Ngokuvumelana nomsebenzi walo, Ibhodi Lokuhlela le-MedTvoiLokony lenza yonke imizamo yokuhlinzeka ngokuqukethwe kwezokwelapha okuthembekile okusekelwa ulwazi lwakamuva lwesayensi. Ifulegi elengeziwe elithi "Okuqukethwe Okuhloliwe" libonisa ukuthi i-athikili ibuyekezwe noma yabhalwa udokotela ngokuqondile. Lokhu kuqinisekisa okuyizinyathelo ezimbili: intatheli yezokwelapha kanye nodokotela basivumela ukuthi sinikeze okuqukethwe kwekhwalithi ephezulu ngokuhambisana nolwazi lwamanje lwezokwelapha.
Ukuzibophezela kwethu kule ndawo kuye kwathakaselwa, phakathi kokunye, yiNhlangano Yezintatheli Zezempilo, eyaklomelisa Ibhodi Lokuhlela le-MedTvoiLokony ngesihloko sokuhlonipha esithi Umfundisi Omkhulu.
UDkt. Tomasz Płonek wase-Wrocław uwine umncintiswano kadokotela ohlinza inhliziyo osemusha ovelele kakhulu eYurophu. Uneminyaka engu-31 ubudala futhi ungudokotela wokuqala emndenini. Usebenza emtholampilo Wokuhlinza Inhliziyo weSibhedlela Sokufundisa saseNyuvesi e-Wrocław. Ijaji le-European Society of Cardiac Surgery and Vascular Surgery lihlabeke umxhwele ngocwaningo ngengozi yokuqhuma kwe-aorta aneurysm.
Udokotela ohlinza inhliziyo osemncane wase-Wrocław wathembisa ukuthi uzoba muhle vele phakathi nezifundo zakhe - waphothula e-Medical Academy njengomfundi ophumelele kakhulu. Wenza ucwaningo ngengozi yokuqhekeka kwe-aortic aneurysm nonjiniyela base-Wrocław University of Science and Technology. Ngokuhlangene, bafuna indlela esebenzayo yokwenza iziguli zifanelekele ukuhlinzwa.
Iyini insha yendlela yakho yokufaneleka kweziguli ukuthi zihlinzwe?
Kuze kube manje, isici esiyinhloko esisicabangele lapho sifaneleka ukuthola i-aneurysm ye-aorta ekhuphukayo kwakuwububanzi be-aorta. Ezifundweni engizethulile, kuhlaziywa izingcindezi odongeni lwe-aorta.
Ingabe wonke ama-aneurysm adinga ukuhlinzwa?
Yebo mkhulu, kodwa ezaluliwe ngokumaphakathi zihlala ziyinkinga yokuxilonga. Ngokweziqondiso, mancane kakhulu ukuthi angasebenza, ngakho-ke okuwukuphela kwenketho ukuwabuka futhi ulinde.
Kwani?
Kuze kube yilapho i-aorta ikhula noma iyeka ukwanda. Kuze kube manje, bekucatshangwa ukuthi i-aorta iqhuma lapho ifinyelela ububanzi obukhulu kakhulu, isb 5-6 cm. Kodwa-ke, ucwaningo lwakamuva lubonise ukuthi ukulinganisa ububanzi akusona isibikezelo esihle sokuthi i-aneurysm izoqhuma noma cha. Iziguli eziningi zenza i-dissection noma ukuphuka kwe-aorta lapho i-aorta ihlanjululwa ngokulinganisela kuphela.
Bese kuthiwani?
Iziguli ziyafa ngenxa yalokho. Abantu abaningi abanalo i-aortic dissection. Inkinga ukuthi zonke iziguli ezine-aorta evuleke ngokulingene azikwazi ukuhlinzwa, njengoba ziningi kakhulu. Umbuzo uwukuthi unganquma kanjani ukuthi yiziphi iziguli ezine-aorta enwetshiwe ngokulingene ezisengozini enkulu futhi ngakho-ke ubani okufanele asebenze ngaphambi kwesikhathi naphezu kobubanzi obuncane be-aorta.
Uqhamuke kanjani nombono oholele ekusungulweni kwendlela entsha yokuxilonga?
Ngiyithanda kakhulu isayensi yezobuchwepheshe, abazali bami bangonjiniyela, ngakho ngibheke inkinga ngombono ohluke kancane. Nganquma ukuthi ukucindezeleka odongeni lwe-aortic kumele kube nethonya elikhulu ekuhlukaniseni.
Ingabe uye wawufinyelela umsebenzi wobunjiniyela?
Yebo. Ngaqala ukuhlola i-aorta, njengokuhlola isakhiwo. Ngaphambi kokuthi sibeke i-skyscraper, sifuna ukuhlola kusenesikhathi ukuthi sizowa yini ngenxa yokundindizela okuncane noma ukuvunguza komoya okunamandla. Ngalokhu, sidinga ukudala - njengoba kwenziwa namuhla - imodeli yekhompyutha. Indlela yalokhu okubizwa ngokuthi i-finite elements futhi iyahlolwa ukuthi izingcindezi ezicatshangelwayo zizoba yini ezindaweni ezahlukene. Ungakwazi "ukulingisa" ithonya lezici ezihlukahlukene - umoya noma ukuzamazama komhlaba. Izindlela ezinjalo bezilokhu zisetshenziswa kwezobunjiniyela iminyaka. Futhi ngacabanga ukuthi okufanayo kungasetshenziswa ekuhlolweni kwe-aorta.
