Lithotripsy kuApollo Hospitals, Lucknow

Nei Varwere Vachisarudza Zvipatara zveApollo kuLucknow nekuda kweLithotripsy

• Chikamu cheboka reApollo Hospitals, rakavambwa muna 1983 Chipatara chekutanga chemakambani muIndia, icho chine zvipatara zvinopfuura makumi manomwe uye chine ruzivo rwemakore anopfuura makumi mana muurology nezvirwere zvematombo.
• Dhipatimendi reUrology neAndrology rakatsaurirwa kuApollomedics Super Specialty Hospital, Lucknow, nechikwata chevanachiremba vezveurologist vanotsigirwa nenephrology, anesthesia, radiology uye critical care - saka nyaya dzakaoma dzematombo dzine itsvo dzisina kushanda zvakanaka kana hutachiona dzinogona kurapwa pasi peimba imwe chete.
• Kurapa kwakazara kwematombo, kwete muchina mumwe chete ? extracorporeal shock wave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS) ne flexible ureteroscopes, laser lithotripsy, ureteroscopy (URS) uye percutaneous nephrolithotomy (PCNL/mini-PCNL). Izvi zvinokosha nekuti maitiro chaiwo anoenderana nehukuru hwematombo, huwandu uye nzvimbo, kwete pane zviripo.
• Mifananidzo panzvimbo iyi ? ultrasound, X-ray KUB uye CT KUB isina kusiyanisa ganda, inova ndiyo nzira inoshandiswa pakuongorora saizi nekuwana matombo usati wasarudza nzira.
• Chifukidziro chekukurumidzira uye chekuchengetedza varwere zvakanyanya 24x7 paitsvo dzine hutachiona hwakavharika - dambudziko remudumbu apo kunonoka kune njodzi chaiyo.
• Nzira yekiriniki yekudzivirira matombo mumuviri Kuongororwa kwematombo uye kuongororwa kweropa/weti kwevarwere vane matombo anodzoka, sezvo inenge hafu yematombo anoumba rimwe dombo mukati memakore mashanu kusvika gumi pasina rubatsiro rwekudzivirira.
• Nzira dzekutarisira dzemapoka akasiyana emakore chirwere chematombo chevana (chinorapwa nekushandisa ma scope evana uye nzira dzekuchengetedza radiation), vanhu vakuru, uye varwere vakwegura vane mishonga inoonda ropa kana vane chirwere cheshuga, BP uye itsvo dzakaderera.
• Inishuwarenzi nedhipatimendi reTPA panzvimbo iyi kune mvumo yekutanga isina mari, mibvunzo yeCGHS/ECHS/Ayushman Bharat uye kuvharirwa kwekambani, nyaya yakasimbiswa nenyaya imwe neimwe padhesiki reinishuwarenzi.
• Nzvimbo yekutumira vanhu vekumabvazuva nepakati peUttar Pradesh, nguva dzose kurapa varwere vanofamba kubva kuKanpur, Barabanki, Sitapur, Hardoi, Unnao, Raebareli, Sultanpur, Ayodhya, Gonda, Bahraich uye Basti.

tsananguro

Lithotripsy inzira yekurapa isingapindi mishonga yakagadzirirwa kurapa matombo eitsvo nekushandisa mafungu ekurova kuti apwanye kuita zvidimbu zvidiki, zvichiita kuti zvive nyore kuabvisa. KuApollo Hospitals Lucknow, tinodada nemukurumbira wedu wekubudirira mukurapa urologic, tichishandisa tekinoroji yemazuva ano uye nzira inotarisa murwere. Chikwata chedu chenyanzvi dzine ruzivo chakazvipira kupa rubatsiro rwemhando yepamusoro, kuve nechokwadi chekuti murwere wega wega anowana kurapwa kwakagadzirirwa zvido zvake. Nekutarisa pamhedzisiro yakanaka uye kuvimba nemurwere, Apollo Hospitals Lucknow inozivikanwa seimwe yezvipatara zvinotungamira mukurapa lithotripsy munharaunda iyi.

