I-Apollo Heart Institute ibonelela ngeenkonzo ezipheleleyo ze-cardiology kunye notyando lwentliziyo kuzo zonke iindlela zokuthintela, ukuxilongwa, ukungenelela, kunye nonyango oluphambili lotyando. Iqela lethu leengcali zentliziyo eziphambili kunye noogqirha bentliziyo linikezela ngonyango olusekelwe kubungqina besifo semithambo yegazi, ukusilela kwentliziyo, ukungasebenzi kakuhle kwentliziyo, iimeko zentliziyo ezakhiweyo, kunye neengxaki zentliziyo ezintsonkothileyo.
Ngeelebhu ze-cardiac catheterization zanamhlanje, ubuchwepheshe obuphambili bokuthatha imifanekiso, ubuchule botyando lwentliziyo obungenabungozi kangako nobuncediswa yirobhothi, kunye nonyango lwentliziyo olungxamisekileyo olusebenza iiyure ezingama-24 ngosuku , siqinisekisa unyango olukhawulezileyo noluchanekileyo kwiimeko eziqala kwisifo sentliziyo ukuya ekusileleni kwentliziyo okuqhubekekayo.
Ukususela kwi -angioplasty kunye notyando lwe-bypass (CABG) ukuya ekulungisweni kwevalvu, ukufakelwa kwe-pacemaker, kunye nokufakelwa kwentliziyo , i-Apollo inikezela ngononophelo olupheleleyo lwentliziyo kuyo yonke inethiwekhi yentliziyo enkulu nethembekileyo eIndiya.
Iqela lethu - Iingcali zentliziyo ezikhokelayo kulo lonke ilizwe Indiya
I-Apollo Heart Institutes ixhaswa ziingcali zentliziyo ezingaphezu kwama-300 kunye noogqirha bentliziyo abanamava kuzo zonke iinkqubo zentliziyo, utyando lwentliziyo, i-electrophysiology, i-cardiology yabantwana, ukusilela kwentliziyo, kunye neenkqubo zokufakelwa.
Jonga iqela lethu leengcali ngezantsi uze uqhagamshelane nengcali efanelekileyo yesifo sentliziyo yakho:
I-Cardiology yethu Iinkqutyana
Common Iimeko zentliziyo
- Isifo seCoronary Artery (CAD)
- Ukumelwa yintliziyo
- Izifo zeValve
- Imiba yesingqi sentliziyo okanye iArrhythmias
- Isifo sentliziyo esibelekwe
Isifo semithambo yegazi yentliziyo senzeka xa imithambo yegazi ehambisa igazi entliziyweni incipha okanye ivalekile ngenxa yokwakheka kweplaque. Ukuba ayinyangwa, inokukhokelela kwi- angina okanye ukuhlaselwa yintliziyo.
Uvavanyo lomngcipheko kunye nokuxilongwa okuphambili
Mayeza
Ukungasebenzi kakuhle kwentliziyo kwenzeka xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo. Ngolawulo olufanelekileyo kunye nonyango oluphambili, izigulana zinokuphila ubomi obusebenzayo.
Unyango lwezonyango olukhokelwa yisikhokelo
Unyango lwe-cardiac resynchronization (CRT)
Iimpompo zentliziyo zoomatshini (LVAD)
Iingxaki zevalvu yentliziyo zichaphazela ukuhamba kwegazi entliziyweni kwaye zinokufuna unyango okanye utyando.
Ukulungiswa kwevalvu okanye utyando lokutshintsha
Iinkqubo zevalvu ezingafunekiyo kakhulu
I-Arrhythmias yenzeka xa intliziyo ibetha ngokukhawuleza kakhulu, kancinci kakhulu, okanye ibetha ngendlela engaqhelekanga.
Mayeza
Ukufakelwa kwePacemaker okanye i-ICD
Iingxaki zentliziyo ezizalwa nazo zizinto ezingaqhelekanga ezenzeka ekuzalweni. Inkqubo yethu inika ukhathalelo lobomi bonke ukususela ebuntwaneni ukuya ebudaleni.
I-cardiology yabantwana
Ukhathalelo lweSifo seNtliziyo saBantu Abadala (ACHD)
Ukulungiswa okusekwe kwi-catheter kunye notyando
Uvavanyo lokuxilonga e Apollo Heart Institutes
yethu Unyango kunye neeNkqubo
Inkqubo ye-Apollo's Interventional Cardiology ibonelela ngonyango oluphezulu lokuvula imithambo evalekileyo, ukulungisa izivalo zentliziyo, nokunyanga imiba yentliziyo—ngaphandle kotyando olukhulu. Ii-Catheters ziityhubhu ezincinci ezifakwa ngababoneleli bezempilo kwimithambo yakho yegazi. Yiyo loo nto ungadingi ukusikwa kwenkqubo esebenzisa i-catheter.
Iinkqubo zentliziyo ezingenelelayo ziinkqubo ezincinci ezihlaselayo ezisebenzisa i-catheter ukunyanga iimeko zentliziyo ngaphandle kokwenza izithintelo ezinkulu. Ezi nkqubo zenziwa yi-cardiologist yongenelelo, i-cardiologist efumene uqeqesho olongezelelweyo ekuxilongeni nasekuphatheni iimeko zentliziyo.
