UTshintsho lwezintso kwizibhedlele zeApollo, eLucknow

Izibhedlele zaseApollo eLucknow (i-Apollomedics Super Specialty Hospital) zibonelela ngotyando lwezintso ngenkqubo edibeneyo edibanisa i-nephrology, urology kunye notyando lokufakelwa izintso, unyango olubalulekileyo, unyango lotofelo-gazi, izifo ezosulelayo kunye ne-dietetics phantsi kophahla olunye. La manqaku alandelayo achaza isizathu sokuba iintsapho kulo lonke elase-Uttar Pradesh zicinge ngeyunithi yonyango lokutshintshwa kwezintso.

• Iqela elinye, eliququzelelweyo lokufakelwa izitho zotyando: Iingcali ze-nephrologists, oogqirha bokufakelwa izitho kunye notyando lomchamo, iingcali zokunciphisa iintlungu, iingcali zokuqinisa kunye nabaququzeleli bokufakelwa izitho basebenza njengeyunithi enye, ngoko ke ukuxilongwa kwabaxhasi kunye nokuhlolwa kwabaxhasi kuhamba ngaxeshanye kunokuba kulandele omnye emva komnye.
• Iminyaka emininzi yamava eklinikhi adibeneyo: Abacebisi kwicandelo le-nephrology kunye ne-urology bazisa amashumi eminyaka emininzi yokusebenza okudibeneyo kwi-dialysis, ukufikelela kwimithambo yegazi, ukufakelwa komntu ophilayo kunye nomntu ofileyo, kunye nokulandelela emva kokufakelwa. Ubungakanani beqela obuchanekileyo kunye neeprofayili zomntu ngamnye ziyatshintsha ngokuhamba kwexesha kwaye ziqinisekiswa ngcono kuluhlu loogqirha besibhedlele okanye ukwamkelwa.
• Ilifa lika-Apollo: Izibhedlele zaseApollo zaqala ngo-1983 kwaye ukususela ngoko ziye zakhula zaba lelinye lamaqela amakhulu okhathalelo lwempilo e-Asia. Eli qela linelinye lawona mava okufakelwa amalungu omzimba aqinileyo asebenze ixesha elide eIndiya, kwaye izigulana zaseLucknow ziyazuza kwiinkqubo zeqela lonke, izimvo zesibini kunye neendlela zokudlulisela.
• Inkxaso ye-Full-spectrum dialysis: i-hemodialysis, i-endurance low-efficiency dialysis (SLED) kwizigulana ezingazinzanga, unyango oluqhubekayo lokutshintshwa kwezintso kwi-ICU, kunye ne-peritoneal dialysis - ngoko ke isigulana asishiywa singenandlela yokungena ngelixa silinde ukufakelwa.
• Umqolo we-immunological kunye nelebhu: iqela legazi kunye nohlobo lwe-HLA, uvavanyo lokuthelekisa, uvavanyo lwe-antibody olujoliswe kumxhasi kunye nokukwazi ukutshintshiselana ngeplasma, ezi zinto zibalulekileyo kubantu abafumana i-ABO engahambelaniyo kwaye abavakalelwa kukuba bane-sensitive.
• Iziseko zophuhliso zanamhlanje zokusebenza kunye nezokhathalelo oluphezulu: Iithiyetha zotyando ezihluziweyo ze-HEPA, ubuchule bokususwa kwe-laparoscopic donor nephrectomy, iibhedi ze-ICU zokufakelwa kunye neendawo zokwahlukanisa izigulana ezicinezelwe yi-immunosuppressed.
• Iinkqubo ezenzelwe abantu abaneminyaka yobudala: igalelo le-nephrology yabantwana kubantwana abanesifo sezintso sokuzalwa okanye esakhiweyo, kunye neenkqubo ezibuthathaka kubantu abadala abafumana isifo sentliziyo, isifo seswekile okanye ubuthathaka.
• Ukuthobela imithetho nemigaqo yokuziphatha: inkqubo yekomiti yogunyaziso esekwe esibhedlele ngokuhambelana noMthetho kunye neMithetho yoTshintsho lweZitho zoMntu kunye neTissues, kunye nabaququzeleli botyando abakhokela iintsapho ngamaxwebhu, iimfuno zeKomiti yoGunyaziso lukaRhulumente kunye nobhaliso lwe-SOTTO/NOTTO kuluhlu lokulinda lwabanikeli abaswelekileyo.
• Idesika ye-inshurensi kunye ne-TPA: inkxaso ngogunyaziso lwangaphambili, ukucutshungulwa ngaphandle kwemali kunye namaxwebhu enkqubo yohlobo lweCGHS/ECHS/Ayushman Bharat apho kufanelekileyo.
• Ukulandelela ubomi bonke: Iikliniki ezicwangcisiweyo emva kokufakelwa isibeleko, ukujonga umgangatho wamayeza (amanqanaba e-tacrolimus), ukujonga usulelo kunye neengcebiso zokutya, kunye neendlela zokubonisana ngocingo kwizigulana ezibuyela kwiindawo ezikude.

isishwankathelo

Ukufakelwa kwezintso yindlela yotyando esindisa ubomi equka ukutshintsha umsebenzi wezintso ezigulayo okanye ezingasebenziyo ngokufaka izintso eziphilileyo ezivela kumxhasi zingene kumntu oza kuzithatha. Kwizibhedlele zaseApollo eLucknow, sijonge ukuba phakathi kwamaziko athembekileyo okufakelwa izintso kulo mmandla, sizinikele ekugqweseni kwezonyango, ubuchwepheshe obuphambili kunye nokhathalelo lwesigulana olulungiselelwe wena. Iqela lethu leengcali zezifo zengqondo kunye noogqirha bokufakelwa izintso lisebenzisa iindlela ezisekwe kubungqina kunye nezibonelelo ezixhotyiswe kakuhle ukuze kusebenzelwe iziphumo ezilungileyo ezinokwenzeka kwisigulana ngasinye. Sigxile kakhulu ekuthembekeni kwesigulana kunye neengcebiso ezinyanisekileyo, sinikezela ngenkxaso epheleleyo kulo lonke uhambo lokufakelwa izintso.

