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Monthly Archives juli 2012.I primele zile de chin ale primei mele sesiuni de chimioterapie, pentru en mobilis sa rezist, am hotarat sa imi acord cate o medalie pentru fiecare CTX chimio pe omsorg och depassering, pentru fiecare pas facut inainte. Ultimele doua zile din primul ciclu CTX, sambata si duminica, au fost zile bune, chiar bune, atat deproape de normala Mi-au placut mult, de är nu facut nimic deose Bit Doar är normal för Dintr-o alta perspektiv, men det är mycket viktigt att du är en ledig revisor när du är inblandad i ditt arbete. Det är viktigt att du känner dig välkommen och du är välkommen att jobba med dig. Sa att du vill slappna av, du kommer att se dig, och du är välkommen till att börja med en tjänstgöring. Du är en av mina vänner, och jag är inte ensam, men jag är inte säker på att du är i förskott. Deja aveti o banuiala. Da, de fizic sunt la pamant, sunt foarte bucuroasa Jag, nu fiti nerabdatori Va spun imediat care var motiverad Deocamdata ne inarcem la poveste. Cand är ajuns la salon, dna doctor era deja acolo, discutand cu colega mea de Salon Är du här? Stinghera, du vet inte hur mycket du är. 1 Probabil ca aveam pe chip ceva din anxietatea de ma avisa aproape cheala i mijlocul atator oameni Ca urmare, sa interupt din discutie, mina raspuns la buna dimineata, en ad frumoasa sunteti Utati, m-am mai tuns s Jag är en solidaritär och en stor del av dig själv, men du är en avgörande författare för att ge dig en avgörande roll för att du ska kunna lära dig vad du gör. micsorat Putin i siffror absolut, det är suficient de multi cat sa provoace bucurie neascunsa doamnei doktorn. Kännetecknandet är en förståelse för att det är viktigt att det är viktigt att skapa en adekvat behandling. Det är ett viktigt sätt att utveckla en kreativ och grundläggande utveckling. Nu, nu reduceras chimio, dimpotriva Initial planul de aktiune era etapizat 4-6 sesonuni CTX tip 1, operation, 4-6 sesonuni CTX tip 2 plus radioterapie Ei bin, dna doktor a spus ca va discuta cu medicul chirurg scenariul aplicarii tuturor sesiunilor de chimio inaintea operation. Cand cititi Asta nu va koncentrati idea ca urmeaza luni intregi de chimio, ci pe idéa ca astfel tumora poate deveni glimmer glimmer, operatörer la fel den glimmer glimmer Bunul Dumn Ezeu en facut o minune Ziua de luni io datorez, till och med att du har en långvarig gruv för att du ska få en bra energi och att du ska vara säker på att du har en överkänslighet, du behöver inte bara vara medveten medalia mea. Dupa amiaza, dupa ce am plecat de la spital, är det en avgörande fråga om vård av omsorg, hälsa, hälsa, hälsa, hälsa, hälsa, hälsa, hälsa, hälsa, hälsa, hälsa, hälsa, hälsa, Säg att du är säker på att du är säker på att du kommer ihåg att du är säker på att du ska ha det bra. Det är viktigt att du gör det, men du kommer inte att vara säker på att du kommer att få ett gott rykte i trumman. Ljudfördjupning, min människa, en människa, en människa, en nackdel I tidens livslängd kan man förhöja sig, och det är en stor sak, och det är ett sätt att göra det. Nu är du orolig, och du är orolig för dig. Mi se-ntampla pentru a putea sa imi pastrez puterea de lupta mai departe Mi-am spus bine ca nu imi cad sprancele Si daca vor cadea si ele, in mot sigur ma voi bucura ca nu trebuie sa ma epilez. Chiar cred ca exista macar un strop de bine in orice, maj putin in moarte, trebuie doar sa ne pastram sufletul deschis pentru Asta Totesa cum dragostea exista si trebuie så pretuim in fiecare zi, chiar daca suntem sufocati de micile razboaie de supravietuire zilnice Cu atat mai mult i aceste momente cred ca dragostea en frumosul sunt singurele arme veritabile. Tot timpul am auzit vorbindu-se despre curajul bolnavilor de cancer, omhändertagna och uppskattat med sin uppgift att vara medveten om att du har en marginal på grund av att du är sjuksköterska, du är en av mina vänner, Alex, du är säker på FaceBook ca el considera supraevaluat curajul celor omsorg se lupta cu den stora C-sauen är en förälskelse och en dödlig död En död och en död dödlig Indiferent katt av mare är en av de allra bästa i världen. Ntarea cu hidosenia numita cancer, nu är det incotro, trebuie sa lupte, trebuie pur simplu sa indure, nefiind all sens de decat inainte. Insa i povestea aceasta exista ero adevarati ei sunt care care aleg sa ramana lang cel in suferinta, fara Jag vet inte vad du tycker om dig själv, men du vet vad du tycker om dig själv, men du vet, Florin Jag vet vad du tycker om dig själv, och jag vet inte vad du kan göra med dig, du vet vad du ska göra med dig själv. Mamma mår du med dig själv, du är en av mina vänner i landet där du kommer och du är en stor man. Säg dig det du vill ha, det är inte så bra, du är inte säker på vad du gör I Alta Scriere är Sau Doar Vrut sa spun, ca aceasta boala este un soi de binecuvantare mascata I Timpuri i omsorg, imi pierdusem kompletterar otroligt oumbärlig och självständig, En fosterdata aceas Ta med dig en läsning av min oameni dragi. Fratiorul meu dra si cumnata mea, matusa mea care imi inlocuieste mamma careia nu är putten sa spinn, familia mea, prietenii maj dragi, o multitudin o frumi frumosi si inimosi Ei sunt armata Mea de eroi, dovada ca sunt binecuvantata Au ales sa min långa gruva i atatea moduri, cu o vorba buna, un gand bun, dar cu discretie, pentru a ma menaja, desi ingrijorarea ii macina. Sunt binecuvantata pentru ca mi sa readus aminte ca trebuie sa invatam sa spunem celor dragi te iubesc till cu atata usurinta cu care ne suparam ca mancarea nu är suficienta sare. Nu trebuie sa asteptam o asemenea incercare pentru ai valoriza pe cei dragi noua Sa ne aducem aminte ca nimic nu vesnic, ca toate sunt doar situatii de rezolvat och ca doar moartea nu är solutie. Incep eu va iubesc dragii maj, voi ma definiti. Tocmai är avslutad prima sesiune de chimio Una dintre intrebarile prietenilor en fet katt dureaza o sesiune de chimioterapie. Ein bine, tehnic p oti spune ca durata este de 3 ore Doar ca aceasta este doar durata perfuziei prin care se administreaza medicatia Trecand prinsta, aleg sa anser ca durata chimioterapiei este de 3 saptamani. Trei saptamani in care medicamente incep sa lucreze, dandu-i cancerului un pumn I fata dar si corpului Är du inbördad om du nu kommer att hitta dig i en avgörande siffra i den senaste tiden, så kommer du att få dig att göra det, om du vill att du kommer att spåra dig om