Heart transplantation muRussia uye munyika

Pakati transplantation-siyana nhengo kakawanda kushanda wechipiri chete nemwoyo nokuisazve renal transplantation. Shandisa akavhiyiwa izvi kakawanda, ari kudzidzira, akaita zvinogoneka nokuda kuvandudzwa nzira kuchengetedza nhengo, chakagadzirwa kweropa unyanzvi, kudzvinyirira kushandisa zvinodhaka ano kurambwa kuita. Heart nokuisazve anoitwa panguva chafariz padariro chisingaperi ischemic mwoyo chirwere, cardiomyopathy zvakaoma. mwoyo nokukundikana, yakanyanya kukabatanidzwa mwoyo chirwere.

The kuedza kutanga

akaberekwa muna 1905 yokutanga mwoyo nokuisazve pamutsipa imbwa raiva. Saka cardiac midziyo chokuita kumagumo enyika jugular tsinga uye carotid tsinga. Mune ramangwana, akashandisa mwoyo nokuisazve iri pleural nzvimbo, hudyu uye zvichingodaro. Muna 1941, NP Sinitsyn akaita kunze kwenyika nokuisazve yakawedzerwa datya mwoyo wokutanga. A Nzira ine orthotopic transplantation yakazokudziridzwa muna 1961. The mwoyo akabviswa pachigaro atrial sandara, uye ipapo kune madziro atria uye interatrial septum sutured anyatsoronga mwoyo rworuboshwe, dzakatsigira midzi anyatsoronga mwoyo yeropa uye pulmonary arteries anastomosed (yaisanganisa) pamwe vascular hunde dzacho.

The kunotoda mwoyo transplantation rokutanga

Muna 1964, mumwe murume akafa ane myocardial infarction, mwoyo chiremba kubva America ainzi James Hardy wakasimwa mwoyo tsoko. Zvisinei, muviri wakarega kushanda pashure maminitsi 90 chete. A yokutanga zvekuchipatara cardiac allograft (nokuisazve pamunhu nomunhu) kwakaitwa neimwe chiremba muna 1967, asi murwere wakafa kwemazuva 17. Pashure paizvozvo, vanachiremba mhiri kwemakungwa makiriniki vakatanga chirwirangwe kuita kuisirwa yakadaro, asi migumisiro akanga kazhinji kusingagutsi. Saka, munguva pfupi akava zvose nokuisazve mwoyo rinoitwa zvishoma kakawanda. Rakanga kwakabatana pamwechete tsika uye netsika zvinhu. Anobudirira zvikuru mwoyo nokuisazve kwakaitwa panguva kiriniki iri Stanford University (USA). Pari, mune ichi uye mamwe makiriniki huru kuramba vachishingaira kuongorora nuances siyana mwoyo transplantation, kusanganisira vari kutsvaka nzira yokuchengeta simba muviri, izvo ambokusvika, uye agovandudza ayo contractile chaitika. Akaitawo tsvakurudzo pamusoro pokumuka nomoyo chokunyepera.

Heart transplantation muRussia

Nemhaka kakawanda kurambwa munyika yedu kusvikira eighties remakore rapfuura, mumwe mwoyo nokuisazve iri anenge asina kuitwa. Asi pashure nokugadzirwa muna 1980 zvinodhaka "Tacrolimus", achinyevera kurambwa wakasimwa nhengo, mwoyo transplantation yava zvinowanzoshandiswa mumhuri mushonga. Saka, kutanga anobudirira nokuisazve akanga kuteererwa chiremba V. Shumakov muna 1987. Zvino sayenzi mberi, uye tarenda nokuti nguva kuvhiyiwa ava chenhando. Kasiri kare, mwoyo nokuisazve akabvunza kunaya uye batanidza kune Moyo yokunzvenga, uye zvino yose muitiro rinoitwa nomudzimu kurova mwoyo.