Cholecystectomy paApollo Hospitals, Lucknow

Nei Varwere Vachisarudza Zvipatara zveApollo Lucknow Kuti Vabviswe Cholecystectomy

• Nhaka yeboka: Zvipatara zveApollo zvakatanga muna 1983 senzvimbo yekutanga yezvipatara muIndia uye nhasi uno zvine zvipatara zvinopfuura makumi manomwe zvine mibhedha inopfuura 10,000, zvichipa mukana wekuwana nzira dzekiriniki dzeboka rose, masisitimu ekuongorora uye network dzevamwe.
• Kampasi yakatsaurirwa ine hunyanzvi hwakasiyana-siyana muLucknow: Chipatara cheApollomedics Super Specialty, Lucknow inzvimbo huru yekuchengetedza varwere vepamusoro iri paKanpur, Lucknow Road, ine rubatsiro rwekukurumidzira, rubatsiro rwekukurumidzira uye rutsigiro rwekubhengi reropa - zvakakosha nekuti chikamu chezviitiko zvechiropa chinouya senjodzi huru pane kuvhiyiwa kwakarongwa.
• Kuvhiyiwa kwemuviri wese neGI kunoitwa nechikwata: Kuvhiyiwa kweCholecystectomy kuApollo Lucknow kunoitiswa nechikwata chevanachiremba vanovhiya chirwere chemudumbu, laparoscopic nedumbu vachishanda pamwe chete nevanachiremba vezvekudya, vanachiremba vanoraramisa varwere, uye vanachiremba vane ruzivo rwakakura. Huwandu hwevanachiremba vari pachirongwa ichi uye ruzivo rwavo rwemakore akasiyana-siyana rwakanyorwa pamapeji echipatara ekuti "Tsvaga Chiremba" uye zvinogona kusimbiswa panguva yekubhuka.
• Kuwanikwa kudiki sekwakajairika: Kuvhiyiwa kwe laparoscopic cholecystectomy kwakajairika, kunoitwa ne open conversion kana paine anatomy, dense adhesions kana kubuda ropa zvichiita kuti ive sarudzo yakachengeteka.
• Rutsigiro rwezvironda zvegallbladder zvakaoma: Kuongororwa kweEndoscopy panzvimbo yeERCP, cholangiography yemukati mekuvhiyiwa kana zvaratidzwa, radiology ine ultrasound, CT neMRCP, uye HPB/hepatology backup yematombo anofungidzirwa kuti ari mu bile duct kana kukuvara kwe bile duct.
• Kutarisirwa kwemapoka ezera: Maitiro ekurapa vanhu vakuru, varwere vakwegura vane chirwere chemwoyo, itsvo kana chirwere cheshuga, uye vechidiki nevana vane matombo emunduru ane chekuita nechirwere chehemolytic, uko vana vanopihwa mushonga weanesthesia uye vana vanopihwa mushonga wekurapa.
• Mazano anoshanda ekurapa varwere eIndia: Gwaro rinosanganisira kugara pasi, kugara wakachinjika makumbo, zvimbuzi zverudzi rwechiIndia, kurara pasi, mabasa emutemberi neapamba, uye kuti vatarisiri vemhuri pamwe chete vanogona kubatsira sei mumavhiki maviri ekutanga.
• Inishuwarenzi nedhipatimendi reTPA pakoreji kuti muwane mvumo yekutanga pasina mari, pamwe nerubatsiro rwevarwere vanofamba vachibva kumatunhu ese eUttar Pradesh.

Hativimbisei kuti pane zvichabuda. Chatinovimbisa ndechekuongorora chokwadi chekuti unoda kuvhiyiwa here, kutsanangurwa kwakajeka kwenjodzi dziripo, uye hurongwa hwekugadzirisa matambudziko kana akaitika.

tsananguro

Kuvhiyiwa kweCholecystectomy, kubviswa kwenyongo, inzira yakajairika asi inokosha kune vanhu vane matambudziko ane chekuita nenyongo. KuApollo Hospitals Lucknow, tinodada nemukurumbira wedu wekubudirira muhutano, tichishandisa tekinoroji iripo uye nzira dzepamusoro dzekuvhiya kutsigira mhedzisiro yakanaka kuvarwere vedu. Nechikwata chevanachiremba vane hunyanzvi uye kuzvipira kutarisirwa kwemunhu oga, Apollo Hospitals Lucknow isarudzo yagara iripo yekubvisa cholecystectomy munharaunda iyi. Varwere vedu vanotivimba kwete chete neruzivo rwedu rwekurapa asiwo netsitsi dzatinoratidza pakurapa.

