rak tolstoy kishki

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powerpoint presentation rak tolstoy kishki tolstaya kishka (intestinum crassum) sostoit iz sleduyushix chastey: 1) obodochnaya (colon) a) slepaya; b) vosxodyashaya; c) poperechnaya; d) nisxodyashaya; e) sigmovidnaya. 2) pryamaya (rectum) a) rekto-sigmoidniy (nadampulyarniy) otdel; b) ampula; c) analniy kanal. zabolevaemost rakom tolstoy kishki (na 100 tis. nas.) 2006 2007 2008 2009 uzbekistan 37,9 37,0 39,3 39,9 samarkandskaya obl. 25,1 26,0 35,2 29,7 smertnost ot raka tolstoy kishki (na 100 tis. nas.) 2006 2007 2008 2009 uzbekistan 23,7 23,8 24,3 24,2 samarkandskaya obl. 18,5 17,8 20,5 19,9 smertnost do 1 goda ot raka tolstoy kishki uzbekistan samarkandskaya obl. 2006 2007 2008 2009 2006 2007 2008 2009 rak obodochnoy kishki 42,4 42,3 38,8 37,5 35,4 48,2 34,8 30,8 rak pryamoy kishki 34,2 34,2 33,0 32,9 28,1 29,2 24,5 31,5 oxvat bolnix rakom tolstoy kishki spetsialnim lecheniem uzbekistan samarkandskaya obl. 2006 2007 2008 2009 2006 2007 2008 2009 rak obodochnoy kishki 62,5 63,8 66,5 …

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mptomokompleks (sochetanie semeynogo diffuznogo polipoza tolstoy kishki s dobrokachestvennimi opuxolyami kostey , myagkix tkaney i koji) sindrom kronxkayta - kanada - sochetanie diffuznogo polipoza jeludochno - kishechnogo trakta i distrofii nogtey , alopetsii i diffuznoy giperpigmentatsii koji sindrom koudena - polipoz jkt sochetaetsya s borodavchatimi papulami na koje i vo rtu , zlokachestvennimi opuxolyami molochnix jelez , opuxolyami shitovidnoy jelezi i kisti yaichnikov sindrom ruvakaba - miri -smita - mnojestvennie polipi tolstoy kishki i polipoobraznie novoobrazovaniya yazika. mojet nablyudatsya makrotsefaliya , zaderjka razvitiya sindrom olfilda - sochetanie polipoza i opuxoley nadpochechnikov , shitovidnoy jelezi , kist salnix jelez sindrom turko - polipoz i opuxol golovnogo mozga fakultativnie predrakovie zabolevaniya polipi (adenomatoznix, vorsinchatie, yuvenilnie, fibroznie, giperplasticheskie) nespetsificheskiy yazvenniy kolit (nyak) bolezn krona segmentarnie koliti patologicheskaya anatomiya raka tolstoy kishki 50% - pryamaya kishka 20% - sigmovidnaya kishka 15% - pravaya polovina obodochnoy kishki po 6-8% - poperechnaya i nisxodyashaya kishki patologicheskaya …

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skaya psevdovospalitelnaya opuxolevaya bolevaya klinicheskie sindromi raka pryamoy kishki 1. sindrom patologicheskix videleniy. 2. bolevoy sindrom. 3. sindrom funktsionalnix narusheniy kishki. oslojneniya raka tolstoy kishki kishechnaya neproxodimost perforatsiya: peritonit zabryushinnoe flegmona rakoviy paraproktit parakolichniy abstsess kishechnoe krovotechenie metodi diagnostiki raka tolstoy kishki jalobi (kishechniy anamnez) fizikalnoe obsledovanie (v t.ch. paltsevoe issledovanie) rektoromanoskopiya, kolonoskopiya s biopsiey irrigoskopiya, - grafiya endorektalniy ultrasonografiya (erus) uzi / kt pecheni, malogo taza rentgenografiya legkix laboratornaya diagnostika paltsevoe obsledovanie pryamoy kishki a) issledovanie pri polojenii patsienta na kortochkax; b) issledovanie pri kolenno-loktevom polojenii patsienta issledovanie pozvolyaet diagnostirovat opuxol pryamoy kishki primerno v 85% sluchaev! rektoromanoskopiya eto vizualnoe obsledovanie vnutrenney poverxnosti pryamoy i sigmovidnoy kishok rektoromanoskop kolonoskopiya - endoskopicheskoe obsledovanie tolstoy kishki irrigografiya kt lechenie kolorektalnogo raka (xirurgicheskoe, luchevoe, tsitostaticheskoe) krr rekomendatsii esmo po lecheniyu raka obodochnoy kishki i st. - xirurgicheskoe lechenie ii st. - xirurgicheskoe (pri t4n0m0 - ximioterapiya) iii st. - operatsiya + ad'yuvantnaya …

