{"id":169977,"date":"2023-11-22T19:38:00","date_gmt":"2023-11-22T17:38:00","guid":{"rendered":"https:\/\/life.karpat.in.ua\/?p=169977"},"modified":"2023-11-22T09:48:35","modified_gmt":"2023-11-22T07:48:35","slug":"a-lembergi-orvosok-az-egyik-legbonyolultabb-hasi-mutetet-hajtottak-vegre","status":"publish","type":"post","link":"https:\/\/life.karpat.in.ua\/?p=169977&lang=hu","title":{"rendered":"A lembergi orvosok az egyik legbonyolultabb hasi m\u0171t\u00e9tet hajtott\u00e1k v\u00e9gre"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>A beteg kivizsg\u00e1l\u00e1sa sor\u00e1n az orvosok vesek\u00f6veket kerestek, \u00e9s r\u00e1kos hasny\u00e1lmirigydaganatot fedeztek fel.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lembergben a seb\u00e9szek ritka radik\u00e1lis m\u0171t\u00e9tet hajtottak v\u00e9gre, hogy megments\u00e9k egy onkol\u00f3giai beteg \u00e9let\u00e9t. A Whipple-m\u0171t\u00e9tet, amelyet a Szent Panteleimon K\u00f3rh\u00e1z szakemberei v\u00e9geztek, a hasi szervek seb\u00e9szet\u00e9nek egyik legnehezebb beavatkoz\u00e1sak\u00e9nt tartj\u00e1k sz\u00e1mon \u2013 sz\u00e1molt be a Lembergi Els\u0151 Orvostudom\u00e1nyi egyes\u00fclet. K\u00f6z\u00f6lt\u00e9k, a p\u00e1ciens kivizsg\u00e1l\u00e1sa sor\u00e1n az orvosok k\u00f6veket kerestek a ves\u00e9ben, \u00e9s r\u00e1kos hasny\u00e1lmirigy daganatot fedeztek fel.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"385\" src=\"https:\/\/life.karpat.in.ua\/wp-content\/uploads\/2023\/11\/2982020.jpg\" alt=\"\" class=\"wp-image-169932\" srcset=\"https:\/\/life.karpat.in.ua\/wp-content\/uploads\/2023\/11\/2982020.jpg 610w, https:\/\/life.karpat.in.ua\/wp-content\/uploads\/2023\/11\/2982020-300x189.jpg 300w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">\u201eA beteg a 60 \u00e9ves Marija Lembergi r\u00e9gi\u00f3b\u00f3l. A n\u0151 eg\u00e9sz \u00e9let\u00e9ben gy\u00e1rt\u00f3\u00fczemben dolgozott. Mindig is t\u00f6r\u0151d\u00f6tt az eg\u00e9szs\u00e9g\u00e9vel, mert rokonai r\u00e1kos betegs\u00e9gek miatt id\u0151 el\u0151tt meghaltak. Ez\u00e9rt rendszeresen kivizsg\u00e1ltatta mag\u00e1t. \u00cdgy volt ez id\u00e9n tavasszal is, amikor Marija asszony rutin ultrahang vizsg\u00e1laton esett \u00e1t. Az orvosok arra gyanakodtak, hogy a n\u0151 ves\u00e9j\u00e9ben k\u00f6vek alakultak ki. Ehelyett egyszer\u0171en led\u00f6bbentek: hasny\u00e1lmirigydaganatot diagnosztiz\u00e1ltak n\u00e1la. A CT-diagnosztika pedig meger\u0151s\u00edtette: a betegnek 3&#215;4 centim\u00e9teres hasny\u00e1lmirigy daganata van. A k\u00e9pz\u0151dm\u00e9ny szorosan r\u00e1 volt tapadva a port\u00e1l \u00e9s a fels\u0151 mesenterialis v\u00e9n\u00e1kra\u201d \u2013 sz\u00e1moltak be az orvosok.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Amikor a n\u0151 beker\u00fclt a Szent Panteleimon K\u00f3rh\u00e1z Onkol\u00f3giai K\u00f6zpontj\u00e1ba, egy multidiszciplin\u00e1ris csapat dolgozta ki a kezel\u00e9s\u00e9nek taktik\u00e1j\u00e1t, melynek els\u0151 szakasza a kemoter\u00e1pia volt, \u00e9s csak \u00f6t kemoter\u00e1pi\u00e1s k\u00fara ut\u00e1n v\u00e9gezt\u00e9k el az onkol\u00f3giai seb\u00e9szek az \u00e9rseb\u00e9szekkel k\u00f6z\u00f6sen a Whipple m\u0171t\u00e9tet, ami hat \u00f3r\u00e1n \u00e1t tartott.