Cholecystectomy ku Apollo Hospitals, Lucknow

Chifukwa Chake Odwala Amasankha Zipatala za Apollo ku Lucknow kuti Akachotse Cholecystectomy

• Cholowa cha gululo: Zipatala za Apollo zinayamba mu 1983 ngati unyolo woyamba wa zipatala ku India ndipo masiku ano zikugwira ntchito zipatala zoposa 70 zokhala ndi mabedi opitilira 10,000, zomwe zimapatsa unit ya Lucknow mwayi wopeza njira zochiritsira zamagulu onse, njira zowunikira, ndi maukonde a maganizo achiwiri.
• Kampasi yapadera yodzipereka ku Lucknow: Chipatala cha Apollomedics Super Specialty, ku Lucknow, ndi malo akuluakulu osamalira odwala ku Kanpur, Lucknow Road, omwe ali ndi chithandizo chadzidzidzi nthawi zonse, chisamaliro chadzidzidzi komanso chithandizo cha banki ya magazi - ndikofunikira chifukwa chiwerengero cha milandu ya ndulu chimachitika ngati mwadzidzidzi osati opaleshoni yokonzekera.
• Opaleshoni ya GI yochokera ku gulu: Kuchotsa cholecystectomy ku Apollo Lucknow kumachitika ndi gulu la madokotala onse, madokotala a laparoscopic ndi madokotala a m'mimba omwe amagwira ntchito limodzi ndi madokotala a gastroenterologists, madokotala oletsa ululu komanso madokotala amphamvu. Chiwerengero cha madokotala omwe ali ndi matenda a rota omwe akugwira ntchito komanso zaka zawo zogwira ntchito zalembedwa patsamba la chipatala cha "Pezani Dokotala" ndipo zitha kutsimikiziridwa panthawi yolembetsa.
• Kufikira kochepa ngati njira yokhazikika: Njira yodziwika bwino yochotsera cholecystectomy yokhala ndi madoko anayi ndi yochepetsedwa ndi madoko a laparoscopic ndiyo njira yodziwika bwino, yokhala ndi kusintha kotseguka komwe kumapezeka nthawi iliyonse yomwe thupi, ma adhesion okhuthala kapena kutuluka magazi zimapangitsa kuti ikhale njira yotetezeka.
• Chithandizo cha matenda a ndulu ovuta: Kujambula endoscopy pamalopo kuti mupeze ERCP, cholangiography ya mkati mwa opaleshoni komwe kwasonyezedwa, radiology yokhala ndi ultrasound, CT ndi MRCP, ndi HPB/hepatology backup ya miyala ya duct ya bile yomwe ikukayikiridwa kapena kuvulala kwa duct ya bile.
• Chisamaliro cha magulu azaka: Malamulo a akuluakulu, odwala okalamba omwe ali ndi matenda a mtima, impso kapena matenda a shuga, komanso achinyamata ndi ana omwe ali ndi miyala ya ndulu yokhudzana ndi matenda a hemolytic, komwe ana amapatsidwa mankhwala oletsa ululu komanso mankhwala oletsa ululu.
• Malangizo othandiza okhudza kubwezeretsa thanzi la munthu ku India: Malangizo akuphatikizapo kukhala pansi, kukhala pansi mopingasa miyendo, zimbudzi zamtundu wa ku India, kugona pansi, ntchito za pakachisi ndi zapakhomo, komanso momwe osamalira banja limodzi angathandizire pa masabata awiri oyamba.
• Inshuwalansi ndi desiki ya TPA pasukulupo kuti mupeze chilolezo cha pasadakhale popanda ndalama, komanso thandizo kwa odwala ochokera m'maboma osiyanasiyana ku Uttar Pradesh.

Sitilonjeza zotsatira zenizeni. Chomwe timalonjeza ndikuwunika moona mtima ngati mukufuna opaleshoni, kufotokozera momveka bwino zoopsa zake, ndi njira zothetsera mavuto ngati atachitika.

mwachidule

Kuchotsa ndulu, opaleshoni yochotsa ndulu, ndi njira yodziwika bwino koma yofunika kwambiri kwa anthu omwe ali ndi mavuto okhudzana ndi ndulu. Ku Apollo Hospitals Lucknow, timadzitamandira ndi mbiri yathu yabwino kwambiri pazachipatala, pogwiritsa ntchito ukadaulo wamakono komanso njira zamakono zopangira opaleshoni kuti tithandizire zotsatira zabwino kwa odwala athu. Ndi gulu la madokotala aluso komanso kudzipereka ku chisamaliro chapadera, Apollo Hospitals Lucknow ndi chisankho chodziwika bwino cha cholecystectomy m'derali. Odwala athu amatidalira osati chifukwa cha luso lathu lazachipatala komanso chifukwa cha njira yathu yachifundo yosamalira thanzi.

