“Kāpēc lai cilvēki palīdzētu tieši tev?” Šis jautājums, kuru kāds bija uzdevis Elēnai, nebūt nav viegli atbildams. Jā, kāpēc tieši tev? Vai gan cīņa par tiesībām dzīvot ir kā dalība konkursā?
Kurš uzrakstīs skaistākus, aizkustinošākus vārdus, tiks pie cerības uz veselību un dzīvi? Elēnai ir 47 gadi, un viņai diagnosticēts trīskārši negatīvs krūts vēzis, kuram valsts neapmaksā ārstēšanu. Lai palīdzētu Elēnai Ritumai, ir atvērts ziedojumu konts portālā Ziedot.lv: https://www.ziedot.lv/palidziba-elenai-ritumai-3804.
Elēna pasmaida savu kluso, mierīgo smaidu un saka: “Politiķi, lai izskatītos labāk, paņem sev līdzās ģimeni, bērnus vai kādu mājdzīvnieku, bet ko lai paņemu es? Vienmēr esmu palīdzējusi citiem un nekad nedomāju, ka pienāks šāds brīdis, kad būs jānostājas otrā pusē – palīdzību vajadzēs man pašai. Lūgt nav viegli.”
Bet nu tas vienkārši ir noticis. Izveidojusies situācija viņas dzīvi ir noārdījusi līdz pamatiem. Taču – ne salauzusi.
Elēna atceras, ka jau kopš bērnības gribējusi kļūt par ķirurģi. “Man ģimenē apkārt ir daudz mediķu, un no pieaugušo sarunām saklausījos, ka ķirurgiem lieti noder kāda mūzikas instrumenta spēlēšana, lai trenētu pirkstu veiklību. Tāpēc skolas laikā sāku mācīties arī mūziku. Ja citi bērni no mūzikas skolas stundām bēga, es ne, jo man bija mērķis – lielā medicīna… Tomēr liktenis lēma citādi, savas sliktās redzes dēļ man nācās atteikties no lielā sapņa, un es pabeidzu Mūzikas akadēmiju. Spēlēju alta vijoli. Daudz esmu uzstājusies kopā ar ērģelnieci Kristīni Adamaiti un jaunajiem talantīgajiem pianistiem Elīnu Gaili un Daumantu Liepiņu. Alts ir vijoļu grupas instruments, nedaudz lielāks par vijoli, un lai no tā izvilinātu samtaino skaņu, rokai ir vajadzīgs arī ļoti liels spēks. Taču tieši tajā vietā, kur pret krūtīm atspiežas mūzikas instruments, man sākās problēmas. Krūts vēzis. Tāpēc tagad spēlēt neuzdrošinos.
Man ir rets, riebīgs audzēja veids, kurš gadās salīdzinoši jaunām dāmām. Ārstēšanās pie Stradiņa slimnīcas onkologiem notiek trešo gadu, un ar manu trīskārši negatīvo un ļoti agresīvi nevaldāmo audzēja paveidu tas patiešām ir ļoti daudz. Jo šis vēža tips aug straujāk, tam ir sliktāka izveseļošanās prognoze un augstāks recidīva risks. Tā kā trīskārši negatīvs krūts vēža šūnas nesatur nedz hormonreceptorus (estrogēna un progesterona receptorus), nedz cilvēka epidermālā augšanas faktora 2 receptorus (HER2), uz to nav iespējams iedarboties ne ar hormonterapiju, ne ar mērķterapiju. Ja trīskārši negatīvs krūts vēzis tiek atklāts pirmajā stadijā, dažkārt pietiek tikai ar operāciju. Pārējos gadījumos operācijai seko ķīmijterapija.