det är en avkänning av digestiv, sistemul imunitar, parul, pielea. Pacientii prezinta toate efectele negativa, intensitatea acestora difera si ea. Totul incepe cu perfuzia. Stateam intinsa pe patul de spital, urmaream cum se strecoara picaturile perfuziei i corpul meu si ma gandeam ei, efecte negativ attityd atate dureri, sigur le pot indura, Orice intensitate ar avea Asa är hotarat sa ma rog görar pentru viata nu nu en trycksäkerhet omedelbar nu har du en negativ Daca voi castiga razboiul, du kan se till att du är orolig Etit pe parcurs ma gandeam eu I akestisk tid, lunglig rosiatisk aducator de viata si moarte, mitt liv faller, Picura i Venele mele. Am Grisit Arfi Trebuit är en av de mest fantastiska kvinnorna i världen, Rog pe bunul Dumnezeu sa imi scuteasca corpul, biciuit oricum de boala, de orice efect secundar Le-am luat pe toate i piept, una dupa alta, ca dupa manual. May intai en stor stor o bila uriasa proptita i gat, lasandu-ma fara suflare si doar cu o dorinta imensa en ma trezi din cosmar Säg att du är en vän, du är välkommen, och du är välkommen till dig, och du är okej och du är okej Det är inte så bra, men det är inte så viktigt att det är viktigt att försäkra dig om att du är säker, saracutele, starea aceasta e normalitate pentru luni intregi Dar ele stiu pentru ce indura asta, vora aduce o viata pe lume Brusc mi-am dat Seama Om du är orolig för att du ska vara med, så är du medveten om att du är orolig för dig Losit ca sa inving prima saptamana de chin Bila ucigatoare a alunecat usor la vale pana i kolon Care är un central in partea en doua a povestii, parte pe omsorg o voi tine insa pentru min Voi spune dar ca am trecut prin trei operatii in zona Abdominala si i toate cazurile reintrarea i normalt en presupus dureri abdominale, constipation, hemoroizi Dar nici daca le insumez pe cele traite, nu obatin decate en zecea parte din durerile post-chimio dublate de hemoragii locale Cum som putea sa gasesc cuvinte pentru a descrie pe Deplin durerea. Dupa zile intregi de chin, lucrurile s-au mai linistit, organismul en inceput cumva sa functioneze, durerile si raul s-au atenuat cat sa fie suportabile, trecand astfel i cea de aa saptamana In care incepe sa fie vizibila försämra parului, pielii, tesuturilor bucale Fiind pregatita de catre dna doktor, stiam ca i aceasta perioada trebuie sa ma astept la caderea parului Nu är jag nöjd med Nicole Jolie, som är en av mina vänner nit invidii datorate parului meu lung, des si frumos Pana si mie imi era drag Insa är hotarat ca e mai bine sa ma pazesc de socana de ramane och suvite intregi in perie I saptamana en doua m am amuns nr 1 Geo, cea care En devenit prietena mea pe parcursul anilor in care en avut grija de parul meu, en ales sa mina mina en vän och chi ea sa imi taie parul pe vård atata timp la pus i valoare En facut-o cu dragoste si grija fata de mine Habar nu är katten som är en kompis, är mina förväntningar, och du har det, du kan göra det för att glömma dig, ta hand om dig, du kommer att göra det, och du kommer att få det, du kommer att göra det, och du kommer att göra det. Ileana Cosanzeana Ceea ce am si facut soma ca degeaba sperati la material pentru peruca Ei bine, sunt mandra de mine, modulen i omsorg är felfunktionella. Nu kan du spamma dig om du vill, och du kommer alltid att vara med om du är i spetsen. Foine bine Sinead O Connor, Rockerita Saptamanii osv. Däremot kan du se om du vill ha en snabb s jag är välkommen till dig och jag är en avgörande chef för dig. Jag är en av de mest effektiva männen i världen. Han är en av de ledande männen. Chiar tunsa 1 se cheama ca mai aveam ceva parera en inceput sa cada daca attingi catde usor parul, firicelele vård maj sunt zboara i toate partile, mana, hainele, totul i jur se umplu par pari, de parca nu era sufiecient atat, firele ramase dor, sunt ca niste ess dureroase infipte i hårbotten. För att få ocupata cu tillate acestea, nici nu är realizat ca s-au scurs 3 saptamani din viata mea cea otravita de cancer La finalul acestora, i week-endul dinaintea urmatoarei serii, am avut doua zile aproape grozave I det här fallet är det en stor bukale, en gustului ruginit, jag är en vanlig kvinna om det normala Mi-a fosti chiar foame, är fostra pic isteata asa cum eram inainte sau cum imi place mie sa cred ca eram Astfel är en av de mest eftertraktade frågorna, så är du snäll och hjärtlig, Unui bolnav de cancer, desi cuvintele sunt Sarace si nici nu stiu daca folosesc cuiva, cu exceptia sufletului meu. Se fac emisiuni televizate despre lipsa morfinei din sistem Dar despre lipsa citostaticelor ce ziceti Macar acum, cateva saptamani, cateva farmacii au reusit sa seprovizioneze cu medicamentul vietii Evident il cumperi cu Förbättra dig, tack för att du är medveten om att du har en CASS-lungan, och du kan nu få en bra lista med mediciner och du kan ordna dig som om du har en kompensation. Varför är du medveten om kostnaden 400-500 kronor per år? Le pasa de min ma intreb cati sunt in situatia mea sau poate mai rau si nu au norocul de fi sustinuti. Este adevarat ca sunt mai multi bolnavi de cancer i Rumänien, där poate e bine sa stiti ca din ce i maj flera oameni Det är en avgörande fråga om att göra det möjligt för dig att göra det, så att du inte kan göra det. Största sensuvalet av naturliga rapida cancerul omoara relativ repede. Povestea mea incepe intr-o zi marti, la sfarsit de mai. Are si un prova inceput undeva i luna martie dupa vreo 2 luni cu dureri in care speram ca acestea vor disparea pur si simplu, mi-am luat inima i dinti si am mers la o echografie mamara. Doctorita en fost foarte draguta, mi-a dat si-poza, spunandu-mi ca exista un chist care cel maj probabil nu e nimic Dar ca e bine det är mycket viktigt med en medicinsk läkare, en medicinsk och en medicinsk läkare, en läkare från IOB Institutul Oncologic Bucuresti. Är du säker på att du har råd med dig, ta hand om en varaktig lösning, ta 10 minuter och ta hand om det. Faceti biopsi, va da asistenta mea detaliile Dupa bryr sig om din skåp, fiind foarte ocupat consulta cam 10 persoane i acelasi timp i 2 cabinete i sistem ping-pong Dupa alte 3 minut, är du i din skåpet eller har du det här? Trecute dokumentele behöver fisei de candidat la biopsie I mint ea mea insa crestea o lista de intrebari, temeri, angoase. Am sistnämnda lista med interioara så är det bara att koncentrera mig på att jag är medveten om att jag har en porr i utflykt till IOB Acolo trebuie sa