Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Polytrauma e-Hyderabad

I-Advanced Polytrauma Surgery

Ukuhlinzwa kwe-Polytrauma kubhekisela ekuphathweni okuyinkimbinkimbi kokuhlinzwa kweziguli eziye zahlala eziningi ukulimala okubuhlungu okuhlanganisa izingxenye ezihlukahlukene zomzimba—njengekhanda, isifuba, isisu, umgogodla nezitho—ngokuvamile ngenxa yezingozi noma ukuwa. Lezi ziguli ngokuvamile zisesimweni esibucayi futhi zidinga ukunakekelwa okusheshayo, okudidiyelwe okuvela eqenjini lochwepheshe. Umgomo wokuhlinzwa kwe-polytrauma uwukuzinzisa ukulimala okusongela ukuphila kuqala, okulandelwa ukuhlinzwa okuhleliwe ukulungisa ukuphuka nokubuyisela ukusebenza. Amasu okuhlinza athuthukile, ukwesekwa kwe-ICU, kanye nendlela yemikhakha eminingi kubalulekile ekuthuthukiseni ukusinda nokululama ezimweni ezinjalo.

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

Izibhedlela ze-CARE ziletha ukuphathwa kwe-polytrauma okukhethekile ngamathimba ochwepheshe. Indlela yesibhedlela esekwe eqenjini ikwenza kugqame ekwelashweni kwe-polytrauma. Bahlinzeka:

• Amaqembu okunakekela izimo eziphuthumayo alungile ubusuku nemini
• ongoti abasebenza ndawonye ngaphandle komthungo
• Izinqubo zokuhlola ezinemininingwane zokulinganisa ukwelashwa kokulimala okuningi
• Izikhungo zesimanje zokuthwebula izithombe ezinochungechunge lwe-trauma X-ray, ama-CT scan nama-MRIs

Amayunithi abo okuhlukumezeka afika afakwe amatiyetha okuhlinzwa abonisa ubuchwepheshe be-C-arm imaging ukuze kuhlinzwe okunembile. Inethiwekhi yama-ambulensi iqinisekisa ukuthuthwa kwesiguli ngokushesha phakathi "nehora legolide" elibalulekile ngemva kokulimala.

Odokotela Abahlinza Kakhulu Be-Polytrauma 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. Arjun Reddy K

  umxhumanisi

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
• 

  UDkt. NVS Mohan

  Sr. Umqondisi Wezempilo kanye neNhloko yoMnyango

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
• 

  UDkt. Ritesh Nawkhare

  umxhumanisi

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. Susant Kumar Das

  Asso. Umqondisi Womtholampilo

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Sachin Adhikari

  Sr. Consultant

  Neuroscience

  Bhala iNqunto
• 

  UDkt. SN Madhariya

  Sr. Consultant

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt Sanjeev Kumar

  Umxhumanisi Omncane

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. Sanjeev Gupta

  umxhumanisi

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. K. Vamshi Krishna

  Sr. Consultant Brain & Spine Surgeon

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
• 

  UDkt. Arun Reddy M

  Sr. Consultant - Neurosurgeon & Endoscopic Spine Surgeon

  Neurosurgery

  Bhala iNqunto
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  UDkt. Vijay Kumar Terapalli

  umxhumanisi

  Bhala iNqunto
• 

  UDkt. Sandeep Talari

  umxhumanisi

  Ukuhlinzwa Okujwayelekile/ I-Neurosurgery

  Bhala iNqunto
• 

  UDkt. Atmaranjan Dash

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Laxminadh Sivaraju

  Sr. Consultant

  I-Neurosurgeon

  Bhala iNqunto
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  UDkt. Gaurav Sudhakar Chamle

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. T. Narasimha Rao

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Venkatesh Yeddula

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
• 

  UDkt SP Manik Prabhu

  Sr. Consultant – Neurosurgery & Neurointerventionist

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Ankur Sanghvi

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Mamindla Ravi Kumar

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt. Bhavani Prasad Ganji

  Sr. Consultant Umnyango Wokuhlinza Kwezinzwa

  Neurosurgery

  Bhala iNqunto
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  UDkt. MD Hameed Shareef