Nei Lithotripsy ichidikanwa

Matombo eitsvo anogona kukonzera kurwadziwa kwakanyanya uye kusagadzikana, zvichikonzera matambudziko kana akasiyiwa asina kurapwa. Lithotripsy inowanzodikanwa kune varwere vane matombo akakura kwazvo kuti apfuure zvakasikwa kana ari kukonzera zviratidzo zvakakosha. Iyo nzira inopa akawanda mabhenefiti ekurapa, anosanganisira:

• Kurwadziswa: Nekupwanya matombo, lithotripsy inobatsira kuderedza marwadzo akanyanya anokonzerwa nematombo eitsvo.
• Kudzivirira matambudziko: Matombo asina kurapwa anogona kukonzera hutachiona hweweti, kukuvara kweitsvo, kana kuti muzviitiko zvenguva refu itsvo hadzishande zvakanaka. Lithotripsy inobatsira kuderedza njodzi idzi.
• Minimally invasive: Kusiyana nenzira dzechinyakare dzekuvhiya dzakavhurika, ESWL haibatanidzi kuchekwa, zvinoreva kuti njodzi yekutapukirwa nechirwere ichi ishoma uye kuti kupora kunokurumidza.
• Mwero wekubudirira wakanaka: Nekushandisa tekinoroji yemazuva ano ye shock wave pamwe nenyanzvi dzine ruzivo, lithotripsy inobvisa huwandu hwakawanda hwematombo akakodzera, kunyange hazvo mhedzisiro yacho inoenderana nehukuru hwematombo, kuwanda kwawo uye nzvimbo yawo.

Ngozi dzekunonoka

Kunonoka kurapwa kunogona kukonzera njodzi huru kuhutano. Matombo eitsvo paanokura, anogona kuvharira nzira yeweti, zvichikonzera kurwadziwa kwakanyanya, hutachiona, uye kukuvara kweitsvo. Kurapwa kunonoka kwenguva refu, njodzi yematambudziko inowedzera, kusanganisira:

• Kurwara: Kuvharika kwenzira yeweti kunogona kukonzera hutachiona hwemunzira yeweti, izvo zvingada kurapwa kwakawedzerwa uye, kana zvakanyanya, kubuda kwemvura nekukurumidza.
• Kukuvara kweitsvo: Kuvharika kwenguva refu kunogona kukonzera kukuvara kusingagadzirisiki kuitsvo, zvichikonzera chirwere cheitsvo chisingaperi.
• Kuwedzera kurwadziwa: Matombo paanokura kana kuchinja, kurwadziwa kunogona kuoma kutsungirira uye kukanganisa hupenyu hwezuva nezuva nebasa.

KuApollo Hospitals Lucknow, tinosimbisa kukosha kwekupindira panguva yakakodzera. Kana uchifungidzira kuti une matombo muitsvo, usamirira - bvunza nyanzvi dzedu kuti dzikuongorore zvakakwana uye kuti uwane hurongwa hwekurapa.

Mabhenefiti eLithotripsy

• Kurumidza kupora: Varwere vazhinji vanodzokera kumabasa avo enguva dzose mukati memazuva mashoma mushure mekuvhiyiwa.
• Kugara muchipatara kwakaderera: ESWL inowanzoitwa senzira yekuchengeta varwere masikati, saka varwere vazhinji vanodzokera kumba zuva rimwe chete.
• Kusagadzikana kushoma: Kusapindira kwemushonga uyu kunowanzoreva kuti marwadzo haanyanyi kuderera pane kuvhiyiwa kwakavhurika.
• Kubvisa matombo kunoshanda: Maitiro acho anopwanya matombo kuita zvidimbu zvinogona kupinda muweti; dzimwe nguva zvinoda kudzokorora.

KuApollo Hospitals Lucknow, kuzvipira kwedu mukutarisira varwere kwakanangana nekukupai mhedzisiro yakanakisisa inogoneka kubva mukuvhiyiwa kwenyu kwe lithotripsy.

Kugadzirira uye Kudzorera

Matipi ekugadzirira

• Kubvunzurudza: Rongedza kubvunzana nenyanzvi dzedu dzeurology kuti tikurukure mamiriro ako uye nzira dzekurapa.
• Nhoroondo yezvechiremba: Ipa nhoroondo yakazara yezvekurapa, kusanganisira mishonga, allergies uye kuvhiyiwa kwakamboitwa.
• Pre-maitiro mirayiridzo: Tevedzera mirairo chaiyo yawakapihwa nachiremba wako, yakadai sekutsanya, mitemo yekudya kana kugadziriswa kwemishonga.
• Ronga zvekufambisa: Sezvo ungangowana mushonga wekunyaradza, ronga kuti mumwe munhu akuperekedze kumba mushure mezvo.

Mazano ekudzorera

• Hydration: Inwa mvura yakawanda mushure mekuita izvi kuti ubvise matombo akapwanyika.
• Pain management: Tevedzera zano rachiremba wako rekuderedza marwadzo; kupfuudza zvidimbu zvinogona kukonzera marwadzo ecolicky kwemazuva mashoma.
• Chikamu chechiitiko: Dzokera kumabasa ako enguva dzose zvishoma nezvishoma, uchidzivisa kushanda nesimba kwemazuva mashoma.
• Kutevera kutarisira: Endai kumisangano yese yekutevera uye kutora mifananidzo kuitira kuti mvumo yenyu igone kusimbiswa.

