushure mekuiswa mukati, chiremba wemazino anoita fungidziro yekutaurisa kugadzira korona, yaachaisa pamusoroimplant uye abutment (yavo yekubatanidza).Zvichienderana nehupamhi hwepfupa renaya uye mamwe mamiriro, iyo nguva pakati pekuiswa kwekuisirwa uye kuiswa kweprosthesis isingaperi mumamiriro ega ega. Mamwe makiriniki anoti mavhiki matanhatu akakwana, mune vamwe vanoisa mazino matsva zuva rega rega vachishandisa zvimisikidzwa zvakadai saStraumann.Iyo yekuisa mazino inogona kushandiswa kuisa rimwe zino kana sechinhu chekuisirwa mukati meiyo dentition yose. Panyaya yemafesi akazara pane mana emamirioni uye mamwe mabhiriji uyemeno ekunyepedzera anobva pane akadzika anoshandiswa prostheses inowanikwa zvichienderana neimwe maitiro, ayo anotsigira iro rose remazino arch (anosvika gumi kana gumi nemaviri emeno).Mazino okuisira anoshandiswa kune varwere vanopotsa mazino avo uye kutsvaga mhinduro yakagadzika, isingaperi iyo ichavatendera kuti vanzwe kuvimba nechitarisiko chavo, pamwe nekukwanisa kudya uye kutaura zvinonakidza.Kazhinji, chinhu chakamisikidzwa chinoiswa mune iyo taya ndokubvumidzwa kupora (uye fuse kusvika kwakanyanyisa kana osseointegrate) pakati pemavhiki matanhatu kusvika kumwedzi mitanhatu.Izvi zvinobvumira iwo kumisikidza kuporesa pasina kupinda pasi pekumanikidzwa kubva mukutsenga uye kunoderedza njodzi yekusundirwa kutadza. Kamwe iko kumisikidza kwakachengeteka, chiremba wemazino anotora fungidziro yemuromo kugadzira korona kuti ugare pamusoro pekuisirwa uye muganho (kubatanidza, pakati pezviviri).Iyo nguva inodikanwa pakati pekuiswa kweiyo yekuisirwa uye kushandiswa kweiyo yekupedzisira prosthesis inogona kusiyana zvakasiyana, zvichienderana nekushomeka kwejazbone uye zvimwe zvinosiyana. Mamwe makiriniki anoti masvondo matanhatu akakwana, uye mamwe makiriniki anopa mazino matsva pazuva vachishandisa masisitimu akadaiInstant Straumann Road mazino emamentso.Iyo yekuisa mazino inogona kushandiswa kutsigira rimwechete zino, asi inogonawo kuve chikamu chekudzoreredza zvakakwana kwemuromo. Sarudzo senge All-4 uye vamwe Implementation-Inotsigirwa Mazino Madhiri uye Ekushandisa-Inotsigirwa Mazino anoshandisa akati wandei akaisirwa mazino ekuisa mazino kuti abate iyo yakazara arch (kusvika gumi kana gumi nemaviri emeno).YakakurudzirwaMazino okuchengetera mazino anokurudzirwa kana paine kurasikirwa kwemazino, kana mhinduro yekusingaperi isingagumi inodiwa inopa murwere kuvimba nekutaridzika kwavo, ichavatendera kuti vadye uye vataure vasingamanikidze.

Kuongororwa kwekudzivirira kwekurapa kunowanzodaidzwa kuti kuongororwa-kana kuongororwa, kubva kuongororo yechirungu, kuongororwa kwehutano hwemurwere. Kuongororwa kwekurapa kunogona kubatsira kuona matambudziko ehutano pakutanga, kunyange zviratidzo zvisati zvaitika, uye zvakare kusimbisa varwere vari kunetseka nezvehutano hwavo kana vane zviratidzo zvinofungidzira.Kuongororwa kwechivanhu kwakawanda (kuongorora-kumusoro) kunokurudzirwa kuti kuitwe makore ese mashoma. Kunyanya kune avo varwere vakawandisauremu, maitiro akaipa, kana nhoroondo yemhuri yezvirwere zvakadai semwoyo chirwere, kenza, kana chirwere cheshuga. Kuongorora-kunokwanisa kubatsira kuona matambudziko akadai sekukwira kweropa kana chirwere chemoyo chekutanga. Varwere vachakwanisa kuita shanduko dzinodiwa mumararamiro nemaitiro, uye kana zvichidikanwa, tanga kunwa mishonga, uchidzivirira kuwedzerwa kwechirwere.Kune akawanda akasiyana bvunzo uye bvunzo izvo zvinogona kuverengerwa muongororo yekurapa, kusanganisirakuongororwa kweropa, kufungidzira kwekuongorora, bvunzo dzemwoyo uye nevamwe vazhinji. Ongororo dzinogona kusanganisira kuongororwa kweropa kwemamamota ezviratidzo anoona zviratidzo zvekenza masero mumuviri.Kuongorora-inokurudzirwa kune chero munhu anokahadzika pamusoro pehutano hwavo kana vane zviratidzo zvinoda kuongororwa nguva dzose.YakakurudzirwaKuongororwa kwenguva dzose kwekurapa kunokurudzirwa kune vese varwere, kunyanya avo vane njodzi yakakura yekukudziridza zvimwe zvirwere.