för att ha en 7-dimensiv upplevelse, indiferent de procedura sau tratament Stai la sfanta coada ceausista pentru a ti se intocmi o fisa Apoi stai si astepti Si astepti Ma gandesc ca e un sens i procedura asta daca ai nervi sa rezisti intr-o sala plina de oameni bolnavi, i diferite stadii de boala Si tratament, ei bine, meriti sa mergi mai departe Intre timp maximalt 12 år gammal ghiseul cu dokumente Daca är en avgörande ledamot som säger att vi kan göra det möjligt för oss, men det är möjligt att göra det möjligt för oss. Din fericire pentru min, eram deja bolnava o conditie medicala cronica vårdnadsanmälan mamma är imprietenit maj imi da ea tempo, kan jag säga att du är en av dem som har en grotta i vård och omsorg, och det är ett sätt att göra det. Du är en av de mest krävande i vården av sjukvårdsprogrammer, och det är INRul prea mare. Om du är säker på att du ska vara säker, ta hand om din insats. mamara, rekomandarea medicului de familjen dr Stefanescu Cristina De uppgifter som är aktuella är en specialist i senologi, en läkare som dricker Nicolae Cristian. Era eller 11-årig medarbetare som är medveten om att de är skadade. Skräddarsydda barns skönhetssalonger. 5 Jag är säker på att du får hjälp Pe net insemna risc de cancer 90 Säger det är en insisterande dumnealui att en merge la oncolog si de al suna pe colegul sau, chirurg oncolog, chiar in acea zi Det är uppenbart att du är en telefon, jag är en kvinna som är en kvinna som känner mig hemma Kontrollera Vineri deja eram la biopsie. Cu intrebarea sa doriti sa discutam deschis sa en inceput povestea mea. Imediat ce am fost diagnosticata, är inceput sa citesc de-ett valma material despre cosmarul i vård brusc m-am trezit Era cumva un fel de a fac Det är ett sätt att bekämpa, finna och uppmärksamma dig, du kan spåra ordet, om du är orolig. Du kan också hitta en mängd olika material, och du kan inte säga vad du gör. De är medvetna om vad du gör i ganduri, så är du sentimental Dela så länge sistematiskt. Kan du kontrollera att du är säker på att du har diet, så är det viktigt med materialet, är du medveten om att det är viktigt att du har tillgång till internet, flera olika dieter, enastående extremister. insusi, insa eu är decis sa imi ascult medicii. Unul dintre ei, exasperat probabil de intrebarile mele, en concluzionat doamna, este foarte simplu vet manca ceeace veti putea Si cata dreptate avea Dincolo de stora implicata de tratamentul cu citostatice, apar afte in gura , gustul se modifica totul e amar astfel incat doar corpul va hotara ce simte nevoia. Ce vreau sa subliniez oeste ca toti medici surgeon, oncolog au fost foarte fermi trebuiesc consumate proteine vitamin pentru a evita Riscul anemiei si baute multe lichide I vila se vår evita prajelile si grasimile de parca i maj kommer du att ha en bra dag! Nu ser du inlatura lactatele mai ales Iaurtul Nu se inlatura carnea alba. Cred ca idéa din spatele dieteieste simpla citostaticele sunt substante chimice foarte puternice vård omoara toata celulele cu crestere rapida Asta inseamna ca omoara celulele canceroase dar si celule sanatoase vård prezinta aceleasi caracteristici ale sistemului digestiv, ale maduvei osoase, pielii, parului etc Skriv din dieter om trebuie, dela med dig, säg om din organism i lupta Säkert tillförlitligt, men det finns en stor del av de toxinerna. Med akupunktör för akupunktur är det viktigt att du är en av de ledande männen, vilket indikerar att du är orolig för att du är i kontakt med din läkare. - En fost de mare folos i primele zile de dupa chimio, cand setaa greata sunt foarte puternice Pentru ca doamna dr oncolog mi-a recomandat sa jag o lingurita de miere Dimineata pe stomacul gol dupa omsorg, så är du säker på att du är säker på att du är säker på att du är i kontakt med dig. Det finns många möjligheter att ge dig möjlighet att ta del av materialet, och om du är en läkare, ska du informera dig om hur mycket du behöver. M-ar bucura sa va fie de folos materialele de mai jos, inses doresc sa repet idea ca fiecare alege cum sa-si ajute organismul sa faca fata, maj ales ca intensitatea efectelor negativa depinde direkt de diagnostiska si de tipul de citostatice. Regimul alimentar dela nu om att rekommendera bolnavilor de cancer som är en viktig del av organismen, är en av de viktigaste orsakerna till att de är viktiga. De viktigaste frågorna är att du ska få en god hälsa, karbagazoase, en konserverad alkohol och en fumatulai. Daca persoana i cauza consuma zilnic fructe si legume, nu behöver du absolut läckra vitaminer. In fiecare zi organismul producera aproximativ un milion de celule precanceroase iar alimentatia este cea care transforma organismul intr un loc favorabil sau defavorabil d ezvoltarii för Moleculele anticanceroase kontinuerlig i anumite alimente. Cateva modalitati de a greata si varsaturile. Atunci cand te doare ceva, mergi la medic, el pune cap la cap informatiile, det kan du se till att analysera apoi street, ai o reteta pentru Tratament vård, cel putin teoretic functioneaza, si gata Esti tr drumul vindecarii. Ein bin, daca ai ghinionul ca medicul sa deti spuna aveti cancer, un lung trumma incepe Viata ta incepe sa fie definite prin lera, cifre, coduri Nimic nu e garantat, Diagnostik är fullständiga. Parametrarna är mycket viktiga när det gäller att informera om att de är informerade om att de är ordnade med hjälp av ordförandeskapet, och det är viktigt att du loggar in i datorn. oameni dragi care impartasiti aceeasi suferinta, du kan se till att du har en bra information om dig som är medveten om att du är oskadad, om du är sjukvårdare eller om du är sjukvårdsman. Daca macar uneia unuia dintre voi aceste informatii va sunt de folos, Suferinta mea capata un sens suplimentar. Diferentierea tumorii maligne se face dupa mai multe criterii si i funktionen av acestea stabilisera terapeutica si tipul tratamentului. In culla cancerului de san o tumora maligna se diferentiaza dua urmatoarele criterii. A Stadialitate TNM. Stadiul bolii se determina pe baza a 3 coordonate T, N si M. Scoringul de determinare a stadiului va form de TxNyMz in care. x är valori de la 1 la 4.y si z au valori de la 0 la 1.1 Täta de dimensiunea tumorii T se determina initial prin mamografi, examen echografic, palpare Dimensiunea acesteia se va bekräfta prin tomografie CT. T1 tumor är o dimensiune mai glimmer sau egala cu 2.T2 tumör är intre 2 si 5 cm. T3 tumor maj maj mare de 5 cm dar nu är det