Chikwata chedu chichakutungamira mumatanho ese ekugadzirira nekupora.

Zvinokurudzirwa Nemirayiridzo Yemazuva Ano

Kutarisira matombo kuApollo Hospitals Lucknow kunotevera tsika inogamuchirwa pasi rose, yakavakirwa pauchapupu. Magwaro makuru ekutarisa ari kushandiswa ndeaya:

• Sangano reUrological Society of India (USI)? Mitemo yeIndia yekurapa urolithiasis, yakagadzirirwa mamiriro ekurapa eIndia uye yakatsigirwa kuburikidza nezvirongwa zveUSI zvedzidzo inoenderera mberi. India iri mukati me "stone belt" yepasi rose, uye gwara reUSI rinosimbisa kunwa mvura yakawanda, kugadziriswa kwekudya uye kuongororwa kwemetabolism yemishonga inodzokorora, pamwe nekurapwa nenzira dzekurapa.
• Nhungamiro dzeEuropean Association of Urology (EAU) pamusoro peUrolithiasis, chinyorwa cha2024/2025 − inoshandiswa zvakanyanya munzvimbo dzepamusoro dzeIndia. Nzvimbo dzakakurumbira: CT isina kusiyana inosarudzwa pane intravenous urography pakuongororwa; ESWL neureteroscopy zvese zviri zviviri zviri mutsetse wekutanga kune akawanda matombo eureteric; kurapwa kwekurapa ne alpha-blockers ikozvino kunokurudzirwa nenzira yekusarudza pane kugara uchiongororwa, kunyanya kune matombo eureteric ari kure akakura kupfuura anenge 5 mm; uye kupiswa kweureteral hakudiwi nguva dzose pamberi kana mushure meESWL kune matombo asina kuoma.
• Sangano reAmerican Urological Association (AUA) / Endourological Society Surgical Management of Stones guideline (2016, yakagadziriswa 2019) ♦ inotsigira ESWL kana ureteroscopy yematombo eitsvo anosvika 20 mm, uye PCNL sesarudzo yekutanga yematombo makuru kana epasi ane hunhu husina kunaka.

Zvakachinja munguva pfupi yapfuura mukuita: flexible ureteroscopy ne laser (RIRS) zvave kutora chikamu chezviitiko zvakamborapwa neESWL, kunyanya matombo akaomarara (high Hounsfield density on CT), matombo epasi nevarwere vakafuta, uko mafungu eropa asinganyanyi kushanda panguva imwe chete. Mitemo ikozvino haidzivisi ESWL muhutachiona husingadzoreki, matambudziko ekubuda ropa asina kurapwa, pamuviri uye kuvharika kusina kugadziriswa kuri kure nedombo. Chiremba wako weuropathy achakurukura kuti ndechipi cheizvi chinoshanda kwauri.

Mibvunzo Isingapindurwe Nemapeji Epamhepo Akawanda

Mapeji mazhinji eIndia ari pamashoko aya anotsanangura kuti mafungu ekudengenyeka chii uye anonyora mabhenefiti. Haawanzo kukuudza: kuti ESWL inoenzanisa sei neRIRS nePCNL; kuti panenge pachidiwa nguva dzinopfuura imwe chete; kuti stent inogona kuiswa; kuti kuomarara kwematombo paCT kunochinja sei kurudziro; zvinorehwa ne "kushaikwa kwematombo" pamifananidzo yekutevera; kuti nguva dzekumirira dzeinishuwarenzi dzinoshanda sei kune chirongwa chematombo chakarongwa; zvekuita nezvezvimbuzi zvekumira pasi uye kurara pasi kumba; uye kuti varwere vanofamba kubva kune dzimwe nzvimbo vanofanira kuronga sei zuva. Zvikamu zviri pazasi zvinotarisa izvi zvakananga.

Nguva yeMaitiro uye Chikamu Chekutanga Kuitwa Kwacho

Lithotripsy inowanzova nzira yakarongwa, kwete yekukurumidzira. Dambudziko rechirwere chematombo itsvo ine utachiona hwakavharika, iyo inotanga yarapwa nekuburitsa mvura mumuviri ne stent kana nephrostomy; dombo rinozorapwa kana chirwere chapera.

