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

Masiku oyambirira a moyo ndi ofunikira kwambiri pa thanzi ndi chitukuko cha mwana. Gulu lathu la ana, mogwirizana ndi akatswiri a ana obadwa kumene, limapereka chisamaliro chapadera kwa makanda obadwa kumene omwe akukumana ndi mavuto azachipatala. Timathetsa mavuto monga matenda a jaundice a makanda obadwa kumene, matenda opumira (RDS), matenda a makanda obadwa kumene, mavuto odyetsera, ndi mavuto okhudzana ndi kubadwa msanga. Makanda obadwa msanga nthawi zambiri amafunika kuyang'aniridwa ndi kuthandizidwa mwapadera chifukwa cha ziwalo zosakula bwino.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Chipinda Chosamalira Ana Osauka Kwambiri (NICU)
• Phototherapy ya jaundice ya ana obadwa kumene
• Chithandizo cha kupuma ndi kupuma
• Kuwunika kobadwa kumene kwa zovuta zama genetic ndi metabolic

Ndi kuyang'aniridwa kwa nthawi zonse komanso chisamaliro chokhazikika m'banja, timayesetsa kuonetsetsa kuti mwana aliyense wakhanda akuyamba bwino kwambiri.

Matenda opumira amapezeka kwambiri mwa ana ndipo amatha kukhala ofatsa mpaka ovuta kwambiri. Matenda monga mphumu, bronchiolitis, croup, ndi chibayo angayambitse zizindikiro kuphatikizapo chifuwa, kupuma movutikira, kupuma movutikira, kapena malungo. Matendawa nthawi zambiri amayamba chifukwa cha matenda opatsirana ndi mavairasi, zinthu zachilengedwe, kapena ziwengo ndipo nthawi zina angafunike thandizo lachipatala mwachangu. Kuzindikira msanga ndi chithandizo choyenera kumathandiza kupewa mavuto ndi mavuto opuma kwa nthawi yayitali.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuyeza ntchito ya m'mapapo
• X-ray ya pachifuwa ndi kujambula zithunzi
• Chithandizo cha oxygen ndi nebulization
• Kuwunika kwa ziwengo komwe kwawonetsedwa

Akatswiri athu a ana amayang'ana kwambiri pa kasamalidwe ka nthawi yayitali, kuwongolera zizindikiro, komanso kupewa zochitika zobwerezabwereza.

Ana amakhala pachiwopsezo chachikulu cha matenda chifukwa cha kukula kwa chitetezo chamthupi. Matenda ofala kwambiri ndi monga chimfine, matenda a m'makutu, matenda a pakhosi, matenda a m'mimba, matenda a m'kamwa ndi m'manja, ndi matenda a mkodzo (UTIs). Zizindikiro zimatha kusiyana, koma kutentha thupi, kutopa, kukwiya, komanso kusafuna kudya nthawi zambiri kumawoneka. Kuzindikira chomwe chimayambitsa matenda—mavairasi, mabakiteriya, bowa, kapena tizilombo toyambitsa matenda—ndikofunikira kuti chithandizo chikhale chothandiza.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuchuluka kwa magazi (CBC) ndi zizindikiro za matenda
• Kusanthula magazi ndi kuyezetsa tizilombo toyambitsa matenda
• Kusanthula mkodzo ndi chopondapo
• Kuzindikira matenda apamwamba monga mayeso a serological ndi PCR
• Ntchito zopezera katemera ndi katemera
• Kugonekedwa m'chipatala ndi chisamaliro chapadera pakafunika kutero

Timalimbikitsa kuzindikira matendawa nthawi yake komanso kulandira chithandizo choyenera kuti tichepetse mavuto ndikupewa kubwereranso.

Mwana amakula mofulumira, koma kuchedwa kwakukulu kwa kulankhula, kuyenda, kuphunzira, kapena khalidwe kuyenera kuwunikidwa msanga. Mavuto okhudzana ndi kukula kwa mwana angaphatikizepo kuchedwa kwa kulankhula ndi chilankhulo, kuchedwa kwa luso loyendetsa thupi, matenda a autism spectrum, vuto la kusazindikira/kuthamanga kwambiri kwa thupi (ADHD), ndi matenda ena a neurodevelopment. Kuzindikira msanga ndi kuchitapo kanthu kumathandiza kwambiri pakukonza zotsatira za nthawi yayitali.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuyesa chitukuko ndi khalidwe
• Kulankhula, ntchito, ndi chithandizo cha thupi
• Kuwunika kwa chitukuko cha mitsempha
• Kuyesa kwa chidziwitso ndi khalidwe
• Uphungu ndi chithandizo cha khalidwe
• Kuzindikira matenda apamwamba monga kuyerekezera ubongo kapena kuyezetsa majini ngati pakufunika

Gulu lathu la akatswiri osiyanasiyana limapanga mapulani osamalira ana kuti athandize zosowa za mwana aliyense payekha.