- Ungenelelo lweCoronary
- IiNkqubo zoLwakhiwo
- IiNkqubo ze-Electrophysiology
- Inkqubo yoNyango
- Iinkqubo ze-Cardiac eziNgenelwa kancinci
- Iinkqubo zeValve ezingevayo kancinane
- Iinkqubo ezincinci zeCoronary Revascularization
- IiNkqubo eziPhakamileyo zeCardiac
a. I-Angioplasty : I-Angioplasty yinkqubo engangenisi kakhulu esetyenziselwa ukuvula imithambo yentliziyo evalekileyo okanye enciphileyo ehambisa igazi entliziyweni. Ibhaluni encinci ifakwa ngetyhubhu encinci (i-catheter) kwimithambo echaphazelekayo ize ivuthelwe ukuze ityhale i-plaque eludongeni lwemithambo, iphucule ukuhamba kwegazi. Le nkqubo inceda ekunciphiseni iintlungu zesifuba kwaye ithintele ukuhlaselwa yintliziyo.
Funda ngakumbi malunga ne-Angioplasty
b. Ukubopha i-stenting : Kudla ngokwenziwa ngexesha le-angioplasty, ukubopha i-stenting kubandakanya ukubeka ityhubhu encinci, enokwandiswa (i-stent) kwi-artery ukuze ihlale ivulekile. Ii-stents zinceda ukugcina ukuhamba kwegazi okungcono kwaye zithintele ukuphinda kunciphe kwe-artery, nto leyo enciphisa kakhulu umngcipheko wokuvaleka kwixesha elizayo.
c. Iinkqubo zeCoronary eziNgxamisekileyo: Ezinye izithintelo zemithambo yentliziyo kunzima ukuzinyanga ngenxa yendawo ezikuyo okanye ubunzima bazo. Iinkqubo zentliziyo ezingxamisekileyo ziquka iindlela eziphambili kunye nezixhobo ezikhethekileyo zokususa izithintelo zentliziyo kwimithambo yentliziyo enzima ukuyifumana okanye evalekileyo kakhulu. Oku kubandakanya ukuvaleka okupheleleyo okungapheliyo (ii-CTO), apho umthambo uvalekile ngokupheleleyo ixesha elide. Ezi nkqubo zisebenzisa izixhobo ezisekwe kwi-catheter, iintambo zesikhokelo ezikhethekileyo, kunye netekhnoloji yokujonga imifanekiso ukuze zibone kwaye zisuse izithintelo. Iindlela ezifana ne-rotational atherectomy (i-rotablation) zingasetyenziswa ukuqhekeza ii-plaque ezine-calcified. Ezi nkqubo zihlala ziyimfuneko kwizigulana ezinezithintelo ezininzi, i-calcification ebalulekileyo, okanye ukungenelela kwangaphambili okungaphumeleli.
a. Ukulungiswa kweeValve: Iinkqubo zokulungisa iivalve zenzelwe ukulungisa iingxaki ezithile ngeevalve zentliziyo ngaphandle kokuzitshintsha. Ukulungisa iivalve kunokuphucula ukusebenza kwentliziyo, kunciphise iimpawu, kwaye kudla ngokubonelela ngesisombululo esihlala ixesha elide kunokutshintshwa kweevalve. Olu hlobo lweenkqubo luquka:
- TAVR/TAVI (UTshintsho lweValve ye-Aortic yeTranscatheter/Ufakelo): I-TAVR yinkqubo encinci yokungena endaweni yevalve ye-aortic eyonakeleyo ngaphandle kotyando oluvulekileyo lwentliziyo. Ukusebenzisa i-catheter, ivalve entsha ifakwe ngaphakathi kwevalve yesifo. Le ndlela ifanelekile kwizigulane ezinokuthi zibe sengozini enkulu yokuhlinzwa kwendabuko, ukunika ukuchacha ngokukhawuleza.
- Inkqubo yeMitraClip: Le nkqubo yokuhlasela kancinane inyanga i-mitral valve regurgitation (imeko apho igazi livuza libuyele ngasemva entliziyweni). Ikliphu encinci iqhotyoshelwe kwivalve ye-mitral ukuyinceda ukuba ivale ngokufanelekileyo, ukuphucula ukuhamba kwegazi kunye nokunciphisa iimpawu ezifana nokudinwa kunye nokuphefumula okufutshane.
Yazi ngakumbi malunga neMitraClip Procedure
b. I-Balloon Valvuloplasty: I-Balloon valvuloplasty iphatha iivalvu zentliziyo ezinciphileyo ngokusebenzisa ibhaluni encinci eqhotyoshelwe kwi-catheter. Ibhaluni ifakwa kwivalvu enciphileyo ize emva koko ivuthelwe kancinci, nto leyo eyandisa ukuvulwa kwevalvu kwaye iphucule ukuhamba kwegazi, inciphise iimpawu kwaye iphucule ukusebenza kwentliziyo.
c. Ukuvalwa kwe-Atrial Atrial Appendage (LAAC): I-LAAC yinkqubo yokunciphisa umngcipheko we-stroke kwizigulana ezine-atrial fibrillation (AFib), isifo esiqhelekileyo sentliziyo. Ibandakanya ukuvala isakhiwo esincinci, esifana nesikhwama entliziyweni (i-atrial appendage yasekhohlo) apho igazi linokuqhekeka khona, nto leyo enciphisa kakhulu umngcipheko we-stroke kwizigulana ze-AFIB.
d. Ukuvalwa kwePatent Foramen Ovale (PFO): Ukuvalwa kwePFO yinkqubo engangenisi kakhulu esetyenziselwa ukuvala umngxuma omncinci phakathi kwamagumbi aphezulu entliziyo. Lo mngxuma, odla ngokuvalwa xa uzalwa, ngamanye amaxesha uhlala uvulekile kwaye unokunyusa umngcipheko westroke. Ngokuvala iPFO, izigulana zinciphisa umngcipheko westroke kunye nezinye iingxaki.
e. Ukulungiswa kokuvuza kwe-Paravalvular : Le nkqubo ikhethekileyo ijongana nokuvuza okujikeleze iivalvu zentliziyo ezenziweyo ezinokuba zafakwa kwiityando zangaphambili. Besebenzisa i-catheter, oogqirha bayayivala loo mvuthuluka ngaphandle kokufuna ukwenza utyando lwentliziyo evulekileyo kwakhona. Oku kunceda ukuphucula ukusebenza kwevalvu kwaye kunciphisa iimpawu, kuphucula umgangatho wobomi besigulana.
f. Ukuvalwa kwe-Atrial Septal Defect (ASD): Ukuvalwa kwe-ASD yinkqubo engeyiyo ehlaselayo kakhulu elungisa imingxunya ephakathi kwamagumbi aphezulu entliziyo. Besebenzisa izixhobo ezikhethekileyo, oogqirha banokuyivala le mingxunya nge-catheter, benciphisa imfuneko yotyando oluvulekileyo kwaye bakhuthaze ukuchacha ngokukhawuleza.
