ICholecystectomy kwizibhedlele zeApollo, eLucknow

Kutheni Izigulana Zikhetha Izibhedlele zaseApollo eLucknow ukuze Zifumane I-Cholecystectomy?

• Ilifa leqela: Izibhedlele zaseApollo zaqala ngo-1983 njengoluhlu lwezibhedlele zokuqala eIndiya kwaye namhlanje ziqhuba izibhedlele ezingaphezu kwama-70 ezineebhedi ezingaphezu kwe-10,000, nto leyo enika iyunithi yaseLucknow ukufikelela kwiiprotokholi zeklinikhi zeqela liphela, iinkqubo zophicotho-zincwadi kunye neenethiwekhi zoluvo lwesibini.
• Ikhampasi ekhethekileyo eneemfuno ezahlukeneyo eLucknow: Isibhedlele i-Apollomedics Super Specialty, eLucknow, sisibhedlele esikhulu sokhathalelo lwempilo ephakamileyo eKanpur, eLucknow Road, esineenkonzo zongxamiseko ezisebenza imini nobusuku, unyango olungxamisekileyo kunye nenkxaso yebhanki yegazi - kubalulekile kuba inxalenye yeemeko zenyongo zibonakala njengeengxamiseko ezingxamisekileyo kunokuba zibe lutyando olucwangcisiweyo.
• Utyando oluqhelekileyo nolwe-GI olusekelwe kwiqela: Utyando lweCholecystectomy e-Apollo Lucknow luphathwa liqela loogqirha abaqhelekileyo, abasebenzisa i-laparoscopic kunye nabasebenzisa amathumbu besebenza kunye neengcali ze-gastroenterologists, iingcali ze-anaesthesiologists kunye neengcali ze-intensivists. Inani loogqirha abakwi-rota esebenzayo kunye neminyaka yabo yamava idweliswe kumaphepha esibhedlele athi "Fumana uGqirha" kwaye linokuqinisekiswa ngexesha lokubhukisha.
• Ukufikelela okuncinci njengokungagqibekanga: Indlela eqhelekileyo yokuhlinzwa kwe-laparoscopic ene-port ezine kunye ne-reduced-port laparoscopic cholecystectomy, apho i-anatomy, i-dense adhesions okanye ukopha ziyenza ibe lolona khetho lukhuselekileyo.
• Inkxaso kwi-gallbladders ezinzima: I-endoscopy kwindawo ye-ERCP, i-cholangiography yangaphakathi kotyando apho kubonisiwe khona, i-radiology ene-ultrasound, i-CT kunye ne-MRCP, kunye ne-HPB/hepatology backup yamatye arhanelwayo e-bile duct okanye ukwenzakala kwe-bile duct.
• Ukhathalelo kumaqela eminyaka: Iiprotokholi zabantu abadala, kwizigulana ezindala ezineengxaki zentliziyo, zezintso okanye zeswekile, kunye nakubantu abaselula kunye nabantwana abane-gallstones ezinxulumene nesifo se-hemolytic, apho kulungiswa khona i-anesthesia yabantwana kunye nokufakwa kwabantwana.
• Iingcebiso ezisebenzayo, eziphathelele ukuvuselelwa kwempilo eIndiya: Isikhokelo sigubungela ukuhlala phantsi, ukuhlala phantsi ngemilenze enqamlezileyo, izindlu zangasese ezifana nezaseIndiya, ukulala phantsi, imisebenzi yasetempileni neyasekhaya, kunye nendlela abanakekeli bentsapho abanokunceda ngayo kwiiveki ezimbini zokuqala.
• Idesika ye-inshurensi kunye ne-TPA ekhampasini ukugunyaziswa kwangaphambili ngaphandle kwemali, kunye noncedo lwezigulane ezihamba zivela kwizithili ezikulo lonke elase-Uttar Pradesh.

Asithembisi siphumo sithile. Esizibophelelayo kukuvavanya ngokunyanisekileyo ukuba uyaludinga na utyando, ingcaciso ecacileyo ngeengozi, kunye neziseko zokulawula iingxaki ukuba ziyenzeka.

isishwankathelo

I-Cholecystectomy, ukususwa kwenyongo ngotyando, yinkqubo eqhelekileyo kodwa ebalulekileyo kubantu abanengxaki enxulumene nenyongo. Kwizibhedlele zase-Apollo eLucknow, sizingca ngegama lethu lokugqwesa kwezempilo, sisebenzisa ubuchwepheshe bangoku kunye neendlela zotyando eziphambili ukuxhasa iziphumo ezilungileyo kwizigulane zethu. Ngeqela loogqirha abanobuchule kunye nokuzibophelela ekunyamekelweni komntu ngamnye, izibhedlele zase-Apollo eLucknow lukhetho olusele lukhona lwe-cholecystectomy kulo mmandla. Izigulana zethu azisithembi nje kuphela ngobuchule bethu kwezonyango kodwa nangendlela yethu yobubele kwimpilo.

