Hyderabad
Raipur
Bhubaneshwar
Visakhapatnam
Nagpur
esilengayo
Chh. SambhajinagarXhumana Nodokotela Abangochwepheshe Ezibhedlela ze-CARE
I-coronary artery bypass graft iyindlela enkulu yokuhlinzwa. Ithimba lodokotela abangcono kakhulu, odokotela abahlinzayo, abahlengikazi, kanye nabanye abasebenzi bezempilo ezibhedlela ze-CARE benza konke okusemandleni ethu ukwelapha izinkinga ezihlobene nenhliziyo ngemithi, ukushintsha indlela yokuphila, noma izinqubo ezingahlinzeki ngaphambi kokukhetha ukuhlinzwa eSibhedlela Sokuhlinzwa Se-CABG e-Hyderabad.
Sikhetha ukuhlinzwa ukuze sibhekane nezinkinga ezinjengokwakheka kwama-plaque (okunomthwalo wokuvimbela ukugeleza kwegazi ngokuphelele noma ingxenye yomthambo wenhliziyo), yokumelwa yinhliziyo, imithambo yegazi enesifo noma evuleke (ngokwesibonelo i-aorta), amavalvu enhliziyo anephutha, nezigqi zenhliziyo ezingavamile.

Ngenqubo ye-CABG, ithimba le-CARE Hospitals liphambukisa igazi ezingxenyeni ezivalekile noma eziwumngcingo emithanjeni emikhulu ukuze kuthuthukiswe ukuhamba komoyampilo kanye negazi enhliziyweni.
I-CABG (i-coronary artery bypass graft surgery) iyinqubo ehilela ukwelapha i-CAD (i-Coronary artery disease). I-CAB inciphisa imithambo yenhliziyo okusho ukuthi ivala imithambo yegazi enesibopho sokuhlinzeka ngemisoco nomoya-mpilo emisipha yenhliziyo. Ngaphezu kwalokho, kufinyeza ukunikezwa kwegazi okucebile-oxygen enhliziyweni. Lapha, samukela i-CABG ukulungisa le nkinga.
Odokotela basezibhedlela ze-CARE bakhetha izinqubo ezithuthukisiwe zokuxilongwa kwe-CAD ngaphambi kokuyohlinzwa i-CABG. Odokotela bethu bahlola igazi kanye nokuhlolwa komzimba uma kudingekile futhi batusa ukuhlolwa okufana ne-cardiac nuclear scan, ukuhlolwa kokuzivocavoca umzimba, kanye ne-catheterization yenhliziyo ngaphambi kokuqhubeka nokuhlinzwa kwe-CABG e-Hyderabad. Nge-catheterization, odokotela bethu bayakwazi ukwazi ukuqina kwesifo njengoba kukhombisa ukuthi yimuphi umthambo othintekile. Lokhu kuhlolwa kubalulekile ukuze kunqunywe ukuthi umuntu udinga ukuhlinzwa ngokudlula noma cha.
I-CABG iyinqubo yenhliziyo evulekile - Ngemva kokwenza zonke izivivinyo ezidingekayo, odokotela base-CARE Hospitals bafaka isiguli ngaphansi i-anesthesia jikelele. Udokotela ohlinzayo uqala ukuhlinza ngokusika indawo emaphakathi esifubeni.
Ihlukanisa futhi ihlukanise i-sternum (ithambo lesifuba). Ngemva kwalokhu, ukuhlangana kwamashubhu kwenziwa nenhliziyo futhi lawa axhunywe emshinini wamaphaphu enhliziyo ogcina ukugeleza nokunikezwa kwegazi ngomoya omuhle. Ukumpompa igazi kusuka enhliziyweni kuya emshinini futhi ngaphezu kwalokho, libuyiselwa emzimbeni ukuze lijikeleze. Izinga lokushisa, umfutho wegazi, nokuphefumula kulawulwa njalo. Ngezinye izikhathi, izimbobo ezincane zenziwa esifubeni ukugwema ukusika ithambo lesifuba.
