Isibhedlela Sezingane Esihamba Phambili eNdiya | Isibhedlela Esiphezulu Sokunakekelwa Kwezingane - Izibhedlela ze-Apollo

Iyunithi yethu Yokunakekelwa Okujulile Kwezinsana Ezisanda Kuzalwa inikeza ukunakekelwa okuthuthukisiwe, ubusuku nemini kwezinsana ezisanda kuzalwa ngaphambi kwesikhathi nezigula kakhulu. Iphethwe odokotela abangochwepheshe bezingane ezisanda kuzalwa kanye namaqembu abahlengikazi abakhethekile, i-NICU ifakwe ukwesekwa okuthuthukisiwe kokuphefumula, ukuqapha izinsana ezisanda kuzalwa, kanye nezindawo ezilawulwa ukutheleleka ukuqinisekisa ukuqala okuphephile ngangokunokwenzeka kokuphila kwezinsana ezisengozini enkulu.

Iyunithi Yokunakekelwa Okujulile Kwezingane inikeza ukunakekelwa okukhethekile okubucayi kwezinsana nezingane ezinezifo ezisongela ukuphila, ukulimala, noma izidingo zangemva kokuhlinzwa. Isekelwa odokotela bezingane abaqinisayo, izinhlelo zokuqapha ezithuthukisiwe, kanye nochwepheshe bemikhakha eminingi, i-PICU iqinisekisa ukungenelela ngesikhathi esifanele kanye nokunakekelwa okuqhubekayo phakathi nezigaba ezibucayi kakhulu zokwelapha.

Izinsizakalo zethu ze-Pediatric Cardiology kanye ne-Cardiac Surgery zinikeza ukuxilongwa okuphelele kanye nokwelashwa kwezimo zenhliziyo ezizalwa nazo kanye nezitholwe ezinganeni. Kusukela ekuthathweni kwezithombe zenhliziyo okuthuthukisiwe kanye ne-interventional cardiology kuya ekuhlinzweni kwenhliziyo okuyinkimbinkimbi, ukunakekelwa kunikezwa ochwepheshe abanolwazi abasebenzisa ubuchwepheshe obuqondene nezingane kanye nezinqubo ezisekelwe ebufakazini.

Ukuxilongwa okukhethekile kanye nokwelashwa kwezifo zenhliziyo ezizalwa nazo nezitholwe ezinganeni, ezinganeni, kanye nasebancane, okuhlanganisa ukungenelela okusekelwe ku-catheter kanye nokuhlinzwa.

I-Pediatric Neurology igxile ekuxilongeni nasekuphatheni izinkinga zobuchopho, izinzwa, kanye nemisipha ezinganeni. Izimo ezifana nesifo sokuwa, ukubambezeleka kokukhula, izinkinga ze-neuromuscular, kanye nesifo sohlangothi sabantwana zelashwa ngokuhlanganiswa kokuxilongwa okuthuthukile, ukwelashwa kwezokwelapha, kanye nokunakekelwa kwezinzwa okuhlanganisiwe kwesikhathi eside.

Ithimba lethu le-Pediatric Neurosurgery linikeza ukunakekelwa kokuhlinzwa kochwepheshe ezimweni eziyinkimbinkimbi zobuchopho nomgogodla ezinganeni. Lokhu kufaka phakathi ukukhubazeka kokuzalwa, izimila, i-hydrocephalus, ukulimala okubuhlungu, kanye nezinkinga zomgogodla. Ukwelashwa kuhlelwa ngokunemba, kusetshenziswa izithombe ezithuthukisiwe kanye namasu okuhlinzwa aphephile ezinganeni ukuze kuthuthukiswe imiphumela kanye nokululama.

Lolu hlobo olukhethekile lunikeza ukunakekelwa okuhlanganisiwe kwezifo zegazi zezingane kanye nomdlavuza, okuhlanganisa i-leukemia, i-lymphoma, kanye nezimila eziqinile. Izinsizakalo zifaka phakathi i-chemotherapy, ukunakekelwa okusekelayo, kanye nokufakelwa umnkantsha wamathambo, okulethwa odokotela bezingane abazinikele endaweni enobungane nezingane egxile ekuphepheni, ukuqhubeka, kanye nokulandelela isikhathi eside.

Izinsizakalo zethu ze-Pediatric Gastroenterology kanye ne-Hepatology zilawula ukuphazamiseka kokugaya ukudla, okunomsoco, kanye nesibindi ezinganeni. Kusukela ebuhlungwini besisu obungapheli kanye nesifo samathumbu esivuvukalayo kuya ezimweni zesibindi eziyinkimbinkimbi, ukunakekelwa kuhlanganisa ukuxilongwa okuthuthukisiwe, ukuphathwa kwezokwelapha, ukwesekwa kokudla okunempilo, kanye nokuxhumana okuseduze nodokotela abahlinzayo bezingane uma kudingeka.

Uhlelo lwethu Lokufakelwa Kwezinso Zezingane lunikeza ukunakekelwa okuphelele kokufakelwa kwezingane ezinesifo sezinso esigabeni sokugcina. Kusukela ekuhlolweni kwangaphambi kokufakelwa kanye nobuchwepheshe bokuhlinzwa kuya ekuqapheni kwangemva kokufakelwa kanye nokulandelela impilo yonke, ukunakekelwa kunikezwa yithimba elihlukahlukene elizinikele ekuqinisekiseni ukuphepha, isikhathi eside sokufakelwa kwezicubu, kanye nekhwalithi yokuphila.

I-Endocrinology Yezingane ibhekana nezinkinga zamahomoni kanye ne-metabolic ezithinta ukukhula kanye nentuthuko ezinganeni. Izimo ezifana nesifo sikashukela, izinkinga zokukhula, ukukhubazeka kwe-thyroid, kanye nezinkinga ezihlobene nokuthomba ziphathwa ngezinhlelo zokwelapha ezenzelwe umuntu ngamunye, ukuqapha okuqhubekayo, kanye nemfundo egxile emndenini.

Uhlelo lwethu lwe-Cerebral Palsy kanye ne-Neurodevelopmental Care lunikeza ukuphathwa okuphelele, okunemikhakha eminingi okuhloswe ngayo ukuthuthukisa ukuhamba, ukuzimela, kanye nekhwalithi yokuphila. I-Care ihlanganisa ukuphathwa kwezokwelapha, ukwelashwa kokuvuselelwa, ubuchwepheshe bokusiza, kanye nokusekelwa komndeni ukuze kutholakale imiphumela yokusebenza yesikhathi eside.

I-Pediatric Orthopedics inikeza ukwelashwa okukhethekile kwezimo zamathambo, amalunga, kanye nemisipha ezihlukile ezinganeni ezisakhula. Lokhu kufaka phakathi ukukhubazeka kokuzalwa, ukungafani kobude bezitho, i-scoliosis, ukwaphuka kwamathambo, kanye nokulimala kwezemidlalo, kugxilwe ekubuyiseleni umsebenzi ngenkathi kusekelwa ukukhula okunempilo kanye nentuthuko.

Lolu lwazi luhlinzeka ngokunakekelwa okuphelele kwezimo zendlebe, impumulo, umphimbo, kanye nomgudu womoya ezinganeni. Izinsizakalo zifaka phakathi ukuphathwa kokulahlekelwa ukuzwa, izifo eziphindaphindayo, ukuvinjelwa komgudu womoya, kanye nokuphazamiseka kwezwi, okusekelwa ukuxilongwa okuthuthukile kanye nokwelashwa kokuhlinzwa nokungahlinzwa okufanele izingane.

