Umnxibelelwano wethu-udokotela ogqirha ohloniphekileyo uJaroslav Susak, MD kunye noprofesa, wenza ngokuphumelelayo imisebenzi kwi-isibindi kunye ne-pancreas, efuna ubugcisa be-virtuosic.
Jaroslav Mikhailovich , yiziphi iimeko ezinzima kakhulu, kwaye uhlangabezana nazo njani?
Unobungozi obukhulu kakhulu - i-pancreatitis enzima. Ukunyanga ngokungenangqondo kwegqirha kunokukhokelela ekutshintsheni okungenakuguquka nokufa. Iintsholongwane zesibindi, i-bile ducts kunye ne-pancreas zisoloko zisongela ubomi bomgulane, kwaye imisebenzi kulezi ziko ifuna amava kunye nezakhono ezizodwa. Udokotela ogqirha ohloniphekileyo uJaroslav Susak usebenza kwindlela yoNjingalwazi uZemskov, ososayensi onetalente kunye nodokotela ogqirha, enenenhlanhla ukufunda. Kwakhona wayenamava amancedo kakhulu kwiziko laseYurophu yokuPhepha kwebindi. Ngaphambili kwisibhedlele sonyango lokuqala, apho ndisebenzela khona unyaka wesithathu, kwakukho amasebe angama-atyhiyutyhi ephela. Kamva, ngenxa yokulungiswa kwakhona, kuye kwaba lula ukuphucula amava afunyenwe kwaye avelise iindlela eziqhubekayo. Ngokomzekelo, sinokwenza i-hemo-kunye ne-lymphosorption (ukuhlanjululwa kwegazi kunye ne-lymph) malunga newashi, ngokukhululeka, kwizigulane ezinzulu. Inkqubo enzima kangaka isoloko isalathisi kwisigulane kwaye imqobo imbuyisela ebomini.
Udokotela ogqirha ohloniphekileyo uJaroslav Susak, uthe ukuba ne-pancreatitis ephazamisayo kukho ingozi ebomini. Uhlala ujongana nale nzala?
Hayi, kaninzi. Kwiimeko ezininzi, i-ambulensi inika izigulane kuthi, kuba siye safumana amava amaninzi okunyango okutyunjelwayo kuluntu, kwaye izinga layo liphezulu kakhulu. Unyaka kwisibhedlele ufumana iwaka lezi zi gulane, apho ezili-130-150 zinzima kakhulu. I-pancreatitis enobuchule ingenzeka njengengxaki ye-cholelithiasis, isibini sayo sibini sinetyhefu kunye nezidakamizwa zotywala, obangela umonakalo onamandla onobungozi kwisibindi nakwi-pancreas, kwindawo yesithathu yengozi. Ezi zizathu eziqhelekileyo ze-pancreatitis ezinzima zikwabizwa ngokuba ukuphulwa kwe-hormonal sphere, izifo eziphazamisayo, izifo ezibangelwa isifo sikashukela, isifo sikashukela.
I-Yaroslav, mhlawumbi, ayikwazi ukuthathwa njengengozi kwezinye iimeko zezigulane eziziswa yi-ambulensi?
Ngeemeko ezilula kunokuhlangabezana ngokuzinzileyo kwezinye izibhedlele. Ngokuqhelekileyo, samkela izigulane nazo zonke izifo zonyango: i-appendicitis, i-cholecystitis, i-cholecystitis, isilonda esiswini, isifo se-jaundice, kunye ne-peritonitis njengengxaki yabo, kunye neemeko zengxakeko kumdlavuza we-pancreatic.
I-Yaroslav, ukusuka kwigumbi lokulinda, izigulane zifika ngokukhawuleza kwigumbi lokusebenza?
Hayi njalo. Yonke into incike kwi-diagnostic kunye nemeko yesigulane. Kwenzeka ukuba isiguli sifanele silungele ukusebenza, sibambe unyango oluxhasa. Ukuba umntu unengxaki okanye ukuphuma kwegazi, xa wonke umntu enquma imizuzu, simsa ngokukhawuleza kwitheyibhile yokusebenza. Iimeko ezinobungozi kakhulu xa sibhekene nemiphumo ye-cholelithiasis. Ukuhamba kunye neengqungquthela ze-bile, ilitye elibahluphayo, elikhokelela ekuhambeni kwezinto, i-stenosis, ukwanda kwengcinezelo kwi-pancreas kunye nokuvutha kwayo. Kule meko, isigulane sinokubuhlungu obukhulu, imeko yakhe ihla kakhulu. Ukuze sisindise abagulayo, sisusa ilitye. Ukuba ufumene amatye, ungasebenzisi iindlela eziphazamisayo kwaye ulindele ukuphuhliswa kwe-pancreatitis, kuba kungekudala okanye kamva kuya kuqala. Ndikholelwa ukuba amatye ahlala ebonakalisa ukuhlinzwa.