Bieži ārstēšana tiek uzsākta ar pirmsoperācijas ķīmijterapiju, tad seko operācija un, iespējams, staru terapija, atkal ķīmija. Bet, ja trīskārši negatīvs audzējs ir progresējis jeb metastazējis, kā tas noticis man, jauna ārstēšanas iespēja ir imūnterapija kombinācijā ar ķīmijterapiju. Imūnterapijas preparāti iedarbina paša cilvēka imūnsistēmu cīņai ar audzēja šūnām un, šādi ārstējoties, kā liecina pētījumi, dzīvildzes radītāji krietni uzlabojas. Esmu daudz lasījusi, meklējusi iespējas, kā savas slimības gaitu palēnināt… Tā kā praktiski pusgadu esmu bez ķīmijterapijas zālēm, jo tās – principā labi medikamenti – pārtrauca konkrēti pret manu slimību darboties, veicu specifisku vēža gēnu molekulāru testēšanu – uztaisīju vēža gēnu karti, lai ārsti varētu piemeklēt tieši man efektīvāko ārstēšanas metodi.
Tests parāda, kuras zāles šinī brīdī man derētu un starp tām ir arī dārgais imūnterapijas medikaments. Jā, ne visām sievietēm, kurām ir trīskārši negatīvs krūts vēzis, imūnterapija strādā, jo audzējs var būt arī jutīgs pret to. Tāpēc, lai to noskaidrotu, ir jāveic īpašas analīzes – PD-L1 tests. Ja audzējā ir vismaz viens procents imūnšūnu, tad šī imūnterapija kopā ar ķīmijterapiju iedarbosies. Manā gadījumā tests parādīja, ka audzējā ir 15 procenti imūnšūnu un tāpēc ārsti uzskata, ka šī terapija ir vajadzīga.
Vienīgais apgrūtinājums – Latvijā trīskārši negatīva metastātiska vēža gadījumā valsts šo dārgo imūnterapijas medikamentu nekompensē. Tas būtu jālieto sešus mēnešus, divi iepakojumi mēnesī, tātad kopā tie būtu 22 458 eiro, kas vajadzīgi, ņemot vērā, ka pusi no izmaksām ir gatavs segt ražotājs. Kopā ar imūnterapiju ir nepieciešams lietot vēl arī vienu ķīmijterapijas preparātu, kurš Latvijā ir pieejams tikai tad, ja pacients maksā par to pats, un tas sadārdzina terapiju vēl par 1200 eiro mēnesī.”
Elēna tagad maksimāli cenšas darīt visu, ko vien var, lai ar diētu, dabas līdzekļiem, lūgšanām, iesaistīšanos izdevniecības Patmoss darbā un ar savu joprojām pozitīvo skatu uz dzīvi noturētu slimību mazas aktivitātes stadijā un neļautu vēža šūnām palielināt attīstības tempu. Viņa skaita dienas līdz brīdim, kad varētu tikt pie tik ļoti nepieciešamajām zālēm. Elēnas ārstējošā ārste ķīmijterapeite Sigita Hasnere saka tā: “Ja imūnterapija tiek nozīmēta mērķtiecīgi, tā var ievērojami palielināt dzīvildzi. Šādi mēs varam darīt labāko, lai arī trīskārši negatīvā krūts vēža pacientēm ar metastātisku krūts vēzi tiktu dota iespēja dzīvot.”
Jā, trīskārši negatīvs krūts vēzis, kura ārstēšanai šobrīd vajadzīgās zāles valsts neatmaksā… Tāda ir realitāte. Tai pretī ir Elēna. Kāpēc tieši viņa? Tāpēc, ka ikvienam ir nepieciešama cerība.
Sarunas noslēgumā viņa lūdza uzrakstīt vēl šo: “Vislielākā pateicība visiem, kuri man palīdzēs. Ne formāli, nē. Es tā jūtos – ļoti pateicīga katram no sirds.”
Lai palīdzētu Elēnai Ritumai, ir atvērts ziedojumu konts portālā Ziedot.lv: https://www.ziedot.lv/palidziba-elenai-ritumai-3804.
Kampaņas “Pārbaudi krūtis, lai dzīvotu!” mērķis ir aicināt sievietes rūpēties par savu veselību, izmantojot valsts apmaksātās krūts mamogrāfijas pārbaudes, un izglītot par agrīnas diagnostikas nozīmi krūts vēža ārstēšanā un personalizētas terapijas nozīmīgumu. Kampaņu rīko Latvijas sieviešu volontieru biedrība “VITA”, Latvijas Basketbola savienība un Latvijas Onkologu asociācija.