I-Pediatric Pulmonology igxile ezinkingeni zokuphefumula ezithinta izinsana nezingane, okuhlanganisa i-asthma, izifo zamaphaphu ezingamahlalakhona, izifo eziphindaphindayo, kanye nezinkinga zokuphefumula ezihlobene nokulala. Ukunakekelwa kuhlanganisa ukuhlolwa kokuxilonga okuthuthukisiwe, ukuphathwa kwezifo zesikhathi eside, kanye nokusekelwa okuhlanganisiwe kwempilo yokuphefumula ethuthukisiwe.

Lolu lwazi luhlinzeka ngokunakekelwa okuphelele kwezimo zendlebe, impumulo, umphimbo, kanye nomgudu womoya ezinganeni. Izinsizakalo zifaka phakathi ukuphathwa kokulahlekelwa ukuzwa, izifo eziphindaphindayo, ukuvinjelwa komgudu womoya, kanye nokuphazamiseka kwezwi, okusekelwa ukuxilongwa okuthuthukile kanye nokwelashwa kokuhlinzwa nokungahlinzwa okufanele izingane.

I-Pediatric Ophthalmology inikeza ukunakekelwa kwamehlo okukhethekile ezinganeni, ibhekana nezinkinga zokubona, ukugoba kwamehlo, izinkinga zamehlo ezizalwa nazo, kanye nokulimala kwamehlo. Ukuxilongwa kusenesikhathi kanye nokungenelela ngesikhathi kusiza ukusekela intuthuko enempilo yokubona futhi kuvimbele ukukhubazeka kokubona kwesikhathi eside.

Izinsizakalo zethu ze-Pediatric Dentistry kanye ne-Maxillofacial zibhekana nezimo zamazinyo, zomlomo, kanye nezekhanda ezinganeni. Ukunakekelwa kuhlanganisa ukuphathwa kwezimo ezingavamile zokuzalwa, izifo zomlomo, ukulimala, kanye nezidingo zamazinyo eziyinkimbinkimbi, okulethwa endaweni enobungane nezingane ebeka phambili induduzo nokuphepha.

Ukuvuselelwa Kwezingane kanye Nokwelashwa Ngokuzivocavoca Kugxila ekubuyiseleni ukunyakaza, amandla, kanye nokuzimela kokusebenza kahle ezinganeni ezinezimo zezokwelapha, zokuhlinzwa, noma zokukhula. Izinhlelo zokwelapha ezizimele zenzelwe ukusekela ukuhamba, ukuxhumanisa, kanye nokukhula komzimba kwesikhathi eside.

Le nsizakalo isekela izingane ezinezinkinga zokukhuluma, ulimi, ukuxhumana, kanye nokondla. Ngokwelashwa okuhlelekile kanye nokungenelela kokuthuthukiswa, ithimba lisiza izingane ukuthuthukisa amakhono okuxhumana, amakhono okondla, kanye nokuzethemba okuphelele ekusebenzisaneni kwansuku zonke.

Ukuhlolwa kwegazi nomchamo kubalulekile ukuze kutholwe izifo, ukuntula ukudla okunomsoco, ukungasebenzi kahle kwezitho zomzimba, nezinye izinkinga zempilo enganeni yakho. Lokhu kuhlola kusiza ukusungula isisekelo sempilo yengane yakho.

Yenziwa kanjani:

• Ukuhlolwa Kwegazi: Inalithi isetshenziselwa ukudonsa igazi, ngokuvamile engalweni. Ezinsaneni, kungenziwa ukuhlaba isithende.
• Ukuhlolwa komchamo: Kuhlinzekwe isitsha esingenalutho ukuze kuqoqwe umchamo. Ezinganeni ezincane noma ezinsaneni, isikhwama esikhethekile sokuqoqa singasetshenziswa.

Yini Abazali Okufanele Bayilindele:

• I-prick encane ngesikhathi sokuqoqwa kwegazi, ehlala imizuzwana embalwa kuphela.
• Khuthaza ingane yakho ukuthi ihlale izolile; amasu okuphazamisa njengamathoyizi noma izingoma angasiza.
• Imiphumela yokuhlolwa ivamise ukutholakala phakathi kwamahora angu-24–48.

Ukuhlolwa kwesithombe njengama-X-ray, ama-ultrasound, nama-MRIs kunikeza ukubonwa okuningiliziwe kwamathambo, izitho zomzimba, nezicubu. Lezi zibalulekile ekuxilongeni ukuphuka, ukungahambi kahle kokukhula, noma izimo zangaphakathi enganeni yakho.

Yenziwa kanjani:

• I-X-Ray: Ingane yakho izobekwa phezu kwetafula kuyilapho uchwepheshe esebenzisa umshini ukuze athwebule izithombe zamathambo noma zesifuba. Inqubo iyashesha futhi ayinabuhlungu.
• I-Ultrasound: Idivayisi ephathwa ngesandla (i-transducer) ihanjiswa phezu kwesikhumba kusetshenziswa ijeli ukuze kuthuthukiswe ikhwalithi yesithombe.
• I-CT Scan/MRI: Ingane yakho ingase idinge ukuthi ilale inganyakazi ngaphakathi komshini omkhulu kuyilapho ukuthwebula kwesithombe okuthuthukisiwe kuthwebula izithombe ezinemininingwane zangaphakathi. Le mishini ingaba phezulu futhi yethuse ukuze ingane yakho inikezwe ama-headphone anomculo ukuze iqede umsindo noma imbala epholisayo uma kudingeka.

Yini Abazali Okufanele Bayilindele:

• Chazela ingane yakho inqubo kusengaphambili ukuze udambise ukukhathazeka.
• Ukuthwebula izithombe akukona okuhlaselayo kodwa kungase kudinge ingane yakho ukuthi ithule imizuzu embalwa.
• Imiphumela izokwabelwa udokotela wezingane, egqamisa noma yikuphi ukungahambi kahle.

Ukuhlolwa njalo kubalulekile ukuze kuqashwe ingqopha-mlando yengane yakho engokomzimba, engokomzwelo, nentuthuko.

Yenziwa kanjani:

• Isilinganiso sobude, isisindo, nesiyingi sekhanda ukulandelela ukukhula.
• Ukuhlolwa okuphelele ngokomzimba, okuhlanganisa ukuhlolwa kwenhliziyo, amaphaphu, nesisu.
• Ibhethri legazi, umchamo kanye nokuhlolwa kwezithombe ukuhlola wonke amapharamitha wengane yakho.
• Ingxoxo mayelana nokulala, ukudla okunomsoco, nokuthuthuka kwentuthuko.

Yini Abazali Okufanele Bayilindele:

• Iseshini ekhululekile, esebenzisanayo eklanyelwe ukwenza ingane yakho ikhululeke.
• Bhekana nanoma yikuphi ukukhathazeka kwabazali mayelana nokudla, indlela yokuziphatha, noma izinyathelo ezibalulekile.
• Iseluleko esenziwe ngokwezifiso sokugcina indlela yokuphila enempilo.

Ukugoma kuyisisekelo sokunakekelwa kwezempilo, ukuvikela ingane yakho ezifweni ezithathelwanayo njengesimungumungwane, uvendle, nesifo sokusha kwesibindi. Imithi yokugoma iwukhiye wokuzivikela komzimba impilo yonke ngokumelene nezifo eziningi eziyingozi.

Yenziwa kanjani:

• Inalithi encane isetshenziselwa ukujova umgomo, ngokuvamile engalweni noma ethangeni.
• Ishejuli yokugoma iyakhiwa ngokusekelwe eminyakeni yobudala bengane yakho nomlando wezokwelapha.

Yini Abazali Okufanele Bayilindele:

• Ukungakhululeki okuncane endaweni yomjovo, ngezinye izikhathi kuhambisane nomkhuhlane wezinga eliphansi.
• Nikeza uketshezi oluningi kanye nendawo eduduzayo ngemva kokugoma.
• Amarekhodi anemininingwane omlando wokugoma wengane yakho ukuze uwabhekise esikhathini esizayo.

