{"id":6105,"date":"2020-02-05T13:17:21","date_gmt":"2020-02-05T13:17:21","guid":{"rendered":"https:\/\/wp.erdmost.hu\/2020\/02\/05\/emberi-tenyezo-az-orvoslasban\/"},"modified":"2020-02-05T13:17:21","modified_gmt":"2020-02-05T13:17:21","slug":"emberi-tenyezo-az-orvoslasban","status":"publish","type":"post","link":"https:\/\/erdmost.hu\/en\/2020\/02\/05\/emberi-tenyezo-az-orvoslasban\/","title":{"rendered":"Emberi t\u00e9nyez\u0151 az orvosl\u00e1sban"},"content":{"rendered":"

– Az orsz\u00e1gos \u00e1tlaghoz k\u00e9pest hogy \u00e1ll a r\u00e1kos megbeteged\u00e9sek ter\u00e9n \u00c9rd \u00e9s k\u00f6rzete?<\/em><\/p>\n

– Ebbe a k\u00f6rzetbe tartozik Sz\u00e1zhalombatt\u00e1val egy\u00fctt k\u00f6r\u00fclbel\u00fcl 100 ezer l\u00e9lek, azaz az orsz\u00e1g lakoss\u00e1g\u00e1nak 1%-a. A r\u00e1kos megbeteged\u00e9sek sz\u00e1ma is ennek megfelel\u0151en alakul. Orsz\u00e1gszerte \u00e9vente 30.000 \u2013 40.000 \u00faj daganatos beteget diagnosztiz\u00e1lnak, ebb\u0151l \u00c9rden \u00e9s k\u00f6rny\u00e9k\u00e9n k\u00f6r\u00fclbel\u00fcl 50-100 \u00faj esettel tal\u00e1lkozunk. Vezet\u0151 helyen van ezek k\u00f6z\u00f6tt a t\u00fcd\u0151r\u00e1k, a b\u00e9lrendszeri (\u00e9s azon bel\u00fcl is a vastagb\u00e9lrendszeri) daganatok, n\u0151kn\u00e9l az eml\u0151r\u00e1k. A statisztikai adatokkal azonban nagyon \u00f3vatosan kell b\u00e1nni a konkr\u00e9t egy\u00e9n, az egyes betegek szempontj\u00e1b\u00f3l.<\/p>\n

– Leg\u00fajabb ismeretterjeszt\u0151 k\u00f6nyv\u00e9t a hum\u00e1n t\u00e9nyez\u0151kr\u0151l \u00edrja a daganatos betegs\u00e9gek megel\u0151z\u00e9s\u00e9ben \u00e9s gy\u00f3gy\u00edt\u00e1s\u00e1ban. Mi\u00e9rt erre a t\u00e9m\u00e1ra esett a v\u00e1laszt\u00e1sa?<\/em><\/p>\n

– \u00dagy \u00e9rzem, ez a ter\u00fclet az orvosl\u00e1sban a h\u00e1tt\u00e9rbe szorult. Pedig statisztikailag ezek az emberi t\u00e9nyez\u0151k a betegekn\u00e9l 30-40%-kal jav\u00edthatj\u00e1k a gy\u00f3gyul\u00e1si kil\u00e1t\u00e1sokat. Ez az\u00e9rt is \u00e9rdekes, mert abban a betegben, aki egy rossz betegs\u00e9gcsoportban van, azaz ahol a t\u00fal\u00e9l\u00e9si es\u00e9lyek a legjobb kezel\u00e9s ellen\u00e9re is rosszak, \u00e9ppen ezekkel a hum\u00e1n t\u00e9nyez\u0151kkel tudn\u00e1 fenntartani a szakember a rem\u00e9nyt.<\/p>\n

– Mik tartoznak ezen emberi t\u00e9nyez\u0151k k\u00f6z\u00e9?<\/em><\/p>\n

– A hit, m\u00e1rmint a hit a saj\u00e1t gy\u00f3gyul\u00e1s\u00e1ban, azt\u00e1n seg\u00edthetik m\u00e9g a beteg \u00e9let\u00e9nek jobb\u00e1 fordul\u00e1s\u00e1t, j\u00f3 esetben meggy\u00f3gyul\u00e1s\u00e1t a k\u00fcl\u00f6nf\u00e9le seg\u00edt\u0151k, lelki gondoz\u00f3k, ha h\u00edv\u0151 emberr\u0151l van sz\u00f3, akkor a lelki p\u00e1sztor, a csal\u00e1d \u00e9s a bar\u00e1ti k\u00f6r.<\/p>\n

– Azt mondja, valahogy a h\u00e1tt\u00e9rbe szorult a mai eg\u00e9szs\u00e9g\u00fcgyben a hum\u00e1n orvosl\u00e1s. Mi lehet ennek az oka?<\/em><\/p>\n

