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Kukumana ndi dongosolo lazaumoyo la mawa: Future of Health P6

David Tal, Wofalitsa, Futurist
@DavidTalWrites
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Lachiwiri, 09/15/2020 - 05:31

M'zaka makumi awiri, kupeza chithandizo chamankhwala chabwino kwambiri kudzakhala kulikonse, mosasamala kanthu za ndalama zomwe mumapeza kapena komwe mukukhala. Chodabwitsa ndichakuti, kufunikira kwanu kukaona zipatala, komanso kukumana ndi madotolo nkomwe, kudzachepa pazaka makumi awiri zomwezi.

Takulandirani ku tsogolo la chisamaliro chaumoyo.

Decentralized healthcare

Dongosolo lamasiku ano lazaumoyo limadziwika kwambiri ndi ma pharmacies ambiri, zipatala, ndi zipatala zomwe zimapereka chithandizo chokwanira chamtundu umodzi kuti athe kuthana ndi zovuta zomwe zilipo kwa anthu omwe sadziwa za thanzi lawo komanso osadziwa za thanzi lawo. momwe angadzisamalire bwino. (Wuw, chimenecho chinali chiganizo chosavuta.)

Yerekezerani dongosololi ndi zomwe tikulowera pakali pano: mndandanda wamapulogalamu, mawebusayiti, malo ogulitsira azachipatala, ndi zipatala zomwe zimapereka chithandizo chamunthu payekhapayekha kuti apewe zovuta za thanzi la anthu omwe amangoganizira za thanzi lawo komanso ophunzira mwachangu. za momwe angadzisamalire bwino.

Kusintha kwanyengo, kothandizidwa ndiukadaulo pakupereka chithandizo chamankhwala kumatengera mfundo zisanu zomwe zimaphatikizapo:

Kupatsa mphamvu anthu ndi zida zowonera zomwe zakhudza thanzi lawo;
Kupangitsa madotolo a mabanja kuti azisamalira thanzi m'malo mochiritsa odwala kale;
Kuwongolera zokambirana zaumoyo, zopanda zopinga za malo;
Kukoka mtengo ndi nthawi ya matenda athunthu mpaka ndalama ndi mphindi; ndi
Kupereka chithandizo chokhazikika kwa odwala kapena ovulala kuti awabweze msanga ku thanzi lawo popanda zovuta zanthawi yayitali.

Pamodzi, kusinthaku kudzachepetsa kwambiri ndalama m'dongosolo lonse lazaumoyo ndikuwongolera magwiridwe antchito ake. Kuti timvetse bwino momwe zonsezi zidzagwirira ntchito, tiyeni tiyambe ndi momwe tidzadziwira odwala tsiku lina.

Kuzindikira kokhazikika komanso molosera

Pakubadwa (ndipo pambuyo pake, musanabadwe), magazi anu amatengedwa, kulumikizidwa mu sequencer ya majini, kenako ndikuwunikiridwa kuti mufufuze zovuta zilizonse zathanzi zomwe DNA yanu imakupangitsani kukhala oyembekezera. Monga tafotokozera mu mutu wachitatu, madokotala amtsogolo a ana adzawerengera "mapu azaumoyo" azaka zanu zikubwerazi 20-50, kufotokoza mwatsatanetsatane katemera wanthawi zonse, machiritso a majini ndi maopaleshoni omwe mudzafunika kuchita panthawi inayake ya moyo wanu kuti mupewe zovuta zaumoyo pambuyo pake-kachiwiri. , zonse zimadalira DNA yanu yapadera.

Mukakula, mafoni, kenako zovala, ndiye zoyikapo zomwe mumanyamula zimayamba kuyang'anira thanzi lanu pafupipafupi. M'malo mwake, opanga mafoni apamwamba masiku ano, monga Apple, Samsung, ndi Huawei, akupitilizabe kubwera ndi masensa apamwamba kwambiri a MEMS omwe amayesa ma biometric ngati kugunda kwa mtima wanu, kutentha, kuchuluka kwa zochitika ndi zina zambiri. Pakadali pano, ma implants omwe tawatchulawa asanthula magazi anu kuti apeze kuchuluka kwa poizoni, ma virus, ndi mabakiteriya omwe atha kukweza mabelu.

Zidziwitso zonse zathanzi zidzagawidwa ndi pulogalamu yanu yazaumoyo, ntchito yowunikira zaumoyo pa intaneti, kapena netiweki yazaumoyo yam'deralo, kuti akudziwitse za matenda omwe akubwera musanamve zizindikiro zilizonse. Ndipo, zowona, mautumikiwa aperekanso mankhwala osagulitsika komanso malingaliro osamalira munthu kuti athetse matenda asanayambike.