Ukutholwa kusenesikhathi kwezinkinga zokuzwa noma zokubona kuqinisekisa ukungenelela okufika ngesikhathi, ukukhuthaza inkulumo evamile nokuthuthukiswa kwengqondo.

Yenziwa kanjani:

• Ukuhlolwa kokuzwa: Kungase kuhlanganise ukukhishwa kwe-otoacoustic emissions (OAE) noma ukuhlolwa kwe-auditory brainstem response (ABR), lapho kudlalwa khona imisindo, nezimpendulo zirekhodwa.
• Ukuhlolwa kombono: Faka phakathi ukuhlolwa kokubona kahle kusetshenziswa ishadi leso nokuhlola amaphutha e-refractive noma ukuqondanisa kwamehlo.

Yini Abazali Okufanele Bayilindele:

• Izinqubo ezingahlaseli nezingenabuhlungu ezenziwa ekamelweni elithule.
• Imiphumela ixoxwa ngokushesha, futhi uma kudingeka, ukudluliselwa kochwepheshe kunikezwa.

Ukuhlolwa kokungezwani komzimba nakho kukhomba izinto ezibangeli ezifana nempova, ukudla, noma uthuli olungase lubangele ukungezwani nengane yakho.

Yenziwa kanjani:

• Ukuhlolwa Kwesikhumba: Izilinganiso ezincane zokungezwani komzimba zingeniswa esikhumbeni kusetshenziswa inaliti encane. Ngokusekelwe ezingeni lokusabela kunoma yiziphi izinto ezingezwani nomzimba, udokotela wezingane wengane yakho angase atuse ukwelashwa kwe-antihistamine kanye nezinguquko ezingaba khona zendlela yokuphila.
• Ukuhlolwa Kwegazi: Isampula yegazi ithathwa ukukala amasosha omzimba athile.

Yini Abazali Okufanele Bayilindele:

• Ukuhlolwa kokuhlaba kwesikhumba kungase kubangele ukulunywa okuncane noma ukuba bomvu, okuxazulula ngokushesha.
• Ukuhlolwa kwegazi akungeneleli kancane ngemiphumela etholakala ezinsukwini ezimbalwa.
• Udokotela wezingane wengane yakho uzohlinzeka ngohlelo oluphelele lokulawula ukungezwani komzimba nezinto ezithile.

Funda kabanzi

Lezi zivivinyo zihlola ukukhula ngokomzimba nangokwengqondo kwengane yakho ukuze kuqinisekiswe ukuthi ihlangabezana nezinyathelo ezibalulekile ezihambisana neminyaka yobudala.

Yenziwa kanjani:

• Ukuhlolwa kwamakhono emoto, inkulumo, namakhono okuxazulula izinkinga.
• Izilinganiso zomzimba kanye nokubuyekezwa komlando wokuthuthuka.
• Kwezinye izimo, ukuhlolwa kwelebhu okwengeziwe noma ukuthwebula kungase kunconywe.

Yini Abazali Okufanele Bayilindele:

• Indawo enethezekile, esebenzisanayo lapho ingane yakho ingenza khona imisebenzi efana nokudweba noma izindida.
• Imininingwane yezindawo ezidinga ukwesekwa, nokudluliselwa kochwepheshe uma kudingeka.
• Iseluleko somuntu siqu sokukhuthaza ukukhula nokufunda ekhaya.
• Ukwelulekwa ngamasu okwelapha okuziphatha kubazali bezingane ezincane kakhulu ekwelapheni kokuziphatha kwengqondo

Umnyango we-Pediatric Cardiothoracic Surgery e-Apollo Institute of Pediatrics uyisikhungo esihle kakhulu sokwelashwa okuhlinzayo kwezimo zenhliziyo namaphaphu ezitholwe ezinganeni. Ithimba lethu lodokotela abahlinza i-cardiothoracic bezingane abanamakhono aphezulu, elisekelwa odokotela ababulala izinzwa zenhliziyo ezikhethekile, ama-intensivists, kanye nabahlengikazi, linikeza ukunakekelwa okuphelele kwezimo zenhliziyo eziyinkimbinkimbi kakhulu ne-thoracic.

Izindawo ezisemqoka zobungcweti zihlanganisa:

1. Ukukhubazeka kwenhliziyo yokuzalwa

• Izinkinga ngesakhiwo senhliziyo ezikhona ngesikhathi sokuzalwa, kusukela kokuncane kuya kokusongela ukuphila.
• Ukulungiswa kokuhlinzwa kwezimo ezifana nokukhubazeka kwe-atrial kanye ne-ventricular septal, i-Tetralogy ye-Fallot, nokuguqulwa kwemithambo emikhulu, njll.

2. Ukuhlinzwa kwenhliziyo yosana

• Ukuhlinzwa okukhethekile kwezingane ezisanda kuzalwa ezigula kakhulu ezinokukhubazeka kwenhliziyo kokuzalwa.

3. Ukulungiswa kwe-valve yenhliziyo nokushintshwa

• Ikhonjiswe ivalvu evimbekile/enciphile enhliziyweni yengane yakho noma engasebenzi ngendlela evamile.
• Izinqubo zokulungisa ukungasebenzi kahle kwe-valve ngenkathi kugcinwa ukusebenza kwenhliziyo.

4. Ukwakhiwa kabusha kwe-aortic arch

• I-coarctation (ukuncipha) kwe-aorta (umthambo omkhulu kunawo wonke emzimbeni) kuwukukhubazeka kwenhliziyo kokuzalwa okwenzeka lapho i-aorta yomntwana ingakhi kahle ngesikhathi sokukhulelwa, okulungiswa ngokuhlinzwa.
• Ukwelashwa kokuhlinzwa kokunciphisa i-aorta nezinye iziphambeko ze-arch.

5. Ukuphathwa kwe-cardiomyopathies

• Isimo senhliziyo esingavamile esithinta izicubu zenhliziyo ezinganeni.
• Izinketho zokuhlinzwa zezifo zemisipha yenhliziyo ezingaphenduli ekwelashweni kwezokwelapha.

6. Ukungajwayelekile kodonga lwamaphaphu nesifuba

• Lokhu kufaka phakathi ukungahambi kahle kwesakhiwo sesifuba, izimo ezithinta amaphaphu nomgodi wesifuba, njll.
• Ingcweti ekuhlinzweni kwamaphaphu, ukulungiswa kodonga lwesifuba, nokwelashwa kwezixuku zesifuba.

Ubungcweti be-Pediatric Cardiology be-Apollo Institute of Pediatrics baziwa kulo lonke elaseNdiya ngokunakekelwa kweziguli okuphakeme kanye nemiphumela yomtholampilo. Kusukela ebuntwaneni kuya ekubeni abantu abadala, ithimba lethu Lodokotela Benhliziyo, Odokotela Abahlinza Inhliziyo, abahlengikazi nabanye ochwepheshe bebonke bazinikele ngokukhethekile ekunikezeni insiza yenhliziyo egcwele ezigulini ezizalwa nesifo senhliziyo nezinye izimo zenhliziyo eziyivelakancane. Unyaka ngamunye, odokotela bethu be-Cardiologists banakekela ngaphezu kwe-10,000 izingane kanye nabantu abadala abanezinkinga zenhliziyo zokuzalwa nezitholiwe, okuhlanganisa izimo eziyivelakancane neziyinkimbinkimbi kakhulu emhlabeni. Leli zinga lesipiliyoni lihumushela emiphumeleni engcono. Odokotela bethu benhliziyo bangochwepheshe ezindaweni ezihlukene ze-Cardiology okuhlanganisa ukungenelela kwe-Catheter, I-Fetal Cardiology, i-Three Dimensional Echocardiography, i-Pulmonary hypertension, Ukuhluleka kwenhliziyo & Nenhliziyo Yezingane kanye Nokufakelwa Kwephaphu.

