Isibhedlele esona siGqibo seVascular kunye ne-Endovascular Surgery eIndiya | Isibhedlele esiPhezulu seVascular Care-izibhedlele zaseApollo

1. I-Peripheral Arterial Disease (PAD)

I-Peripheral Arterial Disease yimeko eyingozi yokujikeleza kwegazi eyenzeka xa i-artery emxinwa inciphisa ukuhamba kwegazi kwimilenze yakho, echaphazela kakhulu imilenze yakho. Oku kuncitshiswa kokuhamba kwegazi kunokubangela iimpawu ezivela kwintlungu yomlenze ngelixa uhamba (i-claudication) ukuya kumanxeba okupholisa ngokukhawuleza. Kwizibhedlele zeApollo, siyayiqonda indlela iPAD enobuchaphazela ngayo ubomi bakho bemihla ngemihla. Indlela yethu yonyango ebanzi idibanisa ukhetho olugcinayo kunye nolutyando, olulungiselelwe imeko yakho ethile kunye nobunzima.

Ukuba ayinyangwanga, i-PAD inokuqhubela phambili iye kwiingxaki ezimandundu, kubandakanywa ukubola, okunokufuna ukunqunyulwa. Yiyo loo nto ukufunyaniswa kwangethuba kunye nolawulo kubalulekile. Iqela lethu leengcali ze-vascular liya kusebenzisana nawe ukugxila ekubuyiseleni ukuhamba kwegazi kunye nokulawula iimpawu.

Unyango olungalulo utyando:

• Ukuguqula indlela yokuphila: Ukuyeka ukutshaya, iinkqubo zokuzilolonga, kunye nokutya okunempilo.

• Amayeza:

I-Antiplatelet (umzekelo, i-aspirin) ukukhusela amahlule egazi.

Amachiza okunciphisa i-cholesterol (umzekelo, i-statins).

Amayeza okuphucula ukuhamba kwegazi (umzekelo, i-cilostazol).

UNyango loTyando kunye noNyango oluHlangeneyo kancinci:

• I-Angioplasty kunye ne-Stenting: Ukufakwa kwebhaluni okanye i-stent ukuvula imithambo evalekileyo.

• Utyando lotyando: Ukususwa kwe-plaque buildup kwi-arteries.

• Utyando lokudlula: Ukudala indlela entsha yokuhamba kwegazi ejikeleze umthambo ovalekileyo.
 

Yazi ngakumbi ngePeripheral Arterial Disease

2. Isifo seCarotid Artery

Isifo se-carotid artery sichaphazela imithambo ebalulekileyo entanyeni yakho enikezela ngegazi kwingqondo yakho, nto leyo ebangela ukuba kube ngumngcipheko omkhulu we-stroke. Iinkqubo zethu zokuhlola ezikhethekileyo zijolise ekubhaqweni kwangaphambili kunye nokungenelela ukuze kuthintelwe iingxaki ezinokubeka ubomi esichengeni. Ngokusebenzisa umfanekiso ophucukileyo kunye nobuchule bokuxilonga, sinokuchonga ukucutha okanye ukuvaleka kwimithambo yakho yecarotid ngaphambi kokuba ibangele iimpawu.

Sinikezela ngoluhlu lweenketho zonyango, ukusuka kulawulo lwezonyango ukuya kungenelelo lotyando olufana ne-carotid endarterectomy kunye ne-stenting. 

Unyango olungalulo utyando:

• Amayeza:

Ii-Antiplatelet agents (umzekelo, i-aspirin) ukukhusela amahlwili.

Amachiza okwehlisa i-cholesterol.

Amayeza okulawula uxinzelelo lwegazi.

UNyango loTyando kunye noNyango oluHlangeneyo kancinci:

• Ukususwa kweCarotid Endarterectomy (CEA): Ukususwa kotyando kwi-plaque kwi-carotid artery.

  Funda ngokugqithisileyo

• I-Carotid Artery Stenting (CAS): Ukubekwa kwe-stent ukugcina umthambo uvulekile, ngakumbi kwizigulane ezinomngcipheko ophezulu wotyando.
 

Oogqirha bethu abanamava baya kukukhokela kweyona ndlela ifanelekileyo yonyango, ngokuqwalasela izinto ezifana nenqanaba lokunciphisa umthambo, impilo yakho yonke, kunye nezinto ozikhethayo.

3. I-Aortic Aneurysms

I-aortic aneurysm yiqhuma elingaqhelekanga eludongeni lwe-aorta. Unyango luxhomekeke kubukhulu kunye nendawo ye-aneurysm. Le meko ifuna ukubeka iliso ngononophelo kunye nolawulo lweengcali ukukhusela iingxaki ezisongela ubomi. Kwizibhedlele ze-Apollo, sisebenza ngokukhethekileyo ekuphatheni ii-aneurysms zesisu kunye ne-thoracic aortic, ukubonelela ngokubeka iliso rhoqo kwii-aneurysms ezinkulu kune-5.5 cm kunye nokubonelela ngeendlela zonyango eziphambili ezibandakanya ukulungiswa kwe-endovascular aneurysm encinci (EVAR) kunye nokuhlinzwa okuvulekileyo kwendabuko xa kuyimfuneko.

Iqela lethu elinamava lisebenzisa itekhnoloji ye-imaging ye-state-of-art ukulandelela ubungakanani be-aneurysm kunye nezinga lokukhula, ukuqinisekisa ukungenelela ngexesha elifanelekileyo xa kufuneka. Siyaqonda ukuba imeko nganye yahlukile, kwaye sisebenza ngokusondeleyo nawe ukufumanisa eyona ndlela yonyango ifanelekileyo, nokuba oko kubandakanya ukubeka iliso ngononophelo kwii-aneurysms ezincinci okanye ungenelelo olukhawulezileyo lotyando olukhulu okanye olukhula ngokukhawuleza.

Unyango lweeAneurysms ezincinci okanye ezingabonakaliyo:

• Ukubeka iliso rhoqo ngomfanekiso.

• Amayeza okulawula uxinzelelo lwegazi kunye nokunciphisa uxinzelelo kwi-aorta (umzekelo, i-beta-blockers).

