I-Institute of Research Institute of Traumatology and Surgery kwi-Polyanka. Unonophelo lwengxamisekileyo kunye nonyango lwengxamisekileyo

Ukusuka kwiimeko ezingalindelekanga, ngenxa yempembelelo yempilo, akukho mntu ukhuselweyo. Uncedo olungxamisekileyo olunikeziweyo luyakuvumela ukuphepha iingxaki ezinzulu. Kubaluleke kakhulu ukuphendula ngexesha elifanelekileyo xa kuyimpilo yomntwana. Ukunyamekela ngonyango olukhawulezileyo ngumsebenzi ophambili we-Institute of Research of Traumatology and Children's Surgery e-Polyanka.

Ulwazi oluyisiseko malunga neziko lempilo

Iziko lezonyango lisiwe ngokutsha nje. Izigulane zokuqala zaqala ukuza apha ngo-2003 kuphela. Nangona imbali encinci, isibhedlele sakhawuleza siphumelele ukuthembela kwezigulane. Unonophelo oluthile lwezonyango apha lusezingeni eliphezulu. Umsebenzi weziko lophando lujoliswe ekujonganeni neengxaki ezininzi. Okokuqala, lo uncedo olukhawulezileyo kwizigulane ezingaphantsi kwexesha, ezifuna ukungenelela kokungena. Ininzi yomsebenzi iphinda iqhutywe ngophando. Iingcali zifuna iindlela ezintsha zokusombulula iingxaki ezinxulumene nezifo ezikhuphayo.

Kukho isikhungo sezokwelapha ekhelini: eMoscow, eBorshaya Polyanka isitalato, indlu 22. Isebe loxilongo lokubonisana lisebenza imihla ngemihla, ngaphandle kweMigqibelo neCawa. Unonophelo lwengonyango olungxamisekileyo lunokubonelelwa ngeeholide.

I-Institute of Research Institute of Surgery and Child Traumatology yindawo apho umntwana uya kufumana uncedo lokuqala kwiindlela ezifanelekileyo. Iingcali ezilungileyo kakhulu zaseRashiya zisebenza apha. Kukho abasebenzi abangaphezu kwama-400, phakathi kwabo - ootitshala, oososayensi, oogqirha besigaba esiphezulu. Zonke iingcali zineendlela zanamhlanje zonyango kunye nokuxilongwa kwezigulane ezinezifo ezinzima. Ukuphononongwa kwamanani amaninzi kunokuvakala kwakhona malunga nabasebenzi bezonyango. Abahlengikazi bayazi indlela yokusebenza kunye nezigulane ezincinci.

Ukufikelela kwiziphumo ezilungileyo kunokwenzeka kwakhona ngenxa yezixhobo zanamhlanje. Inkqubo apho ulondolozo lwempilo oluphambili lunikezelwa khona lungazisa isikhungo kwizinga leekliniki zaseYurophu. Kuyimfuneko yabaxhasi abaninzi abangashiyi izigulane ezincinane ezidinga uxinzelelo olufunekayo.

Ukuphuhliswa kweziko bekungeke kwenzeke, ukuba ulawulo aluzange lutyalomali kumsebenzi walo. Roshal Leonid Mikhailovich - uMongameli weSizwe soPhando lwe-Traumatology and Surgery. Uluntu loluntu, ugqirha wezobugcisa bezonyango, uprofesa ufumana ixesha lokunyanga kwezigulana ezincinci.

Isebe lokubonisana kunye noxilongo

Isebe ngesiseko seziko laqala ukusebenza ngo-2010. Nantsi isikhungo se-trauma yesithili , esibonelela ngoncedo kwizigulana ezincinci ukuba ngaba akufunwa esibhedlele. Iinkonzo zinokubonelelwa ngokukhawuleza okanye ngokuqeshwa. Izigulane eziza kuviwo olucetywayo, kufuneka kuqala ukuba nekhadi kwi-registry, uze uthathe isigqebhezana kwi-ofisi efunwayo.

