Сердечно-сосудистые проблемы, связанные с онкозаболеваниями

Сердечно-сосудистые и онкологические заболевания в современном обществе являются ведущей причиной смертности населения. Все сердечно-сосудистые проблемы, так или иначе связанные с различными онкологическими заболеваниями, можно объединить в три группы:

1) Изменения со стороны сердечно-сосудистой системы, которые связаны с возникновением и прогрессированием онкологического заболевания.

2) Отрицательные сердечно-сосудистые изменения у некоторых пациентов, непосредственно связанные с процессом лечения онкологического заболевания.

3) Проблемы, связанные с сочетанием и взаимозависимостью двух патологий: развития онкозаболевания у больного с сердечно-сосудистым заболеванием или развития сердечно-сосудистого заболевания у пациентов с длительным течением онкозаболевания.

Первая группа сердечно-сосудистых проблем может проявиться задолго до выявления онкологического заболевания. Сердечно-сосудистыми «масками» онкозаболеваний чаще всего бывают: одышка, кашель, слабость, изредка немотивированные боли в грудной клетке, чувство стягивания грудной клетки, дискомфорта, неудовлетворенность вдохом, головокружения, обмороки, слабость, отеки конечностей и др. Данные проявления могут быть связаны с компрессией, сдавлением сосудов опухолями, тромбоэмболиями сосудов различного диаметра за счет избыточной выработки опухолью тромбообразующих факторов (синдром Труссо), лимфоаденопатиями, измененным составом крови. Для того чтобы не пропустить онкозаболевание, необходимо регулярно обследоваться у врача.

Вторая группа изменений со стороны сердца и сосудов связана непосредственно с процессом лечения онкологического заболевания. Лечебные воздействия на опухолевый процесс в виде химиотерапии, лучевой терапии вызывает у ряда, особенно ослабленных, пациентов кардиотоксичность. Проявлениями кардиотоксичности по данным клинических исследований являются:

-патологические изменения ЭКГ

-нарушения сердечного ритма и проводимости

-стенокардия, инфаркт миокарда

Вопросы дальнейшего лечения каждого конкретного пациента решаются индивидуально.

Третья группа проблем, связанных с сочетанием и взаимозависимостью двух патологий: развитие онкозаболевания у больного с сердечно-сосудистым заболеванием или появление сердечно-сосудистого заболевания у пациентов с длительным течением онкозаболевания очень разнообразна и может не быть у большинства пациентов. Современная медицина продлевает жизни тех и других пациентов, что позволяет им дожить до проявления возрастной патологии, которой являются и заболевания сердца и сосудов, и онкологические заболевания. Таким пациентам проводится лечение заболевания сердца или сосудов с учетом возможного рецидива онкологической патологии. Самым главным будет являться проведение всех обычных мер профилактики сердечно-сосудистых заболеваний.

Советы пациентам и не пациентам:

1. Регулярная профилактика и обследование на сердечно-сосудистые заболевания.

2. Регулярная профилактика и обследование на онкологические заболевания.

3. Здоровый образ жизни. Отказ от вредных привычек.

4. Ограничение стрессов.

5. Работа над собой:

-вера в свои собственные силы,

-надежда на помощь,

-любовь к себе и ближним, несмотря на критические ситуации.

зав. кабинетом медпрофилактики

врачом высшей категории С.В. Шабардиной

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Контакты

г. Ижевск, ул. Ленина 87Б

68-39-02 (справочный стол)

Режим работы:

Поликлиника:
Понедельник - пятница с 8:00 до 20:00.

Стационар - круглосуточно:
прием плановых пациентов:
Понедельник - пятница с 8:00 до 16:00,
прием экстренных пациентов - круглосуточно.