Chifukwa Cholecystectomy Ndi Yofunika

Kuchotsa cholecystectomy nthawi zambiri kumakhala kofunikira kwa odwala omwe ali ndi miyala ya ndulu, kutupa kwa ndulu (cholecystitis), kapena matenda ena okhudzana ndi ndulu. Kuchotsa cholecystectomy kungayambitse kupweteka kwambiri, mavuto am'mimba, komanso mavuto monga kapamba kapena matenda. Mwa kuchotsa ndulu, titha kuchepetsa zizindikirozi ndikuchepetsa chiopsezo cha zovuta zina. Njirayi nthawi zambiri imachitika ndi laparoscopically, zomwe zikutanthauza kudula pang'ono, kupweteka pang'ono, komanso nthawi yochira mwachangu kwa odwala ambiri. Ku Apollo Hospitals Lucknow, timaonetsetsa kuti wodwala aliyense alandira kuwunika kokwanira kuti adziwe ngati cholecystectomy yaperekedwadi, ndikusintha njira yathu kuti igwirizane ndi zosowa za munthu aliyense.

Zowopsa Zakuchedwa

Kuchedwetsa opaleshoni ya cholecystectomy ngati yaperekedwa kungayambitse mavuto aakulu pa thanzi. Miyala ya ndulu ingayambitse cholecystitis yoopsa, zomwe zimapangitsa kupweteka kwambiri m'mimba, kutentha thupi, komanso mavuto ena monga kuboola ndulu kapena matenda. Matendawa angafunike opaleshoni yadzidzidzi, yomwe ingakhale yovuta kwambiri komanso yowopsa kuposa njira yokonzedweratu. Ku Apollo Hospitals Lucknow, tikugogomezera kufunika kochitapo kanthu mwachangu. Gulu lathu likufuna kupereka chithandizo mwachangu, kuti odwala alandire chithandizo asanafike mavuto omwe angapeweke.

Ubwino wa Cholecystectomy

Kuchitidwa opaleshoni ya cholecystectomy kungathandize kwambiri anthu omwe ali ndi zizindikiro za ndulu. Odwala ambiri amapeza mpumulo ku ululu wobwerezabwereza komanso zizindikiro zina zokhudzana ndi kugaya chakudya pambuyo pa opaleshoniyi. Kuchotsa ndulu nthawi zambiri kumathetsa vuto la ndulu, zomwe zimathandiza anthu kubwerera ku zochita zawo zachizolowezi popanda mantha a ululu waukulu mwadzidzidzi. Odwala ena amanenanso kuti kudya kumakhala kosavuta pambuyo pake, ngakhale kuti ochepa amaona ndowe zotayirira kapena kusalolera mafuta kwa kanthawi. Ku Apollo Hospitals Lucknow, sitingoyang'ana pa opaleshoni yokha komanso pakuchira kwathunthu, kuonetsetsa kuti odwala akulandira chithandizo chomwe amafunikira paulendo wawo wonse.

Kukonzekera ndi Kuchira

Kukonzekera cholecystectomy kumaphatikizapo njira zingapo zofunika kuti mutsimikizire kuti mukuchita opaleshoni yosalala. Nawa malangizo othandiza:

1. Kukambirana: Konzani nthawi yokambirana mokwanira ndi madokotala athu a opaleshoni ku Apollo Hospitals Lucknow. Adzawunika momwe mulili, kukambirana za njira yochizira, ndikuyankha mafunso aliwonse omwe mungakhale nawo.
2. Malangizo a Preoperative: Tsatirani malangizo aliwonse omwe gulu lanu lachipatala lapereka musanachite opaleshoni, omwe angaphatikizepo malamulo oletsa zakudya ndi kusintha mankhwala.
3. Konzani mayendedwe: Popeza mudzakhala pansi pa anesthesia, konzekerani kuti wina akuyendetseni kunyumba pambuyo pa ndondomekoyi.
4. Chithandizo cha postoperative: Pambuyo pa opaleshoni, tsatirani malangizo a dokotala wanu okhudza kuchuluka kwa zochita, zakudya, ndi chisamaliro cha mabala. Kupuma ndikofunikira kuti munthu achire.
5. Nthawi zotsatila: Pitani ku misonkhano yonse yotsatila kuti muzitha kuyang'aniridwa ndikuthandizidwa ndi nkhawa zilizonse.

Ku Chipatala cha Apollo Lucknow, timayika kuchira kwanu patsogolo popereka chithandizo chambiri pambuyo pa opaleshoni, kuwonetsetsa kuti muli ndi zomwe mukufunikira kuti muchire bwino.