1. Kubvunzana uye kutora mifananidzo (zuva rekutanga): nhoroondo, kuongororwa, maitiro ekuita weti uye kuumbwa kwayo, serum creatinine, huwandu hweropa, maitiro ekugwamba kweropa, uye ultrasound kana non-contrast CT KUB kuti vaone saizi uye kuti dombo racho rionekwe sei uye vaone huwandu hwaro.
2. Sarudzo uye kusimbiswa kwemuviri: Kana uine chirwere chemwoyo, chirwere cheshuga, BP kana kuti uri kushandisa mishonga inobvisa ropa rakawanda, aspirin, clopidogrel, warfarin kana mishonga mitsva inorwisa ropa inofanira kuregwa kana kudziviswa kana wapiwa zano - usambozvirega iwe pachako.
3. Kubviswa kwehutachiona: Kana weti yave ne positive culture, inorapwa nemishonga inorwisa mabhakitiriya ESWL isati yasvika. Danho iri harisi rekusarudza.
4. Zuva rekuita: kutsanya sezvinorayirwa, kupinda muchipatara chevana, ESWL iri pasi pekurapwa kana kunyaradza marwadzo, kazhinji maminetsi makumi mana nemashanu kusvika makumi matanhatu ekuberekwa kwechirwere cheshock wave, wozotarisa.
5. Tevera: Kuongororwa kwetsvo kunowanzoitwa mushure memavhiki maviri kusvika mana kuti kuonekwe kuti zvidimbu zvakachekwa here, uye chiitiko chechipiri chakarongwa kana zvichidikanwa (kazhinji kacho vhiki imwe kusvika mbiri pakati pezviitiko zveitsvo imwe chete).

Sarudzo dzeKurapa Dzinoenzaniswa

Hapana imwe sarudzo yakanakira munhu wese. Saizi yedombo, kuwanda kweCT, chinzvimbo, hunhu hweitsvo, maumbirwo emuviri, njodzi yekubuda ropa, mashandiro eitsvo uye zvaunofarira zvese zvinobatanidzwa mukukurudzirwa.

Maitiro Dzimwe Nguva Anoitwa Panguva Imwe Chete

• Kuiswa kwestent yeUreter (DJ stent) − pamberi peESWL nekuda kwematombo akakura, kana mushure mezvo, kana paine edema kana njodzi yekuvharika kwezvidimbu.
• Percutaneous nephrostomy ♦ Kubuditsa ropa paitsvo yakavharika uye ine hutachiona nekukurumidza.
• Cystoscopy kuongorora dundira kana kuisa/kubvisa stent.
• Kusundidzira dombo remudumbu kana kusundidzira kumusoro itsvo kuti irapwe neESWL kana RIRS.
• Kurapwa kwakabatana kana kupatsanurwa nematanho maviri Matombo ari muitsvo dzese anowanzo gadziriswa munzvimbo dzakasiyana pane kuatora pamwe chete.
• Kuongororwa kwezvidimbu zvematombo yakatumirwa kunoongororwa nemakemikari emuviri kuti itungamirire kudzivirira.

Chikamu neChikamu Chekupora

Aya ndiwo maitiro akajairika, kwete vimbiso. Kupora kunononoka kana stent iripo, kana zvidimbu zvichikonzera colic inodzokororwa, kana kana chikamu chechipiri chichifanira kuitwa.

Kudzokera kuMabasa Akajairika, Basa uye Mitambo

• Kazhinji unenge wakagadzirira kuita mabasa ako ezuva nezuva kana marwadzo adzorwa pasina jekiseni remishonga inonyaradza marwadzo, uri kuita weti zvakasununguka, uye hapana fivha.
• Basa repadhesiki neIT: kazhinji mazuva maviri kusvika mashanu.
• Mabasa emumunda, kudzidzisa, kutengesa, kufamba kwenguva refu nemota dzine mavhiri maviri: kazhinji vhiki imwe kusvika mbiri, sezvo kudedera kwemugwagwa kuchigona kuwedzera kusagadzikana kwe stent kana zvidimbu zveganda.
• Basa remaoko uye kusimudza zvinhu zvinorema: mavhiki maviri kusvika mana, uye gare gare kana paine stent.
• Gym, kumhanya, cricket, badminton: Mushure mekuongorora kwekutevera, kazhinji mavhiki matatu kusvika mana. Mitambo yekubata uye zvinorema zvinofanirwa kumirira kusvika stent yabuda.
• Kutuhwina: kana weti yabuda uye pasina nzvimbo inosvuta kana yekubuditsa mvura yakavhurika.
• Kugara pasi, kugara pasi wakachinjika makumbo uye zvimbuzi zverudzi rwechiIndia: kazhinji zvinonzwisisika mukati memazuva mashoma mushure meESWL, asi neDJ stent varwere vazhinji vanoona kurara pasi zvakadzika kusingafadzi uye vanozoona ropa muweti mushure mekushandisa Western commode kana tsvina yakasimudzwa kwenguva pfupi zvine musoro.
• Kurara pasi: kazhinji zvakanaka mushure meESWL; shandisa matiresi akasimba kana jira rakapetwa kana kumuka kubva pasi kuchikonzera kurwadziwa kweparutivi.
• Zviitiko zvekutsungirira, kutsanya kwenguva refu uye kufamba rwendo rurefu zviri nani kunonotswa kusvika kubviswa kwematombo kwasimbiswa, kunyanya nekuti kushaya mvura mumuviri ndicho chinhu chikuru chinokonzera matombo matsva.

