Cystoscopy paApollo Hospitals, Lucknow

Nei Varwere Vachisarudza Zvipatara zveApollo Lucknow Kuti Vawane Cystoscopy

• Chikamu cheboka reApollo Hospitals, rakavambwa muna 1983 ? Cheni yekutanga yehutano muIndia, ine makore anopfuura makumi mana ekutonga kwekiriniki, maprotocol uye masisitimu ekuongorora ese akaitwa.
• Dhipatimendi reUrology rakatsaurirwa Kuzvipatara zveApollo kuLucknow (Kanpur Road) kune vashandi vane ruzivo nezve urologist, vanachiremba veurologist uye vashandi vakadzidziswa vekutsigira endourology, vachishanda pamwe chete neNephrology, Medical and Surgical Oncology, Radiology uye Anesthesia mukati mechivako chimwe chete - saka gomarara remudumbu rinofungidzirwa rinowanikwa pa cystoscopy rinogona kukurukurwa muongororo yakabatanidzwa pasina murwere achienda kune imwe nzvimbo.
• Nyanzvi dzezvepfungwa dzepamusoro dzine makore akawanda eruzivo rwekuvhiya pamwe chete mu endourology, kuongorora kenza yedundira uye kugadzirisa nzira dzeweti dzakaderera. Huwandu chaihwo hwevanachiremba veuropathy vari muboka iri uye ruzivo rwavo rwega rwunosiyana sezvo timu ichichinja; runyorwa rwevanachiremba rwakasimbiswa uye hunyanzvi hwavo rwunoburitswa pawebhusaiti yeApollo Hospitals Lucknow uye runogona kusimbiswa padhesiki rekugadzwa.
• Kugona kwe cystoscopy kunochinjika uye kwakasimba. Cystoscopy inochinjika inoshandiswa pakuongorora nekutarisa masero akawanda muhofisi uchishandisa gel inorapa marwadzo; cystoscopy inoshanda inoshandiswa kana biopsy, kubviswa kwematombo, kuiswa kwestent kana kubviswa bundu panguva imwe chete.
• Mifananidzo yemazuva ano ye endoscopic nehurongwa hwemavhidhiyo ane tsananguro yepamusoro, magwaro edhijitari ezvakawanikwa zvekuenzanisa pakushanya kunotevera kwekutarisa, uye mafambiro ebasa eNABH-standard sterilization uye scope-reprocessing.
• Kutarisirwa kwekukurumidzira uye kwekukurumidzira 24x7 panzvimbo iyi, rutsigiro rwebhangi reropa, uye histopathology yemukati meimba uye cytology, saka sampuli dze biopsy uye cytology yeweti zvinogadziriswa pasina kunonoka kwekutakura pakati pemaguta.
• Nzira dzakasiyana dzekutarisira mapoka akasiyana Kuvhiyiwa kwevana kunoitwa nekiriniki inochinjika yevana vanoshanda, cystoscopy yevana inongoitwa chete pasi peanesthesia yakajairika ine anesthesia yevana, uye nzira inononoka, inozivikanwa nevarwere vakwegura vane ropa shoma kana vane chirwere chemwoyo neitsvo.
• Kuongororwa kwekenza yedundira kwakarongeka Varwere vanorapwa kenza yedundira isingapindi tsandanyama vanoda kurapwa ne cystoscopy kwemakore; Apollo Lucknow anochengetedza zvinyorwa zvekuyeuka uye anoronga BCG kana chemotherapy instillations mutsinga dzemuviri nechikwata chimwe chete.
• Inishuwarenzi nedhipatimendi reTPA panzvimbo iyi nehurongwa hwekubhadhara mari kune akasiyana-siyana emakambani einishuwarenzi uye zvirongwa zvehurumende, pamwe nerutsigiro rwevarwere vepasi rose kune avo vanofamba munyika.

Hativimbise mhedzisiro chaiyo kubva kune chero nzira ipi zvayo. Chatinozvipira kuita kuongorora kwakarurama, tsananguro yakajeka yezvakaonekwa, uye kukurukurirana kwechokwadi nezvesarudzo.

tsananguro

Cystoscopy inzira isinganyanyi kupindira mumuviri inobvumira nyanzvi dzezvehutano kuongorora dundira neurethra vachishandisa chubhu yakatetepa, inochinjika ine kamera. KuApollo Hospitals Lucknow, tinodada nemukurumbira wedu wekubudirira mukutarisira urological, tichishandisa tekinoroji yepamusoro uye timu yenyanzvi dzine hunyanzvi. Kuzvipira kwedu pakuvimbana nevarwere uye kugutsikana kwatiita chimwe chezvipatara zvinovimbwa zvikuru zve cystoscopy munharaunda iyi. Nezvivakwa zvemazuva ano uye nzira inotarisa varwere, chinangwa chedu ndechekuona kuti munhu wese anowana rubatsiro rwepamusoro rwakagadzirirwa zvinodiwa zvake zvakasiyana.