Kukula ndi kukula kwa mwana sikudalira kokha kuchuluka kwa chakudya chomwe amadya, komanso kuchuluka kwa zakudya zomwe amadya. Kusowa zakudya monga kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni, kusowa kwa vitamini D (ma rickets), ndi kusowa zakudya m'thupi kungakhudze kukula kwa thupi, kuchuluka kwa mphamvu, komanso thanzi la mafupa. Kuzindikira msanga ndi kukonza ndikofunikira kuti munthu akule bwino.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuyezetsa magazi kuti aone kuchuluka kwa chitsulo, calcium, ndi mavitamini
• Uphungu wa zakudya ndi kukonzekera zakudya
• Kuwunika kukula ndi chitukuko
• Chithandizo chowonjezera ndi chotsatira
• Kuwunika thanzi la mafupa pamene kwasonyezedwa

Gulu lathu la ana limagwira ntchito limodzi ndi mabanja kuti ana alandire zakudya zoyenera kuti akule bwino.

Matenda a ziwengo akuchulukirachulukira mwa ana ndipo amatha kuwoneka ngati ziphuphu pakhungu, kuyabwa, kuyetsemula, mphuno yotuluka madzi, maso otuluka madzi, kupuma movutikira, kapena zizindikiro za mphumu. Izi zitha kuyambitsidwa ndi zakudya, zinthu zomwe zimayambitsa ziwengo m'malo ozungulira, kapena zinthu zina. Kuzindikira bwino matenda ndi kuyang'aniridwa kwa nthawi yayitali ndikofunikira kuti mupewe mavuto aakulu ndikukweza moyo watsiku ndi tsiku.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuyesa kubaya khungu chifukwa cha ziwengo
• Kuyezetsa magazi kwa zinthu zinazake zosagwirizana ndi thupi
• Chithandizo cha immunotherapy (jakisoni wa ziwengo) ngati kuli koyenera
• Mapulani oyendetsera mphumu ndi ziwengo payekhapayekha

Akatswiri athu a ziwengo za ana amayang'ana kwambiri kuzindikira zomwe zimayambitsa, kuwongolera zizindikiro, ndikupereka mpumulo wa nthawi yayitali kudzera mu chisamaliro chapadera.

Matenda a mitsempha mwa ana amafunika kuunikiridwa nthawi yake ndi chisamaliro chapadera kuti ubongo ukhale wathanzi. Matenda monga khunyu, kukomoka kwa malungo, kufooka kwa mitsempha, ndi kuchedwa kwa chitukuko akhoza kubwera ndi zizindikiro kuphatikizapo kukomoka mobwerezabwereza, kusalamulira bwino minofu, kuchedwa kwa zochitika, kapena kusintha kwa khalidwe. Kuzindikira msanga ndi kuchitapo kanthu ndikofunikira kwambiri kuti muchepetse mavuto omwe angakhalepo kwa nthawi yayitali ndikukweza moyo wanu.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Electroencephalogram (EEG) yowunikira khunyu
• Kujambula zithunzi zapamwamba monga MRI ndi CT scans
• Kuyesa chitukuko ndi mitsempha
• Mankhwala oletsa khunyu ndi mankhwala othandizira

Madokotala athu odziwa bwino za ubongo wa ana amapereka chithandizo chachifundo, chozikidwa pa umboni chogwirizana ndi zosowa za ubongo za mwana aliyense.

Mavuto a m'mimba amapezeka kwambiri mwa ana ndipo amatha kukhudza kwambiri zakudya, kukula, komanso thanzi lawo lonse. Zinthu monga kudzimbidwa, kubwereranso m'mimba, kudya thupi lachilendo, komanso kutsekeka kwa m'mimba kungayambitse zizindikiro monga kupweteka m'mimba, kusanza, kusadya bwino, kapena kudzimbidwa. Kuyang'aniridwa msanga kwa dokotala kumathandiza kupewa mavuto monga kusowa madzi m'thupi, kusowa zakudya m'thupi, kapena kutsekeka kwa matumbo.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Maphunziro okhudza kujambula zithunzi kuphatikizapo ultrasound, X-ray, CT, kapena MRI
• Kuwunika kwa Endoscopic kwa matenda osankhidwa
• Kuwunika zakudya ndi uphungu wa zakudya
• Mankhwala oletsa ndi kuchiritsa zizindikiro

Akatswiri athu a ana amatenga njira yonse yobwezeretsa ndikusunga thanzi la m'mimba la mwana wanu.

