Mkhalidwe wa cardiology ya ku Poland ukupitirirabe bwino, njira zowonjezereka zimachitidwa, madokotala ochulukirapo a izi, komanso malo opangira matenda a mtima - prof wotsimikiziridwa. Grzegorz Opolski pamsonkhano ndi atolankhani ku Warsaw.
Katswiri wadziko lonse pankhani yazamtima, Prof. Grzegorz Opolski adati mu zaka 2-3 padzakhala ntchito zoposa 4 ku Poland. akatswiri a cardiologists, chifukwa pali madokotala oposa 1400 omwe ali ndi luso lapadera (pakadali pano pali oposa 2,7 zikwi). Zotsatira zake, chiwerengero cha akatswiri amtima pa anthu 1 miliyoni chidzawonjezeka kuchoka pa 71 kufika pafupifupi 100, chomwe chili pamwamba pa chiwerengero cha ku Ulaya.
Poland ndi amodzi mwa malo oyamba ku European Union pokhudzana ndi kupezeka kwa njira zothandizira zamtima zomwe zimapulumutsa miyoyo ya odwala omwe amatchedwa acute coronary syndromes (omwe amadziwika kuti myocardial infarction - PAP). "Timasiyana chifukwa chakuti ku Poland ndi otsika mtengo kusiyana ndi kumadzulo kwa Ulaya, poyerekeza ndi, mwachitsanzo, Netherlands, ndi otsika mtengo kangapo," adatero.
"Njirazi zimachitidwa nthawi zambiri osati kwa odwala omwe ali ndi vuto la myocardial infarction, komanso odwala omwe ali ndi matenda okhazikika a mitsempha ya mitsempha" - anatsindika Prof. Opole. Zaka zingapo zapitazo, njira iliyonse mwachisanu iliyonse yotereyi yobwezeretsa mitsempha ya minofu yamtima inkachitidwa mwa odwala omwe ali ndi matenda okhazikika a mitsempha ya mitsempha. Tsopano, odwalawa amawerengera 40 peresenti. ndondomeko izi.
Njirazi, zomwe zimatchedwa angioplasty, zimachitika m'malo opitilira chithandizo chamtima omwe ali m'dziko lonselo. Mu 2012, panali 143 malo oterowo, ndipo pofika kumapeto kwa chaka chatha chiŵerengero chawo chinawonjezeka kufika pa 160. Mu 2013, oposa 122 zikwi. angioplasty ndi 228 zikwi. ma coronary angiography kuti awone momwe mitsempha yama coronary ilili.
Palinso malo ochulukirachulukira omwe amapereka njira zina, monga kuyika makina opangira pacemaker, ma cardioverter defibrillators, ndi kuchiza matenda a mtima. Nthawi yodikirira njira zonsezi, kuphatikizapo coronary angiography ndi angioplasty, m'magawo amodzi kuyambira masiku angapo mpaka masabata angapo.
Ablation, njira yomwe imagwiritsidwa ntchito pochotsa arrhythmias monga atrial fibrillation, ndi yochepa kwambiri. "Muyenerabe kudikirira ngakhale chaka chimodzi" - adavomereza pulofesa. Opole. Mu 2013, pa 10 zikwi. mwa mankhwala awa, ndi 1 zikwi. zaka zoposa ziwiri zapitazo, komabe sizinali zokwanira.
Palibe kusiyana kwakukulu pakupeza chithandizo chamankhwala amtima pakati pa anthu akumidzi ndi akumidzi. Odwala ambiri omwe ali ndi matenda a mtima (83%) amathandizidwa m'zipatala m'madipatimenti a mtima, osati mu dipatimenti yamankhwala amkati. Imfa za m'chipatala zidagwera pakati pawo. Ndiwotsika kwambiri mwa anthu ochepera zaka 65, mwa omwe sadutsa 5%; mwa anthu okalamba azaka zopitilira 80 amafika 20 peresenti.
Prof. Opolski anavomereza kuti chithandizo cha pambuyo pa chipatala kwa odwala matenda aakulu a mtima ndi omwe ali ndi vuto la mtima sichikwanira. Komabe, ziyenera kupangidwa mwadongosolo, chifukwa cholinga chake ndikuwonetsetsa kuti odwala ambiri momwe angathere amapezeka ndi kuthandizidwa pachipatala, chifukwa ndi otsika mtengo kusiyana ndi chithandizo chachipatala.
Bungwe la chisamaliro m'zipatala liyenera kuwongolera - adatero mlangizi wa Mazowieckie Voivodeship pankhani ya matenda amtima, prof. Hanna Szwed. Odwala amalembetsa kukaonana ndi zipatala zingapo nthawi imodzi, ndipo osaletsa akalandiridwa kale m'malo amodzi. "Zotsatira zoyambirira za kuwongolera kwa odwala omwe adatumizidwa ndi Unduna wa Zaumoyo zikuwonetsa kuti m'zipatala zina mu voivodeship Mazowieckie pafupifupi 30 peresenti. odwala sabwera kudzakumana, ”adaonjeza.
Prof. Grzegorz Opolski ananena kuti kuyika ndalama pazachipatala kungathandize kwambiri kupititsa patsogolo moyo wa anthu aku Poland. Matenda a mtima ndi omwe amayambitsa imfa, adatsindika. Amuna ku Poland amakhalabe zaka 5-7 zazifupi kuposa ku Western Europe. Kusamalira bwino mtima kumatha kukulitsa moyo wawo kwambiri.
Zbigniew Wojtasiński (PAP)