Isibhedlela Esihamba phambili Sokuhlinzwa kwe-TURBT e-Hyderabad

Ukuhlinzwa Kwe-TURBT Okuthuthukisiwe

I-TURBT (I-Transurethral Resection of Bladder Tumours) iwukukhetha okuyinhloko kokwelashwa kwezigameko zomdlavuza wesinye ongahlaseli imisipha. Odokotela basebenzisa le nqubo ebalulekile ukuze bahlole futhi basuse izicubu ezinomdlavuza esinyeni ngokuhlaselwa okuncane.

Ukuhlinzwa kuthatha imizuzu eyi-15 kuye kwengama-90 nge-anesthesia ejwayelekile noma yomgogodla. Irekhodi lokuphepha lokuhlinzwa kwe-TURBT kufanele liqinisekise iziguli, njengoba izinkinga zenzeka ezigulini ezimbalwa kakhulu. Lezi ikakhulukazi zihlanganisa ukutheleleka kwe-urinary tract nokopha. Izindlela ezintsha zokuthatha izithombe njengokukhanya okuluhlaza okwesibhakabhaka i-cystoscopy akhuphule ukutholwa kwesimila futhi ehlisa ithuba lokubuya komdlavuza uma kuqhathaniswa nezindlela ezijwayelekile. Amasu amasha afana ne-en bloc resection abonisa isithembiso ekwehliseni izinkinga kanye nokuzuza imiphumela engcono.

Kungani izibhedlela ze-CARE Group ziyisinqumo sakho esiphezulu sokuhlinzwa kwe-Transurethral Resection of Bladder Tumors (TURBT) e-Hyderabad

Izibhedlela ze-CARE Group zimi njengendawo ehamba phambili yokuhlinzwa kwe-TURBT (Transurethral Resection of Bladder Tumour) e-Hyderabad. Ochwepheshe abanolwazi olunzulu banikeza ukunakekelwa okukhethekile ezigulini ezidinga ukwelashwa kwekhwalithi yomdlavuza wesinye.

Odokotela Abahlinzayo Be-TURBT 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

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  UDkt. Arun Rathi

  Udokotela onguchwepheshe we-Urologist & Andrologist

  Urology

  Bhala iNqunto
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  UDkt. BV Rama Raju

  Sr. Consultant

  Urology, Ukufakelwa kwezinso

  Bhala iNqunto
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  UDkt. K Rama Raju

  Sr. Consultant

  Urology

  Bhala iNqunto
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  UDkt. Murali Mohan Bheri

  umxhumanisi

  I-UROLOGY

  Bhala iNqunto
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  UDkt. Suvajit Pradhan

  umxhumanisi

  Urology

  Bhala iNqunto
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  UDkt. SV Chaitanya

  umxhumanisi

  Urology

  Bhala iNqunto
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  UDkt. Harsh Jain

  Umxhumanisi Omncane

  Urology

  Bhala iNqunto
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  UDkt. Saurabh Julka

  Sr. Consultant

  Urology kanye nokufakelwa kwezinso

  Bhala iNqunto
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  UDkt. Upendra Kumar N

  Sr. Consultant - Urology & Andrology

  I-Urology ne-Andrology

  Bhala iNqunto
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  UDkt. Gillella Narasimha Reddy

  umxhumanisi

  Bhala iNqunto
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  UDkt. Vipin Sharma

  umxhumanisi

  Urology

  Bhala iNqunto
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  UDkt. P Randheer Kumar

  Urologist

  Urology

  Bhala iNqunto
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  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

Izithuthukisi Zokuhlinza Ezisezingeni eliphezulu esibhedlela i-CARE

Imishini yesimanjemanje yezibhedlela ze-CARE kanye nobuchwepheshe obuthuthukile benza ngcono imiphumela yokuhlinzwa ngokungaguquki. Amakhamera e-endoscopic anencazelo ephezulu ahlinzeka ngokubonwa okuphezulu phakathi nezinqubo. Izinketho ze-cystoscopy yokukhanya okuluhlaza okwesibhakabhaka (BLC) zithuthukise amazinga okutholwa kwesimila uma kuqhathaniswa nezindlela ezijwayelekile. Le ndlela ethuthukisiwe inciphisa izinga lokuphindaphinda kwe- umdlavuza.

Imibandela Yokuhlinzwa Kwe-TURBT

I-TURBT isebenza njengenqubo yokuxilonga neyokwelapha ezigulini ezine:

• Isigaba sokuqala umdlavuza wesinye
• Izimila zesinye esibonakalayo - zitholakala nge-cystoscope
• Umdlavuza wesinye ongahlaseli imisipha odinga ukuxilongwa noma ukwelashwa

Odokotela Bezibhedlela ze-CARE batusa i-TURBT ngesikhathi sokuqala komdlavuza wesinye lapho amathumba ekhona esinyeni kuphela. Ochwepheshe bangasusa izimila kuyilapho belondoloza esinyeni ezimweni eziningi.

