Cholecystectomy i Apollo Hospitals, Lucknow

He aha ngā tūroro e whiriwhiri ai i ngā Hōhipera Apollo i Lucknow mō te tango i te mate pukupuku

• Te taonga tuku iho o te rōpū: I tīmata a Apollo Hospitals i te tau 1983 hei mekameka hōhipera umanga tuatahi o Īnia, ā, i ēnei rā e whakahaere ana i te neke atu i te 70 ngā hōhipera me te neke atu i te 10,000 ngā moenga, e hoatu ana ki te wāhanga o Lucknow te urunga atu ki ngā kawa haumanu ā-rōpū, ngā pūnaha arotake me ngā whatunga whakaaro tuarua.
• He puni motuhake mō ngā kaupapa maha i Lucknow: Ko te Hōhipera Motuhake Nui o Apollomedics, Lucknow he whare tiaki tuatoru nui kei Kanpur-Lucknow Road me te tautoko ohorere, tiaki nui me te pēke toto i te ao me te pō - he mea nui nā te mea he nui ngā mate pūkahukahu e puta mai ana he ohorere nui, ehara i te pokanga kua whakaritea.
• Pokanga whānui me te pokanga GI ā-rōpū: Ko te tango i te cholecystectomy i Apollo Lucknow e whakahaerehia ana e tētahi rōpū o ngā taote whānui, laparoscopic me te gastrointestinal e mahi tahi ana me ngā gastroenterologists, ngā anesthesiologists me ngā intensive. Ko te maha o ngā taote kei te rota hohe me ō rātou tau wheako takitahi kua whakarārangihia ki ngā whārangi "Rapua he Tākuta" o te hōhipera, ā, ka taea te whakaū i te wā e tuhi ana.
• Te urunga iti rawa hei taunoa: Ko te tikanga noa ko te laparoscopic cholecystectomy whānui-pūnga me te laparoscopic cholecystectomy iti-pūnga, ā, ka taea te tahuritanga tuwhera ina he pai ake te kōwhiringa mēnā he hanganga tinana, he piripono matotoru, he toto rānei.
• Tautoko mō ngā pūkahukahu uaua: Ko te tirotiro i te wāhi mahi mō te ERCP, te cholangiography i te wā e pokanga ana ina hiahiatia, te hihi-X me te ultrasound, te CT me te MRCP, me te HPB/hepatology tārua mō ngā kōhatu o te awa au e whakapaetia ana, te whara rānei o te awa au.
• Manaaki puta noa i ngā reanga: Ngā tikanga mō ngā pakeke, mō ngā tūroro kaumātua he mate ngākau, he mate whatukuhu, he mate huka rānei, me ngā taiohi me ngā tamariki he kohatu pūkahukahu e pā ana ki te mate toto toto tiketike, e whakaritea ai te rongoā whakamoe tamariki me te whakauru tamariki.
• Ngā tohutohu whakaora whai hua, motuhake ki Inia: Kei roto i ngā aratohu te noho piko, te noho whakawhiti waewae, ngā wharepaku ā-Īnia, te moe papa, ngā mahi o te temepara me ngā mahi o te whare, me pēhea te āwhina a ngā kaitiaki whānau i ngā wiki tuatahi e rua.
• Te tēpu inihua me te TPA i te kāmpus mō te whakamanatanga mua kore moni, me te āwhina mō ngā tūroro e haere mai ana i ngā rohe puta noa i Uttar Pradesh.

Kāore mātou e oati ana ki tētahi putanga motuhake. Ko tā mātou e oati nei he aromatawai pono mēnā me pokanga koe, he whakamārama mārama mō ngā mōrearea, me te hanganga hei whakahaere i ngā raruraru mēnā ka puta.

Overview

Ko te tango pokanga i te puku o te puku, arā, te tango pokanga i te puku o te puku, he tikanga noa engari he mea nui mō te hunga e pāngia ana e ngā raruraru e pā ana ki te puku o te puku. I Apollo Hospitals Lucknow, e whakahīhī ana mātou ki tō mātou ingoa mō te hiranga o te hauora, me te whakamahi i ngā hangarau o nāianei me ngā tikanga pokanga matatau hei tautoko i ngā putanga pai mō ā mātou tūroro. Me te rōpū o ngā taote pokanga mohio me te whakapau kaha ki te tiaki whaiaro, ko Apollo Hospitals Lucknow tētahi kōwhiringa rongonui mō te tango pokanga i te puku o te puku i te rohe. E whakawhirinaki ana ā mātou tūroro ki a mātou ehara i te mea mō ō mātou tohungatanga hauora anake engari mō tō mātou huarahi aroha ki te hauora.

