بانک جامع اطلاعات سرطان

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دوشنبه, 10 مهر 1396 ساعت 22:55

درمان کامل از عوامل مهم در پیشگیری از عود سرطان پستان است

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دبیر انجمن رادیوتراپی و آنکولوژی ایران با اشاره به اینکه انجام آزمایشات و تصویربرداری‌های متعدد در مبتلایان به سرطان پستان کمکی به کنترل بیماری نمی‌کند گفت: برخی بیماران مبتلا به سرطان پستان پس از درمان مدام در اضطراب عود مجدد هستند و احساس می کنند بیش از آنچه پزشک تجویز می کند باید پیگیر درمان خود گردند، در حالیکه این مسئله اضطراب و نگرانی آنها را بیشتر می کند.

دکتر فودازی افزود: عود بیماری زمانی اتفاق می‌افتد که سلول‌های سرطانی پس از برداشتن توسط جراحی و شیمی درمانی مجدداً در بدن مشاهده شوند و در بیماران مبتلا به سرطان پستان به دو صورت دیده می شوند، عود موضعی که در محل عمل جراحی اتفاق می افتد و اگر در عمل جراحی پستان به طور کامل برداشته شده باشد، در زیر یا داخل پوست ناحیه عمل جراحی ایجاد می شود.

وی نوع دوم عود سرطان پستان را، عود ناحیه ای عنوان کرد و گفت: اگر پستان در عمل جراحی برداشته نشده باشد، این عود در نسج باقی مانده پستان اتفاق می افتد و گاهی نیز عود در ناحیه زیر بغل اتفاق می افتد که در اصطلاح به آن عود ناحیه‌ای می گویند.

دکتر فودازی در ادامه یادآور شد: برای جلوگیری از عود موضعی و ناحیه‌ای معمولاً از اشعه درمانی (رادیوتراپی) استفاده می‌شود که پس از عمل جراحی و در صورت لزوم شیمی درمانی، توسط متخصص رادیوتراپی برای بیمار انجام می شود.

وی افزود: نیاز یا عدم نیاز به پرتودرمانی بر اساس نوع عمل جراحی و درگیر بودن یا نبودن غدد لنفاوی مشخص می شود، مثلا اگر بیماری تحت عمل جراحی برداشتن کامل پستان قرار گرفته باشد در صورت در گیر بودن غدد زیر بغل باید پرتودرمانی نیز بگیرد، اما اگر پستان حفظ شده باشد، رادیوتراپی در هر صورت لازم است و ارتباطی به مرحله بیماری ندارد.

دبیر انجمن رادیوتراپی و آنکولوژی ایران خاطرنشان کرد: مهمترین نکته در پیشگیری از عود بیماری مراجعه بیمار و درمان بیماری در اسرع وقت است، زیرا هرچه تومور سرطانی مدت طولانی تری در بدن باشد و درمان نشود فرصت بیشتری برای منتشر شدن در بدن پیدا می کند و احتمال عود افزایش می یابد.

وی گفت: یکی از عوامل مهم در پیشگیری از عود سرطان، انجام درمان به طور کامل است. عدم کامل بیماری، موجب مقاوم شدن سلول‌های سرطانی به دارو شده و احتمال عود بیماری در این صورت بالاتر می رود.

دکتر فودازی افزود: رعایت رژیم غذائی کم چرب و ورزش منظم روزانه و قطع سیگار در بیماران سیگاری از مهمترین نکاتی است که در کاهش احتمال عود مؤثر هستند.

وی با اشاره به اینکه  انجام آزمایشات و تصویربرداری‌های متعدد نه تنها کمکی به کنترل بیماری نمی‌کند، بلکه موجب اضطراب و استرس در بیمار شده و کیفیت زندگی او را مختل می سازد، تصریح کرد:  فقط انجام معاینه توسط پزشک هر سه ماه تا 3 سال و سپس هر 6 ماه تا 5 سال و سپس معاینه سالانه است و ماموگرافی سالانه نیز در افرادی که پستان مبتلا را حفظ کرده‌اند از هردو سمت و در بیمارانی که پستان مبتلا را برداشته‌اند از سمت مقابل سالی یک بار انجام می‌شود تا اگر ضایعه جدیدی ایجاد شد تشخیص داده شده و درمان شود.