Izinhlobo zezinqubo ze-TURBT

Izibhedlela ze-CARE zithunga izindlela ezahlukahlukene ze-TURBT ezidingweni zesiguli ngasinye:

• I-Conventional TURBT: I-resectoscope efakwe ngomgudu womchamo ithola futhi isuse izimila zibe yizicucu.
• I-Bipolar TURBT: I-Bipolar electrocautery inciphisa izinkinga futhi iqede isidingo sezixazululo ze-hypotonic irrigation
• I-En Bloc TURBT: Lonke ukususwa kwesimila kwenzeka njengesicucu esisodwa, esithuthukisa ukuhlolwa kwe-pathological futhi kungehlisa izinga lokuphindeka
• I-Laser TURBT: Amandla e-laser athatha indawo ye-electrocautery ukuze anikeze izikhathi zokusebenza ezimfushane futhi anciphise ingozi yokopha

Izibhedlela ze-CARE zihlanganisa izinsizakalo zokuxilonga ezisezingeni lomhlaba nokunakekelwa komtholampilo okongayo. Lokhu kuqinisekisa ukuthi iziguli zithola inqubo ye-TURBT efaneleke kakhulu yesimo sazo.

Yazi Inqubo

Ukuqonda kahle isigaba ngasinye kusiza iziguli ukuthi zibhekane nenqubo ngokuzethemba.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Iziguli kumele zilandele le mihlahlandlela ngaphambi kwenqubo yazo:

• Udokotela wakho uzokutshela ukuthi kufanele umise nini imithi enciphisa igazi 
• Ungadli noma yini amahora angu-8 ngaphambi kokuhlinzwa
• Ungaba noketshezi olucacile kuze kube amahora angu-3 ngaphambi kokuhlinzwa
• Thatha imithi yakho egunyaziwe ngokuphuza kancane amanzi
• Yeqa ama-lotions, amakha noma iziqedaphunga ngosuku lokuhlinzwa

Inqubo Yokuhlinzwa ye-TURBT

Ukuhlinzwa ngokuvamile kuthatha imizuzu engu-15-90. Udokotela wakho ohlinzayo uzo:

• Khulisa jikelele noma umgogodla i-anesthesia
• Faka insimbi encane, ekhanyayo (cystoscope) ku-urethra yakho
• Gcwalisa esinyeni sakho ngoketshezi ukuze ubone kangcono
• Susa izimila usebenzisa i-resectoscope eneluphu yocingo
• Sebenzisa ukushisa ukumisa ukopha
• Faka i-catheter ukukhipha umchamo futhi uvimbele ukujiya

Ukubuyisela ngemva kokuhlinzwa

Ngemva nje kokuhlinzwa, ungase ube:

• Umchamo obomvana amaviki angu-1-3
• A umuzwa oshisayo ngenkathi uchama
• I-spasms kwesinye noma amajaqamba

Iziguli eziningi ziya ekhaya ngalolo suku noma ngemva kokuhlala ubusuku obubodwa. Ukululama ngokugcwele kuthatha cishe amasonto ayisithupha, kodwa iziguli eziningi zingaphinda zisebenze phakathi kwezinsuku ezingu-2-3. Kufanele ugweme ukuphakamisa izinto ezinzima kanye nemisebenzi enzima cishe amasonto ama-3.

Izingozi Nezinkinga

I-TURBT iyinqubo ephephile enezinga eliphansi lezinkinga. Izinkinga ezijwayelekile zihlanganisa:

• ukopha 
• Ukubhobozwa kwesinye 
• Izifo ezithinta u-Urinary 
• Izimpawu zomgudu womchamo ophansi 

Izinkinga ezingavamile kodwa ezimbi kakhulu zingase zihlanganise ukopha okukhulu okudinga izinqubo ezengeziwe noma ukubhobozwa kwesinye.

Kufanele uxhumane nodokotela wakho ngokushesha uma une imfiva ngaphezu kuka-101°F, amakhaza, aqinile isicanucanu, ukuhlanza, noma ukungakwazi ukuchama ngemva kwenqubo. Lezi zimpawu zingakhomba izinkinga ezidinga usizo lwezempilo oluphuthumayo.

Izinzuzo Zokuhlinzwa Kwe-TURBT

I-TURBT iza nezinzuzo eziningi:

• Akukho ukusikeka ngaphandle komzimba
• Ukuhlasela okuncane
• Isinye sakho sisebenza ngokujwayelekile 
• Odokotela bangaxilonga futhi belaphe ngesikhathi esisodwa
• Iziguli eziningi ziya ekhaya ngalo lolo suku
• Inqubo ingenziwa futhi uma kudingeka

Usizo Lomshwalense Wokuhlinzwa Kwe-TURBT

Iningi lezinhlelo zomshuwalense wezempilo zikhava i-TURBT njengoba idingeka ukwelapha umdlavuza wesinye. Noma kunjalo, kufanele uhlole imininingwane yakho yokukhava futhi uqonde izindleko ezingase zibe khona kusengaphambili.

Umbono Wesibili Wokuhlinzwa Kwe-TURBT

Umbono wesibili we-uropathologist onguchwepheshe ushintsha izinhlelo zokwelapha zeziguli eziningi. Ezigulini ezinomdlavuza wesinye, abaningi bathola iziphakamiso zokwelashwa ezihlukene lapho bebuza omunye udokotela. Lokhu kubonisa ukuthi kungani kufanele ukhulume nochwepheshe ezikhungweni zomdlavuza eziphelele ngaphambi kokuqala ukwelashwa.