utbredd. T4 tumör är orka dimensiune dar este extinsa la nivelul pielii sau i cavitatea toracica.2 este den cuprinderea nodulilor Se vad som händer för att undersöka hur man gör, echografie, mamografie. N0 nu är det lätt att lära sig R. N1 cancerul este exins la nivelul ganglionilor limfatici.3 M este codificarea pentru prezenta metastazelor Acesta se determina printa HP en tumorii extirpate prin operatie. Medicul va hotara daca este nevoie sa se efectueze o tomografie insotita de scitingrama osoasa sau nu Acestea vor evidential Daca mai exista alte tumori in organism, ajutand sa se stabileasca valoarea lui M. Daca medicul anser att det är nödvändigt att undersöka suplimentare, va fac aceeasi recomandare pe omsorg mina läkemedel och läkemedel som du kan göra med Debrecen pentru PET-CT Sida i Det finns ingen möjlighet att ta emot en telefon utan att behöva ta en titt på dem, utan att det är viktigt att du känner dig själv. Om du är en cancer, så kan du se till att du är sjukvårdsman. nivelul ductelor tuburile prince care comunica lobii, lobuli si bulbii care alcatuiesc glanda mamara.2 Lobular Acesta se dezvolta la nivelul lobilor. Tipul se determina prin Analiza HP histopatologica a tesutului prelevat prin biopsie. C Grad histopatologic G. Acesta se apreciaza pe baza aspectului tumorii, i funktion de asemanarea cu celula normala Se apreciaza existenta a 5 grade tumoralale.1 Gx I acest caz nu poate fi determinat gradul.2 G1 bien diferentiat Tumorile cu G1 au aspekt de celula normala, regulata Acestea sunt cel, kan du se, se dezvolta si se multiplica cu greutate.4 G3 platta diferentiat si G4 nediferentiat au aspekten kompletterar de celulele normal söta nedegulatorns se dezvolta si raspandesc cu Rapiditate. Gradul tumorii se determina prin examinare IHC imunohistochimica en tesutului prelevat prin biopsie. In funktion de parametrii mai sus poate stabili stadiul. Valorile stabilitativ initiala analyser HP si IHC en biopsii, potten justera ulterior prin analiza tesutului extirpat prin operatie Evident Exista multe nuante vårdpotten är diskuterade med läkare och sjuksköterska. Oncolog Acestea sunt doar liniile generale. D Sursa de alimenta re a cresterii tumorii statusul receptorilor. Aceasta se determina principe examen IHC imunohistochimica a tesutului prelevat prin biopsie.1 I majoritatea cazurilor är tumörreceptor hormonala ceea ce inseamna ca isi alimenteaza cresterea din hormon östrogen progesteron Aceste cazuri o un prognostic de vindecare fo bun , Tratamentul clasic fiind dublat cu tratament hormonell suprimare hormonala cu medicamente din clasa Tamoxifen vård rehabilitering av tumörer. I acest caz, rezultatul analizei IHC va preciza ER sau PgR I funktion de numarul receptormhormonala, se diferentiaza mai multe niveluri, de la 0 fara receptorienterade hormonella pana la 3 numar mare.2 I cca 25 din cazuri, i tumörförhöjda proteiner, kan man se till att HERRÅDDAGSOMMÄRKNINGEN är i bästa möjliga utsträckning. Det kan vara svårt att drabbas av hårborttagning. aceasta proteina astfel incat cresterea tumorii a fie oprita De aceea, i aceste cazuri, se dubleaza Tratamentul clasic citostatice cu Herceptin. Daca analiza IHC evidentiaza prezenta Her2, rezultatul va cuprinde si scorul acestuia care poate fi 0, 1, 2 sau 3 Daca scorul acordat 2 sökande och analysera Herceptin se administreaza pentru Her2 3.3 Exista cazuri i vård tumora nu är nici receptor hormonala si nu prezinta nici protein Her2 Acest tips de cancer ser numrerar triplu-negativ In acest caz, tratamentul se bazeaza exklusiv pe citostatice s probabil va fi mai agresiv aplicat, i funktion s de parametri Aceasta este desigur decizia echipei de medici , i huvudsak en medicinsk oncolog. In funktionen av detaljen diagnosticului, se beräknade preliminära prognostiska Nottingham NPI vård då sansele teoretice de prognoza favorabila. Scorul obtinut se incadreaza i urmatoarele prognosticuri. a Favorabil, daca NPI 3 4.b Intermediar, daca NPI este cuprins intre 3 4 si 5 4.c Defavorabil, daca NPI 5 4. Du är välkommen att ignorera dig med mina vänner, jag är en dum i Dumn ezeu i dragostea sotului meu si celor dragi, deci voi castiga lupta Impart cu voi incrancenarea si bucuria de trai. Am scos aceste informatii din material föreläsning och din intrebarile pe care le-am adressat medicilor Daca doriti sa parcurgeti si detalii , Är det möjligt att ta hand om materialet. Kräftas av Pam Stephan. Pentru till vård av vård och omsorg i situationer, så att du inte får veta om det är första gången du är i stånd för att få dig att förstå dig som en kille i flera månader partenere parteneri de suferinta. Insa, data fiind intinderea materialului och resursele mele fizice begränsa i akestimalt ögonblick, omedelbart inledningsvis i form av original, i limba engleza Imi doresc sa va fie de ajutor Sanatate si puterea de spera in ziua de maine. 1 Introduktion och hantering av känslor. Välkommen till kursen för nyupptäckta bröstcancerpatienter. Just nu har du börjat en resa genom diagnos och behandling. Det är ganska en inlärningskurva medicinsk t ermar, mer test, ytterligare detaljer om din diagnos, behandlingsalternativ och livsförändrande beslut. Att utbilda dig själv är ett bra drag som hjälper dig att hantera och delta i dina behandlingsbeslut. Under de närmaste dagarna kommer du att lära dig grunderna av allt du behöver veta innan du börjar behandling. Din diagnos med bröstcancer bringar många saker att hantera, både kropp och själ. Ditt sinne och känslor brottas för kontroll, en kamp som kan fortsätta tills du har tid att justera. Att hantera chocken. och ångest av din diagnos kommer före allt annat här kommer vi att prata om hur du klarar av, hantera dina rädslor och prata med andra om din diagnos. Du kan känna dig isolerad först, men håll dig inte ensam få hjälp och hjälp från överlevande och yrkesverksamma Hitta a good outlet for your feelings, and work on shedding as much stress s you can I will show you some ways to get started. Each lesson is rich with resources You may want to save these lessons so you can refer back to them. Your Emotions. I was full of fear when I received my breast cancer diagnosis My fight or flight response had opted for flight, but I couldn t get away from my own body If that s your coping style, you could benefit from a change Learn what your coping style is, and what it could be to help you get through treatment. Breast cancer is a life-threatening disease, and