{"id":42151,"date":"2024-06-06T08:00:40","date_gmt":"2024-06-06T08:00:40","guid":{"rendered":"https:\/\/cardiacinstitute.bg\/?p=42151"},"modified":"2024-06-06T08:18:05","modified_gmt":"2024-06-06T08:18:05","slug":"an-unconventional-approach-to-polymorbidity-yielded-excellent-results-for-a-young-cancer-patient","status":"publish","type":"post","link":"https:\/\/cardiacinstitute.bg\/ro\/2024\/06\/06\/an-unconventional-approach-to-polymorbidity-yielded-excellent-results-for-a-young-cancer-patient\/","title":{"rendered":"O abordare neconven\u021bional\u0103 a polimorbidit\u0103\u021bii a dat rezultate excelente pentru un t\u00e2n\u0103r bolnav de cancer"},"content":{"rendered":"<p><em>Datorit\u0103 cuno\u0219tin\u021belor \u0219i abilit\u0103\u021bilor speciali\u0219tilor, a echipamentelor moderne \u0219i a abord\u0103rii multidisciplinare, complexul spitalicesc de \u00eenalt\u0103 tehnologie \u201eInim\u0103 \u0219i Creier\u201d din Burgas ofer\u0103 \u00eengrijire cuprinz\u0103toare pentru pacien\u021bii din toat\u0103 zona de sud-est a Bulgariei.<\/em><\/p>\n<p>Un t\u00e2n\u0103r pacient cu balonare abdominal\u0103 este internat la clinica de gastroenterologie a Spitalului \u201e Inim\u0103 \u0219i Creier\u201d din Burgas. \u00cen urma examin\u0103rilor efectuate &#8211; scanner \u0219i endoscopie, medicii au descoperit o form\u0103 particular\u0103 de boal\u0103 oncologic\u0103 care afecteaz\u0103 stomacul, \u0219i anume carcinomul necoagulant. \u00cen momentul diagnostic\u0103rii, cancerul se afla \u00eentr-un stadiu avansat, nepotrivit pentru interven\u021bie chirurgical\u0103. Medicii au trimis imediat toate analizele pentru un aviz din partea unei comisii de oncologie.<\/p>\n<p>Dou\u0103 zile mai t\u00e2rziu, \u00een ajunul zilei de 24 mai, pacientul a \u00eenceput brusc s\u0103 aib\u0103 dificult\u0103\u021bi de respira\u021bie \u0219i palpita\u021bii. Speciali\u0219tii \u00een cardiologie de la \u201eInim\u0103 \u0219i Creier\u201d au stabilit c\u0103 era vorba de tromboembolism pulmonar, a doua cauz\u0103 de moarte subit\u0103 dup\u0103 infarct. O scanare a confirmat tromboembolismul pulmonar bilateral masiv.<\/p>\n<p>Av\u00e2nd \u00een vedere starea pacientului \u0219i carcinomul gastric recent diagnosticat, cardiologii invazivi \u00eentreprind fragmentarea \u0219i extragerea trombilor (ruperea \u0219i \u00eendep\u0103rtarea) cantit\u0103\u021bii masive de trombi pe parcursul a dou\u0103 ore. \u00centreaga procedur\u0103 are loc f\u0103r\u0103 nicio pierdere de s\u00e2nge, iar s\u00e2ngele aspirat este filtrat \u0219i returnat \u00een organismul pacientului. \u00cen timpul procedurii, este identificat\u0103 \u0219i sursa tromboembolismului pulmonar, \u0219i anume o tromboz\u0103 venoas\u0103 \u00een abdomenul pacientului. Av\u00e2nd \u00een vedere localizarea \u0219i prezen\u021ba trombozei venoase reziduale, se implanteaz\u0103, de asemenea, un filtru de ven\u0103 goal\u0103 pentru a proteja pacientul de o reapari\u021bie a tromboembolismului pulmonar care \u00eei pune via\u021ba \u00een pericol. \u00centreaga procedur\u0103 de extrac\u021bie, fragmentare \u0219i implantare a filtrului venoasei cave se realizeaz\u0103 complet nedureros, f\u0103r\u0103 v\u0103rsare de s\u00e2nge \u0219i percutanat, iar pacientul este pe deplin con\u0219tient.<\/p>\n<p>Din cauza contraindica\u021biilor \u0219i a polimorbidit\u0103\u021bii la pacientul t\u00e2n\u0103r, speciali\u0219tii nu pot aplica terapia fibrinolitic\u0103, care este standardul de aur. Prin urmare, medicii au \u00eentreprins o abordare multidisciplinar\u0103 neconven\u021bional\u0103 care a combinat capacit\u0103\u021bile echipelor de cardiologi, chirurgi cardiaci \u0219i chirurgi vasculari \u0219i a dus la un rezultat excelent pentru t\u00e2n\u0103r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Datorit\u0103 cuno\u0219tin\u021belor \u0219i abilit\u0103\u021bilor speciali\u0219tilor, a echipamentelor moderne \u0219i a abord\u0103rii multidisciplinare, complexul spitalicesc de \u00eenalt\u0103 tehnologie \u201eInim\u0103 \u0219i Creier\u201d din Burgas ofer\u0103 \u00eengrijire cuprinz\u0103toare pentru pacien\u021bii din toat\u0103 zona de sud-est a Bulgariei. Un t\u00e2n\u0103r pacient cu balonare abdominal\u0103 este internat la clinica de gastroenterologie a Spitalului \u201e Inim\u0103 \u0219i Creier\u201d din Burgas. \u00cen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[183],"tags":[],"class_list":["post-42151","post","type-post","status-publish","format-standard","hentry","category-stiri"],"_links":{"self":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts\/42151","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/comments?post=42151"}],"version-history":[{"count":2,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts\/42151\/revisions"}],"predecessor-version":[{"id":42153,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/posts\/42151\/revisions\/42153"}],"wp:attachment":[{"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/media?parent=42151"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/categories?post=42151"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cardiacinstitute.bg\/ro\/wp-json\/wp\/v2\/tags?post=42151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}