Mutauriri wedu - chiremba anoremekedzwa ane ruzivo Jaroslav Susak, MD uye purofesa, anobudirira kuita mabasa pachiropa uye pancreas, inoda basa rakanaka.
Jaroslav Mikhailovich , chii chinonyanya kutaurwa, uye unoita sei nazvo?
Kurwara kwakakomba zvikuru - kuputika kukuru. Kusaporesa kurapwa kwechiremba kunogona kutungamirira kuchinje chisingachinji uye rufu. Zvirwere zvechiropa, bile ducts uye pancreas nguva dzose zvinopisa dambudziko rehupenyu hwemu murwere, uye kushanda pane zvikamu izvi kunoda ruzivo uye unyanzvi hunokosha. Chiremba wechiremba anoremekedzwa Jaroslav Susak anoshandisa nzira yePurofesa Zemskov, nyanzvi yezvechiremba uye chiremba wechiremba, uyo aine mukana wokudzidza. Uyewo akanga ane ruzivo rwakakosha muEuropean Center for Chirwere chechiropa. Pakutanga muchipatara chekubatsira kwekutanga, kwandinoita basa regore rechitatu, kune magwaro mana ekuvhiya pasi rose. Gare gare, kuburikidza nekugadzirisazve, yakave yakakwanisa kuvandudza ruzivo rwakawana uye kuisa nzira dzinofambira mberi. Somuenzaniso, tinogona kuita hemo-uye lymphosorption (kucheneswa kweropa uye lymph) kumativi ose, pasina, kune varwere vakakomba. Nzira yakaoma yakadaro inowanzotaurira murwere uye inomudzosera kuupenyu.
Chiremba wechiremba anoremekedzwa Jaroslav Susak, iwe wakati nechirwere chinotyisa pane kutyisidzira hupenyu hwomurwere. Iwe unowanzobata sei chirwere ichi?
Nhamo, kazhinji. Muzviitiko zvakawanda, ambulensi inopa varwere kwatiri, nokuti takawana ruzivo rwakawanda rwekuvhiya muhutano hwehutano, uye huwandu hwacho hwakanyanya. Gore kune chipatara rinogamuchira kusvika kune chiuru chevarwere ava, iyo 130-150 yakaoma zvikuru. Pachcreatitis yakawanda inogona kuitika sechinhu chinokonzera cholelithiasis, chikonzero chechipiri chinokonzera uroyi nezvinodhaka, izvo zvinokonzera kukanganisa kwakanyanya kwechiropa kuchiropa uye pancreas, panzvimbo yechitatu yekukuvara. Pakati pezvikonzero zvinowanzokonzera kuputika kwepaccitis zvinogonawo kunzi kutyora kwehomoni, chirwere chepathyroid, zvinetso zvemashu, diabetes mellitus.
Yaroslav, zvichida, haigoni kuonekwa seine ngozi kune dzimwe mamiriro ezvinhu evarwere vanounzwa ne ambulensi?
Nezviitiko zvisinganzwisisiki zvinogona kugadzikana zvinyararire mune dzimwe zvipatara. Muzvizhinji, tinogamuchira varwere vane chirwere chepachirwere chose: acute appendicitis, cholecystitis, perforated tummy ulcer, chirurgical jaundice, ne peritonitis sechinhu chinokonzera, pamwe chete nemamiriro ekukurumidzira mune kenza yepancreatic.
Yaroslav, kubva muimba yekurindira, varwere vanokurumidza kupinda muimba yekushanda?
Kwete nguva dzose. Zvose zvinoenderana nehutano uye mamiriro emu murwere. Izvi zvinoitika kuti murwere anoda kuve akagadzirira basa racho, kubata kurapa kunotsigira. Kana munhu ane shungu kana kubuda ropa, kana munhu wose achisarudza maminitsi, tinobva taenda naye kumatafura ekushanda. Mamiriro ezvinhu ane ngozi zvikuru patinenge tichitarisana nemigumisiro ye cholelithiasis. Kufamba pamwe ne bile ducts, dombo rinovhiringidza, iro rinotungamirira kumapasimusi, stenosis, kuwedzera kwezvinetso mumapancasi uye nekuputika kwayo. Muchiitiko ichi, murwere anorwadziwa kwazvo, chirwere chake chinowedzera zvakanyanya. Kuponesa vanorwara, tinobvisa ibwe. Kana wakawana matombo, usashandise nzira dzisinganzwisisiki uye unomiririra kukura kwekutengesa, nekuti munguva pfupi kana kuti ichazotanga. Ndinotenda kuti mabwe anogara ari chiratidzo chekuvhiyiwa.