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79503fbbc2f68d965b9cd1bd125dccbe.png [ORIGINAL_NAME] => логотип МЗ УР.png [DESCRIPTION] => [HANDLER_ID] => [EXTERNAL_ID] => f76b1afc43744a4e1d104f02dd97f2ee [~src] => [SRC] => /upload/iblock/795/79503fbbc2f68d965b9cd1bd125dccbe.png [UNSAFE_SRC] => /upload/iblock/795/79503fbbc2f68d965b9cd1bd125dccbe.png [SAFE_SRC] => /upload/iblock/795/79503fbbc2f68d965b9cd1bd125dccbe.png [ALT] => Министерство здравоохранения Удмуртской Республики [TITLE] => Министерство здравоохранения Удмуртской Республики ) [~PREVIEW_PICTURE] => 155 [LANG_DIR] => / [~LANG_DIR] => / [SORT] => 500 [~SORT] => 500 [CODE] => [~CODE] => [EXTERNAL_ID] => 194 [~EXTERNAL_ID] => 194 [IBLOCK_TYPE_ID] => s1 [~IBLOCK_TYPE_ID] => s1 [IBLOCK_CODE] => partners_s1 [~IBLOCK_CODE] => partners_s1 [IBLOCK_EXTERNAL_ID] => partners_s1 [~IBLOCK_EXTERNAL_ID] => partners_s1 [LID] => s1 [~LID] => s1 [EDIT_LINK] => [DELETE_LINK] => [DISPLAY_ACTIVE_FROM] => [IPROPERTY_VALUES] => Array ( ) [FIELDS] => Array ( ) [PROPERTIES] => Array ( [LINK] => Array ( [ID] => 47 [TIMESTAMP_X] => 2018-10-22 12:06:43 [IBLOCK_ID] => 21 [NAME] => Ссылка на партнёра [ACTIVE] => Y [SORT] => 500 [CODE] => LINK [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 41 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 406 [VALUE] => http://mzur.ru/ [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => http://mzur.ru/ [~DESCRIPTION] => [~NAME] => Ссылка на партнёра [~DEFAULT_VALUE] => ) ) [DISPLAY_PROPERTIES] => Array ( [LINK] => Array ( [ID] => 47 [TIMESTAMP_X] => 2018-10-22 12:06:43 [IBLOCK_ID] => 21 [NAME] => Ссылка на партнёра [ACTIVE] => Y [SORT] => 500 [CODE] => LINK [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 41 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 406 [VALUE] => http://mzur.ru/ [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => http://mzur.ru/ [~DESCRIPTION] => [~NAME] => Ссылка на партнёра [~DEFAULT_VALUE] => [DISPLAY_VALUE] => http://mzur.ru/ ) ) [PICTURE] => Array ( [src] => /upload/resize_cache/iblock/795/250_50_1/79503fbbc2f68d965b9cd1bd125dccbe.png [width] => 61 [height] => 50 [size] => 4013 ) ) [5] => Array ( [ID] => 193 [~ID] => 193 [IBLOCK_ID] => 21 [~IBLOCK_ID] => 21 [IBLOCK_SECTION_ID] => [~IBLOCK_SECTION_ID] => [NAME] => Электронное правительство [~NAME] => Электронное правительство [ACTIVE_FROM] => [~ACTIVE_FROM] => [TIMESTAMP_X] => 19.12.2017 12:06:45 [~TIMESTAMP_X] => 19.12.2017 12:06:45 [DETAIL_PAGE_URL] => [~DETAIL_PAGE_URL] => [LIST_PAGE_URL] => [~LIST_PAGE_URL] => [DETAIL_TEXT] => [~DETAIL_TEXT] => [DETAIL_TEXT_TYPE] => text [~DETAIL_TEXT_TYPE] => text [PREVIEW_TEXT] => [~PREVIEW_TEXT] => [PREVIEW_TEXT_TYPE] => text [~PREVIEW_TEXT_TYPE] => text [PREVIEW_PICTURE] => Array ( [ID] => 153 [TIMESTAMP_X] => 19.12.2017 14:44:46 [MODULE_ID] => iblock [HEIGHT] => 97 [WIDTH] => 246 [FILE_SIZE] => 13359 [CONTENT_TYPE] => image/gif [SUBDIR] => iblock/1c5 [FILE_NAME] => 1c52fe9b1b00203d1785eacf1441500a.gif [ORIGINAL_NAME] => 1022_157_small.gif [DESCRIPTION] => [HANDLER_ID] => [EXTERNAL_ID] => 42d4f959f782fb83201e44c4e62a6aad [~src] => [SRC] => /upload/iblock/1c5/1c52fe9b1b00203d1785eacf1441500a.gif [UNSAFE_SRC] => /upload/iblock/1c5/1c52fe9b1b00203d1785eacf1441500a.gif [SAFE_SRC] => /upload/iblock/1c5/1c52fe9b1b00203d1785eacf1441500a.gif [ALT] => Электронное правительство [TITLE] => Электронное правительство ) [~PREVIEW_PICTURE] => 153 [LANG_DIR] => / [~LANG_DIR] => / [SORT] => 500 [~SORT] => 500 [CODE] => [~CODE] => [EXTERNAL_ID] => 193 [~EXTERNAL_ID] => 193 [IBLOCK_TYPE_ID] => s1 [~IBLOCK_TYPE_ID] => s1 [IBLOCK_CODE] => partners_s1 [~IBLOCK_CODE] => partners_s1 [IBLOCK_EXTERNAL_ID] => partners_s1 [~IBLOCK_EXTERNAL_ID] => partners_s1 [LID] => s1 [~LID] => s1 [EDIT_LINK] => [DELETE_LINK] => [DISPLAY_ACTIVE_FROM] => [IPROPERTY_VALUES] => Array ( ) [FIELDS] => Array ( ) [PROPERTIES] => Array ( [LINK] => Array ( [ID] => 47 [TIMESTAMP_X] => 2018-10-22 12:06:43 [IBLOCK_ID] => 21 [NAME] => Ссылка на партнёра [ACTIVE] => Y [SORT] => 500 [CODE] => LINK [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 41 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 408 [VALUE] => http://gosuslugi.ru/ [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => http://gosuslugi.ru/ [~DESCRIPTION] => [~NAME] => Ссылка на партнёра [~DEFAULT_VALUE] => ) ) [DISPLAY_PROPERTIES] => Array ( [LINK] => Array ( [ID] => 47 [TIMESTAMP_X] => 2018-10-22 12:06:43 [IBLOCK_ID] => 21 [NAME] => Ссылка на партнёра [ACTIVE] => Y [SORT] => 500 [CODE] => LINK [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => 41 [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 408 [VALUE] => http://gosuslugi.ru/ [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => http://gosuslugi.ru/ [~DESCRIPTION] => [~NAME] => Ссылка на партнёра [~DEFAULT_VALUE] => [DISPLAY_VALUE] => http://gosuslugi.ru/ ) ) [PICTURE] => Array ( [src] => /upload/resize_cache/iblock/1c5/250_50_1/1c52fe9b1b00203d1785eacf1441500a.gif [width] => 126 [height] => 49 [size] => 5099 ) ) )

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