Matenda obadwa nawo ndi matenda omwe amapezeka pobadwa omwe angakhudze kukula, chitukuko, kapena kugwira ntchito kwa ziwalo za mwana. Izi zikuphatikizapo milomo yosweka ndi mkamwa, matenda a mtima obadwa nawo, matenda a neural tube, ndi matenda ena okhudzana ndi kubadwa. Ambiri mwa matenda amenewa amafunika chisamaliro chogwirizana chomwe chimaphatikizapo akatswiri osiyanasiyana, ndipo nthawi zina, opaleshoni kapena chithandizo chothandizira.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuwunika kwa ultrasound ya mwana asanabadwe komanso makanda
• Echocardiography ya matenda a mtima obadwa nawo
• Njira zochizira opaleshoni ndi njira zothandizira pakafunika kutero
• Chisamaliro chokwanira pambuyo pa opaleshoni komanso nthawi yayitali

Magulu athu amitundu yosiyanasiyana amagwira ntchito limodzi kuti atsimikizire kuti chisamaliro chikupitilizabe kuyambira pakuchira komanso kusamalira kwa nthawi yayitali.

Matenda a pakhungu ndi ofala kwambiri ali ana ndipo angayambitse kusasangalala, kukwiya, kapena matenda obwerezabwereza ngati sanachiritsidwe. Matenda monga ziphuphu zakumaso, ziphuphu zakumaso, eczema, ziphuphu, psoriasis, impetigo, ndi matenda a bowa monga mphutsi zingakhudze chitonthozo cha mwana komanso zochita zake za tsiku ndi tsiku. Kuzindikira msanga ndi chithandizo choyenera kumathandiza kuchepetsa zizindikiro ndikupewa mavuto.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuyezetsa khungu ndi kuyezetsa zigamba zikawonetsedwa
• Mankhwala ochiritsira pakhungu ndi mafuta odzola
• Mankhwala opha tizilombo toyambitsa matenda kapena antifungal pa matenda
• Malangizo a moyo ndi chisamaliro cha khungu pa matenda osatha

Gulu lathu la ana ofufuza za khungu limayang'ana kwambiri pa chisamaliro chofatsa komanso chogwira mtima kuti khungu la mwana wanu likhale lathanzi komanso lomasuka.

Kuona bwino kwa mwana n'kofunika kwambiri pa kuphunzira, kukula, komanso zochita zake za tsiku ndi tsiku. Zizindikiro monga kutsekereza maso, kukhala pafupi kwambiri ndi zotchingira maso, kukanda maso pafupipafupi, kapena kuvutika kuwerenga zingasonyeze mavuto a maso. Matenda omwe amapezeka kwambiri pa maso a mwana ndi monga kulakwitsa poyang'ana maso (myopia ndi hyperopia), amblyopia (diso laulesi), kutsekereza maso, kukoka maso (ptosis), matenda obadwa nawo a maso, ndi matenda osowa monga retinoblastoma.

Kuyezetsa maso mokwanira n'kofunika kwambiri kuti munthu azindikire msanga komanso kuti alandire chithandizo choyenera.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kufufuza mwatsatanetsatane maso ndi kuyezetsa maso
• Kulemba mankhwala a magalasi owongolera
• Chithandizo cha patching cha amblyopia
• Chithandizo cha masomphenya kuti chiwongolere kugwirizana kwa masomphenya
• Kasamalidwe ka opaleshoni pa matenda enaake
• Kutsatira ndi kuyang'anira nthawi zonse

Akatswiri athu a maso amaonetsetsa kuti maso ndi thanzi la mwana wanu likuyang'aniridwa mosamala pa gawo lililonse la kukula.

Kunenepa kwambiri kwa ana ndi vuto lalikulu la thanzi lomwe lingakhudze thanzi la thupi komanso la maganizo. Ana omwe amalemera msanga, amatopa mosavuta, amamva kupweteka m'malo olumikizirana mafupa, kapena ali ndi mavuto okhudzana ndi tulo angakhale pachiwopsezo. Kunenepa kwambiri kwa ana kumatanthauzidwa ndi chiwerengero cha kulemera kwa thupi (BMI) cha 95th percentile kapena kupitirira pa 95th percentile pa msinkhu ndi kugonana ndipo kungachitike chifukwa cha zizolowezi zoipa pakudya, kuchepa kwa masewera olimbitsa thupi, komanso majini kapena zinthu zina zachilengedwe. Ngati sizikuthetsedwa, zitha kuwonjezera chiopsezo cha matenda monga matenda a shuga a mtundu wa 2, kuthamanga kwa magazi, ndi vuto la kupuma m'tulo.

