Institute of Shalimov: Adilesi, ndemanga za madokotala

Ndalama yotchuka kwambiri ya sayansi ya zachipatala ku Ukraine ndi Shalimov Institute, yomwe yakhala ikugwira ntchito ku Kiev kwa zaka zoposa 35.

Woyambitsa ndi mphunzitsi

Dzina la Alexander Alekseevich Shalimov limadziŵika kwambiri ndi dokotala aliyense opaleshoni ku Ukraine. Pochokera ku dera la Lipetsk, Shalimov sanangokhala membala wa magulu ambiri opanga opaleshoni yapadziko lonse, komanso Hero Hero wa Ukraine, amene anayambitsa sukulu yopanga opaleshoni.

Uyu ndi munthu yemwe tanthauzo la "kudzipanga yekha" likugwirizana. Alexander Alekseevich anali mmodzi mwa ana 14 m'banja lalikulu lomwe linali ndi mabanja osauka. Ataphunzira mwamsanga ku Kuban Medical Institute, dokotala wa opaleshoniyo anadutsa Nkhondo Yachikristu ku chipatala chachipatala m'dera la Chita. Iye sadatengedwe kutsogolo chifukwa cha zifukwa zathanzi. Anthu ambiri anali atakakamizidwa kale kwa iye pochiritsa.

Panthawi ya moyo wake, munthuyu anachita opaleshoni yoposa opitirira 40,000, ndipo anayamba kupanga luso lamakono opaleshoni. Ntchito yoyamba yopangira mtima ku Ukraine inkachitika motsatira malangizo ake. Anadziwika kuti Munthu wa Planet mu 1998. Dokotala wina wodziŵa opaleshoni anamwalira mu 2006. Ngakhale panthawi ya dokotala wa opaleshoni, chipatala chachipatala, chomwe chinaperekedwa kwa zaka zambiri, chinatchedwa kuti Institute Institute ya Shalimov.

Amzanga ndi zopindulitsa

Mnzanga wapamtima wa Shalimov ndi mpikisano wochita mpikisano wotchukayo ndi Nikolai Amosov, mmodzi wa opaleshoni opanga ma thoracic padziko lonse. Poyambitsa njira zatsopano zopangira opaleshoni, Shalimov ndiye anali woyamba ku USSR kuti apange odwala matenda a shuga kwa odwala matenda a shuga. Anayambitsa ndi kuyambitsa njira zothandizira khansa, kuphatikizapo kuchotsedwa kwa chiwindi.

Masiku ano bungwe la Shalimov limapitiriza kugwira ntchito ya woyambitsa, pochiritsa matenda osiyanasiyana opaleshoni. Sukuluyi ilibe luso lapadera la opaleshoni, limapereka chisamaliro chabwino kwa anthu omwe ali ndi matenda osiyanasiyana.

Kodi akuchitidwa chiyani?

Masiku ano, Institute of Shalimov ndilo chipatala chotsogolera kuchipatala ku Ukraine ndi ma opaleshoni, omwe ma dipatimenti oterewa amagwira bwino ntchito:

- opaleshoni ya tsamba la m'mimba;

- Opaleshoni ya Laparoscopic;

- Kupaleshoni ndi opaleshoni ya chiwindi;

- opaleshoni ya sitima zazikulu;

- opaleshoni ya microvascular, pulasitiki ndi yokonzanso;

- kupatsirana kwa impso;

- Kupaleshoni ndi kuchitidwa opaleshoni ya mtima;

- opaleshoni yamakono ndi angiography;

- anesthesiology ndi chisamaliro chachikulu;

- Kutsegula ndi kuyimitsidwa bwino.

M'bukuli muli National Institute. Shalimova ili ndi ma laboratories omwe amapereka njira zambiri zogwiritsira ntchito matenda. Pali ma laboratories a biochemistry ndi bacteriology, endoscopy, pathomorphology ndi cytology, akupanga matenda.

Kuchitidwa opaleshoni

Dipatimenti ya Opaleshoni Yoyenera ndi yochititsa chidwi kwambiri m'sukuluyi. Motero "kubadwa" kwa matekinoloje atsopano ndi njira zopaleshoni, kupulumutsa pambuyo pake miyoyo yambiri. Mtsogoleri wa dipatimentiyi ndi Wogwira Ntchito Wopanga Sayansi ndi Zamakono ku Ukraine, Dokotala wa Zamankhwala Zamankhwala Yury A. Furmanov.

Monga mukudziwira, njira zatsopano m'masiku athu zikhoza kukhalira pokhapakati pazitsulo za sayansi, zomwe sizonyalanyaza Institute Shalimov. Umboni wa odwala othokozawo umati iwo ali pano kuti athandize muzovuta zowonjezereka komanso zosagwirizana.

Apa panali njira zogwiritsira ntchito zida zamoyo, kuwotcha magetsi, kutsegula m'magazi kwa kutuluka magazi.

