150 OÊı·ÏÌÔÏÔÁ›·, 14, 2 (2002)›Ó·Î·˜ 3. ∫ÏÈÓÈÎfi ıÂÚ·apple¢ÙÈÎfi appleÚˆÙfiÎÔÏÏÔ ÁÈ· ηÎÔ‹ıË ÌÂÏ·ÓÒÌ·Ù·.∂›‰Ô˜ ‚Ï¿‚˘ ˘ÓÈÛÙÒÌÂÓË ıÂÚ·apple›· ∫·Ù¿Ù·ÍË ÙÂÎÌËÚ›ˆÛ˘∂appleÈÏÂÁ̤ÓÔÈ fiÁÎÔÈ ‚ÏÂÊ·ÚÈÎÔ‡ ¯Â›ÏÔ˘˜ ªÈÎÚÔÁÚ·ÊÈ΋ ̤ıÔ‰Ô˜ Mohs ππ¢È·ÎÚÈÙ¿ fiÚÈ· ∂Í·›ÚÂÛË Ì ٷ¯Â›· ‚ÈÔ„›· ππªÂÏ·ÓÒÌ·Ù· Ì ‚¿ıÔ˜ 2 mm ∞Û·Ê‹˜ πππ∂appleÈÏÂÁ̤ӷ ÌÂÏ·ÓÒÌ·Ù· °ÔÓȉȷ΋ ıÂÚ·apple›· ππÙ¿‰ÈÔ πππ ‹ πV ªÂÚÈ΋ ÂÍ·›ÚÂÛË ÏÂÌÊ·‰¤ÓˆÓ ππÙ¿‰ÈÔ πππ ‹ πV ÈÓÙÈÏÔÁÚ·Ê›· ÏÂÌÊ·‰¤ÓˆÓ Î·È ÂÍ·›ÚÂÛË ππÙ¿‰ÈÔ ππ - πV ÌÂϿӈ̷ ˘ÌappleÏËڈ̷ÙÈο ÈÓÙÂÚÊÂÚfiÓË πÂÚ›appleo˘ 5-10% ·applefi fiÏo˘˜ Ùo˘˜ ‰ÂÚÌ·ÙÈÎo‡˜ ηÚ-ΛÓo˘˜ Û˘Ó·ÓÙÒÓÙ·È ÛÙ· ‚Ϥʷڷ Î·È Î¿ı ¯ÚfiÓo400.000 ¿ÙoÌ· ÛÙËÓ ∞ÌÂÚÈ΋ ·Ó·appleÙ‡ÛÛo˘Ó μ∫∫ appleo˘·ÓÙÈÛÙoȯ› ÛÙo 90% ÙˆÓ ÌË ÌÂÏ·ÓˆÙÈÎÒÓ ‰ÂÚÌ·ÙÈ-ÎÒÓ fiÁÎˆÓ Î·È 80% fiÏˆÓ ÙˆÓ ‚ÏÂÊ·ÚÈÎÒÓ Î·ÎfiËıˆÓfiÁÎˆÓ 1,36 . Δo ∞∫∫ ·ÓÙÈÛÙoȯ› ÛÙo 9% ÙˆÓ Î·-ÎfiËıˆÓ ‚ÏÂÊ·ÚÈÎÒÓ fiÁÎˆÓ 1 . Δo ηÎfiËı˜ ÌÂÏ¿Óˆ-Ì· Î·È ∫∞ Â›Ó·È Ûapple¿ÓÈoÈ fiÁÎoÈ ·ÏÏ¿ ‰˘ÓËÙÈο ı·-Ó·ÙËÊfiÚoÈ Î·È ·apple·ÈÙo‡Ó appleÚoÛÂÎÙÈ΋ ·ÓÙÈÌÂÙÒappleÈÛË.μ·ÛÈÎo΢ÙÙ·ÚÈÎfi Î·È ·Î·Óıo΢ÙÙ·ÚÈÎfiηÚÎ›ÓˆÌ·Δ· ıÂÚ·apple¢ÙÈο appleÚˆÙfiÎoÏÏ· ÂappleÈapple¤‰o˘ π ‹Ù·ÓË ÌÈÎÚoÁÚ·ÊÈ΋ Ù¯ÓÈ΋ Mohs Î·È Ë Ù·¯Â›· ‚Èo„›·˘appleoÛÙËÚÈ˙fiÌÂÓ· ·applefi ÂÚÁ·Û›Â˜ Ì ÌÂÁ¿Ïo ·ÚÈıÌfi·ÛıÂÓÒÓ 42,43 . ·ÚfiÏo οappleoȘ ÂÚÁ·Û›Â˜ ˘appleoÛÙ‹-ÚÈ˙·Ó