Chipatara cheFortis Mulund

Ongorora:Abrasion inzira yekuita gynecological inoitwa kuti iongorore uye kurapa zvirwere zvemukati memhino. Iyo cervical canal yakanyungudzwa kuti ipe kupinda muchibereko. Ipapo madziro echibereko anotsemurwa neputi yekushandisa. Maitiro acho anowanzoitwa pasi peanesthesia kana kushandisa shanduko yakadzika. Avhareji kureba kwekugara kune imwe nyika: Vhiki 1

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.

Ongorora:Myomectomy muitiro wekuvhiya unoitwa kubvisa uterine fibroids. Uterine fibroids ndeyekukura kwekukanganisa kunogona kukonzera kubuda ropa kwevakadzi, pelvic uye kuderera kurwadziwa shure, kurwadziwa panguva yekurara pamwe uye kuvimbwa.

Ongorora:Electrocardiogram (ECG) inonyorwa uchishandisa electrodes inoiswa paganda. Vanobata maungira emagetsi emutsipa wemoyo, uyo unokutendera kuti uise hukuru hwemakamuri emwoyo, kuwanda kwezvibvumirano zvemoyo uye mamwe ma paramu. Electrocardiogram inogona kuona kukanganisa kwakasiyana-siyana kwemoyo, kusanganisira chirwere chemwoyo, kutadza kwemwoyo, mwoyo Avhareji kureba kwekugara kune imwe nyika: 1 - 2 mazuvaKana iyo electrocardiogram isingaratidzi chirwere chakakomba chemwoyo, murwere anogona kubhururuka nendege nekukurumidza mushure meitiro.

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.

Brachytherapy, inonziwo yemukati radiation therapy, inzira yekurapa kenza umo macapiritsi ane radioactive zvinhu anoiswa mumuviri. Iyi nzira yekurapa inodzora mhedzisiro ye radiation pane dzakatenderedza minwe uye nhengo, mukusiyana nekunze radiation, apo isiri chete bundu rinooneswa neradiation.Brachytherapy inoitwa mukutonga kwemakwenzi akakwira kana akaderera, apo ma radioisotopes anotumirwa kwenguva pfupi kana zvakapfuurira (mune yekupedzisira nyaya, zvinhu zvinoradio radio zvinorasikirwa nebasa ravo ivo pachavo). Rudzi rwekurapa runoshandiswa zvinoenderana nerudzi rwekenza uye hunhu hwemurwere wega wega. Yakakura madhesi uye kusindimirwa zvachose kwezvemagetsi zvinoshandiswa, sekutonga, yekenza yeprostate.Yakakurudzirwa- Lung cancer - Kenza yeprostate - Kenza yemazamu - Esophageal cancer - Mukadzi wechikadzi gomarara - Colorectal cancer - Kenza yeganda

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.