Ongorora:Hysterectomy ndiko kushanda kubvisa chiberekero. Iine hysterectomy, chete chiberekero chinobviswa, kana zvakare cervix, ovaries uye fallopian machubhu. Iyo hysterectomy inogona kuitwa kuburikidza nemudumbu mucity (abdominal hysterectomy) kana kuburikidza nebonde (vaginal hysterectomy). Iyo hysterectomy inogona kuitwa sekuvhiya kwekuvhiya kana laparoscopic (arthroscopic upasuaji). Uterine fibroids ndiyo inonyanya kukonzera hysterectomy. Sezvo nguva yekugadzirisa zvakareba kwazvo, kuvhiyiwa kunongoratidzwa mukatikana mamwe marapirwo asina kubudirira. Mushure mekuita hysterectomy, mukadzi anomira kuenda kumwedzi, haakwanisi kuva nevana, uye mishonga inodzorerwa kwehomoni inorongerwa iye. Avhareji kureba kwekugara kune imwe nyika: 1 - 3 mavhikiMushure mekuvhiyiwa, mukadzi anoda masvondo akati wandei ekugadziridzwa asati afamba. Chiremba anofanirwa kuve nechokwadi chekuti mamiriro emurwere agadzikana, uye agadzirira kufamba.

Kuwanda kwechirwereChirwere cheuropa, icho chinobata vanhu vanopfuura mamirioni makumi mashanu pasi rose, chinopa chikamu chakakura chemutoro wepasi rose wechirwere. Zvinofungidzirwa kuti chikamu chehuwandu hwese huwandu neyakagwinya fomu yekushanda (kureva kuti, nekubatwa kusingaperi kana kudiwa kwokurapwa) panguva yakapihwa kubva kugumi kusvika kugumi pane vanhu chiuru. Nekudaro, mhedzisiro yezvimwe zvidzidzo munyika dzakaderera- nepakati-mari inoratidza kuti chikamu ichi chakanyanya kukwirira - kubva pa7 kusvika gumi nemashanu pagumi nevanhu.Zvinofungidzirwa kuti pasi rese, chirwere chemanyoka chinowanikwa gore rega rega mukatiMamirioni 2.4 vanhu. Munyika dzine mari yakakwira, huwandu hwezviitiko zvitsva zvegore negore zvechirwere pamwero wehuwandu hwevanhu huri pakati pe30 kusvika makumi mashanu pamazana ezviuru. Munyika dzakadzika-uye yepakati-mari inowanikwa, nhamba iyi inogona kunge yakapetwa kaviri.Nhamba dzakakwirira munzvimbo dzakaderera- uye yepakati-mari inowanikwa inogona kuve yakabatana nenjodzi yakawedzera yezvirwere zvechirwere chakadai semarariya uye neurocysticercosis; kuwedzera kwehuwandu hwekukuvara kwemigwagwa; kukuvara kwekuzvarwa, pamwe nemisiyano muzvivakwa zvekurapa, kuwanikwa kwehurongwa hwekudzivirira uye kurapwa kuri nyore kurapwa.nullnullnullnullmushonga, kuvhiya kunogona kubatsira.KudziviriraIdiopathic epilepsy haina kudziviririka. Nekudaro, nekuda kwezvikonzero zvinozivikanwa chechipiri kushupika, matanho ekudzivirira anogona kutorwa.    Kudzivirira kukuvara kwemusoro ndiyo nzira inoshanda kwazvo yekudzivirira kushungurudzika kwepashure.     Kuchengetwa kwakakodzera kwemukati kunobatsira kudzikisira kuitika kweiyo nyowani nyowani nekuda kwekukuvara kwekuzvara.     Kushandiswa kwezvinodhaka uye dzimwe nzira kuderedza kudziya kwemuviri muvana vane fivha kunogona kuderedza mukana wekubatwa kwehusimbe.     Zvirwere zvemuviri wepakati pezvirwere zvinokonzeresa munzvimbo dzekupisa ukokune nyika zhinji dziri kusimukira. Kubviswa kwezvikara pasi pemamiriro ezvinhu aya uye basa rekudzidzisa zvine chekuita nezvekudzivirira kwehutachiona inzira dzinoshanda dzekuderedza mutoro wechirwere chepfungwa pasi rese, semuenzaniso, kusuruvara nekuda kwemutsipa.Allhospital anoda kukurudzira Purofesa Antonio Russi (Teknon Kiron Clinic, Barcelona), mumwe wevanyori vepamusoro veEuropean. Sekureva kwaProfessor Russi, makumi maviri nevashanu vevarwere vanokwanisa kubvisa zvachose chirwere chechirume mushure mekurapwa kwakakodzera.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

Ongorora:Brain aneurysm kurapwa inzira yekuvhiya inoitwa kana njodzi yekubvaruka kweiyo aneurysm ikave yakanyanyisa. Avhareji kureba kwekugara kune imwe nyika: mavhikiIyo nguva inoshandiswa mukiriniki zvinoenderana nerudzi rwe aneurysm. Ine anexploded aneurysm, iyo nguva yekurapa mushure mekurapwa inowanzo kupfupika pane mushure mekubvaruka.

