Russia uye zvakadzama tsinga thrombosis: angava here kukanganisa?

RUSSIA uye venous thrombosis: rangano kunyarara?

MuRussia, vanhu vashoma vanoziva:

1 / kuti dzakawanda dzakabudirira, rakadzika tsinga thrombosis (DVT) uye pulmonary embolism (Pe) akaenda rokutanga nzvimbo pakati zvikuru zvinokonzera rufu. Mamiriro acho ezvinhu zvokuti muna US, vakagamuchirwa (mu September 2008) pa kutanga of Chief Wemabhonzo (Minister of Health) 'kunoda kudzivisa DVT uye Pe "zvirwere aya vanonzi" mukuru yavose zvoutano "[1];

2 / kuti "dambudziko chirwere (rakadzika tsinga thrombosis) ndiro kunzwisisa nechirwere nekuti zviratidzo zvavo hadzinzwisisiki chaizvo uye unspecific. Inenge 50% kuti zviitiko DVT kuitika pakavanda. Kakawanda, mashoko chiratidzo DVT wokutanga chinouraya pulmonary embolism "(Heino mazwi akatorwa mashoko Director of National Heart, Lung, uye Ropa uye United States, zvaisanganisira mu" Shevedzera kudzivisa DVT uye Pe "). [1];

3 / kuti, kubvira 2001, World Health Organization (WHO) anoratidza zvakasimba kuvapo zvakananga kubatana kwakaita DVT, pulmonary embolism ane refu (maawa 4) munhu ari vagere chinzvimbo - kunyanya panguva nzvimbo nzendo nemotokari , mabhazi, zvitima, ndege kana rwizi midziyo. WHO Inhamba inoratidza kuti chimwe vanhu 4,500 wose afambe clusive cheefa rinoguma Pe. [2];

4 / kuti Pe yokuRussia iri kazhinji zvinouraya;

5 / kuti kana tikashandisa mashoko neWHO nenhamba, ipapo, kufungisisa nenzvimbo kukura munyika uye mutakurwi motokari, nokufa Pe ndiyo chete somugumisiro (kunaka) Zvokudya mutakurwi chokufambisa mabasa pagore vakauraya vanopfuura zviuru 23 R USSIA (!) [3, 4,5,6,7];

Zvisinei zvakadini kufa Russian kubva yetsaona ndiyo chete zvishoma kupfuura pamusoro nenhamba, kuti akashanda sehwaro kuitwa Federal chirongwa "Wedzero rwemotokari yakachengeteka makore 2006-2012", apo kumusoro (kufungisisa zvose zvinoita inotisvitsa chirwere) vanourayiswa kubva DVT -TELA kwete kugamuchirwa kupinda chero Masvomhu!

6 / kuti pane zvinhu zvinoverengeka, nguva zhinji kunowedzera mikana yakadzika venous thrombosis, pulmonary embolism. Pakati pavo - kushandiswa pachishandiswa nemumuromo nhumbu, mikana yokubatwa nayo inowedzerawo kusvika ka20 [8] (!);

7 / kuti hurumende kupfuura dzakabudirira vava matanho kurera ruzivo pakati vanhu vadzo pamusoro zvinokonzera uye zvichiita zvinouraya njodzi uye rinowanikwa matanho ari chirwere. Zvikurukuru mune dzakawanda dzakabudirira, mashoko akadaro kunodiwa pamusoro Websites hushumiri utano uye neshumiro pakufamba, uyewo pamusoro Websites ose mutakurwi vendege uye masangano okufambisa. [9,10,11];

8 / kuti mashoko akavimbika pamusoro zvinokonzera, zvinobvira dzinouraya pangozi, zvinhu zvinowedzera mikana pamwero uye anoyera DVT-Pe iripo kudzivirira chaizvoizvo kuvharwa nokuti vazhinji vokuRussia, sezvo mashoko haasi (!):

- Nzvimbo hushumiri Russian, kusanganisira Bazi Health Website;

- panguva ruzivo anomira pakati Russian makiriniki, zvipatara uye mumayunivhesiti;

- ruzivo kuruoko njanji pazviteshi, dzendege, zvitima uye ndege;

- on nzvimbo mikuru Russian kutakura.

