isithonjana
×

25 lakh+

Iziguli Ezijabule

Abanolwazi futhi
odokotela abanekhono

17

Izikhungo Zokunakekela Ezempilo

Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi

Ukuhlinzwa Kwe-Bullectomy Okuthuthukisiwe

Ukuhlinzwa kwe-bullectomy kususa amasaka agcwele umoya amaningi emaphashini abizwa ngokuthi i-bullae. Lezi zikhala zomoya ezingavamile zinganwetshwa zibe amasentimitha angu-20 ububanzi futhi zifaka ingcindezi eyingozi ezicutshini zamaphaphu ezinempilo. 

Iziguli zidinga lokhu kuhlinzwa ngemuva kokuthi lezi zikhwama zomoya zidale kanzima ubunzima bokuphefumula. Odokotela abahlinzayo bakhomba i-bullae enkulu kunesentimitha elingu-1 futhi benza inqubo yokuvimbela ukuwa kwamaphaphu. 

Ukuhlinzwa kudinga ukunakekelwa okucophelelayo kwangemva kokuhlinzwa, kodwa kunikeza usizo olubaluleke kakhulu ezigulini ezinezimbotshana zazo ezingaphenduli kahle ekwelashweni okujwayelekile.

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

CARE Izibhedlela uyaphumelela ekuhlinzeni i-bullectomy ngokusebenzisa:

  • Onekhono ithimba le-pulmonology isekelwa odokotela abahlinza isifuba abangochwepheshe
  • Qedela izinhlelo zokuhlola ezihlola izimo zokuphefumula
  • Ukuxilongwa okusheshayo kuhlanganiswe namasu okwelapha afakazelwe

Odokotela Abahlinza Kakhulu Be-Bullectomy eNdiya

  • I-Jayachandra
  • K Sailaja
  • Sandeep Raj Bharma
  • Sanjib Mallick
  • Sudheer Nadimpalli
  • I-Suhas P. Ithiphu
  • USyed Abdul Aleem
  • I-TLN Swamy
  • MD. Abdullah Saleem
  • G. Anil Kumar
  • Girish Kumar Agrawal
  • Sushil Jain
  • Nikhilesh Pasari
  • Nitin Chitte
  • Sathish C Reddy S
  • Mohammed Mukarram Ali
  • Anirban Deb
  • I-VNB Raju
  • Faizan Aziz
  • Diti V Gandhasiri
  • Ketan Malu

Izindlela Ezintsha Zokuhlinza Ezisezingeni eliphezulu ezibhedlela ze-CARE

Izibhedlela ze-CARE zinikeza izinketho zokuhlinzwa ezithuthukisiwe ze-bullectomy:

Izinkomba Zokuhlinzwa Kwe-Bullectomy

Amakheli okwelashwa kwe-bullectomy ye-CARE:

  • Izifo Eziphuthumayo Zokuvimbela Izifo (COPD) iziguli ezine-bullae enkulu
  • Ukugoqa kwamaphaphu okuphindelelayo (i-pneumothorax) okubangelwa i-bulla ephukile
  • Iziguli ezidonsa kanzima ukuphefumula ngenxa yokucindezelwa kwezicubu zamaphaphu ezinempilo
  • Izimo ezengeziwe ezifana ne-Ehlers-Danlos Syndrome, Marfan Syndrome, kanye Sarcoidosis

Izinhlobo zezinqubo ze-Bullectomy

Izinketho zokuhlinzwa ze-CARE zifaka:

  • I-VATS Stapling esusa i-bullae ngokusebenzisa ukuhlasela okuncane
  • I-Laser Bullectomy yokususwa kwezicubu eziqondile
  • I-robotic-assisted bullectomy enikeza ukulawula okuphakeme kokuhlinzwa
  • Vula i-Bullectomy njengesixazululo sendabuko samacala ayinkimbinkimbi

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

I-bullectomy idinga ukuhlolwa okuphelele kwezokwelapha. Udokotela wakho uzosebenzisa izivivinyo ezimbalwa ezihlanganisa isifuba se-CT scan, ama-X-ray, nokuhlolwa kokusebenza kwamaphaphu ukuze abone ukuthi uyafaneleka yini.

  • Kumele yekela ukubhema ngaphambi kokuhlinzwa futhi ugweme ukudla amahora angu-8 ngaphambi kwenqubo njengoba kuphakanyiswe udokotela ohlinzayo nethimba lokuhlinza. 
  • Udokotela wakho angase akucele ukuthi umise imithi enciphisa igazi ezinsukwini ezimbalwa ngaphambi kwenqubo. 
  • Ishawa elinensipho elwa namagciwane kunciphisa ingozi yokutheleleka.

