Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Palatoplasty e-Hyderabad

I-Advanced Palatoplasty Surgery

Ukuhlinza izindebe nolwanga kushintshe izimpilo zezingane ezizalwe zinalesi simo. Ingane eyodwa kwezingama-700 idinga lokhu kulungiswa kokuhlinzwa kochwepheshe ukuze ithuthukise inkulumo evamile futhi igweme izinkinga. Ngesikhathi sokuzalwa, lesi simo singathinta kakhulu ukukhula kwengane ngaphandle kokunakekelwa okufanele kwezokwelapha.

Odokotela benza ukuhlinzwa kwe-palatoplasty ukulungisa uphahla lomlomo lapho izingane zinezinyanga eziyisi-6 kuya kweziyi-18. Indlela ye-Furlow ephikisana kabili ye-Z-plasty ikhiqiza imiphumela emihle kakhulu. Le ndlela ifinyelela ukunwebeka kwe-latal okuphawulekayo okungaba ngu-15mm futhi inciphise ukwakheka kwe-fistula. Odokotela abahlinzayo basebenzisa le ndlela ukuze balungise kahle kokubili izici ezisebenzayo nezobuhle zolwanga oluqhekekile.

Lezi zingane zibhekana nezinselele eziyingqayizivele ngale kokungafani kwazo okubonakalayo. Ukuqoqwa koketshezi lwendlebe emaphakathi kwenzeka kuma-90% ezimweni phakathi neminyaka yabo yokuqala emibili. Lezi zinombolo zibonisa ukuthi kungani ukukhetha ithimba elifanele labahlinzayo kubaluleka emindenini ngalesi sikhathi.

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

Izibhedlela Zeqembu Le-CARE e-Hyderabad zizokunikeza ukufinyelela kochwepheshe bezokwelapha obukhethekile bokuhlinzwa kwe-palatoplasty. Odokotela bachaza izinketho zakho ngolimi olulula, benciphisa ukukhathazeka kwakho ngokuphepha kwengane yakho. Isibhedlela sihamba phambili ngokwelashwa kwe-cleft palate futhi sinikeza ukunakekelwa okuningiliziwe okusekelwe ezidingweni zesiguli ngasinye. 

Isibhedlela i-CARE siphinde sinikeze ukwesekwa kwangemva kokuhlinzwa ngokwelashwa kwenkulumo nokunakekelwa kokulandelela ukuze kuqinisekiswe ukululama nokuthuthuka okungcono kakhulu. Indlela yabo ehlanganisa konke isho ukuthi ingane ngayinye ithola ukwelashwa komuntu siqu okuklanyelwe imiphumela emihle.

Odokotela Abahlinza Kakhulu Be-Palatoplasty 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

Izithuthukisi Zokuhlinza Ezisezingeni eliphezulu esibhedlela i-CARE

Isibhedlela i-CARE sisebenzisa izindlela zokuhlinza ezithuthukile njenge-two-flap palatoplasty. Le nqubo ibonise imiphumela emangalisayo, nenani elincane leziguli ezinalo ukukhubazeka kwenkulumo. Isibhedlela futhi sisebenzisa impumelelo yakamuva yokulungisa i-palatal, njengama-buccal fat pad flaps. Lawa ma-flap abonakale eyimpumelelo ngezinkinga ezincane.

Njengezinye izikhungo ezihamba phambili, Izibhedlela ze-CARE zigxile ekuhlolweni okufanele kwemisipha kanye nesikhathi sokuhlinzwa ukuze kuncishiswe izinkinga futhi kuzuzwe imiphumela engcono yokukhuluma. Indlela yabo yokuhlinza iphatha ngokucophelela izici ezisebenzayo nezobuhle zokulungisa ulwanga oluqhekekile.

Izimo for Palatoplasty Surgery

I-Palatoplasty isiza ukwelapha izimo eziningana:

• I-Cleft Palate: Okuvame kakhulu ukuzalwa kwe-craniofacial anomaly
• I-Submucous Cleft Palate: Zombili izinhlobo ezisobala (ezibonakalayo) nezokusebenzelana nemimoya (ezifihliwe).
• Ukuntuleka kwe-Velopharyngeal: Kuthinta ikhwalithi yenkulumo

Izingane eziphakathi kwezinyanga eziyisi-6 kuya kweziyi-12 zikulungele lokhu kuhlinzwa. Lesi sikhathi sisebenza kahle kakhulu ngoba sifana nokuthuthukiswa kwezicubu eduze komfantu futhi kwenzeka ngaphambi kokuthuthukiswa kolimi okubalulekile. Lokhu kunikeza izingane ithuba elingcono kakhulu lokuthuthukisa inkulumo evamile.

Izinhlobo zezinqubo zePalatoplasty

Izibhedlela ze-CARE zihlinzeka ngamasu ahlukahlukene e-palatoplasty afana nezidingo eziqondile zesiguli ngasinye. 

Ukulungiswa kwe-palate eqinile kufaka i-Veau-Wardill-Kilner VY, i-von Langenbeck, ne-flap-flap palatoplasty. 

Indlela ye-two-flap ivelele ngezinga layo eliphansi lokuxaka.