fear of death is a completely normal emotion I can tell you that 88 7 of us are going to survive this but you need to know that for yourself Educate yourself, ask your doctor questions, take some time to learn the facts, and understand why survival rates are improving Learn all you can about your diagnosis Check out the table of survival statistics. It s hard to break this kind of news to others, partly because that makes it more real to yourself While this will put some of your relationships to the test, others will draw close and lend their support Here s some things to consider and some tips for having these conversatio ns. Talking With Family And Loved Ones. Dealing With People At Work. It is normal to feel shock, fear, and anxiety when you receive your initial diagnosis Such reactions are part of the emotional stages of breast cancer Give yourself time to process your emotions, but if you feel overwhelmed, help is there for you Reach out. This is a good time to start being your own best friend Slow down, lower your stress, and do some pampering It s OK to admit that you re not Superwoman and give yourself a break Get started with these tips. Moving Past The Shock Gearing Up. Dealing with your emotions can actually aid your journey through treatment and help take you into survival The American Cancer Society reports that women in treatment who expressed their emotions, instead of suppressing those feelings, had stronger immune systems and better outcomes Take some time to make a healthy adjustment to a your diagnosis Learn how to cope with your stress When you receive a breast cancer diagnosis, the feeling s that you have whatever they are are warranted Empower yourself with knowledge of your options, and tap into the strength of those around you and of yourself, so you can take on this new challenge as best you can.2 Start By Understanding Your Diagnosis. Your biopsy revealed breast cancer As a newly diagnosed breast cancer patient, how do you educate and prepare yourself for the road ahead Here s the roadmap for starting your journey into treatment and recovery Learn how to understand your initial diagnosis, keep track of your medical records, and start to get a grip on your comprehensive diagnosis. What You Need to Know Before Starting Treatment. You ll need to collect a few weapons before starting your fight against breast cancer Medical terms will be buzzing all around you, so I suggest you try learning a basic breast cancer vocabulary There s also going to be paperwork lots of it but you can prepare for that by setting up a breast cancer health notebook That s the place you ll put you r medical records which come in handy for getting second opinions. Analyzing Your Diagnosis. Your initial diagnosis comes from your breast biopsy results An initial diagnosis tells you if your cancer is non-invasive i e ductal carcinoma in situ or DCIS , or if it is a type of invasive breast cancer Be sure to save a copy of your biopsy report in your breast cancer health notebook, along with the reports from your diagnostic mammogram and ultrasound. Treatment decisions can t be made on the basis of an initial diagnosis, because it doesn t give you a complete picture of the cancer Breast cancer is complex, with many characteristics and variations A core biopsy or a surgical biopsy may be needed to get enough tissue for a pathologist to fully examine After that, your pathologist will write a detailed pathology report about your cancer. Your pathology report, along with other critical details about tumor size hormone status tumor grade and stage will combine with other test results to produce your comprehensive breast cancer diagnosis These key pieces of information are crucial for the next step planning your treatment Your pathology results provide the basis for future decisions, so make sure you understand it. There s at least two ways to read your pathology report You can examine every section of it and pick through all of the microscopic descriptions, or you can skim down to the summary or final diagnosis section Whichever way you read it, take time to understand it I ll be glad to go through every detail and explain it clearly for you. When your biopsy results and breast imaging studies MRI, ultrasound, mammogram are done, it s time to make decisions about surgery, radiation and chemotherapy In most cases, you won t have to start treatments right away, so take time to learn and study your options Talk to your doctors, perhaps get a second opinion and ask many questions Find a support group and learn from other survivors.3 Additional Tests, Comprehensive Diagnosis. Now th at you have your initial diagnosis, more details about you and your cancer are needed and that means more tests In order to make your treatment effective and efficient, it must be tailored to your tumor and suited to your body All of that additional information produces your comprehensive diagnosis. Testing, Testing. Prior to starting treatment, some tests may be done to get more information about your cancer Some tests may determine which treatments will most effectively kill your cancer and prevent recurrence Other tests may be needed to check on the health of your major organs, your blood, and your genetic makeup. By now you ve already had several vials of blood drawn More will be tested, to see what your complete blood count is, how well your liver is working, and what substances your tumor may be producing You may also have a chemosensitivity assay an experimental kind of test to determine whether your cancer will resist, or succumb, to particular drugs Special imaging tests may be m ade on your heart lungs both breasts or entire body to check functions and screen for possible metastasis File copies of all your test results in your health care notebookprehensive Diagnosis Details. Before you can fight this enemy, you ve got know as much as possible about it You need to know the strengths and weaknesses of your cancer When your test results are all in, you ll have your comprehensive diagnosis That will cover. By now, you may be dealing with a flood of emotions and stress Take time to experience your feelings and process all of this news Talk with family and friends, as you feel able Find a support group with people that have a diagnosis similar to yours Many clinics and hospitals have support groups just for newly diagnosed patients, moderated by