Pano, nsalu zogwiritsidwa ntchito zowonongeka, zojambula zamatenda za microsurgery, mabanki chifukwa cha zilonda za mabala opunduka, mabala a hemostatics, opangira mankhwala opangidwa ndi opaleshoni, opatsidwa opaleshoni yopatsidwa opaleshoni anapatsidwa "tikiti ya moyo".

Maso ku Ulaya

Kuchokera ku Ulaya, madokotala a Institute Institute ya Shalimov adabweretsera njira yothetsera vuto la matenda. Pano, kwa nthawi yoyamba ku Ukraine, makina ovomerezeka a ogwira ntchito ku Dipatimenti ya Mapulaneti anakhazikitsidwa. Lingaliro lenileni la "khadi lapakompyuta" lawonekera. Pakuloledwa, fayilo yalowa kwa wodwala aliyense, kumene deta yonse yowunika kwake ndi chithandizo chake imalembedwa. Aliyense amene anayesapo kufufuza zambiri zokhudza izi kapena kuti opaleshoni yoteteza opaleshoni imayamikira nthawi yomwe ilipo.

Kuonjezera apo, opaleshoni yokonza opaleshoni imapangidwa ndi gulu lomwe silinali ochita opaleshoni okhaokha, anamwino komanso anesthesiologists, komanso kuphatikizapo akatswiri a zaumisiri. Njirayi ikukuthandizani kuti mupirire mavuto a zachipatala a zovuta zonse.

Momwemonso madokotala onse a Sukulu ya Shalimov ali ndi digiri ya sayansi, ndipo izi zimachulukitsa chiwerengero cha ntchito za ogwira ntchito ku chipatala. Ngati anzanu ali ndi mwayi wofunsira pa zovuta zovuta zachipatala ndi zofufuza ndi olemba a njira, ndiye zotsatira zake zikudziwika bwino.

Kuwunikira polyclinic

Institute of Surgery ndi Transplantology. Shalimova amavomereza odwala ake ku polyclinic tsiku logwira ntchito kuyambira maola 8 mpaka 16. Kufulumira kwa ntchito ya madokotala kukumana ndi zoyenera kwambiri ku Ulaya: njira zonse zogwiritsira ntchito zizindikiro zimagwiritsidwa ntchito patsiku la mankhwala.

Mwachidziwikire, wodwalayo ayenera kukhala wokonzeka kuchita njira zothandizira. Kuwadziwitsa odwala, pali registry ndi manambala a foni a foni, komwe akatswiri adzayankha mafunso onse.

Ovomerezeka ndi madokotala a sayansi ya zachipatala amawafunsa odwala, kotero wodwalayo amalandira chigamulo chokhudza zaumoyo wake woyamba.

Kodi madokotala amalimbikitsanso kugwiritsa ntchito maselo otani?

Povomerezeka ku Ukraine, ndi bwino kugwiritsa ntchito maselo ofanana ndi mankhwala okhawo atatu akuti:

- pancreatic necrosis kapena imfa ya kapangidwe;

- chiwalo chokhwimitsa ndichoschemia;

- kuvulazidwa ndi kuwotchedwa.

Institute of Transplantology ya Shalimov ndi imodzi mwa mabungwe asanu azachipatala omwe ali ndi chilolezo chochokera kwa Ministry of Health ku Ukraine kugwiritsa ntchito maselo ofanana ndi mankhwala. Chilolezocho chinalandiridwa ndi bungwe la 2013, ndipo kuyambira nthawiyo njirayi yagwiritsidwa ntchito bwino.

Khalani osamala-maselo!

Maselo a tsinde amafunikira ntchito yochenjera kwambiri komanso yolondola. Chowonadi ndi chakuti maselo osayanjanitsika amatha "kukula" ku maselo a ziwalo zosiyanasiyana omwe ali ndi ntchito yeniyeni, monga hepatocytes - maselo a chiwindi, maselo a mtima - maselo a mtima kapena maselo a hematopoietic - kupanga maselo a magazi.

Kuwongolera maselo osungunuka, opangidwa bwino ndi osaphunzira, kukhoza kuwonetsa kusokonezeka kwa khansa - ndicho chifukwa chake kuperekera kumeneku kungachitidwe ndi madokotala odziwa bwino kwambiri.

Mankhwala osokoneza bongo amatha kokha opaleshoni

Anthu ambiri amavutika ndi ululu m'mimba ndi matenda osokoneza ubongo chifukwa cha kutupa kosatha kwa kapangidwe kapenanso kupweteka. Izi zimawonekera makamaka pambuyo pa maholide, pamene anthu amadya kwambiri, kutsuka chakudya cha mafuta ndi mowa. Madokotala odziwa za "First Aid" nthawi zonse amatenga odwalawo ku dipatimenti yopaleshoni, chifukwa choti kungochita opaleshoni kungathandize.