Isibhedlela sisebenzisa i-intravelar veloplasty kanye ne-Z-plasty ephikisana kabili (i-Furlow technique) ukuze kulungiswe ulwanga oluthambile. Indlela ye-Furlow isithandwa kakhulu ngoba ithinta kancane ukukhula kobuso besikhathi eside.

Yazi Inqubo

I-palatoplasty ephumelelayo idinga ukuhlela ngokucophelela, amakhono okuhlinza ochwepheshe, nokunakekelwa kwangemva kokugxila. Imindeni ingalungiselela kangcono le nqubo eshintsha impilo ngokuqonda isinyathelo ngasinye.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Odokotela baqala ukulungiselela cishe amasonto amabili ngaphambi kosuku lokuhlinzwa oluhleliwe. Bancoma ukuthi ugcobe uVaseline emakhoneni omlomo kabili ngosuku. Lokhu kugcina isikhumba sithambile ngoba odokotela abahlinzayo kudingeka bavule umlomo kakhulu ngesikhathi sokuhlinzwa.

Abazali kufanele bayeke ukupha aspirin futhi ibuprofen ezinganeni zabo amasonto amabili ngaphambi kokuhlinzwa ukuze zigweme izinkinga zokopha. Umhlengikazi uzoshayela abazali ucingo cishe isonto elilodwa ngaphambi kokuhlinzwa ukuze ahlole umlando wempilo yengane futhi abachazele imiyalelo ethile yokondla.

Abazali bazothola iziqondiso eziqinile mayelana nokudla kokugcina kwengane yabo noma isiphuzo ngosuku olwandulela ukuhlinzwa:

• Ubisi lomuntu kuze kufike emahoreni angu-4 ngaphambi kokuhlinzwa
• Ifomula kufika emahoreni angu-6 ngaphambi kokuhlinzwa
• Sula uketshezi kuze kufike emahoreni ama-2 ngaphambi kokuhlinzwa

I-Palatoplasty Inqubo Yokuhlinzwa

Abahlinzayo qala ngokunikeza jikelele i-anesthesia. Babeka umshini emlonyeni ukuze uwugcine uvuliwe kuyo yonke inqubo.

Indlela yokuhlinza idinga ukusikwa kuzo zombili izinhlangothi zokuqhekeka nokuxegiswa kwezingqimba zethishu. Udokotela ohlinzayo ube eselula futhi ehambisa izicubu phakathi nophahla lomlomo. Lokhu kudala ukuvala kuka-"Z" okwenza ulwanga oluthambile lube lude futhi lubeke izicubu ezindaweni zazo ezijwayelekile.

Ukuhlinzwa ngokuvamile kuthatha amahora angu-2-3. Amasu esimanje agxile ekuvaleni ngaphandle kokucindezeleka nokushiya ithambo elincane eliveziwe, okunciphisa izinkinga.

Ukubuyisela ngemva kokuhlinzwa

Izingane zivame ukuhlala esibhedlela izinsuku ezingu-2-3. Ngesikhathi sokuphumula, bangase babe:

• Amafinyila noma amathe aphuma igazi
• Ukukhipha amanzi amaningi emakhaleni
• snoring nokuminyana njengoba ukuvuvukala kwehla
• Izinkinga zokulala lokho akuhlali isikhathi eside

Ukudla okuthambile kusebenza kangcono amasonto amathathu ngemuva kokuhlinzwa. Izingane kufanele ziphuze amanzi ngemva kokudla ukuze zihlanze indawo yokulungisa. Abazali kudingeka bagcine izinto eziqinile, izixubho nezixubho emlonyeni wengane yabo ngesikhathi zelashwa.

Izingozi Nezinkinga

I-Palatoplasty ngokuvamile iphephile, kodwa ingaba nezingozi ezithile:

• ukopha 
• Ukwakhiwa kwe-Fistula 
• Ukutheleleka
• Ubunzima bokukhuluma
• Izinkinga zokukhula ku-maxilla

Izinzuzo Zokuhlinzwa Kwe-Palatoplasty

Izinzuzo eziyinhloko ukuhlukanisa imigodi yomlomo nekhala, ukuthuthukiswa kwenkulumo okungcono, nokudla okuvamile. Ukuhlinzwa phakathi kwezinyanga ezingu-6-18 kunikeza imiphumela yenkulumo engcono kakhulu enokuphazamiseka okuncane kokukhula.

Usizo Lomshwalense Wokuhlinzwa Kwe-Palatoplasty

Iningi lezinhlelo zomshuwalense wezempilo zizofaka i-palatoplasty njengenqubo yokwakha kabusha. Ikhava ngokuvamile ibhekelela imali kadokotela ohlinzayo, izindleko zesibhedlela, izinzwa, imithi, kanye nempahla edingekayo yangemva kokuhlinzwa.

Umbono Wesibili Wokuhlinzwa Kwe-Palatoplasty

Umbono wesibili uzokusiza ukuthi uhlele ukwelashwa okungcono kakhulu. Ochwepheshe banganikeza izincazelo mayelana nokuxilongwa kanye nokukhetha kokwelashwa ngokubonisana okubonakalayo. Odokotela abaningi bayayamukela imibono emisha futhi basebenzisa lolu lwazi ukuhlela ukwelashwa.