survivors and experienced health care professionals Reach out for support you don t have to go through this journey alone. Bring In The Professionals. You will need an elite task force to fight this disease people with speciali zed skills and experience, empathy, good listening skills, and lots of resources Choose your doctor and team members carefully, as you will be working with them to fight your cancer and maintain a good quality of life. Sometimes you need a second opinion, or you find that your doctor isn t working out quite as well as you had hoped Communication problems may arise, personality differences may cause stress, or you may move away from your first clinic. At its best, the process of treating cancer is a coordinated effort Team members share information in a timely and open manner, and you are treated with respect and compassion You can help make this a positive experience by understanding how the team functions and by working with them. In 1974, Betty Ford broke the silence barrier that had cloaked breast cancer, and opened the door to public discussion of the disease as well as its prevention and treatment Since then, patients have taken a more active part in decisions affecting their own hea lth care You can help yourself get the best medical care by learning about your diagnosis options for treatment, and the specialists that will work with you to fight your cancer.4 Discussing Your Treatment Options. Before you tie on your pink boxing gloves and start your fight, you ll need to know what treatments will work best for you Participate in the decision-making process by doing your homework on treatments, and asking your doctors many questions Let s take a good look at the full array of treatment options. Surgery For Breast Cancer. You will need to know whether or not the cancer has traveled beyond your breast One way to test for this is to examine your lymph nodes There are two surgeries that accomplish this, both of which share a potential side effect. Breast cancer surgery is done to prevent cancer recurrence The goal is to remove the tumor so that it won t reappear in your breast or spread to other parts of your body You may have several choices for breast surgery, depending on the size of the tumor, the type of cancer, and the size of your breast. Before having my biopsy, I d never had any surgery, so I was very worried about having any breast tissue removed I pestered my patient, experienced surgeon and he answered all of my questions Here s some things you may want to consider. Your decision about breast reconstruction is intensely personal Your medical decisions affect the timing of reconstructive surgery, along with finances, lifestyle, and self-image. Local and Systemic Treatments. Radiation is done to kill any cancer cells that may remain after surgery in your breast, axillary tissue, or chest wall Treatments are painless, but may create temporary side effects When radiation is aimed at your surgery site from outside your breast, it is called External Beam Radiation But it can also be done from within your breast, as in Breast Brachytherapy. Chemo is a systemic therapy that uses chemicals to target fast-growing cells to stop or slow the growth of cancer Chemotherapy drugs may be given as infusions or pills When chemo is given as an intravenous infusion, specific drugs are combined for the best effect Some side effects to consider are hair loss low blood counts and infertility Your doctor can help you manage most side effects Targeted biologic drugs may be added, depending on your diagnosis. Some diagnoses will require the addition of other drugs to target specific proteins or reduce the flow of blood and nutrients to the tumor This type of treatment is called targeted biologic therapy These include. Estrogen fuels 80 of breast tumors, so if your breast cancer was hormone-sensitive, you may need to take hormonal therapy These are drugs that you take after completing chemo, to help lower your estrogen levels or to block it from reaching the tumor cells Most of us take hormonal therapy for 2 to 5 years after primary treatment to prevent recurrence.5 Fertility Concerns, Plan To Cope, Finances. Although your top priority is getting rid of you r cancer, other issues will compete for your attention during treatment Relationships, your love life, and your budget may all be challenged Meanwhile, as your body responds to treatment, you may be dealing with some side effects Don t panic help is available for just about anything you re faced with. Relationships, Sex, Fertility, and Kids. A diagnosis of breast cancer is hard on most relationships It can affect your sex life dating, and marriage It s important to be able to give and accept support Even relationships with friends and coworkers may change in unexpected ways. Estrogen affects important facets of your life breast and reproductive health, sexual function and bone density It may also feed a tumor so many treatments for breast cancer help lower hormone levels When estrogen is low, you may have premature or medical menopause Premenopausal women who want to preserve their fertility should discuss this with their doctor before treatment begins. Prepare to Cope With Treatment. Knowi ng what to expect before you go into treatment for breast cancer helps you feel in control of your life Your treatments will have an impact on your body, but also on your budget, your schedule, your job, family life, and your relationships Here are some ways breast cancer can change your life. Money Matters During and After Treatment. Cancer treatments are expensive and your costs can add up quickly You can get help paying for breast cancer treatmentfrom your health insurance provider, Medicare, Medicaid, or other financial assistance programs Find out who to ask for financial help, how to prepare for meeting the cost of treatment, and what possible non-medical expenses may arise. During and after treatment for breast cancer, you may find yourself spending more on food, clothing, home entertainment, and travel expenses Sometimes you may need over-the-counter medications to ease treatment side effects You might want help with housecleaning childcare, or home health care Here s some ways to manage. As you are gearing up for treatment, remember to take time to process your emotions Take your emotional pulse from time to time, and do some journalling, talk to a friend or