Vairāk par kampaņas aktivitātēm: www.facebook.com/Laidzivotu
During this era, light resistance exercises can aid in shoulder restoration. Focusing on proper kind and relaxation durations is essential to forestall re-injury when beginning to lift weights once more.
As you can see, it’s a big raise that engages a ton of general
muscle mass. If you’re doing lateral raises with
fixed-weight dumbbells, for example, you would possibly leap from 25
to fifteen to 10 to five-pound weights. By default, I suggest 2–4 sets
of 10–15 reps accomplished 2–3 occasions per week.
The classic method has you standing and elevating dumbbells out to your sides.
A bent over cable elevate is an glorious train to train and isolate the rear deltoid muscle.
Additionally, it helps enhance shoulder mobility and can aid in posture
correction by strengthening shoulder and upper again muscular tissues.
The dumbbell entrance raises with a impartial grip is a superb exercise
that targets the front of the shoulders. Many lifters utilize
the bent-over dumbbell reverse fly to goal the rear delts, an often lagging muscle for a lot of lifters alike.
The bent-over dumbbell reverse fly, also recognized as the bent-over rear
delt fly, is a superb exercise to help you in building an entire set of shoulders.
The dumbbell upright row can be utilized to target your shoulders or traps, relying on how wide or slim you retain your elbows during the movement.
The nerve might get pinched where it exits the spine or anywhere along its path which leads to pain. If you notice redness, swelling,
or warmth around your shoulder joint, consider making
an appointment with a well being care provider to discuss
your issues. Be certain to say any recurring ache or discomfort that occurs with every day exercise.
A deltoid pressure can result in signs starting from a
mild tightness of the muscle to extreme, restricting ache.
The lifters that suffer from this are ones with weak hip abductors, extensors, and core muscular tissues.
This proves that if low again pain is a matter, treating it
via more compound lifts is not the right route. As A Substitute,
the root of it can be discovered within the muscle tissue linked to
it. For instance, a affected person with loss of energetic movement alone is more prone to
have weak point of the affected muscle tissue than joint disease.
Observe together with this video from Buff Dudes Workouts to learn how to
perform a seated dumbbell press to strengthen your shoulders.
Muscle imbalances happen when sure muscle groups are stronger or extra developed than others.
For instance, if your chest muscle tissue are significantly stronger than your again muscular tissues, they’ll pull your
shoulders ahead, resulting in poor posture and shoulder ache.
Imbalances also can cause abnormal movement patterns throughout lifts, contributing to pain.
As a result of having a shoulder substitute, it’s sometimes advised to
not bench press with thesurgical arm and limit lifting to no extra than 40lbs.
It is subsequently really helpful to take precautions when exercising so as to stop any re-injury.
Weightlifters, after shoulder alternative surgery,
generally face issues such as eccentric posterior glenoid wear, posterior humeral head
subluxation, and implant wear. It is crucial to keep away
from activities causing sharp ache and cling to a structured restoration plan to successfully manage
these challenges.
Workout Routines that put extreme strain on the shoulder, like overhead and
lateral raises, ought to be prevented. Moreover, any movements causing sharp ache ought to be stopped immediately to forestall
further injury. Proper warm-up and cool-down routines are important to mitigate
the danger of shoulder injuries during rehabilitation.
One of the most important problems folks have with overhead work for each pressing and pulling is an absence of shoulder stability.
Our trade loves to force feed mobility fixes for stability issues, but the only place that will get
athletes and lifters is chronically injured. Inherently,
this recruits the forearms muscular tissues and the little shoulder stabilizer muscles to activate
and fire as nicely.
The patient could possibly decrease the arm slowly to 90 levels (because this could
be a function principally of the deltoid muscle) however might be unable to continue the maneuver as far as the waist.
The patient must be requested about paresthesias and
muscle weak point. Pneumonia, cardiac ischemia and peptic ulcer disease
can present with shoulder ache.
Click right here to return to our full list of strength coaching workouts.