Chiremba wechiremba anoremekedzwa Jaroslav Susak, uye chaizvoizvo vamwe vanhu vanotenda kuti kushanda hakuzovadziviriri kubva pakudzokazve kwematombo?
Zvakanaka, sei? Kubvisa gallbladder (ganda, umo maumbwa nematombo), isu tinogadzirisa dambudziko racho: bile inopinda mudumbu uye mamiriro ekugadzirwa kwematombo haasimuke. Mushure mokuvhiyiwa, kana ikaitwa zvakanaka, murwere anofanira kutevedzera kune zvimwe zvipingamupinyi kwemwedzi mina, uye zvino anorarama asina kutora mishonga. Icho chinonyanya kuipa kana gorova iri panzvimbo, asi haigoni kushanda. Pamusana pokuderera kweva bile, chirwere chisingaperi chine utachiona, chinotungamirira mukuputika kwe-bile ducts, uyezve kubhadhara pancreatitis.
Jaroslav, uye chii chinoitika mushure mekubviswa kwepancreas?
Iyo gland inobviswa kubva kune chirwere chakaipa. Mushure mokuvhiyiwa (asi kwete panzvimbo yacho!) Tinoshandisa chirwere chinowedzera zvakanyanya kutarisira hupenyu hwevarwere.
Pane nhoroondo pamusoro pechirwere ichi. Haasi kuwedzererwa here? Ndinoshandisa "Ukraina", iyo yakaumbwa muAustria neUkraine Novitsky muna 1972, kwemakore mazhinji. Chimiro chake, mishonga yedu yemombe "Amitazin", yakanyorwa naDkt Potopalsky, yakaonekwa kare-kare muna 1959. "Ukraina" inoshanda kune zviremara zvakasiyana-siyana, kunyanya izvo zvisingaiti chemotherapy (izvi zvinosanganisira pancreatic tumor, melanoma, uye maumorumumoramu). Iyi mishonga inonakidza pakuti inobata kwete zviratidzo zvemunharaunda, asi chirwere chepachikafu chakazara. Iyo inokanganisa masero anonyangadza chete uye anowanzoita antiitumor immunity. Ingava kuwedzeredza kutaura kuti "Ukraina" inokwanisa kuporesa varwere vose, asi inowedzera mikana yekupona. Uyu ndiwo mushonga unobudirira wemishonga, unovandudza hutano uye tarisiro yehupenyu yemurwere mushure mekuvhiyiwa.
Chiremba wechiremba anoremekedzwa Jaroslav Susak, iwe unoda kutaura kuti kubviswa kwechirwere - kwete kugonazve?
Zvakanaka. Kushanda haisi chiitiko chekukanganwa nezvechinetso kamwe chete. Mune tsika yangu pane imwe nyaya patakashanda mukadzi, ndokuzobatwa ne "Ukraine". Mushure mechinguva murwere wedu akaramba akachengeteka uye akazvara mwana ane utano. Inofanira kuyeukwa kuti kenza haina kuitika pasina chikonzero: pane nguva dzose zvikonzero zvakakonzera kukura kwekenza. Kuvhiya hakugoni kubvisa zvachose munhu uyu unhu hwake hwemhuka. Kwete tariro yakajeka ... Kugadzirisa dambudziko rakaoma rakadai nerubatsiro rwechigovera chete haruitiki.
Chirwere chiyeuchidzo chakakomba kuti munhu anofanira kunyatsochengeta utano hwavo. Zvinopfuura kamwechete zvakaitika apo mushure mekunge bundu rakabviswa munzvimbo imwe, mushure mechinguva yakaonekwa mune imwe. Sei?
