Isimemezelo sikaHulumeni waseBasque sibangele isiphithiphithi esikhulu emkhakheni wezokunakekelwa kwempilo. I-Biobizkaia Health Research Institute, eyingxenye yoMnyango Wezempilo, isibe yinhlangano yokuqala kunethiwekhi yezempilo yomphakathi yaseBasque ukuthola isitifiketi esisemthethweni sokuklama nokukhiqiza amadivayisi ezokwelapha enziwe ngokwezifiso kusetshenziswa ukuphrinta kwe -3D . Lokhu akuyona into encane, njengoba kubonisa intuthuko enkulu ekunakekelweni kweziguli ngaphakathi kweBasque Health Service (Osakidetza), enikeza amathuluzi afanelana kahle nokwakheka komzimba womuntu ngamunye.
Ukugunyazwa akulona iphutha. Kuyisiphetho somsebenzi weminyaka engaphezu kweshumi ekusunguleni nasekuthuthukisweni, kanti izinhlelo zokusebenza sezivele zisetshenziswa ezibhedlela ezifana neCruces neBasurto. Manje, ngemvume kahulumeni, lesi sikhungo singahumusha lonke lolo lwazi lube yindlela yokwelapha elawulwayo nephephile. Futhi akusikho konke lokho: ilayisensi ibavumela ukuthi bakhiqize imindeni emihlanu yemikhiqizo eyenzelwe bona, eminingi yayo esevele isetshenziswa ngemiphumela ethembisayo kakhulu.
Imindeni emihlanu yemikhiqizo ezoshintsha umkhuba wezokwelapha
Ilayisensi entsha igunyaza i-Biobizkaia ukuthi isebenze nezinhlobo ezinhlanu zamadivayisi ezokwelapha enziwe ngokwezifiso : ama-biomodel e-anatomical, ama-biomodel e-anatomical angahlanzwa, iziqondiso zokuhlinza, imaski yokwelashwa ngemisebe engaphezulu, kanye ne-epitheses yesikhashana. Konke lokhu kuklanywe kusetshenziswa izithombe zezokwelapha ezithuthukisiwe, njenge-CT scans noma i-MRIs, futhi kukhiqizwa ngobuchwepheshe bokuphrinta be-3D. Isihluthulelo ukuthi ucezu ngalunye luhlelwe ngokwezidingo ezithile zesiguli ngasinye, into ochwepheshe bezempilo abebeyicela isikhathi eside.
Le nqubo iyamangalisa impela. Okokuqala, izithombe zihlukaniswe ngokunembile ukuze kukhiqizwe imodeli enezinhlangothi ezintathu ekhombisa ngokunembile ukwakheka komzimba wesiguli. Ngemuva kwalokho, ithimba lobunjiniyela lilungisa le modeli ukuze iphrinte noma idale izinsimbi ezisizayo ezenziwe ngokwezifiso. Konke lokhu kwenziwa ngokubambisana eduze nomnyango we-Radiology, obhekwa njengensika eyisisekelo kulo msebenzi. Kusukela ngo-2016, i-Ezkerraldea-Enkarterri-Cruces Integrated Health Organisation (OSI) ibilokhu iqeqesha odokotela abasizayo kanye nezakhamuzi ngalezi zindlela, futhi kusukela ngo-2024, i-Bilbao-Basurto OSI nayo ijoyine lolu hlelo.
Izindaba zempumelelo eseziqalile
Asikhulumi ngezithembiso zesikhathi esizayo, kodwa ngobuchwepheshe obuvele busebenza kahle eminyangweni eminingana ye-Osakidetza (Basque Health Service). URoberto Voces Sánchez, inhloko yoMnyango Wokuhlinzwa Kwenhliziyo e-Ezkerraldea Enkarterri Cruces Integrated Health Organisation, usebenzisa amamodeli okwakheka komzimba aprintiwe nge-3D ukulungiselela ukuhlinzwa kwenhliziyo okuyinkimbinkimbi. Lawa makhophi enhliziyo yesiguli ngasinye avumela ithimba lezokwelapha ukuthi lihlele inqubo ngokunembe kakhudlwana, libikezele izindawo ezidinga ukwelashwa, futhi lichaze kangcono inqubo. Umphumela uba ukuhlinzwa okwenziwe ngokwezifiso kakhudlwana, okuphephile okunezinkinga ezimbalwa.
