Inkqubo yeVP Shunt kwizibhedlele zeApollo, eLucknow

Kutheni Izigulana Zikhetha Izibhedlele zaseApollo eLucknow kwiVP Shunt Surgery

• Icandelo elizinikeleyo le-neurosurgery kunye ne-neurosciences kwiZibhedlele zaseApollo eLucknow (i-Apollomedics Super Specialty Hospital, eKanpur? eLucknow Road), kunye noogqirha bemithambo-luvo, oogqirha bemithambo-luvo, oogqirha bemithambo-luvo, oogqirha be-neuro-radiologists kunye neengcali zonyango olubalulekileyo lwemithambo-luvo ezisebenza njengeqela elinye endaweni yokwahlulwahlulwa.
• Ilifa leqela le-Apollo ukususela ngo-1983 Izibhedlele zaseApollo zezinye zezona qela likhulu leenkonzo zempilo ezidityanisiweyo eIndiya, ezinezibhedlele ezingaphezu kwama-70 kunye nenkqubo ye-neuroscience ebanzi kwinethiwekhi, oko kuthetha ukuba imigaqo, iindlela zokuhlola kunye nokufikelela kwimbono yesibini kwabelwana ngazo kuzo zonke iziko.
• Ukhathalelo olukhokelwa ngumcebisi omkhuluUtyando lwe-shunt esibhedlele lwenziwa ngoogqirha beengqondo abanamava otyando adibeneyo afikelela kwiminyaka emininzi kubantwana, kubantu abadala nakwabadala kwi-hydrocephalus. Ubungakanani beqela elichanekileyo kunye namava omntu ngamnye anokuqinisekiswa ngedesika ye-neurosciences ngexesha lokubhukisha.
• Inkxaso yomfanekiso kunye nenkxaso yangaphakathi kotyando kuquka i-CT, i-MRI (eneenkqubo ze-CSF flow kunye ne-shunt-series), i-neuronavigation kunye nokukwazi kwe-endoscopic, ukuze iqela likhethe phakathi kokubekwa kwe-shunt kunye ne-endoscopic third ventriculostomy (ETV) apho kufanelekileyo endaweni yokukhetha enye indlela.
• Iinkqubo ze-shunt ezicwangcisiweyo nezifakwe kwiintsholongwane ingasetyenziswa apho kuboniswe ngokwezonyango, ivumela uxinzelelo lwevalvu ukuba lulungiswe ngaphandle kokungenelela emva kotyando endaweni yokufuna utyando oluphindaphindwayo xa amanzi ephuma kakhulu okanye engangeni kakuhle.
• I-24x7 engxamisekileyo kunye ne-neuro-ICU cover Kubalulekile kuba ii-shunts ezivaliweyo okanye ezinentsholongwane zivela ngequbuliso kwaye zifuna uvavanyo lwangosuku olufanayo.
• Iindlela zokunyamekela ezahlukeneyo zamaqela ahlukeneyo eminyaka: iintsana kunye nabantwana abane-hydrocephalus yokuzalwa okanye i-hydrocephalus emva kwe-meningitis, abantu abadala abane-hydrocephalus enxulumene nomhlaza okanye ukopha, kunye nabantu abadala abane-hydrocephalus yoxinzelelo oluqhelekileyo (NPH) abafuna uvavanyo lokuhamba, ukuqonda kunye nokuzibamba ngaphambi nasemva kotyando.
• Ukuvuselelwa okwakhelwe ngaphakathi physiotherapy, uqeqesho lokuhamba, unyango lomsebenzi, unyango lokuthetha kunye nokulandelela ukukhula kwabantwana, kunye nenkxaso yokunika iingcebiso kwiintsapho.
• Idesika ye-inshurensi kunye ne-TPA kwindawo ukuze ufumane imvume yangaphambili ngaphandle kwemali, imibuzo yeskimu yohlobo lwe-CGHS/ECHS/Ayushman apho kufanelekileyo, kunye nenkxaso yezigulana ezihamba zivela kulo lonke elase-Uttar Pradesh.

isishwankathelo

Inkqubo ye-VP Shunt, okanye iVentriculoperitoneal Shunt Procedure, lungenelelo olubalulekileyo lotyando olwenzelwe ukunyanga iimeko ezinxulumene nolwelo lwe-cerebrospinal (CSF) olugqithisileyo engqondweni, njenge-hydrocephalus. Kwizibhedlele zase-Apollo eLucknow, sizingca ngegama lethu lokugqwesa kutyando lwe-neurosurgery, sisebenzisa ubuchwepheshe bangoku kunye neendlela eziphambili zokusebenzela iziphumo ezilungileyo kwizigulana zethu. Iqela lethu elizinikeleyo leengcali lizimisele ukubonelela ngononophelo lomntu ngamnye, ukukhuthaza ukuthembana, kunye nokuqinisekisa ukuba isigulana ngasinye sifumana unyango oluphezulu. Ukuba wena okanye umntu omthandayo ujongene nemingeni ye-hydrocephalus, sikumema ukuba udibane neengcali zethu ukuze uhlolisise iNkqubo ye-VP Shunt kunye nendlela enokuphucula ngayo umgangatho wobomi.