Chishandiso ichi pachacho chinonzi cystoscope. Chinopfuudzwa nemuurethra - chubhu inobuda weti mumuviri - uye ichipinda mudundira. Mvura isina utachiona inopinzwa mukati kuti ivhure zvinyoro nyoro madziro edundira kuitira kuti jira rese rikwanise kuongororwa. Muvakadzi, urethra ipfupi, saka maitiro acho anowanzo kurumidza. Muvarume, urethra yakareba uye inokombama yakatenderedza prostate, saka scope inochinjika inowanzo sununguka. Zvizhinji zvekuongorora cystoscopies zviitiko zvezuva nezuva: unosvika, maitiro acho apera, unoonekwa kwenguva pfupi, uye unodzokera kumba zuva rimwe chete.

Nei Cystoscopy Inodikanwa

Cystoscopy inoita basa rakakosha pakuongorora uye kurapa akasiyana urological mamiriro. Iyi nzira yakakosha kune:

• Kuongorora zvirwere zvedundira: Cystoscopy inobvumira kuona zvakananga jira remudumbu, zvichibatsira kuona zvinhu zvisina kunaka zvakaita semabundu, matombo kana kuzvimba.
• Kuongorora zviratidzo zvemudumbu: Kana ukaramba uchisangana nematambudziko eweti akadai seropa muweti, kuita weti kakawanda kana kurwadziwa panguva yeweti, cystoscopy inogona kukupa ruzivo rwakakosha.
• Kurapa kunotungamira: Pamusoro pekuongororwa, cystoscopy inogona kushandiswa kuita mabasa ekurapa, akadai sekubvisa matombo edundira kana kutora biopsy kuti iongororwe zvakanyanya.

Mabhenefiti ecystoscopy anowedzera kupfuura kuongororwa kwechirwere; chishandiso chakakosha mukutsigira kurapwa nenguva uye zvinobudirira, uye kazhinji izvi zvinoita kuti murwere awane mhedzisiro iri nani.

Zvikonzero zvinowanzoonekwa nenyanzvi yezve urologist ichipa mazano ekuita cystoscopy

• Ropa rinoonekwa (rakakora) muweti, chero pazera ripi zvaro - chiratidzo chimwe chete chakakosha.
• Ropa remuweti rinowanikwa pakuongorora weti nguva dzose kana usati watanga basa, kunyanya kune varwere vane makore anopfuura 35, vanoputa fodya, kana avo vane dhayi yemuindasitiri, rabha, pendi kana dehwe.
• Utachiona hwemunzira weti hunodzokororwa hunoramba huchidzoka mushure mekurapwa nemaantibiotics nemazvo.
• Kurwadziwa kwenguva refu kwedundira, kukurumidza kana kupisa nekuda kwekukura kweweti isina utachiona (kufungidzirwa kuti interstitial cystitis kana kuti bladder pain syndrome).
• Kuoma kwekuita weti, kuyerera kusina simba, kana kuchengetwa kwemasero - kuongorora kuomarara kweurethra kana kukura kweprostate.
• Kusarongeka kweweti, kana kukura kwemadziro edundira kana kukura kwakaonekwa pa ultrasound kana CT.
• Kuongororwa kwekutevera mushure mekurapwa kwegomarara redundira.
• Ongororo usati wavhiyiwa chiuno kana mushure mekuvhiyiwa, kurapwa nemwaranzi, kana mufungidziro yekuti fistula iri pakati pedundira nemukadzi kana ura.
• Kubviswa kana kuchinjana kwestent yeureteric (DJ), kana kubviswa kwemuviri wekunze kana chidimbu chedombo chakatamiswa.

Nhungamiro Dziripo Pari Zvino Dziri Kutevera Kurudziro

Cystoscopy haiitwe zvisina tsarukano. Kushandiswa kwayo kunotungamirirwa nemazano akabudiswa, uye zvine musoro kuti ubvunze kuti ndeipi inoshanda panyaya yako.

