ukufuna isiphumo

Iqinisekiswe nguGqr. Vipin Khandelwal, uMcebisi wePediatric Hemato-Oncology, iiApollo Cancer Centres, eNavi Mumbai. IHaploidentical BMT, eyaziwa ngokuba yihaplo BMT, luhlobo lokufakelwa komongo wethambo olusebenzisa iiseli zesiqu ezivela kumxhasi olingana nesiqingatha somntu ofumana unyango. IHaploBMT luhlobo olutsha lokufakelwa komongo wethambo, kodwa luye lwathandwa kakhulu kwiminyaka yakutshanje, ingakumbi ebantwaneni. Oku kungenxa yokuba yi-30% kuphela yezigulana ezinomnikeli opheleleyo ofanelekileyo. Kwizigulana ezisele ezingama-70%, imithombo eyahlukileyo yeeseli zesiqu ifaniswa nomnikeli omdala ongazibandakanyiyo kunye nomnikeli we-haploidentical. Abazali kunye nabantakwabo abangafanelanga ngokupheleleyo banokuba ngabanikeli be-haplo. Yenziwa njani i-haploBMT?Ukulungiselela umnikeli ukufakelwa: Oku kubandakanya i-chemotherapy kunye okanye unyango lwemitha ukutshabalalisa umongo wethambo womntu ofumana unyango kunye nokwenza inkqubo yakhe yomzimba ingasebenzi kakuhle. Nje ukuba umnikeli alungiselelwe, iiseli zesiqu zomnikeli ziqokelelwa nge-apheresis, inkqubo efana nokunika iiplatelets. Emva koko ii-stem cells zomnikeli ziyacutshungulwa kwilebhu ukuze kususwe naziphi na ii-T cells, okanye zifakwe ngqo egazini lesigulane kwaye emva kweentsuku ezimbalwa zifumana amayeza okunciphisa ii-T cells emzimbeni. Ukufakwa kwee-stem cells zomnikeli egazini lomnikeli: Ii-stem cells zihamba ziye kumongo wethambo lomnikeli kwaye ziqale ukuvelisa ii-blood cells ezintsha. Ngokwesiqhelo kuthatha iiveki ezimbalwa ukuba ii-blood cells ezintsha ziqale ukusebenza. Zithini iingenelo ze-haploBMT? Kulula ukufumana umnikeli we-haploidentical kunomnikeli opheleleyo. Oku kubaluleke kakhulu kubantwana abavela kumaqela amancinci eentlanga. I-Haplo BMT inokwenziwa ngokukhawuleza kunokufakelwa komnikeli ohambelanayo. Oku kubalulekile kubantwana abanezifo eziqatha, ezifana ne-leukemia. Ngubani umviwa olungileyo we-haploBMT? I-Haplo BMT lukhetho olufanelekileyo kubantwana abangenawo umnikeli ohambelanayo ngokupheleleyo okanye ongadibananga naye. Lukhetho lokunyanga iingxaki ezahlukeneyo zegazi, kuquka: I-LeukemiaI-LymphomaI-Sickle cell anemiaI-ThalassemiaI-Aplastic anemiaIsifo esiphambili sokungakhuseleki komzimbaI-Myelodysplastic syndromeI-Haploidentical BMT luhlobo olutsha lokufakelwa umongo wamathambo ebantwaneni oluya luthandwa kakhulu ebantwaneni. Yinkqubo ekhuselekileyo nesebenzayo enokusetyenziswa ukunyanga iintlobo ngeentlobo zeengxaki zegazi. Qhagamshelana nengcali yethu, uGqr. Vipin Khandelwal, uMcebisi wePediatric Hemato-Oncology, iiZiko zoMhlaza zeApollo, eNavi Mumbai ukuze wazi ngakumbi malunga nenkqubo yokufakelwa komongo wamathambo e-Haploidentical. Fowunela ku-022 6280 6280 ukuze ufumane idinga.

I-Endourology kwiZibhedlele zase-Apollo eHyderabadIsishwankatheloI-Endourology yintsimi ekhethekileyo kwi-urology esebenzisa iindlela ezingeneleli kangako ukunyanga iimeko zomchamo, kubandakanya nesifo samatye ezintso. Ngexesha lale nkqubo, amatye ezintso ayaqhekeka kusetyenziswa izixhobo ezincinci ezifakwa emzimbeni nge-urethra, isinyi, i-ureter, okanye izintso. Kwizibhedlele zase-Apollo eJubilee Hills, eHyderabad, iingcali zethu ze-urologist zibonelela ngeenkonzo ezikhethekileyo ze-endourology ezinikezelwe ukunyanga amatye ezintso, iithumba, kunye neengxaki ezahlukeneyo zomchamo.Iintlobo zeNkqubo ze-EndourologicalI-Urethroscopy: Isetyenziselwa ukulawula ukugoba kwe-urethra okanye ukuvaleka.I-Cystoscopy: I-Endoscopy yesinyi somchamo nge-urethra isetyenziswa rhoqo kunyango lwamatye esinyi kunye neethumba. Ukongeza, le ndlela ingasetyenziswa ukususa izicubu ze-prostate ezithintelayo kumadoda, inkqubo ebizwa ngokuba yi-Transurethral Resection of the Prostate (TURP).I-Ureteroscopy: Uvavanyo lwendlela ephezulu yomchamo lubandakanya ukusebenzisa i-ureteroscope efakwe nge-urethra kwaye idlulele ngaphaya kwesinyi, iye kwi-ureter. Esi sixhobo sikhethekileyo sisetyenziselwa ukunyanga iimeko ezichaphazela i-ureter, ezifana namatye kunye neethumba. I-Nephroskopi: Isetyenziselwa ukulawula amatye kunye neethumba kwizintso. Iimpawu ze-EndourologyI-Endorology inezibonelelo kwizigulana ezininzi ezineemeko zomchamo, kodwa kubalulekile ukuba kwenziwe uvavanyo nogqirha we-endourologist okanye i-laparoscopist ekuqaleni. Iimeko ezinokungenelwa kwi-endourology ziquka: Amatye kunye neethumba zezintso Amatye kunye neethumba zesinyi kunye neethumba Ukuvaleka komchamo kunye nomchamo Iiprostate ezinkulu kumadoda Iingenelo ze-Endourology Amanqanaba empumelelo agqwesileyo Akukho mfuneko yokusikwa Ukungakhululeki emva kotyando Umngcipheko ophantsi weengxaki emva kotyando, njengosulelo Ukubuyela ngokukhawuleza kwimisebenzi yemihla ngemihla Imibuzo ebuzwa rhoqo1. Ngubani ofanelekileyo kwi-endourology? Ukumisela ukufaneleka kwenkqubo ye-endorological kuxhomekeke kuvavanyo olwenziwe yi-endourologist okanye i-laparoscopist. Izinto ezifana nembali yakho yezonyango kunye nohlobo oluthile lwesi sifo ziya kuthathelwa ingqalelo ngexesha lovavanyo.2. Ithini inkqubo yokwenza inkqubo ye-endourological? Ngexesha lenkqubo ye-endourological, izixhobo ezincinci nezincinci ezifana nee-endoscopes, ii-laser, ii-scalpels, ii-grapers, iibhasikithi zokufumana amatye amancinci, kunye nezixhobo zokubulala iintsholongwane zifakwa kwi-urethra, kwisinyi, okanye kwi-ureter. Oku kuvumela ukuba utyando lwenziwe ngaphandle kwesidingo sokusikwa okukhulu.

