Isimo senhliziyo yasePoland siyaqhubeka nokuba ngcono, izinqubo eziningi zenziwa, odokotela abaningi ngokwengeziwe balokhu okukhethekile, kanye nezikhungo ze-cardiology ezingenele - u-prof oqinisekisiwe. Grzegorz Opolski emhlanganweni nezintatheli eWarsaw.
Umxhumanisi kazwelonke emkhakheni wezifo zenhliziyo, u-prof. UGrzegorz Opolski uthe eminyakeni emi-2-3 kuzoba nemisebenzi engaphezu kwemi-4 ePoland. izazi zenhliziyo, ngoba kukhona odokotela abangaphezu kuka-1400 ohlelweni lwezobuchwepheshe (okwamanje bangaphezu kwezinkulungwane ze-2,7). Ngenxa yalokho, inani lodokotela benhliziyo ngezakhamuzi eziyizigidi ezingu-1 lizokhula lisuka ku-71 liye cishe ku-100, elingaphezu kwesilinganiso saseYurophu.
I-Poland ingenye yezindawo zokuqala e-European Union mayelana nokutholakala kwezinqubo zokungenelela zenhliziyo ezisindisa ukuphila kweziguli ezibizwa ngokuthi i-acute coronary syndromes (evame ukubizwa ngokuthi i-myocardial infarction - PAP). "Sihlukile eqinisweni lokuthi ePoland ayabiza kakhulu kunaseNtshonalanga Yurophu, uma kuqhathaniswa, isibonelo, eNetherlands, ashibhile izikhathi eziningana," esho.
"Lezi zinqubo zivame ukwenziwa hhayi kuphela ezigulini ezine-acute myocardial infarction, kodwa nasezigulini ezine-coronary artery ezinzile" - kugcizelela uProf Opole. Eminyakeni embalwa edlule, njalo inqubo enjalo yesihlanu yokubuyisela imithambo yemisipha yenhliziyo yenziwa ezigulini ezinesifo esizinzile se-coronary artery. Manje, lezi ziguli zenza amaphesenti angu-40. lezi zinqubo.
Lezi zinqubo, ezibizwa ngokuthi i-angioplasty, zenziwa ezikhungweni zenhliziyo ezingenelayo ezitholakala ezweni lonke. Ngo-2012, kwakukhona izikhungo ezinjalo ezingu-143, futhi ekupheleni konyaka odlule isibalo sazo senyuke saba ngu-160. Ngo-2013, ngaphezu kwezinkulungwane ezingu-122. angioplasty futhi 228 ayizinkulungwane. izinqubo ze-coronary angiography ukuhlola isimo semithambo yenhliziyo.
Kukhona nenani elandayo lezikhungo ezihlinzeka ngezinye izinqubo, njengokufakwa kwemishini yenhliziyo eshaya inhliziyo, ama-cardioverter defibrillator, kanye nokwelashwa kwe-cardiac arrhythmias. Isikhathi sokulinda sazo zonke lezi zinqubo, okuhlanganisa i-coronary angiography kanye ne-angioplasty, ezifundeni ngazinye sisukela ezinsukwini ezimbalwa kuye kumaviki ambalwa.
I-Ablation, inqubo esetshenziselwa ukususa i-arrhythmias efana ne-atrial fibrillation, itholakala kancane. “Kusafanele ulinde ngisho unyaka wonke” - kuvuma uProf. Opole. Ngo-2013, phezu 10 izinkulungwane. kulezi zindlela zokwelapha, ngenkulungwane engu-1. eminyakeni engaphezu kwemibili edlule, kodwa namanje akwanele.
Awukho umehluko omkhulu ekufinyeleleni ekwelashweni kwenhliziyo okungenele phakathi kwezakhamizi zasemadolobheni nezasemaphandleni. Iningi leziguli ezinezifo zenhliziyo (83%) zelashwa ezibhedlela eminyangweni yezifo zenhliziyo, hhayi emnyangweni wezokwelapha wangaphakathi. Ukushona esibhedlela kwehle phakathi kwabo. Iphansi kakhulu kubantu abangaphansi kweminyaka engama-65, phakathi kwabo ingeqi ku-5%; kubantu abadala abangaphezu kweminyaka engama-80 ubudala ifinyelela kumaphesenti angama-20.
UProfesa Opolski wavuma ukuthi ukunakekelwa kwangemva kwesibhedlela kweziguli ezine-acute coronary syndrome kanye nalabo abanesifo senhliziyo akwanele. Kodwa-ke, kufanele ithuthukiswe ngendlela ehlelekile, ngoba inhloso iwukuqinisekisa ukuthi iziguli eziningi ngangokunokwenzeka ziyaxilongwa futhi zelashwe ngaphandle, ngoba ishibhile kunokwelashwa kwasesibhedlela.
Inhlangano yokunakekelwa emitholampilo kufanele ithuthukiswe - kusho umxhumanisi we-Mazowieckie Voivodeship emkhakheni wezifo zenhliziyo, u-prof. Hanna Szwed. Iziguli zibhalisela ukubonisana emitholampilo eminingana ngesikhathi esisodwa, bese zingakukhanseli lapho zingeniswe kusenesikhathi kwesinye sezikhungo. “Imiphumela yokuqala yokulawulwa kokunakekelwa kweziguli ezilaliswayo egunyazwe uMnyango Wezempilo ikhombisa ukuthi kweminye imitholampilo e-voivodeship iMazowieckie ifinyelela kumaphesenti angama-30. iziguli azifiki ngesikhathi esibekiwe,” engeza.
UProf. Grzegorz Opolski wagomela ngokuthi ukutshala izimali kudokotela wenhliziyo kungaba negalelo elikhulu ekuqhubekiseni ukwandisa isilinganiso seminyaka yokuphila kwabantu basePoland. Ugcizelele ukuthi izifo zenhliziyo kuseyimbangela yokufa kwabantu abaningi. Amadoda asePoland asaphila iminyaka emi-5-7 emifushane kunaseNtshonalanga Yurophu. Ukunakekelwa okungcono kwenhliziyo kungandisa izimpilo zabo kakhulu.
U-Zbigniew Wojtasiński (PAP)