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El\u0151sz\u00f6r a seb\u00e9szek pancreatoduodenalis reszekci\u00f3t v\u00e9geztek \u2013 elt\u00e1vol\u00edtott\u00e1k a hasny\u00e1lmirigy \u00e9s a gyomor egy r\u00e9sz\u00e9t, az epeh\u00f3lyagot \u00e9s a nyomb\u00e9lt. Ezt k\u00f6vet\u0151en a port\u00e1l \u00e9s a mesenterialis v\u00e9n\u00e1k \u00e9rintett r\u00e9sz\u00e9t elt\u00e1vol\u00edtott\u00e1k, amelyen kereszt\u00fcl a v\u00e9n\u00e1s v\u00e9r a m\u00e1jba jut, \u00e9s helyette egy hat centim\u00e9ter hossz\u00fa mesters\u00e9ges prot\u00e9zist helyeztek be \u2013 \u00e1ll a k\u00f6zlem\u00e9nyben.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A m\u0171t\u00e9t ut\u00e1ni hatodik napon a n\u0151 hazament, de m\u00e9g egy kemoter\u00e1pi\u00e1s k\u00fara \u00e9s hossz\u00fa rehabilit\u00e1ci\u00f3 v\u00e1r r\u00e1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Az orvosok eml\u00e9keztetnek arra, hogy a hasny\u00e1lmirigyr\u00e1k az \u00f6t leggyakoribb onkol\u00f3giai betegs\u00e9g egyike Ukrajn\u00e1ban. Vesz\u00e9lyes, mert a betegek 95%-a teljesen t\u00fcnetmentes, a betegek t\u00fal k\u00e9s\u0151n fordulnak orvoshoz, amikor a daganat m\u00e1r \u00e1tt\u00e9tes, \u00e9s a m\u0171t\u00e9t m\u00e1r nem hat\u00e9kony. A betegs\u00e9g felismer\u00e9se akkor lehets\u00e9ges, ha id\u0151ben \u00e1tesik a tervezett orvosi vizsg\u00e1latokon.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&lt;!&#8211;translatorid:ild5234 &#8211;&gt;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A beteg kivizsg\u00e1l\u00e1sa sor\u00e1n az orvosok vesek\u00f6veket kerestek, \u00e9s r\u00e1kos hasny\u00e1lmirigydaganatot fedeztek fel.<\/p>\n","protected":false},"author":12,"featured_media":169932,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41,594,11,592,33],"tags":[41884,1831],"class_list":["post-169977","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cikkek","category-egeszseg","category-kiemelt-tema","category-tarsadalom","category-ukrajna","tag-lemberg","tag-mutet"],"_links":{"self":[{"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=\/wp\/v2\/posts\/169977","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=169977"}],"version-history":[{"count":1,"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=\/wp\/v2\/posts\/169977\/revisions"}],"predecessor-version":[{"id":169978,"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=\/wp\/v2\/posts\/169977\/revisions\/169978"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=\/wp\/v2\/media\/169932"}],"wp:attachment":[{"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=169977"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=169977"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/life.karpat.in.ua\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=169977"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}