Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Laser Fistula e-Hyderabad

I-Advanced Laser Fistula Surgery

I-fistula ye-anal kuthinta izinkulungwane zeziguli minyaka yonke. Ivamise ukuvela njengenkinga ngemuva kwethumba le-perianal. I-Laser Fistula Treatment Surgery inikeza isisombululo sesimanje kulesi simo esibuhlungu.

Ukuhlinzwa kwe-laser fistula kuhlukile ezindleleni zendabuko. Inqubo yokuhlasela kancane ilondoloza indunu futhi iphathe isimo ngempumelelo. Iziguli zilulama ngokushesha futhi zibuyela emisebenzini yazo evamile. Inqubo ithatha imizuzu engu-30 kuphela ukuqeda. Odokotela basebenzisa i-laser emit diode engu-15-watt ene-wavelength engu-1470 nm kumazinga athile wamandla avala i-fistula tract. Iziguli futhi zibika ukungakhululeki okuncane.

Lesi sihloko sihlanganisa konke mayelana nokwelashwa nge-laser kwe-fistula. Uzofunda futhi ngemininingwane yenqubo, inqubo yokululama kanye nezizathu zokuthi kungani lokhu kwelashwa kungase kuhambisane nesimo sakho.

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

Izibhedlela ze-CARE zinikeza iziguli izinzuzo eziningana zokuhlinzwa kwe-laser fistula:

• Amaqembu okuhlinza ochwepheshe ngeminyaka yokuhlangenwe nakho ekulungiseni i-fistula eyinkimbinkimbi
• Amatiyetha esimanjemanje anobuchwepheshe bezithombe obuthuthukisiwe
• Qedela ukunakekelwa kwangaphambi nangemuva kokuhlinzwa okuhambisana nezidingo zesiguli ngasinye
• Ithimba elididiyelwe lodokotela abahlinzayo, i-gastroenterologists, nochwepheshe bokunakekela amanxeba
• Irekhodi lempumelelo elifakazelwe ekulungiseni i-fistula elinemiphumela engcono kakhulu

Odokotela Abahlinzayo Be-Laser 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
• 

  UDkt. Karunakar Reddy

  Sr. Consultant

  Bhala iNqunto
• 

  UDkt Amit Ganguly

  Sr. Consultant

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

  Bhala iNqunto
• 

  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
• 

  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

Ukuphumelela Okuthuthukile Kokuhlinzwa Esibhedlela I-CARE

Isibhedlela sisebenzisa intuthuko yesimanje yokuhlinzwa ukuze sithuthukise imiphumela:

• Izindlela zokuthwebula ezithuthukisiwe zokwenza imephu ye-fistula enembile
• Izinqubo ezihlasela kancane ezinciphisa ukulimala kwezicubu futhi zisheshise ukululama
• Izixhumi ezintsha zebhayoloji zokulungisa i-fistula eyinkimbinkimbi
• Izindlela ezithuthukisiwe ze-sphincter-sparing zokugcina i-continence
• Amathuluzi okuhlinza akhethekile aklanyelwe ukulungisa i-fistula enembile

Imibandela Yokuhlinzwa Kwe-Laser Fistula

Odokotela bezibhedlela ze-CARE benza ukuhlinzwa kwe-fistula kulezi zimo:

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

Izinhlobo zezinqubo ze-Fistula

Izibhedlela ze-CARE zihlinzeka ngezindlela ezahlukene zokulungisa i-fistula:

• I-Fistulotomy: Ivula i-fistula tract ukuze ilulame ngokwemvelo
• I-Seton Placement: Ibeka intambo yokuhlinza ukuze ikhiphe ukutheleleka kancane kancane
• I-Laser Fistula Treatment (FiLaC): Isebenzisa i-radial laser probe ukuvala ipheshana le-fistula
• I-LIFT Technique: Ihlukanisa futhi ivale i-fistula tract phakathi kwezingqimba zemisipha
• I-Fibrin Glue Injection: Ivala i-fistula ngeglue yezokwelapha ekhethekile
• Ukufakwa kwe-Fistula Plug: Kuvimba futhi kuphulukise ipheshana le-fistula

Isibhedlela se-CARE sinikeza uhla oluphelele lwezinketho zokwelapha ezingokwezifiso zezidingo zesiguli ngasinye futhi siqinisekisa imiphumela emihle ngesikhathi esincane sokululama.

Pre-surgery Preparation

Udokotela wakho uzodinga izikena ze-MRI noma i-fistulography ukuze kumephu ipheshana le-fistula. Ukulungiselela kuhlanganisa:

• Ukubuyekezwa okuphelele komlando wakho wezokwelapha kanye nemithi yamanje
• Iziyalezo zokumisa izidakamizwa zegazi noma izidakamizwa ezilwa nokuvuvukala
• Izinguquko zokudla, kuhlanganise namahora angu-6-8 wokuzila ukudla ngaphambi kokuhlinzwa
• I-laxative encane noma enema ingase idingeke ngobusuku bangaphambilini

Inqubo Yokuhlinzwa Ye-Laser Fistula

Uzothola noma jikelele noma umgogodla i-anesthesia ngesikhathi senqubo. Izinyathelo zokuhlinzwa yilezi:

• Ukuma endaweni ye-jackknife noma endaweni yendololwane
• Ukuthola ukuvuleka kwe-fistula yangaphakathi nangaphandle
• Ukuhlanza ipheshana ngebhulashi kanye ne-curette
• Ukubeka i-radial laser fiber ngokusebenzisa ukuvulwa kwangaphandle
• Ukusebenzisa amandla e-laser (imvamisa ama-watts angu-10-15 ku-1470 nm wavelength)
• Ukubuyisela i-fiber cishe ku-1 cm njalo ngemizuzwana emithathu
• Inqubo ithatha cishe imizuzu engama-30-40

Ukubuyisela ngemva kokuhlinzwa

Odokotela bazokuqapha ukopha ngemva kokuhlinzwa futhi balawule ubuhlungu bakho uma bukhona.

• Uzocelwa ukuthi ugeze njalo ngamanzi afudumele ukuze indawo yakho yangasese ihlale ihlanzekile.
• Gwema imisebenzi ekhandlayo izinsuku ezimbalwa.
• Thatha amaphilisi ezinhlungu futhi kwemithi elwa namagciwane njengoba eyalelwe udokotela wakho

Izingozi Nezinkinga

Izindaba ezinhle kuwe ukuthi inqubo ithathwa njengephephile. Kodwa mancane amathuba okuba sengozini okuhlanganisa:

• ukopha 
• Ukutheleleka kwendawo yokuhlinzwa
• Ukugcinwa kwe-Urinary (okungajwayelekile)
• Ukuphindaphinda kwe-Fistula 
• I-Incontinence (akuvamile nge-laser)

Izinzuzo Zokuhlinzwa Kwe-Laser Fistula

Ukwelashwa nge-laser kuletha izinzuzo eziningi ezibalulekile:

• Akuhlaselane kancane ngokulimala kwezicubu
• Igcina imisipha ye-sphincter iqinile (ingozi ephansi yokungakwazi ukuzilawula)
• Ubuhlungu obunciphile ngemva kokuhlinzwa uma kuqhathaniswa nezindlela zendabuko
• Ukwelashwa okusheshayo kanye nesikhathi esifushane sokululama
• Izikolo ezingcono ze-VAS zobuhlungu 

Umbono Wesibili Wokuhlinzwa Kwe-Laser Fistula

Umbono wesibili ngaphambi kokwelashwa ungakusiza:

• Qinisekisa ukunemba kokuxilongwa kwakho
• Funda ngazo zonke izindlela zokwelapha ezitholakalayo
• Thola ubuchwepheshe obukhethekile bamacala ayinkimbinkimbi
• Qiniseka ukuthi indlela osebenza ngayo ihambisana nesimo sakho esithile
• Zizwe uqiniseka ngezinqumo zakho zokwelashwa

Isiphetho

Ukwelashwa kwe-Laser Fistula kumelela impumelelo ebaluleke kakhulu ekunakekelweni kokuhlinzwa kweziguli ezinalesi simo esibuhlungu. Le ndlela yokuhlasela kancane iletha izinzuzo ezicacile kunezindlela zokuhlinza zendabuko. Iziguli zelapha ngokushesha ngobuhlungu obuncane futhi zibuyele emisebenzini yazo yansuku zonke ngokushesha. Inqubo ithatha imizuzu engu-30 kuphela kodwa inikeza imiphumela ehlala njalo kanye nezinkinga ezimbalwa.

Izibhedlela ze-CARE zihamba phambili kule ndawo yokwelashwa okuyisipesheli. Amaqembu abo okuhlinza aletha isipiliyoni seminyaka yesipiliyoni esimweni ngasinye. Basebenzisa ubuchwepheshe obusha kanye nezinqubo zokunakekela ezinemininingwane. Isibhedlela sihlinzeka ngezindlela eziningi zokwelapha i-fistula. Ukwelashwa nge-laser kubonakala kuhle ezigulini eziningi ngoba kugcina i-sphincter.

Ukuxilongwa okufanele kanye nokulungiselela isiguli kunendima ebalulekile empumelelweni yokuhlinzwa kwe-laser fistula. Iziguli kudingeka zilandele yonke imihlahlandlela yangaphambi kokuhlinzwa ngokucophelela. Amazinga aphansi okuphindaphinda kanye nezibalo zezinhlungu ezincane zibonisa ukuthi kungani bobabili odokotela abahlinzayo neziguli bekhetha lokhu kwelashwa.

Abantu abaphethwe i-fistula kufanele bacele izeluleko zezokwelapha zochwepheshe ukuze babone ukuthi ukwelashwa nge-laser kuyahambisana yini nesimo sabo. Isikhathi esifushane sokululama, ubuhlungu obuncishisiwe, kanye nokuvinjwa kwendunu okulondoloziwe kwenza le nketho ifaneleke ukufunda ngayo. Ngaphandle kokungabaza, ukwelashwa kwe-laser fistula kunezela inani eliyingqayizivele kuzinketho zesimanje zokuhlinza kulesi simo esivamile kodwa esiyinselele.