Russia nase deep vein thrombosis: ngabe ngempela usongo?

ERUSSIA futhi thrombosis emithambo yegazi: iqembhu?

ERussia, bambalwa abantu bazi:

1 / ukuthi iningi emazweni asethuthukile, deep vein thrombosis (DVT) kanye embolism yamaphaphu (PE) waya kwenye yezindawo zokuqala phakathi izimbangela eziyinhloko zokufa. Isimo sibi kangangokuba kwelase-United States, bamukela (ngo-September 2008) ngesikhathi isinyathelo we-Chief Surgeon (Minister of Health) 'soxhumana nokuvimbela DVT futhi PE "Lezi zifo abizwa ngokuthi" induna izinkinga zezempilo zomphakathi "[1];

2 / ukuthi "Inhlekelele ye isifo (deep vein thrombosis) kuyinto yinkimbinkimbi uphethwe yini ngoba izimpawu zabo abasakwazi engacacile unspecific. Balinganiselwa ku-50% we amacala DVT zenzeka ekusithekeni. Isikhathi esining impela, uphawu lokuqala DVT kuyinto embolism yamaphaphu ebulalayo "(Nansi wacaphuna isigijimi Umqondisi we National Heart, Lung, neGazi ne-United States, kufakwe" Shayela ukuvimbela DVT futhi PE "). [1];

3 / ukuthi, kusukela ngo-2001, i-World Health Organization (WHO) bubonisa ngokunamandla khona kuxhumana ngqo namatheminali DVT, embolism yamaphaphu nge eside (4 amahora) ntu esimweni ehlezi - ikakhulukazi ngesikhathi izivakashi uhambo ngemoto , ngamabhasi, izitimela, izindiza noma emfuleni izitsha. UBANI izibalo zibonisa ukuthi umuntu oyedwa kwabangu 4,500 abahambayo into Clusive uphela PE. [2];

4 / ukuthi PE eRussia ngokuvamile ebulalayo;

5 / ukuthi uma sisebenzisa idatha WHO izibalo ke, ikhumbula ngokwezinga ezindawo yezwe futhi umgibeli womgwaqo, ka PE ebulalayo kuphela ngenxa (ngokungafanele) ukuhlinzekwa kwezinsiza zokuthutha abagibeli ngonyaka zabulala abantu abangaphezu kuka-23 eziyinkulungwane R USSIA (!) [3, 4,5,6,7];

Nokho Izinga labantu ababulawa Russian yizingozi zomgwaqo kuphela ethe xaxa kunaleyo izibalo ngenhla,, wawuhloselwe njengoba isisekelo ukwamukelwa of Federal hlelo "Yandisa zokuphepha traffic eminyakeni 2006-2012", ngenkathi ephezulu (ikhumbula zonke izici okuholela lesi sifo) ngokwempilo yangenyama kusukela DVT -TELA hhayi wamukelwe kokusebenzisa izibalo!

6 / ukuthi kukhona ezicini eziningana, izikhathi eziningi kwandisa ingozi thrombosis ezijulile emithambo yegazi, embolism yamaphaphu. Phakathi kwabo - ukusetshenziswa esebenzisa izinto zokuvimbela inzalo? Temlomo, ukwanda kwezinhlekelele izikhathi 20 [Isithombe ekhasini 8] (!);

7 / ukuthi ohulumeni amazwe amaningi sezithathe izinyathelo ejonge imiphakathi yabo ngezimbangela futhi kungenzeka izingozi elibi kakhulu futhi izinyathelo etholakalayo zokuvimbela lesi sifo. Ikakhulukazi, emazweni amaningi asethuthukile, ulwazi olufana liyadingeka kumawebhusayithi we likaNgqongqoshe impilo kanye nomsebenzi wokushumayela zokuthutha, kanye kumawebhusayithi sithwala ezindizeni kanye ejensi. [9,10,11];

8 Imininingwane / eliqinisekile ngezimbangela, kungenzeka izingozi esibulalayo, izici ukuthi ukwandisa izinga ingozi futhi alinganise DVT-PE zokuvimbela ezikhona ngempela ivaliwe iningi abaseRussia, kusukela lwazi akulona (!):

- Isayithi ye zezinkonzo isiRashiya, kuhlanganise Ministry of Health iwebhusayithi;

- ngesikhathi Imininingwane imele ka imitholampilo isiRashiya, izibhedlela amanyuvesi;

- Imininingwane imi ujantshi iziteshi, izikhumulo zezindiza, izitimela ezindizeni;

- emasayithini ezinkulu Russian umgibeli zenethiwekhi.

