Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Fistula e-Hyderabad

Ukwelashwa Kwe-Fistula Okuthuthukisiwe 

I-fistula, ukuxhumana okungavamile phakathi kwezingxenye ezimbili zomzimba, yisimo sezempilo esibucayi esidinga ukunakekelwa kochwepheshe kanye nokungenelela okuvame ukuhlinzwa. Ezibhedlela ze-CARE Group, sizibophezele ekuhlinzekeni ukwelashwa kwe-fistula okusezingeni lomhlaba, ukuhlanganisa izindlela ezintsha zokuhlinza ezisezingeni eliphezulu nokunakekelwa kozwelo. Njengesinye sezibhedlela ezingcono kakhulu zokuhlinzwa kwe-fistula e-Hyderabad, ithimba lethu lodokotela abahlinzayo abangochwepheshe sebelaphe iziguli ezingenakubalwa ngempumelelo, labuyisela izinga lempilo yazo nesithunzi. Ake sihlole yonke into mayelana nokuhlinzwa kwe-fistula - kusukela ezindleleni zakamuva zokuhlinza kanye nokulungiselela ngaphambi kokuhlinzwa kuya ekululameni kanye nemiphumela yesikhathi eside. 

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

Izibhedlela ze-CARE zigqama njengesinqumo esihle kakhulu sokuhlinzwa kwe-fistula ngenxa yezici ezimbalwa ezibalulekile:

• Amaqembu okuhlinza anekhono eliphezulu anolwazi olunzulu ekulungiseni i-fistula eyinkimbinkimbi aqinisekisa ukuxilongwa okunembile kanye nokwelashwa kwe-fistula okungcono kakhulu.
• Amatiyetha esimanjemanje ahlome ngezithombe ezithuthukile kanye nobuchwepheshe bokuhlinza avumela izinqubo ezingangeneleli kancane ezithuthukisa izikhathi zokutakula futhi zinciphise izingozi.
• Ukunakekelwa okuphelele kwangaphambi nangemuva kokuhlinzwa okwenzelwe izidingo ezihlukile zesiguli ngasinye kuqinisekisa ukululama kahle futhi kusingathwa ngokushesha izinkinga ezingase zibe khona.
• Indlela yemikhakha eminingi ebandakanya odokotela abahlinzayo, i-gastroenterologists, nochwepheshe bokunakekela amanxeba, ukuqinisekisa uhlelo lokwelapha oluphelele
• Ukugxila kwesiguli okugxile kukho kokubili inhlalakahle engokomzimba nengokomzwelo
• Irekhodi elihle kakhulu lokulungiswa okuphumelelayo kwe-fistula ngemiphumela emihle yokusebenza, esekelwa ubufakazi besiguli kanye nomlando wamazinga aphezulu empumelelo

Odokotela Abahlinzayo Be-Fistula Abangcono Kakhulu 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. CP Kothari

  Umqondisi Womtholampilo - Jikelele, GI, Colorectal, Laparoscopic & Robotic Surgeon

  I-Laparoscopic & General Surgery

  Bhala iNqunto
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  UDkt. Karunakar Reddy

  Sr. Consultant

  Bhala iNqunto
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  UDkt Amit Ganguly

  Sr. Consultant

  Ukuhlinzwa kwe-Gastroenterology, i-Laparoscopic kanye ne-GI yokuhlinzwa

  Bhala iNqunto
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  UDkt. Biswabasu Das

  Umqondisi Womtholampilo - Umnyango Wokuhlinza I-Gastroenterology & Robotic Surgery

  I-Gastroenterology Yokuhlinza, I-Robotic Surgery

  Bhala iNqunto
• 

  UDkt. Hitesh Kumar Dubey

  Umxhumanisi - I-Hepatobiliary, Ukuhlinzwa Kwe-Pancreatic kanye Nodokotela Ohlinzayo Wokufakelwa Kwesibindi