Inkqubo ye-Electrophysiology ephezulu ka-Apollo ibonelela ngonyango olukhethekileyo kwiingxaki zesingqi sentliziyo. Ezi nkqubo zinceda ukulawula izingqi zentliziyo ezingaqhelekanga kunye nokuphucula ukusebenza kwentliziyo.
a. Ukutsalwa kweCatheter : Kule nkqubo ingena kakhulu, oogqirha basebenzisa ubushushu (amandla e-radiofrequency) okanye ukubanda kakhulu ukutshabalalisa ngononophelo iindawo ezincinci zezicubu zentliziyo ezibangela ukubetha kwentliziyo okungahambelaniyo. Ngokujolisa kwezi ndawo zithile, ukutsalwa kweCatheter kunceda ukulungisa iintlobo ezahlukeneyo ze-arrhythmias (izingqisho zentliziyo ezingaqhelekanga) kwaye kubuyisele ukubetha kwentliziyo okuqhelekileyo.
b. Ukubekwa kwe-ICD (ICD) ye-Implantable Cardioverter Defibrillator: I-ICD sisixhobo esincinci, esisindisa ubomi esifakwe phantsi kwesikhumba. Sihlala sijonga isigqi sentliziyo kwaye senza umothuko wombane ukuba sibona isigqi esiyingozi nesisongela ubomi. Olu mothuko lubuyisela ukubetha kwentliziyo okuqhelekileyo kwaye lunceda ukuthintela ukufa kwentliziyo ngequbuliso kwizigulana ezisengozini enkulu.
c. Ukufakwa kwePacemaker: I-pacemaker sisixhobo esincinci se-elektroniki esifakelwe ukunceda kwiimeko zokubetha kwentliziyo okucothayo. Sithumela imiqondiso yombane ukukhuthaza intliziyo ukuba ibethe ngesantya esiqhelekileyo, sincede izigulana ezine-bradycardia (izingqisho zentliziyo ezicothayo).
d. Unyango Lokuvuselela Intliziyo (CRT): I-CRT luhlobo oluphambili lonyango lwe-pacemaker oluququzelela ukupompa kwamagumbi omabini asezantsi entliziyo (ii-ventricles). Olu lungelelwaniso lunceda igazi lentliziyo ukuba limpompe ngokufanelekileyo, ingakumbi kwizigulana ezineengxaki zentliziyo kunye neengxaki zexesha lombane.
e. Ukufakelwa kweLoop Recorder: I-loop recorder sisixhobo esincinci esibekwa phantsi kwesikhumba ukuze siqhubeke sijonga kwaye sirekhode imijikelezo yentliziyo ukuya kuthi ga kwiminyaka emithathu. Iluncedo ekuxilongeni ukuquleka okanye ukubetha kwentliziyo okungachazwanga, njengoko ilandelela ukubetha kwentliziyo okungaqhelekanga ixesha elide.
a. Utyando lweCoronary Artery Bypass (CABG)
I-CABG lutyando oludala indlela entsha yokuba igazi lihambe lijikeleze imithambo ye-coronary evalekileyo entliziyweni. Ukwenza oku, oogqirha basebenzisa isitya segazi esinempilo esivela kwenye indawo yomzimba (njengomlenze okanye isifuba) kwaye badibanise kwi-artery evaliweyo, evumela igazi ukuba lidlule ukuvaleka. Oku kunciphisa intlungu yesifuba, kuphucula ukusebenza kwentliziyo, kwaye kunciphisa umngcipheko wokuhlaselwa yintliziyo.
- I-CABG yesiNtu: Olona tyando luxhaphakileyo, apho oogqirha botyando basebenzisa imithambo yegazi esempilweni ukudlula imiqobo. Ikhulula ngokufanelekileyo iimpawu kunye nokunciphisa umngcipheko wokuhlaselwa yintliziyo.
- Utyando lokumpompa ngaphandle (uTyando lweNtliziyo eBethayo): Kolu hlobo, utyando lwenziwa ngelixa intliziyo isabetha, nto leyo enceda izigulane ezithile ziphephe iingxaki ekumiseni intliziyo.
- Iinketho Ezingenabuncinci: Le ndlela isebenzisa amanxeba amancinci endaweni yokuvula isifuba ngokupheleleyo. Ivumela ukuchacha ngokukhawuleza kunye neengxaki ezimbalwa.
- Iinkqubo eziNcedayo ngeRobhothi: Oogqirha botyando basebenzisa iingalo zerobhothi ukwenza indlela yokudlula ngokusikeka okuncinci kakhulu. Le ndlela echanekileyo iyanciphisa intlungu kwaye ikhawuleze ukuchacha.
b. Utyando lweValve yeNtliziyo
- Ukulungiswa kweValve kunye noTshintsho: Izivalo zentliziyo zinceda ukulawula ukuhamba kwegazi entliziyweni, kwaye xa zonakele, ukuhamba kwegazi kuyachaphazeleka. Oogqirha banokulungisa ivalve ukuze isebenze bhetele okanye bayitshintshe ngesivalo sokwenziwa okanye sebhayoloji. Olu tyando lunceda ukuphucula ukuhamba kwegazi, luthomalalisa iimpawu, kwaye lunokuthintela iingxaki ezimandundu ezifana nokusilela kwentliziyo.
