Isibhedlela Esingcono Kakhulu Sokuhlinzwa Kokulimala Kwekhanda E-Traumatic eBhubaneswar

I-Advanced Traumatic Head Injury eBhubaneswar

Ukulimala ekhanda okubuhlungu kwenzeka lapho ukuhlukumezeka kungazelelwe kulimaza ubuchopho. Lolu hlobo lokulimala lwenzeka lapho ikhanda lomuntu ngokuzumayo nangodlame lishaya into noma lapho i-athikili ingena ogebhezini futhi ingena esicubungwini sobuchopho.

Ubuchopho buhlala busengozini yokulimala okuhlukahlukene naphezu kokuvikelwa ugebhezi noketshezi lwe-cerebrospinal. Lokhu kuhlukumezeka kusuka kokuncane izimpikiswano ekulimaleni okukhulu kobuchopho, kuye ngamandla kanye nemvelo yomthelela. Ukwelashwa kokulimala ekhanda okubuhlungu kuhlanganisa ukunakekelwa okuphuthumayo, izithombe, imithi, ukuhlinzwa, ukuhlunyeleliswa kwesimilo, nokuqapha ukunciphisa ukuvuvukala, ukulawula ukopha, nokubuyisela ukusebenza.

Izinhlobo Zokulimala Kwekhanda Elibuhlungu

Izinhlobo eziyinhloko zokulimala ekhanda okuhlukumezayo zihlanganisa:

• I-Concussion: Ukulimala kobuchopho okuncane okuthinta ukusebenza kobuchopho okwesikhashana. Ubuchopho bunyakaza ngokushesha ngaphakathi kogebhezi, kubangela izinguquko zamakhemikhali futhi ngezinye izikhathi zelule imithambo yegazi.
• I-Contusion: Ukulimaza esicutshini sobuchopho, okuvamise ukwenzeka ngokuqondile ngaphansi kwephuzu lomthelela. 
• I-Diffuse Axonal Injury: Isimo esinzima lapho izicubu zobuchopho zikhala lapho ubuchopho bushintsha futhi buzungeza ngaphakathi kogebhezi. Lolu hlobo luthinta izindawo eziningi zobuchopho ngesikhathi esisodwa.
• I-Hematoma: I-Hematoma (iqoqo legazi elingaphandle kwemithambo yegazi) lingakheka phakathi kogebhezi nezicubu zobuchopho noma ngaphakathi kwezingqimba zesembozo sokuzivikela sobuchopho.
• Ukuphuka Kwethambo Logebhezi: Ukuphuka kwethambo logebhezi olungangena noma lungangeni esicutshini sobuchopho. Ukuphuka komugqa yikona okuvame kakhulu, kuyilapho ukuphuka okucindezelekile kuphusha izingcezu zamathambo ziye ebuchosheni.

Odokotela Abahlinzayo Abalimaza Ikhanda Abahamba Phambili 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. 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
• 

  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
• 

  UDkt. Gaurav Sudhakar Chamle

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
• 

  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
• 

  UDkt. Bhavani Prasad Ganji

  Sr. Consultant Umnyango Wokuhlinza Kwezinzwa

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. MD Hameed Shareef

  Udokotela Ohlinzayo Wokuhlinza

  Neurosurgery

  Bhala iNqunto
• 

  UDkt. JVNK Aravind

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
• 

  Dr. Teja Vadlamani

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
• 

  UDkt Sanjeev Kumar Gupta

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
• 

  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

Izimbangela Zokulimala Kwekhanda Elibuhlungu

Lokhu kulimala kubangelwa ukushaya okuqondile ekhanda noma ukunyakaza okunamandla okuzumayo okubangela ukuba ubuchopho bushayisane nendawo engaphakathi yogebhezi.

Izimbangela ezivame kakhulu zihlanganisa:

• Izingozi zomgwaqo ezibandakanya izimoto, izithuthuthu, amabhayisikili, noma abahamba ngezinyawo
• Iwa isuka ezindaweni eziphakeme noma endaweni esezingeni, ikakhulukazi kubantu abadala kanye nezingane
• Imithelela ehlobene nezemidlalo, ikakhulukazi emidlalweni yokuxhumana efana nebhola lombhoxo, isibhakela, nebhola
• Ukuhlaselwa ngokomzimba nobudlova
• Izingozi zasemsebenzini, ikakhulukazi ezimbonini zokwakha nezokukhiqiza
• Ukulimala kanye nokuqhuma kwezempi
• Izingozi ngesikhathi semisebenzi yokuzilibazisa kanye nemidlalo eyeqisayo

