Inothi ngokuhumusha: Manje sekudlule iminyaka eyisishiyagalombili kwadingeka ukuthi sivalelise kuDkt. Hamer. Ulimi lwangempela lwale webhusayithi isiJalimane. Zonke ezinye izilimi zihunyushwa ngomshini. Lapha uzothola ulwazi oluphelele nge-German New Medicine.^® ngezilimi ezingama-77, okuhunyushwa komshini kufinyelela ukunemba okungaba ngu-99%. Njengoba ukuhumusha okwenziwa ngesandla kwemisebenzi kaDkt. Hamer kuqhubeka kancane, sinqume ukwenza ukuhumusha komshini kutholakale ku-inthanethi noma kunjalo. Siyaqiniseka ukuthi kubaluleke kakhulu ukunikeza umhlaba ulwazi oluhunyushwe ngokunembile, olusekelwe ebufakazini obungama-99% kunokukhawulela ulwazi olusekelwe ku-hypothesis oluvela emithini evamile kanye Germanische Heilkunde ukuhlala ungabonwa. Ezikhathini zokuhunyushwa kwemishini okusheshayo, ukuphumelela komuthi wamaJalimane akumele kuhluleke ngenxa yokuphelela! Futhi i- Germanische Heilkunde awuzange upheleliswe ngokushesha, kodwa waqedwa phakathi namashumi eminyaka. Sithanda ukunikeza leli thuba nakwamanye amazwe.

Sikumema ngokufudumele ukuthi usisize ngokulungisa iphutha. Ukuze wenze lokhu, kufanele ukhulume ulimi oluzolungiswa njengolimi lwakho lwendabuko, isiJalimane kahle njengolimi lwesibili noma njengolimi lwakho lwendabuko futhi Germanische Heilkunde bafunde ngokujulile okungenani iminyaka emi-2. Uma unentshisekelo, sicela usithinte ku: support@conflictolyse.de

Nakhu ukunambitha kusengaphambili kwalokho okusemisebenzini njengamanje: Incwadi yomsindo yamahora angama-25 “Ifa Lomuthi Omusha Ingxenye 1 kaDkt. med. U-Ryke Geerd Hamer":

 

UDkt. med. U-Ryke Geerd Hamer

IFA LOMUTHI OMSHA

ingxenye yokuQala

Imithetho Emi-5 Yebhayoloji Yemvelo -
Isisekelo sayo yonke imithi

Izinhlelo ezikhethekile zebhayoloji ezinenjongo

Isistimu ye-ontogenetic yamathumba
Krebs
i-leukemia
isithuthwane

+ Ibhodi eligoqekayo elinemibala ye-New Medicine: "Psyche - Brain - Organ"

Abangane bakaDirk - Ediciones de la Nueva Medicine

Ushicilelo lwesi-7 luka-1999

ISBN 84-930091-0-5

ukubonga

Ngibonga kakhulu kubo bonke abasebenzi, abangani, abaxhasi nabasizi ababambe iqhaza elikhulu ekwenzeni le ncwadi ibonakale njengoba yenza.

Kodwa ngithanda ukubonga ngokukhethekile iziguli ezingivumele ukuba ngishicilele udaba lwazo, ngezinye izikhathi ngingaziwa, ngezinye izikhathi ngesithombe noma ngisho namagama, ukuze iziguli ezikanye nazo zifunde kukho. Ukubonga kwami ​​ngiya kwabaphilayo - ukuhlonipha kwami ​​abashonile esinathi ngosizo lwabo.

Le ncwadi inikezelwe

ekuhlonipheni abafileyo - ngeqiniso kwabaphilayo

Indodana yami u-DIRK, lapho ineminyaka engu-19 ubudala yadutshulwa yabulawa inkosana yase-Italy eyadubula omunye umuntu ngenxa yokuxhwala. Ngenxa yokushona kwakhe, nami ngagula nge-DHS, i-“DIRK-HAMER SYNDROME”, “ingxabano yokulahlekelwa” nomdlavuza wamasende. Lokhu kuhlangana okumangalisayo kokushaqeka okukhulu, okumangazayo kwengxabano kanye nomdlavuza wami kungenze ngathola ulwazi lweNew Medicine.

Umkami engimthandayo u-SIGRID, “intombazane yami ehlakaniphile”, obengudokotela wokuqala emhlabeni ukubona Umuthi Omusha njengolungile. Iziguli zami, ezashona, ezazisondelene nenhliziyo yami njengezingane, kodwa ezahlukunyezwa kakhulu noma zaze zaphoqwa ngengcindezi enkulu ukuba zibuyele kulokho okwakuthiwa ukwelashwa kodokotela ababusayo futhi zabulawa kabuhlungu ngaphansi kwengcindezi. i-morphine.

Abaphilayo ababe nenhlanhla noma isibindi sokukwazi ukubalekela ingcindezi yalokho okubizwa ngokuthi imithi evamile futhi ngaleyo ndlela babe nempilo futhi.
Le ncwadi kufanele ibe enye yezincwadi ezijabulisa kakhulu bonke abantu abanenhliziyo enhle nezinhliziyo eziqotho abayoke bazazi!

UDirk Geerd Hamer

owazalwa ngo-March 11, 1959 eMarburg
yashaywa ngo-Agasti 18, 1978 isuka eCavallo/Corsica
wafa ngo-December 7, 1978 e-Heidelberg
wangcwatshwa ngaphansi kodonga lomuzi ephiramidi eRoma

I-Black Forest, ngoDisemba 7, 1980, ngo-17 ntambama

Eminyakeni emibili edlule namuhla kwakuwusuku olumnyama kunazo zonke ekuphileni kwami, ihora elimnyama kunazo zonke ekuphileni kwami! UDirk wami engimthandayo wafela ezingalweni zami. Akukho lutho ngaphambili noma ngemva kwalokho okwakunyantisa, kwabhubhisa ngendlela engachazeki njengalelo hora. Ngacabanga ukuthi mhlawumbe uzodamba kancane, lomuzwa wokungabi namandla, wokulahlwa, wokudabuka okungapheli. Kodwa ilokhu iqina. Angeke ngisakwazi ukuba yilowo enganginguye. Mtanami bandla, ungenwe yini, uhlushweni ungasakhonondi nazwi. Bengizonikela ngani uma ngivunyelwa ukuthi ngife esikhundleni sakho. Njalo ebusuku ushona kabusha ezandleni zami, ufe nami ubusuku obungama-730 kusukela ngaleso sikhathi, futhi ngangingafuni njalo ukukukhulula ezandleni zami futhi isiphetho esibi sasihlale sikudonsa. Ekugcineni ngahlala ngingenamandla futhi ngikhala njengoba ngangenza eminyakeni emibili edlule, ngakhala ngokungavimbeki nangokungakholwa njengoba ngangenza ngaleso sikhathi phakathi kwazo zonke iziguli ezazigula kakhulu kanye nodokotela nabahlengikazi abangenaluzwela, abangenaluzwela nabangenasihawu abangivumela ukuba ngize kuwe fa.

Wena mfana omangalisayo, ufe njengenkosi, uyaziqhenya, mkhulu kodwa umnandi kakhulu, naphezu kwabo bonke ubuhlungu, naphezu kwawo wonke amashubhu kuyo yonke imithambo, imithambo, naphezu kwe-intubation tube.¹, naphezu kwe-decubitus esabekayo². Wachitha kuphela ububi nonya lwabahlukumezi bakho ngokunikina ikhanda: “Baba, babi, babi kakhulu.” Ezinsukwini ezimbalwa ezedlule ukhulume nje ngamehlo akho, kodwa ngiwaqonde wonke amazwi owashilo.

¹  Intubation = ukufakwa kweshubhu elikhethekile kuqhoqhoqho noma i-bronchus eyinhloko
² I-Decubitus = 'ukulala phansi'; Ukungahambi kahle kwegazi ngenxa yengcindezi engapheli, yendawo (ukuphumula kombhede)

ikhasi 11

Ingabe nawe ukuzwisisile konke engangikusho kuwe okokugcina, ukuthi ubaba nomama bayakuthanda ngokungapheli nokuthi siyohlala ndawonye futhi senze yonke into ndawonye? Futhi ukuthi kufanele uqine kakhulu manje futhi kufanele ulale isikhathi eside? Uvume ngekhanda, futhi ngiyaqiniseka ukuthi ukuzwisisile konke, naphezu kobuhlungu bakho. Kwake kwathi lapho usuwavalile amehlo wezwa izinyembezi zami ziconsa ebusweni bakho wangizwa ngikhala, wanikina ikhanda ngokucasuka. Ubufuna ukungitshela ukuthi: “Baba, akufanele ukhale, sizohlala ndawonye!”

Anginamahloni mfana wami phambi kwamuntu. Ngikhala kaningi uma ngingabonwa muntu. Ungangithukutheleli. Ngiyazi awukaze umbone ubaba wakho ekhala. Kodwa manje nami ngingumfundi wakho futhi ngidabukile futhi ngiyaziqhenya ngawe ngesithunzi owasandulela ngaso ngesango elikhulu lokufa. Kodwa ngisho nokuziqhenya okunjalo akukwazi ukwanelisa ukuphelelwa ithemba kwami ​​lapho ufela ezingalweni zami njalo ebusuku futhi ungishiya ngidangele.

ikhasi 12

Indodana yami yapenda lesi sithombe ineminyaka engu-18 eRoma. Kuwuhlobo olukhethekile “lwe-self-portrait”. Wazipenda eneminyaka engu-80 - unyaka ngaphambi kokufa kwakhe.

Okokuqala u-DIRK wami wangifundisa ukuqonda umongo womdlavuza, ngase ngiwuqonda kancane kancane wonke umuthi.

ikhasi 13

Umkami engimthandayo, uDkt. USigrid HAMER, udokotela kanye neqabane elithembekile cishe iminyaka engama-30. Wakwazi ukunqoba izimo ezinhlanu zomdlavuza, okwavela cishe wonke ngenxa yokuhlupheka kwendodana yakhe ayithandayo u-DIRK. Washonela ezingalweni zami ngo-April 12.4.85, XNUMX ngenxa yokuhlaselwa yisifo senhliziyo.

ikhasi 15

Isandulelo sohlelo lwesi-2 ukuya kolwesi-6

Le ncwadi ethi “Ifa Lomuthi Omusha” isibe isisekelo sokuqonda okusha ngokuphelele kwezokwelapha. Engangilokotha ngikwethemba nje emaphusheni ami angalawuleki kuye kwafezeka: abafundi baye baqonda ukuthi lokhu kuwuphawu lwenguquko emlandweni wemithi yobukhulu obungacatshangwa ngaphambili.

Nakuba incwadi ethi "Cancer - Disease of the Soul" kusukela ngo-1984 yayiwumsuka wokuqala wale ndlela entsha yokucabanga, le ncwadi manje isinikeze izisekelo eziqondakalayo nezifezekayo futhi isichaze ubukhulu obusha. Ikakhulukazi i-ontogenetic^{3 + 4} I-New Medicine yenze uhlelo lwamathumba kanye nezifo ezilingana nomdlavuza zaqondakala kithi ngendlela elula ngendlela emangalisayo futhi, ngaphezu kwakho konke, ngendlela eqinisekisayo esingasebenza ngayo ngempela.

Ukusabela nezincwadi ezivela kubafundi eziya kule ncwadi zazisukela kokuhle kuya kwezasasasa. Lokhu kwanginxephezela ngokucebile ngakho konke ukuzidela nemizamo yami. Imiqulu ecishe ibe ngu-20.000 esatshalaliswe kuze kube manje ibhebhetheka njengomlilo wequbula emhlabeni wonke, ngesiJalimane kanye nasenguqulweni yesiFulentshi ethi “Fondement d' une Medecine Nouvelle”. Umuthi omusha awusakwazi ukumiswa, kanjalo nendlela entsha yokucabanga evela ngayo.

Indlela embi kakhulu yokugqilazwa komuntu, okungukuthi ukuzihlukanisa ngokuphelele nawe, iyophela. Ukwesaba okudalwe ukulahlekelwa okuphelele kokuthembela kwemvelo kuwe nasemzimbeni wakho, ukulahlwa kokulalela okungokwemvelo izwi lomzimba wakho, kuzosuswa.

Ngokuqonda ukuxhumana phakathi kwengqondo nomzimba, isiguli sibuye siqonde indlela yokwethuka, ukwesaba okungenangqondo kwezingozi okuthiwa azinakugwenywa, okuthi ngemva kwalokho zibe ngenakugwemeka futhi zife.⁵ ngoba isiguli siyabakholwa, ngoba siyesaba. Lokhu kuzophinde kuqede amandla angapheli odokotela avela kulokhu kwesaba "indlela yomdlavuza ozilimazayo", "ukukhula kwe-metastasis engapheli yokuphila", njll.

³ ontogenetic = okuhlobene nokuvela esibelethweni nanjengomjaho
⁴ Ontogenesis = ukukhula kombungu
⁵ Ukufa = ukufa

ikhasi 17

Umthwalo wemfanelo ababengakaze bawuthwale futhi ababengeke bawuthwale manje kufanele ubuyiselwe kwabagulayo ngokwabo. Le ncwadi ingasho inkululeko yangempela kulabo abayiqonda ngempela.

Okuhlangenwe nakho okuhle kakhulu kimi kwaba ukuthi ngabona ukuthi iziguli ngokwazo, nencwadi yoMUTHI OMSHA esandleni sazo, manje seziyakwazi ukuzisindisa. Bayifunda incwadi, bayiqonde, ngomoya ophansi nangokuzola baye kudokotela wabo noma uprofesa, babeke incwadi etafuleni lakhe futhi bamtshela ukuthi bangathanda ukwelapha ngale ndlela hhayi enye. Akekho uprofesa emhlabeni ongasho okuthile ngokumelene nakho, akekho noyedwa okwazile ukuphikisana nakho kuze kube manje. Izazi ze-histopathologists, phambilini ezazingonkulunkulu bekusasa lezokwelapha futhi kwakufanele zihlulele ukuthi izicubu ziwumdlavuza noma cha, zabhekana nohlelo lwe-ontogenetic lwamathumba kanye nezifo ezilingana nomdlavuza, futhi kwadingeka bahoxise futhi bavume ukunqotshwa ukuxilongwa akuzange kufane nalokhu. Kusethwa amazinga amasha ngokuphelele, angaqinisekiswa. Ukuxilongwa kwe-histological kanye nalokho okuthiwa “ukubikezelwa” okwakuvame ukwenzeka (“Usenesikhathi eside esingaka sokuphila, ukuthi-ke-ngamaphesenti ethu okusinda”) manje sekulahlekelwe ukwethuka njengoba isiguli sazi lokho. yena ngokwakhe angakwazi ukuhlela isibikezelo sayo.

Isiguli sesikhulile. Akasagqolozeli njengonogwaja othukile udokotela omkhulu noma i-primarius, emlonyeni wakhe ngaphambili ayelindele ngokuthuthumela futhi wathola isibikezelo sokufa (okwakulokhu kumbangele ukungqubuzana okulandelayo nalokho okubizwa ngokuthi "i-metastasis"), kodwa namuhla umi njengodokotela olingana naye ngokuphambene. Isiguli singawuqonda umuthi omusha kanye nodokotela, kuyilapho kungekho ongakwazi ukuqonda ukudideka kwangaphambilini komuthi omdala nakho konke okuhlukile okungaqondakali kanye nemibono eyengeziwe. Kodwa odokotela babehlale benza sengathi bayawuqonda lo mbhedo noma sebewuzwile.

Ekugcineni, isigameko sangempela esenzeka esikhathini esithile esidlule eBremen futhi sangithinta ngokujulile: Owesifazane osemusha owatshelwa emtholampilo ukuthi “wayegcwele ama-metastases” futhi wayengenalo ithuba lokusinda wanikezwa impatho enhle Yadlulisela le ncwadi kimi. umngane. Ukuze akwazi ukufunda ngokuthula, uya ehlathini, ahlale esiqwini somuthi endaweni engenabantu futhi... afunde! Njengomabhalane ophumelelayo, ufunda ngokushesha nangokugxilisa ingqondo, ihora nehora. Akayiboni indlala noma ukukhathala njengoba esho, ufunda amahora angu-6 cishe njengokungathi usesimweni sokudakwa. Uthi: “Khona-ke, kwawa amaxolo emehlweni ami. Ngabona ngokushaqeka okujabulisayo ukuthi le ncwadi yayisho ukuthini. Ngabe sengigxuma esiqwini sami phezulu ngangokunokwenzeka futhi ngamemeza ehlathini: ‘Manje sengiyazi ukuthi ngingaqhubeka ngiphila!’”

ikhasi 18

Wazizwa elungile! Wenza kahle futhi usenesikhathi eside ephumile endaweni eyingozi.

Ukube lencwadi yayisize lona wesifazane osemusha, umuntu ongashadile, ukuba asinde, khona-ke yayiyofaneleka futhi ikufanelekele ukubhalwa!

Udokotela wakho uRyke Geerd Hamer

ikhasi 19

Isandulelo sohlelo lwesi-7

Ngemva kweminyaka eyishumi kusukela kuhlelo lokuqala lwencwadi ethi "Legacy of a New Medicine Volume One", ukubuyekezwa okukhulu kwakudingeka ngokushesha. Uma ngibheka emuva, ngicabanga ukuthi uhlelo lokuqala lwango-1987 lwaba yimpumelelo enkulu. Imithetho yebhayoloji e-4 yemvelo etholwe kuze kube manje ifakazele ukuthi ilungile ngokuphelele, nakuba umthetho we-4 wemvelo wemvelo (uhlelo olunqunywa ngofuzo lwama-microbes) awukwazi ukuphindaphindeka ezimeni eziningi zokugula ngenxa yokuthi okutholwe ngamagciwane akusabhalwa phansi. Isibonelo, abantu bakholelwa ukuthi isifo sofuba sesiqedwe ngokoqobo ngakho-ke ezimweni eziyi-9 kweziyi-10 bayehluleka ukubona kahle lokho okubizwa ngokuthi “i-acid-fast bacilli”. Ngokuvamile, imithi evamile esemthethweni, njengoba kungase kubikezelwe, inobunzima obukhulu ekuqondeni Umuthi Omusha. Imibono ethi "okulungile" kanye "nokubi" ijule kakhulu futhi iye yavimbela inqubekelaphambili yesayensi cishe kuzo zonke izindawo eziyingxenye yenkolo. Ozakwethu bangaphambili abakwazi noma abafuni ukukuqonda lokho, ngokwesibonelo, umdlavuza olawulwa ubuchopho nesifo sofuba ngokujuluka okujwayelekile ebusuku kanye ne-subfebrile.⁶ Amazinga okushisa angaba ngohlelo olukhethekile olufanayo (engangivame ukukubiza ngokuthi ukugula), kodwa umdlavuza uyisigaba sokungqubuzana futhi i-TB iyisigaba sokuphulukisa.

Ngo-1994, umthetho we-5 wemvelo wemvelo wengezwe ku-4 owawuvele ukhona kusukela ngo-1987, lokho okubizwa ngokuthi i-quintessence:
"Umthetho wokuqonda konke okubizwa ngokuthi 'izifo' njengohlelo olubalulekile lwe-biological bemvelo (SBS) olungaqondwa ngokomlando wokuthuthuka."

Lo Mthetho Wemvelo Wemvelo wesi-5 wawuvele ufakiwe ngokusobala kuhlelo lokuqala, ngoba wonke umuthi Omusha ngokuyisisekelo usekelwe kulokhu kuqonda. Kodwa bekungakacaci kahle. Ngale quintessence, i-New Medicine ihambisana ngokunengqondo ⁷ ivaliwe.

⁶ subfebrile = ukushisa kancane
⁷ okuhlangene = kuxhunyiwe

ikhasi 21

Ngomthetho we-5 wemvelo wemvelo, umbono wami wangaphambili, enganginawo lapho ngithola umthetho wensimbi womdlavuza kanye nomthetho wezigaba ezimbili zemvelo yazo zonke okuthiwa yizifo (lapho ukungqubuzana kuxazululwa), sekuphelelwe yisikhathi, okungukuthi ukuthi i-DHS, ukushaqeka kokuqala kokungqubuzana kwebhayoloji, “Iyisifunda esifushane” ebuchosheni. Ngoba "isifunda esifushane" sisho "ukuphazamiseka", "ukwehluleka" komzimba, ukuwohloka okubi kwemvelo engenangqondo, njll. Akukho kulokho okwakulungile. Ngenhlanhla, angizange ngiwufake lo mthwalo osele emithethweni emibili yokuqala yebhayoloji yemvelo, kodwa ngiyenze ngokwamagama esayensi kuphela. Lokhu manje sekuyakhokha ngoba ngangingadingi ukuyishintsha, Imithetho Yemvelo Yemvelo yesi-3 neyesine yayingadingi ukushintshwa noma kunjalo.

Ngakho-ke le ncwadi empeleni igcwaliswe kuphela yi-quintessence yomthetho we-5 webhayoloji wemvelo. Manje sesinohlelo lwesayensi, olunembayo lwemithetho emi-5 yebhayoloji yemvelo - ngaphandle kwe-hypothesis eyodwa! Ngokuphambene, kunomuthi ojwayelekile osemthethweni, osebenza “njengomuthi wezwe”, ozibiza ngokuthi “uyaziwa” futhi ngenxa yalokho ucabange ukucindezela okutholwe Umuthi Omusha iminyaka engu-17 ngokudelela cishe okungenakucatshangwa kwesintu. "Iphutha elaziwayo" "lomuthi wezwe" lisebenza kuphela ngemibono eyizinkulungwane ezimbalwa hhayi umthetho owodwa webhayoloji. Kungakho ngisho “nasemuthini owaziwayo” kwakungakaze kwenzeke ukuqinisekisa noma yini ngokwesayensi kusetshenziswa isiguli esilandelayo esingcono kakhulu. Emuthini omusha, zonke izimo ezihamba phambili ezilandelayo kufanele ziphindaphindeke ngokwemithetho emi-5 yemvelo yemvelo.

Inkambo yalesi sifo, manje esibonakala futhi esiqondakalayo kokubili isiguli nodokotela, isusa noma yikuphi ukwethuka kwesiguli. Sesiphinde sathola imithi yokuqala. ESpain ngezinye izikhathi kubizwa ngothando ngokuthi "la medicina sagrada", "umuthi ongcwele".

Cologne, Disemba 24.12.95, XNUMX

ikhasi 22

Ukwengezwa esanduleleni sohlelo lwesi-7,

eyabhalwa ejele, eCologne-Ossendorf (“Klingepütz”) ngo-August 18, 1997

Mfundi othandekayo,

Eminyakeni engu-19 eyedlule namuhla, ngenkathi ngilele esikebheni ekuseni, indodana yami u-DIRK yadutshulwa yabulawa yinqola yempi yombulali wayo. Washona ngoDisemba 7, 1978.

Njengoba ubona, manje sekudlule iminyaka emibili le ncwadi ingaphrintwa.
Ngosizo lwecala lika-Olivia Pilhar omncane wase-Austria, ukwesaba okumangalisayo kwabezindaba kanye nokubulawa kwabalingiswa kwahlelwa ngokumelene nomshicileli wethu kanye nami, okwacishe kwacekela phansi umshicileli wethu - kodwa kwacishe kwaphela. (Angifuni ukuphawula ngodaba luka-Olivia futhi lapha futhi ngakho-ke ngingadlulisela noma ubani onentshisekelo encwadini ebhalwe uyise: "Olivia - Diary of a Fate").
Kuleli qophelo ngithanda ukubonga ngokukhethekile abangane abambalwa abahle, ebesingeke sikwenze ngaphandle kwabo.

Izinyanga ezintathu ngihlezi lapha ejele noma ejele, i-Cologne "Klingepütz". Kodwa ngiyaziqhenya ngokuthi kufanele ngihlale noma ngivunyelwe ukuhlala lapha emgodini wazo zonke iziguli, kubo bonke labo abaye banquma ukuvumelana Nomuthi Omusha noma abasafuna ukunquma esikhathini esizayo kanye neqiniso lesayensi. Njengoba manje sesikwazile ukubuka amafayela ophenyo, sikwazile ukunquma ukuthi yikuphi ukudelela isintu nokuthi yimaphi amandla obugebengu abaphikisi bethu abenze umsebenzi wabo ngokumelene nami kanye Nomuthi Omusha. Ngibe sengisolwa ngokusemthethweni ngokuthi ngikhulume nabantu abathathu mahhala ngoMuthi Omusha. Ukuze kulungiselelwe ukugwetshwa, abezindaba bekumele bethule lolu daba ngendlela ebabazekayo nangenzondo enkulu: "Umelaphi womdlavuza waseCologne - 40 usevele ushonile" kanye "noDokotela uHamer: uhlu lokufa luya lukhula futhi lude." Ijele laseCologne lizoba semqondweni wami ngemuva kokufunda amaphephandaba lingathanda ukuhamba ngomphimbo...

Ngaphansi kwezimo akufanele kube nokubuyekezwa komphakathi, okuthembekile kanye nesayensi komuthi Omusha. Ngosizo lohlelo lwezobulungisa, empeleni bafuna ukungiphoqa ukuba ngiyeke ukukhuluma ngemithi, ngiyeke ukunikeza izingqungquthela, futhi ngiyeke ukubhala izincwadi. NgokukaProfesa uDokotela uHanno Beck, inhloko yomnyango “Womlando Wesayensi Yemvelo” eBonn, lokhu “ukucindezelwa okubi kakhulu kolwazi engikwaziyo.”

ikhasi 23

Uma sicabangela ukuthi kungakanani ukuhlupheka obekungavinjelwa kusengaphambili ukugula kwakamuva ukube ulwazi lwemithetho yemvelo emi-5 yemvelo belungagodlwanga ngendlela ehlelekile kubantu! Lesi simo siba ngobugebengu obukhulu kunawo wonke emlandweni wesintu!

Ngiyazi ukuthi ngihlezi lapha ejele ngenxa yeqiniso lesayensi nakubo bonke abantu i-New Medicine engase ibasize, abagwetshwe izinyanga ezingu-9.9.1997 ejele ngo-September 19, XNUMX. Ngiyakubekezelela ngaphandle kokukhononda, ngoba ngokwezwi nezwi “ngikhuluma nesiguli izikhathi ezintathu ngeNew Medicine, mahhala.” Kulokhu wakha ukubonisana okuthathu, ukwelashwa kathathu. Ijaji elalivunyelwe ukungiqulisa kuleli cala lecala lenqaba ngomzuzu wokugcina ukulalela odokotela abayishumi neziguli eziyishumi ze-New Medicine, elalithembise lona ngaphambili. Isinqumo besesivele sinqunyiwe...

Udokotela wakho med. U-Ryke Geerd Hamer

ikhasi 24

 

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Uhlu Lokuphakathi...25

1 KUYA EMQESHINI...35

2 IZIFO (MANJE EZIQONDISWA NJENGEZENTSEBENZO EZIKHETHEKILE ZEBHALOJI EZINZULU) ZOMNTU, IZILWANE KANYE NEZINTSHOLO NJENGEZIGCAWU EZINTATHU...43

2. 1 KUSHO UKUTHINI UKUVUMELANISA KWEZIFUNDO ZEZENZA EZINTATHU? …49

3 ISINGENISO SOMUTHI OMSHA …55

4 UHLOBO LOMUTHI OMSHA – UMEHLUKO KULO OKUTHI OKUDLULE. “UMUTHI WESIKOLE” …61

5 UMTHETHO WE-IRON WOMKHANZA – UMTHETHO WOKUQALA WEZEMPILO WEMVELO YOMUTHI OMSHA …1

5.1 INDLELA YOKU-1 YOMTHETHO WE-IRON WOMKHANZA...68

5.1.1 Incazelo yegama elithi “ingxabano” ku-IRON RULE OF CANCER (ERK) …70

5.1.2 I-DIRK-HAMER SYNDROME (DHS) …74

5.2 INDLELA YOKU-2 YOMTHETHO WE-IRON WOMKHANZA...79

5.3 INDLELA YOKU-3 YOMTHETHO WE-IRON WOMKHANZA...81

6 IMIGOMO YOKUZIPHATHA YOBUCHOPHO – ISISEKELO SOKUNGXHUMANA KWEZEBHALOJI …83

6.1 UKUQHATHANISWA KOMTHETHO WE-BIOLOGICAL WOMDLAVUZA EMUNTU KANYE NEZILWANE …86

6.2 UKUQHATHANISWA KWEMIXHUMANO YEBIOLOJI EBANTU NEZILWANE …89

7 UMTHETHO WEZIGCAWU EZIMBILI WEZINHLELO EZIKHETHEKILE ZEBHALOLOGI EZIBALULEKILE (EZIBIZE ZIBIZWA NJENGEZIFO) EKUXAZULWENI OKUNGXHUMANAYO – UMTHETHO WEMVELO WE-BIOLOGICAL WESIBILI WOMTHI OMSHA …2

7.1 ISIGABA ESISEBENZAYO SE-SYMPATHICOTONE; INDLELA YOKUXHUMANA …96

7.2 I-CONFLICTOLYSIS, ISIXAZULULO SOKUNGXHUMANA KWEBHALOJI …98

7.3 ISITHUTHUKO NOMA INKINGA YE-EPILEPTOID ICHAZWE NGESIBONELO SOKUHLASELWA KWENHLIZIYO …99

7.4 SISHO UKUTHINI ISIXAZULULO “ESINGAYIBHALOJI” SOKUXHUBEKA...102

7.4.1 Indaba eyisibonelo: Ukuxazululwa kwengxabano yebhayoloji nge-interstitial testicular carcinoma…104

8 INKINGA YESITHUTHUKO NJENGESIGABA ESIVAME ESIGABENI SOKWELAPHA …113

8.1 AMATHUBA OKUFIHLA INKINGA YESITHUTHUKO …119

8.2 UHLOBO LWENSIPHO YESITHUTHUKO…120

8.2.1 Indaba eyisibonelo: I-D-train Paris - Cologne, Okthoba 06.10.1984, 7.37, isuka ngo-121:XNUMX a.m. …XNUMX

8.2.2 Indaba eyisibonelo: Isikhulu esihlelekile kanye nekhadethi …124

8.2.3 Indaba eyisibonelo: Isifo sokuwa kusukela eneminyaka engu-8...125

8.2.4 Indaba eyisibonelo: I-adventure yothando ngesi-Turkish: The beloved...127

8.2.5 Indaba eyisibonelo: inhlekelele emsulwa…128

8.2.6 Indaba eyisibonelo: Yilwa kuze kube sekufeni nokuphila…131

8.2.7 Indaba eyisibonelo: Ukushona komholi ohlonishwayo…134

8.2.8 Indaba eyisibonelo: Imimoya emine emibi…138

8.2.9 Indaba eyisibonelo: Ukuphulula okungavunyelwe...141

8.2.10 Indaba eyisibonelo: UPapa Noel …143

8.3 INKINGA EYINHLOKO YESITHUTHUKO KANYE NESOTHUPHO …147

8.3.1 Ukuhlasela kwe-Migraine…149

8.3.2 Izinkinga zesithuthwane (ukuquleka) kwesikhungo se-motor cortex...150

8.3.2.1 Isifuba somoya…151

8.3.2.2 I-myocardial infarction…151

8.3.3 Izinkinga ze-epileptoid zezinzwa (isikhumba kanye ne-mucosal squamous epithelium) kanye ne-postsensory (periosteum) isikhungo se-cortical...153

8.3.3.1 Ukungabikho ku-neurodermatitis ne-psoriasis …153

8.3.3.2 Ukungabikho lapho i-periosteum ithinteka…154

8.3.3.3 Ukungabikho ku-infarction ye-ventricular yesokunxele enezilonda zenhliziyo kanye ne-ventricular brady arrhythmia...154

8.3.3.4 I-Coronary vein intima ulcer isithuthwane esine-pulmonary embolism (i-right heart attack) kanye nezilonda zomlomo wesibeletho kanyekanye…155

8.3.3.5 Inkinga ye-epileptoid yezilonda ze-hepatic bile duct ngokungekho ngaphakathi kwe-hepatitis, ngaphambili eyayibizwa ngokuthi yi-coma yesibindi...156

8.3.3.6 Inkinga ye-epileptoid yezilonda ze-bronchial mucosal ngaphandle kokuthi "i-bronchitis", i-atelectasis ye-bronchial, noma i-pneumonia...156

8.3.3.7 Inkinga ye-epileptoid yalokho okubizwa nge-“glaucoma” (iglaucoma = ukufiphala komzimba we-vitreous weso…156

8.4 I-ORGASM…157

8.4.1 I-orgasm yohlangothi olulodwa...157

8.4.2 I-orgasm enamacala amabili…157

8.4.3 Okubizwa ngokuthi “ukujaha kothando”…. 157

8.4.4 I-(ingqondo) i-orgasm yohlangothi olulodwa… 158

8.4.5 Imvamisa ye-orgasm… 160

8.4.6 Yikuphi ukudluliselwa ebuchosheni kusabela njenge-foci ka-Hamer ngesikhathi esisodwa noma okuthiwa i-orgasm elula...167

8.4.7 Lokho okubizwa ngokuthi “ukweqa” (“ukweqa” = ukusuka kunkabazwe eyodwa kuya kwelinye ihemisphere) kokungqubuzana kanjalo nohlobo lwe-orgasm esimweni sokungqubuzana okulengayo okulengayo noma ushintsho kumazinga amahomoni. . Ukungabi namandla...163

8.4.8 Ubulili kulokho okubizwa ngokuthi “umlaza we-schizophrenic…167

9 ISIgqi SOMVELO / SYMPATHICOTONY – VAGOTONY…173

9.1 UHLELO LWEMIZWA YE-VEGETATIVE, COMPUTER CENTER YE-BIOLOGICAL
ISIgqi SOMZIMBA WETHU...178

9.2 I-PARASYMPATHICOTONIA = VAGOTONIA NE-SYMPATHICOTONIA …179

9.3 UHLELO LWE-PARASYMPATHIC NERVOUS …184

9.4 UHLELO LWENERVOUS SYMPATHIC… 185

10 UKUTHOLAKALA KOMHLAMBI WE-HAMER - ISIFINYEZO SOMLANDO... 189

10.1

10.2 UBUCHOPHO BEKHANDA KANYE NOBUCHOPHO ...197

10.3 I-HAMER FOCUS ESIGABENI SE-CA NASESIGABENI SE-PCL …197

10.4 IZINHLELO ZOBUCHOPHO …203

10.4.1 Izingcezu zethu ze-CT yobuchopho…206

10.5 ISITOVU SOKUQALA ESITHOLAKALA ESANDLA …207

10.6 IZIFUNDO ZEZIMALI …209

10.6.1 Indaba eyisibonelo: Isivakashi sase-Italy isisebenzi …270

10.6.2 Indaba eyisibonelo: Inkosikazi eneminyaka engama-60 ubudala yomphathi wenyuvesi …272

10.6.3 Indaba eyisibonelo: Isiguli esineminyaka engu-50 ubudala ngemva kokunqamuka kokuya esikhathini…214

10.6.4 Indaba eyisibonelo: I-HH esebenzayo ekucushweni kwethagethi yokudubula esiqwini sobuchopho …276

10.6.5 Indaba eyisibonelo: Isiguli esisesandleni sokudla esinenkinga yokulahlekelwa...277

10.6.6 Indaba eyisibonelo: Owesifazane oyinxele onokukhubazeka ingxenye kwesokunxele…279

10.6.7 Isibonelo esiyisibonelo: Isiguli esinokungqubuzana kokwesaba nokunengeka…227

10.6.8 Indaba eyisibonelo: I-Ductal mammary ca…223

10.6.9 Indaba eyisibonelo: Inkampani yasebhange yaseLondon …224

10.6.10 Indaba eyisibonelo: Ukungqubuzana kokwehlukana okunonya...227

10.6.11 Ezithombeni ezimbili ezilandelayo sibona...228

10.6.12 Indaba eyisibonelo: Intombazane eneminyaka emihlanu ubudala ebhekene nendlala...234

10.6.13 Indaba eyisibonelo: I-TB nomdlavuza webele …235

10.6.14 Indaba eyisibonelo: Umdlavuza webele we-Adenoid ngakwesobunxele...236

10.6.15 Indaba eyisibonelo: Umfanyana ongumFulentshi…237

Juni 10.6.16, 239 Izifundo ezintathu ze-leukemia...XNUMX

10.6.17 Ucwaningo oluyisibonelo lokuhlukaniswa kwe-retina ekungqubuzaneni kokwesaba entanyeni...242

10.6.18 Izifundo eziyisibonelo zokuphola kanzima okucwebezelayo kwe-HH…243

Juni 10.6.19, 5 Indaba efundwayo: Uhlukunyezwe uyise lapho eneminyaka engu-244 ubudala...XNUMX

10.6.20 Indaba eyisibonelo: Izinhliziyo ezimnyama…246

10.6.21 Indaba eyisibonelo: ukuhlukunyezwa ngokocansi yi-godfather…248

10.7 I-CCT YABESIFAZANE NGOCANSI …249

10.8 IZIMBI ZENDAWO YESILISA KU-CCT …250

10.8.1 Izibonelo zalokho okubizwa ngokuthi umlaza we-schizophrenic ku-CCT; lapha kusekelwe ekuhlanganiseni ukungqubuzana kocansi kanye nezindawo...257

10.9 IZIQINISEKISO EZITHOLWE ESIBINDI …252

10.9.1 Ingxabano yendlala ngoba abapheki bayahamba...254

10.10 AKUKHO UKUHLINZWA BUCHOPHO! AMACALA AMABILI CISHE ESIQHELENE NAKHO - UKUQHATHAnisa...257

10.11 UMLANDO WOMHLAMBI WEHAMER …267

10.11.1 Okubizwa “ngethumba ebuchosheni” (empeleni ukugxila kukaHamer...270

10.11.2 Okubizwa nge-apoplectic stroke noma “brain stroke”…277

10.11.3 I-Hamer igxile esigabeni sokuphulukisa…273

10.11.4 Ukudabula kokugxila kuka-Hamer ngenxa ye-intrafocal edema...276

10.12 ILIZWI MAYELANA NE-IMAGING TECHNOLOGY: BRAIN CT NOMA I-NMR (MRI, NUCLEAR SPIN TOMOGRAM)? …282

10.13 UHLELO BUCHOPHO – UKUKHISHWA KOMSHISA WOBUCHOPHO …284

10.14 Kuvela INGXOXO KADKT. HAMERS NOPROF. DR. MED. DR. RER. NAT. P. PFITZER, UPROFESA WE-PATHOLOGY KANYE NE-CYTOPATHOLOGY, IDINI YE-MEDICAL FACULTI YENYUVESI YASE-DÜSSELDORF …284

11 UKUBALULEKA KWENKUNXELA KANYE NESESANDLA…291

11.1 ISANDLA SOKUNXELE NESOkudla - ISIVIVINYO SAMA-SMACK ...294

11.2 ISO LENXELE NESOkudla …296

11.3 UKUBALULEKILE KOKUBA NGENXELE OKUHLOLWA KOMTHETHO …299

11.4 I-CERERIAL HEMISPHERES EZIMBILI: INDAWO YE-LEFT TERRITORY = OWESIFAZANE,
INDAWO YOKUQINISEKA = OWESILISA...303

12 ISIXAZULULO SOKUXHUMANA...305

13 INDLELA YOKUXHUMANA …309

13.1 ISIBONELO SESIBONELO: HAY FEVER …309

13.2 ISICWANGCISO ESIFUNDWAYO: NDIZA ISENEGAL-BRUSSELS …311

13.3 UCWANINGO LWESIBILI: WALALA ESONTWENI...313

13.4 ISICWANGCISO ESIFUNDWAYO: IKATI ELIQHELEKILEYO …313

13.5 ISICWANGCISO ESIFUNDWAYO: UMSHAYISIBHAKELA EVAN...314

13.6 UCWANINGO LWESIBILI: INGOZI EYODWA YOKUDLA NGEMUVA KWENYE…315

13.7 ISICWANGCISO ESIFUNDWAYO: I-NUT Allergies …316

14 UKUXHUMANA OKULENGAYO NOMA UKUQHUBEKA OKULINGANISILE...329

14.1 ISICWANGCISO ESIFUNDWAYO: UMFANA OKUGAMA NGEMIPHUMELA...332

15 UMJIKELELI OMBI...341

15.1.1 Indaba eyisibonelo: “Ama-Metastases” emnweni omncane! …345

15.1.2 Indaba eyisibonelo: Isiyingi esinonya ngenxa yokungqubuzana kokukhathazeka kwenhliziyo ne-pericardial mesothelioma…346

15.1.3 Indaba eyisibonelo: I-Ascites noma isisu samanzi (isigaba sokuphola ngemva kwe-peritoneal mesothelioma) …348

15.1.4 Indaba eyisibonelo: indilinga enonya kuma-branchial arch cysts …350

16 UHLELO LWE-ONTOGENETIC LWEZIQULA KANYE NEZINHLELO EZIKHETHEKILEYO EZILINGANAYO NOMKHANZA - UMTHETHO WEMVELO WE-3rd WEZEMPILO YOMUTHI OMSHA …355

16.1 UKUHLUKANA KWAMATHUTHUTHU...360

16.2 “CEREBELL MESODERM” KANYE “CERERIAL ECTODERM …362

16.3 I-CEREBELL MESODERM …362

16.4 I-CEREBRAINS ECTDERM …364

16.5 I-VENTRICULI ULCUS NE-DUODEN ULCUS …365

16.6 IZIFO EZIFANA NOMKHANKAZA, (MANJE “AMAHLELO AKHETHEKILE WE-BIOLOGICAL OMUVAYO OQAPHELELE...371

16.7 KUNGANI AKUNGENZEKI AMA-METASTASE...373

17 UHLELO LWE-ONTOGENETICALLY CONDITIONED SYSTEM OF MICROBES – UMTHETHO WEMVELO WE-4 WE-BIOLOGICAL YOMUTHI OMSHA …377

18 ISIGABA SASEMUVA NOKUGCINA SOMDLAVUZA OLAPHILE NOMA OKULINGANA NOMDLAVUZA OWELAPHILE...389

18.1 A. ISIGABA SOKUGCINA SOKUNQOPHEKA KWEBHALOLOGI
UHLELO OLUKHETHEKILE LOMDLAVUZA ENEZINKOSI “EZIVILEYO” NGEMPELA...390

18.1.1 a) Izinhlelo ezikhethekile zebhayoloji ezinengqondo zeqembu elidala elilawulwa ubuchopho (isiqu sobuchopho kanye ne-cerebellum controlled...390

18.1.2 b) “Isigaba sokugcina” sezinqubo ezilawulwa yi-cerebral…394

18.1.2.1 I-necrotic carcinoma ithathelwe indawo ukulungiswa (isb. callus), kamuva ebizwa ngokuthi “i-sarcoma”…395

18.1.2.2 I-carcinoma enezibazi noma ebaliwe…396

18.1.3 c) “nokungqubuzana okulengayo” okuncishisiwe …396

18.2 B. ISIGABA SOKUGCINA SOMDLAVUZA ONGAPHEZU KWEBHAYOLOJI NOMA I-SBS ENGCONO...397

19 UMTHETHO WOKUQONDA KONKE OKUTHIWA “UKUGULA” NJENGENGXENYE YOHLELO OLUQOKEKILE LWEZEMPILO OLUQONDEKILE LWEZEMPILO – UMTHETHO WEMVELO WESI-5 WOMUTHI OMSHA (THE QUINTESSENCE) …401

19.1 IMIGOMO YESIFO SOMDLAVUZA …404

19.2 UKUVULA UHLELO OLUKHETHEKILE NGE-DHS – UKUQALA KWESIGABA SE-SYMPATHICOTONIC…405

19.3 INKINGA EYISISEKELO …406

20 UKWELASHWA “LOHLELO OLUKHETHEKILE LOMDLAVUZA…411

20.1 UDOKOTELA WOMTHI OMSHA …414

20.2 IZINGA LEPSYCHIC: UKWELASHWA KWENGQONDO OLUSEBENZA NGOMQONDO OVAMILE …416

20.2.1 I-anamnesis yokungqubuzana – Ukuthola i-DHS…423

20.2.2 Ukubalwa kwesikhathi sokungqubuzana kusuka ku-DHS kuya ku-…424

20.3 IZINGA LOBUCHOPHO: UKUQAPHELA KANYE NOKWELASHWA KWEZINKINGA ZOBUCHOPHO …425

20.3.1 Isiqondiso sokwelashwa: Ikhodi yobuchopho bethu...427

20.4 IZINGA LOKUPHILA: UKWELASHWA KWEZINKINGA ZOKUPHILA KWASEMTHETHO …429

20.4.1 Isiguli, umphathi wezinqumo mayelana nakho konke ukungenelela emzimbeni waso...430

20.4.2 Okunye ngokususa umdlavuza wemvelo…431

20.4.3 Igama elimayelana nemisebe...432

20.4.4 Ukubhoboza kwecala kanye nokukhishwa kwecala…432

20.4.5 Igama mayelana nokungenelela ngokuhlinzwa…433

20.4.6 Imithetho ejwayelekile yokuziphatha…435

20.4.7 Imithi yokwelapha…438

20.4.7.1 Amaqembu amabili emithi…440

20.4.7.2 Igama ngepenicillin...441

20.4.7.3 Umthamo onconyiwe we-prednisolone…442

20.4.7.4 Igama elimayelana ne-cytostatic chemo-pseudotherapy…443

20.4.7.5 Isincomo esimweni sokuvela kwengxabano noma i-DHS entsha …443

20.4.7.6 Gcoba i-cortisone, mhlawumbe ngosizo lwe-ACTH…444

20.4.7.7 Inkinga yesithuthwane…444

20.4.7.8 Igama elimayelana nezinhlungu namaphilisi ezinhlungu aqukethe i-morphine…446

20.5 ISIFINYEZO …447

20.6 ISIBHEDLELA ESIHLE …449

20.7 UCWANINGO LWECELA (UMBHALO WE-CELLER) …452

21 I-LEUKEMIA – ISIGABA SOKWELAPHA EMVA KOMDLALO WAMATHAMBO …475

21.1 ISINGENISO …475

27.7.1 Kwenzeka kanjani ukwakheka kwegazi? …477

21.1.1 Yini i-leukemia emithi emisha? …479

21.1.2 Luhlanganisani lonke uhlelo olukhethekile lweMeaningful Biological Special? …480

21.1.3.1 Yiziphi izimpawu esizibonayo esigabeni sokungqubuzana…480

21.1.3.2 Yiziphi izimpawu esizibonayo esigabeni sokuxazululwa kwengxabano? …480

21.2 I-LEUKEMIA EBI NAYO KANYE ENGAPHEPHILE …481

21.2.1 Umthetho We-Leukemic…482

21.3 I-LEUKEMIA NGOMBONO WOKWELAPHA ESIKOLE …484

21.3.1 Ukhuluma ngokumelene nesiphithiphithi sezimfundiso zezokwelapha ezivamile…487

21.4 IZIGABA EZEHLUKILE ZOKUWONA UKUZENZA…490

21.5 IZENZAKALO EZIVAMILE KAKHULU ZE-LEUKEMIA NJENGOPHAWU OLUHAMBISANA NALO LOKUPHILA KWEZINTAMO ZESIFAZANE, I-HIP KANYE NOMQAMBA. I-OSTEOSARCOMAS...494

21.5.1 Ukuphuka kwentamo yesifazane – i-femoral head necrosis – acute articular rheumatism…495

21.5.1.1 Ukuphuka kwentamo yesifazane …495

21.5.1.2 Ucingo …496

21.5.1.3 I-femoral head necrosis – (acute) i-articular rheumatism yekhanda lesifazane…498

21.5.1.4 Isifo samathambo esinamandla…498

21.5.1.5 Imidlalo yokuncintisana kanye ne-osseous decalcification (i-osteolysis = umdlavuza wamathambo), i-osteosarcoma kanye ne-leukemia…500

27.5.2 Ushintsho lwamathambo e-atraumatic…504

21.5.2.1 Umdwebo wokuthuthukiswa kwe-scoliosis…506

21.5.3 I-Osteosarcomas…506

21.5.3.1 Incazelo yebhayoloji ye-osteosarcoma …507

21.6 UKWELASHWA KWE-LEUKEMIA …512

21.6.1 Ukwelashwa esigabeni sokungqubuzana, i-preleukemic…514

21.6.2 Ukwelashwa kwesigaba se-post-conflictolytic leukemic (ingxenye yesibili ye-SBS…2

21.6.2.1 Isigaba sokuqala…516

21.6.2.1.1 Izinkinga zesigaba sokuqala sokuphola kanye nokwelashwa …1

21.6.2.1.2 I-anemia …519

21.6.2.2 Isigaba sesibili: I-anemia kanye ne-thrombocytopenia, kodwa kakade i-leukocytosis noma i-leukemia...520

21.6.2.2.1 Izinkinga zengqondo …521

21.6.2.2.2 Izinkinga zeCerebral …522

21.6.2.2.3 Izinkinga zemvelo …523

21.6.2.2.3.1 a. Inkinga engaba khona: i-anemia kanye ne-thrombocytopenia...524

21.6.2.2.3.2 b. Inkinga engaba khona: ukuphuka kwethambo okuzenzakalelayo…524

21.6.2.2.3.3 c. Inkinga engaba khona: ukuvuvukala kobuchopho ku-medulla ye-cerebral...524

21.6.2.3 Isigaba sesithathu: Ukuqala kokukhukhula kwama-erythrocyte kuya endaweni ezungezile, cishe amasonto angu-4 kuya kwangu-6 ngemva kokuqala kwesikhukhula se-leukoblasts ...525

21.6.2.3.1 Ngokwengqondo …525

21.6.2.3.2 I-Cerebral …526

21.6.2.3.3 Okuphilayo …526

21.6.2.4 Isigaba sesine…527

21.6.2.4.1 Ngokwengqondo …527

21.6.2.4.2 I-Cerebral …528

21.6.2.4.3 Okuphilayo …529

21.6.2.5 Isigaba sesihlanu: Ukushintshela esimweni esijwayelekile…530

21.7 UKUXHUMANA KOKOPHA NOMA UKULIMALA – I-Spleen NECROSIS, THROMBOCYTOPENIA…530

21.8 AMAZWI OKUQALA EMASEKENI E-LEUKEMIA…531

21.8.1 Ingqondo …552

21.8.2 I-Cerebral …532

21.8.3 Okuphilayo …533

21.9 IZIFUNDO ZEZIMALI …535

21.9.1 Ingozi yemoto embi kakhulu kanye nemiphumela yayo…535

21.9.2 Ukuwa ngokuphelele ukuzethemba ngenxa yokushonelwa unkosikazi…540

21.9.3 I-acute lymphoblastic leukemia ngenxa yokuthi isoka lakhe lamshiya…541

21.9.4 Ukuwa kokuzethemba maqondana nodadewabo lapho ethi: “Uyinunu!” …543

21.9.5 Ukwehla ukuzethemba ngenxa “yokushaya ngaphansi kwebhande” …546

21.9.6 Ukwehla kokuzethemba ngenxa yokuxoshwa kukankosikazi enkampanini efanayo nokushintshela kukhompuyutha entsha...547

21.9.7 Ukwehla kokuzethemba ngenxa yokuthi isiguli sasikholelwa ukuthi “sasiyifa”…548

21.9.8/553/XNUMX Umshushisi womphakathi: Ukwehla ukuzethemba kukababa/indodakazi... XNUMX

21.9.9 I-acute lymphoblastic leukemia ngenxa yokuwohloka kokuzethemba ngenxa “yezintathu” emculweni…556

21.9.10/559/XNUMX Ukwehla ukuzethemba ne-plasmacytoma ngenxa yokuqothuka kwebhizinisi lendodakazi eyintandokazi...XNUMX

21.9.11/564/XNUMX isifo sikaWaldenström...XNUMX

21.9.12/572/XNUMX I-Aukemic leukemia, okuthiwa yi-myelodysplastic syndrome kanye ne-testicular carcinoma ngenxa yokungqubuzana kokuwa kokuzethemba kanye nokungqubuzana kokulahlekelwa lapho umalume efa...XNUMX

21.9.13/577/XNUMX Kwehla ukuzethemba komfundi ngoba ebanjwe eqa isikole...XNUMX

21.9.14/580/XNUMX Ukuwa ukuzethemba nokungqubuzana kwendawo kanye (nowesifazane) wokumaka indawo ngenxa yokungaphumeleli kokugcina esivivinyweni somthetho...XNUMX

21.9.15/588/XNUMX Ukwehla ukuzethemba ngenxa yokuthakathwa kukankosikazi yizibuthe…XNUMX

21.9.16/597/XNUMX Isibeletho-Ca; Ngesikhathi esifanayo, ukuwa okuphelele kokuzethemba nge-bone osteolysis, i-leukemia, i-vaginal carcinoma…XNUMX

21.9.17/593/XNUMX I-Pseudo-chronic myeloid leukemia ngenxa yezingxabano ezintsha ezihlala zishintsha ukuzethemba. Ubaba udubula indodana yakhe...XNUMX

21.9.18/52/597 Isiguli esineminyaka engu-XNUMX ubudala esashona kabuhlungu ngenxa yokungenzi kahle ngoba sachazwa “njengesiguli somdlavuza”…XNUMX

21.9.19/600/XNUMX Ukuqabula nemiphumela yako…XNUMX

21.9.20/613/XNUMX Chronic lymphocytic leukemia: ukwehluleka okuphindaphindayo, ukushintshana nempumelelo emkhakheni wenkolo njengoFakazi KaJehova...XNUMX

I-21.9.21/3/676 Okubizwa ngokuthi "i-acute lymphoblastic leukemia ene-relapses ezimbili", empeleni i-XNUMX ehlukene yokuzethemba i-slumps ene-lymphoblastic leukocytosis noma i-leukemia esigabeni esilandelayo sokuphulukisa...XNUMX

21.9.22/3/679 Acute lymphoblastic leukemia ngenxa yezingxabano ezi-XNUMX zokuwa ukuzethemba: …XNUMX

21.9.23/624/XNUMX Ukuxilongwa kwe-“Ewing Sarcoma”…XNUMX

21.9.24/16/637 Ukuwa ukuzethemba kanye nokuzama ukuzibulala ngemva kokuhluleka ukuhlolwa kwe-baccalaureate eneminyaka engu-XNUMX...XNUMX

21.9.25/633/XNUMX Chronic myeloid leukemia in “green widow” …XNUMX

21.9.26/45/634 I-leukemia eyingozi engahlukanisi kanye nomdlavuza wesibindi (kulokhu okubizwa ngokungeyikho ngokuthi i-leukemic infiltrate) ngenxa yokukhishwa kwe-leukemia eneminyaka engu-XNUMX ngaphansi kwezimo ezilulazayo...XNUMX

21.9.27/639/XNUMX Umsangano wezokwelapha ovamile: Okubizwa nge-osteoblastic (= ukwakheka kwamathambo) “ama-metastases” …XNUMX

Okuqukethwe kwengxenye yesi-2: Ifa Lomuthi Omusha

1 UMTHETHO WAMAHORMONE ENQUBO YEZIFO

2 OKUTHIWA AMA-PSYCHOSE

3 AMA-SYNDROMES EMUTHI OMSHA

4 UKUVELA KOBUGEBENGU OBUZIZIPHELELE NOMA AMACALA

5 ULIMI LWEZINGAPHAKATHI LWEBIOLOGICAL YOMUNTU NEZILWANE

6 UMDLAVUZA EZITSHALWENI NOMA IZINHLELO EZIKHETHEKILE ZEBHALOLOGI EZITSHALALWENI

7 ISIMANGALISO SENDALO

8 OKUVELA EMFUNDISWENI WOKWELASHWA OKUSHA: I-TRISOMY 21, OKUTHIWA I-DOWN SYNDROME NOMA I-MONGOLISM

9 UMBONO: IMITHETHO EMITHATHU EYISISEKO YE-BIOGENETIC YOMUTHI OMSHA

10 AMAREGISTER AMATHEBULA

11 ITHEFU LESAYENSI LOMUTHI OMSHA

12 UHLU LAMAGAMA

IZIQINISEKISO EZIYI-13 ZOMUTHI OMSHA

---

1 Okokuphelezelwa

Amakhasi 35 kuya ku-42

Le ncwadi iyifa lendodana yami u-DIRK. Ngiyidlulisele phambili kunefa lakhe uWalter. Akufanele neze igodlwe kunoma ubani oyidingayo ukuze iphile. Kodwa akekho ovunyelwe ukuyifundisa ngaphandle kwemvume yami ecacile. Labo abazibiza ngothisha bezokwelapha namuhla sebelwe naleli fa iminyaka ngenxa yezizathu ezingafanele nezingezona ezezempilo. Awufaneleki ukufundisa leli fa.

Lo mqulu uhloselwe nina, ziguli zami⁸ kwefa lami lika-DIRK kube yisisekelo sethemba lakho. Iningi lenu lizokwazi ukululama uma liqonda futhi lilandela uhlelo ngendlela efanele, futhi uma ngolunye usuku kuzoba nodokotela bangempela abaqeqeshwe yimi ngezandla ezifudumele kanye nenhliziyo efudumele, enobubele ezokusiza. Lesi simiso somuthi OMSHA ngelinye ilanga siyobizwa ngokuthi isibusiso esikhulu kunazo zonke kwezokwelapha.
Konke okulotshiwe kuze kube manje kuqoshwe eduze ngangokunokwenzeka ngokwazi kwethu neqiniso futhi kushintshile kuphela lapho ubumfihlo besiguli bukwenza kudingeke. Ngicela uhloniphe abantu neziphetho zabo ezichazwe lapha. Futhi uma nganoma yiliphi ithuba ucabanga ukuthi uyazi ukuthi kungaba ngubani, sicela usebenzise ukuqonda kwakho! Izibonelo zezindaba azikho ezokuzijabulisa, kodwa ukuze zibe usizo kuwena uma wena ngokwakho ugula.

Akekho umuntu ongathi akanaphutha. Kuyafana nakimi. Ngifisa ngokucacile ukuthi "ungangikholwa", kodwa kunalokho ukuthi wena ngokwakho uqinisekile ngohlelo, olungafakazelwa futhi lufakazelwe nganoma yiliphi izinga lokungenzeka.

Idrama nodumo olubi lokuduba i-New Medicine yayilingana nokubaluleka kwalokhu kutholakala kokuxhumana phakathi komdlavuza. Mina ngokwami ​​ngagula ngiphethwe umdlavuza wamasende ngo-1978 lapho indodana yami u-DIRK idutshulwa yabulawa inkosana eyayifuna ukudubula ngamabomu udokotela waseRoma yafela ezingalweni zami cishe ngemva kwezinyanga ezi-4. Leyo kwakuyi-DHS, DIRK HAMER SYNDROME, eyayingishayile. Abantu abasizungezile bangasiqonda isenzakalo esimangalisayo njengokushaqisa. Kodwa okuningi kwalokhu noma ukushaqeka okufanayo okwenzeka ngaphakathi kwesiguli kuphela, kunganakwa yilabo abaseduze naso. Ngakho-ke akulula kangako futhi akuphumelelanga kangako emzimbeni wesiguli, ngoba okuwukuphela kwento ebalulekile yilokho isiguli esikuzwayo noma esikuzwile. Ngokuvamile akakwazi ukukhuluma nanoma ubani ngakho, nakuba empeleni angathanda lutho olungcono kunokususa ukungqubuzana kwakhe esifubeni sakhe!

⁸ Eminye imiqulu “yefa” ihlelwa

ikhasi 35

I-DIRK-HAMER SYNDROME ("DHS") iyi-linchpin ye-NEW MEDICINE yonke kanye nokuqonda konke kwenqubo yomdlavuza noma, namuhla, konke ukuthuthukiswa kwesifo. Akuzona izingxabano eziningi ezidala umdlavuza kancane kancane (njengalokho okubizwa ngokuthi "izinto eziyingozi"), noma izingxabano ezinkulu esingazibona ziza ezibangela umdlavuza, kodwa kuphela ukungqubuzana okungalindelekile okufana nokushaqeka "okusenze singalindele" kusenza sibe i-DHS. . Akuwona amashothi ayi-100 egoli elishaya igoli, kodwa ishodi elilodwa kuphela elingalindelekile noma eliphambukile elibamba unozinti “onyaweni olungalungile” futhi lishaye igoli ngendlela engenakuvinjwa. Lokhu “ukungqubuzana kwezinto eziphilayo” engikushoyo futhi esifana ngakho nezidalwa esiphila nazo (izilwane ezincelisayo), ngisho nezitshalo.

Ukuthola ukuxhumana phakathi komdlavuza ngokusobala kwakunzima kakhulu kithina bantu abaphilayo. Wathola - indoda efile. Ngedlulisela kuwe ifa lakhe.

Kodwa akagcinanga nje ngokudala ukutholakala kwalokhu kuxhumana ngokufa kwakhe, kodwa - ngiyakholwa - ngisho nangemva kokushona kwakhe ungenelele kakhulu kulokhu kutholakala kunalokho obekulindelwe ngaphambili.

Lokhu kwenzeke kanje:

Lapho ngiqala ukucabanga ukuthi ngithole uhlelo ku-genesis yomdlavuza ngo-September 1981, okungukuthi i-DIRK-HAMER SYNDROME, ngathola, njengoba besho, "ababuthakathaka emadolweni". Lokhu okutholakele kwabonakala kunamandla kakhulu kimina ukuba ngikholwe. Ebusuku ngaba nephupho: indodana yami u-DIRK, engivame ukuphupha ngayo futhi engibuye ngixoxe nayo emaphusheni, yabonakala kimi ephusheni, yamomotheka ngokumamatheka kwayo okuhle, njengoba yayivame ukumamatheka, futhi ithi: “Lokho , okutholile, Geerd, kulungile, kulungile ngokuphelele. Ngingakutshela ngoba sengazi ngaphezu kwakho manje. Ukuthole ngobuhlakani. Kuyobangela uguquko kwezokwelapha. Ungayishicilela ngaphansi kwesibopho sami! Kodwa kusafanele ucwaninge ngokuqhubekayo, awukakacabangi yonke into okwamanje. Usaphuthelwa izinto ezimbili ezibalulekile!”

Ngavuka ngakhumbula izwi ngalinye lengxoxo yethu. Ngaqinisekiswa futhi kusukela ngaleso sikhathi kuqhubeke ngaqiniseka ngokuqinile ukuthi i-DIRK-HAMER SYNDROME yayiyiqiniso. Ngaleso sikhathi ngase ngihlole iziguli ezingaba ngu-170. Ngashayela uMnu. Oldenburg ovela ku-Bavarian Television, owayesevele elethe umbiko omfushane nge-scalpel ka-Hamer ngoMeyi 1978 eNgqungqutheleni Yodokotela Abahlinzayo eMunich. Wafika e-Oberaudorf futhi wenza ifilimu encane eyasakazwa eBavaria ngo-Okthoba 4.10.81, XNUMX, futhi ngesikhathi esifanayo umphumela wasakazwa kuthelevishini yase-Italy i-RAI embikweni.

ikhasi 36

Manje, njengokungathi ngiyaphithana, ngahamba ngiphenya amacala amaningi. Ngangazi kahle ukuthi maduze nje ngizomiswa emtholampilo ngoba imiphumela yami yayiphambana nemithi evamile.

Njengoba ngihlanganisa amacala amaningi etafuleni elihlosiwe ngokuphindaphindiwe, ngathola ukutholakala okukhulu: Umdlavuza womlomo wesibeletho, isibonelo, wawuhlale unesipiliyoni esikhethekile kakhulu sokungqubuzana, okungukuthi esocansi, kuyilapho umdlavuza webele uhlala unojikelele, okomuntu, futhi ngokuvamile ngisho, okuqukethwe kokungqubuzana ukungqubuzana kukamama/kwengane, umdlavuza wesibeletho, ukungqubuzana kokulahlekelwa noma okuqukethwe kokungqubuzana kwesitho sangasese sowesifazane nokunye. Ngesikhathi esifanayo, ngathola ukuthi uhlobo oluthile lomdlavuza lwalunesikhathi esithile sokubonakala ngaphambi kokuba isiguli siqaphele umdlavuza waso.

Umdlavuza womlomo wesibeletho cishe izinyanga eziyi-12, umdlavuza webele izinyanga ezi-2 kuye kwezingu-3, ​​umdlavuza wesibeletho izinyanga ezi-5 kuye kweziyisi-8

Ngakolunye uhlangothi, lokhu okutholakele kwabonakala kunengqondo futhi kunengqondo kimi, kodwa ngakolunye uhlangothi, kwakubonakala kunengqondo kakhulu ukuba ngikholwe, ngoba kwakungamelene nemithi evamile nje kuphela, kodwa kwawuphendulela wonke umuthi ekhanda lawo. Ngoba kwakungasho lutho ngaphandle kokuthi i-psyche izochaza lapho umdlavuza uvela khona. Ngabe sengiba “buthakathaka emadolweni” futhi. Yonke into yayibonakala isayizi emithathu inkulu kakhulu kimi. Ngobusuku obulandelayo ngaphinde ngaphupha futhi ngakhuluma nendodana yami u-DIRK futhi ephusheni. Wangincoma futhi wathi: “Maye, Geerd, ukuthole ngokushesha lokho, wenze umsebenzi omuhle kakhulu futhi wamoyizela futhi wathi: “Manje uphuthelwe into eyodwa kuphela futhi uphuthelwe uthole konke. Ngeke ume okwamanje, kusafanele uqhubeke nokucwaninga, kodwa uzokuthola nakanjani."

Ngaphinde ngavuka, ngaqiniseka ngokuphelele ngokunemba kwemiphumela yami futhi manje ngaqhubeka ngomkhuhlane ngicwaninga ukuthi i-DIRK yayingasho ukuthini “ngewokugcina”. Manje ngangihlale ngihlola icala ngalinye elilandelayo ukuze ngithole imibandela engangiyazi ngaphambili futhi ngathola ukuthi yayifana ncamashí endabeni ngayinye elandelayo. Ngakho u-DIRK wayeqinisile.

Angizange ngicwaninge kuphela zonke izimo zangaphambilini, ngayinye engangiyilungiselele umbiko, phambili nangemuva, kodwa futhi ikakhulukazi amacala e-carcinoma "elele" kanye namacala alandelayo. Kwaba umjaho wamahora. Ngangazi kahle kamhlophe ukuthi ngangizovinjelwa nhlobo ukuhlola iziguli. Kungakho emsebenzini wami wokugcina ngempelasonto ngihlola izinto imini nobusuku. Kodwa kungazelelwe kwafika ukuqaphela okumangalisayo kimi:

ikhasi 37

Ezimweni lapho iziguli zazisindile khona, ukungqubuzana kwakuhlale kuxazululiwe, ngakolunye uhlangothi, ukungqubuzana akuzange kuxazululwe emacaleni afile noma inkambo yawo eyayiqhubekile;⁹ kwaba. Bengivele ngijwayele ukukholelwa ukuthi ezinye izinto ziyiqiniso ozakwethu ebengizama ukukhuluma nabo ngazo bavele bazichaze njengembudane bengafuni nokwazi kabanzi ngazo. Kodwa lokhu kuqaphela kwakungeyona nje into emithathu, kodwa osayizi abayishumi babebakhulu kakhulu kimi. Ngaphelelwa amandla futhi amadolo ami ayesethambile njengebhotela futhi. Kulesi simo angikwazanga ukulinda ubusuku obulandelayo lapho ngifuna ukwethula umsebenzi wami wesikole kuthisha wami u-DIRK.

Ngiphuphe i-DIRK yami futhi, ngokusobala njengezikhathi ezimbalwa ezedlule. Kulokhu wacishe wachichima ukutuswa, wamamatheka ngokwazisa wayesethi: “Bengingacabangi ukuthi kungenzeka ukuthi uqhamuke ngokushesha okungaka. Yebo, okutholile kulungile, kulungile ngokuphelele. Manje usunakho konke. Awusaphuthelwa lutho. Kunjalo impela. Manje usungashicilela yonke into ndawonye ngaphansi kwesibopho sami. Ngiyakwethembisa ngeke uziphoxe ngoba kuyiqiniso!”

Lapho ngivuka ekuseni ngilibona kahle iphupho phambi kwami, ukungabaza kwami ​​kokugcina kwashanelwa. Ngangisamkholwa uDIRK wami futhi nakakhulu njengoba wayesefile.
(Kuthathwe encwadini ethi CANCER - DISEASE OF THE SOUL, ukujikeleza okufushane ebuchosheni, ikhompuyutha yomzimba wethu, umthetho wensimbi womdlavuza, ngoFebhuwari 1984 enyatheliswa "Amici di Dirk", Cologne.)

Eminyakeni yamuva kuye kwaba khona abantu abaningi abaye babheka le ndima engenhla “njengengavumelani nesayensi.” Alisho nhlobo ukuthi “lingokwesayensi”, limane lineqiniso.

Ngaphezu kwalokho, ngokubona kwami, kubalulekile ukuthi imiphumela nokutholwayo okunengqondo futhi okunengqondo10 futhi kungenziwa kabusha nganoma yisiphi isikhathi kuhlolwe ukuze kubonakale ukuthi kulungile noma akulungile. Kodwa uma imiphumela nokutholakele kulungile, akunandaba ukuthi kutholwe kuphi, kanjani, nini futhi ngobani! Akusizi futhi ukuphishekela umtholi usebenzisa zonke izindlela ezicatshangwayo zokwesaba nokuhlambalaza ukuze uthule mayelana nokutholwa futhi ugweme imiphumela yokutholwa. Icala likhula ngokungenakulinganiswa! Yilokho kanye okwenzekile lapha kule minyaka engu-17 edlule!
Umuthi ovamile okhona njengamanje akuyona isayensi ngomqondo oqinile, ngisho noma “ulingisa” ngokwesayensi kakhulu. Inezinkulungwane zemibono nezinkolelo-ze okufanele umuntu azikholelwe noma okufanele azikholelwe, kodwa ezingamanga ngoba zisekelwe emibonweni engenabufakazi okukhulunywa ngayo.

⁹ Inqubekelaphambili = ukuqhubekela phambili, ukubhebhetheka okwandayo kwesifo
¹⁰ i-empirical = ezuzwe ngolwazi

ikhasi 38

(Isibonelo, imfundiso ye-metastasis, isifo “njengokuwohloka kwemvelo”, inkolelo-mbono yokuthi “ingqamuzana lihambile”, inkolelo-mbono “ye-brain metastases”, imfundiso ye-microbes “njengezimbangela” zezifo nokunye). Kukhona ihlaya lezemfundo:

Abafundi abathathu kufanele babambe ngekhanda incwadi yocingo: umfundi we-physics, umfundi webhayoloji kanye nofundela ubudokotela. Umfundi wefiziksi ubuza ukuthi ingabe lukhona yini uhlelo encwadini yocingo. Utshelwa ukuthi alukho uhlelo kulo ngaphandle kokulandelana kwezinhlamvu. Uyenqaba, “Angifundi umbhedo onjalo ngekhanda!” Umfundi wesayensi yezinto eziphilayo uyabuza ukuthi ingabe ikhona yini intuthuko noma ukuziphendukela kwemvelo encwadini yocingo. Impendulo efanayo - akukho ntuthuko, ukukhumbula ngekhanda kuphela! Uyenqaba ukubamba ngekhanda umbhedo onjalo. Umfundi wezokwelapha uyacelwa ukuba abambe ngekhanda incwadi yocingo futhi ubuza kuphela umbuzo ophikisayo: "Kuze kube nini?"

Empeleni, thina bodokotela kwakudingeka siphindaphinde okufakwe ezincwadini zocingo ngekhanda ekuhlolweni kombuso. Akekho umfundi noma uprofesa ababengakuqonda ngempela lokhu. Iziqu zangempela zilele enanini lamakhasi ezincwadi zocingo abanjwe ngekhanda.

Uma ubheka izimfundiso zalokho okubizwa ngokuthi “imithi ye-orthodox”, uyabona ukuthi empeleni ziphuma ekucabangeni kwe-polarity, “ukucabanga okuhle-okubi” kwezinkolo zethu ezinkulu (zamaJuda - Christian - Mohammedan), nazo eziphuma iZoroastrian¹¹ umbono wezwe wamaPheresiya asendulo. Yonke into ihlukaniswa ngokungaguquguquki ngokuthi "okulungile" noma "okubi". Ngokunengqondo, kulapho kuvela khona "ingqondo yokuqothula" yempi "yamasosha ezokwelapha" anamuhla, kodwa empeleni akuyona into ngaphandle kweNkathi Ephakathi emsulwa: Noma ubani ongakholelwa ezimfundisweni eziletha insindiso zizodwa uzoshiswa.

Ngokwesibonelo, wonke amangqamuzana omdlavuza namagciwane, konke “ukusabela okugulayo” kwento ephilayo, kanye nalokho okuthiwa yizifo zengqondo nezomzwelo kwakuyingozi.

¹¹ I-Zoroastrianism = inkolo yokukholelwa kuNkulunkulu oyedwa eyasungulwa nguZoroaster (Zarathustra).

ikhasi 39

Ububi bekufanele buhlanganise neqiniso lokuthi uMama Wemvelo uhlala enza amaphutha, amaphutha, amaphutha abangela umdlavuza, kwakucatshangwa ukuthi, ukukhula "okungalawuleki", "okuhlaselayo" ezithweni ezingomakhelwane, nakuba kwakwaziwa nokuthi lokho okubizwa ngokuthi. "imingcele yesitho" (isibonelo phakathi komzimba wesibeletho¹² nentamo yesibeletho) ikhona.

Into “embi” yayiwukuthi, namuhla, ukwazi ukuxhumana kwangempela, konke okungenangqondo. Umama Wemvelo akawenzi "amaphutha". Thina ngokwethu sasingabantu abangenalwazi! Ukushiyeka ngemuva kwalokhu ukuthi umuntu uchaza lokho umuntu angakuqondi njengokuthi "kubi" futhi ngenxa yalokho ufuna ukukuqeda. Kuphela uma usuzwisisile, futhi manje sesingakwenza lokho ngemithetho emi-5 yebhayoloji yemvelo, lapho asisadingi ukucekela phansi, kodwa singaqonda, sihlukanise futhi sihlanganise amaqiniso abe yingqikithi yebhayoloji, ngisho ne-cosmic iyonke!

Emithi Emisha kunemithetho emi-5 kuphela yebhayoloji yemvelo engafakazelwa ngokuqinile ngokwesayensi nganoma yisiphi isikhathi. Kumelwe zibe neqiniso ngomqondo wesayensi esimweni ngasinye kanye nakuphawu ngalunye, kuhlanganise nesifo sesibili (esisabizwa ngokungeyikho ngokuthi “i-metastasis” kwezokwelapha ezivamile).

Okuthakazelisayo ngomuthi omusha ukuthi kufanele siqaphele ukuthi wonke lawa maphutha okuthiwa “amabi” kanye nokungalungile kwemvelo empeleni bekuyizinhlelo ezikhethekile zebhayoloji (i-SBS) esingazange siziqonde noma esingaqondanga kahle ngenxa yokungazi. Ngakho yonke into esiyibiza ngokuthi “isifo” empeleni yayiyingxenye yohlelo olukhethekile olunjalo (SBS). Amagciwane, esasiwabheka njengabulalayo futhi okufanele alwe nawo, ayeyizisebenzi zethu ezithembekile ezingabasizi, ngokwesibonelo ekuqedeni umdlavuza esigabeni sokuphulukiswa (i-mycobacteria kanye namagciwane) nasekugcwaliseni i-necrosis.¹³ kanye nezilonda¹⁴ (amabhaktheriya nama-virus) futhi esigabeni sokuphulukisa.

¹² Isibeletho = isibeletho
¹³ I-Necrosis - ukufa kwezicubu
¹⁴ Ulcera = isilonda, "ukushoda kwezicubu"

ikhasi 40

Udokotela med. U-Ryke Geerd Hamer

Trnava, Septhemba 11, 1998

isimemezelo

ukuqinisekisa iNyuvesi yaseTrnava
mayelana nokuqinisekiswa Kwemithi Emisha kusukela ngoSepthemba 11.09.98, XNUMX

Kusukela ngo-September 11, 1998, ukuqinisekiswa kwe-New Medicine, okwenzeka ngo-September 8th no-9th, kuqinisekiswe ngokusemthethweni yi-University of Trnava.

Lo mbhalo usayinwe yi-vice-rector (isazi sezibalo), i-dean (oncologist) kanye nosihlalo wekhomishana yesayensi, uprofesa wezifo zengqondo.

Ngakho-ke, angeke kube nokungabaza mayelana nekhono lalowo osayine ngezansi.

Amanyuvesi aseNtshonalanga Yurophu - ikakhulukazi iNyuvesi yaseTübingen - enqabile ngokuphelele ukwenza ucwaningo oluthuthukisiwe lwesayensi iminyaka eyi-17.

Nakuba odokotela abaningi baye baqinisekisa le mithetho yemvelo yemithi emisha ezinkomfeni zokubuyekezwa komphakathi ezingu-26 eminyakeni yamuva, lapho wonke amacala ayehlale enembile, le mibhalo (ngisho naleyo eqinisekisiwe) ayizange ibonwe. Kwakuhlala njalo futhi yonke indawo kuphikiswana ngokuthi uma nje lokhu kuhlolwa kwabadala kungenziwanga ngokusemthethweni yinyuvesi, akubalanga - futhi inqobo nje uma lokhu kungenzeki, umuthi ojwayelekile “wawuqashelwa”.

I-New Medicine, equkethe imithetho emi-5 yemvelo yemvelo - ngaphandle kwemibono eyengeziwe - futhi isebenza ngokulinganayo kubantu, ezilwaneni nasezitshalweni, icacile futhi ihambisana ngokunengqondo kangangokuthi, njengoba ubona, bekuyoba kalula njalo indaba engcono kakhulu elandelayo. , ngokwethembeka nangobuqotho bangabheka futhi kufanele bahlole ukuthi ngabe umuntu ubefuna kuphela yini. Ukubulawa kwabalingiswa, imikhankaso yemithombo yezindaba kanye nokugqugquzela abezindaba noma ukuvinjelwa kochwepheshe kanye nemizamo ehlukahlukene yokubulala kanye nokusabisa ngokuphoqwa kwengqondo (ngenxa yokulahlekelwa okungokoqobo), kuze kufike futhi kuhlanganise nokuboshwa (ngokuhlinzeka ngolwazi lwamahhala mayelana nomuthi omusha izikhathi ezintathu [ngachitha isikhathi esingaphezu kwezinyanga eziyisithupha) unyaka ejele ngalokho]) ungangenisi izimpikiswano zesayensi ukuphikisa ophikisana nesayensi. Ngabe ukucindezelwa kolwazi - njengoba sesibona manje - bekungekona nje ukubonakaliswa kodlame ukuze kugcinwe amandla nezinto zomuthi omdala?
Umuthi Omusha ungumuthi wesikhathi esizayo.

Ukuvinjelwa kwabo okwengeziwe kwenza ubugebengu obubhekiswe esintwini bukhulu nakakhulu usuku nosuku!

Ezibalweni ezisemthethweni, njengalezo ezivela e-German Cancer Research Center e-Heidelberg, ingafundwa kaningi ukuthi ezigulini ezilashwa nge-chemo ngomuthi ovamile, zimbalwa kakhulu ezisaphila ngemva kweminyaka emi-5.

Ihhovisi lomshushisi womphakathi e-Wiener Neustadt kwadingeka livume ukuthi emakhelini esiguli angu-6.500 athathwa ngesikhathi kuseshwa indlu "esikhungweni Sezokwelapha Esisha, eBurgau" (iningi lazo elinomdlavuza ophakeme), abangaphezu kuka-4 babesaphila ngemva kweminyaka emi-5. Iminyaka emi-6000 (ngaphezu kwama-90%).

Manje imfuneko (ukuqinisekiswa yinyuvesi) isifezekile. Manje iziguli zinelungelo lobugebengu obunyantisayo nobumbi kakhulu emlandweni wesintu ekugcineni buqedwe, futhi wonke umuntu anikezwe ithuba elilinganayo lokuba nempilo ngokusemthethweni ngokwemithetho emi-5 Yemvelo Yemvelo Yomuthi Omusha.

Ngibiza bonke abantu abathembekile futhi ngibacele usizo lwakho,

Udokotela Hamer

Bheka futhi Ingxenye 2 / Ifa Lomuthi Omusha.

ikhasi 42

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2 Izifo (manje eziqondwa njengezinhlelo ezikhethekile zebhayoloji) zabantu, izilwane kanye nezitshalo njengesenzakalo esinezendlalelo ezintathu.

Amakhasi 43 kuya ku-54

Umuthi ojwayelekile kuze kube manje usebenze cishe nezitho zomzimba kuphela. Uma isitho somzimba singasebenzi ngendlela ebesifanele, khona-ke kungenzeka sibe nokungasebenzi kahle komshini, kuthiwa sihlaselwe amagciwane noma amagciwane, noma saze sangezwani ne-antibody ethile. Akukaze kwenzeke kunoma ubani ukuthi isitho mhlawumbe singalawulwa yikhompyutha, noma ngisho nobuchopho.

Uma othile ethi namuhla abaningi sebevele bathi umdlavuza unento yokwenza nokucindezeleka noma ukudabuka noma izingxabano, lokho akuhlangene nemithetho ye-5 Biological Natural of New Medicine. Ngakolunye uhlangothi, wonke umuntu kwezokwelapha zanamuhla wayecabanga, njengoba kusho kuzo zonke izincwadi zokufunda, ukuthi umdlavuza uthatha iminyaka eyi-10 kuya kwengama-20 ukuze ubonakale. Ngakolunye uhlangothi, kwakukhona futhi kunencazelo ehluke ngokuphelele "yokungqubuzana".

Ngo-December 17.12.86, XNUMX, uprofesa wokusebenza kwengqondo eNyuvesi yaseTübingen wabuzwa ijaji laseSigmaringen lokho ayekuqonda, ngokwesibonelo, ngokungqubuzana kobulili, uDokotela uHamer akubiza ngokuthi ukungqubuzana kwezinto eziphilayo. Impendulo: "Ukulimala kwe-narcissistic." Umbuzo wami ophikisayo: “Ungavumela futhi inja yami ukuthi ilimale uma ibinokugxila ku-Hamer endaweni efanayo nabantu ngesikhathi sokungqubuzana ngokocansi?¹⁵ ku-periinsular^{16 + 17} Indawo engakwesokunxele ihlushwa umdlavuza womlomo wesibeletho?” Ayisekho impendulo…

¹⁵ I-HAMER'S FOCUS = Ukugxila kwezincwadi ebuchosheni okutholwe nguDokotela Hamer ekungqubuzaneni noma isifo sezitho. Iyathwebula! Ekuqaleni yayibizwa ngokuthi "umhlambi we-Hamer ongaziwa" ngabaphikisi bakaDokotela Hamer. Ungabona ukucushwa kwethagethi enezinselele ezicijile kuzingcezu ezihambisanayo ze-brain computed tomography (CCT) esigabeni sokungqubuzana (ca phase), izazi ze-radiologists ezizichithile ngokuthi "ama-artifact", kodwa ezivela esigabeni sokuphulukisa (post-conflictolytic = isigaba se-pcl).

¹⁶ I-Peri- = ingxenye yegama enencazelo ezungezile..., eduze ne-, ngokweqile, ngokweqile, ngaphezulu
¹⁷ Insula = isiqhingi

ikhasi 43

Ukuphawula kwami ​​ngemva kwalokho: “Mnuz. Uzakwethu, yonke imbudane yeFreudian iyiphupho elimsulwa elinamaqhwa eqhwa, njengoba ubona, ngoba awukholelwa ukuthi inja yami inokulimala kwe-narcissistic, kodwa yingakho, ngokusho kukaHamer, yena. unomphefumulo ofana nalowo Muntu oyedwa."

Izilwane ziyahlupheka, njengoba nami ngenza, ngosizo lwe-CT scan¹⁸ yobuchopho, enohlobo olufanayo lokungqubuzana, i-Hamer igxile ngokuyisisekelo endaweni efanayo ebuchosheni lapho abantu banayo. Futhi ngokufanayo, inomdlavuza ngokuyisisekelo endaweni efanayo emzimbeni, i.e. esithweni esifana naso. Kuye kwafakazelwa ngokunembile ukuthi umdlavuza noma i-necrosis ihlale ikhula futhi lapho ukungqubuzana okusha kwenzeka, nokuthi ihlala yehla ngosayizi noma inyamalala ngokuphelele lapho ukungqubuzana sekuxazululiwe ngaphambili, inqobo nje uma ezingxabanweni zakudala ezilawulwa ubuchopho. Ama-mycobacteria ayekhona, okusho ukuthi amasekethe okulawula izinto eziphilayo zakudala ayengenzeka. (Lokhu kuxhumana kuzochazwa ngokuningiliziwe kamuva).

Yiqiniso, kufanele ucabangele ukuhlelwa kwangaphambili okuqondile: isibonelo, amadada cishe awalokothi ahlupheke ngenxa yokungqubuzana koketshezi, kodwa abantu bayahlupheka. Igundane lasendlini lihlushwa kalula ukungqubuzana okubangelwa intuthu, i-hamster cishe ayikaze! Ayinalo “isistimu ye-alamu”, ayinakho ikhodi emelene nentuthu. Akayidingi ngoba uhlala ekujuleni komhlaba.

Uma umdlavuza ukhula endaweni ethile, lokho okubizwa ngokuthi umuthi ojwayelekile kuze kube manje sekuthathe indlela ewuphawu nje “ngensimbi, ugongolo kanye namakhemikhali”, okungukuthi, ngokuhlinzwa kokucwiywa komzimba, ukushisa isimila nge-X-ray noma ngemisebe ye-cobalt kanye nalokho okubizwa ngokuthi. imisebe ye-cytostatic¹⁹ (I-cell toxin) ukwelashwa ngokuvamile ngokufakwa. Isitho somzimba kuphela esilashwa ngaso sonke isikhathi. I-psyche yabantu nezilwane noma ingqondo ayinayo indawo kulokhu. Bekuyindida futhi kuyamangaza lapho ngithi ngokuthola nokuxazulula ukungqubuzana kwengqondo, ngalokho okubizwa ngokuthi “i-conflictolysis”.²⁰, akukhona nje kuphela ukuthi kungabangela ukukhula komdlavuza ukuthi ume futhi ugoqe, kodwa (uma i-squamous cell ulcer carcinoma; isibonelo i-cervical carcinoma) ingabangela ngisho ngokwemvelo ukuthi unyamalale ngokuphelele ngokugcwalisa isilonda kabusha.

¹⁸ Isithombe se-tomogram ehlanganisiwe = isithombe se-X-ray
¹⁹ I-Cytostatic = i-kytos yesiGreki = ukuzungeza, iqhubu (lapha iseli); i-static = i-statics; Izinto ezivimbela noma ezibambezele kakhulu ukuqala kwenuzi kanye/noma ukuhlukaniswa kwe-plasma noma eziphazamisa inqubo yayo ziphazamisa.
²⁰ Conflictolysis = ukuxazululwa kwezingxabano

ikhasi 44

Inkinga eyisisekelo yomuthi ovamile “wesimanje” ukuthi izimfundiso zayo zisasekelwe ekubukeni kwezwe kwekhulu le-19, okuyilokho okubizwa ngokuthi “i-pathology yamangqamuzana”.²¹ kaMnu. Virchow. Lokhu bekunenqubekela phambili ngesikhathi sako - kodwa kuyamangaza ukuthi le mibono, yokuthi yonke imbangela yokugula etholakala ku-organic level ingatholakala noma esitokisini, yafakwa ukuze kuzuze imboni kanye "nabacwaningi" abaphilayo. ngalezi zimfundiso zekhulu lama-21 kufanele zithathwe!

Kusenjalo ukuthi izimbangela zomdlavuza nezinye okuthiwa "izifo" zifunwa ezimweni zamangqamuzana noma ngisho nezingcezu ezincane kakhulu zezinhlayiya zamaprotheni noma amagciwane. Imiklomelo kaNobel iklonyeliswa ngalezi zinto eziyingozi ezingasizi nesiguli esisodwa. Kuyacaca ukuthi umphefumulo noma ingqondo yesiguli ingaphazamisa lapha kuphela!

I-New Medicine ayiwangabazi amaqiniso angabonwa ngesibonakhulu, isibonelo. Nokho, iziphetho noma izinkolelo-mbono ezazikhona futhi ezisuselwe kulokhu ngokuvamile azilungile: Yebo, awukwazi ukubheka ingqamuzana lomdlavuza wendlala yebele ngaphansi kwesibonakhulu ukuze ubone ukuthi beliyokwenza ibele likwazi ukukhiqiza ubisi oluphindwe kabili. Awukwazi ukusho ukuthi ikhule ukuze kuzuze ingane noma izophulwa kamuva uma i-mycobacteria ikhona. Amaseli anemitose²², Ama-Mitose ayingozi - yilokho kuphela!

Namuhla, sonke isikole noma umuthi wombuso usancike emibonweni yakudala kaVirchow. Yingakho kuze kube manje sibe nentuthuko yezobuchwepheshe kanye nemishini kwezokwelapha cishe cishe akunakwenzeka ngenxa yalezi zimfundiso! Umuthi osemthethweni awukakwazi ukuzikhulula kulobu bunzima “be-cell pathology”. Uprofesa othile wathi kimi: “Yebo, Mnu.

Wayenephutha futhi konke kuyahlakazeka!

Akunjalo neze ngoba kungaba nzima ukufakazela ukuthi konke okubizwa ngokuthi ukugula kwenzeka emazingeni ama-3 engqondo, ubuchopho nezitho, ezisebenzisana njalo, nokuthi imithetho emi-5 yemvelo yemvelo Imithi Emisha ilungile , kodwa ihlazo liwukuthi lobu bufakazi akumelwe bamukelwe ngaphansi kwanoma yiziphi izimo, ngenxa yemiphumela emikhulu... Le ndaba ingacaciswa kalula nje ekuseni:

²¹ I-Cellular pathology = umbono wokugula njengokuphazamiseka kwezinqubo zempilo ye-physiological yeseli (Virchow)
²² I-Mitosis - ukuhlukaniswa kwamaseli

ikhasi 45

Umuntu kwakufanele abone kuphela ukuthi ngabe noma iyiphi inombolo yeziguli (esesandleni sokudla) ezine-carcinoma yomlomo wesibeletho yayinokugxila kwe-Hamer endaweni yesokunxele yobuchopho. Uma ufuna ukuqiniseka ngokuphelele, kufanele ubheke iziguli kusukela ekuqaleni lapho ukungqubuzana kwabo (kobulili bemvelo) kuxazululiwe futhi ngakho-ke banezandla ezifudumele. Kuzo ukugxila kwe-Hamer kumele kube ne-perifocal ecacile²³ ube ne-edema. Futhi uma ufuna ukuqiniseka ngokuphelele ngokuqukethwe kokungqubuzana, ukhetha kuphela abesifazane abangakwesokudla, ngoba abesifazane abangakwesokunxele kufanele babe nokugxila kwabo kwe-Hamer endaweni ye-periinsular engakwesokudla uma kwenzeka ukungqubuzana ngokocansi. Yonke into yayingenziwa kalula nje ekuseni. Kunalokho, izigidigidi nezigidigidi ziphonswa, umuntu kumelwe asho ngokukhwabanisa, emabhizinisini avamile angenangqondo ngokuphelele, ngenxa nje yokuthi abantu abaningi banesithakazelo esijulile sokuqinisekisa ukuthi konke kuhlala okufanayo. Ukube okungenani bebenozwela ngeziguli ezimpofu!

Manje ukulindela okufushane kwezitatimende zakamuva kuvunyelwe ukuze ukwazi ukuchaza amagama athi “ubuchopho bekhanda” kanye “nobuchopho besitho” avela esihlokweni sesahluko: Zonke izidalwa eziphilayo zinobuchopho besitho. Kodwa abantu nezilwane nabo banobuchopho bekhanda. Singaqagela kuphela ukuthi kungani kunjalo. Ngiyasola isizathu ukuthi abantu nezilwane

a) aziboshelwe endaweni eyodwa kodwa zihamba ngokukhululeka,

b) ukunyakaza okusheshayo okudingekayo kanye nokusetshenziswa ngokushesha kolwazi kwenze ikhompyutha eyengeziwe yadingeka.

Kodwa-ke, ubuchopho bekhanda abuyona into ehluke ngokuphelele ebuchosheni besitho, yinto nje eyengeziwe. Phakathi nesigaba esisebenzayo sohlelo olukhethekile, sibona okuhlosiwe okumakwe ngokucijile komhlambi ka-Hamer ezithweni ezihlangene ku-CT ngendlela efanayo futhi mhlawumbe ngemvamisa ye-oscillation efanayo neyasebuchosheni. Lokhu kuzochazwa kabanzi ngokuhamba kwesikhathi. Ubuchopho besitho, empeleni obuqukethe wonke ama-nuclei ezinhlayiya zezitho futhi lapho wonke ama-nuclei amangqamuzana axhumene nomunye nomunye, bufana ne-hard drive yekhompyutha enkulu engagcini nje kuphela yonke imininingwane, kodwa futhi enikeza imiyalo ezithweni ngazinye. . Angikwazi okwamanje ukusho ngokuqinisekile ukuthi izitho zangasese zisenezinga elingakanani "i-partial organ hard drive" yazo eyenza isibindi, ngokwesibonelo, siqhubeke nokusebenza ngemva kokufakelwa, kodwa ngicabanga ukuthi kungenxa yezitho ezilawulwa endala. ubuchopho; okungukuthi izitho ze-endoderm kanye ne-mesoderm yobuchopho obudala.

²³ perifocal = eduze nendawo yangempela

ikhasi 46

Sisenocwaningo oluningi okufanele silwenze emkhakheni wezinto eziphilayo. Nakuba sesivele sizizwa sihlakaniphe kakhulu futhi sesivele sihlola izakhi zofuzo futhi sizama ukuhlanganisa, nginomuzwa wokuthi empeleni sesiyazi “lapho izinsimbi ziphi”!

Ngokuphambene nalokho okubizwa ngomuthi ovamile noma wezimpawu, cishe othanda kuphela izimpawu zemvelo futhi uzama ukuzelapha, Imithi Emisha imile:

Ngomuthi Omusha, abantu, okuhlanganisa zonke izilwane nazo zonke izitshalo, bahlale bewumzimba esingawucabanga ngamaleveli amathathu asebenza ngokuvumelana nomunye nomunye:

i-psyche
ubuchopho (ubuchopho bekhanda kanye nobuchopho bomzimba)
izitho

Ngaqala ukucabanga ngalokhu kuxhumana ngemva kokushona komuntu siqu: konke kwaqala ngokungqubuzana kwami ​​siqu kokulahlekelwa kanye nokugula kungazelelwe nomdlavuza wamasende ngo-1978/79, ngemva nje kokushona kwendodana yami eyayineminyaka engu-19 ubudala, u-Dirk, owayeneminyaka engu-2 ubudala. wabulawa inkosana kanye nomdayisi wezikhali wesethi yejethi yamazwe ngamazwe, u-Grand Lodge Master we-notorious lodge lodge PXNUMX (Propaganda due) wadutshulwa washonela ezingalweni zami ezinyangeni ezine kamuva.

Lokhu okuhlangenwe nakho kokuqondana okusobala kwakuyisizathu ngaleso sikhathi sokucabanga ukuthi lokhu kukhulumisana okusobala phakathi kwe-psyche nezinto eziphilayo kungenzeka kanjani. I-hypothesis yami yokusebenza ngaleso sikhathi yayiwukuthi ukuxhumana phakathi kwengqondo nesitho kwakungenzeka kuphela ngobuchopho. Ngaleso sikhathi, akekho owayenesithakazelo ngempela ebuchosheni ngokuphathelene nokukhula kwezifo. Njengodokotela omkhulu kulokho okubizwa ngokuthi umtholampilo womdlavuza ohlangene neMunich University, ngathola ukuthi kunokuhlobana okucacile.²⁴ kanye nezinhlelo phakathi kwezitho zethu kanye nezingxabano ezithile noma amaqembu okungqubuzana. Ngithumele ukuthi lesi simiso kumele sitholakale kwenye indawo ebuchosheni.

Ukuxhumana okuhlelekile

Isitho <=> I-Psyche ngakho-ke yandiswa yaba
I-Psyche <=> ingqondo nobuchopho <=> isitho.

Ngayisekela kumodeli yengqondo

²⁴ Ukuhlobana = ukuhlobana, ubudlelwano

ikhasi 47

I-Psyche - umhleli
Ingqondo — ikhompuyutha
Isitho - umshini

Kwakuyisimanga futhi kuyamangaza ukuthi esikhathini samakhompiyutha, nakuba imishini yezimboni eyinkimbinkimbi isebenza ngokwalo modeli, umzimba womuntu oyinkimbinkimbi kakhulu okuthiwa ukhiqiza okuthiwa "izifo" ngaphandle kobuchopho kanye nengqondo, okungukuthi ngaphandle kwabahleli bohlelo namakhompyutha. Kukholakala ukuthi ukuthuthukiswa kwalesi sifo kunqunywa ukuhlangana, ukungahambi kahle kanye nokungalungi.²⁵, ukuwohloka.

Njengoba imbangela yezifo ezinjengomdlavuza ayikaziwa emithini yamanje, imbangela “yephutha eliwumphumela” ingacatshangwa nje njengengozi.

Kubaluleke kakhulu ekuxilongweni kwethu kanye nasekwelapheni (ikakhulukazi i-autotherapy) ukuthi sihlale sikwenza kucace kithina ukuthi yonke into isebenza ngokuvumelana. Ngakho-ke, ukukhuluma ngokuqinile, ku-New Medicine akusekho lokho okubizwa ngokuthi i-psychiatry, ecabanga ukuthi izimpawu ezingokwengqondo zenzeka ngokuzimela komzimba, noma "umuthi wezitho", obuye ucabange ukuthi izitho azihlangene nhlobo ne-psyche . Nakuba kwakukhona okuthiwa "psychosomatics"²⁶, kodwa lokho empeleni kwakungaphezu kwegatsha lezokwelapha elincane elingakaze lizuze noma yikuphi ukubaluleka kwangempela, futhi lalingakwazi, ngoba lalingakwazi ukuvumelanisa phakathi kwengqondo, ubuchopho kanye nesitho. Akakwazanga ukweqa izindlela ezijwayelekile njengokuthi “ukucindezeleka kubangela izilonda zesisu” noma “ukucindezeleka kubangela isifo senhliziyo”. Kunohlamvu lweqiniso kukho kokubili, kodwa ukuntuleka kombono wokuvumelanisa, okungukuthi yonke into yenzeka ngesikhathi esifanayo, kwavimbela i-psychosomatics ukuthi ingathuthuki nhlobo.

“Ngokunengqondo ngokunengqondo” ukuhlukaniswa kwemithi ibe yimithi yesitho kanye ne-psychomedicine nayo yaqiniswa emithethweni ye-psychotherapist eJalimane nase-Austria, ngokuqinisekile ukuze kuvinjwe ukusetshenziswa Komuthi Omusha. Emithini emisha, "izingcweti" ezinjalo azigcini nje ngokungenangqondo kodwa ziyingozi, njengoba sizobona.

Ku-New Medicine, ukuvumelanisa okunezigaba ezintathu kwengqondo, ubuchopho nesitho kuyisisekelo esibalulekile sokuxilongwa kanye nolwazi lwesifundo, esibaluleke kakhulu esigulini kanye “nokwelapha ngokuzenzakalelayo” kwaso.

²⁵ Ukunganeli = ubuthakathaka, ukungasebenzi kahle kwesitho noma uhlelo lwesitho
²⁶ I-Psychosomatics = igama lethiyori yesifo ethatha amathonya angokwengqondo ezinqubweni ze-somatic

ikhasi 48

Kuphela ngokukwazi ukulandelela nokuqonda kokubili ukuqala kokugula kwaso (ngemuva kwalokhu lo mcimbi ubizwa ngokuthi uhlelo olukhethekile lwebhayoloji) futhi yonke inkambo yawo njengesenzakalo esibalulekile sebhayoloji kuwo wonke amazinga amathathu lapho isiguli sithola khona ukuthula nobukhosi esibudingayo uDon. Ungavumeli ukwethuka kuvele kwasekuqaleni. Uyazi: Kunamathuba angu-3% noma ngaphezulu okuthi ngizosinda kulolu hlelo olukhethekile lwe-Sensible Biological Special Programme (SBS). Lokhu kumenza ngempela umphathi ozimele wenqubo yakhe.

2.1 Kusho ukuthini ukuvumelana kokuqhubeka kwezingqimba ezintathu?

Ngaphambilini, besingacabanga nje ukuthi izinguquko zesitho zingabangelwa ukucindezeleka kwengqondo yesikhathi eside. Kodwa-ke, lokhu singakuthatha ngokungacacile, njengoba ukuxhumana okukhonkolo phakathi kwemithetho yemvelo emi-5 Yomuthi Omusha (okuzochazwa ngezansi) bekungaziwa kithi. Kodwa-ke, sasikude ngamamayela ukuthi sikwazi ukucabanga ukuthi ukuvumelanisa, ukusebenza ngesikhathi esisodwa kwe-psyche, ubuchopho nezitho, kwakungenzeka.

Kodwa yilokho kanye okushiwo iNew Medicine: Yonke inqubo yengqondo yenzeka ngesikhathi esisodwa ebuchosheni bekhanda (ngisho nasebuchosheni besitho) nasesithweni esithinteka yilolu hlelo olukhethekile lwebhayoloji. Enye ayisebenzi ngaphandle komunye - ngamanye amazwi: izinga elilodwa alisebenzi ngaphandle kwelinye!

Kusho ukuthini ngempela lokho?

Uma i-SBS yenzeka nge-organic symptom (lokho okuvame ukubizwa ngokuthi ukugula), khona-ke uphawu oluhambisanayo lwenzeka kuwo wonke umzimba, kuhlanganise nezinga lengqondo, izinga lekhanda kanye nezitho zomzimba.

Umuthi omusha onemithetho yawo emihlanu yebhayoloji awuhlangene nakancane nalokhu osekubizwa kahle ngokuthi umuthi ophelele, okungekho muntu ongakucabanga ngempela. I-New Medicine, eqondiswe eduze ekuziphatheni kwezinto eziphilayo nezingxabano, ibeka izindinganiso ezintsha ngokuphelele. Akuwona neze ubudlova ngenxa yokuthi kugxile ezintweni eziphilayo, kodwa ngokuphambene nalokho, kuyawuqeda lo muthi ononya ongenamphefumulo. Akekho oba mpofu kakhudlwana “ngokuphonsa phezu kwamanzi” iphutha. Umuthi wethu wamanje ojwayelekile onemibono yawo eminingi engenabufakazi nengenabufakazi iyiphutha elilodwa futhi elinonya lapho.

Umuthi ojwayelekile usebenza ngaphandle kwemvumelwano noma isizathu ngomqondo weqiniso wegama. Izingxenye ezimbili kwezintathu zamawodi okuhlinza zingavalwa ngoba akudingekile neze ukunqamula lezi zigaxa ezinomdlavuza, ezingenabungozi, ngisho “nokude kakhulu nempilo”.

ikhasi 49

Kodwa ukuze ulungise i-psyche, umklami noma ubuchopho, ikhompiyutha yomzimba wethu, akufanele nje wazi ukuthi iyiphi i-fuse okuthiwa ishaywa, kodwa nokuthi kungani kubonakala sengathi iqhume. Manje sesiyazi futhi ukuthi lezi yizinhlelo ezikhethekile zebhayoloji ezinengqondo noma eziphuthumayo!

Futhi lokho kuholela ngokushesha embuzweni olandelayo, yiluphi uhlelo manje okufanele lunikezwe umzimba wethu esikhathini esizayo - uhlelo lwebhayoloji! Uhlelo olukhethekile noma oluphuthumayo lwenzeka kuphela ngenxa yokuthi i-DHS yengqondo “yaphuma ekulawuleni” ngohlelo lwebhayoloji yobuchopho bekhompiyutha yethu futhi kwadingeka ukuthi sishintshele esimweni esiphuthumayo noma esikhethekile.

Isibonelo: Ingane encane ihlushwa lokho okubizwa ngokuthi “pavor nocturnus” ngobunye ubusuku. Abazali basephathini. Njengoba ewumntwana oyedwa, njengoba kuvamile namuhla, angakwazi ukugcina “ikhono lokuphila”. Icala elinjalo alenzeki nhlobo ngaphansi kwezimo uhlelo lwethu lobuchopho oluyengayo njengephethini yokuziphatha. Ngokujwayelekile - ngokwemvelo - umama ubengeke asuke eduze kwengane yakhe, futhi kuvame ukuba nezingane zakubo ezanele ukuze ingane ilale uma iphuphe kabi ebusuku. Imvelo cishe izodinga iminyaka eyi-1000000 ukuhlela ingane ngokuhlakanipha/ngokwengqondo kwengane ukuthi ibe ingane eyodwa noma okuwukuphela kwayo zisuka nje...

Ngokusobala zonke okuthiwa "izifo" zisebenza ngokuvumelana nobuchopho bethu bekhompiyutha, kuhlanganise nalokho okubizwa ngokuthi "izifo ezithathelwanayo". Kufanele nje sifunde ukubona zonke lezi zinto ngombono omusha. Manje sibona ngokwesaba ukuthi le mpucuko isiletheleni. Lapho siceba futhi abantu bakithi (emakhaya asebekhulile) bekhula, yilapho imindeni yethu kanye nomphakathi wethu uba incithakalo futhi engenabantwana - ngokumelene nekhodi yethu.

Okubalulekile kimina ngalezi zibonelo wukukhombisa ukuthi asikwazi ukuxhaphaza lokho okubizwa ngezinhlaka zomphakathi ngaphandle kokuthi sifuna ukwamukela ukungqubuzana okuwumphumela walokhu. Kunalokho, kunekhodi yebhayoloji, amasekhethi okulawula kwebhayoloji noma uhlelo oluphelele lwebhayoloji ebuchosheni bethu okufanele siyilandele noma siyafuna noma cha. Noma yini enye idala ukungqubuzana okwengeziwe futhi ekugcineni kuholele embuthanweni ononya.

Kodwa-ke, akufanele kunganakwa ukuthi uhlelo lwebhayoloji, uma sifuna ukulibiza kanjalo, luphinde lube nezingxabano zalo ezifiselekayo nezihleliwe. Iqiniso lokuthi inyamazane encane yendawo, ngokwesibonelo, ekugcineni ithatha indawo yenyamazane endala ngokuyifundisa ukungqubuzana kwendawo kuyinqubo efiselekayo ngokwezinto eziphilayo, ngisho nesidingo, futhi ukungqubuzana kwendawo okuhlobene kwenyamazane endala engaphansi kuyinto efiselekayo ngokwezinto eziphilayo.

ikhasi 50

Kuwumbudane ngokwebhayoloji ukwakha inqwaba “yama-softies” angelona ndoda ngokohlelo oluthile lwemibono engenangqondo, abangasenzi lutho komunye nomunye futhi abangabe besakwazisa indawo bese bethengisa lokho njengomqhele wendalo. Kuyakhathaza futhi ukubona ukuthi umphakathi wethu olawulwa ngokweqile, nemithethonqubo yawo ehlala uqina kanye nezinketho zokulawula, uholela kanjani ezingxabanweni eziningi kakhulu zezindawo, ngisho nasezintweni ezingasho lutho. Ngisho nokushayela imoto noma ukulwela indawo yokupaka kungaholela ezingxabanweni. Konke lokhu kuwukuhlanekezelwa okudabukisayo kokuhleleka okuhle okungatholakala endaweni yethu yonke kanye nasemizimbeni yethu.

Yiqiniso, umuntu angakwazi ukuxoxa ngale mibono ngokungapheli; Nokho, ukuxhumana ngokwako akunakuphikwa. Ekugcineni, umbuzo uyavela futhi mayelana nokuthi umuntu ubheka uNkulunkulu noma isimiso sobunkulunkulu “njengomnqobi” (okungukuthi umbhubhisi) noma umfezi wendalo yakhe emangalisayo. Esimweni sokuqala, umnyango uvulekele noma yikuphi ukuhlanekezelwa kwemvelo. INtshonalanga yethu yobuKristu ibilokhu ihlupheka iminyaka engamakhulu ayishumi nanhlanu ngenxa yokuthi, ngokwesibonelo, ubuhlobo obuseduze okhokho bethu, njengabantu baseJalimane, ababenabo nezilwane, isibonelo amahhashi abo, bashintshaniswa ngenxa yomqondo weJudeo wokudelela izilwane. -Amasonto obuKristu , okwathi, njengoba kwaziwa, ukuphika izilwane - ingasaphathwa izitshalo - umphefumulo futhi ngenxa yalokho, isibonelo, ukuvuma ukuhlolwa kwezilwane kuze kube yilolu suku.

Umuthi omusha uqala ngokuthi yonke into esemzimbeni wethu isebenza njengekhompuyutha yesimanje, kuphela enkulu kakhulu, ngoba iningi lezinye izinhlobo zezilwane nezitshalo nazo zifakiwe ohlelweni . Ake sicabange ngamabhaktheriya e-coli asemathunjini ethu, ngisho nawo wonke amagciwane esifundiswe ukuthi siwabheke njengezitha zethu, okungezona. Ake sicabange ngalokho okubizwa ngokuthi izilokazane, izintwala, amazeze, izimbungulu, omiyane nokunye okunjalo, okuye kwahamba nathi ngokwethembeka izigidi zeminyaka ngaphambi kokuba kwenziwe imizamo yokuziqeda ngezibulala-zinambuzane. Imali okuzodingeka siyikhokhe kulokhu isiqala ukuvela kubantu abaningi, isibonelo lapho imifula namachibi ethu, aphelelwe amandla emvelo, enuka okwezitamkoko. Kungakhathaliseki ukuthi silandela ikhodi yethu yobuchopho noma asiyilandeli ngenxa yokuntula ukuqonda noma inhloso, ikhodi ebuchosheni ikhona!

ikhasi 51

Le khodi inquma izingxabano zethu kanye nezifo zethu ezibizwa ngokuthi izifo, okungukuthi izinhlelo ezihlakaniphile zebhayoloji noma izimo eziphuthumayo zemvelo, ngaphezu kwawo wonke umdlavuza obonakala kakhulu, wonke umuntu emhlabeni kuze kube manje asho ngokuqinile ukuthi akukho ncazelo kuwo, ukuthi "amangqamuzana ahlakazekile" nje "avele ahlakazeka." Insalela ebulalayo ye-Virchow's "cell pathology". Umzimba awukwazi ukulwa nalawa "mangqamuzana asendle".

Akukho kulokhu okwakuyiqiniso. Alusekho uhlelo olunengqondo nolukhulu kuyo yonke imithi kanye ne-biology kunesimo somdlavuza. Yiqiniso, uma nje umuntu ebheka izinga elilodwa kuphela, okungukuthi lezitho, futhi lapha futhi kuphela izinga le-histological lamaseli, umuntu akakwazanga ukucacisa lesi simiso. Futhi iqiniso lokuthi ilayisense yami yokwenza ubudokotela ihoxisiwe impilo yami yonke, njengoba ngihlaziye imibhalo, ngeke lisakumisa ukuqaphela. Sekunodokotela abanekhono kulo lonke elaseYurophu abasebenza cishe ngokuphelele ngokwalesi simiso, ngempumelelo enkulu kakhulu!
Lokho okuthiwa odokotela abavamile abakuthola kunzima kakhulu ukukuqonda isidingo sokufunda ukucabanga ngendlela ehlukile kusukela phansi kuya phezulu. Akunakwenzeka ukwengeza umuthi omusha ukuze uqedele osekwenziwe, kodwa kunalokho ukuqaphela ukuthi cishe yonke into eyenziwe kuze kube manje ayilungile, njengoba umuntu engakaze athole izimbangela zangempela zokugula.

Ngokuyisisekelo, sekuke kwaba nezinhlobo ezimbili zodokotela kuphela: amadoda emithi yasehlathini, okwathi, ngaphezu kwezindlela zabo zokuphulukisa zemvelo nolwazi lwawo ngamakhambi, ahlola nokuxhumana okungokwengqondo nezifo ngezinga elithile ngendlela efanele. Ngakolunye uhlangothi, okuthiwa odokotela abavamile besimanje, ababona abantu abaningi noma ngaphansi ngokuthi "izigaxa zamaprotheni" ukucubungula kwabo kuphazamisa kuphela ingqondo yesiguli futhi ngakho-ke kufanele kusetshenziswe "i-sedation" yezokwelapha. Izinyanga zasehlathini esazilahla ngokudelela kwakusobala ukuthi zazingodokotela abahlakaniphile. Bavele behlulekile ukuletha uhlelo ezintweni.

I-Psyche - izitho zobuchopho

Into ethokozisayo ngesistimu ukuthi i kunqunywa ngokweqile²⁷ uhlelo. Uma ngazi elinye kulawa mazinga amathathu, ngiwazi womathathu. Isibonelo, uma ngazi kahle ngezinqubo zokusebenza kwengqondo, ngingase ngicabange isimo sesitho esihambisanayo nesimo sesifunda sobuchopho esihambisanayo (ukugxila kukaHamer). Okwamanje lokhu kubonakala kunzima ukukucabanga. Kodwa ngeke kuthathe isikhathi eside ngaphambi kokuba sibale isimo sesitho esithintekayo ngokunembile sisuka esimweni sobuchopho ngosizo lwekhompiyutha enezinkulungwane zezinhlobonhlobo ezinemininingwane efakwe kuyo!

²⁷ nquma = Latin determinare; nquma [ngaphambi kwesikhathi], nquma

ikhasi 52

Ukuhlolwa okuningi kwesiguli cishe kuzoqukatha ukuhlolwa kwe-CT kanye nokuhlolwa kwe-CT kobuchopho baso. Kusukela ku-CT yobuchopho ngingakwazi futhi ukuthola iziphetho ezinembayo kakhulu mayelana nezimbangela ezingokwengqondo: Ngiyabona ukuthi kwakuyinhloboni yokungqubuzana, ukuthi ikusiphi isigaba manje (ingxabano-esebenzayo noma i-post-conflictolytic²⁸, isigaba se-pcl ngamafuphi), ngingakwazi ukufinyelela eziphethweni mayelana nesikhathi sokungqubuzana kwangaphambilini kanye nokuqina kwakho okungenzeka. Kugridi enjalo, izikhala ngemininingwane ziba zincane futhi zibe zincane njengoba ulwazi lukhula. Ngokwazi idatha embalwa eyisisekelo efana nalokhu: owesilisa noma owesifazane, osebenzisa isandla sokudla noma kwesokunxele, omncane noma omdala, ngingakwazi ngempela ukubala isimo samanye amaleveli amabili kusukela olwazini olunembile lweleveli eyodwa kwamathathu.

Qaphela, mfundi othandekayo, ngokuhumusha isifundo se-5 Biological Natural Laws of New Medicine njengokuzivocavoca kwengqondo. Lona ngumuntu ophilayo njengami nawe, onomphefumulo ogulayo futhi ohlushwa ukungqubuzana okungase kubonakale kungalungile, ngisho nokuhlekisa kuwe, kodwa kwakubaluleke kakhulu kulesi siguli kangangokuthi ... usabisa ngokuwa njengesiguli umphumela walokhu kungqubuzana. Abantu abanezinhliziyo ezifudumele nezandla ezifudumele nengqondo ehluzekile kuphela abavunyelwe “ukuzwa ukuvuma” kwalaba bantu abagulayo. Ungavumeli ochwepheshe bezokwelapha ukuthi bakhulume neziguli ezinjalo. Bafana negilavu, kungakhathaliseki ukuthi bafuna ukwelapha isimila endaweni noma bafuna "ukulimala kwe-narcissistic". Izimfundiso ezilula azinandawo lapha, futhi lezi zingxabano eziyisisekelo zezinto eziphilayo azifani ngalutho nezinkinga ezingokwengqondo noma zobuhlakani.

Iningi lokusabela kwethu nezenzo zethu zenzeka ngokuzenzakalelayo futhi ngaphandle kokubonisa, njengasezilwaneni! Akekho ocabanga ngalokho okubizwa ngokuthi “ingxabano yendawo” yale ndoda. Kodwa nokho amadoda amaningi ayafa ngenxa yokungqubuzana okunjalo, isifo senhliziyo. Empeleni, iningi lokuquleka kwethu kanye nezenzo zethu zokuqaphela zenzeka kulawa maphethini okuziphatha ebhayoloji.

Ngakho-ke, i-New Medicine izoletha inguquko enkulu yezokwelapha nezenhlalo enkumbulweni ephilayo. Ngokwesibonelo, noma isiphi isinqumo sejaji singambulala umuntu ngenxa yengxabano yakhe engase ibe khona (DHS), yebo, igama elilodwa lingambulala. Izingane ikakhulukazi zingafundiswa ukungqubuzana kalula ngamazwi anganaki avela kubantu abadala, njengoba ngokuvamile ziphansi futhi zincike kubo.

²⁸ I-Post- = ingxenye yegama elisho ngemva, ngemuva, kamuva

ikhasi 53

Angazi noma ngizophila yini ukuze ngibone ukuvela kwalo muthi omusha ngemuva kwemizamo eyahlukene yokubulala. Kodwa lokho akushintshi lutho. Engikudlulisa lapha, ngikudlulisela kuwe njengefa elivela endodaneni yami engasekho u-DIRK. Uma uhlakaniphile, uzama ukuyiqonda futhi uyisebenzise.

ikhasi 54

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3 Isingeniso Semithi Emisha

Amakhasi 55 kuya ku-59

Le ncwadi ingeyesigaba sokuqala esihlelekile hhayi nje sazo zonke izimila, kodwa kuyo yonke imithi:

1. Inhlangano ye-Cotyledon²⁹
2. Hlukanani ezindaweni ezingqubuzana
3. Ukuhlukaniswa kwe-foci ka-Hamer ezindaweni ezithile zobuchopho
4. Ukuhlukaniswa ngokwe-histological³⁰ Ukwakheka
5. Ukuhlukaniswa ngokwencazelo yebhayoloji yezifo ezifanele, eziqashelwa njengezingxenye ze-Nature's Meaningful Biological Special Programs (SBS).

Ngokusetshenziswa komuthi omusha, wonke umuthi kanye nesayensi yezinto eziphilayo ziyazixazulula. Noma ubani oye wayifunda incwadi uyothi: “Yebo, akunakuba ngenye indlela!” Ubufakazi bukhulu kakhulu. Ngisho nabamelene nami manje kuye kwadingeka bangifakazele ukuthi uhlelo lwemithi emisha lucishe luhlangane ngendlela emangalisayo. Ngokuqinisekile akufanele udumise i-clover yakho. Kodwa wena, mfundi othandekayo, uzothola ukwahlulela okunenjongo mayelana nalesi simiso ngemva kokufunda incwadi kunokuba ngicabange.

Kuyathakazelisa ukubona ukuthi yonke imithi ihlelwe kanjani ngokucacile futhi ngokwemvelo kangangokuthi zonke izinqubo zangaphambili ezingaqondakali futhi ezibonakala zingahleliwe ngokuphelele zibonakala zinengqondo futhi ziqondakala.

Ngemva kokutholakala kwe-New Medicine kanye ne-foci ka-Hamer ebuchosheni, ukuqonda ukuziphendukela kwemvelo kimi kwaba ukhiye wokuhleleka okukhulu okuhlanganisa yonke imithi kanye nesayensi yezinto eziphilayo. Lo myalelo udlulela ezindaweni zokuziphatha komuntu nezilwane kanye nokwenziwa kwasendaweni kwezilonda zika-Hamer ebuchosheni kanye nokuhlukaniswa kwesigaba sokuhlangana kwesitho samathumba.

Uma ngaphambili sasibheka ukugula njengento enobutha, ngisho nokubi, njengesijeziso esivela kuNkulunkulu, manje kubonakala kithi njengophawu lwenguquko yesikhashana esimweni somzimba wethu, okwenzeka ngaso sonke isikhathi ngokuvumelana kuwo womathathu amazinga angokomcabango: i-psyche, ubuchopho nezitho, kodwa lokho empeleni okuwumzimba. Enye ayisebenzi ngaphandle komunye, yonke into ihlala isebenza ngokuvumelanisa. I-synopsis emangalisa ngempela³¹!

²⁹ Ungqimba lwamagciwane = Ku-embryo, amaqembu amaseli akhula ezinsukwini ezimbalwa zokuqala, okubizwa ngokuthi "amashidi amagciwane", lapho zonke izitho zethu zikhula khona.
³⁰ histological = mayelana nohlobo lwamaseli

ikhasi 55

Ubudlelwano bethu namabhaktheriya ethu kanye “nezimuncagazi” zethu nakho kuzofanele kushintshe kakhulu! Ngoba amabhaktheriya e-tubercle kanye ne-staphylococci noma i-streptococci abe nomsebenzi wokudala izimila ezinomdlavuza, isibonelo sepheshana lamathumbu, izigidi ezingenakubalwa zeminyaka kuhlanga lwethu lwesintu, kanye nezilwane.³² ukususa futhi. Ngokuyisisekelo “bangodokotela abahlinzayo bamathumbu” abahle, ama-symbionts ethu³³ nabangane abavunyelwe kuphela ukuthatha isinyathelo ngemvume yemvelo yethu esigabeni sokuphulukisa ngemva kokuxazululwa kwengxabano futhi ukukhula komdlavuza kumisiwe ngesikhathi esifanayo! Futhi yilabo kuphela abazi umlando wokuthuthuka kwabantu nezilwane abazi ukuthi i-lung alveoli nayo³⁴ Ngokwe-Embryologically "ziyingxenye yomzila wamathumbu", njengamathoni omlomo wesibeletho.³⁵, i-adenoids³⁶ izimila³⁷ pharynx kanye nendlebe ephakathi. Amabhaktheriya e-tubercle aphinde abe abaqoqi bemfucumfucu abasebenza kanzima be-nodule yamaphaphu akheke emaphashini futhi "akhohlisayo".³⁸,,ashaye isikhwehlela. Okusalayo wumhume³⁹. Izenzakalo ezinjalo sizibiza ngokuthi "amasistimu enethiwekhi ye-biologically".

Angikaze nakanye ngicabange ukuthi kungenzeka ukuthi ngelinye ilanga ngiyokwazi ukuhlanganisa wonke umkhakha wezokwelapha ngesimiso esisodwa esithakazelisayo. Ngithemba nje ukuthi ngizophumelela futhi ukukukholisa, mfundi othandekayo, ngalokhu kuphetha nokukuholela emithonjeni ebalulekile yokuba kwethu ngomqondo oqinile wesayensi.

Empeleni ngangihlele ukuphendukela kulokho okuthiwa yizifo zengqondo nemizwa ngemva kokucwaninga ngezimila. Ngokungaqondakali kwawela emathangeni ami, ngoba zonke lezi zifo zengqondo nezomzwelo ziyizinhlobo ezikhethekile zomdlavuza, ikakhulukazi lokho okubizwa ngokuthi "izingxabano ezilengayo".

Uma ubuchopho bethu buyikhompyutha yezinto eziphilayo zethu, khona-ke futhi yikhompyutha yakho konke. Umqondo wokuthi ezinye zezinqubo zalesi sidalwa zizokwenzeka "ngokudlula ikhompuyutha" awunangqondo. Wonke umuthi kufanele ushintshe!

³¹ I-synopsis = ukubuka konke okuqhathanisayo
³² Umgudu wamathumbu = umgudu wamathumbu
³³ Ama-Symbionts = izidalwa eziphilayo ezihlala ndawonye nathi unomphela ukuze sizuze
³⁴ I-alveoli yamaphaphu = i-alveoli
³⁵ Amathoni omlomo wesibeletho = amathoni omphimbo
³⁶ i-adenoid = efana nendlala
³⁷ i-adenoid vegetation = isibonelo umphimbo, amathoni epharyngeal
³⁸ ushizi = ukuwohloka kofuba
³⁹ umhume = indawo engenalutho; Isimo sensalela ngemva kwe-TB ezithweni ezilawulwa ubuchopho, isibonelo emaphashini noma esibindini

ikhasi 56

Kuyamangaza ukuthi kungani kungekho muntu owake wacabanga ukuthi ubuchopho, njengekhompiyutha yomzimba wethu, bungaba nesibopho sakho konke okubizwa ngokuthi "izifo". Ukube noma ubani ubecabanga ukuthi kungenzeka ngisho nakude, ngabe akazange alwe nami iminyaka engu-18. Yebo, yonke imithi kuze kube manje inezimpawu kuphela. Izifo kwakuyizifo zesitho futhi ngenxa yalokho kwakufanele zelashwe kuphela nge-organically kanye nezimpawu. Lokhu kuye kwaholela emithini yethu yesimanje engenamphefumulo, lapho i-psyche isebenza kuphela njengenkathazo. Yonke into iphathwa nge-infusions kanye ne-scalpel. I-psyche yayibhekwa "njengengekho isayensi". Lokho kwakuyinto ethi "weirdos". Imingcele ye-Serum⁴⁰, ama-X-ray kanye nezithombe ze-CT zesitho zazibhekwa "njengamaqiniso". Ingqondo nobuchopho, obulawula yonke into esemzimbeni wethu, kwakungathakazelisi neze!

Kulula kakhulu: Umzimba wethu usebenza njengomshini wesimanje, okungenani singakucabanga kanjena ngokomgomo:

Ingqondo ngumqambi, ubuchopho yikhompyutha kanti umzimba ungumshini. Lolu hlelo luthakazelisa nakakhulu ngoba ikhompuyutha ibuye izenzele owayo uhlelo, i-psyche, ebese izihlela yona ngokwayo. Kungakho ngicabanga ukuthi:

Umuntu ucabanga ukuthi uyacabanga, empeleni abantu bamcabangela! Okwesibili i-DHS ifika, konke sekumi ngomumo! Eqinisweni - kunzima ngathi ukucabanga - yonke into ihamba kuwo womathathu amazinga "acatshangelwe". ngesikhathi esifanayo, Kusho ukuthi ukuvumelanisa!

Umbono wokuthi akuwona umdlavuza kuphela, kodwa cishe zonke izifo, akuzona nje ukuqondana noma izingozi, kodwa ukuthi ziwukuvezwa kanye nomthelela wohlelo oluthile lwekhompiyutha oluxhunyaniswe nazo zonke ezinye izidalwa eziphilayo emhlabeni, usuvele uchaziwe ku-thesis yami yokusiza umphakathi. kusukela ngo-September 1981. Ngangingakaze ngiyibone i-CT yobuchopho ngaleso sikhathi. Kodwa-ke, ngisole futhi ngabeka ukuthi kufanele kube nokuhlobana ebuchosheni bethu okunesibopho sokuhlobana okumangalisayo phakathi kokuqukethwe kokungqubuzana “nesitho esinomthwalo wemfanelo”. Lokhu kusho ukuthi uma owesifazane osebenzisa isandla sokudla, isibonelo, eba nokungqubuzana ngokocansi ne-DHS, uzohlala eba nomdlavuza womlomo wesibeletho. Ngo-1983 ngathola i-foci ka-Hamer ebuchosheni, iziteshi ezidluliswayo⁴¹ izindawo zethu zokuziphatha zebhayoloji, esimweni se-DHS ezingaphansi kwethoni yozwelo engapheli⁴² amadivayisi.

⁴⁰ Imingcele yeSerum = amanani egazi
⁴¹ I-Relay = indawo (izindawo) ebuchosheni lapho kugcinwa khona uhlelo lwesitho noma indawo yokuziphatha nokungqubuzana
⁴² I-Sympathicotonia = isigqi sosuku olungapheli (ukucindezeleka).

ikhasi 57

UMTHETHO WE-IRON RULE OF CANCER kwaba umthetho wokuqala obanzi futhi ophelele emithini yethu. Imodeli yengqondo elula: umenzi wohlelo = ingqondo, ikhompuyutha = ubuchopho, umshini = izitho (umzimba) ilungile ngokusobala futhi iphindaphindeka ngokuphelele kuzo zonke izimo zomdlavuza kangangokuthi ithukuthelisa abamelene nami.

Kuzoba nabantu abaningi abazothi ngandlela thize besiyazi yonke into. Kodwa lokho akulona iqiniso. Ngokwesibonelo, uma uthi kukhona ababethi uma uke waba nenkinga nokungqubuzana eminyakeni engu-20 ngaphambili, ungase uthole umdlavuza kalula, lokho kwakumane nje kuyiphutha. I-DHS ohlushwayo namuhla nayo iyisizathu sokuthi uthole umdlavuza wakho namuhla.

Kwadingeka ngikhohlwe cishe yonke into engayifunda kulokho okubizwa ngokuthi imithi evamile futhi ngilahle zonke izimfundiso ezifundisayo. Kwakuwumuthi wabafundi bemilingo ababezikhukhumezile abagcina bengenqabela ukuba ngibe wudokotela ngenxa “yokungawufungeli umthetho we-Iron of Cancer” kanye “nokungangiguquleli emithi yendabuko”.

Kusukela ngo-1994, i-New Medicine isekelwe emthethweni wesi-5 wemvelo wemvelo I-Quintessence, ngokuphelele. Ukube lo muthi omusha oqinile wesayensi wawaziwa ngaphambili futhi ubhekwa njengosebenza emhlabeni wonke ngemithetho yawo emi-5 kuphela yemvelo yemvelo, bese kuqhamuka othile owakhe omunye umuthi onemibono eyizinkulungwane ezimbalwa, kodwa ngaphandle komthetho owodwa webhayoloji, kungaba nodokotela oyedwa weSymptom abahlekwe njengabantu abahlanyayo. Kodwa njengoba lokhu kukhohlisa okungachazeki sekukhona kakade, wonke umuntu wenza sengathi uyayikholelwa ngempela imibono - abayiziphukuphuku impela bayayikholelwa ngempela!

Umuthi Omusha uyisipho esivela konkulunkulu, esisebenza kubantu, izilwane futhi mhlawumbe nasezitshalweni. Kulomuthi omusha, lokho okubizwa ngokuthi “izifo” ebesizibheka izinkulungwane zeminyaka “njengokuntula,” “izinto ezimbi zemvelo,” “ukuduka,” “izifo ezilimazayo,” “izijeziso ezivela kuNkulunkulu,” njll. kuhlanganisiwe.

Izinhlelo ezikhethekile zebhayoloji ezinenjongo ngokwemvelo.

Sima phambi kwesimangaliso semvelo yaphezulu futhi singathola ukuqonda ukuthi uMama Wemvelo uye wayala kanjani yonke into ngendlela enengqondo kakhulu. Kwakungeyona imvelo eyayingenele, kwakuyithi nje, odokotela ababephuphuthekiswe ngokweqiso, esasingazi!

ikhasi 58

Kusukela manje kuya phambili, umsebenzi wethu nawo uyashintsha: ngazo zonke izimpawu, zonke izingxabano, kufanele siqale sibuze mayelana nencazelo yebhayoloji yohlelo olukhethekile. Lokhu kusivumela ukuthi siqonde ukuthi umcimbi usesesigabeni esisebenzayo noma usuvele usesigabeni sokuphulukisa nokuthi - kuye ngokuthi i-cotyledon affiliation - incazelo yezinto eziphilayo isivele igcwalisekile esigabeni esisebenzayo (ca phase) noma kwenzeka kuphela esigabeni sokuphulukisa. (isigaba se-pcl). Ama-polypragmatist angenalwazi⁴³Labo ababehlale becabanga ukuthi kufanele balungise ngokushesha, osokhemisi, bahlinze, bafake kabusha, njll. noma yini eyayibonakala “ingaphandle kwejwayelekile” yinto yesikhathi esidlule.

Odokotela besikhathi esizayo Bomuthi Omusha bangabefundisi abanezinhliziyo ezifudumele, abahlakaniphile nabanolwazi lwezenzakalo abathulisa iziguli ukuze uMama Wendalo akwazi ukuqedela umsebenzi wakhe. Bayosiza isiguli ngomusa ukuba siqondise umkhumbi waso ngendlela efanele. Iziguli ezimpofu, ezethukile ezilele ngomhlane ziqhaqhazela ngamehlo (okuhlola) avuleke ngenxa yokwesaba, zigqolozele okwenja ehluliwe noma ezilaliswe ingqondo njengonogwaja enyoka, kuyizinto zesikhathi esidlule. Ngoba labo okuthiwa “iziguli” (= labo abakhuthazelayo) bangawuqonda Umuthi Omusha kanye nanoma yimuphi udokotela. Bangabangcweti bangempela benqubo uma sebezwile ukusebenza kukaMama Wendalo.

Inkathi entsha iyantwela!

⁴³ Umenzi omningi = "umlaphi wokwelashwa okuningi"

ikhasi 59

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4 Ingqikithi yomuthi omusha - ukwehlukanisa kulokho okubizwa ngokuthi "imithi evamile"

Amakhasi 61 kuya ku-66

Uma ngikhuluma ngomuthi omusha uma ngiqhathanisa “nomuthi omdala,” kufanele ngiqale ngichaze ukuthi kufanele kube yini uhlobo olusha lwalo muthi.

Okushiwo ukuqonda okusha kwemithi njengento ephilayo yendawo yonke, eqondwa njengobunye bengqondo njengengxenye yayo yonke imisebenzi yezindawo zokuziphatha nezingxabano, ubuchopho njengekhompiyutha yokulawula yonke le misebenzi yokuziphatha kanye nokuziphatha. izindawo zokungqubuzana kanye nezinhlaka njengesamba sayo yonke impumelelo yalo mcimbi. Eqinisweni, izinto ziyinkimbinkimbi nakakhulu, ngoba izinhlelo zethu zobuchopho bekhompiyutha umklami (psyche) futhi ngaleyo ndlela ngokwazo futhi ekugcineni, kunzima ukucabanga ukuthi, ngokuyisisekelo, yonke into isasebenza ngokuvumelana ngesikhathi esifanayo .

Empeleni kuzwakala kulula kakhulu - kungaba kanjani ngenye indlela! Kuyinto engaqondakali nakakhulu ukuthi le nto ebizwa ngokuthi "imithi yesimanje" ihlale ihlotshaniswa nezitho ezifana nezangoma ezifunda umsebenzi wenkosi, ngokungaqondi kahle nangokukholelwa ukuthi "zinolwazi" ngendlela emangalisayo. Lena ukuphela kwendlela yokucabanga ngokuzikhukhumeza okuyiziphukuphuku ngendlela engenasihawu ephonsa iziguli ezimpofu izibikezelo ezimbi futhi ngaleyo ndlela zizifake kwalasha ojulile. Odokotela abafana nalaba bavele bakhohlwa ukuthatha umphefumulo nobuchopho bekhompyutha kukho konke abakwenzayo!

Ngaphezu kwakho konke, odokotela banamuhla sebekhohliwe ukuthi bangasihlola kanjani ngempela isiguli ngasinye, hhayi izitho zabo kuphela, kodwa futhi nengqondo yabo nobuchopho. Ngenxa yalokho, abakaze bakwazi ukuthola ukuxhumana phakathi kwe-psyche nezitho, ikakhulukazi phakathi kwezingxabano nezitho. Ngaphandle kokuncane, lokhu kushiyeka kuhamba kuwo wonke umlando wezokwelapha kusukela ezikhathini zasendulo, kodwa kuyinhlekelele ikakhulukazi kwezokwelapha zanamuhla, njengentambo evamile kuwo wonke amakhulu eminyaka. Okuthiwa umuthi ovamile wanamuhla ikakhulukazi unenkinga yokuthi usahlonipha umbono wezwe ophelelwe yisikhathi ngokuphelele we-mechanistic wekhulu le-19. I-Virchow's cell pathology, eyayicabanga ukuthi zonke izifo zibangelwa yi-pathology⁴⁴ Ukuchaza izinqubo ezingaphakathi noma ezisengqamuzaneni kusasebenza nanamuhla futhi kufanele kuhlale kanjalo ngokuvumelana nezifiso zodokotela abanezimpawu! Ngoba kuphela ngokucabanga okukodwa okuphelele komuthi wezimpawu ukuthengiswa okuhle kakhulu kungenziwa emkhakheni wezokwelapha - isiguli kufanele siqhubeke sigcinwa singavuthiwe futhi siyiziphukuphuku! Sasazi futhi sazi izinga elilodwa kuphela - lelo lezitho - ngakho-ke, ngokungafani nemithi emisha, asikwazi ukwenza noma yiziphi izitatimende zangempela mayelana nezimbangela zezifo zethu!

⁴⁴ i-pathological = i-pathological

ikhasi 61

Ukube isiguli esisodwa sasihlolwe kahle kanye nje emakhulwini eminyaka edlule, khona-ke besingathola noma bekufanele sithole ukuthi izifo zenzeka kanjani. Abahlakaniphe kunabo bonke, umuntu umane avume ngokubheka emuva, kwakungabapristi-odokotela basendulo bokhokho bethu, abazama kuqala ukubuyisela umphefumulo ukuze basebenzise amasiko, ama-runes kanye nama-incantations. Imithi yasehlathini esivame ukuyihleka usulu yayingodokotela abahlakaniphe kakhulu kunathi. Akekho noyedwa kodokotela basehlathini bomdabu base-Afrika Emnyama ongaphatha isiguli ngendlela engokomfanekiso ngaphandle kokwelapha umphefumulo waso kuqala.

Ozakwethu bangaphambili bathi “ngangiwuphendulela wonke umuthi ekhanda,” ngomqondo oyiqiniso waleli gama. Lokho kuyiqiniso impela. Kodwa kuye kwaba nodokotela abaningi abahlakaniphile abaye baveza imicabango efana neyami. Ngiyifaka ohlelweni, ibe yifomu eliphindaphindayo elingafakazelwa nganoma yisiphi isikhathi futhi, njengoba ozakwethu bami bangaphambili abazange bangisize noma cishe abazange bangisize, kwadingeka ngihlole imininingwane kanye nezifo ezihlukahlukene.

I-New Medicine ayihlanganisi nje kuphela ubudlelwano phakathi kwengqondo, ubuchopho nezitho, kodwa futhi inikeza izincazelo ze-embryological-ontogenetic zokuqonda ukuthi kungani izikhungo zokudlulisa ngazinye zitholakala ezindaweni ezisebuchosheni lapho sizithola khona. Futhi ichaza ukuxhumana phakathi kwezingqimba ezihlukene zamagciwane kanye nomphumela wokwakheka okuhlukile kwe-histological yamathumba anomdlavuza kanye nezicubu ezijwayelekile. Ngoba kuzo zonke izindawo zomdlavuza sithola iphethini ye-histological yezicubu ezitholakala lapho. Ngakho-ke, zonke izicubu ezivela ongqimbeni lwamagciwane lwangaphakathi (= endoderm) ziyi-adenoid⁴⁵ Izicubu, esimweni somdlavuza, zenza i-adeno-carcinoma, kuyilapho zonke izicubu ezivela ongqimbeni lwamagciwane olungaphandle (= ectoderm) (ngaphandle kobuchopho, obungakwazi ukwenza izimila zamangqamuzana obuchopho) yaziwa ngokuthi i-squamous epithelium njengomdlavuza ovamile.⁴⁶-Isilonda sinaso ngoba izicubu zomthombo nazo zine-squamous epithelium. Okubizwa ngokuthi i-squamous cell carcinoma sekuvele kuyisigaba sokuphulukisa, okungukuthi ukugcwalisa izilonda.

⁴⁵ i-adenoid = i-cauliflower-like columnar epithelium
⁴⁶ I-squamous epithelium = isibonelo ukwakheka kwamaseli okwenzeka kulwelwesi lwamafinyila futhi okubangela i-necrosis emise okwesitsha esigabeni se-ca, okuthiwa yizilonda. Phakathi nesigaba sokuphulukisa, lezi zinto ezifiselekayo ngokwebhayoloji, okungukuthi, okunengqondo, ukukhubazeka kwento kuyagcwala futhi ngoba akusadingeki ngemva kokuxazululwa kwengxabano.
⁴⁷ I-osteolysis = ukuchithwa kwethambo
⁴⁸ Ukukhubazeka kwezicubu, lapha esicutshini esixhumeneyo
⁴⁹ Ukucindezeleka = a) ukuphushela phansi, ukucindezeleka kwe-pathological; b) ukuphazamiseka kwengqondo
⁵⁰ Amazwibela = ama-synopsis

ikhasi 62

Phakathi kulele izicubu zongqimba lwegciwane eliphakathi (= mesoderm), izitho ze-mesodermal ezilawulwa yi-cerebellum, okuthi, njengezitho ezilawulwa yi-brainstem, nazo zikhiqize "i-tissue plus" esigabeni sokungqubuzana, kanye ne-cerebrum- izitho ezilawulwayo ze-mesoderm, okuthi esigabeni esisebenzayo se-Conflict efana ne-squamous epithelium ye-ectoderm nayo yenza "okuncane", okungukuthi i-osteolysis⁴⁷, i-necrosis yezicubu ezixhumeneyo⁴⁸. Ukucindezeleka kwe-Hematopoietic⁴⁹ et cetera futhi esigabeni sokuphulukisa, ukukhula kwezibazi ngokweqile kwethambo noma izicubu ezixhumeneyo, okubizwa ngokungenangqondo ngokuthi "i-sarcoma", nakuba empeleni kungenangozi. Lokhu kumelela umbono omusha ngokuphelele, ngokwazi kwami, ongakaze ucatshangelwe ekuhlaziyweni kwe-histology futhi nokho ulula futhi unengqondo ngokusobala!

Ngaphezu kwalezi zindilinga ezimbili ezinkulu zokuxhumanisa, ukuxhumana phakathi kwengqondo, ubuchopho nezitho kanye nokuxhumana kwesibili kokuhlanganiswa kwamaphethini okuziphatha kanye namaphethini okungqubuzana kwezingxenye ezithile zamagciwane, kodwa ngesikhathi esifanayo ekubunjweni okuqondile kwe-histological, i-New Medicine nayo. ihlanganisa omunye umbuthano wokuhlanganisa. Lokhu kubona ubudlelwano phakathi kokuziphatha okuhlukahlukene kanye namaphethini okungqubuzana kumayunithi amakhulu (umndeni, umndeni, isixuku, iphakethe, umhlambi, njll.) futhi kwelula lesi sifinyezo.⁵⁰ kuyo yonke i-cosmos kanye nokuphilisana okuye kwathuthukiswa ngaphezu kwezigidi zeminyaka phakathi komunye nomunye futhi ku-symbiosis nezinye izinhlanga, izinhlobo, izidalwa kuhlaka lwe-cosmic.

Kulo mbono, akunangqondo ukukhuluma “ngokukhiqizwa kwenyama noma kwezilwane” uma kukhulunywa ngezilwane zethu. Lokhu kuphambene ngokuphelele nanoma iyiphi ikhodi yemvelo yethu kangangokuthi asikwazi ngokufanelekile ukuzibiza ngokuthi singabantu kuze kube yilapho sesikulungisile lokhu kuguqulwa kwenkolo kwesintu sethu.

Abamelene nami bacabanga ukuthi bayangiklolodela: “KuHamer, ngisho nezilwane zinomphefumulo, ubani ongakholelwa into enjalo?” Eqinisweni, lokhu ngikubheka njengodumo olukhulu. Eqinisweni, uma kuba nokungqubuzana okufanayo nabantu, isilwane siphinde sibe nesimo esifanayo engxenyeni efanayo yobuchopho neyomuntu kanye nesitho esifanayo nesabantu.

ikhasi 63

Kodwa uma siqonda umphefumulo wethu njengengxenye ebalulekile yayo yonke imisebenzi emikhakheni yokuziphatha nokungqubuzana, kungani kungafanele futhi sinikeze "izidalwa esikanye nazo" kanye namaqabane ethu, izilwane, futhi ngokomthetho indawo yonke yezinto eziphilayo, isihloko. ngomphefumulo? Njengoba nje isimo sesigqila besingeke sibekezeleleke ukuba sicabange ngaso namuhla, ngethemba ukuthi eminyakeni embalwa isimo samanje sokugxeka isilwane sizophinde sibe esingacabangeki.

Umuthi Omusha awuyona imfundiso yokholo, njengezimfundiso zemithi ekhona njengamanje, okuthi, uma ingalandelwa, iphumele ekuvinjweni kochwepheshe, ukulaliswa kwengqondo noma ukuthuliswa noma ukuphonswa ejele, kodwa kunalokho ingenye ngokuvumelana nemithetho. wezigaba zesayensi zomcabango nganoma yisiphi isikhathi futhi kunoma yisiphi isimo umbono ophelele webhayoloji ofakakayo futhi okhiqizeka kabusha. Ngisho nomehluko ongokwengqondo phakathi kwengqondo, ubuchopho nesitho somzimba uyinganekwane nje ngokwemfundo⁵¹!

Eqinisweni, yonke into ingenye futhi eyodwa ayikwazi ukucatshangelwa ngokunengqondo ngaphandle kokunye.
Umuthi Omusha uwuhlelo olubanzi nolunengqondo kangangokuthi izifo eziningi ngokwemvelo zingena kuzo zonke. Ngenkathi ngaphambilini, ngokwesibonelo, asikwazanga ukuthola incazelo nhlobo enanini elingapheli lalokho okubizwa ngama-syndromes (ukwenzeka ngesikhathi esisodwa kwezimpawu ezimbalwa).

Isibonelo, i-schizophrenia imane nje iwukwenzeka ngesikhathi esisodwa kwezingxabano ezimbili noma ngaphezulu zezinto eziphilayo, i-Hamer foci yazo etholakala kuma-cerebral hemispheres ahlukene. Ukudangala kuwukungqubuzana kwendawo “ku-hormone stalemate”⁵² noma izingxabano zocansi kwabesifazane abasebenzisa kwesokunxele, kanye ne-lupus erythematosus⁵³, ngaphambili esatshwa njengezifo ezimbalwa, imane iwumsebenzi wokungqubuzana ngasikhathi sinye wokuqukethwe okuningana kokungqubuzana okuthile. I-leukemia ingxenye yesibili, ingxenye yesigaba sokuphulukisa ngemva komdlavuza wamathambo, ukuhlasela kwenhliziyo yinkinga ye-epileptiform phakathi nesigaba sokuphulukisa ngemva kokungqubuzana kwendawo, i-gout iyisenzakalo se-leukemia kanye nokungqubuzana kwababaleki okusebenzayo noma ukuqoqa i-duct carcinoma yezinso. njalo njalo …

Manje njengoba sesiyazi indlela yokusebenzisana, ukuphulukisa akusenzima kangako. I-schizophrenia yisifo esingalapheka nakanjani. Kakade ngemva kokungqubuzana, okungukuthi ukuxazululwa kokungqubuzana kwengxabano eyodwa kuphela kwezimbili, isiguli asisekho "ingqondo ehlukene". Ngemva kokuba zombili izingxabano sezixazululiwe (ngokuqinisekile ngangokunokwenzeka), uphile saka ngokuphelele njengomunye umuntu obebhekwa njengonempilo njalo. Kuyiqiniso ukuthi ngeke ukwazi noma uvunyelwe ukuxazulula zonke izingxabano, ngisho noma uzazi, ngakho-ke ngeke ukwazi ukwelapha bonke abagulayo, kodwa okungenani ungakwazi ukwelapha iningi labo.

⁵¹ eqanjiwe = ekhona kuphela emcabangweni wethu.
⁵² I-Hormonal stalemate = ibhalansi elinganiselwe yamahomoni abesilisa nabesifazane ngokugcizelela kancane ohlangothini olulodwa
⁵³ I-Lupus erythematosus = okuthiwa yi-syndrome enezinguquko esikhumbeni, amalunga nezitho zangaphakathi.

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Wonke lawa mathuba amasha okubona nokwelapha asuselwa ekuqondeni imithetho emi-5 yemvelo yemvelo. Umthetho wesihlanu we-Biological Natural Law, lokho okubizwa nge-“Quintessence”, uthuthukiswa usuka emithethweni emi-5 yangaphambilini Yemvelo Yemvelo Yomuthi Omusha.

Sekungokokuqala ngqa ukuthi kube nomuthi onesayense kakhulu, kodwa ngesikhathi esifanayo onobuntu - onezinhliziyo nezandla ezifudumele - futhi ngesikhathi esifanayo kubantu, izilwane, izitshalo, ngisho nengqamuzana ngalinye kanye abantu Ngakho-ke isimiso sisebenza endaweni yonke!

Lokhu kusho ukuthi: Ngokokuqala ngqá, manje sesingakwazi “ukuqonda” ngempela izidalwa esikanye nazo, izilwane nezitshalo, ngomqondo wangempela waleli gama. Singaxhumana nawe ngokwengqondo, sikhulume nawe singakhulumi. Futhi, khumbula, lesi sici esisha sokuqonda phakathi kwezilwane ne-cosmic sisekelwe emithethweni yesayensi engenziwa kabusha nganoma yisiphi isikhathi.

Ngezansi ngikwethule ithebula eliqhathanisa umehluko obaluleke kakhulu phakathi kwemithi Emisha kanye nemithi evamile:

Umbono womhlaba, ngokusho kwalokhu okubizwa nge-SCHOOL MEDICINE:
I-mechanistic-materialistic worldview yekhulu le-19.
Umuthi ovamile usasekelwe ekucabangeni ukuthi i-pathogenic⁵⁴ Izimbangela zilele noma kuseli (i-Virchow's cell pathology).
Ubuchwepheshe bamayunithi amancane kakhulu, isibonelo: izakhi zofuzo noma ukuguqulwa kwazo, amagciwane noma izingxenye zamagciwane.

I-Worldview ngokusho kwe-NEW MEDICINE:
I-cosmos yabantu, izilwane nezitshalo, ngokwemvelo ubuNkulunkulu buvezwa ngemithetho emi-5 yemvelo yemvelo. Zonke izidalwa eziphilayo zinomphefumulo.
"Ngoba empeleni yonke into ingenye futhi umuntu akanakucatshangelwa ngokunengqondo ngaphandle kokubuka sekukonke, i-synopsis.

⁵⁴i-pathogenic = isifo esidala, esidala izifo

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Ukucabanga ngokwalokho okubizwa nge-SCHOOL MEDICINE:
one-dimensional: wazi ileveli eyodwa kuphela, isitho noma ileveli yeseli. Ngalo mqondo, ubuchopho bubuye bubonakale "njengesitho". Cabanga ngomugqa kuphela.

Ukucabanga ngokusho kwe-NEW MEDICINE:
multidimensional: uyazi amazinga 3 (psyche, ubuchopho, izitho). Ukucabanga emibuthanweni ehlukahlukene yokulawula noma yokuxhumanisa = ukucabanga okunenethiwekhi.

Incazelo yomqondo wesifo ngokwalokho okubizwa ngokuthi IMITHI YESIKOLE:
Ukuqhekeka, ukuphazamiseka, ukwehluleka kwemvelo. Amangqamuzana ahlakazekile, ukukhula okungenangqondo, ukuzibhubhisa komzimba, kuyingozi. Igunyaza I-SCHOOL MEDICINE yokungenelela "okulawula" njalo kuzo zonke izinqubo.

Incazelo yomqondo wokugula ngokwe-NEW MEDICINE:
“Ukugula” njengengxenye yoHlelo Olukhethekile Lwezemvelo Yemvelo (SBS).

Izinyathelo zokwelashwa ngokwalokho okubizwa nge-SCHOOL MEDICINE:
Ukungenelela

Isenzo sezokwelashwa ngokuya NGE-NEW MEDICINE:
Ukusiza, ukukhuthaza, ukuchaza, ukunikeza ukuqonda ngezimbangela zokugula kanye nenqubo yokuphulukisa eyengeziwe. Linda kuze kube yilapho imvelo iqeda umsebenzi wayo.

Iziguli ngokwalokho okubizwa nge-SCHOOL MEDICINE:
Abantu “ababekezelelayo” abavunyelwe ukuba nezwi ngoba “abaqondi lutho ngemithi” kuthiwa odokotela bathatha “isibopho” sesiguli, kodwa empeleni abaqondi.

Iziguli ngokusho kwe-NEW MEDICINE:
Inhloko yenqubo, ovuthiwe, angakwazi futhi kufanele abe nezwi, ngoba nguye yedwa onesibopho ngomzimba wakhe futhi ongakwazi ukwenza izinqumo yedwa.

Ukwelashwa ngokwalokho okubizwa nge-SCHOOL MEDICINE:
I-Symptomatic ngokusho "okutholakele" kwezibalo ngokuya "ngamaphrothokholi" aphesheya (isibonelo i-chemo).

Ukwelashwa ngokusho kwe-NEW MEDICINE:
imbangela, kuwo womathathu amazinga, umuntu ngamunye, ukulandela imvelo noma uhlelo olukhethekile lwebhayoloji

Izimbangela zokugula ngokwalokho okubizwa nge-SCHOOL MEDICINE:
engaziwa, kucatshangwa ukuthi i-organic kuphela.

Izimbangela zokugula ngokusho kwe-NEW MEDICINE:
eyaziwa, DHS.

Ukuzuza ulwazi ngokwalokho okubizwa nge-SCHOOL MEDICINE:
Izibalo, okungenzeka.

Ukuzuza ulwazi ngokoMUTHI OMUSHA:
I-Empiricism, imithetho yebhayoloji yemvelo, icala ngalinye lingakhiqizwa kabusha ngokwesayensi.

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5 UMTHETHO WE-IRON OF CANCER – The 1st Biological Natural Law of New Medicine

Amakhasi 67 kuya ku-82

I-IRON RULE OF CANCER umthetho webhayoloji otholakale ngokugunyazwa okube yiqiniso kuze kube manje ngaphandle kokukhetha ezimweni ezingu-30 engizihlolile.

UMTHETHO WE-IRON OF CANCER wuhlelo olunqunywe ngokweqile lwemisebenzi emithathu ehlobene, lapho ngingabala khona okubili okusele uma ngazi owodwa.

UMTHETHO WE-IRON OF CANCER uthi:

1. izindlela:

Noma yimuphi umdlavuza noma okulingana nomdlavuza⁵⁵-"Isifo" (manje esiqashelwa njengengxenye yohlelo olukhethekile lwesayensi yezinto eziphilayo) sivela nge-DHS, okungukuthi,

okunzima kakhulu
acute-amadlingozi kakhulu futhi
eyedwa

Isipiliyoni sokushaqeka, kanyekanye noma cishe kanyekanye kuwo wonke amazinga ama-3

2. izindlela:

Okwamanje we-DHS, okuqukethwe kokungqubuzana kunquma kokubili ukwenziwa kwasendaweni kokugxila kuka-Hamer ebuchosheni kanye nokwenza kwasendaweni komdlavuza noma okulingana nomdlavuza esithweni.

3. izindlela:

Inkambo yokungqubuzana ihambisana nenkambo ethile yokugxila kuka-Hamer ebuchosheni kanye nenkambo eqondile kakhulu yomdlavuza noma uhlelo olukhethekile olulingana nomdlavuza esithweni.

⁵⁵ Okulingana nomdlavuza = kusho zonke ezinye izifo isigaba sazo sokuqala, sokungqubuzana sasihlala siqalwa ukushaqeka kwengxabano yezinto eziphilayo. Imithetho ye-5 yemvelo yemvelo ingatholakala kuzo zonke "izifo".

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Ukutholakala kwe-IRON RULE OF CANCER kwaqala ngokushona kwendodana yami u-Dirk, eyadutshulwa yabulawa yiNkosana yase-Italy yoMqhele esiqhingini saseMedithera iCavallo ngaseCorsica ekuseni ngo-August 18, 1978, cishe ezinyangeni ezi-4 kamuva, ngo-December 7. , ngo-1978 ngaphansi kwezimo ezimbi kakhulu wafela ezingalweni zami eHeidelberg University Hospital.

Ngaleso sikhathi kwatholakala ukuthi ngine-testicular carcinoma, ikakhulukazi i-terato- kanye ne-interstitial carcinoma.⁵⁶ I-Carcinoma ye-testicle efanele. Ngaleso sikhathi, ngokuphambene neseluleko soprofesa baseTübingen, ngaphikelela ngokuthi kufanele kuhlinzwe i-sende elivuvukele ngoba kakade ngase nginokusola okungacacile kokuthi kukhona okwenzeka kimi ngenxa yokushona kwendodana yami, eyayingakaze ibe ngamabomu. ukugula kakhulu ngaphambi kokuthi kuqalwe ezingeni lomzimba. Isigaba esiqandisiwe kuthiwa siveze i-teratocarcinoma kanye ne-interstitial carcinoma. Ngemva kokululama, nganquma ukuveza izinsolo zami ngokushesha nje lapho ngithola ithuba. Lokhu kwavela ngo-1981 lapho ngisebenza njengodokotela omkhulu wezokwelapha wangaphakathi emtholampilo womdlavuza:

I-IRON RULE OF CANCER, eyatholwa ehlobo lika-1981, ekuqaleni yayibonakala isebenza kuphela kumdlavuza wezifo zabesifazane. Kodwa ngokushesha kwabonakala ukuthi ingasetshenziswa kuzo zonke izinhlobo zomdlavuza. Ekugcineni ngathola ukuthi empeleni zonke lezi okuthiwa “izifo” kwakungaba umdlavuza noma okufana nomdlavuza, okungukuthi, into efana nomdlavuza. Ngakho-ke, kwakunengqondo ukuthi umthetho we-IRON RULE OF CANCER kufanele usebenze kukho konke okubizwa ngokuthi izifo kuyo yonke imithi. Isebenza kuyo yonke imithi. Njengoba libizwa kanjalo, silishiya negama laso esikhundleni sokuthi: “UMTHETHO WENKHINDI wemithi yonke”.

5.1 Umbandela woku-1 woMTHETHO WE-IRON WOMDLAVUZA

Umbandela wokuqala uchaza izimo zokuvela kokungqubuzana kwezinto eziphilayo futhi ngaleyo ndlela uzihlukanise ngokushesha nalokho okubizwa ngokuthi izingxabano ezingokwengqondo noma ezingokwengqondo, ezibizwa kangcono ngokuthi izingxabano ezingokwengqondo. Izingxabano ezingokwengqondo yizingxabano ezingapheli, ezihlala isikhathi eside noma izinkinga noma lezo obunesikhathi sokuzilungiselela nokuzilungisa.

⁵⁶ interstitial = ilele phakathi, isibonelo isicubu esitholakala phakathi kwe-parenchyma

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Lesi sikhathi asidingi ukuba side, ngezinye izikhathi imizuzwana embalwa. Thina bantu siphinde sinqobe izingxabano eziningi ezingokwengqondo kanye nezinkinga zohlobo olujwayelekile, esingazilungiselela ngaphambi kwesikhathi futhi esesizazi kakade.

Ngokuphambene ngokuphelele nalokhu ukungqubuzana kwezinto eziphilayo phakathi kwabantu kanye (nezilwane ezincelisayo), okungenzeka futhi kwenzeka ngendlela efanayo noma efanekisayo kuzo zonke ezinye izilwane ngisho nezitshalo.

Ukungqubuzana kwemvelo kuwukushaqeka kwengxabano okunzima, okubucayi kakhulu, okumangazayo nokuhlukanisayo okusibamba singazilungiselele ngokuphelele futhi “nonyawo olungalungile”. Ngiye ngabona iziguli eziningi ezazinezihlobo ezintathu noma ezine ezisondelene kakhulu ezazisondelene ngempela nazo zifa. Endabeni yesiguli esisodwa kwagqama kakhulu: owokugcina ezihlotsheni ezine ezishonile, umalume, wayenesifuba esihle, esidala okwakuthiwa wayesithembise isiguli, kodwa wasishiyela kudadewabo wesiguli encwadini yakhe yefa. Lokhu kwamphatha kabi engalindele ngoba wayeseyilindele ngokugcwele futhi wayeseyilungisele indawo yodumo endlini yokuphumula. Wathwala intukuthelo engagayeki; wayesevele ethathe ingxenye yengqondo yakhe futhi kwadingeka ukuthi ayiyeke futhi: wagula ngenxa yomdlavuza we-pancreatic. Futhi sizobona kamuva ukuthi i-pancreatic carcinoma ayiyona "i-glitch", kodwa iyinqubo enengqondo yezinto eziphilayo. Inhloso yebhayoloji iwukukhiqiza ujusi owengeziwe wokugaya ku-pancreas ukuze mhlawumbe ukwazi ukumunca (ukugaya) ingxenye (isifuba).

Ngokombono “wengqondo”, ukufa (“ukulahlekelwa”) kwalezi zihlobo eziseduze kwakufanele kube okubaluleke kakhulu - kodwa kwakungenjalo, ngoba ngesinye sezihlobo ezine kwakwaziwa ngaphambili ukuthi, njengokudabukisayo. njengoba kwakunjalo, kwakungasekho okwakumelwe kwenziwe. Izihlobo zakhalelwa ngokufanelekile; kwakuyingxabano engokwengqondo noma yengqondo yokulahlekelwa, kodwa kwakungeyona ingxabano yemvelo. Nokho, ukwehluleka ukuthola isifuba njengefa kwashaya isiguli ngokuphelele. Lokhu kwadala ukungqubuzana kwezinto eziphilayo kanye nomdlavuza kumanyikwe!

Izazi zokusebenza kwengqondo zazihlale zibheka izingxabano ezazibonakala zibalulekile ngokwengqondo, izingxabano ezifihlekile ezazakheka isikhathi eside, ngokuvamile ezisukela ebuntwaneni nasebusheni, ngokuvamile ngemva kokulahlekelwa isihlobo, isibonelo, kodwa azizange ziyithole imbangela! Babehlale bengacabangi ukuthi “bangalindele”. Ngakho-ke, zonke izibalo zemvelo ye-psychosomatic abazihlanganisayo zazingenangqondo noma zingasho lutho, ngoba babengafundanga ukucabanga ngokwebhayoloji.

Kubalulekile futhi ukuqonda ukuthi isehlakalo esisodwa nesinye (isibonelo ingozi) akudingekile ukuthi sibangele ukungqubuzana okufanayo kuwo wonke umuntu noma sibangele i-DHS nhlobo. Ukuhlupheka ngenxa yokungqubuzana kuyinto ebaluleke kakhulu, futhi okuwukuphela kwento ebalulekile ukuthi isiguli sibika ini ngakho.

ikhasi 69

5.1.1 Incazelo yegama elithi “ingxabano” ku-IRON RULE OF CANCER (ERC)

Ukungqubuzana kufanele kuhlale kuchazwa ngendlela yokuthi, ngokomthetho, kungasebenza ngokulinganayo kuzo zonke izidalwa eziphilayo. Ngichaza igama elithi ukungqubuzana ngokomqondo ngokuthi “ingxabano yebhayoloji.” Njengoba sekushiwo kakade, uprofesa wezifo zengqondo eyunivesithi wabuzwa ijaji ukuthi wachaza kanjani ngolimi lwakhe, isibonelo, ukungqubuzana kobulili uDokotela Hamer akuthola enqubweni yokungqubuzana lapho unkosikazi ebambe umyeni wakhe "ku-flagganti" futhi manje unomunye. Ngihlushwa “ukugxila kukaHamer” phezu kwendlebe yami yangakwesobunxele. Impendulo: "Ngingakubiza ngokulimala kwe-narcissistic." Umbuzo wami ophikisayo: "Ungaphinde unikeze inja yami ikhwalithi efanayo yencazelo yokungqubuzana kwengqondo?"

Yilapho kanye okucatshangelwa khona: Umuthi osungulwe njalo uchaza izincazelo zethu zokungqubuzana ikakhulukazi ngamagama enkolo-ifilosofi-psychoanalytical, inkolelo-mbono.

Kimina azikho izinkolelo-mbono ezingabekela isayensi imingcele. Uma ngithola ukuthi abantu nezilwane bayagula ngenxa yohlobo olufanayo lokungqubuzana kwezinto eziphilayo futhi izinqubo ezifanayo kanye nezinguquko zibonwa endaweni yengqondo, yobuchopho kanye ne-organic, khona-ke iziphetho, imithetho noma imithetho kufanele isekelwe emaqinisweni hhayi enye. ngapha nangapha.

Ukungqubuzana ohlelweni lomqondo lwe-New Medicine akufanele kuqondwe ngomqondo walokho okubizwa ngokuthi i-psychoanalysis njengokwakhiwa "komlaza ophikisanayo" phakathi namashumi eminyaka, kodwa kunalokho njengokungqubuzana kwezinto eziphilayo. Lokhu kungqubuzana kwemvelo, okushaya abantu nezilwane njengokushaywa kombani e-DHS futhi kubangela ukugxila kuka-Hamer ebuchosheni, kanye nokuqala uhlelo olukhethekile lwebhayoloji yayo yonke into ephilayo, iwumlaza wesekhondi. Yiqiniso, ubuntu bubonke buhilelekile ekungqubuzaneni kwezinto eziphilayo. Kodwa ngokuvamile akuyona into ebalulekile leyo. Isibonelo, ingxabano enkulu nomamezala mayelana nezingane iba i-DHS ngegama elilodwa nje: “Wena ngulube!” Kulo mzuzwana, okuqukethwe kokungqubuzana kuchazwa ekuqondeni kwesiguli.

ikhasi 70

Isibonelo, uhlushwa ukungqubuzana kokumaka kwendawo, i-Hamer lesion (HH) ku-periinsular kwesokudla futhi, ngokwendalo, i-bladder ulcer carcinoma. Kusukela lapho kuqhubeke, yonke impikiswano eyengeziwe yalokhu kungqubuzana kwemvelo iqhubeka ngale “threkhi yokuqukethwe okungqubuzanayo”. Umkhwekazi naye wayengase amemeze: “Uyagijima!” Khona-ke isiguli sasingase sibe nokungqubuzana kokuzethemba futhi impikiswano eyengeziwe, njengoba isiguli sasikuqonda, yayiyohlale igxile ekuzihlonipheni kwaso, kungakhathaliseki ukuthi kwakungumdlalo noma cha. Bekungaba "ithrekhi yokuqukethwe okungqubuzanayo" ehluke ngokuphelele.

Ukungqubuzana kwebhayoloji kunqunywa kwesesibili se-DHS, okusho ukuthi okuqukethwe kokungqubuzana kunqunywa kulo wesibili, ngesisekelo lapho okunye ukungqubuzana kwebhayoloji kwenzeka. Isibonelo, owesifazane obamba umyeni wakhe "esenzweni" akudingeki ukuthi abhekane nengxabano yezocansi. Akudingeki ukuthi ibhekane nokungqubuzana kwezinto eziphilayo, kodwa izobhekana nengxabano kuphela uma ibhekene nesimo ngokungalindelekile ngendlela eyodwa noma ngaphezulu. Kepha noma kukhulunywa nge-DHS, kunenombolo yokuqukethwe okungqubuzanayo okungenzeka:

1. Okungenzeka: Nge-DHS, isiguli sibona isimo njengokungqubuzana kwebhayoloji yezocansi yokungakopishwa. Ngobuchopho, wayezoba nesilonda se-Hamer kwesokunxele se-periinsular, ngokwemvelo i-cervical carcinoma (uma isandla sokudla), kanye nezilonda emithanjeni yenhliziyo yenhliziyo.
2. Okungenzeka: Isiguli singase sibe nomngane womndeni ngokwaso, kodwa asisamthandi umyeni waso. Okwamanje we-DHS uzwa ukuthi lesi simo siyinhlamba futhi siwukukhaphela komuntu ukuthi umyeni wakhe umphoxa phambi kwabo bonke omakhelwane.
   Okwamanje we-DHS uhlushwa ukungqubuzana kozakwethu okuvamile, i-cerebral i-Hamer focus kwesokunxele.
   I-Cerebellum kanye nomdlavuza we-organic webele elingakwesokudla. (Kucatshangwa ukuthi unesandla sokudla.)
3. Okungenzeka: Isiguli sibona intsha, imbangi enhle okwamanje ye-DHS njengokungqubuzana kwaso ukuzethemba. "Ukwazile ukumnika lokho engingeke ngisakwazi ukumnika kona."⁵⁷ Ama-marrow deposits kanye nomdlavuza wamathambo endaweni ye-pelvic.
4. Okungenzeka: Isiguli kungenzeka ukuthi sesidlulile esikhathini sokunqamuka kokuya esikhathini futhi sisabele ngendlela yowesilisa. Khona-ke wayekwazi ukubona isimo esifanayo ngesikhathi se-DHS njengokungqubuzana kwendawo enezilonda ze-Hamer ku-periinsular kwesokudla kanye ne-coronary ulcer carcinoma, i-intrabronchial carcinoma noma uma "bekuwukungqubuzana kophawu lwendawo" ngesibaluli esithi "isiphithiphithi esinjalo" ., i-carcinoma yesinye. (Kucatshangwa ukuthi unesandla sokudla.)
5. Okungenzeka: Nokho, i-ovarian carcinoma nayo ingaba yinto evamile⁵⁸, njengengxabano “ebi ingxenye yesitho sangasese” kanye nokulahlekelwa ngokugxila kuka-Hamer ku-paramedian-occipital⁵⁹ Indawo.

⁵⁷ i-occipital = etholakala ngemuva kwekhanda
⁵⁸ i-ovary = i-ovary
⁵⁹ para = ingxenye yegama enencazelo: at, eduze, eduze, ngokumelene, ukuchezuka ku-medial evamile = ingxenye yegama enencazelo: eduze ne-midoccipital = ngokuphathelene ne-occiput

Kuleli qophelo ngithanda ukucela umfundi ukuba angadukiswa yizincazelo ngendawo yemihlambi kaHamer. Kubantu abavamile, lokhu kunzima ukukuqonda ngokuningiliziwe noma kunjalo. Into ebaluleke kakhulu ukukwazi ukusebenzisa irejista ukuze kamuva ubhekane netafula lokungqubuzana elithi "Psyche - Brain - Organ"!

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Ngakho siyabona ukuthi inqubo "efanayo" noma isimo asifani neze. Yimuzwa kuphela okwamanje we-DHS onquma ngokuqukethwe kokungqubuzana futhi ngaleyo ndlela “kuthrekhi” lapho kuqhubeka khona ukungqubuzana kwemvelo okuqhubekayo.

Lokhu kuxhumana kuphinde kuholele eziphakamisweni zokungazi lutho zalokho okubizwa ngokuthi “okulindelekile⁶⁰ Izifundo” ad absurdum. I-“non-convertibility⁶¹” yesistimu akubona ubuthakathaka besayensi, kodwa kunalokho kulandela iqiniso lokuthi cishe akunakwenzeka ngomhloli ukubikezela nganoma yiliphi izinga lokuqiniseka ukuthi isiguli siyobhekana noma sibhekane nokungqubuzana okungase kucatshangwe. . Ngisho nezihlobo eziseduze zivame ukumangala uma sezicwaningile, isibonelo, ikuphi ukungqubuzana okungadala ukuthi isiguli sitholakale sinomdlavuza.

⁶⁰ prospective = kusho ukubona kusengaphambili ngomqondo wokubikezela
⁶¹ ukuntula ithuba lokushintshanisa okuthile (lapha uhlelo) ngokuzenzakalelayo nangokukhululekile

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Khona-ke bavame ukuthi: “Bekungaba lokhu nalokhuya kuphela uma ubuza isiguli phambi kwezihlobo zaso, ngokuvamile sithi: “Cha, akungicasulanga nhlobo lokho.” I-DHS kanye Nokungqubuzana okubangele ngokuvamile kumangaza wonke umuntu ekuqaleni. Kamuva, lapho sebeyiqondile lendaba, bavame ukuthi: “Yebo, bekufanele kube njalo.” Isibonelo esihle kakhulu salokhu kwakuyisiguli sase-Erlangen University Hospital, engakwazi ukusihlola kwesaso igumbi lasesibhedlela. Wayehlaselwe isifo senhliziyo esibuhlungu. Ngakho-ke kufanele ukuthi wabhekana nengxabano yendawo ne-DHS. Ukuzibuza nje, bekuyini ukungqubuzana kwezindawo? Ngakho, phambi kukadokotela wewadi, ngambuza ukuthi wayeke wabhekana nini futhi hlobo luni lwengxabano yesifunda. Impendulo: akukho. Ungumgcini wendlu yezihambi ophumelelayo, izikhulu zomuzi wonke ziyizivakashi zakhe, unezingane ezimbili ezinempilo, unkosikazi omuhle, akukho zinkinga zemali, konke kuhamba kahle, akukho mbuzo kunoma yikuphi ukungqubuzana kwendawo. Manje ngambuza ukuthi unesikhathi esingakanani ekhuluphala. Impendulo: amaviki angu-6. Kusukela ku-EKG ngakwazi ukwahlulela ukuthi ukuhlaselwa yinhliziyo kwakungeke kube kubi kakhulu. Ngibale: ukungqubuzana kufanele ukuthi kwenzeke cishe emasontweni ayi-6 edlule ukungqubuzana bekungathatha okungenani izinyanga ezi-3 kuye kwezi-4. Ngathi kuye, “Cishe ezinyangeni eziyisi-6 ezedlule kufanele ukuthi kwenzeke into embi ekwenze waqwasha. Futhi emasontweni ayisi-6 noma angu-8 edlule kwase kuphelile." - "Hhayi-ke, Dokotela, uma ubuza kanjalo, kodwa cha, angicabangi ukuthi isifo senhliziyo singabangelwa into enjalo." Lokhu okulandelayo kwenzeka:

Ukuziqhenya nenjabulo yesiguli bekuyindlu yezinyoni enezinyoni ezingavamile. Zonke izihambeli zakhe ezinobungane zazikwazi ukubabaza lezi zinyoni. Wayengazange ayidlele imali; Ngaphambi kwesidlo sasekuseni wadlula wabheka izinyoni zakhe, zase zilinganiselwa ku-30.

Ngolunye usuku ekuseni uza njengenjwayelo futhi - umlomo wakhe uvuleka: zonke izinyoni zase zinyamalele ngaphandle kwenyoni encane "Amasela" kwaba umcabango wakhe wokuqala futhi wabumba i-DHS yakhe. Amasela agqekeza indawo yami. Omakhelwane bafika futhi yonke indawo yezinyoni yahlolwa Ekugcineni bathola umgodi omncane owawumbiwe ngaphansi kwendlu yezinyoni. Umlimi ongumakad’ ebona washo igama elilodwa kuphela: “Weasel.” Kusukela ngaleso sikhathi kuqhubeke, isiguli saba nomcabango owodwa kuphela engqondweni yaso: ukubamba inkawu. Ngemva kokuhluleka okumbalwa, wakwazi ukubamba i-weasel ogibeni Kungaleso sikhathi kuphela lapho engaqala khona ukuguqula i-aviary, ayenze "i-weasel-proof" futhi athenge izinyoni ezintsha. Cishe ngemva kwezinyanga ezi-3 1⁄2 konke kwase kuhamba kahle futhi ukungqubuzana kwaxazululwa nakanjani. Lapho ecabanga ngakho kamuva, waziqhenya kakhulu ngokuthi ulahlekelwe amakhilogremu ambalwa ngesikhathi (isikhathi sokungqubuzana). Kodwa emasontweni angu-6 edlule wayesezuze sonke isisindo emuva kanye namakhilogremu ambalwa ngaphezulu.

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Udokotela wewadi wahlala yonke inkulumo emangele. Manje wasukuma wathi: “Mnu. Mhlawumbe konke esikwenzayo lapha akulungile. Kunoma ikuphi, ukubonakaliswa kwakho kwangehlula.”

Ngisho nesiguli sathi: “Manje njengoba sengicabanga ngakho ngemva kwengxoxo yethu, ngangingazi lutho olwalungangilimaza ngaphezu kokweba izinyoni zami.”

Lokhu akuhlangene ne-psychoanalysis kanye nokungqubuzana ngomqondo wangaphambili wengqondo. Uma kukhulunywa ngokungqubuzana kwezinto eziphilayo, akunandaba ukuthi ukungqubuzana kusabonakala kubaluleke kamuva, lapho konke "sekulungile" futhi. Emuva ngesikhathi se-DHS, isiguli sazizwa ngale ndlela futhi lokho kwakubalulekile. Ngemva kwalokho, ukungqubuzana kwaqala ukuguquguquka kwayo. Umuntu othile, ngisho inkaza encane, yayingene endaweni yesiguli. Wayengase aqale ukulungisa i-aviary yakhe ngaso leso sikhathi. Cha - njengoba isisho sisho, samshiya "engenakuthula". Kwaze kwaba yilapho esenze isitha sangabi nangozi lapho wakwazi khona ukwakha kabusha indawo yakhe “ngokuthula”. Ungakwazi ukuzwa ngokoqobo idrama yebhayoloji yalokhu kungqubuzana kwendawo.

5.1.2 I-DIRK-HAMER SYNDROME (DHS)

I-DHS iyisisekelo SOMUTHI OMSHA futhi iyisizinda sakho konke ukuxilonga.

Kuyinto njalo, nakuba ngike ngabhekana nakho izikhathi ezingamashumi ezinkulungwane manje. Akuzona noma yiziphi izingxabano eziqala kancane ezidala umdlavuza, kuhlezi kushaywa umbani onjengokushaqeka nokungalindelekile oshaya abantu, ubamise, ubenze bangakwazi ukukhuluma igama elilodwa, futhi ubashiye bekhungathekile.⁶².

⁶² Ukwethuka = ​​ukwethuka, ukudumala

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Sithola umlaza ofanayo ngomqondo ongokomfanekiso nge-DHS, ukushaqeka kwengxabano, lapho isiguli siphinde sibanjwe "ngonyawo olungalungile". Ngoba i-DHS ayibhekani nesimo sokungqubuzana akwazi ukusilungiselela kusengaphambili. Njengoba unozinti ekwazi ukwenza ukusindisa okuhle kakhulu futhi ashaye ibhola liphuma ekhoneni elikude lepali uma - yebo, uma ibhola lihamba lapho unozinti ayehlosile ukuba liye khona; Ngakho-ke thina bantu singabekezelela izingxabano eziningi ngaphandle kokugula kuzo uma sinesikhathi sokuzijwayela kusengaphambili.

Namuhla, thina bantu silahlekelwe kakhulu ubuhlobo bethu nendawo esihlala kuyo kanye nezidalwa esikanye nazo, izilwane. Kungale ndlela kuphela lapho kungavela khona umbono ongokwemvelo noma omncane wezingxabano zobuhlakani ezingahlobene neqiniso lebhayoloji. Abantu babesanda kusuka kude empiricism⁶³ isuswe futhi yakhe amacala angahlangene nesipiliyoni sangempela sabantu, okungenani hhayi mayelana nokuthuthukiswa kokugula.

Eqinisweni, abantu bazizwa futhi bezwe ngokuvumelana namasekhethi okulawula ebhayoloji yakudala, futhi bahlangabezana nokungqubuzana kwezinto eziphilayo kuyilapho becabanga ukuthi bacabanga ngaphandle kwemvelo.

Impucuko yesimanje, engabambeleli kunoma yikuphi ukwakheka okuyisisekelo kwezinto eziphilayo, isibeka thina bantu enkingeni embi kakhulu. Uma silandela izindlela zokuziphatha esisinikeze zona imvelo, kuzofanele samukele zonke izinhlobo zokungalungi kwezenhlalo ezingase zisicekele phansi. Kodwa uma silandela imiyalelo esiyinikwa osopolitiki, abameli kanye namasonto, eqondiswe kakhulu ngokumelene nekhodi yethu yakudala, kusho ukuthi cishe sifakwe ngaphambili ekungqubuzaneni. Ngokwetiyori, ungabonakala ukhohlisa abantu ngokuthanda kwakho ngemithetho engenasisekelo, kodwa sikukhokhela ngesihluku. Nakuba bekulokhu kukhona ukujwayela kwezinhlobo ezahlukene ezishintshashintshayo izimo zemvelo - yilokhu ukukhula kwemvelo kuncike kukho - kodwa lezi zinguquko ("ukuguqulwa kwezakhi zofuzo") ngokuvamile zihlala amakhulu ezinkulungwane zeminyaka. Okwamanje kanye neminyaka eyi-100.000 ezayo, lokhu akusisizi enkingeni yethu.

⁶³I-Empiricism = isipiliyoni, ulwazi olusekelwe kokuhlangenwe nakho

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Kuze kube manje, abantu abaningi bebengakwazi lokhu noma bebengakuqondi ngempela. Umuthi omusha udinga ukuthi sifune futhi sithole impendulo yalokhu. Hhayi ukuthi ngaleso sikhathi ngeke sisabhekana nezingxabano, izingxabano zezinto eziphilayo. Ngoba ukungqubuzana kwezinto eziphilayo nakho kuyingxenye yemvelo futhi akukubi futhi akukuhle. Simply engokoqobo futhi emvelweni ngesikhathi esifanayo indlela yokukhetha kanye nokulondolozwa kwezinhlobo zezilwane Kodwa ngikholelwa ukuthi thina bantu sizophila ukuphila okujabulisayo uma siphila ngokuvumelana nekhodi yobuchopho bethu futhi.

I-DHS (DIRK-HAMER SYNDROME) iwukushaqeka okunzima kakhulu, okubucayi kakhulu, okumangalisayo nokuhlukanisayo okubangelwa ukungqubuzana kwezinto eziphilayo. Icupha i-Sensible Biological Special Programme (SBS) yemvelo njengempendulo enengqondo engozini noma isimo esiphuthumayo lapho okuphilayo kungakwazi ukuphendula emzamweni wokuqala. Ithuba lemvelo!

Qaphela:

I-DHS inalezi zakhiwo nezincazelo ezilandelayo:

1. I-DHS ivela njengokushaqeka okungalindelekile ukungqubuzana kwezinto eziphilayo cishe ngomzuzwana.

2. I-DHS inquma okuqukethwe kokungqubuzana, ngokunembe kakhudlwana okuqukethwe ukungqubuzana kwezinto eziphilayo. Kulokhu "Ujantshi" ukungqubuzana okulandelayo kuyaqhubeka.

3. I-DHS inquma ukwenziwa kwasendaweni kokugxila kuka-Hamer (HH) ebuchosheni ngokuqukethwe kokungqubuzana kwezinto eziphilayo.

4. I-DHS inquma indawo yomdlavuza esithweni ngokunquma okuqukethwe ukungqubuzana kwezinto eziphilayo kanye nokunquma indawo yokugxila kuka-Hamer ebuchosheni.

5. I-DHS futhi - uma isivele yenziwe - ukungqubuzana kuyizisekelo ezibaluleke kakhulu zanoma iyiphi i-anamnesis yokungqubuzana kwezinto eziphilayo. Kunoma ikuphi, kubalulekile ukuthola ukuthi i-DHS ingubani, ngisho noma ukungqubuzana sekuxazululiwe kakade. Ukuphinda kwengxabano kungagwenywa kuphela uma i-DHS yoqobo yaziwa kahle.

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6. I-DHS ngokushesha ayishintshi nje ithoni yezitshalo⁶⁴ futhi kwenza Iphimbo elinozwelo elingapheli⁶⁵, kodwa futhi ishintsha ubuntu, njengoba kungabonakala ngokucacile kulokho okubizwa ngokuthi "ingxabano elengayo".

7. Kusukela kwesekhondi lokuqala, i-DHS idala uhlobo lwethoni yozwelo ehlala njalo ebuchosheni endaweni uHamer agxile kuyo. Kodwa-ke, ubuchopho bonke bubandakanyeka kakhulu noma kancane kulokhu kushintsha.

8. I-DHS idala umdlavuza noma umdlavuza olingana nesitho kusukela ngomzuzwana wokuqala. Umdlavuza esithweni uzibonakalisa ngezindlela ezihlukahlukene:

a. i-mitotic enamandla⁶⁶ Ukukhula kwamangqamuzana lapho izitho zongqimba lwamagciwane lwangaphakathi (endoderm) zithinteka;

b. i-cotyledon ephakathi
a) Cerebellar mesoderm⁶⁷ yenza ukukhula kwe-mitotic ngesikhathi sokungqubuzana
b) Cerebral mesoderm⁶⁸ (isitoreji se-medullary) kubangela i-necrosis esigabeni sokungqubuzana, futhi esigabeni sokuphulukisa kubangela ukugcwaliswa okunengqondo kwe-necrosis, ebizwa ngokuthi i-sarcoma.

c. Ukulahleka kweseli ngezilonda ezinomdlavuza we-cerebral ectoderm⁶⁹.
Akukho ukulahleka kwamaseli ngoshintsho ekusebenzeni "kwentambo yokushaqeka" (endocrine⁷⁰ uhlelo lwe-pituitary gland, i-thyroid, i-α kanye ne-ß islet cell of pancreas).

⁶⁴ ibhekisela ku-biorhythm yethu, okungukuthi isigaba sosuku lwe-sympathicotonic (isigaba sokuvuka, isigaba sokucindezeleka) kanye nesigaba sasebusuku se-vagotonic (isigaba sokuphumula).
⁶⁵ Ithoni yozwela ehlala njalo = ukucindezeleka okungapheli/isigaba sosuku
⁶⁶ mitotic = mayelana nokuhlukaniswa kwamaseli
⁶⁷ I-Cerebellar mesoderm = ithinta zonke izitho zongqimba lwegciwane oluphakathi olulawulwa yi-cerebellum.
⁶⁸ I-Cerebral mesoderm = ithinta zonke izitho zongqimba lwegciwane oluphakathi olulawulwa yi-cerebrum.
⁶⁹ I-cerebral ectoderm = ithinta zonke izitho zongqimba lwangaphandle lwegciwane olulawulwa yi-cerebrum.
⁷⁰ i-endocrine = ukukhiqizwa kwamahomoni

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9. Uma i-DHS icuphe ukungqubuzana kwebhayoloji okusasebenza futhi kunokugxila kwayo kwe-Hamer kwenye i-cerebral hemisphere futhi ishaya enye i-DHS ene-Hamer focus ku-cerebral cortex ye-cerebral hemisphere, khona-ke lokhu umlaza we-schizophrenic.⁷¹ inikezwe. Isiguli siba nesiyezi kakhulu noma sithukuthele kuphela uma sihlanya kwesokunxele sobuchopho⁷² Ikhasi ligcizelelwe kakhulu futhi linenkanyezi ebizwa ngokuthi "i-aggressive-biomanic". Umlaza we-schizophrenia nawo ungenzeka nge-DHS ephindwe kabili efanayo.

10. Ngegama elithi “double DHS” sisho ukungqubuzana okunezinhlangothi ezimbili, isibonelo ukungqubuzana kwendawo okunokwehla kokuzethemba noma ukungqubuzana kukamama/kwengane nokwehla kanyekanye kokuzethemba endaweni kamama/yengane ( isb. Ingane ithi: “Ungumama omubi ngempela, umama omubi.”

11. I-DHS yithuba lebhayoloji elinikezwa umuntu nguMama Wendalo ukuze avale “iphutha”. Ngaphandle kwe-DHS, inyamazane, isibonelo, ibingeke ibe nethuba lokuthola indawo yayo. Okwesibili i-DHS ifika, Umama Wemvelo ushintshela “kuhlelo olukhethekile” ukuze anqobe isithiyo emzamweni wesibili. I-DHS iyisiginali yokuqala yethuba lebhayoloji ye-Meaningful Biological Special Programme (SBS).

12. Uma i-DHS inamanye “amathrekhi esibili” ngaphezu kwe-DHS “ithrekhi eyinhloko”, amanye esiwabiza ngokuthi umdlavuza noma okulingana nomdlavuza, isibonelo “ukungezwani komzimba nezinto ezithile” (isb. imibono yokubona, yokuzwakala, yokuphunga noma yokunambitha ngesikhathi i-DHS), ngakho-ke Uma isiguli “sigqoka” eyodwa nje yalaba “ojantshi besibili”, singahle sihlale “kujantshi omkhulu” futhi sibhekane nokuphindelela kokungqubuzana. Izibonelo: Njalo lapho indoda izwa iphunga elithile lokushefa, icabanga ngomngane womkayo, imbangi yayo, eyasebenzisa lokho kushefa. Ngaso sonke isikhathi wayethola ubuhlungu benhliziyo - ukuphindeka kokungqubuzana kwendawo yakhe yangaphambilini ne-angina pectoris.

Uma uthinta i-DHS yomuntu, ngokuvamile bathola amehlo aswakeme, uphawu lokuthinteka kwabo ngokomzwelo⁷³. Konke ukuvela kwengxabano akuzi kancane kancane, kodwa kuphela nge-DHS evuselelwe. Siwubiza ngokuthi “ujantshi”. Impela, i-DHS ephindelelayo esibuyisela endleleni eya ezingxabanweni ayidingi amandla afanayo omzwelo njengoba yayinjalo okokuqala. Ungaphinda usibize ngokuthi "isikhumbuzi esinamandla."

⁷¹ umlaza we-schizophrenic = bheka isahluko esithi 'Psychoses' engxenyeni yesibili yencwadi ethi 'Legacy of a New Medicine'
⁷² I-Mania = ukuphazamiseka kwemizwa yokukhathazeka okuphakeme (kwenjabulo noma ukucasuka) isimo sengqondo, ukushayela okukhulayo
⁷³ emotional affectivity = umuzwa othize wenjabulo

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Izinsimbi, ngokuvamile eziba khona neziningana zazo, aziyona into embi, ayikona ukuwohloka okungapheli kwemvelo, kodwa ngokuvamile ziyizikhumbuzo ezibalulekile endle: “Qaphela, inhlekelele yenzeke ngento enjalo, qaphela! kanye ne-allergies.

Futhi: Umlaza wokushaqeka okungalindelekile okungqubuzanayo, i-DHS, kudala ukungqubuzana, hhayi ngenye indlela. Ukube lo mlaza okhetheke kakhulu wawungazange ube khona, cishe bekungeke kwenzeke ukungqubuzana kwezinto eziphilayo! Leli qoqo lezinkanyezi elingqubuzanayo ngokusobala noma elingahleliwe eliculwa yi-DHS alinakuqondwa ngoba asikwazi ukuqonda ukuqondana. Kodwa-ke, lokhu kungqubuzana kwe-DHS yebhayoloji kuyingozi nje ngaphansi "kwendawo ephansi". Ohlakeni olukhudlwana lwebhayoloji, lezi zinqubo ngokuqinisekile zinencazelo yazo, isibonelo njengomthetho wokulondolozwa kwezinhlobo zezilwane. Kodwa thina bantu asisibi kakhulu ngezilwane zethu futhi sicabanga ukuthi kunengqondo ukuthi izilwane zisivumele ukuba sizihlabe ukuze kugcinwe uhlobo lwethu lweHomo sapiens. Mhlawumbe abanye abantu abangathanda ukubona “umthetho obonakalayo kaNkulunkulu womuntu” bazokuthola kunzima kakhulu esikhathini esizayo ukuqonda ukuthi uNkulunkulu wabo uyangenelela ezimpilweni zabo ngale “milaza” ebonakala ingahleliwe. Ukungazinaki izingxabano zezinto eziphilayo kanye nemiphumela yazo kubo kwabonakala kwenza umhlaba ongokomoya womuntu nowemvelo ucace futhi ubikezelwe. Kodwa lokho bekuyiphutha nje elingcwele!

Into efana ne-DHS, engafakazelwa ukuthi igxile ku-Hamer ebuchosheni ngomzuzwana ofanayo, ngeke isakwazi ukwenqatshwa ngokombono wenkolo nefilosofi, imane nje ingokoqobo.

5.2 Umbandela woku-2 woMTHETHO WE-IRON WOMDLAVUZA

Uma umuntu (isilwane noma isitshalo) ehlushwa i-DHS, okungukuthi isipiliyoni esinzima kakhulu, esibucayi kakhulu, esimangalisayo futhi esihlukanisayo, ukuqonda kwakhe okuncane kuhlobanisa okuqukethwe okungqubuzanayo kokungqubuzana kwebhayoloji okucushwe yi-DHS nendawo yebhayoloji emcabangweni, isibonelo indawo yobudlelwane bukamama/ingane noma indawo "yendawo" noma indawo "yamanzi" noma indawo "yokwesaba entanyeni" noma "ukuzethemba" noma izindawo ezifanayo. Lapha, futhi, i-subconscious iyazi ukuthi ingahlukanisa kanjani ngokunembile "kwesibili se-DHS": ukwehla kokuzethemba endaweni yocansi ("uwimp") akubangeli i-osteolysis yomgogodla wesibeletho, kodwa njalo i-pelvic osteolysis, i-pelvic umdlavuza wamathambo. Ukungqubuzana kokuzethemba ebudlelwaneni kamama/wengane (“wena mama omubi!”) ngeke kubangele i-osteolysis ku-pelvis, kodwa njalo umdlavuza wekhanda le-humeral kwesokunxele (kubantu abangakwesokudla).

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Sicabanga ukuthi sicabanga. Eqinisweni, abantu bacabanga nathi!

Indawo ngayinye yomqondo webhayoloji inesikhungo esithile sokudluliselana ebuchosheni, esisibiza ngokuthi “i-Hamer focus” uma kwenzeka ugula. Yonke indawo yomqondo webhayoloji “inesikhungo sayo sokudluliselana”.

Okwamanje se-DHS, amakhodi akhethekile athunyelwa esuka eziko lika-Hamer eya esithweni esinikezwe lezi ziko lika-Hamer. Ngakho ungathi: zonke iziko Hamer has "isitho salo". Ngakho-ke isenzakalo esinezendlalelo ezintathu se-psyche - ubuchopho - isitho empeleni siyisenzakalo esivumelanayo kusukela ekugxilweni kuka-Hamer kuya esithweni esinomehluko wengxenye yomzuzwana. Iningi leziguli liyakwazi ukucacisa i-DHS cishe kuze kube umzuzu ngoba ibihlale imangalisa. Ezikhathini eziningi, iziguli “zazibanjwe yiqhwa ngenxa yokwethuka,” “zingakwazi ukukhuluma,” “zikhubazekile,” “zithukile,” nokunye okunjalo. Ebuchosheni, i-DHS ethintekile ingabonwa kusukela kusekhondi lokuqala ku-CT yobuchopho (i-tomogram yekhompuyutha) njengendlela ebukhali yokumisa ithagethi yokudubula.⁷⁴ (i-Hamer focus esebenzayo) ingabonakala esithweni kusukela ngomzuzwana wokuqala: umdlavuza oqala ukukhula ngaleso sikhathi! (noma i-necrosis ezithweni ezilawulwa yi-cerebrum).

Kweyesibili ye-DHS yonke into isivele ihlelwe noma ihlelwe ngokuthi: Ngokuvumelana nokuqukethwe kokungqubuzana kokungqubuzana kwezinto eziphilayo okwesibili kwe-DHS, njengoba singakwazi ukunquma kalula namuhla ngama-tomograms ekhompiyutha yethu, kunendawo ethize kakhulu, enqunywe kusengaphambili. ubuchopho (ukugxila kukaHamer) ""kushintshiwe".

Ngomzuzwana ofanayo, izinguquko esithweni ezibhalwe ngokunembile kuthebula elithi "Psyche-Brain-Organ" futhi ezingabikezelwa ngokubheka okunamandla ziqala; kungaba ukwanda kwamangqamuzana noma ukuncishiswa kwamangqamuzana noma ukushintsha komsebenzi (kulokho okubizwa ngokuthi ukulingana komdlavuza).

Ngithe "ngishintshile" ngoba, njengoba sizobona, i-DHS "nje" inqubo yokushintshela ohlelweni olukhethekile noma oluphuthumayo ukuze umzimba ukwazi ukubhekana nesimo esingalindelekile.

Uma sikhuluma nje, ayikho into ebizwa ngokuthi “ukugula” ngendlela esake safundiswa ngayo emanyuvesi ethu. Sasicabange ukuthi lokho esasikubiza ngokuthi “izifo” kwakungamaphutha “Emvelo Yomama”, isibonelo ukuthi “isimiso sokuzivikela komzimba” (okucatshangwa ukuthi ibutho lethu lezempi lokuzivikela) “saphukile”. Kodwa-ke, "uMama Wemvelo" awenzi amaphutha, ngaphandle uma engamabomu, amaphutha asobala abuye abe nengqondo.

⁷⁴ Ukumiswa kwethagethi yokudubula = i-HAMER HERD esebenzayo ibonakala ngokubukeka kwayo okujwayelekile ku-CT yobuchopho, efana nethagethi yokudubula.

ikhasi 80

5.3 Umbandela woku-3 woMTHETHO WE-IRON WOMDLAVUZA

Umbandela wesi-3 weNew Medicine uthi inkambo yakho konke lokho okubizwa ngokuthi ukugula, okuhlanganisa nesigaba sokuphulukisa, kuyavumelana kuwo wonke amazinga ama-3. Lokhu kuvumelana kuchazwa ngemibandela eqondile yalokho okuyizimpawu ezivamile zokungqubuzana ezingeni lezengqondo, lobuchopho nelezinto eziphilayo nokuthi yiziphi izimpawu ezivamile zesigaba sokuphulukisa esixazululwe ngokungqubuzana futhi ezingeni lezengqondo, lobuchopho nelokuphila. Ngaphezu kwalokho, kunezimpawu ezijwayelekile kuwo wonke amazinga ama-3 ku-epileptic noma i-epileptoid⁷⁵ Izinkinga ezihluke kancane esifweni ngasinye, kodwa futhi ezijwayelekile kakhulu esifweni ngasinye maqondana nezimpawu zobuchopho kanye ne-organic (isibonelo ukuhlaselwa yinhliziyo njengenhlekelele ye-epileptoid ku-coronary.⁷⁶-Ulcer carcinoma) futhi vele ejwayelekile yezimpawu ezingokwengqondo nezezitshalo.

Ngalawa mathuluzi, okungukuthi ulwazi lomthetho kanye nolwazi lwezimpawu ezijwayelekile zenkambo emazingeni angu-3, ​​manje usungakwazi ukusebenza ngendlela efanele kwezokwelapha okokuqala ngqa ngendlela eyimbangela kanye ne-quasi reproducible!

⁷⁵ isithuthwane = isifo sokuwa
⁷⁶ Mayelana nenhliziyo (imithambo yenhliziyo).

ikhasi 81

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6 Ukuziphatha kwekhodi yobuchopho - isisekelo sokungqubuzana kwezinto eziphilayo

Amakhasi 83 kuya ku-90

Lapho umuntu ekhuluma ngezingxabano zezinto eziphilayo, kufanele achaze ukuthi yini ngempela isisekelo salokhu kungqubuzana kwezinto eziphilayo.

Bafundi abathandekayo, ningathola ukuthi lezi zingxabano zebhayoloji zinaziphi isisekelo sokuthuthuka esahlukweni sesistimu ye-ontogenetic yamathumba.

Njengoba sikhuluma ngokungqubuzana kwezinto eziphilayo, ngokwemvelo sicabanga ukuthi lezi zingxabano azizona nje izingxabano zabantu, kodwa futhi nezingxabano zezilwane, izingxabano zezinto eziphilayo. Izingxabano ngokusobala ezinqunywa ngokwesayensi yezinto eziphilayo noma okufanele ziqhubeke ngokuvumelana nomthetho othile kufanele zibe nesilinganiso esithile ebuchosheni bomuntu esenza ukuba “ukuziphatha okungqubuzana okuhlelekile” okunjalo kwenzeke. Lokhu ngikubiza ngokuthi "ukuziphatha kwekhodi yobuchopho." Esikhundleni sokuziphatha kwekhodi, singaphinda sithi "isamba samaphethini okuziphatha". Ngokuyisisekelo, wonke la magama aveza ukuthi abantu nezilwane baphila ngokuvumelana nephethini yokuziphatha noma isimiso sokuziphatha esivamile ohlotsheni ngalunye ngalunye. Akunandaba ukuthi usebenzisa liphi ithemu. Umuntu akufanele aguqule amagama anjalo abe izimfundiso ezintsha. La magama abe khona kusukela emlandweni wokuthuthuka komuntu nezilwane, hhayi nje kusukela kuDarwin.

La magama, kungakhathaliseki ukuthi aqanjwa kanjani, awawona awami, awulwazi oluvamile. Ukuqonda kwami ​​​​kuphela ukuthi le khodi yokuziphatha iphikisana nokuziphatha okuthile kokungqubuzana kwebhayoloji. Lena into entsha. Sekuvele kukhona uchungechunge lonke lwesivivinyo kanye nochungechunge lonke lwemiphumela. Kodwa kuze kube manje akukaze kwenzeke ukuhlukaniswa futhi ezinye zazo zihunyushwe ngendlela engenangqondo ngokuphelele. Isibonelo: Eminyakeni embalwa edlule, ucwaningo okwakucatshangwa ukuthi lubucayi kakhulu lososayensi baseMelika lwenze lolu shintsho futhi lwadala isiphithiphithi. I-Formaldehyde noma ngokusho kwefomula yamakhemikhali i-HCHO noma i-formic aldehyde, igesi engenambala, enephunga elimnandi encibilika otshwaleni nasemanzini, kanye nokwengezwa kwe-methanol ukuvimbela i-polymerization, eyaziwa nangokuthi i-formol yesisombululo esinamanzi, kufanele ngabe ibangele umdlavuza kumagundane.

Ngokuvamile, amagundane agwema i-formol ekuxubeni okujwayelekile okusetshenziselwa ukubulala amagciwane lapho kuhlanzwa amagumbi okuhlinza ngoba awakwazi neze ukumelana nezinto. Abacwaningi abahlakaniphile manje base besebenzise le nzondo futhi baletha i-formol ekugxiliseni okuyinkulungwane futhi - lalela futhi umangale - bajova le nto egxile kakhulu emakhaleni amagundane ampofu izikhathi eziningana ngosuku!

ikhasi 83

Izilwane ezimpofu, ezazinqatshelwe umphefumulo, zabhekana nokuphindaphinda okusha kwe-DHS nsuku zonke, okufakwe yilaba bacwaningi abangenanhlonipho. Ngemva kwezinyanga ezimbalwa, amagundane kancane kancane "akhululwa" ngemva kokuphela kokuhlolwa futhi amakhala awo ahlolwe nge-microscopically: Amagundane okuqala abulawa ngemva kokuphela kokuhlukunyezwa "kuphela" ayenezilonda ze-mucosal yamakhala. Amagundane abe esevunyelwa ukuba aphile isikhathi eside futhi angena esigabeni se-pcl (ukugcwalisa izilonda ngokukhula kwamaseli) ayenomdlavuza we-mucosa yamakhala! Kungenzeka kanjani ukuthi kwehluke?

Kodwa njengoba, ngokombono wezwe wesayensi yethu esemthethweni kanye nombono wamasonto ethu amakhulu, izilwane azivunyelwe ukuba nemiphefumulo noma ingqondo futhi vele kancane nje zingase zibe nokushaqeka kokungqubuzana kwezinto eziphilayo, isiphetho kuphela esasele: i-formaldehyde ibangela umdlavuza. ! Ukuboniswa okumangalisayo kobuwula! Noma yimuphi umuntu cishe ubengase abe ne-nasal carcinoma endaweni yokuhlola efanayo nanoma iyiphi i-ejenti enukayo egxilile. Kodwa ngisho nendlela yokucatshangelwa okunjalo manje isiyinqaba kubacwaningi abahlakaniphe kakhulu balolu hlobo.

Nomaphi lapho uhlukumeza isilwane endaweni efanayo amasonto noma izinyanga - ngokubona kwami, i-DHS yokuqala yokuhlukumeza iqhutshwa nsuku zonke nge-DHS entsha ephindaphindiwe, ungabangela umdlavuza kunoma yisiphi isilwane. Kodwa akukaze kwenzeke ukukhiqiza umdlavuza esithweni esahlukaniswa nobuchopho, okungukuthi ekulungiseleleni isitho. In vitro⁷⁷ Ungakwazi ukuzalanisa ama-sarcoma kuphela, okungukuthi ukukhula kwezicubu ezixhumeneyo. Lawa mangqamuzana ezicubu ezixhumeneyo asenawo umfutho wawo wokwanda emgodleni wawo, ngomqondo ongokomfanekiso, ngoba lapho kwakheka izibazi emzimbeni, “angamasosha okulungisa” asemsebenzini ukuze aphole ngokushesha futhi asuse izibazi. Izicubu ze-fetus nazo “zinejubane lokukhula” eliqhathanisekayo isikhathi esifushane uma kuqhathaniswa (kuze kufike ezinyangeni eziyi-9 kubantu) (isilinganiso esiphezulu sesikhathi sokukhulelwa).

Ukuziphatha kwekhodi evamile kubantu nasezilwaneni kuphambene nokuziphatha kokungqubuzana kwebhayoloji. Mhlawumbe “akuphikiswa” ngisho kodwa kuhlanganiswe nokuziphatha kwekhodi evamile njengokuhlukile okungenzeka. Sizobona ukuthi ezinyamazaneni, ngokwesibonelo, umdlavuza wezilonda zenhliziyo uwukuphela kwendlela yokuphila eminye iminyaka emibili noma emithathu kuze kube yilapho inyamazane esencane iyixosha ngempela ngaphandle kwensimu.

⁷⁷ in vitro = eshubhu lokuhlola, okungukuthi, ngaphandle kwento ephilayo

ikhasi 84

Thina okuthiwa abantu banamuhla abaphucuzekile sinobudlelwane obuphazamisekile “nokugula” ngokuvamile, esikubona njengesitha noma okubi ngokobulili, njengesijeziso sikaNkulunkulu, phakathi kwezinye izinto. Lena yonke imibono yeTestamente Elidala ephelelwe yisikhathi yombono wezwe wakudala lapho ukugula kuyinto embi futhi engeyona eyemvelo, lapho izilwane zingavunyelwe ukuba nemiphefumulo futhi zingabahlinzeki benyama noboya kuphela futhi ungabhubhisa umhlaba ngokuthanda kwakho.

Isibonelo, nakuba ukuziphatha kwekhodi kufana phakathi kwabantu nezinye izilwane ezincelisayo, uhlanga ngalunye lunokuziphatha kwalo okuqondile kwekhodi. Konke lokhu kwakha isimiso esivumelanayo, se-cosmic, lapho uhlobo ngalunye ekugcineni luba nobuhlobo nezinye izinhlobo ngandlela-thile, ngisho noma, ngokwesibonelo, kumane kuwukuthi akukho ngozi engavela kwesinye isilwane siye kwesinye. Ikati alisoze labalekela inkomo noma indlovu, kodwa livele libaleke ngokushesha uma libona inja buqamama. Ngakho-ke zonke izinhlanga zezilwane kanye nohlanga lwesintu selufunde ezigidini eziningi zeminyaka ukuthuthukisa indlela yokuziphatha kwazo ezingaphila ngazo noma ezingaphila ngazo endaweni yazo yemvelo. Idada liyakwazi ukubhukuda kusukela osukwini lokuqala lokuphila kwalo, alidingi ukufunda. Kunezinye izinto okufanele izifunde kunina wedada. Inyamazane, isibonelo, iyohlale iziphatha ngokuvumelana nekhodi yobuchopho futhi ivikele indawo yayo, ngisho noma ingakaze ibone enye inyamazane ngaphambili. Kumane nje “kungaphakathi” kwekhodi yakhe. Kunjalo ngenani elingapheli lezinto thina bantu ebesiyozenza ngokuzenzakalelayo ngokuvumelana nekhodi yasekuqaleni yobuchopho bethu, inqobo nje uma singakagxiliswa yilokho okubizwa ngokuthi impucuko.

Abantu baye baphatha into ebaluleke kakhulu njengokuzala ingane izigidi zeminyaka ngaphandle kwezinkinga. Umama wayehlale engazi ukuthi ingane yakhe ayizala kanjani kuphela, okungukuthi i-squatting, okuyindlela elula futhi ye-physiological, kodwa futhi wayazi ukuthi kufanele asike inkaba bese ebeka ingane ebeleni ngemva kokuzalwa. wayeqale wayizala yahlanza. Uma, ngakolunye uhlangothi, ubona ukuzalwa namuhla lapho yonke imithetho yakudala yemvelo inganakwa - kuze kufike ekuqalisweni kwemisebenzi noma lokho okubizwa ngokuthi "isigaba sokuhlinzwa", khona-ke uyazibuza ngempela ukuthi kungani izidalwa ezinjalo bonke abantu bazifunela ukuhlakanipha. Ngenhlanhla, abesifazane basanda kuthola ilungelo lokuzalwa ngokwemvelo kodokotela besilisa...

ikhasi 85

Ukuze bafundise izingane zabo, abantu kufanele bafunde izincwadi eziwugqinsi noma baye enyuvesi ukuze babambe ngekhanda izinhlelo zokufundisa ezihlakaniphile, ezivame ukuhluleka. Wonke umama wezinja nawo wonke umama wondlunkulu angakwenza lokhu ngokuzikhandla nangcono kakhulu ngaphandle kwenyuvesi! Cishe asikho isilwane emhlabeni esiza ngisho eduze nekhodi yokungaziphathi kahle ubuwula bohlanga oluphucuzekile.

