Chipatala Chapamwamba Kwambiri cha Ana ku India | Chipatala Chapamwamba Chosamalira Ana - Zipatala za Apollo

Chipinda chathu chosamalira ana akhanda omwe ali ndi matenda aakulu chimapereka chithandizo chapamwamba komanso chokhazikika kwa ana obadwa msanga komanso odwala kwambiri. Chipatala cha NICU, chomwe chimayang'aniridwa ndi akatswiri odziwa bwino ntchito za ana obadwa msanga komanso magulu apadera osamalira ana, chili ndi zida zothandizira kupuma bwino, kuyang'anira ana obadwa kumene, komanso malo owongolera matenda kuti zitsimikizire kuti makanda omwe ali pachiwopsezo chachikulu ayamba moyo wawo bwino.

Chipinda Chosamalira Ana Movutikira chimapereka chisamaliro chapadera kwa makanda ndi ana omwe ali ndi matenda oopsa, kuvulala, kapena zosowa pambuyo pa opaleshoni. Pothandizidwa ndi akatswiri osamalira ana, makina owunikira apamwamba, ndi akatswiri osiyanasiyana, PICU imatsimikizira kuti chithandizo chamankhwala chimachitika nthawi yake komanso mosalekeza panthawi yovuta kwambiri ya chithandizo.

Ntchito zathu za Opaleshoni ya Mtima ya Ana ndi Opaleshoni ya Mtima zimapereka chithandizo chokwanira cha matenda a mtima obadwa nawo ndi omwe amapezeka mwa ana. Kuyambira kujambula zithunzi za mtima ndi opaleshoni ya mtima yolowererapo mpaka opaleshoni yovuta yotseguka ya mtima, chisamaliro chimaperekedwa ndi akatswiri odziwa bwino ntchito pogwiritsa ntchito ukadaulo wokhudza ana komanso njira zotsimikizira umboni.

Kuzindikira ndi kuchiza matenda a mtima obadwa nawo ndi omwe amapezeka mwa makanda, ana, ndi achinyamata, kuphatikizapo kugwiritsa ntchito catheter ndi opaleshoni.

Dokotala wa Pediatric Neurology amayang'ana kwambiri pa kuzindikira ndi kusamalira matenda a ubongo, mitsempha, ndi minofu mwa ana. Matenda monga khunyu, kuchedwa kukula, matenda a mitsempha, ndi sitiroko ya ana amachiritsidwa kudzera mu kuphatikiza kwa matenda apamwamba, chithandizo chamankhwala, komanso chisamaliro cha mitsempha chogwirizana kwa nthawi yayitali.

Gulu lathu la Pediatric Neurosurgery limapereka chithandizo chapadera cha opaleshoni ya ubongo ndi msana kwa ana. Izi zikuphatikizapo matenda obadwa nawo, zotupa, hydrocephalus, kuvulala koopsa, ndi matenda a msana. Chithandizo chimakonzedwa molondola, pogwiritsa ntchito zithunzi zapamwamba komanso njira zotetezera ana kuti zitheke bwino komanso kuti achire.

Katswiriyu amapereka chithandizo chophatikizana cha matenda a magazi ndi khansa ya ana, kuphatikizapo khansa ya m'magazi, khansa ya m'magazi, ndi zotupa zolimba. Ntchito zimaphatikizapo mankhwala a chemotherapy, chithandizo chothandizira, ndi kusamutsa mafupa, zomwe zimaperekedwa ndi madokotala odzipereka a khansa ya ana m'malo abwino kwa ana omwe amayang'ana kwambiri chitetezo, kupitiriza, komanso kutsatira kwa nthawi yayitali.

Ntchito zathu za ana zochizira matenda a m'mimba ndi chiwindi zimasamalira matenda am'mimba, zakudya, komanso matenda a chiwindi mwa ana. Kuyambira kupweteka kwa m'mimba kosatha komanso matenda otupa m'matumbo mpaka matenda ovuta a chiwindi, chisamaliro chimaphatikiza matenda apamwamba, chithandizo chamankhwala, chithandizo cha zakudya, komanso mgwirizano wapafupi ndi madokotala a opaleshoni ya ana pakafunika kutero.

Pulogalamu yathu yopatsira Impso kwa Ana imapereka chisamaliro chokwanira cha ana omwe ali ndi matenda a impso omwe afika pachimake. Kuyambira kuwunika asanapatsidwe opaleshoni mpaka kuyang'anira pambuyo pa opaleshoni komanso kutsatira moyo wawo wonse, chisamaliro chimaperekedwa ndi gulu la akatswiri osiyanasiyana odzipereka kuonetsetsa kuti chitetezo, moyo wautali wa graft, komanso moyo wabwino.

Endocrinology ya ana imayang'ana pa mavuto a mahomoni ndi kagayidwe kachakudya komwe kumakhudza kukula ndi chitukuko mwa ana. Matenda monga matenda a shuga, matenda okulira, matenda a chithokomiro, ndi mavuto okhudzana ndi kutha msinkhu amathandizidwa kudzera mu mapulani a chithandizo chaumwini, kuyang'anira kosalekeza, ndi maphunziro okhudza mabanja.

Pulogalamu yathu ya Cerebral Palsy and Neurodevelopmental Care imapereka kasamalidwe kathunthu, kosiyanasiyana komwe cholinga chake ndi kukonza kuyenda, kudziyimira pawokha, komanso moyo wabwino. Chisamaliro chimaphatikiza kasamalidwe ka zamankhwala, njira zochiritsira zochiritsira, ukadaulo wothandizira, ndi chithandizo cha mabanja kuti chikhale ndi zotsatira zabwino kwa nthawi yayitali.

Madokotala a mafupa a ana amapereka chithandizo chapadera cha matenda a mafupa, mafupa, ndi minofu ndi mafupa omwe amakhudza ana omwe akukula. Izi zikuphatikizapo kupunduka kwa thupi, kusiyana kwa kutalika kwa miyendo, scoliosis, kusweka kwa mafupa, ndi kuvulala kwa masewera, makamaka pakubwezeretsa magwiridwe antchito pamene akuthandiza kukula bwino ndi chitukuko.

Katswiriyu amapereka chisamaliro chokwanira cha matenda a khutu, mphuno, pakhosi, ndi njira yopumira mwa ana. Ntchitozi zikuphatikizapo kuyang'anira kutaya kumva, matenda obwerezabwereza, kutsekeka kwa njira yopumira, ndi mavuto a mawu, zomwe zimathandizidwa ndi matenda apamwamba komanso chithandizo choyenera cha opaleshoni komanso chosagwiritsa ntchito opaleshoni kwa ana.

Pulmonology ya ana imayang'ana kwambiri pa matenda opumira omwe amakhudza makanda ndi ana, kuphatikizapo mphumu, matenda osatha a m'mapapo, matenda obwerezabwereza, ndi matenda opumira okhudzana ndi tulo. Chisamaliro chimaphatikizapo kuyezetsa matenda kwapamwamba, kasamalidwe ka matenda kwa nthawi yayitali, ndi chithandizo chogwirizana kuti thanzi la kupuma likhale bwino.

