25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
Ukuhlinzwa kwe-robotic gallbladder (cholecystectomy) kuguqula indlela odokotela abaphatha ngayo ukususwa kwe-gallbladder. Ihlanganisa izinzuzo zamasu okuhlaselayo nokunemba kwamathuluzi erobhothi asezingeni eliphezulu. Le ndlela ivumela odokotela abahlinzayo ukuthi basuse i-gallbladder egulayo noma eyonakele ngenkathi begcina izinkinga ziphansi noma bezigwema ngokuphelele. Amacala ayinselelo obekunzima ukuwaphatha kusetshenziswa ngokwesiko izindlela ze-laparoscopic manje kungenziwa ngokuphepha okukhulu nangempumelelo ngamarobhothi. Lolu shintsho ludala izinga elisha emiphumeleni yokuhlinzwa kwe-gallbladder.
Ithimba le-CARE la odokotela abanekhono abaqeqeshelwe amasu asezingeni eliphezulu asizwa ngamarobhothi kubenza bagqame. Laba chwepheshe bahlinzeka ngokwelashwa okusezingeni eliphezulu okunembayo okuphezulu, okwehlisa izingozi futhi kusize iziguli zilulame ngokushesha. Indlela yabo ehlanganisa konke yeziguli ezine-co-morbidities, esekelwa yi-24/7 imaging kanye nezinsizakalo zaselabhorethri, inikeza ukunakekelwa okuningiliziwe.
Isibhedlela sisebenzisa ubuchwepheshe obuphambili obuthuthukisa imiphumela yokuhlinzwa. Amasistimu abo athuthukile afaka:
Amakhandidethi afanelekile afaka iziguli ezine:
Okulandelayo kunezindlela ezimbili ze-cholecystectomy ezisizwa ngamarobhothi:
Ukulungela ukuhlinzwa kwe-robotic gallbladder kudinga izinyathelo ezimbalwa ukuze uzuze imiphumela engcono kakhulu.
Izinyathelo zihlanganisa:
Ukuhlinzwa ngokuvamile kuthatha imizuzu engama-45-90.
Ungase uphume esibhedlela ngalo lolo suku noma ngosuku olulandelayo. Ukulawula izinhlungu kuhilela ukuphuza imithi udokotela wakho akunika yona, ukunakekela izindawo zezilonda kanye nokunamathela ekudleni okuqala ngoketshezi olucacile. Iningi labantu libuyela emisebenzini yansuku zonke cishe emavikini ama-2 kuya kwangu-3.
Izingozi ezingaba khona zihlanganisa:
Izinzuzo eziyinhloko zifaka ukubonwa okungcono ngezithombe ze-3D, ukulawula okuthuthukisiwe okunamadigri ayisikhombisa okunyakaza, ukusikeka okuncane, ubuhlungu obuncane kanye nokululama ngokushesha. Ukuhlinzwa futhi kunikeza imiphumela emihle kakhulu yezimonyo enezibazi ezincane.
I-IRDAI idinga umshwalense wezempilo ukuze uhlinzeke ngokuhlinzwa okusizwa ngamarobhothi kusukela ngo-2019. Izinqubomgomo eziningi zihlanganisa ukuhlala esibhedlela, izindleko zokuhlinzwa, izindleko zobuhlengikazi, nokunakekelwa ngaphambi nangemva kwenqubo.
Ukuthola omunye umbono wezokwelapha ngaphambi kokuhlinzwa kwe-robotic gallbladder kukusiza ukuthi wenze izinqumo ezingcono zokunakekelwa kwezempilo. Kufanele ubuze imibuzo ethile mayelana nezinzuzo zesimo sakho kusuka kumasu erobhothi kanye nolwazi lukadokotela ohlinzayo ngazo zombili izindlela.
Ukuhlinzwa kwe-robotic gallbladder sekufinyelele ingqopha-mlando ebalulekile. Lezi zinhlelo ezisezingeni eliphezulu zenza ukuhlinzwa okuyinkimbinkimbi kanye nodokotela abanekhono, kodwa kuthatha isikhathi eside ukuqeda ukuhlinza. Iziguli zelapheka ngokushesha ngamanxeba amancane futhi zithola ukungakhululeki okuncane. Iziguli eziningi ziya emakhaya ngalo lolo suku bese zibuyela emisebenzini yazo esikhathini esingangesonto.