Ngisho noma siziqeqesha ngenkuthalo ukuba singayinaki ikhodi yobuchopho bethu, cishe yonke imizwa yethu, izinqumo kanye nezenzo zethu zilolongwa yile khodi yokuziphatha. Kodwa okubi kakhulu, njengoba ngizobonisa, ukuxhashazwa kwama-hormone kuphazamisa ukuziphatha kwethu kwekhodi yomuntu. Noma kunjalo, i-DHS ngayinye ingubufakazi obusha bokuthi i-psyche ihlobana ngokunembile kangakanani nokungqubuzana, ubuchopho obugxile ku-Hamer, nesitho esinomdlavuza. Akukho okuhlukile, ngaphandle kokuhlelekile, isibonelo ngabasebenzisa kwesokunxele. Umthetho walokhu kuhlobana kanye nesamba sakho konke ukuhlobana kwazo zonke izidalwa eziphilayo ekudalweni komunye nomunye - isibonelo, abantu " abanamagciwane abo" - yonke into ehlangene ingumthetho wemvelo. Noma yikuphi ukwephulwa komthetho kuwuhlobo lokubulala noma lokuzibulala. Kuphela “abafundi bemilingo” ekungazini kwabo abangafuna ukuzama into enjalo.

6.1 Ukuqhathaniswa kwesifundo sebhayoloji
yomdlavuza kubantu nasezilwaneni

Isilwane siswele umsizi okwazi ukubona ukungqubuzana kwaso futhi asinikeze izeluleko zokugwema lokhu kungqubuzana esikhathini esizayo. Isilwane ngokuvamile kufanele sibekezelele ukungqubuzana kwaso kuze kube yilapho leyo ngxabano ixazululwa empeleni noma isilwane sifa ngenxa yengxabano engaxazululiwe nomdlavuza. Sesibonile ukuthi emvelweni lokhu okubizwa ngokuthi “isifo somdlavuza” akukona ukwengamela imvelo, akulona iseli eseliphumile ekulawuleni futhi manje liyahlanya, kodwa isigameko esiphusile nesibalulekile ohlelweni lulonke lwe umzuzu wemvelo ufakiwe. Ezilwaneni sibona lokho esingakusikisela kuphela ngokuqapha kakhulu kubantu, ukuthi usizo oluvela ngaphandle, okungukuthi olunganikezwanga ngokwemvelo, ukubhekana nokungqubuzana akukona ukwanda kwekhwalithi yezinhlanga ngazinye, kodwa ukwanda kobuningi kumelela ukususa kwekhwalithi. Kungokufanayo nakubantu, babhekwa njengohlanga.

Kepha uma sibheka imvelo, engakasetshenziswa abantu, khona-ke sibona ukuthi izilwane kufanele zixazulule ngokweqiniso ukungqubuzana ezabhekana nakho ngesikhathi se-DHS kanjalo nomdlavuza wazo.

ikhasi 86

Ukulahlekelwa kwengane eyodwa noma ngaphezulu, ukulahlekelwa indawo akukwazi ukuxazululwa ezilwaneni ngokuthi "psychotherapy", kodwa kuphela ngendlela engokoqobo! Kodwa-ke, siphinde sibone into efana nehlelo ekuxazululeni izingxabano phakathi kwezilwane ezithuthuke kakhulu. Cabanga nje ngemikhuba yokufa kwezindlovu sonke esijwayelene nayo, ngokusobala umzamo wokunciphisa noma wokuxazulula ukungqubuzana kokulahlekelwa kwezilwane ezithintekile ikakhulukazi noma umhlambi wonke! Yini enye esiyenzayo thina bantu emingcwabeni yethu? Lezi zindlovu ziqoqana izinsuku zizungeza umlingani ongasekho ezamngcwaba phambilini zaze zamvala ngamagatsha nezihlahla zimkhalele.

Ngaphandle kwalezi “zinsiza-kufundisa” ezilwaneni ezincelisayo ezithuthuke kakhulu, isilwane ngokuvamile kufanele sidlule kusifo saso somdlavuza ngokwaso, futhi ezimweni eziningi kufanele siphumelele njengokuhlolwa kwekhwalithi evamile noma ukuhlolwa kweziqu ngezikhathi ezithile, ngaphandle kwalokho umuntu ngamunye. "ikhishwe ngaphandle kweziqu".

Inyamazane endala, isibonelo, kufanele ibambe iqhaza ekuhlolweni kweziqu ezibhekene nenyamazane encane njalo ngonyaka, futhi kwesinye isikhathi ayibe isaphumelela ukuhlolwa bese kufanele ife.

Ngakho-ke, ngokuvamile, "ukwelashwa" kokungqubuzana kwezinto eziphilayo kuyisixazululo sangempela sengxabano. Lesi sixazululo sangempela singabandakanya ukubuyisela isimo sangaphambilini noma esinye isixazululo esisebenzayo. Ngakho-ke, isibonelo, inyamazane endala ithatha indawo yayo noma ixoshe enye inyamazane endaweni yayo. Inja yensikazi elahlekelwe yiwundlu ixosha izinyane kumphangi, noma iziduduze ngamawundlu ayo asele, noma iphinde ikhulelwe ngokushesha - futhi lokhu cishe kwenzeka ezikhathini eziningi. Ngesikhathi sokukhulelwa, ukuthula okujwayelekile kokungqubuzana, okungukuthi akukho msebenzi wokungqubuzana, kungenzeka, njengoba ukukhulelwa ngemva kwe-trimester yokuqala ngokuvamile kuqhubeka ku-vagotonia, futhi ngemva kokuzalwa kwemidlwane emisha ukungqubuzana kuzoxazululwa ngokuzenzakalelayo.

Njengoba izilwane, ngokungafani nathi bantu, ngokuvamile ziphila ngokuvumelana nesigqi sazo semvelo, ukulahlekelwa umntwana wesilwane, ngokwesibonelo, kubhekwa ngokuyinhloko ngokuthi “okuvamile” kulesi sigqi semvelo, njengokuxazulula “ingxabano evamile” enjalo. ngokukhulelwa okusha okwalandela.

Thina bantu akumele sikhohlwe ukuthi sibhekene nezingqinamba ezinkulu ezibekwe phezu kwethu ngabasunguli bezenkolo noma abashicileli bezenhlalakahle, kodwa ezingahlangene kangako nesayensi yezinto eziphilayo. Ngakho akekho umlungisi wezenhlalo ongachazwa njengomuntu ovamile.

ikhasi 87

Ngokuyisisekelo, zaziwumgogodla wesintu; kwakungeke kube khona umbuzo wokuhlakanipha uma isisekelo sokuhlakanipha sasiwukuthi umuntu kufanele aphile, ngangokunokwenzeka, ngokuvumelana nekhodi yobuchopho enikeziwe futhi kanjalo naleyo yengqondo noma yomphefumulo. . Kimina, umuntu ohlakaniphe kunabo bonke bekungaba nguyena obezosifundisa thina bantu ukuthi siphile kanjani ngokuhambisana nemithetho esiyinikwe ngokwemvelo, esikhundleni sokusebenzisa ukuhlanekezela ezimpini ukuze kucishwe ukuphila kwabantu.

Uma sithi abantu kanye (nezilwane ezincelisayo) ziphathwa umdlavuza ngendlela efanayo, abaningi bazovuma ukuthi umdlavuza wesitho uyafana noma uyaqhathaniswa. Ukugxila kukaHamer ebuchosheni, endaweni efanayo nasebantwini, nakho kuyefana noma kuyaqhathaniseka. Kodwa uma la mazinga amabili afana noma eqhathaniswa, khona-ke kuningi okuphakamisa ukuthi izinga lezengqondo nalo liyafana noma okungenani liyaqhathaniswa. Uma ngithi isilwane sibe nokungqubuzana, engisho ukungqubuzana kwemvelo, lokho ngokuvamile kusengamukelwa. Uma ngithi isilwane asinaso isifiso sokudla njengabantu, asikwazi ukulala njengabantu, sinezwi elizwelayo njengabantu, ngakho-ke lokho kuyamukeleka, kodwa uma ngithi isilwane sicabanga ngokungqubuzana kwaso kwemvelo imini nobusuku ngendlela efanayo futhi. ukuphupha mayelana nokungqubuzana kwakhe ebusuku, khona-ke kubangela intukuthelo nokulahlwa. Kukholakala ukuthi lezi ziyizimfanelo zokucabanga ezigcinelwe abantu kuphela. Kodwa lokho akulungile. Ukungqubuzana kuyafana kubantu nasezilwaneni, kuwo womathathu amazinga. (Awukaze uzwe inja yakho ibubula ebuthongweni bayo (iphupho)?

Kwabaningi bethu, ikakhulukazi labo abanezinkolo ezingokwenkolo noma ezingokwengqondo, kuyinadi elinzima ukuliqhekeza. Kimina kuyinto evamile kakhulu emhlabeni. Ngokuya ngohlobo, okuqukethwe kokungqubuzana komona wokudla kwesilwane, ngokwesibonelo, kuhlukile kancane kunabantu, kepha lokho kubantu kuguqulwa kuphela. Kodwa izingxabano zebhayoloji eziguquliwe zabantu zingahlala zilandelelwa emuva kuphethini yazo yakudala. Ithebula elilandelayo lezinhlobo ezihlukene zokungqubuzana kufanele lisenze kucace lokhu kithi:

6.2 Ukuqhathaniswa kwezingxabano zebhayoloji kubantu nasezilwaneni

ikhasi 89

⁷⁸ I-rectum = i-rectum
⁷⁹ Ukugcinwa = ukugcinwa koketshezi lomzimba okumele lukhishwe
⁸⁰ Ukungqubuzana kwababaleki = ukungqubuzana kwasendulo kusukela esikhathini lapho “thina”, okungukuthi okhokho bethu sonke, babesahlala emanzini futhi bagezwa wuzamcolo ogwini. Ngenxa yohlelo olukhethekile lokugcina amanzi, “thina” sakwazi ukuphila izinsuku eziningi kwaze kwaba yilapho isikhukhula esisha sisibuyisela emuva futhi!

ikhasi 90

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7 Umthetho wezigaba ezimbili zemvelo yezinhlelo ezikhethekile zebhayoloji (ezazibizwa ngokuthi izifo) lapho kuxazululwa ukungqubuzana - Umthetho wesibili wemvelo wemvelo womuthi omusha

Amakhasi 91 kuya ku-112

Kulo mdwebo ungabona isigqi esivamile sosuku/ubusuku kwesokunxele⁸¹.

Ngokwe-DHS ungabona isigaba sokucindezeleka esisebenzayo noma isigaba sosuku esingunaphakade, esibizwa nangokuthi i-permanent sympathetic tonia.

Ngemva kokuxazululwa kwezingxabano (CL = Conflictolysis) kulandela isigaba sokuphulukisa noma isigaba sasebusuku esihlala unomphela, esibizwa nangokuthi i-vagotonia ehlala njalo, ephazanyiswa inkinga yokuwa noma ye-epileptoid, ukuguquka kwesigaba sokuphulukisa. Kusukela lapho, umzimba ulwela ukubuyela esimeni esijwayelekile. Ngemva kokuphela kwalesi sigaba sokuphulukisa, isigqi esivamile sosuku/ebusuku siyabuya.

Konke ukugula noma lonke uhlelo olukhethekile lwebhayoloji kuyo yonke imithi luhamba ngezigaba ezimbili, okungukuthi, ngesigaba sokuqala = esisebenzayo, esibandayo, esinozwela esiqala ku-DHS (ca phase) - kanye nesigaba sesi-1 = sokuxazululwa kwezingxabano noma sokuphulukisa. , futhi efudumele ( fever) noma vagotone⁸² Isigaba, inqobo nje uma kukhona ukuxazululwa kwengxabano (conflictolysis). Lesi sigaba futhi sibiza lesi sigaba ngokuthi "isigaba se-post-conflictolytic", isigaba se-PCL ngamafuphi.

Konke ukuphazamiseka okunokuxazululwa kwezingxabano nakho kunesigaba se-CA kanye nesigaba se-PCL. Futhi isigaba ngasinye se-pcl, ngaphandle uma siphazanyiswa ukuphindaphindeka okunamandla okungqubuzana, sinesifo sokuwa noma se-epileptoid endaweni ephansi kakhulu ye-vagotonia.

⁸¹ I-Eutony = isigqi esivamile sosuku/sasebusuku
⁸² vagoton = ithoni ye-parasympathetic

ikhasi 91

Umthetho wezigaba ezimbili zemvelo yazo zonke izifo kuyo yonke imithi uphendulela lonke ulwazi lwethu lwangaphambilini ngokuphelele ekhanda lawo: Nakuba ngaphambili sazi, cishe silinganisa, amakhulu ambalwa abizwa ngokuthi "izifo", lapho sibhekisisa kahle, okutholakala cishe ingxenye yezifo okucatshangwa ukuthi ziyizifo isiguli sibonisa izandla ezibandayo, indawo ebandayo eseduze, futhi cishe ingxenye ethile kuthiwa ine “izifo” ezifudumele noma ezishisayo lapho isiguli sinezandla ezifudumele noma ezishisayo futhi ngokuvamile imfiva. Eqinisweni, kwakukhona "ama-tandem" angaba ngu-500 kuphela: ngaphambili (ngemuva kwe-DHS) isigaba esibandayo, esiphikisanayo, esinozwela futhi ngemuva (emva kokungqubuzana) isigaba sokuphulukisa esishisayo, esixazululiwe, se-vagotonic izigaba ezimbili umthetho webhayoloji wemvelo.

Zonke “izifo” esake sazazi ukuthi ziqhubeka ngale ndlela, inqobo nje uma kukhona ukuxazululwa kwengxabano. Uma manje sibheka emuva, emithini eyedlule, akukho ngisho nokugula okukodwa okuye kwaqashelwa ngendlela efanele: nalokho okubizwa ngokuthi “izifo ezibandayo”, isigaba sokuphulukisa esalandela sanganakwa noma sahunyushwa ngokungeyikho njengesifo esihlukile (isb. okuthiwa ""Izifo", ezihlala zimelela isigaba sesibili, okungukuthi isigaba sokuphulukisa ngemva kwesigaba sangaphambilini sokungqubuzana, lesi sigaba esibandayo sangaphambili sasinganakwa noma sihunyushwe kabi njengesifo esihlukile.

Ebuchosheni, zombili lezi zigaba zigxile ku-Hamer endaweni efanayo, kodwa ezifundeni ezihlukene: esigabeni esisebenza ngokungqubuzana (isigaba se-ca) ngaso sonke isikhathi sineziyingi ezimakwe ngokucijile njengalokho okubizwa ngokuthi ukulungiswa kwethagethi yokudubula. Esigabeni se-PCL esixazululiwe, ukugxila kuka-Hamer kuvuvukele futhi kune-edema. Siphinde sibize i-edema yeringi engaphakathi njengokuthi "i-intrafocal edema" kanye ne-edema ezungeze iringi yangaphandle ngokuthi "i-perifocal edema". Kodwa lawa amagama nje angaqondakali ento ecace bha. Kusukela ekuqaleni kwesigaba sokuphulukisa kuvame ukungcoliswa kakhulu noma okuncane ngokuqhathanisa nendawo yakamuva ekugcineni kwesigaba sokuphulukisa sithola i-glia eningi noma encane ekugxilweni kuka-Hamer, okuwuphawu lokulungiswa kwama-synapses e-nerve cell;⁸³ kugcinwa khona. Njengoba sazi, lawa ma-glioma, angenabungozi ngokwawo, phambilini ayebizwa ngokuthi “amathumba ebuchosheni” noma “ama-metastases obuchopho,” kodwa empeleni abenenhlanhla yokuphulukisa noma elapha izilonda zika-Hamer.

⁸³ I-Synapse = indawo lapho ingqamuzana lezinzwa lidlulisela khona ukujabula

ikhasi 92

Isigaba sokuqala:

A. izinga lezengqondo: Umsebenzi wokungqubuzana
• Ukucabanga kokungqubuzana okungenangqondo
• Ukucindezeleka kwangaphakathi⁸⁴ukudala ukungqubuzana
• Isigqi sosuku olungapheli

izinga lemifino: I-Sympathicotnia
• Ukulahlekelwa ukudla
• Ukuncipha kwesisindo
• Ukuvinjelwa kwemithambo: izandla nezinyawo ezibandayo, isikhumba esibandayo
• Ukuqwasha, ukuvuka njalo ngemva nje kokulala
• ukwanda komfutho wegazi

B. izinga lobuchopho:
Ukwakheka kwethagethi yokudubula yokugxila kuka-Hamer ebuchosheni endaweni ehlotshaniswa nokungqubuzana nesitho

C. Izinga le-organic:
a) Izitho ezilawulwa yi-Altbrain:
Ukwanda kweseli njengesenzakalo esibalulekile sokuxazulula ukungqubuzana. Ngesikhathi esifanayo, amabhaktheriya esikhunta (i-acid-fast tubercle mycobacteria) aphindaphindeka ngokuhambisana nesilinganiso sokuhlukaniswa kwamaseli esitho, nakuba evunyelwe kuphela ukuqala umsebenzi wawo wokuwohloka ngemva kokungqubuzana.
b) Izitho ezilawulwa yi-cerebrum:
I-Necrosis noma izilonda, kuye ngesitho. Ukulahleka kweseli! Isehlakalo esibalulekile sokuxazulula ukungqubuzana komuntu ngamunye noma umcimbi obalulekile njengohlelo lokuzibulala⁸⁵ ukulondoloza uhlobo (ukudla kwengonyama)

⁸⁴ Innervation = ukunikezwa kwemizwa kwezicubu zomzimba nezitho
⁸⁵ Ukuzibulala = ukuzibulala, ukuzibulala

ikhasi 93

Isigaba sokuqala:

A. izinga lezengqondo: isigaba esixazululwe yingxabano (isigaba se-PCL)
• ukuqinisekiswa okukhulu
• Isigqi sasebusuku esingapheli

izinga lemifino:
ukukhathala okukhulu
I-Vagotonia
inkanuko enkulu
Ukuphila kahle
imfiva
Ubunzima bokulala kuze kube ngu-3 ekuseni (= ukuphuma kwelanga, ukuqala kosuku), kothile "ozingelwayo" ithuba lokumangazwa kalula umhlaseli ngenkathi elele emini).
imithambo ye-peripheral enwetshiwe: izandla ezifudumele, izinyawo, isikhumba esifudumele, umfutho wegazi ophansi

B. izinga lobuchopho:
Izindandatho ezihlosiwe zokugxila kuka-Hamer ziba yi-edematosed esigabeni se-pcl zivame ukunyamalala ngokuphelele ku-edema (i-intrafocal ne-perifocal edema). Kusukela ekuqaleni kwesigaba sokuphulukisa (isigaba se-pcl), ukugxila kwe-Hamer kungangcoliswa okuphakathi nendawo bese kuchazwa kabi ngokuthi "ithumba lobuchopho". Ukufaka amabala nge-ejenti yokuqhathanisa kungenzeka ngenxa yokwanda kwemetabolism endaweni lapho kugxilwe khona u-Hamer kanye nokufakwa kwe-glia, izicubu ezixhumene ebuchosheni, ukuze kulungiswe i-relay eguquliwe. Intengo ithi: iba lukhuni, iqine kakhulu, futhi inganwebeka kangako. Uma inqubo efanayo yenzeka futhi ngokuhamba kwesikhathi ku-relay efanayo, ukuphuka (i-cyst) yezicubu zobuchopho kungenzeka. Ekupheleni kwesigaba se-PCL, okungukuthi ngemva kwalokho okubizwa ngokuthi “isigaba sokuchama” (isigaba se-diuresis⁸⁶), i-edema iyazixazulula ngokuzenzakalelayo futhi, njengesibonakaliso sesilonda sikaHamer esiphulukisiwe

⁸⁶ I-Diuresis = ukuphuma komchamo

ikhasi 94

C. Izinga le-organic:
a) Izitho ezilawulwa yi-Altbrain:
Ukwehliswa kokwanda kwamaseli (amangqamuzana e-tumor kuphela!) esigabeni se-pcl ngesikhunta noma amagciwane esikhunta (TB) kuze kube yilapho isimo se-quo ante. Uma ama-microbes engekho (ngenxa yenhlanzeko ehloselwe amanga empucukweni), khona-ke isimila sihlala, kodwa ngemva kokungqubuzana kwengxabano ayisawenzi ama-mitoses; ukuwohloka kwamaseli ezinto eziphilayo akwenzeki.
b) Izitho ezilawulwa yi-cerebrum:
Ukwakhiwa kabusha kwamaseli alahlekile ngenxa yokulahleka kwamangqamuzana angaphambilini, okungukuthi, ukugcwaliswa kabusha kwama-necroses nezilonda, kuye ngobukhona bawo, ngosizo lwamagciwane (izitho ezilawulwa yi-cerebral medulla) noma amagciwane (i-cortical cerebral).⁸⁷- izitho ezilawulwayo)

Ukunganaki lo mthetho ngomqondo wezokwelapha-ngokomtholampilo kusivimbele ukuthi sikwazi ukuhlukanisa imithi ngendlela efanele noma ngisho nokubona “isifo” esisodwa ngendlela efanele. Ngaphandle kolwazi lwale mithetho yebhayoloji, asisoze sawubona umdlavuza kanye nokuxhumana kwawo, ngoba besiwuthatha njengongelapheki futhi sasigxile ekuqedeni izimpawu zomdlavuza ezingeni le-organic - okuyinto, njengoba sizobona, ezingeni lezinto eziphilayo Ngalo mqondo. , kwakuyiphutha elikhulu kunawo wonke - isibonelo, sasisenethuba lokuqonda lokho okubizwa ngokuthi "izifo ezithathelwanayo", ngoba asizange sizibheke njengezigaba zokuphulukisa, kodwa kunalokho izigaba zezifo ezinonya lapho amagciwane afuna khona. ukuze "asibhubhise".

Kwakunjalo impela. Naphezu kwamagciwane, iziguli ezashona zazibulewe yi-cerebral coma noma inkinga ye-epileptoid. Akunakwa ukuthi izigaba zokuphulukisa nazo zinezingozi zazo, isibonelo esimweni sokuhlaselwa yinhliziyo, esizokubona kamuva. Kwezinye izifo, ngisho nesigaba sokuphulukisa siyingozi kakhulu kunesigaba sokungqubuzana.

Ngokungazi ngalo mthetho webhayoloji, asikwazanga nje kuphela ukubona nokuqonda “isifo” esisodwa, kodwa asikwazanga nokwelapha isiguli esisodwa ngamabomu ngoba, njengoba ngishilo, sasiqonda ukuthi isigaba sokuphulukisa sihlukile. ukugula.

⁸⁷ I-Cerebral cortical = mayelana ne-cerebral cortex (=i-cortex).

7.1 Isigaba esisebenzayo sokungqubuzana kwe-Sympathicotonic; Indlela yokungqubuzana

Kusukela okwesibili kwenzeka i-DHS, yonke into ephilayo ingaphansi kokucindezeleka okungapheli okuzwelayo, ngaphansi kwengcindezi eqhubekayo. Sibonile ukuthi lokhu kucindezeleka okuqhubekayo empeleni kusetshenziswa ngokwebhayoloji njengendlela enengqondo yokubamba “ithuba lokugcina” lokunqoba ukungqubuzana. Wonke amandla kufanele ahlanganiswe ngale njongo. Uma umuntu engakwazi ukubhekana nokungqubuzana ngesikhathi esanele, kusho ukuthi ulahlekelwe ithuba lakhe lebhayoloji. Khona-ke iyafa noma ngabe ukungqubuzana kuxazululwa ngesikhathi esithile (sekwephuzile kakhulu!). Okuhlukile, ngakolunye uhlangothi, lokho okubizwa ngokuthi ukungqubuzana okusebenzayo (okungafinyelelwa ngakho iminyaka evamile), eguqulwa phansi, kodwa ngokuyisisekelo ihlala isebenza kuze kube sekufeni, kanye nomlaza we-schizophrenic, lapho kungekho nqwaba yezinhlamvu. ukungqubuzana kuyanqwabelana futhi umuntu angaba nakho ukufinyelela iminyaka evamile.

Phakathi nesigaba sokungqubuzana, isigaba sokucindezeleka, umzimba ugijima ngesivinini esigcwele, okulimaza ukuvuselelwa komzimba. Ngakho-ke ukukhuluma ngokugula lapha empeleni kuwumbhedo. Umuntu kufanele “adale” kanjani ukungqubuzana kwakhe uma engabuqi wonke amandla akhe ukuze enze kanjalo? Umdlavuza esithweni ngaphambili wawubonakala kithi njengomphumela ongafunwa noma ongahleliwe walokhu kucindezeleka okuqhubekayo. Kodwa isimila esithweni siyingxenye yohlelo olukhethekile lwemvelo.
Ngokwami, ngibheka isimila esithweni njengohlobo “lokukhetha isitho” ngokwezinga elincane futhi ngesikhathi esifanayo inqubo yokukhetha ngokwemvelo yendawo yomqondo ehlobene yengqondo, yebhayoloji (ngokwesibonelo isitho: ithambo – indawo yomqondo webhayoloji. : ugqhozu lwakho). Ngamanye amazwi, uma umuntu ehluleka ukudlulisa inqubo yokukhetha engenakunyakaziswa yemvelo isikhathi eside endaweni yengqondo nesitho esihlobene nayo, khona-ke uyasuswa emqhudelwaneni.

Kule nqubo yokukhetha, "izitho ezindala" azithinteki kakhulu kunezitho ezintsha. "Izitho ezindala" zinezikhungo zazo zokudluliselana ebuchosheni obudala, "izitho ezintsha" ku-cerebrum. Kodwa-ke, izitho zobuchopho ezindala zibalulekile, izitho zobuchopho zidingeka kancane kuphela, kodwa isigaba sabo se-pcl, ikakhulukazi endaweni yokudluliselwa, ngezinye izikhathi siyingozi kakhulu (i-infarction yenhliziyo yesokunxele, i-pulmonary embolism!).

ikhasi 96

Phakathi nesigaba sokungqubuzana, isiguli asikuthandi ukudla, asilali kahle, futhi sihlale sicabanga ngokungqubuzana noma inkinga yaso. Ukujikeleza kwegazi kwe-peripheral kuvinjelwe, ngamafuphi: zonke izinqubo zokubuyisela imifino ziyancishiswa noma zincishiswe zibe ncane. Umzimba “unokuhlanganisa okuvamile” ukudala inkinga yokungqubuzana. Phakathi nalesi sikhathi sokungqubuzana, umdlavuza ukhula, i-necrosis iyenzeka noma nje ushintsho kumaseli esitho, kuye ngokuthi yikuphi ukungqubuzana okuhilelekile. Kulesi sikhathi sokungqubuzana kusuka ku-DHS kuya ekuxazululweni kwengxabano, ukugxila kwe-Hamer ebuchosheni kungaphansi "kokucindezeleka okukhethekile" noma "ukuhlala okukhethekile"! Kuphela lokhu "ukucindezeleka okukhethekile" kubangela ukwanda kwamaseli, i-necrosis noma izinguquko esithweni. Uma i-Hamer lesion ibanzi, i-tumor ebanzi, i-necrosis noma ukuguquka kwamaseli. Lapho ukungqubuzana kushubile, lapho isimila sikhula ngokushesha, i-necrosis iba nkulu futhi iba noshintsho olukhulu kumangqamuzana omdlavuza angangeni kuma-mitotic cell proliferation noma i-necrosis. Ama-anamnestic abaluleke kakhulu⁸⁸ Idatha yi-DHS futhi, uma yenziwe, i-Conflictolysis. Ngokwazi le datha kanye nobukhulu be-DHS kanye nobukhulu bokungqubuzana, sithola ulwazi mayelana nobucayi bezinguquko okufanele sizilindele, ngaphandle uma ulwazi lwesimila esikhulile lusinika ulwazi ngazo. Kungakhathaliseki ukuthi esimweni se-sympathicotonia ehlala njalo ngesikhathi sesigaba sokungqubuzana, amangqamuzana e-alpha ku-pancreas avuselelwa ngokuqhubekayo, ukuze i-glucagon ihlale ikhiqizwa futhi i-glucose ihlanganiswe esibindi, isibindi sona sisuka entweni yomzimba ngenxa yokugaya ukudla. imisiwe noma iyancipha kakhulu, asazi kahle. Kodwa kubonakala kunjalo. Kunoma ikuphi, wonke umzimba uhlale uqaphile, futhi ukukhathala kokugaya kungaba inkathazo kuphela.

Kulesi sigaba esizwelayo, esisebenza ngokungqubuzana, isikhunta kanye namagciwane esikhunta (i-mycobacteria, i-TB) enesibopho sezitho ezilawulwa ubuchopho obudala futhi aphindaphindeka ngokuvumelana nokwanda kwamangqamuzana esitho, njengokungathi indawo yokugcina ukuwohloka (caseification). ) eqala ngokungqubuzana kwe-Tumor esigabeni se-pcl.

⁸⁸ I-Anamnesis = umlando wezokwelapha; Thayipha, ukuqala kanye nenkambo yezimpawu zamanje, ezibuzwa mayelana nokubonisana kwezokwelapha nesiguli

7.2 Ukungqubuzana, ukuxazululwa kokungqubuzana kwebhayoloji

Zonke lezi zimo zishintsha ngokuzumayo lapho ukungqubuzana kuxazululwa. Lokhu kusinika umbono omuhle kakhulu wesu elimaphakathi elihlaba umxhwele ngemuva kwalo. Thina abafundi bemilingo sasiyiziphukuphuku futhi kulula ukubona lolu hlelo. Ngokushesha ngemva kokungqubuzana, umzimba ungakhululeka. Manje ingqalasizinda yokuhlinzeka idinga ukuvuselelwa futhi kulungiswe ngokushesha. Manje amaseli e-beta wamanyikwe ayakhuthazwa futhi i-insulin eyengeziwe iqinisekisa ukuthi isiguli sihlala silambile. Ukugaya kunikezwa kuqala ngaphezu kwakho konke. Umzimba wonke uwela ku-parasympathicotonia ejulile noma i-vagotonia. Ukungqubuzana sekuxazululiwe, ukugxila kwe-Hamer ebuchosheni kuqala ukuzilungisa, njengoba izicubu eziningi ezixhumene nobuchopho be-glial manje zifakwe ekugxilweni kuka-Hamer, okubangela ukuthi i-intra- kanye ne-perifocal edema ibonakale ngaphakathi naseduze kokugxila kuka-Hamer. Ukwanda kwamangqamuzana esimila esithweni kuyema kungazelelwe. Isimila sibuye senziwa i-edematized, i-caseated futhi iphukile futhi ifakwe kabusha ngosizo lwe-acid-fast mycobacteria eqoqwe esigabeni se-ca.⁸⁹ noma waxoshwa. Ekugcineni uyalapheka. Kusele isibazi noma umgodi njengesikhumbuzo sesimila esake saba khona. Kodwa isiguli sizophinde sibe nempilo futhi uma sesisindile kulesi sigaba sokuphulukiswa.

Ezithweni ezilawulwa yi-cerebrum, i-necrosis noma izilonda zigcwaliswa futhi. Sibona izinqubo ezifanayo ebuchosheni njengasebuchosheni obudala.

Isigaba sokuphulukisa empeleni siyinto ejabulisa kakhulu; Ngoba singaba nezinketho zokunakekelwa okuphezulu ezitholakalayo kithi ngezinkinga ezingalindelwa kuphela kumaphesenti ambalwa ezimo zomdlavuza. Umdlavuza ubungaba nezinga lokufa elilinganiselwa ku-3% kuphela uma welashwa ngodokotela nabahlengikazi abahlakaniphile ngokwemibandela ye-New Medicine. Kodwa-ke, imfuneko iwukuthi udokotela womndeni noma, esimweni sokwelashwa, abasebenzi bezokwelapha, izihlobo nabangane abasebenzelana nesiguli baye baqonda uhlelo lomuthi omusha. Ngoba yonke into ebesicabanga ukuthi iyinhle ngaphambili (isibonelo "ukujikeleza okuzinzile" = ukungezwani okuzwelayo) manje isiyimbi, okungenzeka ikhombisa ukuphinda kwengxabano noma ukwethuka okusha. Konke okwakubhekwa njengokubi ngaphambili (isibonelo "ubuthakathaka begazi" = vagotonia = isigaba sokuphulukisa) manje sekuthathwa njengokuhle.

⁸⁹ reabsorb = ukumunca uketshezi noma izinto ezincibilikisiwe ngesikhumba noma ulwelwesi lwamafinyila

ikhasi 98

Ngaphambilini, isiguli "sasilala" nge-morphine ku-vagotonia ejulile ngaphambi nje kokululama kwakhe kokugcina, ngoba icala lalihlale libhekwa njengelahlekile ezimweni ze-vagotonia ejulile.

Endabeni yomdlavuza wamathambo, lesi sikhathi ngaso sonke isikhathi isikhathi sobuhlungu obukhulu bethambo okuthiwa bubuhlungu kakhulu. Eqinisweni, ithambo, eliphinde lilinganiswe futhi likhishwe i-edema ngesikhathi sokuphulukiswa, alilimazi nhlobo. Okubangela ubuhlungu besiguli ukunwetshwa kwe-periosteum ebucayi kakhulu⁹⁰, elivuthelwe okwebhaluni ngenxa ye-edema yamathambo. Ubuhlungu be-Periosteal kuwuphawu oluhle kakhulu lokuphulukiswa kwethambo elingaphansi. Lokhu kuphulukiswa kungabonwa kahle kakhulu ngokuhlolwa kwe-X-ray kwethambo, okungukuthi ekuphindaphindeni kabusha okuqhubekayo (ukubuyisela kabusha) kwethambo, ebuchosheni kumbala omnyama ojulile we-medulla yobuchopho, obuye unyamalale ngokukhula kabusha kokuqina. Kusho ukugcinwa kwe-cerebral edema futhi kungabangela ubuhlungu bekhanda futhi kuhlotshaniswa ne-leukemia, isibonakaliso esihle kakhulu sokuphulukisa (hhayi ukugula!!).

Kunezinkinga eziningi ezingenzeka, yiqiniso endaweni ye-psyche, endaweni yobuchopho kanye nendawo yezitho. Kodwa khumbula njalo: Iziguli ezi-3% kuphela ezingaphumeleli uma zelashwa ngendlela efanele kusukela ekuqaleni futhi hhayi kuphela lapho odokotela abangenalwazi bexoshe isiguli esishone uhhafu ngokuthi “asisalapheki”. Ngenxa yalokhu kuntula ukuqonda, ngaphezu kwama-95% azo zonke iziguli ezinomdlavuza ziyafa namuhla. Phakathi kwazo, kunezimo eziningi ezinomdlavuza omdala ongasebenzi owaphelelwa isikhathi kanye eminyakeni eyi-10 edlule.

7.3 Isifo sokuwa noma i-epileptoid crisis ngesikhathi sokwelashwa sichazwa kusetshenziswa isibonelo sokuhlaselwa yinhliziyo

Ukungena ngakunye kwe-edema esigabeni sokuphulukisa kunephuzu lakhona eliphakeme noma iphuzu lokukhipha. Esimeni se-coronary ulcer carcinoma, isibonelo, lokhu kwenzeka cishe emavikini ama-3 kuya kwayi-6 ngemva kokungqubuzana, ukuxazululwa kokungqubuzana. I-epileptic crisis noma i-epileptoid crisis isho ukuthi i-edema imisiwe futhi iphikisana nokulawulwa ngumzimba ngokwawo. Lesi sigaba esifushane sephuzu loguquko sikubiza noma ukuqala kokumelana nokulawulwa ngokuthi yi-epileptic noma i-epileptoid crisis (“isithuthwane”, uma sikhuluma nje, sisho kuphela i-tonic.⁹¹ noma i-clonic⁹² I-Cramp in motor conflict), kumdlavuza we-coronary ulcer sikubiza ngesifo senhliziyo!

⁹⁰ I-Periosteum = isikhumba sethambo
⁹¹ Ithoni = isimo sokushuba kwesitho noma ingxenye yesitho

ikhasi 99

Uma isiguli sisinde kule nkinga yesithuthwane futhi isimo se-contraindication sihlala sizinzile, okungukuthi ngaphandle kokwethuka futhi ngaphandle kokuphindaphinda kwezingxabano, khona-ke isiguli siye sasinda kakhulu "ekuguleni" kwakhe konke. Kodwa-ke, lokhu kwakwaziwa kakade ngaphambi kokuba uHamer abe nesifo senhliziyo. Iningi lokufa kwesifo senhliziyo kwenzeka phakathi nalesi simo esibucayi se-epileptoid.

Ezingeni elingokwengqondo, isiguli sibhekana futhi sibhekane nakho konke ukungqubuzana kwaso futhi ngokunyakaza okusheshayo emizuzwini embalwa, amahora noma izinsuku. Leli iqhinga likaMama Wemvelo: wehlisa isivinini se-vagotonia ngokuphindaphinda ukungqubuzana okungokwemvelo, okungokwengqondo okunamandla. Kufana nesimangaliso esikhulu esingesihle esasithatha izinkulungwane eziningi zeminyaka ukuqhamuka nalokhu “kusonteka” okulula kodwa okuhlakaniphile okuvela kuMama Wemvelo: Inkinga yesifo sokuwa iwukuhlanganisa kabusha okugxilile, okusheshisiwe kwakho konke ukungqubuzana!

Yeka ukuthi kuncane kangakanani esikwaziyo ngezinkinga zesithuthwane kanye nemvelo yokuhlaselwa yinhliziyo kuboniswa odokotela benhliziyo be-simpleton⁹³ Ngisakholelwa enganekwaneni mayelana nemikhumbi ye-coronary evinjiwe, nakuba ngakwazi ukufakazela ngokungangabazeki e-Vienna Heart Attack Study ngo-1984 ukuthi ukuhlaselwa yinhliziyo, noma lokho esikusho ngempela ngakho, kuyindaba yobuchopho kuphela, noma ngaphezulu. ngokuqondile kwe-periinsular cerebral edema kwesokudla. Kube sencwadini yami ethi "Cancer - Disease of the Soul" kusukela ngo-1984: Ukuboshwa kwenhliziyo akubangelwa ukulahlekelwa ukusebenza ngaphakathi kwenhliziyo, kodwa kusukela ekuphulukiseni i-edema esikhungweni sokudlulisa ubuchopho ngesigqi senhliziyo.

Inkinga yesithuthwane, ebonakala kancane kancane futhi ngokuphawulekayo yonke inkathi yokuphulukisa ngemva komdlavuza noma isigaba sayo sokungqubuzana, ihlala iphakama ngesisekelo se-cerebral edema. Ngisho nokushaqeka okuncane kakhulu kwe-epileptic kubangela i-cerebral edema. Lezi zinkinga zesithuthwane (kanye nesifo senhliziyo) ngakho-ke ngokuvamile zenzeka ebusuku endaweni ephansi kakhulu ye-vagotonia, hhayi ekucindezelekeni noma ngezwi elinozwela, njalo esigabeni sokuphumula, sokuphumula noma sokululama. Odokotela benhliziyo abakaze bakwazi ukucabanga ngeqiniso lokuthi ukuhlaselwa yinhliziyo noma isithuthwane kuvame ukwenzeka ebusuku, lapho, isibonelo, inhliziyo iphumule kahle.

⁹² clonic = ukuthuthumela
⁹³ I-Cardiology = igatsha lezokwelapha zangaphakathi elibhekene nezifo kanye nezinguquko zenhliziyo kanye nokwelashwa kwazo

ikhasi 100

Uma i-edema idlulela phakathi nendawo ye-motor ye-gyrus⁹⁴ Uma ifinyelela ku-praecentralis noma uma ukungqubuzana kokukhathazeka kunokugxila kwe-Hamer lapho, inkinga yesithuthwane ingaholela ekukhubazekeni kwesikhashana kwamaphethelo noma ubuso.

Inkinga yesithuthwane ihlale inezimpawu ezihambisana nobuchopho esizibona futhi nesifo senhliziyo: ukumelwa yinhliziyo, ukujuluka, ukuphelelwa umoya, isicanucanu, isiyezi, ukubona kabili, amajaqamba, ikhanda, ukungahlaliseki, ukwethuka, ukungabikhona isikhathi esiningi.⁹⁵, ngoba i-coronary intima iyazwela futhi ihlinzekwa isikhungo se-sensory cortical. Izinkinga ze-Cortical Epileptic, okungukuthi lezo ezivela ekugxilweni kwe-Hamer ku-cerebral cortex, zingasabalala kuyo yonke i-cerebral cortex futhi zibangele ukudlikizeka kwe-tonic-clonic, ukuluma ulimi, ukukhihliza amagwebu emlonyeni ngenxa yokushaywa kolimi, njll.

Empeleni, inkinga yesithuthwane iyisimo sokushaqeka somzimba, lapho kwenziwa umzamo wokukhipha i-edema ye-intra- kanye ne-perifocal ye-focus ka-Hamer, ngoba ngaphandle kwalokho isikhungo esihambisanayo sokudlulisa singacishe siphefumule ngenxa ye-edema ngokweqile, okusho ukuthi. ukuthi umsebenzi awuqinisekisiwe. Le edema ibangela ukuboshwa kwenhliziyo noma ukungasebenzi kahle kwesikhungo sesigqi senhliziyo uma ukungqubuzana kuthathe isikhathi eside kakhulu (ngaphezu kwezinyanga eziyi-9). Njengoba odokotela benhliziyo bengafuni ukwazi lutho ngobuchopho, banikeza infusions cishe kuzo zonke iziguli ezihlaselwa yinhliziyo, ukuze isiguli siminze ngokuphelele ku-cerebral edema.

Ukwelapha ukushaqeka okuphakathi okubangelwa i-cerebral edema, okungukuthi inkinga yesithuthwane, ngokungeza ivolumu njengokushaqeka kokuntuleka kwevolumu okubangelwa ukopha kuze kube sekufeni kuyingozi kakhulu! Imvelo ithuthukise isimo sokushaqeka kanye nokwelashwa kwayo ezigidini eziningi zeminyaka. Kodwa-ke, akufanele kushaywe indiva ukuthi inkinga yesithuthwane ngokusobala ihloselwe noma yakhiwe ngokwemvelo njengohlobo lombandela wokukhetha. Ucwaningo lwethu lwe-Vienna lwenhliziyo lubonise ukuthi uma ukungqubuzana kuthatha isikhathi eside kunezinyanga ezingu-9, amathuba okusinda ehla kakhulu uma kubhekwa isimo samanje sokwelashwa. Lokhu kuzoncishiswa kakhulu uma ukwelashwa kungaqalwa kusenesikhathi, okungukuthi emasontweni amathathu kuya kwayi-3 e-vagotonia ngaphambi kwenhlekelele yesithuthwane noma isifo senhliziyo, futhi uma i-cerebral edema ingancishiswa ngosizo lwe-cortisone nokupholisa ikhanda. . Ngokubona kwami, izinga lokufa kwabantu ngenxa yokuhlaselwa yinhliziyo lingancishiswa kalula libe ngaphansi kwesigamu.

⁹⁴ Gyrus = indilinga, convolution, ikakhulukazi convolution yobuchopho
⁹⁵ Ukungabi bikho = ukufiphala kokwazi imizuzwana

ikhasi 101

Isexwayiso: Ngiye ngabhekana nezimo eziningana lapho ushukela wehla wacishe wacishe waba yiqanda phakathi nesifo sokuwa. Ukudla kweglucose⁹⁶ ngakho-ke kuhlale kulungile - ngoketshezi oluncane ngangokunokwenzeka! Isexwayiso: Ku-schizophrenia, lapho i-Hamer foci emibili itholakala kuzo zombili izinhlangothi ezihlukene, uma zombili izingxabano ezilengayo zixazululwa ngesikhathi esisodwa, inkinga yesithuthwane ingaphinde iholele enhlekeleleni yesikhashana, yesikhashana.⁹⁷ isimo sokudangala.

7.4 Lisho ukuthini isixazululo “sebhayoloji” sokungqubuzana?

Ngihlala ngithola izipesheli zokusebenza nezazi zokusebenza kwengqondo, “abelaphi” bokuluthwa ingqondo, abantu be-NLP noma abantu be-bioresonance, akukho engingakwamukela. Laba bantu, iningi labo elingenalwazi ngokuphelele emtholampilo, bakholelwa ukuthi izingxabano zingaxazululwa "ngezindlela ezishayayo" - ukuxazulula izingxabano zezinto eziphilayo.

Ngaphandle nje kokuthi isazi sokusebenza kwengqondo manje sesiye saqamba amanga nesakhe⁹⁸ Ngisho noma indlela ihlangabezana nokungqubuzana kwamanje futhi ukukhuluma ngakho nesiguli kungaletha isisombululo esigulini, lokhu kuvame ukungqubuzana okungaxazululeki - ngokombono wezinto eziphilayo. Laba bantu bengqondo, abangenalwazi lwezokwelapha emisha, abazi nokuthi ikuphi ukungqubuzana kwezinto eziphilayo kanye ne-SBS ehlobene nayo ngempela.

"Abelaphi" be-hypnosis nabo kwesinye isikhathi bangaxazulula ukungqubuzana abangakwazi ukukuhlukanisa ngokwesayensi yezinto eziphilayo. Ngaphezu kwalokho, i-hypnosis ejulile inobubi obukhulu bokuthi imvamisa idala i-DHS entsha ongazi ukuthi izobe isinyamalala futhi, njengoba unethemba njalo.

Ngibazi kahle bobabili kusukela ngesikhathi ngisebenza kudokotela wengqondo, bobabili bayingozi ngenxa yokungazi kwabo. Ngicabanga ukuthi i-NLP kanye ne-bioresonance yokuxazulula izingxabano zezinto eziphilayo kanye nezinhlelo ezikhethekile zebhayoloji okunenjongo kuwumbudane.
Zonke izindlela zicabanga ukuthi i-SBS yimbi, “inenya” nokuthi zonke izingxabano (kuhlanganise nezinto eziphilayo) zidinga “ukwelashwa”.

⁹⁶ glucose = syn. ushukela
⁹⁷ odlulayo=okwesikhashana
⁹⁸ khohlisa=lat. amanga: amanga, ayiphutha

ikhasi 102

Iqiniso lokuxazulula izingxabano zezinto eziphilayo - lapho zivunyelwe ukuxazululwa - kulula kakhulu futhi - kunzima kakhulu!

Singene shí ephutheni lezokwelapha leminyaka engu-2000 edlule, lapho imithi yayisekelwe eTestamenteni Elidala, kangangokuthi abantu abaningi abakwazi ukusuka kuyo ngomnyakazo owodwa omkhulu. Umama uzwa ukungqubuzana kwezinto eziphilayo kwengane yakhe, ngisho nangaphandle kwazo zonke "izindlela", kanjalo nazo zonke umama wezilwane.

Laba omama ngokuzenzakalelayo bathola imbangela, bathola ikhambi elifanele, isikhathi esifanele, amazwi afanele enduduzo noma isiyalo, ngokuvamile benza yonke into ngendlela efanele ngokwesayensi yezinto eziphilayo - kulula kanjalo!

Isiwula esihlakaniphile esifuna ukwenza lokhu “ngendlela” senza konke okungalungile. Kungaba kuhle ukuthi aqhelelane nakho konke. Umuthi Omusha - ngokungafani nomuthi wenkolelo ye-5000-hypothesis ebizwa ngokuthi umuthi wezwe noma ovamile - isayensi yemvelo ncamashi engenakho ukuqagela. Ngakho-ke ngokuqinisekile wazi okuningi kunomuthi kahulumeni omdala. Noma kunjalo, iziphukuphuku ze-nickel-spectacled intellectual azidingeki ku-New Medicine. Ayikho i-psychiatry noma i-cerebro-iatry noma i-organo-iatry, kodwa i-iatry kuphela.

I-iatros emuthini omusha kufanele yazi konke okufanele ukwazi, kodwa kufanele kuqala ibe umngane onenhliziyo efudumele yesiguli onomqondo ophusile ongumeluleki omuhle "wesiguli esikhulu".
Isiguli sidinga futhi umeluleki omuhle kanjalo neseluleko esihle lapho sixazulula ukungqubuzana kwaso kwemvelo, uma kungaxazululwa nhlobo - kakade - noma kungasekho!

Into ebaluleke kakhulu okufanele uhlale uzitshela ukuthi iMeaningful Biological Special Programme iyinto ewusizo, akukho lutho "olubi", ngisho nomdlavuza futhi u-95 kuya ku-98% usinda, ngisho nomdlavuza!

Ngalawa mazinga okusinda, asikho isidingo sokwethuka!

Izinga eliphezulu lokufa elibangele ukwethuka okukhulu phakathi kwazo zonke iziguli zethu ezimpofu kwaba ngenxa yokungazi noma ukwehluleka ngamabomu ukusebenzisa okutholwe Umuthi Omusha emithini evamile.

Uma sazi emuthini omusha, njengoba ngishilo, ukuthi zonke izinqubo esasivame ukuzibiza ngokuthi "eziyingozi" zinencazelo yezinto eziphilayo, kuhlanganise nokuxazulula izingxabano nalokho okuza ngemva kwalokho, isibonelo, lapho ukuzethemba kwehla, isibonelo i-leukemia , khona-ke. isiguli asisathuswa yikho uma sikhona - njengoba kumenyezelwe.

⁹⁹ Iatroi = odokotela, umsebenzi wezokwelapha

ikhasi 103

Ake sithathe isibonelo sethu esivame ukucashunwa: Umama wahlushwa i-DHS lapho ingane yakhe encane iba sengozini phambi kwamehlo akhe. Manje usesibhedlela - futhi ukhula umdlavuza webele. Incazelo yezinto eziphilayo kungaba ukuthi ngalo mdlavuza webele ukhiqizela ingane ubisi olwengeziwe ukuze ingane ikwazi ukunxephezela ukubambezeleka kokukhula ngokwandisa ubisi olunikezwayo.

Isixazululo asikatholakali ngesikhathi ingane isesibhedlela. Ngisho noma ingane iphuma esibhedlela (imvamisa ukuxazulula ukungqubuzana) futhi isenomonakalo wengozi isikhathi eside, ukuxazulula ukungqubuzana kwezinto eziphilayo namanje akuwenzi umqondo wezinto eziphilayo. Ingane isadinga ukwanda kobisi. Kodwa uhlelo lwebhayoloji luhamba noma umama (ophucukile) engasalinceli ibele. Ngakho-ke kufanele simchazele kahle lo mama ukuxhumana, okuhlanganisa nokuvela ngokuzenzekelayo komdlavuza webele, uma ene-mycobacteria (TB), evame ukutholakala ngokubuza isiguli ukuthi uke wajuluka kaningi ebusuku ezikhathini ezidlule. Kumelwe azi futhi ukuthi ngisho nesimila esingaxazululeki ebeleni lapho ingekho i-mycobacteria (TB), okungukuthi isimila esivalekile, siyinto engenabungozi ngokuphelele, into engadingekile ngokwebhayoloji kodwa hhayi nakancane esongela ukuphila. Njengoba iziguli ezinjalo zingezona iziduli njengathi futhi kumayelana nemizimba yazo, ngokuvamile ziqonda ngokushesha, ngokushesha okukhulu kunalokho esikucabangayo.

Ngingathanda ukuchaza kafushane amacala amabili, amanye awo aphinde afakwe ohlwini kwenye indawo encwadini, ukuze nje ngibonise ukuthi isixazululo sebhayoloji sokungqubuzana ne-SBS kuwo wonke amazinga amathathu akusona isixazululo esingokwengqondo, kodwa kunalokho yizinto eziphilayo.

7.4.1 Indaba eyisibonelo: Ukuxazulula ukungqubuzana kwebhayoloji nge-interstitial testicular carcinoma

Lolu daba lukadokotela osemusha ofike nje emsebenzini ngoba ekhishiwe lungase lubonise ukuthi umuntu kufanele abale ngokucophelela kangakanani emuthini omusha.¹⁰⁰ wesende kwesokunxele (testicular cyst), eyayivuvukele usayizi iqanda ihansi, ngo-April 98, ngesikhathi CT isheke esiswini (ngo-Okthoba 27.10.98, XNUMX), wathi amangqamuzana esende eliyingozi kakade metastasized esiswini. . Manje (June'⁹⁹) yonke into esiswini yayigcwele ama-metastases futhi kwakungekho okunye okwakungenziwa.

¹⁰⁰ Extirpation = ukukhishwa kwesitho somzimba ngokuhlinzwa

ikhasi 104

I-cyst yamasende, ngo-April '98

I-CT yesisu kusukela ngoJuni 27.10.98, XNUMX
I-cyst yezinso kwesokunxele (imicibisholo)

I-cyst yamasende, ngo-April '98 futhi I-CT yesisu kusukela ngo-Okthoba 27.10.98, XNUMX I-Renal cyst kwesokunxele (imicibisholo)

Ukungqubuzana koketshezi okuhambisana nakho kwaxazululwa ngokushesha: NgoMeyi ka-98, isiguli sasifuna ukuvuselela intombazane eneminyaka engu-5 ubudala eyayiminzile egumbini lezimo eziphuthumayo esibhedlela sangaphandle lapho sasisebenza khona. Ngenxa yemishini yesibhedlela eyanele, ayenomuzwa wokuthi unomthwalo wemfanelo ngokwengxenye, ingane yashona, ilingana ncamashi nengane yayo siqu. Njengoba abika, kwakungo “ngomphefumulo wakhe nangomphefumulo wakhe”. Wabhekana nokungqubuzana koketshezi, akwazi ukukuxazulula ngemva kwezinyanga eziyisithupha. I-cyst yezinso, eyayivele ifakwe kakhulu ngalesi sikhathi, yaqala ukutholwa ngo-Okthoba ka-98 futhi yahunyushwa ngokungeyikho njenge-lymph node, yase yatholwa ngokungalungile njenge-metastatic conglomerate enkulu ngoJuni ka-99.

ikhasi 105

 

I-CT yesisu kusukela ngoJuni 10.6.99, XNUMX
I-nephrblastoma enkulu (= i-cyst indurated kidney cyst) ibonakala ngokucacile, bona imicibisholo.
I-pelvis eyengeziwe ye-renal ibonakala yakheka. Ngoba i-nephroblastoma ikhiqiza umchamo futhi iwukhiphe
umgudu womchamo okhona. Okumangazayo yi-inhomogeneity ye-nephrblastoma. Imicibisholo emibili engenhla ibonisa izingxenye ezimbili zokuqala ze-nephrblastoma, ezingase zibonakale kakade ezithombeni kusukela ngo-Okthoba 27.10.98, XNUMX.

 

I-CT yesisu 10.6.99
Ingxenye enkulu ye-nephrblastoma ibonakala yengezwe kamuva, esasingakwazi ukuyichaza ngaphambili. Manje sesingakwazi ukuchaza lo mkhuba; Ngoba ukubuka ingxenye yesiqu sobuchopho kusukela ngoJuni 10.6.99, XNUMX kusibonisa eyodwaphakathi kweziko lika-Hamer, kamuva eliba yisixazululo, sokuqoqa imigudu edluliselwe ezinso ezifanele. Singabona ukuqoqwa kwe-duct carcinoma esithombeni esingenhla (umcibisholo). Lokhu kungqubuzana kwababaleki i-SBS kamuva “kwavuthela” i-nephroblastoma futhi. Ngokusobala wabhekana nengxabano yababaleki kanye nokungqubuzana kokulahlekelwa lapho kudingeka ashiye umndeni wakhe ukuze athuthele eNingizimu Melika. Ingxabano yababaleki ibonakala ixazululiwe ku-CT elandelayo. 

ikhasi 106

10.6.99
Ukugxila kwe-Hamer kokuqoqwa kwepayipi lokudluliswa kwezinso ezingakwesokudla esigabeni se-pcl, okuye kamuva "kwakhuphula" i-indurated nephroblastoma (bona isahluko sokuqoqa isifo se-duct syndrome).

10.6.99
Umcibisholo ubonisa ukugxila kwe-Hamer kwe-nephrblastoma yezinso zesokunxele. (Ukungqubuzana kwamanzi ngenxa yokuthi ingane eminzile ayikwazanga ukuvuswa, lapho udokotela ebeka ingxenye yecala kuye).

9.6.98
Ukugxila kuka-Hamer ku-relay yesende lesokunxele: i-edema epholayo enkulu ngokulingene esekuxolelweni.

Kodwa enye into yayibaluleke kakhulu kithi sobabili, ngokushesha nje lapho udokotela osemusha eseqale ngempela ukuqonda lendaba:
Uma ukucisha kwesende kwenziwa ngesikhathi sokuphulukiswa kwe-SBS, njengoba kwenzeka kimi, khona-ke i-SBS isaqhubeka nokusebenza ngendlela ehlosiwe - okungukuthi, naphezu kokususwa kwalokho okubizwa ngokuthi "isitho esiphumelelayo".

ikhasi 107

I-pituitary gland kanye ne-adrenal cortex iyangena futhi ibangele ukukhiqizwa kwe-testosterone eyengeziwe kunangaphambi kokuqala kwe-SBS. Okwamanje asikazi ukuthi ukukhiqizwa kwe-testosterone eyengeziwe kwenzeka ku-adrenal cortex noma kulokho okusele okubizwa ngokuthi "i-residual testis". Kunoma yikuphi, izinga le-testosterone liphakeme futhi lihlala liphakeme. Inkosikazi yalesi siguli esiyinxele phambilini esizichaze njengomuntu othambile, isanda kusitshela ukuthi isinesikhathi eside yaba yindoda, okuyinto ebingakaze ibe khona ngaphambi kokuthi kuphele amasende. Naye uzizwa engumuntu wesilisa kakhulu. Umkakhe akazange akuthande lokho; Umkami washo amazwi afanayo kimi cishe unyaka ngemva kokushona kwendodana yami uDirk noma ukukhishwa amasende.

10.6.99
Usengabona umphetho we-edema. Kodwa ngokusobala ukungqubuzana kokulahlekelwa kwaqala ukusebenza futhi ngoba isiguli sasikholelwa ukuthi manje sizondiza siye eNingizimu Melika ukuze siyoshona nokuthi sasingeke siphinde sibabone abazali baso. Ichashazi elimnyama eliya ngakumcibisholo liphawula indawo ephakathi. Izinhloso zokudubula azikwazi ukubonakala ngaphakathi kwesibazi.

Manje kukhona "ukuphulukiswa okulengayo" endaweni efanele.

Indawo engakwesokunxele ihlala isebenza.

Ingxabano yokulahlekelwa nayo yaxazululwa ngokushesha: ekuqaleni kuka-1998, umndeni wasuka eJalimane waya eNingizimu Melika, waya ezweni lakubo. Isiguli sasikholelwa ukuthi ngeke siphinde sibabone abazali baso bephila, ikakhulukazi unina ayemkhonze. Kodwa lapho endizela ebuyela eJalimane ezinyangeni ezintathu kamuva futhi ufuduko oluya eNingizimu Melika lungasabonakali luqinisekile, wakwazi ukuxazulula isikhashana lokhu kungqubuzana kokulahlekelwa. Ngokushesha ngemva kwalokho, i-testicle yangakwesobunxele yaqala ukuvuvukala.

ikhasi 108

Kwesokunxele (kuye, njengenxele, uhlangothi lozakwethu) ngoba ubelokhu ebabaza unina (“owesifazane omuhle kakhulu, kodwa oqinile”) njengozakwethu, ikakhulukazi ngendlela ethile ye-Oedipal.

Kodwa manje kwaqala ngempela lapho sifunda ubuchopho bakhe CT ndawonye (ngihlale ngenza i-CT yobuchopho imfuneko): Ngoba kwavela ukuthi, njengoba ubona kalula, unesixazululo esikhulu se-edema endaweni efanele . Ngakho kumelwe ukuba wamelwa yinhliziyo. Wayekukhumbula lokho futhi - ngo-1998 nge-ventricular arrhythmia nobuhlungu benhliziyo. Kwakuwukuhlasela kwenhliziyo kwesokunxele okuncane, ngoba uhlangothi lwesokudla lwalungase lusebenze kuphela kumlaza we-schizophrenic. Ingxabano yayiwukuthi umkakhe wayemqhathe neshende lakhe eminyakeni engu-12 edlule. Kusukela ngaleso sikhathi uye waba nokungqubuzana okusebenzayo "okulenga" ngakwesokudla sobuchopho esifundeni se-periinsular.

Kodwa ukungqubuzana kokuqala kufanele kutholwe ngumuntu ongakwesokunxele ku-hemisphere yakhe ye-cerebral hemisphere. Futhi usevele wazibonela, njengoba azi kahle, eneminyaka engu-4: ukwesaba indawo, ukungqubuzana kwentukuthelo yendawo - eminyakeni engu-34 edlule.

Abazali bakhe babeye ephathini futhi bacabanga ukuthi isiguli esasineminyaka engu-4 ubudala ngaleso sikhathi nomfowabo omncane babelele. Kodwa bavuka futhi ngokwesaba okukhulu, bekholelwa ukuthi abazali babo banyamalala unomphela, baphendukela phansi yonke indlu. Wabhekana nokungqubuzana kwendawo yobuchopho kwesokunxele namanje. Kusukela lapho, uyazi, ubelokhu ehlanya futhi ematasa, wabe eseba manic-depressive eneminyaka engama-26 lapho ehlushwa ingxabano yendawo yesibili futhi wabamba umkakhe e-flaggante nesithandwa.

Kithina imibuzo ibithi:

1. Ingabe ingxabano yendawo ye-right-cerebral yaxazululwa ngokuxazulula izingxabano noma "ngokwebhayoloji" ngokunyuka kwamazinga e-testosterone?
2. Ingxabano yesibili yayiseqoqweni lezinkanyezi le-schizophrenic kuphela, ngakho yayingenazo izinto ezingqubuzanayo. Isiguli sasiyixazululile futhi savunyelwa ukuyixazulula ngaphandle kwengozi yokufa ngenxa yokuhlaselwa yinhliziyo kwesokunxele. Umbuzo wawuwukuthi, uma “isixazululo sebhayoloji” sekwenzekile, ukungqubuzana kwendawo yesokunxele yobuchopho nakho bekungaba sengozini “yokuxazululwa ngenkani” ngokwebhayoloji. Lokho kwakuyingozi, ngoba ukungqubuzana kwendawo yesokunxele (abantu abangakwesokunxele) kwase kusebenze "solo" iminyaka engu-2. Isixazululo cishe kungaba ukufa.

Umphumela: Kubonakala kuyindaba yokuthi izingxabano zezindawo ze-right-cerebral kuphela ezixazululwa ngokungagwemeki ngokwebhayoloji ngokunyuka kwamazinga e-testosterone uma ukungqubuzana kokulahlekelwa kunesisindo esanele.

ikhasi 109

Isiguli siyaphila. Njengoba “isitho esiphumelelayo” (isende lesokunxele) sanqunywa, akakwazanga ukuqaphela ukuxazululwa kabusha kokungqubuzana kokulahlekelwa ngaphandle kwezinga le-testosterone kanye nomuzwa ovuselelwe wokwanda kobudoda. Manje akaseyona i-manic-depressive, kodwa nje i-manic, evame ukuqondwa kabi ngokuthi "i-dynamic" emphakathini wethu.
Izinto zigcine kahle lapha, ngoba isiguli siyinxele. Icala elifanayo elihilela owesilisa osebenzisa isandla sokudla cishe nakanjani liphetha kabuhlungu.

Umlingani waleli cala elingenhla - ngisho noma engekho ku-constellation ye-schizophrenic - isiguli esineminyaka engu-82 ubudala esasineminyaka engu-50 i-amenorrhoeic ngemva kokudlwengulwa amasosha aseRussia phakathi nempi, okusho ukuthi isikhathi sayeka ngokushesha ngemva kwalokho, asizange siphumelele. buya futhi isiguli sasabela kusukela ngaleso sikhathi "owesilisa".

Lokhu kungqubuzana kwezocansi - le ntokazi ayizange iye kudokotela wezifo zabesifazane - manje kwase kuxazululwe ngenkani ngokwebhayoloji ngemuva kweminyaka engama-50 yokusebenza lapho i-cyst enkulu ye-ovarian yakheka njengesigaba sokuphola sokungqubuzana (okubi kwengxenye yobulili) yokulahlekelwa. Kusukela esigabeni lapho i-cyst igxiliwe khona futhi yabangela ukuthi izinga le-estrogen likhuphuke kakhulu, isalukazi saphinde saya esikhathini futhi (izinyanga ezi-3 kwaze kwaba sekufeni kwakhe) futhi - saphinda futhi "esifazane".

Mina nomndeni sazi kusasele amasonto ukuthi isalukazi sasingeke sisinde kulesi sixazululo sebhayoloji engxabanweni yakudala ngale kwenkinga yesithuthwane. Le nkinga ye-epileptoid yenzeka kuphela ngemva kwezinyanga ezingu-3 esikhundleni samaviki angu-6 kuya kwangu-3 avamile ngendlela yokuhlasela kwenhliziyo kwesokudla nge-pulmonary embolism. Umndeni wawusuvele unqume ukuthi umama angadluliselwa egunjini labagula kakhulu, ikakhulukazi njengoba ayezoba no-zero, kodwa kufanele ashone ngesizotha. Walala ngokuthula nangokuthula.

USarah weTestamente Elidala, umka-Abrahama, kufanele futhi ukuthi wayeneqhubu le-ovary eliqinile ukuze aphinde akhiphe iqanda futhi akhulelwe. Kodwa wayengenayo enye ingxabano yocansi.

Ngaphandle kokungqubuzana kocansi okusebenzayo kwangaphambilini, i-cyst ye-ovarian yinto enhle kakhulu engenzeka kumuntu wesifazane: ngokuvamile ubheka iminyaka engu-10 kuya kwengu-20 encane kuneminyaka yakhe. Khona-ke abantu bathi, “O, wayebukeka esemncane kakhulu!”

ikhasi 110

Manje seningaqonda, bafundi abathandekayo, ukuthi kungani ngingalokothi ngikhulume ngesixazululo esingokwengqondo sokungqubuzana, kodwa kunalokho “esingokwemvelo”. Isixazululo esibizwa ngengqondo sokungqubuzana kwezinto eziphilayo (SBS) siphinde sibe "ngokwebhayoloji".

Futhi manje ungase uqonde nokuthi kungani i-iatros kufanele yazi okuningi ngaphambi kokuba ilokothe ​​isikisele esigulini ikhambi lengxabano yaso, engaphetha kalula ngokufa ezandleni zomuntu ongenalwazi.

Futhi nginombono mhlawumbe othize oyisidala kodwa ohlale uhambisana kahle wokuthi umuntu akufanele enze noma yini ezigulini ngaphandle kwalokho azokwenza kuye nasezihlotsheni zakhe eziseduze. Futhi lapho odokotela abakhulu noma omongameli be-oncology bezama ukuthi bona nezihlobo zabo belashwe ngokweNew Medicine ukuze basebenzise izinga lokusinda elingama-95 kuye kwangama-98%, esikhundleni sekhemo basakaza ngamathuba angama-95 kuye kwangama-98%. babulawe, khona-ke akekho umuntu othembekile ongaqonda ukuthi lezi zinkanyiso zemithi yombuso bese ziqhubeka kanjani nokusabalalisa i-chemo "kwiziguli zabo zangaphandle" ezimpofu.

Ilukuluku elincane lokwazi: Lapho inkosikazi ikhohlisa isiguli nesithandwa sakhe ngenkathi iseJalimane futhi ithola, isiguli sandiza sabuyela emuva ngaphandle kokwazisa umkayo. Wambamba “e-flagrante,” okwaholela engxabanweni yakhe ye-periinsular 2nd territory ngo-1987 (manje uselulama ngenxa yokwanda kwe-testosterone).

Inkosikazi yabhekana nokungqubuzana “engalutholanga ucezu lokwaziswa (uhambo lwakhe lokubuya)” (indlebe emaphakathi kwesokudla, kwesokudla ingxenye yokwaziswa). Njengoba evame ukuhlangana nesithandwa sakhe edolobheni, ukutheleleka kwendlebe emaphakathi okungapheli kuhlala kusendleleni yokwelapha. Njalo uma isiguli silala nonkosikazi waso, iphunga (TBC) endlebeni yangakwesokudla yomkakhe lalimnengeka. Ngenhlanhla, isifo sikashukela esihlobene asitholakalanga. Ukungqubuzana manje sekuxazululiwe (isithombe ngezansi).

Isithombe kusukela ngoJuni 9.6.99, XNUMX
Umcibisholo ongaphezulu kwesokudla ukhombisa ukugxila kwe-Hamer okusebenzayo esikhungweni sikashukela, okuhambisana kakhulu nesifo sikashukela (esingatholakali), ngaphansi (ingxenye yesokunxele yezimo eziphuthumayo) ne-hypoglycemia. Okubizwa ngokuthi “isifo sikashukela esingazinzile”! Ukube isiguli besisesandleni sokudla, besizoba ne-hypoglycemia (ubuchopho besobunxele).

ikhasi 111

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8 Inkinga yesithuthwane njengendlela evamile esigabeni sokuphulukisa

Amakhasi 113 kuya ku-172

Lonke i-Meaningful Biological Special Programme (SBS) inamaphuzu athile ahlukile.
Lezi izi:

1. I-DHS = ukuqala kokugula, ukuqala komsebenzi wokungqubuzana
2. CL = ukuqala kwesigaba sokuphulukisa, ukuphela komsebenzi wokungqubuzana
3. EC = Inkinga Yesithuthwane = iphoyinti loshintsho phakathi kokwanda kwe-edema
   kanye nokuncipha kwe-edema (ebuchosheni nasesithweni)
4. I-RN = I-Vegetative Re-Normalization

Konke okubizwa ngokuthi ukukhula komdlavuza nakho kuhamba ngaphakathi kwalolu hlaka. Kodwa uhlelo lusebenza kuphela esimweni esinjalo i-ein I-SBS ikhona. Kukhona eziningana ngesikhathi esifanayo ngaphambili, bese kuba nenani lezinketho: Ungakwazi ukulandela isifundo

ube esigabeni futhi
izigaba ezahlukene.

Into iwukuthi, cishe yonke into esixoxa ngayo lapha, futhi Isimiso ngokuphelele kalula. Kodwa udeveli emininingwaneni, bathi, futhi lokhu kunjalo lapha. Kunjalo, uma izingxabano ezimbili ziqala nge-DHS kanyekanye futhi ziyizingxabano ezifanayo ngokobuchopho, okungukuthi zinesikhungo sazo sokudlulisa ezingxenyeni eziqhathanisekayo zobuchopho obufanayo (isb. ngesikhathi esifanayo.

Kodwa yilapho kuqala ubunzima obuhlelekile bokuqala: izinqubo zokuphulukisa azivamile ukuba zibe esigabeni esifanayo. Lokhu kungenxa yokuthi kokubili ukuqina kanye nobude besikhathi sokungqubuzana okubili ngesikhathi esisodwa akudingekile ukuthi kufane; Isibonelo, enye yalezi zingxabano ezimbili kungenzeka ukuthi inciphe kakhulu okwamanje; Sibe sesithi: udweshu “lusalenga”.

ikhasi 113

Okubonisiwe: Eutony¹⁰¹ , okungukuthi, isigqi esivamile sosuku/ubusuku kanye nephethini efanelekile yenkambo yokungqubuzana okuhlanganisa nesigaba sokuphulukisa esilandelayo, esingaphazanyiswa ukuphindaphindeka kwezingxabano futhi ngenxa yalokho singaphola ngenkinga eyodwa ye-epileptoid kuze kube yilapho senziwe kabusha.
i-x-eksisi = isikhathi (t); i-y-eksisi - ukuqina kodweshu

Lo mdwebo ongenhla ukhombisa izifo ezi-2 ezibizwa ngezifo zomdlavuza (manje eziqashelwa njengengxenye yohlelo olukhethekile lwebhayoloji) ezithuthuka ngezigaba ezahlukahlukene, ngokwesikhathi se-DHS kanye nesikhathi sokungqubuzana futhi ngaleyo ndlela kanye nenkinga yesithuthwane/isithuthwane. .

¹⁰¹ Eu-…ingxenye yegama elisho okuhle, okujwayelekile

ikhasi 114

Ubunzima obengeziwe buvela ngokungagwemeki uma izingxabano (DHS) ziqale ngezikhathi ezihlukene. Leli cala njengamanje livame kakhulu ngoba isiguli sivamise ukuphathwa yi-DHS yesibili futhi siphathwa umdlavuza waso wesibili ngesikhathi sixilongwa ngesihluku nokudalulwa kwesibikezelo.

Yonke le nto iba inkimbinkimbi nakakhulu uma ukungqubuzana kwengxabano kwenzeka phakathi, kodwa kuthathelwa indawo yizingxabano ezintsha eziphindaphindekayo. Ukwengeza, ukungqubuzana kwesibili kungahlala kusebenza njalo, njengoba sijwayele "izingxabano ezilengayo". Ezimweni ezinjalo, isiguli asinazo izandla ezinempilo, ezifudumele, kodwa ngenxa yokuthi i-tonicity enozwela engapheli kanye ne-vagotonia ehlala njalo kuhlangene, isiguli "sicindezelekile ingxenye"! Lesi simo esiyinqaba asifani neze ne-normotension, kodwa isimo esihluke ngokuphelele ngokwekhwalithi.

Umuthi wethu wamanje awunaki nhlobo izinto ezinjalo. Noma yini engajwayelekile ingase ibe “yi-vegetative dystonia¹⁰²¹⁰³" (ngesiJalimane: "Mncane, uyahlanya").

Okokuqala kufanele wazi futhi ukuqonde konke lokhu ukuze ukwazi ukuqonda ukuthi “isifo sokuwa noma isifo sokuwa” sisho ukuthini enqubweni yokuphulukisa nokuthi siyini ngempela, ukuthi senzeka nini futhi ngaluphi uhlobo, njll.
Uma sikhuluma nje, inkinga yokungqubuzana kwezimoto kuphela ebizwa ngokuthi i-epileptic crisis. Uphinde abe nesifo sokuwa. Ukuze kube lula, sizobiza zonke izinkinga ze-epileptic ne-epileptoid (= ezinjenge-epilepsy-like): izinkinga zesithuthwane.

Qaphela:

1. Inkinga yesithuthwane enqubweni yokuphulukisa yomdlavuza iyindawo yokuguquka ekuphakameni kwesigaba sokugcina i-edema kuya esigabeni sokuxoshwa kwe-edema. Kuyisigaba esimaphakathi esizwelayo (Zakke!).

2. Konke okubizwa ngokuthi isifo somdlavuza noma uhlelo olukhethekile lwebhayoloji olunengqondo lunenkinga yesithuthwane endaweni ephakeme futhi ngesikhathi esifanayo indawo yokuguquka ye-edema yokuphulukisa (isigaba se-hydration) ekuxoshweni kwe-edema noma esigabeni sokuphelelwa amanzi emzimbeni.

3. Lezi zinkinga zesithuthwane zithuthuka ngendlela ehluke kakhulu, kuye ngendawo uHamer agxile kuyo ebuchosheni.

¹⁰² Dys- = ingxenye yegama enencazelo mis-, un-
¹⁰³ I-Dystonia = isimo esingalungile sokucindezeleka (ithoni) yemisipha, izitsha noma isimiso sezinzwa ezizimele

ikhasi 115

4. Izinkinga zesithuthwane ze-cortical motor kuphela ezinama-tonic-clonic cramps ngenxa yokubandakanyeka kwesikhungo se-motor ku-precentral gyrus okuthiwa yi-epileptoid crises ye-cerebellum, isiqu sobuchopho noma i-diencephalon ngayinye inesithombe sayo somtholampilo somlingiswa ojwayelekile; amajaqamba e-tonic-clonic (“Izinsuku ezibandayo”).

5. Ngemva kwenkinga yesithuthwane/yesifo sokuwa, ukuqubuka kokuphola kuyadamba futhi.

6. Njalo umdlavuza wesibili noma wesithathu ubuye ube nenkinga “yawo” ye-epileptiform ngesikhathi sokwelashwa. Ngakho-ke, ukungqubuzana ngesikhathi esisodwa kwezingxabano eziningana kungaba yingozi - kodwa kungase futhi kuzuzise ngoba isifo sokuwa noma inqubo ye-epileptoid ibe seyenzeka ezingxenyeni ezimbalwa zobuchopho ngesikhathi esisodwa noma enye ngemva kwenye.

7. Ngakho-ke isithuthwane asisona isifo esihlukile, esiqhubekayo, kodwa - ngisho nalapho uhlaselwa yisifo sokuwa - isifo esihlala siphindaphinda "Umlaza wenqubo yokuphulukisa“!

8. Ukuhlasela kwenhliziyo, lapho izingxenye ze-cortical zesifunda esingajwayelekile zithinteka, kuwuhlobo lwesithuthwane!
Ukuze singenzi izinto zidideke kakhulu, singathanda ukugqamisa imilaza emibili engenzeka: Okokuqala, icala “elivamile”:

NgesiJalimane lokhu kusho:
Indawo eyenza ijika lokushuba kokungqubuzana esigabeni esisebenzayo ukusuka ku-DHS ukuya ekuxazululeni ingxabano (CL) ihambelana cishe nendawo izinga le-vagotonia, elilinganiswa ngobunzima bokwakheka kwe-edema, nayo yakheka ne-x-eksisi. Lokhu kusho ukuthi: lapho ukungqubuzana kwakushubile futhi isikhathi eside ukungqubuzana kuqhubeka, kunamandla futhi isikhathi eside i-edema iphikelela.

ikhasi 116

Singasho ukuthi: I-eksisi eqondile noma engu-y imele ukuqina kokungqubuzana, i-eksisi evundlile noma engu-x imele isikhathi.
Lokhu kuphumela kokuthi: Okubalulekile, okungukuthi indawo ephakathi “kwejika lokungqubuzana” kanye ne-x-eksisi phakathi kwe-DHS kanye ne-confrolysis = okubalulekile phakathi kokungqubuzana kanye ne-RN (ukuvuselelwa kabusha).

Ngakho: Indawo yokungqubuzana (phezulu) ilingana nendawo yesigaba sokuphulukisa (phansi).
Uma sicabanga ukuthi lonke uhlelo olukhethekile lwebhayoloji luphinde lube “nohlobo” lwalo olukhethekile lwenkinga yesithuthwane esigabeni salo sokuphulukisa, okuncike ohlotsheni lwengxabano noma indawo uHamer agxile kuyo, kubalulekile ukwazi:

1. Kwakuyini ukungqubuzana?
2. Yayinini i-DHS?
3. Ingxabano yathatha isikhathi esingakanani?
4. Ingabe ukungqubuzana sekuxazululiwe kakade?
5. Ingalindelwa nini inkinga yesithuthwane?
6. Ibucayi kangakanani inkinga yesithuthwane okufanele ilindelwe?
7. Uyoba yini umthelela wenkinga yesithuthwane?
8. Le nkinga yesithuthwane ingavinjelwa kanjani, noma mhlawumbe incishiswe noma yande?

Ukuhlasela kwenhliziyo kuyi-sensory-epileptoid, ngezinye izikhathi futhi motor-isithuthwane I-Crisis, ngokugxila kuka-Hamer endaweni ezungezile ye-cerebrum kwesokudla. Ngokusekelwe ubude nobukhulu bokungqubuzana, cishe kuqinisekile ukuthi ezimweni eziningi kungenzeka ukwazi amasonto angu-3 kuya kwangu-6 kusengaphambili, okungukuthi ngesikhathi sokungqubuzana, ukuthi isiguli sizosinda noma sife - kusetshenziswa izindlela zokwelapha ezivamile zamanje. !

Esifundweni sethu sokuhlasela kwenhliziyo eVienna, asikho nesisodwa isiguli esisindile (ngaphansi kokwelashwa okuvamile) esasibe nokungqubuzana kwendawo okwathatha isikhathi eside kunezinyanga ezingu-9, nakuba umsebenzi wokungqubuzana “ovamile” uyimfuneko.

Uma umsebenzi wokungqubuzana uphansi, isiguli - okwamanje esisebenzisa lokho okubizwa ngokuthi ukwelapha - singakwazi ukusinda ngisho nangemva konyaka wokungqubuzana. Iziguli zazihlale zinezinkinga zazo zesithuthwane emasontweni amathathu kuya kwayi-3 ngemva kokungqubuzana kokuhlangenwe nakho kwami, ngakwazi ukubikezela le nkinga kwabanye abantu cishe kuze kube usuku.

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Nansi indlela ebukeka ngayo inkambo yesifo senhliziyo esiyisithuthwane:

Ukuvimbela i-EC esongela ukuphila, isibonelo ukuhlasela kwenhliziyo, ngokunikeza imithi ezwelayo (i-cortisone, phakathi kwabanye) ekuqaleni kwe-contraindication. Isigaba se-PCL sihlala isikhathi eside, kodwa inkinga engase ibe nzima phakathi kwesigaba sokuphulukisa iqhubeka isikhathi eside ukuze "udale" ukuxoshwa kwe-edema.

Nge-prophylaxis¹⁰⁴ Ngenxa yezinkinga zobuchopho, ezisohlelweni futhi ngenxa yalokho zivamile ngokuphelele, kubalulekile esigulini ukuthi udokotela azi ukuthi yiziphi izinkinga okufanele azilindele futhi nini.

Lapha kufanele sibe nesithakazelo ngokukhethekile enkingeni yesithuthwane, engeyona nje impoqo kunoma iyiphi inqubo yokuphulukisa ngemva kwesigaba somdlavuza osebenzayo, kodwa futhi kuyingozi kakhulu! Uma isiguli sibe nomdlavuza amaningana onokushaqeka okuhambisana ne-DHS, ngasinye salezi zigaba ze-CA sibuye sibe nenkinga “yaso” yesithuthwane ngemva kokungqubuzana. Le nkinga ivame ukusitheka.

¹⁰⁴ I-Prophylaxis = ukuvimbela

 ikhasi 118

8.1 Amathuba okufihla inkinga yesifo sokuwa

1. Ukuhambisana kwezigaba ezahlukene zomdlavuza:

Uma kwenzeka inkinga yesifo sokuwa futhi kusekhona umsebenzi wokungqubuzana ovela kumdlavuza wesibili, inkinga "ingafihlwa". Umphumela ofanayo ube usuvela njengokuphathwa kwe-cortisone, i-penicillin noma amanye ama-tonics anozwela.

2. Ukwenziwa kwasendaweni kokugxila kuka-Hamer njengenkomba yohlobo lwenkinga yesithuthwane:

Singazibona kahle ezinye izinhlobo zezinkinga zesithuthwane, isibonelo, izinkinga zesithuthwane lapho u-Hamer agxile khona ku-cerebral cortex. I-cortex yonke ivamise ukusabela, futhi i-tonic-clonic spasms ebangelwa isikhungo se-motor ye-precentral gyrus ayinakunakwa.

Nokho, kuba nzima kakhulu uma sifuna ukuhlonza inkinga yesifo sokuwa ngemva kokuwa ukuzethemba, ukungqubuzana kwamanzi noma ukungqubuzana kukamama nengane. Nokho lezi zingxabano zonke zinezinkinga zazo ezithile.

Kufanele sifunde ukubhalisa izimpawu zalezi zinkinga zesithuthwane. Endabeni yokuwa kokuzethemba, uphawu olubonakalayo ukuphaphatheka kwesikhumba ngezithukuthuku ezibandayo, okungahlala amahora noma izinsuku futhi kuvame ukuhunyushwa ngokungeyikho njengokuwohloka kwenhliziyo (empeleni, i-centralization). Ukucindezeleka kwegazi kwehla futhi lapho inkinga isiphelile futhi izitsha zanda futhi zigcwalise futhi ngemva kwalokho okubizwa ngokuthi yi-centralization. Nokho, uphawu olufanayo lungase futhi lubangele ukuphindeka kwesikhashana kokungqubuzana kokuzethemba, okuhambisana nokwethuka. Inkinga yesithuthwane ngesikhathi sokungqubuzana kwamanzi ingaholela ohlotsheni lwe-renal colic¹⁰⁵ kuholela ekukhishweni kwamatshe ezinso noma inhlanzi yezinso nje.

3. Ukufihlwa komuthi:

Uma sicabangela wonke amabhethri emithi atholwa yisiguli ngasinye esibhedlela namuhla, akekho udokotela ovame ukwazi ukuthi yini, nini, kuphi futhi kanjani.

¹⁰⁵ I-colic = ubuhlungu besisu obufana ne-cramp obubangelwa ukufinyela kwe-spastic yesitho sesisu esingenalutho

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Babenephutha ngokuphelele -;ngokuyisisekelo! Ngoba cishe yonke imithi ithinta ubuchopho kuphela. Kodwa abantu bacabanga ukuthi izidakamizwa zinomthelela oqondile esithweni noma ezithweni, okuyinto abantu ababehlale bekholelwa ngayo ngalokho okubizwa ngokuthi "ama-carcinogens", angekho ngempela. Kodwa uma ubuchopho, lapho imithi isebenza, ishintshile ukuhlala ngenxa yezilonda zikaHamer¹⁰⁶ yingakho sivame ukuzwa lokho okubizwa ngokuthi “ukusabela okuyindida” okungekho muntu owayengakuqondi. Ngenxa yenhlanganisela engahleliwe ngokuphelele noma ukungqubuzana kwemithi eminingi, inkinga yesifo sokuwa ingenziwa noma engokoqobo ingafihlwa.

Okunye okuvame kakhulu futhi okubulalayo "ukusabela okuyindida" "inkomishi yekhofi esheshayo" emgwaqeni onguthelawayeka ebusuku lapho into ephilayo isesigabeni se-PCL se-SBS. I-deep vagotonia “inendlela yokuvimbela ubuthongo” ukuze isisulu singamangali lapho silele kakhulu. Uma nginciphisa le vagotonia ejulile esigabeni se-PCL ngekhofi ebusuku, umzimba ungalala ngokushesha. Ngakho ngifinyelela kulokho okubizwa ngokuthi “ukusabela okuyindida” futhi ngokushesha ngilale ngisesondo..., ngayo yonke imiphumela emibi...

Inkinga yesithuthwane esigabeni sokuphulukisa, umuntu kufanele aze athi: Inkinga yesithuthwane esiyisibopho esigabeni sokuphulukisa ingenye yezenzakalo ezibaluleke kakhulu nezibalulekile kulo lonke uhlelo lwemithi emisha. Inkinga yesithuthwane iyimbangela evame kakhulu yokufa esigabeni sokuphulukisa ngemva kokuba ingxabano isixazululiwe. Kuyimbangela yokufa evame kakhulu kune-cerebral edema ngaphambi kwenhlekelele yesithuthwane, lapho isiguli singavele sife ngenxa yokucindezela okweqile kwe-intracranial.

Qaphela:
Inkinga yesithuthwane noma i-epileptoid esigabeni sokuphulukisa ngemuva kokungqubuzana ingenye yezimbangela ezivame kakhulu zokufa kanye nezinkinga zokuphulukisa! Ukunciphisa kwabo ukuvimbela kubalulekile! Lokhu kucace ikakhulukazi esimweni sokuhlaselwa yinhliziyo. Lokhu kuvame ukusho: ku-2-5% weziguli ezingasindi emuthini omusha. I-95-98% yeziguli zethu ziyasinda.

8.2 Uhlobo lwenkinga yesithuthwane

Ngemva kwale ngxoxo ende, wonke umuntu manje uyabuza ngokulangazela: “Yebo, kodwa injani inkinga yesithuthwane?”
Ngingathanda ukukubeka kanje:

¹⁰⁶ Innervation = ukunikezwa kwemizwa kwezicubu zomzimba nezitho

ikhasi 120

1. Inkinga yesithuthwane yile Indawo yokudlulisa esigabeni sokuphulukisa, ukuqala kokuphikisa umthethonqubo

2. inqubo ehlelwe ngendlela ephusile nguMama Wendalo “ukukhama” i-edema ebuchosheni nasezithweni futhi. Uma lokhu kuphumelela kakhulu, maningi amathuba okusinda. Ngakho-ke akufanele sicindezele lesi simo esibucayi, kodwa kungase kudingeke sisekele ngemithi yozwelo (isb. i-cortisone).

3. Umama Wendalo wasebenzisa ukudlula kwesikhathi kuyo yonke ingxabano “njengethuluzi lokuhweba” lenkinga yesithuthwane. Lokhu kusho ukuthi phakathi nenhlekelele yozwela isiguli sibhekana nayo yonke inkambo yokungqubuzana futhi ngokuhamba okusheshayo (ngakho-ke, isibonelo, ubuhlungu benhliziyo ngesikhathi sokuhlasela kwenhliziyo). Lapho ezwa ngokunamandla kakhulu lokhu “kuphindaphindeka kokungqubuzana ngokomzimba”, makhulu amathuba akhe okusinda.

8.2.1 Indaba eyisibonelo: I-D-train Paris - Cologne, Okthoba 06.10.1984, 7.37, ukusuka ngo-XNUMX:XNUMX a.m

Kulolu hambo lwesitimela esisheshayo sisuka eParis siya eCologne, engahamba ngaso nomngane wami u-Count D'Oncieu, kwenzeka lokhu okulandelayo: Amantombazane aseFrance aneminyaka eyishumi nambili kuya kweyishumi nantathu ayemi emsamo eqhweba abangane bawo baseJalimane, ekhala ngobuhlungu bevalelisa othandweni lwabo lokuqala oluncane, ababekade beyizivakashi emindenini yabo amasonto ayisithupha noma ayisishiyagalombili. Ikilasi lonke lesikole labafundi basesikoleni esiphakeme abaneminyaka eyishumi nane kuya kweyishumi nanhlanu ubudala baseHamburg lalihlukaniswe phakathi kwemindeni yamaFulentshi. Manje babuyela eHamburg ndawonye.

Njengoba ubusuku bokugcina bube bufushane kimi, ngalala ekamelweni futhi ngavuswa umngane wami owayengikhahlela ezimbanjeni ngabo-9.30:XNUMX. Ngisasozela, ngezwa umshayeli wesitimela ongumFulentshi ohlelweni lwesikhulisa-zwi ecela ukuba udokotela, uma ekhona, eze kuleli gumbi ngokushesha. Sobabili sabaleka ngokushesha futhi sathola umfana ongumJalimane emagumbini ayisithupha enesithuthwane (Grand mal¹⁰⁷-ukuquleka) futhi wayesanda kuphaphama ekuqulekeni kwakhe. Ezimweni ezinjalo, i-ambulensi ivame ukusakazwa esiteshini sesitimela esiseduze futhi ihambise isiguli esibhedlela esikhethekile esiseduze. Umyalo onjalo manje wawulindelwe kimi.

¹⁰⁷ Grand mal = ukuquleka okujwayelekile esithuthwaneni

 ikhasi 121

Kodwa isimo sase singicacele ngokuphelele kulokho engangikubone endaweni yesikhulumi. Okuwukuphela kwento engangiyishoda kwakuwukungqubuzana ngokwehlukana nomuzwa wokuhlukaniswa kanye nokungqubuzana kokungakwazi ukubamba umuntu ngokugona. Ngakho-ke ngahlala phansi nalo mfana, owayesasebenza endaweni eyodwa kodwa wayesenegazi elanele futhi, ngambuza ukuthi unesikhathi esingakanani ehlaselwa ngale ndlela. Wathi: “Unyaka wonke.” Kusukela ngaleso sikhathi uye wahlaselwa kabili noma kathathu. Ngambuza ukuthi kwenzekani ngaphambi kokuquleka kokuqala. Wathi, “Lutho.” (Lelo kwakuyiqiniso, yebo futhi cha.) Ngabe sengimbuza ukuthi yayiyini into embi kunazo zonke ake abhekana nazo ekuphileni kwakhe. Ngokushesha wagxumela embuzweni, ngaqaphela. Ukushaqeka kwakhe kwangibonisa ukuthi ngangisendleleni efanele. Umfana wathi: “Lutho.” Ngoba uthisha wayelapho futhi afunda nabo basemnyango. Uthisha naye waqaphela lapho ngithi ucabanga into elungile, okuyiyona kanye engangiyisho. Waphuma ngobuhlakani wavala umnyango. Sasisodwa. Manje ekugcineni umfana akabange esasaba ukuzihlazisa phambi kwabafundi afunda nabo (umfana omude kangaka oneminyaka engu-14 akasabi lutho...).

Wangitshela ukuthi lokho ayekucabanga ngokushesha kwakuyisenzakalo esibi kunazo zonke ekuphileni kwakhe, “leyo ephethe i-ambulensi ngaleso sikhathi wayengeniswe esibhedlela ephethwe umkhuhlane. Futhi into embi kakhulu kunakho konke kwaba ukuhlukaniswa ngokuphelele, ukwesaba okwethusayo ukushiywa yiwo wonke umuntu, ukushayela amakhilomitha angama-20 eHamburg namalambu akhanyayo, ephethwe yikhanda nomkhuhlane, egcwele ukwesaba ukuthi bazomenzani esibhedlela lapho ngokusobala wayeshayelwa. Lokho kwakungonyaka odlule. Ngemva kosuku noma ezimbili, lapho umhlaba usuzilungisile futhi, waba nokuquleka kwakhe kokuqala esibhedlela. Izimo ezinjalo zokwethuka, ukushiywa wedwa, ukulahlwa nokuhlukaniswa zaziphindaphindeke kabili ngendlela engavamile kakhulu. Ngemva kwalokho, lapho yonke into isilungisiwe, wayehlala ebanjwa isithuthwane.

Ngamduduza umfana futhi ngamchazela ngobuhlungu bokuvalelisa emndenini wamaFulentshi ayezizwe ekhululekile kakhulu, ikakhulukazi entombini yakhe yaseFrance eyayineminyaka efanayo, ayehlangane nayo kulo mndeni futhi ayithanda ngokuzenzakalelayo. indlela eneminyaka eyishumi nane, futhi enganginaye Wayembonile emi emsamo ekhala, okwamnika kafushane futhi ngobudlova kakhulu lo muzwa wokulahlwa kanye nokuhlukaniswa. Njengaleso sikhathi lapho eshayelwa eyedwa ku-ambulensi ephethe izinhlabamkhosi nezibani ezikhanyayo cishe ihora ngokwesaba okugcwele uvalo nokuzihlukanisa nabantu ngaphesheya kwe-Hamburg enkulu. Wathi: “Yebo, kwakuwumuzwa ofanayo ncamashí nowakudala.” Kodwa esitimeleni, ikilasi lakhe lambuyisela ngokushesha phakathi kwabo, izwe lakhe laseHamburg lambuyisela emuva, ingxabano yaxazululwa ngokushesha.

ikhasi 122

Abaphathi bebutho lamaFulentshi bafika manje futhi bangibuza ukuthi lo mfana wayedinga ukuhanjiswa yini. Ngathi, “Cha, konke kuhamba kahle.” Ngatshela umfana ukuthi angene emotweni yokudlela aphuze ikhofi noma itiye. Uthe akasenayo imali. Ngamnika amamaki amahlanu, izingane ezimbili engangifunda nazo zamgona futhi, ziklewula ngokunqoba, yonke intsha yaqonda endaweni yokudlela yesitimela. Inhloso yomyalelo bekuwukunciphisa ithoni ye-vagal eyeqile, okwenza ukuphindeka kokubanjwa kungenzeki kakhulu. Okubi kakhulu okwakungenzeka kulo mfana kwakuyoba ukuthi - ngaphansi kwamehlo abafundi afunda nabo - wayezophinde ashayelwe nge-ambulensi izibani ezikhanyayo nezinsimbi zokukhala, kulokhu eyedwa futhi kodwa eFrance, elinye ihora umtholampilo oseduze wezinzwa, cishe ukuphindaphinda okuyikonakona kokuhlangenwe nakho kwakhe okubi, okushaqisayo ngonyaka odlule e-Hamburg. Khona-ke kungenzeka ukuthi waba nesifo sokuwa ukuphila kwakhe konke, noma wahlala enjalo.

Ngachazela uthisha ngalesi simo futhi ngamcela ukuba anakekele umfana. Ngokuhamba kwesikhathi, njengoba ekhula, ngokuqinisekile ngeke abe novalo oluncane lokulahlwa. Leyo yiyo yonke imfihlo “yesithuthwane sezingane”. Ngamnika nencwadi yami ukuba ayifunde futhi ngathi lapho esesifundile futhi wasiqonda isahluko esikhuluma nesifo sokuwa, kwakuyomcacela ukuthi sihlobene kanjani. Khona-ke wayezokwazi ukuqonda izenzakalo ezisanda kwenzeka lapha esitimeleni nokuthi kwenzeka nje ngenhlanhla ukuthi kugwemeke ukuba inhlekelele kumfana.

Wathi: “Bakuphi namuhla odokotela abanesithakazelo emphefumulweni nasekwesabeni komuntu futhi abakwaziyo ukubhekana nakho?” Ngathi: “Futhi ubani osithumelela izihlakaniphi ezimbi kakhulu, ukukhetha okubi kwentsha? amanyuvesi azofundela ubudokotela, ngo-“A” esitifiketini sika-Abitur ngenxa ye-A ephumelelayo... enyathela kubo bonke othisha?”

ikhasi 123

8.2.2 Indaba eyisibonelo: Isikhulu esihlelekile kanye nekhadethi

Isiguli esisesithombeni esingezansi besinento eyaziwa ngelesithuthwane, okusho ukuthi besinesifo sokuwa. Into emangalisayo ukuthi wayeba nalokhu kuhlasela cishe njalo, njalo ngemva kwamasonto amane, kusukela ekwindla ka-'4. Akekho owayengenza ivesi ngakho. Kungenjalo wayephile saka, umfana wesilisa, omfishane futhi enolaka, owayeyisikhulu.

Isiguli sasinengxabano yendawo kanye nentukuthelo yendawo nesithuthwane, okungukuthi, isiguli sasinengxabano yendawo ehilela i-motor cortex. Wayephindelela nyanga zonke, isixazululo nyanga zonke futhi, ngemva kwalokhu kuphazamiseka, ukuquleka kwakhe kwesifo sokuwa.

Ngo-1979 isiguli saba nomphathi omusha. Isiguli sasimdala kunobasi omusha, futhi wayekade eyisikhulu ngesikhathi sempi, kodwa umphathi wayeyi-cadet kuphela. Lapho umphathi omusha efika futhi bobabili befuna ukungena emnyango, isiguli sathi: “Siza, abantu abasha banelungelo lokuhamba kuqala!” Lokho kwakuyindelelo, umqashi omusha wakuqonda, futhi kusukela ngaleso sikhathi kwaba yimpi phakathi isikhulu sangaphambili kanye nabangaphansi kwamanje kanye ne-cadet yangaphambili kanye nenduna yamanje.

Nyanga zonke isiguli sasinikezwa umsebenzi omusha ngumphathi, okwakudingeka siwulungiselele ngokubhala. Kwabe sekuqhuma umoya ngenxa yokushuba. Isiguli sasihlale sikholelwa - futhi njengoba kamuva kwavela ukuthi akulona iphutha - ukuthi umphathi wayevele efuna ithuba lokumkhohlisa. Ngaso sonke isikhathi uma i-DHS iphindeka. Kusukela ngaleso sikhathi kuqhubeke isiguli sasicindezelekile futhi sikhuluma amazwi ozwela, ikakhulukazi ngasekupheleni kwenkathi ngaphambi kokuba sethule umsebenzi waso obhaliwe futhi siwuthethelele ngomlomo. Wayehlale enikeza izethulo zomlomo ezihlakaniphile. Wayeyisikhulu esihlelekile futhi, umphathi wayeyi-cadet futhi, lapho isiguli sigubha inkulumo yakhe futhi sinciphisa kalula ukuphikiswa komphathi, i-cadet, okungenangqondo.

Ngobusuku obulandelayo wayevame ukumelwa yinhliziyo encane, isithuthwane esinezilonda esiswini kanye nesifo sokuwa. Futhi okuxakayo ukuthi akakaze ayithole eholidini!

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Ngamtshela igama elithi “Rumpelstiltskin,” okusho ukuxhumana phakathi kokuphindelela kwakhe izingxabano zendawo kanye nesifo sakhe sokuwa esivamile samasonto amane. Ngokuqondana, wathatha umhlalaphansi ngemva nje kwalokho. Waqonda kumphathi wakhe wavalelisa. Khona-ke umphathi wathi: “Usale kahle, isikhulu esihlelekile!” Isiguli saphendula: “Usale kahle, Mnu. boss phakade cadet!

Umcibisholo ukhomba ku-Hamer encane, egcwele i-edema igxile kwesokudla sekhohlo endaweni "yendawo" engajwayelekile. Yilokhu okujwayelekile, umuntu angase akusho, "isithuthwane sokungqubuzana kwendawo" sibukeka kanjani. Inyanga ngayinye ngemva kokungqubuzana umuntu uthola lokhu kugxila kuka-Hamer okudabukile, kuyilapho phakathi nesigaba sokungqubuzana i-edema isinyamalele. Lena yindlela zonke izithuthwane ezenzeka ngayo. Eqinisweni, isiguli sihlala siphindaphinda ukungqubuzana kwendawo kanye nokuphindaphinda kokungqubuzana kwezimoto, ukugxila kuka-Hamer okungarekhodiwe lapha kulolu ungqimba.

8.2.3 Indaba eyisibonelo: Isifo sokuwa kusukela ngineminyaka eyi-8

Lona wesifazane oseneminyaka engu-26 ubudala manje uke wahlaselwa yisifo sokuwa kusukela eneminyaka engu-8 ngemuva kwesigameko esishaqisayo. Kusukela ngaleso sikhathi, ubelokhu esaba izinto ezifanayo ngisho namaphupho ngazo. Lapho konke sekubuyele esimeni, uba nesifo sokuwa.

Ubaba wabulawa yi-leukemia ngonyaka odlule. Ngaleso sikhathi le ntokazi yayifuna ukuzibulala. Njengoba ukwesaba kwangaphambilini nakho kwakuhlobene noyise futhi uyise wayehlale eyisibonelo esihle kuye, izenzakalo zokwesaba namaphupho manje sekubi kakhulu kunakuqala.

Ebuchosheni be-CT sibona i-cortical Hamer igxile ohlangothini olungaphambili lwesobunxele. Ngokusobala une-edema, kodwa ngaphandle kwalokho ubonakala enezibazi. Kungacatshangwa ukuthi bekulokhu kugxile ku-Hamer kusukela eneminyaka eyi-8, lapho aba nokuquleka kwakhe kokuqala.

I-Hamer lesion yesokunxele ayikwazi ukunganakwa ngenxa ye-edema ezungezile. Abafundi nabo bayakuthenga lokho kimina. Ezinguqulweni zokuqala zezincwadi zami, lapho ngase ngibonile kakade ukuthi “kukhona okunye lapho,” ngokuvamile angizange ngilokothe ​​ukuchaza izakhiwo eziyindilinga, njengoba odokotela abaningi noma kunjalo, kanye nabafundi abanezisusa ezinhle, babevame ukuthi: “Ukube ubuyishiye nesitofu esisodwa bekuzocaca. Kodwa usephinde wamosha yonke into.”

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Nokho, namuhla ngibona izithombe ezinjalo njengezithakazelisa ngokukhethekile. Empeleni sinokugxila kwe-Hamer kwesibili kwesokudla sobuchopho, okuhambisana nohlangothi lwesobunxele lomzimba noma uhlangothi lukamama/lwengane, kwesinye isikhathi nohlangothi lwengane/ lukababa. Uma ubhekisisa, uzobona ukucushwa kwethagethi yokudubula eyindilinga ephawulwe ngemicibisholo, kodwa ngaphakathi ungabona okunye ukwakheka okuyindilinga ngaphandle kwe-edema. Lesi into ecishe imangaze: ukucushwa kwethagethi enkulu yokudubula (indawo emaphakathi ephawulwe ngemicibisholo emincane), njengoba sibona lapha esigabeni sokungqubuzana, kungaba “i-homogeneous” kagesi, ngomqondo ongokomfanekiso, lapho imibuthano ilingana kahle. nxazonke. Kodwa-ke, ingabuye ibe yi-inhomogeneous futhi ihlanganise uchungechunge lwezakhiwo eziyindilinga ezine-edema noma ngaphandle kwayo. Kulesi simo, yonke i-foci ye-Hamer engaphakathi kokucushwa kwethagethi enkulu eyindilinga konke kusemsebenzini wokungqubuzana. Kodwa-ke, ngayinye yazo futhi - kuye ngesimo sokungqubuzana esiqondile nesiqondile noma inkambo - futhi ingathola isisombululo ngokwehlukana.

Lapha kulesi simo sinengxabano yokwesaba nokunengeka (hypoglycemia) efinyelela kwesokunxele, ukungqubuzana kwezimoto kuyo yomibili imilenze, ukungqubuzana “kokumelana,” ukuwohloka kokuzethemba ebudlelwaneni bengane/nobaba, kanye nokungqubuzana kwezinzwa ingane/ubaba Uma izisetshenziswa zethu ziba ngcono, singabona ngcono futhi sihlukanise imininingwane.

Njengoba ngishilo, ngakwesokunene sobuchopho zonke i-foci ka-Hamer zisemsebenzini wokungqubuzana, ngombono wami iminyaka engu-18. Intombazane yangena emlaza we-schizophrenic ngengxabano eyodwa, eyayinezici eziningana. Kungacatshangwa ukuthi isiguli sasingekho kulo mlaza we-schizophrenic isikhathi eside, kodwa ngokuphindaphindiwe sibuyele kuso ngenxa yokuphindaphinda kwezingxabano.

Lokhu kungaqondwa kanje: Uma nje kunomsebenzi wokungqubuzana ngakwesobunxele, kusobala ukuthi kukhona umlaza we-schizophrenic. Uma ukungqubuzana ngakwesobunxele kuxazululwa futhi ngenxa yokuthi isici esisodwa, okungukuthi ukwesaba ukwesaba, akusahlali, khona-ke umlaza we-schizophrenic uyaqedwa. Kodwa ibuya futhi, isikhathi eside senhlekelele yesifo sokuwa, okungukuthi isithuthwane. Yingakho sasivame ukuhlukanisa lokho okubizwa ngokuthi yisifo sokuwa ngokuthi "izifo zengqondo nezomzwelo". Ezinye iziguli azigcini nje ngokudlikizela, kodwa futhi zahamba “zihlanya” ngokuzungeza ukuquleka. Impela laba abachazwe lapha.

I-constellation ye-schizophrenic enomcimbi owodwa wokungqubuzana onezici ezimbalwa iza ngenxa yalokhu okungavamile okulandelayo:
Ubuchopho besokunxele: Uhlangothi lwesobunxele lobuchopho lunesibopho sokungqubuzana kokwesaba ukushaqeka kanye nokungqubuzana kokwesaba nokunengeka, ngoba ngisho nomuntu osemusha osebenzisa isandla sokudla ngokuvamile usevele "engowesifazane omncane".

Ubuchopho besokudla: Uma ukungqubuzana kumayelana nomama, noma kwezinye izimo futhi kubaba, ingane, kusukela esikhathini sombungu kuya ekufeni, isabela ohlangothini lwesobunxele lomzimba, njengoba nje nobaba ongakwesokudla esabela ngokufanele nengane yakhe. ohlangothini lwesobunxele lomzimba lwaluzosabela.

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Isibonelo, into efanayo ingenzeka futhi iphinde yenzeke uma umlingani othandekayo wendoda egijima "ephuma endaweni futhi ephuma engalweni yangakwesokudla yomlingani wakhe". Ukungqubuzana kwendawo-u-Hamerscher ugxila kwesokudla, ukungqubuzana kwemoto nezinzwa "uhlangothi lukazakwethu" olungakwesokudla lomzimba osengqondweni: Kwesobunxele. Khona-ke indoda yesandla sokudla ingena ngokushesha kumlaza we-schizophrenic, okusho ukuthi "uyahlanya". Kodwa akudingekile ukuthi ahlale ezizwa ngale ndlela ekabili.

8.2.4 Indaba eyisibonelo: I-adventure yothando ngesi-Turkish: The beloved

Leli kanye necala elilandelayo lingabizwa ngokuthi "Izigigaba Zothando ngesi-Turkish". Lesi sithwebuli esinomthombo ojwayelekile wokungqubuzana kokwesaba phezu kwentamo esonkosikazi waseTurkey owayenesandla sobunxele owayenobudlelwano obuseduze nomzala womyeni wakhe. Wayazi ukuthi kuzokwenzekani kuye uma lokho kuphuma. Kungakho wayehlale eya emihlanganweni ethuthumela ngenxa yokwesaba, elokhu ephenduka ebheka ukuthi akekho omlandelayo. Kungakhathaliseki ukuthi ngemva nje kwe-tryst noma ngakusasa kamuva, waba nesifo sokuwa.

Umuntu oyedwa kuphela owayazi ngobudlelwano futhi mhlawumbe kwakudingeka adlale i-"postillon d' amour" ngezikhathi ezithile - leyo kwakuyindodakazi yesithandwa eneminyaka engu-16 ubudala. Isithombe esilandelayo siphuma kuye, wayenesifo sokuwa.

Umcibisholo ongakwesokudla ukhombisa ukugxila kwe-Hamer kokungqubuzana kokwesaba-entanyeni kumzimba we-vitreous wesokunxele (ukwesaba umyeni), umcibisholo wesokunxele ukhombisa ukungqubuzana kophawu lwendawo yesifazane Ukugxila kwe-Hamer okungokwe-renal pelvis yesokudla futhi kudala ukungqubuzana kophawu lwendawo yowesifazane. isilonda se-renal pelvic. Ngakwesokudla, ukungqubuzana kobunikazi kumakwe (ngakwesokudla ngenxa yesandla sobunxele), okuholela kumlaza we-schizophrenic.

ikhasi 127

Ngezansi isithombe sendodakazi kamzala womyeni wakhe. Wayebazi ngobuhlobo futhi wayesaba (ngemuva kwentamo yakhe) ukuthi uyise uzobulawa ngobusuku obubodwa ngesikhathi somalusi ngumyeni othukuthele wowesifazane waseTurkey.

Ngaso sonke isikhathi uyise engekho, intombazane yayilele embhedeni iqhaqhazela umzimba wonke, ilalele, yaze yakhululwa futhi lapho uyise ebuyela ekhaya. Wayehlale enesifo sokuwa ngalobo busuku noma waquleka ngosuku olulandelayo.

Umcibisholo ukhomba ekugxilweni kuka-Hamer we- fear-in-the-neck-conflict kwesokudla. Bobabili owesifazane waseTurkey nendodakazi yesithandwa sakhe babe nezinkinga zokubona ngeso langakwesokunxele (vitreous).

I-motor foci ku-precentral gyrus, eyabangela isithuthwane kukho kokubili, ayibonakali kulezi zigaba. Babezoba sezingeni eliphezulu kakhulu. Kodwa bobabili abesifazane banokugxila kwabo kwe-Hamer kungxabano yokwesaba-on-intamo endaweni efanayo. Owesifazane osemusha waseTurkey (osesandleni sokudla) waba nomuzwa wokuthi uyise (= abazali, hhayi umlingani!) wayesaba umyeni wesithandwa sakhe.

8.2.5 Indaba eyisibonelo: inhlekelele emsulwa

Izithombe ezilandelayo zivela kusisebenzi esivakashile esishadile futhi esihlale eJalimane iminyaka engu-18. Eminyakeni engu-15 edlule wathandana nentombazane eneminyaka engu-16 ubudala yangakubo, nayo eyayihlala eJalimane ngaleso sikhathi, edolobheni elifanayo naye. Wakhulelwa. Ngolunye usuku umakhelwane weza esigulini wabika ukuthi intombazane eneminyaka engu-16 ubudala yashona ngesikhathi ibeletha e-Italy. Isiguli saphathwa i-DHS, sawa ngokoqobo futhi sasiqhaqhazela umzimba wonke. Kamuva nomkakhe wamtshela. Kuyena kwakufana nokuthi uhlatshwa izinaliti ezibomvu ezishisayo.

Ngemva kweminyaka engu-15, owesifazane wasemzini wakubo wambhalela wathi angathanda ukukhuluma naye. Wabe esephinde waphinda waphindelela i-DHS, ngoba ngokwemvelo wayengacabangi lutho ngaphandle kokuthi wayefuna ukuxoxa naye ngalolu daba nokuthi intombazane yayimfake ekumethembeni ngaleso sikhathi. Wayephinda eqhaqhazela efunda incwadi.

ikhasi 128

Wabe esehlangana nalo wesifazane kwavela ukuthi ukuvakasha kwakhe kwakungahlangene nendaba ngaleso sikhathi. Ngemva kosuku waphathwa isithuthwane okokuqala, osekunezikhathi eziningi kusukela ngaleso sikhathi, ngoba usaphupha ukuthi kukhona ofuna ukumthinta ngale ndaba ngaleso sikhathi.

Futhi lena into ebukeka ngayo ebuchosheni. Isiguli sinendawo entsha ye-Hamer yokukhathazeka ohlangothini lwesobunxele lwe-parieto-occipital¹⁰⁸, okubangela i-edema ye-perifocal eningi futhi idlulele phezulu kwe-cerebral cortex, njengoba kungabonakala esithombeni esingakwesokudla. Lokhu kugxila kwe-Hamer ngokusobala kuyimbangela yokungabikho kwe-epileptoid yezinzwa. Kodwa lokhu kugxila okukhulu kwe-edema okuxhumene ngokubonakalayo kusukela emuva kwesokunxele kuya phezulu kwesokunxele empeleni kuhlanganisa ukusebenza kwe-foci ka-Hamer ezimele, okuthi, ngenxa yokuthi zitholakala eduze noma ngaphansi kwenye, zibukeke njengokugxila okukodwa, okuhambisanayo. Ngaphezu kwalokho, kule CT yobuchopho ephawuleka kakhulu kukhona nokungqubuzana okuxazululiwe kokwesaba kwe-predator kanye nokwesaba entanyeni (i-cortex ebonakalayo kwesokudla, imicibisholo ezansi kwesokudla), kanye namanje esebenzayo, okungukuthi okungakaxazululwa, isifo sika-Hamer's Herd esinamasongo acijile (umcibisholo ophakathi kwesithombe kwesokudla, ophathelene nengane, ukwesaba ukondla izingane?) kanye nezindandatho ezicijile ezicijile nazo ezisabonakala (ipharadesi kwesokunxele, umcibisholo osuka kwesobunxele ngaphezulu).

Endabeni yale nsizwa engakwesokudla ungaqonda indaba yangempela yokungqubuzana kwempilo. Ngaphandle kwezingxabano ezimbili zokwesaba-entanyeni (i-occipital kwesokudla nesobunxele), okuxazululwe isigamu, kukhona futhi i-foci yesokunxele ye-cerebral yengxenye engakwesokudla yomzimba, okungukuthi ngokuphathelene nomlingani noma intombi.

¹⁰⁸ i-parietal = i-lateral, ifakwe odongeni, eyingxenye yethambo le-parietal

ikhasi 129

Kungase kusimangaze: ukushona komngane okhulelwe kwakuyingxenye enkulu ye-DHS yokuqala - kodwa futhi, ngokwesayensi yezinto eziphilayo, kwakuyisixazululo sengxabano. Lapho kwenzeka futhi, konke kwavela futhi. Lokhu kungqubuzana noma ukungqubuzana okuyingxenye kwakho konke nokungqubuzana kwenzwa yemoto, ukungqubuzana kokuzihlonipha ngokobulili, okuthinta i-pelvis efanele, ukungqubuzana kwethalamus, okuthinta isikhungo sobuntu, ngokomthetho kuyaxazululwa, ngaphandle kokungqubuzana kwenzwa yemoto.

Isilonda sikaHamer ohlangothini lwesokudla lwe-cerebral asikaxazululwa, sithinta ingane, eyahlala iphila. Ngakolunye uhlangothi wayezizwa ehlukene nale ngane, kodwa ngakolunye uhlangothi naye wayefuna ukuhlala ehlukene naye. Kungaba yinhlekelele uma ingane ivele yafuna kuye, okusho ukuthi, yamosha. Lokhu kwesaba kuhlala kusebenza ngokugcwele noma ikakhulukazi ngaso sonke isikhathi!

Uma sakha kabusha konke lokhu, kufanele futhi sinqume ukuthi isiguli sasiku-constellation okwesikhashana “eschizophrenic” kokubili ngaleso sikhathi eminyakeni engu-15 edlule namanje. Cishe kusekhona nanamuhla, ngoba ukungqubuzana kwe-left-cerebral motor-sensory kuxazululwe isigamu kuphela, kodwa ngesikhathi esifanayo kusenezinhloso ezibukhali ngaphandle kanye ne-edema ethile phakathi. Cishe ungasho ukuthi: yonke indoda yayikhona ngaleso sikhathi futhi manje futhi ukwesaba okukhulu kokwesaba!

Uma manje sizibuza ukuthi isiguli siyithathaphi i-epileptic (motor) yaso, khona-ke singasho ngokucacile ukuthi indawo eyodwa kuphela yemoto ephindaphinda isixazululo lapho sikhunjuzwa ngayo futhi ine-edema njengophawu lokuthi ubelokhu esebenza. ngaphambili, okusele ebuchosheni (ngokuphathelene nesithandwa sakhe). Ukugxila kwesokudla sobuchopho kusebenza ngokuqhubekayo, kubangela ukukhubazeka okuqhubekayo kwengalo yesokunxele nomlenze wesobunxele, ngoba asikho isisombululo mayelana nengane yakhe, okungenani okwamanje.

Ukwelashwa noma ukwelapha okuzenzakalelayo esingaluleka isiguli akulula ukukunquma. Izimpawu zokuquleka kwesithuthwane, esingathanda ngaso sonke isikhathi “ukuyelapha”, okungukuthi, zinyamalale, zinyamalale ngezindlela ezimbili, ngokwesimiso: noma lapho engasacabangi ngentombi yakhe noma lapho ehlala ecabanga ngayo , ngaphandle nakanye. futhi ukuthola isisombululo kungxabano. Esimweni sakamuva, wayezobe eseqoqweni lezinkanyezi elihlala njalo le-schizophrenic.

Uma, ngokombono, wayezoxazulula ukungqubuzana kwakhe ngengane yakhe, wayezoba nesifo sokuwa ...

ikhasi 130

Uyabona, lokho okulula ngokomthetho ngokuvamile kunzima kakhulu ekusebenzeni - ikakhulukazi uma ungakwazi ukulinganisa kusengaphambili ukuthi yini enye engenzeka, kuye ngokuthi isiguli siziphatha kanjani nokuthi sizizwa kanjani, amaphupho, amathemba, izifiso, ukwesaba, njll ....

8.2.6 Indaba eyisibonelo: Yilwa kuze kube sekufeni nokuphila

Ngezansi sibona izithombe zentombazane eneminyaka engu-16 ubudala eyayisesandleni sokudla eyayisekamu lasehlobo namanye amantombazane amancane.

Ngobunye ubusuku walwa nentombazane yase-Algeria ayecabanga ukuthi iphethe ummese. Babebodwa ogwini lolwandle kwaba ukulwa kuze kube sekufeni. Impi yaqedwa wukukhathalana. Kodwa phakathi namasonto amane alandelayo ekamu, wayehlale esaba ukuthi le ntombazane eshisa izikhotha izomqamekela nokuthi kulokhu yayingeke ibaleke nokuphila kwayo.

Ngakusasa ekuseni ngemva kwempi wabanjwa isifo sokuwa okokuqala ngokuluma ulimi kanye nokudlikizeka kwe-tonic-clonic. Waba nesithuthwane ezimbalwa ekamu lamaholide. Wayehlale ephupha “ngempi”.

Ngisho nalapho ikamu lasehlobo seliphelile, amaphupho kanye nesithuthwane kwasala. Wayehlale ephupha “ngempi”. Wayehlale ethukile emaphusheni akhe. Yonke le nto yathatha iminyaka emi-2, kwaze kwaba yilapho esebona okubi nakakhulu emehlweni akhe angakwesokudla. Wabe esethola abangani bami eChambery. Nebala bazi ngokushesha ukuthi kwenzakalani base bekhuluma naye. Futhi ngokokuqala ngqa waba nesibindi sokukhuluma ngempi embi yasebusuku, ukwesaba kwakhe ephusheni, ukwesaba ukufa, ukwesaba entanyeni ayekuzwa njalo ephusheni lakhe lapho ecabanga ukuthi intombazane imqaphile. . Ukwazile ukukhuluma - kwase kuyiminyaka emibili manje - mayelana nesigameko esamenza wazizwa ehlukile kusukela ngaleso sikhathi, ngaphandle kokukwazi ukuveza ukuthi kanjani, "akusajwayelekile".

Izingxabano zokwesaba zaxazululwa ngokuphelele. Ukungqubuzana kwe-motor bilateral paracentral, okungakaxazululwa ngokuphelele ezithombeni zethu kodwa kubonisa kuphela i-edema encane, manje nayo isixazululiwe. Intombazane, eyayise-"schizophrenic constellation" (bheka nesahluko se-psychoses), manje isibuyele ngokuphelele esimweni esijwayelekile, amaphupho amabi aphelile futhi isithuthwane sesiphelile. Intombazane iwumqemane futhi. Okubalulekile ukuthi intombazane ayikaze ikwazi ukukhuluma nomunye umuntu mayelana nokwesaba kwayo ngoba inamahloni. Noma kunjalo, wayengeke afune lutho ngaphandle kokuba akwazi ukukhuluma nothile ngakho.

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Yingakho kuvele kwaphumela obala kuyena ngesikhathi ethola abantu abafuna ukukhuluma naye ngale ndaba. Wayebonga kakhulu, ejabule futhi ekhululekile!

Esithombeni sokuqala sibona i-Hamer foci emibili ongqimbeni olungaphezulu lwe-CT yobuchopho, okungukuthi ku-cerebral cortex ngaphansi kophahla logebhezi, esokudla okungesokungqubuzana kokukhathazeka kwe-thalamic nucleus futhi sisuka ku-cortex siye kuthalamus engakwesokudla. . Ukugxila kwe-paramedian yesokunxele kubonakala kuhlale ku-cortical. Yomibili imihlambi ibonakala isanda kuba ne-edema.

Okuthakazelisa kakhulu: Uma ubona ama-foci amabili anjalo ezinhlangothini ezahlukene zobuchopho, khona-ke enye ithinta umlingani, enye, njengoba yaziwa, iphathelene nomama noma ingane. Hhayi-ke, i-cerebral focus yesokunxele, mayelana nemisipha yethanga/inqulu kwesokudla, ithinta umlingani noma abalingani.Kulokhu, lapho kwakukhona umbango oyingozi ngomfana owawufunwa yibo bobabili, kwakungenzeka ukuthi ubambelele umlingani wokugona kwethanga (kwesokudla) noma ukulangazelaufuna ukuthi umngani oyedwa nembangi babebambene ngamathanga othandweni locansi. Kodwa kuthiwani ngomama noma ingane? Kwakungahlangene nonina wentombazane, ngakho-ke lokhu akuvunyelwe. Kodwa kowayeneminyaka engu-16 ngaleso sikhathi, ngempela kwakuhlobene nokuba nomntwana owayefiswa! Ngaleso sikhathi, wayefuna ngempela ukubambelela esokeni lakhe, kodwa ngesikhathi esifanayo futhi abe nengane naye, njengoba eveze. Leso kwakuyisizathu sangempela somona. Futhi ungacabanga ukuthi ngentombazane eneminyaka engu-16 ubudala yaseningizimu yeFrance eyayithandana nale nsizwa. Isifiso sokuba nezingane kumelwe ukuba sasingathi sína ngaleso sikhathi kangangokuthi ukungqubuzana kwafinyelela endaweni ye-thalamus, njengokungathi kungumnyombo wobuntu!

Lapha, futhi, singakwazi ukwakha kabusha ngokwengqondo "indaba yonke" kuze kufike emininingwaneni yokugcina sisebenzisa ama-CTs ethu:

Ezingeni lobuchopho kwesokunxele sibona ukugxila okukhulu kwe-Hamer endaweni yocansi, ukukhuluma ngokwesayensi yezinto eziphilayo, okuhambisana nokungqubuzana "kokungalingani". Lokhu kungqubuzana kuqala ukuxazululwa, njengoba sibona eqinisweni lokuthi uphondo lwangaphambili lwesobunxele lucindezelekile ngandlela-thile. Kwesokunxele kukhona okuthiwa “inqubo yokuthatha isikhala”.

ikhasi 132

Ngaphambili¹⁰⁹-isisekelo¹¹⁰ Sithola "ukungqubuzana kokwesaba iphunga" nakho okuxazululwayo, okuthinta izono zangakwesokunxele. Uma sicabanga ngempi futhi, amantombazane alwa ubuso bawo busondelene, ngamunye egona omunye ngokuqinile...

Okokugcina, ohlangothini lwe-occipital kwesokudla nesobunxele sinezingxabano ezimbili zokwesaba-entanyeni: I-cerebral yesokudla ithinta izingxenye ezimbili ezingakwesokunxele ze-retina, ezibheka umlingani (ngakwesokudla). Lokhu kusho ngokusobala ukwesaba okuthile okuphathelene nomlingani wakho.

Kwesokunxele, izinto zixaka kakhulu: Lapha sine (imicibisholo emi-2) ongemuva¹¹¹ Umcibisholo okhomba ku-Hamer focus, yona enesibopho sezingxenye ezimbili ze-retina ezizobheka ingane kwesokunxele. Lapha umthwalo wemfanelo uphambana kabili, ngomqondo ongokomfanekiso. Umcibisholo oqhubekela phambili oya maphakathi uphathelene nokudluliswa kwe-vitreous engakwesokudla. Lokhu kugxilwa kwe-Hamer kuyisixazululo, kodwa hhayi kusixazululo esisha njengokuthi, isibonelo, ukungqubuzana kwezocansi noma ukungqubuzana kokwesaba okunuka okungaphambili kwe-fronto-basal.

Lokhu kungqubuzana kokwesaba entanyeni kunencazelo ehlukile: Lokhu kugxila kwe-Hamer kusho ukwesaba entanyeni yomuntu (umlingani) okusongela ngemuva. Isiguli besicabange ukuthi intombazane yase-Algeria iphethe ummese futhi cishe besilindele ukuthi uma iphuma isandla esisodwa, ummese uzoyigwaza ngemuva ngemuva. Lokhu kungqubuzana sekuke kwaxazululwa ngokweqiniso ngaphambili, kodwa bekulokhu kuphindaphinda ngamaphupho okwesaba. Ngakho-ke isibazi.

¹⁰⁹ ngaphambili = ngaphambili, ngaphambili
¹¹⁰ isisekelo = ukulala phansi
¹¹¹ lateral = emaceleni, emaceleni

ikhasi 133

Yonke i-foci ye-Hamer manje ine-edema, isilonda se-thalamic kuphela esisenomsebenzi. "Inhlanhla" yale ntombazane yayiwukuthi wayene-schizophrenic, ngaphandle kwalokho wayengeke asinde ekungqubuzaneni kobulili okwathatha iminyaka emibili: ukuhlasela kwenhliziyo kwesokudla nge-pulmonary embolism!

Izithombe zithathwe ezinsukwini ezimbalwa ngemuva kwengxoxo enkulu yokugqugquzela. Intombazane yaphinde yaba nokudlikiza okukhulu, kodwa kwangabe kusaba khona.

Ukuze ukwazi ukunikeza intombazane eneminyaka engu-18 ubudala ehlushwa ukwesaba isimo sayo sengqondo sokungakhathali futhi ikwazi ukususa kuyo iphutha lalokho okubizwa ngokuthi "isithuthwane sangempela", okungukuthi iphutha okuthiwa ifa, futhi ukwazi lokhu ngokuqondile, kuyinto emangalisayo! Ngendlela, intombazane ayisadingi noma yimiphi imithi. Ngemva kwalokho, akunakwenzeka ukuba abuyele esimweni sakhe sangaphambili, lapho ayekhona "umlaza we-schizophrenic", noma ngabe kuphela isikhathi esifushane phakathi kwephupho nokuthunjwa kwesithuthwane, futhi ngokwengxenye kumlaza we-motor-schizophrenic. !

Abangazi ngomphefumulo womuntu, ikakhulukazi umphefumulo wentombazane eneminyaka engu-16 ubudala, bangase bangabaze: "Yebo, kunzima ukukholelwa ukuthi umuntu angabhujiswa kakhulu ngengxabano eyodwa ("impi"). Ungakwazi ngisho nokubhujiswa ngegama elilodwa! Futhi ikakhulukazi intombazane eneminyaka engu-16 ubudala. Kodwa uma sekushiwo, lena bekungeyona nje ingxabano, lena bekukade “kuyimpi” yokuphila nokufa!

8.2.7 Indaba eyisibonelo: Ukushona kukakhondakta oyinduna ohlonishwayo

• Ukuxilongwa okuvamile kwezokwelapha: isithuthwane, isifuba somoya
• Ukuxilongwa komuthi omusha: isimo ngemva kwesifuba somoya esihambisana ne-schizophrenic constellation, isimo ngemva kokungqubuzana kwemoto yokungakwazi ukubamba, i-pulmonary nodule-Hamerscher-focus, tubal-Hamerscher-focus, pericardial-Hamerscher-focus

Intombazane eneminyaka engu-15 ubudala, enesandla sobunxele idlala icilongo eqenjini le-orchestra elakhiwe isazi somculo esidala, esishisekayo, naye owayengumdlali wecilongo, kusukela ekuqaleni. Wonke umuntu, ikakhulukazi abafana namantombazane, wayelenga ngokumangala ngalo muntu ongavamile futhi ongenabugovu, kuhlanganise nentombazane yethu eneminyaka engu-15 ubudala u-K. Ekhonsathini yokuqala futhi ngesikhathi esifanayo ebaluleke kakhulu, lapho umuntu wayenethemba lokuthi uzophumelela, okulandelayo (7.2.75):

ikhasi 134

Umholi we-orchestra, umbhidisi nomculi wecilongo oyingcweti bonke ngandawonye, ​​wayeseke waba nenkinga enkulu eminyakeni edlule ngendoda endala eyake yakhuluma nentombazane encane ku-orchestra yayo. Manje wayesaba ukuthi ufuna ukuphinda akhulume namantombazane asemancane e-orchestra entsha, futhi ngaphambi nje kokucula kube nengxabano enkulu neshisayo (ukuphindaphinda kwezingxabano zendawo). Umholi we-orchestra wayevimbele lesi “sitha esikhulu sendawo”.

Phakathi nekhonsathi, "Willi", njengoba umholi we-orchestra wayebizwa ngothando abalandeli bakhe abasha, wadlala icilongo yedwa, ubuciko ngempela! Bekuyingqophamlando kusihlwa.

Kuthe uma sekuphelile nokushubisa umnkantsha, wavele wawa washona phansi nje imitha phambi kwezinyawo zentombazane u-K. Intombazane u-K. nozakwabo babegodole futhi bethukile. Emuva kwamahora amabili kwafika izindaba zokuthi nemizamo yokubuyisela esibhedlela ayizange iphumelele.

Intombazane u-K. yayingaduduzeki. Wacela futhi wemukela icilongo lenkosi. Wayeya ethuneni lakhe nsuku zonke, okungekho noyedwa wabalingani bakhe be-orchestra owayeya. Uthi wayesondelene kakhulu naye futhi wayehlale ecabanga ngokufa ngemva kwalokho. Ingxabano yemoto yayiwukuthi wayefuna ukumbamba ngengalo (umlingani wangakwesokunxele), kodwa wangakwazi ukwenza lokho.

Ngemva kwezinyanga eziyisithupha, u-K. wayesephezu kokubi kakhulu kukho. Ngokushesha ngemva kokushona kukaMaster, lapho wethuka kakhulu, waqala ukuhlaselwa isifuba somoya. (Ukuhlasela kwesifuba somoya sokuphefumula kwesifuba njalo kwenzeka kumlaza we-schizophrenic kanye nemfuneko yokungqubuzana okuqhubekayo okuqhubekayo nokugxila kuka-Hamer engxenyeni yesokunxele yobuchopho, kulesi simo ukugxila kuka-Hamer esikhungweni se-left motor cortex).

Ngemva konyaka wabona umufi efakwa ebhokisini lomngcwabo. Ngemva kwesonto waphathwa isithuthwane okokuqala. Ukungqubuzana kwezimoto kanye nokwesaba ukungqubuzana kokufa esiqwini sobuchopho kwase kubuyile. Eminyakeni emibili kamuva, ngo-1978, uK. wathola ugogo wakhe elele phambi kwesiqandisi ekhishini lakhe, ikhanda lakhe lisesiqandisini, “njengofileyo.” “Usaba ukufa” futhi. Uthi bekumele acabangisise ngoWilli nokufa kwakhe. Ugogo uqale aphile futhi ingxabano iyaxazululeka. Emasontweni ambalwa kamuva, ngo-December 1978, isiguli sahlaselwa isithuthwane izikhathi ezine. NgoJanuwari 1979, njengengxenye yokuhlolwa e-B. University Clinic, i-Hamer lesion ene-edema ejulile ye-perifocal yatholakala ku-CT scan futhi, yebo, yachazwa kabi.

ikhasi 135

Umtholampilo ose-B. ubhalele udokotela womndeni ngo-5.1.79: “Ocezu lwamasentimitha angu-6,5, i-occipito-parietal yesokudla, ngemva kokuphathwa kwe-extrast medium, i-round, hyperdense, eduze ne-cortex, iboniswa isicaba impela.¹¹² Isifunda ukuze siboniswe. Kodwa-ke, kune-parenchymal inhomogeneity ecacile ezingqimbeni eziningana, njengoba sivame ukubona ezimweni ze-angiospastic.¹¹³ Bheka ukuphazamiseka kokujikeleza kobuchopho okuhlobene.” Lena yindlela okwachazwa ngayo ukugxila kwe-Hamer phambilini, indawo ene-hyperdense ene-perifocal edema, ngaleso sikhathi eyayibizwa ngokuthi “i-parenchymal inhomogeneity”. Ungabona ukungabi nalusizo okuphelele kwalokhu kutholwa okuchazayo ngoba umhloli cishe akazi ukuthi enzeni ngakho. Akanayo nencazelo encane yokuthi intombi engaka ingayithola kanjani into enjalo. Intombazane "yaxilongwa kahle nguchwepheshe" wezinzwa kanye nengqondo eSibhedlela saseNyuvesi B., kodwa akekho owayibuza ngesigameko sayo esimaphakathi, esibi. Lokho "kwakungabalulekile ngokombono wengqondo" noma kunalokho kungathandeki.

Ugogo washona ngoFebhuwari 79. Lokhu kungqubuzana kuxazululwa cishe ngemva kwesonto ngoba wonke umuntu uyavuma ukuthi “bekukuhle kakhulu.” Ngemva kwezinsuku eziyi-14, u-K. waqala ukuba nesithuthwane esisha, njalo ebusuku ngesikhathi elele. Bese uthuthuka kancane kancane. Kodwa intombazane ihlale iphathwa isifuba somoya lapho yesaba kakhulu!

Esigabeni esidlula ebuchosheni obudala (isiqu sobuchopho kanye ne-cerebellum) singathatha umlando wangempela wokungqubuzana kanye nenkambo yokungqubuzana: Ukwesaba ukungqubuzana kokufa (umcibisholo ongenhla kwesokudla) sekupholile. Uma ukuphinda kwenzeke ukungqubuzana, kusho ukuthi kungokwesikhashana. Khona-ke i-nodule eyodwa noma ezimbalwa ezincane ze-pulmonary zenza, futhi ngemva kokuphikisana uyajuluka ebusuku ubusuku obubili futhi konke kuphelile.

Imicibisholo engezansi: Siphinde sibone izibazi ezibalulekile ku-relay ye-pericardial, okumelwe ukuba kube nezingxabano ezinde noma ezivamile, lapha inhlangano yokuhlasela kwenhliziyo. Umculi osemncane waba nozwelo ngokuhlaselwa yinhliziyo kukaWilli futhi wazihlanganisa naye. Ngakho wahlobanisa ukuhlasela kwakhe kwenhliziyo okumangalisayo ne-pericardium yakhe. Singasho ngokuqiniseka ukuthi esigabeni se-PCL kufanele ukuthi ube nokuphuma kwamanzi okuhlala isikhathi eside noma okuvamisile okuncane kwe-pericardial.

¹¹² hyperdens = ukuqokwa kwendawo eminyene kakhulu
¹¹³ Angio- = ingxenye yegama elisho isitsha

ikhasi 136

Umcibisholo ongaphezulu kwesokunxele ukhomba ku-relay yeshubhu, okumele ngabe ibinokugxila okubalulekile okusebenzayo kwe-Hamer, manje esinezibazi. Ngokuvamile, lokhu kutholwa kwesibili esigabeni esisebenzayo kuhambisana ne-tubal carcinoma ebangelwa ukungqubuzana okubi, okuyingxenye yesitho sangasese (ingxabano embi, eyingxenye yesitho sangasese mayelana no-Willi "nesitha sakhe esikhulu" ngaphambi kwekhonsathi). Lapho kukhona i-mycobacteria efanelekile esigabeni se-pcl, umdlavuza we-fallopian tube uzobe usuhlehliswa ube yinqubo ye-caseative ne-fluor vaginalis (ukukhipha). Uma bekunokubaluleka kokuxilonga, okungenjalo lapha, umuntu angaba ne-CT scan yama-ovari eyenziwe futhi athole isifo sofuba esiyinsalela kumadiphozithi e-calcium.

Lokhu kuxhumana, manje esingakwazi ukukunquma ngokubuyela emuva nge-CT yobuchopho, ngaphambilini bekungenasithakazelo kithi. Kodwa-ke, ukucatshangelwa okunjalo akukona nje "izingxoxo zezemfundo ezingenangqondo", kodwa ngokushesha zithatha ukubaluleka uma ukuphindaphinda kufanele kwenzeke futhi ngoba kukhona okwenzeka ngengozi okwakhumbuza isiguli kakhulu ngokungqubuzana ngaleso sikhathi ...

Ngo-May '83, uyise washona, okwaletha u-K. ukuzihlambalaza okuqinile, njengoba kwenzeka futhi lapho u-K. ethola ugogo wakhe ekhanda lakhe esiqandisini. Wayezisole ngempela ukuthi kudala engambhekanga ugogo. Wayesebafonele kaningi engaphendulwa.

Ezinsukwini ezine ngemva komngcwabo kababa, kwenzeka esinye isifo sokuwa. Ukuhlasela okuningana okwengeziwe emasontweni alandelayo. - Njalo ukuhlaselwa yisifuba somoya.

Ukugxila kuka-Hamer okune-perifocal edema kwesokunxele phezulu kwe-cerebral cortex. Izendlalelo zokurekhoda azihambisani nesisekelo sogebhezi, kodwa cishe i-coronal, okusho ukuthi i-Hamer igxile esikhungweni semoto esingakwesokunxele "islayida" emuva (ukungqubuzana kokungakwazi ukubambelela).

ikhasi 137

NgoJanuwari 84, omunye ugogo, u-K. ayezwana naye, kodwa ayengafuni ukumvakashela emtholampilo ngoba wayesaba, washona. Lapho befa, uyazisola futhi ngalokhu. Futhi, ezinsukwini eziyi-14 kamuva, waba nokuquleka okujwayelekile, naphezu kokuthatha imithi kusukela ngo-1975!

Ngaphambili kwaleli cala lesiguli esincane ngokusobala ithrekhi yokungqubuzana kabili yesihloko sokungqubuzana esithi "ukufa" kanye "nokwehlukana", okungukuthi ithrekhi yokushayisana yokwesaba ukufa ehambisana nokungqubuzana kwemoto (kanye nezinzwa) zokungakwazi. ukubambelela kumuntu. Yebo, kwakuhlale kunengozi yokuphinda futhi kubanjwe isithuthwane esisha esigabeni se-PCL uma othile eduze kwesiguli efa. Njengoba ukufa kuyingxenye yokuphila, isiguli ngenhlanhla sakwazi ukuthola “isixazululo esingokomoya” sokungqubuzana kwaso ngosizo lwezihlobo: Wabe esebhekana kakhulu nesihloko esithi “ukufa”, efunda izincwadi eziningi ngale ndaba, Izingxoxo ezingenakubalwa. kulandele.

Namuhla angabhekana nalolu daba olukhulu ngaphandle kokwesaba lapho ebhekene nalo futhi ngenxa yalokho useneminyaka engu-14 engakaze abanjwe yisifo sokuwa.

8.2.8 Isibonelo esisifundo: Imimoya emine emibi

Ngezansi sibona i-CT yobuchopho yowesifazane oneminyaka engu-50 okholwa kakhulu owayephila ngokwesaba izipoki. Lapho indodakazi ihlaselwa isifo sokuwa ineminyaka engu-15 ubudala, yayikholelwa ngokuqinile ukuthi kwakunemimoya emine kamufi ngaphakathi kuyo. Uhlaselwe yi-DHS ngokukhathazeka okungaphambili okuhlobene; Isiguli esisesandleni sokudla besivele sikwi-climacteric¹¹⁴ lapho ebhekene nengxabano. Kodwa nakuba kungase kuzwakale kuyinqaba: isiguli esineminyaka engu-50 ubudala asisitholi isithuthwane saso kulesi silonda esikhulu, esihlala sibuyela emuva. Uyithole esitofini esincane eduze kwayo (umcibisholo) futhi lapha sibona okuthile okuthakazelisa kakhulu:

¹¹⁴ I-Climacteric = isigaba senguquko ukusuka ekuvuthweni okugcwele kocansi kuya ku-senescence (ukuguga) kowesifazane

ikhasi 138

Ngaphakathi kokugxila okukhudlwana kuka-Hamer, okuhambisana nokuxazululwa kokwesaba/ukungqubuzana kwendawo okuxazululiwe, sibona ngaphakathi kokugxilisa ingqondo kuka-Hamer ukumiswa kwethagethi yokudubula ebukhali esikhungweni semisipha ye-motor bronchial kanye/noma ekuphakeleni okubonakala kuyisiyingi kuphela ngenxa yombono. kusukela ngaphambili Imisipha yesandla sobunxele. Yilapho isiguli sithola khona isifo sokuwa.

Lokhu empeleni kungenye yezinto "ezinhle kakhulu" ze-Hamer foci ezibhekene nesifo sokuwa, esibonakala ngokuphindaphindiwe, ukuze esithombeni samanje ungakwazi ukubona ngokuvamile, isibonelo, ukuxazulula ukuthunjwa kokugcina kanye nomsebenzi wokuphindaphinda okulandelayo. !
Kodwa futhi kuyathakazelisa ukubona ukuthi isitofu esinjalo se-Hamer singaqukatha izingxenye ezimbili ezihlukene:

1. Ukwesaba kwendawo kanye nokungqubuzana kwendawo esigabeni se-PCL. Phakathi kwezinye izinto, imisipha ye-bronchial nayo iyathinteka lapha.
2. Ukukhubazeka kwengxenye yesandla sobunxele (umama/ingane) esinesifo sokuwa esiqala ngesandla sobunxele.

Khona-ke kuthiwa imimoya “yakhishwa,” okungukuthi, yaxoshwa umelaphi ongokomoya waseAustria. Leso kwakuyisixazululo sokungqubuzana kwesiguli.

ikhasi 139

Isiguli sabhekana nengxabano enkulu - i-DHS iphindeka cishe ngendlela efanayo lapho indodana yaso ithola umlaza we-schizophrenic ne-catatonic ineminyaka engama-26.¹¹⁵ wahlupheka ukuqina. Ngesikhathi umama emi eduze kombhede wakhe emtholampilo, wavele wabona ukuthi sekunezipoki futhi emsebenzini, okuyizona lezi zipoki ezine zikamufi ezazivele zidale umonakalo endodakazini yakhe. Iziko likaHamer laba libi kakhulu¹¹⁶, okungukuthi, waqala ukubhekana nezingxabano futhi kwaze kwaba yilapho ekugcineni imimoya emibi emine yendodana ixoshwa “ngesenzo esikude” umelaphi ongokomoya wase-Austria.

Lokhu kungqubuzana kwenzeka cishe amasonto angu-3 ngaphambi kokuba lezi zithombe zithathwe. Lapha sibona ukugxila kukaHamer okwakuvele kuhlanganiswe ebuchosheni obungaphambili obungakwesokudla, manje obuvuvukala futhi, kodwa, njengoba kushiwo, akuzange kuholele ekubukeni kwesithuthwane, kodwa "kuphela" kuma-cysts e-branchial semicircular canal. Ukugxila kwangempela kwesithuthwane kutholakala eduze kwaso ngasemuva¹¹⁷ (Umcibisholo). Uma manje ucabanga, njengakulesi simo, ukuthi uthole "imbuzi" yokuquleka futhi uhlinze lesi sakhiwo, isiguli sizophinde sibe nesithuthwane, njengoba i-Hamer igxile emisipha ye-bronchial nesandla sobunxele. usekhona kunjalo. Kuze kube manje, akekho owayazi, okungavamile njengoba kungase kuzwakale, ukuthi kwakuyini ngempela isithuthwane, kunikezwe ukuthunjwa kwe-tonic-clonic (motor). Ukubanjwa "kungakwazi ukwenzeka" kunoma iyiphi ingxenye yesikhungo se-motor cortex. Sibe sesikhuluma “ngokuquleka okukhulu” noma “isilwane esikhulu”.

 

¹¹⁵ I-Catatonia = ukugula kwengqondo lapho ukuphazamiseka kwemoto ngokuzithandela kuyikhona okugxilwe kakhulu kuyo
¹¹⁶ to aggravate = ukwenza kube kubi kakhulu
¹¹⁷ iqolo = okungomhlane, ilele ibheke ngemuva, ngomhlane

ikhasi 140

Angikaze ngimbone lo wesifazane ngavele ngathola indaba kumyeni. Sibona njenge Falx¹¹⁸, isikela elingamathambo elihlukanisa ama-hemisphere amabili ngenhla liyiswa kude kwesokunxele. Izilonda ezinkulu kangaka, eziyindilinga, ezinezibazi ze-Hamer ngokuvamile zibizwa ngokuthi “ama-meningioma.”¹¹⁹ ngoba zibukeka zincane kakhulu. Kuze kube manje kwakucatshangwa ukuthi isimila se-meninges singakhula singene ebuchosheni - iphupho elinomkhuhlane weqhwa! Uma ulinda ngokuzola kuze kube yilapho le mihlambi ye-Hamer ebukeka ngendlela emangalisayo yehle ngokuzolile futhi, akukho okuzokwenzeka. Ukuquleka kwesifo sokuwa nakho kuyayeka ngaphandle uma kuvela izingxabano ezintsha. Kodwa-ke, uma ubuchopho obungaphambili bususwa, isiguli sikhubazekile impilo yaso yonke, njengoba ukususwa kwezingxenye zobuchopho obungaphambili ikakhulukazi kubangela izinguquko ezinzima ezingokwengqondo, ingasaphathwa eyesithuthwane esilindelwe yi-cicatricial.

8.2.9 Indaba eyisibonelo: Ukuphulula okungavunyelwe

Lesi siguli, esabanjwa okokuqala yisifo sokuwa ngo-17 sineminyaka engu-1953 ubudala, sinenkemba engaphambili egcwele i-foci ka-Hamer nhlangothi zombili. Isiguli sinendaba exakile: Manje sineminyaka engu-51 ubudala futhi singumthengisi esitolo esincane “sikamama ne-pop”.

Waba nothando lwakhe lokuqala eneminyaka engu-17 ubudala, isoka lakhe lalingumfana othambile, omncane kunaye. Ijaha lafuna ukulala laye kodwa wala ngoba lalihlale lisaba abazali bakhe kanye logogo lomkhulu. Ngakho-ke, bobabili babenelisa kuphela ngokuphulula.

Ekugcineni, isiguli sahlukana naleli soka, okwakunzima kakhulu, kodwa ukungqubuzana kwakhe kokukhathazeka kwaxazululwa okwesikhashana futhi waba nesithuthwane sakhe sokuqala. Ngomngane wesibili lwabuya uvalo. Lo mngani bekuluthando lwakhe lweqiniso. Isiguli naso sasilala naye, ngendlela efanayo neyokuqala. Nokho, “babanjwa” futhi isiguli sabhekana nengxabano enkulu yokwesaba. Ngesikhathi ehlukana naleli soka lesibili, bahlukana okwesibili kanye nokuquleka kwesibili.

Lapho eneminyaka engu-30 ubudala, isiguli esikholwa kakhulu sashada ngoba sase sikhishwe isoka yisoka laso elilandelayo. Lokho ayengakwazi ngaleso sikhathi: umyeni wakhe wayengumbukiso.

¹¹⁸ Falx = isikela
¹¹⁹ i-meningea = i-meningea; meninges

ikhasi 141

Isimo ngemva kokubuyela emuva komlaza we-schizophrenic ebuchosheni obungaphambili.
Umcibisholo omaphakathi kwesokunxele: Ukugxila kuka-Hamer kokungqubuzana “Kumele kwenziwe okuthile”.
Umcibisholo ongezansi kwesokunxele: Umhlambi ka-Hamer wokungqubuzana kokwesaba nokwesaba.
Umcibisholo ongaphezulu kwesokudla: Ukungqubuzana kokwesaba okuphambili kuka-Hamer.
Imicibisholo engezansi kwesokudla: Ukugxila kuka-Hamer kokungqubuzana kokwesaba kwendawo
Umcibisholo ophakathi nendawo omncane: ukwesaba, ukunengeka kanye nokungqubuzana kokumelana

Umcibisholo phezulu kwesokunxele: Ingxabano embi, ingxenye yesitho sangasese, ukugxila kuka-Hamer kukholoni ye-sigmoid¹²⁰I-Carcinoma kanye ne-fallopian tube carcinoma (isigaba se-PCL)
Umcibisholo phezulu kwesokudla: ukungqubuzana kwendlala, u-Hamer ugxile ku-carcinoma yesibindi nokungqubuzana kokuzwa (ingxabano yokungakwazi ukuthola ucezu lolwazi)

Lapho lona wesifazane enezinyanga ezinhlanu ekhulelwe, kwafika amaphoyisa emzini wakhe ngolunye usuku, umyeni wakhe eboshiwe, wayebukisa, wayengumbukiso, futhi wonke umuntu edolobheni elincane wayekwazi lokho.

Leyo bekuyi-DHS kubo! Kwavela ukuthi umyeni wakhe wayeseneminyaka eminingi enza lokhu.

Kodwa njengoba ayekhulelwe, ukungqubuzana “kwakumisiwe,” okusho ukuthi umsebenzi wokungqubuzana wawuhoxiswa ngesikhathi sokukhulelwa. Lapho efika ekhaya ngemva kokubeletha, umyeni wakhe wayengekho. Wayebukisa ndawana thize futhi. Kusukela lapho, noma nini lapho “esemthethelele” futhi esefunge ukuthi uzoba ngcono, uba nesinye isifo sokuwa.

¹²⁰ I-Sigmoid colon = i-sigmoid colon, ingxenye yamathumbu amakhulu

ikhasi 142

Iminyaka emi-2, lona wesifazane manje oneminyaka ecishe ibe ngu-50 ube nesoka elineminyaka engu-20 asebevele lamphulula futhi angathanda ukulala nalo, kodwa uhlala esaba ukutholwa.

Manje unesifo sokuwa njalo, ngokuvamile esekhaya lapho enesoka lakhe. Angikwazi ukukufakazela lokho, kodwa ngikholelwa ukuthi umcibisholo wesokunxele umelela ukungqubuzana kokwesaba kokwesaba kowesifazane osandla sokudla, okuhlanganisa ukuphindaphinda ahlupheka ngakho lapho umyeni wakhe ebonisa umbukiso, kuyilapho umcibisholo ongakwesokudla ubonisa ukwesaba okungaphambili - ukugxila kukaHamer. , lona wesifazane osephenduke waba yisilisa uphethwe isoka lakhe elineminyaka engu-20 ubudala.

Kulokhu ungabona futhi ukuthi kungani kunzima kangaka “ukwelapha” isithuthwane. Ngoba ufuna ukuqala kuphi lapha? Inhlekelele ayinakugwenywa kuzo zombili izinhlangothi: Ukwesaba ukuziphatha komyeni cishe kuyoba kubi nakakhulu ngoba ukuziphatha kwakhe akunakushintshwa. Ubulili bakhe ngeke behle noma nini maduze futhi nokwesaba kwakhe ukutholwa nesithandwa sakhe noma ukulahlekelwa yiso.

8.2.10 Indaba eyisibonelo: Papa Noel

Umuntu onesifo sokuwa uhlala ebambekile esigabeni se-pcl, isibonelo ebusuku ngemuva kwephupho elibi lokukhathazeka (iphupho elibi). Wonke umuntu onesifo sokuwa unephupho lakhe elikhethekile lokwesaba. Endabeni yesifo sokuwa, umugqa uketshezi oluvela ekuphindaphindeni okungapheli kuya ekungqubuzaneni kwangempela okulenga, ngoba kukhona njalo isisombululo, kodwa ukungqubuzana "akusuki etafuleni". Indaba ka-“Papa Noel” (uSanta Claus) ifundisa kakhulu lapha: isikhathi ngasinye lapho isiguli sizuza “isixazululo esincane” lapho uPapa Noel aphinde anyamalala khona kuze kube, ngokweseluleko sami, ekugcineni wafinyelela “isixazululo esikhulu”, esiwujuqu. , ngomqondo ongokomfanekiso, noPapa Noel wamshaya. Akuzona zonke izixazululo ezifanayo...

Insizwa ethile, eyinxele, eneminyaka engu-26 ubudala, yaseMarseille, engayihlola kanye nodokotela wayo eMarseille, yayinesifo sokuwa kusukela ineminyaka engu-17 ubudala. Bekuyicala elikhulu kimina. Ngoba lapho ngizama ukuthola ukuthi yini eyayingase imethuse kangaka lapho eneminyaka engu-17 ubudala, ngokweqiniso akabanga nayo impendulo. Ubelokhu esho nje ukuthi isithuthwane sifika njalo ebusuku.

Umbuzo: Ubani owaqala ukumbona?
Impendulo: Intombi yami.
Umbuzo: Kulungile ngobusuku bokuqala?
Impendulo: Yebo, ngobusuku bokuqala futhi kaningi kusukela lapho!

ikhasi 143

Umbuzo: (umngane wayekhona) Kanti seningabangane isikhathi esingakanani?
Impendulo: Iminyaka engu-10.

Umbuzo: Kungenzeka yini ukuthi ubuvele unesifo sokuwa njalo ebusuku?
Impendulo: Mhlawumbe yebo.

Umbuzo: Wake waphaphama ngesikhathi sokuquleka okunje?
Impendulo: Yebo, kodwa selokhu ngaqala ukulala nentombi yami futhi yayivame ukungivusa.

Umbuzo: Uyakhumbula ukuthi wawuphuphani ngesikhathi uvuka umngane wakho?
Impendulo: Yebo, kunjalo, iphupho elifanayo likaPapa Noel njalo.

Umbuzo: Ngaso sonke isikhathi uma ubanjwe yisifo sokuwa uvuswa intombi yakho, uke waphupha uPapa Noel?
Impendulo: Yebo, kwaba njalo.

Umbuzo: Ingabe ube ne-aura ngaphambi kokuquleka noma ukuphupha?
Impendulo: Yebo, kuyafana njalo: kukhala insimbi.

Umbuzo: Ingabe kukhona okubonayo ekuseni ngemva kokuquleka?
Impendulo: Yebo, ingalo yami yangakwesokunxele ihlale izwa sengathi ikhubazekile, ngakho ngiyazi ukuthi ngike ngaquleka. Ngaphezu kwalokho, ngicishe ngihlale ngimanzi.

Umbuzo: Wake waba nobuhlungu obunjalo engalweni yakho yesobunxele futhi ngezinye izikhathi uzimanzise ngaphambi kokuba uhlangane nentombi yakho?
Impendulo: Yebo, selokhu kwenzeka lokho noPapa Noel, ngingumuntu ocwile embhedeni. Futhi ngiyakhumbula ukuthi kaningi, nangaleso sikhathi, lapho ngimanzi, ingalo yami yangakwesobunxele yayingasebenzi kahle.

Umbuzo: Awungitshele, kwakunjani kuPapa Noel?
Impendulo: Yebo, kwakunje: Lapho ngineminyaka emithathu noma emine ubudala, ngangigangile, ngingelutho, into eyenziwa izingane ezincane. Kwakungaphambi kukaKhisimusi. Ngokuphazima kweso ubaba uyamemeza “Lalela!” Yonke into ithulile futhi kunomsindo okhalayo, njengalowo engihlale ngiwuzwa ngaphambi kokuba ngibe nephupho lami elibi, noma empeleni lihlala liqala kanjalo. Ngethuka kakhulu lapho ubaba ethi: “Ubaba uNoel, manje qaphela!” Ngashaqeka. Manje ngezwa ukuduma nokungqongqoza ekamelweni elilandelayo. Ngesaba kakhulu. Kwathatha imizuzu eyi-10, kodwa kuzwakala sengathi ingunaphakade kimi, futhi ngangilokhu ngicabanga: Usezongena emnyango azongilanda. Ngangiqhaqhazela njengeqabunga umzimba wonke. Ngemva kwemizuzu engu-10 kwanqamuka ukuduma, kodwa ngashaywa umbani. Futhi ngangihlala ngiphupha into efanayo lapho intombi yami ingivusa. Njalo iphupho elifanayo noPapa Noel.

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Magnetic resonance tomogram May '86, Marseille, kusukela esigulini kusukela 23 Iminyaka yesifo sokuwa esiqhubekayo, esigcweleyakhishwa nge-barbiturates, ngaphandle yonke impumelelo. Wayelokhu ewuthola isithuthwane sakhe. Njengathi ngemva ucwaningo lobugebenguwafika, waphupha ngokushesha ngaphambili Ukuquleka njalo ukuba nephupho elifanayo UPapa Noel, uSanta Claus, the wayefuna ukumthola futhi ahambe naye, njengaye njengomfana oneminyaka engu-3 ubudala ezimweni ezimbi kakhulu wayenolwazi ngokuhlakanipha. Njalo uma kudlula I-Aura kukukhala kukaPapa Noel.

Isikhathi ngasinye wayeba “nomncane Isixazululo”, okungukuthi lapho, ngemva kokuphupha okuphakade kwemizuzu eyi-10, uPapa Noel ekugcineni ephuma ekamelweni elilandelayo. Lapho sebephinda benza isigameko ngokweseluleko sami futhi washukwa kahle isikhumba sikaPapa Noel “kakabili”, isipoki sanyamalala kungazelelwe. Akaphindanga waphathwa yisifo sokuwa futhi wayengasayidingi imithi.

Ku-tomogram ye-resonance kazibuthe ngenhla ungabona ngokucacile i-Hamer foci eyindilinga ezimbili: Zitholakala ngezansi ngqo kwe-cerebral cortex esikhungweni se-motor kanye ne-sensory cortical.

Ukugxila kwe-ventral kusendaweni ye-precentral gyrus yesokudla, yingakho kukhona ukukhubazeka ingxenye yengalo yesokunxele kanye (ngaphansi) kwemisipha ye-pelvic yesokunxele nemisipha yethanga ngemva kokuhlasela ngakunye. Umfana wayenokungqubuzana kokwesaba kwezimoto zokungakwazi ukuphunyuka, okwavuselelwa kuwo wonke amaphupho kwase kuba nokungqubuzana futhi. Ukugxila okuphansi kuka-Hamer esithombeni ku-occipital kwesokudla futhi kusho ukuthi wayehlala enokungqubuzana kokuhlukana kwezinzwa ngoba wayesaba ukuthathwa nguPapa Noel. Lezi zingxabano ezimbili ezilengayo ngayinye yabangela ukuquleka kwesifo sokuwa. Ikhambi lalihlale liyikhambi elincane lesikhashana elaqhubeka kwaze kwaba ubusuku obulandelayo, hhayi elihlala njalo. Lolu uphawu olujwayelekile lwalokho okubizwa ngokuthi yisifo sokuwa.

ikhasi 145

Ku-tomogram ye-resonance kazibuthe, ukugxila kuka-Hamer esiqwini sobuchopho kunzima kakhulu ukukubona, kodwa kusacacile. Kuleli qophelo cishe ingxabano endala yababaleki elengayo esiqwini sobuchopho (Pons¹²¹), mayelana nezinso ezifanele, yingakho i-enuresis yasebusuku).

Ukwelapha:

Ukwelashwa kutshelwa ngokushesha futhi kulandela ngokunengqondo kusukela ekuxilongweni: Ngameluleka ukuthi aqashe omunye wabangane bakhe ngama-franc angu-300. Kufanele avume ukumdedela amshaye.

Uthe lokho akuyona inkinga ikakhulukazi uma kuzwakala ukuthi umngani uzongenela. Kulungile, ake siphinde senze sonke isigameko ngobunye kusihlwa, kodwa ngendlela yokuthi angazi kusengaphambili ukuthi nini. Ngakho-ke umngane kufanele eze ekhalisa insimbi, njengangaleso sikhathi, egqoke njengoPapa Noel, njengaye, ephenya ekamelweni elilandelayo. Kodwa ngokuphambene ngokoqobo eminyakeni engu-23 edlule, manje kufanele agxumele ngokushesha uPapa Noel futhi amgcobe kahle. Khona-ke isipoki sizobe sesiphelile.

Isiguli sambonga ngesizotha kakhulu, udokotela naye wahlabeka umxhwele kakhulu futhi wenza i-tomogram ye-magnetic resonance tomogram. Nokho, wamangala. U-Hamer wayengakwazi kanjani ukuthi isiguli sizoba ne-Hamer foci eyodwa noma ezimbili ku-cerebral cortex? Futhi watshela isiguli ukuthi mhlawumbe uDokotela uHamer wayeqinisile ngomunye futhi. Ngakho-ke bathatha isinyathelo, bayeka inani lama-barbiturates, baphinda benza isigameko njengoba ngase ngelulile, umngane washukwa isikhumba wabe eseba namamaki angaba ngu-100, futhi - isiguli asiphindanga saba nesifo sokuwa futhi asiphindanga saba manzi, ngaphandle kwemithi. Uthe uzizwe “ekhululekile, hhayi nje ngoba engasadli, kodwa ngezinye izindlela ugcine evukile sengathi uphupha kabi.”

¹²¹ Pons = isiqu sobuchopho

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8.3 Izinkinga ezibaluleke kakhulu zesithuthwane kanye ne-epileptoid

Lesi sibonakaliso sithola igama laso "isithuthwane" noma "isithuthwane" enkingeni yesifo sokuwa sokungqubuzana kwezimoto. Ukuhlasela okunjalo akunakunakwa. Kungathinta kuphela amaqembu emisipha ngamanye, isibonelo ingalo, umlenze noma ubuso (okuthiwa “ukuquleka okugxilile”) noma kungaba yinto ejwayelekile, okungukuthi, kube lokho okubizwa ngokuthi ukuquleka okujwayelekile okuluma ulimi kanye nokukhihliza amagwebu emlonyeni. Zonke izigaba ezimaphakathi nazo zingenzeka. Endulo, isithuthwane sasibizwa ngokuthi “morbus sacer” = “isifo esingcwele” ngoba sasibonakala sihlobene nenjabulo phakathi nemikhosi yenkolo. Lezi zingenzeka ndawonye kaningi, ngisho nange-autoprovocation, kodwa empeleni isithuthwane asisona isimo esifanayo.

Ukuquleka noma ukudlikizeka kwe-tonic-clonic (= ukufinyela) akuwubhubhisi ubuchopho noma amangqamuzana obuchopho, njengoba besicabanga ngaphambili, kodwa ngakolunye uhlangothi, kufana nanoma yikuphi okunye ukungqubuzana nanoma yiluphi uhlobo lokungqubuzana: ngokuvamile kuvame ukungqubuzana. iphindelela, iba yindawo ehambisanayo ebuchosheni, futhi njengoba iningi lalezi zingxabano zezimoto zingabonakala kalula futhi eziningi zazo zingaxazululwa nakanjani, okungukuthi, ukuphindaphinda okunye okuhlanganisa isigaba sokuphulukisa nenkinga yesithuthwane kungaba kugwenywe, izithuthwane eziningi “zingelapheka”.

Sesizwile ukuthi lonke uhlelo olukhethekile lwebhayoloji lunenkinga yalo ekhethekile yesifo sokuwa.

Iziguli zivame ukuzibiza ngokuthi “izinsuku ezibandayo”.

Kulezi “zinsuku ezibandayo” (noma amahora), iziguli zivame ukuba nezimpawu ezifanayo noma ezifanayo ngendlela egxile kakhulu kunesigaba sokungqubuzana. Njengoba izigaba eziningi zokungqubuzana zinezimpawu ezimbalwa noma okungenani zinganakwa, izinkinga eziningi zesithuthwane zibonwa kuphela “njengezinsuku ezibandayo” noma “amahora abandayo”, futhi esimweni sokuquleka okujwayelekile, njengemizuzu nje.

Lokhu kuhlukile nge-SBS ebanga ubuhlungu obukhulu esigabeni se-CA, isibonelo i-angina pectoris noma isilonda esiswini. Esimweni sangaphambili, sibiza inkinga ye-epileptoid i-infarction ye-ventricular kwesokunxele, engahambisana nobuhlungu obunamandla kakhulu, esasizama ngaphambili ukuphatha ama-painkillers aqinile noma i-morphine ekukhohliseni ukuthi "ubuhlungu kufanele buhambe". Siphinde saqeda izinhlungu, ngokungazi lutho ngaphezu kwazo zonke izifunda zokulawula futhi ngokuvamile sibulala isiguli. Kwenzeka okufanayo nakithi ngesilonda esiswini esopha esigabeni se-PCL, esivame ukuhambisana nobuhlungu obukhulu. “Ukubhobozwa kwesisu” cishe kusolwa njalo futhi kuyahlinzwa.

ikhasi 147

Ngisho nalesi senzo esingenangqondo kakhulu phakathi nesigaba esibucayi se-SBS, iningi leziguli zethu lafa ngenxa yokuthi ama-circuits okulawula imvelo awazange asebenze kuphela, kodwa nayi-morphine eyaba yimfuneko ngenxa yalokho.

Njengoba siye sazi izixhumanisi nge-New Medicine, singakhuthaza iziguli zethu ukuba zibone ubuhlungu obunjalo njengento evamile, into enhle ngisho naleyo edingekayo ekubuyiseleni kabusha okulandelayo. Ngoba uma isiguli sazi ukuthi ngokwamukela i-morphine empeleni sibeka amathuba aso okuba ngcono, ngeke sisayamukela nhlobo i-morphine. Udokotela ubengeke aze azithathele yena.

Njengoba izithuthwane ze-cerebral cortex zihlaba umxhwele kakhulu futhi ziyingozi kakhulu, sifuna ukubhekana nezibaluleke kakhulu ikakhulukazi ngezansi.

Uma cishe senza amaqembu amakhulu ama-4, singahlukana sibe:

1. Izinkinga ze-Frontal cortical Epileptic: ukuhlaselwa kwe-migraine.
2. Izinkinga zesithuthwane zesikhungo se-motor cortex:
   konke okubizwa ngokuthi yi-epileptic seizures okuhlanganisa ukunyakazisa ubuso, i-asthma attack, i-laryngeal asthma attack¹²², isimo sokuhlaselwa kwe-asthmaticus, ukuhlaselwa kwe-myocardial infarction¹²³ izingxenye ezithintekile zemisipha yenhliziyo.
3. Izinkinga ze-epileptoid zezinzwa (i-epithelium eyinhloko) kanye nesikhungo se-cortical postsensory (periosteum):
   a) Ukungabikho kokuquleka ku-neurodermatitis.
   b) Ukungabikho lapho i-periosteum ithinteka.
   c) I-myocardial infarction ngokungabikho ngenxa yezilonda ze-coronary artery (i-left ventricular infarction).
   d) I-Coronary vein ulcer isithuthwane esine-pulmonary embolism kanye nesilonda somlomo wesibeletho kanyekanye (i-right heart infarction).
   e) I-Hepatic bile duct ulcer isithuthwane esingenakho “i-coma yesibindi” ku-hepatitis.
4. "inkanyezi eluhlaza" yesifo sokuwa:
   Ukuhlasela kwe-glaucoma, empeleni okuwukuguquguquka okunamandla ekucindezelweni kwamehlo ngaphakathi kwe-glaucoma (= ukwanda komfutho wamehlo egumbini elingemuva kweso) esigabeni se-PCL se-vitreous body opacity (glaucoma).

¹²² i-laryngeal = mayelana ne-larynx
¹²³ myocardium = inhliziyo

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8.3.1 Ukuhlaselwa yi-Migraine

I-Migraines yayivame ukubizwa ngokuthi "isithuthwane esincane" ngoba wonke udokotela olungile wayazi ukuthi ayefika kuphela ngesikhathi sokuphumula noma isigaba sokuphumula. Kungakho akekho owake wazi ukuthi "zibaphathe" kanjani. Ingabe kufanele unikeze ama-tonics azwelayo ukwenza buthaka isigaba sokuphumula noma kufanele unikeze i-vagotonics ngoba i-migraines iyinqubo yokuzwelana? Wonke "i-migraineur" yayinemithi noma izicelo zayo. Omunye wahlala kubhavu ofudumele, omunye wazama ukugeza okubandayo. Akekho owayazi izixhumanisi.

Siyazi emithini emisha ukuthi kuhlale kuyizinqubo ezilawulwa yi-fronto-cortical noma i-SBSe ebangela i-acute migraines (ukuhlaselwa kwe-migraine) njengenkinga ye-epileptoid esigabeni se-pcl. Ngenxa yokuthi kwakukhona ukufana okuthile nokuthunjwa kwe-epileptic (motor noma tonic-clonic), i-migraines yayibizwa ngokuthi "isithuthwane esincane".

Ekuhlaselweni kwe-migraine acute, esiyibona njengenqubo enhle futhi edingekayo, ngeke sikhulume nesiguli "kumakhambi akhe ezimpawu". Kodwa-ke umsebenzi wethu wangempela uqala. Ukuhlaselwa kokugcina kwe-migraine kwenzeka kuphela ngenxa yokuthi isiguli sabuyiselwa ku-splint efanele ngenxa yokuphindaphinda kwengxabano. Nokho, ngokomthetho, lokhu akudingekile ukuba kwenzeke futhi uma sithola ukungqubuzana okuyisisekelo kanye nesiqondiso sayo futhi sixoxe ngenkinga nesiguli futhi sikwazi ukuyixazulula ekugcineni. Lokhu akuwona umlingo. I-"frontal-cortical schizophrenic constellation" kufanele futhi kukhulunywe ngayo, okungase kube nokuhlaselwa kwe-migraine (= inkinga ye-epileptoid) kuzo zombili i-hemispheres ngesikhathi esisodwa.

Khona-ke iziguli zibika ukuthi ayikho into embi. Kubi nje! Kodwa-ke, ukuhlaselwa kwe-migraine kwenye i-hemisphere kungase kwenzeke kanye ne-motor noma enye i-non-front cortical epileptic noma i-epileptoid crisis. Ngisho noma kunjalo, izimpawu azikwazi nje ukuba nonya, kodwa iziguli zisuke ziseqoqweni lezinkanyezi ze-schizophrenic ngesikhathi sokuzwelana (!) Inkinga yesithuthwane yamazwe amabili.

ikhasi 149

8.3.2 Izinkinga zesithuthwane (ukuquleka) kwesikhungo se-motor cortical

Lezi zinkinga zesithuthwane, ebesizibize ngaphambilini ngokuthi “isifo sokuwa”, zifaka phakathi ukuquleka kwe-tonic-clonic, kwesinye isikhathi okungaba yi-tonic kuphela (ama-muscle spasms), kodwa kuvame ukuba yi-tonic-clonic, i.e. ne-rhythmic convulsive spasms¹²⁴ izicubu zenzeka. Lokhu kungabuye kuhlanganiswe futhi nokungabikho (= ukulahlekelwa ukwazi) okujwayelekile kokungqubuzana kwezinzwa (ukungqubuzana kokuhlukana).

Kuzo zonke okuthiwa yi-motor epileptic seizures, i-Hamer ehambisanayo igxila ku-cerebral medulla, ephethe imisipha, ihlale isebenza ngesikhathi esifanayo, ukuze ngisho nasezimweni ezilula sihlala sithola umcimbi ohlangene.

Ngokuqinisekile umuntu angakwazi ukuqhathanisa umsebenzi oweqile wemoto (isithuthwane) esigabeni se-pcl - ngemuva kokukhubazeka kwangaphambilini esigabeni se-ca - ne-leukocyte glut (i-leukemia) esigabeni se-pcl - ngemuva kwe-leukopenia yangaphambilini esigabeni se-ca. Zombili lezi zinqubo zenzeka endaweni efanayo ebizwa ngokuthi "iqembu lokunethezeka" le-cerebral medulla.

Imisipha ye-bronchial ingxenye ye-peristaltic endala¹²⁵ Imisipha, ngoba i-alveoli yamaphaphu (esimweni somdlavuza, i-adenocarcinoma!) iwumphumela wokuziphendukela kwemvelo wamathumbu. Kodwa enye ingxenye yemisipha ye-bronchial imisipha e-striated, ithuthelwe kanye ne-mucosa ye-bronchial futhi ilawulwa yisikhungo se-motor cortex ye-hemisphere efanele.

Ukuquleka kwemisipha ye-bronchial kusho ukuthi i-tonic (i-bronchial spasm¹²⁶) noma i-tonic-clonic convulsions yemisipha ye-bronchial ibheke emlonyeni, esikubiza ngokuthi ukukhwehlela okunamandla kakhulu (= lokho okubizwa ngokuthi "ukukhwehlela kwe-bronchial"). Ukuphelelwa yisikhathi isikhathi eside kujwayelekile lapha¹²⁷.

Okufanayo kusebenza emisipha ye-larynx, elawulwa yisikhungo se-motor cortex ye-hemisphere yesokunxele (= okuthiwa "ukukhwehlela kwe-laryngeal"). Lapha indlela yokudlikizela ingaphakathi.

¹²⁴ Ukudlikizela = ukuqhaqhazela
¹²⁵ I-Peristalsis = ukunyakaza okuqhubekayo ezithweni ezingenalutho ngenxa yokuminyana okumise okwendandatho okubangelwa ukufinyela kwemisipha
¹²⁶ I-Spasm = i-cramp, ukufinyela kwemisipha okungahleliwe
¹²⁷ I-Expirium = ukuphefumula ngaphandle

ikhasi 150

Ngakho-ke, nansi ugqozi olwandisiwe¹²⁸ ngesikhathi sokuquleka kwesithuthwane okujwayelekile.

8.3.2.1 Isifuba somoya

Uma ingxenye ye-striated yomsebenzi we-bronchial muscle motor ithintwa i-SBS, okungukuthi esigabeni sokungqubuzana, khona-ke sibona ukukhubazeka kwezicubu ze-bronchial. Uma i-cortical Hamer focus isasebenza ku-hemisphere yesokunxele, khona-ke umlaza we-schizophrenic ukhona, kodwa awuboni lutho.
Izinto zihluke ngokuphelele esimweni senhlekelele yesifo sokuwa uma kusekhona noma kuvuselelwe umsebenzi wokungqubuzana endaweni ye-cortical ngakolunye uhlangothi.

Impela lo mlaza...

umsebenzi wokungqubuzana we-cortical kwesokunxele
Kwesokudla esikhungweni se-motor cortical, inkinga yesithuthwane ene-tonic-clonic spasms yemisipha ye-bronchial

... sikubiza ngesifuba somoya esine-bronchial nokuphelelwa yisikhathi isikhathi eside.

Umlaza...

Injini yesokunxele i-laryngeal-Hamerscher igxile ekusebenzeni
umsebenzi wokungqubuzana we-cortical wangakwesokudla

... sibiza i-asthma ye-laryngeal ngokuphefumulelwa isikhathi eside.

Uma i-motor bronchial-Hamerscher focus kanye ne-motor laryngeal-Hamerscher focus kokubili kusenkingeni yesithuthwane ngesikhathi esisodwa, khona-ke sikhuluma ngalokhu.

Isimo se-asthmaticus
= Ukuphelelwa yisikhathi isikhathi eside nogqozi olude!

8.3.2.2 I-Myocardial infarction

I-myocardial infarction (= necrosis yemisipha yenhliziyo eshaywayo) kufanele ihlukaniswe ne-coronary infarction. I-coronary infarction inkinga ye-epileptoid yesilonda se-coronary SBS kungxabano yendawo (ikholomu ebomvu yetafula, i-ectodermal, noma i-cortical periinsular kwesokudla).
Ngakolunye uhlangothi, singaqonda ukuthi i-myocardial infarction “njengesithuthwane semisipha yenhliziyo” yengxenye ethintekile yemisipha yenhliziyo.

¹²⁸ Inspirium = donsa umoya

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Ukugxila kuka-Hamer kutholakala kokubili enkabeni ye-motor cortex kanye naku-medulla yobuchopho, ukudluliselwa okukhulu kwayo yonke imisipha ene-striated. Okubizwa ngokuthi i-myocardial infarction wukuquleka kwesithuthwane esigabeni sokuphulukisa ngemva kokukhubazeka ingxenye yenhliziyo ene-necrosis (i-myocardial necrosis) yale ndawo yemisipha.

Umuthi ovamile osetshenziselwa ukwakha ngale ndlela ngemibono eminingi: Ukuhlasela kwenhliziyo nge-myocardial necrosis bekufanele kwenzeke ngoba umthambo wenhliziyo uvalekile, okusho ukuthi indawo ethile yemisipha ayisanikezwa umoya-mpilo futhi ngaleyo ndlela i-necrotize.

Lesi kwakuyisakhiwo esimangalisayo njengoba sisazi namuhla. Ngoba bekukuningi obekungachazwa:

1. Ekuhlolweni kwezilwane, uma imikhumbi ye-coronary iboshwe ngokuhlinzwa ngokulandelana ibanga elithile, khona-ke akukho lutho oluzokwenzeka esilwaneni, kodwa lokho okubizwa ngokuthi imikhumbi yokubambisana (imikhumbi ye-bypass) iqinisekisa ukuhlinzekwa kwemisipha yenhliziyo ngaphandle kwezinkinga.
2. Akekho owake wakwazi ukuchaza ukuthi kungani ukuhlaselwa yinhliziyo kwenzeka ngendlela emangalisa futhi ebuhlungu kangaka.
3. Nge-coronary angiography¹²⁹ Sekuyisikhathi eside kwaziwa namuhla ukuthi i-hypothesis "ye-coronary blockage" ngesikhathi sokuhlaselwa yinhliziyo yayingalungile kakhulu.

Kuyiqiniso ukuthi ukuvuvukala kwe-intimate kuqala kusukela endaweni lapho ukungqubuzana kwendawo kuxazululwa khona¹³⁰ emkhunjini we-coronary, kodwa ezimweni eziningi akubangeli ukuvaleka okuphelele¹³¹ yomkhumbi we-coronary ngesikhathi sokuhlaselwa yinhliziyo, ngaphandle uma kukhona ama-scaruse amadala. Futhi ngisho nasezimeni lapho kwenzeka khona i-occlusion, akunandaba, njengoba sazi ngokuhlolwa kwezilwane, futhi ngokuqinisekile akubangeli i-necrosis yemisipha yenhliziyo, njengoba kushiwo.

Ukwakhiwa kwe-hypothesis yonke kwakungalungile ngoba sasingakaze sikwazi ukuxhumana okufana nalokhu okuboniswe yiNew Medicine.

¹²⁹ I-Angiography = isithombe se-X-ray semikhumbi ngemva kokujova i-X-ray yokuqhathanisa
¹³⁰ Intima = isikhumba sangaphakathi
¹³¹ Ukuvala = ukuvala

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8.3.3 Izinkinga ze-epileptoid zezinzwa (isikhumba kanye ne-mucosal squamous epithelium) kanye nesikhungo se-cortical postsensory (periosteum)

8.3.3.1 Ukungabikho kwe-neurodermatitis ne-psoriasis

Isikhungo se-sensory cortical se-squamous epithelium yesikhumba kanye nolwelwesi lwamafinyila kanye nesikhungo se-postsensory cortical se-periosteum (ulwelwesi lwamathambo), olwalumbozwe i-squamous epithelium ezigabeni zokuqala zokukhula komuntu, zikhulu izikhathi eziningi ngosayizi kune isikhungo se-motor cortical ku-cerebral cortex.

Kulokhu sibona ukubaluleka kwebhayoloji ebaluleke ngendlela emangalisayo yokungqubuzana kwezinzwa.

Akukhona nje "kancane esikhumbeni noma ku-periosteum" (awukwazi ngisho nokubona lutho ku-periosteum), kodwa lezi zingxabano zinokubaluleka okukhulu kwezinto eziphilayo! Kusukela esikhunjeni sangaphandle kuye phambili, imiphumela ye-organic ibonakala njenge-neurodermatitis noma i-psoriasis.

Inkinga ye-epileptoid yokungqubuzana kokuhlukana i-SBS ihlale ingekho, engase ibe yinde ngokulinganayo uma ukungqubuzana kukude ngokwanele: amahora noma izinsuku.

Yebo wonke umuntu ukhathazeke kakhulu futhi ukholelwa ukuthi isiguli kumele silethwe ukuze sivuke ngokushesha. Lokho akulungile. Njengoba kwaziwa, ngesikhathi senhlekelele ye-epileptoid uphethiloli odingekayo ugcwaliswa ukuze kuzuzwe ukuvuselelwa kabusha phakathi nengxenye yesibili yesigaba sokuphulukisa.

Yiqiniso, lokhu akusho ukuthi i-Iatroi Yemithi Emisha kufanele ibe budedengu noma ilulaze ukungabikho. Kunalokho, kufanele bahlale beziqinisekisa ukuthi imisebenzi yemifino (ukuphefumula, ukujikeleza, amazinga kashukela egazini, njll.) iqinisekisiwe. Umelaphi omuhle angalinganisa ngezinga elithile ngaphambi kokungabikho ukuthi ukungabikho okulindelekile kuzohlala isikhathi esingakanani.

Ngakho-ke, ukwethuka akudingekile ngokuphelele.

Uma iziguli ezinjalo zilethwa emtholampilo, zicabanga ukuthi isiguli “sithukile” futhi sidinga ukukhishwa kuso ngokushesha ngangokunokwenzeka. Lokho kuyiphutha. Imiphumela yephutha ngokuvamile iwukufa kwesiguli, obekuyobe kungenasidingo ngokuphelele ukube udokotela ubewazi Umuthi Omusha.

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8.3.3.2 Ukungabikho lapho i-periosteum ithinteka

Ukungabikho kwenkinga ye-epileptoid ye-SBS enokungqubuzana okunonya kokuhlukaniswa (i-periosteum) cishe akuhlukile nokungabikho kokungqubuzana okujwayelekile kokuhlukaniswa nezilonda ze-squamous epithelial esikhumbeni noma ulwelwesi lwamafinyila. Into ewubuqili ngakho ukuthi awukwazi ukubona lutho ngaphandle. Izindawo ezizungeze i-periosteum ethintekile zizizwa zibanda esigulini, futhi isikhumba sangaphandle singase sipholile kancane, kodwa yimuphi umhloli onaka kakhulu lokhu? Indlela engcono kakhulu isiguli esingasisiza ngayo iwukusitshela, ngokwesibonelo: “Umlenze wesokudla nengalo yesokudla kuhlala kubanda. Ebusuku ngifake isitokisi ngoba kubanda kakhulu futhi ngibeka isandla sami esiswini ukuze sifudumale."

8.3.3.3 Ukungabikho ku-infarction ye-ventricular yesokunxele enezilonda zenhliziyo kanye ne-ventricular brady arrhythmia¹³²

Ukubheka i-homunculus yethu kusikhombisa ukuthi i-coronary intima nayo iyingxenye yesikhungo sezinzwa ze-cortical, yingakho ibangela ubuhlungu (i-angina pectoris) nezilonda esigabeni esiphikisanayo futhi esigabeni sokuphulukisa kukhona nokuqala kokuvala ukuvuvukala. we-squamous epithelial mucosa (= i-branchial arch -descendant!) enkingeni ye-epileptoid

a) ubuhlungu obukhulu ("super angina pectoris") kanye

b) ayinakho, ubude bayo obuncike esikhathini sokungqubuzana kwangaphambilini.

Hhayi kwabaningi kuphela, kodwa ezigulini eziningi kakhulu, lokhu kungabikho akufaniniswa ngokungalungile nokufa. Njengoba ngicabanga ukuthi ngiyazi, lokhu kubala iningi lalokho okubizwa ngokuthi “ukufa okusobala”.

Ngeshwa, iziguli eziningi ezinjengalezi emitholampilo yethu engenamphefumulo azisenalo ithuba lokuvuka ekungabini kwazo okujwayelekile ngenxa yokuthi izitho zazo sezikhishiwe ukuze zinikelwe ngezitho zomzimba lapho kungekho.

¹³² brady- = wehlise ijubane

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8.3.3.4 I-Coronary vein intima ulcer isithuthwane esine-pulmonary embolism (i-right heart infarction) enezilonda zomlomo wesibeletho kanyekanye

Njenge-intima ye-coronary arteries - ukutholakala kwangempela kwemithi emisha! - njengoba inzalo ye-gill arches ihlanganiswe ne-squamous epithelium, ehlinzekwa ngokuzwela kakhulu, okufanayo kusebenza emithanjeni ye-coronary, ehambisa igazi labo le-venous enhliziyweni efanele. Njengoba kwaziwa, igazi ligeleza lisuka enhliziyweni efanele liye emaphashini. Ngesikhathi se-epileptoid, ama-crusts aphulukisayo ezilonda ze-coronary vein agezelwa emaphashini, lapho abangela lokho okwaziwa ngokuthi i-pulmonary embolism.

Le nqubo yokuvaleka kwemithambo emincane yamaphaphu ethwala igazi lomzimba we-venous, okuthiwa yi-pulmonary embolism, yenzeka ngoba enkingeni ye-epileptoid inqubo yokuphulukisa iyaphazamiseka isikhathi eside senkinga ye-epileptoid. Izilonda zemithambo yenhliziyo, ebezisanda kuphola (ngoqweqwe olupholayo), kungazelelwe ziyaqhubeka nokuba namathumba futhi. Lokhu kubangela ukuthi ama-crusts aphulukisayo achitheke futhi agezwe kusuka enhliziyweni efanele aye emthanjeni we-pulmonary. Kulesi sigameko senhliziyo esilungile ne-tachycardia¹³³ Isiguli siphinde sibe nobuhlungu benhliziyo, kodwa ngokuvamile buncane uma buqhathaniswa nokuhlaselwa yinhliziyo kwesokunxele.

Kodwa nalapha, kukhona ukungabikho okuvame ukubhekwa ngephutha njengokufa.

Lapho silahlekelwa iziguli zethu, azilokothi zife ngenxa yezilonda zomlomo wesibeletho, kodwa ngenxa ye-pulmonary embolism eyenzeka njalo enkingeni ye-epileptoid.

Kodwa-ke, lokhu kusebenza kuphela ezimweni eziye zaba nenkambo ende yokungqubuzana futhi engekho umlaza we-schizophrenic.

Uma ukungqubuzana kuthatha isikhathi esifushane (isibonelo izinyanga ezingu-3) noma uma kukhona umlaza we-schizophrenic cortical ngesikhathi sesigaba sokungqubuzana, "i-pulmonary embolism encane" ngokuvamile ayinakwa ("izinkinga zokuphefumula kancane"). Ubude besikhathi sokungabikho buncike esigabeni sokungqubuzana nokuthi ingabe ubukhona yini umlaza we-schizophrenic.

Empeleni, okufanayo kusebenza ku-infarction yenhliziyo efanele.

¹³³ Tachycardia = ukushaya kwenhliziyo okusheshayo

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8.3.3.5 Inkinga ye-epileptoid yezilonda ze-hepatic bile duct ngokungabi bikho phakathi kwesifo sokusha kwesibindi, ngaphambili ebesibizwa ngokuthi yi-hepatic coma.

Nalapha futhi, okushiwo ngenhla kusebenza ngendlela efanayo - mutatis mutandis. Nalapha futhi, ngesikhathi esibizwa ngokuthi "i-hepatitis", ukuphulukiswa kwezilonda kuphazanyiswa inkinga ye-epileptoid, okuyi-sympathicotonic, okungukuthi i-quasi-conflict-active, ngaphandle kokuthi ama-crusts noma ama-plaque ezilonda ze-bile encane noma enkulu. imigudu, manje eqhubeka nokubola isikhathi esifushane ingakhishwa ngokuphepha emathunjini ngenyongo.

Kodwa njengoba i-bile ducts iphinde ifakwe ngaphakathi nge-squamous epithelium futhi lokhu kulawulwa yisikhungo se-sensory cortical, sibona ukungabikho okuvamile lapha futhi. Ngokuvamile asiyiboni uma ifika ekulaleni kwethu. Kuze kube manje, lapho sikuqaphela, sasibiza ngokuthi "i-hepatic coma".

Uma izihlobo, odokotela kanye nabasebenzi abahlengikazi bekwazi lokhu futhi beziphatha ngokuqonda futhi bengesabi, umuntu angagwema ukwethuka okuhlala kusakazwa odokotela nabasebenzi abahlengikazi bememezela: “Lokhu sekuvele kuyi-coma yesibindi, ukuqala kokuphela!” Ukungabikho. enkingeni ye-epileptoid ngaphakathi kwe-hepatitis (= isigaba sokuphulukisa sentukuthelo yendawo SBS) empeleni sijwayelekile ngokuphelele.

8.3.3.6 Inkinga ye-epileptoid yezilonda ze-bronchial mucosal ngaphandle kokuthi "i-bronchitis", i-atelectasis ye-bronchial¹³⁴, noma inyumoniya¹³⁵

Inkinga ye-epileptoid yezilonda ze-bronchial mucosal kufanele kukhulunywe ngazo lapha ngenjongo yokuphelela. Siphinde sithole ukungabikho kulesilonda se-squamous cell SBS, okungokwesikhungo se-sensory cortical, kodwa ngokuvamile asikuqapheli, ikakhulukazi uma kwenzeka ngesikhathi sokulala.

8.3.3.7 I-epileptoid crisis yalokho okubizwa nge-“glaucoma” (iglaucoma = ukufiphala komzimba we-vitreous weso)

Lokhu okubizwa nge-glaucoma, ukwanda komfutho wamehlo egunjini elingemuva leso okuhlanganisa nomzimba we-vitreous, phambilini bekubhekwa njengokudinga ukwelashwa ngoba sikholelwa ukuthi ilimaza iso.

¹³⁴ I-Atelectasis = ingxenye yamaphaphu engangeni komoya
¹³⁵ Inyumoniya = inyumoniya

ikhasi 156

Okuphambene kunjalo. Enkingeni ye-epileptoid, ukwehla kokucindezela kwamehlo okuphakeme kuphumela njengokubonakaliswa komsebenzi wokungqubuzana wesikhashana.

I-glaucoma ene-glaucoma evamile (epileptoid) crisis iwumfutho okhuphukile we-intraocular egunjini elingemuva leso ukuze iso lihlale liqumbile ngenkathi izingxenye ezingenalutho zigcwaliswa kabusha. Ukube ibingekho i-glaucoma, inhlamvu yeso “beizoshwabene” futhi ukubona bekungeke kusaqinisekiswa.

8.4 I-orgasm

8.4.1 I-orgasm yohlangothi olulodwa

Uhlobo lwesithuthwane noma inkinga ye-epileptoid

8.4.2 I-orgasm enamacala amabili

Uhlobo lwe-psychosis yesikhashana noma umlaza we-schizophrenic onezinkinga ze-epileptoid ezi-2 ekuphikisaneni kwe-hemispheric ye-foci ka-Hamer.

8.4.3 Lokho okubizwa “ngejubane lothando”

Kufanele ngibeke lesi sahluko ngokucophelela ukuze kuxoxwe ngaso. Abahleli balesi sahluko sebevele babhikishe kanzima bethi ngeke kushiwo kanjalo. Akekho owazi kahle ukuthi izinto zisebenza kanjani ngempela endaweni yothando phakathi kwabantu bomdabu. Ngaphezu kwalokho, wonke umuntu ufuna ukuzibona "njengokuvamile" lapha. Nakuba ngifundise imfundo yezocansi njengengxenye yebhayoloji yomuntu iminyaka, lesi sahluko sithatha indlela entsha ngokuphelele: Sisuselwa ezimweni ezisebuchosheni. Noma kunjalo, miningi imibuzo.

ikhasi 157

Ngaxwayiswa ukuthi ngingawuthwesi Umuthi Omusha ocacile ngezitatimende okungenzeka ngingakazi kakhulu ngazo. Kodwa angikaze ngiyigweme inselele yangempela. Angiboni ukuthi kuyihlazo ukubeka amamaki. Ngaphezu kwalokho, lesi sahluko sikhuluma kuphela ngamabhulokhi wokwakha esiwathola ezinhlelweni ezikhethekile zebhayoloji, kodwa angasetshenziswa ngokuhlukile nguMama Wendalo.

Njengoba ngishilo, akukho hypothesis kulesi sahluko, kodwa kukhona amamaki emibuzo, asemthethweni ngokuphelele.

8.4.4 I-orgasm (ubuchopho) enohlangothi olulodwa

UMama Wendalo usebenzisa “amabhulokhi akhe” njengoba ebona kufanelekile futhi kunengqondo. Ubuye wasebenzisa amabhulokhi wokwakha ama-archaic esimweni se-orgasm othandweni kubantu nasezilwaneni.

Uma ungena embhedeni othambile, ofudumele nomlingani wakho ukugubha isenzo esingcwele sothando, khona-ke lokhu kuhlobene (vagotonic!) inhlalakahle, ukugoqa, ukuphulula, ukumbambana - ngamafuphi, i-vagotonia!

Isiqalo somdlalo wothando wangempela singena kahle kulokhu, sibonakala kahle ekumiseni kowesilisa umthondo. Kusukela ngaleso sikhathi kuqhubeke, "i-spike" yenkinga ye-epileptoid kanye nenkinga yesithuthwane ibalwa, ephetha ngokuphuma kwe-ejaculation endodeni noma nge-orgasm (i-clitoral noma i-vaginal) kowesifazane.

Lonke leli phuzu linozwelo! Siyazazi futhi lesi simo senkinga yesifo sokuwa noma se-epileptoid ku-Meaningful Biological Special Programs. Ngemuva kwe-orgasm, i-vagotonia iyabusa futhi: post coitum omnis animal triste = vagotonia! Ukumiswa kuyanyamalala nakanjani. Ukuya ocansini kuvame ukuphenduka “ukulala”.

Kodwa kuthiwani ngesigaba sokungqubuzana, isigaba se-ca?

Lapho izithandani ezimbili zithola indlela yazo yokulala ndawonye, ​​leso nakanjani isigaba sesixazululo, ukufezeka kwawo wonke amaphupho. Ngakho-ke isigaba sokungqubuzana kufanele ngabe sesandulela. Futhi yile ndlela esebenza ngayo: njengokuphindaphinda okuphindaphindiwe (“izisusa eziyinhloko”)! Ngokuyisisekelo akuhlukile, ngokwesibonelo, okuthiwa yisifo sokuwa: Isiguli siphupha endleleni yaso endala futhi sikhunjuzwa okuthile ngengxabano endala, noma sibekwe emzileni omdala. Ngemva kwesikhashana, njalo esesigabeni sokuphumula, uba nesithuthwane!

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Uhlelo lwe-orgasm

Esithuthwaneni siyazi ukungqubuzana kwe-motor biological. Kodwa ingabe isigaba esisebenza ngokungqubuzana kuphela “sinezisusa eziyinhloko eziphindaphindayo” futhi azinayo i-DHS? Ngabe kufanele futhi ibe ne-DHS uma kungamabhulokhi wokwakha hhayi i-SBS yangempela?

Manje sesikuqonda kangcono kakhulu ukuthi kulokhu, lapho sikhuluma "ngamabhulokhi wokwakha" asetshenziswa uMama Wendalo, igama elithi "ukungqubuzana" aliqondwa ngokushesha ngoba kithi lilayishwe "ngokwengqondo".

Kodwa-ke, uma sikhuluma ngokungqubuzana kwezinto eziphilayo kanye nezinhlelo ezikhethekile zebhayoloji ezinenjongo, asinazo izinkinga zokuziqonda.

Njengoba nje ukungqubuzana kwemvelo yocansi kungaxazululwa ngenqubo yebhayoloji yesikhukhula se-estrogens, isibonelo ku-ovarian blastoma (= i-indurated ovarian cyst), kanjalo ngokusobala kungenzeka futhi ngokusebenzisa izikhukhula zemvelo zama-estrogens (emantombazaneni ase-pubertal) kanye ne-testosterone ku-A. uhlobo lohlelo olukhethekile lwebhayoloji lungase luqale ukusebenza kubafana abasakhula, bese kuba nenkambo efanayo ngaphandle kokuba i-SBS yangempela ebangelwa ukungqubuzana kwezinto eziphilayo.

Angikutholi ukuphikisana lapho futhi asinakuba upapa ukwedlula uPapa lapho uMama Wendalo esebenzisa ezakhe izingqimba zokwakha ezithuthukisiwe ezinqubweni ezibalulekile zebhayoloji - njengoba ungabona, ngempumelelo enkulu!

ikhasi 159

= i-double orgasm = ukugijima kothando

Umbuzo olandelayo olandela ngokungenakugwenywa uthi: Ingabe “uthando olukhulu lokuqala” yi-DHS noma ingabe lolu “uhlelo olukhethekile lwemvelo, olunenjongo lwebhayoloji”?

Angikwazi futhi angifuni ukuphendula lo mbuzo ngokuphelele. Ngicabanga ukuthi zombili izinketho zingenzeka ngokuyisisekelo. Ngokubona kwami ​​akungabazeki nakancane ukuthi isifundo sihambisana nokuphindaphinda kwe-"Sensible Biological Special Program" kuzo zonke izigaba. Amaqiniso asobala kakhulu!

Njengoba sibona esahlukweni semithetho eyisisekelo ye-biogenetic, ubulili obubili kanye nobulili ngomqondo obanzi - kukalwa esikalini se-ontogenetic sokuziphendukela kwemvelo - inqubo yasendulo kubantu, ezilwaneni nasezitshalweni, ezitholakala phakathi kobuchopho obudala kanye nohlelo lwe-cerebrum. . kangangoba iye yaprakthizwa futhi yenziwa ngokuphelela nguMama Wendalo izigidi eziningi zeminyaka. Iyinjini yama-98% akho konke ukuthuthuka okuqhubekayo noma ukukhula kwezinhlobo zezilwane kubantu, izilwane kanye neningi lezitshalo.

Siyazi ngezilwane ukuthi ezinhlotsheni eziningi abesilisa bafa ngokushesha ngemva kokukhwelana noma baze babulawe noma badliwe yizinsikazi (ngokwesibonelo izicabucabu). Ngakho-ke isenzo sokuhlanganisa siyisenzo sebhayoloji cishe esiyisisekelo sinqunywa kuzo zonke izinhlobo zezilwane nezitshalo ohlelweni lwazo olukhethekile locansi. Ukusebenza kwalezi zinhlelo ezikhethekile sekunqume izigidi zeminyaka ukuthi lezi zilwane zakwazi yini ukuphila futhi zithuthuke ngokuqhubekayo. Yabuye yahlanganiswa nohlelo lwenhlalo yohlobo ngalunye, okungukuthi, ukwabiwa kwemisebenzi ehlukahlukene phakathi kwamalungu ephakethe, umhlambi, umndeni noma, endabeni yezitshalo, “ikoloni” lohlobo lwezitshalo noma eziningana. amakholomu, njll. (isibonelo izitshalo ze-kiwi zabesilisa nabesifazane, okungukuthi, i-dioecy).

8.4.5 Imvamisa ye-orgasm

Uma siqhathanisa ukuziphatha kwezilwane ezincelisayo ezihlobene nathi nokuziphatha kwabantu, lokho sikwenza ukuze siqonde kangcono ngoba, ngempucuko yethu, thina bantu sesivele sasuka kude kakhulu nokuziphatha kwemvelo, okungacabangi okungenayo imibono yomhlaba. Sikwenza ngakho konke ukubhuka futhi ngokukhetha, uma kubhekwa ukwehlukahlukana kwezinhlanga. Empeleni, besingeke sidinge lezi ziqhathaniso uma siqondiswa abantu okuthiwa abantu bakudala abasahlala ndawonye ngokwemithetho yabo yemvelo. Kodwa-ke, thina bantu abaphucuzekile manje sikude ngamakhilomitha amaningi kulezi, nakuba kuyibo kuphela abaphila ngendlela efanele yokujwayela ngokohlelo lwemvelo esinikezwe lona.

ikhasi 160

Uma sihambahamba epaki nempisi yethu yesilisa efuywayo (= inja), uzohlangana kalula nezimpisi ezintathu noma ezine ezifuywayo ezifuywayo (= amabibi) ashisayo futhi alungele ukukhulelwa futhi angathanda ukugxumela kuwo. . Kodwa-ke, "umphathi" wempisi ophila ngokukhululeka emvelweni ephaketheni lakhe wenza lokhu kuyaqabukela futhi kuphela lapho iphakethe lidinga ukugcwaliswa ngemuva kokulahlekelwa. Futhi ngisho nezilwane ezizingelayo ezizama ukulondoloza izinhlobo zazo ngokuzala ngokweqile (onogwaja, izimvu, njll.), isenzo sokukhwelana senzeka ngenjongo nangokuhambisana nohlelo.

Uhlelo lwemvelo ngathi bantu cishe ukuthi ngemva kokukhulelwa nokuncelisa iminyaka emithathu, owesifazane ulungele kuphela ukukhulelwa futhi, ama-ovulates futhi mhlawumbe enze uthando kuphela njalo eminyakeni emine. Esikhundleni salokho, phakathi kwethu bantu abaphucuzekile, "isenzo esingcwele sothando" ngokwandayo siya ngokuya sehliselwa kumdlalo wokuzijabulisa oshibhile wansuku zonke okufanele abesifazane ikakhulukazi bahlale bewulungele.

Akukho okunye okuvela kimi ngaphandle kokuhlinzeka ngesinye isahluko sezincwadi zocansi ezinonya kakhulu noma kancane ngokucabangela kwami ​​​​okuphilayo komuntu, kodwa ngithanda ukucabanga nawe, mfundi othandekayo, mayelana nemicabango ejulile yezinto eziphilayo mayelana nesenzo esingcwele sebhayoloji sobunye bothando phakathi komuntu. nowesifazane ngenhloso yokuKhulelwa komuntu omusha.

8.4.6 Yikuphi ukudluliselwa ebuchosheni okusabela njenge-foci ka-Hamer phakathi nohlangothi olulodwa noma lokho okubizwa ngokuthi i-orgasm elula?

Hhayi-ke, uma sicabanga ukuthi akukho ukungqubuzana kwangaphambi kokungqubuzana okulengayo, khona-ke kwabesilisa abasebenzisa isandla sokudla nabesifazane abakwesokunxele uhlangothi lwesokudla lobuchopho lusabela lapho i-orgasm ivela.

Ungakubona kanjani lokho?

Kulula kakhulu: Kuningi osekubhaliwe ngothando, okuningi mayelana ne-orgasm. Kodwa akekho owake waqaphela ngokungaguquki. Abantu bebelokhu bezama ukuqonda lesi sigameko ngokwengqondo futhi bacabange ukuthi ama-orgasm ahlukene ahlobene kuphela nokuqina kokubandakanyeka. Lokho kwakungalungile.

Indoda yesandla sokudla kanye nowesifazane oyinxele, inqobo nje uma bene-orgasm elula kuphela, okungukuthi i-clitoral, bangasabela nayo yonke indawo engakwesokudla, kuhlanganise nendawo yokuhogela (fronto-basal right) kanye nokulalela. indawo (i-temporo-basal right).

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Kodwa-ke, kungase kube njalo ukuthi ukudluliselwa okukodwa noma okubili kuphela okusabela njengomhlambi we-Hamer, kuye ngokuthi ama-rails abekwe kanjani. Ngizochaza lo mshini ngokuningiliziwe ngokuhamba kwesikhathi.

Isibonelo, uma i-bronchial motor relay iphinde iphendule, futhi lokhu kuvame ukukwenzeka, khona-ke womabili amaqembu abe nalokho okubizwa ngokuthi "ukuphelelwa yisikhathi eside" (isigaba sokukhipha umoya isikhathi eside ngokuphefumula ngakunye), okufana nesifuba somoya. Kodwa akuyona i-asthma ye-bronchial, ivela kuphela kulokho okubizwa ngokuthi "i-double orgasm", kodwa sikubiza ngokuthi i-bronchial wheezing nokuphelelwa yisikhathi isikhathi eside.

Amagama athi ukuphuphuma kwendoda yesandla sokudla kanye ne-clitoral orgasm kowesifazane osebenzisa isandla sobunxele, kokubili okuyingxenye yobuchopho besokudla, ahambisana nalokho okubizwa ngokuthi "i-orgasm elula".

Sikhuluma nge-orgasm “elula” noma “yohlangothi olulodwa,” kungakhathaliseki ukuthi mangaki ama-relay asabela njengomhlambi we-Hamer kulolu hlangothi lwesokudla lobuchopho. Ukuthi bangaki abasabelayo kuncike "kuma-rails". Lezi zinhlayiya zingafakwa ngesikhathi sothando lokuqala, kodwa zingabuye zengezwe ngesikhathi "sokubuyela emuva".

Yiqiniso, okuphambene kuyiqiniso kwabesifazane abasebenzisa kwesokudla kanye namadoda angakwesokunxele. Ngenkathi owesifazane osebenzisa isandla sokudla esabela "kuphela" ngokuhlangene, okungukuthi "elula" (i-vagino-rectal) orgasm, i-recto-anal unilateral noma i-orgasm elula endodeni yesandla sobunxele icishe yenzeke kuphela kongqingili (ngocansi lwendunu). ngaphandle kwe-ejaculation).

Ngokuvamile, indoda yesandla sobunxele engenamandla isabela nge-orgasm "yobuchopho obukabili" noma "kabili", okuxoxwa ngayo kuSigaba 3 futhi cishe njalo imele umlaza we-schizophrenic wesikhashana. Isigaba sesi-2 sizobhekana nombuzo wokuthi lezi zigaba ze-pcl ezinezinhlangothi ezimbili ezine-bilateral noma i-double orgasm kufanele futhi zandulelwe yizinqubo ezimbili eziphikisanayo (okungukuthi kuzo zombili i-hemispheres) izinqubo ezifana nokungqubuzana.

Izimpawu zowesifazane ongakwesokudla ngesikhathi se-orgasm elula (i-vagino-rectal) ingaba, phakathi kwezinye izinto, ukububula kwe-laryngeal ne-inspirium ende (isigaba sokuphefumula ngesikhathi sokuphefumula), ("umoya wakhe uyasuswa." phakathi kwezinye izinto ). Yebo, wonke umuntu obhekene nokushushiswa angakwenza lokho futhi¹³⁶ Ama-relay ohlangothini lwesobunxele lobuchopho (i-cortical) nawo asabela, ikakhulukazi lawo asendaweni yobuchopho yesokunxele, ehlala ecabanga, yebo, ukuthi akukho ukungqubuzana kwangaphambili kwe-cortical elengayo.

¹³⁶ ngokulandelana = ukulandela, umphumela

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Endabeni yowesifazane ongakwesokudla, sivame ukubona ugqozi olude ngesikhathi se-orgasm elula, "uphefumula umoya".

