Kungani odokotela bengochwepheshe bezengqondo ababi kangaka?

Umsizi ubikela inhloko yomnyango ngokuqokwa kokugcina: “Ngilinganise ukushaya kwenhliziyo, ngathatha igazi nomchamo ukuze ngiwuhlaziye,” ebhala emshinini. Futhi uprofesa uyambuza: “Nesandla? Ingabe usibambe isandla sesiguli? Lena i-anecdote eyintandokazi kadokotela ojwayelekile uMartin Winkler, umbhali wencwadi ethi Sachs Disease, yena ngokwakhe ayizwa ngodokotela odumile waseFrance wezinzwa uJean Hamburger.

Izindaba ezifanayo zenzeka ezibhedlela nasemitholampilo eminingi. “Odokotela abaningi kakhulu baphatha iziguli njengokungathi bayizifundo zokutadisha kuphela, hhayi abantu,” kukhalaza uWinkler.

Yilobu “bulwane” uDmitry oneminyaka engu-31 akhuluma ngabo lapho ekhuluma ngengozi embi kakhulu angena kuyo. Wandizela ngaphambili ngewindi lomoya, waphuka umgogodla. “Ngangingasayizwa imilenze yami futhi ngingazi noma ngingakwazi yini ukuhamba futhi,” uyakhumbula. “Ngangimdinga ngempela udokotela wami ongihlinzayo ukuba angisekele.

Kunalokho, ngakusasa ngemva kokuhlinzwa, weza ekamelweni lami nezakhamuzi zakhe. Ngaphandle kokubingelela, waphakamisa ingubo wathi: "Une- paraplegia phambi kwakho." Ngangifuna nje ukumemeza ebusweni bakhe: “Igama lami nginguDima, hhayi “i-paraplegia”!”, Kodwa ngangididekile, ngaphandle kwalokho, nganginqunu ngokuphelele, ngingenakuzivikela.

Kungenzeka kanjani lokhu? UWinkler ukhomba isimiso semfundo saseFrance: “Ukuhlolwa kokungena ezifundweni akuhloli izimfanelo zomuntu, kuphela ikhono lokuzinikela emsebenzini ngokuphelele,” uyachaza. “Iningi lalabo abakhethiwe bazinikele kakhulu emcabangweni wokuthi phambi kwesiguli bavame ukucasha ngezinqubo zobuchwepheshe zokwelashwa ukuze bagweme ukuxhumana nabantu okuvame ukuphazamisa. Ngakho-ke, isibonelo, oprofesa abasizayo basenyuvesi, okuthiwa ama-barons: amandla abo yizincwadi zesayensi kanye nesikhundla se-hierarchical. Banikeza abafundi imodeli yempumelelo.”

Lesi simo asihlanganyeli uProfesa Simonetta Betti, UProfesa OyiNhlangano Yezokuxhumana Nezobudlelwano Kwezokwelapha eNyuvesi yaseMilan: “Imfundo entsha yasenyuvesi yase-Italy inikeza odokotela bakusasa amahora angama-80 okuxhumana kanye namakilasi obudlelwano. Ngaphezu kwalokho, ikhono lokuxhumana neziguli lingenye yezindlela ezibaluleke kakhulu ekuhlolweni kombuso ngeziqu zobungcweti, okubalelwa ku-60% wamamaki wokugcina.”

"Thina, isizukulwane esisha, sonke sihlukile," kusho uProfesa Andrea Casasco, indodana yodokotela, uprofesa osizayo e-University of Pavia kanye nomqondisi we-Italian Diagnostic Center eMilan. “Ingaqheleki futhi igodliwe, ingenawo umlingo, i-aura engcwele eyayivame ukuzungeza odokotela. Nokho, ikakhulukazi ngenxa yohlelo oluqinile lwezibhedlela nemitholampilo, abantu abaningi bagxila kakhulu ezinkingeni zomzimba. Ngaphezu kwalokho, kukhona «hot» amakhono — gynecology, pediatrics — futhi «abanda» yibo - ukuhlinzwa, radiology: radiologist, isibonelo, akusho ngisho ukuhlangabezana neziguli.