Unyango lwee-Aneurysms ezinkulu okanye ezineSimptomatic:

• Ukulungiswa kwe-Endovascular Aneurysm (EVAR): Inkqubo encinci yokuhlasela apho i-stent-graft ifakwe ukuqinisa udonga lwe-artery olubuthathaka.

• Vula uTyando: Ukususwa kwe-aneurysm kunye nokutshintshwa kwe-graft yokwenziwa.

Funda ngokugqithisileyo

4. Atherosclerosis

I-Atherossteosis yimeko eqhubekayo ebonakaliswa kukwakhiwa kwe-plaque kwiindonga zakho zemithambo, echaphazela ukuhamba kwegazi kuwo wonke umzimba wakho. Le meko inokukhokelela kwiingxaki ezinzulu ezibandakanya ukuhlaselwa yintliziyo, ukubetha, kunye ne-ischemia yemilenze. Indlela yethu yokulawula ebanzi ijolise ekuthinteleni ukuqhubela phambili kunye nokunyanga imiqobo ekhoyo.

Kwizibhedlele ze-Apollo, sisebenzisa isicwangciso sonyango esineenkalo ezininzi ezibandakanya ukuguqulwa kwendlela yokuphila, amayeza, kunye neenkqubo zokungenelela xa kufuneka. Iqela lethu lisebenza ngokusondeleyo nawe ukuphuhlisa isicwangciso sonyango somntu esigxile ekucothiseni ukuqhubeka kwesifo kunye nokubuyisela ukujikeleza.

Unyango olungalulo utyando:

• Ukuguqula indlela yokuphila: Ukutya okunempilo, ukuzilolonga, kunye nokuyeka ukutshaya.

• Imithi:

Statins ukunciphisa cholesterol.

Antiplatelet ukuthintela amahlwili egazi.

Antihypertensives ukulawula uxinzelelo lwegazi.

Unyango loTyando:

• I-Angioplasty kunye ne-Stenting: Ukuvula imithambo yegazi emxinwa.

  Funda ngokugqithisileyo

• Utyando lokugqitha: Kwimiqobo engqongqo.

   Funda ngokugqithisileyo
 

Yazi ngakumbi ngeAtherosclerosis

1. I-Deep Vein Thrombosis (DVT)

I-Deep Vein Thrombosis yimeko emandundu eyenzeka xa amahlwili egazi enza kwimithambo enzulu, ngokuqhelekileyo emilenzeni yakho. Le meko ifuna unyango olukhawulezileyo njengoko inokukhokelela kwingxaki esongela ubomi ebizwa ngokuba yi-pulmonary embolism, apho amahlwili ahamba ukuya emiphungeni yakho. Kwizibhedlele ze-Apollo, sibonelela ngovavanyo olukhawulezayo kunye nonyango olubanzi sisebenzisa iindlela zonyango eziphezulu.
Indlela yethu yonyango idibanisa izicwangciso ezahlukeneyo ezibandakanya amayeza okunciphisa igazi, ukunyanzeliswa kwengcinezelo, kwaye xa kuyimfuneko, ukungenelela kwe-catheter-directed. Kwizigulane ezisemngciphekweni omkhulu, sinokucebisa ukufakwa kwesihluzi se-IVC ukuthintela amahlwili ukuba afikelele emiphungeni. Iqela lethu libonelela ngokhathalelo lwemini nobusuku kule meko inokuba yingozi, liqinisekisa ukuba ufumana unyango olukhawulezileyo nolusebenzayo.

Unyango olungalulo utyando:

• Iintsholongwane: Amayeza okunciphisa igazi (umzekelo, i-warfarin, i-heparin) ukukhusela ukukhula kwehlwili.
• Unyango lweThrombolytic: Amayeza okunyibilikisa amahlule amakhulu kwiimeko ezinzima.

   Funda ngokugqithisileyo
 

Unyango loTyando:

• I-Thrombolysis ekhokelwa yiCatheter: Inkqubo encinci ye-invasive yokuhambisa i-clot-dissolving drug ngqo kwindawo yehlwili.
• Isihluzo seVena Cava engaphantsi (IVC).: Ifakwe kwi-vena cava ukukhusela amahlwili ukuba afikelele emiphungeni.

   Funda ngokugqithisileyo

2. Ukungaphumeleli kweVenus engapheliyo (CVI)

I-Chronic Venous Insufficiency ikhula xa imithambo yomlenze wakho isokola ukuthumela igazi entliziyweni yakho ngokufanelekileyo. Le meko inokukhokelela kwiingxaki ezibalulekileyo ezibandakanya ukuvuvukala komlenze, utshintsho lwesikhumba, intlungu engapheliyo, kunye nezilonda ezinzima zokuphilisa. Iqela lethu elizinikeleyo libonelela ngolawulo olubanzi ngokudibanisa amayeza alungiselelwe iimfuno zakho ezithile.
Unyango kwizibhedlele ze-Apollo lubandakanya unyango loxinzelelo, iinkqubo zokuzilolonga ezikhethekileyo, kwaye xa kuyimfuneko, iinkqubo ezihlasela kancinci. Sikwabonelela ngokhathalelo lwenxeba lobuchwephesha kwabo baneengxaki eziphambili. Injongo yethu kukuphucula ukujikeleza kwakho, ukukhulula iimpawu, kunye nokuthintela ukuqhubeka kwemeko.
 

Unyango olungalulo utyando:

• Unyango loxinzelelo: Iikawusi zokucinezela ukuphucula ukujikeleza kwe-venous.
• Imithi: I-Diuretics ukunciphisa ukuvuvukala kunye neziyobisi ze-venotonic ukuqinisa iindonga ze-vein.
 

Unyango loTyando:

• Unyango lwe-Endovenous Ablation: Ukuvalwa kwemithambo engakwaziyo ukusebenzisa ubushushu okanye i-laser.
• Uqhaqho lweVein: Kwiimeko ezinzima okanye izilonda ezingapholiyo.