Kudzivirira Kudzokorora

Chirwere chematombo chirwere chisingaperi, chinogara chichiitika. Kurapa dombo ihafu yebasa chete.

• Mvura: Chinangwa cheweti inosvika marita maviri kusvika maviri nehafu pazuva, izvo zvinowanzoreva kunwa zvinopfuura izvozvo muzhizha reUttar Pradesh. Weti yakachenuruka, yakaita semashanga ndiyo inonyanya kukosha.
• Munyu: kuderedza munyu wakawedzerwa, magaka, papad, namkeen, zvekudya zvakaputirwa uye zvekudya zvakagadzirwa - sodium yakawanda inoisa calcium muweti.
• Mapuroteni emhuka: Nyama tsvuku ine mwero uye nyama yenhengo; kuwanda kwayo kunowedzera uric acid uye kunoderedza citrate yemuweti.
• Usaderedza calcium mumuviri: Kudya calcium nguva dzose panguva yekudya kunoderedza njodzi yematombo. Mukanyiwa wemukaka, mukaka nepaneer muhuwandu hwakajairika hazvina kuipa kunze kwekunge chiremba wako ataura zvakasiyana.
• Kuziva nezve oxalate kune calcium-oxalate formers: sipinachi ine mwero, beetroot, amaranth, sesame, nzungu, chokoreti netii yakasimba; tora izvi pamwe nechikafu chine calcium pane kungozvidya wega.
• Citrate: remoni kana nimbu paani uye muchero wecitrus zvinowedzera urinary citrate, chinhu chinodzivisa matombo.
• Kurema, chirwere cheshuga uye kudzora BP zvese zvinoderedza njodzi yekudzoka kwechirwere.
• Mishonga yakanangwa potassium citrate, thiazides kana allopurinol zvinogona kukurudzirwa zvichibva pakuongororwa kwematombo uye zvidzidzo zveweti kwemaawa makumi maviri nemana, kwete kuburikidza nekuongorora.

Vana, Vakuru Nemamiriro Akakosha

Children

Matombo evana anorapwa nemwaranzi yakaderera, nzvimbo inoshandiswa neultrasound kana zvichibvira, kunyaradza kunobva pahuremu kana kuti anesthesia, uye kuderedza simba remafungu eropa. Vana vanowanzo bvisa zvidimbu zvakanaka. Nekuti matombo muvana anowanzo ratidza chikonzero chemuviri kana chimiro chemuviri, kuongororwa kwemuviri kunokurudzirwa nguva dzose.

Vakuru vakuru

Zvinhu zvikuru zvinofanira kufungwa nezvazvo kushandisa mishonga inorwisa ropa rinobuda ropa uye mishonga inorwisa maplatelet, kuderedza kushanda kweitsvo, BP isingadzoreki (izvo zvinowedzera njodzi yekubuda ropa rakatenderedza itsvo mushure meESWL), chirwere cheshuga uye kusimba kwemoyo. Mishonga inodzora kufamba kweropa uye mishonga inobvisa ropa mumuviri haisi chipingamupinyi chikuru asi inoda kuongororwa kwemoyo uye michina. Mune vamwe varwere vakwegura, RIRS inosarudzwa nekuti haidi mishonga inodzivisa ropa kupwanyika nenzira imwecheteyo.

Dzimwe mamiriro

• Kuberekwa: ESWL haibvumidzwe. Kurapa kunoitwa nekushandisa mvura, mushonga wekurwadziwa kwemudumbu, ureteroscopy kana stenting.
• Itsvo inoshanda kamwe chete kana kuti itsvo yekuisa chimwe chinhu: inorapwa chete munzvimbo dzine rubatsiro rwakakwana, ine mwero wakaderera wekubvisa mvura isati yatanga.
• Kuwedzera muviri: Kutarisa mafungu ekuvhunduka kunogona kusakwana kupfuura daro rakati repakati peganda; RIRS kana PCNL zvinogona kukurudzirwa panzvimbo pezvo.
• Kutarisira mhuri pamwe chete: Munhu mukuru mumwe chete anofanira kuudzwa nguva yemishonga, mvura inoshandiswa pakurapa uye zviratidzo zvekunyevera, sezvo munhu ari kupora kazhinji asiri iye anoyeuka mirairo.