He aha te take e tika ai te Cholecystectomy

He mea nui te tango i te cholecystectomy mō ngā tūroro e pāngia ana e ngā kohatu pūkahukahu, te mumura o te pūkahukahu (cholecystitis), me ētahi atu mate e pā ana ki te pūkahukahu. Ka taea e ngā kohatu pūkahukahu te arahi ki te mamae nui, ngā raruraru nakunaku, me ngā raruraru pēnei i te pancreatitis, te mate pāwera rānei. Mā te tango i te pūkahukahu, ka taea e tātou te whakamamae i ēnei tohu me te whakaiti i te tūponotanga o ētahi atu raruraru. Ko te tikanga ka mahia te tikanga laparoscopically, ko te tikanga he tapahi iti ake, he iti ake te mamae, me te tere ake te wā whakaora mō te nuinga o ngā tūroro. I Apollo Hospitals Lucknow, ka whakarite mātou kia whiwhi ia tūroro i tētahi aromatawai hōhonu hei whakatau mēnā he tika te cholecystectomy, me te whakarite i tā mātou huarahi ki ngā hiahia takitahi.

Nga Morearea o te Roa

Mā te whakaroa i te tango i te cholecystectomy i te wā e tika ana ka pā mai he tūponotanga kino ki te hauora. Ka taea e ngā kōhatu pūkahukahu te whakaputa i te cholecystitis whakapeka, ka puta he mamae nui o te puku, te kirika, me ngā raruraru pea pērā i te pakaru o te pūkahukahu, te mate rānei. Tērā pea ka hiahiatia he pokanga ohorere mō ēnei āhuatanga, he uaua ake, he nui ake hoki ngā tūponotanga i tētahi tikanga kua whakaritea. I Apollo Hospitals Lucknow, ka whakanuia e mātou te hiranga o te wawaotanga wā tika. Ko tā mātou whāinga he whakarato i te tiaki tere, kia rongoatia ai ngā tūroro i mua i te puta mai o ngā raruraru ka taea te karo.

Nga painga o te Cholecystectomy

Mā te tango i te cholecystectomy ka taea te whakapai ake i te kounga o te oranga mō te hunga whai tohu kohatu pūkahukahu. He maha ngā tūroro e whakamamaetia ana e te mamae tonu me ngā tohu nakunaku e pā ana i muri i te tikanga. Ko te tango i te pūkahukahu ka mutu te huringa o ngā whakaekenga o te kōroke biliary, ka taea ai e te tangata te hoki ki ngā mahi noa me te kore e mataku i te mamae nui ohorere. E kī ana hoki ētahi tūroro he māmā ake te kai i muri mai, ahakoa he tokoiti e kite ana i te ngawari o ngā tūtae, i te kore rānei e manawanui ki te ngako mō tētahi wā. I Apollo Hospitals Lucknow, ehara i te mea ko te tikanga pokanga anake tā mātou e aro ana engari ko te whakaora katoa, me te whakarite kia whiwhi ngā tūroro i te tautoko e hiahiatia ana e rātou puta noa i tā rātou haerenga.

Te Whakarite me te Whakaora

Ko te whakarite mo te cholecystectomy he maha nga waahanga nui hei whakarite i te wheako pokanga maeneene. Anei etahi tohutohu whaihua:

1. Whakawhitiwhiti whakaaro: Whakaritea he hui kōrero hōhonu ki ā mātou taote pokanga i Apollo Hospitals Lucknow. Mā rātou e arotake tō āhua, e matapaki te tikanga, ā, ka whakautua hoki ō pātai katoa.
2. Ngā tohutohu i mua i te pokanga: Whāia ngā tohutohu i mua i te pokanga e whakaratohia ana e tō tīma hauora, tae atu ki ngā here kai me ngā whakarerekētanga rongoā.
3. Whakaritea te kawe: I te mea ka noho koe i raro i te mate whakamoe, whakaritea kia haria koe e tetahi ki te kāinga i muri i te tikanga.
4. Te tiaki i muri i te mahi: I muri i te pokanga, me whai i ngā tohutohu a tō taote pokanga mō ngā taumata mahi, te kai, me te tiaki i te patunga. He mea nui te okiokinga mō te whakaoranga.
5. Whakaritenga whai ake: Haere ki ngā wā tirotiro katoa kua whakaritea kia taea ai te aroturuki i tō whakaoranga me te aro turuki i ō āwangawanga katoa.

I Apollo Hospitals Lucknow, kei te whakarite maatau i to whakaoranga ma te whakarato i te manaaki me te tautoko matawhānui i muri i te mahi, me te whakarite kei a koe nga rauemi e hiahia ana koe mo te mahi whakaora angitu.