Zimene Malangizo Amakono Amanena

Kupanga zisankho ku Apollo Lucknow kukugwirizana ndi malangizo ofalitsidwa mdziko lonse komanso padziko lonse lapansi m'malo mongosankha dokotala yekha:

• Malangizo a Tokyo 2018 (TG18) TG18 ikupitilizabe kukhala muyezo wofunikira pozindikira ndi kuwerengera matenda a cholecystitis ndi cholangitis yoopsa. opaleshoni yoyambirira ya laparoscopic cholecystectomy kwa odwala a Giredi I ndi odwala a Giredi II omwe ali ndi thanzi labwino, m'malo mwa njira yakale yoziziritsa nthawi zonse ndikuchita opaleshoni patatha milungu isanu ndi umodzi. Kwa odwala a Giredi III (osagwira bwino ntchito ziwalo) kapena omwe ali pachiwopsezo chachikulu, TG18 imathandizira kutulutsa madzi mwachangu m'chiwindi (percutaneous cholecystostomy) choyamba, kenako opaleshoni ikatha.
• Malangizo a World Society of Emergency Surgery (WSES) 2020 pa matenda a cholecystitis oyambitsa calculous Mofananamo, amalimbikitsa opaleshoni yoyambirira, makamaka mkati mwa masiku asanu ndi awiri kuchokera pamene zizindikiro zayamba ndipo mkati mwa masiku khumi kuchokera pamene wodwalayo walandira chithandizo ngati n'kotheka, ndipo avomereze "malingaliro ofunikira a chitetezo" ndi kuchotsa cholecystectomy kapena kusintha ngati njira zotetezeka zopulumutsira ndulu yovuta.
• Malangizo a machitidwe aku India: The Bungwe la India la Madokotala Opaleshoni a M'mimba (IAGES) yafalitsa malingaliro ogwirizana komanso oteteza cholecystectomy kwa machitidwe aku India, komanso Association of Surgeons of India (ASI) Buku lophunzitsira ndi zolemba za CME zimagogomezeranso laparoscopy ngati njira yokhazikika, zolemba zofunikira za lingaliro lofunikira la chitetezo, komanso malire otsika a cholangiography kapena kusintha mkati mwa opaleshoni. Indian Society of Gastroenterology ndi INASL Malangizo ndi ofunikira ngati miyala ya ndulu imagwirizana ndi kapamba kapena matenda osatha a chiwindi.
• Chenjezo la khansa ya ndulu lomwe limayang'ana kwambiri North India: Lamba la Ganga, kuphatikizapo Uttar Pradesh ndi Bihar, lili ndi limodzi mwa milandu yambiri ya khansa ya ndulu padziko lonse lapansi. Chifukwa chake, mabungwe opanga opaleshoni aku India amalangiza kuti odwala omwe ali ndi ndulu yolimba kapena yokhala ndi calcelain (porcelain), ma polyps a 10 mm kapena kuposerapo, ma polyps omwe akukula, kapena miyala ya ndulu yokulirapo kuposa pafupifupi 3 cm asamaganizidwe bwino. Chiwopsezo cha dera lino ndi chifukwa chenicheni komanso chomwe sichimakambidwa kawirikawiri chomwe wodwala wa ku Lucknow angalangizidwe opaleshoni ngakhale ali ndi zizindikiro zochepa.
• Miyala yopanda zizindikiro ("chete"): Malangizo nthawi zonse amalangiza kuti musachite opaleshoni yachizolowezi ya miyala yosamveka bwino kwa akuluakulu athanzi, kupatulapo zoopsa zomwe zili pamwambapa, komanso kwa anthu omwe ali ndi vuto la kuchepa kwa magazi m'thupi, kapena omwe akuchitidwa opaleshoni zina za m'mimba.

Umboni m'madera ena ukupitirirabe - mwachitsanzo, ubwino weniweni wa opaleshoni ya nthawi zonse, komanso zotsatira za nthawi yayitali za opaleshoni ya subtotal cholecystectomy - kotero malangizo amagwiritsidwa ntchito mogwirizana ndi malingaliro azachipatala ndipo akukambirana nanu.

Nthawi Yopangira Opaleshoni ndi Gawo Loyamba Kuchitidwa Opaleshoni

Pamene opaleshoni yakonzedwa

• Kulowa mwadzidzidzi / komweko: Cholecystitis yoopsa, kapamba wa gallstone womwe wakhazikika, jaundice wotsekeka wokhala ndi cholangitis pambuyo pa kutuluka kwa ndulu, kapena kuboola ndulu.
• Kusankha koyambirira (masiku mpaka masabata angapo): Kubwerezabwereza kwa biliary colic, kuukira koyamba koopsa, kapena pambuyo pa ERCP ya miyala ya ndulu - kusiya ndulu m'malo mwake pambuyo pa ERCP kumakhala ndi chiopsezo chachikulu cha kuukira kwina.
• Masabata osankhidwa okonzedwa (masabata): Matenda a cholecystitis osatha, matenda a ndulu omwe akuyang'aniridwa, odwala omwe akufunika kuthandizidwa kuti apeze chithandizo cha matenda a shuga, kuchepa kwa magazi m'thupi, kuthamanga kwa magazi kapena matenda a mtima kaye.
• Zosinthidwa: Miyezi itatu yoyamba kapena kumapeto kwa miyezi itatu ya mimba komwe zizindikiro zimatha kuchepetsedwa, sepsis yogwira ntchito yosalamulirika kuchokera kwina, kapena nthawi yoziziritsa pambuyo pa kuukira kwakukulu ndi yabwino kwambiri.

