Âåñòè ÏðèâîëæüåÍîâîñòè Íèæíåãî ÍîâãîðîäàÂåñòè

Ïàöèåíòàì ñ ãèïåðòðîôè÷åñêîé êàðäèîìèîïàòèåé òåïåðü íå íàäî åõàòü íà îïåðàöèþ â ñòîëèöó

15:33
17.05.19
0
3852
#Âåñòè
17 ìàÿ 2019, ÃÒÐÊ "Íèæíèé Íîâãîðîä" (âèäåî). Ïàöèåíòû ñ ãèïåðòðîôè÷åñêîé êàðäèîìèîïàòèåé ïîëó÷èëè øàíñ íà çäîðîâóþ æèçíü, íå âûåçæàÿ çà ïðåäåëû ðåãèîíà. Åñëè ðàíüøå ïàöèåíòîâ ñ òàêèì äèàãíîçîì îòïðàâëÿëè â ôåäåðàëüíûå öåíòðû, òî òåïåðü è íèæåãîðîäñêèå êàðäèîõèðóðãè ñìîãóò îïåðèðîâàòü ýòó ïàòîëîãèþ. Ñâîèì îïûòîì ñ êîëëåãàìè ñåãîäíÿ ïîäåëèëñÿ èçâåñòíûé êàðäèîõèðóðã Ìèõàèë Ãîðäååâ. Êîððåñïîíäåíò ïðîãðàììû "Âåñòè-Ïðèâîëæüå" Àëåíà Êàðïîâà ïîîáùàëàñü ñ èçâåñòíûì õèðóðãîì.


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3 ÷àñà êðîïîòëèâîãî òðóäà êàðäèîõèðóðãîâ - è ó ïàöèåíòà ïîÿâëÿåòñÿ øàíñ íà çäîðîâóþ æèçíü. Ïîä ðóêîâîäñòâîì Ìèõàèëà Ãîðäååâà íèæåãîðîäñêèå âðà÷è îïåðèðóþò âðîæäåííóþ ïàòîëîãèþ - óòîëùåíèå ñòåíêè æåëóäî÷êà. Ãèïåðòðîôèðîâàííîé ìûøöå òðóäíåå ïåðåêà÷èâàòü êðîâü.  Ìåäèöèíñêîì öåíòðå èìåíè Àëìàçîâà òàêèå îïåðàöèè ïðîâîäÿòñÿ íà ïîñòîÿííîé îñíîâå, ïîýòîìó åñòü ÷åì ïîäåëèòüñÿ ñ íèæåãîðîäñêèìè êîëëåãàìè.
Ìèõàèë Ãîðäååâ, ãëàâíûé êàðäèîõèðóðã ÔÃÁÓ "ÍÌÈÖ èì. Â.À. Àëìàçîâà" Ìèíçäðàâà Ðîññèè, ãëàâíûé âíåøòàòíûé ñåðäå÷íî-ñîñóäèñòûé õèðóðã Ìèíçäðàâà Ðîññèè ïî Ñåâåðî-Çàïàäíîìó ôåäåðàëüíîìó îêðóãó: "Ýòè îïåðàöèè äåëàþòñÿ íà îòêðûòîì ñåðäöå, â óñëîâèÿõ îñòàíîâëåííîãî ñåðäöà, ïîòîìó ÷òî ýòà ïðîöåäóðà íå î÷åíü óäîáíàÿ äëÿ õèðóðãîâ â ñèëó òîãî, ÷òî íàøå ïîëå õèðóðãè÷åñêîå, îíî òðóäíîäîñòèæèìî. Åãî íå î÷åíü õîðîøî âèäíî, íàäî ñïåöèàëüíî ñòðóêòóðû ñåðäöà âûâîäèòü òàêèì îáðàçîì, ÷òîáû ïîä êîíòðîëåì çðåíèÿ ñäåëàòü ýòó îïåðàöèþ".

Íà ñ÷åòó Ìèõàèëà Ãîðäååâà çà ïîñëåäíèå 5 ëåò 2730 îïåðàöèé íà îòêðûòîì ñåðäöå â óñëîâèÿõ èñêóññòâåííîãî êðîâîîáðàùåíèÿ.  íèæåãîðîäñêîé áîëüíèöå ñåé÷àñ ïðîîïåðèðîâàíû òðîå. Îíè íàõîäÿòñÿ â îòäåëåíèè ðåàíèìàöèè. Òàì âðà÷è ïðîâîäÿò ìåäèêàìåíòîçíóþ òåðàïèþ è ñëåäÿò çà òåì, ÷òîáû íå âîçíèêëî îïàñíûõ îñëîæíåíèé â âèäå àðèòìèè. Íî î÷åíü ñêîðî ïàöèåíòîâ ïåðåâåäóò â õèðóðãè÷åñêîå îòäåëåíèå.

Àíòîí Ìàêñèìîâ, ãëàâíûé âðà÷ ÃÁÓÇ ÍÎ "Ñïåöèàëèçèðîâàííàÿ êàðäèîõèðóðãè÷åñêàÿ êëèíè÷åñêàÿ áîëüíèöà": "Îíè áóäóò æèòü ïîëíîöåííîé æèçíüþ, îíè áóäóò èçáàâëåíû îò ïðîÿâëåíèé ñåðäå÷íîé íåäîñòàòî÷íîñòè, êîòîðàÿ ðàçâèâàåòñÿ ðàíî èëè ïîçäíî ó ýòèõ ïàöèåíòîâ, êðîìå òîãî, ýòà áîëåçíü èíîãäà ïðîÿâëÿåò ñåáÿ ñèíäðîìîì âíåçàïíîé ñìåðòè, êîòîðóþ òðóäíî ïðåäñêàçàòü, ïðåäâèäåòü è îêàçàòü ïîìîùü â ýòîò ìîìåíò ïàöèåíòó. Áóäåì îêàçûâàòü ýòó ïîìîùü âñåì ïàöèåíòàì, êîòîðûå áóäóò âûÿâëåíû ñ äàííîé ïàòîëîãèåé â ÍÎ". 

À ýòî 20-40 ñïàñåííûõ ïàöèåíòîâ â ãîä. Ðàíüøå òàêèõ áîëüíûõ íàïðàâëÿëè â ôåäåðàëüíûå öåíòðû Ìîñêâû è Ñàíêò-Ïåòåðáóðãà. Òåïåðü è ýòà ðåäêàÿ ïàòîëîãèÿ áóäåò ïîäâëàñòíà ðóêàì íèæåãîðîäñêèõ âðà÷åé, òåì áîëåå ÷òî ñ ðàçâèòèåì ìåäèöèíû âûÿâëÿòü åå ñòàëè ãîðàçäî ÷àùå.
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