I-TSJ Galicia esahlulelweni sama-276/2023, sangoMashi 29, isivumile isigwebo seSERGAS sokunxephezela, ngokulahlekelwa ithuba, umyeni nezingane ezimbili zowesifazane okufanele abe neminyaka engama-56 ubudala ngenxa ye-embolism edalwe umdlavuza amaphaphu aphethwe ngawo futhi angatholakalanga ukuthi unawo yini. Ngokwengxenye iyasisekela isikhalazo esifakwe abamangalelwa ngokumelene nesahlulelo sokuthi, ngokwengxenye yamukela isikhalazo sabo ngokumelene nesinqumo sokwenqaba isimangalo somthwalo wemfanelo wezezimali ababesikhiqizile, okulinganiselwa ukuthi isinxephezelo sama-euro angu-20.000 uma siqhathaniswa no-80.000 ababesicelile, futhi benza ukuhlukaniswa leyo samba phakathi kwezinhlangothi ezilimele, eyala inkokhelo yayo kwabaPhathi futhi ngokuhlanganyela nangokuhlukene kumshwalense wabo, kanye nenzalo engokomthetho kusukela ngosuku lwesimangalo.
Khumbula ukuthi, ngokomthetho wezomthetho, ukulahlekelwa yithuba elinxeshezelwayo kudinga ukucabangela izici ezimbili: izinga lamathuba okuthi isenzo sezokwelapha esishiywe singase sikhiqize umphumela onenzuzo kanye nobubanzi bawo noma ibhizinisi.
Ichazela iNkantolo ukuthi, kuleli cala, ukubambezeleka kwethuba kubangelwa ukuntuleka kwesinyathelo esiphathelene nolwazi olutholwe kukholamu ye-RX. Kubonisa ukuthi, ngemva kokubonisana kaningi ngobuhlungu obuphansi emuva, okuwukuphela kwempendulo eyanikezwa isiguli kwakuwukwelashwa kwe-analgesic, ukuxilonga inkinga yobuhlungu obuphansi emuva, kodwa ngaphandle kokubuza ngokujulile kwezinye izimbangela zobuhlungu obungazange buphele nge-analgesia ebekiwe. , lapho i-X-ray ikhombisa ukuthuthuka kuma-node wokuqagela we-mediastinal kanye nokungabaza.
Ugcizelela ukuthi lo mphumela bekufanele uholele ekuphothulweni kocwaningo namanye amasu anembe kakhudlwana, njenge-CT scan, ukuze kugwenywe amanye ama-pathologies, njengoba kukhombisa ukuthi akhona uma umbiko wokuhlolwa kwesidumbu sewaziwa. Buyekeza ukuthi ukuhlolwa kwesidumbu kwembula ukuthi kukhona isimila se-neuroendocrine samangqamuzana amakhulu angena emaphashini, ane-metastase kuma-lymph nodes kanye nama-metastases abanzi esibindi, nokuthi, uma singekho, kungenzeka ukuthi ngeke sitholakale i-coroner, uma ingahlobana. ngokuthinteka emgogodleni okwazibonakalisa ngobuhlungu esigulini. Ubalule kulokhu ukuthi ukuhlolwa kwe-peripheral kugomela ngokuthi ama-metastases amathambo angavela ezigulini ezifika ku-25% ezikulolu hlobo lomdlavuza futhi abonakala emgogodleni, okhalweni nasesifubeni.
Uqinisekisa ukuthi lolu cwaningo bekumele luphothulwe ngokwe-lex arts nokuthi, ngokungakwenzi lokho, lalahleka ithuba lokuxilonga isimila esiholele ekufeni. Qaphela ukuthi akudingekile ukuhlaziya ukuphumelela obekungenzeka ukwelashwa, noma ukuthi inkambo yezehlakalo ibingashintsha kangakanani, ngoba yilokhu kungaqiniseki okufanele kunxeshezelwe ngesinxephezelo esihambisanayo sokulahlekelwa ithuba.
I-TSJ ibheka ukuthi lokhu kuhlolwa kokulahlekelwa ithuba kuhlanganisa nomonakalo ongewona owenziwe ngenxa yokungakwazi ukwazi ukuxilongwa kwangempela kwe-pathology ngaphambi kokufa, futhi, ikakhulukazi, ngokungasho ukuthi ngabe kwaziswa yini. wesiguli Umphumela we-radiological waziswa ngenxa yomonakalo wokumphuca umbono ngendaba noma wokwenza izinqumo ezithile njengokucela ukhetho lwesibili lwezokwelapha.
Ngokuphathelene nenani lenani elithile lesinxephezelo izihlobo zabo okufanele zisithole, uMkhandlu umi kwelokuthi isamba esingu-20,000 esisungulwe esimweni sasifanele izimo ezikhona. Khumbula ukuthi ama-fellacies esiguli ngaphambi kokuba kudlule izinyanga ezi-2 kusukela ekusizeni kwakhe kokuqala ngobuhlungu obuphansi emhlane, ngakho-ke kusobala ukuthi isimila ayenaso sase sisabalele kakade futhi kuncane noma kungenziwa lutho ukuzama ukulimisa noma ukwandisa lokho ayekulindele. . Ngenxa yalesi sizathu, ulinganisela ukuthi izinga lamathuba okuba nomphumela othuthukisiwe kusukela ekuxilongeni ngaphambili laliphansi kakhulu, nokuthi yilesi sici okufanele sicatshangelwe, njengoba ngisho nokuhlola ukuntuleka kolwazi esigulini mayelana nomphumela we-X. -ray ukuze akwazi, esimweni sakhe, enze isinqumo, wayenendawo encane yokuqondisa lapho ebhekene nesiteji sesimila.
Okokugcina, njengoba kuceliwe izinhlangothi ezinentshisekelo, iNkantolo yenza umehluko phakathi kwabo ngaleyo samba (ama-euro ayi-10,000 kumyeni kanye no-5,000 wengane ngayinye), futhi yalahla ukukhokha kwabo kwabaPhathi futhi ngokuhlanganyela nangokwehlukana kumshwalense wabo, ngokusemthethweni. inzalo kusukela ngedethi yesicelo.