Kunesikhathi esisodwa esidinga ukugcizelelwa kuso sonke lesi sihloko: Emvelweni, i-orgasm kanye nesenzo sonke sokuhlanganisa kuyindaba ebucayi kakhulu. Abantu abaningi namuhla abasakwazi ukukuqonda lokhu, labo “ukushesha” kusho okungaphezu nje kokujabulela ugwayi. Ngobuchopho bekhompiyutha yethu, lesi sikhathi esimaphakathi sezinto eziphilayo - ngaphandle kwephilisi, ukukhipha isisu kanye nekhondomu - sihlala siyindaba yebhayoloji ebucayi kakhulu. Ukuqhubeka nokubheka izilwane kukhombisa ukuthi sibonakala sibucayi kangakanani isenzo sokuphindaphinda lapho. Ngakho-ke, kufanele futhi ibaluleke ngokwezinto eziphilayo, kodwa kuphela "ngesikhathi sayo". Lesi senzo sihlanganiswe ohlelweni lwempilo lulonke lohlobo oluthile futhi siqalise izinhlelo ezintsha (zokukhulelwa) kanye nezinhlelo ezingaba ezikhethekile, isibonelo uma kukhona ukuphazamiseka ekukhulisweni kwentsha.

8.4.7 Lokho okubizwa ngokuthi “ukweqa” (“ukweqa” = ukusuka kunkabazwe eyodwa kuya kwelinye ihemisphere) kokungqubuzana kanjalo nohlobo lwe-orgasm esimweni sokungqubuzana okulengayo okulengayo noma ushintsho kumazinga amahomoni. . Ukungabi namandla.

Umbono wethu webhayoloji ngesenzo sothando, esinobuhle bokuphindaphindeka futhi ngenxa yalokho sifakazeleke ngomqondo wesayensi, usichazela kahle kakhulu zonke izigigaba esasike sazibona ngokwengxenye ngaphambili kodwa asikwazanga ukuhlukanisa, ngendlela elula kakhulu futhi. indlela ezwakalayo Kungenzeka ukuchaza lezi zenzakalo zokwenziwa kothando ngokwengqondo, esiye sazama njalo ngaphandle kwempumelelo. Lezi zinto zakudala zenzeka ngokwebhayoloji futhi zinencazelo yazo yebhayoloji! Ukuthi besingamqondi ngaphambilini akukushintshi lokho.

Uma isimo se-hormonal sishintsha kowesifazane osandla sokudla, noma ngenxa yokungqubuzana endaweni yabesifazane ngakwesobunxele ne-SBS noma ngokukhulelwa, ukulahlekelwa-ukungqubuzana ne-ovarian necrosis, i-climacteric noma ukuphuza amaphilisi okuvimbela inzalo, khona-ke kusukela ngaleso sikhathi kuya phambili uyasabela. uhlangothi lwesokudla lobuchopho kanye ne-ovulation akwenzeki. Endabeni yokungqubuzana ngokocansi, isibonelo ngezilonda zomlomo wesibeletho/isibeletho kanye nezilonda zemithambo yenhliziyo, umuzwa nawo uyashintsha lapho i-ovulation ihluleka futhi uhlangothi lobuchopho lushintsha ngemva kwesigaba esinzima sokungqubuzana, okungukuthi owesifazane manje uzizwa "esidodeni" . Manje usephenduka isilisa wesilisa noma uthanda indoda yesifazane “yena” “eyindoda” yakhe. Kodwa ngalokhu kushintshela ohlangothini lwesokudla lobuchopho, uhlobo lwe-orgasm nalo luyashintsha:

ikhasi 163

Owesifazane onjalo manje uthola i-clitoral orgasm yowesilisa. Ngakho-ke wayezothatha isikhundla esihluke ngokuphelele phakathi komndeni owandisiwe wemvelo, "yena" ayezosigcina uma kwenzeka ingxabano ende, ngoba izindlela zemvelo zizobe sezingena ukuze kuvinjelwe le ngxabano ukuba ixazululwe kuze kube sekupheleni kwempilo yakhe ( ukugwema isifo senhliziyo esibulalayo nge-pulmonary embolism). Owesifazane onjalo wesilisa manje “usebanda” kumyeni wakhe.

Njengamanje sibheka lokho okubizwa ngokuthi i-frigidity njenge-pathological noma engavamile. Nokho, ukugodola ngokuqinisekile kungaba yinto evamile kwabesifazane “bama-homo sapiens”, njengoba ubheka abantu bakudala kubonisa, isikhathi esingama-95% lapho sebekhulile ngokobulili. Ngoba ngesikhathi sokukhulelwa kanye nesikhathi sokuncelisa iminyaka emithathu, owesifazane ngokuvamile akakakulungeli ukwenza uthando. I-parabiological yethu ebizwa ngokuthi impucuko ifuna ukusiqinisekisa ukuthi abesifazane kufanele balungele njalo ebusuku ukwenza uthando, lokho okubizwa ngokuthi "imisebenzi yomshado", nokuthi ngisho nephilisi, ukuvimbela ukukhulelwa okwenza abesifazane (abahambayo) babe besilisa. Uma kungenjalo, kufanele belashwe nge-psychotherapy...

Sibona nje ukuthi konke sekungamampunge njengoba sesikwazi ukuqonda imbangela yalolu daba. Eqinisweni, senze konke okungalungile okungenzeka senze okungalungile. Futhi kulesi siphithiphithi sezinto eziphilayo ngokuya sibi kakhulu, izinkolo namahlelo asungula ukuziphatha kwawo ngokobulili okunganasizathu, okuthi - cabanga nje ngokukhishwa kwezisu okubangelwa izizathu zenkolo - aletha ukuhlupheka okungapheli nobunzima kwabesifazane abampofu.

Njengoba ukuziphatha ngokobulili kwesonto, ikakhulukazi eSontweni LamaKatolika, kwakuvunyelwe cishe kuphela amadoda angashadile (futhi ikakhulukazi ongqingili), abesifazane babevunyelwa kuphela ubulili obungagwemeki obungagwemeki, obagcina “bunganakwa” njengasekukhunjweni kukaJesu “uMoya oNgcwele. ”, uMary wayeqhamuke enganakiwe futhi enocansi.

Kuyavunywa, “ubulili obuncane” obunjalo babesifazane, okungukuthi ubulili ngenjongo yokuzala kuphela, bebungasondela ngandlela-thile kusayensi yezinto eziphilayo ukube lokho okuthiwa “umshado ongashadile” akuzange kwethulwe kubantu abavamile ekhulwini le-13 leminyaka. Ngakolunye uhlangothi, izibalo (= i-grafoi = izikhonzi zenkantolo), ama-knights, izikhulu, ama-abbot kanye nama-prince-bishops babe nalokho okubizwa ngokuthi "ius primae noctis", okungukuthi, "ilungelo" lobusuku bokuqala. Ngakho babevunyelwa ukuba badlwengule noma iyiphi intombazane engenacala ezikhonzini zabo ngokuthanda kwabo nangezikhathi eziningi ngokuthanda kwabo. Ukuziphatha kwethu kwezocansi kwakhula kulokhu kugqilazwa kwabesifazane ngokocansi.

ikhasi 164

Ake siqale Ukugxuma kwezinhlangothi zobuchopho ngokuhlelekile kakhulu:

1. Owesifazane ongakwesokudla ngokuvamile uthola i-orgasm ye-vagino-anal (noma i-vagino-rectal). Kodwa-ke, ungakwazi futhi ukuqalisa i-clitoral orgasm ngokuvuselela okufanele.
   Isitho sangasese sowesifazane sibangelwa uhlangothi lwesobunxele lobuchopho, i-clitoral ngakwesokunene sobuchopho.
2. Owesifazane oyinxele Njengomthetho, uthola i-clitoral orgasm, ebangelwa uhlangothi lwesokudla lobuchopho.
   Kodwa-ke, i-vagino-recto-anal orgasm nayo ingaqalwa ukusuka ohlangothini lwesobunxele lobuchopho ngokukhuthazwa okufanele.
3. Indoda yesandla sokudla Njengomthetho, izwa i-peno-clitoral (yepipi kanye ne-clitoris) i-orgasm, ebangelwa uhlangothi lwesokudla lobuchopho.
   Kodwa-ke, i-recto-anal orgasm ingase icushwe uhlangothi lwesobunxele lobuchopho ngokukhuthazwa okufanele.
4. Indoda yenxele Imvamisa iba ne-recto-anal orgasm, kodwa futhi imvamisa i-peno-clitoral orgasm, engabangela kuphela ukuqhanyelwa. Ngakho i-orgasm "ekabili". Indoda enesandla sobunxele ivamise ukuba ne-orgasm enamandla kakhulu, ekabili.

Uma uhlangothi lobuchopho lushintsha ngenxa yokungqubuzana kwezinto eziphilayo noma ushintsho kumazinga amahomoni (okuthiwa ukweqa), amathuba alandelayo avelayo:

1. Owesifazane ongakwesokudla Njengomthetho, uba namandla esithweni sangasese sowesifazane, kodwa manje usengakwazi ukuzwa i-clitoral orgasm njenge-orgasm evamile. Manje ufuna, uma kunjalo, ucansi namadoda wesifazane ("ama-softies") kanye nokwenza uthando ngesitayela sowesilisa nge-clitoral orgasm. Njengoba amadoda evamise ukungakwazi ukuqonda okuningi ngalokhu, uthathwa ngokuthi "ubanda", okuyilokho ayikho ngempela esimweni sokungqubuzana kobulili bemvelo.
2. Owesifazane oyinxele unalo, ungakubona lokho ikakhulukazi lapha, ngokwebhayoloji umsebenzi ohluke ngokuphelele kunesandla sokudla. Nakuba kungase kuzwakale kungqubuzana, naye uvinjelwe okwesikhashana ngokocansi, kodwa manje njengoba esevale ilungelo, i-hemisphere yesilisa yobuchopho bakhe, uvame ukuzwa i-orgasm yesitho sangasese sangasese sokuqala futhi angakhulelwa kangcono kunangaphambili, kunalokho abengakwenza. ohlangothini lwesokudla lobuchopho bakhe ngokuvamile wayezwa i-clitoral orgasm. Naphezu noma ngenxa yokungqubuzana kobulili, ucishe aphoqeleke ukuba akhulelwe, ngomqondo wezinto eziphilayo, kunjalo.
   
   ikhasi 165
3. Indoda yesandla sokudla Ngemuva kokuthi uhlangothi lwesokudla lobuchopho luvaliwe uma ukungqubuzana kwakhe kungaxazululeki, ngokuvamile uzwa i-orgasm ye-recto-anal kuphela. Lokho kusho ukuthi ungungqingili noma unamandla kakhulu mayelana nepipi (impotentia coeundi)!
4. Indoda yenxele uvimbekile ngokwengqondo okwesikhashana, kodwa ngokokuqala ngqa uvamise ukuzwa i-peno-clitoral orgasm iqalwa ngakwesokudla sobuchopho, ukuze lowo ongakwesokunxele onodweshu lwendawo akwazi ukusebenza njengomphathi wendawo okwesikhashana. ngokuphathelene nokukopishana, noma ngabe ingxabano yendawo ihlala isikhathi eside, iba "isitabane se-macho"¹³⁷ wird.

Angazi noma ngizokuhlukanisa kahle yini konke lokhu okokuqala, noma ngikuhlukanise ngokwebhayoloji ngendlela efanele. Kunzima kakhulu kithina odokotela, osekungamakhulu eminyaka besetshenziselwa ukubuka lezi zinhlelo ezikhethekile zebhayoloji njengezifo ezimbi, "izifo ze-pathological", ukungasebenzi, ukuphuka noma okunye okunjalo, ukuqonda ngokushesha ukuthi lezi SBS nazo zisetshenziswa uMama Wemvelo ukuthuthukisa. ubudlelwano bomphakathi kanye nokwakha ubudlelwano, imindeni, imihlambi, amaqoqo, imindeni, njll., lapho lokhu okuthiwa “izinkinga”, izinguquko zokusebenza kanye “nokuphelelwa amandla” kunenjongo kakhulu futhi Izinqubo ezidingekayo ukuze uphile izinhlelo ezikhethekile zemvelo ezinengqondo (SBS).

Ngithemba ukuthi nina, bafundi abathandekayo, ngeke udumale uma ufunda futhi uqonda izincazelo zesenzo sothando, okwakuhlala kubhekwa njengento engenangqondo futhi empeleni "engenakuchazwa", ngendlela ehluke ngokuphelele esikhathini esizayo! Kuhle kakhulu kunangaphambili - kodwa okungenangqondo kancane!

I-double side noma “double orgasm” ngamafuphi, “ukushesha kothando,” into ababhali abaphelelwa ngayo amagama lapho bechaza injabulo yesenzo sothando, okungukuthi “i-double orgasm,” esingayibeka manje. emagameni esayensi ngaphandle kokulahlekelwa yinoma yikuphi ukuthakasela kwayo kulahlekelwa.

¹³⁷ Ukuze uthole ukwaziswa okwengeziwe, bheka isahluko esithi “Umsuka Wobugebengu Okuzenzakalelayo”

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Incazelo:

I-orgasm “double” inkinga ye-epileptoid kanyekanye yokuhlangana kwemvelo kwe-SBS okubangelwa yizindawo ezimbili zazo zombili i-hemispheres, okungukuthi

a) i-vagino-recto-anal futhi ilawulwa uhlangothi lwesobunxele lobuchopho
b) inkinga ye-peno-clitoral epileptoid elawulwa kwesokudla sobuchopho.

Ngesikhathi esifanayo, i-bilateral, i-cortical epileptoid crisis, isithandwa siseqenjini lezinkanyezi ze-schizophrenic. Lo muzwa “wokuhlanya” wesikhashana kuze kube manje wenze ingxenye enkulu yokuthakaseleka kwesenzo sothando. Sayibiza ngokuthi “Love Rush.”
Ezilwaneni, lapho, ngokuqondene nabesifazane, benza lesi senzo sothando kuphela ngaphambi kokuvuthwa kweqanda futhi ngenjongo yokuzala kuphela, sibona le "orgasm ephindwe kabili" kaningi kunabesifazane babantu, abavele bagweme ukuzala kufanele futhi kufunwa inzuzo yobumnandi kuphela.

Esimweni esivamile, okungukuthi, ngaphandle kokungqubuzana futhi ngaphandle kwezinguquko ze-hormonal, indoda yesandla sobunxele nowesifazane wesandla sokudla "banenzuzo" ethile yokubhekana "nokujaha kothando": Indoda yesokunxele ibhekana nakho cishe njengokungathi ukubusa ngoba une-orgasm ye-recto-anal ngenxa yobunxele bakhe kanye ne-peno-clitoral to ejaculation okuhlangenwe nakho. Owesifazane osebenzisa isandla sokudla uthola i-orgasm ye-vagino-recto-anal njengomthetho futhi angathola kalula i-clitoral orgasm ngesikhathi esifanayo esebenzisa amasu afanele okwenza uthando.

Nalapha futhi, njengezinto eziningi kakhulu emithini emisha: ngokwengqondo le ndaba cishe kulula ukuyiqonda. Kodwa izinkinga zokuqonda ziqala ngemininingwane. Kufanele sikhumbule njalo ukuthi ama-orgasm ahlukahlukene esinawo njengabantu ikakhulukazi awokwenziwa noma awawona awebhayoloji. Zenziwe zaba inkimbinkimbi nakakhulu futhi zingaqondakali imithetho engekho emthethweni yabasunguli bethu benkolo abakhulu abahlukahlukene.

8.4.8 Ubulili kulokho okubizwa ngokuthi “umlaza we-schizophrenic”

Ake sibheke futhi emaqenjini ethu angu-4:

1. umfazi wesandla sokudla, okungenzeka ukuthi ngokwebhayoloji kuphela kube ne-orgasm njalo eminyakeni engu-3-4 (ngemuva kokukhulelwa nokuncelisa okulandelayo) nangaphambi kokuvuthwa kwamaqanda, kuzoziphatha ngendlela ehluke kakhulu kumlaza we-schizophrenic wazo zombili lezi zindawo esifuna ukuziphenya lapha.

ikhasi 167

Ngokuyisisekelo singabiza isimo esinjalo ngokuthi "umlaza we-post-mortem", ngezinye izikhathi lapho ukungqubuzana ohlangothini lwesobunxele lobuchopho kugcizelelwa "umlaza wokuzibulala" noma, uma amathrekhi womabili enomlingisi wezocansi, "umlaza we-nymphomaniac". Ukungqubuzana kwezindawo akudingeki kube ukungqubuzana ngokocansi ngomqondo othile.

Umqondo walokho okubizwa ngokuthi ujantshi ubaluleke kakhulu lapha: ngoba kunezindlela ezimbili kuphela:

a) uma i-splint ingathinti ubulili bangempela ohlangothini olulodwa noma zombili, ngezinkinga ze-epileptoid esigabeni se-pcl, ukungabi namandla okuyingxenye eyodwa noma kabili (impotentia coeundi aut/et generandi) kusengaphumela.
b) kodwa uma i-splint ithinta ubulili bangempela ohlangothini olulodwa noma zombili, khona-ke ngokuphindeka ngakunye noma okukabili ohlangothini ngalunye kuba khona inkinga ye-epileptoid elandelayo, nakuba ibuthakathaka kakhulu, njengoba kuvame ukujwayelekile kumlaza we-schizophrenic.

Ngakho-ke sibona ukuthi lapha ukungabi namandla kanye nokuba buthaka, ngisho nezinhlangothi ezimbili noma nje "okukabili" (okubuthakathaka) i-orgasm kuhlobene eduze. Yiqiniso, izinqubo ezinjalo zingaba yivelakancane kakhulu ngokwemvelo noma phakathi kwabantu bakudala.

Empucukweni abantu baye bakholelwa ukuthi ubulili buyisidingo sansuku zonke njengokudla, ukuphuza noma ukulala. Kunjalo, ngokwebhayoloji, lokhu cishe “ngaphandle kwemvumelwano noma isizathu”, yini esetshenziswa ngokungafanele. Kodwa noma ngabe kwenzeka okuthile okungajwayelekile ngokwebhayoloji, ihlala ilandela imithetho emi-5 yemvelo yemvelo yakudala.

Ngokuqondile: Owesifazane osesandleni sokudla, one-schizophrenic kuzo zombili lezi zindawo, owayengasenaqanda futhi ngemva kwesikhathi esithile ngemva kwe-DHS yokuqala (uhlangothi lwesobunxele lobuchopho) waqala wasabela ngendlela yowesilisa futhi wayengasakwazi ukuba ne-ovulation. i-vagino-recto-anal orgasm - ngaphandle kwe-splint - okuthi ngemva kwe-DHS yesibili, kulokhu ohlangothini lwesokudla lobuchopho, ingasabeli ngendlela efanele yesilisa, okungukuthi, ayisayitholi i-clitoral orgasm, (ngaphandle kukajantshi) osemlaza we-manic-depressive, post-mortem, nymphomaniac (owokugcina kuphela uma ukungqubuzana kugcizelelwa ohlangothini lwesobunxele lobuchopho). Sibe sesibiza le nymphomania.

ikhasi 168

Abesifazane abanjalo, isibonelo, bavame ukuba "ngendlela ye-platonic emadodeni" noma, uma lokho bekuyisu, bafuna ukuhlala beshaya indlwabu noma bakwenze ngokushaya indlwabu. Akufanele sikhohlwe ukuthi abesifazane abanjalo emlaza we-schizophrenic, abaye baphinde bathola i-ovulation yabo kanye nesikhathi esibizwa ngokuthi ngenxa yokungqubuzana kwesibili (ngakwesokudla sobuchopho), bangakwazi ukukhulelwa nakanjani: isisombululo sezinto eziphilayo kulesi simo.

2. Owesifazane oyinxele, onomzimba kuphela one-orgasm njalo eminyakeni engu-3-4 (ngemuva kokukhulelwa nokuncelisa) esikhathini esingaphambi kwe-ovulation bese njalo abe yi-clitoral, ngemva kokungqubuzana kokuqala kwezinto eziphilayo endaweni yesokudla yobuchopho, i-hormone ehluke ngokuphelele. iphrofayili kunowesifazane osebenzisa isandla sokudla ngemva kwengxabano yokuqala (ngakwesokunxele sobuchopho). Ngoba usenama-ovulating futhi akukho lutho oluma endleleni yokukhulelwa ngokushesha naphezu kokungqubuzana kocansi okungenzeka endaweni efanele.

Ngisho noma lona wesifazane oyinxele ehlushwa ukungqubuzana kwesibili, kulokhu ohlangothini lwesobunxele lobuchopho, futhi endaweni (yesifazane) endaweni, akalahlekelwa yi-ovulation yakhe uma engekho endaweni yokunqamuka kokuya esikhathini.

Manje usene-manic-depressive, post-mortem kanye ne-nymphomaniac-depressive constellation eyisibopho. Ngoba uhlushwa ingxabano yocansi kabili zilandelana, okokuqala ngakwesokudla, aphinde kwesokunxele. Empeleni, isimo singaba "i-nympho-depressive" noma i-nymphomaniac, inqobo nje uma ukungqubuzana kugcizelelwe ohlangothini lwesobunxele lobuchopho. Emlaza we-schizophrenic, abantu abangakwesokunxele nabakwesokudla bayaqhathaniswa futhi.

Nalapha futhi, okufanayo ku-frigidity (ukungabi namandla) njengabantu abasebenzisa kwesokudla. Nalapha futhi, kuya ngokuthi ubulili bekuwumzila wesitimela wangempela, futhi i-orgasm injalo. Kodwa-ke, kukhona futhi iqiniso lokuthi ngokuhlala, isibonelo, ukushaya indlwabu, uhlobo "lokuqeqeshwa" luyasungulwa, njengoba kungenzeka ukuthi salubiza kahle ngaphambili. Futhi, njengoba ngishilo, kufanele sihlale siqaphela ukuthi lezi zinto zibangelwa futhi ziqhubeka zihamba kancane kancane, ngoba isisombululo sezinto eziphilayo ngokuvamile silula kakhulu: ukukhulelwa! Futhi ngemva kweminyaka engu-3-4 "amakhadi ahlelwa kabusha"!

3. Indoda yesandla sokudla ine-peno-clitoral orgasm njenge-orgasm evamile, ebangelwa uhlangothi lwesokudla lobuchopho. Uma engakwazi ukuxazulula ingxabano yakhe yokuqala yendawo, ehlushwa ngakwesokudla sobuchopho bakhe, isikhathi eside, ngakho-ke ngokwebhayoloji akasavunyelwe ukuyixazulula ngoba ngaphandle kwalokho wayezobulawa yisifo senhliziyo kwesokunxele.

ikhasi 169

Uba yisitabane futhi manje usengathola i-recto-anal orgasm. Kodwa-ke, umlingani noma "umlingani wesilisa" usengakwazi ukuvusa i-penile orgasm, uma lokho bekuyi-splint, ngesandla noma ngomlomo, ukuze akwazi ukuzwa i-double orgasm ngesikhathi esisodwa, ngisho noma i-peno-clitoral orgasm iyancipha ngamandla. . Kulapho umbono owandile phakathi kongqingili uvela khona wokuthi "abantu abavamile" abakwazi ukuzwa i-orgasm kakhulu njengobungqingili. Okuhlale kushiwo yi-double orgasm.

4. Indoda yenxele uhlushwa ukungqubuzana kwendawo yokuqala yesokunxele, abe manic futhi angakwazi ukwenza i-anal orgasm. Ube eseyindoda “ethenwe ngokwengqondo”. Kulesi simo useyakwazi ukukhwelana futhi usekulungele. Kungakho ngokwemvelo ebhekana ngokungenasihawu ngumholi wephakethe futhi abeke phansi ngawo wonke amathuba, kuze kube yilapho ebhekana nengxabano yendawo yesibili, kulokhu ohlangothini lwesokudla lobuchopho, okumbeka emlanjeni we-schizophrenic.

Nakuba esenamandla okuba ne-erection kanye ne-manipulative ejaculation, i-libido¹³⁸ cishe inguziro. Angakwazi “ukukushiya ngokuphelele.” Impisi, ngokwesibonelo, manje isiyemukelwa kanjalo ngumphathi wephakethe. Esahlukweni se-psychoses sizobona ukuthi la maqoqo ezinkanyezi awawona nje amaphutha emvelo, kodwa anencazelo yebhayoloji. Ngoba lezi zimpisi ezinesandla sokunxele emlanjeni we-schizophrenic yizo kuphela ezizothatha isikhundla somphathi wepakethe uma kwenzeka kushona umholi wephakethe kanye necala lokuthi impisi yesifazane i-alpha ayikwazi ukuthatha ubuholi besikhashana beqembu. ukupakisha ngesizathu esithile ayengakwenza uma bexazulula zombili izingxabano, ngoba zonke ezinye izimpisi zesibili ezinengxabano yendawo ehlangothini olulodwa azivunyelwe ngokomzwelo wemvelo futhi azifuni ukuxazulula ukungqubuzana kwazo ngoba kungenjalo zizofa nge-infarction yenhliziyo yesokunxele noma yesokudla.

Okusebenza emadodeni angongqingili kuyasebenza futhi - mutatis mutandis - kwabesifazane besifazane abathandana nabobulili obufanayo abafinyelela le miphumela ngamavibrator. Nge-constellation ye-schizophrenic, i-manic-depressive, postmortem, i-Casanova-manic constellation yamadoda, konke kungenzeka futhi, kuye ngokuthi yiluphi uhlangothi olugcizelelwe, yiziphi izintambo ezikhona, nokuthi yiziphi imikhuba yokuvuselela. Ngeshwa, awekho ngempela amapharamitha we-hormone ehlelekile kulokhu kuze kube manje, ngakho-ke singenza kuphela ukucabanga kodwa asinabo ubufakazi. Lokho kungashintsha ngesikhathi esifushane kakhulu uma nginomtholampilo.

¹³⁸ I-Libido = amandla okwenzeka ngawo isifiso socansi

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Yiqiniso, izingxabano zokulahlekelwa okungenzeka kanye namazinga e-testosterone anda ekupheleni kwesigaba se-PCL nakho kudlala indima ebalulekile lapha. Kusukela kulezi zingxenye eziningi ungabala cishe uhlobo (olulodwa noma oluphindwe kabili) lwe-orgasm (umzila!) noma ukungabi namandla, njalo ngokwazi ukuthi lokhu ngokuvamile kunezindlela eziyisisekelo eziyisisekelo zemithetho emi-5 yebhayoloji yemvelo efanayo nesayensi yezinto eziphilayo.

ikhasi 171

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9 Isigqi semifino/sympathicotonia – vagotonia

Amakhasi 173 kuya ku-188

Ukube udokotela oyedwa emhlabeni ubenesithakazelo esigqini esiyisisekelo sesayensi yezinto eziphilayo, isigqi sosuku/ubusuku noma isigqi se-sympathicotony vagotonia, futhi ukube ngonembeza wakhe wahlola iziguli zakhe ezintathu kuphela ezinomdlavuza, ubengeke akwazi ungakunaki ukuxhumana phakathi komdlavuza. Ngizibandakanya cishe iminyaka engu-20 yokuqala yokusebenza kwami ​​kwezokwelapha.

Ngeshwa, ukucwaninga ngezindaba ze-biorhythm akuhlonishwa kakhulu emithini yethu; umuntu angaze athi le ndawo iholela ekuphileni okunethunzi. Ezincwadini ze-psychosomatics zobukhulu obukhulu, imigqa embalwa kuphela ibekelwe lokhu. Futhi le migqa embalwa isampofu kakhulu. Isiqubulo: Uma kukhona ukuphazamiseka lapho, kubizwa ngokuthi "i-vegetative dystonia", isikhathi.

Emkhakheni wokuthuthukiswa komdlavuza, ukuqhubeka nokwelashwa komdlavuza, isigqi sezitshalo sidlala indima ebaluleke kakhulu!

Qaphela:
Ushintsho esigqini semifino (i-biorhythm) luwumgomo obaluleke kakhulu wokuxilonga umdlavuza, kokubili ekuthuthukisweni komdlavuza kanye nasekuphulukisweni komdlavuza (i-DHS kanye ne-conferences).

Ngokuphathelene ne-biorhythm, ukuthuthukiswa kwesifo somdlavuza, okungukuthi ukuqaliswa kohlelo olukhethekile lwebhayoloji, kubangelwa i-DHS. Iphimbo elinozwelo elingapheli, inqubo yokuphulukisa ye-post-conflictolytic kokukodwa I-vagotonia engapheli! Ikhambi lokugcina liwukubuyela ku i-normotension!

Isimo se-vegetative sesiguli sifinyeleleka kalula ukuze sixilongwe. Umuntu udinga kuphela ukuxhawula isiguli ukuze anqume ukuthi izandla zaso ziyabanda noma ziyafudumala, okungukuthi, ukuthi sisesimweni sozwela noma se-vagotonic.

Ukushintshashintsha kwesigqi kubhekwa njengokuphazamiseka kokujikeleza kwegazi futhi kulethwa "kumanani ajwayelekile". Abantu abaningi bangabekezelela lokhu isonto lonke noma izinsuku eziyi-14 uma bengase balulame ekucindezelekeni kwesibhedlela ekhaya. Kodwa emavikini angaphezu kwama-4 kuba nzima kakhulu. Okwenza izinto zibe nzima nakakhulu ukuntula kodokotela ukuqonda komuthi Omusha: Uma ngithumele noma yisiphi isiguli esibhedlela esinenkinga (isb. i-pleural puncture noma ukumpontshelwa igazi) esasivele sisesigabeni sokuphulukiswa (isigaba se-pcl), khona-ke kwakuhlale kushiwo ngaso leso sikhathi: “Oh, ngeke sisakwazi ukwenza lutho ngakho, ukujikeleza kwegazi sekuphelile ngokuphelele ngenxa yomdlavuza.

ikhasi 173

Umphathi wethu wa-oda i-morphine.” Izihlobo zabe sezitshelwa ukuthi isiguli sasingasenamsebenzi, nokuthi ukusakazwa kwegazi kwase kuphelile ngokuphelele nokuthi kufanele basiyeke sife ngokuthula. Ngemva kwezinsuku ezimbalwa wayegula ngempela ngenxa ye-morphine.

Ngazi iziguli eziningi osekunezinyanga zijule kangaka, i-vagotonia ehlala njalo ngenxa yalokho obekufanele kube “ukuphazamiseka kokujikeleza kwegazi okuhlala njalo” futhi manje ezigijima zijabule futhi. Ngoba isigaba se-vagotonia, isigaba sokuphulukisa ngemuva kokungqubuzana, siyisigaba nje. Kufika ekupheleni kwemvelo ngokuphelele lapho umzimba ubuyela ku-normotension. Kodwa ngokwemvelo lokhu kungenzeka kuphela lapho umzimba usulungise kokubili ubuchopho nesitho ukuze umuntu akwazi ukubhekana nempi yokuphila futhi. Uma umuntu noma isilwane singaphinde sivuke ngaphambi kokuba kuqedwe ukulungiswa kwesimo saso bese singena emzabalazweni wokuba khona futhi, kungaba ukuzibulala ngokuphelele. Njengoba nje umzimba uhlanganisa wonke amandla awo esigabeni sokungqubuzana ukuze anqume ukungqubuzana esivuna wona, ngendlela efanayo izama ukuba nokuthula okuphelele esigabeni sokuphulukisa ukuze i-Hamer igxile ebuchosheni kanye nesimila esinomdlavuza esikhumbeni. isitho singaphola.

Njengoba nje usuku lwamahora angu-24 lungahlukaniswa lube yisigaba sosuku nobusuku, umdlavuza ungase uhlukaniswe ube usuku lwethoni ezwelayo noma isigaba sokungqubuzana kanye nesigaba sasebusuku se-vagotonic esingapheli noma isigaba sokululama. Futhi njengoba nje abantu bengaguli ebusuku ngoba belele futhi bengaguli emini ngoba bengalali, ngokomthetho kokubili isigaba esiphikisanayo kanye nesigaba sokuphulukisa kuyinto evamile.

Ngokuyisisekelo, sonke isifo somdlavuza siyinto evamile ngokuphelele. Akuyona into engaphansi kwengqamuzana eliye lahlanya okuthiwa liyahlanya futhi lingcolise yonke into, elikhula futhi liphindaphindeke ngokungalawuleki ngokuphelele futhi elizolwa “nomzimba walo osingathayo”. Isimila somdlavuza lapho ulaka lodokotela luqondiswe khona luyinkomba nje engenangozi “yesifo” sangempela esisengqondweni nasengqondweni. Ngokuyisisekelo, singabona ukungqubuzana esibhekana nakho ngaleso sikhathi se-DHS njengokuhlola kwemvelo ukuthi ingabe umzimba wethu usakwazi yini ukubhekana nalolu hlelo olukhethekile olwalandela. Uma singaphumelelanga ekuhlolweni, kufanele senze indawo yethu kulo mhlaba ibe mahhala kwelinye ilungu lohlobo lwethu elingaphumelela kulesi sivivinyo. Kodwa isimila esithweni sibonisa kuphela ukuthi isikhathi eside singaphasanga lesi sivivinyo futhi manje sekuyisikhathi sokusiphumelela. Ukusika lesi simila ngethemba lokuthi sonke lesi sifo sizokwelapheka kufana nomuntu ovala amehlo emini bebade bese ecabanga ukuthi ilanga selishonile.

ikhasi 174

Inqobo nje uma singasiqondi isigqi se-vegetative, ukushaya kwemvelo, ngomqondo ongokomfanekiso, asikwazi ukuqonda yonke Imithi Emisha. Zonke izimiso nemithetho emvelweni kuxhumene, empeleni ekugcineni kukhona abambalwa kuphela lapho konke kungalandelelwa khona emuva. Esinye sezimiso ezinjalo yisigqi semvelo, esisibiza ngokuthi, ngokuphathelene nomzimba wethu, isigqi se-vegetative.

Iziguli zami zabingelelana ekuseni ngokuxhawula: “O, unezandla ezinhle ezifudumele, khona-ke ubonakala unawo wonke ama-fuse endaweni!” Impela, njengoba usukwazi, kulula ukusho, bekufanele ngabe kulula ukuthola, ngoba wonke umdlavuza ophikisanayo ubonisa i-sympathicotonia engapheli kanye nawo wonke umdlavuza esigabeni sokuphulukisa ngemva kokuxazulula izingxabano kubonisa i-vagotonia engapheli. (Okufanayo kuya kokulingana nomdlavuza, kunjalo).

Lesi simo sihlobene kanjani ne-biorhythm yethu? Ikuphi inkinga? Noma ingabe isiyaluyalu? Imibuzo iya kumsuka wokuqonda umdlavuza.

Ake siqale ekuqaleni: Kunezigaba ezimbili kusigqi sethu sansuku zonke:

1. isigaba sosuku:

Kulesi sigaba sisebenza futhi silwe. Kulesi sigaba kumele sihlale siphapheme! Ihlala cishe kusukela ngo-4 ekuseni kuya ku-8 ntambama ehlobo, futhi kusukela ngo-6 ekuseni kuya ku-6 ntambama. Okubizwa ngokuthi "i-ergotropic¹³⁹“Izitho azinalutho, okungukuthi, “izitho ezisebenzayo” imisipha, inhliziyo, ubuchopho.

2. Isigaba sasebusuku:

Kulesi sigaba silala. Ingqondo, ingqondo nezitho kuyalulama emsebenzini. Kulesi sigaba okuthiwa "trophotropic¹⁴⁰"Izitho zingenasici futhi zanda ukutholakala kwegazi: isisu, amathumbu, isibindi, amanyikwe. Ukudla kugayeka ngesikhathi sokuphumula. I-Psyche, ubuchopho nezitho, wonke umzimba uqoqa amandla ngosuku olulandelayo.

¹³⁹ i-ergotropic = ukusebenza ngokomzimba ngomqondo wokwandisa ukusebenza
¹⁴⁰ i-trophotropic = okuhloswe ngayo ukudla okunomsoco (ukudla), ukwenza

ikhasi 175

Nokho, lokho okubizwa ngemithi yesimanje kuzamile ukunganaki lesi sigqi sasemini/ebusuku. Asisekho isigqi semini/ebusuku egunjini labagula kakhulu. Izibani ze-Neon zihlala zikhanya, umfutho wegazi, isibonakaliso esiqinisekile somehluko phakathi kwezigqi zemini nobusuku, kugcinwa, njengoba bethi, "zinzile" ubusuku nemini.

Ilapho-ke umbhedo oqala khona. Ngakho-ke umfutho wegazi, okuyi-systolic kuwo wonke umuntu olele enempilo¹⁴¹ Uma umfutho wegazi wehla ngaphansi kwe-100 mm Hg futhi ugcinwa uphakeme ngokuzenzakalelayo, isiguli sinikezwa njalo "izidakamizwa ezijikelezayo", okungeyona into ngaphandle kwe-sympathicotonics. Ngokwenza njalo, kuba nzima ukuthi isiguli silale ngendlela efanele.

Masikhumbule umdwebo omayelana nezigaba ezimbili zazo zonke izinhlelo ezikhethekile zebhayoloji eziwusizo ezivela esahlukweni sesi-7 mayelana nezigaba ezimbili zemvelo yazo zonke izifo lapho ukungqubuzana kuxazululwa: Isigqi esivamile sosuku/ubusuku singukujwayelana, ku-1st conflict-active. isigaba sokucindezeleka kukhona i-tonicity ezwelayo, esigabeni sokuphulukisa sesibili esixazululiwe yi-vagotonia, ngemva kokuphothulwa kwesigaba se-pcl se-normotension futhi. Isibonelo, umdlavuza uphakathi kwe-DHS, ukungqubuzana kanye nokwenza kabusha kube kuvamile ku-eutony.

Ukuze siqonde incazelo kanye nemvelo yoshintsho kuma-biorhythms, ake siphinde sicabange ngengxabano yendawo evamile sisebenzisa inyamazane njengesibonelo: Inyamazane encane igqekeza endaweni yenyamazane endala, isebenzisa umphumela wokumangala futhi ixoshe inyamazane endala. ngaphandle kwesifunda. Inyamazane endala ihlushwa i-DHS ngokungqubuzana kwezindawo okuqhubekayo. Le DHS ehambisana nokungqubuzana kwendawo futhi isho ukushintshela kuhlelo olukhethekile noma oluphuthumayo. Ingase ilethe inyamazane endala ekufeni kwayo, kodwa futhi kusho ithuba layo. Ngoba ukube akazange aphathwe yi-DHS, umzimba wakhe ubungeke usibone isizathu sokuhlanganisa wonke amandla ayo. Kodwa manje usehlanganisa wonke amandla akhe, umzimba wakhe wonke ugijima ngesivinini esikhulu. Uzilungiselela kahle, abese eqala ukuhlasela endaweni efanele, esebenzisa yonke iminyaka yakhe yokulwa. Inyamazane encane ayifaneleki. Kumele asule inkundla. Inyamazane endala yathatha ithuba layo, mhlawumbe unyaka, mhlawumbe iminyaka emibili noma emithathu, kwazi bani. Kwesinye isikhathi umthetho wokulwela indawo uyaziphinda. Khona-ke inyamazane endala izoshiya i-Walstatt ishayiwe, umlandeli osemusha usezoba ngumnikazi wendawo. Inyamazane endala iyobe isiphelelwa amandla, ibhuquze igcine isifile ukukhathala okomuntu onomdlavuza ongakwazanga ukuxazulula ukungqubuzana kwakhe.

¹⁴¹ I-Systole = ukufinyela kwesitho semisipha esingenalutho, ngomqondo wangempela wesisipha senhliziyo

ikhasi 176

Zitshele, ingabe i-DHS enethoni yozwela nokushintshela ohlelweni olukhethekile kuwukuphazamiseka noma kuyinqubo edingekayo ukuze uphile ngokwemvelo? Kuthathe imvelo izigidi eziningi zeminyaka ukudala lesi simiso esihle ngamakhulu ezinhlobonhlobo. Izibonakalise yona. Yingakho ngingakholwa ukuthi akuzwakali, noma thina bantu abangaboni kahle siyakwazi ukukubona konke “njengokugula, ukugula” njll.

Yiqiniso, umuntu ogulayo ngeke aduduzeke uma engase amtshele ukuthi ukufa nakho kuyinto evamile engokwemvelo. Sijwayele "ukulwa" nazo zonke izifo, izimila, amagciwane, ngisho nezimpawu zomuntu ngamunye ezifana nomkhuhlane, isicanucanu, i-edema, njll. Bayinto “embi, embi, enobutha” efuna ukucekela phansi abantu. Ngikholwa ukuthi sidinga ngokushesha ukufunda ukuze sithole ukuqonda okusha ngohlobo lwesifo.

Uma sithanda, khona-ke isigaba sokungqubuzana-esisebenzayo, sokuthuthukiswa komdlavuza, okushoyo, esisodwa Isigaba sosuku olungapheli. Kwenzeka okufanayo nakithi kuyi-Iliad¹⁴² kuchazwa “u-Achilles othukuthele,” owayethukuthele waze wabulala uHector, owayebulale umngane wakhe uParoidos. Ngokushesha ngemva kwalokho, u-Achilles wabulawa isifo senhliziyo...

Isiguli, esinesigqi sosuku esingaguquki, asikwazi ukulala, sinyuse ukukhiqizwa kwe-adrenaline, sehla isisindo size siqede ukungqubuzana kwaso ekugcineni - noma singasoze sakuxazulula.

Imvamisa, isigaba sosuku esisebenzayo esisebenza ngokungqubuzana silandelwa yisigaba se-post-conflictolytic, isigaba sokuphulukisa Isigaba sasebusuku esingunaphakade.

Ngakho-ke wonke umdlavuza noma isifo esilingana nomdlavuza yinqubo yesigqi yosuku/yasebusuku enwetshwa ibe yisilinganiso esikhulu. Kunzima ukucabanga ukuthi inqubo enjalo ehlelekile ingaba "okungahleliwe". Okunye okukhishiwe umbono womfundi owenza imilingo wokuthi inqubo ehlelekile enjalo kufanele ibe umsebenzi wengozi weseli elihambile "endle"...

Ngakho-ke wonke umzimba wethu ugijima emikhawulweni emibili yezinso, ukuzwelana nokungakwazi ukuhlala kwe-parasympathetic, isigqi semini/ebusuku phakathi kokucindezeleka nokuphumula, phakathi kwesigaba sokucindezeleka kanye nesigaba sokuphulukisa, phakathi kwesigaba sokungqubuzana nesokuxazululwa kwezingxabano, phakathi kokukhula komdlavuza kanye nokuphulukiswa komdlavuza.

¹⁴² Iliad = Isiqephu sikaHomer mayelana nempi yamaGreki ngokumelene noTroy

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Lesi simiso sezinzwa esizimele singesesibili esidala kunazo zonke emizimbeni yethu. Kuvela esikhathini lapho okuthiwa ibhuloho noma ama-pons esiqu sethu sobuchopho samanje kwakuyi-"cerebrum" yokhokho bethu bakudala. Kumelwe ukuba eminyakeni eyizigidi ezingu-80 kuya kweziyi-100 edlule; Ngisho nangaphambi kokuba izilwane ezincelisayo zibe khona, lapho umehluko wosuku/ubusuku uqala ukubaluleka, izinga lokushisa lomzimba lalilawulwa futhi umzimba wathola uhlobo lwewashi lesigqi elalibonisa isigqi sosuku/sasebusuku.

9.1 Isistimu yezinzwa ezizimele, isikhungo sekhompiyutha sezigqi zebhayoloji zomzimba wethu

Lapho umzimba wethu unempilo, udlidliza ngalokho okubizwa ngokuthi isigqi futhi ngesikhathi esifanayo emijikelezweni emikhulu. Isigqi sisibiza ngesigqi sosuku/sasebusuku noma isigqi sokuvuka/sobuthongo noma isigqi sokucindezeleka/sokuthola kabusha noma isigqi se-sympathicotonic/parasympathicotonic (= vagotonic).

Lesi sigqi semini/ebusuku sinyakaza njengewashi kubantu nasezilwaneni, nakuba ezinye izinhlobo zezilwane (“abazingeli basebusuku”) zinesigaba sokucindezeleka ebusuku kanye nesigaba sokuphumula emini. Lesi sigqi, esibuye sisibize ngokuthi yi-vegetative rhythm, siyingxenye eyinhloko yomzimba wethu wonke, ngempela impilo yethu yonke. Umsebenzi wazo zonke izitho zethu uhambisana nalesi sigqi sezitshalo. Isimiso sezinzwa esinikeza lokhu kuhlanganisa sibizwa ngokuthi i-vegetative noma i-autonomic nervous system. Ngokuvamile kuqhathaniswa neziphetho ezimbili zezintambo zehhashi, lapho umzimba wethu uhamba njengehhashi. I-rein eyodwa, enozwelo, idonsela ekucindezelekeni, enye, i-parasympathetic, ekuphumuleni, ezolile.

Njengoba inzwa eyinhloko yalo lonke iqembu le-parasympathetic nervous system i-vagus nerve, siphinde sibize i-resting innervation vagotonia. I-innervation enozwela kanye ne-parasympathetic innervation ngayinye ine-"telegraph network" yayo, njengoba singabona emidwebeni elandelayo ye-innervation.

Kumongo wale ncwadi, kubalulekile ngathi ukuba siqonde lezi “zintambo zokwethuka” zomzimba wethu. Ngoba wonke amangqamuzana emizimbeni yethu alawulwa yilezi zinso. Lokhu sikubona ngethoni eqhubekayo yozwela phakathi nesigaba sokukhula komdlavuza osebenzayo kanye ne-vagotonia eqhubekayo phakathi nesigaba sokuphulukisa se-PCL. Kunethiwekhi yocingo ye-parasympathetic, "umugqa" owodwa ubonakala wanele. Iziteshi zokuposa ezinomthwalo wemfanelo, okuthiwa yi-ganglia, zisuka entanyeni ziye phansi okhalweni. Ku-"telegraph network" enozwela kubonakala sengathi "kunemigqa" emibili, cishe: owodwa ogijima ngokuhambisana "ne-telegraph line" ye-parasympathetic, kodwa ihlale ithola imibono yayo "kulayini oyinhloko", okungukuthi intambo yomgogodla, umugqa wesibili we-telegraph i-nervous-hormonal:

I-Thalamus – Pituitary – Thyroid
I-Thalamus - i-pituitary gland - amaseli e-islet (α kanye ne-ß)
I-Thalamus - i-pituitary gland - i-adrenal cortex

ikhasi 178

9.2 I-Parasympathicotonia = i-vagotonia kanye ne-tonia ezwelayo

Emithi yesikole esidala besingeke sikwazi ukwenza okuningi ngamagama athi parasympathicotonia = vagotonia kanye ne-sympathicotonia. Yonke le nto siyibize ngesistimu yezinzwa ezizimele. Futhi uma umuntu engakwazi ukulala, ecasukile noma ehlala ekhathele, bese sikhuluma "nge-vegetative dystonia".

I-Sympathicotony ne-vagotonia manje isiphenduke imiqondo eyinhloko kithi Kwezokwelapha Ezintsha njengoba sazi ukuthi zonke izinhlelo ezikhethekile zebhayoloji ezinenjongo, inqobo nje uma ukungqubuzana kwezinto eziphilayo kuxazululiwe, kwenzeka kulesi sigqi sezigaba ezimbili. Ungathola okwengeziwe ngalokhu, bafundi abathandekayo, esahlukweni esithi 2nd Biological Law of Nature.

Kodwa isigqi esihlukile sezitshalo, ngaphambili esasibizwa ngokuthi izintambo ezimbili uMama Wemvelo alawula ngazo umuntu ngamunye, asitholakali kuphela ku-Meaningful Biological Special Programs (SBS) kodwa futhi lokho okubizwa ngokuthi i-normotension kuyizigaba ezimbili. Ngaphandle kwezinhlobo ezimbalwa zezilwane, okuthiwa "abazingeli basebusuku", isigaba sosuku yisigaba sokucindezeleka kwe-sympathicotonic (kusukela ngo-3 ekuseni ehlobo, ngo-5 ekuseni ebusika), futhi isigaba sasebusuku yisigaba sokuphumula noma sokuphumula = vagotonic Isigaba.

AmaShayina azibiza ngokuthi yi-Yin kanye ne-Yang, lapho i-Yin imelela isimiso sowesifazane sokungenzi lutho kanye ne-Yang emelela isimiso esisebenzayo sowesilisa. Ngomqondo obanzi, umuntu angabuka isimiso sowesifazane se-vagotonia kanye nomgomo wesilisa u-Yang wephimbo lozwela.

Ububili obunjalo baziwa emasikweni nasezinkolweni eziningi. Kodwa-ke, lezi azikaze zenzelwe ukuthi zibe ngokwesayensi yezinto eziphilayo.

ikhasi 179

Ngoba konke ukuqhathanisa bekuyoba namaphutha: Cishe kuwo wonke amasiko, ubusuku bumelela ubumnyama, amakhaza, ukufa, usuku lokuphila, ukukhanya nokufudumala. Nokho, emvelweni, ebusuku kukhona ukuphumula, ukuzola, i-vagotonia, futhi emini kukhona ukucindezeleka nezingxabano, uma umuntu enganaki, njengoba ngishilo, okuthiwa "abazingeli basebusuku", abanesigqi esiphambene. yalokho kwempango yabo. Imvelo ngokwayo iyakucabangela lokhu ngokuthi izilwane ezizingelayo ezisesigabeni se-pcl (ku-SBS) zingalala kuphela cishe ngo-3 noma 4 ekuseni lapho kukhanya, ukuze zingahlaselwa futhi zibulawe umzingeli wasebusuku ebumnyameni. kuyilapho basebuthongweni obukhulu ukuba babe.

Sifuna ukuqamba igama elisha lalokhu kwehla nokwenyuka kwebhayoloji:

isigqi se-biological wave

Kokubili i-normotension kanye nemvelo yezigaba ezimbili zohlelo olukhethekile lwebhayoloji okubalulekile kuyizinhlobonhlobo zalesi sigqi se-biological wave. Ngokubona kwami, lesi sigqi se-biological wave siyinjini eyinhloko yokuphila ngokujwayelekile.

Uma siqala ukweqa ingxenye yokuqala yendalo kaMama Wendalo siye ku-haploid yokuqala¹⁴³ Iseli, khona-ke singasho ukuthi: Ingqamuzana lokuqala le-haploid lalidinga i-sympathicotony ngokohlelo oludala lobuchopho ukuze liphindwe kabili ngaphakathi futhi libe yi-diploid.¹⁴⁴ ukuze libe iseli esihlala silithatha ngephutha njengeseli lokuqala kubhayoloji (bheka isahluko semithetho eyisisekelo ye-biogenetics). Leli ngqamuzana lokuqala le-haploid alisho iqanda nesidoda samangqamuzana ahlanganayo akhe iseli le-diploid elivundisiwe.

Ngaphakathi kwesigqi esikhulu segagasi lebhayoloji sokwanda kwamangqamuzana ngokohlelo oludala lobuchopho olunozwela oluzwelayo, “amagagasi amancane ebhayoloji” agijima, ngoba konke “ukwanda kwamangqamuzana angaphakathi” kuya ngokuphindwe kane isethi yamakhromozomu njengesigaba sozwela kulandelwa ingqamuzana. ukuhlukaniswa noma ukuhlukaniswa kwesethi ekabili yama-chromosome njengeSigaba sesigaba se-vagotonic.

“Igagasi elikhulu lezinto eziphilayo” libe seliqala, njengalapho kuxazululwa izingxabano phakathi nokukhulelwa, isibonelo kumama nengane ekupheleni kwenyanga yesi-3 yokukhulelwa ngokuhlukaniswa kwe-vagotonic yamangqamuzana omugqa wegciwane ngokusho kwephethini endala yobuchopho kanye namanje. kulandela i-2nd (vagotonic) Ingxenye "yegagasi lebhayoloji" elinokwanda kwamaseli ngokuya ngephethini yobuchopho.

¹⁴³ i-haploid = eneqoqo elilodwa lama-chromosome
¹⁴⁴ i-diploid = amasethi amabili afanayo ama-chromosome ku-nucleus yezinto eziphilayo ngokuzalana ngokocansi

ikhasi 180

Umfundi onentshisekelo angafunda ngalezi zinto esahlukweni semithetho eyisisekelo ye-biogenetic kule ncwadi. Inhloso yami enkulu lapha ukukhombisa ukuthi cishe yonke into emvelweni ihamba ngale ndlela yamagagasi, lesi “sigqi se-biological wave”, injini yokuqala yokuphila.

Zonke izinto eziphila kulo mhlaba zixhumene komunye nomunye ngesigqi se-biological wave: isibonelo

Isigqi segagasi lokuphila, isigqi segagasi saminyaka yonke, isigqi samagagasi sanyanga zonke nesigqi segagasi sansuku zonke

Okungeziwe kulokhu yizigqi zamagagasi ezincane eziseduze ezixhuma yonke imvelo.

Thina bantu sizizwa sihlakaniphe kakhulu uma sishayelana izingcingo emhlabeni wonke sisebenzisa amaza omsakazo.

Kodwa sekuyisikhathi eside sazi ukuthi ubuchopho ababili (okuthiwa i-telepathy!) bangaxhumana ngaphandle kwezinsiza zobuchwepheshe. Futhi siyazi ukuthi abantu nezilwane abakwazi ukushintshanisa amagagasi amalungu ezinhlobo zabo kuphela, kodwa nalabo bezinye izinhlanga nezinhlobo. Yebo, ngokuyisisekelo yonke imvelo, kuhlanganisa nezitshalo, iyihlathi elilodwa elikhulu lezinsika ezihambisa izinto nezimukelayo.

Bonke abantu bayathumela futhi bonke bathole.

Isigqi se-biological wave

Uma manje sibheka lokho okubizwa ngokuthi i-vegetative innervation yabantu, siyakubona lokho

I-Sympathicotonic innervation idlula esiqwini esinozwela,

ngokumelene nalokho

i-parasympathetic (= counter-sympathetic) noma i-vagotonic innervation ngokusebenzisa i-vagus nerve, i-10th head nerve.

ikhasi 181

Kokubili okungaphakathi kwase kubekwe ngokwemibandela yokuthuthuka, ngaphandle komgogodla, lapho ukuhlukana okuphawulekayo kwesakhiwo sendandatho "sokhokho" bethu kwenzeka.

Imisipha enemivimbo kanye nesikhumba se-squamous epithelial kanye nolwelwesi lwamafinyila osekuvele kuthuthele engxenyeni yamathumbu eyayikhipha indle ngesikhathi somlando wokuthuthuka yayingasenayo indawo yokuhlala, ngenxa yokuthi ukugcinwa kwangaphakathi kwezicubu zomzimba nezingxenye zesikhumba ezazifudukile kwakufudukile nakho.

Kusukela engxenyeni yesi-5 ye-Lumbai kuya phambili, yonke indawo yokuhlala "yezingxenye ezifudukayo" kwakudingeka iqondiswe kabusha ngentambo yomgogodla. Ngakho-ke, endabeni ye-paraplegia, lezi zingxenye (isinye kanye ne-anal sphincter, imisipha yomlomo wesibeletho nemisipha yangasese, kanye nemisipha yesinye kanye ne-rectal ampullary kanye ne-squamous epithelial mucous membranes ehlobene ne-squamous epithelial mucous membranes) zikhubazekile, kuyilapho wonke umzila wesisu uzwela. i-parasympathetically ingenakuvinjelwa yimizwa yozwela kanye ne-vagal. Ngoba ukunikezwa kwabo akuhambi ngentambo yomgogodla.

Uma kukhulunywa nge-sympathicotonia ne-parasympathicotonia (= vagotonia), umuntu kufanele manje enze umehluko ocacile:

I-Sympathicotonia yesifo sikashukela Izitho ezilawulwa yi-Altbrain

ukuthula
Umsebenzi owehlisiwe wepheshana lesisu kanye nama-appendages awo

i-vagotonia Izitho ezilawulwa yi-Altbrain

umsebenzi owandisiwe isibonelo:
ukwanda kwe-peristalsis
ukwanda kwemfihlo
ukwanda kokumuncwa
ukwanda kokudla kanye nokugaya
ubuthongo

I-Sympathicotonia yezitho ezilawulwa yi-cerebrum

ukwanda kokucindezeleka, umzabalazo wokuphila, umzimba uphapheme kakhulu. Zonke izitho ezilawulwa yi-cerebrum ziye zanda i-metabolism futhi zihlala ziqaphile. Umzimba uyakwazi ukusebenza okuphezulu kakhulu maqondana nendawo yawo.

I-Vagotonia yezitho ezilawulwa yi-cerebral

Ukuphumula ekusebenzeni okuphezulu. Ukubuyiselwa nokuvuselelwa kwazo zonke izitho ezilawulwa yi-cerebrum ngesikhathi sokulala noma sokuphumula. Onogada abadingeka kakhulu kuphela (izindlebe, iphunga, ...) abasavulwa ukuze babike ukusondela kwesitha.

ikhasi 182

Nakuba kusukela esigabeni sokuqala sokukhula kuya esigabeni samanje sokuthuthuka, i-tonic enozwela kanye ne-parasympathetic ibilokhu ifana, imisebenzi yabo ishintshiwe yi-cerebral revolution yomlando wethu wokuziphendukela kwemvelo, okungukuthi, ngokuthuthukiswa kobuchopho, ngoba ubuchopho obudala nezitho ezilawulwa yiyo kanye ne-Cerebrum nezitho ezilawulayo ehluke ngokuphelele.

Lokhu kuhlotshaniswa okubalulekile kunzima kakhulu kwabaningi ukuba bakuqonde, nokho kuye kwanikeza isihluthulelo sokutholwa komuthi omusha.

Lokhu okutholakele kufanele empeleni kuqede isidakamizwa se-polypragmatic "fiddling" yemithi evamile noma yezwe - nakuba esimweni esiphuthumayo akufanele senze ngaphandle kwezidakamizwa ezibalulekile ngempela ezandleni zabantu abanolwazi - ngoba uma udokotela oshiseka ngokweqile efuna "ukuphuza umuthi." indlela", sibuze sambuza: “Yini imithi yakho okufanele ibe nomthelela kuyo, ithoni yozwela noma ithoni ye-parasympathotic (= vagotonia)? Ngicela, iyiphi ingxenye yobuchopho?”

Ngokuvamile akasazi ukuthi athini. Ngoba, njengoba ucwaningo olungenakubalwa luye lwabonisa, akalokothi ayidle imithi!

ikhasi 183

9.3 I-parasympathetic nervous system

ikhasi 184

9.4 Uhlelo lwezinzwa olunozwela

ikhasi 185

"Inethiwekhi ye-telegraph" ezwelayo ikakhulukazi ithuthukiswa ekupheleleni kubantu nasezilwaneni eziphakeme, ngoba uma kwenzeka kuba nesidingo sokuphunyuka, ukuzivikela noma ukuhlasela, ukuhanjiswa komlayezo ozwelayo-nozwela kufanele kusebenze ngokushesha. Noma yikuphi ukubambezeleka okuncane kungase kubangele ukufa komuntu. Ngakolunye uhlangothi, ukususa noma ukuphumula ekulweni kungathatha imizuzwana embalwa ubude.

Umzimba wethu uqukethe izitho nezinhlelo zezitho ezisebenza ngokuyinhloko ukubuyisela amandla, ukugcwalisa amandla asetshenzisiwe, nokuhlela izinto "zomugqa ongaphambili." Lokhu kuhlanganisa, isibonelo, umgudu wangempela wamathumbu. Nakuba leli pheshana lesisu laqala ukunwetshwa lisuka emlonyeni liya endunu, ingxenye yalo yagcwala i-ectoderm yomgodi womlomo kanye ne-perineum ngesikhathi sokuziphendukela kwemvelo, futhi namuhla lisuka ekugcineni kwe-duodenum liye kumasentimitha angu-12 ngaphezu kwe-anus. Kodwa-ke, kulezi zindawo ezikhule kakhulu, i-adenoepithelium yamathumbu endala isagcinwe kakhulu ekujuleni njengongqimba olungezansi.

I-innervations ephikisanayo manje ingaphinda ihlasele isitho esisodwa kanye nesinye, isibonelo esiswini: I-innervation ezwelayo, engaholela kumdlavuza we-gastric ulcer, ekugoqeni okuncane kanye ne-bulb ye-duodenum lapho sithola khona i-squamous epithelia i-parasympathetic ( main) ukuhlala ngaphakathi, okubangela i-peristalsis ezolile yokugaya.

Okufanayo kusebenza esibindini nasemphinjeni nakwezinye izitho eziningi. Okwamanje asikazi kahle ukuthi zikhona yini izitho neqembu lezitho ezingabanjwa “intambo” eyodwa kuphela futhi zingancishiswa ngenye “izintambo”.
Nokho, ukuze sicabangele, kubaluleke kakhulu ukwazi imisebenzi ehlukene yalezi zinso. Uma, ngokwesibonelo, isiguli esasinesifiso sokudla ngaphambili sasise-vagotonia, ngokuzumayo singasafuni ukudla, sithola isifiso sokuhlanza lapho sidla, futhi umphimbo waso ubonakala uminyene, khona-ke akasekho ku-vagotonia, kodwa use usuvele une-sympathicotonia futhi. Futhi emacaleni angu-9 kwangu-10 wathumba ingxabano yokwesaba. Ungavame ukuqagela lapho ukungqubuzana kokwesaba nokwethuka kuqale kuphi ngokusekelwe ekutheni yisiphi isitho esisabela ngokuyinhloko.

Noma uma isiguli esasinezandla ezibandayo ngaphambili, singenaso isifiso sokudla futhi singalali ebusuku, kodwa sasihlale sicabuza ngengxabano yaso, ngokuzumayo sinezandla ezifudumele, sidla kahle futhi futhi siphinde silale kahle futhi sikhathele futhi sikhathele, khona-ke. siyazi nje ukuthi isimiso sezinzwa esizimele sishintshile nokuthi isiguli asisekho ezwini lokuzwelana, kodwa sithole i-parasympathicotonia noma i-vagotonia. Zombili zinemiphumela yokwelapha esheshayo kudokotela omuhle. Ngakolunye uhlangothi uyazi ukuthi kumelwe azame ukuxazulula ukungqubuzana kwesiguli ngokushesha ngangokunokwenzeka, uma kungenzeka, ngakolunye uhlangothi, uyazi ukuthi kufanele manje anake izinkinga zenqubo yokwelapha!

ikhasi 186

Isimo se-innervation sesistimu yezinzwa ezizimele noma isimo semifino, esingashiwongo kunoma yimaphi amarekhodi ezokwelapha kulezi zinsuku, sihlala sibaluleke kakhulu! Futhi njengoba kungekho ukubaluleka okunanyathiselwe kulokhu kuze kube manje, azikho izindlela zocwaningo ezenziwe ukuze kulinganiswe umehluko.

Sizobona lapho sixoxa nge-leukemia ukuthi inani le-erythrocyte¹⁴⁵ i-cubic millimeter ngayinye kanye ne-hematocrit inganquma ubudlelwano phakathi kwevolumu ye-erythrocyte kanye ne-plasma yegazi, kodwa ngeke futhi ilinganise ukuthi inani lelo liphelele kangakanani. Ngoba uma isiguli phakathi nesigaba se-leukemic (vagotonic) “kuphela” sinesibalo se-erythrocyte esingu-2 million nge-cubic millimeter ngayinye kanye nevolumu ye-hematocrit erythrocyte ku-plasma engu-17%, lokho kungaba kubi ngezindinganiso ezivamile. Kodwa uma ubala ukuthi isiguli e-vagotonia sinegazi eliphindwe izikhathi ezingu-2 kuya kwezi-3 egazini laso, khona-ke kungokwemvelo! Yiqiniso, zonke iziguli e-vagotonia zikhathele futhi zikhathele. Uma isiguli se-leukemia sifana, khona-ke kuthiwa kungenxa ye-anemia^{146 147} ekhathele futhi ekhathele. Iqiniso lokuthi i-vagotonia ayibonwa njengesigaba sokuphulukisa esimweni sayo esihlukile, kodwa ibhekwa njengokugula, kubangele imiphumela engenangqondo ngokuphelele.

Kuyafana nezimpawu eziningi zezitshalo: Imfiva yayivame ukubhekwa njengento evamile ezifweni eziningi ezithathelwanayo. Namuhla lokhu kufanele kuliwe ngama-antibiotics. Eqinisweni, kuwuphawu lobuchopho lokuphulukisa, uphawu lwe-cerebral edema, kude nokuba khona noma ukuvela "kwimikhiqizo ye-bacterial metabolic" njengoba odokotela bezimpawu becabanga.

Kodwa uma isimiso sezinzwa esizimele sibaluleke kakhulu kuzo zonke "izifo", okungukuthi i-SBS, okungenani kubantu abaningi, futhi uma imithi yethu ingakaqapheli lokhu kwehluka okuzimele phakathi kozwela kanye ne-vagotonia, khona-ke wonke umuntu angacabanga ukuthi iyiphi indlela. Isimo lo muthi usebenzile kuze kube manje!

¹⁴⁵ Ama-erythrocyte = amangqamuzana egazi abomvu
¹⁴⁶ An- = ingxenye yegama elisho un-, -los, -ngenalutho
¹⁴⁷ I-anemia = i-anemia

ikhasi 187

Isigqi sezitshalo phakathi kokushuba nokululama, imini nobusuku, umsebenzi wokungqubuzana kanye nesigaba se-pcl sokuphulukisa sinezilinganiso ezinkulu nakakhulu: singena emijikelezweni emikhulu yesigqi efana nomjikelezo wenyanga, umjikelezo wesizini kanye nomjikelezo wempilo. Ngaphezu kwalokho, izigqi ezinkulu zishintshwa amathonya amaplanethi nezinkanyezi ezinkulu, ikakhulukazi ilanga.

Abantu bebelokhu becabanga ekuseni njengomntwana osanda kuzalwa, njengoba nje babecabanga intwasahlobo njengomntwana osanda kuzalwa. Ngokuvumelana nalokho, babona ngeso lengqondo ubusuku nemini nekwindla nobusika njengokuphela kokuphila. Phakathi kulele umvuthwandaba wokuphila, amandla okudala, inzalo, konke lokho okuthiwa impumelelo yabantu. Uma sidlulisela isithombe salezi sigqi esingokwemvelo semvelo esizimweni zangaphakathi "zesifo somdlavuza", khona-ke isigaba esisebenzayo, esizwelayo empeleni siyisigaba samandla anamandla agxilile lapho inkinga ibhekwana nayo ngendlela egxilile. Umzimba ukhipha zonke izitobhi futhi uvumele yonke into igijime ngesivinini esigcwele ukuze inqobe ukungqubuzana ngawo wonke amandla ayo! Lapho ujenene ehola ibutho lakhe ngamandla agxilile ngokumelene nebutho lesitha ngendlela efanayo, wonke umuntu ubona lokhu njengohlakaniphile futhi obona kude. Uma umzimba wethu wenza okufanayo, thina bafundi bemilingo sikubona njengokugula. Iqiniso lokuthi kufanele siphumule ebusuku emsebenzini wosuku nokucindezeleka, ukuthi izilwane zilala ebusika kuze kube yintwasahlobo, sithola konke lokhu kuyinto evamile ngokuphelele. Kodwa iqiniso lokuthi umzimba wethu siqu, ngemva kokulwa nokungqubuzana kwezinyanga usebenzisa zonke izinqolobane zokugcina zamandla, ngezinye izikhathi zidinga izinyanga ezimbalwa zokuphumula nokuphumula ngemva kokuxazulula le ngxabano enzima yinto okungekho muntu ongayiqonda;

Ngokuyisisekelo, “isifo sethu somdlavuza” “simane” siyisigqi esinengqondo nesidingekile, esikhangayo, sezitshalo, njengoba imvelo isinikeza iphethini yaso yonke indawo. Imodeli yesigqi se-vegetative iyisimiso semvelo!

ikhasi 188

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10 Ukutholakala kwe-HAMER'S HERD - uhlaka lomlando

Amakhasi 189 kuya ku-289

Uma, njengoba lokhu sekukhona, i-tomogram yekhompiyutha yobuchopho ithola ukunqwabelana kwe-glial ebuchosheni okungangcoliswa kalula nge-contrast medium, khona-ke ukuxilongwa kuvame ukucaca: isimila sobuchopho.

Ngo-1982 - unyaka ngemva kokutholakala kwemithi emisha - ngakwazi ukuthola i-Hamer focus enkulu (HH) esigulini esinengxabano yendawo esigabeni sokuphulukisa kanye nezigameko zokuhlaselwa yinhliziyo enkingeni ye-epileptoid. Kusukela lapho kuya phambili ngabona ukuthi awekho amathumba ebuchosheni, kodwa ukuthi lezi zimo kufanele zonke zihlobane nesigaba sokuphola sokungqubuzana kwezinto eziphilayo.

Umhlambi we-Hamer - leli gama livela kubaphikisi bami, ababiza ngokudelela lezi zakhiwo ezisebuchosheni engangizitholile "umhlambi we-Hamer ongaziwa" - manje ngayibhekisisa le mihlambi yama-Hamer futhi ngokushesha ngakwazi ukubona labo okwakucatshangwa ukuthi ngibonile ukwakheka kwabo. kusukela ekuqaleni kwesigaba sokuphulukisa kungalandela. Kodwa njengoba ngase ngivele ngiwutholile ngokushesha umthetho wezinhlobo ezimbili zezifo, ngangazi ngokwemvelo ukuthi yonke inqubo enjalo yesigaba sokuphulukisa ihilela inqubo ephikisanayo.

Ngeshwa ezigulini eziningi, izilonda zikaHamer zalungiswa ngesikhathi sesigaba sokuphulukisa ngokufakwa kwamaseli e-glial (izicubu ezixhumene). Lokhu kuhambisana nokuqina okukhulayo kwezicubu, kodwa kuhlala kungenayo izimpawu inqobo nje uma umzimba ungaphinde ugule ngenxa yokungqubuzana endaweni efanayo.

Kwavela ubunzima obukhulu:

1. Nginomdlavuza - futhi vele ngagxila kulesi sifo
Ngaleso sikhathi, ngenxa yokuthi ngangikholelwa ukuthi ngangithole kuphela izindlela zokukhula komdlavuza - kwakuwumkhuba futhi akuwona umkhuba ovamile ukwenza i-CT scan yobuchopho ngaphandle uma kunezizathu ezizwakalayo zokusola "ama-metastases obuchopho". Ezimweni zomuntu ngamunye kwakunzima kakhulu ukwenza i-CT yobuchopho enjalo. Njengoba ama-CT scan ayemba eqolo ngaleso sikhathi, abantu babenenhlanhla uma bengathola uchungechunge olulodwa lwe-CT scans yobuchopho.

ikhasi 189

2. Ngaqala ngqa nge-topography¹⁴⁸ zomhlambi kaHamer ebuchosheni futhi lokho kwakunzima kakhulu, ngoba uma ubona okuthile ebuchosheni, khona-ke kungaba inqubo endala eseyenziwe kakade futhi engasahlangene nokungqubuzana kwamanje kwesiguli. Ngaphezu kwalokho, ngangingazi ukuthi isiguli sasinayo yini enye i-carcinomas eyayingakatholakali, okungenzeka futhi ngezinqubo zakamuva noma izingxabano zamanje kakhulu zezinto eziphilayo.

3. Ngithole ukungqubuzana okukhulu okunokuqukethwe okungqubuzana okufanayo, manje engikwaziyo ukuthi kwakuhlanganise ama-relay amaningana ngokugxila okukodwa kwe-Hamerian, okungukuthi isiguli sasihlangabezane nengxabano eyodwa noma ngaphezulu eyayinezici ezihlukile zokungqubuzana, konke ngomzuzwana owodwa we-DHS. wayeshaye isiguli futhi bonke bahlanganiswa ndawonye ku-Hamer focus enkulu.
Kwakukhona neziguli ezazine-Hamer foci eziningana ezingxenyeni ezihluke kakhulu zobuchopho ngesikhathi esisodwa. Kodwa zonke lezi foci zazinento eyodwa efanayo: kwakufanele zimele isigaba sokuphulukisa uma isiguli sibonisa zonke izimpawu zesigaba se-PCL esixazululiwe.

4. Ngaphezu kwakho konke lokhu i-Hamer foci esigabeni sokuphulukisa, kwakudingeka kube nokwakheka okuthile ebuchosheni okwakuzodingeka kwenziwe kubonakale ngolunye uhlobo lwemishini ezohambisana nalokhu kungqubuzana esigabeni esisebenzayo. Ngezinye izikhathi ngangibona iziyingi ezimise okumise okuhlosiwe, kodwa lapho ngibuzwa, izazi ze-radiologist zazihlale zizichitha ngokumamatheka okupholile njengeziyindilinga zamathuluzi. Kwakukhona futhi izakhiwo eziyisiyingi, zombili lezo ezisuka ku-Falx¹⁴⁹ zazilinganiselwe kanye nalezo ezibonakala zikhawulelwe unqenqema oluseceleni lwesithombe se-CT.

5. Ukusebenzisana kodokotela be-radiologist cishe kwaba ngu-zero. Abaningana babo babenomshini wemisebe futhi benza lokho okubizwa ngokuthi ukwelapha nge-X-ray. Futhi labo engangisebenza nabo bangaphambili babengenakukwazi ukukholelwa ukuthi imiphumela yami yayingenzeka. Abanye bangitshele ngokungagunci - ababaningi ochwepheshe be-radioologist ababenomshini we-CT ngaleso sikhathi - ukuthi kusukela lapho becabanga ukuthi imibono ka-Hamer ingenzeka, babengeke besalithola i-oda elilodwa emitholampilo. Uma ngabe kwenziwa i-CT scan yobuchopho, ngokuvamile kwakuwukuthola kuphela "isimila sobuchopho" noma "ama-metastases obuchopho".

¹⁴⁸ I-Topography = incazelo yezindawo
¹⁴⁹ I-Falx = ipuleti elihlukanisayo elimise okwesikela phakathi kwama-cerebral hemispheres amabili

ikhasi 190

6. Njengoba ngingenalo umshini wami we-CT, angizange ngibe nethuba lokuhlola okuhleliwe noma ukuphinda ukuhlolwa ngenye indlela yokusika. Sasingathola kuphela “okuwa etafuleni lenkosi yethu,” futhi kwakungekuningi lokho. Ngokuvamile kwenzeka ukuthi i-tomograms yekhompyutha ayizange inikezwe iziguli. Kodwa awukwazi ukwenza lutho ngokuthola okubhaliwe.

7. Ngangazi futhi ngazi umhlambi wakwaHamer noma lezo ebengicabanga ukuthi zikhona, kodwa ezesigaba sokuphulukisa. Ngathumela ukuthi lezi foci ze-Hamer kumele ngabe sezivele zikhona esigabeni sokungqubuzana, kodwa lokhu akuzange kuvunyelwe izazi ze-radiologists: "Mnuz Hamer, asiboni lutho lapho".

8. Ngabona izilonda eziningi zika-Hamer, kodwa angikwazanga ukucabanga noma yiluphi uhlobo lomdlavuza, isibonelo i-motor kanye nezinzwa.¹⁵⁰ kanye nama-periosteal sensory relays ebuchosheni, angawubangi umdlavuza ezingeni lesitho, kodwa ngokuvamile alingana nomdlavuza. Kodwa ngangingazilindele lezi zifo, umdlavuza kuphela. Futhi yingakho kwakuvame ukwenzeka kimi ukuthi nginenqwaba ye-foci ka-Hamer kunalokho engangikufuna ngempela, futhi ezimweni lapho isiguli sinomsebenzi owodwa wokungqubuzana kuphela futhi singenaso isisombululo sokungqubuzana kwaso, akukho lutho olutholakalayo.

Ngokuvamile kwenzeka ukuthi isiguli sinesimila esikhulu futhi "akukho lutho" olutholakala ku-tomogram yekhompyutha yobuchopho. Abanye babenesimila esincane esasisesigabeni sokuphulukisa futhi isilonda esikhulu sikaHamer satholakala ebuchosheni.

Ngangingenakho okunye engangingakwenza ngaphandle kokulandela indlela yawo wonke usosayensi wemvelo futhi, njengengcweti enekhono elinokuphefumula okungu-99% kanye nokuphefumulelwa okungu-1%, ngiqhathanise wonke ama-tomogram ekhompiyutha obuchopho angenzeka, kuhlanganise nokutholwa kwesitho esihlobene noma okuthiwa kuhlotshaniswa, namanye ama-CTs obuchopho. kwaphinde kwaba nokunye okutholwe ngesitho.

Ekuqaleni kwakunobunye ubunzima: Ngangingakwazi ukuhlukanisa phakathi kwesandla sobunxele nesokudla, ukuze, njengoba ngazi uma ngibheka emuva, ngangiyowenza amaphutha kaningi ukube ngangingaqali ngaso sonke isikhathi ngesitho. Kusukela esithweni kuya ebuchosheni noma kusukela ebuchosheni kuya esithweni, ukuhlobana kuhlale kucacile. Ukuba kwesokunxele nesokudla kubalulekile kuphela uma kukhulunywa ngokuhlobana phakathi kwengqondo nobuchopho noma ubuchopho kanye nengqondo.

¹⁵⁰ izinzwa = eziphathelene nezinzwa zokubona, ukuzwa, ukunambitha nokuhogela

ikhasi 191

Ngakho-ke isibonelo: noma owesifazane osebenzisa isandla sokudla uthola ama-hemorrhoids kusukela ekungqubuzaneni kobunikazi esigabeni sokuphulukisa noma owesilisa ongakwesokunxele uthola ama-hemorrhoids ngenxa yolaka lwendawo, futhi esigabeni sokuphulukisa. Kodwa ngiyibona ohlangothini lwesobunxele lwe-cerebrum ku-lobe yesikhashana yesokunxele¹⁵¹ isilonda sikaHamer esine-edema endaweni ethile, khona-ke isiguli kufanele sihlale sine-hemorrhoid - okungukuthi, isilonda se-rectal squamous epithelium esigabeni sokuphulukisa. Ngokuphambene, uma isiguli sinezilonda ze-rectal esigabeni sokuphulukisa, okungukuthi ama-hemorrhoids, khona-ke uhlala enokugxila kwe-Hamer esigabeni sokuphulukisa ebuchosheni kuleli phuzu ku-lobe yesikhashana yesokunxele.

Kwakungenzeka kuphela ukuthi ekugcineni ufunde ukuhlukanisa phakathi komdlavuza kanye nezilinganiso zomdlavuza ngesisekelo samakhulu amaningi futhi kamuva izinkulungwane eziningi zama-tomograms ekhompiyutha obuchopho, bese unquma indawo efanele noma i-topography ehambisanayo esithweni. Kumele kugcizelelwe ukuthi emisebenzini eminingi yomzimba, njengokuzwela kwe-periosteal, okuhlanganisa lonke uhlelo lwethu lwamathambo, kwakukhona indawo engenalutho kumephu yobuchopho kanye nemephu yezitho ngoba le periosteum ngakho-ke ingahlolwa kabi. noma cha. Ukuzwela kwePeriosteal akubikwa kunoma iyiphi incwadi.

10.1 Ama-artifacts okuthiwa yindandatho yobuchopho ku-tomogram yekhompyutha eyahunyushwa kabi izazi ze-neuroradiologists cishe iminyaka engamashumi amabili.

Ingxabano yasala phezu kwalokho okubizwa ngama-artifacts endandatho, akhona, kodwa engiwabone kanye kuphela cishe esigulini ngasinye sekhulu futhi engangisibuka njengomhlambi ka-Hamer ekucushweni okuhlosiwe kokudubula, okungukuthi isigaba sokungqubuzana. Ama-artifact endandatho asolwayo, okuhlukile okumbalwa okucace kakhulu, ngiphikisene kakhulu nami, noma kunalokho kuthiwa yimihlambi ka-Hamer ekucushweni okuhlosiwe kokudubula, ahlala ephikwa ochwepheshe be-radiologist njengamaqiniso futhi abhekwa njengama-artifact, okungukuthi okokwenziwa. imikhiqizo yemishini .

¹⁵¹ okwesikhashana = okwasethempelini

ikhasi 192

Iminyaka eminingi, kwenziwa imizamo yokuthi kumane kubekwe eceleni lezi zenzakalo. Ekugcineni, ngathola icebo elihle, elangizuzisa ngeziqu zami ze-physics zesemester engu-12. Ngithinte inhloko yomnyango we-computer tomography enkampanini ekhiqizayo i-Siemens, uMnu. Feinor, “ngokukhathazeka.” Saba nomhlangano omnandi lapho ngambuza khona ukuthi sobabili singathanda ukunquma ndawonye ukuthi iyiphi imibandela okufanele ihlangatshezwane ne-artifact yendandatho futhi lapho kuqiniseka ukuthi yayingekho i-artifact yendandatho. UMnu. Feindor ungunjiniyela futhi asizange sibe nezinkinga nhlobo ekunqumeni izimo okufanele noma okungafanele kuhlangatshezwane nazo kulokhu noma kuleso simo. Lokho kwakungoMeyi 18.5.90, 22.5.90. Isivumelwano sokugcina sasayinwa ngoMeyi XNUMX, XNUMX. Kusukela lapho, sekuqubuke ukwethuka kwangempela phakathi kwama-neuroradiologists. Sakuzwa lokhu ngokushesha lapho sihlela uchungechunge lwezivivinyo kwa-Siemens engxenyeni yesibili yonyaka.

ikhasi 193

Idokhumenti evela ku-Siemens:

ikhasi 194

Uhlaka lwephrothokholi ehlanganyelwe yocwaningo oluhleliwe ochungechungeni lwe-CT lweziguli ezivolontiya ezinezakhiwo eziyindilinga ku-CT yobuchopho, olwavinjelwa (bona umbhalo)...

ikhasi 195

Ngacela uMqondisi u-Feinor ukuthi anginike ithuba lokwenza uchungechunge lokuhlola kudivayisi ye-Siemens yemboni e-Erlangen, okufanele ihlale cishe amasonto amane. Ngemva kwalokho, kwakuzomenywa inani lezazi ze-neuroradiologists, okwakufanele ziqinisekise, kanye no-Siemens, ukuthi amacala athulwe awanakuba ama-artifact, kodwa kunalokho amelela okutholakele kwangempela, okungukuthi amaqiniso.

Usuku lwale ngqungquthela ehleliwe lwaluhlehliswa njalo kwaze kwaba ngolunye usuku umuntu ophethe kwa-Siemens wangitshela ngokuzethemba: “Mnu.
Ekulungiseleleni le ngqungquthela, senze zonke izinhlobo zokuhlola okwakuvunyelwene ngazo ekuqaleni no-Siemens, njengokuhambisa isiguli ngamasentimitha angu-2 ukuya kwesokunxele ukusuka endaweni emaphakathi ngesikhathi sokuskena kwe-CT, noma bese siwahambisa amanye amasentimitha angu-2 kwesokudla ukuze sibone ukuthi ukucushwa okuhlosiwe kuhlala kuhlala endaweni efanayo ebuchosheni, okwenzile. Noma sizame ukuhlola ukulandelela esigulini esisodwa ngezikhathi ezivamile ngangokunokwenzeka, sisebenzisa izikena ezihlukene uma kwenzeka, ukuze sibone ukuthi ukucushwa okuhlosiwe kuqhubeke kanjani.

Kuphinde kube yinkomba eqinisekile yokutholwa kwangempela uma ukulungiselelwa okuqondiwe kwenzeka kuphela ngenani elithile lezendlalelo, kodwa hhayi kwezinye izendlalelo.

Phakathi nakho konke lokhu kuhlolwa, okwakuthatha isikhathi esiningi nomzamo kanye nokuncenga okuningi kodokotela be-radiologists, sathola into emangalisa ngokuphelele: isazi se-radiologist sake sathi sabona lezi zinhloso zokudubula ezithweni nokuthi kwakufanele ngempela izinto zobuciko .

Kusukela ngaleso sikhathi kuqhubeke, ngaba nentshisekelo enkulu ekucushweni kwethagethi yesitho esinjalo futhi ngaphenya ngokuhlelekile. Ngithole ukuthi ezithweni ezihlangene lapho singenza khona ama-CT scans, njengesibindi, i-spleen, i-renal parenchyma.¹⁵², amathambo, nokunye, ukucushwa kwethagethi yokudubula kwenzeke ngempela, kodwa ngokuvamile bekubonakala ekuqaleni, ngokunokwenzeka kuphinde kubonakale ngokuhamba kwesikhathi lapho ithambo libalwa kabusha. Iqiniso elimangalisayo lavela ukuthi ubuchopho nesitho ngokusobala ziyahambelana ekucushweni kwethagethi yokudubula nokuthi lezi zinhloso zokudubula nazo zinenkambo ethile esithweni. Isibonelo, sibona kuphela isibindi sodwa ekuqaleni¹⁵³ I-Liver carcinoma ukucushwa kwethagethi yakudala yokudubula.

¹⁵² I-Parenchyma = izicubu zesitho esithile
¹⁵³ yedwa = ongayedwa, ongashadile

ikhasi 196

Kamuva, i-solitary yesibindi carcinoma iba mnyama ku-tomography futhi ayisabonisi ukucushwa okuhlosiwe. Endabeni yokwelashwa kwemvelo nge-TB, ngokuqinisekile siyawabona amacebo amasongo okubala, ikakhulukazi uma wawungekho umhume ophelele, okungukuthi imbobo esibindini, kodwa uma i-carcinoma yesibindi yayimile phakathi nendawo futhi esimweni sokuphulukiswa kofuba lwemvelo. isilonda esiyindilinga sodwa sasidinga nje ukuncishiswa. ("I-Sponge Cavern").

10.2 Ubuchopho bekhanda kanye nobuchopho besitho

Uma ubheka yonke into kahle, ngakolunye uhlangothi sinobuchopho bekhanda esibaziyo sonke. Ngakolunye uhlangothi, kunamangqamuzana esitho, ngalinye linenucleus yengqamuzana. Wonke amaseli esitho axhumene namanye futhi i-nucleus yeseli ngayinye, okungukuthi ubuchopho obuncane, buxhunywe nabo bonke ubuchopho obuncane emzimbeni.

Singabuka isamba salezi zibongo ezincane njengobuchopho besibili. Lokhu kuzobe kusho ukuthi uma kuba nokungqubuzana kwezinto eziphilayo, indawo yobuchopho bekhanda, esiyibiza ngokuthi i-focus ka-Hamer, izobe ixhumana nenye indawo yobuchopho besitho, ebesiyibiza ngokuthi umdlavuza noma ilingana nomdlavuza. noma ukushintsha kwesitho.

Endabeni ye-stimulus yezinzwa, isibonelo, ubuchopho bomzimba buhambisa ulwazi ebuchosheni bekhanda;

Okwamanje asikazi kahle ukuthi kwenzekani nge-electrophysiologically kumaseli ngamanye obuchopho nezitho noma okwenzeka ezindaweni ezijwayelekile noma ama-relay, kodwa lolu lwazi aluyona imfuneko yomsebenzi wethu womtholampilo ngalokhu okutholakele okucacile.

10.3 I-Hamer igxile esigabeni se-ca kanye nesigaba se-pcl

Ku-DHS, isikhungo sokudluliselana esinesibopho ebuchosheni simakwa kusetshenziswa lokho okubizwa ngokuthi ukulungiselelwa kwethagethi yokudubula. Imibuthano ecijile yakha enkabeni yalesi sidluliseli, futhi siyibiza ngokuthi yimibuthano egxilile, ebukeka njengamathagethi okudubula. "Ithagethi yokudubula" isho ukuthi isitofu se-Hamer sisesigabeni sokulwa.

ikhasi 197

Indawo ayizivezi ngenhlanhla, kodwa iwukudluliswa kwekhompyutha “okuhlobanisa” umuntu okwesibili kwe-DHS ngokuya ngokuqukethwe kokungqubuzana; Kusukela kulokhu kugxila kuka-Hamer, ngomzuzwana ofanayo we-DHS, isitho esihambisana nokugxila kuka-Hamer sithintwa umdlavuza.

Njengoba ukungqubuzana kuqhubeka, ukugxila kuka-Hamer ebuchosheni nakho kuyaqhubeka, okungukuthi indawo ehlala ikhudlwana iyathinteka noma indawo lapho ithintekile iguqulwa kakhulu ngokusebenzisa i-real cell mitosis (ngakho kungqimba lwegciwane elingaphakathi kanye nasendaweni elawulwa yi-cerebellum yongqimba lwegciwane oluphakathi), ngenxa ye-necrosis "enkulu" (njengasengxenyeni elawulwa yi-cerebral medulla yongqimba lwamagciwane oluphakathi), ngezilonda. ezinkulu, ezibanzi kakhulu, ngenxa yezilonda eziningi ezincane (njengasengqimbeni yamagciwane yangaphandle).

Ephepheni lami lokuqala elivela ku-1984: "Umdlavuza - ukugula komphefumulo, i-short circuit ebuchosheni ..." Ngabhekisela kulokhu kugxilwa kuka-Hamer esigabeni sokungqubuzana njengesifunda esifushane ngoba sasingazi lutho ngezinqubo ze-bioelectrical. Namuhla angisakubizi kanjalo, ngoba ngokujikeleza okufushane ngokuvamile sisho ukungasebenzi kahle ohlelweni. Kodwa-ke, lokhu kuyingxenye yesitofu sikaHamer. Singasho ukuthi kuwukuphazamiseka kohlelo oluvamile, kodwa lokho okulindelwe umzimba ngokuqinisekile.

Kodwa ngisho nokuphazamiseka kwegama akufanelekile ngoba kuwuhlobo oluthile lwesimo esiphuthumayo noma uhlelo olukhethekile. Lokhu kusho ukuthi uma umuntu “ebanjwa onyaweni olungalungile” ngokungalindelekile esimweni abengasilindele, uhlelo oluphuthumayo esilubiza ngokuthi ukungqubuzana kwebhayoloji luyangena futhi luhlose ukubuyisela umuntu esigqi esijwayelekile. Lolu hlelo oluphuthumayo alubhekiseli kumuntu kuphela, kodwa futhi luhlanganisa amalungu amaningana noma amaningi ohlobo olufanayo futhi lungabhekisela emndenini noma emndenini.

Isibonelo: Umama ubona ingane yakhe eneminyaka emithathu yenza ingozi futhi iquleka phambi kwamehlo akhe. Uma lena kuyi-DHS kamama, iqala ukungqubuzana kwezinto eziphilayo, futhi ecacile kakhulu, okungukuthi ukungqubuzana kokunakekelwa komama/kwengane. Lokhu kungqubuzana kwemvelo kunencazelo ekhethekile kakhulu enenjongo kuwo wonke amazinga ama-3: ezingeni lezengqondo, konke ukucabanga nokwenza kugxile ekubeni ingane iphinde ibe nempilo. Ezingeni lobuchopho, sibona ukugxila okumise okwe-Hamer ku-cerebellum esecaleni engakwesokudla yowesifazane osandla sokudla, okusibonisa ukuthi umsebenzi wokungqubuzana uyanda kulokhu kungqubuzana kukamama/kwengane. Ezingeni lezinto eziphilayo sibona ukuthi izicubu ze-mammary gland zowesifazane nomama ziyakhula.

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Ngakho-ke isifuba sangakwesokunxele sandisa inani elithile lezicubu ze-mammary gland, ezisetshenziselwa ukukhiqizwa kobisi. Ngokunjalo, uma ikhona, i-mycobacteria TB iphindaphindeka ngendlela efanayo Emvelweni noma kubantu bomdabu, owesifazane ophile kahle osebudaleni bokubeletha uncelisa ibele, ngaphandle kwasengxenyeni yokugcina yokukhulelwa. Ngakho umama ukhiqiza ubisi olwengeziwe ngokuphawulekayo “ebeleni lomntwana” kunangaphambili. Umphumela uba ukuthi ingane ithola ubisi olwengeziwe ngakho-ke iba nethuba lokuba ngcono ngokushesha. Uma ingane isiphile saka, kuyaqala ukuxazululwa kokungqubuzana, okusho ukuthi amangqamuzana endlala yebele ngokweqile awasadingeki ngoba manje ingane ingakwazi ukuphila ngenani elivamile lobisi futhi. Umphumela owengeziwe uwukuthi isifo sofuba siqala phakathi nenqubo yokuncelisa, ukuze ingane ithole ubisi lwesifo sofuba, olungalimazi nhlobo. Isifo sofuba sihlasela amangqamuzana endlala yebele asanda kukhula futhi awaphule. Okusalayo wumhume. Manje sesibiza yonke le nqubo ngokuthi uhlelo lwemvelo olunenjongo futhi oluhleliwe, olunyakaziswayo, olukhethekile.

Kodwa yiziphi lezi foci ze-Hamer ezisebuchosheni?, okuthi, lapho zibonakala ngokucacile, okungukuthi kakade esigabeni sokuphulukisa, zibizwa nge-neuroradiologists njengezicubu zobuchopho noma i-metastases yobuchopho; lapho zingabonakali kahle, zibangela ukudideka okujwayelekile; okuthi, lapho kukhombisa i-edema ye-perifocal enzima kakhulu futhi ukugxila kwe-Hamer kungangcoliswa kalula, kubhekiselwa kukho njengezimila zobuchopho ezikhula ngokushesha; okuthi, uma kubangela i-edema enkulu kodwa isilonda sika-Hamer singabonakali, njengoba kuvame ukwenzeka ngezilonda zikaHamer ze-medulla, zibangele ukudideka okujwayelekile, okuthi, uma zitholakala ku-cerebral cortex, zichazwe kabi njengezimila. ama-meninges kodwa ayafana ngaso sonke isikhathi: ngalinye ezahlukene Izigaba zenqubo yesitofu seHamer!

Imihlambi ye-Hamer esesigabeni sokungqubuzana, okungukuthi ukulungiselelwa kwethagethi yokudubula, ibilokhu ihunyushwa ngokungeyikho njengama-artifact emishini. Lapho kamuva ziba ne-edema futhi zaba lokho okubizwa ngokuthi amathumba ebuchosheni, isazi se-radiologist ngokuvamile asizange sizihluphe ngokuthola ukuthi lesi simila sobuchopho okwakucatshangwa ukuthi sasike sabonakala njengokucushwa okuhlosiwe, okungukuthi, njengokugxila kuka-Hamer esigabeni sokungqubuzana. Njengoba inkampani ye-SIEMENS kanye nami sisayine iphepha okukhulunywe ngalo kulesi sahluko, ingxoxo mayelana nezinsolo zobuciko kungenzeka ukuthi isiphelile ekugcineni. Kwakungamaqiniso: okungukuthi, okuhlosiwe kwakusho isigaba esisebenza ngokungqubuzana endaweni ethile edluliswayo noma iqembu lokudluliselana ebuchosheni.

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Ngokwencazelo, izimila zobuchopho azikho: amangqamuzana obuchopho awasakwazi ukuhlukana ngemva kokuzalwa, ngisho nangaphansi kwezimo ebezingahunyushwa ngokungeyikho ngaphambili njengezimila zobuchopho. Ngakho umane ngaphandle kwemibandela. Okungakwazi ukuzala i-glia engenangozi, izicubu zobuchopho ezixhumeneyo, ezinomsebenzi ofanayo ncamashi nezicubu ezixhumeneyo zomzimba wethu. Akekho ongahlukanisa amaseli e-glial nganoma yisiphi isiqiniseko ngokomlando wabo wokuthuthuka. Ngokusekelwe endleleni eziziphatha ngayo ebuchosheni, kunezinsolo eziqinile zokuthi ziyimvelaphi ye-mesodermal. Lokhu kuphakamisa ukuthi ukufakwa kwe-glial kwenzeka njalo ku-relay yobuchopho ngesikhathi sesigaba sokuphulukisa. Ngakolunye uhlangothi, siyazi ukuthi ama-neurofibromas ayavela noma iseli liphindaphindeka esigabeni sokungqubuzana. Kodwa lokho akukhona ukuphikisana, ngoba siyazi ukuthi izitho ze-mesodermal zihlanganisa zombili izitho ezilawulwa yi-cerebellum nezitho ezilawulwa yi-cerebral medulla. Iqembu langaphambili lenza ukwanda kwamaseli esigabeni sokungqubuzana futhi iqembu lesibili lenza ukwanda kwamaseli esigabeni sokuphulukisa. Ngakho-ke kufanele sicabange ukuthi ama-gliomas Kokubili Yiba namakhono we-mesoderm. Lawa ma-Hamer foci agqamile, agxiliswe i-glial angukulungiswa kwento ephilayo ku-Hamer foci, isizathu senjabulo esikhundleni sokwethuka noma ngisho nokuhlinzwa kobuchopho.

Ake sihlole ukuthi kwenzeka kanjani into enjengale ngayinye ngayinye: Nge-DHS, "isikhungo sokudlulisela esinesibopho" simakwa ebuchosheni futhi ngaleyo ndlela ukugxila kuka-Hamer ekwakhekeni okuhlosiwe. Ngokushesha lapho sibona lokhu kulungiselelwa okuhlosiwe ku-CCT ku-relay ethile, siyazi ukuthi uhlelo olukhethekile lusebenza kulolu dluliselo, okusho ukuthi umzimba "wabanjwa onyaweni olungalungile" kule ngxabano, ubuchopho kanye nendawo yesitho futhi. inohlelo olukhethekile oluvuliwe.

Lolu hlelo olukhethekile luqinisekisa ukuthi umzimba ungabhekana nesimo esingalindelekile esingase singathinteki nje isiguli njengomuntu ngamunye, kodwa mhlawumbe futhi, isibonelo, iqembu lakhe lezinto eziphilayo (umndeni, umndeni, njll.). Umsebenzi wokungqubuzana, okungukuthi ukulungiswa kwethagethi yokudubula ebuchosheni, bese kuqhubeka kuze kube yilapho isimo sokungqubuzana sesixazululiwe futhi umzimba ungabuyela esimeni esijwayelekile. Kuze kube yilapho ikwazi ukwenza lokhu, noma kunjalo, umzimba kufanele ukhokhe intengo yokuthi uhlelo olukhethekile lwaqalwa ngohlobo lwesifunda esifushane, esimele uhlobo lohlelo oluphuthumayo. Intengo yisigaba sokuphulukisa, okungukuthi, ukulungiswa ezingeni lezengqondo, lobuchopho kanye ne-organic ukuze kubuyele esimweni esihle sangaphambilini. Kuphela uma lokhu sekufezwe ngesigaba sokuphulukisa, noma ukulungiswa kuwo wonke amazinga ama-3, umzimba ungabuyela esimweni esijwayelekile. Inqobo nje uma uhlelo olukhethekile eziko lakwa-Hamer lukhona ngendlela yokucushwa okuhlosiwe, okungukuthi isigaba esisebenzayo, esaziwa nangokuthi i-sympatheticotonia yaphakade, ukudluliselwa kobuchopho - njengoba singacabanga - kuthinteka kakhulu.

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Singakucabanga kanje: amandla amaningi kakhulu aphushwa emugqeni omncane kakhulu ku-voltage ephezulu kakhulu. Ikhebula liyavutha, okusho ukuthi i-insulation kuqala. Ku-bio-electrics izinto zihluke kancane, futhi ebuchosheni kufanele sicabange amangqamuzana obuchopho ahlelwe ngegridi eyinkimbinkimbi kakhulu. Ngenxa yethoni enesihawu ehlala njalo, okuyisimiso into ehleliwe (okuningi nje kwento enhle), imigqa yokuxhumana yezinzwa ze-cranial manje iya ngokuya ilimala, njengoba nje isitho somzimba sanda, sincishiswa ngobukhulu noma okungenani sishintshiwe. ngomdlavuza ukucabangela isimo esisha esingalindelekile. Kuze kube sekupheleni kwesigaba sokungqubuzana, akukho lutho olujabulisayo olwenzekayo kwa-Hamer Herd, okungenani ngokuphathelene ne-CCT, ngaphandle kokuthi ukumiswa okuhlosiwe kuhlala kungashintshi. Ku-tomogram ye-resonance magnetic, isibonelo, singabona ukuthi kunomehluko endaweni ezungezile, kodwa ibonakala ingenangqondo ngokuphelele.

Nokho, iqiniso lihluke ngokuphelele futhi singalinganisela kuphela umonakalo uma ukungqubuzana sekwenzekile. Manje esigabeni se-PCL singabona izinga eligcwele loshintsho noma umonakalo. Ngoba ncamashi ekuqaleni kwesigaba se-pcl, umzimba uqala ukulungisa umonakalo walolu hlelo olukhethekile - kungaba ukwanda kwamangqamuzana esithweni somzimba, kungaba ukuncishiswa kwamangqamuzana esithweni somzimba - futhi ngokuqinisekile ukudluliselwa kobuchopho obuthintekile.

Ngokufingqiwe ngokuhlelekile, okulandelayo kwenzeka ngemva kwe-DHS emazingeni amathathu omzimba wethu:

ezengqondo:

A.) Isigaba sokungqubuzana (ca isigaba):

Ukucindezeleka okungapheli okuzwelayo, okungukuthi, ukucindezeleka okukhulu. Isiguli sicabanga ngengxabano yaso imini nobusuku futhi sizama ukuyixazulula. Akasabuthi quthu ubuthongo futhi uma elala sekusele ingxenye yokuqala yobusuku, njalo ngemva kwesigamu sehora, uyancipha emzimbeni, akabi naso isifiso sokudla.

B.) Isigaba sokuxazulula ukungqubuzana (isigaba se-pcl):

Ukunganyakazi kuyenzeka. Ingqondo kufanele ilulame. Isiguli sizizwa sibuthakathaka futhi sikhathele, kodwa sizizwa sikhululekile, isifiso esihle sokudla, umzimba uyashisa, ngokuvamile umkhuhlane, ngokuvamile uphathwa yikhanda. Iziguli zilala kahle kodwa ngokuvamile ngemva kwehora lesithathu ekuseni. Lo mshini uklanywe ngokwemvelo ukuze abantu base-vagotonia bangalali kuze kube yilapho kuqala ukukhanya kwelanga ukuze ingozi engaba khona (isb. umhlaseli) ingabamangazi lapho belele. Iziguli zonke zilala kakhulu emini futhi ziyakuthanda.

ikhasi 201

i-cerebral:

A.) Isigaba sokungqubuzana (ca isigaba):

Ukulungiswa kwethagethi yokudubula kusitofu se-Hamer esihlobene (bona ithebula), okusho ukuthi uhlelo olukhethekile luyasebenza lapha.

B.) Isigaba sokuxazulula ukungqubuzana (isigaba se-pcl):

Ukugxila kuka-Hamer kulungiswa ngokwakhiwa kwe-edema futhi i-glia ifakwe endaweni edluliselwe ethintekile. Lokhu kubuyisela kakhulu isimo sangaphambilini, esibalulekile ezingxabano zakamuva, kodwa intengo ukuthi izicubu zincane kakhulu kunangaphambili. (Noma yiziphi izinkinga ezibangelwa i-cerebral edema kuxoxwa ngazo ezahlukweni zokwelapha.)

okuphilayo:

A.) Isigaba sokungqubuzana (ca isigaba):

Ngokwethebula kanye nomdwebo wesistimu ye-ontogenetic yamathumba kanye nezilinganiso zomdlavuza, esigabeni sokungqubuzana kukhona ukwanda kwamangqamuzana, okunencazelo ecacile kakhulu yezinto eziphilayo, noma i-cell necrosis, okungukuthi, ukulahleka kweseli noma imbobo, nayo enencazelo ethize kakhulu yezinto eziphilayo. Okushiwo ukuthi lesi simo esimangalisa kakhulu, esisibiza ngokuthi ukungqubuzana kwezinto eziphilayo, singaxazululwa ngosizo loshintsho lwemvelo olwenziwe. Ngomqondo wezinto eziphilayo, isibonelo, isilonda se-coronary siqinisekisa ukuthi i-coronary arteries inwetshiwe esigabeni sokungqubuzana, okusho ukuthi igazi eliningi lingageleza emithanjeni ye-coronary futhi amandla nokukhuthazela komuntu kuyanda. Ukwanda kwenani lamaseli e-mammary gland, isibonelo, kusiza ukunikeza ingane ubisi olwengeziwe ukuze kusheshiswe ukululama kwengane elimele, isibonelo. Ngesikhathi esifanayo, ezifweni ezindala ezilawulwa ubuchopho (manje ezibizwa ngokuthi izinhlelo ezikhethekile zebhayoloji ezinenjongo), i-mycobacteria iphindaphindeka ngokuvumelanisa.

B.) Isigaba sokuxazulula ukungqubuzana (isigaba se-pcl):

Ukulungiswa kwesimila esinomdlavuza ngokuwohloka kwe-microbial noma i-necrosis yomdlavuza ngokwakhiwa kwe-microbial kuyazama (bheka ithebula nomdwebo wesistimu ye-ontogenetic yamathumba nokulingana nomdlavuza). Sihlala sithola i-edema kokubili ubuchopho kanye nesitho njengophawu lokuphulukisa.

ikhasi 202

Ezingxenyeni ezilawulwa ubuchopho obudala, ekupheleni kwesigaba sokuphulukisa, i-parenchyma, eye yancishiswa ngosayizi ngama-caverns, iyanda ngalesi sibalo sezicubu ezinamaseli angapheli. Lokhu kusho ukuthi: ekupheleni kwesifo sofuba sesibindi noma umdlavuza wesibindi wangaphambilini, isibindi sinobukhulu obufanayo futhi futhi sinenani lamaseli afanayo njengoba sasinalo ngaphambili (i-Prometheus phenomenon).

Ngokulandelayo, uchungechunge lwezinhlelo kanye nochungechunge lwemihlambi ye-Hamer evamile luzoboniswa ngezigaba ezahlukene ukuze kusekelwe izitatimende zami kusetshenziswa izibonelo.

10.4 I-Brain Schematics

Ingqondo ye ohlangothini lwesobunxele ebonayo, okungukuthi sengathi Ingqikithi yobuchopho, ngomqondo ongokomfanekiso kungaba obala nawe ngokusebenzisa indaba yobuchopho ama-ventricles ebuchosheni noma Bona ama-ventricles e-cerebral angakwazi. Siyabona phakathi nendawo womabili ama-ventricles asecelenikel ezihambisana nomunye ekuxhumaneni ume ngesi-3 Ventricle thina bheka ngaphansi. Uketshezi lwe-cerebrospinal lungageleza lusuka ku-ventricle yesi-3¹⁵⁴ khipha ngomsele¹⁵⁵ ku-ventricle yesi-4, esiyithola ngezansi ezingeni lamapons angaphansi¹⁵⁶ kanye ne-medulla oblongata engenhla¹⁵⁷ bona.

Ama-lateral ventricles ahlanganisa izimpondo zangaphambili (ngaphambili), izimpondo ezingemuva (i-occipital) nezimpondo ezingaphansi noma zesikhashana, ezigijima ezingxenyeni zesikhashana kwesokudla nakwesokunxele. Lonke uhlelo lwe-ventricular lusekuxhumaneni.

¹⁵⁴ Uketshezi lwe-Cerebrospinal = uketshezi oluvela ebuchosheni nasemgogodleni
¹⁵⁵ Aqueduct = “umhlahlandlela wamanzi”, okungukuthi uhlobo lwepayipi lamanzi
¹⁵⁶ Ama-Pons = ingxenye yobuchopho (isiJalimane: ibhuloho), igama okungadingeki ukuba umuntu alikhumbule
¹⁵⁷ I-Medulla oblongata = 'i-medulla enwetshiwe'

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Ungene ku-choroid plexus¹⁵⁸ I-ventricle ikhiqiza uketshezi lwe-cerebrospinal. Lobu tshwala bugeleza ngomsele wokungena emgogodleni. Uma umsele ucindezelwa ukucindezelwa ku-midbrain noma kuma-pons (isiqu sobuchopho), khona-ke i-cerebrospinal fluid iqoqa ohlelweni lwe-ventricular ye-ventricles yokuqala kuya kweyesi-1 futhi sithola okuthiwa i-hydrocephalus internus. Uma isilonda se-Hamer senza inqwaba ku-cerebrum ngesikhathi sesigaba sokuphulukisa, ngokuvamile kuvame ukuthinteka kuphela i-ventricle yangemuva eseduze. Ebuntwaneni i-leukemia, lonke uhlelo lwe-ventricular lwama-ventricles amathathu okuqala luvame ukucindezelwa (ngenxa ye-generalized medullary edema) kangangokuthi singabona kuphela ama-ventricles ku-CT yobuchopho ngobunzima obukhulu.

Izindawo ze-cerebral cortex

Isithombe esingakwesokunxele sibonisa izindawo ezisetshenziswa ngamazwe ngamazwe okwamanje ezibizwa ngokuthi ama-cerebral convolutions, anokuguqulwa okugelezayo okubizwa ngokuthi ama-cerebral lobes. Lapha i-cerebral cortex ibonakala ohlangothini lwesobunxele.

Kubantu abakwesokunxele nabakwesokudla, uhlangothi lwesobunxele luhlala luqukethe ama-relay okuthi:

indlala yegilo Imigudu ephumayo, umphimbo, umlomo wesibeletho nomlomo wesibeletho, isitho sangasese sowesifazane, i-rectum, esinyeni sowesifazane, kanye nama-motor kanye nezinzwa ezidlulisela ngakolunye uhlangothi lomzimba.

Uhlangothi lwesokudla luhlala luqukethe abantu abasandla sobunxele nakwesokudla ama-relay for branchial arch ducts, bronchi, imithambo yenhliziyo, isisuUlwelwesi lwama-mucous lwe-curvature encane, isibani se-duodenal¹⁵⁹, imigudu ye-hepato-bile, imigudu ye-pancreas kanye nesinye sowesilisa, kanye nama-motor and sensory relays ohlangothini oluphambene lomzimba.

¹⁵⁸ I-Choroid plexus = i-plexus yemithambo
¹⁵⁹ I-Bulbus duodeni = ingxenye yokuqala emfushane ye-duodenum

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Isithombe semodeli yobuchopho lapho ungabona khona izimo ngokucacile. Amabha, i-diencephalon, ama-pons (isiqu sobuchopho) kanye ne-cerebellum asikwa phakathi.

Kodwa ungabona cishe ukuthi i-cortex ikhona phakathi kwe-cerebral hemispheres (interhemispheric) kuze kufike ku-peduncle. Isibonelo, kukhona i-motor kanye ne-sensory innervation yemilenze. Ungabona futhi ngokucacile ukuthi i-cortex ebonakalayo ngemuva kwe-cerebellum ifinyelela cishe phansi kwe-cerebellum.

Imodeli yobuchopho ebonwa phakathi nendawo.

Isakhiwo esimhlophe, esivuleke ngezansi futhi sakhiwe kusuka phezulu nangaphansi ngaphambili, yilokho okubizwa ngokuthi "i-beam".

Kusukela lapha phansi kukhona esokudla nesobunxele ama-hemispheres obuchopho axhumene nomunye. Ngakho ngokuyisisekelo sibona ingxenye ephakathi ngobuchopho bomuntu.

Igebe legebe occipital (emuva) esithombeni esingezansi kwesokunxele libonisa cishe umngcele we-visual cortex (phansi). Yonke indawo ephakathi kwesikhungo se-motor cortex kanye ne-visual cortex iyindawo yezinzwa ne-postsensory (i-periosteal sensitivity), noma indawo engemuva. Lokhu kukhombisa ukubaluleka kwebhayoloji izingxabano zokuhlukana zinakho!

Kulesi sithombe womabili ama-hemispheres obuchopho kuhlukaniswe phakathi, ku Phakathi, ukusho kanjalo ebonakala emhlophe Amasheya anqamula. ikakhulukazi kuhle ku bona i-interhemispheric i-cerebral cortex, ngaphakathi okuyi-relay yayo Amakhono ezimoto nezinzwa kwemilenze zikhona, ngaphambili isikhungo sikashukela futhi nangaphezulu (i-koqweqwe lwamazinyo) isikhungo sokuluma kanye nokwesaba okungaphambili.

10.4.1 Izingcezu zethu ze-CT zobuchopho

Ngezindlela zesimanje zokuhlola, isibonelo, i-computer tomography, singabheka ubuchopho bomuntu ngokuhlola ungqimba lobuchopho ngongqimba. Ungasetha futhi uthwebule noma yiziphi izendlalelo, ikakhulukazi ezivundlile nezime mpo. Isithombe esilandelayo sibonisa izendlalelo ezijwayelekile ezihamba cishe ngokuhambisana nesisekelo sogebhezi (imigqa emhlophe ayilungile, imigqa ephuzi ilungile).

Kulezi zingqimba ezihlukene uthola uchungechunge lwezithombe ezibonisa izingxenye ezihlukene zobuchopho nanoma iyiphi i-Hamer foci.

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10.5 Owokuqala wathola ISITOFU SAMA-HAMER

Ingaphambili lesokudla lesikhashana, endaweni yokwesaba, intukuthelo yendawo kanye nentukuthelo yendawo esigabeni esisha sokuphola ngemva kokuphinda.

Umcibisholo ongaphezulu kwesokunxele: okuqondiwe kokudubula kuya esixazululweni ku-hypoglycemic kanye ne-hyperglycemic relay (isifo sikashukela kufika ku-500 mg% ushukela wegazi).

I-bronchial carcinoma yamaphaphu angakwesokudla.

Isiguli okungezaso lezi zithombe kwaba ngesokuqala engangibheke kuso lokho kamuva okwaziwa ngokuthi “Umhlambi ka-HAMER” futhi ngawuthola, ngo-April 6.4.83, XNUMX. Empeleni wayenemelanoma engalweni yakhe yesobunxele.

Isiguli sasinesuphamakethe encane enomnyango wenyama entsha ochumayo. Lokhu kwaba yiva kulaba ababhusha bendawo. Kwakukhona owayeqhudelana naye owayezwana ngokukhethekile nodokotela wezilwane owayehlola edolobheni. Isiguli manje besilokhu sihlukunyezwa yilo dokotela wezilwane. Lokhu kugcine kudlondlobale waze wazama ukumhlaka. Lapho lokho kungasebenzi ngemva kokubuya naphambili, wasuswa “phezulu” futhi omunye wathatha lesi sifunda iminyaka eminingana. Kusukela manje kwakungasekho nkinga.

Kodwa ngolunye usuku, ngaphambi nje kwasemini, lo owayengudokotela wezilwane ngokuzumayo wavela emnyango futhi ngaphandle kokubheka emuva, waqonda ngqo emnyangweni wenyama. Lapho ebona isiguli, wathi: “Ini, uselapha!” Lapho ehlola, waphuma nesiguli waya ekamelweni elibandayo, kodwa washiya umnyango uvuliwe lapho ephuma. Lapho bebuya bobabili, ikati lesiguli lase lingene ngokunyenya. Isiguli saquleka ngenxa yokushaqeka, udokotela wezilwane wamane wakhomba ikati ngaphandle kokukhuluma wathi: “Umnyango wenyama uvaliwe. Wagijima waya endlini yakhe, wathola ikhamera (kodwa kwakungekho filimu kuyo) futhi "wadubula" udokotela wezilwane ngethoshi. Isiguli cishe sasike sabhekana nokungqubuzana kwezindawo, ukungqubuzana kwentukuthelo yendawo, kanye nokungqubuzana kokwesaba kwendawo. Kusukela manje kuqhubeke wabona izikhathi ezidonsayo engalweni yakhe engenhla kwesokunxele bese eyibhucunga.

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Wathola insumpa ayigcoba ngamafutha e-castor ngoba wayefunde ndawana thize ukuthi ingenza izinsumpa ziphele. Nokho kuthe uma insumpa isingenwa yilesi sifo, wayiyisa kudokotela wesikhumba owamdlulisela esikhungweni sezempilo eNyuvesi. Ukuxilongwa: I-melanoma esolwayo. Wahlinzwa ngokushesha futhi i-axial lymph node yakhishwa "ngezinjongo zokuxilonga". Manje kwaqala i-odyssey. Kusukela ngaleso sikhathi kuqhubeke, isiguli sagxiliswa ku-“melanoma” futhi “sikhiqiza” i-melanomas ngokuqhubekayo, ngoba ngayo yonke eminye imelanoma nangawo wonke ukuhlinzwa sasizizwa singcolile futhi sikhubazekile, kangangokuthi ekugcineni sazithola sesingumjikelezo ononya.

Ngaphambi kokuthi eze kimina (ekupheleni kukaJanuwari ka-'83), ingalo bekumele inqunywe. Nokho, ekuhlolweni kokugcina ngaphambi kokunqunywa, kwatholakala i-bronchial carcinoma, eyayingekho lapho kuhlolwa khona ngo-August. Manje ukunqunywa kwesitho kwanqanyulwa.
Ngangivele ngazi ngaleso sikhathi ukuthi lokho okubizwa ngokuthi i-bronchial carcinoma kwakuyisigaba sokuphulukisa sokungqubuzana kokwesaba kwendawo. Futhi empeleni, isiguli ekugcineni sikwazile ukuqasha isitolo saso ngoSepthemba ngemuva kokuthi umqashi wangaphambili owayenemali eningi yerenti ephumile.

Ngemva kwenkulumo yami ngo-March engqungqutheleni yodokotela abahlukile eRheingoldhalle eMainz, isiguli esasiye kuyo, yangibuza ukuthi ingabe manje yayisengozini yokuhlaselwa isifo sohlangothi. Ngamtshela ukuthi ngeke ngikwazi ukukukhipha. Ezinsukwini ezimbili kamuva washaywa unhlangothi wawa esendlini yokugezela efulethini lakhe, nokuyilapho atholakala khona. Wayiswa esibhedlela lapho aphinde wabhekana khona nengxabano ngoba wagezwa futhi enakekelwa umuntu ohlelekile owayembheka njengongcolile kakhulu. Wanengeka wamelana nakho. Izinga likashukela egazini lenyuka lafika ku-500 mg% futhi lagcina selijwayelekile ngokuphelele lapho isiguli sesibuyele ekhaya ekuqaleni kukaMeyi.

Sikwazile ukwenza i-CT scan yobuchopho - ngo-April 6.4.83, XNUMX. Lapho bengibonisa okuqoshiwe, ngakolunye uhlangothi, ngaziqhenya kancane ngokuthi ngase ngicabange ukuthi into enjalo ingenzeka. Ngenxa yokuthi ngangilindele izinguquko ezincane, ezincane ezingase zibangele i-melanomas, futhi cishe noma yiziphi ezinkulu ezingase zibe nembangela ye-bronchial carcinoma. Kodwa empeleni angikwazanga ukwenza okuningi ngalokhu kutholwe okukhulu kwesokudla nesokunxele se-paramedian frontal. Ngangididekile.

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Ezimweni ezinjalo kufanele usebenze njengengcweti enhle futhi uqoqe konke okungase kuhileleke. Umndeni wesiguli wawubambisene kakhulu. Okungenani isikhathi sasicishe sibe njengoba ngangicabanga. Lokho bekuyisisekelo kimi ekuqaleni.

Izinhloso zokudubula ezikhungweni zikashukela kwesokudla (ushukela) kanye nesokunxele (we-hypoglycemic) okwakumanje zizoxazululeka kungenzeka ukuthi kwakungenxa yokuthi unesi ushintshiwe. Kodwa ngangingazazi izinto ezinjalo ngaleso sikhathi, ngisho nokuthi uqweqwe lwamazinyo oludluliswayo lokungavunyelwa ukulunywa nalo lwaluthintekile. Ngigxile ekugxilweni kwesikhashana okulungile, obekubukeka kukusha kimi (okuthiwa “i-stroke ebomvu”) enokukhubazeka ohlangothini lwesobunxele. Futhi ngokusobala lokho bekuyingxenye yendaba yangaphambilini, okungenzeka ukuthi nayo ihlobene nendawo yesitolo esanda kuqashwa. Ngangisola ukuthi ngaphezu kwalokho engangikwazi ngaleso sikhathi. Kodwa kusukela lapho kuqhubeke ngangazi ukuthi kufanele ngibheke kuphi futhi kanjani. Kwaqala ukufuna izinaliti eziningi esigxotsheni sotshani.

Izifundo ezingama-10.6

Ukulungiselelwa okujwayelekile kwethagethi yokudubula yokugxila kwe-Hamer, okungukuthi, isigaba se-sensory cortical centre nemaphakathi ilele i-paramedian kwesokunxele. Kuthinta ukukhubazeka kwezinzwa zomlenze wesokudla kanye (ngezinga elincane) nengalo yesokudla.

Iqiniso lokuthi izindandatho eziqondiwe ziphinde zidlulele ohlangothini lwesokudla lobuchopho, kanye nasesikhungweni se-motor cortex kanye nendawo ye-post-sensory (mayelana ne-periosteum) isibonisa ukuthi ukuzwela kwengxenye yesobunxele yomzimba, njengoba amakhono emoto kanye nokuzwela kwe-periosteal ezinhlangothini zombili, nakho kuyathinteka.

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I-Hamer foci emibili emaphakathi nendawo ye-postsensory cortical (ebhekele i-periosteum) esigabeni se-pcl. Izindandatho eziqondiswe ekudutshulweni zine-edematized futhi zibonisa izindandatho zesisombululo; ubufakazi bokuthi kwakungewona ama-artifacts.

10.6.1 Indaba eyisibonelo: Isivakashi sase-Italy isisebenzi

Izingcezu ezihlukene zochungechunge lwe-CCT ezivela esigulini esifanayo. Ukugxila kwe-Hamer eduze kwayo kusese kakhulu esigabeni esisebenzayo, ngokwengxenye kumaphrojekthi ku-medulla, kodwa kungokwesikhungo se-post-sensory cortical (ukungqubuzana okubuhlungu kokuhlukana okuthinta i-periosteum yomlenze wesokunxele). Sesivele sibone indandatho ixazululwa, okusho ukuthi ukungqubuzana ngokusobala kusanda kuxazululwa kamuva nje.

Umuntu ekuqaleni uthambekele ekucabangeni nge-artifact (umkhiqizo wokwenziwa) we-apparatus, kodwa i-artifact ayikwazi uku-edematize.

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Lezi izithombe zesiguli sase-Italy esivela e-Rome esasisebenza njengesivakashi eningizimu ye-France. Njengenjwayelo lapho, waqala ukwakha indlu eRoma eduze nesikhumulo sezindiza iLeonardo da Vinci. Ngemva konyaka, lapho igobolondo selizophela, kwafika amaphoyisa okwakha futhi ayala ukuba lesi sakhiwo sivalwe. Isiguli sahlushwa intukuthelo yendawo kanye ne-hepato-biliary duct carcinoma. Kodwa ngemva kwezinsuku ezimbalwa waqala ukwakha ebusuku. Njengoba ayengaqhubeka nokwakha nje eholidini, kwaqala umdlalo wekati negundane ngamaphoyisa okwakha. Ibhilidi lavalwa izikhathi ezine, futhi isikhathi ngasinye wahlaselwa i-DHS futhi. Kodwa wakubeka konke elindele ikhaya lakhe elihle lomhlalaphansi. Futhi ngemva kweminyaka emine wakwazi ngempela ukuvunyelwa ukuba aqedele umuzi wakhe ukuze akhokhe inhlawulo, njengoba kuyisiko lapho.

Njengomphumela wekhambi eliwujuqu osekwenzekile manje, isiguli saba nokuvuvukala kwesibindi futhi odokotela basola i-carcinoma yesibindi. Ngenxa yalokhu okusolakala ukuthi kuxilongwa, le ndoda yahlushwa wukwesaba umdlavuza (frontal fear)-DHS with branchial arch duct ulcers. Lapho esethule kancane, ngo-February wonyaka olandelayo kwaba nokuvuvukala endaweni yentamo, odokotela abavamile abakuhumusha kabi ngokuthi ama-lymph nodes. Ngokushesha ngemva kwalokho, ukuxilongwa “kwe-metastatic liver carcinoma” kwaphonswa ebusweni bakhe. Ngenxa yalokho, isiguli sabhekana nengxabano enkulu, enonya yokuhlukana, esingayibona ngokucacile esithombeni esivezwe lapha. Wayeqhaqhazela umzimba wonke, waba nokungqubuzana okwengeziwe kokwesaba ukufa futhi wayencipha ngokushesha. Kodwa-ke, naphezu kwakho konke, isiguli sakwazi ukufeza isisombululo sangaphakathi - ama-nodules wamaphaphu okwesaba ukungqubuzana kokufa aze ahlehle kancane. Kodwa impilo ayizange ime. Intukuthelo yesifunda endala yabuya ngendlela ye-DHS ephindaphindiwe: ngenxa yokugula kwakhe akabange esakwazi ukuqhubeka nokwakha, izingane zakhe “azizange zibonakale” futhi zazingenasithakazelo ekuqedeni isakhiwo nokukhokha inhlawulo. Kwaba nengxabano enkulu emndenini. Isiguli saphinde sabhekana nalokhu. Kodwa-ke, phakathi nesigaba sokuphulukisa, i-edema ye-cerebral ehlukahlukene yanda, okwenza isiguli siwele ku-coma futhi sife nge-vagotonia ephelele.

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Enye i-CCT evela ochungechungeni olufanayo, lapho ungabona khona ngokucacile izindandatho zethagethi yokudubula ene-oedematized ehlukile.

I-Active Hamer igxile ekwesabeni okukhulunywe ngakho ngenhla kwengxabano yokufa ngokuxilonga. Izinhloso zokudubula zisanda kuqala ukuba ne-edematize kancane

10.6.2 Indaba eyisibonelo: Inkosikazi eneminyaka engama-60 yomqondisi wasenyuvesi

I-CCT kusuka ngoMeyi 7.5.90, 60 yesiguli esineminyaka engama-15. Unkosikazi womfundisi wasenyuvesi owashiya umkakhe eminyakeni engu-1989 edlule. Ngenxa yezizathu ezingokwenkolo, isehlukaniso sasingabhekwa njengento engenzeka. Eminyakeni emihlanu edlule isiguli sahlangana nendoda entsha, kodwa wayengakahlukanisi. Isoka labe selihlukanisa ngo-XNUMX. Kodwa isiguli sona asikwazanga ukwenza isinqumo sokuhlukanisa futhi sishade naso. Ngaleso sikhathi isoka lahlala nomunye wesifazane. Isiguli sahlukunyezwa yimoto i-DHS, singakwazi ukubambelela esokeni laso kanye nokungqubuzana ngokuhlukana ngenxa yokuthi isoka laphuma ezandleni zaso, kanye, ezingeni le-organic, ingxenye yemoto kanye nokukhubazeka kwezinzwa zezandla zombili cishe nokukhubazeka okuphelele kwemoto. wesithupha sokudla.

 ikhasi 212

I-MS yayisolwa. Kulesi simo, indodakazi yami, uthisha wesayensi yezinzwa, yeza kimi futhi yangicela iseluleko.

Ngenxa ye-CCT esifike nayo, sakwazi ukwakha kabusha icala ngokushesha. Welapha unina ngokukhuluma naye kabanzi ngalolu daba. Ukukhubazeka kwaphinde kwaphela futhi. Umama waphathwa isithuthwane okuyisibopho. Kodwa kwabe sekwenzeka okulandelayo: Isiguli sathola ukuthi intombi entsha yesoka laso langaphambili “yayingeyona intokazi” nokuthi isoka lase linobudlelwano nalo wesifazane ngesikhathi lisengabangane abaseduze naye. Wabe esehlushwa i-DHS yokungazweli kanye nokunengeka (kwesokunxele) nendawo exhumene ne-glucagon, okusho ukuthi i-hypoglycemia ihamba phambili.

I-CCT kusukela ngoJulayi 3.7.1990, XNUMX yesiguli esifanayo: Nakuba esithombeni esidlule sisakwazi ukubona ukwakheka kwendandatho ebukhali njengophawu lokungqubuzana okusebenzayo kokukhubazeka kwezimoto nezinzwa, lokhu kungqubuzana kuxazululwa esithombeni ezinyangeni ezimbili kamuva. Esikhundleni salokho, sibona ukucushwa okusha okusebenzayo kwethagethi okuhambisana nokungqubuzana okusasebenza kokubheka emuva kanye nokunengeka kushukela. Le ngxabano yesibili nayo yaxazululwa ngezingxoxo ezijulile.

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10.6.3 Indaba eyisibonelo: Isiguli esineminyaka engu-50 ubudala ngemva kokunqamuka kokuya esikhathini

I-CCT yesiguli se-postmenopausal esineminyaka engu-50 ubudala esandleni sokudla. Ku-fronto-parietal kwesokudla sibona ukugxila okukhulu kuka-Hamer ku-edema yesisombululo ehambisana nokungqubuzana kokwesaba kwendawo ne-intrabronchial carcinoma. I-DHS yenzekile ezinyangeni eziyisi-7 ngaphambili. Umkhwenyana wesiguli kwadingeka ahlinzwe ngenxa ye-acute peritonitis odokotela bamnikeza ithuba elincane lokusinda. Lokhu kungqubuzana kwathatha izinyanga ezi-2 kuphela, kodwa kwakunodlame kakhulu! Inyanga ngaphambi kokuba lokhu okuqoshiwe kuthathwe, kwaphindeka impinda: umyeni wesiguli wahlushwa i-acute inguinal hernia.¹⁶⁰ zihlinzwe.

Ukungqubuzana okuphindelelayo kuthathe amaviki angu-3 kwaze kwaba yilapho ukungqubuzana kuxazululiwe futhi. Ingcindezi ye-edema epholisayo iphinde idubule ekugxileni kukaHamer ngokusobala ibangele ukuthi idabuke - isibonelo salokho okubizwa ngokuthi "umphumela we-accordion": Ukugxila kukaHamer ekuxazululeni i-edema kubuyela okwesikhashana emsebenzini wokungqubuzana, i-edema iyanyamalala kafushane, ngemuva kwalokho ukungqubuzana. iqhuma futhi I-Edema iphinda iphinde ingene, indawo yakwa-Hamer iphinda izipompa isuka ngaphakathi, ngomqondo othile - ngesinye isikhathi izicubu azisakwazi ukumelana nokucindezela kwe-edema nezinyembezi, ezingabonakala ngokucacile kulokhu okulandelayo. isithombe.

Kwi-cerebral hemisphere yesokunxele sibona ezinye izingxabano zocansi noma ezocansi ezimisiwe futhi ezisebenzayo. Sikwazile ukuthola lokhu okulandelayo: Lapho isiguli sineminyaka engu-17 ubudala, sadlwengulwa umlamu waso - ingxabano esingazange ngempela siyiqede! Lapho indodana yakhe ineminyaka engu-16 ubudala, yazala ingane - kumama, ukuphindaphinda kwezingxabano mayelana nendaba efanayo ...

¹⁶⁰ I-Hernia = ukuphuka

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Ngezansi kunolunye ucezu lwe-CCT lwesiguli esifanayo: Umcibisholo ukhomba ekugxilweni kwe-Hamer ngokucushwa kwethagethi yokudubula esikhungweni se-motor kanye ne-post-sensory cortical, ehambisana nokungqubuzana kokuhlukaniswa (kwemoto). Ngaphezu kwalokho, singabona ngokucacile ukugxila kwe-Hamer okukhulunywe ngaye ngaphakathi okukhulunywe ngakho ngaphambilini ku-relay ye-bronchial. Ngakho sinomsebenzi wokuxazulula izingxabano kanye nomsebenzi wokungqubuzana ngesikhathi esisodwa!

Kwenzenjani? Lapho isiguli sisesibhedlela sigcwele i-vagotonia ephulukisayo, sinesifiso esihle sokudla futhi sakwazi nokulala kahle, ngolunye usuku ekuseni udadewabo weza ezosivakashela futhi wamhlebela: “Cabanga nje ukuthi ngiphupheni izolo ebusuku. Ngibone umama wethu ephusheni, ethi uyeza ezokulanda.” Lokho kwaba nomthelela omubi esigulini esimpofu! Kusukela ngaleso sikhathi kuqhubeke wayesekhubazeke kancane kuzo zonke izinhlangothi ezine, ngaphezulu kwesokunxele kunakwesokudla, engasadli, engasabuthi quthu ubuthongo, futhi wayesethukile ngokuphelele. Udokotela waseFrance owayejwayelene neNew Medicine wakwazi ukususa lesi sisindo engqondweni yesiguli engxoxweni eseceleni kombhede ngemva kokuba esilandise ngezinyembezi ngalesi sigameko. Kusukela ngaleso sikhathi kuqhubeke i-paresis yayikhona¹⁶¹ ukwehla kakhulu. Isiguli sakwazi ukulala sidle futhi.

¹⁶¹ I-Paresis = ukukhubazeka okungaphelele

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10.6.4 Indaba eyisibonelo: I-Active Hamer igxila ekucushweni kwethagethi yokudubula esiqwini sobuchopho

Nazi izithombe ezimbili ze-CCT ezivela ezincekwini ezahlukene zesiguli esifanayo.

Kowokuqala sibona isitofu se-Hamer esisebenzayo ekucushweni kwethagethi yokudubula ebukhali. Imicibisholo ikhomba ukudluliselwa kwamathumbu amancane esiqwini sobuchopho okuhambisana nentukuthelo engagayeki.

Nasi isendlalelo esijulile sochungechunge olufanayo, futhi nesitofu se-Hamer ekucushweni kwethagethi yokudubula. kodwa ngokugxila okuhlukile, okungukuthi kumashubhu kanye ne-urine-bladder relay.

Ukungqubuzana: Isiguli siqondise ihhashi laso ngendlela engafanele futhi sachoboza omunye umgibeli emabhodini samlimaza kabi. Wamthuka ngamagama amabi (tubal carcinoma).

Ngokushesha ngemva kwalokho, izindleko eziphezulu zaba ngenxa (intukuthelo engagayeki) ngoba indoda kwadingeka ihlale esibhedlela isikhathi eside.

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10.6.5 Indaba eyisibonelo: Isiguli esisesandleni sokudla esinenkinga yokulahlekelwa

Icala elilandelayo linemifanekiso emi-3 ehlobene nesiguli esifanayo:

Ku-CT scan yokuqala sibona indandatho enkulu, ebukhali - iyi-artifact. Eduze kwayo, i-Hamer foci emibili emise okuhlosiwe okusesigabeni se-ca ingabonakala. Esokudla sithinta isilonda senhliziyo (ingxabano yendawo), esokunxele sithinta isende elingakwesokudla (ukulahlekelwa ukungqubuzana). Isiguli esisesandleni sokudla sasishonelwe unina kungazelelwe, esasisondelene kakhulu naye. Ungabona ukuthi ukulungiselelwa kwethagethi efanele kusese ngokuphephile esigabeni se-ca. Esokunxele, ngakolunye uhlangothi, isivele ivuvukele futhi i-edema, ngakho-ke isizongena esixazululweni. Isiguli sabe sesihlaselwa isifo senhliziyo kamuva (ngoFebhuwari 1993) endaweni ephansi kakhulu yesigaba se-PCL.

I-CT yesende:
Umfanekiso ubonisa i-testicle necrosis yesende elifanele, ukungqubuzana kwakungakaxazululwa!

Isithombe sesende:
Cishe akukho okungabonwa ngaphandle ku-testicle efanele. Umunwe ukhomba indawo ye-necrosis.
I-necrosis ye-testicular esolwayo (ngamagama alula, "imbobo"), okungukuthi ukulahlekelwa kwento ku-testicle, ngaphambilini yatholwa kuphela yi-CT yobuchopho. Ngezansi isiqinisekiso secala:

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Umlando wecala elilandelayo wesiguli esinxele uhlanganisa izithombe eziyi-7:

10.6.6 Indaba eyisibonelo: Owesifazane oyinxele onokukhubazeka ingxenye kwesokunxele

 

25.7.90/XNUMX/XNUMX: Isitofu se-Hamer esigabeni se-ca

25.2.90/XNUMX/XNUMX, Hamerscher Herd ngqo ngemva Conflictolysis

Ngo-Ephreli 10.4.90, XNUMX, ukuphela kwesigaba se-PC

Ukuhlola izandla! Isithombe sesiguli esinxele

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Izithombe ezintathu zangaphambilini ze-CCT zibonisa ukuthuthukiswa kokugxila kwe-Hamer cishe ezinyangeni ezi-4.

Njengoba isithombe sibonisa, isiguli siyinxele. Wayekhubazeke ingxenye yengalo nomlenze wangakwesobunxele, futhi kancane kancane nengalo yangakwesokudla.

I-DHS yenzeka ngoJuni 1989: Isiguli, esishadele emshadweni ongajabulisi, salahlekelwa umngane othandekayo, yena - ngendlela emangazayo - engakwazi ukugona ingalo yesokunxele nomlenze wesokunxele (isandla sobunxele!), ngaphansi kwesandla sokudla. amaphethelo, angabambelela. Ngakho-ke kumayelana "nengalo yozakwethu" kanye "nomlenze wozakwethu" futhi ngokwezinga elincane futhi ingalo yangakwesokudla (umama/ingane) ehambisana nokungqubuzana kokungakwazi ukubambelela. Isiguli besikade sifuna ukuba nengane nesoka laso futhi besivele sinethemba lokuthi sizokhulelwa, okwaholela ekulahlekelweni okukhulu.

Ku-CT scan yokuqala ukungqubuzana kusasebenza. Sibona imibuthano ecijile yokucushwa okuhlosiwe kokugxila kuka-Hamer, kodwa futhi sibona ukuthi izindandatho zinwebeka ku-hemisphere yesokunxele (ukukhubazeka okuncane kwengalo yesokudla). Isikhungo sokugxila kuka-Hamer singakwesokudla esikhungweni semoto, mayelana namakhono emoto kazakwethu ukwanga ngengalo yangakwesokunxele (owesifazane osandla sobunxele!) kanye nokugona kozakwethu osondelene ngomlenze wangakwesokunxele. I-contalysis, udokotela womkhaya wesiguli, owayeshisekela imithi emisha, ayihlakulela kanye naso, yaphumelela ngo-February 20.2.1990, 25.1.1990, cishe emasontweni amane ngemva kwe-CT yobuchopho yokuqala, eyabhalwa ngo-January XNUMX, XNUMX.

Kule CT yesibili kusukela ngoFebhuwari 25.2.90, XNUMX, kusukela cishe ungqimba olufanayo, sibona ukuthi i-Hamer igxile kanjani "ukuphuka", okungukuthi, izindandatho ziba ngokungajwayelekile futhi zingaphelele ngaphandle, kodwa isikhungo sisabonakala. .

Izithombe ezilandelayo zango-April 10.4.90, XNUMX, nazo mayelana nongqimba olufanayo, nakuba kungenjalo ngaso sonke isikhathi i-engeli efanayo yokuthambekela kwezingqimba, okusho ukuthi isitofu sika-Hamer ngezinye izikhathi sishelela phambili kancane noma emuva. Siyabona ukuthi ukugxila kwe-Hamer sekuvele kuphenduke ingxenye yaba yizibazi ze-glial.

10.4.90

10.4.90

ikhasi 220

Yebo, kufanele futhi kuphawulwe ukuthi ukuquleka kwesithuthwane (inkinga yesithuthwane) kwenzeka ngoMashi 10.3.1990, XNUMX, kodwa lokhu akuzange kummangaze isiguli, njengoba udokotela womndeni wakubo wayenze yajwayelana kakhulu nemithetho yeNew Medicine.

Isiguli empeleni sasisolwa ngokuba ne-MS phakathi kukaJulayi 1989 noFebhuwari 1990. Kodwa ngenhlanhla washeshe wakhuluma ngalo mbhedo: ingozi enkulu njalo ukuthi isiguli sizobhekana nokungqubuzana kwezimoto okwesibili - ikakhulukazi emilenzeni - ngenxa yokushaqeka kokuxilongwa, ngoba batshelwa ukuthi bangase bavalelwe esibhedlela. isihlalo sabakhubazekile impilo yonke. Ngokuvamile abalokothi baqede lokhu kungqubuzana.

I-CT scan yokugcina kusukela ngo-April 24.4.1990, XNUMX yesiguli esifanayo:
Ungabona ukuthi okuhlosiwe okuhlosiwe manje kunomumo omncane we-"datura", okusho ukuthi ukuphakama kwesigaba se-PCL edema sekuphelile lapha futhi isigaba sezibazi siyaqhubeka.

10.6.7 Isibonelo: Isiguli esinengxabano yokwesaba nokunengeka

Umlando wecala elilandelayo uhlanganisa izithombe ezi-4 ze-CCT:

Lawa ama-CCT ama-3 esigulini esisodwa, ngalinye lithathwe cishe amasonto ayi-6 ngokuhlukana.

Isiguli sibe nokungqubuzana kokwesaba nokunengeka okuhlangene nokungqubuzana kwentukuthelo kumphathi waso oyisitabane, esamthola “enengekayo” futhi “emnene”.

I-CCT kusukela ngoJanuwari 24.1.90, XNUMX, iziko likaHamer esigabeni:
Indawo emaphakathi yokucushwa okuqondiwe ingakwesokudla. Kungakho isifo sikashukela sigcwele i-hypoglycemia, okungukuthi, ukuntuleka kwamaseli e-beta islet kudlula ukungasebenzi kwamaseli e-alpha islet.

ikhasi 221

Ngokushesha ngemva kwalokhu kuqoshwa, uyayeka. Esithombeni esifanayo sibona ukugxila kuka-Hamer okukhulu ngasemuva, osekuvele kunezibazi izikhathi ezimbalwa, kokunye ukumiswa kwethagethi yokudubula ethinta imizimba emibili ye-vitreous ezingeni le-organic. Ukungqubuzana kwezinto eziphilayo: Ngonyaka ngaphambili, wayelandelwa ngemuva endleleni eya emsebenzini wakhe (ekhemisi), wahlaselwa futhi wasongelwa ngommese. Ukuphindaphinda: Kwakudingeka athathe indlela efanayo eya futhi ebuya ekhemisi nsuku zonke. Ngenxa yalokho, isiguli saba ne-glaucoma yamazwe amabili.

24.1.1990

Ngenhla: Izithombe ze-CCT kusukela ngo-March 15.3.90, XNUMX:
Zombili izingxabano zisesigabeni se-PCL, i-frontal ngisho nangaphezulu kune-occipital. Kodwa uyabona ukuthi okuqondiwe manje okune-edematosed sokudubula kusendaweni efanayo. Lokhu yilokho esikubiza ngokuthi ukuthuthukiswa okuvamile kokugxila kwe-Hamer ngemva kokuxazululwa kwengxabano.

ikhasi 222

I-CCT yesiguli esifanayo ezinye izinyanga ezi-2 1⁄2 kamuva.
Ungabona kuphela isibazi esivela ekugxilweni kuka-Hamer kushukela noma i-hypoglycemia relay.

10.6.8 Isibonelo esiyisibonelo: I-Ductal Breast carcinoma

Uchungechunge lwama-CCT amane owesifazane osemusha one-breast ductal carcinoma esigabeni esisha se-PCL.
Udokotela we-radiologist uhambise isiguli ngamasentimitha angu-2 ukusuka emgqeni omaphakathi waya kwesokunxele (bona izithombe kwesokunxele) kanye namasentimitha angu-2 kwesokudla (bona izithombe kwesokudla). Njengoba kubonakala, indawo yokugxila kwe-Hamer yahlala ingashintshiwe.

ikhasi 223

10.6.9 Indaba eyisibonelo: Ibhange laseLondon

Izithombe eziyisi-7 ezilandelayo ziyingxenye yomlando wecala lebhange laseLondon

Ukugxila kuka-Hamer ekungqubuzaneni kwezimoto. Izinhloso ezimbalwa kuphela zokudubula zingabonakala, sezivele zibonisa umumo we- "datura apple", ngakho-ke ukuphakama kokuphulukisa sekudlulile. Esithombeni sokuqala se-CCT, ezinye izindandatho eziqondiwe kanye nesizinda somthelela wokungqubuzana kusengabonakala, kodwa lokhu kuba nzima nakakhulu ukukubona ezithombeni ezilandelayo.

ikhasi 224

Amanye ama-CCT ama-3 ongabuka kuwo ngokucacile okuqondiwe kokudubula okunemoto kanye nokufiphala kwayo kancane kancane. Ngakho-ke i-artifact ayinakwenzeka!

Izithombe ezinhlanu ze-CCT ezikhonjiswe ochungechungeni olufanayo ezebhange lasesibhedlela eLondon. Icala elijwayelekile lokungaxilongwa kahle: Ngemva kwengxabano eshubile nenhloko yomnyango lapho enqatshelwe khona ukukhushulelwa esikhundleni, isiguli sakhubazeka kakhulu, kwesokudla kunomlenze wesokunxele, nangaphezulu kwesokudla kunengalo yangakwesokunxele. Manje wahlolwa futhi kwatholakala i-pancreatic carcinoma endala kanye ne-carcinoma yesibindi endala. I-conflict-active intestine carcinoma (okulandelayo yisisu¹⁶²-CT), kanye nokucushwa kwethagethi yokudubula ehlobene esigabeni se-ca (isigaba se-CCT esiboniswe ngezansi) akukwazanga ukubonakala.

¹⁶² Isisu = isisu, isisu

ikhasi 225

Umcibisholo ukhomba ku-carcinoma yamathumbu amancane asebenzayo. Siphinde sibone i-solitary foci ye-carcinoma kuma-pancreas nesibindi.

I-Hamer ehlotshaniswayo igxile ohlangothini olungakwesokudla lwesiqu sobuchopho (umcibisholo ongakwesokudla) wesibindi esisodwa noma i-pancreas carcinoma inezibazi, i-edema ethile, futhi ngokunokwenzeka ukucushwa kwethagethi okucatshangelwe kancane okungena edema. Isizathu salokhu kungaba ukuthi izingxabano ezibangela lesi sizinda seziko likaHamer (ukungqubuzana kwendlala nokungqubuzana kokungakwazi ukugaya ucezwana lokudla) nakho kwakuhlobene ngokomsebenzi futhi manje kuphinde kwasabela futhi (ithrekhi!). Ngaphezu kwalokho, i-focus ye-Hamer (umcibisholo wesokunxele) emathunjini amancane idlulisela ukungqubuzana kwentukuthelo engagayeki. Ngakho-ke sesisonke sinezinhloso ezi-3 ezihlukene esigulini esisodwa, eyodwa yakho (isibindi/amanyikwe) iku-relay endala, enezibazi.

Ngenkathi ukungqubuzana kwezimoto kuzo zonke iziphetho ezi-4, kunamandla kwesokudla kunakwesobunxele, sekuvele kusigaba se-pcl futhi isivele iqala ukuthatha "i-datura shape", okungukuthi isivele idlulile ukuphakama kwayo, "inhloso yokudubula amathumbu amancane ” isasebenza ngokugcwele. Lokhu kusho ukuthi ukungqubuzana okunezendlalelo eziningi akuxazululwa ngendlela efanayo kuwo wonke amazinga. Isici esisodwa siyaxazululwa kuyilapho esinye sisasebenza.

Ukube umuntu wayesebenzise i-New Medicine, umuntu ubezobona ukuthi i-pancreatic carcinoma kanye ne-liver carcinoma, okwakuhambe ngomjikelezo ofanayo, kufanele kube nomlando wangaphambili futhi manje kungenzeka ukuthi zivuselelwe njengethrekhi. Ngenkathi ukungqubuzana kwe-cortical motor sekuvele kudlule inani eliphakeme lesigaba se-pcl ngenkinga yesifo sokuwa (i-tonic-clonic seizure), ukungqubuzana kwamathumbu amancane kusasebenza, njengoba kushiwo, kusebenza kakhulu.

ikhasi 226

Ngokuzenzakalelayo, ku-CT yesisu yangaphambilini sabona i-preileus ngenxa yokuvaleka kwamathumbu amancane. Lolu cezu lwamathumbu amancane lwaluzokhishwa engxenyeni emfushane futhi lunikeze isiguli isibikezelo esihle kakhulu. Kodwa-ke, i-preileus kwathiwa ibangelwa isibindi esisha/ama-pancreas carcinoma okusolakala ukuthi asisebenzi futhi isiguli kwathiwa asisebenzi. Kulokhu, ukungqubuzana kwezimoto kuhambisana nomqondo wokungakwazi ukukhuphukela phambili, noma ukuboshelwa phansi, futhi i-carcinoma yamathumbu amancane ihambisana nentukuthelo engagayeki ehambisana nayo. Ungabona ukuthi umuthi omusha ungaphambi komuthi wangaphambilini ngenxa yokuxilongwa kwawo okuhlukene emazingeni amathathu.

10.6.10 Indaba eyisibonelo: Ukungqubuzana okunonya ngokuhlukana

Kulolu chungechunge ungabona ngokucacile ukuthi ukucushwa kwethagethi e-edematized esigabeni se-pcl kusabonakala kahle kanjani kungqimba olulodwa futhi sekuqala ukufiphala kakhulu kwenye, ukungqubuzana okuphakathi kwe-periosteal, okungukuthi, ukungqubuzana kokuhlukaniswa okunonya kusixazululo.

ikhasi 227

Kulesi sithombe sokugcina, okuhlosiwe kokudubula cishe kuqedwe ngokuphelele ku-edema.

10.6.11 Ezithombeni ezimbili ezilandelayo sibona...

Sibona ukugxila kwe-Hamer kokungqubuzana kokuhlukaniswa kwe-sensory-postsensory (periosteum) osekudlule ukuphakama kwesigaba se-pcl futhi isivele iqala ukuthatha ukucushwa kwe-Daturapfel.

ikhasi 228

Ezingeni lezinto eziphilayo lezi zihlanganisa: I-Exanthema¹⁶³i-urticaria¹⁶⁴, ukuqunjelwa¹⁶⁵, amagama ahlukene ento eyodwa futhi efanayo - ungqimba lwangaphandle lwesikhumba olusesigabeni sokuphulukisa.

Amanye ama-CCT athakaselekayo ethulwa kafushane ngezansi, wonke ahlangabezana nemibandela yokukhishwa ethuthukiswe ne-Siemens. Ngakho: awekho ama-artifacts!

22.4.86

Ukwakheka kwethagethi yokudubula imakwe ngokucijile, ukungqubuzana emsebenzini

5.9.86

I-CCT enokuqhathanisa, ukwakheka kwendandatho noma okufanayoidematized, isivele icwebezelayo futhi inezibazi

¹⁶³ I-Rash = ukuvuvukala kwesikhumba sokushintsha kwesikhumba sangaphandle
¹⁶⁴ Urticaria = isifuba, isifuba
¹⁶⁵ Ukulunywa = ukulunywa kwesikhumba ngokuklwebheka okuphoqayo

ikhasi 229

Ukuthuthukiswa kokwakheka kwethagethi yokudubula esigulini esincane.

Ukugxila kuka-Hamer ekucupheni okusebenzayo kwethagethi yokudubula yokushayisana kokwesaba ukufa okuhlala isikhathi eside esiqwini sobuchopho.
Isiguli besihlaselwe emgwaqweni sasatshiswa ngommese.

Izakhiwo zendandatho yokugxila kwe-Hamer esebenzayo zingaphinda zibonakale esithombeni esihambelanayo se-resonance kazibuthe.
Nokho, lokhu kungenzeka kuphela uma, njengalokhu, ukungqubuzana kwathatha isikhathi eside kakhulu futhi kwakushubile kakhulu.

ikhasi 230

Ukwakheka kwendandatho, "eboshiwe" ohlangothini lwesobunxele ngama-foci amabili engeziwe ane-oedema.

Ukuthuthukiswa kokubunjwa kweringi ku-CCT esigulini esincane

3.11.89

Isitofu se-Hamer ekucushweni kwethagethi yokudubula ebukhali

9.2.90

Ukugxila kukaHamer kunezibazi, isakhiwo sendandatho asikho lapho isabonakala

ikhasi 231

Uchungechunge lwe-CCT olunokwakheka kwendandatho ecacile, ehlukile e-edematous enokususwa kwabantu abaningi

ikhasi 232

Isiguli sase-Austrian: Izilonda ezimbili ze-Hamer ezinokwakheka kwendandatho ene-edema

Amasongo amabili ahlukene, agqagqene, e-edema

Iziko lika-Hamer lapho izindandatho ezi-3 ezihlukene ziqhudelana eduze komunye nomunye noma kwenye. Okwesobunxele ku-edema yesisombululo ngokuphelele

Ikhasi 233

Isithombe esilandelayo esithakazelisa kakhulu sibonisa ukugxila kwe-semicircular kuka-Hamer kwesokudla sokungqubuzana kwezimoto esigabeni se-PCL nge-edema yesixazululo. Eduze kwayo (imicibisholo emincane) kuneziko le-Hamer elimaphakathi esigabeni se-ca kudluliselwe ushukela. Ngaphezu kwalokho, isilonda sika-Hamer esesivele siphulukisiwe kwesokunxele, esivele sishintshile umbala omhlophe ngenxa yokuhlanganiswa kwe-glial, okuthinta ihlombe elingakwesokudla, ngokunembile: i-osteolysis eyenziwe kabusha ngenxa yokuwa kwengxabano yokuzethemba ebudlelwaneni bozakwethu. Ngaphansi kwesilonda sika-Hamer esicishe saphulukiswa ngokuphelele ku-cortex ebonwayo efanele ehambisana nokungqubuzana kwakudala kokwesaba entanyeni.

Juni 10.6.12, XNUMX Indaba eyisibonelo: Intombazane eneminyaka emihlanu ubudala ebhekene nendlala

I-CCT kanye ne-CT yesisu yentombazane eneminyaka emihlanu ubudala

Ukugxila kwe-Hamer ku-relay yesibindi (isiqu sobuchopho sibheke eceleni kwesokudla) sibonisa ukumiswa okuhlosiwe okucacile, okusho ukuthi ukungqubuzana kwendlala okuhlobene kufanele kusasebenza.

ikhasi 234

Ku-CT yesisu sibona okuthiwa yi-solitary liver carcinoma yentombazane encane yaseningizimu yeFrance:

Ingxabano: Abazali banesitolo sokudla. Lapho isitolo esikhulu esiseduze sivuleka futhi izinto ezithengisiwe zehla ngokufanelekile, ubaba wayelokhu ekhononda: “O Nkulunkulu, sizobulawa indlala!” Ingane eneminyaka emihlanu ubudala ikuthathele phezulu lokho, kungani kungenjalo? Ingane yagcina ngokushona ngenxa yalokhu kwesaba indlala, okwase kuphele izinyanga.

Ekuqaleni kwakunzima kakhulu kimi ukuqonda isithombe esinjalo ngoba, ngokungafani nokuningi okutholwe yisibindi, ubuchopho abuzange bubonakale bubonisa okuthile okungavamile ngokukhethekile. Kodwa uma usuqonde ukucushwa okuhlosiwe noma ufunde ukuhlukanisa phakathi kokwakheka okuhlukile kuzigaba ze-CA ne-PCL, khona-ke izithombe ezinjalo zicace kakhulu futhi ziyaqondakala.

10.6.13 Indaba eyisibonelo: I-TB nomdlavuza webele:

I-CT yesifuba esinyakazayo owesifazane ongakwesokudla ngesibindi esiphelelwe yisikhathiukungqubuzana kokunakekelwa kwezingane, i esigabeni se-PCL amasonto izithukuthuku ezinzima ebusuku, okungukuthi i-TB yebele langakwesokunxele kwadingeka. Ku-CT yesifuba ku- Indawo yokulenga ingenziwa umhume omusha ngakwesobunxele Isifuba (umcibisholo wesokunxele) sihle kakhulu bona. Lokhu kuzoba ngo eyodwa ngokuvamile evamileI-chen mammography ayikho kungenzeka ngoba ibele liyampintshana. Esifubeni sokudla (umcibisholo ongakwesokudla) sibona omunye umhume omdala, onezibazi.

ikhasi 235

Ukugxila kuka-Hamer okune-edema ku-cerebellum esecaleni engakwesokudla (imicibisholo engakwesokudla). Ngeke sazi kule edema ukuthi i-TB yasiza yini ukuba i-mammary carcinoma ibe sezingeni lezinto eziphilayo noma ukuthi bekungenjalo yini. Izinqubo ezisebuchosheni ziyafana.

Isibazi esidala siyabonakala futhi ohlangothini lwesobunxele lwe-cerebellum (umcibisholo wesokunxele).
ihambisana ne-breast carcinoma yangaphambilini yebele langakwesokudla ne-TB elandelayo (ukungqubuzana kozakwethu).

10.6.14 Indaba eyisibonelo: Umdlavuza webele we-adenoid ngakwesobunxele

Owesifazane osemusha onezimila ze-mammary gland ezi-2 ezisebenzayo ezibangela ukwanda kwamaseli.

Isimila esingezansi kowesifazane osesandleni sokudla sihambisana nokungqubuzana kwendodakazi/umama osekunesikhathi eside kuqhubeka.

Engaphezulu encane ngenxa yokungqubuzana kokunakekelwa komama/kwengane ngenxa ye-amniocentesis¹⁶⁶ ngenhloso yokukhombisa ukuthi ungubaba ngoba ekhulelwe ingane engashadile.

Isiguli sesaba kakhulu ukuthi ingane izolinyazwa yile nqubo kade kwaba. Esikhathini esilandelayo, yonke inqubo yokuzalwa kobaba yalandela lokhu kuziphatha, nakuba ingane yayisinesikhathi eside yazalwa inempilo.

¹⁶⁶ Amniocentesis = amniocentesis

ikhasi 236

I-Mammography yebele lesobunxele. Ungabona ama-adenoid amakhulu namancane. Nokho, isiguli sasingenazikhalo futhi sasinobisi olwengeziwe kuleli bele lapho sincelisa ingane yaso kunalolo olufanele.

Lesi sithombe se-CCT se-cerebellum sibonisa ukwakheka kwendandatho okuqondiwe okubili okusebenzayo okudlulana endaweni esemaceleni angakwesokudla. Izinto ezimbili ezigxile ku-Hamer emsebenzini zihambisana nezingxabano zikamama/ingane nendodakazi/umama olengayo.

10.6.15/XNUMX/XNUMX Indaba eyisibonelo: Umfanyana ongumFulentshi

Izithombe ezimbili ze-CT yobuchopho kanye neskena samaphaphu somfana oneminyaka eyisishiyagalombili ozakwabo ababebophele esihlahleni ukuze bazijabulise. Bathe bazobuya sebephethe inganono bazomdubula. Umfana akakwazanga ukuzikhulula ngoba izandla zakhe zaziboshelwe esihlahleni. Uze watakulwa sekuhlwile umuntu ohamba ngezinyawo.

ikhasi 237

I-CCT ekhombisa ukugxila kuka-Hamer kokukhubazeka kwezingalo zombili. Ungabona amasongo okudubula ngakunye esikhungweni se-motor cortex.

Izingalo zomfana zazikhubazekile kakhulu.

Isithombe sephaphu sibonisa i-nodule enkulu yamaphaphu nezinye ezincane.

Ingane yayiphupha ngesigameko esibi njalo ebusuku izinyanga futhi ibekezelele ukwesaba ukufa. Ekugcineni wakwazi ukuxazulula ingxabano. Ngenxa yesikhathi eside kakhulu sokungqubuzana, wafa ngokuyinhloko ngenxa yesifo sofuba samaphaphu. Umfana wayejuluke kakhulu ebusuku, amazinga okushisa angaphansi kwe-subfebrile kanye ne-hemoptysis amasonto¹⁶⁷, kodwa akalashelwanga isifo sofuba ngoba isimila samaphaphu kwakuyisona esasigxilwe kakhulu ekwelapheni.

¹⁶⁷ I-Hemoptysis = ukukhwehlela igazi eliningi

ikhasi 238

Ku-CT yesiqu sobuchopho sibona ukugxila kwe-Hamer okuhlobene ku-alveolar relay esiqwini sobuchopho esingakwesokudla esigabeni se-PCL esine-edema yesisombululo (umcibisholo). Naphezu kokuxilongwa okucacile okunjalo, ngeshwa akekho osafuna ukucabanga ngesifo sofuba.

Juni 10.6.16, XNUMX Izifundo ezintathu ze-leukemia

Sibona i-medullary edema ejwayelekile njengophawu lokuphulukisa kanye nokuphinde uthole ukuzethemba, kodwa ngokugcizelela ngokukhethekile ukudluliselwa kwentamo yesifazane yesokunxele (ukungqubuzana okuxazululiwe “Angikwazi ukubhekana nalokhu!”) kanye nokudluliswa kwehlombe elingakwesokudla okuhambisana ukwehla ukuzethemba kozakwethu okuxazululiwe -Ukungqubuzana.

Isimo ngemuva kwezingxabano zokuzazi zekhehla elaphucwa isikhundla sokuba ngusihlalo wekomiti lezobuhlengikazi. Ukungqubuzana kwaxazululeka lapho imeya ixolisa kuye mathupha futhi imvuselela.

ikhasi 239

Futhi i-medullary edema ejwayelekile ngenxa ye-leukemia kowesifazane osemusha ovela ehlelweni eliphukelwe umkhumbi womuntu siqu kanye nomsebenzi. I-Conflictolysis: Isiguli sikwazile ukwenza isiqalo esisha.

Izithombe ezi-3 ezilandelayo zithinta isiguli esine-decalcification enkulu yekhanda le-humeral kwesokunxele, manje esisixazululo:

Engqondweni ye-CT sibona i-cyst ku-medulla yesokudla yobuchopho (i-relay yehlombe lesokunxele noma ikhanda elithambile), elihambisana nokungqubuzana kokuzethemba kukababa/kwengane: “Angilungile njengobaba, ngaphuca indodana yami ithuba. ” Kwaba nokuphindaphinda okuningi, ekugcineni kwaba yisixazululo sokugcina sengxabano. Ubude besikhathi eside bokungqubuzana kanye nokuqina kokungqubuzana kwaholela ekuqhekekeni kwezicubu zobuchopho nokwakheka kwama-cysts. Igobolondo le-cyst selivele linezibazi. Okutholakele kubukeka kukubi kakhulu kunalokho okuyikho.

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Isendlalelo esiphezulu se-CCT ye-cyst efanayo. Ngolwazi lwemithi emisha, kuyacaca ukuthi ngokuthola okunjalo ku-medulla yobuchopho, kufanele futhi silindele ukuthi isiguli sibe sesigaba se-leukemic ngesikhathi esifanayo.

I-osteolysis ehlobene yekhanda le-humeral kwesokunxele ("ubaba/ihlombe lengane") kubaba ongakwesokudla.

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10.6.17 Ucwaningo oluyisibonelo lokuhlukaniswa kwe-retina ngenxa yokungqubuzana kokwesaba entanyeni.

Ngezansi i-CT scan yesiguli, nayo ebonisa amehlo. Imicibisholo ikhomba i-retina enezibazi endaweni ye-fovea centralis¹⁶⁸ futhi eceleni esweni langakwesokudla.

Esigabeni se-CCT, lapho i-visual cortex ithinteka khona, sibona i-foci ye-Hamer eqhubekayo eqhubekayo. Le nqubo ayikaze iphumule, kodwa i-visual cortex relay enezibazi kwesokunxele isanda kuqala ukusebenza futhi.

¹⁶⁸ I-Fovea centralis = indawo emaphakathi ecindezelekile yendawo ephuzi

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10.6.18 Izibonelo zezifundo zokuphola okubi okukhazimulayo kwesilonda se-Hamer

Amaringi ane-edematised wokungqubuzana kwenzwa yemoto nokuqala kokufakwa kwe-glial.

Inqubo efanayo ku-CCT ibukeka ibucayi kakhulu ngenxa yendlela yokuqhathanisa, kodwa akunjalo! Ngakho-ke, ngihlala ngincoma ukuthi uqale uthathe i-CCT ngaphandle kwe-ejenti yokuqhathanisa...

I-CCT yesinye isiguli esine-foci efanayo esigabeni se-pcl, lapha kakade ifakwe kakhulu nge-glia, isakhiwo esimise okwendandatho esikhungweni se-motor kanye ne-sensory cortical. Isandla sokudla sesiguli sabanjwa isaha eliyindilinga futhi asikwazanga ukusikhipha ngokushesha ngokwanele.

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Juni 10.6.19, 5 Indaba eyisibonelo: Wahlukunyezwa uyise lapho eneminyaka engu-XNUMX ubudala

Lezi zithombe ziwumbhalo oshaqisayo wesiguli esinesandla sobunxele esineminyaka engu-35 ubudala esahlukunyezwa uyise ngokocansi eminyakeni engu-30 edlule siseyingane eneminyaka emihlanu ubudala. Waphoqeleka ukuthi afake isilungu sakhe emlonyeni, okwamenyanya. Njengowesifazane ongakwesokunxele, wayenesifo sikashukela (kowesifazane osebenzisa isandla sokudla kungaba yi-hypoglycemia nge-alpha-cell glucagon insufficiency). Akazange kutholakale ukuthi unesifo sikashukela. Kuphela ekupheleni, ngemva nje kokushona kukayise, okwadingeka amnakekele njengendoda elele embhedeni iminyaka emihlanu, lapho ingxabano yaqala ukuxazululwa. Lapho “isimila ebuchosheni” sitholakala, kwatholakala isifo sikashukela, kodwa manje sesiyaxola. Ingxabano yayisebenza iminyaka engu-5 - iminyaka engu-5 yokufela ukholo kwesiguli!

Kithina, le-magnetic resonance tomography, ethathwe ngenhlanhla, imele "inhlanhla" yesayensi ngenxa yokuthi izithombe ze-resonance kazibuthe, ezithathwe ngengozi ngaso kanye "umzuzu olungile" ngemuva kwesikhathi eside kangaka sokungqubuzana esigabeni sokuphulukisa. isanda kuqala, bonisa isenzakalo esibonakala ngokucacile (ngokugqama kwesokunxele, ngaphandle kwesokudla): Sisakwazi ukubona izindandatho zokudubula ezidala ngaphakathi kweziko elikhulu le-Hamer, elincibilika njengamanje, elingabonakala ngokucacile isikhashana nje. isikhathi ngoba bafiphaza ku-edema. Ngokuvamile, nge-tomogram ye-resonance kazibuthe singathola kuphela izindandatho eziqondiswe ku-Hamer ngemva kweminyaka emi-2 ukuya kwemi-3 yokungqubuzana.

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Futhi-ke azingcolisi nge-contrast medium. Kodwa lapha udokotela we-radiologist waba nosuku olulungile futhi waba nekhono lokuqopha elifanele, elinomshini wokuqhathanisa. Izindandatho eziqondiswe ekudutshulweni zivela kabusha bese ziphenduka zibemhlophe esigabeni se-pcl bese zivame ukufiphala zibe yi-edema. Esithombeni esifanele ngaphandle kokuqhathanisa, cishe ayikho indandatho engabonwa.

Isiguli esifanayo ezinyangeni ezi-2 kamuva (i-computed tomography):

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Ezimweni ezinjalo, uma ulinda ngokuthula kuze kuphele isigaba sokuphulukisa, akukho okuningi okungenzeka empeleni. Kulokhu kuncane kakhulu njengoba kungekho izithiyo ekuphumeni koketshezi lwe-cerebrospinal.¹⁶⁹ kufanele kwesatshwe. Awudingi ngisho nokunikeza i-cortisone lapha. Ukuziphatha “kuphela” kufanele kugcinwe futhi ukwethuka kufanele kugwenywe (“sebenza ngokushesha, hamba uye emtholampilo ngokushesha…”).

10.6.20 Indaba eyisibonelo: Izinhliziyo ezimnyama

UMarkus wayeneminyaka engu-2 ubudala ngesikhathi se-DHS yakhe (ukuhlaselwa kwenhliziyo). Uyise, ayemthanda ngaphezu kwakho konke okunye, waphuthunyiswa emtholampilo ngaphansi kwezimo ezibucayi kakhulu ngoba wayevame ukuba ne-angina pectoris ngokutholakala okusolakala ukuthi "ukuhlaselwa yinhliziyo".

U-Markus watshela wonke umuntu ngakho izinyanga futhi wadonsa izinhliziyo ezimnyama kuphela. Nakuba kwakungesona isifo senhliziyo, njengoba kamuva kwavela, u-Markus wayehlonze ngakho kangangokuthi wazizwa sengathi "ukuhlasela kwenhliziyo yakhe." Njengoba uyise aqhubeka ngempela ehlushwa i-angina pectoris ubuhlungu ngemva kwalokho, u-Markus waqhubeka elokhu esebenza! Wayelokhu edweba izinhliziyo ezimnyama!

Lapho eneminyaka engu-6, lapho eqala isikole, ingxabano yakhe yaxazululeka. Manje usepende izinhliziyo eziphuzi ngokukhanyayo. Ngenxa yezimpawu zobuchopho ezavela ngokwemvelo ngesikhathi sokuphulukiswa, isiyezi, isicanucanu, njll., wayiswa esibhedlela. Lapho, bathola isimila esikhulu, okuthiwa “sebuchosheni” (esidlulisweni senhliziyo) okwakudingeka siqedwe ngazo zonke izindlela. Ingxenye ye-cerebellum yakhe yasikwa. UMarkus wafa ukufa okungadingekile ngokuphelele.

¹⁶⁹ Uketshezi lwe-cerebrospinal = uketshezi lwe-cerebrospinal

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CT 1991

CT 1991

isibhamu esifanayo nesokunxele, nokuthile ukuchayeka okuhlukile

I-tomogram ye-magnetic resonance ukusuka ohlangothini.

Ngodokotela Bezokwelapha Ezintsha isiguli esinjalo besingeke sife. Noma ngabe kukhona ukucindezelwa kwesikhashana kwe-4th ventricle kanye nokwakheka koketshezi lwe-cerebrospinal, lesi akusona isizathu sokuhlinzwa namuhla, ngoba lokhu kungalawulwa nge-cortisone, kuyilapho kuphela ukusebenza kwabafundi bemilingo abangenalwazi kanjalo. ebulalayo.

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10.6.21 Indaba eyisibonelo: ukuhlukunyezwa ngokocansi yi-godfather

 

Le ntombazane, ngaleso sikhathi eyayineminyaka engu-3 ubudala, okuyizo lezi zithombe, yahlukunyezwa ngokocansi ngunkulunkulu wayo unyaka wonke. Ibe nokungqubuzana okubi kwengxenye yesitho sangasese sowesifazane ku-uterus-corpus relay. Umama wayeyisisekeli salokhu kuhlukunyezwa.

Lapho le ndaba ima ngemva konyaka, ingane yathola isisombululo sokungqubuzana futhi nayo i-edema enkulu ekudlulisweni kwesibeletho se-brain stem (pons). Kwaba nomsindo¹⁷⁰ ngenxa yokuphazamiseka kokuphuma kwe-cerebrospinal fluid. Ngokudabukisayo, abafundi balo mthakathi bawuhlinza, basika ingxenye enkulu yobuchopho. Ingane yafa kabuhlungu, ukufa okungadingekile ngokuphelele, okwakungavinjelwa ngempela emuthini omusha ngokuvala isikhathi esibucayi kusetshenziswa izindlela ezilondolozayo ngaphandle kokuhlinzwa.

¹⁷⁰ Ubuthongo = ukozela

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10.7 Ukungqubuzana kobulili phakathi kwabesifazane nobulili e-CCT

I-CCT yesiguli esisesandleni sokudla esineminyaka engu-40 esinomdlavuza womlomo wesibeletho. Ukugxila kuka-Hamer ku-periinsular yesokunxele kuyasebenza. Ukungqubuzana kobulili: Ngemva kobusuku obuhle kakhulu bothando, umyeni wakhe wathi kuye: “O, lokho akubalulekile kwatholakala kanye (ngokusho kweNew Medicine) izilonda zemithambo yenhliziyo. Conflictolysis: ukwehlukana nomyeni. Isiguli sasinda enkingeni ye-epileptoid ye-pulmonary embolism. Ngemva kwezinyanga ezintathu imiphumela ye-smear yaba mibi!

I-CCT yesiguli sesifazane esineminyaka engu-34 ubudala, esiphinde sibe nesandla sokudla, esiphinde sibe ne-cervical carcinoma enezilonda ze-coronary vein. Ukugxila kwe-Hamer okuhlobene kune-edema yesixazululo. Ukungqubuzana kwezocansi: Umlingani wakhe wayelale nomngane wakhe omkhulu futhi wazala ingane. Ukungqubuzana kwenzeka ngokubuyisana phakathi kwabangane ababili. Ingxabano yayithathe izinyanga ezingu-7. Nokho, isiguli sasinda enkingeni enkulu ye-epileptoid (ukuhlasela kwenhliziyo kwesokudla noma i-pulmonary embolism), okwenzeka ngokushesha ngemva kokuba lezi zithombe zithathwe, ngemithamo ephezulu ye-cortisone. Wasinda futhi ne-cervical carcinoma kanye “nethumba lobuchopho” elihlobene nalo ngaphandle kokwelashwa okujwayelekile.

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10.8 Ukungqubuzana kwendawo kwabesilisa ku-CCT

Uzakwabo wesilisa wokungqubuzana ngokocansi: ukungqubuzana kwendawo. Ukugxila kwe-Hamer ku-CCT kuhlala kutholakala ku-periinsular engakwesokudla emadodeni asesandleni sokudla.

Lesi ngesinye sezithombe "ezinhle kakhulu" eqoqweni lami. Umuntu angabona isilonda esikhulu, esimakwe njenge-Hamer ku-periinsular engakwesokudla ene-perifocal enkulu kanye ne-intrafocal edema (umcibisholo ongakwesokudla). Umcibisholo ongezansi kwesokunxele ubonisa i-occipital-basal relay yesokunxele yesende kwesokunxele (isitho sobuchopho asiwelani). Lokhu kugxila kwe-Hamer nakho kune-intra- kanye ne-perifocal edema. Ekugcineni kusekhona ugwaduleUkuhlanganiswa kwe-medullary layer dorsal to the dorsal horns ebonakalayo nhlangothi zombili, okuhambisana nokuwa kokuzethemba nge-osteolysis endaweni ye-pelvic nhlangothi zombili. Ngakho zonke izingxabano ziyaxazululwa.

Kwakwenzekeni? Kwakungumlimi osekhulile waseLower Saxony indodana yakhe okuwukuphela kwayo eyaba sengozini enkulu engozini yesithuthuthu Njengoba ubaba atshelwa ekuqaleni, ayengekho amathuba okusinda. Ubaba wayekholelwa ukuthi indodana yakhe izosinda kuphela njengesishosha, uma kunjalo. Njengoba indodana yakhe bekuyiyona yodwa indlalifa epulazini, yabhekana nengxabano enkulu yendawo engaqondwa kuphela ngokwengqondo yasemaphandleni. Nokho, ngesikhathi esifanayo, njengoba noma imuphi ubaba omuhle evame ukwenza, wabhekana nokulahlekelwa—i-carcinoma ye-left testicular. Kusukela ngosuku lwengozi wayehlaselwa yinhliziyo kanye ne-angina pectoris nsuku zonke. Ingxabano yendawo yathatha izinyanga eziyisithupha. Indodana yagcina ikwazile ukuphuma egunjini labagula kakhulu, okwaba yisixazululo sengxabano kayise! Emasontweni amane ngemva kokuba indodana yakhe ikwazile ukubuyela emsebenzini, ubaba - ekuphakameni kwesigaba sokuphola (nokuvuvukala kwe-coronary artery ulcer) - waba nenhliziyo yesokunxele enesiyezi, ikhanda kanye nezinkinga zokulinganisela. Ngaphezu kwalokho, ukuvuvukala kwe-testicular kwenzeka njengophawu lwesigaba se-PCL se-testicular necrosis. Ngaphambi kokuba udokotela ohlinza izinzwa abe nesithakazelo ekuhlinzeni “izimila” ezisebuchosheni bakhe, isiguli saphuma ngokushesha emtholampilo.

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10.8.1 Izibonelo zalokho okubizwa ngokuthi umlaza we-schizophrenic ku-CCT; lapha ngokusekelwe ekuhlanganisweni kokungqubuzana kocansi nendawo

Isimo ngemva kokuphelelwa yisikhathi komlaza we-schizophrenic - kokubili i-Hamer foci ine-edema yesisombululo. Ngakwesokudla, i-cyst ivele ngenxa ye-edema ye-intrafocal kanye nokudabuka kwezicubu ngaphakathi kokugxila kuka-Hamer. Isiguli sasinomfutho we-intracranial futhi kwakungase kwenziwe umzamo wokusisindisa ngomuthi we-cortisone. Esikhundleni salokho, waqinisekiswa yi-morphine ngenxa “ye-metastases yobuchopho ejwayelekile.”

Ukucushwa okuqondiwe okubili kusigaba se-ca endaweni ye-periinsular yesokudla nesobunxele. Lokhu kuhambisana nomlaza we-schizophrenic, kulokhu omunye onokucabanga okuphoqelekile kwe-postmortem enhloko yomphakathi wezenkolo, owayecabanga nsuku zonke ngokuthi iyiphi enye inkosikazi enhle umyeni wakhe omuhle ayengaba nayo ngemva kokushona kwakhe (wayegula kakhulu).

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10.9 Ukulungiswa okuqondiwe esibindini

Ukucushwa okuqondiwe okuningi esibindini: Isigaba sokuqala njalo salokho okubizwa nge-solitary liver carcinoma.

Ukucushwa okuhlosiwe kwesitho kuhambisana nokucushwa okuhlosiwe kobuchopho, ngokunembile, izitho eziningana zingakwazi.ukulungiselelwa kwethagethi yokudubula kuhambisana nokucushwa kwethagethi yokudubula kobuchopho.

Okujabulisayo ngalokhu kuxhumana okutholwe ngamandla ukuthi ubuchopho nesitho sidlidliza ngesigqi esifanayo “ekumisweni kwethagethi yokudubula”, okusho ukuthi singacabanga ngesitho esinama-cell nuclei aso, wonke axhumene, njengoba ubuchopho besibili besitho sobuchopho. Ubuchopho bekhanda kanye nobuchopho besitho kudlidliza esigabeni esifanayo ngendlela efanayo, njengoba ukulungiselelwa kwethu okuqondiwe kubonisa. Kwesinye isikhathi ubuchopho bekhanda bunikeza imiyalo ebuchosheni besitho, isibonelo amakhono engqondo, kwesinye isikhathi ubuchopho besitho bunikeza ulwazi ebuchosheni bekhanda, isibonelo amasistimu wezinzwa. Besivele sazi ezinye zalezi zinto nge-neurology, kodwa besingakaqhubeki phambili ngoba besingazi umongo womuthi omusha.

Izithombe ezilandelayo zibonisa ukuqhubeka kwalokhu kulungiselelwa okuqondiwe esibindini:

Ezithombeni ezimbili ezilandelayo sibona i-foci ebaliwe, i-foci entsha esebenzayo nezinqubo zokuphulukisa ezihambisana nenqubo engapheli, ephindaphindayo.

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Isigaba sokuphulukisa esivuselelwe salesi simo esiyinsalela (ukubalwa) nokuvela kabusha kwe- solitary liver carcinoma, ehambisana nokwesaba okungapheli kwendlala.
Ungahlala ubona isakhiwo esiyindilinga se-"Liver Round Herd", esisekelwe ekucushweni kwangempela kwethagethi yokudubula.

Siphinde sibone into efanayo ethanjeni uma isigaba esisebenzayo, okungukuthi ukucushwa kwethagethi yesitho, kushaywe ngephutha esigabeni se-CT.

Isithombe sibonisa i-2 foci esebenzayo ekubunjweni okuhlosiwe komzimba we-vertebral. I-CT ibonisa ukuthi i-bone osteolysis, okungukuthi i-decalcification, ye-vertebra iyaqhubeka, ehambisana nokungqubuzana okusebenzayo kokuzihlonipha.

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Ngaphezu kwalokho, kwesinye isithombe esivela ochungechungeni olufanayo siphinde sibone i-foci esebenzayo emaphethelweni, ingqikithi ye-3 ring formations "yengqondo yesitho".

10.9.1 Ingxabano yendlala ngoba abapheki bayahamba

Ngifake leli cala lesiguli esinesandla sokudla esineminyaka engu-43 kule ncwadi ngoba iphoqa kakhulu ezingeni lezinto eziphilayo.

Isiguli sashada “emibuthanweni engcono” lapho sineminyaka engu-20, kodwa sasinephutha elilodwa: sasikuzonda ukupheka (nokudla) kanye nemisebenzi yasekhaya ngokuvamile. Ngaphandle komsizi wasendlini, umyeni wakhe wamnikeza nompheki. Nakuba ayenolwazi oluncane kakhulu ngokupheka, empeleni lutho nhlobo, wayethanda ukudlala njengomama wekhaya oqinile. Abapheki basheshe bakubona, baphuma bexabana belandelana endlini, benesizathu esifanayo: njengoba wayengazi lutho ngokupheka, wayengazi ukuthi ubuzani. Cishe eziyishumi sezizonke. Sisola ukuthi uqale ukuhlushwa i-DHS ngendlala i-SBS ngesikhathi umpheki owayengcono kunawo wonke umuntu futhi ayehlale ephumelela naye njalo emshiya ngoLwesihlanu kusihlwa ngenkathi emema iphathi enkulu esidlweni sakusihlwa ngoMgqibelo. Ngaso sonke isikhathi lapho umpheki ephuma endlini exabana - ngokuvamile ngoLwesihlanu kusihlwa - wayebuye abhekane nakho.

Eminyakeni eyisishiyagalombili edlule waqasha umpheki wangaphandle owayenekhono kakhulu. Kodwa after 8 years wathi ngelinye ilanga washada last weekend. Wabe esephinde wabhekana nokungqubuzana kokuhlukana kozakwethu (ne-ductal breast carcinoma kwesokudla) ngoba ekholelwa ukuthi lo mpheki olungile uzohamba futhi esikhathini esizayo esibonakalayo.

Kodwa akazange ahambe. Ngakho-ke wabhekana nesixazululo engxabanweni yendlala nezithukuthuku zasebusuku, njengasekuphindeni okudlule. Okuxakayo ukuthi ingxabano yokuhlukana ayizange izixazulule ngoba uvalo lokuthi umpheki angase ahambe ngemuva kwakho konke.

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Ekuqaleni kuka-94 omncane waba nesifo sohudo¹⁷¹ Amaqhubu abonwa ebeleni lesokudla futhi ibele lanqunywa - elesobunxele "ngokuvikela"¹⁷² kulingana ne! Eminyakeni engu-4 kamuva, ngoLwesihlanu kusihlwa ngoNovemba ka-98, umpheki wahamba ngaphandle kokusho nelilodwa igama ngemuva kwengxabano encane. Nalapha isiguli saphinde sabhekana nobunzima obukhulu.

Lapho ethola umuntu ozomfaka umpheki omusha ngemva kwamasonto ambalwa, waqala ukujuluka ebusuku futhi ekuseni (TB!).

Lapho izilonda zesibindi zitholwa ngengozi, yonke le nto yayifundeka kanje: i-metastatic breast carcinoma “ene-metastases yesibindi nethambo”. Akusekho okunye okungenziwa, kuphela "ukuthobisa"¹⁷³- I-Chemo ne-morphine.

Ngomuthi Omusha manje useyakwazi ukuqonda ukungqubuzana, enze ingxenye yakhe ukuvimbela ukuphinde kwenzeke futhi abalekele ubuhlanya bomgxeki wezokwelapha.

I-CT ephikisanayo ye Isibindi esawo wonke umuntu Professional injabulo. Sinazo lapha Isici esikhethekile ukuthi nakuba amakhosi ehlukeneAmaShayina ayenjalo, kodwa njalo kucishe kufane ncamashi ukungqubuzana okufanayo. Futhi sasihlala sikhona ku Isixazululo nge-TB Ukujuluka ebusuku futhi subfebrile lokushisarenkusukela ngoNovemba 98 siyalandela ukuphindaphinda okunamandla ikakhulukazi futhi esigabeni sokuphulukisa sofuba. Siyabona ukuthi imigede igcwala ingxenye futhi ngenxa yalokho okubizwa ngokuthi “i-intrafocal edema” futhi ngaleyo ndlela iphinde ibonakale ngokucacile njengemigede. Kodwa imigede enjalo ingahlala ivaliwe kakhulu noma kancane ngenxa yokuthi iye yabhidlika ngenxa yengcindezi ye-parenchyma ezungezile futhi ikhule ndawonye kancane. Ezimweni ezinjalo sibona kuphela i-edema entsha "ye-perifocal". Imicibisholo emibili emincane ikhomba ku-rib osteolysis parasternally kwesokunxele nakwesokudla ezivuvukele futhi egcwele inani elikhulu le-callus. Umcibisholo obanzi ongaphezulu ongaphezulu ukhomba okokufaka i-silicone, okungabonakala kuphela kwesokunxele lesi sithombe. Ukunqunywa kwesitho esiphindwe kabili kuchaza ukwehla kokuzethemba (“Angisenamsebenzi omuhle lapho”). Esigulini, ukufakwa kwe-silicone bekuyisixazululo sengxabano yokuzethemba, okungukuthi ukulinganisa kabusha esikubona lapha ngaphambi kokuqedwa.

¹⁷¹ i-scrrhous = lapha: ukufinyela kwemigudu ye-mammary gland
¹⁷² I-Prophylaxis = ukuvimbela
¹⁷³ i-palliative = ukwelashwa kwezimpawu ze-premortem

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Kulesi sithombe sokudonsa kukazibuthe sobuchopho obudala, ukudluliswa kwesibindi kungabonwa ngokungcolisa okulingene njengophawu lokulungiswa kabusha kokuphindeka.

Kulesi sithombe sesibindi, esimelela ucezu oluphakeme kancane kunesithombe sangaphambilini se-CT yesibindi, ezinye, kodwa hhayi zonke, i-foci yesibindi engapheli futhi engapheli imakwe. Okungenhla kuyasebenza nakubo.

Okuthakazelisayo ikakhulukazi ukuthi ku-organ Hamer izilonda ungabona ngokucacile izakhiwo eziyindilinga kanye ne-edema ye-intra- kanye ne-perifocal.

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10.10 Akukho ukusebenza kobuchopho! Amacala amabili acishe afane - isiqhathaniso

Lezi zimo ezimbili ezilandelayo zihlobene eduze: Zombili lezi zigameko zethulwe ndawonye udokotela eNgqungqutheleni Yokubuyekeza i-Gelsenkirchen yase-University of Düsseldorf, eholwa nguSolwazi Stemmann. Zombili lezi ziguli ziphuma ezigodini ezingomakhelwane futhi zombili ziyazana. Esimweni sokuqala isiguli sineminyaka engu-28 ubudala, esimweni sesibili sineminyaka engu-19 ubudala, bobabili bangakwesokudla, bobabili base bevele benengxabano esebenzayo ngakwesokudla sobuchopho futhi manje bobabili bahlushwa enye, ngokuyisisekelo efanayo. , ukungqubuzana cishe ngesikhathi esifanayo. Bobabili babene-schizophrenic. Zombili iziguli kwatholakala ukuthi “zinethumba ebuchosheni” esikhungweni se-larynx-speech cishe ngesikhathi esifanayo. Kusukela lapho kuqhubeke, izindlela zabo zahlukana: omunye wathola ngomuthi Omusha ezinsukwini ezimbalwa sekwephuze kakhulu. Wahlinzwa ubuchopho ngoba watshelwa ukuthi uma kungenjalo uzofa ngokushesha. Ethukile, wahlinzwa. Ekuqaleni wazizwa engcono kancane izinyanga ezingu-2-3 ngenxa yokuthi ingcindezi ye-intracranial evela ku-cerebral edema manje yayingasekho ngokwemvelo - kodwa ngemva kwezinyanga eziyisithupha wayesefile, cishe njengabo bonke ababehlinzwe ubuchopho, ngaphandle nje kokumbalwa kakhulu...

Esinye isiguli esimweni sesibili besivele sisemtholampilo ukuze sihlinzwe. Kodwa ngenhlanhla igazi elidingekayo lalingekho. Usebenzise impelasonto anikezwe yona “iholide” ukuhambela ingqungquthela yokuqinisekisa e-Gelsenkirchen. Lapho odokotela ababekhona bakwazi ukumkholisa ukuthi ukuhlinzwa kobuchopho kwakuyimbudane eyingozi. Lapho isiguli sitshela odokotela bomnyango we-neurosurgery ngoMsombuluko ukuthi sincamela ukungahlinzwa, bathi isimila asisebenzi ngoba sikhulu kakhulu futhi siyingozi. Kuphela ngemisebe kanye ne-chemo kungaba inketho futhi kuphela nge-prognosis embi kakhulu. Wabhekana nomuthi omusha, wawuqonda futhi akazange ahlinzwe. Njengoba kwakubikezelwe, wayenezimpawu izinyanga ezimbalwa, isiguli sase siphile saka futhi sikwazi ukusebenza.

Ngemva kweminyaka emihlanu, inhlangano yochwepheshe yaphoqelela ukuxilonga kwakhe ukuba kushintshwe kusukela “kuthumba ebuchosheni obuyingozi” kuya “ku-benign brain cavernoma” ngoba kwakungavunyelwe ukuba “nesimila ebuchosheni esiyingozi” lapho ungahlinzwa khona bese emva kwalokho. ululame futhi.

Isiguli esimweni sokuqala saba nengxabano yendawo lapho sisebenza khona ezinyangeni ezimbalwa ngaphambi kwecala laso lesibili. Ngesikhathi sokungqubuzana kwesibili ekwindla ka-'2, ukungqubuzana koku-91 kwakusaqhubeka. Ibihlobene ngokungaqondile nengxabano yesi-1. Isiguli sasingaphansi kokucindezeleka okukhulu ngenxa yokwakhiwa kwendlu yaso, futhi ngokwesikhathi, ngoba waqeda ukwakha ngokuyinhloko yedwa.

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Wabhekana nokungqubuzana kwesibili lapho efuna ukufaka isibani ngaphezu kwezitebhisi, washelela ebhodini futhi wazithola elele ngamamitha angu-2 ngezansi endaweni engaphansi nogebhezi lwekhanda oluphukile. Ngamandla akhe okugcina wakwazi ukubamba ibhodi, walilenga emoyeni wabe esekwazi ukucwebezela kancane futhi ngokuzikhandla aphindela ku-banister. Ngemva kwalokho waqhaqhazela umzimba wonke. Ukungqubuzana kokwesaba ukushaqeka kwahlala kusebenza ngesikhathi sokwakhiwa kwendlu, ngoba izimo ezinjalo ngokwemvelo zaziphindaphinda ngendlela engenabungozi. Kusukela ngaleso sikhathi kuqhubeke waqiniseka ngokwengeziwe, kodwa wayesathuthumela lapho esebenza phakathi “kwezulu nomhlaba” futhi.

Entwasahlobo ukwakhiwa kwendlu kwase kuqediwe futhi lapho kwafika ukuxazululwa kwezingxabano ... Ngokudabukisayo, izimpawu zokucindezela kwe-intracranial, ukuphazamiseka kwenkulumo kanye nesifo sokuwa, kwabe sekufika ukuxilongwa kanye nokwethuka kwemithi evamile. Akuzange kumsize ngalutho lapho kamuva bethi kwakungafanele ahlinzwe. Wafa njengesisulu sokucindezelwa okunonya kolwazi ngomuthi ovamile, owazi kahle kamhlophe ukuthi ukungenelela okunjalo kunezinga lokufa elicishe libe yi-100%.

Isiguli sibe nokungqubuzana kwezimoto ngesikhathi siwela ezitebhisini zesakhiwo esisha, kodwa sakwazi ukuzibamba ngomzuzu wokugcina.
Kulezi zithombe ze-CCT kusukela ngo-March 8.3.92, 28 (kwesobunxele, kwesokudla ngaphandle kokuqhathanisa) kwesiguli esineminyaka engu-XNUMX sibona izilonda ezilandelayo ze-Hamer:

Isithombe esingakwesokunxele: Isimo ngaphambi kokuhlinzwa. Umcibisholo ongakwesokudla: Ukungqubuzana kwentukuthelo yendawo ngenxa yokwakhiwa kwendlu/okusebenzayo). Umcibisholo phezulu kwesokunxele: I-Hamer focus yesigaba se-pcl ku-larynx/isikhungo senkulumo edluliselwe. Umcibisholo ongezansi kwesokunxele: ukungqubuzana kobunikazi.

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 Ukungqubuzana kubonakala kusebenza. Isiguli besingaqiniseki ukuthi kufanele yini sihlinzwe. Umuzwa wakhe wathi kuye: “Cha”!

Isithombe esingakwesokudla: izilonda ze-Hamer ezifanayo njengasesithombeni esingakwesokunxele, kulokhu okuphakathi nendawo yokuqhathanisa. Umcibisholo wesokudla: ukungqubuzana kwentukuthelo yendawo. Umcibisholo wesokunxele: Ukugxila kwe-Hamer esigabeni se-pcl esinamabala aphakathi nendawo. Umcibisholo ophansi kwesokunxele: Ukungqubuzana kobunikazi kuyasebenza!

I-CT scan kusukela ngo-April 29.4.92, 200, yesiguli esifanayo ezinsukwini ezimbalwa ngemva kokuhlinzwa; Amagremu angu-XNUMX wesisindo sobuchopho asusiwe! Njengoba sibona, isiguli ngokushesha saba nokungqubuzana okusha kokwesaba nokunengeka mayelana nokuhlinzwa, futhi ikakhulukazi mayelana nokucwiywa kwezitho—okwakuyiqiniso ngempela...

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Amarekhodi amabili alandelayo avela ngo-October 11.10.92, XNUMX, ngaphambi nje kokufa kwesiguli, awashiyi lutho olufiselekayo mayelana nokucaciswa kwawo. Isendlalelo esingakwesokunxele sijule kancane kunesokudla. Esithombeni esingakwesokunxele ungabona ngokucacile ukuthi lonke uhlelo lwe-ventricular yangaphambili (izimpondo zangaphambili) luphushwa ngaphansi kwe-falx kwesokudla. Ngisho nophondo olungaphambili lwesobunxele lucishe lufike kwesokudla “kumugqa ophakathi.”

Konke okusele kithi ukufunda emaphutheni abamelene nomuthi omusha, uma nje sibachazela izizathu zobuze be-polypragmasia yabo.¹⁷⁴ ukukhombisa.

Kulesi siguli sibona ukuthi i-relay ye-cerebral rectum yesokunxele, eyayibonakala ngokucacile njengesebenzayo esithombeni sokuqala, manje nayo isixazululiwe. Manje kwase kwenziwa umsebenzi ongenangqondo. Ingxabano yayingasenamsebenzi, okusho ukuthi ukungqubuzana “kwaxazululwa ngempela”. Ngesikhathi sokuwa kwakhe noma ukulenga kwakhe phakathi "kwezulu nomhlaba", isiguli, ngaphezu kokungqubuzana kokukhathazeka nokukhathazeka kokungakwazi ukukhuluma, siphinde sabhekana nokungqubuzana kwezimoto engalweni yesokudla nomlenze wesokudla. Kamuva futhi kwaba nokungqubuzana kobunikazi besifazane: (“Ingabe kufanele ngihlinzwe noma ngingahli?”). Ngakho-ke, ukuze banamathele “ekucabangeni” kwabo ngenxa yokuthi izingxabano zazixazululwa kancane kancane, odokotela abahlinza izinzwa babesike into encane kakhulu yobuchopho. Lapho indlu isiqediwe, ingxabano yokwesaba yaxazululwa. Kamuva, ukungqubuzana kobunikazi bobuchopho kwesokunxele nakho kwaxazululwa futhi ukungqubuzana kokwesaba nokunengeka ngaphambi kokuba umsebenzi nawo uxazululwe...

Ukuhlinzwa kwengeze inkinga elandelayo: imbobo yokuhlinza yampontshwa ngoketshezi ukuze kwakhiwe icyst. Uma nje umgodi wokuhlinza uxhumana noketshezi lwe-percerebral futhi une-drainage, izinto zisahamba kahle. Kodwa ngokushesha nje lapho i-drainage ivinjwa ukunamathela noma ivinjwe ngokuphelele, njengalapha, isiguli sibhekana nengcindezi enkulu ye-intracranial. Khona-ke ukuhlinzwa kobuchopho okulandelayo kuhlala kungenxa yabafundi bemilingo ngoba "isimila sobuchopho esiyingozi" "sidle ngonya"...

Kulokhu, njengoba kungabonwa ku-CCT yangaphambilini, ukungqubuzana kwentukuthelo yendawo yobuchopho besokudla (umcibisholo weziko lika-Hamer kwesokudla) ngokusobala kuxazululwe ngokungabaza, kuyilapho kwesokunxele ku-rectum kudluliswa ukungqubuzana okusha okusebenzayo kokulahlekelwa ubuwena. iphinde yavela ekucushweni okucijile kwethagethi yokudubula (umcibisholo weziko lika-Hamer kwesokunxele) ngoba kumenyezelwe ukusebenza okusha kobuchopho.

Iziguli ezinjalo ezimpofu zilala zingakwazi ukuzivikela ngokuphelele ekhaya. Abangane abaningi “abahle” kanye “nabelaphi abanezisusa ezinhle” bayahleba ngaye. Isiguli asisazi ukuthi yini okufanele siyikholelwe; Sivame ukubona ukuthi izingxabano ezintsha ezisebenzayo zifana nokudubula kwemishini. Bavame ukuxazulula ngokushesha, kuphela esikhundleni salokho okuphinde kwenzeke. Umuthi ojwayelekile ongenalwazi, oyisiphukuphuku nongalungile ube esesho kuphela ukuthi: Umdlavuza uyaqhubeka nokukhula, kufanele siphinde sihlinze.

¹⁷⁴ i-polypragmatic = imatasa

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I-CCT yangomhla ka-14.10.92/XNUMX/XNUMX ezinsukwini ezimbalwa ngaphambi kokushona kwesiguli. Empeleni walaliswa nge-morphine. Uhlale uzwa isisho esithi: “O, kwakungekho okunye obekungenziwa noma kunjalo!”

Umcibisholo wesokunxele: Ekugcineni ungabona i-Hamer focus esikhungweni se-motor cortex (emlenzeni wesokudla), okubangele isithuthwane.

Umcibisholo wesokudla ngenhla: Ukugxila kuka-Hamer, kushintshe kancane kuya kwesokudla ngenqwaba kwesokunxele, kuthinte umlenze wesokunxele nengalo, ukuya esixazululweni.

Umcibisholo ophakathi kwesokudla: Iziko lika-Hamer lokungqubuzana kwentukuthelo yendawo kuxazululwa ngokungabaza.

Umcibisholo ongezansi kwesokudla: Okukhulu, okuxazulula ukwesaba-in-the-neck-conflict-Hamer focus, okuhambisana nokwesaba udokotela ohlinzayo owayefuna ukuhlinza ubuchopho futhi wenza kanjalo (isiguli sibona yonke into engemuva kwe-cornea njengengemuva noma ngemuva - ukwesaba-on-the-neck!)

Icala elilandelayo liwumlingani wangaphambilini. Isiguli esasineminyaka engu-19 ubudala manje sesinguchwepheshe wekhompyutha kwa-Telekom futhi manje sesinganikeza isifundo esingalindelekile mayelana nomuthi omusha. Ukungqubuzana kuleli cala kucishe kufane nokwedlule: isiguli, njengomuntu oqeqeshelwa i-telecom, saphuthuma esigxotsheni socingo ngoba ama-crampons awazange abambe. Lokhu kungqubuzana nakho kwaba nomthelela kuye njengengxabano yesibili futhi kwabangela umlaza we-schizophrenic. Izingxabano zaxazululwa cishe ngesikhathi esifanayo nezingxabano zesiguli esincane esimweni sangaphambilini futhi kwatholakala ukuthi "isimila ebuchosheni". Lesi siguli naso sasisengqungqutheleni yokubuyekezwa yaseGelsenkirchen ngoMeyi 18.5.92, XNUMX. Nokho, izindlela zalezi zinsizwa ezimbili zase zihlukene kakade ngaphambi nje kwalokho, insizwa eyodwa, uyise wezingane ezimbili, yayisanda kuhlinzwa ubuchopho...

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Isithombe esiphezulu kwesokunxele:
Umcibisholo ongaphezulu owumngcingo kwesokunxele: I-Hamer igxilisa ukwesaba-ukunengeka esigabeni se-PCL.Ukungqubuzana. Okuphilayo: i-hypoglycemia, amaseli e-alpha islet amanyikwe akhiqiza iglucagon. Isiguli siyanqikaza futhi siyanengwa ngokushesha ukwehla esigxotsheni.

Umcibisholo ongezansi kwesokunxele: okuthiwa "isimila sobuchopho" enkabeni ye-Broca. Ngaphambilini okwakubizwa ngokuthi “isimila ebuchosheni”, okungesona neze isimila, sibonakala kuphela esigabeni se-PCL njengokulungiswa okungenabungozi kokudluliselwa okuthintekile ngokuhlanganiswa kwamaseli ezicubu ezixhumene ne-glial. Siyabona lapha ukuthi amakhono engqondo yengalo yesokudla nawo ahilelekile. Uma lokho okubizwa ngokuthi "isimila ebuchosheni" kuphulukisa ngokuzenzakalelayo, awudingi ngempela ukuhlinzwa kunoma yiziphi "izimila zobuchopho". Kodwa lokho akusho ukuthi lezi "zindawo zokwakha" zokulungisa i-edema azikwazi ukusinika ubuhlungu bekhanda besikhashana ngenxa yezidingo zabo zesikhala, izimpawu zokucindezela kwe-intracranial, ubuhlungu bekhanda kanye nesithuthwane. Kodwa namuhla umuthi wethu wokunakekela kakhulu unezinketho ezinhle zalokhu. Ama-95-98% ayasinda ngisho nangaphandle kokwelashwa okuqinile. Futhi amaphesenti ambalwa kakhulu (ama-2 kuya ku-3% cishe) abucayi kangangokuthi angafa ngaphandle kokunakekelwa okujulile. Ngisho nangezinyathelo eziqinile, ezinye zalezi 2 kuya ku-3% zizofa, ngoba nathi asibona onkulunkulu. Sesaba kakhulu ukuphindeka, okuzophinda kuvule zonke izibazi esigabeni esilandelayo se-PCL. Kodwa uma kubhekwa izinga lokufa elicishe libe yi-XNUMX% lokusebenza kobuchopho, lokho akulutho.

Umcibisholo ongaphezulu kwesokudla: Ukugxila kuka-Hamer kusasebenza ekudluliselweni kwesikhungo se-motor cortex yayo yomibili imilenze, abeyibophele eduze kwesigxobo socingo, okuhambisana nokukhubazeka okuncane kwemilenze yomibili. Lapha nasengalweni yakhe yesokudla wayeke waphathwa yisifo sokuwa - futhi kamuva futhi ngesikhathi sokuphindaphinda.

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Isithombe esiphambene:
Umcibisholo ongaphezulu ovela phezulu: Ukugxila kuka-Hamer okuthinta isikhungo se-motor cortex (ukukhubazeka ingxenye yayo yomibili imilenze).

Umcibisholo ongezansi ubonisa okufanayo njengomcibisholo ongezansi izithombe ezedlule: ku isitofu se-Hamer, “ingane/umama” kwesokunxeleMayelana nohlangothi lomzimba, phakathi nendawoumcibisholo ongakwesokudla ku-relay ye-bronchial (Ukugxila kwe-Hamer kusigaba se-pcl). Ukudluliselwa kwemisipha ngomlenze wesokunxele kanye nenqulu yesokunxele futhi Kwakheka ukungqubuzana kokwesaba emqaleni Njalo yiba nomzila wesitimela kathathu yonke imikhawulo kamama. I kufanele kube ethile kamuva wathola incazelo ngesikhathi ezalwangokumelene neseluleko esicacile se Umama nentombi yakhe kamuva wayefuna ukuqala uhambo lwakhe lweholide phakathi kwamabili. Ngenxa yenkinga yesokunxele ye-cerebral epileptic, ngokushesha wawela kumlaza we-schizophrenic cortical isikhathi sokuhlasela kwesithuthwane.

Isiguli esineminyaka engu-19 kuleli cala lesibili empeleni sasinesimila sobuchopho esikhulu kakhulu, noma kwakubonakala kunjalo. Yingakho udaba lwakhe lwagcina lumenyezelwe ukuthi alusebenzi ngokubikezelwa okubi. Uma ingekho imisebe futhi ingekho i-chemo, ukufa kuzolandela ezinsukwini ezimbalwa.

Yebo, isiguli sisenayo "isimila" namuhla. Lokhu kuwukubumbana kwe-glial okungenangozi njengophawu lokuthi ukulungiswa kwe-relay sekuqediwe. Yiqiniso, awusaboni noma iyiphi i-edema kamuva, i-relay ayisavuvukali.

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Izithombe kwesokudla nesobunxele: Okubizwa ngokuthi “isimila ebuchosheni” esisaqhubeka nokululama ezinyangeni ezimbalwa kamuva.

Lezi zimo zikhombisa ngokusobala ukuthi iziguli ziyafa ngoba umbhedo wokuhlinzwa kobuchopho kwenziwa kuzo. Esimweni sethu, isiguli sanquma ukungenzi lutho, izingxabano zaxazululwa futhi azikwazanga ukubuya empeleni. Ngesikhathi se-DHS, kwakusathatha izinyanga eziyisithupha ngaphambi kokuba akwazi ukusuka engxenyeni engokoqobo yesifundo (ukugibela izigxobo zocingo) ukuya engxenyeni elandelayo yesifundo (umsebenzi wasehhovisi). Sonke sasimtuse ngokufudumele ukuthi angagibeli ezinye izigxobo ze-telegraph noma yini efanayo, hhayi ngisho nokuzijabulisa, noma kunoma yini efanayo, isibonelo ukhahlamba lwendlu. Isiguli naso sakubona lokhu. Ngemva kweminyaka engu-5, isiguli sabizwa yinhlangano yochwepheshe: “Mnu. X., unjani?”

Isiguli: “Sawubona, dokotela, anginazikhalo, akukho ukuhlaselwa. Ngiphile iminyaka engu-4 1/2.

Dokotela: "Kodwa unethumba ebuchosheni?"

Isiguli: Yebo futhi uma kunjalo, ngisazizwa kahle, ngikhiqiza ngokugcwele. Ngenza kahle kakhulu!”

Dokotela: “Yebo, kodwa kumele ngabe awuzizwa kahle. Ngaphandle kwalokho kuzofanele kubhekwe ukuthi welashiwe esimila ebuchosheni bakho ngemva kweminyaka emi-5. Futhi isimila sobuchopho sisabonakala ezithombeni, nakuba sincane.”

Isiguli: “Dokotela, ngithini kuwe? Ngiphila kahle impela, akukho engikushoyo.”

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Dokotela: “Cha, akusebenzi kanjalo. Ngakho-ke, ubulawa isimila ebuchosheni ngokuhlinzwa noma ngaphandle kokuhlinzwa. Ngakho-ke, mhlawumbe kwakuyithumba ebuchosheni, lapho-ke kufanele ukuthi ufile, noma kwakungelona isimila ebuchosheni, ngoba usaphila!"

Isiguli: “Yebo kodwa Dokotela vele ngake ngaya emtholampilo ngiyohlinzwa ngoba igazi lalingekho.. base bethi alisebenzi noma kunjalo, kuzomele banqume uhhafu wobuchopho bami, akukho lutho. ushiywe noma kunjalo, ngisho nangemisebe ne-chemo. "

Udokotela: “Kulungile, ubungeke ube nesimila ebuchosheni. Usaphila. Manje kufanele sithole ukuxilongwa okusha, isibonelo 'i-benign cerebral cavernoma'!"

Isiguli: “Uma ucabanga, Dokotela, ungakubiza noma yini oyifunayo, akungikhathazi. Kodwa yini i-benign brain cavernoma?”

Dokotela: “Akunandaba nakancane, into nje elungile, ngaphandle kwalokho ngabe kade washona!”

Isiguli siyamamatheka: “Yebo, kunjalo, Dokotela, lokho kunengqondo kimi. Ngakho angikaze ngibe nesimila ebuchosheni futhi anginaso manje. Kuyinhlanhla ukuthi awuzange ungihlinze!”

Kusukela lapho, icala lesiguli belingaphansi kwe-pseudo-diagnosis “benign cerebral cavernoma”.

Isithombe esifanayo se-CCT njengesangaphambilini, kuphela ngendlela ehlukile yokurekhoda.

Ngenxa yokuphindaphinda, "i-tumor yobuchopho" yaqala i-edema futhi esigabeni se-PCL. Ngenhlanhla kwaba ukuphinda okufushane nje. Kodwa sesaba kakhulu ukuphindaphinda okunjalo, ikakhulukazi uma sekudlule isikhathi eside.

