Ukuhlinzwa kwerobhothi kuyaqhubeka nokukhula ezibhedlela zaseSpain. Esinye sezibonelo ezicacile yiBellvitge University Hospital, esisanda kufinyelela ingqophamlando ebalulekile: Ukufakelwa izinso okungu-300 kwenziwe ngosizo lwerobhothi selokhu yaqala uhlelo lwayo ngo-2018. Lesi sibalo siyihlanganisa njengesikhungo esinolwazi oluningi kulolu hlobo lokungenelela ezweni lonke.
Ukukhula kwale ndlela akugcini nje ngokuvumela ukusebenza okunembe kakhulu, kodwa futhi kuye kwathuthukisa ukufakelwa kwabahlinzeki abaphilayoLe ndlela inikeza imiphumela engcono yesikhathi eside. Eqinisweni, ukufakelwa kwamarobhothi angaphezu kwama-90% okwenziwe eBellvitge Hospital kube okuvela kubanikeli abaphilayo, okubonisa umthelela wobuchwepheshe ekunikeleni okuphilayo.
Uhlelo lokuphayona olwenza umehluko
Uhlelo lokufakelwa izinso oluyirobhothi lwaluholwa nguDkt. Francesc Vigués, ogcizelela ukubaluleka kokusebenza ngokubambisana. Iyunithi yezifundo eziningi, eyakhiwe odokotela bezifo zomchamo, odokotela bezinzwa, odokotela ababulala izinzwa kanye nabasebenzi bobuhlengikaziLokhu kube yisihluthulelo ekufezeni lolu hlu lwezinqubo. Ngo-2025, isibhedlela senze ukufakelwa kwezinso okungu-207, okungu-43 kwakho kwavela kubanikeli abaphilayo, konke kusetshenziswa ukuhlinzwa kwerobhothi. Ngaphezu kwalokho, iBellvitge ihole indlela ekufakweni kwabanikeli abaphilayo eSpain eminyakeni emithathu edlule.
Esinye sezenzakalo ezibalulekile kakhulu senzeka ngo-2020, lapho i-Urology Service yenza khona ukufakelwa kwezinso kokuqala emhlabeni kwe-orthotopic kusetshenziswa ukuhlinzwa kwerobhothiLe ndlela, ehilela ukufaka izinso endaweni efanayo nesitho sokuqala, iboniswa iziguli ezingakwazi ukufakelwa ukufakelwa okuvamile futhi ivumela ukusikwa okuncane kakhulu, okunciphisa izingozi.
Izinzuzo zokuhlinzwa kwerobhothi ekufakeni izitho
Ukunemba okunikezwa yirobhothi likaDa Vinci kuvumela ukwenza ama-anastomoses emithambo yegazi ngokunemba kwe-millimeterLokhu kunciphisa ingozi yezinkinga. Ngaphezu kwalokho, iziguli ziyalulama ngokushesha: ubuhlungu obuncane ngemva kokuhlinzwa, ukuhlala esibhedlela isikhathi esifushane, kanye nokubuyela empilweni yazo evamile kusenesikhathi. Lokhu kubaluleke kakhulu ekufakeni izitho zokufakelwa, lapho ijubane lokululama lithinta impumelelo ye-graft.
Isibhedlela sisanda kuhlanganisa uhlelo lwe-Da Vinci SP (Single Port), oluvumela sebenzisa ngokusika okukodwa noma ngisho nangezimbobo zemveloNgokusho kukaDkt. Óscar Buisan, inhloko ye-Urology Service, le nkundla entsha ivula ithuba lokuhlinzwa okungangenisi kakhulu kanye nezinkomba ezintsha, njengenani elikhulu lokufakelwa izitho ezivela kubanikeli abashonile.
Ukuqeqeshwa nokwandiswa kwezinye izikhungo
Okuhlangenwe nakho okuqoqwe eBellvitge kube wusizo ku- amaqembu okuqeqesha avela kwezinye izibhedlela zaseSpainLesi sikhungo siqondise ukuhlinzwa kokuqala kwerobhothi ezibhedlela ezifana ne-Hospital del Mar, i-Germans Trias i Pujol, i-Salamanca, i-Cruces e-Bilbao, i-La Fe e-Valencia, i-Ramón y Cajal, kanye ne-Reina SofÃa e-Córdoba. Lokhu kudluliswa kolwazi kunegalelo ekwandiseni i- ukuhlinzwa kwerobhothi kulo lonke izwe.
UDkt. Vigués ugcizelela ukuthi umgomo ukuqhubeka nokuthuthuka: "Siyaqiniseka ukuthi, maduze nje, sizokwazi ukwenza inani elikhulu lokufakelwa kwamarobhothi avela kubanikeli abashonile ngenxa yamapulatifomu amasha." Ubuchwepheshe buyaqhubeka nokukhula, futhi iBellvitge isalokhu iphambili.
Njengoba kunezindlela zokufakelwa amarobhothi ezingu-300 ezisetshenziswayo, iBellvitge Hospital isibe yisibonelo hhayi eSpain kuphela, kodwa naseYurophu. ukunemba kwamarobhothi, umsebenzi wezifundo eziningi kanye nokuzibophezela ekusunguleni izinto ezintsha Kuthuthukise ikhwalithi yokuphila kweziguli eziningi. Ukuhlinzwa kwerobhothi akulona ikusasa, kodwa yimanje lezokwelapha zaseSpain.