Bladder cancer kenza yechina inonyanya kuzivikanwa pakati pevanhurume; mune vakadzi, izvo zvishoma. Sezvo mutemo, bundu rebundu rinokura zvishoma, uye rinogona kunyatsobudirira pasina kuvhiyiwa kukuru. Uyezve, kazhinji kenza yegomarara, njodzi yekukuvarira bundu rinoisa hupenyu mudiki idiki kwazvo. Kutanga kuongororwa uye kuongororwa nguva dzose kwakakosha pakubudirira kwekurapa.Bladder cancer cancerChikwangwani chinowanzozivikanwa chekenza yemabhonzo ndiko kuoneka kweropa mumwena. Dzimwe nguva inogona kuoneka neziso rakashama, asi kazhinji kuvepo kwemasero eropa kunogona chete kuonekwa panguva yakavanzikaurinalysis. Kuonekwa kweropa mumubhino kunogona kuperekedzwa nemanzwiro asiri ekunakisa panguva yekupenda (kazhinji kunotsanangurwa se "kupisa"). Mukuwedzera, kuyera kunogona kuve kwakawanda uye kuchikurumidza kupfuura zvakajairwa. Mumatanho ekutanga echirwere, zvimwe zviratidzo zvisipo. Naizvozvo, kana paine iropa mune urini kana kuti mune yekukanganisa kupinda mukati, kuongororwa kunofanira kutorwa pakarepo. Izvo zvakakosha kuti urangarira kuti izvi zviratidzo hazvireve kuratidza kuvepo kwe bundu - zvinogonawo kukonzerwa nematombo, kuzvimba kweiyo urethra, yakawedzera prostate, nezvimwe. Chero mamiriro ezvinhu, chikonzero cheizvi zviratidzo chinofanira kutanga chanyatsotsanangurwa.SeiUnowanikwa uine kenza yemabhonzo?Kana ropa rikawanikwa mune urini, bvunzo dzinoverengeka dzinofanira kuitwa kusabvisa bundu rechironda. Ichi chirwere ibasa reurology, saka kunyangwe iwe wanga uri kuna chiremba wemhuri, unofanirwa kushanyira urologist. Mushure mekujekesa nhoroondo yekurapa uye kuongororwa kwemuviri, iwe uchafanirwa kuenda nekuwongorora akati wandei, kazhinji usingade kuchipatara.Munguva ye cystoscopy, endrosope yakaonda inoiswa kuburikidza neurethra (urethra) mubhedhuru. Nayo, iwe unokwanisa kunyatsoongorora nzvimbo yemukati yemabheji uye kutarisa tumors kana zvimwe zvirwere. Iwe unogona zvakare kutora sampuli kubva kumadziro.bhebhi (biopsy). Kuongororwa kunoitwa pakarara pasi, pasi peanesthesia yemuno, uye hazvidi kuchipatara. Mushure me cystoscopy, kunzwa kupisa zvishoma panguva yekurumwa kunogoneka, uko kuchapfuura mushure mezuva kana maviri. Kunwa yakawanda yemvura iyi mazuva ano zvinokurudzirwa.CT urography ndeye computed tomography scan panguva iyo musiyano mumiririri akaiswa mukati memuviri uye nekukurumidza inosimbisa mu urethra. Mushure meizvozvi, computer tomography inoratidza mamiriro eitsvo, ureters uye bhudhi. Kana murwere aine chirwere cheasthma kana kuti allergic kune zvinodhaka kana iodini, mishonga yakakosha inofanira kutorwa pamberi penzira yekudzivirira iyo isinganetseke. Izvo zvakakosha kuti uzive iyo ultrasound uye computed tomographyitsvo hadzi dzakakwanira kupa tsanangudzo inopedza simba uye isingaite yezvikonzero zveropa mumhino.Bladder cancer kurapwaNhanho yekutanga kubvisa bundu. Iyo minwe yakabviswa inotumirwa kuchipatara kuti itarise mhando yebundu uye kudzika kwaro mukati maro mumadziro emabhonzo. Kubviswa kwe bundu (kana resection yayo) kazhinji kunoitika panguva yekuchipatara. Iyo resection inoitwa pasi peanesthesia uchishandisa cystoscope-senge zvishandiso zvakaiswa mukati meiyo urethra (urethra), pasina incways kana kuvhura dumbu. Muzhinji, mushure mekunge bundu raonekwa, murwere anokokwa kuvhiyiwa kwakarongwa. Nekudaro, mune zviitiko apo bundu rinotungamirakugara uchibuda ropa, nekukurumidza kuvhiya kunodiwa. Sezvo mutemo, tumor resection inotungamira kumira kwekubuda ropa. Dzimwe nguva kubviswa kwakakwana kwe bundu hakugone nekuda kwehukuru hwayo kana kudzika kwekupinda mumadziro emabhonzo. Mune zviitiko zvakadaro, biopsy ichaitwa kuti itarise mhando yehuputi uye kudzika kwekupinda kwayo, mushure meizvozvo dzimwe nzira dzekurapa dzichashandiswa. Mushure mekuvhiyiwa, catheter inosara mu bladder kuburikidza ne urethra kwemazuva akati wandei kuti ronda rekuvhiya ripore. Mumazuva