UTshintsho lwesibindi kwizibhedlele zeApollo, eLucknow

Kutheni Izigulana Zikhetha Izibhedlele zaseApollo Ukuze Zityalwe Isibindi

• Ilifa leqela ukususela ngo-1983: Izibhedlele zaseApollo zaqala intshukumo yokhathalelo lwempilo yabucala eIndiya eChennai ngo-1983 kwaye namhlanje zisebenza enye yezona nethiwekhi zinkulu zezibhedlele eAsia, ezinezibhedlele ezingaphezu kwama-70 kunye neebhedi ezingaphezu kwe-10,000 kulo lonke elaseIndiya.
• Enye yeenkqubo ezinkulu zokufakelwa izitho zangasese eIndiya: Iqela le-Apollo lenze amawaka aliqela otyando lwesibindi kuzo zonke iziko zalo zotyando, kuquka utyando oluhlala luphila, utyando olungasekhoyo, utyando lwabantwana, utyando olungenakuhambelana ne-ABO kunye notyando olutshintshanayo. Ubuninzi bezinto ezithile zeLucknow bunokuqinisekiswa yi-ofisi yokulungelelanisa utyando.
• Iqela elizinikeleyo lezifundo ezahlukeneyo: Ukufakelwa kwesibindi e-Apollo akukaze kube ngumsebenzi wotyando olunye. Iqela eliphambili lidibanisa oogqirha bokufakelwa kunye noogqirha be-HPB, iingcali ze-hepatologists, iingcali zotyando lwe-anaesthesiologists, iingcali zokuqinisa isibindi, iingcali ze-radiology ezingenelelayo, iingcali zonyango lokufaka igazi, oogqirha bezifo ezisulelayo, iingcali ze-nephrologists zokufakelwa, iingcali zokutya, iingcali ze-physiotherapists kunye nabaququzeleli bokufakelwa ixesha elizeleyo - ngesiqhelo iqela loogqirha abali-15 ukuya kuma-25 kunye nabasebenzi abadibeneyo kwimeko nganye, kunye namava amashumi eminyaka okufakelwa adibeneyo.
• Isikali saseLucknow sezibhedlele zaseApollo: Isikhungo sokhathalelo lwempilo yabantu abakhubazekileyo esikumgangatho ophezulu, esinobuchwephesha obahlukeneyo eKanpur, eLucknow Road, esikhonza i-Uttar Pradesh kunye namazwe akufutshane, esineenkonzo ezingxamisekileyo ezingama-24 ngamaxesha, ukhathalelo olubalulekileyo oluzinikeleyo kunye nenkxaso yebhanki yegazi - iziseko ezixhomekeke kuzo inkqubo yokufakelwa utyando.
• Itekhnoloji kunye nemifanekiso: I-CT volumetric kunye ne-MR imaging yovavanyo lwabanikeli kunye nabamkeli, i-FibroScan kunye nolunye uvavanyo lwe-fibrosis olungenalo uhlaselo, i-Doppler yangaphakathi kotyando, ukujonga ukujiya okuphambili (uvavanyo lwe-thromboelastography-type), ukusindiswa kweeseli, i-endoscopic kunye ne-interventional radiology back-up yeengxaki ze-biliary kunye ne-vascular, kunye nenkxaso yelebhu ye-molecular/HLA.
• Bobabini abantu abadala nabantwana: Iziko lokufakelwa kwesibindi le-Apollo liqhuba iinkqubo zokufakelwa kwesibindi sabantwana kwi-biliary atresia, isifo sesibindi esitshintshayo kunye nokusilela kwesibindi okukhawulezileyo ebantwaneni, kuquka nee-graft ezincinci ngobukhulu, kunye nenkqubo yabantu abadala.
• Ingqwalasela yokhuseleko lwabanikeli abaphilayo: Uvavanyo oluzimeleyo lwabanikeli, inkqubo yekomiti yokuziphatha/yokugunyazisa njengoko kuyalelwe phantsi koMthetho woTshintsho lweeMilo zoLuntu kunye neeTissues, kunye nokulandelelana okucwangcisiweyo kwabanikeli.
• Inkxaso yohambo lonke: Abaququzeleli bokufakelwa izithombo bakhokela iintsapho ngovavanyo, amaxwebhu asemthethweni, amaphepha e-inshurensi kunye ne-TPA, ukwamkelwa, uhlaziyo lwe-ICU, uqeqesho lokukhululwa kunye nokulandelela ubomi bonke - kuquka neentsapho ezihamba ngaphandle kweLucknow.
• Iinkqubo zokulungisa imeko ngokwesiko: "Ukulungiselela kwangaphambili" ukufakelwa kwe-sarcopenia kunye nobuthathaka, i-physiotherapy ehleliweyo emva kokufakelwa, izicwangciso zesondlo ezakhiwe ngokutya kwemifuno yaseIndiya kunye nokungekho kwemifuno, kunye neengcebiso zokubuyela emsebenzini kunye nokubuyela kwimidlalo ezilinganisiweyo kubantu abancinci abafumana le mveliso.

Iziphumo zokufakelwa kwesibindi zixhomekeke kwinqanaba lesifo sesibindi, umgangatho wabaxhasi, umngcipheko wosulelo kunye nokunamathela kumayeza. Akukho ziko linokuthembisa unyango okanye iziphumo eziqinisekisiweyo, kwaye iqela liza kuxoxa ngomngcipheko wakho ngokunyaniseka ngexesha lovavanyo.

isishwankathelo

Utyando lokufakelwa isibindi yinkqubo esindisa ubomi equka ukutshintsha isibindi esinesifo ngesibindi esiphilileyo esivela kumntu onikelayo. Kwizibhedlele zase-Apollo eLucknow, sijonge ukuba phakathi kweziko ezifanelekileyo kakhulu zokufakelwa isibindi kulo mmandla, sigxile kubunzima bezonyango, ubuchwepheshe obuphambili kunye nokhathalelo lwezigulane olunobubele. Iqela lethu loogqirha abanobuchule kunye neengcali zonyango lisebenzisa iindlela zanamhlanje ukuze lisebenzele iziphumo ezilungileyo kakhulu kwisigulana ngasinye. Siyakumema ukuba uhlole amandla okufakelwa isibindi kwiZibhedlele zase-Apollo eLucknow, ngokuqonda okucacileyo noko kunokwenziwa yile nkqubo.