Ezinye iziguli zizizwa zingelutho ngaphandle kokuthi "icala elisebenzayo", njengoLilia oneminyaka engu-48 ubudala, owahlinzwa ngenxa yesimila esifubeni sakhe eminyakeni emibili edlule. Nansi indlela akhumbula ngayo imizwa yakhe lapho evakashela udokotela: “Ngesikhathi sokuqala udokotela ehlola i-radiography yami, ngangisendlini yokwamukela izivakashi. Futhi phambi kwesixuku esingabazi, wababaza: “Akukho okuhle!” Wakhuluma ngomzimba wami ngendlela umakhenikha akhuluma ngayo ngemoto! Kuhle ukuthi okungenani abahlengikazi bangiduduze.”

Ubudlelwano bukadokotela nesiguli bungaphola

USimonetta Betty uyaqhubeka: “Ubuhlobo bodokotela nesiguli bulawulwa indlela yokusekela esekelwe okholweni oluyimpumputhe. - Esikhathini sethu, inhlonipho kufanele izuzwe ngekhono lesayensi kanye nendlela yokusondela esigulini. Udokotela kumele akhuthaze iziguli ukuthi zikwazi ukuzimela ekwelapheni, azisize zizivumelanise nesifo, zilawule ukuphazamiseka: lena ukuphela kwendlela yokubhekana nokugula okungapheli.

Ngokukhula kwezifo okufanele uphile nazo, imithi nayo iyashintsha, kuphikisa u-Andrea Casasco: “Ochwepheshe abasebona labo abakubona kanye nje. Izifo zamathambo neziwohlokayo, isifo sikashukela, izinkinga zokujikeleza kwegazi - konke lokhu kuphathwa isikhathi eside, ngakho-ke, kuyadingeka ukwakha ubuhlobo. Mina, njengodokotela nomholi, ngiyagcizelela ekuqokweni okuningiliziwe kwesikhathi eside, ngoba ukunaka nakho kuyithuluzi lomtholampilo.”

Kodwa-ke, odokotela baya ngokuya bebhekana nokulindela okuyihaba kokuthi konke kungaxazululwa futhi kwelashwe, kuchaza uMario Ancona, udokotela wengqondo, udokotela wengqondo kanye nomongameli we-Association for the Analysis of Relationship Dynamics, umhleli wamasemina nezifundo zodokotela bomuntu siqu kulo lonke elase-Italy. “Kudala abantu bethanda ukweseka, manje sebethi bayelapha. Lokhu kudala ukukhathazeka, ukungezwani, ukunganeliseki kudokotela ohambelayo, kuze kufike ekutubekeni. Lokhu kushaya odokotela nabasizi bomuntu siqu kwi-oncology, iminyango yokunakekelwa okujulile kanye neyengqondo.

Kunezinye izizathu: “Kumuntu okhethe indlela yokusiza abanye, kuyakhathaza kakhulu ukusolwa ngamaphutha noma ngokungakwazi ukubala amandla abo,” kuchaza u-Ancona.

Njengomfanekiso, ucaphuna indaba yomngane kadokotela wezingane njengesibonelo: “Ngathola ukukhubazeka kokukhula kosana olulodwa ngase ngiyala ukuba luhlolwe. Umsizi wami, lapho abazali bomntwana befika, wahlehlisa ukuhambela kwabo izinsuku ezimbalwa ngaphandle kokungixwayisa. Futhi bona, sebeye kumlingani wami, beza kimi ukuzophonsa isifo esisha ebusweni bami. Esengiyifakile mina ngokwami!”

Odokotela abasebasha bangakujabulela ukucela usizo, kodwa kubani? Akukho ukusekelwa kwengqondo ezibhedlela, kuyisiko ukukhuluma ngomsebenzi ngokwezobuchwepheshe, wonke umuntu uyesaba ukuthola bonke ubuhlungu nokwesaba iziguli uma evula uzwela kancane. Futhi ukuhlangana njalo nokufa kuzodala ukwesaba kunoma ubani, kuhlanganise nodokotela.

Iziguli zikuthola kunzima ukuzivikela

“Ukugula, ukukhathazeka ngokulindela imiphumela, konke lokhu kwenza iziguli nemindeni yazo zibe sengcupheni. Wonke amagama, zonke izenzo zikadokotela zizwakala ngokujulile,” kuchaza u-Ancona, enezela: “Kumuntu ogulayo, lesi sifo siyingqayizivele. Noma ubani ovakashela umuntu ogulayo ubheka ukugula kwakhe njengento evamile, evamile. Futhi lokhu kubuya kwesimo esijwayelekile esigulini kungase kubonakale njengokushibhile.”

