-Alexander Pavlovich, sixelele ukuba seziphi iindlela zokukhethwa kweengcali kwikliniki yakho?
-Ukugqirha, njengakolunye uhlobo lomonde, ubomi besigulana buza kuxhomekeka ngqo kumgangatho wenkonzo, ukuya kuthi ga ngoku kunikezelwa bubuchule kwaye sesona sikhuni. Ke ngoko, umxholo onjalo njengomoya omnye weqela akufuneki ukubakho ngamazwi, kodwa ngokuziqhelanisa.
Kutyando lweplastiki phakathi koogqirha kubaluleke kakhulu.
- Mingaphi iminyaka ekufuneka uyifunde ukuba ngugqirha weplastiki kunye nokufumana ilungelo elisemthethweni lokusebenza?
-Sifundile iminyaka emi-6 kwiZiko, kwiminyaka emi-2 kwicandelo lemfundo kunye neminyaka emi-3 kwisikolo samampumelelo. Kwathatha iminyaka eli-11 yokufunda ngaphambi kokuba sifumane ilungelo elisemthethweni lokuqhuba imisebenzi. Kodwa kude kube ngoku siyaqhubeka sifunda.
Sihamba ngamaxesha ama-2-3 ngonyaka ukuya kwiConcergery yotyando ngeplastiki, ukuze sibone ubuchwepheshe obutsha kunye neendlela ezintsha, zifunde malunga nezixhobo zanamhlanje kunye nezixhobo zanamhlanje. Oogqirha abadumileyo behlabathi beza kwiCongress, eMelika, eYurophu, eBrazil kwaye bahlala benomdla kakhulu ukuphulaphula abantu baseMelika abaphuhlisayo utyando ngeplastiki. Ukuthelekisa neMelika, banemiqathango engqongqo ngakumbi kunangaphambili.
ERussia kutyando lweplastiki, baninzi kakhulu ababizwa ngokuba boogqirha, ababefunda iiveki ezimbini, bafumana isatifikethi se-COSGETOLOGOLOGOLOTITHI SURGEON kwaye sathatha isikhuhlane.
- Inokwenzeka njani le nto?
Ngelishwa, ikhoyo ngokusemthethweni. Ukuba lo ngugqirha onamava, kuya kusenzeka ngokuqonda okuthile kwaye kuya kuba ngamava ngononophelo, ukuncedisa kakhulu. Kodwa sibona iingxaki ezininzi kwizigulana emva koogqirha.
Kutyando ngeplastiki, ngaphandle kwenye, akukho nqanaba linye. Yintoni ethathwa njengeyona nto iphambili? Usebenza njani umsebenzi womlingane okanye uyithanda njani umsebenzi wotyando kwisigulana? Kubonakala kum bokuqala - indlela yokuthanda isigulana. Ndihlala ndinxibelelana nezigulana ukuthi, ngaphambi kokuthatha isigqibo, baya kwezinye zogqirha zeplastiki. Utyando lweplastiki eRussia ngoku kwinqanaba lokuseta kuphela. Kwaye, ndiyaphinda, ukuze ndibengugqirha weplastiki eMelika, kufuneka uthathe iminyaka eli-12 ubuncinci kwaye kuphela ugqirha efumana ilayisensi yengcali yengcali. Oku kudalwa hayi kwimfundo, kodwa iminyaka, amava, ukuziqhelanisa. Kwaye sanele kwisikali, iinyanga ezintandathu zokufunda. Ke ngoko, icebiso lam lingekabikho phantsi kwesitshixo, uqokelela ulwazi malunga nogqirha. Buza, badala abaguli. Ukuba umntu unomsebenzi ombi, ungacingi ukuba unethamsanqa. Ungabi nethamsanqa kwaye wena.
- Yeyiphi enye into efuna utyando, ngaphandle kotyando, abongikazi?
- Ugqirha wesibini ngugqirha weyeza kunye nehehesi elungileyo, luvimba. Utyando ngeplastikhi azenziwanga ngokobungqina, kodwa ngenxa yesigulana. Inkxaso ye-anesthetic kufuneka yanele ukungabi nazingxaki.
Ngelishwa, zonke iingxaki ezivelayo zinxulunyaniswa ne-anesthesia, ngoko ke inqanaba le-anesthesia ngexesha lokusebenza kufuneka libe yiyomhla, jikelele. Kukho ingcinga ebizwa ngokuba yiOfisi ye-Anenestheiologlogy. Kulapho ichiza lisetyenziswa, elisebenza njengokulala kwezonyango. Umntu emva kotyando kufuneka azive ngokulula, angazikhumbuli naziphi na iintlungu ngexesha lokusebenza, kwaye okona kubaluleke kakhulu - kwakungekho sizathu, ukugabha, ukubamba.