وی در پایان گفت: به طور معمول آزمایش مکرر خون، سونوگرافی پستان، سونوگرافی کبد و عکس یا سی تی اسکن از مناطق مختلف بدن لازم نیست، مگر اینکه بیمار علامت مشکوکی داشته باشد، مثلا در بیماری که درد شدید مهره‌ها را داشته باشد اسکن استخوان انجام می شود یا اگر تنگی نفس یا سرفه‌های مکرر داشته باشد، عکس ریه یا سی تی اسکن ریه برای وی درخواست می‌شود.

 

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  • پیوند نظر Josette چهارشنبه, 19 مهر 1396 ساعت 10:46 ارسال شده توسط Josette

    All guys are possible to have seasoned, at one time or another, erection troubles - strain, depression, fiscal
    issues, and points at function all can have detrimental influence on the potential to function sexually.
    Even so, when the issue persists, then it's time to seek for specialist well being care assist - impotence could be induced by some fairly actually critical bodily issues, like diabetes,
    which may demand speedy consideration.


    Thankfully, nowadays impotence will be successfully dealt with within the overwhelming majority of
    the situations - until in fact it's triggered by bodily harm or
    surgical remedy, there is a good alternative that the scenario might be managed.
    Following the efficient begin of the preliminary anti-impotence
    drug, Viagra, quite a few pharmaceutical companies noticed the likelihood for massive earnings and started creating their private gadgets.
    That is what led to the advance of Tadalafil - PDE5 inhibitor, which is most usually supplied beneath the model title determine Cialis.
    The Tadalafil has confirmed to perform fairly correctly for the majority
    of males, struggling from impote nce and what could make it a lot better than the opposite comparable tablets, is the truth that the influence lasts lots lengthier - as much as 36 hrs, which
    is why it is usually name the "weekend capsule".


    The Tadalafil 20mg is the extra substantial of the three medicine
    purchased on the business, with the opposite two presently being 10mg and 5mg; essentially
    the most frequent approaches of utilization is to get a extra compact 1st
    dose and solely improve it if the wanted influence just isn't reached.
    This, of program, is best possible to be completed beneath skilled well being-associated supervision.


    The erectile dysfunction tablets actually do not actually heal the difficulty,
    so a capsule must be taken each single time a man is about to have sexual intercourse.

    This may be actually inconvenient and very excessive priced within the extended
    run; a really great way to offer down the cost is to amass generic impotence capsules, in its place of the model title-determine ones.
    The generic medicines are virtually with the very same chemical parts, so
    a generic Tadalafil will function as successfully as Cialis, however it's almost certainly to cost at minimal a few events much less.



    Of program, generic or not, all synthetic capsules arrive with
    possible opposed outcomes, which is why the capsule should be taken solely
    within the prescribed dosage and just one capsule
    per day must be taken as correctly. Tadalafil is oral medicine, which actually ought to be
    taken with a glass of h2o, and the capsule capabilities properly, regardless of the form of meals or drinks consumed - this and
    its lengthier lasting affect make it the wanted choice for numerous guys.



    If you kick off encountering troubles attaining and sustaining
    an erection, reducing tension and nice relaxation is all
    which will take you once more on monitor, but when this
    drawback retains recurring, it's time to pay out your medical skilled a try.
    This can be a extraordinarily typical state of affairs and speaking brazenly about it and addressing it as early
    as possible is in your best consideration. Tadalafil or every other anti-impotence medicine is not going to treatment the impotence, however can help you will have good intercourse and eventually nutritious connection and satisfying day by day
    life.

  • پیوند نظر Gabriella چهارشنبه, 19 مهر 1396 ساعت 10:20 ارسال شده توسط Gabriella

    It is a temptation to wish to get Viagra on-line.
    That is a superbly protected answer if you purchase from a good on-line pharmacy.



    So many couples at the moment are getting uninterested in their boring center aged
    hormone ranges and are on the lookout for Viagra on-line.

    As individuals are rising older, they're creating complete cultures.

