Isbitaalka ugu Fiican Pulmonology ee Indore
Waaxda Pulmonology Cisbitaalada CARE CHL waa xarunta ugu horeysa ee daawaynta neefsashada ee bartamaha Hindiya, iyada oo kasbatay aqoonsiga cosbitaalka Pulmonology ee ugu fiican Indore. Barnaamijkeena sambabada ee sambabada oo dhameestiran waxa uu isku daraa baadhista cidhiidhiga ah, daawaynta cusub, iyo daryeelka naxariista leh si wax looga qabto xaaladaha neefsiga ee buuxa ee saameeya bukaanada da 'kasta leh.
Caafimaadka neef-mareenka ayaa ah tiirka guud ee fayo-qabka, haddana caqabadaha caafimaadka sambabada ee gobolkeenna ayaa sii kordhaya. Kordhinta warshadaynta, isbeddellada deegaanka, iyo arrimaha hab-nololeedka ee gacan ka geysta xanuunka neef-mareenka, CARE CHL waxay samaysay khibrad gaar ah si ay ula kulanto caqabadahan caafimaad ee soo baxaya. Waaxdayada sambabada waxaa lagu aasaasay aragti si ay u bixiso daryeel neefsasho heer caalami ah oo ay heli karaan dhammaan dadka deggan Madhya Pradesh iyo dawladaha deriska ah.
Kooxda daawada neef-mareenka ee CARE CHL waxay isku daraysaa heerka sare ee kiliinikada iyo faham qoto dheer oo ku saabsan hababka caafimaadka neefsashada ee gobolka. Shaybaarka shaqada sambabada ee horumarsan waxa uu leeyahay qalab casri ah oo loogu talagalay qiimaynta caafimaadka sambabada oo dhamaystiran.
CARE CHL, waxaanu aqoonsannahay in xaaladaha neef-mareenka ay inta badan si qoto dheer u saameeyaan tayada nolosha. Habka bukaan-socodka udub dhexaad u ah ma ahan kaliya daaweynta xaaladda caafimaadka laakiin soo celinta shaqeynta iyo hagaajinta tayada nolosha. Laga soo bilaabo hoyga goobta shaqada ilaa maaraynta ogsijiinta guriga, qorshayaashayada daryeelka dhamaystiran waxay wax ka qabtaan caqabadaha la taaban karo ee la noolaanshaha xaaladaha neefsiga.
Waaxda sambabada waxay ilaalisaa wada shaqayn adag oo cilmi baaris ah oo lala yeesho machadyada tacliinta waxayna ka qaybqaataa tijaabooyinka kiliinikada ee daawaynta neefsashada ee soo ifbaxaysa. Qorshayaashan cilmi-baarista ah waxay xaqiijinayaan bukaannadayada inay helaan ikhtiyaarrada daawaynta ee ugu badan iyagoo gacan ka geysanaya horumarinta daawada neefsashada. Ballanqaadkayaga daryeelka caddaynta ku salaysan macneheedu waa in nidaamyada daawaynta ay si joogto ah u kobcaan si ay ugu daraan natiijooyinkii sayniska ee ugu dambeeyay iyo hababka ugu wanaagsan ee caafimaad.
Shuruudaha aan ku daaweyno
Kooxda sambabada ee Cisbitaalada CARE CHL, cosbitaalka Pulmonology ugu fiican ee Indore, ayaa bixiya daryeel khabiiro ah oo kala duwan oo xaaladaha neefsashada ah:
- Cudurada Marin-haweedka xanniba
- Neefta: Maareynta neefta ee carruurta iyo dadka waaweyn, oo ay ku jiraan ay adag tahay in la xakameeyo iyo neefta shaqada
- Cudurka sambabada ee joogtada ah (COPD): Daryeelka dhamaystiran ee emphysema iyo boronkiitada raaga
- Bronchiectasis: Maareynta marinnada hawo-mareenka ee aan caadiga ahayn iyo caabuqyada la xiriira
- Alpha-1 Antitrypsin Deficiency: Daryeel gaar ah oo loogu talagalay qaabkan hidde-socodka ah ee emphysema
- Cudurada sambabada ee faafa
- Oof-wareen: Bulsho-helay, cusbitaal-lagu helay, iyo oof-wareen hammi
- Qaaxada: Baadhitaano heersare ah iyo daawaynta TB-da xasaasiga ah iyo u adkaysiga daroogada ee sambabada iyo xubnaha kale
- Caabuqyada fungal: Maareynta aspergillosis, histoplasmosis, iyo cudurada kale ee fangas sambabada
- Bronchitis: Infekshannada boronkiitada ba'an iyo kuwa raaga