Nei Cholecystectomy Ichidikanwa

Kuvhiyiwa kwecholecystectomy kunowanzo dikanwa kune varwere vane matombo emunduru, kuzvimba kwenyongo (cholecystitis), kana zvimwe zvirwere zvine chekuita nenyongo. Matombo emunduru anogona kukonzera kurwadziwa kwakanyanya, matambudziko ekugaya chikafu, uye matambudziko akadai sepancreatitis kana hutachiona. Nekubvisa nyongo, tinogona kuderedza zviratidzo izvi uye kuderedza njodzi yemamwe matambudziko. Maitiro aya anowanzoitwa laparoscopically, zvinoreva kuti kucheka kudiki, marwadzo mashoma, uye nguva yekupora nekukurumidza kune varwere vazhinji. KuApollo Hospitals Lucknow, tinoona kuti murwere wega wega anowana kuongororwa kwakakwana kuti aone kana cholecystectomy yakaratidzwa zvechokwadi, tichigadzirisa maitiro edu zvichienderana nezvinodiwa nemunhu wega.

Ngozi dzekunonoka

Kunonoka kubviswa kwecholecystectomy kana zvataurwa zvinogona kukonzera njodzi huru dzehutano. Matombo emudumbu anogona kukonzera cholecystitis inorwadza zvakanyanya, zvichikonzera kurwadziwa kwakanyanya mudumbu, fivha, uye matambudziko angangoitika akadai sekuboorwa kwenyongo kana hutachiona. Matambudziko aya angada kuvhiyiwa kwechimbichimbi, izvo zvinogona kunge zvakaoma uye zvine njodzi huru kupfuura maitiro akarongwa. KuApollo Hospitals Lucknow, tinosimbisa kukosha kwekupindira panguva yakakodzera. Chikwata chedu chine chinangwa chekupa rubatsiro nekukurumidza, kuitira kuti varwere varapwe vasati vasangana nematambudziko anodziviririka.

Zvakanakira Cholecystectomy

Kuvhiyiwa kwecholecystectomy kunogona kuvandudza hupenyu hwevanhu vane zviratidzo zvematombo emudumbu. Varwere vazhinji vanowana zororo kubva pakurwadziwa kunowanzoitika uye zviratidzo zvekugaya mushure mekuvhiyiwa. Kubviswa kwenduru kunowanzo gumisa kutenderera kwekurwiswa kwenyongo, zvichibvumira vanhu kudzokera kumabasa avo enguva dzose vasina kutya kurwadziwa kwakakomba kamwe kamwe. Vamwe varwere vanotaurawo kuti kudya kunonzwa kuri nyore mushure mekudya, kunyange hazvo vashoma vachiona tsvina yakareruka kana kusashivirira mafuta kwenguva yakati. KuApollo Hospitals Lucknow, hatingotarisiri chete pakuvhiyiwa asi pakupora kwemuviri wese, tichiona kuti varwere vanowana rutsigiro rwavanoda murwendo rwavo rwese.

Kugadzirira uye Kudzorera

Kugadzirira cholecystectomy kunosanganisira matanho akati wandei akakosha kuti uve nechokwadi chekuvhiya kwakanaka. Heano mamwe mazano anoshanda:

1. Kubvunzurudza: Ronga kubvunzana kwakakwana navanachiremba vedu vekuApollo Hospitals Lucknow. Vachaongorora mamiriro ako ezvinhu, vokurukura nezvemaitiro acho, uye vopindura mibvunzo yaungave nayo.
2. Preoperative mirayiridzo: Tevedzera chero mirairo yakapihwa nechikwata chenyu chehutano usati wavhiyiwa, iyo inogona kusanganisira mitemo yekudya uye kugadziriswa kwemishonga.
3. Ronga zvekufambisa: Sezvo iwe uchange uri pasi peanesthesia, ronga kuti mumwe munhu akutakure kumba mushure mekuita.
4. Postoperative care: Mushure mekuvhiyiwa, teverai zano rachiremba wenyu maererano nemazinga ekushanda, kudya, uye kutarisira maronda. Kuzorora kwakakosha kuti munhu apore.
5. Nguva dzekutevera: Endai kumisangano yese yekutevera yakarongwa kuitira kuti kupora kwenyu kutariswe uye chero zvinonetsa zvigadziriswe.

KuApollo Hospitals Lucknow, tinoisa pamberi kupora kwako nekupa yakazara postoperative kutarisirwa uye rutsigiro, kuve nechokwadi chekuti une zviwanikwa zvaunoda kuti ubudirire kupora.