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tolstoy kishki iii st. 1. leykovorin - 20 mg/m2 v / v, 1-5 dnya 2. 5-ftoruratsil - 450 mg/m2 v / v, 1-5 dnya a) kajdie 4 nedeli, 6 tsiklov b) nachinat xt cherez 3 nedeli posle operatsii. plan lecheniya rezektabelnom raka pryamoy kishki 1. predoperatsionnaya luchevaya terapiya: a) krupnimi fraktsiyami - po 5 dekabrya., svd = 25 ekz. ekv.; b) srednimi fraktsiyami - po 3 ekz., svd = 30 ekz. ekv. 2. operatsiya: a) sfinkterozberigayucha; b) bryushno-promejnostnoy ekstirpatsii. 3. posleoperatsionnaya ximioterapiya - 3-6 kursov (v zavisimosti ot prognoza). metodi osnovnix xirurgicheskix vmeshatelstv pri rake pryamoy kishki 1. transanalnoe lokalnoe issechenie opuxoli - razmeri opuxoli do 3 sm, - lokalizatsiya - ne vishe 6-7 sm ot linea pectinea, - visokodifferentsirovannaya adenokartsinoma. 2. sfinkterozberigayuchi rezektsii: - perednyaya rezektsiya pryamoy kishki, - nizkaya perednyaya (nadanalna) rezektsiya, - bryushno-analnaya rezektsiya pryamoy kishki. 3. bryushno-promejnostnoy ekstirpatsii pryamoy kishki s kenyu. nizkie perednie rezektsii vipolnyayut …

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ey pryamokishechno arterii vvodyat tsitostatik, i takim obrazom v oblasti opuxoli sozdayut ego visokuyu kontsentratsiyu. toksicheskoe vozdeystvie na drugie organi i sistemi znachitelno menshe, chem pri sistemnoy ximioterapii. targetnaya terapiya kolorektalnogo raka ingibitori neoangiogeneza: avastin (bevatsizumab) erbituks (tsetuksimab) panitumab; sunitinib (sutent) preparati vklyuchayut v sxemi pxt ii linii pri pervichno-nerezektabelniy ili metastaticheskom rake. uxod za kolostomoy kalopriemniki na kleevoy osnove, kotorie obespechivayut polnuyu germetichnost i isklyuchayut popadanie kalovix mass na povyazku smazivat porajennie vospalitelnim protsessom uchastki koji vokrug stomi tsinkovoy pastoy ili pastoy lassara postoyanniy rejim pitaniya (3-4 raza v sutki, isklyuchaya upotreblenie lyubix produktov v promejutkax mejdu priemami pishi) primeneniya dieti s dobavleniem produktov, kotorie obladayut slabitelnim deystviem (krasnaya svekla, chernosliv, kuraga, kefir i t.d.) pri stoykix zaporax - medikamentoznie slabitelnie sredniki metod irrigatsii tolstoy kishki cherez kolostomu sistema mexanicheskoy ochistki ( irrigatsii ) tolstoy kishki s pomoshyu klizmi. metod irrigatsii effektivniy . pochti u vsex bolnix otmechaetsya regulyarnoe …

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powerpoint presentation rak tolstoy kishki tolstaya kishka (intestinum crassum) sostoit iz sleduyushix chastey: 1) obodochnaya (colon) a) slepaya; b) vosxodyashaya; c) poperechnaya; d) nisxodyashaya; e) sigmovidnaya. 2) pryamaya (rectum) a) rekto-sigmoidniy (nadampulyarniy) otdel; b) ampula; c) analniy kanal. zabolevaemost rakom tolstoy kishki (na 100 tis. nas.) 2006 2007 2008 2009 uzbekistan 37,9 37,0 39,3 39,9 samarkandskaya obl. 25,1 26,0 35,2 29,7 smertnost ot raka tolstoy kishki (na 100 tis. nas.) 2006 2007 2008 2009 uzbekistan 23,7 23,8 24,3 24,2 samarkandskaya obl. 18,5 17,8 20,5 19,9 smertnost do 1 goda ot raka tolstoy kishki uzbekistan samarkandskaya obl. 2006 2007 2008 2009 2006 2007 2008 2009 rak obodochnoy kishki 42,4 42,3 38,8 37,5 35,4 48,2 34,8 30,8 rak pryamoy kishki 34,2 3...

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