Ngā Kōrero a ngā Aratohu o Nāianei

Ko te whakatau kaupapa i Apollo Lucknow e hangai ana ki ngā aratohu ā-motu me ā-ao kua whakaputaina, kaua ki te hiahia o te taote pokanga anake:

• Ngā Aratohu o Tōkyō 2018 (TG18) kei te noho tonu hei paerewa tohutoro mō te tātaritanga me te whakatauranga i te cholecystitis whakapeka me te cholangitis whakapeka. Ka tautoko a TG18 i te te tango i te cholecystectomy laparoscopic wawe mō te cholecystitis whakapeka Wāhanga I me ētahi Wāhanga II kua tohua mō ngā tūroro e ora pai ana, kaua ki te mahi tawhito o te whakamatao me te mahi pokanga i muri i ngā wiki e ono. Mō te Wāhanga III (te ngoikore o te okana) me ngā tūroro mōrearea nui, ka tautoko a TG18 i te mimiti tere o te pūkahukahu (percutaneous cholecystostomy) i te tuatahi, ā, muri iho ka pokanga.
• Ngā aratohu a te World Society of Emergency Surgery (WSES) mō te cholecystitis calculous whakapeka 2020 Waihoki, e taunaki ana kia pokanga wawe, ko te mea pai i roto i ngā rā e whitu o te tīmatanga o ngā tohu, me roto i ngā rā tekau o te whakaurunga ki te wāhi e taea ai, ā, e tautoko ana i te "tirohanga arohaehae mō te haumaru" me te cholecystectomy iti-katoa, te tahuritanga rānei hei rautaki whakaora haumaru i roto i te pūkahukahu uaua.
• Aratohu mahi Inia: te Te Rōpū Inia o ngā Taote Pokanga Endo Gastrointestinal (IAGES) kua whakaputa i ngā taunakitanga whakaae me ngā taunakitanga haumaru mō te cholecystectomy mō ngā mahi Inia, me te Te Rōpū o nga Kaipupuri o Inia (ASI) Waihoki, ko te pukapuka ako me ngā rauemi CME e whakanui ana i te laparoscopy hei huarahi paerewa, he tuhinga whakahau mō te tirohanga arohaehae o te haumaru, me te paepae iti mō te cholangiography intraoperative, te whakawhiti rānei. Ko te Indian Society of Gastroenterology a INASL He mea nui ngā aratohu mēnā ka noho tahi ngā kohatu o te pūkahukahu me te pancreatitis, te mate ate mau tonu rānei.
• He whakatūpato mō te mate pukupuku o te pūkahukahu e pā ana ki te raki o Īnia: Ko te rohe o Ganga, tae atu ki a Uttar Pradesh me Bihar, tētahi o ngā rohe e nui rawa ana te mate pukupuku o te pūkahukahu i te ao. Nō reira, e kī ana ngā rōpū pokanga Inia he iti ake te paepae mō te pokanga mō ngā tūroro he pūkahukahu matotoru, he pūkahukahu kua whakapūkaratia rānei (porcelain), he polyp 10 mm neke atu rānei, he polyp e tipu haere ana, he kohatu pūkahukahu rānei neke atu i te 3 cm te rahi. He take pono tēnei mōrearea ā-rohe, ā, he maha ngā wā kāore i te kōrerohia, e kīia ai he pokanga mō te tūroro o Lucknow ahakoa he iti noa ngā tohu.
• Ngā kōhatu kore tohu ("kore e kitea"): Kei te tohutohu tonu ngā aratohu kia kaua e pokanga noa mō ngā kōhatu tino puku i roto i ngā pakeke hauora, engari mō ngā āhuatanga mōrearea kua whakahuatia ake nei, me te hunga he toto toto iti, he hunga rānei e pokangahia ana ki ētahi atu pokanga puku.

Kei te whanake tonu ngā taunakitanga i ētahi wāhi - hei tauira, ko te hua tuturu o te cholangiography ā-tinana, me ngā hua roa o te cholecystectomy iti - nō reira ka whakamahia ngā taunakitanga me te whakatau haumanu, ā, ka matapakihia tahitia me koe.

