1 research outputs found
Systems for early postoperative enhancement - medical, social and economical aspects
ΠΡΠ²Π΅Π΄Π΅Π½ΠΈΠ΅: ΠΡ ΠΊΡΠ°Ρ Π½Π° ΠΌΠΈΠ½Π°Π»ΠΈΡ Π²Π΅ΠΊ Π² Ρ
ΠΈΡΡΡΠ³ΠΈΡΡΠ° Π½Π°ΡΡΡΠΏΠΈΡ
Π° ΡΠ΅Π²ΠΎΠ»ΡΡΠΈΠΎΠ½Π½ΠΈ ΠΏΡΠΎΠΌΠ΅Π½ΠΈ. ΠΡΠ²Π΅ΠΆΠ΄Π°Π½Π΅ΡΠΎ Π½Π° Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΡΠΊΠΈΡΠ΅ ΠΈ Π΄ΡΡΠ³ΠΈ ΠΌΠΈΠ½ΠΈΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ, ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°Π½Π΅ΡΠΎ Π½Π° Π½ΠΎΠ²ΠΈ ΠΏΡΠΎΡΠ΅Π·Π½ΠΈ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΈ ΠΏΡΠΈ Ρ
Π΅ΡΠ½ΠΈΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠ°, Π½ΠΎΠ²ΠΈ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ Π² ΠΎΡΡΠ°Π»ΠΌΠΎΠ»ΠΎΠ³ΠΈΡΠ½Π°ΡΠ° Ρ
ΠΈΡΡΡΠ³ΠΈΡ, Π°ΡΡΡΠΎΡΠΊΠΎΠΏΡΠΊΠΈΡΠ΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΈ Π΄Ρ. ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ²Π°Ρ Π³ΠΎΠ»ΡΠΌ ΠΎΠ±Π΅ΠΌ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ Π΄Π° Π±ΡΠ΄Π°Ρ ΠΎΠ±Π΅ΠΊΡ Π½Π° Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎ ΠΈΠ»ΠΈ Π΅Π΄Π½ΠΎΠ΄Π½Π΅Π²Π½ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅.Π‘ΡΠ·Π΄Π°Π΄Π΅Π½ΠΈ ΡΠ° ΠΌΡΠ»ΡΠΈΠΌΠΎΠ΄Π°Π»Π½ΠΈ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ΠΈ ΠΈ ΡΠΈΡΡΠ΅ΠΌΠΈ, Π² ΠΊΠΎΠΈΡΠΎ ΡΡΠ°ΡΡΠ²Π°Ρ Ρ
ΠΈΡΡΡΠ³, Π°Π½Π΅ΡΡΠ΅Π·ΠΈΠΎΠ»ΠΎΠ³, ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ° ΡΠ΅ΡΡΡΠ° ΠΈ ΡΠ΅Ρ
Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΎΡ ΠΈ ΠΊΠΎΠΈΡΠΎ ΠΈΠΌΠ°Ρ Π·Π° ΡΠ΅Π» ΡΠ°Π½Π½ΠΎ Π²ΡΠ·ΡΡΠ°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ - ΡΠΈΠ·ΠΈΡΠ΅ΡΠΊΠΎ ΠΈ ΡΠΎΡΠΈΠ°Π»Π½ΠΎ, ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π΅Π½ Π±ΠΎΠ»Π½ΠΈΡΠ΅Π½ ΠΏΡΠ΅ΡΡΠΎΠΉ, ΠΏΡΠ΅Π²Π΅Π½ΡΠΈΡ Π½Π° ΡΠ»Π΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΈΡΠ΅ ΡΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ, ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½Π° ΡΠ»Π΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½Π° Π±ΠΎΠ»ΠΊΠ°. ΠΠ°ΡΠΎ ΡΠ΅Π·ΡΠ»ΡΠ°Ρ ΠΎΡ ΡΠΎΠ²Π°, ΠΎΡΠ²Π΅Π½ ΠΏΡΠ΅ΠΊΠΈΡΠ΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΠΈ ΡΠΎΡΠΈΠ°Π»Π½ΠΈ ΠΏΠΎΠ»Π·ΠΈ, ΡΠ΅ Π΄ΠΎΠΊΠ°Π·Π²Π° ΠΈ Π·Π½Π°ΡΠΈΡΠ΅Π»Π½Π° ΠΈΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠ° Π΅ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡ.Π¦Π΅Π»: ΠΠ° ΡΠ΅ ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠΈ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½Π° ΠΌΡΠ»ΡΠΈΠΌΠΎΠ΄Π°Π»Π½Π° ΠΏΡΠΎΠ³ΡΠ°ΠΌΠ° Π·Π° ΡΠ°Π½Π½ΠΎ ΡΠ»Π΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎ Π²ΡΠ·ΡΡΠ°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ ΠΈ ΡΠ΅ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΡ ΠΎΠ±Π»Π°ΡΡΠΈΡΠ΅ Π·Π° ΠΏΡΠΈΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ΡΠΎ ΠΉ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: Π’ΠΎΡΠΊΠΈΡΠ΅, ΠΊΠΎΠΈΡΠΎ Π²ΠΊΠ»ΡΡΠ²Π° ΠΏΡΠΎΠ³ΡΠ°ΠΌΠ°ΡΠ° Π·Π° ΡΠ°Π½Π½ΠΎ ΡΠ»Π΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎ Π²ΡΠ·ΡΡΠ°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅, ΡΠ°:1. ΠΠΎΠ΄ΠΎΠ±ΡΡΠ²Π°Π½Π΅ Π½Π° ΠΏΡΠ΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΈΡΠ΅ Π³ΡΠΈΠΆΠΈ.2. ΠΠ°ΠΌΠ°Π»ΡΠ²Π°Π½Π΅ Π½Π° ΡΠΈΠ·ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΈ ΠΏΡΠΈΡ
