Izibhedlela Ezingcono Kakhulu Zokuhlinzwa Kwethambo Lomnkantsha Aspirate (BMAC) e-Hyderabad

Ukuhlinzwa Okuthuthukile Kwethambo Lomnkantsha (BMAC) wokuhlinza

Ukuhlinzwa kwe-BMAC kungenye yezindlela zokwelapha ezithembisayo kakhulu zesimanje umuthi wezemidlalo futhi ama-orthopedics. Le nqubo emisha isebenzisa amangqamuzana azalayo akha u-0.001% kuya ku-0.01% womnkantsha, kodwa alethe izinzuzo ezimangalisayo zokuphulukisa. Ucwaningo lubonisa iziguli ezithola ukwelashwa kwe-BMAC zibona ukuthuthuka okukhulu emazingeni azo ezinhlungu.

Odokotela baqala inqubo ye-bone marrow aspirate concentrate ngokuqoqa umnkantsha ezindaweni abangafinyelela kuzo kalula. Lokhu kufaka phakathi i-iliac crest, i-proximal tibia, i-proximal humerus noma i-anterior superior iliac spine. Izinto eziqoqiwe zibe sezihamba nge-centrifugation. Lokhu kudala amangqamuzana omnkantsha agxilile agcwele izici zokukhula kanye nezakhiwo zokulwa nokuvuvukala. I-BMAC ibonakale iphumelela kakhulu ekwelapheni ukukhubazeka okugxilile kwe-chondral futhi imnene ukuya kokumaphakathi osteoarthritis ngokuphepha. Ukuhlushwa okuphezulu kwe-interleukin-1 receptor antagonist (IL-1RA) kusiza ukumisa ukuvuvukala, okungase kuchaze ukuthi kungani iziguli zizwa ubuhlungu obuncane kakhulu.

Ucwaningo lukhombisa ukuthi i-BMAC isebenza kahle ekwelashweni okuningi okuhlukene. Iziguli zidinga ukubuyekezwa okumbalwa ekulungisweni kwe-rotator cuff, amaphuzu aphezulu ekuhlolweni kokusebenza ngemva kokulungiswa kwe-acetabular labral, nokubona ukuthuthuka okuphawulekayo kokukhubazeka kwamadolo oqwanga. Ukufakwa kwe-BMAC ngesikhathi sokuwohloka okuyisisekelo kwe i-osteonecrosis kwekhanda lesifazane kusiza ukubambezeleka kokwelashwa okuhlaselayo. Iziguli zibika ukuphathwa okungcono kobuhlungu kanye nomsebenzi othuthukisiwe. Le ndlela yebhayoloji inika iziguli inketho engathandeki ekhiqiza imiphumela ethembisayo.

Kungani izibhedlela ze-CARE Group ziyisinqumo sakho esiphezulu sokuhlinzwa kweBone Marrow Aspirate Concentrate (BMAC) eHyderabad

Izibhedlela ze-CARE zihlinzeka ngezinsiza ezintsha ngobuchwepheshe bakamuva bokuxilonga bezinqubo zomnkantsha. Ochwepheshe abanamakhono abazi ubunkimbinkimbi bokwelashwa kwe-BMAC baletha ukunakekelwa okuningiliziwe ezigulini. Ubuhle besibhedlela ukufakelwa umnkantsha inabela ezinsizeni zayo zokuhlinza ze-BMAC, inikeze iziguli ukwelashwa kwekhwalithi ephezulu kakhulu.