Kutheni iCholecystectomy iyimfuneko

Ukususwa kwe-Cholecystectomy kudla ngokuba yimfuneko kwizigulana ezine-gallstones, ukudumba kwe-gallbladder (cholecystitis), okanye ezinye iingxaki ezinxulumene ne-gallbladder. Ukususwa kwe-gallstones kunokukhokelela kwiintlungu ezinzima, iingxaki zokugaya ukutya, kunye neengxaki ezifana ne-pancreatitis okanye usulelo. Ngokususa i-gallbladder, sinokunciphisa ezi mpawu kwaye sinciphise umngcipheko weengxaki ezingaphezulu. Le nkqubo idla ngokwenziwa nge-laparoscopically, oko kuthetha ukusikwa okuncinci, iintlungu ezincinci, kunye namaxesha okuchacha ngokukhawuleza kwizigulane ezininzi. Kwizibhedlele zase-Apollo eLucknow, siqinisekisa ukuba isigulana ngasinye sifumana uvavanyo olupheleleyo ukuze siqinisekise ukuba i-cholecystectomy ichazwe ngokwenene na, silungelelanisa indlela esisebenza ngayo neemfuno zomntu ngamnye.

Imingcipheko yokuLibazisa

Ukulibazisa i-cholecystectomy xa kubonisiwe ukuba iyasebenza kunokukhokelela kwiingozi ezinkulu zempilo. Amatye enyongo anokubangela i-cholecystitis ebukhali, ekhokelela kwiintlungu zesisu, umkhuhlane, kunye neengxaki ezinokubakho ezifana nokugqobhoka kwenyongo okanye usulelo. Ezi meko zinokufuna utyando olungxamisekileyo, olunokuba nzima ngakumbi kwaye luthwale iingozi eziphezulu kunenkqubo ecwangcisiweyo. Kwizibhedlele zaseApollo eLucknow, sigxininisa ukubaluleka kokungenelela ngexesha elifanelekileyo. Iqela lethu lijolise ekunikezeni unyango olukhawulezileyo, ukuze izigulana zinyangwe ngaphambi kokuba kuvele iingxaki ezinokuphepheka.

Iinzuzo zeCholecystectomy

Ukususwa kwe-cholecystectomy kunokuphucula kakhulu umgangatho wobomi kubantu abaneempawu ze-gallstones. Izigulana ezininzi zifumana isiqabu kwiintlungu eziphindaphindiweyo kunye neempawu zokugaya ukutya emva kwenkqubo. Ukususwa kwe-gallbladder kudla ngokuphelisa umjikelo wokuhlaselwa yi-biliary colic, okuvumela abantu ukuba babuyele kwimisebenzi eqhelekileyo ngaphandle kokoyika iintlungu eziqatha ngequbuliso. Ezinye izigulana zikwaxela ukuba ukutya kuvakala kulula emva koko, nangona imbinana ibona isitulo esikhululekileyo okanye ukunganyamezelani kwamafutha kangangexesha elithile. Kwizibhedlele zase-Apollo eLucknow, asigxilanga nje kwinkqubo yotyando kodwa nasekuphileni ngokupheleleyo, siqinisekisa ukuba izigulana zifumana inkxaso eziyidingayo kulo lonke uhambo lwazo.

Ukulungiselela kunye noBuyiselo

Ukulungiselela i-cholecystectomy kubandakanya amanyathelo abalulekileyo okuqinisekisa amava otyando agudileyo. Nanga amanye amacebiso asebenzayo:

1. Ukubonisana: Cwangcisa intlanganiso epheleleyo noogqirha bethu baseApollo Hospitals eLucknow. Baza kuvavanya imeko yakho, baxoxe ngenkqubo, baze baphendule nayiphi na imibuzo onokuba nayo.
2. Imiyalelo yangaphambi koqhaqho: Landela nayiphi na imiyalelo yangaphambi kotyando enikiweyo liqela lakho lezempilo, enokubandakanya imiqathango yokutya kunye nokulungiswa kwamayeza.
3. Lungiselela uthutho: Ekubeni uya kuba phantsi kwe-anesthesia, lungiselela ukuba umntu akuqhubele ekhaya emva kwenkqubo.
4. Unonophelo lwasemva kokusebenza: Emva kotyando, landela icebiso logqirha wakho malunga namanqanaba omsebenzi, ukutya, kunye nokunyamekela amanxeba. Ukuphumla kubalulekile ukuze uphile.
5. Ukuqeshwa kokulandelela: Yiya kuzo zonke iintlanganiso zokulandelela ezicwangcisiweyo ukuze ukuchacha kwakho kujongwe kwaye naziphi na iingxaki zijongwe.

Kwisibhedlele sase-Apollo eLucknow, sibeka phambili ukuchacha kwakho ngokukunika ukhathalelo olubanzi lwasemva kotyando kunye nenkxaso, siqinisekisa ukuba unezixhobo ozifunayo ukuze uphile ngempumelelo.