Kukonzekera njira isanayambe

• Kuyeza mimba ndi ultrasound ndiye mayeso oyamba; MRCP kapena endoscopic ultrasound imawonjezedwa ngati mukukayikira miyala ya bile duct. CT imagwiritsidwa ntchito pazochitika zovuta kapena zokayikitsa.
• Mayeso a magazi: kuwerengera magazi onse, ntchito ya chiwindi, amylase kapena lipase, ntchito ya impso, shuga m'magazi ndi HbA1c, mbiri ya magazi oundana, gulu la magazi, zizindikiro za mavairasi.
• Kuwunika mtima ndi mankhwala oletsa ululu: ECG, kujambula pachifuwa komwe kwasonyezedwa, echocardiography kwa odwala okalamba kapena omwe ali ndi mbiri ya mtima; kuwunika momwe wodwalayo alili asanalandire mankhwala oletsa ululu kuchipatala.
• Mankhwala: mankhwala ochepetsa magazi monga aspirin, clopidogrel, warfarin kapena mankhwala atsopano oletsa magazi kutuluka m'magazi ayenera kukambidwa pasadakhale ndipo ayenera kuyimitsidwa pokhapokha ngati dokotala walangiza. Mankhwala oletsa Metformin, SGLT2 ndi insulin amasinthidwa malinga ndi kusala kudya.
• Kusala kudya: nthawi zambiri palibe zinthu zolimba kwa maola asanu ndi limodzi mpaka asanu ndi atatu ndipo madzi oyera amasiya pafupifupi maola awiri musanagwiritse ntchito mankhwala oletsa ululu, monga momwe dokotala wanu wa mankhwala oletsa ululu walangizidwira.
• Siyani kusuta fodya ndi kugwiritsa ntchito fodya kapena gutkha msanga musanachite opaleshoni; zimachepetsa mavuto pachifuwa ndi m'mabala.
• Chithandizo cha kuchepa kwa magazi m'thupi pasadakhale ngati n'kotheka - ndi chofala kwa odwala aku North India ndipo chimakhudza kuchira.

Zosankha Zaukadaulo Zoyerekeza

Ndondomeko Zomwe Nthawi Zina Zimachitidwa Nthawi Imodzi

• Kuchitidwa opaleshoni ya cholangiography kapena laparoscopic ultrasound kuti akafufuze ma duct a ndulu pamene thupi silikudziwika bwino kapena ngati akukayikira miyala ya duct.
• Kufufuza kwa njira ya ndulu ya laparoscopic m'malo ena osankhidwa a miyala ya m'mapaipi, kupewa ERCP yosiyana.
• Kukonza hernia ya umbilical, epigastric kapena yaying'ono yodulidwa zomwe zapezeka pamalo omwewo.
• Chiwindi biopsy Ngati matenda aakulu a chiwindi kapena chiwindi chamafuta chikufunika kuunikiridwa ndipo n'kotetezeka kutero.
• Appendicectomy pokhapokha ngati pali chizindikiro chomveka bwino, osati mwachizolowezi.
• Adhesiolysis kwa odwala omwe adachitidwa opaleshoni yam'mimba kale.
• Kukonzekera gawo lozizira kapena kudulanso kwa nthawi yayitali Ngati mukukayikira khansa ya ndulu yosayembekezereka panthawi ya opaleshoni, kodi ndi nkhani yeniyeni m'derali? Opaleshoni yeniyeni ya khansa nthawi zambiri imachitika pambuyo powunikanso kwathunthu.

Kubwezeretsa Gawo ndi Gawo

Zolemba za zochitika za ku India

• Zimbudzi zokhala pansi ndi zamtundu wa ku India: Anthu ambiri amatha kuchita opaleshoniyi patatha milungu iwiri kapena itatu pogwiritsa ntchito laparoscopy, nthawi yayitali atatha opaleshoni yotseguka. Chotsukira kapena chopondera chapulasitiki chomwe chili pafupi chimathandiza patatha milungu iwiri yoyamba. Pewani kupsinjika - funsani chofewetsa chopondera ngati muli ndi kudzimbidwa.
• Kukhala pansi mopingasa miyendo: Kawirikawiri zimakhala bwino pakatha milungu iwiri kapena itatu. Gwiritsani ntchito pilo ndi kukwera pogwiritsa ntchito khoma kapena mpando m'malo mongogwiritsa ntchito m'mimba mwadzidzidzi.
• Kugona pansi: Ndikovomerezeka, koma kudzuka kumavutitsa mimba. Kwa sabata yoyamba, pindani m'mbali mwanu ndikukankhira mmwamba ndi manja anu, kapena gonani pabedi lolimba ngati likupezeka.
• Ntchito zapakhomo: Kusesa, kutsuka, kunyowetsa, kutunga madzi ndi kunyamula ana m'chiuno kuyenera kudikira pafupifupi milungu iwiri kapena itatu. Apa ndi pamene thandizo la banja limodzi ndi lofunika kwambiri - konzani pasadakhale amene adzayang'anire ntchito za kukhitchini ndi kusukulu.
• Ulendo wa njinga ya matayala awiri: Pewani kuyenda pagalimoto kapena kuyendetsa galimoto m'misewu yoipa kwa milungu iwiri kapena itatu; zotchingira liwiro ndi mabowo zimadzaza malo otsetsereka.