  I-Gastroenterology - Ukuhlinzwa

  Bhala iNqunto
• 

  UDkt. Biswabasu Das

  Umqondisi Womtholampilo - Umnyango Wokuhlinza I-Gastroenterology & Robotic Surgery

  I-Gastroenterology Yokuhlinza, I-Robotic Surgery

  Bhala iNqunto
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  UDkt. Bhupathi Rajendra Prasad

  Sr. Consultant & Head Department of Surgical Gastroenterology & Robotic Surgery

  I-Surgery Gastroenterology & Robotic Surgery

  Bhala iNqunto
• 

  UDkt. Sandeep Kumar Sahu

  Udokotela Wokuhlinza I-Gastroenterologist

  I-Gastroenterology Yokuhlinza

  Bhala iNqunto

Izindlela Ezithuthukile Zokuhlinza e-CARE Hospital

Ezibhedlela ze-CARE, sisebenzisa izindlela ezintsha zakamuva zokuhlinza ukuthuthukisa imiphumela yezinqubo zokulungisa i-fistula:

• Izindlela ezithuthukisiwe zokuthwebula zemephu ye-fistula enembile
• Izindlela ezihlasela kancane zokunciphisa ukulimala kwezicubu kanye nokululama ngokushesha
• Ukuxhunyelelwa okusha kwebhayoloji yokulungisa i-fistula eyinkimbinkimbi
• Izindlela zokusika ze-sphincter-sparing zokulondoloza izwekazi
• Ubuchwepheshe obuthuthukisiwe bokunakekelwa kwesilonda ukuze siphole ngokuphelele
• Amathuluzi okuhlinza akhethekile aklanyelwe ukulungisa i-fistula eyinkimbinkimbi

Kunconywa Nini Ukuhlinza I-Fistula?

Odokotela ngokuvamile benza ukuhlinzwa kwe-fistula ngezimo ezihlukahlukene, okuhlanganisa:

• I-fistula ye-anal
• I-Enterocutaneous fistulas
• I-fistula ye-rectovaginal
• I-Vesicovaginal fistulas
• I-Arteriovenous (AV) fistulas
• I-fistula ehlobene nesifo sikaCrohn
• I-fistula yangemva kokuhlinzwa
• I-fistula yokuzalwa

Thola Ukuxilongwa Okulungile, Ukwelashwa Nemininingwane Yesilinganiso Sezindleko ukuze
Yenza Isinqumo Esinolwazi Ngokugcwele.

Xoxa Nochwepheshe Bethu

Izinhlobo Zezinqubo Zokuhlinza I-Fistula

Izibhedlela ze-CARE zinikeza izindlela ezahlukene zokulungisa i-fistula ezihambisana nezidingo ezithile zesiguli ngasinye:

• I-Fistulotomy: Inqubo elula lapho i-fistula tract ivuleka futhi iyekwe ukuze ilulame ngokwemvelo
• Ukubekwa kwe-Seton: Kule nqubo, odokotela abahlinzayo babeka intambo yokuhlinza ku-fistula ukuze kancane kancane bakhiphe ukutheleleka ngenkathi begcina ukusebenza kwe-sphincter.
• Izinqubo ze-Flap ezithuthukisiwe: I-tissue flap evela ku-rectum isetshenziselwa ukuvala i-fistula.
• I-LIFT (Ligation of Intersphincteric Fistula Tract) Indlela: Ihilela ukuhlukaniswa ngokucophelela nokuvalwa kwepheshana le-fistula phakathi kwezingqimba zemisipha ukuze kuvinjelwe ukuphindaphinda
• I-Fibrin Glue Injection: Le ndlela yokuhlasela kancane ijova iglue yezokwelapha ekhethekile ukuze ivale i-fistula
• Ukufakwa kwe-Fistula Plug: Kusebenzisa ipulaki ehambisana ne-biocompatible ukuvimba nokuphulukisa ipheshana le-fistula ngokuhamba kwesikhathi.
• Izinqubo Eziyinkimbinkimbi Zokuvuselela: Amasu athuthukisiwe ahlanganisa ukulungiswa kwemisipha kanye nokuxhunyelelwa kwezicubu ukwelapha i-fistula ejulile noma ebanzi.
• I-Dialysis Fistula Surgery: Kulokhu kuhlinzwa, odokotela abahlinzayo benza ukuxhumana okuqondile phakathi komthambo nomthambo ukuze banikeze ukufinyelela. 