Oko Kuthethwa Zizikhokelo Zangoku

Ukwenziwa kwezigqibo e-Apollo Lucknow kuhambelana nesikhokelo esishicilelweyo selizwe nesamazwe ngamazwe kunokuba kukhethwe ngoogqirha kuphela:

• Izikhokelo zaseTokyo zika-2018 (TG18) Ihlala iyindlela esisiseko yokuxilonga nokuvavanya i-acute cholecystitis kunye ne-acute cholangitis. I-TG18 iyaxhasa i-cholecystectomy yokuqala ye-laparoscopic kwiBanga loku-1 kunye neBanga lesi-2 le-cholecystitis ebukhali ekhethiweyo kwizigulana ezisempilweni, endaweni yendlela endala yokuphola rhoqo nokuhlinzwa emva kweeveki ezintandathu. KwiBanga lesi-3 (ukungasebenzi kakuhle kwamalungu omzimba) okanye kwizigulana ezisengozini enkulu, i-TG18 ixhasa ukuphuma kwamanzi okukhawulezileyo kwi-gallbladder (i-percutaneous cholecystostomy) kuqala, emva koko kwenziwe utyando kamva.
• Izikhokelo zeWorld Society of Emergency Surgery (WSES) zika-2020 kwi-acute calculous cholecystitis ngokufanayo bacebisa utyando lwakwangoko, ngokufanelekileyo zingadlulanga iintsuku ezisixhenxe emva kokuba iimpawu ziqalile kwaye zingadlulanga iintsuku ezilishumi emva kokuba bengeniswe apho kunokwenzeka khona, kwaye baxhase "umbono obalulekileyo wokhuseleko" kunye ne-subtotal cholecystectomy okanye ukuguqulwa njengeendlela ezikhuselekileyo zokunceda kwi-gallbladder enzima.
• Isikhokelo sokuziqhelanisa saseIndiya: The Umbutho wamaNdiya wooGqirha beSisu (IAGES) ipapashe iingcebiso ezivumelanayo kunye neengcebiso zokususwa kwe-cholecystectomy ekhuselekileyo kwimisebenzi yaseIndiya, kunye Umbutho wooGqirha baseIndiya (ASI) Incwadi yesikhokelo kunye nezixhobo ze-CME nazo zigxininisa i-laparoscopy njengendlela eqhelekileyo, uxwebhu oluyimfuneko lombono obalulekileyo wokhuseleko, kunye nomda ophantsi we-cholangiography okanye ukuguqulwa kwangaphakathi kotyando. Umbutho waseIndiya weGastroenterology kwaye I-INASL Isikhokelo sibalulekile apho amatye enyongo ahlala khona kunye ne-pancreatitis okanye isifo sesibindi esinganyangekiyo.
• Isilumkiso somhlaza wenyongo esijoliswe kuMntla India: Ibhanti yaseGanga, kuquka i-Uttar Pradesh kunye neBihar, inesinye sezona ziganeko ziphezulu zomhlaza wenyongo kwihlabathi liphela. Ngoko ke, amaziko otyando aseIndiya acebisa ukuba kubekho umda ophantsi wotyando kwizigulane ezinenyongo ende enodonga oluqinileyo okanye olune-calcified (porcelain), ii-polyps eziyi-10 mm nangaphezulu, ii-polyps ezikhulayo, okanye ii-gallstones ezinkulu kune-3 cm. Le ngozi yengingqi sisizathu sokwenyani nesihlala singaxoxwa kangako sokuba isigulane saseLucknow sinokucetyiswa ukuba sityandwe nokuba sineempawu ezincinci.
• Amatye angenazo iimpawu ("athuleyo"): Isikhokelo sihlala sicebisa ukuba kungabikho utyando oluqhelekileyo lwamatye angathethiyo kubantu abadala abasempilweni, ngaphandle kweempawu zomngcipheko ezingentla, nakubantu abane-hemolytic anemia, okanye abo benza olunye utyando lwesisu.

Ubungqina kwezinye iindawo busatshintsha - umzekelo, inzuzo echanekileyo yotyando lwe-cholangiography oluqhelekileyo, kunye neziphumo zexesha elide ze-subtotal cholecystectomy - ngoko ke iingcebiso ziyasetyenziswa ngokugweba kwezonyango kwaye zixoxwe nawe.

Ixesha lotyando kunye neSigaba sangaphambi kwenkqubo

Xa utyando lucwangcisiwe

• Ungxamiseko / ukwamkelwa okufanayo: I-cholecystitis ebukhali, i-gallstone pancreatitis ethe yahlala, i-jaundice ethintelayo ene-cholangitis emva kokuphuma kwenyongo, okanye ukugqobhoka kwenyongo.
• Ukukhetha kwangethuba (iintsuku ukuya kwiiveki ezimbalwa): I-biliary colic ephindaphindayo, uhlaselo lokuqala olubi, okanye emva kwe-ERCP yamatye e-bile duct - ukushiya i-gallbladder isendaweni yayo emva kwe-ERCP kunomngcipheko omkhulu wokuhlaselwa kwakhona.
• Iiveki zokukhetha ezicwangcisiweyo: I-cholecystitis engapheliyo, ii-polyps zenyongo ezijongwayo, izigulane ezifuna ukuphuculwa kwesifo seswekile, i-anemia, uxinzelelo lwegazi okanye imeko yentliziyo kuqala.
• Irhoxisiwe: Ikota yokuqala okanye ikota yesithathu ekupheleni kokukhulelwa apho iimpawu zinokulawuleka, i-sepsis esebenzayo engalawulwayo evela komnye umthombo, okanye xa ixesha lokuphola emva kohlaselo oluqatha likhuselekile.