Te Wā o te Pokanga me te Wāhanga o mua i te Tukanga

Āhea ka whakaritea te pokanga

• Āhua ohorere / whakaurunga kotahi: Te cholecystitis whakapeka, te pancreatitis kohatu kua noho pūmau, te jaundice aukati me te cholangitis i muri i te rerenga o te biliary, te pakaru rānei o te gallbladder.
• Kōwhiringa tōmua (ngā rā ki ētahi wiki): Ko te mate puku biliary auau, te whakaekenga kino tuatahi, i muri rānei i te ERCP mō ngā kōhatu o te awa o te biliary – te waiho i te aukume kia mau tonu i muri i te ERCP, he nui te mōrearea o ngā whakaekenga anō.
• Kōwhiringa kua whakaritea (wiki): Te cholecystitis mau tonu, ngā polyp o te pūkahukahu kei raro i te tirotiro, ngā tūroro e hiahia ana kia arotauhia te mate huka, te anemia, te toto toto tiketike, te āhua rānei o te ngākau i te tuatahi.
• Kua Whakamutua: Te hauwhā tuatahi o te hāputanga, te mutunga rānei o te hauwhā tuatoru o te hāputanga ina taea te whakahaere i ngā tohumate, te sepsis kaha kore whakahaere mai i tētahi atu pūtake, i te wā rānei he haumaru ake te wā whakamatao i muri i tētahi whakaekenga kino.

Te whakarite i mua i te tukanga

• Ko te whakamātautau matua ko te ultrasound o te puku; ka tāpirihia te MRCP, te ultrasound endoscopic rānei, mēnā kei te whakapaetia he kōhatu kei roto i te awaawa o te ate. Ka whakamahia te CT mō ngā take uaua, whakapae rānei.
• Ngā whakamātautau toto: te tatau toto katoa, te mahi ate, te amylase, te lipase rānei, te mahi tākihi, te huka toto me te HbA1c, te kōtaha toto totoka, te rōpū toto, ngā tohu huaketo.
• Aromatawai ngākau me te rongoā whakamoe: ECG, whakaahua uma i ngā wāhi e tika ana, echocardiography mō ngā tūroro kaumātua, mō te hunga rānei he hītori ngākau; tirohia te whakaaetanga o te whare hauora i mua i te rongoā whakamoe.
• Ngā rongoā: me kōrero i mua i te wā mō ngā rongoā whakaiti toto pēnei i te aspirin, clopidogrel, warfarin me ngā rongoā whakaheke toto hou ake, ā, me mutu noa i runga i te tohutohu a te taote. Ka whakarerekētia te horopeta o te Metformin, ngā aukati SGLT2 me te insulin i runga i te nohopuku.
• Nohopuku: ko te tikanga kāore he kai totoka mō ngā haora e ono ki te waru, ā, ka mutu te inu wai mārama i te rua haora i mua i te wā whakamoe, e ai ki ngā tohutohu a tō tākuta whakamoe.
• Kati te momi hikareti me te whakamahi tupeka, te gutkha rānei i mua tonu i te pokanga; ka whakaitihia te nui o ngā raruraru o te uma me te patunga.
• Whakaorahia te toto toto iti i mua i te wā e taea ai - he mea noa tēnei i roto i ngā tūroro o Te Tai Tokerau o Īnia, ā, ka pā ki te oranga.

Ngā Kōwhiringa Hangarau i Whakatauritea

Ngā Tukanga e Mahihia Ana i te Wā Kotahi i Ētahi Wā

• Ko te cholangiography ā-tinana, te ultrasound laparoscopic rānei hei mahere i ngā awaawa aukume ina kāore i te mārama te hanganga, ina rānei e whakapaetia ana he kōhatu kei roto i ngā awaawa.
• Te tūhuratanga o te awaawa ate noa i roto i te laparoscopy i ētahi kēhi o ngā kōhatu paipa, me te karo i te ERCP motuhake.
• Te whakatikatika i te hernia pito, te hernia epigastric, te hernia tapahi iti rānei i kitea i te pae kotahi.
• Te koiora ate mēnā me aromatawai te mate ate mau tonu, te ate momona rānei, ā, he haumaru te mahi pēnā.
• Appendicectomy mēnā anake he tohu mārama, ehara i te mea i ia wā.
• Adhesiolysis i roto i ngā tūroro kua pokangahia te puku o mua.
• Te whakamahere mō te wāhanga tio, te tango roa rānei Mena ka whakapaetia he mate pukupuku puku ōkawa ohorere i te wā o te pokanga? he mea nui kia whakaarohia tēnei rohe. Ko te tikanga ka whakaritea te pokanga mate pukupuku whakamutunga i muri i te aromatawai katoa.