Katswiriyu amapereka chisamaliro chokwanira cha matenda a khutu, mphuno, pakhosi, ndi njira yopumira mwa ana. Ntchitozi zikuphatikizapo kuyang'anira kutaya kumva, matenda obwerezabwereza, kutsekeka kwa njira yopumira, ndi mavuto a mawu, zomwe zimathandizidwa ndi matenda apamwamba komanso chithandizo choyenera cha opaleshoni komanso chosagwiritsa ntchito opaleshoni kwa ana.

Dokotala wa maso a ana amapereka chithandizo chapadera cha maso kwa ana, pochiza mavuto a maso, kutsekeka kwa maso, matenda obadwa nawo a maso, ndi kuvulala kwa maso. Kuzindikira msanga ndi kuchitapo kanthu pa nthawi yake kumathandiza kuthandizira kukula bwino kwa maso ndikupewa kulephera kuwona kwa nthawi yayitali.

Ntchito zathu za mano a ana ndi maxillofacial zimathandizira kuthana ndi mavuto a mano, pakamwa, ndi pakhungu mwa ana. Chisamaliro chimaphatikizapo kuyang'anira zovuta zobadwa nazo, matenda a mkamwa, kuvulala, ndi zosowa zovuta za mano, zomwe zimaperekedwa pamalo abwino kwa ana omwe amaika patsogolo chitonthozo ndi chitetezo.

Kubwezeretsa Ana ndi Kuchiritsa Mwachangu kumayang'ana kwambiri pakubwezeretsa kuyenda, mphamvu, ndi kudziyimira pawokha kwa ana omwe ali ndi matenda azachipatala, opaleshoni, kapena kukula. Mapulogalamu othandizira payekhapayekha amapangidwira kuthandiza kuyenda, kulumikizana, komanso kukula kwa thupi kwa nthawi yayitali.

Utumikiwu umathandiza ana omwe ali ndi mavuto olankhula, chilankhulo, kulankhulana, komanso kudyetsa. Kudzera mu chithandizo chokonzedwa bwino komanso njira zochizira matenda, gululi limathandiza ana kukulitsa luso lawo lolankhulana, luso lawo lodyetsa, komanso kudzidalira pa zochita zawo za tsiku ndi tsiku.

Kuyeza magazi ndi mkodzo ndikofunikira kuti muzindikire matenda, kuperewera kwa zakudya m'thupi, kusagwira bwino ntchito kwa chiwalo, ndi zovuta zina zaumoyo mwa mwana wanu. Mayesowa amathandiza kukhazikitsa maziko a thanzi la mwana wanu.

Momwe Imachitikira:

• Kuyezetsa Magazi: Singano imagwiritsidwa ntchito potulutsa magazi, makamaka kuchokera pamkono. Kwa makanda, kuluma chidendene kungapangidwe.
• Kuyesa Mkodzo: Chidebe chosabala chimaperekedwa kuti mutenge mkodzo. Kwa ana aang'ono kapena makanda, thumba lapadera la kusonkhanitsa lingagwiritsidwe ntchito.

Zimene Makolo Ayenera Kuyembekezera:

• A wofatsa chobaya pa kusonkhanitsa magazi, amene kumatenga masekondi ochepa chabe.
• Limbikitsani mwana wanu kukhala chete; njira zododometsa monga zoseweretsa kapena nyimbo zingathandize.
• Zotsatira zoyesa zimapezeka mkati mwa maola 24-48.

Mayeso oyerekeza monga X-rays, ultrasounds, ndi MRIs amapereka zithunzi zatsatanetsatane za mafupa, ziwalo, ndi minofu. Izi ndi zofunika kwambiri pozindikira kuti mwana wanu wathyoka, kukula kwake, kapena mikhalidwe yamkati mwa mwana wanu.

Momwe Imachitikira:

• X-ray: Mwana wanu adzaikidwa patebulo pamene katswiri amagwiritsa ntchito makina kujambula zithunzi za mafupa kapena chifuwa. Njirayi ndi yofulumira komanso yopanda ululu.
• Ultrasound: Chipangizo cham'manja (transducer) chimasunthidwa pakhungu ndi gel osakaniza kuti chithunzicho chikhale bwino.
• CT Scan / MRI: Mwana wanu angafunike kugona mkati mwa makina akuluakulu pomwe kujambula kwapamwamba kumajambula mwatsatanetsatane zamkati. Makinawa amatha kukhala aphokoso komanso owopsa kotero kuti mwana wanu atha kupatsidwa mahedifoni okhala ndi nyimbo kuti athetse phokoso kapena ngakhale kuziziritsa ngati kuli kofunikira.

Zimene Makolo Ayenera Kuyembekezera:

• Mufotokozereni mwana wanu ndondomekoyi pasadakhale kuti muchepetse nkhawa.
• Kujambula sikovuta koma kungafunike kuti mwana wanu akhale chete kwa mphindi zingapo.
• Zotsatira zidzagawidwa ndi dokotala wa ana, kuwonetsa zolakwika zilizonse.

Kumuyeza nthawi zonse n’kofunika kwambiri kuti muone mmene mwana wanu akukulira, mmene akumvera mumtima mwake, ndiponso mmene akukulira.

Momwe Imachitikira:

• Kuyeza kutalika, kulemera, ndi kuzungulira mutu kuti muwone kukula.
• Kupima thupi mokwanira, kuphatikizapo mtima, mapapo, ndi mimba.
• Batire la magazi, mkodzo ndi kuyezetsa zithunzi kuti muwone zonse zomwe mwana wanu ali nazo.
• Kukambitsirana za kugona, zakudya, ndi kupita patsogolo kwa chitukuko.

Zimene Makolo Ayenera Kuyembekezera:

• Gawo lomasuka, loyankhulana lopangidwa kuti muthandize mwana wanu kukhala womasuka.
• Yankhani nkhawa zilizonse za makolo pazakudya, machitidwe, kapena zochitika zazikulu.
• Malangizo osinthidwa mwamakonda kuti mukhale ndi moyo wathanzi.

Katemera ndi mwala wapangodya wa chisamaliro chaumoyo, kuteteza mwana wanu ku matenda opatsirana monga chikuku, polio, ndi chiwindi. Makatemera ndi ofunikira kuti chitetezo chamthupi chitetezeke ku matenda ambiri oopsa.

Momwe Imachitikira:

• Singano yaying'ono imagwiritsidwa ntchito pobaya katemera, nthawi zambiri m'manja kapena ntchafu.
• Ndondomeko ya katemera imapangidwa potengera zaka za mwana wanu komanso mbiri yachipatala.

Zimene Makolo Ayenera Kuyembekezera:

• Kusapeza bwino pamalo opangira jekeseni, nthawi zina limodzi ndi malungo otsika.
• Perekani zamadzi zambiri komanso malo otonthoza pambuyo pa katemera.
• Zolemba mwatsatanetsatane za mbiri ya katemera wa mwana wanu kuti mudzazigwiritse ntchito mtsogolo.

Kuzindikira koyambirira kwa vuto lakumva kapena masomphenya kumatsimikizira kulowererapo kwanthawi yake, kulimbikitsa kulankhula koyenera komanso kukula kwachidziwitso.