- Cudurada sambabada ee isku dhex jira
- Fibrosis sambabada: Idiopathic iyo qaababka labaad ee nabarrada sambabada
- Sarcoidosis: Maareynta nidaamka badan ee sambabada
- Dareen-xumada oof-wareen: daawaynta falcelinta sambabada xasaasiyadda ee soo-gaadhista deegaanka
- Xanuunada sambabada ee la xidhiidha unugyada isku xidha: Dhibaatooyinka sambabada ee rheumatoid arthritis-ka, scleroderma, iyo lupus
- Cilladaha Neefsashada ee La Xiriira Hurdada
- Cabbitaanka hurdada xannibista: Qiimaynta iyo maaraynta dhamaystiran
- Central Sleep Apnea: Daryeel gaar ah oo loogu talagalay cilladaha neefsashada ee maskaxda lagu maamulo xilliga hurdada
- Cayilka Hypoventilation Syndrome: Habka isku dhafan ee maareynta miisaanka
- Hurdo la'aan oo leh Qaybaha Neefsashada: Daryeelka iskaashiga ee takhasuska daawada hurdada
- Cudurada Vascular Pulmonary
- Dhiig-karka Sambabada: Daawaynta horumarsan ee cadaadiska dhiigga sambabada oo sarreeya
- Cudurka sambabada: Daawaynta degdega ah iyo maaraynta muddada dheer
- Qallafsanaanta Halbowlayaasha Sambabada: Daryeelka isku xirka xididdada dhiigga ee sambabada ee aan caadiga ahayn
- Cudurka Thromboembolic Chronic Thromboembolic: Maaraynta khaaska ah ee xanuunada xinjirowga ah ee soo noqnoqda
- Cudurada Sambabka ee Shaqada iyo Deegaanka
- Neefta Shaqada: Aqoonsiga iyo maareynta kiciyeyaasha goobta shaqada
- Silicosis: Daryeelka bukaanka qaba boodhka silica ee macdanta iyo dhismaha
- Asbestosis: Maareynta dhaawaca sambabada ee la xidhiidha asbestos-ka
- Kiimikada Pneumonitis: Daaweynta caabuqa sambabada ee neefsashada sunta ah
- Oncology Oncology
- Kansarka SambabkaHababka kala duwan ee baadhista iyo daawaynta
- Pleural Mesothelioma: Daryeelka gaarka ah ee kansarkan asbestos-ka la xiriira
- Burooyinka Metastatic ee Sambabada: Maareynta iskaashiga leh kansarka
- Masses Mediastinal: Qiimaynta iyo daaweynta burooyinka ku jira daloolka laabta
- Cudurada xuubka
- Dhiig-baxa xuubka: ogaanshaha iyo maaraynta dareeraha agagaarka sambabada oo wata qalab ogaanshaha horumarsan sida throracoscopy
- Pneumothorax: Daawaynta xaaladaha sambabada oo burburay
- Dhumucda xuubka: Daryeel nabarrada iyo dhumucda xuubka sambabada
- Empyema: Maareynta ururinta dareeraha cudurka qaba ee bannaanka xuubka
Nidaamyada & Adeegyada Daaweynta
Sida cusbitaalka Pulmonology ee Indore oo leh awood dhamaystiran, CARE CHL waxay bixisaa adeegyo ogaanshaha iyo daawaynta horumarsan:
- Hababka Baadhista Horukacsan
- Tijaabada Shaqada Sambabada: Qiimayn dhammaystiran oo mugga sambabada, awoodaha, iyo faafidda
- Tijaabada Jimicsiga Wadnaha ee Wadnaha: Qiimaynta shaqada wadnaha-sanbabada ee isku dhafan inta lagu jiro dhaqdhaqaaqa jirka
- Bronchoscopy: Baaritaanka endoscopic dabacsan oo adag ee marinnada hawada
- Ultrasound Endobronchial (EBUS): Saamaynta ugu yar ee sambabada iyo dhaawacyada dhexdhexaadka ah
- Thoracentesis: Si badbaado leh oo dheecaanka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka caloosha
- Thoracoscopy Medical: Baadhitaanka ugu yar ee booska xuubka
- Barashada hurdada: shaybaarka gudaha ee polysomnography iyo baaritaanka hurdada hurdada ee guriga
- Nitric Oxide (FeNO): Cabbirka caabuqa marin-haweedka
- Tijaabada Bronchoprovocation: Qiimaynta firfircoonida marin-haweedka ee ogaanshaha neefta
- Dhexgalka sambabada
- Thermoplasty Bronchial: Daaweynta sare ee neefta daran