I-Aorta clamping ngodokotela abahlinzayo be-CARE Hospitals - Uma uthatha amandla umshini wenhliziyo-amaphaphu wenhliziyo, ukubopha kwe-aorta kwenziwa odokotela abahlinzayo (lapha umthambo omkhulu wegazi uzungeza igazi lisuka enhliziyweni liye kuwo wonke umzimba). Ngaphezu kwalokho, ithimba lithunga noma lixhume i-artery noma umthambo osuka kwenye ingxenye yomzimba ukuya kumthambo wenhliziyo ovalekile. Imithambo exhunyelelwe noma imithambo ixhuma i-aorta nemithambo yenhliziyo.
Ngokulandelayo, lezi zidlula imithambo yenhliziyo evalekile ukuze ilethe igazi enhliziyweni egcwele umoya-mpilo. Umthambo noma umthambo osetshenziselwa ukuxhunyelelwa ngokuvamile uthathwa emthanjeni we-saphenous (usemlenzeni). Kule nqubo, okungenani umthambo owodwa noma umthambo uvame ukusetshenziswa njengendlela yokuxhunyelelwa. Ngokuvamile, i-artery yangaphakathi yebele elithathwa ngakwesokudla noma kwesokunxele odongeni lwesifuba (ngaphansi kwethambo lesifuba).
Odokotela abahlinzayo bathunga umthambo wesifuba uqonde emthanjeni wenhliziyo ovalekile. Ezimweni ezimbalwa, odokotela baphinde basebenzise umthambo we-mammary kusukela ku-forearm noma enye ingxenye yohlangothi. Leyo mithambo noma imithambo isetshenziswa engeyona ingozi ukuthi isuswe futhi ayibalulekile endaweni yokuqala.
Ngemva kokuqeda ukuxhunyelelwa nokukhipha umshini wamaphaphu enhliziyo, amaphaphu nenhliziyo kuphinda kusebenze, futhi udokotela ohlinzayo uxhuma kabusha ithambo lesifuba nezintambo zensimbi engagqwali. Ekuhlinzeni okukodwa, kungenziwa ukudlula okukodwa kuya kweziyisithupha.
Izibhedlela ze-CARE nazo zihlanganiswe namasu amasha - Kwezinye izimo, amasu amasha ayadingeka futhi sihlome ngokugcwele. Ngokwesibonelo, i indlela yokushaya inhliziyo. Le nqubo ayidingi umshini wamaphaphu enhliziyo kodwa futhi yenziwa ngokusika isifuba esimaphakathi. Ukuthunga ama-bypasses kwenziwa ngqo enhliziyweni ngaphandle kokukumisa. Le nqubo yamukelwa udokotela wethu ohlinzayo lapho isiguli sisengozini yezinkinga zemishini yenhliziyo namaphaphu.
Ukubhekisisa okuhle nokunakekelwa - Ngemuva kwenqubo ye-CABG ezibhedlela ze-CARE, iziguli zihlala egunjini labagula kakhulu ngokuqapha okujulile cishe amahora angama-24. Lapho kuqedwa izinsuku ezimbili noma ezintathu, iningi leziguli livunyelwe ukudla ukudla okuqinile futhi ziyaphuma esibhedlela zingakapheli izinsuku ezinhlanu kuya kweziyisikhombisa. Uma sekuqediwe ngesonto, babizelwa ukukhishwa kwemithungo.
