- Alexander Pavlovich, sitshele ukuthi yiziphi izindlela zokukhethwa kochwepheshe abakhona emtholampilo wakho?
- Kwezokwelapha, njengakolunye okukhethekile, impilo yesiguli izoncika ngqo kwikhwalithi yensizakalo, ngangokunokwenzeka inikezwe ngokomsebenzi futhi ngasiphi isivinini. Ngakho-ke, umqondo onjalo njengomoya owodwa weqembu akufanele ube khona ngamazwi, kodwa ekusebenzeni.
Ekuhlinzwa kwepulasitiki phakathi kodokotela kubaluleke kakhulu.
- Udinga ukufunda iminyaka emingaki ukuze ufunde ukuba udokotela ohlinzayo wepulasitiki futhi uthole ilungelo elisemthethweni elizosebenza?
- Sifunde iminyaka engu-6 e-Institute, iminyaka emi-2 kwi-Ordinature kanye neminyaka emi-3 esikoleni sokuthola iziqu. Kuthathe iminyaka engu-11 yokutadisha ngaphambi kokuba sithole ilungelo elingokomthetho lokuqhuba imisebenzi. Kepha nani kuze kube namuhla siyaqhubeka nokufunda.
Sihamba izikhathi ezingama-2-3 ngonyaka kwizinhlangano zokuhlinzwa kwepulasitiki, ukuze sibone ubuchwepheshe obusha nezindlela ezintsha, funda ngemishini yesimanje nangezinto zesimanje. Odokotela bezwe elidumile beza kwiCongress, bavela eMelika, eYurophu, eBrazil futhi bahlala bethakazelisa kakhulu ukulalela amaMelika abangezothuthukiswa ekuthuthukisweni kwepulasitiki. Ukuqhathanisa neMelika, zinezimo eziqinile zokusebenza kunathi.
ERussia ekuhlitshweni kwepulasitiki, kunodokotela abaningi okuthiwa odokotela, abafunda amasonto amabili, bathola isitifiketi se-cosmetologists ehlinza udokotela futhi bathatha isikhumba ngesandla.
- Kungenzeka kanjani lokhu?
- Ngeshwa, ikhona ngomthetho. Uma lokhu kungudokotela onolwazi, kuzofika ecaleni elithile lokuqonda futhi kuzobe sekuthola ulwazi ngokuqapha, ukusiza kakhulu. Kepha sibona izinkinga eziningi ezigulini ngemuva kodokotela abahlinzayo.
Ekuhlitshweni kwepulasitiki, njengakunye, azikho indinganiso eyodwa. Yini ethathwa njengenkomba ejwayelekile? Ngabe umsebenzi wozakwethu noma uwuthanda kanjani umsebenzi wodokotela ohlinzayo kwisiguli? Kubukeka kimi ukuthi okokuqala - kanjani ukuthanda isiguli. Ngihlala ngibonisana neziguli zithi, ngaphambi kokuthatha isinqumo, ziye kwabanye abahlinzayo zepulasitiki. Ukuhlinzwa kwepulasitiki eRussia manje sekusesigabeni sokwakhiwa. Futhi, ngiyaphinda, ukuze ngibe udokotela ohlinzayo epulasitiki eMelika, kufanele uthathe okungenani iminyaka eyi-12 bese udokotela ethola ilayisense lochwepheshe onguchwepheshe. Lokhu akumiswanga ezimisweni, kepha iminyaka, isipiliyoni, ukuzijwayeza. Futhi sine-scalpel eyanele, izinyanga eziyisithupha zokutadisha. Ngakho-ke, izeluleko zami ngaphambi kokulala ngaphansi kommese, ziqoqe imininingwane ngodokotela. Buza, iziguli zangaphambili. Uma umuntu enokusebenza okubi, ungacabangi ukuthi unenhlanhla. Hhayi ngenhlanhla nani.
- Yini enye eyenziwa ochwepheshe abadinga ukuhlinzwa, ngaphandle kodokotela ohlinzayo, abahlengikazi?
- Udokotela wesibili ungudokotela obulala izinzwa kanye nodokotela obulala izinzwa okuhle, kungumlando. Ukuhlinzwa kwepulasitiki akwenziwa ngokobufakazi, kepha ngesicelo sesiguli. Ukuxhaswa kwe-anesthetic kufanele kwanele ukunganazo izinkinga.
Ngeshwa, zonke izinkinga ezivelayo zihlotshaniswa ne-anesthesia, ngakho-ke izinga le-anesthesia ngesikhathi sokusebenza kufanele libe sesimanjemanje, lisemhlabeni wonke. Kunomqondo obizwa ngokuthi yi-Open Anesthesiology. Yilapho umuthi usetshenziswa, osebenza njengobuthongo bezokwelapha. Umuntu ngemuva kokuhlinzwa kufanele azizwe kalula, hhayi ukuthi akhumbule noma yibuphi ubuhlungu ngesikhathi sokusebenza, futhi okubaluleke kakhulu - akufanele kube nasicanucanu, ukugabha, ukubanjwa.
