Isibhedlela Esihamba Phambili Sokuhlinzwa Kokufakwa Kwe-Permcath e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe Kokufakwa Kwe-Permcath

Inqubo yokufaka i-Permcath isebenza njengendlela ebalulekile yokuphila ezigulini ezidinga njalo ukwelashwa kwe-dialysis. Le nqubo ekhethekile isungula indawo yokufinyelela unomphela emithanjeni yegazi emikhulu futhi iqeda isidingo sokufaka inaliti ngokuphindaphindiwe.

Iziguli zidinga i-dialysis ukuze zihlunge udoti egazini lazo uma izinso zazo ziyeka ukusebenza kahle. Odokotela batusa ukufakwa kwe-catheter unomphela njengesixazululo sesikhathi eside esinikeza ukufinyelela okuvamile. Ukubekwa kwe-permcath kudinga ukufakwa kweshubhu elithambile emthanjeni omkhulu, ngokuvamile entanyeni noma endaweni yesifuba. Izinyathelo zokufaka i-permcath zithatha cishe imizuzu engama-30-60 ngaphansi kwe-anesthesia yendawo. Iningi lezinhlelo zomshwalense zihlanganisa le nqubo ebalulekile, esiza ukubhekana nokukhathazeka kweziguli mayelana nezindleko.

Lesi sihloko sihlanganisa konke iziguli ezidinga ukukwazi mayelana nale nqubo esekela ukuphila - kusukela ekulungiseleleni ukuya ekululameni nangale kwalokho.

Kungani izibhedlela ze-CARE Group ziyisinqumo sakho esiphezulu senqubo yokufakwa kwe-Permcath e-Hyderabad

Izibhedlela ze-CARE zisebenza ngokukhethekile kwinqubo yokufaka i-permcath esiza iziguli ukuthi zithole izinketho zokwelashwa eziphumelelayo nezisebenzayo ngezimo zazo zempilo ezithile. CARE Group Hospitals e ithimba Hyderabad sika ochwepheshe abanamakhono yenza le nqubo ngokunemba. Izindlela ezithuthukisiwe zesibhedlela ziqinisekisa ukuphepha kwesiguli ngesikhathi sokubekwa kwe-permcath.

Odokotela Abahlinzayo Abangcono Kakhulu be-Permcath 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. G Suresh Kumar

  umxhumanisi

  Nephrology

  Bhala iNqunto
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  UDkt. P. Vikranth Reddy

  Umqondisi Womtholampilo kanye Nomeluleki Ongu-Sr - I-Nephrology

  Nephrology

  Bhala iNqunto
• 

  UDkt. Syeda Shaista M Hussaini

  umxhumanisi

  Nephrology

  Bhala iNqunto
• 

  UDkt. Sreekanth Burri

  Sr. Consultant

  Bhala iNqunto
• 

  UDkt. Shiv Shankar Sharma

  umxhumanisi

  Nephrology

  Bhala iNqunto
• 

  UDkt. Shweta Mogra

  I-Nephrology ye-Consultant

  I-Nephrology kanye Nokufakelwa Kwezinso

  Bhala iNqunto
• 

  UDkt. Utkarsh Deshmukh

  Uchwepheshe we-Nephrologist kanye noDokotela Wokufakelwa

  Bhala iNqunto
• 

  UDkt. B. Aravind Reddy

  Sr. Consultant

  Nephrology

  Bhala iNqunto
• 

  UDkt. Shrikant Deshmukh

  Isazi sefilosofi

  Nephrology

  Bhala iNqunto
• 

  UDkt. Krishnam Raju Penmatsa

  Sr. Consultant

  Nephrology

  Bhala iNqunto
• 

  UDkt. Bharadwaj Batchu

  umxhumanisi

  Nephrology

  Bhala iNqunto
• 

  UDkt. Arpit Neema

  Sr. Uchwepheshe weNephrologist

  I-nephrology

  Bhala iNqunto

Ubani Odinga Inqubo Yokufaka I-Permcath

Odokotela batusa ukufakwa kwe-permcath ezimeni eziningana zezokwelapha:

• I-hemodialysis ejwayelekile yeziguli ezinesifo ukwehluleka kwezinso kwesigaba sokugcina
• Izinqubo ze-dialysis ezihlulekile zangaphambilini noma ukufinyelela okungasebenzi kahle kwemithambo
• I-dialysis yesimo esiphuthumayo idinga lapho kudingeka ukufinyelela ngokushesha futhi ezinye izinketho zingatholakali
• Ukwelashwa kwe-Plasmapheresis okuhlunga amasosha omzimba egazini njenge-dialysis
• Ukuphathwa kwemithi yesikhathi eside, ikakhulukazi izidakamizwa ze-caustic ezingalimaza imithambo emincane yangaphandle
• Isamba sokulethwa kokudla okunomsoco ezimweni lapho ama-catheter abhorekile engakwazi ukusetshenziswa

Izinhlobo Zezinqubo Zokufaka I-Permcath

Odokotela bakhetha uhlobo olulungile lwe-permcath ngokusekelwe ezidingweni zesiguli ngasinye:

• I-Cuffed Permcath: Ifaka i-cuff ehlala ngaphansi kwesikhumba. Izicubu zomzimba zikhula eduze kwale cuff, zibambe i-catheter ngokuphephile kuyilapho zivimbela izifo. Lawa ma-catheter asebenza kangcono ekusetshenzisweni isikhathi eside.
• I-Permcath Engafakwanga: Ayinayo i-cuff evikelayo futhi isebenza kangcono kakhulu ekufakweni kwesikhashana esifushane ngenxa yezingozi eziphakeme zokutheleleka.
• I-Tunneled Catheter: Ifakwa ngaphansi kwesikhumba emhubheni ukuze kuncishiswe izingozi zokutheleleka. Lawa ma-catheter anikeza ukufinyelela okuzinzile kwe-dialysis njalo futhi angasebenza kahle isikhathi eside.
• I-Catheter engafakwanga: Ingena ngqo emithanjeni ngaphandle komhubhe ngaphansi kwesikhumba. Lawa ma-catheter asebenza kahle kakhulu ekusetshenzisweni kwesikhashana noma okuphuthumayo kuphela.

Ukukhetha phakathi kwalokhu kukhetha kuxhomeke ekutheni ukwelashwa kuzohlala isikhathi esingakanani, isimo somzimba wesiguli, nezidingo ezithile zezokwelapha. 

Mayelana Nenqubo

Ukufakwa kwe-Permcath kuhilela izigaba ezimbalwa ezibalulekile eziholela emiphumeleni ephumelelayo yeziguli ezidinga ukufinyelela kwe-vascular isikhathi eside. Ukuqonda okucacile kwesinyathelo ngasinye kusiza iziguli ukuthi zilungele le nqubo ebalulekile.

Ukulungiselela kwangaphambilini

Iziguli zidinga ukuzila ukudla amahora angu-4-6 ngaphambi kwenqubo yokufaka i-permcath. Amaqembu ezokwelapha azo:

• Yenza ukuhlolwa kwegazi, ukuhlola ngokomzimba, futhi I-Doppler scan
• Bheka imithi yamanje, ikakhulukazi imithi enciphisa igazi okungenzeka idinge ukuyekwa
• Thola imininingwane mayelana ne-allergies kanye nokutheleleka kwangaphambilini
• Tshela iziguli ukuthi zigqoke okuthile okunethezeka futhi zishiye izinto ezibalulekile ekhaya

Inqubo Yokufaka I-Permcath

Inqubo ngokuvamile ithatha amaminithi angu-30-60 futhi ilandela lezi zinyathelo:

• Odokotela banikeza i-sedation noma yendawo i-anesthesia ukuthulisa indawo yokufaka
• Abasebenzi bezokwelapha babeka i-IV cannula esandleni sesiguli ukuze banikeze imithi. 
• Udokotela ohlinzayo usebenzisa i-ultrasound noma i-fluoroscopy ukuze aqondise ucingo emthanjeni we-jugular lungene ku-atrium engakwesokudla yenhliziyo. Umhubhe owenziwe ngaphansi kwesikhumba ubamba i-catheter. 
• Isinyathelo sokugcina sivikela i-catheter nge-cuff ngaphansi kodonga lwesifuba, futhi ama-sutures avala indawo yokuphuma ngengubo ekhanyayo phezulu.

Ukubuyisela emva kwenqubo

Iziguli zizobe sezi:

• Thola i-X-ray yesifuba ebonisa ukubekwa kwe-catheter efanele
• Hlala ngaphansi kokubhekwa amahora ambalwa
• Funda imiyalelo enemininingwane yokunakekela ekhaya
• Buyela emsebenzini ngosuku olulandelayo ezimweni eziningi

Izingozi Nezinkinga

Izinkinga ezingaba khona zihlanganisa:

• Ukutheleleka 
• Ukopha lapho i-catheter ingena khona
• Ukuvinjwa kwe-catheter noma ukungasebenzi kahle
• Ingozi yokuthuthuka i-thrombosis
• I-Pneumothorax (akuvamile)

Izinzuzo zenqubo Yokufaka i-Permcath

Le nqubo ivumela iziguli ukuthi zisebenzise i-catheter ngemva nje kokubekwa. Idinga ukufakwa kwezinaliti ezimbalwa futhi izizwa inethezekile kunezinye izindlela. Ukwengeza, ama-catheter ashunwe anciphisa kakhulu ubungozi bokutheleleka.

Usizo Lomshwalense wenqubo yokufakwa kwe-Permcath

Iningi lezinhlelo zomshwalense zihlanganisa le nqubo, kodwa ukuhlinzekwa kuncike kuzinqubomgomo zomuntu ngamunye.

Umbono Wesibili wenqubo Yokufaka i-Permcath

Ukuthola omunye umbono wezokwelapha kunikeza ukuthula kwengqondo, ikakhulukazi ezigulini ezinezimo eziyinkimbinkimbi noma lezo ezibheka ezinye izinketho. Lokhu kusho ukuqoqa amarekhodi akho ezempilo futhi ukhulume nomunye uchwepheshe ngaphambi kokwenza isinqumo sakho sokugcina.

Isiphetho

Ukufakwa kwe-Permcath kuyinqubo ebalulekile esiza iziguli ezidinga ukwelashwa okuvamile kwe-dialysis. Lokhu kungenelela kokweseka impilo kusiza lapho izinso zingasebenzi kahle. Indawo yokufinyelela unomphela isindisa iziguli ekufakweni inaliti ngokuphindaphindiwe.

Iziguli eziningi zingabuyela emisebenzini yazo evamile ngosuku olulandelayo njengoba inqubo ithatha isikhathi esingaphansi kwehora. Izinzuzo azikho eduze nezingozi ezingaba khona njengokutheleleka noma ukuvinjwa kwe-catheter. Lokhu kwenza kube ukukhetha okuhle ezigulini ezidinga ukufinyelela kwemithambo yesikhathi eside.

Inqubo yokufaka i-Permcath inikeza izinkulungwane zeziguli ezihluleka kwezinso indlela yokuphila, futhi ngesizathu esihle, futhi. Isikhathi sokuthola ngokushesha kanye nezinzuzo zesikhathi eside zenza le nqubo elula ifanelekele izidingo ezivamile ze-dialysis. Izibhedlela ze-CARE ziletha le nkonzo ebalulekile ngokusebenzisa ochwepheshe abanamakhono ababeka ukuphepha kwesiguli nokunethezeka kuqala kuyo yonke inqubo.