I-Best Bone Marrow Aspirate Concentrate (BMAC) Odokotela Bokuhlinza 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. (Lt Col) P. Prabhakar

  Umqondisi Womtholampilo kanye Nomnyango Oyinhloko Wezokwelapha Zamathambo kanye Nokushintshwa Okuhlanganyelwe

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Anand Babu Mavoori

  Umqondisi Womtholampilo Wokululeka kanye ne-HOD, I-Orthopedics, Ukubuyisela Ngokuhlanganyela kanye Nokuhlinzwa Kwe-Arthroscopic

  I-Orthopedics

  Bhala iNqunto
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  UDkt. BN Prasad

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. KSPraveen Kumar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sandeep Singh

  Inhloko yoMnyango - I-Orthopedics,
  Umeluleki Omkhulu - Ukuhlinzwa Kwerobhothi Nokulimala Kwezemidlalo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Behera Sanjib Kumar

  Umqondisi Womtholampilo kanye neNhloko Yomnyango - I-CARE Bone and Joint Institute

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sharath Babu N

  Umxhumanisi - Ukubuyiselwa Kwamajoyinisi, Udokotela Ohlinzayo Wamathambo kanye NeRobhothi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. P. Raju Naidu

  umxhumanisi

  ISITHOMBE SAMAJOPHO

  Bhala iNqunto
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  Dr. AK Jinsiwale

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Jagan Mohana Reddy

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ankur Singhal

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Lalit Jain

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pankaj Dhabaliya

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Manish Shroff

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Prasad Patgaonkar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Repakula Kartheek

  Umxhumanisi - Odokotela Bamathambo kanye Nokuhlinzwa Kokubuyisela Ngokuhlanganyela

  I-Orthopedics kanye Nokushintshwa Kwamalunga

  Bhala iNqunto
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  UDkt. Chandra Sekhar Dannana

  Sr. Consultant

  I-Trauma kanye ne-Orthopedics

  Bhala iNqunto
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  UDkt. Hari Chaudhari

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Kotra Siva Kumar

  Umxhumanisi - I-Orthopedics & Sports Medicine

  Imithi Yamathambo Nezemidlalo

  Bhala iNqunto
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  UDkt. Romil Rathi

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Shiva Shankar Challa

  I-Consultant Joint Replacement & Robotic Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Mir Zia Ur Rahaman Ali

  Sr. Consultant Orthopedic & Joint Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Arun Kumar Teegalapally

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashwin Kumar Talla

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pratik Dhabalia

  umxhumanisi

  I-Orthopedics (Ukubuyisela Ngokuhlanganyela)

  Bhala iNqunto
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  UDkt. Subodh M. Solanke

  I-Arthroplasty engu-Consultant (Ukubuyisela Ngokuhlanganyela) kanye Nodokotela Wamathambo

  Umnyango Wokuhlinza Amathambo

  Bhala iNqunto
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  UDkt. Raghu Yelavarthi

  Umxhumanisi - Udokotela Wamathambo, Ukubuyisela Ngokuhlanganyela kanye Nodokotela Ohlinza Izandla

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ravi Chandra Vattipalli

  I-Robotic Knee Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Madhu Geddam

  Umxhumanisi - Udokotela Wamathambo, Ukushintshwa Kwamalunga, Ukuhlukumezeka kanye Nodokotela Ohlinza Amathambo

  Uchwepheshe wezifo zamathambo kanye nemithi yezemidlalo

  Bhala iNqunto
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  UDkt. Vasudeva Juvvadi

  Umxhumanisi - Udokotela Wokuhlinza Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashok Raju Gottemukkala

  Umqondisi Womtholampilo kanye Nomeluleki Sr. - Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Yadoji Hari Krishna

  Umxhumanisi - Udokotela Wamathambo & Udokotela Ohlinza I-Arthroscopy

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ajay Kumar Paruchuri

  Sr. Consultant - I-Orthopedics

  I-Orthopedics

  Bhala iNqunto
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  UDkt. ES Radhe Shyam

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pushpvardhan Mandlecha

  Sr. Consultant Pediatric Orthopedist

  I-Pediatric Orthopedics

  Bhala iNqunto
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  UDkt. Zafer Satvilkar