Zofunikira Zobwerera Kuntchito, Masewera ndi Ogwira Ntchito Zolemera

Nthawi yokha si mayeso. Bwererani pamene mungathe kunena zoona kuti inde pa zonsezi:

• Ululu umachepetsedwa popanda mankhwala amphamvu ochepetsa ululu.
• Mabala ndi ouma, otsekedwa ndipo sali ofiira, otentha kapena otulutsa mpweya.
• Akhoza kuyenda kwa mphindi 20-30, kukwera masitepe ndi chifuwa popanda kupweteka kwambiri.
• Kudya zakudya zosakaniza bwino popanda kusanza; matumbo akhazikika.
• Palibe malungo, ndipo palibe chikasu kapena mkodzo wakuda.
• Kwa oyendetsa: amatha kuyimitsa galimoto mwadzidzidzi ndikutembenuka kuti awone malo omwe akuyang'ana.
• Pa masewera olimbitsa thupi, kabaddi, cricket, wrestling kapena ntchito yamanja yolemetsa: amaloledwa pambuyo potsatira, nthawi zambiri patatha milungu inayi kapena isanu ndi umodzi kuti achite laparoscopy ndi milungu isanu ndi umodzi mpaka khumi ndi iwiri pambuyo pa opaleshoni yotseguka, zomwe zimapangitsa kuti katundu aziwonjezeka pang'onopang'ono m'malo moyambiranso mwamphamvu.

Kupewa Mavuto Pambuyo Pochotsa Chikhodzodzo cha Ndulu

Chidendene sichingathe kupanganso miyala, koma miyala ya m'mapaipi a ndulu ndi mavuto ena ogaya chakudya amatha kuchitikabe. Njira zanzeru:

• Idyani chakudya chokhazikika; kusala kudya nthawi yayitali kenako kudya chakudya chokazinga kwambiri ndiye chifukwa chachikulu cha kusapeza bwino. Kusala kudya kwachikhalidwe komwe kumatsatiridwa ndi chakudya chokoma nthawi zambiri kumayambitsa zizindikiro - kufalitsa kuchuluka kwa chakudya chomwe chimadyedwa.
• Chepetsani zakudya zokazinga kwambiri, ghee wolemera, malai, mafuta a nkhosa ndi gravies zopangidwa ndi kirimu m'masabata oyamba, kenako bweretsani pang'onopang'ono malinga ndi momwe mukufunira.
• Kuonjezera ulusi wosungunuka - oats, dals, zipatso, isabgol ngati kuli kofunikira - zomwe zimathandiza ngati ndowe zili zotayirira.
• Kuchepetsa thupi pang'onopang'ono m'malo mongodya zakudya zosayenera; kuchepetsa thupi mwachangu kumalimbikitsa kupanga miyala m'mitsempha ya ndulu.
• Lamulirani matenda a shuga ndi kuchiza triglycerides yambiri.
• Khalani ndi zochita zambiri zolimbitsa thupi; kuyenda mwachangu kwa mphindi 30 masiku ambiri ndikokwanira.
• Nenani za kubwereranso kwa ululu womwewo wa m'mimba yakumanja, chikasu cha m'mimba kapena ndowe zotumbululuka - mwala wosungidwa kapena watsopano wa mtsempha umatha kuchiritsidwa, nthawi zambiri ndi ERCP.
• Pitani ku lipoti lanu la histopathology. Umu ndi momwe khansa ya ndulu imayambikira mwadzidzidzi, ndipo ndi gawo lofunika kwambiri lotsatira m'derali.

Ana, Okalamba ndi Zochitika Zina Zapadera

Ana ndi achinyamata

Miyala ya m'matumbo mwa ana nthawi zambiri imagwirizanitsidwa ndi matenda a hemolytic monga thalassemia, matenda a sickle cell kapena spherocytosis yobadwa nayo, kapena kunenepa kwambiri komanso kudya zakudya zopatsa mphamvu kwa nthawi yayitali m'mitsempha. Kuchotsa cholecystectomy ya laparoscopic kumaloledwa bwino, ndipo mu matenda a hemolytic kumatha kuphatikizidwa ndi splenectomy mwanjira yokonzedweratu, ndi njira zodzitetezera ndi zoikamo magazi zomwe zakonzedwa pasadakhale. Chithandizo cha anesthesia ya ana ndi uphungu wa makolo ndizofunikira.

