يتخصص الدكتور أمريث راج راو في العلاج طفيف التوغل للسرطانات المسالك البولية مع خبرة _doctor_1709_years_، بما في ذلك زمالات الجراحة الروبوتية من معهد روزويل بارك للسرطان وجامعة جنوب كاليفورنيا. تركز خبرته على سرطان الخصية من بين أورام المسالك البولية الأخرى. تدير مستشفيات مانيبال شبكة تضم 15 منشأة في جميع أنحاء الهند ودوليًا، وتخدم أكثر من 2 مليون مريض سنويًا.
تمثل مستشفيات مانيبال الوحدة السريرية لشركة مانيبال للتعليم والمجموعة الطبية الهندية الخاصة (MEMG) ، وهي واحدة من مراكز الرعاية الصحية الرائدة في الهند مع أكثر من خمسين عامًا من الخبرة في مجال الرعاية الطبية. اليوم ، تعد مستشفيات مانيبال ثالث أكبر مزود للرعاية الصحية في الهند تقدم رعاية طبية شاملة. تضم مجموعة مانيبال 15 مستشفى و 3 عيادات ، تقع في ست ولايات من البلاد ، وكذلك في نيجيريا وماليزيا. تخدم شبكة مستشفيات مانيبال سنويًا حوالي 2،000،000 مريض من الهند وخارجها.
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الطبيب هو أخصائي أورام ذو خبرة عالية يركز على علاج السرطان المتقدم والبحث. مع أكثر من 15 عامًا من الخبرة السريرية، ساهم الطبيب بشكل كبير في تطوير علاجات مبتكرة لأنواع مختلفة من السرطان. نشر الطبيب العديد من الأوراق البحثية في مجلات طبية مرموقة ويشارك بنشاط في التجارب السريرية التي تهدف إلى تحسين نتائج المرضى. معتمد من مجلس الأورام، يُعترف بالطبيب لخبرته في الطب الشخصي وقد حصل على جوائز متعددة لمساهماته في المجال.<\\/p>
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لإجراء علاج فعال ، من الضروري إنشاء تشخيص دقيق . بادئ ذي بدء ، يقوم المتخصصون مثل أخصائي المسالك البولية وأخصائي الأورام بإجراء فحص يشمل ملامسة الخصيتين والعقد الليمفاوية.
ثم يجب تطبيق طرق التصور :
تسمح هذه الطرق باكتشاف الخصائص المميزة لنمو الورم ، النقائل ومستوى انتشارها ، وتقدير حالة الأنسجة المحيطة.
الخطوة التالية هي إجراء اختبارات تشخيصية على علامات الورم المحددة . في حالة الكشف عن نوع غير الورم المنوي من بروتين ألفا فيتوبروتين الورم.
يبدأ علاج سرطان الخصية دائمًا بإزالة الخصية المصابة (يسمى هذا النوع من الجراحة استئصال الخصية). تعتمد أساليب العلاج الأخرى على الخصائص النسيجية للورم ، ومرحلة السرطان ومستوى علامات الورم في الدم.
في حالة ورم الخصية المنوي في المرحلة 1 و 2 ، يتم إجراء الجراحة مع العلاج الإشعاعي وإزالة العقد الليمفاوية من تجويف البطن. يشمل علاج سرطان الخصية في المرحلة 3 و 4 العلاج الكيميائي .
في المراحل الأولى يتم علاج ورم الورم المنوي بنجاح في 95٪ من الحالات .
تعتبر أورام الخصية غير الورمية أقل حساسية للعلاج الإشعاعي. إذا كان المريض يعاني من سرطان الخصية غير المنوي المرحلة 1 و 2 بعد استئصال الخصية ، يتم تطبيق هذه الطرق:
تعتمد تكلفة علاج سرطان الخصية على مرحلة المرض ، ومستوى انتشار النقيلي ، والبلد والمستشفى حيث يفضل المريض الخضوع للعلاج.
عادة ما تعتمد تكلفة استئصال الخصية على هذه العوامل:
يفترض علاج سرطان الخصية دائمًا إزالة خصية أو خصيتين. لكن غياب هذا العضو يمكن أن يسبب إزعاجًا للرجال ، ولهذا السبب تقترح أفضل المستشفيات في جميع أنحاء العالم صنع خصيتين اصطناعيتين . يعتمد سعر هذا الإجراء على مادة الزرع والمركز الطبي الذي ستجرى فيه هذه العملية.
عادةً ما تُصنع الخصيتان الاصطناعية من السيليكون المضاد للحساسية. يعيد الزرع تكوين شكل العضو الذي تمت إزالته ، لذلك ستبدو الخصية الاصطناعية مثل الخصية الطبيعية . يتم احتساب تكلفة هذا الإجراء بشكل فردي.
تجرى العملية تحت تأثير التخدير العام أو الموضعي. تستمر 30-40 دقيقة . الاستشفاء ليس ضروريًا لهذا النوع من الجراحة.
وصول
التشخيص
تطوير خطة العلاج
علاج
متابعة
إعادة تأهيل
تذكر ، يمكن للطبيب فقط تحديد خطة التشخيص والعلاج لأن كل حالة فردية. يمكن أيضًا استخدام طرق التشخيص الأخرى مثل التصوير المقطعي المحوسب أو التصوير بالرنين المغناطيسي. يمكن اعتبار العلاجات الإضافية مثل العلاج الكيميائي بجرعات عالية مع زراعة الخلايا الجذعية أو العلاج الهرموني أو العلاجات المستهدفة بناءً على حالة المريض.
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