    It was, folks didn’t stay very lengthy. Nevertheless, within the final a hundred
    years, we've got found that being over the age of fifty has been skilled
    all its personal. Now we have labored very laborious with
    the girls to be able to fight a few of the
    detrimental experiences that decrease hormone ranges have later in life.
    Nevertheless, it’s solely previously ten years that trendy medication has provide you with an answer for
    males with the identical downside. It has been an embarrassing subject about rising older amongst males.

    In fact, we’re speaking about hormone associated and well being associated erectile dysfunction.


    Getting your Viagra on-line is a standard answer when you discover their works
    for you. Many individuals are doing this and they're getting them from specialty pharmacies.
    These are the sorts of pharmacies that you should buy in bulk from.
    It appears just a little bit bizarre at first as a result
    of these pharmacies shouldn't have lots of different medications.
    That is the primary thought of any on-line enterprise. They often focus on solely sure issues and let different individuals compete for enterprise with different manufacturers.
    On-line pharmacies are not any totally different.


    It will appear somewhat unusual once you get to the
    web page and so they solely supply to promote you Viagra and the generic equal.
    Nevertheless, remember the fact that that is simply how it really works.
    They are going to be like a daily pharmacy in your personal neighborhood in different methods.
    For instance, they are going to nonetheless want a prescription out of your physician. If you are attempting to purchase one thing that requires a prescription they usually aren’t asking for one, you must in all probability keep away from that pharmacy.



    Getting Viagra on-line is similar as getting it out of your common pharmacists.
    If one thing arrives to you and it's not what you ordered, you need to
    name them and see in the event that they made a mistake.
    In the event that they tried to promote you one thing that's not respectable, you want
    to speak to your physician about getting one other prescription and attempting a distinct pharmacy.
    You may take the traditional motion with on-line pharmacies they you do with different pharmacies.
    You'll merely must file a complaint. This shouldn't deter you from making an attempt to get your medications on-line.
    Heaps of individuals purchase from Viagra on-line specialty pharmacies on a regular basis.

    They're a superbly protected and professional enterprise.

  • پیوند نظر Demetrius چهارشنبه, 19 مهر 1396 ساعت 10:07 ارسال شده توسط Demetrius

    Inhaled Revatio (sildenafil) seems to be superior to present oral types of this authorised pulmonary arterial hypertension (PAH) remedy by permitting for decrease doses and doubtlessly fewer systematic
    uncomfortable side effects, researchers report. In addition they suggest that a nebulized type of
    Revatio be produced and moved into clinical testing in patients.



    The research reporting this discovering, "Inhaled Sildenafil In its place To Oral Sildenafil Within the Therapy Of Pulmonary Arterial Hypertension (PAH)," was
    pubished in theJournal of Managed Launch.


    Revatio acts by dilating blood vessels and lowering blood stress, resulting in improved train capability and slower illness development in PAH
    patients. Nonetheless, its use (oral tablets or intravenous) is related to points that
    embody a big dose, brief dosing intervals, and undesirable system-extensive unwanted side
    effects. It's at present accredited just for adults,
    and isn't advisable for pediatric patients.


    "We consider that lots of the restrictions of oral sildenafil may be overcome by decreasing the dose and dosing frequency of the drug," the
    researchers wrote. "In reality, instead to the oral type of the drug, … [nebulized] particles of sildenafil have been ready with a aim to deal with PAH and different diseases."


    Nebulized formulations, which permit for extended launch of an inhaled drug, have been examined for Revatio, however no
    research have in contrast the results of a nebulized and oral type of
    this drug.


    Researchers ready a formulation of inhaled Revatio and evaluated
    its effectiveness by assessing traits like drug launch and
    absorption fee, interplay with alveolar macrophages (immune system’s cells),
    and security after aerosolization into the lungs.



    They then examined the brand new formulation in wholesome rats,
    and examined its results on pulmonary arterial stress in rats with PAH.



    Results confirmed that the nebulized Revatio had a positive absorption within the lungs, underwent slower macrophage uptake, was launched for an prolonged interval (36 hours), and was maintained within the lungs
    for an extended interval than the oral kind with out being eradicated by the physique.
    The drug additionally lowered the pulmonary arterial stress in rats for six hours.

