Isibhedlela Esihamba phambili Sokuhlinzwa kwe-PCNL e-Hyderabad

Ukuhlinzwa Kwe-PCNL Okuthuthukisiwe Kokususwa Kwetshe Lezinso

Ubuwazi ukuthi ngaphezu kuka-12% wabantu bomhlaba bazobhekana nakho ezinso ekuphileni kwabo? Uma ubhekene nalesi simo esibuhlungu, awuwedwa - futhi likhona ithemba. Senza izinguquko ekuphathweni kwetshe lezinso ezibhedlela ze-Care Group e-Hyderabad ngezinqubo zethu zesimanjemanje ze-Percutaneous Nephrolithotomy (PCNL). 

Ukuhlinzwa kwe-PCNL kuyindlela yokuhlinza ehlasela kancane eshintsha izimpilo, inikeze ukululama okusheshayo namazinga empumelelo aphezulu uma kuqhathaniswa nezindlela zendabuko. Umnyango wethu we-urology osezingeni lomhlaba uhlanganisa ubuchwepheshe obusezingeni eliphezulu nolwazi lodokotela abahlinzayo abadumile, ukuqinisekisa ukuthi uthola izinga eligolide ekunakekelweni kwamatshe ezinso. Kusukela kumasistimu wokuthwebula izithombe athuthukile kuya ekusekelweni kwethu okuphelele kwesiguli, sizibophezele ekwenzeni indlela yakho yokululama ishelele ngangokunokwenzeka.

Kungani izibhedlela ze-CARE Group ziyisinqumo sakho esiphezulu se-Percutaneous Nephrolithotomy (PCNL) e-Hyderabad

Izibhedlela ze-CARE zigqama njengesibhedlela esingcono kakhulu sokuhlinzwa kwe-PCNL ngenxa:

• Indlela yemikhakha eminingi ebandakanya odokotela bomchamo, izazi ze-radiologist, odokotela ababulala izinzwa, nochwepheshe babahlengikazi
• Amaqembu okuhlinza anekhono eliphezulu anolwazi olunzulu ngezinqubo zamatshe ezinso eziyinkimbinkimbi
• Amatiyetha esimanjemanje asebenza ngobuchwepheshe be-endoscopic kanye ne-imaging
• Ukunakekelwa okuphelele kwangaphambi nangemuva kokuhlinzwa okuhambisana nezidingo ezihlukile zesiguli ngasinye
• Indlela yokugxilisa isiguli egxile kukho kokubili inhlalakahle engokomzimba nengokomzwelo
• Irekhodi elihle kakhulu lezinqubo ze-PCNL eziphumelelayo ezinemiphumela yokusebenza ephezulu

Odokotela Abahlinzayo Abahle kakhulu be-PCNL 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

• 

  UDkt. Arun Rathi

  Udokotela onguchwepheshe we-Urologist & Andrologist

  Urology

  Bhala iNqunto
• 

  UDkt. BV Rama Raju

  Sr. Consultant

  Urology, Ukufakelwa kwezinso

  Bhala iNqunto
• 

  UDkt. K Rama Raju

  Sr. Consultant

  Urology

  Bhala iNqunto
• 

  UDkt. Murali Mohan Bheri

  umxhumanisi

  I-UROLOGY

  Bhala iNqunto
• 

  UDkt. Suvajit Pradhan

  umxhumanisi

  Urology

  Bhala iNqunto
• 

  UDkt. SV Chaitanya

  umxhumanisi

  Urology

  Bhala iNqunto
• 

  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
• 

  UDkt. Vipin Sharma

  umxhumanisi

  Urology

  Bhala iNqunto
• 

  UDkt. P Randheer Kumar

  Urologist

  Urology

  Bhala iNqunto
• 

  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

Izindlela Ezithuthukile Zokuhlinza Esibhedlela Sokunakekelwa

Ezibhedlela ze-CARE, sisebenzisa izindlela ezintsha zokuhlinza ukuze sithuthukise ukuphepha nokusebenza ngempumelelo kwezinqubo ze-PCNL futhi siqinisekise ukuhlinzwa okuthuthukisiwe kokukhipha amatshe ezinso:

• I-digital-definition ephezulu yokubona ngeso lengqondo okuphakeme
• I-Advanced ultrasonic kanye ne-pneumatic lithotripters yokuhlukaniswa kwamatshe okuphumelelayo
• I-nephroscope eguquguqukayo yokufinyelela amatshe okunzima ukufinyelela kuwo
• Amasistimu e-fluoroscopy asezingeni eliphezulu ukuze uthole isiqondiso sesithombe sesikhathi sangempela
• Ubuchwepheshe be-laser onqenqemeni lokuhlakazeka kwamatshe okunembile
• Ukunisela okuthuthukisiwe kanye nezinhlelo zokumunca ukuze kubonakale kahle ngesikhathi sokuhlinzwa

Kunconywa Nini Ukuhlinzwa Kwe-Percutaneous Nephrolithotomy (PCNL)?

Odokotela batusa i-PCNL ngezimo ezihlukahlukene ezihlobene namatshe ezinso, okuhlanganisa:

• Amatshe ezinso ezinkulu (imvamisa> 2 cm)
• I-calculi eyinkimbinkimbi noma ye-staghorn
• Amatshe ezinso amaningi
• Amatshe amelana nezinye izindlela zokwelapha
• Amatshe ezinso zezigxobo eziphansi
• Amatshe ezigulini ezinokungajwayelekile kwe-anatomical

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

Xoxa Nochwepheshe Bethu

Izinhlobo zezinqubo ze-PCNL

Izibhedlela ze-CARE zinikeza izindlela ezahlukene ze-PCNL eziklanyelwe izidingo eziqondile zesiguli ngasinye:

• I-PCNL ejwayelekile: Kule nqubo yendabuko, odokotela benza ukusika okukodwa ngemuva futhi bafake i-nephrroscope ukuze basuse noma baphule amatshe amakhulu ngokuqondile.
• I-Mini-PCNL: Isebenzisa i-incision encane ne-nephrroscope ukususa amatshe ezinso ezincane
• I-Ultra-mini PCNL: Kule nqubo ethuthukisiwe, odokotela basebenzisa izinsimbi ezincane kune-mini-PCNL ukususa amatshe ngokunembile ngomonakalo omncane wezicubu.
• I-Tubeless PCNL: Le nqubo inguqulo eguquliwe ye-PCNL evamile lapho kungekho shubhu le-nephrostomy elisetshenziswa ngemva kokuhlinzwa.
• I-Supine PCNL: Kule nqubo, isiguli sibekwe emhlane ngesikhathi sokuhlinzwa, sinikeza ukufinyelela okungcono kwamatshe ezinso, ukunciphisa izinkinga, nokunikeza ukuphepha okuthuthukisiwe nenduduzo phakathi nenqubo.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kwe-PCNL

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

• Ukuhlolwa kwe-urological okuphelele
• Izifundo ze-imaging ezithuthukisiwe (i-CT scan, i-X-ray, i-ultrasound)
• Ukuhlolwa komchamo negazi
• Ukubuyekezwa kwemithi nokulungiswa
• Ukwelulekwa ngaphambi kokuhlinzwa kweziguli kanye nemindeni
• Imiyalo enemininingwane yokuzila ukudla kanye nezinqubo zangaphambi kokuhlinzwa

Inqubo Yokuhlinzwa ye-PCNL

Lokhu okulandelayo yizinyathelo ze-percutaneous nephrolithotomy:

• Ukuphatha jikelele i-anesthesia ukuqinisekisa ukunethezeka kwesiguli ngesikhathi sokuhlinzwa
• Ukudalwa kokusika okuncane ngemuva 
• Ukufakwa kwenaliti engenalutho ezinso ngaphansi kokuqondisa kwe-fluoroscopic
• Ukunwetshwa kwepheshana ukuze kuvunyelwe ukufakwa kwezinsimbi
• Ukuhlukaniswa kwetshe kusetshenziswa amasu athuthukile we-lithotripsy
• Ukususwa kwezingcezu zamatshe
• Ukufakwa kweshubhu yesikhashana ye-nephrostomy noma i-stent, uma kunesidingo

Isikhathi sokuhlinzwa ngokuvamile siphakathi kwamahora angu-2 kuya kwangu-3, ​​kuye ngobukhulu nobunkimbinkimbi betshe.

