Wothandizana nawo - dokotala wa opaleshoni wolemekezeka dzina lake Jaroslav Susak, MD ndi pulofesa, amachita bwino kugwira chiwindi ndi kapangidwe, zomwe zimafuna ntchito zamakono.
Jaroslav Mikhailovich , ndi chiyani chomwe chimakhala chovuta kwambiri, ndipo mumatani?
Matenda aakulu kwambiri - chiwopsezo chachikulu. Kuchiza mwamsanga kwa dokotala kungabweretse kusintha kosasinthika ndi imfa. Matenda a chiwindi, bile, ndi ziphuphu zimakhala zoopsa kwambiri pa moyo wa wodwalayo, ndipo ntchito za ziwalozi zimafuna kudziwa ndi luso lapadera. Dokotala wa opaleshoni wolemekezeka Jaroslav Susak amagwiritsa ntchito njira ya Pulofesa Zemskov, katswiri wa sayansi ndi madokotala, yemwe anali ndi mwayi wophunzira. Komanso adali ndi zofunikira kwambiri ku European Center for Surgery pachiwindi. Kumayambiriro kwa chipatala choyamba, komwe ndimagwira ntchito m'chaka chachitatu, madokotala anachipatala anayi onse amapita kuchipatala. Pambuyo pake, chifukwa cha kukonzedwanso, zinakhala zotheka kukonzanso zomwe zinapindula ndi kuyambitsa njira zowonjezera. Mwachitsanzo, tikhoza kupanga hemo-ndi-lymphosorption (kuyeretsedwa kwa magazi ndi mitsempha) nthawi yonse, kwaulere, kwa odwala aakulu. Ndondomeko yotereyi nthawi zambiri imakhala yolandira wodwalayo ndipo imamubweretsanso kumoyo.
Dokotala wa opaleshoni wolemekezeka Jaroslav Susak, munanena kuti ndi matenda oopsa opatsirana amakhala oopseza moyo wa wodwalayo. Kodi ndi kangati zomwe mukuchita ndi matendawa?
Tsoka, nthawi zambiri. Kawirikawiri, ambulansi imapereka odwala kwa ife, chifukwa chakuti tapatsidwa chithandizo chachikulu cha opaleshoni mu matendawa, ndipo msinkhu wake ndi wapamwamba kwambiri. Chaka chaka kuchipatala amalandira odwala 1,000, omwe 130-150 ndi oopsa kwambiri. Kuchuluka kwa chifuwa chachikulu kumakhala ngati vuto la cholelithiasis, chifukwa chake chachiwiri ndi poizoni ndi mankhwala oledzeretsa, zomwe zimayambitsa chiwopsezo chachikulu cha chiwindi ku chiwindi ndi zopamba, m'malo ochitatu a chovulalacho. Zomwe zimayambitsa matenda opatsirana kwambiri amatha kutchedwanso kuphwanya mahomoni, matenda a parathyroid, matenda osokoneza bongo, matenda a shuga.
Yaroslav, mwinamwake, sitingaganize kuti pali zinthu zina zoopsa za odwala omwe amabweretsa ambulansi?
Ndi zovuta zochepa zingathe kupirira bwinobwino kuchipatala china. Kawirikawiri, timavomereza odwala onse opatsirana opaleshoni: chiwombankhanga, cholecystitis, chifuwa chachikulu cha m'mimba, chifuwa cha opaleshoni, ndi peritonitis monga vuto lawo, komanso matenda a khansa ya pancreatic.
Yaroslav, wochokera kuchipinda chodikirira, odwala mwamsanga amalowa m'chipinda chogwirira ntchito?
