Zvinoenderana nebasa rayo, Iyo Edhiyo Bhodhi yeMedTvoiLokony inoedza neparinogona napo kupa yakavimbika zvekurapa zvemukati zvinotsigirwa neruzivo rwazvino rwesainzi. Mureza wekuwedzera "Zvakatariswa Zvemukati" zvinoratidza kuti chinyorwa chakaongororwa kana kunyorwa zvakananga nachiremba. Iyi nhanho-mbiri yekusimbisa: mutori wenhau wezvekurapa uye chiremba anotitendera kuti tipe zvemhando yepamusoro zvemukati zvinoenderana neruzivo rwekurapa rwazvino.
Kuzvipira kwedu munharaunda iyi kwakaongwa, pakati pevamwe, neSangano reVatori venhau vehutano, iro rakapa iyo Editorial Board yeMedTvoiLokony ine zita rekuremekedza reMudzidzisi Mukuru.
Dr. Tomasz Płonek anobva kuWrocław akahwina mukwikwidzi wechidiki ane mukurumbira wekuvhiya moyo muEurope. Ane makore 31 uye chiremba wekutanga mumhuri. Anoshanda paMoyo Surgery Clinic yeYunivhesiti Teaching Hospital muWrocław. The jury of the European Society of Cardiac Surgery uye Vascular Surgery yakafadzwa netsvakurudzo pamusoro pengozi yekuparara kweaortic aneurysm.
Chiremba wechidiki wekuvhiya moyo kubva kuWrocław akavimbisa kuve akanaka panguva yezvidzidzo zvake - akapedza kudzidza kubva kuMedical Academy seakapedza kudzidza. Anoita tsvakurudzo pamusoro pengozi yeaortic aneurysm kuputika nevanjiniya kubva kuWrocław University of Science and Technology. Pamwe chete, vari kutsvaga nzira inoshanda yekukodzera varwere kuvhiyiwa.
Ndeupi hutsva hwenzira yako yekukodzera varwere kuvhiyiwa?
Kusvika pari zvino, chinhu chikuru chatakafunga pakukodzera kune aneurysm yeaorta inokwira yaive dhayamita yeaorta. Muzvidzidzo zvandakaratidza, kushushikana mumadziro eaortic kunoongororwa.
Aneurysms yese inoda kuvhiyiwa here?
Hongu hongu, asi akawedzera zvine mwero anoramba ari dambudziko rekuongorora. Zvinoenderana nemirairo, idiki kwazvo kuti isashande, saka sarudzo chete ndeyekuvatarisa uye kumirira.
Yechii?
Kusvikira aorta yakura kana kumira kuwedzera. Kusvika iye zvino, zvave zvichifungidzirwa kuti aorta inoputika kana inosvika pakureba kukuru, semuenzaniso 5-6 cm. Zvisinei, zvidzidzo zvenguva pfupi yapfuura zvakaratidza kuti kuyera dhayamita haisi fungidziro yakanaka yekuti aneurysm ichaputika here kana kuti kwete. Varwere vazhinji vanogadzira dissection kana kuputika kweaorta apo aorta inongowedzera zvishoma.
Uyezve chii?
Varwere vanofa nekuda kwayo. Vanhu vazhinji havaoni aortic dissection. Dambudziko nderekuti varwere vese vane aorta ine mwero yakanyungudutswa havagone kuvhiyiwa, sezvo varipo vakawanda. Mubvunzo ndewokuti ungaziva sei kuti ndevapi varwere vane aorta ine mwero yakaderedzwa vari panjodzi huru uye saka ndiani anoshanda kare kunyangwe dhayamita diki yeaorta.
Iwe wakauya sei nepfungwa yakakonzera kugadzirwa kwenzira itsva yekuongorora?
Ini ndinoda chaizvo tekinoroji sainzi, vabereki vangu mainjiniya, saka ndakatarisa dambudziko kubva kune imwe maonero akasiyana. Ndakafunga kuti kushushikana mumadziro eaortic kunofanirwa kuve nekupesvedzera kukuru pane dissection.
Wakasvika pabasa reinjiniya here?
Ehe. Ndakatanga kuongorora aorta, sekuongorora chimiro. Tisati taisa skyscraper, tinoda kuongorora pachine nguva kuti ichadonha nekuda kwekudedera kudiki kana mhepo ine simba. Nokuda kweizvi, tinoda kugadzira - sezvaiitwa mazuva ano - muenzaniso wekombiyuta. Iyo nzira yezvinonzi finite element uye inotariswa kuti fungidziro yekufungidzira ichave yei munzvimbo dzakasiyana. Iwe unogona "kutevedzera" simba rezvinhu zvakasiyana-siyana - mhepo kana kudengenyeka kwenyika. Nzira dzakadaro dzakashandiswa muinjiniya kwemakore. Uye ndakafunga kuti zvakafanana zvinogona kushandiswa pakuongororwa kweaorta.