Izimpawu Zokulimala Kwekhanda Elibuhlungu

• Izimpawu Zenyama: Okokuqala, izimpawu zomzimba ziyavela:
  • Persistent bekhanda noma ubuhlungu bentamo
  • Kufiphaziwe noma umbono kabili
  • isiyezi kanye nezinkinga zokulinganisela
  • Isicanucanu kanye oluhlanzayo
  • Ukuzwela ekukhanyeni nomsindo
  • Ukukhala ezindlebeni
  • Shintsha amaphethini okulala
  • Ukozela okungajwayelekile noma ubunzima bokuvuka
• Izimpawu Zengqondo: Ngezinye izikhathi, ngemva kokulimala ekhanda, izimpawu zengqondo zingase zivele, zithinte izinqubo zengqondo nokuziphatha. Lokhu kubandakanya: 
  • Izinkinga zememori
  • Ukubunzima ukugxila
  • Ukudideka
  • Ukucabanga kancane
  • Inkulumo emisiwe
  • Ukuzabalaza ukuthola amagama alungile
• Izinguquko Zemizwelo Nokuziphatha: Abanye abantu babhekana nokuzumayo ukushintsha kwemizwelo, ukwanda kokucasuka, noma ukukhathazeka. Abanye bangase babonise izimpawu zokucindezeleka noma izinguquko zobuntu ezibonwa amalungu omndeni kuqala.

Izivivinyo zokuxilonga zokulimala kwekhanda elibuhlungu

Amathuluzi okuxilonga ayinhloko ahlanganisa:

• I-Glasgow Coma Scale (GCS): Ukuhlola okumisiwe okuhlola ukunyakaza kwamehlo, ukuphendula ngamazwi, namakhono emoto
• I-CT Scan: Yakha izithombe ezibanzi zobuchopho eziveza ukopha, ukuvuvukala, noma ukuphuka kogebhezi
• I-MRI Scan: Ikhiqiza izithombe ezinemininingwane yezicubu zobuchopho ukukhomba ukulimala okucashile okungabonakali kuma-CT scan
• Ukuhlolwa Kwezinzwa: Ihlola ama-reflexes, ukusebenzisana, amandla, nokusebenza kwengqondo
• I-Intracranial Pressure Monitoring: Ikala ingcindezi ngaphakathi kogebhezi nge-probe encane

Izinketho Zokwelashwa Kokulimala Ekhanda Okuhlukumezekile

Ngokulimala kwekhanda okuncane, ukugxila okuyinhloko kusalokhu:

• Ukuphumula okuphelele nokuqapha ngokucophelela
• Ukudambisa ubuhlungu obungaphezu kwe-counter kumakhanda
• Ukubuyela kancane kancane emisebenzini evamile
• Ukuhlolwa njalo kwezempilo

Izimo ezimaphakathi nezinzima zidinga ukunakekelwa okuphuthumayo. Ukungenelela ngokuhlinzwa kuba kudingekile ezimweni ezithile. Odokotela abahlinzayo benza izinqubo zokuhlinza ukuze:

• Susa amahlule igazi
• Lungisa ukuphuka kogebhezi
• Yehlisa ingcindezi ngaphakathi kogebhezi
• Dala isikhala sezicubu ezivuvukele

I-Traumatic Head Injury Surgery Inqubo

Izinqubo zokuhlinzwa ezivamile zihlanganisa:

• I-craniotomy: Ukukhipha ingxenye yethambo logebhezi ukuze ufinyelele ebuchosheni
• I-Craniectomy: Ukukhipha ingxenye yogebhezi ukuze kwehliswe ingcindezi
• Ukususwa kwe-Hematoma: Ukukhipha amahlule egazi ebuchosheni
• Ukulungisa Ukuphuka Kogebhezi: Ukulungisa amathambo ogebhezi oluphukile
• I-Shunt Placement: Ukuphatha i-cerebrospinal fluid buildup

Ubude besikhathi sokuhlinzwa busukela emahoreni amabili kuya kwayisithupha, kuye ngobunkimbinkimbi bokulimala. 

Izinqubo Zokuhlinzwa Kokulimala Kwekhanda Kwangaphambi Kokuhlukumezeka

Inqubo yangaphambi kokuhlinzwa iqala ngokuhlolwa okuphelele kwezokwelapha. Ukuhlolwa kwegazi kuhlola izici zokujiyisa kanye nokusebenza kwesitho, kuyilapho ama-X-ray esifuba kanye ne-ECG iqapha impilo yenhliziyo. Ithimba lezinzwa libuyekeza umlando wezokwelapha, imithi yamanje, nanoma yikuphi ukungezwani komzimba nezinto ezithile.

