Isikhungo seKhansela eNizhny Novgorod: ikheli kanye nempendulo

Namuhla sizokhuluma ngesikhungo se-oncology eNizhny Novgorod. Iyini izinga lezinsizakalo zalesi sikhungo sezokwelapha, ingabe kufanelekile ukuthembela? Sizobuyekeza izimpendulo zabantu abangokoqobo, futhi sihlole ngokuningiliziwe isakhiwo sendawo.

Okuncane mayelana ne-dispensary

Isikhungo Se-Cancer eNizhny Novgorod yisikhungo esikhulu sezokwelapha esihlinzeka usizo olukhethekile ezigulini. Kunemibhede engaba ngu-600 ku-dispensary. Njalo ngonyaka, abantu ababalelwa ku-20 000 baphathwa, futhi inani le-hits lilinganiselwa ku-110,000. Isikhungo esiyinkimbinkimbi se-polyclinic sisanda kuvulwa.

Kuze kube manje, i-dispensary isebenzisa abantu abangaphezu kuka-877, abaningi babo abazobhapathizwa bezokwelapha. Futhi, lesi sikhungo sinamalungelo afanelekile we-Russian Federation ezentuthuko zesayensi nokuqalwa. Odokotela abaningi bashicilelwa njalo ezincwadini ezifuywayo nasezizweni zangaphandle. Esikhathini esizayo kuhlelwe ukuthuthukisa umsebenzi nezinhlangano zomphakathi ukuze umphakathi uqonde ukubaluleka kokwelashwa okufika ngesikhathi.

I-Scientific Council

I-Scientific Council esikhungweni sezokwelapha yenza imisebenzi eminingi. Imisebenzi yayo ihlose ukuhlolisisa ukuthuthukiswa kwamuva, ukuqhuba izinhlelo zemfundo, ukuqhuba izifundo zokwelashwa nokuthuthukisa izindinganiso zayo zangaphakathi. Umsebenzi wokugcina ubaluleke kakhulu. Uma izindinganiso eziphakanyisiwe zingashintshi kahle (ESMO, ASCO), ngeke kube khona ukuhlela imisebenzi ekhiqizayo. Ukulungiswa kahle kwezindinganiso kumakhono wezobuchwepheshe nezomnotho we-NOCODE kwenza kube lula ukuwasebenzisa kuze kube ngaphezulu.

Izifundo zomtholampilo njalo zandisa izinga lemithi. Siza iziguli. Ezinye izifundo zinikezwa imali ekhethekile, evumela ukusebenzisa ubuchwepheshe bamuva. Ngaphezu kwalokho, ukubamba iqhaza ocwaningweni akugcini nje kwandisa isimo se-NOCODE, kodwa futhi kwenza ukuthi kwaziwe, ukuze abantu bazi ukuthi bangabaphi.

Ukuthuthukiswa okuthuthukayo kubaluleke kakhulu, njengoba beheha imali eyengeziwe yokuthola imishini yanamuhla kanye namaholo abasebenzi abahloniphekile. Ngaphezu kwalokho, ithuba lokuthuthukisa nokusebenzisa imibono yabo ludonsela abantu abasha abanethalente, okuyinto minyaka yonke ivuselela abasebenzi.

I-Polyclinic

Isikhungo somdlavuza e-Nizhny Novgorod sinezikhungo ze-polyclinic nezintathu. Ngesikhathi esifanayo, i-polyclinic ihlanganisa isibhedlela sosuku, imithi yokuhlola i-clinical diagnosis kanye ne-cytology, i-endoscopy kanye ne-radiation diagnosis. Umnyango wezokutholwa kwabagulayo uthola ukwamukela izakhamizi zaseNizhny Novgorod nesifunda. I-polyclinic itholakala ekwakhiweni kwezindawo eziningi. Kukhona ukubhaliswa okungu-5 (4 kubo kukhona esitezi sokuqala, 1 - esiteji sesishiyagalombili). Ukwamukelwa nokuhlolwa kweziguli, kunamakamelo angu-10. Futhi kukhona isikhungo socingo, lapho iziguli zingakwazi ukubhekana nanoma imuphi umbuzo onentshisekelo kubo, kunethuba lokwenza i-aphoyintimenti kusengaphambili, ukukhetha isikhathi esifanele sokubonisana. Yisebenza ngokugcwele emakamelweni amabili wezinkinga zokubeletha kanye ne-urology. Ngamunye wabo uhlonyelwe ukuphathwa okudingekile. Kukhona ihhovisi lokungena kwi-oncologist-pulmonologist ukuhlolwa kweziguli ezinezinambuzane zentanyeni noma ikhanda. Emtholampilo, kunamakamelo angu-4 ama-chemotherapeutists.