Udokotela ogqirha ohloniphekileyo uJaroslav Susak, kwaye ngokwenene abanye abantu bakholelwa ukuba lo msebenzi awuyi kubasindisa ekuhlaleni kwamatye kwakhona?
Ewe, kutheni? Ukususa i-gallbladder (inkunkuma, apho ukubunjwa kwamatye), ngoko sinokuyicombulula ingxaki: i-bile ifikelele emathunjini kwaye imiqathango yokubunjwa kwamatye ayivuki. Emva kokusebenza, ukuba kwenziwe ngokuchanekileyo, isigulane kufuneka ihambelane nemithintelo ethile kwiinyanga ezine, ize iphile ngaphandle kokuthatha unyango. Kuyingozi kakhulu xa i-gallbladder isendaweni, kodwa ayisebenzi. Ngenxa yokuxhamla kwe-bile, ukusuleleka kwintsholongwane engapheliyo, kuholele ekuvukeleni kwee-ducts, kunye nokuhlaselwa kwe-pancreatitis.
Jaroslav, kwaye kwenzekani emva kokususwa kweepancreas?
Ingqungquthela isuswa kwisisu esibi. Emva kokusebenza (kodwa kungekhona endaweni yayo!) Sisebenzisa iziyobisi ezandisa kakhulu ixesha lokuphila kwezigulane.
Kukho iingcamango malunga nale nkunkuma. Ngaba abaphanga? Ndiyisebenzisa "i-Ukraina", eyakhiwa e-Austria yi-Ukrainian Novitsky ngo-1972, iminyaka emininzi. Isifaniso sakhe, izidakamizwa zethu zasekhaya "Amitazin", ebhalwe nguDkt. Potopalsky, yabonakala kwangaphambili - ngowe-1959. "I-Ukraina" iyasebenza kwiimvumi ezahlukahlukeneyo, ingakumbi ezo ezingaphenduliyo kwi-chemotherapy (ezi ziquka i-pancreatic tumors, melanoma, kunye ne-ovarian tumors). Eli phephelo liphawulekayo kuba aluphathekanga kuphela ukubonakaliswa kwendawo, kodwa isifo se-ascological ngokubanzi. Ichaphazela kuphela iiseli ezinobungozi kwaye zimelela ukukhuseleka kwe-antitumor immunity. Kuya kuba ukunyanisela ukuthetha ukuba "i-Ukraina" inako ukuphilisa isigulane ngasinye, kodwa sikwandisa amathuba akhe okusinda. Le yonyango elisebenza kakuhle, eliphucula umgangatho kunye nokulindela ubomi kweso sigulane emva kokuhlinzwa.
Udokotela ogqirha ohloniphekileyo uJaroslav Susak, ufuna ukutsho ukuba ukususwa kwe-tumor - kungekhona ukubuyiswa?
Kulungile. Ukusebenza akusiyo ithuba lokulibala malunga neengxaki kanye kanye. Kwimeko yam kwakukho imeko xa sisebenzisana nomfazi, kwaye siphathwa nge "Ukraine". Emva kwesikhashana isigulane sethu sinyamezele kwaye sazala umntwana onempilo. Kumele kukhunjulwe ukuba umhlaza awukho ngaphandle kwesizathu: kukho rhoqo iimeko ezikhokelela ekuphuhlisweni komhlaza. Umsebenzi awukwazi ukuwukhupha ngokupheleleyo umntu obalaseleyo wenyama yakhe. Akunamathemba kakhulu ... Ukuxazulula ingxaki enzima kangaka ngoncedo lwe-scalpel kuphela.