Unyango lwe-Thyroid Nodules olungelulo utyando: Inkqubela phambili kwi-Interventional RadiologyI-Thyroid nodules ixhaphake kakhulu. Uninzi lwexesha, zifunyanwa ngengozi ngexesha lokuskena intamo rhoqo okanye ngovavanyo lomzimba ngokubanzi. Nangona uninzi lwale mikhuhlane ingenabungozi, ayisoloko ingenabungozi. Njengoko zikhula, zinokubangela iingxaki ezahlukeneyo, ukusuka ekudumbeni okubonakalayo kunye nokuqina kwentamo ukuya kubunzima bokwenyani bokuginya okanye utshintsho kwilizwi lakho. Kangangamashumi eminyaka, impendulo kwiqhubu elineempawu phantse yayisoloko ilutyando. Nangona kunjalo, namhlanje imeko itshintshile. I-Interventional Radiology (IR) iveze iindlela zokunciphisa la maqhuqhuva ngempumelelo ngaphandle kwe-scalpel okanye ubusuku bonke ebhedini yesibhedlele, konke oku ngaphandle kotyando. Ngoko ke akukho kusikwa, akukho silonda, akukho pilisi ze-thyroid ezihlala ixesha elide kwaye okona kubaluleke kakhulu kukuba amathuba okuba ibe ngumhlaza kwixesha elizayo ancitshiswe kakhulu.  Ukuqonda Umfanekiso WeklinikhiIqhubu le-thyroid ngokuyintloko kukukhula okugqithisileyo kwezicubu ngaphakathi kwi-gland. Unyango luba yinto ephambili xa iqhuqhuva liqala ukusebenza, nokuba oko kuthetha ukuba libangela ukungakhululeki emzimbeni, lichaphazela inkangeleko yakho, okanye livelisa iihomoni ngokugqithisileyo. Ngaphambi kokuba singene kunyango, silandela inkqubo engqongqo yokuxilonga: I-Ultrasound enesisombululo esiphezulu: Ukujonga ubungakanani beqhuqhuva, indawo kunye nokuhamba kwegazi. Uvavanyo lomsebenzi we-thyroid: Ukubona ukuba iqhuqhuva lisebenza ngokwehomoni. I-FNAC (Ukufutha Ngenaliti Encinci): Ukufutha ngokukhawuleza / i-biopsy (FNB) ukuqinisekisa ukuba iqhuqhuva alinabungozi ngokupheleleyo ngaphambi kokuba kuqale naluphi na unyango olungelulo utyando. Iindlela zanamhlanje eziNcinci zokuNgena kwiNdawo enye1. Ukususwa kwamaqhuqhuva e-Thyroid Nodule (RFA kunye neMicrowave) Ukususwa kwamaqhuqhuva lunyango olusekelwe kubushushu. Esebenzisa i-ultrasound njengemephu yexesha langempela, ingcali ye-radiology engenelelayo ifaka inaliti ekhethekileyo, ebhityileyo kwiqhuqhuva. Xa sele isendaweni, amandla alawulwayo (iRadiofrequency okanye iMicrowave) ayakhutshwa ukuze afudumale kwaye atshabalalise izicubu ezingaqhelekanga - ngendlela yokudubula ehambayo. Kwiiveki ezilandelayo, umzimba wakho uyawufunxa ngokwendalo umzimba onyangiweyo, kwaye iqhuqhuva liyehla kancinci ngobukhulu. Kutheni izigulane zikhetha i-Ablation: Akukho mingxunya: Akukho mingxunya ikhutshwayo, kukho uphawu oluncinci lokubhoboza olunyamalalayo. Akukho Anesthesia Jikelele: Uhlala uvukile kwaye ukhululekile xa uziva ungakhululekanga. Unyango Lokwenyani Lwezigulane Zangaphandle: Uninzi lwezigulane lubuyela emakhaya kwiiyure ezimbalwa kwaye lubuyele emsebenzini emva kosuku okanye ezimbini. Ukugcinwa Komsebenzi: Sijolise kuphela kwiqhuqhuva, sishiya indawo ephilileyo ye-thyroid yakho ingasebenzi kwaye isebenza. Akukho mfuneko yeepilisi ze-Thyroid ubomi bonke. 2. UkuQokelelwa kweMitha yeThyroid (TAE) Kwii-nodules ezinkulu ngokukodwa, ezine-multinodular / goiter okanye ezine-hyper-vascular (ezinomthamo wegazi oninzi), ukuqokelelwa kwemitha yeThyroid yindlela ekrelekrele. Endaweni yokusebenzisa ubushushu, siwunqumle umgca wepetroli weqhubu. I-micro-catheter ifakwa kwiimithambo yegazi ukuthintela ukuhanjiswa kwegazi okuthile okondla ukukhula. Ilambile igazi, iqhubu liyancipha ngokwemvelo. Ukufakwa kwemithambo ye-thyroid yokunciphisa i-Goiter (TAEGE) nayo yindlela efanayo. Iingenelo eziphambili ze-TAE: Isebenza kakhulu kwii-nodule ezinkulu, ezintsonkothileyo/ezininzi ezinokuba nzima ukuzisusa. Ilungele izigulana ezingakwaziyo utyando ngenxa yeminye imingcipheko yempilo. Inciphisa iimpawu ezibangelwa yimpembelelo yobuninzi (uxinzelelo kumbhobho womoya okanye kumbhobho wokutya) ezinkulu kune-ablation Yenza ukuba ube nokwenzeka kwi-ablation yexesha elizayo emva kokunciphisa ubungakanani. I-Interventional Radiology vs. Utyando Lwesintu Nangona utyando lusafuneka ukuba kukho umhlaza okrokrelwayo, iinkqubo ze-IR zibonelela ngendlela elula ngakumbi kwiimeko ezingenabungozi. Nantsi indlela ezihlangana ngayo:ImpawuI-Radiology ePhakathiUtyando lweMveliI-AnesthesiaYasekuhlaleni (ivukile)Ngokubanzi (engazi nto)Ixesha lokuPhilaIiyure ezingama-24–48Iiveki ezi-1–2IzibaziAkukhoIsilonda sentamo esihlala sihleliUmngcipheko welizwiUmngcipheko ophantsi kakhulu kwimithambo-luvoUmngcipheko ophezulu wokwenzakala kwemithambo-luvoAmayezaAwachaphazeleki rhoqo amanqanaba ehomoniUsenokufuna iipilisi zobomi bonkeNgubani uMviwa ofanelekileyo?Usenokufunyaniswa ukuba une-thyroid nodule (ukuze uyibone ngokwezonyango okanye nge-ultrasound scan) kwaye ingcebiso yakho ne-Interventional radiologist - UGqr. Rohit Madhurkar uya kukunceda uqonde uhlobo kunye nokwenzeka konyango olungelulo utyando (uvavanyo lwe-ultrasound scan) kwaye enze i-FNA/FNB kwindawo ekrokrisayo yesilonda ukuqinisekisa ukuba yi-Benign nodule. Iqhuma elibonakalayo entanyeni elichaphazela ukuzithemba kwakho. Ukungakhululeki okuqhubekayo okanye ukukrwitshwa xa unxibe iikhola. Ubunzima bokuginya ukutya okuqinileyo. Iqhuma le-thyroid elingeyongozi. Umnqweno onamandla wokuphepha utyando, i-anesthesia jikelele, okanye amanxeba angapheliyo. Igama lokugqibela Indlela yokulinda nokujonga okanye utyando lwe-thyroid olususwa ngokupheleleyo/oluncinci ayisekho iindlela ezimbini onokukhetha kuzo. Ingcali ye-Radiology eNgxamisekileyo iwuvalile lo msantsa, inika indawo engcono ebeka phambili ukuchacha kwakho kunye nomsebenzi wendalo womzimba wakho. Ngokukhetha unyango olukhokelwa yimifanekiso olufana ne-ablation (RFA / MWA) okanye i-Embolization, ungazisombulula iimpawu ze-thyroid nodules ngaphandle kotyando lwendabuko. UGqr. Rohit Madhurkar kunye neqela lakhe banamava ngobuninzi babo, baneenkqubo zonyango ezisemgangathweni zehlabathi.