Chinhu chekutanga icho varwere nemukadzi wese vanofanirwa kuziva nezvegomarara rezamu (sekuti, zvechokwadi, chero mhando yekenza): nhasi ichi hachisi mutsara, yekutanga nhanho yechirwere, yakakwira mikana yekukunda kenza zvachose. Uye kunyange mumatanho anotevera, kune mikana yakawanda uye yakawanda yekurwisa zvinobudirira chirwere ichi nekuda kwekuuya kwenzira dzemazuva ano dzekurapa (ona pasi apa).Ndiani ari panjodzi? Kenza yemazamu chirwere chinoshungurudza neoplasm iyo inowanikwa mune imwechete mune gumi vakadzi. Kenza yemazamu inogona kucherechedzwa pazera ripi neripi, asi mushure memakore makumi matanhatu nematanhatu, njodziKuumbwa kwemamoriyamu kwakapetwa kakapetwa kashanu kupfuura zera rino. Vanotsvaga vanoona zvinotevera zvinokonzera kukura kwechirwere.1) kuremerwa nhaka: kana hama, kunyanya padumbu revakadzi, vakawanikwa vaine kenza yemazamu, nhengo dzechikadzi, uye zvimwe zvirwere zvekurwara, ipapo njodzi yekurwara nekenza yemazamu inowedzera;2) kutanga kwekuenda kumwedzi (kusvika pamakore gumi nemaviri) uye kunonoka kwekuenda kumwedzi (mushure memakore makumi manomwe nemashanu);3) kusununguka kubereka, kunonoka kuberekwa kwekutanga (mushure memakore makumi matatu), kushomeka kwechibereko kana kuti kwenguva pfupi yekuyamwisa, yepashure yekumuka kwepashure;4) husina kujairika hupenyu hwepabonde;5) kukuvara kwemamary gland;6) kuongororwa kwe "dishormonalmammary gland hyperplasia ”;7) kufutisa;8) kudonhedzwa kwechibereko;9) hormone kutsiva kurapa.Zviratidzo zveCancer Cancer Muchiitiko chekurapa, bundu riri mumamary gland mune akawanda mamiriro ezvinhu anoonekwa nemukadzi kana mukadzi, zvinoitikawo. Bundu rinogona kuwonekwa pakuongororwa nachiremba mammologist, gynecologist, chiremba wekuvhiya, kana kuve netsaona munguva yekuongorora.Zviratidzo zvipi zvinofanirwa kunyevera:    Pamusoro pekunzwa dzidzo pazamu, mukadzi anogona kuona shanduko mumhapa: ulceration, retraction, seeging from the nipple. Iyi inguva yekukumbira chiremba pakarepo.     mune inotevera nhanho chiratidzokukura kushaya simba, kushomeka kwehutano, kukosora, kupfupika kwakanyanya kwekufema, kurwadziwa kwepfupa kunogona kuitika.Mabhachi eKenza Marapirwo Kurapa kenza yemazamu kunoitwa mumatanho akati wandei uchishandisa nzira dzakasiyana siyana. Nhatu nzira huru dzinoshandiswa nhasi:Mushonga antitumor kurapwa.Kune akatiwandei marudzi ekurapa kwakadaro, anoti:* chemotherapy: mune ino kesi, zvinodhaka zvine chinangwa chekuparadzwa kwe tumor cell zvinoshandiswa;* kurapa kwehomoni, iko kuti, kushandiswa kwemishonga inodzvinyirira ihmori chiitiko chechipundu nemuviri;* Kurapwa kwakanangwa inzira itsva, nzira iyo mishonga yacho "yakapiswa" pane chinangwa chemasumbu tumor uye zvakanyanya kukanganisa hutanotishu yemunhu;* Immunotherapy ndiyo nzira itsva kwazvo, iyo nhasi pamakorinendi epasirese oncologists inonzi imwe yedzakanakisa nzira dzinokurudzira nzira dzekurwisa marudzi akasiyana ekenza. Iko kukosha kwe immunotherapy kuri mune chaiyo purogiramu yemaseru ekudzivirira emurwere. Nekuda kwehunyanzvi hwavo chaihwo, vanoshandura kuita chishandiso chine simba chinogona kuziva nekuparadza maseru ekenza chaizvo.Nekuongororwa kwegomarara remazamu, kurapwa kwekuvhiya uye radiation kurapwa kunoshandiswawo.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