ekutanga mushure mekuvhiyiwa, panogona kunge paine kubuda ropa zvishoma kubva pamabhonzo, ayo anofanira kumira zvishoma nezvishoma. Mushure mekubviswa kwe catheterkunzwa kukurumidza uye kupisa, kana kurwadziwa kana uchitsvaga. Kazhinji, kupindira uku ndekwenguva pfupi. Muzhinji, murwere anozokwanisa kudzokera kune zvakajairika kushanda kumba mazuva maviri matatu mushure mekuvhiyiwa. Iyo sarudzo yekuenderera mberi nekurapa inoenderana nemhedzisiro yeye histological kuongororwa (tumor rudzi uye kupenya kwakadzika).Chikamu chechipiri chekurapa chinogona kusanganisira sarudzo nhatu.    Zvepamusoro tumor, kwete kupinda mukati kupfuura inochinja epithelium. Mune ino kesi, kuenderera kurapwa hakudiwi. Pasinei neizvi, maronda akadaro anowanzoitika zvakare, kunyanya mumakore ekutanga mushure mekuvhiyiwa. Neichi chikonzero, kunyanyaIzvo zvakakosha kuti uongororwe nguva dzose mukiriniki yekurapa.     Bundu rakapinda mukati meiyo epithelium inochinja, asi haina kupinda muswe. Mune ino kesi, isu tiri kutaurawo nezve chepamusoro chepundu, asi kuwedzera kurapwa kunodiwa. Semutemo, mishonga yakakosha inoiswa mubhedhuru. Mushonga wakanyanya uye unoshanda anonzi BCG. Chinangwa chayo ndechekuvandudza mhinduro yemuviri yekudzivirira. Cytotoxic zvinodhaka zvinouraya cancer maseru zvinoshandiswawo. Icho chinangwa cheBGG uye zvimwe zvinodhaka ndechekudzivirira tumor kudzokorora mushure mekupamhazve. Iyi kurapwa inokurudzirwazve mune zviitiko zvakadai sekuvapo kweakawanda anoputika tumor.kana kukurumidza kudzosera bundu mwedzi yakati wandei mushure mekuvhiyiwa. Mushonga uyu unopihwa kamwe chete pasvondo kweanenge mavhiki matanhatu, mukiriniki yekurapa, uchishandisa catheter yakaonda iyo inoiswa mubhedhuru. Mushure mekurapa mushonga, murwere anokumbirwa kuti arege kuyama kwemaawa maviri. Murwere anogona kusangana nekunzwa kupisa kana uchitsvaga uye kusanakidzwa kwekunzwa mudumbu rakadzika, zvisinei, vanokurumidza kupfuura.     Bundu rakapinda mukati merimwe musumbu, rakadzika mukati memadziro emabhonzo. Mune ino kesi, resection ye tumor kuburikidza ne urethra haina kukwana. Kazhinji, iwe unofanirwa kubvisa bhebhi rese pamberikuvhura dumbu. Chinangwa chekutanga bhebhi ndechokubvisa zvachose maseru emukenza kubva mumuviri kuti apore.     Mushure mekupamhidzwazve kwebhedhi, kutsiva kunofanirwa kuumbwa kuti kumubvumidze kupuruzira. Pane zvisarudzo zvinoverengeka zvekutsiva izvi:    Urini inopinda yakananga muhombodo yakabatanidzwa kumadziro emudumbu.     Kugadzira imwe muhomwe yekurongedza muhari yemukati (inoda kuiswa kweye catheter kanoverengeka pazuva pazuva kuti uburitse muhomwe yewaini).     Imwe homwe yekurapa muhombodo yemuviri inobvumira yakajairwa yekubaya kuburikidza ne urethra.ZvimwePane kupora kwakazara here?Mhinduro yacho haina kujeka: ehe. Mazhinji maronda ebhedhi ingori bundu repamuromo. Kubviswa kwe bundu kuburikidza ne urethra (dzimwe nguva mubatanidzwa nekuiswa kweCBG mumabheji) kunotungamira mukutsakatika kwayo kwakakwana. Kazhinji, mushure menguva yakati, bundu rinodzokororazve, asi nekugara uchiongorora, unogona kuriona achiri mudanho uye nekubudirira kuriramba. Kuongororwa kwekiriniki kunosanganisira urinalysis, cystoscopy uye computer tomography ye urethra. Nguva yakawanda yafamba kubva pakurapwa kwekupedzisira, zvishoma pane zvaunofanira kuongororwa. Izvo zvakakosha kuti iweuke kuti kuputa kunowedzera njodzi yako.kudzokorora kwe bundu bundu; saka, kana iwe uchiputa, iwe unofanirwa kurega iyi yakaipa tsika.Tumors inopinda zvakadzika mumadziro emabhedhi inogonesa kupora zvizere nerubatsiro rwe resection. Muzviitiko zvakawanda, zvinokwanisika kugadzira imwe bladder iyo inobvumira yakajairwa kukurudzira kuburikidza ne urethra. Nekuda kweizvi, murwere haagone chete kupora zvakakwana, asi zvakare kudzokera kune zvakajairika kushanda izvo zvakajairika kwaari.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