Ukulungiselela Ukuhlinzwa Kwangaphambi Kwe-Fistula

Ukulungiselela ukuhlinzwa ngendlela efanele kubalulekile ukuze kuphumelele ukuhlinzwa kwe-fistula. Ithimba lethu labahlinzayo liqondisa iziguli ngezinyathelo ezinemininingwane zokulungiselela, okuhlanganisa:

• Ukuhlolwa okuphelele kwezokwelapha 
• Izifundo ze-imaging ezithuthukisiwe (i-MRI, i-endoanal ultrasound)
• Imephu yemithambo ye-dialysis AV ukuhlinzwa kwe-fistula 
• Ukulungiswa kwamathumbu (uma kudingeka)
• Ukubuyekezwa kwemithi kanye nokulungiswa ukulungisa noma ukumisa okwesikhashana imithi ethile, efana nemithi enciphisa igazi
• Ukwesekwa kokuyeka ukubhema notshwala
• Ukwelulekwa ngaphambi kokuhlinzwa kweziguli kanye nemindeni
• Imiyalelo enemininingwane mayelana nokuzila ukudla kanye nokunakekelwa kwangaphambi kokuhlinzwa

Inqubo Yokuhlinzwa Ye-Fistula

Inqubo yokuhlinzwa ye-fistula ezibhedlela ze-CARE ngokuvamile ihilela:

• Nge-anal Fistula:
  • Ukuphathwa kwe-anesthesia efanele
  • Ukuhlonza okunembile kanye nokuklanywa kwepheshana le-fistula
  • Ukuhlukaniswa ngokucophelela nokususwa kwe-fistulous tract
  • Ukuvalwa kokuvuleka kwangaphakathi
  • Ukwakhiwa kabusha kwezicubu ezithintekile
  • Ukusetshenziswa kwamasu athuthukile okunakekela amanxeba
• Okwe-AV Fistula:
  • Ukuphathwa kwe-anesthesia yendawo noma yesifunda
  • Ukuhlanza nokuvalwa kwenzalo engalweni
  • Ukubekwa kwe-incision encane
  • Ukuhlonza kanye nokuhlukaniswa komthambo nomthambo
  • I-Anastomosis ye-artery kanye ne-vein
  • Ukuvalwa kwenxeba lokusikwa nge-sutures noma iglue yokuhlinzwa

Ubude besikhathi sokuhlinzwa kwe-fistula siyahlukahluka kuye ngobunkimbinkimbi be-fistula, ngokuvamile busukela kumaminithi angu-30 kuya emahoreni ambalwa.

Ukubuyiselwa Kokuhlinzwa Kwangemva Kwe-Fistula

Ukululama ngemva kokuhlinzwa kwe-fistula kubalulekile ukuze kube nemiphumela emihle. Ezibhedlela ze-CARE, sihlinzeka:

• Ukunakekelwa okukhethekile kwangemva kokuhlinzwa kumayunithi okuhlinza azinikele
• Ukulawulwa kobuhlungu okungochwepheshe okuhambisana nezidingo zesiguli ngasinye
• Imfundo yokunakekelwa kwamanxeba nokwesekwa
• Imiyalo yokudla ngemuva kokuhlinzwa kwe-fistula
• Ukugqugquzelwa kusenesikhathi ngaphansi kokuqondisa kwe-physiotherapist
• Ukwesekwa okuqhubekayo ngokomzwelo nokwelulekwa
• Ukulandelela njalo ama-aphoyintimenti ukuze kuqashwe ukuqhubeka kokuphola

Isikhathi sokululama sokuhlinzwa kwe-Fistula siyahluka kodwa ngokuvamile sihlanganisa ukuhlala esibhedlela izinsuku ezingu-1-3, okulandelwa amaviki ambalwa okululama ekhaya.