Kwiinkqubo ezininzi zokufakelwa izintso zesigulana ziyashiywa endaweni yazo, kwaye izintso ezintsha zifakwa kwisisu esisezantsi (iliac fossa) kwaye ziqhagamshelwe kwimithambo yegazi ye-pelvic kunye nesinyi. Yingakho le nkqubo ngamanye amaxesha ichazwa njengokongeza izintso endaweni yokutshintsha enye.

Kutheni i-Kidney Transplant iyimfuneko

Ukufakelwa kwezintso kuba yimfuneko xa umntu enesifo sezintso esingapheliyo (ESRD) okanye isifo sezintso esingapheliyo (CKD), apho izintso zingasakwazi ukucoca inkunkuma kunye nolwelo olugqithisileyo ngokwaneleyo. Oku kunokubangelwa sisifo seswekile, uxinzelelo lwegazi oluphezulu, i-glomerulonephritis, isifo sezintso esine-polycystic, isifo esingapheliyo se-interstitial, i-obstructive uropathy kwaye, kwinani lezigulane zaseIndiya, isifo esingachazwanga esifunyenwe emva kwexesha.

Iingenelo zokufakelwa izintso zibalulekile. Ngokungafaniyo ne-dialysis, efuna unyango oluqhubekayo kwaye inokuthabatha ixesha elide kwaye idinwe, ukufakelwa izintso okuphumelelayo kunokubuyisela inxalenye enkulu yokusebenza kwezintso, kuphucule umgangatho wobomi kwaye, kubantu abafanelekileyo, kuphucule ukusinda ixesha elide xa kuthelekiswa nokuhlala kwi-dialysis. Izigulana zihlala zibuyela emsebenzini nakwimisebenzi eqhelekileyo, zijongene nemida embalwa yokutya kunye nolwelo, kwaye zixela impilo engcono iyonke. Kwizibhedlele zase-Apollo eLucknow siyaqonda ukuba kungxamisekile kwaye sizibophelele ekunyamekelweni ngexesha elifanelekileyo nangokusebenzayo.

Ukufakelwa isithombo akufanelekanga kuye wonke umntu. Usulelo olunganyangwanga, isifo esibi esibangelwa sisifo sentliziyo okanye semiphunga, kunye neemeko apho isigulana singenakukwazi ukuthatha amayeza okuthintela amasosha omzimba ngokuthembekileyo, zonke ezi zizizathu zokuba ukufakelwa isithombo kungahlehliswa okanye kucetyiswe ukuba kungafaneleki. Oku kuhlolwa ngokunyaniseka ngexesha lovavanyo.

Imingcipheko yokuLibazisa

Ukulibazisa ukufakelwa izintso kunokukhokelela kwiingxaki ezinkulu zempilo. Njengoko ukusebenza kwezintso kuyehla, iityhefu ziyaqokelelana, nto leyo ebangela ukudinwa, isicaphucaphu, ukungathandi ukutya, ukuphefumla nzima kunye nokudumba. Ukuxhomekeka kwi-dialysis ixesha elide kunxulunyaniswa nosulelo lokufikelela kwimithambo yegazi, isifo sentliziyo, i-anemia, kunye nokuphazamiseka kwezimbiwa namathambo.

Unyango olufike ngexesha lubalulekile. Ixesha elide elichithwa kwi-dialysis ngaphambi kokufakelwa isibeleko lidla ngokunxulunyaniswa neziphumo ezingezizo ezilungileyo ze-graft kunye neziphumo zesigulana, yiyo loo nto ukufakelwa isibeleko ngaphambi kokufakelwa isibeleko kuyimfuneko, ngesiqhelo xa i-eGFR iwela ngaphantsi kwe-15 ukuya kwi-20 mL/min/1.73 m? kunye nokwehla okuqhubekayo kucetyiswa apho kukho umntu onikelayo ophilayo. Kwizibhedlele zase-Apollo eLucknow sikhuthaza ukudluliselwa kwangethuba ukuze uvavanyo lungakhawuleziswa.

Iinzuzo zokuTyelwa kwezintso

• Umgangatho wobomi obuphuculweyo: uninzi lwezigulane luxela ukuba zinamandla angcono, zinomdla wokutya kwaye ziyakwazi ukuqhubeka nomsebenzi, ukufunda kunye noxanduva losapho.
• Ukusinda ixesha elide okungcono kubantu abafanelekileyo: Idatha yerejistri ibonisa ukuba umntu uphila ixesha elide emva kokufakelwa i-dialysis kunokuba aphile ngexesha lokulungisa, nangona iziphumo zomntu ngamnye zahlukile ngokweminyaka kunye nezinye izifo.
• Inkululeko kwi-dialysis: I-graft esebenzayo isusa isidingo seeseshoni ezimbini ukuya kwezintathu ze-dialysis ngeveki kunye nohambo oluhambelanayo.
• Iingxaki ezimbalwa ezinxulumene nezifo: ulawulo olungcono lwe-anemia, izifo zamathambo, kwaye rhoqo, uxinzelelo lwegazi.
• Ukuguquguquka okukhulu kokutya: Ukunqongophala kwe-potassium, i-phosphate kunye nolwelo kudla ngokuncipha kakhulu, nangona ukulinganiselwa kwetyuwa kunye nolawulo lweswekile kusabalulekile.
• Ukubuyiselwa kwamandla okuzala: Ukuya exesheni rhoqo kunye nokuzala kudla ngokuphucuka emva kokufakelwa isidoda; ukukhulelwa kunokwenzeka kodwa kufuneka kucwangciswe neqela lokufakelwa isidoda, ngesiqhelo ubuncinane unyaka emva kokufakelwa isidoda esizinzileyo kunye namayeza akhuselekileyo ekukhulelweni.

Ezi zibonelelo ziza noxanduva lobomi bonke lokusebenzisa amayeza okunciphisa amasosha omzimba, uvavanyo lwegazi rhoqo kunye nokhuseleko losulelo.