Kutheni iNkqubo ye-VP Shunt iyimfuneko

Inkqubo ye-VP Shunt isetyenziselwa ukulawula iimeko ezikhokelela ekuqokeleleni kolwelo lwe-cerebrospinal engqondweni. Olu lwelo lugqithisileyo lunokubangela uxinzelelo oluphezulu lwe-intracranial, nto leyo ekhokelela kwiimpawu ezifana neentloko ezibuhlungu, isicaphucaphu, ukuhlanza kunye nokuphazamiseka kwengqondo. Le nkqubo ibandakanya ukubekwa kwe-shunt - ityhubhu eguquguqukayo enevalvu - ekhupha i-CSF engaphezulu kwi-ventricles yengqondo iye kwi-peritoneal cavity esiswini, apho ulwelo lufunxwa ngumzimba.

Iingenelo zinokuba zinkulu. Ngokulawula uxinzelelo lwe-CSF, le nkqubo idla ngokunciphisa iimpawu, inciphise umngcipheko wokonakala ngakumbi kwemithambo-luvo kwaye iphucule ukusebenza kwemihla ngemihla. Kwizibhedlele zase-Apollo eLucknow, oogqirha bethu bemithambo-luvo basebenzisa imifanekiso eneenkcukacha kunye neendlela zotyando ezisemgangathweni ukuze le nkqubo yenziwe ngokuchanekileyo nangononophelo. Iziphumo zisaxhomekeke kwisizathu esiyintloko, ukuba iimpawu zikho ixesha elide kangakanani kunye nempilo yesigulana ngokubanzi.

Imingcipheko yokuLibazisa

Ukulibazisa i-VP Shunt Procedure kunokuba nemiphumo emibi kakhulu. Uxinzelelo oluphezulu oluqhubekayo ngaphakathi kwentloko lunokukhokelela ekwenzakaleni kwengqondo okungenakuguqulwa, ukwehla kwengqondo, ukulahleka kokubona, kwaye kwiimeko ezinzima, ukuwohloka okusongela ubomi. Iimpawu zinokuba mandundu ngokuhamba kwexesha, zikhokelele kwiingxaki ezinzima ezifuna unyango olubanzi. Kwiintsana, i-hydrocephalus enganyangwanga inokuchaphazela ukukhula kwentloko kunye nophuhliso. Kubalulekile ukujongana ne-hydrocephalus ngokukhawuleza. Kwizibhedlele zase-Apollo eLucknow, siyaqonda ukuba imeko yakho ingxamisekile kwaye silapha ukubonelela ngovavanyo kunye nonyango ngexesha elifanelekileyo. Nceda ungalindi - bhukisha ingcebiso ukuze uxoxe ngeendlela zakho.

Iinzuzo zeNkqubo yeVP Shunt

• Uncedo lweempawu: Izigulana ezininzi zifumana isiqabu kwangethuba kwiimpawu zoxinzelelo oluphezulu lwengqondo, njengentloko ebuhlungu, ukuhlanza kunye nokozela.
• Umgangatho woBomi obuphuculweyo: Xa uxinzelelo lwe-CSF lulawulwa, ukuqonda, ukulinganisela, ukubona kunye nokuzibamba kuhlala kuphucuka, okunceda izigulane zibuyele kwimisebenzi yemihla ngemihla.
• Ukuthintela iingxaki: Ukungenelela ngexesha elifanelekileyo kunokunciphisa ukuqhubela phambili komonakalo wemithambo-luvo kunye nezinye iingxaki ezinkulu ze-hydrocephalus enganyangwanga.
• Ukusikwa Okuncinci NgokweeNgcawu: Olu tyando lwenziwa ngokusika kancinci kwentloko kunye nesisu, kwaye isiphelo sesisu sinokufakwa nge-laparoscopically kwiimeko ezithile, oku kuthetha ukuhlala ixesha elifutshane esibhedlele kunye nokungonwabi kangako njengotyando oluvulekileyo lwesisu.
• Ukhathalelo lweNgcali: Oogqirha bethu be-neurosurgery, abahlengikazi kunye neengcali zokubuyisela kwimeko yesiqhelo baceba ukunyanyekelwa ngokweminyaka yesigulana ngasinye, ngenxa ye-hydrocephalus kunye neemeko zasekhaya.