Chemotherapy kurapwa kwakachengetedzwa kwegomarara nemishonga yemakemikari. Chemotherapy inogona kuve chimwe chezvinhu zvinosanganisa kurapa uye inogona kusangana neradiation kurapwa kana kuvhiyiwa kubvisa bundu. Chinangwa che chemotherapy chingangove kuparadza kwakazara kwechirwere chegomarara uye nekudzikira kwekukura uye kubereka kwemasero ane cancer. Kuderedza kukura uye kubereka kwemaseru kunotungamira mukudzikira kwehukuru hwebundu uye nekuvandudzwa muhupenyu hwevarwere uye, mune dzimwe nguva, kunowedzera mikana yekubudirira kwakakwana kubvisa bundu.Yakakurudzirwa    Kurapa kenza     Kenza Hupenyu

Kenza yeganda idambudziko rakanyanya. Munyika, Australia, New Zealand uye USA vanotungamira muhuwandu hwezviitiko zvitsva zve melanoma zvakashumwa pagore. MuRussia, sedzimwe nzvimbo munyika, huwandu hwehupfumi huri kukura.Maererano neWorld Health Organisation, zviitiko zvitsva 132,000 zvitsva zve melanoma zvinonzi zvinoraswa gore rega rega. Vazhinji varwere vanhu vakwegura, mushure memakore makumi mashanu nhamba yevanorwara varwere yakawedzera kaviri kupfuura vakadzi. Asi mujaya nemhandara, cancer yeganda inokura kazhinji. Maererano nenyanzvi dzezvirwere zvechirwere, izviKenza muRussia ndeyechipiri kune kenza yemapapu, cancer uye mazamu cancer. Mune mamwe mazwi, izvi hazvisi pamusoro peimwe chirwere chinoshamisa, asi nezvekutyisidzira chaiko kune hutano.Mhando dzeganda oncologyZvakajairika ganda ganda zvinosanganisira:Basal cell carcinoma - bundu iri rinoonekwa muzvirwere zvinomwe zvegomarara reganda kubva pagumi. Basalioma inoita senge nodule kana banga reblue-brown kana ruvara rwepink, inowanzoonekwa pachiso. Neoplasm inogona dzimwe nguva kurira, kukuvara kana kubuda ropa - zvishoma nezvishoma inowedzera muhukuru,pasina kukonzera munhu kuratidza kusagadzikana, ndosaka kushanya kwachiremba kunogona kunonoka. Neraki, ichi bundu hariwanzopararira mumuviri wese (inopa metastases), saka, iyo prognosis yevarwere inowanzo farirwa.Squamous cell carcinoma yeganda (squamous cell carcinoma) inowanzo fanika mushwa mune chimiro: muviri unotenderera uine gumbo rakatetepa. Bundu iri rakafanana newadhi: kazhinji inowanikwa pamusoro pechiso, mudunhu remuromo wakadzika. Mune mamwe marudzi e squamous cell carcinoma, neoplasm inogona kucherechedzwa chete nekushandurwa kweruvara rweganda: munharaunda yepfungwa.Anotaridzika kana kuti ari kurwadziwa. Mumatanho anotevera, carcinoma inotungamira pakuumbwa kwemastastases uye dzimwe nguva isingarapike.Melanoma imhando ine ngozi kwazvo bundu iro rinokonzera kufa kwakawanda kukenza yeganda. Iyo inokura kazhinji kubva kumahombera - kuunganidzwa kwemasero e pigment, melanocyte, asi kwete chete: melanoma inogona zvakare kukanganisa iyo retina, mucous membranes (muromo mucity, vagina, rectum). Iyi neoplasm inoonekwa nekukura nekukurumidza uye inokonzeresa kuumbwa kwemasideti mazhinji ari kure - mumapfupa, pfungwa, mapapu, chiropa. Kunyangenekurapwa kwenguva, varwere vane melanoma vanowanzo vadzokorora - yakadzokororwa tumor kukura mushure memakore akati wandei.Pane nzira dzinoverengeka dzakakosha dzekurwisa cancer yeganda.Kuvhiya ndiyo nzira inodhura yekubvisa bundu. Iko kushanda kukuru kwekuvhiya kunoonekwa mumatanho ekutanga, apo iyo neoplasm haina kukanganisa lymph node uye dzimwe nhengo uye nhengo. Mushure mekubvisa bundu, chiremba anovhiya anoita cauterization (electrocoagulation) pamwe neyepatreti (therapyttage) yeganda repasirose kuti iparadze maseru ekenza masero. Sezvo gomarara reganda rinowanzo kukura pachiso, pane kupindira kwakapfava,izvo zvinoderedza urema hwekuremara. Izvi zvinosanganisira cryodestruction, mune iro bundu rakaomeswa neyetsijeni nitrogen uye rinobviswa pasina kukuvara kwakasimba kwetoni. Nekudaro, izvo zvinofanirwa kunzwisiswa kuti mune zviitiko zvine hukasha marudzi ekenza - squamous cell carcinoma uye melanoma - hazvibviri kuita sarudzo uchifarira hushoma hwekuvhiyiwa. Kuvhiya micrographic, senzira ye MOHS (Mohsa), inonzi ndiyo yakachengeteka uye yakanyanyisa nzira yemazuva ano yekupindira kwegomarara reganda. Nayo, ganda rine tumor cell rinobviswa mumatafura, pasi pekutonga kwe microscope, uye rimwe nerimwe danga rakananga mukatipanguva yekuvhiya inotumirwa kuti iongororwe zvakare kuchipatara. Chiremba anovhiya anomisa kupindira panguva imwe chete apo histologists inosimbisa kuti ronda harina maseru ane huturu.Radiotherapy inoshandiswa sechienzanisiro kune nzira yekuvhiya. Radiation inokuvadza maseru anofarira kukurumidza kukura, saka, mirayiridzo yakatemerwa ionizing radiation inogona kuderedza hukuru hwebundu, pamwe nekuparadza iwo maseru anotyisa akararama mushure mekuvhiyiwa. Nguva yenguva ye radiotherapy zvikamu uye radiation dheti ndeye munhu kumurwere wega wega.Chemotherapy yakarongeka uye yemuno. Nekugadzwa kwemaitiro aya, cytotoxic (inokuvadza kunamasero) kemikari inoiswa mutserendende kana kuiswa zvakananga ku tumor. Maitiro akadaro akakosha zvakanyanya pakuzivisa metastases kana iyo chinangwa chegomarara chiri kunze kwekusvika kwevanachiremba.Photodynamic kurapwa kunosanganisira kuparadzwa kwe bundu ne laser beam mushure yekutanga photosensitization (kuwedzera kuwedzera kwekunzwa kwemasero kujekesa). Iyi nzira iri nyowani, uye kushandiswa kwayo pasina kuvhiya kunoitwa pakukurukurirana. Nekudaro, kuvandudzwa kwetekinoroji kunopa chokwadi chekuti Photodynamic Therapy iri kuiswa zvishoma nezvishoma mune tsika yekiriniki yemasangano ekurapa.Kugwinya uye kurapwa kwakatemerwa - hunyanzvi uye hwakavimbika nzira dzinobatanidza dzakanangwa kutarisana.tumor nekusimudzira immune system kana kuiswa kwemishonga yakagadzirwa zvakananga kune imwe mhando yekenza zvichibva pane yega genetic maitiro emurwere. Dzimwe nyanzvi dzine chokwadi chekuti nekufamba kwenguva nzvimbo ino iri oncology ichatsiva dzimwe dzese nzira dzekurapa neoplasms, asi kusvika pari zvino, hutachiona hwekuzvidzivirira uye hwekutarisirwa hunoshandiswa mukubatana nemamwe maitiro uye nekudzivirira kwekudzoka.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