- Meelaynta Valve Endobronchial: Daawaynta ugu yar ee caabuqa ee emphysema
- Meelaynta Stent Hawo-mareenka: Ilaalinta patentiyada hawo mareenada cidhiidhiga ah
- Burburinta halbowlaha Bronchial: Habka xakamaynta hemoptysis daran
- Pleurodesis: Daawaynta soo noqnoqda ee xuubka xuubka xuubka iyo pneumothorax
- Transbronchial Lung Cryobiopsy: Farsamo sare oo loogu talagalay ogaanshaha cudurka sambabada interstitial
- Tracheostomy Percutaneous: Habka sariirta dhinaceeda ee maaraynta marin-haweedka muddada-dheer
- Meelaynta Kateetarka xuubka xuubka xuubka xuubka: Maaraynta guriga ee dareeraha soo noqnoqda
- Daryeelka Neefsashada ee Halis ah
- Hawo-qaadista Makaanikada: Taageerada nolosha soo galitaanka ee hawlgabka neefsashada
- Hawo-qaadid Aan-dagaal lahayn: Taageerada neefsashada ee maaskarada ku salaysan
- Daawaynta Ogsajiinta- Socodka Sare: Taageerada neefsashada ee sareeysa ee ka fogaanshaha gelinta
- Oxygenation Membrane Extracorporeal (ECMO): Daaweynta nafta-badbaadinta ee hawlgabka daran ee neefsashada
- Maareynta Marin-haweedka: Khabiir ku takhasusay maaraynta marinnada hawo-mareenka ee adag
- Bronchoscopy Therapeutic: Ka saarida xannibaadaha marin-haweedka iyo dheecaannada
- Maareynta Tuubada Xabadka: Daryeelka tuubooyinka dheecaanka ee pneumothorax iyo dareeraha
- Korjoogteynta Neefsashada: Dabagalka sare ee bukaannada aadka u xanuunsan
- Barnaamijyada Daawaynta Dhamaystiran
- Dhaqancelinta sambabada: Jimicsi qaabaysan iyo barnaamij waxbarasho oo loogu talagalay cudurrada sambabada ee raaga
- Barnaamijka Joojinta Sigaarka: Taageerada caafimaadka iyo dabeecadda ee ku tiirsanaanta tubaakada
- Waxbarashada Neefta: Tababarka shakhsi ahaaneed ee is-maamulka neefta
- Maareynta Cudurrada COPD: Habka isku dhafan si loo yareeyo ka-darka iyo isbitaal dhigga
- Daawaynta Ogsajiinta Guriga: Qiimaynta iyo maaraynta baahiyaha ogsijiinta ee dheeriga ah
- Daawaynta Neefsashada ee Hurdada: Daawaynta CPAP iyo beddelka
- Farsamooyinka Nadiifinta Jidka Hawo-mareenka: Tababarka hababka lagu abaabulo dheecaannada sambabada
- Dib-u-dhiska Neefsashada: Farsamooyinka lagu hagaajiyo waxtarka neefsashada laguna dhimo dyspnea
- Adeegyada Gaarka ah
- Barnaamijka Thermoplasty Bronchial: Daryeelka dhamaystiran ee neefta daran
- Rugta Dhiig-karka Sambabada: Daryeelka u go'an xaaladdan adag
- Barnaamijka Cudurada Sambabada Dhex-dhexaadka ah: Habka edbinta badan ee ogaanshaha iyo maaraynta
- Daryeelka sambabada ee COVID-ka-dambe: Barnaamij soo kabasho gaar ah oo loogu talagalay Covid-19 dhibbanayaasha
- Xarunta Qaaxada: Daryeelka sare ee daawada u adkeysata iyo qaaxada adag
- Qiimaynta Cudurka Sambabka ee Shaqada: Qiimaynta gaarka ah ee soo-gaadhista goobta shaqada
- Barnaamijka Baadhitaanka Kansarka Sambabada: Baadhitaanka CT-ga ee qiyaasta-hoose ee shakhsiyaadka khatarta sare leh
- Qiimaynta Ku-tallaalidda Sambabada iyo Gudbinta: Diyaarinta iyo isku-dubbaridka murashaxiinta tallaalka
Sida cosbitaalka Pulmonology ugu fiican ee Indore, CARE CHL waxay bixisaa faa'iidooyin kala duwan oo loogu talagalay daryeelka neefsashada:
- Khabiir ku taqasusay sambabada: Kooxdayada waxaa ka mid ah dhakhaatiirta sambabada oo aqoon sare leh oo leh tababar dheer iyo khibrad maaraynta xaaladaha neefsiga fudud iyo kuwa adag. Khabiiradayada takhasuska leh waxay sii wadaan shahaadooyinka caalamiga ah waxayna si joogto ah u cusbooneysiiyaan khibradooda iyagoo sii wadaya waxbarashada caafimaadka.