Ezinyangeni ezimbili ngemva kwalolu shintsho olusemthethweni olwalandela ekuxilongweni, unkulunkulu wesiguli uza kuye athi: “O, Dirk othandekayo, useTelekom, ngokuqinisekile uyakwazi ukufaka indishi yesathelayithi ophahleni.

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Sengikuthengele yonke into, udinga nje ukukuhlanganisa!”

Isiguli sangabaza. Wayetshelwe ngokuqinile, ngokuhambisana neNew Medicine, ukuthi angenza noma yini nokuthi cishe wayengeke aphinde abe nesifo sokuwa. Kodwa ngaphansi kwanoma yiziphi izimo akufanele akhuphuke endaweni ethile esikhathini esizayo esibonakalayo, ngaphandle kwalokho kuyoba nokuphindaphinda futhi kube esinye isithuthwane, uma umuntu ebalile ngendlela efanele.

Kodwa-ke, u-godfather, wancenga ngokuphuthumayo, echaza kabanzi njengobubi ukuthi isiguli sasingafuni ukumenzela lesi senzo esincane. Ekugcineni wacabanga: “Ngolunye usuku ngeke lube lubi kangako, ngaphandle kwalokho, kakade sekuyiminyaka engu-5 futhi angidingi ukubukela phansi, ungathatha nomngane kanye nawe njengokuqinisa, akufanele ngihlukanise unkulunkulu wami. Ngakho yena nomngane wakhe bafaka indishi ophahleni lukababa wakhe.

Ngemva kwamahora angamashumi amathathu kamuva isikhathi sase sifikile: ngemva kwamahora amathathu kuphela elele, yena nentombi yakhe baya eholidini ngo-1 ekuseni ngemoto nentombi yakhe, naphezu kwezixwayiso ezivela kunina. Nokho, waze wafika esigodini esingumakhelwane, lapho abanjwa khona isithuthwane ngemva kokuvela kwengxabano yokushayisana kwezigxobo zocingo. Waquleka washayisa udonga. Ngakho “sasibale” ngendlela efanele futhi isiguli sakwazi lokhu lapho silungisa udaba esibhedlela lapho siphaphama futhi. Lokho kwakuwuvivinyo “olunqatshelwe”!

Iqiniso lokuthi sasicwaninge kahle izingxabano laqinisekiswa kamuva, lapho le nsizwa ichaza udaba lwayo nokuphindaphinda kwayo efilimini yevidiyo kwesinye isiguli esikanye nayo: Waba nesithuthwane phambi kwekhamera, eqala ngamajaqamba ingalo yesokudla kanye nomlenze wesokudla wangemuva. Lapho efika futhi ngemva kokuhlasela, amazwi akhe okuqala ayethi: "Bheka, A., kwakungebona yini ubufakazi obuqand' ikhanda bokuthi i-New Medicine ilungile?"

Leli cala lithakazelisa kakhulu ngoba libonisa lokho okufanele ukwenze ukuze usinde “esimila ebuchosheni esingasebenzi” ngaphandle kwezinkinga ezinkulu nalokho okungafanele ukwenze, ngisho nangemva kweminyaka emi-5! Kukhona futhi kungenzeka lokho okubizwa ngokuthi "ukuqeda ukungezwani kwezingxabano", ngokusho kwesiqubulo esithi: "Buyela ngemuva kwesondo ngokushesha ngemva kwengozi!" Kodwa lokhu kusebenza kuphela ezimweni ezimbalwa kakhulu, khetha. Isikhathi esiningi sinenkinga yokuthi izingxabano azikwazi ukugwenywa ngoba isiguli asikwazi ukushiya umbuthano waso wempilo, njll. Yingakho thina kwa-New Medicine sicophelela kakhulu ngokubikezela izifo, nakuba iningi leziguli lisinda. Kodwa ukubikezela kungaba kuhle kuphela njengoba isiguli siye saziqonda izindlela zomuthi omusha futhi nalapho...

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10.11 I-Histology¹⁷⁵ umhlambi weHamer

Ubuchopho bethu bomuntu - okufanayo nasezilwaneni - buqukethe cishe u-10% wamangqamuzana obuchopho (amangqamuzana ezinzwa) kanye nama-90% e-glia, lokho okubizwa ngokuthi izicubu zobuchopho. Izazi zisaphikisana ngomsuka nomsebenzi wale glia. Yingakho ngingafuni ukuhlakanipha kunopapa bakule ndawo.

Akungabazeki ukuthi i-glia

a) Macro-glia (glia enkulu) kanye
b) I-Micro-glia (i-glia encane)

kuhlanganisa. Kusanda kucatshangwa ukuthi i-microglia yakhiwe umnkantsha wethambo futhi ihlobene kakhulu (uma ingafani) nama-monocyte. Kunoma yikuphi, kungokwe-mesoderm. Ngaphambilini kwakucatshangwa ukuthi ivela ku-pia mater, ulwelwesi lwezicubu ezixhumene ngqo nobuchopho. Kodwa kulokhu futhi, i-micro-glia imvelaphi ye-mesodermal.

I-macroglia iqukethe ama-astrocyte nama-oligodendrocyte. Ama-astrocyte akha izibazi ezisebuchosheni, kuyilapho ama-oligodendrocyte enza umsebenzi walokho okubizwa ngokuthi i-Schwann sheath ebuchosheni, okungukuthi amboza futhi avale ingqamuzana lezinzwa. Kodwa-ke, ekusebenzeni, le misebenzi akulula ukuyihlukanisa njengoba kungenzeka ngokwethiyori. Sizoxoxa ngalokhu ngokuningiliziwe ngezansi. Kunoma ikuphi, kuyathakazelisa ukuthi i-macro-glia ne-micro-glia zisebenzisana eduze, i-micro-glia ihamba (okungenani ekuqaleni) kanye ne-macro-glia imile. Ngenxa yalesi sizathu, kukhona abacwaningi ababheka yonke i-glia njengemvelaphi ye-mesodermal, kuyilapho iningi libheka i-macro-glia njenge-ectodermally etholakala ku-neural groove.

Okokuqala, kufanele kucace kakhulu ukuthi amangqamuzana obuchopho nezinzwa awasakwazi ukuhlukana noma ande ngemva kokuzalwa. Kungakho, ngokwencazelo, zingekho izimila zobuchopho ngomqondo we-carcinomas. Okuwukuphela kwento engaphindaphinda i-glia. Ngakho-ke ungakhuluma kuphela ngezibazi zezicubu ezixhumene nobuchopho noma i-glial keloid¹⁷⁶ khuluma.

¹⁷⁵ Histology = ukufunda izicubu zomzimba
¹⁷⁶ I-Keloid = isibazi esiqhumayo

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Kodwa ngisho nale ncazelo, okwamanje engiyibheka njengengcono kakhulu, isigamu kuphela sichaza lolu daba, ngoba kunezinhlobo eziningi ezahlukene zezibazi ebuchosheni kanye nazo zonke izinhlanganisela ezingenzeka. Noma kunjalo, zonke ziyimihlambi yamaHamer.

Ngabuza i-neurohistopathologist yakwa-Erlangen ukuthi icabange kanjani ukuthi kwakwenzekani okwaholela esilonda sika-Hamer. Wakuchaza ngale ndlela: Lapho kukhona ukuguqulwa¹⁷⁷ Endaweni yobuchopho, ngolimi lwakhe isimila ebuchosheni, ngasizathu simbe kukhona okuthiwa “croissance perineuronale” eyaqanjwa amaFulentshi, ngesiJalimane: udonga oluphambanayo lwamangqamuzana ezinzwa e-cranial. Uma ucabanga ukuthi amangqamuzana enzwa yobuchopho ngamanye njengamabhethri amancane, inani elikhulu lamabhethri anjalo ngabe liputshuke ngenqubo ethile futhi manje kuzodingeka ukuthi livalwe noma livalwe elinye nelinye nge-glia. Kungacatshangwa ngendlela efanayo njengokungathi izikhala phakathi kwesakhiwo esikhulu se-lattice zigcwele izinto eziqinile, isibonelo isihlabathi, ingilazi noma okunye okunjalo. Lokhu kuvumelana “okuqinile”, esikubiza ngokuthi “i-hyperdense focus” (i-denser focus), iqukethe amadiphozithi e-glial. Ukugxila okunjalo kwe-hyperdense ngokuvamile kunikezwa kangcono ngegazi, njengezibazi zethu, ikakhulukazi izibazi ze-keloid zomzimba. Ngakho-ke lawa ma-foci ane-hyperdense ngokuvamile anothisa imidiya yokuqhathanisa kangcono. Lokhu kuvamise ukuba njalo lapho igazi elengeziwe eliqukethe i-ejenti ehlukile ligeleza khona ngeyunithi ngayinye yesikhathi.

Manje uzobuza ngokushesha, mfundi othandekayo: Yebo, kungenzeka yini ukuthi zonke ziyafana ngokuyisisekelo: ukushaywa unhlangothi, ukopha kobuchopho, i-cyst yobuchopho, isimila ebuchosheni, i-meningioma, i-hyperdense (ukwanda kwabantu) kanye ne-hypodense¹⁷⁸ (okuncishisiwe okuminyene) i-foci noma izindawo kanye nakho konke ukuvuvukala okuningi okungacacile kobuchopho bazo zonke izinhlobo?

Impendulo: Ngaphandle kwezimbalwa ezimbalwa, yebo! Yebo zikhona ezingavamile kakhulu ezingaphansi kwe-subdural¹⁷⁹ kanye ne-epidural¹⁸⁰ I-Hematomas evela ekuweni (ukopha phakathi kwe-dura mater kanye ne-arachnoid noma phakathi kwekepisi logebhezi kanye ne-meninges eqinile), vele kukhona i-meningitis (ukuvuvukala kwama-meninges athambile) kanye ne-encephalitis, isibonelo ngemuva kokulimala nokuhlinzwa, futhi vele kukhona futhi ngezikhathi ezithile ukopha okukhulu ebuchosheni. Kodwa ngaphandle kwalokhu okuhlukile, okuyisilinganiso esiphezulu se-1%, zonke ezinye izinguquko ebuchosheni ziyi-foci ka-Hamer, njengoba ngishilo, ezigabeni ezihlukene zokuqhubekela phambili, ezindaweni ezahlukene nangesikhathi noma ngemva kobude obuhlukene bokungqubuzana.

¹⁷⁷ Ukushintsha = ushintsho olungajwayelekile
¹⁷⁸ hypodense = igama lendawo engaminyene kakhulu
¹⁷⁹ subdural = etholakala ngaphansi kwe-dura mater (ama-meninges aqinile).
¹⁸⁰ i-epidural = etholakala ku-dura mater (ama-meninges aqinile).

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Isiguli esineminyaka engu-59 ubudala e-University Clinic e-Vienna, esangeniswa siqulekile, sine-vagotonia evutha umzimba wonke, futhi sahlolwa nge-CT. I-hematoma enkulu ye-subdural kwesokudla ibonwe (umugqa odayishiwe, imicibisholo), okungukuthi ukulimala phakathi kwe-dura mater nethambo logebhezi. Ozakwabo bathole ezihlotsheni ukuthi isiguli sasiwele ngakwesokudla sogebhezi lwaso endlini yaso. Isizathu sokugcwaliswa kwaba kanje: Isiguli sine-edema enkulu endaweni ye-periinsular parietal engakwesokudla, ehambisana nesigaba se-PCL ngemva kokungqubuzana kwendawo, okungukuthi i-cerebral right left heart infarction.

Ngesikhathi esifanayo, uhlangothi lwesobunxele lubuye lubonise i-edema encane, ehambisana nokungqubuzana kocansi okuxazululiwe kanye nokungqubuzana kokwesaba nokukhathazeka nge-cervical carcinoma kanye ne-larynx carcinoma. Kamuva kwabikwa ukuthi isiguli sasihlaselwe yinhliziyo ekwindla ngakho-ke sadluliselwa. Njengoba ozakwabo bengenalo ulwazi mayelana nokuhlaselwa yinhliziyo nokuhlobana kobuchopho, kulula ukudida imbangela nomphumela.

Uma usibhekisisa lesi sithombe, uzobona uchungechunge lonke lokucushwa kwethagethi yokudubula, okunye okusebenzayo (okuzungezwe imicibisholo emincane), eminye yayo esanda kungena esixazululweni, phezulu kwesokunxele nakwesokudla parieto-occipital, noma ukugxila kwe-Hamer eyodwa kusixazululo, esingasakwazi ukuqashelwa yi-edema, kodwa kuphela ngokushintsha okukhulu, okusho ukuthi kufanele kube mdala.
Ngeshwa, angikwazanga ukuthola okwengeziwe ngomlando. Kepha othile othathekile ngeNew Medicine wayengeke aphumule kuze kube yilapho esetholile mayelana nokungqubuzana okuhambisanayo okusebenzayo noma okuxazululiwe kweziko ngalinye likaHamer!

Ngokulandelayo sizozama ukunikeza umbono omfishane wezinhlobo ezihlukahlukene ezingaba khona zomhlambi kaHamer, okungenani ezibaluleke kakhulu ngokwesimiso. Lokhu kubuka konke akusho ukuthi kuphelele.

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10.11.1 Lokho okubizwa “ngethumba ebuchosheni” (empeleni ukugxila kuka-Hamer)

Lena into engenabungozi esuswa ebuchosheni ngezinkulungwane emhlabeni wonke ngenxa yokuthi inokungaguquguquki okuminyene futhi kulula ukungcoliswa yimidiya yokuqhathanisa. Zombili zisekelwe enqubweni efanayo: izicubu ezixhumeneyo ze-glial ezikhulayo zikhula eduze kwendawo eshintshiwe yokugxila kuka-Hamer futhi ilungisa ngogesi "i-insulation", okungukuthi iyayiqinisa. Inani elingapheli labantu ababa nenhlanhla yokuthi lezi zinsalela ezingenabungozi zomdlavuza, ezathathwa ngephutha njengezimila zobuchopho, azizange zitholakale kuzo, zihamba nazo amashumi eminyaka, zinezinkinga ezincane noma zingekho nhlobo.

Lokhu kugxilwa kwe-Hamer, okungukuthi indawo emhlophe engaphezulu noma encane emhlophe noma indawo ku-CT, ehambisana nokunqwabelana okukhulayo kwamaseli e-glial kule ndawo endaweni yobuchopho eshintshiwe ngaphambilini, imele ukuphela kokuphulukiswa lapho ingasekho intra- kanye ne-perifocal edema. Imane imele isibazi esinikezwa igazi kangcono kunendawo ezungezile, kodwa ihlukile ezibazini ezikuwo wonke umzimba ngenxa yokuthi uhlaka lwangaphambili lwamangqamuzana ezinzwa zobuchopho lusekhona kulesi sibazi. Lena futhi imfihlo yokuthi kungani indawo yomzimba ebinesifo ngaphambilini, okungukuthi indawo yomdlavuza wesitho sangaphambilini, iqhubeka nokuba khona ngokuthula ngemva kokuphulukiswa futhi ingafeza nomsebenzi wayo wangaphambili futhi. I-relay yobuchopho "yekhompyutha" empeleni "icishiwe" futhi ilungiswa nge-glia. Ngalokhu kuqonda, singaphinde sicabange ukuthi kungani ukuphindeka kokungqubuzana kufanele kube nemiphumela elimaza kangaka, nakuba zikhona ezinye izingxenye ezibangela lokho.

Uma sikhuluma ngesilonda sika-Hamer esigabeni sokuphulukisa, okuyinto emithini ye-orthodox isabizwa ngokuthi "isimila sobuchopho" ngenxa yokungazi kahle umongo weqiniso, khona-ke kufanele sihlale sicacile mayelana namaqiniso amabili alandelayo:

a) Ukugxila ngakunye kuka-Hamer esigabeni se-pcl phambilini bekugxilwe ngu-Hamer esigabeni sokungqubuzana endaweni efanayo ekucushweni kwethagethi yokudubula ebukhali, esingazange siyibone kakhulu ngenxa yokuthi ibingenazo izimpawu eziphawulekayo kulesi sigaba noma ngenxa yokuthi sasinganaki ukunyakaza kwemisipha okuthambile noma ukukhubazeka kwezinzwa, isibonelo, noma ngenxa yokuthi isiguli sasingazange sikhononde ngakho.

b) Konke okugxilwe kukho kuka-Hamer, kokubili okusesigabeni sokungqubuzana nokucushwa okujwayelekile okucijile okucijile, kanye nalezo ezisesigabeni sokuphulukisa ezine-edema enkulu noma engaphansi kanye nokuqina kwazo okukhulayo, okuhlanganisa zonke izimpawu zengqondo, ubuchopho. kanye nezinga lezinto eziphilayo, nakho kuyizinqubo ezikhona eziphusile ngomqondo we-“Sensible Biological Special Programs” (SBS). Akuphikisani nalokhu ukuthi imihlambi "iyalungiswa" esigabeni se-pcl.

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10.11.2 Okubizwa ngenhlamba ye-apoplectic¹⁸¹ noma “ukushaywa kobuchopho”

Bafundi abathandekayo, nizoqaphela ngokushesha ukuthi i-nomenclature inzima kangakanani, okungukuthi, ukuqokwa okufanele kwemigomo, iba lapha. Ngoba ngisho nemithi evamile manje isiyabona ukuthi izifo eziningi zokuxilonga manje sezidlulela kwezinye izifo noma ziyefana, futhi kwezinye izimo zazingenangqondo ngokuphelele. Ubunzima obulandelayo wukuhumushela lokho okubizwa ngokuthi ukuxilongwa olimini olufanele Lwemithi Emisha, lapho-ke empeleni kuyisigaba sohlelo olukhethekile lwebhayoloji lwemvelo (SBS). Ngakho ungakhathazeki uma ungawutholi umqondo ngaso leso sikhathi. Ngizozama ukukwenza kube lula ngangokunokwenzeka.

Ezincwadini zethu besike sahlukanisa phakathi kwalokhu okubizwa nge- “pale stroke” nalokhu okubizwa nge-red stroke.

I-stroke ephaphathekile noma emhlophe (i-sympathicotonic) kwakuyi-motor noma ukukhubazeka kwezinzwa noma kokubili. Besingambiza nangokuthi nguMS. Kumane kuyisigaba sokungqubuzana (i-ca-phase) sohlelo olukhethekile lwebhayoloji yemvelo. Ukushaywa unhlangothi okuphaphathekile noma okumhlophe, esingavamisile ukuba nakho, nakuba kungenjalo kakhulu, kungashabalala ngokushesha njengoba kwenzeka, inqobo nje uma ukungqubuzana kuxazululwa ngokushesha.

Engxenyeni yemoto, ukuquleka kwesithuthwane kuyisibopho esigabeni sokuphulukisa, nakuba uma kwenzeka ebusuku akubonwa ngempela.

Engxenyeni yezinzwa, ukungabikho kuhlale kuyisibopho njengenkinga ye-epileptoid. Kodwa-ke kulula nakakhulu ukuwakhumbula ebusuku. Sasivame ukukhuluma “ngokuthuka kwe-apoplectic” lapho ukukhubazeka, ikakhulukazi ukukhubazeka kwemoto (nervus facialis), kubonakala ebusweni. Olunye uhlangothi lobuso "luwela phansi" futhi umlomo "udonsa" kuphela kolunye, uhlangothi olungakhubazekile.

¹⁸¹ i-apoplectic stroke = unhlangothi, ukushaywa ubuchopho

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Ukukhubazeka ezingeni lezinto eziphilayo ngokuyisisekelo kuhlangothini oluphambene lokugxila kuka-Hamer ku-cerebrum. Isibonelo, uma isiguli sinokukhubazeka kwe-motor ohlangothini lwesobunxele lobuso (inzwa yobuso), i-Hamer focus isesikhungweni se-motor (precentral gyrus) ngakwesokudla sobuchopho. Umlomo ube usudonsela kwesokudla ohlangothini olungakhubazekile, kanti ikhoneni elingakwesokunxele lomlomo "lilenga", okungukuthi alikwazi ukugcinwa.

Ngaphezu kokulawulwa kobuchopho, lokho okubizwa ngokuthi izinzwa eziyishumi ezithinta ikhanda nazo zine-nuclei endala (okungukuthi izindawo zemvelaphi) ku-midbrain. Endabeni yenzwa yobuso, yavala lokho okubizwa ngokuthi imisipha ebushelelezi - futhi isenjalo nanamuhla. Lona imisipha endala, engavunyelwe, isibonelo samathumbu, i-peristalsis yayo.¹⁸² asikwazi ukunyakaza ngokuzenzela.

Yiqiniso, lezi nuclei ze-cranial nerve ebuchosheni obudala aziweli ohlangothini lwesitho. Kufanele sicabange ukuthi wonke umlomo, kuhlanganise nekhala, indlebe ephakathi necilongo lendlebe, ekuqaleni kwakungowamathumbu. Kwakukhona futhi "isimiso sezinzwa esidala", hhayi nje uhlelo lwezinzwa olujulile lwesikhumba sethu se-corium esilawulwa yi-cerebellum.¹⁸³ kanye nonqenqema lobisi, noma kithi izindlala zesibeletho zesifazane, nazo ezavela esiqwini sobuchopho esiphezulu futhi zazinomthwalo wemfanelo wokuqondisa izinto ezihlukahlukene ngendlela efanele emphinjeni, ekuqaleni ezazisebenza kanyekanye ukuze zimunce ukudla futhi zikhiphe indle. zaqala zahlolwa noma zahlolwa kuqala lapho okungekwakho...

Uma manje siphendukela kulokho okubizwa ngokuthi "i-red apoplectic stroke", eyaziwa nangokuthi i-stroke ebomvu noma eshisayo, khona-ke lokhu kuhlale kuyisigaba sokuphulukisa sokugxila kwe-Hamer, okuhlala kubekwe ohlangothini oluphambene nemoto etholakalayo noma izinzwa. ukukhubazeka. Lapha le ndaba inzima kakhulu ngoba ukukhubazeka, kokubili i-motor kanye nezinzwa, kungabuye kubangelwa "i-edema echichimayo", ngakho-ke akudingekile ukuba kube khona ukungqubuzana kwe-motor noma izinzwa (ukuhlukaniswa) okwandulele. Uma ungenza i-CT yobuchopho yenziwe, ungakwazi ukuziqinisekisa wena nezihlobo zakho kaningi, ngisho noma isiguli sikulokho okubizwa ngokuthi yi-cerebral coma, okuvame ukufana nokungabi bikho kwe-epileptoid crisis. Ngokuvamile “ukungenzi lutho” kungcono kunokuzama ukukhipha isiguli “kukoma” kwaso. Ngoba inkinga ye-epileptoid yokungabikho nayo idlula ngokuzenzakalelayo. Kodwa-ke, njengoba ngishilo, kufanele ube ne-CT scan yobuchopho. Ukwesaba ukuthi kungase kube ukopha ebuchosheni cishe akulona iqiniso. Ngokuvamile i-edema evela endaweni yase-Hamer evuvukala ngesikhathi sesigaba sokuphulukisa.

¹⁸² I-Peristalsis = ukunyakaza kwe-intestinal motor okuzenzakalelayo ukuhambisa ukudla
¹⁸³ I-Corium = i-dermis

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Isibonelo, uma isiguli sine-infarction yenhliziyo yesokunxele ene-edema enkulu ye-cerebral cerebral periinsular, khona-ke i-edema enkulu ingasunduzela ezindaweni ezizungezile ze-motor kanye ne-sensory cortical, sithi "cindezela", ukuze zikhukhulwe futhi ngaleyo ndlela zikhubaze okwesikhashana ngokuphambene nengxenye eyodwa yomzimba imiphumela. Yingakho isifo senhliziyo sivame ukuhunyushwa ngokungeyikho njengokuhlasela kwe-apoplectic futhi ngokuphambene nalokho, kuye ngokuthi yiziphi izimpawu ezingaphambili. Umuntu uvame ukucabanga ukuthi isiguli sinaso I-Durch Ushaywe isifo sohlangothi esibomvu ngemuva kokuhlaselwa yinhliziyo, okuyinto engenzi mqondo.

Isixwayiso: Ngaphandle uma wazi ukuthi ukungqubuzana noma izingxabano ziqhubeke kanjani, kunzima ukulinganisa ukuthi i-edema isivele ifinyelele phezulu noma izoqhubeka nokuba yimbi. Ngisho nokuquleka isikhathi eside akusona isizathu sokuphelelwa ithemba uma ungakwazi ukulinganisa inkambo yokungqubuzana ngokusekelwe olwazini lwakho lwengxabano. Kodwa futhi kufanele ucabange ngokuphindaphinda kwezingxabano, ezingase "zivuse" i-edema. Iziguli eziningi azikhohlisi kangangokuthi azikwazi ukuzwa noma ngisho nokuqonda okukhulunywayo. Ngakho qaphela!

10.11.3 I-Hamer igxile esigabeni sokuphulukisa

Ngaphandle kokukhubazeka, iningi lezinqubo zobuchopho ezihambisanayo zomdlavuza zibonwa kuphela esigabeni se-PCL, isigaba sokuphulukisa. Lokhu akumangazi. Kulesi sigaba kuphela lapho i-edema yokuphulukisa iqala khona, futhi ngaleyo ndlela ibizwa ngokuthi "inqubo yokuthatha isikhala." Le nqubo yokuthatha indawo kakhulu ibilokhu ihunyushwa ngokungeyikho njengombandela wesimila. Ngempela iyithumba ngomqondo wokuqala wokuvuvukala, kodwa hhayi ngomqondo we-carcinoma noma lokho okubizwa (okungekho) "i-metastasis." Ngaphezu kwakho konke, i-edema ye-intra- kanye ne-perifocal ye-Hamer focus ingeyesikhashana kuphela esigabeni sokuphulukisa. Uma sihlola ukugxila kwe-Hamer ngemuva kwesigaba sokuphulukisa, sithola ukuthi akukho lutho olusele ekususweni kwesikhala. Izikhala phakathi kwamangqamuzana obuchopho manje sezigcwaliswe unomphela nge-glia, ngokusobala ukulungisa noma yini (yogesi) umsebenzi owawuphazanyiswe ithoni yozwelo phakathi nengxabano. Noma yikuphi ukuvuvukala kobuchopho kuzokwehla futhi.

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Ngaphezu kwalokho, okuthile okukhethekile ukuthi ama-carcinomas alawulwa ubuchopho ayaziwa ukuthi akhule esigabeni sokungqubuzana, isigaba se-sympathicotonic, ngokukhula kwamangqamuzana angempela, kodwa ukuthi ukuvuvukala kokugxila kukaHamer kwenzeka kuphela esigabeni se-pcl, isigaba sokuphulukisa, futhi okwesikhashana kuphela. . Okuwukuphela kobunzima bokuqonda lokhu ukwanda kwamangqamuzana angempela ezicubu ezixhumene zobuchopho, eziziphatha njengokukhula kwe-sarcoma. I-Sarcoma, okuyinto ngokuyisisekelo ukukhula okungenangozi noma okuwusizo kwezicubu ezixhumene esigabeni sokuphulukisa, futhi inokwanda kwamangqamuzana angempela. Kodwa-ke, nakuba ukwanda kwezicubu ezixhumeneyo kunenjongo yokulungisa isilonda esiwumshini, isici, ithambo eliphukile noma okunye okufana nesibazi sezicubu ezixhumeneyo noma i-calous, i.e. ngokuvamile ukugcwalisa ukukhubazeka kwento futhi ngaleyo ndlela kuyenze isebenze futhi iyonke (isb. ithambo eliphukile) , amaseli e-glial agcwalisa Ku-"Croissance perineuronale" ekugxilweni kwe-Hamer yobuchopho, kuphela izikhala ze-lattice phakathi kwamaseli obuchopho ezivulekayo ukuze kuqinisekiswe ukusebenza kwamaseli asekhona. Ngokusebenza (ngokwesibonelo ngokuphathelene nokufaka phakathi nendawo) amaseli obuchopho angabuyiselwa emsebenzini wawo. Ngemuva kwakho konke ukuxazululwa kwezingxabano, isigaba se-pcl esilandelayo noma isigaba sokuphulukisa ngaso sonke isikhathi "isigaba se-mesoderm". Kuyo, yonke into ilungiswa ngangokunokwenzeka, ihlanganiswe ezingeni lesitho, izibazi nokunye okunjalo, njalo ngokwakhiwa kwe-edema, njengokungathi i-pleural effusion ngemva kwe-pleural carcinoma, i-pericardial effusion ngemva kwe-pericardial carcinoma, i-ascites.¹⁸⁴ ngemva kwe-peritoneal carcinoma, i-callus recalcification ngemva kwe-bone osteolysis (bheka i-leukemia). Ngisho noma, ngokomthetho, yonke i-cerebral edema iyancipha futhi ngenxa yokuthi, njengazo zonke i-edema yomzimba, ngokuyisisekelo ingokwemvelo yesikhashana, isiguli sisengafa ngenxa yokucindezela kwe-intracranial ngaphambi kokuba kwehle futhi.

Ngokusekelwe kokuhlangenwe nakho kwethu kwangaphambili ngamacala ngokusho kwe-New Medicine, sazi ngokuyinhloko izinkinga ezi-6 ezilandelayo zomphumela obulalayo esigabeni sokuphulukisa:

1. Isikhathi sokungqubuzana side kakhulu noma ukushuba kwengxabano kukhulu kakhulu.

2. Isifinyezo se-edema ye-perifocal eminingana ngesikhathi esisodwa ne-foci ka-Hamer ngokuphulukiswa ngasikhathi sinye komdlavuza eminingana.

3. Indawo engathandeki kakhulu yokugxila kuka-Hamer kanye ne-perifocal edema esigabeni sokuphulukisa, isibonelo eduze nendawo yokuphefumula ku-medulla oblongata noma isikhungo se-cardiac rhythm endaweni ye-periinsular yesokudla nesobunxele.

¹⁸⁴ Ascites = uketshezi lwesisu

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4. Ukugudluzwa kwemizila yokudonsa amanzi otshwala, ikakhulukazi umsele. Uketshezi lwe-cerebrospinal lube se luyakhula bese kuvela i-hydrocephalus yangaphakathi, okungukuthi ama-ventricles agcwele uketshezi lwe-cerebrospinal anda kakhulu ngenani lezicubu zobuchopho ezizungezile. Lokhu kubangela ingcindezi ye-intracranial.

5. Endabeni yokuphindaphinda kwezingxabano eziningi, lapho umsebenzi wokungqubuzana kanye nesigaba sokuphulukisa kushintshana ngokuphindaphindiwe ne-edema ye-intra- kanye ne-perifocal, izimpawu zokukhathala ekuxhumaneni kwamangqamuzana obuchopho zingavela, ikakhulukazi uma ukugxila kuka-Hamer kutholakala esiqwini sobuchopho. Lokhu kungase kubangele ukuthi yonke indawo iqhekeke. Lokhu, uma kwenzeka emqondweni, kungasho ukufa okusheshayo.

6. Ngokusebenza, indlela elula njengoba ibalulekile idlala indima ebaluleke kakhulu: okushiwo ukuthi isiguli sithinteka izimpawu zesigaba sokuphulukisa ezifana nalokho okubizwa ngokuthi "ubuthakathaka be-circulatory" ngenxa ye-vagotonia, i-ascites, i-periosteal tension, i-residual anemia, i-leukemia noma i-residual thrombocytopenia Isigaba sokuphulukisa ngemva kwe-bone osteolysis, esihlotshaniswa eduze nokuphindaphinda, noma i-carcinophobia noma ukwesaba ama-metastases ezimweni ezibucayi (DHS), singathuka nganoma yisiphi isikhathi futhi sibe nokungqubuzana okuphakathi ukwesaba ukufa. Ngeshwa, igama elilodwa lokunganaki elivela komunye umuntu, isibonelo udokotela isiguli esimbheka njengonekhono, ngokuvamile kwanele ukumphonsa emgodini ojulile wokuphelelwa ithemba nokwesaba, okunzima kunoma ubani omunye ukumkhipha kuwo. ,okuncane kodwa angazikhipha futhi. Le nkinga iyinkinga evamile kakhulu futhi enzima kakhulu futhi ehlala njalo engenasidingo ngokuphelele, engase futhi ibeke isiguli "embuthanweni ononya" (bheka isahluko esifanele).

I-Intra- kanye ne-perifocal edema ngokuvamile iwuphawu lokuphulukisa. Kusebenza futhi uma ukugxila kuka-Hamer kungakwazi ukuchazwa ngokucacile ngenxa yesikhathi esifushane sokungqubuzana, ukuqina okuphansi kokungqubuzana noma ngezizathu zendlela ngayinye yokusabela, okungukuthi yonke into ibonakala kuphela njengokuvuvukala kwendawo, njengoba kwenzeka, isibonelo, ngemva ukulungiswa kokwehla okujwayelekile kokuzethemba (umthetho ezinganeni) kuvamile ku-medulla ye-cerebrum.

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10.11.4 Ukudabula kokugxila kuka-Hamer ngenxa ye-intrafocal edema

Uhlobo oluvamile lwalokho okubizwa ngokuthi “isimila sobuchopho” i-cyst, uhlobo lwendilinga engenalutho egcwele uketshezi futhi ibonakala njengendandatho ekhanyayo ku-CT yobuchopho. Lesi simila ngokuvamile sihlanganiswe ne-glia kanye nezicubu ezixhumene ezijwayelekile. Ngokuvamile kukhona ukopha ngisho nokuncane kulesi simila esivela emithanjeni yegazi emincane esesibazini. Kuholela ezinhlobonhlobo zokuxilonga futhi akukaze kuchazwe. Lapho odokotela abavamile beyibamba, bayihlinza “njengethumba ebuchosheni”, okuyinto engenangqondo nhlobo. Kulolu chungechunge olufushane olulandelayo ngifuna ukukukhombisa ukuthi ama-cysts akheka kanjani. Endabeni yezingxabano ezihlala isikhathi eside, ezisokiwe ezithinte isiguli kuphela ngenhlonipho ecacile, futhi ngenxa yalokho kubangele ukuguqulwa okuhlala isikhathi eside engxenyeni ethile yobuchopho, esigabeni se-pcl izicubu zobuchopho zingakwazi ube ngaphansi kwengcindezi enwebekayo ye-intrafocal edema izinyembezi. Umphumela uba isimila esigcwele uketshezi, esiqale sibe sikhulu futhi sibe sikhulu, kamuva sibe sincane futhi, kodwa ngokuvamile asisuki ngokuphelele ngoba okwamanje sifakwe izicubu ezixhumene ngaphakathi futhi ngenxa yalokho siye saqina. Ngokwesilinganiso, le cyst ibonakala njengendandatho noma, uma ithintekile, njengendawo enkulu noma encane, eyindilinga, emhlophe.

Endabeni yalesi siguli, okuvela kuso lezi zithombe ezilandelayo, kwavela isimo "senhlanhla" sokuthi sine-CT yobuchopho kusukela esikhathini lapho umdlavuza waso wawungakatholakali. Lokhu kuqoshwa kwenziwa esigabeni se-ca, ngesikhathi sokungqubuzana kwakhe. Ngaleso sikhathi (1982), ukurekhodwa kwakungekuhle ngokobuchwepheshe njengoba kungenziwa ngemishini yanamuhla. Kodwa uma ubhekisisa (umcibisholo) ungabona ngokucacile okuqondiwe kokudubula okuncanyana, okucijile ku-medulla yesokunxele (yekhanda elinwebekayo elingakwesokudla).

6.6.83

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Lezi zithombe zithathwe ezinyangeni ezi-4 ngemuva kwezithombe ezedlule, amasonto ayi-5 ngemuva kokuxazululwa kwengxabano! I-foci emibili ye-Hamer ku-medulla ngakwesobunxele ingabonakala ngokucacile esithombeni esingaphansi sobuchopho, esiqala ukuhlukana ngenxa ye-edema ehlaselayo. Isithombe esingenhla siphinde sibonisa ukugxila kuka-Hamer esiqwini sobuchopho, okucaca nakakhulu ezithombeni ezilandelayo. Umsele wamanzi usavuleke kahle. Ngakho-ke akukho ukuvinjelwa ekuphumeni kwe-cerebrospinal fluid (cerebrospinal fluid).

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Izilonda ze-Hamer ngakwesobunxele esithombeni ziye zaqhuma futhi kamuva "zikhukhumezekile" yi-edema ye-intrafocal. Izilonda ezintathu zokuqala ze-Hamer manje "izindandatho" ezinkulu, okungukuthi ama-cysts. Sibona inqubo efanayo ezithombeni ezisesiqwini sobuchopho (amaphoni) kanye naku-cerebellum.

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Esithombeni sokugcina saleli cala, sibona isakhiwo esikhulu sendandatho esikhungweni semoto yengalo yesokudla, ebuye ivuvukele futhi inemibala emhlophe, engxenyeni yekhohlo yesokunxele ye-cerebrum, eduze nangaphezulu kogebhezi. ikhubazeke nakakhulu kuleli phuzu esigabeni se-pcl kunangaphambili, okuyinto evamile ngenxa yokudubula kwe-edema. Kungakho sitshela zonke iziguli ezinokukhubazeka kwezimoto ukuthi ukukhubazeka kuba kubi kakhulu ngemva kokuxazululwa kwezingxabano (conflictolysis) nangemva kokukhubazeka kwesithuthwane. Inhlekelele (isifo sokuwa) lesi siguli esahlupheka ngemva kwesikhashana, sabe sesithuthuka kancane kancane. Uma sikhuluma nje, ubezoba ngcono futhi kusukela ekuqaleni kwesigaba sokuphulukisa, kodwa lokhu kungaphezu kokunxeshezelwa yi-edema, ukuze konke kuyo yonke imiphumela yokuwohloka komtholampilo.

Esigulini, ukungqubuzana okuyisisekelo ne-DHS kwakuwukuthi umphakathi, emhlanganweni womkhandlu omangalisayo, wenqaba ukuvumela isiguli, esasinenkampani enkulu yamabhasi, ukuba sizakhele ihholo lamabhasi endaweni yaso efanelekile kakhulu. Isiguli sabona lesi sinqumo njengokulahlekelwa ukuzethemba okuhlazisayo. Ubone ukuthi imisebenzi yakhe emphakathini ayinconywa.

Ngezithombe ezedlule engingathanda ukukubonisa zona, bafundi abathandekayo, zingaki izinhlobo ezahlukene ze-foci ka-Hamer ezingaba khona ebuchosheni okwesikhashana noma isikhathi eside. Kufanele kukwenze ucabange uma manje ngikutshela ukuthi yonke lemihlambi yama-Hamer ngokomgomo iyafana futhi iyafana, isezigabeni ezihlukene zokuqhubeka, izindawo ezihlukene vele, kodwa futhi nokusabela okuhlukile komuntu ngamunye. Njengoba nje sasivame ukubona ukusabela kwe-keloid enkulu yesibazi ezinganeni ngemva kokugoma ingxibongo enganeni eyodwa futhi sasingakwazi ukuthola indawo yokugoma kwenye ingane, ukusabela kwesibazi se-glial ebuchosheni nakho kuhluke kakhulu, kuya ngokusabela komuntu ngamunye. . Kodwa-ke, kufanele kwenziwe umehluko phakathi kokusabela okunzima, okuvame ukushuba esithweni nasebuchosheni ngenxa yokungqubuzana okushubile noma okuhlala isikhathi eside.

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Angifuni ukwenza sengathi ngazi konke. Ubona kuphela ukuthi kuncane kangakanani owazi ngemuva kokuthi ucabange ukuthi ukwenzile. Sonke singabafundi futhi asikho isizathu sokuphumula. Into eyinhloko okumelwe siyifunde ukufunda ukulalela lokho okushiwo ogulayo. Sonke siyibone eyanele imiphumela "yezikole" zefilosofi, ezengqondo, zemfundiso yenkolo, noma ezenhlalakahle noma ama-combs aqinile okufanele iziguli ziwalandele. Lokhu kuye kwaholela ekuhlolweni kwabantu ngokuvumelana namaphethini: umfutho wegazi, isibonelo, ngaphandle kokuba udokotela abe nesithakazelo sokuthi isiguli sasinezwi elizwelayo yini, sinemithambo emincane kanye nomfutho wegazi owanele, noma i-vagotonia, okwamenyezelwa ukuthi iyinkinga yomfutho wegazi noma ukuphazamiseka kokujikeleza kwegazi. Lokhu kwenziwa ngakho konke okutholakele kanye nokuxilongwa, okuhlanganisa nangokwengqondo.

Into enzima kakhulu ngemihlambi ka-Hamer empeleni into esiyibona ezweni lonke kwezokwelapha: lonke inani esililinganisayo liyinani lesekhondi, cishe iminithi noma ngehora, isifinyezo nje. Ngesikhathi silihlaziya, ngokuvamile selishintshile. Isibonelo, ukubuyela emuva kokuzethemba nokungqubuzana, njengoba ngazibonela ngami, kubangele ukwehla kwama-platelet kungakapheli isigamu sehora.¹⁸⁵ kusuka ku-85000 kuya ku-8000 (kukalwe izikhathi eziningana esibhedlela saseNyuvesi yaseCologne). Umuntu angathanda ukuhumusha izinguquko ezeqile kangaka kumanani aselabhorethri njengamaphutha okulinganisa. Kodwa uma wazi ukuthi ingane eneminyaka engu-7 ubudala (isiguli se-leukemia) ihlangabezane nokuphindeka okucacile kwe-DHS kule ngxenye yehora, ungahlukanisa ukudangala kweplatelet kungazelelwe.

Engifuna ukukusho ukuthi: abantu bayaqhubeka nempilo, bephefumula, becabanga futhi bezwe ngenkathi sibahlola futhi sikhuluma nabo. Kuke kwenzeka kimi izikhathi ezingamakhulu lapho isiguli safika ekubonisaneni, noma kunalokho ingxoxo, ngezandla ezibandayo - futhi sashiya izandla ezibilayo-ezishisayo, njengoba besho. Kwakwenzekeni? Isiguli sabhekana nokungqubuzana phakathi nengxoxo. Kulokhu, singakwazi ukubona ngokushesha ukuthi kwenzekani ebuchosheni. Isusa i-edema ngaphakathi nasezindaweni ezizungezile ekugxileni kuka-Hamer, okwenza le ndawo ibe okuthiwa “inqubo yokuthatha isikhala”. Futhi ngisho kusukela engxenyeni yehora kuya kwelandelayo singabona ngokucacile ukuqala kwalolu shintsho ebuchosheni. Isiguli esingakaze sibe nesithuthwane ngaphambili empilweni yaso sabanjwa isithuthwane ngesikhathi sokungqubuzana, okungukuthi ngesikhathi sengxoxo egumbini lami lokubonisana eGyhum, kwase kuba “nesithuthwane sesimo”, esabangelwa ukwelashwa okungafanele emtholampilo waseBremen. Ngeshwa kwadingeka ukuthi ngidlulisele isiguli, okwagcina siholele ekufeni kwaso.

¹⁸⁵ Ama-thrombocyte = amaplatelet

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Izehlakalo ezinjalo zivame ukwenzeka kuphela lapho ukuntula ukuqonda imithi emisha kudala ukwelashwa okungenangqondo ngokuphelele (kulokhu nge-cobalt irradiation yobuchopho okuthiwa "ama-metastases obuchopho").

Uma nina, bafundi abathandekayo, nifunde lesi sahluko esisodwa kuphela sencwadi yonke, bekufanele ngabe nikuzwisisile lokho ebengifuna ukunitshela khona kulesi sahluko ukube nikufunde ngokucophelela. Ngibeke ngamabomu zonke izinhlobo zemihlambi ye-Hamer eduze komunye nomunye, kokubili okusebenzayo nokuxazululwa kwezingxabano, esigabeni sokuphulukisa nangemva kwesigaba sokuphulukisa. Unakho kulula kakhulu kunami: ungaqonda ngosuku olulodwa lokho obekufanele ngikufeze ngokuzikhandla phakathi neminyaka edlule, kuyilapho ngiphonswe zonke izinduku phakathi kwemilenze yami. Ngifisa nje ukuthi uqonde ukuthi yonke imihlambi ebukeka ngendlela ehlukile ilandela iphethini efanayo futhi empeleni ayihlukile kangako, kodwa ukuthi la machashazi ahlukene amhlophe namnyama, ukugudluzwa kwesikhala kanye nokuhlelwa okuhlosiwe kuyizigaba ezihlukene zokuqhubekela phambili noma amazinga okuqina ukungqubuzana kwenyama kanye nemvelo emphefumulweni wethu okuye kwabonakala ngenxa yalokho.

Ngizamile ukusebenzisa izibonelo ezimbalwa ukuze ngikubonise ukuthi kufanele uhlanganise kanjani i-mosaic ezimweni ngazinye. Ngikholwa, kumnandi kakhulu futhi ikakhulukazi uma ungasiza abanye abantu ngokungenamkhawulo. Ngakho-ke ngihlanganise inani elikhulu kakhulu lamacala, ikakhulukazi endaweni ngayinye yomdlavuza, ukuze ukwazi ukubona ngokuphindaphindiwe ukuthi nakuba icala ngalinye lihlukile ngokombono womuntu kanye nengqondo, wonke alandela uhlelo olubumbene kakhulu. lokho akufani nanoma iyiphi enye kuyo yonke imithi. Kufanele ngaso sonke isikhathi ubheke i-psyche - ubuchopho - izitho ndawonye ku-synopsis, ngayinye ngayinye, kodwa ungalokothi ngaphandle kokubheka amanye amazinga amabili ngesikhathi esisodwa.

Mhlawumbe usuqala ukuqonda ukuthi ngiqonde ukuthini uma ngikhuluma ngohlelo olunqunywe ngokweqile ku-IRON RULE OF CANCER. Empeleni, umhlambi weHamer wawungeke ube nesidingo. Iphinde isebenze ngaphandle komhlambi we-Hamer noma kuphela ngomcabango ongathi sína wokuthi ukhona. Ngoba ngiyakwazi ukubona ukuthi isiguli sisesigabeni sokuxazulula izingxabano noma cha lapho ngixhawula. Kodwa-ke siyobe siyiziphukuphuku uma siphuthelwe yithuba elihle kangaka lokuxilonga! Futhi njengoba emithi yethu yamanje i-psyche ibilokhu isolwa ngokuthi ayibonakali futhi ngenxa yalokho ayinayo isayensi, kufanele sibambe umhlambi kaHamer ngokoqobo ngaphansi kwamakhala abangabazayo ukuze ekugcineni bavuke futhi iziguli zethu zingaqhubeki zibhubha kabuhlungu kangaka!

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10.12 Igama elimayelana nendlela yokurekhoda: i-CT yobuchopho noma i-NMR (i-MRI, i-magnetic resonance imaging)?

Seluleka zonke iziguli ukuthi ziqale zibe ne-CT yobuchopho evamile noma imane nje i-CCT evamile (i-tomogram yekhompyutha yobuchopho) eyenziwa ngaphandle kokuqhathanisa. Okujwayelekile kusho ukuthi lezi izendlalelo ezijwayelekile ezibekwe ngokuhambisana nesisekelo sogebhezi.

Ukuhlolwa "ngaphandle kokuqhathanisa okuphakathi" kunezinzuzo ezilandelayo:

1. Uthola kuphela uhhafu wethamo (nakuba lincane) le-X ray.

2. Ngaphandle kwemidiya yokuqhathanisa akukho ukungezwani komzimba futhi akukho okuthiwa yi-anaphylactic¹⁸⁶ Ukushaqeka, ngakho azikho izigameko. Le ndlela siyibiza ngokuthi “ayiyona invasive¹⁸⁷,,, lokho kusho ukuthi akuwona umthwalo.

3. Isiguli siqiniseka ngokunengqondo ukuthi ngeke kungazelelwe sithole ubuso bukadokotela obulalayo obungathí sina esitshela ukuthi bonke ubuchopho baso bugcwele “ama-metastases” noma “izimila zobuchopho.” Ukunqwabelana okunjalo okungenangozi kwe-glial, izazi ze-neuroradiologists noma odokotela abahlinzayo abakhuluma ngokugomela ngokuthi “izimila eziyingozi”, kungangcoliswa kalula ngokuhlukile...

Izazi eziningi ze-radiologist ziyathukuthela lapho zivunyelwe kuphela ukuhlola “ngaphandle kokuqhathanisa nendawo”, ngenxa yokuthi inani leziguli noma iziguli ezizimisele ngokuhlinza liyehla kanye nokusetshenziswa kwamandla emitholampilo yezinzwa. Ngokuvamile: amathuba okusinda ngemva kokuhlinzwa kobuchopho mancane kakhulu esikhathini eside. Ngakho-ke, bafundi bami abathandekayo, akufanele neze nenze izinto ezine okungekho udokotela ngokuvamile obengazenza kuye;

1. Ukusebenza kobuchopho noma ukugeleza kobuchopho (ama-shunts), okuthiwa i-stereotactic¹⁸⁸ Ukuhlola ukubhola njll.

¹⁸⁶ I-Anaphylaxis = ukusabela kwe-antibody-mediated hypersensitivity yohlobo olusheshayo okwenzeka ngemva kwesikhathi sokuzwela lapho uthintana kabusha ne-allergen ethile.
¹⁸⁷ invasive = ukungena
¹⁸⁸ Ukuhlinzwa kwe-stereotactic = inqubo ebuchosheni lapho kwakhiwa imbobo yokubhoboza. Izakhiwo zobuchopho zingafinyelelwa ngokubhoboza nge-probe eqondiwe

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2. Ubuthi be-Chemo nganoma yiluphi uhlobo kanye nesilinganiso (kuhlanganise ne-mistletoe chemo)

3. I-X-ray kanye ne-cobalt irradiation nganoma yiluphi uhlobo, isibonelo amathambo noma ubuchopho.

4. I-Morphine nazo zonke izinto zokwenziwa ezifana ne-morphine (Temgesic, Tramal, MST, Valoron et cetera).

I-nucleo-magnetic resonance tomogram (i-nuclear spin, i-NMR noma ebizwa nangokuthi i-MRI) ayifaneleki kangako ukuhlonza ubuchopho ngoba isenza sizizwe siphansi uma kuziwa ekucushweni kwethagethi okushayisanayo. Kuphela uma lokhu kulungiselelwa okuhlosiwe kusebenza isikhathi eside lapho sikubona khona ku-NMR, kodwa kusekubi kakhulu kune-CT evamile. Okumangalisa ngempela ukuthi nge-NMR ungakwazi ungqimba kunoma iyiphi indiza oyifunayo, okungase kube usizo ngezinye izikhathi esigabeni sokuphulukisa, okungukuthi "inqubo yokuthatha isikhala". Nokho, sekukonke, uhlobo lokuhlola luthatha isikhathi eside kakhulu (ngaphezu kwehora elingu-1⁄2 noma ngaphezulu) futhi iziguli zivame ukuba ne-claustrophobia kanye nokwethuka ngenxa yeshubhu nomsindo ohambisana nokuhlolwa. Yingakho ukuhlolwa kungazifanele nhlobo izingane. I-CCT evamile, ngakolunye uhlangothi, ithatha imizuzu emine.

Phela, akukacaci nakancane ukuthi i-NMR ayinayo yini ingozi njengoba bekucatshangwa ngaphambilini. I-oscillation ye-magnetic resonance ingase ibe yingozi kakhulu ngokwebhayoloji kune-X-ray ku-CCT.

Nge-NMR, okuqondiwe kokudubula kunzima kakhulu ukukubona esigabeni sokungqubuzana ngoba i-resonance kazibuthe isabela ikakhulukazi kuma-molecule amanzi. Nakuba ukugudluzwa kwesikhala kungabonakala ngokucace kakhulu esigabeni se-PCL, kubonakala kumangalisa kakhulu kobukayo kunalokho okuyikho ngempela, ikakhulukazi uma kuhlolwa ngendlela yokuqhathanisa. Kuyacasula futhi ukuthi umhloli angashintsha imibala (omnyama nomhlophe) nganoma yisiphi isikhathi, ukuze thina, esifuna ukwenza izithombe ziqonde esigulini, sikuthola kunzima ukujwayela isiguli ngamasu ahlukene okuhlola. Isiguli bese ekugcineni singasaqondi lutho. Kuvamise ukwenzeka ukuthi ucabange ukuthi ubona isimila esikhulu ku-NMR, esivele singabibikho nhlobo ku-CCT evamile.

Ngakho-ke umuntu angasho ukuthi i-NMR ivame ukuhlanekezela iqiniso futhi ngenxa yalokho ingabangela ukwethuka esigulini ngakho-ke ingalulekwa kuphela ezimweni ezikhethekile (isib. ukuhlolwa kwe-pituitary gland nokunye okunjalo).

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10.13 Ukusebenza kobuchopho-ukushiswa kobuchopho

Ukusebenza kobuchopho kuyingozi kakhulu ngoba labo abathintekile - njengoba sazi kulabo abalimala ebuchosheni ngesikhathi sempi - basabela ekungqubuzaneni okukodwa okusebenzayo, isibonelo ku-cortex, njengokungathi babe nezingxabano ezimbili ezisebenzayo ku-cerebral cortex. Khona-ke ngokushesha usemlaza we-schizophrenic. Isikhathi esiningi, labo abathintekile bakuthola kunzima kakhulu noma kungenzeki ukuphuma lapha. Ngenxa yokusebenza kobuchopho - ngisho ne-stereotactic "i-puncture yokuhlola" - ingqondo ilimele kangangokuthi ayisadlidlizi ngesigqi esiyisisekelo. Umehluko phakathi kwesilonda sika-Hamer esilungisiwe kanye nesibazi sokuhlinza esipholile ebuchosheni ukuthi esimweni sokuqala ubuchopho buyavevezela ngesigqi esiyisisekelo futhi ngemva kokulungiswa njengangaphambili, kodwa esimweni sokuhlinzwa kobuchopho akusadlidlizi kuze kusele. yempilo yayo. Ngaphandle kwalokho, ukubhoboza ukuhlolwa akuyona into kodwa umbhedo owesabekayo: akukho lutho ngaphandle kwe-glia ngemva kokulungiswa kobuchopho. Ngakho-ke, awudingi i-histology ukuze uqinisekise leli qiniso elizibonakalisayo isikhathi seshumi.

10.14 Kusukela kungxoxo phakathi kukaDokotela uHamer kanye noSolwazi uDokotela med. Udokotela rer. nat. P. Pfitzer, uProfesa wePathology¹⁸⁹ kanye ne-cytopathology, isikhulu sophiko lwezokwelapha eNyuvesi yaseDüsseldorf

Ingxoxo egunyaziwe ngoJulayi 13.7.1989, XNUMX eDüsseldorf:

Udokotela Hamer: USolwazi Pfitzer, njengesazi se-cytopathologist futhi njengamanje oyinduna yophiko lwezokwelapha eNyuvesi yaseDüsseldorf, uvumile ngomusa ukuxoxa “Nge-Ontogenetic System of Tumors” (kanye nezinto ezilingana nomdlavuza). Okukhethekile kwakhe ngaphakathi kwe-pathology yi-histopathology kanye ne-cytopathology (izicubu kanye ne-cell pathology). Ngesikhathi esifanayo, ngikholelwa ukuthi uyisazi sezinto eziphilayo?

USolwazi Doctor Doctor Pfitzer: Yebo, isazi sezinto eziphilayo kanye nodokotela.

¹⁸⁹ Patho- = ingxenye yegama elisho ubuhlungu, ukugula

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Udokotela Hamer: “I-Ontogenetic System of Tumors” ithi, phakathi kwezinye izinto, uhlobo olufanayo lwezicubu ze-histological luhlala lutholakala ezithweni ezifanayo zemizimba yabantu neyezilwane, ingabe lokho kuyiqiniso?

USolwazi Doctor Doctor Pfitzer: Eqinisweni, yebo, yebo, ngaphandle kokumbalwa, njenge-tissue dystopias¹⁹⁰ okuthiwa "amagciwane ahlakazekile", i-endometriosis. Kodwa uma kungenjalo kuyiqiniso.

Udokotela Hamer: UProfesa Pfitzer, "I-Ontogenetic System of Tumors" iphinde ithi, lapho ozakwenu abaningi sebevele bevumelana khona, ukuthi ngisho nasesimo se-tumor, ngesikhathi esisodwa sihlangene. Isibonelo, emgudwini wamathumbu, njengomdlavuza ojwayelekile ofana nokholifulawa onokwanda kwamangqamuzana, kuhlale kuyi-histologically i-adenocarcinoma, kufaka phakathi amathoni.¹⁹¹ kanye ne-alveoli yamaphaphu, kokubili okungeyengxenyeni yamathumbu ngokukhula, noma ku-corpus uteri (decidua mucosa) kuhlale kune-adenocarcinoma. Ngakolunye uhlangothi, kuhlale kune-ulcerative squamous cell carcinoma embotsheni yomlomo, kuhlanganise nomlomo wesibeletho noma isitho sangasese sowesifazane, i-bronchial mucosa noma i-mucosa yesinye. Ingabe nawe ubona kanjalo?

USolwazi Doctor Doctor Pfitzer: Amaqoqo anjalo avame ukwenzeka, kodwa hhayi ohlelweni lwe-bronchial.

Udokotela Hamer: Uma kunjalo, abantu abaningi bebengacabanga ukuthi i-histology ihlobene nokuma kwezitho zomzimba nokuthi lokhu kuhlobene nomlando wokuthuthuka kwabantu nezilwane. Kungani kungekho muntu owake wacabanga ngalokhu ngaphambili? Kungenzeka yini ukuthi kwakungenxa yokuthi sonke sasigqolozele kakhulu imininingwane futhi sincane kakhulu ezinkambisweni zento yonke ephilayo, saze sashaya indiva okubalulekile?

USolwazi Doctor Doctor Pfitzer: Nokho, namuhla sonke sikhethekile kakhulu kunangaphambili futhi ubani onohlaka oluphelele lwezifundo zethiyori ngokuhlanganyela nedatha yomtholampilo nokuxhunywa eceleni kombhede esimweni ngasinye? Udokotela wezifo ngokuvamile akasiboni isiguli size sife. I-histopathologist ibona izicubu ngaphambi kwesikhathi. Kodwa futhi kukhona isiko elikhulu lokuhlukanisa ngezigaba ezihlelekile ku-pathology (WHO kanye ne-AFIP). Uhlolojikelele kanye nohlolojikelele lwe-pathological-clinical bekulokhu kugcinwa.

¹⁹⁰ Dystopia = ukufuduka
¹⁹¹ ithoni = i-almond

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Kodwa-ke, akekho osake wacabanga nge-"Ontogenetic System of Tumors" yakho.

Udokotela Hamer: Njengoba wazi, "isistimu ye-ontogenetic of tumors" ayisho nje kuphela ukuthi ukwakheka kwamaseli e-histological ngokuvamile kungatholakala endaweni yesitho esisodwa emzimbeni womuntu futhi, esimweni sesimila, ukwakheka kweseli efanayo ye-histological kuvame ukutholakala. kutholwe, kodwa futhi ukuthi zonke izinhlobo ezifanayo zamangqamuzana e-histological zilawulwa yingxenye efanayo yobuchopho (isb. yonke i-epithelium yamathumbu e-cylindrical epithelium noma, esimweni se-tumor, i-adenocarcinoma ngamapons we-brainstem), kodwa ukuthi yonke into efana ne-histologically izifunda zomzimba ezinobuchopho obudluliswayo obuseduze kwesinye nazo zinokuthile okungqubuzana okuhlobene kwebhayoloji okuhlobene kakhulu.

USolwazi Doctor Doctor Pfitzer: Lokho kungase kube yiqiniso, kodwa yonke into ayizwakali inengqondo. Kimina njengodokotela wezifo, kungaba yinto efiselekayo ukuba nobufakazi bokuthi i-neuropathologist ihlola ngaphansi kwesibonakhulu indawo esebuchosheni nasebuchosheni be-CT okufanele ibe yinto ejwayelekile yohlobo oluthile lomdlavuza okukhulunywa ngawo.

Udokotela Hamer: Kepha kunobunzima, UProfesa: Esigabeni sokungqubuzana, indawo Kodwa uma usika le ndawo yobuchopho, i-neurohistopathologist ngeke isakwazi ukubona lutho. Ngakolunye uhlangothi, angabona ngokucacile ushintsho esigabeni sokuphulukisa se-vagotonic kusayithi uma isayithi Khona-ke izazi ze-neuroradiologists noma i-neurosurgeons zikhuluma ngokushesha "nge-tumor yobuchopho" (uma beyitholile kuphela leyo) noma "i-metastasis yobuchopho" uma ngaphambili bathola omunye umdlavuza endaweni ethile emzimbeni.

USolwazi Doctor Doctor Pfitzer: Hhayi-ke, ungakhawulela ukuhlolwa kwakho kwe-neurohistopathological ezimweni, ngokusho kwencazelo yakho, asesigabeni sokuphulukisa se-vagotonic.

Udokotela Hamer: Lezi yizo zonke ezibizwa ngokuthi "izimila zobuchopho" noma okuthiwa "ama-metastases obuchopho", noma okungenani ziye zaba njalo, ngaphandle kwalokho ngeke zibe ne-edema kanye ne-glia.

USolwazi Doctor Doctor Pfitzer: Mnu. Hamer, imibono yakho inesibindi kakhulu. Manje sengiyaqonda ukuthi usho ukuthini. Kodwa ingabe i-nucleus yengqamuzana ayinakubangela ukungasebenzi kahle kwengqamuzana, ingabe kufanele kube ubuchopho?

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Udokotela Hamer: Kukhona ihlaya: UNkk. Müller ubika phezu kothango lwengadi ukuthi ugesi wawo wonke umuzi uvela esiteshini samandla kagesi. “Lokho kungase kube yiqiniso,” kusho uNksz Mayer, “kodwa ugesi wethu ngokuqinisekile uvela kusokhethi Akukho ukungabaza engqondweni yami ukuthi ingqamuzana ngalinye lilawulwa “ubuchopho obuncane”, okungukuthi i-nucleus yengqamuzana, ngaphandle kokuthi: ubani. ingakwazi ukulawula i-cell nuclei ngendlela ehlelekile, uma kungeyona nje ingqondo yethu “yekhompyutha enkulu”?

USolwazi Doctor Doctor Pfitzer: Yebo, Mnu. Hamer, ngempela uphonsa wonke umuthi ngaphezulu "ngohlelo lwakho lwe-ontogenetic of tumors".

Udokotela Hamer: Ngicabanga ukuthi sekuyisikhathi salokho! Ngoba uma i-“Ontogenetic System of Tumors” ingathathwa njengelungile ezingeni le-histological-cytological, kodwa kulula kakhulu ukufakazela ezingeni lobuchopho nelomqondo ngokuhlola ukukhiqizwa kabusha, awucabangi ukuthi kufanele sikwenze ngokushesha ngangokunokwenzeka kufanele ufinyelele iziphetho ezidingekayo kulokhu?

USolwazi Doctor Doctor Pfitzer: Yebo, inqobo nje uma “uhlelo lwe-ontogenetic of tumors” lungaqinisekiswa kuzo zonke izindawo, khona-ke imiphumela mikhulu ngempela!

Udokotela Hamer: Umphumela wokuqala, umbukwane, ezigulini zethu mhlawumbe kungaba ukuthi singazitshela umlayezo omnandi ngokushesha okukhulu: Besinephutha! Umdlavuza wawungelona neze ibutho lamangqamuzana anobutha futhi elande ngendlela engavamile, kodwa kunalokho amangqamuzana omdlavuza amabi noma i-necrosis yomdlavuza okuthiwa ikhule ngendlela engahlelekile futhi yahlasela, ngaphandle kokukhetha, yayilokhu ihamba ezindleleni zabo ezinqunywe kusengaphambili ngokomthetho oqinile!

USolwaziDoctor Doctor Pfitzer: Yebo, lokho kungaba kulungile.

Udokotela Hamer: Umphumela wesibili kungaba ukuthi kuzodingeka sisheshe sithuthe umqondo wakudala walokho okubizwa ngokuthi “ama-metastases”, njengoba wawukade “ukholelwa” futhi ufundiswa ngemithi evamile, uwuyise enqwabeni yemithi. I-acrobatics yokholo ecishe ishaqise yayidingeka kithi ukuze sicabange ukuthi kuma-metamorphoses ashintshashintshayo afana nombani, i-mitosing colon carcinomas ye-endoderm ingaguqulwa ibe ama-necrotizing osteolyses amathambo ongqimba lwegciwane eliphakathi, futhi ekugcineni - "metastatic -metamorphorizing" - ukuze ukwazi ukukhiqiza okuthiwa “ama-metastases obuchopho” we-ectoderm. Wonke umuntu ubelokhu ethi uyawuqonda lo mbhedo, ongeke akholwe ngisho nodokotela ogxeka ngokunengqondo.

USolwazi Doctor Doctor Pfitzer: Mnu Hamer, angikwazi ukuvumelana nawe lapha. Besilokhu sikubona ngendlela ehlukile. Ngiyabona futhi ukuthi sidinga imibono eminingi eyengeziwe yemithi yesikole esidala. Mayelana nokugudluzwa kwamangqamuzana omdlavuza endaweni ezungezile, kuyiqiniso impela ukuthi kuze kube manje kunobufakazi obungaqondile bokuthi amangqamuzana omdlavuza angafika endaweni ye-metastasis yawo ngegazi le-arterial.

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Udokotela Hamer: Umphumela wesithathu cishe ungaba ukuthi, ngokohlelo lwe-ontogenetic lwamathumba, umuntu kufanele manje aqale abhale ukuthi yikuphi ukwakheka kwamangqamuzana atholakala ongqimbeni lwamagciwane nokuthi kwenzeka kusiphi isigaba ukuhlukana kwamaseli noma i-cell necrosis. Ngoba kuwubuhlanya obumsulwa ukucabanga ukuthi i-colon adenocarcinoma ("ekhula" nama-mitose esigabeni sokungqubuzana) ingase, njengoba ibizwa ngokuthi "i-metastasis," ibangele i-sarcoma yamathambo, "ekhula" kuphela esigabeni sokuphulukisa. . Ngamafuphi, thina, njengabantu abangenalwazi njengezingane, sasixube izigaba zozwela kanye ne-vagotonic futhi sachaza yonke into njenge-metastases. Solwazi, ingabe le miphumela iwujuqu?

USolwazi Doctor Doctor Pfitzer: Lena imibuzo odokotela okufanele bayiphendule.

Udokotela Hamer: Omunye umphumela onengqondo kufanele kube ukuqedwa kwemibono yangaphambili mayelana nalokho okubizwa ngamathumba obuchopho kanye nama-metastases obuchopho, angeke abe khona.

USolwazi Doctor Doctor Pfitzer: Usho ukuthini?

Udokotela Hamer: Okokuqala nje: Ingabe kuyiqiniso ukuthi amangqamuzana obuchopho awasakwazi ukuhlukana noma ukuzala ngemva kokuzalwa?

USolwazi Doctor Doctor Pfitzer: Yebo.

Udokotela Hamer: Okuwukuphela kwento engaphindaphindeka ebuchosheni bethu izicubu ezixhumeneyo, okuthiwa “glia”, futhi lawa maseli ezicubu ezixhumeneyo aphindaphindeka kuphela esigabeni sokuphulukisa Kungaphakathi noma ngemva kwalesi sigaba lapho angangcoliswa khona ngokuhlukile , njengoba wonke umuntu azi ukuthi usebenza ensimini.

USolwazi Doctor Doctor Pfitzer: Kuyangabazeka ukuthi azinangozi kangako.

Udokotela Hamer: Ake sicabange, Solwazi, ukuthi uthole i-glioma ezigamekweni eziyi-100 zalokho okubizwa ngama-"brain tumors", yini enye obungayithola lapho uma bekunamangqamuzana obuchopho angaphindaphindeki namaseli obuchopho aphindaphindekile noma asayanda - ayinangozi! - amaseli e-glial akukho okunye lapho?

USolwazi Doctor Doctor Pfitzer: Endabeni yesimila esiyinhloko sobuchopho, kunjalo!

Udokotela Hamer: Kepha manje umfundi okhuthele wobudokotela uthola ukuthi kuzo zonke izimo eziyi-100 ukutholwa kwe-autopsy.¹⁹² baye baveza ukuthi umdlavuza omncane noma omkhulu watholakala ndawana thize emzimbeni owawungakatholakali emtholampilo ngoba wawungadalanga isiguli izikhalo noma izimpawu.

¹⁹² Ukuhlolwa kwesidumbu = ukuhlolwa kwesidumbu, ukuvula isidumbu ukuze kutholakale imbangela yokufa

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Uma ubungase ubuyele emuva kamuva futhi uzame “ukuguqula” lokho okubizwa ngokuthi isimila ebuchosheni kube okuthiwa yi-metastasis yobuchopho, lokho kuyosho ukuthi ubufuna ukuzama ukuqonda izilonda zikaHamer njenge-intestinal villus adenocarcinoma, isibonelo, noma ngisho nokubona i-Hamer’s. izilonda njenge-bone osteolysis noma i-sarcoma?

USolwazi Doctor Doctor Pfitzer: Yebo uyangiphoxa kancane ngoba angikaze ngizame ukukubona ngezibuko zakho. Ngiyavuma ukuthi ama-polymorphic glioma ngokuvamile abonakala engena ezintweni ezahlukene.¹⁹³

¹⁹³ Inhlolokhono ephelele ingacelwa ku-Amici di Dirk Verlag. Iziqephu ezifanele kuphela ezikhiqizwe kabusha zingashintshiwe lapha, ikakhulukazi kulesi sahluko, esithinta isihloko salokho okubizwa ngamathumba obuchopho kanye nalokho okubizwa ngokuthi ama-metastases obuchopho!

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11 Ukubaluleka kokuba kwesokunxele nokuba kwesokudla

Amakhasi 291 kuya ku-304

Njengoba kwaziwa, abantu abaningi bakhetha ukwenza ukunyakaza okunzima ngesandla sabo sokudla. Laba bantu, iningi labo (cishe ama-60%), bangakwesokudla. Ngakho-ke, idlanzana elisebenza ngobuchule kakhulu ngesandla sobunxele libizwa ngokuthi kwesokunxele. Kodwa indaba ayihlali icacile njalo kwesokudla noma kwesokunxele, nakuba uhlangothi olulodwa ngokuvamile lukhethwa. Indodana yami, isibonelo, iphosa kwesokudla, ibhale kwesokunxele, ithathe isando kwesokunxele, ikhahlele ibhola ngonyawo lwesokudla futhi ikwazi ukudlala ithenisi cishe ngokulinganayo ngezandla zombili. Noma kunjalo, uyinxele. Ngoba kunezivivinyo ezimbili ezinhle zokunquma ukuthi yisiphi isandla esikhethwayo:

1. Ukuhlolwa: Uvumela isiguli sishaye izandla njengasetiyetha. Isandla esiphezulu yisona esibusayo.
2. Ukuhlolwa: Isiguli sicelwa ukuba sicabange ingane. Umama wesandla sokudla uhlezi ecindezela ingane esihlathini sokunxele ngesandla sokunxele bese ebamba izinqe zengane kwesokudla. Isimo siphambene kumuntu oyinxele.

 

 

Ngaphezu kobunxele, kubonakala “kunehlo lenxele” kanye “nendlebe yangakwesokunxele.” Lokhu kuzoxoxwa ngakho kamuva.

Ukuba kwesokunxele kunokubaluleka okuwusizo okubalulekile. Kwangidla amakhanda angapheli inqobo nje uma ngingakawazi umehluko phakathi kwesandla sokudla nesinxele ebuchosheni. Manje ngiyamazi. Iziphatha kanje:

Qaphela:
Ukuba kwesokunxele kuguqula ukungqubuzana kuyise ohlangothini oluphambene lobuchopho uma kuqhathaniswa nokuba ngesandla kwesokudla okuvamile. Kusukela lapho kuqhubeke yonke into ihamba njengoba ukungqubuzana okuphambene kuzoya kumuntu osebenzisa isandla sokudla.

Lokhu kusho ukuthi:
Owesifazane osebenzisa isandla sobunxele akakwazi ukuthola umdlavuza womlomo wesibeletho ngenxa yokungqubuzana kwezocansi, kuphela ngenxa yokungqubuzana kwendawo (ngemuva kokuya esikhathini). Ngokuphambene, isibonelo, indoda engakwesokunxele ingase ingahlushwa isifo senhliziyo yesokunxele ngenxa yokungqubuzana kwendawo, kodwa (esigabeni se-PCL) ukuhlasela kwenhliziyo kwesokudla nge-pulmonary embolism.

ikhasi 291

Lokhu kuba kwesokunxele kubaluleke kakhulu ngoba uma uthi nhlá kuphonsa cishe yonke into emanzini, kodwa uma uthi nhlá kunengqondo futhi kuyavumelana. Isandla sobunxele simane nje sinezintambo ezihlukile ukusuka kungqondo kuya ebuchosheni. Isibonelo, uma ukungqubuzana kocansi kowesifazane ongakwesokunxele "kuthinte" indawo ye-periinsular engakwesokudla, khona-ke ngisho nowesifazane osemusha angakwazi ukuhlaselwa yinhliziyo enhliziyweni yesokunxele uma ukungqubuzana kuqhubeka isikhathi eside. Kunoma yikuphi, indawo ye-periinsular engakwesokudla inikeza inhliziyo yesokunxele. Noma angase aphathwe yi-bronchial carcinoma uma kuba nokungqubuzana kokwesaba nokwesaba.

Ubunxele busikhombisa ngendlela ekhetheke kakhulu ukuthi izingxabano zezinto eziphilayo azihlangene neze nesayensi yengqondo evamile, kodwa zinqunywa ngokwebhayoloji ngempela. Iqiniso lokuthi owesifazane osemusha oyinxele, njengoba kungafundwa esahlukweni se-psychosis, uhlushwa izimpawu eziphilayo zokungqubuzana kwendawo yabesilisa kusukela ekungqubuzaneni ngokocansi futhi, ngenxa yalokho, ukudangala kwengqondo, ngeke kwenze umqondo "wengqondo kuphela" konke.

Ngokwebhayoloji, kufanele kube nengqondo ukuthi cishe abantu abangaba ngu-40% bayinxele futhi basabela “ngakwelinye icala” ezingxabanweni zabo. Ngacabanga isikhathi eside ngokuthi le ncazelo ingaba yini. Sengifinyelele esiphethweni sokuthi abantu abanxele bangabantu “abangena esikhundleni uma kwenzeka inhlekelele”.

Yiqiniso, lokhu kucabangela ekuqaleni kungase kube okungaphezu kokuqagela. Kodwa akukho okungenangqondo okwenzeka emvelweni. Ake sicabange ukuthi emhlambini wezinkawu endaweni eqhelelene nemvelo, ngokwesibonelo indawo esigodini esingafinyeleleki kuyo, uhlobo oluthile “lwenhlekelele yokungqubuzana” lungaba umphumela uma zonke izinkawu zesilisa zibhujiswa ngesikhathi esisodwa. Izinkawu zaziyobe sezibhekana nengxabano yokungakwazi ukukhwelana phakathi nokushisa okulandelayo futhi, njengoba sasingekho isixazululo, zazizofa yikho. Kwakuyosinda kuphela izinkawu zesifazane ezinxele, ngoba nakuba zizobhekana nokungqubuzana kwezocansi ngenxa yobunxele bazo, zizoba nezimpawu zokungqubuzana kwezindawo, okuzohlanganisa ukudangala ngokwengqondo, zizoba sendawo endaweni. indawo efanele ye-periinsular yobuchopho kanye nezinga lezinto eziphilayo kungabangela i-coronary ulcer carcinoma. Kodwa ngenxa yokushoda kwama-hormone kwabesifazane, “izingxabano ezihlanekezelwe” ezinjalo ngokuvamile ziba nomphumela wokukhipha isisu.¹⁹⁴Lokho kusho ukuthi azinawo ngempela umphumela wazo ogcwele.

¹⁹⁴ isisu = esingaqediwe, esifushanisiwe

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Ngokuvumelana nalokho, ukucindezeleka, isibonelo, kungase futhi kumele uhlobo "lwesigaba sokusinda ngemuva komlilo" lapho insikazi noma isilwane esingakwesokunxele ikakhulukazi silinda izikhathi ezingcono futhi singene ohlotsheni lokulala ngokwengqondo.

Ukuthola izinto ezitholakele kusho nje ukulalela ukushaya kwemvelo. Thina bafundi abathakathayo abancane asinalo ilungelo lokubiza zonke izinto zemvelo ezisebenze ngokumangalisayo iminyaka engaphezu kwezigidi eziyikhulu ngokuthi "izifo" ngenxa nje yokuthi asiziqondi. Ubani owaziyo ukuthi kaningi kangakanani emlandweni omude wesintu “abesifazane ababambele” abanjalo begcine umndeni wonke noma abantu besaphila. Kungase kube okufanayo ngamadoda angakwesokunxele, angahlushwa isifo senhliziyo kwesokunxele ngesikhathi sokungqubuzana kwendawo esigabeni se-PCL. Kuncane kakhulu esikwaziyo ngakho!

Izilwane nazo zinesandla sokunxele nesokudla. Ezinye izinja zihlala zinikeza udladla lwesokunxele, kodwa iningi lihlale linikeza udladla olufanele. Amanye amakati ahlala ebamba igundane ngezidladla zawo zesokudla, amanye ngesinxele.

Ngaphandle kokuba kwesokunxele, kukhona nokuhamba ngonyawo lwesokunxele. Isikhathi esiningi zombili zixhumene, ngakho-ke umuntu oyinxele naye unonyawo lwesokunxele.

Ngaphezu kwalokho, kukhona ukuvaleka kwezindlebe kwesokudla kanye neso elilungile, noma ngakho-ke kukholakala kuze kube manje. Mayelana nokuzwana, angikwazi ukwenza isitatimende esithile okwamanje ngoba angikabi nalo ulwazi olwanele kule ndawo. Kodwa ngiyazi izinto ezimbalwa mayelana namehlo (bheka futhi ithebula ekugcineni kwencwadi): Njengoba kwaziwa kahle, imicu yenzwa ye-optic iyaphambana kancane. Ikhohlo lokubuka lesobunxele lithola yonke imisebe evela kwesokudla (bese iwela engxenyeni yesokunxele ye-retina yawo womabili amehlo), i-visual cortex yesokudla ithola yonke imisebe evela kwesokunxele (bese ishaya uhhafu we-retina wangakwesokudla wawo womabili amehlo). Imicu evela ku-fovea centralis ingeyengxenye engemuva ngakho-ke iqondisa izithombe kakhulu ku-cortex ebonakalayo ohlangothini olufanayo.

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11.1 Ukuba kwesokunxele nesandla sokudla - ukuhlolwa kokushaya izandla

Ukuhlolwa kokushaya izandla kuyindlela elula yokuhlola ukuba kwesokudla nesobunxele. Ingekangaphambi kokuhlolwa kwayo yonke i-CT yobuchopho. Isandla esingaphezulu yisona esihamba phambili futhi sinquma "isandla".

Ngokuningiliziwe lokhu kusho okulandelayo:

a) Isiqu sobuchopho:
Izingxenye ezijulile zamaphoni azibhanqiwe ekusebenzeni, hhayi ku-anatomy. Lokhu kusho ukulandelana kwezingxabano epheshaneni lesisu (umlomo, umminzo, i-alveoli.¹⁹⁵, isisu, isibindi, amanyikwe, amathumbu amancane, ithumbu elikhulu, i-rectum, isinye (ingxenye ye-trigone kanye ne-fallopian tube) kusukela phakathi¹⁹⁶-i-dorsal kuya kwesokudla-lateral, kuya ku-medial-ventral¹⁹⁷, kuya ohlangothini lwesobunxele nakuma-medial-dorsal (bheka umdwebo wesiqu sobuchopho, Isahluko 16) ngendlela ephambene newashi.

Kodwa ngisho nezindawo zoguquko (i-cerebellar pontine angle) ikhombisa ukumatanisa (isb. i-acoustic nucleus). Ama-acoustic nuclei anikeza indlebe ephakathi, kodwa uma kwenzeka kuba nokungqubuzana kwezinto eziphilayo, “angizange ngizwe ‘ucezu oluzwayo’, okungukuthi, angizwanga ukwaziswa,” awaweli esitho.

Ama-relay atholakala ku-midbrain, kuze kufike ku-relay ye-parenchyma yezinso eduze kwe-medulla yobuchopho, nawo ayabhangqwa, kodwa awadluliswanga ukusuka ebuchosheni kuya esithweni.

b) Kusukela ku-cerebellum
ukuba kwesokudla kanye nokuba kwesokunxele kuba okubalulekile. Ngakho-ke, kuwo wonke ama-relays we-cerebellum nawo wonke ubuchopho, ukuhlobana kusuka ebuchosheni kuya esithweni kuyanqanyulwa. Noma kunjalo, i-cerebellum ne-cerebrum ziyehluka komunye nomunye, nakuba ukuphatha ngesandla kusebenza kokubili ngendlela efanayo.

¹⁹⁵ I-Alveolus = i-alveoli yamaphaphu
¹⁹⁶ medial = etholakala ngasendizeni ephakathi nomzimba, phakathi nendawo
¹⁹⁷ i-ventral = i-ventral, eyesisu

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Ku-cerebellum, izingxabano zenzeka ngokuqinile ngokuya ngokuqukethwe kokungqubuzana maqondana nesitho. Kusho ukuthi Izinhlangothi ze-cerebellar ngayinye zixhunywe kuzindikimba ezingqubuzanayo. Kowesifazane ongakwesokudla, ukungqubuzana kokunakekelwa komama/kwengane kuhlala kuthinta uhlangothi olungakwesokudla lwe-cerebellum, oluthinta izindlala zebele zebele lesokunxele. Uma isiguli sihlushwa enye ingxabano kamama/nokunakekelwa kwengane ngenxa yengxabano yenye ingane noma indodakazi/umama nokunakekelwa kukanina, khona-ke lezi zingxabano ezimbili ziphinde zibe nomthelela ekudlulisweni kwe-cerebellar okufanayo nokugxilwe kukho kuka-Hamer. Noma ngabe banezingxabano ezimbili zokuhlasela ngaphezulu ohlangothini lwesobunxele lwesisu noma esifubeni (peritoneal¹⁹⁸- kanye ne-pleura¹⁹⁹-I-Mesothelioma), yonke into ithinta uhlangothi lwesokudla lwe-cerebellum, oluzoba ne-Hamer foci emihlanu esebenzayo ekucushweni kwethagethi yokudubula, kuyilapho kungekho neyodwa kwesokunxele.

Uma izingxabano ezimbili zithinta ama-cerebellar hemispheres amabili ahlukene, khona-ke sikhuluma "ngomlaza we-cerebellar-schizophrenic". Lokhu kuhlotshaniswa nokuphazamiseka okukhulu kwemizwelo ngendlela ekhohlisayo, ngaphandle kokuphazamisa ikhono lokucabanga ngendlela ehlelekile nenengqondo. Isibonelo: "Ngishisiwe, ngizizwa ngingenalutho ngokuphelele, angisenayo imizwa."

c) i-medulla ye-cerebrum:
Okufana nalokhu kungenzeka endaweni yaseMarklager. Okuqukethwe kokungqubuzana nokubhekisela ezithweni kuhlale "kucacile", okungukuthi, kuhlotshaniswa nendikimba yokungqubuzana.

d) Ku-cortical cerebral relays
Lokhu kungenzeka kuphela ngokuhlukile okukodwa: i-ductal²⁰⁰ I-Milk duct ulcer carcinoma, ehlanganiswe ngokuqinile ne-cerebellar relay yezindlala ze-mammary ngokuya ngezinhlangothi kanye nokubamba ngesandla.

Lapha kuvela isici esisha ngokuphelele: endabeni yezingxabano ze-cortical ezilawulwa yi-cerebrum, ukuxhumana phakathi kwe-relay yobuchopho nesitho akusacaci kahle njengaku-cerebellum; Njengoba izitho zihlelwe ngokwengxenye kuphela ngababili, isandla kwesokunxele nesokudla futhi isimo samanje sokungqubuzana sinquma ukuthi yikuphi ukudluliselwa ebuchosheni manje okungaba ukugxila kukaHamer nokuthi yisiphi isitho esithintekayo. Nokho, ukuxhumana phakathi kobuchopho nesitho kuhlale kucacile.

¹⁹⁸ I-peritoneum = i-peritoneum
¹⁹⁹ I-Pleura = i-pleura
²⁰⁰ I-ductus = i-corridor

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Ngakho-ke: Uma owesifazane oyinxele ehlushwa ukungqubuzana kobunikazi, ukugxila kuka-Hamer kuthinta i-cerebral hemisphere engakwesokudla (isikhashana) futhi, ezingeni le-organic, kuba isilonda sesisu noma se-bile. Kodwa uma eseba nenye ukungqubuzana kobunikazi odabeni olusha, khona-ke ngeke esakwazi ukusabela nge-cortical engxenyeni engakwesokudla yobuchopho, kodwa uhlushwa lokhu kungqubuzana kobunikazi besibili ngakwesobunxele okwesikhashana futhi ezingeni le-organic umuntu uthola izilonda ze-rectal, ezingaphakathi. Isigaba se-pcl siba ama-hemorrhoids uma izilonda bezitholakala eduze kwe-anus. Uma nje zombili izingxabano (i-cortical yesokudla nesobunxele) isebenza, isiguli sisemlaza we-schizophrenic. Imibuzo yokuthi ukungqubuzana kubonwa kanjani (owesilisa noma owesifazane) futhi lapho kuhlasela khona ebuchosheni akuxhomekile kuphela esimweni samanje se-hormonal (i-postmenopause, ukukhulelwa, iphilisi lokuvimbela inzalo, i-ovarian necrosis, njll.), kodwa futhi ekunikezeni isiguli. Ngendlela efanayo, izingxabano ziyashintsha, noma okuqukethwe kwazo okungqubuzana kungaphangwa uma izimo zangaphambili (umlaza wezingxabano zamanje, isimo samahomoni, njll.) zishintshile. Bangakwazi-ke “ukugxuma”, okusho ukuthi isilonda esingagudluki singaba isilonda esiswini futhi ngokuphambene nalokho.

Kodwa-ke, ukuxhumana phakathi kobuchopho nesitho kucacile kuzo zonke izimo, okungukuthi, lapho ukungqubuzana sekuhlasele, khona-ke isitho esihlobene ngqo siyathinteka - inqobo nje uma ukungqubuzana kusasebenza futhi "kungasakazeki" kwenye i-hemisphere. ngenxa yoshintsho ezingeni lamahomoni kanye nokungqubuzana kwezinkanyezi.

Kuhlala kubalulekile ukuqaphela ukuthi i-innervation yamaphethelo angakwesokudla, noma lonke uhlangothi lwesokudla lomzimba, ngokwemvelo livela ohlangothini lwesobunxele lwe-cerebellum kanye ne-cerebrum, ngaphandle kokukhetha. Akukho okuke kuguquke kusukela ekukhulelweni kuya ekufeni.

11.2 Abanamehlo angakwesokunxele nabanamehlo angakwesokudla

Kuphela uma sidlula lapho kufanele sidonse ukunaka kwento ethile echazwe kabanzi engxabanweni yokwesaba-on-the-intamo:

Ngabona ukuthi amehlo "awenzi into efanayo." Isibonelo: Intombazane encane yaseFrance, engudade oneminyaka engu-20 ubudala, yaxabana nodokotela esibhedlela ngoba ibasola ngobudlova. Unesi omkhulu naye wayephakathi kodokotela. Manje udade wayelokhu ehlukunyezwa. Wayeke wahlushwa i-DHS ngengxabano yokwesaba entanyeni ngesikhathi sokungqubuzana lapho asongelwa khona ngemiphumela, kwathi ezinyangeni ezalandela, lapho kwakufanele alungele ukuhlukunyezwa okusha nsuku zonke, wancipha futhi. engakwazi ukusebenzisa iso lakhe langakwesokudla, ekugcineni acishe angabi nalutho.

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Udade akashongo lutho ngoba wayeziqhenya kakhulu ukuba angakhononda, kodwa wahlupheka ngokuthula, wancipha futhi wagcina eseyisikhumba namathambo nje. Umndeni wakhe wagcina ungenele futhi wawutshelwe ukuthi kwenzekani esibhedlela. Unesi oyinhloko wadluliselwa futhi iphupho elibi laphela ngemva kwezinyanga eziyisithupha. Okubalulekile ngaleli cala wukuthi lo nesi (inxele) ubengasakhumbuli ubuso babantu. Wabona umuntu angamazi engena ewodini, wathi ebuya ngemva kwemizuzu emihlanu, wambuza ukuthi ungubani.

Ngakho kubonakala kunjalo ukuthi owesifazane osebenzisa isandla sokudla othwala ingane yakhe ohlangothini lwesobunxele ukhumbula ubuso bengane yakhe ngeso langakwesokudla, i-fovea centralis yayo ebheke kwesokunxele. Ukwengeza, i-fovea centralis efanele kanye ne-cortex efanele ebonakalayo ibonakala inesibopho sokuqhathanisa ubuso nokukhumbula ubuso nje jikelele. Nginesiqiniseko sokuthi ngabasebenzisa kwesokunxele, isibonelo, yonke into ihlukile. Cishe kunengqondo ngomama othwala ingane kwesokudla, njengoba kwenza owesifazane oyinxele, ukuba abambe ngekhanda ubuso bomntanakhe ngeso langakwesokunxele. Kulula futhi ukucabanga, futhi kakade sebekwazile ukufakazela ngezinga elithile, ukuthi imisebenzi ehlukahlukene isakazwa ngokuhluke kakhulu phakathi kwezingxenye ezimbili ze-cortex ebonakalayo kuma-hemispheres amabili.

Ngazo zonke lezi zinqubo noma imithetho yebhayoloji, kufanele ngaso sonke isikhathi sizame ukuletha ukuzwana kwabantu nezilwane. Kungaleso sikhathi kuphela lapho kungumthetho webhayoloji ngempela. Umntwana ukhula ngokushesha, futhi izilwane eziningi ezincane zikhula ngokushesha nakakhulu. Kodwa umama kufanele abambe ngekhanda umfanekiso wamanje wengane yakhe nsuku zonke. Ukube abantu bebesahlala ndawonye emindenini emikhulu, lawa makhono akudala, esiwabiza ngokuthi ama-instinct ezilwaneni, ngabe abalulekile futhi komama abangabantu. Isilwane esingumama, isibonelo emhlambini, sidinga lamakhono ukuze isilwane esincane siphile. Izibonelo ezingenalo leli khono ziyafa phakathi nezizukulwane ezimbalwa. Lokho iso eliyikho kolunye uhlobo lwesilwane, ukuzwa kolunye. Omama bezinye izinhlobo zezilwane bangasho ngokucacile ukuthi yingane yabo kusuka ezintweni ezingavamile njengokuklabalasa, ukukhala noma ukukhala. Ngibonise inja eyodwa engakwazi ukuthola ingane yayo emidlwaneni engu-50 esanda kuzalwa!

Umuntu angabeka ngisho nethiyori ethize enesibindi kodwa enokuningi angakunikeza:

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1. Umuntu osebenzisa isandla sokudla usebenzisa isandla sokudla kuphela ngoba iso lesokunxele elibheke kwesokudla (okusho ukuthi i-fovea centralis!) liqinisekisa ukuqondiswa kwesandla sokudla futhi lingakwazi ukuqondisa isandla sokudla.

Cabanga nje ukuthi usibethela kanjani isipikili odongeni: iso lakho langakwesokudla aliboni lutho ngoba umbono ufihlwe yisando. Iso lesokunxele (fovea centralis) liqondisa futhi liqondise ukulandelana kokunyakaza. Umdubuli ongakwesokudla uhlose nge-fovea centralis yesokunxele. Umdlali wethenisi ushaya kangcono ngengaphambili hhayi ngoba ukunyakaza kulula, kodwa ngoba iso langakwesokunxele lingaqondisa, kuyilapho kufanele ashaye i-backhand ngokungaboni kahle!

2. Ezilwaneni ezincelisayo ezincela, zonke lezi zinqubo ziyahlehliswa. Iso lesokudla lilawula ukunyakaza, iso lesokunxele sinesibopho sokukhumbula ubuso bengane yomuntu siqu, umama kanye nobuso bazo zonke ezinye izinhlobo.

Umama wesandla sokudla “ubona” ingane yakhe kakhulu ngeso langakwesokudla, elibheke kwesokunxele (fovea centralis), kodwa indoda engakwesokudla ikala indawo yayo ngeso langakwesokunxele, elibheke kwesokudla. Owesandla sokudla ubamba ubuso bothandiweyo wakhe ngeso lakhe langakwesokudla, "Ukumamatheka kwakhe kuyizulu, akunakulibaleka!", Kodwa ulinganisa umphikisi wakhe ngeso langakwesokunxele. Akasizwa isidingo sokubamba ngekhanda ubuso bakhe, kodwa kunalokho vele ulinde isikhathi esingcono kakhulu lapho angambhubhisa khona.

Akukho lutho olungenzeka ku-fighter kusukela kwesokudla, une "iso" ngakwesokunene, ingozi ingavela kuphela ngakwesobunxele, ngakho uzama ukumboza "uhlangothi lwakhe oluyimpumputhe" ngesihlangu sakhe.

Esinye isici esikhethekile: Owesifazane oyinxele onenkinga yokungqubuzana ngokocansi kwabesifazane (bona i-depression 1st case), kodwa njengomuntu oyinxele, iziko lakhe le-Hamer lingaphakathi. amalungelo indawo ye-periinsular ayilokothi ilahlekelwe umsebenzi wayo wesibeletho. Ngakho-ke usakhipha amaqanda futhi unegazi lakhe elibizwa ngokuthi ukopha, kuyilapho owesifazane ongakwesokudla engasakhiqizi. Yingakho ukungqubuzana ngemva kwe-DHS kwakuvame ukuhlala kwabaningi, ngokuvamile abasha, amantombazane noma abesifazane ngoba amantombazane ayehlushwa i-amenorrhea.²⁰¹ wakholelwa ngempela ukuthi ukhulelwe.

Angifuni ukwenza iziprofetho, kodwa ukuba kwesokunxele kubaluleke kakhulu emithini yesikhathi esizayo kunalokho ebesikucabanga namuhla.

²⁰¹ I-Amenorrhea = ukungabi khona noma ukungabi khona kokuya esikhathini kwanyanga zonke

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11.3 Ukubaluleka kokuba kwesokunxele ekuxilongweni komtholampilo

Kwezokwelapha, konke ukuxhumana kwemvelo ye-physiological kuyathakazelisa, kodwa kuyathakazelisa ikakhulukazi lapho, njengalapha, kunomthelela omkhulu kangaka ekuxilongweni nasekwelapheni esimweni ngasinye.

Ukuba kwesokunxele akuwona neze umdlalo wemvelo ongenangqondo, njengoba kuvame ukubukwa njenganamuhla, ngoba ngokwezingxabano kufana nokuqedwa kokusebenza kwamahomoni. Njengoba ngichazile esahlukweni se-psychoses esimweni sokuqala sokucindezeleka, owesifazane oyinxele angabhekana nezimpawu zesitho ekungqubuzaneni kobulili besifazane ukuthi owesifazane ongakwesokudla uhlupheka kuphela ngemva kwe-climacteric.²⁰² noma ngobukhulu²⁰³ ingase ihlupheke (uma kwenzeka kuba nengxabano yendawo).

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Amadoda angakwesokunxele awakwazi ukuhlaselwa yinhliziyo yesokunxele uma kwenzeka kuba nengxabano yendawo esigabeni se-PCL, ngaphandle uma esekhulile futhi enokusabela kwabesifazane, kodwa-ke ezingeni elingokwengqondo awasahlushwa ukungqubuzana kwendawo nhlobo. , kodwa kunalokho owesifazane oyedwa - ukungqubuzana ngokocansi. Njengoba bekunjalo, kuphela indlela okusingathwa ngayo izingxabano ehlehlisiwe. Kusukela ebuchosheni bekhompiyutha kuya esithweni, yonke into ihlala isebenza ngendlela efanayo! Kulokhu sesiyabona ukuthi inxele ihlobene kakhulu nocansi futhi ihlobene kakhulu namahomoni!!

Isigaba se-Schematic CT ngokusebenzisa ubuchopho

Phakathi kwabantu abasebenzisa isandla sokudla kanye nabasebenzisa kwesokunxele, ubuhlobo obuphakathi kwezinga lezengqondo nobuchopho kuphela obubuyiselwa emuva. Kusukela ezingeni lobuchopho kuya ezingeni lesitho, nokho, ubuhlobo buhlala njalo. Mhlawumbe kulula ukuwuqonda ngenye indlela: Umdlavuza womlomo wesibeletho uhlala ugxile ku-Hamer kwesokunxele, kodwa kwabesifazane abasebenzisa kwesokudla kuphela uvela engxabanweni yocansi.

²⁰² I-Climacteric = ukunqamuka kokuya esikhathini kowesifazane; isigaba soshintsho ukusuka ekuvuthweni okugcwele kocansi kuya ekuthomeni kowesifazane
²⁰³ Senior = ukuguga

ikhasi 300

Ukuba kwesokunxele, njengoba sesizwile, kubaluleke kakhulu ngoba kunquma ukungqubuzana/indlela yobuchopho. Ngakho-ke iphinde inqume ukuthi yisiphi isifo iziguli ezingaphathwa yiso nokuthi yikuphi ukungqubuzana. Ukuba kwesokunxele, isibonelo, nakho kunquma ukuthi yikuphi ukungqubuzana okubangela ukucindezeleka Kokunxele, isibonelo, ezingxabanweni zocansi (zabesifazane), kanti kwabasebenzisa isandla sokudla, kwenzeka kuphela ngaphambi noma ngemva kokunqamuka kokuya esikhathini, okungukuthi kulokho okubizwa ngokuthi yi-menopause. "I-hormonal stalemate".

Indoda ethambile kakhulu ingahlushwa ukucindezeleka uma ingakwazi ukubhekana nokungqubuzana kwendawo, okungukuthi "ku-hormone stalemate", uma isandla sokudla. Ngakolunye uhlangothi, indoda enesandla sobunxele ethambile kakhulu ihlushwa ukucindezeleka lapho ingasabeli ngokobudoda kodwa isivele isingowesifazane futhi ihlushwa ukungqubuzana kobulili besifazane, futhi ekuphazamisekeni kwama-hormone.

Ongqingili besifazane baziphatha njengabesifazane, izingxenye zesilisa zifana namadoda. Ngongqingili abasebenzisa isandla sobunxele konke kuphambene ncamashi.

Ukusabela kowesifazane noma owesilisa kungabuye kuguqulwe kusetshenziswa izivimba ze-sex hormone. Ama-cytostatics nawo anomphumela ofanayo, khumbula, kulokhu. Azikhethela (akuphoqelekile!).

Ngolunye usuku, lapho Umuthi Omusha uyobe usungomunye wemithetho eyisisekelo yayo yonke imithi kanye nesayensi yezinto eziphilayo, umuntu uzokwazi ukwazisa ububi obumangalisayo obubangelwa umuthi wanamuhla osungulwe ngokugxambukela kwawo ngokungazi nabavimbeli bama-hormone ocansi.

Lo mbhedo wenziwa yonke indawo emithini yendabuko esemthethweni ngenxa yokushoda kwanoma yimuphi umqondo. Umphumela omubi ukuthi lokhu kuvinjwa kwamahomoni ocansi - okuthi esimweni esibi kakhulu kungafaka lokho okubizwa ngokuthi iphilisi lokuvimbela inzalo - hambisa ukugxila kuka-Hamer kusuka kolunye uhlangothi lobuchopho kuya kolunye. "gxuma". Lokhu kuhlobene ne-hormone, umuntu angase futhi athi kangcono: okuhlobene ne-hormone blockade Ukuguqulwa Ukugxila kuka-Hamer akugcinanga nje ngokusiza iziguli ezingenakubalwa, kodwa futhi kwabangela umdlavuza ohambisana nawo endaweni ephambene yobuchopho. Ukuvinjelwa kwama-hormone kuvame ukuphumela kumuntu, okuthi ngenxa yezizathu zamahomoni, manje asabele ngendlela ephambene kakhulu nangaphambili kwe-hormone "ukwelashwa": ngokwesibonelo, owesifazane, owake wasabela ngokobulili kakhulu futhi ngenxa yalokho unenkinga yokungqubuzana kocansi phakathi kowesifazane nomlomo wesibeletho. i-carcinoma ingase, iphendule ngemva kokuvinjelwa kwe-hormone, isibonelo nge-Nolvadex, ngokuzumayo owesilisa kanye ne-cervical carcinoma, manje emile, iphenduke ibe yi-coronary ulcer carcinoma, okungumthwalo wemfanelo wabafundi bemilingo.

ikhasi 301

Kodwa lezi manje ngokuzumayo, ngolimi oluvamile lwezokwelapha lwabafundi bemilingo, "ama-metastases", amangqamuzana omdlavuza amabi amancane angazange aphangwe ngumfundi womthakathi, kodwa angakaze abone - ngokunyenya, njengoba umuntu ecabanga "odeveli abancane." ", ukuhamba ngasese ngokusebenzisa igazi elisebenza esithweni esisha. Kodwa okungenani "odeveli" abancane baziphatha ngokuzithoba kangangokuthi bahlale bebangela umdlavuza ofanayo endaweni efanayo. Ababonakali bengamadimoni phela!

Uma unikeza owesifazane osemusha onesandla sokunxele onokungqubuzana ngokocansi futhi, njengenxele, ukudangala kanye nezimpawu ezibonakalayo zokwesaba indawo yabesilisa, ukungqubuzana kwentukuthelo yendawo noma yendawo (ene-bronchial carcinoma, angina pectoris, isilonda se-ventricular), ama-hormone blockers, ke ungakwazi Ngokwesibonelo, bahlushwa carcinoma wesibeletho ngokushesha.

Ngokuvamile, ngicabanga ukuthi inkinga yokuhluka kwe-hemispheric izoqhubeka nokusikhathaza ngezinga elikhulu kakhulu. Ingenye yezinkinga eziyisisekelo zokuxilonga ngokujwayelekile. Ngokubona kwami, ukungabuzi isiguli ukuthi ngabe isandla sokudla noma kwesokunxele kwakuyiphutha elibi kakhulu, ngoba kubaluleke kakhulu ukunikezwa kwezingxabano emihlambini kaHamer kanye nesimila somdlavuza noma i-necrosis yesitho.

ikhasi 302

11.4 Ama-cerebral hemispheres amabili: indawo engakwesokunxele = owesifazane, indawo yesokudla = owesilisa

Kukhona ukuqagela okungapheli mayelana nomehluko phakathi kwama-cerebral hemispheres amabili. Uma abaqageli abanjalo beluqonda kancane lolu daba, u-wider uthi benza ngalo. Angifuni ukuba nengxenye kulokho.

Kuleli qophelo ngincamela ukubika ngalokho engikwaziyo. Sesibonile kakade ukuthi ukusebenzisa isandla kwesokunxele nesokudla kunquma ukuthi iyiphi indawo yobuchopho lapho umuntu ezwa khona ukungqubuzana kwendawo yakhe yokuqala, nokunye nokunye.

Sizwile futhi ukuthi ukusebenzisa isandla sobunxele nesokudla kunquma ukuthi yiluphi uhlangothi lukamama/ingane noma lwengane/ lukamama nokuthi yiluphi uhlangothi lukazakwethu.

Kodwa akukhona lokho kuphela engikushoyo uma ngisho okulandelayo:

• Uma indoda enesandla sokudla ibambe iqhaza ngenkuthalo engxabanweni yendawo iminyaka eminingi futhi ibhekana nokungqubuzana kokulahlekelwa nesixazululo, khona-ke, uma i-cyst testicular inkulu ngokwanele, "izohlupheka" "isixazululo sebhayoloji" esiphoqelelwe sokungqubuzana kwendawo yakhe (ngokwesibonelo, "njengempisi yesibili"), lapho cishe izofa khona ngenxa yesifo senhliziyo esingakwesokunxele. Ukugxila kwakhe kwe-Hamer kusendaweni efanele yobuchopho.
• Nge-constellation efanele, okungukuthi ngokungqubuzana kwendawo okusebenzayo iminyaka kanye nokungqubuzana kokulahlekelwa okusha kanye ne-cysticular cyst exazululiwe, okungukuthi ngokuthutheleka okukhulu kwe-testosterone, akukho lutho olungenzeka kumuntu ongakwesokunxele. Ukungqubuzana kwendawo yakhe-i-Hamerscher ukugxila ohlangothini lwesobunxele lwe-cerebral. Futhi nakuba manje esengumuntu wesilisa kakhulu, isixazululo esiphoqelelwe sebhayoloji sokungqubuzana kwezindawo, okwenzeka ngokungenakugwenywa nabantu abakwesokudla, asenzeki! Ngenxa yokuthi uhlangothi lwesinxele wesifazane luvalwe ukungqubuzana, uba ngowesilisa nakakhulu kunomuntu osebenzisa isandla sokudla: owesilisa omkhulu!
• Kowesifazane osesandleni sokudla oneminyaka yokulenga yedwa (okungukuthi akukho umlaza we-schizo) ukungqubuzana ngokocansi kwebhayoloji, ngemuva kwengxabano yokulahlekelwa okuxazululiwe ne-ovarian cyst kanye nangemva kokuqina kwalesi simila ngokunyuka okunamandla kwama-estrogens, isinqumo esiphoqelelwe se-SBS ngenxa ama-estrogens aphezulu ayenzeka. I-focus ka-Hamer itholakala ohlangothini lwesobunxele lwe-cerebral. Isiguli esinjalo singafa kalula ngenxa yalokhu (i-infarction yenhliziyo efanele nge-pulmonary embolism).

ikhasi 303

• Esimeni esiqhathanisekayo, akwenzeki lutho kowesifazane oyinxele. Nakuba manje esengowesifazane kakhulu, noma mhlawumbe ngenxa yalokho, akaluxazululi ukungqubuzana kwakhe ngokobulili, okusendaweni yobuchopho obungakwesokudla.

Isigaba se-Schematic CT ngokusebenzisa i i-cerebrum

Ngakho singakwazi ukunquma:
Ukwanda kwe-estrogen kuletha kuphela isixazululo sebhayoloji esiphoqelelwe ekungqubuzaneni kocansi engxenyeni yesokunxele.

Ukwanda kwe-testosterone okubangelwa i-cysticular cyst engapheli kungaholela kuphela kusixazululo esiphoqelelwe sebhayoloji ekungqubuzaneni kwendawo ku-hemisphere efanele.

Ngakho konke ukubhuka, ngakho-ke umuntu angabiza i-hemisphere yesokunxele ngowesifazane kanye nenkabazwe yesokudla ngokuthi iduna.

Kodwa yonke into isebenza kuphela endaweni, kokubili kwesokunxele nakwesokudla.

ikhasi 304

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12 Ukuphindeka kokungqubuzana

Amakhasi 305 kuya ku-309

Ukuphindaphindeka kwangempela kokungqubuzana, okungukuthi, ukubuya kwengxabano efanayo yasekuqaleni, kungenye yezinto engizesaba kakhulu kunazo zonke. Ngibone abantu abaningi kakhulu befa ngenxa yayo.

Ngisho nangaphandle kuka-Hamer, akuyona imfihlo ukuthi, ngokwesibonelo, cishe asikho isiguli esisinda ekufakweni kabusha kwe-infarction. Kodwa njengoba manje singabona ngokucacile ebuchosheni obusebuchosheni bethu be-CTs ukuthi ungakanani umzamo umzimba onawo ukuze ulungise ubuchopho bekhompiyutha, singalinganisela ukuthi kunzima kangakanani ukuvula kabusha isilonda eselapheka noma esisanda kuphola. Uphulukisa kanzima kakhulu futhi kancane kunesikhathi sokuqala.

Uma sicabanga amangqamuzana obuchopho njenge-meshwork enkulu ephindwe ngezigidigidi, khona-ke kufanele futhi sikwazi ukucabanga ngezinguquko ezahlukahlukene ezenzeka lapho ukugxila kwe-Hamer kwelapha:

a) Amafomu e-Intra- kanye ne-perifocal edema. Ama-synapses amangqamuzana obuchopho anwebeka kakhulu. Noma kunjalo, bayawugcina umsebenzi wabo. Ekupheleni kwesigaba sokuphulukisa, lezi zintambo kufanele zibuyiselwe emuva ngaphandle kokuhlupheka komsebenzi ngenxa yalokho.

b) Ngokusobala, ukuhlukaniswa kwamaseli obuchopho kuthinteke kakhulu phakathi nesigaba sokungqubuzana se-tonia ezwelayo unomphela. Umzimba ulungisa lokhu ngendlela elula ngendlela emangalisayo, enengqondo futhi ephumelelayo ngokugcina ukufakwa okungeziwe ngamaseli e-glial ku-latticework yamaseli obuchopho. Yilokhu odokotela abahlinzayo abakuchaza kabi ngokuthi “izimila zobuchopho.”

Ngisho nangale nqubo, umsebenzi wendawo kufanele uhlale uvikelekile.

c) Akumele nje kuphela ukuthi umsebenzi wesitho esihlobene uhlale uvikelekile, kodwa ukugxila kuka-Hamer empeleni kucisha ukukhanya kwesimila esinomdlavuza futhi sikunikeze amagciwane akhethekile anesibopho ukuze asisuse.

Ingabe lezi zinqubo nemisebenzi, imvelo eyenze eminyakeni eyizigidi eziningi, iphazanyiswa yilokho okubizwa ngokuthi "umphumela we-accordion" okwenzekayo, okungukuthi ama-synapses anwetshiwe futhi anciphe ngesikhathi esifushane - ngale kwenkinga yesithuthwane esejwayelekile - bese kufika isikhathi lapho ubuchopho bukhungathekile futhi bungasahlanganyeli. Yonke indlu yamakhadi eyakhiwe kanzima iyawa futhi futhi umonakalo mubi kunangaphambili uma ukungqubuzana kuphinda kwenzeke phakathi noma ngokushesha ngemva kwesigaba sokuphulukisa.

ikhasi 305

Ngenxa yalezi zizathu, ngombono wami, ukuphindaphinda kwangempela kwezingxabano kuyingozi nakakhulu kunomdlavuza wesibili, kuye ngokuthi yikuphi lapho ubuchopho bukaHamer bugxile khona.

Kukhona okunye: isiguli sinesithende sakhe se-Achilles esingokwengqondo, iphuzu lakhe elibuthakathaka, esibazini sokungqubuzana kwengqondo. Ucishe akhangwe ngomlingo engxabanweni efanayo, noma kunalokho uwela ogibeni olufanayo ngokuphindaphindiwe, noma ngabe uyazi. Ngacabanga ngakho isikhathi eside futhi ngafinyelela esiphethweni sokuthi kwakuhlelwe kanjalo ngokwemvelo. Ngoba inyamazane elahlekelwe indawo yayo ngenxa yenyamazane esencane ngokuyisisekelo inayo ohlelweni lwayo ukuthi kufanele ibhekane nomhlaseli futhi. Ngoba lokho kungaba incazelo yokuzwelana okungapheli, ukuthi inyamazane kufanele ikwazi "ukugcina ithuba layo" futhi iphinde ibambe indawo yayo futhi. Uma “izinyamazane ezishayiwe” bezizulazula emahlathini yonke indawo, bekungaletha isiphithiphithi “ekuhlelekeni kwezinyamazane”. Kumelwe sikucabange kubantu ngendlela efanayo. Ngibone izingxabano eziningi ezibulalayo eziphindelelayo ebezingadingeki ngokuphelele futhi zingenangqondo ngokombono ophusile nophusile, kangangokuthi lo mbono waphoqeleka kimi ngokoqobo.

Isikhathi esiyingozi kakhulu sokuhlupheka ukuphindaphinda kwezingxabano, njengoba singaqonda ngokuqinisekile kulokho osekushiwo, akusona isiqalo sesigaba se-PCL, kodwa ukuphela kwesigaba sokuphulukisa noma ngisho nokuqala kwesigaba sokujwayelekile. Khona-ke ukuphindaphinda kwezingxabano kuvula ngokuphelele isilonda esidala kuwo wonke amazinga amathathu futhi kuholela "emphumeleni we-accordion" ezingeni lobuchopho. Ngokuvamile isiguli sibe sesifinyelela ngisho nesigaba sokuphulukisa sesibili. Kodwa-ke i-edema entsha ikhula ngamandla ngaphakathi naseduze kokugxila kuka-Hamer kangangokuthi isiguli singafa ngenxa yayo ngesikhathi esifushane kakhulu - ngokuvamile enkingeni yesithuthwane noma ye-epileptoid, kulezi zimo engenzeka ngaphambi kwesikhathi kakhulu kunokujwayelekile.

Nasi isibonelo esifushane:

Isiguli esisesandleni sokudla sokunqamuka kokuya esikhathini sibe nezingxabano ezimbalwa ezingeke zixoxwe lapha ukuze kucace. Wayezinqobe zonke izimpawu ze-organic, ngokulandelana. Ekugcineni, wabhekana ne-DHS engxabanweni enzima nomyeni wakhe, ehilela umamezala odumile, okuthiwa wayesabisa isiguli usuku nosuku. Ngemva kwesikhathi uninazala washona. Ngokushesha ngemva kwalokho, kwatholakala isibindi ne-bile duct carcinoma.

Isiguli saphathwa i-DHS entsha ngoba sazitshela ukuthi: “Umdlavuza uyangibamba. Manje sekuyindaba yesikhathi nje..." Ukwesaba kwakuphefumulela entanyeni ngokoqobo futhi wabhekana "nokungqubuzana kokwesaba entanyeni".

ikhasi 306

Odokotela banqabile okunye ukwelashwa ngoba babekholelwa ukuthi umzimba wonke usugcwele okuthiwa “ama-metastases”. Intukuthelo yokungqubuzana ne-bile duct ulcer carcinoma yadamba ngandlela thize ngokushona komamezala, kodwa umyeni wabe esethatha uhlangothi lwakhe ngoba esola umkakhe ngokufa kukanina, futhi impi yaqhubeka ngamandla.

Isiguli seza kimi sacela iseluleko. Ngathi, “Ungasinda kuphela uma usuka endodeni yakho uye kumama wakho isikhathi eside, lapho usuphumile ngokuphelele embhoshongweni wezingxabano. Futhi-ke awusadingeki usabe."

Isiguli salandela lesi seluleko. Ekuqaleni wayebuthakathaka futhi ekhathele, kodwa ngemva kwezinyanga ezi-4 wayesekwazi ukusebenza futhi enze imisebenzi yasendlini kamama wakhe. Wazizwa ekhululeke ngokuphelele. Izingane ezikhule ngohhafu bezihlala noyise ekhaya ngoba ibingekho indawo yazo kwagogo.

Ngolunye usuku, ngokokuqala ngqa ezinyangeni ezingu-7, isiguli sasifuna ukuvakashela indodakazi yaso endlini yaso. Wayecabanga ukuthi umyeni wakhe akasekho. Kodwa njengoba wayemi ekhishini, umyeni wakhe ngokuphazima kweso wafika engalindele, akazange akhulume, kodwa wayelokhu ehamba eduze kwakhe, echukuluza, embeka icala, enolaka. Isiguli saphathwa i-DHS ephindelelayo. Ngemva kwezinsuku ezimbili wangifonela. Wayesephelelwe yithemba ngokuphelele. Ngemva kwe-DHS, emahoreni ambalwa wayesenejaundice (ephuzi) wonke umzimba wakhe. Wayengasadli lutho elokhu ephalaza inyongo eluhlaza. Ezinsukwini ezi-2 wayesevele ehle ngo-4 kg wesisindo. Odokotela babefuna ukumfaka i-morphine ngokushesha ngoba lokho kwakuwukuqala kokuphela. Ngamqinisekisa futhi ngamtshela ukuthi ngangimxwayise kakhulu ngalokhu ngaleso sikhathi. Kodwa njengoba ukuphindeka kwengxabano kuthathe isikhathi esincane nje, nginesiqiniseko sokuthi uma ehlala ekhaya nonina njengakuqala futhi engazivumeli ukuba athuke, khona-ke iphupho elibi laliyophela ngemva kwesonto zakamuva.

Kwaba njalo impela. Ngemva kwezinsuku ezingaba ngu-10 waphinde wangifonela wangibikela i-jaundice²⁰⁴ Ngokushesha ngancipha futhi manje ngase ngingcono futhi. Usebuthaka futhi ukhathele, kodwa usephinde waba nesifiso sokudla. Njengoba azi kahle ukuthi kwenzeke kanjani ngeledlule, akasatatazeli. Ugijima efulethini futhi. Odokotela manje abaqondi ukuthi kungani engayidingi i-morphine. Umuntu onezinhlobo ezinhlanu zalokho okubizwa ngokuthi “ama-metastases” ngokusobala ngeke aphinde aphile. Kodwa ungakwazi!

²⁰⁴ I-jaundice = i-jaundice

ikhasi 307

Kodwa nami ngifuna ukukuchazela ngecala elaphetha ngokubulala. Isiguli sahlushwa i-DHS lapho unkosikazi waso ehlinzwa ngenxa yokuvinjwa amathumbu futhi kwadingeka ahlinzwe okwesibili ngemva kwezinsuku ezimbalwa. Umyeni wayethukuthele egane unwabu ngoba ekholelwa ukuthi udokotela ohlinzayo “usehluphile.” Cishe kwakuyileus ekhubazekile²⁰⁵ futhi udokotela ohlinzayo akakwazanga ukwenza lutho ngakho. Kodwa umyeni wayebona izinto ngendlela ehlukile futhi ebheka udokotela ohlinzayo njengengcweti empofu. Inkathazo yonke yathatha amasonto ayisi-6 kwaze kwaba yilapho owesifazane ephuma esibhedlela, ngemva kwezinsuku ezingu-14 indoda yase ithule futhi ingxabano yaxazululeka. Kwabe sekutholakala ukuthi une-carcinoma yesibindi ngenxa yokuthi umzimba wakhe wawusukhuluphala ngenxa yokuqala kwe-ascites. (I-ascites yisigaba se-pcl sokungqubuzana kokuhlaselwa kwesisu - kumfazi - nge-mesothelioma yangaphambili ye-peritoneal).

Ngemva kokuphenduka okumbalwa okungalungile ngokusebenzisa imithi evamile, engingafuni ukuyichaza lapha, ama-ascites aphinde ahamba futhi i-carcinoma yesibindi yayilulama ngokucacile. Wayesebuthakathaka futhi ekhathele, kodwa wayesekwazi ukuhamba futhi wazizwa ekhululekile futhi. Angilokothi ngibhale izitifiketi mayelana nemiphumela elindelekile ngoba impilo ivame ukushaya eweni futhi kwenzeka izinto ezingalindelekile obungeke uzicabangele. Kulokhu, ngenze okuhlukile futhi ngabhalela isiguli inkampani yaso yomshuwalense wezempilo ukuthi, ngokuhlangenwe nakho kwami, isiguli cishe sizolulama kulo mdlavuza wesibindi.

Khona-ke lokho kanye okwenzeka kwaba yilokho okwakungafanele kwenzeke futhi empeleni kwakungeke kwenzeke ngokokwahlulela komuntu. Udokotela wezifo zabesifazane wahlola unkosikazi wesiguli wathi uthole “isimila.” Ube esengeniswa ngokushesha esibhedlela wahlinzwa. Konke kwaphenduka iphutha kanye ne-alamu yamanga. Kodwa isiguli, asizange silulame, sacasuka futhi sethuka ngokushesha (“I-botch endala!”). Uphinde wabhekana nengxabano emfushane kodwa enzima kakhulu, esibazini esidala. Indoda empofu ayizange isinde ekuxazululeni le ngxabano. Ngeshwa, inkosikazi ayizange iqonde uhlelo lwemithi emisha. Futhi lapho bengibiza, “umntwana wayesewele emthonjeni kakade.”

²⁰⁵ Ileus = ukuphazamiseka kokuhamba kwamathumbu ngenxa yokukhubazeka kwamathumbu noma ukuvinjelwa kwamathumbu

ikhasi 308

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13 Ingoma yokungqubuzana

Amakhasi 309 kuya ku-328

Kunemithetho kubhayoloji esingeke sisayiqonda kusukela sajwayela ukucabanga “ngokwengqondo”, kodwa esingabuye siyiqonde uma sesiyifundile ngokwebhayoloji.ngokunengqondo ukucabanga, ukukwazi ukuqonda kahle kakhulu. Le ndlela yokucabanga yebhayoloji ihlanganisa ukuqonda ithrekhi yokungqubuzana.

Thina bantu namuhla, esifundiswe yimpucuko yethu, sithola ukuthi “lokhu kucabanga okuqondile” “kuyi-pathological”, bese sikhuluma ngokungezwani komzimba nezinto okufanele kuliwe nazo. Sikhuluma nge-hay fever, isifuba somoya, i-neurodermatitis, i-psoriasis, njll. futhi sikusebenzise ukuze sichaze ngokungahleliwe izingxabano ezihlukene ngezigaba ezihluke kakhulu kanye nezimpawu zazo zomzimba. Ngakho-ke kuyisiphithiphithi esifuna ukukulungisa:

Ngaphezu kwesitimela sangempela se-DHS, kukhona futhi "ojantshi besibili". Lezi izi Izimo ezihambisanayo noma izikhathi ezihambisanayo izinhlobo ezibalulekile ezikhunjulwa njengezibalulekile umzimba ngesikhathi se-DHS. Lokhu kungaba, isibonelo, iphunga, imibala ethile noma imisindo. Kungaba khona ithrekhi eyodwa ehambisana ne-DHS ngayinye, kodwa kungase kube namathrekhi ahambisanayo angu-5 noma angu-6 ngesikhathi esisodwa. Akunandaba ukuthi kamuva sinamathisela ukubaluleka "kwezengqondo" kulawa mathrekhi ahambisanayo noma cha, avele afakwe ngaphakathi.

13.1 Indaba eyisibonelo: hay fever

Lapho utshani obusha busanqwabelene kulokho okubizwa ngokuthi ama-haystacks ukuze bome kancane ngaphandle kwamazolo okwenza utshani bube manzi futhi, i-haystack enjalo yayiyindlela yothando kakhulu, eshibhile futhi ethandwa kakhulu, ikakhulukazi emaphandleni. uthando lokuqala lwenyama. Uma, njengoba kuvame ukwenzeka, kwenzeka iphutha elikhulu noma eliphawulekayo, iphunga lotshani obusha lihlale likhumbuza abathandi ababili benhlekelele eyenzeka ngaleso sikhathi. Kodwa inhlekelele yayingeyona njalo inhlekelele kubo bobabili, futhi kwakungeyona i-DHS kubo bobabili, ngokuvamile kuphela eyodwa kokubili. Sabe sesikhuluma nge-hay fever noma i-hay allergy. Ngendlela, nge-hay fever - i-hay fever yisigaba sokuphulukisa - awudingi ngempela impova etshanini, kodwa uma sibona umlimi evuna utshani ku-TV, isibonelo, kuba nomphumela ofanayo.

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Into ekhethekile okufanele isisize emvelweni ukuthi singasuka ngokushesha sisuka kuyo yonke “ingxabano enkulu kajantshi” siye kumuntu ngamunye noma kuwo wonke “ojantshi besibili”, kodwa futhi singasuka komunye nomunye. ujantshi wesibili oya ku-Ingabekwa kujantshi omkhulu kanye nakweminye noma kubo bonke ojantshi besibili.

Kunjalo, wonke amathrekhi esibili nawo anesici esihambelanayo sokungqubuzana esizimele, owawo u-Hamer ugxile ebuchosheni kanye noshintsho lwesitho oluhambisanayo.

Esibonelweni esingenhla se-hay fever, uma umlingani wayehlaselwe yi-DHS ngaleso sikhathi, ngaphambi kwemfiva ngayinye ye-hay ngokuvamile uphinda abe nokungqubuzana kocansi nge-cervical carcinoma. Ngakho uma eya eholidini epulazini ngesikhathi kuvunwa utshani, uyamangala ukuthi akasayi esikhathini ngemva kwalokho. Ukuvela kabusha kwengxabano vele kuxazululwe ngokushesha nje lapho ebuyela ekhaya futhi engasakwazi ukubona isivuno sotshani kodwa kusongela inhlekelele lapho eya kudokotela wezifo zabesifazane futhi ethola ukuthi unomphela wesibeletho. umdlavuza.

Ngakho-ke ngibophezela bonke abafundi bami ukuthi bahlole i-DHS ngokucophelela okukhulu ngawo wonke amathrekhi ahambisanayo, okuhlanganisa i-optical, i-acoustic, i-olfactory, amathrekhi wokuthinta, njll.

Kodwa kufanele uhlale ukhumbula ukuthi lezi akuzona iziyaluyalu, njengoba ngaphambili saqonda lokho okubizwa ngokuthi i-allergies, kodwa izinsiza zokucabanga zangempela nezinhle ezihloselwe ukwenza umzimba uqaphele uhlobo lwenhlekelele eye yabhekana nayo ngaphambili!

Akwanele ukuthi sithole imigqa ehambisanayo noma yesibili, kodwa kufanele sisichaze ngesineke isiguli ngendlela yokuthi sibingelela ngokumamatheka ngokuzayo futhi singathuki nhlobo, kodwa futhi siyazi ukuthi ukungqubuzana kwangempela akukakaxazululwa kahle. Esikhathini lapho kwakukhona kuphela "umuthi wezimpawu" futhi zonke izimpawu eziphawulekayo zazibhekwa "njengesifo" esidinga ukwelashwa (!!), lo msebenzi ngokuvamile awulula kangako. Ezigulini ezingafuni, ezingakwazi noma ezingavunyelwe ukuqonda umuthi omusha, kuwukumosha ngisho umzamo.

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13.2 Indaba eyisibonelo: Indiza yaseSenegal-Brussels

Umbhangqwana undiza usuka eSenegal uya eBrussels. Phakathi nendiza, umyeni uhlushwa isifo senhliziyo. Inhlekelele! Umhlophe njengeshidi, uhefuzela, ulele phansi ephaseji lendiza. Umkakhe ulindele noma nini: uzofa! Kodwa akafi. Bafika eBrussels, uphuthunyiswe esibhedlela uyalulama.

Kwakungesona isihogo sendiza kuphela kunkosikazi, amasonto amathathu alandelayo nawo ayemabi. Uyancipha emzimbeni, akasakwazi nokulala, futhi uhlale esabela impilo yomyeni wakhe.

Ngokwemvelo, uke wabhekana nenkinga yokufa-yesaba-ukukhathazeka (kokunye). Ngemva kwalamaviki amathathu amabi, ekugcineni wehlisa umoya futhi kwenzeka ukungqubuzana. Isiguli saba nenhlanhla ngokufika ne-TB mycobacteria evela e-Afrika. Emasontweni amathathu alandelayo wajuluka izingubo zokulala ezinhlanu ebusuku, ikakhulukazi ekuseni, futhi wayenomkhuhlane omncane ebusuku. Wayenesilonda esiyindilinga emaphashini akhe (i-adeno-carcinoma ye-alveoli), manje eyayibangelwa amagciwane e-tubercle futhi wakhwehlela ngenxa yesimo esiyinsalela somgodi omncane, okuthiwa i-partial pulmonary emphysema.

Enkathini eyalandela, isiguli sahlupheka izikhathi eziningana ezinjalo zokujuluka, ngezinye izikhathi zibe zifushane, ngezinye izikhathi zibe zinde. Ngokushesha nje ekuqaleni kwesinye, isikhathi sokujuluka eside, kwatholakala i-adenocarcinoma yamaphaphu, ngaphambi kokuba izinduku ezine-asidi esheshayo (TB) zibe nesikhathi sokususa “isimila” futhi zenze ukuthi sikhwehlele. Isiguli manje sase sithathwa ngokuthi "siphethwe umdlavuza wamaphaphu". Babefuna ukuhlinza iphaphu elilodwa “ukuze libe ohlangothini oluphephile”, kanye ne-chemo, imisebe kanye nezinyathelo ezivamile... Kodwa lapho kutholakala amanye amaqhuqhuva ngakolunye uhlangothi, isiguli sachazwa ngokuthi sasingelapheki futhi ukufa kwaso okwakuseduze kwaba. kubikezelwe.

Njengoba i-New Medicine yaziwa kakhulu eBelgium, kwatholakala udokotela owatshela isiguli ukuthi ngokombono waso nguDokotela Hamer kuphela ongaxazulula amacala anzima kangaka. Ngakho beza kimi.

Icala lalingelula kangako ukulixazulula ngoba isiguli sasinoxhaxha olungavamile. Lapho sesiwatholile, okunye kwakuwumkhuba nje.
Iyiphi ingoma obunayo?

Ukungqubuzana kokwesaba ukufa kwakungenzima ukuyiqonda. I-DHS yayimangalisa kangangokuthi kwakungenakwenzeka ukuphuthelwa. Kimi kwakubonakala sengathi kungenzeka ukuthi umyeni wayezophinde ahlaselwe yinhliziyo (angina pectoris) noma ezinye izimo ezibucayi

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kumelwe ukuba wayenakho, lapho unkosikazi (isiguli) kumelwe ukuba kwadingeka akhuthazelele ukwesaba ukufa ngaye futhi. Ukube bekunjalo, yonke into yayizolunga ngaphandle kwama-ifs noma ama-buts. Kodwa - inkosikazi yaphika ngomfutho omkhulu: Cha, indoda iphilile, ayikaze iphinde ibe nokuquleka, iphile saka, futhi ayisandizanga ngendiza.

Khona-ke umcabango osindisayo weza kimi: “Ingabe ukhona omunye ovela emndenini wakho owandizela endizeni?” “Yebo, Dokotela, kodwa akwenzekanga lutho. Kodwa uma ubuza lokho, kuyafika kimina: Ngaba nokujuluka kwami ​​kokugcina ngemva kokuba indodakazi yami ibuyile eholidini layo lamasonto amathathu e-Tenerife. Ucabanga ukuthi lokho kungase kuhlobane nalokho? Nokho, ngiyakhumbula ukuthi sonke isikhathi ayengekho nomyeni wakhe nezingane, ngangingalali ebusuku, futhi ngancipha futhi ngangihlale ngicabanga: ‘Ukube nje bebebuye futhi!’”

Okunye futhi kwaba umkhuba futhi: kwakungenzeka ukwakha kabusha ngokunembe kakhulu ukuthi ngaso sonke isikhathi lapho ilungu lomndeni (udade noma izingane) lihamba ngendiza, isiguli sasiba novalo esasingakwazi ukuluchaza ngomcabango “onengqondo”. Futhi noma nini lapho ilungu lomndeni libuya, laliba nesikhathi sokujuluka ebusuku. Futhi manje esinye isikhathi eside sokujuluka ebusuku esinamazinga okushisa angaphansi kwe-febrile kanye nokukhwehlela kwakusanda kuqala. Kwathathwa i-x-ray kwatholakala into.

Umzila wesitimela wesibili wawu... Indiza!

Njengoba nje ujantshi wesitimela unamathrekhi amabili isitimela esihamba kuwo, isiguli sahlaselwa yizici ezimbili ezingqubuzanayo lapho umyeni waso ehlaselwa isifo senhliziyo esimangalisayo endizeni esuka eSenegal eya eBrussels:

1. ukwesaba ukufa nokukhathazeka ngomyeni wakhe ngenxa yokuhlaselwa yinhliziyo
2. ukungqubuzana kokwesaba indiza ngoba babevaleleke ebhanoyini.

Kusukela ngaleso sikhathi, zombili izingxenye ziye zaxhunyaniswa ngokuyinkimbinkimbi enye kwenye futhi ukwesaba ukungqubuzana kokukhathazeka ngokufa kwenzeka ngokushesha engxenyeni ngayinye yezingxenye ezimbili. Besingasho futhi ukuthi: Kusukela lapho wayengezwani nokuhlaselwa yinhliziyo nokuhlaselwa yinhliziyo (okungenzeka ngenhlanhla ukuthi kwenzeke) kanye - nezindiza!

Ukwelashwa kwakuhlanganisa ukunikeza isiguli ukuze wazi izixhumanisi, ukuqeda izimbangela nokunye ... ungenzi lutho nhlobo, kodwa kunalokho ungaphazamisi iMvelo yoMama uma kungenzeka. Lokhu kusho ukuthi isiguli siyajuluka futhi ebusuku amasonto angu-3-4, khona-ke awekho ama-nodule e-pulmonary angaphinde abonakale, imigodi emincane kuphela. Isiguli siqhuba kahle namuhla.

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13.3 Indaba eyisibonelo: Walala ehamba esondweni

Owesilisa ubeshayela emgwaqeni ophakathi kweBrussels ne-Aachen ngehora lesithathu ekuseni. Eduze kwaseLiège, ngaphambi nje kwebhuloho iMeuse, wazumeka esondweni. Emuva kwebanga elingangekhilomitha wavuka eseqala ukuthi injini isibanga omunye umsindo ngoba unyawo lwakhe belungasalicindezeli i-accelerator pedal. Wabhekana nengxabano: “Angizange ngizikholwe izindlebe zami.”

Ngokushesha waba ne-tinnitus²⁰⁶ endlebeni yangakwesobunxele. Kusukela ngaleso sikhathi kuqhubeke, waba ne-tinnitus njalo isikhathi esithile

1.  lapho evuka ekuseni futhi
2. noma nini lapho eshayela imoto futhi ecindezela injini, okungukuthi ngemvamisa ethile yomsindo.

13.4 Indaba eyisibonelo: Ikati elagilwa

Umshayeli ngeshwa ushaye ikati. Waphuma efuna ukubona ukuthi usaphila yini mhlawumbe angasizwa. Kodwa “wayefile njengegundane”. “O Nkulunkulu,” wacabanga, “kati elimpofu, kwenzeka kanjani lokho?” Ukwethuka okukhulu kwangena ezithweni zakhe lapho ebona ikati elimpofu, elifile lilele lapho.

Ngemva konyaka, ikati elilahlekile lafika kuye, umkakhe wavele walithatha futhi ngokushesha bobabili bakufaka ezinhliziyweni zabo. Ekupheleni kosuku wayevame ukumbambatha. Konke kwakuhamba kahle...inqobo nje uma ikati lifika ekhaya ngesikhathi. Kodwa uma efike sekwephuzile, ngokushesha waphathwa "i-allergies" ngenxa yokungabikho kwekati. Ngoba njalo isithombe sompofu, ikati elifile livela phambi kwakhe futhi. Ngaso sonke isikhathi wayenovalo: "Ikati lethu ngeke...cha, akucabangeki uma lilele emgwaqweni ndawana thize njengekati elimpofu ngaleso sikhathi..."

Lapho ikati lifika ekhaya, lalihlale lihlakulela "i-allergies yesikhumba" ebanzi, ebukhali, okusho ukuthi isikhumba sezandla, izingalo nobuso sasibomvu ngokuphelele, sivuvukele, empeleni ukuphulukiswa kwezilonda ezincane zesikhumba ezazivele ngaphambili. Ukuhlolwa kokungezwani komzimba nesikhumba kwabonisa: Nakanjani ukungezwani nekati! Ngaphambili sasikholelwa ukuthi zonke lezi yizifo ezidinga ukwelashwa ngokushesha. Nokho, lo mbono ubheke ohlangothini olulodwa ngokuphelele, ngoba uyinsalela yamakhono ethu emvelo. Esimeni ngasinye bekunezimpawu ze-alamu; kusifuba somoya noma isifuba somoya kukhona amasiren amabili asebenzayo afuna ukusitshela: Qaphela, kukhona okwenzeka ngaleso sikhathi. Noma: Kufanele uqaphele ngale nhlanganisela!

Futhi, izibonelo ezimbili ezimfushane:

²⁰⁶ I-tinnitus = ukukhala ezindlebeni

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13.5 Indaba eyisibonelo: Umshayisibhakela evenini yokulethwa

Sashayela iveni yethu saya epaki futhi sahamba nezinja zethu ezimbili zama-boxer (abashadile). Ngemva kohambo bekufanele balinde emotweni isikhashana size siphuze inkomishi yekhofi ngokushesha. Njengoba kwakufudumele, iwindi salishiya livuliwe. Izinja zazingakaze ziphume ngefasitela ngaphambili. Nokho, kulokhu, kwaqhamuka umfo othile owayengenangqondo futhi ohayizayo futhi kwadingeka axoshwe ngokushesha. Umcabango uqedile. Umshayisibhakela wesilisa oneminyaka emine ugxumela efasiteleni leveni elivulekile ngokugxuma okukhulu, okuhle nokuhle. Inja yomshayisibhakela, endala kunayo ngeminyaka eyisithupha, ifuna ukumlingisa, kodwa isalukazi asilandeli kahle kanje, sinamathela okhalweni lwaso oluthe ukujiya, sigingqike bese sihlala phansi kwenja yaso. Wabe esephuka i-pelvic, okwathi izinyanga ezintathu wagula.

Kusukela ngaleso sikhathi kuqhubeke, ngisho nobumnandi obungcono kakhulu obungamyenga ukuba abuyele evenini. Waya emnyango, kodwa wabe esephenduka ngokuqiniseka: “Mnumzane, ngingalithanda ngempela isoseji, kodwa ngeke ngiphinde ngingene evenini ngoba ungawa kulo…”

Okungeke kwenzeke enjeni yomshayisibhakela kuyenzeka kithina sonke bantu.

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13.6 Indaba eyisibonelo: Ukungqubuzana okungemuva ngemuva kokunye

Umphathi wenkampani yemikhumbi uhlangabezane nengozi yokushayisana nemoto yakhe. Ibhasi lishayise imoto yakhe ngemuva. Wabona ibhasi “igingqika” ibheke kuye esibukweni esibonisa ngemuva. Njengoba eyinxele, ube nezilonda ezihambisanayo zika-Hamer ngakwesokudla phakathi nalokhu kungqubuzana kokwesaba okuthusayo kanye nokungqubuzana kokwesaba okungaphambili (lapha ukungqubuzana kokungabi namandla: “Angikwazanga ukwenza lutho!”). Lapho le ndaba ekugcineni ixazululwe, kuhlanganise okuthiwa whiplash kanye settlement umshwalense, ngenhlanhla akekho owathola ehambisana bronchial carcinoma kanye ezihambisana branchial arch cysts, naphezu ukukhwehlela, kodwa izilonda ezimbili Hamer ebuchosheni. Yiqiniso, ngokushesha kwathiwa “bayizimila ebuchosheni” futhi bahlinzwa. Lokho kwenzeka ngo-1982. Eminyakeni embalwa kamuva wabhekana nengozi efanayo ncamashi, kodwa kulokhu kwakungelona ibhasi. Konke kwakucishe kufane nesikhathi sokuqala. Emtholampilo we-neurosurgery, odokotela bathi isimila esingaphambili esingakwesokudla sase sikhulile. Isiguli saphinde sahlinzwa. Konke kwenzeka okwesithathu futhi, ngemva kokuxazulula ukungqubuzana, wahlinzwa okwesithathu endaweni efanayo ngoba “isimila ebuchosheni” sase sikhule futhi.

Muva nje usehlangabezane "nezingozi eziningi". Manje akazwani nokushayisana kwangemuva. Izikhathi ezimbalwa "kwakuseduze kakhulu". Futhi manje uzohlinzwa okwesine, okuhlanganisa i-chemo kanye nemisebe kulokhu, ngoba kulokhu kwatholakala ama-cysts e-branchial arch kanye nezinguquko zamaphaphu, okwabizwa ngokuthi "ama-metastases" "esimila sobuchopho". Ngenhlanhla, wawazi umuthi omusha.

Manje isiguli asisazishayeli.

Ingoma ku-New Medicine isho ukuthi isiguli - kungakhathaliseki ukuthi umuntu noma isilwane - esake saba nokungqubuzana kwezinto eziphilayo singabuyela kalula ethrekhi uma kwenzeka futhi. Ukuphindeka kungase kuhlanganise nengxenye eyodwa nje yokungqubuzana (bona "Ukungezwani komzimba nendiza"). Lokho kukodwa kwanele ukuvusa impindano ephelele. Ukuphindwaphindwa okunjalo kugeja ukuqonda kwethu okungokwengqondo. Singakwenza kuphela enembile bamba futhi ugweme. Lokho thina bantu esikwenza kahle kuphela ngemva kokuhlinzwa kwesithathu (“esikufunde ekulimaleni”), isilwane senza kahle okokuqala, ngokwemvelo!

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Kudingeka sazi isici esisha ngokuphelele sokucabanga, uhlobo lokuqonda kwebhayoloji enembile. Izingxabano zezinto eziphilayo zisibuyisela eqinisweni elibuhlungu. Ikakhulukazi isilwane. Kodwa ngokuyisisekelo kithina bantu kuhlale kuyindaba yokuphila nokufa!

13.7 Indaba eyisibonelo: Ukungezwani namantongomane

Ngiyabonga futhi ngiyajabula ukushicilela icala elilandelayo isiguli esingithumele ngemvume yaso ecacile, okuhlanganisa igama nesithombe, ngoba ngikuthola kungokokuqala futhi kufundisa.

Ottilie Sestak Juni 16, 1998

Ukungezwani kwami ​​namantongomane

Ngazalwa ngo-September 21, 1941 ngo-11.30:XNUMX a.m. e-Oberndorf am Neckar futhi ngisebenzisa isandla sokudla.

Sekuphele isikhathi eside ngikhumbula, ngihlushwa izilonda emlonyeni. Yilabo kuphela abaye baba “nezilwane” ezinjalo ngokwabo abangaqonda ukuthi zibuhlungu kangakanani. Ezimbili, ezintathu noma ezine - ngezinye izikhathi zibe zinkulu njengezipikili emunweni omncane - zazingavamile.

Eseyingane, udokotela womndeni e-Oberndorf ngaleso sikhathi wathi kwakuwukuntula uvithamini B, kodwa amaconsi ayeshiwo awazange asize. Kamuva - manje sase sihlala eRadolfzell eLake Constance - ngachazelwa ukuthi kwakuhlobene nokuthomba. Ngashada ngo-August 5, 1961 futhi ngadivosa ngo-June 7, 1972. Ngemva kokuhlinzwa kwami ​​kwesisu ngo-1970 - isimila eshubhuni yesibeletho esingakwesokudla - ngafunda kuSolwazi O. ukuthi angikwazi ukuba nabantwana ngoba ishubhu lesobunxele liyisakhiwo esinemisipha kuphela (ukukhubazeka kokuzalwa?), ishubhu le-fallopian elingakwesokudla alisasebenzi. ngenxa yokuhlinzwa nokwami ​​Ngenxa yokuthi umyeni wami wangaphambili wayefuna ukuba “nezingane ezingowakhe,” sahlukana.

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Ngesikhathi ngithuthela e-Waldbronn ngo-1972 (emva kwesehlukaniso ngadweba umugqa ngaqala futhi) - ngase ngineminyaka engu-31 ubudala - ngaphinde ngabhekana nenkinga yezilonda zomdlavuza futhi.

Emtholampilo we-dermatology eKarlsruhe ngenza i-aphoyintimenti noProfessor... (angisakhumbuli igama lakhe). Ngamtshela inkinga yami wabuza ukuthi kukhona yini okufanele angibonise. Ngathi yebo futhi wangibonisa izilonda ezimbili zomdlavuza emlonyeni wakhe womlomo. Wabe esenginika i-tincture eluhlaza okwesibhakabhaka eyayixutshwe ndawonye ekhemisi. Yayinambitheka efana neye- malebrin (noma enye into efanayo) owawujwayele ukuyigaxa uma uphethwe umphimbo obuhlungu. Ngabe sengitshela uprofesa ukuthi angifuni lutho engizopenda kulo, kodwa kunalokho okuthile ukuze ngingabe ngisakwazi ukuthola "izinto". Wabe esengitshela ukuthi izilonda zomdlavuza cishe ziyisifo sofuzo futhi kuzodingeka ngiphile naso. Ubuye wabuza ukuthi ngabe ukhona yini emndenini naye owake waphathwa yilesi simo, ngaphendula nge-negative. Kwenzeka kimi kuphela.

Nokho, ngangingenaso isiqiniseko ngokuphelele ngabe sengibuza umama ukuthi wayazi yini noma wayesakhumbula noma ubani emkhayeni owake waphathwa izilonda zomdlavuza. Wathi cha labe seliphela kanjalo icala kimi. Ihlaya ukuthi umama wangishayela ucingo ezinsukwini ezimbalwa kamuva - manje usehlala e-Waldbronn, imigwaqo emibili nje ukusuka kimi - futhi wathi kufanele ngize lapha isikhashana. Ngaphenduka ngokushesha ngamangala wangikhombisa isilonda emlonyeni. Ngaleso sikhathi ngangikholelwa ngisho “nasesifo sofuzo”.

Ngo-August 11, 1979, ngahlangana nomyeni wami wamanje, uLeo, owayehlale ethi kufanele kube nekhambi lenkinga yami yomdlavuza. Kodwa kude nakho. Konke engangikuzama kusukela ku-gel kuya kumafutha namaconsi, ama-rinses kanye ne-chamomile, i-sage, imure, amakhambi aseSweden futhi yini engekho - lutho, lutho, lutho, lwasiza. Lapho nginabathathu noma abane abancane “odeveli abamhlophe”, okuwukuphela kwento eyayivame ukusiza amaphilisi ezinhlungu, ngoba ngasebenza isikhathi esigcwele njengonobhala wokuphatha enkampanini yomshuwalense wezempilo waseJalimane eKarlsruhe futhi kwakudingeka ngikhulume futhi ngenze ucingo oluningi. izingcingo emini.

Kusukela ngo-January 1.1.1997, XNUMX, ngathathwa yi-DKV ukuze ngithathe umhlalaphansi ngaphambi kwesikhathi.

Kusukela ngo-March 29.3 Mina nomyeni wami savakashela eChina sisuka eBeijing siya eHong Kong kusukela ngo-April 16.4.94, XNUMX. Ekhaya ngathola ukuthi ngangingenazo izilonda zomdlavuza. Yeka isimangaliso, ngoba lokho kwenzeka kakhulu, kuyaqabukela.

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Kuthe kusenjalo ngaba nombono wokuthi kuhlangene nokudla noma ilayisi. Kusukela ngalelo hora kuqhubeke, ngabhala phansi lokho kanye engangikufaka “ngaphansi kwekhala lami.” Ngangisabalalise amanothi ami yonke indawo ukuze ngingakhohlwa lutho. Ngesinye isikhathi ngabona ukuthi lapho ngidla amantongomane kwakubi kakhulu. Kusukela ngalelo hora kuqhubeke ngayeka ukudla amantongomane. Bonke abangani bami nezihlobo zami bangenzela amakhekhe kuphela ngaphandle kwamakinati. Ngokuhamba kwesikhathi, ngaze “ngadelela” ama-hazelnuts noma ama-alimondi enhlama yekhekhe, i-sesame noma i-poppy seed rolls nesinkwa sikabhekilanga. Lapho nje nginganakile “njengenja edubulayo”, ngaphinde “ngabusiswa”. Ngakho ngagwema yonke into ephathelene namantongomane futhi ngazitshela ukuthi ngingaphila ngaphandle kwamantongomane.

Ngamema uHeinz B. nomkhaya wakhe ngo-May 1, 1997. U-Heinz ngimazi kusukela ebuntwaneni bami ngoba wazalwa ngo-March 18, 1942 e-Oberndorf am Neckar.

Ngaleso sikhathi, umama wakhe wayehlala no-Anti uSofie - udadewabo kagogo wami - kanye nomndeni wakhe.

Bengihlela “umzamo wokubulala” ku-Heinz. Bengifuna ukumcela ukuthi adlale i-Fool's March kwitrombone yakhe ngomhla zingama-23 kuNhlaba - usuku lokuzalwa lukamama lwama-90 - egqoke iyunifomu yebhendi yedolobha i-Oberndorf, ngoba sasifuna ukuba nabalingisi ababili be-Hansel, uNarro no-Chantle - abadabuka ezweni lakithi. - vula uhlelo lokuzalwa. Yiqiniso, uHeinz wavuma ngokushesha futhi waboleka umfaniswano ngoba akasadlali ngokuzimisela eqenjini. Umama wethu wayejabule kakhulu ngokumangala okuyimpumelelo, ngoba i-“Fasnet” yayihlale iyinto ebaluleke kakhulu kuye.

Ngaphambi nje kokuba uHeinz afike, saphinde sakhuluma ocingweni futhi wangibuza ukuthi ngake ngezwa yini ngoDokotela uHamer, ngathi cha. Wangitshela indaba yokushona kabuhlungu kwendodana yakhe uDirk. Wangitshela nokuthi udadewabo wayesebenza noDokotela Hamer futhi wayenezincwadi ezimbili ayengangilethela zona, wakwenza lokho.

Ngabe sengifunda izincwadi futhi ngacabanga ngazo. Kimina zazingekho “amadolobhana aseSpain” ngoba ngasebenza njengonobhala omkhulu wesayensi yezinzwa emtholampilo we-spa waseReichenbach kusukela ngo-February 1974 kuya ku-September 1976. Ngemuva kwezinguquko zasemadolobheni ngo-1972, amadolobha amane iReichenbach, iBusenbach, i-Etzenrot neNeurod aba idolobha elisha laseWaldbronn. I-Albstraße yayingekaReichenbach. Ngathatha umsebenzi ngoba ngangifuna kamuva ukushintshela ekuphatheni ukugeza okushisayo okwakusakhiwa. 

ikhasi 318

Udaba lwashabalala ngenxa yokuthi obekuhloswe ukuthi kube ngumqondisi washona ngenxa yesifo senhliziyo eneminyaka engu-42 ngaphambi nje kokuthatha i-thermal spa kanti abaphathi bathathwa ngumasipala. Njengoba umlando wokugula nokugula kweziguli wawungikhathaza kakhulu ngokwengqondo, ngashintshela kumshwalense wezempilo waseJalimane ngo-October 1, 1976. Ngaphambi kokuba ngithathe isikhundla emtholampilo we-spa, ngangingahlangene nhlobo nemithi - ngaphandle kwezinhlungu zami nezinhlungu.

Ngangiqeqeshelwe ukuba umthengisi wezitolo efekthri yezingubo ezithungayo, futhi ngemva kokuqeda ukuqeqeshwa kwami, ngasebenza eSchiesser eRadolfzell - umkhiqizi omkhulu wezingubo zangaphansi eYurophu ngaleso sikhathi - kusukela ngo-May 1957 kuya ku-June 1972.

Kusukela ngoJulayi kuya ku-October 1972 ngasebenza eMunich njengonobhala ophethe esitolo sezingubo zabesilisa iHofele eRosenheimerplatz.

Kusukela ngo-November 1.11.72, 31.1.74 kuya ku-January 20, XNUMX, ngangingunobhala womqondisi wezobuchwepheshe eMann Mobilia eKarlsruhe. Inkampani manje enezitolo zefenisha ezingaba ngu-XNUMX. Ngabe sengishintshela emtholampilo we-spa ngoba wawusendaweni yakithi futhi kwakungasadingeki ngishayele ngiye eKarlsruhe.

Ngemva kokuba ngiqale ngifunde izincwadi ezimbili zikaDokotela Hamer "njengoba uHeinz ayeyalile", ngangena ecebeni eligoqiwe. Ngiyavuma ukuthi ngase ngike ngayihlola ngezikhathi ezithile, kodwa kwadingeka ngikhumbule ukuthi uHeinz wathi ngangiyokuqonda kuphela ukuthi zazihlobana kanjani lapho sengizifundile izincwadi.

Ngendlala ipulani phezu kwetafula, ngaguqa esihlalweni sami futhi ngaqala “isifundo” sami. Isihloko se-allergies singishayele zonke izinsimbi. Kungazelelwe ngaqiniseka ukuthi into enamantongomane kumelwe ivele “entweni ethile yangaphambili.” Ngokushesha ngatshela uLeo wami owabe esethi lokho kungaba yinto enhle.

Kodwa kusuka kuphi futhi kuphi??

Ngacabanga futhi ngazindla kaningi - ngaphandle komphumela. Ngobunye ubusuku ngavuka futhi kungazelelwe ngangazi. Angikwazanga ukulinda kwaze kwaba yilapho uLeo evuka ekugcineni, ngangingathanda ukumvusa ngaso leso sikhathi, kodwa-ke angizange. Angibange ngisakwazi ukulala futhi “ngicathamele” waze wagcina ewavule amehlo. Ngokushesha ngamtshela ukuthi ngiyawazi ukuthi amakinati avelaphi. Waphendula ngomoya ophansi kakhulu: Ake sidle isidlo sasekuseni kuqala bese ungitshela konke. Yebo angibange ngisalinda isikhathi esingaka ngaqala ekhishini ngengubo yami yokulala.

E-Oberndorf sasihlala endlini yogogo nomkhulu eSchützensteig (i-gradient engu-16%). Engxenyeni engezansi yendawo kwakukhona isihlahla se-walnut esasisikhulu - ngokombono wami ngiseyingane, okwakulengiswe kuso amagatsha ambalwa engadini yethu.

ikhasi 319

Kwakwenqatshelwe ukucosha amantongomane “njengesijeziso,” ngenxa yokuthi umnikazi, uNksz. Fuoß, “akazange awadle kahle ama-cherry.” Kwakuyikwindla futhi - kufanele ukuthi kwakungu-1946 noma u-1947. Amantongomane ayesevuthiwe futhi avuleka nje. Udadewethu, uneminyaka emihlanu ubudala, futhi nganyonyoba ngaqonda eNussbaum. Sabheka ukuze sibone ukuthi i-“Fooßin” yayisefasiteleni yini noma umama noma ugogo wethu wayebheke ngaphandle. Kwakungekho muntu ongabonwa kude nakude. Sabe sesiklebhula amantongomane, sasusa ngokushesha amagobolondo aluhlaza sawaphonsa engadini kaNkk. Fuoß, lapho evula amafasitela futhi ememeza: “Ake ngishiye amantongomane ami, ngizofika maduze nje! umama wethu phansi kuvulandi. Wezwa yonke into futhi wamemeza ngokucasuka: “Regina, Ottilie, khuphuka ngokushesha!” Wayesevele elindile esitezi esiphezulu nesishayi makhaphethi futhi wasishaya indiva. Wayelokhu ethi uzosivimba ukuthi singafiki emantongomaneni futhi uma kufanele asibulale. Kodwa-ke, angisakwazi ukukhumbula uNkk. Fuoß, kodwa ngeke ngikhohlwe lelozwi eliconsayo impilo yami yonke. Angisakhumbuli noma nginelinye inadi, kodwa angikwazi ukukucabanga.

Ngo-January 1951 sathuthela eRadolfzell. Ukuvinjelwa kwanyamalala, futhi phakathi namaholide amakhulu engangivunyelwe ukuwachitha nogogo nomkhulu minyaka yonke, amantongomane ayengakavuthwa.

Ngicabanga ukuthi kubalulekile ukusho okwamanje ukuthi udadewethu akakaze abe nezinkinga ngamakinati.

Ngemva kokumtshela le ndaba, umyeni wami wathi ukushaywa ngenxa yamantongomane kungaba yisizathu sokuthi ngingakwazi ukubekezelela noma yini enegobolondo eliqinile nohlamvu ngaphakathi.

Ezinsukwini ezimbalwa kamuva ngatshela umama nodadewethu ngakho. Bobabili basikhumbula kahle lesi sigameko.

Ngabe sengiqala ukucabanga ukuthi yini okufanele ngiyenze manje. Ngangingazi ukuthi ngiqale kuphi noma kanjani. Angikwazanga ukubuza muntu. Cishe ngemva kwamasonto amabili, ngathenga isikhwama samantongomane ngase ngifaka ambalwa endishini. Ngangilokhu ngixebula amakinati intambama yonke. Kusihlwa ngathi kuLeo wami: “Ngakho-ke, manje ngizodla amantongomane ngoba, okokuqala, ngeke ngisashaywa ngumama futhi okwesibili, 'unyawo oludala' aluzange luphile. isikhathi eside; Ngakho-ke akukho okungenzeki kimi.” Ngemizwa exubene kakhulu, ngavula iphenathi lokuqala ngadla izinhlamvu ezimbili. Ngadla kabili noma kathathu futhi ngangihlale ngicabanga ukuthi akusekho okwenzekayo kimi.

ikhasi 320

Ngemva kwemizuzu engaba yishumi ngavele ngabona ukuthi ingaphambili lomlomo wami laliluma futhi livutha. Ngivele ngigxume ngiphuthume endlini yokugezela, ngihlise udebe kancane ngibone sekumnyama kubomvu. Ngabuka esibukweni futhi ngathi ekucabangeni kwami: “Kufanele kusho ukuthini lokho? Akukho lutho olungenzeka kuwe!” Ngakusasa ekuseni indawo yayingasekho futhi. Ngokushesha ngawadla amakinati futhi ngalinda, kodwa angabe esaba “popa”. Kusukela ngaleso sikhathi bengilokhu ngidla zonke izinhlobo zamantongomane, imbewu ye-poppy, imbewu yesesame kanye nazo zonke ezinye izinhlobo zokusanhlamvu nezinkwa futhi.

Ngokuhamba kwesikhathi, bonke abangane bami nezihlobo batshelwa ukuthi ngingaphinde ngiwadle amantongomane nokuthi kungani.

Udokotela wethu womndeni, uDokotela H., ubengazi ngokungezwani kwami ​​namantongomane ngoba besiba nawo kusukela ngo-Ephreli 1995.

UDokotela R., owayekade engudokotela womkhaya wethu, wabulawa isifo sokusha kwe-pulmonary embolism ngo-March 25.3.95, 63, eneminyaka engu-XNUMX ubudala. Ngekwindla edlule ngaba ne-aphoyintimenti noDokotela H. futhi, phakathi kwezinye izinto, ngamxoxela yonke indaba. Wangilalela ngokucophelela, wabe esebeka ikhanda lakhe engalweni yakhe wayesethi: “Kuthakazelisa kakhulu lokho!” Akazange asho lutho olunye.

Cishe iminyaka engamashumi amahlanu yokuphila kwami ​​ngahlushwa izilonda ezibuhlungu zomdlavuza ngenxa yokushaywa okubi kanye "nosongo lokufa" - ngenxa yamantongomane ayisiphukuphuku. Lapho ngicabanga emuva esitatimendeni sodokotela mayelana nokuntuleka kukavithamini B, izifo zofuzo, njll., ngiba nokumamatheka okukhathele futhi ngimane ngithi: “Imbudane engaka!”

U-Ottilie Sestak

Umelaphi wesiguli uyabika:
U-Ottilie usitshele isigameko esincane asekhohliwe ukusibhala phansi, kodwa futhi siyathakazelisa kakhulu; Wayilandisa yonke indaba unina omdala. Umama wabe eseba nezilonda ezimbalwa emlonyeni wakhe, nakuba kwaba kanye kuphela. Kwamkhathaza kakhulu ngokomqondo futhi wazizwa enecala futhi wake waba nezilonda zomdlavuza njengebambela.

ikhasi 321

Umcibisholo wesokunxele wohlangothi lwesokudla lomlomo: izilonda ze-aphthous. Iziko likaHamer lisexazululweni.

Umcibisholo obheke kwesokudla wohlangothi lwesobunxele lomlomo: izilonda ze-aphthous, isilonda sika-Hamer futhi esixazululweni.

Umcibisholo ongenhla kwesokudla: ukungqubuzana kokuzwa, i-tinnitus yenkulumo = izwi likamama endlebeni yangakwesobunxele. Kubonakala sengathi le nkinga ayizange ixazululwe ngo-August 1998. Nokho, kungenzeka ukuthi iziko likaHamer seliqala ukugcwala. Isixazululo ngeke sikhishwe ngokuphelele lapha.

Umcibisholo wesokunxele. Ukudluliselwa kwe-mucosal ye-Laryngeal. Iziko lika-Hamer libonakala lisebenza ngenkathi lilenga.

Umcibisholo ongaphezulu kwesokudla: Ukugxila kuka-Hamer ku-relay ye-bronchial, nayo ebonakala isalenga ngaleso sikhathi (Agasti 17, 1998)

Lokho kuyosho ukuthi: Nakuba i-aphthous ulcer splint cishe isixazululwe ngokuphelele, i-aphthous ulcer splint ihlale iphindelela, ngokunokwenzeka ngezwi likamama osaphila, futhi: Isiguli esinqamula ukuya esikhathini ngokusobala sisesigungwini sokuya esikhathini. “i-hormonal state Stalemate”, okusho ukuthi iziko lika-Hamer lisasebenza kwesokunxele futhi selivele lisebenza kwesokudla. Ngakho-ke ibuyele ku-constellation (cortical) yokumiswa.

Umcibisholo waphansi kwesokudla nakwesokunxele: Ingxabano enkulu, enonya yokuhlukaniswa (ukushaya) ethinta i-periosteum yemilenze nomhlane isixazululiwe. Isiguli sabika ukuthi kusukela eminyakeni engu-5 wayehlale ebanda imilenze nezinyawo (okujwayelekile kokungqubuzana kwe-periosteal).

ikhasi 322

Umcibisholo wesokudla: I-Hamer igxile ku-relay yesibindi esigabeni se-pcl.

Umcibisholo wesokunxele: I-Hamer igxile kukholoni ye-sigmoid (i-sigmoid carcinoma) esigabeni se-pcl. Lokhu kugxila kwe-Hamer kufaka phakathi i-acoustic relay yendlebe emaphakathi kwesokunxele; Ukungqubuzana okuhlobene: ukufuna ukususa ucezwana lokuzwa nokungakwazi ukukususa (izwi likamama).

Kokubili i-carcinoma yesibindi kanye i-sigmoid carcinoma yayinkulu Izinqubo, ngenhlanhla nokho cishe okuqhubekayo kusuka ezigabeni zesixazululo kuphazamisekile. Ngoba uma kungenjalo bekuyoba njalo uqinisekile ukuthi uyaqaphela okuthile. Ngakho isiguli sinesimo sezempilothumela i-TB yesibindi kanye ne-caseating sigmoid TB (ukujuluka ebusuku kanye nezinga lokushisa elingaphansi amashumi eminyaka!) ingabhidliza le carcinoma ehlobene ngokuphindaphindiwe. Ngakho-ke isitofu esikhulu se-Hamer kwesokudla nakwesobunxele!

Umcibisholo wesokudla: Ukungqubuzana kokwehlukana kusuka kumama noma izingane ezifunwayo, ingxenye yesixazululo.
Umcibisholo wesokunxele: Iziko lika-Hamer lokuxabana ngokuhlukana nomyeni ongunombolo 1, ingxenye yesixazululo.

Ukudluliselwa okukhulu kwesobunxele kwe-ovary engakwesokudla (i-cyst esebenzayo).
Ngakwesokudla kukhona ukudluliselwa okuncane kwe-ovary enecrotized. Kodwa lokhu kubonakala sengathi kunesixazululo (esincane) ngo-1989 ngokushada kabusha "kwe-phantomatous".

ikhasi 323

Leli cala libonakala lihle kakhulu linesendlalelo esisodwa futhi licacile. Awu, asifuni ukukufihla lapha. Muhle kakhulu kulokho. Kodwa usenezingqimba eziningana, njengoba singabona ebuchosheni be-CT, isazi se-radiologist yesiguli esenza ikhophi yephepha eliphansi naphezu kwezicelo eziphindaphindiwe. Kodwa singafunda okuningi kukho:

Ngaphandle kokuthi "i-aphthous splint" (i-mucosa yomlomo), engakwazi ukutholakala kalula ngakwesokudla nakwesobunxele endaweni ejulile ye-lateral yesikhashana njenge-focus ye-Hamer ngokusho kohlelo lwe-homunculus, kwakukhona futhi ukwesaba ukwesaba, okuthinta i-larynx. i-mucosa, kanye "nokuhlukaniswa okuhlukumezayo kokuhlukana" okuthinta i-periosteum yangemuva, phansi nemilenze (ukushaya!). I-aphthae ingabonakala, ezinye izintambo zingabonwa kuphela ngezimpawu.

Ezinye izici ezimbili ezibalulekile:

Ingxabano yokwehlukana enonya yathinteka ngesikhathi esifanayo

a) umama, cishe 70%
b) umakhelwane, cishe u-30%

kokubili ngesikhathi esisodwa. Lokhu kungqubuzana akukwazanga ukushintsha phakathi namashumi eminyaka lapho isiguli sihlupheka ngokuphindaphindiwe: umama wayehlale ehlala umama, umakhelwane njalo engumakhelwane. Ngakho-ke, ukugxila kwe-Hamer "kwakungaphezu" kuwo womabili ama-hemispheres. I-hemisphere yesokudla ohlangothini lwesobunxele lomzimba - ithinta umama; I-hemisphere yesokunxele yohlangothi lwesokudla lomzimba - ithinta umakhelwane.

Okunye ukungqubuzana, okuwukungqubuzana kokwesaba nokwesaba, kuyashintsha, noma kungashintsha, ngokunqamuka kokuya esikhathini.

Okulandelayo okwezigebengu zezokwelapha ezintsha:

Konke ukungqubuzana kwezinto eziphilayo kwaqala lapho isiguli sineminyaka engu-5 ubudala, futhi yonke “canker sore spook” yaphela lapho sineminyaka engu-56. Lokhu futhi kuyisiqalo (1997) sezimpawu zokunqamuka kokuya esikhathini.

Ngo-1970 wahlukana nomyeni wakhe ngesicelo sakhe ngoba engabatholi abantwana. Kowesifazane osebenzisa isandla sokudla, i-ovary engakwesokudla imelela ukungqubuzana kokulahlekelwa indoda ayithandayo; Ngemva kokukhishwa kwesibeletho esingakwesokudla, esokunxele sahlala sisebenza ngoba watshelwa ukuthi wayengeke esakwazi ukuba nabantwana. Ngo-1989, i-ovary enecrotized yesokunxele yakhishwa kanye nesibeletho. Isigaba sokuphulukisa sokungqubuzana kokulahlekelwa umyeni wakhe kwakuyi-cyst yesibeletho esingakwesokudla. Isiguli, esasineminyaka engu-29 kuphela ngaleso sikhathi, sasinethemba lokuthi sizothola enye indoda mhlawumbe sibe nezingane nayo. Ngesikhathi sokuhlinzwa i-ovary yesokunxele yachazwa ngokuthi "i-atrophic", empeleni kufanele ngabe isho "i-necrotic" (engakwazi ukuba nabantwana).

ikhasi 324

Manje siyazi ngokuhlangenwe nakho kwethu ukuthi ngemva kokususwa kwe-cyst ovarian, izikhungo ezisezingeni eliphezulu (i-adrenal cortex ne-pituitary gland) zingathatha ukukhiqizwa kwe-estrogen esikhundleni sazo. Kwaba kanjalo nalapha. Isiguli saqhubeka nokuya esikhathini iminyaka emi-5. Kodwa ngisho nangemva kwalokho wayengekho esikhathini sokunqamuka kokuya esikhathini, ngisho nalapho kwadingeka abekezelele ukuhlinzwa okuphelele (ukukhishwa kwesibeletho kanye nokuqothulwa kwe-ovary kwesokunxele ye-atrophied) ngo-1989 (eneminyaka engu-48).

Kodwa: Ngo-1970, ngemva kokuhlinzwa kwesimila esisemaceleni esingakwesokudla (esokunxele sasine-atrophied, cishe sasingekho), isiguli sanqamuka ukuya esikhathini izinyanga ezi-3 kuya kweziyisi-6. Kungaleso sikhathi ukuthi kwakungathatha isikhathi eside kangakanani ukuthi i-cyst ovarian ikhule futhi ikhiqize i-estrogen. Kufanele sicabange ukuthi uhlelo olukhethekile ebuchosheni lwagijima ngokufanele. Ngenxa yalokho, isiguli sibika ukuthi ngemva nje kokuphuma kwesibeletho saba nokukhwehlela okomile okunzima (okwakubizwa ngokuthi “i-viral bronchitis”), okwamlalisa embhedeni izinsuku eziyi-10 kuye kweziyi-14.

Ngemva kokuhlinzwa kwaba nokunqamuka kokuya esikhathini. Khona-ke ukungqubuzana kokwesaba nokukhathazeka nokugxila kwayo kwe-Hamer ku-relay ye-larynx yeqela ohlangothini lwesokudla lobuchopho kwabesilisa futhi kwabangela ukugxila kuka-Hamer kulwelwesi lwamafinyila lwe-bronchial. Ukungqubuzana kufanele futhi kube sekushintshile ngaleso sikhathi kwaba ukungqubuzana kokwesaba kwendawo. Phakathi nalesi sikhathi soshintsho, ngemva nje kokuhlinzwa, lapho u-Hamer ugxile “esasebenza” kanti omunye u-Hamer ugxile “sekuvele” kusebenza, isiguli sasine, njengoba singakhumbula ngokucacile, okuthiwa umlaza ontantayo. Wayelokhu ephupha ngokuba inyoni encane futhi ekwazi ukundiza aye lapho engaziwa muntu futhi akekho ongazi ukuthi ngeke aphinde abe nezingane.

Siyabona ukuthi amathrekhi ahambisanayo, inqobo nje uma etholakala endaweni edluliselwe phambili, angakwazi ngempela ukushintsha ikhwalithi yawo phakathi nesikhathi sokungqubuzana uma isimo sehomoni sishintsha.

Kulokhu, lapho kwakukhona khona "isixazululo se-quasi-solution" sesikhashana sohlangothi lwesobunxele lobuchopho ngokukhwehlela komphimbo, ukwanda kwe-estrogen elawulwa yi-cerebral equkethwe ohlelweni olukhethekile kwaqala ezinyangeni ezimbalwa kamuva, okwabuyisela ukunqamuka kokuya esikhathini kwesikhashana futhi. yabangela ukuya esikhathini futhi yaqinisekisa ukuthi isiguli sangena kuphela ekunqamukeni kokuya esikhathini lapho sineminyaka engu-56 ubudala, okungakafinyeleli ekunqamukeni kokuya esikhathini ngomqondo wama-hormone, nakuba isiguli singakwazanga ukopha kusukela ngokuhlinzwa okuphelele ngo-1989, noma kusukela ngo-1975 kwaba nokunye okwengeziwe.

ikhasi 325

Ingxabano ye-cerebral laryngeal mucosa yesokunxele isisebenze futhi iminyaka engama-29. Njengoba ukugxila kuka-Hamer kwase kusebenza kuphela ku-relay ye-bronchial mucosa izinyanga ezimbalwa, akasenayo inkumbulo ethile “yokukhwehlela okuncane” okwakulandela ngokwemvelo.

Kusukela ekupheleni kukaJuni '97, ukungqubuzana komdlavuza wamantongomane kuxazululiwe. Kusukela lapho, isiguli sikwazile ukudla amantongomane futhi ngaphandle kokuthola izilonda zomdlavuza. Futhi futhi isiguli saqala "ukukhwehlela kwe-viral laryngeal". Izwi lalingasekho izinsuku ezingu-10. Asazi noma zonke izinsimbi sezixazululiwe manje - sifuna ukucabanga kanjalo okwamanje.

Lapho isiguli sifika ekunqamukeni kokuya esikhathini ngokushesha, ingxabano yokwesaba nokukhathazeka ngeke isaba khona ngenxa yokuthi ayisekho. Sibona ukuthi kufanele sibale kahle kangakanani, ngoba ojantshi - ikakhulukazi uma bedalwe ndawonye ku-DHS efanayo - akudingeki baziphathe ngendlela efanayo noma ngekhwalithi engaguquki. Ojantshi bangasuswa noma bakhishwe ngenkathi abanye behlala besebenza.

Kodwa indaba yethu ayikapheli ngokwezempilo. Isiguli sasinezinye izintambo ezimbili, kodwa ngenhlanhla azizange zixilongwe;

a) ithrekhi yokulwa indlala ene-adenocarcinoma yesibindi, kanye
b) ukungqubuzana okubi, okucashile ne-sigmoid adenocarcinoma.

konke ngenxa yamantongomane. Asikwazi ukwakha kabusha ukuthi ngabe lezi zingxabano ezimbili - ngomlaza wesiqu sobuchopho be-schizophrenic, isiguli esiqinisekisa ngokucacile - bekuhlala njalo, ikakhulukazi noma ngezikhathi ezithile kuphela. Ngesikhathi salezi zirekhodi, ngo-August 17, 1998, zombili sezixazululiwe. Isiguli sasijuluka kakhulu ebusuku futhi ngezinye izikhathi isikhathi eside namazinga okushisa angaphansi kwe-subfebrile, izimpawu ezivamile zesigaba sokuphulukisa se-tuberculous caseating se-adenocarcinoma enjalo. Akakaze abe nomuzwa wokwethuka kusukela ngoJuni ka-'97. Ngenhlanhla, njengoba ngishilo, lezi zinhlamvu azizange zitholwe. Enkathini yezokwelapha ngaphambi kweNew Medicine, lapho izimpawu ezinjalo zazibhekwa “njengeziyingozi,” ukuxilongwa kwakuyoba isigwebo sentambo esigulini. Futhi i-aphthae emlonyeni yayiyoba "wonke ama-metastases". Kubi ukucabanga.

Abanye bethu bakuthola kunzima ukuqonda ukuthi intombazanyana eneminyaka engu-5 "ingakwazi ukubamba" amathrekhi amaningi engxabano eyodwa yezinto eziphilayo futhi iwagcine iminyaka engaphezu kwengu-50. Kungase kube nzima nakakhulu kithi okwamanje ukuqonda ukuthi zonke lezi zicucu zinencazelo enhle yezinto eziphilayo: ziyizikhumbuzo ezingokwebhayoloji “zenhlekelele yamantongomane” lesi siguli esizwelayo esazizwa siseyingane. Akunandaba ukuthi i-DHS ngokusobala ayizange imthathele isinyathelo udade ngaleso sikhathi.

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Ngendlela, kuyathakazelisa futhi ukuthi umama ngokusobala wayenengxabano ngaleso sikhathi ("Ukushaywa kuvame ukulimaza ubaba kunomfana okhohlakele"), ngaphandle kwalokho wayengeke akwazi ukuhlanganisa izilonda ze-aphthous zendodakazi yakhe ngokuzenzakalelayo.

Mhlawumbe manje seniyaqonda, bafundi abathandekayo, kungani ngitshela abafundi bami ukuthi bacwaninge nge-DHS ngokuningiliziwe. Amathrekhi amaningi abekwe e-DHS. Ama-splints angeziwe abengezwa uma kwenzeka kuphindeka ngokuvamile ambalwa kuphela.

Ngaso leso sikhathi, akufanele nanini kuqale uhlobo “lokuzingela onjantshi” esikhathini esizayo, ngoba lokho kuzosixaka isiguli inqobo nje uma singakajwayelani ngokugcwele nomuthi omusha futhi singakazi ukuthi le mishanguzo zonke inkumbulo ewusizo yebhayoloji isekela akukho mkhondo wobubi. Azihlanganise lutho ne-psychology, kodwa ziyi-biology emsulwa, ezengqondo kanye nezobuchopho futhi zifana nje ne-organic. Futhi, njengoba ubona, ungaguga futhi ujabule ngakho. Ububi obukhulu nje esabenza thina bafundi bemilingo kwakuwukuqedwa kwamaqanda nesibeletho. Futhi-ke, besingakwazi ukuxazulula "ingxabano emfishane" nesiguli eminyakeni engama-40 kuye kwengama-50 ngaphambili - ngendlela, ithuba elihle lokubizwa ngokuthi yi-psychodrama lapho konke kuvuselelwa khona ngokweqiniso empilweni, kepha kuqinisekisa isiphetho esijabulisayo. Inkumbulo yesiguli ibe ikopishelwa kumphumela omubi wangaphambilini...

Nks. Sestak, siyabonga futhi ngombiko ocacile wesipiliyoni sakho.

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14 Ukungqubuzana okulengayo noma ukungqubuzana okusesilinganisweni

kusetshenziswa isibonelo se-psychoses kanye ne-motor noma ukukhubazeka kwezinzwa

Amakhasi 329 kuya ku-340

I-New Medicine inenani lezimo ezikhethekile kanye nezinkanyezi ezikhethekile, isibonelo ukuthi umdlavuza uyeka ukukhula ngesikhathi sokukhulelwa kusukela evikini le-10 lokukhulelwa ngoba impilo entsha ibaluleke kakhulu. Nokho, ukungqubuzana akuxazululwa ngokuzenzakalelayo ngokukhulelwa, kodwa kunalokho kukhanselwa okwesikhashana futhi kuhlehliswe. Uma udaba lungaxazululeki ekupheleni kokukhulelwa, uzobuya ngokushesha lapho umhelo uqala. Lokhu kuvame ukuhlanganisa lokho okubizwa ngokuthi i-pregnancy psychoses, noma i-psychosis yokuzalwa ngokunembile. Lapha sithola isenzakalo sokuthi ukungqubuzana nakho konke okuhambisana nakho kuhlala kunamathele ohlotsheni lokulinganisa, kungaqhubeki noma kunyamalale, ngokunembile isikhathi sokukhulelwa.

Isimo siyefana nokungqubuzana kwangempela kokulingana. Lokhu kusho ukuthi: Ukungqubuzana kokulingana ukungqubuzana okuqubuke ne-DHS futhi kunokugxila kwe-Hamer ngokwemvelo kanye nokuhlobana komdlavuza ezingeni lesitho. Nokho, umsebenzi wayo wehliswa kakhulu ngaphandle kokuxazululwa. Ngakolunye uhlangothi, ukungqubuzana okunjalo akunangozi uma kuqhathaniswa ngoba akusenamsebenzi noma cishe awusenawo umsebenzi ophathelene nomdlavuza, njengoba kungekho ngxabano eyakhiwe.

Isibonelo esijwayelekile sokungqubuzana okunjalo okuvame ukulenga ukungqubuzana kwezimoto okuthinta isikhungo sezimoto (i-precentral gyrus) ye-cerebral cortex, ukuze ukukhubazeka kuqhubeke. Ukukhubazeka "ilenga", lokho kusho ukuthi ukukhubazeka kusala. Lesi simo ngokuvamile sibizwa ngokuthi i-multiple sclerosis. Kodwa-ke, ukungqubuzana okunjalo okulengayo kuthatha ubukhulu obuhlukile noma ikhwalithi lapho ukungqubuzana okuqhubekayo nokugxila kwe-Hamer ngakolunye uhlangothi lwe-cerebrum kuvela nge-DHS. Kulokhu, isikhathi sokuba khona kwazo zombili lezi zingxabano ngesikhathi esisodwa, isiguli siba obala, sibe yinqaba, i-schizophrenic. Ngoba lokho kuwumlaza womlaza we-schizophrenic, ukuthi isiguli sinokungqubuzana okusebenzayo kuzo zombili izinhlangothi ezihlukene ze-hemisphere, kokubili ku-cortex noma kokubili ku-medulla.

Isiguli ngokwezwi nezwi sithi “ingqondo ecashile”. Ngikholelwa ukuthi ukubaluleka kodweshu olulengayo angeke kulinganiswe ngokweqile.

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Okubizwa ngokuthi "izifo zengqondo nezomzwelo" yizifo ezivame kakhulu, ezivame kakhulu kunokuhlasela kwenhliziyo. Futhi iningi lalezi ziguli ezilaliswe ezibhedlela ezimpofu kakhulu likulezi zikhungo ngenxa yokuthi zazikhungethwe umbango olengayo, okwavela ukungqubuzana okusha (ngeshwa okwakungaphesheya kobuchopho) ngezikhathi ezithile futhi kwabangela ukuba isiguli “sithuke. ”. Ngokubona kwami, iziguli eziphawuleka kakhulu zihlala zinengxabano yesithathu Ngokwengeziwe wahlupheka noma waba nalokho okubizwa ngokuthi “umlaza we-biomanic” (bheka isahluko se-psychoses).

Lokhu kusho ukuthi: Iziguli ezinezingxabano ezimbili ezinjalo, eyodwa kuma-cerebral hemispheres ahlukene, ziba ne-schizophrenic ngendlela engavamile, noma zingaguli kakhulu kunomuntu ophethwe umdlavuza.

Iziguli eziphazamiseka ngokwengqondo, zenze uhlobo oluthile lwesenzo esimangalisayo, ukucasuka, noma “ukucasuka” ngendlela ephawulekayo, njengoba ngishilo, ngokuvamile ziye zabhekana nokungqubuzana okwengeziwe. Ngokuqondakalayo, akekho udokotela wengqondo owake wakwazi ukunikeza noma yiluphi ulwazi mayelana nalokhu kuxhumana noma ukuhlukaniswa. Akekho owayeke walubheka lolu hlobo lwengxabano. Ngokuvamile, udokotela wezifo zengqondo wezinhlobo zangaphambili akazange akubone kudingekile, ngokuvamile ngaphansi kwesithunzi sakhe, ukuxhumana ngobuntu "nohlanya". Kuze kube namuhla, i-psychotic ibhekwa "njengomuntu ongavamile" impilo yakhe yonke, umuntu angakwazi ukuzwelana naye ngokwengxenye kuphela, kodwa ngokuyisisekelo akunjalo. Ngakho-ke, wonke ama-psychotics "athulisiwe," njengoba kubizwa kanjalo ku-technical jargon, ebizwa nangokuthi i-tranquilizer club. Ngalokhu kumiswa - awukwazi ukusebenzisa idrama nokumemeza emtholampilo - wenza into engalungile kakhulu, okungenani esigulini, into engalungile kakhulu ongayenza: uvala izingxabano futhi uziphendule zonke zibe "lenga izingxabano", ukuze isiguli sihlale sine-schizophrenic unomphela futhi singabe sisakwazi ukuthola indlela yokuphuma ezingxabanweni zaso, ikakhulukazi njengoba iqiniso lokuqedwa kwezenhlalo - kanye nokulaliswa esibhedlela unomphela akusho lutho - kuvula ubuze bomuntu nobezenhlalo phambi kwakhe, lapho angaphunyula khona kuphela uma ehlala ebambekile endaweni yakhe encane edabukisayo esikhungweni njengomuntu olahliwe emphakathini.

Uma nina, bafundi abathandekayo, nifunda amacala abhalwe esahlukweni se-schizophrenia noma i-psychoses, uzobona ukuthi iziguli eziningi ezichazwe lapho zazinokungqubuzana okunjalo kokulenga ngaphambi kokuba kufike owesibili futhi waxosha umuntu "uhlanya". Ngiyazi ukuthi amacala ngamanye abengavezwa kalula kwesinye isahluko. Kodwa okubalulekile ukuthi wena, mfundi othandekayo, uyaluqonda uhlelo. Khona-ke yonke into izozixazulula ngokwayo.

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Iphesenti elikhulu kakhulu “leziboshwa zesikhungo” yiziguli ezinokukhubazeka kohlobo oluthile kanye nemiphumela yako. Ukukhubazeka kuvame ukubangelwa ukugxila kwe-Hamer, isibonelo ukungqubuzana kwezimoto ku-precentral gyrus Ngokusho kwe-DHS, ukungqubuzana kuyaqhubeka, kamuva kuba buthaka, kodwa akukaze kuxazululwe ngokuphelele. Okwamanje, i-psyche yesiguli ayihlali ingabandakanyekanga. Ngisho nasezinganeni nasezilwaneni, ngemva kokukhubazeka, sithola ukuthi i-DHS elandelayo enengqondo iwukuwohloka kokuzethemba. I-DHS ivame ukwenzeka ngesikhathi lapho isiguli sizwa sengathi sikhubazekile. Lokhu kungase kube “ukuwa kokuzethemba okungelona okomuntu”, kodwa kungase futhi kube ukungqubuzana okuphakathi kokuwa kokuzethemba. Lokhu bese kulandelwa i-osteolysis emathanjeni, okuholela ekuwohlokeni kwamathambo. Ngezinye izikhathi, ukuvuselelwa kabusha kwenzeka lapho isiguli sikwazi ukukhulisa ukuzethemba kwaso futhi ngokwezinga elithile - ezingeni eliphansi noma eliguquliwe - okuholela ekuguqulweni kabusha futhi ngesikhathi esifanayo kuqiniswe "ukukhubazeka", nakho. ingaba nemiphumela emisha engokwengqondo.

Ukuzama ukulungisa ukuguqulwa kwamathambo ngokuhlinzwa njenge-scoliosis njll, okuwumphumela wenqubo ende ye-psychocerebral-organic, kuyinkinga kakhulu, okungenani uma nje ungazange ubhekane nokuthuthukiswa kwale nqubo, okungukuthi nge-psyche yesiguli.

Lena yindlela “abakhubazekile” bethu abasezikhungweni ababanakekela ngayo. Kwake kwaba yindaba encane eyayingalungiswa ngokushesha, kodwa imiphumela nemiphumela yayiyinhlekelele. Uma ubheka ukuthi hlobo luni lochwepheshe bezokwelapha abadinga abantu abampofu kangaka, ngokuqinisekile akulona uhlobo lwanamuhla lwezigidigidi zezokwelapha ezizidlayo ezintanta emakamelweni asesibhedlela ngamakhala abo ophahleni, ezihlale zizungezwe ithimba labantu ababalulekile ababukekayo futhi. njalo bheka izikhulu, ezibizwa ngokuthi abasizi, ezinqekuzisa ikhanda kuwo wonke amazwi enkosi.

Umuthi uzoba nzima esikhathini esizayo - futhi uyamangalisa. Kumele sibuyele ezingeni labantu ababenalo odokotela bokhokho bethu ezinkulungwaneni zeminyaka edlule salahlekelwa.

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14.1 Indaba eyisibonelo: ukubhema kwabafana kunemiphumela

Ukuphila wabhala icala elilandelayo ngendlela engizama ukulisho ngayo. Uvela eningizimu yeFrance.

Abafana ababili abaneminyaka eyishumi nambili babehlezi eshede bebhema. Bayazi-ke ukuthi uyise womfana ababehlezi esibayeni wayeyinqabele ngokuqinile ingane yakhe. Kodwa yilokho kanye okungavunyelwe okukhangayo okukhethekile. Lokho kwakungu-1970, indaba ehlanekezelwe. Kusenjalo udade othile wabheka emnyango weshede: “Ufunani lapha, ubhema? Ngizomtshela ubaba!” Wayengafuni ukutshela uyise, wayezibhuqa nje. Omunye umfana wethuka: “O Nkulunkulu, uvuza lokhu, uzoshaywa!” “Wena,” esho, “uma evuza lokho, ngizozilengisa!”

Ngemva kwezinsuku ezimbili, umfana wazilengisa phezu kukabhavu. Abazali bomfana bathola ukuthi kungani umfana ezikhungile. Idolobhana lonke lalijabule futhi wonke umuntu wayegqolozele uJean, isiguli sethu. UJean (ongakwesokudla) wehlelwa ukushaqeka okubi kakhulu, i-DHS ephindwe kathathu: ukungqubuzana kokulahlekelwa (okune-testicular carcinoma kwesokudla), ukungqubuzana kokwesaba kwendawo (okune-bronchial carcinoma eyalandela yelobe engenhla kwesokunxele yephaphu), ukuwa ekuzethembeni (nge-vertebrae yomlomo wesibeletho kanye ne-thoracic -Osteolyses) futhi, mhlawumbe ngisho nangaleso sikhathi, ukungqubuzana kokuhlukaniswa okunonya esikhungweni se-cortical post-sensory.

Ngesikhathi esifanayo, kusukela ngaleso sikhathi uye wahlushwa i-vitiligo efana ne-cuff²⁰⁷ ogulayo entanyeni nasezihlakaleni zombili. Isikhungo se-Hamer's herd relay sisenkabeni ye-sensory cortical ye-cerebrum. I-Vitiligo izilonda ngaphansi kwesikhumba esingaphandle se-squamous. Ingxabano ihlale iyingxabano enonya, embi yokuhlukanisa.

Kusukela ngosuku umngane wakhe omkhulu ezikhunga ngalo e-DHS, uJean osemncane wayezwelana naye. Wayephupha ngokufa komngane wakhe cishe njalo ebusuku, ezibona eya emathuneni ngamaphupho akhe, ehle emzimbeni, futhi ehlale enezandla ezibandayo. Kodwa into embi kakhulu yayiwukuthi: wayenezinye ezimbi kakhulu ukucindezeleka futhi “washintsha ngokumangalisayo.” Kodwa wonke umuntu wathi lokhu kwakubangelwa ukudabuka kwakhe ngomngane wakhe futhi bacabanga ukuthi kuyaqondakala. Wayecindezelekile ngenxa yokuthi indawo efanele ye-periinsular yathinteka eminyakeni yakhe yangaphambi kokukhulelwa (i-hormonal impasse!) Futhi "yashintshwa ngokumangalisayo", ngokusobala ku-multiple schizophrenic constellation enikezwe isimo.

Ngemva kwesikhathi esingangonyaka, ukungqubuzana sekukonke kwaphela ngaphandle kokuxazululwa. Kwakuyingxenye nje yokungqubuzana okulengayo, ngoba ukuzethemba kwase kuthinteke kakhulu futhi umphumela waba yi-scoliosis.²⁰⁸ yomgogodla we-thoracic kanye ne-decalcification yomgogodla womlomo wesibeletho, ikakhulukazi i-atlas (umzimba we-vertebral 1st womlomo wesibeletho) kanye ne-4th kuya ku-6th imizimba ye-vertebral yomlomo wesibeletho, ehambisana nokuwa kokuzethemba kwengqondo, okuhlala kumayelana nezinto eziyisisekelo, isibonelo: " Ingabe lobu bulungisa bukaNkulunkulu bukimi? Ngikufanele lokhu?”, nokunye.

²⁰⁷ Skin depigmentation = isifo samachashazi amhlophe

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Lapho kwenziwa ukuhlinzwa ukuze kusekelwe umgogodla womlomo wesibeletho eminyakeni engu-3 kamuva, ukuhlinzwa akuhambanga kahle futhi kwaphuka i-vertebra yomlomo wesibeletho esikhundleni salokho. Isiguli satshelwa.

Isiguli sathuka kwaphela nasozwaneni. Konke kwakumkhumbuza intamo yomngani wakhe owashona ngenxa yentambo, wavele wadideka I-Delirium, ulokhu egqolozele usilingi, wafikelwa umuzwa wokuphelelwa wubuntu, wazibona eselele phansi, yonke into yaphenduka amanzi ngezansi ngoba umngane wakhe wayezilengise kubhavu. Umngane wakhe owayelenga wayehlale ekhona kuyo yonke imicimbi ayeyibona ngesikhathi esadla anhlamvana.

Isiguli sasike saba nokungqubuzana kwezimoto ngaphezu kwezingxabano ezi-5 ezilengayo futhi ngokushesha saba ne-delirium futhi saba ne-quadriplegia kusukela ngaleso sikhathi.²⁰⁹, okungukuthi, ukukhubazeka kwazo zombili izingalo nemilenze. Wayeyisishosha esikhubazekile, engumuntu ongasho lutho, kodwa labo ababemzungezile bathi lokhu kwakubangelwa isiphetho sakhe esidabukisayo. Izimpawu zokungqubuzana okwengeziwe kwe-sensory cortical (ubuhlungu noma ukungqubuzana kokuthinta) esikhungweni se-sensory cortical kwakuwukuvuvukala kweziphetho ze-nerve sheath ezisakazwa kuwo wonke umzimba, okubizwa ngokuthi ama-Recklinghausen nodes. Ngaphezu kwalokho, kwakusenokucindezeleka okuphindaphindiwe.

Lapho ngiqala ukubona isiguli ngoMeyi ka-86, lona osemusha wacishe wakhubazeka ngokuphelele. Wayekwazi ukunyakazisa ingalo yakhe yesokudla kancanyana, kodwa engakwazi ukubamba noma ukuphakamisa ingalo yakhe. Empeleni, weza kuphela “njengesiguli esihlolayo” ngoba akekho udokotela owayengazi ukuthi enzeni ngaye. Izandla zakhe zazibanda kakhulu. Wahlala noma walala, engakwazi ukuzisiza esihlalweni esinamasondo, wacishe wazaceka waze waba uhlaka lwamathambo. Saxoxa sodwa amahora ambalwa. Akekho udokotela owake wamnika lokho ngaphambili. Ngabe kudala esesikhungweni esibizwa ngokuthi sabakhubazeke kakhulu ukube umndeni wakhe awuzange umnike ukunakekelwa okuthinta inhliziyo. Njengoba ingxoxo iqhubeka, waqala ukungethemba futhi wamangala ukuthi ngokokuqala ngqá othile wayenesithakazelo kokuthile, njengoba ayevuma kimi, asaphupha ngobusuku obuningi: indaba yokuzibulala komngane wakhe eminyakeni engu-16 edlule.

²⁰⁸ I-Scoliosis = ukugoba komgogodla ngokujikeleza kwemizimba ye-vertebral ngayinye nokuqina kulesi sigaba
²⁰⁹ I-Tetraplegia = ukukhubazeka okuphelele kwayo yonke imikhawulo emine

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Futhi kwenzeka isimangaliso!

Ngokokuqala ngqá eminyakeni engu-16, osemusha obekezelayo, nozwela wasusa lonke usizi esifubeni sakhe, ekhala, ephazanyiswa ukukhala okuququdayo. Kwaqhuma amagwebu, kwaqhuma kuye. Wonke umuntu owayeseduze kwakhe wayesazi isimo esingesihle. Wonke umuntu wayekugwema ukukhuluma naye ngakho ngenxa yokucabangela indawo yakhe ebucayi. Futhi kanjalo umbuthano ononya waqhubeka.

Kodwa manje lo muntu osemusha, okwaze kwaba yileso sikhathi owayevaleleke ekuphelelweni yithemba okufiphele, ngokuzumayo waphaphama njengokungathi uvela kuphupho elibi elijulile. Kusenjalo, phakathi nengxoxo, wathi: Ngiyazi futhi ngizizwa ngokucacile ukuthi manje ngizolulama futhi. Lapho exoshwa, ngokokuqala ngqá eminyakeni engu-16 izandla zakhe zazingafudumali, kodwa zase zingabandi eqhweni. I-rocket yavutha. Kamuva kwafika izinyanga ezimbi kuye ngokomzimba: wathola izandla ezishisayo kakhulu, ikhanda elishisayo kakhulu, ukuvuvukala okukhulu kwengqondo kanye nokuhamba kancane kwengalo yakhe yesokudla ekuqaleni kwehla. Ngakolunye uhlangothi, wavele wadla imbuya ngothi, wagcina ekwazile ukulala futhi ngaphandle kwamaphupho amabi futhi wazizwa emnandi.

Ngemithamo ezungeze i-30 mg ye-prednisolone nsuku zonke, sakwazi ukudlula esigabeni esibucayi sokuvuvukala kobuchopho besikhathi eside ngenjabulo, ikakhulukazi njengoba isiguli sakwazi ukubhekana nokuziphatha ngokwengqondo okuphelele kanye nokuphela komqondo waso. Manje useyakwazi ukunyakaza zombili izingalo kahle futhi eminye yemilenze yakhe. Ukhule ngo-20 kg ngesisindo futhi manje ukhuluphala nakakhulu ngaphandle kwe-cortisone. Uzizwa, njengoba esho, "ibhomu". Eqinisweni, cishe kuzothatha ezinye izinyanga eziyisithupha ngaphambi kokuba athathe izinyathelo zakhe zokuqala. Kodwa isimangaliso asinciphisi ngokuthi sithatha isikhashana. Ngokwengqondo, isiguli manje sisesimweni esihle sokuziphatha ngoba izingqondo zaso (ukucindezeleka kanye ne-schizophrenia) ziye zanyamalala kuye, njengokungathi ubelokhu engumuntu ojwayelekile kakhulu. Kodwa usabuthakathaka futhi ukhathele futhi ngokuqinisekile uzohlala enjalo ezinye izinyanga eziyisithupha, ngisho noma engasayidingi i-cortisone.

Izindondo zenkazimulo zaleli “cala” elimangalisayo, ngifuna ukusho ngaso leso sikhathi, akuzona ezami. Ngisanda kuletha uhlelo. Izihlobo zakhe nabangane bami eFrance, abazinikele ekusizeni lesi siguli esibongayo - ngokuzithandela! – bendawonye bakha ubuciko bokwethembana nobuhlakani lapho lesi sitshalo esincane esimpofu singachuma khona. Futhi lokho kulukhuni kakhulu kunalokho engingakwazi ukukuchaza nokukwazisa lapha. Kuphela uma izimo ezinjalo ezinhle zikhona lapho isimangaliso esinjalo singafezwa njengoba kuhleliwe.

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Ngabhala kabanzi ngaleli cala ngoba kufanele libe yinduduzo nethemba eliqinile kwabaningi. Okwabuyiselwa emuva kule nsizwa ngemuva kweminyaka engu-16 nakho kusalungiswa kwezinye iziguli eziningi. Inkolelo evamile yokuthi ukukhubazeka okunjalo kwakungenakuhlehliswa ngemva kwenkathi ethile yesikhathi ngokuyinhloko yayimane nje iyiphutha.

Izithombe ezimbili ezingakwesokunxele zibonisa i-CT yobuchopho eskena cishe amaviki angu-2 ngaphambi kokuxazululwa kwengxabano. Ngakho-ke awunayo i-edema. Esithombeni esingakwesokunxele ungabona umcibisholo ongaphezulu okhomba i-mared Ukugxila kuka-Hamer endaweni ye-periinsular yesokudla, ehambisana nokungqubuzana kokwesaba kwendawo nendawo, kuhambelana ne-atelectasis eyinsalela ye-bronchial carcinoma yelobe engenhla yesokunxele yephaphu esithombeni sesifuba esingaphansi kwesokunxele (imicibisholo).

Umcibisholo ongezansi wesithombe se-CT esingenhla kwesokunxele ukhomba edluliselwe kumasende angakwesokudla. Lezi zingxabano sezineminyaka engu-16 ziqhubeka. Imicibisholo ye-CT yobuchopho obungenhla kwesokudla kusukela ngosuku olufanayo ibonisa ukungqubuzana okumaphakathi (postsensory) ngaphambi kokungqubuzana. Isithombe esingezansi kwesokudla sibonisa i-neck cuff vitiligo. Ngesikhathi sesithombe (August '86) isiguli sase sizuze 10 kg. Ngemva kwe-DHS yokuqala ephindwe kahlanu, isiguli “sashintshwa ngendlela emangalisayo” ngoba sasinomlaza we-schizophrenic.

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Phakathi kuka-1970 no-1974 zonke izingxabano ezinhlanu "zazilenga". Lapho isiguli sibhekana nokungqubuzana kwemoto okuphakathi kanye nokunye ukungqubuzana kwezinzwa ngenxa yokungasebenzi kahle kwe-vertebra yomlomo wesibeletho ku-5, ngokushesha washelela ku-delirium.

I-CT yobuchopho eseduze isuka ku-22/7.86/1, kodwa yatholakala kuphela “ngobuqili”. Ngoba odokotela ababonanga sizathu sokwenza isheke "ecaleni lokunakekelwa" lapho "kungekho lutho oluphumile" ku-CT scan yokuqala. Ngakho-ke, isiguli sabika "ubuhlungu be-sinus yangaphambili." Iskena se-CT esikhethekile sabe sesenziwa ukuze ngibe nezithombe ezisuka esisekelweni nasekujuleni.

Kodwa-ke, kungabonakala ukuthi sonke isifunda se-periinsular singaphansi kwe-edema (umcibisholo).

Ngeshwa, awekho ama-CT obuchopho avunyelwe isikhathi eside ngemva kwalokho, ngakho-ke ukwelashwa kwe-cortisone kwakufanele "ihlolwe ngesithupha".

Esithombeni esingakwesokunxele ungabona ngokucacile ukugxila kukaHamer okubanzi kokungqubuzana kwendawo, okuye kwaphulukiswa ngemva kweminyaka eminingi "yokulenga" futhi ithuthukiswe i-edema. Umcibisholo ukhomba kusayithi lomthelela noma umnyombo wokugxila kuka-Hamer (ngemva nje kwesixazululo).

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Esithombeni esifanele, i-periinsular Hamer foci yokungqubuzana kokwesaba kwendawo noma kwendawo kumakwe kwesokudla, okufika phezulu ku-cortex. Phakathi nendawo, ezungezwe umbuthano oqinile, ukungqubuzana okuphakathi kwe-postsensory kubonakala, okucacile ukuthi kune-edema, nakuba kungabi kakhulu.

Amashothi aseceleni alandelayoAmadoda ogebhezi akhombisa i-1974 i-clamp yokusekela eyakhelwe ngaphakathi. Ngaleso sikhathi Inqubo spinous ye I-Epistropheus²¹⁰. Ngaphambi kokuhlinzwa isiguli satshelwa umuntu ulindele ukucindezelwai-onsfracture ye-atlas, okuyi-auhigh cross section yamanjeukukhubazeka kungase kubangele. Ngakho-ke ukuhlinzwa kusindisa ukuphilaokudingekayo. Isimemezelo sokuthi i Ukusebenza kwehlulekile, kube nokunwetshwa okungu-2iphinde ingqubuzane ne-delirium elandelayo. Kodwa-ke, uMama Wemvelo wayenokuqonda: Ezithombeni ezimbili ungabona ukulungiswa kabusha kwesisekelo sogebhezi kanye nomgogodla womlomo wesibeletho ophakeme kakhulu - phakathi kwe-calotte ne-epistropheus ukuthuthukiswa okuphelele kwamathambo nokuqina kwamalunga kubonakala.

I-clamp, ekuqaleni eyayisetshenziswa kuphela njengesinyathelo sokuphulukisa ukulibazisa i-paraplegia eyayisondela, yazinzisa ugebhezi lwekhanda ngaleso sikhathi. Namuhla bekungaba okungaphezu kwamandla ngoba yonke into iqiniswa kahle yi-callus eminyene.

²¹⁰I-Epistropheus = i-vertebra yesibeletho yesi-2

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Bengilinde ngokulangazela lesi sithombe kusukela maphakathi noJulayi '87. Nganginethemba elikhulu lokuthi kwakuyoba njalo, esigulini nasezigidini zabantu abampofu abaphethwe isifo esifanayo. Manje isifikile, futhi iyamangalisa!

Lensizwa yayihlale ithi: “Ngiyazi ukuthi uDokotela uHamer uqinisile, ngiye ngakubona futhi ngiyakuzwa nsuku zonke, kuba ngcono. Akunandaba ukuthi kuthatha isikhathi esingakanani, ngizofika lapho!"

Futhi manje usekwenzile! Angakwazi futhi ukuhamba embhedeni wakhe, ezwe izitho zakhe futhi abengazizwa ngaphambili, futhi angakwazi ukulawula imisipha yakhe futhi.

Futhi ku-CT manje sesingabona isizathu sangempela, i-motor kanye nezinzwaIzingxabano zase-rican central ekugcineni ziyaxazululwa!!

Sonke sasazi ukuthi kufanele kube ngaleyondlela, ngenxa yenganekwane ephathelene nokukhubazekaAngizange ngikukholelwe lokho. Ngoba kuyashesha ukuba seduze. Ukuxhumana kwezingxabano kwakucace kakhulu!

Ingabe ukuvevezela okungcwele akuhambi kumgogodla wakho uma ucabanga, bafundi abathandekayo, ngomthelela womhlaba wonke walokho okutholiwe? Ukuthi ngemva kweminyaka eminingi kangaka ukungqubuzana kusengaxazululwa futhi ukugcinwa kwangaphakathi kungase kusebenze futhi! Kuyisimangaliso ngempela.

Noma kunjalo, kufanele nginciphise amathemba akho ngandlela thize. Akuwona wonke umuntu osemusha onesimilo esihle njengale nsizwa! Yinde indlela. Umuntu onjalo akalahli lutho. Kodwa ukubuya komsebenzi wobuchopho akukhona ngokuphelele ngaphandle kwezinkinga. Kukhona i-hyperesthesia, ikhanda, imfiva, njll.

Ezimweni ezinjalo kufanele ngaso sonke isikhathi uqhubeke nobugebengu futhi uthole ukuthi kwenzeka nini futhi yikuphi ukukhubazeka. Ngeke usakwazi ukumane ukhiphe yonke into ongeke ukwazi ukuyichaza njenge- paraplegia noma impande yemizwa echotshoziwe.

Kungenzeka futhi, ngisho nangokwedlulele kakhulu ezimweni eziningi, ukuthi izingane ezizalwa zikhubazekile esibelethweni²¹¹ babe nengxabano enzima ye-DHS ethinte isikhungo sezimoto.

²¹¹ intrauterine = ngaphakathi kwesibeletho

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Kufanele ngaso sonke isikhathi kube ukungqubuzana kokwesaba "ukuxoshwa" noma "ukubanjwa" okuholela ekukhubazekeni kwamakhono emoto. Lokhu akuhlangene nhlobo nobuhlakani noma ukuxoxisana ngokuqaphela. Lokhu kwenzeka cishe ngokuzenzakalelayo phakathi kwengxenye yesekhondi. Ohlotsheni oluthile lokungqubuzana kwe-DHS, umuntu, umuntu nesilwane, usabela ngohlobo oluthile "lokukhubazeka kokuxoshwa" ngoba isikhungo sobuchopho esinomthwalo wemfanelo siyathinteka.

Yiqiniso uzobuza ngokushesha: Yebo, kodwa ufika kanjani ekugcineni kwengxabano yangempela ngemva kwesikhathi eside esingase sibe khona? Impela hhayi phakathi nengxoxo yephathi, kodwa ngokuvamile kuphela ngemva komsebenzi wobuseshi onzima. Okungenani sesivele sazi okuningi, okungukuthi hlobo luni lokungqubuzana okufanele ngabe bekuyilo.

Umama angase abe ne-DHS ngesikhathi ekhulelwe kodwa, ngaphandle kwezinyanga ezintathu zokuqala, akukho ukungqubuzana okulandelayo. Kunezizathu zebhayoloji zalokhu. Futhi izingxabano eziningi zibe sezixazululwa ngokukhulelwa ngokwakho, kodwa usana olungakazalwa lungaba nezingxabano esibelethweni.

Ubunzima besibili engibubonayo ukuthi bahlale bembalwa abantu abahlakaniphile. Ngeshwa iningi labo liyiziphukuphuku. Futhi phakathi kwabantu abayiziphukuphuku, abantu abayiziphukuphuku ngokuvamile yilabo abacabanga ukuthi bahlakaniphe ngokweqile. Kuzoba nzima ukuthola odokotela abazinikele, abahlakaniphile abangafisi ukuba ngosozigidi bezokwelapha.

Qaphela:

Umdlavuza olingana nokugxila kuka-Hamer esikhungweni sezimoto se-precentral gyrus kuwukukhubazeka, ngoba ayikho ikhodi yemoto ekhishwa inqobo nje uma umsebenzi wokungqubuzana ukhona. Ukungqubuzana kwesikhungo sezimoto kuwukungqubuzana "ukwesaba ukuboshwa", ukwesaba ukungakwazi ukuphunyuka noma ukugwema.

Umdlavuza olingana nokugxila kuka-Hamer esikhungweni sezinzwa se-postcentral gyrus wukuphazamiseka kwezinzwa, kanye ngokuvamile ne-node ye-Recklinghausen, ukwanda kwe-glial ye-nerve sheath, ngenxa yokuthi indlela yokuqhutshwa kwe-afferent conduction.²¹² ku-Hamer stove ivinjiwe.

Ukungqubuzana kwesikhungo sezinzwa ukungqubuzana kokuhlukana, ukungqubuzana kokulahlekelwa kokuxhumana ngokomzimba (isibonelo, umama, umndeni, umhlambi nokunye), okuyinto emvelweni ingaba yingozi, futhi "nokwesaba ukushiywa".

²¹² i-afferent conduction = ukuqhutshwa kwemizwa kwenjabulo kusuka esithweni esiseceleni kuya ebuchosheni

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15 Umbuthano ononya

Amakhasi 341 kuya ku-353

Esikhathini esedlule, iziguli ezaziza kimi ukuze zixazulule izingxabano nokwelashwa zabuyela ekwelashweni okuvamile ngokuhlinzwa okukhulu, ngemisebe kanye ne-cytostatics, ngakho-ke cishe zonke zazizokufa. Kungenhlanhla nje ukuthi umuntu obengenayo nhlobo inqubo yomdlavuza esebenzayo, kodwa i-carcinoma yakudala engasebenzi noma ehlanganisiwe, angaba nempilo. Kodwa uma iziguli zihlala esibhedlela esifana ne-sanatorium esingathuki nesegunjini labagula kakhulu size sibe nempilo ephelele, khona-ke iningi, ngisho elilinganiselwa ku-95% noma nangaphezulu, liyasinda.