Kutheni uTshintsho lwesibindi luyimfuneko

Ukufakelwa kwesibindi kudla ngokuba yimfuneko kwizigulana ezinesifo sesibindi esikwinqanaba lokugqibela, esinokubangelwa ziimeko ezahlukeneyo ezifana ne-cirrhosis, i-hepatitis, isifo sesibindi esinamafutha (ngoku esibizwa ngokuba sisifo sesibindi esibangelwa yi-metabolic dysfunction-associated steatotic liver disease) okanye umhlaza wesibindi. Isibindi sidlala indima ebalulekileyo ekucoceni igazi, sivelise iiproteni ezibalulekileyo kwaye sincede ekugayweni kokutya. Xa isibindi singaphumeleli, sinokukhokelela kwiingxaki ezinzima, kubandakanya ukungasebenzi kwesibindi, okunokubulala ngaphandle kokungenelela.

Iingenelo zokufakelwa isibindi zinokuba nzulu kakhulu. Zingabuyisela ukusebenza kwesibindi, ziphucule umgangatho wobomi kwaye zandise ubomi obude kubantu abafanelekileyo. Izigulane ezininzi ezenza olu tyando zifumana uphuculo olukhulu kwimpilo yazo, nto leyo ebavumela ukuba babuyele kwimisebenzi yemihla ngemihla. Kwizibhedlele zaseApollo eLucknow, siyaqonda ukuba kubaluleke kangakanani ukufakelwa isibindi kwaye sizinikele ekuboneleleni ngonyango olufike ngexesha nangempumelelo.

Imingcipheko yokuLibazisa

Ukulibazisa ukufakelwa isibindi kunokuba nemiphumo emibi kakhulu. Njengoko isifo sesibindi siqhubeka, izigulana zinokufumana iimpawu eziya ziba mandundu, kuquka i-jaundice, i-ascites kunye ne-hepatic encephalopathy. Ezi ngxaki zinokubangela ukwehla kwempilo iyonke, nto leyo eyenza isigulana singakulungeli utyando. Ukongeza, ukungasebenzi kakuhle kwesibindi ixesha elide kunokubangela ukungasebenzi kakuhle kwamalungu amaninzi omzimba, nto leyo enyusa kakhulu umngcipheko wokufa.

Ukungenelela ngexesha elifanelekileyo kubalulekile. Kwizibhedlele zaseApollo eLucknow, sigxininisa ukubaluleka kovavanyo lwakwangoko kunye nonyango. Iqela lethu lixhotyiswe ukuvavanya imeko yakho kunye nokumisela eyona ndlela ilungileyo yokwenza, ukuze ufumane unyango ngaphandle kokulibaziseka ngokungeyomfuneko.

Izibonelelo zoTshintsho lwesibindi

• Ukubuyiselwa komsebenzi wesibindi: Ukufakelwa kwesibindi okuphumelelayo kunokubuyisela ukusebenza kwesibindi okuqhelekileyo, okuvumela umzimba ukuba ucoceke ngokufanelekileyo kwaye uvelise iiproteni ezibalulekileyo.
• Umgangatho wobomi obuphuculweyo: Izigulane ezininzi zixela ukuphucuka okukhulu kwimpilo-ntle iyonke, kuquka amanqanaba angcono amandla kunye nokukwazi ukuphinda baqalise imisebenzi ababeyinandipha ngaphambili.
• Ulindelo lobomi olwengeziweyo: Xa isibindi sisebenza kakuhle, izigulane ezininzi ziphila ixesha elide kakhulu kunokuba bezinokuphila xa zinesifo sesibindi esinganyangwanga.
• Ukufikelela kunyango oluphezulu: Izibhedlele zaseApollo eLucknow zixhotyiswe ngetekhnoloji yanamhlanje kunye neqela leengcali ezahlukeneyo ezinyamekela izigulana kulo lonke inkqubo yokufakelwa izitho.
• Inkxaso eyenzelwe wena: Isigulana ngasinye sifumana inkxaso eyenzelwe wena, ukusuka kuvavanyo lwangaphambi kotyando ukuya kulandelelwano lwasemva kotyando, ukuze uhambo lokuchacha lube lula kangangoko kunokwenzeka.

Ukulungiselela kunye noBuyiselo

Iingcebiso zoLungiselelo

1. Ukubonisana: Cwangcisa intlanganiso neqela lokufakelwa kwesibindi kwi-Apollo Hospitals Lucknow. Uvavanyo olupheleleyo luza kuqinisekisa ukuba uyafaneleka na ukwenza olu tyando.
2. Uvavanyo lwezonyango: Yenza uvavanyo oluyimfuneko, kuquka uvavanyo lwegazi, izifundo zomfanekiso kunye novavanyo lwempilo yakho iyonke, ukuze iqela liqonde imeko yakho kwaye licebe utyando.
3. Indlela yokuphila: Ukuba utshaya okanye usela utywala, ukuyeka ngokupheleleyo kubalulekile. Ukutya okunempilo kunye nokwenza umthambo ofanelekileyo kuphucula ukulungela utyando.
4. Inkxaso: Lungiselela inkqubo yenkxaso yosapho kunye nabahlobo abanokukunceda ngexesha lokuchacha.

Iingcebiso zokuBuyisa kwakhona

1. Ukhathalelo lokulandela: Yiya kuzo zonke iintlanganiso zokulandelela ezicwangcisiweyo. Ukubeka iliso rhoqo kubalulekile ukuqinisekisa ukuba ukuchacha kuhamba kakuhle.
2. Ukunamathela kumayeza: Sela amayeza amiselweyo kanye njengoko uyalelwe. Amayeza okunciphisa umzimba abalulekile ekuthinteleni ukwaliwa kwamalungu omzimba, kwaye ukunamathela kubalulekile kwisiphumo esiphumelelayo.
3. Indlela yokuphila esempilweni: Yitya ukutya okunesondlo kwaye wenze umthambo omncinci njengoko ucetyisiwe liqela lakho lezempilo ukuze uncede ekuchacheni nasekufumaneni amandla kwakhona.
4. Inkxaso yeemvakalelo: Cinga ngamaqela enkxaso okanye iingcebiso ukunceda ukujongana nemiba yeemvakalelo yokuchacha. Ukuba nenethiwekhi yenkxaso kubaluleke kakhulu.