Asi izvi ndizvo zvatinofanira kushanda. Ndinogara ndichidzokorora kuvarwere: "Yeuka kuti mushure mokuvhiyiwa haufaniri kungoenderera mberi kurapwa, asiwo unoshandura zvakanyanya mararamiro ako."
Yaroslav, asi kana munhu asingashanduki?
Anogara aine sarudzo -uye nzira yekurapa, uye zvisarudzo, kana kurwisana naye kana kwete. Asi hapana maitiro anonyatsokodzera zvachose kune wese, uye hatigone kuvimbisa kuti nzira kana nzira yakasvika kune imwe ichapindirawo kune imwe. Vanhu vose vakasiyana: mumwe murwere anoona nzira yekurapa sebasa uye anozadza zvakakwana mitemo yose yechiremba, uye imwe inopinda muurwere hwake uye hairwisana. Zvechokwadi, ivo vachave nemikana yakasiyana nekufananidzira.
Iwe unonzwa sei nezveminyengetero yehutano, kushanyira zvinhu zvitsvene? Vanokwanisa here kuunza kuporesa? Kutenda nguva dzose kunobatsira mukubvisa chirwere chipi zvacho. Mune vamwe varwere, tumor regression inowanzoitika. Asi izvi ndezvikamu zvakasara. Iko pfungwa inokosha zvakakosha, ini handitauri. Izvo zvinozivikanwawo kuti varwere, avo vanonyengetera nomwoyo wose, vanokurumidza kudzorera. Zvisinei, chirwere chakakomba chinofanira kubatwa nenzira yakakosha. Kana ndikaona murwere ane chirwere kana chimwe chinetso chakakomba, handingamuiti kuti aende kuchechi uye kuvimba naMwari. Asi anogona kunamata kuti asimbiswe mune zvekunamata: inogara ichitsigira. Iko kunofanira kuyeukwa: kana iwe uchiratidzwa chirwere, zvino kuregererwa kwacho kune ngozi.
Jaroslav Susak , waona here kuti tariro inokurumidza kukurumidza?
Chiremba anofanira kugara achifungisisa nguva yake. Ndinodzidzisa vadzidzi vangu kuti vafunge nezvemamiriro ehurwere, kubvuma kwake. Munhu mumwe nomumwe anoda kutaura nenzira dzakasiyana, achifunga kuti anobata sei chirwere chake.
Zvechokwadi, kana tine dambudziko risiri nyore, somuenzaniso, kuwedzera kwekuwedzera, saka tinogona kuseka pamusoro peizvi, iyo inowanzowanikwa nekunzwisisa. Kunyange zvazvo ini ndichikuvimbisa iwe: munhu wose anotarisa anotya chiremba uye chirwere chokuvhiya. Panove pasina kutyisa kwevanhu vasingakwanisi, vasingazivi, uyewo avo vasina chavanofanira kurasikirwa nacho. Somuenzaniso, kana munhu ari kushumira mutongo munzvimbo dzekudzikinura rusununguko, anoona kuvhiyiwa uye kurapwa, senzvimbo yekushandiswa. Munhu wose ane chivako chake chekutya, asi kana iwe ukagara uchikanganisa nguva dzose, zvino izvi zvinoputika nekurwadziwa kwechinetso. Zvakakosha kuona chirwere uye kurapwa muchipatara sechiitiko chechisikigo, uye kwete sechinhu chinoshamisa. Edza kuzvitora zviri nyore uye shanda nesimba pachako. Saka muviri wedu wakarongeka, kuti dzimwe nguva unokundikana, semhando ipi zvayo. Kana iwe uchida kumubatsira, iwe unofanira kutsigira izvi nezviito zvako - nokudaro iwe uchawedzera hupenyu hwako. Asi kuwira mukudzvinyirira, pane zvinopesana, kuwedzera mamiriro acho ezvinhu, ingozvikuvadza iwe pachako.