Whakaora Wāhanga-i-te-Wāhanga

Ngā tuhipoka mahi motuhake ki Īnia

• Ngā wharepaku noho pōturi me ngā wharepaku ā-Inia: Ko te nuinga o te tangata ka ora i muri i te kotahi ki te rua wiki mā te laparoscopy, ā, he roa ake i muri i te pokanga tuwhera. He āwhina te wharepaku, te tūru kirihou rānei e tata ana i ngā wiki tuatahi e rua. Kaua e whakamātau? Me tono he whakangawari tūru mēnā he kōroke.
• Te noho whiti waewae i runga i te papa: I te nuinga o te wā ka noho whakamarie i roto i ngā wiki e rua, e toru rānei. Whakamahia he urunga, ka tū ake mā te whakamahi i te pakitara, i te tūru rānei, kaua e whakapau kaha ki te puku.
• Te moe papa: He pai, engari ka taumaha te puku i te nekehanga o te ara ake. Mō te wiki tuatahi, takahuri ki tō taha ka pana ake ki ō ringa, moe rānei i runga i tētahi moenga mārō mēnā e wātea ana.
• Ngā mahi o te whare: Me tatari te tahitahi, te mopi, te huri mākū, te utu wai me te amo i ngā tamariki i runga i te hope mō te rua ki te toru wiki pea. Koinei te wāhi e tino hira ai te tautoko a te whānau – whakamaheretia i mua ko wai ka whakahaere i ngā mahi o te kīhini me te kura.
• Te haereere i ngā waka wira-rua: Āta karohia te haere me te eke pahikara, te eke rānei i ngā rori taratara mō te rua ki te toru wiki; ka āraia ngā tauranga e ngā arai tere me ngā poka.

Ngā Paearu mō te Hoki ki te Mahi, ki te Hākinakina me te Mahi Taumaha

Ehara te wā i te whakamātautau. Hoki atu ina taea e koe te kī pono āe ki ēnei katoa:

• Ka whakahaerea te mamae me te kore he rongoā whakamamae kaha.
• He maroke ngā patunga, he kati, kāore e whero, kāore e wera, kāore hoki e maringi.
• Ka taea e au te hikoi mō te 20-30 meneti, te piki i ngā arawhata me te maremare me te kore e tino mamae.
• Te kai i tētahi kai whakaranu noa, kāore he ruaki; kua tau te puku.
• Kāore he kirika, kāore he kiri māwhero, he mimi pouri rānei.
• Mō ngā taraiwa: ka taea te tū i tētahi wā ohorere, ka tahuri ki te tirotiro i ngā wāhi matapo.
• Mō te whare takaro tinana, te kabaddi, te kirikiti, te nonoke, te mahi ā-ringa taumaha rānei: ka whakaaetia i te wā whai muri i te pokanga, i muri i ngā wiki e whā ki te ono mō te laparoscopy me ngā wiki e ono ki te tekau mā rua i muri i te pokanga tuwhera, ka piki haere te taumaha kaua e tīmata anō me te kaha katoa.

Te Ārai i ngā Raru i Muri i te Tangohanga o te Pūngāwerewere

Kāore e taea e te pūkahukahu te hanga anō i ngā kōhatu, engari ka taea tonu te puta o ngā kōhatu i roto i te awa o te pūkahukahu me ētahi atu raruraru nakunaku. Ngā mahi whai hua:

• Kai i ngā kai auau; ko te nohopuku roa, kātahi ka parai nui te tino take o te mamae. Ko te nohopuku tuku iho i ngā hakari me te kai momona, he maha ngā wā ka puta ngā tohu - engari ka horahia te kai ki waho.
• Whakaititia ngā kai parai hohonu, te ghee taumaha, te malai, te ngako hipi me ngā keke kirīmi i ngā wiki tuatahi, kātahi ka tāpiri mārire atu i runga i te hiahia o te manawanui.
• Whakanuia te kai muka wairewa – te ōti, te dal, te hua rākau, te isabgol mēnā e taunakitia ana – ka āwhina tēnei mēnā he paheke ngā tūtae.
• Whakaitihia te taumaha mā te haere tonu, kaua e kai tere; mā te whakahekenga taumaha tonu ka puta te hanganga kōhatu i roto i ngā awaawa o te ate.
• Whakahaerehia te mate huka me te rongoā i ngā triglycerides tiketike.
• Me noho korikori tinana; he nui te 30 meneti o te hikoi tere i te nuinga o ngā rā.
• Pūrongohia mēnā ka hoki anō te mamae o te puku matau o runga, te kiriuhi waikura, te paru koma rānei? Ka taea te rongoā i tētahi kōhatu putunga kua mau, kua hou rānei, mā te ERCP i te nuinga o te wā.
• Haere mai ki te tiki i tāu pūrongo histopathology. Koinei te huarahi e kitea ai te mate pukupuku pūkahukahu i te wā tōmua, ā, koinei te taahiraa whai muri tino nui i tēnei rohe.