3. Imithambo yeVaricose
Imithambo ye-Varicose yandisiwe, imithambo ejijekileyo ibonakala phantsi kwesikhumba sakho, ibonakala emilenzeni. Ngelixa abanye becinga ukuba oku ngokuyintloko kuyinkxalabo yokuthambisa, imithambo ye-varicose inokubangela ukungakhululeki, kubandakanya iintlungu, ukudumba, kwaye kwiimeko ezinzima, utshintsho lwesikhumba kunye nezilonda. Iingcali zethu zibonelela ngovavanyo olubanzi kunye neendlela zonyango ezilungiselelwe imeko yakho ethile.
Sibonelela ngoluhlu lonyango olukwinqanaba eliphezulu, ukusuka kwiinkqubo ezihlasela kancinci ezifana ne-sclerotherapy kunye ne-endovenous laser therapy ukuya kwi-radiofrequency ablation kunye nokususwa kotyando xa kuyimfuneko. Indlela yethu igxile kokubini ukuthomalalisa iimpawu zakho kunye nokujongana nonobangela osisiseko, kukunceda ufezekise zombini uphuculo olusebenzayo kunye nezithambiso.
 

Unyango olungalulo utyando:

• Ukuguqula indlela yokuphila: Ukuzivocavoca, ukulawula ubunzima, kunye nokuphakama komlenze.
• IiStoyisi zokuFaniswa: Ukuphucula ukuhamba kwegazi kunye nokunciphisa ukudumba.
 

UNyango oluNgenelanga kunye noNyango:

• Unyango lweSclerotherapy: I-injection yesisombululo sokuvala i-varicose encinci.
• Unyango lwe-Endovenous Ablation: I-Laser okanye i-radiofrequency energy yokuvala imithambo echaphazelekayo.
• Ukuhluthwa kwemithambo kunye nokuBonisa: Ukususwa ngotyando kwiimvini ezonakalisiweyo kwiimeko ezinzima.
 

1. Isifo sikaRaynaud

Isifo sikaRaynaud sichaphazela imithambo yegazi kwiminwe kunye neenzwane zakho, okubangela ukuba ibe mxinwa ngenxa yokubanda okanye uxinzelelo. Oku kukhokelela ekutshintsheni umbala weempawu kunye nokungahambi kakuhle kwiindawo ezichaphazelekayo. Indlela yethu yonyango igxile ekulawuleni iimpawu kunye nokuthintela umonakalo wezicubu ngokudibanisa ukuguqulwa kwendlela yokuphila kunye namayeza aphucula ukujikeleza.

Unyango olungalulo utyando:

Ukuguqula indlela yokuphila:

• Gcina izandla neenyawo zishushu kwaye uphephe iindawo ezibandayo.
• Lawula uxinzelelo ngobuchule bokuphumla okanye i-biofeedback.

Imithi:
• I-Calcium Channel Blockers (umz., i-nifedipine, i-amlodipine): Ukukhulula imithambo yegazi kunye nokuphucula ukuhamba kwegazi.
• IVasodilators: Njenge-nitroglycerin ointment kwiimeko ezinzima.
• I-Alpha Blockers: Ukuchasana nokuxinana kwemithambo yegazi.
• Amayeza e-Antiplatelet (umzekelo, i-aspirin) kwiimeko zokunciphisa kakhulu ukuhamba kwegazi.

Unyango olukwinqanaba eliphezulu:
• I-Sympathectomy:
Inkqubo yotyando encinci yokusika imithambo-luvo ebangela imithambo yegazi.
• Iinaliti zeBotox:
Ngamanye amaxesha isetyenziselwa ukukhulula i-nerve esebenzayo kwiimeko ezinzima.

Yazi ngakumbi ngeSifo sikaRaynaud

2. Isifo seMesenteric Artery

Isifo somthambo we-Mesenteric sichaphazela imithambo yegazi enikezela amathumbu akho, nto leyo enokukhokelela kwiingxaki ezinzulu ezibandakanya iintlungu eziqatha zesisu emva kokutya, ukunciphisa umzimba, kunye nokungondleki. Iinketho zethu zonyango zisukela kulawulo lwezonyango ukuya kwiinkqubo ze-endovascular kunye nokudlula utyando, 
kuxhomekeke kubuzaza bemeko yakho.

Unyango olungalulo utyando:

Imithi:
• Ii-Anticoagulants zokuthintela amahlwili egazi.
• Amachiza e-antiplatelet (umzekelo, i-aspirin) ukunciphisa umngcipheko wehlwili.
• Amayeza okwehlisa i-cholesterol (umzekelo, ii-statins) ukulawula undoqo we-atherosclerosis.
• Amachiza okulawula uxinzelelo lwegazi.

UNyango loTyando kunye noNyango oluHlangeneyo kancinci:

• I-Angioplasty kunye ne-Stenting:
Inkqubo encinci yokuvula imithambo ye-mesenteric evaliweyo usebenzisa ibhaluni kwaye ubeke i-stent yokuphucula ukuhamba kwegazi ixesha elide.

Funda ngokugqithisileyo

• Utyando lokudlula:
Inkqubo yotyando yokudala enye indlela yokuhamba kwegazi ejikeleze umqobo.

• Thrombolysis okanye Thrombectomy:
Kwiimeko ezinzima ze-mesenteric ischemia ezibangelwa ngamahlwili, amayeza okunyibilikisa ihlwili okanye ukususwa ngotyando kunokufuneka.

Funda ngokugqithisileyo

3. I-Renal Artery Disease

Xa ukuhamba kwegazi kwizintso zakho kuphazamisekile ngenxa yesifo se-renal artery, kunokukhokelela kubunzima bokulawula uxinzelelo lwegazi oluphezulu kunye nokungasebenzi kakuhle kwezintso. Indlela yethu yonyango ebanzi ibandakanya ulawulo loxinzelelo lwegazi, iinkqubo zokuqina, kwaye xa kuyimfuneko, ukwakhiwa ngokutsha kotyando ukubuyisela ukuhamba kwegazi okufanelekileyo kwizintso zakho.

Unyango olungalulo utyando:

Imithi:

• I-Antihypertensives: Ukulawula uxinzelelo lwegazi oluphezulu (umz., i-ACE inhibitors, i-ARBs, i-beta-blockers).
• I-Statins: Ukunciphisa i-cholesterol kunye nokucotha ukukhula kwe-atherosclerosis.
• I-Antiplatelet: Ukuthintela ukubunjwa kwehlwili (umzekelo, i-aspirin).