Kievans mwanjira imeneyi anali olemera kuposa ena - ali ndi sukulu yotchedwa Shalimov, yomwe adilesi yake ndi: ul. Masewera a Sevastopol, 30. Pano tili ndi mwayi wapadera wothandizira matenda opatsirana. Pali chipatala chonse cha opaleshoni ya opaleshoni ndi opaleshoni yokonzanso mazira.

Kuphatikizana uku sikungowonongeka. Chomwe chimayamba chifukwa cha matenda a pancreatic ndi ndondomeko, zomwe zimachokera mu ndulu ndipo zimayendetsa njira yaying'ono kudzera mwachinsinsi chomwe chimapangidwira m'mimba. Chifukwa chakuti njirayi imatsekedwa, ziphuphu zimadzaza ndi chinsinsi, ndipo panthawi ina chigoba cha gland sichikuphulika. Izi zimayambitsa kusungunuka kwa minofu ndi imfa yake. Popanda kuloŵerera mwamsanga, pakadali pano munthu akhoza kufa.

Opaleshoni yaying'ono, yapulasitiki ndi yokonzanso

Izi siziri chomwe "opaleshoni ya opaleshoni ya pulasitiki" imayanjana ndi munthu wamba. Pano iwo sakuchita zokongoletsera zokongola zokha, komanso amalowetsa ziwalo zomangika zomwe zimatayika: minofu, ziwalo, manja ndi mapazi.

Malangizo a microsurgery ndi othandizira kwambiri, mkati mwa chimangidwe chimene chimapangidwanso. Kulephera kapena kusowa kwa maburashi kungakonzedwe mu chipinda chino.

Kuvulala kwachibadwa, zotsatira za kuchotsa opaleshoni, zotsatira za kutentha, zopweteka m'kukula kwa miyendo, mapulotechete, misampha ya mutu ndi khosi, ndipo kulephera kwapachipatala kukhoza kuchiritsidwa. Mphuno ya wodwalayo yokhala ndi minofu yomwe imakhalapo mmanja mwa dokotala wochita opaleshoni amatha kupanga zozizwitsa zenizeni.

Sayansi yamakono ndi yosatha "yolembedwera" pano. Chinthu chokha chomwe madotolo amadandaula nacho ndi kusowa kwa zipangizo zamankhwala, koma opaleshoni sangathe kuthetsa vutoli palokha.

Dipatimenti ya Opaleshoni Yopachiritsa ndi Angiography

Institute of Surgery ya Shalimov imapulumutsa miyoyo ya anthu omwe akudwala matenda ndi mtima, komanso omwe amawamasulira ku ziwalo zosiyanasiyana.

Matenda amoyo amafa chifukwa chakuti amasiya kulandira magazi okwera mpweya. Izi zimachitika kawirikawiri chifukwa cha vasospasm, pamene palibe chitetezo, magazi sangathe "kufinya". Kulepheretsa kungathenso kugwira ntchito ngati thrombus, atherosclerotic plaque kapena kupwetekedwa mtima, kuwonongedwa kwa chotengera chokha.

Pofuna kupulumutsa moyo wa munthu pakadali pano, zimatha kukhala ndi chitsulo chofewa kapena chochepa kwambiri, osalola kuti makoma a chotengera aswe. Pulogalamu yamatabwa yomwe ili pamtengowu, imayimitsidwa ndi buluni, ndipo lumen imapangidwa ndi stent. Nyumba yachitsulo sichisamala ngati munthuyo ali wamanjenje kapena ayi, akudwala kwambiri kapena adrenaline kuthamanga - stent imagwira lumen mwamphamvu, ndipo magazi amapita mwachizolowezi.

Choncho anthu omwe ali ndi matenda osapitirira amakhala otsitsimula okhawo mwayi.

Bungwe limapanga ntchito yapaderadera ngati kuika gawo la chiwindi kuchokera kwa wachibale, kuchotsedwa kwa zotupa zofooka, kulandira chithandizo cha kunenepa kwambiri ndi zina zambiri.

Ndemanga za odwala za madokotala

Iwo anali ogawanika pafupifupi mofanana: pro ndi contra. Pambuyo pa imfa ya Academician Shalimov, Institute ikukumana ndi mavuto ovuta. Kuyenerera kwa madokotala opaleshoni sikunapitirire, bungwe linasintha. Gulu la akatswiri apadera limayang'aniridwa ndi munthu yemwe sali ndi zotsatira zokha za sayansi, koma komanso makhalidwe abwino. Momwemo m'kalasiyi adawotcha kwambiri kuti chiopsezochi chinadutsa pamtunda wa malo olemekezeka. Izi zikuwongolera kuti tsopano bungwe silivomereza odwala ovuta, "osati kusokoneza chiwerengero" ndi zotsatira zoopsa.

Zidalibe kuyembekezera kuti bungwe lidzatsogoleredwa ndi wokondwerera ntchito yake tsiku lina, zomwe zidzalola kuti chipatala chibwererenso ulemerero wake wakale.