What are the methods used to treat large bowel cancer?

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What are the methods used to treat large bowel cancer?
Surgical, chemotherapy and radiotherapy are the main methods used in the treatment of colon cancer. The treatment process varies according to the stage and spread of the tumor.
Surgical:
In cases where cancer does not spread to distant organs, the main method is surgery. In this method, the tumor is removed and the surrounding solid tissue is removed. In some cases, the stool is taken out by placing the bag with the method called colostomy. This may be temporary or permanent in some patients. Methods such as laparoscopic surgery and robotic surgery, which cause less pain and quick recovery, are also applied in our country.
Chemotherapy:
It is a medicated treatment to kill cancer cells. It is a frequently used therapy in some stages of colon cancer and in cases where it has spread to another part of the body.
Radiation Therapy:
More known as radiotherapy. It is aimed to destroy the cancer cells in the treated area with rays. Radiotherapy can be given with chemotherapy to reduce tumor preoperatively or to prevent postoperative recurrences.

What are the ways to prevent colon cancer?
In addition to all these screening methods, there are some risk reduction methods for prevention of colon cancer. Of them;

Physical exercise,
Getting rid of excess weight,
Smoking and drinking alcohol,
High-fiber, low-fat foods to consume foods firstly to keep in mind.

Koç University Hospital, Department of General Surgery, manages the processes in the diagnosis and treatment of colon and rectal cancers with the most accurate and up-to-date methods and presents them to the patients.
Click on the link to get detailed information about the Department of General Surgery at Koç University Hospital.

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What diseases does hyperbaric oxygen therapy treat?

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Hyperbaric oxygen therapy is an evidence-based type of treatment that has been shown to be fully pressurized within a closed pressure chamber, and is based on a 100% oxygen inhalation at an intermittent pressure from 1 ATA, ie above sea level. In the single or multi-person pressure chambers, the patient is given a mask, hood or endotracheal tube (tube attached to the trachea) according to the patient’s clinical condition and needs.
Hiberbaric Oxygen Therapy can be used in the treatment of many diseases such as sudden hearing loss, sudden vision loss, bone infection, bone death, diabetic foot injury.
Sudden Hearing Loss:
Hyperbaric oxygen therapy accelerates healing by increasing the oxygen level in the inner ear in patients with sudden hearing loss. Patients should start hyperbaric oxygen therapy at an early stage. The best results can be obtained in patients in whom hyperbaric oxygen therapy started within the first 72 hours. Depending on the needs of patients, more than one session treatment can be performed daily.
Sudden Vision Loss:
Sudden loss of vision is an emergency occurring as a result of obstruction of the vessels supplying the retinal layer of the eye. Hyperbaric oxygen therapy can maintain oxygenation even if the retinal vessels are blocked. While hyperbaric oxygen therapy should be started at the earliest hour in patients with sudden visual loss, patients should be referred to hyperbaric oxygen treatment centers without losing time. The number of sessions and the frequency of sessions should be planned by the experts in Underwater Medicine and Hyperbaric Medicine according to the response to treatment.
Bone Infection:
The partial oxygen pressure in the developing bones is 17-23 mmHg, approximately half of the healthy bones. Hyperbaric oxygen therapy helps to heal the infection by elevating the partial oxygen pressure in bone infections to 1000-1200 mmHg. While the total number of sessions is based on the response of the patient to the treatment, the duration of hyperbaric oxygen therapy sessions in bone infections is 90-120 minutes.
Bone Death:
Bone death is a bone disease that occurs as a result of disruption in the blood supply of the bones, decreases the quality of life, and has pain and limitation of movement. Hyperbaric oxygen therapy can reduce edema, promote new vessel formation and contribute to bone reconstruction when administered early. During the hyperbaric oxygen treatment, patients can be monitored for pain and limitation of movement and the total number of sessions can be determined.
Diabetic Foot Wound:
Hyperbaric oxygen therapy increases the level of oxygen in the blood and non-healing wound area in diabetic foot wounds. Thus, by reducing infection and reducing the wound, the healing process is accelerated. For this reason, hyperbaric oxygen therapy is used as an adjunctive treatment method in the prevention of amputation and loss of limb in the foot wounds of diabetes patients.
Each patient’s response to treatment may be different, and the patients should be evaluated by a specialist in hyperbaric medicine.
How is hyperbaric oxygen therapy applied?
Patients receiving hyperbaric oxygen therapy usually breathe 100% oxygen through the masks they wear in a closed pressure chamber for 90-120 minutes. During the treatment, patients take their time off and mask their air breaks. In order to prevent disruption of the treatment hours, the patients can take their medication into the pressure chamber and the medicines that are deemed appropriate by the doctor.
The treatment can be stopped within a few minutes if any complaint or necessity is developed during the treatment. The total number of sessions that need to be performed varies according to the disease, and can be applied more than once a day in cases where it is necessary.
How do patients feel during treatment?
During hyperbaric oxygen therapy, the air pressure in the pressure chamber increases, while the air travel feels like a descent in the ears. Patients can synchronize the pressure in the ear with some movements, such as swallowing. Patients are informed in detail about how to easily adapt the middle ear pressure to external pressure.
Is it possible to communicate with the patient during treatment?
In Koç University Hospital, the pressure chambers are semi-acrylic, ie, about 1 meter of transparent, pressure-resistant acrylic material, and our patients can be visually monitored during the entire treatment session and audibly with the device-mounted sound system. During the whole treatment period, patients are monitored by automatic pressure system by the pressure chamber operator.
What are the effects of hyperbaric oxygen therapy on diseases?
100% oxygen inhalation under high pressure hemoglobin-mediated …

How should we treat someone who has epileptic seizures?

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What should we do when we see a person with epileptic seizures?
Patients with precursor symptoms should remove themselves from dangers. (window edge, ladder head, piercing cutting tools, etc.). People who have a seizure without a forerunner sign should take away the person from these hazardous areas in case of any seizure.
Generalized contraction, called a large seizure, jumps on the watch, people who have a seizure while falling to the floor while pushing the head to the ground by pushing the head or by supporting the head to be able to fall to the ground softly. It is necessary to turn the patient’s head aside on the floor. Turning the head sideways prevents the vomiting of the lungs if the person vomits.
If the teeth are not yet closed, they are placed in the upper part of a soft body. This soft object should never be finger. The soft body is the edge of the blanket, the edge of your jacket and so on. can. The goal is to break the gap between the teeth and to prevent the bite of the tongue. Never attempt to open if the teeth are closed. Never try to stop the contractions in the arms and legs, or you may cause fractures and dislocations. The only thing to do is to determine the duration of contractions.

After the seizure, the person usually wakes up, is confused, does not understand what is said, but he tends to sleep around and sleep. If the seizure lasted for more than five minutes, if the person had no known epilepsy, was hit by a head while crashing, but could not be aroused despite a seizure, he should be taken to the hospital urgently.
What should we do when we see a person with epileptic seizures?

Onion smelly is the most performed and non-beneficial application.
Never put your finger between your teeth during seizure. He can bite your finger.
Never try to open if the mouth-teeth are closed during the seizure. Even if the tongue is bleeding, bleeding will stop within one minute. However, the broken teeth will not replace a new one.
Do not try to stop the contractions in your body. You can cause bone fractures and dislocations.
Never try to eat and drink water to the person who has seizures.

This article Dr. Prepared by Candan Gürses.
You can contact our Neurology department for more information.

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