UNyango loTyando kunye noNyango oluHlangeneyo kancinci:

• I-Angioplasty kunye ne-Stenting:
  Inkqubo esekelwe kwi-catheter yokuvula imithambo yezintso ecuthekileyo kwaye ubeke i-stent ukugcina ukuhamba kwegazi.

  Funda ngokugqithisileyo

• Indlela yokudlula ngoqhaqho:
  Kwiimeko ezimandundu, ukudlula umthambo omxinwa ngegrafti kunokubuyisela ukuhamba kwegazi kwezintso.

• Atherectomy:
  Isusa ukuvela kwe-plaque kumthambo wezintso.

• Endarterectomy:
  Inkqubo yotyando yokucoca i-plaque eludongeni lomthambo.

Funda ngokugqithisileyo

Yazi ngakumbi ngeSifo seRenal Artery

4. I-Thoracic Outlet Syndrome

Le meko ibandakanya ukunyanzeliswa kwemithambo yegazi echaphazela iingalo zakho, okukhokelela kwiintlungu, ukuphazamiseka, ubuthathaka, kunye nokunciphisa ukujikeleza kwegazi. Unyango lwethu luqala ngonyango lomzimba kwaye, xa lufuneka, luqhubela phambili kuqhaqho lokuthomalalisa. Sinikezela ngenkxaso ebanzi yokubuyisela kwisimo sangaphambili ukuze siqinisekise ukuchacha okupheleleyo kunye nokubuyela kwimisebenzi eqhelekileyo.

Unyango olungalulo utyando:

• Ulungiso lwenyama:
Imithambo yokuphucula ukuma, ukomeleza izihlunu zamagxa, kunye nokunciphisa uxinzelelo lwemithambo-luvo okanye imithambo yegazi.

Imithi:
• Ukuthomalalisa iintlungu (umzekelo, iiNSAIDs) ukunciphisa ukudumba.
• Iziphumlisi zemisipha kwiimeko zoxinzelelo olumandla.

Unyango lotyando (kuMatyala aMandundu):

• Uqhaqho lweThoracic Outlet Decompression:
Isusa ubambo lokuqala okanye izihlunu ze-scalene ukukhulula uxinzelelo kwimithambo yegazi okanye kwimithambo-luvo.

Funda ngokugqithisileyo

• Ukususwa kwehlwili (kwi-Vascular TOS):
Ukuba amahlwili enziwa kwi-compressed vein okanye i-artery, i-thrombolysis okanye i-thrombectomy inokufuneka.

• I-Angioplasty kunye ne-Stenting:
Isetyenziswe kwiimeko zoxinzelelo lwe-arterial ukubuyisela ukuhamba kwegazi.

Kwizibhedlele ze-Apollo, siphatha nganye yezi meko ngendlela ebanzi equka ukuvavanya ngokucokisekileyo, ucwangciso lonyango lomntu, ukubeka iliso rhoqo, kunye nezicwangciso zokulawula ixesha elide. Iqela lethu likwagxile ekuthinteleni iingxaki kwaye libonelela ngesikhokelo sokuguqula indlela yokuphila ukuxhasa unyango lwakho. Xa kufanelekile, usenokuba nofikelelo kulingo lwezonyango olunikezela ngeendlela ezintsha zonyango.
 

I-carotid endarterectomy yinkqubo yotyando entsonkothileyo eyenzelwe ukuthintela istroke ngokususa iplaque eyingozi kwimithambo yakho yecarotid. Ngelixa lenkqubo yeyure ezi-1 ukuya kwezi-2, oogqirha bethu abanezakhono bafikelela ngononophelo umthambo wakho we-carotid ngokusikwa kwentamo echanekileyo, besusa ngobunono iidiphozithi zeplaque ukubuyisela ukuhamba kwegazi okusempilweni engqondweni yakho. Utyando lunokwenziwa phantsi kwe-anesthesia jikelele okanye yendawo, kuxhomekeke kwimeko yakho kunye nezinto ozikhethayo.

Emva kwenkqubo, uya kudinga ixesha elifutshane lokuhlala esibhedlele ukuze ujongwe, apho iqela lethu likulandelela ngokusondeleyo ukuchacha kwakho kwaye liqinisekise ukubuyiswa kokuhamba kwegazi. Iinzuzo zale nkqubo zibalulekile, ngakumbi ekunciphiseni umngcipheko wokuhlaselwa sistrowuku. Sigcina amadinga okulandelela rhoqo ukujonga inkqubela yakho kunye nokuqinisekisa impumelelo yexesha elide.
 

Yazi ngakumbi ngeCarotid Endarterectomy

Kwizibhedlele zeApollo, sinikezela ngeendlela ezimbini eziphambili zokunyanga i-aortic aneurysms, elungiselelwe imeko yakho ethile. Ukulungiswa kwe-Endovascular Aneurysm (EVAR) lukhetho lwethu oluncinci, olubandakanya ukubekwa kwe-stent graft ngokusebenzisa izithintelo ezincinci. Le ndlela entsha ifuna kuphela ukuhlala esibhedlele iintsuku ezi-2-3 kwaye inika ixesha lokuchacha ngokukhawuleza, oko kuyenza ibe lolona khetho lubalaseleyo kubaviwa abafanelekileyo.

Kwiimeko ezintsonkothileyo ngakumbi, senza uqhaqho oluvulekileyo lwesintu, apho oogqirha bethu batshintsha indawo ebuthathaka ye-aorta yakho ngofakelo lokwenziwa. Nangona le ndlela idinga ixesha elide lokubuyisela kwiiveki ze-4-6 kunye nokubeka iliso elibanzi, libonelela ngesisombululo esisisigxina kwii-aneurysms ezinzima. Iqela lethu livavanya ngononophelo imeko nganye ukucebisa eyona ndlela ifanelekileyo kwimeko yakho ethile.

Utyando lwe-peripheral artery bypass yinkqubo ebalulekileyo yokunyanga isifo esiyingozi se-peripheral artery (PAD). Olu tyando lweyure ezi-3 ukuya kwezi-5 ludala indlela entsha yokuhamba kwegazi ejikeleze imithambo evalekileyo usebenzisa i-graft eyenziweyo okanye eyakho imithambo. Yenziwa phantsi kwe-anesthesia jikelele, le nkqubo idinga ubuchule obucokisekileyo botyando kunye nokubeka iliso emva kokuhlinzwa.