Tamariki, Kaumātua me Ētahi Atu Āhuatanga Motuhake

Nga tamariki me nga taiohi

He maha ngā wā ka honoa ngā kōhatu pūkahukahu i roto i ngā tamariki ki ngā āhuatanga hemolytic pērā i te thalassemia, te mate pūtau marino, te spherocytosis tuku iho rānei, ki te momona me te kai roa i roto i te uaua. He pai te tango i te cholecystectomy laparoscopic, ā, i roto i te mate hemolytic, ka taea te whakakotahi me te splenectomy i runga i te huarahi kua whakaritea, me te whakarite i ngā tikanga werohanga me te whakawhiti toto i mua. He mea nui te tautoko a te mate whakamoe tamariki me te tohutohu a ngā mātua.

Nga pakeke

He iti ake ngā tohu o ngā tūroro kaumātua engari he nui ake ngā raruraru, ā, ko te hononga ki ētahi atu tāngata te mea nui ake mō te mōrearea i te pakeketanga tonu. He mea nui te aromatawai tupato i te ngākau, te whatukuhu me te kai, te whakaoho wawe i te tinana, te whakaora tinana o te uma, te aukati i te pōrangi me te arotake i ngā rongoā whakaheke toto. Mō ngā tūroro tino ngoikore, ko te tango i te cholecystostomy, te whakahaere kore-pokanga rānei te kōwhiringa whakaaro nui ake, me te whakaae ki te mōrearea o te hokinga mai.

Te wa hapu

Ko ngā tohumate o ngā kōhatu pūkahukahu i te wā e hapu ana ka nui haere te whakahaerenga mā te pokanga, ko te mea pai ko te wā i te toru o ngā marama, me te whakahaere tahi i te wā e hapu ana. He mōrearea anō hoki ngā whakaekenga maha i te wā e hapu ana, nō reira he whakatau takitahi te whakatau.

Te mate huka, te momona, te cirrhosis me te anticoagulation

Tērā pea ka puta wawe mai te hunga mate huka me te mate kino; ka uaua ake te mahi pokanga i te momona; ka piki ake te mōrearea o te toto i te cirrhosis me te toto toto tiketike, ā, me whai wāhi ki te tirotiro toto; me whai mahere hono kua tuhia mō ngā tūroro e ārai ana i te toto totoka. He take ēnei katoa hei whakamahere, kaua e whakaroa kia tae rā anō ki tētahi āhuatanga ohorere.

Ki te Whakatau Koe kia Kaua e Pokangahia

He kōwhiringa tika te whakakore, te whakaroa rānei i te pokanga, ā, me whai whakaaro pai.

• Ahakoa he tino puku ngā kōhatu, kāore he āhuatanga mōrearea, e kore rawa pea e raru; tata ki te kotahi ki te rua i roto i te kotahi rau tāngata ka pāngia e ngā tohu i ia tau.
• Kia pāngia koe e te mamae o te ate kōhatu kotahi, ka puta anō ngā whakaekenga anō - he nui te ōrau o ngā tūroro ka pāngia anō i roto i te tau kotahi, e rua rānei.
• Ko ngā hua pea o te tatari ko te cholecystitis whakapeka, te empyema, te pakaru rānei o te pūkahukahu, te paheke o ngā kōhatu ki roto i te awa o te kōhatu ka puta ai te jaundice, te cholangitis rānei, te pancreatitis o te kōhatu i roto i te pūkahukahu, ā, he onge noa iho te ileus o te kōhatu i roto i te pūkahukahu.
• He nui ake te maha o ngā pokanga ohorere i roto i te puku mumura e huri ana ki te pokanga tuwhera, e whara ana i te awaawa ate, e roa ake ai te noho ki reira, ā, he nui ake te utu i te pokanga kua whakaritea.
• I Uttar Pradesh tonu, e pā ana ngā kōhatu roa e noho ana me te pūkahukahu e mumura mau tonu ana ki te mate pukupuku pūkahukahu, ā, he maha ngā wā ka roa rawa te tautuhi i tēnei mate mō te rongoā.
• Ko ngā rongoā pēnei i te waikawa ursodeoxycholic ka puhoi te whakarewa i ngā kōhatu cholesterol iti, he iti noa iho te mahi, ā, ka hoki mai anō ngā kōhatu i muri i te mutu.
• Ki te hiahia koe ki te tatari, whakaaetia he mahere: kia mōhio ki ngā tohu whakatūpato, puritia ō pūrongo ultrasound, ā, hoki wawe mai mēnā ka pā mai te mamae, te kirika, te jaundice rānei.

He aha ngā mea e pā ana ki te utu o te cholecystectomy

Kāore mātou e whakaputa i ngā utu mōkihi ki konei, nā te mea ko te tatauranga whakamutunga e whakawhirinaki ana ki tō āhuatanga hauora. Tena koa pātai atu ki te tēpu utu, ki te tēpu inihua rānei a Apollo Lucknow mō tētahi whakatau tata tuhituhi e tika ana māu.

