Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Bronchial Thermoplasty e-Hyderabad

Inqubo Ye-Bronchial Thermoplasty Ethuthukisiwe

I-Bronchial Thermoplasty inikeza inketho yokwelapha ephumelelayo ezigulini ezinobunzima obukhulu ufuba abangaphenduli kahle ekwelashweni okujwayelekile. 

Odokotela benza ukwelashwa kwe-bronchial thermoplasty ngezikhathi ezintathu ezihlukene, behlukanisa cishe amasonto amathathu. I-lobe engezansi kwesokudla ithola ukwelashwa esimisweni sokuqala, kanti i-lobe engezansi kwesokunxele ilandela esimisweni sesibili. Womabili ama-lobe angaphezulu alashwa kuseshini yokugcina. Inqubo isiza ngokukhethekile abantu abadala abangaphezu kweminyaka engu-18 isifuba sabo somoya esihlala singalawuleki naphezu kokusebenzisa umthamo omkhulu we-corticosteroids ehogelwe kanye nama-beta-agonists asebenza isikhathi eside.

Lesi sihloko sihlanganisa ulwazi olubalulekile mayelana nokuhlinzwa kwe-bronchial thermoplasty - kusukela emininingwaneni yenqubo kuya kokulindelwe kokululama kanye nezingozi ezingaba khona. 

Kungani Izibhedlela Zeqembu Lokunakekelwa Kuyisinqumo Sakho Esiphezulu Senqubo Ye-Bronchial Thermoplasty e-Hyderabad

Izibhedlela ze-CARE ziqondisa iziguli ekwelashweni okuthuthukisiwe kokuphefumula ngohlelo lwayo olukhethekile lwe-bronchial thermoplasty. I i-pulmonology umnyango unochwepheshe abaqeqeshwe kakhulu abagcina izitifiketi zamazwe ngamazwe futhi babuyekeze ubuchwepheshe babo ngokuqhubeka nemfundo yezokwelapha.

Odokotela Abahlinza Kakhulu Be-Bronchial Thermoplasty 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

• 

  UDkt. A Jayachandra

  Umqondisi Womtholampilo kanye no-Sr. Interventional Pulmonologist

  Pulmonology

  Bhala iNqunto
• 

  UDkt. K Sailaja

  Sr. Consultant

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Sandeep Raj Bharma

  Uchwepheshe Wezifo Zokuphefumula kanye Nochwepheshe Bokulala

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Sanjib Mallick

  Sr. Consultant

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Sudheer Nadimpalli

  Sr. Consultant Interventional Pulmonologist & Sleep Medicine Specialist

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Suhas P. Ithiphu

  umxhumanisi

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Syed Abdul Aleem

  umxhumanisi

  Pulmonology

  Bhala iNqunto
• 

  UDkt. TLN Swamy

  Sr. Consultant

  Pulmonology

  Bhala iNqunto
• 

  UDkt. MD. Abdullah Saleem

  Udokotela Wokungenela Udokotela Wezifo Zamaphaphu kanye Nomuthi Wokulala

  I-Interventional Pulmonology kanye Nemithi Yokulala

  Bhala iNqunto
• 

  UDkt. G. Anil Kumar

  Umxhumanisi wePulmonologist ongenelelayo

  Bhala iNqunto
• 

  UDkt. Girish Kumar Agrawal

  umxhumanisi

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Sushil Jain

  umxhumanisi

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Nikhilesh Pasari

  umxhumanisi

  Imithi Yamaphaphu

  Bhala iNqunto
• 

  UDkt. Nitin Chitte

  Udokotela Wesifuba Olulekayo

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Sathish C Reddy S

  Umxhumanisi - Udokotela Wezifo Zokuphefumula Nokungenelela

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Mohammed Mukarram Ali

  Umxhumanisi - I-Pulmonology & Nemithi Yokulala

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Anirban Deb

  Sr. Umxhumanisi we-Interventional Pulmonologist

  Pulmonology

  Bhala iNqunto
• 

  UDkt. VNB Raju

  Umxhumanisi - Umuthi wamaphaphu nokulala

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Faizan Aziz

  Umxhumanisi wePulmonologist ongenelelayo

  I-Interventional Pulmonology

  Bhala iNqunto
• 

  UDkt. Diti V Gandhasiri

  umxhumanisi

  Pulmonology

  Bhala iNqunto
• 

  UDkt. Ketan Malu

  umxhumanisi

  Pulmonology

  Bhala iNqunto

Izithuthukisi Zokuhlinza Ezisezingeni eliphezulu esibhedlela i-CARE

Izibhedlela ze-CARE zithuthukise izinsizakalo zayo ezikhethekile ngezisezingeni eliphezulu Ukuhlinza okusizwa ngamarobhothi ubuchwepheshe. Isibhedlela sisebenzisa i-Alair Bronchial Thermoplasty System ngezinqubo ze-bronchial thermoplasty. Lolu hlelo lunomshini wokuphehla amandla we-RF, ipuleti le-earthering, kanye nekhethetha kabhasikidi yokulethwa kwe-RF esebenziseka kalula. I-CARE ibe ngesinye sezibhedlela zokuqala esifundeni ukwamukela lokhu kwelashwa ngokusebenzisa ama-catheter aletha amandla alawulwayo e-radiofrequency emigwaqweni yomoya.

