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НАВИГАЦИЯ
 
 

1. Оперативные вмешательства на молочных железах
2. Эстетическая коррекция лица
3. Эстетическая хирургия и коррекция формы тела
4. Лечение варикозного расширения вен
5. Эндоскопические методы хирургического лечения
6. Методы детоксикации организма (гемосорбция, плзмаферез, энтеросорбция , комбинированные методы детоксикации организма)
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7. Лечение пациентов с избыточным весом и ожирением
- Внутрижелудочные баллоны в лечении ожирения
- Хирургическое лечение ожирения
8. Хирургическое лечение онкозаболеваний с использованием дендритных клеток

 

НОВОСТИ
11.12.2007 Рождение сайта >>>
СЧЕТЧИКИ


 

 

                                                                                                                         

      ОЖИРЕНИЕ НАСЕЛЕНИЯ ЯВЛЯЕТСЯ ПРОБЛЕМОЙ НОМЕР ОДИН ВО ВСЕМ МИРЕ. Избыточный вес и связанные с ним осложнения укорачивают жизни многим миллионам людей на планете. В настоящее время развилась пандемия этого ЗАБОЛЕВАНИЯ, угрожающего нам, нашим детям и, к сожалению, нашим внукам. Ожирение способствуют развитию в организме так называемого МЕТАБОЛИЧЕСКОГО СИНДРОМА, включающего сахарный диабет второго типа, гипертонию, нарушения в работе: сердечно-легочной системы, щитовидной железы, печени и почек, детородной функции,  вызывает депрессию и суицидальные настроения, повышенный риск возникновения злокачественных заболеваний и другие патологические состояния. Причины возникновения пандемии населения связаны с многими факторами, включающими избыточное и неправильное питание, генные и другие модификации продуктов, малоподвижный образ жизни, гормональные расстройства и другие. К сожалению, в воспитании и обучении населения ранее не существовало настороженности, да и просто не обращалось внимания на то, как и чем человек питается, особенно в экономически развитых странах. Основная задача производителей и продавцов: как можно скорее вырастить и как можно больше продать, остальное мало интересно. Наиболее угрожающих размеров пандемия ожирения достигла в Соединенных Штатах Америки, где около 60 процентов взрослого населения имеют избыточный вес или страдают ожирением. Около 30% имеют морбидные формы ожирения. Очень настораживает и то, что около 25-28% детского населения страны вовлечены в ту же проблему.                                                                                                                                                                                                                                                                                                                                                   Интересно, что люди по разному воспринимают эту проблему. Наряду с пониманием большинством интеллигентных людей ее важности как  для человечества, так  и для каждого индивидуума, есть еще и такое мнение, что это больше косметическая проблема и не стоит  делать много шума, у каждого свой вкус. Устраиваются даже конкурсы красоты для толстух и формируется оптимистичное отношение к проблеме -  "а мне так нравится" или "это нравится моему мужчине".

             

Чаще это встречается среди женщин сравнительно молодого возраста, когда еще не успели проявиться или проявляются еще в невыраженной степени осложнения ожирения. Это также наблюдается у тех, кому трудно похудеть и несмотря на разные диеты, которые они использовали (как правило временно и не доводя дело до положительного результата) похудеть не могут. Некоторые объясняют все генами и конституцией - "у меня в семье все были полными" или " у меня широкие кости, поэтому я не могу быть худой". Конечно, мы ни в коем случае не говорим о том, чтобы каким бы то ни было образом ущемлять права или достоинства этих людей, так как в некоторых случаях причиной ожирения могут быть и реальные гормональные заболевания.  Мы только обращаем внимание на то, что с этой проблемой надо бороться неустанно и при любых причинах накопления избыточного веса ( включая генетические, гормональные и другие), иначе рано или поздно, это может стать причиной сокращения вашей жизни.  И тут уже не только косметика, все гораздо сложнее.