nullmushonga uye neradiation kurapwa yakabatana kune kuvhiya. Kusarudzwa kwenzira inotungamira yekurapa inotsanangurwa nehukuru uye nenzvimbo yeiyo tumor, mamiriro emurwere uye zvirwere zvinosangana.Iine bundu diki kwazvo risingamere mucosa, mucosa chete ine pasi inouyaniswazve ne gastroscope, uye mhedzisiro yekurapa yakanaka kwazvo.Padanho I - II yekenza, chikamu cheesophagus chakabviswa, hurema hwakazadzwa nechikamu chedumbu kana kutihubhu hwakaumbwa kubva mudumbu. Nhasi zvinokwanisika kushandisa endoscopic zvishandiso pane izvi mashandiro.Nekupararira kwe bundu mukati memukati mesumbu uye zvakare, kuvhiya kunoitwa, asi izvinullDzimwe nguva chemoradiotherapy inoitwa nekusakwanira kuvhiyiwa kwakanyanya. Chemotherapy inogona kuitwa kana kuvhiyiwa kusingaite, kana bundu racho rakanyanya, kana aine bundu diki, asi paine general contraindication yekuvhiya. Mune iyi sarudzo yekuchengetedza, kupona kunofanana nekurapa kwekuvhiya. Mukuvapo kwe fistulas, chemoradiotherapy haigoneke. Chemotherapy inogona kuve yakaomeswa neye acute kuzvimba kwe mucous membrane yesophagus, iyo inoda chikafu kuburikidza ne anodonhedza.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.