– Hippokrat\u00e9sz \u00f3ta, azaz k\u00f6r\u00fclbel\u00fcl 2500 \u00e9ve a hum\u00e1n t\u00e9nyez\u0151knek az eg\u00e9szs\u00e9g\u00fcgy alappill\u00e9reinek kellene lenni\u00fck. Ehhez k\u00e9pest a mai helyzetre az a jellemz\u0151, hogy nemr\u00e9giben, amikor a buszon \u00fcltem, azt hallottam, hogy k\u00e9t ember besz\u00e9lgetett a hogyl\u00e9t\u00fckr\u0151l, \u00e9s k\u00f6zben megeml\u00edtettek engem, hogy \u201eEz a Kar\u00e1csony legal\u00e1bb megk\u00e9rdezte, mi a panaszom.\u201d Persze ez v\u00e9gletesen ki\u00e9lezett eset, de r\u00e1mutat arra, hogy vissza kell hozni az emberi t\u00e9nyez\u0151ket az orvosl\u00e1sba. Nem szabad t\u00e1rgynak tekinteni a betegeket.<\/p>\n

Egy tudom\u00e1nyos foly\u00f3iratban szokatlan m\u00f3don egy humoros \u00e1br\u00e1t hoztak le egy olyan cikkben, ami \u00e9ppen ezt a jelens\u00e9get t\u00e1rgyalta. Az \u00e1br\u00e1n egy r\u00e1kgyan\u00fas embert bedobnak egy \u201eh\u00fasdar\u00e1l\u00f3ba\u201d, amib\u0151l kij\u00f6n egy diagn\u00f3zis; ezt bedobj\u00e1k egy m\u00e1sik k\u00e9sz\u00fcl\u00e9kbe, onnan kij\u00f6n a kezel\u00e9s; a ter\u00e1pi\u00e1s rendszereket bedobj\u00e1k egy harmadik g\u00e9pbe, \u00e9s a v\u00e9g\u00e9n kij\u00f6n az eg\u00e9szs\u00e9ges ember. A l\u00e9nyeg az, hogy nem ilyen egyszer\u0171 a k\u00e9plet. Hiszen \u00e9l\u0151l\u00e9nyekr\u0151l besz\u00e9l\u00fcnk. Az onkol\u00f3giai kezel\u00e9sek \u00fagynevezett protokollokon alapultak: egy bizonyos betegs\u00e9g\u0171, kor\u00fa, testt\u00f6meg\u0171 emberhez bizonyos ter\u00e1pi\u00e1t, kezel\u00e9st \u00e1ll\u00edtottak hozz\u00e1. Ehhez k\u00e9pest ott az individu\u00e1lis kezel\u00e9s is, aminek a lelki vonzat\u00e1val is egy\u00e9nenk\u00e9nt k\u00fcl\u00f6n-k\u00fcl\u00f6n kell foglalkozni.<\/p>\n

Nagyon sz\u0171k az a mezsgye, ahol a hum\u00e1n orvosl\u00e1s folytat\u00f3dhat, mert ha orvosk\u00e9nt beemelem a beteget, a betegs\u00e9g\u00e9t a saj\u00e1t \u00e9letembe, akkor magamat teszem t\u00f6nkre, de ha teljesen kiz\u00e1rom, akkor j\u00f6n a \u201eki\u00e9g\u00e9s\u201d, az \u00fagynevezett \u201eburn out\u201d, ami nemcsak a kezel\u0151orvost, de az \u00e1pol\u00f3 szem\u00e9lyzetet \u00e9s a csal\u00e1dot is \u00e9rinti.<\/p>","protected":false},"excerpt":{"rendered":"

B\u00e1r a mai orvosl\u00e1sban h\u00e1tt\u00e9rbe szorultak, a hum\u00e1n t\u00e9nyez\u0151knek fontos szerepe lehet a r\u00e1kmegel\u0151z\u00e9sben \u00e9s gy\u00f3gy\u00edt\u00e1sban, dr. Kar\u00e1csony Istv\u00e1n, a Romics L\u00e1szl\u00f3 Rendel\u0151int\u00e9zet f\u0151orvosa szerint.<\/p>","protected":false},"author":8,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"cikk_cimkek":[8],"content_flags":[350],"content_icons":[],"class_list":["post-6105","post","type-post","status-publish","format-standard","hentry","category-erdmost","cikk_cimkek-eletmod","content_flags-erdekes"],"acf":[],"_links":{"self":[{"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/posts\/6105","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/comments?post=6105"}],"version-history":[{"count":0,"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/posts\/6105\/revisions"}],"wp:attachment":[{"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/media?parent=6105"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/categories?post=6105"},{"taxonomy":"cikk_cimkek","embeddable":true,"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/cikk_cimkek?post=6105"},{"taxonomy":"content_flags","embeddable":true,"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/content_flags?post=6105"},{"taxonomy":"content_icons","embeddable":true,"href":"https:\/\/erdmost.hu\/en\/wp-json\/wp\/v2\/content_icons?post=6105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}