Chisamaliro Chathu Chokwanira Chikuphatikizapo:

• Kuwunika pafupipafupi kwa BMI ndi magawo a kukula
• Kuwunika zakudya ndi upangiri wokhudza zakudya zomwe munthu aliyense amadya
• Malangizo a zochita zolimbitsa thupi ndi kusintha moyo
• Njira zochitira zinthu mogwirizana ndi khalidwe ndi mabanja
• Kutumiza kwa akatswiri kuti akayang'anire matenda okhudzana ndi matendawa

Gulu lathu la ana ladzipereka kupereka chithandizo chathunthu komanso cha nthawi yayitali kuti lithandize ana kukhala ndi kulemera kwabwino komanso kukhala ndi thanzi labwino, zomwe zingathandize kuti akhale ndi moyo wabwino kwa moyo wawo wonse.

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 Pediatric Urology imapereka chisamaliro chokwanira, chamaphunziro ambiri apamwamba kwa ana omwe ali ndi zovuta zambiri za Urological / zolakwika. Timapereka chithandizo chapadera komanso cholunjika pamavuto a Urology. Katswiri wathu wa opaleshoni ya Pediatric Urology amachita maopaleshoni olondola omwe amapatsidwa mphamvu ndi kupezeka kwa zida zotsogola zaposachedwa komanso kuthandizira othandizira ophunzitsidwa bwino pankhani ya maopaleshoni a Key hole, maopaleshoni a Laparoscopic, maopaleshoni a 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).

Apollo's Pediatric service ya Apollo imaperekedwa kwa ana azaka zapakati pa 18 okha, opangidwa kuti azikhala ochezeka, ogwira ntchito, komanso otonthoza. Ogwira ntchito pa malowa amaphunzitsidwa osati kusamalira zosoŵa zachipatala za ana okha komanso zamaganizo. Pediatric Emergency ku Apollo Children's ndi malo apamwamba kwambiri operekedwa kuti asamalire mwana wanu. Timapereka chithandizo cha opaleshoni panthawi yadzidzidzi ndipo ana onse amawunikiridwa movomerezeka ndikuyendetsedwa ndi akatswiri ophunzitsidwa za ana.

24X7 NTCHITO ZADZIDZIWA
Akatswiri athu amaphunzitsidwa kuthana ndi zovuta zomwe zimafunikira chithandizo chamankhwala kapena opaleshoni:

• Mavuto a kupuma
• Matenda amisempha monga khunyu, febrile khunyu (kukomoka chifukwa cha kutentha thupi)
• Zovulala ndi zovulala
• Kutentha
• Kulumidwa, mbola, overdose, poizoni, kumeza
• Matenda a mtima

Bungwe la Pediatric Intensive Care Unit (PICU), High Dependency Unit (HDU), ndi ntchito za Extracorporeal Membrane Oxygenation (ECMO) ku Apollo Institute of Pediatrics zimapereka chisamaliro chapamwamba kwambiri kwa ana omwe ali ndi vuto la moyo. Malo athu apamwamba kwambiri komanso gulu laluso kwambiri amaonetsetsa kuti chisamaliro chanthawi zonse kwa odwala omwe ali ndi ana ovuta komanso ovuta kwambiri.

Makhalidwe ofunika ndi awa:

1. Pediatric Intensive Care (PICU)

Ntchito zoperekedwa mu PICU yathu zikuphatikiza:

• Centralized Monitoring System
• Therapy Yodzikanira
• High Flow Oxygen Therapy
• Non invasive Ventilation-BiPAP/CPAP
• High Frequency Ventilator Yopitilira
• Veno-venous CRRT / Hemofiltration / Dialysis / SLED
• Chisamaliro cha PICU Pambuyo pa Opaleshoni Yovuta Yam'mimba ndi Pachifuwa
• Neurosurgical Craniofacial and Spinal Surgery

Features Ofunika

• Zida zowunikira zapamwamba zowunika mosalekeza ntchito zofunika
• Thandizo la Ventilator pakulephera kupuma
• Kuwongolera kusokonezeka kwamagulu ambiri
• Chisamaliro chapadera cha odwala amtima pambuyo pa opaleshoni
• Kuwunika ndi kasamalidwe ka minyewa 
  
   

2. High Dependency Unit (HDU)

Bungwe la Pediatric High Dependency Unit ku Apollo limapereka chisamaliro chapadera kwa ana omwe amafunikira kuyang'anitsitsa ndi kulandira chithandizo kuposa zomwe zimapezeka m'mawodi wamba, koma safuna chisamaliro chapadera. 