• Urological Society yeIndia (USI) inoburitsa uye inovandudza nhungamiro dzekurapa dzeIndia uye zvirevo zvekubvumirana kuburikidza nemisangano yayo yegore negore yeUSICON uye Indian Journal yeUrology, inova ndiyo magazini yepamutemo yeUSI. Gwaro reIndia rinodzokorora kusimbisa kuti kubuda ropa pachena kunoda kutorwa mifananidzo yenzira yepamusoro yeweti pamwe ne cystoscopy yenzira yepasi, uye kuti zviviri izvi zvinopindirana - hapana chinotsiva chimwe.
• Nhungamiro dzeEuropean Association of Urology (EAU), chinyorwa cha2024 ◆ paKenza yeDundira Isina Kupinda Mutsandanyama (TaT1 neCIS) uye paKenza yeDundira Inopinda Mutsandanyama neMetastatic. Aya ndiwo marongero anonyanya kuteverwa nenyanzvi dzezvedundira dzekuIndia pabasa remagomarara edundira. Chinhu chikuru chinosimbiswa mazuva ano ndechekuti kubviswa kwekutanga kwakazara uye kwakanyorwa zvakanaka, kushandiswa kwe kuvandudzwa kwekuona (mufananidzo webhuruu kana kuti wakamanikana) uko kunowanikwa kuti utarise chirwere cheganda rakatsetseka chiri panzvimbo iyo chiedza chena chingasaonekwa, uye nguva dzekutarisa dzakarongwa nenjodzi pane kuronga nguva imwe chete yakatarwa nemunhu wese. Kuvhiyiwa kwechipiri (kutarisa kwechipiri) mukati memavhiki maviri kusvika matanhatu kunokurudzirwa mumamiriro ezvinhu ane njodzi huru.
• Sangano reAmerican Urological Association (AUA) / gwara reSUFU panyaya ye microhaematuria, 2020 "Uku ndiko kwaiva kuchinja kukuru kwakaitika munguva pfupi yapfuura. Kare tsika iyi yakatumira varwere vese vane ropa risingaonekwe muweti kuti vaongororwe cystoscopy uye CT urography. Gwaro re2020 rakaendeswa ku kuongororwa kwenjodzi dzakasiyana-siyana: varwere vane njodzi shoma vanogona kupiwa weti inodzokororwa mumwedzi mitanhatu senzira yekubvisa cystoscopy pakarepo, nepo varwere vane njodzi yepakati nepakati vanoenderera mberi necystoscopy nemifananidzo yakakodzera. Ndokusaka vanhu vaviri vane lab imwe chete vachipa mazano akasiyana.
• Gwaro reAUA/SUFU pamusoro pekudzoka kweUTI isina kuoma muvakadzi (2019, rakagadziriswa) ? gwara iri zvechokwadi zvinoodza mwoyo Kuongororwa kwecystoscopy nguva dzose uye kuratidzwa kwemifananidzo yepamusoro yeUTI mukuongorora kweUTI iri nyore kudzoka muvakadzi vane hutano hwakanaka, vachiichengetera kune zviratidzo zvisingawanzoitiki. Kushomeka kwemaskirini asina basa kunovandudzika chaiko.
• Kudzivirira mabhakitiriya: Maitiro ekurapa urogi aripo iye zvino, anoratidzwa muzvirevo zveAUA zvakanakisisa uye gwara reEAU, nderokuti kudzivirira mabhakitiriya nguva dzose kunobatsira kwete inodiwa pakuongorora cystoscopy iri nyore muvarwere vane weti isina utachiona. Yakachengeterwa avo vane zvinhu zvine njodzi zvakaita se catheter iri mukati, kudzvinyirirwa kwemuviri, chirwere cheshuga chisina kudzorwa zvakanaka, zvishandiso zvitsva kana kuti tsika yakanaka. Gwaro reIndia rekutarisira mishonga inorwisa utachiona (ICMR treatment guidelines for antimicrobial use, most recent edition) rinotsigirawo kudzora kumwe chete uku.

Mirayiridzo iri kuchinja, uye humbowo mune dzimwe nzvimbo - semuenzaniso nguva chaiyo yekutarisa bundu remudumbu rine njodzi yepakati - huchiri kukakavadzana. Chiremba wezvedundira achatsanangura kuti ndeapi mazano ari kushandiswa kwauri uye nei.

Ngozi dzekunonoka

Kunonoka cystoscopy kunogona kuva nemigumisiro inokosha. Mamiriro ezvinhu anobvumira nzira iyi, yakadai segomarara redundiro kana zvirwere zvakanyanya weti, zvinogona kuwedzera nekufamba kwenguva. Kumisa kuongororwa uye kurapwa kunogona kutungamirira kune:

• Kufambira mberi kwechirwere: Matambudziko ekutanga anogona kukura kuita matambudziko akakomba, zvichiita kuti kurapwa kuve kwakaoma uye zvingangoderedza mikana yekubudirira.
• Kuwedzera kwezviratidzo: Kumirira kwenguva yakareba kunogona kuita kuti zviratidzo zviwedzere kuipa, zvichikonzera kudzikira kwehupenyu uye kuwedzera kusagadzikana.
• Mari yekurapa yakakwira: Kunonoka kupindira kunowanzoita kuti kurapwa kuve kwakaoma uye kunodhura gare gare.