Zvinotaurwa Nemirayiridzo Yemazuva Ano

Kusarudza vanhu paApollo Lucknow kunoenderana negwara renyika nerepasi rose rakabudiswa pane kungosarudza vanachiremba chete:

• Gwaro reTokyo 2018 (TG18) Inoramba iriyo nzira yekuongorora nekuongorora chirwere che acute cholecystitis ne acute cholangitis. TG18 inotsigira kubviswa kwecholecyst ye laparoscopic yekutanga yeGiredhi I neGiredhi II acute cholecystitis yakasarudzwa muvarwere vane hutano hwakanaka, pane tsika yekare yekudzikamisa muviri nguva nenguva uye kuvhiya mushure memavhiki matanhatu. Kune varwere veGiredhi III (kusashanda zvakanaka kwenhengo) kana varwere vane njodzi huru, TG18 inotsigira kukurumidza kubuda kwemvura mugallbladder (percutaneous cholecystostomy) kutanga, nekuvhiyiwa gare gare.
• Nhungamiro dzeWorld Society of Emergency Surgery (WSES) 2020 pakurapa chirwere checholecystitis chakakomba saizvozvowo vanokurudzira kuvhiyiwa nekukurumidza, zviri nani mukati memazuva manomwe ekutanga kwezviratidzo uye mukati memazuva gumi ekubvuma kana zvichibvira, uye tsigira "maonero akakosha ekuchengetedza" uye kubviswa kwecholecyst kana kushandurwa senzira dzakachengeteka dzekudzivirira nduru yakaoma.
• Gwaro rekudzidzisa vanhu vekuIndia: The Sangano reIndia reVanachiremba veMatumbu (IAGES) yakaburitsa mazano ekubvumirana uye ekuchengetedza cholecystectomy kune vanoita zvekurapa muIndia, uye Sangano reVavhiyi veIndia (ASI) Zvinyorwa zvebhuku nemabhuku eCME zvinosimbisawo laparoscopy senzira yakajairika, magwaro ekumanikidzwa ekuona kwakakosha kwekuchengetedza, uye chiyero chidiki che cholangiography kana kushandurwa mukati mekuvhiyiwa. Indian Society yeGastroenterology uye INSL nhungamiro yacho inokosha kana matombo emunduru achibatana nepancreatitis kana chirwere chechiropa chisingaperi.
• Yambiro yekenza yenyongo yakanangana neNorth India: Ganga belt, kusanganisira Uttar Pradesh neBihar, ine huwandu hwakawanda hwekenza yemudumbu pasi rose. Saka masangano ekuvhiya ekuIndia anokurudzira kuti pave nechikamu chidiki chekuvhiya kune varwere vane gallbladder ine madziro akakora kana kuti calcified (porcelain), polyps dze10 mm kana kupfuura, polyps dzinokura, kana matombo emudumbu akakura kupfuura anenge 3 cm. Njodzi iyi yemudunhu ndiyo chikonzero chechokwadi uye chisingawanzo kurukurwa nei murwere wekuLucknow angarayirwa kuvhiyiwa kunyangwe aine zviratidzo zvishoma.
• Matombo asina zviratidzo ("akanyarara"): Guidance inogara ichipa zano rekuti tisavhiyiwe nguva dzose kana matombo asina kunyarara muvanhu vakuru vane hutano hwakanaka, kunze kwezviratidzo zvengozi zvataurwa pamusoro apa, uye kune vanhu vane haemolytic anemia, kana avo vari kuvhiyiwa mamwe maoperesheni emudumbu.

Humbowo mune dzimwe nzvimbo huchiri kuchinja - semuenzaniso, mabhenefiti chaiwo ekurapwa kwechirwere chepfungwa panguva yekuvhiyiwa, uye mhedzisiro yenguva refu yekubvisa chirwere chepfungwa chepasi - saka mazano anoshandiswa pamwe chete nekuongorora kwekiriniki uye anokurukurwa newe.

Nguva Yokuvhiya uye Chikamu Chekutanga Kuvhiya

Kana kuvhiyiwa kwakarongerwa

• Kupinda muchipatara nekukurumidza / zvakafanana: Chirwere checholecystitis chinouraya, chirwere chenduru chakagadzikana, jaundice inovhara inokonzerwa necholangitis mushure mekubuda kwenyongo, kana kuti gallbladder yakaboorwa.
• Kusarudza kwekutanga (mazuva kusvika kumavhiki mashoma): Kudzokororwa kwenyongori, kurwiswa kwekutanga kwakanyanya, kana mushure mekuvhiyiwa kwematombo emudumbu - kusiya gallbladder panzvimbo yayo mushure meERCP kune njodzi huru yekurwiswa zvakare.
• Mavhiki ekusarudza akarongwa (mavhiki): Cholecystitis isingaperi, polyps dzemudumbu dziri kutariswa, varwere vanoda kugadziriswa kwechirwere cheshuga, anemia, BP kana mamiriro emwoyo kutanga.
• Zvakanonotswa: Mumwedzi mitatu yekutanga kana kuti mumwedzi mitatu yekupedzisira yekuzvitakura apo zviratidzo zvinodzoreka, sepsis isingadzoreki inobva kune imwe nzvimbo, kana kuti nguva yekudzikama mushure mekurwara zvakanyanya yakachengeteka.

