Isibhedlela Esingcono Kakhulu Sokuhlinzwa Kwe-Brain Tumor eBhubaneswar

I-Advanced Brain Tumor Surgery eBhubaneswar

A isimila sobuchopho kwenzeka lapho amangqamuzana angaphakathi noma eduze kobuchopho aziphindaphinda ngokungalawuleki, akha izicubu ezingavamile. Lokhu kukhula kungakhula ezingxenyeni ezihlukahlukene zobuchopho, okuhlanganisa ulwelwesi oluvikelayo, isisekelo sogebhezi, isiqu sobuchopho, amasinusi, kanye nekhala. Ukuhlinzwa kwesimila ebuchosheni kuhloswe ukususa noma ukunciphisa isimila kuyilapho kulondoloza ukusebenza kobuchopho futhi kuthuthukisa izinga lempilo yesiguli. 

Izinhlobo Zokuhlinzwa Kwezimila Zobuchopho

Izinqubo zokuhlinza zezimila zobuchopho ziye zavela kakhulu, zinikeza izindlela ezihlukahlukene ngokusekelwe endaweni nosayizi wesimila. 

• I-Craniotomy: Le nqubo ihlala iyindlela evamile yokuhlinza, lapho odokotela abahlinzayo besusa ingxenye yogebhezi lwekhanda ukuze bafinyelele futhi bakhiphe isimila.
• I-Endoscopic Endonasal Approach (EEA): I-EEA ivumela odokotela abahlinzayo ukuthi basuse izimila ngekhala, baqede isidingo sokusikwa kwangaphandle. Le ndlela yokwelapha ngokuyinhloko i-pituitary adenomas nezinye izimila zobuchopho ezikhethiwe.
• I-Laser Interstitial Thermal Therapy (LITT): Le ndlela ehlasela kancane isebenzisa amandla e-laser ukushisa nokucekela phansi amaseli wesimila, eqondiswa yi-MRI.
• Ukuhlinzwa Kobuchopho Okuphaphama: Ukuhlinzwa okwenziwa umuntu esazi kuvumela odokotela abahlinzayo ukuthi baqaphe ukusebenza kobuchopho futhi balondoloze izindawo zokukhuluma nezokunyakaza.
• I-Stereotactic Craniotomy: Le craniotomy isebenzisa isiqondiso sesithombe esithuthukisiwe nge-MRI noma i-CT scan ukuze uthole indawo enembile yesimila. Ngaphezu kwalokho, ukuhluka okukhethekile okufana ne-bifrontal craniotomy enwetshiwe kuqondise izimila ezinzima eduze nangaphambili kobuchopho, kuyilapho i-supra-orbital craniotomy (i-eyebrow craniotomy) yelapha amathumba aseduze nezinzwa zamehlo.
• Ukuhlinzwa Kwembobo Eyisihluthulelo: Umqondo wokuhlinza imbobo yokhiye uvumela ukususwa kwesimila ngokusebenzisa izimbobo ezincane, ezinembe kakhudlwana, kuncishiswe umonakalo ezicutshini ezinempilo ezizungezile.

Odokotela Abahlinzayo Abangcono Kakhulu Be-Brain Tumor 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. Arjun Reddy K

  umxhumanisi

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
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  UDkt. NVS Mohan

  Sr. Umqondisi Wezempilo kanye neNhloko yoMnyango

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
• 

  UDkt. Ritesh Nawkhare

  umxhumanisi

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. Susant Kumar Das

  Asso. Umqondisi Womtholampilo

  Neurosurgery

  Bhala iNqunto
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  UDkt. Sachin Adhikari

  Sr. Consultant

  Neuroscience

  Bhala iNqunto
• 

  UDkt. SN Madhariya

  Sr. Consultant

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt Sanjeev Kumar

  Umxhumanisi Omncane

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. Sanjeev Gupta

  umxhumanisi

  Isayensi ye-Neuro

  Bhala iNqunto
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  UDkt. K. Vamshi Krishna

  Sr. Consultant Brain & Spine Surgeon

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
• 

  UDkt. Arun Reddy M

  Sr. Consultant - Neurosurgeon & Endoscopic Spine Surgeon

  Neurosurgery

  Bhala iNqunto
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  UDkt. Vijay Kumar Terapalli

  umxhumanisi

  Bhala iNqunto
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  UDkt. Sandeep Talari

  umxhumanisi

  Ukuhlinzwa Okujwayelekile/ I-Neurosurgery

  Bhala iNqunto
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  UDkt. Atmaranjan Dash

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt. Laxminadh Sivaraju

  Sr. Consultant

  I-Neurosurgeon

  Bhala iNqunto
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  UDkt. Gaurav Sudhakar Chamle

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. T. Narasimha Rao

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt. Venkatesh Yeddula

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt SP Manik Prabhu

  Sr. Consultant – Neurosurgery & Neurointerventionist

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Ankur Sanghvi

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. Mamindla Ravi Kumar

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt. Bhavani Prasad Ganji

  Sr. Consultant Umnyango Wokuhlinza Kwezinzwa

  Neurosurgery

  Bhala iNqunto
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  UDkt. MD Hameed Shareef

  Udokotela Ohlinzayo Wokuhlinza

  Neurosurgery

  Bhala iNqunto
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  UDkt. JVNK Aravind

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
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  Dr. Teja Vadlamani

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
• 

  UDkt Sanjeev Kumar Gupta

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. Abhishek Songara

  Umeluleki Omkhulu - I-Neurosurgery

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Randhir Kumar

  Umqondisi Womtholampilo kanye Nomeluleki We-Sr - I-Neurosurgeon, i-Neurointerventionist kanye no-Endoscopic Spine Surgeon

  Neurosurgery

  Bhala iNqunto

Izinkomba Zokuhlinzwa Kwesimila Sobuchopho 

Ukuhlinza kuyindlela eyinhloko yokwelashwa kwamathumba obuchopho njengoba kunikeza izinzuzo eziningi zokwelapha. Ukungenelela ngokuhlinzwa kufeza izinjongo ezimbili ezibalulekile: ukususa isimila kanye nokuqinisekisa ukuxilongwa i-biopsy.

Imigomo yokuhlinzwa ihlanganisa:

• Ukususwa ngokuphelele kwesimila uma kungenzeka
• Ukususwa kancane ukuze kukhule kancane futhi kudambise izimpawu zesimila ebuchosheni
• Ukukhululwa ekucindezelekeni ngaphakathi kogebhezi
• Ukusebenza okuthuthukisiwe kwezinye izindlela zokwelapha
• Ukuqoqwa kwamasampula ezicubu zokuxilongwa okunembile

Izimpawu Ze-Brain Tumor

Ukuphathwa yikhanda ziyizimpawu ezivame kakhulu, ezithinta cishe ingxenye yazo zonke iziguli zesimila ebuchosheni. Lezi zinhlungu zekhanda zivame ukuzizwa zimbi kakhulu ekuseni noma ebusuku futhi ngokuvamile ziba zimbi kakhulu ngokukhwehlela noma ukudonsa kanzima. Ubuhlungu bungase bufane nekhanda elicindezelayo noma migraines.

Okulandelayo ezinye izimpawu ezivame kakhulu zesimila ebuchosheni:

• Umbono ushintsha njengokufiphala noma umbono kabili
• Isicanucanu nokuhlanza okungachazeki
• Ubunzima bebhalansi nokuxhumana
• Izinkinga zenkulumo noma inkinga yokuthola amagama
• Izinkinga zenkumbulo nokudideka
• Izinguquko zobuntu noma ukuziphatha
• ukuquleka, ikakhulukazi ngaphandle komlando wangaphambili

Ukuhlolwa Kokuxilongwa Kokuhlinzwa Kwethumba Lobuchopho

Okulandelayo yizinyathelo ezijwayelekile zokuxilonga zesimila sobuchopho:

• I-Magnetic Resonance imaging: I-MRI isebenza njengethuluzi eliyinhloko lokuxilonga lezimila zobuchopho. Ngenkathi ama-MRI ajwayelekile ehlinzeka ngolwazi lwesakhiwo, izinguqulo ezikhethekile zinikeza imininingwane eyengeziwe:
  • I-MRI esebenzayo yenza amaphethini omsebenzi wobuchopho
  • I-Magnetic Resonance Spectroscopy ihlaziya amakhemikhali e-tumor
  • Ukufanekisa kwe-Diffusion Tensor kubonisa izindlela ezimhlophe
  • I-Perfusion MRI ihlola amaphethini okugeleza kwegazi
• Izikena ze-Computed Tomography (CT): Izikena ze-CT zisekela ukutholwa kwesimila esisheshayo, ikakhulukazi ezimweni eziphuthumayo. 
• I-Positron Emission Tomography (PET): Isiza ekunqumeni ukuthi ukukhula okungavamile kunomdlavuza yini.
• Ukuhlolwa Kwelebhu: Ukuhlolwa kwegazi nokuhlaziywa koketshezi lwe-cerebrospinal kusiza ukukhipha ezinye izimo zemizwa nokuhlola isimo sezempilo sisonke. Ngezinye izikhathi, odokotela benza ukuhlola kwezinzwa ukuze bahlole ibhalansi, ukusebenzisana, kanye nokukhalipha kwengqondo. Lokhu kuhlola kuhlola ukuthi izingxenye ezihlukene zobuchopho zisebenza kanjani futhi kusize ukunquma umthelela wesimila emisebenzini yansuku zonke.
• I-Biopsy: I-Biopsy ihlala iyisivivinyo esiqinisekile sokuxilongwa okunembile. Phakathi nale nqubo, odokotela abahlinzayo bakhipha isampula lethishu elincane ukuze lihlaziywe elabhorethri. Lesi sinyathelo esibalulekile sisiza ukunquma uhlobo lwesimila kanye nebanga, okwenza odokotela bakwazi ukuthuthukisa amasu okwelapha okuhlosiwe.

Inqubo Yokuhlinzwa Kwezimila Zobuchopho

Odokotela abahlinzayo ezibhedlela ezihamba phambili benza ukuhlinzwa kwesimila ebuchosheni ngokunemba nangokucophelela.

Izinqubo zangaphambi kokuhlinzwa

Isonto elingaphambi kokuhlinzwa lidinga ukulungiswa ngokucophelela:

• Yekani ukubhema kanye nokuphuzwa kotshwala
• Landela iziqondiso ezithile zokudla
• Hlela ezokuthutha kanye nokunakekelwa kwangemva kokuhlinzwa
• Pakisha izinto ezibalulekile zokulala esibhedlela
• Gcwalisa wonke amaphepha kanye nezinqubo zomshuwalense

Ngaphambi kokuhlinzwa, iziguli kufanele zizile ukudla okungenani amahora ayisishiyagalombili. Ithimba le-anesthesia linikeza imiyalelo ecacile mayelana nokuthi yimiphi imithi okufanele uyiphuze ngokuphuza amanzi amancane. Iziguli kufanele zigeze ngensipho elwa namagciwane ngobusuku bangaphambi nasekuseni bokuhlinzwa.

Ngesikhathi sezinqubo zokuhlinzwa kwesimila ebuchosheni

Ama-Neurosurgeons ezibhedlela ezihamba phambili zenza ukuhlinzwa kwesimila ebuchosheni ngokunemba nangokucophelela. Ithimba labahlinzayo liqala ngokunikeza i-anesthesia jikelele, ukuqinisekisa ukuthi isiguli sihlala sinethezekile phakathi nokuhlinzwa.

Inqubo yokuhlinzwa ihilela izinyathelo ezimbalwa ezihlelwe ngokucophelela:

• Ukubeka isiguli ngendlela efanele ngokusekelwe endaweni yesimila
• Ukwenza imicu eqondile ekhanda
• Ukudala isikhala esincane kugebhezi
• Kusetshenziswa ama-microscopes ukuze uthole ukubona okuthuthukisiwe
• Ukukhipha isimila ngenkathi uvikela izicubu ezizungezile
• Ukuvala indawo yokuhlinzwa ngokucophelela

Kuyo yonke inqubo, ukuqapha izimpawu ezibalulekile kuhlala kungashintshi, nabasebenzi abazinikele balandelela umfutho wegazi, izinga lokushaya kwenhliziyo, namazinga komoyampilo.