ISoviet Anesthesiological School ayikwazanga ukunikeza lokhu isikhathi eside. Sasingenamfundo esidingekayo, imishini nezidakamizwa. Futhi lapho siletha ubuchwepheshe ezivela ezingqungquthela ezenziwa eMelika, eYurophu, eRussia yahlangana nokuphikiswa okunamandla. Ama-anesthesiologists asebenze iminyaka engama-20-30, akholelwa ukuthi into ebaluleke kakhulu isiguli kufanele singasebenzi, kufanele kube ekujuleni okukhulu kwe-anesthesia. Futhi isicanucanu, ukuqunjelwa, ukuhlanza ngemuva kokuzwakala kwe-anesthesia kuyizibonakaliso ezijwayelekile ze-anesthesia. Kepha kungenzeka ukuthi kufakazele ukuthi iningi lodokotela baseYurophu nezwe lomhlaba bakholelwa ukuthi akunakwenzeka ukusebenza. Izinga lesimanje le-anesthesiology liphika lokho okubizwa ngokuthi "imfucuza" esindayo. Bekumele sibuyele kodokotela bethu abaningi bese siqala ukusebenzisa izidakamizwa ezintsha.
- Iziphi izimfanelo okufanele zibe ngabahlengikazi okufanele basebenze kuyo emitholampilo enjalo?
- Umhlengikazi osebenzayo kanye nomhlengikazi kufanele abe nezinga eliphakeme kakhulu lobuchwepheshe, ngoba bavame ukusizakala ngesikhathi sokuhlinzwa. Umhlengikazi uphethe izingwegwe, kwesinye isikhathi indle.
Kufanele azi ukuthi umthungo uzobekwa nini futhi yiliphi ithuluzi okufanele lisetshenziswe ngesikhathi. Akunasidingo sokulinda lapho udokotela ohlinzayo ethi, kufanele abe nakho konke ukulungele. Udokotela ohlinzayo, ngokwemvelo, uzizwa ukhululekile, awucasuki, akuphazamiseki, ikhwalithi yokuhlinzwa iyanda. Isimo esingokomzwelo sodokotela ohlinzayo sibaluleke kakhulu, akanakuphawula ngesikhathi somsebenzi womhlengikazi.
Umtholampilo ophelele yilapho bonke abasebenzi besebenza embusweni, abukho odokotela abangenayo, wonke umuntu uyiqembu elilodwa futhi kunokuqonda okukodwa. Ngaso sonke isikhathi thola ngaphambi kokuhlinzwa, ochwepheshe basebenzela isikhathi eside.
- Kepha uma odokotela behlangenwe nakho, kepha bevela emitholampilo ehlukene, kwenzekani lokho?
- Udokotela ohlinzayo wenza umsebenzi ngokuphelele, kepha umhlengikazi angahle ahlazekile. Kungethuka, kusetshenziswe ngokungafanele isixazululo sobuntu busthetic. Faka i-adrenaline engaphezulu futhi kuzoba nokwephula umthetho okukhulu ekunciphiseni kwemikhumbi. I-Necrosis yesikhumba ingenzeka, ngeshwa, lawo macala abonwa kweminye imitholampilo. Lokhu kungenxa yokuthi iqembu lakhiwa ngokungafanele. Iqembu lochwepheshe lenziwa ngeminyaka. Uma isiguli sazi ukuthi udokotela obulala izinzwa usebenza eHulumeni, udokotela ohlinzayo akagijimeli imitholampilo, abahlengikazi bahlala bekhona - lokhu kuyisisekelo esiyisisekelo ukuze bacabange ukuthi lo mtholampilo uzokwenza umsebenzi osezingeni eliphakeme.
- Ingabe unemikhawulo yobudala yabahlengikazi futhi iyini ikhwalithi edingekayo?
- Akukho mkhawulo wobudala. Kepha ngiphatha abahlengikazi abasebasha ngokungangabazeki futhi angikhumbuli ukuthi sithatha umhlengikazi ngemuva kwesikole, ngoba izinga lemfundo lehle. Abahlengikazi abasebasha abazi ukuthi kufanele bahlukanise kanjani i-lidocaine, abawazi amathuluzi. Sebeqedile i-honeycomb, abazi ukuthi yimuphi umbono. Futhi lobu ubudlelwano phakathi kwabasebenzi abaphakathi nodokotela, lapho zonke izici zengqondo zibhekwa. I-Hierarchy, ngaphansi, manje sebefundisa izinga elibi futhi abaqeqeshiwe libuthakathaka kakhulu. Abahlengikazi abaningi abawuthandi lo msebenzi, futhi sikubonile. Sinikeza ukukhetha kulabo abaneminyaka engama-30- 40 ubudala. Kepha kufanele kuhlakaniphe kakhulu, umhlengikazi we-distiller ofuna ukufunda nokusebenza. Umhlengikazi abaphezulu ngathi ungumuntu obaluleke kakhulu. Kufanele ngithembele njengoba nami. Sakha izimfanelo ezithile, omunye wazo ukuthanda umsebenzi wakho. Udade othanda umuthi uyindoda enamehlo avuthayo, isilungele ukufunda njalo. Hhayi "izihlathi ezikhuphukile" futhi akusho ukuthi uyazi konke.