- IiNdlela eziHlaziya kancinci: Olunye utyando lwevalvu lunokwenziwa kusetyenziswa amanxeba amancinane endaweni yokusikwa kwesifuba esikhulu. Le ndlela inciphisa intlungu, ukukrala, kunye nexesha lokubuyisela, ukuvumela izigulane ziphilise ngokukhawuleza.
- Ukwakhiwa kwakhona kweValve entsonkothileyo: Kwiivalvu ezonakele kakhulu okanye ezimile ngendlela engaqhelekanga, oogqirha botyando basebenzisa iindlela eziphucukileyo zokulungisa ivalve ngelixa begcina ubuninzi bezicubu zendalo zesigulana kangangoko kunokwenzeka. Basenokuhlengahlengisa amaphecana evalvu (iiflephu ezivulekayo nezivalekayo) kunye neentambo ezixhasayo ukuze zibuyisele ukusebenza kwayo kwesiqhelo.
- Iinkqubo ezininzi zeValve: Ukuba isigulane sineengxaki nge-valve engaphezu kwesinye, oogqirha botyando banokulungisa okanye batshintshe iivalve ezininzi ngexesha lotyando olufanayo. Oku kunceda ukubuyisela ukuhamba kwegazi okunempilo kunye nokusebenza kwentliziyo kumsebenzi omnye.
Yazi ngakumbi malunga ne-Heart Valve Surgery
c. Uqhaqho lweengcambu zeAortic
Ingcambu ye-aorta yinxalenye ye-aorta (umthambo oyintloko) ekufutshane nentliziyo. Kolu tyando, oogqirha balungisa okanye batshintshe eli candelo, kuquka ivalvu ye-aorta kunye nemithambo ye-coronary ekufutshane, enika igazi kwimisipha yentliziyo. Le nkqubo idla ngokwenziwa ukunyanga i- aortic aneurysm (indawo ebuthathaka kumthambo) okanye iimeko zemfuza ezifana ne -Marfan syndrome ezichaphazela i-aorta.
d. I-Valve edibeneyo kunye neeNkqubo ze-Coronary
Kolu tyando luntsonkothileyo, oogqirha banyanga yomibini imithambo yentliziyo evalekileyo (ehambisa igazi entliziyweni) kunye nezivalo zentliziyo ezonakeleyo kutyando olunye. Ukudibanisa zombini iinkqubo kuphucula ukuhamba kwegazi kunye nokusebenza kwentliziyo ngelixa kunciphisa isidingo sotyando oluninzi, okwenza kube lula kwisigulane.
e. Phinda wenze uTyando lwentliziyo
Phinda utyando lwentliziyo lwenziwa kwizigulane eziye zatyandwa yintliziyo ngaphambili. Ifuna izakhono ezikhethekileyo kuba ugqirha wotyando kufuneka asebenze ngezicubu ezibomvu ukusuka kwinkqubo yangaphambili. Olu tyando luvumela oogqirha ukuba balungise izinto eziyimfuneko okanye benze ezinye izinto, nto leyo enika intliziyo ithuba elingcono lokusebenza kakuhle yaye kuthomalalisa iimpawu zesigulana.
Iinkqubo zentliziyo ezihlaselayo kancinci kwizibhedlele ze-Apollo zibonelela ngonyango lwentliziyo olukwinqanaba eliphezulu ngokusebenzisa imigushuzo emincinci. Ngokusebenzisa izixhobo ezikhethekileyo kunye nobuchule, oogqirha botyando banokufikelela kwintliziyo enempembelelo encinci emzimbeni, ekhokelela ekuphulukiseni ngokukhawuleza, ukuhlala esibhedlele okufutshane, kunye nokunciphisa kancinci. Le ndlela isoloko isetyenziselwa ukulungiswa kwevalve, utyando lwe-bypass, kunye nezinye iimeko zentliziyo, ukubonelela ngeziphumo ezisebenzayo kunye noxinzelelo oluncinci, okuvumela izigulane ukuba zibuyele ebomini babo ngokukhawuleza.
a. Ukulungiswa kweValve yeMitral kunye noTshintsho: Ivalve ye-mitral yenye yeevalvu ezine ezisentliziyweni, kwaye ilawula ukuhamba kwegazi phakathi kwamagumbi amabini akwicala lasekhohlo (i-atrium yasekhohlo kunye ne-ventricle yasekhohlo). Maxa wambi, le valve isenokungavaleki kakuhle, nto leyo ekhokelela ekubeni igazi livuze ngasemva—imeko ebizwa ngokuba yiMitral regurgitation—okanye liqina lize libe mxinwa imeko ebizwa ngokuba yiMitral stenosis, ethintela ukuhamba kwegazi. Ukulungiswa kwevalve yeMitral kunye nokutshintshwa ziinkqubo ezilungisa le miba:
- Ukulungisa kubandakanya ubuchule bokulungisa ivalve ekhoyo yesigulane. Oku kunokubandakanya ukulungiswa kwakhona kwevalve, ukuyiqinisa ngendandatho, okanye ukulungisa izicubu ezixhasayo ezijikelezayo.
- Ukutshintshwa kubandakanya ukususa ivalve eyonakeleyo kwaye endaweni yayo kufakwa ivalve eyenziwe ngentsimbi okanye izicubu zezilwanyana.
