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Взрослый. Стаж 3 года"],"fullText":["Маммолог. Взрослый. Стаж 3 года"],"source":{"url":"https://ultramedbarnaul.ru/mokshina-anastasiya-sergeevna","text":"ultramedbarnaul.ru"},"withCut":false},{"text":["Онколог — это специалист по опухолевым заболеваниям, работа которого заключается в профилактике, диагностике и лечении доброкачественных и злокачественных опухолей, а также предраковых состояний. Врач-онколог получил высшее медицинское образование и…"],"fullText":["Онколог — это специалист по опухолевым заболеваниям, работа которого заключается в профилактике, диагностике и лечении доброкачественных и злокачественных опухолей, а также предраковых состояний. Врач-онколог получил высшее медицинское образование и прошел клиническую ординатуру по специальности «Онкология». Чем занимается онколог? Онколог занимается выявлением и лечением опухолевых процессов в организме. Онколог чаще всего занимается именно злокачественными заболеваниями, хотя в сферу его деятельности входят также доброкачественные опухоли и предраковые заболевания. Дело в том, что некоторые доброкачественные опухоли могут трансформироваться в злокачественные. Предраковыми заболеваниями считаются многие хронические болезни, особенно те, при которых наблюдается изменение слизистых оболочек и кожи. Процесс перехода доброкачественной опухоли или предракового состояния в злокачественный процесс называется малигнизация. В обязанности онколога входит: осмотр и расспрос пациента; назначение необходимых анализов и инструментальных методов исследования; определение вида опухоли по данным анализов и исследований; выбор схемы и метода лечения злокачественных новообразований; решение о целесообразности операции (операбельность опухоли); хирургическое вмешательство; своевременное выявление начальных стадий злокачественных процессов; предупреждение трансформации предраковых состояний и доброкачественных опухолей в злокачественные новообразования; реабилитация пациентов после лечения; создание новых методов лечения и диагностики злокачественных опухолей. Какие исследования проводит онколог? Важным условием успешного лечения является раннее выявление злокачественного процесса. По результатам инструментальных и лабораторных исследований онколог выявляет стадию рака, а именно распространенность опухоли внутри органа, появление раковых клеток в лимфатических узлах и наличие метастазов в других органах. По частоте поражения метастазами первое место занимает печень (не считая местных лимфоузлов), второе — легкие, третье — кости. Поэтому при обнаружении злокачественного новообразования в печени, легких или костях онколог, в первую очередь, выясняет, является ли опухоль первичной или вторичной, хотя бывают случаи, когда первичную опухоль выявить не удается. С какими симптомами обращаются к онкологу? Злокачественные опухоли коварны тем, что могут никак не проявляться или вызывать очень слабые симптомы, на которые человек не обращает внимание. Характерные проявления рака появляются, когда злокачественный процесс распространился настолько, что стал нарушать функцию или анатомию органа. К врачу-онкологу редко приходят напрямую. К данному специалисту пациента обычно направляют врачи других специальностей, которые, назначая анализы и исследования, выясняют, что причина жалоб — опухолевый процесс в организме. Другая причина, которая заставляет врача задуматься о злокачественной опухоли — это неуспешное лечение хронического заболевания всеми доступными способами. Можно сказать, что на ранних стадиях рак «прячется» под обычное недомогание или воспаление, а «кричит» уже тогда, когда полностью излечиться от него не всегда возможно. Поэтому на сегодняшний день рекомендуется, чтобы врачи любого профиля всегда исключали злокачественное новообразование как причину жалоб пациента, особенно у людей старше 50 лет и у лиц с наследственной предрасположенностью (случаи рака в семье). Симптомы, которые наблюдаются при злокачественных опухолях, делятся на следующие группы: · местные симптомы — возникают в пораженном органе, нарушая его функцию; · общие симптомы — возникают вследствие воздействия опухоли на организм в целом; · симптомы метастазов — возникают в другом органе, где образовалась вторичная опухоль. Для каждого органа имеются свои «сигналы тревоги», которые возникают при злокачественном процессе. Важно также отметить, что довольно часто первые жалобы возникают не на месте первичной опухоли, а на месте ее метастазов. Так, например, рак яичников проявляется появлением жидкости в плевре и перикарде (околосердечная сумка), а рак предстательной железы метастазирует в кости и легкие. В таких случаях на злокачественную опухоль указывает сочетание нескольких симптомов, а также неэффективность обычного лечения. Маммолог — это специалист, имеющий высшее медицинское образование. Он проводит диагностику и лечение патологий молочной железы, а также врач разрабатывает и выполняет комплекс мероприятий по профилактике заболеваний. Они способствуют раннему выявлению и недопущению развития патологий, являющихся опасными для жизни и здоровья каждой женщины. В обязанности специалиста входит: лечение заболеваний молочной железы; организация диспансеризации пациенток с хронической патологией молочных желез; выявление у пациенток факторов риска возможности развития злокачественных новообразований; обучение женщин методике самообследования груди; назначение диагностических исследований; организация профилактических обследований и скрининга; поиск злокачественных опухолей на ранней стадии. Врач маммолог проводит реабилитацию больных после произведенного хирургического вмешательства. Если у него возникает подозрение на онкологическую природу заболевания, врач отправляет пациентку к онкологу-маммологу. Этот специалист подробно обследует женщину и решает вопрос о дальнейшей тактике ведения пациентки. Какие заболевания лечит маммолог: фиброзно-кистозную мастопатию; недостаточное развитие желез; гипермастию; злокачественные опухоли молочных желез (рак, саркому, рак Педжета); доброкачественные новообразования (липому, липогранулему, внутрипротоковую папиллому, фиброаденому); эхинококкоз; травмы груди; кисту молочной железы; актиномикоз; врожденные аномалии; мастит; болезнь Купера; дуктэктазию; туберкулезное и сифилитическое поражение тканей желез; болезнь Мондора; галакторею. 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