Momwe Imachitikira:

• Mayeso akumva: Zingaphatikizepo mayeso a otoacoustic emissions (OAE) kapena ma auditory brainstem response (ABR), komwe kumaseweredwa, komanso mayankho amajambulidwa.
• Mayeso a Masomphenya: Phatikizanipo mayeso owoneka bwino pogwiritsa ntchito tchati chamaso ndikuwunika kwa zolakwika za refractive kapena kuyanjanitsa kwamaso.

Zimene Makolo Ayenera Kuyembekezera:

• Nonvasive ndi zopweteka njira anachita mu chipinda chete.
• Zotsatira zimakambidwa nthawi yomweyo, ndipo ngati pakufunika, zotumizidwa kwa akatswiri zimaperekedwa.

Kuyezetsa ziwengo kumazindikiritsa zoyambitsa monga mungu, chakudya, kapena fumbi zomwe zingayambitse mwana wanu kuti asagwirizane nazo.

Momwe Imachitikira:

• Mayeso a Skin Prick: Tizilombo tating'onoting'ono timadziwitsidwa pakhungu pogwiritsa ntchito singano yaying'ono. Kutengera momwe amachitira ndi zovuta zilizonse, dokotala wa ana angakulimbikitseni chithandizo cha antihistamine pamodzi ndi kusintha kwa moyo wanu.
• Kuyezetsa Magazi: Magazi amatengedwa kuti ayeze ma antibodies enieni.

Zimene Makolo Ayenera Kuyembekezera:

• Kuyesa kwa khungu kungayambitse kuyabwa pang'ono kapena kufiira, komwe kumatha msanga.
• Kuyeza magazi sikusokoneza pang'ono ndi zotsatira zomwe zimapezeka m'masiku ochepa.
• Dokotala wa ana a mwana wanu adzakupatsani ndondomeko yokwanira yothanirana ndi ziwengo.

Werengani zambiri

Mayeserowa amawunika kukula kwa thupi ndi chidziwitso cha mwana wanu kuti atsimikizire kuti akukumana ndi zaka zoyenera.

Momwe Imachitikira:

• Kuwunika kwa luso la magalimoto, kulankhula, ndi kuthetsa mavuto.
• Miyezo yakuthupi ndikuwunikanso mbiri yachitukuko.
• Nthawi zina, kuyezetsa kowonjezera labu kapena kujambula kungalimbikitse.

Zimene Makolo Ayenera Kuyembekezera:

• Malo omasuka, ochezera omwe mwana wanu amatha kuchita zinthu monga kujambula kapena puzzles.
• Zidziwitso zamadera omwe akufunika thandizo, ndikutumiza kwa akatswiri ngati pakufunika.
• Malangizo aumwini olimbikitsa kukula ndi kuphunzira kunyumba.
• Upangiri wa njira zamakhalidwe zamakhalidwe kwa makolo omwe ali ndi ana ang'onoang'ono kuti athe kulandira chithandizo chamalingaliro

Dipatimenti ya Pediatric Cardiothoracic Surgery ku Apollo Institute of Pediatrics ndi malo ochita bwino kwambiri pochiza maopaleshoni obadwa nawo komanso omwe amapeza mtima ndi mapapo mwa ana. Gulu lathu la akatswiri odziwa bwino za opaleshoni ya mtima wa ana, omwe amathandizidwa ndi akatswiri apadera a opaleshoni ya mtima, intensivists, ndi anamwino, amapereka chisamaliro chokwanira pazochitika zovuta kwambiri za mtima ndi thoracic.

Mbali zazikulu za ukatswiri ndi izi:

1. Matenda a mtima obadwa nawo

• Mavuto ndi dongosolo la mtima limene limakhalapo pakubadwa, kuyambira kufatsa mpaka kuopseza moyo.
• Kuwongolera opaleshoni ya zinthu monga kuwonongeka kwa atria ndi ventricular septal, Tetralogy of Fallot, ndi transposition of great arteries, etc.

2. Opaleshoni yamtima ya Neonatal

• Maopaleshoni apadera a ana obadwa kumene omwe ali ndi vuto lobadwa nalo la mtima.

3. Kukonza valavu ya mtima ndi kusintha

• Zimasonyezedwa kuti valavu yotsekedwa / yopapatiza mu mtima wa mwana wanu kapena yomwe siyikuyenda bwino.
• Njira zowongolera kukanika kwa valve ndikusunga ntchito ya mtima.

4. Kumanganso kwa aortic arch

• Coarctation (kuchepa) kwa msempha (mtsempha waukulu kwambiri m'thupi) ndi vuto lobadwa nalo la mtima lomwe limachitika pamene msempha wa mwana supanga bwino panthawi yomwe ali ndi pakati, womwe umakonzedwa ndi opaleshoni.
• Chithandizo cha opaleshoni yochepetsera msempha wa msempha ndi zolakwika zina.

5. Kusamalira cardiomyopathies

• Mtima wosowa kwambiri womwe umakhudza minofu ya mtima mwa ana.
• Njira zopangira opaleshoni ya matenda a minofu ya mtima osamvera chithandizo chamankhwala.

6. Matenda a m'mapapo ndi pachifuwa

• Izi zikuphatikizapo kusokonezeka kwapachifuwa, zomwe zimakhudza mapapo ndi chifuwa, ndi zina zotero.
• Katswiri pakuchotsa mapapo, kukonza khoma la pachifuwa, komanso kuchiza misa ya thoracic.

Ukadaulo wa Pediatric Cardiology wa Apollo Institute of Pediatrics umadziwika ku India konse chifukwa cha chisamaliro chapamwamba cha odwala komanso zotsatira zachipatala. Kuyambira ali khanda mpaka akakula, gulu lathu la Akatswiri a Zamtima, Madokotala Ochita Opaleshoni ya Mtima, anamwino ndi akatswiri ena palimodzi adzipereka kuti apereke chithandizo chokwanira chamtima kwa odwala omwe ali ndi matenda amtima obadwa nawo komanso matenda ena osowa amtima. Chaka chilichonse, akatswiri athu a Cardiologists amasamalira ana ndi akulu opitilira 10,000 omwe ali ndi zilema zobadwa nazo komanso zopeza mtima, kuphatikiza milandu yosowa komanso yovuta kwambiri padziko lapansi. Zomwe zachitikazi zimamasulira ku zotsatira zabwino. Akatswiri athu a Cardiology amakhala apadera m'magawo osiyanasiyana a Cardiology kuphatikiza kulowererapo kwa Catheter, Fetal Cardiology, Three Dimensional Echocardiography, Pulmonary hypertension, Heart failure & Pediatric Heart and Lung Transplantation.

ECHOCARDIOGRAPHY NDI FETAL CARIOLOGY PROGRAM
Timakhazikika mu Echocardiography ya Congenital and Structural heart disease. Maphunziro onse a Transthoracic ndi Transesophageal Three Dimensional echocardiographic amachitidwa ndi makina apamwamba kwambiri. Malo onyamula ma echocardiography akupezeka mu labu ya Catheterizations, Chipinda Chothandizira Mtima, Cardiothoracic ICU ndi chisamaliro chambiri cha Ana. Timapanga echocardiography ya fetal ndikupereka upangiri waupangiri wapakati pa omwe ali pachiwopsezo chachikulu. Gulu lathu lili ndi ukadaulo wokhudza chisamaliro chamtima cha Neonatal mwadzidzidzi, kulowererapo kwa Neonatal ndikupereka zofunikira pa maopaleshoni asanachitike komanso pambuyo pamtima.