Phakathi kukhona umbuthano ononya!! Singakuchaza njengokulandelana okusheshayo kwezehlakalo ezixhunywe yimbangela kuwo womathathu amazinga engqondo, ubuchopho nezitho zomzimba, kusukela ekuguleni kokuqala, ukuxilongwa okwalandela ngokushaqeka kokuxilongwa, ukugula kwesibili okwalandela ngokuxilonga okwengeziwe kanye nokushaqeka kwesifo. Phakathi kungaba khona izimpawu zesigaba sokuxazululwa, kodwa lezi ngokuvamile zihunyushwa ngokungeyikho ngomuthi ovamile futhi ngaleyo ndlela ziholele isiguli sijule ngisho nangaphakathi kumbuthano ononya...

Ukube abantu bebengacabangi ngokugula kwabo futhi bengazivumeli ukuba bethuke, kusho ukuthi bambalwa abantu abebezobulawa umdlavuza wangempela, cishe yilabo kuphela labo ukungqubuzana okungaxazululwanga noma kuxazululwe kuphela sekwephuzile kakhulu. Isilinganiso sami sicishe sibe ngu-10 - 20%. Kodwa kulaba abangu-10 - 20%, iningi labo lisengasinda uma lingaxazulula ukungqubuzana kwalo - ngosizo lokuqonda, abantu abahlakaniphile.

Iningi leziguli eziphethwe umdlavuza ziyafa namuhla Uvalo lokwethuka! Imbangela yalokhu kusabisa okungadingekile ngokuphelele futhi okuqondile yilabo abasusa undoctor ngokwabo! I-iatrogenic, okungukuthi i-scaremongering eyenziwe udokotela ngokusebenzisa i-pessimal prognosis nokunye okunjalo kuholela ekushaqekeni okusha kwengxabano kanye nomdlavuza omusha, okubizwa ngokuthi "ama-metastases" (angekho kanjalo).

Icala elivela e-Austria lidalula ngokukhethekile: embikweni ka-Okthoba 7.10.99, 6 kuyo yonke imithombo yezindaba yase-Austrian lokhu okulandelayo kwafundwa; Iminyaka engu-140, unobhala we-gynecologist "ulahlile" ukuxilongwa kwe-histological of "umdlavuza, umdlavuza" kusuka ku-smears yeziguli ezingu-130 futhi wabhalela iziguli ukuthi "konke kuhamba kahle." Ukube iziguli zazizisiwe ngokuxilonga futhi ukwelashwa okufanele (okungelona iqiniso) sekuqalisiwe (ukuhlinzwa kanye ne-chemo), ngokwezibalo ezisemthethweni, iziguli eziyi-135 - XNUMX zizobe sezifile.

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Kunjalo nje, asikho nesisodwa isiguli esashona, kuthiwa esinye saphinde sahlolwa futhi, kanti zonke ezinye eziyi-139 zithathwa “njengokululama okuzenzakalelayo okungachazwanga,” okwathi ngokwencazelo yangaphambilini esemthethweni, kwenzeka kanye kuphela 10. Manje sezingu-000 zilandelana. Ungabona: konke ukukhwabanisa, amanga nokukhwabanisa. Umbuso ngokwawo umkhohlisi!

Bekufanele kuvele kubo bonke odokotela ngesinye isikhathi ukuthi ayikho enye incazelo yeqiniso wonke umuntu ayaziyo, okungukuthi kuyivelakancane ukuthi sithole umdlavuza wesibili ezilwaneni. Kuphela ezigabeni zokugcina zokukhubazeka okukhulu ngokomzimba isilwane singakwazi ukulahlekelwa ukuzethemba ngomdlavuza wamathambo, isibonelo, uma singasakwazi ukuhamba noma singasakwazi ukuzivikela ngenxa yobuthakathaka.

Siyazi futhi ukuthi kuzo zonke iziguli ezinomdlavuza, futhi ngingakufakazela lokhu ngemininingwane yami yesiguli, lapho umdlavuza wesifo utholakala, kuphela i-1 noma i-2% yeziguli - futhi ngezizathu ezinhle - ngisho nokubonisa ama-nodule amaphaphu. Emasontweni amabili noma amathathu kamuva, nokho, izithombe zokulawula zibonisa amaqhuqhuva wamaphaphu phakathi kuka-20 no-40% weziguli, uphawu lokwesaba ukufa kwe-DHS okuvame ukubangelwa ukuxilongwa (okunonya). Ukwesaba okunjalo okungokwengqondo kokufa, okuyinto, njengoba kungabonakala ezilwaneni, kungenasidingo esicindezelayo futhi kubangelwa kuphela ukungazi kwama-undoctors anjalo, lokhu kushaqeka kwe-iatrogenic namuhla kuyimbangela evamile yokufa komdlavuza. Ngaphezu kwalokhu kwesaba ukushaqeka kokufa lapho kutholakala isifo, kunenqwaba “yokuhlushwa” okubikezelwayo. Kamuva, odokotela abanjalo bazophakamisa amahlombe futhi bathi konke lokhu bekuwukungaqondi okukhulu.

Lokho akulona iqiniso.

Iziguli zami ezimpofu. Ahlala edatshulwa ngapha nangapha. Ngakolunye uhlangothi, abaningi baye bawuqonda Umuthi Omusha. Kepha lapho udokotela omkhulu obucayi kakhulu eza kanye nodokotela abaningi abaphezulu nabancane, bonke abanqekuzisa amakhanda bevumelana futhi ngokungathí sina kulokho okushiwo indoda emhlophe njengonkulunkulu ukubikezela okuthembekile, okuyiqiniso - ngokuyisisekelo yisigwebo sentambo isiguli , - yebo, yimuphi kulaba abampofu, ababulawa umdlavuza iziguli esinenhliziyo, ukuziphatha kanye grit ukuphikisana omkhulu, uprofesa sína?

Imishini efana nokuhlushwa iyaqala - cishe akukho ukuphunyuka kulolu "hlelo". Ngemva kwezinyanga ezimbalwa, cishe wonke umuntu uzithola esegunjini lokufa. Uma othile eqa emishinini yemithi esemthethweni, ngeke neze aphunyuke ekuhlolweni okuphephile kokulandelela.

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Isiguli sihlala siziqapha, noma yikuphi ukugula kusolwa umdlavuza ovuselelwe noma "i-metastasis". Ngaphambi nje kokuhlolwa “okuphelele” okuvamile, isiguli esimpofu siba nokucindezeleka okuphelele izinsuku. Khona-ke umphumela: “Awekho ama-metastases angatholwa okwamanje.” “Ngibonga uNkulunkulu,” kucabanga isiguli, “ukuphila ezinye izinyanga ezintathu ezinde.”

Okungeziwe kulokhu, yiqiniso, ukwesaba okungapheli komphakathi. Okubi kunakho konke umbuzo odabukisayo "ingabe izinto zisahamba kahle". Kuyo yonke indawo isiguli sizizwa sibhekwa njengomuntu ozokufa futhi ongasathathwa ngokungathi sína ngoba sizofa maduze. Abantu abaningi abasafuni nokumxhawula ngoba besaba ngasese ukuthi angase atheleleke. Futhi ngisho noma isiguli singakwazi ukuziphulela umbuthano ononya futhi siphinde sithole isibindi nokuzibheka, ngesikhathi esilandelayo umphakathi waso “ohleliwe” ozungezile uzombonisa ngokunganaki ukuthi “uyisiguli somdlavuza”.

Ngokumelene nalesi sizinda esingenabulungiswa ngokwezokwelapha nesokunonya kwezenhlalo, isiguli esimpofu esazi futhi saze saqonda Imithi Emisha sisenkingeni ephelele: Nakuba kungekho muntu ongaletha noma yiziphi izimpikiswano ngokumelene ne-Hamer's New Medicine, nokho inedemoni ngokugcwele.

Okubi nakakhulu ukuthi ngisho nezimpawu nezimo ezihlukahlukene zihunyushwa ngendlela ehluke kakhulu. I-Vagotonia, isibonelo, ibhekwa njengophawu oluhle kakhulu lokuphulukisa ohlelweni lwemithi emisha. Nakuba ngezinye izikhathi kufanele kwehliswe kancane ngemithi uma i-Hamer igxile ebuchosheni ivuvukala kakhulu ngesikhathi sokuphulukiswa kwe-vagotonic, empeleni isigaba sokuphulukisa se-vagotonic siyadingeka futhi silindelwe ngabomvu.
Ngokuphambene ngokuphelele nalokhu, kwezokwelapha, okwamanje ezibeka ithoni, ogama lamagama ezimpawu ze-sympatheticotonia kanye ne-vagotonia avela kuphela njengemibandela ebizwa ngokuthi "i-vegetative disorder", i-vagotonia, isibonelo, "isifo esibi kakhulu sokujikeleza kwegazi" kanye “nokuqala kokuphela”.

Nakuba kuzo zonke ezinye izimo ze-vagotonia isiguli sizizwa kahle kakhulu, sinesifiso esihle sokudla, futhi silala kahle, nakuba isiguli singaphuluki ku-carcinoma yamathambo, okubangela ubuhlungu ngenxa yokwelula kwe-periosteal, manje siprofetha Bonke odokotela abavamile ukuthi isiguli mhlawumbe ukuvakashelwa ngokunganaki kuyomlethela isiphetho esiseduze. Futhi nakuba empeleni kufanele sazi i-vagotonia njengesigaba se-convalescent ngemva kwalokho okubizwa ngokuthi izifo ezithathelwanayo - cabanga nje "ngokwelapha amanga" okuthatha izinyanga eziningi ezimweni zesifo sofuba - wonke udokotela ovamile uthambekele ekutheni: "Yebo, kodwa ngomdlavuza yonke into. yehluke ngokuphelele.

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Kukhona okulungile kulokho, ngoba umdlavuza uyisifo esinezigaba ezimbili: isigaba esizwelayo, esiphikisanayo, lapho isiguli singenaso isifiso sokudla, asikwazi ukulala futhi okuthiwa sine-peripheral circulatory disorders, yilokho odokotela abavamile abaye bacabanga ngakho. empeleni kube umdlavuza. Umuthi ovamile awukasiboni isigaba sokuphulukisa eside, esiyingxenye yomdlavuza. Futhi uma ngezinye izikhathi wawubona ngendlela eyeqisayo, khona-ke ngokuvamile kwakuba ukuqala kokuphela, ngoba isiguli singase sife ngokushesha ngemva kwalokho ngenxa yokuvuvukala kobuchopho.

Isiphetho: Isiguli asikwazi ukuthatha indlela enezinhlangothi ezimbili ngoba ukubikezelwa kuhlale kufakwe ekwelashweni. Emithini evamile, isiguli esizwa ubuhlungu ngenkathi siphulukiswa ku-carcinoma yamathambo ngokushesha sinikezwa i-morphine, ngokuvamile ngisho ngokumelene nentando yaso ecacile. Kodwa lokhu kususa isifiso sakhe sokuphikelela, kanye nobuhlungu bakhe. Ukufa ke kuyindaba yezinsuku noma amasonto kuphela. Kodwa uma isiguli sazi, njengoba iziguli zami zenza, ukuthi lobu buhlungu buyinto enhle futhi yesikhashana kuphela, okungukuthi kubonakala kusengaphambili, futhi uma bazi ukuthi buvelaphi noma ukuthi buhloseni, khona-ke bahlanganisa amandla angalindelekile futhi abasakwazi ukuzwa ubuhlungu. ubuhlungu into embi njengokubatshela, njengoba sekwenzekile kuze kube manje, ukuthi lobu buhlungu buzoqina kakhulu futhi buholele ekufeni okungenakugwenywa okungenathemba.

Kuphela lapho isiguli sizobe selashwa odokotela abafunde Umuthi Omusha ngokokuqukethwe kanye nesicelo, esibhedlela esifana nesibhedlela esifana ne-sanatorium - ohne Ukwethuka - kungalulama uma azi ukuthi ukugula kwakhe kuyaziwa futhi kungahlolwa ngendlela efanele futhi kwelashwe ngendlela efanele, kungaleso sikhathi lapho eyobe esephumile kulo mbuthano ononya. Futhi yilapho kuphela iziguli ezingaphezu kuka-95% zizosinda, kanti kumbuthano ononya kuphela 1 noma 2 kwabayikhulu abangasinda.

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15.1.1 Indaba eyisibonelo: “Ama-Metastases” emnweni omncane!

Indoda eneminyaka engu-45 ubudala yayisinde emakhazeni ama-3 (umdlavuza wezinso, i-mediastinal carcinoma²¹³ kanye ne-pulmonary nodule carcinoma). Wazizwa ewumqemane kangangokuba wakwazi ukudabula izihlahla, njengoba esho, ngakho wabuyela emsebenzini njengomshayeli wamaloli, okuyinto ayekujabulela ukuyenza. Wasebenza izinsuku ezingu-14 ngaphandle kokuphatheka kabi noma ukuthi umsebenzi wawungenzima kakhulu kuye. Ngemuva kwamaviki ama-2, ummeleli wenkampani yomshuwalense wezempilo weza enkampanini futhi wafuna ukuthi "isiguli somdlavuza" siyeke ukusebenza ngokushesha ngoba kufanele sithunyelwe kumhlalaphansi. Inkampani yomshwalense wezempilo ayizimisele ukuqhubeka nokukhokha uma kwenzeka kuba nokungabaza, ngoba iqiniso lokuthi “isiguli somdlavuza” singabuyela emsebenzini cishe ngeke kube isikhathi eside. Kusukela emzuzwini owodwa kuya kolandelayo isiguli sehliswa esihlalweni somshayeli futhi - asisebenzi! Isiguli sabhekana nengxabano yendawo ye-DHS futhi sakhungatheka! Kodwa isiguli sakwazi ukubhekana nalesi sigameko esibi futhi, nakuba sangitshela kuphela ngemva kwamasonto angu-8, ngemva kokuba eselahlekelwe amakhilogremu ambalwa esisindo.

Isiguli futhi sakwazi ukusinda esigabeni sokuphulukisa nge-edema enkulu ezungeze ukugxila kukaHamer endaweni efanele ye-periinsular. Wazizwa ekhululekile futhi. Futhi ngenxa yokuthi wayengasavunyelwe ukusebenza, waqala ukuhlobisa indlu yakhe futhi wapholisha imoto yakhe. Wayefuna ukuxubha indawo echotshoziwe kupende ngebhulashi locingo ukuze akwazi ukuyifafaza kamuva. Ngephutha wabhokoda ucikicane wakhe esandleni sokunxele ngebhulashi locingo. Ukugwazwa kudlulele ethanjeni. Le nto yavuvukala, yavuvukala futhi kwavela i-osteomyelitis yendawo²¹⁴ ekugcineni kwetheminali phalanx²¹⁵ womunwe omncane wesokunxele.

Lapho isiguli, ngaleso sikhathi esasizizwa siphile saka, sinesifiso sokudla esimangalisayo futhi singakwazi ukulala kahle, saya kudokotela womkhaya waso ngomunwe onaso, singazi ngemiphumela yaleso senzo, udokotela womkhaya, owayengudokotela ohlinzayo owayekade engazi lutho. kakhulu, wenza kanjalo Njengoba ayelangazelela ukubuyela emsebenzini wakhe omdala, wathatha i-X-ray yomunwe wakhe omncane futhi wabona isici esincane lapho esasibangelwe yi-osteomyelitis.

²¹³ I-Mediastinum = i-mediastinum, indawo ephakathi kwesifuba, isikhala phakathi kwemigodi emibili ye-pleural (noma amaphaphu)
²¹⁴ I-Osteomyelitis = ukuvuvukala komnkantsha
²¹⁵ Iphalanx = umunwe, uzwane phalanx

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Kodwa "esigulini somdlavuza" kukhona vele akukho i-osteomyelitis, kukhona "ama-metastases" kuphela! Indawo yokubhoboza yayibonakala ngokucace kakhulu futhi ibekwe ngaphezu kokugxilwa kwe-osteomyelitis. Futhi ngakho udokotela wezokwelapha wathi esigulini, esasivele siqhaqhazela ngenxa yokwesaba: “Wena, lokhu kungaba i-metastasis kuphela, 'uyisiguli somdlavuza', manje amangqamuzana omdlavuza asevele emunweni wakho omncane. Kufanele sinqume ngokushesha. Futhi ngiyakutshela, yonke into uHamer akutshela yona yayiyimbudane, uma iqhubeka kanje, usazofa!"

Isiguli sakhungatheka futhi sehlelwa ukwesaba ukufa- DHS ngalowomzuzu. Ngaphandle kwentando yakhe, ngokushesha wanqunywa umunwe wakhe ngokuphelele (kude ngempilo, umthetho lowo!!). Indoda empofu yafika ekhaya i-ashen, yavele yaphakamisa isandla sayo ingasho lutho futhi ngemva kwesikhathi eside yakwazi ukuncengwa ukuba ichaze: “Amangqamuzana omdlavuza asevele esengene emunweni omncane, kusho udokotela. Konke okwakushiwo uDokotela uHamer kwakungamampunge, lalingasekho ithemba ngami.”

Ngemva kwamaviki angu-6 isiguli sangibiza. Ngaleso sikhathi wayesevele ehle ngo-10 kg ngesisindo futhi amaphaphu akhe ayehlanzeke ngaphambilini ayegcwele izigaxa zamaphaphu ngesikhathi ehlolwa. Isiguli sashona ngokushesha ngemva kwalokho. Wabanjwa obishini!!

15.1.2 Indaba eyisibonelo: Isiyingi esinonya esibangelwa ukungqubuzana kokukhathazeka kwenhliziyo ne-pericardial mesothelioma

Umqeqeshi wethenisi oneminyaka engu-43 ubudala, oyinxele, ongumnikazi wehholo lomphebezo, ube nengxabano yendawo ngenxa yaleli hholo. Ukugxila kwe-Hamer okuhambisanayo ku-lobe yesikhashana yesokunxele, indawo yesitho esihlobene izilonda zemithambo yenhliziyo.

Cishe ngemva kwezinyanga eziyisithupha, isiguli saxazulula ukungqubuzana kwaso. Wahlaselwa isifo senhliziyo esifanele esalandela ngokungagwemeki ngemva kwezinyanga ezimbili: waba ne-angina pectoris eyathatha imizuzu ekuseni, kodwa wakhumbula ukuthi wayeke wahlaselwa yinhliziyo kancane unyaka wonke odlule. Ukuhlasela okunamandla kwe-angina pectoris kwaba buthaka ngandlela-thile phakathi nosuku, kodwa kwanyamalala kuphela ekupheleni kosuku lwesibili.

Lokhu kuhlasela kwe-angina pectoris kwakuyi-DHS: Wacabanga: “O Nkulunkulu, manje iphampu iphukile, lesi isifo senhliziyo, manje awusakwazi ukunikeza izifundo zethenisi njengomqeqeshi!”

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Manje kwenzeka okulandelayo: Isiguli sasinomuzwa othize wokukhathala kakhulu amasonto angu-6, kodwa sasingazange sikuthathe ngokungathi sína kakhulu futhi sasilwisana nawo ngekhofi. Yebo ukukhathala kwabuya ngemva kokuhlasela kwe-angina pectoris, kodwa manje wayesekuhlobanisa nenhliziyo yakhe!

Phakathi nokuhlaselwa okunamandla kwe-angina pectoris wezwa ukuhlaselwa kwenhliziyo yakhe (“ipompo iphukile!” lokhu kungqubuzana manje kwagcinwa kusebenza ngokukhathala kwakhe. Ngakho-ke isiguli sibe nokungqubuzana kwendawo okuxazululiwe by inkinga yesithuthwane (i-infarction yenhliziyo engakwesokudla) - futhi ngesikhathi esifanayo ukungqubuzana kokuhlasela kwenhliziyo okusebenzayo ne-pericardial mesothelioma.

Ngemva kwezinyanga ezimbalwa, ukukhathala kwesigaba sokuphulukisa okubangelwa ukungqubuzana kwendawo okuxazululiwe kwaphela futhi ngalokho ukungqubuzana kwesifo senhliziyo kwaxazululwa futhi ukukhishwa kwe-pericardial, okuyisibopho esigabeni se-PCL, kwalandelwa.

Ngenxa ye-pericardial effusion, ukusebenza komqeqeshi wethenisi kwakulinganiselwe nakakhulu kunesigaba sokuphulukisa sokungqubuzana kwendawo. Isiguli ngokushesha sabhekana nokuphindaphinda ukungqubuzana kwenhliziyo futhi ngenxa yalokho ukwehla kwe-pericardial effusion, nakuba kungenjalo njengesibonakaliso esihle sokuphulukisa, kodwa njengesibonakaliso sokuthi ukungqubuzana kwe-pericardial kwasebenza futhi. Ngokushesha nje lapho ukukhishwa kwe-pericardial sekuphelile ngenxa yokukhula kabusha kwe-mesothelioma ku-pericardium, ukusebenza kwakhe kwabuya futhi wathi ukuthula kancane. Ngenxa yalokho, i-effusion ku-pericardium ibuyele futhi njengesibonakaliso salokhu ukuzola, okungukuthi, njengesibonakaliso sokuxazulula ukungqubuzana kwakhe okuphindaphindiwe. Ngakho-ke - ngaphandle kolwazi Lomuthi Omusha - isiguli sawela ngokuzenzakalelayo kumbuthano ononya. Ekuphindaphindweni kwesibili noma kwesithathu, ukukhishwa kwe-pericardial ekugcineni kwatholakala ngosizo lwe-CT yesifuba.

Ngalokhu kuxilongwa, isiguli sabhekana nokungqubuzana kokwesaba ukufa nomdlavuza we-nodular ku-alveoli yamaphaphu. Manje wayesesiyingini esinonya kabili: ngaso sonke isikhathi lapho kutholakala ukuthi i-pericardial effusion, isiguli sizwa ukwesaba kwenhliziyo (periocardium) nokwesaba ukufa. Uma ukukhishwa kwe-pericardium kubhobozekile futhi ukusebenza kwayo kwanda futhi, iphinde ithule futhi okwesikhashana - i-pericardium igijima igcwele futhi. Isondo liyazulazula ngokushesha futhi ngokushesha...

Lapho amaqhuqhuva wamaphaphu esetholakele, odokotela benhliziyo baphelelwa yintshisekelo kuye. Wabe esemtshela ukuthi usekhona umuthi Omusha...

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Umuthi omusha unganqamula umbuthano ononya ophindwe kabili, kodwa kuphela uma isiguli singakwazi ukuqonda ukuxhumana.

15.1.3 Indaba eyisibonelo: Ama-ascites noma isisu samanzi (isigaba sokuphola ngemva kwe-peritoneal mesothelioma)

Uma kuziwa kuma-ascites, iziguli eziningi zenza umbuthano ononya ongapheli. Ukungqubuzana okwandulela ama-ascites, ngokunembile kakhulu ukungqubuzana kwe-mesothelioma ye-peritoneal, kuhlale "ukuhlasela kwesisu". Esilwaneni, lokhu kuvame ukukhahlelwa noma ukushaywa isisu esike sabhekana naso. Kodwa kungase futhi kube "ukungqubuzana kwengqondo" esilwaneni, isibonelo i-intestinal colic, isilwane esingase sibe "njengokuhlasela kwesisu".

Kithina bantu, ngakolunye uhlangothi, lokhu kuhlaselwa kwengqondo esiswini cishe kuyinto evamile. Ezimweni eziningi zokuhlinzwa kokuhlinzwa kwesisu okuholela ekwelashweni kokuhlinzwa, isiguli sibhekana nokuhlaselwa kwengqondo ngokumelene nesisu, okungukuthi, sicabanga udokotela ohlinzayo esika esiswini sakhe.

Njengoba ukuhlinzwa okuningi kwenzeka ngokushesha ngemva kokuxilongwa, udokotela ohlinzayo ngokuvamile akawaboni “amabala” amancane e-mesothelioma, noma amathumba amancane, awabonayo uma ekuhlehlisa ukuhlinzwa amaviki angu-4 ngesizathu esithile. Lezi yizimo lapho udokotela ohlinzayo "evula futhi avale futhi". Khona-ke umbiko wokuhlinza uthi: Ukuhlinza okwakuhlelelwe kwakungeke kube nanjongo ngoba wonke umbobo wawusugcwele kakade “ama-metastases.”

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Esinye isigameko esinjalo senzeke esigulini esatholakala ukuthi sine-adenocarcinoma yesibindi. Ngenxa yokuhlolwa kokuqala okuhlukahlukene, ukuhlinzwa okuhleliwe kwathatha amasonto angu-4-6. Ekugcineni “bavula baphinde bavala”, okusho ukuthi abaphindanga benza lutho.

Ngalesi sikhathi isiguli sezwa ngeNew Medicine futhi safunda enye yezincwadi. Umphumela waba (ngenhlanhla) ama-ascites njengophawu lokuthi usexazulule ukungqubuzana kwakhe kokuhlasela kwesisu. Nokho, kwavela umbuthano omubi. Cishe iminyaka emibili wayene-ascites engapheli, ekugcineni eyayinkulu, kodwa wayesazizwa ephilile, enesifiso sokudla, elala kahle, egibele ibhayisikili, eyobhukuda, kodwa ama-ascites awazange aphele. Ekugcineni, isiguli sangibiza sangibuza ukuthi kungani ama-ascites ayengapheli. Kuvele ukuthi abangani nabajwayele beza njalo bezohlola isisu sakhe. Amazwi omhlengikazi owayefika kabili ngesonto ezosiza isiguli ngemisebenzi yasekhaya ayengathi sína ngokukhethekile. Uhlale ezwakalisa ukungabaza ukuthi akakaze abone umuntu oke wasinda ezimeni ezinje. Kwaba okufanayo ngoNkz. Meier, wazizwa ekahle isikhashana ekuqaleni, kodwa wabe eseshona.

Ngenxa yalokho, isiguli sasilokhu siphindaphinda ukungqubuzana kokuhlasela kwesisu futhi isisu saso saba sincane. Ngenxa yokuthi waba mncane, wehlisa umoya futhi wabuyela esigabeni se-PCL. Ngenxa yalokho, isisu “sakhula” futhi njengophawu lwalokhu kuphiliswa noma ukuxazululwa kwengxabano. Wayekukala futhi lokhu nsuku zonke ngeteyiphu yokukala. Lapho isisu siba sikhulu futhi, waphinde wangena engqungqutheleni yokuhlasela isisu saphinde saba sincane...

Lapho ngimchazela lokhu ngesineke, kwawa amaxolo emehlweni akhe: “Dokotela, angizange ngikuqonde lokho!” Kusukela lapho, ngameluleka, wazama ukuhleka isisu sakhe futhi acabange ngakho kancane ngangokunokwenzeka. Isipelingi saphulwa futhi - kancane kakhulu - ama-ascites aqhubeka nokuncipha!

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15.1.4 Indaba eyisibonelo: indilinga enonya kuma-branchial arch cysts

Omunye wemibuthano enonya evame kakhulu yileyo yama-branchial arch cysts ngemuva kwezingxabano zangaphambili (ngokuvamile ukwesaba umdlavuza). Ukwesaba okuqondile kuwukwesaba into okuthiwa iza kuwe futhi ongeke uyigweme. Okusele nje wukubaleka. Uma indlela yokubuyela emuva iphinde ivinjwe, khona-ke isiguli (umuntu noma isilwane) sibuye sihlupheke "ngokwesaba entanyeni" futhi ngokushesha sise-constellation ye-schizophrenic fronto-occipital.

Ukwesaba okuqondile ukwesaba kwangempela kubantu nasezilwaneni, ukwesaba ingozi yangempela, yomuntu ohlaselayo noma isilwane, njll. Okwesibili kuphela lapho thina bantu sivame ukwesaba okuthile okucatshangwayo, okubonakala esigulini kungeyona ingozi njengesilwane sasendle esigijimayo: Ngokwesibonelo, udokotela watshela isiguli: “Sisola umdlavuza” noma “Unomdlavuza Kusukela ngaleso sikhathi.” umdlavuza uhlezi uvezwa njengento engenakugwemeka, into eqhubekayo, futhi “njengesenzakalo esiyingozi”, nakuba ingekho ingozi yangempela, kodwa nje kuwukucatshangelwa, lokhu okucatshangwa ukuthi ingozi igingqika ibheke ezigulini njengengozi engenakugwenywa, bangayenza yodwa kakade sebehluphekile. ukungqubuzana kokwesaba okungaphambili okuhambisanayo njengomphumela wokuxilongwa. Iziguli ezithola ulwazi lokuxilonga ngokweNew Medicine cishe azilokothi zibe nokwesaba okunjalo komdlavuza.

Uma kukhulunywa ngokwesaba okuphambili noma ukwesaba umdlavuza, ngomqondo othile, sithuthwa ngokuthuthuka sibuyele ezikhathini zakudala lapho okhokho bethu besaphila emanzini. Inhlekelele enkulu ngaleso sikhathi yayiwukuthi lezi zilwane ezifuze izinhlanzi zazivinjwa okuthile noma zilele emhlabathini owomile futhi izimbotshana zazo zihlangene ukuze zingasakwazi ukuphefumula. Yilokhu kwesaba okukhulu ukuthi umoya wethu uzonqanyulwa ukuthi sihlupheke kulezi zingxabano zokwesaba futhi, ngokufanayo, ezingxabano zokwesaba umdlavuza. “Umphimbo wami uqinile,” kusho abantu.

Uma "ukungqubuzana kokuxilongwa komdlavuza" okunjalo kwenzeka, isiguli sibonisa ngokushesha zonke izimpawu zomsebenzi wokungqubuzana: izandla ezibandayo eqhweni, ukulahlekelwa isifiso sokudla, ukuqwasha, ukucabanga okuphambene-ukungqubuzana, njll. Entanyeni, nokho, uzwa kuphela ukudonsa kwendawo noma ukuncinza ngaphansi kwesikhumba.

Uma ukungqubuzana kokwesaba noma ukwesaba umdlavuza kuxazulula ngemva kwesikhathi esithile sengozi ecatshangwayo noma yangempela, izilonda, okungukuthi ukukhubazeka kwezicubu eziyisicaba, zivela entanyeni ezindaweni lapho esigabeni sokungqubuzana emathangeni amadala angasasetshenziswa. I-Gill arch squamous epithelium, ehlanganisa ingaphakathi lala mashubhu angasasetshenziswa, yayisithuthuke yaba ama-cyst awuketshezi, manje asesigabeni sokuphulukisa.

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Lawa abizwa ngokungalungile ngama-non-Hodgkin lymphomas emithini evamile ngoba ayenziwe iphutha njengama-lymph nodes. Lawa ma-cysts e-branchial arch fluid abangelwa ukuvuvukala okunzima okuphulukisa ezindaweni ezinezilonda ngaphambili kumashubhu angasasetshenziswa ama-branchial arch ducts amadala, ahlanganiswe ne-squamous epithelial mucosa. Ngenxa yalokho, uketshezi alukwazi ukumomotheka futhi lwakha izingcezu zamashubhu ahlakazekile, agcwele uketshezi, angase abukeke njengamabhola futhi alale ngaphansi kwesikhumba nhlangothi zombili zentamo phambi nangemuva kwendlebe, esuka lapho ehlehlela phakathi. umakhwapheni nangaphambili ungene ekhwapheni I-clavicle fossa ngisho nangale kwe-clavicle fossa (cishe ububanzi besandla). Ngaphakathi bangafinyelela phansi ku-diaphragm futhi bangenza ama-cyst aminyene lapho, abuye ahunyushwe ngokungeyikho ngokuthi “amaphakheji e-lymph node”. Izimpawu eziningi zomtholampilo zijwayelekile kuma-cysts e-branchial semicircular duct:

Engxenyeni yokuqala yokuphulukisa, okungukuthi ngaphambi kwenhlekelele ye-epileptoid, ngokuvamile ngemva nje kokuxilongwa, "iziguli ezingaziwa" zithola "i-metastasis panic". Benza iphutha lokuthi ama-cysts azizwa elukhuni ngokuthi “amaqhuqhuva” ahlangene (“njengamabhola esikhumba amancane avuvukele”), “amaqhuqhuva,” “ama-lymph node,” noma “ukumila kwesimila.” Baphinde bahlupheke ngenxa "ye-metastasis panic". Ukwesaba umdlavuza. Njengomphumela walokhu kwesaba umdlavuza, isigaba sokuphulukisa siphenduka ngokushesha sibe umsebenzi wokungqubuzana - futhi ama-cysts ayancipha.

Okufanayo, okucatshangwa ukuthi impumelelo enhle kungatholakala ngokusebenzisa i-chemo noma i-irradiation yama-cysts nge-X-ray noma imisebe ye-cobalt, kuphela umehluko wokuthi i-chemo noma i-irradiation ingabangi umsebenzi wokungqubuzana, kodwa imisa ukuphulukiswa kuphela! Kuzo zombili lezi zimo, isiguli sibanjwa ngokushesha embuthanweni ononya:

Uma kwenzeka ukuphindaphinda kokungqubuzana ngenxa yokwesaba umdlavuza ovuselelwe, lokhu okulandelayo kwenzeka: ukuphulukiswa kunqanyuliwe, ama-cysts e-branchial arch ayancipha, ukwanda okuqhubekayo kwezilonda emashubhu noma amashubhu ama-branchial arch ducts amadala.

Okusele “inqwaba yezingxabano” ebezingeke ziphole ngokwengqondo noma ngokomzimba ngenxa yokunqamuka kokwelapha okungazelelwe, okungukuthi “ukuphulukiswa okusalelayo” kuhlehlisiwe kodwa okusadingeka. Ngaso leso sikhathi, kuvela inqwaba yokungqubuzana okusha, okumele kusingathwe nayo kamuva ngokuphulukiswa, ngokwengqondo, ngobuchopho nangomzimba.

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Uma kungenzeka ukudambisa isiguli futhi, ama-cysts oketshezi azovela futhi njengophawu lokuthi ukuphulukiswa sekuphinde kwenzeka okukhulu kakhulu kunangaphambili ngokuphulukiswa okuyinsalela + ukuphulukiswa kokwethuka okusha.

Yiqiniso, inkinga yesifo sokuwa noma ye-epileptoid eyenzeka ngokungenakugwenywa iba namandla kunalokho obekuyoba ngokokuqala ngqá ukube isiguli besixazulule ukwethuka kwaso komdlavuza kuze kube sekugcineni ngaphandle kokuphindeka okusha.

Uma isiguli siphindeka ngenxa yokwesaba umdlavuza ngenxa yama-cysts oketshezi asakhulisiwe, wonke umdlalo wombuthano ononya uqala kabusha.

Uma isiguli, ngokwesibonelo ngenxa yokuthi sijwayelene nomuthi omusha, singahlushwa umdlavuza omusha wokwesaba-ukwethuka, okungukuthi akukho msebenzi wokungqubuzana ovuselelwe, futhi kunesigaba sokuphulukisa esifanele, khona-ke lokhu kwenzeka kaningi, ikakhulukazi uma isiguli sibizwa ngokuthi “ifindo”, ngokuvamile ama-cyst amakhulu atholakala entanyeni (noma ku-mediastinum²¹⁶) ukuthi isiguli sinomuzwa wokuthi siphefumula ngendlela nje ewumshini. Isikhathi esiningi uvele azizwele ngaphandle kokuba kube njalo. Nokho, kuyaqabukela, empeleni kwenzeka ukuthi uqhoqhoqho²¹⁷ ihlabeke umxhwele noma icindezelwe ngaphandle. Kodwa-ke, cishe abukho ubungozi bangempela bokuqunjelwa ngoba ama-cysts angacindezela kuphela kuqhoqhoqho (olubi).

Esimeni esibucayi se-epileptoid, noma kunjalo, umuzwa wokuziphendulela, noma ukwesaba kwakudala, ukuminza, kungase kukhungathekise futhi kulethe isiguli ekutatazeleni okusha, okubi kakhulu. Kodwa-ke, ngenhlanhla lokhu kwenzeka kuphela ezimweni ezimbi kakhulu ezinama-cysts amakhulu kakhulu. Ukuthulisa isiguli esinjalo, noma ukumkhipha ekwethukeni noma - kangcono nakakhulu - ukumvimbela ukuba angangeni kulokhu kwesaba kwasekuqaleni ngokumazi ngomuthi omusha, kuwumsebenzi obaluleke kakhulu kuwo wonke "i-iatros".²¹⁸. Ukuthulisa iziguli ezinjalo ngemithi²¹⁹, ayinangqondo futhi ngokuvamile iwuphawu lokungazi lutho, ngoba ukuthunjwa kwangaphambilini kungasetshenziswa isikhathi emva kwenkinga ye-epileptoid, lapho isiguli siwela "esigodini sesibili se-vagotonic". ebulalayo kube. I-Chemical sedation, uhlobo lobuthi, akusoze kwathatha indawo yeseluleko esiqinisekisayo somuntu noma "i-iatros". Kuphela lapho iziguli sezidlule kulesi “sigodi sesibili se-vagotonic” lapho ziba nempilo enhle ngempela.

²¹⁶ I-Mediastinum = ulwelwesi oluphakathi; indawo ephakathi kwesifuba
²¹⁷ Uqhoqhoqho = uqhoqhoqho
²¹⁸ Iatros = udokotela, inyanga
²¹⁹ Imithi yokulalisa = lokho okubizwa ngokuthi ama-sedative

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Endabeni ye-chemo nemisebe, udokotela we-orthodox ekuqaleni uzuza ukunqoba kwe-Pyrrhic lapho i-branchial arch cysts ixazulula. Kodwa wakuthola ngenani lokuthi ukuphulukiswa kanye nenkinga ye-epileptoid okwenzeka ngokungenakugwenywa ngesikhathi sokwelashwa kwamane kwakhanselwa, futhi umzimba wonke wawulinyazwe kabi futhi uvame ukulimala ngendlela engenakulungiseka. Esikhathini esidlule, ngisho nochwepheshe bezokwelapha ababi kakhulu abake babiza ngokwethembeka i-chemo ngokuthi “ukwelapha.” Kunalokho, iziguli zazivame ukutshelwa ukuthi: “Ngaphambi kokuba ekugcineni ubulawe umdlavuza, ungashayela noma uhlale ethangini lomnkantsha ukuze uthole omunye. Amasonto amathathu noma amane.” Iziguli ezine-branchial arch duct cysts "zelashwa" nge-chemo ekuqaleni zibona ama-cyst azo ehamba, njengoba ngishilo: inqubo yokuphulukisa imane ikhanselwe, ayipheli. Uma i-chemo ima, ukuphulukiswa kuyaqala futhi futhi ama-cysts abuye ngayo. Lokhu kubeka isiguli embuthanweni ononya unomphela futhi kugcwalisa izikhwama "zabaxosha". Cishe zonke iziguli ziyafa ngenxa yalokhu kuhlukunyezwa okungenangqondo.

Umbuthano we-branchial arch cyst ononya, ongenzeki ezilwaneni - ngaphandle kobunzima bokuphefumula kwesikhashana enkingeni ye-epileptoid - uthatha ngamabomu indawo enkulu kangaka lapha ngoba ingenye yezindawo ezivame kakhulu.²²⁰ Imibuthano enonya, ikakhulukazi iatrogenic.

Khumbula: ukuthulisa isiguli esikhubazekile ngokwengqondo ngesikhathi sokwethuka kunzima. Ngakolunye uhlangothi, ukuqinisa isiguli esesivele sazi futhi saqonda umuthi omusha akuwona umdlalo wengane, kodwa kuwumsebenzi ongaxazululwa kalula, kuwumsebenzi owanelisayo, umzamo wokubambisana phakathi kwabantu abanolwazi, ukukhuluma!

²²⁰ immanent = imvelo, equkethe

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16 Uhlelo lwe-ontogenetic lwamathumba kanye nezinhlelo ezikhethekile ezilingana nomdlavuza - Umthetho wesithathu wemvelo wemvelo womuthi omusha

Amakhasi 355 kuya ku-376

Kwaphela iminyaka ngididwa indlela okuthiwa i-morphological²²¹ kanye ne-histological systemlessness of the tumors, ukuvuvukala, izimila, carcinomas, sarcoma, seminomas²²², ama-chorionepitheliomas noma ama-glioma, kuhlanganise nalokho okuthiwa imithi evamile ecabangela lokho okubizwa ngokuthi ama-metastases.

Manje ekugcineni ngicabanga ukuthi ngithole ukuhlukaniswa okungenzeka sisazosetshenziswa ngendlela eshintshiwe kakhulu noma engaphansi kwamashumi eminyaka ezayo. Kuwukuhlukaniswa ngokomlando wokuthuthuka noma i-embryology²²³!

Uma sihlela zonke lezi zimila ezahlukene kanye nokuvuvukala ngokwalo mlando wokuthuthuka, noma ngokwemibandela yezinhlobonhlobo ezibizwa ngokuthi izingqimba zamagciwane, khona-ke yonke into ivele ivele ibe sengathi iyodwa Ikhompiyutha yomzimba womuntu eye yakhula emashumini ezigidi zeminyaka, Khona-ke ngokunengqondo izitho zomzimba “ezixhumene” ngokuthuthuka kumelwe “zihlale ndawonye” ebuchosheni bekhompyutha.

Ama-embryologists ngokuvamile ahlukanisa ukukhula kombungu kube yizingqimba ezintathu zamagciwane, i-endoderm noma ungqimba lwamagciwane lwangaphakathi, ungqimba lwegciwane oluphakathi ne-mesoderm noma oluphakathi kanye ne-ectoderm noma ungqimba lwamagciwane lwangaphandle.

²²¹ i-morphological = ehlobene nesimo sangaphandle kanye nesimo
²²² I-Seminoma = isimila samasende
²²³ I-Embryology = ukufunda ngokukhula kombungu

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Okubizwa ngokuthi izingqimba zamagciwane zivela emaqenjini okuqala eseli kumbungu esibelethweni. Iningi lezitho zethu zingabelwa kwenye yalezi zingqimba zamagciwane. Singabona emdwebeni ukuthi "ukuziphatha komdlavuza" we-cotyledons kuhluke kakhulu. I-Endoderm ne-ectoderm noma izitho ezihambisana nazo ziziphatha ngendlela ehluke ngokuphelele esigabeni se-ca kanye nesigaba se-pcl. I-mesoderm noma izitho ezikuyo zihlukaniswe zibe ezinye izingqimba ezimbili zamagciwane maqondana nalokhu kuziphatha. Lesi futhi isizathu esenza ukuthi ukusesha kwento elwa nomdlavuza “omubi” kuze kube manje kungaphumeleli. Ngoba noma yimuphi “umuthi” kulo mhlaba ungamelana kanjani nokwanda kwamangqamuzana nokulahlekelwa kwamangqamuzana ngasikhathi sinye?! (Ingasaphathwa eyokungenangqondo kwalendlela yokucabanga) Ngakho-ke imithi yamanje ingancishiswa ibe yinto engenangqondo ngalolu lwazi kuphela!

Isistimu ye-ontogenetic yezinhlelo ezikhethekile zebhayoloji kusho uNatur

Kulo mdwebo ongenhla sibona izitezi ezimbili ngaphezu komdwebo wezigaba ezimbili: amaqembu amabili ahlukene, njengoba kukhonjisiwe futhi etafuleni elithi "Psyche - Brain - Organ".

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Iphansi eliphuzi lihambisana neqembu le-altbrain kanye nobomvu kuya ku-cerebrum, njengoba kungabonakala ngokushesha ngakwesokunxele somdwebo. Esigabeni sohlelo ngokusebenzisa ubuchopho, umuntu angacabanga izinga eliphansi, okungukuthi i-altobrain, njengento efana novemvane noma inyoni ephakamise amaphiko ayo. Isiqu (ophuzi) yisiqu sobuchopho (ikhanda = ubuchopho obuphakathi, isisu - ibhuloho, amaphoni, umsila okuthiwa yi-medulla oblongata, umgogodla ongaphezulu). Iphiko elinemigqa yedube eliwolintshi yi-cerebellum. Inemigqa ewolintshi ngoba ingeyobuchopho obudala, kodwa futhi nesendlalelo segciwane eliphakathi (i-mesoderm) Uma sibheka ithebula elihambisana nencwadi, sizothola amazinga avundlile alo mdwebo lapho njengamaqembu aqondile.

Kwesobunxele, okuphuzi, isiqu sobuchopho, ungqimba lwegciwane lwangaphakathi. Phakathi nendawo, okusawolintshi: Ungqimba lwamagciwane oluphakathi: izitho ezilawulwa yi-cerebellum phezulu, izitho ezilawulwa yi-cerebral medulla ezansi (isb. uhlaka lwamathambo, ama-lymph nodes, ama-ovaries, izinso, njll.). Kwesokudla, okubomvu, i-cotyledon yangaphandle, izitho ezilawulwa yi-cerebral cortex ngaphezulu nangaphansi.

Uma sibheka umdwebo wethu futhi, sibona ukuthi izinga lobuchopho elidala libangela ukukhula kwesimila ngokwanda kwamangqamuzana esigabeni sokungqubuzana (isigaba se-ca), esigabeni sokuphulukisa ngemva kokuxazululwa kwezingxabano (conflictolysis), esikubiza nangokuthi okuthunyelwe. -isigaba se-conflictolytic noma Ebizwa ngokuthi isigaba se-pcl ngamafuphi, isimila siphinde sihlukaniswe yi-mycobacteria (isb. I-TB).

Ezingeni elibomvu le-cerebrum liphambene ncamashi: esigabeni se-CA, amangqamuzana ayancibilika lapho - siwabiza ngokuthi ama-necroses noma izilonda - esigabeni se-PCL lezi necrose noma izilonda zigcwaliswa futhi noma zelashwe futhi. Njengoba kungekho muntu owazi lutho kuze kube manje, ngoba akekho owayenesistimu, ukubuyiselwa noma ukugcwaliswa kabusha kwe-necroses nezilonda esigabeni se-pcl kwakubizwa ngokungazi ngokuthi umdlavuza noma i-sarcoma, ngoba lokhu kuhilela ukwanda kwamaseli (ama-mitoses) anamaseli amakhulu futhi amakhulu. ama-nuclei enzeka - kodwa ngenjongo yokuphulukisa!

Isixazululo sendida kwaba ukuthi manje sesingakwazi ukufaka ukuhlobana kongqimba lwamagciwane kanye nokwenza kwasendaweni kobuchopho okudluliselwe okuqondene nesitho ngasinye ekucabangeni kwethu. Futhi bheka futhi, manje sithola ukuhleleka okumangalisayo kwawo wonke umdlavuza nokulingana nomdlavuza - okwakuyisigaba esisodwa kuphela - futhi ngokushesha sithola izimpawu nokuxhumana kwesigaba esihambisanayo!

Ama-embryologists ngokuvamile ahlukanisa ukukhula kombungu kube yizingqimba ezintathu zamagciwane, i-endoderm noma ungqimba lwamagciwane lwangaphakathi, ungqimba lwegciwane oluphakathi ne-mesoderm noma oluphakathi kanye ne-ectoderm noma ungqimba lwamagciwane lwangaphandle. Iningi lezitho zethu ziphuma kweyodwa kuphela yalezi zingqimba zamagciwane, njengeshubhu lesisu (ngaphandle kwe-rectum kanye no-2/3 ongaphezulu womminzo.²²⁴, ukugoba okuncane kwesisu, isibindi, i-bile kanye ne-pancreatic ducts kanye nama-islet cell of pancreas) i-endoderm, ungqimba lwamagciwane lwangaphakathi.

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Kodwa njengoba ithumbu libuye libe nemithambo yegazi, kodwa lawa ayingxenye yegciwane eliphakathi nendawo, amathumbu abuye abe "nezingxenye ze-mesodermal", njengoba besho. Futhi njengoba ithumbu libuye libe nenethiwekhi yezinzwa, okuthiwa yi-autonomic nervous system, nayo inezingxenye ze-ectodermal.

Kodwa lapho umuntu ethi ngesitho ukuthi imvelaphi endodermal, isibonelo, ke akusho lezi zingxenye mesodermal (imithambo) kanye izingxenye ectodermal (izinzwa), ngoba zonke izitho babe lezi zingxenye.

Kodwa kukhona nezitho ezihlanganiswe ngokusebenza zisuka ezingxenyeni eziningana zezingqimba zamagciwane ezihlukene. Lokhu kubandakanya ikakhulukazi indawo yekhanda namaphaphu enendawo yenhliziyo, isisu, isibindi, amanyikwe kanye ne-duodenum.²²⁵ kanye nendawo ye-vesico-vagino-anal²²⁶ kuhlanganise ne-renal pelvis. Ezinye zalezi zitho ezibuye zisebenze kamuva, esijwayele ukuzibona njengesitho esisodwa namuhla, ngayinye inezikhungo zayo zokudlulisela imiyalezo ezingxenyeni zobuchopho ezivame ukuhlukana kakhulu.

Isibonelo: Isibeletho²²⁷ empeleni iqukethe izitho ezimbili, umlomo wesibeletho nomlomo wesibeletho nomzimba wesibeletho onamashubhu e-fallopian. Lezi zitho ezimbili ezihlukene zibonakala zikhule ndawonye zakha isitho esisodwa, “isibeletho,” kodwa ulwelwesi lwazo luvela ezingqimbeni zamagciwane ezihlukene futhi ngayinye inesikhungo sayo sokudluliselana ezingxenyeni ezihluke ngokuphelele zobuchopho: umlomo wesibeletho nomlomo wesibeletho endaweni ye-periinsular endaweni eseduze. kwesokunxele, i-mucosa yomzimba wesibeletho ku-pons yesiqu sobuchopho. Ngakho-ke, ukwakheka kwe-histological kuhluke ngokuphelele komunye nomunye: umlomo wesibeletho nentamo ine-squamous epithelium, umzimba wesibeletho une-adenoepithelium (cylindrical epithelium). Ngaphezu kwalokho, yiqiniso, kukhona imisipha ye-mesodermal yesibeletho, edluliselwe emkhatsini wengqondo (isiqu sobuchopho). Yingakho ekuqaleni kuthathe umzamo omkhulu kimina ukubona ukuxhumana.
Ngakolunye uhlangothi, izitho ezihlukene kakhulu komunye nomunye emzimbeni, njenge-rectal, i-vaginal, i-coronary vein kanye ne-laryngeal squamous epithelium ngakwesokunxele kwe-periinsular, kanye ne-intrabronchial squamous epithelium, i-coronary intima epithelium kanye ne-epithelium yesinye ngakwesokudla. I-cerebrum ngokuvamile itholakala eduze kakhulu.

Futhi ukube angizange ngiqhathanise ngokuphindaphindiwe izifunda zobuchopho, isibonelo i-homunculus, ukwakheka kwe-histological, imiphumela yocwaningo lwe-embryological evela kwezinye izincwadi zokufunda kanye ne-CTs yami yobuchopho kuhlanganise nomlando wezokwelapha, cishe ngabe ngisacabanga ngakho namuhla, ngoba cishe kuzo zonke izincwadi ze-embryology. kunezinto ezidukisayo, ngezinye izikhathi nezingalungile, ngoba Yebo, akekho owake wasola ukuthi kukhona ukuxhumana.

²²⁴ Umminzo = umminzo
²²⁵ I-Duodenum = i-duodenum
²²⁶ Indawo ye-Vesico-vagino-anal = indawo ephakathi kwesinye, isitho sangasese sowesifazane kanye nedidi
²²⁷ Isibeletho = isibeletho

ikhasi 358

Manje, ngokwesibonelo, ngiyazi ukuthi zonke izindawo zolwelwesi lwamafinyila ezine-squamous epithelium coating zihlangene futhi zinemvelaphi ye-ectodermal, ngakho nazo zihlangene ebuchosheni. Izitho ezihlukene zihlangene, njenge-mucosa yomlomo, i-bronchial mucosa, i-larynx mucosa kanye nama-branchial arch ducts.²²⁸-(i-cyst) i-mucosa, i-coronary artery intima, i-coronary vein intima, i-rectal mucosa, umlomo wesibeletho kanye ne-mucosa yomlomo wesibeletho. Wonke anezikhungo zawo ezidluliswayo kwesokudla nesobunxele, futhi wonke anezingxabano zocansi, indawo noma indawo emaka izingxabano njengezingxabano ezihlobene.

Umthetho Wensimbi Womdlavuza kanye nomthetho wezigaba ezimbili zemvelo yazo zonke lezi zinto okuthiwa yizifo (manje ezibizwa ngokuthi Izinhlelo Ezikhethekile Ze-Meaningful Biological) lapho kuxazululwa ukungqubuzana kwakuyizimfuneko zokuthola uhlelo lwe-ontogenetic lwamathumba kanye nezifo ezilingana nomdlavuza. Kusibonisa ngendlela eqondakalayo eqondakalayo ukuxhumana okuseduze phakathi kwezingxabano zethu, izixhumanisi zobuchopho ezihambisanayo kanye nokuhlangana kwesitho somzimba ngomqondo ohambisana nentuthuko.

Lokhu kubangela i-histopathology yethu yonke ngokuqubuka okukodwa²²⁹ umyalelo osobala ngokuphelele, ozivezayo. Ukudluliselwa kwezingxabano ezifanayo nezitho ezifanayo ngokwe-histological zitholakala eduze kakhulu ebuchosheni.

Kodwa lolu hlelo lwe-ontogenetic lwamathumba kanye nezilinganiso zomdlavuza luye lwasibonisa nokuthi ngaphandle kolwazi lwalo ngeke siwuqonde umdlavuza, isibonelo, ngoba ngokungazi sasibahlukanise ngokwengxenye esigabeni sokungqubuzana, okuyinto - njengoba sibona manje - I-Altbrain-controlled Izimila zesitho nezinye zazo elawulwa yi-cerebrum “Izimila” zesitho, eziqala ukwanda kuphela phakathi nesigaba sokuphulukisa, nazo zahunyushwa ngokungeyikho njengezimila.

Ngakho-ke uma othile ethi bathole uhlelo oluthile kumdlavuza, bekungenzeka ukuthi bekungalungile, njengoba senzile ngalawa okuthiwa ama-tumor marker, isibonelo.²³⁰ okuyinto, ngokubheka emuva, yayingenangqondo ngokuphelele futhi ngokuvamile yayisho okuphambene nalokho empeleni esasikushilo kubo. Kodwa njengoba sasingazi umehluko phakathi kwezinguquko zesitho esilawulwa ubuchopho obudala nezinguquko zesitho esilawulwa ubuchopho, asikwazanga ukuthola ukufana nhlobo futhi uma sasicabanga ukuthi sikutholile, kwakungalungile.

²²⁸ I-Gill arch ducts = izicubu ezitholakala endaweni yentamo ezakha ezivela ezikhwameni ezimbili zegill esigabeni sokuqala sombungu.
²²⁹ I-Histopathology = isifundo sezinguquko "ze-pathological" ngaphakathi nasengqamuzaneni
²³⁰ Izimpawu ze-Tumor = Okubizwa ngokuthi "ama-tumor markers" ngokuvamile ukusabela kwe-serum egazini okubonisa ukuthi i-ca-phase tumor iyakhula. Amakhulu ezimpawu zesimila ezitholakala manje zingasetshenziselwa izinjongo zokuxilonga uma umuntu ewazi kahle umuthi omusha futhi kungekho ukwethuka. Kodwa njengoba kunjalo, "omaka be-tumor" baphonswa ezigulini "njengezimpawu ezinonya". Izinkulumo zabo azinangozi ngendlela emangalisayo.

ikhasi 359

Uhlelo lwe-ontogenetic lwamathumba lubanzi futhi lunengqondo ngokwalo. Vele, ekugcineni kulandela ngokungaguquki kusukela ku-New Medicine kanye nokutholakala komhlambi ka-Hamer ebuchosheni, kanye nomthetho wesibili webhayoloji wemvelo (biphasic).

Kodwa lolu hlelo lulonke lwemithi ye-ontogenetic, ikakhulukazi izimila, luqhathaniswa nezokwelapha nokubaluleka kwesistimu yezakhi zesayensi yemvelo ngezikhathi ezithile. Ichaza kabanzi ukuxhumana kwayo yonke imithi!

16.1 Ukuhlukaniswa kwamathumba

Uhlelo lwe-ontogenetic lwamathumba kanye nokulingana nomdlavuza yilokhu:

1. Izingqimba ezintathu zegciwane le-embryonic nazo zihambisana nezinhlobo ezithile zezicubu ze-histological ezifanayo noma okungenani ezifanayo enye kwenye. Lokho nje i-cotyledon ephakathi noma I-Mesoderm iphinde ihlukane ibe endala noma “Cerebellar mesoderm"futhi entsha noma"I-cerebral mesoderm“. I-"Cerebellar mesoderm” iziphatha ngendlela efanayo nokuthi “I-Brain stem endoderm", ngenkathi "I-cerebral mesoderm"kufana ne"I-cerebral ectoderm“ziphethe.

2. Esimeni se-DHS lapho kugxilwa khona i-Hamer, izindawo zesitho esihambisana nalokhu kugxilwa kwe-Hamer zisabela ngendlela efanayo "Ukusabela kwe-Cotyledon":

I-endodermal brainstem-controlled kanye ne-mesodermal cerebrum-controlled (ndawonye - altbrain-controlled) izitho zisabela esigabeni esisebenzayo (ca phase) ngokwanda kwamaseli, izitho ezilawulwa yi-mesodermal cerebrum nezitho ezilawulwa yi-cerebral cortex (ndawonye - Izitho ezilawulwa yi-cerebrum) zisabela nge-necrosis noma izilonda.

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3. Isigaba sokuphulukisa ngemva kokungqubuzana sihluke kakhulu ezingqimbeni ezintathu zamagciwane:

I-cotyledon yangaphakathi:

Misa ukukhula komdlavuza, ukugqunywa noma ukucekelwa phansi yisikhunta noma amagciwane afungal, isibonelo amabhaktheriya e-tubercle. (ngokwesibonelo isifo sofuba samaphaphu)

I-cotyledon ephakathi:

a) Cerebellar mesoderm:

Ukuboshwa kokukhula, ukugqunywa noma ukucekelwa phansi ngamagciwane njengasesendlaleni segciwane elingaphakathi, isibonelo i-mammary carcinoma ebangelwa amagciwane noma i-mycobacteria.
(isibonelo i-TB yebele)

b) Cerebral medulla mesoderm:

Ukubuyiselwa ngokuvuvukala nokukhula ngokweqile ngomqondo we-sarcoma noma emathanjeni ane-callus ekhulayo njenge-osteosarcoma. Empeleni, ukukhula ngokweqile akunangozi ngokuphelele futhi kuyama ngokuzenzekelayo ekupheleni kwesigaba sokuphulukisa esivamile. Amagciwane asiza ngokwakhiwa kabusha (isibonelo “i-osteosarcoma”, i-ovarian cyst, i-kidney cyst – nephroblastoma)

I-cotyledon yangaphandle:

Ukuthambekela kokugcwalisa i-ulcer necrosis ngokubuyisela noma ukubuyisela i-cicatricial ngosizo lwamagciwane (isb. i-viral hepatitis).

Odokotela abaningi bakuqinisekisile ukuthi i-IRON RULE OF CANCER, okokuqala ngqa, ilethe uhlelo olucacile ekudidekeni okukhona kwemibono mayelana nemvelo yezimila. Miningi imibuzo ebingakaphendulwa. Manje, ngikholelwa ukuthi, ngiphumelele ekutholeni isimiso esibanzi esingahlanganisi nje izimila kodwa, empeleni, yonke imithi. Ngenxa yokuthi ukuphazamiseka kwezindawo zethu zokuziphatha ngenxa yokungqubuzana kwezinto eziphilayo kuyindaba ekhethekile, isimo esikhethekile sohlelo luyashintsha endaweni yobuchopho, okuwukuthi ukugxila kuka-Hamer, lapho ngaphambili lwalusebenza ngokujwayelekile ngokunemba okumangalisayo. Okuhlaba umxhwele ngendlela emangalisayo ngoshintsho lohlelo ukuthi umzimba wonke ugqugquzelwa yi-DHS, kodwa ukuthi lolu shintsho, engangilubuke njengongaphathi kahle, alunalo neze uhlelo, kodwa ngokusobala lunencazelo, olunikezwe ngokwemvelo. , okuhloswe ngokwemvelo Ithuba lokusinda ekulweleni ubukhona kufanele lisetshenziswe ngawo wonke amandla umuntu anawo. Lokhu kushintsha kohlelo kuyingxenye yomcimbi onenjongo.

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16.2 “Cerebella mesoderm” kanye “ne-cerebrum ectoderm”

Ngangihlale nginobunzima obuthile lapho, njengakulesi sahluko, kufanele ngeqe okutholwe izazi ze-embryologists. Kuma-embryologists, imibuzo ethile ayizange ibonakale ibalulekile, yingakho bengazange babhekane nayo ngokuqondile. Isikhumba sinomvelaphi we-ectodermal, kodwa yiqiniso kuphela i-epidermis²³¹. I-epidermis ngaphandle kwezicubu ezingaphansi kwesikhumba (corium²³²), ngoba imvelaphi ye-mesodermal. Kukhona umehluko ocashile kulokho okubizwa ngokuthi izingqimba zesikhumba.

Eqinisweni kukhona ungqimba oluphansi lwesikhumba (corium) lwemvelaphi ye-mesodermal, equkethe izindlala (izindlala zomjuluko, izindlala ze-sebaceous) kanye nama-melanophores.²³³. Bese kuba khona i-epidermis engaphandle kakhulu ye-squamous epithelium, enemvelaphi ye-ectodermal. Iqukethe ezithintekayo ngokukha phezulu²³⁴ Iziphetho zemizwa kanye nongqimba lwe-melanophore ngaphansi.

Umehluko ocashile ukuthi amanye amaseli awavalwa yi-cerebellum, amanye yi-cerebrum. Futhi lokhu kubuye kunqume umsebenzi wabo kuphela, kodwa futhi nesakhiwo sabo se-histological, futhi yiqiniso futhi "i-tumor reaction" yabo ehlukene noma ukwakheka.

16.3 I-cerebellar mesoderm

Ngesikhathi somlando wethu wokuziphendukela kwemvelo, lapho "okhokho" bethu basendulo beqala ukushintshanisa imvelo yamanzi kuleyo ndawo, ngesikhathi lapho i-cerebellum isakhiwa, umuntu wayedinga isikhumba esingagcini nje ngokunikeza ukuzinza, kodwa futhi ngokumelene ne-cerebellum. ingavikela ukukhanya kwelanga ngokweqile, ivimbele ukuphelelwa amanzi emzimbeni, njll. Ngifuna lesi sitho ngelinye ilanga mesodermal cerebellar isikhumba ucingo.

Lesi sikhumba se-cerebellar bekungadingeki simelane nanoma yikuphi ukucindezeleka okukhulu kwemishini. Nokho umuntu wakwazi ukuqhubekela phambili, ekhasa okwesikelemu. Isikhumba sasine-non-specific, okuthiwa "i-protopathic sensitivity"; Okusho ukuthi, yayinozwela engcindezini eyedlulele kanye nezinga lokushisa futhi ngenxa yalokho yayisivele ikwazi ukuzivumelanisa nezimo futhi isebenza lapho izimo zemvelo zishintsha kakhulu. Lesi sikhumba sasigcina ama-melanophore, okuthi nge-pigment yawo akwazi ngokukhethekile ukuvikela ukukhanya kwe-UV elangeni Ngaphezu kwalokho, lesi sikhumba sasinekhono lokubeka ifilimu yoketshezi phezu kwesikhumba ngokusebenzisa izindlala zomjuluko ukuze zenze ukupholisa okuhwamukayo kanye nokuhwamuka. ngaleyo ndlela ishisa isikhumba. Ngakho-ke umuntu wayesevele evikelekile ezingozini ezizayo endaweni ebalulekile.

²³¹ I-epidermis = ungqimba olungaphezulu lwesikhumba
²³² I-Corium = i-dermis, ingxenye yezicubu ezixhumeneyo zesikhumba
²³³ Ama-melanophores = amaseli aqukethe umbala wesikhumba
²³⁴ thinta = ukuthinta, okuhlobene nomuzwa wokuthinta

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Ngemuva kokwakhiwa kwalesi sikhumba se-cerebellar, isikhungo saso sokudlulisa esisithola ku-cerebellum ephakathi nendawo kanye ne-lateral (esimeni sokungqubuzana sinokungqubuzana kobuqotho bomzimba kanye nokungqubuzana kokungcola) ukuziphatha kwezilwane ezincelisayo. yathuthukiswa. Ngokunengqondo, umbele wasuswa ngokushesha esikhumbeni. Ngakho-ke, i-mammary gland iwukungena kwalesi sikhumba se-cerebellar, lapho usana lungakwazi ukuncela ubisi lwayo. Konke kulele ndawonye ngobunono ku-cerebellum.

I-epithelium ye-glandular yasekuqaleni yemigudu yobisi ngokusobala ayiselona uhlobo lwe-glandula yomzila wamathumbu, nakuba i-morphologically ihlobene kakhulu nayo kune-squamous epithelium yongqimba olungaphandle lwesikhumba. Zombili zihluke kakhulu - ngoba indawo yemvelaphi ebuchosheni nayo ihluke kakhulu! Igama elingcono kakhulu le-epithelium ye-gland yemigudu yobisi, umjuluko kanye nezindlala ze-sebaceous ngakho-ke kungaba "izicubu ze-cerebellar gland".

I-cerebellum ihlanganisa "isikhumba sangaphakathi" somzimba, i-peritoneum esiswini, i-pleura esifubeni kanye nesikhala se-mediastinal.²³⁵ i-pericardium²³⁶.

Lapha siphinde sihlukanise phakathi kwe-parietal peritoneum kanye ne-visceral peritoneum²³⁷, kanye ne-parietal pleura ne-visceral pleura kanye ne-parietal pericardium kanye ne-visceral pericardium.

Ngakho-ke imidlavuza yabo ibizwa nge-mesotheliomas²³⁸.

Umdlavuza ukhula esikhunjeni se-corium, esilawulwa yi-cerebellum²³⁹, uyabonakala! Futhi le membrane ye-cerebellar nayo ibhekene ne-edema, kulokhu okuthiwa i-effusions esigabeni sokuphulukisa, i-peritoneal effusion noma i-ascites, i-pleural effusion kanye ne-pericardial effusion esabekayo nge-tamponade yenhliziyo.²⁴⁰! Empeleni into enhle kakhulu, kodwa namanje yesaba kakhulu kimi njengenkinga yenqubo yokuphulukisa!

²³⁵ I-Mediastinal space = i-mediastinum
²³⁶ I-Pericardium = isikhwama senhliziyo
²³⁷ I-Viscera = amathumbu
²³⁸ I-Mesotheliomas = izimila zezitho eziphuma kungqimba lwegciwane eliphakathi, lisuka kwelesiGreek elithi 'meso' = middle
²³⁹ I-Augmentum = ukukhuliswa
²⁴⁰ I-cardiac tamponade = ukucindezela kwenhliziyo ngokuphuma kwe-pericardial

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16.4 I-cerebral ectoderm

Esikhathini esilandelayo, amandla esikhumba se-cerebellar ayengasanele. Esikhathini sobuchopho besimanje, uMama Wemvelo ngakho-ke udale ukwakhiwa okusha okukhulu, okuhlanganisa nendawo yesikhumba: umane emboze wonke umuntu ngesikhumba sesibili, isikhumba sobuchopho.

Lesi sikhumba sobuchopho, okuyimvelaphi ye-ectodermal, sasingafani nesikhumba se-mesodermal cerebellar, isikhumba esiqinile se-squamous epithelial. Lesi sikhumba se-squamous, esihlotshaniswa ne-cerebrum, manje sithuthele eduze nezingxenye futhi simboze ngokuphelele isikhumba se-cerebellar. Yaletha ukuzwela okuhle noma okungaphezulu kwe-cerebrum (isikhungo esizwelayo se-postcentral gyrus) futhi yasiza umzimba ukuthi uthole lonke ulwazi oludingekayo ukuze ulungiselele umuntu izidingo ezisheshayo neziyingozi zomzabalazo wokuphila ukuze azivumelanise nesimo. umuntu ohlelekile kakhulu.

Ukwakheka kwe-squamous epithelium kuwuphawu olujwayelekile lwe-morphological lwesikhumba sobuchopho noma i-cerebral epithelium. Kodwa-ke, le cerebral squamous epithelium ayizange ime emingceleni yesikhumba esidala se-cerebellar, kodwa kunalokho, isibonelo, i-endodermal columnar epithelium esesinyeni kanye ne-endodermal epithelium ku-renal pelvis noma i-endodermal epithelium emlonyeni kanye ne-epithelium engenhla, i-lesser. esiswini kanye ne-bile kanye ne-pancreatic ducts kanye ne-cerebellar-mesodermal adenoid epithelium yemigudu yobisi (intraductal). Ngakho-ke manje sithola i-cerebral squamous epithelium evamile esikhumbeni esingaphandle, kulwelwesi lwamafinyila lomlomo kanye ne-nasopharynx, i-squamous epithelium ye-larynx, i-bronchi, i-squamous epithelium yomminzo, kanye ne-pylorus.²⁴¹, Bulbus Duodeni²⁴² kanye nama-pancreas anezandiso kumaseli e-islet we-pancreas kanye ne-epithelium ye-bile ducts.

Ngesikhathi esifanayo, nokho, siphinde sithole le-epithelium ye-squamous esinyeni, i-pelvis ye-renal, i-vagin, umlomo wesibeletho kanye nomlomo wesibeletho, emiseleni yobisi kanye ne-rectum. Zonke izindawo ezihlanganiswe nalolu hlobo lwe-squamous epithelium zizwela kakhulu futhi zixhunywe esikhungweni sezinzwa ze-cerebrum. Bonke “banezingxabano zobuchopho” ezijwayelekile (ukugxila kuka-Hamer ku-cerebrum).

Lokhu kufaka phakathi i-periosteal epidermis yangaphambili²⁴³, ngaphambili eyayihlanganisa i-squamous epithelium nezinzwa. Namuhla i-squamous epithelium ayisatholakali ngenxa yokuthi ayisenawo umsebenzi, kodwa imizwa ezwelayo isekhona. Zibuhlungu lapho i-periosteum yeluliwe. Ubuhlungu lapho i-periosteum yeluliwe, eyenzeka njalo lapho ithambo likhula i-edema phakathi nesigaba sokuphulukisa, kuwuphawu oluhle kanye nenqubo ebalulekile ekwelapheni kwezinto eziphilayo kwamathambo, ngoba lobu buhlungu buphoqa umuntu ukuba agcine ingxenye yamathambo ethintekile inganyakazi, okuyinto ngaphansi kokucindezeleka noma ukucindezeleka kokusebenza kungaba sengozini yokuphuka.

²⁴¹ I-Pylorus = umlindisango wesisu onemisipha eyindandatho eqinisiwe
²⁴² I-Bulbus Duodeni = ingxenye ye-duodenum elandela i-gastric pylorus
²⁴³ periosteum = ithambo lesikhumba; Epidermis = isikhumba sangaphandle

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Isibonelo, ku-rectum sivame ukuthola isimila se-endodermal sublayer siphusha ku-ectodermal squamous epithelial mucosa. Bese sikhuluma "nge-polyp" (adeno-carcinoma).

16.5 Izilonda ze-ventricular kanye ne-duodenal

(Isisu kanye nesilonda se-duodenal)

Ngemva kokubuza mathupha ezinye zezinkanyiso ze-embryology, manje sengiqinisekile ukuthi kokubili i-rectal mucosa (kufika kumasentimitha angu-12 ukusuka endunu) kanye nolwelwesi lwesitho sangasese sowesifazane okuhlanganisa nomlomo wesibeletho nesibeletho somlomo wesibeletho, kanye nolwelwesi lwesinye kanye ne-renal pelvis, kanye nengxenye engaphezulu kwezingxenye ezimbili kwezintathu ze-epithelige engenhla.²⁴⁴ okuhlanganisa ukugoba okuncane kwesisu, amangqamuzana e-islet of pancreas kanye nama-pancreas kanye nama-bile ducts esibindi kanye namangqamuzana aseduze emithanjeni yenhliziyo kanye nemithambo yenhliziyo (ezwela kakhulu!) asuka e-ectodermal.

Wonke ane-squamous epithelium noma i-epithelium eyisicaba, wonke “ahlaselwe” ngaphandle, okungukuthi empeleni “ulwelwesi lwamafinyila olufudukayo” (“ukufuduka” kwe-cerebral-ectodermal!!)

Ngibone ukuxhumana okucishe kube okuyisisekelo okubonakala kucace uma ngibheka emuva, kodwa okwangibiza kakhulu ngamakhanda ekhanda ngaphambili. Lesi yisilonda se-ventricular (isilonda sesisu) nesilonda se-duodenal (isilonda se-duodenal).

Njengoba ngishilo, uma ngibheka emuva kucacela wonke umuntu ukuthi isilonda esiswini sinezimbangela ezingokwengqondo, kanjalo nesilonda se-duodenal. Kimina lokhu akuyona into engavamile ngoba ekugcineni yonke into ilawulwa ubuchopho bekhompyutha. Kodwa isilonda sesisu kanye nalokho okubizwa ngokuthi "i-facies gastrica", "ubuso besisu", okuyinto ejwayelekile kubo bonke odokotela, ayihambisani nakancane nezitho zobuchopho ezilawulwa yisiqu somgodi wesisu. Ngokunjalo, i-islet cell cancer elingana (i-insuloma) yawo womabili amaseli e-alpha islet namaseli e-beta islet ayikulingani lokhu, futhi nohlobo oluthile lwe-carcinoma yesibindi (bile duct carcinoma).

Kodwa manje kunama-cancer esisu afana ne-cauliflower, ngisho namakhulu kangangokuthi angagcwala isisu sonke. Lokhu kuphikisana kungachazwa kanjani?

²⁴⁴ Umminzo = umminzo

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Okokuqala, ake sicabangele amanye amaqiniso wonke umuntu awaziyo kodwa akekho oke wakwazi ukuwachaza:

1.  Owesifazane osemncane wesifazane cishe akaze athole isilonda esiswini noma isilonda se-duodenal (ngaphandle uma eyinxele).
2.  Kuyivelakancane ukuthi owesifazane osemncane angaba ne-carcinoma yesilonda sesibindi. Angikakayiboni (ngaphandle kwenxele).
3.  Izilonda zesisu zihlala zisendaweni eyodwa: ku-gastric pylorus (pylorus/bulbus) kanye nokugobile kwesisu esincane, hhayi ku-fundus.²⁴⁵ noma ku-curvature enkulu.
4.  Izingxenye ezimbili kwezintathu ezingenhla zomphimbo zimbozwe i-squamous epithelium, ephansi kakhulu nge-epithelium yamathumbu. Kodwa i-epithelium ye-squamous ivame ukudlulela esiswini, okungukuthi ngemuva kwalokho okubizwa ngokuthi i-cardia.²⁴⁶.
5.  I-rectal carcinoma kanye ne-carcinoma yesilonda sesibindi ngokuvamile kwenzeka ndawonye.

Uma uhlanganisa zonke lezi zingcezu ze-mosaic, cishe kungenzeka ukuthi izingxenye zale epithelium ye-squamous, eye yavela ku-oral mucosa (ectoderm!) phansi komminzo, empeleni inabela nezandiso zayo, kuhlanganise nemicu yezinzwa, ingene emgodleni. i-duodenum kanye nama-pancreas (ama-islet cell) futhi athuthele esibindini. Imicu ayikafuduki ngokuqhubekayo, futhi leso futhi isizathu esenza kube ne-carcinoid eyodwa encane yamathumbu. Ngokomlando wokuthuthuka, ithumbu elincane labe seli “chitshwa phakathi” phakathi kwe-duodenum ne-cecum.²⁴⁷, inesikhungo esincanyana esidluliselwe esiqwini sobuchopho esingahambelani nosayizi noma ubude baso kanye nokuqukethwe okungqubuzana okungagayeki. Ngiyaqiniseka ukuthi yonke imicu yezinzwa exhuma ukugoba okuncane kwesisu, i-pylorus²⁴⁸- futhi indawo ene-bulbous yesisu ne-duodenum, i-papilla kanye ne-pancreatic duct kanye ne-bile duct kanye ne-cystic duct, kanye ne-hepatic duct, konke kunikezwa i-postcentral gyrus efanele ngaseceleni nangaphansi. Iphephile esiswini nesibindi, futhi ngiphephile emiseleni ye-pancreatic, kodwa i-pancreatic islet cell innervation (ezwelayo) ivela ku-diencephalon: i-left paramedian alpha islet cell relay yokuntuleka kwe-glucagon (ukungqubuzana kokwesaba nokwenyanya); i-paramedian beta islet cell relay yesokudla yesifo sikashukela mellitus ukungqubuzana kokumelana).

Yiqiniso, ngemva kokuthola lokhu kuhola okushisayo, ngabheka kuwo wonke ama-CTs ami obuchopho futhi ngathola ngempela ukuthi ngenze iphutha elikhulu - ikakhulukazi nge-infarction ye-ventricular kwesokunxele:

²⁴⁵ Fundus = phansi kwesitho, lapha isisu
²⁴⁶ Cardia = isisu umlomo
²⁴⁷ I-Coecum = ithumbu elikhulu
²⁴⁸ I-Pylorus = umlindisango

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Ngokuvamile iziguli zazinezilonda ezimbili zika-Hamer, esisodwa esivamile se-coronary ulcer carcinoma noma i-intrabronchial carcinoma ku-periinsular engakwesokudla, kodwa futhi nesilonda sika-Hamer sesibili engingakwazi ukusehlukanisa, kodwa engangicabange ukuthi kufanele sibe khona "lokhu kuhlanganisa" . Nokho, lokhu kwakuhlale kutholakala engxenyeni ye-latero-basal ye-postcentral gyrus yesikhungo se-sensory cortical kwesokudla.

Manje kwase kuyindaba evamile ukuhlola irekhodi lezokwelapha ukuze kubonakale ukuthi isiguli sasikhononde yini ngezinkinga zesisu (engangizihumushe kabi ngokuthi “umculo ohambisanayo” we-angina pectoris ovela ku-coronary carcinoma). Futhi kunjalo: ezimweni eziningi ngiphawule ukuthi isiguli "naso" sikhononda ngezinkinga ezinzima zesisu, i-colic, ukuhlanza, i-tarry stools noma okunye okunjalo, okuyinto bonke odokotela ababethi ibuhlungu benhliziyo njenge-"gastro-cardiac syndrome".

Uma manje sigcina isimo sesilonda emqondweni, kusho ukuthi siwukukhubazeka kwento. Sithola inqubo efanayo kuwo wonke ama-squamous cell carcinomas (umlomo womlomo, umcosa we-intrabronchial, i-coronary mucosa, i-vaginal ne-cervical mucosa, isinye kanye ne-rectum mucosa, lapha esinyeni kanye ne-rectum exutshwe nama-polyps ayingxenye ye-endodermal intestinal epithelium kanye ne-adenocarcinoma tissues! ).

Akungabazeki ukuthi: izilonda zesisu kanye ne-duodenal empeleni ziyizilonda zamaseli e-squamous, ziyimvelaphi ye-ectodermal, futhi zinesikhungo sazo sokudlulisa ku-lateral postcentral retroinsular gyrus.²⁴⁹ kwesokudla, kuyisici sokuziphatha sowesilisa.

Indaba ayinzima kangako ukuyiqonda: ku-esophagus engezansi, ekugoqeni okuncane kwesisu, ku-pylorus ye-gastric outlet kanye ne-duodenal bulb kanye nakumgudu we-pancreatic, i-bile duct evamile.²⁵⁰ kanye nemigudu yesibindi, ukwakheka kwe-epithelial okubili kuyagqagqana: i-epithelium yamathumbu, eyehla ngokuguquguqukayo isuka ku-endoderm, ungqimba lwamagciwane angaphakathi, futhi iyingxenye yomgudu wokugaya ukudla futhi inesikhungo sayo sokudluliselana esiqwini sobuchopho, kanye ne-epithelium encane ye-squamous, eyingxenye. ku-ectoderm, isikhungo sangaphandle se-germ relay isikhungo ku-cerebrum. Ngakho-ke ubuhlungu bezilonda zesisu noma i-duodenal, ku-biliary colic. Ngakho-ke ukugcinwa (okufudukayo) kwamaseli e-islet ngokusebenzisa i-diencephalon (amaseli e-islet ahlinzekwa ngokuqondile futhi alawulwa ngovalo yi-diencephalon!).

Esikhathini esidlule, abalobi abaningi bezincwadi zezokwelapha babekholelwa ukuthi i-hydrochloric acid esiswini yabangela izilonda zesisu. Kodwa ukugoba okukhulu kwesisu, lapho iningi le-hydrochloric acid likhona, alilokothi libe nesilonda. Ngaphezu kwalokho, kukhona hyperacidity²⁵¹ isisu sesivele siwuphawu lwe-vagotonic, njengoba lutholakala kuzo zonke izincwadi zokufunda.

²⁴⁹ i-retro- = ingxenye yegama enencazelo emuva, ngemuva
²⁵⁰ I-Choledochus = i-bile duct
²⁵¹ I-Hyperacidity = i-acidity eyeqile

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Akekho ophikisa ukuthi izilonda zesisu zinento yokwenza nokungqubuzana. Kodwa iqiniso lokuthi kunezinhlobo ezimbili ezahlukene zomdlavuza esiswini, umdlavuza "wezilonda" kanye nomdlavuza "ofana ne-cauliflower", kunzima ukukuqonda ekuqaleni. Ngezilonda zesisu kufana nezilonda ku-mucosa yomlomo: amaseli anezilonda, okungukuthi, anqatshiwe, ukuze i-lumen, okuyi-diameter yangaphakathi yesitho se-tubular, ibe nkulu ngakho-ke igazi eliningi (imithambo ye-coronary), umoya (bronchi). ukudla (i-duodenum noma i-esophagus) noma i-bile (choledochal noma i-intrahepatic²⁵² ama-bile ducts).

Lokhu kuchaza "into encane", ukukhubazeka kwento. Ngendlela, i-esophagus nesisu kunesikhungo sazo sokudlulisa futhi ngaleyo ndlela i-Hamer yabo igxile cishe endaweni efanayo. Okuqukethwe kokungqubuzana kuhlala kunokuxhumana nendawo.

Kuthiwani nge-carcinoma yesibindi? (Zivame ukwenzeka kanye nesilonda se-ventricular). Siphinde sibe nezinhlobo ezimbili zezimila esibindini: lezo ezinokukhubazeka kwento zitholakala emiseleni yenyongo, lapho imicu ye-cerebral nerve fibers (ezwelayo) ifinyelela khona. Ezinye zitholakala ku-parenchyma futhi zakha amaqhuqhuva esibindi amakhulu, ane-adenoid ku-parenchyma yesibindi (uma kukhona eyodwa kuphela, ibizwa ngokuthi “i-solitary liver carcinoma”), ngesinye isikhathi ngisho namaqhuqhuva anamaqhubu eduze kwe-capsule yesibindi, evamise ukupetezeka kalula. kungaba. Zifana nesithombe sesimila samathumbu. I-Solitary Liver carcinoma inganyamalala kuphela uma i-case futhi iphulwa yisifo sofuba phakathi nesigaba sokuphulukisa. Imigodi ye-hepatic esele ivamise ukugoqa futhi iqine²⁵³ kulokho okubizwa ngokuthi yi-cirrhosis yesibindi sodwa (empeleni inqubo efanayo ne-cavernizing pulmonary nodules of the alveolar area).

Isisu kanye nesilonda se-duodenal sinesinye isici esikhethekile: Njengoba isikhungo sokudluliselana sise-cortex, sibangela isithuthwane sesisu ngemva kokudutshulwa kwe-edema ephikisanayo!

Ngokombono wami, i-gastric colic ene-cramps ngokuvamile, noma mhlawumbe ngisho nakakhulu, inkinga ye-epileptoid ngemva kokuxazululwa kwengxabano. Njengoba "ukungqubuzana kwe-cerebrum nesisu" ngokusobala kuhlobene kakhulu nokungqubuzana kwendawo futhi kuvame ukwenzeka kanye nakho, isithombe sokuhlaselwa yinhliziyo sasivame ukufihlwa isithombe sasemtholampilo se-gastric colic. Ezimweni ezingavamile kakhulu umuntu wakhuluma nge "Hepato-Gastro-Cardialem".²⁵⁴ I-Syndrome" noma "i-Gastro-cardiac syndrome", kuye ngokuthi yini ethintekile futhi ehlanganisiwe.

²⁵² intrahepatic = etholakala esibindini
²⁵³ indurated = hardened
²⁵⁴ Hepato-Gastro-Cardialem= isibindi, isisu, inhliziyo

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Lokhu kuzohlukaniswa ne-intestinal colic esigabeni sokuphulukisa ngemva kokukhubazeka kwangaphambili kwe-muscular intestinal.²⁵⁵ (uhhay okhubazekile). Ukungqubuzana: ukungakwazi ukusunduzela ingxenye ethile phambili, okusho ukungakwazi ukugayeka.

Kuyinto eyaziwayo ukuthi i-carcinoma kulezi zindawo ayilokothi isabalale esithweni esibonakala siseduze futhi singagxuma lokho okubizwa ngokuthi "i-organ threshold". Asilokothi sibone i-rectal carcinoma isakazeka kukholoni ye-sigmoid, umlomo wesibeletho²⁵⁶-I-Carcinoma ku-corpus uteri²⁵⁷ noma ukuthi i-renal pelvic ulcer carcinoma isakazekela emiseleni eqoqayo (endodermal) noma isuke lapho futhi iye ku-glomerular parenchyma (mesodermal) yezinso, noma i-upper esophageal carcinoma isakazekela ekugotshweni okukhulu kwesisu.

Kulezi zifunda ezifanayo zobuchopho ngakwesokunene se-periinsular kukhona futhi izikhungo zokudlulisela izitho ezibuye zibe ne-squamous epithelial mucosa, nakuba ekuqaleni zibonakala zingahlangene nhlobo nezitho ze-recto-vagino-vesical: i-oral cavity, esophageal kanye ne-bronchial mucosa. kanye nalokho okubizwa ngokuthi i-intima ye-coronary arteries. Izitho ezithi uma uthi nhlá zakuqala azihlanganise lutho nezinye noma nezitho zokumaka zocansi kanye nezindawo zokumakwa kwe-recto-vagino-vesical.

Kuze kube manje, akukho ukuphikisana okuye kwavela kuma-embryologists inqobo nje uma “Unxantathu Womuthi Omusha” wawungaziwa. Kodwa-ke, njengoba manje kufanele sifunde ukuthola ukuhlobana okuqondile phakathi kokungqubuzana kwezinto eziphilayo, ukwenziwa kwendawo ebuchosheni kanye nokuhlobana kwezitho ngendlela eqondakalayo ngokuthuthuka, sifunda nokuqonda ukuhlobana phakathi kokwenziwa kwendawo kobuchopho kanye nesakhiwo se-histological ngokombono wokuthuthuka.

Manje sifunda ukuqonda ukuthi i-branchial arch arteries inesikhundla esikhethekile phakathi kwe-arteries ngoba i-intima yabo ye-vascular iqukethe i-epithelium ye-squamous (ebucayi kakhulu!), Enikezwa esifundeni se-periinsular ebuchosheni, okungukuthi ekuziphatheni kwendawo.

Manje siyaqonda futhi ukuthi kungani abantu babevame ukudukiswa esikhathini esidlule yiqiniso lokuthi amangqamuzana e-glial ebuchosheni²⁵⁸ ngezinye izikhathi kubukeka kufana namaseli e-squamous epithelial e-keratinizing lapho lawa maseli e-glial enza izicubu ze-glial scar (mesodermal), okuthiwa “ama-glioma”. Isikhumba sangaphandle (i-epidermis) siphinde sibe ne-ectodermal, kodwa isikhumba sonke sinezikhumba ezimbili ezihlukene ngokwentuthuko, isikhumba esidala, esine-mesodermal "cerebellar", isikhumba sanamuhla esingaphansi kwesikhumba esinomjuluko nezindlala ze-sebaceous kanye nombono oqinile wezinzwa, kanti encane " isikhumba sobuchopho” (I-Epidermis) eyenziwe nge-squamous epithelium ezwela kahle.

²⁵⁵ Ukukhubazeka kwamathumbu = ukukhubazeka kwamathumbu
²⁵⁶ Isibeletho = umlomo wesibeletho
²⁵⁷ I-Corpus uteri = umzimba wesibeletho
²⁵⁸ Amaseli e-Glial = amaseli ezicubu ezixhumeneyo

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Ukwazi ukuchaza imininingwane ngendlela egculisayo kufanele kushiyelwe kubaphenyi nabatolika abalandelayo. Nokho, lokhu ngeke kushintshe lutho ngohlelo ngokwalo.

Izitho ezilawulwa yi-Cerebrum nezitho ezilawulwa yi-altbrain ziziphatha ngendlela ephambene ncamashi enye nenye ngokuphathelene nokwanda kwamaseli nokuncibilika kwamaseli phakathi nezigaba ezizwelayo kanye ne-vagotonic.

Ngakho-ke ngenkathi izitho ezindala ezilawulwa ubuchopho zikhiqiza ukwanda kwamaseli esigabeni sokungqubuzana, izitho ezilawulwa yi-cerebrum zikhiqiza ukuncibilika kwamaseli esigabeni sokungqubuzana.

Esigabeni sokuphulukiswa kwe-vagotonic isimo siphambene ncamashi. Lokhu bekungaziwa kuze kube manje, noma kusolwa.

Njengoba konke ukwanda kwamangqamuzana kwakubhekwa njenge-tumor, ngakho-ke kubuyisela, okwakujwayelekile ngokuphelele eqenjini elibomvu (i-cerebrum)²⁵⁹ Ukwanda kwamaseli esigabeni sokuphulukisa, okungukuthi ukugcwaliswa kabusha kwe-organ necrosis (isb. i-callus²⁶⁰- I-Sarcoma ngemva kwe-bone osteolysis) kanye nokwanda kwamaseli weqembu eliphuzi (ubuchopho obudala) (isb. Ababengabaza kakhulu yilabo ababeshaya sengathi kukhona okufanayo phakathi kwala maqembu aphikisana ngokuphelele. Ngaphandle kweqiniso lokuthi womabili la maqembu adlula ngokuhlukana kwamangqamuzana, nakuba ngezigaba ezihlukene futhi ngenxa yalokho ngenxa yezizathu ezihluke ngokuphelele, lezi zinhlobo ezahlukene zokuhlukaniswa kwamangqamuzana zazingenalutho olufana ngazo, zaziphikisana kuphela. Kodwa akekho owake wakuqaphela lokho.

1.  ngoba abantu babengenasithakazelo ku-psyche nezingxabano, ikakhulukazi izingxabano zezinto eziphilayo, mayelana nomdlavuza. Kwakunenkolelo yokuthi “amaqiniso” okucatshangwa ukuthi angokwesayensi yezesayensi yemvelo (amabi - hhayi amabi) ayengathenjelwa.
2.  ngoba ngokweqiniso babebheka kuphela izimila zobuchopho kanye nama-metastase kuma-CT scans wobuchopho, esikhundleni sokuthumela amakhompyutha obuchopho bethu. Babengafuni ukwazi lutho ngemihlambi kaHamer ngoba “babewulahle wonke ngefasitela umuthi”.
3. ngenxa yokuthi izandla zalabo abaphethwe umdlavuza nezifana zomdlavuza azizange zinyakaze ngisho nokuqaphela. Ngoba ukube ubukwenze lokhu ngokufudumele, ubuyothola ukuthi iqembu le-cerebrum eliphuzi lihlala liphindaphinda amangqamuzana ngezandla ezibandayo, kuyilapho iqembu le-cerebrum elibomvu libonisa njalo (ukuphulukisa) ukuphindaphindeka kwamangqamuzana ngezandla ezishisayo noma ezifudumele. Empeleni bekuyoba lula kanjalo!

²⁵⁹ restitutive = ukubuyisela
²⁶⁰ I-Callus = i-lime

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Ngisho nangendlela okuthiwa “ukwelashwa” kwekhemo ye-cytostatic kwakungenakwenzeka ukuhlukanisa phakathi kwezinhlaka ezihlukene zongqimba lwamagciwane. Ngoba kufanele ngabe kwavela kudokotela we-oncologist ngesinye isikhathi ukuthi i-chemo, uma kunjalo, ingafinyelela noma yini phakathi nesigaba sokuphulukisa, okungukuthi ukuyeka ukuphulukiswa. Ezigabeni zokungqubuzana, nokho, i-chemo-pseudotherapy, enomphumela oqinile wokuzwelana, yandisa ukuqhubekela phambili.²⁶¹ isifo somdlavuza.

Uhlelo lwe-ontogenetic lwamathumba nokulingana nomdlavuza alusebenzi kumdlavuza kuphela, kodwa, njengayo yonke imithetho emi-5 yemvelo yemvelo, kuzo zonke izifo esizaziyo. Sibiza izifo ezingabonisi izimila zomdlavuza noma i-necrosis esigabeni sokungqubuzana "izifo ezilinganayo nomdlavuza" (empeleni kufanele sithi: "umdlavuza wezinto eziphilayo ulingana nezinhlelo ezikhethekile"). Isigaba esilandelayo sikhuluma ngazo.

16.6 Izifo ezilingana nomdlavuza (manje “Sensible Biological Cancer Equivalent Special Programs”)

Uhlelo lwe-ontogenetic lwezicubu kanye nezilinganiso zomdlavuza, njengoba ngishilo, alugcini nje ngomdlavuza, kodwa futhi lusebenza kulokho okubizwa ngokuthi “okulingana nomdlavuza”.

Yini ekhethekile ngokulingana nomdlavuza:

Eqenjini eliphuzi lobuchopho obudala, zonke izifo ziyafana nomdlavuza kanye nesigaba sokuphulukisa esihambisanayo uma kwenzeka. Uma lokhu kwenzeka, lokhu kusho ukuthi akwenzeki ngempoqo, kodwa kuphela uma kwenzeka isixazululo sokungqubuzana, ngaphandle kwalokho isigaba esisebenzayo siphetha nge-cachexia.²⁶² ekufeni kwesiguli, noma isiguli sidala i-modus vivendi ngendlela yokungqubuzana okulenga. Isimo sezigaba ezimbili zezifo, ngokuqondene nengxenye noma isigaba sesibili, sincike ekuxazululeni ukungqubuzana.

Azikho izinto ezilingana nomdlavuza ezithweni ezindala zobuchopho, umdlavuza kuphela futhi - ezimeni ezinhle - isigaba sokuphulukisa ngemva kokuxazululwa kwengxabano.

Ezingxenyeni ezilawulwa yi-mesodermal cerebral-controlled (amathambo, izicubu ezixhumeneyo, ama-lymph nodes, njll.) azikho futhi izilinganiso zomdlavuza, kodwa kuphela umdlavuza osesimweni se-necrosis, i-osteolysis, izimbobo zezicubu, ekuncibilikeni kwamaseli amafushane, futhi - esimweni esihle. icala lokungqubuzana - isigaba sokuphulukisa ngokugcwaliswa kabusha kwesici sento, njll.

²⁶¹ progressive = thuthuka, thuthuka
²⁶² I-Cachexia = ukumosha

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Sithola kuphela izifo ezilingana nomdlavuza phakathi kwezifo zesitho esilawulwa yi-ectodermal cortical, futhi ngisho nalapho kuphela kwezinye zalezi zitho. Noma kunjalo, ziningi zazo.

Incazelo ithi:

“Izifo ezilingana nomdlavuza” (izinhlelo ezikhethekile ezilingana nomdlavuza) noma okulingana nomdlavuza ngamafuphi yizifo ezilawulwa yi-ectodermal-cortical noma izinhlelo ezikhethekile zebhayoloji ezinengqondo ezilandela ngqo imithetho emi-5 yemvelo yemvelo, kodwa esikhundleni seselula noma i-parenchymatous.²⁶³ Ukonakala kwezinto noma esikhundleni sokuthi iseli lincibilike elinengqondo Ukonakala komsebenzi umbukiso. Lokhu kufaka phakathi ukukhubazeka kwezimoto nezinzwa, isifo sikashukela, ukuntuleka kwe-glucagon, ukukhubazeka okubukwayo nokuzwa ngezingxabano zabo ezihambisanayo kanye ne-Hamer foci ebuchosheni futhi, uma ukuxazulula izingxabano kwenzeka, isigaba sokuphulukisa nezimpawu zaso kanye (ngezinye izikhathi ezibulalayo) izinkinga.

Ngisho noma amangqamuzana esitho engancibiliki ezilinganisweni zomdlavuza, asabonakala eguquliwe ngendlela ethile, njengoba nje izindawo ezinomthwalo wemfanelo zobuchopho (i-Hamer's foci) nazo zishintshwa. (ngokwesibonelo, i-insulinomas ku-pancreas kusifo sikashukela noma ukuntuleka kwe-glucagon).
Naphezu kwezinguquko, nokho, lawa maseli asabonakala ekwazi ukubuyisela ukusebenza kwawo ngemva kweminyaka eminingi yomsebenzi wokungqubuzana ngemva kwesixazululo sokungqubuzana²⁶⁴uku.

Isifinyezo:

Ngomthetho wesithathu we-Biological of Nature singaziqonda izimbangela, isisekelo sayo yonke imicimbi yemvelo kwezokwelapha:

Singaqonda ukuthi izinhlelo ezikhethekile zebhayoloji ezinengqondo zezigaba zegciwane ngalinye ziyizinqubo ezivamile kithi nakuzo zonke ezinye izidalwa ezafakwa ebuchosheni bethu emashumini ezigidi zeminyaka edlule futhi bezilokhu ziyingxenye yendlela efanayo noma efanayo kodwa zibe nenjongo. izinhlelo ezikhethekile zebhayoloji amashumi ezigidi zeminyaka saduka.

Singaqonda ukuthi zonke izicubu ezinokwakheka okufanayo kwe-histological, okuhlanganisa nasebuchosheni, zinokudluliselana kokulawula kwazo eduze komunye nomunye, njengoba nje izingxabano zezinto eziphilayo ezihambisana nazo zisondelene ngokwengqondo.

Manje sesingakwazi ukuqonda ukuthi kungani izinqubo ezinengqondo zilethwa uMama Wemvelo esebenzisa izindlela ezihluke kakhulu, ngoba kunezingqimba zamagciwane ezihlukene.

²⁶³ i-parenchymatous = mayelana nezicubu eziqondile zesitho
²⁶⁴ Ukubuyisela = ukubuyisela

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Singaqonda ukuthi kungani singakaze sikwazi ukuqonda ukukhula komdlavuza inqobo nje uma singakuqondi lokhu kuxhumana futhi, ngaphezu kwakho konke, indlela yokuziphendukela kwemvelo lapho kuvela khona izinhlelo zethu zokungqubuzana kwemvelo. Yingakho, ekungazini kwethu, sasihlala sithi umdlavuza wawungaqondakali, ukuthi "ubuhlungu", ukuthi kwakuyinto yasendle futhi engavamile, engalawuleki okungekho muntu ongayiqonda. – Akukho kwalokhu okwakuyiqiniso!

Umdlavuza kanye nazo zonke ezinye okuthiwa “izifo” esiziqonda manje njengezingxenye zezinhlelo ezikhethekile zebhayoloji ezinenjongo (SBS) ziyinto enengqondo, enengqondo futhi eqondakala ngokucacile ekhona. Isebenza ngokuvumelana nemithetho emihlanu yebhayoloji yemvelo, njengoba ngibonisa njengamanje. Isayensi ejabulisayo - uma iqhathaniswa nemibono eminingi engenabufakazi nengenabufakazi yabantu abangenalwazi abazibiza ngokuthi "imithi evamile".

16.7 Kungani kungabikho ama-metastases

Njengoba nina, bafundi abathandekayo, nifunde esahlukweni esandulele, umdlavuza kanye nakho konke okubizwa ngokuthi yisifo, okungukuthi zonke izinhlelo ezikhethekile zemvelo, kuyinto evamile kakhulu.

Ngamazinga we-3 we-psyche, ubuchopho nezitho, i-New Medicine izenza ibonakale futhi iqondakala; Amaleveli angu-3 aze ahlinzeke ngesistimu enqunywe ngokweqile: Uma ngazi ileveli eyodwa ngqo (isibonelo izinga lezengqondo lokungqubuzana kwezinto eziphilayo), ngingavula amanye amaleveli amabili.

Okulandelayo kungashiwo efomini mayelana nokujwayelekile okuqinile kwezinqubo kuwo wonke amazinga acatshangwayo amathathu futhi ngaleyo ndlela mayelana nokuphindaphindeka komuthi omusha:

Kunamazinga ama-3 (ngokwengqondo, ubuchopho, izitho) asebenza ngokuhambisanayo, futhi kunezigaba ezi-2 zokugula (inqobo nje uma ukungqubuzana kuxazululiwe), kanye nesigaba sokujwayelekile ngaphambi kwesigaba esisebenzayo sokungqubuzana kwe-sympathicotonic kanye nasekupheleni Isigaba sokuphulukisa esixazululwe yi-vagotonic isigaba sokwenza kabusha. Ngakho-ke asinazo kuphela izigaba zezigaba ezi-4 kumaleveli angu-3 ngasinye, kodwa futhi namaphoyinti ahlabayo angu-3 (i-DHS, ukungqubuzana nesifo sokuwa) kumaleveli angu-3 ngasinye, okungukuthi imibandela engama-21, ngayinye esingayibuza ngayodwana ngokuya ngemithetho emi-5 yemvelo yemvelo. .

Kodwa-ke, njengoba imithetho emi-5 yemvelo yemvelo ihlangene iqukethe okungenani imibandela eyi-6, okuhlanganisa imibandela ye-histological, i-cerebral-topographical, i-organ-topographical, i-conflict-colorative kanye ne-microbial criteria, umuntu ufika kweyodwa - uma ekwazi eduze. hlola wonke amaleveli angu-3 Ikesi elisuselwe kumaqiniso angu-126 aqinisekisayo futhi angakhiqiza kabusha. Akwenzeki ngokomkhathi ukuthi icala elilodwa nje libe nalawa maqiniso angu-126 aphindaphindekayo ngenhlanhla, ngoba kuhlale kuyindaba elandelayo ehamba phambili ezigidini zezigameko ezingaba khona.

ikhasi 373

Kodwa uma isiguli sinezifo ezimbili kuphela, ezinye zazo ezingase zihambisane noma zilandelane, khona-ke amaqiniso angaphindaphindayo afinyelela ku-252. Amathuba ayanda cishe kumanani angenzeka ezinkanyezi!

Esinye isimo esibaluleke kakhulu esingena esibalweni ukuthi ukwenziwa kwasendaweni kwe-foci ka-Hamer ebuchosheni kunqunyelwe ngaphambili. Lokhu kusho ukuthi ukudluliselwa - okukodwa kwamakhulu amaningana okudluliselwa okungenzeka - sekunqunyiwe kakade. Futhi lokhu kudluliswa - esimweni sokugula ukugxila kuka-Hamer - manje kufanele kube nokwakheka okungokwesigaba esihambisanayo. Amathuba okuthi kwenzeke icala elilodwa aphakeme ngokwezinkanyezi. Kodwa-ke, iziguli zivame ukuba nomdlavuza noma ukukhubazeka okuningi, isifo sikashukela noma okunye okunjalo futhi zonke izindlela kufanele zihlangatshezwe ngesifo ngasinye...!

Ngaphezu kwalokho, ngokohlelo olunqunyiwe lwe-ontogenetically lwezimila kanye "nezifo" ezilingana nomdlavuza, kukhona futhi isimo sokukhula salokho okubizwa ngokuthi isifo ngokuya ngokwakheka kwe-histological, indawo yobuchopho kanye nencazelo ekhethekile yebhayoloji yohlelo olukhethekile olufanele. .

Ku-New Medicine akukho ukungabi nangqondo, kodwa ngokuphambene kuphela umqondo ophezulu wencazelo! Ngakho-ke ama-acrobatics emithi esemthethweni mayelana nengqamuzana yomdlavuza omubi edlangile, ekhula ngokungalawuleki futhi yakhe izimila zendodakazi, okuthiwa ama-metastases asolwayo, kubonakala sengathi, ukusho okuncane, kuyintsha:

Njengoba kwaziwa kahle, imfundiso esemthethweni ngendaba yama-metastases iwukuthi, ukuqala esimila esiyinhloko (isizathu sangempela okucatshangwa ukuthi sisukela ekubhemeni, ekudleni, kumagciwane, amagciwane, izakhi zofuzo ezimbi ku-genome) amaseli ayatshalwa kabusha noma afakwe imbewu. ngegazi noma uhlelo lwe-lymphatic. Ingqamuzana “elibi” libe selihlala esithweni esithile esisha bese lenza “i-metastasis.”

Kukhona imibuzo embalwa nina, bafundi abathandekayo, eningakwazi ukuyiphendula nina:

1. Ulaka: Indlela kuphela emzimbeni ukuya emaphethelweni²⁶⁵ ihola, idlula emithanjeni. Omunye ukhuluma "ngembewu ye-hematogenous", okungukuthi imbewu ngegazi, ama-metastases asolwa. Kodwa-ke, akekho umcwaningi owake waphumelela ukuthola ingqamuzana lomdlavuza egazini le-arterial - ngemva kwezinkulungwane zemizamo.

²⁶⁵ I-periphery = izindawo ezingaphandle zomzimba

ikhasi 374

Imithi evamile ikuchaza kanjani lokhu?

2. Frage: Zonke izazi zezifo ziyavuma ukuthi, ngokomthetho, uhlobo olufanayo lomdlavuza luhlala luvela engxenyeni efanayo yomzimba. Isibonelo, izigaxa zamaphaphu (ezimweni zokwesaba ukufa) zihlale ziyi-adenocarcinoma ngokombono we-histological. Akekho umuntu ongakwazi ukwehlukanisa ngokomlando lokho okubizwa ngokuthi “i-primary carcinoma” ne-“secondary carcinoma”, okungukuthi “i-metastasis”.

Uma kunjalo, khona-ke wonke amangqamuzana omdlavuza - angakaze abonwe egazini le-arterial - kufanele ahlakaniphe kangangokuba azokwazi ukuthi afika kuphi ngemizuzwana embalwa bese enza i-carcinoma evamile yaleyo ndawo. . Isibonelo, i-adenocarcinoma yesibindi ekhula njengekholifulawa ngokuzumayo iqala "i-bone metastasis" ethanjeni, okusho ukuthi izimbobo zakha ukuze kamuva zakhe ama-compact pulmonary nodule "metastases" ohlobo lweseli ye-adeno emaphashini ??! Ngakho-ke akufanele nje sithathe i-metamorphosis ephindwe kathathu, kodwa futhi noshintsho oluphindwe kathathu ekuhlanganiseni kongqimba lwamagciwane olufanele, ingasaphathwa "ushintsho olundizayo" ekuhlanganisweni kwengqamuzana ku-relay yobuchopho enesibopho! Ngamafuphi: ingulube izala ithole kanti ithole lizala imvu! Imithi evamile ikuchaza kanjani lokhu?

3. Ulaka: Izazi ze-neurohistopathologists zithi ubuchopho, izinzwa noma amaseli e-ganglion awasakwazi ukuhlukana ngemva kwezinyanga ezingu-3 zokuqala zokuphila kwakamuva. Amaseli e-glial, okuthiwa yi-brain connective tissue, engenakho ukusebenza kwezinzwa kodwa kuphela umsoco, imisebenzi esekelayo kanye nezibazi, angahlukana njengezicubu ezixhumeneyo emzimbeni lapho zakha izibazi. Uma amangqamuzana obuchopho engasakwazi ukuhlukana, ayini “amathumba obuchopho” noma “ama-metastases obuchopho”?

Izazi ze-neurohistopathologists ziyavuma ukuthi ngento ebizwa ngokuthi "i-tumor yobuchopho" ungahlala ubona lapho ingeyomlando. Ngenxa yalokho, kukhona ngokuyisisekelo uhlobo olufanayo lwezicubu zobuchopho endaweni efanayo, ngisho noma lushintshwa kancane ngaphansi kwemibandela ye-DHS elandelwa yisigaba se-ca. Kodwa usengabona kahle ukuthi ikuphi. Manje siyazi noSolwazi Pfitzer (bona Isahluko 10) ukuthi izibazi ze-glial noma ama-polymorphic gliomas ngokuvamile abonakala engena ezintweni eziningi (okungukuthi, umdlavuza wezitho eziningi), ngakho-ke amangqamuzana avame ukubukeka ngendlela efanayo.

ikhasi 375

Kodwa-ke, ngokwencazelo, izimila zobuchopho ngomqondo weqiniso azikwazi ukuba khona.

Mayelana nokuthi “ama-metastases ebuchosheni”, imithi evamile ifuna ngokuqinile ukuthi ingqamuzana eliyingozi le-metastatic, ngokwesibonelo elisuka esibelethweni, lizinze ebuchosheni ohambweni lwalo olungakaze lubonwe egazini futhi kwakheka isibeletho esincane lapho! Ama-ovari amancane namasende ebuchosheni - ingabe lokhu kuhlobene ngempela nesayensi?

4. Ulaka: Uma uhlukanisa noma yisiphi isitho ebuchosheni (isibonelo, yenza ukulungiswa kwesisu), ngeke usakwazi ukudala umdlavuza lapho, ngisho namakhulu okusolwa "ama-carcinogens". Ngisho noma "ama-carcinogens" asetshenziswa endaweni ekugxiliseni okuyinkulungwane.
Ukuchaza kanjani lokho?

Emagundaneni, lapho kwafakazelwa ukuthi i-formaldehyde idala umdlavuza, yona le formaldehyde, amagundane ayinyanya kakhulu, yayikhona ekugxilweni okuphindwe kayinkulungwane. emakhaleni efuthwe. Nsuku zonke kanye nonyaka wonke. Ingabe kukhona okubonayo?

5. Ulaka: Kuyaziwa ukuthi ezigulini eziyikhulu ezithathwe i-X-ray ngosuku lokuxilongwa komdlavuza, cishe amaphesenti angu-98 ezithombe awabonisi noma yimaphi "ama-metastases emaphashini".

Ngalolu suku, nokho, iziguli zibuye zitshelwe “iqiniso” eliphelele. Ezigulini eziningi, njengoba besho, ukushaqeka okuvundile, i-DHS. Abanye abantu bayalulama kukho ngoba banabathandekayo, isibonelo.

Kodwa-ke, ku-30-40% wezimo emithini evamile sithola ama-nodule e-pulmonary emasontweni amathathu kuya kwamane kamuva. Ingabe kukhona okubonayo?

Imithi evamile isichaza kanjani lesi simo esiphawulekayo?

Asiwaboni “amaqhuqhuva ama-pulmonary nodule” anjalo ezilwaneni.

Primarius waseKlagenfurt esifundweni engasinikeza eKlagenfurt, 1991: “Udokotela uHamer uthi, ‘Izilwane ziqhuba kahle, aziliqondi iphimbo lamaprimaries (odokotela abakhulu, okusho izibikezelo), yingakho zingaliqondi. uthole ama-metastases."

Impendulo yami: “Professor, okokuqala ngqa namuhla ungicaphune kahle. Ubonakala usonqenqemeni lokuqonda i-New Medicine. "

ikhasi 376

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17 Uhlelo lwe-ontogenetically olunqunywa ngama-microbes - umthetho we-4 wemvelo wemvelo womuthi omusha

Amakhasi 377 kuya ku-388

Isistimu enqunywe nge-ontogenetically yama-microbes

Ukuxhumana phakathi

UBUCHOPHO – GERMINATE – MICROBE

Kwesokunxele sesithombe ungabona umdwebo wobuchopho futhi kwesokudla ungabona amagciwane ahambisanayo aqala ukusebenza ekuxazululeni izingxabano ngokuyala kobuchopho.

Isikhunta kanye namagciwane esikhunta (ophuzi), amagciwane amadala kunawo wonke emzimbeni wethu, acubungula kuphela izimila zezitho ze-endoderm (ungqimba lwamagciwane angaphakathi) alawulwa yisiqu sobuchopho, noma aphule lawo ayekade andisa amaseli ngaphambili, isibonelo amathumba amathumbu, kanye nalawo e-cerebellum elawulwa izimila zezitho ze-cerebellar mesoderm (ungqimba lwegciwane eliphakathi), nalo lase liphindaphinde amaseli, isibonelo isimila ebeleni lesifazane, okungukuthi wonke amathumba alawulwa yi- ubuchopho obudala.

ikhasi 377

Amagciwane, njengama-microbes amancane (obomvu), acubungula kuphela izilonda zezitho ze-ectoderm (ungqimba lwegciwane langaphandle), olulawulwa yi-cerebral cortex, isibonelo ezilonda zolwelwesi lwamafinyila emakhaleni.

Phakathi, amagciwane (owolintshi) acubungula kancane izimila ezilawulwa yi-cerebellum zezitho ze-mesoderm (ungqimba lwegciwane oluphakathi), lapho ephula khona amaseli, kanye ne-cerebral medula-controlled necrosis yezitho ze-mesoderm (maphakathi. ungqimba lwegciwane), lapho amagciwane ephula amaseli futhi asize ukwakha, isibonelo emathanjeni.

Isistimu enqunywe nge-ontogenetically yama-microbes akuyona itiyori noma inkolelo-mbono, kodwa kunalokho iwukutholwa okunamandla. Umgomo wawulula impela:

Lapho sengazi isistimu ye-ontogenetic yamathumba kanye nokulingana nomdlavuza, "uhlelo olunqunyelwe i-ontogenetically lwama-microbes" kwadingeka luwele ezandleni zami njengesithelo esivuthiwe sokutholwa, uma bengingaboni ngokuphelele. Ngoba ngemuva kokubona ukuthi isayensi yezinto eziphilayo yabantu nezilwane ayiyona into engenangqondo futhi ayinasimiso njengoba umuntu ayecabanga, umdlavuza ukhula ngokungenangqondo nangokungenangqondo futhi amagciwane abhubhisa ngokungenangqondo nangengozi, ngabe sengiqala impilo yami yonke entsha ukuze ngifune imithi ehlelekile. uhlelo. Nakanjani kwadingeka ngihlangabezane nemithetho elandelayo:

1. Ukuhlukaniswa kwama-microbes:

Isikhunta kanye namagciwane fungal - amagciwane - amagciwane
ihambisana ne-ontogenetic yabo kanye ne-phylogenetic^{266 267} Lungisa:

•  Isikhunta kanye namabhaktheriya esikhunta (TB) amagciwane amadala kakhulu noma ama-archaic asuka “emandulo” yokuziphendukela kwemvelo, ahambisana “nemodeli yobuchopho yasendulo”.
• Amagciwane angama-microbes "enkathi ephakathi", kodwa asevele eyingxenye ye-cerebrum, ikakhulukazi i-cerebral medulla. Ngakho-ke sebevele "benkathi yesimanje" yomlando wentuthuko.
• Amagciwane angamagciwane amancane kakhulu, isiphambano phakathi kwezinto eziphilayo nezingaphili. Ziyingxenye yemodeli ye-cerebral cortex, okungukuthi futhi "isikhathi samanje" sokuziphendukela kwemvelo.

2. Ukuhlukaniswa kwama-microbes futhi kwenzeka ngokuhambisana ne-cotyledon yezindawo zesitho "abasebenza kuzo".

a) Isikhunta kanye namagciwane esikhunta (TB) kucubungula zonke izitho ezilawulwa ubuchopho obudala, okungukuthi izitho ze-endodermal ezilawulwa isiqu sobuchopho kanye nalezo ezilawulwa yi-cerebellum yi-mesoderm endala. Ukuqhekeka kweseli nje!

²⁵⁶ i-phylogenetic = ehlobene nomlando wesizwe
²⁵⁷ I-Phylogeny = ukuthuthukiswa kwesizwe

ikhasi 378

 b) Amagciwane acubungula izitho ze-mesoderm esencane ezilawulwa yi-cerebral medulla. Ukuqhekeka kwamaseli nokwakhiwa kwamaseli!

c) Amagciwane acubungula izitho ezilawulwa yi-cerebral cortex ze-ectoderm. Isakhiwo seseli nje!

Wonke amagciwane asebenza ngendlela enengqondo nangokwebhayoloji exhumene nesilwane esiphethe, njengoba ngishilo, ikakhulukazi ezithweni ezikuzo ngokwentuthuko - ngokwezigaba zamagciwane - ngokobuchopho. Kubantu nasezilwaneni, “ukuhlakanipha kobuchopho” kusho “ukuhlakanipha kwekhanda-nobuchopho” Ezitshalweni, ubuchopho besitho kuphela obukhona, kodwa banele kuyo yonke imisebenzi.

3. Asebenza futhi aphindaphindeke kanjani ama-microbes:

Wonke amagciwane ngaphandle kokukhetha "umsebenzi" ngokukhethekile esigabeni sokuphulukisa se-post-conflictolytic, eqala ngokungqubuzana futhi iphele ekupheleni kwesigaba sokuphulukisa; abasebenzi ngaphambi nangemuva. Ngaphambili babebhekwa ngokuthi "i-apathogenic".²⁵⁸ Amagciwane” esigabeni sokuphulukisa ngokuthi “ayingozi²⁵⁹ Amagciwane” futhi ngemva kwesigaba sokuphulukisa futhi njengamagciwane angenangozi “angewona amagciwane”.

a) Lezo zezitho zongqimba lwegciwane elingaphakathi, lezo eziku-cephalophores²⁶⁰ zilawulwa isiqu sobuchopho, amagciwane anesibopho, isikhunta futhi kubantu ikakhulukazi amagciwane esikhunta (i-TB nochoko) noma i-mycobacteria kanye ne-mycobacteria efanayo elawulwa yi-cerebellum yezitho zongqimba oludala lwegciwane eliphakathi, okungukuthi i-mycobacteria elawulwa endala ubuchopho nande imi kanje:

Isikhunta futhi, kubantu, ikakhulukazi i-mycobacteria, iphindaphindeka esigabeni sokungqubuzana, i-sympathicotonic, ngesigqi esifanayo kanye nezinga lokuqina namangqamuzana e-tumor asanda kwakhiwa ngama-mitose ohlelweni olukhethekile lwebhayoloji enengqondo yento ephilayo ephethe. Ahlala etholakala ngokufunwa kumzimba osingethe inqobo nje uma isigaba sokungqubuzana (isigaba se-ca) sisekhona. Kulesi sigaba esizwelayo, esisebenza ngokungqubuzana, "awusebenzi" ngokomsebenzi sasivame ukuthi "apathogenic" noma "avirulent".

Ngesikhathi sokungqubuzana, kunama-mycobacteria amaningi ("i-acid-fast rods", i-TB) ekhona njengoba kudingeka ukuze akwazi ukudiliza kalula futhi ngokushesha futhi afake isimila se-SBS esikhule kuze kube yileso sikhathi esigabeni se-pcl. .

I-mycobacteria ibona kahle ukuthi yimaphi okufanele awasuse nokuthi yimaphi angavunyelwe ukuwathinta (ama-autochthonous) ngokusekelwe esakhiweni sezakhi zofuzo esihlukile samaseli esimila, ahloselwe ukusetshenziswa kanye kuphela, uma kuqhathaniswa ne-autochthonous. amaseli esitho okufanele ahlale.

²⁵⁸ non-pathogenic = okuthiwa ayibangeli izifo
²⁵⁹ virulent = okuthiwa iyathelelana, inobuthi
²⁶⁰ I-Cephalophores = izisekelo zekhanda

ikhasi 379

Kusukela kulo mehluko wezakhi zofuzo "kumangqamuzana e-tumor ayingqayizivele", odokotela abajwayelekile bakhe "i-malignancy" yofuzo yamangqamuzana e-tumor - umbhedo ophelele!

b) Labo ababhekele izitho ezincane ezilawulwa yi-cerebral medula zongqimba oluncane lwegciwane elimaphakathi (i-mesoderm esencane). Amagciwane “angalulaza-alungile” (osteomyelitis) kanye "isakhiwo" Umsebenzi we-osteo-recalcifying.

Ngokungafani nama-mycobacteria asebenzela izitho ezilawulwa ubuchopho obudala, amabhaktheriya awaphindaphindi esigabeni sokungqubuzana, kodwa kunalokho. kuphela esigabeni se-pcl, ku-vagotonia!

Nakuba i-mycobacteria ingenakutshalwa kusiko lwe-agar ngoba ilawulwa ukuba iphindaphindeke ngobuchopho obudala esigabeni se-ca, amagciwane angatshalwa kahle emhlabathini we-agar ku-incubator, kodwa angicabangi ukuthi muhle njengasemzimbeni. . Ama-penicillin, umkhiqizo we-metabolic wesikhunta, asebenza kuphela ngokumelene namagciwane, azihlukanisa namagciwane futhi awalimaze noma aze awabulale.

c) Amagciwane anesibopho sezitho ezincane kunazo zonke, ezilawulwa yi-cerebral cortex ye-uterine germ layer (ectoderm) asebenza ngokukhethekile esigabeni se-pcl futhi ukwakhiwa kwamaseli kuphela!

Ihre Ukusabalalisa noma ukukhiqizwa kabusha kwenzeka esigabeni se-pcl.

Ngeke ukwazi ukuwazalanisa nawo, ngaphandle kwalawo okuthiwa amasiko aphilayo, isibonelo amaqanda enkukhu avundisiwe, lapho ubeka khona ukungqubuzana emibungu yamatshwele futhi ubukele ngomdlandla njengoba amagciwane anda esigabeni se-PC.

Amagciwane enza kahle inqubo yokubuyiselwa kwezinguquko ze-ulcerative esikhumbeni kanye nolwelwesi lwamafinyila. Isigaba sokuphulukisa si-foudroyant kakhulu²⁶¹, kodwa ngomqondo wezinto eziphilayo ishibhile kunalokho obekungaba njalo ngaphandle kokuba khona kwamagciwane.

Uma lokho okubizwa ngokuthi "isifo segciwane", kuyoba okulungile kakhulu ukusho: Uma isigaba sokuphulukisa se-SBS siphelile ngenhlanhla ngokuba khona kwegciwane elifanele, okubizwa ngokuthi "ama-antibodies" asele. Leli gama alilungile futhi endabeni yamagciwane. Kufanele kubizwe ngokuthi “umzimba wenkumbulo wegciwane”. Iqiniso liwukuthi leli gciwane lamukelwa ngenjabulo ngumuntu "njengomuntu omdala" okwesibili nxazonke futhi isigaba se-PCL sisebenza ngokushelelayo futhi kancane kancane. Ngakho kufanele sifunde kabusha ezindaweni eziningi.

²⁶¹ foudroyant = ukuqala ngokuphazima kweso futhi kuqhubeke ngokushesha

ikhasi 380

4. Umsebenzi wama-microbes ngokuningiliziwe:

Wonke amagciwane angochwepheshe, hhayi kuphela ezithweni asebenza kuzo, kodwa nasendleleni asebenza ngayo.

a) amakhowe kanye amagciwane fungal (I-Mycobacteria, i-TB) "izisebenzi zokuhlanza", okungukuthi, zisula izimila ezilawulwa yi-endodermal brain stem (i-adeno-carcinomas) kanye nezimila ezilawulwa yi-cerebellum yakudala (i-adenoid carcinomas), noma ngokunembile: zenza izimila zakudala. izitho ezilawulwa ubuchopho Ukuqala kokungqubuzana, inqobo nje uma lokhu kufinyelelwa. Ngesikhathi se-normotension kanye nesigaba se-sympathicotonic esiphikisanayo kanye "ne-re-normotension" (emva kokuqedwa kwesigaba sokuphulukisa) "bayi-apathogenic", okungukuthi "ayiyingozi". Futhi azinangozi futhi aziyona i-pathogenic yazo zonke ezinye izitho!

Sesizwile kakade ukuthi amabhaktheriya e-tubercle adalwe ngokuhlukana esigabeni esisebenzayo, esine-sympathicotonic, ncamashi ngesigqi esifanayo nenani lamangqamuzana e-tumor okufanele aphulwe futhi ngabasizi bethu abahle ngemva kokungqubuzana. Lokhu ukuhlinzwa kwemvelo okumnene futhi okusebenzayo!

Kodwa, ngokungafani "nezibonelo ze-cerebrum" lapho kukhona "ingunaphakade" izingxabano ezilengayo, ezingavumela ngisho nezinhlelo ze-biological-social ngokulenga kwazo, amamodeli amadala alawulwa ubuchopho (isiqu sobuchopho, i-endoderm ne-cerebellum, i-mesoderm endala) Ukuxazulula izingxabano kanye ukuhlanzwa okulandelayo kwesimila cishe kuyisidingo! Kodwa abantu basendulo lapho isifo sofuba i-mycobacteria engekho yonke indawo²⁶² i-endmic²⁶³ angeke abe khona. Kodwa akukho cala phakathi kwabantu bakudala lapho i-carcinoma ye-thyroid yayingeke ibonakale ngenxa yokuntuleka kwe-tubercle mycobacteria futhi "isiguli" sasiyobhubha ngokudabukisayo ngenxa yesifo esigcwele i-Graves. Okufanayo kusebenza kuma-pituitary tumors we-anterior pituitary gland.

Umzimba womuntu ungenzenjani ngalezi nani ezinkulu ze-tubercle mycobacteria, ezakhiqizwa njengendlela yokuzivikela noma ezidalwe ngokuhlukaniswa ngesikhathi esifanayo nesimila, uma zingakwazi ukwenza umsebenzi wazo wokusula, yingakho zande kakhulu?
Ngendlela, lokho kwakucacile: umzimba awukwazi ukusebenzisa amabhaktheriya e-tubercle ezithweni ezingalawulwa ubuchopho: asikho isifo sofuba se-squamous cell esaziwayo, noma isifo sofuba samathambo noma, isibonelo, isifo sofuba sobuchopho, nakuba imithi evamile icabanga ukuthi ngendlela yokuthi amagciwane “amabi” adla cishe yonke into angayithola.

²⁶² yonke indawo = esabalele, ekhona yonke indawo
²⁶³ I-Endemic = ukwenzeka njalo kwesifo endaweni elinganiselwe

ikhasi 381

Sekuhlale kunedlanzana lodokotela abathi babone isikhunta namagciwane ethonsini legazi elisha ngokuphelele kwezinye iziguli ezinomdlavuza. Bahlekwa - kodwa babeqinisile. Kodwa-ke, abakwazanga ukukhiqiza kabusha ulwazi lwabo esimweni esihle esilandelayo ngoba iziguli ezindala kuphela ezibonise into enjalo futhi kuphela uma zine-SBS endala elawulwa ubuchopho ene-tumor. Bebevele benalokhu esigabeni sokungqubuzana, okwanyusa izinga legazi, kodwa bebaningi, namuhla bancipha futhi bancipha ngoba thina bafundi bemilingo, ngokungazi kwethu, sazama "ukuqeda" isifo sofuba, nathi. ukubiza ""okunonya" kunedemoni ngoba bebengaqondi.

b) I amagciwane "ziyizisebenzi zokuhlanza nezokwakha" kumodeli elawulwa yi-cerebral medulla. Isibonelo, ungakwazi ngesikhathi esisodwa ukuphula ithambo endaweni eyodwa futhi wakhe ithambo elisha eduze kwalo.

Odokotela abahlinzayo babevame ukucabanga ukuthi amathambo aphukile kufanele ahlale "engenalo amagciwane". Namuhla bafaka izikhonkwane nezikulufu eziningi ngangokunokwenzeka ngaphandle ukuze amagciwane amaningi ngangokunokwenzeka angene futhi athuthukise ukuphulukiswa kwamathambo! Okungenani ubonile ukuthi akulimazi...

Amagciwane awasebenzi nje kuphela ukusuka ekungqubuzaneni kuya phambili, kodwa futhi aphindaphindeka kuphela ukusuka lapho kuye phambili.

Ngokuvamile amagciwane asebenza kuphela uma ukungqubuzana okuhambisanayo bekukhona ngaphambili futhi kwaxazululwa. Kodwa amabhaktheriya ane-mesodermally oriented kanye ne-mesodermal connective tissue (elawulwa yi-cerebral medulla) aphulukisa konke ukulimala emizimbeni yethu. Futhi kukhona njalo amagciwane lapho. Sasivame ukubiza lawa "ama-superfections."

c) I igciwane "abasebenzi bokwakha" abamsulwa futhi baqala umsebenzi wabo ngokungqubuzana bese beqala ukwanda ngokuhlukana. Amagciwane cishe afile esimweni sawo sokungasebenzi kwe-biologically kuphela - futhi kuphela uma inesigaba se-cerebral cortex-controlled pcl, futhi ekhetheke kakhulu (isibonelo izilonda zesibindi ne-bile, esigabeni se-pcl = i-hepatitis noma i-viral. I-Hepatitis A, B, noma C...) izinhlayiya zamaprotheni ezifile ezibizwa ngokuthi amagciwane zenza njengazo Ama-Catalysts ukwandisa inqubo yokuphulukisa, ikakhulukazi ezilonda ze-squamous cell. Akukaqinisekiswa ukuthi amagciwane nawo abangela ukuvuvukala okwengeziwe ukusheshisa inqubo yokuphola. Kodwa kuningi okumele kushiwo ngakho.

Njengoba izitho eziningi ze-tubular zihlanganiswe ne-squamous epithelium (elawulwa yi-cerebral cortex), kuvame ukuba nezinkinga lapho lezi zitho ze-tubular, njenge-bronchi, i-coronary arteries noma i-veins, i-hepatic ducts, i-pancreatic ducts noma i-branchial arch ducts (ama-branchial ducts amadala intamo kanye ne-mediastinum, njll.) ukuvuvukala futhi ngaleyo ndlela kuvame okwesikhashana, okungukuthi kuvinjelwe.

ikhasi 382

“Okwesikhashana” kungathatha izinyanga. Kwezinye izimo, i-bronchus ingahlala ivalekile ngokuphelele. Ngemuva kokuvalwa ngenxa yokuvuvukala kolwelwesi lwamafinyila, lokho okubizwa nge-atelectasis bese kwakheka, igatsha le-bronchial elingenamoya elibonakala liminyene, okungukuthi elimhlophe, ku-X-ray uma kuqhathaniswa nezingxenye zamaphaphu ezisele ezigcwele umoya. Emithini evamile, le atelectasis yamaphaphu ibhekwa ngokungalungile njengethumba le-bronchial. Ngeshwa, ngoba okuwukuphela kwento ethintekayo yizilonda (ukukhubazeka kwe-membrane ye-mucous) ku-bronchus, okwamanje ephulukisayo, ngaphandle kwalokho i-bronchus ngeke "ivaliwe" futhi akukho-atelectasis eyobonakala. Endabeni yamapayipi esibindi, aphinde ahlanganiswe ne-squamous epithelium futhi abe nezinguquko zezilonda engxabanweni yebhayoloji yentukuthelo yendawo, ukuze ukuphuma kwe-bile kuthuthukiswe ngobubanzi obukhulu (= incazelo yezinto eziphilayo), le mibhobho yesibindi iyavaleka. ukuvuvukala. Umphumela: I-bile iyanqwabelana futhi ayikwazi ukugeleza ngaphandle Uma ama-bile ducts amaningi esibindi ethinteka ngesikhathi esifanayo, isiguli siphenduka sibephuzi: i-jaundice, i-jaundice, umchamo onsundu, indle ephuzi ekhanyayo ngenxa yokuntuleka kwe-bile pigment.

Ngisho noma awekho amagciwane akhona (okungeyona i-A, non B, non C hepatitis), siphinde sibe nokusha kwesibindi, kodwa asipholi “ngokufanelekile”.

Akuwona amagciwane abangela isifo sokusha kwesibindi kohlobo, njengoba thina bodokotela abahlakaniphile sasikholelwa ekululameni kwethu, kodwa kunalokho umzimba wethu uyawasebenzisa, uma ekhona, ukuze enze inqubo yokuphulukisa ibe ngcono.

5. Ukulawulwa kwamagciwane

Amagciwane angabasizi bethu nama-symbiont alawulwa ubuchopho bethu. Amagciwane awasebenzi ngokumelene nathi, kodwa ngathi, njengabasizi bethu abathembekile phakathi namashumi ezigidi zeminyaka yomlando wethu wokuziphendukela kwemvelo.

Kanye nokuhlelwa kwezitho zethu emithanjeni yobuchopho ehlukahlukene yobuchopho bekhompiyutha, izisebenzi zethu ezikhethekile ezithembekile, amagciwane, nazo ziye zahlelwa. Umuntu angakhuluma "ngokuxhumana" lapha. Uhlobo ngalunye lwe-microbe lunendawo yalo ekhethekile yokusebenza. Kunama-microbes akhethekile kakhulu futhi amanye angabamba indawo ezindaweni eziningana. Kodwa wonke umuntu unamathela emikhawulweni ye-cotyledon. Yebo kukhona ukugqagqana okuncane ezindaweni zasemngceleni, kodwa kumbalwa okumangazayo.

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6. Inqubo yokuphulukisa ngaphandle kwamagciwane:

Uma engekho “amagciwane akhethekile” akhona, isigaba sokuphulukisa sisazokwenzeka, kodwa hhayi ngendlela efanele yezinto eziphilayo! Lokhu kusho, isibonelo: ukungqubuzana okuhlobene nokufa namaqhuqhuva wamaphaphu kuyaphola ngemva kokuxazululwa kokungqubuzana nesifo sofuba i-Mycobacterium nge-caseation, i-expectoration kanye ne-cavernization yamaqhuqhuva, kuyilapho amaqhuqhuva afanayo (adenocarcinoma) ngaphandle kwe-tubercle mycobacteria avele ambozwe ngezibazi kodwa anezibazi. hhayi ephukile. Ngokombono wokusebenza kwezinto eziphilayo, nokho, ukwakheka kwemigodi ngemva kokumiswa kanye nokulindeleka kwesimila kubonakala kuhle kakhulu. Okufanayo kusebenza kuwo wonke amanye amagciwane.

Ngokunjalo, izilonda ze-intrahepatic bile ducts ziyaphola ngemva kokuxazululwa kwezingxabano ngisho nangaphandle kokuba khona kwamagciwane (“non A, non B, non C virus hepatitis”). Inkambo lapho kukhona okuthiwa igciwane le-hepatitis A noma igciwane le-hepatitis B nokunye linzima kakhulu kodwa lifushane futhi ngokusobala linikeza ithuba eliphakeme lebhayoloji lokusinda kunangenawo amagciwane. Akuwona amagciwane abangela isifo sokusha kwesibindi kohlobo, kodwa kunalokho umzimba wethu uyawasebenzisa, uma ekhona, ukuze athuthukise inqubo yokuphulukisa.

7. Izifo eziwumshayabhuqe nezifo:

Njengoba nje besihlale sisaba umdlavuza ngoba “uyingozi,” besilokhu sesaba “amagciwane abulalayo.”

Nokho, ukwesaba akunasisekelo ngokuphelele endabeni yezifo eziwumshayabhuqe. Kodwa lokho akubangelwa amagciwane, kodwa ngenxa yempucuko - futhi lapha futhi ngenxa yamaphutha amaningi empucuko yethu.

Ngokuyisisekelo, kunezindlela ezimbili ongakhetha kuzo uma kukhulunywa ngamagciwane: Kuphakathi kokuthi ama-microbes (ngalinye ngesifunda) akhona, okungukuthi, wonke umuntu unawo. Akekho ongathola amagciwane “amasha” ngoba usenawo wonke lawo angaba khona esifundeni.

Noma: “Inhlanzeko”, ukuhlukaniswa kanye nokugoma kuvimbela abantu ekuhlushweni ngamagciwane noma imiphumela yawo njengobuthi njll. Okuthiwa yimpucuko izama indlela yesibili.

Sibonile ukuthi sibadinga ngokushesha abangani bethu be-microbe ngoba ngaphandle kwabo izinhlelo ezikhethekile zebhayoloji ezinengqondo zingasebenza ngokungaphelele, ezimweni eziningi ezingasibulala. Ngakho-ke amagciwane ayingxenye ebalulekile, edingekayo ekusebenzeni komzimba wethu ezinhlelweni zethu ezikhethekile (SBS). Sazi amagciwane e-coli asemathunjini ethu njengama-symbionts, kodwa amanye amagciwane ayafana ngokuyisisekelo! Kodwa-ke, sibona futhi sikuqonde lokhu kuphela lapho i-SBS enjalo isebenza ohlelweni lwethu - noma ingakwazi ukusebenza kahle ngenxa yokuntuleka kwamagciwane adingekayo.

Lolu hlobo lwento alwenzeki ngokwemvelo phakathi kwezilwane noma phakathi kwabantu bakudala. Izinhlelo zomzimba wethu - okusho izinhlelo zebhayoloji - azikayihleli impucuko kuzo.

ikhasi 384

Ngokwesibonelo, ngokuqondene nalokho okubizwa ngokuthi “ingozi yokungenwa izifo,” ikakhulukazi ngamagciwane angavamile, singasho ukuthi: Njengoba nje umzimba wethu noma ubuchopho bekhompiyutha bungenalo uhlelo lwezimoto, izindiza noma amathelevishini, futhi njengoba inyamazane iye yenza. alukho uhlelo lwamakhilomitha amabili ubude Izinhlamvu ezidutshulwa ngobubanzi besibhamu, njengoba nje ubuchopho bekhompiyutha yethu bungahlonyiselwe ukuhambisa izinkulungwane zamakhilomitha phakathi namahora ambalwa, ikakhulukazi ezindaweni zesimo sezulu ezihluke ngokuphelele ezinama-microbes ahlukene. Okujwayelekile ngokuphelele kubahlali abahlala e-Afrika Ephakathi, ngoba bahlala lapho kusukela ebuntwaneni futhi bajwayela, akuyona neze into evamile kithi izivakashi. Isibonelo yisimungumungwane esingenabungozi esivame ukuba nayo njengezingane. Nakuba igciwane lesimungumungwane lisakazwa, ngumuntu kuphela noma ingane eke yabhekana nokungqubuzana okufanele futhi manje esesigabeni sokuphulukisa uyagula. Endabeni yesimungumungwane, kuhilela ukungqubuzana okubandakanya umlomo noma ukona (ngokwesibonelo, “lokho kuyanginukela”).

Lapho isimungumungwane yethulwa eMelika, izinkulungwane eziningi zamaNdiya amadala zafa kabuhlungu - kodwa hhayi neyodwa ingane. Wonke udokotela eYurophu uyazi ukuthi “ukutheleleka” kokuqala ngesimungumungwane kubantu abadala kungabulala. Nokho, ezinganeni, akunangozi njalo.

Okufanayo kuya ngenye indlela ngekholera kanye ne-yellow fever. Sibe sesisho ukuthi abantu baseMelika Ephakathi “bahlaselwe.” Ukube amagciwane abeyingozi njengoba inhlanzeko yethu yezokwelapha kanye nezazi zezifo ezibangelwa amagciwane seziwabuke kuze kube manje, khona-ke akekho umhambi oyokwazi ukuphila ngemva kokugeza eGanges, khona-ke akekho ohlala emijondolo ongakwazi ukuphila. Abahlali basemijondolo baswele ukudla, kodwa ngokuvamile ababulawa amagciwane.

Uma wenza lokho okubizwa ngokuthi "i-swab yomlomo" futhi uhlole amagciwane, khona-ke "umuntu onempilo" cishe unazo zonke izinhlobo zebhaktheriya ezenzeka kithi. Bese kuthiwa "i-apathogenic", njengengenabungozi. Ezigabeni ze-PCL esike sazibiza ngokuthi yizifo ezithathelwanayo, sithola ukuhlukahluka kwalokhu kuhlanganiswa okufanayo kwasakazwa. Sesivele sikhuluma ngalezi zinambuzane (ezifanayo) ngokuthi "i-pathogenic", okungukuthi ukubangela izifo noma ukuba yingozi.

Kufanele sicacise ngemibuzo emi-2:

1.  Manje yini le ebesiyibiza ngokuthi “isifo esithathelwanayo”?
2. Isiphi isifo esiwumqedazwe noma isifo lapho abantu abaningi bebonisa khona izimpawu ezifanayo ezingokomzimba zalokho okubizwa ngokuthi “isifo esithathelwanayo” ngesikhathi esifanayo?

ikhasi 385

Ngokuphathelene noku-1): Empeleni, lokho okubizwa ngokuthi izifo ezithathelwanayo azilutho ngaphandle kwesigaba se-pcl sohlelo olukhethekile lwezinto eziphilayo (SBS): i-vagotonia, izinga lokushisa, ukukhathala, ukukhathala, kodwa ukulala kuphela ngemva kwamabili phakathi kwamabili cishe ngo-3 ekuseni, ebuchosheni obudala. -elawulwa isifo sofuba Ukujuluka ebusuku.

Ngaphezu kwalokho, konke okubizwa ngokuthi "isifo esithathelwanayo" kunezici ezikhethekile, njengokuqhuma kwesikhumba kusimungumungwane, i-rubella, inkukhu, i-scarlet fever, ukuvuvukala kwesikhumba, ulwelwesi lwamafinyila, i-bronchi, ubunzima bokugwinya ngenxa yokuvuvukala kwe-esophagus, njll. , kanye nobuthi obuyingozi njenge-diphtheria, i-tetanus, njll.

Kodwa kuhlale kwandulelwa isigaba sokuqala esidala ukungqubuzana esingazange sikubone futhi esingazange sikubone njengokugula. Ngomqondo webhayoloji, vele, asikho ngaphezu kwesigaba se-PCL noma isigaba sokuphulukisa empeleni, empeleni, "isifo".

Uma ubungatshela umsubathi oke waphathwa yi-bronchial carcinoma ngesonto eledlule, okungukuthi isigaba esisebenzayo sezilonda ze-bronchial ngokwesaba ukungqubuzana kwendawo futhi owakwazi ukugijima ngokushesha kakhulu ngenxa yalokho, ukuthi " abagulayo”, khona-ke wayezozuza ekwandeni kokusebenza nokunye, kodwa ngokuqinisekile hhayi ngokugula. Wonke umuntu uyaqonda ukuthi akekho esimweni esihle ngesikhathi se-PCL ngoba "uyagula" futhi unomkhuhlane, kuhlanganise naye.

Ezincwadini zethu zezokwelapha ezivamile mayelana nalokho okubizwa ngokuthi "izifo ezithathelwanayo" sichaze inani elikhulu lokubhekwa okunamandla kwezimpawu nokuqhubeka. Lokhu bekungalungile ngokwako futhi kuyasiza ukwazi ku-New Medicine. Kodwa-ke asizange siqonde lutho ngomgomo we-SBS. Kodwa ngisho noma sesiziqonda manje, izimpawu (isb. i-diphtheria, i-tetanus) aziyona ingozi neze kithi.

Mayelana no-2): Ziyini izifo eziwumshayabhuqe nezifo?

Evesini leshumi le-canto yokuqala ye-Iliad kubikwa ukuthi unkulunkulu u-Apollo wathumela kanjani isifo ekamu lamaDana ngoba iNkosi u-Agamemnon yayihlambalaze umpristi ka-Apollo, uChryses, owayeze ekamu lamaGreki ezohlenga indodakazi yakhe eyayithunjiwe. ukushintshana ngemali .

Apollo

Ivesi 48: “Wathumela isifo esibulalayo phakathi kwempi, abantu bawa.” “Wayesehlala phansi kude nemikhumbi, wacibishela umcibisholo wakhe, kwazwakala umsindo omubi emnsalweni wesiliva. Waqale wabulala iminyuzi nezinja ezinejubane kuphela, kodwa wayesebajikela ngemicibisholo ebabayo, wabadubula: imililo yabafile yavutha ngokungenakunqamuka.”

ikhasi 386

Izinhlupho zazibhekwa njengezijeziso ezivela kunkulunkulu owayengahlonishwa. Kwafika isifo, kwafa abaningi - kepha isifo samuka.

Ngikhethe lesi sibonelo ngoba siyisimo esijwayelekile ngaleso sikhathi: ukuvinjezelwa kwedolobha. Njengoba kwaziwa, i-Iliad yenzeka ngonyaka weshumi wokuvinjezelwa kweTroy. Lesi sifo sasivame ukubathinta abavinjezelwe, kodwa ngokuvamile sasithinta nabavimbezeli.

Ubhadane olunjalo lungavunyelaniswa kanjani nolwazi lwemithi emisha?

Nokho, ubhubhane lwe-bacillus, oludluliselwa kubantu ngamazeze lusuka emagundwaneni, kumelwe ngokusobala luvele ngaphandle futhi ngenxa yalokho aluhlali lukhona. Kulesi simo, singaqhathanisa isimo nokwethulwa kokuqala kwegciwane lesimungumungwane kumaNdiya aseMelika. Abantu abangafanga abazange baphinde bagule okwesibili.

Ngakolunye uhlangothi, kufanele sikucacise ukuthi ubhubhane olunje alukho phakathi kwabantu okuthiwa bangabantu bakudala, ngokusobala ngoba abantu abasuki kude futhi beza namagciwane.

Kodwa kuthiwani ngezingxabano noma izinhlelo ezikhethekile zebhayoloji ezinengqondo?

Abavinjezelwe babenezingxabano ezifanayo noma ezifanayo lapho bevikela ngokuphindaphindiwe ukuhlasela kwabavimbezeli: Uma idolobha lithunjwa, sonke isibalo sabantu sasiyohlala sigqilazwa - uma abavikeli besinda nhlobo.

Abavimbezeli nabo babenezingxabano ezifanayo noma ezifanayo lapho ukuvinjezelwa kwabo kwaba yize izinyanga noma ngisho neminyaka. Amashumi ezinkulungwane ngakolunye uhlangothi namashumi ezinkulungwane ngakolunye uhlangothi ngamunye waba nokungqubuzana okufanayo noma ngisho okufanayo, isibonelo lapho okunye ukuhlasela kunyanyiswa ngokuchitha igazi: abaningi babewile, abaningi abaningi balimala, mhlawumbe baze bakhubazeka noma bengakwazi ukulwa; nokudla kwase kuba yindlala , isibindi sabavinjezelwe sase sinyukile, umuntu kwakumele alindele isiphithiphithi noma ngasiphi isikhathi noma amasosha azolekelela abavinjezelwe.

Yini evamile kubantu abahlala unomphela e-Afrika Ephakathi, ngoba behlala lapho kusukela ebuntwaneni futhi bajwayele, akuyona neze into evamile kithi izivakashi. Isibonelo yisimungumungwane engenabungozi esibhekana nayo njengezingane. Ngenkathi bethulwa eMelika, amashumi ezinkulungwane zamaNdiya amadala afa kabuhlungu - kodwa akukho neyodwa ingane.
Nakuba igciwane lesimungumungwane lisakazwa, ngumuntu noma ingane kuphela eke yabhekana nengxabano okukhulunywa ngayo egulayo.

ikhasi 387

futhi okwamanje usesigabeni sokuphulukisa. Endabeni yesimungumungwane, kuhilela ukungqubuzana okubandakanya umlomo noma ukona (ngokwesibonelo, “lokho kuyanginukela”).

I-Microbophobia, esabalele emibuthanweni yezokwelapha namuhla, iyisici esibalulekile somuthi wethu ongenamphefumulo, oyinyumba namuhla.

Lolu hlelo olunqunywa ngokwezakhi zofuzo lwamagciwane, umthetho wesine webhayoloji wemvelo, nawo uzowushintsha wonke umuthi!

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18 Izigaba zamuva nezokugcina zomdlavuza oselashiwe noma okufana nomdlavuza oselashiwe

Amakhasi 389 kuya ku-400

A. Isigaba sokugcina esinesifundo “esivamile” ngokwebhayoloji

a) Lokhu I-Altbrain-controlled, i-carcinoma ehlukaniswe isikhunta noma amagciwane esikhunta ngendlela ye-cavernous caseating; ngokuvamile ama-lime deposits

b) I elawulwa yi-cerebrum (i-cortex-controlled), ngosizo lwamagciwane noma amagciwane esigabeni sokuphulukisa ngokusebenzisa ukwanda kwamaseli, i-carcinoma necroses (i-cerebral medulla-controlled) noma izilonda ze-carcinoma (i-cerebral cortex-controlled).

Umuthi ovamile ubhekisela ekugcwalisweni kwe-necrosis ngokuthi "ama-sarcomas".

Ukugcwaliswa kabusha kwezilonda ngokuvuvukala okukhulu kwezitho ze-tubular (i-bronchi, imithambo yenhliziyo, isibindi ne-pancreatic ducts, i-branchial arch ducts) ngokuvamile kuholela ekuvaleni (ukuvalwa kweshubhu), noma ukuminyana noma, esimweni se-bronchi, i-atelectasis peripheral to the occlusion site.

c) “Ingxabano elengayo” encishisiwe, ene-carcinoma ene-mitosis empofu (elawulwa ubuchopho obumaphakathi) noma okuwukuphela kwayo okuthuthuka kancane kancane (i-cerebral medula-controlled) noma eqhubeka kancane kancane (i-cerebral cortex-controlled) carcinoma, isibonelo neurodermatitis.

B. Isigaba sokugcina somdlavuza ongewona owemvelo

a) I-carcinoma endala elawulwa ubuchopho lapho, naphezu kokuthi isigaba sokuphulukisa sesiphelelwe yisikhathi, akukho ukuwohloka kwe-necrotic-caseating okungenzeka kwenzeke ngenxa yokungabikho kwe-mycobacteria (ibhaktheriya yesifo sofuba). I-carcinomas imane ihlale ezingeni layo eliphakeme ngaphandle kokubhekana nama-mitose (ukwanda kwamaseli). Baqhubeka bekhiqiza ubisi (ibele), uketshezi (amanyikwe, isibindi, indlala ye-parotid, njll.) noma i-hormone (i-thyroid noma i-anterior pituitary gland).

b) I-necrosis carcinomas elawulwa yi-cerebral evinjelwa ukuthi ilaphe (isb. ukufakelwa kwenyonga ngemva kwe-osteolysis yentamo ye-femoral noma i-chemo ye-leukemia), okuvame ukuphumela “ekulengiswa”, okungukuthi okungaphelele, ukuphulukiswa kwensalela okudabukisayo, noma i-ulcer Carcinomas engakwazi phulukisa ngokugcwele ngokusebenzisa ukukhwabanisa kwe-iatrogenic okuqhubekayo.

ikhasi 389

18.1 A. Isigaba sokugcina sohlelo olubalulekile lwebhayoloji lomdlavuza onokuqhubeka “okujwayelekile” ngokwebhayoloji.

18.1.1 a) Izinhlelo ezikhethekile zebhayoloji ezinengqondo zeqembu elilawulwa yi-altbrain (isiqu sobuchopho kanye ne-cerebellum controlled)

Ohlelweni lokuqala lwale ncwadi, ukuqonda kwethu kwangaphambilini “ngezifo” zomdlavuza kwangiholela ekubeni ngibhale lesi sahluko esithi “Izigaba zamuva nezokugcina zomdlavuza welashwe,” lokho, ngokombono wanamuhla, ikakhulukazi ezithatha indawo “Izinhlelo Ezikhethekile Zemvelo Ezibalulekile Zemvelo.” kuyinto.

Uma nje sibheka umdlavuza njengesifo “eselaphekayo,” kuye kwaba okuthakazelisa kakhulu ukuveza “isigaba sokugcina somdlavuza welashwe.”

Kodwa manje yonke into ilungile ngandlela-thile ngenxa ye-5th Biological Law of Nature kanye nokuqonda "incazelo yezinto eziphilayo" yohlelo olukhethekile lwezinto eziphilayo, konke kubonakala kunengqondo kakhulu futhi, empeleni, kulula ukuyiqonda.

Ukuqonda okujwayelekile kwezokwelapha "kwesifo somdlavuza" empeleni kusebenza - ngaphandle kokuthi besingazi umthetho we-5 wemvelo wemvelo kanye nencazelo ekhethekile yezinhlelo ezikhethekile zebhayoloji - ngokwezimpawu zesitho kuphela ngezinqubo ezilawulwa ubuchopho obudala (= umdlavuza).

"Isifo somdlavuza" siyavela - isimila esinomdlavuza sivele sibhidlike ngokuzibangela - okusalayo wumgodi obaliwe. Ngisho nalabo okuthiwa imithi evamile babengazi lokho, kodwa bathi ngaphandle kwe-pseudotherapy yabo enoshevu we-chemo, ukushiswa kwemisebe kanye nokuhlinzwa kokucwiywa kwezitho zomzimba, isimila somdlavuza sasizoqhubeka ngokungenakuvinjelwa. Ezimweni ezingavamile kakhulu, umdlavuza ungama okwesikhashana ngenxa yezizathu ezingachazeki, lapho wabe esekhuluma “ngokwelapha okuzenzakalelayo” noma lokho okubizwa ngokuthi “ama-sleeping carcinoma”, okwenzeka kanye kuphela ezimweni eziyizinkulungwane eziyishumi.

Ngokuqonda kwe-5th Biological Law of Nature, manje asazi nje kuphela ukuthi umdlavuza uwuhlelo olukhethekile lwesayensi yemvelo, kodwa futhi nokuthi incazelo yebhayoloji ingatholakala esigabeni sokungqubuzana - ngaphandle kwesigaba se-mesodermal esilawulwa i-cerebral medulla.

ikhasi 390

Kokubili ukukhula komdlavuza kanye nokusebenza kwebhayoloji yalesi simila kuyinto Okunenjongo, nakuba ngenxa yokuthi asikwazi ukushintsha izingqondo zethu noma "ukuphinda siqonde" ngokushesha okungaka, sisathola okungenani ama-goosebumps emhlane wethu lapho othile esitshela ukuthi sinomdlavuza nokuthi empeleni singakujabulela ukwenza ngaphandle kwalokhu " isimila esiwusizo"..

Yiqiniso, "ukuqonda" akwenzeki ngokushesha kakhulu, futhi akuyona nje indaba yesizathu esimsulwa, ngoba ukwesaba ngokomzwelo akulula kakhulu ukukuqeda. Yingakho kuneziguli ezifunda izahluko ezinjalo izikhathi ezintathu noma ezinhlanu kuze kube yilapho zingaqondi kahle indaba, kodwa futhi zifake ngaphakathi. Bese kuphele uvalo. Uma siziphatha ngobuhlakani, ngeke iphinde ibuye.

Ngithanda ukukuholela, mfundi othandekayo, kulokhu kuhlolwa okuzolile, okuhlosiwe, nokungathuki kowakho umdlavuza. Noma kunjalo, ngeke usathuka uma uthola ukuqhubeka kwalesi sahluko ukuthi lokho okubizwa ngokuthi “isigaba sokuphulukisa” (empeleni negama elingelona iqiniso) lomdlavuza wakho ngeke usakwazi ukuqhubeka ngendlela enqunywe ngokwebhayoloji, ngoba uhlakaniphe kakhulu. odokotela bacishe baqeda amagciwane e-tubercle adingeka kakhulu kithi ngenxa yezizathu "zokuhlanzeka". Akufanele futhi uzivumele uhlanye lapho uzwa ukuthi ngeke neze kube usizo uma ugwinya ngokushesha amagciwane e-TB ane-asidi ekuqaleni kwalokho okubizwa ngokuthi yisigaba sokuphulukisa, ngoba amagciwane e-TB, ngokungafani " amagciwane “avamile”, njenge-staphylococci noma i-streptococci, aphindaphindeka njengesimila ngokwaso, esesivele esesigabeni sokungqubuzana futhi kusukela ngaleso sikhathi kuya phambili ekufuneni ukuxazulula ukungqubuzana. ziyatholakala emsebenzini wokukhipha isimila.

Ngalokhu kuqonda okusha, ongakufakazela ngisho ngokwesayensi, ngeke ube nezinkinga zokuthola udokotela ohlinzayo ongamthuma ukuthi akususe uma unesimila esinomdlavuza, isibonelo ebeleni, esikukhathazayo ngokomshini noma ngobuhle umlungisi wezinwele ukuthi ufuna ukugunda izinwele zibe mfishane kangakanani. Uhlale wazi ukuthi empeleni - ngokombono obalulekile - akukho okudinga ukususwa, ngaphandle kwezinkinga zemishini.

Ngakho-ke, umdlavuza awusona “isifo,” futhi ukususwa komdlavuza ngokuzenzekelayo ngemva kokuxazulula izingxabano “kuyikhambi” “lokungaguli.” Ukuqina nokubalwa kwesimila somdlavuza olawulwa ubuchopho kuyinqubo evamile ngokuphelele enokujuluka ebusuku namazinga okushisa angaphansi kwe-subfebrile (37,5 °), ukukhathala okukhulu futhi, uma isimila sifinyelela ngaphandle, futhi sinephunga elingathandeki.

ikhasi 391

Ngendlela, ukuthi uMama Wemvelo ususa kanjani isimila esinjalo kuyinkqubo eyinkimbinkimbi kakhulu. Izitsha ezisuka esithweni ziye ku-tumor kufanele ziboshwe ngokuhlanzekile. Endabeni yomdlavuza webele, isibonelo, umntwana uphuza ubisi lwesifo sofuba phakathi “nesigaba sokuphulukisa” esinjalo ngaphandle kokuba simkhathaze nakancane, futhi kuhle kakhulu enganeni ukuthi ibe ne-TB mycobacteria kamuva uma ike yaludinga. .

Umbono ka-Robert Koch wokuthi i-TB mycobacteria yabangela isifo sofuba wawungalungile. Nakuba singekho isifo sofuba esingenayo i-TB, futhi asikho ngaphandle kwesimila sangaphambili esilawulwa ubuchopho! Futhi ngaphandle kokuxazululwa kwezingxabano, ngendlela yezinto eziphilayo (nge-TB mycobacteria) sesivele sithola i-mycobacteria egazini, kodwa iwumtholampilo. inoveli akukho TB! Angeke zifuywe ngesiko ngoba zidinga imimoya yethu ukuze ihlukanise. Kuphakathi kokuthi bathola le mibono evela engqamuzaneni yesitho ukuze baphulwe ngokwabo, noma bangakwazi ukumunca le mibono njengama-symbionts angempela avela ebuchosheni bethu bekhanda.

Isimo esiyinsalela somdlavuza omdala olawulwa ubuchopho, ozenzakalelayo futhi obaliwe yilokho okubizwa ngokuthi. umhume nge-lime deposits. Ezithweni ezifana nesibindi, amanyikwe noma amathumbu, umgodi uyabhidlika futhi awusakwazi ukuqashelwa njengomgodi. Izinto zihlukile emaphashini nge-caseous kanye ne-calcified pulmonary nodule, ebanjwe ukucindezela okungalungile endaweni ye-pleural yamaphaphu, efana nendilinga engenalutho. I-nodule ye-pulmonary yasuswa "ukulahlwa kukadoti wamaphaphu", okuyi-bacteria ye-tubercle. Okusalayo wumgede okukhulunywa ngawo.

Esifubeni sesifazane, umgodi ugcwalisa ngokuphindaphindiwe ubisi ngesikhathi sokuncelisa, okwandisa ubukhulu besifuba. Lapho usana seluphuzile, umgodi uyabhidlika, okusho ukuthi, awunalutho futhi uyawa. Kodwa-ke, ingaphinde ifakwe umugqa ngokuqinile ngamadiphozithi e-lime kangangokuthi ngeke isakwazi ukuwa. Khona-ke iyohlala igcwele ubisi.

Indlela yokusebenza akufanele ichazwe kabili lapha, kodwa ingafundwa esahlukweni se-4th Biological Law of Nature.

Ngesikhathi se-Conflictolysis, ubuchopho bekhompiyutha empeleni bunikeza "i-oda lebutho elijwayelekile", lishintshela ku-vagotonia, limema wonke amagciwane futhi likhiphe isimila esinomdlavuza. Sula kude! Abathakathi abafundela ubudokotela abazibiza ngodokotela abavamile bacabanga ukuthi, ngokungazi kwabo, kufanele balwe namagciwane, njengoba behlale becabanga ukuthi kufanele balwe nomdlavuza ngezimpawu zesitho. Zombili azinangqondo. Amagciwane angama-symbionts ethu. Benza kuphela lokho ubuchopho bekhompiyutha yethu ebatshela ukuba bakwenze.

ikhasi 392

Amagciwane e-Tubercle anesibopho sokususa kuphela izimila zomdlavuza olawulwa ubuchopho!

Asilokothi sisibone isifo sofuba se-squamous epithelium, eyingxenye yongqimba lwamagciwane olungaphandle. Ngisho nesifo sofuba sezicubu ezixhumene namathambo, okungukuthi inzalo yongqimba lwamagciwane oluphakathi, alukho ngempela. Sihlala sifunda ezincwadini zethu ukuthi amabhaktheriya e-tubercle "ama-acid-fast rods". Akekho owake wacabanga ukuthi kungani empeleni amelana ne-asidi. Okuwukuphela kwezindawo emizimbeni yethu lapho kunendawo ene-acidic yipheshana lesisu kanye ne-alveoli yamaphaphu, okuqinisekisa ukushintshana kwegesi phakathi kwegazi nomoya wangaphandle (i-carbonic acid). Kodwa i-alveoli yabelwe ungqimba lwamagciwane lwangaphakathi. Mayelana nokuthuthuka, aqala “njengamasaka amaphaphu” ahlumile aphuma egunjini lamathumbu, njenge-tonsil yomlomo wesibeletho (tonsil TB!), umsele wokuzwa wangaphakathi ohlanganisa ulwelwesi lwe-mastoid (i-TB yendlebe emaphakathi!) noma “i-adenoid growths” ye-adenoid i-nasopharynx, konke okungabonisa i-TB.

Kafushane:

Amagciwane e-TB ane-asidi (noma i-mycobacteria) ayizisebenzi ezikhethekile emgudwini wamathumbu, nomaphi lapho kunomoya negesi, nawo wonke ama-appendages, ikakhulukazi i-alveoli. Ngakolunye uhlangothi, awulokothi ubone i-“bronchial TB”, nakuba lokho kungaba sobala ngomqondo wangempela wegama.

Uma i-colon carcinoma yavela esikhathini esidlule, lapho sasisenabo bonke abangani bethu, amagciwane e-tubercle njengama-symbionts ethu anengqondo, futhi ukungqubuzana kuxazululiwe, laba basizi abancane ngokuthula nangokungesabi futhi benganakekile ngokuphelele baqeda umdlavuza wamathumbu. Ekugcineni owawukwazi ukukubona ku-x-ray kwakungama-lymph nodes ambalwa okubaliwe lapho kwake kwaba khona umdlavuza wamathumbu.

Udaba lwalokho okubizwa ngokuthi yi-primary infection, okuthiwa lwenza abantu bangahlaselwa yi-TB impilo yabo yonke, selunesikhathi eside liphikiswa. Ibonisa nje ukuthi amagciwane e-tubercle ayekhona futhi ngokuvamile ahlala ekhona impilo yonke. Okwamanje asisazi lutho ngokuthi izincwadi zethu zibhalwa kanjani. Konke kwakuwukuzikhohlisa okungcwele. Ngaphandle kwencazelo noma ukuqonda, siqothule abangani bethu abadala njengoba sifake ushevu emahlathini ethu nezilwandle zethu - ngokuzikhukhumeza kwempucuko!

ikhasi 393

Futhi asizange yini selaphe iziguli zethu ze-TB ngaphambilini ngemithi yokwelapha yokulala kanye nokuphumula okungenalo ukwethuka ngendlela efanayo okufanele selaphe ngayo iziguli zethu ezinomdlavuza esigabeni sokuphulukiswa kwe-PCL?

Ingabe kukhona okubonayo, mfundi othandekayo?

18.1.2 b) “Isigaba sokugcina” sezinqubo ezilawulwa yi-cerebral

Uzobona, mfundi othandekayo, ukuthi i-nomenclature entsha ibaluleke kangakanani lapho ukuqonda kwezinqubo sonke esizibiza ngokuthi "isifo" sekushintshile.

Ngohlelo oludala olulawulwa ubuchopho lweMeaningful Biological Special Programs (SBS), asisazi ukuthi singalisebenzisa kuphi igama elithi “isifo” lapho isimila somdlavuza, esasihlale sisibheka “njengesifo esiyingozi” ikakhulukazi, kuyinqubo enengqondo yezinto eziphilayo. inencazelo ekhethekile yebhayoloji esigabeni sokungqubuzana, kanye nesigaba se-post-conflictolytic (isigaba se-pcl), esasibiza ngesifo sofuba, futhi kuyinqubo enengqondo yokususa izinto eziphilayo.

Endabeni yezinqubo ezilawulwa yi-cerebral medulla-controlled (SBS), ezinencazelo yazo yebhayoloji ekupheleni kwesigaba se-PCL, isabelo "somqondo wesifo" wangaphambilini siwumqondo we-nosological.²⁶⁴ kunzima nakakhulu noma akunakwenzeka, okungenani ngomqondo wamanje.

Tshela umgijimi wamamitha ayi-100 othatha imizuzwana engu-10,7 ukugijima amamitha ayikhulu futhi okuthi ngemva kwe-DHS enokungqubuzana okukhulu, kungazelelwe agijime imizuzwana engu-10,5 noma engu-10,4 ukuthi ukugula! “Uzokukhombisa inyoni” futhi athi ngokusobala akakaze abe nempilo enhle ngoba “ukhiqiza kakhulu”.

Noma utshele othile ongenawo ncamashi umkhuhlane ophezulu, osesigabeni se-PCL, ongakwazi ngisho nokulala phakathi nosuku, unesifiso esihle sokudla futhi uzizwa “edliwa inyama yabantu” ukuthi ungumuntu. ukugula. Uzophinde “akubonise inyoni”.

Nakuba esimweni sezimila zomdlavuza ezilawulwa ubuchopho obudala, isimila esingasadingeki kodwa esasiwusizo ngaphambili sisuswa esigabeni se-pcl - umqondo webhayoloji esigabeni esisebenzayo sokungqubuzana! - Engqungqutheleni yokulahlekelwa elawulwa yi-cerebral medulla kowesifazane one-ovarian necrosis esigabeni sokungqubuzana, sakhe i-cyst ye-ovarian esigabeni se-pcl, esihlala phakathi nezinyanga ezingu-9 futhi sikhiqize i-estrogen. Yilapho incazelo yezinto eziphilayo ilele kulesi sigaba se-pcl: incazelo yokukhiqizwa kwe-estrogen okwandisiwe ukuthi owesifazane ubukeka emncane kakhulu futhi une-libido enkulu kakhulu. Usenethuba elikhulu lokukhulelwa futhi maduze!

²⁶⁴ nosological = okuhlobene nesifo

ikhasi 394

Inqubo efanayo noma eqhathanisekayo yenzeka ezinso nge-cyst yezinso (“Wilms tumor”), okuthi ngendlela ehlanganisiwe ibizwa nangokuthi i-nephroblastoma. I-cyst yezinso isiza ukukhiqiza umchamo. Nalapha futhi, incazelo yezinto eziphilayo ilele esigabeni se-pcl, noma ngokuqondile: ekupheleni kwalesi sigaba se-pcl!

“Isigaba sokugcina” sezinhlelo ezinjalo ezikhethekile (SBS) yilokho kanye iziguli ezingahalaliselwa ngakho. Futhi ngaphandle uma ngomshini inkulu kakhulu ukuba ingxenye ethile kungase kudingeke ikhishwe ngokuhlinzwa, noma yikuphi ukungenelela akudingekile!

Izinto zihlukile futhi ngezinhlelo ezikhethekile ezilawulwa yi-cerebral cortex (SBS). Ezinencazelo yazo yebhayoloji esigabeni sokungqubuzana futhi ziphinde zigcwalise izilonda esigabeni se-PCL.

Ngesikhumba sangaphandle, isibonelo, lokhu kubangela izinkinga ezimbalwa. Kepha ngezitho zamashubhu, njenge-bronchi, imithambo ye-coronary noma imithambo, i-hepatic bile ducts, i-pancreatic ducts, i-esophagus (engaphezulu kwe-2/3) noma i-branchial arch ducts entanyeni noma ku-mediastinum, kwenzeka ukuthi lezi zitho ze-tubular azigcini nje. ithinteka okwesikhashana Ukuvuvukala ngaphakathi kwe-tube akuvaliwe nje kuphela, kodwa kamuva futhi kuhlangene ndawonye, ​​​​kukhule ndawonye, ​​okungukuthi kuhlala kuvaliwe. Kufanele wazi “izigaba zokugcina” ezinjalo. Azinangozi empeleni njengophawu. Lokhu kusho ukuthi isiguli singaphila size sibe neminyaka eyikhulu ubudala.

18.1.2.1 I-necrotic carcinoma ethathelwe indawo ukulungiswa (isb. callus), kamuva ebizwa ngokuthi “i-sarcoma”.

Ikhono lokuvuselela izicubu zomzimba wethu liyahlukahluka kuye ngesitho ngasinye. Kunezizathu zokuziphendukela kwemvelo kanye nokusebenza kwalokhu. Besesibonile kakade ukuthi ulwelwesi lwamafinyila luyakwazi ukuvuselelwa, njengoba kunjalo nesikhumba. Isibindi kubantu abasha siyakwazi kakhulu ukuvuselela. Ngezicubu ezixhumene namathambo njengenzalo ye-mesoderm evamile, amandla okuvuselela empeleni kuwumsebenzi wabo. Zonke izibazi kufanele zilungiswe yizicubu ezixhumeneyo, zonke izicubu eziphukile kufanele ziphindwe futhi "zinamathiselwe" yi-callus. Ukuvuselelwa kukhulu! Lesi futhi isizathu esenza ukuthi cishe wonke amathumba “akhulisiwe” esikweni empeleni akhula buthule izicubu ezixhumeneyo, okuwukuphela kwezicubu ezigcina izakhiwo zazo ezijwayelekile isikhashana ngisho noma sezihlukene nobuchopho.

ikhasi 395

I-mesoderm igqama “njengesimila” kabili, ngokwesibonelo ethanjeni, lapho amathambo e-osteolyzed futhi encishiswa, lapho abe nokwanda okukhulu kwemetabolism futhi awekho ama-mitose esigabeni se-ca ngoba amaseli e-callus aphukile. Ngemva kokungqubuzana kokuwa kokuzethemba, kwenzeka okuphambene ngempela. Lokhu okuphambene - izazi ze-histologists zithi azisakwazi ukubona ngenxa ye-calcium - ngaphambili kwakubizwa ngokuthi i-sarcoma, i-osteosarcoma, ngoba kwakuwukukhula kwamathambo. Izazi zezifo ezaziwayo zingiqinisekisile ukuthi azikwazi ngokuphelele ukuhlukanisa izicubu ze-callus kusuka ekuqhekekeni kwamathambo okujwayelekile kulokho okubizwa ngezicubu ze-osteosarcoma. Ekugcineni kuyafana, noma ngabe indawo yokuqala ibihlukile.

Kodwa uma i-osteosarcoma ngokuyisisekelo ingelona lutho olunye ngaphandle kwesibazi keloid esibazini, nje "into enhle kakhulu", khona-ke ayikho i-sarcoma ngomqondo wangempela wencazelo yangaphambilini. Njengezinto eziningi kulokho okubizwa nge-oncology, kwakubuye kube udaka.

18.1.2.2 I-carcinoma enezibazi noma ebaliwe

Nomaphi lapho ukuvuseleleka kungenzeki okwesikhashana noma nakanjani, ngokwesibonelo esibindini somuntu osekhulile, izicubu ezixhumeneyo zingangena futhi zisibekele isimila, zize zibale. Kwenzeka okufanayo olwelweni lwezimbotshana ezincane lapho amagciwane e-tubercle esesuse isimila. Akusona isimila ngokwaso esibalelayo - ngaphandle kwasemeniderm carcinoma - kodwa kunalokho siyaphuka bese sithathelwa indawo yizicubu ezixhumeneyo futhi ngokunokwenzeka nezicubu ezixhumeneyo ezibaliwe. Lena inqubo esinayo phambi kwethu, ngaphansi kwezinkanyezi ezithile, nge-cirrhosis yesibindi. Kukhona ngisho nezicubu ezixhumeneyo kanye ne-calcium efakwa ezindaweni zobuchopho ezilandelanayo ezilimele ngemva kokulimala, ukuhlinzwa noma njengolwelwesi lwama-cyst ngemva kokugqashuka kwesilonda se-Hamer.

Ngokuyisisekelo, konke lokhu kuyinto evamile ngokuphelele futhi akuphathwa ngendlela ehlukile umzimba nakho konke ukulimala!

18.1.3 c) “nokungqubuzana okulengayo” okuncishisiwe

umuntu akakwazi ukukhuluma “ngesigaba sekwephuzile noma sokugcina”. Esimeni sokungqubuzana "okulenga" okusebenzayo, akukho ukuphulukiswa noma isigaba se-PCL. Kodwa-ke, lokhu kukhona ku-SBS evamile noma ehlala njalo. Ungathola yonke into lapho, kuye ngokuthi ingabe ukungqubuzana okwamanje kubhekene nokuphindaphinda komsebenzi wokungqubuzana noma isixazululo.

ikhasi 396

Izinqubo ezinjalo eziphindaphindeka njalo, ikakhulukazi izixazululo ezihambisanayo, okuyizona ezivamile nje, zibangela izimpawu ezibonakala ngaphandle, njengokufiphala okungapheli kanye nokuwa kwezandla ukuzethemba, izigaba zesixazululo ezibizwa ngokuthi “ezingapheli. i-rheumatism yamalunga". Ukuguqulwa kwezandla kungachazwa ngokuthi "izimo eziphuzile noma zokugcina". Kodwa-ke, kunomjikelezo ononya lapha, ngoba ukukhubazeka kwezandla kwenza isiguli sibe nzima nakakhulu, ukuze ukwazi kakade: ukuphindaphinda okulandelayo okuhambisana nokungqubuzana kuzofika, futhi ngesikhathi esithile isigaba sokuxazulula esihlobene sizobuya futhi. ...

I-“hanging carcinoma” efana “nengxabano elengayo” ayiyona i-carcinoma engasebenzi, kodwa kunalokho i-carcinoma emisiwe isikhathi esifushane noma eside, okungukuthi i-carcinoma eyehliswa yaba yizinga eliphansi le-mitotic noma i-carcinoma necrosis. Ukuqapha kuyelulekwa! Ukungqubuzana nezenzakalo zomdlavuza zingaba zimbi noma nini²⁶⁵, okungukuthi ukuqala kabusha. Ilangabi alikacimi. Kudingeka ukubalwe lapha kuphela ngoba isikhathi esiningi kuhlala “kuyisigaba sokugcina” lapho isiguli singasakwazi ukuphuma kule “ngxabano elengayo” kuze kube sekupheleni kokuphila kwaso. Lokhu sikubona kaningi kubantu abane-spastic²⁶⁶ nokhubazekile²⁶⁷ I-Paresis ebangelwa ukungqubuzana kwezimoto ku-precentral gyri. Izikhungo zethu zokuhlunyeleliswa kwezimilo kanye namakhaya abantu abakhubazekile agcwele amacala anjalo.

18.2 B. Isigaba sokugcina somdlavuza we-unbiological noma i-SBS engcono

a) Sesixoxile kakade ngenhla ukuthi uma amabhaktheriya e-tubercle, empeleni abalulekile ekuphileni, engekho esimweni se-SBS endala elawulwa ubuchopho, isimila somdlavuza asikwazi ukuphulwa esigabeni se-pcl. Uhlala - okungafanele akwenze ngokwebhayoloji.

Endabeni yomdlavuza webele kumama oncelisayo, uma ingane ithola ukwanda kobisi isikhathi eside kunalokho okuhlosiwe ngempela, khona-ke akubi kangako. Lokhu kuhlukile nge-thyroid carcinoma noma i-pituitary carcinoma. Ngoba lezi ziyaqhubeka nokukhiqiza amanani anda amahomoni, ayefunwa okwesikhashana - kodwa hhayi unomphela! Umzimba wesiguli uyaqhubeka nokukhiqiza amahomoni, nakuba ukungqubuzana sekunesikhathi eside kuxazululiwe. Akukhona nje kuphela ukuthi lonke uhlelo lwe-endocrine luhlakazeka, kodwa isiguli, ngomqondo ongokomfanekiso, “sigula ngokuzenzela”: Ngokwesibonelo, une-thyrotoxicosis yokwenziwa.²⁶⁸, ayengaba nayo isikhathi esifushane, ngokuqondile ngesikhathi sokungqubuzana okusebenzayo, uma i-tubercle mycobacteria yayikhona ngesikhathi, kodwa engasenamsebenzi ngemva kwalokho.

²⁶⁵ Exacerbation = ukwanda, ukwanda, ukuphindaphinda
²⁶⁶ I-Spasticity = ukwanda kwethoni yemisipha ngokuvame ukukhuphuka kwe-muscle reflexes ngesikhathi esifanayo
²⁶⁷ Ukukhubazeka = ukukhubazeka
²⁶⁸ I-Thyrotoxicosis = i-hyperthyroidism… i-thyroid engasebenzi ngokweqile

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Ezinye izibonelo:

Njengoba ngishilo, cishe wonke ama-carcinomas awasebenzi lapho ukungqubuzana kuxazululwa, futhi "ithule" empeleni kusho kuphela ukuthi ayisakhuli, okuyinto evamile kuwo wonke ama-carcinomas ngemva kokungqubuzana, okungasalandeli inkambo evamile ye-biologically. Empeleni, angisabenzi ubulungiswa besigaba sami uma ngixoxa ngalolu hlobo lokuziphilisa lapha. Kodwa usengowalapha.

Ngiqonde uhlobo lokuziphilisa okuphoqelekile lapho abantu beqede ngokuzenzela izinhlobo ezithile zamabhaktheriya, ukuze umzimba kufanele ushiye futhi uhlanganise umdlavuza owawusulwe ngaphambilini ngamabhaktheriya anesibopho, ngenxa yokuntuleka "kwamagciwane akhethekile" .

Izigaxana zamaphaphu ezindala ezazingasebenzi zazingekho ngaphambili ngoba isifo sofuba sasivamile. Ukuvikela isifo sofuba kwakungenakwenzeka nhlobo. Abantu bebengeke besavunyelwa ukugibela amathilamu noma ukuhamba emigwaqweni. Yonke indawo umoya wawugcwele amabhaktheriya e-tubercle anyakazayo. Kodwa kuphela umuntu owayesaba ukufa futhi empofu owathola isifo sofuba samaphaphu! Ngoba abampofu babehlale besaba ukufa futhi futhi bengenazo izindlela zokudla ukudla okunamaprotheni amaningi ngesikhathi sesigaba se-pcl.

Njengoba thina bantu abathuthukile singasenawo “amagciwane akhethekile,” amanxiwa ethu omdlavuza amile, axilongwa bese evamise ukuhambisa umbuthano ononya phakathi kwabagxeki bethu bezokwelapha abahlakaniphe ngokweqile.

Eminyakeni edlule, lapho ngiqala ukuqonda ukuhlobana komdlavuza, ngathi kozakwethu ngaleso sikhathi: “Uma siyazi imfihlo yokuthi inkalankala ilala ilale, sizokuqonda ukuhlobana komdlavuza lapho bengihleka Ngasesha ezinqolobaneni zomdlavuza wokulala, yebo, aqhuma ngokoqobo ehleka izenzo zami zobuwula.

b) Singase sihlupheke "izifo zokwenziwa" ezifanayo lapho ukuphulukiswa okuvamile kwenzeka ohlelweni olukhethekile, njenge-leukemia njengesigaba se-pcl ku-bone osteolysis esigabeni sokungqubuzana.

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Ngokungazi kwabo, odokotela basebenzisa i-chemo ukulwa nezimpawu ezingenabungozi zezibalo eziphezulu ze-leukoblast egazini. Akunangqondo ngokuphelele! Akukhona nje kuphela ukuthi cishe zonke iziguli zabo ziyafa, kodwa ngale pseudotherapy zivimbela ukuqhubeka kwemvelo kwebhayoloji kwesigaba se-PCL. Ekupheleni kwesigaba se-PCL, uma kungekho ukuphindaphinda okusha, i-osteolysis ngeke nje igcwaliswe nge-callus, kodwa izoqina kunangaphambili! Konke lokhu kuvinjelwa i-chemo (ushevu wamaseli).

Endabeni yokuphuka kwentamo yesifazane okubangelwa ukungqubuzana "Angikwazi ukwenza lokho!" noma ngenxa ye-osteolysis entanyeni yesifazane, i-hip prosthesis "ilungiswa" ngokuhlinzwa. Ezimweni lapho ukungqubuzana okuhambisanayo, lapho udokotela ohlinzayo angenasithakazelo khona, kuxazululwa, ukusebenza kungase kuphumelele. Kodwa uma ukungqubuzana kuqhubeka futhi yonke isokhethi ye-hip ehlangene noma i-femoral shaft esele iba i-osteolytic, okungukuthi "i-soft", khona-ke i-hip prosthesis iyaguquguquka futhi udokotela ohlinzayo ulahlekile futhi akazi ukuthi yini enye angayenza.

Beispiel ukuze:

I-Staphylococci, amagciwane emathumba ethu:

I-Furunculosis isigaba sokuphulukisa ngemva kokwehla kokuzethemba ngokugxila kuka-Hamer ku-cerebral medulla kanye nasendaweni yesitho njenge-necrosis yezicubu ezixhumeneyo. Ngemuva kokuhlinzwa, i-staphylococci esebenza kanzima isusa i-necrosis, esiyibiza ngokuthi i-furunculosis. Nomaphi lapho izicubu ezixhumeneyo ziyi-anaerobic²⁶⁹ iyancibilika, abasebenzi abakhethekile abafanelekile bakhona kulolu hlobo lwe "necrosis waste". Thina bantu abayiziphukuphuku sivimbela umsebenzi wabo onenjongo nge-penicillin futhi sibungaza lokhu njengesenzo sokuqala somuthi, okuwukungazi nje. Ngoba sisebenzisa i-penicillin njenge-decongestant yobuchopho. Yile ndlela kuphela yokunciphisa umkhuhlane, hhayi ngoba ngokwemvelo - ngoba nawo unomphumela we-cytostatic - "abangane bethu abancane" abaningi, amagciwane, bayashabalala, thina abafundi bemilingo esiyigubha ngokungazi kwethu, njengabantu abangenalwazi. ingane iyajabula lapho umzingeli edubula “impungushe embi” entshontsha amahansi amancane ampofu. Eqinisweni, abantu ngokuzenzela nangaphandle kokuqonda bayangenelela ekulinganiseni kwemvelo, njengomfundi womthakathi oqaphela kamuva lokho akwenzile, lapho kungenzeka kakade sekwephuze kakhulu.
Ukuzikhukhumeza okulele ekumemezeleni imvelo ukuthi inephutha kangangokuthi sikholelwa ukuthi kufanele sikulungise futhi sikulungise kuyo yonke indawo kungasolwa kuphela ekungazini okungapheli kwabagxeki bezokwelapha abathi, njengabo onkulunkulu bazizwe, nakuba babempofu kakhulu. izingqondo ukuthi "bakhohliwe" ukufaka ubuchopho ekucabangeni kwabo, ingasaphathwa eyengqondo.

²⁶⁹ anaerobic = ukuphila ngaphandle komoyampilo

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19 Umthetho wokuqonda konke okubizwa ngokuthi “isifo” njengengxenye yohlelo olukhethekile lwemvelo oluqondakalayo oluqondakalayo lwebhayoloji - Umthetho wesi-5 wemvelo wemvelo womuthi omusha (i-quintessence)

Amakhasi 401 kuya ku-410

noma: Incazelo yebhayoloji yalo lonke uhlelo olukhethekile lwendalo

Lo mthetho wesi-5 wemvelo wemvelo usiholela “emthini wangempela” wangempela: Uguqula indlela yangaphambilini ye-nosological.²⁷⁰ (Ukugula) ukuqonda ngokuphelele. Isifo esinjalo emqondweni odlule asisekho. Ukungazi kwethu akuzange kusivumele ukuba sibone ukuthi zonke lezi zinto okuthiwa “izifo” zinencazelo ekhethekile yezinto eziphilayo esingenakuyiqaphela.

Umthetho wesi-5 wemvelo wemvelo uyingqikithi yemithetho yemvelo emi-4 yangaphambilini Yemithi Emisha. Uma sibheka emuva kungachazwa njengomthetho obaluleke kakhulu wemvelo. Le quintessence ayigcini nje ngokufingqa imithetho eqinile yesayensi yangaphambilini, kodwa futhi isivulela isici esisha. Kunjengokungathi, umphefumulo we-New Medicine. Noma ake siqhubekele phambili: Ngesinyathelo esisodwa, lo mthetho wesihlanu wemvelo udala ukuxhumana phakathi kwalokho ebesikwazile ukukucwaninga ngokwesayensi ngokucwaninga amaqiniso, nalokho ngaphambili obekubonakala kithi njengokudlula imvelo, amandla angaphezu kwawemvelo, i-parapsychological noma nje okuqondakalayo ngokwenkolo. noma ngabe yini ebesiyibiza ngokuthi lokho ebesivame ukukuzwa kanye nesikuzwayo, kodwa obekubonakala kungaqondakali, ngisho nokungaqondakali noma okungenangqondo kithina ngokombono obizwa ngesayensi.

Ngoba umthetho wesihlanu wemvelo wemvelo ekugcineni usivulela ukuxhumana okuqondakalayo manje endaweni yonke esizungezile noma esishumeke kuyo. Akumangalisi ukuthi abaseSpain, abanomqondo wezilinganiso ezinjalo zokuqonda ngokomzwelo, kusukela ngaleso sikhathi baye babiza iNew Medicine ngokuthi "la medicina sagrada". Leli gama lavela e-Andalusia esikhathini esithile entwasahlobo ka-5.

²⁷⁰ I-Nosology = ithiyori yezifo

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I-"La medicina sagrada" ivula entsha, i-cosmic, ingasho ubukhulu bobunkulunkulu ngathi! Kungazelelwe, zonke izindlovu, zonke ibhungane, zonke izinyoni ngisho nehlengethwa imbala ifakiwe emicabangweni yethu yezokwelapha kanye nomuzwa njengawo wonke amagciwane, zonke izitshalo nazo zonke izihlahla. Yebo, ukucabanga ngaphandle kwalokhu “kucabanga kwendawo yonke” ngaphakathi kohlaka lwendalo ephilayo akusenakwenzeka. Nakuba ngaphambili sasinesibindi sokubuka i-Mother Nature njengesiphukuphuku futhi enamaphutha, ehlala ekhiqiza "amaphutha" kanye "namaphutha" (amabi, angenangqondo, ukukhula komdlavuza okuwohlokayo, njll.), manje kuwela kithi njengezikali ezivela emehlweni ethu kuphela. ukungazi, ukuzidla kwethu okudlulele kanye nokungaziphathi kahle, okwakuyizinto eziyiziphukuphuku ngempela endaweni yethu. Ngakho-ke "sibethelwe phansi" sasingasenakuqonda lutho futhi ngenxa yalokho sakha lomuthi ongenangqondo, ongenamphefumulo noyisiwula.

Thina bantu manje, kukho konke ukuthobeka, singabona futhi siqonde okokuqala ukuthi akuyona nje yonke imvelo eyalelwe - sase sazi ukuthi ngezinga elithile - kodwa futhi ukuthi yonke inqubo yomuntu ngamunye emvelweni inengqondo, ngisho nangaphakathi kohlaka lwe konke, ngisho nezinqubo esasizibize ngokuthi “izifo” ngaphambili kwakungezona iziphazamiso ezingenangqondo okwakumelwe zilungiswe abafundi bemilingo, kodwa kunalokho sibona ngokumangala ukuthi konke lokhu kwakungelona neze ize, kuyingozi futhi kuyisifo. Kungani kungafanele noma kungafanele sikubize lokhu kusebenzisana okunenjongo kwemvelo, kwawo wonke umkhathi ophilayo, ngokuthile kobunkulunkulu? Ngaphambi “kokuqhuma” kwezinkolo ezinkulu, njengoba singabona ngokucacile kubapristi bakankulunkulu u-Asclepius, ingabe isikhundla sikadokotela sasingesona njalo isikhundla sobupristi? IThestamente Elidala, imithi yezentengiselwano egxile enzuzweni yayiwukuhlanekezela okwesabekayo, okungenasihawu.

Kusukela manje kuqhubeke, yonke i-biology, naphezu kwayo yonke imininingwane eminingi, iba sobala ngokumangalisayo futhi obala, kulula ukuyiqonda, futhi nayo biology yomuntu - kanye nayo imithi. Ngafundisa isayensi yezinto eziphilayo zabantu njengomfundisi eNyuvesi Yezemfundo eHeidelberg iminyaka eminingana. Ngikholelwa ukuthi le mfundiso - "docendo discimus" - ingisize kakhulu ukuthola lo mthetho wesi-5 wemvelo wemvelo.

Ngakho zaziyini lezi ezazibizwa ngokuthi “izifo”? Nokho, izimpawu esazazi zisekhona, kodwa zona kuphela! Kufanele sikuhlukanise ngokuphelele futhi sikuhlole kabusha ngoba sizuze ukuqonda okuhluke ngokuphelele.

Ngisho noma sibheka umthetho wesibili webhayoloji wemvelo (umthetho wezigaba ezimbili zazo zonke izinhlelo ezikhethekile zebhayoloji lapho kuxazululwa ukungqubuzana), kufanele siqaphele ukuthi besicabanga ukuthi sazi kakhulu “izifo” okufanele zibe khona lapho kukhona okukhethekile. Izinhlelo kunesasinazo Isigaba ngasinye kulezi ezimbili sithathwa njengokugula okuhlukile!

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Sasizizwa “sibuthakathaka futhi sikhathele” phakathi nesigaba sokuphulukiswa. Sabe sesibiza lesi sigaba se-pcl ngokuthi "isifo". Eqinisweni, sasisendleleni eya ekululameni. Izitho ze-mesodermal ezilawulwa yi-cerebral medulla yizona kuphela iqembu (bheka ithebula elithi “Psyche-Brain-Organ”) lapho incazelo yebhayoloji ilele esigabeni sokuphulukisa: ama-cysts, ama-ovarian cysts, ubende kanye nama-lymph node cysts, kanye ukuqhuma okubuhlungu kwe-Periosteum (isikhumba sethambo) ngokuqiniswa kabusha kwethambo ngokufaka i-callus. Uma sikhuluma ngokuqinile, kuphinde kube nezinqubo eziqalwa ukungqubuzana kwezinto eziphilayo ezinencazelo yezinto eziphilayo kuzo zombili izigaba, isibonelo engxabanweni yokopha nokulimala. I-Mother Nature ithatha inkululeko nganoma yisiphi isikhathi emlandweni wentuthuko ukuze iqedele noma ilungiselele ezakhe izinhlelo ezinhle kakhulu:

Ukungqubuzana Kokopha Nokulimala:

a) isigaba se-ca: thrombocytopenia²⁷¹, ngaleyo ndlela kuvimbele ukuqunjelwa²⁷² emithanjeni yegazi (ngasikhathi sinye i-spleen necrosis)

b) isigaba se-pcl: i-splenomegaly²⁷³, ukuze ama-platelet engeziwe akwazi ukungena ku-spleen ngokuzayo lapho kuba khona ukungqubuzana kwegazi noma ukulimala. (I-Spleen = imbobo yokuqoqa yamaplatelet, okuyinto esigabeni se-ca ingase ibe kuphela endaweni yokulimala, kodwa hhayi egazini.

Esimeni esingenhla, sibhekene nezinhlelo ezinxephezela futhi ezixhumanisayo sonke esingazifunda manje ukuziqonda.

Sibona uhlelo olufanayo lokuxhumanisa uhlelo lwe-anemia: Incazelo yezinto eziphilayo zomdlavuza wamathambo (i-bone osteolysis) ilele ngokucacile esigabeni se-pcl, okungukuthi esigabeni sokuphulukisa, lapho ingxenye yamathambo ibalwa kakhulu futhi ngakho-ke inamandla esikhathini esizayo, kunaye. kwaba ngaphambili. I-anemia esigabeni se-ca, nokho, iqinisekisa ukuthi ingxenye yethambo e-osteolyzed futhi ebuthaka esigabeni se-ca ayiqhekeki, okusho ukuthi umzimba awukwazi ukwenza ukugxuma okukhulu ngenxa yokukhathala (i-anemia-ukukhathala!). Esigabeni se-pcl, lapho incazelo yezinto eziphilayo ilele khona, ukungakwazi ukuhamba okukhulu nakakhulu kufinyelelwa ngobuhlungu be-periosteum ehlukanisiwe. Ngaphezu kwalokho, umzimba cishe awusebenzi ngokuphelele ngenxa yokukhathala okukhulu kwe-vagotonic esigabeni se-leukemic.

²⁷¹ I-Thrombopenia = i-thrombocytopenia… inani elincishisiwe lamaplatelet
²⁷² I-coagulum = ihlule legazi
²⁷³ I-Splenomegaly = ukwanda kobende

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Noma nini lapho sicabangela incazelo yebhayoloji yohlelo olukhethekile kanye nezinhlelo zesinxephezelo ezihambisanayo, siqala ukubona ukuthi ukwelapha kwethu, ebesicabanga ukuthi kwakuhlakaniphe kangakanani, kwakuwubulima kangakanani ezimweni eziningi. Ikakhulukazi kwakuwukubhebhetheka nje kwabantu abangazi lutho, kwabafundi bemilingo abebelokhu begila izinkinobho bengazi ukuthi babangelwa yini. Iningi leziguli zethu lafa iatrogenically ngenxa yokwelashwa, hhayi ngohlelo olukhethekile. Ngokuzayo, odokotela bethu bazoba abahlakaniphe kakhulu njengoba bezazi kangcono izinhlelo ezikhethekile zebhayoloji eziwusizo.

19.1 Umgomo womdlavuza

Umthetho wezigaba ezimbili zemvelo yazo zonke izifo kuyo yonke imithi uphendulela lonke ulwazi lwethu lwangaphambilini ngokuphelele ekhanda lawo: Nakuba ngaphambili sazi ngezifo ezingamakhulu ambalwa, lapho sibhekisisa sathola cishe ingxenye yezifo okuthiwa yizifo lapho isiguli sasinezandla ezibandayo I-Periphery ibonisa, futhi cishe enye ingxenye kuthiwa yizifo ezifudumele noma ezishisayo, lapho isiguli sinezandla ezifudumele noma ezishisayo futhi ngokuvamile imfiva. Eqinisweni, bekukhona “ama-tandem” acishe abe ngu-500 kuphela: ngaphambili (ngemuva kwe-DHS) isigaba esibandayo, esiphikisanayo, esizwelana nangemuva (emva kokungqubuzana) isigaba sokuphulukisa esishisayo, esixazululiwe, esine-vagotonic. Lolu hlelo lwezigaba ezimbili luwumthetho webhayoloji.

Zonke izifo esizaziyo zinendlela yokuzikhethela yalolu hlobo, inqobo nje uma kukhona ukuxazululwa kwengxabano. Uma manje sibheka emuva, emithini eyedlule, akukho ngisho nokugula okukodwa okuye kwaqashelwa ngendlela efanele: nalokho okubizwa ngokuthi “izifo ezibandayo”, isigaba sokuphulukisa esalandela sanganakwa noma sahunyushwa ngokungeyikho njengesifo esihlukile (isb. okuthiwa ""Izifo", ezihlala zimelela isigaba sesibili, okungukuthi isigaba sokuphulukisa ngemva kwesigaba sangaphambilini sokungqubuzana, lesi sigaba esibandayo sangaphambili sasinganakwa noma sihunyushwe kabi njengesifo esihlukile.

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19.2 Ukwenziwa kusebenze kohlelo olukhethekile yi-DHS - ukuqala kwesigaba sokuzwelana

Uma umuntu noma isilwane sihlushwa i-DHS, okungukuthi isipiliyoni esinzima kakhulu, esibucayi kakhulu, esimangalisayo futhi esihlukanisayo, ukuqonda kwabo okuncane kuhlobanisa okuqukethwe okungqubuzanayo kokungqubuzana kwebhayoloji okubangelwa i-DHS nendawo yomqondo webhayoloji, ngokwesibonelo indawo ubudlelwano bukamama/nengane noma indawo yendawo noma indawo yamanzi noma indawo yokwesaba entanyeni noma endaweni yokuzethemba noma izindawo ezifanayo. Nalapha futhi, i-subconscious iyazi ukuthi ihlukanisa kanjani ngokunembile okwesibili kwe-DHS: ukwehla kokuzethemba endaweni yocansi ("uyiwimp") akubangeli i-osteolysis yomgogodla womlomo wesibeletho, kodwa njalo i-pelvic osteolysis, umdlavuza we-pelvic. Ukungqubuzana kokuzethemba ebudlelwaneni kamama/wengane (“wena mama omubi!”) ngeke kubangele i-osteolysis ku-pelvis, kodwa njalo umdlavuza wekhanda le-humeral kwesokunxele (kubantu abangakwesokudla).

Indawo ngayinye yomqondo webhayoloji inesikhungo esithile sokudluliselana ebuchosheni, esisibiza ngokuthi “i-Hamer focus” uma kwenzeka ugula. Yonke indawo yomqondo webhayoloji “inesikhungo sayo sokudluliselana”.

Okwamanje amakhodi akhethekile e-DHS asuka eziko lika-Hamer aye esithweni esinikezwe lezi ziko lika-Hamer. Ngakho ungathi: zonke iziko Hamer has "isitho salo". Ngakho-ke isenzakalo esinezendlalelo ezintathu se-psyche - ubuchopho - isitho empeleni siyisenzakalo esivumelanayo kusukela ekugxilweni kuka-Hamer kuya esithweni esinomehluko wengxenye yomzuzwana. Iningi leziguli liyakwazi ukucacisa i-DHS cishe kuze kube umzuzu ngoba ibihlale imangalisa. Ezikhathini eziningi, iziguli “zazibanjwe yiqhwa ngenxa yokwethuka,” “zingakwazi ukukhuluma,” “zikhubazekile,” “zithuke kakhulu,” nokunye okunjalo. Ebuchosheni ungabona i-DHS ethintekile kusukela kusekhondi loku-1 ku-CT yobuchopho, nakuba ngobunzima obuthile futhi njengomaka kuphela, esithweni ingatholakala kusukela kusekhondi loku-1: umdlavuza!

Kweyesibili ye-DHS yonke into isivele ihleliwe noma yahlelwa: Ngokuvumelana nokuqukethwe kokungqubuzana kokungqubuzana kwezinto eziphilayo okwesibili kwe-DHS, njengoba singakwazi ukunquma kalula namuhla ngama-tomograms ekhompiyutha yethu, kunendawo ecacile, enqunywe kusengaphambili ubuchopho (ukugxila kukaHamer) ""kushintshiwe".

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Ngomzuzwana ofanayo, izinguquko zesitho esingabikezelwa (ngokuqondile ohlwini lwethebula i-Psyche-Brain-Organ futhi ngokusekelwe ekuhloleni okunamandla) ziqala; kungaba ukwanda kwamangqamuzana noma ukuncishiswa kwamangqamuzana noma ukushintsha komsebenzi (kulokho okubizwa ngokuthi ukulingana komdlavuza).

Ngithe "ngishintshile" ngoba, njengoba sizobona esahlukweni esilandelayo, i-DHS "nje" inqubo yokushintshela ohlelweni olukhethekile ukuze umzimba ukwazi ukubhekana nesimo esingalindelekile.

19.3 Inkinga esemqoka

Kodokotela besikole sangaphambilini, uhlelo alusoze lwahileleka enqubweni yomdlavuza ngenxa yokuthi ukuntuleka kwesimiso senziwe imfundiso-nkolo.

Uma le mfundiso yenkolo ibivunyelwa ukuba iphikiswe, bekuyoba sobala ukuthi “sonke asenzanga lutho ngaphandle kombhedo nje phakathi namashumi ambalwa eminyaka adlule.”

Okuhle kakhulu okuyimbudane emikhulu yilokho okubizwa ngokuthi "izimila zobuchopho", ezingekho ngisho nokuba khona. Wonke umuntu okhuluma “ngezimila zobuchopho” ucabanga ukuthi ubona “izingubo ezintsha zombusi,” ezaba khona kwaze kwaba yilapho intombazanyana yasenganekwaneni igcina imemeza: “Inkosi inqunu!”

Akukho lutho, lutho, olungalungile ngalokho okubizwa ngokuthi "izimila zobuchopho". Azikho ngaphezu kwalokho okubizwa ngokuthi "ama-metastases obuchopho", okuwumkhiqizo wokungazi lutho kodokotela abavamile.

Isisekelo sihlala siwukuthi umdlavuza umelela ukwanda okungenangqondo nokungenangqondo, okungalawuleki futhi okungenasimiso "kwamangqamuzana omdlavuza aphelile" - okubangelwa ingqamuzana lomdlavuza elinyamalale. Le mfundiso-nkolo ihlanganisa njalo - engakaze ifakazelwe esimweni esisodwa - ukuthi amanye amangqamuzana omdlavuza wasendle abhukuda egazini le-arterial aye kwezinye izitho futhi akhiqize umdlavuza omusha, okuthiwa "i-metastasis" noma isimila sendodakazi. Uma amangqamuzana omdlavuza ekwazi ukubhukuda aye ezithweni ezikude, bekuzodingeka afike lapho ngegazi le-arterial, ngoba uhlelo lwe-venous kanye ne-lymphatics kuholela enkabeni yomzimba kuphela, okungukuthi enhliziyweni.

Izinkulungwane zocwaningo manje sezenziwe, nakubantu, ukuthola ukuthi amangqamuzana omdlavuza angatholwa yini egazini le-arterial.

Akukaze kube yimpumelelo!

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Alikho nelilodwa ingqamuzana lomdlavuza elake latholakala, nakuba ingqamuzana legazi ngengqamuzana legazi liye lahlolwa. Njalo ngaphandle kwempumelelo uma kuziwa kumaseli omdlavuza!

Kulokhu 1 kwesayensi amanga isekelwe emfundisweni yalokho okubizwa ngokuthi ama-metastases.

Owesibili amanga isekelwe emangeni okuqala emfundiso yenkolo: Njengoba, ngokwenkolelo-mbono 1, wonke ama-carcinoma alandelayo kufanele abe yilokho okubizwa ngokuthi ama-metastases of the carcinoma yokuqala, umuntu ufika ngokungaguquki kumangqamuzana omdlavuza ayingozi kakhulu: lokho cishe njalo, ngokwesibonelo. , i-squamous cell carcinomas yongqimba lwangaphandle lwegciwane i-adeno-carcinomas yongqimba lwamagciwane lwangaphakathi noma okuphambene nalokho, noma ukuthi i-adenocarcinomas yepheshana lamathumbu ingabangela ukubola kwethambo bese kuthiwa "ama-osteosarcoma metastases" yongqimba lwegciwane eliphakathi noma, ngokuphambene, ama-sarcomas kufanele akhiqize ama-metastases e-carcinoma, okungukuthi ihhashi kufanele libelethe ithole, yonke into ayinandaba futhi ihamba njengemfucumfucu.

I-dogmatic yesi-2 amanga kungamampunge nje amanga okuqala. Kufanele ucabange ukuthi lokho kusho ukuthini ngolimi olulula: kuzodingeka kube nengqamuzana le-carcinoma, isibonelo kungqimba lwangaphakathi lwegciwane, okungukuthi iseli ye-adenocarcinoma, kulo - elingakaze libonwe! - uhambo olufushane oluya emathanjeni, isibonelo, sasazi kahle ukuthi lwaluzophelelaphi futhi ngaleso sikhathi esifushane lwenze i-metamorphosis ukuze manje ngokuzumayo lube inzalo yongqimba lwamagciwane oluphakathi futhi lungakha i-osteosarcoma futhi ngokuphambene nalokho.

Futhi-ke awukwazi ukuphinda ukhiqize lokhu ngeshubhu lokuhlola noma ngesiko noma kunjalo, ungakwazi kuphela noma cishe ukhulise lokho okubizwa ngokuthi ama-sarcomas, okuyizicubu ezixhumeneyo ezingenabungozi. Ngokusho kwezincwadi ze-oncology, iphesenti lalokho okubizwa ngokuthi izimila ezingatshalwa emasikweni kulawa "ama-sarcoma" anikezwa njenge-95%. Ngaphandle kwama-sarcomas kanye nalokho okubizwa ngokuthi yi-embryonic carcinomas (esenokukhula kwe-embryonic), cishe akunakwenzeka ukuthi kukhule umdlavuza wangempela esikweni, nawo ongahambisana Nomuthi Omusha. Ngakolunye uhlangothi, kuhambisana nesistimu ye-ontogenetic yamathumba ukuthi amangqamuzana ezicubu ezixhumeneyo zesendlalelo segciwane eliphakathi abe namandla okuphindaphinda okunamandla, okudingekayo ekwelapheni, ukuze akwazi ukuqhubeka ne-mitosis esikweni, efana nemoto. lapho ushayela khona ngesivinini esiphezulu ushintshela kokungenzi lutho bese uqhubeka nokushayela amakhulu amamitha, nakuba ingasekho injini eshayela amasondo, ngomfutho wenqwaba kuphela.

ikhasi 407

Lonke uvalo luba sobala kithina kuphela lapho siqonda ukuthi uhlobo olufanayo lwe-carcinoma luhlala lukhula endaweni efanayo emzimbeni. Njengohlelo olukhethekile lwemvelo olunengqondo ngokuphelele! Njengoba lokhu kwangicacela futhi kwavunyelwa noprofesa besayensi ye-histology kanye ne-histopathology, kuye kwaba sobala kimina ukuthi ezimweni eziningi i-histopathology isiphenduke intonga nje esenziwe “isinqumo sokugcina” sesiguli. ngokuzikhukhumeza kanye namanga aqinile. Yeka injabulo izazi zomlando, ezizizwa sengathi zingabaphathi abayimfihlo bempilo nokufa kweziguli, ngezinye izikhathi abazizwa lapho “i-metastasis” yamaphaphu ikhombisa uhlobo lwe-histological olucishe lufane, okuyi-adenocarcinoma, njengesimila okucatshangwa ukuthi siyinhloko, i-colon carcinoma ngokwesibonelo. . Khona-ke abantu bakhuluma ngokushesha “nge-metastasis yangempela”, nakuba lokhu empeleni kunganciphisa u-90% osele “wokuxilongwa kwe-metastasis” kube ubuwula. Kodwa ivumelana nezazi ze-histologists njengoba kwenzeka, ngezinye izikhathi ibonakala ifanelana kahle ngokukhethekile... Ngakolunye uhlangothi, kungaba nengqondo ukucacisa ukuthi isimila singesiphi, isibonelo ezindaweni ezisemngceleni (isb. i-sigmoid rectum), ngaphandle uma ungakwazi. yenza lokho ngokusebenzisa ubuchopho -CT ingacacisa kalula. Mhlawumbe ezimweni ezingazodwana kungaba okuthakazelisayo ukucacisa ukuthi ingabe isimila sisacebile ngama-mitoses noma ukuthi i-carcinoma endala, engasebenzi ngaphandle kwe-mitosis, uma umlando wangaphambilini ungacacile futhi i-CT yobuchopho ayinikezi noma iyiphi incazelo ecacile. Kodwa ngokuyisisekelo ezimweni eziningi akudingekile ngokuphelele ukwenza ukuhlolwa kwe-histological uma ukwakheka okufanayo kwesimila kutholakala endaweni efanayo esithweni.