(Kumbali ina, aliyense akagawana zambiri zaumoyo ndi ntchito ngati izi, titha kuwona ndikukhala ndi miliri ndi miliri yomwe yabuka kale kwambiri.)

Pamatendawa ma foni am'manja ndi mapulogalamu sangathe kuwazindikira, mudzalangizidwa kuti mukachezere kwanuko pharmacy-chipatala.

Apa, namwino atenga malovu anu, a pinprick ya magazi anu, kukwapula kwa zidzolo zanu (ndi mayeso ena ochepa malinga ndi zizindikiro zanu, kuphatikizapo x-ray), kenaka muwadyetse onse mu makompyuta apamwamba a m'nyumba ya pharmacy. The Artificial Intelligence (AI) dongosolo lidzasanthula zotsatira Zitsanzo za bio yanu mumphindi, yerekezerani ndi za mamiliyoni a odwala ena kuchokera ku zolemba zake, kuti muzindikire matenda anu ndi 90percentt kuphatikiza kulondola.

AI iyi ikupatsani mankhwala okhazikika kapena okhazikika amtundu wanu, kugawana zomwe mwazindikira (ICD) data yokhala ndi pulogalamu kapena ntchito yanu yazaumoyo, kenako langizani katswiri wazachipatala wa pharmacy clinic kuti akonze dongosolo lamankhwala mwachangu komanso mosalakwitsa. Namwino adzakupatsani mankhwala anu kuti mukhale panjira yanu yosangalala.

Dokotala wopezeka paliponse

Zomwe zili pamwambazi zikupereka lingaliro lakuti madokotala aumunthu adzatha ... chabwino, osati pakali pano. Kwazaka makumi atatu zikubwerazi, madotolo aanthu adzangofunika zochepa ndikugwiritsidwa ntchito pazachipatala zovuta kwambiri kapena zakutali.

Mwachitsanzo, zipatala zonse za pharmacy zomwe tafotokozazi zitha kuyendetsedwa ndi dokotala. Ndipo kwa omwe akuyenda omwe sangayesedwe mosavuta kapena kuyesedwa kwathunthu ndi AI yachipatala ya m'nyumba, adotolo amalowetsamo kuti awonenso wodwalayo. Komanso, kwa okalamba omwe akuyenda omwe sali omasuka kulandira chithandizo chamankhwala ndi mankhwala kuchokera ku AI, adokotala amalowanso mmenemo (pamene akukamba mobisa za AI kuti adziwenso kachiwiri)

Pakalipano, kwa anthu omwe ali aulesi kwambiri, otanganidwa kapena ofooka kuti apite ku pharmacy-chipatala, komanso kwa omwe amakhala kumadera akutali, madokotala ochokera kumagulu a zaumoyo a m'deralo adzakhalapo kuti athandize odwalawa. Ntchito yodziwikiratu ndikupereka madotolo amnyumba (omwe akupezeka kale m'magawo ambiri otukuka), koma posachedwa komanso madotolo amakayendera komwe mumalankhula ndi dokotala pa ntchito ngati Skype. Ndipo ngati zitsanzo za bio zikufunika, makamaka kwa iwo omwe akukhala kumadera akutali komwe misewu sikuyenda bwino, drone yachipatala imatha kuwulutsidwa kuti ibweretse ndikubweza zida zoyezera zamankhwala.

Pakali pano, pafupifupi 70 peresenti ya odwala alibe mwayi wokaonana ndi dokotala tsiku lomwelo. Pakadali pano, zopempha zambiri zachipatala zimachokera kwa anthu omwe akufunika thandizo kuthana ndi matenda osavuta, zotupa, ndi zina zazing'ono. Izi zimapangitsa kuti zipinda zangozi zikhale zodzaza ndi odwala omwe atha kuthandizidwa mosavuta ndi chithandizo chamankhwala chocheperako.

Chifukwa cha kusagwira ntchito bwino kwa dongosololi, chomwe chimakhumudwitsa kwambiri pakudwala sikudwala konse - ndikudikirira kuti mupeze chithandizo ndi upangiri waumoyo kuti muchiritse.

Ichi ndichifukwa chake tikangokhazikitsa njira zothandizira zaumoyo zomwe zafotokozedwa pamwambapa, sikuti anthu adzalandira chithandizo chomwe amachifuna mwachangu, koma zipinda zadzidzidzi zidzamasulidwa kuti zikhazikike pazomwe zidapangidwira.