ZOTHANDIZA ZA CARDIAC CATHETER
Tili ndi gulu la Interventional Cardiologists omwe amachita njira zovuta zopangira njira zophatikizira ma neonatal, njira zoberekera akuluakulu komanso njira za Hybrid. Timagwira ntchito pafupifupi 500 za catheter pachaka, mu labotale yathu yamakono ya catheterization.

KULUKA KWA MTIMA / PULMONARY HYPERTENSION CLINICS NDI PROGRAM TRANSPLANT
Timasunga database ya Heart failure ndi pulmonary hypertension. Kuwunika kwatsatanetsatane kwachipatala kumachitidwa kwa odwalawa m'zipatala za Heart failure ndi Pulmonary hypertension zomwe zimachitika kawiri pa sabata.

NJIRA YOPHUNZITSA
Dipatimentiyi ndi yovomerezeka pamapulogalamu a National Board of Examinations (NBE) Fellowship. Timathandizira chitukuko cha atsogoleri amtsogolo mu chisamaliro cha Pediatric Cardiac. Panopa timakhala ndi anzathu a National board, anzathu apadziko lonse lapansi ndi anzathu pa kasinthasintha kuchokera ku Pediatrics ndi Adult Cardiology. Achinyamata amalandila maphunziro a Echocardiography ndi Cardiac Catheterization. Timapereka pulogalamu yamaphunziro yokhala ndi zokambirana zanthawi zonse zachipatala, makalabu amagazini, masemina komanso kuwunika koyambira. Mapepala amaperekedwa pafupipafupi pamisonkhano ya National and International.

Werengani zambiri

Dipatimenti ya Urology ya Ana imapereka chithandizo chokwanira komanso chapadera kwa ana omwe ali ndi mavuto osiyanasiyana a Urological / zolakwika. Timapereka chithandizo chapadera komanso cholunjika kwambiri cha mavuto a Urology. Akatswiri athu a opaleshoni ya Urology ya Ana amachita opaleshoni yeniyeni yothandizidwa ndi kupezeka kwa zida zatsopano zothandizira komanso thandizo lochokera kwa ogwira ntchito ophunzitsidwa bwino pantchito ya opaleshoni ya Key hole, opaleshoni ya Laparoscopic, opaleshoni ya Robotic ndi Endourology.

Zoyenera kulandira ndi Ntchito zoperekedwa:

• Timayang'anira ndondomeko zotsatirazi:
  • Hydronephrosis - matenda otupa impso chifukwa cha kuchuluka kwa mkodzo
  • Kutsekeka kwa mkodzo wa m'chiuno - kutsekeka kwa mphambano komwe impso imakumana ndi ureter.
  • VUR / Duplex System

Vesicoureteral reflux [VUR] imachitika pamene mkodzo umayenda chammbuyo kuchokera kuchikhodzodzo kupita ku impso, zomwe zimapangitsa kuti pakhale chiopsezo cha matenda a impso ndi kuwonongeka. Dongosolo la Duplex ndi chikhalidwe chobadwa nacho pomwe impso zimakhala ndi njira ziwiri zosiyana zotolera m'malo mwa dongosolo limodzi. Timapereka njira zambiri zochizira, kuchokera ku kasamalidwe kosamala ndi maantibayotiki mpaka kuwongolera kwapang'onopang'ono kwa maopaleshoni, monga kubwezeretsa ureter kapena jakisoni wa endoscopic.

• Uphungu wamatenda wa fetal urological mikhalidwe.
• Pazidzidzi zadzidzidzi, zovuta zomwe zimazindikirika asanabadwe, kuchuluka kwa m'mimba, urosepsis, kusunga mkodzo, kuchuluka kwa scrotal, maliseche akunja, ndi zina zambiri.
• Neonatal mikhalidwe: aimpso anomalies, zotupa, exstrophy zovuta, mosadziwika bwino maliseche, kumbuyo mkodzo valavu, scrotal anomalies, etc.
• Kusamalira kosiyanasiyana kwa ana omwe ali ndi vuto la chikhodzodzo ndi msana, komwe kumaphatikiza chisamaliro chophatikizana cha akatswiri a Ana, Nephrologists, Madokotala a Urologists, Neurosurgeons, Endocrinologists ndi Madokotala Otukuka.
• Njira zosiyanasiyana za Endurological monga:
  • PUV fulgration: njira yochepetsera pang'ono yochizira valavu ya posterior urethral, ​​vuto lomwe limayambitsa kutsekeka kwa urethra wamwamuna.
  • Ureterocele deroofing: njira yochizira ureterocele, kutupa kumapeto kwa ureter.
  • Jakisoni wa ureter wa Deux wa Vesicoureteral reflux, pogwiritsa ntchito jakisoni wamankhwala ochulukirapo otchedwa Deux pafupi ndi polowera mkodzo.
  • Endoscopic jakisoni wa 'Botox' wa Neurogenic chikhodzodzo, pomwe chikhodzodzo chimakhudzidwa ndi kuwonongeka kwa mitsempha.
  • Miyala ya chikhodzodzo ndi ureteric yoyendetsedwa ndi Laser Lithotripsy, pomwe miyalayo imathyoledwa ndi mphamvu ya laser.
  • PCNL (Percutaneous Nephrolithotripsy) ya Miyala ya Impso pogwiritsa ntchito tizidutswa tating'onoting'ono .Apollo ndi amodzi mwa malo ochepa ku India omwe akuchita njirayi muzaka za ana
• Reconstructive urology

Izi zikuphatikizanso njira monga Kuchulukitsa Chikhodzodzo.

• Kusamalira Matenda a Penile: Kupweteka kwa mbolo, chordee, mbolo yobisika, maopaleshoni a intersex, ndi Hypospadias. Hypospadias ndi chikhalidwe chobadwa nacho mwa amuna pomwe kutsegula kwa mkodzo kumakhala kumunsi kwa mbolo m'malo mwa nsonga. Ndife amodzi mwamalo akuluakulu ku India komwe mitundu yonse ya Hypospadias imakonzedwa ngati njira imodzi yokhala ndi zotsatira zofananira ndi zabwino kwambiri padziko lapansi.
• Kuchiza matenda a chikhodzodzo, kuthamanga kwa mkodzo, kusadziletsa, kusagwira ntchito bwino, chikhodzodzo cha neurogenic, nocturnal enuresis ndi zina zowonjezera kupezeka kwa urometry ya ana / maphunziro a Urodynamic kuti athandizire chithandizo.

Dipatimenti ya Pediatric Neurology ku Apollo Institute of Pediatrics yadzipereka kuti izindikire ndi kuchiza matenda osiyanasiyana amisempha mwa ana, kuyambira ukhanda mpaka unyamata. Gulu lathu la akatswiri odziwa bwino za ubongo wa ana amagwira ntchito mogwirizana ndi akatswiri ena kuti apereke chisamaliro chokwanira chazovuta zaubongo.

Tili ndi labu ya Neurophysiology yokhala ndi zida zonse zamayeso onse ofunikira.

Zida zowunikira ma laboratory ndi radiology (kuphatikiza MRI) zilipo. Ma telemetry a kanema-EEG ndi malo ena oyesera a neurophysiological amapezekanso m'malo ochezeka ndi ana.