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto

Innovative Surgical Solutions at CARE Hospital

Izinqubo ze-BMAC esibhedlela se-CARE zisebenzisa izindlela ezithuthukisiwe zokuhlanganisa i-centrifugation ukuze zigxilise izici zokwelapha emnkantsheni wesiguli. Lokhu kudala isixazululo esicebile:

• Amaseli we-Mesenchymal stem akhuthaza ukuvuselelwa kwezicubu
• Izici zokukhula ezisheshisa ukuphulukiswa
• Ama-cytokines alwa nokuvuvukala alawula ubuhlungu nokulungisa

Izimo Zokuhlinza I-Bone Marrow Aspirate Concentrate (BMAC).

Isibhedlela i-CARE sihlinzeka ngokwelashwa kwe-BMAC ezimeni eziningi zamathambo. Lokhu kufaka phakathi i-osteoarthritis emaphakathi ukuya kobukhali kanye nokulimala kwemigqa namathenda abambezela ukuphulukiswa kwemvelo. Iziguli ezinobuhlungu obuhlangene ezingakwazi ukuhlinzwa noma ezifuna izinketho ezingahlinzeki zizuza kakhulu kule nqubo.

Izinhlobo Zezinqubo ze-Bone Marrow Aspirate Concentrate (BMAC).

Isibhedlela sihlinzeka ngezinqubo ezahlukene ze-BMAC ngokusekelwe kulokho okudingwa yisiguli ngasinye. Odokotela bavame ukuqoqa umnkantsha ezindaweni ezitholakalayo njenge-iliac crest, i-proximal tibia, noma i-proximal humerus. Yonke le nqubo ithatha cishe amahora amabili nasendaweni i-anesthesia. Isixazululo esigxilile siya ngqo endaweni okuhlosiwe ukuze kukhuliswe ukuphulukiswa. Izinhlobo zikhona

• Inqubo evamile ye-BMAC - Ngemva kokungeniswa kwe-anesthesia, odokotela bafisa umnkantsha kusuka ezindaweni ezitholakalayo ngosizo lwe-aspiration trocar kanye nenaliti
• Inqubo ye-BMAC eqondiswa isithombe - Isebenzisa i-ultrasound noma i-fluoroscopy ukuze iqondise ngesikhathi sangempela umjovo we-BMAC ukuze ulangazelele umnkantsha.
• Inqubo ye-BMAC ehlasela kancane - Amasu esimanje we-BMAC abangela ubuhlungu obuncane kakhulu kunezindlela ezindala, iziguli ezizazisa ngempela.

Yazi ukuhlinzwa

Inqubo ye-BMAC isiza iziguli ukuba zilungiselele kokubili ngokwengqondo nangokomzimba inqubo yazo. Lokhu kwelashwa okungangeneleli kancane kusebenzisa umnkantsha womzimba wakho ukuphulukisa izicubu ezilimele.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Udokotela wakho uzokuhlola ngokucophelela ukuze abone noma yikuphi ukukhathazeka kwezokwelapha ngaphambi kwenqubo ye-BMAC. Bazobheka umlando wakho wezokwelapha futhi bangadinga ukuhlolwa kwegazi noma isithombe. Kumele:

• Yeka ukuthatha ama-NSAID nama-blood thinners okungenani isonto eledlule
• Gcina umzimba wakho enamanzi amaningi izinsuku eziningana
• Hlala kude notshwala noma ugwayi amahora angama-24

I-Bone Marrow Aspirate Concentrate (BMAC) Inqubo Yokuhlinzwa

• Inqubo ngokuvamile ithatha amahora angu-1-2. Udokotela uvala indawo yokuvuna, ngokuvamile ithambo lakho lenyonga, nge-anesthesia yendawo. 
• Udokotela ohlinzayo ufaka inaliti ekhethekile emnkantsheni wakho. Odokotela bancamela ukukhipha umnkantsha ku-iliac crest ngoba inenani eliphakeme kakhulu lamaseli e-osteogenic progenitor.
• Umnkantsha wethambo uhamba nge-centrifugation ukuze uhlukanise futhi ugxilise izici zawo zokuphulukisa. Le nqubo yenza isixazululo sicebe ngokuphindwe kasithupha kumaseli nezici zokukhula kunesampula yoqobo. 
• Udokotela ube esejova lesi sixazululo esigxilile endaweni yakho olimele esebenzisa i-ultrasound noma i-fluoroscopy guide.