Ukulungiselela kunye noBuyiselo

Iingcebiso zoLungiselelo

• Ukubonisana: Dibana neqela lokufakelwa isitho ukuze nixoxe ngembali yezonyango, imeko yangoku kunye nendlela yokufakelwa isitho.
• Uvavanyo lwangaphambi kokufakelwa: uvavanyo lwegazi, ukuchwetheza izicubu kunye nokuthelekisa, ukuthathwa kwemifanekiso, uvavanyo lwentliziyo, ukuhlolwa kosulelo kunye nokuhlolwa kwamazinyo ukuze kuqinisekiswe ukuba ufanelekile na.
• Indlela yokuphila: ukutya okunesondlo, umthambo ofanelekileyo, ukuyeka ngokupheleleyo ukutshaya, ukuhlafuna icuba (gutkha, khaini) kunye notywala.
• Inkxaso: chonga umntu oza kunyamekela abantu abagulayo kunye nomntu oza kubanceda, kuba iinyanga ezintathu zokuqala zifuna ukutyelela rhoqo esibhedlele.

Iingcebiso zokuBuyisa kwakhona

• Ukhathalelo lokulandela: Ukubakho kulo lonke uphononongo olucwangcisiweyo; utyelelo lwakwangoko lungaba kabini ngeveki.
• Ukunamathela kumayeza: thatha amayeza okunciphisa amasosha omzimba ngamaxesha athile, ungaze utsibe okanye uzilungise ngokwakho iidosi, kwaye uphephe amayeza okubulala iintlungu athengiswa ngaphandle kwemvume kagqirha kunye namayeza emifuno okanye e-ayurvedic angabhalwanga ngugqirha ngaphandle kokuwasusa kwiqela.
• Indlela yokuphila esempilweni: Qhubeka nokutya ukutya okunengqiqo, ukwenza umthambo kancinci kancinci kunye nokulawula ubunzima.
• Hlala unolwazi: funda iimpawu zokulumkisa zokwaliwa kunye nokosuleleka kwaye wazi ukuba ngubani omele umfowunele.

Iqela lethu liyakukhokela kuzo zonke ezi nyathelo.

Isikhokelo Seklinikhi Sangoku Silandelwe

Ukhathalelo olukwiyunithi luhambelana nesikhokelo esamkelweyo ngokubanzi kwilizwe lonke nakwihlabathi lonke kunokuba luhambelane nesithethe sendawo kuphela.

• I-Indian Society of Nephrology (ISN India) kunye ne-Indian Society of Organ Transplantation (ISOT): Izikhokelo ze-ISOT Indian consensus malunga novavanyo kunye nolawulo lomnikeli wezintso ophilayo kunye nokhathalelo emva kokufakelwa isitokhwe zihlala ziyindlela ephambili yaseIndiya, kwaye zigxininisa ukuxhasa abanikeli abazimeleyo, ukulandelwa kwabanikeli ixesha elide kunye nokuqapha isifo sephepha kunye nezinye izifo ezixhaphakileyo.
• Isikhokelo seKDIGO 2020 seKliniki malunga noVavanyo kunye noLawulo lwabaFakelwa izintso: Oku kuye kwasusa icandelo ekuthinteleni ubudala obuqinileyo kunye nokunqunyulwa kwe-BMI ukuya ekukhetheni umntu ngamnye, ngokusekelwe kumngcipheko, kwaye kwakhuthaza ukungabandakanywa rhoqo kwezigulane ezindala okanye ezityebileyo kuphela ngamanani.
• Isikhokelo se-KDIGO sika-2009 malunga nokhathalelo lwabantu abafumana ukufakelwa kwezintso, kunye nohlaziyo olulandelayo: Ixhasa ukuqaliswa nokugcinwa kwamajoni omzimba, ukuthintela usulelo kunye neeshedyuli zokubeka esweni.
• Isikhokelo se-KDIGO 2024 CKD: iqinisa ukudluliselwa kwangethuba, i-eGFR kunye nokubekwa kwinqanaba lomngcipheko ngokusekelwe kwi-albuminuria, kunye nokulungiselela unyango lokutshintshwa kwezintso ngexesha elifanelekileyo - kuquka ingxoxo yokufakelwa izintso ngaphambi kokukhulelwa.
• UMthetho woTshintsho lwamalungu oMntu kunye neZicsues, ka-1994, kunye nolungiso luka-2011 kunye neMithetho ka-2014: isakhelo somthetho esilawula imvume yabanikeli, amaxwebhu amalunga nezalamane, imvume yekomiti yokugunyazisa abantu abangengabo izalamane ezikufutshane, ukutshintshwa (ukutshintshiselana ngababini) kunye nokwabiwa kwabanikeli abaswelekileyo nge-NOTTO, i-ROTTO kunye ne-SOTTO karhulumente.
• Isikhokelo seNkqubo yeSizwe yoTyalo-zitho: Kwiminyaka yakutshanje imiqathango esekwe kwindawo yokuhlala yokubhalisa uluhlu lokulinda lwabanikeli abaswelekileyo kwelinye ilizwe isusiwe, kwaye umda wobudala obuphezulu wokubhalisa ukufakelwa kwezintso zabanikeli abaswelekileyo awusasetyenziswa - ubhaliso ngoku lusekelwe ekufanelekeni kwezonyango.

Apho ubungqina bungaqinisekanga khona - umzekelo, indlela efanelekileyo yokunciphisa amasosha omzimba ixesha elide kumguli ngamnye, okanye inzuzo echanekileyo yokufakelwa isitokhwe kumntu omdala obuthathaka kakhulu - iqela liza kutsho njalo lize lixoxe ngezinto ezinokwenzeka endaweni yokunika isiqinisekiso sobuxoki.

Ixesha leNkqubo kunye neSigaba sangaphambi kweNkqubo

Ukufakelwa kwezintso ngomntu ophilayo lutyando olucwangcisiweyo. Ukufakelwa kwezintso ngomntu oswelekileyo lucingo olungxamisekileyo olunokufikelelwa nangaliphi na ixesha, kwaye umntu ofumana le ngxaki kufuneka afike esibhedlele engazila ukutya ngokukhawuleza.

Ixesha elibekiweyo libonisa oko. Iishedyuli zeekomiti, imiba yokomelela komzimba kwabaxhasi kunye nesidingo sokuhlolwa kwentliziyo okanye usulelo olongezelelekileyo zinokuyandisa loo misebenzi.

Ukuthelekiswa koBuchule kunye neenketho zabaNikeli

Ukuba zeziphi iindlela ezikhoyo nezifanelekileyo kwisigulana esithile kugqitywa emva kovavanyo kwaye kuxoxwe ngazo ngokukhululekileyo.