UHLELO LWE-ECHOCARDIOGRAPHY KANYE NE-FETAL cardiology
Sisebenza ngokukhethekile kwi-Echocardiography ye-Congenital and Structural heart disease. Kokubili izifundo ze-Transthoracic kanye ne-Transesophageal Three Dimensional echocardiographic zenziwa ngemishini ethuthuke kakhulu ngokobuchwepheshe. Izikhungo eziphathekayo ze-echocardiography ziyatholakala elebhu ye-Catheterizations, Igumbi Lokuhlinza Inhliziyo, I-Cardiothoracic ICU kanye nokunakekelwa kwezingane. Senza i-fetus echocardiography futhi sinikeza izinsizakalo zokwelulekwa kwabakhulelwe abakhulelwe abasengozini enkulu. Ithimba lethu linolwazi ekunakekelweni okuphuthumayo kwenhliziyo yezingane ezisanda kuzalwa, ukungenelela kwezingane ezisanda kuzalwa futhi linikeza imibono yokuhlinzwa kwenhliziyo ngaphambi nangemuva.

UKUNGENELELANA KWE-CARDIAC CATHETER
Sinethimba Lodokotela Benhliziyo Abangenelelayo abenza ukungenelela kwesakhiwo okuyinkimbinkimbi okuhlanganisa ukungenelela kwezingane ezisanda kuzalwa, ukungenelela kokuzalwa kwabantu abadala kanye nezinqubo ze-Hybrid. Senza ukungenelela kwe-catheter okungaba ngu-500 ngonyaka, elabhorethri yethu yesimanjemanje ye-catheterization.

UKWEHLULEKA KWENHLIZIYO / IMIKHIBHA YEMIPHUMELA YEHYPERTENSION KANYE NOHLELO LOKUTHUNYELA
Sigcina isizindalwazi sokuhluleka kwenhliziyo kanye neziguli ezinomfutho wegazi ophakeme wamaphaphu. Ukuhlolwa okuningiliziwe komtholampilo kwenziwa kulezi ziguli emitholampilo ye-Heart failure kanye ne-Pulmonary hypertension eyenziwa kabili ngesonto.

UHLELO LOKUQEQESHA
UMnyango ugunyazwe ngezinhlelo zeNational Board of Examinations (NBE) Fellowship. Sisekela ukuthuthukiswa kwabaholi bakusasa ekunakekelweni kwe-Pediatric Cardiac. Njengamanje sibamba ozakwethu bebhodi likaZwelonke, ozakwethu bamazwe ngamazwe kanye nabanye abajikelezayo abavela ku-Pediatrics kanye ne-Adult Cardiology. Abalingani bathola izandla ekuqeqeshweni ngezinqubo ze-Echocardiography kanye ne-Cardiac Catheterization. Sihlinzeka ngohlelo lwezemfundo olunezingxoxo ezijwayelekile zemitholampilo, amakilabhu ejenali, amasemina kanye nokuhlola okwakhayo. Amaphepha ethulwa njalo ezingqungqutheleni zeNational and International.

Funda kabanzi

UMnyango We -Paediatric Urology unikeza ukunakekelwa okuphelele, okuhlukahlukene kwezemfundo ephakeme kwezingane ezinezinkinga eziningi ze-Urological / ukukhubazeka. Sinikeza ukwelashwa okukhethekile nokugxile kakhulu kwezinkinga ze-Urology. Odokotela bethu abangochwepheshe be-Paediatric Urology benza ukuhlinzwa okunembile okuqiniswe ukutholakala kwemishini yakamuva yokusiza kanye nokusekelwa kwabasebenzi abaqeqeshwe emkhakheni wokuhlinzwa kwe-Key hole, ukuhlinzwa kwe-Laparoscopic, ukuhlinzwa kwe-Robotic kanye ne-Endourology.

Imibandela yokwelashwa kanye Nezinsizakalo ezinikezwayo:

• Sisebenza ngokukhethekile kwizinqubo zoku:
  • IHydronephrosis- yisimo esibandakanya ukuvuvukala kwezinso ngenxa yokunqwabelana komchamo
  • I-pelvic ureteric junction obstruction- ukuvaleka kwendawo lapho izinso zihlangana khona ne-ureter
  • I-VUR / Duplex System

I-Vesicoureteral reflux [VUR] yenzeka lapho umchamo ugeleza uhlehla usuka esinyeni uye ezinso, okwandisa ingozi yokutheleleka kwezinso kanye nokulimala. I-Duplex system yisimo sokuzalwa lapho izinso zinezinhlelo ezimbili ezihlukene zokuqoqa esikhundleni sesistimu eyodwa evamile. Sihlinzeka ngohlu olugcwele lwezinketho zokwelapha, kusukela ekuphathweni okulondolozayo okunama-antibiotics kuya ekulungisweni kokuhlinzwa okuhlaselayo kancane, njengokufakwa kabusha kwe-urethra noma imijovo ye-endoscopic.

• Ukwelulekwa kwabakhulelwe ngezimo ze-urological ye-fetus.
• Izimo eziphuthumayo ezisanda kuzalwa, izinkinga ezitholwe ngaphambi kokubeletha, isisindo sesisu, i-urosepsis, ukugcinwa komchamo, inqwaba ye-scrotal, izitho zangasese zangaphandle ezingavamile, njll.
• Izimo zezingane ezisanda kuzalwa: Ukuphazamiseka kwezinso, izimila, inkimbinkimbi ye-exstrophy, izitho zangasese ezingacacile, i-valve yangemuva ye-urethral, ​​i-scrotal anomalies, njll.
• Ukunakekelwa okuhlukahlukene kwezingane ezine-anomalies kwesinye kanye nomgogodla, okuhlanganisa ukunakekelwa okuhlangene kochwepheshe bezingane, i-Nephrologists, i-Pediatric Urologists, i-Neurosurgeons, i-Endocrinologists kanye noDokotela Abathuthukayo.
• Izinqubo ze-Endourological ezifana:
  • I-PUV fulgration: inqubo ehlasela kancane yokwelapha i-Posterior urethral valve, isimo esibangela ukuvaleka ku-urethra yesilisa
  • I-ureterocele deroofing: inqubo yokwelapha i-ureterocele, ukuvuvukala ekugcineni kwe-ureter
  • Umjovo we-Sub ureteric we-Deux we-Vesicoureteral reflux, usebenzisa umjovo we-ejenti eningi ebizwa ngokuthi i-Deux eduze nendawo yokungena i-ureter.
  • Umjovo we-Endoscopic we-'Botox' wesinye se-Neurogenic, lapho esinyeni sithinteka ngenxa yokulimala kwezinzwa.
  • Amatshe esinye kanye ne-ureter aphethwe yi-Laser Lithotripsy, lapho amatshe ephulwa ngamandla e-laser.
  • I-PCNL (Percutaneous Nephrolithotripsy) yamatshe ezinso isebenzisa izimbobo ezincane .I-Apollo ingesinye sezikhungo ezimbalwa e-India ezenza le nqubo eqenjini lezingane
• I-urology evuselelayo

Lokhu kuhlanganisa izinqubo ezifana Nokwenyuswa Kwesinye.