Izihlobo zingase zibe namandla. Nakhu okushiwo uTatyana, 36, (uyise oneminyaka engu-61 ubudala kwatholakala ukuthi unesimila esibindini): “Lapho odokotela becela ukuhlolwa okuningi, ubaba wayelokhu ephikisa, ngoba konke kwakubonakala kuwubuwula kuye. . Odokotela base bephelelwa isineke, umama wathula. Ngancenga ubuntu babo. Ngivumele imizwa ebengiyiminyanisa iphume. Kusukela ngaleso sikhathi kuze kube sekufeni kukababa, babehlale bebuza ukuthi nginjani. Ngobunye ubusuku, inkomishi nje yekhofi kuthulekile yayanele ukusho yonke into.

Ingabe isiguli kufanele siqonde konke?

Umthetho ubophezela odokotela ukuthi banikeze ulwazi oluphelele. Kukholakala ukuthi uma imininingwane yokugula kwazo nazo zonke izindlela zokwelapha zingafihlelwa ezigulini, zizokwazi kangcono ukulwa nokugula kwazo. Kodwa akusona sonke isiguli esikwaziyo ukuqonda konke okushiwo umthetho ukuba kuchazwe.

Isibonelo, uma udokotela ethi kowesifazane one-cyst ovarian: "Kungase kube mnandi, kodwa sizokususa uma kwenzeka," lokhu kuzoba yiqiniso, kodwa hhayi konke. Bekufanele akusho lokhu: “Maningi amathuba okuba nesimila. Sizokwenza ukuhlaziya ukuze sithole uhlobo lwalesi simila. Ngesikhathi esifanayo, kunengozi yokulimala kwamathumbu, i-aorta, kanye nengozi yokungavuki ngemva kwe-anesthesia.

Ulwazi lwalolu hlobo, nakuba lunemininingwane eminingi, lungacindezela isiguli ukuba senqabe ukwelashwa. Ngakho-ke, isibopho sokwazisa isiguli kufanele sigcwaliseke, kodwa hhayi ngobudedengu. Ngaphezu kwalokho, lo msebenzi awuphelele: ngokusho kweNgqungquthela Yamalungelo Abantu kanye ne-Biomedicine (Oviedo, 1997), isiguli sinelungelo lokwenqaba ulwazi lokuxilongwa, futhi kulokhu izihlobo ziyaziswa.

4 Amathiphu Odokotela: Indlela Yokwakha Ubudlelwano

Iseluleko esivela kudokotela wengqondo u-Mario Ancona kanye noprofesa Simonetta Betty.

1. Kumodeli entsha yengqondo neyomsebenzi, ukwelapha akusho "ukuphoqa", kodwa kusho "ukuxoxisana", ukuqonda okulindelwe kanye nengqondo yalowo ophambi kwakho. Ohluphekayo uyakwazi ukumelana nokwelashwa. Udokotela kufanele akwazi ukunqoba lokhu kumelana.

2. Ngemva kokuthola ukuthintana, udokotela kufanele abe nesibindi, enze iziguli ukuzethemba ngomphumela kanye nokusebenza kahle, azikhuthaze ukuba zizimele futhi zivumelane ngokwanele nalesi sifo. Lokhu akufani nokuziphatha okuvame ukwenzeka ekuxilongeni nasekwelashweni okunqunyiwe, lapho isiguli silandela imiyalelo «ngoba udokotela uyazi ukuthi wenzani.»

3. Kubalulekile ukuthi odokotela bangafundi amaqhinga okuxhumana (isibonelo, ukumomotheka emsebenzini), kodwa ukufeza ukuthuthukiswa ngokomzwelo, ukuqonda ukuthi ukuvakashela udokotela kungumhlangano womunye nomunye, okunikeza imizwelo. Futhi zonke ziyabhekwa lapho kwenziwa ukuxilongwa nokukhetha ukwelashwa.

4. Ngokuvamile iziguli ziza nenqwaba yolwazi oluvela ezinhlelweni zethelevishini, omagazini, i-Internet, okwandisa ukukhathazeka kuphela. Odokotela kufanele okungenani baqaphele lokhu kwesaba, okungase kuphendule isiguli ngokumelene nochwepheshe. Kodwa okubaluleke kakhulu, ungazenzi unamandla onke.