Ukwelashwa Advanced umdlavuza wamabele ngo-Germany

Akungabazeki ukuthi wokwelapha isifo somdlavuza webele iye yathuthuka kakhulu kule minyaka yamuva. Komdlavuza webele akuyona isigwebo sentambo, kodwa kwelashwa awazange abe buhlungu okungaphezu nje kwesifo ngokwaso. Namuhla, abesifazane unomdlavuza webele siphile isikhathi esijana futhi kangcono kunanoma yinini ngaphambili. Abaningi babo bafunana belashwa ngokuphelele. Futhi ikusasa libonakala ngisho licace ne ngabanye izindlela zakamuva ukwelashwa kanye nokuqhubekela phambili zokwelapha izindlela zokuthwebula izithombe zokwelapha kanye nemikhiqizo emisha.

Izibikezelo ongcono yomdlavuza webele eJalimane

Omunye wabaholi ekwelapheni yomdlavuza emhlabeni kuyinto eJalimane, ne imishini yayo yesimanje kakhulu futhi best Ochwepheshe-oncologists. Imiphumela kakhulu ukwelashwa eJalimane ukukhombisa izinga okusezingeni lokunakekela izikhungo umdlavuza kuleli zwe.

yimpumelelo kangakanani ukuphathwa imikhakha eyahlukene ka yomdlavuza webele? Kusukela 2003, i-Centre wamabele ngo-Heidelberg University Hospital ivamise ukuqapha intuthuko umdlavuza wamabele ngo iziguli ezingaphezu kuka-3,000 futhi isikhungo sokuqala eJalimane, eshicilelwe lezi imiphumela ethembisa abalulekile: eminyakeni yokuqala emihlanu ngemuva kokuqala ukwelashwa kanye amaphesenti ayisishiyagalombili nesithupha iziguli ngasinda, 80 % wabo waqhubeka ngaphandle ubufakazi isifo ngalesi sikhathi. I kwanyatheliswa imiphumela yocwaningo ngo-February 2012 e-Journal wamabele.

Ayisishiyagalombili nesithupha amaphesenti iziguli kwakufanele besaphila ngemva kweminyaka emihlanu ngemva kokwelashwa.

Iqembu imikhakha eyahlukene ihlola idatha e Heidelberg nokwelashwa kweziguli 3338 nge esanda kutholakala ukuthi uphethwe umdlavuza webele abulalayo maphakathi isifuba Heidelberg University Hospital kusukela ngo-2003 kuya 2010. Ngemva kweminyaka emihlanu bebhapathiziwe ukuphathwa kokuqala 80% eziguli babe izifo khulula, okungukuthi ngaphandle umdlavuza Ukuphinda. Ngo-15% weziguli isimila recurred esifubeni, futhi 19% of zenzeka metastases. Ayisishiyagalombili nesithupha amaphesenti iziguli basinda eminyakeni yokuqala emihlanu ngemuva uphethwe kokuqala. Ukuthatha ku nokufa akhawunti ezingafakwanga ezihambisana unomdlavuza webele, ukuhlolwa kwabonisa ukuthi 10% eziguli wabulawa umdlavuza Eminyakeni yokuqala emihlanu isifo satholakala.

Imikhakha eyahlukene isimila ibhodi inikeza iseluleko ekwelashweni

"Imiphumela yethu isisekelo ukwenzangcono ka nokunakekela kokuvimbela nokwelapha umdlavuza webele iziguli," kusho uSolwazi u Schneeweiss. "Kule ndawo, kanye izakhiwo, wadala Centre saVelonkhe isimila Izifo e Heidelberg, thina izindinganiso nezinye izikhungo eJalimane." Kusukela 2003, uProfesa Schneeweiss wakwazi kahle ukubhala zonke izimo umdlavuza webele, okuyinto okwamanje kuyinto database kanye neminye cwaningo efanayo, futhi uzoqhubeka ukwenza njalo esikhathini esizayo. UProfesa Schneeweiss futhi ikhanda weBhodi isimila imikhakha eyahlukene futhi ke odonsa up ngabanye izincomo ukwelashwa multidisciplinary.

Ngo-2003, i-Centre wamabele ngesikhathi Heidelberg University Women sika Isibhedlela wayengomunye walaba izikhungo lokuqala e-Germany, eye eliqinisekiswe yi-German Cancer Society kanye German Society for Senology. Namuhla e-Germany kunezinhlobo ezingaphezu kuka-200 eqinisekisiwe webele izikhungo. Ngo-2006, webele isikhungo isigunyaziwe yi-European Society for umdlavuza webele. Ezigulini, lokhu kusho ukuthi i team 'ebona we odokotela inikeza izindlela zesimanje yokwelashwa, high ukuxilongwa kanye nokwelashwa ngokuhlanganyela imikhakha eyahlukene. Ngo-2011, i-Heidelberg University Hospital Breast Centre iphathwa iziguli ezingaphezu kuka-600 nge esanda kubalwa, okwenza kube omunye izikhungo elikhulu isifuba eJalimane.