Manje kulokho okubizwa ngokuthi “amathumba ebuchosheni” noma “ama-metastases obuchopho”, akukho kuwo okukhona ngalo mqondo:

I-dogmatic yesi-3 amanga ukuthi ubuchopho abukwazi ukuba khona njengekhompyutha yento ephilayo. Uma, ngokwale mfundiso-nkolo, umdlavuza uvela engqamuzaneni “eliwohlokayo” eliye laganga, khona-ke lezi zakhiwo, abaphikisi bami abazibiza ngokuthi “imihlambi yakwaHamer eyinqaba,” kufanele kube izimila eziyinhloko noma okungenani “ama-metastases.” Bonke abafundi bafunda kusemester yokuqala yezokwelapha ukuthi amangqamuzana obuchopho awasakwazi ukuhlukana ngemva kokuzalwa ngakho-ke awasakwazi ukuzala. Kuphela okuthiwa “izicubu ezixhumene nobuchopho”, okuthiwa yi-glial substance, zingaphindaphindeka, njengoba nje izicubu ezixhumeneyo zingaphindaphindeka kuwo wonke umzimba ukuze zenze izibazi, ziqinisekise umsoco futhi zisekele izicubu. Sithi: izicubu ezixhumeneyo emzimbeni kanye nezicubu ze-glial ebuchosheni zinemisebenzi yokudla okunomsoco, esekelayo kanye nezibazi. Ngakho-ke asilokothi sibone ingqamuzana elilodwa lobuchopho ku-mitosis, asilokothi sibone ukwanda kwamangqamuzana obuchopho, nokho bonke ososayensi bezokwelapha bakhuluma ngamathumba obuchopho, ngisho “nama-metastases obuchopho”.

ikhasi 408

Kwenzekani ngempela ebuchosheni bethu lapho okubizwa ngokuthi “isimila” noma ukugxila kwe-Hamer kwenzeka?

Eqinisweni, yonke into ilula kakhulu futhi iklanywe ngobuciko nguMama Wemvelo, kodwa ayiqondwa ngokuphelele odokotela bethu besikole abangenalwazi kodwa abakhukhumele nakakhulu. Bahlinza ekuvuvukeni kobuchopho okungenangozi kakhulu futhi ngaleyo ndlela bacwiye isiguli ukuphila kwabo konke, uma sisinda, okuyinto engavamile ngenxa yokwethuka nokushintsha kobuntu okulandelayo.

Eqinisweni kunjena:

Uma sihlaselwa ukushaqeka okukhulu kokungqubuzana, i-DHS ephinde isishiye sisodwa ngokwengqondo, khona-ke ukugxila kuka-Hamer kwakheka ebuchosheni ngawo lowo mzuzwana. Indawo ekhetheke kakhulu yobuchopho bethu inesibopho sohlobo ngalunye olukhethekile lokushaqeka kwengxabano, esingakubiza nangokuthi ukushaqeka kokungqubuzana kwezinto eziphilayo, futhi ngesikhathi esifanayo indawo yesitho esikhethekile kakhulu.

Ngakho-ke: Uma owesifazane enokungqubuzana ngokocansi, ngokwesayensi yezinto eziphilayo "ingxabano yokungahlanganiswa", isibonelo lapho owesifazane ebamba umyeni wakhe "esenzweni", lokhu "kwesibili kokushaqeka" kuphakama uma owesifazane ebona lesi simo njengocansi. ukungqubuzana futhi ayikuboni njengokukhaphela noma enye into, i-Hamer igxile endaweni yesokunxele ye-periinsular (indawo ye-parietal yesikhashana), uma kungumuntu wesifazane osandla sokudla.

Kulesi sesibili, uhlelo olusha lobuchopho olubalulekile lwebhayoloji (SBS) luyavula. Lolu hlelo olukhethekile luqinisekisa ukuthi izilonda ziyakhula emlonyeni wesibeletho nasemlonyeni ukuze - njengoba umuzwa wezinto eziphilayo ubonakala unjalo - isibeletho sikulungele nakakhulu ukukhulelwa. Le ngxenye²⁷⁴- noma ukuguguleka komlomo wesibeletho kubhekwa "njenge-benign" emithini evamile ngoba akubangeli i-cell mitosis, kodwa okuphambene nalokho, okungukuthi ukulahlekelwa kwamaseli.

Isilonda sinweba i-portio, empeleni sikhiphe ingaphakathi lomlomo wesibeletho. Nge-DHS, isiguli esisesandleni sokudla silahlekelwa ngokushesha i-ovulation yaso elandelayo, ebuya ngokushesha ne-confrolysis (ukuxazulula ukungqubuzana = ukukhuluma nge-biologically, ukukopisha). Kodwa ukusizakala nge-ovulation esanda kwenzeka, umlomo wesibeletho uyanwetshwa ngaphakathi ukuze isidoda sowesilisa singene esibelethweni kalula. Ngemuva kokungqubuzana (= copulation), izilonda zigcwele amaseli amasha, okusho ukuthi aphulukisiwe. Sibona ama-mitose ephulukisa kodwa imithi evamile ikhale ngokuthi yonke into manje "seyimbi" ngenxa yama-mitoses.

²⁷⁴ Portio = ingxenye yomlomo wesibeletho ephumela esithweni sangasese

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Njengasengqungqutheleni shock okwesibili esithweni ngesikhathi esifanayo Amashumi ezinkulungwane zamangqamuzana amasha akhula abe lokho okubizwa ngokuthi amangqamuzana omdlavuza (izitho ezilawulwa ubuchopho) noma ashwaqe (ukulahlekelwa kwamangqamuzana ezithweni ezilawulwa ubuchopho), ngakho akulona nje ingqamuzana elilodwa ebuchosheni bethu eliye laba ngaphansi kohlelo olukhethekile kulokhu kushaqisa. okwesibili, kodwa izigidi zamangqamuzana obuchopho bukaHamer ziyasitofela ngesikhathi esifanayo ushintshele ohlelweni olukhethekile futhi washintsha umzimba ukuba ube ne-tonicity enozwela.

Kodwa uma manje sibheka okuqukethwe yingxabano “eyasigwema” ngesikhathi sokushaqeka kwesibili, khona-ke singacabanga kahle ukuthi kungaba nezinkulungwane noma amakhulu ezinkulungwane zezinto ezifanayo, ezingaphansi noma ezihlukene eziqukethwe izingxabano, ezinye zazo. okuyinto endaweni efanayo, ngezinye izikhathi ezindaweni ezingomakhelwane ebuchosheni, njalo kubangela ukwakheka okuhlukile kokugxila kwe-Hamer.

Ngokuhamba kwesikhathi kuyodingeka sifunde ukubheka futhi sihlukanise ukungqubuzana kwezinto eziphilayo nezinhlelo zabo ezikhethekile zebhayoloji ezibangela umdlavuza noma izifo ezilingana nomdlavuza. Umphefumulo womuntu nezilwane uhluke kakhulu futhi uhlukile kumuntu ngamunye, ngisho noma abantu, izinja, amagundane noma izindlovu, uhlobo ngalunye lwazo, alubonakali lwenza umehluko mayelana nomphefumulo wabo kubantu abangenalwazi.

Cishe ngendlela efanayo, yonke ingxabano ihlale ihluke kancane kunezinye izingxabano ezifanayo abanye abantu bohlanga olufanayo abaye babhekana nazo kumaqoqo ezinkanyezi ezingxabano ezifanayo. Ake sicabange nje ngezinhlobonhlobo ezinkulu zemilaza ekhona emdlalweni we-chess, okudala kakhulu uma kuqhathaniswa nezinhlanganisela ezingaba khona zamaseli obuchopho kubantu nasezilwaneni! Ngoba ebuchosheni bethu - kanye nasebuchosheni begundane elincane - esikhundleni sezinkundla ze-chess ezingama-64, kunezigidigidi eziningi, futhi zisezindaweni ezintathu zomkhathi, kanye nakwezinye izilinganiso zikagesi, ingasaphathwa eyezinye izilinganiso asikazi .

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20 Ukwelashwa “kohlelo olukhethekile lomdlavuza”

Amakhasi 411 kuya ku-474

Ukwelashwa kwalokhu okubizwa ngokuthi “isifo somdlavuza” ngokohlelo lomuthi omusha kuhluke kakhulu ekwelashweni okunezimpawu zangaphambili noma i-pseudotherapy yemithi evamile. Umuthi ovamile kanye nalokho okubizwa ngokuthi imithi ehlukile (emuva nje ebizwa ngokuthi imithi ehambisanayo emithini evamile) ekugcineni kufana ngokuthi, ngenxa yokungaqondi izimbangela kanye nokuxhumana komdlavuza kanye nokunye okubizwa ngokuthi "izifo", bahlala befuna. futhi bafuna "ukulwa" nomdlavuza ngezindlela ezihlukahlukene.

Ukwelashwa kuvame ukuba nezimpawu, kungakhathaliseki ukuthi “ngensimbi, ijethi namakhemikhali”, i-morphine noma ngesitshalo se-mistletoe, eyaziwa nangokuthi uhlobo lukashevu. I-Beetroot, amakhambi noma izithombo kudala umonakalo omncane, kodwa azikwazi ukuvimbela uhlelo olubalulekile lwebhayoloji olusekelwe ku-DHS ehambisanayo ukuthi lungathuthuki! Futhi uma bebengavimbela uhlelo olukhethekile lwesayensi yezinto eziphilayo ukuba luqhubeke ngendlela ezuzisayo, bekungaba kubi nakakhulu!

Abantu bahlale bezama ukubulala umdlavuza okuthiwa yisitha cishe ngentshiseko yenkathi ephakathi, yokuqulwa kwecala. Ngoba ngeNkathi Ephakathi iNkantolo Yamacala Ezihlubuki yayihlale izama ukukhipha udeveli embuka ngemibese, umlilo nobuthi. Ekugcineni, umhlubuki wayehlale efile - kungakhathaliseki ukuthi uyavuma noma cha. Noma wavuma ukuthi usebudlelwaneni nosathane. Kodwa uma wayenenkani ngokwanele ukuba angasivumi, wayesebenzelana kakhulu nodeveli, futhi ukuhlukunyezwa okunzima kakhulu kwakufanele kusetshenziswe. Ngokufanayo, iziguli zemithi evamile namuhla zisaphathwa ngokuhlushwa okubi kakhulu kokwelashwa kwe-pseudo-chemo lapho umdlavuza omubi unenkani futhi ungafuni "ukuqedwa".

Okubalulekile ngaso sonke isikhathi ukuthi amangqamuzana omdlavuza abonakale njengezitha okumele kuliwe nazo. Isibonelo, futhi kukholakala ukuthi lapho umdlavuza ukhula, "isimiso sokuzivikela komzimba" - noma yini oyicabangayo ngaso, okungenani uhlobo lwebutho lokuzivikela lomzimba - luba buthaka ukuze amangqamuzana omdlavuza "amabi" angathola "igebe". "ukungena esicutshini nokusabalalisa. Izingxenye zale mithi ebizwa nge-alternative imithi ayizange ibe mnandi nakancane kodokotela asebemnkantshubomvu ngoba isekelwe endaweni eyodwa futhi inenhloso efanayo, okuwukuqeda umdlavuza esithweni ababona kuwukuphela kobubi. Ukuphela kwezinkinga nguHamer, ocabanga ukuthi konke kungamampunge.

ikhasi 411

Esikhathini esithile esidlule, ummeleli ohlonishwa ngokukhethekile wenhlangano yezokwelapha wayefuna ngimbonise “impumelelo”. Ngamkhombisa uchungechunge lwama-x-ray akhombisa ukuthi umdlavuza usumile. Ngamtshela ukuthi kakade kwase kunamakhulu eziguli eziphile saka, nakuba umdlavuza wesitho esingasebenzi wawuvame ukubonakala. Kodwa akuseyona inkinga, awasekho ama-mitose, sekuyinkinga yezimonyo.

Akakuthandanga nhlobo lokho! Kuye, umdlavuza wawuzolapheka kuphela lapho “ungasekho”, “uhambile, uhambile, uhambile!” Ngokwesibonelo, ngemva kokuhlinzwa, isimila sasinqunywe kude nomuntu ophile kahle!” Wacabanga ngale ndlela: isiguli kufanele siqale sihlinzwe, sikhishwe ngemisebe, bese selashwa nge-cytostatics futhi okusele komphefumulo kufanele kusingathwe. nguHamer onomdlavuza wakhe -Psycho- treatment "heat up". Ngingamukeleka kakhulu ukwenza lo msebenzi. Ngathi iziguli ezazingibonile empeleni zazingadingi ukubona udokotela ohlinzayo noma odokotela ababefuna ukuzithela ngamanzi noma ukuzifaka ushevu. Ngaphandle kwezinkinga ezingaba khona zemvelo engokomzimba nephilayo, njengokuphuma kwegazi, ukuvuvukala kobuchopho nokunye okunjalo, kanye nezinkinga ezingokwengqondo ezingase zibe khona njengokwethuka okuvuselelwe ngenxa yokuhlangenwe nakho okushaqisayo noma odokotela abayiziphukuphuku noma ukuvela kwezingxabano nokunye okunjalo, lezi ziguli kufanele kubhekwa njengabanempilo. Bangaqhubeka kalula bephila iminyaka engama-30 noma engama-40 uma imvelo ibingabathusi njalo futhi ibabize “njengeziguli ezinomdlavuza” ezizophoqeleka ukuthi zidlule endaweni yokugaya imithi ezivamile, ekupheleni kwazo ezizofakwa kuyo. lala ne-morphine. Khona-ke izindlela zethu zahlukana...

Ngiyenqaba umuthi ongenamphefumulo ogxile ezimpawini kuphela. Kimina, ukwelashwa komuntu ogulayo noma isilwane kuwuhlobo lwesenzo esingcwele. Eminyakeni engu-2000 edlule, odokotela babengabapristi, abantu abanolwazi, abahlakaniphile ababefanelekela ukwethenjwa abanye abantu. Ngokubona kwami, lokhu akubandakanyi nakancane izinga eliphezulu lolwazi nesayensi namuhla, ngokuphambene nalokho, kufanele kuzifake. Kodwa njengoba le nhlangano isiphenduke yaba onjiniyela abangenamphefumulo, abayi-nickel, abahlakaniphe kakhulu, abagxile ezimpawuni abaphumelela kakhulu futhi bacebe ngendlela epholile ngayo, angisaboni le nhlangano njengenhlangano yodokotela bangempela. Kungakho ngingeke ngivumele bonke onjiniyela bemithi abanonya abanjalo ukuthi basebenze esikhathini esizayo njengokungathi bangaqhubeka kanje, kancane nje "okuhluka ngokwe-Hamer's New Medicine".

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Odokotela besikhathi esizayo - odokotela bemithi emisha kufanele babe abantu abahlakaniphile, abasebenzayo abanengqondo, abanezinhliziyo nezandla ezifudumele, abapristi-odokotela njengasezikhathini zangaphambili, ababenomusa futhi abangenakonakala, abafana nomndeni "omuhle" omdala. noma odokotela basemaphandleni futhi abazange bazicebise ngosizi lwabanye abantu abagulayo.

Osozigidi banamuhla abaphumelelayo bezokwelapha, abaphakanyiselwe ezikhundleni zabo ngokukhohlisa, abaguqula konke umnyakazo nawo wonke amazwi anomusa abe yimali, kodwa futhi abagcwele izimiso zokuziphatha kuzo zonke izingqungquthela ngokuzikhukhumeza kobuwula, lolu hlobo lwabahleki bezokwelapha abanonya futhi abenza inzuzo kufanele ekugcineni lube. into yesikhathi esidlule. Uyanginyanyisa.

Mfundi ngicela ungixolele ngalamazwi ahlabayo. Ngokuqinisekile kusekhona odokotela lapha nalaphaya abahlanganyela kuphela esimisweni esibi semithi yanamuhla ngaphandle kwesidingo, kodwa bayojabula lapho ekugcineni benenye indlela esekelwe ngokwesayensi abanganikeza ngayo iziguli zabo ithemba elinengqondo.

Ngithanda ukunitshela kafushane ngesiguli esashona ngenxa nje yokuthi umuntu othintekayo wayephathwa “njengesiguli somdlavuza” okwakubonakala sengathi akukho okwakungenziwa kuso. Kwasetshenziswa isilinganiso udokotela, udokotela womchamo, owayengeke asisebenzise yena noma “esigulini esingenawo umdlavuza” ngaphansi kwezimo ezifanayo. Ngeziguli ezinjalo kuthiwa "akusenandaba". Isiguli sase sixazulule kakade i-leukemia ngezinhlungu zamathambo ezazivele zidambile. Icala belidabukisa kakhulu ngenxa yezimo ezikhethekile:

Ezinsukwini ezimbalwa ngaphambi kokushona kwakhe ngokungenasidingo, umndeni wakhipha isiguli esibhedlela ubalekela isiguli ngemuva kokuthi udokotela wasewadini evumile ukuthi wenza ngokwemiyalelo ephakeme - ngokumelene nesicelo esiqondile sezihlobo futhi ngokumelene nesifiso esicacile sesiguli! inikezwe okuphuma kokunye kwe-morphine. Isiguli sabe singasaphenduli. Kwakungekho okubonisa lokhu ngoba isiguli cishe sasingasezwa ubuhlungu ngalesi sikhathi.

Indodakazi, isazi sezinto eziphilayo, yabe igade uyise ubusuku bonke. Lapho ephuma ekamelweni imizuzu emihlanu, udade wayesebuyile kakade futhi efuna ukunikeza ubaba ubaba i-morphine, okuyinto indodakazi noyise, owayesevukile ohambweni lwakhe lwe-morphine, abawenqabela. Ngemva kwamahora ambalwa baphuma esibhedlela. Babefuna ngempela ukulalisa isiguli - ngaphandle kwentando yakhe!

Isiguli sasingakaze sibe nobunzima bokuchama, kodwa i-catheter yomchamo yayifakwe “njengenjwayelo” ngesikhathi sisesibhedlela ukuze umhlengikazi angabi “nenkinga” ebusuku.

ikhasi 413

I-catheter yayibangele ukuthi i-urethra ivuvuke kancane ngakho-ke isiguli saba nobunzima bokuchamela ekhaya, njengoba noma yimuphi umuntu ovamile wayeyoba nayo, ezinsukwini ezimbalwa zokuqala ngemva kokukhishwa kwe-catheter.

Udokotela womndeni ngokushesha wabeka i-suprapubic ngaphandle kwesidingo²⁷⁵ I-Catheter ivuliwe, esinyeni sigcwele ingxenye. Wabhoboza umgodi wesisu ngephutha. Isiguli sashona ezinsukwini ezimbili kamuva ngenxa ye-acute besisu, i-peritonitis ebukhali kakhulu.

Sonke senza ububi, kuhlanganise nami. Kodwa lokho akulona iphuzu lapha, kumayelana nokwenza izinto obungeke uzenze ngaphansi kwezimpawu eziqhathanisekayo - kuphela “neziguli ezinomdlavuza”. Lokhu akulona icala elilodwa. Ngingabala amakhulu eziguli zodwa eziye zelashwa odokotela ngaphandle kobuhlungu futhi ngenxa yalokho ngaphandle kwesidingo futhi ngokumelene nentando yabo ecacile! - I-morphine elawulwayo noma i-derivative futhi yabulala iziguli. Isiguli esabulawa yi-acute peritonitis njengoba kuchaziwe empeleni sase siphile saka futhi. Umdlavuza wakhe wawungasebenzi, owokugcina (umdlavuza wamathambo) wawululama. Wayengaphila ngokunethezeka eminye iminyaka engu-30. Wayenza amacebo amakhulu ngalokho ayefuna ukukwenza ehlobo...

Unya lwecala ngalinye lomuntu lusekelwe ohlelweni. Ngakho-ke, ngicela uqonde, asikho isidingo sokugxeka noma ukusola umuntu othile ngokukhethekile okuthiwa ngodokotela abanonya; Ukube ububone amakhulu abantu befa ngendlela enesihluku engenza ngayo, mhlawumbe ubungabhala ngokungaguquki futhi “ngokungavumelani” uma ubhale ngokwethembeka!

20.1 Udokotela wemithi emisha

Ku-New Medicine, isiguli singumphathi ophelele wenqubo ezungeze umzimba waso. Nguye kuphela ongazi ukuthi yini enhle ngempela futhi elungile kuye, nguyena kuphela ongazithathela umthwalo wemfanelo wangempela. Isiguli “asisalashwa” kodwa kunalokho sithatha isinyathelo ngokwaso! Ubudlelwano besiguli/nodokotela kufanele buchazwe kabusha ngokuphelele futhi bucatshangwe emuthini omusha.

Isiguli kufanele simenzele ukwelashwa okungcono kakhulu ngosizo lwabantu abangodokotela abanenhliziyo nomphefumulo futhi abanenhliziyo efudumele ngeziguli zabo. Cishe akulona ihaba ukusho ukuthi labo abafuna ukusebenzisana Nomuthi Omusha, naphezu kwalo lonke ulwazi lwabo lochwepheshe, oluphelele kuwo womathathu amazinga, kufanele kuqala futhi kube abantu abahlakaniphile nabanomusa abaphatha isiguli njengomuntu kanye nomlingani ongumuntu. ingaqashelwa njengochwepheshe ovelele.

²⁷⁵ suprapubic = ngokusebenzisa odongeni lwesisu ngaphezu kwethambo le-pubic

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Ukusebenza namazinga amathathu Emithi Emisha kudinga indlela "yengqondo-criminological". Kuyangabazeka ukuthi lokhu kungafundwa ekugcineni. Udokotela oyedwa ubamba yonke into ngokunembile ngokushesha, ngaphandle kokuba isilima kunozakwabo abahlakaniphe kakhulu. Laba bakamuva bavame ukuba nezinkinga ezinkulu ngalokhu ngoba abakwazi ukuthola ukufinyelela komuntu ezigulini futhi abanalo i-charisma.

Ayikho into eyanelisa ukwedlula ukubhekana namazinga angu-3 kanye nemithetho yemvelo emi-5 ye-New Medicine ngendlela efanelekile ngempela. Lokho kuzoba yi-charismatic²⁷⁶ kanye nodokotela abanesiphiwo sobuntu ukuze bathole ulwazi oluphelele oludingekayo uchwepheshe osabhekwa njengomqhele wesayensi yezokwelapha namuhla angeke afane. Odokotela besikhathi esizayo kumele bakwazi ukusebenza "njengezigebengu zezokwelapha" nge-charisma yomqondo ojwayelekile. Kufanele ukwazi ukusekela isiguli njengomngane omuhle ongenza ulwazi lwaso olukhethekile lutholakale esigulini “somphathi”. Ngoba ukwelashwa kwesikhathi esizayo kuzohlanganisa okungenani ukuphathwa kwemithi, kodwa ikakhulukazi esigulini sifunda ukuqonda imbangela yokungqubuzana kwaso okungokwemvelo kanye nalokho okubizwa ngokuthi ukugula futhi, kanye nodokotela waso, ukuthola indlela engcono kakhulu yokuphuma. yalolu dweshu ukuthi ungaphinde ukhubeke kukho esikhathini esizayo.

Ngokuqonda kwami, laba “bapristi baka-Asclepius” kufanele kube abantu abanesizotha nabahlakaniphile, abanezinhliziyo ezifudumele futhi ngesikhathi esifanayo babe nolwazi oluhle kakhulu oluphelele. Ngiyazi ukuthi lesi sithombe asikwazi ukuvumelanisa nombono wanamuhla kadokotela “ophumelelayo”.

Ukwelapha okubizwa ngokuthi "isifo somdlavuza", njengoba manje sesazi ngisho nakuzo zonke izinhlelo ezikhethekile zebhayoloji esizaziyo, kufanele zihlukaniswe ngamaleveli amathathu:

1. izinga lezengqondo:

ukwelashwa okusebenzayo kwengqondo okunengqondo

2. izinga lobuchopho:

Ukuqapha nokwelapha izinkinga zobuchopho

3. Izinga le-organic:

Ukwelashwa kwezinkinga ze-organic

²⁷⁶ Charisma = isipho saphezulu somusa

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20.2 Izinga Lezengqondo: Okokusebenza-ngokwengqondo
Ukwelashwa komqondo ovamile

Singakwazi ukwehlukanisa ukwelapha kwethu kube amazinga amathathu, njengoba ngizama ukwenza, kodwa kufanele sihlale sazi ukuthi yonke into esemzimbeni yethu ihlala ikhona. ngesikhathi esifanayo, i.e. synchronously uyagijima. Esikhathini esizayo, emuthini omusha, akumele nakancane sibuyele emuva ekutheni iziguli zethu zelashwe ochwepheshe: umuntu ubheka umphefumulo, owesibili ebuchosheni kanti owesithathu ubheka izitho. Ngisho nokusebenzelana okunconywa kangaka namuhla kungabandakanya ukusebenzisana kodokotela abanolwazi olunzulu, akukaze kwenzeke.

Isiguli ngokuvamile sihlushwa ukungqubuzana "esingakwazi ukukhuluma ngakho", okungenani esingakwazanga ukukhuluma ngakho kuze kube manje. Ukuthi kubonakala kufanelekile noma kudingekile kithina ukuthi akakwazanga ukukhuluma ngakho, noma sicabanga ukuthi mhlawumbe kufanele ngabe kade akhuluma ngakho, akunandaba neMeaningful Biological Special Programme ekhona njengamanje. . Okuwukuphela kwento edingekayo ukuthi sizame ukuqonda ukuthi kungani isiguli, ngokwengqondo yaso, singakwazi ukukhuluma ngakho!

Ngikhumbula isalukazi esaba ne-sigmoid carcinoma ngenxa yokuthi i-canary yakhe, eyayinamathele kakhulu kuyo, yafa. Wayebe umngane wakhe omkhulu iminyaka engu-12. I-DHS yenzeke ngesikhathi emthola eshonile ekhejini lakhe. Wayegcwele indle ewuketshezi. Isalukazi saphupha ngakho izinyanga. Emaphusheni akhe wayehlala ezisola ngokumdlisa “uHansi” ngendlela engafanele emaphusheni akhe wayehlala embona elele ehhokweni, ezikhulula. Ngemva kwezinyanga ezi-4 kwaba nesixazululo esimangalisayo kulengxabano ngoba indodakazi yayimnike “iHansi entsha”. Umdlavuza waqashelwa kuphela ngenxa yokopha okuvamile kwamathumbu ngesikhathi sokuphulukiswa. Isalukazi sasinda ngoba odokotela babengasakuthathi njengosizo eminyakeni yaso. Umuntu osemncane ubezohlinzwa kakhulu futhi afakwe ididi yokwenziwa. Njengoba cishe njalo kunjalo, lokhu bekuyobangela ukuwohloka kokuzethemba, khona-ke okuhlobene okubizwa ngokuthi "ama-metastases amathambo" bekuyotholakala bese kulaliswa nge-morphine ... Lena indlela evamile namuhla, ngeshwa. - kodwa kuyindlela engadingekile ngokuphelele. Sekuphele iminyaka engu-5 siphilile futhi isalukazi namuhla. Ngaxwayisa izihlobo ukuthi zingalindi ezinye izinyanga ezine ngaphambi kokuba zinikeze isipho somunye uHansi uma kwenzeka “uHansi omusha” edlula emhlabeni.

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Ngabhekana nenkinga efanayo eSaarland: Unkosikazi womphathi wesibhedlela wayephethwe umdlavuza wamaqhuqhuva wamaphaphu. Lesi simo satholwa kuphela ngoba isiguli besikhwehlela kancane, ngakho-ke udokotela womndeni wayala ukuba kwenziwe i-x-ray yesifuba. Lokhu kuveze lokho okubizwa ngokuthi “iqhubu elizimele” lephaphu. Izigaxana ezinjalo zamaphaphu zodwa zihlala ziyi-alveolar solitary adenocarcinomas, uphawu lokwesaba ukufa okutholwa omunye umuntu noma isilwane.

Umyeni walesi siguli, owayeneminyaka engaba ngu-57, wangicela iseluleko. Ngasihlola futhi ngasibuza isiguli ngathola ukuthi sasiphethwe i-DHS cishe ezinyangeni eziyisishiyagalombili ngaphambili, lapho ikati laso elithandekayo, "Mohrle," libekwa phansi ngoba laligula. "Ubeseneminyaka engu-8 eyingane yethu; ubevunyelwe ngisho nokudla nathi etafuleni," esho. Kusukela ngesikhathi udokotela wezilwane emtshela ukuthi kufanele alibeke phansi ikati elincane, lona wesifazane wehla kakhulu, akakwazi nokulala ebusuku, futhi akakwazanga ukuyeka ukucabanga “ngelekati elincane,” elabe selibekwe phansi ngemva kwezinsuku ezingu-16. Ingxabano yathatha izinyanga ezine. Khona-ke umyeni akabange esakwazi ukubekezelela ukubuka umkakhe ehlupheka, futhi ngolunye usuku waletha ikati elisha ekhaya elalicishe lifane ncamashí nelidala. Kusukela lapho, isiguli saphinde saba ngcono. Futhi lapho iqhuqhuva elingamasentimitha angu-14 litholakala ephashini elingakwesokudla ngemva kwezinyanga ezimbili, isiguli sase sibuyise isisindo saso esigcwele, silale kahle ebusuku, futhi umhlaba wawulungile futhi. Isiguli saze sasinda ekuxilongweni kokuqala, kanye ne-chemotherapy kanye nemisebe ye-cobalt. Odokotela bamangala ngokuthi lesi simila asizange sikhule noma sinciphe, futhi asenzanga lutho. Ezinyangeni ezimbili kamuva, ngemva kokuba isiguli sisinde konke, isiguli nomyeni waso bangibuza ukuthi yini okufanele bayenze manje. Ngathi, "Linakekele kahle i-tomcat elincane." Kodwa-ke, ngabe ngizigcinele leso seluleko, ngoba i-tomcat entsha nayo "yayifana nengane endlini." Isiguli siqhuba kahle.

Lezi zibonelo ezimbili zibonisa indlela engicabanga ngayo ngeso lengqondo ukwelashwa okusebenzayo okusekelwe ekuhlakanipheni okuvamile—ngicabanga ukuthi kuyenzeka. Akungikhathazi nakancane lapho ozakwethu bami bangaphambili, abahlotshiswe kakhulu bengimoyizela ngokuzijabulisa lapho ngichitha amahora amabili ngikhuluma nesalukazi esishonile, ngizama ukuzwelana nezimo ezixakile zesalukazi esingasathandi lutho kulo mhlaba ngaphandle kwe-canary yakhe, uHansi. Yiqiniso, intokazi enjalo endala yayingenakukwazi ukukhokhela imali engu-2 ye-Deutsche Mark uma uprofesa efuna ukulalela usizi lwakhe amahora amabili mayelana ne-canary ebiza inani eliphakeme le-Deutsche Marks eyi-2000 ngenkathi isaphila.

 ikhasi 417

Akungikhathazi uma izazi zokusebenza kwengqondo ezihlonishwa kakhulu zicabanga ukuthi isizinda sezengqondo kumele sikhanyiselwe kuqala, kanjani futhi kungani futhi ngokumelene nesizinda sasiphi isizinda esibuhlungu umuntu angakubona lokhu. Akukho kulokhu okuyiqiniso ngoba ayifaki i-DHS. Kuhlale kufana nonozinti webhola. Angawazi kahle wonke amabhola inqobo nje uma ekwazi ukuwabala, kuphela lapho ephambukile futhi “ambambe onyaweni olungafanele” lapho kufanele awabuke engakwazi ukuzisiza, njengokungathi ukhubazekile, njengoba ibhola mhlawumbe lize lingene epalini ngokulandelayo. kuyena. I-DHS ihlezi iwumlaza nesimo esingalindelekile. Akekho isazi sokusebenza kwengqondo esingakucabangela lokhu, ingasaphathwa eyokukuchaza.

Lapha, nokho, kukhona okungenani amacala amabili abikwe kafushane kakhulu ahloselwe ukukhombisa ukuthi "ukwelashwa kwengqondo" kwesiguli ngasinye akwanele. Ngokuvamile kufanele uhambe u-1 noma u-2, ngezinye izikhathi izinyathelo ezi-3 uye phambili uzame ukwelapha imvelo. Lokho ngokuvamile akusebenzi nhlobo.

Isiguli esineminyaka engu-45 ubudala kwatholakala ukuthi sine-bone carcinoma yomgogodla wesibeletho kanye ne-pelvis, njengoba sasazi, ngemva kokuba ne-breast carcinoma ngaphambilini. Yonke le nto ifundeka kanje: “Ukuphindaphinda okujwayelekile kwe-metastatic kwe-breast carcinoma (isimo ngemva kokunqunywa kwesitho)”. Isiguli satshelwa ukuthi kwakungasekho okwakungenziwa futhi safakwa egunjini labashonela esibhedlela esincane. Wayengudokotela wemvelo. Empeleni ngabizwa kuphela ukuthi ngiqedele umsebenzi. Ngathola engangikusolile, ukuthi lokho okubizwa ngokuthi “i-metastasis evamile” kubangelwa ukuwohloka okubili okuhlukene kokuzethemba okune-DHS yabo. Isiguli sasingumfundi we-naturopath futhi sinezingane ezimbili zokutholwa. Wayethenge isitembu se-naturopath ukuze "adlale ngaso", okwakungavunyelwe ukuthi asisebenzise aze aphumelele izivivinyo zakhe. Ngolunye usuku izingane zakhe zathola lesi sigxivizo futhi zadlala ngaso “ukulethwa kweposi. Bagxiviza amakhulu amaphepha bawafaka emabhokisini eposi kuyo yonke indawo. Lapho umama efika ekhaya ebona izipho, wakhubazeka ngenxa yokwethuka. Wayehlazekile njengomkhohlisi ngaphandle kwalapho ephumelele izivivinyo zakhe ngokushesha! Wakhosela, wehla emzimbeni, wafunda ubusuku nemini, kwakungenzima neze kuye njengoba wayengalali ebusuku. Wayephithene ikhanda. Umyeni wazizwa enganakiwe, ekhononda futhi ekhononda ngokuthi wayenomfazi omubi. Lona wesifazane wayengasakwazi ukuzwa noma ukubona lutho eduze kwakhe. Wayezifela ngombono wokuphasa izivivinyo zakhe ukuze angabonakali njengomuntu okhohlisayo.

ikhasi 418

Wayeke wabhekana nalokho okubizwa ngokuthi “ukungqubuzana kokuzazi” ngenxa yokuthi wavele wazizwa engumkhohlisi ngoba wayengakaphasanga ukuhlolwa. Kodwa manje, phakathi nenkathi yokungqubuzana, wabhekana nokwehla kwesibili kokuzethemba endaweni yobulili, ngoba wayengasenaso isikhathi sokuya ocansini phakathi nalesi sikhathi futhi umyeni wakhe wakhononda ngokuthi wayengasenalutho embhedeni. Uphumelele ukuhlolwa kwakhe ezinyangeni ezi-3 ngemuva kwe-DHS.

Lapho ngimbona okokuqala, wayesegumbini lakhe lokufa njengoba ngishilo. Ama-vertebrae omlomo wesibeletho i-2 kuya ku-4 ayenziwe nge-osteolysed, ukuze ukuwa kwakulindeleke njalo ngehora, okwakungabangela ukukhubazeka okukhulu. Wayevele enikezwe i-morphine ukuze angamtholi kulokhu, kodwa wayeka ukuyiphuza ngenxa yesicelo sezihlobo zakhe ngoba ngangiwubekele umbandela. Wayephakathi kwe-vagotonia, uhhafu ezwini lozwela. Ngemva kokuba ngimhlolile futhi ngamhloma imibuzo futhi ngabheka ama-x-ray, wafuna ukwazi ukuthi ngabe usenalo yini ithuba. Ngathi: “Uma ukwazi ukungakwazi ukunyakazisa ikhanda amasonto ama-4, akukho okungawa. Khona-ke kuyoba ne-callus eningi egcinwe kangangokuthi i-vertebrae yomlomo wesibeletho ayikwazi ukugoqa. Ngoba le ngxabano ngokusobala isixazululiwe nakanjani. Awukwazi ukubulawa yi-pelvic osteolysis uma ungathathi i-morphine, kodwa angazi ukuthi ubuhlobo phakathi kwakho nomyeni wakho buzoqhubeka kanjani futhi ukuzethemba kwakho ngokobulili kuncike kulokho."

Futhi umgogodla womlomo wesibeletho waphulukiswa ngempela - ngokumangala kodokotela, ngokusho kohlelo. Ekugcineni waba ne-callus eyengeziwe kunangaphambili. Empeleni wayesekwazile ukulala amasonto ama-4 engalinyakazi ikhanda. Njengoba umgogodla womlomo wesibeletho uhlelwa kabusha ngesikhathi, ukuguqulwa kabusha kanye ne-osteolysis entsha ye-pelvis yashintsha emuva naphambili ngokuhambisana nokuphindaphinda kwezingxabano kanye nezigaba zokuxazulula izingxabano. Uma selilulame ngendlela emangalisayo amasonto ama-3, bese kungazelelwe kuphinde kubonakale i-osteolysis entsha. Isiguli savuma kimi: “Dokotela, umyeni wami uhlale engena egumbini lami lasesibhedlela ebukeka emuncu, akangithandi, angicabangi ukuthi ufuna ngiphinde ngilulame. Khona-ke ngokushesha ngithi: ‘Hamba ushiye nami izingane, angikwazi ukumelana nobuso bakho!’” Indoda, eyayibonakala ingumKristu ngokwedlulele, ayizange ithonywe ukuba isize umkayo. Ngemva kweziqephu ezimbi kakhulu esibhedlela, "impumelelo" yaphinde yabonakala emasontweni amabili kamuva: i-bone osteolysis entsha e-pelvis. Lapho owesifazane ephinda enethemba, ubuhlungu bokunwebeka kwe-periosteum beza kanye ne-callus. Khona-ke odokotela base bevele bemi phambi kombhede bedwetshwe imijovo ye-morphine. Bamnika i-morphine izikhathi eziningana ngaphandle kolwazi lwakhe futhi ngokumelene nentando yakhe ecacile. Ngeluleka lona wesifazane ompofu ukuba adluliselwe esibhedlela futhi azihlukanise ngokwengqondo nomyeni wakhe, njengoba lokhu kuwukuphela kwendlela ayengathola ngayo ithuba lokugqashula kulo mbuthano omubi. Kodwa inkampani yomshuwalense wezempilo yayingeke ikhokhe, akukho sanatorium eyayizomthatha, umyeni wakhe wayengafuni "idrama enjalo ekhaya", wayengasenayo imizwa ngaye.

ikhasi 419

Ekugcineni, ngaphandle kokubuza, odokotela bamane banikeza i-morphine ngaphandle kokuyeka. Owesifazane ompofu wahlupheka amasonto ama-2, wabe esefa. “Manje usufikile endaweni ojabulisayo oya kuyo,” kubhala umyeni encwadini yezidumbu…

Kufanele ngikutshele kafushane kakhulu ngelinye icala elivamile, kodwa elingeyona neze into ehlukile. Owesifazane osemusha wabhekana nezingxabano ezimbili ezesabekayo, enye ngenxa yokuthi wathola isaziso (DHS!) sokuthi kufanele akhokhele umkhwekazi wakhe impesheni ukuphila kwakhe konke. Lokhu kwesaba kwase kusemqondweni wakhe izinyanga eziningi. Wabhekana nokungqubuzana kwesibili kokwesaba emqaleni lapho befuna ukuhlinzwa ubuchopho futhi bamcindezela ukuba akhiphe uhhafu wobuchopho bakhe.

Manje lona wesifazane ulele ekhaya, cishe eyimpumputhe, futhi ulinda ngesineke kuze kube yilapho umhlambi wakwaHamer osekhohlo lakhe elibonakalayo udamba futhi angabona futhi. Lokhu kuqhubeka kancane. Isithiyo esikhulu ngumama wakhe, ocasulwa ukuthi kufanele asize indodakazi yakhe. Ufuna indodakazi yakhe iye esibhedlela ukuze “iphele idrama yasekhaya.” Njalo nje uyangibiza esembhedeni wendodakazi yakhe kuzwakale kanje: “Sawubona, Dokotela, lo nguNkosikazi Z. Uyazi, uNkk. Ngiyabona engikubonayo, akusekho lutho. Uphelelwe amandla futhi ukhathele, akakwazi nokuvuka embhedeni. Awu yeka usizi! Kufanele ubukele indodakazi yakho ifa kancane kancane! Bekungeke yini kube ngcono ukube uvele wafa esikhundleni sokuthi azihlukumeze kanje? Cha ngibona kuncono ukuba sesibhedlela kunokuthi ngilale lapha ngilinde ukufa. Angikholelwa kulokho. Dokotela (ngezwi elipholile ukuze indodakazi ikuqonde kahle vele) ngiyabona ukuthi ugulela ukufa, awukholwa ukuthi kukhona okusazokwenzeka futhi!"

Amazwana akudingekile! Ngeshwa, kufanele nginibikele amacala anzima kangaka ukuze ngibonise ukuthi isimo sivame ukuba njani lapho ukuphulukiswa kufanele kwenzeke! Nakulokhu izinkampani zomshwalense wezempilo azidlali kanye nodokotela abadlali. Babhala kuphela ngokungemthetho ukulaliswa esibhedlela okungasho ukufa okuthile kwesiguli. Ekhaya kunomama ongenazwelo ohlala ngaphansi kwenkohliso yokuthi indodakazi enenzondo ifuna nje ukumcasula ngokuthi ingayi esibhedlela futhi ingaqedi “imidlalo yaseshashalazini”.

ikhasi 420

Khona-ke umama wayengaqhubeka nokuhlanza njengakuqala, kodwa manje wayezolahlekelwa yiyo yonke imali! Ukube umyeni akazange azole futhi abhale amazwibela, ngabe kade sashona isiguli!

Yebo, ngitshele, yini okufanele ulubize lolu hlobo lwe-psychotherapy? Odokotela bengqondo nodokotela bengqondo, ngingacabanga, badumele kakhulu ngohlelo lwami. Ngoba awunaso isikhathi sezinyanga zokuhlaziya esofeni lokuhlola le-Freudian. Asikho isikhathi sezakhiwo ezinhle zobuhlakani namagajethi, iwashi ligijima ngokungaphezi. Ukungqubuzana kufanele kutholakale lapha nanamuhla futhi, uma kungenzeka, kuxazululwe izolo. Ngoba zonke izinsuku zenza izinto zibe nzima nakakhulu, futhi ngokuphathelene nezinkinga ezingenzeka esigabeni sokuphulukisa esilandelayo. Asigcini nje ngokubhekana nesiguli uqobo. Indawo ahlala kuyo kufanele idlale kahle, ngaphandle kwalokho isiguli asikwazi ukusizakala. Iningi lenu lingase lingafuni ukukholelwa indaba yami eyodwa noma ezimbili ezimfushane zokugula. Kodwa zonke ziyiqiniso. Eziningi zimbi kakhulu kunalokho engingakubhala ngaphandle kokucatshangelwa. Akukona ukuphoxa noma ubani. Iphuzu liwukuthi sifunda izinkinga ezivamile zalesi simiso ezinqubweni ezijwayelekile.

Siyazi, isibonelo, ngezibalo ukuthi lapho imvelo ishintsha, uhlobo kanye nemvamisa yezifo ezihlukahlukene "zomdlavuza" ziyashintsha. Phakathi nenkathi yomndeni owandisiwe, umdlavuza wesisu wawuvamile. Beningeke nikwazi ukugwemana, izingxabano zomndeni zivame ukuholela emdlavuzeni wesisu. Izinkinga ezinjalo azihlanganisi kakhulu namuhla²⁷⁷ Umphakathi awusenazo izinkinga. Ngenxa yalokho, umdlavuza wesisu ungavamile kakhulu.

Izingxabano zikamama/zezingane zazingavamile uma kuqhathaniswa nenkathi yemindeni emikhulu. Ngokwesibonelo, omama ababenabantwana abaningi babekwazi ukubhekana nokushona kwengane kunanomama abanezingane kuphela namuhla. Ukushintsha imibono ngezindlela zokukhulisa izingane nakho kunomphumela “oshayisanayo”: “Ukuxoxisana”, okungukuthi izingxoxo eziqhubekayo manje esezivamile phakathi komama bezingane kuphela kanye nezibonelo zabo zomuntu ngamunye ezinokuphazamiseka kwengqondo okukhulu, okwakuvame ukubhekwa nje ngokuthi “ukubuyisela” futhi bajeziswe impama enhle ebusweni Kwasindisa imizwa kamama noma yabazali. Kulezi zinsuku, izingxoxo eziqhubekayo kanye nentukuthelo engapheli kuvame ukubahlanyisa bobabili. Isibalo somdlavuza webele senyuke kakhulu, nakuba sinomama abambalwa nezingane ezimbalwa kakhulu kunakuqala. Ukuze ube neqiniso, kufanele futhi ucabangele izingxabano zozakwethu lapha, okungukuthi umdlavuza wamabele "ebeleni lozakwethu". Lokhu mhlawumbe kungase kuchaze ingxenye enkulu yalesi simo uma umuntu ehlukanisa lesi simo sibe yingxabano yabesifazane noma kwesokunxele noma omama nomama/ingane kanye nowesifazane/nozakwethu.

²⁷⁷ Ukuhlukana = ukuhlakazeka, ukuhlukana, ukubola

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Ngenxa yenkululeko yocansi, imvamisa yomdlavuza womlomo wesibeletho sehle ngamaphesenti anganakwa. Noma ubani oke wabhekana “nezono” ezinkulu ezazibizwa ngokuthi “izinyathelo ezingalungile” kule ndawo angawujabulela umehluko kuze kube namuhla. I-fling, pho yini?

Singabona kangcono ukuguqulwa kwezigameko zezinhlobo ezahlukene zomdlavuza phakathi kwamaqembu abokufika eMelika, isibonelo phakathi kwabokufika abavela eJapane. Njengoba laba bafuduki baseJapane bephuma emikhayeni yabo eqinile kanye nemingcele yezinkampani eJapane, lapho, ngokwesibonelo, umdlavuza wesisu nomdlavuza womlomo wesibeletho wawuvamile, imvamisa yalokho okubizwa ngokuthi “umdlavuza” wohlobo ngalunye lomdlavuza nawo uyashintsha. EMelika, akukho muntu osuka kwelinye izwe othola umdlavuza wesisu, akekho othola umdlavuza womlomo wesibeletho, kodwa abaningi baba nomdlavuza webele, okuthi futhi kungabi bikho muntu ogulayo ekhaya eJapan.

Ithemba lokuthi umuntu udinga kuphela ukushintsha izimo zezenhlalo noma zemvelo ukuze abe “nezifo zomdlavuza” ezimbalwa liyakhohlisa. Okuwukuphela kwento eshintshayo uhlobo lokungqubuzana futhi ngaleyo ndlela uhlobo lwezinhlelo ezikhethekile zomdlavuza.

Nokho, isici esisodwa sibaluleke ngempela. Igcinwa iyimfihlo kakhulu. Kunezimo eziningi ezifakazela ukuthi, ngokwesilinganiso, abantu abacebile bahlushwa ingxenye encane nje yezingxabano kanye nomdlavuza owenziwa abantu abampofu. Ngokwesibonelo, umsizi wesikhonzi senkantolo, inhlekelele kwabampofu, ngokuvamile akuyona indaba abacebile, okungcono kakhulu ecasulayo kancane ecasulayo ukubhala isheke ngoba ukhohlwe ukukhokha isikweletu. Izingxabano ngokuvamile ziyizingqinamba ezingenakunqotshwa isiguli esingenakuzigwema. Kodwa ngemali ungagwema zonke lezi zingqinamba, kodwa okungenani ingxenye enkulu yazo.

Kuleli qophelo, elingasenangozi uma kuqhathaniswa, kuphakama umbuzo omkhulu wokuthi iyiphi indlela nokuthi inhloso yokwelashwa kwethu ingaba yini. Mhlawumbe kuyinto enhle ukuthi namuhla sivame ukuhlala endaweni engenalutho yefilosofi nenkolo, ngemva kokuba amahlelo obuKristu elahlekelwe ubuqiniso bawo obujwayelekile bomphakathi ngokusebenzisa i-demythologization kanye nokuhlukaniswa kwesayensi. Akulona ishwa leli. Kungaba yishwa uma singazilela lokho okubonakale sengathi akusasimami bese siphendukela kwentsha ye-anthropology.²⁷⁸ Izinkambiso usosayensi othile, usopolitiki noma umsunguli wenkolo eza nazo futhi ezingahlangene nekhodi yethu yobuchopho zingalinda.

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Ukusetshenziswa okungokoqobo Komuthi Omusha kufanele ngokuyisisekelo kuhlukanise phakathi kokwelapha okuphelele okunikezwa uhlelo lwemithetho emi-5 yemvelo yemvelo kanye nokwelapha “okungenzeka” okukhawulelwe namuhla izimo eziningi zenhlalo nezokwelapha.

20.2.1 Umlando Wokungqubuzana - Ukuthola i-DHS

Ngaphambi kokubuza ngakunye kwesiguli, lokho okubizwa ngokuthi ukuhlolwa kokushaya izandla kufanele kwenziwe ukuze kutholakale ukuthi isiguli sisesandleni sokudla noma sobunxele. Simvumele ashaye ihlombe nje etiyetha. Isandla esingaphezulu bese sishaya ihlombe singene esingezansi yisona esihamba phambili. Lokhu kubalulekile ekuboneni i-cerebellar noma i-cerebellar hemisphere lapho umuntu othintekayo esebenza kakhulu futhi okuyilapho ukungqubuzana kokuqala kufanele kube nomthelela wako (ngaphandle uma kuyingane noma kunikezwe umlingani noma ukuxhumana okugxilile). Lokhu kuhlotshaniswa kungatholwa ngokomthetho futhi kungaqinisekiswa kalula kusetshenziswa i-CCT uma kuba nokungqubuzana.

Ngemuva kombuzo ophelele we-anamnestic wesiguli, ngokucabangela indawo yakhe yomuntu, udokotela kufanele manje akwazi ukuthatha i-anamnesis yokungqubuzana mayelana nezikhalazo ezikhononda ngesiguli noma okutholakele osekulethwe naye. Kudokotela wemithi emisha, lonke ulwazi, kokubili komuntu nokwelashwa, luthakazelisa kakhulu. Ku-CT scan yobuchopho kuhlala kunenqwaba yezibazi zobuchopho ebezingenakuchazwa ngaphandle kwalolu lwazi. Iphuzu elibaluleke kakhulu i-DHS ezama ukulithola isikhathi esiqondile nazo zonke izimo ezizungezile. Uma kungenzeka, i-CT scan yobuchopho kufanele itholakale ngesikhathi sokuhlolwa kokuqala okuphelele, okuthi (uma izimpawu zingavimbeli noma zibe mnene kuphela) okumelele ukuhlolwa okunengqondo okungahlaseli. I-CCT ibaluleke kakhulu ku-anamnesis yokungqubuzana ngoba ngesisekelo se-CCT ungabuza ngokuqondile ngokuqukethwe kwezingxabano, imvelo eyisisekelo yezinto eziphilayo kanye nokuqukethwe okungase kubonakale kakade ekurekhodweni. Ukuze kuhlolwe, ekuqaleni kwanele ukuba kwenziwe i-CCT ezincekwini ezijwayelekile (ezihambisana nesisekelo sogebhezi) ngaphandle kokuqhathanisa umthamo wemisebe mincane; Ngokusho kweNew Medicine, akulungile ukufaka esikhundleni se-CT yobuchopho ngokuhlolwa kwe-magnetic resonance (NMR). Lokhu kuhlola kuthatha isikhathi eside kakhulu, kucindezela kakhulu ngokwengqondo futhi kuncane kakhulu okwaziwayo ngemiphumela esithweni. I-NMR futhi inobubi bokuthi asikwazi ukubona ukumiswa kwethagethi enezindandatho ezicijile ebuchosheni ngoba ilinganiselwe kuphela kuma-molecule amanzi. Okungcono kakhulu, i-NMR iyanconywa esigabeni se-PCL kanye nokuhlolwa okukhethekile, njengoba ibonisa ukunqwabelana kwe-glial kanye ne-edema kahle kakhulu, okuyilokho kanye i-CT ekwenzela uchwepheshe. Indlela yokuhlola i-resonance kazibuthe inobubi bokuthi izinguquko ze-organic kanye ne-cerebral ngokuvamile zibonakala zimangalisa kakhulu ngokubukeka. Lokhu kunikeza isiguli umbono wokuthi, ngokwesibonelo, sinesimila esikhulu sobuchopho, esibonakala singavamile kakhulu ku-CT scan esigulini esifanayo.

²⁷⁸ i-anthropological = isayensi yabantu kanye nokuthuthuka kwabo kwengqondo

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Lapha singathanda ukuxoxa ngenani lemibuzo esebenzayo. Kuleli qophelo, ukwelashwa okufanele ngokwebhayoloji kufanele ngokuqaphela kuthathe indawo engemuva emibuzweni esebenzayo ehlupha iziguli njengamanje. Ngokuzayo, Imithi Emisha izokweluleka isiguli esinomdlavuza wamathumbu ukuba sigwinye amagciwane e-tubercle ngokushesha ngangokunokwenzeka, okungukuthi ngaphambi kohlaziyo. Nokho, namuhla lokhu kusazongqubuzana nemithetho neziqondiso ezihlukahlukene. Ngakho-ke, akusizi esigulini ukusitshela ukuthi yini engase isenzelwe uma le ndlela yenqatshelwe.

20.2.2 Ukubalwa kwesikhathi sokungqubuzana kusuka ku-DHS

Umuntu akufanele nanini enze ukuxilonga nokubikezela ngokuxhamazela ngaphandle uma azi, ngokwesibonelo, ubude nokuqina komsebenzi wokungqubuzana, okungukuthi ubuningi bokungqubuzana, futhi inqobo nje uma umuntu engacacile ngokuthi ukungqubuzana noma izingxabano zingaxazululwa ngendlela enengqondo kakhudlwana. futhi kungenzeka. Ezinye izingxabano zibonakala zilula ukuzixazulula ngokombono, kodwa empeleni azikho ngenxa yokuthi isiguli singaphansi kwezinkinga ezihlukahlukene. Ngokwesibonelo, akakwazi ukuyeka umsebenzi wakhe, ukuthengisa inkampani yakhe, ukudivosa, ukugwema umamezala wakhe, nokunye.

... Uma zonke lezi zici, ezibalulekile ngesixazululo esingenzeka, zingenakwenzeka ekusebenzeni, umuntu kufanele azame ukuthola isisombululo sesibili noma sesithathu esingcono kakhulu nesiguli futhi mhlawumbe futhi nezihlobo, abangane, abaqashi, amabhange, iziphathimandla, njll. abathintekayo ekungqubuzaneni ukuze bamtholele inketho yokuxazulula ukungqubuzana kwengqondo. Kulapho kuphela lapho uba khona umkhondo wokubikezela kamuva. Izingxabano eziningi zizozama ukuxazululwa kanye nesiguli. Okuhlukile lapho isixazululo sokungqubuzana kufanele kugwenywe khona kakade sekuxoxiwe ngaso;

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Qaphela:
Okubaluleke kakhulu ukuqinisekisa isiguli: iningi liyasinda! Iziguli kumelwe zifunde ukuqonda ukuthi lokho okwakubhekwa “njengokugula” empeleni kuyisenzakalo esinenjongo Uhlelo olubalulekile lwebhayoloji yemvelo. Awudingi ukulwa nento enengqondo, okungukuthi into enhle ngokomgomo, kodwa kunalokho udinga ukuyiqonda. Kufanele sizame nje ukugwema izinkinga ezingase zibe khona. Ezimweni ezimbalwa ukungqubuzana akudingi noma kungase kungaxazululeki.

20.3 Izinga lobuchopho: ukuqapha kanye nokwelapha izinkinga zobuchopho

Umuthi omusha awusona isiyalo esingahle, ngokwesibonelo, sikhawulele ekungqubuzaneni futhi sidlulisele izinkinga kwezinye izinqubo ezingaphansi, kodwa kunalokho umuthi ophelele okufanele ubeke iso kuzo zonke izinyathelo ngesikhathi se-SBS, kuhlanganise. ezingeni lobuchopho.

Ukubhekwa okunembayo kwezinqubo zobuchopho phakathi nezigaba zombili “zesifo somdlavuza”, manje esibizwa ngokuthi uhlelo olukhethekile lwebhayoloji enengqondo, kuyinto efiselekayo kodwa hhayi i-sine qua non! Njengoba isifundo sobuchopho sihambisana nezinqubo zezengqondo nezemvelo, ungaziqonda ngokwezinga elithile uma usunolwazi oluthile lokubhekana nemifanekiso ye-CT yobuchopho.

Empeleni, i-CT yobuchopho ingahlolwa kalula, okungenani ngokuphathelene ne-cerebral hemispheres, ngoba noma yikuphi ukususwa kwabantu abaningi kanye nesisindo kungabonwa ngombono noma ukususwa kwama-ventricles noma amathangi. Okuncane engingakunikeza ngakho imithetho yesithupha mayelana nendlela efanele yokwelapha ngokwengqondo ezigulini, ngingakunikeza imithetho yesithupha kule ndawo:

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Uma ukungqubuzana okunomthwalo wemfanelo kusasebenza esigulini, "i-CT yobuchopho eyisisekelo" kufanele yenziwe kulesi sigaba ngaphambi kokuxazulula ukungqubuzana.

a) Ukuhlolwa okuyisisekelo kubalulekile ekuhloleni izibazi zangaphambili ebuchosheni. Isiguli singasitshela “kuphela” ukungqubuzana kwaso. Lokho "abakushaya" njengokuthi, yikuphi ukungqubuzana kwezinto eziphilayo abakubangela kuye, manje kungabonakala ku-CT eyisisekelo.

b) I-CT eyisisekelo ibalulekile ukuze iqhathaniswe kamuva ngoba ngokuvamile ayikabi nayo noma iyiphi i-edema, kuyilapho ama-CT akamuva angase abe ne-intra- and perifocal edema.

c) I-CT eyisisekelo ibaluleke kakhulu ukubona ukuthi ingabe “ukubambile” ukungqubuzana okufanele ngesikhathi sokwelashwa. Ngokujwayelekile uyakwazi lokhu, ngisho nangaphandle kwe-CT scan. Kodwa kunezimo ezibucayi zokungabaza, ikakhulukazi esimweni se-DHS ephindelelayo, lapho uba nenhlanhla uma une-CT scan eyisisekelo.

d) Kubalulekile esigulini ngoba sithanda ukubona okuthile futhi empeleni ungamkhombisa ukuthi izinto zihamba kanjani ukuze umehlise umoya. Lapho isiguli sibona ukuthi udokotela uyaqiniseka ngesimo saso futhi sikholelwa ukuthi uyasilawula, siyaqiniseka. Futhi ukugwema ukwethuka kuyinto ehamba phambili!

Uma ukungqubuzana okunesibopho sekuxazululiwe kakade esigulini, i-CT yobuchopho ibalulekile ngokushesha ngangokunokwenzeka:

a) Inkinga yesifo sokuwa noma i-epileptoid elindelwe ingabangela inkinga okufanele ihlolwe kusenesikhathi. Endabeni yokuhlaselwa yinhliziyo, ungakwazi ukulinganisa ukuhlasela kwenhliziyo usebenzisa le ndlela ngokuhlanganisa noma ukususa izinsuku ezingu-14 uma wazi ukuthi ingxabano ixazululiwe nini nokuthi i-CT yobuchopho ibukeka kanjani.

b) Ezigulini umuntu ongenaso isiqiniseko sazo ngokuphelele mayelana nesikhathi sokuxazululwa kwezingxabano, esingasigcini isikhathi njenge-DHS, umuntu angamangala nge-cerebral edema.

c) Noma yikuphi ukwelashwa kwezidakamizwa esigabeni se-PCL kufanele kwenziwe kuncike ebuchosheni be-CT.

Ngokungeziwe ekulandeleni kwengqondo, i-CT yokulawula isinika ulwazi mayelana nokuqhubeka kohlelo olukhethekile. Lokhu kuhlolwa kucishe kube lula kunokwezitho zomzimba ngoba i-edema ephilisayo esithweni ngokuvamile akulula ukuyihlola njengasebuchosheni,

a) Isiguli nodokotela bayaqinisekiswa lapho bekwazi ukulinganisa inkambo ye-SBS, ngokumnyama nokumhlophe ngokoqobo. Kubaluleke kakhulu esigulini lapho siya endaweni yokuguquka
normalization futhi akuseyona ingozi.

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b) Isimo sokuvuvukala kobuchopho sisinika ithuba elihle lokuhlola umthamo we-cortisone njll. lapho sinciphisa ukwakheka kwe-edema yobuchopho nezitho - ngenzuzo yokunciphisa ingozi, kodwa ngobubi besikhathi eside. ubude besikhathi sesigaba se-PCL se-SBS .

c) Isikhathi esiningi isiguli, ikakhulukazi esangaphandle, sesivele siqale ukungqubuzana okusha emhlanganweni olandelayo esingakhulumi ngaso ngoba mhlawumbe simphoxa kakhulu. Kodwa ukwazi izinto ezinjengalezi kubaluleke kakhulu. Kunzima ukuthola noma iyiphi ifoci entsha yomsebenzi wokungqubuzana kusikena se-MRI, kodwa kulula nakakhulu nge-CT scan yobuchopho.

20.3.1 Isiqondiso sokwelashwa: Ikhodi yobuchopho bethu

Ngingathanda ukulindela ukugxekwa kwabashisekeli benkolo abangase bathi manje ngenza abantu babe umqondisi esikhundleni semithetho yaphezulu, kungakhathaliseki ukuthi izinkolo ngazinye zingayiqonda ngalokho. Lokho akulona iqiniso noma kuyingxenye yeqiniso kuphela Umuntu njengesidalwa sikaNkulunkulu unendawo yakhe kuyo yonke indawo yaphezulu. Le ndawo inikezwe yena ngekhodi yobuchopho bakhe.

Zonke izilwane ziyawuqonda lo mthetho ebuchosheni baso, obuklanywe ngendlela efanayo neyabantu. Alikho ibhubesi elithatha isisulu ngaphezu kokuba lidinga ukusuthiswa ngokwalo. Ngakolunye uhlangothi, umuntu usungula amabhomu e-athomu, phakathi kwezinye izikhali zokucekela phansi okukhulu, futhi manje usengakwazi ukucekela phansi imbulunga yethu yonke izikhathi eziningana. Ngakho-ke kukhona okumele kwenzeke kukhodi yabantu abathile noma abantu, kufanele kube khona into ebhujisiwe, kungani bemukele le ndlela yokuphila ye-paranoid, megalomaniac, engeyona eyemvelo ngokuphelele abayibiza ngokuthi impucuko, kodwa engahlosiwe kukhodi yobuchopho bethu. , kodwa limelela ukuchezuka.

Akusakwazi ukulandela indlela enezinhlangothi ezimbili lapha, okungukuthi ukuphila ngokuhambisana nempucuko (noma lokho esikuqonda ngempucuko) ngakolunye uhlangothi, kodwa ngesikhathi esifanayo ukuphila ngokuhambisana namakhodi ebhayoloji “anengqondo”.

Kufanele umphathe kanjani umkhulu ohlushwa i-DHS ngoba - ngokuhambisana nempucuko - wathunyelwa ekhaya lomhlalaphansi lapho, ngokusho kwekhodi ebuchosheni bakhe, engeyena owakho? Umphakathi ulindele ukuthi uzophathwa ngendlela yokuthi "azojwayela", okungukuthi enziwe afanelekele ikhaya lasebekhulile. Ngakho-ke kuzodingeka sizame ukuxazulula ukungqubuzana kwakhe ngokumelene nekhodi yakhe, eyinkinga kakhulu, singasho okuphambene nemvelo. Kukhona ngempela izithiyo kanye nezinkanyezi lapho isixazululo sokuthobela ikhodi kungxabano singenakwenzeka. Kodwa lokho akuhlangene nesimiso. Indlela eya ekwazisweni okusha kokuziphatha okuthobela ikhodi izoba yinde.

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Abaguquli bomhlaba abakhulu nabaguquli bavame ukucabanga ukuthi bonke abantu bayalingana, ukuthi umuntu udinga nje ukusungula uhlelo olufanele ngokuthanda kwakhe ukuze akwazi ukuphatha wonke umuntu ngendlela efanele emphakathini. Lokho kwakungalungile! Ikhodi ebuchosheni bethu ihlanganisa nomndeni othobela ikhodi nendawo ezungezile. Ngeke nje kube nengqondo ukubona abantu njengabantu ngabanye, ngoba lokho cishe izinhlelo zangaphambili zishayisana nekhodi yethu.

Inhloso yengxoxo bekuwukuthi awusabuzi ukuthi ngempela umuntu kufanele alaphe kanjani umdlavuza. Udokotela okhaliphile, onomusa uzobe eqondisile ukuthi ngiqonde ukuthini noma kunjalo. Odokotela abayizimpumputhe ngeke bakuqonde noma kunjalo. Uma umama ebuza ukuthi ulwelapha kanjani usizi lwengane yakhe, uyamangala aphendule ukuthi akazi. Kodwa kuze kube manje usekwazile ukududuza ingane yakhe futhi ayijabulise futhi.

Uma bengifuna ukukunikeza amasu angenangqondo, odokotela abanomqondo olula noma abayizimpumputhe bebezothola kuphela ubunzima obusha nobuhlukile, ngoba isiguli asihlali endaweni engenalutho, siyacabanga, sizizwa futhi konke kuyaqhubeka nokusebenza ngaphakathi kuye. Njengoba sekushiwo, awunaso isikhathi sokwenza izinhlelo zokwelapha ezinde. Uphenyo lobugebengu mayelana nokungqubuzana kwakhe, angakwazi ukukhuluma ngakho nanoma ubani, ngokuvamile kuthola ibhola. Inkathi enkulu yodokotela bangempela iyaqala futhi, abantu abanesiphiwo, abahlakaniphile ababekhona ngesinye isikhathi esikhathini esidlule futhi manje abase besalele emuva ngokuphelele kulokho okubizwa ngokuthi imithi yesimanje uma kuqhathaniswa “nabenzi”, onjiniyela bezokwelapha, nabo abaqhubekayo. bawugundisile ngombhedo wabo.

Nokho, ngingakunikeza iresiphi ewusizo: Ungalokothi ubangele isiguli ukuba sithuke, singafa ngenxa yalokho! Ngomuthi omusha akasadingi ukwethuka. Angakuqonda kahle okwenzekayo nalokho okufanele kwenzeke. Cishe zonke iziguli (ama-95% nangaphezulu) zingasinda emdlavuzeni wazo uma zigwema ukwethuka. Iziguli eziningi zizobhekana nokungqubuzana okusha futhi zithole omunye umdlavuza. Lokhu kujwayelekile kakhulu futhi lokho kuyimpilo nje. Kodwa lokho akukubi kangako uma unodokotela ohlakaniphile okubona njengokujwayelekile ngokuphelele.

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Izikimu ezingashintshi azivunyelwe. Abenzi ubulungiswa ezimweni ezehlukene ezingokwengqondo namaqoqo ezinkanyezi. Iyini i-canary yomuntu oyedwa ingaba inqaba yomunye umuntu! Kokubili ukungqubuzana noma izinkinga zibaluleke ngokulinganayo kanye nenani. Iziphukuphuku kuphela ezingakuboni lokho. Kodwa ukunikeza abantu abayiziphukuphuku izindlela zokupheka zendlela yokwenza izinto ezihlakaniphile akunangqondo.

Futhi uma ngingakwazi ukubeka noma yimiphi imithetho engaguquki yokuthi umuntu kufanele enze kanjani "psychotherapeutically" nesiguli, khona-ke ngeshwa angikwazi ukubeka noma yimiphi imithetho emisiwe yokuthi umuntu kufanele aphathe kanjani izihlobo zalesi siguli noma umphathi wenkampani yakhe. noma ozakwabo emsebenzini ukuze "udlale." Kushiyelwa ekhonweni nasekuzweleni kodokotela ngamunye. Nonke nizothola ukwehluleka okwanele kule ndawo, njengoba nami ngibhekana nakho. Futhi ngokuvamile, ngenxa yezulu, izihlobo azinandaba nhlobo ukugcina umalume, umlamu noma uyise ephila ngakho wonke "umbuzo wefa" uhlehliswa nakakhulu. Angibatsheli abantu abahlakaniphile okuthile okusha. Kunemikhawulo yezinketho zokwelapha!

20.4 Izinga le-organic: ukwelashwa kwezinkinga ze-organic

Noma ubani othi ngimelene nokungenelela kokuhlinzwa akakangiqondi. Ngasungula mina ngokwami ​​okuthiwa “i-Hamer scalpel”, esika ngokucijile izikhathi ezingu-20 njenge-scalpel evamile. Ngithanda ukusebenzisa yonke into ngendlela ephusile engasiza isiguli.

Odokotela abahlinzayo baye benza imibono engamanga ngezinto ezinhlanu:

1. Babengazi ukuthi umdlavuza esithweni awubalulekile uma kuqhathaniswa futhi umiswa ngokuzenzakalelayo ukushintsha ikhodi ebuchosheni. Izinsalela zale nqubo, esiyibiza ngokuthi umdlavuza, zibalulekile kakhulu ngokwezinto eziphilayo emzimbeni. Empeleni, aziphazamisi inhlalakahle yento ephilayo nganoma iyiphi indlela. Odokotela abanezimpawu, okufanele babalwe kubo odokotela abahlinzayo, kuthiwa bebengakwazi lokhu kuze kube manje.

2. Odokotela abayizimpawu babengakaze bazi lutho mayelana nokuxhumana phakathi kwezitho abazihlinzayo kanye nobuchopho bekhompyutha. Ngaphandle kolwazi lwalokhu kuxhumana, bahlinza futhi babulala izinzwa ngendlela elula, enganaki. Kodwa-ke, odokotela abahlinzayo bezinzwa bebelokhu beyiziwula kakhulu ekuhlinzeni “izimila zobuchopho” zabo, empeleni ezalashwa kakhulu noma zisendleleni yokuphulukiswa, izilonda ze-Hamer ezingenabungozi.

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3. Odokotela abahlinzayo abakaze bezwe nge-psyche noma kunjalo “O, Mnu.

4. Odokotela abahlinzayo abakaze bezwe ngezinqubo zemifino ezenzeka ngendlela eqondile mayelana nomdlavuza. Kodwa uma manje sisebenzisa lolu lwazi njengesisekelo, kunengozi enkulu yokusebenza ngenxa ye-anesthesia yesiguli "esigula" umdlavuza futhi manje sesizuze ukuxazulula izingxabano kule vagotonia ejulile lapho ezithola khona. Isiguli sine-cerebral edema, ukuphikisana okuphelele ekuhlinzeni okungabalulekile, ikakhulukazi uma ukugxila kuka-Hamer kusesiqu sobuchopho.

5. Kodwa uma isiguli sisesesigabeni sokungqubuzana, khona-ke umdlavuza uzoqhubeka nokukhula ngemva kokuhlinzwa njengoba wawunjalo ngaphambili. Ngakho ukusebenza nakho akudingekile futhi contraindicated kulesi sigaba²⁷⁹, ngoba umuntu othintekayo uzoba nokuphindaphinda kanye nokwethuka okusha uma ebona ngokuzumayo ukuphindaphinda endaweni endala.

20.4.1 Isiguli, umphathi wezinqumo mayelana nakho konke ukungenelela emzimbeni waso

Ukuqonda Kwemithi Emisha kubona isiguli njengozakwethu udokotela anganikeza kuye usizo. Ngiyaqiniseka ukuthi esikhathini esizayo iziguli eziningi zizoluyeka usizo lukadokotela ohlinzayo lapho kunenkulumo-mpikiswano mayelana nokuthi isimila esingenangozi kufanele sikhishwe yini noma cha. Ukuhlinzwa esigabeni sokuphulukisa kwe-vagotonic kuyingozi enkulu noma kunjalo, ngoba kulesi sigaba kukhona ukuthambekela okukhethekile kokuvuvukala nokopha. Ingozi yezinkinga inkulu. Uma kunjalo, isimila esinomdlavuza sivunyelwa kuphela ukususwa ngemva kokuba isigaba sokuphulukisa sesiphelile.

Njengoba iziguli eziningi “zingenasidingo” sokuhlinzwa, ngiyaqiniseka ukuthi zimbalwa kakhulu kuzo ezizohlinzwa ngaphansi kwalezi zimo ezintsha. Noma yimuphi umuntu onengqondo uyocabangela ngokucophelela ukususa isimila esingenangozi engozini enkulu.

²⁷⁹ Contraindication = isimo esivimbela ukusetshenziswa kwesidakamizwa noma inqubo

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Ngilinganisela ukuthi esikhathini esizayo ukukhishwa kwesimila kuzoba cishe amaphesenti ayi-10 kuphela alokho okuyikho namuhla. Futhi ngisho nalokhu kuhlinza kuyoba “ukusebenza okungenangozi,” ngeke kusaba ukucwiywa kwezicubu ezilimazayo ngokusikwa²⁸⁰ "impilo enhle", kodwa ukususwa kuphela kwezithiyo zemishini.

Nakuba kuzothatha isikhathi kuze kube yilapho lokhu kwesaba okugcwele umdlavuza nokushiswa kwawo njengabathakathi, osekugxilwe ekujuleni kokwazi kwethu, kuthathelwe indawo umbono opholile, lokhu akufanele kuthene amandla muntu.

Ngakolunye uhlangothi, sidinga "ukuhlinzwa okuncane" ukuqeda izinkinga ezincane: i-ascites drainage emthanjeni wesifazane, isibonelo, i-pericardial drainage ku-pleura nokunye okunjalo kuyizinqubo ezincane ezibalulekile ezisindisa isiguli kakhulu futhi zingenzeka kuphela. ngenxa yenkomba entsha iba nenjongo. Uma, isibonelo, i-ascites ingasabonwa ngokuthi "ukuqala kokuphela" njengoba kwakunjalo, kodwa kunalokho njengesibonakaliso esamukelwe ngenjabulo sokuphulukisa, inkimbinkimbi yalesi sibonakaliso esihle isondela ngendlela ehluke ngokuphelele!

20.4.2 Okunye ngokususa umdlavuza wemvelo

Ngiyaziqhenya kakhulu ngokuthi, njengesazi esidala sobugebengu bezokwelapha, ngikwazile ukuthola ukuthi amagciwane angabangane bethu nabasizi bethu bamahhala, abakhethekile kakhulu, “ama-symbionts” ethu. Kungani kungafanele sisebenzise usizo lwabo?

Ukususwa kwe-colon carcinoma ebangelwa amagciwane e-tubercle angenangozi ohlobo lwe-Bovinus ngokuqinisekile kuphephe kakhulu ngoba kungokwemvelo kunokuhlinzwa okukhulu kwesisu. Ngaphezu kwalokho, isiguli sizizwa sikhululekile kakhulu. Kuzodingeka uqale uthole ulwazi ngalolu hlobo olusha lokwelapha ngebhayoloji. Kunoma ikuphi, inkomba "yokuhlinzwa kwebhayoloji" enjalo izoncika kakhulu endaweni yesimila kanye nokuthi kufanele ihlinzwe nhlobo - ngokwebhayoloji noma ngomshini - ngokwesibonelo ngoba kungabangela ukuvinjwa kwamathumbu.

Ngokweqiniso kufanele sicabangele ubunzima obubili:

²⁸⁰ Ukukhipha = ukusika izingxenye zezicubu ngaphandle kokucabangela imingcele yesitho noma izakhiwo zezicubu

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1. Ngenxa yokungazi okuseduze nokuqedwa kwesifo sofuba, abantu abaningi namuhla abasenalo ithuba lokubhidliza isimila samathumbu ngendlela ye-biologically and natural tubercular. Kukaningi kufanele sihlinze iziguli ezinjalo.

2. Njengoba amagciwane e-tubercle anda esigabeni se-sympathicotonic, ngeke kwanele ukunikeza isiguli i-mycobacteria embalwa ye-tubercle ngesikhathi sokuxilongwa. Ikakhulukazi uma usuvele usesigabeni se-pcl, lapho i-mycobacteria ingasakwazi ukuphindaphinda.

Kuzodingeka sibhale izincwadi zokufunda ezintsha, ezinezinkomba ezintsha, ngoba manje sesiqala ngesisekelo esisha ngokuphelele!

20.4.3 Igama elimayelana nemisebe

Lokho okubizwa ngokuthi “ukwelapha ngemisebe” kwakunomgomo oshiwo wokushisa isigaxa noma isimila esinomdlavuza. Lesi sibonakaliso esiwuphawu asisasebenzi. Noma kunjalo, ngezinye izikhathi kungase kube khona i-lymph node ephazamisayo engafinyelelwa kuphela ngokuhlinzwa okukhulu, kodwa engakwazi ukukhanyiselwa kahle ukuze kususwe isithiyo semishini (isibonelo kulokho okubizwa ngokuthi "Hodgkin"). Ngakho-ke, ngaphambi kwakho mothball zonke iziqhumane cobalt, kufanele ushiye eyodwa ukuma amacala akhethekile.

Nizozibonela, bafundi abathandekayo, uma senifunde ukuqonda imicabango yami, ukuthi - njengoba ngisho nabaphikisi bami kufanele bavume - banomqondo ongenakuphikiswa. Kunjalo, kunzima ekuqaleni ukuphonsa yonke into emgwaqeni kanye nokuvala izingxenye ezimbili kwezintathu zezibhedlela ezibizayo lapho kwenziwa ukuhlinzwa kokucwiywa komdlavuza kanye nokwelashwa okulandelwayo usque ad finem kwakuwumthetho. Sonke isiguli sasijabule lapho siphunyuke esakhiweni esisabekayo siphila. Lokho kudinga ukushintsha. Isikhathi sezithixo zezokwelapha sesiphelile. Ngingenisa inkathi entsha, inkathi yemithi emisha!

20.4.4 Ukubhobozwa kwecala kanye nokukhishwa kwecala

Ngokusho kokuqonda kwe-New Medicine ukuthi ukwakheka okufanayo kwe-histological kuhlala kutholakala endaweni yesitho esisodwa, noma ngabe kunomdlavuza, ama-punctures okuhlola kanye nokukhishwa kokuhlolwa cishe akudingekile ngokuphelele. Ngokusekelwe kokuhlangenwe nakho kwethu, siyazi ukuthi i-CCT inganikeza ulwazi oluthembekile mayelana nokwakheka kwe-histological kunokukhishwa kokuhlolwa.

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Ukukhishwa kwecala esimweni se-bone sarcoma cishe njalo kuyisiqalo senhlekelele. I-callus fluid ecindezelweyo idlula ku-periosteum evulekile (i-periosteal suture bursts) ingene esicutshini esizungezile futhi ibangele i-sarcoma enkulu. Ukube akwenziwanga ukuhlolwa kokuhlolwa, izicubu ezizungezile bezizovuvukala “kuphela” ngaphandle ngoba uketshezi luphuma nge-periosteum, kodwa hhayi amaseli e-callus. Khona-ke sizoba nenqubo, njengesifo samathambo esinamandla, esizixazulula ngokuzenzakalelayo ngemva kwesikhathi esithile.

Ukubhoboza kungaba nemiphumela ebulalayo, isibonelo, lapho okuthiwa ithumba elibandayo, isibonelo i-mammary gland carcinoma esigabeni se-PCL, livulelwa ngaphandle ngokubhoboza ibele. Bese kuba nokuphuma kofuba olunuka kabi ebeleni futhi njengoba nje i-osteolysis evuliwe futhi ephulukisayo njengamanje ingaqhutshekwa kuphela ngokwelashwa ngamakhemikhali okwesikhashana ukuze kuqhubeke ukuphulukiswa, okungukuthi ukuvuza okuqhubekayo koketshezi lwe-callus kuyavinjelwa futhi ngokuvamile kuyaphela. ngokunqunywa, Ngisho noma ibele libhobokile, icala livame ukuphela ngokunqunywa kwesitho kusenesikhathi.

Ngokuzayo, ukubhoboza kokuhlolwa nokukhishwa kokuhlolwa kuzogcinelwa kuphela izimo ezingavamile kakhulu emithini emisha.

20.4.5 Igama elimayelana nokungenelela ngokuhlinzwa

Iningi lemisebenzi yamanje ebizwa ngokuthi ukuhlinzwa komdlavuza. Udokotela ohlinzayo uncike ekwahluleleni kwe-histologist, ochaza inqubo noma abalungile noma njenge enonya kumenyezelwe. Manje sesiyazi ukuthi wonke ama-necroses alawulwa yi-cerebral medulla esigabeni sokuphulukisa kuze kube manje aphumela kulokho okubizwa ngokuthi amathumba ayingozi (ama-lymphomas, i-osteosarcoma, ama-kidney cysts, ama-ovarian cysts), futhi ngokusho kweNew Medicine, wonke "ayizimila eziphulukisayo." ”, okungukuthi, ukwanda kwamaseli okungenangozi umuntu angase akusebenzise kuphela uma kubangela izithiyo zemishini noma okungamukeleki ngokwengqondo esigulini. Uma kukhulunywa ngezimila ezilawulwa ubuchopho obudala, okwamanje sisamdinga udokotela ohlinzayo, njengoba nje sidinga umzingeli ehlathini njengoba singasenazo izimpisi: Kubalulekile ukuhlukanisa ngokunembile ukuthi sikhulu kangakanani isimila samathumbu, isibonelo, uma ukungqubuzana kuzoxazululwa. Uma isimila sisesincane uma kuqhathaniswa, khona-ke umuntu angacabanga ukuthi azikho izinkinga ezingenzeka ngisho noma i-TB ingekho. Kodwa-ke, uma isisu sikhulu futhi singabangela ukuvinjelwa kwamathumbu emathunjini nganoma yisiphi isikhathi, khona-ke kufanele ucabange ngokucophelela ukuthi kufanele ulinde isigaba sokuphulukisa futhi unethemba lokuthi isifo sofuba singenelela ekuphulukiseni ngokushesha ngangokunokwenzeka. Kodwa-ke, isiguli kufanele saziswe ukuthi lokhu kumelela ubungozi, njengokuhlinzwa ngokwako.

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Icala ngokuqinisekile livuna ukuhlinzwa kokuhlinzwa uma isiguli sisesigabeni se-CA, ngoba esigabeni se-PCL izinzwa zinengozi enkulu kakhulu ngenxa ye-vagotonia. Kufanele kugcizelelwe lapha ukuthi isiguli ngokwaso singumphathi wenqubo futhi kufanele simchaze ngokucophelela okuhle nokubi kuye.

Ku-New Medicine, manje sekunezinkomba zokuhlinza, okuhlanganisa nezimbi, njengama-ovarian kanye nama-kidney cyst, athuthuka cishe esigqini sokukhulelwa futhi adinga izinyanga eziyisishiyagalolunye aze agxiliswe futhi angathatha umsebenzi ohloswe ngumuntu. Kulezi zinyanga eziyisishiyagalolunye, ukuhlinzwa akuvunyelwe ngoba ngalesi sikhathi ama-cysts akhulele kwezinye izitho zesisu, lapho, engenawo imithambo yegazi ye-arterial kanye ne-venous, athola igazi lawo okwesikhashana. Le nqubo yebhayoloji yayingaqondwa kahle ngaphambili njengokuthi "ukukhula kwesimila esiyingozi esingena ngaphakathi." Ubufakazi banikezwa odokotela ngokwabo lapho "izingxenye zesimila" ezingena ngaphakathi ziqhubeka zikhula izinyanga ezisele eziyisishiyagalolunye futhi kamuva zadinga ukuhlinzwa okwengeziwe, ngaleyo ndlela zibonakala ikakhulukazi "zimbi." Emisebenzini enjalo esheshayo, ngenxa yokuntuleka kokuqonda kwemithi evamile, zonke izitho "ezingenayo" zakhishwa ngesikhathi esifanayo, ukuze isisu sasivame ukushiywa ngaphandle kwe-torso. Asifuni nokuxoxa ngezingxabano ezilandelayo lezi ziguli ezihluphekayo ezibhekana nazo lapha. Kodwa-ke, uma umuntu elinda izinyanga eziyisishiyagalolunye, khona-ke ukuhlinzwa kwama-cysts amancane kuze kube ngamasentimitha angu-12 ngobukhulu kuzogwenywa uma kungenzeka, ngoba lawa ma-cysts agcwalisa umsebenzi wokukhiqizwa kwe-hormone noma ukukhishwa komchamo, njengoba kuhloswe ngumzimba. Ezimweni ezimbi kakhulu kuphela, lapho ama-cysts edala izinkinga ezinzima zemishini, ukuhlinzwa kuboniswa cishe ngemva kwezinyanga eziyisishiyagalolunye futhi i-cyst isiye yaqina. Ukuhlinzwa okunjalo ke ukungenelela okuncane ngokwemibandela yokuhlinzwa, ngoba konke ukunamathela²⁸¹ manje sezisusiwe futhi i-cyst izungezwe i-capsule eqinile.

²⁸¹ Ukunamathela = ukunamathela noma ukukhula ndawonye kwezitho ezimbili

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20.4.6 Imithetho ejwayelekile yokuziphatha

Nalapha kufanele sehlukanise phakathi kwesigaba sokungqubuzana (isigaba se-ca) kanye nesigaba se-post-conflict-tolytic noma isigaba sokuqeda ukungqubuzana.

a) isigaba se-ca:

Izidlo zokunciphisa umzimba zinqatshelwe ngokuphelele (yize zilula kakhulu). Zingaba yingozi.

Izinjabulo zazo zonke izinhlobo ziyingozi kakhulu ngoba noma yikuphi ukujabula kungakhula ngesizathu esincane kakhulu (ngenxa yethoni yozwela ekhona kakade) futhi isiguli singashaya "i-fuse" elandelayo nganoma yisiphi isikhathi, okungukuthi bangahlupheka nge-DHS entsha. Umkhawulo wehliswa kakhulu kulesi sigaba, ukuze iziguli zigule kalula.

Ama-sedative azo zonke izinhlobo afihla isithombe kuphela futhi athwala ingozi yokungqubuzana okunamandla okuba yi-subacute.²⁸² ukungqubuzana okulengayo kuba. Ngokuyinhloko, ukuze sikwazi ukuxazulula ukungqubuzana kwaso, isiguli sidinga izimo ezihambisana nekhodi yobuchopho baso. Njengoba umphakathi wethu wamanje ungakunaki lokhu, ngokushesha noma kamuva umphakathi wethu kuzodingeka ushintshe. Ngokuyisisekelo: "Ukuzizwa" kubaluleke kakhulu kunokuthi "ukuzibona" ​​ngomqondo ophusile, wobuhlakani. Ekugcineni, abagulayo baphinde baba izingane (indlela yokuziphatha ehlehlisayo). Isiguli siphuma ekungqubuzaneni kwaso okwethusayo ngokuzizwa sizolile, njengoba nje isilwane siphuma ekungqubuzaneni kokwethuka ngokushesha lapho sizwa umgodi waso oyisivikelo, isidleke saso, unina, umhlambi waso, iphakethe, izici noma okufanayo!

b) isigaba se-pcl:

Abantu kufanele belulekwe ukuthi baziqeqeshele izidalwa zakubo. Sonke isilwane esisesigabeni sokuphulukisa siziphatha ngokuzolile, silala kakhulu futhi silinde ngokuthula kuze kubuye amandla aso (avamile).

Asikho isilwane esingangena elangeni kulesi sigaba se-pcl ngaphandle kwesidingo, ngoba sine-edema ye-cerebral, futhi ukuziphatha kwabo okungokwemvelo kwekhodi efanele kubatshela ukuthi ukukhanya kwelanga okuqondile kule edema ye-cerebral kungaba kubi kuphela. Ngike ngabona iziguli zibulawa yiwo! Ungakwazi ukuzwa indawo eshisayo yeziko lika-Hamer ekhanda lakho, kuyahlanya ukubeka ikhanda elishisayo elangeni eliqondile!

²⁸² i-subacute = i-acute encane, enobudlova obuncane

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Ukuminyanisa okupholisa endaweni eshisayo yesitofu se-Hamer kumane nje kuyindaba, ikakhulukazi ebusuku, isigaba esivele sinama-vagotonic sesigqi sansuku zonke. Iziguli zami zihlupheka kakhulu ebusuku esigabeni se-PCL, kuze kube ngu-3 noma u-4 ekuseni, lapho umzimba ushintshela esigqi sayo sansuku zonke. Iziguli zami eziningi ziye zathola inkomishi yekhofi eyenziwe kusihlwa - ngempumelelo enkulu - ukuze zichithe isigaba kufundwa kuze kube u-3 ekuseni. Ngemva kwalokho babengakwazi ukulala kahle, kodwa kahle, “ngesigqi sesigamu sosuku”. Kodwa-ke, lesi silinganiso sinengqondo kuphela esimweni se-cerebral edema enzima kakhulu, ngoba ku-90% yamacala lokhu akudingekile, futhi kubangela ubunzima ngokushintsha kwesigqi semini / ebusuku okwenzeka kancane kancane Uma ufuna ukwenza ukucindezela okubandayo ebusuku, zizwe ukhululekile ukwenza kanjalo.

Into yokuqala okumele iziguli ziyifunde esigabeni se-PCL yile:

Ukuzizwa ubuthakathaka nokukhathala kuhle, kuyaphilisa, kuyinto evamile, kuzihambela ngokwakho ngemva kwesigaba sokuphulukisa!

Ngokusho kwemithi evamile, ifundeka ngendlela ehluke ngokuphelele: "Ubuthakathaka futhi ukhathele kuyisifo esibi kakhulu sokujikeleza kwegazi, umdlavuza usuvele ulethe ukujikeleza ngokuphelele, lokho kakade kuyisiqalo sokuphela!"

Into yesibili okufanele isiguli siyifunde:

Ubuhlungu nokuvuvukala kuyizimpawu ezinhle zesigaba sokuphulukisa.

Ngokuvamile ziyacasula, azijabulisi, futhi ngokuvamile zibuhlungu, ikakhulukazi uma zihlanganisa i-ascites noma i-pleural effusion noma i-periosteal tension ngenxa yokuvuvukala komnkantsha, kodwa azisona isizathu sokwethuka nokunyamalala ngemva kwesikhathi esithile njengoba zifika nje. Aziyona neze into embi, kodwa ziyizimpawu zokuphulukisa osekunesikhathi zilindelwe!

Ngokwemithi evamile ifundeka kanje: Ubuhlungu nokuvuvukala kuwuphawu oluqinisekile lokufa okuseduze “kwesiguli somdlavuza”. Kungcono ukuqala nge-morphine ngokushesha nje lapho ubuhlungu buqala ukubonakala, khona-ke isiguli akudingeki sihlupheke (futhi akukho "drama" ende ewodini). “UMnu Angithi, Dadewethu Mathilde, asifuni ukukuthatha kancane lokhu, asiqale ngakho namuhla!”

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Manje ningase niqonde, bafundi abathandekayo, kungani ningakwazi ukushayela ngamathrekhi amabili? Lokhu okushiwo yilabo okuthiwa ngodokotela abavamile akulungile ngempela. Okuwukuphela kwendlela ebonakala ilungile ukuthi isiguli sifa ngempela nge-morphine, bese udokotela omkhulu, oyisiphukuphuku ebonakala eqinisile futhi. Kodwa mina nawe, mfundi othandekayo, sizofa nge-morphine esikhathini esingangesonto noma amabili, sinomdlavuza noma singenawo!

Okubi nge-morphine nalokho okubizwa ngokuthi okuphuma kuyo (inzalo) ukuthi i-morphine, ushevu wamangqamuzana onozwela, ishintsha ukuvevezela kobuchopho bomzimba wethu kangangokuthi ngemva komjovo wokuqala isiguli asisenazo izimiso zokuziphatha futhi siba buthaka— uzimisele eseyingane esanda kucela umjovo we-morphine. Futhi cishe bonke labo okuthiwa “iziguli ezinomdlavuza” bathola i-morphine ngokushesha noma kamuva, ngokushesha lapho bengaphumuli noma besezinhlungwini, ngokuvamile bengafuni futhi ngokuvamile ngaphandle kolwazi lwabo.

Kodwa isiguli ngokuvamile asisafuni ukwazi kahle ngemva kokubikezelwa kokuthi “akusenamathuba” okuba udokotela omkhulu, oyisiphukuphuku ewise phansi ngegalelo lokugcina lekilabhu, umpetha wempilo nokufa, njengo Ama-Grand Inquisitors ake ayenjalo.

Imiphumela ye-morphine ukuthi yonke into ephilayo iyavala. Ngokushesha isiguli siqala ukungaphenduli, singasadli lutho, amathumbu aso amile (ukukhubazeka kwamathumbu), futhi ngemva kwezinsuku ezimbalwa sibulawa indlala. Akekho noyedwa ozihluphayo ngokwazisa iziguli ngale miphumela!

Uma manje sicabanga ngeqiniso lokuthi lokhu akufanele kube njalo nokuthi laba bantu abampofu baye baba isisulu sokungazi lutho kodokotela abakhulu noprofesa abenza ngokuqagela okungamanga futhi benze njengonkulunkulu, khona-ke zonke izinwele ingemuva lentamo yethu limi ekugcineni, njengoba nje lenza ekhanda lejaji Izinwele ezingemuva kwentamo yakhe zema lapho udokotela we-neuroradiologist eNyuvesi yaseTübingen emtshela ebusweni ukuthi akanandaba nokwazi ukuthi u-Hamer kulungile!

NguMdali kuphela ongaqeda ukuphila kwezidalwa zakhe - ngokufa. Uma nje sisaphila, sonke, wonke umuntu, zonke izilwane, zonke izitshalo, zonke izidalwa zinelungelo eliyisisekelo lokuthi - ithemba! Ukuzenza unkulunkulu nokuzama ukuphuca omunye umuntu ithemba kuwulaka olubi kakhulu lokuzikhukhumeza nobuphukuphuku. Bonke bantshontshe ithemba lokugcina leziguli zabo ezazibethemba ngenxa yokungazi nokuzikhukhumeza!

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20.4.7 Imithi yokwelapha

Imithi kuthiwa ifanekisela intuthuko yezokwelapha zesimanje noma lokho okukholelwa ukuthi yiyo. Iziguli eziningi zivame ukuthola engu-10, ngisho nezinhlobo ezingu-20 zemithi ehlukene nsuku zonke yazo zonke izinto. Udokotela ongayinikezi imithi akayena udokotela wangempela. Uma imithi ibiza kakhulu, ibonakala ingcono kakhulu.

Kwakuyiphutha elikhulu lokho! Njengoba ucwaningo luye lwabonisa kaningi, odokotela ngokwabo abakaze baphuze imithi...

Into ewubulima ngayo ukuthi abantu babehlale bekholelwa ukuthi umuthi uzoba nomthelela wasendaweni. Ubuchopho ngokusobala abuzange buhlanganise lutho nakho! Njengokungathi “ungakhohlisa” ikhompuyutha efana nobuchopho bethu! Engathi ubuchopho abunakile ukuthi abafundi bemilingo benzani ngokufakwa kwabo, imijovo namaphilisi.

Empeleni awukho umuthi onomthelela oqondile esithweni, ngaphandle kokusabela kwendawo emathunjini lapho ushevu noma umuthi uphuzwa ngomlomo. Yonke eminye imithi inomphumela omaphakathi esithweni, okungukuthi ngobuchopho! Esimeni esibi, "umphumela" wabo empeleni umphumela obangelwa ubuthi bobuchopho noma izingxenye zabo ezihlukahlukene ezingeni lezinto eziphilayo.

Isibonelo: Ngake ngabuza uprofesa engqungqutheleni yezifo zenhliziyo owayechaza umphumela womuthi oqinisa isigqi senhliziyo enhliziyweni ukuthi wayenesiqiniseko yini sokuthi lesi sidakamizwa sinomthelela oqondile enhliziyweni hhayi ebuchosheni , okungukuthi noma ngabe umuthi uphinde usebenze enhliziyweni etshalwe kabusha. UProfessor akazange abe nempendulo kulokho futhi wathi bekungakaphenywa futhi nenhliziyo etshaliwe ingasebenza kuphela nge-pacemaker!

Ngisho ne-digitalis, penicillin kanye nemithi yomkhuhlane “kuphela” ithinta ubuchopho! Ngaphandle kwamahomoni, ama-enzyme namavithamini, cishe yonke imithi isebenza ngobuchopho! Isibonelo, ngaphambili bekucatshangwa ukuthi i-digitalis "igcwele" imisipha yenhliziyo. Manje siyazi ukuthi inomphumela wobuchopho ekudluliselweni kwenhliziyo.

Ngokuyinhloko, kungashiwo ukuthi noma yimiphi imithi yezimpawu ingafakwa ukusiza ukusekela inqubo yokuphulukisa! Udokotela wemithi emisha akayona into ephambene nemithi, ngisho noma ecabanga ukuthi izinqubo eziningi zikaMama Wemvelo sezivele zenziwe zathuthukiswa. Siyazi ukuthi uma isikhathi sokungqubuzana sisifushane futhi inani lokungqubuzana liphansi, izimo eziningi azidingi ukwelashwa kwezidakamizwa okusekelayo. Ngakho-ke yilawo macala kuphela asele angaphetha ngokufa ngokwemvelo, kodwa okufanele siwanaka ngokukhethekile ngenxa yezimiso zokuziphatha zezokwelapha.

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Ukugxila kumaphuzu abalulekile kuyo yonke inqubo yokuphulukisa, okuyinto, nokho, edinga ukunakwa okukhethekile ezingxabanweni ezithile kanye nezinhlelo ezikhethekile. Lezi, ngokwesibonelo, yizinkinga zesithuthwane (bheka futhi isahluko esikhethekile esihambisanayo) kuma-infarction enhliziyo kwesokunxele nakwesokudla, izinkinga zomoya.²⁸³ I-Lyse²⁸⁴, inkinga yesibindi nokunye. Amaphesenti aphezulu alezi zinhlekelele ayabulala okwamanje. Sizoqhubeka nokulahlekelwa inqwaba yeziguli esikhathini esizayo. Kodwa manje sinenzuzo ukuthi kakade ngaphambili yazi ukuthi yini esilindele ngakho-ke singahlangabezana nalesi senzakalo esilindelekile kusengaphambili. Akusizi ngalutho kithina ukwehlisa imvamisa yenyumoniya manje ngokubiza inyumoniya i-bronchial carcinoma lapho iziguli bese zibulawa umdlavuza we-bronchial. Sibe sesiphinde saqamba kabusha lesi sifo.

Kodwa uma sazi kahle ukuthi kufanele silindele nini i-pneumonic lysis kanye nokuthi yini esingayenza kusengaphambili ukuze sibe nomthelela omuhle kule nqubo yebhayoloji edingeka ngokuyisisekelo, isibonelo ngama-antibiotics kanye ne-cortisone, khona-ke lokho kuyisiqalo esisha ngokuphelele kodwa esinengqondo emuthini omusha. Lokhu kunjalo ngisho nalapho kusetshenziswa izindlela ezifanayo noma ezifanayo njengemithi evamile, ngoba ukuqonda kwangaphambili kuhluke ngokuphelele.

Isibonelo: Endabeni ye-pneumonia, uma sazi ukuthi ukungqubuzana, ukwesaba kwendawo, kwaphela izinyanga ezintathu kuphela, khona-ke siyazi ukuthi i-pneumonia lysis, okungukuthi inkinga ye-epileptoid, ngokuvamile ngeke ibulale, ngisho noma kungenziwanga lutho ngemithi. . Isiguli siyaqinisekiswa ngoba udokotela naye ubonisa ukuzola ngesizathu esihle.

Kodwa uma ukungqubuzana sekuthathe izinyanga ezingu-9 noma ngaphezulu, khona-ke udokotela we-New Medicine uyazi ukuthi inkinga ye-epileptoid iyindaba yokuphila nokufa kwesiguli uma kungenziwa lutho. Ngakho-ke kufanele azilungiselele yena nesiguli kulokhu, ahlanganise wonke amandla esiguli futhi asebenzise zonke izindlela zokwelashwa. Endabeni yenyumoniya, isibonelo, njengakuqala, ama-antibiotics ayezonikezwa, kodwa i-cortisone nayo izosetshenziswa kakhulu, okungakaze kwenziwe kuze kube manje, okungukuthi ngokushesha ngaphambi kwenkinga ye-epileptoid, endaweni ebucayi, ehlala njalo ngemva sisinde esiqongweni senhlekelele. Iphuzu elibalulekile liwukuthi ngemva komvuthwandaba wenhlekelele, i-vagotonia iphinde iphinde ingene, kodwa kulokhu ayiholeli esigodini se-vagotonic, kodwa iphuma kuso.

²⁸³ Inyumoniya = inyumoniya
²⁸⁴ I-Lysis = isisombululo, ukuchithwa

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Njengoba sesazi, i-organism isihlele inkinga yesifo sokuwa kulokhu kuphenduka kwesiteringi. Ezimweni ezingu-95%, izinsiza zomzimba wethu zanele. Ama-5% asele yilabo okuthi ngokwemvelo bafe ngenxa yokwehluleka ukuphefumula ngokushesha kulandela - kulesi simo esibucayi - inkinga ye-epileptoid enganele ku-vagotonic cerebral coma (i-cerebral edema).

Esinye isibonelo: Nge-nephrotic²⁸⁵ Ngosizo lomuthi omusha, sesivele sazi kahle ukuthi iyini imbangela: okuyisigaba se-pcl se-renal collecting duct carcinoma kanye nokulahlekelwa kwamaprotheni ngokuphuma kwesilonda endaweni yenqubo ye-tuberculous caseation. Manje sesikwazi kahle lokho okufanele sikwenze: Uma ngesizathu esithile isiguli singakwazi ukumboza ukulahlekelwa kwaso kwamaprotheni ngokuwaphuza ngomlomo amaprotheni, kufanele sisebenzise imijovo ye-albumin.²⁸⁶, esikhundleni se-hypoalbuminemia kuze kube yilapho inqubo yokuphulukisa isiphelile.

Endabeni ye-ascites, emele isigaba se-PCL se-peritoneal carcinoma, singalungiselela isiguli ukuthi ama-ascites azokwenzeka ngokushesha nje lapho esexazulule ukungqubuzana kwakhe (ukuhlasela kwesisu). Manje isiguli singawamukela ama-ascites njengophawu oluhle, futhi, uma kwenzeka sinamagciwane e-TB, ukujuluka okuphoqelekile ebusuku kanye namazinga okushisa angaphansi, okungukuthi, ulungiselela ama-ascites akhe njengomsebenzi angawenza kahle.

20.4.7.1 Amaqembu amabili ezidakamizwa

Uma singazinaki izidakamizwa ezihlanzekile, ama-narcotics nama-tranquilizers, kusasele amaqembu amabili amakhulu emithi:

1. ama-tonics anozwela, okwandisa ingcindezi,

2. i-parasympathicotonics noma i-vagotonics, esekela ukululama noma isigaba sokuphumula.

Njengoba lokho okubizwa ngokuthi "isifo somdlavuza" (okungukuthi i-SBS) kuyinqubo yesigaba esihlukile semifino uma isisombululo sokungqubuzana futhi ngaleyo ndlela isigaba sokuphulukisa sifinyelelwa, umuthi owodwa ofanayo awukwazi neze "umdlavuza" noma "umelene nomdlavuza. ”. Ngakho-ke umuthi ungasekela ukungezwani okuzwelayo futhi unciphise i-vagotonia, noma okuphambene nalokho. Umuthi awukwazi ukusebenza kuzo zombili izinkomba ngesikhathi esisodwa ngoba i-sympathicotonia ne-vagotonia ziphikisana kakhulu.

²⁸⁵ Nephr- = ingxenye yegama elisho izinso
²⁸⁶ Ama-albhamuin = amaprotheni

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Iqembu lokuqala le-tonics elinozwela lihlanganisa i-adrenaline ne-norepinephrine, i-cortisone, i-prednisolone, i-dexamethasone kanye nemithi ebonakala ihluke njenge-caffeine, i-theine, i-penicillin ne-digitalis neminye eminingi. Eqinisweni, ungazisebenzisa zonke uma ufuna ukunciphisa umphumela we-vagotonia futhi ngaleyo ndlela unciphise i-cerebral edema, okuyinto ngokuyisisekelo into enhle, kodwa inkinga ngokweqile.

Iqembu lesi-2 lihlanganisa wonke ama-sedative kanye nama-antispasmodics akhulisa i-vagotonia noma anciphise ukungezwani okuzwelayo. Umehluko phakathi kwe-sympathicotonics kanye ne-vagotonics useqinisweni lokuthi ikakhulukazi zithinta izindawo ezithile zobuchopho futhi zincane noma azibonakali nhlobo kwezinye. Yilokho okwenziwa osokhemisi²⁸⁷ kwenze abantu bakholelwa ukuthi izithako ezisebenzayo zizoba nomthelela oqondile esithweni. Lokhu kungaboniswa ngokuxhumanisa igazi lesitho okwesikhashana kwenye isekethe. Uma usufaka umuthi ohambisanayo egazini bese ngaleyo ndlela ungene ebuchosheni, isitho, esinqanyuliwe kuphela ngokwegazi kodwa sisaxhumene nobuchopho ngokuthuthumela, sisabela ngendlela efanayo njengokungathi besixhunywe kumjikelezo wokuqala. . Siyazi futhi ukuthi akukho okunomthelela enhliziyweni etshalwe kabusha ngoba imigqa eya ebuchosheni inqanyuliwe!

20.4.7.2 Igama ngepenicillin

I-Penicillin iyisidakamizwa esinozwela se-cytostatic. Umthelela enawo kumagciwane awubalulekile futhi uhambisana nomphumela onawo ku-edema yesiqu sobuchopho. Ngakho-ke, ingasetshenziswa esigabeni se-PCL ukunciphisa i-brain stem edema, kuyilapho ifana ne-cortisone.²⁸⁸ abaphansi kwezinye izindawo zobuchopho (ngaphandle kwe-cerebral medulla, lokho okubizwa ngokuthi "iqembu lokunethezeka"). Ngakho-ke, ukubaluleka kokutholakala kwe-penicillin nokunye okubizwa ngokuthi ama-antibiotic akufanele kwehliswe. Kodwa lokhu kutholakala kwenziwa ngaphansi kwezakhiwo nemibono engamanga ngokuphelele. Kwakuhlale kucatshangwa ukuthi imikhiqizo ebolile yamagciwane izosebenza njengobuthi futhi ibangele imfiva. Ngakho-ke udinga nje ukubulala amabhaktheriya amancane amabi ukuze ugweme ubuthi obubi.

²⁸⁷ I-Pharmacology = isayensi yokusebenzelana phakathi kwezidakamizwa nezinto eziphilayo
²⁸⁸ I-Cortisone = i-synthetic mineralocorticoid 17α-hydroxy-11-dehydro-corticosterone ehambisana nehomoni yemvelo ebizwa ngokuthi i-corisol noma i-cortisol (17α-hydroxy-corticosterone noma i-hydroxycortisone (C21H30O5)).

1mg dexamethasone=5mg prednisolone=25mg prednisone=100mg cortisone.

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Kwakuyiphutha lelo! Kuyiqiniso ukuthi uFleming “ngengozi” wathola into etholakala kumakhowe eyanciphisa isiqu sobuchopho edema. Njengawo wonke ama-ejenti we-cytostatic kanye ne-antiedematic, imiphumela enjalo iphinde ithinte amagciwane, abangani bethu abasebenza kanzima abadilizwa isikhashana ngenxa yokuthi umsebenzi wabo uhlehliselwe usuku lwakamuva ngesifundo esingesihle kangako.

Njenge-penicillin namanye ama-antibiotics, wonke umuthi we-cytostatic unomphumela ocindezelayo ku-hematopoiesis²⁸⁹, enomphumela omubi kangaka ekwelashweni “okukhungathekisayo” okuthiwa kudingekile kwe-leukemia, isigaba sokuphulukisa somdlavuza wamathambo.

20.4.7.3 Umthamo onconyiwe we-prednisolone

Cishe iziguli ezi-5 kuye kwezingu-10% zingase zidinge imithi ngesikhathi sokuphulukiswa. Nokho, ungenza lesi sinqumo kuphela uma usuziqinisekisile nge-CCT ukuthi akudingekile ngempela. Uma ungaqiniseki, kufanele uthathe i-prednisolone retard engu-8 mg kabili ngosuku emasontweni ayi-2 okuqala ngemva kwe-Conflictolysis.²⁹⁰ nikeza noma cishe i-1/5 yomthamo we-dexamethasone, okungukuthi 4 mg we-prednisolone noma 1 mg we-dexamethasone ekuseni nakusihlwa. Noma yimiphi imiphumela emibi kulo mthamo ayilindelekile ngalesi sikhathi. Ngemuva kwamaviki angu-8 ungabuyela ku-1 mg prednisolone retard kanye.

Ezigulini ezine-brain stem edema noma ezike zaba ne-carcinoma eminingi eyaxazululwa ngesikhathi esisodwa, noma lapho ukungqubuzana kuthathe isikhathi eside, umuntu kufanele aphuze u-4 mg we-prednisone izikhathi ezine.²⁹¹ i-retard noma izikhathi ezi-4 1 mg i-dexamethasone²⁹² Nikeza ukukhubazeka phakathi nosuku, uma kunesidingo izikhathi ezi-5 ku-4 mg, ngakho-ke inani lika-20 mg ngosuku, isibonelo isikhathi esi-1 4 mg ekuseni, izikhathi ezi-2 izikhathi ezingu-4 mg ngesikhathi sesidlo sasemini kanye nezinye izikhathi ezi-2 4 mg kusihlwa. . Iziguli ezidinga ngaphezu kuka-20 mg we-hydrocortisone kufanele, uma kungenzeka, zelashwe ngaphansi kokulawulwa komtholampilo.

Ngaphezu kokwelashwa okuyisisekelo kwe-cortisone, wonke ama-tonics ozwela angase abe nokwenzeka futhi aboniswe, kuhlanganise ne-penicillin namanye ama-antibiotics, wonke ama-decongestants afana nama-antihistamine nama-antiallergics, imithi yekhanda kanye ne-migraine nokunye okunjalo. Kodwa-ke, ungagcina imithi eminingi uma ungasebenzisa ama-compress apholile, izihlambi ezibandayo noma, esimweni sezulu esipholile, ukuhamba ngekhanda lakho lingamboziwe. Ukubhukuda emanzini apholile nakho kuhle kakhulu, kodwa hhayi ku-sauna. Ukuvakashela i-sauna kungaholela kalula ekuweni okuphakathi, okufana nokushaywa yilanga. Umuthi olula kakhulu inkomishi yekhofi izikhathi eziningana ngosuku.

Zonke lezi zincomo ziyasebenza, khumbula, kuphela esigabeni se-vagotonic ngemuva kokuxazululwa kwengxabano. Izinto ziba nzima kakhulu lapho ukungqubuzana kwababaleki okusebenzayo kuhambisana noma kwengezwa (bheka isahluko esithi “Syndromes”), ngoba-ke kukhona “ukuhlala okuxubile” okune-edema enkulu ngokungenakulinganiswa - esithweni nasekugxilweni kwe-Hamer ebuchosheni.

²⁸⁹ I-Hematopoiesis = ukwakheka kwegazi
²⁹⁰ retard = ukubambezeleka
²⁹¹ I-Prednisone = 1,2 dehydrocortisone
²⁹² I-Dexamethasone = 9α-fluoro-16α-methyl-prednisolone

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20.4.7.4 Igama elimayelana ne-cytostatic chemo-pseudotherapy

Ngokuqonda kwami, lena i-idiotic, i-symptomatic, i-pseudotherapy eyingozi eyayingenzeka kuphela ngenxa yokungazi imithetho yemithi emisha. I-Chemo-pseudotherapy ngokusobala iphumelela kuphela (ngezindleko zomnkantsha) ngoba ingaqeda izimpawu zesigaba sokuphulukisa sezitho ezilawulwa yi-cerebrum. Lokhu kuza ngentengo yemiphumela eyinhlekelele eminingana: Enye ukuthi manje uhlala ukholelwa ukuthi kufanele uqhubeke ne-chemo ukuze uvimbele izimpawu zokuphulukisa ukuthi zingabuyi, okuyi-phticism.²⁹³ womnkantsha kanye nokufa okuthile kwesiguli.

Okwesibili, ingozi enkulu nakakhulu ukuthi ngomzuliswano ngamunye we-chemo i-cerebral edema iyancishiswa futhi ngaleyo ndlela umphumela oyingozi we-accordion uyacasulwa. I-Chemo-pseudotherapy, kanye ne-radiation pseudotherapy, kunciphisa kakhulu ukunwebeka kwama-synapses amangqamuzana obuchopho, okubuye kunciphise kakhulu ukubekezelela i-cerebral edema esigabeni sokuphulukisa, ayaphuka futhi angaholela ekufeni kobuchopho obuhlobene ne-cytostatic. isiguli.

20.4.7.5 Izincomo esimweni sokuphindeka kokungqubuzana noma i-DHS entsha

Kulandela ngokunengqondo nangokungaguquguquki ukuthi uma kwenzeka i-DHS ephindaphindayo, okungukuthi lapho isiguli sisekungezwani okuzwelayo futhi, i-cortisone ivinjelwa ngokushesha. Ngakho-ke awukwazi ukuthi esigulini: "Bheka futhi ezinyangeni ezintathu" ngaphandle kokumenza aqaphele leli qiniso. Uma eqhubeka nokuthatha i-cortisone yakhe, kuzokwandisa ukushuba kwengxabano. Ngakolunye uhlangothi, isiguli akufanele siyeke ukusebenzisa i-cortisone ngesikhathi esisodwa, kodwa kulokhu kufanele “icishwe” phakathi nezinsuku ezimbalwa. Okuhle kakhulu, yiqiniso, ukuthi ukungqubuzana okusha kuxazululwa ngokushesha futhi imithi ingahlala injengoba yayinjalo kuze kube yileso sikhathi.

²⁹³ I-phtise = ukushwabana komnkantsha ngokuyeka ukwakheka kwegazi

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Ngokuyisisekelo, kufanele kuchazwe kuso sonke isiguli ngokuningiliziwe ukuthi imithi esiyitholayo ayiwona “ukwelashwa” komdlavuza, kodwa ihloselwe kuphela ukudambisa ubuchopho kanye ne-edema yomzimba, okungukuthi isinyathelo sokuqapha ukuvimbela izinkinga ebuchosheni bomuntu siqu- inqubo yokuphulukisa kanye nesitho somzimba.

20.4.7.6 Gcoba i-cortisone, mhlawumbe ngosizo lwe-ACTH

Uma kungenzeka, akufanele uyeke ukuthatha i-cortisone kungazelelwe. Akuzona izindaba lezi, wonke udokotela uyakwazi lokhu. Kunconywa ukujova idepho ye-ACTH (ihomoni ye-adreno-corticotropic) ekupheleni kokwelashwa. Lesi silinganiso sidingeka kuphela uma isiguli sasithole imithamo ephezulu ye-cortisone. Esimeni se-DHS entsha noma i-DHS ephindayo, kufanele incishwe ngokushesha kakhulu uma kungenzeki ukuxazulula ukungqubuzana ngokushesha.

20.4.7.7 Inkinga yesithuthwane

Sonke isiguli esigabeni se-PCL sibhekana nenkinga yesifo sokuwa noma yesifo sokuwa. Lezi zinkinga zesithuthwane noma ze-epileptoid, ngokomthetho, izinqubo zebhayoloji ezinengqondo. Ukufuna njalo ukuphatha inqubo enjalo kukodwa akunangqondo, ngoba inomsebenzi owusizo. Empeleni kungaba kubi esigulini uma umuntu ezama ukuphazamisa lezi zinqubo zemvelo ngendlela engezona ezemvelo. Lokhu kusebenza cishe ku-95% wamacala.

Lokho kushiya ama-5% abebengafa ngokujwayelekile nangokomzimba kule nkinga yesithuthwane noma yesifo sokuwa. Kodwa nathi njengodokotela kufanele senze umzamo wokubhekana nalawa macala esiguli, ngokwesibonelo, abe nokungqubuzana kwendawo unyaka ongu-1 noma ngaphezulu futhi mancane amathuba okuba ngokwebhayoloji akwazi ukuxazulula ukungqubuzana kwawo nhlobo futhi ngokuvamile angeke axazulule. nhlobo. Lezi ziguli zifuna ukuqhubeka nokuphila njengoba nje siphila.
Ukwelapha ngezidakamizwa kunzima kakhulu ngoba ngokuyisisekelo kufanele sisebenze ngokumelene nemvelo. Kufanele kuqashelwe izikhathi ezimbili:

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1. Ezimweni ezinezingxabano ezinzima, isiguli asifeli enkingeni yesifo sokuwa noma ye-epileptoid, kodwa ngokushesha ngemva kwalokho ngokushibilika ku-vagotonia ejulile. Sifuna ukuvimbela lokhu ngemithi sisebenzisa i-cortisone (prednisolone noma i-dexamethasone).

2. Uma sinikeza i-cortisone ngesikhathi sezinkinga zesithuthwane noma ze-epileptoid, khona-ke sihamba entanjeni eqinile uma sinikeza i-cortisone kusenesikhathi kodwa futhi kungakephuzi kakhulu, ngokuvamile ngomjovo.

Uma ufuna ukuba sohlangothini oluphephile futhi wamukele ngokuqaphela ukwanda kwezimpawu, ujova i-cortisone ngasekupheleni kwenhlekelele. Ujova njengomthamo wokuqala

a) ngemva kwenhlekelele ye-epileptoid, 100 mg prednisolone noma 20 mg dexamethasone emthanjeni

b) ngasekupheleni kwenkinga ye-epileptoid kuphela 20-50 mg prednisolone emthanjeni, enye intramuscularly, noma 4-8 noma 10 mg dexamethasone emthanjeni, enye intramuscularly.

Umuntu kufanele aqaphele ngaso sonke isikhathi ukuthi kuwumzamo wokuthi ungalokothi uthembise impumelelo ethile, ngoba empeleni usebenza ngokumelene nemvelo. Angifuni ukusho ukuthi lolu hlelo alukwazanga ukuthuthukiswa ngaphansi kwezimo zomtholampilo. Ngokuhlangenwe nakho kwami ​​kuze kube manje, le ndlela isengasindisa izimpilo cishe ingxenye “yeziboshwa ezigwetshwe yibhayoloji”.

Kubalulekile ukuthi ugcine izinga le-cortisone isikhashana, okungukuthi ngemva kwamahora angu-3-6, jova u-20-25 mg we-prednisolone noma u-4-5 mg we-dexamethasone noma unikeze ukulungiswa kwe-prednisolone retard ngomlomo uma uqinisekile ukuthi nayo iyamuncwa. .

Kubalulekile futhi ukwazi ukuthi "ama-aftershocks" e-epileptic alula ikakhulukazi, ikakhulukazi ngemithi ye-cortisone, futhi lokhu kungenzeka futhi ngokomzimba. Okufanayo kusebenza lapha njengoba kushiwo ngenhla.

Kubalulekile futhi ukwazi ukuthi "i-myocardial infarction kuphela", okungukuthi inkinga yesithuthwane ye-myocardium ngaphandle kokubandakanyeka kwe-coronary, idinga imithamo ephansi kakhulu ye-cortisone, ngoba ayikho ingozi lapho, nakuba ngaphambili sasikucabange ngokuhlukile ukuboshwa kwenhliziyo. Uma kungenzeka, bekufanele ube ne-ECG, i-CT yobuchopho kanye ne-CT yenhliziyo eyenziwe kusenesikhathi, kanye namanani ahambisana naselabhorethri (CPK njll.).

Ngokuhlangenwe nakho kwami, i-cortisone ayizange iphumelele enkingeni ye-epileptoid ye-hepato-bile ducts. Ngokuphambene, iziguli eziningi ziye zafa ngokungadingekile ngenxa yokushaqeka kwe-hypoglycan. Ngakho-ke kufanele unakisise izinga likashukela egazini. Ngokuyisisekelo, ngicabanga ukuthi izimo ezinzima kangaka zingezasekwelashweni kweziguli egunjini labagula kakhulu lomuthi omusha.

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Iziguli eziningi ziyafa emagumbini amanje okunakekelwa kwenhliziyo ngenxa yokuthi ukuxhumana kwawo akwaziwa. Ukwengeza, i-infarction yenhliziyo yesokudla ne-pulmonary embolism (i-ca phase: i-coronary vein ulcer kanye ne-collum noma i-cervix carcinoma) esimweni sokungqubuzana ngokocansi kowesifazane ongakwesokudla noma ukungqubuzana kwendawo endodeni yesandla sokunxele akwaziwa kanjalo.

Lokhu kwelashwa, ngiyazi ukuthi, kunganikeza isiqondiso kuphela. Ayisho ukuthi ayikwazi ukulungiselelwa okwengeziwe. Igama lokugcina alikakakhulunywa mayelana ne-cortisone noma i-ACTH. Mhlawumbe kukhona ama-tonics angcono okuzwelana ngaphandle kwemiphumela emibi ye-cortisone. Omunye wemiphumela emibi ubonakala sengathi umzimba uyayeka ukukhiqiza i-cortisol yayo (= i-cortisone yemvelo) ene-prednisolone engaphezu kuka-20-25 mg (4-5 mg ye-dexamethasone). Yingakho, njengoba wonke udokotela azi, i-cortisone akufanele imane ime kungazelelwe uma inikezwe isikhathi eside kunezinsuku ezingu-8-10, okungaba isenzo esingalungile, kodwa kunalokho kufanele "icishwe", okungukuthi ime kancane.

20.4.7.8 Igama elimayelana nezinhlungu namaphilisi ezinhlungu aqukethe i-morphine

Ngaphambilini, uma isiguli sithola ukuxilongwa "kokubi" kuma-histologists, udokotela wayevunyelwe ukubanikeza i-morphine noma i-morphine derivative ngesibonakaliso esincane sobuhlungu. Imiphumela emibi ye-morphine, efana nemiphumela yokulutha nokucindezelwa kokuphefumula, yathathwa futhi yamukelwa ngokunganaki²⁹⁴, ukukhubazeka kwamathumbu phakathi kokunye. Ngakho-ke, ukuphathwa kwe-morphine kuhlale kuyindlela eyodwa, ebulala kancane kancane. Okudabukisayo ukuthi iziguli ngokuvamile zizwa ubuhlungu kuphela lapho sezivele zisesigabeni sokuphulukisa futhi ubuhlungu ngokuvamile bulinganiselwe ngesikhathi. Lokhu kunjalo nge-bone osteolysis esigabeni se-pcl, esibangela ubuhlungu obukhulu be-periosteal stretching, okungenye yezinhlungu ezesatshwa kakhulu emithini. Ngomuthi omusha manje sesingakwazi ukuhlukanisa kahle ukuthi ubuhlungu buyisiphi isigaba sesifo, bunjani izinga, buzohlala isikhathi esingakanani njalo njalo. Isibonelo, uma ungatshela isiguli ukuthi lobu buhlungu bethambo buzohlala cishe amasonto angu-6-8, ngemva kwalokho ithambo lizophola, angikaze ngibone isiguli sicela i-morphine ngisho nalapho sinikezwa.

²⁹⁴ Ukucindezelwa = ukucindezelwa

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Isiguli siyabandakanyeka uhlelo lwengqondo. Uzilungiselela ngaphakathi esigabeni sobuhlungu sengathi wenza umsebenzi onzima. Siyamsiza ukuthi aziphazamise, okuyinto engasebenzi kuphela ezimweni ezingavamile kakhulu. (Isibonelo, kungase kube ukuthi izindawo eziningana zamathambo zanqunywa, kodwa izingxabano zokuzihlonipha ezihambisanayo azixazululwa ngesikhathi esifanayo, kodwa enye ngemva kwenye. Lokhu kungase kuholele ezimweni ezibucayi).

Ngiphinde ngicabange nge-cabaret, abenzi bamahlaya, amafilimu ahlekisayo, ukucula kwekwaya, ukubhukuda, kanye nemithi yangaphandle edambisa izinhlungu, i-acupuncture, amamasaji, njll.

Kubalulekile ukwazi ukuthi i-morphine ibangela ngokushesha izinguquko ezinzima ezingokwengqondo nezobuchopho ezibhubhisa ngokushesha ukuziphatha kwesiguli, ukuze kusukela ngaleso sikhathi kuqhubeke angabe esakwazi ukubekezelela noma ibuphi ubuhlungu nhlobo. Njengoba ubuhlungu buyinto ecabangelayo, njengoba umphumela we-morphine uphela, iziguli zizwa ubuhlungu obunamandla obuphindwe izikhathi eziningi kunalapho bezingayithathanga i-morphine kwasekuqaleni. Njengoba kwaziwa kahle, imithamo ye-morphine kufanele-ke inyuswe ngokuqhubekayo. Isiguli sibulawa ukufa kwe-morphine, okusho ukuthi amathumbu amile futhi isiguli ekugcineni sibulawa indlala futhi sibulawe ukoma.

20.5 Isifinyezo

Izimiso zokwelashwa ezibaluleke kakhulu emithini emisha zizofingqwa ngezansi.

1. Isisekelo:

Ungalokothi ucebise into obungeke uyenze wena! Ukube nina bodokotela nabelaphi beningalandela lesi simiso esilula! Awuzithathi iphilisi elilodwa wena noma umndeni wakho amashumi eminyaka, kodwa iziguli zinikezwa yinqola. Nina bodokotela anikaze nithathe i-chemo noma i-morphine...

2. Isisekelo:

Umuthi Omusha uqinile, unengqondo futhi uyahambisana²⁹⁵ Isayensi yemvelo, kodwa ngasikhathi sinye enobuntu futhi enomthwalo wemfanelo kuzo zonke isayensi, eqondakala kalula esigulini nakudokotela ngokufanayo. Isekelwe kuphela emithethweni emi-5 yemvelo yemvelo - ngokungafani nemithi yangaphambilini. Ukwethemba isiguli “somphathi” esikubeka kudokotela noma kumelaphi waso ngokuvuma ukwesaba kwaso okujulile, izinkathazo nezingxabano kuphumela esisekelweni esivamile sobuntu nesenjabulo esisekelwe ngokungenakugwenywa ukwethembeka okusobala. Udokotela noma umelaphi uzokwenza yonke imizamo ukuze azibonakalise ekufanele ukwethenjwa okubekwe kuye. Lokhu futhi kukhuthaza udokotela ukuba abe umpetha weqiniso womkhakha wakhe ukuze akwazi ukunikeza “umphathi” wakhe ulwazi olungcono kakhulu nezeluleko.

²⁹⁵ okuhlangene = kuxhunyiwe

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3. Isisekelo:

Iziguli ezingama-95% ziyasinda uma zifunda ukuqonda ukuthi lokho okubizwa ngokuthi “izifo” akuzona “ukuphambuka okunonya” kwemvelo, kodwa kunezinhlelo ezikhethekile zebhayoloji ezinencazelo engokwebhayoloji, ubude besikhathi kanye nesifundo esingaqondwa, silinganiswe futhi singabala kusenesikhathi. . Lokhu kuqeda ukwethuka! Ungakhuluma ngezinto ezinengqondo zebhayoloji ngomoya ophansi futhi ngaphandle kokwesaba!

Njengama-biostatisticians ase-US²⁹⁶ Muva nje kutholwe ukuthi imithi evamile ayiphumelelanga nje kuphela ekwelashweni eminyakeni engu-25 edlule, kodwa ize yakhiqiza ukwanda kokushona komdlavuza naphezu kokuchitha izigidigidi.²⁹⁷ Ngokumelene nesizinda sale nhlekelele, ukuqhubeka nokugodla imithi emisha njengendlela ehlukile yeziguli kuwubugebengu.

4. Isisekelo:

Thina odokotela sike sabheka iziguli zethu “njengeziphukuphuku” ezingenalwazi ngemithi. Lokho kuzoshintsha ngokuyisisekelo. Iziguli azizona izilima kunodokotela, zifunde okuthile okuhlukile. Kodwa ungafunda logic yomuthi omusha ekuseni eyodwa. Imininingwane ayiseyona inkinga eminyakeni yamakhompyutha. Ngale kwayo yonke imibono noma imibono eqanjiwe, isiguli kufanele sifunde ukucabanga nokuqonda ngokwebhayoloji.

²⁹⁶ I-Biostatistics = i-biometry… isayensi yethiyori kanye nokusetshenziswa kwezindlela zezibalo kubhayoloji nemithi
²⁹⁷ Umthombo: Bailar noGornik, New England Journal of Medicine, May 1997

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20.6 Isibhedlela esikahle

Ukulondeka kwesilwane esincelisayo esincane unina waso. Ukulondeka kwengane umuzwa wayo wokuzalela, indawo ayijwayele. Ukulondeka komuntu ogulayo kumelwe kube umuzwa ojabulisayo wenhlalakahle. Izibhedlela zethu namuhla ziyizikhungo zokuhlushwa nokufa, futhi angeke kube khona umbuzo wokuzizwa ujabule.

Akudingekile ukuba kube njalo!

Emalini isiguli esiyikhokhayo namuhla ukuze silale esibhedlela sesifunda esidabukisayo, singahlala ehhotela elikhulu nezinceku zaso ezimbili noma endaweni yokulala esezingeni eliphezulu enomhlengikazi waso.

Iziguli zami azidingi eyodwa noma enye. Badinga ikhaya elinemfudumalo nokulondeka lapho bengazizwa “basekhaya” ngokoqobo. Lesi yisisekelo sokwelashwa kwengqondo lapho isiguli sidinga ukubukwa noma ukuphathwa njengesiguli esilalisiwe. Isiqinisekiso esikhulu isiguli okufanele sibe naso sihlanganisa neqiniso lokuthi kunegumbi elincane labagula kakhulu lapho sikhona - ngenxa yezinkinga ezingalindelekile noma ezibonwa kusengaphambili zemvelo ephilayo kanye neyobuchopho Iyunithi enjalo yokunakekelwa okujulile kufanele futhi ifakwe eyakhe i-tomograph yekhompiyutha ukuze odokotela bangaphandle bangakwazi ukungenelela ngesikhathi sezenzakalo ngezibikezelo zabo ezisakaza ukwethuka. Ukuhlolwa kwegazi kwansuku zonke kwanoma yikuphi ukuhlola okungenanjongo kuqedwa kakhulu. Noma kunjalo, iziguli kufanele zithole ukuxilongwa kwezokwelapha okuphelele okusekelwe kumazinga omhlaba. Lokhu kungenzeka ngaphandle kobunzima, ngoba ukuzingela kukaSathane “ama-metastases amabi” akusadingeki. Isiguli esizizwa kahle, esikuthakasela ukudla futhi silala kahle siwumqemane njenge-dachshund yakwamakhelwane nayo edla kahle, elala kahle, ikhonkotha ngenjabulo itshikizisa umsila.

Okubaluleke kakhulu abahlengikazi, “odadewabo abagulayo” kanye “nabangane bezokwelapha” besiguli. Cishe akwenzeki ngaso sonke isikhathi ukwakha umndeni omkhulu njengoba sasihlale sinawo, nakuba ngizame futhi izinyanga ezintathu ukuthola umbono wami omuhle we-“House Friends of DIRK”. Ukugcina lapho bezama ukungijezisa kwakungenxa yokwephula imithetho yezohwebo.

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"Izindlu zabangane be-DIRK" kumele zivulwe naphezu kwabo bonke ubunzima, ziyadingeka. Iziguli bezivame ukusho ukuthi kwakuyisikhathi esingcono kakhulu ekuphileni kwazo ezake zasichitha ezindlini ezilula kangaka. Izinkampani zomshuwalense wezempilo bezilokhu ziduba. Noma ubani owayekwazi ukukhokha intela yosuku “yehhotela” wayikhokha. Lapho umuntu engakwazi ukukhokha, abantu abacebile babebaqoqela imali. Sasinjengomkhaya owodwa omkhulu, ngaphandle kokwethuka. Wonke umuntu wayesiza lapho ezizwa ethanda futhi ephumula lapho ekhathele. Noma nini lapho kwakungenzeka, wonke umuntu wayehlangana ukuze adle. Labo ababekwazi ukucambalala kuphela babeqhutshwa ngamasondo embhedeni beyiswa etafuleni lesidlo sasekuseni okwabelwana ngaso. Alikho elinye ihhotela esake sahleka kakhulu nangokwenhliziyo yonke njengaku-“House of Friends of DIRK” yethu.

Kubalulekile futhi ukuthi iziguli zivunyelwe ukuza nezihlobo zazo ngendlela ezifisa ngayo. Uma lokhu kubalulekile kubo enhlalakahleni yabo, kufanele kwenzeke. Izihlobo ezinjalo azihluphi nakancane. Ngokuvamile ziwukukhetha okuhle kwamalungu omndeni.

Labo okuthiwa abasebenzi abakwazi ukufundwa ngokucophelela ngokwanele, kuhlanganise nodokotela. Kufanele ucabange ukuthi ungakujabulela yini ukunakekelwa yilo nesi, yilo dokotela noma le ntokazi ehlanzayo noma ngabe uzizwa kabi kakhulu. Kodwa uma "umoya wendlu" uhlelekile, uvame ukwenza ukutholwa okumangazayo: cishe wonke umuntu unezinhlangothi eziqinile endaweni ethile futhi ngokuvamile ulinda nje ukuze akwazi ukuzibonisa. Abantu abanjalo bavame ukuhlakulela amakhono amangalisayo okungekho muntu owayengakholelwa ukuthi banawo. Ngikhumbula ihlaya elalisemsebenzini elalingenza ngisho nabantu abadabukisayo bahlekwe izinyembezi. Ukudla kwasekuseni ngaphandle kwakhe bekungesona isidlo sasekuseni. Esinye isiguli sasizifela ngokupheka isobho. Futhi intokozo yakhe enkulu kwaba yilapho wonke umuntu ejabulela isobho lakhe. Iphinde inambitheke kakhulu. Ekugcineni kwakungekho sidlo sasemini ngaphandle kwesobho likaGenevieve. Ngokushesha zonke iziguli ezishisekayo zase zisebenza ngesobho, elalihlukahluka nsuku zonke ngezindlela ezimnandi kakhulu. Ekugcineni ukuxhamazela kwabapheki beziguli abashisekayo kwaba kukhulu kangangokuthi kwadingeka sakhe iqembu lesibili elalivunyelwe ukupheka kusihlwa, kodwa-ke, ngaphansi kokuqondisa kukaGenevieve kuphela.

Ngake ngabona umnikazi wefekthri ovela eFrance, lowo uGenevieve ambheka njengokufanele ukuvunyelwa ukuthi asebenzise imali yakhe ukuthenga isobho lakhe nelethu, enyamalala ekhishini nobhasikidi omkhulu ogcwele izithako. Lapho kamuva ngiqalaza ekhishini, ngabona ukuthi wayebonwe ekufanelekele nokuvunyelwa ukuba axove isobho njengomvuzo. Enomona yibo bonke abantu besifazane ngokuhlonishwa okunjalo, wema lapho ephinifa lasekhishini futhi washukumisa ibhodwe elikhulu lesobho.

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Esinye isiguli sasingumshayeli ngokomsebenzi. Intokozo yakhe enkulu kwaba lapho evunyelwa ukushayela othile endaweni ethile. Futhi njalo kusihlwa abagibeli bakhe babegcwele indumiso. Wayecwebezela njengesihlahla sikaKhisimusi futhi wonke umuntu wayejabule.

Akukhona nje ukugcina isiguli simatasa, kodwa futhi ukusigqugquzela nokwenza ukugula kwaso kungabi namsebenzi. Oh yebo, ubekade egula impela, kodwa lokho bekungasabalulekile kangako njengoba usululeme futhi.

Zimbili izindlela isiguli esiqinisekiswa ngazo. Enye iwukuthi ukuthatha njengokujwayelekile ukuthi abantu “eNdlu yabangane bakaDirk” bazolulama, ngoba abanye bazolulama nabo. Lezi ziguli zikholelwa! Yinto enhle leyo futhi. Lokhu akwanele ezigulini ezihlakaniphe kakhulu ezifuna ukuqonda uhlelo! Futhi lokho kuyinto enhle. Ngoba kuyaqondakala. Ngakho-ke kuyatuseka - njengoba ngikholwa - ukubamba "izifundo zokuqeqesha" ezijwayelekile zalezi ziguli. Lezi ziguli ngokushesha zaba ochwepheshe abayinkimbinkimbi, kuhlanganise nalapho kuziwa kuma-X-ray nemifanekiso ye-CT yobuchopho. Ngangihlale nginenjabulo ethule kuyo. Lapho kufika isiguli esisha, kwaba nzima ukulinda ngize ngisihlole, ngithole ukuthi ngizohamba ngakuphi, futhi ngithathwe i-CT nama-X ray. Kodwa-ke kwakungekho ukuvimba. Igagasi lokuthakasela lagezeka phezu kwesiguli. Cishe kwadingeka axoxele ukungqubuzana kwakhe izikhathi ezingu-20 futhi kusobala ukuthi wayekujabulela ukukwenza futhi ngokukhululeka okwakhula njalo, okwase kuphele unyaka engakwazi ukukhuluma ngakho, ngisho nomkakhe ayemthanda. manje watshela wonke umuntu ngokushesha ngaphandle kokucasula, njengokungathi yinto engokwemvelo kunazo zonke emhlabeni. Futhi uma kwakukhona inkinga yangempela, ebonakalayo yezobuchwepheshe, ezezimali noma enye imvelo, khona-ke inkampani yonke yochwepheshe kanye "nochwepheshe" yahlala phakathi kweziguli futhi yaxazululwa ngokushesha. Isiguli esake sabhekana nenkinga yezimali futhi sase sizindla ngayo izinyanga eziyisithupha asikwazanga ukuzibamba kumngane waso ogulayo, owayengumphathi webhange ebhange elikhulu ngokomsebenzi. Wakhuluma “nozakwabo othandekayo wasendaweni” imizuzu eyishumi kuphela. Indaba “yaklwejwa” ngemizuzu eyishumi. Omunye wasizwa futhi ukungqubuzana kwakhe kwaxazululeka, omunye ‘wayinkosi enkulu’ izinsuku ezintathu. Bobabili babejabule. Abantu abake bama eduze kakhulu nomnyango wezulu babona impilo yabo entsha njengesipho esivela ezulwini. Baphinde baziphathe ngokobuntu, abanye bahlakaniphe.

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20.7 I-case study (Amadokhumenti kamakhalekhukhwini)

Ungaqhubeka kanjani ngokuhlelekile emithini emisha

Isiguli ngemuva kokuxazulula izingxabano (1993)

Isiguli ngaphambi kokuxazulula izingxabano

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Ukungqubuzana kwe-synoptic kanye nomdwebo wokuqhubeka nokugula

1. Ukwelashwa kusengaphambili ngemithi evamile: Cha
2. ukwelashwa kwangaphambili ngomuthi ojwayelekile futhi kuyekwa: -
3. umuthi omusha kuphela onolwazi lwangaphambili ngaphambi kokugqashuka kwesifo: Yebo
4. umuthi omusha kuphela ngaphandle kolwazi lwangaphambili lapho isifo siqubuka: -
5. Umuthi omusha wesibili ngesikhathi sokugula: -
6. ukungqubuzana kwangempela kwebhayoloji nokubonakaliswa kwesitho: 2
   1. Ukulahlekelwa ukuba khona noma ukungqubuzana kwababaleki nokuqoqwa kwe-duct carcinoma yezinso zangakwesokunxele (i-TB yezinso esigabeni se-PCL)
   2. Ukungqubuzana kwamanzi noma uketshezi ne-renal parenchymal necrosis yezinso zangakwesokudla nesobunxele, umfutho wegazi ophakeme²⁹⁸ (esigabeni se-PCL, ama-cysts ezinso kanye nokujwayelekile komfutho wegazi ophakeme)
7. Inombolo yokungqubuzana kokuxhumeka kwe-iatrogenic nokubonakaliswa kwesitho: Akukho
8. Isamba senani lokungqubuzana kwebhayoloji nokubonakaliswa kwesitho: 2
9. Isimo samanje: Inhlalakahle ephelele

²⁹⁸ Umfutho wegazi ophezulu = umfutho wegazi ophezulu

ikhasi 453

Ukuxilongwa kwezokwelapha okujwayelekile:

I-Hypernephroma yesokunxele yezinso
Isimila sezinso sezinso kwesokunxele
Imigodi ye-renal parenchyma (ama-cysts) yezinso ezingakwesokudla
umfutho wegazi ophezulu

Okutholiwe namadokhumenti okuqala:

I-Urogram kusukela ngoNovemba 2.11.92, XNUMX
I-Kidney CT kusukela ngoNovemba 10.11.92, XNUMX.
I-CCT yangomhla ka-23.11.92/XNUMX/XNUMX
I-CCT yangomhla ka-18.2.93/XNUMX/XNUMX
I-Kidney CT kusukela ngoFebhuwari 19.2.93, XNUMX
I-Kidney CT kusukela ngoFebhuwari 25.5.93, XNUMX
I-CCT yangomhla ka-26.5.93/XNUMX/XNUMX
I-CCT yangomhla ka-15.3.94/XNUMX/XNUMX
I-Kidney CT kusukela ngoFebhuwari 15.3.94, XNUMX
Amakhasi ayisikhombisa emibiko yezokwelapha noma imibhalo yokuqala

Amazwi okuqala ngomuntu:

Isiguli, u-Hofrat uSolwazi H., singesesizukulwane sempi. Lapho eneminyaka eyi-18 1⁄2 wabuthelwa eMpini Yezwe Yesibili futhi wathunyelwa eMpumalanga Front eRussia. Ezinsukwini ezimbili ngemva kokuphela kwempi waboshwa eRussia, wadingiselwa eSiberia futhi wasemakamu ahlukahlukene lapho.

Ngo-1992, uMnu. Hofrat H. wayesanda kubona ukufa okunyantisayo komkakhe wokuqala ngenxa yomdlavuza futhi wayesenesithakazelo emithi emisha, ngisho nangaphambi kokuba kutholwe noma yini anaye.

Lapho esebhekene nokuxilongwa kwakhe komdlavuza futhi enikezwa indlela yokwelapha evamile eyaziwayo, wavele wazi ukuthi: “Hhayi nami!”

ikhasi 454

Inothi lokuqala lezokwelapha:

Isiguli singelinye lamacala angajwayelekile asebephathe izingxabano ezimbili ezilenga nabo cishe iminyaka engama-50.
Kungacatshangwa ukuthi isiguli sake sahlangana namagciwane ofuba kusukela saba yisiboshwa sempi.

Izingxabano zebhayoloji:

1. DHS:

Ngo-May 10, 1945, ezinsukwini ezimbili ngemva kokuphela kwempi, isiguli saboshwa yiRussia eMpumalanga Front. Konke kwathathwa kuye nakubalingani bakhe, walahlekelwa ukuxhumana namabutho akhe wabe eseyiswa eSiberia. Isiguli sibe nombaleki noma silahlekelwe yizingxabano zokuziphilisa futhi, ezingeni lezinto eziphilayo, ukuqoqwa kwe-duct carcinoma yezinso zangakwesokunxele. Empeleni wayenakho kuphela ayekugqokile, futhi kwakukhona kuphela amahemuhemu asabekayo mayelana nokuthi yini ayengayilindela.

2. DHS:

Ukwesaba okukhulu kwesiguli kweqile. Wadluliselwa izikhathi eziningana emakamu ahlukahlukene, lapho iziboshwa zafela khona njengezimpukane.

Kwelinye lala makamu kwakudingeka basebenze kanzima embonini yezimoto. Isiguli kwadingeka sisebenze njengomjikijeli. Ebusuku babelala ezitsheni zamazambane engqumbini endala yamazambane. Izinga lokushisa langaphandle lalingama-30-40 degrees. Iziboshwa zazingenazo izingubo zokumboza futhi umlilo kwadingeka ucishwe ebusuku ukuze zifudumale. Ubulala emashalofini enziwe ngokhuni ezingutsheni zakho ungenazo izingubo zokulala futhi ubanda kabuhlungu. Ngakho amadoda kwakufanele aphume kathathu noma kane ngobusuku. Indlu yangasese yayiqhele ngamamitha angu-500 emthambekeni futhi kwakudingeka uhambe emakhazeni ashubisa umnkantsha. Endleleni, abaseRussia babemise onogada ababezifihle ubuso behlome ngezinduku ukuze baqiniseke ukuthi akekho ochama endleleni eya endlini yangasese. Uma umuntu engakwazi ukubamba amanzi, wayeshaywa ngenduku ekhanda. Ngokuvamile isidumbu esisodwa noma ezimbili zazilala iqhwa endleleni ekuseni.

Phakathi nolunye lwalolu hambo, isiguli sabhekana nokungqubuzana kwamanzi, okungenye yezingxabano ezivamile zoketshezi umuntu angaba nazo: ukungqubuzana ngomchamo wakhe. Isiguli sikwazile ukunciphisa ukungqubuzana ngokuthola ithini ebesithululela kulo umchamo ebusuku bese siwulahla ekuseni.

Isiguli sibe nokuthinteka koketshezi okwathinta izinso zombili futhi kwabangela i-renal parenchymal necrosis. Umfutho wegazi kumele ngabe unyukile ngaleso sikhathi, kodwa-ke awuzange ulinganiswe ekuthunjweni.

ikhasi 455

Isiguli sakhululwa ekuthunjweni ngoDisemba 12.12.47, XNUMX ngenxa kashwele wabo bonke abantu base-Austrian.

Ngisho nangemva kwempi, lapho esebuyele ekhaya e-Austria, wayehlala ephupha ngezigigaba ezinyantisayo abhekana nazo lapho eseneminyaka eyishumi nesishiyagalolunye ubudala cishe kabili ngesonto iminyaka engu-2.

Inkambo yesifo:

Lezi zingxabano ezimbili ezilengayo ngokuqoqwa kwe-duct carcinoma yezinso zesokunxele kanye nezinso ze-parenchyma necrosis nhlangothi zombili azizange zibonwe ngokwezempilo iminyaka engu-47, okusho ukuthi isiguli sasihlale sinomfutho wegazi ophakeme owawuguquguquka phakathi kuka-170 no-260 futhi sasithatha imithi ye-antihypertensive.²⁹⁹ "walashwa. Bekungekho kusolakala ukuthi uxhumene nenso.

Isiguli sagcina zombili izingxabano zisebenza ngamaphupho aso. Akakwazanga ukukhuluma ngalokhu nanoma ubani kwaze kwaba yilapho efika eBurgau.

Ngenxa yokushona komkakhe wokuqala ngenxa yomdlavuza, isiguli saba nesithakazelo esihlokweni sezinye izindlela zokwelapha futhi kamuva sahambela izinkulumo ezimbili eGraz ngemithi emisha ngaphandle kokuba nezinsolo zokugula kwaso. Kusukela ngaleso sikhathi kuqhubeke wayiqonda le ndaba futhi wazitshela, “Uma othile eke wathola okuthile kimi, ngizokwazi okufanele ngikwenze.

Ngomhla zi-2 kuNovemba 1992, kwatholakala ukuthi une-duct carcinoma ezinso zakhe zesobunxele ngenxa yokuhlolwa kwe-ultrasound kanye ne-urogram eyalandela ene-contrast medium.

Uprofesa wamtshela ukuthi wayenesimila sezinso okungenzeka sasiyingozi, ukuthi wayedinga ukuhlinzwa okuphuthumayo nokuthi kwakunengozi yokuba ne-metastasis. Lamamatheka ikhansela lavuma ngekhanda. Uprofesa wathukuthela wathi isiguli asizange siyiqonde kahle incazelo yokuxilongwa. Ngakho-ke waphinda wakhumbuza isiguli ngengozi wathi akumele silahleke isikhathi. Isiguli saphinde samamatheka, sangibonga, futhi sathi sifuna ukufuna esinye iseluleko. Uprofesa wabe esemtshela ukuthi angaya kunoma yimuphi umtholampilo wasenyuvesi, ukuthi wonke uprofesa wayezomtshela into efanayo, kodwa angalokothi aye kumkhohlisi.

Isiguli sasazi kahle ukuthi uprofesa wayebhekise kubani...

Isiguli sabe sesishayela uCologne noBurgau ucingo futhi samcebisa ukuthi enze i-CT scan yezinso nengqondo. Siphinde satshela isiguli ukuthi kufanele kube ukungqubuzana kwamanzi noma uketshezi futhi kufanele sikucabangele.

²⁹⁹U-Anti = ingxenye yegama elisho ngokumelene, ngokuphambene ne

ikhasi 456

Kodwa-ke, ukuxilongwa okuqondile kunganqunywa kuphela nge-tomogram yezinso.

Ngo-December 5.12.92, XNUMX isiguli safika eBurgau nawo womabili ama-tomogram. Phakathi naleso sikhathi, kukhona osekwenzekile, ngoba isiguli sasinamanzi amabi (= ukungqubuzana komchamo) empilweni yaso futhi sase sicabange ngakho ngokujulile, njengoba lokhu "kungqubuzana komchamo" kwakungenye yezingxabano ayenazo njalo ngomzuzwana. kwaze kwaba sebusuku besithathu waphupha.

Lapho sibona ama-tomograms akhe eBurgau, saba nokusola kancane kwaze kwaba yilapho sakwazi ukucacisa izinqubo ezisanda kushiwo ngokubuza isiguli, ngoba sabona kokubili i-duct carcinoma eqoqwayo kanye ne-ventral renal cyst entsha ezinso zangakwesokunxele. Siphinde sabona i-renal parenchymal necrosis ezinso ezifanele. Okunye kwakuwumkhuba: sithole, ngokuhambisana nezithombe ze-CCT, ukuthi i-duct carcinoma yokuqoqa yayisasebenza. Ukungqubuzana kwamanzi, obekuvele kushaye zombili izinso ngesikhathi esisodwa ngenxa yobunzima bombango, bekusanda kuxazululwa ku-relay yesokunxele, yingakho i-renal cyst entsha ye-left ventral kidney, kuyilapho i-relay kwesokudla. izinso zayisabonisa umsebenzi wokungqubuzana futhi ngokufanelekile ama-necrose amabili ezinso ezifanele azizange zibonise ukwakheka kwama-cyst.

Ku-New Medicine sijwayele iqiniso lokuthi kunezingxabano ezilengayo, njengasesigulini sethu lapha, zingahlala iminyaka engu-47 ngaphandle kokwenza izimila ezinkulu uma amandla okungqubuzana ancishiswa kakhulu futhi umsebenzi wokungqubuzana "kuphela". ikhona emaphusheni.

Into ethokozisayo ngomuthi omusha ukuthi asikwazi nje ukunquma ngokushesha uhlobo lwengxabano noma okuqukethwe kokungqubuzana okuvela ku-CCT, kodwa singakwazi futhi, ukukhuluma, ukuthola ngobugebengu noma ukwenza kube nokwenzeka kakhulu ukuthi izingxabano zikhona. i-CA noma isigaba se-PCL. Uma, njengakulesi simo, zimbili kuphela izingxabano ezinjalo ezingabazekayo, khona-ke umuntu angaqiniseka ukuthi lezi yizingxabano. Ngale ndlela, sakwazi ukuhlonza ngokushesha ukungqubuzana okudala kakhulu kulesi siguli esasikhona kuphela emaphusheni, okushoyo.

Isifundo esengeziwe siqinisekisile i-anamnesis yethu:

Isiguli sibuze ukuthi kuzokwenzekani manje. Odokotela ababekhona eBurgau, kuhlanganise nesikhulu sezokwelapha, bamtshela ukuthi uma engakhuluma kangcono nangcono ngezingxabano (ngokwesibonelo nomkakhe), okulandelayo kuzokwenzeka:

ikhasi 457

1. Mayelana nengxabano yababaleki yokuqoqa i-duct carcinoma, cishe wayezojuluka kakhulu ebusuku, okuwuphawu lwesifo sofuba sezinso, ngoba wonke amasosha angaphambili ayesenamagciwane e-tubercle. Nokho, lokhu akuyona neze into ethusayo, kodwa kunalokho into enhle kakhulu, ngoba i-renal collectioning duct carcinoma mhlawumbe ngeke ibole ngokuphelele, kodwa ngokwezinga elikhulu, ibole ngendlela exakile. Kubalulekile ukuthi asikho isidingo sokuhlinza noma yini nokuthi ukusebenza kwezinso kugcinwe futhi kuthuthukiswe. Okutholwe elabhorethri kusukela ngo-April 14.4.93, XNUMX mayelana nesiko le-Löwenstein elibi kanye nokuhlolwa okungekuhle kwe-Ziehl-Neelsen okuvela emchameni akuphikisani nalomcabango. Kuleli qophelo, njengoba sazi, isikhathi sokujuluka esibalulekile sesiguli sase sidlulile. Ngeshwa, besingenayo indlela yokuqinisekisa ukuthi lokho okutholakele bekuyokwenziwa kusenesikhathi.
2. Ngokuphathelene nokungqubuzana kwamanzi (= umchamo), ukwakheka kwamaqhubu kwase kuqhubeka ensoni yangakwesobunxele, kodwa cishe kwakuzoqala maduze nje ezinso ezifanele. Uzoba nomkhuhlane omncane (okuthiwa yi-glomerulo-nephritis) futhi umfutho wegazi wakhe (260/120) wawuzoba ngokwejwayelekile amanani afanele ubudala - futhi konke lokhu ngaphandle kwemithi.
   Kwenzeka kanjalo impela.
   Njengoba kungabonakala ekurekhodweni kwevidiyo, isifundo sabhalwa kuzo zonke izigaba ngongoti be-radiology, okuhlanganisa nenhloko ye-radiology eNyuvesi yaseGraz. Ngemva kwe-CT yezinso ngo-March 15.3.94, 10.11.92, inhloko yomnyango we-radiology esibhedlela i-Elisabethinnen (naye owayenze i-CT yezinso ngoNovemba XNUMX, XNUMX) wahalalisela isiguli ngokuthi - ngokuphambene nalokho okwakulindelekile. iseluleko esiphuthumayo esivela kuprofesa we-urology - angizange ngihlinzwe.

Amazwana ngokwelashwa:

Isiguli sabe sesifunda ukukhuluma kangcono futhi kalula mayelana nezehlakalo zaso ezimbi phakathi nempi, futhi umfutho wegazi waso wehla wafinyelela emazingeni afanele ubudala angu-170/90. Isiguli sajuluka kakhulu ebusuku izinyanga ezingu-3-4, kangangokuthi ngezinye izikhathi kwakudingeka ashintshe ama-pajamas angu-8 nelineni lokulala izikhathi eziningana ngobusuku obubodwa. Ukuhlolwa kwesiguli yilokhu: Uma, ngokwesibonelo, ekhuluma neqembu mayelana nezingxabano zakhe zakudala, okungasenzima kuye, nakanjani uyophinde abe nezithukuthuku ebusuku ngobusuku obulandelayo, ngisho noma kungeyona into efanayo. kubi njengesikhathi sokuphulukiswa kwakhe kwezinyanga ezi-3-4.

ikhasi 458

Njengoba isiguli besivele sazi ngalezi zimpawu kithi, asizange nje sithuswe yizo, kodwa futhi sabona lokhu kujuluka njengokuqinisekisa izibikezelo zethu. Isiguli sabika ukuthi abafundisi be-radiology eGraz bamangele ukuthi uDokotela uHamer wayazi kanjani ukuthi isimila sizonyamalala. Ekugcineni, isiguli saphinde sabizwa ukuze sihlolwe kabanzi yinhloko entsha ye-radiology eGraz, eyayingafuni ukukholelwa yonke into, kodwa manje okwakumelwe iqinisekise ukuthi isimila sase sincane kakhulu.

Imibuzo yokwelapha iphakama mayelana nesigaba sokuphulukisa kanye nezinkinga ezingase zibe khona:

Ingabe izinkinga okumelwe zilindelwe kulesi simo ezingase zidinge ukwelashwa ngemithi?

Esigabeni sokuphulukiswa kwesifo sofuba se-renal collecting duct carcinoma, izinkinga akufanele zilindeleke ngisho nasezingeni eliphezulu lesigaba sokuphulukisa, nakuba ukuqina kwazo kungabikezelwa ngokusekelwe kusayizi ongajwayelekile we-renal collecting carcinoma. Nakuba isiguli sibe nokungqubuzana isikhathi eside kakhulu, asizange siqongelele izingxabano eziningi ngoba ukuqina kodweshu kwaguqulwa kwaba phansi. Kulolu hlobo lwesimila, isilinganiso sesisindo sokungqubuzana yisisindo se-tumor uma umuntu eqiniseka ukuthi azikho izigaba zokuphulukisa ezine-tuberculous caseation, okungukuthi izigaba zokuphuka kwesimila, ezenzeke phakathi. Lokho kungase kukhishwe lapha Zombili izingxabano bezilokhu zisebenza futhi zimisiwe iminyaka engu-47. Inkinga ye-epileptoid ye-renal collecting duct carcinoma yaqhubeka ngokufanele. Isiguli kumele ngabe sazizwa sibanda futhi sisendaweni eyodwa izinsuku ezingama-2-3, kodwa asikubonanga njengokungajwayelekile ikakhulukazi ngesikhathi sokuphulukiswa. Isibonakaliso sokujuluka okukhulu ngokuvamile sicindezela kancane ezigulini ezazi ngakho kusengaphambili futhi zingasilungiselela ngokwengqondo, kuyilapho ezigulini ezingakulungele ngokuvamile kuholela ekwethukeni phakathi kodokotela womndeni nesiguli.

Isiguli sethu sasinesifiso esihle sokudla futhi sasikhula futhi sazi ukuthi zonke lezi zimpawu zazivamile esigabeni sokuphulukisa. Wayene-albuminuria³⁰⁰, okungukuthi, walahlekelwa amaprotheni amaningi kusuka ezinso kwesokunxele, ngakho waba ne-nephrosis³⁰¹ ngokwakhiwa kwe-edema ikakhulukazi esikhumbeni sangaphandle, esihambisana nalokho okubizwa ngokuthi izingxenye zezinso (umzimba we-thoracic vertebral 12 - umzimba we-lumbar vertebral 2).

³⁰⁰ I-Albuminuria = ukukhishwa kwe-albumin emchameni
³⁰¹ I-nephrosis = isifo sezinso esiwohlokayo

ikhasi 459

Sasisazisile nesiguli kusenesikhathi ngokulahleka kwamaprotheni ngomchamo futhi sameluleka ukuba sidle amaprotheni amaningi. Noma yiluphi uhlobo lokudla okungenamaprotheni lunqatshelwe ngokuphelele lapha (isibonelo ukuhlanza ijusi noma okunye okunjalo. Asikho isidingo sokusebenzisa noma yimuphi umuthi ngokumelene ne-TB yezinso, isibonelo "njengendlela yokuzivikela". Ngoba umbono wangaphambili wokuthi kufanele kuliwe ne-TB yezinso wawungalungile. Kunalokho, siyajabula ukubona ukuthi i-TB yezinso yephula kanjani isimila esesingaphezu kwamandla.

Esigulini, i-albuminuria yema ngokuzenzakalelayo ekupheleni kwesigaba sokuphulukisa, njengoba bekulindelekile.

Ukulwa nale nqubo yokuphulukisa enengqondo kungaba yinto engezona ezemvelo ngokuphelele futhi okungenampilo.

Sasivame ukubiza isigaba sokuphulukisa se-parenchyma necrosis yezinso noma ama-cysts ezinso akha, okungukuthi isigaba sokuphulukisa soketshezi (= umchamo), ukungqubuzana kwe-glomerulo-nephritis. Nathi sasijwayele ukulwa nabo. Kusukela Imithi Emisha siyazi ukuthi ekupheleni kwalesi sigaba sokuphulukisa kwakheka i-cyst yezinso, kamuva ekhiqiza umchamo futhi ihlanganise nokusebenza kwezinso. Ngenxa yokuthi i-parenchyma yezinso, eyayincishiswe i-necrosis, manje isigcwalisiwe, ngisho nangaphezulu kunangaphambili, umzimba awusadingi umfutho wegazi ophezulu. Inkinga ye-epileptoid, ngaphambili ebesiyazi njenge-lysis ye-glomerulo-nephritis, ayibulali neze njengenkinga yenqubo elawulwa yi-medullary relay. Isiguli asizange sikuqaphele lokhu ngokukhethekile. Empeleni asikho isidingo sokuphawula ukuthi le nqubo yokwelapha ewusizo yebhayoloji akufanele ivinjwe imithi, njengoba kuye kwenzeka ngaphambili emithini evamile.

Usayizi we-parenchyma necrosis yezinso ungasetshenziswa futhi kulokhu kungqubuzana njengesilinganiso sobunzima bokungqubuzana okunqwabelene. Nakuba ukungqubuzana koketshezi nakho kwase kuthathe iminyaka engu-47, akuzange kuqongelele inqwaba yezingxabano, esingazibona futhi ezingeni lobuchopho. Ngaphandle kwalokho isiguli besizoba yicala le-dialysis.

Icala elinjalo le-predialysis liyafika³⁰² Esigabeni sokuphulukisa, kuvame ukuvela isimila esikhulu sezinso, esidinga kuphela ukuhlinzwa ezimeni ezimbi kakhulu ngoba sidala ukusebenza kwe-parenchyma yezinso. Kulokhu, sikwazile ukuqinisekisa isiguli kusenesikhathi ukuthi ama-cysts ezinso ayelindelekile azohlala emancane uma kuqhathaniswa. Ezinso ezifanele, ama-capsules awazange abonakale, okuyinto esivame ukukwazi njengendlela yokunquma ama-cysts ezinso eduze kwe-capsule.

³⁰²Ngaphambi- = ingxenye yegama enencazelo elele ngaphambili, ngaphambi kwesikhathi

ikhasi 460

I-Urogram kusukela ngoNovemba 2.11.92, XNUMX
Isithombe esingenhla sibonisa zombili izinso ezine-contrast medium.

Isithombe esingezansi sibonisa umbono okhulisiwe wenso yangakwesobunxele:

Inqubo ethatha isikhala ingabonakala ukuthi amaphrojekthi angene phakathi nesokunxele i-pelvis ye-renal futhi ahlukanise ama-calyces ezinso aphezulu naphansi. Iqembu eliphakathi lezinkomishi alisakwazi ukubonakala. Amaqembu e-calyx aphezulu naphansi ajwayelekile kakhulu. Incazelo yebhayoloji ye-collection duct carcinoma indala kakhulu futhi ingaqondwa kuphela emlandweni wayo wokuthuthuka:

Njengentuthuko yethuamadlozi asesekhona amanzi, kwakuvame ukwenzeka ukuthi umuntu emhlabeni owomileanginayo, okungukuthi, lapho kweyakhe wazizwa esengozini. Kwafika konke kuncike kulokho Umzimba owawuphethe amanzi. Ngenxa yalokho, i- Amapayipi okuqoqa avinjiwe ukuze kuvinjelwe ukuphuma kwamanzi ngokweqile kulesi simo esiphuthumayo.

Esimweni sethu, umsebenzi wezinso uyagcinwa, ongabonakala ekukhishweni okungaphazanyiswa kwezinso.

ikhasi 463

I-Abdominal CT (izinso) kusukela ngoNovemba 10.11.92, XNUMX: Esithombeni esingenhla ungabona isakhiwo esinombala omnyama endaweni yezinso yangakwesobunxele esivela odebeni lwe-ventral parenchymal. izinso sezihlumile futhi, njengoba i-radiologist ibhala, i-ventral “inamanani okuminyana alingana namanzi” (bona umcibisholo ongaphezulu kwesokunxele). Lokhu ngokusobala isimila sezinso sakamuva okumele ngabe sakhula phakathi kukaNovemba 2.11.92, 10.11.92 (ucingo lwesiguli oluya eCologne) kanye nokwamukelwa ngoNovemba XNUMX, XNUMX. Umcibisholo ongezansi kwesokunxele ukhomba isimila esihlangene esinamanani aphezulu wokuminyana futhi esihambisana ne-renal collectioning duct carcinoma. Umcibisholo ongakwesokudla ubonisa i-renal parenchymal necrosis ezinso ezingakwesokudla, ngaphambilini ebezibizwa ngokungalungile ngokuthi i-cyst.

Umcibisholo wesokunxele ukhomba i-renal parenchymal necrosis esele endaweni ye-ventral parenchymal lip, lapho kuhlume khona i-renal cyst. Izithombe ezinjalo zingabonakala ngama-cysts amasha kakhulu. Ngaphezu kwalokho, kukhona izinso ezimbili ezincane ze-parenchyma necroses. Ezinso ezingakwesokudla (bheka umcibisholo kwesokudla) i-renal parenchyma necrosis iyathinteka kakhulu.

ikhasi 464

I-CCT kusuka ku-23.11.92/XNUMX/XNUMX:
Phezulu Esithombeni ungabona isitofu se-Hamer eqoqwenii-tube edluliselwe i-ventral isiqu sobuchopho nge Edema, lokho kusho ukuthi isiguli manje isiqalile, ukungqubuzana kwakhe xazulula. ,Ayikatholakali i-perifocal Oeuma i Ukungqubuzana kuxazululwe ngokuphelele (umcibisholo wesokunxele). I enkulu enezibazi, okwamanje ngokusobala ayisebenzi eqoqa i-duct carcinoma relay (umcibisholo ongakwesokudla).

Isithombe esivela ngosuku olufanayo:
AmaRe amabili mahle kakhului-lais ye-parenchyma yezinso (engaweli kwesokunxele ukuya kwesokunxele izinso, ezifanele izinso ezifanele) ukuzinza. Ungabona ngokucacile ukuthi ukudluliselwa kwezinso kwesokunxele kubeisivele ivuvukele ngokumaphakathi, ngenkathi i-relay efanele isekhona I-Hamer Herd ekudubuleni okusebenzayoben imibukiso yokucushwa. I kuhambisana nesimo esifana naso usevele ngomhlaka-10.11.92/XNUMX/XNUMX ku Uke wabona i-CT yesisu. I inso yesokunxele isivele yakhombisa eyodwa lapho I-cyst engxenyeni ye-ventral yezinsoi-renparenchymal lip, ngenkathi i- izinso kwesokudla namanje ifomu esebenzayo i-renal parenchyma necrosis wabonisa. Kodwa inso yangakwesokunxele yabonisa isixazululo esiyingxenye kuphela, njengoba sibonile yebo futhi 2 parenchyma encaneI-Necrosis okwakusobala ukuthi yayingakafiki esigabeni se-PCL. Ngokusobala bekusukela ngomhlaka-10.11 Novemba. – Novemba 23.11.92, XNUMX isisombululo esiyingxenye yengxabano yamanzi sasingakaqhubeki. Kuyathakazelisa ukubona izinga lokunemba okwenziwa ngalo izitatimende ze-psychocriminological kanye nezitho zomzimba ngokuqhathanisa i-CT yesisu kanye ne-CT yobuchopho.

ikhasi 465

Umfanekiso kusuka 23.11.92/XNUMX/XNUMX:
Ngenjongo yokuphelela Kuzophinde kuboniswe lapha ukuthi ngethuba elinjalo le-CT yobuchopho, okunye ukungqubuzana noma ukudluliselwa kwabo kungase kutholwe. Lapha, isibonelo, i-bronchial relay esigabeni se-PCL, okungukuthi ne-edema, ehambisana nengxabano exazululiwe yokwesaba indawo isiguli esasinayo ngomkakhe oshonile. Usengakubona ngokucacile ukubola kophondo lwangaphambili olungakwesokudla njengophawu lwesisindo sokugxila kuka-Hamer okuvuvukele okuvuvukele esigabeni se-PCL. Ngasohlangothini lwezinto eziphilayo, ukutholakala okunjalo kuhambisana nokukhwehlela okuhlala isikhathi eside kanye nalokho okubizwa ngokuthi inyumoniya, yona ehambisana ne-bronchial carcinoma. yayikade yandulela isigaba sokungqubuzana. Ngenhlanhla, inyumoniya kwatholakala ukuthi iwumkhuhlane onzima kanti okunye kwatholakala njenge-bronchitis engapheli. Ngenhlanhla, i-atelectasis ye-bronchial yesikhashana nayo ayizange itholakale. Lokhu okutholakele kukhombisa ukuthi umuthi omusha ungaba yingozi kangakanani ezandleni zodokotela abangenalwazi okuthi, esimweni sezifo ezinjalo osekunesikhathi eside zanqotshwa, bangase balingeke ukuba bafune izimpawu ezisele, isibonelo i-atelectasis encane emaphashini, futhi ngaleyo ndlela. sebenzisa indlela yabo yokuxilonga "eureka", engabangela isiguli ukuba sithuke. Ngakolunye uhlangothi, odokotela abanokuhlangenwe nakho kwezokwelapha emisha bayazi ukuthi bangakunikeza kanjani lokho okutholakele isimo sabo esilungile, esingenangozi.

ikhasi 466

I-CT yesisu kusukela ngoFebhuwari 19.2.93, XNUMX:
Kuyacaca lapha umzali wezinsoi-chymal necrosis izinso kwesokudla "ukuzalwa" kwe I-cyst iboniwe: Valiwehump of the neveri-reindeer capsule, yiniizilinganiso ze-ser Amanani wokuminyana - okungukuthi i-cyst entsha. Iyeza manjemayelana nokuthi i-capsule yezinso iyaphuma futhi i-exophytic³⁰³ I-cyst iyavuma noma i-cyst i-endophytic³⁰⁴ iyakhula. Lesi sithombe, ngokuhambisana nezithombe zangoNovemba 10.11.92, XNUMX, singobunye bobufakazi obuhlaba umxhwele kakhulu bokwakhiwa kwe-cyst yezinso kusuka ku-renal parenchyma necrosis, lapho i-cyst "ingakhula" endophytically uma ihlala incane, futhi "ikhula" ngaphandle uma iba nkulu.

Umcibisholo ongenhla uphinde ukhombe ngokucacile “indawo okwazalelwa kuyo” i-exophytic ye-renal cyst odebeni lwe-ventral parenchymal. Umcibisholo ongezansi ukhomba encane yengokusobala ukukhula exophytically, eduze kakhulu nama-capsules i-cyst entsha, esingakwazi ukukubona ngokwesilinganiso njenge-kidney parenchyma necrosis ezithombeni ezedlule. 

³⁰³ exophytic = ukukhula ngaphandle
³⁰⁴ i-endophytic = ukukhula ngaphakathi

ikhasi 467

I-CT yesisu kusuka 19.2.93:
Isithombe esiphezulu ibonisa ezinso kwesokunxele: Kucacile kokujulileyo Isendlalelo (umcibisholo) unganyakazi okuyikhona manje kakade nentsha "IMisa" igcwalisa i-parenchymai-necrosis nayo ubone ukuthi ikuphi i-ventral renal cyst selihlumile. I I-capsule yezinso iqhume kancane lapha. Umcibisholo wesokudla: lapha futhi, ukuqhuma kancane kwe-capsule yezinso ngenxa yokwakheka kwama-cysts ezinso (Umcibisholo).

Uchungechunge olufanayo lokusikeka, okuthile ukusika okuphezulu: I-renal cyst isesimweni esiqhubekayo Induration. “Endaweni yokuzalwa” kwe- I-cyst ikhuphuke kakhulu Isilinganiso sokuqhathanisa (= umchamo) Ukuchithwa.

I-CCT kusuka ku-18.2.93/XNUMX/XNUMX:
I-Hamer focus ye-left ventral collecting duct relay isivele ikhombisa ukuhlehla okucacile, futhi isitho selashwa ngendlela ye-TB Kungani kulesi simo i-TB yahlala izinyanga ezintathu kuphela futhi kungani ingapheli isimila, kodwa kuphela ingxenyeAsazi kahle ukuthi yenziwa kanjani ushizi. Kungaba nge kuhlobene nesikhathi eside sokungqubuzana, kodwa futhi nokuphindaphinda okuncane isiguli esikuthola njalo lapho sikhumbula ukungqubuzana futhi. izingcingo yingakho ejuluka ubusuku obubodwa njalo nje.

ikhasi 468

I-CCT kusuka ku-18.2.93/XNUMX/XNUMX:
Uma kuqhathaniswa nokudluliselwa kwezinso ezimbili Manje ungabona ukukhuliswa kokudluliswa kwezinso kwesokudla (kwezinso ezingakwesokudla, ezingaweliwe) uma kuqhathaniswa nokudluliswa kwesobunxele uma kuqhathaniswa noNovemba 10.11.92, 47. Lokhu kusho ukuthi izinso zesokunxele sezidlulile kakade ezingeni eliphezulu lesigaba sayo sokuphulukisa, ukudluliswa kwezinso kwesokudla sezinso ezingakwesokudla manje sekwenza i-edema ngempela. Kulokhu, isigaba sokuphulukisa sezinso asihambisani nazo zombili izinso. Kodwa-ke, yonke inqubo yokwakheka kwe-edema ilinganiselwe, nakuba ukungqubuzana kwamanzi kwakumisiwe futhi kusebenza iminyaka engu-XNUMX (kodwa nje kuguqulwe phansi) futhi ngokucacile kuzo zombili izinso.

I-CT yesisu kusukela ngoFebhuwari 25.5.93, XNUMX:
Indawo yethumba eliqoqekayo ngaphambili - njengoba ubona manje (bona umcibisholo) - umelane kanye ne-parenchymaI-Necrosis njenge-cyst endophytic kakade kakhulu ithuthukisiwe. I Ngenxa yalesi sizathu, i-pelvis ye-renal iqhuma kancane ngaphakathi. Ukwakheka kwe-cyst ku- udebe lwe-ventral parenchymal lwenso yangakwesobunxele luyaqhubeka nokuqina ngaphandle kokuphazamiseka usayizi uyashintsha kancane.

ikhasi 469

Uchungechunge olufanayo lwezigaba, ungqimba oluphakeme: Siyabona ukuthi i-capsule yenso engakwesokudla (bona umcibisholo) imile futhi i-parenchymal necrosis isivele ifakwe kakhulu njenge-cyst endophytic. Ngenxa yalesi sizathu, i-pelvis ye-renal iqhuma kancane ngaphakathi. Ukwakheka kwe-cyst odebeni lwe-ventral parenchymal lwenso yangakwesobunxele kuyaqhubeka nokuqina ngaphandle kokushintsha kosayizi.

I-CCT kusuka ku-26.6.93/XNUMX/XNUMX:
I-ventral yesokunxele i-Hamer focus in the pons for the collectioning duct carcinoma yenso yangakwesobunxele inezibazi eziningi futhi inqubo yokuphulukisa iphelele kakhulu.

ikhasi 470

Idethi efanayo, uchungechunge olufanayo kusukela ngoMeyi 26.5.93, XNUMX:
In the ezimbili izinso edlulisela kuyinto kuseyiyona efanele (kubo inso yangakwesokudla) inkulu kakhulu kune kwesokunxele, okungukuthi, i-edema, yini isigaba sokuphulukisaUmehluko phakathi kwezinso ezimbili kuyahambisana. Lokho kusho ukuthi inso yesokunxele inakho ekuqaleni nesigaba sokuphulukisa iqale futhi ingaphambili ephelele.

I-CT yesisu kusukela ngoFebhuwari 15.3.94, XNUMX:
Ishothi ephezulu: Sibona ezintathu ngenhla Imicibisholo. Okulungile kakhulu kubonisa lokhu okulinganiselwe, osayizingokusesilinganisweni akusekho izinso ezishintshilei-cyst, iyeza maduze emkhiqizweni womchamoinqubo ye-tioniyatholakala. I amaphuzu omcibisholo ophakathi Manje bheka udebe lwe-ventral parenchymal futhi manje sesingabona ngokucacile ama-contours, ukuthi yini ekuqaleni okwakuyinso nokuthi iyini i-cyst yezinso. Umcibisholo ongezansi ubonisa i-collection duct carcinoma, engasaqhubu njengoba yayivame ukuba njalo.

ikhasi 471

Uchungechunge olufanayo kusukela ngedethi efanayo:
Kule ndiza eyingxenye singabona ngokucacile ukuthi i-central, caseating necrosis manje isixhunywe ku-pelvis wezinso. Ngeke kucatshangwe ukuthi isimila sizokhula kakhulu; Umsebenzi wezinso uyalondolozwa.

I-CCT kusuka ku-14.3.94/XNUMX/XNUMX:
Iziko le-Hamer epayipini lokuqoqaedluliselwe for yinso yesokunxele isibazi selashiwe, kuphela ku Kungabonakala kuhlaka.

ikhasi 472

Idethi efanayo:
Kokubili ukudluliselwa kwezinso kunezibazi ishwabene, ishintshile. Koku lokhu kushintsha kwesibazi kulungile kusenzima ukukubona lokho Kukhona okungahambanga kahle lapho impi.
Criminalistics in the New Umuthi ungaba nzima uma singenayo i-CT enhle kangakaYiba nochungechunge, njengakulesi simo. Kulokhu sakwazi izinso endophytically ezikhulayoi-cyst ohlelweni lwezinso olulungilephishekela ngokusesilinganisweni ngokuhlelekile. Okusele kwesokudla kuphela ukukhishwa okuncane kwe- Izicubu ze-renal parenchyma ingxenye ye-ventral yesokudla I-pelvis ye-renal, into enjalo Kodwa-ke, wonke umbukeli ongakhethi uzochaza njengento evamile, okusho ukuthi sivame ukubona izinguquko ze-cicatricial ku-CT, esingeke sisakwazi ukuyibona kahle kamuva ku-organ CT ngoba isigaba se-PCL siphelile futhi, isibonelo, ayikho i-exophytic. kwafika isimila sezinso.

Ukuphawula kokugcina:

Indaba yalesi siguli iyathakazelisa kakhulu ngoba sibona yonke inhlobo yezinkinga ze-urological and nephrological³⁰⁵ izifo ezibizwa ngokuthi izifo zingaboniswa futhi ngokoqobo ngaphansi "kwezimo zentombi".
Isiguli sasinakho

1. ukuqoqwa kwe-duct carcinoma,
2. i-albuminuria ene-nephrotic syndrome,
3. isifo sofuba sezinso,
4. i-renal parenchyma necrosis,
5. i-nephrogenic hypertension,
6. i-glomerulonephritis kanye ne-nephritis
7. i-exophytic kanye ne-endophytic indurated renal cysts ebuyisele ukusebenza kwezinso,
8. Ukujwayezwa okuhleliwe kwe-hypertension kuya kumanani afanele iminyaka ngaphandle kwemithi.
9. Ukujwayelekile okuhleliwe kwe-nephrotic syndrome.

³⁰⁵ I-Nephrology = igatsha lezokwelapha elibhekene ne-morphology, ukusebenza kanye nezifo zezinso

ikhasi 473

Konke lokhu okutholakele, okuvame ukumelela i-urological-nephrological hodgepodge cishe yazo zonke izifo ezingenzeka, kusekelwe ezingxabanweni ezimbili ezathatha iminyaka engu-47. Into ethakazelisayo ngaleli cala akukhona nje ukuxilongwa, kodwa futhi inkambo lapho sinezinombolo eziningi ze-CT zesisu kanye ne-cerebral, okusenza sikwazi ukulandela leli cala eduze. Ngokuvamile kunzima ukuthola iziguli ezinobukhosi, njengoba kwenza lesi siguli, ukuba ngempela zibe umphathi wenqubo. Eningini elikhulu leziguli, lokhu bekuyoba nzima, naphezu kwezimo ezifanele (isiguli sase sijwayelene Nomuthi Omusha ngaphambi kokuxilongwa), ngoba “isiguli esivamile” sasiyoshaywa uvalo.

Kodwa sinecala elimangalisayo lapho zombili izinso zithinteka khona izingxabano ezimbili futhi inqubo yokuphulukisa efanele ingase ilandelwe ngokugcwele.

ikhasi 474

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21 I-leukemia - isigaba sokuphulukisa ngemva komdlavuza wamathambo

Amakhasi 475 kuya ku-640

21.1 Einführung

Abanye abafundi, okungenzeka kuye kwatholakala ukuthi bane-leukemia, bafuna ukwazi ukuthi iyini i-leukemia, abanye bacabanga ukuthi sebeyazi ngoba sebefunde kakhulu (yemithi evamile) ngayo. Okufana neziguli eziningi esezibhekane nalokhu ukuthi “zicabanga ngezithombe zegazi” kuphela. Isibonelo, uma ubuza ukuthi banjani, impendulo ngokuvamile ithi: "Ngiyabonga, kulungile, ama-leukocyte ami.³⁰⁶ sehlele ku-50.000, kusho udokotela wami.”

Imithi evamile ayazi ukuthi iyini i-leukemia. Akazazi izizathu. Nokho uthi iyingozi futhi izoholela ekufeni uma ingelashwa. Ukwelashwa okuvamile kwezimpawu zezokwelapha kuhlanganisa “ukwelapha” ngamakhemikhali. Izinga lokufa liphezulu kakhulu. I-lymphatic leukemia kuphela ezinganeni, ngaphambili eyayingelashwa ngenxa yokuthi yayingenabungozi, ibonisa impumelelo mbumbulu nge-chemo (encane).

Igama elithi "leukemia" livela esiGrekini sasendulo futhi lisho "igazi elimhlophe". Lokhu kusho ukuthi kunamangqamuzana amhlophe egazi amaningi kakhulu antanta egazini le-peripheral kunokujwayelekile. Ngaphezu kwalokho, awawona ama-leukocyte avamile, kodwa kunalokho amafomu angavuthiwe, okuthiwa "ama-elasts". Wonke amangqamuzana egazi, kuhlanganise nalokho okubizwa ngokuthi “i-erythrocyte” (i-Erys ngamafuphi), akhiqizwa emnkantsheni wamathambo ngokuhlukaniswa kwalokho okubizwa ngokuthi “ama-stem cell” omnkantsha. Nakuba ama-elastin, ngokungafani namangqamuzana awomama, ama-stem cells, awasakwazi ukuhlukana futhi ayancibilika esibindini phakathi nezinsuku ezimbalwa noma acutshungulwe abe amabhlogo wokwakha amaprotheni amasha, imithi evamile ikholelwa ukuthi ama-leukoblasts ayingozi kakhulu. Abantu baze bakholelwe "kuma-leukemic metastases" kanye "nokungena kwe-leukemic".

Kukhona ukubonakaliswa okuhlukile kwe-leukemia. I-Lymphocytic leukemia, i-leukemia ye-myeloid, ne-monocyte leukemia. Namuhla siyazi ukuthi lezi zibonakaliso zingashintshana. Mayelana nokuqhubeka, kukhona i-leukemia eyingozi futhi engapheli. Ngokombono wezokwelapha ovamile, kukhona futhi okuthiwa "i-aleukemic leukemias". Lokhu kubhekisela kulawo abonisa ama-elastomer emnkantsheni kodwa hhayi egazini le-peripheral. Kukholakala ukuthi akukho kulokhu okuhlobene nengqondo nobuchopho. I-leukemia icatshangwa ukuthi iyisifo somnkantsha wamathambo kuphela. Kusukela kulokhu - okucatshangelwayo - isici, okubalulekile emithini evamile ukunciphisa inani le-leukocyte lama-elast. Lokhu kungafezwa "ngempumelelo" nge-cell toxins ngezindleko zomnkantsha wamathambo. Uma umnkantsha wethambo noma ama-stem cell alulama, umjikelezo olandelayo we-chemo uqalwa ngokushesha ukuze uxoshwe noma ubulale, njengoba kukholakala, ama-leukoblasts ayingozi.

³⁰⁶ Ama-leukocyte = amangqamuzana amhlophe egazi

ikhasi 475

Okubizwa ngokuthi "ukufakelwa komnkantsha" kusekelwe ekucabangeni okucatshangelwayo ukuthi uma umnkantsha wethambo lonke ukhishwe ngomthamo obulalayo wesitho, okwakudingeka nje ukujova amangqamuzana amasha "afanelekile" egazini, okwakuyobe (bheka ngenhla) ithole indlela eya emnkantsheni obhujisiwe, iphinde ihlale lapho futhi manje ikhiqize ama-leukocyte "avamile" lapho. Kodwa-ke, akukaze kwenzeke ukufakazela ukuthi ngisho ne-stem cell yangaphandle yayikhule emnkantsheni noma ukuthi owamukela umnkantsha usethole iqembu legazi lalowo onikelayo (namaqembu amancane angu-150). Noma kunjalo, uyaqhubeka “ukholwa” futhi wenze sengathi le ndaba iyiqiniso. Uma isiguli sisinda “ku-bone marrow pseudo-transplant” enjalo, kungenxa yokuthi ngesizathu esithile asizange sithole umthamo ogcwele, obulalayo wezitho zemisebe. Khona-ke ama-stem cells akho azoqala ukukhiqiza futhi ngesikhathi esithile. Lokhu bese kudayiswa njengempumelelo.

Amaqiniso aziwayo awaphikiswa. Kodwa iziphetho nemiphumela yokwelapha eyathathwa kukho konke kwakungalungile. Ngaphezu kwalokho, imithi evamile ayinayo incazelo yezimbangela ze-leukemia, ngakho-ke ihlinzeka nge-pseudo-therapy ebumnyameni.

I-leukemia ijwayeleke kakhulu kithi Emithi Entsha ngoba thina

a) bazi izimbangela zabo kanye nenkambo yabo

b) bazi incazelo yazo yebhayoloji kanye

c) yazi ukuthi i-leukemia empeleni iyingxenye yalokho cishe okuwuhlelo olukhethekile lwebhayoloji olubalulekile esilwaziyo.

Ngokulandelayo sithanda ukubhekisisa umbono weNew Medicine. Ukusuka lapho singakwazi ngisho nokuqonda amaphutha angaphambilini.

ikhasi 476

21.1.1 Kwenzeka kanjani ukwakheka kwegazi?

Umdwebo owanduleleyo uhloselwe ukukhombisa ukuthi wonke amangqamuzana egazi avela kungqamuzana ye-stem (“pluripotent”) efanayo. Le stem cell itholakala emnkantsheni, indawo eyenza igazi emzimbeni wethu. Yonke inqubo siyibiza nge-hematopoiesis (ukwakheka kwegazi).

Kuze kube manje, akukabikho ukuvumelana mayelana nokuthi ama-lymphocyte akhiwa kuphi futhi akhiwa ngobani. Ama-lymphoblasts ngokuqinisekile avela emnkantsheni wamathambo. Ama-lymphocyte kuthiwa avela ohlelweni lwe-lymphatic, okungukuthi i-spleen kanye nama-lymph nodes (amanye ahlanganisa ngokungalungile i-thymus), kodwa avela kuma-stem cells asuke emnkantsheni.

Akukho futhi isivumelwano okwamanje mayelana nezindawo zokuziphendukela kwemvelo kwakheka igazi. Kusukela enyangeni yesi-2 kuya kweyesi-8 yokukhulelwa, isibindi futhi kamuva i-spleen kufanele futhi ibe yizindawo zokwakheka kwegazi, kamuva ekugcineni zithathelwe indawo umnkantsha wamathambo. Kodwa ngezikhathi lapho umnkantsha okuthiwa awukwazi ukukhiqiza igazi, isibindi nobende kufanele kukwazi ukungenela kuphinde kukhiqize igazi. Kwakucatshangwa kanjena ngaphambili. Kodwa ngicabanga ukuthi lokhu akulungile kwezinye izici. Ngesikhathi sokwakhiwa kwegazi, "ama-erythrocyte e-fetal" akhiqizwa engxenyeni yokuqala yokukhulelwa, okungukuthi amangqamuzana ongqimba lwamagciwane angaphakathi. Lezi azifani nama-erythrocyte e-mesodermal kamuva, ukwakheka kwawo, ngaphandle kwenkathi yokuqala yamaviki angu-1-3, kwakuhlale kungumsebenzi wongqimba lwamagciwane oluphakathi futhi kusenjalo nanamuhla. Ubende nama-lymph nodes yizitho zongqimba lwamagciwane oluphakathi. Kulula ukucabanga ukuthi angakwazi noma angakhiqiza ama-stem cells. Angikwazi ukukucabanga nge-thymus nesibindi, zombili izitho zongqimba lwangaphakathi lwegciwane.

ikhasi 477

Kuyenzeka ngokwethiyori ukuthi amangqamuzana e-mesodermal stem kufanele athuthele esithweni se-endodermal, ngoba imithambo yegazi yemvelaphi ye-mesodermal iye yathuthela kuzo zonke izitho, kodwa kunzima kimi ukucabanga mayelana nokuzimisela ukusebenza. Angeke futhi kwenzeke ukuthi isibindi siphinde siqale ukusebenza kwaso esidala sengane kusukela emasontweni amathathu okuqala enkathi yombungu. Uma enza lokho, besiyoba nama-erythrocyte ahluke ngokuphelele (okubizwa ngokuthi “ama-fetal erythrocyte”).

Noma ngabe kunjalo, kuyingxoxo yezemfundo kuphela. Futhi ngisho nombuzo wokuthi wonke amangqamuzana egazi akhiwe emnkantsheni wethambo noma ama-lymphocyte ezicubu ze-lymphatic akubalulekile ukuba sicatshangelwe, ngoba umnkantsha wamathambo kanye nama-lymph nodes ayangqubuzana futhi atholakala eduze komunye nomunye ngenxa yendawo. Ukugxila kukaHamer ebuchosheni.

Wonke la mangqamuzana egazi atholakala ku-stem cell angakhiqizwa ngokwedlulele ngokwezinombolo, nakuba kuze kube manje akunakwa ukuthi lokhu okweqile kungokwesikhashana nje futhi umsebenzi walawa maseli akhiqizwa ngokweqile ikakhulukazi. akwanele, ngakho-ke bayalahlwa. Ngoba njengoba sesibonile kakade nge-leukocyte yezakhiwo ezivamile ze-morphological ngaphakathi kwe-leukemia, umzimba ngokusobala uhlale uqinisekisa, noma nini lapho kungenzeka, ukuthi kuhlale kunezinombolo ezanele zamaleukocyte avamile, kungakhathaliseki ukuthi mangaki ama-elastomer engeziwe akhona.

Ngakho sithola:

i-erythrocythemia enama-erythrocyte amaningi kakhulu

i-myeloid leukemia enama-granulocyte amaningi noma ama-myeloblasts

i-monocyte leukemia enama-monocyte amaningi noma ama-monoblasts

i-lymphocytic leukemia enama-lymphocyte amaningi noma ama-lymphoblast

i-thrombocytosis enama-platelet amaningi (ayivelakancane kakhulu, ngaphambili ayebhekwa njengengenabungozi).

Ngaphandle kokwanda kwe-leukocyte, ku-leukemia kukhona nokusabalala kwe-erythrocytes, i-erythrocythemia, noma i-erythremia okwesikhashana, okubuye kubhekwe njenge-pathological. Eqinisweni, nokho, limelela kuphela isigaba sokuphulukisa ngokweqile segazi elibomvu, lapho ukuxazululwa kwengxabano yokuzethemba ekugcineni kuguqula i-anemia ibe i-erythremia kanye ne-leukemia. Kokubili ndawonye, ​​​​njengokuvamile okungenani isikhathi esifushane ekupheleni kwayo yonke inqubo yokuphulukisa, kubizwa ngokuthi i-pan-polycythemia, ebuye ibhekwe njenge-pathological emithini evamile futhi ngenxa yalokho iphinde ilashwe nge-cytostatics, ngokungazi okujabulisayo kokuxhumana okuyimbangela. .

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Ngenze lolu hambo kuphela emibonweni yamanje yemithi efundiswa ngokusemthethweni ukuze ukwazi ukuhlukanisa izifo ozitshele endaweni ethile. Eqinisweni, vele, kufanele wazi ukuthi azinangqondo kuzo, nokuthi ukubaluleka kwazo okucatshangwayo kuzenza zibe umbhedo nakakhulu inqobo nje uma izimbangela zingaziwa. Vele, uma ubona into ngaphandle kokuxhumana okuyimbangela, khona-ke konke kakhulu nokuncane kakhulu kuyi-pathological! Eqinisweni kungaba khona isigaba sokuphulukisa inoveli hhayi njengokujwayelekile, kodwa futhi yebo akusenjalo chaza njenge-pathological ngokuphelele. Ngoba empeleni yonke inqubo yokuphulukisa iyisenzakalo esinenjongo futhi esijabulisayo. Abantu ngaso sonke isikhathi bazama ukuhlukanisa isifo okuthiwa yi-morphologically ngokwamangqamuzana amaningi kakhulu noma ambalwa kakhulu, abuye ashintsha kumuntu ofanayo (kusuka ku-myeloid leukemia kuya ku-lymphoblastic leukemia noma okuphambene nalokho), bese becabanga ukuthi kwadingeka ukuba kwenziwe ngamandla "ukulinganisa" esikhundleni sokulinda ngesineke kuze kube ngemva kwesomiso eside somnkantsha ngokusebenzisa isigaba esiphikisanayo nokucindezeleka komnkantsha, manje esigabeni sokuphulukisa, ukukhiqizwa ngokweqile kwamangqamuzana angaphansi sekuphelile. futhi umnkantsha uziphatha kahle njengangaphambi kokuba amaseli "avamile" akhiqizwe. Kodwa okokuqala kufanele wazi ukuthi i-leukemia iyisigaba sokuphulukisa esihle!

Futhi iyini i-vagotonia yokuphulukisa nokuthi ithini imithetho emi-5 yemvelo yemvelo yemithi emisha. Kodwa baye bathuliswa futhi badukiswa cishe iminyaka engamashumi amabili!

21.1.2 Yini i-leukemia emithi emisha?

Impendulo: I-leukemia yisigaba sesibili (isigaba sokuphulukisa) sohlelo olukhethekile lwebhayoloji olubalulekile longqimba lwegciwane olumaphakathi (mesoderm), okuyilokho okubizwa ngokuthi “iqembu lokunethezeka” elilawulwa yi-cerebral medulla. "Iqembu lokunethezeka" ngoba lapha incazelo yezinto eziphilayo ilele ekupheleni kwesigaba sokuphulukisa, esikhundleni sesigaba esisebenzayo njengakuwo wonke amanye amaqembu.

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21.1.3 Luhlanganisani lonke uhlelo olukhethekile lweMeaningful Biological Special?

Impendulo: I-Osteolysis (ukulahleka kwamathambo) esigabeni sokungqubuzana nokwakhiwa kabusha kwethambo (liba namandla futhi liqine kunangaphambili) esigabeni sokuphulukisa. Amanani egazi ne-serum nawo ayashintshwa lapha, izimpawu zazo esasizibone ngephutha ngaphambilini “njengezifo” ngazinye.

21.1.3.1 Yiziphi izimpawu esizibonayo esigabeni sokususa udweshu?

Impendulo:

1. I-osteolysis = ukuncibilika kwamathambo = ukulahleka kwamathambo = ukukhumuzeka kwamathambo
2. I-Cerebral: I-Hamer igxila ku-cerebral medulla ekucushweni kwethagethi yokudubula
3. Izengqondo: kungaba okuvamile (ingane noma ikhehla) noma ukungqubuzana okuqondile kokuwa kokuzethemba.
4. ushintsho lwezitshalo: ithoni yozwela, ukuphazamiseka kokulala, ukuncipha kwesisindo, indawo ebandayo, ukucabanga njalo mayelana nokungqubuzana.
5. Ukunciphisa ukuqina kwezingxenye zamathambo e-osteolyzed.
6.  I-panmyelophthisis eqhubekayo
   a.) I-anemia
   b.) I-Leukopenia
7. Ukwandisa ukusebenza okuncishisiwe ngenxa ye-anemia.

21.1.3.2 Yiziphi izimpawu esizibonayo esigabeni sokuxazululwa kwengxabano?

Impendulo:

Ngemuva kokuxazululwa kwezingxabano (CL), i-organism ishintshela esigabeni sokuphulukisa i-vagotonic, kulokhu kuya esigabeni sokugcwalisa amathambo (ukubuyisela kabusha). Izimpawu ezilandelayo zivela ngokulandelana:

1. Ukunwetshwa kweVagotonic kwegazi kanye nemithambo ye-lymph. Ububanzi bemithambo yegazi, eboshiwe ethoni yangaphambili yokuzwela, bukhuphuka izikhathi ezi-3 kuye kwezi-5. Lokhu kuyanda nge-factor nxr² (r = isigamu ububanzi) umthamo ezitsheni. Njengoba ekuqaleni awekho ama-erythrocyte nama-leukocyte atholakalayo kunangaphambi kokungqubuzana, umthamo kufanele ugcwaliswe nge-serum yegazi. Ngenxa yalokho, ngokwezibalo kuphela, amanani we-hemoglobin, erythrocyte kanye ne-leukocyte (kuhlanganise namanani e-platelet) "ayehla", nakuba inani lamangqamuzana egazi lingazange lehle ngengqamuzana elilodwa. Lokhu sikubiza ngokuthi "pseudo-anaemicization," okubonakala kumangalisa kakhulu kodwa empeleni akunjalo.

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2. Ngemva kwesonto elilodwa kuya kwezintathu kukhona ukwanda kwe-leukocyte, ikakhulukazi i-elastomers, i-leukemia.

3. Ngemva kwamanye amasonto amathathu kuya kwayisishiyagalombili (kuye ngokuthi ubude besigaba se-CA ngakho-ke, uma kukhona ukuminyana okuhambisanayo kokungqubuzana, kanye nezinga le-bone osteolysis): Ukwanda kwama-erythrocyte - kuze kufike ku-erythrohemia noma i-erythremia okwesikhashana. Lokhu kusho ukwanda kwamangqamuzana egazi abomvu egazini le-peripheral naphezu kokunwetshwa kwemikhumbi, okungukuthi empeleni igazi eliningi kakhulu ohlelweni lwe-vascular uma ububanzi bomkhumbi bebujwayelekile.

4. Ukukhathala okuphelele, ukukhathala, kodwa isifiso esihle sokudla. Ukukhathala (okuvame ukuba nomkhuhlane omncane) ngaphambili kwakubhekwa njengophawu oluhlukile lokugula (umkhuhlane, phakathi kwezinye izinto).

5. Ubuhlungu bethambo ngenxa yokwandiswa kwe-periosteum ("i-periosteal sac") ngenjongo yokuqoqa ikholi.

6. Ukuthambekela ukopha ngenxa yemithambo egobile kanye negazi elihlanjululwe kakhulu.

7. Ukwenziwa kabusha kwendawo yethambo le-osteolyzed (iqine kunangaphambili).

8. Okufanayo kusebenza ku-acute rheumatoid arthritis (i-osteolysis eduze kwelunga).

9. Ngokufanayo ne-kyphosis³⁰⁷, i-kyphoscoliosis.

10. Ngokufanayo no-Bekhterev.

11. Ngokufanayo nge-osteosarcoma.

12. Okufanayo nokuphuka kwethambo nge-DHS.

Kusho ukuthini lokho? Njengoba zonke lezi zimpawu zibaliwe, i-leukemia ihlale injalo Uphawu oluhambisanayo inani legazi le-peripheral noma okungenani umnkantsha wethambo uma kungekho okuthiwa "ama-elasts" atholakala ku-peripheral blood count futhi kuphela esigabeni sokuphulukisa.

I-leukemia - injabulo ye-leukemia - cishe uphawu lwezokwelapha oluvame kakhulu esilwaziyo. Izinga le-peripheral leukocyte (12.000 noma 300.000) liwukusabela komuntu ngamunye futhi alinakho ukubaluleka okuthile.

21.2 I-leukemia eyingozi futhi engapheli

I-leukemia ngokusobala ingeyezinhlelo ezikhethekile zebhayoloji eziwusizo ze-mesoderm, ungqimba lwamagciwane oluphakathi. Akusona isifo esizimele, kodwa i Inqubo yokuphulukisa yesigaba sokucindezeleka komnkantsha wangaphambili.

Ngisho nangemva kokulimala komnkantsha, isibonelo nge-radiation irradiation, i-leukemia ingatholakala phakathi nesigaba sokuphulukisa. Kodwa-ke, lokhu kuzoxoxwa ngakho kafushane kamuva; i-leukemia kuphela etholakala esigabeni sokuphulukisa sohlelo olukhethekile lwebhayoloji ngemva kokuwa ukuzethemba okuzoxoxwa ngakho lapha.

Manje ngifunde amakhulukhulu e-leukemia ezigulini zami futhi ngithole okulandelayo:

³⁰⁷ I-Kyphosis = i-dorsally convex curvature yomgogodla

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21.2.1 Umthetho We-Leukemic

1. Isigaba ngasinye se-leukemic sandulelwa isigaba se-leukopenic lapho kunamangqamuzana amhlophe egazi ambalwa kakhulu.
2. Phakathi nesigaba ngasinye se-leukemic, inani eliphelele lama-leukocyte avamile lihlala lingaphakathi kwebanga elivamile. Ama-leukocyte avamile awaphazanyiswa ukwanda kwenani lama-elast, okuyi-leukocyte engavuthiwe.
3. Isigaba se-leukopenic ngaphambi kwesigaba se-leukemic sibaluleke ngokulinganayo esigabeni sokungqubuzana sokuwa kokuzethemba kanye ne-bone osteolysis endaweni ephilayo. Ngokuphikisana kwalokhu kwehla kokuzethemba, i-hematopoiesis eyayimile ngaphambili yegazi elimhlophe nebomvu iqala futhi, igazi elimhlophe, i-leukocyte, ngokushesha okukhulu, igazi elibomvu, i-erythrocyte ne-thrombocytes, ukubambezeleka kwamaviki ama-3 kuye kwayi-8. Lokhu sikubiza ngokuthi “i-erythropoiesis delay”.
4. Uphawu lwe-“leukemia” alwenzeki kuphela njengesigaba se-PCL sohlelo olukhethekile lwebhayoloji ngemva kokuwa kokuzethemba. Ngemva kokushiswa komnkantsha ngenxa yamabhomu e-athomu noma izingozi zenuzi (i-Hiroshima, iNagasaki, iChernobyl), siphinde sibone uphawu lwe-"leukemia" njengesibonakaliso somzamo wokulungisa umnkantsha. Angazi noma ukuvuvukala kobuchopho okuvamile nakho kuyatholakala. I-anemia eyanduleleyo iwumphumela oqondile womsebe we-radioactive.³⁰⁸

³⁰⁸ Umnkantsha, obhekene nokwakheka kwegazi, ungonakalisa imisebe ekhipha imisebe noma ubuthi bemvelo ngaphandle kokuba umuntu othintekile alahlekelwe ukuzethemba. Umphumela uba ukwakheka kwegazi okukhubazekile, okusho ukuthi labo abathintekile bahlushwa ukucindezeleka kwawo wonke amanani egazi, okusho ukuthi bane-anemia. Lapho imisebe ye-radioactive ima, isigaba sokuphulukisa siqala. Lokhu kungabonakala, phakathi kwezinye izinto, ekwandeni kwama-leukocyte, abuyela esimweni esivamile ngemva kokuba isigaba sokuphulukisa sesiphelile. Umuthi ovamile uthatha ngokungalungile ukuthi ama-leukocyte awakwazi ukujwayela ngokwemvelo ngakho-ke uzama "ukuwelapha" nge-chemotherapy futhi "ukushaya phansi" ngemisebe ngesikhathi esifushane kakhulu. Lokhu kusho ukuthi umnkantsha osuvele wonakaliswa imisebe ye-radioactive, ngokwesibonelo, manje "ngokwelapha" ubonakaliswe nakakhulu futhi unobuthi. ebulalayo. Lapha umnkantsha wesisulu ubhujiswa ngokuthwebula amathambo bese kuthiwa umnkantsha ufana nomnikeli uyajovwa futhi. Okubi nje ukuthi ungafakazela ngokubhala nge-radioactive le-donor marrow ukuthi ayisabonakali ngemuva kwamasonto ambalwa, okusho ukuthi isihlakazwe ngokuphelele wumzimba walowo owamukelayo njengenhlangano yangaphandle. Ngenxa yalokho, yilabo kuphela amathambo abo angazange akhishwe i-radiated ngokwanele futhi abhujiswe abasinda "ukufakelwa" komnkantsha, ukuze kube nzima ukululama ngemva kwesikhathi esithile ...

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5. Isigaba esiyingozi kakhulu se-leukemia yisigaba sokuqala. Ngenxa yokwanda kwemikhumbi, i-anemia iyanda - ngokwezibalo kuphela ngenxa yokuhlanjululwa okukhulu nge-serum, hhayi ngokuphelele - kanye nenani lamangqamuzana egazi abomvu, ayevele emazingeni aphansi ngenxa ye-anemia "yangempela" ngenxa yokukhiqizwa kancane. wamangqamuzana egazi abomvu, wehla futhi , njengoba ngishilo, ngezibalo kuphela, kuncipha kakhulu, nakuba kungekho amangqamuzana egazi abomvu anyamalala ohlelweni. Isiguli sikhathala kakhulu futhi udokotela osihambelayo uvamise ukwethuka!

Qaphela:
Kufika ku-5g% i-hemoglobin, i-erythrocyte eyizigidi ezingu-1,5 kanye ne-hematocrit engu-15%, ungathuki, konke kujwayelekile ngokuphelele! Uma amanani engaphansi kwalokhu, kufanele uthintane nodokotela osebenzisa umuthi omusha futhi mhlawumbe uphumule embhedeni. Uma amanani angaphansi kuka-3g% we-hemoglobin, ungakhuluma ngokumpontshelwa igazi ngaphandle kokwethuka.

6. Ukwethuka okubi kakhulu okwenziwa esigulini, imvamisa udokotela, “ukungqubuzana ukopha nokulimala”. Lapho ukwesaba “komdlavuza wegazi” kuphakanyiswa, isiguli sivame ukuba nokungqubuzana ngokwengqondo, ukungqubuzana kwegazi noma ukopha, okungenakuhlukaniswa yi-subconscious. Lokhu kubangela kuphela ama-platelet, avame ukuba phakathi kuka-50.000 no-70.000 ngenxa yokuhlanjululwa, ehle aze afike kumanani aphansi. Ngenxa yale thrombocytopenia (isibalo esiphansi samaplatelet egazi), isiguli empeleni sopha kalula kakhulu. I-scaremongering iyanda: "Udinga ibhange le-platelet, ibhange legazi!", Phakathi kwezinye izinto. Ukumpontshelwa igazi, lokho okungaziwa muntu ongakwazi ukukuhlukanisa nokopha, kwabangela umjikelezo omubi abantu abaningi abangakwazi ukuphunyuka kuwo.

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7. "Inhlanhla ye-leukemia" itholakala eqinisweni lokuthi i-leukemia isivele iyisigaba sokuphulukisa, ngakho-ke ukungqubuzana kufanele kuxazululwe. Uma isiguli siqonda umongo futhi siziphatha ngokukhalipha nangokuzola njengesilwane esiqiniseka ngokomzwelo wemvelo, khona-ke ezikhathini eziningi akukho okwenzekayo. Ngazi ngamacala angama-500 eziguli ze-leukemia “eziyitholile.” Wonke umuntu ulungile. Ngisho noma umuntu ehlushwa ukuphinda kungqubuzane bese ethola esinye isigaba se-leukemic, abasathuki. Izinga lokufa alikho ngaphezu kwabantu "abavamile".

8. Cishe akekho udokotela ozokunikeza i-chemo, ngisho ne-leukemia. Akekho udokotela ozovumela lokho okubizwa ngokuthi ukufakelwa komnkantsha ngoba kungamampunge nje. Ngeshwa, odokotela abaningi bazivumela ukuba benziwe bathuke. I-Lymphatic leukemia ezinganeni ibizwa ngokuthi “impumelelo” kuphela emithini evamile ngoba idinga i-chemo encane kakhulu. Eminyakeni engu-XNUMX edlule, lezi zingane azizange ziphathwe nhlobo ngenxa “yokungabi nangozi” kwalolu hlobo lwe-leukemia. Balulama ngokuzenzakalelayo futhi bebodwa. Leli “qembu elimisiwe” liwumkhonyovu ophelele. "Amaqembu ajwayelekile" asho izimo ezikhethiwe futhi zihlanganiswe ngokuya ngemibandela eyahlukene, isibonelo iqembu elihlanganiswe ngokungahleliwe ngokusekelwe eminyakeni yobudala noma ukusabela ku-chemo.

Angifuni ukufihla iqiniso lokuthi ngo-1984, lapho kuphuma iphepha elibhalwe iphepha elithi “Cancer, Disease of the Soul,” ngangisakholelwa ukuthi i-leukemia iyisifo esibangelwa amagciwane. Amacala ami manje angifundise ngenye indlela. I-leukemia ingxenye yesibili yohlelo olukhethekile lwebhayoloji. Ngenxa yemibuzo eminingi, njengoba ngazi, manje evutha kuzo zonke izindebe zakho, ngithanda ukuqala ingxoxo nezimfundiso zangaphambilini zemithi evamile:

21.3 I-leukemia ngokombono wezokwelapha ovamile

Izimfundiso zemithi evamile kanye nalabo abathi yiwo ophethe lokhu okubizwa ngokuthi umuthi ovamile ziyaphikisana kakhulu.