Zviri pachena kuti kuwadzana vatorwa nevarume uye kudzidza kubva kune zvakaitika mumunda chokufambisa, "Railways Russian", "Aeroflot" uye "Transaero" zvizere ruzivo pamusoro disproportionate ikure ngozi DVT - Pe pamusana svikiro uye akareba mutakurwi senga. Zvisinei, "Railways Russian" zvachose hanya zvinodiwa vatengi vavo, pasina achivapa chero mashoko ichi. Kana "Aeroflot" uye "Transaero", ivo akatanga nemakasitoma avo kuvhiringika. Pasina ichitoratidza kukomba dambudziko, uye hazviratidzi munhu causal kubatana pamwe basa inopiwa kune vatengi, kazhinji pasina nezvokuvaka DVT uye pulmonary embolism (!), Airlines mutobvu pamusoro Websites dzavo mashoko aigona kubatsira kudzivirira yakadzika venous thrombosis, pulmonary embolism, asi kudaro muchimiro risingagoni kupa kunzwisisa chero zvakakodzera, kana kodzero yokushandisa mashoko iyi vatengi vavo. Nokudaro aregeredza akambokanganiswa, uye kwenguva refu "Consumer Protection" zvinodiwa Chikamu 7 "Kodzero mutengi kuti vakachengeteka kwenhumbi (mabasa, services)" Mutemo Russian Federation kubva 07.0292g nhamba 2300-1.

- Nzvimbo ine nzvimbo emisasa Russian Federation;

- mune muenzaniso mirayiro iri basa kudzivirira kuti akakodzera Mapato revashandi;

- mu "dikidiki mazita inokuvadza, ngozi zvinhu uye kugadzirwa zvinhu ..." [12];

- dziri pamapepa (mirayiridzo kushandiswa) nomumukanwa pamuviri kubvumirwa kuti Implementation ari Russian chemishonga ngetani.

Unoda kuziva zvakawanda - www.ptv.okis.ru

Sources kuti bhuku mashoko:

1. The Wemabhonzo General Call kuna Action Kudzivisa Deep tsinga Thrombosis uye Pulmonary Embolism. Sept., 2008

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

1. WHO. kufamba International uye utano. http://www.who.int/ith/ITH2010chapter2.pdf
2. Batsirai Ria kuti "Railways Russian 'mutakurwi motokari muna 2010.
3. Batsirai JSC "Railways Russian" riri mutakurwi chokufambisa muna 2011.
4. Batsirai Ria "Novosti" Company "Transaero".

5. Batsirai Logistic-DV.ru Company "Transaero" muna 2010.

6. Batsirai AviaPort.ru Company "Aeroflot" muna 2010

7. Travel-Related Venous Thrombosis: Results kubva Large Population-Based Case Control Study (MEGA Yechidzidzo) In hombe nyaya kuzvidzora kudzidza vafambi, mukana venous thrombosis yakanga yawedzera 3-ukagunzva ane yakafanana ngozi kubhururuka kana kufamba nemotokari , bhazi, kana chitima. Suzanne C. Cannegieter, Carine JM Doggen, Hans C. Van Houwelingen, Frits R. Rosendaal

8. Information pamusoro DVT, Pe Transport Canada nzvimbo.

9. Page iri nzvimbo Research Institute of Ottawa Hospital.

10. Kabhuku pamusoro DVT, pe kuti ndege, kugadzirwa US Federal Aviation Administration.

11. Mupanda kuti Order of Ministry of Health of Russian Federation kubva 14.03.96 N 90 # dikidiki ndandanda inokuvadza uye zvinhu zvinokuvadza uye kugadzirwa zvinhu kubasa waida rokutanga uye nguva nenguva dzokurapa bvunzo revashandi, zvokurapa contraindications, uyewo vanachiremba zvinobatanidzwa mufambiro zvokurapa bvunzo uye anodiwa rabhoritari uye dzichipfekeka zveBhaibheri