Imwe nzira yatinoona inowanzo fanirwa kutaurwa nezvayo. Ropa risingarwadzi muweti rinomira roga harinyaradzi . Mabundu edundira anobuda ropa nguva nenguva. Varwere vazhinji vanoona chiitiko chimwe chete, vanonzwa zvakanaka kwemwedzi mitatu, uye vanodzoka chete kana ropa rava kurema - panguva iyoyo bundu raive pamusoro ringangodaro rapinda mumadziro emhasuru, izvo zvinochinja kurapwa kubva pakuvhiyiwa kwevana vechikoro kuenda pakuvhiyiwa kukuru, chemotherapy kana radiotherapy. KuApollo Hospitals Lucknow tinonyanya kusimbisa cystoscopy panguva yakakodzera kuitira kuti varwere vawane rubatsiro rwavanoda pavanenge vachida.

Zvakanakira Cystoscopy

• Kuongororwa kwakarurama: Maitiro aya anopa maonero akananga edundira neurethra, zvichiita kuti pave nekuongororwa kwakarurama uye kuronga kurapwa. Hapana scan inoenderana nayo pari zvino kuti uone maronda madiki, akati sandara kana ekutanga emudumbu.
• Minimally invasive: Cystoscopy inowanzoitwa kunze kwechipatara, zvichireva kuti unogona kudzokera kumba zuva rimwe chete usingade kupora zvakanyanya.
• Sarudzo dzekurapa nekukasika: Muzviitiko zvakawanda, kupindira kwekurapa kunogona kuitwa panguva imwe chete ye cystoscopy, zvichideredza kudiwa kwemamwe maitiro.
• Hupenyu hwakavandudzwa: Nekugadzirisa matambudziko aripo nekukasika, cystoscopy inogona kuvandudza mashandiro eweti zvakanyanya uye hutano hwese.
• Hapana kuchekwa uye hapana mwaranzi: Kupinda kwechirwere kunoitika kuburikidza nenzira yemuviri, uye kusiyana neCT urography hapana mwero wemwaranzi - mukana kana kuongororwa kakawanda kuchidikanwa kwemakore mazhinji.

KuApollo Hospitals Lucknow, tekinoroji yedu nechikwata chedu chekiriniki zvakanangana nekukupa mhinduro yakavimbika uye hurongwa hwakajeka, nekukasira kudzokera kumabasa ako ezuva nezuva kana zvawanikwa zvichibvumira.

Kugadzirira uye Kudzorera

Kugadzirira cystoscopy kuri nyore, asi kutevedzera mazano aya anobatsira kunogona kubatsira kuona kuti chiitiko ichi chinofambira mberi zvakanaka.

Matipi ekugadzirira

• Bvunza chiremba wako: Kurukurai nezvemishonga yamuri kutora, sezvo mimwe yacho ingangoda kugadziriswa usati waita oparesheni - kunyanya mishonga inobvisa ropa rakakora yakaita seaspirin, clopidogrel, warfarin kana mishonga mitsva inorwisa ropa, uye mishonga yechirwere cheshuga inosanganisira metformin uye SGLT2 inhibitors kana paine anesthesia yakarongwa.
• Tevedzera mirairo yekutanga yekuita: Unogona kukurudzirwa kurega kudya kana kunwa kwenguva yakati usati waita oparesheni. Kune local-anesthesia flexible cystoscopy, kutsanya hakudiwi; kune rigid cystoscopy pasi pekunyaradza kana general anesthesia, zvakakosha.
• Ronga zvekufambisa: Sezvo mushonga wekunyaradza ungashandiswa, zvakakosha kuti mumwe munhu akuendese kumba mushure mezvo.
• Uyai nemuenzaniso weti kana kuti gadzirai weti yacho pachine nguva. kana zvikabvunzwa, saka hutachiona hunogona kurapwa husati hwaongororwa pane kuti husawanikwe patafura.
• Takura zvinyorwa zvese zvekare Mafirimu e ultrasound ne CT, urine cytology, mishumo yekutanga ye cystoscopy kana biopsy, uye runyorwa rwemapiritsi ako enguva dzose.