Yini ochwepheshe abayenzayo? Baqhuba ukuhlolwa okuyinhloko kwabantu, banqume lesi sifo futhi banikeze ukudluliselwa kokwelashwa kwesikhathi eside, ukuqhuba ukuhlolwa kwangaphambi kwesikhathi esibhedlela, ukukhishwa kokukhishwa kokwelashwa okukhethekile ezibhedlela zephrofayli. Kanti futhi odokotela benza ukulandelwa kwesikhathi eside , banikeze izincomo mayelana nokuphathwa kabusha kweziguli zeqembu le-III lemitholampilo.

I-polyclinic itholakala ku: ul. Ibhizinisi 11/1. Isikhungo seCancer (Nizhny Novgorod) samukela zonke iziguli ngangokunokwenzeka. Ngenxa yabasebenzi abakhulu bezobuchwepheshe kanye nokutholakala kwezinsiza ezintathu zokusebenza, kungenzeka ukuphatha zonke iziguli ngesikhathi.

Izinsiza zamakamelo okuthola

Ul. Ibhizinisi 11/1 - Isikhungo Somdlavuza (Nizhny Novgorod), esivulekile kubo bonke. Yingakho uma unezinsolo zokuqala zesifo esingokwemvelo, kufanele wenze ngokushesha i-aphoyintimenti nodokotela. Kungani kufanele ngithinte ochwepheshe balo mtholampilo? Akukhona nje ukuqeqeshwa odokotela, kodwa futhi nemishini ye-polyclinic.

Emakamelo okuxhaphaza kukhona amadivaysi e-electrosurgery high-frequency, izibani ze-bactericidal nezinsimbi zokudinga ezidingekayo. Kula mahhovisi, ama-oncologists abanolwazi abenza ama-tumors, ukuchithwa kwegazi, ukugcoba ama-biopsies, ukukhethwa kwe-tumor, ukushisa kwe-trepan, njll njll.

Emahhovisi omzimba kunama-colposcopes, izinsimbi zomzimba kanye nezibani ze-bactericidal. Ochwepheshe bezobuchwepheshe bezokuxhumana lapha, baqaphele izimpawu zokuphindaphinda, banikele iziqondiso zokuthola ukwelashwa okuqhubekayo, bathathe ama-smears for oncocytology, bahlole ngokujulile izicathulo zabesifazane abanezinqubo ze-dysplastic esibelethweni.

I-chemotherapist ihlolisisa iziguli mayelana ne-ZNO, futhi iyasiza ukunquma umbuzo mayelana nokuqokwa kwezifundo ze-PCT, inikeza izikhombisi-ndlela zokuthola ukwelashwa noma ukuphulukiswa ngeziguli.

Igumbi le-oncology (udokotela ohlinzayo wase-thoracic) liyadingeka ukuze kubonisane neziguli mayelana ne-pathologies yesifuba. Lapha umbuzo wokwelapha ukwelashwa uxazululwa, ukudluliselwa ku-PCT kanye ne-radiotherapy kunikezwa ukuthola ukubuyela emuva.

I-Loroncologist isebenza ekuhloleni iziguli ezinezinkinga zezintambo zenhloko nekhanda. Uphethe i-biopsy yomlomo, impumu, i-larynx. Isazi sibhekisela ekudluliseni ukwelapha okuhlinzekwa, ukuhamba kwe-PCT kanye ne-radiotherapy, isiqondiso sokuthola ukubuyela emuva. Igumbi lesazi se-lonel sinemishini edingekayo yokuhlolwa, isibani se-bactericidal.