Ukulungiselela kwangaphambili inkqubo

• Isisu se-ultrasound lolona vavanyo luphambili; i-MRCP okanye i-ultrasound ye-endoscopic yongezwa ukuba kukho amatye e-bile duct arhanelwayo. I-CT isetyenziselwa iimeko ezinzima okanye ezirhanelekayo.
• Uvavanyo lwegazi: inani elipheleleyo legazi, ukusebenza kwesibindi, i-amylase okanye i-lipase, ukusebenza kwezintso, iswekile yegazi kunye ne-HbA1c, iprofayili yokujiya kwegazi, iqela legazi, iimpawu zentsholongwane.
• Uvavanyo lwentliziyo kunye nolwe-anesthetic: I-ECG, ukuthathwa kwemifanekiso yesifuba apho kubonisiwe khona, i-echocardiography kwizigulane ezindala okanye abo banembali yentliziyo; ukujonga ukucoca ikliniki ngaphambi kokuba kwenziwe i-anesthetic.
• Amayeza: amayeza okunciphisa igazi afana ne-aspirin, i-clopidogrel, i-warfarin okanye amayeza okuthintela ukugabha kwegazi amatsha kufuneka kuxoxwe ngawo kwangethuba kwaye kumiswe kuphela emva kokufumana iingcebiso zonyango. I-Metformin, i-SGLT2 inhibitors kunye needosi ze-insulin zilungiswa malunga nokuzila ukutya.
• Ukuzila ukutya: ngokubanzi akukho zinto ziqinileyo kangangeeyure ezintandathu ukuya kwezisibhozo kwaye ulwelo olucacileyo luyekile malunga neeyure ezimbini ngaphambi kokuba kusetyenziswe i-anesthesia, njengoko kuyalelwe yingcali yakho ye-anesthesia.
• Yeka ukutshaya kwaye usebenzise icuba okanye i-gutkha kwangethuba ngaphambi kotyando; oku kunciphisa ngokulinganisela iingxaki zesifuba namanxeba.
• Nyanga i-anemia kwangaphambili apho kunokwenzeka khona - ixhaphakile kwizigulane zaseMntla Indiya kwaye ichaphazela ukuchacha.

Iinketho Zobuchule Zithelekiswa

Iinkqubo Ngamanye amaxesha zenziwa ngexesha elinye

• I-Intraoperative cholangiography okanye i-laparoscopic ultrasound ukuzoba imephu yemibhobho yenyongo xa umzimba ungacacanga okanye kurhanelwa amatye emibhobho.
• Ukuhlolwa kwe-common bile duct ye-laparoscopic kwiimeko ezithile zamatye emisele, ukuphepha i-ERCP eyahlukileyo.
• Ukulungiswa kwe-hernia encinci, i-epigastric okanye i-incision encinci ye-umbilical ifunyenwe kwindawo enye.
• I-biopsy yesibindi xa isifo sesibindi esingapheliyo okanye isibindi esinamafutha sifuna ukuvavanywa kwaye kukhuselekile ukwenza njalo.
• I-appendicectomy kuphela xa kukho uphawu olucacileyo, kungekhona rhoqo.
• Adhesiolysis kwizigulane ezatyandwa isisu ngaphambili.
• Ucwangciso lokususwa kwecandelo eliqandisiweyo okanye ukususwa okwandisiweyo Ukuba kukho umhlaza wenyongo ongalindelekanga okrokrelwayo ngexesha lotyando, yinto yokwenyani ekufuneka iqwalaselwe kweli candelo. Utyando lomhlaza oluqinisekileyo ludla ngokwenziwa emva kovavanyo olupheleleyo.