Kwiintlungu ezibuhlungu, unonophelo lwengxamiseko lunokunikwa. Iiklinikhi yesifo se-trauma iquka ukugqoka (ukwenzela unyango lwamanxeba aphefumulayo), i-gypsum (apha iibhenji zenziwa ngeenxeba ezahlukeneyo), igumbi le-x-ray. ISebe linesixhobo esibalulekileyo esikuvumela ukukhawuleza indawo yokulimala, ubunzima beqhinga.

Unonophelo lwengxamisekileyo kunye noononophelo lwezonyango lunikwe izigulane ezingaphantsi kweentsholongwane ze-neurosurgical pathologies, izifo zesistim ye-musculoskeletal, i-craniocerebral trauma, i-pathologies enobuchule obunzima.

Isebe leTraumatology kunye neMicandelo yeeNtlekele

I-Institute of Research ye-Child Traumatology and Surgery e-Polyanka yindawo apho kusetshenziselwa khona iindlela ezintsha zonyango zokulimala kwamagciwane. Yilapho abancinci beza khona emva kweengozi zemoto nezendlu. Isebe leTraumatology kunye neCastastrophe Medicine lixhotywe ngazo zonke izixhobo eziyimfuneko, ezivumela ukuphendula ngokukhawuleza nakwiimeko naziphina. Kwi-arsenal yesibhedlele - i-electro-optical transducers, izixhobo zengxamiseko ye-anesthhesia, ukuphuphuma umoya, iitafula zokusebenza ze-radiocontrast, iiyunithi zezixhobo ze-ultrasound kunye ne-X-ray ukuxilongwa.

Iingcali zeCandelo zinezakhono zokuphatha ukulimala kunzima kwenkqubo ye-musculoskelet. Izindlela ezingasetyenziswayo ezincinci zisetyenziselwa ukwandisa amathuba okuphila komntwana ngokuzayo kwixesha elizayo.

Kwiimeko ezininzi, ukuphuka kwabantwana akudingi unyango olunyango. Kwanele ukwenza uzinzo lwezintlu zeziqhekeza zethambo, ngokufanelekileyo usebenzisa i-bandy gypsum. Abasebenzi bezonyango be-Junior banezakhono ezifunekayo zoncedo lokuqala.

Ngokumalunga nesakhiwo se-anatomiki kubantwana basesikolweni sangaphambi kwesikolo, ukuxhatshazwa kwamadolo amaninzi kubakho. Ngonyango lokulimala ngaphakathi kweendonga zeziko lezonyango, isetyenzisiwe namhlanje-i-arthroscopy. Akukho mfuneko yokwenza utyunwe, emva koko kubakho inqatha ebomini. Iingcali zenza iipunctures eziliqela kwindawo edibeneyo, izisa ikhamera yevidiyo (ngenjongo yokuxilongwa), kunye nezixhobo zokusebenza.

Ukulimala kakhulu kufuna ukunyanzeliswa kogqirha kwi-system musculoskelet system. I-Institut yoPhando lweeNtsholongwane zoPhephelo lwaBantwana kunye neTraumatology yindawo apho iingcali zibonelela ngoncedo kwizigulane ezincinci ngendlela ephosakeleyo. Oku kukuvumela ukunciphisa umngcipheko weengxaki ngexesha lokuvuselela.

Isebe le-Neurosurgery ne-Neurotrauma

I-Institute of Research Institute of Children's Traumatology and Surgery e-Polyanka njengamanje igosa lonyango eliphambili eMoscow, lijongene nelo lonyango olunobungozi obukhulu be-craniocerebral kubantwana. Iinkqubo zemisebenzi ye-microsurgical kunye ne-endoscopic zineenkwenkwezi kude nazo zonke iiklinikhi. Oogqirha beziko bahlala bephakamisa izinga labo lolwazi, baya kwiinkomfa zamazwe ngamazwe, fumana amava kumaziko angonyango angaphandle. Ngenxa yoko, amaziko ophando lwezenzululwazi alawula ukuqhuba imisebenzi enzima, agcine ubomi bezilwanyana ezincinci.