Ubuhlolani?
Yiziphi izici nokuthi zithonya kanjani ukucindezeleka kwe-aorta. Ingabe umfutho wegazi? Ingabe ububanzi be-aorta? Noma mhlawumbe ukunyakaza kwe-aorta okubangelwa ukunyakaza kwenhliziyo, ngoba iseduze ngqo nenhliziyo, engalali futhi ilokhu ifinyela.
Kuthiwani ngokufinyela kwenhliziyo ku-aorta aneurysm kanye nobungozi bokugqashuka kwayo?
Kufana nokuthatha ucezu lwepuleti esandleni sakho bese uligoba emuva naphambili, emuva naphambili - ipuleti lizogcina liphukile. Ngacabanga ukuthi mhlawumbe lokho kushaya kwenhliziyo okungapheli nakho kunomthelela ku-aorta. Ngicabangele izici ezihlukahlukene zobungozi futhi sakha amamodeli ekhompiyutha ukuze sihlole izingcindezi odongeni lwe-aortic.
Lesi yisigaba sokuqala socwaningo. Esinye, esesivele sisisebenzisa kanye nonjiniyela abakhulu base-Wrocław University of Science and Technology, sizojwayelanisa la mamodeli okuhlola esigulini esithile. Sithanda ukusebenzisa imiphumela yethu yocwaningo emsebenzini wansuku zonke womtholampilo futhi sibone ukuthi isebenza kanjani ezigulini ezithile.
Zingaki iziguli le ndlela yokuxilongwa ezingasindisa izimpilo zazo?
Azikho izibalo eziqondile zokuthi bangaki abantu abafa ngenxa ye-aortic dissection, njengoba iziguli eziningi zifa ngaphambi kokufika esibhedlela. Njengoba sekushiwo kakade, ucwaningo lwakamuva lubonise ukuthi i-aortas engakavuleki kakhulu ivame ukuhlukaniswa. Ngaphezu kwalokho, awekho amarekhodi emikhumbi enwetshwe ngokulingene. I-aortic aneurysms itholakala cishe ku-1 kubantu abayi-10. abantu. Ngicabanga ukuthi kukhona okungenani izikhathi ezimbalwa iziguli ezine-aorta evuleke ngokumaphakathi. Esikalini, ngokwesibonelo, ePoland, sekunamashumi ezinkulungwane zabantu.
Ingabe imiphumela efana nomsebenzi wakho wocwaningo ingaba nelungelo lobunikazi?
Imisebenzi enjalo ewukuthuthukiswa kwamasu akhona kakade futhi enomthelela empilweni yomuntu kanye nempilo - ngoba ayiyona into eqanjiwe ngendlela yemishini ethile emisha - ayikwazi ukugunyazwa. Umsebenzi wethu uwumbiko wesayensi esimane sabelane ngawo nabanye ososayensi. Futhi sithemba ukuthi abantu abaningi bazoyithakasela. Kulula futhi kuyashesha ukuthuthuka eqenjini elikhulu. Isihloko socwaningo lwethu sesivele sithathwe ngezinye izikhungo, ngakho ukubambisana kuya ngokushuba.
Ushilo ukuthi abazali bakho bangonjiniyela, pho yini ekuvimbele ukuthi ulandele ezinyathelweni zabo kodwa ube ngudokotela?
Njengomuntu oneminyaka engu-10 ubudala ngazithola ngisewodini lesibhedlela njengesiguli. Umsebenzi walo lonke iqembu lezokwelapha wangithinta inhliziyo kangangokuthi ngacabanga ukuthi kumelwe ngiwenze ekuphileni kwami. Kwezokwelapha ungaba ingxenye kanjiniyela kanye nodokotela ingxenye, futhi kungenzeka ikakhulukazi ekuhlinzeni. Isibonelo salokhu ucwaningo lwami. Umuthi awungqubuzani nezintshisekelo zami zobuchwepheshe, kodwa uyahambisana nazo. Ngifezekile kuzo zombili lezi zindawo, ngakho-ke akukwazi ukuba ngcono.
Uthole iziqu e-Medical Academy e-Wrocław ngo-2010 njengomfundi ophumelele kakhulu. Uneminyaka engu-31 kuphela ubudala futhi unesihloko sikadokotela ohlinza inhliziyo osemusha ongcono kakhulu eYurophu. Uyini lo mklomelo kuwe?
Kuwudumo lwami nokuqashelwa kanye nokuqinisekisa ukunemba kwemicabango yami ngomsebenzi wesayensi. Ukuthi ngihamba ngendlela efanele, ukuthi esikwenzayo kunenzuzo.
Athini amaphupho akho? Uzibona kanjani eminyakeni eyi-10, 20?
Usengumyeni ojabule, ubaba wezingane eziphile kahle onesikhathi sazo. Kuyi-prosaic kakhulu futhi kuya phansi, kodwa yilokho okukulethela injabulo enkulu. Hhayi iziqu zemfundo, hhayi imali, umndeni kuphela. Vala abantu ongathembela kubo njalo.
Futhi ngiyethemba ukuthi udokotela onekhono njengawe ngeke alishiye izwe, uzoqhubeka nocwaningo lwakhe lapha futhi uzoselapha.
Nami ngiyafisa futhi ngiyethemba ukuthi izwe lakithi lizongenzela.