Mazano ekudzorera

• Hydrate: Inwa mvura yakawanda mushure mekuvhiyiwa kuti ubvise kusuruvara uye kuderedza kusagadzikana.
• Zororo: Zvipe nguva yekupora. Kunyange zvazvo varwere vazhinji vachidzokera kumabasa avo enguva dzose nekukurumidza, teererai muviri wenyu.
• Tarisa zviratidzo: Tarisa zviratidzo zvisingawanzoitiki zvakaita sekurwadziwa kwakanyanya, kubuda ropa rakawanda, fivha kana kutadza kuita weti, uye taura nachiremba wako kana zvikaitika.

KuApollo Hospitals Lucknow, tinokoshesa kunyaradzwa kwenyu nekupora kwenyu, tichikupai rubatsiro rwemunhu oga padanho rega rega.

Nguva yeMaitiro uye Chikamu Chekutanga Kuitwa Kwacho

Kuti cystoscopy inofanira kuitwa kwenguva pfupi sei zvinoenderana nechikonzero chayo.

Chikamu chekutanga chekuongorora cystoscopy chinogona kunge chiri chipfupi sekunge kubvunzurudzwa kamwe chete pamwe nekuongororwa kweweti. Kana uri kuita cystoscopy yakaoma nekubvisa weti uchishandisa anesthesia, tarisira kuongororwa usati waita anesthesia, kumisa mishonga yekuderedza ropa kwemazuva akatarwa sezvakarairwa nechikwata chako chekurapa, uye nguva yekubvumidzwa kupinda. Usarega chero mushonga wekudzivirira mwoyo kana sitiroko wega - sarudzo inofanira kubva kuna chiremba akakunyorera, mukukurukurirana nachiremba wezvedundira.

Sarudzo dzeTekiniki Dzinoenzaniswa

Mukuita izvi zvinopindirana kwete kukwikwidzana. Kuongororwa kweropa kunowanzoitwa uchishandisa upper-tract scan uye cystoscopy, nekuti chimwe nechimwe chinotarisa zvisingaonekwe zvakanaka nemumwe.

Maitiro Anoitwa Dzimwe Nguva Mukugara Kumwechete

• Kuongororwa kwedundira, kuongororwa kwemushonga wechando, kana kubviswa kwebundu redundira kuburikidza netransurethral (TURBT).
• Kusukwa kwedundira uye kubviswa kwezviputi.
• Kupwanya kana kubvisa matombo edundira (cystolitholapaxy).
• Kukura kweurethra kana kuchekwa kwemaziso kwechikamu cheurethra.
• Kuisa, kuchinja kana kubvisa stent yemudumbu reDJ.
• Kuongororwa kwemasero emudumbu (retrograde pyelography), kana kuti ureteroscopy kana paine chironda chemudumbu kana dombo.
• Kuchekwa kwemutsipa wedundira, kana kuvhiyiwa kweprostate kuburikidza ne transurethral apo kuvharika kweprostate ndiyo dambudziko guru.
• Kubaya botulinum toxin netsinga yemudumbu kuti dundira rishande zvakanyanya.
• Jekiseni remushonga wekuwedzera weti kana kuongororwa kwekusagadzikana kwekuzvidzora kweweti muvakadzi vakasarudzwa.
• Kubviswa kwemesh kana sutures dzakakuvara kana dzisina kumira zvakanaka mushure mekuvhiyiwa kwechiuno kwakamboitwa.

Kana chimwe chezvizvi chiri mukana chaiwo, mvumo inowanzotorwa pachine nguva kuitira kuti mushonga wechipiri wekurwadziwa usashande.

Kupora Kwechikamu Nechikamu

Mushure mekuongororwa kuri nyore kwecystoscopy, varwere vazhinji vanenge vatove vakagwinya mangwanani anotevera. Nguva yakareba inoshanda kune avo vakavhiyiwa kubviswa kwemasero, vakaitwa matombo kana kurapwa kwezvidimbu.

Kudzokera kuMabasa Akajairika, Basa uye Mitambo

Unogona kutangazve kuita chimwe chinhu kana zvese zvinotevera zviri zvechokwadi: weti yakajeka kana kuti yakatsvuka zvishoma, pasina fivha, weti inobuda zvakanaka, uye hausi kuomesa muviri.

