Ukufakelwa kwesibindi nokuhlinzwa kwe-Hepatobiliary

Isibhedlela Esihamba phambili Sokufakelwa Kwesibindi e-Indore

I-Institute of Digestive Diseases and Liver Transplantation iyiqembu elikhethekile lodokotela abahlinzayo abanolwazi lokufakelwa kwesibindi kanye nokuhlinzwa okuyinkimbinkimbi kwe-hepatobiliary, pancreatic (HPB), kanye ne-gastrointestinal (GI), konke ngaphansi kophahla olulodwa.

Izibhedlela ze-CARE CHL, Isibhedlela Esingcono Kakhulu Sokufakelwa Kwesibindi e-Indore, sinikeza indlela ebanzi, enezigwegwe eziningi yokwelapha isifo sesibindi esingenakulungiseka, ukuzuza amazinga avelele okusinda kwesiguli kanye nezinga lempilo. Sihlonyiswe ngamathiyetha okusebenza azinikele, ama-ICU, nengqalasizinda yesimanjemanje kanye nemishini yokwenza izinqubo eziyinkimbinkimbi.

Ubani Odinga Ukufakelwa Isibindi?

Ukufakelwa kwesibindi kungase kudingeke kubantu abanesifo esibi kakhulu sesibindi noma ukwehluleka kwesibindi. Izimo ezithile ezivame ukudinga ukufakelwa isibindi zihlanganisa:

• Ukwehluleka kwesibindi okungapheli
• I-Hepatitis B & C
• I-cirrhosis yesigaba sokuphela/ isifo sesibindi
• Isifo sesibindi sokuphuza utshwala
• Isibindi esinamafutha
• Isifo se-Biliary cirrhosis / Isifo sesibindi esizimele
• Umdlavuza wesibindi oyinhloko
• Ukuhluleka kwesibindi esiphelele

Izinhlobo Zokufakelwa Kwesibindi

• I-Living Donor Liver Transplant: Ekufakelweni kwesibindi somnikeli ophilayo, ingxenye yesibindi iyasuswa kumnikeli. Ngenxa yokuthi isibindi sinamandla okuvuselela, kokubili ingxenye etshalwe kabusha kumamukeli kanye nengxenye esele kumnikeli ingakhula ibuyele kusayizi wayo ovamile.
• Ukufakelwa Kwesibindi Esishonile/I-Orthotopic: Kubandakanya ukufakelwa isibindi esitholwe kumuntu osanda kushona.
• I-Split Transplant: Kule nqubo, isibindi esitholakala kumnikeli oshonile sihlukaniswa sibe izingcezu ezimbili bese sitshalwa sibe ngabamukeli ababili abahlukene. Zombili izingxenye zesibindi ezitshaliwe zingaphinda zikhule ukuze zifinyelele usayizi ojwayelekile kubamukeli bazo abafanele.

Inqubo Yokufakelwa Kwesibindi

• Ukuhlolwa kwangaphambi kokufakelwa kabusha: Ngesikhathi sokuhlolwa kwangaphambi kokufakelwa kabusha, ungase wenze lokhu kuhlola okulandelayo ukuze uthole isimo sesibindi sakho:
  • Ukuhlolwa komzimba
  • Ukuhlola ukuhlolwa
  • Ukuhlolwa kwegazi, okuhlanganisa ukuhlola ukuhambisana
  • Ungase futhi uhlolwe ukuze uthole isimo senhliziyo namaphaphu akho. Ukudla okunomsoco kanye nokuhlolwa kwengqondo nakho kungenziwa njengengxenye yokuhlola ngaphambi kokufakelwa kabusha.
• Imvume: Ukufakelwa kabusha kufanele kutholwe ngokoMTHETHO WOKUTSHINTSHWA KWEZITHOMBE ZOMUNTU KA-1994 kanye Nemithetho Yokuhunyushwa Kwezitho Zomuntu, 1995 kanye nazo zonke izichibiyelo ezakhiwe lapho.
• Inqubo: Inqubo yokufakelwa kwesibindi ingase ithathe amahora angu-8 kuya kwangu-12 noma ngaphezulu. Phakathi nenqubo:
  • Isiguli sizonikezwa i-anesthesia jikelele ukuze kudambise ubuhlungu.
  • Kusikwa esiswini sakho ukuze ufinyelele esibindini esigulayo.
  • Imithambo yegazi iyanqunywa ukuze kumiswe ukutholakala kwegazi
  • Isibindi esigulayo siyasuswa bese kufakwa isibindi esinempilo.
  • Imithambo yegazi kanye nama-bile ducts aphinde axhunywe esibindini somnikeli esishintshiwe.
  • I-incision ivalwe ngeziqeshana noma izitishi.