Kenza yemapundu iri kusvika kune imwe yeanowanzoitika marudzi ekukuvadza neoplasms. Paavhareji, kune makumi mana emapapu vanorwara nekenza pamunhu zviuru zana, uyezve, varume vanoonekwa vaine chirwere ichi kakapetwa kagumi kupfuura vanhukadzi, uye chikamu chevagari vemumaguta mune zvese zviitiko chakapetwa kakawanda kupfuura vanhu vemusha. Nekudaro, mushonga wemazuva ano une simba rekurongedza kurapa rudzi urwu rwe oncology: nekuwana nguva yekubatsira, inonyanya mukana kwete kungomisa kukura kwechirwere, asi zvakare kukanganwa nezvazvo zvachose.Kenzalung: chirwere chechirwere uye prognosis yekurapaVanosvika mamirioni mashanu vanofa nekenza yemapapu gore rega rega munyika. Rudzi rwekenza urwu runonzi zvakare bronchogenic carcinoma, kana bronchogenic cancer. Bundu rinokura kubva kueficliary epithelium ye mucous membrane ye bronchi, alveoli uye epithelium yebronchial gland. Kunyangwe chokwadi chekuti etiology yechirwere ichi ichiri kujekesa, zvikonzero zvikuru zvekuvapo kwayo zvinosanganisira: kuputa; kuratidzwa kwe radon uye mamwe makatuni (asbestos mineral ndiyo ine ngozi kumapapu); mamwe marudzi ehutachiona; kuwedzera kusungwa kwevhu guruva mumhepo. Pathogeneis yekenza yemapapu panenullnullmapapu.Stage 1 yemapapu kenza inoonekwa ne bundu kusvika pakureba kwemasendimita matatu, isati yatomboita metastasize. Iyo neoplasm inowanikwa muchikamu chimwe chepapu kana mukati mechikamu chebronchus.Nhanho yechipiri - bundu rinosvika pamasendimita matanhatu riri muchikamu chimwe chepapu kana mukati mechikamu chebronchus. Imwe metastases mune pulmonary uye bronchopulmonary lymph node inoonekwa.Nhanho 3 - bundu rakakura kupfuura 6 cm richichinja kuenda padyo nepamuromo pekupfira kana kumera kweanogarisana nebronchus kana main bronchus. Metastases inowanikwa mune bifurcation, tracheobronchial, paratracheal lymph node.4nhanho yekenza yemapapu inoratidzirwa ne metastases mune kure masisitimu uye nhengo, pleurisy uye / kana pericarditis inobatana. Kugadziriswa uku kunoshanda chete kune squamous cell carcinoma. Panyaya yekenza diki yegomarara, inokura nekukurumidza, zviyero zviviri chete ndizvo zvinosiyaniswa. Yekutanga - danho risingapfuure - inoperekedzwa nekusvikirwa kwemasero pathogenic mune rimwe mapapu uye padyo netishu. Muchikamu chechipiri, bundu racho rinosangana nenzvimbo iri kunze kwemapapu uye kune nhengo dziri kure.Lung kenza kurapwaKuongororwa kwakanaka kwepulmonary oncology kwakanyanya kukosha, nekuti kusarudzwa kwemaitiro ekurapa kwakanaka kunoenderana nazvo. Nzira huru dzirikuvhiya kupindira, chemo neradiation kurapa. Nekuda kwekuvandudza kwekurumidza kwehunyanzvi hwekurapa, nzira idzi dziri kuve dzakachengeteka uye dzichibudirira.1. Kurapa kwekuvhiya kunoshandiswa squamous cell carcinoma. Munguva yekuvhiya, bundu rese re cancer rinorwara kana chikamu charo chakaparurwa chakabviswa. Kukura kwehutu kubviswa kunoenderana nechimiro che tumor nenzvimbo yacho. Ikozvino maitiro ekurapa kwegomarara remapapu ndiko kushandiswa kwenzira