• Basa repadhesiki neremuhofisi, kudzidzisa, kutyaira mota ine mavhiri maviri: kazhinji zuva rinotevera mushure mekuongororwa kwecystoscopy.
• Kufamba uye kutambanudza zvishoma: kubva manheru iwayo.
• Kugara pasi wakapfugama makumbo, uye zvimbuzi zverudzi rwechiIndia: kazhinji zvakanaka mushure mekuongororwa kwecystoscopy. Mushure mekuvhiyiwa kwekuvhiyiwa kana kuomeswa, dzivisa kugara wakamanikana kwenguva yakareba kweinenge vhiki, sezvo kumanikidzwa uku kunowedzera kumanikidzwa kwedumbu uye kunogona kutanga kubuda ropa zvakare. Kana uine catheter, shandisa Western commode kana nzira yekusimudza tsvina kusvika yabviswa.
• Kurara pasi uye kumuka kubva pamubhedha uri pasi: zvinogamuchirika, asi tenderera parutivi rwako wosundira maoko ako mudenga pane kusimudza muviri uchigara pasi necatheter.
• Jimu, masimbi, kumhanya, cricket, kabaddi, kuchovha bhasikoro daro refu: Mushure mekuongororwa kwecystoscopy, maawa angangoita 48 kusvika ku72. Mushure mekuvhiyiwa kweTURBT kana kuvhiyiwa nematombo, kazhinji mavhiki maviri kusvika mana, uye bhasikoro rinogona kunonoka kwenguva yakati rebei nekuda kwekumanikidzwa kweperineal. Mutambo wekubata dundira mushure mekuvhiyiwa kwechero dundira unoda kubviswa kwakatarwa.
• Kuita zvepabonde: kazhinji vhiki mushure mekuongororwa kwecystoscopy uye mavhiki maviri kusvika matatu mushure mekuvhiyiwa, kana sekurairwa kwachiremba wako.
• Mabhavhu ekushambira nemabhavhu ekugezera: Dzivisai kana weti ine ropa kana kuti paine catheter.
• Basa remaoko rinorema, basa rekurima, kutakura mitoro mumusoro: boka rinowanzo shaya zano rakakwana. Ronga mavhiki maviri kusvika mana ekuzorora mushure mekuvhiyiwa, uye taura nemushandirwi wako usati wavhiyiwa pane kuti utaure mushure mezvo.

Kuderedza Mikana Yekudzoka Uye Maitiro Ekudzokorora

• Rega fodya nenzira dzese fodya, bidi, hookah, gutkha uye khaini. Kusvuta ndicho chinhu chikuru chinogona kugadziriswa chinokonzera kenza yedundira, uye kuramba uchisvuta kunobatanidzwa nekudzoka kwakawanda kwechirwere mushure mekurapwa.
• Dziviriro pabasa: Kana uchishanda nedhayi dzeaniline, kudhinda machira, kutsvukisa ganda, rabha, pendi, zvinonyungudutsa kana muchina wedhiziri, shandisa midziyo yekudzivirira uye taura nezvekusangana kwako nachiremba - zvinoshandura kuti unofanira kuteverwa zvakadii.
• Inwa mvura yakakwana, kunyanya munguva yezhizha yeNorth Indian. Weti yakawanda inobatsira pakuumbwa kwematombo uye hutachiona.
• Usachengeta weti kwenguva yakareba Dambudziko rinowanzoitika kuvadzidzisi, vatyairi, vashandi vemumigwagwa nevemumapurazi, pamwe nevakadzi vasingade zvimbuzi zveveruzhinji.
• Kurapa kuvimbiwa, izvo zvinoita kuti dundira ribude nekukurumidza.
• Dzora chirwere cheshuga, izvo zvinosimudzira njodzi yekutapukirwa mushure mekushandisa chero michina.
• Pedzisa mushonga wese wemishonga inorwisa mabhakitiriya kana paine hutachiona hwakasimbiswa uye kusazvirapa wega nemishonga inorwisa mabhakitiriya yasara kubva kunyanzvi yemishonga yemunharaunda? Izvi zvinoita kuti hutachiona husarambe huchirwisa uye zvinoita kuti hutachiona hunotevera huome kurapa.
• Endai kune imwe neimwe cystoscopy yekutarisa. Kune kenza yedundira, kutevedzera purogiramu yekudzosa varwere ndicho chinhu chimwe chete chinobatsira zvikuru chingaitwa nemurwere.