Izifo zentliziyo ezibangelwa kukwanda kwe-cholesterol deposits (ii-plaques) kwimithambo yegazi ziyanda kwaye zihlasela amaqela amancinci. Kubonakala ngathi abantu abasempilweni abangenazo izifo zentliziyo babonakala benesifo sentliziyo esikhulu, isifo sohlangothi okanye ukufa ngequbuliso. Kungenzeka ukuthintela ukuhlaselwa yintliziyo okanye istroke ngokuchongwa kwangethuba, utsho uGqr. Vijayakumar S., ingcali eyintloko ye-Interventional Cardiologist kunye neNkokeli yeKliniki kwi-Cardiac Imaging, kwiZibhedlele zase-Apollo, eGreams Road, eChennai. “Ukuthintela kubaluleka kakhulu kwihlabathi apho uhlaselo lwentliziyo luyimbangela ephambili yokufa, apho ikota yohlaselo lwentliziyo lwenzeka kubantu abangaphantsi kweminyaka engama-40 ubudala, isiqingatha sokufa okunxulumene nohlaselo lwentliziyo esingaphantsi kweminyaka engama-50, kunye nama-50% kwizigulana ezingenazo iimpawu ezikhoyo,” utshilo. Uhlaselo lweNtliziyo kunye neStroke Ziyathintelwa Ngokutsho kwe-American Heart Association, ama-90% estroke kunye nohlaselo lwentliziyo zinokuthintelwa ngokuchongwa kwangethuba kunye nonyango. Ekubeni i-cholesterol deposits iqala kwangethuba xa umntu eneminyaka engama-20 ubudala, iqhubeka kancinci kwaye ibangela ukuhlaselwa yintliziyo okanye isifo sohlangothi phakathi kweminyaka engama-40 ukuya kwengama-80, ukuba ifunyenwe kwangethuba, kunokwenzeka ukuba ibuyele umva ngamayeza okunciphisa i-cholesterol. Kwanakwizigaba zokugqibela unganciphisa amathuba okuhlaselwa yintliziyo okanye isifo sohlangothi. Indlela ekhoyo ngoku yokuhlolwa kwe-ASCVD Izinto ezinobungozi ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, amanqanaba aphezulu e-cholesterol, ukutshaya, ukutyeba kakhulu kunye nembali yosapho yokuhlaselwa yintliziyo yandisa amathuba okufakwa kwe-cholesterol. Indlela yangoku yokufumana amanqaku kwiRisk-factor esekelwe kwiindidi ezahlukeneyo zezi meko inokuqikelela umngcipheko wokuhlaselwa sisifo sentliziyo okanye isifo sohlangothi kwaye isetyenziswa ngoku ekwabeni unyango lokuthintela. Amanqaku omngcipheko afumaneka simahla kwi-intanethi kwaye enziwa ngokuzenzekelayo, ehlela iingozi njengeziphantsi, eziphakathi neziphezulu. "Ukuchongwa kwe-plaque kwi-CT okanye kwi-US imaging kunceda ugqirha ukuba agqibe ngonyango lokuthintela nge-statin kunye ne-aspirin kunye neethagethi zomngcipheko eziguquguqukayo ezinamandla ngakumbi (amanqanaba aphantsi e-LDL cholesterol kunye noxinzelelo lwegazi). Ikwaphucula ukunamathela kumayeza kunye notshintsho kwindlela yokuphila kwizigulana” UDkt. Vijayakumar S., ingcali yentliziyo engenelelayo kunye nenkokeli yezonyango kwimifanekiso yentliziyo, kwizibhedlele zaseApollo, eGreams Road, eChennai. Ukuthintela Ukuthintela i-ASCVD kugxile ekutshintsheni indlela yokuphila, kunye nonyango lwezonyango (i-pharmacotherapy). Unyango lwe-Pharmacotherapy lubandakanya unyango lwezinto ezinobungozi, ezinje ngesifo seswekile kunye noxinzelelo lwegazi oluphezulu emzimbeni. Unyango lokuthintela i-pharmacotherapy luquka amayeza okunciphisa i-cholesterol (statin) kunye ne-aspirin. Ukuguqulwa kwendlela yokuphila kunye nonyango lwezinto ezinobungozi kuyacetyiswa kuwo onke amaqela omngcipheko. Iindlela zanamhlanje zokuchongwa kwangethuba komngcipheko. Indlela esekelwe kwizinto ezinobungozi ayilunganga kuba ukugcinwa kwe-cholesterol kunokubakho ngenxa yezinto ezingaziwayo ezinobungozi. Izinto ezisisiseko ezifana nokuqina komzimba kunye nokuthambekela komntu ekufumaneni isifo nazo zinokuchaphazela ukwakheka kwe-cholesterol deposits. Iindlela zale mihla zoqikelelo lwakwangoko lwengozi ye-ASCVD ziye zavelisa iindlela zokucinga ze-atherosclerotic plaque (ezifana ne-mammography) ezinokunceda ukuchasa unyango lothintelo. I-Coronary artery calcium (CAC) iscan yi-CT scan engaphazamisiyo efumanisa kwaye ilinganise idiphozithi ye-calcium kwimithambo ye-coronary (intliziyo), ezizimpawu ze-plaque buildup kunye nomngcipheko wokuhlaselwa yintliziyo. I-US (i-ultrasound) i-plaque imaging yindlela engabonakaliyo yokuxilonga ukujonga i-atherosclerotic plaque kwi-arteries, ngokuyinhloko i-carotid (intamo) kunye ne-femoral (groin) imithambo, ukuvavanya ubungakanani bayo, kunye nokubunjwa. Ezi mvavanyo zintathu, zidityaniswe namanqaku omngcipheko, zibonelela ngoqikelelo oluchanekileyo lomngcipheko we-ASCVD weminyaka eli-10. Ngokusekelwe ekubeni banesifo seswekile esiphantsi, esiphakathi, okanye esinomngcipheko ophezulu, ixesha elifanelekileyo lokuskena liya kuba yiminyaka emi-5-7, iminyaka emi-3-5, kunye neminyaka emi-3, ngokulandelelana. Ibonisa ulwazi oluvela kuDkt. Vijayakumar S., ingcali eyintloko ye-Interventional Cardiologist kunye neNkokeli yeKliniki kwi-Cardiac Imaging, kwiZibhedlele zase-Apollo, eGreams Road, eChennai.📞 Ukuze ufumane amadinga, fowunela i-Apollo Hospitals eChennai ku-044 4040 1066

Yintoni iSeptoplasty? Inkcazo yeNkqubo I-Septoplasty yinkqubo yotyando eyenzelwe ukulungisa i-septum ephambukileyo, eyi-cartilage kunye nethambo elahlula umngxuma wempumlo ube ziimpumlo ezimbini. I-septum ephukileyo ingakhokelela kwiingxaki ezahlukeneyo zempilo, kuquka ukuxinana kwempumlo okungapheliyo, usulelo lweempumlo, kunye nokuphazamiseka kokulala. Kwizibhedlele zase-Apollo eHyderabad, sizingca ngegama lethu lokugqwesa kwezempilo, sisebenzisa ubuchwepheshe obuphambili kunye neendlela zotyando eziphambili ukuqinisekisa iziphumo ezilungileyo zesigulana. Iqela lethu loogqirha abanobuchule obuphezulu lizinikele ekuboneleleni ngononophelo lomntu ngamnye, nto leyo esenza sibe sesinye sezibhedlele ezilungileyo zeSeptoplasty eIndiya. Sithembe ukuba siza kukunceda uphefumle lula kwaye siphucule umgangatho wobomi bakho. Iimpawu zeKliniki: Kutheni iSeptoplasty iyimfunekoIseptol ephambukile inokuba nefuthe elikhulu kwimpilo yakho iyonke kunye nokuphila kakuhle. Ingathintela ukuhamba komoya, nto leyo ekhokelela ekubeni kube nzima ukuphefumla, ingakumbi xa usebenza okanye ulele. I-Septoplasty iyimfuneko kubantu abanengxaki: Ukuxinana Kwempumlo Okungapheliyo: Ukuvaleka okuqhubekayo kunokukhokelela ekungonwabi nasekubeni nzima ukuphefumla. Iintsholongwane zeSinus eziQhelekileyo: I-septum ephambukile inokuthintela ukutsalwa kakuhle kwe-sinus, nto leyo eyonyusa umngcipheko wosulelo. I-Apnea Yokulala: Ukuhamba komoya okuvalekileyo kunokubangela i-sleep apnea, imeko enzulu ephazamisa ubuthongo kwaye inokukhokelela kwezinye iingxaki zempilo. Ukopha Kwempumlo: I-septum egobileyo inokubangela ukurhawuzelelwa nokoma, okukhokelela ekuphumeni kwegazi rhoqo. Ngokujongana nale micimbi ngeSeptoplasty, izigulana zinokufumana isiqabu esikhulu kunye nomgangatho ophucukileyo