MODERN medicine is advancing at such a rapid rate that it would
be completely unrecognisable to even the most advanced practitioner
from 50 years ago, let alone 100 years.
These advances have allowed the average person to live longer,
work harder and achieve more in their lifetime.
And the onset of the computer age has increased the pace and
regularity of these changes, with smaller instruments, better
pharmaceuticals and more skilled doctors performing miracles every
day.
Myanmar may not be on the cutting edge of this change but they
filter down quickly and ordinary people enjoy the fruits of this
change whenever they step into a hospital.
One liver specialist physician from the Yangon General Hospital’s
Department of Hepatology (Liver Unit), Professor Khin Maung Win,
explains some of the advances in Myanmar’s healthcare sector.
Focussing on his expertise in liver disease, Professor Khin
Maung Win says the major developments in medical technologies
at the moment are in virus detection and monitoring, molecular
analysis and medical imaging.
“The changes are swift. Modern medical devices can detect
the level of the virus’ infection and how the drugs are
likely to affect the problem,” he says.
As viruses mutate from their interactions with drugs and pharmaceuticals,
thousands of new products are made every year and many more are
in the pipeline. Consumers pay the costs for this progress.
Dr Khin Maung Win says research on pathology and diagnosis techniques
changed in the 1980s after the emergence of new DNA amplifying
technique called polymerase chain reaction (PCR).
“It has been a major change in the medical field. It helps
physicians to know the exact genotypes of the virus’ they
are dealing with and their mutations, which is helpful for treatment,”
he says.
PCR is now a common technique used in the medical field for
the detection of hereditary diseases and the diagnosis of infectious
diseases.
Yangon’s 30th Street Clinic is one centre that offers
PCR medical diagnosis to patients.
Professor Khin Maung Win says that in the surgical field, transplantation
operations for internal organs has become fairly common, with
new techniques emerging all the time.
“An extremely futuristic operation called a Hepatocyte
transplant is being researched and tested for treating cirrhosis
of the liver. It is much like a bone marrow transplant and doesn’t
require the complete transplanting of the liver, as has traditionally
been the practice. It just needs a slice of healthy donor liver
tissue that is attached to the patient’s damaged liver,
with the hope that it will grow.”
If such operations prove successful for liver diseases, similar
tissue transplant operations will become common for other organs
and parts of body. He predicts that organ transplant, as we know
it now, will be obsolete within 10 years. And surgeons in Myanmar
are not far behind.
Another medical field enjoying rapid technological advancement
is the realm of imaging systems, which clearly show whatever ails
patients.
Computer Tomography equipment – known as CT scans –
are increasingly advanced and are able to render internal organs
and bones in a detailed format; good enough to show exactly what
is happening inside a patient’s body.
“Magnetic Resonance Imaging system (MRI) is the newest
technology superior and is superior to CT scans. Unlike CT scans,
it uses magnetic fields instead of radioactive rays to show objects.
“Patients can be scanned many times without any side effects,
unlike CT scans. The latest MRI machines are able to draw accurate
three dimensional images of organs,” Dr Khin Maung Win says.
Last but by no means least is the overcoming of fertility problems
through in vitro fertilisation (IVF) techniques, which help couples
all over the world have children every year.
Nearly 30 years after the first ever test tube baby was born
in England, the IVF technique debuted in Myanmar last August,
with help from a group of medical specialists from Yangon’s
Bohosi International Clinic.
Three out of 22 couples receiving the IVF treatment have now
conceived a child at 13.6 percent success rate, while another
eight couples are awaiting treatment.
Dr May Thu Myo Nyunt, an obstetrics and gynaecological specialist
at the Bohosi Clinic, says the cost of the initial procedure at
Bohosi International Clinic is considerably less than what one
would pay in Singapore or Thailand.