Izibhedlela Ezingcono Kakhulu Zokuhlinzwa Kwe-Whipple e-Hyderabad

Ukuhlinzwa Kwe-Whipple Okuthuthukisiwe    

Inqubo ye-Whipple, ukuhlinzwa kwe-pancreatic okuyinkimbinkimbi, idinga ubuchwepheshe bokuhlinza obungenakuqhathaniswa nokunakekelwa okuphelele. Eyaziwa nangokuthi i-pancreaticoduodenectomy, le nqubo ihlanganisa ukukhishwa kwekhanda le-pancreas gland, ingxenye yokuqala yamathumbu amancane, i-gallbladder, kanye ne-bile duct. Ezibhedlela ze-CARE, sihlanganisa ubuchwepheshe obusezingeni eliphezulu nozwela, ukunakekelwa okugxile esigulini ukuze sinikeze ukuhlinzwa kwe-Whipple okusezingeni lomhlaba, okusenza isibhedlela esingcono kakhulu sokuhlinzwa kwe-Whipple. 

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

Izibhedlela ze-CARE seziyinketho ekhethwayo ezigulini ezifuna le nqubo eyinkimbinkimbi e-Hyderabad ngenxa:

• Amaqembu okuhlinza anekhono eliphezulu anolwazi olunzulu ngezinqubo eziyinkimbinkimbi ze-pancreatic
• Amathiyetha asezingeni eliphezulu anemishini 
• Ukunakekelwa okuphelele kwangaphambi nangemuva kokuhlinzwa okuhambisana nezidingo ezihlukile zesiguli ngasinye
• Indlela egxile esigulini egxile ezidingweni zesiguli, esikukhethayo, kanye nokuphila kahle ngokomzimba nangokomzwelo
• Irekhodi elihle kakhulu lokuhlinzwa kwe-Whipple okuyimpumelelo kanye nemiphumela emihle

Odokotela Abahlinzayo Abangcono Kakhulu 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. CP Kothari

  Umqondisi Womtholampilo - Jikelele, GI, Colorectal, Laparoscopic & Robotic Surgeon

  I-Laparoscopic & General Surgery

  Bhala iNqunto
• 

  UDkt. Karunakar Reddy

  Sr. Consultant

  Bhala iNqunto
• 

  UDkt Amit Ganguly

  Sr. Consultant

  Ukuhlinzwa kwe-Gastroenterology, i-Laparoscopic kanye ne-GI yokuhlinzwa

  Bhala iNqunto
• 

  UDkt. Biswabasu Das

  Umqondisi Womtholampilo - Umnyango Wokuhlinza I-Gastroenterology & Robotic Surgery

  I-Gastroenterology Yokuhlinza, I-Robotic Surgery

  Bhala iNqunto
• 

  UDkt. Hitesh Kumar Dubey

  Umxhumanisi - I-Hepatobiliary, Ukuhlinzwa Kwe-Pancreatic kanye Nodokotela Ohlinzayo Wokufakelwa Kwesibindi

  I-Gastroenterology - Ukuhlinzwa

  Bhala iNqunto
• 

  UDkt. Biswabasu Das

  Umqondisi Womtholampilo - Umnyango Wokuhlinza I-Gastroenterology & Robotic Surgery

  I-Gastroenterology Yokuhlinza, I-Robotic Surgery

  Bhala iNqunto
• 

  UDkt. Bhupathi Rajendra Prasad

  Sr. Consultant & Head Department of Surgical Gastroenterology & Robotic Surgery

  I-Surgery Gastroenterology & Robotic Surgery

  Bhala iNqunto
• 

  UDkt. Sandeep Kumar Sahu

  Udokotela Wokuhlinza I-Gastroenterologist

  I-Gastroenterology Yokuhlinza

  Bhala iNqunto

Izindlela ezintsha zokuhlinza ezibhedlela ze-CARE

Ezibhedlela ze-CARE, sisebenzisa izinto ezintsha zakamuva zokuhlinzwa ukuze sithuthukise ukuphepha nokusebenza kwezinqubo ze-Whipple:

• Ukuhlinzwa Kwe-Whipple Okusizwa ngeRobhothi: Ukuthuthukisa ukunemba nokulawula phakathi nale nqubo eyinkimbinkimbi
• Amasu Ahlasela Kancane: Izindlela ze-Laparoscopic zokululama ngokushesha kanye nezinkinga ezincishisiwe
• I-Ultrasound ye-Intraoperative: Ukuze uthole ukwaziswa okunembile kwesimila kanye nokuhlolwa kwe-margin
• I-Advanced Imaging Technologies: Ukwakhiwa kabusha kwe-3D ukuze kube nemininingwane yokuhlela ukuhlinzwa

Kunconywa Nini Ukuhlinzwa Kwe-Whipple?

Odokotela ngokuvamile batusa ukuhlinzwa kwe-Whipple ngezimo ezihlukahlukene ze-pancreatic kanye ne-periampullary, kuhlanganise:

• Umdlavuza we-Pancreatic
• Umdlavuza we-Ampullary
• I-bile duct umdlavuza
• Umdlavuza we-Duodenal
• I-pancreatitis engapheli
• Izicubu ze-Neuroendocrine
• Ukulimala kuma-pancreas kanye ne-bile duct

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

Xoxa Nochwepheshe Bethu

Izinhlobo Zezinqubo Zokuhlinza I-Whipple

Izibhedlela ze-CARE zinikeza ukuhlukahluka okuhlukile kwenqubo ye-Whipple ehambisana nezidingo ezithile zesiguli ngasinye:

• Inqubo ye-Whipple yakudala: Ukususwa kwekhanda le-pancreas, i-duodenum, gallbladder & ingxenye yomgudu wenyongo
• I-Pylorus-preserving Whipple: Ngokufanayo nenqubo yakudala kodwa igcina i-pylorus (ingxenye engezansi yesisu)
• I-Whipple Ehlasela Kancane: Yenziwa nge-laparoscopically noma ngosizo lwerobhothi kubantu abafanelekile

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Ukuqinisekisa impumelelo yenqubo, ithimba lethu labahlinzayo liqondisa iziguli ngezinyathelo ezinemininingwane zokuzilungiselela, okuhlanganisa:

• Ukuhlolwa okuphelele kwezokwelapha kanye nokuhlolwa komzimba
• Iziyalezo zokudla ngokuzila ukudla
• Izifundo ze-imaging zangaphambi kokuhlinzwa, okuhlanganisa umsebenzi wegazi, i-CT, noma i-MRI
• Ukubhema ukwesekwa kokuyeka
• Ukubuyekeza nokulungiswa kwemithi ethile
• Ukulungiselela ngokomzwelo nangokwengqondo

I-Whipple Surgery Inqubo Yokuhlinza

Inqubo ye-Whipple e-CARE Hospitals ngokuvamile ihlanganisa:

• Ukuphatha jikelele i-anesthesia
• Ukusika ngokucophelela esiswini
• Ukususwa kwezingxenye ezithintekile (ikhanda le-pancreas, i-duodenum, i-gallbladder, i-bile duct)
• Ukwakhiwa kabusha kwesistimu yokugaya ukudla
• I-anastomoses ecophelelayo ukubuyisela ukuqhubeka kwe-pancreas namathumbu
• Ukubekwa kwemisele yokuhlinzwa
• Ukuvalwa ngokucophelela kokusikwa

Odokotela bethu abanekhono baqinisekisa ukuthi isinyathelo ngasinye senziwa ngokunemba nangokucophelela okukhulu.