For energy features, you’ll have the ability to go
decrease than this and use heavier weights; about 1–5 reps per set might be the best for strength.
Just make sure to begin with mild weights and gradually increase your range of motion.
The push press is a good addition to any push-day exercise whenever
you need to incorporate a bit more energy
and athleticism. Shoulder pathology is totally different in nearly every case, but one train most folk can use
for pain-free progress is the dumbbell chest supported row.
Yes, it is quite voo-doo, but you might be solely utilizing it to
assist decide between non-painful exercises, so there is not a downside other than a couple seconds of time.
Most issues in the shoulder contain the muscle tissue, ligaments, and tendons, rather than the bones.
Generally, an individual will undergo a fracture, or break,
of the humerus (arm bone) or glenoid (shoulder socket) that entails the
bones of the shoulder. No matter how much weight you’re lifting, you’re going
to need robust, secure shoulders to help support the load.
You can break up your sets because the reps begin creeping up – for example, in your set
of 11 you might carry out 7 reps, drop your weights, take a
breath and then go once more for one more four. Keep in mind all reps should
be performed inside 60 seconds, and your subsequent spherical begins
once more on the end of the minute. Here are 4 workout routines that cover these bases and can be carried out as a stand-alone routine two to 3 times
per week or integrated into your common workouts.
Occasional use of this method successfully overloads your biceps and stimulates muscle development, but you should only
use it sparingly for one of the best results. Though not readily seen within the mirror, the rear delts play an important position in reaching well-rounded shoulder development.
If the train nonetheless feels uncomfortable, or you’re in search of another, give the monkey row a
glance.
Your healthcare provider will perform a physical examination of
your shoulder, including checking the range
of movement and power. Your provider may even ask about your medical
history and present signs. You can discover out extra concerning the
causes of higher arm ache between shoulder and elbow and tips on how to deal with them through the use
of the hyperlinks above. If you’ve other signs alongside upper arm
ache and also you want some help figuring out what is
causing your ache, go to the shoulder pain diagnosis part.
If injuries aren’t treated properly, the intricate system of tendons and muscle
tissue that holds your joint together can be
affected. This can result in “frozen shoulder,” which restricts your range of motion. If shoulder impingement syndrome isn’t sounding like your downside, visit the shoulder accidents
information or check out our shoulder ache
prognosis charts.
The exercises employ both bodyweight, dumbbells, or resistance bands for more advanced
levels of issue. Robust lateral deltoids are important for
enhancing shoulder stability, width, and overall aesthetics.
Lateral deltoid exercises offer quite a few advantages,
including improved shoulder power, reduced risk of injuries,
and enhanced posture. Folks with shoulder points, such as rotator cuff
tears or shoulder impingement, ought to consult their doctor
before performing lateral deltoid exercises.
Rear deltoid workout routines are key to any shoulder exercise routine as a result of
they aim the muscular tissues in the again of the
shoulder. The rear delts allow shoulder extension and horizontal abduction, making them responsible for pulling movements and retraction of the shoulder blades in both train and every day
life. Rear deltoid workouts encompass motions that particularly goal
these muscular tissues, including however not limited to reverse flyes,
face pulls, and rear deltoid raises. Cable shoulder exercises are a category of resistance
training workout routines that use cable machines to train the shoulder muscle tissue.
Cable workouts typically enable for a greater range of movement than traditional free weights.
The workout is consequently helpful for building
strength and measurement within the shoulder muscle tissue, such because the deltoid, rotator cuff, trapezius, and
rhomboids. Cable shoulder workouts involve a variety of actions
to focus on the muscles of the shoulder.
They might move the person’s arm in the socket
or ask them to do a sequence of arm movements to verify for any abnormalities.
Shoulder impingement happens as a end result of overuse, however age is also an element.
The longer the particular person has spent utilizing the
shoulder or doing most of these activities, the extra doubtless signs turn out
to be. The profit right here is that sitting provides a more secure base and allows you to use more weight.
Speaking utterly by way of anecdotes and bro lore, these make for one hell of a drop set once you progress up
to a point the place you’ll be able to strip weight off the bar.
