Izibhedlela Ezingcono Kakhulu Zokuhlinzwa KweMiniperc e-Hyderabad

I-Advanced Miniperc Surgery

Ukuhlinzwa kwe-Miniperc kusiza ukususa ezinso ngamazinga empumelelo ahlaba umxhwele. Le nqubo yesimanje isimise kabusha indawo yokunakekelwa komchamo futhi inikeza enye indlela enamandla kumasu amadala. Uma kuqhathaniswa Ukuhlinzwa kabusha kwe-Intrarenal (RIRS), i-Miniperc ithatha isikhathi esincane kakhulu ukuyiqeda.

Iziguli ezifuna ukwelashwa kwezinso zazo ngendlela efanele kufanele zazi ukuthi i-Miniperc idinga isikhathi esincane sokululama kunesijwayelekile I-Nephrolithotomy enamandla (PCNL). Inqubo iphephile impela. Ngaphezu kwalokho, kuletha izinzuzo ezimbalwa njengobuhlungu obuncane bangemva kokuhlinzwa, ukuphulukiswa okusheshayo, kanye nezinkinga ezimbalwa. 

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

Izibhedlela ze-CARE zithola imiphumela emihle ngokugxila endleleni eqondile yokuhlinzwa okuhlaselayo. Isithunzi sesibhedlela esiphezulu sivela ekuxubeni kwezinto ezibalulekile, okuhlanganisa:

• Amathimba Ochwepheshe Abahlukahlukene: I-CARE ihlanganisa ndawonye abelaphi, ama-radiologists, odokotela ababulala izinzwa kanye nochwepheshe babahlengikazi ababambisana ukuze benze izinhlelo zokwelashwa ezingokwezifiso zesiguli ngasinye
• Amathimba Okuhlinza Anekhono Eliphezulu: Odokotela bethu bodokotela banolwazi olucebile ezinqubweni eziyinkimbinkimbi zamatshe ezinso futhi benza ukuhlinzwa okuncane ngokunemba.
• Izinsiza Ezithuthukile: Amatiyetha e-CARE anobuchwepheshe obuthuthukile be-endoscopic kanye ne-imaging eyakhelwe ukususwa kwamatshe ezinso
• Ukunakekelwa Kwesiguli Okuphelele: Isibhedlela sihlinzeka ngokuhlela okuningiliziwe ngaphambi kokuhlinzwa kanye nokunakekelwa kwangemva kokuhlinzwa okusekelwe ezidingweni zomuntu ngamunye.
• Indlela Yokugxilisa Isiguli: I-CARE ikwazisa kokubili ukululama ngokomzimba kanye nokuphila kahle ngokomzwelo. Bakha indawo esekelayo kulo lonke ulwazi lokwelashwa.

Izibhedlela ze-CARE zigqama ngenxa yokuzinikela kwazo ngokuqinile emiphumeleni eyimpumelelo. Irekhodi labo libonisa ukusebenza kahle okungaguquki ezinqubweni ze-miniperc ezinemiphumela emihle. Leli zinga lempumelelo eliphezulu linikeza iziguli ukuzethemba ukuthi zithola ukwelashwa kochwepheshe ababazisa kokubili ikhono lobuchwepheshe nokunethezeka kwesiguli.

Odokotela Abahlinzayo 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. Arun Rathi

  Udokotela onguchwepheshe we-Urologist & Andrologist

  Urology

  Bhala iNqunto
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  UDkt. BV Rama Raju

  Sr. Consultant

  Urology, Ukufakelwa kwezinso

  Bhala iNqunto
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  UDkt. K Rama Raju

  Sr. Consultant

  Urology

  Bhala iNqunto
• 

  UDkt. Murali Mohan Bheri

  umxhumanisi

  I-UROLOGY

  Bhala iNqunto
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  UDkt. Suvajit Pradhan

  umxhumanisi

  Urology

  Bhala iNqunto
• 

  UDkt. SV Chaitanya

  umxhumanisi

  Urology

  Bhala iNqunto
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  UDkt. Harsh Jain

  Umxhumanisi Omncane

  Urology

  Bhala iNqunto
• 

  UDkt. Saurabh Julka

  Sr. Consultant

  Urology kanye nokufakelwa kwezinso

  Bhala iNqunto
• 

  UDkt. Upendra Kumar N

  Sr. Consultant - Urology & Andrology

  I-Urology ne-Andrology

  Bhala iNqunto
• 

  UDkt. Gillella Narasimha Reddy

  umxhumanisi

  Bhala iNqunto
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  UDkt. Vipin Sharma

  umxhumanisi

  Urology

  Bhala iNqunto
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  UDkt. P Randheer Kumar

  Urologist

  Urology

  Bhala iNqunto
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  UDkt. Vaibhav Vinkare

  Umxhumanisi we-Urologist

  Urology

  Bhala iNqunto
• 

  UDkt. Muqqurab Ali

  umxhumanisi

  Urology

  Bhala iNqunto
• 

  UDkt. Rama Krishna Kassa

  Sr Consultant

  Urology

  Bhala iNqunto

I-Advanced Surgical Innovations e-CARE Hospital

Izibhedlela ze-CARE zisebenzisa ubuchwepheshe bamuva bokuhlinzwa kwe-Miniperc. Batshala imali emishinini yesimanje ethuthukisa ukunemba kokuhlinzwa futhi isheshise isikhathi sokululama.