Kufanele futhi kube nokuzwela isiguli. Uma ngiphume esikhungweni, akusho ukuthi ngikhohliwe ngesiguli. Ngicabanga ngaye, ngiyamzwela.
Udade kufanele asabele ekugqekelweni ngakunye futhi isiguli kufanele sizizwe sizinakekela, ukuze simhlelele, akazange angabazeki ukuthi kungani enza umsebenzi. Futhi izinga lesevisi nje libonisa umuzwa wokuba necala esigulini esiphambi kwakhe, bathi, kungani ngaziphatha kabi nami. Kwakha isizinda esihle esingokomzwelo, futhi ukuphulukiswa kwalesi sizinda kushesha.
- Wake waba namacala okuxosha futhi yini?
- Ngizokutshela icala. Sasisebenza nathi umhlengikazi oyedwa, njengonolwazi, konke kuyenza kahle, sanelisekile kuye. Lapho sengihlola, ngivula isigceme ngibone ukuthi ulele embhedeni wesiguli futhi wabuka i-TV. Ngamenza wakhuluma, wavuka. Ngokwemvelo, ngakusasa, le ndoda yaxoshwa.
Ekhanda lami akulungeli, kunjani lo mhlengikazi ngesikhathi sokusebenza, akakwazi ukuthola umsebenzi? Kusho ukuthi yi-non-professional. Ungasula futhi uqoqe amathuluzi futhi, gcwalisa umagazini. Noma kungekho siguli, kuhlale kungumsebenzi.
Enye icala - umhlengikazi wayenobuhlakani futhi ehlakaniphile futhi evuthayo, kepha izinqubo zaziphatha kabi. Ngezinqubo, kuyadingeka ukukhuluma nesiguli, lalela, zwela, kubalulekile. Kepha phakathi nenqubo yehora, isiguli sathola ukuthi yiziphi izingane ayenazo, ukuthi zilimaza kanjani, yeka ukuthi mangaki amadoda ayenaye. Isiguli saphuma sathi sikhathele kakhulu umhlengikazi, okungenzeka ukuthi azele kwinqubo. Kwakufanele ngihlukane nomhlengikazi, ngoba umbono wamakhasimende ethu ejwayelekile ubalulekile kithina. Umhlengikazi "wayilanda" ngezinkinga zakhe ukuthi aqhamuke esimweni esicindezelwe ngokomoya, futhi lokhu akwamukeleki emtholampilo wethu.
- Yini abanye ochwepheshe abadingekayo?
- Ubuso banoma yimuphi umtholampilo abaphathi abahlangana futhi abahambisane namakhasimende. Umthetho oyinhloko - kufanele bakhe, amamatheke, athi sawubona.
Uma umphathi efika kulo msebenzi, kufanele athande ukuxhumana neziguli, futhi angahlali nje, aphendule izingcingo futhi welula emamatheka amahlandla ambalwa. Lapho uthanda ukuxhumana nezivakashi, ke nje ukuphikisana nomsebenzi. Ngakho-ke, kubaphathi, izindlela eziphambili ngabantu abanemizwa emihle njalo. Abantu phlegmatic ngeke basebenze nathi. Lapho isiguli sishiya igatsha, ngokushesha ukhuluma ngokubonga umhlengikazi noMphathi.
Udokotela ohlinzayo ukhuluma ngokubonga emavikini amabili, ngemuva kokuhlinzwa, lapho kuba, umphumela uyabonakala.
Ukumamatheka kwabahlengikazi nakubaphathi ekubonisaneni kokuqala kubaluleke kakhulu. Ngemuva kwakho konke, iklayenti linokungabaza okuningi nokuhlangenwe nakho okuthe xaxa, mayelana: "Kungani ngize lapha? Ngabe ngiyakudinga ngempela lo msebenzi? " Ukuze umuntu azizwe ekhululekile, umphathi kufanele abe nemininingwane efanele.
Kubaluleke kakhulu ukuthi athule isiguli ngaphambi kokufika kukadokotela. Umlawuli osezingeni eliphakeme kufanele wazi ukuthi isiguli sithanda ikofi, itiye noma amanzi amaminerali. Ikhwalithi ebaluleke kakhulu yomqondisi omuhle - ukukhunjulwa, kuthinta isimo esingokomzwelo sesiguli.
- Ngabe ikhona ikhwalithi ebaluleke kakhulu yabasebenzi, ngaphandle kobungcweti, uzwela, okuzoba nzima ukuqashwa?
- Uyazi, lokhu kwanele ukuze kutholwe umsebenzi omuhle emtholampilo omuhle. Kepha into ebaluleke kakhulu ukuwuthanda umsebenzi wakho. Futhi yenza konke ukuze kungabikho "ama-burnout" angenzeki. Lokhu kwenzeka lapho uchwepheshe eqala ukucabanga ukuthi uyazi konke, uba nesithukuthezi ukuya emsebenzini, uzama ukuguqula imisebenzi yakhe komunye. Futhi uma kuqala ukwenzeka eqenjini, ikhanda kufanele lithathwe ngesikhathi.