I-TSJ Galicia kwisigwebo se-276/2023, ka-Matshi 29, isivumile isigwebo kwi-SERGAS ukubuyisela, ngenxa yokulahlekelwa lithuba, umyeni kunye nabantwana ababini bomfazi omele abe neminyaka engama-56 ubudala ngenxa ye-embolism ebangelwa ngumhlaza wesifo somhlaza. imiphunga awayephethwe yiyo naleyo angazange afunyanwe ngayo. Ngokuyinxenye iyasixhasa isibheno esifakwe ngabamangalelwa ngokuchasene nesigwebo sokuba, ngokuyinxenye isamkele isibheno sabo ngokuchasene nesigqibo sokukhaba ibango loxanduva lwemali abalwenzileyo, kuqikelelwa ukuba imbuyekezo ye-20.000 ye-euro xa ithelekiswa ne-80.000 abayicelileyo, kwaye yenza uqhekeko. eso sixa phakathi kwamaqela onzakeleyo, eyalela intlawulo yawo kuLawulo kwaye ngokudibeneyo kwaye ngokuphindaphindiweyo kwi-inshurensi yabo, kunye nenzala yomthetho ukususela kumhla webango.
Khumbula ukuba, ngokomthetho, ukulahlekelwa lithuba elihlawulelwayo kufuna ukuba kuthathelwe ingqalelo iinkalo ezimbini: iqondo lamathuba okuba isenzo sonyango esishiyiweyo sivelise isiphumo esiluncedo kunye nomda walo okanye iqumrhu.
Ichazela iNkundla ukuba, kule meko, ukulibaziseka kwethuba kufumaneka kukungabikho kwesenzo malunga nolwazi olufunyenwe kwikholomu ye-RX. Ibonisa ukuba, emva kokubonisana kaninzi ngenxa yeentlungu ezisezantsi, impendulo ekuphela kwayo eyanikwa isigulana yayilunyango lwe-analgesic, ukuxilongwa kwengxaki yentlungu ephantsi, kodwa ngaphandle kokubuza ngokugqithiseleyo kwezinye izizathu ezinokubangela intlungu engazange ithobe kunye ne-analgesia emiselweyo. , xa I-X-ray ibonise ukuphucuka kwi-mediastinal kunye ne-projection nodes ethandabuzekayo.
Ugxininisa ukuba esi siphumo kufuneka siholele ekugqityweni kophando kunye nezinye iindlela ezichanekileyo, ezifana ne-CT scan, ukukhupha ezinye izifo, njengoko zibonisa ukuba zikhona emva kokuba ingxelo ye-autopsy emva kokufa iyaziwa. Ukuphonononga ukuba i-autopsy ibonise ubukho be-neuroendocrine tumor yeeseli ezinkulu ezingena emiphungeni, kunye ne-metastases kwi-lymph nodes kunye ne-metastases ebanzi esibindi, kwaye ukuba, ukuba ayikho, kunokwenzeka ukuba ayiyi kufumaneka kwi-lymph nodes. icoroner, ukuba uyakwazi ukuyibalisa. kunye nokuchaphazeleka kumqolo ozibonakalisa ngentlungu kwisigulana. Wabonisa kule meko ukuba uvavanyo lwe-peripheral luqinisekisa ukuba i-metastases yamathambo inokuvela ukuya kuthi ga kwi-25% yezigulane ezilolu hlobo lomhlaza kwaye zibonakala kumqolo, i-pelvis kunye ne-femur.
Uqinisekisa ukuba uphononongo bekufanele ukuba lugqitywe ngokwe-lex arts kwaye, ngokungakwenzi oko, lalahleka ithuba lokuxilonga ithumba elakhokelela ekufeni. Qaphela ukuba akuyomfuneko ukuhlalutya ukusebenza ukuba unyango lunokuba nalo, okanye ukuba yintoni umlinganiselo weziganeko ezinokuthi zitshintshe, kuba ngokuchanekileyo oku kungaqiniseki okufuneka kuhlawulwe ngembuyekezo ehambelanayo yokulahlekelwa lithuba.
I-TSJ ibona ukuba olu vavanyo lokulahlekelwa kwamathuba lubandakanya umonakalo ongeyiyo into eyenziwa ngenxa yokungakwazi ukwazi ukuxilongwa kwangempela kwe-pathology ngaphambi kokufa, kwaye, ngokukodwa, ngokungachazi ukuba ngaba yaziswa kwingqalelo. zomguli Isiphumo semitha sixatyiswa ngenxa yomonakalo wokuhlutha uluvo lwakhe ngalo mbandela okanye wokwenza izigqibo ezithile ezinjengokucela unyango lwesibini.
Ngokuphathelele isixa-mali esithile sembuyekezo ezifanele izalamane zabo, iQumrhu limi ngelithi isixa-mali sama-20,000 esamiselwa kuloo meko sasifanelekile kwiimeko ezikhoyo. Gcina ukhumbula ukuba i-fellacies yesigulana ngaphambi kokuba kudlule iinyanga ezi-2 ukususela ekubeni wayefumene uncedo lokuqala kwiintlungu ezisezantsi, ngoko kuyacaca ukuba i-tumor awayephethwe yiyo yayisele ixhaphake kwaye incinci okanye akukho nto inokwenziwa ukuzama ukuyinqanda okanye ukwandisa ukulindela kwakhe. . Ngesi sizathu, uqikelela ukuba iqondo lokunokwenzeka kwesiphumo esiphuculweyo ekubeni ufunyaniswe ngaphambili laliphantsi kakhulu, kwaye ngulo mba ekufuneka uqwalaselwe, kuba novavanyo lokunqongophala kolwazi kwisigulana malunga nesiphumo se-X. -ray ukwenzela ukuba, kwimeko yakhe, enze isigqibo, wayenendawo encinci yokulawula xa ejongene nesigaba se-tumor.
Okokugqibela, njengoko kuceliwe ngamaqela anomdla, iNkundla yenza uqhekeko phakathi kwabo baloo mali (i-10,000 yee-euro kumyeni kunye ne-5,000 kumntwana ngamnye), kwaye yayalela intlawulo yayo kuLawulo kwaye ngokudibeneyo kwaye ngokuphindaphindiweyo kwi-inshurensi yakhe, kunye nezomthetho. inzala ukusuka kumhla webango.