Kugadzirira maitiro asati aitwa

• Dumbu reUltrasound ndiro bvunzo huru; MRCP kana endoscopic ultrasound inowedzerwa kana paine fungidziro yekuti matombo emudumbu ari mudumbu anowanikwa. CT inoshandiswa pamatambudziko akaomarara kana kuti anofungirwa.
• Kuongororwa kweropa: kuverengwa kweropa rose, kushanda kwechiropa, amylase kana lipase, kushanda kweitsvo, shuga yeropa neHbA1c, chimiro cheropa rinoyerera, boka reropa, zviratidzo zvehutachiona.
• Kuongororwa kwemwoyo uye kweanotindivadza: ECG, kufungidzira chipfuva kana zvaratidzwa, echocardiography yevarwere vakwegura kana avo vane nhoroondo yemwoyo; kutarisa kuchena kwemoyo usati waitwa anesthesia.
• Mishonga: mishonga inobvisa ropa yakaita seaspirin, clopidogrel, warfarin kana mishonga mitsva inonwiwa inofanira kukurukurwa pachine nguva uye inofanira kudziviswa chete kana paine zano rechiremba. Metformin, SGLT2 inhibitors uye insulin doses zvinogadziriswa zvichienderana nekutsanya.
• Kutsanya: kazhinji hapana zvinhu zvakasimba kwemaawa matanhatu kusvika masere uye mvura yakachena inomira maawa maviri usati wanwa anesthesia, sezvakarairwa nachiremba wako weanesthesia.
• Rega kusvuta uye shandisa fodya kana gutkha nekukurumidza usati wavhiyiwa; zvinoderedza matambudziko echipfuva nemaronda nenzira inoyerwa.
• Rapa chirwere chekushaya ropa pachine nguva kana zvichibvira - chinowanzoitika muvarwere vekuNorth India uye chinokanganisa kupora.

Sarudzo dzeTekiniki Dzinoenzaniswa

Maitiro Dzimwe Nguva Anoitwa Panguva Imwe Chete

• Kuvhiyiwa kwecholangiography panguva yekuvhiyiwa kana laparoscopic ultrasound kuti vaongorore migero yenyongo kana muviri usina kunyatsojeka kana kuti paine matombo anofungidzirwa kuti ari mumigero.
• Kuongororwa kwemugero wenyongo wakajairika weLaparoscopic mune dzimwe nzvimbo dzine matombo emugero, kudzivirira ERCP yakasiyana.
• Kugadziriswa kwehernia yemudumbu, epigastric kana diki akawanikwa panzvimbo imwe chete.
• Chiropa biopsy kana chirwere chechiropa chisingaperi kana chiropa chine mafuta chichida kuongororwa uye zvakachengeteka kuita izvozvo.
• Appendicectomy chete kana paine chiratidzo chakajeka, kwete nguva dzose.
• Adhesiolysis muvarwere vakambovhiyiwa dumbu.
• Kuronga chikamu chakaomeswa nechando kana kuchekwa kwechikamu kwenguva refu Kana kenza yemudumbu isingatarisirwi ikafungidzirwa panguva yekuvhiyiwa, inyaya chaiyo yekufunga nezvayo munzvimbo iyi. Kuvhiyiwa kwekenza kunowanzoitwa mushure mekuongororwa kwakazara.

