{"id":29675,"date":"2016-12-13T08:22:35","date_gmt":"2016-12-13T08:22:35","guid":{"rendered":"https:\/\/royalfamily.org\/kurir-newspaper-interview-dr-hedvig-hricak-from-united-states-of-america-2\/"},"modified":"2016-12-13T08:22:35","modified_gmt":"2016-12-13T08:22:35","slug":"kurir-newspaper-interview-dr-hedvig-hricak-from-united-states-of-america","status":"publish","type":"post","link":"https:\/\/royalfamily.org\/lat\/kurir-newspaper-interview-dr-hedvig-hricak-from-united-states-of-america\/","title":{"rendered":"\u201cKURIR\u201d: INTERVJU DR HEDVIG HRI\u010cAK IZ SJEDINJENIH AMERI\u010cKIH DR\u017dAVA"},"content":{"rendered":"

ALARMANTNO: Rak dojke ima 1,7 miliona \u017eena<\/h2>\n
Le\u010denje opake bolesti napredovalo je u poslednjih nekoliko decenija, postalo i efikasnije i manje invazivno<\/section>\n
Rak dojke naj\u010de\u0161\u0107e je dijagnostikovan rak kod \u017eena u 140 od 184 zemlje \u0161irom sveta, a njegova u\u010destalost se pove\u0107ava. Danas je ovom bole\u0161\u0107u pogo\u0111eno gotovo 1,7 miliona \u017eena, navodi u intervjuu za Kurir dr Hedvig Hri\u010dak iz ameri\u010dke medicinske ustanove Memorial Sloan Kettering Cancer Center (MSKCC).\u00a0\u010cuvena doktorka nedavno je boravila u Beogradu, na onkolo\u0161kom simpozijumu koji je organizovala princeza Katarina Kara\u0111or\u0111evi\u0107.Dakle, rak dojke je dosta prisutan \u0161irom sveta?<\/strong><\/p>\n

– Rak dojke je naj\u010de\u0161\u0107i rak kod \u017eena i u razvijenom i manje razvijenom delu sveta, sa skoro 50 odsto slu\u010dajeva kancera dojke i 58 odsto smrtnih slu\u010dajeva u manje razvijenim zemljama. Skrining za rak dojke spasava \u017eivote i sve vi\u0161e se razvija. Novije tehnike skrininga otkrivaju vi\u0161e slu\u010dajeva karcinoma i daju manje la\u017eno pozitivnih rezultata. Sad se priznaje da je mnogim \u017eenama s gustim tkivom dojke potreban dodatni skrining, sa tehnikama kao \u0161to je ultrazvuk, dok je \u017eenama sa visokim rizikom od raka dojke potreban skrining sa MR, kao i mamografija.<\/p>\n

Gde smo sada? Vi ste upoznati sa aktivnostima koje na ovom polju preduzima princeza Katarina Kara\u0111or\u0111evi\u0107, te koliko su va\u017ena ta nastojanja za srpske lekare, kao i za pacijente?<\/strong><\/p>\n

– U ranim dvehiljaditim srpski lekari su povremeno izve\u0161tavali princezu Katarinu da je u\u010destalost raka dojke u Srbiji ve\u0107a \u00a0nego u drugim oblastima Evrope, kako je utvrdila Svetska zdravstvena organizacija. Naknadne epidemiolo\u0161ke studije pokazale su da, iako je u\u010destalost raka dojke u Srbiji bila samo neznatno vi\u0161a, smrtnost bila mnogo ve\u0107a. Princeza Katarina bila je odlu\u010dna da preduzme mere i 2003-2004. obratila se za savet trojici radiologa: dr Aleksandru Margulisu, koji je ro\u0111en u Srbiji, a dve decenije je bio na\u010delnik odeljenja za radiologiju na Univerzitetu u San Francisku; dr Hedvigi Hri\u010dak, \u0161efu katedre za radiologiju u MSKCC, i dr Dejvidu Der\u0161ouu, tada na\u010delniku imid\u017einga dojke u MSKCC. Da bi se omogu\u0107ilo ranije otkrivanje raka dojke i na taj na\u010din smanjila smrtnost od ove bolesti, dr Hri\u010dak i dr Der\u0161ou razvili su sveobuhvatan pristup, koji je obuhvatao obuku radiologa i tehnologa u MSKCC. Princeza Katarina sara\u0111ivala je s Ministarstvom zdravlja Srbije na sprovo\u0111enju prakse obuke u Srbiji. Dr Margulis i dr Hri\u010dak sara\u0111ivali su s princezom Katarinom na podno\u0161enju prijava za dobijanje sredstava za nabavku preko potrebne opreme. Ukupno 15 lekara i drugog zdravstvenog osoblja iz Srbije obu\u010deno je u MSKCC od 2009. do 2015. godine: \u0161est radiologa, tri radijaciona onkologa, \u010detiri tehnologa snimanja i dva fizi\u010dara. Tri radiologa dobila su dugoro\u010dnu obuku u MSKCC zahvaljuju\u0107i podr\u0161ci Fondacije za istra\u017eivanje raka, a dva su pro\u0161la jednomese\u010dnu obuku u MSKCC uz podr\u0161ku Ministarstva zdravlja Srbije.<\/p>\n