 

            


 

НЕХИРУРГИЧЕСКИЕ МЕТОДЫ ЛЕЧЕНИЯ ИЗБЫТОЧНОГО ВЕСА И ОЖИРЕНИЯ:

ВНУТРИЖЕЛУДОЧНЫЕ БАЛЛОНЫ

Внутрижелудочные баллоны - одна из последних разработок ученых, пытающихся создать эффективный метод лечения ожирения без операций и медикаментов.

 В действительности механизм действия внутрижелудочных баллонов довольно прост и состоит в механическом заполнении полости желудка баллоном, наполненным жидкостью или воздухом. Помещение баллона внутрь желудка производится с помощью гастроскопа. После заполнения баллона 600-700 мл. жидкости или воздуха у пациента возникает ощущения заполненности желудка и сытости. Это чувство регистрируется в мозгу пациента и сигнализирует о том, что прием пищи следует прекратить   ( далее смотреть соответствующий раздел)

ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ ОЖИРЕНИЯ

Хирургические методы лечения ожирения делятся на несколько категорий, но в основном, сводятся к трем основным методам : рестриктивные, малабсорбционные и смешанные. Оптимальными и наиболее эффективными ( так называемый  " золотой стандарт")  в мировой бариатрической хирургии являются смешанные методы, объединяющие рестриктивный и малабсорбционный компоненты. К этим методам относится и созданная нами операция ( Mini-open Roux-en-Y Gastric Bypass), завоевавшая признание во всем мире. ( Подробнее смотреть в соответствующем разделе).


КТО МНОГО ДВИГАЕТСЯ И МАЛО КУШАЕТ НИКОГДА НЕ СТРАДАЕТ ОЖИРЕНИЕМ

 ОЖИРЕНИЕ И ОНКОЗАБОЛЕВАНИЯ

     В представленной ниже статье ( Maria Cheng) с совместной конференции Европейской организации онкологов и Европейского общества медицинских онкологов в Берлине говорится о том, что Европейские исследователи нашли что избыточный вес и ожирение очень скоро могут стать лидирующей причиной  в возникновении злокачественных заболеваний у женщин, особенно Западных стран. Уже сейчас избыточный вес и ожирение являются причиной от 8 до 20% всех злокачественных заболеваний, зарегистрированных в Европе, начиная обгонять такие известные канцерогенные факторы, как курение и заместительная гормональная терапия. Renehan с коллегами привели данные научных исследований в 30 европейских странах и показали, что из 2 миллионов случаев рака, зарегистрированных в Европе в 2002 году     70 000 были связаны с избыточным весом и ожирением, причем число таких пациентов  выросло почти в два раза за последние 5 лет и к 2008 году составило 124 000.  65% всех раков, связанных с ожирением составляют: рак толстой и прямой кишок, рак груди у женщин в менопаузе и рак матки. Ученые еще до конца не изучили причин возникновения рака при ожирении, однако считают, что это может быть связано с действием гормонов на фоне нарушенного липидного обмена, особенно эстрогенов, способных как вызывать так и ускорять рост опухолей.

 

Obesity Could Become Top Cancer Cause

Maria Cheng, AP Medical Writer

LONDON (AP) — Being fat could become the leading cause of cancer in women in Western countries in the coming years, European researchers said Thursday.

Being overweight or obese accounts for up to 8 percent of cancers in Europe. Experts said that figure is poised to increase substantially as the obesity epidemic continues, and as major causes of cancer, such as smoking and hormone replacement therapy for menopausal women, drop dramatically.

"Obesity is catching up at a rate that makes it possible it could become the biggest attributable cause of cancer in women within the next decade," said Andrew Renehan, a cancer expert at the University of Manchester. Renehan presented his findings to a joint meeting of the European Cancer Organisation and the European Society for Medical Oncology in Berlin on Thursday.

Renehan and colleagues designed a model to estimate the number of cancers that could be blamed on being fat in 30 European countries. In 2002, they calculated that 70,000 cases of cancer out of about 2 million cancer cases were attributable to being overweight or obese. By 2008, the number had jumped to at least 124,000.