Kukholakala ukuthi amangqamuzana omnkantsha akha amangqamuzana amhlophe egazi, okuthiwa "ama-stem cell", "awohlokile ngenxa yomdlavuza", okusho ukuthi akhiqiza amangqamuzana egazi amhlophe ngokunganaki futhi ngokungahleliwe futhi, ngokusebenzisa izimpawu ezihambisana nalokho okuthiwa. "ama-leukemic metastases", abuye abe yinto evamile ngokuphelele Umdlavuza wezitho ungabhubhisa umzimba. Kukholelwa ukuthi uhlobo lwe-leukemia lungashintsha, okungukuthi i-lymphatic ne-myeloid noma i-monocyte leukemia ingashintshana.

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Kukholelwa futhi ukuthi lokho okubizwa ngokuthi i-aleukemic leukemias kanye ne-leukemias ye-leukemia kungashintshana komunye nomunye esigulini esisodwa. Noma psyche, noma ubuchopho, noma Ngokwemithi evamile, amathambo adlala indima! Lapho ukhuluma nabo ngasese, labo okuthiwa odokotela abavamile bavuma ngobuqotho ukuthi empeleni abazi lutho.

Udokotela omkhulu emtholampilo wezingane waseCologne wayefuna ukwenza ubaba akholwe ukuthi ngokwezibalo kuze kufike ku-90% weziguli ezinomdlavuza wegazi zingagcinwa ziphila namuhla. Impendulo kababa: “Kodwa Dokotela, izinto ngizibona ngendlela ehlukile lapha emtholampilo. Angiboni ngisho no-10% osele ephila, ngisho noyedwa oneminyaka engu-9 ubudala womfana wami (iminyaka engu-XNUMX)." Udokotela: "Hhayi-ke akunjalo kuleyo minyaka."

Esikhundleni salokho, kuyazanywa izindlela zokwelapha ezintsha ze-chemo okungekho udokotela ongazama ngazo ingane yakhe. Kodwa akekho ovela nento esobala kakhulu, okuwukucabangela ukuthi amaqembu eminyaka ehlukene yezingane nawo anokwehluka kwengqondo, isibonelo, ngenxa yentuthuko yabo. Ingabe ngempela kunzima kangaka ukusebenzisa umehluko obonwa udokotela ezinganeni zakhe ezigulini ezincane? Usana aluyona ingane encane, futhi ingane ayiyena umuntu omdala omncane.

Ngokushesha nje lapho umuntu engenela inqubo yokuphulukisa yezinto eziphilayo nge-chemo-ukudakwa kanye ne-cobalt irradiation ngokungazi kahle noma ububi futhi kulimaze unomphela umnkantsha wamathambo kanye nama-gonads, amathuba okungqubuzana nezinkinga ayanda, ngoba ngaleso sikhathi umnkantsha uyathinteka ngaphezu kwalokho. i-hematopoiesis depression ehlobene nokungqubuzana kusafanele inqobe umonakalo oyingozi kakhulu onobuthi kumaseli omnkantsha wamathambo. Ukufuna ukwelapha umuntu ogulayo ngokumgulisa nakakhulu kuwukungazi okungenangqondo!

I-toxicogenic noma i-radiogenic inomphumela "wokucekela phansi ukuzethemba". ukuthenwa weziguli

Cabanga nje - ngixoleleni ngesibonelo, bafundi abathandekayo - inyamazane yendawo ethenwe futhi manje okumele yakhe kabusha ukuzethemba kwayo kwasekuqaleni. Lokho akunakwenzeka. Ukuvikela indawo yakhe yangaphambili nakho sekuyinto engenakwenzeka. Ngakho-ke, ukube ubevele elahlekelwe ukuzethemba ngesizathu esithile, lokhu kungqubuzana manje kuyaqina futhi kunamandla. Kuyafana nakubantu. Umuthi ongenalwazi kuphela, okholelwa ukuthi kufanele welaphe izifo ngokwezimpawu, ongakwazi ukwenza lokhu “ukuxilongwa kwamangqamuzana” kwakudala, okuzwakala kakhulu ngaphandle kokucabangela ingqondo nobuchopho besiguli.

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Lapho ngisengumfundi, safundiswa ukuthi iziguli eziphethwe yi-leukemia zazihlale zinezinhlobo zamangqamuzana ezifanayo, okungukuthi i-lymphoblastic leukemia, i-myeloblastic leukemia, i-leukemia engahlukanisi, i-promyelocytic leukemia, i-monocyte leukemia, njll. Akukho kulokhu okwakuyiqiniso, njengoba kungafundwa kuzo zonke izincwadi namuhla. Izinhlobo zamaseli ziyashintsha. Ngiyakwazi nje ukuqagela ukuthi kungani kunjalo. Ngicabanga ukuthi kuncike ku-constellation of the conflict kanye nomphumela wendawo we-osteolysis. Kodwa akekho ongaqonda ukuthi kungani lolu lwazi, manje oselwazini oluvamile, aluhlanganyeli izazi ze-hematologists³⁰⁹ futhi izazi ze-oncologists azikaze zicabange kabusha. Ngoba uma “i-stem cell gone wild” izobangela i-leukemia, khona-ke kunzima ukubona ukuthi kungani le stem cell kufanele ibe nezingane ezihlukene. Lezi okuthiwa yizimfundiso zezokwelapha ezijwayelekile azilona nhlobo uhlelo, njengoba abalandeli bazo bengase bakholwe, kodwa "okungelona uhlelo", "izingubo ezintsha zombusi", wonke umuntu azikholelwayo futhi akekho owake wazibona, njengomdlavuza. amangqamuzana azungeza egazini, okungekho muntu owake wawabona futhi wonke umuntu kusafanele akholelwe ukuthi angakwazi ukukhiqiza okuthiwa “ama-metastases”, ahlala ehluke kakhulu ngokwe-histologically futhi avela ezingqimbeni zamagciwane ezihluke ngokuphelele - umbhedo ocishe uphefumule. !

Ngokwezokwelapha, awukho umuthi osatholakele unamandla ngokwezibalo kunomunye. Kungakho uma kuqhamuka omusha emakethe, wonke umuntu uyagxumela kuwo. Ngisho ne-intralumbar³¹⁰ Iziguli ezimpofu zelashwa ngemijovo ye-chemo noma imijovo. Futhi-ke alikho ikhambi elingasiza, ngoba welapha kuphela uphawu esikhundleni sokwazi imbangela nokuselapha ngembangela. Ngoba imbangela ukuwohloka kwengqondo kokuzethemba. Futhi ngisho nokuxilongwa okulimazayo kwe-“leukemia” kufanele kuqede ngokuduma okukhulu ukuzethemba osekululama njengamanje. Sinaso isizukulwane esinjani sodokotela okungekho noyedwa ongasicabanga?

Kuyihlazo ukuthi labo abebezibiza ngozakwethu abazi ngisho ukuxilonga umzimba. Awukho umtholampilo wasenyuvesi eJalimane owenza ngisho ne-CT scan yobuchopho yeziguli ze-leukemia, ingasaphathwa eye-X-ray yesimiso samathambo.

³⁰⁹ I-Hematology = okukhethekile kwemithi yangaphakathi ephathelene nokuxilongwa, ukwelapha kanye nocwaningo lwezifo zegazi
³¹⁰ intralumbar = ngaphakathi noma ku-lumbar canal (i-lumbar spinal canal)

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Lapho ngake ngacela i-CT scan yobuchopho eNyuvesi yaseBonn, odokotela bamane banikina amakhanda ngokuthi yini engangifuna ukuyenza ngokuhlolwa okungaka okungajwayelekile nokungadingeki. Asikho isiguli esibonisa izimpawu eziningi zobuchopho (isicanucanu, isiyezi, ikhanda elibuhlungu, ukozela, njll.) kune-leukemia “ephethwe”.

Kuyathusa futhi ukuthi izinkulungwane zezazi ezingochwepheshe azikaze ziqaphele ukuthi inkambo yesifo somdlavuza wegazi empeleni akuyona inkambo yesifo somuntu ogulayo, kodwa kunalokho okomuntu olulamayo? Odokotela "besimanje" abanandaba nezinhlobonhlobo zezitshalo ezifana nethoni yozwela noma i-vagotonia. Babukela phansi ngokudelela odokotela basehlathini “abahlehlayo” abahlale bengathakazeleli lutho njengalezi zigigaba nezengqondo.

21.3.1 Ukhuluma ngokumelene nesiphithiphithi sezimfundiso zezokwelapha ezivamile

1. Amangqamuzana angavuthiwe, okuthiwa ama-elasts, agezwa egazini, bekuzodingeka aqhubeke nokubonisa ama-mitose uma amangqamuzana omdlavuza wangempela. Ngokusobala bayakwenza hhayi! Lokhu kusho ukuthi bayageja umbandela odingwa yimfundiso yomuthi ojwayelekile ngengqamuzana lomdlavuza, okungukuthi lingaphindaphindeka ngokuhlukana.
2. Akukho ndawo emzimbeni lapho sithola khona noma iyiphi “i-metastatic leukocyte cancer foci” ebingavela kumaleukocyte axazululiwe futhi iphinde ikwazi ukuhlukanisa.
3. Noma kunjalo, i-foci yomdlavuza wangempela, isibonelo, ama-pulmonary nodules ayingxenye yegciwane elingaphakathi njenge-adenocarcinoma, abizwa nje ngokuthi "ama-leukemic metastases". Lokhu akunangqondo ngokuphelele: Ngoba kungenzeka kanjani ukuthi i-lasts yongqimba lwegciwane oluphakathi nendawo, njengoba sazi kahle kusukela kuma-elasts amakwe nge-radioactively, ingaphinde ihlukane emzimbeni, bangakwazi kanjani, ngoba nje inkolelo-mbono ifuna kanjalo, babe umdlavuza ingaphakathi noma le Ungqimba lwamagciwane olungaphandle lungaveza umqondo ocishe ube nengqondo: ingulube izala inkonyane!
4. Akekho noyedwa owake wabona umuntu efa ngenxa yokunwebeka, kungakhathaliseki ukuthi wayebaningi kangakanani. Ngoba ama-elastics ayafa ngemva kwezinsuku ezimbalwa futhi ayancibilika. Kuwo wonke amakhulu eziguli ezathola ukwelashwa ngokulandela iseluleko sami, izibalo eziphakeme ze-leukoblast zesigaba sokuphulukisa zabuyela kumanani avamile ngokuzenzakalelayo futhi ngaphandle kwezinkinga ezincane noma izinkinga ngemva kokuqedwa kwesigaba sokuphulukisa. Eqinisweni, isiguli sinalawa mazinga "avamile" ama-leukocyte "avamile" kuso sonke isigaba se-leukemic.

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5. Ngisho noma igazi linama-elastomer amaningi kangaka, amaleukocyte “avamile” asele cishe ahlala ekhona ngamanani anele e-vagocytosis.³¹¹ amagciwane ukuze alungele. Ngakho-ke yini ecasulayo ngama-elastics? Aziyilutho ngaphandle kwezimpahla ezingenangozi, ezingenasici, eziyinsalela, kugcizelelwa engenangozi!

6. Izigigaba ezibonwayo zama-elast zivumelana nomuthi omusha, ngokusho kwawo ama-leukoblasts, antanta egazini futhi ahlukaniswe ngokwethukile nobuchopho, akumelwe zisabonisa noma yikuphi ukuthambekela ku-mitosis.

7. Inganekwane yokuthi ama-elastics "avala" imithwalo yegazi nayo ayinangqondo ngokuphelele, ngoba imithwalo yegazi ihlanjululwe kakhulu kulesi sigaba. Ama-elastics awakwazanga ngisho nokusondela ekuvimbeni umthambo wegazi wobubanzi obujwayelekile.

8. Uma “ubufakazi obubi” bungenakuphikiswa futhi bungaqhutshekwa cishe ngokungapheli, ngisesimweni senhlanhla yokukwazi ukukubonisa ubufakazi obuqinisekile ngenombolo ecishe ingenamkhawulo, ngoba icala ngalinye kufanele liqhubeke kanje:

a) Sonke isiguli se-leukemia kufanele sibe nokuwa kokuzethemba kwangaphambilini nge-DHS, okube nesigaba esisebenzayo sokungqubuzana kanye nethoni yozwelo.
Sonke isiguli kumele sithole ukungqubuzana (CL), ngaphandle kwalokho ngeke sibe ne-leukemia, ngoba lokho Isigaba se-leukemic singcono kakhulu Uphawu lwesigaba sokuphulukisa!

b) sonke isiguli kufanele sibe nokugxila kwe-Hamer okusokwe kakhulu noma okuncane (okujwayelekile ezinganeni) ku-medulla yobuchopho, ncamashi endaweni enesibopho sengxenye yohlaka lwamathambo ehambisana nokuqukethwe kokungqubuzana. (Bheka umdwebo ngaphansi kwesithi “Bone Carcinoma” kuthebula elithi “Psyche-Brain-Organ”).

Kuso sonke isiguli esinomdlavuza wegazi, ukugxila kuka-Hamer kufanele kube kungqimba lwe-medullary i-edematosed njengesibonakaliso sokuthi ukuphulukiswa kwengxenye yamathambo ethintekile kuyaqhubeka.

c) Phakathi nesigaba sokungqubuzana (isigaba se-ca), sonke isiguli sibonisa i-osteolysis yohlelo lwamathambo noma (ezimweni ezibucayi) zesistimu ye-lymphatic ngokucindezeleka ngesikhathi esisodwa kwe-hematopoiesis yegazi elimhlophe nelibomvu.

³¹¹ Vagocytosis = ukushwabadela nokususa amagciwane

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Uma ukungqubuzana kwenzeka, ama-osteolyses aqala kabusha ngokuvuvukala okukhulu kwezicubu zamathambo kanye nobuhlungu obukhulu ngenxa yokungezwani kwe-periosteum. Ngemuva kokungqubuzana nokuqala kwesigaba se-pcl, i-hematopoiesis iqala futhi ngokukhushulwa okunamandla. Okokuqala, inani eleqile lama-leukocyte (amanye awo ama-elastomers) akhiqizwa, ikakhulukazi noma angenamsebenzi. Ngemva kokulibaziseka okujwayelekile kwe-erythropoiesis kwamaviki angu-4 kuya kwangu-6, ukukhiqizwa kwama-erythrocyte nama-thrombocyte kuyaqala futhi, nalapha ekuqaleni ngenani elikhulu lamaseli ekhwalithi ephansi, isibonelo ama-erythrocyte anciphisa amandla okumunca umoya-mpilo. Lokhu kubangela "i-anemia ebambezelekile" ne-leukemia ngesikhathi esisodwa phakathi kokungqubuzana nokujwayelekile kwegazi elibomvu. Kufanele wazi ukuthi ama-erythrocyte amaningi akhiwa kusuka ekungqubuzaneni kuya phambili, kodwa aba abalulekile ngokwezibalo kamuva.

d) Konke ukunqunywa kwesibalo samangqamuzana egazi e-peripheral kwenziwa esigabeni se-leukemic ngokungalungile kulinganiswa, ngesizathu esilula ukuthi imithi evamile ayivumi ngisho nesigaba se-vagotonic njengesigaba esikhethekile kakhulu. Futhi abaqapheli iqiniso lokuthi esigabeni se-vagotonic, imithambo yegazi ye-peripheral ithinteka kakhulu. Kanye nevolumu uma kuqhathaniswa nesigaba esizwelayo noma esivamile. I-hematocrit, isibonelo, i-quotient yomthamo we-erythrocytes/ingqikithi ye-serum yegazi. Okujwayelekile amaseli egazi angama-45% kanye ne-serum yegazi engama-55%.

Kodwa-ke, lesi sibalo silungile kuphela uma nje umthamo we-vascular ungacatshangwa ukuthi ufana noma uqhathaniswa nezinye iziguli. Kodwa akunjalo! Kuzodingeka sihlobanise i-hematocrit nenani eliphelele legazi ohlelweni lokujikeleza kwegazi, elilingana nenani eliphelele lama-erythrocyte egazini le-peripheral. Yilokho kuphela into ongayiqhathanisa ngempela. Ngokwesibonelo, ingane “egulayo” noma “elulama” ku-leukemia inesibalo se-erythrocyte esiyizigidi ezingu-2,5 ngemilimitha ngayinye.² (= cubic millimeters), kodwa ngenxa yemikhumbi evulekile ebanzi inenani elikhulu legazi eliphindwe kabili ku-periphery, khona-ke empeleni ngokuphelele Uyabona, unama-erythrocyte amaningi ohlelweni lwakhe lwe-vascular njengokuthi "umuntu ovamile", kodwa sisabhekwa "njenge-anemic enzima". Ukukhathala kwakhe okuhlobene ne-vagotonia kuchazwa kabi ngokuthi “ukuphelelwa amandla” futhi isiguli simpontshelwa igazi esingakudingi ngempela, esikudinga ngokungenangqondo ngenxa “yezizathu ezibambekayo”!

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Akudingekile nakancane ukuthi isiguli senze noma yikuphi ukusebenza ngokomzimba esingakufeza kuphela lapho singekho ku-vagotonia, kodwa kunalokho kufanele siphumule futhi silinde isigaba sokuphulukisa futhi sizinakekele, njengoba zonke izilwane ezincane zenza. Amanani okucatshangwa ukuthi anenhloso noma okucatshangwa ukuthi anenani legazi empeleni ayiphutha elingcwele ngoba awaziba into ebaluleke kakhulu.

Kodwa manje, yiqiniso, kunezimpendulo zemibuzo yenu, bafundi abathandekayo, owokuqala: Yebo, kodwa kungani noma yini abantu abane-leukemia befa?

Impendulo: Ngolwazi lwemithi emisha, cishe akekho obulawa umdlavuza wegazi. Inani elikhulu leziguli lifa ngenxa yezizathu ze-iatrogenic, okungukuthi ngenxa yokwelashwa okucatshangwayo, empeleni okuyi-pseudotherapy noma ngenxa yokungaphathwa kwe-iatrogenic yezinkinga ezivamile. Cishe asikho isilwane esibulawa umdlavuza wegazi uma sishiywa sodwa.

Ngoba i-leukemia, kufanele ngigcizelele futhi, empeleni iwuphawu oluhle kakhulu lokuphulukisa kusukela ekungqubuzaneni okudlule kokuwa kokuzethemba. Ukubheka ikhambi njengokugula akunangqondo.

21.4 Izigaba ezahlukene zokuwa ukuzethemba

isigaba se-ca - ukuwa kokuzethemba - inqubo yokugcina umnkantsha wobuchopho - panmyelophthisis

pcl phase - ukuzethemba kuphinde kwatholakala ngokuxazululwa kwezingxabano - i-brain medulla edema njengophawu lokuphulukisa - i-panhematopoiesis ngokubambezeleka kwegazi elibomvu

Manje sifuna ukudlula ngendlela ehlelekile ezigabeni ezehlukene zokwehla kokuzethemba, izilonda ze-Hamer ezihambisanayo ku-medulla yobuchopho kanye ne-bone osteolysis. Kodwa okokuqala kufanele ngikhulume isici esikhethekile esibalulekile kuleli phuzu, ngoba i-leukemia iphathwa njengesahluko esihlukile ngenxa yokubaluleka kwayo okukhulu kwezokwelapha, nakuba empeleni kufanele kumane kubhekwane nayo ngaphansi komdlavuza wengqimba yegciwane eliphakathi.

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Ungqimba lwamagciwane oluphakathi nendawo noma i-mesoderm yilo olunesibopho sokwakheka kwezibazi emzimbeni wonke uma kwenzeka ukulimala. Endabeni yamathumba omdlavuza avela ku-endoderm noma ectoderm, ukuphulukiswa kubuye kuqinisekiswe ngezibazi, i-encapsulation, njll ngezicubu ezixhunyiwe ze-mesoderm. "Kuphela" ukuphulukiswa kwangempela ngokubambisana nama-microbes kanye nokwakheka kwe-edema ye-pericarcinomatous kwenziwa ungqimba lwamagciwane olufanele ngokwalo.

Ikhono loku “Ukukhula Kokwelapha” noma ukwakheka kwe-keloid kungokwemvelo kuwo wonke amaseli e-mesodermal. Ngenxa yalesi sizathu, sonke “isifo somdlavuza” ezithweni zongqimba lwegciwane eliphakathi sihluke kakhulu ezifweni zomdlavuza kwezinye izingqimba ezimbili zamagciwane. Ethanjeni, isibonelo, amangqamuzana amathambo aphukile ngesikhathi se-osteolysis esigabeni esisebenzayo (i-ca phase), kuyilapho kulesi sigaba ukwanda kwamangqamuzana ngokukhula kwamangqamuzana kubonakala kumdlavuza wengqimba yegciwane elingaphakathi noma elidala eliphakathi. Into evamile esigabeni esisebenza ngokungqubuzana se-bone carcinoma i-necrosis, kanti esigabeni sokuphulukisa (isigaba se-pcl) kuvela ukwanda okusendle kodwa okuhleleke kahle kwamaseli e-callus. Kudokotela wezifo, umehluko phakathi kokwakheka kwe-callus ekuqhekekeni kwamathambo kanye nokuthi ekuhlanganisweni kabusha kwe-osteolysis okubangelwa umdlavuza wamathambo (= sarcoma) awukwazi ukunqunywa ngokwe-histologically kusukela ku-specimen ye-histological yedwa. Njengoba uprofesa we-pathology engiqinisekise muva nje, banquma lo mbuzo ngokusekelwe ezithombeni ze-X-ray, okusho ukuthi bangazisindisa ngokwabo ukuhlolwa kwe-histological. Ukwanda kwamangqamuzana ezicubu ezixhumeneyo noma amaseli amathambo ngesikhathi sokuphulukiswa empeleni kuyinto evamile. Noma kunjalo, izazi ze-histologists zikhuluma "nge-sarcoma," ikakhulukazi lapho ukwanda kwezicubu ezixhumene nakho kuyinto enhle kakhulu.

Eqinisweni, kufanele kushiwo ngokucacile futhi, ngisho nalokhu okweqile kwento enhle empeleni akuyona into ye-pathological, kodwa kunalokho, inqobo nje uma kungasibangeli izinkinga zemishini kuphela ngokwendawo ngokucindezela imizwa, imithambo yegazi noma imithambo yegazi. njengokuthi, kungaphezu kwendaba yezimonyo-yobuhle, ngaphandle kwalokho inhlalakahle kufanele iphazamiseke ngenxa yalokho. Ngokuyisisekelo kufana nesibazi esikhulu, esibizwa nge-scar keloid. Kuyakhathaza abantu abaningi ngokwengqondo lapho "okuningi kakhulu" okungenangozi sekukhulile, kodwa cishe akuzikhathazi izilwane.

I-leukemia iwuhlobo lokwanda kwamangqamuzana egazi afana ne-sarcoma, umehluko kuphela ukuthi amangqamuzana egazi angaphezulu akhiqizwa ngezinga eliphansi alahlwa yinyama ngemva kwezinsuku ezimbalwa. Phakathi nesigaba sokungqubuzana (i-ca-phase), ama-stem stem cells ayengasebenzi isikhathi eside ngenxa yethoni yozwela ngenxa yesimo sohlelo olukhethekile ebuchosheni. Ukucindezeleka kwe-Hematopoiesis bavuma ukuthi ekugcineni bakhiqiza amangqamuzana egazi amancane noma awazange abe nawo. Lokhu sikubiza nge-panmyelophthisis (okusho ukusetshenziswa komnkantsha).

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Ngokungqubuzana inqubo iyahlehla futhi: amabhuleki ayakhululwa futhi ngokucindezela okunamandla umnkantsha uqala ukukhiqiza futhi. Okokuqala, noma kunjalo - lokhu kusebenza egazini elimhlophe nelibomvu - ikakhulukazi "ukulahla" kukhiqizwa, okuyi-elastics. I-Elasten, amangqamuzana angenacala nangenabungozi kunawo wonke akhona! Noma ubani osho okuhlukile uqamba amanga ngoba ngeke asho ngisho nokulimala okukodwa okungadalwa yi-elastics. Ngokuhamba kwesikhathi, ikhwalithi yamangqamuzana egazi, eyashiya okuthile okufanele ifuneke, iyathuthuka - futhi ngemva kwezinyanga ezimbalwa umnkantsha une-erythropoiesis.³²² futhi "ngaphansi kokulawula" - inqobo nje uma ukuxazululwa kwezingxabano kuqhubeka futhi izinkinga ezingenzeka (i-anemia yesikhashana, ukuvuvukala kobuchopho, ubuhlungu bamathambo) kulawulwa.

Uma izigaba eziphikisanayo kanye ne-pcl zishintshana njalo nangesikhathi esifushane, njengoba kuvame ukwenzeka ekuphileni kwansuku zonke ngenxa yamaqiniso, khona-ke izazi ze-hematologists zikhuluma "nge-leukemia ye-leukemia", okusho ukuthi: Nakuba, ngaphandle kokwazi imbangela izimpawu zokuqala zokwanda kwe-leukopoiesis³²³ ekhona ngesimo se-elastens, ikakhulukazi emnkantsheni wamathambo, kodwa inani eliphelele lama-leukocyte liyancipha. Akekho udokotela we-hematologist owake wakwazi ukwenza umqondo wale nhlanganisela, ngokuqondakalayo, ngoba into efana nalena ayikwazi ukuchazwa ngaphandle kokucabangela isimo sokungqubuzana.

I-bone osteolysis ene-recalcification yethambo (iqinile kunangaphambili) ingeyeqembu le-mesodermal elilawulwa yi-cerebral medula, elibizwa ngokuthi “iqembu lokunethezeka”, ngoba incazelo yebhayoloji (iqinile kunangaphambili) ilele ekupheleni kwesigaba sokuphulukisa. Umama weMvelo wazivumela kuphela ukunethezeka okunjalo kuleli qembu.

Qaphela:
I-leukemia ingxenye yesibili yohlelo olukhethekile lwebhayoloji, okuyinqubo yokwelapha! noma isigaba se-pcl ngemva kokuba ukungqubuzana sekuxazululiwe:

Izengqondo: Isimo ngemva kokungqubuzana kokuwa kokuzethemba sekuxazululiwe
I-Cerebral: Ukugxila kwe-hamer ku-medulla yobuchopho ku-edema
i-organic: ukuphulukiswa ngemva kwe-bone osteolysis, i-lymph node carcinoma

³²² I-Erythropoiesis = ukwakheka kwamangqamuzana egazi abomvu
³²³ I-leukopoiesis = ukwakheka kwamangqamuzana amhlophe egazi

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Ukwanda kwezicubu ezixhumeneyo ngisho nangemva kokulimala (okuphinde kufanekisele ukwehla kwendawo ukuzethemba).

I-Osteo- ne-lympho-sarcoma wuhlobo lwenqubo yokuphulukisa ngokweqile kulandela ukulahlekelwa ukuzethemba kwangaphambilini noma ukulimala. I-Connective tissue sarcoma ihambisana nenkambo ye-leukemic ngaphandle kwezinguquko ekubalweni kwegazi.

Lolu hlelo aluyona imodeli yengqondo, kodwa lungafakazelwa kuzo zonke izimo, ngakho-ke umthetho webhayoloji. Ngamagama alula kusho ukuthi: Mayelana nentuthuko, wonke okuthiwa ama-sarcoma ayingxenye yegciwane eliphakathi elilawulwa yi-cerebral medulla ngakho-ke ayiyunithi.

ezengqondo:
Konke okubizwa ngokuthi izicubu ezixhumeneyo kanye ne-bone sarcoma kuyizinqubo zokuphulukisa ngemva kokuxazululwa kokungqubuzana kokuzethemba kuye kwabangelwa i-osteolysis, okuthiwa i-lymph node carcinoma noma i-lymph node sarcoma. Ababuthaka kakhulu babe nezinguquko zemithambo nezicubu ezixhumeneyo.

i-cerebral:
izindawo ezihambisanayo zonke, ngaphandle kokukhetha, ezitholakala ku-medulla, i-cranial eyengeziwe³¹⁴ izitho, lapho zingaphambili kakhulu ebuchosheni (ukugcinwa kwe-medullary), i-caudal eyengeziwe³¹⁵ izitho, i-occipital eyengeziwe ebuchosheni. (Ikhanda nezingalo zinezindawo zazo ezihambisanayo ngaphambili, imilenze nge-occipitally.)

okuphilayo:
Izitho ezithintekile zihlanganisa zonke izitho ezisekelayo eziyingxenye yegciwane eliphakathi nendawo. Bonke futhi bane-foci yabo yokuxhumana ku-medulla ye-cerebrum. Zonke izitho ezisekelayo zisabela ngokuzithandela nge-SBS kanye nokwenza kwasendaweni okuphilayo ngemva kokuwa kokuzethemba emathanjeni, ama-lymph nodes, imikhumbi noma izicubu ezixhumeneyo. Ukwenziwa kwasendaweni kuncike ekutheni yikuphi ukuhlobana okwenzekile kanye nobukhulu bokungqubuzana.

Umehluko phakathi kwe-acute ne- chronic leukemias ungaqondwa kuphela uma umuntu ecabangela isimo esithile sokungqubuzana esimweni ngasinye: I-acute leukemias ibangelwa ukungqubuzana okunamandla, okuphawulekayo kokuzethemba, ngokuvamile into eyodwa noma inkinga, eqhubeka indlela engqubuzanayo isikhashana, kuyilapho engapheli I-leukemias ibangelwa izingxabano ezingeyona inkinga okwesikhashana, kodwa ziphinde ziqubuke ngezikhathi ezithile. Ngizokukhombisa izibonelo ezimbalwa zalokhu.

³¹⁴cranial = inhloko
³¹⁵ i-caudal = ngasemsileni

ikhasi 493

Lapha ngigwema ngamabomu ukuxoxa ngezinhlobo ezahlukene ze-leukemia ngesitayela esidala, njengoba kwenziwa ezincwadini zangaphambilini, ikakhulukazi njengoba, njengoba ngishilo kakade, izinhlobo ezahlukene zingashintsha. Uma ngolunye usuku ngazi ukuthi yikuphi ukuhlukaniswa kwengqondo nobuchopho okuhilelekile, noma ukuthi kukhona nhlobo, ngingathanda ukukubheka. Okwamanje, ngisola kuphela ukuthi i-acute and chronic lymphatic leukemias, ehlobene kakhulu nesistimu ye-lymphatic, ngokuvamile ibangelwa ukwehla okuncane kokuzethemba.

Ngendlela, i-medulla yobuchopho ukuphela kwendawo engiyitholile kuze kube manje lapho uguquko phakathi kwengxabano ehlobene ne-DHS yokuwa ukuzethemba kanye nokuncipha okuthambile, okuqhubekayo kokuzethemba kuwuketshezi. Lolu hlobo olumnene kakhulu lokunciphisa ukuzethemba luphinde lubizwe ngokuthi i-decalcification noma i-demineralization. Kubantu abadala, isinqumo kuselula kakhulu ukwenza ngoba ekuwohlokeni kokuzethemba okuhlobene ne-DHS, indawo ye-edematized medullary isokwe esigabeni sokuphulukisa, kanye ne-demineralization emnene (= i-osteoporosis = infantile noma uhlobo oluhlobene neminyaka lokuzethemba. collapse) isakazeka kakhulu. Kunzima ukuhlukanisa phakathi kwezingane neziguli ezisakhula, ezivame ukusabela ngendlela evamile lapho ukuzethemba kwazo kwehla ngenxa ye-DHS, Nokho, indawo yokungqubuzana ayisokiwe, kodwa kunalokho yenziwa njengophawu oluvamile lwezingane. imizwa. (“Umama wangishaya, akasangithandi.”) Isiguli esidala singaphinde sisabele ngendlela “yobungane” futhi sibhekane nokuncipha okujwayelekile kokuzethemba, ngokwesibonelo ekuguleni kwamathambo kubantu abadala.

21.5 Isenzakalo esivame kakhulu se-leukemia njengophawu oluhambisana nokuphulukiswa kwentamo yesifazane, inqulu kanye nomgogodla. I-Osteosarcoma

Izehlakalo ezintathu ze-leukemia zivame kakhulu. Ngakho-ke kuzoxoxwa ngakho lapha. Yiqiniso, abakahlotshaniswa ne-leukemia kulokho okubizwa ngokuthi imithi evamile. Kodwa lokho akusho lutho kithi.

1. Ukuphuka kwentamo yesifazane kanye nekhanda lesifazane kanye nokuphulukiswa kwe-acetabular necrosis,
   isifo samathambo esinamandla.
2. zonke izinhlobo ze-curvatures ezingezona ezesabekayo zomgogodla (i-scoliosis, i-kyphosis, i-Bechterew).
3. I-Osteosarcoma.

ikhasi 494

21.5.1 Ukuphuka kwentamo yesifazane – i-femoral head necrosis – acute articular rheumatism

Uma uthi nhlá, lezi zimpawu ezintathu ezivame kakhulu azihlangene nhlobo. Futhi nokho, kunjalo, zingezohlobo olufanayo lwe-Meaningful Biological Special Programme.

Izimpawu zokuqala ezimbili zazivame ukutholwa cishe esigabeni sesibili kuphela, isigaba sokuphulukisa, ngoba zazibangela izimpawu ezimangalisayo. I-femoral head necrosis yabe iyingxenye ye-acute hip rheumatism. Intamo yesifazane (ukungqubuzana: “Ngeke ngikwenze lokho!”) imvamisa iphuka njalo esigabeni sokuphola, lapho i-periosteum (“isitokwe samathambo”), eyaba “isikhwama se-periosteal” lapho ithambo lisuswa ingcindezi yokuphulukisa yangaphakathi, iphakamisa futhi ayisanikezi ukwesekwa. Ithambo licishe lincishwe ukwesekwa kwalo, “lintanta” ngaphakathi kwesaka le-periosteal bese likwazi ukuphuka kalula ngobuwula obuncane (isibonelo, ukuphenduka okuncane konyawo).

Yiqiniso, namuhla, ngedivayisi ye-CT, ungasebenzisa ukuhlolwa okujwayelekile ukuze uthole i-osteolysis, isibonelo ekhanda lesifazane noma intamo yesifazane, ngisho nasesigabeni esisebenzayo sokungqubuzana, esasivame ukutholakala esigabeni se-PCL, lapho lezi zimpawu. kwavela Ubuhlungu noma okuthiwa ukuphuka kwe-pathological. Yiqiniso, i-leukemia (i-aleukemia noma kakade i-leukemia noma kakade i-polycythemia) ingaba khona kakade uma isiguli sesidlulile kakade isigaba se-aleukemic noma sesivele sine-polycythemia.

21.5.1.1 Ukuphuka kwentamo yesifazane

I-osteolysis yentamo ye-femoral, ebizwa ngokuthi i-femoral neck decalcification, ngokuvamile ibangela izimpawu lapho intamo yesifazane ibonisa lokho okubizwa ngokuthi "ukuphuka okuzenzakalelayo", okusho ukuthi empeleni akuyona ukuhlukumezeka okungenabungozi okubangela i-femoral. ukuphuka kwentamo, kodwa kunalokho i-osteolysis yethambo endaweni ye-femoral neck femoral neck. Ngisho ne-osteolysis, intamo yesifazane isenayo isilinganiso esithile sokusekelwa ngenxa ye-periosteum eqinile, ezungeza intamo yesifazane njengebhandeji, yingakho ukuphuka kwentamo yesifazane kwenzeka ngokungajwayelekile kulesi sigaba sokungqubuzana, lapho i-periosteum inamathiselwe ngokuqinile futhi inikeza ukwesekwa, ngaphandle uma intamo yesifazane isivele inqunywe ukuze ibe nobubanzi obugcwele.

ikhasi 495

Ukungqubuzana njalo: "Angikwazi ukukwenza lokho."

Kunjalo kowesifazane ongakwesokudla: Uma umama ekholelwa ukuthi akakwazi ukubhekana nomama wakhe noma enye yezingane zakhe, khona-ke intamo yesifazane yangakwesobunxele noma ikhanda lesifazane liyathinteka. Uma kuhlobene nozakwethu, okuyinto acabanga ukuthi angakwazi ukuyiphatha, kusho ukuthi uhlangothi olungakwesokudla luyathinteka. Owesifazane oyinxele yonke into ihlehlisiwe.

Ngokushesha ngemva kokungqubuzana (CL), lapho isiguli siqiniseka: "Manje ngingakwenza!", Ukucindezela okukhulu kwezicubu kwakhiwa ngaphakathi kwe-osteolysis ngenxa ye-edema yokuphulukisa engenayo, efaka i-periosteum. Lokhu kudinga ingcindezi enkulu ngoba i-periosteum iqinile futhi iqinile. Lokhu kwandiswa kwe-periosteum (“periosteal sac”) kubuhlungu kakhulu. Ngesikhathi esifanayo, i-osteolyzed, okungukuthi, i-decalcified, ithambo lilahlekelwa ukusekelwa okwanikezwa yi-periosteum ngaphambili.

Kusukela ngaleso sikhathi kuqhubeke, intamo yesifazane ene-osteolyzed intanta phakathi nalesi sac se-periosteal. Ukunyakaza okuncane okuxakile, ngokuvamile ukunyakaza okungalungile endlini yangasese noma ukukhubeka ezitebhisini ngenxa yobuhlungu, isibonelo, kungabangela ukuphuka.

I-periosteum i-semipermeable³¹⁶, okungukuthi ulwelwesi olungena kancane kancane lapho uketshezi lwethishu luphushwa khona ukucindezela kwangaphakathi futhi kuholele ekuvuvukeni kwezicubu ngaphandle kwe-periosteum. Lokhu kuvame ukuhunyushwa ngokungeyikho ngokuthi i-thrombosis endaweni ye-groin nethanga ngenxa yokuthi umshini wawungaziwa noma ufuna ukwaziwa.
Inhloso yokucindezela kwangaphakathi okunamandla kakhulu futhi okubuhlungu "ku-periosteal sac" ukugcina ithempulethi, okungukuthi ukuma kwethambo, kuze kube yilapho isigaba sokuphulukisa siphelile, ukuze ithambo liqine kunangaphambili ngemva kokuphulukiswa kuqedile lisagcina. noma ingagcina cishe ifomu layo langaphambilini.

21.5.1.2 Ucingo

Kusukela ekungqubuzaneni kuya phambili, i-callus (amangqamuzana amathambo) yakheka ku-periosteal sac, engakwazi ukuphushwa nge-semipermeable periosteal membrane kodwa ehlala ku-periosteal sac. Ngokushesha nje lapho i-callus eyanele iqoqwe esikhwameni se-periosteal, esingabonakala esithombeni se-X-ray noma se-CT ngokunyuka okumhlophe kwesikhwama se-periosteal, inkontileka ye-periosteal sac futhi futhi ukuthuthukiswa kwamathambo kuqala - engxenyeni yesi-2 isigaba sokuphulukisa .

³¹⁶ i-semipermeable = i-semipermeable

ikhasi 496

Njengoba ithambo kanye nomnkantsha wentamo yesifazane iyisitho sokwakhiwa kwamangqamuzana egazi, ukwakhiwa kabusha kwethambo lentamo yesifazane kuhambisana ne-leukemia kanye ne-polycythemia kamuva. Kuyafana nokulungiswa kabusha noma ukwakhiwa kabusha kwanoma iyiphi i-osteolysis yohlelo lwamathambo, kungakhathaliseki ukuthi ikuphi! I-leukemia injalo Uphawu oluhambisanayo Lesi sigaba sokwakhiwa kabusha kwethambo, esingasibona ekuhlolweni kwegazi noma ekuhlolweni komnkantsha wamathambo. Amaseli omnkantsha awathinteki kuphela endaweni ye-periosteal sac, okungukuthi endaweni, kodwa kuwo wonke umnkantsha wamathambo. Lonke uhlelo lokwakheka kwegazi luyasabela, ngisho noma indawo eyodwa ibonakala ithinteke kakhulu. Ngawo wonke ukwakhiwa kabusha, okufanayo kuyasebenza esigabeni esisebenzayo se-osteolytic ne-hematopoietic depression (= i-anemia ne-leukopenia), umzimba awuthinteki kuphela endaweni, njengoba bekukholelwa njalo, kodwa lonke uhlelo lwamathambo, lonke uhlelo lwe-hematopoietic, kuyathinteka Ingasaphathwa ubuchopho ngisho psyche!

ikhasi 497

21.5.1.3 I-femoral head necrosis (acute) articular rheumatism wekhanda lesifazane

Ikhanda lesifazane kanye ne-acetabulum azimbozwanga nge-periosteum, kodwa nge-cartilage. Le cartilage ikwazi ukungena kahle kulokho okubizwa ngokuthi i-transudative³¹⁷ Uketshezi lwezicubu, okungukuthi, uketshezi lwethishu oluqukethe cishe amaprotheni futhi luphushwa kuphela kulwelwesi olungapenyeli kancane, njenge-periosteum noma i-articular cartilage. Ngokuphambene, i-exudative tissue fluid ibhekisela, isibonelo, ekuphumeni kwe-pleural noma i-peritoneal effusion (ascites) ekhiqizwa ngokukhethekile i-mesothelioma esigabeni se-pcl futhi iqukethe amaprotheni amaningi. Uketshezi lwethishu oluphusha ku-cartilage esigabeni se-PCL (i-edema yokuphulukisa) lubangela ukuphuma kwamalunga okukhulu okuthiwa yi-acute articular rheumatism, kulesi simo i-hip joint rheumatism. Yiqiniso, asikho isikhwama se-periosteal endaweni yamalunga ngakho-ke ubuhlungu obuhambisana nokuvuvukala okuhlangene kwalokho okubizwa ngokuthi i-acute rheumatism ngokuvamile abubi kangako.

Lapha, futhi, inkambo yile: i-femoral head necrosis ene-anemia kanye ne-leukopenia esigabeni se-ca kanye ne-femoral head recalcification nge-acute articular rheumatism kanye ne-leukemia futhi, esigabeni sakamuva, i-polycythemia esigabeni se-pcl. Empeleni kulula kanjalo. Uma sibheka emuva, kuyamangaza ukuthi odokotela bamathambo nodokotela abahlinzayo babehlale bekhohlisa futhi behlinza ngaphandle kokuba nombono omncane walokho okwakwenzeka ngempela.

21.5.1.4 Isifo samathambo esinamandla

Okubizwa ngokuthi i-acute articular rheumatism, ngokuvamile ehlangene njenge-rheumatic monarthritis.³¹⁸, kwakuyisifo esivame kakhulu okuthiwa isifo noma uphawu. Wonke udokotela wayazi ukuthi kwakuzothatha izinyanga ezimbalwa. Iziguli eziningi zazinomkhuhlane omaphakathi ophakathi kuka-38° no-39°. Ilunga elithintekile lalibomvu ngokugqamile, lishisa, livuvukele kakhulu futhi libuhlungu (“rubor – calos – dolor – functio laesa”) futhi umsebenzi wawulinganiselwe kakhulu. Akukho okwakwaziwa ngezimbangela; ubuthi be-streptococcal, amazinyo abolile noma izimpande zamazinyo kwakusolwa ngokuthi "i-foci enobuthi". Konke lokhu bekuyimibono nje. Kodwa-ke, lolu daba lwaluphathwa ngendlela efanele: isiguli sasimane silale phansi izinyanga ezi-4-6 futhi sasingakwazi ukwenza enye into. Kwakwenqatshelwe ngokuphelele ukubhoboza idolo elivuvukele, indololwane, ihlombe noma inqulu! Sasinemitholampilo yonke yezempilo esebenza ngokukhethekile ngesifo samathambo esibuhlungu. Ngokwazi kwami, cishe akekho owafa ngakho. Kungenjalo kufanele ngazi, ngoba njengodokotela oqondisayo kanye nodokotela we-spa e-Heidelberg Medical University Clinic, naye owayenomthwalo wemfanelo wokuqeqesha abasizi be-spa yezokwelapha, ngangingudokotela oxhumanisa imitholampilo enjalo. Esasingakwazi ngaleso sikhathi, ngaphambi kwenkathi ye-CT, kwakuyilokho

³¹⁷ I-Transudate = i-effusion engekho ukuvuvukala emigodini yomzimba kanye nezicubu
³¹⁸ Mon- = ingxenye yegama elinencazelo yodwa, kuphela

ikhasi 498

a) ngayinye yalezi zimo ezinzima ze-rheumatism yayine-osteolysis ethanjeni eduze kwelunga, futhi

b) ukuthi yonke i-acute articular rheumatism imele ukulinganisa kabusha esigabeni sokuphulukisa, kanye

c) ukuthi izibalo ze-leukocyte ezikhuphuke kakhulu ezitholakele, esizichaze njengophawu oluhambisana nokuvuvukala, bekungeyona into ngaphandle kwe-leukemia.

d) Yebo, besingazi ukuthi lesi bekuyisigaba sokuphulukisa esixazululwe ukungqubuzana sohlelo olubalulekile lwebhayoloji, isibonelo ngedolo: ukungqubuzana kokuwa kokuzihlonipha okungefani nezemidlalo.

e) Ngaphezu kwalokho, besingeke sazi ukuthi odokotela ngolunye usuku bayoba iziphukuphuku ngendlela emangalisayo kangangokuthi bavule la malungu avuvuke kakhulu ukuze "akhishwe ngokuhlolwa" ngemuva kokuthi imishini yethu ye-CT ikwazile ukubona i-osteolysis eduze kwelunga, ukuze i-callus manje igijimela esicutshini futhi, isibonelo, imilenze (ku-acute knee rheumatism) kwakudingeka inqunywe uchungechunge ngaphansi kokuxilongwa kwe-"osteosarcoma" yokufa: 98%. izinga 100%!

Ngake ngathatha inkathazo yokubiza izibhedlela ezintathu zasenyuvesi ngabuza ukuthi uphi umnyango wesifo samathambo esiyingozi kakhulu noma zashonaphi. Ngatshelwa kuzo zontathu izibhedlela zamanyuvesi ukuthi iminyango enjalo ayisekho. Iziguli ezinjalo zizosikwa esivivinyweni, emva kwalokho zidluliselwe emnyangweni we-oncology futhi zelashwe nge-chemo ngaphansi kokuxilonga “i-osteosarcoma eyingozi kakhulu,” njengoba kuchazwe udokotela oyedwa kuphela ngokuzikhandla.

ikhasi 499

Manje ungafunda kuzo zonke izincwadi ze-oncology ukuthi i-osteosarcoma iphathwa nge-chemo, ukuhlinzwa kanye ne-morphine inezinga lokufa eliphezulu kakhulu.

Ngiyakwazi engikushoyo uma ngithi: Akekho udokotela ongaba yisiphukuphuku ngendlela engakholakali kangangokuthi wayengakuqapheli lokhu kudala: Esikhathini esidlule, akekho noyedwa umuntu owabulawa isifo samathambo esinamandla futhi namuhla abantu bafa benezimpawu ezifanayo ncamashi. , nakuba ukuxilongwa manje sekushintshile (“Osteosarcoma”) cishe bonke!

21.5.1.5 Imidlalo yokuncintisana kanye ne-osseous³¹⁹ I-Decalcifications (i-osteolysis = umdlavuza wamathambo), i-osteosarcoma kanye ne-leukemia

Uma uthi nhlá, umdlalo wokuncintisana awuhlangene ne-osteolysis, okungukuthi, umdlavuza wamathambo, ukuphindaphinda kwezibalo kanye ne-leukemia. Kodwa lokho kuyakhohlisa. Ngokusho kweNew Medicine, lezi azikwazi ukuhlukaniswa komunye nomunye.

Umdlalo wokuncintisana, okungenani njengoba waba yilokho okubizwa ngokuthi umdlalo wochwepheshe, udinga ukusebenza okuphezulu, kokubili ezingeni le-organic and psychological. Umsubathi angakwazi ukufeza le midlalo ephezulu kuphela ngezwi elinozwela. Ngokuvamile, ukungezwani komzimba okuzwelayo kwanele kulokhu, lapho wonke umuntu kanye nesilwane ngasinye singathuthukisa ukusebenza kwabo. Kodwa uma kwenzeka kuba nokungqubuzana kwezinto eziphilayo ne-SBS, lokhu kusebenza kungandiswa futhi. Nge-SBS, umsubathi angakwazi ukufeza ukusebenza okuphezulu okudlula umkhawulo wakhe wokusebenza. Wonke umuntu uyamncoma: “Yeka ukuthi muhle kangakanani!” Uma, ngokwesibonelo, umgibeli wamabhayisikili ochwepheshe ezuze ukusebenza okuphezulu lokhu okukwenze kwaba nokwenzeka bese emvumela ukuthi aphumule phakathi nenkathi yokuhamba ngebhayisikili, bese engena esigabeni se-pcl futhi azuze, isibonelo. , 10 kg ngesisindo. Wonke umuntu uthi: “Yeka ukuthi mubi kangakanani manje!” “Yebo,” odokotela bezemidlalo babe sebethi, “lokho kungenxa yokuthi ukhuluphele kakhulu.”

Konke lokhu kuyiqiniso elingaphelele futhi kwakungalungile ngoba yonke into yayingenalutho ngaphandle kwemibono eyabekwa phambili kuphela ezingeni lezinto eziphilayo. Akekho owake waqonda lutho!

Ngaphezu kokungqubuzana kwabantu okujwayelekile abanye abantu abanakho, wonke umsubathi ubuye abe nezingxabano zebhayoloji ezibangelwa ezemidlalo, isibonelo uma ehluleka emqhudelwaneni womkhumulajezi. Ngokuvamile ubona lokhu kwehluleka njengokulahlekelwa ukuzethemba okungekona okomuntu, umdlalo ngamunye unezindawo zawo ezithile zamathambo lapho lokhu kulahlekelwa ukungqubuzana kokuzethemba kuzwakala khona. Umsubathi we-track and field noma umdlali wethenisi uvamise ukukuzwa endaweni yamadolo, umdlali webhola lezandla endaweni yendololwane uma engakwazi ukuphonsa ibhola eliwujuqu egoli ngesikhathi esibalulekile. Uma, ngakolunye uhlangothi, ubenensa kakhulu, angaphinde ayizwe endaweni yedolo futhi nasendaweni yegilo (ukungqubuzana kokungasheshi ngokwanele ukufinyelela isiqephu noma ibhola). Umdlali webhola likanobhutshuzwayo angezwa ukulahlekelwa ukuzethemba ngenxa yokuziphatha okungezona okomuntu wezemidlalo endaweni yamadolo noma endaweni yonyawo, umdlali wethenisi wetafula endaweni yesihlakala, umjikijeli womkhonto endaweni ehlangene yehlombe ajikijela ngayo umkhonto.

³¹⁹ Os- = ingxenye yegama elisho ithambo

ikhasi 500

Uma umdlali webhola ekhishwa eqenjini ngenxa yokwehluleka kwakhe futhi edingiselwa ebhentshini le-reserve noma iqembu lesibili, khona-ke ngokuvamile ubhekana nokungqubuzana kwendawo. Yebo, besingazi lutho kulokhu kuze kube manje. Sasikholelwa ukuthi umsubathi kufanele nje agqugquzeleke ngokwanele ukuze enze, uma kunesidingo ngemali noma... doping.

Uma senisifundile lesi sahluko bafundi abathandekayo, izikali zizowa emehlweni enu. Khona-ke uzokwazi ukubona abasubathi abaqeqeshiwe ngamehlo ahluke ngokuphelele.

Isimiso esiyisisekelo silula kakhulu. Kufanele sikhumbule umthetho wesibili webhayoloji wemvelo, okungukuthi ngokwe-DHS ukulandelana kwe-tonia ezwelayo nangemva kokuxazululwa kwengxabano i-vagotonia ene-epileptoid crisis.

Uma umsubathi, isibonelo umdlali wethenisi, ebhekana nokungqubuzana kwezinto eziphilayo ngomqondo wokungqubuzana kokuzethemba okungelona okomuntu ngenxa yokuthi ube nosuku olubi emdlalweni owujuqu (wokugcina) womqhudelwano, ngoba imicabango yakhe yayikwenye indawo ngokuphelele. , uyahlupheka Impela kungenxa yokungqubuzana okungaka kokuzethemba ukuthi usemoyeni wokuzwelana unomphela. Emasontweni ambalwa alandelayo muhle kakhulu ("ngesimo sempilo yakhe") ukuthi uwina imiqhudelwano elandelayo. Ngoba manje une-stimulant ye-tonia ezwelayo ehlala njalo ngaphezu kwemikhawulo yakhe yokusebenza. Singasho futhi ukuthi: Kungokwemvelo "i-doped".

Uma ngemva kwamanye amaviki angu-4 noma angu-6 eba nomuzwa wokuthi manje usephinde wasusa igebe lakhe, bese engena esixazululweni, okungukuthi ku-vagotonia. Ezingeni le-organic, phakathi nalesi sigaba sokuzwelana esisebenzayo, i-osteolysis yayithuthuke endaweni yamadolo noma, uma kumayelana nokushaya ibhola, endaweni yendololwane yengalo eshayayo. Phakathi nesigaba sesixazululo, ilunga elithintekile liyavuvukala. Umdlali wethenisi uyagula. Wonke umuntu uyaqonda ukuthi umdlali ogulayo akakwazi ukwenza okusemandleni akhe. Ngakho uthatha kalula aze abe “nempilo” futhi, okungukuthi ijoyinti selibohlile.

ikhasi 501

Nokho, esikhathini esizayo, umdlali uzoba nendawo yakhe lapho. Wonke amanqamu ehlulwa ubuyela endleleni. Uma ukuphindaphinda kwenzeka kuphela isonto noma izinsuku ezingu-14, ukuvuvukala kwesihlanganisi kungase kungabi kubi kakhulu kangangokuthi kungabonakala ngokucacile. Umdlali udlala – ku-vagotonia – futhi udlala kabi. Akadlali kabi ngoba emubi, kodwa ngoba evagotonia, ngisho noma engenawo umkhuhlane. Sonke isilwane esincane sasivele silale esidlekeni bese silinda kuze kufike isikhathi sokuncintisana nesitha futhi. Uma kukhulunywa ngabasubathi, abantu bakhuluma “ngabadlali abaphezulu”, ukungaguquguquki nokunye okunjalo. Umsubathi kufanele adlale, nakuba engakwazi ukufeza ukusebenza okuphezulu.

Kubi nakakhulu, ngokwesibonelo, uma ngemva kwe-DHS yokungqubuzana kokuzihlonipha okungezona ezomuntu siqu isizini yomsubathi isiphelile (isizini yamabhayisikili, isizini yethenisi, isizini yebhola). Khona-ke angase azindle ngengxabano yakhe kuze kube isizini ezayo... futhi angase angakwazi ngisho ukuyixazulula kuze kuphele isizini ezayo. Ngingathanda ukukubonisa icala elinjalo:

Umdlali wethenisi oneminyaka engu-17 ubudala wayehlulwe umqhudelwano wentsha yekilabhu ebhekene nozakwabo omncane nobuthaka eqenjini, ayevame ukuwunqoba kakhulu. Ngalelo langa wayenosuku olumnyama bhuqe. Wabhekana nokungqubuzana kokuzethemba okungafani nokwezemidlalo kanye ne-osteolysis endaweni yedolo lesokunxele (tibia).³²⁰ kanye ne-femur³²¹). Njengoba isizini isiphelile ngemuva komdlalo olahlekile, wakwazi kuphela ukuxazulula ukungqubuzana kwakhe ngonyaka olandelayo ngokugcina esengumpetha weqembu lentsha. Ngokushesha nje lapho ubuqhawe bekilabhu bunqotshiwe, okungukuthi, ukungqubuzana kuxazululiwe, waqala ukuzwa ubuhlungu edolweni lakhe kwesokunxele.

³²⁰ I-Tibia = ithambo lethambo
³²¹ Isifazane = ithambo lethanga

ikhasi 502

Esigabeni se-pcl, okungukuthi ngemva kokuwina ubuqhawe bekilabhu yentsha, lokho okubizwa ngokuthi ukuphuka okuzenzakalelayo kwe-osteolyzed tibial plateau kwenzeka ngaphambi kokuba inqubo yangempela yokuphulukisa iqale ngempela. Ku-condyle yesifazane³²² Siphinde sibone i-osteolysis ecacile (umcibisholo omncane ongaphezulu kwesokunxele) nokuqala kokuvuvukala kwedolo.

Yiqiniso, ngaphandle kwezinye izingxabano ezengeziwe ezingase zibe khona, laba basubathi bonke banalokho okubizwa ngokuthi i-acute rheumatism ne-leukemia, nakuba ngokuvamile iba sesimweni esithambile uma ukungqubuzana kungazange kuhlale isikhathi eside kangako. Yebo, odokotela bezemidlalo babengazi ukuthi izinto zinjalo. Bahlala bedala amaphrofayili okusebenza nokucindezeleka. Kodwa uma umsubathi engenawo umkhuhlane, kodwa enephrofayili yokusebenza encishisiwe, bese kuthiwa: ukusilela emuva kokuqeqeshwa!

Ngosizo Lwemithi Emisha manje sesingakwazi ukuchaza zonke lezi zimo kalula futhi cishe ngokuphoqayo. Siphinde siqonde ukuthi ungayibona kanjani “imidlalo ephakeme eyingqayizivele” ngendlela entsha umsubathi angavamile ukuyizuza noma angalokothi ayizuze kamuva. Ngoba uma umgijimi oqeqeshwe kahle wamamitha angu-100 ebhekana nokungqubuzana kwezinto eziphilayo ngaphambi nje komncintiswano, khona-ke ulungele ngisho nokufaneleka, okusho ukuthi manje usegijima amamitha angu-100 2 okweshumi kwesekhondi ngokushesha kunesikhathi sakhe sangaphambilini esihle kakhulu.

³²² I-condyle = ikhanda elihlangene

ikhasi 503

Siyaqonda futhi ukuthi kwenziwa umzamo wokufeza lokhu kudlula komkhawulo wokusebenza ojwayelekile kusetshenziswa ama-doping agents (= sympathicotonics), uma singanaki ama-agent angaqondile (ama-anabolic steroids, testosterone, njll.). Kuleli qophelo sifuna futhi ukungakunaki ukushintshashintsha kwesikhathi kwabesifazane.

Uma sifuna ukukucacisela umsubathi ohlushwa ukulimala ukuthi ubehlale ene-leukemia encane phakathi, ubengasinika umbono ongalungile. Manje niyaqonda, bafundi abathandekayo, kungani ngichaze i-leukemia ngokuthi mhlawumbe "isifo" esivame kakhulu, okungukuthi isigaba sokuphulukisa se-SBS. Ukube odokotela abajwayelekile bebezoxilonga ngokunembile, bekuzodingeka baqede umhlaba wonke wabasubathi abane-chemo kudala. Abantu abampofu ababanjwa futhi kutholakale ukuthi bane-leukemia, ukungqubuzana kwathatha isikhathi eside.

Vele, i-osteolysis akudingekile ngaso sonke isikhathi ukuba ibe sendaweni eseduze, kodwa njengasesigatshaneni esithi “Osteosarcoma” ne-snowboarder: Uma engazizwa ewumsubathi ngokwanele futhi ngesikhathi esifanayo enomuzwa: “I. ayikwazi ukukwenza,” khona-ke lokho kuyi-osteolysis ngokwesibonelo, etholakala phakathi kwedolo nentamo yesifazane (intamo yowesifazane we-femur = ithambo lentamo yowesifazane), njengoba leli cala libonisa.

21.5.2 Ushintsho lwamathambo e-atraumatic

Izinguquko eziningi zamathambo ezingezona ezesabekayo, ikakhulukazi zomgogodla (i-scoliosis, i-kyphosis, i-lordosis³²³, okuthiwa yi-Bechterew's disease et cetera) manje sesingabona njengezinsalela ze-osteolysis yamathambo eziye zaphulukiswa ngesikhathi sokuphulukiswa kwe-leukemic kuhlelo olulodwa olulodwa noma oluphindaphindayo olubalulekile lwebhayoloji, lapha izingxabano zokuwa kokuzethemba.

I-legion yamathambo angahlukumezeki ashintsha imbangela yawo esingakwazi ukuyichaza ngaphambilini (okubalulekile, okujwayelekile³²⁴, i-idiopathic³²⁵, idiosyncratic³²⁶), esabiza ngokuthi isifo sikaBechterew noma "syndromes" (i-cervical syndrome, i-lumbago³²⁷, i-lumbar syndrome, njll.), zazikhona futhi ngokomthetho zihlala zifana: izinguquko ezenziwe kabusha ngemva kwe-osteolysis yangaphambilini. Lokhu kuphinde kwavela ngaphandle kokukhetha njengezinhlelo ezikhethekile zebhayoloji ezinengqondo ngemva kwe-DHS yokungqubuzana kokuwa kokuzethemba. Kodwa-ke, ukulinganisa kabusha kungenzeka kuphela ngokunwetshwa kwe-periosteum, okubangela ubuhlungu, kanye ne-leukemia ehambisanayo noma ephoqelekile, ngokuvamile enokuphindaphinda okubangela ukungqubuzana kanye nezigaba zokuphulukisa ze-leukemic eziphindaphindiwe.

³²³ I-Lordosis = ukugoba kwe-ventral convex komgogodla endizeni ephakathi (okuphambene ne-kyphosis)
³²⁴ okwejwayezi = okwejwayezi, okwenzeka kaningi
³²⁵ idiopathic = yenzeka ngaphandle kwesizathu esihlonzayo, imbangela engafakazelwanga
³²⁶ Idiosyncrasy = hypersensitivity ezintweni ezithile
³²⁷ I-lumbago = i-lumbago

ikhasi 504

Njengoba ukuwohloka kokuzethemba kokuqukethwe kwakho okuningi (bona umdwebo wohlaka lwamathambo etafuleni) kanye nezinhlanganisela cishe kuwukungqubuzana kwemvelo okuvame kakhulu esikwaziyo, futhi njengoba iningi lezingxabano eziholela ekuwohlokeni kokuzethemba. kuxazululwe ngesikhathi esithile futhi ithambo lingaphinda liphindwe futhi ngesikhathi sesigaba sokuphulukisa i-leukemic , ngakho-ke nina, bafundi abathandekayo, ngethemba manje ukuthi niyaqonda ukuthi kungani kuwumbhedo ophelele ukuchaza ama-leukemia atholwe ngengozi njengento ekhethekile noma ngisho njengento embi kakhulu. Ngoba izinga lokuphulukisa - uma ungakuvumeli ukwelashwa ngobuthi be-chemo - nalo libalelwa ku-100% ezilwaneni!

Inani lama-leukocyte egazini le-peripheral (kuhlanganise nalokho okubizwa ngokuthi ama-elasts) kubonakala kuyindaba yokusabela komuntu ngamunye. Uma ama-leukocyte engeziwe noma ama-leukoblasts, iba ngcono ukusabela komnkantsha wethambo! Ithambo lingase liphindwe ku-11.000 leukocyte ngendlela efanayo nangama-500.000 nge-mm ngayinye.².

Ngaphandle kokwethuka, ikakhulukazi ukwethuka kwegazi, cishe asikho isiguli esifayo, okungenani akekho okufanele afe!

ikhasi 505

21.5.2.1 Umdwebo wokuthuthukiswa kwe-scoliosis

I-Vertebral osteolysis ibangela ukuthi umgogodla ugoqe emaceleni. Ngokulungiswa kabusha kamuva (nge-leukemia), i-scoliosis ihlala.

Indlela efanayo iyasebenza ku-Bechterew's disease, ngaphandle kokuthi i-osteolysis itholakala nge-ventral noma i-dorsally emzimbeni we-vertebral.
Lokhu ekugcineni kuholela ekuphindaphindeni njalo

a) I-Bechterew phambili (igobe phambili = i-kyphosis)
b) Bechterew emuva (hyperextended backward = overlordosis)

21.5.3 I-Osteosarcoma

Okubizwa ngokuthi ama-osteosarcoma ngokuvamile kuyizinqubo eziwusizo kakhulu zokwesekwa kwebhayoloji yethambo elingasebenzi kahle, njengoba sizobona kamuva.

ikhasi 506

Lokhu kusebenza ngaphandle kwe-iatrogenic osteosarcomas ebangelwa ubudedengu bezokwelapha, isibonelo ngesikhathi sokuhlolwa ku-periosteum eqhumayo. Angeke kube khona umbuzo "wokubi" nhlobo.

Ngokwemvelo, ukuphuka okuvulekile okuhlobene ne-DHS kwenzeka njalo. Ngoba umlenze ophukile ngokuvamile unquma phakathi kokufa nokuphila. Kunengqondo ukuthi lowo muntu uzwa sengathi ukuzethemba kwakhe kwehlile endaweni ephukile. Ngakho-ke uma i-periosteum ivulwa ekuqhekekeni, ngisho noma, njengencazelo yokuqhekeka okuvulekile, akukho ukufinyelela ngaphandle, khona-ke isidingo se-osteosarcoma sivele, lapho uMama Wemvelo uye wafunda izikhathi eziyizigidi.

21.5.3.1 Incazelo yebhayoloji ye-osteosarcoma

Lokho okubhekiselwa kukho emithini evamile njengesimila esiyingozi esingenangqondo kuyinqubo yezinto eziphilayo ewusizo kakhulu. Kusanikeza umuntu noma isilwane ithuba langempela ngisho noma “i-periosteal sac mechanism” ingasasebenzi ngenxa yokulimala kwe-periosteum endaweni ethintekile. Ukuvuza kwe-callus akubonwa ngokwemvelo noma umzimba wethu ngokuthi "ukuphazamiseka", kodwa ngokushesha kusetshenziselwa ukwenza i-cuff yokuzinzisa. I-callus ayigijimi "endaweni ethile", njengoba sasikholelwa ngaphambili, kodwa iqondiswa yizinto eziphilayo ngendlela eyindilinga ezungeze ithambo ngendlela ye-cuff, ukuze ekugcineni ukuqiniswa okuyisiyingi kwemiphumela yethambo.

Empeleni kulula kanjalo. Njengamanje, ama-90% noma ngaphezulu ama-osteosarcoma ethu abangelwa iatrogenically. Lokhu kwenziwa ngozakwethu bangaphambili bethatha ukuhlolwa okuyisibopho kuyo yonke i-osteolysis, esivame ukuyibona kuphela esigabeni sokuphulukisa ngenxa yokuvuvukala okubangelwa uketshezi lwethishu. Odokotela abavamile bavula i-periosteum ukuze bafinyelele izicubu zethambo ezizungeze i-osteolysis. Inqubo yokuxilonga okuthiwa iyadingeka empeleni ayidingeki ngokuphelele futhi ayinanjongo. I-x-ray kanye nokutholwe kwengqondo kuyokwanela ukucacisa isimo. Ngoba umphumela uhlala ufana: i-osteosarcoma. Emithini yezimpawu, lokho kusho ukuthi ezimweni eziningi: ukunqunywa kwesitho kanye ne-chemo kodwa ngaphezu kwakho konke ukwethuka okungapheli, ngoba izinga lokufa kwe-osteosarcoma lingama-90%. Kodwa kufanele kucace kakhudlwana futhi kulunge ukusho ukuthi: Izinga lokufa kwabantu ngenxa yokwethuka okuphelele kanye ne-idiotic pseudotherapy ngu-90%. Ngaphandle kwalokhu kusitshulwa kocwaningo olungasho lutho, izinga lokusinda leziguli ezine-osteolysis esigabeni sokuphulukisa kanye ne-leukemia encane lingaba cishe u-100%.

ikhasi 507

Kodwa ngisho nangemva kwenqubo engadingekile enjalo, asikho isizathu sokwethuka emithini emisha. Ngemuva kokungenelela okunjalo, inhloso ukulungisa i-botch yemithi evamile. Kodwa ngisho nalokho kusengenzeka, njengoba kusanda kuboniswa kusetshenziswa imithetho ye-New Medicine. Ngoba lawa maqhuqhuva acishe abe mhlophe, angenagazi e-osteosarcoma angaxetshulwa kalula esicutshini. Awahlanganiswanga noma acishe ahlanganiswe nezicubu ezizungezile. Odokotela abavamile bebelokhu bekwazi ukusebenzisa iqhinga lokubamba iziguli ezimpofu futhi bazenze zithuke: Uma unikeza i-chemo kulokho okubizwa ngokuthi i-osteosarcoma ngemva kokukhishwa kwecala endaweni engakwazi ukunqunywa, njenge-pelvis, khona-ke uya yeka Njengoba kwaziwa, noma iyiphi inqubo yokuphulukisa ivela ngobuthi.

Manje abantu bebelokhu bethi kufanele uyeke ukukhula kwesimila, ugcine odeveli ababi bengekho, ngakho-ke kufanele unikeze i-chemo. Njengoba ngale pseudotherapy yonke inqubo yokuphulukisa iklinywa ngendlela enobuthi, inqubo yokubuyisela ukulinganisa kwebhayoloji kanye nenqubo ye-osteosarcoma nayo iyaklinywa, okuye kwaphawulwa ngokungenangqondo njengomphumela wokwelapha. Eqinisweni kwakuwumbhedo omubi kakhulu. Uvalo lwahlala, umnkantsha wabhujiswa futhi cishe isiguli safa. Ngoba njalo uma umisa i-chemo, inqubo yokuphulukisa ingase iqale futhi. Khona-ke odokotela bamemeza bethi amangqamuzana omdlavuza abuyile futhi kufanele aqedwe impande namagatsha kusetshenziswa izinyathelo ezinzima nakakhulu. Umbuthano ononya we-iatrogenic ocishe uphele ngokufa kwesiguli.

Singabona kwesokunxele esithombeni se-X-ray nangezansi ku-CT ukuthi i-callus-containing cuff izibeke eduze kwengxenye ye-osteolytic yethambo. I-callus ayizange, njengoba umuntu engase acabange, igijime ngendlela yokumelana okuncane, kodwa kunalokho yayigijima ngendlela enengqondo futhi ehlelekile izungeze lonke ithambo. ukuzinzisa lesi sigaba sethambo. Ingxenye esemaceleni yalesi simila esibalulekile yasuswa. Lokho kukodwa kwakucishe kube ngu-3 kg wezinto ezincane ezimahhadlahhadlaokopha impahla. Ingxenye ephakathi yayishiywe endaweni ekuqaleni ngoba yilapho imikhumbi emikhulu igijima khona. Le ngxenye ephakathi ingasuswa kalula ohlangothini oluphakathi ekusebenzeni kwakamuva ngaphandle kwezinkinga zobuchwepheshe.

ikhasi 508

Indawo yokuhlinza yangaphambilini yethanga lesobunxele i-dorsolaterally (uhlangothi). Udokotela ohlinzayo wayefuna ukusika ithambo, ngakho wavula i-periosteum futhi wakhipha izinto ezine-gelatinous callus esakeni elivuliwe le-periosteal.

ikhasi 509

Ku-cerebral medulla sibona (umcibisholo) ohlangothini lwesokudla lobuchopho ngomlenze wesokunxele ukugxila kuka-Hamer esigabeni se-ca esishintshashintshayo esijwayelekile kanye nesigaba se-pcl. I-Hamer's focus ventral (dashed): Ukungqubuzana kokulahlekelwa okuphathelene ne-ovary yangakwesobunxele (ingane/umzaliUbudlelwano).

Kuwo womabili amaphaphu, cishe amaqhuqhuva angama-20 wamaphaphu, ngalinye lifinyelela ku-2 1⁄2 amasentimitha ngosayizi, ayabonakala. Izigaxa zamaphaphu ziwukubonakaliswa kokwesaba ukufa futhi ngokuvamile zikhula ngokushesha okukhulu, ikakhulukazi entombazaneni eneminyaka engu-19 ubudala eyathi, njengomfundi wobuhlengikazi, yafunda ukuthi akukho ukwelashwa kwayo emithini evamile, nokuthi ibikezela ukufa okuseduze. Lokhu kukhulisa ukwesaba ukufa kube isiyingi esibi okunzima ukusinqamula. Ngenhlanhla, ngemizamo yethu ehlangene, sakwazi ukunqanda lokhu kwesaba ukufa. Ngenxa yalokho, isiguli njengamanje sine-

Isifo sofuba samaphaphu esinokujuluka kakhulu ebusuku, ukukhwehlela, amazinga okushisa angaphansi kwe-subfebrile. Lapho izigaxana zamaphaphu ezisebenzayo manje zingabonakala khona, kamuva sizobona imigede.

ikhasi 510

Ukuze uqhathanise: isifuba CT kusukela ngo-Okthoba 12.10.98, XNUMX wesiguli esifanayo.

Yilokhu okuhlotshaniswa nokugxila kwe-Hamer kubukeka kusigaba se-ca esiqwini sobuchopho (umcibisholo ovela phezulu). Ngesikhathi se-TB ube eseba ne-edema. Ukugxila komhlane kuya ngasemuva (umcibisholo ongezansi) kubonisa ukugxila kwe-pleural okusebenzayo kuka-Hamer njengokubonisa ukungqubuzana okuzungeze imbobo yesifuba ngenxa yenodule yamaphaphu eyaziwa isiguli.

Etafuleni lokusebenza ingxenye yesithathu ye-osteosarcoma ye-3 kg

ikhasi 511

21.6 Ukwelashwa kwe-leukemia

Ukwelashwa kwe-leukemias ekuqaleni kungahlukaniswa ngamaqembu ama-2 amakhulu:

1. Ukwelashwa esigabeni sokungqubuzana, i-preleukemic (= myelophtisic) noma ngamanye amazwi: Ukwelashwa komdlavuza wamathambo esigabeni esisebenza ngokungqubuzana, okusho ukuthi ngokwe-hematopoiesis kusho: I-anemia Leukopenia = Panmyelophthisis (ukusetshenziswa komnkantsha noma ukucindezeleka kwe-thrombocytopenia)
2. Ukwelashwa kwe-post-conflictolytic, isigaba se-leukemic, isigaba sokuphulukisa ngemuva kokuxazululwa kwengxabano yokuzethemba, isigaba sokuphindaphinda ngemuva komdlavuza wamathambo, okusho ukuthi ngokwe-hematopoiesis:

a) Isigaba sokuqala: Ngokushesha ngemva kokungqubuzana, i-anemia kanye ne-leukopenia kanye ne-thrombocytopenia.

b) Isigaba sesibili: I-anemia kodwa kakade i-leukocytosis kodwa ne-thrombocytopenia. Iningi le-leukemias litholakala kulesi sigaba ngoba iziguli zikhathele futhi zikhathele!

c) Isigaba sesithathu: Ngokuvamile emavikini angu-4 kuya kwangu-6 ngemva kokuqala kwe-leukocytosis, ukukhiqizwa kwama-erythrocyte nama-thrombocyte kuqala ukuba okuphawulekayo, kodwa ingxenye enkulu yamangqamuzana egazi abomvu ayikavuthwa ngakho-ke ayisebenzi.

d) Isigaba sesine: Ukukhiqizwa ngokweqile kwamangqamuzana egazi amhlophe nabomvu, okuthiwa yi-pan-polycythemia vera.

e) Isigaba sesihlanu: Ukwenziwa kokujwayelekile kwezilinganiso zamangqamuzana egazi, kokubili egazini le-peripheral kanye nomnkantsha.

ikhasi 512

Lezi yizigaba ezijwayelekile zokuqhubeka njengoba zinjalo ngamunye Ukungqubuzana kokuzethemba-DHS nesikhathi esilandelayo sokungqubuzana kanye nesigaba sangemuva kwengxabano-tolytic kwenzeka, inqobo nje uma ukungqubuzana kuxazululiwe. Lesi sakamuva siyisimo se-leukemia! Lezi zigaba zokuqhubekela phambili ziyefana ngokomthetho kubantu nasezilwaneni. uwena inkambo yebhayoloji esimweni esivumayo. Uma wazi lokhu kuqhubekela phambili kwezinto eziphilayo, ukwelashwa kwe-leukemia kulula futhi ngempumelelo kakhulu! Ngokushesha uzoqaphela lokho ngokwakho! Kodwa-ke, akunangqondo ukufuna kuphela ukubhekana nengxenye yesibili yohlelo olukhethekile lwebhayoloji, okungukuthi inqubo yokuphulukisa, lapho ingxenye yokuqala, okungukuthi ingxenye ephikisanayo, ingabuya noma nini. Ubude nobukhulu bokungqubuzana, isibonelo, nakho kusitshela okuningi mayelana nesikhathi esilindelekile sezigaba ze-leukemic. Singathola ulwazi olufanayo noma olufaniswayo kuma-X-ray noma ama-CT scan ohlelo lwamathambo.

ikhasi 513

Uma thina njengodokotela sinenhlanhla yokuhlangabezana ne-leukemia lapho umuntu esevele exazulule ukungqubuzana kokuzethemba, kufanele sazi yonke into: Yayinini i-DHS, bekuyini okuqukethwe yingxabano ikakhulukazi? Ingxabano yathatha isikhathi esingakanani futhi yayishube kangakanani? Ingabe zikhona izigaba lapho umfutho wengxabano wehla khona? Ingabe zikhona izigaba zangaphambilini zokuxazulula ukungqubuzana ezalandelwa ukuqubuka kwengxabano? Yayinini isixazululo sokugcina sokungqubuzana? Ingabe ukungqubuzana kuxazululiwe ngempela? Isiguli saphinde saqala nini ukudla? Wayengaphinde alale nini? Zafudumala nini futhi izandla zakhe? Kunini lapho aqala khona ukuzwa ingcindezi ebuchosheni bakhe (ikhanda liqhuma)? Ukuze wenze lokhu, kufanele uqoqe ngokucophelela idatha yomtholampilo ukuze ube nesibukezo esiphelele ngangokunokwenzeka. Futhi okubaluleke kakhulu kukho konke lokhu kufanele futhi kufanele: “Ungathuki! Iningi liyasinda uma lenziwe kahle!” Ngoba isiguli somdlavuza wegazi siyinkosi ngoba kusobala ukuthi sesiyixazululile kakade ingxabano yaso!!

Ngakho-ke sifuna ukubheka ngokucophelela izigaba nezigaba ngoba ngazi kahle ukuthi nina, bafundi abathandekayo, manje senifa kangakanani ukuthola ukuthi kufanele kusebenze kanjani ngokuningiliziwe:

21.6.1 Ukwelashwa esigabeni sokungqubuzana, se-preleukemic

Qaphela:
Imfuneko yanoma yikuphi ukwelashwa okunengqondo kwe-leukemia ukwakhiwa kabusha kwengxabano eyenzeka ngaphambi kwesigaba se-leukemia. I-synopsis yemvelaphi kanye nokuqhubeka kwayo yonke idatha etholakalayo yezengqondo, yobuchopho kanye ne-organic ibalulekile!

Angikwazi ukwelapha i-leukemia ngaphandle kokwazi ngesigaba sokuqala sokungqubuzana se-SBS esandulelayo. Ulwazi lwakho lunginikeza izinkomba eziningi ezibalulekile. Okokuqala yizo ezingokwengqondo: Into ebaluleke kakhulu ukuthi uhlale wazi i-DHS! Ngaye sengiyazi kakade ubude besikhathi sokungqubuzana kanye nokuqukethwe kokungqubuzana. Okulandelayo okubaluleke kakhulu ulwazi lwenkambo yodweshu, ikakhulukazi ukushuba kodweshu. Lokhu kuhlanganisa, vele, ama-X-ray noma ama-CTs wengxenye yamathambo ethintekile. Okulandelayo ukwazi kahle ukuthi kwenzeka nini ukungqubuzana. Lokhu kufanele njalo kwandulela i-leukemia, ngaphandle kwalokho isiguli besingeke sibe ne-leukemia.

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Khona-ke izinkomba zobuchopho: Uma ama-CTs obuchopho etholakala, ulwazi ngawo luzuzisa kakhulu. Bangakwazi ukunikeza ulwazi mayelana nokuthi, ngaphezu kokwehla kokuzethemba, kube khona okunye ukungqubuzana, isibonelo ukungqubuzana kwendawo, ukungqubuzana kokwesaba entanyeni, njll. - ikakhulukazi uma kuqhathaniswa nobuchopho be-CTs isigaba se-leukemic!

Khona-ke imikhondo yezinto eziphilayo: Kusiza kakhulu ukwazi ukuthi yayiyini inkambo yezinga legazi esigabeni sokungqubuzana, lapho kungenzeka ukuthi i-anemia itholakele (ivame ukunganakwa!), nalapho kungenzeka ukuthi i-osteolysis isivele ibonwe. ezithombeni ze-X-ray zohlaka lwamathambo Kwakungenzeka ukubona ukuthi i-leukopenia ne-thrombocytopenia yayinzima kangakanani. Wonke udokotela kufanele abe isigebengu sezokwelapha! Akukhona nje ukuthi kuwufanele ukwenza umzamo, kodwa futhi kuyajabulisa! Kodwa okubaluleke kakhulu: Isiza isiguli ngoba idala noma ikhuthaza ukwethenjwa okusekelwe eqinisweni. Ngoba ngokushesha isiguli siyaqaphela ukuthi kunohlelo oluhilelekile. Ngokushesha uqala ukusebenza ngomdlandla ngoba unomuzwa wokuthi angakwazi ukuzisiza ngokwelapha!

Kwenze kucace kuwena ngokuphindaphindiwe: Isiguli esine-leukemia singcono kangakanani uma siqhathaniswa nesiguli esinomdlavuza wamathambo osaqhubeka nokungqubuzana. Ngoba isiguli se-leukemia sesifinyelele esigabeni se-post-conflict-tolytic! Izinto ezinhle nazo zingagcizelelwa ngendlela enhle ngokukhethekile, ngoba lokhu kuyasakha isiguli ngokufanelekile. Imibono emidala ye-leukemia njengesifo esibulalayo, lapho isifo okuthiwa isifo sokuqhuma okubi kwamangqamuzana kufanele sikhishwe ngoshevu nemisebe, njengoba nje ngeNkathi Ephakathi udeveli omubi kwakufanele axoshwe ngenkemba, ushevu nomlilo. ngaphansi kokuhlushwa, zonke lezi zindaba ezisabekayo zakudala zivunyelwe zingagxekwa njengobuwula obudlule kanye nokuzikhukhumeza osekuphelile manje.

Qaphela, odokotela, ukuthatha le ngxenye yokuqala yokwelashwa kwe-leukemia kalula! Kungaphindisela esigulini esimpofu ozama ukusisiza! Esikhathini esizayo esingekude kakhulu, odokotela ngokushesha bazolwa ngokuthi ubani ozothola ukwelashwa okujabulisayo njengesiguli somdlavuza wegazi!

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21.6.2 Ukwelashwa kwesigaba se-post-conflictolytic leukemic (ingxenye yesibili ye-SBS)

isigaba sokuphulukisa ngemva kokuxazululwa kokungqubuzana kokuzethemba, isigaba sokulinganisa kabusha ngemva komdlavuza wamathambo.

21.6.2.1 Isigaba sokuqala

Ngokushesha ngemva kokungqubuzana kusekhona i-pancytopenia (okungukuthi, i-anemia, i-leukopenia ne-thrombocytopenia). Lesi sigaba sokuqala yi-a kuyingozi Isiteji sabangazi, kodwa umsebenzi othokozisayo kadokotela we-thoroughbred. Isiguli sivame ukuba ne-anemia enzima yesibalo segazi eliphelele. Imikhumbi yayiboshwe ngaphambili ngezwi elinozwela elihlala njalo. Ama-erythrocyte ambalwa kanye ne-hemoglobin ephansi kwakwanele nje kulo mthamo omncane womkhumbi.

Kodwa manje, ngenxa yokungqubuzana, umzimba usushintshele ku-vagotonia. Izitsha zinwetshiwe. Zonke iziguli zikhathele futhi zikhathele kulesi sigaba se-tolytic sangemuva kwengxabano, ngisho nalezo ezingenayo i-anemia. Kodwa-ke, lezo ziguli ezine-anemia (enzima) zibuthakathaka ngendlela emangalisayo futhi zikhathele kangangokuthi zingalala phansi kuphela. Manje akekho udokotela ongalishaya indiva iqiniso lokuthi isiguli “siyagula” nakuba kakade siba ngcono. I-hemoglobin kanye nenani le-erythrocyte kubonakala sengathi "yehlile", kodwa empeleni baye Ukuqondiswa kuncishiswe kuphela, igazi lihlanjululwe kakhulu, ngoba umthamo we-vascular uphindwe kathathu kuya kahlanu ngenxa yokwanda kwezitsha. Ivolumu engekho kwadingeka igcwaliswe nge-serum. Ngakho-ke asikho isizathu sokwethuka! Igazi alikanciphi, lixutshiwe nje. Inhliziyo yayizoshaya ngokushesha ngoba kwakuzodingeka ijikelezise amanani amakhulu egazi ngokugxilisa i-hemoglobin ephansi ukuze ithole umphumela ofanayo wokukhipha umoya-mpilo. Kodwa inhliziyo ayikufuni lokho, ngoba ukuxazululwa kwengxabano kukhona, "impi ilwiwe". Umzimba ushintsha ululame ngamandla athambile ukuze upholise amanxeba zempi!

Ikhompyutha futhi inokuvumelanisa nokuxazulula ukungqubuzana kwengqondo Ingqondo "ishintshiwe". Ukuphulukiswa nakho kuqala lapho ngokuvuvukala kwesilonda se-Hamer ku-medulla yobuchopho. Futhi nakuba isiguli sibukeka sigulela ukufa futhi sikhathele, ukukhiqizwa kwe-hematopoiesis kuqala ngokungqubuzana komnkantsha. Lesi simo, lapho i-anemia ne-leukopenia zisabonakala egazini le-peripheral, kodwa i-myeloblasts yokuqala (noma i-lymphoblasts) ingatholakala kakade emnkantsheni wamathambo ngesikhathi sokubhoboza umgogodla, ngaphambili yayibizwa ngokuthi "i-myeloblastic" noma "i-lymphoblastic aleukemia" ngemithi evamile. , ngokungafani ne-myeloblastic noma i-Lymphoblastic leukemia. Ibizwa ngokuthi "i-aleukemic leukemia". Eqinisweni, "kuphela" isigaba sokuqala sokuphulukisa noma ukuqala kwenjini ye-hematopoiesis.

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21.6.2.1.1 Izinkinga zesigaba sokuqala sokuphola kanye nokwelashwa

Kungase kubonakale kuyihaba kuwe, mhlawumbe ngisho kuyinhlekisa kwabanye, uma ngibheka inkinga embi kakhulu njengokuphindaphinda kwengxabano noma ukungqubuzana okusha kokwethuka ne-DHS. Ngiyayazi into engikhuluma ngayo futhi nginezizathu ezizwakalayo zayo! Izinkinga ezisezindaweni eziphilayo, ngisho nasezindaweni zobuchopho, manje zingalawuleka kahle ngomuthi wethu ohlomele kakhulu wokunakekela abagulayo. Awusadingeki ukuba ufe ngenxa yayo - okungenani hhayi ezimweni eziningi. Kodwa ngokuvamile odokotela bayalahlekelwa uma kuziwa ezinkingeni ezingokwengqondo! Kunzima kakhulu kubantu abaningi ukucabanga ukuthi amaqiniso okuthiwa "ama-laboratory aqinile" angathanjiswa yi-psyche ngokuthanda kwawo futhi angaphinde abe lukhuni futhi ngendlela efanayo. Yonke inqubo yokuphulukisa ayigcini nje ukuma noma iwe ngesibindi nokuzethemba kwengqondo, kodwa le ngqondo ingakwazi ukuhlala izinzile uma ukungqubuzana kuhlala kuxazululiwe futhi akukho okusha okuvelayo okuphonsa isiguli emuva ku-tonicity enozwela unomphela. Ngaphambilini, lapho isiguli se-leukemia siphindela kabusha kakhulu ekungqubuzaneni kokuzethemba - ngokuvamile ngenxa yokuxilongwa okulimazayo kwe-"leukemia" ngokwayo - khona-ke izibalo ze-leukocyte zazihlale zehla ngokushesha ngoba isiguli sasiphinde sibe ne-tonic enozwela ngokucindezeleka okuvuselelwe kwe-hematopoiesis. umnkantsha. Odokotela babevame ukuhalalisa: “Hurrah, lokho okubizwa ngokuthi ukuxolelwa³²⁸!" Eqinisweni, isiguli, esasivele sisendleleni eya ekululameni, sase siphinde sagula kakhulu (=sympathicoton). Kodwa ingabe isiguli esimpofu sakwazi - ngokumelene nakho konke obekulindelekile - ukuxazulula ukungqubuzana kokuzethemba kwaso futhi (okungukuthi sakhe kabusha ukuzethemba kwaso) naphezu kokuhlushwa ngoshevu, insimbi nemisebe, kwaze kwaba nomphumela we-leukemia entsha noma wagcina engazweli. (noma enenkani) ngokumelene nayo yonke imizamo yokufaka ushevu, kangangokuthi wamane wahlala esigabeni sokuphulukisa se-leukemia, khona-ke bonke odokotela bakhononda ngokuthi akukho okunye okwakungenziwa, ukuthi ukubuyela emuva kwakufikile noma kwakungeke kuphele nhlobo. . Kwabe sekusetshenziswa ubuthi obunamandla ngokwengeziwe kwaze kwaba yilapho isiguli esinjalo siwa futhi safa njengazo zonke ezinye.

³²⁸ Ukukhululwa = ukunciphisa izimpawu

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Esigabeni sokuphulukiswa kwe-leukemic, isiguli sifana nesitshalo esintekenteke esingasakwazi ukuchayeka emoyeni omubi wokuncintisana ukuzethemba. Ngokufanelekile, kufanele zonke izifiso zakhe zifezeke endaweni yokugula enegumbi elincane labagula kakhulu. Kufanele wakhe ukuzethemba kwakhe kakhulu, kodwa ngaphandle kwalokho kufanele uqhelelane nazo zonke izinkinga, ikakhulukazi lezo "zomndeni onezinhloso ezinhle". Ngaphezu kwakho konke, njengomuntu ophethwe i-TB, kumelwe abone “ikhambi lakhe lokuphumula” njengelenele ngokuphelele. “Ubuthakathaka nokukhathala kuhle!” Ubuhlungu bethambo buhle futhi kuwuphawu oluqinisekile lokuphola! “Asikho isidingo sokwethuka!” Kuthatha isikhathi.

Ubuchopho Uma ubhekisisa, usungabona ukuqala kwe-edema ku-medulla yobuchopho, ngokuvamile eyenziwa ezinganeni nakubancane, ikakhulukazi kubantu abadala, futhi ijwayelekile kubantu abadala kakhulu. Kodwa izinkinga ezivela ebuchosheni azivamile ukuba zesatshwe kulesi sigaba. Kuphela uma ukungqubuzana kuthathe isikhathi eside, okungukuthi isikhathi esingaphezu kwesigamu sonyaka, kufanele unake ingcindezi ye-intracranial. Ezimweni ezinjalo kuhle ukuthi unikeze i-cortisone sekwephuzile ngangokunokwenzeka kodwa kusenesikhathi lapho kudingekile; Kubantu abadala, i-Prednisolone retard 20 kuya ku-50 mg isatshalaliswa emini nasebusuku, lapho i-"night vagotonia" evamile kusukela ngo-9 ekuseni kuya ku-3 noma 4 ekuseni kufanele ibhekwe ngokucophelela. Kunjalo, nezingane unikela kancane. Ku-leukemia, i-cortisone iqalwa sekwephuzile ngangokunokwenzeka ngoba i-cortisone ibambezela i-hematopoiesis, okungafuneki. Kuthathwa ukuze kugcinwe ukucindezela kwe-intracranial ngaphakathi kwemikhawulo. Amaphesenti angu-5 kuya kwangu-10 kuphela adinga i-cortisone! Kodwa-ke, amaphakethe eqhwa ezindaweni ezishisayo zekhanda ngokuvamile anele.

Inhlangano Izinkinga eziyinhloko i-anemia kanye ne-thrombocytopenia enokuthambekela okubangelwa ukopha esikhathini sokuqala ngemva kokungqubuzana! Umqondo wokuthi i-leukopenia kulesi sigaba imele "isimiso sokuzivikela esibuthakathaka" ingumbhedo nje! Wonke ama-suppurations nezinye izenzakalo zebhaktheriya ezenzeka kulesi sigaba sokuphulukisa i-pcl zifunwa ngokucacile futhi zibekezelelwa ngumzimba. Uma nje kungekho ukuxhashazwa nge-cytostatics, umzimba unama-leukocyte anele atholakalayo ngisho nase-leukopenia ukuze kuqinisekiswe ukubambisana okubushelelezi nabangane nabasizi bayo, amagciwane! Ngisho nama-leukocyte angu-2000 noma angu-1000 kuphela mm mm² Kulesi sigaba "konke kuhamba kahle", asikho isizathu sokwethuka! Futhi ngisho noma ama-elasts okuqala asevele egezwa egazini le-peripheral kulesi sigaba, lokho kuyisizathu esihle sokubungaza. Oqhamuke nombhedo wokuthi ama-elastic angavala umnkantsha wonke ufanele indondo yobulima nokucabanga okufushane! Akulona nelilodwa izwi lakho eliyiqiniso!

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Kodwa esigabeni sokuqala sisengaphambi kokuqhuma kwezikhukhula egazini le-peripheral. Okwamanje sikhathazekile nge-anemia, i-leukopenia kanye ne-thrombocytopenia.

Inkinga engenzeka elandelayo kufanele kukhulunywe ngayo lapha kuzo zonke izigaba zokuqala ngemva kokungqubuzana: Ngenxa yokwandiswa kwemikhumbi kanye nokuncipha okuqinile kwegazi kanye ne-thrombocytopenia ehlobene, ukopha kwenzeka kalula, ikakhulukazi emakhaleni (ngokwesibonelo ngenxa yokuncipha kwemithambo yegazi) uqweqwe kanye nokucosha amakhala). Lesi akusona isizathu sokwethuka, kodwa njengesinyathelo sokuqapha kufanele ugcine ulwelwesi lwamafinyila lwamakhala lumanzi ngamafutha namaconsi kawoyela, phakathi kwezinye izinto.

21.6.2.1.2 I-anemia

I-anemia ngokungangabazeki ikhona ngoba umnkantsha wawungaphansi kokucindezeleka kwe-hematopoiesis kuze kube muva nje. Isibalo se-erythrocyte mm mm² kuncipha kakhulu ngemva kokungqubuzana, njengoba sesixoxile kakade ngenhla, kodwa kuphela ngenxa yokuthi lonke uhlelo lwe-vascular manje lugcwele uketshezi. Futhi lapho igazi lihlanjululwa ngoketshezi, inani lama-erythrocyte nge-mm liyancipha². I-hemoglobin ivame ukwehla ngezinga elifanayo, kodwa kuphela ngezibalo!

Lokhu kusho ukuthi kulesi sigaba se-PCL ye-vagotonic kune-hemoglobin engu-6 g% nama-erythrocyte ayizigidi ezingu-2 mm nge-mm.² cishe i-hemoglobin engaba ngu-10 kuya ku-12 g% kanye nama-erythrocyte ayizigidi ezingu-40 ngemm² esimweni se-vascular esinozwela, okungukuthi ngemikhumbi emincane kanye nomphumela ophansi we-vascular volume. Ngakho ungathuki! Ngo-6 g% we-hemoglobin, isiguli sisaphila kahle esigabeni se-PCL (isigaba sokuphulukisa se-vagotonic)!

Okwamanje asikazi kahle ukuthi isiguli - uma sithatha isixazululo esiwujuqu sokungqubuzana - empeleni sisancipha ekubalweni kwangempela kwe-erythrocyte (absolute), noma ukuthi ukuncipha okunjalo kulingisa kuphela ukushintshashintsha kwevolumu. Kodwa-ke, ngokusekelwe ekuhlangenwe nakho kwami ​​​​kwamanje, ngicabanga ukuthi kungenzeka ukuthi kusekhona "ukucindezeleka kwesigaba" esithile se-hematopoiesis, ikakhulukazi uma ukungqubuzana kwangaphambili kwahlala isikhathi eside. Kodwa naphezu kwakho konke, kusukela ngesikhathi sokungqubuzana kuya phambili sithola izimpawu zokwanda kwe-hematopoiesis, kuhlanganise negazi elibomvu. Kuthatha isikhashana nje ukuthi i-hematopoiesis ebomvu iqhubeke kunokwakheka kwegazi elimhlophe. Kodwa-ke, njengoba i-anemia ihlale ihambisana ne-thrombocytopenia yethiyori, engaholela ekopheni okungajabulisi kakhulu, akufanele ubeke engcupheni, kepha uma i-hemoglobin yehla ngaphansi kuka-5 g% kanye ne-hematocrit (HK) engu-15% ama-erythrocyte angaphansi kwezigidi ezingu-1,5 mm mm²“, khona-ke kufanele umpontshelwe igazi - futhi kancane ngangokunokwenzeka! Isikhathi sisebenzela isiguli noma kunjalo! Ngakho-ke, kungcono ukuthi athole kuphela ithini lama-erythrocyte ahlanjululwe (450 ml) kunokuba “ampontshelwe,” njengoba kwakwenziwa ngaphambili ngaphansi kwesibikezelo esihluke ngokuphelele. Yebo isiguli siyakudinga ukuphumula kombhede!

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I-Thrombocytopenia, noma i-thrombocytopenia ngamafuphi, iyinkinga engenzeka okungafanele ithathwe kancane. Bengilokhu ngiqaphela, ikakhulukazi ezinganeni, ukuthi noma yikuphi ukwethuka kungabangela ukuba inani lama-platelet lehle esikhathini esifushane. Ilulama ngokushesha lapho ukwethuka sekuphelile, kodwa okwamanje kunomkhuba wokopha, futhi isiguli siphinde sibe ne-sympathicotony okwesikhashana, singadli, sinesifiso sokuhlanza, njll. Ukopha emgudwini wamathumbu kusuka ku-nasopharynx kuyesatshwa ikakhulukazi. Njengoba kuxoxiwe, ingozi yokopha iyanda ngokuncipha kwegazi okuqinile. Ngokuyisisekelo, isiguli esingenabo ubuthi bezidakamizwa ze-cytostatic, esiphathwa “ngomuthi onesihluku esikhulu” esincane ngangokunokwenzeka, kodwa esizinzile ngokwengqondo futhi sigcinwe kunoma yikuphi ukwethuka, sinethuba elihle kakhulu lokusinda ku-95% nangaphezulu!

21.6.2.2 Isigaba sesibili: I-anemia kanye ne-thrombocytopenia, kodwa kakade i-leukocytosis noma i-leukemia

Ama-leukemia amaningi atholakala kulesi sigaba ngenxa yokuthi iziguli zikhathele futhi zikhathele (odokotela abavamile bakubheka njengophawu olubi kakhulu, olucishe lufane ne-diabolol pathological). Kuvamise ukuba kubi kakhulu, ikakhulukazi ezigulini ezingazange zibe nomsebenzi wokungqubuzana isikhathi eside kangako: othile ubuthakathaka futhi ukhathele, akakwazi nokuma ngezinyawo, ukhathele kakhulu. Kodwa lapho nje isimile futhi evundlile, izizwa inethezeke ngokuphelele, ilala njengembila, futhi idla njengesisebenzi sasehlathini. Kulesi simo senhlalakahle, lapho isiguli sisanda kuxazulula ngempumelelo ukungqubuzana kwaso ukuzethemba futhi sesiqale ukuvuselela ukuzethemba kwaso, ukuxilongwa kwe-“leukemia” kuvame ukufika, kulandelwe ngokuqondile i-prognosis okuthiwa: “Kunjalo nje. amathuba amaningi okusinda”. Lokhu kulandelwa izingcezu nezingcezu zobuhlungu obusuka ekumpontshelweni kwegazi kuya kokulandelayo, impandla yekhanda ngenxa yokuhlushwa okunamandla kwe-cytostatic. Yonke into emakamelweni amnyama kancane, afana nelabhorethri angakhanyiswanga kahle izibani ze-neon, kanye nengxoxo engapheli mayelana nemiphumela yokuhlolwa kwegazi kanye nobuso obudabukisayo bezihlobo nxazonke.

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Futhi uma ucabanga ngeqiniso lokuthi lokhu wonke umkhohlisi omkhulu, uvele uzizwe ugula!

Futhi uma umuntu ompofu onjalo osevele “welashwa” waze wafa ekuthola, ucabanga ukuthi ukwelashwa kufanele kuqale kuphi? kodwa nakanjani hhayi ngokuhlolwa kwegazi, lapho amajazi amhlophe avele ame! Noma inkulumo ehlakaniphile yezemfundo mayelana namathuba ezibalo alindelwe okusinda nezibikezelo, konke okuwukukhwabanisa! Cha, nangu umuntu ohluphekayo ohlushwayo, umngane nomfowenu, okufanele umhawukele! Futhi ungalinge ungitshele lo muntu omkhulu, odabukisayo³²⁹ Ukuzwakala kanjena: “O, Mnu. Müller, usalungile, kuyilapho empeleni abantu abaningi becabanga ukuthi: “Ngethemba ukuthi kuzophela maduze nje!” umphatha kahle nje!

21.6.2.2.1 Izinkinga zengqondo

Iziguli zalesi sigaba sesi-2 zisesimweni esijabulisa nakakhulu kunalezo zesigaba sokuqala se-aleukemic sesigaba sokuphulukisa. Ngenhlanhla, usuvele usesigabeni sakho somdlavuza wegazi, “injabulo ye-leukemia”! Kufanele ubatshele ukuthi okungenani izikhathi ezingu-1 ngosuku ngokuphindaphindiwe, egcwele injabulo nokuzethemba, ngoba ngempela kuyisibonakaliso esihle kakhulu sokuthi i-hematopoiesis isiqalile futhi! Kungcono ukuhlela iphathi encane yesigceme sokufika kwesiguli sangempela se-leukemia, yindlela i-leukemia ejabula ngayo! Futhi ake sichaze ngokuningiliziwe ukuthi wakwazi kanjani ukuvuselela ukuzethemba kwakhe, ukumdumisa nokumncoma ngendlela efanele! Futhi uma wasinda ngisho “nezindlela zokwelapha” zozakwenu ngaphandle kokuhlupheka okunye, ukushaqeka okujulile ukuzethemba, khona-ke uyiqhawe ngempela futhi kufanele aphathwe kanjalo!

Kufanele wehle esisekelweni sakho se-snooty doctoral. Namuhla kunanini ngaphambili, ngemva kokuba kufanele uqaphele ukuthi ubulokhu utshela iziguli zakho into engalungile amashumi eminyaka. Lezi ziguli aziwona “icala” kodwa ngabantu abafana nami nawe. Futhi uma nina bodokotela ningakwazi ukubhekana nabantu abanjalo ngendlela efanele, khona-ke aniwufanele Umuthi Omusha! Uprofesa wezifo zabesifazane eduze kwaseReeperbahn eHamburg wake wangibuza ukuthi ingabe ukwelashwa kwengqondo kungawelapha yini umdlavuza.

³²⁹ bigot = ngcwele

ikhasi 521

Ngathi, ngaphansi kwezimo ezithile, kuhle kakhulu! Wabe esethi uyakwenqaba lokho ngoba kwakuzodingeka akhulume neziguli zakhe ezazinengxabano yocansi futhi, ngokohlelo lwami, umdlavuza womlomo wesibeletho, mayelana nezingxabano zabo zobulili ezingcolile, ama-pimps abo nokunye okunjalo, kwakungekhona yena. kunengqondo.

Ngathi angeke akwenze okomuntu vele. Kodwa bangabantu nje abafana naye, futhi kulaba abaqwayizi abancane ngokuqinisekile bekungaba ukuphoqelela okufanayo ukukhuluma naye ngezimbobo zakhe zegalofu angeke ngiwubone umehluko oyisisekelo ngaphandle kokuzikhukhumeza.

Lapho iMithetho Emi-5 Yemvelo Yezokwelapha Emisha isisakazekile futhi isisetshenziswa umtholampilo wokuqala wasenyuvesi eJalimane, futhi lapho ukuhlushwa ngobuthi benkathi ephakathi sekuphelile, khona-ke isiguli somdlavuza wegazi sizoba kulesi sigaba sesibili senqubo yokuphulukisa “icala elincane” mayelana ne-psyche. Ngoba - ngaphandle kwalokho wayengeke abe ne-leukemia - ukungqubuzana-kuxazululwe, ngokwengqondo kwakuzodingeka abe sezingeni eliphezulu!

21.6.2.2.2 Izinkinga zobuchopho

Kulesi sigaba sokuphulukisa sesibili kufanele unake ubuchopho. Iyakhukhumala, ongayibona ngombala omnyama ojulile we-medulla kanye nokucindezelwa kwama-ventricles aseceleni. Nokho, lokhu kwenzeka kuphela esimweni sokwehla okujwayelekile kokuzethemba esimweni sokungqubuzana okuthile okuhilela ukwehla kokuzethemba (isb. ukwehla ukuzethemba kukamama/kwengane), ngokuvamile izindawo ezithile kuphela ze-medullary ezithintekayo; , njengoba nje izindawo ezithile zohlaka lwamathambo zakhishwa i-osteolyzed! Uzobona izindawo ezisokiwe ze-medullary zibonakala zimnyama kakhulu ku-CT yobuchopho futhi mhlawumbe i-ventricle eyodwa kuphela engemuva ecindezelekile kancane. Umthamo olungile we-cortisone noma amanye amathonikhi anozwela uwubuciko: kancane ngangokunokwenzeka, ngokuningi ngokudingekayo. I-Adeno-corticotropic hormone (ACTH), isibonelo i-Synacten, ingasetshenziswa, kodwa akulula ukuyidosa. Ngokomthetho, nokho, akukho ukuphikisa kulokhu. Kodwa-ke, ukucacisa umthamo kungadida ngoba zonke izimo zihlukile. Lapho inani lama-leukocyte likhuphuka, kulapho ukungqubuzana okudlule kwakunamandla khona futhi ukuvuvukala kokugxila kuka-Hamer ku-medulla kungalindelwa. Kodwa lena akuyona inkinga engancibiliki emuthini wanamuhla nhlobo, ngoba ngalokhu kwelashwa kwezidakamizwa okunezimpawu kuphela, umuthi ovamile ubuyele esizindeni sawo. I-Prednisolone inikezwa i-2 mg njalo emahoreni angu-11.00-23.00 kusukela ngo-3 ekuseni kuya ku-4 ntambama. Nokho, lokhu kudingekile kuphela ezimweni ezi-5 kuye kwezingu-5%. Ngokuvamile kwanele ukufaka iphakethe leqhwa lendawo futhi uphuze inkomishi yekhofi njalo nje.

ikhasi 522

21.6.2.2.3 Izinkinga zemvelo

Okokuqala, i-leukocytosis, okungukuthi i-leukocyte glut (ngokuyinhloko equkethe ama-elasts kuphela), ayifaki izinkinga noma ngobuningi noma ngekhwalithi. Ama-elastics ikakhulukazi ayanyamalala egazini ngemva kwezinsuku ezimbalwa nje futhi "agxivizwa" futhi athathelwe indawo amasha. Ngaphezu kwalokho, abasakwazi nhlobo ukuhlukanisa. Ngakho-ke igama elithi "ukungena kwe-leukemic" laliyi-bluff enkulu, engenalwazi. Ngoba uma ama-elast engasakwazi ukuhlukanisa, angeke akwazi ukwenza noma yikuphi (okungukuthi “i-carcinomatous”) kungene ngaphakathi! Ngendlela, ukungena okunjalo okucatshangwa ukuthi i-leukemic kuye kwatholakala ngokuvamile ebuchosheni. Le mihlambi yakwaHamer - ngenxa yokuthi kwakungeke kube enye into - kwakucatshangwa ngephutha ukuthi iwumphumela we-leukemia, kuyilapho empeleni yayiyimbangela yomdlavuza wamathambo futhi yebo inqubo yokwelapha ebuchosheni bekhompyutha! Kwakuyinganekwane yezingane zezokwelapha ukuthi isikhukhula se-leukoblast, njengoba sengishilo kakade, sizovala umnkantsha noma imithambo yegazi enwetshiwe. Akekho oke wakwazi ukufakazela lokho. Ama-elastics awalutho ngaphandle kokulahlwa okungenangozi okuhlala "kugxivizwa" ezinsukwini ezimbalwa kuze kube yilapho ukukhiqizwa ekugcineni kunikeza amaseli avamile futhi. Cha, ama-elast awasibangeli izinkinga nhlobo, ngoba kuhlale kukhona ama-leukocyte avamile angu-5.000 10.000 kuya kwangu-1 XNUMX, kungakhathaliseki ukuthi mangaki ama-elast akhona ku-periphery. Nokho, kulesi sigaba, i-anemia yamangqamuzana abomvu egazi, ama-erythrocyte nama-platelet, kusasibangela izinkinga. Inkinga kule ndawo ayikashintshi uma kuqhathaniswa nesigaba sokuqala. Kodwa lezi zinkinga zilawuleka kalula kulezi zinsuku, asikho isidingo sokwethuka!

Ngakho-ke nakuba lokho okubizwa ngokuthi i-leukemia sekuvele kwenziwa ukungqubuzana, ngaphandle kwalokho bekungeke kube "i-leukotic" noma i-leukemic, izingxabano zokuzihlonipha eziphikisanayo zisenayo le mpikiswano ngaphambi kwazo. Le nkinga ukuthi asikwazanga ukuxazulula ukungqubuzana ukuzethemba akuyona inkinga, ngoba ngokuxazulula ukungqubuzana ukucindezeleka komnkantsha kwaba lokho okubizwa ngokuthi i-leukemia, ukuchichima kokukhiqizwa kwegazi esigabeni sokuphulukisa. Uma sicabanga noma sicabanga ukuthi ukuxazululwa kwezingxabano kuhlala kungashintshi, okungukuthi akukho ukuphindeka okwenzekayo - ngisho nangenxa yokuxilongwa kanye nokubikezelwa okungekuhle - empeleni kunezinhlobo ezi-3 zezinkinga:

ikhasi 523

21.6.2.2.3.1 a. Izinkinga ezingenzeka: i-anemia ne-thrombocytopenia

Ukubambezeleka kwe-erythropoiesis kanye ne-thrombopoiesis emasontweni ayi-6 okuqala ngemuva kokungqubuzana:

Isiguli singabulawa yi-anemia noma i-thrombocytopenia noma sophe size sife ngisho nangesigaba sokuphulukisa (isigaba se-pcl). Le nkinga ngokuvamile ayiyona inkinga nhlobo ezimeni zomtholampilo zesibhedlela. Njengamanje inkinga nje yokungazi. Ukuze ugweme noma yikuphi ukopha ngangokunokwenzeka, isiguli kufanele sihlale sizolile kuze kube yilapho ama-platelet ekhuphuka futhi.

21.6.2.2.3.2 b. Inkinga engaba khona: ukuphuka kwethambo okuzenzakalelayo

Ezingxabanweni ezibandakanya ukuwohloka kokuzethemba okuye kwahlala isikhathi eside, i-osteolysis ohlelweni lwamathambo ingaba nzima kangangokuthi kungenzeka ukuphuka okuzenzakalelayo. Ngisaba ikakhulukazi labo lapho i-periosteum ilimala khona. Lokhu-ke kuholela kulokho okubizwa ngokuthi i-sarcoma, ukukhula kwethambo esicutshini esingenabungozi ngokwesimiso, kodwa kungabangela izinkinga ezinkulu zemishini. Kodwa-ke, ngokuxilonga okufanele kanye nolwazi olufanele lwangaphambili, lezi akufanele kube yizinkinga ezingenakunqotshwa. Nalapha inkinga enkulu wukungazi kodokotela.

21.6.2.2.3.3 c. Inkinga engaba khona: ukuvuvukala kobuchopho ku-cerebral medulla

Esigabeni sokuphulukisa, njengakunoma yimuphi umdlavuza, sibona ukuvuvukala kobuchopho endaweni lapho kugxilwe khona u-Hamer, okufana ncamashi nezingxenye zamathambo ezithintekayo. Maka inqolobane yobuchopho. Lokhu kuvuvukala kungaholela okwesikhashana esimweni sangaphambi kokuqunjelwa noma ngisho nokuquleka kwesiguli (i-brain coma). Lesi simo senzeka kalula kakhulu uma isiguli siphonswa uketshezi olugcwele (infusions) ubusuku nemini, njengoba kuwumkhuba ovamile namuhla. Kodwa futhi lezi zinkinga odlulayo Izinhlobo zingelashwa kahle nge-sympathicotonics ne-cortisone, i-penicillin njll. Nalapha futhi, ukungazi kodokotela yikona okuwukukhubazeka okukhulu.

ikhasi 524

21.6.2.3 Isigaba sesithathu: Ukuqala kwesikhukhula se-erythrocyte ukuya endaweni ezungezile, cishe amasonto ama-4 kuya kwayi-6 ngemva kokuqala kwesikhukhula se-leukoblast.

Hurray, manje kunesizathu sokugubha, i-erythrocyte glut iyeza! Inqubo efanayo manje iyenzeka ngegazi elibomvu njengoba lenze ngegazi elimhlophe emasontweni amathathu kuya kwangu-3 ngaphambili. Iningi lama-erythrocyte ama-erythrocyte angavuthwanga ama-rejects; Inhlanganisela enjalo iyisibonakaliso esiphindwe kabili sikadeveli kuma-hematologists. Bese bekhuluma nge-erythroleukemia futhi manje bahlale bebikezela ukuphela kwayo okuseduze. Ukuze baxoshe odeveli ababili, bahlasela udeveli ngobuthi obuyingozi kakhulu be-cytostatic futhi - cishe njalo bayakwazi ukufaka ushevu esigulini, esesivele sisesigabeni sesithathu sokuphulukiswa! Ungaphinde uhileleke kulesi sigebengu sikasathane esidabukisayo esikhathini esizayo, yonke into eyenziwa lapha yayiwumbhedo omsulwa! Sasimane siyizimpumputhe kwaze kwaba yiminyaka eyishumi nesishiyagalombili edlule. Ngithanda ukuvuma futhi ukuthi kuze kube yiminyaka eyishumi nesithupha edlule ngangingakacaci nge-leukemia. Kodwa engikutholile kuye kwashicilelwa kusukela ngo-6 futhi kuthulisiwe njengawo wonke Umuthi Omusha!

Isexwayiso! Ingxenye enkulu yama-erythrocyte angavuthiwe, okuthiwa ama-erythroblasts, ayanqatshwa futhi ngokuyinhloko asebenzi lutho njengabathwali be-oxygen. Yingakho igazi manje selinama-leukoblasts amaningi anenani elivamile lama-leukocyte, kanye nama-erythrocyte amaningi angavuthiwe noma ama-erythroblast anenani elincishisiwe ngisho le-erythrocyte evamile, esebenzayo! Okufanayo kusebenza kuma-platelet. Lokhu kubangela i-hyperchromic anemia, okusho ukuthi isilinganiso se-hemoglobin/erythrocyte sincane kunokuvamile. Futhi nokho le ncazelo ayilungile neze, njengoba awukwazi ngempela ukubala amaseli abomvu angavuthiwe.

21.6.2.3.1 Ngokwengqondo

Ngokwelashwa okufanele ngokwemithetho emi-5 Yemvelo Yemithi Emisha, isiguli akufanele manje singabi nazo izinkinga ezingokwengqondo uma naso siye saphathwa ngokuhlakanipha phakathi nezigaba ezimbili ezedlule. Yebo, kuhluke ngokuphelele uma isiguli siza kuphela ukuzokwelashwa kulesi sigaba. Kubi nakakhulu uma esevele enemizuliswano embalwa ye-bone marrow poisoning (i-cytostatic drug poisoning) futhi manje kufanele welaphe yonke imiphumela ye-pseudotherapy! Kodwa noma ngabe kunjalo, uma isiguli sesifinyelele kulesi sigaba naphezu kwakho konke ukuxoshwa kwamademoni, ngakho-ke ngokwelashwa okuqotho akukho okungase kwenzeke kuye. Kungakho ungakwazi - futhi kufanele! - Empeleni umnikeza isikhuthazo esingenamkhawulo, futhi kufanele!

ikhasi 525

21.6.2.3.2 Ubuchopho

Cerebral kufanele uqaphele kulesi sigaba! Yisigaba esiyingozi kakhulu ebuchosheni kwabangazi. Le ngozi ithinta ikakhulukazi izingane ezinokwehla okujwayelekile kokuzethemba kanye ne-marcoedema ejwayelekile ehambisanayo kanye nama-ventricles asemaceleni acindezelwe ngokuhambisanayo kulesi sigaba sesi-3 senqubo yokuphulukisa! Uma ungabaza, kungcono ukwenza i-CT yobuchopho eyodwa kakhulu kuneyodwa embalwa kakhulu. Nalapha futhi, okuhle kakhulu yilokhu: i-cortisone encane ngangokunokwenzeka futhi kuphela nje ngokudingekayo. Kodwa kulesi sigaba ungakwazi ukunikeza izintambo kancane. Okulandelayo manje kuyasebenza: Ungabe usazifaka engcupheni, ngoba ngobuningi be-erythrocyte kanye ne-leukocyte, ngisho noma ingakavuthwa, i-cortisone ngeke isakwazi ukwenza umonakalo omkhulu emnkantsheni. Kulesi sigaba kufanele wenze umsebenzi ohlanzekile njengezingcweti ezinonembeza, ezinhle emsebenzini wakho. Asikho isizathu sokwethuka, kodwa asikho isizathu sokuzama noma. Isiguli kufanele sikwazi ukukwethemba ngokuphelele ukuthi ungakwazi ukwengamela ngokuphelele futhi ulawule isimo!

21.6.2.3.3 Okuphilayo

Ngokwemvelo, izinto eziwubulima eziningi zenzeka kulesi sigaba. Lokhu kusaqondakala kakhulu nanamuhla, ngoba okwamanje isiguli sihlala sihudulelwa emuva naphambili, njalo sizingelwa yi-Inquisition yezokwelapha evamile. Ingozi ethile ibangelwa yilokho okubizwa ngokuthi ubuhlungu bamathambo, empeleni ubuhlungu be-periosteal tension. Ngoba i-periosteum iyazwela futhi ihlinzekwa kahle kakhulu. Uma usilungiselela kangcono isiguli sakho lezi “zinhlungu zokuphulukisa amathambo” ezilindelekile, kuzoba lula ngaye ukubekezelela lobu buhlungu, empeleni uzobulinda, uzobulangazelela ngokoqobo. Ngale ndlela ugwema ukwesaba nokwethuka. Isiguli esinjalo sidinga inani elincane kuphela lamaphilisi ezinhlungu. Kulesi sigaba, iningi lalabo ababesebenza nabo baphinde baba nezinyawo lapho amangqamuzana egazi abo ekhuphuka kakhulu. Base bekhipha incwadi evamile lapho kubhalwe khona yonke into ngendlela ehluke ngokuphelele. Isiguli sibona ngokushesha uma udokotela engazinzile. Kodwa izinto eziwubulima nakakhulu zizokwenzeka maduze ngoba odokotela neziguli bazomemeza bathi “Hurrah” kusenesikhathi futhi babe nesibindi kakhulu. Ungawathembi ama-erythrocyte, kungakhathaliseki ukuthi maningi kangakanani. Qaphela ngokucophelela ama-platelet. Ngaphezu kwalokho, isigaba sesi-3 singathatha isikhathi eside, kuye ngokuthi ingxabano ithathe isikhathi esingakanani. Kulesi sigaba, iziguli eziningi ziba nesineke; Empeleni kakade inkinga yesigaba sesi-4.

ikhasi 526

21.6.2.4 Isigaba sesine

Isigaba sesi-4 singaba yisiteji esihle kakhulu: isiguli singazizwa singaphandle kwendawo eyingozi. I-Erythrocytopoiesis kancane kancane iqala ukujwayela. Ngoba nakuba ama-leukoblasts ephuma ngaphambi kwesikhathi aphinde anyamalale ngemva kwesikhathi kunama-erythroblasts, aphuma kamuva kodwa abuyele esimweni esivamile ngaphambili, konke kungahamba kahle kulesi sigaba - ngokuqonda kahle inqubo yokuphulukisa. Ama-platelet awaseyona ingozi kulesi sigaba futhi ingozi yangaphambilini yokopha kwangaphakathi noma emathunjini ayisekho.³³⁰ Ukopha.

21.6.2.4.1 Ngokwengqondo

Isiguli sisazizwa sikhathele, kodwa kungenjalo kahle, kodwa ngokuvamile siba nobuhlungu obukhulu bamathambo, ikakhulukazi kulesi sigaba, okubangelwa ukungezwani kwe-periosteal ezungeze i-osteolysis esendleleni yokuphulukisa noma yokubuyisela kabusha. Lobu buhlungu bethambo bungaphikelela kakhulu futhi budinga ubuciko obuhle bokunakekelwa kwengqondo! Isiguli singakwazi, ikakhulukazi uma uhlamvu lwaso lungazinzile³³¹ is, iba friable, bese idinga amaphilisi ezinhlungu, nawo abe nomthelela omubi ku-thrombocytopoiesis.

Ngakho-ke kubalulekile ukwazi ukuthi isiguli asicabangi ngobuhlungu bethambo okuthiwa yi-periosteal tension pain, kodwa empeleni siyabuzwa. Ukwandiswa kwe-Periosteal kungaboniswa kahle kakhulu kuma-tomograms amaningi endawo. Noma kunjalo, ubuhlungu buba obungabekezeleleki kuphela lapho isiguli sithuthumela. Kusukela ngaleso sikhathi kuqhubeke, iziguli zami, ezazikuqondile ukuxhumana, zazingavamile ukucela amaphilisi ezinhlungu. ("Uma ngazi ukuthi lokhu kuwuphawu oluhle lokuphulukisa, kulula ukukubekezelela, kunalokho, ngezinye izikhathi ngidumala lapho ubuhlungu bungasekho ngoba ngesaba ukuthi ngeke buqhubeke buyaphola," omunye wangitshela. Isiguli.) Asikho isiguli esiye sakuqonda ukuxhumana esidinga nhlobo i-morphine! I-Cortisone ayinabungozi kakhulu kuneningi lamaphilisi ezinhlungu, avame ukuba ne-sedative, vagotropic effect futhi ngaleyo ndlela andise i-bone edema kanye ne-periosteal tension!

³³⁰ amathumbu = okomgudu wamathumbu
³³¹ engazinzile = entengantengayo, engaqinisekile, engazinzile

ikhasi 527

Okuphuma kokuphuma kwe-morphine noma i-morphine kuvinjwe ngokuphelele ngoba lapho umphumela wawo uphela, isiguli siba nobuhlungu obukhulu kunangaphambili, asikho isimilo futhi - asikuthandi ukudla ngoba wonke umgudu womathumbu uyama.

Baluleke kakhulu:

Qinisekisa ukuthi akukho lutho olungawa, ikakhulukazi endaweni ye-vertebrae (ingozi ye-cross-section!) Uma kunesidingo, isiguli kufanele silale kuze kube yilapho ama-vertebrae ebalwa futhi azinzile.

Qaphela:

Ungalokothi ubhoboze i-periosteum eqinile phezu kwe-osteolysis yamathambo ephulukisayo! Ingozi yokugeleza kwe-callus ku-periosteum eqinile (= okuthiwa i-osteosarcoma) inkulu. Ukubhoboza noma ukusika i-periosteum eshubile enjalo kuwukungalungi! I-callus igijima ingene esicutshini bese ingena ku-"osteomyosarcoma".

21.6.2.4.2 Ubuchopho

Kulesi sigaba sesi-4, ukuphakama kwe-cerebral edema yendawo ku-medulla ye-cerebrum, ngezinye izikhathi ngisho nasesiteji sesi-3. Isiguli singaba nenkinga ye-epileptoid, engabonakali ngamajaqamba, ukuphefumula noma okunye okunjalo, kodwa kuphela nge-centralization ethile, lokho okubizwa ngokuthi "izinsuku ezibandayo". Isiguli siyaphaphatheka, sibe nomjuluko obandayo esiphongweni, futhi asihlaliseki. Kuphela uma umuntu enomuzwa wokuthi inkinga ye-epileptoid ayanele, okungukuthi isiguli singase sicwiliswe ku-coma ye-cerebral ebangelwa i-edema yendawo, khona-ke kulokhu kungase kube kuhle ukuphatha i-20 kuya ku-50 mg ye-prednisolone kancane kancane nge-intravenously. I-cerebral edema yendawo inesibopho salokhu. Le nkinga ye-epileptoid yenzeka noma ngabe ikuphi, kodwa ngokuvamile ayinangqondo. Izinga likashukela egazini kumele lihlale lihlolwa futhi ligcinwe lisezingeni elijwayelekile. Njengesinyathelo sokuzivikela, kunconywa ukuphathwa kokuqala kwe-intravenous kanye nomlomo³³² Ukusetshenziswa kweglucose.

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Ezimweni ezimbi kakhulu (isisindo esikhulu sokungqubuzana), ukuvuvukala kobuchopho kungaholela esimweni sangaphambi kokuqunjelwa noma ngisho nokuquleka kwesiguli (i-brain coma). Lesi simo senzeka kalula kakhulu uma isiguli siphonswa uketshezi olugcwele (infusions) ubusuku nemini, njengoba kuwumkhuba ovamile namuhla. Ngakho-ke: Qaphela nge-infusions esigabeni se-cerebral edema! Ungakwazi ngempela ukuminza isiguli ngayo! Kuyatuswa futhi ukuthi ungalimisi ikhanda lakho libheke phansi, kodwa kunalokho libe phezulu kancane kunomzimba wakho ukuze i-cerebral edema ikwazi ukuphuma! Ikhambi elilula lisiza kahle kakhulu lapha: ukupholisa iziko lika-Hamer elishisayo elingazwakala ekhanda ngamaphakethe eqhwa asongwe ngendwangu.

Empeleni, lezi nazo ziyizinkinga odlulayo Uhlobo olwamukelwa kahle emtholampilo ngama-tonics anozwela, i-cortisone, i-penicillin, phakathi kwabanye. Nalapha futhi, ukungazi kodokotela kuwukukhubazeka okukhulu!

Okubaluleke kakhulu ukuthi isiguli singathuki. Ngoba angikaze ngisibone isiguli sibulawa isifo sokuwa sokuzethemba, inqobo nje uma ukwethuka kungengezi kukho!

21.6.2.4.3 Okuphilayo

Ngisho noma amanani egazi kancane kancane eqala ukubuyela kokujwayelekile kulesi sigaba sesi-4, akufanele ungabi nandaba! Lokhu kuyiqiniso ikakhulukazi kuma-platelet! Ukushaqeka okukodwa kokwesaba, ukungqubuzana kwegazi, kungabuyisela ama-platelet egumbini elingaphansi. Akusizi kangako uma ulindele ukuthi bazophinde bavuke ngemuva kokudamba kokwesaba. Kuningi okungenzeka ngaleso sikhathi. Ngakho-ke, isiguli kufanele sikwazi ukululama endaweni “engenavalo” lapho kungalindelekile ukushaqeka okunjalo. Ngokuvamile awukwazi ukuwavimbela ngokuphelele, ngoba kuzodingeka ulahle ucingo!

Kubaluleke kakhulu futhi:

Qhubeka unake i-osteolysis, okwamanje kulesi sigaba isanqatshelwe ukusekelwa kwayo "nge-periosteal stocking" ngenxa yokwandiswa kwe-periosteum. Kodwa-ke, isitokwe se-periosteal manje siqala ukuncipha kancane kancane. Ngakho-ke, ingozi yokuphuka iba yincane futhi ibe yincane. Okuphawuleka kakhulu ama-vertebrae nentamo yesifazane. Kungcono ukuthi isiguli sihlale embhedeni amaviki angu-4-6 njengesinyathelo sokuzivikela kunokuba sibeke engozini.

³³² peroral = ngomlomo

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21.6.2.5 Isigaba sesihlanu: Ukushintshela esimweni esijwayelekile

Lesi sigaba akufanele sethule noma yimaphi amathuba abalulekile okuba nezinkinga. Akufanele-ke inwetshwe lapha. Noma ngibhale zonke izinkinga ezingenzeka ngokwezigaba ezihambisanayo, lokho akusho ukuthi kufanele kwenzeke nhlobo. Ngaphezu kwalokho, uma odokotela bazi ukuthi yini okufanele bayibheke, lezi ngokuvamile akusezona izinkinga. Ukukhubazeka okukhulu kuze kube manje kube ukuthi sahlulele yonke into ngokungalungile. Ingxenye yalesi sahlulelo samanga, ngaphezu kwakho konke, kwakuwukungafakwa komphefumulo.

21.7 Ukopha noma ukulimala okungqubuzanayo-splenic necrosis, thrombocytopenia

Phakathi nokuqaphela kwami ​​i-leukemia, ngenza ukuphawula okumangazayo: Izingane ikakhulukazi ezayiswa emtholampilo ukuze zimpontshelwe igazi zabonisa lesi simo esilandelayo: Ngokwesibonelo, ngaphambili ama- platelet ayeku-100.000 XNUMX, ihora elilodwa noma amabili. kamuva, ngaphambi nje kokumpontshelwa, ayecishe abe ngu-zero lapho elinganiswa futhi. Kwaphawulwa okufanayo nalapho izingane zimpontshelwa i- platelet concentrate ngayizolo. Ngacela bonke ozakwethu engisebenza nabo ukuthi baqaphele, futhi ngokubambisana sathola lo mthetho olandelayo:

Uma isilwane silimale futhi sopha, singase sibe nenkinga yokopha kanye nokushaqeka kokulimala. Ebuchosheni, i-medulla yesikhashana efanele ye-cerebrum iyathinteka, futhi ezingeni lesitho i-spleen ihlushwa i-splenic necrosis! Kusukela ngesikhathi i-DHS yenzeka ngaso, inani lamaplatelet egazini le-peripheral lehla ngokushesha kakhulu liye kumanani angaphansi kakhulu kokujwayelekile noma ngisho namanani alokho okubizwa nge-thrombocytopenia noma i-thrombocytopenia (okusho amaplatelet ambalwa egazini). Konke lokhu kusala inqobo nje uma kusaqhubeka isigaba sokulwa.

Uma ukungqubuzana kuxazululiwe, ukugxila kwe-Hamer embhedeni we-medullary ku-edema ye-temporal-occipital engakwesokudla kuyakhula, i-spleen ikhukhume ngokuphelele noma yakhe i-spleen cyst, kuye ngokuthi i-necrosis yayingaphakathi noma i-peripheral, inani leplatelet ku-spleen cyst. igazi le-peripheral likhuphuka libuyele kumanani ajwayelekile!

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Incazelo yalokhu kungqubuzana kwezinto eziphilayo icacile futhi ilula njengoba kwakunzima ngathi ukuyiqonda ngenxa yokuba sobala kwayo: Ngokwesibonelo, kuyilapho isilwane sinombhobho ovulekile, i-fibrin iyakhiqizwa.³³³ futhi izici zokuvala igazi ezicushiwe zithululelwa emithanjeni evulekile. Umphumela kufanele ube yinhlekelele: lonke uhlelo lwe-venous luzobe selugcwele i-thrombosis. Noma yisiphi isilwane esinezibazi ezinkulu empeleni singafa kuso. Kodwa lokho akwenzeki. Iqiniso lokuthi akwenzeki cishe libangelwa kakhulu ukuthi i-organism - ngaphansi kokulawulwa kobuchopho - ithatha ama-platelet egazini le-peripheral futhi igxilise kuphela endaweni yokulimala! Sasihlale sikholelwa ukuthi imisebenzi yokugeleza kwegazi yayiyimisebenzi yeshubhu yokuhlola eminingi noma encane, okungukuthi ayilawulwa ubuchopho Lokho kwakungalungile. I-subconscious manje ayikwazi ukuhlukanisa phakathi "kokulimala ukopha" kanye "nokufakwa kwegazi (kuphela)". Yingakho, ikakhulukazi izingane, lapho zicabanga "ngokulimala" okubuhlungu okubangelwa ukufakwa kwe-catheter yokumpontshelwa igazi, zithola ukungqubuzana kwegazi noma ukulimala. Kodwa abantu abadala nabo bangabhekana “nokungqubuzana kwegazi” okunjalo, isibonelo uma besaba ukuthi kunegazi eline-HIV (AIDS) ekumpontshelweni, uma bengaziswa ukuthi igciwane lengculaza alikho nhlobo (ngeke zihlukanise (ngokwesibonelo asikho isithombe!) futhi lokhu kuwumkhonyovu owodwa nje!

Incazelo yezinto eziphilayo ye-spleen necrosis ngokukhuliswa okulandelayo kwe-spleen (splenomegaly) ilula kakhulu: uma kwenzeka ukuphindaphinda, i-spleen kufanele ibe nkulu kunangaphambili ukuze ikwazi ukumunca ama-platelet amaningi kangcono noma kalula. Uma i-spleen isibe sikhulu kakhulu ngenxa ye-SBS enjalo, ingasuswa ngokuhlinzwa ngaphandle kwengozi yezinto eziphilayo (“splenectomy³³⁴"). Khona-ke i-lymph node engumakhelwane ikhula ibe uhlobo olusha lobende. I-spleen ayiyona into engaphezu kwe-lymph node enkulu kakhulu.

³³³ I-Fibrin = amaprotheni
³³⁴ I-Spleenectomy = ukususwa kwe-spleen

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21.8 Amazwi okuqala ezimeni ze-leukemia

Amacala we-leukemia aboniswe lapha ahloselwe ukukukhombisa, uma kungenzeka, ukuvumelanisa kwe-3 layers psyche - ubuchopho - isitho. Ngiyaziqhenya kakhulu ngokukwazi ukukukhombisa izibonelo eziningi ezicacile. Ukube bewazi ukuthi kwakunzima kangakanani ukuthola ama-CTs obuchopho adingekayo kanye nama-X-ray wamathambo. Ngoba izazi ze-hematologists kanye ne-oncologists zibheka into efana nale njengento engenasidingo ngokuphelele! Ezinye zeziguli kwadingeka zenze “ikhanda elibuhlungu” mbumbulu futhi zibe nodokotela ezihlotsheni zazo ukuze zithole izithombe, noma zize zithathwe izithombe kwasekuqaleni. Yingakho kwezinye izimo ngingakwazi ukukukhombisa amazinga amathathu. Nokho, ezinye izimo kwakufanele zichazwe kangangokuthi ngakwamukela ukushiyeka kokungapheleli.

Njengoba kwakudingeka ngilondoloze emifanekisweni ngenxa yezizathu zezimali, ngangizama njalo ukunikeza imifanekiso evamile ngangokunokwenzeka, nakuba ngangingathanda ukukhombisa konke ukuqhubeka. Yini ebaluleke kakhulu ukwazi esimweni ngasinye futhi yini okufanele uyibone ezithombeni?

21.8.1 Ingqondo

Isiguli kumelwe sibe nokungqubuzana kokuzethemba okufanele kuxazululwe endabeni ye-leukemia. Ayikho into efana ne-leukemia ngaphandle kokulahlekelwa ukuzethemba okuxazululiwe! Isigaba se-leukemia singasetshenziswa ukunquma ngokuqiniseka okuthile isikhathi sokungqubuzana. Kubalulekile ukuthola i-DHS nokuqukethwe okuthile kokungqubuzana!

21.8.2 Ubuchopho

Okujwayelekile nge-leukemia akukhona nje ukuthi ukugxila kwe-Hamer emnyama kungabonakala ku-medulla ye-cerebrum, kodwa kufanele futhi kubonakale endaweni ecacile kakhulu, kuye ngokuqukethwe kokungqubuzana !! Futhi lezi kufanele zifane ncamashi nendawo ye-bone osteolysis!

Futhi ngisho nalapho sibhekene nokungqubuzana okujwayelekile kokuzihlonipha, ngokuvamile sibona izilonda ze-Hamer ezijulile, ezimnyama ngaphakathi kwe-medulla, ezifiphazwe yi-edema evamile. Kuyavunywa confluent³³⁵ ekugcineni, kodwa ezigabeni ezithile ungakwazi ukuhlukanisa kahle.

³³⁵ confluent = ukugeleza ndawonye

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21.8.3 Okuphilayo

Ayikho i-leukemia ngaphandle komdlavuza wamathambo osebenzayo ngaphambili.
Njengoba sazi, umdlavuza wamathambo usho i-bone osteolysis. Izindawo ezidluliswayo zamathambo ohlaka lwamathambo zihlelwe ku-medulla yobuchopho ngendlela yosana olulele ngomhlane. Ngiphinde ngisingeze isithombe lapha ukuze ungalokhu upheqa uye phambili. Ungqimba lwe-medullary olungakwesokudla luhambisana nengxenye yesokunxele yesistimu yamathambo futhi ngokuphambene nalokho. Ku-osteolyse ngayinye, uma umuntu eyithwebula ngokunembile ngokwanele ku-CT yobuchopho, ukugxila kwe-Hamer kufanele kubonakale ngakolunye uhlangothi lwe-medullary layer, ncamashi endaweni eyisibopho yalolu ungqimba lwe-medullary.

Umdwebo we-relays wesistimu yamathambo ku-cerebral medulla

Vele, inani legazi, okungukuthi i-hematopoiesis, kufanele futhi livumelane ncamashi, kokubili maqondana ne-leukopenia kanye ne-anemia ngesikhathi sokungqubuzana (futhi futhi esigabeni sokuqala ngemuva kokungqubuzana), kanye maqondana ne-leukocytosis ne-erythremia. noma i-erythroleukemia. Konke kufanele ngaso sonke isikhathi kuqhubeke ngokuphelele ngokuvumelana, kucatshangelwa iminyaka yesiguli kanye nobude nobukhulu bokungqubuzana.

Ngingathanda ukusebenzisa izibonelo ezilandelayo ukuze ngikubonise ukuthi i-leukemia ayiyona i-roulette yaseRashiya lapho kungekho muntu owazi ukuthi kuzokwenzekani ngokulandelayo, kodwa kunalokho umcimbi onengqondo kakhulu, oqondakala kalula kakhulu. Yile ndlela kuphela "ozongikholelwa ngayo" uma uqonda ukuthi kungani singathemba ngokusemthethweni ukuthi cishe zonke iziguli zingalulama esikhathini esizayo. Ayikho into yezokwelapha esemthethweni ukwedlula leyo!

Ingqondo: Uhlobo lokuwa ukuzethemba
Ingqondo: Ukwakhiwa kwendawo ku-medulla yobuchopho
Isitho: Ukwakhiwa kwendawo ye-osteolysis ku-skeleton
I-Hematopoiesis: Umkantsha

Ingqondo: Ukuzihlonipha ngokobuhlakani nokuziphatha
Ingqondo: i-medulla yangaphambili
Isitho: I-Calotte kanye ne-osteolysis yomgogodla wesibeletho
I-Hematopoiesis: Kuzo zonke izingxabano zokuwa kokuzethemba: Ngesikhathi sesigaba sokungqubuzana: ukucindezeleka kwe-hematopoiesis;
esigabeni se-post-conflictolytic (PCL phase): i-leukemia, kamuva i-erythrocythemia kanye ne-thrombocythemia

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Ingqondo: Ukwehla kokuzethemba ebudlelwaneni phakathi kukamama nengane (“Ungumama omubi”); okufanayo kuyasebenza nasebudlelwaneni bukababa/nomntwana
Ingqondo: kubantu abakwesokudla: i-medulla yangakwesokudla; kubantu abangakwesokunxele: i-medulla engaphambili kwesokunxele
Isitho: I-osteolysis yehlombe lesobunxele I-Osteolysis yehlombe elingakwesokudla
I-Hematopoiesis: bheka ngenhla

Ingqondo: Ukwehla kokuzethemba mayelana namakhono okwenziwa ngezandla kanye nobuciko.
Ingqondo: i-medulla yangaphambili
Isitho: I-arm bone osteolysis
I-Hematopoiesis: bheka ngenhla

Ingqondo: Ukwehla okuphakathi kokuzethemba kobuntu.
Ingqondo: I-Lateral medullary storage
Isitho: I-Lumbar spine osteolysis, i-thoracic spine osteolysis
I-Hematopoiesis: bheka ngenhla

Ingqondo: Ukwehla kokuzethemba ngaphansi kwebhande.
Ingqondo: Umbhede we-Tempo-occipital medullary
Isitho: I-osteolysis ye-pelvic
I-Hematopoiesis: bheka ngenhla

Ingqondo: Ukwehla kokuzethemba ebudlelwaneni phakathi kwendoda nomfazi
Ingqondo: kubantu abangakwesokudla: ingaphambili kwesokunxele; kubantu abasebenzisa isandla sobunxele: ingaphambili kwesokudla
Isitho: i-osteolysis yehlombe elingakwesokudla; I-osteolysis yehlombe langakwesokunxele
I-Hematopoiesis: bheka ngenhla

Ingqondo: ukuwohloka kokuzethemba okungelona okomuntu.
Ingqondo: umbhede we-occipital medullary
Isitho: I-osteolysis yethambo lomlenze
I-Hematopoiesis: bheka ngenhla

Ingqondo: Ukugoqa ukuzethemba: "Angikwazi ukukwenza!"
Ingqondo: umbhede we-occipital medullary
Isitho: I-osteolysis yentamo ye-Femoral
I-Hematopoiesis: bheka ngenhla

Qaphela:

• I-hemisphere yesokudla yohlangothi lwesobunxele lohlaka lwamathambo
•  I-hemisphere yesokunxele yobuchopho ohlangothini lwesokudla lohlaka lwamathambo

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Izifundo ezingama-21.9

21.9.1 Ingozi yemoto embi kakhulu kanye nemiphumela yayo

Ngo-Okthoba 10, 6.10.82, u-Dirk B. oneminyaka engu-XNUMX ubudala wase-Heidelberg wehlelwa ingozi embi kakhulu yemoto ephuka ugebhezi lwekhanda, i-pelvis ephukile, njll. Uyiswa emtholampilo equlekile. Lapho - esathukile! - Uma ephaphama equlekile, kunodokotela eduze kombhede wakhe omtshela ukuthi unenqwaba yamathambo aphukile futhi kufanele alale aqine futhi bafuna nje ithemba lokuthi konke kuzokhula kahle.

Udokotela wayengaqondile lutho olukhethekile ngakho, mhlawumbe wayesho njengesikhuthazo. Kodwa ngokushaqeka ayenakho, umfana “uthole ngendlela engafanele”. Ezinyangeni ezimbili ezalandela, lapho enenkinga yokulala, engathandi ukudla, wehla emzimbeni futhi esesimweni sokwethuka, ecabanga ubusuku nemini ukuthi amathambo akhe azophola kahle yini noma uzohlala eyisishosha. Lapho umfana ebuyela ekhaya ekuqaleni kukaDisemba futhi ezama ngempumelelo ukuhamba, konke kwaphinde kwalunga. Ngokushesha wakwazi ukuya emakilasini futhi. Kusukela ekuqaleni kukaZibandlela, ukuwohloka kokuzethemba nokwesaba ukuhlala uyisishosha akusabalulekile futhi ukungqubuzana kwase kuxazululiwe.

NgoJanuwari ka-'83, uthisha wekilasi wabika ngo-Dirk ukuthi wayehlala ekhathele, engagxilile, nokuthi ukusebenza kwakhe kwakungasefana nakudala, lapho umfana ozwela kakhulu engumfundi okhuthele kakhulu. Umfana, njengoba sesazi manje, wayesesigabeni se-post-conflictolytic vagotonic (PCL phase), esibonakala nge-vagotonia evelele, inhlalakahle, ukukhathala, ukuvuvukala kobuchopho bendawo nokuvuvukala, ukukhishwa kwe-exudation.³³⁶ , noma isigaba sokubuyisela ingxenye ethintekile yesistimu yamathambo ngokukhiqizwa komnkantsha wethambo ogijima ngesivinini esigcwele ngegazi elibomvu nelomhlophe, elalikade "licindezelekile". Bese sikubiza lokhu i-leukemia noma ngaphezulu ngendlela efanele, i isigaba se-leukemic. Ngokuvamile zibonakala ngenhlanhla, njengoba iziguli zizizwa zikhululekile kakhulu ngaphandle kokukhathala okukhulu okubangelwa i-vagotonia!

Esimweni sethu, izimpawu zokuvuvukala kobuchopho bendawo azizange zisongela, kodwa zazingenakunakwa ngabazali. Bathi: "Umfana wayehamba ngendlela engavamile ngenxa yokuthi babesaba ukuthi kungase kuhlotshaniswe namathambo angaphambili aphukile, lapho izimpawu zingapheli phakathi kukaMeyi '83 no-September'83, futhi empeleni zanda kancane, baye kudokotela. I-leukemia yatholakala lapho ekupheleni kukaSepthemba. Ngemva kwalokho, abazali babengazi kangcono, ukwelashwa nge-chemo kanye nemisebe yobuchopho kwenzeka e-Heidelberg University Clinic, eyaziwa ngokuthi iyingozi kakhulu kumaseli obuchopho.

³³⁶ I-Exudation = ukujuluka i-exudate

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I-DHS yenzeka ngo-Okthoba 6, 82. Ukushaqeka kwengxabano enzima kakhulu yokuzethemba kwenzeka ngenxa yenkulumo kadokotela engacabangi lapho u-Dirk esanda kuphaphama ekuqulekeni. UDirk: “Ngangesaba ukuthi wonke amathambo azokhula ngendlela engafanele futhi ngihlale ngiyisishosha.

I-DHS yalandelwa yisigaba esivamile sokuzwelana nokuqwasha, ukuncipha kwesisindo, kanye nokuhuquza okuphoqelekile. Kulesi sigaba sokungqubuzana, ukucindezeleka komnkantsha, i-anemia kanye ne-leukopenia kwatholakala.

Ngemva kokungqubuzana ekupheleni kukaNovemba/ekuqaleni kukaDisemba '82, umzimba washintshela esigabeni se-vagotonic ngokuphila kahle, ukulala kahle, ukulangazelela ukudla okuhle, kodwa futhi nokukhathala nokuntuleka kokugxilisa ingqondo. Ebuchosheni, lonke ungqimba lomnkantsha lwaluvuvukele futhi luqhuma emnkantsheni, isigaba sokuphulukisa esikhiqiza kakhulu saqala ngokunyuka kwe-erythropoiesis kanye ne-leukopoiesis. Ngaphambi nje kokwenziwa kabusha okuzenzakalelayo kwalesi sigaba se-leukemic esisekhona, ukuguquka kwenani legazi kwatholakala ngenxa yezimpawu zomfutho ongaphakathi enhliziyweni ezishiwo.

Ekupheleni kuka-1983, amanani egazi likaDirk ayenziwe ajwayelekile. Ukuvuselelwa kabusha bekuyokwenzeka ngokuzenzakalelayo futhi ngokushesha okukhulu ukube ukuphulukiswa bekungazange kuphazamiseke njalo futhi ngaleyo ndlela kubambezeleke i-chemo nemisebe ebuchosheni. Odokotela abavamile bakhuluma ngalokho okubizwa ngokuthi "ukukhululwa", okungukuthi ukujwayelekile kwamanani egazi. Ngisho negama elithi “ukuxolelwa” linephunga lento yesikhashana hhayi okokugcina. Lokhu kuvezwa “ekuhloleni” kweziguli ezilaliswayo okuqhubekayo lapho okuwukuphela kombuzo othi ingabe i-leukemia isibuyile yini. Lokhu kulinda “inhlekelele” ukuba ibuye kwaziswa abazali neziguli kangangokuthi isheke ngalinye lilandelwa ukuphefumulela phezulu: “Ngibonga uNkulunkulu, hhayi okwamanje!”

NgoJuni ka-'84, u-Dirk waphuka ingalo yangakwesokudla ngesikhathi egibela ibhayisikili. Ngangicabanga ukuthi lesi senzakalo sasingase sibangele ukushaqeka kwenhlangano ngokuphindelela kwengxabano kumfana, owayesekelwe engozini yokuqala, kodwa umfana wathi cha - futhi kuphela lokho isiguli esisitshela kona ukuthi kusebenza!

Kodwa ngemva kwenyanga, ngo-July 84, umfundi webanga lesikhombisa, "indoda enkulu" yomfundi webanga lesithathu, uza kumfundi afunda naye futhi abuze:

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“Ngitshele, hlobo luni lokugula onalo ngempela?” Umfana uyaphendula: “I-leukemia: “Yebo, kodwa kufanele ufe, yilokho okwashiwo uthisha wethu wesayensi yezinto eziphilayo, futhi ukwazi kahle. ”

Lena kwakuyi-DHS entsha yomfana, ukushaqeka okubi kakhulu. UDirk ukhungathekile, uhlezi ecabanga ngomfundi webanga lesikhombisa namagama aphusile awashilo, akasalali kahle, akasadli ngendlela efanele, usethukile. Ngalesi sikhathi, amanani egazi elimhlophe ajwayelekile ku-leukopenic. Umfana uke amtshele umama wakhe ngendaba yebanga lesi-7, kodwa akakuthatheli phezulu angakunaki. I-rumination iphikelela cishe izinyanga ezi-2. Umfana usezwini lokuzwelana naye.

Ekupheleni kukaSepthemba '84, u-Dirk wafinyelela esiphethweni sokuthi umfundi webanga lesi-7 wayengeke alunge, ngoba wayengafi futhi amanani egazi ahlala elungile. Kuvela isixazululo sokungqubuzana. Ngemva kwamasonto amane, kwatholakala lokho okubizwa ngokuthi i-leukemia ngesikhathi sokuhlolwa. Kuleli qophelo umfana wazizwa ephilile futhi, waphinde walala kahle, waphinde waba nesifiso sokudla, wayesecishe wenza ukulahlekelwa kwesisindo sika-8 kuya ku-10 kg, enezandla ezifudumele, kodwa futhi wayebuthakathaka futhi ekhathele, njengoba kuvamile ku-vagotonia .

Isiguli esincane saphinde selashwa ngokwelashwa ngamakhemikhali esigulini esilalisiwe esibhedlela Sezingane sase-Heidelberg University, i-cerebral cobalt irradiation, njll. ngaphandle “kwempumelelo”. Abazali batshelwa ukuthi umzimba womfana “wawungavikeleki” ku-cytostatics nokuthi “wayengasenakwelashwa”. NgoMeyi 27 wathunyelwa ekhaya futhi wavalelisa "okokugcina". Akubonanga njengokufanelekile ukuthi aphinde angeniswe emtholampilo ngoba kwakulindeleke ukuthi umfana ashone emasontweni amabili kuya kwamane alandelayo. Umfana waqaphela yonke into ngokucacile ngoba, njengoba ngishilo, wayezwela kakhulu! Ingane ifakwe emtholampilo ngenxa yezinhlungu zamathambo ezwakale ikakhulukazi engalweni engaphezulu nasemathangeni. Ngemva kokungenelela kwami ​​mathupha, ozakwethu basesibhedlela bafeza isifiso sami futhi bammpompela umfana kusukela ku-2 g% hemoglobin kuya ku-4 g%.

NgoMeyi 28, 85 ngavakashela u-Dirk B. okokuqala ngqa: manje wayeseneminyaka engu-12 ubudala, engenandaba nhlobo, kunzima noma kunzima ukuphendula. Wanikezwa amaphilisi ezinhlungu amakhulu ane-Dolantin njalo ngehora, kanye ne-Luminal. Kwaphela isonto lonke ebonakala ethukile futhi esaba ukufa ngoba wayesebonile ukuthi “akusekho okungenziwa”. Lokhu kwesaba kwase "kumiswe" ama-opiates. Uthole i-Luminal ngoba wayesanda kubanjwa yisifo sokuwa, uphawu lokungqubuzana (okungenani okwesikhashana) okuxazulule yokungakwazi ukubaleka.

ikhasi 537

Ngaqale ngahlala embhedeni walo mfana ogula kakhulu ngazama ukukhuluma naye, kodwa akwenzekanga ngoba umfana “wayekude” futhi ethukile. Ngabe sengiphendukela ekhambi lokugcina elingenzeka: Ngambuka ngqo emehlweni ngokubukeka okukhohlisayo futhi ngasho kancane futhi ngokuphuthumayo ukuthi ngivela eRoma ikakhulukazi ngenxa yakhe nokuthi manje ngangazi kahle ukuthi ezinyangeni ezimbili uzofika. aphinde agxumele ngaphandle, njengabangane bakhe nezingane zakubo, kufanele azisize! Ngamtshela ukuthi odokotela balapha abaqondi ukugula kwakhe (okwakuyiqiniso). Kodwa iRome iyidolobha elikhulu kunedolobha lenyuvesi lendawo laseHeidelberg futhi njengodokotela ovela eRoma, ngimane ngazi kangcono!

Umfana kwakungathi ushayiwe. Wavele wababuka ngokungakholwa abazali bakhe, bavuma ngekhanda. Kwakunzima ukunquma ukuthi wayekuzwile ngempela yini noma ukubonile engangikushilo. Kodwa ngemva kwemizuzu engu-10, lapho sesiphumile ekamelweni, “i-rocket yaqhuma.” Kusukela lapho wafakwa ugesi, waphinda wakwazi ukuhamba eya kumabonakude, watshela izingane zakubo ukuthi udokotela waseRome uthe uzophinde abe sesimweni esikahle ezinyangeni ezimbili futhi uzogxuma ezungeza ngaphandle. Umzalwane oneminyaka engu-2 ubudala washo ngokuzenzakalelayo: “Angikukholelwa lokho!” Izelamani zonke zase zikulungele kakade ukufa komfowabo okwakuseduze. Naphezu kwale “nkinga,” umfana wayengasawadingi amaphilisi ezinhlungu kusukela ngaleso sikhathi kuqhubeke. Uma ezwa ubuhlungu obuncane ezingalweni zakhe ezingaphezulu nasemathangeni (ngenxa ye-periosteal tension phezu kwe-bone edema!) Khona-ke yayipholile, njengokungathi unekhanda elibuhlungu, elibekezelelwa futhi lihle ngokushesha lapho selipholile nge-ice pack.

Ngakusasa wacela ukudla ngokuzenzakalelayo, into okwase kuphele amasonto noma izinyanga engayenzanga ngenxa yemithi novalo olusha. Umfana wayeqhuba kahle kakhulu! Lapho sibuyela ekhaya sivela emtholampilo, ama-leukocyte ayengaba ngu-100.000, u-91% wawo ayeqhuma. Kuyaphikisana nakho konke okuhlangenwe nakho kwezokwelapha ukuthi umfana osejabule - e-vagotonia - adlala, alale kahle, adle kahle, ahleke futhi ahlanganyele endaweni yakhe kufanele afe ngoba nje odokotela abahlakaniphe kakhulu emtholampilo wasenyuvesi bamtshela ukuthi uzofa. ngokushesha, ngisho nokuthi wayezofa emasontweni amabili kuya kwamane alandelayo! Ukuziphatha kahle kwalo mfana waze wenqaba ngisho namaphilisi ezinhlungu ngoba ngamtshela ukuthi uzolulama ngaphandle kwamaphilisi ezinhlungu kunamaphilisi ezinhlungu. Wabe esethi, "Akukubi kangako ukuthi ngiyayidinga."

Futhi i-glitch, okungukuthi ukucindezeleka kwe-platelet kusuka ku-150.000 kuya ku-14.000 phakathi nezinsuku ezimbalwa ngenxa yokuphathwa kwento ebizwa nge-biological cytostatic agent - ngokumelene neseluleko sami esicacile! - umfana wakwazi ukubhekana kahle ngokumangalisayo, naphezu kokopha okukhulu ngamakhala, ngoba ngamtshela: "Dirk, lokhu kuyiphutha elincane, kodwa lihlala ezinyangeni zethu ezi-2, ukuphulukiswa kuyaqhubeka noma kunjalo!"

ikhasi 538

Nokho, ngo-June 18.6.85, 12, u-Dirk washona ephethwe yi-cerebral coma. UDokotela AF ovela eLandau Children's Clinic ubike ukuthi isiguli besimangele futhi siphethwe yi-cerebral coma. Ngokweseluleko se-Heidelberg University Clinic, i-cortisone ayizange inikezwe ngamabomu. Akukho ukwelashwa okujulile okwanikezwa ngenxa yokuthi babengakholelwa ekucindezelekeni kwe-intracranial ngokusho kweNew Medicine, kodwa "kwi-leukemic coma". Akakwazanga ukusho kahle ukuthi ubeqonde ukuthini ngalokho. Ucaphuna kuphela iSibhedlela Sezingane saseNyuvesi yase-Heidelberg. Umfana wayengeniswe ngayizolo ngenxa yokwanda kobuthongo. Amanani egazi ayeyi: hemoglobin 4,2 g%, erythrocytes million 19.000, platelet 140.000, leukocytes XNUMX. Lapho ngizwa ngokufa kukaDirk, ngakhala ngobuhlungu nentukuthelo. Akukholakali ukuthi yini engafezwa yilaba bagxeki bezokwelapha!

Ngemva kwalokho, ngaphinde nganikela kumphathi womtholampilo wezingane wase-Heidelberg, lapho ngake ngasebenza khona njengodokotela, ukuba nginikeze inkulumo ngodaba luka-Dirk kubo bonke odokotela emtholampilo. Uprofesa wathi kimi: “Anginasithakazelo!”

Iziguli ezinjengoDirk, okungadingekanga nje kuphela ukuthi zihlolwe i-chemo kodwa nemisebe eya ebuchosheni, kumelwe ziqashwe ngokucophelela. Ubuchopho obufakwe imisebe ayisaphenduli ngokunwebeka okufanayo ku-edema entsha. Bese uphole, unikeze amathoni okuzwela, okungenzeka ukuthi i-cortisone, futhi kufanele ulawule ama-CTs obuchopho ukuze ukwazi ukulinganisa izinga le-cerebral edema. Ngokuyisisekelo, ukwelapha izinkinga zokushiswa kobuchopho kusho ukuzama ukulungisa isiqephu somuthi ojwayelekile. Lokhu empeleni akuhlangene neNew Medicine. Nokho, i-macabre iwukuthi uma isiguli sisinda entweni enjalo, siyofakwa ezibalweni zempumelelo yezokwelapha uma sifa ngenxa yokuthi umonakalo owabangelwa “ukwelapha” wawungenakulungiseka, “umuthi omusha wawungeke usakwazi ukumsiza. ”

ikhasi 539

I-Brain CT ka-Dirk B. Imicibisholo khomba kokujwayelekile I-edema ye-medulla ye-cerebrum lapho, ebonakala ngeyakhe ubumnyama obujulile obubanzi. It Ngakho-ke lokhu kumayelana ubuntu obujwayelekile efanele Ukuwa ukuzethemba, ngokufanelekile intsha esabalele Ukuchithwa kwamathambo.

Ngemva kokuxazulula izingxabano zakhe, umfana wangeniswa esibhedlela esincane eduze kwaseHeidelberg enekhanda elishisayo ne-vagotonia ejulile kanye nezimpawu ze-cerebral edema ebuhlungu Ngemva kokubonisana nomtholampilo wase-Heidelberg University, odokotela esibhedlela benqaba ukunikeza umfana i-cortisone edingekayo. nika futhi upholise ikhanda lakho. – Njengoba bekulindelekile, umfana wabe esefa yi-cerebral edema coma.

21.9.2 Ukuwa ngokuphelele ukuzethemba ngenxa yokushona kwenkosikazi

Unkosikazi wesiguli ecaleni elilandelayo wayeshone ngoNovemba 1983. Ngesikhathi esifanayo wayengumama onomusa kuye (ubuhlobo be-Oedipal) futhi wayeneminyaka engu-8 emdala kunaye. Ngaphezu kokwehla kokuzethemba, isiguli sasike saba nokungqubuzana kwendawo kanye nokunye ukungqubuzana kwendawo yabesifazane (ukungqubuzana kokuzizwa sishiywe sodwa endaweni) ngakho-ke sasisemlaza we-schizophrenic. Wayekhubazekile, ecindezelekile futhi ekhungatheke ngokuphelele. Abantu abaseduze kwakhe bathi "uhlanya" ngemuva kokushona komkakhe.

Isixazululo sokungqubuzana sikaMnu uma ephusheni elijulile, elibi futhi. Wenza umsebenzi ayengawenza kuphela...

Emasontweni ayisishiyagalombili kamuva, isiguli sahlaselwa isifo senhliziyo, esasinda ngokulambisa ngemva kokuhlinzwa izikhathi eziningi. Akekho noyedwa kodokotela benhliziyo owayenesithakazelo ku-CT yobuchopho. Kwenziwa kuphela ngokugqugquzelwa kwami.

ikhasi 540

Kuleli qophelo isiguli "sasijwayelekile" ngokuphelele futhi, sinezandla ezishisayo ezibilayo futhi saqhubeka sikhula ngokushesha. Izazi zenhliziyo e-University Hospital yaseVienna zazichaze leli cala njengokusho ukuthi ukuzuza kwesisindo emavikini okugcina e-7 kwandise "ingozi yokuhlaselwa yinhliziyo" kakhulu futhi yingakho ehlaselwe yinhliziyo. Ngokusho kwe-ECG kwakuyi-infarction yodonga lwangemuva, kodwa ngokusho kwe-CT yobuchopho kufanele ukuthi kwakuyi-infarction yenhliziyo yesokunxele nesokudla ngesikhathi esifanayo! Kwakuyisimangaliso ukuthi isiguli sasinda!

Isiguli (esineminyaka engu-52 ubudala) esivela ocwaningweni lwesifo senhliziyo saseVienna esasilahlekelwe ngokuphelele ukuzethemba lapho umkakhe eshona, kodwa ngesikhathi esifanayo kwakukhona ukungqubuzana kwendawo yowesilisa nowesifazane. Ungabona ngokucacile umbala omnyama ojulile we-medulla yobuchopho. Phakathi kwale medula, nokho, izindawo ezimnyama ezijulile (i-Hamer's foci) zingabonakala ngokucacile, ezigcizelela ikakhulukazi ukudluliselwa ngakunye ngaphakathi kwendawo yonke yohlaka lwamathambo.

21.9.3 I-acute lymphoblastic leukemia ngenxa yokuthi isoka lakhe lamshiya

Leli cala empeleni liyicala elivamile. Umfundi osemusha oneminyaka engu-21 ubudala ofundela ubudokotela osezophothula izifundo ze-physics ulahlwe isoka lakhe. Lokho kwakungoNovemba 84. Ngaphambi nje kwalokho, wayezenzele umsebenzi wakhe wegazi ngesikhathi eqeqeshelwa umsebenzi we-physiology: wonke amanani ayengaphakathi kwebanga elijwayelekile. Intombazane yazizwa ikhuluphele kakhulu, kodwa yayihlakaniphe kakhulu futhi inomqondo ovulekile. Wonke umuzwa wakhe wokuzethemba wawusekelwe esokeni lakhe, kamuva afuna ukuba nomndeni nalo. Kwakuyisifiso sakhe esikhulu leso. Ngesikhathi isoka lakhe limshiya - bekuyisoka lakhe lokuqala - wazizwa ephoxekile futhi nokuzethemba kwakhe kucekeleke phansi. Ukungqubuzana bekunodweshu olukhulu.

ikhasi 541

Cishe ngemva kwezinyanga ezi-2 kwaba nokubuyisana. Kusukela lapho le ntombazane yakhathala yangabe isakwazi ukufunda. Wayesehle ngo-3kg ngesisindo phakathi kukaNovemba '84 noJanuwari'85. Manje wayesenesifiso sokudla ngokweqile futhi wakhuluphala ngokushesha kangangokuthi waba nesisindo esikhulu kunakuqala. Ngeshwa, waya kudokotela ngemva kwamasonto angu-4 futhi wathola i-leukocytosis ye-80.000, lapho i-75.000 yayiyi-lymphoblasts, i-5000 yayiyi-leukocyte evamile.

Okwalandela kwaba inhlekelele ephelele: Emanyuvesi ase-Erlangen nase-Essen, kwenziwa imizamo yokucindezela ama-leukocyte ngama-cytostatics.

Ngakwesokudla sibona i-osteolysis yejoyinti yehlombe kwesokunxele (isiguli sasiyinxele). Uphinde waba nobuhlungu be-periosteal tension lapho. Le ndawo yohlaka lwamathambo ivamise ukuthinteka (kubantu abanxele) uma kwehla ukuzethemba ebudlelwaneni bozakwethu.

Kodwa ukungqubuzana kwahlala kuxazululiwe, futhi njalo lapho ukwelashwa mbumbulu kwe-cytostatic kumiswa, inani lama-leukocyte laliphinde likhuphuke! Khona-ke odokotela bakhala ngokuthi kwakuyimpinda! Isiguli ekugcineni safa iatrogenically, "selashwa" saze safa.

I-osteolysis ye-vertebra yokuqala ye-lumbar, lapho futhi waba nobuhlungu (ukungqubuzana kobuntu obumaphakathi-ukuzethemba).

ikhasi 542

Ku-CCT sibona ungqimba olucacile lwe-pith emnyama. Imicibisholo ikhomba izindawo ezimbili ezisokiwe ezihambisana nokuphulukiswa kwe-osteolysis yezimbambo.

Umcibisholo ongaphambili kwesokudla ukhomba ku-Hamer okugxilwe kukho okuxazululiwe kwengxabano ephelelwa amandla, noma kunalokho ingxabano: "Kufanele wenze okuthile, futhi akukho muntu owenza utho!", Okusungulwe ukuxilongwa nokuxilongwa kodokotela, okuhambisana ne-branchial. izinkinga ze-canal.

21.9.4 Ukwehla ukuzethemba maqondana nodadewabo lapho ethi: “Uyinunu!”

Lesi sigameko esibuhlungu sivela eTübingen University Clinic. Ngumfana oneminyaka engu-9 ubudala.

Ezithombeni ze-CT ngezansi sibona i-sarcoma enkulu ye-orbital³³⁷, okwavela ngemva kokuhlinzwa kwe-orbital.

Ngesikhathi salokhu kuqoshwa, ngoSepthemba 86, umfana wayengahlinzwa kalula, ngoba umfana wayengadingi ngempela ukufa ngenxa yale sarcoma, okwakuwukusabela okweqile nje kokuphulukisa. Kodwa oprofesa bamehlo eTübingen benqaba ukusebenza. Ngakho umfana ompofu wabe eselashwa nge-chemo-cytostatics futhi walaliswa nge-morphine.

³³⁷ I-Orbita = isokhethi yamehlo

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Kodwa lokhu okuqoshiwe kuhloselwe ukukhombisa okunye: Uma kukhulunywa ngale protrusio bulbi enkulu³⁴⁷, ehlinzekwa yi-retrobulbar^{348 349} Lapho kuvela inhlamvu yeso lesokudla okuhlobene ne-sarcoma, udade omncane oneminyaka engu-5 wathi kumfowabo: “Ubukeka njengomuntu. Isilo esikhulu!Kusukela lapho umfana wathula kakhulu, kwaze kwaphela izinyanga ezimbili engasakhulumi lutho, wancipha futhi akabange esabuthi quthu ubuthongo. Wayeke wabhekana nokungqubuzana okukhulu kokuzethemba ne-DHS, kanye nentukuthelo enkulu yendawo. Ngaphezu kwalokho, wayeke wabhekana nezingxabano ezi-2 noma ezi-2 zangaphambili ngaleli gama elilodwa. Ungakubona konke lokhu kuma-CTs obuchopho. Futhi wayesesimweni "se-schizophrenic".

Lapho umfanyana onesibindi, labo oprofesa baseLyon, eGeneva naseZurich abenqaba ukumhlinza, etshelwa ukuthi kunoprofesa eTübingen ababengaphinde bamhlinze ubuso bakhe kahle futhi wayesezobukeka ngendlela efanayo nangaphambili, wavuma. igama elithi “monster” ngezinyembezi, futhi okuwukuphela kwegama elaphuma emlonyeni lalithi “monster, monster.” Waphinde wazama ukwakha kabusha ukuzethemba kwakhe okwakudilikile.

Kodwa lezi zingxabano ezimbili zokuzihlonipha zahlala kwesokunxele ku-orbithi yesokudla, izindandatho zayo ezingabonisi i-edema ezithombeni eziseduze (zonke izithombe ezedethi efanayo). Umcibisholo omncane phezulu kwesokudla ukhomba ekugxiliseni okuphindaphindiwe kokukhathazeka okuphambili kuka-Hamer, okungakaxazululwa kahle lapha. Umfana wayenama-branchial arch cysts ezinhlangothini zombili zentamo yakhe. Angikwazi ukukhombisa i-osteolysis yekhanda elingakwesobunxele ne-pelvis yesokunxele ngoba azikho izithombe ezithathiwe. Isibindi ne-bile duct carcinoma, ekhona nakanjani (ukugxila kuka-Hamer bheka umcibisholo kwesokudla), nakho akuzange kuhlolwe, kodwa ukudluliselwa okuhambisanayo ku-CCT kuthinteke ngokusobala.

³⁴⁷ I-Protrusio bulbi = ukuphuma kwenhlamvu yeso
³⁴⁸ Retro- = ingxenye yegama elisho emuva, ngemuva
³⁴⁹ I-Bulbus = u-anyanisi

ikhasi 544

Emuva ngaleso sikhathi, ngangibancenga ngempela osolwazi beguqe ngamadolo ukuba balokothe ​​ngihlinzwe ngenxa yalezi zizathu ezingokwengqondo, ngoba kwakungekho lutho olwaluzolahleka, mahhala! Lapho umfana omncane ephuma e-Tübingen ngaphandle kwempumelelo futhi azi ukuthi uprofesa wayengafuni ukumsiza, wayenguye futhi wahlala "eyisilo". Wacwila ebuthakathakeni obuphelele wabe esekhishwa i-morphine ne-chemo ezweni lakubo, eningizimu yeFrance.

Ngesikhathi salokhu kuqoshwa kwakukhona i-leukocytosis engaba ngu-12.000, ukuqala kwe-leukemia uma ukuthuthukiswa kwakukuhle. Uma nje odokotela bengayifaki i-psyche ekucabangeni kwabo futhi bephatha izimpawu kuphela, amacala anjalo azoba yisimiso sosuku. Osolwazi bamemezele ngamafuphi zonke izinguquko ebuchosheni, kungakhathaliseki ukuthi zimnyama noma zimhlophe, njengawo wonke ama-metastases obuchopho. Lapho ngibonisa uprofesa ukuthi kwakungekho ukukhula kwamangqamuzana ezinzwa zobuchopho kumuntu ngemva kokuzalwa okuwukuphela kwento eyayingakhula amangqamuzana ezicubu ezixhumene nobuchopho angenangozi ukuze alungiswe, avela ngakho konke ukulimala kobuchopho, wavele wangibuka ngokumangala; futhi yathi: “Yebo, bekungaba yini enye?” Lo profesa ubelokhu esebenzelana neNew Medicine “ex officio” njengomphathi wophiko lwezokwelapha iminyaka engu-6 futhi akakaqondi noma efuna ukuqonda igama elilodwa!

Mina nabangane bami abavela eFrance savele ngakhala.

ikhasi 545

21.9.5 Ukwehla ukuzethemba ngenxa “yokushaya ngaphansi kwebhande”

I-x-ray ye-pelvic: Izindawo ezimnyama ezijulile ze-ischium ne-pubic bone zimelela i-osteolysis.

Ngenhla sibona isithombe se-pelvic sendoda eneminyaka engu-65 ubudala eyayibheke ngabomvu ukuthatha umhlalaphansi lapho ikhungathekiswa ukuwohloka okubi kakhulu kokuzethemba:

Ubeyilungu lomkhandlu wendawo futhi engusihlalo wekomiti lezindawo zokucwasa. Ngolunye usuku imeya yathi emkhandlwini:

"Ngakho-ke, ngizozinakekela mina manje."

Lokhu kwaba ukulahlekelwa ngokuphelele ukuzethemba kwesiguli. Isixazululo safika kuye lapho ngemva kwezinyanga ezingaba ngu-4, emasontweni ambalwa ngaphambi kokuba idolobhana lilungele umncintiswano, imeya ngokwayo yafika esigulini ngendlela encane kakhulu futhi ethobekile futhi yamcela ukuba athathe konke ezandleni zakhe. futhi lokho kwakungcono. Phela, njengoba egomela ngokuphindaphindiwe, isiguli sasihlale sibheka lokhu kwehla kokuzethemba njengokuthi "ukushaya ngaphansi kwebhande," futhi ngenxa yalokho, ngesikhathi se-DHS, wahlobanisa lokhu okuqukethwe kokungqubuzana "ngezansi kwebhande. ”

Ku-CT yobuchopho, imicibisholo ikhomba i-edema ehambisanayo ku-medulla ye-cerebral, lapho singabona khona ngokucacile i-foci ngayinye ye-Hamer ye-ischial ne-pubic bone osteolysis.

Isiguli sasiphethwe i-leukemia. Manje usengumqemane futhi.

ikhasi 546

21.9.6 Ukwehla kokuzethemba ngenxa yokuxoshwa kukankosikazi enkampanini efanayo nokushintshela kukhompuyutha entsha.

Kunoma yikuphi ukungqubuzana, okuhlanganisa ukungqubuzana kokuzethemba, akunandaba ukuthi abanye bacabanga ukuthi ibaluleke kangakanani indaba isiguli esiphethwe yiyo. Akubalulekile ngisho nokuthi isiguli sifaka inani elingakanani endabeni uma sibheka emuva, njengoba bekunjalo ngokombono othile. Okuwukuphela kwento ebalulekile ukuthi isiguli sazizwa kanjani ngesikhathi se-DHS, lapho umuzwa wokungqubuzana wamshaya futhi wabangela i-foci ehambisanayo ebuchosheni.

Le ndoda eneminyaka engu-35 ubudala yaseFrance yayingumphathi womnyango omncane enkampanini yomshwalense esebenza kakhulu ngamakhompyutha. Phakathi kokunye, wayenomthwalo wemfanelo wokuzilungisa.

I-DHS yesiguli yafika ngo-January 1, 1985. Umkakhe, owayesebenza enkampanini efanayo futhi owayesekela isiguli ngokokuziphatha, wanqanyulwa. Ngesikhathi esifanayo, isiguli saziswa ukuthi kuzothengwa isizukulwane esisha samakhompyutha enkampanini ehluke ngokuphelele. Lezi zindaba ezimbi ezimbili zashaya isiguli njengombani. Akagcinanga nje ngokuzizwa encishwa ukwesekwa kwakhe, futhi akazange azethembe ekusebenziseni amakhompyutha amasha. Washaywa uvalo oluphelele. Walahlekelwa ngokuphelele ukuzethemba okwamane kwathinta bonke ubuntu bakhe. Kusukela lapho ubelokhu ebhalela izinkampani izicelo. Ayikho enye into ayeyicabanga ngaphandle kokubaleka enkampanini. Wayehlala ethola ukwaliwa, wayehlale ezizwa ephansi. Konke kwaqhubeka cishe unyaka wonke; Manje wayesenciphe kakhulu futhi ecindezelekile njalo, njengokungathi uneminyaka engu-XNUMX, kodwa engacindezelekile.

I-Conflicttolysis (CL): Ngomhlaka-7 Novemba uzethule kabusha enkampanini entsha. Wayesekwenze kaningi lokho kulo nyaka. NgoDisemba 19.12.85, 10 wathola umsebenzi omusha, kodwa kwadingeka aqale ahlolwe udokotela. Wakwenza ngemva kwezinsuku eziyi-XNUMX futhi - base beyitholile kakade i-leukemia!

Isiguli kamuva saba nobuhlungu obukhulu, kodwa obubekezeleleka, amathambo kuwo wonke umzimba waso, kodwa ubuhlungu obukhulu kakhulu ezimbanjeni zaso. Ama-leukocyte ayesevele e-2 ekuhlolweni kwangaphambi kokuqashwa ngoJanuwari 86, '30.000, kodwa akhuphukela ku-170.000 ezinyangeni ezilandelayo. Waxoshwa enkampanini entsha ngoJanuwari 16, kodwa wakuqonda lokho ngoba kuthiwa wayegula, nakuba empeleni wayezizwa ephilile futhi ekhathele nje. Inkampani ibimqinisekisile nokuthi uzobuyiselwa emsebenzini ngokushesha uma esewumqemane futhi.

ikhasi 547

Ngenxa yokuthi inani le-leukocyte ekuqaleni lenyuka kancane, isiguli saqale selashwa ngama-antibiotic. Lapho lokho kungasizi futhi ama-leukocyte eqhubeka nokwanda, ekugcineni kwatholakala ukuthi une-myeloid leukemia engapheli ngemva kokubhobozwa komnkantsha.

Ngenhlanhla wayithola indlela eya kubangane bami eFrance ngokuhamba kwesikhathi. Usebenza kahle namuhla, usebenza futhi futhi unempilo ngaphandle kokuthatha noma yimaphi ama-cytostatics.

Ngeshwa anginawo ama-x-reyi ethorax yamathambo. Ngiyaqiniseka ukuthi i-osteolysis yayizobonakala lapho. Kodwa i-CT yobuchopho kusukela ekupheleni kukaJuni '86 ijwayeleke kakhulu kulokho okubizwa ngokuthi i-generalized medullary edema, empeleni okuwuhlobo lwe-leukemia yobuntwana. Eminye yemicibisholo ikhomba ku-foci ngayinye, kodwa lezi zingabonakala kuphela ku-edema enkulu ye-medullary lapho ihlolisiswa eduze kakhulu.

21.9.7 Ukwehla kokuzethemba ngenxa yokuthi isiguli sasikholelwa ukuthi “sasiyifa”.

Icala elilandelayo nge-CTs yobuchopho ejwayelekile ye-leukemia imayelana nompristi omkhulu kakhulu wase-Italy owayenomthwalo wemfanelo wokuqeqesha abapristi abasebasha futhi owabhekana nezingxabano ezimbili ngawo-60, lapho abafundi baseseminari abaningi behamba:

1. ukungqubuzana kwentukuthelo yendawo (i-hepato-bile duct ulcer) nokungqubuzana kokwesaba kwendawo (i-bronchial ulcer), kokubili kwe-right-cerebral, ngoba abafundi baseseminari babehamba ngobuningi futhi wayengakwazi ukuzibamba ngenxa yentukuthelo nokwesaba. ikusasa

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2. ukungqubuzana kokungabi namandla lapho ebizelwa eVatican futhi ebhekene nombuzo othi: “Kudingeka senze okuthile ngokuphuthumayo ngakho, kodwa yini esasingayenza?” Amapayipi e-thyroid futhi ngesikhathi esifanayo ku-intima ye-carotid bifurcation yesokunxele³⁵⁰ (= Ukuhlukaniswa komthambo ovamile we-carotid ube yimithambo yangaphandle nengaphakathi ye-carotid). Ngokomlando wokuthuthuka, zombili izizukulwane ze-gill arch zinokungqubuzana okufanayo, ngokwendalo ziqhelelene ngamasentimitha ambalwa, futhi ukudluliselwa kwazo kusendaweni efanayo yobuchopho. Njengesikhumbuzo sabasebenzi bezokwelapha phakathi kwenu, i-carotid bifurcation iqukethe okuthiwa i-carotid sinus node, uhlobo lokulinganisa umfutho wegazi okuzenzakalelayo kanye nohlelo lokulawula umzimba futhi - njengoba izincwadi zethu zisho - isifunda sokulawula esibaluleke kakhulu sokulawula nokulawula. ukuzinzisa umfutho wegazi ophakathi nendawo. Ezingeni le-organic, esigabeni se-pcl uhlaselwe yi-keratinizing squamous wart kulume lwalo mthambo we-carotid bifurcation.

Lapho lokhu kutholakala okokuqala kutholakala ngo-1984 ngenxa yokuthi isiguli sasinenkinga yokukhuluma, isiguli sashaywa uvalo futhi saphelelwa isithunzi saso ngoba manje sase sithathwa “njengensimbi eyisicucu,” njengoba sasho. Ukuphazamiseka kokukhuluma mhlawumbe kwakuwukubonakaliswa kokugeleza kwegazi okunciphile ku-posterior cerebral hemisphere ngenxa ye-carotid stenosis.³⁵¹.
Isiguli sasheshe sancipha, sangabe sisalala, futhi kwakudingeka sihlale sicabanga ngendlela esasiyiyo “insimbi eyinsimbi” futhi yayingasenamsebenzi. Wabe esehlushwa i-osteolysis ebalulekile emgogodleni kanye nasesinqeni, okuhambisana nokuwohloka kobuntu obuphakathi kokuzethemba noma ukungqubuzana kokungakwazi ukungena kokuthile (bheka i-x-ray ye-pelvis).
Empeleni, ngokokuqonda okuvamile kwezokwelapha, kwakungekho okunye okwakungenziwa. Ukwengeza, izithombe ze-CCT zahunyushwa ngokuthi "ukuthambisa kobuchopho", kodwa ngesikhathi lapho isiguli sase sinesikhathi eside saba nengxabano.
Isiguli sasinenye into eyayisihlupha: wayenomfutho wegazi ophakeme isikhathi eside (250/150). Manje umfutho wegazi wawusolwa ngokwenza imfoloko ye-carotid “calcification”. Eqinisweni, wayeke, eminyakeni engu-20 ngaphambili, waba nengxabano embi yamanzi ne-necrosis yezinso.

³⁵⁰ I-carotis = umthambo oyinhloko
³⁵¹ I-stenosis = ukuncipha, ukuqina, ukuncipha kwezitho ezingenalutho noma imikhumbi

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Ngaleso sikhathi wayendiza phezu kweMedithera ngendiza encane yabagibeli. Kusenjalo indiza ibhekane nokuduma kwezulu okukhulu. Umshayeli wendiza wayendizela phansi kakhulu, kodwa indiza encane yayilokhu ijikijelwa ngapha nangapha. Ngamunye wabagibeli wayesaba ukuthi ngomzuzu olandelayo bazowela eMedithera. Kwafakwa amajakhethi okuphila. Kuthathe cishe amahora ama-3. Isiguli sithi: “Kwakuyisihogo!” Kusukela ngaleso sikhathi kuqhubeke, saba nomfutho wegazi ophakeme futhi saphupha ngalesi simo esibi izinyanga.

Ngemuva kokwehla kwakamuva kokuzethemba kwe-DHS ngenxa yokuxilonga okujwayelekile okujwayelekile, isiguli sibe nezinyanga ezi-5 zokungqubuzana. Wabe esefika futhi wathululela isifuba sami kubangane bami eFrance. Futhi njengoba ehlakaniphe kakhulu, waluqonda uhlelo futhi waqonda ukuthi yonke into yayiyi-alamu engamanga nokuthi wayelahlekelwe ukuzethemba ngenxa yephutha.

Wabe esedlula kuzo zonke izigaba nezimpawu ze-leukemia. I-Conflictolysis yenzeka ngo-February'86. Isiguli saba nobuhlungu obunzima ku-pelvis nomgogodla, amanani e-leukocyte ayengaba ngu-20.000 ngemuva kwe-anemia yangaphambilini, eyayinzima kangangokuthi wayehlale elinganisela ngenani eliphansi phakathi kuka-7 no-8 g% we-hemoglobin. Wathatha i-cortisone cishe izinyanga ezi-4.

Isithombe sokuqala se-CCT sisuka kuNovemba '86 futhi sibonisa ukufiphala kwe-edema emnyama okujulile. Isazi se-radiologist sakhuluma “ngokuthamba kobuchopho,” isiguli esasivele sihleka ngakho ngaleso sikhathi. Lo mbala omnyama ojulile we-medulla ujwayelekile esigabeni se-leukemic. Ubumnyama bubangelwa i-edema. Ukugcizelelwa kusendaweni ye-cymbal relay. Imicibisholo engezansi ikhomba izingxabano ezimbili ezidala zokulahlekelwa (ukudluliselwa kwesende), lapho ukugxila kwe-cerebral Hamer kwesokunxele kusekulungisweni okuphindaphindayo nge-intrafocal and perifocal edema.

Umcibisholo phezulu kwesokudla: Kulokhu, akusona i-bronchial relay ethintekayo, kodwa kunalokho i-carotid fork relay etholakala endaweni efanayo lapho isiguli sasihlinzwe khona ngenxa ye-stenosis. Okuqukethwe yingxabano kuwukungqubuzana kokungabi namandla.

ikhasi 550

Isithombe se-CCT kusukela ngoNovemba 1987
Ngakwesokudla sibona umlingani wokungqubuzana kokuzethemba okucishe kube okujwayelekile ebuchosheni: Isiguli sasitshelwe ukuthi siyakhula i-carotid stenosis ngenxa yokuqina kwemithambo nokuthi maduze ngeke isakwazi ukucabanga kahle futhi bese bedinga ukunakekelwa kwabahlengikazi. Izelamani zesiguli zikwazile ukumkhulisa ngokuziphatha kwaxazululeka ingxabano. Ngenxa yalokho, sibona i-edema enzima cishe yonke i-medulla. Ukudluliselwa komgogodla kanye ne-pelvic kuthinteka kakhulu.

Ngezansi sibona i-carotid bifurcation stenosis ohlangothini lwesobunxele lwentamo.

E-branching yomthambo we-carotid, lapho okubizwa ngokuthi i-carotid sinus node ikhona, i-intima yomkhumbi (ulwelwesi lwangaphakathi lomthambo), okuyi-embryologically iyinzalo ye-branchial arch ngakho-ke ihlinzekwa ngokuzwela kakhulu yi-cerebral cortex, ingaba. ukuquleka uma kwenzeka kuba nengxabano equlekayo. Lokhu kungaholela kulokho okubizwa ngokuthi i-carotid aneurysm³⁵² ukuhola. Lokho akwenzekanga kuleli cala, ngoba ngokusobala lokhu kubizwa ngokuthi ukwelapha okulengayo, okusho ukuthi noma nini lapho kufika abafundisi abasha, isixazululo sesikhashana sokungqubuzana siphinde sibe khona. Uma abafundi baseseminari bephinda bebaleka, isiguli sasiyophinde sihlupheke. Ngakho-ke, sinokuphikisana ne-aneurysm lapha, okungukuthi i-stenosis ebangelwa i-keratinizing squamous epithelium ngesimo sensumpa ku-lumen yomkhumbi, okungabonakala ngokucacile ngegebe egazini elicetshiswe ngokuphambene ku-so. -okuthiwa i-carotid angiogram (ukumelela okuphakathi komthambo we-carotid).

³⁵² I-Aneurysm = ukwanda

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Imithambo ye-carotid yizakhiwo ezingamawele zemigudu yendlala yegilo, nayo eyavela emithanjeni efanayo yegill futhi eyavuleka emathunjini ngezikhathi zakuqala zokuziphendukela kwemvelo (= eccrine) futhi manje igelezela egazini (= endocrine). Ngakho-ke ukungqubuzana kuyafana kuzo zombili izimo: "Kufanele wenze okuthile, kodwa akukho lutho ongakwenza!"

I-x-ray ye-Pelvic kusukela ngo-April 1986, uhlangothi lwesokudla lwesithombe luhlangothini lwesobunxele lomzimba futhi ngokuphambene nalokho. Ngenkathi ohlangothini lwesobunxele sibona kuphela ukugxila okudala okwenziwe kabusha ku-ischium, uhlangothi lwesokudla lwe-pelvis luthintwa i-osteolysis eminingi. Ephezulu (i-sacrum) yayivele ikhona kanye yaphinde yabalwa futhi, kodwa manje i-osteolyzed nxazonke futhi. Amanye, afakwe uhlaka ngemibuthano, imicibisholo namadashi I-Osteolysis yakamuva - ukuwa kokuzethemba ebudlelwaneni nomlingani wakho. Singase futhi sithi: Lo mJesuit ophakeme wenkolo, owayehlale ezibheka njengomholi omuhle waseseminari, wathinteka ngokujulile ngokungalindelekile ekuzethembeni kwakhe “ngokuhamba” ngobuningi kwabafundi bezobufundisi eRoma.

CCT kusukela ngoNovemba 1986
Ebuchosheni obuseduze be-CT singabona (umcibisholo phezulu kwesokunxele) ukugxila kuka-Hamer, okuyingxenye ye-carotid stenosis futhi esesimweni sokulibaziseka ukuphulukiswa isikhathi eside. Kusukela ngezansi, phakathi, ukugxila kuka-Hamer ekuwohlokeni kokuzethemba ebudlelwaneni bozakwethu, osekulaphe izikhathi ezimbalwa, kuyagqagqana. Ngesikhathi sokurekhoda ubonakala esebenza futhi. Ezingeni le-organic, lokhu kuhambisana ne-osteolysis yehlombe elingakwesokudla. Ngeshwa asinayo i-x-ray yayo.

Umcibisholo oqinile osendaweni efanele lapho u-Hamer agxile khona embotsheni yesibindi-bile (inkinga yendawo), okunzima ukunquma ukuthi ingabe isilulame ngokuphelele noma inomsebenzi othile futhi. Lokhu kwakamuva kubonakala kunjalo, njengoba isiguli saba ne-jaundice emaphakathi kamuva nje. Lo mhlambi we-Hamer uhlanganisa umhlambi we-Hamer ngezansi ngqo kwendawo ye-occipital (umcibisholo omncane) ku-bubble relay (ingxabano yendawo yokumaka), esebenzayo futhi ngokuqinisekile.

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Umcibisholo we-occipital ongakwesokudla ukhomba ekugxilweni kwe-Hamer okusebenzayo endaweni edluliselwe ezinso (amanzi). Ngokuqondile eduze kwayo ohlangothini lwesobunxele lwe-medial isekhondi, futhi i-Hamer focus esebenzayo. Bobabili kungenzeka ukuthi banesibopho somfutho wegazi ophezulu. Okutholakele kuhambisana ne-necrosis yezinso ezingakwesokudla kanye ne-necrosis eyengeziwe ye-parenchyma yezinso kwesokunxele (Ukugxila kuka-Hamer: umcibisholo we-occipital kwesokunxele). Ngeshwa, isiguli asizange sibe ne-CT scan yesisu. Kodwa umuntu angaqonda kahle ukuthi esimweni esinjalo umfutho wegazi ophezulu - ngenxa yokulahlekelwa kwe-renal parenchyma okubangelwa i-necrosis yazo zombili izinso - cishe kuyadingeka ngokwezinto eziphilayo. Uma sicabanga ukuthi zingaki izikhwama zemithi isiguli esinjalo esivame ukunikezwa (i-hypertensive), siyakuqonda ukungabi nangqondo kwemithi yethu yamanje.

I-CCT kusukela ngo-Ephreli 1987
Ngemva kwezinyanga ezimbalwa (isithombe sika-April '87) i-edema ye-medullary yaphinde yehla futhi okwakucatshangwa ukuthi "ukuthamba kobuchopho" kwacishe kwanyamalala. I-osteolysis kanye ne-anemia nakho sekunyamalele futhi ama-leukocyte abuyele ebangeni elijwayelekile. Ebuchosheni be-CT kusukela ngo-April '87 ungabona ukwehla okuphelele kwe-edema ku-medulla.

Uma lo mpristi eneminyaka engu-70 ubudala ekwazi ukusinda ekwehleni okukhulu kangaka kokuzethemba kwemvelo evamile, khona-ke abantu abasha bangaphila kalula nakakhulu. Lomfundisi naye wayezwa ubuhlungu obukhulu, kodwa wayenabantu ababemzungezile ababemsiza futhi beqonda nesimiso semithi emisha.

21.9.8/XNUMX/XNUMX Umshushisi womphakathi: Ukwehla ukuzethemba kukababa/indodakazi

Icala elilandelayo lithinta umshushisi owayebhekwa njengoqinile. I-DHS yokuqala yenzeka kanje: Umshushisi womphakathi ube nengxabano ebucayi esemthethweni nomphathi wakhe, umshushisi jikelele womphakathi.

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Isiguli sagxuma sijabulile, saphuma sigijima ekamelweni futhi samemeza: “Ucabangani ngakho ngizokubhalela kuphela,” okuyinto esaqhubeka senza izinyanga eziyisi-5 kwaze kwaba yilapho sithatha umhlalaphansi. Kuye wayeyi-contactosis. Okutholakele okuhlobene namaphaphu kwaqashelwa kamuva, ngenhlanhla kuphela futhi ngokuphathelene nesinye isenzakalo. Ngoba ngoJanuwari 84 indodakazi yakhe ayithandayo kwakufanele iye okhethweni. Umshushisi womphakathi: “Akukhona nje oHlaza!” Khona-ke le ndodakazi encane eyayiziphethe kahle ngaphambili yasukuma phambi kukayise yaphikisa: “Awukaze ukhulume nami ngesikhathi esifanele, manje angisasidingi iseluleko sakho! ” Isiguli: “Ukuthi “Kwangithinta kakhulu;

Wabhekana nokuwohloka kokuzethemba ebudlelwaneni bukababa/indodakazi. Esimeni esinjalo, indawo yohlaka lwamathambo ehlombe likamama kwesokunxele iyohlala ithintekile esimweni sikababa, kokubili kungathinteka. Ukubuyisana (conflictolysis) kwenzeka ngo-April '84. Lokhu kwalandelwa ubuhlungu behlombe kuwo womabili amahlombe, kamuva kwatholakala ukuthi ngokomlando njengomdlavuza.

Ku-CCT kusukela ngo-September '85 sibona i-edema enzima ye-medulla ngaphambili nasohlangothini lwazo zombili izimpondo zangaphambili, ezinikezwa kuhlaka lwamathambo ehlombe.
Ukuthola okwengeziwe: Umcibisholo ongakwesokudla ubhekise eziko lakwa-Hamer elidala ku-coronary relay ehambisana nesifo senhliziyo esidala, esiphelelwe yisikhathi, esingaziwa.

Ama-leukocyte ayephakathi kuka-12.000 15.000 no-4. I-leukemia "yayinganakwa" uma kubhekwa i-bronchial carcinoma okuthiwa inkulu, empeleni kwase kuyisikhathi eside ingasebenzi futhi isimo sayo sensalela sabonakala njenge-bronchial atelectasis engenangozi, futhi engazange ibangele noma yiziphi izimpawu ngoba, ngenhlanhla, yaxazulula ukungqubuzana kwendawo yayo ngemva kwalokho. Izinyanga ezi-5 kuye kwezi-XNUMX zixazululwe ngokuthatha umhlalaphansi ezinyangeni ezi-XNUMX ezedlule. Isiguli seza kimi sabuza ukuthi kufanele senzeni. Ngathi: “Lutho, jabula ngokuthi zombili izingxabano sezixazululiwe. Uma ungenzi lutho, akukho okuzokwenzeka kuwe." Wanikina ikhanda wathi: "Ngiyajabula, kungaba kuhle lokho."

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Ebuchosheni be-CT kusukela ngo-September '85 sibona (umcibisholo phezulu kwesokudla) isilonda esikhulu se-Hamer esingasenayo noma iyiphi i-edema endaweni ye-periinsular yesokudla, ehambisana nokungqubuzana kokwesaba kwendawo okukhulunywe ngakho ngenhla okubangelwa ingxabano no-Attorney General.

Umkhandlu womndeni wanquma ngokuhlukile: Umshushisi womphakathi ohloniphekile kufanele futhi enze ukwelashwa komdlavuza okugunyazwe uhulumeni. Umngane wakhe, umshushisi ohlakaniphile, naye osethathe umhlalaphansi, wayephelelwe ithemba.
Kwadingeka abuke umngane wakhe “elashelwa” ukufa nge-chemo nemisebe futhi engakwazi ukwenza lutho.

Ngendlela, umdlavuza we-bronchial ongasebenzi awuzange unyakaze, njengoba ngangilindele. Isiguli selashelwa ukufa futhi sabulawa yi-cytostatic anemia. Ngaphambi nje kokufa kwakhe, wathululela umngane wakhe isifuba: “Ngicabanga ukuthi uHamer wayeqinisile ngempela ngemva kokufa kwakhe, umngane wakhe owayephelelwe ithemba wanquma ukusebenzela ukusakazwa komuthi omusha esikhathini esizayo.

Esithombeni esiphambene noJuni '85 sibona i-atelectasis ye-bronchial ehambisanayo ku-x-ray yamaphaphu, esesigabeni sokuphulukisa kungenzeka ngemuva kwezilonda ze-intrabronchial. Kubantu abavamile, lokhu kubukeka njengento enkulu Isimila samaphaphu. Kodwa eqinisweni kukhona abanjalo izinto ezibonakala zizinkulu nje yi-atelectasis, kusuka ku-1 centimeter isilonda ku-bronchus zingavela. Esigabeni sokuphulukisa Le bronchus ivuvukala ngaphakathi (occlusion). Ingxenye yendawo yamaphaphu, kulokhu i-lobe ephakathi, evinjiwe ngemuva kwalokhu I-bronchus ilele futhi ayisekho umoya, ihlala i-atelectatic noma ingenawo umoya. I Umuthi ojwayelekile ubona ingxenye engenawo umoya noma engenawo umoya kahle “njengethumba,” okuyinto engalungile ngokuphelele. I-Atelectasis ivame ukuhlala impilo yonke ngaphandle kokudala izinkinga.

ikhasi 555

21.9.9 I-acute lymphoblastic leukemia ngenxa yokuwohloka kokuzethemba ngenxa “yezintathu” emculweni.

Leli cala libuhlungu kangangokuthi ungakhala nje ulifunda. Abazali bangivumela ukuba ngiphrinte isithombe sendodana yabo ngoba kwakuyiyona ndlela kuphela yokuqonda leli cala.

Lo mfana ngaleso sikhathi owayeneminyaka engu-14 ubudala wahlushwa i-DHS ekuqaleni kukaFebruwari '84, okungukuthi i-DHS ephindwe kabili: 1. Ukungqubuzana kwentukuthelo nesibindi kanye ne-bile duct carcinoma, ngokunokwenzeka futhi isilonda esiswini. 2. Ukuwa kokuzethemba kwengqondo (“ukungabi nabulungisa”) nge-osteolysis emgogodleni wesibeletho.

Yena, ohamba phambili kakhulu ekilasini emculweni, umthandi womculo oshisekayo nomdlali wezitho, okufanele abhale yonke into ebhodini ekilasini lomculo ngoba uyena kuphela owazi ukuphatha amanothi ngendlela efanele, uthola oku-3 kokukodwa. inzondo nonya lukathisha emculweni! Kuyaqondakala ukuthi umfana uthukuthele kakhulu futhi wehla kakhulu ukuzethemba. Ngoba ukuzethemba kwakhe kwakusekelwe eqinisweni lokuthi wayengumuntu othanda umculo. Uhlale ecabanga ngalokhu kungabi nabulungisa futhi ucasuka ubusuku nemini, anciphe ngenxa yokuthi akasalambile, akasakwazi nokulala futhi uvame ukuba nesifiso sokuphalaza. Ukungqubuzana kwenzeka ngo-Ephreli '84. Umfana uzitshela ukuthi: “Manje uzophinde uthole amamaki akho ekhadini elilandelayo, khona-ke uzophinde abe khona!” Ekuqaleni kukaJuni 84, i-acute lymphoblastic leukemia yatholakala futhi yelashwa nge-cytostatics. NgoJulayi kwakukhona ukuphindaphinda kwengxabano yangempela-i-DHS, lapho uthisha, naphezu kokugula okwaziwayo manje, wamnika enye i-D, engenabulungisa ngokuphelele futhi enonya oluphelele. Kusukela kulo mzuzu kuqhubeke, lokho i-cytostatic pseudotherapy eyehlulekile ukukwenza kwenzeka: inani le-leukocyte lehla ngokushesha ngenxa yokucindezeleka komnkantsha okuhlobene nokungqubuzana, okuholela ku-leukopenia. Umfana uphinde wehlisa isisindo ngokushesha, unesicanucanu nokuhlanza njalo, akasakwazi nokulala futhi kufanele acabange njalo nge-3 emculweni. Wabhekana ncamashi nokungqubuzana okufanayo nokuphindaphinda: 3. ukungqubuzana kwentukuthelo yendawo (i-hepatobiliary duct carcinoma kanye nesilonda sesisu), 1. ukungqubuzana kokuzethemba ne-skeletal osteolysis, kanye 2. nokwesaba-emqaleni- Ukungqubuzana ngokukhubazeka kokubona.

ikhasi 556

Kwakuyimbi kakhulu: Kulesi sigaba sesibili sokugula okubangela ukungqubuzana phakathi kukaJulayi noKhisimusi 1984, lapho umfana wayelokhu encipha, ehlanza, engalali futhi kufanele njalo acabange ngabathathu bakhe emculweni, umfana kwakufanele "unempilo" ngokuzwakalayo Ulwazi oluvela kodokotela ngoba umsebenzi wegazi wabonisa i-leukopenia! Yilokho okwenzekayo lapho odokotela benquma kuphela phakathi kokugula nokunempilo ngokusekelwe kwezinye izimpawu ze-idiotic, kuyilapho empeleni kwakunjalo ngokuphambene!

Lapho umfana, njengoba ebika, ezitshela ngoZibandlela (uKhisimusi ka-'84): “Awu, uthisha angangithanda ngelinye ilanga,” wayeka ukucasuka ngabathathu. Kusukela ngaleso sikhathi kuqhubeke wathola isifiso sokudla futhi, wathola isisindo futhi, waphinde wakwazi ukulala futhi - ekukhaleni okukhulu kokucindezeleka okuvela kodokotela basenyuvesi, inani le-leukocyte laphinde lakhuphuka laya ku-3 njengesibonakaliso esihle sokuphulukiswa ekuweni kwakhe ukuzethemba. futhi njengophawu lokuvuselelwa kwamathambo! Lapho umfana engaphilile wayebhekwa njengomuntu ophile saka. Kodwa manje njengoba ngokusobala wayeseqhuba kahle, ngokuyisisekelo wanikezwa isigwebo sentambo: ukuphinda umdlavuza wegazi, alikho ithuba lokusinda!

Kusukela ngaleso sikhathi kuqhubeke, konke okwenzeka manje kwakuwubuhlanya obumsulwa: ukwelashwa kwe-chemo (cytostatic) okunamandla kakhulu kwenziwa kuphela "impumelelo" ukuthi umnkantsha wamathambo wonakaliswe ngokuphelele. Kwakungenzeka ukuphatha umfana njenge-anemic, kodwa njengoba esemusha, ama-leukocyte ayelokhu ekhuphuka - ngokuphindaphindiwe njengesibonakaliso esisha sokuphulukisa, ngoba ukungqubuzana manje kwase kuxazululiwe. Futhi kwenziwa imizamo kaninginingi yokuxosha udeveli ngama-cytostatics anolaka. Umfana ompofu ekugcineni wafa ukufa okunesihe kodwa okungadingekile ngokuphelele ngaphansi kwalokhu kuhlukunyezwa okuqhubekayo: umhlengikazi wasebusuku akazange aqaphele ukuthi wayephuma ekhaleni futhi igazi laligijima emgudwini wamathumbu, nakuba kwakufanele aqaphele. Ubecimile isibani. Lapho ebheka ekuseni, insizwa empofu yayisanda kukhipha amalitha angu-5 kuya kwangu-2 egazi endunu yayo futhi yashonela khona lapho! Wayenikezwe "i-Carnivora" kusukela ekungazini okungenzeka, ushevu okhethekile we-thrombopoiesis. Wopha waze wafa ngenxa yalokho.

Kodwa-ke, angazi noma umfana wabhekana nokwehla okwengeziwe kokuzethemba, okuthinta i-5th lumbar vertebra kwesokudla, ngoJulayi ngesikhathi sokuphindaphinda kwezingxabano ze-DHS noma ngesikhathi sokubikezela kwesibili okulimazayo ekupheleni kukaJanuwari '2. , Ngicabanga yokugcina, kungase futhi kube ukwesaba- in the entanyeni ukungqubuzana livela lapho. Zombili kumele ngabe zahlukana phakathi kukaJanuwari noJuni '85, inyanga okwathathwa ngayo i-CT yobuchopho. Ngabona umfana amahora angu-85 kuphela, ezinsukwini ezimbalwa ngaphambi kokufa kwakhe, futhi ngangingazi nge-CT scan yobuchopho.

ikhasi 557

Ukuwa kokuzethemba okusekelwe ekungabini nabulungisa, ngikubiza ngokuthi "ingqondo" ukungqubuzana kokuzihlonipha, kuholela njalo, njengoba ngingafakazela ngezibonelo ezingapheli, ku-osteolysis ye-vertebrae yomlomo wesibeletho noma i-vertebrae yomlomo wesibeletho ngayinye. Ngenxa yalokho, umfana wayehlale ekhononda ngobuhlungu bentamo. Kodwa-ke, ngaphezu kwalokho noma esikhundleni salokho, wayengaba ne-osteolysis ye-skull cap, ehlobene nokuqukethwe okufanayo kwengxabano.

Ku-CT yobuchopho yalo mfana ozwelayo sibona (umcibisholo ongezansi kwesokudla) ukugxila kwe-Hamer ku-cerebrum - ukudluliselwa kwesilonda sesibindi se-bile kanye nesilonda sesisu esine-edema yesisombululo esibi. Ngaphambili sibona i-edema ephawulekayo yomgogodla womlomo wesibeletho kanye ne-calotte edluliselwe ezinhlangothini zombili, okuhambisana nokuwa kokuzihlonipha kwengqondo (imicibisholo engu-2 ephezulu kwesokunxele nakwesokudla). Umcibisholo omaphakathi kwesokudla ukhomba ku-Hamer focus for bronchial carcinoma (ukukhathazeka kwendawo), ekhishwe ngesikhathi esifanayo nokudluliselwa kwentukuthelo yendawo. Ngenhlanhla, azikho izithombe zamaphaphu ezithathwe.

Imicibisholo engezansi ngakwesokudla ekungqubuzaneni kokwesaba-emqaleni kanye nokungqubuzana kokwesaba umhlaseli, okuhambisana nokuwohloka okukhulu kwekhono lokubona.³⁵³ weso langakwesokunxele. Umcibisholo ongakwesokudla uhambisana ne-retina (ukwesaba okuthile). Umcibisholo wesokunxele uhambisana nomzimba we-vitreous, okungukuthi isilwane esizingelayo noma umgijimi. Izingxabano zavela mayelana nokuhlushwa kokwelashwa.

Loya mfana ompofu esimbona esithombeni nomama wakhe e-ogani wafa ngenxa yokungazi lutho! Esikhathini esizayo akumele kusaba khona into enje!! Kulokhu wonke umuntu angabona ngokuningiliziwe ukuthi zonke izinto zemvelo ziphendulwa kanjani ngokungazi ngokuphelele. Onempilo uthathwa njengokugula, ogulayo uthathwa njengonempilo!

³⁵³ I-Visual acuity = ukubona, ukubona kahle

ikhasi 558

21.9.10/XNUMX/XNUMX Ukwehla ukuzethemba ne-plasmacytoma ngenxa yokuqothuka kwebhizinisi lendodakazi eyintandokazi

1.  I-leukemia ngemva kokuzethemba kwayo kwehla lapho indodakazi ithutha futhi iqothuka.
2. I-carcinoma yesibindi ngemva kwengxabano yendlala yendodakazi futhi kamuva nayo ngokwayo ngemva kokutholakala kwesifo sokusha kwesibindi.
3.  Isimo ngemva kokungqubuzana kwezindawo eziningana ne-hepatitis A no-B esigabeni sokuphulukisa esilandelanayo ngemva kwezilonda zesibindi ne-bile duct.
4.  Isifo sikashukela i-mellitus ngemuva kokungqubuzana kokumelana
5.  I-ovarian carcinoma ngakwesobunxele ngenxa yokungqubuzana kokulahlekelwa.

Leli cala lesalukazi esineminyaka engu-66 saseningizimu yeFrance lizovusa imibuzo eminingi. Kwakungelinye lamacala angavamile kakhulu afika kimi. Lapho ngiqala ukubona isalukazi ngo-April ka-'86, sasiphuzi njenge-canary. Wayesanda kubuyiselwa ekhaya evela esibhedlela njengoba engelapheki. Etafuleni kwakukhona ama-x-ray ogebhezi lwakhe, olwalubonisa ithambo logebhezi olumbozwe i-osteolysis. Njengoba ngangizwa, ugebhezi lwekhanda olungamathambo lwaluthambile kangangokuba lwalungahlabeka umxhwele kalula. Amadodakazi akhe amathathu emi ngakuye. Kwakusebusuku endlini yakhe. Into emangazayo ukuthi lona wesifazane, ngokombono kadokotela wendabuko wayenazo zonke izizathu - njengoba incwadi yokuphuma esibhedlela yabonisa - ukuba alungele ukufa ezinsukwini ezimbalwa ezizayo, wayejabule futhi ejabule futhi wathi kimi: “Dokotela, odokotela. Wonke umuntu uthi ngizofa ezinsukwini noma emasontweni ambalwa alandelayo, kodwa ngizizwa ngingcono kunangaphambili, nginesifiso sokudla, futhi ngilala kahle. Angiqondi ukuthi kungani kufanele ngife!”