Makhalidwe ofunika ndi awa:

• Chipinda chogona 4 chokhala ndi zida zapamwamba zowunikira
• Gulu lodzipereka la akatswiri a ana ndi anamwino
• Chisamaliro chosinthira kwa odwala omwe akutsika kuchokera ku PICU
• Kuwunika kosalekeza ndi chisamaliro chapadera cha unamwino wapakatikati kwa odwala omwe amafunikira kuyang'anitsitsa
• Gawo lotsika kwa odwala omwe akusintha kuchoka ku PICU kupita ku mawodi okhazikika
• Kusamalira odwala omwe ali ndi vuto la chiwalo chimodzi

3. Extracorporeal Membrane Oxygenation (ECMO)

Chipatala cha Ana cha Apollo chimapereka ukadaulo wapamwamba wa ECMO kwa odwala omwe akudwala kwambiri:

• Chithandizo chopulumutsa moyo cha kulephera kwa mtima kapena mapapu
• Malo odzipereka a ECMO mkati mwa PICU
• Gulu lazodziwa zambiri likupezeka 24/7
• Kutha kuyambitsa ECMO mkati mwa ola limodzi
• Amapereka VV-ECMO (pakulephera kupuma) ndi VA-ECMO (pakulephera kwa mtima)
• Amathandizira odwala kwa masiku angapo mpaka masabata, kulola nthawi yochira
• Mbiri yotsimikizika pochiza matenda osiyanasiyana a ana

Werengani zambiri

4. Neonatal Intensive Care (NICU)

Malo a Neonatal Intensive Care Unit ku Apollo Children's ndi malo osamalira odwala mwakayakaya omwe amapereka chisamaliro chapamwamba kwambiri padziko lonse lapansi kwa makanda obadwa kumene. NICU yathu imayang'aniridwa ndi akatswiri ophunzitsidwa bwino a neonatologists omwe amakhazikika pakusamalira ana osabadwa kwambiri komanso makanda omwe ali ndi zovuta zosiyanasiyana za opaleshoni ndi mtima. NICU yathu ili ndi anamwino ophunzitsidwa bwino, ma physiotherapists, olankhula mawu, azamankhwala, ndi akatswiri azakudya omwe atha kupeza zotsatira zabwino.

Ntchito zoperekedwa mu NICU yathu zikuphatikizapo:

• Kusamalira ana obadwa onenepa kwambiri (obadwa msanga)
• Ochiritsira ndi mkulu-pafupipafupi mpweya wabwino
• Nitric oxide kwa makanda omwe ali ndi vuto la kupuma
• Phototherapy kwa ana omwe ali ndi jaundice
• Gastrostomy chubu 

5. Chisamaliro cha Zachipatala cha Ana

Kuti tipereke chisamaliro chomaliza mpaka kumapeto kwa ana, tili ndi gulu la akatswiri a ana omwe amapereka chisamaliro chapadera cha ana pansi pa denga limodzi. Akatswiri athu ang'onoang'ono a Ana amathandizidwa ndi zida zapadziko lonse lapansi ndi malo monga ma cath labs, ma endoscopy suites, EEG ndi ma lab ogona, ma dialysis unit etc.

6. Opaleshoni ya Robotic ya Ana

Opaleshoni ya Robotic ya Ana ku Apollo Institute of Pediatrics ikuyimira kupita patsogolo kwakukulu kwa njira zochepetsera ana. Ukadaulo umenewu umalola maopaleshoni kuchita maopaleshoni ovuta mwadongosolo komanso kuwongolera. Dongosolo la robotic lili ndi kontrakitala komwe dokotalayo amakhala, ngolo yokhala ndi odwala okhala ndi manja a robotic, komanso mawonekedwe apamwamba a 3D masomphenya.

Pochiza ana, opaleshoni ya roboti imakhala yopindulitsa makamaka pamachitidwe omwe ali m'malo otsekeka, monga pachifuwa kapena m'chiuno. Amagwiritsidwa ntchito muzapadera zosiyanasiyana kuphatikiza urology, opaleshoni yayikulu, komanso opaleshoni ya thoracic.