Ukuhlinzwa kwe-coronary artery bypass graft (CABG) kukhulisa ukugeleza kwegazi enhliziyweni yakho kodwa akulona ikhambi le-coronary artery disease. Lokhu kubalulekile ukulandela uhlelo lwemithi njengoba kunqunywe udokotela ovela esibhedlela esingcono kakhulu se-CABG e-Hyderabad. Ngaphezu kwalokho, siphinde siphakamise izinguquko zendlela yokuphila ewusizo ezikugcina usengozini ephansi yezinkinga zenhliziyo zesikhathi esizayo. Lezi zinguquko zihlanganisa:
Gcina i-cholesterol
Gwema ukubhema
Hlola isifo sikashukela kanye nomfutho wegazi ophezulu
Lawula ukukhuluphala futhi ulawule isisindo esinempilo
Njalo ukudla okuhambisana nenhliziyo
Yiba yingxenye yohlelo lokuvuselela inhliziyo
Lawula intukuthelo nokucindezeleka
Thatha yonke imithi njengoba uyalelwe
Yenza ukuvakasha kokulandelela ukuze ubone udokotela wakho njalo
CARE Izibhedlela baziwa ngokunikeza izinqubo zokwelapha ezisezingeni lomhlaba nabasebenzi abaqeqeshwe kahle. Ukugxila kwethu ezinqubweni ezincane ezihlasela iziguli, kunciphisa izindleko ze-cabg futhi siqinisekise ukuhlala isikhathi esifushane esibhedlela nokululama ngokushesha.
I-MBBS, MD, i-DNB
Cardiology
I-MBBS, MS, MCH
Ukuhlinzwa Kwenhliziyo
MBBS, MD (General Medicine), DM (Cardiology), FICC, FESC
Cardiology
MBBS, MD, DM, FICA
Cardiology
I-MBBS, MD, i-DNB
Cardiology
MBBS, MD, DNB Cardiology, FICS (Singapore), FACC, FESE
Cardiology
I-MBBS, MD (Umuthi), DM (I-Cardiology)
Cardiology
I-MBBS, MD, i-DM
Cardiology
MBBS, MS (Ukuhlinzwa Okujwayelekile), MS (Ukuhlinzwa Kwenhliziyo), FRCS, Mch, PGDHAM
Ukuhlinzwa Kwenhliziyo
MBBS, MD, DNB (Cardiology), FACC
Cardiology
MD (BHU), DM (PGI), FACC (USA), FHRS (USA), FESC (EURO), FSCAI (USA), PDCC (EP), CCDS (IBHRE, USA), CEPS (IBHRE, USA)
Cardiology
I-MBBS (JIPMER), MD, DNB (I-Cardiology), i-FSCAI
Cardiology
I-MBBS, DNB (MED), DNB (I-Cardiology)
Cardiology
I-MBBS, MD (Umuthi), DM (I-Cardiology)
Cardiology
MBBS, MS, MCh, FIACS, FACC, FRSM
Ukuhlinzwa Kwenhliziyo
MBBS, MD (General Medicine), DM (Cardiology)
Cardiology
MBBS, MD, DM (Cardiology) (AIIMS), FACC, FSCAI
Cardiology
MBBS, MD (General Medicine), DM (Cardiology)
Cardiology
I-MBBS, MS, MCh (Ukuhlinzwa kweCardiothoracic)
Ukuhlinzwa Kwenhliziyo
MS, MCh
Ukuhlinzwa Kwenhliziyo
MBBS, MD (General Medicine), DM (Cardiology)
Cardiology
MBBS, MD (Izifo Zezingane), DM (I-Cardiology), FSCAI
Cardiology
I-MBBS, DM (I-Cardiology)
Cardiology
I-MBBS, MD, DM (I-Cardiology)
Cardiology