Kusobala ukuthi ngokusebenzisana ne abalingani angaphandle kanye ukufunda ezimweni abahlangana nazo emkhakheni yezokuthutha, "Railways Russian", "Aeroflot" futhi "Transaero" onolwazi ngokugcwele ngokukhula ongalingani ingozi DVT - PE ngenxa aphakathi nendawo kanye elide tekutfutsa bagibeli. Nokho, "Railways Russian" engayinaki ngokuphelele izithakazelo amaklayenti abo, ngaphandle ubanika imininingwane noma yiphi kule. Ngokuqondene 'Aeroflot "futhi" Transaero ", zazisa amaklayenti abo ukudideka. Ngaphandle ebonisa engathí sina, futhi akubonisi isixhumanisi esiyimbangela ne enikezwa amakhasimende, ngokuvamile ngaphandle kokukhuluma DVT kanye embolism yamaphaphu (!), Airlines wahola zabo ulwazi kumawebhusayithi kungaba nomthelela wokukhula okuthe nokuvimbela thrombosis ezijulile emithambo yegazi, embolism yamaphaphu, kodwa ukwenza kanjalo ifomu okungakwazi ukunikeza noma yimuphi ukuliqonda ngokunembile, noma ilungelo lokusebenzisa lolu lwazi kumakhasimende abo. Ngaleyo ndlela ababeziphatha i-, futhi eside "Wokuvikelwa Kwabathengi" nezidingo Isigaba 7 "Ilungelo umthengi ukuphepha izimpahla (imisebenzi, izinsizakalo)" Umthetho Russian Federation kusuka kunombolo 07.0292g 2300-1.

- amasayithi izinkampani izivakashi we Russian Federation;

- e iziqondiso imodeli ukuvikelwa zabasebenzi mayelana nemikhakha efanele abasebenzi;

- in the "uhlu Yesikhashana eziyingozi, imithi enobungozi kanye izici ukukhiqizwa ..." [12];

- ku-amalebula (yokusetshenziswa) umuthi ngomlomo egunyazelwe ukwenza ukuqaliswa Russian ekhemisi ngamaketanga.

Ufuna ukwazi okwengeziwe - www.ptv.okis.ru

Imithombo inkomba ulwazi:

1. Call The Surgeon Jikelele ukuba Wokuvimbela Deep Esebenzisa umfanekiso Thrombosis nokwamaphaphu embolism. Sept., 2008

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

1. UBANI. Ukuya kwamanye amazwe impilo. http://www.who.int/ith/ITH2010chapter2.pdf
2. Siza RIA ka "Railways Russian 'umgibeli sezimoto ngo-2010.
3. Siza JSC "Railways Russian" ku tekutfutsa bagibeli ngo-2011.
4. Siza RIA "NOVOSTI" Inkampani "Transaero".

5. Siza Logistic-DV.ru Inkampani "Transaero" ngo-2010.

6. Siza AviaPort.ru Inkampani "Aeroflot" ngo-2010

7. Izikhangibavakashi-Ezihlobene emithambo yegazi Thrombosis: Ezenye kusuka elikhulu Population Based Case Control Isifundo (Mega Isifundo) Ngo isilawuli case-cwaningo esikhulu lezihambi, ingozi thrombosis emithambo yegazi Kwandiswa 3-nesibaya nengozi afanayo flying noma ehamba ngemoto , ibhasi noma isitimela. Suzanne C. Cannegieter, Carine JM Doggen, Hans C. van Houwelingen, noFrits R. Rosendaal

8. Ulwazi mayelana DVT, PE Ezokuthutha Canada indawo.

9. Ikhasi isayithi ye Research Institute Hospital Ottawa.

10. Incwajana ye DVT, PE abagibeli emoyeni, akhiwa US Federal Aviation Administration.

11. Isijobelelo ukuze Order of Ministry of Health we Russian Federation kusukela 14.03.96 N 90 # uhlu Yesikhashana izidakamizwa futhi uyingozi futhi izici ukukhiqizwa emsebenzini okuyinto edingekayo Luhlolo kwesikhashana futhi ngezikhathi ezithile zokwelapha abasebenzi, Izimo wezokwelapha, kanye ongoti bezokwelapha ehilelekile ngokuziphatha nokuhlolwa odokotela futhi elabhorethri ezidingekayo futhi izifundo obusebenzayo