Ngobuchule obungephi, olu tyando lwenziwa ngamanxeba amancinane esifubeni kunotyando olukhulu lwentliziyo evulekileyo. Oku kuvumela ukuchacha ngokukhawuleza, iintlungu ezincinci, kunye nokuhlala esibhedlele ixesha elifutshane.
b. Ukutshintshwa kweValve ye-Aortic
Ivalve ye-aorta ilawula ukuhamba kwegazi ukusuka entliziyweni ukuya kuwo wonke umzimba. Xa le valve yonakele, inokukhokelela kwi-aortic stenosis (ivalve emxinwa ethintela ukuhamba kwegazi) okanye i-aortic regurgitation (ivalve engavaleki ngokupheleleyo, ebangela ukuba igazi livuze libuyele entliziyweni).
Ukutshintshwa kwevalve ye-aortic:
- Ivalve ye-aorta eyonakeleyo iyasuswa kwaye ithatyathelwe ivalve entsha. Le valve yokutshintsha inokwenziwa ngezinto ezifana nentsimbi okanye inyama yezilwanyana.
- Izithintelo ezincinci zisetyenziselwa ukufikelela entliziyweni, kunye nezixhobo eziphambili kunye ne-imaging inceda isikhokelo sotyando ngokubekwa kwevalve ngokuchanekileyo.
Ngokusebenzisa ubuchule obuncinci, amaxesha okubuyisela amafutshane, kwaye isigulane sinokuphinda siqalise imisebenzi eqhelekileyo ngokukhawuleza.
c. Iinkqubo zeValve ye-Tricuspid
Ivalve ye-tricuspid ilawula ukuhamba kwegazi phakathi kwe-atrium yasekunene kunye ne-ventricle yasekunene, amagumbi akwicala lasekunene lentliziyo. Xa le valve yonakele, inokukhokelela kwiingxaki ezifana ne-tricuspid regurgitation (ukuvuza kwegazi ngasemva) okanye i-tricuspid stenosis (ukuncipha kwevalve).
Ukulungiswa kwevalve ye-Tricuspid kunye nokutshintshwa kunokwenziwa kusetyenziswa ubuchule obungamandla okuhlaselayo:
- Ukulungisa kubandakanya ukuqiniswa okanye ukubunjwa ngokutsha kwevalve okanye ukuyiqinisa ukuze ivale ngokuqinileyo kwaye kuthintele ukuvuza.
- Ukutshintshwa kuyaqwalaselwa ukuba ukulungiswa akunakwenzeka. Ivalve eyonakeleyo iyasuswa, kwaye kufakwa ivalve entsha ukubuyisela ukuhamba kwegazi okufanelekileyo.
Ezi nkqubo zenziwa nge-incision encinci kunye nezixhobo ezikhethekileyo ezinciphisa umonakalo kwizicubu ezijikelezileyo, ukwenza ukubuyiswa ngokukhawuleza kwaye kungabi buhlungu.
d. Uqhaqho lweValve ezininzi
Ezinye izigulana zinokuba nengxaki yevalve yentliziyo engaphezulu kwesinye, ezinje nge-mitral kunye ne-aortic valves. Xa iivalvu ezimbini okanye ngaphezulu zonakele, oko kunokuchaphazela amandla entliziyo okumpompa igazi kakuhle.
Utyando lwe-valve oluninzi luvumela oogqirha ukuba balungise okanye batshintshe iivalve ezininzi kwinkqubo enye, enokubuyisela ukuhamba kwegazi okuqhelekileyo kunye nokuphucula ukusebenza kwentliziyo. Ngobuchule obuncinci, oogqirha botyando benza amanxeba amancinci esifubeni kunokuba bafake i-incision enkulu, ukunciphisa ixesha lokubuyisela kunye nokunciphisa intlungu. Le ndlela ivumela izigulana ukuba ziphilise ngokukhawuleza ngelixa zisafumana unyango olubanzi kwimiba yevalvu emininzi.
e. Iinkqubo zeengcambu zeValve-Sparing Aortic
Ingcambu ye-aorta yinxalenye ye-aorta ekufutshane nentliziyo, apho i-valve ye-aortic kunye ne-coronary arteries iqhotyoshelweyo. Xa le ndawo yonakele okanye ibuthathaka, njenge-aneurysm (indawo eqhumayo, ebuthathaka kwi-artery), isoloko ifuna ukulungiswa ukuze kuthintelwe iingxaki ezinzulu. Kwiinkqubo ze-valve-sparing aortic root, oogqirha balungisa ingcambu ye-aorta ngaphandle kokususa i-valve yendalo ye-aorta. Le ndlela igcina i-valve yasekuqaleni yesigulane, ehlala isebenza bhetele kunokutshintshwa okwenziweyo kunye nokunciphisa imfuno yemithi yokunciphisa igazi.Ukusebenzisa iincinci ezincinci kunye nezixhobo ezikhethekileyo, obu buchule obuncinci buvumela ukuphulukiswa ngokukhawuleza kunye nokubuyela ngokukhawuleza kwimisebenzi eqhelekileyo kwizigulane ezingabaviwa abafanelekileyo.
a. I-Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) : I-MIDCAB luhlobo lotyando lwe-bypass olusetyenziselwa ukunyanga umthambo omnye ovalekileyo. Endaweni yokusika okukhulu, ugqirha wenza isilonda esincinci kwicala lasekhohlo lesifuba. Le nkqubo ayifuni ukuba intliziyo imiswe, nto leyo enokuyenza ikhuseleke kwabanye abaguli. Ukusika okuncinci kuthetha ukuba intliziyo iya kuphila ngokukhawuleza kwaye ingabi nantlungu emva kotyando.