Amakamelo okuhlinzeka aklanyelwe ukubonana neziguli ezinezifo ze-lymphatic system, isikhumba, izicubu ezithambile, izigulisi zobisi kanye ne-thyroid, isisu esiswini. Ukwelashwa okusebenzayo kweziguli zeqembu le-III lemitholampilo, okudingekayo ukuthola ukubuyela emuva, kuqhutshwa lapha. Ehhovisi lika-operesheni, i-dermatoscopy yenziwa - ukuhlolwa kwesikhumba sokuba khona kwezicubu ngosizo lwamadivaysi optical.

Ihhovisi le-Oncourologist lihloselwe ukubonisana neziguli. Lapha udokotela wenza i-cystoscopy, ukubonwa kwemibandela yeziguli zeqembu le-III lemitholampilo.

I-Cancer Centre (i-Nizhny Novgorod, iDelavaya Street) iyinkimbinkimbi enkulu enesayensi yobuchwepheshe besimanje. Ngenxa yalokhu, kungenzeka ukuthola nokuphulukisa izifo eziningi ngesikhathi esifanele.

Izikhungo zokuxilonga ze-polyclinic

Ikheli lesikhungo somdlavuza e-Nizhny Novgorod, sesiyazi kakade, kodwa bayakusiza lapho? Lokhu akungabazeki, ngoba zonke izikhungo ze-laboratory nezixilongo ezidingekayo zisebenza emtholampilo. Zonke izivivinyo kanye nokuhlolwa kufanele kwenziwe lapha. Ngezansi sibukeza kafushane isakhiwo se-polyclinic.

Ku-laboratory ye-cytological, ukuhlaziywa okuningiliziwe kokubunjwa kwamangqamuzana wezinambuzane zezizinda ezihlukene kwenziwa. Ngokwehlukana kufanele kuqaphele isisekelo sezobuchwepheshe kanye nezobuchwepheshe ze-laboratory, njengoba ihlangabezana nazo zonke izidingo zanamuhla. Ochwepheshe be-laboratory ye-cytology benza inhlolovo enkulu yabesifazane basedolobheni kanye nesifunda, okucacisa ukuxilongwa kwabesifazane eqenjini elingase libe yingozi, ukuhlolwa kwe-oncocytology, ukubonisana kwezikhungo zezokwelapha edolobheni kanye nesifunda mayelana nokusetshenziswa kwezidakamizwa ze-cytological ekwelapheni.

Esibhedlela sosuku kukhona imibhede engu-30 yeziguli. Isibhedlela sisebenza ngamashifu amathathu, kuphela ngezinsuku zamasonto. I-Chemotherapy yazo zonke izindawo zendawo yenziwa lapha.

I-Laboratory Clinic and Diagnostic ngo-2015 isanda kakhulu. Isikhungo seKhansela eNizhny Novgorod kwi-Ankudinovskoe Highway nayo manje sinomnyango wezobuchwepheshe. Ku-CDL, zonke izifundo ezidingekayo zesiguli zenziwa, ezihlelwe ukwelashwa nokujwayela imisebe. I-Delovaya Street (i-Nizhny Novgorod, isikhungo se-oncology) nayo ibuye ibe neCDL yanamuhla. Lapha ungadlula ukuhlolwa okuhlukile:

• I-General Clinic;
• I-Hematologic;
• I-biochemical;
• Immunohematological;
• Coagulologic;
• Ukuzivocavoca umzimba, ukuzimisela kwamahomoni nabakhuphuka.

Odokotela abanobuchwepheshe basebenza emnyangweni we-endoscopy. Isikhungo se-oncology sabambelela ekwakhiweni nasekuthuthukiseni izindlela eziningi zokuxilonga ze-endoscopy. U-Nizhny Novgorod, Ibhizinisi, futhi indawo yenye yeminyango ye-endoscopy (enye eminye izibhedlela No. 1 noNo. 2).