Isikhokelo Seklinikhi Sangoku Silandelwe

Le nkqubo ikhokelwa ngamaxwebhu esivumelwano saseIndiya nesamazwe ngamazwe, asetyenziswa kwimeko yesigulana ngasinye:

• UMbutho weSizwe waseIndiya woFundo lweSibindi (i-INASL): Izitatimende zesikhundla kunye nesikhokelo esivumelanayo malunga nokusilela kwesibindi okungapheliyo, ulawulo lwe-hepatitis B kunye ne-C, isifo sesibindi esinamafutha esinganxilisiyo/esingenatywala kunye nesifo sesibindi esinxulumene notywala, ezichaphazela ixesha lokudluliselwa.
• Umbutho we-Asian Pacific Association for the Study of the Liver (APASL): Iingcebiso ezivunyiweyo ze-APASL malunga nokusilela kwesibindi okungapheliyo (okuhlaziyiweyo ngo-2019, kunye nohlaziyo olulandelayo) zisetyenziswa kakhulu eIndiya ekuchongeni izigulana ezifuna uvavanyo olukhawulezileyo lokufakelwa izitho kunonyango olude.
• Umbutho Wokufakelwa Kwesibindi eIndiya (i-LTSI): Isikhokelo sikazwelonke kunye nomsebenzi wobhaliso malunga nokufakelwa kwesibindi esiphilayo kunye nomnikelo, ukhuseleko lwabaxhasi kunye nokufakelwa kwabantwana.
• Izikhokelo ze-EASL Clinical Practice malunga nokufakelwa kwesibindi (2024): Isalathiso samva nje samazwe ngamazwe. Utshintsho oluphawulekayo kwindlela yokusebenza yangoku luquka ukushenxa kwixesha elimiselweyo lokuzila ngaphambi kokufakelwa isitokhwe sesifo sesibindi esinxulumene notywala ukuze kukhethwe uvavanyo oluhlukeneyo oluqhutywa ngabanye, ukusetyenziswa ngokubanzi kweendlela ezinde kunye nee-grafts ezifakwe ngomatshini, ukwandiswa ngaphaya kweendlela ezingqongqo zaseMilan ze-hepatocellular carcinoma kusetyenziswa impendulo yokunciphisa inqanaba lomhlaza, kunye nokugxininisa ngakumbi kuvavanyo lobuthathaka kunye ne-sarcopenia ngaphambi kokufakwa kuluhlu.
• UMthetho we-NOT / Ukufakelwa kwamalungu oMntu kunye neZicsues, ka-1994 (olungisiweyo ngo-2011) kunye neMithetho ka-2014: Lonke igunya lomxhasi, amaxwebhu asondeleyo kunye nokwabiwa komxhasi oswelekileyo kulandela olu lwakhiwo lomthetho kunye nobhaliso kwinqanaba likarhulumente ngentlangano yokufakelwa amalungu omzimba karhulumente wase-Uttar Pradesh.

Ubungqina buvela phi? Umzekelo, imida yokukhetha echanekileyo kumhlaza wesibindi okanye indima yetekhnoloji entsha yokukhupha igazi? Iqela liza kuchaza ukuba yintoni esekwe kunye nento engaqinisekanga.

Ixesha leNkqubo kunye neSigaba sangaphambi kokufakelwa

Ukufakelwa isibindi akusoloko kuyinto ethathwa njengesigqibo seveki enye. Indlela idla ngokuba namanqanaba amathathu:

1. Ukudluliselwa kunye novavanyo (ngesiqhelo iveki e-1 ukuya kwe-3 kwimeko ecwangcisiweyo): Uvavanyo lwegazi, iimpawu zentsholongwane, imifanekiso enqamlezileyo, uvavanyo lwentliziyo nemiphunga, uvavanyo lwamazinyo nosulelo, uvavanyo lomhlaza apho kuyimfuneko, uvavanyo lwesondlo kunye nobuthathaka, uphononongo lwengqondo kunye nokuyeka umlutha apho kuyimfuneko, kunye nokubalwa kwamanqaku obunzima afana ne-MELD-Na okanye i-Child-Pugh.
2. Isigqibo kunye nokulungiselela: Ukufakelwa komntu ophilayo nomnikeli, ukuhlolwa komnikeli, ukuhambelana kweqela legazi, ubungakanani besibindi, uvavanyo lokufaneleka komzimba kunye nokuqinisekiswa kwekomiti yokugunyazisa ngokusemthethweni. Ukufakelwa komntu oswelekileyo nomnikeli, ubhaliso kuluhlu lokulinda lukarhulumente. Ixesha ke lixhomekeke ekubeni kukho amalungu omzimba akhoyo.
3. Utyando kunye nokuhlala esibhedlele: Utyando ludla ngokuthatha iiyure ezininzi, kulandele ukhathalelo lwe-ICU kunye nokuhlala kwigumbi lokulinda. Ukusilela kwesibindi okukhawulezileyo kunye nokusilela kwesibindi okungapheliyo kuthathwa njengengxamiseko kwaye kunokunciphisa eli xesha libe ziintsuku.