Acute lymphoblastic leukemia, iyo inopfupikiswa seZESE (nemavara ekutanga echirwere), uye dzimwe nguva iwe unogona kuwana zita acute lymphocytic leukemia - chirwere chinorwadza che hematopoietic system. Chirwere chinotanga mumongo wefupa. Mongo yedu yemapfupa fekitari yemasero eropa akasiyana. Kana marongo epfupa achinge arwara, zvino fekitori iyi, panzvimbo yeiya ine hutano (vanachiremba vanotaura nezvemasero akura), anotanga kuburitsa huwandu hukuru hwemasero machena eropa.Kana munhu asingarwari, ipapo masero ese eropa anokura uye akagadziridzwa zvakaringana, zvese zvinoitika nenzira ine hukama. Masero eropa anokura zvishoma nezvishoma, uye kuita kwekutenderera kwacho kwakaoma kunzwisisa. Asi riinhimwana anorwara neacute lymphoblastic leukemia, i.e.ZVese, maitiro ekumashure anotsemuka zvachose.Masero machena eropa, kureva kuti masero eropa machena, anongoerekana arega kukura zvakakwana uye haakure kuva maseru anoshanda akazara. Panzvimbo iyoyo, ivo vanotanga kukurumidza uye vasingadzoreki kugovera. Basa rehematopoietic system riri kuwedzera kushaikwa zvakanaka: maseru anorwara anodzora vane hutano uye anotora nzvimbo yawo mumongo. Mwana anorwara anoshaya masero eropa machena, masero eropa tsvuku (masero matsvuku eropa), kana maplatelet eropa (maplatelet).Ndokusaka vana vachigona kutanga anemia (anemia), akasiyana siyana kutapurirana (kutapukira), uye kazhinji kubuda ropa. Uye izviizvo zviratidzo zvekutanga izvo zvinogona kutaura pamusoro peakachemia leukemia mumwana. Asi chirwere pachacho, ZVESE, kubva pakutanga chaipo hachipo mune chero chikamu chemuviri. Kubva pamutsipa wemapfupa, unopinda mukati meropa, uchipinda mumukati medumbu (lymphatic system) uye mune dzimwe nhengo dzese. Basa rehurongwa hwese hwemitumbi, kureva iyo muviri wese, rinotanga kukanganiswa. Ndokusaka ZVESE, sedzimwe mhando dzese dzemukaka, inonzi chinonzi systemic malignant chirwere, kureva kuti chirwere chinoparadza muviri wese sehurongwa.ZVESE zvinopararira mumuviri wese nekukurumidza. Pasina kurapwa, leukemia masero anokamukira kwese kwese, kwetezvipingamupinyi zvekusangana. Nhengo idzo dzavakazorega kushanda zvakajairika uye hosha nyowani dzinotanga mavari. Kana leukemia isina kurapwa, ipapo kufa kunoitika mumwedzi mishoma.Siya chikumbiro chemahara pane webhusaiti yedu uye nyanzvi dzedu dzinozokubata uye kukubatsira kuti usarudze kiriniki yakanyanya kunaka maererano nenyaya yako. Iyo kurapwa regimen yeakakonzera chirwere chemukaka zvinoenderana nezera uye mamiriro emurwere, mhando uye nhanho yekuvandudzwa kwechirwere, uye inogara ichiverengerwa mumwe nemumwe pachiitiko chega chega.Kune maviri epamusoro maitiro ekurapa kweakakonzera chirwere chemukaka - chemotherapy uye kurapwa kwekuvhiya - pfupa marongo transplantation.Chemotherapy inoumbwa nenhanho mbiri dzakateerana:• Chinangwa chechikamu chekutanga ndechekuwaniswa kwekuregererwa. Ne chemotherapy, oncologists inowana kuderera kwezinga remasero ekuputika• Nhanho yekubatanidza yakakodzera kuparadza maseru ekenza asara• Kudzoserwa zvakare, sekutonga, kudzokorora chose chiitiko (zvinodhaka, dosages, frequency yekutonga• Mukuwedzera kune chemotherapeutic zvinodhaka, cytostatics iripo mune yakajairika kurapwa regimen.Maererano nehuwandu, iyo nguva yakakwana yekurapa chemotherapy kurapa kwemaukemia anenge makore maviri.Chemotherapy inosanganiswa ne cytostatics irinzira yehasha yekuratidzira, ichikonzera huwandu hwemigumisiro (kusvotwa, kurutsa, hutano husina kunaka, kupera kwebvudzi, nezvimwewo). Kuti kuderedze mamiriro emurwere, kurapwa kwecommonit kunorayirwa. Mukuwedzera, zvichienderana nemamiriro, mishonga inorwisa mabhakitiriya, detoxification vamiriri, maplatelet uye erythrocyte huwandu, uye kuwedzerwa ropa kunogona kukurudzirwa.Bone marongo transplantationKuwedzerwa kwemapfupa kunopa murwere masutu ehunhu, ayo anozova madzitateguru emaseru eropa.Icho chinonyanya kukosha mamiriro ekutapurirana ndiko kuregererwa kwakazara kwechirwere. Izvo zvakakosha kuti marongo epfupa akacheneswa kubva pakuputika masero anozadzwa nemasero ane hutano.Kugadzirira murwere kuvhiyiwa,inokosha immunosuppressive kurapwa kunoitwa. Izvi zvakakosha kuti uparadze leukemia masero uye kudzvinyirira kuchengetedza kwemuviri kuti uderedze njodzi yekushandurwa kwekutapurwa.Contraindication kune mapfupa anotapudza:• Kuputsa kwekushanda kwe nhengo dzemukati• Zvirwere zvinotapukira zvinotapukira• Kutangazve kweanonyanya kukonzera leukemia, kwete kududzira mukuregererwa• chembereRega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