wobomi. Kwizibhedlele zase-Apollo eHyderabad, iqela lethu leengcali lizimisele ukubonelela ngononophelo olusemgangathweni ophezulu, ukuqinisekisa ukuba isigulana ngasinye sifumana ingqalelo kunye nonyango esilufaneleyo. Iingozi Ezinokubakho Zokulibazisa Utyando Oluphambukile Lwe-Septum Ukulibazisa i-Septoplasty kunokukhokelela kwiingxaki ezahlukeneyo ezinokuba mandundu ngokuhamba kwexesha. Ezinye iingozi ezinokubakho ziquka: Iimpawu eziya zisiba mandundu: Ukuxinana kwempumlo okungapheliyo kunye nosulelo lwe-sinus kunokuba nzima ngakumbi, okukhokelela ekungonwabi okukhulu kunye neengxaki zempilo. Uphuhliso lweengxaki: Iimeko ezinganyangwanga zinokukhokelela kwiingxaki ezifana ne-sinusitis engapheliyo, enokufuna unyango olubanzi. Impembelelo kuMgangatho woBomi: Ubunzima bokuphefumla bunokuchaphazela imisebenzi yemihla ngemihla, umgangatho wokulala, kunye nokuphila kakuhle iyonke, okukhokelela ekunciphiseni imveliso kunye noxinzelelo oluphezulu. Ukungenelela ngexesha elifanelekileyo kubalulekile ekuthinteleni ezi ngxaki. Kwizibhedlele zase-Apollo eHyderabad, siyaqonda ukuba imeko yakho ingxamisekile kwaye silapha ukukunika ukhathalelo olufunayo. Musa ukulinda—cwangcisa intlanganiso namhlanje ukuze nixoxe ngeendlela eninokukhetha kuzo. Iingenelo eziphambili zeSeptoplasty zokuphucula ukuphefumlaUkwenza iSeptoplasty kunokukhokelela kwiingenelo ezininzi, kuquka: Ukuphucula ukuphefumla: Inzuzo ephambili yeSeptoplasty kukuphucula ukuhamba komoya ngeempumlo, okuvumela ukuphefumla kube lula.Ukunciphisa usulelo lweSinus: Ngokulungisa i-septum, izigulana zihlala zifumana usulelo lwe-sinus oluncinci kunye neempawu ezinxulumene noko.Umgangatho ongcono wokulala: Ukuphucula ukuhamba komoya kunokunciphisa iimpawu ze-sleep apnea, okukhokelela ekulaleni okuphumzayo ngakumbi kunye namanqanaba aphezulu amandla.Umgangatho ophuculweyo woBomi: Ngokunciphisa ukuxinana kwempumlo kunye nokungonwabi, izigulana zinokonwabela umgangatho ongcono wobomi, zibandakanyeka kwimisebenzi eziyithandayo ngaphandle kokuthintelwa kobunzima bokuphefumla. Kwisibhedlele saseApollo eHyderabad, sizinikele ekuqinisekiseni ukuba izigulana zethu zifumana ezi zibonelelo ngokhathalelo lwethu lobuchwephesha kunye neendlela zotyando ezikumgangatho ophezulu. Isikhokelo sesigulana: Inkqubo yokulungiselela nokuchacha Ukulungiselela i-Septoplasty kubalulekile ukuze utyando lube mnandi kwaye uphile. Nazi ezinye iingcebiso ezisebenzayo: Ukulungiselela Ngaphambi Kotyando lweSeptoplastyConsulting: Cwangcisa intlanganiso eneenkcukacha neengcali zethu ukuze kuxoxwe ngeempawu zakho, imbali yezonyango, kunye nenkqubo. Imiyalelo yangaphambi kotyando: Landela nayiphi na imiyalelo yangaphambi kotyando enikiweyo ngugqirha wakho, kuquka imiqathango yokutya kunye nokulungiswa kwamayeza. Lungiselela ukuThuthwa: Ekubeni uza kuba phantsi kwe-anesthesia, lungiselela ukuba umntu akuqhubele ekhaya emva kwenkqubo. Cwangcisa ukuPhila: Cwangcisa indawo yokuchacha ekhululekileyo ekhaya, egcwele izinto ezifunekayo ezifana neepakethe zomkhenkce, amayeza, kunye nokuzonwabisa. Iingcebiso Zokuchacha Emva Kotyando kunye Nokunyamekelwa Emva Kotyando Landela Imiyalelo Yonyango Emva Kotyando: Landela imiyalelo yonyango enikiweyo ngugqirha wakho, kuquka nendlela yokunyamekela impumlo yakho kunye nokulawula iintlungu. Ukuphumla Nokumanzisa: Qinisekisa ukuba uphumla ngokwaneleyo kwaye uhlale unamanzi ukuze ukhuthaze ukuchacha. Ziphephe Imisebenzi Enzima: Ziphephe ukuphakamisa izinto ezinzima okanye ukuzilolonga ngamandla ubuncinane iiveki ezimbalwa emva kotyando. Yiya Kwiindibano Zonyango Olulandelayo: Gcina zonke iindibano zonyango olucwangcisiweyo ukuze ujonge ukuchacha kwakho kwaye ujongane nazo naziphi na iingxaki. Kwisibhedlele sase-Apollo eHyderabad, iqela lethu lizimisele ukukuxhasa kulo lonke uhambo lwakho lokuchacha, liqinisekisa ukuba ufikelela ezona ziphumo zingcono. Imibuzo Ebuzwa Rhoqo 1. Ziziphi iingozi ezinxulumene neSeptoplasty? Nangona iSeptoplasty ikhuselekile ngokubanzi, njengayo nayiphi na inkqubo yotyando, ineengozi ezithile. Ezi zinokubandakanya ukopha, usulelo, kunye neempendulo ezingalunganga kwi-anesthesia. Nangona kunjalo, iingxaki azixhaphakanga, ingakumbi xa zisenziwa ngoogqirha abanamava kwizibhedlele zaseApollo eHyderabad. Iqela lethu liza kuxoxa ngazo zonke iingozi ezinokubakho ngexesha lokubonisana kwakho. 2. Ithatha ixesha elingakanani inkqubo yeSeptoplasty? Ubude benkqubo yeSeptoplasty buhlala buqala kwimizuzu engama-30 ukuya kwiyure e-1, kuxhomekeke kubunzima betyala. Kwizibhedlele zase-Apollo eHyderabad, oogqirha bethu abanobuchule basebenzisa iindlela eziphambili ukuqinisekisa ukuba inkqubo ikhawuleza kwaye isebenza kakuhle, nto leyo evumela ukuba umntu aphile ngokukhawuleza. 3. Ndingabuyela nini kwimisebenzi eqhelekileyo emva kweSeptoplasty? Uninzi lwezigulana lunokubuyela kwimisebenzi elula kwiintsuku ezimbalwa emva kotyando, kodwa ukuchacha ngokupheleleyo kungathatha iiveki ezininzi. Kubalulekile ukulandela imiyalelo yogqirha wakho emva kotyando kwaye uye kwintlanganiso zokulandelela ukuqinisekisa ukuba inkqubo yokuchacha ihamba kakuhle. 4. Ndingamkhetha njani ugqirha ofanelekileyo kwiSeptoplasty? Ukukhetha ugqirha ofanelekileyo kubalulekile ukuze ufumane iziphumo eziphumelelayo. Kwizibhedlele zaseApollo eHyderabad, iqela lethu liquka iingcali ze-ENT eziqeqeshwe kakuhle nezinamava ezizinikele ekuboneleleni ngonyango lomntu ngamnye. Ngexesha lokubonisana kwakho, zive ukhululekile ukubuza ngamava abo kunye namanqanaba empumelelo yabo ngeSeptoplasty. 5. Ndingayicwangcisa njani intlanganiso yokubonisana ngeSeptoplasty kwiApollo Hospitals Hyderabad? Ukucwangcisa intlanganiso kulula! Ungaqhagamshelana nathi kwiwebhusayithi yethu okanye utsalele umnxeba kumnxeba wethu ozinikeleyo woncedo. Abasebenzi bethu abanobuhlobo baza kukunceda ekulungiseleleni idinga nomnye woogqirha bethu abaziingcali ukuze nixoxe ngeempawu zakho kunye neendlela zonyango. Isiphelo Ukuba unengxaki yokuphefumla ngenxa ye-septum ephambukile, i-Septoplasty isenokuba sisisombululo osifunayo. Kwizibhedlele zase-Apollo eHyderabad, sizibophelele ekuboneleleni ngononophelo olugqwesileyo, sisebenzisa ubuchwepheshe obuphambili kunye neendlela ukuqinisekisa iziphumo eziphumelelayo. Iqela lethu loogqirha abanamava lilapha ukukukhokela kuyo yonke inyathelo lenkqubo, ukusuka kwingcebiso ukuya ekuchacheni. Musa ukuvumela ukuvaleka kwempumlo kuchaphazele umgangatho wobomi bakho. Qhagamshelana nathi namhlanje ukuze ucwangcise ingcebiso yakho kwaye uthathe inyathelo lokuqala lokuphucula ukuphefumla kunye nempilo yakho.