Iinkqubo Ngamanye amaxesha zenziwa ecaleni

• Ukususwa kwe-nephrectomy yemveli: Ukususwa kwentso enye okanye zombini zokuqala kwisifo sezintso esine-polycystic kungekho ndawo yokufaka i-graft, kwisifo esingapheliyo, okanye kwi-hypertension engalawulekiyo okanye kwi-hematuria enengxaki. Oku kungenziwa ngaphambi okanye ngexesha lokufakelwa.
• Ukubekwa kwe-stent ye-ureter: I-stent yeJJ yexeshana idla ngokubekwa ngexesha lokudibana kwe-ureter ne-bladder kwaye isuswe kwiiveki ezimbalwa kamva nge-cystoscopy.
• Ukwakhiwa kwakhona kwesinyi okanye indlela yomchamo: ngamanye amaxesha iyadingeka kwizigulane ezinesifo se-bladder okanye i-posterior urethral valve esincinci, esingahambelani kakuhle nomyalelo, ngakumbi kwizigulane ezincinci.
• Parathyroidectomy: kwi-hyperparathyroidism enzima ehlala ixesha elide, idla ngokuhlelwa ngokwahlukeneyo kunokuba idityaniswe.
• Ukubopha ukufikelela kwi-Dialysis: I-fistula ephuma kwimithambo yegazi ephezulu ingavalwa kamva ukuba icinezela intliziyo; idla ngokugcinwa iinyanga eziliqela njengesixhobo sokukhusela.
• Ukulungiswa kweHernia okanye i-cholecystectomy: kuphela xa kuyimfuneko ngokwezonyango kwaye kukhuselekile ukudibana; kudla ngokulibaziseka.

Ukubuyiselwa Kwenqanaba Ngenqanaba

Ukubuyela kwimisebenzi eqhelekileyo, emsebenzini nakwimithambo yomzimba

Ngenxa yokuba i-graft iphantsi nje kodonga lwesisu kwisisu esisezantsi, iyabonakala ngakumbi kunezintso zemveli. Ingcebiso yokusebenza yakhelwe ekuyikhuseleni.

• Ukuhamba: ukususela kusuku lokuqala emva kotyando, lukhula ngokuthe chu.
• Izinyuko: ngokuqhelekileyo ilawuleka kwiveki enye ukuya kwezimbini, kancinci kancinci.
• Ukuqhuba: ngokubanzi emva kweeveki ezine ukuya kwezintandathu, xa sele ukwazi ukuqhobosha iibhuleki ngaphandle kwentlungu kwaye uphumile kwiipilisi zokunciphisa iintlungu ezinamandla.
• Umsebenzi wedesika okanye weofisi: ngesiqhelo iiveki ezintandathu ukuya kwezisibhozo, ngamanye amaxesha kwangethuba usekhaya.
• Umsebenzi wezandla okanye wasefama, ukuphakamisa: ngesiqhelo akukabikho ngaphambi kweenyanga ezintathu, kwaye kuphela emva kokuhlolwa kotyando, ukunciphisa umngcipheko we-hernia yokusika.
• Ukuqubha kunye nejimu: ngesiqhelo emva kweenyanga ezintathu, xa inxeba lipholile ngokupheleleyo kwaye licocekile.
• Imidlalo yokudibana kunye neyokungqubana: i-kabaddi, i-wrestling, i-boxing, i-martial arts, i-rugby kunye ne-cricket njengomgcini we-wicketkeeper kufutshane zithwala umngcipheko wokwenzakala ngqo kwizintso ezifakelweyo kwaye ngokubanzi azikhuthazwa; ukuba isigulane siyaphikelela, umlindi okhuselayo kunye nengxoxo yomntu ngamnye zibalulekile.
• Izikhundla zasekhaya zaseIndiya: Ukuquleka nzulu, ukuhlala phantsi unqamleze imilenze, nokusebenzisa indlu yangasese equlekileyo efana neyaseIndiya, cinezela inxeba elisezantsi lesisu. Sebenzisa indlu yangasese efana neyaseNtshona okanye isitulo esiqhelekileyo ubuncinane iiveki ezintandathu ukuya kwezisibhozo, kwaye uphephe ukulala phantsi kwiiveki zokuqala - ukuvuka phantsi ulayishe isilonda. Kulula ukuba nebhedi eqinileyo efikelela edolweni.
• Imisebenzi yenkolo neyentlalo: Ukuqubuda emthandazweni, iindibano ezinkulu kunye nokutyelela itempile okanye i-mosque kufuneka kulinde de kube ziinyanga ezintathu ubuncinane, xa iidosi zokunciphisa amajoni omzimba ziphantsi, ngenxa yomngcipheko wokosuleleka.

Ukukhusela i-Graft kunye nokuthintela ukuphinda-phinda

• Sela i-tacrolimus okanye i-cyclosporine ngamaxesha afanayo yonke imihla, kwaye ujonge amanqanaba omthamo wakho ngokweshedyuli enikiweyo, ngaphambi kokuba uthathe idosi yasekuseni.
• Lawula uxinzelelo lwegazi kunye nesifo seswekile ngokuqinileyo; isifo seswekile emva kokufakelwa sixhaphakile, ingakumbi kwizigulana zaseIndiya ezinembali yosapho.
• Gcina ulwelo olucetyiswa liqela, ingakumbi kwiinyanga ezishushu ukususela ku-Epreli ukuya kuJuni, apho ukuphelelwa ngamanzi emzimbeni kunokunyusa i-creatinine.
• Ezinye izifo zokuqala zinokubuya kwizintso ezintsha, kuquka i-glomerulosclerosis ye-focal segmental, i-IgA nephropathy, i-membranous nephropathy kunye nesifo sezintso seswekile. Ukuhlolwa rhoqo kweeproteni zomchamo kunceda ekufumaneni oku kwangethuba.
• Ziphephe ii-NSAIDs ezifana ne-diclofenac, i-ibuprofen kunye ne-nimesulide, ii-antibiotics ezingamiselwanga ngugqirha, ii-contrast scans ngaphandle kokwazisa ugqirha wezifo zengqondo, kunye neemveliso zemifuno ezingalawulwayo, i-ayurvedic okanye iimveliso ze-homeopathic, ezinye zazo eziqulethe iimetal ezinzima okanye izithako ze-nephrotoxic.
• Lumka ngesifo sephepha, esixhaphakileyo eIndiya kwaye sinokuthi sibe phantsi koxinzelelo lwamajoni omzimba; xela umkhuhlane ongapheliyo, ukwehla kobunzima okanye ukukhwehlela.
• Bilisa okanye uhluze amanzi okusela, kuphephe ukutya okusesitratweni kwaye usike iziqhamo, kwaye unxibe imaski kwiindawo ezinabantu abaninzi kwiinyanga ezimbalwa zokuqala.
• Sebenzisa i-sunscreen kunye ne-long sleeves; ukuthintela amasosha omzimba ixesha elide kwandisa umngcipheko womhlaza wesikhumba.
• Goma njengoko kucetyisiwe - iigonyo ezingasebenziyo kuphela; iigonyo eziphilayo azivumelekanga emva kokufakelwa, ngoko ke zigqibezele ngaphambi kotyando apho kunokwenzeka.