\"\"<\/a><\/div>\n

Odr\u017eani su i simpozijumi o raku dojke?<\/strong><\/p>\n

– Prvi srpski simpozijum o raku dojke, odr\u017ean 22. i 23. septembra 2008, ozna\u010dio je po\u010detak dugoro\u010dne saradnje princeze Katarine, Ministarstva zdravlja Srbije i tima MSKCC. Donacija fondacije “Stavros Nijarhos” omogu\u0107ila je kupovinu mobilnog mamografa, koji je predat Fondaciji princeze Katarine u Beogradu u junu 2009. Mamograf je u punoj funkciji od 1. oktobra 2009, prvog Dana borbe protiv raka dojke. Sredstva za obuku tehni\u010dara za mobilni mamograf obezbe\u0111ena su zahvaljuju\u0107i donaciji fondacije “Komen” i humanitarnoj organizaciji Lajflajn, \u010diji pokrovitelj je princeza Katarina.<\/p>\n

Pre nekoliko godina pokrenut je i nacionalni program mamografije raka dojke. Kakvi su rezultati?<\/strong><\/p>\n

– Nacionalni program mamografije raka dojke pokrenut je u Srbiji 2012. kao rezultat neumornih napora princeze Katarine. U oktobru iste godine dobijen je ultrazvu\u010dni ure\u0111aj od sredstava iz fondacije “Stavros Nijarhos”. Kasnije je razvijen i edukativni program u radio-terapiji, podr\u017ean od fondacije “Komen”. Dosad je ostvaren znatan napredak. Nacionalni program skrininga omogu\u0107io je da se rak dojke otkriva i le\u010di u ranijim fazama, kad je izvesno da \u0107e le\u010denje biti efikasno. Pored toga, program radio-terapije pove\u0107ao je postoje\u0107i kvalitet zra\u010denja. Napori da se spre\u010di rak dojke, pove\u0107a njegovo rano otkrivanje i pobolj\u0161a le\u010denje moraju da se nastave, jer u\u010destalost raka dojke i dalje raste \u0161irom sveta.<\/p>\n

Koliko su savremeni metodi efikasni u le\u010denju pacijenata?<\/strong><\/p>\n

– Le\u010denje raka dojke napredovalo je u poslednjih nekoliko decenija, postalo i efikasnije i manje invazivno. Osim toga, danas podrazumeva da nemaju svi pacijenti koristi od istog metoda le\u010denja, tako da su u ovom trenutku dostupni personalizovani planovi le\u010denja.<\/p>\n

U kojim godinama \u017eivota ima najvi\u0161e pacijenata?<\/strong><\/p>\n

– U\u010destalost raka dojke i stopa smrtnosti uop\u0161te rastu s godinama. Postoje neka dru\u0161tva, me\u0111utim, gde je rak dojke \u010de\u0161\u0107i kod \u017eena u dobi od 40 i 50 (Japan, Koreja, Afrika). \u017denama koje imaju oko 40 godina i onim starijim savetuju se da razmotre sve li\u010dne faktore rizika kada biraju metod skrininga.<\/p>\n

Boban Karovi\u0107<\/p>\n<\/section>\n

Boban Karovic<\/p>\n","protected":false},"excerpt":{"rendered":"

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