Ukulungiselela kunye noBuyiselo

1. Ukubonisana: Ukubonisana ngokucokisekileyo noogqirha bethu bemithambo-luvo ukuze sihlolisise imbali yezonyango, iimpawu, imifanekiso kunye nenkqubo ngokwayo.
2. Uvavanyo lwangaphambili: Izifundo zomfanekiso-ngqondweni, uvavanyo lwegazi, kunye nolunye uvavanyo ukuqinisekisa ukuba kufanelekile utyando.
3. Ulawulo lwamayeza: Xoxa ngazo zonke iziyobisi ezikhoyo, ingakumbi amayeza okunciphisa igazi, amayeza esifo seswekile kunye namayeza okulwa nokuxhuzula, njengoko ezinye zinokufuna ukulungiswa okanye ziyekwe okwethutyana.
4. Imiyalelo yokuzila ukutya: Landela imiyalelo yokuzila ukutya enikwe liqela le-anesthesia ukuze ufumane amava otyando akhuselekileyo.
5. Inkqubo yoNkxaso: Lungiselela ukuba ilungu losapho okanye umhlobo akukhaphe ngomhla wokwenziwa kwenkqubo aze akuncede ngexesha lokuchacha.

Iingcebiso zokuBuyisa kwakhona

• Ukuqeshwa kolandelo: Yiya kuzo zonke iireviews ezicwangcisiweyo ukuze umsebenzi wokubuyisela kunye nowokujika ujongwe.
• Ukuphumla kunye nokuHlenza: Phumla ngokwaneleyo kwaye ugcine amanzi emzimbeni ukuze uxhase ukuphiliswa.
• IiMpawu zokuHlola: Lumka xa kukho utshintsho olufana nentloko ebuhlungu, ukuhlanza, umkhuhlane, ukozela okanye iintlungu zesisu, uze uxele ngoko nangoko.
• UkuBuyela ngokuthe ngcembe kwiMisebenzi: Qalisa imisebenzi eqhelekileyo inyathelo ngenyathelo njengoko kucetyisiwe, uphephe umgudu onzima de ugqitywe.
• Inkxaso yoMvakalelo: Funa inkxaso kusapho, kubahlobo okanye kumaqela ezigulane; ukuchacha kunokuba nzima ngokweemvakalelo.

Isikhokelo seKliniki esilandelwa liQela

Izigqibo ze-shunt kwiZibhedlele zase-Apollo eLucknow zikhokelwa yimigangatho yokusebenza kwe-neurosurgical ehlolwe ngoontanga endaweni yesiqhelo. Izikhokelo zesalathiso ezisetyenziswa rhoqo kuqheliselo lwe-neurosurgical lwaseIndiya ziquka:

• Umbutho weNeurological of India (NSI) kunye necandelo layo lotyando lwengqondo lwabantwana, apho izimvo zabo ezivumelanayo kunye Neurology India Iimpapasho zibumba indlela amaIndiya asebenzisa ngayo iipateni ze-hydrocephalus zosana, emva kwesifo sofuba kunye ne-post-meningitis? zixhaphake kakhulu eIndiya kunakwiiseti zedatha zaseNtshona.
• Isikhokelo seNkqubo zoNcedo ze-NICE IPG723 (2022) kwi-ventriculoperitoneal shunting ye-idiopathic normal pressure hydrocephalus, exhasa ukusetyenziswa kwayo kubantu abadala abakhethiweyo ngokufanelekileyo ngolawulo oluqhelekileyo lweklinikhi kunye nokuhlolwa.
• Isikhokelo se-NICE NG186, Ukulimala entloko (uhlaziyo luka-2023), yaye Izikhokelo zeBrain Trauma Foundation (uhlelo lwesi-4, ngo-2016) ukuphambuka kwe-CSF kwimeko yokwenzakala kunye noxinzelelo oluphezulu lwangaphakathi kwentloko.
• Inethiwekhi yoPhando lwezonyango lweHydrocephalus imiqathango, eyatshintsha indlela yokusebenza ngokubonisa ukuba uluhlu lokuhlola olusemgangathweni (ukulungiswa kolusu, ukutshintsha iiglavu, ukuphathwa kwe-shunt okulinganiselweyo, uthintelo lwee-antibiotic) kuyawanciphisa ngokubonakalayo amazinga osulelo lwe-shunt. Ii-catheter ezifakwe kwi-antibiotic nazo ngoku zamkelwe ngokubanzi emva kovavanyo lwe-UK BASICS olucwangcisiweyo (2019).
• I-Endoscopic third ventriculostomy (ETV) ene-choroid plexus cauterisation okanye engenayo ngoku yindlela ekhethiweyo yokukhetha udidi lokuqala kwizigulane ezikhethiweyo, ingakumbi ezinye iintsana kunye nezigulane ezine-hydrocephalus ethintelayo, kwaye ithathwa njengemeko nganye kusetyenziswa uvavanyo lwesitayile se-ETV success-score score.

Apho ubungqina bungenakuqinisekiswa ngokwenene - umzekelo uhlobo lwevalvu olufanelekileyo, okanye izinga lokuhlaziywa kwexesha elide kumntu othile - iqela liza kuthetha njalo lize lichaze utshintshiselwano endaweni yokugxininisa ukuqiniseka.

