I-Russia kunye ne-Thrombosis ye-Veins Veins: Ingaba Yinyaniso?

RUSSIA kunye ne-thrombosis ye-veins: icebo lokuthula?

E-Rashiya, baninzi abantu abayaziyo:

1 / ukuba kumazwe amaninzi athuthukile, i- thrombosis ye-vein thrombosis (DVT) kunye ne- pulmonary embolism (PE) zivele njengenye yezizathu ezibangela ukufa. Le meko inzima kakhulu e-USA, kwi-Admit (ngo-Septemba 2008) kwinqanaba leNtloko-ngqungquthela (uMphathiswa wezeMpilo), "Ukukhusela i-DVT kunye ne-PE" ezi zifo zibizwa ngokuba "yintloko yeengxaki zempilo zikawonkewonke" [1];

2 / ukuba "intlekele yalezi zifo (i-vein thrombosis) yinkxalabo yokuxilongwa, kuba iimpawu zabo zicaca kwaye zicacile. Phantse, kwi-50% yamatyala, i-DVT iyaqhubeka ngasese. Ngokuqhelekileyo isibonakalo sokuqala se-DVT si-PE esibulalayo (apha sicatshulwe kwisigidimi soMlawuli weSizwe Intliziyo, iLung ne-Blood Institute kunye ne-United States, efakwe kwi "Call for Prevention of DVT kunye ne-PE"). [1];

3 / ukuba, ukususela ngo-2001, i- World Health Organisation (i-WHO) isoloko isilumkisa ngokuqhagamshelana ngqo kwe-DVT-PE ngexesha elide (ukusuka kwiiyure ezingama-4) ukufumana umntu kwindawo yokuhlala - ngokukodwa, ngexesha lokutyelela ngeenqwelo , Iibhasi, izitimela, iindiza okanye iinqanawa zomlambo. Izibalo ze-WHO zithi ukuba omnye kwabafundi abangama-4 500 abahamba ngezo zinto, ishishini liphela nge-PE. [2];

4 / ukuba eRussia PE, njengomthetho, iyingozi;

5 / oko, ukuba usebenzisa i-NUM, ngoko ke, ngokuqwalasela ububanzi belizwe kunye nomthamo wendlela yokuhamba, ukusuka kwi-PE ebulalayo, kuphela abangaphezu kwamawaka angama-23 aseRussia ngamnye ngonyaka ababulawa ngenxa yeenkonzo zokuthutha izithuthi (! 4,5,6,7];

Umlinganiselo wokufa kwabantu baseRussia ezivela kwiingozi zendlela zincinci nje ngaphezu kwesi sibonakaliso esingasentla, kodwa ke sisisiseko sokufumana inkqubo ye-Federal "Ukuphucula ukhuseleko lomgwaqo ngo-2006-2012", ngelixa iphakamileyo (ingqalelo zonke izinto ezibangela isifo) kwi-DVT -TELA ayamkelekanga nakuphi na ukubala!

6 / ukuba kukho inani lezinto ezikhuphisa ngokukhawuleza umngcipheko wokuphuhlisa iDVT. Phakathi kwabo-ukusetyenziswa komlomo wokukhulelwa komlomo, kuthetha ukwandisa umngcipheko ukuya kumaxesha angama-20 (!) [8];

7 / ukuba oorhulumente baninzi kumazwe athuthukileyo bathathe amanyathelo okuzisa ngokubanzi uluntu lwawo ngamazwe ngezizathu, iingozi ezinokufa kunye neendlela ezikhoyo zokukhusela izifo. Ngokukodwa, kumazwe amaninzi athuthukileyo ulwazi olunjalo luyimfuneko kwiwebhusayithi yeeNkonzo zeenkonzo zezempilo kunye nezothutho, kunye nakwiiwebhusayithi zeenqwelo zokuhamba ngeenqwelo kunye neenjengeenqwelo zokuhamba. [9,10,11];

8) ukuba ulwazi olunokwethenjelwa malunga nezizathu zenzeke, ezinokuthi zingozi ezibulalayo, izinto ezandisa ukwanda komgangatho wengozi kwaye amanyathelo okuthinteka ngokuthe ngqo kwi-DVT-TALA empeleni avaliwe kumaRashiya amaninzi (!) , Njengoko akukho lwazi:

- kwiiwebhusayithi zeenkonzo zaseRussia, kubandakanywa kwiwebhusayithi yeSebe lezeMpilo;

- malunga nolwazi lwee polyclinics zaseRashiya, izibhedlele kunye neeyunivesithi;

- ngolwazi olumi kwizitishi zezithuthi, ii-airports, izitimela kunye neenqwelo;

- kwiiwebhusayithi ezinkulu zaseRussia.