UMnyango Wezokwelashwa Ngeziphuthumayo uthatha umthwalo oyinhloko, ngoba izifo eziningi zixhomeke emiphumeleni yocwaningo lwe-ultrasonic kanye ne-radiation. Ngonyaka wezi-2015, izingxenye ezintathu zokuxilonga ama-ray zahlanganiswa ezibhedlela No. 1, No. 2, No. 3.

Iminyango

Ukwelashwa nokuhlolwa kweziguli kuqhutshwa amakheli amaningana:

• U-Nizhny Novgorod, uRoodonova, 190. Isikhungo somdlavuza, esitholakala kuleli kheli, sinikeza ukunakekelwa kwangaphambi kwezempilo (i-roentgenology, i-anesthesiology, ukuhlinzwa, ukuxilongwa, ukuvuselelwa), ukwelashwa kanye nokunakekelwa kweziguli ngeziguli. I-Endoscopy, i-donation yegazi, ukuxilongwa kwe-ultrasound, ukuhlolwa kokukhubazeka okwesikhashana, njll nakho kwenziwa lapha.
• Dzerzhinsk, ul. I-Vatutina, 39. Nansi uhlu olufanayo lwamasevisi.
• Isikhungo seCancer on Ankudinovskoe Highway (Nizhny Novgorod) sinikezela ekuhlinzekeni usizo olukhethekile lwezokwelapha ku-dietetics, i-anesthesiology, ukuvuselelwa kabusha, njll. Inikeza nokunakekelwa kwangaphambi kokunakekelwa kwezempilo, ukwelapha okwelapha ngaphandle kwe-polyclinic.
• Dzerzhinsk, ul. UMayakovsky, 28. Nansi kukhona isibhedlela kanye nokunakekelwa kwezempilo ngaphambi kokubhedlela.
• UDzerzhinsk, eNtshonalanga YaseNtshonalanga, 1. Usizo lokuqala lwezokwelapha lunikezwa lapha, ukunakekelwa kwangaphandle kwesiguli kanye nesiguli.

Kodwa-ke, akuwona wonke umuntu owazi ukuthi angaya kanjani isikhungo somdlavuza (Nizhny Novgorod). "Semashko" - ukuyeka ezokuthutha zomphakathi, okudingeka uhambe ukuze uguqule ematekisi womzila ongenqunyiwe, okuzokuyisa emkhathini eRodionov street, 190.

Isikhungo seKhansela (Nizhny Novgorod): ukwamukela

Uma kwenzeka isiguli sisebenza ngokusemthethweni esikhungweni, kufanele sibonise uhlu olulandelayo lwemibhalo ebhalweni:

• Ipasipoti;
• Inqubomgomo yomshuwalense wezokwelapha okuphoqelekile. Umshuwalense;
• I-SNILS;
• Ukudluliselwa kuchwepheshe.

Futhi umuntu kufanele akhombise usuku olufunayo nesikhathi sokwamukelwa, udokotela othile. Uma kungenzeka ukuba wenze i-aphoyintimenti ngosuku olucacisiwe, umamukeli wezamukeli uyazisa ngalokhu, uma kungenjalo - unikeza izinketho ezingenzeka zokurekhoda.

Ukuze uthole imibuzo eminingi, ungaxhumana nokubhalisa ngocingo. Kulesi simo, kufanelekile ukuba uqaphele kakhulu, futhi ucacise ukuthi umnyango wesakhiwo sezokwelapha uzothola nini. Futhi, umamukeli kufanele amukele udokotela, okhethekile. Isikhungo seKhansela eNizhny Novgorod susa ama-moles kanye nokuhlinzwa okuncane kuphela ngokuqokwa.

Ukuqopha ekwamukelweni kunokwenzeka kwi-electronic version. Kulesi simo, lo muntu ugcwalisa uhlelo oludingekayo. Isisebenzi sezempilo sikhipha ukuthunyelwa (isigqebhezana) sokuvakashela udokotela. Uma ukuqokwa kukadokotela kungenakwenzeka ngesikhathi esithile, abasebenzi be-Registry kufanele bazise isakhamuzi ngakho ngocingo futhi basikisele ukuthi kungenzeka usuku lokubonisana. Emaminithi angu-10 ngaphambi kokuthola, umuntu kufanele athumele wonke amadokhumenti adingekayo.