Izingozi Nezinkinga

Nakuba ukuhlinzwa kwe-fistula kuyinqubo ephephile, kodwa kunezingozi ezithile. Lokhu kungase kuhlanganise:

• Ukutheleleka
• ukopha
• Ukwakheka kwehlule legazi
• Ukuphindaphinda kwe-fistula
• Izinguquko zesikhashana noma ezingunaphakade ekusebenzeni kwamathumbu
• I-Incontinence (ezimweni eziyinkimbinkimbi)
• I-stenosis noma umthambo uyancipha ngemva kokuhlinzwa kwe-AV fistula
• Ukwakhiwa kwe-Aneurysm

Incwadi Ukuqokwa

Izinzuzo Zokuhlinzwa Kwe-Fistula

Ukuhlinzwa kwe-Fistula kunikeza izinzuzo eziningi ezibalulekile:

• Ukuxazululwa kwezimpawu ezibuhlungu nezibangela amahloni
• Izinga lempilo elithuthukisiwe
• Ukuvimbela izinkinga ezinkulu
• Isixazululo sesikhathi eside senkinga engapheli
• I-AV fistulas ihlala isikhathi eside kunezinye izinketho zokufinyelela ku-dialysis
• I-AV fistulas ivumela inkululeko enkulu yokuhamba emisebenzini yansuku zonke, ihlinzeka ngemiphumela engcono ye-dialysis kanye nezinga eliphezulu lempilo.

Usizo Lomshwalense Wokuhlinzwa Kwe-Fistula

Ithimba lethu elizinikele elisekela iziguli lisiza ngalokhu okulandelayo:

• Ukuqinisekisa ukuhlinzekwa komshwalense ngokuhlinzwa kwe-fistula
• Ukuthola ukugunyazwa kwangaphambili
• Ukuchaza izindleko eziphuma ephaketheni
• Ihlola izinketho zosizo lwezezimali zeziguli ezifanele

Umbono Wesibili Wokuhlinzwa Kwe-Fistula

Izibhedlela ze-CARE zinikeza izinsiza eziphelele zombono wesibili, okuhlanganisa:

• Ukubuyekezwa kwamarekhodi ezokwelapha kanye nokwelashwa kwangaphambilini
• Ingxoxo ejulile yezinketho zokwelapha
• Izincomo zokwelapha ezenzelwe wena
• Ukubhekana nazo zonke izinkinga nemibuzo yesiguli

Isiphetho

Izibhedlela ze-CARE Group zihamba phambili ekwelashweni kwe-fistula e-Hyderabad, zinikeza izindlela ezintsha zokuhlinza kanye nethimba lodokotela abahlinzayo abangochwepheshe abazinikele enhlalakahleni yakho. Kusukela ekulungiseleleni okuphelele kwangaphambi kokuhlinzwa kuya ekunakekelweni okucophelelayo ngemva kokuhlinzwa, ithimba lethu lihlela ngokucophelela zonke izinyathelo zohambo lwakho ukuze liqinisekise imiphumela emihle.

Nakuba ukuhlinzwa kwe-fistula kungase kubonakale kunzima, izinzuzo zizidlula kude izingozi lapho kwenziwa ochwepheshe abanekhono. Kwa-CARE, asihlinzeki nje kuphela ngosizo lwezokwelapha olusezingeni eliphezulu kodwa futhi sinikeza ukusekelwa okuyigugu ngosizo lomshwalense nemibono yesibili, okwenza indlela yakho yokululama ibe bushelelezi futhi ifinyeleleke kalula. Khetha Izibhedlela ze-CARE ukuze uqinisekise Ukuhlinzwa Kwe-Fistula okuthuthukisiwe.