Ukubuyiselwa Kwenqanaba Ngenqanaba

Amanqaku omsebenzi othile eIndiya

• Iindawo zangasese zokuzihlalela phantsi kunye nezindlu zangasese zesitayile samaNdiya: Uninzi lwabantu luyakwazi ukujongana nentlungu emva kweveki enye ukuya kwezimbini nge-laparoscopy, ixesha elide emva kotyando oluvulekileyo. I-commode okanye isitulo seplastiki esiphakanyisiweyo esikufutshane sinceda kwiiveki ezimbini zokuqala. Kuphephe ukuzibhokoxa - cela isithambisi sesisu ukuba unesithukuthezi.
• Ukuhlala phantsi unxibe imilenze enqamlezileyo: Ihlala ikhululekile kwiiveki ezimbini ukuya kwezintathu. Sebenzisa umqamelo kunye nokunyuka usebenzisa udonga okanye isitulo endaweni yokuzivocavoca ngesiquphe esiswini.
• Ukulala phantsi: Kuyamkeleka, kodwa intshukumo yokuvuka iyasicinezela isisu. Kwiveki yokuqala, qengqeleka ecaleni uze utyhale iingalo zakho, okanye ulale kwibhedi eqinileyo ukuba ikhona.
• Umsebenzi wasekhaya: Ukutshayela, ukucofa, ukucola amanzi, ukukha amanzi kunye nokuthwala abantwana esinqeni kufuneka kulinde malunga neeveki ezimbini ukuya kwezintathu. Kulapho inkxaso-mali yosapho kunye nentsapho ibaluleke khona - cwangcisa kwangaphambili ukuba ngubani oza kujongana nekhitshi kunye nemisebenzi yesikolo.
• Uhambo oluneevili ezimbini: Kuphephe ukuhamba ngebhayisekile okanye ngenqwelomoya kwiindlela ezinzima kangangeeveki ezimbini ukuya kwezintathu; izixhobo zokunciphisa isantya kunye neemingxuma zivala iindawo zezibuko.

Imigaqo yokubuyela emsebenzini, kwezemidlalo nakwimisebenzi enzima

Ixesha lodwa alilovavanyo. Buyela xa unokuthi ewe ngokunyanisekileyo kuzo zonke ezi zinto:

• Iintlungu zilawulwa ngaphandle kweyeza elinamandla lokudambisa iintlungu.
• Amanxeba omile, avalekile kwaye akabomvu, akashushu okanye akakhuphi gazi.
• Uyakwazi ukuhamba imizuzu engama-20 ukuya kwengama-30, ukunyuka izinyuko kunye nokukhohlela ngaphandle kwentlungu ebukhali.
• Ukutya ukutya okuxutyiweyo okuqhelekileyo ngaphandle kokuhlanza; amathumbu ahlala ezinzile.
• Akukho mkhuhlane, kwaye akukho nyongo okanye umchamo omnyama.
• Kubaqhubi: bayakwazi ukuma ngexesha likaxakeka baze bajike ukuze bajonge iindawo abangaziboniyo.
• Kwijimu, i-kabaddi, ikhilikithi, umsebenzi we-wrestling okanye umsebenzi onzima wezandla: kugqitywe emva kokulandela, ngesiqhelo emva kweeveki ezine ukuya kwezintandathu ze-laparoscopy kunye neeveki ezintandathu ukuya kwezilishumi elinesibini emva kotyando oluvulekileyo, ukwandisa umthwalo kancinci kancinci endaweni yokuphinda uqalise ngamandla apheleleyo.

Ukuthintela Iingxaki Emva Kokususwa Kwesinyi Senyongo

Inyongo ayikwazi ukuphinda yakhe amatye, kodwa amatye emibhobho yenyongo kunye nezinye iingxaki zokugaya ukutya zisenokubakho. Amanyathelo afanelekileyo:

• Yitya ukutya rhoqo; ukuzila ukutya ixesha elide uze emva koko utye ukutya okuqhotsiweyo kakhulu yeyona nto ibangela ukungakhululeki. Ukuzila ukutya kwendabuko okulandelwa kukutya okutyebileyo kudla ngokubangela iimpawu - susa ukutya okutyiwayo endaweni yoko.
• Nciphisa ukutya okuthosiweyo, i-ghee enzima, i-malai, amafutha egusha kunye ne-gravies esekwe kwikhrimu kwiiveki ezimbalwa zokuqala, uze ubuyisele kancinci kancinci ngokwendlela onyamezela ngayo.
• Yongeza ifayibha enyibilikayo - ii-oats, ii-dals, iziqhamo, i-isabgol ukuba kucetyiswa - oko kunceda ukuba indle ikhululekile.
• Yehlisa umzimba ngokuthe chu kunokuba utye ngendlela engafanelekanga; ukunciphisa umzimba ngokukhawuleza kukhuthaza ukwakheka kwamatye kwimibhobho yenyongo.
• Lawula isifo seswekile kwaye unyange ama-triglycerides aphezulu.
• Hlala usempilweni; imizuzu engama-30 yokuhamba ngokukhawuleza uninzi lweentsuku yanele.
• Xela nakuphi na ukuphinda kwentlungu efanayo yesisu esingaphezulu ngasekunene, i-jaundice okanye indle ekhanyayo - ilitye eligciniweyo okanye elitsha lombhobho liyanyangwa, ngesiqhelo yi-ERCP.
• Yiya kwingxelo yakho ye-histopathology. Le yindlela umhlaza we-gallbladder oqala ngayo ufunyaniswa, kwaye lelona nyathelo libalulekileyo lokulandela kule ndawo.