Kupora Kwechikamu Nechikamu

Zvinyorwa zvezviitiko zvakanangana neIndia

• Zvimbuzi zvekusvirana uye zverudzi rwechiIndia: Vanhu vazhinji vanopora mushure mevhiki imwe kusvika mbiri ne laparoscopy, kwenguva yakareba mushure mekuvhiyiwa pachena. Chigadziko chepurasitiki kana chigaro chepurasitiki chakasimudzwa chiri pedyo chinobatsira mumavhiki maviri ekutanga. Dzivisa kumanikidza - kumbira mushonga wekupfavisa chigaro kana uine kuzvimba.
• Kugara pasi wakapfugama makumbo: Kazhinji zvinonyaradza mushure memavhiki maviri kusvika matatu. Shandisa piro yekusimudza uchishandisa madziro kana chigaro pane kungoerekana waedza mudumbu.
• Kurara pasi: Zvinogamuchirwa, asi kufamba kwekumuka kunonetsa dumbu. Kwevhiki yekutanga, tenderedza divi rako wosundira maoko ako kumusoro, kana kurara pamubhedha wakasimba kana zvichibvira.
• Mabasa epamba: Kutsvaira, kukwesha, kukuya mvura, kukweva mvura uye kutakura vana muhudyu zvinofanirwa kumirira kwemavhiki maviri kusvika matatu. Apa ndipo panonyanya kukosha rutsigiro rwemhuri pamwe chete - ronga pachine nguva kuti ndiani achabata basa rekicheni nerechikoro.
• Kufamba nemota ine mavhiri maviri: Dzivisa kufamba nemotokari kana kufamba nemota mumigwagwa isina kunaka kwemavhiki maviri kusvika matatu; zvinokanganisa kumhanya kwemotokari uye makomba zvinovhara nzvimbo dzechiteshi.

Zvinodiwa Pakudzokera Kubasa, Mitambo Nevashandi Vane Simba

Nguva yoga haisiyo muedzo. Dzokera kana wava kugona kutaura chokwadi kuti hongu kune zvese izvi:

• Marwadzo anodzorwa pasina mishonga ine simba yekuderedza marwadzo.
• Maronda akaoma, akavharwa uye haana kutsvuka, haapisi kana kubuda ropa.
• Kukwanisa kufamba kwemaminitsi makumi maviri kusvika makumi matatu, kukwira masitepisi uye kukosora pasina kurwadziwa kwakanyanya.
• Kudya kudya kwakasanganiswa kwakajairika pasina kurutsa; ura hwagadzikana.
• Hapana fivha, uye hapana jaundice kana weti yakasviba.
• Kune vatyairi: vanokwanisa kumira nekukurumidza votendeuka kuti vaone kana vasingazivi.
• Kumitambo yekurovedza muviri, kabaddi, cricket, wrestling kana basa rinorema remaoko: zvinobvumidzwa mushure memavhiki mana kusvika matanhatu ekurapwa ne laparoscopy uye mavhiki matanhatu kusvika gumi nemaviri mushure mekuvhiyiwa pachena, zvichiwedzera mutoro zvishoma nezvishoma pane kudzokerazve nesimba rakazara.

Kudzivirira Matambudziko Mushure mekubviswa kweDumbu

Dumbu harigoni kuumba matombo patsva, asi matombo emutsinga wenyongo nezvimwe zvinetso zvekugaya zvinogona kuitika. Matanho akachenjera:

• Idya chikafu chakajairika; kutsanya kwenguva refu wozodya chikafu chakakangwa zvakanyanya ndicho chikonzero chekugara usina kugadzikana. Kutsanya kwetsika kwemutambo kunoteverwa nechikafu chakakora kunowanzo kukonzera zviratidzo - kupararira kwekudya.
• Deredza kudya zvekudya zvakakangwa zvakakangwa, mafuta akawanda, malai, mafuta emombe uye mafuta anogadzirwa nekirimu mumavhiki ekutanga, wozodya zvishoma nezvishoma zvichienderana nekushivirira.
• Wedzera faibha inonyunguduka - oats, dals, michero, isabgol kana ukashandisa? izvo zvinobatsira kana tsvina yakasununguka.
• Deredza uremu zvishoma nezvishoma pane kungodya zvisina kunaka; kuderedza uremu nekukurumidza pachako kunokurudzira kuumbwa kwematombo mumigero yenyongo.
• Dzora chirwere cheshuga uye rapa triglycerides yakakwira.
• Ramba uchiita maekisesaizi emuviri; kufamba netsoka kwemaminitsi makumi matatu kwemazuva mazhinji kwakakwana.
• Taura nezvekudzokazve kwekurwadziwa kwakafanana kwemudumbu rekumusoro kurudyi, jaundice kana tsvina yakachenuruka - dombo rakachengetwa kana idzva rinogona kurapwa, kazhinji neERCP.
• Endai kunoona mushumo wenyu wekuongorora histopathology. Aya ndiwo maitiro anowanikwa kenza yemudumbu isati yatanga, uye ndiyo danho rekutanga rakakosha rekutevera munharaunda iyi.

