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Мне 74 года и я проходил лечение в отделении онкоурологии в период с 27 сентября по 11 октября 2024 года.\n Хочу ,так как в прошлом, занимался организацией производства, с этой стороны взглянуть на работу отделения Онкодиспансера. Четкие ритм, логистика, знание своей зоны ответственности каждым специалистом и отсюда отлично отлаженная работа всего отделения. Две недели наблюдал изнутри с больничной койки за работой и , по- существу, сбоев не зафиксировал. Мало кто об этом говорит, но от работы всего персонала, в том числе младшего обслуживающего зависит общий успех работы коллектива. Поразила тщательность уборки помещений и особенно скрупулезная обработка больничных кроватей перед приемом очередных больных. Четко, подобно конвейеру работает сестринский персонал, но с индивидуальным подходам к отдельным больным, нуждающимся в этом. Перевязочная- это нечто. Руки сестры порхают над раной, словно исполняется сложное симфоническое произведение! 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Хотя вижу, что и без моих рекомендации поток больных не иссякает. 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Это узкоспециализированное направление медицины, которое занимается диагностикой, лечением и профилактикой опухолей мочеполовых органов [3](https://www.gmshospital.ru/departments/oncourology/)[7](https://www.cnmt.ru/sovetyi-ot-vrachej-cznmt/onkourologiya-v-cznmt). Специалист работает на стыке двух направлений: урологии (заболевания органов мочевыделительной системы) и онкологии (диагностика и лечение злокачественных опухолей) [4](https://www.euroonco.ru/oncology/onkolog-urolog).\n\n## Заболевания\nОнкоуролог лечит, например: \n* **Рак почки** [3](https://www.gmshospital.ru/departments/oncourology/)[6](https://medscannet.ru/onco/priyem-onkourologa/). Как правило, на ранних стадиях протекает бессимптомно, но может проявляться болями в пояснице, кровью в моче и общей слабостью [3](https://www.gmshospital.ru/departments/oncourology/). \n* **Рак мочевого пузыря** [3](https://www.gmshospital.ru/departments/oncourology/). Часто болезнь проявляется кровью в моче, а на поздних стадиях — болями при мочеиспускании [3](https://www.gmshospital.ru/departments/oncourology/). \n* **Рак предстательной железы** [3](https://www.gmshospital.ru/departments/oncourology/). Одно из наиболее распространённых опухолевых заболеваний у мужчин старше 50 лет [3](https://www.gmshospital.ru/departments/oncourology/). \n* **Рак яичка** [3](https://www.gmshospital.ru/departments/oncourology/). Редкое, но агрессивное заболевание, чаще встречается у мужчин 20–40 лет [3](https://www.gmshospital.ru/departments/oncourology/). \n* **Опухоль, поражающая мочеиспускательный канал** [3](https://www.gmshospital.ru/departments/oncourology/). Проявляется затруднением мочеиспускания, болями и кровотечением [3](https://www.gmshospital.ru/departments/oncourology/). \n\n## Диагностика\nДля постановки диагноза онкоуролог назначает **лабораторные и инструментальные исследования** [6](https://medscannet.ru/onco/priyem-onkourologa/)[13](https://cpm-devita.ru/onko/onkourologiya/). Некоторые методы: \n* **Лабораторные анализы** крови, мочи, отделяемого уретры, секрета простаты [1](https://doct.ru/articles/urolog-onkolog.html). \n* **Инструментальные исследования** УЗИ, КТ, МРТ, цистоскопия [1](https://doct.ru/articles/urolog-onkolog.html)[13](https://cpm-devita.ru/onko/onkourologiya/). \n* **Биопсия** — изучение скопления клеток опухоли под микроскопом [1](https://doct.ru/articles/urolog-onkolog.html). \n\n## Лечение\nТактика лечения зависит от стадии рака, типа и распространённости опухоли [13](https://cpm-devita.ru/onko/onkourologiya/). Некоторые методы: \n* **Хирургическое вмешательство** — наиболее эффективно на ранней стадии заболевания, когда можно удалить опухолевый очаг целиком [13](https://cpm-devita.ru/onko/onkourologiya/). В зависимости от расположения и распространённости рака применяют малоинвазивные методики или радикальные способы [13](https://cpm-devita.ru/onko/onkourologiya/). \n* **Химиотерапия** — применяют цитостатики из разных групп, которые разрушают раковые клетки [13](https://cpm-devita.ru/onko/onkourologiya/). \n* **Таргетная терапия** — препараты, которые прицельно действуют на опухолевые клетки, при этом минимально влияют на здоровые [13](https://cpm-devita.ru/onko/onkourologiya/). \n* **Лучевая терапия** — облучение приводит к разрушению первичной опухоли и метастазов [13](https://cpm-devita.ru/onko/onkourologiya/). Процедуру проводят в качестве неоадъювантной терапии перед операцией для уменьшения размеров опухолевого очага или как самостоятельный метод лечения на ранней стадии заболевания [13](https://cpm-devita.ru/onko/onkourologiya/). \n\n## Реабилитация\nПосле лечения у онкоуролога может проводиться **сопроводительная терапия** — меры, направленные на поддержание организма пациента во время основного лечения опухоли и снижение побочных эффектов [15](https://lrcmsk.ru/uslugi/reabilitatsiya/onkologicheskaya-reabilitacziya/reabilitacziya-pri-rake-prostaty/). Например, после операции на предстательной железе назначают регенерирующие препараты и обезболивание, чтобы облегчить заживление [16](https://clinica-urology.ru/stati-i-publikatsii/zhizn-posle-raka-mochepolovoy-sistemy-vosstanovlenie-i-podderzhka/). 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