Paavhareji, shanduko kubva ku precancer kuva kenza inorwara inotora kubva pamakore maviri kusvika gumi nemashanu. Iyo inotevera inoshanduka kubva pachikamu chekutanga chegomarara kune yekupedzisira inotora makore 1-2.Cervical cancer idumbu rinokuvadza, iro maererano nehuwandu hwekurapa pakati pezvirwere zvecancer zvinowanikwa muhupombwe, zvinotora nzvimbo yechina (mushure megomarara remudumbu, ganda uye mammary gland).Kunobva kenza yemuchibereko maseru akajairika anovharira cervix. Anodarika zviuru mazana matanhatu ezviuru izvi zvinoonekwa gore rimwe nerimwe.varwere. Kunyangwe chirwere checancer checervical chinowanzoitika pakati pemakore makumi mana-60, asi, zvinosuruvarisa, nguva pfupi yadarika kuva idiki kwazvo.Kurapa kwegomarara remuromo wechibereko kunosanganisirwa uye kunosanganisira kuvhiya, chemotherapy neradiation radiation. Panguva imwe neimwe, kurapwa kunorongwa mumwe nemumwe, zvinoenderana nedanho rechirwere, chirwere chinowoneka, mamiriro emuromo wechibereko, uye kuvapo kwezvirwere zvinozvimba panguva ino.Panguva yekuvhiya, bundu rinogona kubviswa nechikamu checervix, kubvisa bundu pamwecervix, uye dzimwe nguva nechizvaro pachayo. Kazhinji, kuvhiyiwa kunoitwa pamwe nekubviswa kwe lymph node ye pelvis (kana masero ekenza akagona kuzvijaira). Iyo nyaya yekubviswa kwe ovarian kazhinji inogadziriswa zvakasiyana (mumatanho ekutanga ekenza muvakadzi vadiki, ovary inogona kuchengetedzwa).Mushure mekuvhiyiwa, kana zvichidikanwa, varwere vanopihwa radiation therapy. Kurapa ne ionizing radiation kunogona kuwedzeredza kurapwa kwekurapa, uye kunogona kuiswa zvakasiyana. Mukurapa kwegomarara remuromo wechibereko, chemotherapy, mishonga inokosha inomisa kukura inogona kushandiswa.uye kenza cell kupatsanurana. Nehurombo, mukana wekuti chemotherapy chirwere ichi ishoma.Kubudirira kwechirwere chegomarara remuchibereko kunoenderana nezera remurwere, chokwadi chekusarudzwa kwekurapa, uye, zvinonyanya kukosha, pakurasika kwechirwere. Kana chirwere chegomarara remuchibereko chaonekwa mudanho repamberi, chirwere chechipfuva chakanakisa uye chirwere chinogona kurapwa nemaitiro ekuvhiya chete.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