Izinqubo zabo ezintsha zokuhlinzwa zihlanganisa:

• I-Digital Nephroscope enencazelo ephezulu: Leli thuluzi elithuthukisiwe linikeza odokotela abahlinzayo ukubonakala okungcono phakathi nezinqubo ze-miniperc. Kuyabasiza ukuthi bathole futhi basuse amatshe ngokunembe kakhudlwana.
• I-Advanced Lithotripters - I-CARE isebenzisa i-ultrasonic ne-pneumatic lithotripters ephula amatshe ezinso ngenkathi ivikela izicubu ezizungezile.
• I-Flexible Nephroscope Technology: Le mishini ekhethekile isiza odokotela abahlinzayo ukuthi bafinyelele amatshe angase adinge izindlela ezihlaselayo uma kungenjalo.
• Isiqondiso Sezithombe Zesikhathi Sangempela - Izinhlelo zesimanje ze-fluoroscopy zibonisa ukubukwa okuqhubekayo kuyo yonke inqubo. Lokhu kwenza ukuhlinzwa kuphephe futhi kucace kakhudlwana.
• I-Advanced Laser Technology: Odokotela abahlinzayo basebenzisa izinhlelo zesimanje ze-laser ukudiliza amatshe ngokunembile. Lokhu kusebenza kahle ezinhlotsheni zamatshe eziyinkimbinkimbi

Izimo Ezidinga Ukuhlinzwa Kwe-Miniperc

Izibhedlela ze-CARE zisebenzisa ukuhlinzwa kwe-Miniperc ezimweni ezihlukahlukene zamatshe ezinso ezidinga okungaphezu kokwelashwa okuyisisekelo. Ukwazi ukuthi yiziphi izimo ezizuza kakhulu kule nqubo kusiza iziguli zikhethe indlela yokwelashwa efanele.

Odokotela batusa ukuhlinzwa kwe-Miniperc ukwelapha:

• Amatshe Ezinso Ezinkulu - Isebenza kahle ematsheni amakhulu kuno-2 cm.
• I-Complex noma i-Staghorn Calculi – Lawa matshe amise okwegatsha agcwalisa uhlelo lokuqoqa izinso futhi afaneleka kahle ekwelashweni kwe-Miniperc.
• Amatshe Ezinso Eziningi - I-Miniperc isusa amatshe amaningana ngenqubo eyodwa. 
• I-Stone Resistant Kokunye Ukwelashwa - Isiza iziguli ezingakathuthuki ngokwelashwa okulula njenge-ESWL.
• I-Lower Pole Kidney Stones - Lawa matshe kunzima ukuwaphatha ngezinye izindlela ngenxa yendawo yawo.

Inqubo iphinde isize iziguli ezine-anatomy yezinso engavamile eyenza ukususwa kwamatshe kube nzima ngezinye izindlela. Okuhlangenwe nakho kwesibhedlela ngamacala aqinile kubenza bakwazi ukubhekana nezinkinga zamatshe eziyinkimbinkimbi ezidinga ukunakekelwa kochwepheshe.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Indlela yakho yokuhlinzwa kwe-miniperc eyimpumelelo iqala ngokuhlela okuningiliziwe. Lokhu kuhlanganisa: 

I-urologist yakho izobuyekeza isimo sakho ngokuhlolwa okuhlukahlukene nezingxoxo.

Udokotela uqala ngokuhlela ukuhlolwa kwesithombe ukuze aveze amatshe ezinso. Lezi zikena zinikeza izithombe ze-3D zamatshe ezinso zakho futhi zikhomba izindawo eziseduze okudingeka zigcinwe ziphephile. Kuzodingeka wenze lezi zivivinyo.

• Ama-CT scan noma ama-ultrasounds ukuthola amatshe futhi alinganise ukuthi makhulu kangakanani
• Izifundo zokusebenza kwezinso zizohlola ukuthi izinso zakho zisebenza kahle kangakanani
• Isibalo segazi esigcwele sizobheka impilo yakho iyonke
• Ukuvala iphrofayili ukuhlola izingozi zokopha
• Ukuhlolwa komchamo omaphakathi ukuze kuqinisekiswe umchamo oyinyumba ngaphambi kokuhlinzwa

Uzodinga ukuzila ukudla cishe amahora angu-6 ngaphambi kokuhlinzwa kwe-miniperc. Ungaphuza amanzi amancane uma kudingeka emithini yakho evamile.

Ngesikhathi sokubonisana kwakho, ithimba lakho lezokwelapha lizobuyekeza yonke imithi yakho. Bazokwazisa ukuthi yimiphi okufanele uyeke noma uqhubeke, kodwa imithi enciphisa igazi kufanele iyekwe ezinsukwini ezingu-7 kuya kweziyi-10 ngaphambi kokuhlinzwa.

Lokhu kulungiselelwa kwehlisa izingozi futhi kukhulisa amathuba okukhipha amatshe.