Iinketho Zobuchule: Uthelekiso

Iinkqubo Ngamanye amaxesha zenziwa malunga nexesha elinye

• Ukubopha i-variceal band okanye i-glue injection ngaphambi kokufakelwa ukuze kulawulwe umngcipheko wokopha.
• I-paracentesis enkulu okanye i-pleural drainage kwi-ascites eqinileyo okanye i-hydrothorax.
• I-Transjugular intrahepatic portosystemic shunt (TIPS) njengebhulorho kwizigulana ezikhethiweyo.
• I-Trans-arterial chemoembolisation (TACE), i-radiofrequency okanye i-microwave ablation ukuze yehle okanye ibambe umhlaza wesibindi ngelixa ulinde i-graft.
• Ukubopha kwemithambo ye-splenic okanye ukutshintshwa kokungena kwe-portal ngexesha lotyando lwe-grafts ezincinci okanye uxinzelelo oluphezulu lwegazi lwe-portal.
• Ukulungiswa kweHernia, i-cholecystectomy okanye ukwakhiwa kwakhona kwenyongo kwenziwa njengenxalenye yotyando lokufakelwa i-bile.
• Ukufakelwa kwezintso ngaxeshanye kwesibindi kwizigulana ezikhethiweyo ezinesifo sezintso esingalungisekiyo.
• Ukususwa kwamazinyo, iiprotokholi ze-hepatitis B immunoglobulin kunye nokuhlolwa kwe-vaccine ngaphambi kotyando.

Ukubuyiselwa Kwenqanaba Ngenqanaba

Ezi ziindlela ezibanzi neziqhelekileyo. Ukuchacha komntu ngamnye kuyahluka ngokwempilo yangaphambi kokufakelwa, ukusebenza kwe-graft kunye neengxaki.

Ukubuyela kwimisebenzi eqhelekileyo, emsebenzini nakwimidlalo

Ukubuya kuxhomekeke ekupholeni kwenxeba, amandla emisipha kunye nomngcipheko wosulelo endaweni yekhalenda yodwa. Iikhrayitheriya eziqhelekileyo ezijongwa liqela:

• Ukuqhuba: Ngokwesiqhelo emva kweeveki ezi-4 ukuya kwezi-6, xa sele ukwazi ukuqhobosha iibhuleki ngokukhawuleza ngaphandle kwentlungu yesisu kwaye uyeke amayeza okuthomalalisa.
• Ukuphakamisa kunye nomsebenzi onzima: Akukho nto ingaphezulu kwe-5 kg ​​kangangeeveki ezi-6 ukuya kwezi-8; umsebenzi wezandla kunye nomsebenzi onzima wasefama uhlala uhlehliswa kangangeenyanga ezi-3 nangaphezulu ukunciphisa umngcipheko we-hernia yokusika.
• Ukuhlala phantsi, ukuhlala phantsi unqumle imilenze kwaye ulele phantsi: Uninzi lwezigulane lufumanisa ukuba ukuhlala phantsi kwemilenze enqamlezileyo nokuquma akukhululeki kangangeeveki ezi-6 ukuya kwezi-8 ngenxa yokusikwa kwesisu. Sebenzisa i-Western commode okanye isitulo se-commode phezu kwendlu yangasese efana neyaseIndiya ngeli xesha, kwaye ulale ebhedini eqinileyo endaweni yomgangatho ukuze ukwazi ukuvuka ngaphandle kokutsala nzima inxeba.
• Imisebenzi yasekhaya: Ukupheka nokusonga impahla kancinci kwiiveki ezi-3 ukuya kwezi-4; kuphephe ukucofa, ukukha amanzi kunye nokuphakamisa iisilinda zegesi ubuncinane iiveki ezi-8.
• Ukuqubha kunye nokuhlamba esidlangalaleni: Ziphephe iidama zamanzi, imilambo, amachibi kunye neebhafu zikawonke-wonke ubuncinane iinyanga ezi-3, kwaye uxoxe ngexesha ngenxa yomngcipheko wokosuleleka.
• Midlalo: Ukuhamba ngeenyawo kunye nokukhwela ibhayisekile ungashukumi kwangethuba; ukubaleka, ijimu kunye nekhilikithi zihlala ziqala kwiinyanga ezi-3 ukuya kwezi-6 ngaphandle kokuphazamiseka. Imidlalo efana ne-kabaddi, i-wrestling, i-rugby kunye ne-boxing ngokubanzi ayikhuthazwa ngokupheleleyo ngenxa yomngcipheko wokwenzakala kwi-graft.
• Izihlwele kunye nokuhamba: Nxiba imaski kwiindawo ezinabantu abaninzi, kwiitempile, kwiimarike nakwiindlela zikawonke-wonke kwiinyanga ezi-3 zokuqala, kwaye uphephe ukuhlanganisana kwabantu abaninzi kwangethuba emva kokufakelwa isibeleko.

Ukukhusela Isibindi Esitsha Nokuthintela Ukuphinda Sibuye

• Ukuzikhwebula ngokupheleleyo etywaleni, ubomi bonke, nokuba yintoni imbangela yesifo sesibindi.
• Akukho cuba nangaluphi na uhlobo, kuquka gutkha, khaini kunye bidi.
• Unyango lwe-Antiviral kwi-hepatitis B (edla ngokuphila ubomi bonke, ngamanye amaxesha nge-hepatitis B immunoglobulin) kunye nonyango lwe-hepatitis C apho lukhoyo.
• Ubunzima, iswekile kunye nolawulo lwamafutha emzimbeni ukuthintela isifo sesibindi esinamafutha esiphindaphindayo kwi-graft - ingxaki ekhulayo njengoko isifo sesibindi esitshintshayo sisanda eIndiya.
• Ungaze uthathe amayeza angabhalwanga ngugqirha, kuquka amayeza okudambisa iintlungu athengiswa ngaphandle kwemvume kagqirha, kwaye uphephe amayeza angalawulwayo emifuno, i-ayurvedic, i-homeopathic okanye "i-liver tonic", ayimbangela ebhaliweyo yokulimala kwesibindi okubangelwa ngamayeza eIndiya. Bonisa onke amayeza kwiqela lakho lokufakelwa izitho kuqala.
• Ukhuseleko lokutya namanzi: Amanzi abilayo okanye afakwe ebhotileni, ukutya okushushu okusandul’ ukuphekwa, akukho chaat yasesitalatweni, iziqhamo ezisikiweyo, iisaladi eziluhlaza, iichutney, ijusi yomoba okanye ubisi olungafakwanga iintsholongwane kwiinyanga zokuqala.
• Ukugonywa njengoko kucetyiswa, ukusebenzisa ii-vaccine ezingasebenziyo; ii-vaccine eziphilayo zihlala zingathintelwa emva kokufakelwa.
• Ukuhlolwa komhlaza kunye nosulelo, kuquka nokuhlolwa kweempawu zesifo sephepha, nto leyo ibalulekileyo kwimeko yaseIndiya.
• Ungaze utsibe okanye uzilungise ngokwakho izinto ezithintela amasosha omzimba, Nokuba ngexesha lomkhuhlane, ukuzila ukutya, ixesha lokuzila ukutya laseNavratri okanye laseRamzan? xoxa ngezicwangciso zokuzila ukutya nogqirha wakho kwangaphambili.