Uhambo lwakho lokubuyisela lubandakanya ukhathalelo olubanzi lwasemva kotyando olubandakanya unyango lwe-anticoagulation, ukubeka iliso rhoqo, kunye nenkqubo yokubuyisela umthambo omiselweyo. Sikwasebenza nawe ukuphumeza uhlengahlengiso oluyimfuneko lwendlela yokuphila exhasa impumelelo yexesha elide. Iqela lethu libonelela ngenkxaso eqhubekayo kuyo yonke inkqubo yakho yokubuyisela, iqinisekisa iziphumo ezilungileyo.
 

Yazi ngakumbi malunga nePeripheral Artery Bypass
 

I-Angioplasty kunye ne-stenting imele ilitye lembombo lonyango oluncinci lwe-vascular invasive. Le nkqubo intsonkothileyo iqala ngokufakwa kwecatheter ekhethekileyo ngokusikwa okuncinci. Oogqirha bethu baye balathise le catheter kwindawo evaliweyo, apho ibhaluni encinane ivuthelwa umoya ukuze kwandiswe umthambo omxinwa. I-stent ke ibekwe ngokuchanekileyo ukugcina umthambo uvulekile, ukuqinisekisa ukuhamba kwegazi okuqhubekayo. Uninzi lwezigulana zinokubuyela ekhaya kwangolo suku lunye, zisenza olu khetho olusebenzayo nolufanelekileyo lonyango.

Iisistim zethu zokucinga ezikumgangatho ophezulu zenza kube lula ukubeka ezi zixhobo, ngelixa iqela lethu elinamava liqinisekisa iziphumo ezilungileyo. Inkqubo yokungangeneleli kancinci ngokwendalo ivumela ukuchacha okukhawulezileyo kunye nokubuyela kwimisebenzi yesiqhelo, uninzi lwezigulana zifumana ukuphucuka kwangoko kwiimpawu zazo.

I-Thrombectomy yinkqubo ebalulekileyo yokususa amahlwili egazi abeka ubomi esichengeni kwimithambo yakho yegazi. Kwizibhedlele ze-Apollo, sinika zombini i-thrombectomy yomatshini usebenzisa izixhobo ezikhethekileyo kunye ne-aspiration thrombectomy esebenzisa iteknoloji yokufunxa. Le nkqubo ibaluleke kakhulu kwiimeko zonxunguphalo, apho ukubuyiselwa ngokukhawuleza kwegazi kubalulekile ukuze kuthintelwe ukonakala kwezicubu.

Iinzuzo ze-thrombectomy ziquka ukuphuculwa ngokukhawuleza kwegazi, ukukhuselwa kweengxaki ezinzulu, kunye nokunciphisa ingozi yomonakalo wexesha elide. Iqela lethu leengcali lenza ezi nkqubo kwii-suites zethu ze-endovascular suites ze-state-of-the-art, ziqinisekisa amanqanaba aphezulu okhuseleko kunye nokusebenza.
 

Yazi ngakumbi malunga ne-Thrombectomy

Ukufakwa kwesihluzi se-IVC yinkqubo yokuthintela eyenzelwe ukukhusela izigulane ezisengozini enkulu ye-pulmonary embolism. Sinikezela zombini izihluzi ezisisigxina zokukhusela ixesha elide kunye nezihluzo ezinokubuyiswa kwiimfuno zexeshana. Inkqubo ibandakanya ukubeka ngononophelo isixhobo esincinci kwi-vena cava yakho engaphantsi ukuze ubambe nawaphi na amahlwili egazi ngaphambi kokuba afikelele kwimiphunga yakho.

Ukubeka iliso rhoqo kunye nokulandelwa kwemifanekiso yinxalenye ebalulekileyo yolu nyango, ukuqinisekisa ukuba isihluzo sihlala sibekwe ngokufanelekileyo kwaye sisebenza kakuhle. Iqela lethu livavanya ngononophelo iimfuno zesigulane ngasinye ukumisela olona hlobo lufanelekileyo lokucoca kwaye libeke iliso ekusebenzeni kwalo ngokundwendwela okucwangcisiweyo okulandelelanayo.

Yazi ngakumbi malunga nokubekwa kwesihluzi se-IVC

Inkqubo yethu ebanzi yonyango lweVenus ibandakanya zombini iinketho zemveli kunye nezincinci. Kwiimvini ezinzima ze-varicose, ukuchithwa kwe-vein yendabuko kunokucetyiswa, okubandakanya ukususwa kokuhlinzwa kweemvini ezinengxaki kunye ne-2-4 yeveki yokubuyisela. Nangona kunjalo, sihlala sisebenzisa iindlela ezihlaselayo ezincinci ezifana nokukhupha i-radiofrequency ablation kunye nonyango lwe-laser, olunika amaxesha okubuyisela ngokukhawuleza kunye nokungonwabi okuncinci.

Olu nyango lubonelela ngeenzuzo ezibalulekileyo, kubandakanywa ukukhululeka kwiimpawu, ukuphuculwa kwenkangeleko, kunye nokuthintela iingxaki. Indlela yethu igxile ekuphuculeni umgangatho wobomi bakho ngelixa uqinisekisa ezona ziphumo zibalaseleyo zokuthambisa kunye nokusebenza.

I-EVAR bubuchule obuntsonkothileyo, obuncinci bokunyanga ii-aneurysms zesisu kunye ne-thoracic aortic. Ngokusikwa okuncinci kwi-groin, sikhokela i-graft ye-stent kwindawo ye-aneurysm kwaye siyandise ukuqinisa udonga lwe-arterial olubuthathaka. Le nkqubo idla ngokufuna ukuhlala esibhedlele usuku olu-1 ukuya kwezi-2, kunye nokubuyela kwimisebenzi yesiqhelo kwiiveki ezi-2. I-EVAR ibonise izinga eliphezulu lempumelelo ekunciphiseni umngcipheko wokuqhekeka kwe-aneurysm.