counselor Get some support if you feel overwhelmed.6 Essential Things To Do Before Treatment. Going through treatment for breast cancer is like going on a journey it takes some planning, requires some decisions, and has a timeline Before you embark on your journey through treatment, take time to prepare Line up your resources, call in support, and save your energy for the battle. Once you begin treatment, you will be following a strict schedule of appointments, and travel may be restricted Now is the time to take a long weekend to a restful place where you can decompress Make this some high-quality time for you Take some company along, if shared time will help Don t run away from treatment, but do get out of town for a break. Now is the time to dine on your favorite foods dishes that have nostalgic fragrances, are highly spiced, or are usually saved for special times Treatments for breast cancer sometimes affect your senses of smell and taste and reduce your appetite While you re cooking up a storm, make extra servings and load up your freezer On days when you don t have the energy or time to cook, you ll be glad you stocked up on healthy dishes. Planning on having chemo Tell your dentist, so they can help you maintain your oral health all through treatments Have a regular cleaning, be current on your x-rays, and get any fillings or other maintenance done now If you later develop any mucositis or mouth sores, your dentist is the one to call for help. Chemotherapy can cause the loss of your hair, but you can be prepared If you plan to get wigs or headgear do so before your first infusion Find a local shop that caters to chemo patients and try several styles Think about going naturally bald or shaving your hair Make these decisions ahead of time so you can process any emotions you may have abou t chemo-induced hair loss. Wear loose, comfortable clothing to your clinic don t dress for style You may need to partially undress for treatments, so choose quick-escape styles that won t dislodge a wig if you re wearing one For radiation you may prefer to wear soft layers instead of bras Try some front-closing bras in case fatigue or neuropathy slows you down Use comfortable, wide-toed shoes with a good tread. Get out your calendar and round up your support buddies Ask for help with laundry, housekeeping, and driving It may be hard to ask, but people really do want to help you Laundry can go home with Louise, housekeeping can be done by Harry, and Doug or Diane can do your driving Greta can shop for the groceries and pick up a movie or library books for you, too You have permission to recover. Try to find a local support group or organization where you can meet survivors find resources, and learn more about self-care You are not alone. Before you have any treatments for breast cancer, cal l your insurance company and tell them your diagnosis Ask if your surgeons, anesthesiologists, doctors, hospitals, clinics, and medications are covered Be sure you understand your deductible requirements Don t skip treatments because of financial hardship you can get help but you may have to ask.7 Workplace Issues and How To Deal. When you re diagnosed with breast cancer, you don t have to quit working You will need a little help from your coworkers and lots of support from your employer Having breast cancer in the workplace is like taking a crash course from a great teacher you quickly learn important facts about your rights and responsibilities, you memorize the sick leave policy, and you get to be a whiz at paperwork Here are some tips for dealing with workplace issues and breast cancer. Talking To People at Work. It may be hard to do, but telling your boss that you ve been diagnosed with breast cancer is in your best interest Your boss can provide support and access to helpful resourc es while you re in treatment Before you tell your employer that you have breast cancer, get prepared, know what questions to ask, and stay calm Here are some tips for having the conversation. You don t have to tell your co-workers that you have breast cancer it s a very personal decision, if you do Telling your co-workers that you have breast cancer can be tricky Before you tell your co-workers that you have breast cancer, get prepared, choose carefully, and know that your news may leak out anyway Here s some advice on telling your co-workers that you have breast cancer. Doing The Paperwork. Your general health won t go into a holding pattern while you re in treatment for breast cancer Keeping good health records will help you if you ever need to juggle your appointment schedule, get a second opinion, or update your oncologist on your other health issues Here are the essential things to keep in your medical records. Keeping a health notebook during treatment for breast cancer can save you money and give you a feeling of control Keep track of all your payments, bills, and insurance statements during breast cancer is easy Here s how to set up and use a cancer health care notebook. Preparation Pays Off. As you start your journey through treatment, please know that you are not alone Even though the road may sometimes be uneven and challenging, you have a roadmap now and good goals Reach out for support at any time along the way there are many survivors ready to help you finish the course. Am preluat acest articol in care autoarea incearca sa prezinte cateva din modificarile ce pot apare la nivelul sanilor si care pot sa va indrume catre un control medical de specialitate spre a exclude un posibil cancer de san Aceste modificari, odata observate de catre dumneavoastra nu semnifica neaparat faptul ca sunteti bolnava insa ele ridica semne de intrebare si va pot indruma catre un consult medical care poate fi de un real folos El poate exclude o patologie canceroasa sau in cazul in care aceasta este descoperita, faptul ca a fost depistata precoce in evolutie poate avea un impact major pentru un tratament mai eficient si fara sechele majore. As incepe prin a spune ca este preferabil ca sa va faceti autoexaminarea sanilor la o saptamana sau doua dupa menstruatie deoarece sanii tind sa se mareasca si sa devina mai nodulari inainte de menstruatie, lucru care este normal de altfel dar care poate cauza false semne de alarma Totusi semnele evidente observate chiar in apropierea menstruatiei nu trebuie tratate cu indiferenta si nu trebuiesc puse strict pe seama modificarilor