Isisu siyisikhumbuzo esibi kakhulu sokuba umntu kufuneka enyamekele impilo yakhe. Kwangaphezu kweyodwa kwenzeka ukuba emva kokuba isisu sisuswe kwenye indawo, emva kwexesha kubonakala kwenye. Kutheni?
Kodwa le nto esiyidingayo ukusebenza. Ndihlala ndiphindaphinda kwizigulane: "Khumbula ukuba emva kokusebenza akudingeki ukuba uqhubeke unyango, kodwa utshintshe indlela ophila ngayo."
Yaroslav, kodwa xa umntu engatshintshi?
Uhlala ekhetha - kunye nendlela yokonyango, kunye nezigqibo, nokuba ulwa naye okanye cha. Kodwa ayikho imilinganiselo ehambelana ngokupheleleyo nakumntu wonke, kwaye asikwazi ukuqinisekisa ukuba iindlela okanye indlela eya kweyodwa iya kuchaphazela enye. Bonke abantu bahluke: esinye isigulane siyayibona inkqubo yonyango njengomsebenzi kwaye izalise ngokupheleleyo imimiselo yonyango, kwaye enye iya kwi sigulo kwaye ayilwa. Ewe, baya kuba namaxesha ahlukeneyo kunye nezibikezelo.
Uvakalelwa njani ngemithandazo yempilo, uhambele izinto ezingcwele? Ngaba bazisa ukuphilisa? Ukholo lusoloko lunceda ekupheliseni nasiphi na isifo. Kwezinye izigulane, ukugqithisa i-tumor kwenzeka ngokukhawuleza. Kodwa ezi ziimeko zodwa. Ingxaki yengqondo ibaluleke kakhulu, andiyikuphikisana. Kwakhona kwaziwa ukuba izigulane, ezithandazela ngokunyanisekileyo, zikhawuleza zibuyele. Nangona kunjalo, isifo esibi kufuneka siphathwe ngendlela enzulu. Ukuba ndibona isigulane esinomkhuhlane okanye enye ingxaki enkulu, andiyi kumbiza ukuba aye ecaweni aze athembele kuThixo. Kodwa unokuthandaza ukuze anomeleze ngokomoya: ihlala ixhasa kakhulu. Kufuneka kukhunjulwe: ukuba uboniswa usebenze, ke ukuhlehliswa kwayo kuyingozi nje.
Jaroslav Susak , ngaba uqaphele ukuba ithemba libuyela ngokukhawuleza?
Ugqirha kufuneka ahlale eqwalasela umzuzu wakhe. Ndifundisa abafundi bam ukuba baqwalasele uhlobo lwesigulane, ukumkela kwakhe. Umntu ngamnye ufuna ukuthetha ngeendlela ezahlukeneyo, ecinga indlela aphathe ngayo isifo sakhe.
Enyanisweni, ukuba sinenkinga elula, umzekelo, i-appendicitis, ngoko sinokuzihlambalaza ngale nto, eimeko ezininzi ezibonakalayo ngokuqonda. Nangona ndiqinisekisa ukuba: wonke umntu oqhelekileyo ukwesaba ugqirha kunye nokungenelela okutyathwayo. Kungabikho ukwesaba abantu abanganeleyo, abangazi, kunye nabo abangenanto yokulahlekelwa. Ngokomzekelo, ukuba umntu ufanele akhonze isigwebo kwiindawo zokulahla inkululeko, ubona utyando kunye nonyango, phantse njengenqabileyo. Wonke umntu unomngcipheko wokwesaba, kodwa ukuba uhlala ungenawo umonakalo ngexesha lonke, oko kuphelelwe yintsipho yenkinga. Kubalulekile ukuqaphela ukuhlinzwa kunye nokunyangwa esibhedlele njengenkqubo yendalo, kungekhona njengento engavamile. Zama ukuthatha lula kwaye uzisebenzele nzima. Ngoko umzimba wethu ulungiswe, ukuba ngamanye amaxesha uyaphumelela, njenganoma yiphina indlela. Ukuba ufuna ukumnceda, kufuneka uqinisekise oku ngezenzo zakho - ngaloo ndlela uya kwandisa ubomi bakho. Kodwa ukuwela kwixinzelelo, ngokuchasene noko, kunzima kakhulu imeko leyo, yenzani ukuba nenzakalise.