Phakathi naleso sikhathi, abahlengikazi abahlinzayo bahlela amathuluzi akhethekile futhi basize udokotela ohlinzayo oholayo. Amasistimu okuzulazula athuthukile abonisa izithombe zobuchopho zesikhathi sangempela, eziqondisa ukunyakaza kweqembu elihlinzayo ngokunemba kwemilimitha.

Izigaba eziyinhloko zenqubo zihlanganisa:

• Ukuqapha kwegagasi lobuchopho okuqhubekayo
• Ukulawulwa kokulahleka kwegazi
• Umthethonqubo wokushisa
• Ukugcinwa kwebhalansi yoketshezi
• Ukuhlola impendulo ye-neurological

Izinqubo zokuhlinzwa kwesimila ngemuva kobuchopho

Ukululama ekuhlinzweni kwesimila ebuchosheni kuqala ngokushesha nje lapho inqubo iphela. Izisebenzi zezokwelapha zidlulisela iziguli ophikweni olukhethekile lokululama kwezinzwa ukuze ziqashwe ngeso lokhozi. Abahlengikazi bahlola izimpawu ezibalulekile njalo emizuzwini eyi-15-30 ngenkathi behlola izimpendulo zemizwa.

Amahora okuqala angama-24-48 afakazela ukuthi abalulekile ekululameni. Iziguli zithola imishanguzo yezinhlungu ngemigqa yokungena emthanjeni, futhi ithimba lezokwelapha lilawula ngokucophelela ibhalansi yoketshezi. Abahlengikazi basiza iziguli ukuthi zishintshe izikhundla njalo ukuze zigweme izinkinga futhi zigcine ukunethezeka.

Izici ezibalulekile zokunakekelwa kwangemva kokuhlinzwa zihlanganisa:

• Ukuhlolwa kwezinzwa okuvamile
• Ukunakekelwa kwesilonda nokushintsha kokugqoka
• Ukubuyela kancane kancane ekudleni okuvamile
• Ukwelapha ngokomzimba umzimba
• Ukuphathwa kwemithi

Kungani Khetha Izibhedlela Ze-CARE Ngenqubo Yokuhlinzwa Kwe-Brain Tumor?

Izibhedlela ze-CARE zigqama njengesikhungo sezokwelapha esihamba phambili sokuhlinzwa kwesimila ebuchosheni eBhubaneswar. Umnyango we-neurosurgery uhlanganisa ubuchwepheshe kanye nobuchwepheshe besimanje ukuze ulethe ukunakekelwa kwesiguli okukhethekile.

Ithimba lesibhedlela elizinikele le-neurosurgical lihlanganisa ndawonye ochwepheshe abavela emikhakheni eminingi:

• Odokotela bezinzwa abaqashelwa umhlaba wonke abanolwazi olunzulu
• Ama-neuro-anaesthesiologists abanekhono
• Abahlengikazi abakhethekile
• Ochwepheshe bokubuyisela
• Abaxhumanisi bokunakekelwa kweziguli abazinikezele

Izikhungo zokuhlinza ezithuthukisiwe ezibhedlela ze-CARE zifaka imishini esezingeni eliphezulu yokususwa kwesimila okunembile. E-CARE, amatiyetha ethu okuhlinza anezinhlelo eziyinkimbinkimbi ze-neuronavigation nama-microscopes asiza odokotela abahlinzayo ekwenzeni izinqubo eziyinkimbinkimbi ngokunemba okuphawulekayo.

Isibhedlela sigcina imigomo eqinile yokuphepha kwesiguli kanye nokulawula ukutheleleka. Isiguli ngasinye sithola ukunakwa komuntu siqu ekungenisweni ngokukhishwa, kuqashwe njalo ngodokotela abanolwazi. Ithimba lethu lokuhlunyeleliswa kwezimilo lisebenzisana eduze neziguli ukuze liqinisekise imiphumela emihle yokululama.

Izibhedlela ze-CARE zigcizelela kakhulu ukunakekelwa okuphelele. Ithimba lenza uhlolo oluningiliziwe lwangaphambi kokuhlinzwa futhi lenze izinhlelo zokwelashwa ezihambisanayo zesiguli ngasinye. Ukunakekelwa okuvamile kusiza ukulandelela inqubekelaphambili yokutakula futhi kuxazulule izinkinga ngokushesha.