• Ukuphatha Okungajwayelekile Komthondo Wezingane: Ukuqunjelwa komthondo, i-chordee, umthondo ofihliwe, ukuhlinzwa kobulili phakathi kwabesilisa nabesifazane, kanye ne-Hypospadias. I-Hypospadias yisimo sokuzalwa kwabesilisa lapho ukuvuleka komchamo kutholakala ngaphansi kwepipi esikhundleni sesihloko. Singesinye sezikhungo ezinkulu e-India lapho zonke izinhlobo ze-Hypospadias zilungiswa njengenqubo yesiteji esisodwa ngemiphumela eqhathaniswa nengcono kakhulu emhlabeni.
• Ukwelashwa kokungajwayelekile kokusebenza kwesinye isinye, ukuphuthuma komchamo, ukungakwazi ukuzibamba, ukungasebenzi kahle kwesinye isinye, i-neurogenic bladder, i-nocturnal enuresis njll kanye nokutholakala kwe-urometry yezingane/izifundo ze-Urodynamic ukusiza ekwelapheni.

Umnyango we-Pediatric Neurology e-Apollo Institute of Pediatrics uzinikele ekuxilongeni nasekwelapheni inqwaba yezinkinga zemizwa ezinganeni, kusukela ebuntwaneni kuya ebusheni bakhe. Ithimba lethu lodokotela bezingane abanokuhlangenwe nakho basebenza ngokubambisana nabanye ochwepheshe ukuze banikeze ukunakekelwa okuphelele kwezimo eziyinkimbinkimbi zemizwa.

Sinelebhu ye-Neurophysiology ehlome ngokuphelele yazo zonke izivivinyo ezidingekayo.

Izinsiza zophenyo lwaselabhorethri kanye ne-radiology (kuhlanganise ne-MRI) ziyatholakala. I-telemetry yevidiyo-ye-EEG yesiguli kanye nezinye izikhungo zokuhlola i-neurophysiological nazo ziyatholakala endaweni elungele izingane.

Izindawo ezibalulekile okugxilwe kuzo zihlanganisa:

1. Ukuphathwa Kwesifo sokuwa

• Ukulawulwa kwesikhathi eside kwezokwelapha kwesithuthwane, ukuphazamiseka kwengqondo okubangela ukuthi abantu babe neziqephu ezimfushane zokunyakaza okuzenzela okubizwa ngokuthi ukuquleka.
• Ukuxilongwa okuthuthukile, okuhlanganisa ukuqapha kwe-EEG yevidiyo kanye ne-neuroimaging.
• Ukuhlolwa kokuhlinzwa kwesithuthwane kanye nokwelashwa kokudla kwe-ketogenic kwamacala amelana nemithi.

2. Iziyaluyalu ze-Neurodevelopmental

• I-Neurodevelopmental disorders yiqembu lezimo ezithinta ubuchopho kanye nesistimu yezinzwa ngesikhathi sokukhula, futhi kungabangela ukukhubazeka kokwazi, ukuxhumana, ukuziphatha, kanye / noma amakhono emoto.
• Ukuxilongwa kusenesikhathi kanye nokungenelela kwezinkinga ezifana ne-autism spectrum disorders (ASD), i-attention deficit hyperactivity disorder (ADHD), njll.
• Izinhlelo zokwelapha zemikhakha eminingi, okuhlanganisa ukuziphatha, inkulumo, nokwelashwa komsebenzi.
• Ukuphathwa kwezokwelapha kwezinkinga ze-neurodevelopmental kanye nochwepheshe bengqondo yezingane

3. Ukuphazamiseka kwe-Neuromuscular

• Lezi isethi yezimo lapho uhlelo lwe-neuromuscular luthinteka khona, kuhlanganise nezinzwa ezilawula imisipha kanye nemisipha ngokwayo.
• Ingcweti ekulawuleni izimo ezifana ne-muscular dystrophy (ubuthakathaka obuqhubekayo bemisipha kanye nokuwohloka), i-myopathies (izinkinga zemisipha yamathambo), kanye nesifo se-Guillain-Barré (ukuphazamiseka kwezinzwa okwenzeka lapho isimiso somzimba sokuzivikela ezifweni sihlasela isimiso sezinzwa esiseduze).
• Ukuhlolwa kofuzo okuthuthukisiwe kanye nemithi yokwelapha yokubuyisela esimweni esihle.

4. Ukuphathwa kwekhanda nokuphathwa kwe-migraine

• Amakhanda ahlukahlukene ahlanganisa i-migraines, ikhanda elibuhlungu, ikhanda le-sinus, njll.
• Izinhlelo zokwelashwa komuntu ngamunye ezibandakanya imithi, ukulungiswa kwendlela yokuphila, nokwelulekwa.

5. Iziyaluyalu zokunyakaza

• Izimo zemizwa ezithinta ikhono lengane yakho lokunyakaza ngokujwayelekile nangokulawula.
• Ukuxilongwa nokuphathwa kwezimo ezifana ne-cerebral palsy, i-dystonia, ne-tics.
• Ukwelashwa kwe-botulinum toxin kanye nezinsizakalo zokuvuselela umzimba.

6. Izimo ze-Neuroimmunological

• Izimo ezenzeka lapho amasosha omzimba ezihlasela ngokwawo, alimaze ubuchopho, imizwa, nezinye izicubu.
• Uchwepheshe ekulawuleni i-multiple sclerosis yezingane, i-acute disseminated encephalomyelitis (ADEM), kanye ne-autoimmune encephalitis.

Umnyango we-Pediatric Orthopedics e-Apollo Institute of Pediatrics ugxile ekuxilongeni, ekwelapheni nasekulawuleni izimo ze-musculoskeletal ezinganeni nasebancane. Ithimba lethu lodokotela abahlinzayo bezingane abanokuhlangenwe nakho nochwepheshe banikeza ukunakekelwa okuphelele kwezinkinga eziningi zamathambo, kusukela ekulimaleni okuvamile kuya ekukhubazekeni kokuzalwa okuyinkimbinkimbi.

Izindawo ezisemqoka zobungcweti zihlanganisa:

1. Ukuphuka kanye nokulimala kwezemidlalo

• Ukulimala okulula noma okuyinkimbinkimbi emathanjeni, imisipha, imisipha nemisipha yengane yakho ngenxa yokuwa noma isigameko esihlobene nezemidlalo.
• Ukunakekelwa ngokushesha kokuphuka kwamathambo kanye nama-sprains, kugcizelela ukugcinwa kwepuleti lokukhula.
• Ukuvuselelwa kokulimala kwezemidlalo ukubuyisela amandla nokuhamba.

2. Ukuthuthukiswa kwe-hip dysplasia

• Isimo lapho i-hip joint ingakhuli kahle ezinganeni nasezinganeni ezincane.
• Ukuxilongwa kusenesikhathi kusetshenziswa izindlela ezithuthukisiwe zokuthwebula izithombe.
• Ukwelashwa okungahlinzeki (amahhanisi, ukubopha) kanye nokuhlinzwa (ama-osteotomies) aklanyelwe iminyaka yengane yakho.

3. Ukukhubazeka kwezitho kanye nokungafani kobude

• Ukungajwayelekile ekukhuleni nasekukhuleni kwezingalo noma imilenze yabo.
• Ukulungiswa kwemilenze yominsalo, amadolo axegayo, nokungalingani kobude bemilenze kusetshenziswa izindlela zokuhlinza ezingavamisile noma ezithuthukisiwe.

4. I-Scoliosis nokunye ukukhubazeka komgogodla

• Ukungajwayelekile ubude nokugoba komgogodla wengane yakho.
• Ukunakekelwa okuphelele kwe-scoliosis (ijika elimaceleni emgogodleni), i-kyphosis (ijika elibuyela emuva emgogodleni), nezinye izinkinga zomgogodla, okuhlanganisa ukuhlinza nokuhlanganisa umgogodla lapho kudingeka.