Magawo ofunikira kwambiri ndi awa:

1. Kusamalira Khunyu

• Kusamalira khunyu kwa nthawi yayitali, vuto la muubongo lomwe limapangitsa anthu kukhala ndi zochitika zazifupi zakuyenda modzidzimutsa kotchedwa khunyu.
• Kuzindikira kwapamwamba, kuphatikiza kuwunika kwamavidiyo a EEG ndi neuroimaging.
• Kuunikira kwa opaleshoni ya khunyu ndi ketogenic diet therapy pamilandu yosamva mankhwala.

2. Matenda a Neurodevelopmental

• Matenda a Neurodevelopmental ndi gulu la mikhalidwe yomwe imakhudza ubongo ndi dongosolo lamanjenje panthawi yachitukuko, ndipo ingayambitse kuwonongeka kwa kuzindikira, kulankhulana, khalidwe, ndi / kapena luso la galimoto.
• Kuzindikira koyambirira komanso kuchitapo kanthu pazovuta monga autism spectrum disorders (ASD), chidwi cha kuchepa kwa chidwi (ADHD), ndi zina.
• Mapulani a Multidisciplinary therapy, kuphatikiza machitidwe, malankhulidwe, ndi chithandizo chantchito.
• Kasamalidwe kachipatala kazovuta za neurodevelopmental pamodzi ndi akatswiri amisala ya ana

3. Matenda a neuromuscular

• Izi ndizochitika zomwe dongosolo la neuromuscular limakhudzidwa, kuphatikizapo mitsempha yomwe imayendetsa minofu ndi minofu yokha.
• Katswiri pakuwongolera zinthu monga muscular dystrophy (kuchuluka kwa minofu kufooka ndi kuchepa kwamphamvu), myopathies (zovuta za minofu ya chigoba), ndi Guillain-Barré syndrome (matenda amisempha omwe amachitika chitetezo chamthupi chikaukira dongosolo lamanjenje lozungulira).
• Kuyeza kwapamwamba kwa majini ndi chithandizo chamankhwala.

4. Kupweteka kwa mutu ndi migraine kasamalidwe

• Mitundu yosiyanasiyana ya mutu, kuphatikizapo migraines, kupweteka kwa mutu, mutu wa sinus, etc.
• Mapulani a munthu payekhapayekha okhudzana ndi mankhwala, kusintha kwa moyo wawo, ndi uphungu.

5. Kusayenda bwino

• Mitsempha yomwe imakhudza kuthekera kwa mwana wanu kuyenda mokhazikika komanso mowongolera.
• Kuzindikira ndi kasamalidwe ka zinthu monga cerebral palsy, dystonia, ndi tics.
• Chithandizo cha poizoni wa botulinum ndi ntchito zowongolera thupi.

6. Matenda a Neuroimmunological

• Zinthu zimene zimachitika pamene chitetezo cha m’thupi chimadziukira chokha, n’kuwononga ubongo, minyewa, ndi minyewa ina.
• Katswiri pakuwongolera ana ambiri sclerosis, acute disseminated encephalomyelitis (ADEM), ndi autoimmune encephalitis.

Dipatimenti ya Pediatric Orthopaedics ku Apollo Institute of Pediatrics imayang'anira za matenda, chithandizo, ndi kasamalidwe ka matenda a minofu ndi mafupa a ana ndi achinyamata. Gulu lathu la akatswiri odziwa opaleshoni a mafupa a ana ndi akatswiri amapereka chisamaliro chokwanira pazochitika zosiyanasiyana za mafupa, kuyambira kuvulala kofala mpaka kufooka kobadwa nako kobadwa nako.

Mbali zazikulu za ukatswiri ndi izi:

1. Kusweka ndi kuvulala kwamasewera

• Kuvulala kosavuta kapena kovuta kwa mafupa a mwana wanu, minofu, mitsempha ndi tendons mwina chifukwa cha kugwa kapena zochitika zokhudzana ndi masewera.
• Kusamalira mwamsanga mafupa osweka ndi sprains, kutsindika kukula-mbale kusunga.
• Kukonzanso kwa kuvulala kwamasewera kuti abwezeretse mphamvu ndi kuyenda.

2. Kukula kwa m'chiuno dysplasia

• Mkhalidwe umene mgwirizano wa m'chiuno sukula bwino mwa makanda ndi ana aang'ono.
• Kuzindikira koyambirira pogwiritsa ntchito njira zamakono zojambula.
• Chithandizo chosapanga maopaleshoni (chomangirira, chomangirira) ndi maopaleshoni (osteotomies) ogwirizana ndi msinkhu wa mwana wanu.

3. Kupunduka kwa miyendo ndi kusiyana kwa kutalika

• Zolakwika pakukula ndi kukula kwa manja kapena miyendo yawo.
• Kuwongolera miyendo yokhotakhota, kugwetsa mawondo, ndi kusiyana kwa kutalika kwa miyendo pogwiritsa ntchito njira zopangira maopaleshoni ang'onoang'ono.

4. Scoliosis ndi zofooka zina za msana

• Zolakwika zautali ndi kupindika kwa msana wa mwana wanu.
• Chisamaliro chokwanira cha scoliosis (m'mphepete mwa msana), kyphosis (mapindikira kumbuyo kwa msana), ndi zina za msana, kuphatikizapo opaleshoni ndi kuphatikizika kwa msana pakafunika.

5. Kupunduka kwa phazi ndi zina

• Kupunduka kobadwa nako ngati clubfoot, phazi lathyathyathya, mgwirizano wa tarsal, etc.
• Katswiri mu njira ya Ponseti yogwiritsira ntchito ma casts kuti azitha kuyendetsa bwino ndikuwongolera maopaleshoni amilandu osamva.

6. Kusamalira matenda a mafupa ndi mafupa

• Kuzindikira msanga ndi chithandizo kuti mupewe zovuta zomwe zimatenga nthawi yayitali.

Dipatimenti ya Developmental Pediatrics ku Apollo Institute of Pediatrics imagwira ntchito yowunika, kuzindikira, ndi kasamalidwe ka ana omwe ali ndi kuchedwa komanso zovuta. Gulu lathu la akatswiri azachitukuko a ana, akatswiri amisala, olankhula mawu, akatswiri odziwa ntchito, ndi akatswiri ena amagwira ntchito limodzi kuti apereke chisamaliro chokwanira kwa ana omwe ali ndi zovuta zambiri zachitukuko.

Magawo ofunikira kwambiri ndi awa:

1. Kuchedwa kwachitukuko ndi zovuta

• Kuwunika kwatsatanetsatane komanso kulowererapo kogwirizana ndi zovuta za autism spectrum, ADHD, kulemala kuphunzira, komanso kuchedwa kwamagalimoto.
• Kuchitapo kanthu pamakhalidwe
• Kulankhula ndi chinenero
• Thandizo lantchito
• Kuchiza thupi
• Zothandizira pamaphunziro
• Kasamalidwe kamankhwala pakafunika

2. Kusokonezeka kwa Kulankhula ndi Chinenero

• Kuzindikira ndi chithandizo kwa ana omwe amachedwa kulankhula, achibwibwi kapena olankhula.