Abantwana kunye nezigulane ezindala

Abantwana kunye nentsha

Ukufakelwa utyando lolona nyango lukhethwayo kubantwana abanesifo sezintso esikwinqanaba lokugqibela kuba luxhasa ukukhula, ukufunda nokukhula ngcono kune-dialysis. Ukungalingani kokuzalwa kwi-congenital kwi-kidney kunye ne-urinary tract kunye ne-posterior urethral valves zizinto eziqhelekileyo eIndiya, ngoko ke uvavanyo lwesinyi luyinxalenye ebalulekileyo yomsebenzi. Ukukhula, ukutya okunesondlo, imeko yokugonywa kunye nokuya esikolweni kulandelwa kunye nokusebenza kwezintso. Ulutsha lunengozi ebhaliweyo yokulahlekelwa ngamayeza, ngoko ke iintsapho kunye nomququzeleli wokufakelwa utyando baceba izikhumbuzo kunye nolawulo lotshintsho oluya kukhathalelo lwabantu abadala.

Abantu abadala abadala

Ubudala bodwa abusengomqobo. Isikhokelo sangoku sixhasa uvavanyo lomntu ngamnye, kwaye i-India isuse umda wobudala obuphezulu bokuqala bokubhaliswa kwabanikeli abaswelekileyo. Abaviwa abadala bafuna uvavanyo olucokisekileyo lwentliziyo, ubuthathaka kunye novavanyo lwengqondo, kunye nengxoxo echanekileyo yokuba ingaba ukufakelwa okanye i-dialysis exhaswa kakuhle iya kubanceda ngcono na. Ukunciphisa amasosha omzimba kudla ngokuba lula kancinci, kuba umngcipheko wosulelo uyanda ngokuhamba kweminyaka. Umnakekeli othembekileyo ubalulekile.

Ukuba Ukhetha Ukungatyalwa Utyando

Ukwala okanye ukulibazisa ukufakelwa isibeleko lukhetho olusemthethweni, kwaye kufuneka lube lolwazi oluchanekileyo.

• Unyango lwe-hemodialysis: ngesiqhelo iiseshoni ezimbini ukuya kwezintathu ngeveki, nganye iyiyure ezintathu ukuya kwezine, ixesha lokuhamba liphezulu. Ifuna i-fistula okanye i-catheter esisigxina kwaye ithwala umngcipheko wokungaphumeleli kokufikelela kunye nosulelo.
• I-Peritoneal dialysis: yenziwe ekhaya, ithambile entliziyweni kwaye ingcono kwabo bahlala kude neziko le-dialysis, kodwa ifuna ucoceko olungqongqo, indawo yokugcina iingxowa zolwelo kwaye inomngcipheko we-peritonitis.
• Ulawulo lwezintso oluhlala luhleli: kwizigulane ezibuthathaka kakhulu okanye ezindala, ulawulo lweempawu, unyango lwe-anemia, ulawulo lokutya kunye nenkxaso yokuthomalalisa ngaphandle kwe-dialysis, kugxilwe kwintuthuzelo kunye nomgangatho wobomi.
• Oko unokukulindela ekuhambeni kwexesha: Ngaphandle konyango lokutshintshwa kwezintso, ukusilela kwezintso okuqhubekekayo kuqhubekela phambili ekubeni lulwelo olugqithisileyo, ukungakwazi ukuphefumla, iimpawu ze-uraemic kwaye ekugqibeleni ukufa. Amaxesha ahluka kakhulu phakathi kwabantu kwaye iqela liza kuxoxa ngale nto ngokunyanisekileyo endaweni yokunika inani elimiselweyo.

Ungatshintsha ingqondo yakho. Izigulana ezininzi ziqala nge-dialysis zize zize kuvavanywa ukufakelwa i-case kwiinyanga okanye kwiminyaka kamva.

Izinto Ezichaphazela Iindleko Zonyango

Ixabiso lokufakelwa izintso alilonani linye. Kuxhomekeke kwimeko yeklinikhi, kwaye iindleko zomnikeli kunye nommkeli kufuneka zicwangciselwe. I-Apollo Hospitals Lucknow ayipapashi amaxabiso ephakheji kweli phepha; ukuze ufumane uqikelelo olubhaliweyo oluphathelele imeko yakho, nceda uthethe nomququzeleli wokufakelwa izintso okanye idesika yokuhlawula kunye ne-inshurensi.