Izinto Omele Uziqwalasele Abantwana Nabaguli Abadala

abantwana

• Iimpawu eziqhelekileyo yi-biliary atresia, i-progressive familial cholestasis, isifo sesibindi se-metabolic kunye ne-genetic, kunye nokusilela kwesibindi ngokukhawuleza.
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• Isondlo, ukukhula kunye nokugcinwa kwempilo ngaphambi kokufakelwa kwesilwanyana zinefuthe elikhulu kwiziphumo.
• Ukubuyela esikolweni kudla ngokuba yinto enokwenzeka emva kweenyanga ezi-3; ukulandelelana kwexesha elide kuquka ukukhula, ukufikisa, ukusebenza kwezintso kunye nokubambelela ngexesha lokufikisa.

Abantu abadala abadala

• Ubudala bodwa abungomqobo; ukuqina komzimba kubaluleke ngaphezu kwenani.
• Uvavanyo olongezelelweyo lwentliziyo, imiphunga, izintso, i-carotid kunye nobuthathaka luyinto eqhelekileyo, kwaye ulawulo lwesifo seswekile lubalulekile.
• I-Sarcopenia ixhaphakile kwaye ngaphambi kotyando kucetyiswa ukuba utyando luqhubeke nokongeza iiproteni kunye nokuzilolonga okujongiweyo.
• Ukuchacha kudla ngokuhamba kancinci, kwaye umntu onyamekela ikhaya othembekileyo ubalulekile.

Ukunyamekela Iintsapho Ezidibeneyo ZaseIndiya

• Chonga ubuncinane abantu ababini abakhathalela abantu abaphambili abaya kuqeqeshwa ngokukhululwa esibhedlele malunga namayeza, amaxesha okusetyenziswa kwamayeza, unyango lwamanxeba kunye nokujonga ubushushu bomzimba.
• Gcina igumbi lesigulana, izinto zokulala, iitawuli kunye nezixhobo zahlukile kwiinyanga ezimbalwa zokuqala, kwaye ugcine kude izalamane ezigulayo kunye nabantwana abanemikhuhlane.
• Ukuthintela inani leendwendwe eziveliswa ziintsapho zaseIndiya ngokwemvelo? Ukuxinana kwabantu abaneenjongo ezintle kuyingozi yokwenene yosulelo emva kokufakelwa.
• Gcina izilwanyana zasekhaya zingangeni kwigumbi lesigulana, kwaye uphephe ukuphatha umhlaba, izityalo, ubulongwe benkomo kunye nothuli lokwakha kwangethuba emva kokufakelwa izilwanyana.
• Yabela ilungu elinye losapho ukuba ligcine ifayile yeengxelo, uluhlu lwamayeza, amaphepha e-inshorensi kunye nemihla yokulandelela.
• Ukuba usapho luphekela abantu abaninzi isidlo esinye, cwangcisela isigulane isidlo esahlukileyo, esisandul’ ukuphekwa, nesingenatyuwa ingako.

Ukuba Ukhetha Ukungatyalwa Utyando

Ukwala okanye ukulibazisa ukufakelwa isibeleko lukhetho olufanelekileyo, kwaye iqela liya kuqhubeka likunyamekela. Okufanele ukulindele:

• Ulawulo lwezonyango lunokulawula i-ascites, i-encephalopathy kunye nokopha kwe-variceal okwethutyana, kwaye unyango lwe-hepatitis okanye ukuyeka ngokupheleleyo utywala ngamanye amaxesha kuvelisa ukuchacha okubalulekileyo kwisifo esingaphucukanga kangako.
• Nangona kunjalo, kwisifo esikwinqanaba lokugqibela, unyango lwezonyango alubuyiseli ukusebenza kwesibindi, kwaye iingxaki zihlala ziphinda-phinda ngokwanda kokungeniswa esibhedlele.
• Isifo sesibindi esinganyangwanga sinomngcipheko omkhulu wokufa, kwaye umgangatho wobomi uhlala uyehla. Iqela lingakunika uqikelelo lomntu ngamnye olusekelwe kumanqaku akho e-MELD-Na okanye e-Child-Pugh.
• Unyango oluxhasayo noluncedayo, ulawulo lweempawu, inkxaso yesondlo kunye nocwangciso lokhathalelo lwasekhaya ziyafumaneka, kwaye zinokudityaniswa nokujonga okuqhubekayo ukuba unokucinga kwakhona kamva.
• Apho umhlaza wesibindi ubonisa khona, ukulibaziseka kunokuvumela ukuba ithumba liqhubeke ngaphaya kwemida enokufakelwa kuyo.

Izinto Ezitshintsha Iindleko

Iindleko zokufakelwa isibindi zahlukile kakhulu phakathi kwezigulana. Izibhedlele zaseApollo eLucknow zibonelela ngoqikelelo olubhaliweyo emva kovavanyo; nceda ufumane amanani angoku kwiidesika zokuhlawula nokulungelelanisa ukufakelwa kwesibindi zesibhedlele endaweni yokuxhomekeka kuluhlu lwamaxabiso oluvela kumntu wesithathu.