Vana neVakuru Vakuru

Children

Kuongororwa kwevana necystoscopy kunoitwa ne small-calibre paediatric scope uye, kazhinji, pasi peanesthesia - mwana haakwanise kushandira pamwe nekuvhiyiwa kwake akamuka, uye kumanikidza hakuna kunaka uye hakuna kunaka. Kunoshandiswa kune mavharuvhu ekumashure eurethra anofungidzirwa, hutachiona hunodzokororwa ne reflux, ureterocele, muviri unofungidzirwa wekunze, uye usati kana panguva yekurapwa kwe vesicoureteric reflux ne endoscopic. Vabereki vanofanira kutarisira nzira yekutsanya inoenderana nezera remwana, anesthesia yemwana, uye kazhinji nguva pfupi yekutarisa mushure mezvo. Mubereki mumwe anowanzo bvumidzwa kuperekedza mwana kusvika apihwa anesthesia; simbisa mutemo uripo panguva yekubhuka.

Vakuru vakuru

Cystoscopy inobvumirwa zvakanaka kunyangwe mumakore ekuma1980 ne1990, uye cystoscopy inochinjika pasi peanesthesia yemuno inowanzo kuve yakachengeteka pane anesthesia yakajairika mumurwere asina simba. Nyaya dzakakosha dzekuronga: manejimendi yeanticoagulant uye antiplatelet, kuwedzera kweprostate kunoita kuti kufamba kwescope kuve kwakaoma muvarume, kuderedzwa kwekushanda kweitsvo kunoderedza kuenzanisa kwemifananidzo, kukanganisa kwepfungwa kunoda nhengo yemhuri iripo kuti ibvume uye ipe mirayiridzo, kuomarara kwemajoini kana kutsiva chiuno kunokanganisa nzvimbo patafura, uye njodzi yakakura yehutachiona muchirwere cheshuga. Mumhuri dzenhengo dzenhengo, tinokurudzira mushandi mumwe chete akasarudzwa anonzwisisa mirairo pane boka rinotenderera, sezvo zviratidzo zvekunyevera mushure mekuita maitiro zviri nyore kupotsa kana meseji ikapinda nevanhu vakati wandei.

Kana Ukasarudza Kusaita Cystoscopy

Une kodzero yekuramba chero nzira ipi zvayo yekuita izvi, uye sarudzo iyoyo icharemekedzwa. Zvisinei, inofanira kunge iri yeruzivo rwakadzama.

• Pasina cystoscopy, maronda madiki, akati sandara kana ekutanga edundira anogona kushaikwa zvachose. Ultrasound neCT hazvibvisi pachena.
• Kubuda ropa kusingatsananguriki kunoramba kuchiitika, uye kushayiwa ropa kunogona kuitika nekufamba kwenguva.
• Kana bundu riripo, hwindo raro rinogona kurapwa nekubviswa kwemasero ekudzivirira pamuviri rinogona kuvharika, uye kurapwa kunogona kuda kubviswa dundira, chemotherapy kana radiotherapy.
• Matombo edundira uye kuvharika kwetsinga kunowanzo enderera mberi pane kupera, uye zvinogona kukonzera hutachiona, kukuvara kweitsvo kana kuchengetwa kwemasero.
• Nzira dzepakati dziripo dzekurapa mamiriro asina njodzi - dzokorora kuongororwa kweweti panguva dzakasiyana, kuongorora weti, kuongorora ultrasound nguva nenguva, uye kuongororazve kana zviratidzo zvikachinja. Kurukura izvi pachena nachiremba wako wezvedundira uye bvumiranai pazuva rekunyora rekuongorora pane kungorega kudzoka.

Zvinhu Zvinochinja Mutengo

Mari dzekubhadhara hadzifanani, uye zvakanaka kukumbira fungidziro usati wabvuma. Hatiburitse nhamba dziri papeji rino; kambani yekubhadhara yeApollo Hospitals Lucknow nedhipatimendi reinishuwarenzi dzichakupa fungidziro yakanyorwa yechirongwa chako chaicho.

