Izibhedlela Ezingcono Kakhulu Zokuhlinza I-Maxillectomy e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe kwe-Maxillectomy

Inqubo yokuhlinzwa ye-maxillectomy isusa izingxenye ze-maxilla (umhlathi ongenhla) ukuze zelaphe umdlavuza othinta imbobo yomlomo, ikhala, noma izono ezinkulu. 
Odokotela abahlinzayo bangase basuse ingxenye noma yonke i-maxilla ngokusekelwe ezidingweni zesiguli ngasinye. Iziguli zidinga i-maxillectomy ephelele uma izimila zisakazekela phansi e-orbital, unqenqema olungaphansi, noma odongeni olungemuva lwe-maxillary. 

Isikhathi sokululama sesiguli sincike enqubweni ethile eyenziwe. Iningi leziguli lihlala esibhedlela isonto elilodwa kuya kwamabili ngemuva kokuhlinzwa kwazo. Lesi sihloko sichaza yonke into mayelana nokuhlinzwa kwe-maxillectomy - kusukela ekulungiseleleni ukuya ezinyathelweni zenqubo, izingozi ezingaba khona, nalokho iziguli ezingakulindela ngesikhathi sokululama.

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

I-CARE Hospitals iyisikhungo sezokwelapha esihamba phambili e-Hyderabad esihlinzeka ngokunakekelwa okuphelele kweziguli ezidinga izinqubo ze-maxillectomy.

Izibhedlela ze-CARE zinabo odokotela abahlinzayo be-maxillofacial abanekhono abenza kahle ekuhlinzeni ubuso obuyinkimbinkimbi. Basebenza ngokukhethekile ekulungiseni ukukhubazeka kwamazinyo, ukukhipha amazinyo okuhlakanipha, ukuhlinza imihlathi yezimonyo, nokwelapha apnea. Benze ukuhlinzwa okuningi okuyimpumelelo kwesimila ngokuvuselela ukusebenza futhi basize iziguli ezinethambo elinzima lobuso ngenkathi zigcina isimo sazo sobuso nokusebenza kwazo.

Odokotela Abahlinzayo Be-Maxillectomy 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. MD Kareemullah Khan

  umxhumanisi

  ENT

  Bhala iNqunto
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  UDkt. N Vishnu Swaroop Reddy

  Umqondisi Womtholampilo, Inhloko Yomnyango kanye Nomeluleki Omkhulu we-ENT kanye noDokotela Ohlinza Ngepulasitiki Wobuso

  I-ENTHead & Neck and Facial Plastic Surgery

  Bhala iNqunto
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  UDkt. Chaitanya Pentapati

  umxhumanisi

  ENT

  Bhala iNqunto
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  UDkt. Ram Sunder Sagar

  umxhumanisi

  ENT

  Bhala iNqunto
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  UDkt. Ranbeer Singh

  Sr. Consultant ENT & Udokotela Ohlinza Ikhanda Nentamo

  ENT

  Bhala iNqunto
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  UDkt. Shruthi Reddy

  umxhumanisi

  ENT

  Bhala iNqunto
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  UDkt. TVV Vinay Kumar

  umxhumanisi

  I-ENT Head & Neck Oncology

  Bhala iNqunto
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  UDkt Surbhi Chopra

  Umxhumanisi Omncane

  ENT

  Bhala iNqunto
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  UDkt. Rishi Ajay Khanna

  Sr. Consultant

  ENT - Udokotela Ohlinzayo Wekhanda Nentamo

  Bhala iNqunto
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  UDkt. Shailendra Ohri

  Sr. Consultant

  ENT

  Bhala iNqunto
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  UDkt. Ramesh Rohiwal

  umxhumanisi

  ENT

  Bhala iNqunto
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  UDkt. Vikrant Vaze

  Umxhumanisi - ENT, Ukuhlinzwa Kwekhanda Nentamo

  ENT

  Bhala iNqunto
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  UDkt. Debabrata Panigrahi

  umxhumanisi

  ENT, Ukuhlinzwa Kwekhanda Nentamo

  Bhala iNqunto
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  UDkt. Haeem

  Udokotela Ohlinzayo we-ENT

  ENT

  Bhala iNqunto
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  UDkt. MA Amjad Khan