5. I-clubfoot nokunye ukukhubazeka kwezinyawo

• Ukukhubazeka kokuzalwa njenge-clubfoot, unyawo oluyisicaba, umfelandawonye we-tarsal, njll.
• Ubungcweti bendlela ye-Ponseti yokusebenzisa ukusakaza ukuze kusetshenziswe indawo engcono kanye nezilungiso zokuhlinzwa ezimweni ezingazweli.

6. Ukulawulwa kwezifo zamathambo namalunga

• Ukuxilongwa ngokushesha kanye nokwelashwa ukuvimbela izinkinga zesikhathi eside.

Umnyango weDevelopmental Pediatrics e-Apollo Institute of Pediatrics ugxile ekuhloleni, ekuxilongeni nasekuphathweni kwezingane ezinokubambezeleka kwentuthuko kanye neziyaluyalu. Ithimba lethu lodokotela bezingane abathuthukayo, ongoti bengqondo, abalaphi bokukhuluma, odokotela abafundela umsebenzi, kanye nabanye ochwepheshe basebenza ndawonye ukuze banikeze ukunakekelwa okuphelele kwezingane ezinohlu olubanzi lwezinto ezikhathazayo zokukhula.

Izindawo ezibalulekile okugxilwe kuzo zihlanganisa:

1. Ukubambezeleka Kwentuthuko kanye Nokuphazamiseka

• Ukuhlola okuphelele kanye nokungenelela okuhambisanayo kwezinkinga ze-autism spectrum, i-ADHD, ukukhubazeka kokufunda, nokubambezeleka kwezimoto.
• Ukungenelela kokuziphatha
• Ukukhuluma kanye nokwelapha ulimi
• Ukwelapha emsebenzini
• Ukwelapha ngokomzimba
• Ukungenelela kwezemfundo
• Ukuphathwa kwezokwelapha uma kufaneleka

2. Ukuphazamiseka Kwenkulumo Nolimi

• Ukuxilongwa nokwelashwa kwezingane ezinezinkinga zokukhuluma ezibambezelekile, zokungingiza noma zokukhuluma.

3. Izinkinga Zokuziphatha

• Ukubhekana nokukhathazeka okunjengolaka, ukukhathazeka, nezindaba zokunaka ngokusebenzisa ukwelulekwa nokwelashwa kokuziphatha.
• Ukuphathwa kwezokwelapha uma kudingeka.

Umnyango we-Pediatric Endocrinology e-Apollo Institute of Pediatrics ugxile ekuxilongeni nasekwelapheni ukuphazamiseka kwama-hormone ezinganeni nasebancane. Uhlelo lwe-endocrine luyinethiwekhi eyinkimbinkimbi yezindlala nezitho, esebenzisa amahomoni ukulawula nokuxhumanisa umzimba wengane yakho, izinga lamandla, ukukhiqiza, ukukhula nokuthuthuka. Ithimba lethu lochwepheshe bezingane abanolwazi lwe-endocrinologists linikeza ukunakekelwa okuphelele kwezinhlobonhlobo zezimo ze-endocrine ezithinta ukukhula, ukuthuthukiswa, umzimba, kanye nempilo yokuzala.

Izindawo ezisemqoka zobungcweti zihlanganisa:

1. Izinkinga zokukhula

• Ukuphazamiseka okubangelwa ukuntula noma ukweqisa kwama-hormone okukhula enganeni yakho.
• Ukuphathwa kobude obufushane nokushoda kwe-hormone yokukhula noma ukweqisa.

2. Ukuphazamiseka kwegilo

• Isifo esivamile se-endocrine esithinta ukukhiqizwa kwehomoni yegilo ekhiqizwa indlala yegilo.
• Ukwelashwa kwe-hypothyroidism, i-hyperthyroidism, nokuphazamiseka kwe-congenital yegilo ezinganeni.

3. Isifo sikashukela (Uhlobo 1 nohlobo 2)

• Isifo esingamahlalakhona esenzeka lapho umzimba wengane yakho ungakhiqizi i-insulin eyanele noma ungakwazi ukuyisebenzisa ngendlela efanele, ngaleyo ndlela kubangele ukweqisa kweglucose emzimbeni.
• Isifo sikashukela sohlobo loku-1 yisifo esizimele lapho amasosha omzimba engane yakho ehlasela amangqamuzana e-pancreatic akhiqiza i-insulin, kuyilapho uhlobo lwesifo sikashukela sohlobo 2 luwukuphazamiseka okuhlobene nendlela yokuphila okuvame ukuhambisana nokukhuluphala kanye nendlela yokuphila embi.
• Ukunakekelwa okuphelele, okuhlanganisa ukwelashwa kwe-insulin nokuqapha i-glucose yoHlobo loku-1 nesifo sikashukela soHlobo lwe-2, kanye nokwelulekwa kwendlela yokuphila yesifo sikashukela sohlobo 2.

4. Izinkinga zokuthomba

• Ukungalingani kwe-hormonal enganeni yakho, okuholela ekukhiqizeni ngokweqile noma ekukhiqizeni okungaphansi kwamahomoni okuzala.
• Ukukhiqizwa ngokweqile kwamahomoni okuzala kungaholela ekuthombeni ngaphambi kwesikhathi (esikhathini sokuthomba), kuyilapho ukukhiqizwa kancane noma ukubambezeleka kokukhiqizwa kwamahomoni okuzala kungaholela ekuthombeni ukubambezeleka.
• Ukuphathwa kokuthomba ngaphambi kwesikhathi noma okubambezelekile.

5. Ukuphazamiseka kwe-calcium namathambo

• Ukuphazamiseka kwamathambo kungabangelwa izici eziningi, okuhlanganisa izimo zofuzo kanye nokuntuleka kokudla okunomsoco.
• Ukwelashwa kwama-rickets, i-osteogenesis imperfecta, i-osteoporosis, nezinye izimo zamathambo e-metabolic enganeni yakho.

6. Ukukhuluphala kanye ne-metabolic syndrome

• Kuhlotshaniswa nokumelana ne-insulin, ukuvuvukala kwesistimu, nokungasebenzi kahle kwamaselula.
• Ukungenelela kwendlela yokuphila kanye nokuphathwa kwezokwelapha ukuvimbela izinkinga.

Umnyango we-Pediatric Gastroenterology & Hepatology e-Apollo Institute of Pediatrics ugxile ekuxilongeni nasekulapheni ukuphazamiseka kwesimiso sokugaya ukudla, isibindi, namanyikwe ezinsaneni, izingane kanye nentsha. Ithimba lethu lezingane ezinolwazi lwe-gastroenterologists kanye ne-hepatologists linikeza ukunakekelwa okuphelele kwezinhlobonhlobo zezimo zesisu nesibindi.

Izindawo ezisemqoka zobungcweti zihlanganisa:

1. Izifo Zamathumbu Ezivuvukalayo

• Isimo esingapheli sokuvuvukala komgudu wamathumbu, okuhlanganisa nesifo sika-Crohn nesifo sokuqaqamba kwamathumbu, okuvamise ukubangela ubuhlungu besisu, isifo sohudo, nokuncipha kwesisindo.
• Ukuphatha okuphelele kuhlanganisa ukwelulekwa ngokudla kanye nemithi.

2. Isifo se-reflux ye-gastroesophageal (GERD)

• Isimo lapho i-asidi yesisu ivame ukugeleza ibuyele kummizo, okuholela ezimpawini ezifana nesilungulela, ukuhlanza, noma ubunzima bokudla.
• Ukuguqulwa kwendlela yokuphila, ukulungiswa kokudla, imithi yokunciphisa ukukhiqizwa kwe-asidi, futhi ezimweni ezingavamile, ukungenelela kokuhlinzwa.