Achikulire achikulire

Odwala okalamba nthawi zambiri amakhala ndi zizindikiro zochepa koma amakhala ndi zovuta zambiri, ndipo matenda ena amachititsa kuti chiopsezocho chiwonjezeke kuposa ukalamba. Kuwunika mosamala mtima, impso ndi zakudya, kuyenda msanga, kuchiza chifuwa, kupewa chisokonezo komanso kuwunikanso mankhwala ochepetsa magazi ndikofunikira. Kwa odwala ofooka kwambiri, kuchotsa cholecystostomy drain kapena kusachita opaleshoni kungakhale chisankho chanzeru, kuvomereza chiopsezo chobwereranso.

Pregnancy

Zizindikiro za miyala ya ndulu pa nthawi ya mimba zimachiritsidwa kwambiri opaleshoni, makamaka mu trimester yachiwiri, ndi chithandizo chogwirizana cha obstetric. Kuukira mobwerezabwereza pa nthawi ya mimba kumakhala ndi zoopsa zake, kotero chisankhocho chimasankhidwa payekhapayekha.

Matenda a shuga, kunenepa kwambiri, cirrhosis ndi mankhwala oletsa magazi kuundana

Anthu odwala matenda a shuga amatha kupezeka mochedwa ndi matenda oopsa; kunenepa kwambiri kumapangitsa kuti opaleshoni ikhale yovuta kwambiri; matenda a chiwindi ndi kuthamanga kwa magazi m'mapapo zimawonjezera chiopsezo cha kutuluka magazi ndipo zimafunika thandizo la akatswiri a chiwindi; odwala omwe ali ndi vuto la magazi m'mapapo amafunika dongosolo lolembedwa lothandizira. Zonsezi ndi zifukwa zoyenera kukonzekera m'malo mochedwetsa mpaka pachitika ngozi.

Ngati Mwasankha Kusachita Opaleshoni

Kukana kapena kuchedwetsa opaleshoni ndi chisankho chovomerezeka, ndipo chiyenera kukhala chodziwitsidwa bwino.

• Miyala yopanda phokoso kwenikweni yopanda zizindikiro zoopsa sizingayambitse mavuto; pafupifupi munthu mmodzi kapena awiri pa anthu zana limodzi pachaka amakhala ndi zizindikiro.
• Mukangomva kupweteka kwa ndulu kamodzi kokha, kuukira kwina kumakhala kofala - odwala ambiri amakhala ndi vuto lina mkati mwa chaka chimodzi kapena ziwiri.
• Zotsatira zomwe zingachitike chifukwa chodikira ndi monga acute cholecystitis, gallbladder empyema kapena kubowoka, miyala yomwe imalowa mu ndulu yomwe imayambitsa jaundice kapena cholangitis, gallstone pancreatitis, komanso nthawi zina gallstone ileus.
• Opaleshoni yadzidzidzi m'mimba yotupa imakhala ndi kuchuluka kwa opaleshoni yotseguka, kuvulala kwa ndulu, kukhala nthawi yayitali komanso mtengo wokwera kuposa opaleshoni yomwe idakonzedwa.
• Makamaka ku Uttar Pradesh, miyala yakale komanso ndulu yotupa nthawi zonse imagwirizanitsidwa ndi khansa ya ndulu, yomwe nthawi zambiri imapezeka mochedwa kwambiri kuti ichiritsidwe.
• Mankhwala monga ursodeoxycholic acid amasungunula miyala yaing'ono ya cholesterol pang'onopang'ono, amagwira ntchito pang'ono, ndipo miyala nthawi zambiri imabwerera ikasiya kugwiritsidwa ntchito.
• Ngati mwasankha kudikira, gwirizanani ndi dongosolo: dziwani zizindikiro zochenjeza, sungani malipoti anu a ultrasound, ndipo bwererani mwamsanga ngati pakhala ululu, malungo kapena chikasu.

Kodi Cholecystectomy Imayambitsa Chiyani?

Sitifalitsa mitengo ya phukusi pano, chifukwa chiwerengero chomaliza chimadalira momwe matenda anu alili. Chonde funsani ofesi ya inshuwaransi ya Apollo Lucknow kuti akupatseni mtengo wolembedwa womwe ukugwirizana ndi inu.