Inihuarangatia, Maimoatanga Kore Moni me ngā Mahi Pepa i Inia

• Ko te cholecystectomy he tikanga pokanga e hipokina ana i raro i te inihua hauora paerewa mō te utu, nā te mea me whakauru koe ki te hōhipera. Ko te pokanga laparoscopic mō te tiaki tamariki ka hipokina hoki i te nuinga o te wā, engari me whakaū tēnei i roto i ngā kupu o tō kaupapa here.
• He mea nui ngā wā tatari. Ko te nuinga o ngā kaupapa here Inia he wā tatari tuatahi mō te 30 rā pea mō te mate, ā, he maha ngā mea e whakarārangi ana i ngā kohatu pūkahukahu me te pokanga pūkahukahu i roto i ēnei. ngā whakakorenga mate motuhake me te wā tatari mō ngā tau e rua (i ētahi wā kotahi, toru, whā rānei tau i runga i te kaiinihua). Mena he mea hou tō kaupapa here, pātai atu ki tō kaiinihua mā te tuhituhi i mua i te whakarite i te pokanga whiriwhiri.
• Ngā wāhanga mate o mua: Mena i tuhia ngā kohatu pūkahukahu i mua i te hokonga o te kaupapa here inihua, ka pā pea te wā tatari mō te mate kua pā mai i mua - e rua ki te whā tau te roa, ā, tae atu ki te toru tau i raro i ngā tikanga ture o nāianei mō ngā kaupapa here inihua hou.
• Utu ā-mahere, ā-aituā rānei: He mea whakamaheretia, he mea ohorere rānei te pokanga pūkahukahu i ngā wā katoa mate kereme, ehara i te kereme aituā. Kāore e hipokina e ngā kaupapa here aituā whaiaro. Mena he rider aituā whaiaro, he mate kino rānei tāu, tirohia te nui o te utu e tika ana kia utua.
• Ara kore moni: Tohaina tō kāri hauora, tau kaupapa here me tō tuakiri whakaahua ki te tēpu inihua Apollo i mua i te whakaurunga. Ka tukuna e te hōhipera he tono whakamanatanga i mua me te tautuhi mate, te tikanga kua whakaritea me te whakatau tata ki tō kaiinihua, ki te TPA rānei. Ko te mea pai ko te tīmata i ngā kēhi kua whakaritea kia toru ki te whitu ngā rā mahi i mua atu; ka tukatukahia ngā āhuatanga ohorere i muri i te whakaurunga.
• Ara whakahoki moni: Utua koe anō, ā, ka kereme i muri mai. Puritia te whakarāpopototanga o te tukunga, te pire whakamutunga me te wehenga, ngā rīhiti utu, ngā pūrongo tirotiro, ngā nama tāpiringa, ngā nama pau rānei, te pūrongo histopathology me ngā rongoā.
• He aha te nuinga o te wā kāore e utua: Ngā taonga whakapau kore-hauora, ngā utu e pā ana, te reti rūma i runga ake i tō kāwai e tika ana, ngā moni tāpui whakauru, me ngā tangohanga ōrite ina pā te herenga reti rūma.
• Ngā kaupapa a te kāwanatanga me ngā umanga: Ahakoa kei te whakauruhia, kei te tika hoki a Ayushman Bharat PM-JAY, CGHS, ECHS, ngā kaupapa ā-rohe, ngā hononga umanga rānei a tō kaitukumahi i tēnei hōhipera, me te utu tāpiri e pā ana, me whakaū tika ki te tēpu inihua i mua i te whakaurunga, nā te mea ka rerekē pea te tūnga whakaurunga.

Te Whakamahere i tō Whakauru me ngā Mea hei Kawea Mai

• He kāri tuakiri whakaahua a te kāwanatanga me tētahi tārua, me te tārua anō hoki mō tō kaimahi matua.
• Kāri inihua, tuhinga kaupapa here, taipitopito TPA me tetahi reta whakamanatanga i mua.
• Ngā whakahaunga katoa o mua, ngā kiriata ultrasound me te MRCP, ngā pūrongo toto, te ECG, me te whakaaetanga i mua i te whakamoe.
• He rārangi tuhituhi o ngā rongoā katoa me ngā horopeta, tae atu ki ngā tāpiringa ayurvedic, homeopathic, otaota rānei - ka pā ētahi ki te toto me te mate whakamoe.
• He kākahu miro tuwhera kore, he hāri, he dupatta rānei, he hū me te pupuri, me tētahi putea wharepaku iti.
• Mōhiti kanohi, pouaka niho rūpahu, manawa ngongo, mita huka toto, mīhini CPAP rānei mēnā kei te whakamahi koe.
• He rihi hiko, he pēke hiko, me tētahi moni iti, he kāri rānei hei utu mō ngā mea ohorere.
• Kotahi te pakeke pono hei kaimahi mō ngā haora 24 tuatahi, ā, ko te tumanako ka āwhina koe i te kāinga mō te wiki kotahi.
• Waiho ngā whakapaipai, te koura me ngā taonga utu nui ki te kāinga. Tangohia te peita whao me te mekei e ai ki ngā tohutohu.
• Whakaritea he waka mō te hokinga ki te kāinga. Kaua e whakamahere i te tukunga i te pō mena kei tawhiti koe e noho ana.