Ukubuyekeza

Ukubuyekezwa kwabantu bangempela kungatholakala kwiwebhusayithi yesikhungo sezokwelapha. Sizobukeza ngokufishane lapha. Ukubuyekezwa komuntu ngamunye lapho iziguli zibonga odokotela abathile, ngeke sicabange, sizogxila kuphela kulabo abathinta ikhwalithi yokwelashwa nokunakekelwa kwesineke.

Isayithi inikeza izibuyekezo zakamuva ezivela kwiziguli ezaqhutshwa ngo-2017. Abesifazane babonga odokotela abahlinzayo ngesimo sengqondo sabo somuntu kanye nobuchwepheshe obuhle. Kubuye kwaphawula ukuthi umnyango uhlukaniswa nokuhlanzeka kwawo okuyisibonelo nokudla okunempilo kweziguli. Ngaphezu kwalokho, ngenxa yabasebenzi bezokwelashwa abancane bokunakekelwa nokusiza ngesikhathi sokwelashwa.

Kukhona nezibuyekezo ezingalungile. Abanye odokotela babangela ukudideka kweziguli ngenxa yokungakwazi ukusebenza kwabo emsebenzini. Abantu bakhononda ukuthi banqunyelwe ukuthatha imithi uma kudingeka ukungenelela okuphuthumayo (ezinye izazi zikwazisa ngakho kamuva). Kuphawula nokuthi ukuhlukumezeka kwabachwepheshe abathile, ukuphathwa kabi, ukungafuni ukuchaza isiguli isimo sakhe. Okubalulekile, ukuphathwa kwewebhusayithi ye-polyclinic akuvimbeli ukubuyekezwa okunjalo, kodwa, ngokuphambene nalokho, kuyaphendula, kuchaza ukuthi yiziphi izinyathelo ezithathwe. Ngezinye izikhathi kubikwa ukuthi udokotela uyanconywa, ngezinye izikhathi azitshela ngokuxoshwa komchwepheshe.

Isikhungo somdlavuza ku-Ankudinovskoe Highway (Nizhny Novgorod) asijabulisi iziguli ngezimo. Abaningi bakhononda ngesondlo esingenamsoco, kanye nezingane ezingabhekwa njengento yangasese (njengendlu yangasese evamile yamadoda nabesifazane, neyodwa kuphela).

Abaningi babonisa ukubonga okukhethekile odokotela nakwachwepheshe abaqhuba ukuxilongwa. Abanye baqaphele intukuthelo nokuhlukumeza odokotela ngesikhathi sokungena. Yiqiniso, lokhu kuziphatha akumukeleki, ngakho-ke ukuphathwa koju. Lesi sikhungo sithatha zonke izinyathelo ukuqinisekisa ukuthi lezo zimo zingaphansi.

Izibonelelo

Isikhungo seCanscer (Nizhny Novgorod, Schelkovo Farm) sinezibhedlela ezingu-3. Isibhedlela №1 sihlanganisa: ukuphathwa, iminyango ye-1,2 kanye ne-3 ye-oncology, iminyango ye-4-th ye-chemotherapy, i-cytology laboratory, i-reception, i-radiological and pathoanatomical, iminyango ye-radiation diagnostics, i-photodynamic therapy, i-roentgenosurgery ne-anesthesiology.

Isibhedlela №2 sakhiwa: iminyango ye-pathoanatomical, radiological, reception and endoscopic, i-laboratory yokuhlola i-clinic, iminyango ye-1, 5 no-6 ye-oncology (lokhu kuhloswe ku-chemotherapy). Kukhona nomnyango we-anesthesiology kanye nokuvuselela.