3. Mavuto a Khalidwe

• Kuthana ndi zovuta monga nkhanza, nkhawa, ndi chidwi ndi nkhani kudzera mu upangiri ndi chithandizo chamakhalidwe.
• Kasamalidwe kachipatala ngati pakufunika.

Dipatimenti ya Pediatric Endocrinology ku Apollo Institute of Pediatrics imagwira ntchito pozindikira komanso kuchiza matenda a mahomoni mwa ana ndi achinyamata. Dongosolo la Endocrine ndi gulu lophatikizana la glands ndi ziwalo, zomwe zimagwiritsa ntchito mahomoni kuti aziwongolera ndikuwongolera kagayidwe kake, kuchuluka kwa mphamvu, kubereka, kukula ndi chitukuko. Gulu lathu la akatswiri a endocrinologists odziwa bwino za ana amapereka chisamaliro chokwanira chamitundu yosiyanasiyana ya endocrine yomwe imakhudza kukula, chitukuko, kagayidwe kachakudya, komanso thanzi la ubereki.

Mbali zazikulu za ukatswiri ndi izi:

1. Kusokonezeka kwa kukula

• Zosokoneza zomwe zimachitika chifukwa cha kuchepa kapena kuchuluka kwa mahomoni okulitsa mwa mwana wanu.
• Kuwongolera kwakanthawi kochepa komanso kuchepa kwa mahomoni okula kapena kuchulukirachulukira.

2. Matenda a chithokomiro

• Vuto lodziwika bwino la endocrine lomwe limakhudza kupanga kwa mahomoni a chithokomiro opangidwa mu chithokomiro.
• Chithandizo cha hypothyroidism, hyperthyroidism, ndi matenda obadwa nawo a chithokomiro mwa ana.

3. Matenda a shuga (Mtundu 1 ndi mtundu 2)

• Matenda osatha omwe amachitika pamene thupi la mwana wanu silipanga insulini yokwanira kapena silitha kuigwiritsa ntchito moyenera, zomwe zimapangitsa kuti shuga achuluke m'thupi.
• Matenda a shuga a Type 1 ndi matenda a autoimmune omwe chitetezo cha mthupi cha mwana wanu chimalimbana ndi ma cell a kapamba omwe amapanga insulini, pomwe mtundu wachiwiri wa matenda ashuga ndi matenda obwera chifukwa cha moyo omwe nthawi zambiri amaphatikizidwa ndi kunenepa kwambiri komanso kusachita bwino.
• Chisamaliro chokwanira, kuphatikiza chithandizo cha insulin ndi kuyang'anira shuga wamtundu 1 ndi mtundu wa 2 shuga, komanso upangiri wa moyo wamtundu wa 2 shuga.

4. Matenda otha msinkhu

• Kusalinganika kwa mahomoni mwa mwana wanu, zomwe zimapangitsa kuti achuluke kwambiri kapena asamapangidwe bwino kwa mahomoni obereka.
• Kuchuluka kwa mahomoni oberekera kungayambitse kutha msinkhu (kutha msinkhu), pamene kusapanga kapena kuchedwa kupanga mahomoni oberekera kungayambitse kutha msinkhu.
• Kuwongolera kutha msinkhu kapena kutha msinkhu.

5. Calcium ndi matenda a mafupa

• Matenda a mafupa amatha chifukwa cha zinthu zambiri, kuphatikizapo chibadwa komanso kuchepa kwa zakudya.
• Chithandizo cha ma rickets, osteogenesis imperfecta, osteoporosis, ndi matenda ena a metabolic mwa mwana wanu.

6. Kunenepa kwambiri komanso metabolic syndrome

• Zokhudzana ndi kukana insulini, kutupa kwadongosolo, komanso kusagwira ntchito kwa ma cell.
• Njira zoyendetsera moyo ndi kasamalidwe kachipatala kuti mupewe zovuta.

Dipatimenti ya Pediatric Gastroenterology & Hepatology ku Apollo Institute of Pediatrics imagwira ntchito yozindikira komanso kuchiza matenda am'mimba, chiwindi, ndi kapamba mwa makanda, ana, ndi achinyamata. Gulu lathu la akatswiri odziwa za gastroenterologist ndi hepatologists amapereka chisamaliro chokwanira chamitundu yosiyanasiyana ya m'mimba ndi chiwindi.

Mbali zazikulu za ukatswiri ndi izi:

1. Matenda Otupa

• Matenda otupa a m'mimba, kuphatikizapo Crohn's disease ndi ulcerative colitis, nthawi zambiri zimayambitsa kupweteka kwa m'mimba, kutsegula m'mimba, ndi kuwonda.
• Kusamalira mokwanira kumaphatikizapo uphungu wa zakudya ndi mankhwala.

2. Matenda a reflux a m'mimba (GERD)

• Matenda omwe asidi am'mimba amabwereranso kummero, zomwe zimayambitsa zizindikiro monga kutentha pamtima, kusanza, kapena kuvutika kudya.
• Kusintha kwa moyo, kusintha kwa zakudya, mankhwala ochepetsa kupanga asidi, komanso nthawi zina, kuchitapo opaleshoni.

3. Matenda a Celiac

• Matenda a autoimmune omwe amayamba chifukwa cha gluten, zomwe zimapangitsa kuwonongeka kwa matumbo aang'ono.
• Thandizo la uphungu ndi zakudya zopatsa thanzi kuthana ndi zofooka.

4. Kusayenda bwino

• Matenda okhudza kayendedwe ka chakudya kudzera m'mimba ya mwana wanu, kuphatikizapo kudzimbidwa kosatha kapena kuchedwa kutuluka m'mimba.
• Mapulani ochiritsira ogwirizana kuphatikiza kusintha kwazakudya, mankhwala owongolera kuyenda, ndi chithandizo cha biofeedback pakafunika.

5. Matenda a chiwindi

• Zinthu monga matenda a chiwindi, chiwindi chamafuta, kapena matenda a metabolic omwe angasokoneze ntchito yachiwindi ya mwana wanu komanso thanzi lake lonse.
• Kuzindikira koyambirira kudzera muzithunzithunzi zapamwamba komanso kuyezetsa magazi, mankhwala othana ndi kutupa kwa chiwindi, komanso chisamaliro chapadera pazovuta zovuta kuphatikiza kumuika.

6. Matenda a kapamba

• Matenda monga kapamba kapena kuchepa kwa ma enzyme omwe amakhudza kagayidwe kamwana wanu komanso kuyamwa kwa michere.
• Thandizo lothandizira ma enzyme ndikusintha zakudya kuti zithandizire chimbudzi.

7. Kusokonezeka kwa zakudya

• Zinthu monga kuperewera kwa zakudya m'thupi, kulephera kuchita bwino, kapena kunenepa kwambiri zomwe zimakhudza kukula ndi chitukuko cha mwana wanu.
• Kuwunika kokwanira kwa kadyedwe kabwino, mapulani opangira makonda, ndi kuwunika kosalekeza kuti muwonetsetse kukula bwino.