Utyando lwe-Bypass yinkqubo eyimfuneko yemithambo eyenza iindlela ezintsha zokuhamba kwegazi xa imithambo ivaleka kakhulu. Kwizibhedlele ze-Apollo, iqela lethu leengcaphephe zotyando lenza le nkqubo intsonkothileyo ngokusebenzisa i-graft eyenziweyo okanye umthambo wakho osempilweni/umthambo ukwenza umjikelo ojikeleze umthambo ovalekileyo. Utyando ngokuqhelekileyo luthatha iiyure ze-3-5 phantsi kwe-anesthesia jikelele, ngexesha apho oogqirha bethu bakha ngokucophelela le ndlela entsha yokubuyisela ukujikeleza kwegazi okufanelekileyo kwiindawo ezichaphazelekayo.

Ukhathalelo lwasemva kotyando lubalulekile kwimpumelelo yexesha elide. Sinikezela ngokhathalelo olubanzi lokulandela olubandakanya unyango lwe-anticoagulation ukuthintela amahlule egazi, ukubeka iliso rhoqo kwi-graft ye-bypass, kunye nenkqubo yokuvuselela ehleliweyo. Iqela lethu lisebenza ngokusondeleyo nawe ukuphumeza utshintsho oluyimfuneko lwendlela yokuphila kunye nokuseka indlela yokuzilolonga ekhuthaza ukuphiliswa kunye nokugcina ubomi obude bendlela edlulayo. Uninzi lwezigulane zifuna iiveki ze-4-6 zokubuyisela ngokupheleleyo, ngeli xesha sinikezela ngenkxaso eqhubekayo kunye nokubeka iliso ukuqinisekisa iziphumo ezilungileyo.

Unyango lwe-laser endovenous lubonisa indlela yobugcisa, indlela encinci yokunyanga i-varicose veins kunye nokusilela okungapheliyo kwe-venous. Le nkqubo intsonkothileyo isebenzisa amandla e-laser ukuvala imithambo enengxaki, ithumela ukuhamba kwegazi kwimithambo esempilweni. Phantsi kwe-anesthesia yendawo, iingcali zethu zifaka i-laser fibre ebhityileyo kumthambo ochaphazelekayo ngendawana yokungena. Amandla e-laser avala ngononophelo umthambo, kunye nenkqubo yonke ithatha ngaphantsi kweyure.

Enye yeenzuzo eziphambili ze-EVLT lixesha layo lokubuyisela ngokukhawuleza, kunye nezigulane ezininzi zibuyela kwimisebenzi yesiqhelo phakathi kweveki. Inkqubo ibangela ukungonwabi kancinci kwaye ishiya phantse kungabikho manxeba. Ukulandela unyango, sinikezela ngononophelo olubanzi lokulandela olubandakanya unyango lokunyanzeliswa kunye nezikhokelo zomsebenzi ukuqinisekisa iziphumo ezilungileyo. Ukubeka iliso rhoqo kunceda ukuqinisekisa ukuba imithambo ephathwayo ihlala ivaliwe kwaye iqinisekisa ukuphuculwa kokujikeleza. Uninzi lwezigulane zifumana ukukhululeka okukhulu kwiimpawu kunye nokuphucula okubonakalayo ekubonakaleni kwemilenze yabo.

I-imaging yethu yokuxilonga ephucukileyo iqala nge-Doppler Ultrasound, ubuchule obungaxhatshaziyo obubonelela ngolwazi olucacileyo malunga neepatheni zokuhamba kwegazi kwimithambo yakho kunye nemithambo. Obu buchwepheshe buntsonkothileyo buvumela iingcali zethu ukuba zivavanye isantya sokuhamba kwegazi, zibone imiqobo, kwaye zichonge iindawo ezixhalabisayo ngaphandle kokuvezwa kwemitha. Inkqubo ayinabuhlungu kwaye inika iziphumo ezikhawulezayo, okwenza ibe sisixhobo esibalaseleyo sokuxilongwa kwezifo ezininzi ze-vascular.

Doppler Ultrasound

I-Doppler ultrasound yindlela yokucinga engathinteliyo evavanya ukuhamba kwegazi kwimikhumbi yakho. Isebenzisa amaza esandi, obu bugcisa bubonelela ngokubonwa kwexesha lokwenyani lokushukuma kwegazi, kuvumela iingcali zethu ukuba zibone ukuvaleka, amahlwili egazi, kunye nokucutheka komtya okungaqhelekanga. Olu vavanyo lubaluleke kakhulu ekuxilongweni kweemeko ezifana nesifo se-peripheral artery (PAD) kunye ne-deep vein thrombosis (DVT) kunye nokuvavanya ubukhali be-varicose veins. Iziphumo zangoku zinceda iqela lethu ukuba liphuhlise izicwangciso zonyango ekujoliswe kulo kwaye libeke iliso kwimpumelelo yonyango oluqhubekayo.

Funda ngokugqithisileyo
 

Angiography

I-Angiography yinkqubo yokucinga ekhethekileyo esebenzisa ii-X-reyi kunye nedayi yokuthelekisa ukwenza iimephu ezineenkcukacha zemithambo yegazi. Kwenziwa kwilebhu yethu ye-catheterization ye-state-of-the-art, olu vavanyo lubonelela ngokuchanekileyo ukubonwa kwe-blockages, i-aneurysms, kunye nezinye izinto ezingaqhelekanga ze-vascular. I-angiography yesiNtu ihlala ingumgangatho wegolide wokuvavanya iimeko ezintsonkothileyo zemithambo kwaye ibalulekile ekukhokeleni iinkqubo zongenelelo ezifana ne-angioplasty kunye nokubekwa kwe-stent.

Funda ngokugqithisileyo
 

I-CT Angiography (CTA)

I-CT Angiography idibanisa i-computed tomography ephuculweyo kunye nemathiriyeli yokuchasana ukwenza imifanekiso eneenkcukacha ezintathu-ntathu kwimithambo yegazi yakho. Obu buchwephesha bokucinga obungangeneleli bubonelela ngezimvo ezicazululisiweyo ezinqamlezileyo, ezivumela iingcali zethu ukuba zihlole ubume benqanawa kwaye zibone izinto ezingaqhelekanga ngokuchanekileyo. I-CTA isebenza ngokukodwa ekuxilongeni ukuvaleka kwe-arterial blockages, ukuvavanya i-aneurysms, kunye nokucwangcisa ungenelelo lotyando. Ulwakhiwo oluneenkcukacha lwe-3D lunceda iqela lethu lotyando ukuba licwangcise iinkqubo ezintsonkothileyo ngokuchaneka okukhulu.

