onkologicheskie zabolevaniya jenskix polovix organov

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onkologicheskie zabolevaniya jenskix polovix organov onkologicheskie zabolevaniya jenskix polovix organov chto takoe rak sheyki matki? eto zlokachestvennaya opuxol, vizvannaya nekontroliruemim deleniem i rostom anomalno izmenennix virus-infitsirovannix kletok. virus papillomi cheloveka izbiratelno porajaet epiteliy sheyki matki. rak sheyki matki. statistika. rak sheyki matki(rshm) sostavlyaet u jenshin 5,4% ot vsex zlokachestvennix opuxoley. maksimalnie pokazateli zabolevaemosti rshm registriruetsya v vozraste ot 45 do 75 let. naibolee visokie pokazateli zabolevaemosti otmecheni v nekotorix rayonax indii (43 sluchaya na 100000, v ssha – 7 sluchaev na 100000 naseleniya). etiologiya i patogenez mejdunarodnoe agentstvo po issledovaniyu raka (mair, 1996) ofitsialno ob'yavilo vpch kantserogennim faktorom. tipi vpch: nizkogo onkologicheskogo riska: 6,11,42,43,44 srednego onkologicheskogo riska: 31,33,35,51,52,58 visokogo onkologicheskogo riska: 16,18,36,35 faktorami, sposobstvuyushimi zapusku mexanizmov virusnogo kantserogeneza, yavlyayutsya snijenie immuniteta, chastaya smena polovix partnerov, travmi sheyki matki s formirovaniem zoni transformatsii, rannee nachalo seksualnix otnosheniy (do 18), perenesennie infektsii, peredayushiesya preimushestvenno polovim putem, kurenie. fonovie i predrakovi zabolevaniya sheyki …

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lnix limfouzlax, ix razmeri m – nalichie (otsutstvie) metastazov v otdalennix limfouzlax i vo vnutrennix organax klinicheskaya kartina pri mikroinvazivnom rake kontaktnie krovyanistie videleniya posle polovogo akta, palpatornogo issledovaniya sheyki matki, sprintsevaniy, osmotra v zerkalax. pri dalneyshem razvitii invazii uvelichivaetsya skorost rosta opuxoli. nachinaetsya mestno-regionarnoe rasprostranenie v svyazki sheyki matki, vlagalishe, telo matki, v limfouzli, a v daleko zashedshix sluchayax – v mochevoy puzir i pryamuyu kishku. dlya etogo etapa tipichni obilnie krovyanistie videleniya, beli (limforeya) i boli, kotorie vnachale lokalizuyutsya v sheyke matki, a zatem pri rasprostranenii opuxoli v parametralnuyu kletchatku i stenki malogo taza – irradiiruyut v krestets, poyasnitsu, tazobedrennie sustavi. diagnostika dvuxetapnaya sistema diagnostiki: 1. skrinig – pervichnoe viyavlenie 2. uglublennaya diagnostika – pri podozrenii na predrak ili rak skrining tsel skrininga: 1) opredelenie grupp riska razvitiya raka sheyki matki 2) viyavlenie kontingenta jenshin s predrakovoy patologiey sheyki matki 3) napravlenie jenshin dlya vtorogo etapa uglublennogo issledovaniya …

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onkologicheskie zabolevaniya jenskix polovix organov onkologicheskie zabolevaniya jenskix polovix organov chto takoe rak sheyki matki? eto zlokachestvennaya opuxol, vizvannaya nekontroliruemim deleniem i rostom anomalno izmenennix virus-infitsirovannix kletok. virus papillomi cheloveka izbiratelno porajaet epiteliy sheyki matki. rak sheyki matki. statistika. rak sheyki matki(rshm) sostavlyaet u jenshin 5,4% ot vsex zlokachestvennix opuxoley. maksimalnie pokazateli zabolevaemosti rshm registriruetsya v vozraste ot 45 do 75 let. naibolee visokie pokazateli zabolevaemosti otmecheni v nekotorix rayonax indii (43 sluchaya na 100000, v ssha – 7 sluchaev na 100000 naseleniya). etiologiya i patogenez mejdunarodnoe agentstvo po issledovaniyu raka (mair, 1996) ofitsialno ob'yavilo vpch kantserogenni...

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