Inishuwarenzi uye Kurapwa Pasina Mari muIndia

• Kuzivikanwa kwekuchengeta vana masikati: Mazhinji emapolisi einishuwarenzi yehutano muIndia ikozvino anonyora cystoscopy nedzimwe nzira dze endoscopic urological senzira dzinovharwa dzekuchengeta varwere masikati, saka chinodiwa chekugara muchipatara kwemaawa makumi maviri nemana kazhinji hachidzivisi chikumbiro chacho. Simbisa mashoko chaiwo neinishuwarenzi yako.
• Kuongorora chete kana kurapa: Kuongororwa kwecystoscopy kunoitirwa kuferefeta chete, pasina kupinda muchipatara, kunogona kutorwa semari yekuongororwa kwemurwere ari kunze kwechipatara uye hakubhadharwi kunze kwekunge muripo wenyu une OPD kana chibatiso chekuongorora. Kana chikamu chimwe chete ichi chinosanganisira biopsy kana resection, chinowanzo bvumidzwa senzira yekuchengeta vana masikati. Ichi ndicho chikonzero chinowanzo konzera kusawirirana pamusoro penyaya, saka tsanangurai zuva racho risati rasvika.
• Nguva dzekumirira: Nguva yekumirira yekutanga yemazuva makumi matatu inoshanda kune zvirwere zvakawanda mupolicy itsva. Nguva yekumirira yakatarwa uye nguva yekumirira isati yavapo, inowanzova mwedzi 24 kusvika ku48 zvichienderana nechigadzirwa, inogona kushanda kune zvirwere zvakaita sematombo, kukura kweprostate kana chirwere cheweti. Pasi pemitemo yeIRDAI iripo, nguva yekumirira isati yavapo yechirwere haigone kudarika mwedzi 36 mupolicy itsva - tarisa purogiramu yako yepolicy.
• Kudzivirirwa kwetsaona kana kurongwa: Kuongororwa kwenjodzi dzinongoitika dzoga, kusanganisira kukuvara kwedundira kana urethra, kunowanzo kubhadharwa kubva pazuva rekutanga pasina nguva yekumirira. Kuongororwa kwecystoscopy kwakarongwa, kwakasarudzwa kwechirwere chisingaperi kunoenderana nenguva dzese dzekumirira dziripo uye mvumo isati yapihwa.
• Maitiro ekubhadhara mari pasina mari: Uyai nekadhi renyu remagetsi kana nhamba yepolisi uye ID yemufananidzo kuApollo insurance neTPA desk. Kuti muite zvakarongwa, tumirai chikumbiro chemvumo yekutanga mazuva akati wandei ekushanda; kana paine njodzi, kuziviswa kunowanzodiwa mukati memaawa makumi maviri nemana ekupinda. Mvumo inopihwa neinishuwarenzi kana TPA, kwete nechipatara.
• Zvinowanzosataurwa zvizere: zvinodyiwa, zvimwe zvirwere, mari yakawanda yekurenda imba iri pamusoro pechikamu chako chakakodzera, uye zvinhu zvisiri zvekurapa. Mari inobviswa zvichienderana nehuwandu inogona kushanda kana ukavandudza imba. Kumbira kufungidzira kwekubviswa kwemari uchishandisa zvakanyorwa.
• Zvirongwa zvehurumende nemakambani: Ayushman Bharat PM-JAY, CGHS, ECHS, zvirongwa zvehurumende uye mapoka emakambani chimwe nechimwe chine mitemo yaro yekusimbisa, yekutumira varwere kuchipatara ichi uye yemapakeji. Kana chirongwa chakati chichishanda pakuvhiyiwa kwako pachipatara ichi chinofanira kusimbiswa nedhipatimendi reinishuwarenzi panguva yekubhuka.
• Chengeta mabhiri ekutanga, pfupiso yekuburitswa kwemari, mushumo wezvidzidzo zvehistopathology uye mishumo yekuferefeta kuti uwane zvikumbiro zvekudzoserwa mari.

Kuronga Kushanya kana Kupinda uye Zvekuuya nazvo

• Chitupa chemufananidzo (Aadhaar, PAN, rezinesi rekutyaira kana pasipoti) uye kadhi reinishuwarenzi kana mapepa einishuwarenzi.
• Mishonga yese yandakambopa kare, pfupiso yekubuda muchipatara, mishumo yekutanga yecystoscopy ne biopsy, uye mafirimu ekufungidzira kana maCD.
• Rondedzero yakanyorwa yemishonga yese yenguva dzose ine mushonga nenguva, kusanganisira mishonga yeAyurvedic, homeopathic uye mishonga inowedzerwa nevatengi isingatengeswi nechiremba - yakawanda inokanganisa kubuda ropa.
• Zvipfeko zvisina kusimba, zvinonyaradza; shangu dzinotsvedza; mbatya dzakabiwa kana kuti dupatta.
• Mapedhi ekuchenesa, sezvo weti inobuda kana kuti ichibvaruka mushure mekuvhiyiwa, uye dzimwe mbatya dzemukati.
• Bhodhoro remvura yekunwa, uye chikafu chidiki chisina mafuta chekushandisa mushure menguva yekutarisa kana kutsanya kwaidikanwa.
• Zvishongo, chinhu chinobatsira kunzwa, tsvimbo yekufambisa kana chinofamba kana ukashandisa. Siya zvishongo, mari yakawanda nezvinhu zvinokosha kumba.
• Mushandi mukuru ane mutoro anogona kutyaira kana kuronga tekisi, kugamuchira mirairo yekubuda uye kugara husiku kana