  Umxhumanisi - ENT, Udokotela Ohlinza Ikhanda Nentamo

  ENT

  Bhala iNqunto
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  UDkt. Prateek Raj Betham

  umxhumanisi

  ENT, Ikhanda nentamo

  Bhala iNqunto

Ukuphumelela Okuthuthukile Kokuhlinzwa Esibhedlela I-CARE

Izindlela zokuhlinza ezithuthukisiwe zesibhedlela ziholela emiphumeleni engcono yesiguli. Lokhu kuphumelela kusiza odokotela:

• Hlela ukuhlinzwa ngokunembile ngamamodeli e-3D
• Sebenzisa izindlela ezingangeneleli kancane uma kungenzeka
• Qedela imisebenzi ngokushesha ngezikhathi zokutakula ngokushesha

Ubuchwepheshe besibhedlela obusizwa ngekhompyutha buthuthukisa ukunemba kokuhlinzwa futhi bunciphise ukungakhululeki kwangemva kokuhlinzwa. Le ndlela yesimanje ihambisana nenqubekelaphambili yomhlaba wonke ekuhlinzeni i-maxillofacial.

Izimo Zokuhlinzwa Kwe-Maxillectomy

Odokotela benza i-maxillectomy ikakhulukazi ukwelapha izimila ezithinta i-maxilla. I-squamous cell carcinoma yisizathu esivame kakhulu. Inqubo ingase futhi yelaphe:

• Izimila Benign kusuka emathanjeni noma ezicutshini zamazinyo
• Umdlavuza we-maxillary sinus
• Ukuhlukumezeka okukhulu komhlathi ongenhla
• Ezimweni ezingavamile, izifo ze-fungal ezihlaselayo noma izifo ezingapheli ze-granulomatous

Izinhlobo zezinqubo ze-Maxillectomy

Isibhedlela i-CARE sithunga izinhlobo ezahlukene ze-maxillectomy ngokusekelwe ezidingweni zesiguli ngasinye. 

• I-maxillectomy ephakathi isusa ingxenye eseduze nekhala futhi igcine iso nolwanga luqinile. 
• I-maxillectomy ye-infrastructure isusa ulwanga oluqinile kanye ne-maxilla ephansi. 
• I-Suprastructure maxillectomy igxile esitezi se-orbital kanye ne-maxilla engenhla. 
• Ezinye izimo zidinga i-maxillectomy ephelele, esusa yonke i-maxilla ohlangothini olulodwa ngolwanga oluqinile kanye nephansi elijikelezayo. 

Odokotela bakhetha inqubo efaneleke kakhulu ngokusekelwe esimweni sesiguli.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Ukulungiswa okufanele kwe-maxillectomy kuzonikeza imiphumela engcono kanye nokululama okushelelayo. 

• Odokotela benza izifundo zokuthwebula izithombe (ama-X-ray/ ama-CT scan) ukuze bazi izinga lesimila noma ubukhulu bomonakalo.
• Iziguli kufanele zizile ukudla okungenani amahora angu-8 ngaphambi kokuhlinzwa. 
• Udokotela wakho ohlinzayo udinga ukwazi nganoma yimiphi imithi kanye nokungezwani komzimba onakho. 
• Imithi yokwehlisa igazi njenge aspirin futhi ibuprofen kufanele kugwenywe isonto ngaphambi kwenqubo. 

Ezinye izinhlobo ze-maxillectomy zidinga ukuthi uhlangane nodokotela wamazinyo ongase adale imibono ye-palate prosthesis yangokwezifiso.

Inqubo Yokuhlinzwa ye-Maxillectomy

Izinyathelo zihlanganisa:

• Ukuhlinzwa kwenzeka ngaphansi kwe-anesthesia jikelele. 
• Udokotela ohlinzayo angase enze izimbobo emlonyeni, ekhaleni, noma emhlathini ongenhla ngokusekelwe ekutheni singakanani izicubu ezidinga ukususwa. 
• Izingxenye ezithintekile ze-maxilla zizosuswa kanye nezicubu ezizungezile njengoba kudingeka. 
• I-maxillectomy ephelele isusa yonke i-maxilla ohlangothini olulodwa, kuhlanganise nolwanga oluqinile kanye nephansi elijikelezayo.