I-inshurensi, Unyango olungenamali kunye noCwangciso lwezeMali eIndiya

• Qinisekisa ngokubhaliweyo isigqubuthelo sokufakelwa amalungu omzimba. Imigaqo-nkqubo emininzi yezempilo yaseIndiya igubungela ukulaliswa esibhedlele kwabantu abafumana unyango, kwaye phantsi kwamagama alawulwa yi-IRDAI, iindleko zokuvuna amalungu omzimba anikelwayo ukuya kuthi ga kwimida ethile. Uvavanyo lwangaphambi kokufakelwa amayeza kunye namayeza emva kokukhululwa esibhedlele adla ngokulinganiselwa okanye angabandakanywa.
• Amaxesha okulinda abalulekile. Uninzi lweepolisi zokhuseleko zisebenzisa ixesha lokulinda lokuqala leentsuku ezingama-30, kunye nexesha lokulinda isifo esele sikhona seminyaka emi-2 ukuya kwemine. Isifo sesibindi esiqinisekisiweyo esabhengezwa ngexesha lokuthenga ipolisi sithathwa njengesesikhona, ngoko ke ipolisi yamva nje ayinakuhlawula. Ukulimala kwesibindi ngengozi okufuna utyando olungxamisekileyo kudla ngokuhlawulelwa ukususela ngosuku lokuqala, ngokungafaniyo nokufakelwa okucwangcisiweyo kwesifo esinganyangekiyo.
• Icwangciswe ngokuchasene nengxamiseko: Ukufakelwa isibeleko okucwangcisiweyo kufuna imvume kwangaphambili, ngokuqhelekileyo kufakwe isicelo iintsuku ezininzi kwangaphambili. Ukwamkelwa ngokukhawuleza ngenxa yokusilela kwesibindi okukhawulezileyo kunokuvunyelwa emva kokungeniswa, kodwa iofisi yeinshorensi kufuneka yaziswe ngaloo mini inye.
• Inkqubo yokungasebenzisi imali kunye ne-TPA: Ngenisa ikhadi lepolisi, i-ID enemifanekiso karhulumente, amayeza, izishwankathelo zokukhululwa kwisibhedlele kwangaphambili kunye neengxelo kwi-Apollo insurance help desk. I-desk icela imvume kwangaphambili kwi-inshorensi yakho okanye kwi-TPA, kwaye izicelo zokuphucula ixesha elifutshane ngexesha lokuhlala ixesha elide e-ICU ziqhelekile. Ukuvunywa, imida engaphantsi, imida yokuqeshisa igumbi kunye neentlawulo ezihambelanayo zigqitywa yi-inshorensi yakho, hayi isibhedlele.
• Izikimu zikarhulumente kunye nabaqeshi: Ukhuseleko phantsi kweCGHS, i-ECHS, iinkqubo zabasebenzi bakarhulumente, iiphaneli zikaloliwe kunye nePSU, kunye ne-Ayushman Bharat PM-JAY kuxhomekeke kwi-empanelment kunye nokufumaneka kwephakheji. Jonga i-empanelment yangoku yokufakelwa kwesibindi kwi-Apollo Hospitals eLucknow ngqo kwi-TPA yesibhedlele kunye nedesika yokuhlawula ngaphambi kokuba ungeniswe.
• Izinto ezingahlawulelwayo: Izinto ezisetyenziswayo, iiglavu, ezinye izinto ezilahlwayo, ukutya okusebenzayo kunye neentlawulo zolawulo zihlala zitsalwa. Gcina imali yokugcina impahla.
• Iindleko zomthetho kunye namaxwebhu: Amaxwebhu okugunyazisa abaxhasi, ukuqinisekiswa kwe-notaris kunye nemigaqo yekomiti zahlukile kwiindleko zonyango.

Ukucwangcisa ukwamkelwa kunye noko uza kuzisa

• Iikopi zokuqala kunye neefotokopi ze-Aadhaar, PAN kunye nobungqina bedilesi yomntu ofumanayo kunye nomnikeli; ifoto yosapho kunye nobungqina bobudlelwane obufana nekhadi lokufumana ukutya, izatifikethi zokuzalwa okanye isicatshulwa serejista yosapho sekomiti yogunyaziso.
• Zonke izishwankathelo zokukhululwa kwangaphambili, iingxelo ze-endoscopy kunye ne-biopsy, iifilimu zemifanekiso kunye neeCD, kunye neerekhodi zokugonya.
• Uluhlu olubhaliweyo lwamayeza akhoyo aneedosi, kuquka nantoni na yezityalo okanye ye-ayurvedic.
• Ikhadi le-inshurensi, uxwebhu lomgaqo-nkqubo, iileta zokudlulisela umqeshi okanye inkqubo.
• Impahla yekotoni evulekileyo ngaphambili, izihlangu ezingatyibilikiyo, ibhrashi yamazinyo, ikama, ikomityi, kunye nesixhobo sokubopha isisu ukuba kucetyiswa.
• Iispectacles, amazinyo okufakelwa, izixhobo zokuva, iitshaja zefowuni kunye nentambo ende yokutshaja.
• Uqhagamshelwano phakathi kwabanikeli begazi phakathi kwezalamane, kuqatshelwe amaqela egazi, ukuze kufunyanwe iimfuno zokutshintshwa.
• Abantu ababini abachongiweyo abanyamekela abantu, kunye nendawo yokuhlala ebhukishiweyo kufutshane nesibhedlele ukuba uvela ngaphandle kwedolophu.
• Landela imiyalelo yokuzila ukutya ngokuchanekileyo, kwaye ungayeki okanye uqalise naluphi na unyango ngaphambi kokungeniswa ngaphandle kwemiyalelo.

Iimpawu Zesilumkiso Ezifuna Uphononongo Olungxamisekileyo

Nxibelelana neqela lokufakelwa isitho okanye uye kwingxamiseko ngokukhawuleza ukuba uqaphela:

• Umkhuhlane ongaphezulu kwe-100.4°F, ukubanda okanye ukurhawuzelelwa.
• Iintlungu zesisu ezikhulayo, ukudumba okanye ukuhlanza okungapheliyo.
• Ukutyheli kwamehlo, umchamo omnyama okanye indle ekhanyayo.
• Ukubomvu kwenxeba, ukuvuleka, ukuphuma kwamanzi okanye ukudumba kwesilonda.
• Ukuncipha okanye ukungabikho komchamo, okanye ukudumba kwemilenze.
• Indle emnyama okanye enegazi, okanye igazi eligabhayo.
• Ukudideka, ukozela kakhulu, ukuthetha okungacacanga okanye ukudideka - mhlawumbi yi-encephalopathy.
• Ukungakwazi ukuphefumla, iintlungu esifubeni okanye ukukhwehlela okungapheliyo.
• Urhudo oluhlala luhleli, okanye ukuhlanza okukuthintelayo ekuthatheni amayeza okunciphisa amasosha omzimba.
• Naziphi na iidosi ezingathathwanga ngamayeza okunciphisa uxinzelelo lomzimba.
• Ababoneleli abaphilayo: Umkhuhlane, iintlungu eziya zisiba mandundu, inyongo, ukuphuma kwegazi enxebeni okanye ukuphefumla emva kokunikela.