Isikolo saseSoviet Anesthesiogical ayikwazanga ukubonelela ngelo xesha ixesha elide. Asibanga mfuneko iyimfuneko, izixhobo kunye neziyobisi. Kwaye xa sazisa itekhnoloji kwiingxoxo, eYurophu, eRashiya sadibana nokuxhathisa okunamandla. Iingcali ze-anesthesiogists ezisebenzele iminyaka engama-20 ukuya kwengama-30, zazikholelwa ukuba eyona nto ibaluleke kakhulu sisigulana esifanelekileyo, kufuneka sibe sengozini enkulu ye-anesthesia. Kwaye isicaphucaphu, izicaphucaphu, ukungcungcutheka, ukugabha emva kokuba i-anesthesia ziyimbonakaliso eqhelekileyo ye-anesthesia. Kodwa kunokwenzeka ukuba kungqine ukuba loo gqirha iYurophu kunye noogqirha behlabathi bayakholelwa ukuba akunakwenzeka ukusebenza. Inqanaba langoku le-anesthesiology liyalilahla "inkunkuma" enzima. Kwakufuneka sibuyele koogqirha bethu abaninzi kwaye siqale ukusebenzisa amachiza amatsha.
- Zeziphi iimpawu ekufuneka kubongikazi abongikazi?
-Umongikazi osebenzayo kunye nomongikazi kufuneka abe nenqanaba eliphezulu kakhulu lobuchule, kuba bahlala bencedwa ngexesha lotyando. Umongikazi ubambe amagwegwe, ngamanye amaxesha.
Kuya kufuneka azi ukuba nini kwaye nini umthungo uza kubekiwe kwaye sisiphi isixhobo esifanele sisetyenziswe ngexesha. Akukho sidingo sokulinda xa ugqirha ugqirha esithi, kufuneka ilungiselele yonke into. Ugqirha wotyando, ngokwemvelo, uzive ukhululekile, akacaphuki, akaphazanyiswa, umgangatho wokusebenza uyanda. Imeko yeemvakalelo yogqirha ugqirha ubaluleke kakhulu, akukho ndlela kufuneka enze uluvo ngexesha lomsebenzi womongikazi.
Ikliniki egqibeleleyo kuxa bonke abasebenzi basebenza kurhulumente, akukho bagqirha abangenayo, wonke umntu liqela elinye kwaye kukho ukuqondana. Soloko ufumanisa ngaphambi kokusebenza, iingcali zisebenzela ixesha elide.
- Kodwa ukuba oogqirha banamava, kodwa kwiikliniki ezahlukeneyo, zinokwenzeka ntoni?
-Ugqirha utyando uqhubela phambili wenza utyando, kodwa umongikazi unokuba akamava. Inokothuka, isebenzise isisombululo se-anesthetic. Yongeza ngakumbi i-adrenaline kwaye kuya kubakho ukwaphulwa okukhulu ekunciphisweni kweenqanawa. I-necrosis yesikhumba inokwenzeka, ngelishwa, iimeko ezinjalo zaqwalaselwa kwezinye iikliniki. Oku kungenxa yokuba iqela lenziwe ngokungachanekanga. Iqela leengcali lenziwa ngeminyaka. Ukuba isigulana siyazi ukuba i-anecheologist isebenza kuRhulumente, ugqirha ongugqirha akabaleki kwiikliniki, abongikazi bahlala - le yinto esisiseko ukuze bacinge ukuba le clinice iya kwenza umsebenzi ophezulu.
-Unayo imiqobo yobudala kubongikazi kwaye lufuneka luphi umgangatho?
Akukho mda wobudala. Kodwa ndiphatha abahlengikazi abancinci ngethandabuzo elikhulu kwaye andikhumbuli ukuba sithatha umongikazi emva kwesikolo, kuba inqanaba lemfundo lehlile. Abongikazi abancinci abazi ukuba baqhawula njani umtshato we-Lidocaine, abaziyo izixhobo. Begqibile incindi yobusi, abazi ukuba yintoni inyosi. Kwaye obu bubudlelwane phakathi kwabasebenzi abaphakathi noogqirha, xa zonke izinto zengqondo zithathelwa ingqalelo. I-hiarararchy, ukucheba, ngoku bayafundisa inqanaba elibi nelinobuchule libuthathaka kakhulu. Abongikazi abaninzi abayithandi lo msebenzi, sayibona. Sinika kuqala abo bayiminyaka engama-30 ukuya kwengama-40 ubudala. Kodwa kufanele ukuba ibe sekrelekrele kakhulu, umongikazi ngokudibeneyo ofuna ukufunda nokusebenza. Umongikazi ophezulu kuthi ngumntu obaluleke kakhulu. Kufuneka ndiyithembe njengam. Senza iimpawu ezithile, enye yazo ithanda umsebenzi wakho. Udade othanda amayeza yindoda enamajoni atshayo, ukulungele ukufundisisa. Ayisiyo "i-shwiss ye-swick" kwaye ayitsho ukuba uyazi yonke into.
