Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Oesaophagectomy e-Hyderabad

Ukwelashwa Komdlavuza Wesophageal Okuthuthukisiwe

I-Oesophagectomy, inqubo yokuhlinzwa eyinkimbinkimbi ehilela ukukhishwa kwengxenye noma wonke umminzo, idinga ukunemba okungenakuqhathaniswa, ubuchwepheshe, kanye nobuchwepheshe obuphambili. Ezibhedlela ze-CARE, esiqashelwa njengeSibhedlela Esingcono Kakhulu Sokuhlinzwa Kwe-Oesophagectomy, sihlanganisa amasu okuhlinza asezingeni eliphezulu nozwela, ukunakekelwa okugxile esigulini ukuze kunikezwe imiphumela engavamile ezinqubweni zokuhlinza i-esophagectomy. Namuhla, leli qembu seliyinketho ekhethwayo ezigulini ezifuna lokhu kuhlinzwa okuyinkimbinkimbi e-Hyderabad nangale kwayo.

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

Izibhedlela ze-CARE zigqama njengendawo ehamba phambili yokuhlinzwa kwe-esophagectomy ngenxa:

• Amaqembu okuhlinza anamakhono aphezulu anolwazi olukhulu ezinkambisweni eziyinkimbinkimbi zommeso
• Amatiyetha asezingeni eliphezulu afakwe ubuchwepheshe obuthuthukisiwe, obungangenisi kancane, kanye nobuchwepheshe berobhothi
• Indlela ehlukahlukene ebandakanya odokotela abahlinzayo, oncologists, izazi ze-gastroenterologists, kanye nezazi zokudla
• Ukunakekelwa okuphelele kwangaphambi nangemuva kokuhlinzwa okuhambisana nezidingo ezihlukile zesiguli ngasinye
• Indlela yokugxilisa isiguli egxile kukho kokubili inhlalakahle engokomzimba nengokomzwelo
• Irekhodi elihle kakhulu le-esophagectomies ephumelelayo enemiphumela yokusebenza efanele

Odokotela Abangcono Kakhulu be-Oesaophagectomy 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
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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
• 

  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, ngosizo lwezinto ezintsha zakamuva zokuhlinzwa, sinemiphumela ethuthukisiwe yezinqubo ze-esophagectomy:

• Izindlela ezincane ezihlaselayo ze-thoracoscopic kanye ne-laparoscopic zokulimala kwezicubu ezincishisiwe
• Ukuhlinzwa okusizwa ngamarobhothi ngokunemba okuthuthukisiwe 
• Ubuchwepheshe bezithombe obuthuthukisiwe bokuhlela ukuhlinzwa okunembayo
• I-intraoperative fluorescence imaging ukuze uthole imephu ye-lymph node engcono
• Ukubuyisela Okuthuthukisiwe Ngemva Kokuhlinzwa (ERAS) kwemiphumela ethuthukisiwe yangemuva kokuhlinzwa
• Amasu abukhali we-anastomotic ukunciphisa izinkinga

Izimo Zokuhlinzwa Kwe-Oesophagectomy

Odokotela ngokuvamile batusa i-esophagectomy ezimweni ezihlukahlukene, kuhlanganise:

• Umdlavuza we-Esophageal
• I-Barrett's esophagus ene-high-grade dysplasia
• I-achalasia yesigaba sokugcina
• Ukulimala okukhulu kwe-caustic ku-esophagus
• Izimila ze-Benign esophageal
• I-hernia yokuzala ephindaphindiwe enezimpawu ezinzima

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

Xoxa Nochwepheshe Bethu

Izinhlobo Zokuhlinzwa Kwe-Oesophagectomy

Izibhedlela ze-CARE zinikeza izindlela ezihlukene zokukhishwa kwe-esophagectomy ezihambisana nezidingo eziqondile zesiguli ngasinye:

• I-Transhiatal Oesophagectomy
• I-Ivor Lewis Oesophagectomy (Inqubo yezigaba ezimbili)
• I-McKeown Oesophagectomy (Inqubo yezigaba ezintathu)
• I-Minimally Invasive Oesophagectomy (MIE)
• I-Oesophagectomy eyisizwa ngamarobhothi
• Izinqubo zeHybrid ezihlanganisa amasu avulekile futhi ahlasela kancane

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Ukulungiselela kahle kungaqinisekisa impumelelo yokuhlinzwa kwe-esophagectomy. Ithimba lethu labahlinzayo liqondisa iziguli ngezinyathelo ezinemininingwane zokulungiselela, okuhlanganisa:

• Ukuhlolwa okuphelele kwezokwelapha
• Izifundo ze-imaging ezithuthukisiwe (CT, PET scans, endoscopic ultrasound)
• Ukuhlolwa komsebenzi wePulmonary
• Ukuhlolwa kwenhliziyo
• Imiyalelo ngokuzila ukudla kwangaphambi kokuhlinzwa
• Ukwesekwa kokuyeka ukubhema (uma kusebenza)
• I-chemotherapy yangaphambi kokuhlinzwa noma ukwelashwa ngemisebe (yamacala omdlavuza)
• Ukwesekwa ngokomzwelo nangokwengqondo
• Imiyalo enemininingwane yokuzila ukudla kanye nokulungiswa kwamathumbu