Vana, Vakuru Nemamwe Mamiriro Akakosha

Vana nevechiri kuyaruka

Matombo emunduru muvana anowanzobatanidzwa nematambudziko eropa akadai sethalassemia, chirwere chesickle cell kana spherocytosis yenhaka, kana kuti kufuta zvakanyanya uye kudya kunovaka muviri kwenguva refu. Kubviswa kweropa mudumbu ne laparoscopic cholecystectomy kunobvumirwa zvakanaka, uye muchirwere cheropa kunogona kubatanidzwa ne splenectomy nenzira yakarongwa, pamwe nekubaiwa majekiseni uye kuiswa ropa zvakarongwa pachine nguva. Rutsigiro rweanesthesia yevana uye mazano evabereki zvakakosha.

Vakuru vakuru

Varwere vakwegura vanowanzova nezviratidzo zvishoma asi vane matambudziko akawanda, uye zvirwere zvinouya pamwe chete zvinoisa njodzi kupfuura kukwegura. Kuongorora mwoyo, itsvo uye kudya kunovaka muviri, kufamba nekukurumidza, kurapa chipfuva, kudzivirira delirium uye kuongorora mishonga inobvisa ropa kunokosha. Kune varwere vasina simba, kubvisa cholecystostomy drain kana kusavhiyiwa kungave sarudzo yekuchenjera, kugamuchira njodzi yekudzokazve.

Kuberekwa

Matombo emudumbu ane zviratidzo zvechirwere ichi anowanzorapwa nekuvhiyiwa, zviri nani mumwedzi mitatu yechipiri yekuzvitakura, pamwe nekurapwa pamwe chete nemwana ari mudumbu. Kurwiswa kakawanda panguva yekuzvitakura kune njodzi dzakwo, saka sarudzo yacho inosarudzwa nemunhu mumwe nemumwe.

Chirwere cheshuga, kufuta, cirrhosis uye kudzivirira kuungana kweropa

Vane chirwere cheshuga vanogona kusvika pakupera kwechirwere ichi nehutachiona hwakakomba; kufuta kunoita kuti kuvhiyiwa kuve kwakaoma; cirrhosis uye BP inowedzera njodzi yekubuda ropa uye inoda rubatsiro rwekurapa hepatitis; varwere vane chirwere chemwoyo chisingaperi vanoda hurongwa hwakanyorwa. Zvese izvi zvikonzero zvekuronga pane kunonoka kusvika paitika emergency.

Kana Ukasarudza Kusavhiyiwa

Kuramba kana kunonotsa kuvhiyiwa isarudzo yepamutemo, uye inofanira kunge iri yeruzivo rwakadzama.

• Matombo akanyarara asina zviratidzo zvengozi angasambokonzera matambudziko; munhu mumwe chete kusvika vaviri pavanhu zana pagore vanova nezviratidzo.
• Kana wangotanga kurwadziwa kamwe chete kwenyongo, kurwiswa kwakawanda kunowanzoitika - varwere vakawanda vanowana chimwe chiitiko mukati megore rimwe kana maviri.
• Migumisiro inogona kuitika yekumirira inosanganisira acute cholecystitis, gallbladder empyema kana kubooka, matombo anotsvedza mu bile duct zvichikonzera jaundice kana cholangitis, gallstone pancreatitis, uye kashoma gallstone ileus.
• Kuvhiyiwa kwekukurumidzira mudumbu rakazvimba kunowedzera mukana wekuchinja kuita kuvhiyiwa kwakavhurika, kukuvara kwemugero wenyongo, kugara kwenguva refu uye mari yakawanda kupfuura kuvhiyiwa kwakarongwa.
• MuUttar Pradesh kunyanya, matombo agara kwenguva refu uye gallbladder yakazvimba nguva dzose zvinobatanidzwa nekenza yegallbladder, iyo inowanzoonekwa yanonoka kurapwa.
• Mishonga yakaita seursodeoxycholic acid inonyungudutsa matombo madiki echolesterol zvishoma nezvishoma, inoshanda zvishoma, uye matombo anowanzo dzoka mushure mekumira.
• Kana mukasarudza kumirira, bvumiranai nezvechirongwa: zivai zviratidzo zvekunyevera, chengetai mishumo yenyu yeultrasound, uye dzokai nekukurumidza kana mukanzwa kurwadziwa, fivha kana jaundice.

Chii Chinokanganisa Mutengo weCholecystectomy

Hatiburitse mitengo yemapakeji pano, nekuti nhamba yekupedzisira inoenderana nemamiriro ako ekurapa. Ndokumbirawo mubvunze Apollo Lucknow billing kana inishuwarenzi kuti ikupei fungidziro yakanyorwa yakanangana newe.