b. I-Totally Endoscopic Coronary Artery Bypass (TECAB): I-TECAB lutyando oluphambili kakhulu oluqhutywa ngoncedo lwerobhothi. Besebenzisa inkqubo yerobhothi ye-da Vinci, oogqirha benza imingxunya emincinci okanye "iiports" ukukhokela izixhobo zerobhothi kunye nekhamera entliziyweni. Le ndlela inciphisa amanxeba, inciphisa ixesha lokululama, kwaye ivumela iintshukumo ezichanekileyo, zonke ezinceda isigulana.
c. Iinkqubo zeHybrid Revascularization: IHybrid revascularization yindibaniselwano yotyando lwe-bypass olungena emzimbeni olungena emzimbeni kunye ne-stenting. Kwinkqubo enye ecwangcisiweyo, ugqirha wenza i-bypass kwimithambo ethile evalekileyo kwaye asebenzise i-stents kweminye, edibanisa iinkalo ezilungileyo zeendlela zombini. Le ndlela inika iziphumo ezisebenzayo, zihlala zisikiwe kancinci kwaye zikhawuleza ziphile.
d. Utyando lwe-Small-Incision Bypass: Le nkqubo luhlobo oluhlengahlengisiweyo lotyando lwendabuko lwe-bypass kodwa lwenziwa ngokusikeka okuncinci esifubeni. Oku kunciphisa impembelelo kwizicwili ezingqongileyo, okwenza ukuchacha kube lula kwaye kungabi buhlungu kangako, ngelixa kubonelela ngeenzuzo ezifanayo nenkqubo epheleleyo ye-bypass.
e. Iinkqubo zoNcedo lweRobhothi: Iinkqubo zentliziyo zoNcedo lweRobhothi zisebenzisa ubuchwepheshe obuphambili berobhothi, njengenkqubo ye-da Vinci, ukwenza utyando oluchanekileyo ngokusebenzisa imingxunya emincinci. Le ndlela inika oogqirha botyando umbono ocacileyo wentliziyo kwaye ibavumela ukuba basebenze ngokuchanekileyo, nto leyo ebangela ukuba izicubu zonakale kancinci, iintlungu zingabi ninzi, kwaye isigulane siphile ngokukhawuleza.
I-Apollo Heart Institutes, ibekwe phakathi kwezibhedlele zentliziyo ezilungileyo, ibonelela ngeenkqubo ezibanzi zentliziyo ezikhokelwa ziingcali zentliziyo kunye noogqirha botyando lwentliziyo.
a. Utyando lwentliziyo lwaBantu Abadala : Olu tyando lunyanga abantu abadala abazelwe beneziphene zentliziyo. Abanye basenokuba neemeko ezingazange zilungiswe, ngelixa abanye banokuba neengxaki zotyando lwangaphambili lobuntwana. Ezi nkqubo zifuna izakhono ezikhethekileyo ukuze zisebenze ngezakhiwo zentliziyo ezintsonkothileyo ezahluka kumntu nomntu.
b. Utyando lwe-Aortic oluntsonkothileyo: Olu tyando lulungisa iingxaki kwimithambo yegazi ephambili yomzimba, i-aorta, ethwala igazi lisuka entliziyweni liye kuwo wonke umzimba. Lunyanga iimeko ezifana ne-aneurysms (amabala abuthathaka), ukukrazuka, okanye iingxaki zemfuza, kusetyenziswa iindlela eziphambili zokutshintsha okanye ukulungisa iindawo ze-aorta.
c. Utyando Lokusilela Kwentliziyo : Kubantu abanesifo sentliziyo esinzima, utyando oluphambili lunokunceda ukulawula iimpawu kunye nokuphucula ukusebenza kwentliziyo. Ezinye iindlela ziquka ukufakwa kwesixhobo sokuncedisa i-ventricular (VAD) ukuxhasa ukupompa kwentliziyo, ukwenza utyando oluntsonkothileyo lokulungisa imeko yentliziyo, okanye ukufakelwa kwentliziyo ukuba kuyimfuneko.
d. Iimeko Zentliziyo Ezivuvukisayo: Kubonelelwa ngononophelo olukhethekileyo kwizifo zentliziyo okanye ukudumba, ezifana ne-endocarditis (usulelo lwevalvu yentliziyo), i-pericarditis (ukudumba okujikeleze intliziyo), kunye ne-myocarditis (ukudumba kwemisipha yentliziyo). Unyango ludibanisa utyando kunye nonyango oluphambili lwezonyango ukunciphisa iimpawu kunye nokukhusela impilo yentliziyo.
e. Iithumba Zentliziyo: Utyando lwethumba lentliziyo lususa ukukhula okungaqhelekanga entliziyweni. Besebenzisa imifanekiso ephucukileyo kunye neendlela zotyando ezichanekileyo, oogqirha basusa ngokukhuselekileyo iithumba ezingezizo ezomhlaza kunye nezomhlaza ngelixa begcina ukusebenza kwentliziyo.
f. UTshintsho lweNtliziyo: Kolu tyando olusindisa ubomi, intliziyo engasebenziyo ithathelwa indawo yintliziyo ephilileyo yomnikeli. Inkqubo ebanzi yokufakelwa kwe-Apollo ixhasa izigulane kuwo onke amanyathelo:
- UVavanyo lwangaphambi kokuTshintsho: Uvavanyo lwezempilo oluneenkcukacha ukuqinisekisa uqhaqho-fakelo olukhuselekileyo noluyimpumelelo.
- Iinketho zeBridge-to-Transplant: : Kwizigulane ezilindele ukutshintshwa kwentliziyo, unyango lwebhuloho ezifana nezixhobo zokuncedisa i-ventricular (VADs) zixhasa umsebenzi wentliziyo, ukuzinzisa izigulane de kubekho intliziyo yomnikeli.