Inqubo Yokuhlinza I-Miniperc

Ukuhlinzwa kwenzeka ngaphansi i-anesthesia jikelele futhi kuthatha cishe amahora angu-2-3. Ithimba lizokubeka esiswini sakho (indawo ethambekele) phakathi nenqubo. Ezinye izimo zingase zidinge ukuthi ulale ngomhlane noma ezindaweni ezishintshiwe ngokusekelwe ezidingweni zakho.

Nansi indlela ukuhlinzwa okusebenza ngayo:

• A i-cystoscopy ifaka i-ureter catheter ezinso zakho ukuze ikhiphe futhi ifinyelele
• Isistimu yezinso igcwalisa ngobumnene ngosawoti ophuma ku-catheter ukusiza ngokubhoboza i-calyceal
• Udokotela ohlinzayo wenza ukusika okuncane (okungaba ngu-1 cm) emhlane wakho
• Inalithi engenalutho ingena ezinso zakho iholwa yi-x-ray imaging noma i-ultrasound
• Leli pheshana liyanwebeka ukuze lilingane ne-nephroscope ekhethekile enokukhanya nekhamera
• Amathuluzi ahlukahlukene adiliza amatshe ezinso usebenzisa ama-lasers, ama-ultrasonic probes noma amadivaysi omoya
• Lezi zingcezu eziphukile ziphuma nge-nephrroscope noma zikhishwe ngoketshezi lokunisela

Odokotela abahlinzayo babheka ukucindezela kokunisela eduze ukuze bagweme izinkinga. Amathuluzi amancane asetshenziswa ku-Miniperc (i-14-20Fr ukufinyelela emgodleni uma kuqhathaniswa no-24-30Fr ku-PCNL evamile) adala umonakalo omncane ngenkathi isebenza ngokufanayo.

Ekugcineni, ungase udinge i-catheter yamanzi (i-nephrostomy tube) ukukhipha umchamo ezinso zakho. Ezinye iziguli zibuye zithole i-ureter stent ukugcina umchamo ugeleza kahle.

Izinkinga Zokuhlinzwa Kwe-Miniperc

I-Miniperc Surgery ngokuvamile iwukuhlinzwa okuphephile. Noma kunjalo, ezinye zezinkinga ongabhekana nazo yilezi:

• Ukopha okuncane
• Umgudu womchamo noma ukutheleleka kwezinso
• Ukulimala kwezitho ezizungezile njengamathumbu noma amaphaphu
• Ukuvuza komchamo (izinkinga zesikhashana)
• Ezinye izingcezu zamatshe zisele
• Ubuhlungu obuncane

Izinzuzo Zokuhlinzwa Kwe-Miniperc

• Ubuhlungu obuncane bemva kokuhlinzwa kanye nezinkinga kunokuhlinzwa okuvamile kokususwa kwamatshe
• Inqubo encane yokuhlasela edala ukulimala kwezicubu nokululama ngokushesha
• Isusa kahle amatshe ezinso amancane kuya kosayizi omaphakathi
• Ukuncipha kwezibazi

Usizo Lomshwalense Wokuhlinza Kwama-Miniperc

Iningi lezinhlelo zomshwalense wezempilo zihlanganisa ukuhlinzwa kweMiniperc odokotela abakubona kudingekile ngokwezempilo. Kufanele uthole imininingwane yekhava kanye nokugunyazwa kwangaphambili ngaphambi kokuqhubekela phambili ngokuhlinzwa.

Umbono Wesibili Wokuhlinzwa Kwe-Miniperc

Ukuthola umbono wesibili mayelana nesimo sakho kanye nokuqonda izinketho zakho kanye nesidingo sokuhlinzwa kuhle. Akugcini nje ngokwenza lula ingqondo yakho kodwa futhi kukunikeza ukuzethemba ekukhetheni kwakho ukwelashwa. Ngakho-ke uma ungenaso isiqiniseko ngokuxilonga kwakho noma unokungabaza ngohlelo lwakho lokwelapha, thola umbono wesibili. 

Isiphetho

Ukuhlinzwa kwe-Miniperc kunikeza abanesifo sezinso indlela emangalisayo yokuphila ngaphandle kobuhlungu ngaphandle kokuphazamiseka okukhulu ohlelweni lwabo lwansuku zonke.

Amaqembu ochwepheshe Bezibhedlela ze-CARE ahlanganisa ubuchwepheshe bokuhlinza nobuchwepheshe obuthuthukisiwe ukuze balethe imiphumela evelele. Ukuzibophezela kwesibhedlela ekunakekelweni okuhambisanayo kugqama ngokuhlela kwaso okuningiliziwe ngaphambi kokuhlinzwa kanye nokwesekwa kwangemuva kokuhlinzwa.

Le ndlela yokuhlasela kancane iletha izinzuzo ezinkulu ezigulini. Bachitha isikhathi esincane esibhedlela, babhekane nezingozi eziphansi zokopha, futhi babuyele esimisweni sabo ngokushesha. I-incision ikala u-1cm nje, okuholela ekulimaleni okuncane kanye nokuphulukiswa okusheshayo.