dzisingapindike, dzinogadzirwa uchishandisa miniature vhidhiyo kamera. Iyi nzira inonzi Vhidhiyo-Yakabatsira Thoracoscopic Surgery (VATS). Kuita kwakadaro kunofambidzana nemarwadzo asingatauriki, uye maitiro ekugadzirisa mushure mavo anoenderera nekukurumidza.2. Chemotherapy- Kurapa kukuru kwevarwere vazhinji vane kenza yemapapu. Hwaro hwayo huri mukutora mishonga inoparadza cancer maseru.3. Yakatarisana (yakanangwa) kurapa kwegomarara remapapu. Mishonga yakadaro inocherekedza maseru ane humwe hunhu hwayo ndokudziparadza, zvichikanganisa mabasa akakosha (kukura, kupatsanura). Uye zvakare, zvinodhaka zvakadaro zvinokanganisa kuwanikwa kweropa kune bundu. Chinangwa (chakanangwa) chekurapa chinogona kuve chakagadziriswa senzira yekuzvimirira yekurapa kana mukubatana ne chemotherapy kuitira kuti uwedzere kushanda kwekurapa.4. Immunological kurapwa kwegomarara remapapu inzira itsva uye inovimbisa kwazvo mukatikuchengetedza oncology. Kurapa kwakadaro kunokubvumira kuti uise masero esyako immune system kurwisa cancer cancer uye "target" inongobata tumor cell.5. Radiotherapy. Irradiation ye tumor neine danda rine simba re gamma rays, semhedzisiro iyo masero emukenza anofa (vanomisa kukura uye kubereka). Kutakurirwa neiri kure kana yakakwirira-nzira nzira. Nekurapa kweradiation kurapwa, zvose tumor pachayo uye matunhu ematunhuasis anoratidzwa neradiation. Radiation kurapwa inoshandiswawo kune diki cancer kenza.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

Chii chaunoda kuziva nezvenzira yekuisira yekunyudza Kana iwe ukafunga kuita IVF?Kune vakawanda vakaroorana, IVF ndiyo nzira chete yekuve nemwana wakamirira kwenguva refu. Maitiro akadai ndeechii, akachengeteka, kugadzirira IVF kuri kuenda uye kuchada marii?Hwaro hweiyo IVF maitiroIVF maitirwo emanyowa kunze kwemuviri: mazai nemanyoka anobviswa mumuviri, kupera kwemanyowa kunoitika murabhoritari. Ipapo mazai akaomeswa anoiswa mune incubator kwemazuva mazana matanhatu nemashanu uye mukati mekupatsanura ivo vakasimwa muchibereko.Zviratidzo zvekugadzwaIVF inoratidzwa mune dzakawanda zviitiko zvekusabereka: •pamusoro, kazhinji inowiriraniswa neinobatsira tekinoroji.ICSI - kusimudzira kunoitwa kwemurume kupinda muzai uchishandisa sindano yakatetepa. Kutakurwa kunze kana •marabhoritari mamiriro. Izvo zvinoshandiswa kana kukurudzira kuchikundikana. Inodzivirira mahormone kukurudzira.Yakabatsira hatching ndiyo tekinoroji iyo inogonesa kuisirwa mukati memukati membereko muchibereko. "Embyo yakakomberedzwa nechero danda dete, iro rinoparadzwa risati raiswa.Kugadzirira IVF, kuita maitiro uye kuongorora mushure meIVFKugadzirira IVF kunotora vhiki mbiri neshanu uye kunosanganisira bvunzo kune vaviri vakaroora. Iyo IVF chirongwa inowanzo kusanganisira: •nullKana IVF ikasapa mhedzisiro inodikanwa, vamwe vakaroora vanotendeukira kumasevhisi evanaamai vanovhiyiwa.Mune dzimwe nyika, kubvisisa kwakarambidzwa nemutemo, asi kune nyika dzakaita kuti surrogacy iri kudiwa kukuru, semuKazakhstan.Nhasi muRussia, Kazakhstan uye dzimwe nyika dzeCIS, zvinokwanisika kuita IVF yemahara neanenge chero rudzi rwekusabereka.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.