Seoul National University Hospital

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.

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

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.

CyberKnife kurapwa kusiri-kwekuvhiya kenza uye benign tumors. Nekubatsira kwesoftware uye vhidhiyo yekuongorora, tumors dzinoiswa munzvimbo dzakanyatsojeka sezvinobvira uye dzakanyatsodiridzwa zvakanyatsonaka nemadheti akakwira eredhiyo.

Mushure mekunge murwere awanikwa aine kenza inorapa uye abatwa, anoendeswa kucological consultation. Uku kutaurirana nachiremba panguva iyo chirongwa chekurapa chichakurukurwa.Mushure mekunge murwere awanikwa aine kenza inorapa uye abatwa, anoendeswa kucological consultation. Uku kutaurirana nachiremba panguva iyo chirongwa chekurapa chichakurukurwa. Nyanzvi oncologist anozvibata. Iye achakuudza zvese zvaunoda kuti uzive nezvechirwere chako uye nemabatirwo ayo. Nguva yakareba, mhedzisiro, mhinduro dzinotarisirwa, uye zvaunotarisira. Nomuzvarirwo, iwe unogona kubvunza iyo oncologist mibvunzo yako yose.Munguva yekurapa, iwe unobvunzawo wako oncologist, uyo anoongorora kufambira mberi kwekurapa.Yakakurudzirwa    Kenza

nullvazviratidze mumatanho ekutanga echirwere (kunze kwekutenderera).Zvinhu zvakakosha panjodzi zvinosanganisira:     zera repamberi - sekutonga, chirwere chinokura muvakadzi mushure mekuenda kumwedzi, vane makore makumi mashanu kusvika makumi matanhatu (makumi masere pamatanho gumi);      vakadzi vane kutanga kwekuenda kumwedzi (kusvika pamakore gumi nemaviri) uye kunonoka kuenda kumwedzi (mushure memakore makumi mashanu nemashanu);      kuputa      kufutisa      kutora zvinodhaka zvekusabereka uye hormone kutsiva kurapa;      polycystic;      endometriosis (kusapindirana kwakawedzera kwechikonzero chomukati chechibereko);herederal factor (genetic predisposition) - kuvapo kwehama dzepedyo dze ovarian, zamu, kana colorectal cancer.Vakadzi vasina vana uye vasina kumboyamwisa vane njodzi zvakare.Matanga uye mhando dzekenza yemazayaKune mana matanho:    Padanho 1, lesion inowanikwa mune imwe kana ese mairi mazai. Iyo inopfuurira ndeyechokwadi, kurapa kwakanaka, varwere vazhinji vanoenda mukuregererwa kwakasimba vasingadzose chirwere.    Panhanho yechipiri, iyo neoplasm inopararira kune dzimwe nzvimbo dze pelvic cavity. Kazhinji, uye panguva ino, fungidziro iyi yakanaka, zvichienderana nehuwandu mumakore mashanu ezerenullzvinoenderana nehukuru hwehosha:    kirasi A (kuderera kwakashata) - bundu rinokura zvishoma, maseru ane madiki anomalies (akasarudzika kwazvo);     kirasi B (zvine mwero malignancy) - inonyanya kutaurwa morphological shanduko mumatumbu masero zvichienzaniswa zvikuru yakasiyaniswa;     kirasi C (yakanyanya kudzvinyirira) - bundu rinokurumidza kukura, mashure-egiredhi maseru.Ovarian Kenza KurapaMusanganiswa kurapa unowanzobatanidza kusangana kweiyo nzira yekuvhiya (kuvhiya) uye chemotherapy.KuvhiyaSemutemo, panguva yekuvhiyiwa kweganda remuvhiya, nhengo dzese mbiri dzakabatanidzwa, iyo fallopian machubhu uye chiberekero, lymph node dziri pedyo uye mitezo yeadipose tishu mumudumbu mucity inobviswa,kune iyo kenza yakapararira.Kana mukadzi mudiki achigona kuona chirwere pakutanga, (panhanho 1), mune dzimwe nguva kupindira kwekuvhiya kunoitwa nekubvisa ovary ne fallopian tube kune rimwe divi. Mukuwedzera kune chokwadi chekuti chinzvimbo chekurapa pakurapa mune ichi chiitiko, izvi zvinokutendera kuti uchengete tariro yemimba.Kuti uderedze kushungurudzika uye mikana yekunetseka, pamwe nezvinangwa zvekurongedza, kuvhiyiwa kwegomarara remazamu kunogona kuitwa uchishandisa iyo Robot da Vinci yakangwara robhoti system.ChemotherapyChemotherapy yekenza yecancer inowanzotemwa mushure mekuvhiyiwa sechikamu chekurapa kwakaomarara. Zvinodhaka zvinowanzotumirwakupinda mutsinga kana zvakananga mudumbu, inosanganisirwa nzira idzi dzinoshandiswawo.Mumatanho anotevera, chemotherapy inogona kusarudzwa senzira huru yekurapa.Radiation kurapwaMune zviitiko zvisingawanzoitika (nekurwadziwa kwakanyanya, kubuda ropa kubva pachibundu), radiation yekunze yekurapa kana brachytherapy (yekumonana neradiation) inosanganisirwa mune yekurapa regimen yekenza yemazamu.Kupora mushure mekurapwaNenzira yakajairika yekudzoreredza, kupora zvakakwana mushure mekurapa kenza ye ovari mune vakadzi kunotora kusvika kumavhiki matanhatu. Kana chiberekera chakabviswa, mukati memavhiki matatu - mashanu zvakakodzera kuti ubve pabonde. Mune zvimwe zviitiko, chiremba wako anogona kukupa mahormone uye vitamini D.

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.

Ongorora:Kuwedzeredza mazamu inzira yekuvhiya yekushandura ukuru uye chimiro chemamary gland. Iyo inowanzoitwa uchishandisa zvimisikidzwa zvakaiswa mukati mazamu, asi adipose tishu yekuturika inoshandiswawo. Muchiitiko chechipiri, nerubatsiro rwepiposuction, mafuta anowanikwa kubva mudumbu uye chiuno, uyezve anobva aunzwa mukati memamary gland. Semutemo, kushandurwa kweadipose tishu kunokubvumira kuti uwedzere kukura kwemazamu nehurefu hwemakumi maviri emamirimita (mita imwe). Avhareji kureba kwekugara kune imwe nyika: Vhiki 1