Inishuwarenzi, Kurapwa Pasina Mari uye Kunyora Mapepa muIndia

• Cholecystectomy inowanzoitwa kuvhiya kunovhara pasi peinishuwarenzi yehutano inotsiva, sezvo ichida kugara muchipatara. Kuvhiyiwa kwe laparoscopic yekuchengetwa kwevana masikati kunowanzo vharwawo, asi simbisa izvi mumashoko einishuwarenzi yako.
• Nguva yekumirira inokosha. Mapoka mazhinji eIndia ane nguva yekutanga yekumirira kwemazuva angangoita makumi matatu echirwere, uye akawanda anonyora matombo emunduru nekuvhiyiwa kwenduru pakati pe kusabatanidzwa kwezvirwere zvakasiyana-siyana nenguva yekumirira yemakore maviri (dzimwe nguva gore rimwe, matatu kana mana zvichienderana nekambani yeinishuwarenzi). Kana policy yako iri itsva, bvunza kambani yako yeinishuwarenzi nekunyora usati waronga kuvhiyiwa kwekuzvisarudzira.
• Zvikamu zvezvirwere zviripo kare: Kana matombo emunduru akanyorwa usati watenga iyo polisi, nguva yekumirira chirwere chagara chiripo - inowanzova makore maviri kusvika mana, uye kusvika makore matatu pasi pemitemo iripo yemitemo mitsva?
• Kudzivirirwa kwenjodzi kwakarongwa kana kuchienzaniswa netsaona: Kuvhiyiwa kwenyongo kunowanzova kwakarongwa kana kuti kwekukurumidzira kurwara chikumbiro chemhosva, kwete chikumbiro chetsaona. Mapolisi etsaona yemunhu haachifukidze. Kana uine munhu anotya tsaona yemunhu kana chirwere chakaipisisa chete, tarisa kuti chii chaizvo chinobhadharwa.
• Nzira yekushandisa mari isina mari: Goverana kadhi rako rehutano, nhamba yepolisi uye ID yemufananidzo nedhipatimendi reinishuwarenzi reApollo usati wapinda muchipatara. Chipatara chinotumira chikumbiro chemvumo pachine nguva pamwe nekuongororwa, maitiro akarongwa uye fungidziro kune kambani yako yeinishuwarenzi kana TPA. Nyaya dzakarongwa dzinofanira kutanga mazuva matatu kusvika manomwe ekushanda pachine nguva; njodzi dzinogadziriswa mushure mekupinda muchipatara.
• Nzira yekudzoserwa mari: Zvibhadhare wozokumbira chikumbiro gare gare. Chengeta pfupiso yekuburitswa kwemhosva, bhiri rekupedzisira rine kuputswa kwemhosva, marisiti ekubhadhara, mishumo yekuferefeta, ma invoice akaiswa kana anodyiwa, mushumo we histopathology uye mishonga yekurapa.
• Zvisingawanzo kubhadharwa: Mari yekushandisa isiri yekurapwa, muripo wemushandi, rendi yekamuri iri pamusoro pechikamu chako chaunokodzera, mari yekupinda, uye mari inobviswa zvichienderana nezvinodiwa kana muganho werendi yekamuri uchishanda.
• Zvirongwa zvehurumende nemakambani: Kana Ayushman Bharat PM-JAY, CGHS, ECHS, zvirongwa zvehurumende kana kubatana kwekambani kwemushandirwi wako kuripo pari zvino uye kunoshanda pachipatara ichi, uye chero muripo wekubatsirana unobatanidzwa, zvinofanirwa kusimbiswa zvakananga nedhipatimendi reinishuwarenzi usati wapinda, sezvo mamiriro ekupana anogona kuchinja.

Kuronga Kupinda Kwako uye Zvaunofanira Kuunza

• Chitupa chehurumende chine mufananidzo nekopi, pamwe chete nechako chemushandi mukuru.
• Kadhi reinishuwarenzi, gwaro remutemo, ruzivo rweTPA uye chero tsamba yekubvumidza usati watanga.
• Mishonga yese yandakambopiwa kare, mafirimu e ultrasound ne MRCP, mishumo yeropa, ECG, uye kubvumidzwa kwemishonga isati yatanga.
• Rondedzero yakanyorwa yemishonga yese ine mishonga, kusanganisira mishonga yeAyurvedic, mishonga yehomeopathic kana mishonga yemishonga - mimwe yacho inokanganisa kubuda ropa uye kunzwa kuda kurutsa.
• Mbatya dzedonje dzakavhurika kumberi, shawl kana dupatta, masilipa ane grip, uye bhegi diki rekugeza.
• Zviratidziro, chivharo chemazino emazino, chinofefetera, glucometer kana muchina weCPAP kana ukashandisa chimwe.
• Chaja, bhangi remagetsi, nemari shoma kana kadhi rezvingangoitika.
• Munhu mukuru mumwe chete akavimbika kwemaawa makumi maviri nemana ekutanga, uye zviri nani kubatsira kumba kwevhiki.
• Siya zvishongo, goridhe nezvinhu zvinokosha kumba. Bvisa polish yenzara uye makeup sezvakarayirwa.
• Ronga mota yerwendo rwekuenda kumba. Usaronga kubuda mumba kana uchigara kure.