Funda ngokugqithisileyo
 

UMR Angiography (MRA)

I-MR Angiography isebenzisa itekhnoloji yemagnetic resonance ukwenza imifanekiso eneenkcukacha yemithambo yegazi ngaphandle kokuvezwa yimitha. Le ndlela yokucinga ephucukileyo ibaluleke kakhulu kwizigulana ezifuna ukuphinda-phinda umfanekiso okanye uvakalelo lokuthelekisa izinto. I-MRA iyagqwesa ekuvavanyeni imithambo yegazi yomibini kunye nezicubu ezithambileyo ezijikelezileyo, iyenza ibe luncedo ngakumbi ekuxilongeni iimeko ezichaphazela ingqondo, intamo kunye nemithambo yentliziyo. Obunye ubuchule be-MRA bunokwenziwa ngaphandle kwedayi yokuthelekisa, ukunika ukhetho olukhuselekileyo kwizigulana ezineengxaki zezintso.

Funda ngokugqithisileyo
 

I-Duplex Ultrasound

I-Duplex ultrasound idibanisa umfanekiso we-ultrasound yemveli kunye nezifundo zokuhamba kwe-Doppler ukubonelela ngovavanyo olubanzi lwenkqubo yakho yemithambo. Le ndlela yokucinga kabini ivumela iingcaphephe zethu ukuba zibone ukwakheka komthambo wegazi ngelixa ngaxeshanye zivavanya iipateni zokuhamba kwegazi. Uvavanyo lusebenza ngakumbi ekuvavanyeni isifo se-carotid artery, esweni ii-bypass grafts, kunye nokuvavanya ukusilela kwe-venous. Izifundo eziqhelekileyo ze-ultrasound ze-duplex zinceda ukulandelela ukuqhubeka kwesifo kunye nokuvavanya ukusebenza konyango ekuhambeni kwexesha

Ukhathalelo lwangoku lwemithambo kwizibhedlele ze-Apollo luxhomekeke kubuchwepheshe bomfanekiso obukwinqanaba eliphezulu lokuxilongwa kunye nonyango oluchanekileyo. Amandla ethu omfanekiso aphambili aquka:

• I-3D Angiography eyenza ukubonwa okucacileyo kwemithambo yegazi ukukhokela ungenelelo olunzima
• I-Duplex Ultrasound edibanisa i-ultrasound yendabuko kunye ne-Doppler ukuvavanya ukuhamba kwegazi kunye nesakhiwo somkhumbi
• Ukubeka iliso ngexesha lokwenyani ukuququzelela uvandlakanyo oluguquguqukayo ngexesha iinkqubo zongenelelo
• Isikhokelo esingenelelayo esixhasa iinkqubo ezifana ne-angioplasty kunye ne-stenting

Iinkqubo zethu zerobhothi ziphucula ukuchaneka kuqhaqho lwemithambo, ngakumbi kwiinkqubo ezintsonkothileyo ezifana nokulungiswa kwe-aneurysm okanye ukuhlohlwa kwe-bypass. Ezi nkqubo eziphambili ziphucula iziphumo kunye nokunciphisa ixesha lokubuyisela izigulane zethu.
 

Funda ngokugqithisileyo

Ezi zixhobo zivumela unyango olujoliswe kuyo kunye nokuphazamiseka okuncinci kwizicubu ezijikelezileyo.

Ezi zixhobo zisetyenziselwa iinkqubo ezincinci ze-vascular zokunyanga iimeko ezifana ne-aneurysms, i-arterial blockages, kunye ne-vascular malformations. Ziquka:
 

1. I-Stent Grafts:

• Isetyenziswe kwiinkqubo ezifana ne-endovascular aneurysm repair (EVAR).
• I-stent graft yityhubhu egqunywe ngelaphu exhaswa ngesakhelo sesinyithi, esifakwe kwimithambo yegazi ukuqinisa iindonga zemithambo ezibuthathaka okanye ukuvaleka.
   

2. Iibhaluni eziEluting Drug-Eluting:

• Iibhaluni ezigqunywe ngamayeza athi akhutshelwe kudonga lwemithambo ngexesha le-angioplasty.
• Ezi zisebenza ngokukodwa ekuthinteleni i-restenosis (ukunciphisa kwakhona imithambo yegazi).
   

3. Iikhoyili zokuqinisa:

• Iikhoyili ezincinci ezisetyenziselwa ukuvala ukuhamba kwegazi kwimithambo yegazi ekujoliswe kuyo, rhoqo ukunyanga i-aneurysms okanye ukuyeka ukopha.

• Zifakwa nge-catheter kwaye zenze ihlwili elilawulwayo ukuthintela ukuhamba kwegazi kwiindawo ezingaqhelekanga.
   

Ezi zixhobo zivumela unyango oluchanekileyo, olujoliswe kuyo kunye nokuphazamiseka okuncinci kwizicubu ezijikelezileyo, ukunciphisa kakhulu ixesha lokubuyisela kunye neengozi zotyando.

Ii-OR zethu ezixutyiweyo zidibanisa amandla otyando lwesintu kunye nokucinga okuphambili:
 

lwezicelo:

• Ukulungiswa kwe-aneurysm eyinkimbinkimbi
• Umfanekiso wexesha lokwenyani lokusasazwa kwestent ngokuchanekileyo
• Inkxaso yeenkqubo zemfundo ezininzi
   

eziluncedo:

• Ukuchaneka kwenkqubo okuphuculweyo
• Ukunciphisa iingozi zotyando
• Ukhuseleko lwesigulane olwandisiweyo
• Ukuziqhelanisa ngokukhawuleza ngexesha leenkqubo

Indlela yethu yokukhusela idibanisa ukujongwa rhoqo kwezempilo kunye nesikhokelo somntu ngamnye wendlela yokuphila. Sisebenza ngokusondeleyo nawe ukuchonga nokulawula izinto ezinobungozi phambi kokuba zikhokele kwiimeko ezimandundu ze-vascular. Ngokubonisana rhoqo kunye nokuhlolwa, siyakunceda ugcine impilo yemithambo kunye nokuthintela iingxaki ezinokubakho.