Kuya kubakho uvelwano kwisigulana. Ukuba ndishiye iziko, oko akuthethi ukuba ndilibele ngesigulana. Ndicinga ngaye, ndiyambona.
Lo dade makaphendule kwisigulana ngasinye kwaye isigulana sizive sizikhathalele, ukuze singathandabuzeki ukuba sithandazeke. Kwaye inqanaba nje lenkonzo lihlambulula imvakalelo yokuba netyala kumonde phambi kwakhe, bathi, kutheni ndizenzakalisa ngokwam. Ibangela imvelaphi entle ngokweemvakalelo, kwaye ukuphiliswa kule meko kuyakhawuleza.
-Unayo amatyala agxothiweyo kwaye yintoni?
-Ndiza kukuxelela ityala. Sisebenze nathi umongikazi omnye, njengamava, yonke into iyenza inyani, saneliseka yiyo. Nje ukuba ndenze uvavanyo, ndivula iwadi kwaye ndibone ukuba ulele ebhedini yesigulana kwaye ubukele umabonwakude. Ndamenza intetho, iphakame. Ngokwemvelo, ngosuku olulandelayo, kwagxothwa le ndoda.
Entlokweni yam ayilunganga, unjani lo moomba ngexesha lokusebenza, akanakufumana umsebenzi? Kuthetha ukuba yinto engenabuchwephesha. Ungasicima kwaye uqokelele izixhobo kwakhona, gcwalisa iphephancwadi. Naxa kungekho siguli, kuhlala kukho umsebenzi.
Elinye ityala - umongikazi wayekrele kwaye atshisa amehlo, kodwa iinkqubo eziphathelele kukuzingca. Ngexesha lenkqubo, kubalulekile ukuthetha nesigulana, mamela, uvelwano, ibalulekile. Kodwa ngexesha lenkqubo, isiguli safumanisa ukuba yintoni abantwana awayenayo, beyenzakaliswa njani, bangaphi abayeni. Isigulana saphuma saza sakhathazeka ngumongikazi, ongenakulindeleka ukuba uza kungena kwinkqubo. Kwakufuneka ndihlukane nomongikazi, kuba uluvo lwabathengi bethu abaqhelekileyo lubalulekile kuthi. Umongikazi "ukhuphele" ngeengxaki zakhe awayephuma ngazo ezifihlakeleyo, kwaye oku akuthandi kwikliniki yethu.
- Zeziphi ezinye iingcali ezifunekayo?
-Ubuso bayo nayiphi na iklinikhi ngabalawuli abadibana nabathengi abahamba nabo. Umgaqo ophambili-kufuneka wakhe, uncume, yithi molo.
Ukuba umlawuli weza kulo msebenzi, kufuneka othande unxibelelwano nezigulana, kwaye angahlali nje, aphendule kwiifowuni kwaye wolule amaxesha athile. Xa uthanda ukunxibelelana nabakhenkethi, nje emva koko ukuphikisana nomsebenzi. Ke ngoko, kubaphathi, ezona ndlela ziphambili ngabantu abaneemvakalelo ezintle rhoqo. Abantu i-hlegmatic ayizukusebenza nathi. Xa isiguli sishiya isebe, ngokukhawuleza uyabulela kumongikazi nomphathi.
Ugqirha uthandana ngeveki ezimbini, emva kotyando, xa kuba njalo, isiphumo sibonakala.
Uncumo oluvela kwizihlombelwano nabalawuli kunxibelelwano lokuqala lubaluleke kakhulu. Ngapha koko, umthengi unamava amaninzi kwaye amava, malunga: "Kutheni ndize apha? Ngaba ndiyifuna Ngokwenene lo msebenzi? " Ukuze umntu azive ekhululekile, umlawuli kufuneka abe nolwazi olufanelekileyo.
Kubaluleke kakhulu ukuba angazola isigulana phambi kokufika kukagqirha. Umlawuli osemgangathweni ophezulu kufuneka ayazi ukuba yeyiphi isigulana esithanda ikofu, iti okanye amanzi emyoli. Umgangatho obaluleke kakhulu womlawuli olungileyo-ukhunjulwa, ichaphazela imeko yeemvakalelo zesigulana.
-Ngaba lukhona uphawu olubaluleke kakhulu kubasebenzi, ngaphandle kobungcali, uvelwano, oya kuthi ubalulekile kwingqesho?
-Uyazi, oku kwanele ukuze ufumane umsebenzi olungileyo kwikliniki elungileyo. Kodwa eyona nto ibalulekileyo iseyinto yokuthanda umsebenzi wakho. Kwaye wenze yonke into ukuze kungabikho "buck" akwenzeki. Oku kuyenzeka xa ingcali iqala ukucinga ukuba uyazazi yonke into, uyakhathazeka ukuba aye emsebenzini, uzama ukutshintsha imisebenzi yakhe. Kwaye xa iqala ukuza kwiqela, intloko kufuneka ithathwe ngexesha.