I-Mammography kwiZibhedlele zase-Apollo eHyderabadIsishwankathelo Umhlaza webele sisifo esixhaphakileyo esinokuchaphazela nawuphi na umfazi emva kokufikisa, kwaye ukwanda kwabasetyhini abadala kuyanda. Ngokutsho kwe-ICMR, malunga ne-1.6 lakh abafazi baseIndiya bafunyanwa benomhlaza webele minyaka le, kwaye ngaphezulu kwe-50% bajongene nokufa kwisithuba seminyaka emihlanu. Izifundo zibonisa ukuba ukuhlolwa kwe-mammography lolona vavanyo lunokunciphisa umngcipheko wokufa okunxulumene nomhlaza webele ukuya kuthi ga kwi-40%. Ukufunyanwa komhlaza webele kwangethuba ngokuhlolwa kwe-mammogram kwandisa amathuba okusinda ngonyango olufanelekileyo. Apha eApollo, sinolwazi kunye neziseko zokwenza uvavanyo lwe-3D mammography ngaphandle kokuphazamiseka kakhulu kunye nokuchaneka okuphezulu. Ngeli nqaku, sijonge ukuphakamisa ulwazi malunga nokubaluleka kwe-mammogram kunye nokususa iintsomi ezinxulumene nayo. Ukuqonda i-MammographyI-Mammography luvavanyo lwe-X-ray olusebenzisa idosi ephantsi olunokufumanisa umhlaza webele kumanqanaba okuqala, rhoqo ngaphambi kokuba iimpawu zibonakale. Ukufunyaniswa komhlaza webele kwangethuba kwandisa amathuba okuba umhlaza ungabikho ngaphakathi kwebele kwaye kunciphisa umngcipheko wokusasazeka kwawo kwezinye iindawo zomzimba. Apha e-Apollo, sikhuthaza kakhulu ukuba ukhathalelo lwebele lolona nyathelo lusebenzayo onokulithatha ukukhusela impilo-ntle yakho. Sisebenzisa izixhobo zanamhlanje kwaye silandela imigaqo engqongqo, iingcali zethu ezinobuchule ziqinisekisa ukuba uphando ngalunye lokuhlolwa kwe-mammogram kunye neziphumo zichanekile. Iimpawu ze-MammogramAbafazi abaneminyaka engama-40 nangaphezulu kufuneka bakwenze kube yinto ephambili ukwenza i-mammogram rhoqo emva konyaka omnye okanye emibini. Nangona kunjalo, kuyacetyiswa ukuba kwenziwe i-mammogram, ukuba umfazi walo naluphi na ubudala udibana nezi mpawu zilandelayo: Iqhubu lesifubaIntlungu yesifubaInkangeleko engaqhelekangaUkubonakala kwesikhumba Ukutyeba/ukurhoxa kweqhubuUkuphuma kweqhubu lesifubaNdingenza ntoni ukuba ndifumana iqhubu lesifuba?Nangona iqhubu lesifuba liyimbonakaliso ebalulekileyo yomhlaza webele, akuthethi ukuba linesifo somhlaza. Ngoko ke, musa ukoyika. Malunga nama-80 ekhulwini amaqhuma amabele adla ngokuba zii-cysts, i-calcifications, okanye ii-tumors ezingenobungozi ezidla ngokuncipha ngokuhamba kwexesha. Nangona kunjalo, kubalulekile ukubonana nogqirha ukuze kuqinisekiswe ukuba akukho mhlaza webele. Lwenziwa njani uvavanyo lweMammography? Ukuba le yisihlandlo sakho sokuqala usenza i-mammogram, usenokuba nemibuzo emininzi kunye nokungaqiniseki malunga nale nkqubo. Nantsi isikhokelo esinyathelo ngenyathelo esinokukunceda ucacise le nkqubo. Ugqirha wakho, ugqirha, okanye ingcali ye-radiology inokukhupha isicelo kwaye ikuncede ucwangcise idinga le-mammogram. Qinisekisa ukuba ugcwalisa amaphepha afunekayo okanye ubhaliso ngaphambi kokuba uqinisekise idinga lakho. Uza kuthunyelwa kwigumbi le-mammography, apho ingcali iya kukukhokela ekutshintsheni nasekukubekeni uvavanyo phambi kwesixhobo. Ibele lakho liya kucinezelwa kancinci phakathi kweepleyiti ezimbini ukuqinisekisa intuthuzelo, kwaye imifanekiso iya kubanjwa kwaye ithunyelwe kwindawo yokusebenzela ingxelo. Iingcali ze-radiology ziya kuhlola le mifanekiso ukuze zenze ingxelo eneenkcukacha. Emva kokuba imifanekiso ithathiwe, unganxiba uze uphume kwigumbi lokuskena. Yonke le nkqubo idla ngokuphela ngaphantsi kwemizuzu eli-10. Iingcebiso zokwenza amava akho e-Mammogram abe mnandi ngakumbi. Abafazi abaninzi bahlangabezana noloyiko kunye nexhala xa becwangciselwe ukuya kwi-mammogram. Ukuba uzifumana ukule meko, nceda ulandele la manyathelo ukuze ukhululeke ngakumbi. Cwangcisa i-mammogram yakho kwiiveki ezintathu zokuqala zomjikelo wakho wokuya exesheni, xa amabele akho engenakubuhlungu kangako. Kuphephe ukuyenza kwiveki yokugqibela yexesha lakho langaphambi kokuya exesheni ukuze ufumane amava angcono. Nceda wazise ugqirha wakho ukuba uhlangabezana nayiphi na intlungu okanye ukungakhululeki ngexesha lenkqubo. Ukuze ufumane inkxaso eyongezelelweyo, cinga ngokuzisa umhlobo okanye ilungu losapho kunye nawe kwintlanganiso. Ukuba uvakalelwa ziintlungu kwaye ukhathazekile malunga nokungakhululeki ngexesha lenkqubo, ungathatha i-painkiller isiqingatha seyure ngaphambi kovavanyo. I-Ultrasound: Enye indlela engeyiyo i-Mammography yabasetyhini abancinci Ukuba ungumfazi ongaphantsi kweminyaka engama-40 onomngcipheko oqhelekileyo, cinga ngokwenza i-ultrasound yebele yingcali ye-radiology. Kwimeko yokungaqiniseki, uvavanyo olongezelelweyo olufana ne-mammography okanye i-MRI yamabele lungasetyenziswa njengezixhobo zokusombulula iingxaki. Ukuphula iintsomi ezijikeleze ii-mammogramsNangona kubalulekile ii-mammograms, abafazi abaninzi basathandabuza ukuzifaka ngenxa yeentsomi ezahlukeneyo kunye neembono eziphosakeleyo. Masihlolisise ezi ngcamango ziphosakeleyo size sifumanise iinyani ngazo. Intsomi #1: Ekubeni ndingabonakalisi zimpawu zomhlaza webele kwaye ndingenayo imbali yosapho, akukho mfuneko yokukhathazeka okanye ukwenza i-mammogram. Inyani: Ngaphezulu kwe-85% yomhlaza webele uyenzeka kubafazi abangenayo imbali yosapho yomhlaza webele. I-Mammography yeyona ndlela iqinisekisiweyo yokunciphisa ukufa kwabantu abanomhlaza wamabele ngokuvumela ukufunyanwa kwangethuba kunye nonyango olufike ngexesha, ekugqibeleni kusindise ubomi. Intsomi #2: I-Mammography luvavanyo olubuhlungu. Inyani: I-Mammography ngokubanzi ayinazintlungu, kwaye ayinazintlungu zingako njengoko ibele licinezelwa okwethutyana phakathi kweepleyiti ezimbini ukuze kuthathwe imifanekiso esemgangathweni ophezulu. Ukuba umfazi uvakalelwa kakhulu ziintlungu, ukuthatha i-painkiller ngaphambi kovavanyo kunokwenza amava abe lula ukuwanyamezela. Intsomi #3: Uvavanyo lwe-Mammography