Ukubuyiselwa Kokuhlinzwa Kwe-Post-PCNL

Ukululama okushelelayo ngemva kwe-PCNL kubalulekile ukuze kube nemiphumela emihle. Ezibhedlela ze-CARE, sihlinzeka:

• Ukulawulwa kobuhlungu okungochwepheshe kuhambisana nesidingo sesiguli ngasinye
• Ukuqapha izinkinga zokuhlinzwa kwe-PCNL
• I-Nephrostomy tube noma imiyalelo yokunakekelwa kwe-stent
• Iseluleko mayelana nokulawulwa kwe-hydration kanye nomkhuba wokudla
• Izithombe zangemuva kokuhlinzwa ukuze kuqinisekiswe ukuthi itshe lisusiwe ngokuphelele
• Ukuhlolwa njalo ukuqapha impilo yezinso nokuvimbela ukwakheka kwamatshe esikhathini esizayo

Isikhathi sokubuyisela i-PCNL siyahlukahluka kodwa ngokuvamile sihilela ukuhlala esibhedlela kwezinsuku ezingu-2-3, okulandelwa amaviki ambalwa okubuyisela ekhaya.

Izinkinga ze-PCNL

Nakuba ithimba lethu le-urological lithatha zonke izinyathelo zokuphepha ukuze liqinisekise inqubo ephephile, i-PCNL iphethe izingozi ezithile, njenganoma yikuphi ukuhlinzwa. Lokhu kungase kuhlanganise:

• ukopha
• Ukutheleleka
• Ukulimala kwezitho ezizungezile
• Ukuvuza komchamo
• Izingcezu zamatshe ezisele

Incwadi Ukuqokwa

Izinzuzo Zokuhlinzwa Kwe-PCNL

I-PCNL inikeza izinzuzo ezimbalwa ezibalulekile:

• Izinga eliphezulu lempumelelo ekuhlanzeni amatshe amakhulu noma ayinkimbinkimbi
• Indlela ehlasela kancane uma iqhathaniswa nokuhlinzwa okuvulekile
• Ukuhlala isikhashana esibhedlela 
• Isikhathi esincane sokululama kunokuhlinzwa kwendabuko
• Ingozi encishisiwe yesibazi kanye nobuhlungu bangemva kokuhlinzwa
• Isebenza kahle ekwelapheni amatshe amelana nezinye izindlela zokwelapha
• Amandla okuthola imvume ephelele yamatshe ngenqubo eyodwa

Usizo Lomshwalense Wokuhlinzwa Kwe-PCNL

Ithimba lethu elizinikele lisiza iziguli ku:

• Ukuqinisekisa ukufakwa komshwalense ngenqubo ye-PCNL
• Ukuthola ukugunyazwa kwangaphambili
• Ukuchaza izindleko eziphuma ephaketheni
• Ihlola izinketho zosizo lwezezimali

Umbono Wesibili Wokuhlinzwa Kwe-PCNL

Odokotela ngokuvamile bakhuthaza iziguli ukuthi zithole umbono wesibili ngaphambi kokwenza i-PCNL. Izibhedlela ze-CARE zinikeza izinsiza eziphelele zombono wesibili, lapho ochwepheshe bethu bomchamo:

• 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

Ezibhedlela ze-Care Group, izinqubo zethu ezisezingeni eliphezulu ze-PCNL, kuhlanganiswe nobuchwepheshe bezinga lethu lomhlaba. umnyango we-urology, ikunikeza indlela yokutakula ebushelelezi njengoba isebenza kahle. Ngobuchwepheshe bethu obusezingeni eliphezulu kanye nokwesekwa kwesiguli okuphelele, lelo kusasa lingafinyeleleka. Siyaqonda ukuthi uhambo lwesiguli ngasinye luhlukile, yingakho ithimba lethu lizibophezele ekuhlinzekeni ukunakekelwa komuntu siqu kuzo zonke izinyathelo zendlela. Ngo Izibhedlela Zeqembu Lokunakekela, sikulungele ukukuqondisa empilweni enempilo, ejabulisayo.