Izibhedlela Ezingcono Kakhulu Zokuhlinzwa Kwe-Atrial Septal Defect(ASD) e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe Kwe-Atrial Septal Defect (ASD).

I-Atrial Septal Defect (ASD), isimo senhliziyo sokuzalwa, sidinga ukunakekelwa kochwepheshe kanye nokungenelela okuthuthukile. Intuthuko kubuchwepheshe bezokwelapha yenze ukuvalwa kwe-atrial septal defect kuphephe futhi kusebenze kangcono. Ezibhedlela ze-CARE, sihlanganisa ubuchwepheshe obusezingeni eliphezulu nozwela, ukunakekelwa okugxiliswe esigulini ukuze sinikeze imiphumela engavamile ekwelapheni ukukhubazeka kwe-ASD, okusenza sibe Isibhedlela Esingcono Kakhulu Sokuhlinzwa Kwe-Atrial Septal Defect. 

Kungani Izibhedlela Zeqembu Le-CARE Kuyisinqumo Sakho Esiphezulu Sokuhlinzwa Kwe-ASD e-Hyderabad

Izibhedlela ze-CARE zigqama njengendawo ehamba phambili yokuhlinzwa kokuvalwa kwe-ASD ngenxa yalokhu okulandelayo:

• Amakhono aphezulu amaqembu okuhlinzwa kwenhliziyo kanye nenhliziyo onokuhlangenwe nakho okukhulu kokukhubazeka kwenhliziyo kokuzalwa
• Ubuciko obuphezulu i-catheterization yenhliziyo amalabhorethri namathiyetha asebenzayo anobuchwepheshe obuphambili
• Ukunakekelwa okuphelele kwangaphambi nangemuva kokuhlinzwa okuhambisana nezidingo ezihlukile zesiguli ngasinye
• Indlela ephelele yokukhuthaza impilo yonke yenhliziyo nokuphila kahle
• Irekhodi elihle kakhulu lokuvalwa okuyimpumelelo kwe-ASD enemiphumela emihle yokusebenza

Odokotela Abahlinza Kakhulu Be-Atrial Septal Defect eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

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  UDkt. Bipin Bihari Mohanty

  Umqondisi Womtholampilo & I-HOD

  Ukuhlinzwa Kwenhliziyo Nokuhlinzwa Kwemithambo

  Bhala iNqunto
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  UDkt. G Rama Subramanyam

  Umqondisi Womtholampilo kanye Nomeluleki Sr. - Ukuhlinzwa Kwenhliziyo

  Ukuhlinzwa kwe-Cardiothoracic

  Bhala iNqunto
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  UDkt. G. Usha Rani

  umxhumanisi

  Ukuhlinzwa kwe-Cardiothoracic

  Bhala iNqunto
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  UDkt. M Sanjeeva Rao

  Udokotela Wokuhlinza I-Cardiothoracic

  Ukuhlinzwa kwe-Cardiothoracic

  Bhala iNqunto
• 

  UDkt. Manoranjan Misra

  Umqondisi wezokwelapha

  CTVS

  Bhala iNqunto
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  UDkt. Suvakanta Biswal

  Asso. Umqondisi Womtholampilo

  CTVS

  Bhala iNqunto
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  UDkt. Vinod Ahuja

  Udokotela Wokuhlinza I-Cardiothoracic

  Ukuhlinzwa kwe-Cardiothoracic

  Bhala iNqunto
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  UDkt Manish Porwal

  Umqondisi Wezempilo kanye neNhloko Yomnyango

  I-Cardio Vascular and Thoracic Surgeon

  Bhala iNqunto
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  UDkt. Anand Deodhar

  Sr. Udokotela Wokuhlinza Inhliziyo Nemithambo yegazi

  Ukuhlinzwa Kwenhliziyo

  Bhala iNqunto
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  UDkt. Revanth Maramreddy

  Sr. Consultant

  I-Cardiothoracic kanye ne-Vascular Surgery

  Bhala iNqunto
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  UDkt. Nagireddi Nageswara Rao

  Umqondisi Womtholampilo kanye Nomeluleki Ongu-Sr. - CTVS, MICS & Nodokotela Ohlinzayo Wokufakelwa Kwenhliziyo

  Ukuhlinzwa KweCardio-Thoracic

  Bhala iNqunto
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  UDkt. Ravi Raju Chigullapally

  Sr. Consultant Cardio Thoracic Vascular, Invasive Kancane & Endoscopic Cardiac Surgeon

  Cardiology

  Bhala iNqunto

Izindlela Ezithuthukile Zokuhlinza Ezibhedlela ze-CARE

Ezibhedlela ze-CARE, sisebenzisa izinto ezintsha zakamuva ukuze sithuthukise ukuphepha nokusebenza ngempumelelo kwezinqubo zokwelapha ze-ASD:

• I-3D Echocardiography: Ukuze uthole ukubona ngeso okunesici kanye nosayizi
• Amadivayisi Okuvalwa kwe-Transcatheter ASD: Izinketho ezihlasela kancane kumakhandidethi afanelekile
• I-Advanced Cardiac Imaging: Kubandakanya i-MRI yenhliziyo yokuhlola okunemininingwane yesakhiwo
• Ukuhlinzwa Kwerobhothi: Ukuthuthukisa ukunemba ekulungiseni okuvulekile kwe-ASD lapho kudingeka

Kunconywa Nini Ukuhlinzwa Kwe-ASD?

Odokotela ngokuvamile baphakamisa ukwelashwa kwe-ASD kwezinhlobo ezahlukene zesici se-atrial septal, okuhlanganisa:

• I-Secundum ASD (uhlobo oluvame kakhulu): Isici engxenyeni emaphakathi ye-atrial septum (endaweni ye-foramen ovale)
• I-Primum ASD: Isici esikhona engxenyeni engezansi ye-septum ye-atrial
• I-Sinus venosus ASD: Isici eduze nokungena kwe-vena cava ephakeme noma i-vena cava engaphansi ku-atrium engakwesokudla.
• I-Coronary sinus ASD: Udonga phakathi kwe-coronary sinus kanye ne-atrium yangakwesobunxele alukho kulesi simo esingavamile.

Thola Ukuxilongwa Okulungile, Ukwelashwa Nemininingwane Yesilinganiso Sezindleko ukuze
Yenza Isinqumo Esinolwazi Ngokugcwele.

Xoxa Nochwepheshe Bethu

Izinhlobo Zezinqubo Zokwelapha I-ASD

Izibhedlela ze-CARE zinikeza izinhlobo ezahlukene zezinqubo zokwelapha ze-ASD ezifanelana nezidingo eziqondile zesiguli ngasinye:

• Ukuvalwa kwe-Transcatheter ASD: Le nqubo ehlasela kancane isebenzisa idivayisi yokuvala inhliziyo, ivala isici se-atrial septal ngaphandle kwesidingo sokuhlinzwa okuvulekile.
• Vula Ukulungisa Ukuhlinzwa Kwenhliziyo: Le nqubo ihlanganisa ukufinyelela inhliziyo ngesifuba ukuvala amaphutha amakhulu noma ayinkimbinkimbi e-atrial septal ngqo.
• Ukulungiswa kwe-ASD okusizwa ngerobhothi: Inketho yokuhlinza engenele kancane esebenzisa ubuchwepheshe berobhothi obuthuthukisiwe ukuvala ukonakala kwe-atrial septal ngokunemba.
• Ukulungisa Ipheshi: Ukusebenzisa izinto zokwenziwa noma izicubu zesiguli ukuvala isici. Le nqubo ingenziwa ngesikhathi sokuhlinzwa kwenhliziyo evulekile noma ukulungiswa kwerobhothi.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kwe-ASD

Ukulungiselela kahle kubalulekile empumelelweni yokwelashwa kwe ASD. Ithimba lethu lenhliziyo liqondisa iziguli ngezinyathelo ezinemininingwane zokuzilungiselela, okuhlanganisa:

• Ukuhlolwa okuphelele kwenhliziyo
• I-Echocardiogram nezinye izifundo ze-imaging, njenge-cardiac CT scan kanye ne-MRI
• Ukuhlolwa kwegazi kanye ne-electrocardiogram (ECG)
• Ukubuyekezwa kwemithi nokulungiswa
• Ukwelulekwa ngaphambi kokuhlinzwa nokusekelwa ngokomzwelo
• Imiyalelo yokuzila ukudla (uma ikhona)

Inqubo Yokwelashwa Kwe-ASD

Inqubo yokwelashwa kwe-ASD ezibhedlela ze-CARE ngokuvamile ihlanganisa:

• Ngokuvalwa kwe-Transcatheter:
• Ukuphatha jikelele i-anesthesia noma ukupholisa ingqondo
• Ukufakwa kwe-catheter ngomthambo osemlenzeni
• Isiqondiso sedivayisi yokuvala inhliziyo kusetshenziswa i-fluoroscopy ne-echocardiography
• Ukuthunyelwa kwedivayisi ukuvala i-ASD
• Ukuqinisekisa ukubekwa kahle nokususwa kwe-catheter
• Okokulungisa Ukuhlinzwa:
• Ukuphathwa kwe-anesthesia jikelele
• I-Sternotomy noma i-invasive kancane
• Ukuxhuma emshinini we-heart-lung bypass (uma kunesidingo)
• Ukuvalwa okuqondile kwe-ASD noma ukubekwa kweziqephu
• Ukuvalwa kokusikwa

Ithimba lethu elinekhono lenhliziyo liqinisekisa ukuthi isinyathelo ngasinye senziwa ngokunemba nokunakekelwa okukhulu, sibeka phambili kokubili ukusebenza ngempumelelo kokwelashwa nokuphepha kwesiguli.