Ukuhlinzwa okuningi kuthatha amahora angu-2-4. 

Ukubuyisela ngemva kokuhlinzwa

• Kufanele uhlale esibhedlela amaviki angu-1-2. 
• Ungase udinge ithubhu lokuphakela i-nasogastric ekuqaleni uze ukwazi ukugwinya ngokuphepha futhi. 
• Thatha imithi oyinikeziwe njengoba izosiza ekulawuleni ubuhlungu bakho futhi ikugcine ukhululekile. 
• Ngokuvamile ukwelashwa ngokomzimba ukuvivinya umzimba kuvimbela ukuqina, kuyilapho ukwelapha ngenkulumo kusiza ngezinselele zokuxhumana.

Izingozi Nezinkinga

Izingozi ezijwayelekile zihlanganisa:

• Ukopha kanye nokwakheka kwe-hematoma okungenzeka
• Amagciwane lapho kwenzeka ukuhlinzwa
• Izihlathi ziba ndikindiki ngenxa yemiphumela yezinzwa
• Ukudabuka okungapheli (epiphora) ngenxa yokuvaleka kwemigudu ye-nasolacrimal
• Izinguquko ekuboneni noma ekumeni kweso (i-enophthalmos)
• Izinkinga zokukhuluma nokugwinya
• Amahlule egazi, ikakhulukazi i-thrombosis ejulile ye-venous
• Ukubukeka okuhlukile kobuso ngemva kokuhlinzwa

Izinzuzo Zokuhlinzwa Kwe-Maxillectomy

• Lokhu kuhlinzwa kususa izimila zemihlathi ngempumelelo futhi kwenza impilo ibe ngcono. 
• Impilo yakho yomlomo iba ngcono uma imithombo yokutheleleka iqedwa
• Uthola ukukhululeka kobuhlungu obudingeka kakhulu
• Izindlela zanamuhla zokwakha kabusha zisiza ukubuyisela ukusebenza okuvamile.

Usizo Lomshwalense Wokuhlinzwa Kwe-Maxillectomy

Iningi lezinhlelo zomshwalense zihlanganisa izinqubo ezidingekayo ngokwezempilo. Ukwelashwa komdlavuza, ukukhubazeka kokuzalwa noma ukuhlinzwa okuhlobene nokuhlukumezeka ngokuvamile kuthola usizo. Kufanele ukhulume nabasebenzi bezezimali besibhedlela sakho mayelana nezinketho zokukhokha uma umshwalense wenqaba ukukhokhelwa.

Umbono Wesibili Wokuhlinzwa Kwe-Maxillectomy

Ubunkimbinkimbi bale nqubo bukwenza kufaneleke ukuthola umbono womunye uchwepheshe ukuze uqinisekise ukuthi wenza ukukhetha okufanele. Lesi sinyathelo esengeziwe siqinisekisa kokubili ukuxilongwa kwakho kanye nohlelo lokwelashwa, kukunikeza ukuthula kwengqondo ngaphambi kokuqhubekela phambili.

Isiphetho

Ukuhlinzwa kwe-Maxillectomy kuyindlela yokwelapha ebalulekile ezigulini ezinamathumba endaweni yomhlathi ongenhla. Le nqubo eyivelakancane inikeza ithemba kulabo ababhekene nezimo ezisongela ukuphila. Izibhedlela ze-CARE e-Hyderabad zinikeza ukunakekelwa okuphelele ngobuchwepheshe beqembu labo kanye nobuchwepheshe bokuhlinza obuthuthukisiwe obuthuthukisa ukunemba nokululama.

Kufanele uqonde konke mayelana nale nqubo ngaphambi kokuqhubekela phambili. Ukuhlinzwa kudinga ukulungiswa kahle, okuhlanganisa ukuzila ukudla kanye nezinguquko zemithi. 

Ngolwazi olufanele mayelana ne-maxillectomy—kusukela ekulungiseleleni kuye nasekululameni—ungaqala lokhu okuhlangenwe nakho ngokuzethemba nokulindela okungokoqobo.