Ngokucacileyo, ngokusebenzisana nabalingani bamazwe angaphandle kunye nokufunda amava abo ekuthuthweni, uRZD, Aeroflot noTransero banolwazi olupheleleyo ngokunyuka kwamanani emngciphekweni we-DVT-PE ngenxa yokuhamba kwendlela yokuhamba nabade. Nangona kunjalo, i-RZD iyayigatya ngokupheleleyo iminqweno yabathengi bayo, ngaphandle kokubonelela nayiphi na ingcaciso malunga nayo. Ngokuphathelele u-Aeroflot noTransero, balahlekisa abathengi babo. Ukungabonakali ubunzulu beengxaki, kwaye kungabonakali ububambisene nabangeniso kunye nenkonzo enikezelwa kubaxumi, ngaphandle kokukhankanya iDVT kunye ne-PE (!) , Izithuthi zomoya zinika ulwazi kwiiwebhsayithi zazo ezingabangela inxaxheba ekukhuseleni i-DVT, kodwa yenza ngendlela, Oko kungenakukubonelela ukuqonda okuchanekileyo, okanye ukusetyenziswa okuchanekileyo kwale ngcaciso ngabaxhasi babo. Ngaloo ndlela, iimfuno zeCandelo le-7 "Ilungelo lomThengi loKhuseleko lweMpahla (uMsebenzi, iiNkonzo)" kuMthetho weRF "Ekukhuselweni kwamaLungelo aBathengi" ngo-07.0292, No. 2300-1, aphulwa ngokukhawuleza kwaye ixesha elide.

- kwiwebhusayithi yeeofisi zokuhamba ze-Russian Federation;

- kwimimiselo esemgangathweni yokukhusela abasebenzi kwiindidi ezifanelekileyo zabasebenzi;

- kwi "Uluhlu lwexeshana lwezinto eziyingozi, izinto eziyingozi kunye nemveliso yezinto ..." [12];

- kwiileyibhile (imiyalelo yokusetyenziswa) yemithi yokukhulelwa komlomo evunyelwe ukuthengiswa kwiinkonzo zamachiza e-Russian Federation.

Ufuna ukwazi ngakumbi - www.ptv.okis.ru

Imithombo yolwazi yenkcazelo:

1. I-Surgeon General Call to Action Ukukhusela I-vein Deep I-Thrombosis ne-Pulmonary Embolism. Sept., 2008

Http://www.surgeongeneral.gov/topics/deepvein/index.html

1. WHO. Ukuhamba ngamazwe kunye nempilo. Http://www.who.int/ith/ITH2010chapter2.pdf
2. Ulwazi lwe-RIA ngolwazi malunga nokuthutha abagibeli baseRussia ngo-2010.
3. I-JSC "I-RZD" ekuthuthweni kwabagibeli ngo-2011.
4. Nceda uRIA Novosti malunga nenkampani uTransero.

5. Uncedo Logistic-DV.ru malunga nenkampani "iTransaero" ngo-2010.

6. AviaPort.ru Uncedo kwi-Aeroflot ngo-2010

7. I-Thrombosis ene-Venous-Related Relous: Iziphumo ezivela kwi-Large Population-Based Study Control Control Study (I-MEGA Study) Kwimeko enkulu yokufunda abahambahambayo, umngcipheko we-thrombosis we-venous wenyuka nge-3-incinci efana nomngcipheko ofanayo wokuhamba okanye ukuhamba ngemoto , IBhasi, okanye uqeqesho. USuzanne C. Cannegieter, uCarine JM Doggen, uHans C. van Houwelingen, uFrits R. Rosendaal

8. Ulwazi malunga newebhusayithi yeDVT-TELA yeSebe lezoThutho zaseKhanada.

9. Ikhasi leSikhungo soPhando seSibhedlele sase-Ottawa.

10. Incwadana kwi-DVT-Tela yabagibeli bomoya, ophuhliswe yi-US Federal Aviation Administration.

11. IsiHlomelo soMyalelo weNombolo ka-90 weSebe loMphathiswa wezeMpilo kwiRussia Federation ka-Matshi 14, 1996 # Uludwe lwexeshana lwezinto ezinobungozi, izinto ezinobungozi kunye nezinto zokuvelisa, xa zisetyenziselwa okokuqala ukuhlolwa kwezonyango zabasebenzi, ukuchaswa kwezonyango, kunye neengcali zezokwelapha ezithatha inxaxheba ekuqhutyweni kweziviwo zonyango ziyimfuneko Kwaye i-laboratory efunekayo kunye nophando olusebenzayo