I-inshurensi kunye noNyango olungenamali eIndiya

• Uninzi lweepolisi zeinshorensi yezempilo zigubungela ukufakelwa kwezintso njengokungeniswa esibhedlele okucwangcisiweyo, kodwa ukhuseleko luxhomekeke kwisixa-mali esifakwe kwi-inshorensi, amagama epolisi kunye nokuba ipolisi isebenze ixesha elingakanani.
• Amaxesha okulinda abalulekile. Isigaba sesifo esele sikhona seminyaka emibini ukuya kwemine sisebenza rhoqo. Ukuba isifo sezintso esinganyangekiyo sifunyenwe okanye sabhengezwa ngaphambi kokuba ipolisi iqale, ukufakelwa isitokhwe kungangena kwixesha lokulinda. Iipolisi ezininzi zikwanalo nexesha lokulinda lokuqala leentsuku ezingama-30 kunye namaxesha athile okulinda kwiinkqubo ezikhankanyiweyo.
• Ukhuseleko olucwangcisiweyo xa kuthelekiswa nolwengozi: Ukufakelwa isitokhwe sesifo sezintso esinganyangekiyo kukungeniswa esibhedlele okucwangcisiweyo kwaye akujongwa njengebango lengozi, ngoko ke iipolisi zengozi yengozi kuphela okanye zomntu ngamnye azisoloko zisabela. Eminye imigaqo-nkqubo yenkampani yamaqela ayivumeli ixesha lokulinda isifo esele sikhona - jonga uxwebhu lwakho lwepolisi olubonelelwe yi-HR.
• Iindleko zabaxhasi: Iipolisi ezininzi zigubungela ukulaliswa esibhedlele komnikeli kunye notyando phantsi kwesibonelelo somnikeli wezitho zomzimba, kodwa zihlala zilungiselelwe inkqubo yokuvuna kuphela kwaye zihlala zifikelela kumda ongaphantsi. Ukuhlolwa kwangaphambili komnikeli, iingxaki zomnikeli kunye nokulandelela umnikeli zihlala zingabandakanywa. Qinisekisa oku ngokubhaliweyo ngaphambi kokungeniswa.
• Emva kokulaliswa esibhedlele kunye namayeza: Amayeza okunciphisa amajoni omzimba emva kokuphuma esibhedlele adla ngokuhlawulwa kuphela xa umntu elele esibhedlele ixesha elithile, elihlala iintsuku ezingama-60 ukuya kwezingama-180. Amayeza obomi bonke adla ngokufumaneka ngaphandle kokuba une-OPD okanye umntu onesifo esibi kakhulu.
• Inkqubo yokuhlawula ngaphandle kwemali: Idesika yeinshorensi ithumela isicelo semvume kwangaphambili kunye namanqaku eklinikhi kunye noqikelelo kwi-inshorensi yakho okanye kwi-TPA. Imvume yokufakelwa utyando olucwangcisiweyo idla ngokuthatha usuku olunye ukuya kwezintathu zokusebenza, ngoko ke faka ubuncinane iveki ngaphambi kokungeniswa. Naluphi na uphuculo ngexesha lokuhlala lufuna isicelo esitsha.
• Amaxwebhu okuphatha: ikhadi lezempilo, ishedyuli yomgaqo-nkqubo, isazisi esinemifanekiso karhulumente kunye nobungqina bedilesi yesigulana kunye nomnikeli, ubungqina bobudlelwane, iirekhodi zangaphambili ze-dialysis kunye ne-nephrology, kunye neleta yomqeshi yemigaqo-nkqubo yenkampani.
• Izikimu zikaRhulumente: I-Ayushman Bharat PM-JAY, iinkqubo zikarhulumente, i-CGHS, i-ECHS kunye neepaneli zesitimela okanye ze-PSU zinokusebenza. Nokuba isibhedlele silungiselelwe inkqubo yakho ethile, kunye noko kugqunyiweyo, kufuneka kuqinisekiswe kwidesika yeinshorensi ngaphambi kokuba ungeniswe endaweni yokuba kucingelwe.
• Izaphulelo okulindelekileyo: izinto ezisetyenziswayo, izinto ezingezizo ezonyango, imali etsalwayo yokuqeshisa igumbi ukuba uphucula udidi lwegumbi, kunye nezigaba zentlawulo-kunye eziqhelekileyo kwimigaqo-nkqubo yabantu abadala.

Ukucwangcisa ukwamkelwa kunye noko uza kuzisa

Ngaphambi kokungena

• Gcwalisa onke amaxwebhu asemthethweni kunye nemvume yekomiti yogunyaziso; utyando alunakucwangciswa ngaphandle kwalo.
• Lungiselela indawo yokuhlala kufutshane nesibhedlele ubuncinane iiveki ezine ukuya kwezintandathu emva kokukhululwa esibhedlele ukuba uhlala ngaphandle kweLucknow.
• Chonga umntu oza kunyamekela abantwana ixesha elizeleyo. Kwiintsapho ezidibeneyo, xela umntu omnye oza kwenza izigqibo eziphambili kunye nomntu omnye oza kunceda ukuze imiyalelo ingalahleki phakathi kwezalamane; izibhedlele zinciphisa inani labasebenzi kwiindawo zokufakelwa izitho zomhlaza ukuze kulawulwe usulelo.
• Cwangcisa abaxhasi begazi kusapho kwangaphambili.
• Qeda unyango lwamazinyo kunye nonyango losulelo ngaphambi kokuba ulufumane.

Yintoni oza kuyizisa

• Zonke iingxelo zangaphambili, iirekhodi ze-dialysis, izishwankathelo zokukhululwa esibhedlele, imifanekiso kunye nemiyalelo yangoku.
• Isazisi esinemifanekiso karhulumente kunye nobungqina bedilesi yesigulana, umnikeli kunye nabancedisi; amaxwebhu obudlelwane; iifoto ezinobukhulu bepaspoti.
• Ikhadi le-inshorensi, ikopi yepolisi, ileta yogunyaziso lwangaphambili, kunye namakhadi enkqubo apho kufanelekileyo.
• Impahla yekotoni ekhululekileyo, evuleka ngaphambili, izihlangu ezingatyibilikiyo, ibhotile enkulu yamanzi kunye nezinto zokuhlamba zobuqu.
• I-app yencwadi yokubhala okanye yefowuni yokurekhoda ukuphuma komchamo, ubunzima kunye namaxesha amayeza - lo mkhwa uyaqhubeka ekhaya.
• Ingxowa eyahlukileyo yomntu onikelayo, oza kungeniswa ngosuku olungaphambili aze akhululwe ngaphambi kokuba lowo ufumanayo afumane unyango.

Ekhaya ngaphambi kokukhululwa

• Yenza igumbi elicocekileyo nelinomoya ococekileyo, ngcono libe nebhedi endaweni yokulala phantsi.
• Lungiselela ukufikelela kwindlu yangasese yesitayile saseNtshona okanye kwisitulo sempahla yasekhaya.
• Thenga i-thermometer yedijithali, i-BP monitor, isikali sokulinganisa kunye ne-glucometer ukuba uneswekile.
• Lungisa isixhobo sokuhlela iipilisi kunye nee-alamu zefowuni ngexesha lonyango.