Chisamaliro chadzidzidzi chikufulumira

Ntchito ya paramedic (EMT) ndikupeza munthu amene ali m'mavuto, kukhazikika, ndikumupititsa kuchipatala munthawi yake kuti akalandire chithandizo chomwe akufunikira. Ngakhale kuti ndi zophweka m'lingaliro, zimakhala zovuta kwambiri komanso zovuta kuchita.

Choyamba, kutengera kuchuluka kwa magalimoto, zitha kutenga pakati pa 5-10 mphindi kuti ambulansi ifike munthawi yake kuti ithandizire woyimbirayo. Ndipo ngati munthu wokhudzidwayo akudwala matenda a mtima kapena kuwomberedwa ndi mfuti, mphindi 5-10 ikhoza kukhala yotalika kwambiri. Ichi ndichifukwa chake ma drones (monga chithunzi chomwe chili m'vidiyoyi) chidzatumizidwa patsogolo pa ambulansi kuti ipereke chithandizo mwamsanga pazochitika zadzidzidzi.

Kapenanso, pofika kumayambiriro kwa 2040s, ma ambulansi ambiri adzakhala kusinthidwa kukhala quadcopters kuti apereke nthawi yoyankha mwachangu popewa kuchuluka kwa magalimoto, komanso kukafika kumadera akutali.

Akalowa mu ambulansi, cholinga chake chimasinthiratu kukhazikika kwa wodwalayo kwa nthawi yayitali mpaka atafika kuchipatala chapafupi. Pakali pano, izi zimachitika kawirikawiri kudzera m'malo ogulitsa mankhwala olimbikitsa kapena otonthoza kuti achepetse kugunda kwa mtima ndi kutuluka kwa magazi ku ziwalo, komanso kugwiritsa ntchito defibrillator kuti ayambitsenso mtima wonse.

Koma pakati pazovuta kwambiri kuti zikhazikike ndi mabala odulidwa, omwe nthawi zambiri amakhala ngati mfuti kapena kubayidwa. Muzochitika izi, chofunikira ndikuletsa kutuluka kwa magazi mkati ndi kunja. Panonso kupita patsogolo kwachipatala kwadzidzidzi kudzabwera kudzapulumutsa tsikulo. Choyamba ndi mawonekedwe a gel osakaniza zomwe zimatha kuyimitsa nthawi yomweyo kutulutsa magazi kowopsa, kukhala ngati kulumikiza mosamala chilonda chotseka. Chachiwiri ndikubwera kutulukira kwa magazi opangidwa (2019) yomwe imatha kusungidwa m'ma ambulansi kuti ibayiwe mwangozi yemwe wataya magazi kwambiri.

Zipatala za antimicrobial ndi opanga

Pamene wodwala afika kuchipatala m'dongosolo laumoyo lamtsogolo lino, mwaŵi umakhala kuti mwina akudwala kwambiri, akulandira chithandizo cha kuvulala koopsa, kapena akukonzekera kuchitidwa opaleshoni yachizoloŵezi. Tikayang'ana mbali ina, izi zikutanthawuzanso kuti anthu ambiri amatha kupita kuchipatala nthawi zosachepera pa moyo wawo wonse.

Mosasamala chifukwa chomwe adayendera, chimodzi mwazinthu zazikulu zomwe zimayambitsa zovuta ndi kufa m'chipatala ndizomwe zimatchedwa matenda otengera chipatala (HAIs). A phunziro adapeza kuti mu 2011, odwala 722,000 adadwala matenda a HAI m'zipatala za US, zomwe zidapangitsa kuti 75,000 afa. Pofuna kuthana ndi vutoli, zipatala za mawa zikhala ndi zida zawo zamankhwala, zida ndi malo omwe ali m'malo mwake kapena zokutidwa ndi zida kapena mankhwala odana ndi mabakiteriya. A yosavuta Mwachitsanzo Izi zitha kukhala zosintha kapena kuphimba zipinda zam'chipatala ndi mkuwa kuti muphe nthawi yomweyo mabakiteriya aliwonse omwe akumana nawo.

Pakalipano, zipatala zidzasinthanso kuti zikhale zodzidalira, ndi mwayi wokwanira wopeza chithandizo chapadera chomwe chinaperekedwa kamodzi.