lucetyiswa kuphela kubafazi abadala. Inyani: Abafazi abaneminyaka engama-40 nangaphezulu kufuneka babeke phambili ukuphononongwa kwe-mammogram kube kanye ngonyaka okanye rhoqo emva kweminyaka emibini, njengoko umngcipheko womhlaza webele ukhula ngokukhula. Abafazi abancinci abanembali yomhlaza webele kwiintsapho zabo kufuneka babonane nogqirha wabo okanye ingcali yokhathalelo lwebele ngaphambi kokuba bacinge ngokuhlolwa komhlaza webele. Intsomi #4: Ukukhanya okuvela kuvavanyo lwe-mammography kubangela umhlaza. Inyani: Uvavanyo lwe-mammography lubeka abafazi kwidosi ephantsi kakhulu yemitha, engaphantsi kokukhanya kwemitha yonyaka abantu abakufumanayo kwindalo esingqongileyo. Nangona kunjalo, iingenelo ze-mammography zingaphezulu kakhulu kunomngcipheko wokuvezwa yimitha. Intsomi #5: Ii-Mammogram azifuneki ukuba akukho mbali yosapho yomhlaza webele. Inyani: Nangona imbali yosapho yomhlaza webele inyusa umngcipheko, kubalulekile ukuqaphela ukuba ama-85% eemeko zomhlaza webele zenzeka kubafazi abangenayo imbali enjalo. Ngoko ke, ukuhlolwa rhoqo kweemammogram kubalulekile kubo bonke abafazi, nokuba bavela phi na kwiintsapho zabo. Intsomi #6: Iimammogram zihlala ziluvavanyo oluchanekileyo. Inyani: Iimammogram, njengalo naluphi na uvavanyo, zinokubonisa iziphumo ezingezizo okanye zingabikho ngenxa yezinto ezifana nezicubu zebele ezixineneyo. Nangona zisenokungaphumeleli, zihlala ziluvavanyo lodwa oluye lwangqinwa ukuba lunciphisa ukufa okubangelwa ngumhlaza wamabele kwabasetyhini, zixhaswa zizifundo ezahlukeneyo zesayensi.

Unyango loMhlaza wamathambo kwiZibhedlele zaseApollo eHyderabad Isishwankathelo Amathambo omntu omdala anamathambo amalunga nama-206, enziwe zizicubu ezidityanisiweyo, i-calcium, kunye neeseli zamathambo ezikhethekileyo. Iimhlaza ezichaphazela amathambo zaziwa ngokuba ziimhlaza zamathambo kwaye zahlulwe zibe zimbini: iimhlaza zamathambo eziphambili nezesibini. Umhlaza wamathambo oyintloko, obizwa ngokuba yi-bone sarcomas, uvela emathanjeni kwaye awuqhelekanga. Kwelinye icala, umhlaza wethambo wesibini uyenzeka xa umhlaza usasazeka uye emathanjeni usuka kwamanye amalungu omzimba. IZiko loMhlaza laseApollo, eHyderabad, lithathwa njengenye yeziko zonyango eziphambili zokunyanga umhlaza wamathambo ngeziphumo eziphumelelayo. Iqela lethu leengcali zomhlaza ezinobuchule kakhulu ligxile kumhlaza wamathambo kwaye liquka oogqirha bezonyango, oogqirha bemitha, kunye noogqirha botyando, kunye neengcali zezifo, abacebisi bemfuza, oogqirha be-physiotherapists, oochwephesha, abahlengikazi kunye nabasebenzi abancedisayo. Bekunye, bazama ukubonelela izigulana ngonyango olukumgangatho wehlabathi kunye nenkxaso yemvakalelo yovelwano. Iimeko EzinyangwayoKwiZiko loMhlaza lase-Apollo, eHyderabad, iingcali kwiSebe le-Oncology zinyanga iintlobo ngeentlobo zomhlaza wamathambo kunye nezimila zamathambo ezingezizo zomhlaza (ezingenobungozi), kuquka ezi zilandelayo: I-OsteosarcomaI-Ewing's sarcomaI-ChondrosarcomaIzimila ezinkulu zeeseliI-Fibrous DysplasiaIi-cysts zamathambo ezilula nezine-aneurysmalUkwaphuka kwezifoI-Myeloma emininziI-Lymphoma yethamboI-sarcoma yezicubu ezithambileyo zemilenzeI-Pelvic kunye ne-spinetumorsI-High-grade undifferentiated pleomorphic sarcoma (UPS) yethamboI-Bone fibrosarcomaI-Malignant giant cell tumor yethamboI-ChondromaI-Synovial sarcomaI-Pigmented villonodular synovitis [PVNS]Ezinye izitho Umhlaza osasazeka emathanjeni, umz., umhlaza webele, umhlaza weprostate, umhlaza wemiphunga, i-myeloma, njl. Unyango kunye neenkqubo kwiZiko loMhlaza lase-ApolloIingcali zethu zomhlaza kwiZiko loMhlaza lase-Apollo, eHyderabad, zinobuchule obuphezulu ekwenzeni iinkqubo ezintsonkothileyo zokonga amalungu (utyando lokusindisa amalungu), ukunyanga iithumba ezintsonkothileyo ze-pelvic kunye ne-spinal bone, kunye nokubonelela ngonyango olulungiselelwe wena lomhlaza wamathambo ngokusekelwe kwiimpawu zawo. Ezi ziquka: UtyandoKwiZiko loMhlaza laseApollo, injongo yotyando ayikokususa umhlaza wonke kwithambo elichaphazelekayo kuphela kodwa kukugcina nokubuyisela ilungu elisebenza kakuhle. Iinkqubo zotyando eziqhelekileyo zingabandakanya ukususwa kwamathambo, ukwakhiwa ngokutsha kusetyenziswa ii-implants, kunye notyando lweplastiki. Kwiimeko ezininzi, idolo lesigulana linokugcinwa ngelixa kususwa ithumba ngokupheleleyo kusetyenziswa iindlela eziphambili ezifana nokuprinta kwe-3D, iteknoloji yokuhamba, kunye nonyango lwemitha engaphandle komzimba. I-Medical OncologyI-Chemotherapy, i-immunotherapy, unyango lwehomoni, okanye unyango olujoliswe kulo lunokucetyiswa ngokusekelwe kwiimpawu zomhlaza ukunciphisa iiseli zethumba okanye ukuthintela ukukhula nokusasazeka kwazo. Unyango lweMitha Unyango lweMitha, njengonyango lwemitha engaphandle (EBRT), utyando lwemitha oluyi-stereotactic (SRS), njl.njl., lunokunikwa kwiimeko ezincedisayo ukususa iiseli zomhlaza ezisele okanye kwiimeko eziphambili okanye ezithomalalisayo apho utyando lungenakukwenziwa ukulawula iimpawu.Ii-FAQ1. Kwenzeka ntoni ngexesha lokubonisana kwam nogqirha wezifo zamathambo? Ingxoxo yenziwa ngokusekelwe kwiimpawu zesigulana, kubandakanya ixesha kunye nobunzima baso, imbali yezonyango, kunye nendlela yokuphila. Ukuqinisekisa ukurhanelwa komhlaza, kwenziwa iimvavanyo zomfanekiso, ezifana ne-X-ray, i-MRI, i-PET, okanye i-bone scan, kunye ne-biopsy. Ukuba umhlaza uqinisekisiwe, ukuvavanywa kwesifo kusekelwe kwi-PET CT scan. Ngokusekelwe kwinqanaba kunye nenqanaba, izicwangciso zonyango ziyaziswa. Kwiimeko ezininzi, izandla okanye imilenze inokulondolozwa ngokusebenza kakuhle kakhulu kusetyenziswa iindlela zotyando lokusindisa amalungu.2. Zeziphi iimpawu ezinokubonisa umhlaza wamathambo? Iimpawu eziqhelekileyo ziquka iintlungu zamathambo ezingasuswayo ngamayeza okudambisa iintlungu, ukwanda kokudumba kwamalungu kunye