Ubwino wake ndi monga:

• Kupititsa patsogolo kulondola komanso ukadaulo, kulola kuwongolera kolondola kwa minofu
• Zodulidwa zing'onozing'ono, zomwe zimapangitsa kuti pakhale kupweteka kochepa komanso kuchira msanga kwa odwala achinyamata
• Kuwoneka bwino ndi mawonedwe apamwamba a 3D a malo opangira opaleshoni
• Kuchepetsa kutaya magazi komanso kuchepetsa chiopsezo chotenga matenda
• Kugona m’chipatala kwakanthawi kochepa, zomwe zimathandiza kuti ana abwerere kwawo mwamsanga
• Kuthekera kwa zotsatira zabwino zodzikongoletsera chifukwa cha zipsera zazing'ono

Kuphatikizika kwa opaleshoni ya robotic ku Apollo kukuwonetsa kudzipereka kwawo popereka njira zotsogola, zosavutikira pang'ono kwa odwala, kukonza zotulukapo za opaleshoni komanso chidziwitso cha odwala onse.

7. Brainstem Evoked Response Audiometry - BERA 

BERA, kapena Brainstem Evoked Response Audiometry, ndi chida chowunikira chowunikira chomwe chimagwiritsidwa ntchito ku Apollo Institute of Pediatrics kuwunika momwe makutu amagwirira ntchito komanso kukhulupirika kwanjira. Kuyesa kosasokoneza kumeneku ndikofunikira makamaka pakuwunika kumva kwa makanda, ana ang'onoang'ono, ndi odwala omwe sangathe kutenga nawo mbali pamayeso achikhalidwe.

Pakuyesa kwa BERA, maelekitirodi amayikidwa pamutu pa wodwalayo kuti alembe zomwe zimachitika muubongo poyankha kutulutsa mawu. Mayesowa amayesa momwe minyewa yamakutu ndi ubongo zimayankhira pamaphokosowa, kupereka chidziwitso chofunikira chokhudza kumva kumva komanso kukonza kwa neural.

Ubwino wake ndi monga:

• Kuwunika kwa cholinga chakumva, osafuna kutenga nawo mbali kwa odwala
• Kutha kuyesa ana obadwa kumene ndi makanda, kuwathandiza kuzindikira msanga za nkhani zakumva
• Zothandiza pozindikira matenda a neuropathies ndi zovuta zina zamakutu
• Imathandiza kudziwa mtundu ndi kuchuluka kwa kumva kumva
• Zosasokoneza komanso zosapweteka, zomwe zimapangitsa kuti zikhale zoyenera kuyesa mobwerezabwereza
• Ofunika kuwunika kumva ana ndi chitukuko kuchedwa kapena minyewa matenda

Ku Apollo, BERA ndi gawo lofunikira kwambiri pantchito zawo zowunikira ana, kuwonetsetsa kuti azindikira msanga komanso kuchitapo kanthu pazovuta zokhudzana ndi kumva kwa ana azaka zonse.

8. Malo Opangira Mtima Catheterization

Apollo Institute of Pediatrics ili ndi malo apamwamba kwambiri opangira catheterization ya mtima wa ana, opangidwa makamaka kuti azindikire ndi kuchiza matenda a mtima mwa ana. Ma suites apaderawa ali ndi matekinoloje apamwamba oyerekeza ndipo amakhala ndi akatswiri odziwa zamtima wa ana.

Maofesiwa amathandizira njira zambiri zowunikira komanso zothandizira, kuyambira pakuwunika zovuta zamtima zobadwa nazo mpaka kuchita chithandizo chochepa kwambiri. Ma labu a catheterization amaphatikizidwa ndi njira zina zapamwamba zamaganizidwe amtima, kuphatikiza 4D echocardiography ndi MRI yamtima, pakusamalira mtima wonse.

Ubwino wake ndi monga:

• Kutha kuchita njira zochizira matenda komanso zochizira pagawo limodzi
• Njira yochepetsera pang'ono, kuchepetsa kufunika kwa opaleshoni yamtima nthawi zina
• Kujambula kwapamwamba kwa matenda olondola komanso kukonzekera mankhwala
• Kutha kuchiza matenda osiyanasiyana amtima wobadwa nawo
• Kuchepetsa kukhudzana ndi ma radiation kudzera mu ma protocol okongoletsedwa bwino
• Zida zapadera ndi ndondomeko za ana akhanda ndi ana ang'onoang'ono
• Kuphatikizana ndi ntchito zina zamtima za chisamaliro chopanda msoko, chokwanira

Malo odzipatulirawa akuwonetsa kudzipereka kwa Apollo popereka chisamaliro chapadziko lonse lapansi kwa ana, kuyambira pakuzindikira matenda asanabadwe kudzera m'njira zovuta komanso kasamalidwe ka nthawi yayitali.