appleÚˆÙfiÎoÏÏ· ÂappleÈapple¤‰o˘ ππ, ›¯·Ó ÌÈÎÚfi ·ÚÈı-Ìfi ·ÛıÂÓÒÓ 45,49 . ÚÈÓ ÙËÓ ÂÊ·ÚÌoÁ‹ Ù˘ ÌÂıfi‰o˘Mohs Ë ıÓËÛÈÌfiÙËÙ· ·applefi μ∫∫ Î·È ∞∫∫ ¤Êı·ÓÂÙo 11% 37 . Δo appleoÛoÛÙfi ˘appleoÙÚoapple‹˜ Ì ÙËÓ Ì¤ıo‰oÙo˘ Mohs ‹Ù·Ó ÁÈ· μ∫∫ 1% ÂÓÒ ÁÈ· ∞∫∫ 1,9% ÛÂÛÂÈÚ¿ 1986 ·ÛıÂÓÒÓ. ªÂ ÙËÓ Ì¤ıo‰o Ù˘ Ù·¯Â›·˜‚Èo„›·˜ Ë ˘appleoÙÚoapple‹ Û μ∫∫ ‹Ù·Ó 2% 43 . ÕÏϘÌoÚʤ˜ ıÂÚ·apple›·˜ fiappleˆ˜ ʈÙo‰˘Ó·ÌÈ΋ ıÂÚ·apple›·,CO 2laser ·ÎÙÈÓo‚oÏ›·, ¯ËÌÂÈoıÂÚ·apple›·, ÎÚ˘oıÂ-Ú·apple›· Î·È ·-ÈÓÙÂÚÊÂÚfiÓË Â›¯·Ó appleoÛoÛÙ¿ ˘appleoÙÚoapple‹˜·applefi 5 ¤ˆ˜ 100% 45,58 . ∏ ÈÓÙÂÚÊÂÚfiÓË, ʈÙo‰˘-Ó·ÌÈ΋ ıÂÚ·apple›· Î·È laser ıˆÚo‡ÓÙ·È ·appleoÙÂÏÂ-ÛÌ·ÙÈΤ˜ ̤ıo‰oÈ ÁÈ· ·ÛıÂÓ›˜ Ì appleoÏÏ·appleÏo‡˜ fi-ÁÎo˘˜47-47,50,51,59 Ì appleoÛoÛÙ¿ ÂappleÈÙ˘¯›·˜ 84% 61 . ∏ ÙoappleÈ΋ÂÊ·ÚÌoÁ‹ ·ÌÈÓoÏ‚o˘ÏÈÓÈÎo‡ oͤԘ (ALA)·appleoÙÂÏ› ·appleoÙÂÏÂÛÌ·ÙÈ΋ ÂÓ·ÏÏ·ÎÙÈ΋ ̤ıo‰o 60 . ∏ÎÚ˘oıÂÚ·apple›· ‰ÂÓ ÂӉ›ÎÓ˘Ù·È ÁÈ· fiÁÎo˘˜ Ì ‚·-ıÈ¿ Âapple¤ÎÙ·ÛË 62 . O Anderson 63 Û˘Ófi„ÈÛ ٷ appleÚoÙÂ-Ú‹Ì·Ù· Ù˘ ÌÂıfi‰o˘ Mohs ˆ˜ ÂÍ‹˜:1. ª¤ÁÈÛÙË ·ÎÚ›‚ÂÈ· Û˘Ó‰˘·˙fiÌÂÓË Ì appleÚo-‚Ϥ„ÈÌË ·appleoηٿÛÙ·ÛË.2. ªÂȈ̤ÓË ÓoÛËÚfiÙËÙ· Î·È ıÓËÛÈÌfiÙËÙ·.3. ˘Ó‰˘·ÛÌfi˜ ÂȉÈÎoÙ‹ÙˆÓ Ì ·‡ÍËÛË ·appleo-ÙÂÏÂÛÌ·ÙÈÎfiÙËÙ·˜.4. ªÂȈ̤ÓË ‰È¿ÚÎÂÈ· Û¯ÂÙÈο Ì ÙËÓ Ù·¯Â›·‚Èo„›·.5. ∞ÓÙÈÎÂÈÌÂÓÈ΋ appleÏ‹Ú˘ ÂÍ·›ÚÂÛË