  Udokotela Ohlinzayo Wokuhlinza

  Neurosurgery

  Bhala iNqunto
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  UDkt. JVNK Aravind

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
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  Dr. Teja Vadlamani

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
• 

  UDkt Sanjeev Kumar Gupta

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. Abhishek Songara

  Umeluleki Omkhulu - I-Neurosurgery

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. Randhir Kumar

  Umqondisi Womtholampilo kanye Nomeluleki We-Sr - I-Neurosurgeon, i-Neurointerventionist kanye no-Endoscopic Spine Surgeon

  Neurosurgery

  Bhala iNqunto

Amasu Okuhlinza Okusezingeni eliphezulu esibhedlela i-CARE

Amathimba okuhlinza asebenzisa amasu athuthukile ukuphatha amacala e-polytrauma:

• Ukuhlinzwa kokulawula ukulimala kunciphisa izinkinga futhi kuzinzisa ukuphuka
• Ukunakekelwa okuphelele kusenesikhathi kuzinza ngokushesha ukulimala okukhulu kwamathambo
• Ukulungisa okuhlaselayo okuncane kusiza iziguli zilulame ngokushesha
• Ukupakishwa kwe-pelvic yangaphambi kwe-peritoneal kwelapha ukopha kwe-pelvic

Lezi zindlela zisiza odokotela abahlinzayo ukuphatha ukulimala okubucayi ngokuzinzisa ukuphuka ngenkathi bethuthukisa isimo sesiguli.

Izimo Zokuhlinzwa Kwe-Polytrauma

Ithimba elihlinzayo lisingatha ukulimala okuningi okulimazayo okuthinta izinhlelo ezihlukahlukene zomzimba. Lokhu ngokuvamile kubangelwa:

• Izingozi zomgwaqo ezihamba ngesivinini esiphezulu
• Iwa isuka ezindaweni eziphakeme
• Ukulimala kwezimboni noma emsebenzini
• Isakhiwo siyawa

Iziguli eziningi zifika zilimele ekhanda, ziningi ukuphuka, ukopha ngaphakathi, nokulimala okukhulu kwezitho ezidinga ukuhlinzwa ngokushesha.

Izinhlobo zezinqubo ze-Polytrauma

Ubuchwepheshe besibhedlela buhlanganisa izinqubo ezahlukene ezifana nalezi:

• Ukuqiniswa kokuphuka kwezimo eziphuthumayo kanye nokungakwazi ukuhamba
• Ukuncishiswa okuvulekile nokulungiswa kwangaphakathi (ORIF) okwamathambo aphukile
• Ukuphathwa kwe-trauma eyinkimbinkimbi yokuphuka kwamazinga amaningi
• Ukuhlinzwa kokuhlenga izitho ekulimaleni okukhulu
• Ukungenelela kokuhlinzwa kokulimala kobuchopho okubuhlungu
• Ukwelashwa kwe-compartment syndrome nokulimala kokuchotshozwa

Isibhedlela siphinde sinikeze nezinhlelo eziningiliziwe zokuhlunyeleliswa kwezimilo. Lokhu kusiza iziguli ukuthi ziphinde zikwazi ukuhamba futhi zisebenze ngemva kokuhlinzwa kwe-polytrauma.