Wanga uchitarisa chii?
Ndezvipi zvinhu uye zvinokanganisa sei kushushikana kweaorta. Iropa here? Iyo dhayamita yeaorta? Kana kuti zvichida ndiko kufamba kweaorta kunokonzerwa nekufamba kwemoyo, nokuti yakatarisana zvakananga nemoyo, iyo isingamborara uye inoramba ichibvumirana.
Zvakadini nekumisikidzwa kwemoyo kune aortic aneurysm uye njodzi yekutsemuka kwayo?
Zvakafanana nekutora chimedu chendiro muruoko rwako wochikotamisa kumashure neshure, kumashure nekudzoka - ndiro inozotyoka. Ndakafunga kuti pamwe kurova kwehana kwacho kwaitovawo nekuita patsinga. Ndakatora zvakasiyana-siyana zvengozi mukufunga uye takagadzira makomputa mamodheru kuti tiongorore kushushikana mumadziro eaortic.
Iyi ndiyo nhanho yekutanga yekutsvaga. Imwe, yatiri kutoita pamwe chete nemainjiniya makuru kubva kuWrocław University yeSainzi neTekinoroji, tichange tichigadzirisa aya mamodhiyo ekuongorora kune mumwe murwere. Tinoda kuita mhedzisiro yedu yekutsvagisa mubasa remazuva ese rekiriniki uye kuona kuti rinoshanda sei kune chaivo varwere.
Vangani varwere vanogona nzira iyi yekuongorora kuponesa hupenyu hwavo?
Iko hakuna nhamba chaiyo yekuti vangani vanhu vanofa neaortic dissection, sezvo varwere vazhinji vanofa vasati vasvika kuchipatara. Sezvatotaurwa, zvidzidzo zvemazuva ano zvakaratidza kuti aortas iyo isati yanyanya kucheneswa ndiyo inonyanya kuparadzaniswa. Mukuwedzera, hapana zvinyorwa zvezvikepe zvine mwero dilated. Aortic aneurysms inowanikwa mune angangoita 1 mu10 vanhu. vanhu. Ndinofungidzira kuti kune kanokwana kanoverengeka varwere vakawanda vane aorta yakadzikama. Muchiyero che, semuenzaniso, Poland, kwatova nemakumi ezviuru zvevanhu.
Mibairo yakadai sebasa rako rekutsvagisa inogona kupihwa patent here?
Mabasa akadaro ari kuvandudzwa kwemaitiro agara aripo uye ane simba pahutano hwevanhu nehupenyu - nekuti haasi magadzirirwo emhando yemidziyo mitsva chaiyo - haigone kuve nemvumo. Basa redu ishumo yesainzi yatinongogovana nevamwe vedu vesainzi. Uye tinovimba kuti vanhu vakawanda vacharifarira. Zviri nyore uye nekukurumidza kufambira mberi muboka rakakura. Musoro wetsvakiridzo yedu wakatotorwa nedzimwe nzvimbo, saka kubatana kuri kuwedzera simba.
Wakataura kuti vabereki vako mainjiniya, saka chii chakakutadzisa kutevera tsoka dzavo asi kuzova chiremba?
Semwana wemakore gumi ndakazviwana ndava muwadhi yechipatara semurwere. Basa reboka rose rezvokurapa rakandiorora zvokuti ndakafunga kuti ndaifanira kuriita muupenyu hwangu. Mumushonga unogona kuva chikamu injiniya uye chikamu chiremba, uye zvinogoneka kunyanya mukuvhiya. Muenzaniso weizvi tsvakurudzo yangu. Mushonga haupesani nezvido zvangu zvehunyanzvi, asi unozadzisa iwo. Ini ndakakwanisa munzvimbo mbiri, saka hazvigone kuita zvirinani.
Wakapedza kudzidza kuMedical Academy muWrocław muna 2010 sewakapedza kufunda. Iwe unongova nemakore makumi matatu nerimwe uye une zita repamusoro soro chiremba wekuvhiya mwoyo muEurope. Mubairo uyu ndewei kwauri?
Ndekwangu rukudzo uye kucherechedzwa uye simbiso yekururama kwemafungiro angu pamusoro pebasa resainzi. Kuti ndiri kuenda negwara chairo, kuti zvatinoita zvine basa.
Zviroto zvako ndezvipi? Unozviona sei mumakore 10, 20?
Ndichiri murume anofara, baba vevana vane utano vane nguva navo. Izvo zvakanyanya prosaic uye pasi-pasi-pasi, asi ndizvo zvinokuunzira iwe mufaro mukuru. Kwete madhigirii edzidzo, kwete mari, mhuri chete. Vhara vanhu vaunogona kugara uchivimba navo.
Uye ndinovimba kuti chiremba ane tarenda sewe haazobva munyika, acharamba achitsvaga pano uye achatirapa.
Ndinozvishuvirawo uye ndinovimba kuti kumusha kwangu kuchandigonera.