Ixesha lotyando kunye neSigaba sangaphambi kwenkqubo

Ixesha lixhomekeke ekubeni uxinzelelo lukhawuleza kangakanani na.

• Ixesha likaxakeka (iiyure): I-hydrocephalus ebukhali enokozela, ukuhlanza, i-papilloedema okanye ukuwa engqondweni. Umsele wangaphandle we-ventricular ungafakwa kuqala, kunye ne-VP shunt esisigxina kamva xa i-CSF icacile kwaye usulelo lususiwe.
• Ingxamisekileyo (iintsuku): Iimpawu eziqhubekayo, ukuvaleka okunxulumene nomhlaza, ukwanda ngokukhawuleza kokujikeleza kwentloko kumntwana osandul’ ukopha, okanye i-hydrocephalus emva kokopha.
• Kucwangcisiwe (iveki enye ukuya kwezintathu): I-hydrocephalus yoxinzelelo oluqhelekileyo emva kovavanyo lwempompo okanye ukukhupha amanzi kwi-lumbar drainage ende, i-hydrocephalus engapheliyo ezinzileyo, okanye uhlengahlengiso olukhethiweyo lwenkqubo esebenzayo kodwa yokwaluphala.

Isigaba sangaphambi kwenkqubo sidla ngokubandakanya ubuchopho be-CT okanye be-MRI, uhlalutyo lwe-CSF ukuba kukho intsholongwane okanye isifo sephepha esirhanelwayo, ukubalwa kwegazi kunye neprofayili yokujiya kwegazi, iswekile yegazi kunye nokusebenza kwezintso, uvavanyo lwesifuba, ukufaneleka kwe-ECG kunye ne-anesthesia, ukuhlolwa kweengxaki zesisu okanye utyando lwangaphambili lwesisu, kunye nonyango lwalo naluphi na usulelo olusebenzayo lolusu, amazinyo, umchamo okanye isifuba ngaphambi kokufakelwa izixhobo. Kwi-NPH, ividiyo yokuhamba, uvavanyo lokuhamba ngexesha kunye namanqaku okuqonda arekhodwa ngaphambi kotyando ukuze uphuculo lunokulinganiswa ngokuchanekileyo emva koko.

Iinketho Zobuchule: Indlela iVP Shunt ethelekiswa ngayo nezinye iindlela

Ukhetho lweevalvu

Iinkqubo Ngamanye amaxesha zenziwa kwindawo enye

• Ukubekwa kwe-catheter ye-peritoneal nge-laparoscopic, ingakumbi apho bekukho utyando lwesisu ngaphambili, utyando lotyando, okanye ukurhanelwa kokunamathela.
• I-biopsy yethumba okanye ukususwa kwethumba xa isilonda esithintelayo singunobangela we-hydrocephalus.
• I-Endoscopic septostomy kwi-hydrocephalus eneendawo ezininzi okanye ezikwiindawo ezahlukeneyo.
• I-cranioplasty okanye ukulungiswa kokuvuza kwe-CSF okanye i-myelomeningocele kwiimeko ezifanelekileyo zabantwana.
• Ukususwa kwe-shunt ekhoyo enesifo ngokubekwa kwe-EVD, kulandele i-shunt entsha emva kokubulala iintsholongwane kwi-CSF.
• Ukulungiswa kweHernia okanye ukulungiswa kweHernia ye-umbilical ngamanye amaxesha idityaniswa notyando oluqhelekileyo ebantwaneni.

Ukubuyiselwa Kwenqanaba Ngenqanaba

Imigaqo yokubuyela emsebenzini, esikolweni, kwezemidlalo nakwiindlela zemihla ngemihla zaseIndiya

Ukubuya kuvavanywa ngokwendlela esebenza ngayo, hayi ngokwekhalenda. Iikhrayitheriya eziqhelekileyo ziquka inxeba elomileyo elipholileyo, ukungabikho kwentloko ebuhlungu xa umile okanye ulele, ukungabikho kokuhlanza okanye ukozela, ukuhamba okuzinzileyo, kunye neskeni yokujonga kwakhona eyanelisayo okanye uvavanyo lweklinikhi.