- State-of-the-Art Surgery: Ubuchule obukhethekileyo buqinisekisa utyando oluchanekileyo nolusebenzayo.
- Ukhathalelo lwasemva koTshintsho: Ukuhlolwa rhoqo kunye nenkxaso yonyango ukukhusela iingxaki.
- Ukulandelelwa kwexesha elide: Ukhathalelo lobomi bonke kunye nokubeka iliso kwizigulane zofakelo.
UPHANDO & ICANDELO LOKUFUNDA
Itekhnoloji thina ezisetyenzisiweyo
- Inkqubo yokuThatha
- Technology
1. Biplane Cath-Labs
Iilebhu zethu eziphucukileyo ze-cardiac catheterization (i-cath labs) zisebenzisa oomatshini abakhethekileyo beX-reyi abanokuthatha imifanekiso yentliziyo yakho kwii-engile ezimbini ezahlukeneyo ngaxeshanye. Yicinge nje ngokuba neekhamera ezimbini ezithatha imifanekiso ngaxeshanye kwiindawo ezahlukeneyo. Oku kunika oogqirha imbono epheleleyo ngakumbi intliziyo yakho kunye nemithambo yegazi.
Iingenelo kwizigulane :
- Iimbono eziNgcono, uKhathalelo olungcono: Ii-engile ezininzi zivumela iinkqubo ezikhawulezayo nezikhululekileyo
- UKhuseleko olwandisiweyo: Ukusetyenziswa kwedayi encinci ikhusela impilo yezintso
- Ukuchaneka okukhulu: Ukuchaneka okuphuculweyo ekuhambeni kwezixhobo ezincinci
- Ixesha elifutshane leNkqubo: Ukubonakala ngcono kukhokelela kwiinkqubo ezikhawulezayo
2. 640-Slice CT Scanner
Le scanner yanamhlanje inokuthatha umfanekiso opheleleyo wentliziyo yakho ngaphantsi komzuzwana omnye - ngokoqobo kwisingqi sentliziyo enye. Kufana nokuthatha icwecwe leefoto ze-3D zentliziyo yakho, ngokukhawuleza okukhulu.
Izinto eziluncedo zibandakanya:
- Ngokukhawuleza kwaye Ukhululekile: Ukuskena kuthatha imizuzwana nje
- Imifanekiso eneenkcukacha kakhulu: Yenza imifanekiso ye-3D ecacileyo
- Imitha engaphantsi: Isebenzisa i-radiation encinci kakhulu kuneenguqulelo zangaphambili ze-CT scanners
- Ukufunyanwa Kwangethuba: Uyakwazi ukubona iingxaki zentliziyo phambi kokuba iimpawu zivele
- Ayingeneleli: Akukho naliti okanye iicatheter ezifunekayo
3. I-Advanced Electrophysiology Suite
Le labhoratri ikhethekileyo yenzelwe ukuxilonga kunye nokunyanga iingxaki zesingqi sentliziyo. Ixhotyiswe ngetekhnoloji ephezulu eyenza iimephu ezineenkcukacha ze-3D zesixokelelwano sombane sentliziyo yakho.
Ezona mpawu :
- Imephu ye3D: Yenza "inkqubo yeGPS" eneenkcukacha zomsebenzi wombane wentliziyo yakho
- Ukhokelo Lwexesha Lokwenene: Inceda oogqirha ukuba bahambe baye kwiindawo ezichanekileyo ezibangela iingxaki zesingqi
- Unyango oluchanekileyo: Ivumela unyango ekujoliswe kulo lweentliziyo ezingaqhelekanga
- Iimpawu zoKhuseleko: Iinkqubo zokhuseleko zokunciphisa ukuba sesichengeni ngemitha
- Iinkqubo ezidibeneyo: Zonke izixhobo zisebenza kunye ngaphandle komthungo kukhathalelo olungcono
1. Da Vinci Xi Utyando Robot
Le nkqubo yerobhothi iphucukileyo yenza kube lula ukuchaneka okungaphaya komntu. Iguqulela iintshukumo zesandla sikagqirha wakho zibe ziintshukumo ezincinci, ezichane ngakumbi zezixhobo ezincinci ngaphakathi emzimbeni wakho.
Indlela Enceda Ngayo :
- Izithintelo ezincinci: Uninzi lokusikeka luyi-8mm ubude
- Umbono we-3D HD: Oogqirha babona ngaphakathi entliziyweni yakho kwi-3D ephezulu
- Ukuchaneka okukhulu: Izandla zerobhothi azize zingcangcazele kwaye zinokujikeleza iidigri ezingama-360
- UkuBuyisa ngokukhawuleza: Ukusikeka okuncinci kuthetha intlungu encinci kunye nokuphilisa ngokukhawuleza
- Iziphumo ezingcono: Ukuchaneka okuphuculweyo kudla ngokukhokelela kwiziphumo ezingcono
Yazi ngakumbi
2. ICardiac Critical Care
Iiyunithi zethu zokhathalelo olunzulu zixhotyiswe ngeenkqubo zokuxhasa ubomi obuphambili ukunyamekela izigulane ezineemeko ezimandundu zentliziyo.
Iimpawu eziphambili :
- I-ECMO (I-Extracorporeal Membrane Oxygenation): I-ECMO isebenza njengomatshini wethutyana wentliziyo-yemiphunga onceda izigulana ezinentliziyo nemiphunga ebuthathaka kakhulu okanye egulayo ukuba zisebenze kakuhle.
- Iibhedi ze-ICU: Ezi bhedi zikhethekileyo ziza zixhotyiswe ngezikali ezakhelwe ngaphakathi kunye nezakhono zokubeka ezikumgangatho ophezulu.