Ukunakekelwa Kwangemva Kokufakelwa

Uzogcinwa egunjini labagula kakhulu (ICU) izinsuku ezi-4 kuya kweziyi-5 ngemva kokufakelwa. Inqubo yokululama iyafana kuzo zonke iziguli. Kodwa-ke, ubude besikhathi sokululama bungase buhluke kumuntu ngamunye kuye ngokuthi umzimba wakhe usabela kanjani ekufakeni, isimo sabo sempilo, kanye nezinkinga ezenzeke, uma kukhona ngemuva kokufakelwa.

Abamukeli ngokuvamile bahlala esibhedlela izinsuku ezingu-7 kuya kweziyi-10, futhi abanikelayo bahlala izinsuku ezingu-5 kuya kweziyi-7. Ukuze uthuthukise imiphumela, umuntu ohlinzwe isibindi kufanele athathe izinyathelo zokuphepha ezilandelayo:

• Hlola njalo udokotela njengokuncoma kukadokotela.
• Landela futhi uphuze imithi njengoba uyalelwe udokotela.
• Qaphela izimpawu zokutheleleka noma ukwenqatshwa kwesitho futhi wazise udokotela ngokushesha noma ufune usizo lwezokwelapha.
• Landela izinyathelo zokuphepha ukuze ugweme izifo ezithathelwanayo njengomkhuhlane ovamile noma umkhuhlane
• Landela uhlelo lokudla njengoba kunconywe udokotela/isazi sokudla okunempilo.
• Yiba namandla ngokomzimba.
• Gwema utshwala nogwayi.
• Impilo Ngemva Kokufakelwa Kwesibindi
• Ukubuyisela impilo namandla aphelele
• Ungajabulela ukudla okuvamile
• Angakwazi ukuhamba ngaphandle kokwesaba
• Iminyaka yokuphila evamile
• Ukuphila komkhaya okuvamile
• Abukho utshwala
• Imithi ejwayelekile

Izimpumelelo

Ithimba lokufakelwa kwesibindi e-CIDDLT eliholwa uDkt Mohammed Abdun Nayeem linolwazi olwandayo lokufakelwa kwesibindi okungu-2000+, okukodwa kokuhlangenwe nakho okukhulu kwalolu hlobo eNdiya, okubonisa imiphumela yomtholampilo eqhathaniseka namazwe ngamazwe. Amasu ethu okuhlinza anoveli avumele ukulandelelwa ngokushesha kokululama kwesiguli ngemva kokuhlinzwa, kwanciphisa ukuhlala esibhedlela. Zonke lezi zimpumelelo zisenze saba isibhedlela sesibindi esingcono kakhulu e-Indore. 

Kungani Khetha Izibhedlela ze-CARE CHL?

Indlela yesiguli engenamthungo evela ekuphathweni kwangaphambi kokuhlinzwa, ngokuhlinzwa nokunakekelwa kwangemva kokuhlinzwa, okunemiphumela yethu emihle kakhulu, kusenza sibe isikhungo esithandwayo sokuma okukodwa kokufakelwa kwesibindi sezingane zabadala (abanikelayo abaphilayo nabashonile), kanye nakho konke ukuhlinzwa okuyinkimbinkimbi kwe-HPB ne-GI. Ngakho-ke, uma ufuna ukufakelwa isibindi e-Indore, Isibhedlela i-CARE CHL kufanele kube yisinqumo sakho sokuqala.