• Iindawo zangasese zokuzihlalela phantsi kunye nezindlu zangasese zesitayile samaNdiya: Ukuquleka nzulu kunyusa uxinzelelo lwesisu kwaye kolule i-catheter yesisu. Uninzi lwezigulane lucetyiswa ukuba zisebenzise i-Western commode okanye isihlalo se-commode ubuncinane iiveki ezine ukuya kwezintandathu, kwaye ixesha elide ukuba inxeba lesisu licotha ukuqina.
• Ukuhlala phantsi unxibe imilenze enqamlezileyo: Ngokuqhelekileyo iyamkeleka xa inxeba lesisu likhululekile, ngokuqhelekileyo emva kweeveki ezintathu ukuya kwezine, ukuba nje ukuvuka akudingi mntu wokutsala isigulane ngengalo.
• Ukulala phantsi: kuvumelekile, kodwa ukuphakama phantsi kufuneka kwenziwe ngokuqengqeleka uye ecaleni uze utyhale phezulu kunokuba ubophe isinqe. Umatrasi oqinileyo okanye ibhedi egoqwayo kulula kwinyanga yokuqala, ngakumbi kubantu abadala abane-NPH.
• Ukuhlamba intloko kunye nokuthambisa ngeoyile: Ukuhlamba intloko kancinci rhoqo emva kokususwa komthungo kunye nokususwa kwesikhumba sikagqirha. Ukuphulula intloko ngamandla okanye ukucinezela ivalvu kufuneka kuthintelwe unomphela.
• Umsebenzi: umsebenzi wedesika nowokubhala uhlala kwiiveki ezimbini ukuya kwezine; ukulima, ukulayisha, ukwakha kunye nokuqhuba izithuthi ezinzima zihlala kwiiveki ezisibhozo ukuya kwezilishumi elinesibini emva kokuhlolwa.
• Sikolo: Abantwana badla ngokubuya kwiiveki ezimbini ukuya kwezine. Izikolo kufuneka zaziswe ngokubhaliweyo ukuba umntwana une-shunt.
• Midlalo: ukuhamba, ukukhwela ibhayisekile kwindawo ethe tyaba kunye nokudada phantsi kweliso elibukhali kuvumelekile emva kokuba umntu evunyelwe. Imidlalo yokuthintana kunye neyokuchaphazela intloko - i-kabaddi, i-wrestling, i-boxing, i-rugby, ukuqhuba ibhola ekhatywayo - ayikhuthazwa rhoqo ngabaguli be-shunt. I-cricket enesigcina-ntloko, i-badminton kunye ne-athletics zihlala zixoxwa ngazo zodwa.
• Izenzo zonqulo nezentlalo: Ukuguqa ixesha elide, ukuzila ukutya ngexesha lokugula, uhambo olude kunye nokuhamba ngokuxinana kwabantu kwiiveki ezintandathu zokuqala kufuneka kuxoxwe nogqirha onyangayo.

Ukunciphisa Umngcipheko Wokungaphumeleli Kwe-Shunt Nokuphinda-phinda

I-shunt sisixhobo, kwaye izixhobo zinokungaphumeleli. Amanani okuhlaziya amalunga nesinye kwisithathu kwiminyaka emibini yokuqala axelwe kwiincwadi zabantwana, aphantsi kubantu abadala abaninzi, ngoko ke injongo kukufumanisa kwangethuba endaweni yokuqinisekisa ngobuxoki.

• Nyanga izifo ngokukhawuleza - izifo zamazinyo, ulusu, isifuba, umchamo kunye nesisu zinokubangela i-shunt.
• Gcina amanxeba entloko nawesisu ecocekile kwaye engaphazanyiswa; ungaze upompe okanye ucinezele ivalvu ngaphandle kokuba uyalelwe ngokuthe ngqo.
• Yiya kuphononongo olucwangcisiweyo nokuba isigulana siziva siqhelekile.
• Phatha ikhadi le-shunt implant, imodeli yevalvu kunye neenkcukacha zokubeka izinto xa undwendwela esibhedlele, kuquka ne-MRI.
• Emva kwe-MRI yalo naliphi na ilungu lomzimba, ucwangciso lwevalvu olucwangcisiweyo kufuneka luhlolwe kwakhona.
• Kuphephe ukuqhinwa kunye nobunzima obukhulu; nyanga ukukhwehlela okungapheliyo kunye nokuvuvukala kwesisu.
• Kubantwana, lindela ukuba ubude be-catheter bunokufuna ukuhlaziywa ngokukhula.
• Apho i-hydrocephalus ilandele i-tuberculous meningitis okanye esinye isizathu esinokunyangwa, gqibezela unyango olusisiseko.

Izinto Ezibalulekileyo Eziqwalaselweyo: Abantwana, Izigulane Ezikhulileyo kunye Nokukhulelwa

Iintsana nabantwana

Iingxaki zokuzalwa, iziphene zetyhubhu ye-neural, i-hydrocephalus emva kwe-meningitis kunye ne-post-hemorrhagic zezona zinto zixhaphakileyo eIndiya. Ukujikeleza kwentloko engaphezulu, ukudumba kwe-fontanelle, amehlo okutshona kwelanga, ukungondleki kakuhle, ukucaphuka kunye neziganeko ezilibazisekileyo ziyajongwa. Ubude be-catheter ehlengahlengisiweyo ekukhuleni, ukulandelwa kokukhula, iishedyuli zokugonywa, unxibelelwano lwesikolo kunye nokusetyenziswa kwesigcina-ntloko xa ukhwela ibhayisekile ziyinxalenye yokhathalelo lwesiqhelo. I-ETV ene-choroid plexus cauterisation ithathwa njengenye yeentsana ezikhethiweyo ukuze kuthintelwe izixhobo zobomi bonke.