Ntchito zathu zikuphatikizapo: 

• Kukambitsirana kwathunthu, kuunika ndi kuzindikira, ndondomeko zomveka bwino za kasamalidwe kuphatikizapo chithandizo cha zakudya
• Diagnostic and Therapeutic endoscopic njira, monga:
  • Upper GI endoscopy
  • Kutsika kwa GI endoscopy (Colonoscopy)
  • Kapisozi endoscopy
  • Manometry (Esophageal & Anorectal)
  • Maphunziro a impedance / pH
• Njira za chiwindi, monga:
  • Chiwindi biopsy
  • Polypectomy
  • Variceal ligation
  • Sclerotherapy
  • Esophageal stricture dilatation
• Kuchotsa matupi akunja, Percutaneous Endoscopic Gastrostomy (PEG), ERCP.
• Chisamaliro choika chiwindi: Kuunika kwa pretransplant ndi chisamaliro cha perioperative mogwirizana ndi gulu lopangira opaleshoni ya chiwindi

Dipatimenti ya Pediatric Oncology ku Apollo Institute of Pediatrics yadzipereka kupereka chisamaliro chachifundo komanso chokhazikika kwa ana omwe apezeka ndi khansa. 

Chithandizo cha ana omwe ali ndi vuto la magazi monga kuchepa kwa magazi m'thupi komanso mavuto otaya magazi monga haemophilia. Magawo otsogolera amaphatikizapo chithandizo cha ana omwe ali ndi thalassemia yayikulu, sickle cell anemia ndi ana omwe amadwala matenda obwera chifukwa cha matenda omwe amaganiziridwa kuti ali ndi vuto loyamba la chitetezo chamthupi. Anawa amawonedwa m'chipatala chathu chapadera ndipo amapatsidwa chithandizo chazidziwitso kuphatikizapo ntchito ya maselo ndi chithandizo chokwanira kuphatikizapo kuchiritsa mafupa onse pansi pa denga limodzi.

Timagwira ntchito ngati gulu lomwe lili ndi ntchito zowunikira matenda ndipo timatha kupeza PET CT ndi akatswiri a Histopathologists, Hematopathologists, Pediatric Intensivists, Pediatric Oncosurgeons ndi radiation oncologists kuti apereke chisamaliro choyenera kwa ana omwe ali ndi khansa.

Kuika mafupa m'mafupa kumapereka mwayi wokhawo wochizira odwala omwe ali ndi khansa yamagazi yovuta, chitetezo chamthupi choyambirira ndi thalassemia yayikulu. Gulu la HOPE limapanga zoika ana pafupifupi 80 chaka chilichonse ndipo ndi malo akulu kwambiri oika ana m’mafupa m’dziko muno.

Magawo Ofunikira Akatswiri:

1. Leukemia ndi Lymphomas

• Makhansa a magazi ndi ma lymphatic system, monga acute lymphoblastic leukemia (ALL) ndi Hodgkin's lymphoma, omwe ali m'gulu la khansa ya ana.
• Chisamaliro chokwanira chimaphatikizapo chemotherapy, mankhwala omwe amawatsogolera, ndi kuika maselo a stem paziwopsezo zazikulu.

2. Zotupa za ubongo ndi Central Nervous System

• Zotupa mu ubongo kapena msana, monga medulloblastomas ndi gliomas, zomwe zingakhudze ntchito ya ubongo ndi chitukuko.
• Maopaleshoni apamwamba kwambiri, chithandizo cha radiation pogwiritsa ntchito njira zolondola, komanso chemotherapy yogwirizana ndi mtundu wa chotupacho.

3. Mafupa a Mafupa ndi Ofewa

• Makhansa monga osteosarcoma ndi Ewing sarcoma omwe amakhudza mafupa kapena minofu yozungulira, nthawi zambiri amawoneka ndi ululu kapena kutupa.
• Kuphatikizika kwa maopaleshoni, chemotherapy, ndi radiotherapy, ndi njira zopangira maopaleshoni ochepetsa miyendo ngati kuli kotheka.

4. Neuroblastoma

• Khansara yochokera m'maselo a minyewa osakhwima, omwe amapezeka mu adrenal glands, omwe amakhudza makanda ndi ana aang'ono.
• Njira zosiyanasiyana zophatikizira opaleshoni, chemotherapy, radiotherapy, ndipo, pakapita patsogolo, immunotherapy kapena stem cell transplantation.

5. Chotupa cha Wilms

• Khansara ya impso imagwira makamaka ana osakwana zaka 5, nthawi zambiri imakhala ngati m'mimba yopanda ululu.
• Kuchotsa chotupacho opaleshoni, kutsatiridwa ndi chemotherapy ndipo, nthawi zina, ma radiotherapy kuti athetseretu.

6. Retinoblastoma

• Khansara yamaso yosowa kwambiri yomwe imakhudza ana aang'ono, yomwe nthawi zambiri imazindikirika kudzera m'mawonekedwe achilendo kapena zovuta za masomphenya.
• Mankhwalawa amaphatikizapo chemotherapy, laser therapy, cryotherapy, ndipo, pakapita patsogolo, enucleation (kuchotsa diso) kuti apulumutse moyo.

Dipatimenti Yopanga Opaleshoni ya Ana ndi gawo la Pediatric Urology ndi Pediatric Surgery. Dipatimenti yochita upainiyayi yathandiza kwambiri kufufuza kagwiritsidwe ntchito ka robotiki pa opaleshoni ya ana. Mwana wamng'ono kwambiri yemwe anachitidwa opaleshoni pogwiritsa ntchito loboti anali ndi miyezi iwiri yokha ndi kulemera kwa 2 kgs.

Opaleshoni ya Robotic imasinthidwa opaleshoni ya laparoscopic. Kupyolera mu mabowo atatu kapena anayi, zida zimalowetsedwa m'thupi ndipo zimagwiritsidwa ntchito podula ndi kusokera. Zida za Robotic Surgery zili ndi nsonga zing'onozing'ono zomwe zimasuntha, kupotoza ndi kutembenuka ngati dzanja la munthu. Pamodzi ndi izi, kamera ya robotic imapereka mawonekedwe atatu a ziwalo zamkati mwatsatanetsatane. Kuzama kwa masomphenya operekedwa ndi loboti kumathandizira kuti maopaleshoni osakhwima komanso olondola achitidwe popanda kudwala pang'ono. Izi zikutanthauza kuti chiwalo chodwala chokha ndi chomwe chimachitidwa ndipo palibe chisokonezo chomwe chimapangidwira kuzinthu zoyandikana nazo.

Mosiyana ndi opaleshoni ya laparoscopic, kayendedwe ka robotic ndi kolondola, kuonetsetsa kuti njirayi imatsirizidwa mu nthawi yochepa kwambiri. Kutalika kwa opaleshoni kumachepetsedwa ndipo kuchira pambuyo pa opaleshoni kumafulumira kwambiri. Nthawi zambiri, kuyamwitsa kwapakamwa kumatha kuyambika mkati mwa maola ochepa ndipo mwana amatulutsidwa mkati mwa tsiku limodzi kapena awiri. Chipatala chachifupi chimatsimikizira kuti makolo ogwira ntchito sakhudzidwa mosayenera.

Pediatric Intensive Care Unit (PICU) ya Apollo Institute of Pediatrics ndi malo ochiritsira apamwamba kwambiri amtundu wake, omwe amapereka chithandizo chapamwamba kwambiri kwa ana odwala kwambiri ndi ovulala. Ana ambiri odwala kwambiri omwe ali ndi zovuta zovuta amatumizidwa kuchokera ku India konse, komanso padziko lonse lapansi . 