Abantwana, Abantu Abadala kunye nezinye iimeko ezikhethekileyo

Abantwana kunye nentsha

Amatye enyongo ebantwaneni adla ngokunxulunyaniswa neemeko ze-hemolytic ezifana ne-thalassemia, isifo se-sickle cell okanye i-heritage spherocytosis, okanye ukutyeba kakhulu kunye nokutya okuhlala ixesha elide nge-intravenous. I-Laparoscopic cholecystectomy iyanyamezela kakuhle, kwaye kwisifo se-hemolytic ingadityaniswa ne-splenectomy ngendlela ecwangcisiweyo, kunye neendlela zokugonya kunye nokufakwa kwegazi ezicwangcisiweyo kwangaphambili. Inkxaso ye-anesthesia yabantwana kunye neengcebiso zabazali zibalulekile.

Abantu abadala abadala

Izigulane ezindala zihlala zineempawu ezimbalwa kodwa zineengxaki ezininzi, kwaye ukugula okuhambisana noko kuqhuba umngcipheko ngaphezu kokwaluphala ngokwako. Uvavanyo olucokisekileyo lwentliziyo, lwezintso nolwesondlo, ukuhamba kwangethuba, unyango lwesifuba, ukuthintela i-delirium kunye nokuhlolwa kwe-blood thinners kubalulekile. Kwizigulane ezibuthathaka kakhulu, ukukhupha i-cholecystostomy drain okanye ulawulo olungasebenziyo lunokuba lolona khetho lulumkileyo, ukwamkela umngcipheko wokuphinda ubuye.

Ukukhulelwa

Iimpawu ze-gallstones xa ukhulelwe ziphathwa ngotyando ngakumbi, kungcono kwi-trimester yesibini, ngokulawulwa kunye nokubeleka. Ukuhlaselwa okuphindaphindiweyo xa ukhulelwe kuneengozi zako, ngoko ke isigqibo sithathwa ngumntu ngamnye.

Isifo seswekile, ukutyeba kakhulu, isifo sokuqina kwesibindi kunye nokuthintela ukugabha kwegazi

Abantu abanesifo seswekile banokufika kade benosulelo olukhulu; ukutyeba kakhulu kwenza utyando lube nzima ngakumbi; isifo sesibindi kunye noxinzelelo lwegazi oluphezulu lwe-portal kuphakamisa umngcipheko wokopha kwaye kufuneka ulwazi lwe-hepatology; izigulana ezichasene nokuqina kwegazi zifuna isicwangciso sokuvala esibhaliweyo. Zonke ezi zizizathu zokucwangcisa kunokulibazisa kude kube yingxamiseko.

Ukuba Ugqiba Ukuba Ungenzi Utyando

Ukwala okanye ukulibazisa utyando lukhetho olufanelekileyo, kwaye kufuneka lube lolwazi oluchanekileyo.

• Amatye angathethiyo ngokwenene angenazo iimpawu zomngcipheko asenokungabangeli ngxaki; malunga nomntu omnye ukuya kwabababini kwikhulu ngonyaka babonakalisa iimpawu.
• Wakuba uhlaselwe yintlungu yenyongo kanye, ezinye izihlaselo ziqhelekile - uninzi lwezigulane luphinda lube nesinye isiganeko kunyaka omnye okanye emibini.
• Iziphumo ezinokubakho zokulinda ziquka i-acute cholecystitis, i-gallbladder empyema okanye ukugqobhoka, amatye atyibilikayo kwi-bile duct abangela i-jaundice okanye i-cholangitis, i-gallstone pancreatitis, kunye ne-gallstone ileus engaqhelekanga.
• Utyando olungxamisekileyo kwisisu esivuvukileyo lunezinga eliphezulu lokuguquka lube lutyando oluvulekileyo, ukwenzakala kombhobho wenyongo, ukuhlala ixesha elide kunye neendleko eziphezulu kunotyando olucwangcisiweyo.
• Ngokukodwa e-Uttar Pradesh, amatye asele ekho kunye nenyongo evuvukeleyo rhoqo zinxulunyaniswa nomhlaza wenyongo, odla ngokufunyaniswa sele kudlule ixesha ukuba unganyangeki.
• Amayeza anjenge-ursodeoxycholic acid anyibilikisa amatye amancinci e-cholesterol kancinci kancinci, asebenza kancinci, kwaye amatye adla ngokubuya emva kokuba eyeke.
• Ukuba ukhetha ukulinda, vumelanani ngesicwangciso: yazi imiqondiso yesilumkiso, gcina iingxelo zakho ze-ultrasound, kwaye ubuye ngokukhawuleza ukuba kukho intlungu, umkhuhlane okanye i-jaundice.

Yintoni Echaphazela Iindleko Ze-Cholecystectomy

Asipapashi amaxabiso apha, kuba inani lokugqibela lixhomekeke kwimeko yakho yezonyango. Nceda ucele i-Apollo Lucknow billing okanye i-inshorensi desk ukuba ikunike uqikelelo olubhaliweyo oluqondene nawe.