Abantu abadala abadala

Kwi-hydrocephalus yoxinzelelo oluqhelekileyo, i-triad ibangelwa kukuphazamiseka kwendlela yokuhamba, ukukhawuleza komchamo kunye nokucotha kwengqondo. Ukukhetha emva kovavanyo lokumpompa okanye uvavanyo lokukhupha amanzi emqolo kubaluleke ngaphezu kokuskena kuphela; ukuhamba kudla ngokuphendula ngcono kunenkumbulo, kwaye uphuculo ludla ngokuba yinxalenye. Ukuthintela ukuwa, ulawulo loxinzelelo lwegazi, ulawulo lweswekile, ukujonga ukuqokelelwa kwe-subdural kunye nokucwangcisa ngononophelo ukunqanda ukujiya kwegazi kubalulekile. Ukukhupha amanzi amaninzi okubangela i-subdural haematoma yingxaki ekhethekileyo kweli qela leminyaka, yiyo loo nto kukhethwa iivalvu ezihlengahlengiswayo kunye nezixhobo ze-anti-siphon.

Ukukhulelwa

Abafazi abane-shunt esebenzayo ngokubanzi banokuba nokukhulelwa okukhuselekileyo ngotyando lwemithambo-luvo kunye nokulandelelana kokukhulelwa. Ukukhula kwesisu, ukusebenza kwevalvu kunye nendlela yokuzala kucwangciswa kwangaphambili kunokuba kushiywe kube lusana.

Ukuba Ukhetha Ukungayi Kwenziwe Le Nqubo

Ukwala utyando lukhetho olufanelekileyo, kwaye kufuneka lube lolwenzelwe ulwazi. Ngaphandle kokuguqulwa kwe-CSF, i-hydrocephalus eneempawu idla ngokulandela enye yezi ndlela:

• Intloko ebuhlungu eqhubekayo, ukuhlanza, ukozela kunye nokulahlekelwa yingqondo ekugqibeleni kwiimeko ezibukhali okanye ezikhawulezayo.
• Ukuwohloka kancinci kancinci kokubona ngenxa yoxinzelelo oluqhubekayo kunye ne-papilloedema, esenokungapholi nokuba inyangwe kamva.
• Kwi-NPH, ukuqhubeka kokwehla kokuhamba, ukuzibamba kunye nengqondo, ukwanda kokuwa kunye nokuxhomekeka ngakumbi kubanakekeli; izibonelelo zotyando ziyehla njengoko isifo siqhubeka.
• Kwiintsana, ukwanda kwentloko, ukulibaziseka kokukhula kunye nobunzima bokutya.
• Inxalenye encinci ene-hydrocephalus ebanjiweyo okanye ehlawulelweyo ihlala izinzile kwaye inokubonwa ngokukhuselekileyo ngemifanekiso kunye nokuhlolwa kweklinikhi - oku kugqitywa ngugqirha wezifo zengqondo, akucingelwanga.

Ukuba utyando aluvunywanga, iqela lisenokubonelela ngolawulo lweempawu, uphononongo lwe-ophthalmology, i-physiotherapy, uqeqesho lwabanakekeli, inkxaso yokuthomalalisa apho kufanelekileyo, kunye nomnyango ovulekileyo ukuba utshintsha ingqondo yakho.

Izinto Ezitshintsha Iindleko Zenkqubo Ye-VP Shunt

Akukho manani amaxabiso apapashwe apha. Ezi zinto zilandelayo zimisela uqikelelo lokugqibela, oluza kulungiselelwa yiofisi yokuhlawula kunye neyomshuwalense kwi-Apollo Hospitals Lucknow emva kokubonisana.