- Izijongi eziPhezulu: Ezi zixhobo zihlala zilandelela iimpawu ezibalulekileyo, kubandakanya isingqi sentliziyo, uxinzelelo lwegazi, amanqanaba eoksijini, nokunye.
- Ii-Ventilators: Oomatshini bamva nje bokuxhasa ukuphefumla bayafumaneka xa befuneka.
- Ulawulo losulelo: Oku kubandakanya ukuhluzwa komoya okukhethekileyo kunye neenkqubo zokuvala iintsholongwane ukugcina indawo engqongileyo ekhuselekileyo.
Ukudityaniswa kwe-AI
Sisebenzisa ubukrelekrele bokwenziwa ukomeleza ukhathalelo lwentliziyo ngeendlela ezininzi. Lo ngumaleko owongezelelweyo wobukrelekrele obuxhasa ubuchule beqela lethu lezonyango.
Iimpawu zeTekhnoloji ehlakaniphile :
- Uhlalutyo loMfanekiso oluzenzekelayo: I-AI inceda ngokukhawuleza ukuhlalutya ukuskena kwentliziyo kunye nokuchonga iingxaki ezinokubakho
- Ukuqwalaselwa kwePatheni: Inceda ukuqikelela iingxaki ezinokuthi zenzeke ngaphambi kokuba zenzeke
- UCwangciso loNyango: Unceda oogqirha ekukhetheni olona nyango lusebenzayo ngokusekelwe kwimeko yakho ethile
- 24/7 Ukubeka iliso: Ukubeka iliso ngokuqhubekayo kwizigulane ezibalulekileyo ezinezilumkiso ezizenzekelayo kulo naluphi na utshintsho
- Inkqubo yeProHealth: Inkqubo yokuhlola impilo eyeyakho ekuncedayo ukulandelela inkqubela yakho kunye nokugcina impilo yentliziyo. Inkqubo yethu yeProHealth isebenzisa i-AI uku:
- Yenza izicwangciso zempilo yentliziyo yomntu
- Landela inkqubela yakho ekuhambeni kwexesha
- Thumela izikhumbuzo eziluncedo ngamayeza kunye nokuqeshwa
- Yazisa ugqirha wakho ngayo nayiphi na inkxalabo malunga notshintsho kwimpilo yakho
- Nika iingcebiso zendlela yokuphila esekelwe kwiimfuno zakho ezithile
Oku kudityaniswa kobuchwepheshe obuphambili kunye nobuchule bomntu buqinisekisa ukuba ufumana olona nyango lwangoku, olusebenzayo nolukhuselekileyo lwentliziyo olukhoyo. Isixhobo ngasinye kunye nenkqubo ikhethwe ngokucokisekileyo kwaye idibaniswe ukubonelela ngeziphumo ezingcono kunye namava akhululekile kwizigulane zethu.
Zama ngamandla onke -
Yiba yiProHealth!
Isigulana samazwe ngamazwe iinkonzo
- Inkxaso yokufika kwangaphambili
- Ngexesha lokuhlala kwakho
- Ukhathalelo lwasemva koNyango
- Uphononongo lwamaxwebhu ezonyango: Iqela lethu liphonononga iirekhodi zakho zonyango ukuqonda iimfuno zakho kunye nokwenza isicwangciso sonyango.
- Isicwangciso soNyango: Siyila isicwangciso sokhathalelo esilungiselelwe wena ngokwemeko yentliziyo yakho.
- Uqikelelo lweendleko: Sinikezela ngoqikelelo lweendleko ezicacileyo ukuze sikuncede wenze isicwangciso semali.
- Uncedo lweVisa: Sincedisa ngeemfuno ze-visa kunye nokubonelela ngamaxwebhu ukuxhasa uhambo lwakho lonyango.
Ngelixa useApollo Hospitals, siyaqinisekisa ukuba wena nosapho lwakho niziva nixhaswa ngokupheleleyo:
- Abaququzeleli abazinikeleyo: Uza kuba nomnxibelelanisi wokhathalelo lomntu oza kukukhokela kwinyathelo ngalinye lokuhlala kwakho.
- Inkxaso yoLwimi: Iitoliki eziqeqeshiweyo ziyafumaneka ukuze zikuncede unxibelelane ngokucacileyo neqela lakho lezempilo ngolwimi olukhethayo.
- Ukuqwalaselwa kweNkcubeko: Siyazihlonipha iimfuno zenkcubeko kwaye sinikezela ngeenkonzo ezihambelana nezinto ozikhethayo.
- Indawo yokuHlala yeNtsapho: Sinceda ekufumaneni iinketho zokuhlala ezitofotofo zosapho lwakho .
- Ukuhlaziywa rhoqo: Iqela lethu libonelela ngohlaziyo ngonyango lwakho kunye nokuchacha kwakho ukuze uhlale unolwazi kunye nosapho lwakho.
Emva konyango lwakho, siyaqhubeka ukukuxhasa ukuqinisekisa ukuchacha okuyimpumelelo:
- UCwangciso lokulandelisa: Silungiselela ukuqeshwa okulandelelanayo kunye nothethwano ukujonga ukuchacha kwakho.
- Iinketho zeTelemedicine: Ungahlala unxibelelene noogqirha bethu ngokubonisana okubonakalayo.
- Ukulungelelaniswa nooGqirha belizwe laseKhaya: Sisebenzisana nogqirha wakho wasekhaya ukuqinisekisa ukuba ufumana ukhathalelo olungaguqukiyo.
- Digital Health Records: Fikelela kwiirekhodi zakho zonyango kwi-intanethi ukuze wabelane ngokulula kunye neemfuno zokhathalelo lwexesha elizayo.
yokuzonwabisa IThala leencwadi
- Iingxaki Zentliziyo Eziqhelekileyo
Isibhedlele esiBalaseleyo esikufutshane nam eChennai