Iingcali zethu ziqhuba uphononongo olucokisekileyo ukuvavanya umngcipheko wempilo yemithambo, ngokuqwalasela izinto ezinje:

• Imbali yentsapho yezifo ze-vascular
• Iimeko zempilo ezikhoyo ezifana nesifo seswekile okanye uxinzelelo lwegazi
• Izinto zokuphila ezibandakanya ukutshaya kunye namanqanaba okusebenza komzimba
• Amayeza angoku kunye nonyango

Sinikezela ngeengcebiso ezibanzi malunga nendlela yokuphila ejolise kwiindawo eziphambili ezichaphazela impilo yemithambo:

• Inkxaso yokuyeka ukutshaya Inkqubo yethu ezinikeleyo yokuyeka ukutshaya ibonelela ngezixhobo kunye nenkxaso efunekayo ukuze uyeke ukutshaya ngempumelelo. Siyaqonda ukuba olu luhambo olucelomngeni kwaye sinikezela ngenkxaso eqhubekayo kunye nezicwangciso zokukunceda ufezekise iinjongo zakho.
   
• Isikhokelo sokutya Iingcali zethu zezondlo zisebenza nawe ukuphuhlisa izicwangciso zokutya ezinempilo ezixhasa impilo yemithambo. Sinikezela ngeengcebiso ezisebenzayo:
  • Ukunciphisa amafutha ahluthayo
  • Ukulawula ukutyiwa kwetyuwa
  • Ukudibanisa ukutya okunempilo yentliziyo
  • Ukucwangcisa ukutya okunokulinganisela

Siyila iinkqubo zokuzilolonga ezikhuselekileyo nezisebenzayo kwimeko yakho ethile. Izindululo zethu ziquka:

• Iintlobo ezifanelekileyo zomsebenzi womzimba
• Ukuqina komthambo kunye nobude bexesha
• Iinjongo zempilo eziqhubekayo
• Izikhokelo zokhuseleko ngexesha lokuzilolonga

Inkqubo yethu yokuthintela ibandakanya ukubekwa esweni rhoqo kwezalathi zempilo eziphambili:

• Ulawulo loxinzelelo lwegazi
• Ukujongwa kwinqanaba le-cholesterol
• Ukulawula iswekile yegazi
• Ulawulo lobunzima
• Uvavanyo lwempilo yemithambo

• ULungelelaniso lweNkathalelo oluLungisiweyo: Iqela elizinikeleyo lijongene namalungiselelo okuhamba, amadinga, kunye nokuhlala esibhedlele.
• UVavanyo oluBanzi: Iingcali ze-multidisciplinary zibonelela ngovavanyo oluneenkcukacha kunye nezicwangciso zonyango lomntu ngamnye.
• UNyango oluPhezulu lweVascular: Ukufikelela kwiinkqubo zokusika ezinje nge-angioplasty, i-EVAR, kunye ne-thrombectomy.
• Uvakalelo lweNkcubeko: Iinkonzo zilungiselelwe ukuhlonipha ukhetho lwenkcubeko kunye nokutya.

• Ukuncitshiswa kwamaxesha okulinda iinkqubo.
• Ukufikelela kwiindawo ezisemgangathweni kunye noogqirha abanezakhono eziphezulu ze-vascular.
• Amaxwebhu alula kunye neenkqubo zokuhlawula.

Unxibelelwano olucacileyo lusisiseko sokhathalelo lwezonyango olusebenzayo, ngakumbi kwizigulane zamazwe ngamazwe. INkqubo yeVascular yezigulane zaMazwe ngaMazwe ibonelela ngeenkonzo zokutolika ezichubekileyo ukuvala imiqobo yolwimi kunye nokuqinisekisa ukuba izigulane kunye neentsapho ziyaluqonda ngokupheleleyo uxilongo lwabo, ukhetho lonyango, kunye nezicwangciso zokhathalelo.
 

Imiba ephambili

• Inkxaso yeeLwimi ezininzi: Iinkonzo ezifumaneka ngoluhlu olubanzi lweelwimi ukulungiselela izigulane zehlabathi.
• Utoliko olukwimfuno: Inkxaso yexesha langempela ngexesha lokubonisana, iinkqubo, kunye nokulandelwa.
• Translations: Iirekhodi zonyango, izishwankathelo zokukhutshwa, kunye nemigqaliselo iguqulelwe ukuze kube lula.

Emva kokufumana inkqubo ye-vascular, izigulane zamazwe ngamazwe zifumana ukunakekelwa okuzinikezele emva kwenkqubo yokuxhasa ukubuyiswa nokuqinisekisa iziphumo ezilungileyo.

• Ukuchacha esibhedlele: Iindawo zokuhlala ezitofotofo kunye nokufikelela kubunesi kunye nokhathalelo lwezonyango.
• Ukuqeshwa kolandelo: Ukuhlolwa okucwangcisiweyo ukujonga ukuchacha kunye nokujongana neenkxalabo ngaphambi kokubuyela ekhaya.
• Iinkonzo zokubuyisela kwisimo sangaphambili: Ukufikelela kwiphysiotherapy, iingcebiso ngesondlo, kunye nesikhokelo sokuphila esilungiselelwe impilo yemithambo.
• Iinketho zoNyango olukude
• Iingcebiso ngeTelemedicine: Ukulandelelanisa okuqhubekayo ngeefowuni zevidiyo kunye neengcali ze-vascular.
• IiRekhodi zeMpilo zeDijithali: Ukufikelela ngokukhuselekileyo kwiimbali zonyango ukwenzela ukuqhubeka nokunyamekela kwilizwe lasekhaya lomguli.

• Isikhokelo malunga nokulungela ukuhamba kunye nokukhutshwa kwezonyango kwiinqwelomoya.
• Uncedo ekulungiseleleni ukukhapha abezonyango ukuba kuyafuneka.