Ngā Tohu Whakatūpato e Hiahia Ana kia Arotakehia Tere

Whakapā atu ki te hōhipera, haere rānei ki te tari whawhati tata mēnā, i muri i te pokanga, ka pā mai ēnei āhuatanga ki a koe:

• He kirika i runga ake i te 38°C, i te 100.4°F rānei, he wiriwiri rānei te matao.
• Te mamae nui o te puku, te mamae e piki haere ana rānei, kaua e pai haere tonu te mamae.
• He kanohi, he kiri rānei he kōwhai, he mimi pouri, he tūtae paru rānei he mārama te tae.
• Te ruaki tonu, te kore ranei e kaha ki te pupuri i te wai.
• He rerenga mai i te patunga he rite ki te tae o te ate, he kakariki, he piro rānei, he whero me te pupuhi e horapa ana.
• He puku mārō, pupuhi, kāhore he putanga o te tūtae, o te hau rānei.
• Te manawa kore, te mamae o te uma, te mamae me te pupuhi rānei o te kuao kau.
• Te toto e puta mai ana i te wāhi i tauranga ai te manawa, te ngoikore rānei me te tere o te manawa.
• Kāore he mimi i puta mō ngā hāora maha, e tino hiamoe ana, e pōhēhē ana rānei.

I mua i te pokanga, ka pā te ture kotahi ki te mamae nui o te puku o runga me te kirika, te jaundice rānei - kaua rawa taua whakakotahitanga e rongoatia ki te kāinga.

Mō ngā Tūroro e Haere Mai ana i ngā Rohe me ngā Tāone Tata

Ko Lucknow te waahi korero mo te nuinga o te pokapū me te rawhiti o Uttar Pradesh. Ko nga turoro e haere ana mai i Barabanki, Sitapur, Hardoi, Unnao, Kanpur, Rae Bareli, Lakhimpur Kheri, Bahraich, Gonda, Faizabad? Ayodhya, Sultanpur, Amethi, Pratapgarh, Shahjahanpur, Fatehpur me Basti, me nga rohe rohe o Nepal me etahi waahanga o Bihar.

• Tukuna ngā pūrongo i mua. Kōrerohia ō whakaaro mō te ine toto, te ultrasound me ngā rongoā i mua i te haerenga, kia whai hua ai te kōrero tahi, kia iti ai hoki ngā whakamātautau anō.
• Whakamaherehia he tauira haerenga e rua mēnā ka taea: kotahi te haerenga ki te kōrero me te whakapakari tinana, kātahi ka whakaurua ki te whare hauora i tētahi rā kua whakapumautia, kaua e haereere anō.
• Te tahua mō te noho mō te toru ki te rima rā huri noa i tētahi tikanga laparoscopic kua whakaritea kia taea ai ngā tirotiro i mua i te whakamoe me te arotake tuatahi o te patunga, ā, kia roa ake mō ngā pokanga tuwhera, ngā pokanga uaua rānei.
• Te noho a te kaimahi: Pātai atu ki te tēpu āwhina mō ngā whare manuhiri me ngā kōwhiringa wāhi noho tata; kaua e whakawhirinaki ki te noho mō te pō i roto i te wāhanga mēnā kāore i whakaaetia mō tō momo rūma.
• Haerenga hoki: Mō ngā wiki tuatahi e rua, he pai ake te noho i runga i te motuka, i te tereina rānei, kaua e haere roa i runga i ngā rori pūngāwerewere. Whakamutua ngā haerenga roa, ka hikoi i ia haora, i ia rua rānei, hei whakaiti i te tūponotanga o te toto totoka.
• Tārua ā-rohe: I mua i te tukunga i te hōhipera, me tiki he whakarāpopototanga tuhituhi mō te tukunga i te hōhipera, he rārangi rongoā, he tohutohu whakakakahu me te ingoa o te whare hauora e tata ana ki a koe ka taea te tirotiro wawe i te pō.
• Whai-ake: Pātai atu mēnā ka taea te whakahaere i tō arotake tuatahi me te kōrero mō te pūrongo histopathology mā te kōrero mamao mēnā he uaua te haere.

Whakapā mai me ngā Whakaritenga