#1
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Ìîæíî ëè ìàññèðîâàòü øîâ ïîñëå ìàñòýêòîìèè?
Çäðàâñòâóéòå,
Îòâåòüòå, ïîæàëóéñòà, íà âîïðîñ, âûíåñåííûé â òåìó. Âõîäèò ëè â êîìïëåêñ ðåàáèëèòàöèîííûõ ìåðîïðèÿòèé ìàññàæ øâà ïîñëå ìàñòýêòîìèè ïîä ïðåäëîãîì, ÷òî øîâ ïðèêðåïëåí ê ãðóäíîé êëåòêå, à îí äîëæåí áûòü ïîäâèæíûì êàê êîæà, ê òîìó æå âîêðóã øâà ñêîïèëàñü ëèìôà. Âñå ýòî ñî ñëîâ êèíåçèòåðàïåâòà, êîòîðàÿ çàíèìàåòñÿ ðåàáèëèòàöèåé. Ïîñëå îïåðàöèè ïðîøëî äâà ìåñÿöà. È åùå âîïðîñ, âîçìîæíà ëè ðåàáèëèòàöèÿ ìåæäó êóðñàìè õèìèîòåðàïèè? Ñïàñèáî! |
#2
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ß íå ðåêîìåíäóþ ñâîèì ïàöèåíòêàì "ìàññàæèðîâàòü øîâ", îí íå âûïîëíÿåò êàêèõ ëèáî ñïåöèôè÷åñêèõ ôóíêöèé, êîòîðûå íàäî âîññòàíîâèòü ðåàáèëèòàöèåé.
Ìåæäó öèêëàìè ÕÒ ìîæíî, íî íàâåðíîå íå â ïåðèîä íåéòðîïåíèè. |
#3
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Áîëüøîå ñïàñèáî çà îòâåò! ß ïîïðîøó êèíåçèòåðàïåâòà íå òðîãàòü øîâ.
Îòâåòüòå, ïîæàëóéñòà, åùå íà îäèí âîïðîñ. Ìîæíî ëè ââîäèòü æåëåçî âíóòðèâåííî ñðàçó æå ïîñëå õèìèîòåðàïèè, åñëè îáíàðóæåí íèçêèé ôåððèòèí? Ñïàñèáî! |
#4
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Ñêàæèòå, ïîæàëóéñòà, ìîæíî ëè âî âðåìÿ è ïîñëå îáëó÷åíèÿ ìàçàòü êðåìîì ñ ãèàëóðîíîâîé êèñëîòîé îáëàñòü îáëó÷åíèÿ - øîâ ïîñëå ìàñòýêòîìèè è êëþ÷èöà ñ ýòîé æå ñòîðîíû?
Ñïàñèáî. |
#5
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#6
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Ðàäèîòåðàïåâò ïîñîâåòîâàë êðåì ialuset. Íî ÿ ñîìíåâàþñü ñòîèò ëè ìàçàòü. ß è òàê óæå âî âðåìÿ õèìèè ïèëà ãëþêîêîðòèêîñòåðîèäû ïî óêàçàíèþ âðà÷à-îíêîëîãà, è äà, ìåíÿ íå ðâàëî. Íî ïîòîì ÿ âû÷èòàëà, ÷òî ãëþêîêîðòèêîñòåðîèäû ñíèæàþò èììóíèòåò, à äëÿ áîðüáû ñ ðàêîì èììóíèòåò êàê ðàç î÷åíü íóæåí. Ñåé÷àñ æàëåþ, ÷òî ïèëà èõ, óæ ëó÷øå áû ìåíÿ ðâàëî.
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#7
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ß íå ñïðàøèâàë "êòî ðåêîìåíäîâàë".
Ïî ïðåæíåìó èíòåðåñóåò "çà÷åì". Öèòàòà:
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#8
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Int J Radiat Oncol Biol Phys. 2012 Jul 15;83(4):1089-94. doi: 10.1016/j.ijrobp.2011.09.021. Epub 2011 Dec 14.
Topical hyaluronic acid vs. standard of care for the prevention of radiation dermatitis after adjuvant radiotherapy for breast cancer: single-blind randomized phase III clinical trial. Pinnix C1, Perkins GH, Strom EA, Tereffe W, Woodward W, Oh JL, Arriaga L, Munsell MF, Kelly P, Hoffman KE, Smith BD, Buchholz TA, Yu TK. Author information Abstract PURPOSE: To determine the efficacy of an emulsion containing hyaluronic acid to reduce the development of ≥ Grade 2 radiation dermatitis after adjuvant breast radiation compared with best supportive care. METHODS AND MATERIALS: Women with breast cancer who had undergone lumpectomy and were to receive whole-breast radiotherapy to 50 Gy with a 10- to 16-Gy surgical bed boost were enrolled in a prospective randomized trial to compare the effectiveness of a hyaluronic acid-based gel (RadiaPlex) and a petrolatum-based gel (Aquaphor) for preventing the development of dermatitis. Each patient was randomly assigned to use hyaluronic acid gel on the medial half or the lateral half of the irradiated breast and to use the control gel on the other half. Dermatitis was graded weekly according to the Common Terminology Criteria v3.0 by the treating physician, who was blinded as to which gel was used on which area of the breast. The primary endpoint was development of ≥ Grade 2 dermatitis. RESULTS: The study closed early on the basis of a recommendation from the Data and Safety Monitoring Board after 74 of the planned 92 patients were enrolled. Breast skin treated with the hyaluronic acid gel developed a significantly higher rate of ≥ Grade 2 dermatitis than did skin treated with petrolatum gel: 61.5% (40/65) vs. 47.7% (31/65) (p = 0.027). Only one patient developed Grade 3 dermatitis using either gel. A higher proportion of patients had worse dermatitis in the breast segment treated with hyaluronic acid gel than in that treated with petrolatum gel at the end of radiotherapy (42% vs. 14%, p = 0.003). CONCLUSION: We found no benefit from the use of a topical hyaluronic acid-based gel for reducing the development of ≥ Grade 2 dermatitis after adjuvant radiotherapy for breast cancer. Additional studies are needed to determine the efficacy of hyaluronic acid-based gel in controlling radiation dermatitis symptoms after they develop. |
#9
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Äëÿ ïðîôèëàêòèêè è ëå÷åíèÿ ïîêðàñíåíèÿ, âûçâàííîãî îáëó÷åíèåì. Ó ìåíÿ äåéñòâèòåëüíî ñèëüíûé îæîã - êàê áóäòî íà ñîëíöå îáãîðåëà. Íî èç ïðèâåäåííîé âàìè ñòàòüè íà àíãëèéñêîì ÿ ïîíÿëà, ÷òî ãèàëóðîíîâàÿ êèñëîòà íå ïîêàçàíà â ìîåì ñëó÷àå
Öèòàòà:
Íî åñëè ìíå èõ âûïèñàëè íå äëÿ ïðîôèëàêòèêè ðâîòû, òî äëÿ ÷åãî, êàê âû äóìàåòå? |
#10
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Öèòàòà:
Öèòàòà:
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#11
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