I-inshurensi, Unyango olungenamali kunye nomsebenzi wamaphepha eIndiya

• I-Cholecystectomy idla ngokuba yinkqubo yotyando egqunyiweyo phantsi komshuwalense wezempilo oqhelekileyo, njengoko ufuna ukulaliswa esibhedlele. Utyando lwe-laparoscopic lokunakekelwa kwasemini nalo lugutyungelwe ngokubanzi, kodwa qinisekisa oku kumagama epolisi yakho.
• Amaxesha okulinda abalulekile. Uninzi lwemigaqo-nkqubo yaseIndiya inexesha lokulinda lokuqala elimalunga neentsuku ezingama-30 zokugula, kwaye uninzi ludwelisa amatye enyongo kunye notyando lwenyongo phakathi ukungabandakanywa kwizifo ezithile kunye nexesha lokulinda leminyaka emibini (ngamanye amaxesha unyaka omnye, emithathu okanye emine kuxhomekeke kumnini-inshorensi). Ukuba ipolisi yakho intsha, buza umniki-inshorensi wakho ngokubhaliweyo ngaphambi kokuba ucwangcise utyando lokuzikhethela.
• Iziqendu zesifo esele zikhona: Ukuba amatye enyongo abhalwe phantsi ngaphambi kokuba uthenge ipolisi, ixesha lokulinda elisele likho - lidla ngokuba yiminyaka emibini ukuya kwemine, kwaye ukuya kuthi ga kwiminyaka emithathu phantsi kwemigaqo yangoku yemigaqo-nkqubo emitsha - lingasebenza.
• Ukhuseleko olucwangcisiweyo xa kuthelekiswa nolwengozi: Utyando lwenyongo phantse luhlala lucwangcisiwe okanye lungxamisekileyo kugula ibango, hayi ibango lengozi. Iipolisi zengozi yomntu aziligubungeli. Ukuba ubambe kuphela umntu okwingozi yomntu okanye umntu onesifo esibuhlungu, jonga ukuba yintoni ekufanele ihlawulwe.
• Indlela engenamali: Yabelana ngekhadi lakho lempilo, inombolo yepolisi kunye ne-ID enefoto nedesika yeinshorensi ye-Apollo ngaphambi kokungeniswa. Isibhedlele sithumela isicelo semvume kwangaphambili kunye nokuxilongwa, inkqubo ecwangcisiweyo kunye noqikelelo kwi-inshorensi yakho okanye kwi-TPA. Amatyala acwangcisiweyo kungcono aqaliswe kwiintsuku ezintathu ukuya kwezisixhenxe zokusebenza kwangaphambili; iimeko ezingxamisekileyo zicutshungulwa emva kokungeniswa.
• Indlela yokubuyisela imali: Zihlawulele uze ufake ibango kamva. Gcina isishwankathelo sokukhululwa, ityala lokugqibela kunye nokwahlukana, irisithi zentlawulo, iingxelo zophando, ii-invoyisi ezifakwe okanye ezisetyenziswayo, ingxelo ye-histopathology kunye nemiyalelo.
• Oko kungahlawulwa rhoqo: Izinto ezisetyenziswayo ezingezizo ezonyango, iindleko zomqeshwa, irenti yegumbi elingaphezulu kodidi lwakho olufanelekileyo, iidiphozithi zokungena, kunye nokutsalwa kwemali elinganayo apho kusebenza khona umda werenti yegumbi.
• Izicwangciso zikarhulumente kunye neenkampani: Nokuba u-Ayushman Bharat PM-JAY, CGHS, ECHS, iinkqubo zikarhulumente okanye uqhagamshelo lwenkampani yomqeshi wakho luyasebenza kwaye luyasebenza kwesi sibhedlele, kunye nayo nayiphi na intlawulo edibeneyo ebandakanyekayo, kufuneka iqinisekiswe ngokuthe ngqo kwidesika yeinshorensi ngaphambi kokungeniswa, kuba imeko ye-enshorensi inokutshintsha.

Ukucwangcisa ukungena kwakho kunye noko uza kuzisa

• Isazisi esinefoto karhulumente kunye nekopi, kunye nesomntu oza kukusebenzela.
• Ikhadi le-inshurensi, uxwebhu lomgaqo-nkqubo, iinkcukacha ze-TPA kunye nayo nayiphi na incwadi yogunyaziso lwangaphambili.
• Zonke iiresiphi zangaphambili, iifilimu ze-ultrasound kunye ne-MRCP, iingxelo zegazi, i-ECG, kunye nokususwa kwe-pre-anesthetic.
• Uluhlu olubhaliweyo lwamayeza onke aneedosi, kuquka izongezo ze-ayurvedic, ze-homeopathic okanye ze-herbal - ezinye zichaphazela ukopha kunye ne-anesthesia.
• Impahla yekotoni evulekileyo ngaphambili, itshali okanye i-dupatta, izihlangu ezineentambo zokubamba, kunye nebhegi encinci yokuhlamba.
• Iispectacles, i-denture case, i-inhaler, i-glucometer okanye umatshini we-CPAP ukuba usebenzisa enye.
• Itshaja, ibhanki yamandla, kunye nemali encinci okanye ikhadi leengozi.
• Umntu omdala omnye onokuthenjwa ubuncinane kwiiyure ezingama-24 zokuqala, kwaye kungcono ukuba uncede ekhaya iveki yonke.
• Shiya ubucwebe, igolide kunye nezinto ezixabisekileyo ekhaya. Susa ipolishi yeenzipho kunye ne-makeup njengoko kucetyisiwe.
• Lungiselela imoto yohambo oluya ekhaya. Kuphephe ukucwangcisa ukuphuma ebusuku ukuba uhlala kude.