namalungu, amathambo aqhekekileyo kunye nokwenzakala nje, ukuphelelwa ngumdla wokutya kunye nokuncipha kobunzima ngendlela engachazekiyo, kunye nokudinwa. Ukuba ufumana naziphi na kwezi mpawu, kubalulekile ukubonana nogqirha we-orthopaedic oncologist ukuze afumane ukuxilongwa kwangoko kunye nonyango olufanelekileyo ukuqinisekisa iziphumo ezilungileyo.3. Yintoni eyenza iZiko loMhlaza laseApollo, eHyderabad, libe lolona khetho lufanelekileyo lokunyanga umhlaza wamathambo? Ingcali yomhlaza wamathambo yingcali ekhethekileyo exilonga kwaye inyange iithumba zamathambo kunye nomhlaza wamathambo. Amanqanaba empumelelo kunye neziphumo zonyango ezandleni zogqirha we-orthopaedic oncosurgeon zibalaseleyo, zihlangabezana nemigangatho yehlabathi. Kwizibhedlele zaseApollo, siyazingca ngokuba nomnye woogqirha abambalwa abadumileyo bamathambo abanesifo somhlaza. Ngaphezu koko, iZiko loBugcisa lixhotyiswe ngobuchwepheshe obuphambili kunye nezibonelelo zanamhlanje, kuquka iinkqubo zotyando lwerobhothi ezingangeni kakhulu kunye neendawo zotyando eziphucukileyo. Ixhaswa ziibhodi zeentsholongwane ezikhokelwa ziingcali, iingcali ezinezakhono, kunye nabasebenzi abazinikeleyo bokonga kunye nenkxaso, i-Apollo Cancer Centre, eHyderabad, iyaziwa njengenye yezibhedlele eziphambili ezineengcali ezahlukeneyo zonyango lomhlaza wamathambo.

Ukufakelwa kweBone Marrow (BMT) kwiZibhedlele zaseApollo eHyderabad Isishwankathelo Ukufakelwa kweBone Marrow (BMT) luhlobo olukhethekileyo lotyando kubantu abanomhlaza wegazi okanye ezinye iintlobo zomhlaza okanye iingxaki zokuzikhusela komzimba. Olu tyando lujolise ekutshintsheni iiseli zegazi ezingaphilanga kakuhle ngeziphilileyo, ngaloo ndlela kulungiswe ukusebenza kwegazi. Kwizibhedlele zase-Apollo, eJubilee Hills, eHyderabad, saziwa njengesinye sezibhedlele eziphambili ezineengcali ezininzi ekwenzeni ii-BMTs eziphumelelayo. Ngokufakelwa izihlunu okuphumeleleyo okungaphezulu kwe-1,500, sizingca ngokubonelela ngononophelo olukumgangatho wehlabathi kwizigulana ezinomhlaza wegazi nezinye iingxaki zegazi. Iingcali zethu zokufakelwa utyando, iingcali ze-hematologists, iingcali ze-oncologists, kunye neengcali ezivela kwezinye iingcali ezahlukeneyo ziqinisekisa unyango olulungiselelwe wena ngokweemeko zabo ezithile. Sikwabonelela ngeenkonzo ze-BMT kwizigulana ezingalaliswanga, sizibonelela ngeenzuzo ze-BMT ngelixa sinciphisa ukuhlala esibhedlele kunye neendleko ngama-50%. Ezi nkonzo zibonelela ngeenzuzo ezininzi, kubandakanya ukuphucula intuthuzelo yesigulana, ukusebenza kakuhle kweendleko, umgangatho wobomi ophuculweyo, ukunciphisa uxinzelelo olunxulumene nesibhedlele, kunye nokwanda kokukhululeka kwiimfuno zemihla ngemihla kunye nonyango lwezigulane ezingalaliswanga. Iimeko Ezinyangwayo Inkqubo ye-BMT icetyiswa ngokubanzi kwezi meko zilandelayo, kwaye iingcali zethu kwiSebe le-Oncology zibonelela ngononophelo olupheleleyo ukuqinisekisa iziphumo ezilungileyo kangangoko. Ezinye zeemeko ezinokufuna i-BMT ziquka: Umhlaza wegaziI-LymphomasI-LeukaemiasI-MyelomasIingxaki zegaziI-ThalassaemiaI-Sickle-cell anemiaI-plastic anemiaEzinye iimekoIi-tumor ze-testicular germ-cell TumorsI-Ewing sarcoma Yenziwa Njani i-BMT?Ukufakelwa kweBone Marrow (BMT) yinkqubo yezonyango equka ukutshintsha iiseli ezinesifo okanye ezibangela umhlaza ngeeseli eziphilileyo ukunyanga umhlaza wegazi. Iiseli ezenza igazi ziveliswa kumongo wethambo, iiseli ze-peripheral stem, kunye negazi le-umbilical cord. Ngexesha le-BMT, ii-stem cells, ezihlala zifumaneka kumongo wethambo, ziyaqokelelwa, zicutshungulwe, zize ziphinde zibuyiselwe kulowo unikelayo (isigulana) okanye komnye umntu ofumanayo. Kukho iintlobo ezimbini ze-BMTs ezenziwa kwiZiko loMhlaza lase-Apollo, eHyderabad: Ukufakelwa kwe-Autologous: Olu hlobo lwe-BMT lubandakanya ukusebenzisa ii-stem cells zegazi ezisempilweni zesigulana ukutshintsha umongo wethambo owonakeleyo. Emva kokuqokelela ii-stem cells emzimbeni wesigulana, ziphinda zibuyiselwe emva konyango lokulungisa imeko. Ukufakelwa kwe-allogeneic: Kolu hlobo, umongo wethambo ongaphiliyo uthatyathelwa indawo zii-stem cells zegazi eziphilileyo ezivela kumntu onikelayo, onokuba lilungu losapho, umhlobo, okanye umntu onganxulumananga naye. Imibuzo ebuzwa rhoqo1. Ngaba kukho naziphi na iingxaki ezinxulumene ne-BMT? Iingxaki ezinxulumene ne-BMT azixhaphakanga, njengoko iingcali zigqiba ekubeni isigulane siyayifuna na i-BMT emva kokuphononongwa ngokucokisekileyo kwembali yaso yezonyango. Iingozi eziqhelekileyo zingabandakanya i-anemia, usulelo, ukopha okuvela kwizitho ezibalulekileyo zomzimba, ukungazali, i-cataracts, ukuqala kwangethuba kokuya exesheni, njalo njalo.2. Ii-BMT zinceda njani kunyango lomhlaza? Ii-BMT zinokunceda ekuvuseleleni amandla omzimba wakho okuvelisa iiseli ezintsha zegazi emva konyango olunzulu lomhlaza, olufana nonyango lwemitha oluphezulu kunye ne-chemotherapy. Oku kuya kunceda ekuxhaseni inkqubo yomzimba yokuzikhusela, ukunciphisa usulelo, nokuphucula ukusebenza kweeseli zegazi ngokubanzi, kunceda ekubuyiseleni impilo yesigulana kunye nomgangatho wobomi.3. Yintoni eyenza izibhedlele zaseApollo zibe lolona khetho lufanelekileyo kwii-BMT? Izibhedlele zaseApollo, eJubilee Hills, eHyderabad, zixhotyiswe kakhulu ngetekhnoloji yanamhlanje kunye nezixhobo zokuxilonga ezisemgangathweni ophezulu ukubonelela ngokuxilongwa ngokuchanekileyo kwemeko yakho kunye nokubonelela ngezicwangciso zonyango lomntu ngamnye. Ngaphezu koko, saziwa njengenye yezibhedlele eziphambili ezineengcali ezininzi kurhulumente ezithwala ii-BMTs ezinempumelelo ephezulu, nto leyo egxininisa ubuchule bethu kunye nokuzinikela kwethu ekugqweseni. Sinikezela ngononophelo olujolise kwizigulane, ukususela ekuxilongweni ukuya ekupholeni. Qinisekani ukuba, kwiZibhedlele zaseApollo ningazithemba kwiingcali zethu.