Kwabaguli Abahambayo Abavela Kwizithili Nezixeko Ezikufutshane

Apollo Hospitals Lucknow receives patients from across Uttar Pradesh and neighbouring states, including Kanpur, Unnao, Barabanki, Sitapur, Hardoi, Rae Bareli, Sultanpur, Amethi, Ayodhya, Gonda, Bahraich, Basti, Gorakhpur, Jhansi, Prayagraj, Varanasi, Bareilly, Shahjahanpur, Lakhimpur Kheri, Faizabad and Pratapgarh, kunye neenxalenye zeBihar, Uttarakhand, Madhya Pradesh kunye neNepal.

• Thumela iingxelo kwangaphambili. Yabelana ngovavanyo lwegazi lwakutshanje, imifanekiso kunye nezishwankathelo zangaphambili neqela elijongene nokufakelwa kwesisu ngaphambi kokuba uhambe, ukuze uninzi locwangciso lungenziwa kude.
• Cwangcisa utyelelo oludibeneyo. Cela ukuba iimvavanyo zovavanyo zibekwe zibe ziintsuku ezimbalwa kangangoko kunokwenzeka; uphando oluninzi lovavanyo lunokwenziwa kutyelelo olunye.
• Zisa umnikeli. Ukuhlolwa kwabanikeli kunokusebenza ngaxeshanye novavanyo lwabamkeli, nto leyo esindisa uhambo lwesibini.
• Hlala eLucknow emva kotyando. Cwangcisa ukuhlala esixekweni okanye kufutshane naso kangangeeveki ezi-4 ukuya kwezi-6 emva kokuphuma esibhedlele, kuba uvavanyo lwegazi kunye nokuhlolwa kwamayeza kwenzeka rhoqo ngelo xesha. Lungiselela indawo yokuhlala enekhitshi elicocekileyo kunye negumbi lokuhlambela elahlukileyo ukuba kunokwenzeka.
• Inkxaso yasekhaya. Chonga ilebhu ekufutshane enokwenza amanqanaba e-tacrolimus okanye e-cyclosporine kunye novavanyo lwegazi olusisiseko ngokuthembekileyo, kunye nogqirha wasekuhlaleni onokuthatha amanyathelo ngokukhawuleza xa kukho imeko engxamisekileyo aze asebenzisane neqela le-Apollo.
• Uluhlu lwabanikeli abaswelekileyo. Ukuba ukuluhlu lokulinda lukarhulumente, kufuneka ukwazi ukufikelela eLucknow kwiiyure ezimbalwa; gcina amalungiselelo okuhamba, inombolo yefowuni ehlaziyiweyo kunye nebhegi egcweleyo ilungile ngamaxesha onke.
• Intuthuzelo yokuhamba. Emva kokuphuma emotweni, chitha uhambo olude rhoqo emva kwemizuzu engama-90 uhamba ngeenyawo, nxiba i-binder ukuba uyacetyiswa, kwaye uphephe ukuhamba ngololiwe oxineneyo kwiinyanga ezintathu zokuqala.

Unxibelelwano kunye neeNdibano zokuQeqesha

Imibuzo Ebuzwa Rhoqo Malunga Nokufakelwa Kwesibindi Kwizibhedlele zaseApollo eLucknow

1. Ngubani onokufuna ukufakelwa isibindi?

Ukufakelwa kwesibindi kunokuqwalaselwa kwizigulana ezinesifo sesibindi esikwinqanaba lokugqibela, ukungasebenzi kakuhle kwesibindi ngokukhawuleza, umhlaza wesibindi okhethiweyo okanye ezinye iimeko zesibindi ezinzima xa unyango lwezonyango okanye lotyando lungasanele. Ukufaneleka kuxhomekeke kubukhali besifo sesibindi, impilo iyonke kunye novavanyo oluneenkcukacha lokufakelwa.

2. Ndingayazi njani ukuba ndifanelekile ukufakelwa isibindi eLucknow?

Ukufaneleka kumiselwa emva kovavanyo liqela elijongene nokufakelwa kwesibindi kwiinkalo ezahlukeneyo. Uvavanyo lunokuvavanya ukusebenza kwesibindi, impilo yentliziyo nemiphunga, ukusebenza kwezintso, usulelo, isondlo, iziphumo zemifanekiso kunye nezinye iimeko zonyango ngaphambi kokuba kucetyiswe ukufakelwa kwesibindi.

3. Ngaba izibhedlele zaseApollo eLucknow ziyawenza utyando lwesibindi lwabantu abadala kunye nolwabantwana?

Ewe. Izibhedlele zaseApollo eLucknow zibonelela ngeenkonzo zokufakelwa isibindi kubantu abadala kunye nabantwana, kwaye unyango lucwangcisiwe ngokweminyaka yesigulana, imeko yesibindi esisiseko, impilo iyonke kunye neemfuno zokufakelwa isibindi.

4. Ngaba ilungu losapho linganikela ngenxalenye yesibindi salo?

Ewe. Umnikeli ophilayo ofanelekileyo ngokwezonyango anganikela ngenxalenye yesibindi kuba isibindi sinamandla okuphinda sikhule ngokupheleleyo emva kokunikela. Bobabini umnikeli kunye nommkeli bafuna uvavanyo oluneenkcukacha lwezonyango, kwaye ukufakelwa kwamalungu omzimba kufuneka kulandele imithetho efanelekileyo yokufakelwa amalungu aseIndiya kunye neemfuno zemvume.