Mhlawumbi zonke izigulane , ukuya kwisigulane ogqithiseleyo u-Yaroslav Susak, ucinga ukuba: Kutheni andiyi ... "Wonke umntu unokuqhubeka kwakhe le binzana. Jaroslav, yiyiphi "ingenjalo" ukuba uyayibona into efanelekileyo?
Eyokuqala - i-appendicitis enzima. Ngokuqhelekileyo kwenzeka kubantu abadla okungafanelekanga. Kodwa ukuphuma nge-cirrhosis yesibindi kunokubangelwa utywala, i-viral hepatitis. Ukuphumelela kwesilonda sesisu okanye i-duodenum ngenxa yokungalungi kokutya, ukungahambi kakuhle, uxinzelelo. Isifo se-bile-stone sihlala sisidla ngokungenakudla, ukutya okunamanqatha, ubuninzi bezonkwa ezicoca. Ulungelo lubaluleke kakhulu. Ukuba umntu ohlala kwintsapho yakho uhluphekile kule nto okanye eso sifo, kunokwenzeka ukuba unomdla kulo. Oku kukhanya kokulumkisa, isilumkiso sokuba kufuneka uhlale ulindile kwaye unamathele ekumodareyweni kuyo yonke into.
Jaroslav, ngaba kunokwenzeka ukuba ugweme iimeko ngokulandela imigaqo?
Kunzima ukusho into entsha apha. E-Ukraine, akukho mntu ubandakanyeka ekuthintela, njengokuba, umzekelo, kwakunexesha lamaSoviet. Inkqubo yezempilo yaseSoviet, kunye neemviwo zayo zokukhusela, uviwo lwezonyango, oogqirha bezithili, benza umsebenzi omkhulu. Yatshatyalaliswa, kodwa ngelo xesha abazange batshintshe nantoni na. Ndiyakholwa ukuba lowo wenza oku wenza isono esikhulu. Inkqubo yeSemashko isabonwa njengelona lihle kakhulu kwihlabathi. Namhlanje, iimviwo zokuthintela azifaneki. Ngenxa yoko, eso sifo sitholakale sele sisesiteji xa kunokwenzeka ukuba kungenelelo olungxamisekileyo. Ewe, ukuba i-ambulensi ilawula ukufumana isigulane, kwaye sinokuyigcina.
Namhlanje, abaninzi abantu bahlanganyela ngokuzenzekelayo kwiyeza-mayeza, kakuhle, ulwazi malunga namayeza lunokufumaneka kwi-intanethi, kuboniswe kwiivenkile. Ecinga ukuba le yimeko yakhe, umntu uqala ukusebenzisa iziyobisi ezingenakudinga! Nangona ugqirha akakwazi ukunyanga ngokwakhe, kuba akayi kuba nenjongo: imbono yangaphandle ibaluleke kakhulu. Yintoni esinokuyithetha ngayo ngesigulane esiphathwe ngokungaqhelekanga!
Udokotela ogqirha ohloniphekileyo uJaroslav Susak, ngaba unokwabelana ngetyala kwizenzo, okhumbulayo kakhulu?
Ngelo xesha ndasebenza esibhedlele. Ebusuku, umfazi wayekhalaza ngesisu esiswini. Kwiintsuku ezintathu wayekhathazekile ngentlungu, kunye neentsapho zenceba (kwintsapho yayingabagqirha) zamnika i-painkillers. I-Anesthetized kahle ... Njengoko sele ivele etafileni yokusebenza, isigulane sinesilonda esiswini esiswini. IPeritonitis yavela. Lo mfazi wenza imisebenzi emithathu, wayesithathu kwinkathalo enzulu. Sazithoba nje izandla zethu.
Ngethamsanqa , isigulane sagcinwa. Ngomnyaka kamva, sasebenza kwi-hernia yakhe, sibeka umnatha okhethekileyo, kwaye umfundisi othabatha umhlalaphantsi uhlala ngokuthula. Kwiminyaka emithandathu edlulileyo, lo mfazi ufika ngokukhawuleza ukuba acebise iingcebiso, alandele ngokunyanisekileyo yonke imiqathango yonyango. Ndiyicinga ukuba akayikuzixilisa.
Udokotela ophando ohloniphekileyo u-Yaroslav Susak unentombi kunye nabantwana. Uyamthanda umsebenzi wakhe kwaye uyaziqhayisa ukuba umsebenzi wakhe ukunceda abantu.