Ulendo waumoyo wa mwana wanu umayamba ndikuwunika kokwanira kuti atithandize kumvetsetsa zosowa zawo zathanzi ndikupanga dongosolo labwino kwambiri. Paulendowu, mutha kuyembekezera:

• Ndemanga ya Mbiri Yachipatala: Dokotala wa ana adzakambirana za thanzi la mwana wanu wakale, mbiri yabanja, ndi zizindikiro zilizonse zomwe akhala akukumana nazo.
• Kufufuza Kwambiri: Kuyang'ana mozama kuti muwone thanzi la mwana wanu.
• Kuyeza matenda: Kuyezetsa koyambirira kungaphatikizepo ntchito ya magazi, maphunziro ojambula zithunzi, kapena kuyesa kwina kuti mumvetsetse thanzi la mwana wanu.
• Kuwerengetsa zowopseza: Kutengera mbiri yaumoyo ndi zotsatira za mayeso, timawunika kuopsa kwa thanzi la mwana wanu.
• Kukonzekera Chithandizo: Pambuyo powunika zomwe zapezedwa, adokotala akambirana njira zomwe angathe kulandira chithandizo ndikuyankha mafunso aliwonse, kukuthandizani kumvetsetsa njira zotsatirazi.

Pamene mwana wanu akulandira chithandizo, kaya akuchitidwa opaleshoni kapena akuchitidwa opaleshoni, gulu lathu lilipo kuti liwonetsetse kuti mukudziwitsidwa, mwamasuka, komanso mukusamalidwa bwino. Gawoli likuphatikizapo:

• Tsatanetsatane wa Njira: Tikukufotokozerani zomwe mungayembekezere kuchokera ku chithandizo chilichonse kapena njira iliyonse kuti inu ndi mwana wanu mukhale okonzeka mokwanira.
• Chitsogozo Chokonzekera: Musanayambe ndondomeko iliyonse, mudzalandira malangizo okuthandizani kukonzekera mwana wanu komanso kudzidalira.
• Zosintha Panthawi Yogona Mchipatala: Pamene mwana wanu ali m’chipatala, timakudziwitsani mmene akuyendera tsiku lililonse.
• Tsiku ndi Tsiku Dokotala: Dokotala wanu amayendera mwana wanu tsiku ndi tsiku kuti awone kuti akuchira ndikusintha zofunikira pa chithandizo.
• Gulu Lothandizira Lothandizira: Anamwino athu a ana, akatswiri, ndi antchito othandizira amagwira ntchito limodzi kuti mwana wanu alandire chisamaliro chapamwamba kwambiri.

Mukatha kulandira chithandizo, timayang'ana kwambiri kuthandiza mwana wanu kuchira ndikupezanso mphamvu kudzera mu pulogalamu yochira mwamakonda ake:

• Mapulani Okonzanso Mwamakonda: Timapangira dongosolo la mwana wanu, kuphatikiza masewera olimbitsa thupi ogwirizana ndi msinkhu wake ndi zochitika zolimbitsa thupi ndi thanzi.
• Physical Therapy: Madokotala athu azachipatala amawongolera mwana wanu pochita masewera olimbitsa thupi kuti azitha kuyenda bwino komanso kukhala wamphamvu pakuyenda kwawo.
• Thandizo Labwino: Ngati pakufunika, othandizira amathandiza mwana wanu kusintha kusintha kulikonse, zomwe zimawathandiza kuti azigwira ntchito tsiku ndi tsiku molimba mtima.
• Thandizo la Psychological: Timapereka chithandizo chamalingaliro kuti tithandizire mwana wanu ndi banja lanu kuthana ndi nkhawa zilizonse, ndikuwonetsetsa kuti ali ndi malingaliro abwino panthawi yonse yochira.
• Malangizo pazakudya: Akatswiri athu azakudya za ana amalangiza zakudya zathanzi kuti zithandizire kuchira kwanthawi yayitali komanso kukhala ndi thanzi.

Tikufuna kuti wodwala ndi banja lililonse azikhala okonzeka komanso omasuka. Kutsatira njira zingapo musanayambe nthawi yanu kungatithandize kupereka chisamaliro chabwino kwambiri cha mwana wanu.