Kana Ukasarudza Kusaita Maitiro

Kuramba kana kunonotsa kurapwa isarudzo yakanaka yedombo diki, risingadziviriri, risina zviratidzo, chero bedzi uchibvuma kuongororwa nguva nenguva. Zvine njodzi huru kana paine kuvharika, hutachiona, itsvo imwe chete kana kushanda kweitsvo kuchidonha. Mikana chaiyo inosanganisira:

• Zviitiko zvekurwadziwa kweitsvo zvakanyanya, kazhinji husiku kana panguva yekufamba, zvinoda rubatsiro rwekukurumidzira.
• Kuvharika kwechinyararire pamwe nekurasikirwa nekushanda kweitsvo zvishoma nezvishoma, pasina kurwadziwa - izvi zvinogona kuitika pasina zviratidzo.
• Utachiona huri shure kwekuvharika, hunogona kukurumidza kuita sepsis uye idambudziko rehutano.
• Kukura kwematombo kunoita kuti kurapwa kwacho kuve kwakaoma, zvichichinja sarudzo kubva kuESWL kuenda kuPCNL.
• Kurasikirwa nemazuva ekushanda kakawanda uye kushandiswa kwemishonga inouraya marwadzo kakawanda, pamwe nenjodzi dzayo dzeitsvo.

Kana mukasarudza kumirira, bvumiranai kuti chiremba wenyu wezvedundira agare achiongorora chirwere chedu - kazhinji achichitora mwedzi mitanhatu kusvika gumi nemiviri yega yega - pane kungomira kutevera.

Zvinhu Zvinokonzera Mutengo

Zvipatara zveApollo kuLucknow hazviburitse mutengo mumwe chete wakatarwa we lithotripsy, nekuti huwandu hwese hunoenderana nezvinotevera. Kuti uwane fungidziro yakanyorwa yemhosva yako chaiyo, ndapota taura nereception, counter billing kana office yeinishuwarenzi usati wapinda.

Inishuwarenzi uye Kurapwa Pasina Mari muIndia

• Mazhinji emapolisi einishuwarenzi yehutano ekuIndia anovhara lithotripsy nedzimwe nzira dzekuvhiya nematombo senzira yekuvhiya varwere vari muchipatara kana yekuchengetwa kwemasikati. ESWL inowanzo nyorwa senzira yekuchengetwa kwemasikati yakafukidzwa kunyangwe pasina kugara kwehusiku - simbisa chinhu ichi mupolisi yako.
• Nguva yekumirira inokosha. Maporisi mazhinji anoronga chirwere cheitsvo nematombo emuweti sechirwere chakatsanangurwa chine nguva yekumirira, inowanzo kuve gore rimwe kusvika maviri, uye kazhinji pane nguva yekumirira yekutanga yemazuva makumi matatu kubva pakutanga kweporisi. Nguva yekumirira chirwere chagara chiripo yemakore maviri kusvika mana inogona kushanda kana matombo akaonekwa usati watenga porisi.
• Kudzivirirwa kwenjodzi kwakarongwa kana kuchienzaniswa netsaona: Kurapwa nematombo kwakarongwa hakuonekwi sekukumbira kukuvara netsaona. Mapolisi etsaona chete kana emunhu pachake haakwanise kuabhadhara. Kupinda muchipatara nekuda kweitsvo ine chirwere chakavharika kuchiri chikumbiro chechirwere chakarongwa, kwete chikumbiro chetsaona.
• Nzira yekushandisa mari isina mari: Goveranai policy yenyu kana e-card nephoto ID nedhipatimendi reinishuwarenzi, izvo zvinomutsa chikumbiro chemvumo yekutanga neinishuwarenzi yenyu kana TPA. Maitiro akarongwa anofanira kubvumidzwa kare mazuva matatu kusvika mashanu ekushanda asati asvika; njodzi dzinogadziriswa mushure mekubvumidzwa.
• Zvinowanzosabhadharwa zvizere: rendi yekamuri iri pamusoro pechikamu chako chaunokodzera, zvinodyiwa, zvimwe zvekuongororwa, uye chero kubviswa kwakaenzana kunotevera kubva pakusarudza chikamu chekamuri chepamusoro. Zvinhu zvisiri zvekurapa hazvibatanidzwi sezvakanyorwa pasi peIRDAI.
• Zvirongwa zvehurumende nemakambani zvakaita seCGHS, ECHS, zvirongwa zvehurumende naAyushman Bharat zvine mitengo yazvo yekufambisa uye zvinodiwa pakutumira varwere. Kusimbiswa uye mamiriro azvino zvinofanirwa kusimbiswa nedhipatimendi reinishuwarenzi usati wapinda.
• Chengeta pfupiso dzese dzekubuda muchipatara, mishumo yemifananidzo, mishumo yekuongorora matombo uye mabhiri - kudzokorora zvidzidzo uye kubviswa kwestent zvinowanzo taurwa sezviitiko zvakasiyana.