ISikole sinokukwazi ukuxilonga, ukuvumela ukuba baphathe abantwana abaneengxaki ze-neurosurgical pathologies. Kwi-arsenal yeziko lonyango - i-CT kunye ne-MRI, izixhobo ze-electroencephalography kunye neurosonography. Ibhubhoratri, ukusebenza iiyure ezingama-24 ngosuku, ivumela ukuba uphando ngokukhawuleza izicubu ezonakalisiweyo kunye negazi lezigulana ezincinci. Abantwana ababhalisiwe eMoscow nakummandla waseMoscow, ukunakekelwa nge-neurosurgical kunikezelwa ngaphandle kwentlawulo.

Isebe lo msebenzi

Oku kubandakanya abantwana abaneentsholongwane eziphuthumayo ezifuna ukungenelelo ngoncedo. Kukho amagumbi okusebenza ayisithupha kwibloko. I-Institute of Research yeTraumatology and Surgery (i-Bolshaya Polyanka) liziko lezonyango elixhotyiswe ngobuchwephesha obuphambili. Ayibonakali nje kuphela kunyango kunye nokuxilongwa, kodwa nakwilungiselelo lamasebe. Ngoko, kwi-block operating systems exchange systems systems, ukuvumela ukugcina umoya oqhelekileyo kwiwadi kunye nezigulane ezinzima. Emva kokuhlinzwa, abantwana banamabhedi asebenzayo amaninzi. Izigulane ezincinci ziziva zikhululekile, ingozi yezilonda zesilonda iyancipha.

Kwiyunithi yokusebenza kukho izixhobo zokwenza amanyathelo angenelelo ophathekayo. Le laser, i-electrocoagulators, izixhobo ze-ultrasonic. Kwiimeko ezininzi zeekliniki, ubuchule bwanamhlanje bungasetyenziselwa ukuphepha ukulahleka kwegazi ngexesha lokusebenza. Kwimeko yamandla amakhulu, i-Institute of Research Institute of Children's Traumatology and Surgery e-Polyanka inegunya lokuzimela ngamandla. Imithombo yamandla eyongezelelweyo ifakwe ngamagumbi okusebenza.

ISebe lotyando olusesikweni

Ukuba umntwana akafumani unyango lwexesha eliphambili xa ekhuselekileyo, umngcipheko wosulelo luyanda. Ngelo xesha, umonakalo omncinci ungabangela iingxaki ezinzulu. Unyango lwezilwanyana ezinokutshatyalaliswa kwezicubu ezithambileyo kwizigulane ezincinci ziyingcali zesebe zonyango. Oku kubandakanya izigulane ezine-osteomyelitis, kunye nesimo esiyinkimbinkimbi se-appendicitis. Isebe isebenzisa iindlela zokuxilonga, ngokuquka i-laparoscopy. Ndiyabulela kule ndlela, iingcali ziyakwazi ukuchonga indawo yokusulela isifo, ukukhetha iziyobisi ezichasene nezicatshulwa ngokubhekisele kwi-microflora ye-pathogenic.

Isebe lotyando olusisigxina lufumaneka kwisixhobo samanje seZiko. Ngelo xesha, izigulane ezincinane ukuya kuma-50 ziyakunikwa apha. Kukho amakamelo apho abantwana abanokuba nabazali babo. Ukongezelela, iikhabhinethi zokuzihlaziya, izifo zonyango, izifo zephilotherapy. Apha izigulane zihlaziywa emva kokungenelela.

Isebe lokuvuselela

Amaxesha amaninzi izigulane zingena kwi-Institute of Research Traumatology and Surgery e-Polyanka kwimeko enzima. Amanyathelo okubuyiswa kwakhona afunekayo ukubuyisela ukusebenza kwezixhobo ezisisiseko zomzimba. Ngelo xesha, izigulane ezingama-18 ziyakwazi ukuhlala kwisebe. Iibhoksi apha zimi ngendlela enokuthi uncedo lomguli lunokunikwa ngaphandle kokulibala. Ephantse kubantwana malunga neeyure, abasebenzi bezonyango abasemsebenzini bayasebenza.