Ukubuyiselwa Kokuhlinzwa Kwangemva kwe-ASD

Ukululama ngemva kokwelashwa kwe-ASD kuyisigaba esibalulekile. Ezibhedlela ze-CARE, sihlinzeka:

• Ukuqapha ukunakekelwa okujulile (kumacala okuhlinzwa)
• Ukuphathwa kobuhlungu
• Imiyalo yokunakekelwa kwenxeba (yezimo zokuhlinzwa)
• Ukubuyela kancane kancane emisebenzini evamile
• Ukulandelela ama-echocardiogram nokuhlolwa
• Uhlelo lokuvuselela inhliziyo (uma kunesidingo)

Isikhathi sokululama siyahlukahluka futhi sincike ohlotsheni lwenqubo, iziguli ezivale i-transcatheter zivame ukubuyela ekhaya phakathi namahora angu-24, kuyilapho iziguli ezihlinzwayo zingadinga ukuhlala esibhedlela izinsuku ezingu-3-5.

Izingozi Nezinkinga

Ukwelashwa kwe-ASD, njenganoma yikuphi ukungenelela kwezokwelapha, kunezingozi ezithile. Lokhu kungase kuhlanganise:

• Ukutheleleka
• Ukopha noma imihuzuko
• Arrhythmias
• Ukususwa kwedivayisi (ngokuvalwa kwe-transcatheter)
• I-shunt eyinsalela

Incwadi Ukuqokwa

Izinzuzo Zokwelashwa Kwe-ASD

Ukwelashwa kwe-ASD kunikeza izinzuzo ezimbalwa ezigulini:

• Ukuvimbela izinkinga zesikhathi eside ezifana nomfutho wegazi ophezulu wamaphaphu nokuhluleka kwenhliziyo
• Ukubekezelela ukuzivocavoca okuthuthukisiwe 
• Ikhwalithi yempilo yonke ethuthukisiwe
• Ukuncipha kwezimpawu zesimo senhliziyo se-ASD njengokuphelelwa umoya nokukhathala
• Ukujwayela kwesakhiwo senhliziyo nomsebenzi
• Ukuqedwa okungenzeka kwesidingo semithi yesikhathi eside

Usizo Lomshwalense Wokwelashwa Kwe-ASD

At CARE Izibhedlela, siyaqonda ukuthi ukuhambisa umshwalense kungaba inselele. Ithimba lethu elizinikele lisiza iziguli ku:

• Ukuqinisekisa ukufakwa komshwalense
• Ukuthola ukugunyazwa kwangaphambili
• Ukuchaza izindleko eziphuma ephaketheni
• Ukuhlola izinketho zosizo lwezezimali uma kudingeka

Umbono Wesibili Wokwelashwa Kwe-ASD

Ochwepheshe bethu bezokwelapha bakhuthaza iziguli ukuthi zifune umbono wesibili ngaphambi kokwelashwa kwe-ASD. Izibhedlela ze-CARE zinikeza izinsiza ezibanzi zamahhala zombono wesibili, lapho ongoti bethu benhliziyo abangongoti:

• Buyekeza umlando wakho wezokwelapha kanye nokuhlolwa kokuxilonga
• Xoxa ngezinketho zokwelapha kanye nemiphumela yazo engaba khona
• Nikeza ukuhlola okuningiliziwe kohlelo lokwelapha oluhlongozwayo
• Bhekana nanoma yikuphi ukukhathazeka noma imibuzo ongase ube nayo

Isiphetho

Ukuvalwa kokuhlinzwa kwe-ASD kuyinqubo yokulungisa imbobo ku-septum yenhliziyo, ukubuyisela ukujikeleza okuvamile. Ithimba lethu lochwepheshe benhliziyo kanye nethimba lodokotela abahlinza inhliziyo, izikhungo ezisezingeni eliphezulu, kanye nendlela yokunakekela ebanzi kusenza ukukhetha okuphezulu kwe-Advanced Atrial Septal Defect Surgery. Themba izibhedlela ze-CARE ukukuqondisa kuzo zonke izinyathelo zohambo lwakho lwezempilo yenhliziyo ngobungcweti, ububele, nokwesekwa okungantengantengi.