Kuronga Kupinda uye Zvekuunza

• Mufananidzo ID (Aadhaar kana yakafanana) yemurwere nemushandi, kadhi reinishuwarenzi kana nhamba yeinishuwarenzi, uye ruzivo rweTPA.
• Mishumo yese yapfuura: ultrasound, CT KUB, X-rays, cultures yeweti, mishumo ye creatinine uye chero pfupiso yekubuda kwemudumbu kare.
• Rondedzero yakanyorwa yemishonga iripo ine madosi, kusanganisira mishonga inobvisa ropa rakawanda, mishonga yeshuga uye chero mishonga yemishonga yemishonga kana yemishonga yeAyurvedic.
• Kutsanya sezvakarayirwa - kazhinji hapana chinhu chinonwiwa nemuromo kwemaawa matanhatu kusvika masere usati wararamisa kana kuti wanzwa kurwadziwa.
• Mbatya dzedonje dzisina kusimba, masiraidhi, zvinhu zvekugezesa, kapu, nechirongo kana sefa kana wakakumbirwa kuunganidza zvidimbu zvakapfuudzwa.
• Munhu mukuru mumwe chete ane mutoro pazuva iroro; haufanirwe kutyaira mota yako wodzokera kumba mushure mekumbozorora.
• Bvisa zvishongo nezvinhu zvinokosha; zvisiye kumba.
• Zivisai timu pachine nguva nezvepamuviri kana kuti pamuviri ungangovepo, pacemaker kana mudziyo wakaisirwa, matambudziko ekubuda ropa, kana hutachiona hweweti.

Zviratidzo Zvenyevero Zvinoda Kuongororwa Nekukurumidza

Bata chipatara kana kuenda kuchipatara kana, mushure me lithotripsy, ukaona:

• Fivha iri pamusoro pe38°C kana 100.4°F, kana paine kana pasina dzihwa - chiratidzo chinonyanya kukosha chekunyevera.
• Kutadza zvachose kuita weti, kana kudzikira kwakanyanya kwehuwandu hweweti.
• Kurwadziwa kwakanyanya kusingadzoreki nemishonga inonyaradza marwadzo yakanyorwa nachiremba.
• Ropa rakawanda muweti, magaro, kana kubuda ropa rinogara kwemazuva mashoma.
• Kuramba uchirutsa zvichikutadzisa kunwa mvura kana kutora mishonga.
• Kushaya mweya, kuvhiringidzika, dzungu, BP yakaderera zvakanyanya kana kuti kusaziva zvakanyanya - zvinogona kukonzera sepsis.
• Stent yaifanira kubviswa uye yakanganwika. Stent yakasara inogona kufukidza ganda uye kuva dambudziko guru. Cherechedza zuva raunobvisa painobuda.

Kune Varwere Vari Kufamba Vachibva Kumatunhu Ari Pedyo Nemaguta

Lucknow inoshanda senzvimbo yekutumira kune yakawanda yepakati nekumabvazuva Uttar Pradesh. Varwere vanowanzofamba kubva kuKanpur, Barabanki, Sitapur, Hardoi, Unnao, Raebareli, Lakhimpur Kheri, Sultanpur, Ayodhya, Gonda, Bahraich, Basti, Pratapgarh, Shahjahanpur neJaunpur, uyewo kubva kuNepal miganhu yematunhu.

• Tumira mishumo pachine nguva. Goverana mushumo wako weCT KUB kana weultrasound neemail kana nefoni kuitira kuti nzira yaungangoshandisa uye gadziriro yacho igone kurongwa usati wafamba.
• Ronga hwindo remazuva maviri parwendo rweESWL: kubvunzana uye bvunzo pazuva rekutanga, maitiro pazuva rechipiri, kunze kwekunge zvese zvaitwa munharaunda.
• Usadzokere zuva rimwe chete mushure mekumbozorora parwendo rurefu kana kuti rwakaoma mumugwagwa. Kurara muLucknow kwakachengeteka.
• Tarisira kushanya kunopfuura kamwe chete. Kuongororwa kwemifananidzo yekutevera mushure memavhiki maviri kusvika mana, chiitiko chechipiri chingangoitika, uye kubviswa kwestent chimwe nechimwe chinoda kudzokera. Bvunza mazuva aya nekunyora pakubuda.
• Takura mishonga yako nepepa remirairo rakadhindwa, sezvo ma pharmacy ari mumataundi madiki anogona kutakura mhando dzakasiyana dzezvigadzirwa.
• Ronga backup yekukurumidza yemunharaunda: Ziva chipatara chiri pedyo neguta rako kana uine fivha kana colic yakanyanya usati wasvika zuva rekuongorora chirwere chako.
• Lucknow yakabatana zvakanaka nechitima kuburikidza neCharbagh neGomti Nagar stations uye nendege kuburikidza neChaudhary Charan Singh International Airport, iyo inobatsira varwere vanobva kure.