- Awoodaha Baadhista oo Dhamaystiran: CARE CHL waxay muujisaa shaybaadhka shaqada sambabada ugu horumarsan ee bartamaha Hindiya. Waxay bixisaa qiimaynta neefsashada oo dhamaystiran, laga bilaabo spirometry aasaasiga ah ilaa baadhitaano khaas ah sida oscillometry impulse iyo falanqaynta condensate neefta oo la sii daayo. Awoodaha sawir-qaadistayada waxa ka mid ah iskaanka CT-ga xallinta sare leh oo leh borotokoollada sambabada gaarka ah iyo sawir-qaadista neef-mareenka.
- Habka edbinta badan: Dhakhaatiirta sambabada waxay iskaashi la sameeyaan dhakhaatiirta qalliinka xiiq-dheerta, dhakhaatiirta wax-ka-qabashada, khabiirada daryeelka muhiimka ah, khabiirada daawada hurdada, daaweeyayaasha neefsashada, takhasusayaasha baxnaaninta sambabada, iyo dhakhaatiirta cuntada si ay u bixiyaan daryeel dhamaystiran oo wax ka qabta dhammaan dhinacyada caafimaadka neefsashada. Shirarka caadiga ah ee kiisku waxay xaqiijinayaan qorshayaasha daawaynta ee la hagaajiyay ee xaaladaha adag.
- Ikhtiyaarada Daawaynta Sare: Bukaan-socodka ayaa ka faa'iideysanaya helitaanka daawaynta ugu dambeysay ee neef-mareenka, oo ay ku jiraan thermoplasty bronki ee neefta daran, valves endobronchial for emphysema, iyo daawaynta bayoolojiga ee loogu talagalay xaaladaha sambabada gaarka ah. Waaxdeennu waxay si joogto ah u soo bandhigtaa doorashooyin daweyn oo cusub marka ay diyaar noqdaan.
- Ilaha Daryeelka Halis ee Sare: Qaybta daryeelka degdega ah ee neefsashada ee CARE CHL waxay leedahay tignoolajiyada hawo-qaadista ee horumarsan, awoodaha taageerada jidhka ka baxsan, iyo nidaamyo kormeer oo gaar ah oo ay maamulaan dhakhaatiirta sambabada ee daryeelka halista ah. Isku darka tignoolajiyada iyo khibradda ayaa awood u siinaya maaraynta guusha leh ee xaaladaha degdegga ah ee ugu adag ee neefsashada.
- Baxnaaninta Sambabada Gaarka ah: Barnaamijkeena baxnaanintu sambabada oo dhamaystiran waxa ku jira tababbarka jimicsiga ee habaysan, qaboojinta murqaha neefsiga, latalinta nafaqada, iyo taageerada nafsiga ah si ay u caawiyaan bukaanada in ay sare u qaadaan awoodooda shaqo in kasta oo ay xaddidan tahay neefsiga. Barnaamijkani wuxuu si gaar ah u faa'iido u leeyahay bukaanada qaba COPD, cudurada sambabada dhexdooda, iyo dhibaatooyinka neefsiga ee ka dambeeya COVID.
- Cilmi-baadhis iyo Hal-abuur: CARE CHL waxay ka qaybqaadataa tijaabooyinka kiliinikada ee lagu qiimaynayo daawaynta neefsashada ee soo ifbaxaysa, iyadoo siinaya bukaannada inay helaan daawayn cusub ka hor intaanay si ballaaran loo helin. Hindisahayada cilmi-baarista ayaa si gaar ah diiradda u saaraya waxqabadyada khuseeya dadweynaha gobolka, oo ay ku jiraan daawaynta tiibishada, cudurrada sambabada shaqada, iyo cilladaha neefsashada ee wasakhaysan.
- Habka bukaan-socodka: Waaxdeenna pulmonology waxay xooga saartaa waxbarashada iyo is-maamulka, iyadoo awood siinaysa bukaanada inay si firfircoon uga qayb qaataan caafimaadka neefsashada. Laga soo bilaabo hagaajinta farsamada neef-qaadista ilaa barnaamijyada la socodka fog, waxaanu bixinaa qalab iyo taageero si aanu bukaanka uga caawino inay sii wataan shaqada neef-mareenka ee ugu fiican inta u dhaxaysa booqashooyinka kiliinikada.