MBBS, MD (AIMS), DM, FSCAI, FACC (USA), FESC (EUR), MBA (Hospital Administration)
Cardiology
I-MBBS, i-PGDCC, i-CCCS, i-CCEBDM
Cardiology
MBBS, MD, DNB, FACC, FICS
Cardiology
MBBS, MD, (DNB)
Cardiology
I-MBBS, MD, DM (I-Cardiology)
Cardiology
I-MBBS, MD, FAAP, FACC, FASE
I-Pediatric Cardiology
I-DNB (Ukuhlinzwa Okujwayelekile), i-DNB - CTVS (Indondo Yegolide)
Ukuhlinzwa Kwenhliziyo, Ukuhlinzwa Kwenhliziyo Kwezingane
MBBS, DNB (Imithi Yangaphakathi), DNB (I-Cardiology)
Cardiology
MBBS,MD,DM
Cardiology
MBBS, MRCP (UK), FRCP (London)
Cardiology
I-MBBS, MS, MCh (AIIMS)
Ukuhlinzwa Kwenhliziyo
MD, DM (Cardiology), FACC (USA), FESC, FSCAI (USA)
Cardiology
I-MBBS, MD, DM (I-Cardiology)
Cardiology
MBBS, MS, MCh (CTVS)
Ukuhlinzwa Kwenhliziyo
MD. I-DM (I-Cardiology) I-Fellow of American College of Cardiology (FACC), Fellow of European Society of Cardiology (FESC)
I-Cardiology, I-Cardiology Yezingane
MBBS, MS, MCh (CTVS), FIACS
Ukuhlinzwa Kwenhliziyo
MBBS, MD (General Medicine), DM (AIIMS New Delhi), FACC
Cardiology
MBBS, DNB, DM, FESC, FSCAI (USA)
Cardiology
I-MBBS, MD, i-DM
Cardiology
MBBS, MD, DM (PGIMER), FACC, FSCAI, FESC, FICC
Cardiology
I-MBBS, DM (I-Cardiology), MD (Izifo Zezingane)
I-Cardiology, I-Cardiology Yezingane
MBBS, MD (Imithi Yangaphakathi), DM (I-Cardiology)
Cardiology
I-MBBS, MD, i-DM
Cardiology
MBBS, MD (Ikhadi, UKR), FCCP
Cardiology
I-DM (I-Cardiology)
Cardiology
MD, DM, PDF
Cardiology
MBBS, MD, DM, CEPS, CCDS (USA), FACC, FESC, FSCAI
Cardiology
MD, FC, FACC
Cardiology
MBBS, DNB (CTVS), FIACS, Fellowship (UK)
Ukuhlinzwa Kwenhliziyo
I-MBBS, i-PGDCC, i-PG Diploma (Isifo Sikashukela Somtholampilo)
Cardiology
MS, MCh
Ukuhlinzwa Kwenhliziyo
MBBS, MRCP, FSCAI
Cardiology
MBBS, DrNB (CTVS)
Ukuhlinzwa Kwenhliziyo, Ukuhlinzwa Kwemithambo
I-MBBS, i-PGDCC, i-PG Diploma (Isifo Sikashukela Somtholampilo)
Cardiology
MBBS, DNB, DM
Cardiology
MBBS, DNB, CTVS
Ukuhlinzwa Kwenhliziyo, Ukuhlinzwa Kwemithambo
MBBS, DCH, DNB (Izifo Zezingane), FNB (I-Paediatric Cardiology)
I-Pediatric Cardiology
MBBS, MD (General Medicine), DM (Cardiology)
Cardiology
MBBS, MD, DM, FACC, FSCAI, FCSI, FICC
Cardiology
MBBS, MS (Gen. Sur), MCh (CTVS)
Ukuhlinzwa Kwenhliziyo
MBBS, MD (Gen Medicine), DM (Cardiology)
Cardiology
MBBS, MS, FCS (USA)
Ukuhlinzwa Kwenhliziyo Kwezingane
MBBS, MD (General Medicine), DM (Cardiology)
Cardiology
I-MBBS, MD, DM (I-Cardiology)
Cardiology
MD, PGIMER
Cardiology
MBBS, MS, MCh
Ukuhlinzwa Kwenhliziyo
MBBS, MD (MED), DNB(Cardiology)
Cardiology