Ukuhlinzwa Okuthuthukisiwe Kokuvuselelwa Kwenhliziyo (CRTD).
I-Cardiac resynchronisation therapy (CRTD) iwukuhlinzwa kwenhliziyo okusiza ngokuthuthukisa ukusebenza kwenhliziyo ezigulini ezibhekene nokuhluleka kwenhliziyo, ukunciphisa ukusebenza kwe-ventricular kwesokunxele & ukubambezeleka kokuqhutshwa kwe-intraventricular - ikakhulukazi ibhulokhi yegatsha lesobunxele. Iziguli ezikhethiwe ezithola lokhu kwelashwa okuthuthukisiwe okusekelwe kudivayisi zibonisa ukuthuthuka okukhulu. Ukuphindaphinda kwabo kwe-mitral kuyehla kuyilapho izinga lempilo yabo lithuthuka.
Ibhulokhi yegatsha yenqwaba yesokunxele, ebangela ukubambezeleka kokufinyela kwe-ventricular kwesokunxele, kuseyisizathu esiyinhloko odokotela batusa ukwelashwa kokuvumelanisa kabusha kwenhliziyo. Iziguli ezihlinzwa lokhu kuhlinzwa okukhethekile zivame ukubona ukuthuthuka okumangalisayo emandleni azo okumpompa inhliziyo nokusebenza kwawo kukonke. Lesi sihloko sihlanganisa konke iziguli ezidinga ukukwazi mayelana nalokhu kwelashwa okuyimpumelelo - kusukela ekulungiseleleni ukuya ekululameni nangale kwalokho.
Kungani izibhedlela ze-CARE Group ziyisinqumo esiphezulu sokuhlinzwa kwe-Cardiac Resynchronisation Therapy (CRTD) e-Hyderabad
Izibhedlela ze-CARE zibalwa phakathi kwabenza kahle kakhulu e-India ekuhlinzeni i-cardiothoracic, okuhambisana namazinga omhlaba. Odokotela bethu benhliziyo abaqinisekiswe yibhodi baletha ulwazi olunzulu lokuxilonga nokwelapha izimo ezehlukene zenhliziyo nemithambo yegazi. Laba ngcweti bakhombisa ukusebenza kahle ekungeneleleni i-cardiology, i-electrophysiology, ukuthwebula izithombe zenhliziyo, kanye nokuvimbela isifo senhliziyo. Isiguli ngasinye sithola uhlelo lokwelashwa lomuntu siqu oluhlangabezana nezidingo zaso ezithile.
I-Best Cardiac Resynchronisation Therapy (CRTD) Odokotela Bokuhlinza eNdiya
Izindlela Ezintsha Zokuhlinza Ezisezingeni eliphezulu ezibhedlela ze-CARE
Izibhedlela ze-CARE zinikeza iziguli ukufinyelela kubuchwepheshe obusezingeni eliphezulu nasezikhungweni zesimanje zokunakekelwa kwenhliziyo okunembile. Isibhedlela sisebenza ngokukhethekile:
- I-Interventional Cardiology: Izinqubo ezisekelwe ku-catheter ezithuthukisiwe ezihlanganisa angioplasty kanye nokungenelela kwesakhiwo senhliziyo
- I-Electrophysiology: Amasistimu emephu esezingeni eliphezulu kanye namasu okukhipha imali okwelapha yingakhob
Ithimba le-CARE le-electrophysiology lenza zonke izinhlobo zezifundo ze-electrophysiology, i-radiofrequency ablation noma i-pacemaker/ukufakwa kwedivayisi okuhlanganisa ukwelashwa kokuvumelanisa kabusha.
Izimo ezidinga Ukuhlinzwa Kwe-Cardiac Resynchronisation Therapy
Sincoma ukwelashwa kwe-cardiac resynchronization ezigulini ezine:
- Ukuhluleka kwenhliziyo okunokuphazamiseka okuthile kokuqhutshwa kukagesi
- Kwehlisiwe ingxenye ye-ventricular ejection yesokunxele (imvamisa ingaphansi kwama-35%)
- Ibhulokhi yegatsha lenqwaba (LBBB)
- Izimpawu zokuhluleka kwenhliziyo ezimaphakathi kuya kwezinzima naphezu kwemithi efanele
Izinhlobo Zezinqubo Zokwelapha I-Cardiac Resynchronization
I-CARE inikeza izinhlobo ezimbili eziyinhloko zokwelashwa kabusha kwenhliziyo:
- I-CRT-P (I-Cardiac Resynchronisation Therapy with Pacemaker): Lokhu kwelashwa kusebenzisa i-pacemaker ukuxhumanisa umsebenzi wegumbi lenhliziyo nokuvumelanisa ukufinyela. Isebenza kangcono ezigulini ezinokwehluleka kwenhliziyo kanye nesigqi esingavamile kodwa ngaphandle kwengozi enkulu ye-arrhythmias.
- I-CRT-D (I-Cardiac Resynchronization Therapy with Defibrillator): Lolu khetho oluthuthukisiwe luhlanganisa imisebenzi ye-CRT ne-cardioverter-defibrillator efakelwayo. Idivayisi iqapha ama-arrhythmia ayingozi futhi ilethe ukushaqeka lapho kudingeka ukuze ubuyisele isigqi esivamile.
Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa
Udokotela wakho uzokunikeza ukuhlolwa kwe-imaging njenge i-echocardiography noma i-MRI yenhliziyo ukuhlola isimo senhliziyo yakho. Ithimba lezokunakekelwa kwempilo lidinga ukwazi ngayo yonke imithi, okuhlanganisa izithasiselo ezithengwayo kanye nanoma yikuphi ukungezwani komzimba okwaziwayo. Uzodinga ukuthi:
- Yeka ukudla noma ukuphuza okungenani amahora angu-6-8 ngaphambi kokuhlinzwa
- Yeka imishanguzo enciphisa igazi njengoba uqondiswa udokotela wakho
- Sebenzisa amakhithi okugeza akhethekile uma uhlinzekwe ngayizolo nasekuseni kokuhlinzwa
I-Cardiac Resynchronization Therapy Inqubo Yokuhlinza
Inqubo ithatha amahora angu-2-4. Udokotela wakho ohlinzayo uzo:
- Dala i-intshi encane engu-2-3 ngezansi kwekholomu yakho.
- Imikhondo emithathu (izintambo ezizacile, ezivalekile) ingena emthanjeni ingene enhliziyweni yakho isebenzisa i-X-ray.
- Udokotela uxhuma le mikhondo kudivayisi ye-CRT, ayihlole futhi usethe konke ukuhlela.
- Idivayisi ibe isingena ngaphansi kwesikhumba ngaphansi kwekholomu yakho.
- Udokotela ohlinzayo uhlola umkhondo kanye nedivayisi ukuze aqiniseke ukuthi idivayisi isebenza kahle.
- Udokotela ohlinzayo uvala imbobo futhi afake isambatho esiyinyumba.
Ukubuyisela ngemva kokuhlinzwa
Kungase kudingeke uhlale esibhedlela izinsuku ezingu-1-2. Ukuthola kwakho kudinga ukuthi:
- Gcina indawo yokufaka ihlanzekile futhi yomile kuze kube yilapho udokotela wakho egunyaza okuhlukile.
- Ingalo ethintekile (ngokuvamile ekwesokunxele) idinga ukunyakaza okulinganiselwe amaviki angu-4-6. Gwema ukuphakamisa izinto ezisindayo kanye nokunyakaza kwengalo okushanela izinsuku ezithile.
- Imithi yobuhlungu isiza ukuphatha ubuhlungu obulindelekile endaweni yokusikwa.
Izingozi Nezinkinga
Izinkinga ezingaba khona zihlanganisa:
- Ukukhishwa komthofu
- Ukutheleleka
- I-Pneumothorax
- I-hematoma yesikhwama
- Finyelela ukopha endaweni
- I-coronary sinus perforation
- Ukukhuthazwa kwe-diaphragmatic kubangela imizwa efana ne-hiccup.
Izindaba ezinhle ukuthi odokotela ngokuvamile bangakwazi ukulawula lezi zinkinga ngokulungisa idivayisi noma ngezinqubo ezincane.
Izinzuzo Zokuhlinza I-Cardiac Resynchronization Therapy
Izinzuzo yilezi:
- Ithuthukisa ukusebenza kahle kokuphampa inhliziyo
- Ukukhululwa ezimpawini ezifana nokukhathala & ukuphelelwa umoya
- Yehlisa inani lokulaliswa esibhedlela
- Yehlisa ubungozi bezinye izinkinga
- Ithuthukisa izinga lempilo
Umbono Wesibili Wokuhlinza I-Cardiac Resynchronization Therapy
Izimo eziyinkimbinkimbi njengokuhluleka kwenhliziyo ngokuvamile zizuza emibonweni yesibili. Izinketho zokwelapha ziyashintsha cishe ku-50% weziguli ezifuna imibono yesibili. Esibhedlela sethu, sinikeza imibono yesibili ngemfudumalo, ukubekezela nokucaca. Odokotela bethu bazinika isikhathi sokulalela, babuyekeze ngokucophelela imibiko yakho, futhi bachaze izinketho zakho ngendlela enengqondo kuwe.
Isiphetho
Ukwelashwa kabusha kwenhliziyo kunikeza ithemba elisha ezigulini ezinenkinga yokwehluleka kwenhliziyo kanye nokungahambi kahle komzimba. Le nqubo emangalisayo isiza amagumbi enhliziyo ukuthi asebenze ndawonye futhi ikhuphule ukusebenza kahle kokumpompa ngokuningi. Iziguli ebezingakwazi ukwenza imisebenzi yansuku zonke manje zibona izimpawu zazo zincipha.
Izibhedlela ze-CARE zakhe ubuchwepheshe obukhethekile kulo mkhakha okhethekile. Amazinga abo empumelelo avelele, abhangqwe nobuchwepheshe obusha kanye nokugxila ekunakekelweni kwesiguli kubenza bakwazi ukukhetha kuzo izinqubo ze-CRT e-Hyderabad. Ithimba lesibhedlela le-electrophysiology liletha imiphumela emihle kakhulu kuzo zombili izinqubo ze-CRT-P ne-CRT-D ezihambisana nezidingo ezihlukile zesiguli ngasinye.
I-CRT iguqule izimpilo zeziguli zenhliziyo ezingenakubalwa ezake zazizwa zilinganiselwe ngenxa yesimo sazo. Ngalokhu kwelashwa okuthuthukisiwe ezikhungweni ezikhethekile njengezibhedlela ze-CARE, iziguli zingabheka phambili ekusebenzeni okungcono kwenhliziyo, izinga lempilo elithuthukisiwe kanye nekusasa elithembisa kakhudlwana.
HyderabadIzibhedlela ze-CARE, eBanjara Hills I-CARE Outpatient Centre, e-Banjara Hills CARE Izibhedlela, HITEC City CARE Hospitals, Nampally Izibhedlela zaseGurunanak CARE, Musheerabad I-CARE Hospitals Outpatient Centre, i-HITEC City CARE Hospitals, Malakpet
Raipur
Bhubaneshwar
Visakhapatnam
Nagpur
esilengayo
Chh. Sambhajinagar
Imitholampilo Nezikhungo Zezokwelapha