Zvichida murwere mumwe nomumwe , kuenda kune chiremba anofanirwa chirwere Yaroslav Susak, anofunga kuti: Uye nei ndisinga ... "Munhu wose ane kupfuurira kwake kwemutsara uyu. Jaroslav, chii "kwete" iwe unofunga kuti chakakosha?
Pakutanga - acute appendicitis. Kazhinji zvinowanzoitika kuvanhu vanodya zvisina kunaka. Asi kubuda ropa nechirwere chechiropa kunogona kukonzerwa nekudhakwa, chirwere chetachiona hepatitis. Chirwere chinokonzera chironda chemuviri kana duodenum chinokonzera kusakarurama muzvokudya, mararamiro asina kururama, kushushikana. Dombo-dombo chirwere inenge nguva dzose zvokudya zvisingafadzi, zvokudya zvakakora, zvakawanda zvezvinonhuwira. Heredity inokosha zvikuru. Kana mumwe munhu mumhuri yako akatambura neizvi kana chirwere ichocho, kune mukana wekuti iwe unofarira. Ichi chiedza chenyevero, kunyeverwa kuti unofanirwa kuve wakarinda uye unonamatira kuyananisa mune zvose.
Jaroslav, zvinobvira here kudzivisa kuomesa mamiriro nekutevera mitemo?
Zvakaoma kutaura chimwe chinhu chitsva apa. MuUkraine, hapana munhu anobatanidzwa mukudzivirira, sekuti, somuenzaniso, yaiva mumaSoviet. ISoviet yehutano yehutano, pamwe nekuongororwa kwayo yekudzivirira, kuongororwa kwechiremba, vanachiremba vemunharaunda, vakaita basa rakakura. Yakaparadzwa, asi panguva imwe chete haina kutora chimwe chinhu. Ndinotenda kuti uyo akaita izvi akaita chivi chikuru. Izvo sangano Semashko richiri kuonekwa seimwe yenzvimbo dzakanakisisa munyika. Nhasi, kudzivirira zviongorori hazviwanzoitiki. Somugumisiro, chirwere chacho chinowanikwa kare pane chetatu apo kupindira kwokuvhiya kunokosha. Zvakanaka, kana ambulensi ichikwanisa kutora murwere kwatiri, uye isu tinogona kumuponesa.
Mazuva ano, vanhu vazhinji vari kuita zvekuzvipira kuzvipira, zvakanaka, ruzivo pamusoro pemishonga inogona kuwanikwa paInternet, inoonekwa mune zvekutengesa. Achifunga kuti iyi ndiyo nyaya yake, munhu anotanga kushandisa zvinodhaka zvaasingadi! Kunyange chiremba haagoni kuzvirapa pachake, nokuti haakwanisi kuva nechinangwa: maonero kunze anonyanya kukosha. Chii chatingataura pamusoro pemurwere ari kurapwa pasina!
Chiremba wezvechiremba airemekedzwa Jaroslav Susak, unogona here kugovera nyaya kubva pamabasa, iwe unofunga zvikuru?
Panguva iyoyo ndakashanda muchipatara. Usiku, mukadzi akachema pamusoro pemimba yakakura. Mazuva matatu ainetseka nemarwadzo, uye hama dzinonzwira tsitsi (mumhuri dzaiva vanachiremba) dzakamupa chirwere chepenzi. Yakanatswa zvakanaka chaizvo ... Sezvazvakazoitika patafura yekushanda, murwere aiva nechirwere chepuresi chinoputika. Peritonitis yakatanga. Mukadzi wacho akawana maitiro matatu, aive katatu mukuchengetwa kwakanyanya. Tangoti tadzika maoko edu.
Nenzira yakanaka , murwere akaponeswa. Gore rakatevera, takashanda pamunda wayo, tichiisa mambure chaiwo, uye mudzidzisi akatora muchengeti anogara achinyarara. Makore matanhatu apfuura, mukadzi wacho nguva nenguva anouya kwatiri kune mazano, achishingaira kutevera mitemo yose yezvehutano. Ndinofunga kuti haasi kuzvidzora zvakare.
Chiremba anoremekedzwa Yaroslav Susak ane musikana nevana. Anoda basa rake uye anozvikudza kuti basa rake nderokubatsira vanhu.