fiÁÎo˘.6. ˘ÓÙ‹ÚËÛË ˘ÁÈo‡˜ ÈÛÙo‡.7. ¢›ÓÂÈ ÙËÓ ‰˘Ó·ÙfiÙËÙ· ÛÙoÓ ¯ÂÈÚo˘ÚÁfi Ó·appleÚoÁÚ·ÌÌ·Ù›ÛÂÈ ÙËÓ ‰È·‰Èηۛ·.8. ∂Ï·¯ÈÛÙoappleoÈ› ÙȘ ‰Â˘ÙÂÚ‡o˘Û˜ ÂappleÂÌ‚¿-ÛÂȘ.9. ¢›ÓÂÈ Î·Ï¿ ÏÂÈÙo˘ÚÁÈο Î·È ·ÈÛıËÙÈο·appleoÙÂϤÛÌ·Ù·.∏ Ù·¯Â›· ‚Èo„›· ÌappleoÚ› Ó· ‰ÒÛÂÈ ÂÍ›Ûo˘ η-Ï¿ ·appleoÙÂϤÛÌ·Ù· fiÙ·Ó Á›ÓÂÙ·È Ì ÂÍÂȉÈÎÂ˘Ì¤Óo˘˜apple·ıoÏoÁo·Ó·ÙfiÌo˘˜. °È· ÌÂÙ·ÛÙ¿ÛÂȘ ÛÙo˘˜ ÂappleÈ-¯ÒÚÈo˘˜ ÏÂÌÊ·‰¤Ó˜ o Morton 64-68 appleÂÚȤÁÚ·„ÂÙËÓ ‰ÈÂÁ¯ÂÈÚËÙÈ΋ ÂÎÏÂÎÙÈ΋ ·Ê·›ÚÂÛË ·‰¤ÓˆÓ È-‰›ˆ˜ ÁÈ· ∞∫∫. °È· Ùo˘˜ apple·Ú·apple¿Óˆ ÏfiÁo˘˜ oÈ ·-appleoÙÂÏÂÛÌ·ÙÈÎfiÙÂÚ˜ ̤ıo‰oÈ ıˆÚo‡ÓÙ·È Ë ÌÈ-ÎÚoÁÚ·ÊÈ΋ ̤ıo‰o˜ Mohs Î·È Ë Ù·¯Â›· ‚Èo„›·.∫·ÚΛӈ̷ ÛÌËÁÌ·ÙoÁfiÓˆÓ ·‰¤ÓˆÓ£ÂˆÚo‡ÓÙ·È oÈ appleϤoÓ ı·Ó·ÙËÊfiÚoÈ ‚ÏÂÊ·-ÚÈÎo› fiÁÎoÈ Ì appleÂÓÙ·ÂÙ‹ ÂappleÈ‚›ˆÛË ÌfiÏȘ 30% 29 . ∏Û˘¯ÓfiÙËÙ· ÂÌÊ¿ÓÈÛ‹˜ Ùo˘˜ Â›Ó·È 0,7% fiÏˆÓ ÙˆÓ‚ÏÂÊ·ÚÈÎÒÓ fiÁÎˆÓ Î·È 5,5% ÙˆÓ Î·ÎfiËıˆÓ ‚ÏÂ-Ê·ÚÈÎÒÓ fiÁΈÓ. OÈ ÌÂϤÙ˜ appleo˘ ˘appleoÛÙËÚ›˙o˘Ó ÙËÓÂÊ·ÚÌoÁ‹ Ù˘ ÌÈÎÚoÁÚ·ÊÈ΋˜ ÌÂıfi‰o˘ ‹Ù·Ó ·Ó·-‰ÚoÌÈΤ˜20,69-73 Î·È Ùo ÌÂÈoÓ¤ÎÙËÌ· Ù˘ ÌÂıfi‰o˘Â›Ó·È fiÙÈ ‰ÂÓ ÂÓÙoapple›˙ÂÈ ÙȘ apple·ÁÂÙoÂȉ›˜ ‰ÈËı‹ÛÂȘ.ŒÙÛÈ Ë ÂÍ·›ÚÂÛË Ì ٷ¯Â›· ‚Èo„›· Î·È appleoÏÏ·appleϤ˜‚Èo„›Â˜ ÂappleÈappleÂÊ˘ÎfiÙ· ÛÙ· ¯¤ÚÈ· ÂȉÈÎo‡ apple·ıoÏo-ÁÔ·Ó·ÙfiÌo˘ ¤¯ÂÈ Ù· ηχÙÂÚ· ·appleoÙÂϤÛÌ·Ù·70 ηÈÙo appleÚˆÙfiÎoÏÏo appleo˘ Û˘Ó‰˘¿˙ÂÈ ÙËÓ ‚Èo„›· ÂappleÈappleÂ-Ê˘ÎfiÙ· Ì ÌÈ· ·applefi ÙȘ apple·Ú·apple¿Óˆ ÌÂıfi‰o˘˜ ¯·Ú·-ÎÙËÚ›˙ÂÙ·È ÂappleÈapple¤‰o˘ π 74 . OÈ ¿ÏϘ ıÂÚ·apple¢ÙÈΤ˜Ì¤ıo‰oÈ ·ÊoÚo‡Ó ·ÛıÂÓ›˜ appleo˘ ‰ÂÓ ÂappleÈı˘Ìo‡Ó ‹‰ÂÓ ÌappleoÚo‡Ó Ó· ˘appleoÛÙo‡Ó ¯ÂÈÚo˘ÚÁÈ΋ Âapple¤Ì‚·ÛË
OÊı·ÏÌÔÏÔÁ›·, 14, 2 (2002) 151‹ ¤¯o˘Ó ÎoÁ¯È΋ ÌÂÙ¿ÛÙ·ÛË 75-78 , ÂÓÒ Ë ÎÚ˘oıÂÚ·-apple›· ¤¯ÂÈ appleÂÚÈoÚÈṲ̂ӷ ·appleoÙÂϤÛÌ·Ù· ΢ڛˆ˜ Û·ÛıÂÓ›˜ appleo˘ ‰ÂÓ ÌappleoÚo‡Ó Ó· ˘appleoÛÙo‡Ó ‚·ÚÈ¿ Â-apple¤Ì‚·ÛË fiappleˆ˜ Ë ÂÍÂÓÙ¤ÚˆÛË ÎfiÁ¯o˘78 . ∏ ·ÎÙÈÓo-‚oÏ›· Âapple›Û˘ ¤¯ÂÈ appleoχ ÌÈÎÚ‹ ‰Ú·ÛÙÈÎfiÙËÙ·, ÌÂÌÂÁ¿Ï· appleoÛoÛÙ¿ ˘appleoÙÚoapple‹˜, ·ÎfiÌ· Î·È ‡ÛÙÂÚ··applefi 50 Gy 76-79 Ë ÂÍÂÓÙ¤ÚˆÛË ÂӉ›ÎÓ˘Ù·È Û appleÂÚÈ-ÛÙ·ÙÈο ÎoÁ¯È΋˜ Âapple¤ÎÙ·Û˘ appleo˘ ·ÓÙÈÛÙoȯo‡Ó ÛÙo6-45% 80-82 .∫·ÎfiËı˜ ÌÂϿӈ̷ڈÙoapple·ı¤˜ ÌÂϿӈ̷ ‚ÏÂÊ¿ÚˆÓ Â›Ó·È Û¯Â-ÙÈο Ûapple¿ÓÈo Î·È Û˘Ó·ÓÙ¿Ù·È ÛÙo 1% ÙˆÓ ‚ÏÂÊ·ÚÈ-ÎÒÓ Î·ÎfiËıˆÓ fiÁΈÓ, ·ÏÏ¿ ¤¯ÂÈ Î·Î‹ appleÚfiÁÓˆÛË.∏ appleÂÓÙ·ÂÙ‹˜ ÂappleÈ‚›ˆÛË ÂÍ·ÚÙ¿Ù·È ·applefi Ùo ‚¿ıo˜‰È‹ıËÛ˘83 Î·È ÁÈ· ‚¿ıo˜ 0,76 mm Î·È ÏÈÁfiÙÂÚo ËÂappleÈ‚›ˆÛË Â›Ó·È 100% ÂÓÒ Ì ‚¿ıo˜ 1,5 mm Ë ÂappleÈ-‚›ˆÛË Â›Ó·È 60%.∏ ·ÁÎfiÛÌÈ· OÚÁ¿ÓˆÛË YÁ›·˜ ηٿÚÙÈÛÂÌÈ· appleÚooappleÙÈ΋ ÌÂϤÙË ÁÈ· ÙËÓ ÂÎÙ›ÌËÛË ÙˆÓ oÚ›ˆÓÏÂappleÙÒÓ fiÁÎˆÓ (
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