Izinkomba zenqubo ye-Bronchial Thermoplasty 

Amakhandidethi e-Bronchial thermoplasty ngokuvamile ahlangabezana nalezi zindlela:

• Abantu abadala abanesifuba somoya esibi esibeleselayo abaqhubeka bethatha i-corticosteroids ehogelwe kanye nama-beta agonists athatha isikhathi eside.
• Iziguli ezinesifuba somoya esingaphenduli ekwelashweni okujwayelekile
• Abantu ababhekana nakho kaningi ukuhlasela kwe-asthma noma iziqephu ezinzima ezidinga ukunakekelwa esibhedlela
• Iziguli izimpawu zazo ezithinta izinga lempilo yazo yansuku zonke

Izinhlobo ze-Bronchial Thermoplasty Procedure 

I-CARE Hospitals's bronchial thermoplasty protocol inezikhathi ezintathu ezihlukene:

• Iseshini yokuqala: Ukwelashwa kwe-lobe engezansi engakwesokudla
• Iseshini yesibili: Ukwelashwa kwe-lobe engezansi engakwesokunxele
• Iseshini yesithathu: Ukwelashwa kwawo womabili ama-lobe angaphezulu

Iziguli zithola iseshini ngayinye cishe amasonto amathathu ngokwehlukana ukuze kuqinisekiswe ukululama okuphelele phakathi kokwelashwa. Iseshini ngayinye ihlala cishe imizuzu engama-30-60 futhi isebenzisa i-anesthesia yendawo noma i-sedation esekelwe ezidingweni zesiguli.

Ukulungiselela kwangaphambilini

Iziguli kumele:

• Thatha imithi oyinikeziwe ngaphambi, ngesikhathi, nangosuku olulandela inqubo.
• Gwema ukudla amahora angama-4-8 ngaphambi kwenqubo.
• Qhubeka usebenzisa imishanguzo evamile ehogeliwe.
• Cela othile ukuthi ashayele ekhaya.
• Qinisekisa ukuthi isifuba somoya sihlale sizinzile ngaphandle kokuqubuka okungenani izinsuku eziyi-14.

Inqubo ye-Bronchial Thermoplasty 

I-pulmonologist yakho izokwenza le nqubo yokulaliswa ngaphandle:

• Ukunikeza i-sedation noma i-anesthesia jikelele
• Ukubeka i-bronchoscope ngekhala lakho noma ngomlomo
• Ukusebenzisa i-catheter enobhasikidi we-electrode ezine
• Isebenzisa amandla okushisa alawulwayo (65°C) ezindongeni zendlela yomoya imizuzwana eyi-10
• Ukwelapha izindawo ezahlukene zamaphaphu akho ngezikhathi ezintathu, isonto ngalinye ngokuhlukana kwamasonto ama-3

Ukubuyisela emva kwenqubo

Ukubuyisela kuhlanganisa:

• Izisebenzi zikuqapha amahora angu-2-4 ngaphambi kokuba uye ekhaya
• Ezinye iziguli zidinga ukulala ubusuku bonke ukuze zibhekwe
• Izimpawu zakho zesifuba somoya zingase zibe zimbi okwesikhashana amasonto angu-1-2
• Ithimba lezokwelapha lizokubheka emahoreni angama-24, amahora angama-48, nezinsuku eziyi-7

Izingozi Nezinkinga

Kufanele wazi ngalezi zinkinga ezingaba khona:

• Izimpawu zakho zokuphefumula zingaphakama okwesikhashana (zivamile)
• Inani elincane leziguli lidinga ukunakekelwa esibhedlela ngenxa yezimpawu ezimbalwa
• Imigudu yakho yomoya ingase ithuthukise i-atelectasis kusukela ekubunjweni kwamafinyila
• Izinkinga ezingavamile zingase zihlanganisa amaphaphu ithumba, i-pneumothorax, noma ukopha

Izinzuzo Zenqubo Ye-Bronchial Thermoplasty 

Ucwaningo lubonisa ukuthi iziguli zibona ukuthuthuka okukhulu:

• Ukuvakasha kwegumbi lezimo eziphuthumayo kwehla kakhulu
• Izinsuku zokusebenza eziphuthelwe zizoncishiswa 
• Ukuhlaselwa kwesifuba somoya okunzima kuncipha ngobuningi
• Iningi leziguli libika izinga lempilo elingcono

Usizo Lomshwalense Wenqubo Ye-Bronchial Thermoplasty 

Ukuqonda ukuhlinzekwa komshwalense:

• Abaningi bomshwalense wezohwebo bazoyikhokhela le nqubo
• Ezinye izinhlelo zezempilo zibuyekeza amacala ngawodwana
• Hlola ukuvikeleka kwakho futhi uthole isiqinisekiso ngaphambi kokuqala ukwelashwa

Umbono Wesibili Wokuhlinza Kwenqubo Ye-Bronchial Thermoplasty

Umuntu udinga umbono wesibili ukuze:

• Thola isiqinisekiso sochwepheshe esiqinisekisa ukuxilongwa kwakho nezinketho zokwelashwa
• Bheka ochwepheshe abanolwazi olufanayo

Isiphetho

I-Bronchial thermoplasty inikeza ithemba elisha ezigulini ezinesifuba somoya esinamandla ezingaphenduli kahle ekwelashweni okujwayelekile. Le nqubo yempumelelo isiza iziguli ngokusebenzisa amandla ashisayo alawulwayo ukuze kuncishiswe imisipha ebushelelezi yomoya. Ukwelashwa kuqukethe izikhathi ezintathu ezisize iziguli ukuba ziphile impilo engcono. Babhekana nokuhlaselwa kwesifuba somoya okumbalwa futhi bachitha isikhathi esincane emagumbini aphuthumayo.

Izibhedlela ze-CARE nakanjani ziqondisa indlela ngohlelo lwazo olukhethekile lwe-bronchial thermoplasty. Ithimba lesibhedlela lochwepheshe abaqeqeshiwe lizonikeza iziguli ukunakekelwa kochwepheshe kulo lonke uhambo lwazo lokwelashwa.