Musanasankhidwe
Chonde nyamulani zikalata ndi zolemba zotsatirazi:

• Mbiri Yachipatala: Chidule cha mbiri ya thanzi la mwana wanu, kuphatikiza matenda am'mbuyomu kapena maopaleshoni.
• Zotsatira Zake Zam'mbuyo: Zotsatira zilizonse zoyezetsa zam'mbuyomu, monga kuyezetsa magazi kapena kujambula zithunzi.
• Mndandanda wa Mankhwala: Mndandanda wa mankhwala aliwonse omwe mwana wanu akumwa.
• Zambiri za Inshuwaransi: Tsatanetsatane wa inshuwaransi yanu yaumoyo.
• Zikalata Zozindikiritsa: Chizindikiritso cha wodwala ndi satifiketi yobadwa.
• Mafunso kapena Zowawa: Lembani mafunso aliwonse omwe mukufuna kuwafunsa adokotala.
• Zolemba Zamankhwala: Ngati alipo, bweretsani zikalata zilizonse zokhudzana ndi zaumoyo, monga:
  • Malipoti a machitidwe am'mbuyomu
  • Zotsatira zaposachedwa za labu
  • Maphunziro ojambulira (mwachitsanzo, sikani) pa CD kapena DVD
  • Makalata otumiza kuchokera kwa madokotala ena
  • Zolemba za katemera
  • Zolemba zina zilizonse zaumoyo zomwe zingatithandize kumvetsetsa zosowa za mwana wanu

Kukambirana kwanu koyamba kumaphatikizapo:

• Zokambirana ndi Dokotala Wanu wa Ana: Mudzakambirana ndi dokotala za mbiri ya thanzi la mwana wanu, zizindikiro zake, ndi nkhawa zilizonse.
• Kufufuza Kwambiri: Kuyezetsa mokwanira kuti muwone thanzi la mwana wanu.
• Ndemanga za Medical Record: Dokotala adzawonanso zolemba zilizonse, kapena zotsatira zoyesa zomwe mwabwera nazo.
• Mayeso a Diagnostic: Ngati pangafunike, kuyezetsa kwina kungachitike panthawi yokumana kuti mumvetse bwino za vuto la mwana wanu.
• Kupanga Mapulani Othandizira: Dokotala adzakufotokozerani njira zabwino zothandizira chithandizo ndikuyankha mafunso aliwonse omwe muli nawo, kotero kuti mukhale omasuka komanso odziwa bwino za chisamaliro cha mwana wanu.

Musanafike, timakuthandizani kukonzekera ulendo wanu:

• Ndemanga ya Medical Documentation: Gulu lathu limawunika mosamala zolemba zachipatala za mwana wanu kuti amvetsetse zosowa zake ndikupanga dongosolo loyenera la chithandizo.
• Kukonzekera Chithandizo: Timapanga dongosolo lachisamaliro logwirizana ndi momwe mwana wanu alili.
• Kuyerekeza Mtengo: Timapereka zoyerekeza mtengo wowonekera kuti zikuthandizeni kukonza zandalama.
• Thandizo la Visa: Timathandizira pazofunikira za visa ndikukupatsirani zolemba zofunikira kuti muthandizire ulendo wanu wachipatala.

Tili ku Apollo Institute of Pediatrics, tikuwonetsetsa kuti inu ndi banja lanu mukumva kuthandizidwa mokwanira:

• Othandizira Odzipereka: Mudzakhala ndi wogwirizanitsa chisamaliro chaumwini kuti akutsogolereni pa sitepe iliyonse yakukhala kwanu.
• Thandizo la Zinenero: Omasulira ophunzitsidwa bwino alipo kuti akuthandizeni kulankhulana momveka bwino ndi gulu lachipatala la mwana wanu m'chinenero chomwe mumakonda.
• Chikhalidwe: Timalemekeza zosowa za chikhalidwe ndikupereka ntchito zomwe zimagwirizana ndi zomwe mumakonda.
• Malo Ogona Mabanja: Timakuthandizani kupeza malo abwino ogona a banja lanu.
• Zosintha Nthawi Zonse: Gulu lathu limapereka zosintha pazamankhwala ndi kuchira kwa mwana wanu kuti mudzidziwitse inu ndi banja lanu.

Mukalandira chithandizo cha mwana wanu, tikupitilizabe kukuthandizani kuti achire bwino:

• Kukonzekera Kutsatira: Timakonza nthawi yoti tidzakhale ndi nthawi yotsatila ndi kukambirana kuti tiyang'anire kuchira kwa mwana wanu.
• Zosankha za Telemedicine: Mutha kukhala olumikizana ndi madokotala athu a ana kudzera pazokambirana zenizeni.
• Kulumikizana ndi Madokotala Akudziko Lanyumba: Timagwirizana ndi dokotala wanu kuti mutsimikizire kuti mwana wanu akulandira chithandizo chokhazikika.
• Zolemba Zaumoyo Zapa digito: Pezani zolemba zachipatala za mwana wanu pa intaneti kuti mugawane mosavuta ndi zomwe angafunikire mtsogolo.