Izibhedlela ze-CARE zihola le ndlela yokuguqula ngezinsizakalo ezintsha ze-robotic cholecystectomy kanye nodokotela abahlinzayo abaqeqeshwe kakhulu. Imishini yethu yesimanje iletha izinqubo ezinembile kuyilapho indlela yayo yokunakekela ehlanganisiwe isiza iziguli ezinokukhathazeka okwengeziwe kwezempilo.
Ukuhlinzwa kwe-robotic gallbladder (robotic cholecystectomy) kuvumela odokotela abahlinzayo balawule izingalo zamarobhothi ukuze bakhiphe inyongo. Uhlelo lusebenzisa ikhamera ye-3D enencazelo ephezulu enikeza ukubukwa okukhulisiwe. Izinsimbi zayo zihamba ngokunembe kunezandla zomuntu.
Cha, ukususwa kwe-robotic gallbladder akukona ukuhlinzwa okukhulu. Inqubo idinga ukusikwa okuncane kuphela futhi idala ukulimala okuncane kwezicubu. Iziguli ngokuvamile ziya ekhaya ngalo lolo suku noma phakathi namahora angu-24.
Ucwaningo lubonisa ukuthi i-robotic cholecystectomy inezinga eliphansi lokulimala kwe-bile duct uma kuqhathaniswa nezinqubo ze-laparoscopic. Noma kunjalo, izinkinga azivamile ukwenzeka.
I-Gallstones iphezulu ohlwini lwezizathu zokuhlinzwa kwe-robotic gallbladder. Ezinye izizathu zihlanganisa i-cholecystitis (ukuvuvukala kwe-gallbladder), i-dyskinesia ye-biliary, ne-gallstone pancreatitis.
Inqubo ngokuvamile ithatha amaminithi angu-45-90. Odokotela abanolwazi abanobuchwepheshe obuphambili bangakwazi ukukuqeda ngaphansi kwehora.
Izinkinga ezingenzeka zihlanganisa ukulimala kwe-bile duct, ukutheleleka, ukuphuma, ukulimala kwezicubu eziseduze, ukuvuvukala kwe-pancreatic kanye ne-hernia.
Iziguli ngokuvamile zizwa kangcono ngo-70-80% phakathi nesonto. Ukubuyisela okuphelele kuthatha amaviki angu-2-3. Abantu abaningi babuyela emisebenzini yedeski ngemva kwesonto.
Lokhu kuhlinzwa kubangela ubuhlungu obuncane kunezindlela zendabuko. Iziguli zizwa ukungakhululeki okuncane okunciphisa kakhulu ngemva kwezinsuku ezingu-3-5. Abantu abaningi ababuzwa ubuhlungu ngemva kwamasonto amabili.
Abantu abangcono kakhulu bane-gallstones, i-cholecystitis (ukuvuvukala kwe-gallbladder), i-biliary dyskinesia, i-gallstone pancreatitis, noma inqwaba ye-gallbladder/polyps. Akuwona wonke umuntu ongakwazi ukufaneleka. Iziguli ezinezimo ezithile zezokwelapha noma ukuhlinzwa okukhulu kwesisu kwangaphambilini zingase zidinge izindlela ezihlukile.
Ungabuyela emisebenzini yedeski lingakapheli iviki elilodwa. Ukululama okuphelele kuthatha amaviki angu-2-4, futhi uzodinga amaviki angu-6-8 ngaphambi kokuqala imisebenzi enzima. Odokotela bakhuthaza ukuhamba okulula ngemva kokuhlinzwa ukuya vimbela amahlule egazi.
Iningi lezinhlelo zomshwalense ezihlanganisa izinqubo ezingavamisile kancane zizofaka ukuhlinzwa kwe-robotic gallbladder.
Odokotela batusa ngokumelene nokuphumula kombhede omude. Kufanele uqale ukuhamba kusukela ngosuku lokuqala ngemva kokuhlinzwa. Lokhu kusiza ukugcina amandla akho emisipha futhi kuvimbela izinkinga.
Cishe uzogoduka ngalo lolo suku noma phakathi namahora angu-24. Ukuthola kwakho kuzogxila ekulawuleni ukungakhululeki okuncane, ukugcina ukusikeka kuhlanzekile, ukulandela imihlahlandlela yokudla, kanye nokwandisa kancane kancane amaleveli omsebenzi.