Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Heller Myotomy e-Hyderabad

I-Advanced Heller Myotomy Surgery

I-Heller myotomy inikeza ikhambi lokuhlinzwa elisebenza ezigulini ezihlushwa i-achalasia, isifo esiwohlozayo esithinta ukusebenza okuvamile kommizo wazo. Inqubo idinga ukuthi odokotela abahlinzayo banqamule imisipha ye-esophageal sphincter ukuze ukudla noketshezi kufinyelele kalula esiswini.

I-Laparoscopic Heller myotomy iguqukele ekwelashweni okujwayelekile kwe-achalasia. Odokotela abahlinzayo benza izimbobo ezincane ezinhlanu noma eziyisithupha odongeni lwesisu sesiguli futhi bafake izinsimbi ezikhethekile ngazo. Le nqubo ivumela odokotela abahlinzayo ukuthi badlulele ngaphesheya kwe-gastroesophageal junction. 

Lesi sihloko sihlanganisa konke mayelana ne-Heller myotomy ye-achalasia. Uzofunda ngokulungiselela, izinyathelo zokuhlinzwa, ukululama, nokuthi kusho ukuthini ezigulini.

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

CARE Izibhedlela iletha ukwelashwa okukhethekile kwe-Heller myotomy ngenxa yalokhu:

• Iqembu eliwumgogodla lodokotela abahlinza isifuba, ama-gastroenterologists kanye nabasebenzi abakhethekile abasebenza ndawonye
• Iminyaka yempumelelo ekwelapheni izifo eziyinkimbinkimbi ze-esophageal
• Izinhlelo zokwelashwa ezifanelana nezidingo zesiguli ngasinye
• Ukwesekwa okuningiliziwe ngaphambi nangemuva kokuhlinzwa

Best Heller Myotomy Surgery Odokotela 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
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  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

I-Innovative Surgical Advances e-CARE Hospital

Isibhedlela se-CARE sisebenzisa izindlela ezisezingeni eliphezulu zezinqubo ze-Heller myotomy. Indlela ye-laparoscopic inciphisa ubuhlungu obungemuva kokuhlinzwa ngobuningi, futhi iziguli zihlala izinsuku ezingu-1-2 kuphela esibhedlela esikhundleni sesonto ngokuhlinzwa kwendabuko. Isibhedlela siphinde sisebenzisa i-robotic Heller myotomy ngohlelo lwe-da Vinci Xi olunikeza odokotela abahlinzayo ukubukwa okuphakeme kwe-3D kwezendlalelo zodonga lwe-esophageal.

Izinkomba ze-Heller Myotomy Surgery

Sincoma i-Heller myotomy ikakhulukazi ye-achalasia, lapho i-esophageal sphincter engezansi ingaphumuli kahle. Iziguli ezinokwelashwa okudlule okungaphumelelanga, i-oesophagus emise okwe-sigmoid, noma ukuphazamiseka okuthile kwe-spastic esophageal nazo zingazuza kule nqubo.

Izinhlobo ze-Heller Myotomy Izinqubo

Isibhedlela i-CARE senza lezi myotomies ze-Heller ngalezi zindlela ezilandelayo:

• I-Laparoscopic Heller myotomy—ukuhlasela okuncane kusetshenziswa ukusikeka okuncane esiswini
• I-Robotic Heller myotomy—ukulawula okunembile ngobuchwepheshe berobhothi
• I-Heller myotomy ene-fundoplication-ine-Dor fundoplication yokumisa i-reflux ngemva kokuhlinzwa

Pre-Heller Myotomy Surgery Ukulungiselela

Iziguli kudingeka zilandele lezi zinyathelo ngaphambi kokuhlinzwa:

• Sula ukudla okuwuketshezi amahora angama-48 ngaphambi kwenqubo
• Akukho okudliwayo noma okuphuzwayo phakathi kwamabili ngosuku lokuhlinzwa
• Misa okokunciphisa igazi kanye nama-NSAID amasonto angu-1-2 ngaphambi kwenqubo njengoba kuyaliwe
• Yekani ukubhema okungenani amasonto ama-4 ngaphambi kokuhlinzwa
• Gqoka amasokisi okucindezela ukuze uvimbele i-vein thrombosis ejulile
• Ukuhlolwa okuphelele kwangaphambi kokubulala izinzwa kanye nokuhlolwa kokuxilonga kufanele kwenziwe

Heller Myotomy Inqubo Yokuhlinzwa

I-laparoscopic Heller myotomy yenzeka ngaphansi kwe-anesthesia ejwayelekile futhi ihlanganisa:

• Ukudalwa kwezisikwa ezinhlanu zesisu ezincane
• Ukwehla kwamandla emali kwesisu nge-carbon dioxide ukuze kubonakale kangcono
• Ukusikwa ngokucophelela kwezingqimba zemisipha yomphimbo kuyilapho kugcinwa ulwelwesi lwangaphakathi luqinile
• Ukunwetshwa kwe-Myotomy ngo-6-8 cm ukuya phezulu kanye no-2-3 cm esiswini
• Ukwengezwa kwe-Dor noma i-Toupet fundoplication ukuvimbela i-reflux
• Yonke le nqubo ingase ithathe amahora angu-2-4

Ukubuyisela ngemva kokuhlinzwa

Ukubuyisela kuhlanganisa lezi zinyathelo:

• Ukuhlala esibhedlela kwezinsuku ezi-1-2 ukuze kuhlinzwe i-laparoscopic
• Ukuhlolwa kokugwinya kwe-barium ngosuku lokuqala kuhlola ukuvuza
• Ukudla kuqala ngoketshezi olucacile futhi kuqhubekele ekudleni okuthambile
• Imisebenzi evamile iqala kabusha phakathi kwamaviki angu-2-3
• Imikhawulo yokuphakamisa enzima ihlala ingunaphakade
• I-esophagus iphola ngokuphelele ezinyangeni ezingu-6-8

Izingozi Nezinkinga

Iziguli kufanele zazi lezi zingozi ezingaba khona:

• I-Esophageal perforation 
• Isifo se-reflux ye-gastroesophageal singavela
• I-Barrett's esophagus kungenzeka
• Ukuqothuka kwesisu kungenzeka kwezinye izimo ezingavamile
• Ezinye izimo ezingavamile zidinga ukuphinda zisetshenziswe ngenxa yokuvela futhi dysphagia

Izinzuzo Zokuhlinzwa Kwe-Heller Myotomy

Le nqubo inikeza izinzuzo ezibalulekile:

• Izimpawu ziba ngcono ezigulini eziningi 
• Indlela ye-laparoscopic ibangela ubuhlungu obuncane kunokuhlinzwa okuvulekile
• Ukuhlala esibhedlela kufushane—izinsuku ezingu-1-2 uma kuqhathaniswa nesonto eli-1 lokuhlinzwa okuvulekile
• Iziguli zibuyela emsebenzini kanye nemisebenzi yansuku zonke ngokushesha
• Imiphumela ihlala isikhathi eside

Usizo Lomshwalense Wokuhlinzwa Kwe-Heller Myotomy

Izibhedlela ze-CARE zisiza iziguli ngomshwalense ngokuthi:

• Ukuchaza imikhawulo yekhava ngokucacile
• Ukusebenza ngokuqondile nabalawuli bezinkampani zangaphandle
• Ukuhlinzeka ngolwazi olucacile mayelana nezindleko zokunakekelwa kwezempilo

Umbono Wesibili Wokuhlinzwa Kwe-Heller Myotomy

Imibono yezokwelapha eyengeziwe isiza iziguli ukuthi:

• Bona izinketho ezahlukene zokwelapha
• Qinisekisa ukuxilongwa kwabo kwangempela kanye nokwelashwa okunconyiwe
• Funda mayelana nezinketho ezingezona zokuhlinzwa uma kungenzeka
• Qonda ubungozi benqubo kanye nemiphumela engaba khona

Isiphetho

I-Heller myotomy ibonise ukuthi iyindlela yokwelapha ephumelelayo yeziguli ezine-achalasia. Kusukela yethulwa ngo-1913, le nqubo iye yashintsha kakhulu. Izindlela zanamuhla ze-laparoscopic kanye nerobhothi zisiza iziguli ukuthi zilulame ngokushesha ngobuhlungu obuncane uma kuqhathaniswa nokuhlinzwa okuvamile okuvulekile. 

Ithimba le-CARE Hospital e-Hyderabad linikeza ukunakekelwa okuningiliziwe kukho konke ukwelashwa kwakho. Ochwepheshe babo bahlanganisa ubuchwepheshe bokuhlinza nobuchwepheshe obuthuthukisiwe ukuze bakhe izinhlelo zokwelapha ezenziwe ngokwezifiso. Indlela edidiyelwe yethimba lesibhedlela isekela iziguli kuzo zonke izigaba—ngaphambi, phakathi, nangemuva kokuhlinzwa.

I-Heller myotomy igcine iguqule izimpilo zabantu abaningi abane-achalasia. Umlando omude wenqubo kanye nentuthuko ngokusebenzisa amasu angangeneleli kancane kubonisa ukubaluleka kwayo njengokwelashwa okusiza izinkulungwane zeziguli zinqobe lesi simo esiyinselele.