  • پیوند نظر Molly چهارشنبه, 19 مهر 1396 ساعت 06:55 ارسال شده توسط Molly

    Erectile dysfunction (ED) which is extra
    generally known as impotence is the shortcoming of man to have an erection or
    a chronic erection earlier than or throughout sexual intercourse.
    Erectile dysfunction is claimed to be a medical situation suffered by males.
    This medical situation normally impacts older males,
    however it will probably have an effect on males of any age.
    To deal with erectile dysfunction, there are quite a few erectile dysfunction medication accessible available in the
    market however not all those that endure from it take medications.



    Read extra on Erectile Dysfunction Remedy and
    Impotence Remedy and Pure Treatments for Erectile Dysfunction


    An erection contain the central nervous system, the peripheral nervous system, psychological
    and stress-associated components, native components with the erection our bodies or the penis itself,
    in addition to hormonal and vascular (blood movement or circulation) parts.



    The penile portion of the development resulting in an erection represents
    solely a single element of a really difficult and complicated course of.



    The signs are widespread. When the man is getting occupied in sexual actions, there isn't any or partial erection of the
    penis. The male organ shouldn't be incapable to retain the blood in its chamber and so there can be
    no fuller and firmer penis.


    The penis doesn't stand with out delay and because of that the man will not be in a position to carry out sexual act.
    Then again, his sexual companion additionally loses the pleasure
    and curiosity in intercourse.


    A good method to the therapy of erectile dysfunction whose origin lies in psychological results is to make use of any psychotherapy method which reduces anxiety round intercourse, relationships or intimacy.




    It is required for a man’s accomplice to assist with the remedy strategies, which
    contain progressively growing ranges of intimacy and sexual inspiration.


    Get Rid of Erectile Dysfunction with Residence Treatments: -

    1. You must take fiber rich weight-reduction plan notably water-soluble fiber (fruits and vegetables) as fiber flushes
    the toxin from the physique and too the signal within the arteries (the reason for poor circulation).



    2. Mix one half walnuts and one fraction honey. Get the mix thrice a day half-hour after meal.
    It's a must to swallow milk right after. The motion is for 1 month.
    It is among the unusual house cures for erectile dysfunction.


    3. Dwell a stress free life and sense tranquil.
    The effectual habits to get bodily unwind are - cease smoking, eat fewer carbohydrates,
    every single day train for 30 notes and say no to caffeine.



    4. Ashwagandha is one other useful herb that will increase energy, power, and sexual operate.
    It's natural tonics that get well erection as wholesome as common well being.




    5. Vitamin A deficiency has been a purpose of
    erectile dysfunction in a number of males. Eat foods rich in vitamin A.
    You'll be able to too take vitamin A further for higher erection.


    6. Zinc is a worthwhile mineral helpful in boosting sexual want and staying energy.
    Every time an individual sufferers from zinc lack, they're further susceptible to sexual dysfunction. Try to be supplementing 15-30 mg of zinc per day
    subsequent to with a copper further.


    Dynamol Cream is a pure treatment to assist cure erectile dysfunction and
    to enhance sexual efficiency.


    Shilajit Gold is a potent aphrodisiac for males which restores sexual vigour, vitality and stamina.
    It's a robust intercourse stimulant and improves sexual well being and treats impotence.
    Its key components, Shilajit, Kesar and Gold powder / Swarna
    Bhasma rejuvenate the physique, improve male libido and improve sexual potency.

  • پیوند نظر Jasmin چهارشنبه, 19 مهر 1396 ساعت 03:35 ارسال شده توسط Jasmin

    What is ED Reverser?


    Are there easy methods to cure erectile dysfunction (ED) with out resorting to any
    medication or costly testosterone therapies? Max Miller’s new ED Reverser book
    claims to indicate you a quite simple, all pure and a hundred% protected approach that can assist you to overcome the completely different types of ED.
    It accommodates a step-by-step information that can assist you attain severely rock stable erections any time you need them.
    Get ED Reverser at Lowest Worth


    Max claims that his resolution has produces glorious outcomes
    for lots of of males, it solely requires you to purchase a couple of supplements containing enzymes, proteins and amino acids all a part of
    a pure food plan. You may get most the required vitamins at your native drugstore for about fifteen dollars.
    After that, it’s simply so simple as taking the fitting mixture of highlighted widespread foods and particular
    supplements he outlines within the e-book.