I-Oesophagectomy Inqubo Yokuhlinza

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

• Ukuphathwa kwe-anesthesia jikelele
• Ukuma kwesiguli ngokusekelwe endleleni ekhethiwe
• Ukuhlanganisa ngokucophelela umminzo
• I-lymph node dissection (yamacala omdlavuza)
• Ukukhishwa kwengxenye ethintekile yomminzo
• Ukudalwa komgudu wesisu noma ukuhlangana kwekholoni
• I-Anastomosis (ukuxhumana okusha phakathi kwezakhiwo ezimbili) ukubuyisela ukuqhubeka komgudu wokugaya ukudla
• Ukubekwa kwamashubhu okuphakelayo kanye nemisele njengoba kudingeka
• Ukuvalwa kokusikwa

Ubude besikhathi sokuhlinzwa kwe-esophagectomy bungahluka kuye ngobunkimbinkimbi becala kanye nohlobo lwendlela yokuhlinzwa, ngokuvamile esukela emahoreni ama-3 kuye kwayi-5.

Ukubuyisela ngemva kokuhlinzwa

Ukululama ngemva kokuhlinzwa kwe-esophagectomy kuyisigaba esibalulekile. Ezibhedlela ze-CARE, sihlinzeka:

• Ukuqapha kweyunithi yokunakekelwa okukhulu (ICU) ngokushesha ngemva kokuhlinzwa
• Ukuphathwa kobuhlungu ochwepheshe ofanelana ne-thoracic kanye izinqubo zesisu
• Ukunakekelwa kwezilonda nokuvimbela ukutheleleka
• Ukwethulwa kabusha kancane kancane kokuthatha ngomlomo ngaphansi kwenkulumo nokuginya ukugadwa komelaphi.
• Ukwesekwa ngokomsoco kanye nokwelulekwa
• Ukwesekwa okuqhubekayo ngokomzwelo nokwelulekwa

Isikhathi sokululama singase sihluke kuye ngezici ngazinye kodwa ngokuvamile sibandakanya izinsuku ezingu-7-14 zokuhlala esibhedlela kulandelwe amaviki ambalwa okululama ekhaya.

Izingozi Nezinkinga

I-Esophagectomy, ukuhlinzwa okukhulu, kunezingozi ezithile. Lokhu kungase kuhlanganise:

• Ukuvuza kwe-Anastomotic
• I-pneumonia
• Izinkinga zenhliziyo
• Ukukhubazeka kwezwi
• I-Chylothorax
• Ukwakheka komucu
• I-Reflux kanye ne-Dumping Syndrome

Incwadi Ukuqokwa

Izinzuzo Zokuhlinzwa Kwe-Oesophagectomy

Ukuhlinzwa kwe-esophagectomy kunikeza izinzuzo ezimbalwa ezibalulekile:

• Ikhambi elingaba khona lomdlavuza we-esophageal
• Ikhwalithi yempilo ethuthukisiwe yabantu abanezimo ezimbi zesigaba sokugcina
• Ukuvimbela ukukhula komdlavuza kubantu abasengozini enkulu (isb., i-Barrett's esophagus)
• Ukukhululwa ezimpahleni ezinzima ezihambisana nenkinga ye-oesophageal
• Ithuba lokusinda isikhathi eside ezigulini ezinomdlavuza

Usizo Lomshwalense Wokuhlinzwa Kwe-Oesophagectomy

Siyaqonda ukuthi ukubheka umshwalense wezinqubo zokuhlinzwa eziyinkimbinkimbi kungaba inselele. Ithimba lethu elizinikele lisiza iziguli ku:

• Ukuqinisekisa ukufakwa komshwalense
• Ukuthola ukugunyazwa kwangaphambili kokuhlinzwa
• Ukuchaza izindleko eziphuma ephaketheni
• Ukuhlola izinketho zosizo lwezezimali uma kudingeka

Umbono Wesibili Wokuhlinzwa Kwe-Oesophagectomy

Iziguli kufanele ziyothola umbono wesibili ngaphambi kokuhlinzwa kwe-esophagectomy. Izibhedlela ze-CARE zinikeza izinsiza ezibanzi zombono wesibili, lapho odokotela bethu abahlinzayo abangochwepheshe:

• Buyekeza umlando wakho wezokwelapha kanye nokuhlolwa kokuxilonga
• Xoxa ngezinketho zokwelapha kanye nemiphumela yazo engaba khona
• Nikeza ukuhlola okuningiliziwe kohlelo lokuhlinzwa oluhlongozwayo
• Bhekana nanoma yikuphi ukukhathazeka noma imibuzo ongase ube nayo

Isiphetho

Ukuhlinzwa kwe-oesophagectomy kuyinkambiso eshintsha impilo edinga ukunakekelwa okuphelele kanye nendlela ehlukahlukene ukuze kube nemiphumela engcono yokusebenza. Ukukhetha izibhedlela ze-CARE ngokuhlinzwa kwakho kwe-Oesophagectomy kusho ukukhetha ukwenza kahle ekunakekelweni kokuhlinzwa, amasu amasha, kanye nokwelashwa okugxile esigulini. Njengesibhedlela esingcono kakhulu sokwelashwa komdlavuza womphimbo e-India, odokotela bethu abangochwepheshe abahlinza i-gastric, izikhungo zesimanjemanje, kanye nendlela yokunakekela ebanzi kusenza sibe ukukhetha okuphezulu kwezinqubo eziyinkimbinkimbi zokuhlinza umminzo e-Hyderabad.