Ongorora:Ruoko ganda kusimbisa, inonziwo brachioplasty, inzira yekuvhiya yekushandura chimiro chemaoko uye kuvapa elasticity. Chiremba anovhiya anogona kushandisa liposuction kuti abvise akawandisa mafuta uye ganda, pamwe nekusimbisa imwe yakasara yeganda.Kunyangwe akawanda makiriniki achipa nzira isingavapindike, mukuvhiyiwa kwechinyakare, chiremba anovhiya anoita chiitiko paruoko kubva pane yakakwira kusvika kumugumo. Sezvo mune iyi kesi vanga rinogara riri mukati me ruoko, kazhinji harisi kuoneka. Kunyange zvakadaro, iyo mibayiro yekushanda yakadaro inofanirwa kuyerwa kana ichienzaniswa nemhedzisiro yayo, kunyanya mavanga. Avhareji kureba kwekugara kune imwe nyika: Vhiki 1Dzimwe nguva murwere anofanirwa kunge ari muchipatara kusvika maiti abviswa. Uyu mubvunzo unofanirwa kujekeswa nachiremba anovhiya. Kufamba kwemhepo kuenda kumba kunogoneka mumazuva manomwe.

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.

Ongorora:Braces inoshandiswa kugadzirisa uye kuenzanisa mazino. Nekubatsira kwavo, unogona kugadzirisa kana kudzivirira matambudziko mazhinji echechi. Brows, sekutonga, inofanirwa kupfekwa kwemwedzi 18-24, uye mwedzi miviri kusvika mitatu yekushanyira orthodontist anozogadzirisa. Naizvozvo, varwere vanofanirwa kuronga nzendo dzinoverengeka kana kuwana chiremba wemazino munyika yavo anozotevera. Avhareji kureba kwekugara kune imwe nyika: 1 - 4 mazuvaNguva inodiwa murwendo rumwe. Braces inoda kugadziriswa nguva nenguva. Izvi zvinoreva kuti iwe uchafanirwa kuronga rwendo dzinoverengeka kuenda kune orthodontist kunze kwenyika, kana kushanyira orthodontist kumba kwekutevera.

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.