I-inshurensi, unyango olungenamali kunye nenkqubo ye-TPA eIndiya

• Ukwamkelwa okucwangcisiweyo: Ugunyaziso lwangaphambi kwexesha ludla ngokuqaliswa kwiintsuku ezintathu ukuya kwezisixhenxe zokusebenza ngaphambi kotyando. Idesika yeinshorensi ithumela amanqaku eklinikhi omcebisi, iingxelo zemifanekiso, ukuxilongwa kunye noqikelelo lweendleko kumthengisi weinshorensi okanye kwi-TPA.
• Ukwamkelwa ngexesha likaxakeka: Ukwaziswa ngokubanzi kufuneka kwiiyure ezingama-24 emva kokungeniswa. Unyango alulibaziseki xa kusenziwa amaphepha; idesika iqhuba inkqubo yokuqinisekisa imvume ngaxeshanye.
• Ingozi xa ithelekiswa ne-inshorensi ecwangcisiweyo: I-hydrocephalus emva kwengozi yendlela okanye ukwenzakala entloko idla ngokucutshungulwa phantsi kokhuseleko lwengozi kwaye ingadlula amaxesha athile okulinda, kwaye ingabandakanya ipolisi yengozi yomntu okanye ukhuseleko lomqeshi. I-Hydrocephalus evela kwimeko yokuzalwa okanye esele ikho ilandela imithetho eqhelekileyo yokhuseleko.
• Amaxesha okulinda: Uninzi lwemigaqo-nkqubo yezempilo yaseIndiya inexesha lokulinda lokuqala leentsuku ezingama-30 (iingozi azibandakanywanga), ixesha lokulinda isifo esele sikhona iminyaka emibini ukuya kwemine, kunye namaxesha athile okulinda kwiimeko ezithile. Iimeko zangaphakathi zokuzalwa zigutyungelwe yimigaqo-nkqubo emininzi kodwa ingeyiyo yonke - funda amagama ngaphambi kokuba ucinge.
• Izinto eziqhelekileyo ezingabandakanywanga kunye neentlawulo ezitsalwayo: izinto ezisetyenziswayo ezingezizo ezonyango, iiglavu, izinto ezithile ezifakelweyo ezingaphezulu komda omiselweyo, ukutya okusebenzayo, isilinganiselo sokuqeshisa igumbi kunye nokutsalwa kwemali elinganayo ukuba kukhethwe udidi lwegumbi oluphezulu kunokuba umgaqo-nkqubo uvumela.
• Izigulane zeScheme: I-CGHS, i-ECHS, iinkqubo zikarhulumente kunye ne-Ayushman Bharat PM-JAY zisebenza kuphela apho isibhedlele sinikezelwe khona ngokwesicwangciso kunye nephakheji ethile. Imeko yenkxaso kunye nokugubungela iphakheji kufuneka kuqinisekiswe kwidesika yeinshorensi ngaphambi kokungeniswa.
• Amaphepha okuphatha: ikopi yomgaqo-nkqubo, ikhadi le-elektroniki, ikhadi lomqeshi okanye leskimu, i-Aadhaar okanye i-ID yefoto, isishwankathelo sokukhululwa kwangaphambili, yonke imifanekiso yangaphambili, kunye nekhadi le-shunt implant ukuba olu luhlaziyo.
• Indlela yokubuyisela imali: Ukuba umshwalense akakho kwiqela le-inshorensi elingasebenzisi mali, gcina amatyala okuqala, ii-invoyisi zekhemesti ezidwelisiweyo, isitikha se-implant kunye ne-invoyisi, isishwankathelo sokukhululwa kwityala kunye neengxelo zophando.

Ngenxa yokuba imiqathango yomgaqo-nkqubo kunye neerhafu zesibhedlele ziyatshintsha, nceda uqinisekise yonke i-inshorensi, imida engaphantsi kunye neenkcukacha zephakheji kwi-reception okanye kwi-inshorensi kwi-Apollo Hospitals Lucknow endaweni yokuthembela kulwazi oluqhelekileyo.

Ukucwangcisa ukwamkelwa kunye noko uza kuzisa

• Iikopi zokuqala kunye neefotokopi zemithi emiselweyo, izishwankathelo zokukhululwa esibhedlele, iifilimu ze-CT kunye ne-MRI ezineeCD, kunye neerekhodi zangaphambili ze-shunt okanye ikhadi lokufakelwa.
• Uluhlu olubhaliweyo lwamayeza onke akhoyo aneedosi, kuquka i-Ayurvedic, i-homeopathic kunye nezongezo zemifuno.
• Isazisi sefoto sesigulana kunye nomguli oyintloko, ikhadi le-inshorensi kunye namaxwebhu epolisi.
• Impahla evulekileyo ngaphambili ekhululekileyo, izihlangu ezinebhanti engasemva, ibhrashi yamazinyo, itawuli, kunye nekomityi engafuni kugotywa ukuze igcwaliswe.
• Ebantwaneni: ibhotile yokutyisa eqhelekileyo, into yokudlala oyithandayo, ikhadi lokugonywa, iirekhodi zokukhula kunye neziganeko ezibalulekileyo.
• Kwabantu abadala: intonga yokuhamba okanye isixhobo sokuhamba, iiglasi zeglasi, isixhobo sokuncedisa ukuva, amazinyo okufakelwa, iinapile zabantu abadala, kunye noluhlu lweziganeko zokuwa okanye zokudideka.
• Omnye umlungiseleli oyintloko oza kuhlala ngexesha lokwamkelwa kunye nelungu lesibini losapho kwikhemesti, kwiindleko kunye nokutya - okusebenzayo kwiimeko zentsapho apho imisebenzi inokwabelwana khona, kodwa isibhedlele sidinga indawo enye yokunxibelelana rhoqo ukuze kuvunyelwene kwaye kuhlaziywe.
• Xoxani ngamalungiselelo endlu ngaphambi kokuba niphume: ibhedi endaweni yokulala phantsi kwiiveki zokuqala, isitulo esiqhelekileyo okanye indlu yangasese yaseNtshona, itotshi yokuhamba ebusuku, kunye nokususwa kweekhaphethi ezikhululekileyo kunye nemigubasi yeminyango.
• Cela isishwankathelo sokukhululwa, imodeli yevalvu kunye nokubekwa kwayo, imiyalelo yokhathalelo lwamanxeba, uluhlu olubomvu kunye nemihla yokulandelela ngokubhaliweyo, kwaye uzigcine kunye kwifolda enye.