ΠΈΡΠ΅ΡΠΊΠΈΡ ΡΡΡΠ΅Ρ ΠΎΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΡΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅.3. ΠΡΠΈΠ³ΡΡΡΠ²Π°Π½Π΅ Π½Π° ΠΊΠΎΠΌΡΠΎΡΡ Π² ΠΏΠΎΡΡΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΈΡ ΠΏΠ΅ΡΠΈΠΎΠ΄ ΠΈ ΠΏΠΎΠ΄ΠΎΠ±ΡΡΠ²Π°Π½Π΅ Π½Π° ΡΠ»Π΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΈΡΠ΅ Π³ΡΠΈΠΆΠΈ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: ΠΡΠΏΡΠΎΡΠΈΡΠ΅ Π·Π° ΡΠ°Π½Π½ΠΎ Π²ΡΠ·ΡΡΠ°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ ΡΠ»Π΅Π΄ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡ ΡΠ° Π΄ΡΠ΅Π²Π½ΠΈ, ΠΊΠΎΠ»ΠΊΠΎΡΠΎ Π΅ Π΄ΡΠ΅Π²Π½Π° ΠΈ Ρ
ΠΈΡΡΡΠ³ΠΈΡΡΠ° ΠΊΠ°ΡΠΎ Π½Π°ΡΠΊΠ°. ΠΠΎ Π°ΠΊΡΡΠ°Π»Π½ΠΎΡΡΡΠ° Π½Π° ΡΠΎΠ·ΠΈ ΠΏΡΠΎΠ±Π»Π΅ΠΌ ΠΏΡΠΈΠ΄ΠΎΠ±ΠΈΠ²Π° Π½ΠΎΠ²ΠΈ ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΡ Π² ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΎΡΠΎ Π΄Π΅ΡΠ΅ΡΠΈΠ»Π΅ΡΠΈΠ΅, ΠΊΠΎΠ³Π°ΡΠΎ ΠΌΠΈΠ½ΠΈΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΈ Π·Π°ΡΡΡΠΏΠ²Π°Ρ ΠΏΠΎΡΡΠΈ Π²ΡΠΈΡΠΊΠΈ ΠΎΠ±Π»Π°ΡΡΠΈ Π½Π° Ρ
ΠΈΡΡΡΠ³ΠΈΡΡΠ° ΠΈ ΠΊΠΎΠ³Π°ΡΠΎ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎΡΠΎ Π½Π° ΠΆΠΈΠ²ΠΎΡ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ Π΅ Π΅Π΄ΠΈΠ½ ΠΎΡ ΠΎΡΠ½ΠΎΠ²Π½ΠΈΡΠ΅ ΠΆΠ°Π»ΠΎΠ½ΠΈ, ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΡΠΈ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎΡΠΎ Π½Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ°ΡΠ° Π΄Π΅ΠΉΠ½ΠΎΡΡ.Introduction: Since the end of the last century revolutionary changes have occured in the field of surgery. The introduction of laparoscopic and other minimally invasive techniques, the use of new materials in hernia repair prostheses, new techniques and methods in ophthalmic surgery, arthroscopic operations and others. They allow a high volume of operations to be a subject to an outpatient or day treatment. There are multimodal approaches and systems involving a surgeon, an anesthesiologist, a nurse and a therapist. Their aim is an early recovery of the patients - physically and socially, minimal hospital stay, prevention of postoperative complications, and minimal postoperative pain. As a result, in addition to the direct medical and social benefits, there is also proven and significant economic efficiency.Aim: To offer comprehensive multimodal program for early postoperative recovery and identify areas for its application.Materials and Methods: The points which are included in the program for early postoperative recovery are:1. Improvement of preoperative care.2. Reduction of physical and mental stress of surgery.3. Providing comfort in the postoperative period and improved postoperative care.Conclusion: The issue of early recovery after surgery is as ancient as surgery as a science. But this problem has acquired a new dimension in the last decade, when minimally invasive methods were included in almost all areas of surgery and when the quality of life of patients is one of the benchmarks that determine the quality of medical activit