Inqubo Yokuhlinzwa ye-Bullectomy

Odokotela basebenzisa izindlela ezimbili eziyinhloko:

  • I-Thoracotomy: Ukusika kwendabuko okungu-15-20cm
  • Ukuhlinzwa kwethoracoscopic okusizwa ngevidiyo (i-VATS): Kuhlasela kancane ngokusikwa okungu-3-4cm

Udokotela ohlinzayo ususa i-bullae ngokusebenzisa amasu okugxilisa futhi ngezinye izikhathi wengeza ukuqinisa ukuvimbela ukuvuza komoya.

Ukubuyisela ngemva kokuhlinzwa

Cishe uzohlala esibhedlela izinsuku ezingama-3-7. Amashubhu esifuba ahlala kuze kuphole ukuvuza komoya. Ukuthola kwakho ngokugcwele kungase kuthathe amaviki ambalwa njengoba ubuyela kancane emisebenzini yakho evamile. Khumbula ukugwema ukuhamba ngendiza izinyanga ezi-3 ngemuva kokuhlinzwa.

Izingozi Nezinkinga

Ukuvuza komoya kuhlala isikhathi eside ezigulini eziningi. Ezinye izingozi zihlanganisa: 

  • I-subcutaneous i-emphysema 
  • Ukutheleleka
  • ukopha
  • Izinkinga zesigqi senhliziyo 

Izinzuzo Zokuhlinzwa Kwe-Bullectomy

  • Ukukhipha lawa ma-bulla kusiza iziguli ziphefumule kalula ngokukhulula izicubu zamaphaphu ezinempilo ezicindezelwe. 
  • Uzobhekana nokuzivocavoca kangcono futhi uzizwe uphelelwa umoya. 

Usizo Lomshwalense Wokuhlinzwa Kwe-Bullectomy

Izinkampani zomshwalense zivame ukumboza i-bullectomy lapho i-bullous emphysema enkulu idala izinkinga ezinkulu zokuphefumula (i-FEV1 ngaphansi kuka-50% ebikezelwe).

Umbono Wesibili Wokuhlinzwa Kwe-Bullectomy

Ukuhlangana nodokotela abahlinza isifuba abambalwa kukusiza ukuthi ufunde mayelana necala lakho elithile kanye nokukhetha kokwelashwa.

Isiphetho

Ukuhlinzwa kwe-bullectomy kunikeza ithemba langempela ezigulini ezilwa ne-bullae enkulu emaphashini azo. Inqubo isusa amasaka omoya ayingozi futhi yenza izicubu zamaphaphu ezinempilo zisebenze kahle futhi. Iziguli ziphefumula kangcono futhi zingakwazi ukuzivocavoca kalula iminyaka eminingana ngemva kokuhlinzwa kwazo.

Izibhedlela ze-CARE zihamba phambili kule nqubo ekhethekile e-Hyderabad. Ithimba labo elinamakhono lisebenzisa izindlela ezithuthukisiwe ze-VATS eziholela ezibazini ezincane kanye nokululama ngokushesha. Amacala ayinkimbinkimbi angase adinge izindlela zendabuko, ezinikezwa isibhedlela ngobuchwepheshe.

Izibhedlela ze-CARE zinikeza ukuhlolwa okuningiliziwe, ukunakekelwa kokuhlinzwa kochwepheshe, nokusekelwa okuqhubekayo kuyo yonke inqubo. Le ndlela yokubambisana isiza ukufeza umphumela omuhle kakhulu esigulini ngasinye esiye sabhekana nale nqubo yokuthuthukisa impilo.

+ 91

* Ngokuthumela leli fomu, uyavuma ukuthola ukuxhumana okuvela ezibhedlela ze-CARE ngocingo, i-WhatsApp, i-imeyili, kanye ne-SMS.
+ 880
Layisha umbiko (i-PDF noma Izithombe)

Captcha *

I-Mathematics Captcha
* Ngokuthumela leli fomu, uyavuma ukuthola ukuxhumana okuvela ezibhedlela ze-CARE ngocingo, i-WhatsApp, i-imeyili, kanye ne-SMS.

Izibhedlela Zokuhlinza I-Bullectomy eNdiya

imibuzo ejwayelekile ukubuzwa

Ukuhlinzwa kwe-bullectomy kususa amasaka amakhulu omoya (bullae) emaphashini. Lawa ma-bulla yizikhala ezingavamile ezinkulu kunesentimitha elingu-1 ezikhula lapho amasaka omoya wamaphaphu ephuka. Odokotela basusa la ma-bulla ukuze basize izicubu zamaphaphu ezinempilo zisebenze kangcono.