Osati nthawi zonse. Chirichonse chimadalira pa matenda ndi chikhalidwe cha wodwalayo. Izi zimachitika kuti wodwalayo ayenera kukhala wokonzeka kugwira ntchitoyo, kuti akhale ndi chithandizo chothandizira. Ngati munthu ali ndi vuto lalikulu kapena magazi, pamene aliyense asankha maminiti, timangomutengera ku tebulo. Zoopsa kwambiri pamene tikulimbana ndi zotsatira za cholelithiasis. Pogwiritsa ntchito mankhwala a bile, mwalawo umawapweteketsa, womwe umabweretsa mavuto aakulu, stenosis, kuwonjezeka kwapakati m'maphalaphala ndi kutupa kwake. Pankhaniyi, wodwalayo amamva kupweteka kwambiri, matenda ake amachepa kwambiri. Kuti tipeze odwala, timachotsa mwalawo. Ngati mwapeza miyala, musagwiritse ntchito njira zopanda kukayikira ndikudikira kukula kwa chifuwa chachikulu, chifukwa posachedwa chidzayamba. Ndimakhulupirira kuti miyala nthawi zonse imawonetsa opaleshoni.
Dokotala wa opaleshoni wotchuka Jaroslav Susak, ndipo kwenikweni anthu ena amakhulupirira kuti opaleshoniyo sidzawapulumutse ku kubweranso kwa miyala?
Chabwino, bwanji? Kutulutsa gallbladder (malo ogwiritsira ntchito miyala), potero timathetsa vutoli: bile nthawi yomweyo imalowa m'matumbo ndi momwe zimakhalira kupanga mapangidwe. Pambuyo pa opaleshoniyo, ngati yachitidwa molondola, wodwalayo ayenera kutsatira zoletsa zina kwa miyezi inayi, kenako amakhala popanda kumwa mankhwala. Ndizoopsa kwambiri pamene ndulu yayamba, koma siigwira ntchito. Chifukwa cha kuchepa kwa bile, matenda aakulu amayamba, omwe amachititsa kutupa kwa ducts, ndiyeno kubwezera chifuwa chachikulu.
Jaroslav, ndipo chimachitika n'chiyani atachotsa kapangidwe?
Matendawa amachotsedwa ku chotupa chachikulu. Pambuyo pa opaleshoni (koma osati mmalo mwake!) Timagwiritsa ntchito mankhwala omwe amathandiza kwambiri kuti odwala aziyembekezera moyo wawo.
Pali nthano za mankhwalawa. Kodi iwo sagwedezeka? Ndikugwiritsa ntchito "Ukraina", yomwe inakhazikitsidwa ku Austria ndi Novitsky ya ku Ukraine mu 1972, kwa zaka zambiri. Chimodzimodzinso, mankhwala athu am'mudzi "Amitazin", olembedwa ndi Dr. Potopalsky, adayambira kale - mu 1959. "Ukraina" imagwira ntchito pamatenda osiyanasiyana, makamaka omwe samvera mankhwala a chemotherapy (izi zikuphatikizapo zotupa za pancreatic, melanoma, ndi mazira ovindira). Njira imeneyi ndi yochititsa chidwi kwambiri chifukwa imakhudza mawonetseredwe am'deralo, koma matenda a chilengedwe. Amakhudza maselo oopsa okha ndipo amaimitsa thupi lopanda chitetezo. Kungakhale kukokomeza kunena kuti "Ukraina" amatha kuchiza odwala onse, koma zimapangitsa kuti akhale ndi mwayi wopulumuka. Izi ndi mankhwala othandiza ogwiritsira ntchito mankhwala, omwe amamuthandiza kukhala ndi moyo wabwino komanso kuyembekezera moyo wodwalayo atatha opaleshoni.
Dokotala wa opaleshoni wotchuka Jaroslav Susak, mukufuna kunena kuti kuchotsedwa kwa chotupacho - osati kuchira?
Ndibwino. Kugwiritsira ntchito sikuli koyenera kuiwala vutoli kamodzi. Kuchita kwanga kunali mlandu pamene tinagwira ntchito mkazi, kenako tinachizidwa ndi "Ukraine". Patapita kanthawi wodwala wathu anapirira bwino ndipo anabala mwana wathanzi. Tiyenera kukumbukira kuti khansara sichipezeka popanda chifukwa: nthawi zonse pali zinthu zomwe zinayambitsa chitukuko. Opaleshoni sangathe kumuchotseratu umunthu wake. Osakhala ndi chiyembekezo chochuluka ... Kuthetsa vuto lovuta chotero mothandizidwa ndi scalpel yokha silolondola.