Ukubuyisela ngemva kokuhlinzwa

Ungase uzizwe ungakhululekile nje ngemva kwenqubo. Iziguli eziningi zingabuyela emsebenzini wedeski ngakusasa. Udokotela wakho cishe uzoncoma ukuthi:

• Yenza kube lula izinsuku ezimbalwa
• Sebenzisa iqhwa ukuze unciphise ukuvuvukala
• Khetha acetaminophen ngaphezu kwe-NSAID yobuhlungu
• Qala izivivinyo zokunyakaza ezithambile njengoba udokotela wakho ephakamisa

Izingozi Nezinkinga

I-BMAC iphephile uma kuqhathaniswa, kodwa kukhona ubungozi obuthile. Izinkinga eziningi zithambile futhi zizixazulula ngokwazo, njengobuhlungu, ukuvuvuka, kanye nemihuzuko lapho inaliti ingena khona. Izinkinga ezingavamile zihlanganisa:

• Ukutheleleka
• Umonakalo wezinzwa
• Ukulimala kwemithambo yegazi
• Ama-clots egazi

Izinzuzo Zokuhlinzwa Kwe-Bone Marrow Aspirate Concentrate

I-BMAC inezinzuzo eziningi uma iqhathaniswa nokwelashwa kwendabuko:

• Yehlisa ukuvuvukala futhi ivumela umzimba wakho ululame ngokwemvelo ngokuvuselelwa kwezicubu. 
• Inciphisa kakhulu ubuhlungu bezicubu ezihlangene nezithambile.
• Njengoba isebenzisa amangqamuzana esiguli, mancane amathuba okuthi ingalahli.
• Iziguli zizuza ekuhlaselweni okuncane, ukululama ngokushesha, futhi zingagwema ukuhlinzwa okubanzi.

Umbono Wesibili Wokuhlinzwa Kwethambo Lomnkantsha Aspirate Concentrate (BMAC).

Ukwelashwa kwe-BMAC kudinga ubuchwepheshe obukhethekile, ngakho ukuthola omunye umbono wezokwelapha kunengqondo uma ungaqiniseki mayelana nokuxilongwa kwakho noma izinketho zokwelashwa. Umbono omusha uzosiza ukuqinisekisa ukuthi le nqubo ihambisana yini nesimo sakho futhi ikubonise zonke ezinye izindlela ezitholakalayo.

Isiphetho

Ukuhlinzwa kwe-BMAC kumelela impumelelo ekwelashweni kwamathambo. Amakhono okwelapha emvelo omzimba wakho aphatha izimo ezihlukahlukene ngaphandle kokuhlinzwa okukhulu. Lokhu kwelashwa kusiza iziguli ezifuna izinketho ezincane ezihlaselayo zokwelapha ubuhlungu bamalunga, i-osteoarthritis, nokulimala kwezicubu. Isikhathi sokululama siyashesha uma siqhathaniswa nokuhlinzwa kwendabuko, futhi iziguli zingabuyela emsebenzini wedeski ngakusasa.

Isibhedlela i-CARE sihamba phambili ngale ndlela yokwelapha emisha e-Hyderabad. Ochwepheshe babo basebenzisa amasu athuthukile ukuze bavune futhi bagxilise izingxenye zokwelapha emnkantsheni wakho. Lokhu kudala isisombululo esinamandla esicebile ngamaseli we-stem kanye nezici zokukhula.