Odokotela basikisela i-bullectomy ezigulini ezine:

  • Izinkinga zokuphefumula ezinzima ezivela ku-giant bulla
  • Ukugoqa kwamaphaphu okuphindaphindiwe (pneumothorax)
  • Ubuhlungu bephaphu
  • Ukutheleleka okuphindaphindiwe
  • Igazi ekukhwehleleni

Ukuhlinzwa kuba semqoka uma i-bullae ithatha ngaphezu kuka-30% wesikhala samaphaphu.

Amakhandidethi ahamba phambili ngokuvamile yilaba:

  • Iziguli ezisencane
  • Abantu abane-bulla endaweni eyodwa yamaphaphu
  • Iziguli ezingenazo izithiyo ezinzima zokuphefumula
  • Labo abanempilo ngokwanele yokusingatha ukuhlinzwa nokululama
  • Abangabhemi ababamba iqhaza ekuvuseleleni amaphaphu

I-Bullectomy inezinga eliphansi lenkinga. Ucwaningo lubonisa ukuthi kuphela i-1-10% yeziguli ezibhekana nezinkinga ezimweni ezingavamile. Izindlela zesimanje ezifana ne-VATS zenza inqubo iphephe nakakhulu.

Iziguli ziba nokungakhululeki okuthile ngemva kokuhlinzwa. Imithi yezinhlungu isiza ekulawuleni lokhu kuphatheka kabi, futhi iziguli eziningi ziyayeka ukudinga imithi yokusiza izinhlungu njengoba isimo siba ngcono ngokuhamba kwesikhathi.

Isikhathi sokuhlinzwa ngokuvamile sisukela emaminithini angama-30 kuye kwangama-80. Ubude besikhathi buncike endleleni yokuhlinzwa, isimo sesiguli, kanye nobunzima becala.

I-VATS yenza i-bullectomy ihlasele kancane ngokusika okuncane (3-4 cm). I-thoracotomy yendabuko evulekile isebenzisa izimbobo ezinkulu (15-20 cm) ezimweni eziyinkimbinkimbi.

Izingozi ezingenzeka ezihlobene nokuhlinzwa kwe-bullectomy zihlanganisa:

  • Ukuvuza komoya 
  • ukopha 
  • Ukutheleleka
  • Ukuhluleka kokuphefumula
  • Ukugoqa kwamaphaphu
  • Ama-clots egazi
  • Ukushaya kwenhliziyo okungavamile

Ukuhlala esibhedlela kuthatha izinsuku ezingu-3-7. Odokotela basusa amashubhu esifubeni uma ukuvuza komoya sekupholile, okuvame ukuthatha izinsuku ezi-5. Iziguli zidinga amasonto ambalwa ukuze zilulame ngokugcwele. Bangakwazi ukubuyela emisebenzini yabo yansuku zonke isinyathelo ngesinyathelo kodwa kufanele bathole imvume kadokotela ngaphambi kokushayela noma ukubuyela emsebenzini.

Izinzuzo zihlala iminyaka emihlanu ezigulini eziningi. Ukuthuthukiswa kokusebenza kwamaphaphu kufinyelela umvuthwandaba phakathi nonyaka wokuqala bese kugcina uzinzo esikhathini esithile ngokusekelwe esimweni. Iziguli eziyeka ukubhema zibonisa imiphumela engcono kunalezo ezilokhu zibhema. Ngokuvamile, iziguli ezine-bulla ku-lobes ephezulu zithola imiphumela engcono kakhulu.

Ukuhlinzwa kudinga i-anesthesia jikelele. Ithimba labahlinzayo lisebenzisa ishubhu le-double-lumen endotracheal elinika amandla umoya wephaphu elilodwa. Le nqubo ivumela odokotela abahlinzayo ukuba bahlinze iphaphu elilodwa kuyilapho elinye iphaphu liqhubeka nokusebenza. Ama-anesthetic asebenza isikhathi esifushane asiza iziguli zisheshe zivuke.

Iziguli ezihlangabezana nalokhu okulandelayo ngokuvamile azinconywa ukuba zenze inqubo:

  • Ukuhlangabezana nezinye izinkinga zempilo ezimbi kakhulu
  • Iziguli ezine-hypertension yamaphaphu
  • Amacala ane-bullae engachazwanga kahle emfanekisweni
  • Abantu abane-FEV1 ngaphansi kuka-35%
  • Labo abane-hypercapnia noma i-cor pulmonale

Usenombuzo?

Shayela Us

+ 91-40-68106529

Thola Isibhedlela

Ukunakekela eduze nawe, Noma kunini