Kubata Nekugadzwa Kwevanhu

Zvipatara zveApollo kuLucknow zvinoshanda seApollomedics Super Specialty Hospital. Mashoko ari pazasi akanyorwa papeji repamutemo reApollo Hospitals kuLucknow lithotripsy.

Paunenge uchibhuka, taura kuti kubvunzana ndekwematombo eitsvo kana lithotripsy saka unotumirwa kudhipatimendi reurology, uye takura mishumo yako yemifananidzo yazvino.

Mibvunzo Inonyanya Kubvunzwa

Chii chinonzi lithotripsy, uye chinoshanda sei?

Lithotripsy inzira isingakuvadzi inoshandisa mafungu ekurova itsvo kuita zvidimbu zvidiki. Zvidimbu izvi zvinogona kupfuura zviri nyore nemunzira yeweti. Inowanzoitwa senzira yekuchengeta varwere masikati, zvichibvumira varwere vazhinji kudzoka kumba zuva rimwe chete.

Ndedzipi njodzi dzakabatana ne lithotripsy?

Lithotripsy inowanzo shandiswa zvakanaka, asi njodzi dzinosanganisira kubuda ropa rakatenderedza itsvo, hutachiona, kupwanyika kweganda, kuvharika kwezvidimbu, uye kukuvara kudiki kwenyama yakapoteredza. Matambudziko aya haawanzoitiki, kunyanya kana nzira iyi ichiitwa nenyanzvi dzine ruzivo dzakasarudza chirwere chakakodzera.

Iyo lithotripsy inotora nguva yakareba sei?

Nguva yekuvhunduka kwemuviri inowanzotora maminetsi makumi mana nemashanu kusvika paawa imwe chete. Nguva yese iri muchipatara yakareba nekuda kwekugadzirira nzira yacho uye kutariswa mushure mekuita izvi.

Ndirini pandinogona kudzokera kune zvakajairwa zviitiko mushure me lithotripsy?

Varwere vazhinji vanotangazve kuita mabasa avo emazuva ese mukati memazuva mashoma. Zvinokurudzirwa kuti usaite maekisesaizi anorema uye kusimudza zvinhu zvinorema kweinenge vhiki imwe chete, uye kwenguva yakareba kana paine stent. Tevedzera zano rachiremba wako.

Ndingaronga sei kubvunza chiremba nezve lithotripsy kuApollo Hospitals Lucknow?

Unogona kubhuka kuburikidza newebhusaiti yepamutemo yeApollo Hospitals Lucknow, iyo Apollo 24|7 app, kana nekufonera Apollo helpline panhamba 1860-500-1066. Chikwata chicharonga musangano nenyanzvi yeurology.

Kuvhiyiwa kamwe chete kwe lithotripsy kuchabvisa dombo rangu zvachose here?

Dzimwe nguva, asi kwete nguva dzose. Matombo madiki, akapfava anowanzo buda kamwe chete, nepo matombo makuru kana akakora angada kugara kaviri kana katatu akaparadzaniswa kwevhiki imwe kana mbiri. Kuongorora kwako kwekutevera kucharatidza kana chimwe chiitiko chichidikanwa.

ESWL kana laser (RIRS) zviri nani here padombo rangu?

Zvinoenderana nehukuru hwedombo, kuomarara kweCT, nzvimbo muitsvo, chimiro chemuviri wako uye njodzi yekubuda ropa kwako. ESWL inodzivirira anesthesia uye kushandisa zvishandiso; RIRS inowanzo kupa mukana wepamusoro wekubviswa kwematombo akaomarara kana epasi pedanda. Chiremba wezvedundira achatsanangura kuti chii chinokodzera nyaya yako.

Ko lithotripsy inokuvadza here panguva yekuvhiyiwa?

Uchanzwa kugogodza kana kurova-rova pamusoro pegumbo, izvo vanhu vazhinji vanotsanangura sezvisingafadzi pane kuti zvinorwadza zvakanyanya. Mishonga inonyaradza uye inoderedza marwadzo inopihwa kuti ugare wakasununguka. Kusagadzikana mushure mezvo kunowanzova kubva kuzvidimbu zvinopfuura kwete kubva kumafungu eropa.

Ndichada stent yeDJ here, uye inogara kwenguva yakareba sei?

Haasi munhu wese anoda stent. Stent inogona kuiswa kana mutoro wedombo wakakura, kana