The downside is, the answer is in all probability going short-term
when there’s no resistance or coaching applied to the postural muscle tissue
responsible for opening up the arms. The most common causes
of deltoid ache are overuse accidents and strains.
Individuals who use their shoulders and deltoid muscular tissues repetitively, particularly athletes, have an increased threat of deltoid damage.
Weightlifting accidents could be averted by exercising joint and core stability.
The most essential areas to target are the rotator cuff, the hips, and the core.
Repetitive rubbing of the muscle tissue in opposition to the bone can result in tendinitis, which is a form of inflammation, and even presumably result in tears that may require
surgical procedure sooner or later. It is necessary to be able to inform the difference between normal soreness and ache.
Regular pain, weakness within the arm, or limitation of joint movement will
become almost second nature to some people, main them to not search remedy.
Nevertheless, ignoring the pain and “playing through” a shoulder harm only aggravates the condition and should presumably trigger more issues.
Dip at the knees and use your legs to help explosively press the load overhead.
If you’ve been stretching your shoulders to alleviate
stiffness but aren’t seeing results — or worse,
are feeling more discomfort — it’s time to rethink your method.
By training the targeted energy, mobility and respiratory exercises above,
you can tackle the basis causes of the tension, improve perform and forestall future discomfort.
The surgical process for shoulder impingement widens the area across the
rotator cuff to forestall friction. If a person has
a rotator cuff tear, surgical reparation may also be essential.
Accidents, corresponding to a dislocated shoulder, are other important
causes of shoulder issues, together with impingement and rotator cuff tears.
These symptoms might get worse over time, with pain growing and power reducing.
The pain might get worse if the person tries sleeping on the affected aspect of their physique.
Placing the arm over the top or behind the again might turn out to be
increasingly difficult. The traditional symptom of
shoulder impingement is issue lifting the arm previous shoulder peak.
Sufferers need to thoughtfully weigh the potential risks and
advantages of resuming heavy lifting post-shoulder replacement surgical procedure.
It is necessary to notice that the flexibility to measure clinically significant improvements in these patients’
performance may be limited as a end result of these elements.
Many weightlifters return to heavy lifting after shoulder substitute, regardless of surgeon’s suggestions in opposition to it.
However, you will want to note that these weightlifters usually expertise lower lifting performance than earlier
than surgical procedure.
Incorporate this into your devoted shoulder workout routine and you’ll see how lighter weights
can help you construct greater shoulders! For a
extra in depth take a glance at this system and a
step-by-step breakdown of every of the repetitions,
take a look at my article on The Way To Get Larger Shoulders.
Give this technique a strive with a pair of 15 lb
pair of dumbbells or half of no matter you’d normally use for a side lateral increase.
You’ll quickly see simply how difficult it can be
when your deltoids are doing all the work instead of allowing other muscles to kick in. When it involves deltoid coaching, that
old adage of ‘lift big, get big’ doesn’t ring true.
To construct strong beefy shoulders, you’re going to have to choose up the sunshine dumbbells.
Shoulder activation is essential to assist all these muscles work together properly and
to avoid shoulder accidents. A lot of people
‘forget’ to coach shoulders, don’t prepare them often sufficient, or prepare them improperly.
Additionally called a pike push-up or down-dog push-up,
this transfer is like a push-up in your shoulders; you are
in a pike place doing push-ups. Here’s your go-to routine for build up massive,
respectable shoulders.
Pike Push-ups, aka shoulder push-ups, are variations
of the push-up that improve energy and stability within the shoulders and
triceps. It is normally performed for average to high
reps, such as 8-12 reps per set or more, as part of shoulder or trap-focused coaching.
This simple yet effective train will increase deltoid muscle definition and strength.
This list will clarify over 10 in style machine shoulder workouts paired with names, descriptions, and illustrations.
Alternatively, you can do two cables, urgent up with a impartial grip to focus on the entrance delts and
triceps more. It works the lateral head of the deltoid muscle, which is the rounded muscle at
the very prime of every shoulder.
References:
natural bodybuilders vs steroid users – https://shikhadabas.com/2025/03/06/how-sleep-and-recovery-help-with-muscle-growth –