Phantse ilanga ngalinye kukho izixhobo ezikuvumela ukuba uqaphele rhoqo iinkqubo ezibalulekileyo zomntwana ogulayo. Ngokukhawuleza ukulinganiswa kwenhliziyo, uxinzelelo lwegazi, i-pulse. Izindlela zanamhlanje zokuxilongwa kwembhedlele zivumela ukuba uphendule ngokukhawuleza ukukhawuleza ngokukhawuleza kokuphila kwesigulane.

ISebe linenkqubo ekhethekileyo yokuphuphuma umoya, evumela ukugcina umoya oqhelekileyo kwigumbi apho isigulane sisithuba eside.

KwiSebe lo ku hlaziya

Uncedo olufike ngexesha elibonelelwe ngumntwana luyingxenye yempumelelo. Isigqibo sisithuba sokuvuselela. Ukuba iingcali zenza konke okulungileyo, nangona emva kokulimala kolukhulu, isigulane esincinci siya kukwazi ukuqhuba ubomi obupheleleyo. ISebe liqesha oogqirha abanceda ekupheliseni izifo ezingokwenyama, ezengqondo, ezengqondo eziye zavela ngenxa yokulimala kwentloko. Indlela edibeneyo isetyenziswe kumsebenzi. Iinkqubo zePhysiotherapeutic (iibhafi zonyango, ukuhlalisa umzimba, ukusetyenziswa kweyeza), ukunxibelelana kweengcali zentetho, isazi sengqondo, i-cardiologist, i-ophthalmologist kunye nezinye iingcali ezinxulumene nazo zifakiwe.

Isibhedlele sokuvuselela kunye neziko loxinzelelo luhlangene. Iingcali zigqiba ukuba isigulane siya kubhedlele okanye ukuba amanyathelo okuvuselela ayenziwa ngesigulana. Umsebenzi wenziwa ngokuqwalasela iimpawu zomzimba wesigulane. Inkqubo yokuvuselela imele ibandakanye amalungu entsapho yomntwana ogulayo.

Isebe lo kunceda ngokwengqondo nangokwenzululwazi

Ukujongana nokuphulwa kwemisebenzi yengqondo kwenzeka emva kokulimala okungundoqo kwe-craniocerebral. ISebe liqesha iingcali ezifanelekileyo, ezivumela izigulana ukubuyisela intetho, izakhono zokunxibelelana. Emva kweembambano abantwana kufuneka bahambe ngendlela ende yokuvuselela, kufuneka uncedo lweengqondo. Ngokuqhelekileyo, inkxaso ayifanelekanga kuphela kumntwana, kodwa nakwamalungu omtshato asekudala.

Xa usebenza nezigulane ezincinci, iziphumo ezilungileyo ziboniswa ngokudlala iyeza. I-arsenal yeziko lonyango linakho konke okufunayo kwiiklasi kunye nabantwana: ipensela, iphepha elinemibala, iplastiki, njl.

Umsebenzi wophando lwezesayensi

I-Institute of Research Institute of Pediatric Traumatology and Surgery ayihloseli nje ukubonelela ngononophelo, kodwa iphinda ifune iindlela ezintsha zokuphatha izigulane ezinzima. Kunyanzelekile ukuba kugcinwe inkqubo enye yolwazi evumela ukurekhoda onke amatyala eklinikhi abhekene neengcali zeziko lempilo. Isigulane ngasinye sifumana imbali yonyango. Ngale ndlela, akunakwenzeka kuphela ukuba kugcinwe ulwazi lwegulane kunye nenkcitho encinci, kodwa kwakhona ukufumana idatha efunekayo ngokukhawuleza kangangoko kunokwenzeka xa ukwamkelwa kwesigulana ngokuphindaphindiweyo.

Inkxaso yeenkcukacha zenzululwazi nezenzo zesebe ziqhutyelwa ngoncedo lweelayibrari yesayensi kunye neyonyango. Iqulethe kuphela ukuvavanywa kwexesha kuphela, kodwa kunye neencwadi zanamhlanje ngokuhlinzwa, i-traumatology kunye namanye amasebe anxulumene namayeza. Igalelo elikhulu ekuphuhliseni ithala leencwadi lenziwe ngumongameli weziko lophando, uRoshal Leonid Mikhailovich.