5. Zeziphi iimvavanyo ezifunekayo ngaphambi kokufakelwa isibindi?

Uvavanyo lwangaphambi kokufakelwa isibeleko lungabandakanya uvavanyo lokusebenza kwesibindi nezintso, uvavanyo lweqela legazi, uvavanyo losulelo, uvavanyo lwentliziyo nokuphefumla, umfanekiso we-CT okanye we-MRI, uvavanyo lwesondlo kunye nolunye uphando olusekelwe kwimeko yesigulana. Kunokufuneka uvavanyo olongezelelweyo ukuvavanya unobangela kunye neengxaki zesifo sesibindi.

6. Yintoni umahluko phakathi kokufakelwa kwesibindi somntu ophilayo nokufakelwa kwesibindi somntu ofileyo?

Kwi-transplant yesibindi enikelwa ngumntu ophilayo, umntu ofanelekileyo ngokwezonyango unikela ngenxalenye yesibindi sakhe kumntu ofumanayo. Kwi-transplant yesibindi efunyenwe ngumntu oswelekileyo, isibindi sivela kumntu ofanelekileyo onikela ngesitho sakhe sangasese kwaye sabelwa ngenkqubo yokwabiwa kwesitho efanelekileyo ngokwemigaqo yomthetho neyeklinikhi.

7. Utyando lokufakelwa isibindi luthatha ixesha elingakanani?

Ubude botyando lokufakelwa isibindi buyahluka ngokuxhomekeke kwimeko yomntu oza kufakelwa isibindi, utyando lwangaphambili lwesisu, ukwakheka kwemithambo yegazi kunye nobunzima botyando. Iqela lokufakelwa isibindi linokubonelela ngoqikelelo lomntu ngamnye emva kokugqiba uvavanyo lwangaphambi kokufakelwa isibindi.

8. Ndingadinga ukuhlala ixesha elingakanani esibhedlele emva kokufakelwa isibindi?

Ubude bexesha lokuhlala esibhedlele buyahluka kwisigulana ngasinye kwaye buxhomekeke ekuchacheni, ukusebenza kwesibindi, umngcipheko wosulelo kunye nokuba kukho iingxaki na. Izigulana zihlala zichitha ixesha lokuqala zijongiwe ngononophelo ngaphambi kokuba ziqhubeke nokuchacha ewadini kwaye ekugqibeleni ziphume.

9. Zeziphi iingozi eziphambili ezinxulumene notyando lokufakelwa isibindi?

Iingozi ezinokubakho ziquka ukopha, usulelo, amahlwili egazi, iingxaki zombhobho wenyongo, iingxaki zemithambo yegazi, ukwaliwa kwamalungu omzimba kunye neziphumo ebezingalindelekanga ezivela kumayeza okuthintela amajoni omzimba. Iingozi zomntu ngamnye ziyahluka, kwaye iqela lokufakelwa izitho zomzimba lixoxa ngezi zinto ngokweenkcukacha ngaphambi kotyando.

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

Abantu abafumana unyango lokufakelwa isibindi ngokubanzi bafuna amayeza okunciphisa amasosha omzimba ixesha elide ukunciphisa umngcipheko wokwaliwa. Uhlobo kunye nomthamo unokutshintsha ngokuhamba kwexesha, kodwa la mayeza akufuneki amiswe okanye atshintshwe ngaphandle kwengcebiso evela kwiqela elifakelweyo.

11. Ziziphi iimpawu ezilumkisayo zokungavunyelwa kokufakelwa isibindi?

Ukungavumi ngamanye amaxesha kunokuqatshelwa kuqala ngovavanyo olungaqhelekanga lokusebenza kwesibindi endaweni yeempawu ezicacileyo. Iimpawu ezinokubakho zokulumkisa zingabandakanya umkhuhlane, i-jaundice, ukudinwa okungaqhelekanga, ukungonwabi esiswini okanye utshintsho kwiziphumo zovavanyo lwesibindi, nto leyo eyenza ukuba ulandelelwano rhoqo lube lubalulekile.

12. Kuthatha ixesha elingakanani ukuchacha emva kokufakelwa isibindi?

Ukuchacha kuyahluka ngokwemeko yesigulana ngaphambi kotyando, iingxaki, imeko yesondlo kunye nenkqubela yokubuyisela kwimeko yesiqhelo. Izigulana zihlala ziphinda zifumane amandla kancinci kancinci kwiiveki ezimbalwa ukuya kwiinyanga kwaye kufuneka ziphinde ziqale umsebenzi, umthambo kunye neminye imisebenzi ngokweengcebiso zonyango.

13. Ngaba izigulana ezinomhlaza wesibindi zingafakelwa isibindi?

Ukufakelwa kwesibindi kunokuqwalaselwa kwizigulana ezikhethiweyo ezine-hepatocellular carcinoma xa umhlaza uhlangabezana neemfuno zokufakelwa kwaye ungasasazekanga ngaphaya kwemida efanelekileyo. Ukufaneleka kufuna uvavanyo olukhethekileyo olusekelwe kwimifanekiso, iimpawu zesifo, ukusebenza kwesibindi kunye nempilo iyonke.

14. Ngaba unyango lokufakelwa kwesibindi lugutyungelwe yi-inshorensi yezempilo okanye izibonelelo ezingasebenzisi mali?

Ukhuseleko luxhomekeke kwipolisi ye-inshorensi yesigulana, kwi-inshorensi okanye kwi-TPA, amaxesha okulinda afanelekileyo, ukungabandakanywa kunye nokufakelwa esibhedlele. Izigulana kufuneka ziqinisekise ukhuseleko lokufakelwa isigulana, ukufaneleka ngaphandle kwemali, ilungelo legumbi kunye nogunyaziso olufunekayo kwangaphambili ngqo kwi-inshorensi ye-Apollo Hospitals Lucknow okanye kwi-TPA ngaphambi kokungeniswa.

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

Izigulana zingalungiselela udliwanondlebe ngokusebenzisa iindlela ezisemthethweni zokuqeshwa kwiZibhedlele zaseApollo eLucknow okanye iinkonzo zokufakelwa isibindi. Izigulana ezihamba kwezinye izixeko kufuneka ziphathe iingxelo zangaphambili, iiskeni, amayeza, izishwankathelo zokukhululwa kunye neerekhodi zonyango ezifanelekileyo kwintlanganiso yazo.