3. Isifo seCeliac

• Ukuphazamiseka kwe-autoimmune okubangelwa i-gluten, okuholela ekulimaleni kwamathumbu amancane.
• Ukwelulekwa kanye nokwesekwa kokudla okunomsoco ukuze kubhekwane nokushoda.

4. Ukuphazamiseka kokuhamba

• Ukuphazamiseka okuthinta ukuhamba kokudla ngomgudu wokugaya wengane yakho, okuhlanganisa ukuqunjelwa okungapheli noma ukulibaziseka ukuphuma kwesisu.
• Izinhlelo zokwelapha ezifanelanisiwe ezihlanganisa izinguquko zokudla, imithi yokuthuthukisa i-motility, nokwelashwa kwe-biofeedback lapho kudingeka.

5. Izifo zesibindi

• Izimo ezifana nesifo sokusha kwesibindi kohlobo, isibindi esinamafutha, noma izinkinga zesibindi ezingase ziphazamise ukusebenza kwesibindi sengane yakho kanye nempilo iyonke.
• Ukuxilongwa kusenesikhathi ngokusebenzisa izithombe ezithuthukisiwe nokuhlolwa kwegazi, imithi yokuphatha ukuvuvukala kwesibindi, nokunakekelwa okukhethekile kwezimo eziyinkimbinkimbi kuhlanganise nokufakelwa.

6. Ukuphazamiseka kwe-pancreatic

• Izifo ezifana ne-pancreatitis noma ukushoda kwe-enzyme ethinta inqubo yokugaya kwengane yakho nokumuncwa kwezakhi.
• Ukwelashwa kokubuyisela ama-enzyme kanye nokuguqulwa kokudla ukuze kusekele ukugaya.

7. Ukuphazamiseka kokungondleki kahle

• Izinkinga ezinjengokungondleki kahle, ukuhluleka ukuchuma, noma ukukhuluphala okunomthelela ekukhuleni nasekukhuleni kwengane yakho.
• Ukuhlola okunomsoco okuphelele, izinhlelo zokudla eziqondene nawe, nokuqapha okuqhubekayo ukuze kuqinisekiswe ukukhula okunempilo.

Izinkonzo zethu zihlanganisa: 

• Ukubonisana okuphelele, ukuhlolwa nokuxilongwa, izinhlelo zokuphatha ezicacile ezihlanganisa nokusekelwa kokudla okunomsoco
• Izinqubo ze-Diagnostic and Therapeutic endoscopic, njenge:
  • I-endoscopy ye-GI ephezulu
  • I-endoscopy ye-GI ephansi (i-Colonoscopy)
  • I-capsule endoscopy
  • I-Manometry (Esophageal & Anorectal)
  • Izifundo ze-impedance / pH
• Izinqubo zesibindi, njenge:
  • I-biopsy yesibindi
  • I-Polypectomy
  • I-variceal ligation
  • I-Sclerotherapy
  • Ukunwetshwa kwe-Esophageal stricture
• Ukususwa kwemizimba yangaphandle, i-Percutaneous Endoscopic Gastrostomy (PEG), i-ERCP.
• Ukunakekelwa kokufakelwa kwesibindi: Ukuhlolwa kwangaphambili kokufakelwa kanye nokunakekelwa kwe-perioperative ngokubambisana neqembu lokufakelwa kwesibindi

Umnyango we-Pediatric Oncology e-Apollo Institute of Pediatrics uzibophezele ekuhlinzekeni ukunakekelwa okunozwela nokusezingeni eliphezulu ezinganeni ezitholakale zinomdlavuza. 

Ukwelashwa kwezingane ezinokuphazamiseka kwegazi njenge-anemia kanye nezinkinga zokopha njenge-haemophilia. Izindawo ezihamba phambili zesevisi zihlanganisa ukwelapha kwezingane ezine-thalassemia enkulu, i-sickle cell anemia kanye nezingane ezinezifo eziphindelelayo okusolwa ukuthi zinezinkinga eziyinhloko zokuntuleka kokuzivikela komzimba. Lezi zingane zibonwa emtholampilo wethu okhethekile futhi zihlinzekwa ngezinsizakalo zokuxilonga ezihlanganisa umsebenzi wamangqamuzana kanye nokwelashwa okuphelele okuhlanganisa ukufakelwa komnkantsha okwelapha konke ngaphansi kophahla olulodwa.

Sisebenza njengeqembu elinezinsizakalo zokuxilonga futhi siyakwazi ukufinyelela ku-PET CT kanye nochwepheshe be-Histopathologists, i-Haematopathologists, i-Pediatric Intensivists, Odokotela Abahlinzayo Bezingane kanye nama-oncologists emisebe ukuze banikeze ukunakekelwa okufanele kwezingane ezinomdlavuza.

Ukufakelwa komnkantsha wamathambo kunikeza ithuba kuphela lokwelapha iziguli ezinomdlavuza wegazi onzima, ukuntuleka kokuzivikela komzimba okuyisisekelo kanye ne-thalassemia enkulu. Ithimba le-HOPE lihlinzelwa izingane ezingaba ngu-80 ngonyaka futhi liyisikhungo esikhulu kunazo zonke sokufakelwa kwamathambo ezingane ezweni.

Izindawo Ezibalulekile Zobungcweti:

1. I-leukemia kanye ne-Lymphomas

• Umdlavuza wegazi ne-lymphatic system, njenge-acute lymphoblastic leukemia (ALL) kanye ne-Hodgkin's lymphoma, aphakathi komdlavuza wezingane ovame kakhulu.
• Ukunakekelwa okuphelele kuhlanganisa i-chemotherapy, ukwelashwa okuhlosiwe, nokufakelwa kwe-stem cell emacaleni asengozini enkulu.

2. Izimila Zobuchopho Nezinzwa Ezimaphakathi

• Izimila ebuchosheni noma umgogodla, njenge-medulloblastomas nama-gliomas, ezingaba nomthelela ekusebenzeni kwemizwa nokuthuthuka.
• Ukungenelela okuthuthukisiwe kokuhlinzwa, ukwelapha ngemisebe kusetshenziswa amasu anembayo, kanye nokwelashwa ngamakhemikhali okuklanyelwe uhlobo lwesimila.

3. I-Bone and Soft Tissue Sarcomas

• I-Cancer efana ne-osteosarcoma ne-Ewing sarcoma ethinta amathambo noma izicubu ezizungezile, ngokuvamile eveza ubuhlungu bendawo noma ukuvuvukala.
• Inhlanganisela yokuhlinzwa, ukwelapha ngamakhemikhali, kanye nokwelashwa ngeradio, okunezindlela zokuhlinza zokonga izitho noma nini lapho kunokwenzeka.

4. I-Neuroblastoma

• Umdlavuza ovela kumaseli wezinzwa angavuthiwe, ovame ukutholakala ezindlala ze-adrenal, ohlasela izinsana nezingane ezincane.
• Indlela ye-multidisciplinary ehilela ukuhlinzwa, i-chemotherapy, i-radiotherapy, futhi, ezimeni ezithuthukile, i-immunotherapy noma i-stem cell transplantation.

5. I-Wilms' Tumor

• Umdlavuza wezinso ngokuyinhloko uhlasela izingane ezingaphansi kweminyaka engu-5, ngokuvamile uvezwa njengesisindo sesisu esingenabuhlungu.
• Ukususwa ngokuhlinzwa kwesimila, kulandelwa i-chemotherapy futhi, kwezinye izimo, i-radiotherapy ukuze kuqinisekiswe ukuqedwa ngokuphelele.

6. I-Retinoblastoma

• Umdlavuza wamehlo ongavamile othinta izingane ezincane, uvame ukutholakala ngokuboniswa kwamehlo okungavamile noma izinkinga zokubona.
• Ukwelashwa kuhlanganisa i-chemotherapy, i-laser therapy, i-cryotherapy, futhi, ezimeni ezithuthukile, i-enucleation (ukususwa kweso) ukuze kulondolozwe ukuphila.