Colorectal cancer, breast cancer in menopausal women and endometrial cancer accounted for 65 percent of all cancers linked to being fat. Renehan said that in the U.S., some studies found obesity was responsible for up to 20 percent of cancers.

Experts said the results should help shape future cancer policies across Europe.

"Being overweight or obese is likely to be one of the biggest single causes of cancer," said Lucy Boyd, an epidemiologist at Cancer Research United Kingdom who was not linked to the research.

Scientists aren't sure why being fat boosts your cancer risk, but suspect it is connected to hormones. As people become fatter, they produce more hormones like estrogen that help tumors grow. People with big bellies also have more acid in their stomachs, which can lead to stomach, intestinal or esophageal cancer.

Still, not all experts said obesity would produce skyrocketing cancer rates in the near future.

"It is not likely (obesity) will have as severe an effect as smoking," said Jan Coebergh, a professor of cancer surveillance at Erasmus University, who has done similar research. Coebergh expected it would take a few decades before rounder Europeans would see a parallel rise in cancer, since the disease often takes years to develop.

Still, scientists called for more measures to fight obesity and the cancers it might cause.

Renehan said new strategies were needed to help people stay slim. "We need to find the biological mechanism to help people find other ways of tackling obesity," he said. "Just telling the population to lose weight obviously hasn't worked."