Iimpawu Zesilumkiso Ezifuna Ukuphononongwa Ngokukhawuleza

Yiza kwicandelo lezonyango ngaphandle kokulinda idinga ukuba kwenzeke nayiphi na kwezi zilandelayo:

• Intloko ebuhlungu entsha okanye ebuhlungu ngakumbi, ingakumbi xa uhlanza, okanye intloko ebuhlungu kakhulu xa ulele phantsi.
• Ukozela, ukudideka, ukucaphuka, ubunzima bokuvusa isigulane, okanye ukuxhuzula.
• Umkhuhlane ohambisana nokuqina kwentamo, okanye umkhuhlane ohambisana nokubomvu, ukudumba, ukuphuma kwamanzi okanye ukuqaqamba kwindlela yokuhambisa imisipha.
• Ukubona kabini, ubunzima bokujonga phezulu, okanye ukuwohloka ngequbuliso kombono.
• Intlungu yesisu, ukudumba, ukuhlanza okungapheliyo, okanye iqhubu okanye ulwelo oluqokelelene esiswini.
• Ukuvuleka kwenxeba, ulwelo oluphuma entlokweni okanye esinqeni, okanye umbhobho ubonakala phantsi kolusu.
• Kwiintsana: ukukhula ngokukhawuleza kwentloko, ukudumba kwefontanelle, amehlo okutshona kwelanga, ukungondleki kakuhle, ukukhala kakhulu okanye ukuhlanza okuphindaphindiweyo.
• Kwizigulane ze-NPH: ukubuya ngequbuliso okanye ukuba mandundu kobunzima bokuhamba, ukuwa okutsha, okanye ubuthathaka obutsha obuvela kwicala elinye - oku kunokubonisa ukuchitheka kwamanzi amaninzi okanye ukuqokelelwa kwe-subdural.
• Nakuphi na ukwenzakala entloko emva kotyando lwe-shunt, nokuba isigulana sibonakala siphilile.

Kwabaguli Abaya eLucknow bevela kwiZithili nakwiiDolophu ezikufutshane

Izibhedlele ze-Apollo, uLucknow, uphatha izigulana ezisuka ngaphaya kwe-Uttar Pradesh nakwamanye amazwe angabamelwane, kubandakanya iKanpur, Unnao, Barabanki, Sitapur, Hardoi, Rae Bareli, Lakhimpur Kheri, Sultanpur, Amethi, Ayodhya, Bahraich, Gonda, Basti, Pratapgarh, Vaunpur, J. Bareilly, Shahjahanpur, Faizabad region, kwaye ukusuka kwiindawo zaseBihar, e-Uttarakhand, eMadhya Pradesh naseNepal.

• Thumela imifanekiso kunye neengxelo kwangaphambili ngekopi yedijithali ukuze ingcebiso ingachithwa kwizinto ezisisiseko eziphindaphindwayo; phatha iifilimu zokuqala nokuba zinjani.
• Cwangcisa utyelelo oluphindwe kabini apho kunokwenzeka khona - olunye lokubonisana nophando, olunye lokwamkelwa - okanye ubuze ukuba ingaba ungalungiselela na umsebenzi wosuku olunye ukuba uhambo lude.
• ILucknow iqhagamshelwe kakuhle zizitishi zikaloliwe zaseCharbagh naseGomti Nagar, iChaudhary Charan Singh International Airport kunye neendlela ezinkulu zaseAgra?Lucknow nasePurvanchal, ngoko ke iintsapho ezininzi zinokufika kwiiyure ezimbalwa ngemoto.
• Buza idesika ekufutshane malunga neendawo zokuhlala zeendwendwe kunye neendawo zokuhlala ezikufutshane zabasebenzi, kunye nendlela emfutshane ekhuselekileyo yomguli ogulela ukufa ekhaya.
• Ngaphambi kokuba ubuyele ekhaya, chonga isibhedlele sasekuhlaleni esineziko le-CT kunye nogqirha wezifo zengqondo okanye ugqirha onokwenza uvavanyo lokuqala xa kukho imeko engxamisekileyo, kwaye uphathe iikopi zeerekhodi zakho ze-shunt apho.
• Ukulandelelana okude kunokuhlala kulawulwa ngokuyinxenye ngokusebenzisa i-teleconsultation, kwaye uphononongo lomntu ngamnye lugcinelwe ukuskena, ukulungiswa kweevalvu kunye neengxaki zonyango. Qinisekisa ukuba kukho i-teleconsultation ngexesha lokubhukisha.

Unxibelelwano kunye neeNdibano zokuQeqesha