Inombolo yesibhedlela yesithathu isiqukethe izinyathelo ezilandelayo: iminyango yokuphatha, endoscopic, polyclinic, radiological and oncology, iminyango yamakhemikhali, ukuhlolwa kwemisebe, i-anesthesiology, i-laboratory yokuhlola i-clinic.

Oncopsychology

Isikhungo se-Regional Oncology Centre (Nizhny Novgorod) sinikeza iziguli hhayi nje kuphela ukwelashwa ngokomzimba, kodwa futhi nemiphumela yengqondo yomdlavuza. Ngalesi sizathu, kunabasebenzi abanokuhlangenwe nakho kwe-oncologists, abangasiza ekudleni isigaba sokuphila esinzima. Kubalulekile ukuqonda ukuthi kulesi sikhungo sezokwelapha kukhona odokotela abaqeqeshiwe kakhulu abavame ukuqinisekisa amakhono abo obuchwepheshe, bahlanganyele ezinhlanganweni ze-All-Russian. Ngakho-ke, ngo-2015 enhloko-dolobha yaseRussia kwaqhutshwa inhlangano yonke yaseRussia ye-oncopsychologists, lapho abantu abangaba ngu-200 bahlanganyela khona. Le nhlangano yavakashelwa yi-bestcopychologists e-Belarus, e-Israel, e-Kazakhstan nase-Ukraine.

Sekungamashumi eminyaka INcwadi Yonyaka ngokulandelana Oncology kusenetincabhayi umphakathi yezesayensi ngamazwe. Naphezu kweqiniso lokuthi kukhona izinhlobo ezintsha imishini nezindlela zokwelashwa, yalokho abalulekile lokho kungasebenzi. Ngokwesibonelo, e-Russia abantu abayizinkulungwane 500 unyaka ngamunye uxilongwe "Oncology". Lesi sibalo elesabekayo. Futhi ngakho-ke abantu abaningi baye ngokusebenzisa ukushaqeka ukuthi abambe kubo lingaqaphile. Congresses onkopsihologov ukuchitha kongoti wabelane nakho kwabo, kanye nezindlela kokuhoxiswa kokuhlelwa iziguli ezivela ehlaselwe ukucindezeleka futhi singanakwa. Ngesikhathi Congress ngo-2015 saxoxa izinkinga ezilandelayo:

• Psychology ogulayo;
• kungenzeka ukuzibulala e abanomdlavuza;
• izinkinga zokuxhumana "udokotela - nesineke";
• nokwesekwa kweziguli ezine-ezingelapheki.

Futhi olwenziwa workshop kanye trainings kusukela ochwepheshe kulo mkhakha. Ingxenye ebalulekile umcimbi ukuqoqa izimali ukuze ukunakekelwa esiza abantulayo iziguli.

Efingqa, kufanele kusho ukuthi Cancer Centre (Nizhny Novgorod) - a isikhungo sokwelapha ezikhulayo. Kukhona ochwepheshe abanolwazi bengayeki ukufunda izindlela zanamuhla zokwelapha. Imishini entsha ivumela ukuba ngiqhube luhlolo kudingekile, uphethwe. Umdlavuza Semihlangano ekhatsi Nizhny Novgorod inikeza iziguli zonke izimo ukuqinisekisa ukuthi obophulile futhi bebelokhu bebhekana nobunzima obuthile ezimpilweni zabo ngenhlonipho. Kubalulekile kakhulu ukuthi umtholampilo loniketela zokusebenza kwengqondo ehola, ngoba ngaphandle kosizo lwabo ukuze ubhekane ngezinye izikhathi ezinzima kakhulu. Ngaphezu kwalokho, Cancer Centre e Nizhny Novgorod has a legatsha emzini Dzerzhinsk iziguli kwaba kuwusizo kakhudlwana ngayo.

Themba impilo ihlolwe imitholampilo yakho, okuyinto baye bazibonakalisa nobuchwepheshe bale abasebenzi bawo eminyakeni engaba ngu practice. Khumbula ukuthi uma unquma ukuthi yimaphi esibhedlela ukuze ukwelashwa. Bunake ukubuyekezwa nezibalo lapho ekhetha umtholampilo. Themba yakho bezempilo.