Iimpawu Zesilumkiso Ezifuna Uphononongo Olungxamisekileyo

Nxibelelana nesibhedlele okanye uye kwicandelo likaxakeka ukuba, emva kotyando, ufumanisa:

• Umkhuhlane ongaphezulu kwama-38°C okanye ama-100.4°F, okanye ukungcangcazela.
• Iintlungu zesisu eziqatha okanye ezikhulayo endaweni yokuba iintlungu ziphucuke kancinci kancinci.
• Amehlo okanye ulusu olumthubi, umchamo omnyama, okanye ilindle elimthubi, elinombala wodongwe.
• Ukugabha okuzingisileyo okanye ukungakwazi ukugcina ulwelo phantsi.
• Ukuphuma kwencindi enxebeni okunombala wenyongo, okuluhlaza okanye okungcolileyo, okanye ukusasazeka kobomvu nokudumba.
• Isisu esiqinileyo nesivuvukileyo esingenandlela yokungena kwendle okanye umoya.
• Ukuphefumla nzima, iintlungu zesifuba, okanye iintlungu zethole kunye nokudumba.
• Ukopha igazi kwindawo ethe tyaba, okanye ukuquleka kunye nokubetha kwentliziyo.
• Akukho mchamo udlulayo kangangeeyure ezininzi, okanye uphawu lokozela nokudideka.

Ngaphambi kotyando, umthetho ofanayo usebenza kwiintlungu eziqatha zesisu esingaphezulu ezinomkhuhlane okanye i-jaundice - ukuba indibaniselwano akufuneki iphathwe ekhaya.

Kwabaguli Abahambayo Abavela Kwizithili Nezixeko Ezikufutshane

I-Lucknow yindawo yokuthunyelwa kumbindi kunye nempuma ye-Uttar Pradesh. Izigulane ziqhele ukuhamba ukusuka eBarabanki, eSitapur, e-Hardoi, e-Unnao, e-Kanpur, e-Rae Bareli, e-Lakhimpur Kheri, e-Bahraich, e-Gonda, e-Faizabad?

• Thumela iingxelo kwangaphambili. Yabelana nge-ultrasound yakho, iingxelo zegazi kunye nemiyalelo ngaphambi kokuba uhambe ukuze udliwanondlebe lube nempumelelo kwaye uvavanyo oluphindaphindwayo luncitshiswe.
• Cwangcisa indlela yokutyelela abantu ababini apho kunokwenzeka: utyelelo olunye ukuze kudityanwe kwaye kwenziwe uvavanyo, uze ungene ngomhla oqinisekisiweyo, endaweni yokuhamba ngokuphindaphindiweyo.
• Uhlahlo-lwabiwo mali lokuhlala malunga neentsuku ezintathu ukuya kwezintlanu malunga nenkqubo ecwangcisiweyo ye-laparoscopic ukuvumela ukuhlolwa kwangaphambi kokwenza i-anesthetic kunye nokuhlolwa kokuqala kwenxeba, kwaye kube lixesha elide kutyando oluvulekileyo okanye olunzima.
• Ukuhlala komlungiseleli: Buza idesika yoncedo malunga neendawo zokuhlala zeendwendwe kunye neendawo zokuhlala ezikufutshane; musa ukuthembela ekuhlaleni ubusuku bonke ewadini ngaphandle kokuba kuvunyelwe kudidi lwegumbi lakho.
• Buyela kuhambo: Khetha isihlalo semoto okanye sikaloliwe esibekelwe ecaleni kunokuqhuba iibhasi ezinde kwiindlela ezinzima kwiiveki ezimbini zokuqala. Phumla uhambo olude uze uhambe ngeenyawo rhoqo emva kweyure okanye ezimbini ukunciphisa umngcipheko wokuqhekeka kwegazi.
• Ugcino lwendawo: Ngaphambi kokuba uphume, fumana isishwankathelo esibhaliweyo sokukhululwa, uluhlu lwamayeza, imiyalelo yokunxiba kunye negama lesikhungo esikufutshane apho unokubonwa khona ngokungxamisekileyo ebusuku.
• Ukulandelisa: Buza ukuba uphononongo lwakho lokuqala kunye nengxoxo yengxelo ye-histopathology ingenziwa na ngokusebenzisa i-teleconsultation ukuba uhambo lunzima.

Unxibelelwano kunye neeNdibano zokuQeqesha