Mwachitsanzo, kupereka chithandizo chamankhwala a jini masiku ano ndi gawo la zipatala zochepa chabe zokhala ndi mwayi wopeza ndalama zambiri komanso akatswiri ofufuza bwino kwambiri. M'tsogolomu, zipatala zonse zidzakhala ndi mapiko / dipatimenti imodzi yokha yomwe imangoyang'anira ma jini ndikusintha, yomwe imatha kupanga ma jini ndi ma stem cell chithandizo kwa odwala omwe akufunika.

Zipatalazi zidzakhalanso ndi dipatimenti yodzipereka kwathunthu kwa osindikiza a 3D achipatala. Izi zidzalola kupanga m'nyumba kwa zipangizo zamankhwala zosindikizidwa za 3D, zipangizo zamankhwala ndi zitsulo, pulasitiki, ndi implants zamagetsi zaumunthu. Kugwiritsa osindikiza mankhwala, zipatala zidzathanso kupanga mapiritsi opangidwa mwachizolowezi, pamene makina osindikizira a 3D adzatulutsa ziwalo zogwira ntchito bwino ndi ziwalo za thupi pogwiritsa ntchito maselo opangidwa mu dipatimenti yoyandikana nayo.

Madipatimenti atsopanowa achepetsa kwambiri nthawi yofunikira kuti ayitanitsa zithandizozi kuzipatala zapakati, potero awonjezere kuchuluka kwa moyo wa odwala ndikuchepetsa nthawi yawo yosamalira.

Madokotala ochita opaleshoni

Zomwe zilipo kale m'zipatala zamakono, machitidwe opangira opaleshoni ya robotic (onani kanema pansipa) adzakhala chizolowezi padziko lonse kumapeto kwa 2020s. M'malo mwa maopaleshoni owononga omwe amafuna kuti dokotalayo akupangitseni zazikulu kuti alowe mkati mwanu, manja a robotic awa amangofunika 3-4 centimita imodzi yokha kuti alole dokotala kuti achite opaleshoni mothandizidwa ndi kanema ndi (posachedwa) kuyerekeza zenizeni zenizeni.

Pofika m'zaka za m'ma 2030, maopaleshoni a robotic awa adzakhala otsogola mokwanira kuti azitha kuchita maopaleshoni ambiri, ndikusiya dotolo wamunthu kukhala woyang'anira. Koma pofika m'ma 2040, opaleshoni yamtundu watsopano idzakhala yodziwika bwino.

Madokotala a Nanobot

Zafotokozedwa kwathunthu mu mutu wachinayi mndandandawu, nanotechnology idzagwira ntchito yayikulu pazamankhwala pazaka zambiri zikubwerazi. Ma nano-robots awa, ang'onoang'ono okwanira kusambira m'magazi anu, adzagwiritsidwa ntchito popereka mankhwala omwe akuwaganizira. kupha maselo a khansa pofika kumapeto kwa 2020s. Koma pofika koyambirira kwa zaka za m'ma 2040, akatswiri azachipatala a nanobot, ogwirizana ndi maopaleshoni apadera, adzalowa m'malo maopaleshoni ang'onoang'ono ndi syringe yodzaza ndi mabiliyoni a nanobots okonzedweratu omwe amabadwira kudera lomwe mukufuna.

Ma nanobots awa amatha kufalikira mthupi lanu kufunafuna minofu yowonongeka. Akapezeka, amatha kugwiritsa ntchito ma enzymes kuti adule ma cell owonongeka kuchokera ku minofu yathanzi. Maselo athanzi amthupi ndiye amalimbikitsidwa kuti onse ataya maselo owonongekawo ndiyeno kukonzanso minofu yozungulira pabowo yomwe idapangidwa kuchokera kutayidwa.

(Ndikudziwa, gawo ili likumveka kwambiri Sci-Fi pompano, koma pazaka makumi angapo, Wolverine amadzichiritsa yekha luso lipezeka kwa onse.)

Ndipo monga ma gene therapy ndi dipatimenti yosindikiza ya 3D yomwe yafotokozedwa pamwambapa, zipatala tsiku lina zidzakhalanso ndi dipatimenti yodzipatulira yopanga nanobot mwamakonda, zomwe zimathandizira kuti luso la "opaleshoni ya syringe" iyi lipezeke kwa onse.

Ngati aperekedwa moyenera, dongosolo lazaumoyo lokhazikika lamtsogolo lidzawonetsetsa kuti musadwale kwambiri chifukwa cha zomwe zingatheke. Koma kuti dongosolo limenelo ligwire ntchito, zidzadalira mgwirizano wake ndi anthu onse, komanso kukweza ulamuliro waumwini ndi udindo pa thanzi la munthu.