More information: www.ecco-org.eu

Obese Women Diagnosed With Larger, Later-Stage Breast Cancers
A new study finds obese women are more likely to have breast cancer detected at a later stage and to have lymph node metastases at the time of diagnosis than women who are not obese.
Obese women are more likely to have breast cancer detected at a later stage and to have lymph node metastases at the time of diagnosis than women who are not obese, according to a study presented this week at the Annual Meeting of the American Society of Breast Surgeons.
“Obese women in our study had larger tumors than the non-obese women, but were less likely to find these cancers through a self breast exam.  The majority of tumors were diagnosed through mammography.  This suggests breast cancers may be more difficult to palpate in obese women.  These results were highly significant,” said lead researcher Danielle Haakinson, MD, Surgical Resident at the Mayo Clinic in Arizona.           
The research also found that obese women had a lower overall cancer survival rate, probably due to later stage disease at diagnosis.  However, other illnesses associated with obesity may also affect patient survival.  Additionally, obese women were less likely to undergo breast reconstruction after mastectomy.
This study underscores the importance of regular mammograms for obese women.  “Without mammogram screening, breast cancer diagnosis may be delayed,” Dr. Haakinson comments.  “The increased importance of mammographic screening in this growing patient population must be shared with both women and their primary care providers.  Other studies have found that obese women are less likely to comply with regular breast cancer screening practices.  This, combined with possible increased difficulties in finding a lump in large breasts, may contribute to the poorer breast cancer survival rate among obese women.” 
In the study, researchers compared 327 women classified as obese by accepted body mass index standards (BMI>30) with 1025 patients not considered obese who were treated for invasive breast cancer from 2000 to 2008 at the Mayo Clinic in Arizona. They found that 10 percent fewer obese women were seen by doctors for evaluation of a mass found on a self breast exam than were non-obese breast cancer patients. 
 “While a number of factors may come into play, one distinct possibility is that obese women simply are less likely to examine their breasts or to examine them thoroughly, possibly because they are uncomfortable with their body image,” comments Dr. Haakinson.  She notes that both surgical treatment and chemotherapy are more challenging in obese women because of increased complications such as poor wound healing and higher rates of diabetes and high blood pressure.
Noting that other research has uncovered a number of links between breast cancer and obesity, Dr. Haakinson says that her findings may result from a combination of factors.  “Obese women are already at increased risk for breast cancer,” she comments.  “Now, this study shows that obese women present with more advanced stages of breast cancer.”
“Interestingly, we did not find an increase in tumor characteristics associated with poor survival in obese women. Therefore finding their cancers when smaller would be very important for obese patients and might boost their survival rate.”
Experts agree that obesity is a significant and growing health risk in America, and it has been linked to numerous cancers.  Dr. Haakinson says that obese women must recognize that they are at increased risk for breast cancer in particular and should take steps to minimize the impact if they maintain their weight.  She believes that systems should be in place to encourage comprehensive screening practices, including mammograms, clinical breast exams and breast self-exams for overweight women to diagnose breast cancer at earlier stages. 
“The message is clear—obese women must be particularly vigilant in pursuing breast cancer screening by scheduling their annual mammograms and check ups. The good news is that these are relatively easy steps to take once a woman understands the positive impact on her breast health.”
Abstract:
Title: Obese Patients Present with More Advanced Cancers: The Impact of Obesity on Breast Cancer
Objectives
Obesity has been linked to many adverse health consequences including breast cancer. The effect of obesity on clinical presentation, tumor characteristics and ultimate outcome in breast cancer still needs to be defined. Our goal was to obtain a better understanding of the impact of obesity on breast cancer so as to aid healthcare providers in screening, counseling, and planning therapeutic interventions.
Method
Retrospective review of a prospectively collected database of patients treated at a single institution for invasive breast cancer from 2000- 2008 was carried out. We compared two groups: women classified as non-obese (BMI<30) and women who were classified as obese (BMI>30). Continuous variables were compared between the two groups using ANOVA F-tests and categorical variables were compared using chi-square tests. Survival data was analyzed using Kaplan Meier analysis.
Results
Of 1352 total patients, 1026 (76%) were classified as non-obese and 327 (24%) were obese. Although there was no difference in mean age between the groups, fewer obese breast cancer patients presented at young ages: 2% of obese patients <40 years old, 8% 40-50, and 90% >50 years (versus 4%, 14%, and 82% for non-obese patients, p=0.0019).
Obese patients were more likely to present with disease on imaging rather than by clinical exam (67% vs. 56%, p=0.0006). This difference was almost entirely due to a lower rate of obese patients presenting with masses on self breast exam (28% versus 38% for non-obese patients) as the rate of cancer presenting by the detection of a mass by clinical breast exam was 5% for obese patients and 6% for non-obese patients were similar (p=0.0066). 71% of obese patients had tumors <2cm versus 79% of non-obese patients, even though tumors in obese patients were less likely to be palpable (p=0.0045).
Obese patients were significantly more likely to have lymph node metastases (31% vs 25%, p=0.026). Rates of breast conservation therapy were 69% for obese patients and 70% for non-obese patients (p=NS), but obese patients underwent immediate reconstruction when they were treated with mastectomy only 29% of the time versus 47% of non-obese patients (p=0.0058).
No differences between groups were seen with regard to adjuvant therapy, recurrence, family history, or tumor markers (ER, PR, Her2). On multivariate analysis, obese patients trended toward a worse overall survival with a hazard ratio of 1.53 (95% CI 0.97-2.53).
Conclusions
Obese patients are more likely to present with non-palpable tumors that are larger and have a higher rate of lymph node metastases compared to non-obese patients. Obesity does not appear to impact expression of tumor markers. Obesity did not result in

EXERCISES and DIETS on REALITY CHECK!!!!

Have you seen that billboards…Trim abs…sexy curves….
Oh! How you’ve been wanting to see yourself like that and have enough confidence with your body….
But when?
It’s not just a question of when but how?
How to do it correctly and successfully? And work for you the way it worked and as you’ve heard from others.
I know we all been hooked up with every new technique that Oprah’s endorsing or J.Lo’s latest exercise and diet regime. Even all the gossips we heard from friend, relatives or officemates is not enough basis to believe so.
And before you follow a certain program , we need to weigh in both sides about this gritty nitty  things regarding the most popular diet and exercise myths : the truth and real score behind it;
You CAN get rid those “belt bag” fat through crunches. Fat content is not only focused on your belly, to be able to trim it in nice shape, you can start by increasing cardiovascular exercise like running on the bike or tread mill. By doing this, you can decrease your body’s fat content entirely, as well as your belly. Unwanted fats needs to eliminated by burning them and NOT just by  crunches, my dear!
 