Mayelana Nenqubo 

Ukuphathwa kwe-Polytrauma kudinga ukuhlela ngokucophelela nokwenza kuzo zonke izinyathelo. Isiteji ngasinye sidlala indima ebalulekile. Indlela efanele iholela emiphumeleni engcono kakhulu yeziguli ezinokulimala okubuhlungu okuningi.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Iphrothokholi ye-ATLS iqondisa ukuhlolwa okusheshayo kwe-polytrauma:

• Izingozi ezisongela ukuphila zidinga ukunakwa ngokushesha ocwaningweni lokuqala
• Inhlolovo yesibili iveza konke ukulimala okusele
• Ama-CT scan agcwele umzimba wonke nomsebenzi wegazi kunikeza isithombe esiphelele
• Amathimba ahlangana ukuze ahlele izinto eziza kuqala ngokuhlinzwa

Inqubo Yokuhlinzwa Ye-Polytrauma

Ukuhlinzwa kulandela indlela yesinyathelo ngesinyathelo:

• Izinkinga ezisongela ukuphila zilungiswa kuqala ngokuhlinzwa kokulawula umonakalo
• Ukumisa ukulahleka kwegazi kuyinto ehamba phambili
• Amafracture athola ukulungiswa kwesikhashana ngaphambi kokulungiswa kokugcina
• Amaqembu ahlukene okuhlinza angasebenza ndawonye ekulimaleni okuningi

Ukubuyisela ngemva kokuhlinzwa

Ukubuyisela kwenzeka ngezigaba ezicacile:

• Iziguli zihlala ziqashwe ngeso elibukhali ekunakekelweni okukhulu amahora okuqala angama-24-48
• Izindlela eziningi zisiza ukuphatha ubuhlungu ngokuphumelelayo
• Ukunyakaza kuqala ngokushesha nje lapho kuphephile
• Ukuvuselelwa kuqala esibhedlela futhi kuqhubeke ekhaya

Izingozi Nezinkinga

Ezinye izinkinga ezingaba khona zihlanganisa:

• Amagciwane lapho kwenziwa ukuhlinzwa
• Ama-clots egazi ekubeni unganyakazi isikhathi eside

Izinzuzo Zokuhlinzwa Kwe-Polytrauma

Ukuhlinzwa okusheshayo kusiza iziguli ngezindlela eziningi:

• Ivimba umonakalo nezinkinga ezengeziwe ekuthuthukeni
• Ibuyisela izingxenye zomzimba endaweni efanele
• Yehlisa amathuba okukhubazeka okuhlala njalo
• Inikeza iziguli ithuba elingcono lokusinda
• Ukubuyela ngokushesha emisebenzini evamile
• Amathuba aphansi okuba nezinkinga

Usizo Lomshwalense Wokuhlinzwa Kwe-Polytrauma

Izibhedlela zisiza iziguli ngomshwalense ngokuhlinzeka:

• Abasebenzi abawaziyo umshwalense ngaphakathi
• Siza ekutholeni ukugunyazwa kwangaphambili
• Ukusekela ngamaphepha okufaka isicelo
• Iseluleko esihlobene nemali

Umbono Wesibili Wokuhlinzwa Kwe-Polytrauma

Ukuthola umbono womunye udokotela kunengqondo ngoba:

• Izimo eziyinkimbinkimbi zidinga imibono ehlukene
• Odokotela abahlinzayo abahlukene bangase basikisele izinhlelo ezahlukene
• Ezinye izindlela zingakusebenzela kangcono

Isiphetho

Ukuhlinzwa kwe-Polytrauma kusindisa izimpilo zeziguli ezinokulimala okuningi okubi. Izindlela zokwelapha ziye zashintsha ngempela phakathi neminyaka. Okwakukade kubulala sekuyinto etholakala kalula namuhla. Izibhedlela ze-CARE zihamba phambili kulo mkhakha ngezinsizakalo zazo eziphuthumayo ze-24/7 kanye nendlela esekelwe eqenjini.

Isenzo esisheshayo nokuhlela ngokucophelela kunquma impumelelo yokuphathwa kwe-polytrauma. Izibhedlela ze-CARE zisiza iziguli ukuthi zisebenzise inqubo yomshwalense, zenze ukwelashwa kutholakale kakhulu ngezikhathi ezibucayi. Izinhlelo zabo zokuvuselela ezinemininingwane ziqinisekisa ukuthi iziguli ziyalulama ngemva kokuhlinzwa.