Iimpawu Zesilumkiso Ezifuna Uphononongo Olungxamisekileyo

Nxibelelana neqela lokufakelwa isibeleko okanye uye kwicandelo likaxakeka ngaphandle kokulinda idinga elilandelayo ukuba uqaphela oku:

• Umkhuhlane ongaphezulu kwama-38°C, ukubanda, okanye nawuphi na umkhuhlane ongachazwanga ohlala ixesha elingaphezu kosuku
• Ukwehla okukhulu kokuphuma komchamo, okanye ukunyuka kobunzima ngequbuliso okungaphezulu kwe-1 ukuya kwi-2 kg ngosuku
• Intlungu, ukudumba okanye ukurhawuzelelwa kwintso etyaliweyo kwisisu esisezantsi
• Ubomvu, ukuphuma kwamanzi, ukuvuleka okanye ukwanda kwentlungu enxebeni
• Ukuchama okutshayo, umchamo onuka kakubi okanye onamabala egazi
• Ukuhlanza okanye urhudo oluqhubekayo, olunokutshintsha ngokuyingozi amanqanaba okunciphisa amajoni omzimba
• Ukuphefumla nzima, iintlungu zesifuba, okanye ukudumba kwemilenze nobuso
• Ukukhwehlela okuhlala iiveki ezingaphezu kwezimbini, ukubila ebusuku okanye ukwehla kobunzima ngendlela engachazekiyo
• Ukungasebenzisi amayeza okunciphisa amajoni omzimba, okanye ukuhlanza emva nje kokuthatha amayeza okunciphisa amajoni omzimba
• Ukudideka okutsha, intloko ebuhlungu okanye ukuxhuzula
• Ngaba kukho umsebenzi wamazinyo ocwangcisiweyo, utyando, i-contrast scan okanye ummiselo omtsha ovela komnye ugqirha? Yazisa iqela lokufakelwa amazinyo kuqala.

Kwabaguli Abahamba Bevela Ngaphandle eLucknow

Izigulana ezivela eKanpur, eBarabanki, eSitapur, eHardoi, eUnnao, eRae Bareli, eAyodhya, eGonda, eBahraich, eGorakhpur nakwezinye iindawo zaseUttar Pradesh zinokuya kwiZibhedlele zaseApollo eLucknow ukuze zihlolwe kwaye zinyangwe ngokufakelwa intliziyo. Izigulana ezivela ngaphandle kweLucknow zinokucwangcisa utyelelo lwazo ngempumelelo ngokusebenzisana neqela lesibhedlele kwangaphambili.

• Ukubonisana kokuqala nomntu oza kufakelwa utyando kunokunceda iqela lokufakelwa utyando lihlolisise iirekhodi zonyango zangaphambili, uphando kunye nembali yonyango ngaphambi kokuba ligqibe ekubeni kufuneka uvavanyo oluneenkcukacha okanye ukuhlala ixesha elide na.
  Izigulana ezifakwe kuluhlu lokulinda lokufakelwa intliziyo kunokufuneka zihlale kumgama ofanelekileyo ukusuka esibhedlele, njengoko ukufumaneka kunye nexesha lentliziyo efanelekileyo yokunikela akunakuxelwa kwangaphambili.
  Izigulana ezihamba zivela kwezinye izixeko kufuneka ziphathe iingxelo zovavanyo zangaphambili, imifanekiso, izishwankathelo zokukhululwa esibhedlele, amayeza, iileta zokudlulisela kunye noluhlu lwangoku lwamayeza okuxhasa ukuqhubeka konyango kunye nokunceda iqela lezonyango ligqibe ukuba loluphi uphando olunokufuneka luphindwe.
• Izigulane kunye namalungu osapho kufuneka bagcine iinombolo zabo zefowuni ezibhalisiweyo zisebenza kwaye bazise iqela eliququzelela ukufakelwa kwesisu ukuba iinkcukacha zabo zonxibelelwano ziyatshintsha. Xa kuvela intliziyo efanelekileyo enikelayo, iqela eliququzelela ukufakelwa kwesisu linokufuna ukuqhagamshelana nesigulana ngokukhawuleza.
• Iintsapho eziceba ukuhlala ixesha elide eLucknow kufuneka zixoxe ngotyelelo olulindelekileyo lovavanyo, iimfuno zokulandelela kunye nocwangciso lwendawo yokuhlala neqela eliququzelela ukufakelwa kwezilwanyana ukuze amalungiselelo ohambo enziwe ngokufanelekileyo.
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Unxibelelwano kunye neeNdibano zokuQeqesha

Imibuzo Ebuzwa Rhoqo Malunga Nokufakelwa Kwezintso Kwizibhedlele zaseApollo eLucknow

1. Ngubani onokufuna ukufakelwa izintso?

Ukufakelwa kwezintso kunokuqwalaselwa kwizigulana ezinesifo sezintso esikwinqanaba lokugqibela okanye isifo sezintso esingapheliyo xa izintso zingasakwazi ukwenza imisebenzi yazo ngokwaneleyo. Ukufaneleka kuxhomekeke kwimpilo iyonke, iimeko ezisisiseko kunye novavanyo oluvela kwiqela lokufakelwa izintso.

2. Ndingayazi njani ukuba ndifanelekile ukufakelwa izintso eLucknow?

Ukufaneleka kumiselwa ngovavanyo oluneenkcukacha zokufakelwa isigulana olunokuquka uvavanyo lwegazi, uvavanyo lwentliziyo nemiphunga, uhlolo losulelo, ukuthathwa kwemifanekiso kunye nokuphononongwa kwezinye iimeko zonyango. Iqela lokufakelwa isigulana likwavavanya ukuba utyando kunye nonyango lokuthintela amasosha omzimba oluhlala ixesha elide lufanelekile na kwisigulana.