Inshuwalansi, Chithandizo Chopanda Ndalama ndi Mapepala ku India

• Cholecystectomy nthawi zambiri ndi opaleshoni yophimbidwa pansi pa inshuwaransi yathanzi yokhazikika, chifukwa imafuna kugonekedwa m'chipatala. Opaleshoni ya laparoscopic yosamalira ana masana nthawi zambiri imaphimbidwa, koma tsimikizirani izi m'mawu anu a inshuwaransi.
• Nthawi yodikira ndi yofunika. Mapolisi ambiri aku India ali ndi nthawi yodikira yoyambirira ya masiku pafupifupi 30 kuti apeze matenda, ndipo ambiri amalemba miyala ya ndulu ndi opaleshoni ya ndulu pakati pa kuchotsedwa kwa matenda enaake ndi nthawi yodikira ya zaka ziwiri (nthawi zina chaka chimodzi, zitatu kapena zinayi kutengera kampani ya inshuwalansi). Ngati inshuwalansi yanu ndi yatsopano, funsani kampani yanu ya inshuwalansi mwa kulemba musanakonze nthawi yochita opaleshoni yosankha.
• Zigawo za matenda zomwe zinalipo kale: Ngati miyala ya ndulu inalembedwa musanagule inshuwalansi ya ndulu, nthawi yodikira matenda yomwe inalipo kale - nthawi zambiri imakhala zaka ziwiri kapena zinayi, ndipo mpaka zaka zitatu malinga ndi malamulo omwe alipo panopa a inshuwalansi yatsopano - ingagwiritsidwe ntchito.
• Chophimba cha ngozi chomwe chimakonzedwa motsutsana ndi ngozi: Opaleshoni ya ndulu nthawi zambiri imakhala yokonzedwa kapena yadzidzidzi matenda chiwongola dzanja, osati chiwongola dzanja cha ngozi. Mapolisi a ngozi za munthu payekha sakuphimba izi. Ngati muli ndi wokwera ngozi kapena wodwala matenda aakulu okha, onani zomwe muyenera kulipira.
• Njira yopanda ndalama: Gawani khadi lanu la thanzi, nambala yanu ya inshuwalansi, ndi chiphaso chanu cha chithunzi ndi ofesi ya inshuwaransi ya Apollo musanalowe m'chipatala. Chipatala chimatumiza pempho la chilolezo pasadakhale limodzi ndi matenda, njira yokonzekera, ndi mtengo wake kwa kampani yanu ya inshuwaransi kapena TPA. Milandu yokonzedweratu ndi yabwino kuyamba masiku atatu kapena asanu ndi awiri ogwira ntchito pasadakhale; zadzidzidzi zimakonzedwa mutalowa m'chipatala.
• Njira yobwezera ndalama: Lipirani nokha ndipo mudzatenge ndalama pambuyo pake. Sungani chidule cha kutulutsidwa kwa dokotala, bilu yomaliza yokhala ndi kutha kwa ntchito, malisiti olipira, malipoti ofufuza, ma invoice opangidwa kapena ogwiritsidwa ntchito, lipoti la histopathology ndi mankhwala olembedwa.
• Zomwe nthawi zambiri sizimalipidwa: Zinthu zogwiritsidwa ntchito osati zachipatala, ndalama zothandizira odwala, lendi ya chipinda choposa gawo lanu loyenerera, madipoziti olowera, ndi ndalama zochotsera zomwe zimafunika malinga ndi malire a lendi ya chipinda.
• Ndondomeko za boma ndi makampani: Kaya Ayushman Bharat PM-JAY, CGHS, ECHS, ma state schemes kapena mgwirizano wa kampani ya abwana anu ukugwiritsidwa ntchito pakali pano komanso ukugwira ntchito kuchipatalachi, komanso ndalama zina zilizonse zomwe zingalipidwe, ziyenera kutsimikiziridwa mwachindunji ndi ofesi ya inshuwaransi musanalowe m'chipatala, chifukwa momwe zinthu zilili pa emphanelment zitha kusintha.

Kukonzekera Kulowa Kwanu ndi Zomwe Mubweretse

• Chiphaso cha boma chokhala ndi chithunzi ndi kopi, komanso chofanana ndi cha wothandizira wanu wamkulu.
• Khadi la inshuwaransi, chikalata cha ndondomeko, tsatanetsatane wa TPA ndi kalata iliyonse yovomerezeka pasadakhale.
• Mankhwala onse omwe adaperekedwa kale, mafilimu a ultrasound ndi MRCP, malipoti a magazi, ECG, ndi chilolezo cha pre-anesthesia.
• Mndandanda wolembedwa wa mankhwala onse okhala ndi mlingo, kuphatikizapo mankhwala a ayurvedic, mankhwala ophera tizilombo toyambitsa matenda kapena mankhwala ophera tizilombo toyambitsa matenda - ena amakhudza kutuluka magazi ndi mankhwala oletsa ululu.
• Zovala za thonje zotseguka kutsogolo, shawl kapena dupatta, masilipi okhala ndi chogwirira, ndi thumba laling'ono la chimbudzi.
• Ma spectacles, chikwama cha mano obisika, chopumira, glucometer kapena makina a CPAP ngati mugwiritsa ntchito.
• Chochaja, banki yamagetsi, ndi ndalama zochepa kapena khadi la zinthu zomwe zingachitike mwadzidzidzi.
• Munthu wamkulu mmodzi wodalirika kwa maola 24 oyambirira, ndipo ndibwino kuti muthandize kunyumba kwa sabata imodzi.
• Siyani zodzikongoletsera, golide ndi zinthu zamtengo wapatali kunyumba. Chotsani zodzoladzola za misomali ndi zodzoladzola monga momwe mwalangizira.
• Konzani galimoto yoti mupite kunyumba. Pewani kukonzekera kutuluka usiku ngati mukukhala kutali.