    In this new e-e-book, Max additionally provides detailed details about dosage and whenever you to take every complement.
    It’s solely a 14-day program and if you possibly can keep on with the easy
    program, he claims that you simply be completely cured of your ED.

    He additionally claims, Additionally, you
    will be capable of carry out a lot better throughout sexual exercise and your sexual capability will stay sturdy
    all through the remainder of your life. Sounds nice.


    It’s fairly attainable that you just and lots of others are a bit skeptical about the entire course of.
    You've in all probability seen merchandise like this earlier than that make massive claims, however are nothing however cash sucking hoaxes.
    Nevertheless, contemplating that ED is a critical challenge that impacts many males,
    it’s undoubtedly value trying out this guide. Earlier than we
    get the e book, let’s attempt to grasp the biology behind getting erections and the varied varieties of ED.



    Erectile dysfunction is a reasonably frequent situation that's
    described as the shortcoming to maintain an erection or have sexual intercourse.
    Most males expertise erectile dysfunction at numerous phases
    of their lives however it's extra widespread in older
    males. It's nonetheless essential to hunt remedy if the frequency at which
    it happens will increase. This situation may be attributable
    to both psychological or bodily components. Generally known as impotence, it is usually not a life
    threatening situation however it is very important name your loved ones physician or
    see a normal practitioner if you happen to discover that
    it's progressively getting worse. That is
    so as to rule out any underlying situations.



    Erectile dysfunction or impotence is now extremely treatable because
    the remedies for this situation have significantly improved through the years.

    It's primarily handled by coping with the psychological or bodily components that appear
    to be the reason for the issue. A physician will first decide whether or not the situation is brought on by elements akin to stress
    or bodily components. Under are some indicators that would point out that you could be have to see your physician.


    Inability to develop an erection

    While this may very well be attributable to stress, anxiety or different psychological components, if a man is unable to develop an erection repeatedly for
    a continued time period or if this tends to happen with
    elevated frequency, it can be prudent to examine along with your
    physician with the intention to remove different underlying
    issues.


    Inability to maintain an erection

    A man can discover that he has no downside getting an erection however fails to maintain it lengthy sufficient to carry
    out sexual intercourse. Different occasions, you could discover that you're not
    in a position to have an erection whenever you masturbate however whenever you get up
    within the morning, your penis is tough. If this continues to occur constantly for greater than two weeks, it might be time
    to schedule a go to to your physician.


    Lack of Sexual Appetite

    While virtually each wholesome and regular man enjoys
    intercourse and most appear to have limitless libido, It isn't abnormal to expertise durations whenever you would not have a want to interact in sexual intercourse.
    You could also be burdened out or it might happen as a result of of labor or
    faculty associated anxiety amongst different
    issues. If this case is extended nevertheless, it can be smart to
    see your physician to guarantee you that it isn't a sign of a deeper core downside.



    Premature Ejaculation a type of ED

    Like the above signs, premature ejaculation might be attributable to many components
    both psychological or bodily. This occurs when one ejaculates in lower than two minutes and even earlier than penetration happens.

    It is essential to go to a physician if it occurs regularly
    and turns into constant over time.


    It is mostly good to hunt skilled assist in case you develop alarms about your sexual life,
    erections, premature ejaculation, delayed ejaculation and different sexual
    issues. You may additionally produce other indicators other than erectile dysfunction. Nonetheless, it could be
    prudent to go to your physician ceaselessly if in case you have
    diseases like diabetes, coronary heart illness or different widespread illnesses which might be related to erectile dysfunction.


    Lets have a look at ED or Erectile Dysfunction a bit Additional

    Erectile dysfunction is attributable to many elements.
    It's subsequently doable to categorise erectile
    dysfunction into differing types based mostly on their underlying
    trigger. You will need to know that a single particular person can undergo from two or
    extra varieties of erectile dysfunction at the identical time.
    Allow us to have a look on the kinds of erectile dysfunction one might
    be diagnosed with.