Zviratidzo Zvenyevero Zvinoda Kuongororwa Nekukurumidza

Bata chipatara kana kuenda kuchipatara kana, mushure mekuvhiyiwa, ukaona:

• Fivha iri pamusoro pe38°C kana 100.4°F, kana kutonhora kunenge kuchidedera.
• Marwadzo emudumbu akanyanya kana kuti anowedzera pane kuti marwadzo acho arambe achidzikira.
• Maziso kana ganda reyero, weti yakasviba, kana tsvina yakachenuruka yakaita sevhu.
• Kuramba uchirutsa kana kusakwanisa kuchengeta mvura yakadzikira.
• Kubuda kwetsvina, girini kana kunhuwa kubva paronda, kana kuparadzira kutsvuka nekuzvimba.
• Dumbu rakaomarara, rakazvimba risina nzira yekubvisa tsvina kana mhepo.
• Kushaya mweya, kurwadziwa pachipfuva, kana kurwadziwa kwemusana nekuzvimba.
• Kubuda ropa kubva panzvimbo yakavharwa, kana kupera simba uye kurova kwemoyo zvakanyanya.
• Hapana weti yakapera kwemaawa akawanda, kana kuratidza hope nekuvhiringidzika.

Mutemo mumwe chete unoshandawo pakurwadziwa kwakanyanya kwemudumbu nefivha kana jaundice - kuti musanganiswa wacho haufanirwe kurapwa kumba.

Kune Varwere Vari Kufamba Vachibva Kumatunhu Ari Pedyo Nemaguta

Lucknow ndiyo nzvimbo yekutumira kune yakawanda yepakati nekumabvazuva Uttar Pradesh. Varwere vanowanzo famba kubva kuBarabanki, Sitapur, Hardoi, Unnao, Kanpur, Rae Bareli, Lakhimpur Kheri, Bahraich, Gonda, Faizabad?Ayodhya, Sultanpur, Amethi, Pratapgarh, Shahjahanpur, Fatehpur neBasti, uye kubva kumatunhu emuganhu weNepal uye zvikamu zveBihar.

• Tumira mishumo pachine nguva. Goveranai ultrasound yenyu, mishumo yeropa uye mishonga yenyu musati maenda kunoona chiremba kuitira kuti kubvunzana kwenyu kubudirire uye kuongororwazve kuderedzwa.
• Ronga maitiro ekushanya kaviri kana zvichibvira: kushanya kamwe chete kuti vabvunzurwe uye vagadziriswe, vozobvumidzwa kupinda muchipatara pazuva rakasimbiswa, pane kungogara vachienda.
• Bhajeti yekugara kwemazuva matatu kusvika mashanu maererano nechirongwa che laparoscopic chakarongwa kuti zvibvumire kuongororwa kweronda risati raitwa uye kuongororwa kwekutanga kweronda, uye kwenguva yakareba kune vanovhiya vakavhurika kana kuti vakaomesesa.
• Kugara kwemushandi: Bvunza hofisi yerubatsiro nezvenzvimbo dzekugara dzevaenzi nedzepedyo; usavimba nekugara muwadhi usiku hwese kunze kwekunge zvichibvumirwa muchikamu chekamuri rako.
• Rwendo rwekudzoka: Sarudza chigaro chemotokari kana chechitima chakachengetwa pane kufamba nebhazi kwenguva refu mumigwagwa isina kunaka kwemavhiki maviri ekutanga. Siya rwendo rurefu uye famba netsoka awa imwe neimwe kana maviri kuderedza njodzi yekugwamba kweropa.
• Backup yemuno: Usati wabuda, nyora pfupiso yekubuda muchipatara, runyoro rwemishonga, mirairo yekupfeka uye zita renzvimbo iri pedyo kwaunogona kuonekwa nekukurumidza husiku.
• Tevera: Bvunza kana ongororo yako yekutanga uye hurukuro yemushumo we histopathology zvichigona kuitwa nefoni kana kufamba kwakaoma.

Kubata Nekugadzwa Kwevanhu