Ukubuyiselwa Kokuhlinzwa Kwe-Whipple

Ukululama ngemva kokuhlinzwa kwe-Whipple kuyisigaba esibalulekile. Ezibhedlela ze-CARE, sihlinzeka:

• Ukuqapha okujulile kokunakekelwa kwezimpawu ezibalulekile nezimpawu zanoma yiziphi izinkinga
• Ukuphathwa kobuhlungu okuphelele
• Ukuhlanganisa kusenesikhathi ukuvimbela izinkinga
• Ukwelulekwa ngokudla
• Ukunakekelwa kwezilonda nokuvimbela ukutheleleka
• Ukuphathwa kwesifo sikashukela (uma kusebenza)
• Ukwelapha ngokomzimba kanye nokuvuselelwa

Ubude bokuhlala esibhedlela buyahlukahluka kodwa ngokuvamile busukela ezinsukwini ezingu-7-14, kuye ngenqubekelaphambili yokululama komuntu ngamunye.

Izingozi Nezinkinga

Ukuhlinzwa kwe-whipple, okuwukuhlinzwa okukhulu, kunezingozi ezithile. Lokhu kungase kuhlanganise:

• Ukutheleleka
• ukopha
• I-pancreas fistula
• Ukukhipha isisu okubambezelekile
• Diabetes
• I-Malabsorption kanye nokushoda kokudla okunempilo

Incwadi Ukuqokwa

Izinzuzo Zokuhlinzwa Kwe-Whipple

Ukuhlinzwa kwe-Whipple kunikeza izinzuzo ezimbalwa ezigulini ezine-pancreatic kanye nezimo ze-periampullary:

• Ikhambi elingaba khona le-pancreatic kanye neminye imidlavuza
• Ukukhululwa ezimpawini ezithiyayo
• Izinga lempilo elithuthukisiwe
• Ithuba lokwelashwa okuhlosiwe kwe-adjuvant

Usizo Lomshwalense Wokuhlinzwa Kwe-Whipple

Ezibhedlela ze-CARE, siyaqonda ukuthi ukuhamba ngomshwalense kungaba yinselele. Ithimba lethu elizinikele lisiza iziguli ku:

• Ukuqinisekisa ukufakwa komshwalense
• Ukuthola ukugunyazwa kwangaphambili
• Ukuchaza izindleko eziphuma ephaketheni
• Ukuhlola izinketho zosizo lwezezimali uma kudingeka

Umbono Wesibili Wokuhlinzwa Kwe-Whipple

Ithimba lethu lezokwelapha likhuthaza iziguli ukuthi zithole umbono wesibili ngaphambi kokuhlinzwa kwe-Whipple. Izibhedlela ze-CARE zinikeza izinsiza ezibanzi zombono wesibili, lapho odokotela bethu abahlinzayo abangochwepheshe:

• Buyekeza umlando wakho wezokwelapha futhi izivivinyo zokuxilonga
• Xoxa ngezinketho zokwelapha kanye nemiphumela yazo engaba khona
• Nikeza ukuhlola okuningiliziwe kohlelo lokuhlinzwa oluhlongozwayo
• Bhekana nanoma yikuphi ukukhathazeka noma imibuzo ongase ube nayo

Isiphetho

Ukuhlinzwa kwe-Whipple kuyinqubo eyinkimbinkimbi kodwa esindisa ukuphila. Ngokususa izicubu ezithintekile nokuxhuma kabusha izitho zokugaya ukudla, ukuhlinzwa kwe-Whipple (pancreaticoduodenectomy) kuthuthukisa amathuba okusinda futhi kuthuthukisa izinga lempilo yeziguli eziningi. Ukukhetha izibhedlela ze-CARE ukuze uhlinzwe i-Whipple kusho ukukhetha ukwenza kahle ekunakekelweni kokuhlinzwa, amasu amasha, kanye nokwelashwa okugxile esigulini. Ithimba lethu lochwepheshe abahlinzayo be-GI, izikhungo zesimanjemanje, kanye nendlela yokunakekela ebanzi isenza ukukhetha okuphezulu kwenqubo ye-Whipple e-Hyderabad.