Iziguli kufanele zilandele lezi zinyathelo ezibalulekile zokulungiselela:

• Yeka ukudla nokuphuza amahora angu-8-12 ngaphambi kokuhlinzwa
• Susa bonke ubucwebe, ama-contact lens, namazinyo okufakelwa
• Shintsha ugqoke izingubo zasesibhedlela futhi ugqoke amabhande omazisi
• Sayina amafomu emvume adingekayo ngemva kokuqonda imininingwane yenqubo
• Qedela ukuhlolwa kwezimpawu ezibalulekile nokubuyekezwa kwemithi

Ngesikhathi Sezinqubo Zokuhlinzwa Zokulimala Kwekhanda Elibuhlungu

Izinyathelo eziyinhloko zenqubo zivela ngendlela:

• Ukuphathwa kwezinzwa, okungcono izinzwa ezivamile
• Ukusika isikhumba sekhanda nokulawula ukopha
• Ukudala izimbobo ezincane kugebhezi
• Ukukhipha i-bone flap ukuze ufinyelele ubuchopho
• Ukubhekana nokulimala okuthile noma ukususa amahlule egazi
• Ukulungisa imithambo yegazi eyonakele noma izicubu zobuchopho
• Ukuvala indawo yokuhlinzwa ngokucophelela

Izinqubo Zokuhlinzwa Kokulimala Kwekhanda Kwangemva Kwengozi

Ukululama ngemva kokuhlinzwa kokulimala ekhanda kubalulekile ukuze kuphinde kusebenze kahle. Iziguli zithola ukunakekelwa okukhethekile okugxile kulokhu okulandelayo:

• Amahora okuqala angama-24-48 afakazela ukuthi abalulekile ekuzinziseni kwesiguli. Izisebenzi zezokwelapha zihlola izimpendulo zabafundi, amakhono okunyakaza, namazinga okuqonda njalo ngehora. 
• Ithimba labahlinzayo lizoqapha umfutho wegazi, izinga lokushaya kwenhliziyo, namazinga komoyampilo ngokusebenzisa imishini yokuqapha ethuthukisiwe.
• Ukuphathwa kobuhlungu ngemithi elawulwayo
• Ukuvimbela izinkinga zangemva kokuhlinzwa
• Ukuhlolwa kwezinzwa okuvamile
• Ukunakekelwa kwezilonda nokuvimbela ukutheleleka
• Ukuhlanganisa ngokushesha njengoba kuvunyelwe

Kungani Ukhetha Izibhedlela Ze-CARE Ngenqubo Yokuhlinza I-Traumatic Head Injury?

Izibhedlela ze-CARE ziphakathi kwezikhungo zezokwelapha ezihamba phambili eBhubaneswar ukwelapha ukulimala kwekhanda elibuhlungu. 

Umnyango ozinikele we-neurosurgery esibhedlela uhlanganisa ubuchwepheshe bezokwelapha obuphambili nochwepheshe abanolwazi ukuze banikeze ukunakekelwa okuphelele kweziguli ezihlukumezekile ekhanda.

Ithimba le-neurosurgical ezibhedlela ze-CARE liletha amashumi eminyaka okuhlangenwe nakho okuhlangene ukuphatha ukulimala kwekhanda okuyinkimbinkimbi. Laba chwepheshe basebenza kanye nabahlengikazi abanekhono, ama-physiotherapist, nochwepheshe bokubuyisela esimweni esifanele ukuze kuqinisekiswe ukululama okuphelele kwesiguli.

Isibhedlela sinikeza izinzuzo eziningana ezihlukile:

• Izikhungo ze-State-of-the-art ze-neuroimaging zokuxilongwa okunembile
• Izinsizakalo ze-neurosurgical eziphuthumayo ubusuku nemini
• Amayunithi okunakekela asezingeni eliphezulu anekhono lokuqapha i-neuro-monitoring
• Izinhlelo ezizinikele zokuhlunyeleliswa kwezimilo zokululama ngemuva kokuhlinzwa
• Amathimba okunakekela abantu abahlukumezekile aqeqeshelwe ukuphatha izimo ezibucayi

Indlela yesibhedlela ngokuyinhloko igxile ezinhlelweni zokwelashwa komuntu siqu, kucatshangelwa iphethini ethile yokulimala yesiguli ngasinye kanye nesimo sempilo sisonke. Amathimba ezokwelapha ahlala exhumana nemindeni, ehlinzeka ngezibuyekezo ezivamile mayelana nenqubekelaphambili yokwelashwa nezinyathelo ezibalulekile zokululama.

Ukuzinikela kwesibhedlela ekwenzeni umsebenzi oncomekayo kudlulela ngale kwezinqubo zokuhlinzwa. Izinhlelo zabo zokuhlunyeleliswa zisiza iziguli ukuthi ziphinde zizimele ngemithi yokwelapha ehlosiwe kanye nokuzivocavoca. Ngakho-ke, iziguli zithola ukwesekwa okuqhubekayo kusukela ekungenisweni ngokuthola kabusha, ukuqinisekisa imiphumela engcono kakhulu yokulimala kwekhanda elibuhlungu.