Isibhedlela Esingcono Kakhulu Sokufakelwa Kwesibindi eRaipur
I-Institute of Digestive Diseases and Liver Transplantation iyiqembu eliyingqayizivele lodokotela abahlinzayo abanokuhlangenwe nakho okuhlanganisa i-Liver transplant kanye nokuhlinzwa okuyinkimbinkimbi kwe-hepatobiliary, pancreatic (HPB), kanye ne-gastrointestinal (GI) konke okungaphansi kophahla olulodwa.
I-Ramkrishna CARE Hospitals e-Raipur iyisibhedlela esingcono kakhulu sokufakelwa kwesibindi e-Raipur ngoba kuthatha indlela ephelele, enezigwegwe eziningi ekwelapheni izinkinga zesibindi. Ochwepheshe bethu abaqeqeshwe kakhulu bazinikele ekunikezeni iziguli zethu ukunakekelwa okungcono kakhulu kanye nemithi yokwelapha eklanyelwe izidingo zazo.
Ubani Odinga Ukufakelwa Isibindi?
Ukufakelwa kwesibindi kuyadingeka 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 Zenziwe
- Ukufakelwa Kwesibindi Kwe-Donor Ophilayo: Ekufakeni isibindi 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.
- Abashonile/ Ukufakelwa Kwesibindi Se-Orthotopic: Kuhilela ukufakelwa isibindi esitholwe kumuntu osanda kushona.
- Hlukanisa ukufakelwa: Kule nqubo, isibindi esitholakala kumnikeli oshonile sihlukaniswa sibe izingcezu ezimbili bese sitshalwe kabusha sibe abamukeli 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 iqede 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 sakhe sempilo, nanoma yiziphi izinkinga ezenzekayo, uma zikhona, ngemva kokufakelwa. Abamukeli ngokuvamile bahlala esibhedlela izinsuku ezingu-7 kuya kweziyi-10, futhi abanikelayo bahlala izinsuku ezingu-5 kuya kweziyi-7. Ukwenza ngcono imiphumela, umuntu ofake 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
Izinyathelo Ezizuziwe
Njengesibhedlela esimangalisayo sochwepheshe besibindi e-Raipur, i-Ramkrishna CARE Hospitals isizuze izingqopha-mlando ezimbalwa eminyakeni edlule futhi isaqhubeka nokwenza kanjalo.
- Ukufakelwa kwesibindi okuyimpumelelo okungu-30 nge-ZERO mortality - kuze kube manje
- Umnikelo wokuqala owake waba khona wesitho se-cadaveric esifundazweni saseChhattisgarh - 2023
- Ukufakelwa kwesibindi sokuqala ophumelele oshonile enkabeni yeNdiya esifundazweni saseChhattisgarh - 2022
- Ukufakelwa kwesibindi sokuqala kwengane okuyimpumelelo enganeni enezinyanga eziyisi-6 esifundazweni saseChhattisgarh - 2021
Ithimba lokufakelwa kwesibindi e-Ramkrishna Care Hospitals liqukethe odokotela abahlinzayo abanekhono, izazi ze-hepatologists, odokotela ababulala izinzwa, kanye nabasebenzi abasekelayo abanokuhlangenwe nakho okubanzi ekwenzeni ukuhlinzwa okuyinkimbinkimbi kokufakelwa kwesibindi. Lokhu kwenza kube isibhedlela esingcono kakhulu sezifo zesibindi.
- Izikhungo Ezisezingeni Eliphezulu: Isibhedlela sihlonyiswe ngobuchwepheshe bamuva nje bezokwelapha nengqalasizinda ukuze kuqinisekiswe izindinganiso eziphakeme zokunakekela ngaphambi, ngesikhathi, nangemva kokufakelwa.
- Ukunakekelwa okugcwele nokukhethekile: Iziguli zithola ukunakekelwa komuntu siqu okuhlangabezana nezidingo zazo ezithile zezokwelapha, kusukela ekubonisaneni kokuqala kuya ekulandeleni ngemva kokuhlinzwa.
- Isibhedlela sinolwazi oluningi ngokuhlinzwa kokufakelwa kwesibindi futhi sinikeza ukunakekelwa okuhle kakhulu, okubonisa emazingeni aso aphezulu empumelelo.
- Ongoti bokudla okunomsoco, odokotela be-physiotherapists, kanye nodokotela bengqondo bonke bayingxenye yendlela yesibhedlela yokwelapha isiguli ngokwehlukana kwezigaba, okusiza impilo yeziguli iyonke.
Ithimba lethu kwa-CIDDLT lenze izimila zesibindi ezingaphezu kuka-2000, okusenze isibhedlela esingcono kakhulu sokufakelwa kwesibindi. Lokhu okunye okuhlangenwe nakho okuhle kakhulu kohlobo lwayo e-India, futhi imiphumela yethu yomtholampilo ilingana naleyo ebonwa kwamanye amazwe. Izindlela zethu ezintsha zokuhlinza zisheshise ukululama kweziguli ngemva kokuhlinzwa, okuholele ekutheni zihlale isikhashana esibhedlela.
Indlela engenamthungo yesiguli kusukela ekuphathweni kwangaphambi kokuhlinzwa, ngokuhlinzwa nokunakekelwa kwangemva kokuhlinzwa okunemiphumela yethu emihle kakhulu kusenza sibe isikhungo esithandwayo sokuma okukodwa kokufakelwa kwesibindi sezingane zabadala (abanikelayo ophilayo noshonile), kanye nakho konke ukuhlinzwa okuyinkimbinkimbi kwe-HPB ne-GI.