    Endocrinogenic/Hormonal Erectile Dysfunction

    Hormonal erectile dysfunction outcomes from low testosterone ranges
    within the physique. Testosterone is a intercourse hormone that performs an essential position throughout erection. When there may be little or no testosterone within the blood stream, the standard of an erection is
    poor. Low ranges of this intercourse hormone are usually led
    to by sure diseases reminiscent of diabetes.


    Arteriogenic/Vasculogenic Erectile Dysfunction

    For an erection to happen, the cardiovascular system ought to
    be capable of successfully provide blood to the
    penis. When the blood provide is much less, it outcomes to an arteriogenic erectile dysfunction. That is a
    typical prevalence in people whose arteries have narrowed down on account of
    illness or outdated age. The blood provide also can cut back when the
    arteries are blocked. A blockage of those arteries might outcome from excessive blood strain or an damage across
    the genital area. It's common for patients who've suffered from urologic or orthopedic accidents to undergo from erectile dysfunction after restoration.


    Venogenic or Penile Erectile Dysfunction

    Venogenic impotence also referred to as penile impotence takes place when the veins
    of the penis leak blood thus stopping an erection. Throughout a
    traditional erection, the veins within the penis fully
    shut in order that no blood can move out thus rising the stress wanted for an erection. One of these erectile dysfunction could be divided into two;
    major and secondary. Males with main venogenic erectile dysfunction have
    had the situation since they have been born.
    Secondary penile impotence develops all of the sudden in a man after
    years of getting regular sexuality. Diseases equivalent to priapism and Peyronie’s illness can have an effect on the construction of the penis together with
    the veins thus resulting in penile erectile
    dysfunction.


    Neurogenic Erectile Dysfunction

    All processes within the physique are coordinated by the mind.
    For an erection to happen, the mind generates a neural
    message to immediate the erection and transmits the message to the penis.
    When there's a breakdown within the nervous system,
    the initiation of an erection and its upkeep turns into laborious.

    Diseases such Parkinson’s illness which have an effect on the mind could cause neurogenic impotence.
    Accidents across the pelvic area or spinal cord illness disrupt the neural alerts
    from the mind to the penis thus inflicting erectile dysfunction. Medical
    disorders reminiscent of myelitis, tumors or a number of sclerosis which have an effect on the nerve provide also can result in neurogenic impotence.



    Drug-induced Erectile Dysfunction

    Tlisted here are varied kinds of authorized and unlawful medication that result in erectile dysfunction. These medication normally have an effect on the nerves, blood vessels that management an erection or the mind.
    Different medicine additionally have an effect on the degrees of testosterone thus resulting in erectile dysfunction.


    Psychogenic Erectile Dysfunction

    In this type of erectile dysfunction, the trigger is
    psychological not bodily. These causes embrace anxiety,
    stress, depression and different psychological situations.
    The physician carries out an intensive examine for any bodily causes of impotence earlier
    than declaring that the trigger is psychogenic.


    Get Extra Data on ED and SEE the complete Video!

    The contents of the ED Reverser e-e-book:


    At the start of the video, Max says that it takes simply
    5 minutes, however the video is definitely for much longer.

    It doesn't inform a lot about ED itself. Other than the
    knowledge that the e-guide offers you a listing of simply out there supplements, their dosage and when to take
    them, it doesn't inform a lot concerning the contents of the
    e-e book. Nonetheless, the query stays whether or not amino acids, enzyme and protein supplements have any impression on ED.



    The thickening of arterial partitions (atherosclerosis),
    vascular diseases, kidney issues, diabetes and neurological points
    are the causes of ED in about 70% of patients.
    It also can happen because of the unintended effects of some medication. On this case, it generally is a critical
    downside that wants medical consideration. Therefore, it's not advisable to begin any ED therapy with out first consulting a physician.


    Tright here is a few proof that the amino acid arginine
    will increase the degrees of nitric oxide within the physique
    and it could also be efficient in treating ED for some folks.
    Ginseng and Ginkgo Biloba might even have some useful results.



    Considering that nothing a lot is thought in regards to the contents of the
    e-ebook, it’s fairly possible that now we have
    simply given you extra details about ED and
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