Stretch before an exercise. This is not applicable to all kinds of exercises, if you will have a run it’s alright to stretch but  if your lifting weight it is advisable to do it right after, to stretch your muscles. It’s a way of cooling down your body and giving proper contraction of those muscles you have used.
 
AVOID meal before hitting your work out? It is a BIG NO NO!. Our body is like the engine of a car, we need  fuel to get it started and run smoothly on the entire trip. Same as with our body to fuel up with enough energy to consume to have an efficient workout. But be reminded to have 5-6 smaller meal in between the day to have a good fuel regulating inside us.
 
Women who lift weights will have a HULK HOGAN or muscle-man-like body. Another false belief, women do not have enough testosterone to be that “ big” like those participants on body builder contest. Lifting weight allows the muscle to be in shape and having “bulky” sculpt like what you usually seen on ads or TV programs are due to some supplemental ingestion.
 
FAT : BAD for your body. Don’t be easily persuaded with what you hear or see. The fact is : WE ALL NEED FATS . It’s just knowing their classifications. There are “good fats” that is needed by our body like ;
a.    monosaturated fats – it lowers total cholesterol and LDL cholesterol also known as  “bad cholesterol” and increase the HDL or the “good cholesterol.” Sources can come from nuts, canola and olive oil.
b.    polysaturated fats – also lower total cholesterol and LDL cholesterol. Salmon, fish oil, corn sunflower oils are highly rich of this fats and Omega 3 fatty acids are also under this kind of fat, which is known acid that is good for the heart.
 
SKIPPING MEAL – a form of DIET. Losing weight really need NOT to be like this. Remember the “more you starve yourself, the more your metabolism gets slower”. Your metabolism is in charge of  the rate of calorie consumption. The body tends to consume very minimal calorie as it monitor its insufficiency. And chances of eating big on your next meal is a proven pattern once you skip meal. You should  know how much calorie you need or Recommended Dietary Allowance (RDA) and decrease it subtle to achieve your desired and ideal calorie requirement per day.
 
Healthy foods can be eaten as long as you want. Don’t take this misconception on your diet program. . “ An apple a day makes the doctor away “ : TRUE. But if you eat  5 apples in one sitting x 5 meals a day. As most of us says “ YOU DO THE MATH!”. Medium apple contains 70-80 calories x 5 x 5 meal.  It’s between 1750 - 2000 calories , just from the apples and how about the wheat bread and oatmeal that you’ve been eating also in 5 servings to satisfy your hungry stomach in just one meal? Eating on small portion and in moderation would be the best thing to do even if it’s a healthy food, a calorie is still a calorie that when added up will totally be out of proportion.
 
If you’re OBESE, you can surely turn those fats to be muscles. Tell it to the marines! Take note of this, unwanted fats can be burn and eliminated through proper diet and exercise : it’s ONE THING. Muscles? Oh! Common! There’s no way in converting fats into muscles as they are totally different types of cell. You need to give sweat and blood to have that muscles, baby! and THAT’S ANOTHER THING! Unless you can find that fairy grandmother of yours and will turn you into perfect shape through  her magic wand, effortless!
 
A good work out needs a lot of sweating. Have you heard that swimming is a perfect exercise? It is indeed, as it makes every muscle of your body move and very good in cardiovascular work out. And surely sweating is NON EXISTENCE in this.
 
So after you read all of this, FOR SURE the next time you hear any news from any sources be sure that you weigh them in and not just believe in easily and jump into it to take a ride for just “popularity’” and “in” thing in your school, office or the society. Reality check , please!

 

 









Веб-студия Полюс Альфа