Chotupa ndi chikumbutso chachikulu kuti munthu ayenera kusamaladi thanzi lawo. Koposa kamodzi izo zinachitika kuti pambuyo pa chotupacho chichotsedwa pamalo amodzi, patapita kanthawi chinawonekera kwinakwake. Chifukwa chiyani?
Koma izi ndi zomwe tifunikira kugwira ntchito. Nthaŵi zonse ndimabwereza kwa odwala: "Kumbukirani kuti mutatha opaleshoni simukungofuna kuti mupitirize kuchipatala, komanso mumasintha kwambiri moyo wanu."
Yaroslav, koma ngati munthu sasintha?
Nthawi zonse ali ndi kusankha - njira yothandizira, ndi zosankha, kaya akumenyana naye kapena ayi. Koma palibe miyezo yomwe imakhudza kwathunthu kwa aliyense, ndipo sitingatsimikizire kuti njira zomwe zimadza kwa wina zidzakhudzanso wina. Anthu onse ndi osiyana: wodwala wina amadziwa njira ya chithandizo monga ntchito ndipo amakwaniritsa mosamala malamulo onse a dokotala, ndipo winayo amalowa mu matenda ake ndipo samenyana. Inde, iwo adzakhala ndi mwayi wosiyana ndi maulosi.
Kodi mumamva bwanji pa mapemphero a zaumoyo, kuyendera zinthu zopatulika? Kodi iwo angabweretse machiritso? Chikhulupiriro nthawi zonse chimathandiza kuthetsa matenda alionse. Kwa odwala ena, chifuwachi chimayambira pokhapokha. Koma izi ndizokhaokha. Maganizo ndi ofunika kwambiri, sindikukangana. Zimadziwikanso kuti odwala, omwe amapemphera moona mtima, akufulumira kuchira. Komabe, matenda aakulu ayenera kuchitidwa ndi njira zenizeni. Ngati ndiwona wodwalayo ali ndi chotupa kapena vuto lina lalikulu, sindimutcha kuti apite kutchalitchi ndikudalira Mulungu. Koma akhoza kupemphera kuti alimbikitse mwauzimu: nthawi zonse zimakhala zothandizira kwambiri. Iyenera kukumbukiridwa: ngati mukuwonetsedwa opaleshoni, ndiye kuti kuikidwanso kumakhala koopsa.
Jaroslav Susak , kodi mwawona kuti opindula amatha msanga?
Dokotala ayenera nthawi zonse kuganizira nthawi yake. Ndimaphunzitsa ophunzira anga kuganizira za chikhalidwe cha wodwalayo, kulandira kwake. Munthu aliyense ayenera kulankhula m'njira zosiyanasiyana, kuganizira mmene amachitira ndi matenda ake.
Inde, ngati tili ndi vuto losavuta, mwachitsanzo, kuwonjezereka, ndiye kuti tikhoza kuseka ponena za izi, zomwe nthawi zambiri zimamveka bwino. Ngakhale ndikukuuzani kuti: Munthu aliyense wamba amaopa dokotala wa opaleshoni ndi opaleshoni. Mwina sipangakhale mantha a anthu, osadziŵa, komanso omwe alibe kanthu. Mwachitsanzo, ngati munthu akutumizira chigamulo m'malo operekera ufulu, amawona opaleshoni ndi chithandizo, pafupifupi ngati malo osungira. Aliyense ali ndi malo ake enieni a mantha, koma ngati mutakhalabe ovuta nthawi zonse, ndiye kuti izi zikudzaza ndi vuto lalikulu. Ndikofunika kuzindikira opaleshoni ndi kuchipatala kuchipatala ngati njira yachilengedwe, osati ngati chinthu chodabwitsa. Yesetsani kuzipanga mosavuta ndikugwira ntchito mwakhama. Kotero thupi lathu limakonzedweratu, kuti nthawi zina limalephera, ngati njira iliyonse. Ngati mukufuna kumuthandiza, muyenera kutsimikizira izi ndi zochita zanu - potero mudzawonjezera moyo wanu. Koma kugwera muchisokonezo, mmalo mosiyana, kuvulaza mkhalidwewo, ingodzipweteka nokha.