Wabe esethi, esizwa amadodakazi akhe ama-3: Bekulokhu kunamaphuzu ama-2 abuthaka empilweni yakhe abelokhu esabela kuwo ngokuzwela. Esinye kwakuwukungabi nabulungisa, lokho, njengomshisekeli wobulungisa, ayengenakukubekezelela. Futhi wayengase abe luhlaza ngokucasuka ngenxa yokungabi nabulungisa okungaka. Yiqiniso, akekho othanda ukungabi nabulungisa, kodwa abantu abaningi bayakwamukela ngokushesha Lesi siguli asikwazanga ukwenza lokho. Ukungabi nabulungisa kokuqala okukhulu kwenzeka phakathi nempi ngo-1944, lapho udadewabo edutshulwa amasosha aphikisayo, okuthiwa wayenza ngephutha. Kodwa isiguli, ngaleso sikhathi esasineminyaka engu-24 ubudala, sasazi ukuthi kwakungelona iphutha futhi sasazi ukuthi udadewabo umsulwa ngokuphelele.

ikhasi 559

Le ndaba mhlawumbe kwakuyisipiliyoni esichazayo sempilo yakhe. Ngoba phela kwasekumele abone abantu abadubula udadewabo bephindelela! Kwakuwukungabi nabulungisa okukhulu! Asazi noma wayesephethwe i-plasmacytoma ngaleso sikhathi, okungenani akukho lutho olwahlolwa ngaleso sikhathi.

Ngo-1972, indodakazi endala yesiguli, isekela lomphathi womndeni, yasuka kude nayo, yaya kude nezingane zayo.

Wayenobudlelwano obusondelene kakhulu, udadewabo nale ndodakazi. Wazihlanganisa naye kakhulu kunalokho umama ngokuvamile akwenza. Futhi lapho le ndodakazi isuka, yezwa sengathi:

1. Ukungqubuzana kokulahlekelwa, ayekusola kumkhwenyana wakhe,
2. Ukuwa ukuzethemba: “Kungani ngingavunyelwa ukuba nabazukulu bami kuyilapho abanye benabo? Manje angisenalutho.”

Kusukela lapho, isiguli besiphila futhi sahlupheka cishe kuphela nale ndodakazi. Wahlukaniswa “nendoda embi” ngo-1974 kwathi eminyakeni eyi-10 kamuva waphelelwa yimali nesitolo sakhe sezimpahla ezibizayo kanye nayo yonke impahla yakhe e-Cote d'Azur.

Futhi, kwaba ukuphindaphinda kwe-DHS kumama, ngokubona kwami, kusaqhubeka ukungqubuzana kokulahlekelwa. Wehla ngo-8 kg ngesisindo, ecasukile (intukuthelo yendawo ne-carcinoma yesilonda sesibindi) futhi, ngokubambisana nendodakazi yakhe, wazizwa edelelekile ngokuphelele.

Leso kwakuyisimo ehlobo lika-'85, lapho i-plasmacytoma, i-carcinoma yesibindi kanye ne-ovarian carcinoma (endala) ngakwesobunxele itholakala esibhedlela.

Ukungqubuzana kwenzeka kanje: Ngokushesha ngemva kwalokho, indodakazi yathola umsebenzi omuhle njengomqondisi wesitolo esikhulu sezitolo. Futhi bheka, umama wakwazi ukudla futhi ngokuzumayo, wakhuluphala - naphezu kokuba wayethole i-chemo - kodwa wazizwa ebuthakathaka kakhulu futhi ekhathele.
Lapho isiguli kamuva saba ne-jaundice, isibonakaliso esivamile sokuphulukiswa kwesilonda sesibindi se-carcinoma, i-ascites (njengophawu lokuxazululwa kwengxabano yesisu ne-peritoneal mesothelioma esigabeni sangaphambilini se-ca) hhayi nje i-leukemia, kodwa ngenxa yalokho kanye ne-pan-polycythemia - naphezu kwalokho. I-chemo! “Isiguli esingelapheki” manje sesenza kahle impela lapho.

ikhasi 560

Esithombeni se-x-ray sibona i-foci ejwayelekile ye-osteolysis ye-calotte. Isithombe esinjalo sithola kuphela ekungqubuzaneni okukhulu kakhulu, okuhlala isikhathi eside ukuzethemba okwakumayelana nokuthile okuyisisekelo njengobulungisa nokunye okunjalo.

Isithombe se-CCT kusukela ngoJuni '86: Sibona i-medullary edema ejwayelekile yesigaba se-pcl ne-foci ka-Hamer esixazululweni. Imicibisholo emibili ikhombisa ukudluliselwa kwama-halves amabili ekhalothi kanye nama-halves amabili omgogodla womlomo wesibeletho. Ukugxila kwe-Hamer yomlomo wesibeletho kungaphezulu kwe-dorsal, i-calotte Hamer focus ingaphambili kakhulu. Ama-relay anzima ukuhlukanisa ku-CCT.

Ukugxila kuka-Hamer kungxabano ye-Straubens (umcibisholo), oya ku-diencephalon futhi obhekene nesifo sikashukela. Ukungqubuzana kwakuwukumelana ngaphambi kokwelashwa kokugcina kwekhemo. Isiguli sasusa umsindo wangempela esibhedlela. Lesi sitofu se-Hamer naso sinesixazululo.

ikhasi 561

Umcibisholo okwesokudla ukhomba ichopho elimaphakathi lokugxila kuka-Hamer ku-liver-bile duct relay (ukucasuka kwendawo), okuvamise ukuvela iminyaka. Umcibisholo ophansi ukhomba i-ovarian carcinoma, "eye yahlala ibhalansi" iminyaka futhi iphinde ibe nesixazululo kancane ngesikhathi sesithombe, ebonakala nge-intrafocal edema.

Umcibisholo ongenhla ukhomba ku-brain stem-relay yesibindi, ngakho-ke kufanele sicabange ukuthi kube nokungqubuzana kwendlala yesikhashana (okwamanje okubangelwa ukuxilongwa kwesifo sokusha kwesibindi), manje esixazululiwe. Okunye okutholakele okwengeziwe okuvela ku-CCT: Imicibisholo emibili engezansi ikhomba izilonda zika-Hamer, okufanele zihambisane nokuphuma kwe-pleural noma kwe-peritoneal kwesokudla nakwesokunxele. Azisekho ezintsha, kodwa zibonisa kuphela i-edema encane esalayo. Ngokusobala isiguli kufanele sibe ne-pleural effusion yamazwe amabili noma i-peritoneal ngaleso sikhathi, engazange itholakale. Angizazi izingxabano ezithile phakathi kwalawa ma-carcinoma amabili. Ngimane ngicabange ukuthi nabo babenokuthile okuphathelene nokuqothuka kwendodakazi. Bahlehla ngokushesha ngemuva kwesixazululo ngoba nabo babenesikhathi esifushane kakhulu.

Leli cala libonisa izinto ezimbalwa!

ikhasi 562

1. Imidlavuza eminingi itholakala kuphela lapho ilulama ngoba yilapho idala izinkinga eziningi. Khona-ke ngokuqinisekile odokotela babheka lezi zimpawu zokuphulukisa njengezimpawu zangempela zomdlavuza. Izivivinyo zaselabhorethri umuthi onazo namuhla azikwazi ukwenqatshwa. Kulokhu, i-paraproteinemia itholwe, okungukuthi ukushintsha kwe-electrophoresis. I-plasmacytoma enjalo ingumdlavuza wamathambo njenganoma yimuphi omunye, ngaphandle kokuthi amangqamuzana e-plasma omnkantsha athinteka kakhulu. Vele, ngazibuza ukuthi ingabe lezi zomdlavuza ezikhethekile zamathambo nazo zibonisa izinhlobo ezikhethekile zokuwohloka kwesibindi. Ngakho konke ukubhuka, ngicabanga ukuthi ngingasho: yebo! Umbandela owodwa uvela eqinisweni lokuthi cishe wonke ama-plasmacytomas ane-osteolysis ku-calotte, emgogodleni wesibeletho noma ezimbanjeni. Lokhu kakade kuphakamisa ukuthi "inkinga yengqondo" iholele kulokhu kwehla kokuzethemba. Lezi ziguli zazihlale zinengxabano nokulahlekelwa okukodwa noma okuningi kwabantu abavela endaweni yazo, kodwa ngokuvamile ngendlela yokuthi ukulahlekelwa okungazelelwe kwakungeyona inkinga, kodwa kunalokho ukulahlekelwa ngokuvamile kwakuvele kubonakale kusengaphambili, kodwa hhayi ukuwa kokuzethemba. ngenxa yokulahlekelwa “i-self-esteem-forming milieus”. Kulokhu kube nokungqubuzana kokulahlekelwa (ukungqubuzana okulengayo ne-ovarian carcinoma), okusobala ukuthi akuyona impoqo.
2.  Leli cala libonisa ukuthi labo okuthiwa odokotela abavamile baba ntula kanjani usizo ngokuphelele lapho isiguli “sesixube konke”: i-plasmacytoma, isibindi se-carcinoma, isifo sikashukela, i-leukemia ne-pan-polycythemia: Yebo, akusekho okuhlanganisayo, lokho okufanele kwenziwe ubani abe metastasis? Ingabe i-plasmacytoma kufanele ibe ne-leukemic infiltrates? Ikhombisa ukungabi nalusizo okuphelele kanye nombhedo lapho umuntu ezama ukuhlukanisa izifo ngokwezimpawu esikhundleni sokusho imbangela yazo. Futhi lesi sizathu akumele ngaphansi kwezimo sibe yi-psyche nobuchopho, ngoba ... "kungenjalo konke esikwenzile emashumini ambalwa eminyaka adlule bekuyoba umbhedo".

Kungani isiguli singasabeli ngebele langakwesokunxele, njengomama? Ngicabanga ukuthi lesi siguli sazizwa njengodade. Ungakwazi futhi ukubona ingane njengozakwethu ngokuphelele noma ingxenye. Lokho kuyenzeka futhi, futhi akuvamile! Okubalulekile akukhona ukuthi isiguli siyini, kodwa lokho esikuzwayo ngaleso sikhathi se-DHS. Kufanele ulalele ngokucophelela, njengomhloli omuhle. Yingakho ungakwazi ukukhohlwa zonke izibalo ezingenangqondo ezenzeka lapho, isibonelo, izazi zokusebenza kwengqondo ziqedela imibuzo! Ubani owake waqhamuka nombono wokuthi umuntu angahlola umphefumulo womuntu ngombhedo onjalo?

ikhasi 563

21.9.11/XNUMX/XNUMX isifo sikaWaldenström

Icala lesiguli esilandelayo lihlanganisa isifo sikaWaldenström (uhlobo olukhethekile lomdlavuza wamathambo), i-lymphoblastic leukemia, i-intrabronchial carcinoma kanye ne-hepato-biliary duct carcinoma, kanye nomlaza wesikhashana we-schizophrenic. Kulokhu uzobona ukuthi i-nomenclature ididekile ngokuphelele lapho ngizama ukuchaza i-syndromes yangaphambilini kanye nezifo okuthiwa yi-New Medicine "ngolimi lwezokwelapha oluvamile". Kulokhu, mfundi othandekayo, kufanele ngiqale ngethule izingxoxo zethiyori ukuze icala liqonde. Ngaphandle kwalokho kungaba nzima kakhulu ukufaka izincazelo ezinjalo ezincazelweni eziqhubekayo zecala.

Njengoba odokotela abasunguliwe bebengafuni ukwazi lutho ngomuthi oMusha, bebengenakho ukuqonda ngezinqubo ezingaqondwa kuphela ngosizo Lomuthi Omusha. Njengoba wena, mfundi othandekayo, awusoze wathola irekhodi lezokwelapha lapho kungenzeka khona umehluko phakathi kwe-sympathicotonia ne-vagotonia ngisho nokucatshangelwa, ingasaphathwa ukuthi lokhu kungenzeka kubhekwe njengesizathu soshintsho kulokho okubizwa ngokuthi okutholwe okuhloswe, omunye uvele. ngesinye sakha isithombe esiyinqaba ngokuphelele, ngisho nesingajwayelekile somsebenzi wezinto eziphilayo, okuhlanganisa iHomo sapiens.

Lapho ngichaza i-leukemia, ngabonisa ukuthi ingxenye yesibili kuphela yesifo somdlavuza wamathambo. Kodwa leli elinye kuphela lamazinga ama-3 (ingqondo - ubuchopho - isitho) salo lonke uhlelo olukhethekile lwebhayoloji lomdlavuza. Manje kufanele sihlunge ehlathini elikhulukazi lezifo. Njengoba nje kube nezifo okuthiwa ziyingxenye ye-2 kuphela (isigaba se-pcl) sesigaba esidlule sokungqubuzana, kunezifo okuthiwa ziyingxenye ye-1 kuphela "yokugula" okunjalo, ngoba kuze kube manje - ngenxa yokungazi kwezokwelapha kanye nokungabonwa okwanele - ingxenye yesibili, okungukuthi isigaba sokuphulukisa, ngokuvamile ngokusobala asikaze senzeke. I-leukemia ivame ukuvela kuphela uma umdlavuza wamathambo ungakatholakali ngeshwa ngaphambili. Uma kutholakala futhi isiguli sinikezwa ukuxilongwa, futhi okubi nakakhulu, okucatshangwayo isibikezelo ziphonswe ekhanda, khona-ke isiguli ngokuvamile siwa ngokuphelele futhi sibhekana nengxabano elandelayo yokungazethembi ngoba manje sikholelwa ukuthi sibaluleke nakakhulu.

ikhasi 564

Kungakho ungalokothi noma ucishe ungalokothi uzibone lezi zithombe ezimbili zasemtholampilo ndawonye. Kodwa-ke, uma i-bone osteolysis itholakala phakathi nesigaba se-leukemic, lokhu kubizwa ngokuthi "i-leukemic-metastatic infiltrates". Lokhu kuyaxaka kakhulu ngoba ama-leukoblasts noma ama-lymphoblast awasakwazi ukuphindaphindeka futhi awahlanganisi amaseli noma i-mitosis. Akekho owake wakwazi ukuchaza ukuthi "ukungena kwe-leukemic" okusolwa ukuthi kwenzeka kanjani ngempela. Ngokufana nokuthi umdlavuza wamathambo kanye ne-leukemia kuyizigaba ezimbili nje zesifo esisodwa kanye nesinye, okufanayo kuyiqiniso ngenani lezinhlobo ezahlukene ezibizwa ngokuthi ama-syndromes empeleni ahlangene, njengomdlavuza wamathambo kanye nama-Schmorian nodules noma ukungena kwepuleti kanye ne-leukemia noma umdlavuza wamathambo, i-Scheuermann syndrome kanye ne-Leukemia noma umdlavuza wamathambo, isifo sika-Waldenström kanye ne-leukemia, uma ngezinye izikhathi lesi sigaba sokuphulukisa sesifinyelelwe kuze kube manje. Iqiniso liwukuthi cishe alikaze lifinyelelwe kuze kube manje, yingakho isifo sika-Waldenström, ngokuyisisekelo nje uhlobo olukhethekile lomdlavuza wamathambo, kubhekwa njengokungenakwelashwa futhi ngokuvamile kuholela ekufeni, nakuba amacala ngamanye ahlala iminyaka aziwa futhi. Isifo sika-Waldenström, okuthiwa yi-immunoglobulinopathy lapho i-immunoglobulin G yanda khona ku-immune electrophoresis (ebizwa nangokuthi i-primary macroglobulinemia), njengoba kushiwo, uhlobo olukhethekile lomdlavuza wamathambo. Angikwazi okwamanje ukunquma ngokuqinisekile ukuthi kukhona uhlobo olukhethekile lokungqubuzana ukuzethemba ngemuva kwakho noma ukuthi ukusabela okukhethekile komuntu oyedwa noma abantu abathile noma ukuthi inhlanganisela yezingxabano ezimbili emsebenzini wokungqubuzana kanyekanye ngibone okukhulu. inani lamacala anjalo.

Lesi siguli siyisisebenzi sikahulumeni, isisebenzi sikahulumeni esiqaphe kakhulu esasifuna ukwenza yonke into ngendlela efanele. Ngenxa yalokho, wabhekana nokuwohloka kokuzethemba izikhathi eziningana. I-vertebra yesibili ye-lumbar yayihlale ithintekile. Kwakuthiwa njalo “Lumbago”. Ube eseya njalo kudokotela ohlinzayo wamathambo owayezama ukujova i-Novocaine ezimpandeni zezinzwa, ecabanga ukuthi izimpande zezinzwa zizocindezelwa. Eqinisweni, cishe kwakuyi-periosteal capsule tension eyayibangela ubuhlungu besiguli, ngoba ubuhlungu beza njalo lapho isiguli sikhululekile. Ngeshwa, udokotela ohlinzayo wamathambo waphumelela ikakhulukazi kwezinye zalezi zinqubo zokubumba umjovo ngenxa yokuthi izinhlungu zaba ngcono ngokushesha ngemva kwalokho. Wayebhoboze i-periosteum eqhumayo noma wagcina eyisika ngenxa yokubhoboza njalo. Akukhona nje ukuthi i-edema yaphuma, kodwa ne-spongiosa³⁵⁴ kusuka ku-osteolysis. Ngokushesha nje lapho ukungqubuzana sekuxazululiwe okwesikhashana, lokhu kwakungasenalutho oluphuthuma ukwedlula ukwenza i-callus, okwakuzodingeka ukuthi ibizwe ngokuthi i-osteosarcoma.

³⁵⁴ Cancellous bone = ithambo lethambo

ikhasi 565

Ngalo mlando, ekwindla ka-85 wabhekana ne-DHS embi kunazo zonke kuzo zonke izigameko zangaphambilini: inhloko yomnyango yayishintshile futhi umongameli wasuswa esikhundleni! Isiguli sathola ngalokhu ngosuku lokuqala sisanda kubuya eholidini. Ngalolo suku wafika ekhaya edangele futhi engakholwa: "Manje angisenaye ummeli!" iStop sakhe kuphela nesiphephe kunazo zonke. Futhi njengamanje bekufanele akhushulelwe esikhundleni. Kwakungasekho ukukhuluma ngalokho kwazise umengameli wayengasekho. Ngenxa yalokho wabhekana nokungqubuzana kwendawo kwabesifazane ngenxa yokushiywa kulobu budlelwano bokwethembana. Ngesikhathi esifanayo, waphinde wahlushwa ukungqubuzana kwakhe kokuzihlonipha kwakudala ngendlela eshubile nenwetshiwe. Ekugcineni, phezu kwakho konke okunye, wabhekana nentukuthelo ngenxa yokuthi akazange akhushulelwe esikhundleni, njengoba lokho kwakuzoba nomthelela emholweni wakhe. Manje wayesesimeni sokudangala.

Manje usizi lwaqala: wayengasadli kahle, wayengasalali kahle, waba nokubhodla kanye nesicanucanu ngezikhathi ezithile, wehla emzimbeni futhi wahlala ephazamisekile. Nangempela wayesephithizwa esuka komunye umnyango eyiswa komunye, into ayeyesaba futhi into eyayingeke yenzeke ngowayengumongameli!

Kuze kube yileso sikhathi, isiguli sasisesigabeni sokungqubuzana, nazo zonke izindawo ezi-3 zokungqubuzana. Kodwa ngo-May 12, 86 umhlane wekamela waphuphuma.

2. DHS:

Ngomhla ziyi-12 kuNhlaba, isiguli sabuyiselwa emnyangweni omusha, kubameli, ngemva kokuba sisanda kujwayela owangaphambili. Kodwa emkhakheni wezomthetho wazizwa egajwe ngokuphelele. Yayingekho indlela yokuhlala endaweni yakhe yangaphambili. Isiguli sabhekana nokungqubuzana kwendawo ngaphezu kwezinye izingxabano ezi-3 ezikhona. Ubesesimweni se-schizophrenic kusukela ekwindla ka-'85 ngokungqubuzana kwendawo yabesifazane kanye nokungqubuzana kwentukuthelo yendawo. Kodwa manje wayesecasuke ngokuphelele, engenandaba nhlobo, engenandaba nokudla, ejuluka njalo futhi enokukhwehlela okomile, okucasulayo futhi wangeniswa esibhedlela ngemva kwezinsuku ezintathu ngenxa “yokuphazamiseka kwemizwa”, njengoba besho.

ikhasi 566

Lapha, bathola isifo sikaWaldenström futhi ekuqaleni "i-pre-leukemia." Baphinde bahlinza i-lymph node engangobhontshisi embelekweni yakhe yangakwesokudla, izazi zezifo eziqale zangabaza ukuyichaza njengeyingozi noma eyingozi. Ngakho batusa i-lymphogram. Lapho bebona i-iatrogenic osteosarcoma enezibalo eziningi, bayibheka njengamaqoqo e-lymph node emvelaphi ye-carcinomatous base bengeza i-lymph node ku-groin yakhe: Konke lokhu manje kwase "ama-metastases." Ngokumangalisayo, i-carcinoma yesibindi engxenyeni yesokunxele, ekala amasentimitha angu-2 ngo-2, engingenazo izithombe ze-CT yayo, ayizange ihlolwe njenge-hemangioma yesibindi. Noma kunjalo, odokotela babikezela ukufa kwakhe ngaphambi kukaKhisimusi ka-'86.

Manje wagadla ngokulandelana. NgoSepthemba 86 waya emsebenzini ngoba engafuni ukuhlala ekhaya azilinde afe. Ozakwabo bambingelela ngala mazwi: “Uyabuya? Besingasakulindele!” Kusukela lapho, uye wenziwa wazizwa ngokusobala ukuthi empeleni “uzenzela” ihhovisi lakhe, okusho ukuthi ngeke esanikezwa umsebenzi obalulekile ngoba - kungakhathaliseki ukuthi umunyu kangakanani - kufanele lindela ukuhamba kwakhe okuseduze (nokugcina). Ngakho wabamba izingxabano eziphindaphindayo futhi isimo sakhe saba sibi nakakhulu.

Ngo-March weza kimi futhi wangibuza ngobuqotho ukuthi kuyiqiniso yini, ngokubona kwami, ukuthi uzofa ngokushesha. Ngamtshela ngokusobala ukuthi anginaso isipiliyoni ngesifo sika-Waldenström ngokuqondile, kodwa nganginezinsolo ezithile zokuthi izimpawu zakhe nazo zazilandela imithetho yemithi emisha. Uma kwakunjalo, ngangingamsiza ngempela. Sisonke sabheka futhi sathola ukungqubuzana kwakhe okuhlanganisa i-DHS, sathola i-foci ehlobene ebuchosheni, kokubili ukungqubuzana kwendawo endaweni ye-fronto-insular engakwesokudla kanye nokungqubuzana kokuwa kokuzethemba endaweni ye-medullary elungile. Futhi ekugcineni, yiqiniso, ezingeni lezinto eziphilayo siphinde sathola i-intrabronchial carcinoma, eyayingakatholakali (ngenhlanhla!)

Manje icala lase liphelele njengomseshi omuhle. Isiguli, esihlakaniphe kakhulu, saqonda ngokushesha: “O, yebo, yebo, kunjalo! Yebo, lokho kunengqondo kimi! Empeleni, bekungeyona enye indlela!” Kusukela lapho, siye sadlula izinyanga ezimbalwa ezibucayi ndawonye. I-anemia isasibangela usizi. Sixazulule ukungqubuzana ngokuqala ngokuthi isiguli sithathe “iholide elivamile” izinyanga ezimbili. Ngemva kwalokho wabuyela ehhovisi lakhe wafike wazisa ngesizotha ukuthi usengumqemane, okwavele kwadumaza ozakwabo, futhi ngaphezu kwalokho, bonke bangamthanda...

ikhasi 567

Khonamanjalo indoda isibuyele esimweni sebhomu, ishukiwe, i-hemoglobin engu-15 g%, ama-erythrocyte angu-5 million, ama-platelet angu-200.000, adlala ibhola njengakuqala.

Ngaphambi nje kwalokho, odokotela esibhedlela babemtshele, lapho ama-leukocyte akhe ekhuphuka ngokokuqala ngqá ngaphezu kuka-10.000 XNUMX, ukuthi manje wayesenesinye futhi ngaphezu kwesifo sikaWaldenström nama-lymph node metastases. I-leukemia! Manje konke kumayelana naye! Ngeke libe khona nhlobo ithuba lalokho.

UMongameli usanda kumbingelela: “Awu, uma ucabangela ukuthi kufanele ngabe wafa kudala, usabukeka umuhle kakhulu!”

Kodwa ukubonakala kusakhohlisa ngandlela-thile. Ubuchopho abukapholi ngokuphelele okwamanje. Yingakho esadinga i-cortisone. Unomfundi ofundela umsebenzi ofunde incwadi ka-Hamer futhi wambekela ngasese i-cortisone, ngoba ayikho indlela uDokotela uHamer abengaqinisile ngayo. Ubuchopho busakhombisa ukuvuvukala okukhulu kuwo womabili ama-hemispheres, ngokunembile kakhulu kuma-medullary layers. Ngisho nodokotela we-radiologist wakuqaphela lokho. Kodwa-ke, wayeyihumushe ngokuthi "inguquko evamile", ngoba yini enye okungenzeka ibe? …

Phakathi naleso sikhathi, ozakwabo bokuqala besiguli nabo bafunda le ncwadi, ngoba "awukwazi ukuthi yini engase ibe yinhle ..."

Muva nje oqeqeshelwa umsebenzi uthe esigulini: “Manje kufanele ubuyele emtholampilo wasenyuvesi uyohlola ukuthi uphethwe yini, ngoba uDokotela uHamer uqinisile noma ukuxilonga bekuyiphutha.” “Hhayi,” kusho isiguli, “ozakwenu bebengenza kanjalo zama nje ukuba ulungile. Bazobe beqinisile uma ngifa njengoba wawubikezela. Pho kungani kufanele ngidlale ngempilo yami futhi ngingene enkundleni nezilwane zasendle? Ngizizwa ngimuhle futhi nginempilo kunabo bonke ozakwethu ehhovisi lami. Ozakwenu abasoze bavumelana noDokotela Hamer, ngoba kuzomele bavume ukuthi benze konke okungalungile kule minyaka engu-6 edlule! Cha, kungcono bangiyeke ngife.” Isiguli sabika ukuthi lo osebenza emsebenzini akashongo lutho ngakho, kodwa wacabanga kakhulu. Kusukela lapho, akusekho ukukhuluma ngezinkampani zokugembula njengokuhlolwa kokuxilonga.

Uma manje sesixoxa ngezithombe ndawonye, ​​ungase ube manqikanqika. Kuma-CT obuchopho alandelayo saqala sabona ukuvuvuka okunamandla kwengqimba ye-medullary. Ama-ventricles asemaceleni ancipha ngokuphawulekayo.

ikhasi 568

Kusendlalelo se-medullary esingakwesokudla (imicibisholo engezansi kwesokudla nesobunxele) sibona ukugxila kuka-Hamer kwe-osteolysis yezinhlangothi zombili ze-2nd lumbar vertebral body in solution. Besikulindele lokho.

Esithombeni esilandelayo se-CT sibona isibazi kwesokunxele sokungqubuzana kwendawo yabesifazane yokulahlwa.

Imicibisholo ebhalwe ukuthi “1″, “2” kanye “3” ikhomba kuma-bronchial, coronary and hepato-bile duct, ngokulandelanayo. Imihlambi ehlobene noHamer ibingakaxazululwa ngesikhathi kuthathwa izithombe.

Ingaphezulu kwemicibisholo emi-3 engakwesokudla ikhomba ekugxilweni kwe-Hamer ekungqubuzaneni kokwesaba kwendawo, okuhambisana nezinga le-organic ne-bronchial carcinoma, ngenhlanhla eyayingakatholakali ngesikhathi sokulala kwesiguli esibhedlela. Encwadini kadokotela kwakubhalwe ukuthi isiguli silokhu sikhwehlela esomile nesicasulayo. Okutholakele ku-x-reyi yamaphaphu elandelayo ohlangothini lwesisekelo lwesokudla (umcibisholo) ngeke kunganakwa.

Umcibisholo omaphakathi ongakwesokudla ukhomba lapho kugxilwe khona u-Hamer, ophinde abe nesibopho sokungqubuzana kwezindawo Okutholwe kwesitho bekungakahlonzwa kahle (ibhulokhi yegatsha elingaphelele elingaphelele ku-ECG) ngenxa yokuthi i-DHS yayisanda kwenzeka.

Umcibisholo ongezansi ukhomba isitofu se-Hamer ngentukuthelo yendawo.

ikhasi 569

Ngokusho kokutholwe yi-CT yobuchopho endaweni yokugcina umnkantsha sibona kuma-x-reyi alandelayo (ngaphezulu kukaMashi '87 maphakathi nalandelayo Ikhasi Juni '87) i-osteolysis womzimba we-vertebral ekuguqulweni kabusha. Cishe lokhu osteolysis sibona idiphozithi ye-lime lapho uqala ukubheka ama-lymph nodes ufuna ukucabanga.

Kodwa uma thina i-periosteal capsule Ukungezwani (slim imicibisholo isithombe esiphezulu) niyabo, liyavela kungenzeka kakhulu, ukuthi nansi eyodwa Ukuqhekeka³⁴³ ukwakheka kwe-periosteum ekugcineni I-Edge yenzeka unayo futhi I-Edema ne-callus ukwakha i-spongiosaAmaseli avuzile kukhona futhi lezi perilumbar I-Callus isalokhu ibangelwa babe. A isakhiwo esinjalo omunye angenza eyodwa shayela i-sarcoma, ngokuningiliziwe I-Osteosarcoma. Lokho Yebo kwelinye i-osteosarcoma enjalo nalezo zesifunda Kunengqondo ukuthi ama-lymph nodes afakiwe.

³⁴³ Ukuqhekeka = ukuklebhula, ukuphumelela

ikhasi 570

Esithombeni sokugcina i-osteolysis ingabonakala kancane.

Uhlolojikelele isithombe somgogodla we-lumbar kusukela ohlangothini nangaphambili, lapho okutholakele okuchazwe ngenhla kungatholakala futhi ekuhlaziyeni.

ikhasi 571

21.9.12/XNUMX/XNUMX I-Alukemic leukemia, okuthiwa yi-myelodysplastic syndrome kanye ne-testicular carcinoma ngenxa yokuwa ukuzethemba kanye nokungqubuzana kokulahlekelwa lapho umalume eshona.

Lo mfanyana okhazimulayo ophethe isikhwama sakhe sesikole ezandleni zakhe uyiqhawe kanye noyise. Abazali empeleni bamane benza lokho wonke umuntu osesimweni esifanayo okufanele akwenze: cabanga, ulinganise izinto futhi ngezinye izikhathi uthi: “Cha, ngiyabonga, hhayi ngomfana wethu!”

Ngokusho kokusetshenziswa kwamanje, i-leukemia ye-aleukemic isho ukuthi akukho noma akukho ukwanda kwama-leukocyte noma ama-elastomers angatholakala endaweni ezungezile, ngokuvamile ngisho ne-leukopenia kanye ne-anemia (erythrocytopenia). Ngakolunye uhlangothi, inani elikhulayo lama-elastics lingatholakala ngesikhathi sokubhobozwa komnkantsha. Inhlanganisela enjalo ingabizwa nangokuthi i-aleukemic leukemia.

Eqinisweni, yiqiniso, akunangqondo ukuchaza isikhathi esivamile esifushane kakhulu phakathi kwe-contanolysis kanye nokwanda kwama-leukocyte egazini le-peripheral njenge-syndrome ehlukile noma ngisho nesifo esihlukile. Kuyavunywa, lesi sikhawu ngezinye izikhathi singathatha isikhathi eside kunalokho esivame ukusithatha. Angikwazi ukusho kahle ukuthi kungani kunjalo. Ngicabanga ukuthi kuncike ezintweni ezimbili:

1. mayelana nokushuba kwengxabano kanye nesikhathi sokuwa kokuzethemba kwangaphambilini kanye
2. Ngokuvama nokuqina kwezingxabano ezintsha ezingase - kodwa kungadingeki ukuthi - ziphazamise isigaba sokuphulukisa.

I-Alukemic leukemia yisigaba esifushane kuphela phakathi kwe-contanolysis kanye nokwanda kwama-elast egazini le-peripheral. Uyakhumbula ukuthi sengishilo ukuthi i-hematopoiesis iqala futhi ngokungqubuzana. Kusukela lapho, umnkantsha ukhiqiza zonke izinhlobo zamangqamuzana egazi - ngokuyisisekelo. Eqinisweni, ukukhiqizwa kwama-leukocyte, okuthiwa i-leukopoiesis, kuqala futhi kuqala futhi ngakho-ke ngokushesha kakhulu kunezinkondlo.³⁵⁶ igazi elibomvu kuhlanganise nama-platelet.

³⁵⁶ -poese = ingxenye yegama elisho imfundo, indalo

ikhasi 572

Kulesi sigaba sokuqala sesigaba se-pcl, ama-leukocyte asemaphethelweni asengancishiswa ngenxa yokucindezeleka komnkantsha wangaphambili (i-leukopenia), kuze kube yilapho ekugcineni ukukhiqizwa kwama-elasts (= ukwenqaba!) kufinyelela ezingeni elinjalo ukuthi i-elasts ivela esibindi angeke zisahlehliswa ngokushesha futhi "zibhodloze" egazini le-peripheral.

Njengoba odokotela abavamile, yiqiniso, ngenxa yokuthi abanalwazi ngezingxabano nokungqubuzana, abakwazi ukucabanga ukuthi kungani, ku-leukemia, ukwanda kokuqhuma okungekona okwalapho kungena emnkantsheni, ngakho yonke le nto yayibizwa ngokuthi: “Myelodysplastic. I-syndrome, i-pre-leukemia "! Okushiwo lokhu ukuthi amangqamuzana akha igazi emnkantsheni akusasebenzi, okuyisandulela se-leukemia.

I-DHS:

Ngo-February 15.2.86, 86 umalume washona, konke ayenakho kumfana, njengoba wayehlale esho. Umalume ushone kungazelelwe ngenxa yokuhlaselwa yisifuba somoya. Ku-Markus kwakungekhona nje ukulahlekelwa okungenakulungiseka (i-testicular carcinoma kwesokunxele), kodwa futhi nokuwa okuphelele kokuzethemba. Wayezibona engelutho ngaphandle kukamalume wakhe. Le DHS iyiphazamise ngokuphelele le ngane ezwela kakhulu. Kuthe esengcwatshwa umalume, umfana omncane wahamba naye baya ethuneni. Kulapho aqala khona ukopha ekhaleni. Ingane ihlukumezeke ithule, idle kabi, ilale ingaphumuli bese ilokhu iphupha umalume ompofu. Ngemva kwamaphupho anjalo amabili, ingane yaphinde yopha ekhaleni ngoMeyi nango-Okthoba ka-'XNUMX.

Ngo-August 27, 86, kwatholakala ukuthi une-anemia embi kakhulu ene-thrombocytopenia (i-hemoglobin 8,3 g% nama-platelet angu-25.000 XNUMX). Wampontshelwa futhi, ngemva kokubhobozwa komnkantsha, kwatholakala ukuthi “i-panmyelopathy”.³⁵⁷.

Ngalesi sikhathi ingane yayisesesigabeni sokungqubuzana, ngakho yayidinga ukumpontshelwa igazi okwengeziwe ngezikhathi ezimfushane. NgoJanuwari, odokotela basemtholampilo wasenyuvesi yaseJalimane lapho umfanyana abelashelwa khona balahlekelwa iseluleko futhi batusa ukucinywa komnkantsha kanye nalokho okubizwa ngokuthi "ukufakelwa" komnkantsha, umbhedo ophindwe kabili, ngoba wonke umuntu uyazi ukuthi into enjalo akulona ithuba langempela. Akekho uprofesa ongavumela ingane yakhe ukuthi ikwenze. Futhi ngisho namaphesenti ambalwa asinda kulolu vivinyo ngenxa yokwengamela kukadokotela we-radiologist ahlala ethenwa unomphela.

³⁵⁷ I-Panmyelopathy = isifo somnkantsha wamathambo

ikhasi 573

Kulesi simo esinzima, abazali bangibiza bangibuza ukuthi ngineseluleko yini. Ngeluleka abazali ukuba bathole ukungqubuzana okufanele ngabe kwabangela ukugula kwengane. Sithole ukungqubuzana ndawonye. Uma wazi ukuthi ubheke kuphi, uzokwazi ngaso leso sikhathi. Ngakho, yiqiniso, unina washeshe wabona ukuthi umfana omncane wayehlale enamaphupho amabi kangaka ngani futhi wayengasafani nakuqala. Yiqiniso, akekho udokotela emtholampilo owake waba nesithakazelo kulokhu. Bamane babala amangqamuzana futhi banikeze abazali izibikezelo ezimbi kakhulu izikhathi eziningi. Abanye baze basikisela ukuthi alalise umfana ngokushesha;

Sithole ukuthi ukufa kukamalume kumele kube yi-DHS ewujuqu. Njengoba manje base beyazi ukuthi inkinga yayiyini, abazali baba namakhono amangalisayo okufundisa. Imisa laminyaka yonke lomngcwabo kamalume belizongena ngoFebhuwari. Ngakho abazali bakhuluma nomfana ngomalume wakhe. Bheka futhi bheka - iqhwa laphuka. Kwaphela unyaka umfana omncane ethwele lolu sizi njengekhulu. Manje wazizwa ekhululekile ukuthi angakhuluma nabazali bakhe, ikakhulukazi unina, ngomalume wakhe ompofu. Ucele ukuvunyelwa ukuya emngcwabeni kamalume wakhe. Wavunyelwa ngenjabulo ukuba enze lokho. Ngemva kwemisa yomngcwabo, umama wangibiza ngakusasa futhi wajabula: “Dokotela, manje izandla zomfana sezifudumele ngempela, uyadla futhi, ulala ubusuku bonke ngokuthula ngokokuqala ngqá futhi useshintshe ngokuphelele futhi.”

Ngathi lo mfana wayengeke neze alulame ngaso leso sikhathi, kodwa wayezodinga ukumpontshelwa igazi okwesikhashana, kodwa ngangizodingeka kancane kancane, bese kudingeka igazi elincane nelincane.

Futhi kwenzeka. Umfana ekuqaleni wayedinga izikhwama zegazi ezi-14 njalo ezinsukwini ezingu-3, manje udinga kuphela izikhwama ezimbili njalo emavikini angu-8, futhi mhlawumbe akasawadingi.

Ekuqaleni, sonke isibhedlela sezingane sasenyuvesi sasiphithizela. Odokotela, ikakhulukazi ubaba, bambiza ngokunganaki futhi bazama wonke amaqhinga ebhukwini ukuze umfana angeniswe esibhedlela ukuze afakwe umnkantsha. Kodwa manje bathule, abawakholwa amehlo abo. Umfana ukhule ngo-10 kg ngesisindo, wakhula ngamasentimitha angu-12, uya esikoleni ejabule, futhi ungumdlali we-wrestler ojabule kunabo bonke. Ngisho nodokotela abayiziphukuphuku sebeqala ukubona ukuthi kungase kube nohlelo olusebenzayo ngemuva kwezigcawu, nokuthi kungenzeka ukuthi lolu hlelo yilona olulungile.

ikhasi 574

Ekugcineni, odokotela bacindezela ubaba ngemibuzo mayelana nokuthi wayeqiniseka kanjani ngaye nokuthi wazi kanjani kangcono kunabo, odokotela ukuthi umfana uzophinde akhuluphale futhi amanani egazi azophinde athuthuke futhi umfana manje cishe. wayengasadingi ukumpontshelwa igazi futhi wayazi kanjani ukuthi umfana wayezodinga igazi elingakanani, njengoba babesikisela ukuthi igazi liphindwe kabili noma kathathu. Ekugcineni ubaba waphelelwa amandla wabeka iphepha phezu kwetafula wathi imfihlo nje ukuthi kwakubangelwa ukungqubuzana okwake wabhekana nakho umfana ngonyaka odlule. Odokotela abasamangali, ubufakazi sebuvezwe ngokugcwele. Udokotela wezingane ungumuntu ohlakaniphe kunabo bonke - manje useyifundile le ncwadi. Ngemva kokuhlolwa kwenani legazi ngalinye uyabuza: “Wathini uDokotela uHamer?” Khona-ke ubaba uyaphendula: “Uthi konke kuhamba ngokohlelo lwayo, ulindele isifo somdlavuza wegazi, kodwa uthi kakade usekwenze okubi kakhulu!”

Ngendlela, isende langakwesokunxele lomfana, elalivuvuke kancane phakathi kukaFebruwari noJuni, lalibuhlungu kakhulu amasonto angu-7. Naye usenezinhlungu zamathambo manje, kodwa ziyabekezeleleka. Kubonakala sengathi - ngokusho kwe-CT - ukungqubuzana okujwayelekile kokuzihlonipha kumelele iningi lengxabano, kanti ukungqubuzana kokulahlekelwa nokugxila kuka-Hamer ku-relay ye-occipital testicular kwesokunxele (yesende lesokunxele), eyanwetshwa ngokusesilinganisweni kuphela. I-CT, eyayimelwe kakhulu kwakuyingxabano ehambisana nayo. Izingqimba ze-medullary ebuchosheni be-CT zivuvukele kakhulu (kusukela ngoFebhuwari 20.2.87, XNUMX) kangangokuthi ama-ventricles acishe acindezelwe ngokuphelele. Bonisa ukuthi "isikhala sasidingeka" ebuchosheni.

Kufanele ngikutshele le-anecdote encane elandelayo, okufanele uyifunde futhi ezongena ezincwadini zomlando wezokwelapha njengesenzo soguquko:

Ubaba, manje “osenguchwepheshe we-leukemia,” kwadingeka aphinde ampontshelwe indodana yakhe ngoba i<em>hemoglobin yakhe yase yehle yaba ngu-5,2 g% (isuka ku-8 yaya ku-9,6 emasontweni angu-5,2). Ubaba wangibiza kusengaphambili wangibuza ukuthi zingaki izikhwama ezizodinga indodana yakhe. Ngathi izikhwama ezimbili zama-cubic centimeters angu-2 ngasinye, nakanjani ngeke zisaba khona, kodwa okubaluleke kakhulu ukuthi kwenziwe ngesisekelo sokulaliswa esibhedlela, ngaphandle kwalokho umfana uzophinde athuke futhi, ngaphandle kwalokho, umfana "uzobe "ephiniwe" futhi angabe esakwazi ukulawula. Lokhu kwaba nengqondo ephelele kubaba. Ngakho washayela ucingo isibhedlela sasenyuvesi futhi wabuza ngesizotha ukuthi bangakwazi yini uku-oda amasaka amabili egazi endodana yakhe. Baqale bamtshela ukuthi izinga le- hemoglobin lalingewona u-500, kodwa lingu-2 g%; benze iphutha.

ikhasi 575

I-CCT kusukela ngo-February 28.2.87, XNUMX nge-ge eqinilei-medulla evuvukele. Umcibisholo ukhomba ukugxila kwe-Hamer ku-relay yamasende. 

Kwamnukela ngempela lokho ubaba ngoba kwase kukalwe kabili ngayizolo (babuye baxolisa bathi inani lidlalwa ukuze kuhlomule yena ukuze acacisele ubucayi besimo kuyena).

Ngakho wahambisa umfana wakhe emtholampilo futhi wathi ngobuqotho waye-ode izikhwama ezimbili kuphela futhi umfana angazithatha, futhi angathanda ukuthatha umfana ahambe naye ekhaya ngemva kwalokho. Odokotela babecabanga ukuthi bezwa ihlaya elibi bathi umfana udinga izikhwama ezi-2 okungenani kumele alale esibhedlela ngoba kumele aqale athole imithi bese kuthi ekugcineni kulungiswe umnkantsha, kumele akuqonde lokho. . Ngakho bathatha ubaba bahamba naye baya ehhovisi likadokotela lapho indodana impontshelwa igazi, futhi belapha uyise amahora amathathu besebenzisa wonke amaqhinga akule ncwadi: ngokuyenga, ngezinsongo, ngezibikezelo ezingezinhle neze; umuntu kufanele abe nethuba elincane kangako (kuyavunywa) njengoba kufanele kusetshenziswe ukufakelwa komnkantsha, ngoba manje umfana usephinde wadluliselwa futhi. Ubaba akazange anyakaze: “Ezinyangeni ezine ezedlule ubufuna ukumbeka phansi umfana ngoba kwakungasekho okwakungenziwa, futhi njengoba esekhuluphele kangaka, udla kahle kakhulu, uqaphile, ukumpontshelwa igazi kuya ngokuya kukhula. mbalwa futhi kancane futhi wena ngokusobala Ubunephutha, manje nobabili niqala ngesigqoko esidala? Cha, ngi-ode amasaka amabili egazi ngase ngihambisa umfana ekhaya, nginezizathu zami!”

Isinyathelo sobuqili esilandelayo sodokotela sasiwukunikeza iziyalezo zokuhlehlisa ukumpontshelwa kwezikhwama ezimbili kuze kube ngemva kwamabili. Kodwa uyise walinda ngesineke eduze kombhede wengane yakhe. Wabona abantwana abampofu nxazonke, njengoba esho, bephethe amakhanda abo. Waqiniseka ngokwengeziwe ngaye. Ukumpontshelwa kwaqedwa ngo-3 ekuseni futhi bafuna ukuqala okulandelayo ngokushesha.

ikhasi 576

Kodwa ubaba wasukuma futhi wayala: “Ngicela nikhiphe amashubhu, ngaphandle kwalokho ngizokwenza lokho,” kukhala udade, “khona-ke ngingazilahla izikhwama!” Kodwa ubaba akabange esakwazi ukwenza lutho . Yenza noma yini oyifunayo ngezikhwama, ngibize izikhwama ezimbili kuphela! Lapho wabingelelwa okomuntu onqobile ngumkakhe.

Ngosuku olulandelayo amanani egazi (manje ngemva kwezikhwama ezimbili) ayengcono kunalokhu ayekade egcina ngemva kwezikhwama ezi-4, ngoba i-hematopoiesis yase iqalile!

Obaba abaningi uzovuma ukuthi ngabe baquleka ngaphansi kwengcindezi yodokotela kulesi simo...

21.9.13/XNUMX/XNUMX Ukuzethemba komfundi kwehlile ngoba ebanjwe eqa isikole

Isiguli esineminyaka engu-12 ubudala somdlavuza wegazi eSibhedlela Sezingane saseNyuvesi e-Cologne, esasizozanyelwa umuthi omusha we-cytostatic ngokufakwa, sayeka ukuphefumula ngemva nje kwemizuzu emi-5 kuqale ukumnika. Impela umfana wethukile qede wagqolozela ibhodlela le-IV. Udokotela wewadi obiziwe wajova umthamo omkhulu we-cortisone wacisha ukumnika. Umfana uyahlengwa futhi, kodwa okokuqala uhlushwa i-DHS ngokungqubuzana okuhlobene noketshezi, okuholela ekuguleni kwezinso. Okwesibili, uhlushwa ukulahlekelwa-ingxabano ehlanganisa i-testicle efanele. Ama-foci amabili ahlotshaniswa ne-Hamer atholakala ngokuqondile ngaphansi komunye nomunye, ukugxila kokungqubuzana kwamanzi kuthe ukujula kancane futhi akuweli, okusho ukuthi izinso zesokunxele kufanele zithintwe yi-necrosis. Ngesikhathi esifanayo, i-hypertension ye-circulation yegazi iyenzeka.

Ngemva kwalokho, umfana wathola okunye ukujova, kodwa isikhathi ngasinye wayethuswa ukuthi kungase kuphinde kubanjwe umoya wokuphefumula. Kuphela lapho i-infusions igcina iphelile lapho isisombululo salokhu kungqubuzana kwezinso siqala.

ikhasi 577

Njengoba sibona esithombeni, lo mfana manje wayesene-cerebral edema engomakhelwane ababili ngesikhathi esisodwa futhi wangena e-cerebral precoma enobuthongo obunzima, ikhanda elibuhlungu, njll ngenxa yalokhu kuqubuka kwe-cerebral kabili. I-leukemia ngaphandle kokungqubuzana kwezinso nokulahlekelwa, okwakuyi-iatrogenic, okungukuthi okubangelwa udokotela, bekuyoba indaba encane!

Isithombe esingezansi sibonisa lokhu ukuqala kwe-edema ku-relay ye i-pelvis yesokudla (umcibisholo kwesokunxele). Lokhu kusho ezingeni lezinto eziphilayo ukuqala kwe-leukemia. Ideshi Umugqa ngezansi kwesokunxele: Ukwesaba-Ukungqubuzana kwentamo phambi komgijimi (pcl) nento eyodwa (esebenzayo). Ngesikhathi esifanayo ihambisana nayo isitofu se-Hamer esisuka ku-relay yamanzi izinso kwesokunxele. Izingxabano ezihambisanayo Odokotela basemtholampilo wasenyuvesi kufanele Kumelwe ukuba uCologne wayenaye manipulations ehlukahlukene kanye Ama-infusions (ukungqubuzana kwamanzi).

Kunezinto ezimbalwa ongazikhohlwa ngalo mfana:
Ngokolwazi lweSibhedlela Sezingane saseCologne University, kuthiwa i-leukemia yakhe “yashintsha” isuka ku-lymphoblastic leukemia yaba i-myeloblastic leukemia lapho i-leukemia iphindelela.

ikhasi 578

Ngo-September 11.9.86, XNUMX, ngosuku olwandulela ukufa kwakhe, umfana waba nengxoxo nomphathi womtholampilo wezingane waseCologne, owayefuna ukumcacisela ukuthi umuntu kufanele acabange ngokufa ngezinye izikhathi.

UProfessor: Sengimdala futhi sengazi okuningi.
Boy: Kodwa nawe awukwazi konke.
USolwazi: Yini, isibonelo, angazi?
Mfana: Ngeke ngikwazi ukukutshela manje, kodwa ngingakutshela ngoDisemba 6.

Umfana wayekhuluma ngengqungquthela yesayensi ngoDisemba 6.12.86, XNUMX, eyabizwa uSihlalo Womlando Wesayensi Yemvelo eNyuvesi yaseBonn. Ingqungquthela ibisingathwe nguRector weNyuvesi yaseBonn verboten. Umphathi womtholampilo wezingane waseCologne wathumela udokotela wakhe omkhulu efulethini labazali bomfana. Wabacebisa ukuthi bayeke i-cortisone yomfana. Abazali bathamba - umfana wabe eseshona equlekile!

Izingxabano zokuzihlonipha empeleni zaziyizinto ezincane: okokuqala, abafundi afunda nabo babebambe umfana eya ebhayisikobho kusihlwa, nakuba wayengekho esikoleni ekuseni.

Kumfana okhuthele ngokwedlulele, lokhu kwakuyinhlekelele okwakufanele abhekane nayo inyanga yonke (DHS 20.11.84/84/85, Conflictolyse Christmas '85). NgoJanuwari XNUMX wakhathala kakhulu futhi kwatholakala ukuthi une-lymphoblastic leukemia. Kwathi ngoMashi 'XNUMX, ukungqubuzana koketshezi oluphakathi nendawo okubandakanya izinso zesokunxele kwenzeka lapho, njengoba kushiwo, umfana ebanjwa ukuphefumula ngesikhathi emnika. Kusukela lapho kwaba "ingxabano elengayo" futhi umfana wayenomfutho wegazi ophakeme.

Ngo-July 1986, okunye ukulahlekelwa ukuzethemba okuncane, okungezona okomdlalo kwenzeka phakathi nomjaho wamabhayisikili noyise. Ngokushesha ngemva kwalokho, kwatholakala ukuthi i-myeloblastic leukemia. Ingxabano yayithathe izinsuku ezingu-10 kuphela. Kulokhu ingxabano yamanzi nayo yaxazululeka. Isibhedlela Sezingane saseNyuvesi yaseCologne saqeda le nqubo yokuphulukisa ngokuyeka ngonya i-cortisone, okwaholela ekufeni komfana ngokushesha ngenxa ye-cerebral edema. Ngangibaxwayise ngokushesha abazali ngalokhu.

ikhasi 579

21.9.14/XNUMX/XNUMX Ukuwa ukuzethemba nokungqubuzana kwendawo kanye (owesifazane) wokumaka indawo ngenxa yokungaphumeleli kokugcina esivivinyweni somthetho

Lo mfundi “wagula,” okungukuthi, welulama ku-acute undifferentiated lymphoblastic leukemia. Uhlala edolobheni laseyunivesithi yaseNtshonalanga Jalimane, wayengomunye wabafundi baphakade, umkakhe wayeseqede izifundo zakhe futhi wayenguthisha esikoleni esiphakeme.

Isiguli saphathwa i-DHS lapho sithola isicelo esivela kwabaphathi sokuvela ezivivinyweni zomthetho ezinsukwini ezimbalwa ezizayo. Ube ne-DHS enezingxabano ezi-3:

1. Ukungqubuzana kwendawo:

Waba nomuzwa wokuthi wayesezobhujiswa ngokuphelele: kwakungenathemba lokuthi uzophumelela ukuhlolwa, kodwa kwakuzokwenzekani ngaleso sikhathi? Kufanele enzenjani-ke? Eminyakeni engu-30 ubudala ngaphandle kweziqu? Wangena ku-panic ephelele ekhona! Uthi: “Lokho kwakuwukubi kakhulu, ukungabi nathemba kokuba nensimu noma ukuyigcina nokungakwazi ukwenza lutho ngayo! Inhlekelele yayilokhu ibheke kuye ngokungaphezi njengesitimela, futhi wayengakwazi nhlobo ukunyakaza. Siyaqonda ukuthi kungani ngemva kokungqubuzana inombolo 3!

2. Ukungqubuzana kokuwa kokuzethemba

Isiguli besilokhu sihlehlisa ukuhlolwa futhi. Umndeni wakhe wonke manje wawulindele kuye. Kodwa wayazi ukuthi wayengenalo ithuba lokuphasa. Kodwa ukuzethemba kwakhe kwakuxhomeke kakhulu ekuphumeleleni ukuhlolwa. Umkakhe wayeseqedile futhi wayesefundisa njengothisha. Lokhu kwakuyiphuzu lakhe elibuhlungu. Wahlushwa i-osteolysis ezindaweni eziningana ze-cerebral medulla yomhlambi ka-Hamer kanye nezingxenye eziningana zohlaka lwamathambo, njenge-lumbar spine, i-pelvis kanye nezinqulu. Kamuva waba nezinhlungu yonke indawo.

3. Ingabe isiguli sahlupheka a Ukungqubuzana kokwesaba okungaphambili ngokugxila kukaHamer ngaphambili kwesokudla: Isiguli asizange siyibone inhlekelele ekhasa ngemuva, kodwa kunalokho yayibona igingqika ibheke kuye ngqo, yayisesimweni sokwethuka, ithi: sengathi ithakathwa. Futhi noma ebona inhlekelele isondela, wahluleka ukuyigwema, wayefana okhubazekile ngokwesaba. Uthi wabekezelela ubuhlungu bokwesaba.

4. Wahlupheka oyedwa Ukungqubuzana kokungabi namandla nokuqukethwe: Kufanele wenze okuthile kodwa awukwazi ukwenza lutho!

ikhasi 580

Kwakuwumfanekiso kanogwaja, eshaqekile ethukile futhi esaba, ebona inyoka iza ngakuwo kodwa ingakwazi ukubaleka. Ngokwencazelo yomlaza we-schizophrenic, lesi siguli kumele ngabe sasisemlaza we-schizophrenic ezinyangeni ezi-3 phakathi kukaJanuwari no-April 1985. Kodwa ngangiphawule nje ukuthi wayeseshintshe ngokuphelele futhi egajwe ukwesaba, ngakho ngaphinda ngamfonela ukuze ngithole ukuthi uqhuba kanjani. Wangichazela ngokuningiliziwe: “Ngangikhungathekile, ngokwesaba okwakungenakugwenywa, nokho ngangingakwazi ukusabela. Ngangisezinhlungwini, ngicindezeleke kakhulu futhi ngesikhathi esifanayo ngisesimweni sokushuba kwangathi ngingaqhuma. Ngavele ngabona inhlekelele igingqika ngakimi ngafa uvalo novalo. Angizange ngibone indlela yokuphuma, ngakho ngavele ngagqolozela inhlekelele njengonogwaja ogqolozele inyoka, engakwazi nokunyakaza.

Lapho isicelo sesibili nesokugcina seziphathimandla sifika ngoFebhuwari ka-'85 ukuba avele ezivivinyweni, kungenjalo uzobhekwa njengehlulekile, ukwethuka kwanda. Kwakuwuhambo oluphelele lwesihogo umuntu ompofu aqhubeka nalo lapho.

Ukungqubuzana okuncane:

Ekugcineni, ekupheleni kuka-March 85, isiguli savele singasakwazi ukumelana nengcindezi futhi senza okuthile okwashiwo wonke umuntu: "Usehlanya ngokuphelele, sicabanga ukuthi ubhala izivivinyo zakhe." yena, mhlawumbe wathinta isiphongo ngemuva kwakhe futhi wayengaqondi ukuthi wenzani. Ngenkathi uMongameli uReagan ekhona ngaleso sikhathi, washayela waya eLudwigshafen futhi wahlangana nesixuku esijabulayo. Ngokushesha wezwa ubuhlungu bamathambo ngoba isixazululo sengxabano yokuzethemba sase singenile. Kodwa ngemva kwezinsuku ezingu-10 wayengazi ukuthi yini enye ayeyenza eLudwigshafen, ngoba uMongameli uReagan wayesehambile kudala. Ngakho wabuyela ekhaya futhi ukukhubazeka kwamfikela njengakuqala.

Ukungqubuzana okukhulu:

Ngomhla zingama-25 kuMbasa, iNkantolo Ephakeme Yesifunda yaseCologne yakhipha isimemezelo esidabukisayo sokuthi njengoba engafikanga ezivivinyweni, wayezobhekwa njengofeyilile. Okungaba yinhlekelele kwabanye kwakuyinhlekelele esigulini Insindiso! Ngokwesiqubulo esithi: Isiphetho ngokusabeka singcono kunokwesaba okungapheli, isiguli savuka sengathi siphuma ukukhubazeka okujulile. Wayesekwazi manje ukuya kubazali bakhe, ababemangele, wayengaphinda ahleke futhi, aphinde alale, adle futhi, wayebuthakathaka futhi ekhathele, kodwa ejabule ngokuphunyuka ekuhlushweni kwesihogo sokukhubazeka. Wahlengwa! Ukudangala nakho kwaphela ngokuzumayo!

ikhasi 581

Isifo senhliziyo:

Mhlawumbe i-leukemia nayo yonke imiphumela yayo ye-iatrogenic yayingeke ibonakale ukube isiguli asizange siwe e-sauna cishe ngemva kwamasonto angu-4 futhi sithuthelwe emtholampilo wasenyuvesi ngezibani eziluhlaza okwesibhakabhaka. Lapho, bathola isifo senhliziyo, okumele, uma uwazi umuthi omusha, senzeke esigabeni sokuphulukisa ngemva kokungqubuzana kwendawo enkingeni ye-epileptoid. Nokho, odokotela basemtholampilo wasenyuvesi nabo bathola i-anemia, eyabenza basola, kanye ne-leukocytosis yama-leukocyte angu-15.000 17.000, kwase kuba ngu-XNUMX XNUMX ezinsukwini ezimbalwa kamuva.

Ngisho nangaleso sikhathi, isiguli sasisenethuba elihle lokushelela emishinini yemithi evamile singalimalanga, ngoba ngokushesha i-leukocytosis yabuyela kokujwayelekile ngenxa yomsebenzi wokungqubuzana ovuselelwe. Ngemva kwesonto elihle, isibalo se-leukocyte sasibuyele ebangeni elivamile. I-anemia yayisaqhubeka. Kodwa akubanga yize ukuthi waphelela emtholampilo wasenyuvesi, lapho kwabhotshozwa khona umnkantsha, kwangabe kusabaleka...

Isifundo:

Lesi sifundo sasihlakaniphe ngendlela eyingqayizivele futhi iyisiphukuphuku kodwa nokho saphela ngenjabulo okwamanje kangangokuthi kufanelekile ukwehla emibhalweni yomlando wezokwelapha: Lapho isiguli ngoJulayi '85 siqala ukubizwa ngokuthi ama-lymph nodes wesibeletho (ngokusho kweNew Medicine, ngokoqobo i-branchial semicircular duct cysts ) futhi njengoba ubona kuma-x-ray, i-osteolysis yatholakala ku-skeleton, ngakho odokotela abavamile abazange bacabange ukuthi kukhona okunye kulokhu. Yebo, ngokomuthi ovamile, konke lokhu kwakumane nje “kwakuyizikhukhula ze-leukemic-metastatic zezinga eliphakeme kakhulu lobubi,” yingakho ukuhlasela kwenhliziyo kwakungase kubangelwe “ipulaki ye-leukemic infiltrate.”

Kulesi simo, ubaba wale nsizwa weza kimi. Wabuza ukuthi kukhona yini okunye engikwaziyo; indodana yakhe ngeke isanikwa ithuba emtholampilo wasenyuvesi. Sithole ukungqubuzana ndawonye, ​​sathola ukuhlobana okuqondile phakathi kwezingxabano, i-Hamer foci ebuchosheni (emva kokuba umtholampilo wasenyuvesi, ngesicelo sami esikhethekile, kwenziwe i-CT yobuchopho esigulini se-leukemia okokuqala emlandweni wayo) , futhi sithole ukuhlobana phakathi kwezilonda ezisebuchosheni kanye nomdlavuza ezithweni ezifanele. Lokhu kwaba nengqondo kuyise, uchwepheshe wamakhompyutha osewathatha umhlalaphansi. Ngathi uma unaka izinxushunxushu akukho okungako okwehlela indodana.

ikhasi 582

Umndeni wonke wasiza. Futhi le nsizwa empeleni yahlala kulokho okubizwa ngokuthi "ukuxolelwa okugcwele", kodwa "Udokotela Hamer, ukuze ngibe ohlangothini oluphephile, ngangifuna ukuba ngcono ngazo zombili izindlela ngesikhathi esisodwa" - ngezikhathi ezithile "i-chemo ekhanyayo" ukuziqinisa kanye nabangabazayo. Ngenxa yalokhu, ukuphulukiswa kwafinyelela esiphethweni esingaziwa naphezu kwe-chemo ekhanyayo nangenxa yale chemo, kangangokuthi iminyaka engu-3 yokudlala i-idiotic ekugcineni iholele ekujwayelekeni okuhlanganisa ukuphindaphinda kwe-osteolysis nokunciphisa ama-cysts arch cysts.

Futhi manje kufanele ngikutshele mayelana nokungazi kahle kwezokwelapha, okuyinto nokho "okungelona uhlelo" eJalimane nakuyo yonke indawo futhi, macabrely, kwenzeka e-Heidelberg University Clinic, lapho ngangivame ukusebenza njengomsizi. Ngokuyisimangaliso, isiguli sisaphila nanamuhla. Lena indlela entsha yokuzuza impumelelo ngokunikeza abantu abanempilo ukufakelwa komnkantsha wamathambo, uma kungenzeka uma benengxabano yabo ngaphansi kokulawula ngokohlelo lukaHamer. Futhi abambalwa, abanenhlanhla engaphezu komzwelo, baze basinde kulokhu kuxoshwa kwemimoya emibi yokuqhuma kukadeveli okucatshangelwayo!

Ngakho lapho sibona ukuthi le nsizwa isiphile saka futhi, yonke i-osteolysis isiphinde yabalwa, ukuvuvukala kwama-lymph node (empeleni ama-branchial arch cysts) kwase kwehlile, nesibalo segazi sase sijwayelekile, odokotela baba nesithakazelo kuleli cala futhi. : “I-generalized metastatic leukemia in the remission full.” Lokhu ngempela kwakubizwa ngokuthi ukukhululwa okuzenzakalelayo, okubangelwa kakhulu ukwelashwa okuhle kwe-chemo, kwakungahlangene nhlobo no-Hamer! Futhi manje basezindlebeni zakhe: "Uma manje kungenzeka kakhulu ukuba ube nokuxolelwa okuphelele, khona-ke unethuba eliphansi kakhulu lokusinda (okusho cishe u-20%), kodwa uma unganquma ukuba nokufakelwa komnkantsha (okungukuthi. yingakho namuhla, ngenxa yemiphumela engcono, sincamela ukuthatha iziguli ezikhululeke ngokuphelele, okungukuthi abantu abanempilo enhle) futhi uma zisindile kulokhu kufakelwa komnkantsha, khona-ke zaziyoba nethuba elikhulu kakhulu lokusinda ngemva kwalokho!” (Lokhu kusho cishe ama-35 %.) Isiguli sinikezwa lokhu Akushiwo ukuthi ukukhishwa komnkantsha wethambo, uma kwenziwa kahle, kunikeza ithuba elingu-0% lokusinda ekufakweni komnkantsha okulandelayo. Kuphela uma i-radiologist inganikezi umthamo ogcwele wemisebe lapho khona mancane amathuba okusinda esilinganisweni sezokwelapha esinjalo.

Kufanele uqonde lesi sibalo esihlanyayo: weluleka abantu abangu-30 abanempilo ngenxa nje yokuthi banomdlavuza wamathambo nama-lymphoblasts.

ikhasi 583

Labo ababenomdlavuza wegazi esigabeni sokuphulukiswa kwadingeka badlale lo mdlalo we-roulette waseRussia lapho izingxenye ezimbili kwezintathu zeziguli zifa khona, ngenxa nje “yesithembiso sezibalo” mbumbulu sokuthi uma besinda, babeyoba nethuba elingcono lokusinda kamuva kunangaphambili. Futhi ngale ndlela, isiguli esiye sabhekana nokungqubuzana kwaso ngokusho kukaHamer senziwa icala lokuphumelela lomuthi ovamile ngokumelene nami!

Lesi siguli senziwa kuyena lesi “prophylactic exorcism” ngoJanuwari 86. Kufanele abonge ingelosi yakhe engumbheki ukuthi isinde kukho konke kuze kube manje. Uyaphila.

Uma ucabanga ukuthi isiguli asikweleti impilo yaso "ekukhuleni" kokufakelwa azithathela sona kuleli cala, kodwa ngenxa nje yephutha le-radiologist engazange ikhiphe umnkantsha wayo ngokuphelele ngokwanele, ungazizwa ugula kakhulu. ukungazi okuningi okuzikhukhumezayo okungena kulokhu. Ngaphezu kwalokho, yiqiniso, isiguli ngokuvamile singumthenwa ukuphila kwaso konke ngenxa yemisebe, okungukuthi, othenwe!

Ngaphandle kwalokho, yonke into iwukugqoka amafasitela, ngoba uma isiguli sihlushwa enye i-DHS emangazayo efanayo nokungqubuzana kokuzethemba, uzophinde abe ne-osteolysis futhi - esimweni esihle kakhulu - inhlanhla ye-leukemia izophinde ilandele. !

Esithombeni se-x-ray esingenhla singabona i-osteolysis ye-pelvic Esithombeni (imininingwane) ungabona ngokucacile i-osteolysis emnyama-emnyama, nayo ingxenye yesigaba sokuphulukisa i-leukemic. Kulokhu, umuntu angacishe akhulume ngokungqubuzana okujwayelekile kokuzihlonipha, futhi lokho kungahambisana nokusabela kobungane futhi kungahambisana ne-lymphoblastic leukemia, okuwuhlobo oluvame kakhulu lwe-leukemia ezinganeni.

ikhasi 584

Esithombeni esiphambene ungabona i-osteolysis (imicibisholo) kuma-vertebral arch of the lumbar spine. Leli izinga le-organic leukemia. I-osteolysis enjalo ivuselela ngokushesha phakathi nesigaba sokuphulukisa i-leukemic uma, ngempela, ama-vertebrae engakaze ahlangane ndawonye. Kungakho konke ukwelashwa kwesiguli se-leukemia kuhilela ukuhlolwa ngokucophelela, ikakhulukazi uhlaka lwamathambo. Kulokhu, ama-osteolysis awanangozi futhi awakwazi ukuwa. Imizimba yomgogodla ingabhidlika ngenxa ye-osteolysis enkulu kakhulu. Khona-ke isiguli kungase kudingeke silale phansi njalo izinyanga ezimbalwa! Ngoba awukho umzimba we-vertebral ongakwazi ukuhlanganisa ndawonye lapho ulele.

Umugqa onedeshi kwesokudla ukhomba ophondweni lwangaphambili oluyimngcingo kakhulu lwe-ventricle esecaleni engakwesokudla. I-Hamer focus yendawo (isifo senhliziyo!) isesixazululweni, i-edematized futhi icindezela. Ayincishisiwe kuphela, okungukuthi icindezelwe, kodwa futhi ishintshelwe kwesokunxele ngale komugqa omaphakathi. Isithombe esinjalo sifakazela isikhala esithatha isikhala senqubo ye-periinsular. Ngokuhlangenwe nakho kwami, lesi silonda cishe singahambisana ne-coronary ulcer carcinoma. I-infarction yenhliziyo yesokunxele nayo ihambisana nalokhu.

ikhasi 585

Sibona i-Hamer enkulu engaphambili igxile kwesokunxele (umcibisholo), ohambisana nokungqubuzana kokungabi namandla: Akukho ongakwenza! Umcibisholo omncane ongakwesokudla umelela ukwesaba inhlekelele egingqika ngokungenakuvinjelwa ibheke esigulini, ayibona iza, yingakho "ukwesaba okungaphambili" ngokuphambene "nokwesaba ngemuva kwentamo", okuyinto umuntu angayiboni kodwa kunalokho ayilindele. ngemuva. Ukugxila kwesokunxele okungaphambili kuka-Hamer kanye nokugxila kuka-Hamer ongaphambili kwesokudla kanye nokugxila kwe-periinsular Hamer kwesokudla ndawonye kuphumela kulokho okubizwa ngokuthi umlaza we-schizophrenic ngesikhathi sesigaba sokungqubuzana, lapha ukwesaba okuyihaba, nokwethuka kwenhlekelele esondelayo. eginqa ebheke kuyena.

Umcibisholo wesokunxele ukhomba ku-Hamer okugxilwe kuyo ekuqulekeni okuphakathi kwe-fronto-basal, umcibisholo ongezansi kwesokudla ukhomba lapho kugxilwe khona u-Hamer osaqhubeka nokungqubuzana embhedeni we-medullary kwesokudla, ogudluza ithangi elizungezile liye maphakathi futhi linesixazululo esinzima kakhulu. i-edema. Ngokuvamile, lokhu kuhambisana ne-splenomegaly, okungukuthi ukwandiswa kwe-spleen, okwenzeka ezigabeni ze-PCL ngemva kokungqubuzana kwegazi nokulimala. Ungabona ngokucacile izindandatho ngazinye kanye nephuzu lomthelela phakathi nendawo. Umcibisholo omncane wesokudla: I-Hamer igxile kuma-cysts e-branchial arch duct noma ukungqubuzana kokukhathazeka okungaphambili.

ikhasi 586

Kulesi sithombe sibona umbono ocacile we-ventricle yangemuva efanele ebangelwa inqubo yokuthatha isikhala ohlangothini lwesokudla ngenxa yendawo yokugxila kukaHamer ekuxazululeni (isimo ngemva kokuhlaselwa yinhliziyo). Imicibisholo emibili ezacile ephansi ikhombisa ukukhula kwe-edema ekhuphuke ngokusesilinganisweni kungqimba lwe-medullary ku-relay ye-pelvis, ukubonakaliswa kokuphulukiswa noma ukulungiswa kabusha kwe-osteolysis ku-pelvis.

Imicibisholo emibili engaphambili ikhomba ku-Hamer esebenza ngokuphindaphindiwe igxila kwesokunxele kuma-cysts e-branchial arch duct entanyeni (ukukhathazeka okungaphambili) kanye nangaphambili kwesokunxele semigudu yegilo (ukuquleka).

Imicibisholo emi-3 eqinile ikhomba izilonda ze-Hamer medullary, ngayinye ehambisana ne-skeletal osteolysis (WS). Umcibisholo omncane ongaphezulu kumaphoyinti angakwesokudla ku-Hamer ugxile kuma-cysts e-branchial arch duct (ukwesaba okungaphambili).

ikhasi 587

21.9.15/XNUMX/XNUMX Ukwehla ukuzethemba ngenxa yokuthakathwa kukankosikazi yizibuthe

Ebuchosheni obuseduze be-CT, eyathathwa cishe amasonto angu-5 ngemva kokuqala kwe-contanolysis, ungabona ngokucacile i-medulla enombala omnyama njengokubonakaliswa kokuwa kokuzethemba okuxazululwayo. Kodwa-ke, le edema ayikho ezingeni layo eliphakeme. Esiqongweni, "umcamelo wamanzi", i-ventricle engemuva, ngokuvamile usetshenziswa ngokuphelele, okusho ukuthi ama-ventricles abe esecindezelwa ngokuphelele. Umcibisholo ongezansi kwesokudla ubonisa isibazi sobuchopho esidala, esilengayo esisebenzayo noma esisebenza ngokuphindaphindiwe ku-relay yesende kwesokunxele.

Okuhlangenwe nakho okubili okumelwe kushiwo kusengaphambili kwalesi siguli esineminyaka engu-55 ubudala esinesinye sezimo ezingu-30.000 ze-acute lymphoblastic leukemia:

Lapho isiguli sineminyaka engu-16 ubudala, abazali baso basithatha bayohlala nomalumekazi owayeguliswa umdlavuza esibhedlela. Kusukela lapho ubelokhu esaba umdlavuza.

1. DHS:

Eminyakeni engu-40 edlule, lapho isiguli sineminyaka engu-18, umfana wasihlasela ngaphandle kwe-nightclub. Kwasuka isidumo, umfana omncane wawela ngaphansi kwemoto eyayidlula washona phambi kwesiguli. Ngenxa yalokho, wabhekana nokulahlekelwa-ingxabano. Waboshwa wagqunywa esitokisini. Ngesikhathi ephuma ejele, i-testicle yayivuvukele okwesikhashana, kodwa lokhu kwakushaywe indiva ngaleso sikhathi ngoba wayejabule ngokuthola inkululeko yakhe. Nokho, ukungqubuzana kwaxazululwa okwesikhashana nje ngesaziso esifushane. Ngenhlanhla, i-testicular carcinoma ohlangothini lwesobunxele ayizange inakwe! Ngaphezu kwalokho, kungenzeka ukuthi wayene-necrosis ehlala njalo ye-testicular ye-testicle yangakwesobunxele.

ikhasi 588

2. DHS:

Lapho isiguli sineminyaka engu-54 ubudala, i-magnetizer "yathakatha" umkakhe. Kube nengxabano enkulu futhi isiguli sabhekana nokuwa kokuzethemba ngokungqubuzana kwendawo. Kusukela lapho, umkakhe, owayengakaze abe nobuhlobo obuseduze naye iminyaka engu-10 ngenxa yokuthi wayengafuni izingane, waya ku-magnetizer nsuku zonke. Umsebenzi wokungqubuzana waqala ngoMeyi ka-'85.

3. DHS:

Maphakathi nalesi sikhathi sokungqubuzana, ubaba wesiguli, owayehlale engumngane wakhe omkhulu nomngane omkhulu, washona. Isiguli sathi "sishaywe kwaze kwajula" ngalokhu (qaphela ukukhethwa kwamagama!). Wazisola kakhulu ngokuthi akakwazanga ukumsiza, nasemngcwabeni wayengayanga ngoba wayehlezi ecindezelekile futhi engasenangqondo ngokuphelele. Eqinisweni, wayeku- "semi-schizophrenic constellation" ngenxa yokuthi wayeke wabhekana nokungqubuzana kwendawo kwesokudla kanye nokulahlekelwa okukhulu ukuzethemba ku-medulla ngakwesobunxele, ne-osteolysis ehambisanayo elandelayo yomzimba we-lumbar vertebral. Ngaphezu kwalokho, ukungqubuzana okuqinile kokuncipha kwesibindi nezingxenye zocansi bekusekhona. Isiguli manje salahlekelwa isisindo ngokushesha ngenxa yezingxabano ezihlukahlukene ezisebenzayo ezazikhona ngesikhathi esifanayo. Njengoba elele egulela esibhedlela ngoDisemba 2, umfundisi waya kunkosikazi "wamkhipha" kumagnetizer. Wabe esevakashela umyeni wakhe esibhedlela nsuku zonke futhi wafunga ukuthi ngeke aphinde aye kumagnetizer.

Kuye, leso kwakuyisixazululo sokungqubuzana kokuzethemba (inombolo 2 = magnetizer). Futhi njengoba iqhwa lase liphukile, wakwazi nokukhuluma ngokulahlekelwa kwakhe ukuzethemba ngenxa yokushona kukayise. Wavuka kwangathi uphuma ekujuleni kolwandle futhi wathi “uyahlanya” phakathi kuka-Agasti noZibandlela ka-'85. Kusukela manje kuqhubeke wayehlale enamaleukocyte angama-30.000 86 noma ngaphezulu. Ngenxa yalokho, manje “wayesefile” kakhulu kodokotela kunangaphambili, lapho efa ngenxa ye-cachexia. Kodwa wamangala ukuthi wayesenesifiso esikhulu sokudla, wayesekhuluphala futhi ekhathele ngendlela emangalisayo. Izithombe zethu zisuka kuFebhuwari '2, ezinyangeni ezi-XNUMX kamuva, futhi zibonisa i-medulla emnyama ejulile njengophawu lwe-edema yesixazululo.

Ngelinye ilanga udadewabo weza kuye enobuso obubucayi kakhulu (January 86) wamtshela ukuthi odokotela bathe kumele afe. Kwakungeke kusaba khona ithemba ngaye. Waphinda washaywa uvalo isikhashana, kodwa ngemva kwesonto wathola indlela eya kubangane bami base-ASAC eChambery, abambeka endleleni efanele. Wenza kahle izinyanga eziyisithupha nge-30 mg ye-hydrocortisone nsuku zonke.

ikhasi 589

Ngangicebise ukuthi kugcinwe lesi silinganiso kuze kube yilapho i-CT scan yobuchopho ibonisa ukuthi i-medullary edema isidambile. Kwabe sekwenzeka okulandelayo: Udokotela womndeni wathi i-cortisone yanele wayimisa. Ngokushesha isiguli saba nomkhuhlane. Udokotela womndeni wayengazi ukuthi enzeni wamthumela esibhedlela. Kusukela manje kuqhubeke wayesebuyile - isiguli somdlavuza wegazi! Yebo, bathi, imfiva ihlale iyisiqalo sesiphetho esiseduze. Abantu babengacabangi kakhulu nge-cortisone ye-leukemia. Ngakho bamnika lokho abakunikeza wonke umuntu: i-morphine eningi! Ngemva kosuku wayesefile!

Esithombeni esiphambene, i-edema emnyama ye-medulla ingabonakala ngokucacile futhi. Umcibisholo ongakwesokudla ukhomba ekugxilweni kwe-Hamer kokudluliselwa kwengxabano yendawo. Ikwisixazululo esiqinile ngokumaphakathi. Isiguli sasiphethwe yikhanda ngesikhathi salezi zithombe (February '86).

Ngakwesokudla kukhona i-osteolysis ye-vertebra yesibili ye-lumbar ephawulwe ngemicibisholo, eyabangelwa i-DHS lapho uyise efa, "eyamshaya emnkantsheni". Uma lokhu kugoqa kokuzethemba bekuthathe isikhathi eside, i-vertebra yesibili ye-lumbar ohlangothini lwesokudla ngabe igoqekile.

ikhasi 590

Ebuchosheni be-CT sibona "indawo yomthelela" ngakwesobunxele kungqimba lwe-medullary, oluhambisana kwesokudla somzimba we-2nd lumbar vertebral. Asikwazi njalo ukubona ukuhlobana ngokucacile ngoba iziguli kwadingeka zidlule umzamo omkhulu ukuze zithole ama-CTs obuchopho. Kulesi siguli esisodwa kuphela esivunyelwe ukwenziwa. ("Nge-leukemia, i-CT yobuchopho, yimuphi umbhedo! Ngenxa yokungena kwe-leukemic noma ama-metastases? Hhayi-ke, isazi se-radiologist asibonanga lutho!")

21.9.16/XNUMX/XNUMX I-carcinoma yesibeletho; Ngesikhathi esifanayo, ukuwa okuphelele kokuzethemba nge-bone osteolysis, i-leukemia, ne-vaginal carcinoma.

Anginazo izikena ze-CT zobuchopho zaleli cala elivela e-France, kodwa nginezithombe ze-X-ray ezivamile. Isiguli sasine-68.000 myeloblastic leukemia.

1. DHS:

Umkhwenyana wesiguli uboshelwe ukukhwabanisa ekuhwebeni kwezilwane ezifuywayo. Wahlushwa i-DHS ngokungqubuzana okubi, okuncane kwesitho sangasese ngoba lolu daba olubi lwaluhilela indoda, umkhwenyana wakhe. Ngaso leso sikhathi, wabhekana nenkinga yokuzethemba eyayinezindawo ezi-3:

ikhasi 591

1. uhlangothi lwengqondo nokuziphatha lokungqubuzana kokuwa kokuzethemba:
   Kwakumayelana nokwethembeka, ukholo oluhle, ukukhwabanisa, ukungathembeki kuwo wonke umndeni, manje okwakudingeka uhlupheke futhi "wehla nawo". Lesi sici sokungqubuzana sibangele i-osteolysis, phakathi kwezinye izinto, ku-cranium futhi ngokunokwenzeka nasemgogodleni wesibeletho.
2. uhlangothi "lokuphakathi" kokuwohloka kokuzethemba, njengoba yena ngokwakhe ezwa ukuzethemba kwakhe konakele. Siyabona ukuthi inqwaba yama-vertebrae e-lumbar analokho okubizwa ngokuthi yi-cover plate intrusions abizwa ngokuthi "ama-Schmorl's nodes" ngoba ngaphambili kwakukholelwa ukuthi amabhola oqwanga ayengena epuleti lekhava bese abala futhi.

Eqinisweni, kukhona i-osteolysis etholakala ngokuqondile ngaphansi kwepuleti lekhava, lapho ipuleti lekhava libe seligoqa ngoba usekelo lwamathambo alukho. Isibonelo kwabanye abaningi, njengezimpawu esiye sazinikeza igama elifanele lomtholi wazo ngenxa yokuntula ulwazi, manje singachazwa kalula njengengxenye yezimpawu zomdlavuza “wesifo” esikhulu noma njengezingxenye zezinhlelo ezikhethekile zesayensi yezinto eziphilayo. (SBS).

Amaqhuqhuva e-Schmorl noma amaphuzu okuwa kwepuleti lekhava amakwe ngamasongo amnyama. Umcibisholo osemzimbeni we-2 we-lumbar vertebral ukhombisa i-osteolysis enkulu, nayo esezowa bese iba yiqhuqhuva le-Schmorl.

3. Uhlangothi lwesithathu luphathelene nengxenye embi ye-semi-genital yendaba. Isici esinjalo singahlotshaniswa kuphela nendawo ye-pelvic. I-sacrum osteolysis kanye ne-acetabular kanye ne-pubic arch osteolysis, evelele kakhulu kulesi siguli, ibonisa labo abanolwazi lokuthi umuntu uyawa ngokoqobo.

I-osteolysis yaqashelwa kuphela ngoFebhuwari '86, kodwa umdlavuza wesibeletho waqashelwa ngokushesha (cishe ngemva kwezinyanga ezi-3) ngoba ubangele ukopha okuncane, isiguli salahlekelwa isisindo futhi asisakwazi ukulala.

ikhasi 592

Kukhona okwakungasabonakali kulungile kuye. Lapho esesibhedlela ngemva kokuhlinzwa kwakhe - ingxabano yayisaqhubeka! - okulandelayo kwenzeka:

I-x-ray ye-pelvic: I-osteolysis ekuhlanganyeleni kwe-hip kanye ne-symphysis nhlangothi zombili.

2. DHS:

Umngani omkhulu wesiguli, abesethandane naye iminyaka eminingi, wamshayela ucingo efuna ukumvakashela esibhedlela. Isiguli saqala savuma, futhi weza, okwakubangela amahloni kakhulu esigulini futhi kwabangela ukungqubuzana okusha, ukungqubuzana ngokobulili, ngoba wonke umuntu manje wayefuna ukwazi ukuthi ubani inkosi. Ezinyangeni ezimbalwa ezalandela wayehlale esaba ukuthi uzophinde aqhamuke nakuba ayembhalele ukuthi angaphinde akwenze lokho. Ngo-Okthoba udokotela wathola isigaxa esincane somdlavuza wesitho sangasese sowesifazane, lapho lokhu kungqubuzana kwase kuxazululiwe kakade (Conflictolysis August '86).

Ukungqubuzana okukhulu kwaxazululwa kuphela yi-DHS yokuqala ngemva kokuqulwa kwecala lokuqala enkantolo ngoJanuwari '1. Kusukela ngaleso sikhathi kuqhubeke, ama-leukocyte anda futhi afinyelela ku-86 ngoFebhuwari. Isiguli sabekezelela izinyanga ezimbalwa ezibuhlungu, kodwa selashwa nge-cortisone ngesilinganiso esifanele futhi sasinda.

Septhemba 21.9.17, XNUMX I-Pseudo-chronic myeloid leukemia ebangelwa izingxabano ezintsha zokuzihlonipha. Ubaba udubula indodana yakhe.

Leli cala lithinta umlungisi wezinwele oneminyaka engu-35 ubudala futhi othathe umhlalaphansi ngaphambi kwesikhathi ngenxa ye-leukemia. Icala alinangqondo ezicini ezimbalwa, ngoba ukuthatha umhlalaphansi ngenxa yenkathi yokuphola kufana nokukhipha umsubathi kuma-Olympics ngenxa yokusebenza kahle kwezemidlalo. Uma uzwa ukuxilonga okujwayelekile kwezokwelapha kokuthi "okungapheli" uvele ucabange ngento ehlala isikhathi eside noma elokhu ibuya. Ukungqubuzana kokuzazi kwalesi siguli kwakulokhu kuvela, kodwa kwakuhlala kuhlukile.

ikhasi 593

Lapho sineminyaka eyishumi nantathu, isiguli saqala ukufundela ukulungisa izinwele noyise, owayenesitolo sokugunda izinwele. Wasebenza lapho iminyaka engu-13, wabe esezisebenza, kodwa wayesahlala eduze kwesitolo sikayise. Kuthiwa ubaba ubehlale ehlukumeza umama futhi enezintombi. Ngo-1975, unina wathi kuye: “Ngicela ungihambise, angifuni ukuphindela emuva!”

1. DHS:

Ngo-1976, phakathi nengxabano enkulu, isiguli sabhekana ne-DHS yaso yokuqala ngokungqubuzana kokuwa kokuzethemba, ukungqubuzana kwentukuthelo yendawo kanye nendawo, ukungqubuzana kokwesaba entanyeni kanye nokungqubuzana komlomo we-mucosa.

Ubaba wafika ezothatha umama. Kwaba nengxabano enkulu. Ubaba wakhahlela umama, waphushela indodana (isiguli) eceleni wamkhahlela naye. Kodwa indodana yasibamba isicathulo yaphakamisa unyawo lukayise. Wayefuna ukuyikhipha kanje. Ubaba wabe esefaka isandla ephaketheni lakhe, wakhipha isibhamu wadubula impushana ethimula ebusweni bendodana yakhe. Ngalokho impi yanqunywa, ubaba wayengumnqobi we-Walstatt, umama nendodana bakhala. Isiguli kudingeke ukuthi siyiswe emtholampilo ngoba besaba ukuthi sizolahlekelwa iso langakwesokudla. Kusukela lapho, isiguli sasilokhu simesaba uyise.

2. DHS:

Kuthiwa ishwa alivamile ukuza lodwa. Ngokushesha nje lapho isiguli sibuyela ekhaya sivela esibhedlela, umkakhe wathola ubuhlobo obuseduze umyeni wakhe ayenabo nomngane wakhe iminyaka eminingi.

Weza kuye ngomoya ophansi wathi: “Ngiyazi ukuthi unentombi. Ngazi konke ngawe. Kodwa angifuni isehlukaniso. Ngakho valelisa kuye!”

Isiguli saduma. Ngoba manje i-mendacity yayibonakala kuye. Ihlazo lalingabe lisacasha. Kwase kuyiminyaka ethethisa uyise ngoba enentombi. Wayehlale evikela unina futhi ecela ukuziphatha. Futhi manje wonke umuntu wayazi ukuthi wayemubi kakhulu kunoyise. Walahlekelwa ukuzethemba ezingeni lengqondo nelokuziphatha, okugxilwe kwakhe kuka-Hamer ngaphambili kwesokudla kusengabonakala ngokucacile ku-CT yobuchopho.

ikhasi 594

Ezingeni le-organic, i-osteolysis ebanzi ye-skullcap iholele kwesokunxele ngaphezulu kunakwesokudla. Emasontweni nasezinyangeni ezimbalwa ezalandela kwakhula umdlavuza womlomo, okwaqubuka ukungqubuzana kwawo ekuhlaselweni kwesibhamu sempushana ethimula, ngoba noyise wayeshaywe emlonyeni. Isiguli naso sahlukana nentombi yaso, kwaba nzima kakhulu kuso.

Eminyakeni embalwa eyalandela yabuyela emuva naphambili. Kwesinye isikhathi wayeke abuyisane noyise, kwase kuba nolunye udweshu futhi uyise wayemnikeza izinkulumo eziningi mayelana nokuthi ungumuntu onjani. Wayehlale ekhathele ngalesi sikhathi futhi engakwazi nokuma ngezinyawo. I-leukemia, empeleni eyayivele ikhona ngaleso sikhathi, ayizange inakwe.

I-Conflictolysis:

Ngo-March 1979, isiguli sagcina sibuyisane noyise. Ngo-April waqala ukwakha ikhaya futhi wathuthela ngoJanuwari 80. Ngo-Agasti kuthiwa “wayebole umlomo njengenkomo” amasonto amane, esho. Eqinisweni cishe kwakuwukuphulukiswa komdlavuza womlomo womlomo (izilonda), owawukhula kancane kusukela uyise adutshulwa ngesibhamu. NgoJanuwari 4, ngemva nje kokuthuthela endlini entsha, waba ne-hematoma yakhe yokuqala esinqeni sakhe. I-Chronic myeloid leukemia yatholwa ngo-Ephreli inesibalo se-leukocyte esingu-1980. Kusukela lapho welashwa nge-chemotherapy eqhubekayo futhi ulwelwesi seluphelile. Isiguli besikhubazekile. Ngenxa yokuthi ama-leukocyte ayelokhu egxumagxuma - njengoba isiguli sase sixazulule izingxabano zaso zokuzethemba - kwasetshenziswa ama-cytostatics anolaka kakhulu.

Lapho engasenawo ama-platelet asele ngaphansi kwe-"chemotorture" enolaka, kodwa ama-leukocyte - ngenxa yobungqabavu bomzimba - awakwazanga ukudutshulwa ngezibhamu ezibukhali, ekugcineni wadedelwa ekhaya njengoba engasakwazi ukwelashwa. Kwakuyinhlanhla yakhe leyo! Ngoba lapho efika kubangane bami eFrance ngenxa yokuthi kwakungekho dokotela owayesafuna ukwenza lutho naye, waqaphela ukuthi wayeyithathile indlela engalungile eyingozi nengadingekile esebenzisa imithi yonya evamile.

Nge-cortisone encane nokubekezela okuncane futhi, ngaphezu kwakho konke, ngokuqonda uhlelo olunikeza isiguli ukuthula ngalokhu kuqonda, wenza kahle namuhla. I-osteolysis esemgogodleni (engingenazo izithombe zayo) kanye ne-calotte, okubizwa ngokungenangqondo ngokuthi "i-leukemic infiltrates," nayo kuthiwa iphulukisiwe, njengoba ngizwile, odokotela bamangala. Lokhu kuyamangaza kuphela kulabo abangawazi umuthi omusha!

ikhasi 595

I-Calotte osteolysis:

I-side shot ye-calotte. Imicibisholo ikhomba ezinhlobonhlobo ze-osteolysis enkulu yethambo logebhezi, ikakhulukazi kwesokunxele.

Ukugxila kuka-Hamer kungqimba ye-medullary ohlangothini olungakwesokudla olungaphambili ukuze kugoqeke ukuzethemba kobuhlakani (umcibisholo ongenhla kwesokudla) kanye ne-relay enesibopho se-calotte osteolysis. Umcibisholo omkhulu omaphakathi kwesokudla ukhomba edluliselwe okunesibopho sokungqubuzana kwendawo (nobaba). Umcibisholo ongezansi kwesokudla: I-Hamer igxile ekungqubuzaneni kokwesaba-emqaleni kwesokudla ngeso langakwesokunxele. Phakathi: Imicibisholo emi-2 ewumngcingo ikhomba ekugxileni kuka-Hamer kwesokudla sezilonda zesisu/ibile (inkinga yendawo) kanye nezilonda ezansi esinyeni (ukungqubuzana kophawu lwendawo).

Umcibisholo wesokunxele ukhomba futhi ekugxileni kuka-Hamer ku-pelvis yangakwesokudla ku-medulla emnyama ye-cerebrum.

I-medulla emnyama ejulile njengophawu lokuphulukisa i-edema ngemuva kwengxabano yokuzethemba exazululiwe.

ikhasi 596

21.9.18/52/XNUMX Isiguli esineminyaka engu-XNUMX ubudala esashona kabuhlungu ngenxa yokungenzi kahle ngoba sachazwa “njengesiguli somdlavuza”.

Lesi siguli esineminyaka engu-52 ubudala “sasingakabi” kubhekwa njengesifo somdlavuza wegazi, nakuba kakade sase sine-leukocytosis ephakathi kuka-15.000 19.000 no-XNUMX XNUMX futhi sasisesigabeni sokuphulukiswa okuphelele. Wabulawa yi-acute peritonitis ngemva kokuba udokotela womchamo efuna ukwenza ingxenye yokuhlinzwa (ukubhoboza isinye odongeni lwesisu) ngesinye esigcwele ingxenye, ebhoboza i-peritoneum nokufaka i-catheter. Isiqubulo: "O, ngesiguli somdlavuza akusabalulekile!"

Isiguli sasiqashwe inkampani enkulu yomshwalense, kwathi lapho isikhundla esihambisana naso singenamuntu emnyangweni waso, kwaba yithuba laso lokuba inhloko yomnyango.

1. DHS:

Ngo-April '86 isiguli saphathwa i-DHS ngokungqubuzana kwezindawo kanye nokungqubuzana kokwesaba kwezindawo lapho sithola ukuthi "kuputshukile" ukuthi cishe ngeke abe yinhloko yomnyango. Esigulini, lokhu bekungaba impumelelo enkulu yomsebenzi waso. Umkakhe wayekulindele ngokugcwele lokhu kukhushulwa, futhi konke kwase kuhlelwe ngokwezimali. Ngakho-ke isiguli sathwala ukungqubuzana kwaso naye izinyanga, singazange silokothe ​​ukukhipha umkakhe emaphusheni akhe futhi simtshele lokho okwase kukudala sikwazi. Wayesenethemba elincane lokuthi kungase kuvele isimo esisha - khona-ke wayezodumaza umkakhe kungenasidingo.

Lapho ngo-Okthoba 86 umphathi emtshela ngokungafihli ukuthi wayengeke adlulwe mayelana nesihluku: “UMnu. Enkampanini yakhe wayesevele engaseceleni, ngokuyisisekelo ehlelwe njengensimbi eyinsimbi. Ukuzethemba komuntu oziqhenyayo kwaphulwa (emgodleni wakhe wokuqala we-lumbar), ngokwezwi nezwi.

I-Conflictolysis:

izingxabano zendawo: Lapho isiguli siya eholidini nomkakhe ngo-November, saba nesibindi futhi savuma kumkakhe ukuthi ngeke sinyuselwe esikhundleni. Umkakhe wakuthatha kangcono kunalokho ayekwesaba. Lokhu kungqubuzana kwezindawo sekuxazululiwe futhi ukwazile ukukhuluma ngakho kusukela lapho. Manje wayesekhwehlela njalo njengophawu lokuphola kwengxabano yokuqala. (Ukungqubuzana kokwesaba kwendawo ne-intrabronchial ulcer carcinoma).

ikhasi 597

Nokho akakwazanga ukukhuluma ngodweshu lwesibili, olokuwohloka kokuzethemba, abelokhu ethwele kanzima kusukela ngo-Okthoba.

Kodwa lokhu kungqubuzana kokuzethemba kwafinyelela phezulu ekupheleni kukaFebhuwari. Odokotela ayebabonile ngenxa yokukhwehlela kwakhe njalo bamthole ukuthi une-bronchial carcinoma phakathi nendawo kwesokudla nangaphezulu. Futhi ukholwe noma ungakholwa, kulesi siguli, njengoba sazibika sona kuphela, lokhu kuxilongwa okulimazayo empeleni kwakuyisixazululo sengxabano yaso yokuzethemba. Ngoba manje kwase kunesizathu esenza ukuthi anganyuselwa esikhundleni: ukugula, akukho ongakwenza ngakho. Yebo, kwakuyisizathu leso...

Futhi nakuba isiguli esimpofu sabekezelela yonke inkambiso yokuhlukunyezwa kwengqondo nezobuchwepheshe ngemisebe kanye "ne-zero prognosis," wayekwazi njalo ukuphuma kulokhu kwesaba. Ngokwesibonelo, umphathi womtholampilo wamaphaphu wamtshela phakathi nemizuzu engu-6: “Ngeshwa, ngeke sisakwenzela lutho!” Wathi futhi wamvulela umnyango ngokungananazi). Noma kunjalo, izingxabano zakhe zahlala zixazululiwe. Ekugcineni, waze waba ne-leukemia enama-leukocyte angu-19.000, odokotela ababecabanga ukuthi iyisifo, njengesigaba sokuphulukisa ekuwohlokeni kwakhe ukuzethemba. Wayebuthakathaka futhi ekhathele, enesifiso sokudla, kodwa wayenezinhlungu (periosteal) ku-vertebra yokuqala ye-lumbar.

Empeleni, lesi siguli sasingaphila size siguge; sasingasenaso isizathu esihle sokufa, ikakhulukazi njengoba sase siwuqonda kahle umuthi omusha futhi njengoba sase sidaliwe, ubuhlungu bomgogodla wokuqala we-lumbar babubekezeleleka. Wabulawa into encane: Esibhedlela, zonke iziguli ezingakwazi ukunyakaza kahle zifakwa ipayipi lomchamo ukuze kukhululeke umthwalo womhlengikazi wasebusuku. Wenze njalo, nakuba wayengakaze ahlupheke esinyeni sakhe. Ngesikhathi ekhishwa ekhaya, ipayipi lomchamo nalo lakhishwa. Futhi manje ngokokuqala ngqa isiguli sabhekana nokungakhululeki lapho sichama ngenxa yokungqubuzana kwe-catheter. Udokotela womchamo owayesebizelwe ukuzohlola esinyeni wayekwazi lokhu kodwa kuye isiguli “sasiyisiguli somdlavuza esingenathemba”. Ngakho wayefuna ukuzisindisa enkingeni yokubizwa kaningi ngempelasonto, futhi... "Hhayi-ke, ngesiguli esinjalo, akunandaba ngempela..."

Lapho isiguli singeniswa emnyangweni wokuhlinza esibhedlela ngakusasa ekuseni sine-acute peritonitis, kusolakala ukuthi sakwazi “ukusizwa” ngemithamo ephezulu ye-morphine, yingakho sashona ngemuva kwesikhashana.

ikhasi 598

Icala elibuhlungu kakhulu. Kubonisa ngokusobala kakhulu ukuthi ukubikezelwa kuheha kangakanani ukwelapha. "Abadlali be-tightrope" abambalwa kuphela abakwazi ukusinda besebenzisa umuthi omusha kanye nemithi evamile ngesikhathi esisodwa!

Ebuchosheni bokuqala be-CT ngakwesobunxele sibona izimpawu ezijwayelekile ze-medullary ezihlobene ne-edema. Kuzo zombili izinhlangothi kwakukhona, uma kungashiwo kakhulu, okungenani ukungqubuzana okujwayelekile kokuzihlonipha. Imicibisholo emibili engezansi ngakwesobunxele nangakwesokudla ibonisa indawo yomzimba wokuqala we-lumbar vertebral. Imicibisholo emi-1 engaphezulu endaweni engakwesokudla eya emhlambini wakwa-Hamer ngokungqubuzana kokwesaba kwendawo noma kwendawo.

Ku-x-ray sibona i-osteolysis ye-vertebral arch ye-vertebra yokuqala ye-lumbar (imicibisholo), kodwa singabona lokhu kangcono kakhulu futhi ngokunembile ku-CT elandelayo.

Yini ejabulisa kakhulu ngalena I-CT ye-1st lumbar vertebral body, ongayibona lapha ngqo idemoni imbangela yobuhlungukungaba striate. Abaphukile thinabelbogen kuhlanganise inqubo spinous we I-Spinal Arch inenye okumele iqhume I-capsule eqinile ye-periosteal (nge- I-edema yethambo esigabeni sokuphulukisa, bheka umcibisholo ngezansi kwesokudla). Lena indlela yobuhlungu obuphansi emuva, obuholela kuphela esigabeni sokuphulukisa. Kulesi simo ungabona futhi ukuthi ingozi yokuphuka ngenxa yamaphethelo abukhali wethambo iphezulu kakhulu, noma ngabe i-novocaine ijojowe, isibonelo. Esimweni esinjalo, isiguli ngokuzumayo sithola ukukhululeka okuzenzakalelayo ngoba i-edema iyanyamalala, kodwa nayo ngokuvamile futhi izicubu zethambo ezivela ku-bone osteolysis, manje egijima ngekhodi ehlukile futhi esigabeni sokuphulukisa futhi yakha i-callus eqinile.

ikhasi 599

Lokhu bese kubangela i-perivertebral ebizwa ngokuthi i-osteosarcoma, izicubu ezibomvu ezinama-callus deposits ezingenabungozi ngokwazo kodwa ngokuvamile zikhula zibe zinkulu kakhulu. Isiguli asinakho lokhu, kodwa akuvamile ukuba zibe khona izithombe ezinjalo ezifundisayo lapho lo mshini ungabonakala futhi uchazwe kahle kangaka.

Isithombe esilandelayo sibonisa i-bronchial carcinoma maphakathi kwesokudla nangaphezulu. Kuyathakazelisa ukuthi le carcinoma ayenzanga izinguquko kusukela yatholakala ngoFebhruwari ka-'87, lapho ukuqubuzana kwase kwenzekile kakade ezinyangeni ezi-3 kuya kwezi-4 ezedlule. Odokotela abakwazanga ukukuqonda lokhu, kodwa ekugcineni bathi kungenxa yemisebe yakhe emihle ye-cobalt

I-CT yobuchopho encane kufanele ibonise kuphela okutholiwe okuncane bonisa ngokudlula: Isiguli sazalwa ngo-1973 isilonda se-ventricular (isilonda sesisu). futhi isikhathi eside. Lena indlela umuntu omdala abukeka ngayo ebuchosheni Isibazi: Ungabona ngokucacile izimpawu zeziko likaHamer, kodwa akasenayo i-edema futhi uyakwenza lokho futhiuhhafu akukho ukususwa kwesikhala. Umgodi ambiI-en kwesokudla igudluke kancane ibheke maphakathi/phezulu ngenxa yokugxila kwe-Hamer ku-spleen relay (ukwandiswa kobende = i-splenomegaly).

21.9.19/XNUMX/XNUMX Ukuqabula nemiphumela yako

Ungakwazi yini ukuthola umdlavuza ngokuqatshulwa uneminyaka engu-16? Akulula neze namuhla. Kodwa emuva ngo-1957, lapho isiguli esisesandleni sokudla sineminyaka engu-16, lokhu kwakuselula kakhulu. Wayeyingane yangaphandle eyakhuliswa unina nomfowabo, abahlukana nentombi yakhe ukuze athathe “isikhundla sikababa” somshana wakhe. Akukho ndawo lapho intombazane encane yakhuliswa khona ngokuqinile njengasendaweni yocansi, ukuze "ingenzi iphutha elifana nelikanina".

Lapho iqatshulwa isoka elineminyaka engu-20 ubudala, le ntombazanyana yethuka ngokuphelele. Wayekholelwa kakhulu ukuthi usenengane futhi yayibonakala ebusweni bakhe.

ikhasi 600

Ngoba umama wayehlale esho njalo. Wayemesaba kakhulu unina. Uthe bekuyingxabano embi kakhulu empilweni yakhe futhi yathatha cishe unyaka. “Okumayelana nomntwana” mhlawumbe kungakholelwa emantombazaneni amaningi namuhla, ngoba isiguli sase siphelelwe isikhathi. Futhi wake “wake wezwa ukuthi” uma uyeka ukopha, uzoba nengane. Abadala babafundi bami abaphila phakathi nalesi sikhathi bazoyiqonda kahle le ndaba. Lesi siguli sasingesinye sezihlakaniphe kakhulu engake ngazibona!

Ngemva kwesikhathi esingangonyaka, lo mfana oneminyaka engu-17 ubudala manje “wayesulile”. Ngaleso sikhathi wayesenciphe kakhulu. Manje ukungqubuzana kwase kuxazululiwe. Ukopha kwakunzima ekuqaleni, ngemva kwalokho ukopha kwasesikhathini kwabuyela esimweni esivamile kancane kancane. Yiqiniso, i-cervical carcinoma okufanele ngabe yavela ngaleso sikhathi yayingakatholakali. Iyiphi intombazane eneminyaka engu-17 eya kudokotela wezifo zabesifazane ngaleso sikhathi?

Ngo-Okthoba 84 umalume (“ubaba obambele”) wagula enomdlavuza we-bronchi. Isiguli, esasinamathele kakhulu kumalume waso futhi sasimbonga ukuphila kwaso konke ngokulahla umshado ngenxa yaso, saba nokungqubuzana kwezimoto okuphindwe kabili ngomalume waso, njengoba kusengabonakala ku-CT scan yobuchopho ngemva konyaka.

Njengoba ukundindizela kwemisipha emilenzeni kungabanga ngcono (umalume naye akabange esalulama), wagcina ehlolwe ngoMashi 85, kanye ne-cervical carcinoma, eyabe ilele lapho cishe iminyaka engama-30. kwase kunesikhathi eside elapheka ngezibazi futhi yayingasebenzi, yatholwa futhi ngokushesha yatholakala isolwa ngokundindizela kwemisipha! Kuze kube yileso sikhathi, isiguli sasingakaze sihlolwe izifo zabesifazane. Wayeshade sekudlule isikhathi, ukuzala kwakungeyona inkinga kuye, futhi wayexabene ngocansi.

Ngolwazi Lomuthi Omusha - udokotela omkhulu emtholampilo wayengakaze afunde neyodwa yezincwadi zami - leli cala kwakungadingeki ukuba libe "yicala" nhlobo, ngoba empeleni lolu daba kwase lunesikhathi eside lwaphela futhi kwase kubhekwana nalo. cishe iminyaka engama-30! Kodwa lokhu kwahlulela okungalungile kwaba isiqalo sesiphetho esibi! "I-Metastatic collum carcinoma."

Inhlekelele endabeni engenhla yayiwukuthi sasingakwazi ukuqonda ukuxhumana ngaleso sikhathi. Lapho umalume eyiswa esibhedlela okwesibili maphakathi no-April futhi eshonela lapho ngoMeyi 24, 85, ukungqubuzana kwezimoto, okwakuseqhulwini, kwaphinde kwathinteka ngokugcwele.

Isiguli besilokhu sikulokho okubizwa “ngomtholampilo womdlavuza” kusukela ngoMashi '85. Lapho etshelwa ngokutholakala “komdlavuza womlomo wesibeletho” ngoMashi, wabhekana ne-DHS elandelayo, ukwehla okuchaziwe kokuzethemba, ngokuhlanganyela, njengoba kungabonakala ku-CT yobuchopho, ezingeni le-organic elithinta ikakhulukazi i-4th lumbar vertebra. nhlangothi zombili.

ikhasi 601

Ngenxa yokuqala kokungqubuzana ezinhlangothini zombili ze-vertebra efanayo, i-vertebra yesine ye-lumbar iqala ukuwa ngesivinini esimangalisayo. Ngo-March, lapho kutholakala i-carcinoma yomlomo wesibeletho yasendulo, kwakungekho lutho olubonakalayo ethanjeni, kodwa ngo-May '4, i-vertebra yayisivele idilikile yaba yi-85 centimeter ukuphakama.

Muva nje ngoMeyi 20, odokotela babemtshele ukuthi i-collum carcinoma izobhekwana nayo. Bekufakwe imisebe. Ngomhla zingama-24 kuNhlaba, okunye ukushaqeka kwengxabano edala, isibazi esisabambe iqhaza ngenxa yokushona kukamalume. Kusukela ngaleso sikhathi kube nokungqubuzana kwezimoto eziphikisanayo, okwaholela ekukhubazekeni okuncane kwemilenze yomibili, futhi kusukela ngoMeyi 20 kwakukhona nokungqubuzana kokuzethemba esigabeni se-pcl, okungukuthi ekwelapheni, ngoba isiguli manje sase sifinyelele yazi omusha Umuthi wamnika ithemba futhi ukuthi usengaphinde abe ngumuntu ophelele.

Manje kwenzeka okuthile engiye ngafunda ukwesaba kusukela ngaleso sikhathi: i-vertebra yesine ye-lumbar yahlanganiswa ndawonye (bheka i-x-ray). I-periosteum yazungeza leli thambo lomgogodla njengesikhwama esasisikhulu kakhulu. Ngemuva kwe-contactosis, i-edema evamile ibonakala. Kodwa yonke into manje kwase kungathi kukhona ukhuni noma itshe eqhweni elikhulu lamanzi. Umgogodla waphazanyiswa umcamelo wamanzi, okuyinto ngokuqinisekile engakwazi ukumelana nokucindezela okumile, isibonelo lapho uhlezi. Ngakho-ke, okwakufanele kwenzeke ngaleso sikhathi, kodwa okungafanele kwenzeke namuhla ngolwazi lwemithi emisha: isinye se-periosteal, esasigcwele i-edema fluid, yaqhuma! Olunye uketshezi lwe-callus lwavuza, kodwa ngokushesha lwaqala ukwenza i-callus phambi kwe-lumbar vertebra (isisu). I-osteosarcoma ebizwa ngokuthi "i-osteosarcoma" ithuthukiswe ngokukhubazeka kwemilenze yomibili ngasikhathi sinye.

Iphutha elibalulekile elilandelayo lenzeka lapho, ngemva kwamasonto ama-2 nje kuqhume i-lumbar periosteal sheath, ukuhlolwa kwe-X-ray kwezinso kwembula ukuthi i-renal pelvis yesokunxele yayiminyene ngenxa yokuthi i-osteosarcoma kwakucatshangwa ukuthi iqale ku-ureter.³⁵⁸ ukunqamula. Kulesi senzakalo, i-sintered 4th vertebra ye-lumbar kanye neziqhingi zokuqala ze-callus phambi kwe-4th vertebra ye-lumbar, eyayingakabonwa ngo-March, yatholwa. Manje kukhala inhlabamkhosi yenhlekelele! I-callus ekhula ezungeze i-periosteum kwakucatshangwa ukuthi ibala ama-lymph nodes (nakuba engekho ongasho ukuthi kungani ama-lymph nodes engabala lapho), futhi yonke into ifundeka kanje:

³⁵⁸ Ureter = ureters

ikhasi 602

"I-generalized metastatic collum carcinoma stage IV ene-osteoclastic metastasis (ukuncibilika kwethambo) kanye ne-osteoblastic metastasis" (ukwakheka kwamathambo amasha) ama-lymph nodes okuthiwa atholakala ku-ventral kuya ku-4th lumbar vertebra ethintekile, okwakungelona iqiniso. Ngaphezu kwalokho, izinso zesokunxele zacindezelwa ngenxa “ye-lymph node calcification” - nakuba kungekho noyedwa owayazi kahle ukuthi lokhu kwakungenzeka kanjani. Ukukhubazeka ingxenye yemilenze manje kwase kubangelwa ukugoqa kwe-lumbar vertebra, nakuba ngaphambili ukundindizela kwemisipha kwakubangelwa i-collum carcinoma lapho kungabonakali lutho ku-vertebra.

Izithombe ezilandelayo zangoSepthemba '85 zinenani eliyingqayizivele le-documentary: Azibonisi nje kuphela inqubo yokuhlobana phakathi kobuchopho nesitho, kodwa zibonisa icala lenhlekelele ejulile yomuntu eyenzeka ngenxa yakho konke ukungazi kwethu, kuhlanganise nokwami. Kwaba ngemva kwezimo eziningana zalolu hlobo lapho ngafunda khona ukuthi kunendlela evame kakhulu eyisisekelo lapha: ukuvuza kwe-bone edema enezinsalela ze-bone osteolysis ngenxa yokuphuka noma ukubhobozwa kwe-capsule ye-periosteal.

Umcibisholo wesokunxele ukhomba kumakhonto ayisiyingi engxabano endala yocansi. Siyabona ukuthi le ngxabano, ehlehlela emuva cishe eminyakeni engama-30, isixazululiwe ngokuhlangana kodwa isenokumiswa okuqashelwa ngokusobala okuhlosiwe kokudubula (bheka ukumaka kwangaphandle). Lokhu kuphinde kuhambisane nesimo socansi. Isiguli sasingakaze sibe nesithakazelo sobulili. Lapha, njengaku-psyche, akukhona nje - noma, kodwa kokubili futhi. Njengamanje ngicabanga ukuthi kufanele sikucabange kanjani lokhu ngokwengqondo nangokobuchopho. Enzani amaphupho ebuchosheni? Futhi benzani esithweni? Okuqinisekile ukuthi yonke into isebenza ngokuvumelana!

Umcibisholo ongaphezulu ukhomba ekugxilweni kwe-Hamer okusebenzayo kwehlombe lesokunxele elihambisana nokwehla kokuzethemba ebudlelwaneni bengane/bakababa (umalume). Umcibisholo ongezansi uphawula ukugxila kuka-Hamer kokungqubuzana kokuzethemba kwemizimba ye-lumbar vertebral 4/5 ehambisana nohlangothi lwesobunxele lomgogodla.

ikhasi 603

Imicibisholo emibili engenhla ikhomba ku-Hamer foci esebenzayo yokukhubazeka kwemilenze yemilenze.

Phansi impela sibona imithelela emibili yomhlambi ka-Hamer ezinhlangothini zombili, ebhekene ne-osteolysis yemizimba ye-4th kanye ne-5 ye-lumbar vertebral.

Kulesi sithombe singabona imizimba emibili yomgogodla ihlanganiswe ndawonye, ​​​​kusele kuphela insalela emincane emise okukanxantathu kumzimba we-4 we-lumbar vertebral.

Esithombeni esingenhla sibona i-periosteum enjalo eqhuma noma ephukile ye-4th lumbar vertebral body. Singabona ngokucacile ukuthi i-periosteum iphakanyisiwe (imicibisholo yesobunxele ngezansi). I-Callus iqala ukwakheka ngokushesha esitokisini se-necrotized esiye saphuma, esibona i-ventral emzimbeni we-vertebral, ngokusho kwe-X-ray ye-lateral esithombeni sangaphambilini. Njengoba le nqubo yayingakaze ibonwe emithini esemthethweni, ama-osteosarcoma anjalo ayevame ukudideka nama-lymph node abaliwe. I-edema yomzimba we-vertebral ivela kuphela esigabeni se-pcl. Nokho, kulesi sigaba, ithambo lisengozini enkulu yokucwilisa ndawonye kuze kube yilapho sekuhlanganiswe i-callus eyanele.

ikhasi 604

Ngokuvamile isiguli kwakuzodingeka silale embhedeni futhi singabeki noma yikuphi ukucindezeleka emzimbeni we-vertebral, njengoba lokhu kungase kubangele ukuwa.

Manje ungase ucabange kalula ukuthi i-periosteum, enganciphi nhlobo lapho i-vertebral body sinters ndawonye, ​​igcwalisa i-edema esigabeni se-pcl, noma ngabe kukhona inani elincane kakhulu lomzimba we-vertebral ozungeza kuwo. Esimeni esinjalo, umphumela uba umcamelo we-periosteal edema oqhumayo lapho insalela yemizimba yama-vertebral ibhukuda njengenhlanzi yegolide esikhwameni sepulasitiki futhi ingasenakho ukubaluleka okumile. Lapho isiguli sisukuma, sisuke simi kulo mcamelo we-periosteal. Lokhu akugcini nje ngokulimaza kakhulu, kodwa ngokuvamile kuholela ekuqhekekeni kwalo mcamelo we-periosteal. Sibona okukodwa kwalokhu esithombeni sethu sangaphambilini. Isiguli sivame ukuba nomuzwa wokukhululeka kobuhlungu ngemva kokuqhuma, kodwa imiphumela ye-osteosarcoma ivame ukumangalisa ngokwanele - mechanical nje, khumbula! - Kulokhu, ngangikholelwa ukuthi i-radiologist ngaleso sikhathi, i-osteosarcoma yayicindezele i-ureter yangakwesobunxele futhi yayiminyanisa kakhulu ukhalo lwesokunxele lwe-renal.

Lapho isiguli sibhekene ngonya nalokhu kutholwe okusha kanye namathuba okusinda okwakucatshangwa ukuthi asewele ngaphansi kukaziro, sawa ngokuphelele futhi saba nokungqubuzana kokwesaba umdlavuza futhi sathi “sasangana” isonto lonke. Ukukhuluma ngokuqinile, ngokwencazelo yomlaza we-schizophrenic, "wayehlanya" ngempela ngoba wayenezingxabano ezimbili ezisebenzayo zezimoto futhi manje ephikisana kwesokudla. Phela, i-cyst ehambisanayo ye-gill duct kamuva yatholakala endaweni ye-supraclavicular^{359 360} entanyeni yesokunxele.

Ngemva kwesonto udokotela wafika emtholampilo wathi manje bazozama i-chemo (cytostatic drugs). Waphinda wathola ithemba.

Kusukela ngaleso sikhathi kuze kube ngoNovemba 85, isiguli saba ne-leukemia enezibalo ze-leukocyte ngokuvamile phakathi kuka-15.000 no-20.000 nge-mm ngayinye.².

Ngigcine ngamabomu ukungqubuzana kini ukuze ngikubike ngokuhambisanayo. I-DHS yalokhu kungqubuzana kufanele ukuthi yayiphakathi kwamaphakathi nasekupheleni kukaMashi '85: inkinga embi kakhulu eyayihlobene nemali, "ingxabano yesibindi nokwesaba indlala" eyabangela umdlavuza wesibindi oqinile.

³⁵⁹ Supra- = ingxenye yegama elisho ngenhla, ngaphezulu
³⁶⁰ Clavicula = i-collarbone

ikhasi 605

Isiguli nomyeni waso babenesitolo sikagwayi, hhayi isitolo esincane sikagwayi, kodwa esikhulu, esihle. Bayiqasha enkampanini kagwayi. Isiguli kwakuyisona siqashi sangempela futhi ibhizinisi lalisegameni laso. Manje base beyilungisile kakhulu, kodwa babe nethuba lokugcina irenti yesitolo esincane esingashintshi iminyaka embalwa. Kungalesi sisekelo kuphela ukuguqulwa kwaba nenzuzo.

Lapho leli qembu lithola ukuthi isiguli sasigulela ukufa, lanikeza umyeni wakhe isivumelwano esisha sokuqasha esinemali yokuqasha ngokuphindwe kathathu esikhundleni sokuyivumela buthule ukuthi iqhubeke. Abazange balinde ngisho nokufa kwesiqashi, ingasaphathwa eyokuthi owesifazane, ngaleso sikhathi okwakuthiwa ugula ngokuphazima kweso nje, mhlawumbe angase aphinde alulame. Lapho umyeni wakhe emtshela ngokunganaki ngalokhu, isiguli, ebesilele emtholampilo, saphaphatheka safa, asibange sisaphumisa izwi futhi sawela esiphethweni esibuhlungu. Wayecasuka ubusuku nemini. Wayeke waphathwa i-DHS ngengxabano yendawo kanye nokwesaba indlala. Esibindini i-CT kusukela ngomhlaka-1 Ephreli singabona kakade lokho isazi se-radiologist esasiphuthelwe ngaleso sikhathi: i-carcinoma yesibindi ekuqaleni impela emaphethelweni esibindi.

Esithombeni esiphambene sibona (umcibisholo) ukugxila kwe-Hamer esiswini kanye nengxenye ye-bile-bile duct relay uhhafu emsebenzini, uhhafu wesixazululo, okusho ukuthi kubonakala kunokuphindaphinda njalo, okuvame ukuphumela ekushayweni kwesibindi ezigabeni ze-PCL. kwadingeka. Ingxabano, yebo, kwakuwukwephula kwenhlangano yesivumelwano sokuqashisa sesitolo sikagwayi.

ikhasi 606

Kukhona okuthakazelisa kakhulu kulesi sithombe Into okufanele uyiqaphele: I-Primordial kwaba ukuwohloka okuphakathi kokuzethembaUkungqubuzana nokuhlakanipha kulokho Ukwehla kokuzethemba kukhona esigabeni se-PCL. Kanye ne i-cerebral yesokunxele yesokudla (uzakwethu) Umgogodla wesibeletho kanye nohlangothi lwe-calotte, futhi i-cerebral yesokudla yesokunxele (ingane/umama) i-vertebra yomlomo wesibeletho kanye ne-calotteSide, kamuva washiya ingxabano elumayo phakathi pcl isigaba sohlangothi olulungile lozakwethu (akuvunyelwe ukuluma umlingani kanye ayikwazi ukuluma. Kwesokudla Uhlangothi lwangaphambili lube kule ndawo (Umcibisholo phezulu kwesokudla) isitofu se-Hamer se-Frontalangst conflict = ukwesaba umdlavuzaUkungqubuzana kwethulwe noma phezu kwakhoimilenze. Esigabeni se-PCL ngemva kokungqubuzana okunjalo, ama-cysts e-branchial arch duct akha entanyeni noma okuthiwa "i-cell bronchial carcinoma encane" ku-mediastinum. Ngeshwa, azikho izithombe ze-osteolysis yomgogodla womlomo wesibeletho.

Sonke abantu siyawenza amaphutha, kuhlanganise nami kunjalo. Ngokujwayelekile anginankinga nokuvuma into efana naleyo. Kukhona futhi okuhle mayelana nokuthuthuka olwazini lwakho ukuze uthi: "Kungani nginendaba nengxoxo yami kusukela ngayizolo?"

Amaphutha amaningi enziwa kwisayensi lapho ulalela iziphathimandla, njengoba ngenza kuleli cala kuma-radiologists. Ngoba kulezi zithombe bathole ukuvaleka komgudu womchamo wenso yangakwesobunxele, “okungokwemvelo” okubangelwa ukucindezelwa kwe-para-aortic.³⁶¹ Ama-lymph nodes kumele akhiwe. Lokhu "kuvinjelwa" kuphinde kwachaza ukugcinwa kwamanzi esigulini kanye nokwanda kwe-creatinine ku-serum. Ngangikholelwa “igunya le-radiological” ngaleso sikhathi, futhi lokho kwakungalungile ngokuphelele, njengoba sengazi manje.

³⁶¹ I-Aorta = umthambo omkhulu womzimba

ikhasi 607

Kulolu hlangothi izigaba ze-CT zisuka ku-cranial ziye ku-caudal. Izithombe zokuqala ezi-3 zithathwe nge-contrast medium, okokugcina okubili okusikiwe ngaphandle kokuqhathanisa okuphakathi. Kodwa-ke, akukhona nakancane “ukuvinjwa” komgudu womchamo, kodwa kunalokho kuwukuqongelela kabili kwe-carcinoma ezinso kwesokunxele. Iqiniso lokuthi i-parenchyma esele yenso yesokunxele iphuma kahle ingabonakala emazingeni amaningi odayi ohlukile. Kodwa-ke, ukungqubuzana okukhona (kulokhu, ukuthi wazizwa eyedwa ngokuphelele ngenxa yokushona kukamalume wakhe ngo-February '85) kanye nama-SBS ahlobene nawo asekusigaba se-pcl. Ngoba ngalesi sikhathi lapho amukelwa khona, isiguli sasinesifiso esisodwa kuphela: ukusinda kwakuyiyona nto eyayibalulekile manje.

Ebuchosheni obuseduze be-CT sibona ukugxila kwe-Hamer okuphindwe kabili emgudwini we-renal oqoqayo wesiqu sobuchopho senso yesokunxele, enye yayo engase ihlukaniseke, enye (i-dorsal) isengasebenza. Esasebenza ibonakala ingemuva (bheka futhi i-CT yezinso yokuqala, umcibisholo omncane phezulu kwesokunxele).

Umhlambi we-Hamer osasebenza Indawo ye-cecum (maphakathi Umcibisholo ongakwesokunxele) ohambisana "nengxabano ye-shit" embi lapho ushiya isitolo sikagwayi kanye nesitofu se-Hamer esigabeni se-pcl ebangeni lokuzwa kwama-archaic (umcibisholo ophansi kwesokunxele), ohambisana nokungqubuzana kokufuna ukususa ulwazi olungajabulisi. Lokhu kusho ukuthi isiguli besilinde inkampani ukuthi ibuyise “ulwazi” mayelana nokuvalwa kwesitolo. Lokhu okutholakele okwengeziwe kuqedela ukuhlolwa kobuchopho be-CT.

ikhasi 608

Kukhona ezinye izimpikiswano ezimbili ezimelene “nokuminyana kwezinso”: Ukube bekuwuketshezi ku-pelvis ye-renal esikhundleni sesimila esihlangene, ngabe sifakwe umbala umchamo ovuzayo. Akunjalo.

Ungabona futhi kulokhu okulandelayo:ukusika okujulile okulandelayoUchungechunge olulandelayo lubonisa ukuthi isimila sishiya ngaphandle ingxenye ye-renal pelvis (umcibisholo wesokunxele esithombeni esingezansi) noma ukuthi isivele iqala ukwakha i-cavity esigabeni se-pcl. Lokhu kwakamuva kungenzeka kunikezwe inkambo yomtholampilo kanye nezimpawu (ukujuluka ebusuku, amazinga okushisa angaphansi kwe-subfebrile).

Esigabeni esingaphezulu ungabona ngokucacile (umcibisholo kwesokudla) i-duct carcinoma encane, kodwa esebenzayo ensolweni engakwesokudla, okugxilwe kwayo kuka-Hamer siphinde sikubone ebuchosheni be-CT (umcibisholo ongakwesokudla) ekucushweni kwethagethi yokudubula.

I-CT yesisu kusuka ku-9/85: Sibona i-carcinoma yesibindi ye-lobe yesokunxele yesibindi ngqo ngaphansi kwe-capsule kanye ne-bulging. Ingxabano ethintekayo kwaba yingxabano yendlala edalwe ukuqedwa kwesitolo sikagwayi.

Kule CT 2 izinyanga kamuva sibona i-carcinoma yesibindi ye-lobe yesokunxele yesibindi esendleleni yokubola (i-caseation usebenzisa i-TB).

ikhasi 609

I-CCT kusuka ku-9/85: Ukugxila kuka-Hamer ekudlulisweni kwesibindi sobuchopho ku-ca phase kanye nokugxila kuka-Hamer endaweni yokuzwa yama-archaic esigabeni sokuqala se-pcl, okuhambisana nokungqubuzana, ukulinda ucezu lolwazi. Ukugxila kwe-Hamer okucaciswe kahle kuhlangothi lwekhanda lomcibisholo kuhambisana nokwesaba ukufa okuhambisana namaqhuqhuva wamaphaphu esigabeni se-ca. Ukungqubuzana kwakamuva kwavela lapho ukuxilongwa noma ukubikezelwa kwembulwa.

I-CCT evela ku-11/85: I-Huge, i-quasi-common Hamer lesion esigabeni se-pcl esine-edema enkulu lapho izilonda ze-Hamer zingakwazi noma zingasakwazi ukuhlukaniswa. Ukungqubuzana kokufuna ukuzwa ulwazi sekuvele kuthuthuke kakhulu esigabeni se-pcl, esingabonakala ku-edema ejulile, emnyama engahlukaniswa. Kochwepheshe, ama-CTs obuchopho emi eduze komunye nomunye ahlaba umxhwele kakhulu!

Imicibisholo emibili ephezulu: Ukugxila kuka-Hamer ekungqubuzaneni kwezimoto nhlangothi zombili ekuqaleni nje kwesigaba se-pcl esihambisana nokukhubazeka kwezingalo ikakhulukazi.
Imicibisholo emibili engezansi: ingxabano emaphakathi ye-periosteal-sensory enonya isesemsebenzini wokungqubuzana. Ingxabano yayiwukuthi umalume wakhe (umzali kanye nomlingani ngesikhathi esisodwa) wadatshulwa ngesihluku ekwanganeni kwakhe.

ikhasi 610

Indandatho ethambile umcibisholo okhomba kuyo iphawula ukungqubuzana okunonya kokuhlukana okumelela i-periosteum yezinyawo, kwesokudla ngaphezu kwesobunxele. Izimpawu zibizwa ngokuthi "izinyawo ezibandayo". Ukungqubuzana: Ukwehlukana nomalume, owayenguyise wesiguli kanye nomlingani.

Isiguli sasixazulule ingxabano yaso yokuzethemba, futhi mhlawumbe okwesikhashana. Kodwa akazange akwazi ukuxazulula ukungqubuzana okuyinhloko mayelana nokufa kukamalume wakhe kanye nale ngxabano enkulu yentukuthelo mayelana nonya lomnikazi wendawo. Kanye ne? Ukuze enze lokhu, kwakuzodingeka angazweli engxabanweni eyodwa futhi aphinde abe nempilo kwenye, ukungqubuzana kwentukuthelo. Ngenxa yalokho, wakhubazeka kancane emilenzeni yomibili futhi waba nobuhlungu endaweni yesine ye-lumbar vertebra. Odokotela bamathambo abaningana bafunga ukuthi kokubili kubangelwa ukuthi wonke umzimba we-vertebral uhlehla uhlehle futhi ucindezele umgogodla. Lesi siguli sasiseKatzenelnbogen ku-"Haus Freunde von Dirk" amasonto ambalwa. Ngaphambi nje kokuba ihhovisi lomshushisi womphakathi ligasele kule ndlu namaqembu amabili agasele abehlome eyizingovolo futhi anikeze isiguli isinqumo sokuthi sinyamalale, sazidlulisela emtholampilo wamathambo. Udokotela wamathambo lapho wamhlinza futhi wakhipha ucezu lwethambo olusele emgodleni wesine womgogodla. Futhi-ke kwacaca ukuthi kwakungengenxa yalesi siqeshana sethambo, ngoba wahlala ekhubazekile, kodwa - njengoba sengazi manje - ngenxa yokungqubuzana kwezimoto okwakubonakala ku-CT yobuchopho.

Ekugcineni, isiguli kubonakala sengathi (okwesikhashana) sixazulule ingxenye enkulu yezingxabano zaso ngokusula ngokuphelele. Waba nomkhuhlane, ama-leukocyte akhe enyuka ngaphezu kuka-20.000, izandla zakhe zazishisa kakhulu wabe esedluliselwa kwesinye isibhedlela. Lapho, ngokweseluleko sami, wanikwa i-cortisone. Ngolunye usuku, njengoba umyeni wangitshela, ngokusobala udokotela omkhulu wanquma “ukuliqeda leli cala.” Wayala i-morphine. Nokho, bobabili isiguli nomyeni babekwenqabele ngokucacile lokhu. Izinsuku ezi-3 nobusuku obuthathu, umyeni wayebuka umkakhe imini nobusuku. Lapho eshiya umkakhe kafushane ngobunye kusihlwa, udadewabo wamnika i-morphine ngokuyala kwakhe. Kusukela lapho akabange esavuka, ngoba manje umyeni wakhishwa ngendluzula emnyango futhi idriphu ye-morphine yasala isebenza...

ikhasi 611

Ngikutshele leli cala ngokuningiliziwe, hhayi ngenxa yonya noma ukuchazwa okungalungile, engibophezelekile futhi, kodwa ukuze ngikubonise ukuthi into efana nalena ngokuvamile isebenza kanjani. Lo wesifazane ompofu wayenenkinga enkulu yemoto ngenxa yokugula kukamalume wakhe. Bekuzozixazulula ngokuzenzakalelayo ngesinye isikhathi ngemuva kokushona kukamalume. Ukube nje odokotela abanebhadi abazange bahlangabezane ne-collum carcinoma engenangozi ngokuphelele, eneminyaka engu-30 ubudala. Kusukela ngaleso sikhathi kuqhubeke, isiphetho sathatha inkambo yaso engenakugwenywa. Ngakho-ke isiguli esimpofu ekugcineni safa ngenxa yokuqatshulwa sineminyaka engu-16 ...

Ngabhala incwadi elandelayo eya enhlanganweni yezokwelapha esibhedlela “Abangane bakaDirk” eKatzenelnbogen ngoNovemba 17.11.85, 27: UNksz. ukuthenwa okuphelele Ukwehla kokuzethemba okwabangelwa ukutholakala kokwelashwa okubizwa ngokuthi imithi evamile. Konke okubizwa ngokuthi “isifo” ngokuyisisekelo kuwumphumela nje wokungaqondi kahle noma ukuxilonga ngenxa yokuthi ukuxilongwa “kwe-cervical carcinoma” akuzange kucatshangelwe ngokubaluleka kwayo. Ngokuyisisekelo, kwakuyisifo isiguli okungenzeka sasinaso iminyaka engu-XNUMX ngaphandle kokusibangela izimpawu.

UDokotela S. wase-Janker Clinic e-Bonn uyayazi incwadi yami ethi “Cancer – Disease of the Soul”. Wayazi futhi ukuthi lolu hlelo lwafakazelwa uprofesa wamazwe ngamazwe/inkantolo yezokwelapha eyayibizwe ngokusemthethweni yiNhlangano Yezokwelapha. Esetshenziswa esigulini esishiwo ngenhla, kwakufanele athole ukuthi kunokungqubuzana okuhambisanayo okukodwa kuphela esigulini okungase kuholele ku-carcinoma yomlomo wesibeletho. Lokhu kungqubuzana kwenzeka eminyakeni engu-27 edlule.

Ukube uDokotela S. ubekutholile lokho, yonke inqubo ngabe ihlukile. Ukwelashwa nge-Chemo kanye ne-radiation bekungeke kukhishwe, njengoba bekungenzeka ukuthenwa. Isiguli sasiyosinda ekuhluphekeni okungapheli. Angeke abe yisishosha namuhla!”

ikhasi 612

21.9.20/XNUMX/XNUMX I-Chronic lymphocytic leukemia: ukwehluleka okuphindaphindiwe, ukushintshana nempumelelo emkhakheni wenkolo njengoFakazi KaJehova

Ama-DHS kanye nezingxabano eziholela kumdlavuza futhi ngaleyo ndlela, esigabeni sokuphulukisa, ku-leukemia, ngokwesibonelo, kuyizingxabano zezinto eziphilayo. Lokhu kuhlukaniswa kwezingxabano akusho lutho ngokuqukethwe okuthile kokungqubuzana esimweni ngasinye, kodwa kuphela mayelana nevelu yokusebenza kwale nqubo yebhayoloji, esiyibiza ngokuthi ukungqubuzana kwezinto eziphilayo.

Icala elilandelayo libonisa ngokusobala ukuthi umuntu angasebenzisa futhi inkolo njengesilinganiso sokuzethemba komuntu: UFakazi KaJehova, osebenzisa isandla sokudla, oneminyaka engu-56 ubudala nowaseSpain, owayenezingane ezi-5, wahlushwa i-DHS yokuqala ngo-1976 ngokungqubuzana ngokobulili kanye nengxabano. ukuwa kokuzethemba Umyeni wayefuna isehlukaniso ngemva kwengxabano enzima yomshado. Uthe wayemphatha “njengento engelutho.” “Silima senkomo!” Ayizange ilale nayo kusukela lapho. Empeleni impikiswano yayimayelana nokusonta kwesiguli, ngoba umyeni wayemelene noFakazi BakaJehova.

Ngo-1981, isiguli esisesandleni sokudla sibonakala siphinde sabhekana nokwehla okukhulu kokuzethemba, njengoba salahlekelwa yi-14 kg ngesisindo. Kodwa waphumelela empini ngoba akazange nje aqinisekise ukuthi indodakazi endala ishada noFakazi KaJehova, kodwa nokuthi umyeni uyavela emcimbini womshado noFakazi BakaJehova. Ngokusobala wayene-osteolysis ephawulekayo ku-8th thoracic vertebra ngaleso sikhathi, eyayibuhlungu isikhathi eside futhi yaphathwa ngazo zonke izindlela ezingenzeka izinyanga eziningi noma unyaka wonke.

Kodwa umyeni wayeshiye phansi okwesikhashana. Kwabe sekumele aphinde aye kofakazi ngasese ngoba esaba ukuthi umyeni wakhe uzomlahla ngenye indlela. Ngo-1983 indodakazi ithuthela eSpain. Isiguli siphinde sabhekana nokuwohloka kokuzethemba ngoba bekuyindodakazi yaso esiyithanda kakhulu ebilokhu imeseka kuyise kuze kube yileso sikhathi. Kodwa-ke, le ngxabano iyaxazululwa ngoba indodakazi isengufakazi futhi ishade nofakazi futhi iyaqhubeka nokumeseka eSpain. Ngo-Okthoba isiguli kwatholakala ukuthi sine-leukemia ene-anemia. Njengoba, njengoFakazi KaJehova, engampontshelwa igazi, i-leukemia ilulama ngokwemvelo. Kodwa ngokuphindaphindiwe uba nezingxabano ezintsha eziphindelelayo ngoba umyeni wakhe usaphikisana nendaba. Ngakho-ke kusafanele aye kofakazi ngasese futhi azizwe edelelekile ngokuphindaphindiwe! Ekugcineni uzuza ukunqoba okuphelele: ngaphandle kwendodakazi encane, okuthiwa yenza lokho ekufunayo futhi engazivumeli ukuba ibhapathizwe, zonke izingane zingoFakazi BakaJehova futhi zishade noFakazi.

ikhasi 613

Umyeni manje ubeka ubuso obuhle emdlalweni omubi. Lapho ngiqala ukubona isiguli ngo-1986, wayenezinhlungu ezinzima kuwo womabili amahlombe kanye ne-8th thoracic vertebra isikhathi esingaphezu konyaka. Izibalo ze-leukocyte zingaba ngu-1. Lo wesifazane ujabule ngoba uthi ubehlezi azi ukuthi iphuma kule nto. Manje njengoba eseyazi ukuthi kuyini ukuxhumana, uyazi nokuthi uzophinde alulame.

I-Chronic leukemia imane iwukubonakaliswa kokungqubuzana kokuzethemba okuvame ukuvela futhi okuphinde kwaxazululwa ngendlela efanayo. Njengoba leli cala libonisa, kuwumbhedo ukuzama ukubala noma yikuphi lokho okubizwa ngokuthi ngokwesayensi noma, okungcono nokho, amathuba okusinda ezibalo zesayensi mbumbulu, njengoba ukusinda kuncike kuphela ekutheni ingxabano ixazululwa kanjani noma isaxazululwa kanjani “ngempumelelo”. Kodwa lo mzuzu awubhekwa kunoma yiziphi izibalo!

Ebuchosheni bezithombe ze-CT, esinazo kuphela ngoba ngenze ukubonisana okuncike kuzo, into yokuqala egqamayo wumbala omnyama ojulile we-medulla, isisho sesixazululo esivuselelwe (manje esesicacile) sokuzenzela hlonipha ukungqubuzana.

Umcibisholo ongakwesokunxele ukhomba "ingxabano yocansi elengayo" kwesokunxele se-periinsular, imicibisholo yesokudla ikhomba ku-Hamer foci ye-bronchi, i-coronary intima kanye ne-hepato-bile duct relay, konke emsebenzini wokungqubuzana.

ikhasi 614

Kulesi sithombe, lena engakwesokudla inakho kodwa futhi nombhede we-medullary ongakwesokunxele ngaphambili i-edema enkulu. Okuhambisanayo kubuhlunguwomabili amakhanda esiguli athambile kanye nehlombe elingakwesokudla ikakhulukazi. Isitofu se-Hamer ku-relay yangaphambili engakwesokudla ingeye ukuzethemba kukamama/kwengane i-relay kwesokunxele ukuzethemba kozakwethudimba. Futhi eqinisweni, nathi singakwazi siphetha ngalokhu, ukuzithanda kuncikeukuqonda ukubaluleka kwazo kubo kuncike ekutheni wayezokwazi ukukhulisa izingane zakhe ukuze enze oFakazi BakaJehova. Futhi wonkeizikhathi lapho niphinde nibe nenduku phakathi kwenuimilenze yakhe yaphonswa nguyeumyeni wakhe, khona-ke ukuzethemba kwakhe kwahluphekauzizwe ikakhulukazi kuleli phuzu. I Isiguli sangitshela lokhu ekhona oyedwa Idlanzana lodokotela nalo likuqinisekisile lokhu ngesikhathi ngibabuza ngakho. Ngicabanga ukuthi “abalingani” nabo kwakungabantwana abadala noma “ofakazi” bokholo lwabo. Ungabona ngisho nezingane ezindala, isibonelo, njengezingane ezingu-20% kanye no-80% njengabalingani, njengoba sengivele ngibhale ngokucacile.

Isiguli manje - okwesikhashana - sinempilo, okusho ukuthi inani legazi lijwayelekile okwamanje. Ngethemba ukuthi isiguli ngeke senze indodakazi yaso encane isivivinyo sokuzethemba, ngoba-ke - uma sicabanga nge-DHS - kungase kube nomunye umsebenzi wokungqubuzana ne-anemia futhi - uma ehlala engumnqobi futhi - isigaba esisha sokuphulukisa i-leukemic.

Kusho ukuthini impilo? Bonke abantu nezilwane banempilo kuphela kuze kube yi-DHS elandelayo!

Ngesikhathi salezi CTs zobuchopho bokugcina, nokho, isiguli asikabi nempilo ngokuphelele ngoba ukungqubuzana kwezocansi kungenzeka ukuthi "kusalenga". Isiguli asikaze sibe nesikhathi kusukela ngo-DHS 1976. Manje-ke lokho bekungaba yi-menopause. Kodwa akunakwenzeka ukuthi lokhu kufanele kube kwaqondana ngenhlanhla. - Noma ubani oye wabheka kancane emuva uzobuza ukuthi isiguli akumele yini sibe "ku-constellation schizophrenic" okungenani isikhashana? Impela yebo! Lokhu sikubona esithombeni esingaphambi kwesikhathi, okuyi-cortical kanye ne-postmortem³⁶³ umlaza we-schizophrenic (manic-depressive!).

³⁶³ postmortem = ngemva kokufa

ikhasi 615

Imilaza enjalo noma efanayo ivame kakhulu emibuthanweni yamahlelo futhi ingase ibe yinto evamile. Isiguli siphinde sithi sasivame “ukusangana ngokuphelele”! Ngithatha izwi lakhe ngakho. Cishe wayehlale ehlushwa "intukuthelo yendawo" yakhe ngisho nalapho ehlelwa ukwehla kokuzethemba ngenxa ye-DHS.

Kodwa zitshele, “ngeqhawe lomshado” elinomoya onjalo, owesifazane omncane othandeka kangaka ongokwenkolo, oshiseka ngokweqile futhi onamahlelo ngokungaguquki - obheka eduze kangaka? Nguye nje lowo!

21.9.21/3/XNUMX Okubizwa ngokuthi “i-acute lymphoblastic leukemia ene-relapses ezimbili”, empeleni ukuwohloka oku-XNUMX okuhlukile kokuzethemba okuhambisana ne-lymphoblastic leukocytosis noma i-leukemia esigabeni sokuphulukisa esilandelayo.

Leli cala lingase libe yicala elingenabungozi ngokuphelele futhi belingase lihlale linjalo ukube inkemba ye-Damocles yokufa kwe-iatrogenic ayizange ihlale phezu komfana oneminyaka engu-17 ubudala. Wathintana nezinhloko eziningana zezibhedlela zasenyuvesi. Omunye ovela e-Ulm wabhalela unina e-Australia (ngoMashi 20.3.84, XNUMX): “... Ozakwabo base-Australia bane-allogeneic³⁶⁴ Ukufakelwa komnkantsha kwangena ekuxolelweni okuphelele kwesithathu. Ngingavumelana nalo mbono, njengoba ngeshwa amathemba okuthola ukuxolelwa isikhathi eside aphansi kakhulu, futhi amathemba okuphulukiswa okuphelele ngokwelashwa okuvuselelwe kwe-cytostatic aphansi nakakhulu...”

Lo musho oshaqisayo kaprofesa waseJalimane udinga ukucashunwa lapha ukuze ubone ukuthi akuphumelelanga kangakanani ukucabangela noma yiluphi uhlobo lwalokho okubizwa ngokuthi ukwelapha, okuphinde kube yi-pseudotherapy. Ngoba ukufakelwa komnkantsha wethambo kunethuba elingamaphesenti angu-zero okusinda uma isazi se-radiologist sike safaka amangqamuzana esiqu somnkantsha wethambo ngokujulile ngokwanele. Amaphesenti ambalwa kuphela asindayo kulolu vivinyo oluwubulima uma amanye ama-stem cells ngephutha engakhanyiswa ngokwanele. Mhlawumbe ukuxoshwa kwezokwelapha okunonya kakhulu kwabazalwane be-oncology.
Ngokusho kweNew Medicine, icala lifundeka kanje:

³⁶⁴ i-allogeneic = ivela kumuntu wohlobo olufanayo

ikhasi 616

1. DHS:
Ngo-April 8, 1973, ingane eyayineminyaka engu-4 ngaleso sikhathi yawa emjikweni yaphuka ihlombe kwesokunxele. Yayinamekwe. Ngemva kwezinyanga ezingu-4, lapho i-cast ekugcineni isusiwe, i-lymphoblastic leukemia ene-leukocyte engu-88.000 yatholakala. Umfana uke wawa endaweni ngenxa yokuzethemba.
Phakathi nesikhathi sokungqubuzana kusukela ngo-Ephreli kuya ku-Agasti, ingane ayizange ilahlekelwe isisindo, kodwa yashintshwa ngokucacile ngokwengqondo ngaso sonke isikhathi futhi "yayingasajabule". Ngemva kokuxazululwa kwengxabano, izinto zabuyela kwesijwayelekile. Ngenhlanhla, umfana wasinda ezivamile cytostatic "ukwelashwa". Yonke le nto bekuwukungqubuzana okujwayelekile kokuzethemba okuhambisana nokugxila kuka-Hamer kungqimba olungaphambili lwe-medullary kwesokudla kanye nesigaba sokuphulukisa se-leukemic eseqile esedlulele ngokuphelele ngemva kokukhishwa kwe-cast futhi ukungqubuzana kwaxazululwa ngaleyo ndlela enganeni.

2. DHS:
Enye ingxabano ye-DHS yokuzethemba yenzeke lapho umfana engadluliswanga ngo-1977. Lesi sikhathi eside sokungqubuzana saphinde saphela lapho umfana oneminyaka engu-8 ekugcineni ethola izinyawo zakhe ekilasini elisha. Ngemva kokuxazululwa kwengxabano, kwaphinde kwangena i-lymphoblastic leukemia, eyaphinde yelashwa ngemithi ye-cytostatic e-Mainz University Clinic. Futhi umfana wasinda kulezi zivivinyo futhi wasinda kukho konke ukuhlushwa kwe-iatrogenic.

3. DHS:
Ekupheleni kuka-82, umfana oneminyaka engu-13 ubudala waba sengozini embi yokushushuluza, walala isikhathi eside wabe esehlushwa idolo isikhathi eside. Konke kwaqhubeka kwaze kwaba uJuni noma uJulayi '83. Ngemva kwalokho konke kwaba kuhle futhi, empeleni! Akunjalo ngokusho kodokotela abavamile, ngoba ngo-Okthoba "ukubuyiselwa kabusha kwe-leukemia" ekugcineni kwatholakala, okungukuthi isigaba esisha sokuphulukisa ngemva kokuwa kabusha kokungqubuzana kokuzethemba nokuxazulula le ngxabano. Umfana waphinde welashwa nge-cytostatics, kulokhu e-Australia, kodwa waphinde wasinda kuzo. Incwadi evela kuprofesa wase-Ulm, engicaphune kuyo imigqa embalwa, ivela kulesi sikhathi. Ngenhlanhla, abazali abazange basilalele iseluleko sakhe.

4. DHS:
NgoJuni ka-'86 isiguli saba sengozini ne-moped yaso sabe sesixabana namaphoyisa. Wayesaba ukuphucwa izincwadi zokushayela. Njengoba engitshelile, wayibona le ngozi njengokungqubuzana kokuzethemba kwakhe, ngoba ngaphandle kwelayisensi ye-moped umfana akalutho nhlobo.

ikhasi 617

Futhi-ke umfana onjalo "awunathletic". Yingakho sibona i-osteolysis (imicibisholo) ku-x-ray yedolo langakwesokudla, lapho umfana ezwa khona ubuhlungu. Uphinde wabhekana “nokwesabeka-emqaleni” kuyona i-DHS ngoba wayelokhu ezwa inkemba kaDamocles ilenga phezu kwakhe ukuthi izincwadi zakhe zokushayela zizophucwa. Ukuthi ingxabano yayinamandla kangakanani kuye kuboniswa kahle ukuthi umfana osemncane wehle ngo-86kg ngesisindo kusukela ekuqaleni kukaJuni kuya maphakathi noJulayi ka-10. Ingxabano iqhamuke nesinqumo senkantolo sokuthi wayevunyelwe ukuthi agcine izincwadi zakhe zokushayela, kodwa kwadingeka ukuthi asebenze amahora angu-10 endlini yomhlalaphansi.

Ngo-September/October '86, isibalo se-leukocyte sasikhuphuka futhi, izinga le-erythrocyte sedimentation lakhuphuka, idolo elingakwesokudla elivuvukele kanye nokwanda kwe-lymphocytosis ekubalweni okuhlukile kwegazi. Ukuhlukunyezwa kwe-cytostatic kwase kuzoqala futhi. Kodwa kulokhu abazali beza kimi bangichazela yonke le mbudane. Umfana wayekhathele isikhashana, kodwa wabe esezizwa esengcono njengakuqala.

Njengoba nje lesi sigaba sokugcina sokuphulukiswa kwe-leukemic singasinda ngaphandle kwezinkinga, zonke izigaba zangaphambilini bezingaqhubeka ngaphandle kwe-cytostatics. Okudingekayo nje ukuqaphela okuncane kwezinkinga ezingase zibe khona. Kodwa uma ucabanga, lo mfana ngabe kade wakhishwa umnkantsha, wabulawa.³⁶⁵ - okuyinto ngokuqinisekile uprofesa wayengeke akuvumele kwenzeke enganeni yakhe - futhi lapho ubona lo mfana omncane eqhuma impilo phambi kwakho, khona-ke ungazizwa uhluke ngokuphelele.

Njengoba singabona emigqeni ecashunwe ngenhla, akunandaba nhlobo kodokotela besikole ukuthi iwuhlobo luni lwe-leukemia. Lapho ubuciko babo buphelile, futhi ngokushesha noma kamuva buhlala njalo, njengoba bengenasithakazelo ezinkambisweni zengqondo kumuntu, khona-ke bahlala bencoma ukufakelwa komnkantsha. I-Lymphoblastic leukemia yiyona ehamba phambili kakhulu ye-acute leukemias. Ngakho-ke noma abantu beluleka "i-ultima ratio", indlela yokugcina, khona-ke ungabona ukuthi bonke bacabanga ukuthi ukwelapha kwabo kuyize kangakanani, abakuncoma kakhulu yonke indawo.

Kuyacaca lapha ukuthi yonke into iguqulwa kanjani: isigaba sokuphulukisa ngaso sonke isikhathi sibizwa ngokuthi "ukubuyela emuva", isifo sangempela kanye nokucindezeleka komnkantsha owandulelayo awunasithakazelo. Lokho okubizwa ngokuthi imithi yesimanje akuyona into kodwa “udokotela oyisifo!” Wonke udokotela wasehlathini kumelwe ethuthumela ngenxa yobumpumputhe obungaka bokucabanga.

³⁶⁵ I-Euthanasia = i-euthanasia

ikhasi 618

Isendlalelo se-occipital medullary esine-oedematized njengendlela yokubonisa isixazululo Ukungaziphathi kahle kwezemidlalo (umcibisholo wesokunxele) nokwesaba ukungqubuzana kwentamo (umcibisholo ongakwesokudla).

Ku-x-reyi engakwesokudla, i-tibial plateau osteolysis njengendlela yokubonisa ukungqubuzana kokuzihlonipha okungezona ezezemidlalo.

21.9.22/3/XNUMX I-acute lymphoblastic leukemia ngenxa yokwehla kokuzethemba oku-XNUMX:

1. Ukuwohloka kokuzethemba, ukukhathazeka okwethusayo kanye nokungqubuzana ngokocansi lapho uneminyaka eyi-10
2. Isiguli sahlala esikoleni sineminyaka engu-15, nakuba unina wayenguthishanhloko wesikole samabanga aphezulu.
3. Isiguli asifakiwe eqenjini lamantombazane le-4x1000 meter yethrekhi nenkundla edluliselwe phambili.

Ukwengeza: Ukwesaba ukungqubuzana kwentamo futhi, kusukela ngo-1981, isifo sokuwa.

Le ntombazane eyayisebenzisa isandla sobunxele yashona cishe ineminyaka engu-16 ubudala. Impela, bekungafanele afe ukube bonke bebedlala futhi, ngaphezu kwakho konke, bewuqonda umuthi omusha. Ushone ngenxa “yenhlekelele” ngoba umhlengikazi obekumele amgadele umbhede wakhe wazumeka. Lapho ekugcineni iphaphama, intombazane yayifile kodwa akufanele kube yicala. Izingozi ezinjalo zizokwenzeka ngokuphindaphindiwe.

ikhasi 619

Uzobona ukuthi amacala anjalo anzima kangakanani ukwelapheka - njengamanje - uma ingane etshelwa macala wonke ukuthi ayinalo ithuba lokusinda kufanele ithembele ukuthi konke kuzolunga futhi. Yile ndlela kuphela ingane engavuselela ngayo ukuzethemba kwayo. Kodwa lapho ekugcineni selitholile ikhambi futhi libambelele ngokuqinile ethembeni, likhathala kakhulu futhi libe buthaka. Khona-ke - okwamanje - bonke odokotela basakhala ngokuthi ingane manje inethuba elingaphansi kweqanda lokusinda! Futhi lo mdonsiswano oqhubekayo phakathi kwethemba nokwethuka kuyinto engenakubekezelelwa yingane yalesi sikhathi, lapho isahlakaniphe kakhulu futhi incike kakhulu ekuqondeni udaba ngokwazo, futhi ngesikhathi esifanayo ibucayi kakhulu ukuba ingakwazi ukuyiqonda. kholelwa ngobumpumputhe indaba ingane engayenza kusukela eminyakeni engu-8 noma engu-9 ubudala.

Esikhathini esiningi, lezi “zingane” noma “abantu abadala abancane” sebevele sebeyiqedile yonke imboni yokuhlushwa emhlabeni lapho sebeneminyaka engu-15 noma engu-16 ubudala futhi bazwela kakhulu nokuzethemba akuzinzile kangangokuthi ingxabano encane. noma ukungezwani emndenini kungabawisa futhi.

Empeleni le ntombazane yayintula lutho ngokwezinto ezibonakalayo, kodwa abazali bayo babehlukanisile. Ubehlala nonina enezingane zakubo ezi-3. Umama wayengekho isikhathi esiningi ngoba wayengumqondisi wesikole samantombazane samabanga aphezulu. Lesi sikhala savalwa ngogogo nomkhulu wakhe, ikakhulukazi umkhulu wakhe owayethandwa kakhulu yile ntombazane.

Ngesikhathi umkhulu wakhe eshona ngo-49 eneminyaka engu-1980 - intombazane (inxele) yayineminyaka engu-10 ngaleso sikhathi - umhlaba wabhidlika kule ntombazane. Wahlushwa i-DHS ngokukhathazeka okwethusayo kanye nokungqubuzana kwezocansi, ukungqubuzana kokuzethemba kanye nokungqubuzana kwezimoto zokungakwazi ukubamba umkhulu wakhe emangeni, njengoba kubonakala ku-CT yobuchopho. Njengoba le ntombazane cishe yayikhule ingenaye ubaba futhi umkhulu wayo omncane wayengumuntu ohlaba umxhwele ngempela, yayithandana nomkhulu wayo ngendlela yakhe emsulwa. Wayephupha umkhulu wakhe njalo ebusuku izinyanga eziningi; Ababeseduze naye bathi lokhu kwakubangelwa ukuthi wayenamathele kumkhulu wakhe. Eqinisweni kwakuwukubonakaliswa kokungqubuzana kocansi kowesifazane ongakwesokunxele. Asazi ngempela ukuthi ingxabano yaxazululwa nini; Ngemva kwezinyanga ezimbili waphathwa isithuthwane okokuqala ngesikhathi ephupha umkhulu wakhe futhi. Kwalandela ukuhlasela kwesibili, kwase kungahlaselwa iminyaka emi-8.

ikhasi 620

Naye wayengasenayo ingcindezi. Lapho eneminyaka engu-11 waqala ukuya esikhathini³⁶⁶ futhi wayeya esikhathini njalo.

Lapho eneminyaka engu-13, waxabana kakhulu nothisha, okungenzeka ukuthi kwabangela ukuba aphinde angazethembi. Njengoba unina abika, ngemva kokuhlangana okunjalo wayehlale ebalekela kumkhulu wakhe futhi waphupha ngenjabulo yobungane bakhe ayenayo nogogo nomkhulu wakhe. Kule minyaka emi-2 elandelayo ka-'83/'84 waba nezinkinga zokuwa noma zokuquleka ezingaba ngu-20. Wayehlezi ephupha umkhulu wakhe. Phakathi kuka-'84 no-'85 waba nenkinga yesithuthwane eyodwa kuphela.

I-DHS elandelayo ngo-June '85 kwaba ukwehla kokuzethemba okungenjengokwezemidlalo futhi kulo mongo ukungqubuzana kokungabi namandla ngenxa yokuba kwesokunxele ngokugxila kwesokudla kobuchopho. Esigabeni se-pcl esinama-cysts e-branchial arch duct entanyeni. Cishe akukho noyedwa wezazi zokusebenza kwengqondo ezihlakaniphile ozokholwa engizokubika, nokho kuyiqiniso, ngoba intombazane yangitshela yona ngokwayo:

NgoMeyi ka-'85, owayengumgijimi omuhle wamamitha ayi-1000, watshelwa ukuthi uzogijima emjahweni wamantombazane wamamitha angu-4 x 1000 esifundeni sakhe emiqhudelwaneni yezemidlalo yentsha yaseFrance. Ngaphambi nje kokuthi kuqale le miqhudelwano yezemidlalo, utshelwe ekupheleni kukaMeyi ukuthi akafakwanga ohlwini. Uthi kwakubi kakhulu kunomyalezo awuthola ngemva kwezinsuku ezingu-14 wokuthi wayeshiywe (yize unina wayengumqondisi wesikole!). Ngicabanga ukuthi bekungenye i-DHS phakathi nesikhathi sokungqubuzana sokungqubuzana kokuwa kokuzethemba. Kunoma yikuphi, ngemva kwamasonto angu-4, lapho enogogo wakhe eholidini lakhe elide, "epulazini lakhe," futhi unina wamvakashela, wasusa yonke intukuthelo yakhe esifubeni sakhe futhi waba nengxabano enkulu nonina. Akukhona nje ukuthi lokhu kwakungekona ukungqubuzana kuye, kwakuwuhlobo oluthile lwenkululeko kuye. Kusukela lapho wazizwa ekhululekile. Ngoba wasola unina (umqondisi) okungenani ngako kokubili ukwehluleka.

Kuye, lokhu kusuka esifubeni sakhe kwakuyisixazululo sengxabano yokuzethemba. Singaqoma lokhu ngokuqondile ngoba akazange adle kusukela ekuqaleni kukaMeyi kuya maphakathi noJulayi, kodwa kusukela ngaleso sikhathi kuqhubeke waba nesifiso esikhulu sokudla futhi wakhuluphala. Kodwa ngesikhathi efuna ukuqeqesha olwandle njengenjwayelo ekupheleni kukaJulayi noyise, owayeseholidini nogogo nomkhulu ngemva kukanina, akakwazanga. Athi lobaba: "Kwenzenjani wena, awunakho nhlobo i-fitness, ukhathele futhi ubuthakathaka, nakuba bekufanele ugijime eqenjini le-1000 meter relay nje ngenyanga edlule!?"

³⁶⁶ Ukuya esikhathini = isikhathi lapho ukuya esikhathini kuqala

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Ngo-August '85 ama-cysts e-branchial arch duct ezinhlangothini zombili zentamo aqala ukuvuvukala, isibonakaliso esihle sokuthi ukuphulukiswa kwengxabano equlekayo kwakuqhubeka. Udokotela wahlolwa igazi: konke kwakuhamba kahle. Kwakuyisikhathi esifanele ngaphambi kokwanda kwe-leukocyte, ngoba ngo-September ama-leukocyte (ekuhlolweni) akhuphuka ngokushesha afinyelela ngaphezu kwe-100.000, isibonakaliso sesixazululo sokwehla kokuzethemba kwakhe kwezemidlalo.

Ukube lokhu kuhlola okuneshwa akuzange kwenziwe, ngabe akukho lutho! Njengoba kwakunjalo, le ntombazane yayibhekwa njengesiguli se-leukemia, nakuba yayizizwa ikhululekile kakhulu ngaphandle kokukhathala nokukhuluphala. Kusukela ngaleso sikhathi kuqhubeke wathunyelwa esigayweni esinonya sokwelapha ngesihluku ngaphandle kwesihe! Umbuthano ononya waqala:
Kusukela lapho ukuxilongwa nokubikezelwa kwembulwa okokuqala, intombazane yabhekana nokungqubuzana kokwesaba entanyeni. Ngaso leso sikhathi, isigaba sokuphulukisa ukungqubuzana kokuzethemba saqhubeka futhi eceleni kwaso - i-chemo! Kulokhu kuhlukunyezwa okunonya kokwesaba, amathemba, ukubikezela okungenangqondo, ukulahlekelwa izinwele ze-chemo ngokungqubuzana okusha ukuzethemba, ithemba elisha futhi, ngisho nokudluliselwa ngo-March '86 futhi ngokuphindaphindiwe ukwanda okusha kwe-leukocyte, okwalandelwa. nge-chemo enolaka nakakhulu kanye nokuqala kobumpumputhe ukungqubuzana kokwesaba-emqaleni!

Ngo-June 21.6.86, XNUMX, odokotela banikeza umama enye indlela yokuyisa intombazane ekhaya noma bayinikeze imvume yokuba intombazane idunyiswe nge-morphine. Ama-platelet ekugcineni "aselashiwe" kwehle kwazero nge-chemo enamandla kakhulu! Umama wahamba nayo ekhaya. Khona-ke intombazane yathola ithemba futhi - ngemva kosuku yashona, njengoba ngibike.

Ukube bekunabantu abambalwa abathembekile kulomhlaba abebengangisiza ukuze izingane ezinjalo zingabe zisashona ngaphansi kwalomuthi wonya ongenangqondo nozikhukhumezayo, ekugcineni ongasiza ekunqandeni lokhu kuduba okunonya koMuthi Omusha!

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Lapha sibona "imithelela" ehlukahlukene yokwehla kokuzethemba ezingeni le-organic: i-osteolysis ngakwesobunxele endaweni ye-pelvic ngenxa "yokungafuduki" (isiguli: "Izingulube!"), ehambisana ukwehla kokuzethemba - ukungqubuzana ngaphansi kwebhande. Ukwehla kokuzethemba ngenxa yokungagijimi, okungenzeka ukuthi kuyisizathu esiyinhloko sesigaba sokuphulukisa i-leukemic, ngaso sonke isikhathi kuvezwa ku-foci ye-osteolysis ku-femur, tibia noma i-fibula. Ngakwesobunxele sibona i-osteolysis yawo womabili ama-trochanter massifs³⁶⁷

Ngakwesokudla sibona lokho okwakubhekwa njengesifo esibizwa ngokuthi isifo sika-Scheuermann, ushintsho emizimbeni ye-thoracic kanye ne-lumbar vertebral ngokuhlukana konqenqema kanye nama-nodule ka-Schmorl. Zombili izifo azizona izifo ezizimele, kodwa kuphela ama-syndromes, futhi ngokuvamile zibizwa kanjalo. Kuhlale kukhona ukwehla kokuzethemba, kulokhu kushona umkhulu nemiphumela yako kungenzeka ukuthi ilethe lezi zinguquko, ngoba azisekho fresh.

Ebuchosheni be-CTs ngakwesokudla kwe-periinsular ukwesaba okukhulu nokungqubuzana ngokocansi (ukulahlekelwa umkhulu) ngenxa yokuba nesandla sobunxele ohlangothini lwesokudla lobuchopho. I-Occipitally sibona i-medullary edema nokwesaba ekungqubuzaneni kwentamo, okuye kwanda emthelela wokukhubazeka kokubona ngesikhathi sesigaba sokuphulukisa ngendlela edabukisayo.

³⁶⁷ I-Trochanter = i-trochanter, ukugqama kwethambo ku-femur

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Kunzima kakhulu ukutshela intombazane encane kangaka, engasaboni ngaleso sikhathi, ukuthi empeleni lokhu kuwuphawu oluhle lokuphulukiswa, kuyilapho bonke abanye odokotela beyitshela ukuthi lesi yisiqalo sokufa. Vele, inqobo nje uma i-psyche kuthiwa yayingenalo ithonya kulezi zenzakalo, kodwa kunalokho konke lokhu kwakuyindaba yokuzimela yamaseli, noma yisiphi isihluku sasivunyelwe. Kodwa uma konke okutholwa okucatshangwa ukuthi kuwumgomo ngokuyisisekelo kuwukubonakaliswa komphefumulo nobuchopho bekhompiyutha, khona-ke abantu baye babulawa ngokoqobo amashumi eminyaka lapho bebhekene nezibikezelo ezinonya ezithole ukuqinisekiswa kwazo okusobala ngemiphumela yalesi sihluku.

Kulesi sithombe sendawo ephakathi nendawo ukuya ephansi yamathambo ethanga singabona futhi ukukhishwa okucacile ezinhlangothini zombili ngenhla nje kwamadolo. Uma ubona lezi zithombe, kufanele ukholelwe wonke amagama ashiwo intombazane, okuyinto, ngendlela, engenangqondo ngokuphelele. Ukukhishwa ku-4 x 1000 meter relay kwasho ukwehla okukhulu kokuzethemba kuye.

Kufanele ngisho lokhu futhi: Akunandaba ukuthi thina noma omunye umuntu usihlola kanjani isenzakalo esinjalo, okubalulekile ukuthi sasisho ukuthini kuleyo ntombazane ngaleso sikhathi. Futhi wayelokhu eqinisekisa ukuthi lokhu kwakukubi kakhulu (ngaleso sikhathi)! Futhi ngokusekelwe ku-CT yobuchopho kanye nokutholwe kwamathambo, asinaso isizathu sokungabaza lokhu kugomela.

21.9.23/XNUMX/XNUMX Ukuxilongwa kwe-“Ewing Sarcoma”

Kulokhu sithola:
Ukwehla kokuzethemba kwezemidlalo okulandelwa yisigaba sokuphulukisa. Ukuxilonga okujwayelekile kwezokwelapha: “I-Ewing sarcoma” ene-leukemia, inkomba yokunqunywa umlenze wesokunxele, i-chemo, imisebe, izinga lokusinda ngale pseudotherapy ebangela ukwethuka: ngaphansi kuka-5%.

ikhasi 624

Ukwelashwa okudingekayo: Akukho nhlobo - "nje" ukuzigcina ukhululekile ekwethukeni !!!

Futhi sinokutholwa kwe-CCT yesibili: ukungqubuzana kwendawo ekuxazululweni. Izimpawu zomtholampilo zaziyizi: Ukushintsha ngokushesha imvamisa yokushaya kwenhliziyo esigabeni sokuphulukisa ngenxa ye-edema endaweni ye-periinsular efanele.

Insizwa yaseDutch eneminyaka engu-17 ubudala yezemidlalo, ephothule esikoleni esiphakeme, yaba nobuhlungu ohlangothini lwenkonyane layo elingakwesobunxele. Waya kudokotela womndeni, owamdlulisela kudokotela oyi-radiologist. Wabona - i-osteolysis ku-fibula engenhla.

I-radiologist esigulini: "Ngicela uthumele umama wakho ngokushesha, ngidinga ukukhuluma naye ngokushesha - kodwa ngaphandle kwakho."

Umfana (eshaqekile): “Ingabe kubi kangangokuthi awukwazi ukungitshela ukuthi ubonani?”

Isazi semisebe: “Kungcono uma ngishayela udokotela wakho ucingo ngokushesha, bese abazali bakho beye kudokotela womkhaya ngokushesha.”

Baye kudokotela womndeni ndawonye. Wathi, edangele ngokuphelele: “O Nkulunkulu, kubi lokho, i-Ewing's sarcoma, isimila samathambo esiyingozi kakhulu, esikhula ngokushesha kakhulu. Ukuxhamazela kuyadingeka. Kufanele ngimdlulisele emtholampilo okhethekile e-Amsterdam ngokushesha.”

Lokho kwaba ukushaqeka kwesibili, futhi yeka ukushaqeka!

Ngolunye usuku ngaphambi kwe-biopsy³⁶⁸ Esibhedlela sase-Amsterdam University, umalume womfana, udokotela ngokwakhe, wangena kimi futhi wabuza, "Yini engenziwa nge-Ewing's sarcoma?"

Impendulo yami: “Siyajabula ngokuthi ingxabano isixazululiwe!”

Umbuzo: "Yebo, uzimisele?"

Impendulo: "Ngizimisele ngokuphelele, angihleki ngezinto ezinjalo!"

“Umshana wami une- sarcoma ka-Ewing kufibula kwesokunxele. Odokotela batshele udadewethu - futhi ngafunda ezincwadini: 5% amathuba okusinda, uma kunjalo. "

“Lokho kuyiqiniso futhi uma usebenzisa umuthi wokwethuka okuthiwa yimithi ejwayelekile. Ngaphandle kwalokho ithuba lokusinda licishe libe ngu-100%.

"Akukholakali! Ngijwayelene nencwadi yakho. Hlobo luni lokungqubuzana ocabanga ukuthi umfana wayenalo?"

³⁶⁸ I-Biopsy = ukuthatha isampula yethishu kumuntu ophilayo ngokubhoboza ngenaliti engenalutho

ikhasi 625

"Ukwehla kokuzethemba kwezemidlalo."

“Yini, uqinisekile ngalokho? Ngemva kwencwadi yenu, ngase ngixoxile kakade nabazali bakhe ukuthi wayenobuhlobo obuphazamisekile nosingababa/indodana yokutholwa futhi ngenxa yalokho iyinkimbinkimbi yokuzethemba noma okuthile.”

“Cha, umfana ubonakala ene-bone osteolysis ku-fibula yakhe, futhi uma unokuthile okufana nalokhu uhlale ulahlekelwa ukuzethemba njengomdlalo.”
"Kodwa umfana ungumdlali wezemidlalo futhi uziqeqesha kakhulu, ngokwazi kwami, ngeke kube njalo."

“Ngingabheja ukuthi ngeke nje kube njalo, kodwa impela kunjalo, ngoba kuhlala kunjalo. Ingabe umfana udlala eqenjini?”

"Yebo, ngicabanga ukuthi udlala i-volleyball, futhi ngicabanga ukuthi udlala kahle."

Khona-ke mhlawumbe waxoshwa eqenjini noma kwadingeka ahlale ebhentshini leziqiwi.

"Kuyathakazelisa lokho, kuzofanele ngikuhlole ngokushesha."

Udokotela wahamba waya eHolland. Lokho okuthiwa ukubhoboza kwakungagwemeki, nakuba ngase ngeluleke ngokuqinile ngokumelene nakho. Udokotela wavakashela lo mfana esibhedlela sasenyuvesi kanye nabazali bakhe, okungukuthi, unina nosingayise. Into yokuqala ayithola ukuthi “i-puncture” yayiyi-5- kuya ku-6-cm ubude, okusho ukuthi i-periosteum ye-fibula yayisivele ivuliwe, into engangixwayise ngayo ngokuqondile. Wabona ukuthi umfana useyatatazela ngoba wayephiwe isihlava esingaka.

Wabuza umfana ngokuxabana kwakhe wamangala lapho ethola ukuthi umfana wamtshela ukuthi akaxabene noyise omncane (okuyinto ayeyicabangele), akukho okunye ukulahlekelwa ukuzethemba, munye kuphela kwezemidlalo ngoba wakhahlelwa. eqenjini le-volleyball beka ebhange lokulondoloza. Umalume wabuza ngokuqhubekayo wathi udokotela waseCologne wathi ingxabano kumele ixazululwe, kungenjalo wayengeke azwe ubuhlungu. “Yebo,” kusho umfana, “nginqume ukubhukuda maphakathi noMashi ngoba ngiwine umhlangano wokubhukuda wamamitha ayi-1000.”

Ngemva kwesikhashana ubuhlungu baqala. Udokotela wayemangele. Waqhubeka manje wamchazela ngomuthi Omusha umfana owayesiqonda kahle isiJalimane, wamtshela ukuthi konke kwakunjengoba kwakushiwo udokotela waseCologne. Ngakho-ke kungacatshangwa ukuthi okunye nakho kulungile. Ngenxa yokuthi wathi kwakuyinto engenabungozi ngokuphelele, ukuthi i-osteolysis kumele kade yadamba futhi yabalwa, engabonakala nasebuchosheni.

ikhasi 626

Umfana kwakubonakala ukuthi naye wayekuqonda, futhi udokotela wazizwa ethola isibindi futhi.

Kwabe sekuvuleka umnyango wegumbi lasesibhedlela kungene udokotela. Wafika eduze kombhede womfana, wama wathi. "Yebo, cishe kuzofanele sikhiphe umlenze wesokunxele ezinsukwini ezimbalwa ezizayo, ngoba amangqamuzana e-metastasis asephumile ethanjeni angena esicutshini," (wayesho ukulimaza umfana akuthola ngemva kokuhlinzwa) ) “bese kufanele sihlole amaphaphu ukuze sibone ukuthi ama-metastase asevele athuthele khona yini. Mhlawumbe nathi kufanele sisike ucezu lwephaphu. Bese siqala ngokushesha ukwelashwa ngemisebe kanye ne-cytostatic. Kepha okungenani kunamacala angama-5% aphela kahle. ”

Udokotela waseCologne wabukela njengoba ubuso bomfana bushintsha umbala kulokhu kuvezwa ngesihluku okwakucatshangwa ukuthi kuzokwenzeka. Waphenduka umlotha futhi wabhekana nokungqubuzana kokwesaba ukufa kwe-DHS.

Wayesekhulumile udokotela wewadi, wajabulela ukuthi useyiqedile, waphenduka wayophuma ngomnyango. Umkhaya wonke, kuhlanganise nodokotela waseCologne, wawuhlezi lapho sengathi ukhathazekile.

“Mnuz Hamer, bengingazi ngempela ukuthi bekuyini lapho ngifunda incwadi yakho, nakuba ngiye ngabhekana nesimo esifanayo. Kodwa kwaba njengoba nje wawuchaza: unonya, unya, ungenasihawu! I-psyche ayikho nhlobo kulolu hlobo lukadokotela. Indaba nje yamaseli asuke eganga futhi ewakhipha ngomshini. Kwangithusa ukuthi ngihlolwe ngokushesha okungaka.”

Bahlanganisa amandla ukuze umfana aphinde aqonde. Ezinsukwini ezimbili kamuva ngaphinde ngambona umfana efulethini likadokotela eCologne. Emahoreni ambalwa ngaphambili wayeye kudokotela wamathambo wendawo okwathi lapho ezwa nge- sarcoma ka-Ewing, wafuna ukuba alaliswe esibhedlela ngokushesha. Kamuva wathi kwakungeke kube i-sarcoma ka-Ewing. Umfana wayesevele esengaphezu kokushaqeka okulandelayo. Lapho ngimbona, ngambuza:

"Ngitshele, Boris, kufanele ukuthi uke walwa noma into efana naleyo ngenkathi ubekwa ebhentshini leziqiwi?"

U-Boris: "Yebo, ingxabano embi kakhulu nomqeqeshi!"

Unina kaB.: “Kodwa awukasitsheli lutho ngakho kuze kube namuhla! Kungani ungazange ukhulume ngakho?"

UBoris: “O, nganginamahloni. Ngangizizwa ngingeyena umuntu kwezemidlalo, ngilulazekile, futhi ngangingafuni ukukhuluma ngakho.”

Mina: “Boris, iqiniso lokuthi awubange usavunyelwa ukudlala ngemuva kwengxabano nomqeqeshi noma ngenxa yengxabano nomqeqeshi kwaba ukwehla kokuzethemba kwezemidlalo noma ukwehla ukuzethemba kwezemidlalo. .

ikhasi 627

Kodwa ngemva kwe-tomogram yekhompyutha oyenzile namuhla, ukuvuvukala kongqimba lwe-medullary kanye nalokho okubizwa ngokuthi i-focus ka-Hamer kungabonakala ngokucacile (i-occipital kwesokudla) kodwa futhi ungabona ukungqubuzana kwendawo okuxazululwa ku-periinsular engakwesokudla. Ingabe nawe ukubonile lokhu kungqubuzana kushaqisa njengombango wezindawo?”

U-Boris: “Yebo, impela, indawo yami eqenjini ibingasekho. Bekubaluleke kakhulu kimina ngoba ngase ngiwubheke ngabomvu lo mzuliswano womqhudelwano, okokugcina ngisemusha, isikhathi eside. Manje konke kwakungasekho!”

Mina: “Kanti le ndaba yazixazulula kanjani? Uwine umdlalo wokubhukuda?”

U-Boris: “Nalokho futhi, kodwa empeleni umqhudelwano wawuphelile ekupheleni kukaMashi, mina nozakwethu sase sibadala kakhulu ukuthi singangenela umqhudelwano wentsha olandelayo, udaba lwalungaseyona inkinga!”

"Ngakho-ke ukungqubuzana kwathatha amasonto ayi-6 kuye kwayi-8?"

U-Boris: "Yebo, impela, ngoba kube nengxabano nomqeqeshi ekuqaleni kukaFebhuwari."

Kufanele futhi kwengezwe ukuthi u-Boris wayebuye abe ne-leukemia (i-15.000 kuya ku-20.000 leukocyte), kodwa lokhu kwahunyushwa ngokuthi "izinsolo ze-strep throat noma i-bronchitis", okuyinto okwakungeyona, kodwa ukuhlasela kwe-hematopoiesis ethanjeni. umnkantsha!

Odokotela baphinde baqaphela ukuthi wayene-sinus arrhythmia enzima³⁶⁹ kwenhliziyo, ukushaya kwenhliziyo kwakulokhu kugxuma emuva naphambili phakathi kuka-60/imizuzu no-90/imizuzu. Akekho owayenencazelo ngalokhu. Ngokusho kobuchopho be-CT, kunjalo ngempela, ngoba u-Boris wayenakho, noma ngabe ufuna ukukubiza kanjalo noma cha, ukuhlaselwa yinhliziyo encane ekhipha isisu.

Ngendlela, lokho okubizwa ngokuthi "i-Ewing sarcoma" akuyona into engaphezu kwe-osteolysis evamile noma umdlavuza wamathambo obangelwa ukwehla kokuzethemba. Isithombe se-x-ray se-"Ewing's sarcoma" sivela ngenxa yokuthi ezimweni ezinjalo ngokuvamile akukhona ukwehla okukodwa kokuzethemba, njengasohlangothini lomfana, kodwa kunalokho ukwehla kokuzethemba ngokuphindaphindiwe okuningi. I-osteolysis kanye nokulinganisa kabusha kungabonakala eceleni, okudala isithombe esingajwayelekile esingajwayelekile kuma-X ray.

Phela, umphumela wesayensi yesayensi yezifo wawuthi: “Akukho lutho olungabonwa ngenxa yomcako.” Abazali batshelwa ukuthi manje bafuna ukusebenzisa inqubo ekhethekile ukuze bahlukanise amaseli ukuze babone ukuthi ayingozi yini!

³⁶⁹ I-Sinus arrhythmia = ukulandelana kwenhliziyo okungavamile ngenxa yokukhuthazwa okungavamile kwe-sinus node

ikhasi 628

Umbhedo onjalo ophelele! Zonke izazi zezifo kudala zazi ukuthi akwenzeki ukuhlukanisa “i-callus evamile” kulokho okuthiwa “i-callus ebulalayo” ngokomlando ngoba ziyafana, yingakho izazi eziningi ze-histopathologist namuhla zinikeza lesi sici “esiyingozi” ngokwesisekelo esisekelwe ku-x-ray. isithombe abangasiqondi. Awukho nhlobo umehluko ngoba ayikho into ebizwa ngokuthi “malicious callus”. Kakhulu, kuba ne-callus eyeqile, njengoba nje kunezibazi eziningi (“scar keloid”). Le callus eyeqile iwukukhula okungenangozi ngokuphelele okungenalo inani lesifo, okungcono kakhulu kuyisithiyo semishini futhi mhlawumbe ngenxa yalokho edinga ukulungiswa. Kodwa lokho akusahlangene nokugula.

Izinto kungenzeka ziphelile ku-Boris. Ngamtshela ukuthi akuthathe njengephupho elibi futhi azame ukuphila njengakuqala. Ngangingazi noma uzophumelela, nomalume wayengazi. Ngoba eHolland yonke imishini yemithi evamile yayizophinde imhlasele futhi imsabise ngokufa okuseduze uma engenzanga konke njengoba kwakuhleliwe. Angeke ngisho ukuthi yena nabazali bakhe bazokwazi yini ukumelana nalesi sihlava. Ngeshwa, umuthi omusha awuyona nje "iresiphi yempumelelo" kuphela, kodwa futhi une-ironclad ngokuphelele uma ubangela isiguli ukuba sithuke futhi, mhlawumbe ngenxa yokwesaba ukufa...

Phakathi nokunyatheliswa kokuqala kwalencwadi, ngathola izindaba ezimbi lapho ngiya kudokotela eCologne ukuze ngibuze ukuthi sasinjani lesi siguli esingumDashi.

“Yebo, umlenze ususiwe,” esho ngokukhophozela.

“Kodwa lokho akulona iqiniso,” ngimphazamisa, “umfana bekufanele ngabe kade engumqemane futhi!”

“Wayenjalo,” kusho udokotela, “kodwa ngolunye usuku waya emtholampilo wasenyuvesi nabazali bakhe ukuze bayohlolwa. Kwabe sekutholakala ukuthi konke kwakujwayelekile, i-fibula yaphinde yabalwa ngokuphelele, futhi zonke izindinganiso zegazi zazijwayelekile ngokuphelele, kuhlanganise nesibalo se-leukocyte. Iqembu lonke lodokotela nezazi zokusebenza kwengqondo lathi kubo: 'Manje senixole ngokuphelele, ubani owaziyo ukuthi kuzoze kube nini! Manje yithuba elingcono kakhulu lokususa umlenze ngenkathi ukukhululwa okuphelele kusekhona!'”

Umfana ompofu wavumela abantu abangenalwazi ukuba bakhulume naye, nakuba wayebona ukuthi wayezizwa ekahle futhi engenazo izinkinga, nokuthi konke ayekutholile kwakungokwemvelo ngokuphelele. Lapho esewumqemane, wanqunywa umlenze! Lapho ephaphama lapho ebulawa izinzwa futhi ezwa sengathi umlenze wakhe unqanyuliwe, wathi: “Ngibonga uNkulunkulu, manje ukuhudula nokuya phambili okungapheli ekugcineni sekuphelile!” Manje senginokuthula nokuthula!”

ikhasi 629

Engangikwazi ukukwenza kwakuwukungingiza: "Futhi awuzange ukuvimbele lokho?" kanye nemithi yakudala yokukhala emphefumulweni. Akekho noyedwa kulaba dokotela owayenganquma umlenze womfana wakhe ukuba wayephile saka! Benza izinto ezinjalo kuphela - ngezizathu eziqinile - nabantu abangabazi. Sekuyisikhathi ngempela sokuqeda lolu hlobo lwalabo okuthiwa odokotela kanye nezazi zokusebenza kwengqondo kanye. Akukaze kube khona odokotela abayiziphukuphuku emhlabeni njenganamuhla!

Ngaphezu kokwehla kokuzethemba kwezemidlalo, isiguli esine-DHS efanayo siphinde sabhekana nokungqubuzana kwendawo ngoba indawo yaso yayingasekho futhi yahlala omunye umuntu, ungase uthi: indawo yaso ilahlekile. Ngenxa yalokho, ukugxila kwe-Hamer kungabonwa ku-periinsular engakwesokudla (umcibisholo). Odokotela baseDashi bamangala ngokuthi umfana wayenohlobo oluyinqaba lwe-sinus arrhythmia: ukushaya kwenhliziyo kwakulokhu kugxuma emuva naphambili ngokuzumayo ngomehluko wamabhithi angu-20 kuya kwangu-30. Umfana wayenakho ngokusobala isifo senhliziyo esikhipha isisu!

Imicibisholo ikhomba lapho kugxilwe khona kwe-osteolysis (“Ewing's sarcoma”) kumcu ongakwesokunxele. I-fibula yonke iminyene kulokhu kunwebeka. Noma kunjalo, usengabona ukuphakanyiswa okucacile kwe-periosteum phakathi kwe-tibia ne-fibula (i-dotting), uphawu lwe-edema ekhona. Lokhu kwelula kwe-periosteum, okuzwela kakhulu ebuhlungu, kubangela ubuhlungu bethambo esigabeni sokuphulukisa ngemva komdlavuza wamathambo. Yiqiniso, lo mfana naye wayene-leukocytosis ye-leukocyte engu-15.000 kuya ku-20.000 phakathi nalesi sigaba, kodwa lokhu kwakuchazwa kabi ngokuthi "ukutheleleka" ngengozi.

ikhasi 630

Ngakwesokudla se-occipital embhedeni we-medullary, ukugxila kuka-Hamer, okuhambisana ne-osteolysis, kungabonakala ngokucacile. I-medulla yonke imnyama kakhulu kunokujwayelekile, isibonakaliso sokuthi nakuba "ishaye" endaweni eyodwa, konke ukuzethemba kwathinteka ngandlela-thile, njengoba kunjalo nomthetho kubantu abasha futhi njengoba kulula futhi ukuyiqonda. Wonke umuntu uzakhela ukuzethemba ngokusekelwe emakhonweni akhe kanye nekhono lakhe elikhethekile, isibonelo umfundi wesikole samabanga aphezulu oneminyaka engu-17 emkhakheni wezemidlalo.

21.9.24/16/XNUMX Ukuwa ukuzethemba kanye nokuzama ukuzibulala ngemva kokuhluleka ukuhlolwa kwe-baccalaureate eneminyaka engu-XNUMX

Asazi okuningi ngalo mfundi oneminyaka engu-17 waseFrance one-acute lymphoblastic leukemia. Icala livela kudokotela waseFrance onakekela umfana. Uyise walo mfana unguthisha, futhi indodana yakhe yayihlale ifuna ukufana noyise. Lapho ehluleka ukuthola i-baccalaureate eneminyaka engu-16, wahlushwa i-DHS nokungqubuzana kokuzethemba kanye nokungqubuzana kokwesaba entanyeni. Umhlaba wawungathi uyabhidlika. Umfana wazama ukuzibulala. Kodwa eFrance amaholide amade, ahlala isikhathi eside kunalapha, ngokuvamile abe nomphumela wokuphulukisa ezimweni ezinjalo. Okokuqala udala ibanga. Nokufanayo lapha:

Ngo-Okthoba, lapho kuqala unyaka wesikole futhi wabona ukuthi umhlaba awuzange ubhidlizwe, konke kwase kubuyela esimeni futhi ingxabano yaxazululwa. Umfana wayesekhathele kakhulu, kodwa enesifiso sokudla, elala kahle, kodwa enobunzima bokubona ngeso langakwesokunxele.

NgoNovemba, odokotela basemtholampilo wasenyuvesi esifundeni sakhe bathola i-leukemia. Ngesicelo sikadokotela waseFrance naye osebenza ngokusho kweNew Medicine, kwathathwa ama-X-ray adlule kanye nezithombe ze-CT yobuchopho.

ikhasi 631

Esithombeni esingenhla ungabona i-occipital ne-frontal osteolysis.

Emgogodleni we-lumbar kukhona ukuhlukana konqenqema ngomqondo we-Scheuermann syndrome.

I-Calotte osteolysis: Ukuwohloka kokuzihlonipha kwengqondo.

I-Spinal osteolysis: ukuwa kokuzethemba kwensika emaphakathi yokuzethemba.

Kodwa okuthakazelisa kakhulu ezithombeni ze-CT ebuchosheni, ezinganele ngokobuchwepheshe, ukuthi ama-ventricles asemaceleni acindezelwe ngokuphelele, uphawu lokucindezela okufanayo okuvela kuzo zombili izingqimba ze-medullary. Yile ndlela i-leukemia evamile yobuntwana noma yengane ebukeka ngayo ebuchosheni! Ngakho-ke izithombe kufanelekile ukuzibona naphezu kwakho konke. Esithombeni esimaphakathi ngakwesokudla kwe-occipital sibona umcibisholo okhomba ekusakazweni kokwesaba entanyeni noma ku-cortex ebonakalayo efanele. Konke ukungqubuzana kuxazululiwe. Icala elinjalo akufanele libangele noma yibuphi ubunzima uma lilashwa njalo ngokomuthi omusha.

ikhasi 632

21.9.25/XNUMX/XNUMX Chronic myeloid leukemia in “green widow”

Impilo ayinayo indaba yempilo ethokozisayo egcinelwe wonke umuntu. Futhi uma ubuza, wonke umuntu ufuna "injabulo yokuthula," kodwa lapho benayo, bafuna okuhluke ngokuphelele.

Lesi simo se-leukemia engapheli ngokuvamile sine-leukocyte efika ku-20.000 nge-mm ngayinye² futhi ngokushesha babuyela esimeni esijwayelekile - lokhu sekuyiminyaka kwenzeka - kumayelana nalowo obizwa “ngomfelokazi oluhlaza", ongomunye wabesifazane abaningi emphakathini wethu ocebile abatshala ukuphila okunethezekile futhi abangajabule neze. Ngoba isikhathi esiningi bahlezi bejaha umyeni wabo ongathembekile, ofuna ukuzithokozisa ngempelasonto nomabhalane esikhundleni sokusiza umkakhe ngokuthula kwasekhaya.

Lesi siguli saba nengxabano enzima lapho umyeni waso, isazi sezomthetho, efuna ukushiya umkakhe ekhaya ayoshushuluza eqhweni. Uhlangabezane nokungqubuzana kokwesaba nokunengeka (umcibisholo osesithombeni sokugcina se-CCT) kanye nokungqubuzana okujwayelekile kokuzethemba ngoba wayezizwa ephansi. Ukungqubuzana okwenyanyeka kokwesaba kwakubangelwa iqiniso lokuthi isiguli sasinengekile “abangane abangcolile” bomyeni waso, abaphinde balala naso. (Lolu hlobo loshukela wegazi ophansi njalo lubangela lokho okubizwa ngokuthi amafutha osizi.) Kwakuyingxabano "eyafinyelela" ku-diencephalon, futhi ngenxa yalokho waba noshukela ophansi. Ilele ngaphambili ku-precentral gyrus, kungenjalo ngabe ukhubazekile. Ukungqubuzana kokwesaba nokunengeka kanye nokungqubuzana kokuzethemba kwakuphindaphindeka ngezikhathi ezithile, okungukuthi lapho umyeni eshushuluza eqhweni noma kwenye indawo ngaphandle kokumkhathalela ngisho nomkayo. Izohlukana ngezikhathi ezithile, bese ubona isithombe sobuchopho esifana nalokhu okulandelayo:

Lapha, ngenhlanhla, kokubili ukungqubuzana kokwesaba nokunengeka kuyaxazululwa (bona imibuthano emikhulu emnyama), kanye nokuwa okujwayelekile kokuzethemba, bheka i-edema enkulu kuyo yonke i-medulla, cishe njengasezinganeni (“infantile leukemia”).

ikhasi 633

Umphumela walokho “ukubuyisana” kwesikhashana wawuwukuthi isiguli, ngaphandle kwama-leukocyte angu-20.000 XNUMX, “zonke izitho namalunga aso abuhlungu,” okungukuthi, yonke into nje.

Kunjalo ngempela. Kodwa umyeni wathi: “O, isalukazi sami siyahlanya, ingakulimaza kanjani yonke into, lokho akukho ngisho nokuba khona?!”

Ngesinye isikhathi inkosikazi iphinde ihlangane ndawonye ukuze ixabane kakhulu, kodwa ngokuvamile iphuma phezulu, ngakho-ke izingxabano ezimbili, ukungqubuzana kokwesaba nokunengeka kanye nokungqubuzana kokuwa kokuzethemba, kubuya ngokujwayelekile kakhulu. Isigaba sokuphulukisa, esisibiza ngokuthi “i-leukemia engapheli”, sibuya ngokuqhubekayo nangokujwayelekile.

21.9.26/45/XNUMX I-leukemia eyingozi engahlukanisiwe kanye nomdlavuza wesibindi (kulokhu okubizwa ngokungeyikho ngokuthi i-leukemic infiltrate) ngenxa yokukhishwa koketshezi lapho eneminyaka engu-XNUMX ngaphansi kwezimo ezilulazayo:

Icala lithinta isiguli esineminyaka engu-45 ubudala esibhedlela saseNyuvesi i-Hamburg esinesifo esibizwa nge-acute undifferentiated leukemia. Kwatholakala ukuthi unochungechunge lonke lwe-bone osteolysis ku-pelvis, umgogodla kanye nogebhezi (bheka ama-x-ray amabili okuqala), kanye ne-pleural carcinoma kwesokunxele kanye nama-branchial semicircular duct cysts nhlangothi zombili (okubizwa ngokungafanele ngokuthi i-cervical lymph nodes in imithi ejwayelekile). Njengoba incwadi kadokotela ibonisa, odokotela abazange bamnike elinye ithuba.

Isiguli esineminyaka engu-45 sisebenzela inkampani yomshwalense wezempilo yangakubo. Ngo-April '82 i-AOK yanquma ukushintshela ekucubunguleni idatha. Ezinsukwini ezimbalwa kamuva, kuzoba nomhlangano wabasebenzi ozodingida “ukuthuthukiswa kwabasebenzi”. Kodwa ngokuyisisekelo, isiguli singazi, kwase kuvunyelwene ngemuva kwaso ukuthi isiguli sasiningi kakhulu futhi kufanele sikhishwe. Kulo mhlangano, isiguli savele sakhishwa ngomnyango njengomfana omncane wesikole.

Isiguli sakuthola lokhu kuyihlazo ngoba lokhu kwakungakaze kwenzeke ngaphambili ku-AOK. Lapho ebuyiselwa, inhloko ye-AOK yamtshela ukuthi kufanele akhululwe - ngokwezimali, yiqiniso, ngendlela ehloniphekile Isiguli sabhujiswa ngokuphelele, ikakhulukazi kusukela kule ndawo yasemaphandleni ku-45 cishe awunalo ithuba ukukhululwa ukuze angawutholi umsebenzi omusha, kodwa ekugcineni udaba lwaholela ekuthatheni umhlalaphansi ngaphambi kwesikhathi, njengoba isiguli sabona ngokushesha.

ikhasi 634

Ngaphezu kokuzwa sengathi intambo isikhishiwe ngaphansi kwakhe, kwagxilwa kakhulu ekwehliseni ihlazo, ukuphoxeka kanye nomuzwa wokuthi akasenalutho, okuholele ekuweni ngokuphelele kokuzethemba kwakhe, wacishe wacishe wafa. uziklebhule abe yizicucu ngenxa yentukuthelo yendawo! Esho nje wema lapho, eqinile futhi kusobala ukuthi umhlophe njengoshoki, engakwazi nokukhuluma. Kwaphela imizuzu engakaphumi ngisho izwi elilodwa. Ingxoxo yahlehliswa “kwaze kwaba kamuva ngasese,” kodwa ayizange yenzeke kwaze kwaba ngakusasa.

Ezinyangeni ezi-4 ezilandelayo isiguli sasise-sympathicotonia, sikhuluma ubusuku nemini “ngokungabi nalutho” kwaso, sehle ngo-12 kg wesisindo, futhi sithukuthele imini nobusuku. I-conflictolysis yenzeke ngemva kwezinyanga ezi-4. Isiguli sase sikwamukele “umhlalaphansi waso wesikhashana” futhi sasingacabangi ukuthi kubi kangako. Waphinde wakhuluphala ngokushesha waphinde walala kahle. Ezinye izinyanga ezi-2 kamuva, phakathi nalesi simo esihle kakhulu senhlalakahle, kwatholakala ukuthi unomdlavuza wegazi, okwakungalindelekile neze kuye ngoba wayezizwa ephile saka. Lokhu kushaqeka kwaqala ngokushesha i-DHS entsha, i-DHS yokwesaba umdlavuza, okuholele ekutheni kube nama-cysts arch duct entanyeni yakhe.

Ku-CT kwesokudla esingenhla kukhona ngokusobala isitoreji se-medullary esimnyama (edematous) esigcizelelayo, i-edema ye-perifocal yangakwesokudla, ethinta ama-cysts e-branchial semicircular canal entanyeni.

Manje kwathiwa: "I-leukemia ene-metastases". I-CT yobuchopho yathathwa lapho isiguli sisanda kuphuma ekwesabeni umdlavuza (okuhlotshaniswa nokukhathazeka okungaphambili-okugxile ku-Hamer bheka umcibisholo) (conflictolysis). Umbuthano ononya ukhona: ukuxilongwa kanye nokushaqeka kwe-prognosis kuholele, ngaphezu kokwesaba umdlavuza, ekwehleni okusha kokuzethemba, futhi ukungqubuzana kwaholela ku-leukemia entsha.

ikhasi 635

Iyiphi indawo engase ijwayeleke kakhulu kulolu hlobo lokungqubuzana kokuzethemba kune-osteolysis endaweni ye-cranial cap noma endaweni yomgogodla wesibeletho? Kulokhu, le-osteolysis echazwe kahle kakhulu yabizwa ngokuthi "i-leukemic infiltrate noma metastasis", empeleni ihambelana ncamashi nengxenye ye-medullary "ye-metastasis yobuchopho" ebuchosheni be-CT yesithombe sokugcina esingaphambili kwesokudla - ngaphambili okuyingxenye ye-cortex ye-Branchial arch duct cysts = izigaxa ezinomdlavuza entanyeni!

I-osteolysis ye-calotte ilele kancane kwesokunxele somugqa ophakathi. Akukho ukuxhumana okumangalisa kakhulu phakathi kokuqukethwe ukungqubuzana, ukugxila kuka-Hamer ebuchosheni kanye nomdlavuza noma i-osteolysis esithweni. Kodwa lokhu akufanele kuhambisane kuphela, kodwa isifundo kufanele sihambisane ncamashi.

Uma sibiza izingxabano ezinjalo zokuzihlonipha ngokuthi “ukuhlakanipha nokuziphatha,” kungenxa yokuthi bangabaza inkambiso yezenhlalo yesiguli, kangangokuthi isiguli sima lapho futhi silokhu sicabanga: “Lokho akunakuba yiqiniso Kulaba bangane noma umsebenzi. ozakwethu, ukholo oluhle, ubungane nokuziphatha akusabalulekile.” Kulokhu, womathathu amazinga awashiyi lutho olufiselekayo mayelana nokucaca!

Ngendlela, isilwane singase sigule ngenxa yengxabano efanayo! Cabanga nje ukuthi kwenzekani kwenye yezinkulungwane zezinja ezilahliwe emigwaqweni yethu emikhulu phakathi nawo wonke amaholidi amakhulu, onakaliswa ngokungafanele, akhohliswe, aphulwa futhi ashiywe "abanikazi" bawo - angaqondakali nhlobo esilwaneni esisidalwa akufanelekile ukuya eholidini??

ikhasi 636

Kulezi zithombe sibona “uhlangothi lwentukuthelo lwemali”. Ku-CT eseduze, umcibisholo ongakwesokudla ukhomba intukuthelo noma "intukuthelo yendawo". Singabona ngokucacile isayithi lomthelela lapha (umcibisholo).

Izithombe ezilandelayo zesiguli esifanayo zisibonisa ukuthi kungani kwakungakaze kwenzeke ukuletha uhlelo esimweni samathambo esithombeni somtholampilo se-leukemia. Uma isiguli sine-leukemic isikhathi eside, khona-ke kungenzeka ukuthi yayingasekho i-osteolysis nhlobo, noma i-osteolysis eyayikhona isivele iphinde yaqiniswa kabusha ngosizo lokwakheka kwe-callus entsha.

Sibona ukwakheka kwamathambo okungaphumuli kakhulu emizimbeni yama-vertebral, egcwele ukuguqulwa kabusha okusha, kodwa kufanele ukuthi ikhishwe amaminerali ngaphambili. Ngenhlanhla, akekho owawa, ngaphandle kwalokho izinto bezizosheshe ziphele kabuhlungu.

Uhlangothi oluphikisanayo lwesithombe ukuwohloka kokuzethemba ezingeni lengqondo nelokuziphatha (“Bekumayelana nobulungiswa, ukwethembeka, ukwethembeka”).

ikhasi 637

Kulo mfanekiso wekhanda le-humeral kwesokunxele siphinde sibone isakhiwo samathambo esingaphumuli ngenxa ye-callus shot endaweni yangaphambili ye-osteolyzed. Ikhanda le-humeral selivele livuselelwe kabusha kakhulu, kuyilapho intamo ehlangene ye-humeral i-osteoporotic nakakhulu.

Uhlangothi oluphikisanayo lwalesi sithombe yilo: Isiguli siwubaba kakhulu, umuntu onomoya omuhle. Wayehlale ebuka ozakwabo njengezingane zakhe ezindala. Kwakungeke kumfikele ukuthi zingamluma emlenzeni. Wabona kuwukuwohloka kokuzethemba kwakhe kulolu hlobo oluthile lobudlelwano, njengoba ayebubonile kuze kube yileso sikhathi.

Lesi sithombe sikhethekile Lucky shot. Nakuba inkulu alikho ibala elimnyama phakathi mayelana ne-osteolysis, kodwa Ukumbondela kwegesi emathunjini, kodwa
Umzimba we-vertebral usalokhu u-osteolysed futhi usesigabeni sokuphulukisa, ngoba i-periosteum, eye yafakwa yi-bone edema, yelulelwa ngaphakathi. Le periosteal capsule tension ibuhlungu kakhulu!! Uma ama-cushions anjalo e-periosteal ecindezela izinzwa (ku-intervertebral foramina), kubuhlungu nakakhulu. Ezimweni ezinjalo, uma kunikezwa ama-painkillers, avame ukuba nengxenye ye-vagotropic, i-periosteal capsule tension ivame ukwanda, ingcindezi ye-edema iba nkulu nakakhulu futhi ubuhlungu buyanda! Iningi lamacala ahlinzwa ngokuthi "ama-disc herniated" ayemane nje ahlolwe ngendlela engafanele. Ngiyazi kusukela ngesikhathi sami njengomsizi kadokotela wezinzwa ukuthi ngokuvamile asizange sithole lutho phakathi nezinqubo ezinjalo.

ikhasi 638 

Umcibisholo ongenhla kwesokudla, oqondiswe ukusuka endaweni engemuva ukuya kulo mzimba we-4 we-lumbar vertebral, ukhomba i-osteolysis ecishe iphindwe ngokuphelele endaweni ye-dorsocranial ye-vertebra.

Imicibisholo engakwesokunxele iphakamisa i-periosteal yomzimba we-vertebral, ebonakala ngokucacile - isithombe esihlaba umxhwele kakhulu se-x-ray. Uma i-callus eyanele iqoqwa kuma-osteolyses kanye ne-periosteal sac, ukuwohloka noma ukuqina kwe-callus mass kuqala. Ekugcineni, ithambo liya lijiyile futhi libe namandla kunangaphambili: lokho kuyincazelo yebhayoloji yenqubo.

Lesi siguli siphumelele kukho konke kahle futhi sesisebenze kahle iminyaka engaphezu kwe-10.

21.9.27/XNUMX/XNUMX Umsangano wezokwelapha ovamile: Okubizwa ngokuthi i-osteoblastic (= ukwakheka kwamathambo) “ama-metastases”

Ngifake lokhu kanye nomfanekiso olandelayo encwadini ngoba cishe ayikho inqubo engachaza ukusangana kokuxilongwa emithini evamile kangcono kunalokhu:

Isiguli esineminyaka engu-64 ubudala besibonana nodokotela womchamo iminyaka eminingi ukuze ahlolwe i-prostate (ingxabano: isehlukaniso, umshado omusha…). Ngokusekelwe kulezi zithombe, udokotela uya kuye ngolunye usuku ngobuso obunzima kakhulu futhi umtshela ukuthi manje usenamasonto ambalwa kuphela ukuba aphile nokuthi isisu sakhe sonke sesivele "se-metastasized" (okusho: izindawo ezimhlophe). Umbiko we-radiologist ukhulume “ngama-osteoblastic metastases”. Lokhu kwavala isigwebo sentambo.

ikhasi 639

Lapho isiguli siza kimi emhlanganweni wokufundisa eMallorca nezithombe, ngakwazi ukumchazela izinto eziningi ezinhle. Sabe sesenza ifilimu ngasolwandle futhi sahleka kakhulu ndawonye.

Ingxenye engemuva, ekhulisiwe ye-prostate lobe (umcibisholo ongezansi kwesokunxele) okwamanje ibhekene nesifo sofuba esiwuketshezi (ukujuluka ebusuku) futhi manje isunduza i-rectum isuka endaweni emaphakathi iye kwesokudla.

Izindawo zamathambo amhlophe (ngokwesibonelo umcibisholo ongenhla) zibalwa kabusha i-osteolysis yangaphambili futhi zibonisa ukuthi isiguli, manje esiphinde sashada ngenjabulo, sikuxazulule ngempumelelo ukungqubuzana kwaso ukuzethemba (“Angisenalutho esiswini sami”). Lokhu akusho ukuthi kungenzeka (umcibisholo ophezulu kwesokudla) ukuthi angase ahlupheke i-osteolysis encane entsha ezindaweni ezibalwe kabusha uma kwenzeka ukuphindaphinda okuhambisanayo. Ngemizuzu embalwa, isiboshwa esasigwetshwe ukufa saphinde saba umuntu ojabulayo, owabuza, esabambe ongezansi: “Yebo, dokotela, futhi ingabe ucabanga ukuthi kwakuphelele lapho?”

Kulezi ziguli ezesaba ukufa ngokoqobo, kunzima kakhulu ukuqiniseka ukuthi (lapha: uma³⁷⁰ I-TB isiphelile) baphile kahle futhi, empeleni abakaze bagule kangangokuthi bakholelwa ukuthi ukufa okungenakugwemeka bekusesele amasonto ambalwa nje.

³⁷⁰ florid = ukuqhakaza, okuthuthuke kakhulu

ikhasi 640

Thenga lezi zincwadi ezimbili!