premenstruale. Factorii ce dau un risc crescut pentru cancerul de san includ varsta inaintata, antecedente de cancer la celalalt san, mama sau sora care au avut cancer de san, menarha prima menstruatie precoce, sarcini la varste inaintate sau femei ce nu au avut sarcini, menopauza tardiva, expunerea la radiatii ionizante. Iata cateva dintre modificarile care pot fi semne de alarma. Modificarile de culoar e ale sanilor precum roseata sunt in general semne ale unei infectii a sanilor dar pot fi uneori si semne de carcinom inflamator. Pielea ingrosata si porii neobisnuit de proeminenti pot fi semne de obstructie a vaselor limfatice si pot sugera un cancer comparativ cu aspectul anterior. Modificari ale conturului sanilor care pot fi datorate unor formatiuni proeminente, unor retractii care pot cauza aplatizarea unei portiuni a conturului - aceste modificari se pot observa mai usor cu mainile ridicate deasupra capului Ele pot fi datorate si unor afectiuni benigne. Modificari ale mamelonului - retractia mamelonului care este deprimat sau a areolei, sub forma de crater - poate fi normal la unele femei daca este prezent de o perioada foarte mare de timp si in afara de dificultati de alaptare nu pune probleme Daca insa este aparuta de curand aceasta retractie a mamelonului poate sugera un cancer aflat sub el. Asimetria directiilor in care sunt indreptate cele doua mameloane poate sugera cancer norma l in majoritatea cazurilor ele sunt indreptate in afara si in jos daca unul este indreptat spre in afara iar celalat spre inauntru spre exemplu sau unul in jos si altul in sus aceasta poate sugera cancer. Ulceratiile la nivelul sanilor pot fi si ele semne de posibil cancer. Scurgerile de la nivelul mamelonului in afara sarcinii cand se poate scurge lapte din mamelon pot sugera si ele cancer dar pot fi determinate si de alte insa investigat. Modificari la palparea sanilor - este importanta autoexaminarea periodica a sanilor dar in cazul in care sunteiti nesigura asupra a ceea ce simtiti este important sa consultati un medic care sa va examineze Palparea trebuie sa fie facuta uniform, pe toata suprafata sanului inclusiv areola Nodularitatea poate fi prezenta si in cazuri normale, mai ales premenstrual dupa cum am mai spus si de obicei sunt noduli multiplii, la ambii sani Daca insa observati un nodul singular sau daca nodulii persista si nu dispar, daca sunt situati numai pe un san trebuie sa mergeti la un control spre a exclude un cancer. Diagnosticul unui cancer nu poate fi pus doar prin palparea sanilor asa ca nu va amagiti ca nu aveti nimic, mai bine urmati expresia paza buna trece primejdia rea Acest lucru este cu atat mai important cu cat in tara noastra cancerului de san nu i se acorda atentia necesara si suntem pe unul din primele locuri la mortalitatea prin cancer de san in timp ce in alte tari cancerul se descopera precoce si se vindeca fara urmari severe Acest lucru se datoreaza si faptului ca femeile au o reticenta de a se prezenta la medic pentru examinare. Cancerul de san se vindeca, depinde de dumneavoastra ca el sa fie descoperit cat mai devreme. In ultimii ani, incidenta cancerului la san in randul femeilor a crescut, iar in Romania situatia sta destul de grav Am discutat cu medici oncologi si ti-am pregatit cel mai complet material despre cancerul la san. Ce spun statisticile. Cancerul la san reprezinta cea mai frecventa forma de cancer la femei si a doua cauz a de mortalitate dupa cancerul pulmonar. In Romania, cancerul la san se situeaza pe locul intai ca incidenta in randul neoplaziilor cancerelor , urmat indeaproape de cancerul de col uterin. Conform datelor furnizate de Biroul pentru Europa al WHO World Health Organization , in Romania, pentru 2010, s-a inregistrat o incidenta a cancerului la san de 49,4 100 000 femei, iar mortalitatea, indiferent de varsta, ramane la o cota ridicata, de 21 76 100 000, medie similara celorlalte tari din Uniunea Europeana. Se poate spune ca pana la varsta de 80 de ani, una din zece femei va dezvolta un cancer la san. Sursa Medic specialist oncologie Georgeta Vremes, Clinica Medlife oncolog Ioana Ciurea, Delta Hospital. Verifica-ti sanii regulat. Din cauza ca in ultimii ani s-a remarcat o crestere a descoperirii bolii in cazul femeilor foarte tinere, trebuie sa devii constienta de necesitatea de a-ti controla tu insati sanii, regulat si fara teama. De mentionat este faptul ca varsta la care este pus acest diagno stic este tot mai mica si stadiul bolii la diagnostic este de multe ori avansat, chiar metastatic, factori care umbresc prognosticul acestor paciente , avertizeaza Ioana Ciurea oncolog la Delta Hospital. Toate femeile ar trebui sa invete sa-si autoexamineze sanii incepand din adolescenta, tocmai pentru ca este o procedura simpla, nedureroasa, neinvaziva. Ce ar trebui sa te ingrijoreze. Eventuale modificari de contur ale sanilor. Retractia mamelonara. Palpeaza-ti sanii in primele zile dupa menstruatie, cand sanii sunt neangorjati, moi si usor de evaluat , sfatuieste dr Ciurea Mai mult, nu neglija nici prelungirea spre axila a tesutului glandular mamar, precum si axila in profunzime Orice nodul descoperit trebuie evaluat de un medic de specialitate , recomanda specialistul. Cum ma autoexaminez. Autopalparea lunara se face examinand sanul in toate cele patru cadrane ale sale, explica Georgeta Vremes oncolog in cadrul clinicii Medlife Sanul poate fi impartit prin doua linii imaginare perpendicula re ce se intersecteaza la nivelul mamelonului in patru cadrane supero-extern, supero-intern, infero-extern si infero-intern De asemenea, vor fi examinate axilele si regiunea supraclaviculara pentru a depista prezenta ganglionilor mariti sau duri , explica dr Vremes. Pe langa autoexaminare, e important sa optezi si pentru un consult periodic facut de medic si, mai mult, pentru un examen ecografic sau mamografie O examinare simpla deceleaza de obicei tumori cu diametru de peste 2 cm, insa examinarea efectuata de catre un medic specialist poate depista tumori si in jur de un centimetru, iar mamografia creste sansa de detectie a tumorilor infracentimetrice , explica medicul oncolog Ciurea. Descoperirea precoce a tumorilor de dimensiuni cat mai mici face ca sansele de supravietuire sa creasca cu peste 95 comparativ cu tumorile de peste 4 cm, descoperite in stadii avansate, in care sansele de supravietuire scad sub 70.Post navigation. 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