Ekuhlinzeni ubuso obuncane, uDkt. Leyre Margallo Itza usebenzisa amamodeli okuhlinzwa aphrintiwe nge-3D kanye neziqondiso zezinqubo ezihilela ukwaphuka, ukukhubazeka, noma ukufakwa kwesitho. Inzuzo ukuthi la mathuluzi avumelana nokwakheka komzimba komuntu ngamunye, athuthukisa ukunemba ekuhlinzeni okuyinkimbinkimbi futhi avumela ukusikeka nokufakwa kwesitho ngokunemba kwe-millimeter. Ngaphezu kwalokho, isikhathi sokuhlinzwa kanye ne-anesthesia siyancishiswa, futhi ukululama kuvame ukushesha futhi kuphephile.
Enye insimu lapho ukuphrinta kwe-3D kwenza khona umehluko yi-radiation oncology. U-Olga del Hoyo Álvarez, udokotela osebenzela uMnyango We-Radiation Oncology e-Integrated Health Organisation (OSI) efanayo, usebenzisa isikhunta esenziwe ngokwezifiso ukwelapha umdlavuza wesikhumba othile. Lezi zikhunta ziyazivumelanisa nezindawo ezingajwayelekile nezibucayi njengekhala, amajwabu amehlo, izindebe, noma izindlebe, okuvumela ukusetshenziswa okunembile kokwelashwa ngemisebe ngenkathi kuvikela izicubu ezinempilo. Ezigulini esezikhulile noma ezibuthakathaka, ukwelashwa kukhululekile futhi kufushane, futhi kungathuthukisa ikhwalithi yokuphila kanye nomphumela wobuhle.
Ukucindezela okuqinile ekufinyeleleni emithini eyenzelwe wena
Ukuthola le layisensi akuyona into eyenzeka yodwa. Ihambisana ne-Basque Health Pact, ehlose ukukhuthaza ukunakekelwa komuntu siqu, okufinyeleleka kalula, nokusungula izinto ezintsha. Ngalesi sinyathelo, uHulumeni waseBasque uqinisa ukuhlanganiswa okuphephile kobuchwepheshe obusha ku-Osakidetza (i-Basque Health Service), ukhuthaza ukubambisana phakathi kochwepheshe abavela emikhakheni ehlukene, futhi unegalelo ekuthuthukiseni ukwelashwa kanye nokuhlela ukungenelela. Ngaphezu kwalokho, ipulatifomu izibeka njengesilinganiso sesifunda nesizwe, esinamandla okubambisana kumanethiwekhi okusungula izinto ezintsha kwezempilo kanye namaphrojekthi ezikhungo eziningi.
UMnyango Wezempilo awufihli ukwaneliseka kwawo. Bagcizelela ukuthi ukuhlanganiswa okuqondile phakathi kwe-radiology, ubunjiniyela, kanye nobuchwepheshe bezokwelapha kunciphisa ukungaqiniseki ezinqubweni eziyinkimbinkimbi futhi kungaba nomthelela oqondile emiphumeleni yezempilo. Iminyango eminingana—kufaka phakathi i-Maxillofacial Surgery, i-Traumatology, i-Cardiovascular Surgery, i-Otolaryngology, kanye ne-Radiation Oncology—isivele yamukele lobu buchwepheshe njengomkhuba ojwayelekile.
Ngamafuphi, ukuvunyelwa kwe-Biobizkaia kumelela esinye isinyathelo esibheke ohlelweni lokunakekelwa kwempilo lapho ukuphrinta kwe-3D kuyeka ukuba yinto ethakazelisayo yelabhorethri futhi kuba ithuluzi lokwelapha lansuku zonke. Ngaphezu kwalokho, njengesikhungo sokuqala somphakathi esigunyaziwe, kubeka isisekelo sezinye izibhedlela nezinhlangano ukuba zilandele. Ucwaningo luyaqhubeka nokuthela izithelo, futhi manje sekuyisikhathi sokubona ukuthi lobu buchwepheshe bungathathwa ibanga elingakanani emakamelweni okuhlinzwa kanye nemitholampilo yohlelo lokunakekelwa kwempilo lwaseBasque.