Mwinamwake wodwala aliyense , kupita kwa dokotala wochita opaleshoni Yaroslav Susak, akuganiza kuti: Ndipo chifukwa chiyani ine sindiri ... "Aliyense ali ndi kupitiriza kwake kwa mawu awa. Jaroslav, kodi "osati" mumaganiza kuti ndi ofunika kwambiri?
Poyamba - pachimake chowunikira. Kawirikawiri zimachitika mwa anthu omwe amadya molakwika. Koma kutuluka magazi ndi chiwindi cha chiwindi kungayambitsedwe ndi uchidakwa, matenda a chiwindi. Ululu wopweteka wa m'mimba kapena duodenum chifukwa cha zolakwika mu zakudya, moyo wosayenerera, nkhawa. Matenda a miyala yamtengo wapatali nthawi zonse amakhala opanda chakudya, chakudya chambiri, zakudya zochuluka zokometsera. Ukhondo ndi wofunika kwambiri. Ngati wina m'banja mwanu akuvutika ndi matendawa, pali kuthekera kuti muli ndi chizoloŵezi chake. Awa ndi kuchenjeza, kuchenjeza kuti muyenera kukhala osamala ndi kumamatira pang'onopang'ono.
Jaroslav, kodi n'zotheka kupeŵa kukakamiza zinthu mwa kutsatira malamulo?
N'zovuta kunena chinachake chatsopano apa. Ku Ukraine, palibe amene akukhudzidwa, monga, mwachitsanzo, zinali mu Soviet times. Mchitidwe wa thanzi wa Soviet, pamodzi ndi mayeso ake odzitetezera, kuyeza kwachipatala, madokotala achigawo, anachita ntchito yabwino. Iwo anawonongedwa, koma pa nthawi yomweyo iwo sanalowe m'malo chirichonse. Ndikukhulupirira kuti amene anachita izi anachita tchimo lalikulu. Semashko akuyang'aniranso kuti ndi imodzi mwa zabwino kwambiri padziko lapansi. Lero, mayeso oletsa ndi osowa. Chotsatira chake, matendawa amapezeka kale pa siteji pamene opaleshoni ya opaleshoni ndi yofunikira. Chabwino, ngati ambulansi imatha kuyendetsa wodwalayo, ndipo tikhoza kumupulumutsa.
Masiku ano, anthu ambiri amagwira ntchito yodzipangira okha, zabwino, zokhudzana ndi mankhwala angapezeke pa intaneti, zowonetsedwa pa malonda. Poganiza kuti ndi mmene amachitira, munthu amayamba kumwa mankhwala osayenera! Ngakhale dokotala sangathe kuchiritsa yekha, chifukwa sangathe kukhala ndi cholinga: malingaliro akunja ndi ofunikira kwambiri. Kodi tinganene chiyani ponena za wodwalayo amene akuchiritsidwa mosavuta?
Dokotala wa opaleshoni wolemekezeka Jaroslav Susak, kodi mungauzeko nkhaniyi, yomwe mumakumbukira kwambiri?
Panthawi imeneyo ndinagwira ntchito kuchipatala. Usiku, mayi adandaula za mimba yofutukuka kwambiri. Masiku atatu amasautsika ndi ululu, ndi achibale ake achifundo (m'banja lawo anali madokotala) anam'patsa mankhwala opweteka. Anazizira bwino kwambiri ... Monga momwe zinalili kale pa tebulo logwira ntchito, wodwalayo anali ndi chilonda cha m'mimba. Peritonitis inayamba. Mkaziyo anachita opaleshoni zitatu, anali katatu m'chipatala chachikulu. Tinangokweza manja athu.
Mwamwayi , wodwalayo anapulumutsidwa. Chaka chotsatira, tinagwira ntchito yake, ndikuika ukonde wapadera, ndipo mphunzitsi wopuma pantchito amakhala mwamtendere. Zaka zisanu ndi chimodzi zapita, mkaziyo amabwera kwa ife kukapempha uphungu, kutsatira ndondomeko yonse ya mankhwala. Ine ndikuganiza iye sali wodzipiritsa yekha.
Dokotala wa opaleshoni wotchuka Yaroslav Susak ali ndi mwana ndi ana. Amakonda ntchito yake ndipo amanyadira kuti ntchito yake ndi kuthandiza anthu.