Unyango lwe-Gastrointestinal Oncology kwiZibhedlele zaseApollo eHyderabad Isishwankathelo I-Gastrointestinal (GI) I-Oncology yinto ekhethekileyo egxile kumhlaza ochaphazela inkqubo yesisu. Ezi ziquka iithumba okanye umhlaza oqala kumphimbo, esiswini, emathunjini amancinci, emathunjini aphantsi nakwi-rectum, kunye nesibindi, i-pancreas, i-gallbladder, kunye ne-bile ducts.  Kwiimeko ezingaqhelekanga, iingcali ezigxile kwi-GI oncology zikwachonga umhlaza ofana nee-sarcomas, ii-gastrointestinal stromal tumors, ii-neuroendocrine tumors, kunye ne-melanoma. Kwi-Apollo Cancer Centre, eHyderabad, saziwa njengenye yezibhedlele eziphambili ze-multispecialty zokuxilonga nokunyanga umhlaza we-GI. Ngezixhobo eziphucukileyo nezisemgangathweni kunye nobuchwepheshe obuphambili, iingcali zethu zihlala zibeka phambili indlela eyahlukeneyo yokuxilonga, unyango, kunye nokulandelela. Iimeko Ezinyangwayo Iingcali zethu ze-GI oncologists kwiZiko loMhlaza lase-Apollo, eHyderabad, zinobuchule obukhulu ekuxilongeni nasekunyangeni iintlobo ngeentlobo zomhlaza we-GI zamanqanaba okuqala naphambili, ezinye zazo ziquka: Umhlaza we-Oesophageal we-adenocarcinoma kunye ne-squamous cell carcinoma Umhlaza wesisu Ii-tumor ze-gastrointestinal stromal tumors (GIST) Ii-neuroendocrine tumors Umhlaza we-colon kunye ne-rectal Umhlaza we-anal Umhlaza we-gallbladder kunye ne-bile duct Umhlaza wesibindi Umhlaza we-pancreatic Unyango kunye neenkqubo kwiZiko loMhlaza lase-Apollo KwiZiko loMhlaza lase-Apollo, eHyderabad, saziwa njengesinye sezibhedlele eziphambili ze-multispecialty ekwenzeni inani elikhulu leenkqubo ze-GI kunye nonyango oluneziphumo eziphumelelayo. Ezinye zezi ziquka: Utyando Olungena Ngobuninzi: Ezi ziquka iinkqubo zerobhothi kunye ne-laparoscopic ezifana ne-esophagectomy, i-gastrectomy, i-colonic kunye ne-rectal resections, kunye ne-liver and pancreatic resections. Indlela eneenkalo ezininzi: Ngendlela eneenkalo ezininzi, i-Apollo Cancer Centre yenza ezinye iinkqubo ezifana ne-endoscopic submucosal dissection (ESD), i-therapeutic ERCP, kunye ne-cholangioscopy ngokubekwa kwe-stent ngokusekelwe kwindawo yomhlaza kunye nenqanaba lomhlaza. Iinkqubo ezintsonkothileyo neziPhambili: IZiko loBugcisa likwaqhuba iinkqubo ezifana notyando lwe-cytoreductive, i-multivisceral resection, i-hyperthermic intraperitoneal chemotherapy (HIPEC), i-hyperthermic intrathoracic chemotherapy (HITOC), kunye ne-pressurized intraperitoneal aerosol chemotherapy (PIPAC) Unyango lweMisebeKwiZiko loMhlaza lase-Apollo, sisebenzisa iindlela eziphambili zemisebe ezisekelwe kwiimpawu zomhlaza kunye nendawo ukubonelela ngokuchanekileyo kunyango lomhlaza, njengonyango lwe-proton, i-stereotactic body radiotherapy (SRBT), njl. Unyango lwe-Medical Oncology Ezi ziquka i-chemotherapy, unyango olujoliswe kuyo, amayeza e-immunotherapy, kunye nonyango lwe-hormone, ezinokunceda ekumiseni ukukhula nokusasazeka kweeseli zomhlaza kwi-GI. Iinkqubo zokudambisa iintlungu kunye nezinye iinkqubo eziphambiliIbandakanya iinkqubo ezifana ne-chemoembolization, i-tumor ablation, okanye iindlela ze-radioembolization; iimpompo zokufaka i-hepatic artery; njl. Imibuzo ebuzwa rhoqo1. Zeziphi iimpawu ezinokubonisa umhlaza wesisu? Iimpawu zomhlaza wesisu zixhomekeke kakhulu kuhlobo lomhlaza kunye nendawo ovela kuyo. Iimpawu eziqhelekileyo ziquka iintlungu zesisu, ukopha emqolo, utshintsho kwindlela yokuzilolonga, indle enegazi, ukudumba, ukungagayi kakuhle kokutya, amehlo okanye ulusu olutyheli, ukuqhina okanye urhudo, isitshiso sentliziyo, ukuphelelwa ngumdla wokutya, kunye nokudinwa.2. Ngubani osemngciphekweni wokuba nomhlaza wesisu? Izinto eziphambili ezibangela umhlaza wesisu ziquka ubudala (obuhlala buchaphazela abo bangaphezulu kweminyaka engama-50), indlela yokuphila yokuhlala phantsi, ukutya inyama ebomvu rhoqo, kunye nokuvezwa kwizinto ezinobungozi ezifana ne-asbestos kunye ne-mercury. Iimeko ezifana ne-Barrett's esophagus, i-hepatitis C, i-colon polyps, kunye ne-genetic mutations okanye ii-syndromes ezifana ne-Lynch syndrome, i-BRCA1/BRCA2 mutations (umhlaza we-pancreatic), kunye ne-CDH1/CTNNA1 mutations (HDGC) nazo ziyandisa umngcipheko.3. Yintoni endifanele ndiyenze ukuze ndinciphise umngcipheko wokuba nomhlaza wesisu? Ungawunciphisa umngcipheko wokuba nomhlaza wesisu ngokugcina ukutya okunempilo, ukuzilolonga rhoqo, ukuphepha ukutshaya nokusebenzisa icuba, ukunciphisa ukusetyenziswa kotywala, ukuqinisekisa ukuba ulala ngokwaneleyo, ukuhlala unolwazi ngemigonyo, kunye nokuhlolwa rhoqo komhlaza.