3. Ngaba ilungu losapho linganikela ngentso ukuze ifakelwe kwenye indawo?

Ewe. Umnikeli ophilayo ofanelekileyo unokuba sisalamane esisondeleyo okanye omnye umnikeli ofanelekileyo njengoko kuvunyelwe phantsi kwemithetho yokufakelwa izintso eIndiya. Umnikeli kufuneka enze uvavanyo oluzimeleyo lwezonyango ukuqinisekisa ukuba ukuhambelana nonyango kunye nokuvavanya ukuba ukunikela ngezintso kufanelekile na ngokwezonyango.

4. Ngaba ukufakelwa kwezintso kungenziwa ukuba udidi lwegazi lomntu onikelayo lwahlukile?

Kwiimeko ezithile, ukufakelwa isidoda kwindawo engahambelaniyo neqela legazi kunokuthathwa njengonyango olukhethekileyo. Ukufaneleka kuxhomekeke kumanqanaba e-antibody, ukuhambelana komnikeli nommkeli kunye novavanyo lweqela lokufakelwa isintso.

5. Zeziphi iimvavanyo ezifunekayo ngaphambi kokufakelwa izintso?

Uvavanyo ludla ngokubandakanya uvavanyo lweqela legazi, uhlobo lwezicubu, ukufanisana, uvavanyo lokusebenza kwezintso nesibindi, uvavanyo losulelo, uvavanyo lwentliziyo kunye nemifanekiso. Uphando olongezelelweyo lunokucetyiswa ngokuxhomekeke kwiminyaka yomntu ofumana igazi, impilo yakhe kunye nembali yakhe yezonyango.

6. Kuthetha ukuthini ukufanisa izintso ngaphambi kokufakelwa izintso?

Ukudibanisa i-crossmatching kujonga ukuba umntu ofumana i-antibodies anokuthi aphendule kwiiseli zomntu onikelayo. Yinto ebalulekileyo ekuhloleni ukuba i-donor kidney iyahambelana na ne-immunologically nomntu ofumana i-immunologically.

7. Utyando lokufakelwa izintso luthatha ixesha elingakanani?

Ubude botyando lokufakelwa izintso buyahluka ngokuxhomekeke kwimeko yesigulana, utyando lwesisu lwangaphambili kunye nobunzima botyando. Iqela lokufakelwa izintso linokubonelela ngoqikelelo lomntu ngamnye emva kokuvavanya umxhasi kunye nomntu ofumanayo.

8. Ndingadinga ukuhlala ixesha elingakanani esibhedlele emva kokufakelwa izintso?

Ubude bokuhlala esibhedlele buyahluka ngokwemisebenzi yezintso, ukuchacha, umngcipheko wosulelo kunye nezinye izinto zonyango. Izigulana zijongwa ngononophelo emva kotyando kwaye ziyakhululwa xa iqela lokufakelwa izitho zomzimba libona kufanelekile ngokwezonyango.

9. Iqala nini ukusebenza intso efakelwe kwenye indawo?

Ezinye izintso ezifakelwe kwenye indawo ziqala ukusebenza emva nje kotyando, ngelixa ezinye zingathatha ixesha elide. I-dialysis yexeshana isenokufuneka ngamanye amaxesha ukuba izintso ezifakelwe kwenye indawo ziye zalibaziseka ekusebenzeni.

10. Ngaba ndiza kuyidinga imithi ubomi bam bonke emva kokufakelwa izintso?

Abantu abafumana ukufakelwa kwezintso badla ngokufuna amayeza okuthintela amasosha omzimba ixesha elide ukunciphisa umngcipheko wokwaliwa. La mayeza kufuneka athathwe njengoko kuchaziwe kwaye afune ukujongwa rhoqo liqela elifakela izintso.

11. Zeziphi iingozi eziphambili emva kokufakelwa izintso?

Iingxaki ezinokubakho ziquka ukwaliwa, usulelo, ukopha, amahlwili egazi, iziphumo ebezingalindelekanga ezinxulumene namayeza kunye neengxaki ezichaphazela izintso ezifakelweyo. Ukulandelela rhoqo kunceda iqela lezempilo lichonge kwaye lilawule iingxaki kwangethuba.

12. Zithini iimpawu zokwaliwa kokufakelwa izintso?

Ukungavunyelwa kwezintso ngamanye amaxesha kunokubakho ngaphandle kweempawu ezibonakalayo kwaye kunokuqatshelwa kuqala ngovavanyo lwegazi. Iimpawu ezinokubakho zokulumkisa zingabandakanya umkhuhlane, ukuncipha kokuphuma komchamo, ukudumba, ukungakhululeki kufutshane nendawo yokufakelwa okanye ukunyuka okungachazwanga kwe-creatinine.

13. Zeziphi iinguqu zendlela yokuphila ezifunekayo emva kokufakelwa izintso?

Izigulane zihlala zicetyiswa ukuba zithathe amayeza azo rhoqo, zihlale zicocekile, zilandele ukutya okunempilo, zihlale zisebenza ngokomzimba njengoko kucetyisiwe kwaye ziphephe ukutshaya. Ukhuseleko lokutya kunye nokuthintela usulelo kubaluleke kakhulu xa zithatha amayeza okunciphisa amajoni omzimba.

14. Ndingabuyela emsebenzini nakwimisebenzi eqhelekileyo emva kokufakelwa izintso?

Izigulana ezininzi zinokubuyela kancinci kancinci kwimisebenzi yesiqhelo emva kokuchacha, nangona ixesha liyahluka ngokuxhomekeke kuhlobo lomsebenzi, ukuchacha kotyando kunye nempilo iyonke. Ukuphakamisa izinto ezinzima kunye nomsebenzi womzimba onzima kufuneka kuphetshwe de iqela lokufakelwa izitho zomzimba linike imvume.

15. Ndingabhukisha njani ingcebiso yokufakelwa izintso kwi-Apollo Hospitals Lucknow?

Izigulana zinokuqhagamshelana ne-Apollo Hospitals Lucknow ngokusebenzisa iindlela zayo ezisemthethweni zokuqeshwa ukuze kulungiselelwe intlanganiso neqela le-nephrology okanye iqela lokufakelwa kwezintso. Izigulana ezihamba ngaphandle kweLucknow kufuneka ziphathe iingxelo zangaphambili, iirekhodi ze-dialysis, imiyalelo kunye namaxwebhu afanelekileyo ezonyango xa zisiya kwintlanganiso yazo.