Zizindikiro Zochenjeza Zomwe Zikufunika Kuwunikidwanso Mwachangu

Lumikizanani ndi chipatala kapena pitani ku dipatimenti yothandiza anthu mwadzidzidzi ngati mutachita opaleshoni:

• Malungo opitirira 38°C kapena 100.4°F, kapena kuzizira kwambiri.
• Kupweteka kwambiri kapena kuwonjezeka kwa m'mimba m'malo mochepetsa ululu pang'onopang'ono.
• Maso kapena khungu lachikasu, mkodzo wakuda, kapena ndowe zotumbululuka ngati dongo.
• Kusanza kosalekeza kapena kulephera kusunga madzi.
• Kutuluka magazi kofiira, kobiriwira kapena koipa kuchokera pabala, kapena kufalikira kwa kufiira ndi kutupa.
• Mimba yolimba komanso yotupa yopanda chopondapo kapena mphepo.
• Kupuma movutikira, kupweteka pachifuwa, kapena kupweteka kwa msana ndi kutupa.
• Kutuluka magazi kuchokera pamalo olowera, kapena kukomoka ndi kugunda kwa mtima.
• Palibe mkodzo womwe unatuluka kwa maola ambiri, kapena panali tulo ndi chisokonezo.

Musanachite opaleshoni, lamulo lomweli limagwiranso ntchito pa ululu waukulu wa m'mimba womwe umabwera chifukwa cha malungo kapena chikasu - kuti kuphatikiza kumeneku sikuyenera kuchitidwa kunyumba.

Kwa Odwala Oyenda Kuchokera Kumadera ndi Mizinda Yapafupi

Lucknow ndiye malo otumizira ambiri chapakati komanso kum'mawa kwa Uttar Pradesh. Odwala nthawi zambiri amayenda kuchokera ku Barabanki, Sitapur, Hardoi, Unnao, Kanpur, Rae Bareli, Lakhimpur Kheri, Bahraich, Gonda, Faizabad?Ayodhya, Sultanpur, Amethi, Pratapgarh, Shahjahanpur, Fatehpur ndi Basti, komanso kuchokera kumadera akumalire a Nepal ndi zigawo za Bihar.

• Tumizani malipoti pasadakhale. Gawani ultrasound yanu, malipoti a magazi ndi mankhwala musanapite kukaonana ndi dokotala kuti muone ngati dokotala wanu akukuthandizani ndipo mayeso obwerezabwereza achepetsedwe.
• Konzani njira yoyendera maulendo awiri ngati n'kotheka: Ulendo umodzi wokafunsira ndi kuchita maphunziro, kenako kulowa m'chipatala pa tsiku lotsimikizika, m'malo moyenda mobwerezabwereza.
• Bajeti yokhalamo kwa masiku atatu kapena asanu motsatira njira yokonzedwa ya laparoscopic kuti mulole kuti mufufuze opaleshoni isanachitike opaleshoni yoletsa ululu komanso kuwunikanso bala koyamba, komanso nthawi yayitali pa opaleshoni yotseguka kapena yovuta.
• Kukhala kwa wolandira alendo: Funsani ofesi yothandizira za malo ogona alendo ndi malo ogona apafupi; musadalire kugona usiku wonse m'chipinda chanu pokhapokha ngati pali chilolezo cha gulu la zipinda zanu.
• Ulendo wobwerera: Mumakonda kukhala pagalimoto kapena pa sitima yosungidwira m'malo moyenda nthawi yayitali m'basi m'misewu yovuta kwa milungu iwiri yoyambirira. Siyani maulendo ataliatali ndikuyenda pansi ola lililonse kapena awiri kuti muchepetse chiopsezo cha magazi kuundana.
• Kusunga zobwezeretsera zakomweko: Musanatuluke, pezani chidule cholembedwa cha kutuluka m'chipatala, mndandanda wa mankhwala, malangizo ogwiritsira ntchito zovala ndi dzina la malo apafupi komwe mungawonekere mwachangu usiku.
• Londola: Funsani ngati ndemanga yanu yoyamba ndi kukambirana za lipoti la histopathology kungachitike kudzera pa teleconsulting ngati kuyenda kuli kovuta.

Kulumikizana ndi Kukumana