Gulu la PICU limapereka chithandizo chomwe chilipo, umboni komanso kutsatira mosamalitsa machitidwe abwino padziko lonse lapansi. Chigawochi chimakhala ndi madokotala ophunzitsidwa bwino komanso odzipereka kwambiri a Pediatric Intensive Care ndipo amapereka chithandizo chofunikira kwa maola 24 patsiku, masiku 7 pa sabata. Amalumikizana pafupipafupi ndi akatswiri azachipatala ndi opaleshoni ya ana okhudzana ndi kulumikizana kwa chisamaliro, kutulutsa ndi kutsata. Kuphatikiza apo, anamwino ophunzitsidwa bwino a Critical Care amathandizira chisamaliro cha PICU.

Apollo amapereka maphunziro a Pediatric Intensive Care Fellowship ndipo watsogolera kafukufuku wofunikira womwe wasindikizidwa m'magazini otchuka a dziko lonse ndi apadziko lonse.

KUSAMALIRA KWAPADERA

• Multi-system trauma care
• Chithandizo cha matenda opatsirana omwe amathandizira kuchiza matenda omwe amalimbana ndi matenda osamva komanso ovuta
• Stringent Infection Control dipatimenti yomwe imayang'anira mosamalitsa kupewa matenda komanso kuchepetsa matenda omwe amapezeka m'chipatala.
• Specialized Burn Intensive Care
• Cardiac Intensive Care pambuyo pa opaleshoni ya congenital heart disease
• PICU chisamaliro pambuyo pa opaleshoni yovuta ya m'mimba ndi thoracic, neurosurgical ndi craniofacial ndi opaleshoni ya msana
• Oncological / Hematological Care
• Njira Zachikhalidwe
• Njira zowunika za bedi / zosasokoneza (monga Bronchoscopy, EEG ya pabedi, ECG ndi echocardiography)
• Kubwezeretsanso mwachangu chithandizo chamitundu yovuta ya kugwedezeka kwa magazi pogwiritsa ntchito "Point of Care" Ultrasound ya Cardiac, Lung and Abdomen
• Intracranial pressure monitoring (ICP)
• Multimodal Monitoring for Cardiac output monitoring - USCOM, PiCCO
• Ultrasound motsogozedwa kuyika kwapakati pamtima mwayi womwe umathandizira kulondola
• Makina oyezera mpweya wamagazi
• Centralized monitoring system
• Ma aligorivimu ovuta a airway ndi zida
• Mankhwala othandiza kupuma
• Chithandizo chochepa cha okosijeni
• Mpweya wabwino wosalowa-BiPAP/CPAP
• Nitric oxide therapy
• Mkulu pafupipafupi mpweya wabwino
• Oyang'anira omaliza a CO2
• Hemofiltration / dialysis/SLED/ Peritoneal dialysis
• Extra-corporeal membrane oxygenation (ECMO)

Malo apadera komanso apadera a ECMO ali mkati mwa PICU complex. Pokhala ndi mpweya wabwino woyendetsedwa bwino komanso malo othana ndi tizilombo, gawo la ECMO lili ndi miyezo yolimba yoletsa matenda yomwe imagwirizana ndi zomwe zili mu Operation Theatre. Magulu odziwa zambiri amatha kukhazikitsa ECMO pasanathe ola limodzi chifukwa cholephera kupuma kwambiri kapena kupuma kwamtima komwe kwalephera kulandira chithandizo chanthawi zonse. Ana ambiri omwe akudwala kwambiri omwe alephera kugwiritsa ntchito njira zochiritsira zachizoloŵezi zachirengedwe za VV-ECMO (chifukwa cha kulephera kupuma movutikira) ndi VA-ECMO (ya kugwedezeka kwa refractory).

Zipatala za Apollo zimatenga nawo mbali pamayesero osiyanasiyana a ana omwe akuchitika omwe cholinga chake ndi kuyesa njira zatsopano zochiritsira ndi matekinoloje. Mayeserowa akuphatikizapo:

• Mayesero Achipatala a Mankhwala Atsopano: Kuyesa mphamvu ndi chitetezo cha mankhwala atsopano opangidwa kuti athe kuthana ndi matenda a ana monga mphumu, khunyu, ndi khansa yaubwana.
• Mayeso a Chipangizo: Kuwunika momwe zida zatsopano zimagwirira ntchito, monga ma implants a mtima wa ana ndi zida zapamwamba zowunikira, pakuwongolera zotsatira za odwala.
• Maphunziro Achitukuko: Kufufuza zotsatira za kuchitapo kanthu koyambirira pakukula kwa ana, kuphatikizapo zakudya, kusonkhezera kuzindikira, ndi machiritso a khalidwe.

Mayeserowa samangothandiza pa kafukufuku wapadziko lonse lapansi komanso amapatsa odwala athu achichepere mwayi wopeza chithandizo chamakono.

Gulu lathu la ana ladzipereka kupititsa patsogolo ntchitoyi kudzera mu kafukufuku ndi kufalitsa. Tapereka mapepala ambiri m'magazini otchuka azachipatala pamitu monga:

• Njira Zatsopano Zopangira Opaleshoni: Kafukufuku wokhudza maopaleshoni a ana osawuka pang'ono omwe amachepetsa nthawi yochira ndikusintha zotsatira zake.
• Zotsatira za Nthawi Yaitali za Neonatal Care: Kafukufuku wofotokoza za chipambano komanso kupita patsogolo kwa chitukuko cha makanda obadwa msanga omwe amathandizidwa mu NICU yathu.
• Kasamalidwe ka Matenda Osakhazikika a Ana: Zofalitsa zomwe zimayang'ana kwambiri njira zabwino zothanirana ndi matenda monga matenda ashuga aubwana komanso vuto lobadwa nalo la mtima.

Zofalitsa izi zimathandiza kufalitsa chidziwitso ndikukhazikitsa miyezo yatsopano yosamalira ana.

Zipatala za Apollo zimagwira ntchito limodzi ndi mabungwe otsogola ndi mabungwe ofufuza kuti achite maphunziro athunthu omwe amathandizira kumvetsetsa kwathu thanzi la ana. Zoyeserera izi zikuphatikizapo:

• Mayesero a Multicentre: Kuthandizana ndi zipatala zina kuti awunike njira zazikulu zothandizira odwala, kuwonetsetsa kuti odwala akuyimira mosiyanasiyana komanso chidziwitso champhamvu.
• Ntchito Zofufuza Padziko Lonse: Kuchita nawo kafukufuku wapadziko lonse lapansi omwe amalimbana ndi zovuta za ana zomwe zafala m'magulu osiyanasiyana.
• Mgwirizano pa Maphunziro: Kugwira ntchito ndi mabungwe ophunzira kuti aphunzitse madokotala amtsogolo komanso kugawana zomwe zapita patsogolo pakusamalira ana.

Kugwirizana kumeneku kumalimbitsa luso lathu lofufuza ndikuthandizira kukonza chisamaliro cha odwala.

Kudzipereka kwathu pakusamalira odwala payekhapayekha kumawonekera m'kafukufuku wambiri wa odwala, omwe amawonetsa zotsatira zabwino za chithandizo m'magulu osiyanasiyana.