Umnyango Wokuhlinza Kwezingane NgeRobhothi uyingxenye yakho kokubili I-Pediatric Urology kanye Nokuhlinzwa Kwezingane. Lo Mnyango oyingqalabutho ube neqhaza elikhulu ekuhloleni ukusetshenziswa kwamarobhothi ekuhlinzeni izingane. Ingane encane eyahlinzwa kusetshenziswa irobhothi yayinezinyanga ezimbili kuphela ubudala nesisindo esingu-2 kgs.

I-Robotic Surgery ishintsha ukuhlinzwa kwe-laparoscopic. Ngezimbobo ezintathu noma ezine, amathuluzi angeniswa emzimbeni futhi asetshenziswe ukuze asike futhi athungwe.Izinsimbi Zokuhlinza NgeRobhothi zinamathiphu amancane anyakazayo, asonteka futhi ajike njengesandla somuntu. Kanye nalokhu, ikhamera yerobhothi inikeza umbono onezinhlangothi ezintathu wezitho zangaphakathi ngemininingwane emangalisayo. Ukujula kombono okunikezwa irobhothi kwenza ukuhlinzwa okuntekenteke kakhulu futhi okunembayo kwenziwe ngaphandle kokugula okuncane. Lokhu kusho ukuthi isitho esigulayo kuphela esibhekene naso futhi akukho ukuphazamiseka okubangelwa izakhiwo eziseduze.

Ngokungafani nokuhlinzwa kwe-laparoscopic, ukunyakaza kwamarobhothi kunembile, kuqinisekisa ukuthi inqubo iqedwa ngesikhathi esifushane kakhulu. Isikhathi se-anesthesia siyancishiswa futhi ukululama ngemuva kokuhlinzwa kuyashesha kakhulu. Ezimweni eziningi, ukuncelisa ngomlomo kungaqalwa phakathi namahora ambalwa futhi ingane ikhululwe phakathi nosuku noma ezimbili. Ukulaliswa esibhedlela isikhashana kuqinisekisa ukuthi abazali abasebenzayo abathinteki ngokungafanele.

I-Pediatric Intensive Care Unit (PICU) ye-Apollo Institute of Pediatrics iyindawo yokwelapha ethuthuke kakhulu yohlobo lwayo, ehlinzeka ngezinga eliphezulu lokunakekelwa kwezingane ezigula kakhulu nezilimele. Izingane eziningi ezigula kakhulu ezinezimo eziyinkimbinkimbi zithunyelwa zivela kulo lonke elaseNdiya, nasemhlabeni wonke . 

Ithimba le-PICU lihlinzeka ngokwelashwa okwamanje, okusekelwe ebufakazini futhi okuhambisana eduze nezinqubo ezihamba phambili zomhlaba. Lolu phiko lunabasebenzi bodokotela abaqeqeshwe emhlabeni wonke nabazinikele kakhulu be-Pediatric Intensive Care futhi inikeza ukunakekelwa okubucayi amahora angu-24 ngosuku, izinsuku ezingu-7 ngesonto. Baxhumana njalo nochwepheshe bezokwelapha bezingane kanye nokuhlinzwa mayelana nokuxhumana kokunakekelwa, ukukhishwa kanye nokulandelela. Ngaphezu kwalokho, abahlengikazi abaqeqeshwe ngokukhethekile be-Critical Care bahambisana nokunakekelwa kwe-PICU.

U-Apollo unikeza ukuqeqeshwa kwe-Pediatric Intensive Care Fellowship futhi uye wahola ucwaningo olubalulekile olushicilelwe kumajenali kazwelonke namazwe ngamazwe akhethekile.

UKUNAKEKELWA OKUKHETHEKILE

• Ukunakekelwa kwe-multi-system trauma
• Ukwesekwa Kwezifo Ezithathelwanayo okunomthelela ekwelapheni okuhlosiwe kwezifo ezingazweli neziyinkimbinkimbi
• Umnyango Wokulawula Ukutheleleka Okuqinile oqapha ngokuqinile ukuvimbela ukutheleleka futhi unciphise izifo ezitholwa esibhedlela.
• I-Specialized Burn Intensive Care
• I-Cardiac Intensive Care ngemuva kokuhlinzwa kwesifo senhliziyo sokuzalwa
• Ukunakekelwa kwe-PICU ngemuva kokuhlinzwa okuyinkimbinkimbi kwesisu kanye ne-thoracic, i-neurosurgical kanye ne-craniofacial kanye nokuhlinzwa komgogodla
• Ukunakekelwa kwe-Oncological / Hematological
• Inqubo Yesikhathi Sedation
• Izinqubo zokuxilonga ezihlaselayo eziseceleni kombhede / ezingahlaseli (isb. I-Bronchoscopy, i-EEG eseceleni kombhede, i-ECG kanye ne-echocardiography)
• Ukubuyisela ngokushesha ukwelashwa kwezinhlobo eziyinkimbinkimbi zokushaqeka kwe-circulatory kusetshenziswa "Iphuzu lokunakekelwa" eligxile kwi-Cardiac, Lung and Abdomen Ultrasound
• I-Intracranial pressure monitoring (ICP)
• I-Multimodal Monitoring yokuqapha ukuphuma kwenhliziyo - i-USCOM, i-PiCCO
• Ukubekwa okuqondiswa kwe-Ultrasound kokufinyelela kwemithambo emaphakathi okuthuthukisa ukunemba
• Imishini yokukala igesi yegazi
• Uhlelo lokuqapha oluphakathi nendawo
• Ama-algorithms nemishini yomoya enzima
• Ukwelapha ukuphefumula
• Ukwelashwa kwe-oxygen ephansi
• Ukungenisa umoya okungahlanyisi-BiPAP/CPAP
• Ukwelashwa kwe-nitric oxide
• I-ventilator ephezulu
• Iziqaphi ze-CO2 zokuphela kwamanzi
• I-Hemofiltration / dialysis/SLED/ Peritoneal dialysis
• I-extra-corporeal membrane oxygenation (ECMO)

Indawo ye-ECMO eyisipesheli neyingqayizivele itholakala ngaphakathi kwenkimbinkimbi ye-PICU. Ngomoya olawulwa yingcindezi enhle kanye nezindawo ezilwa namagciwane, iyunithi ye-ECMO inamazinga aqinile okulawula ukutheleleka afana nalawo aku-Operation Theatre. Ithimba elinolwazi ngezigwegwe eziningi lingasetha i-ECMO ngaphansi kwehora ngenxa yokuphefumula kanzima noma ukuhluleka kokuphefumula kwenhliziyo okuhlulekile ukwelapha okuvamile. Izingane eziningi ezigula kakhulu eziye zahluleka izindlela zokwelapha ezivamile ziye zaphumelela ngempumelelo i-VV-ECMO (yokuhluleka ukuphefumula okuphikelelayo) kanye ne-VA-ECMO (ye-refractory shock).

Izibhedlela ze-Apollo zibamba iqhaza ngenkuthalo ezivivinyweni ezihlukahlukene eziqhubekayo zezingane okuhloswe ngazo ukuhlola izindlela zokwelapha ezintsha nobuchwepheshe. Lezi zivivinyo zihlanganisa:

• Ukuhlolwa Komtholampilo Kwemithi Emisha: Ukuhlola ukusebenza nokuphepha kwemithi emisha eklanyelwe ukuphatha izimo zezingane ezifana nesifuba somoya, isithuthwane, nomdlavuza wezingane.
• Izilingo Zedivayisi: Ukuhlola ukusebenza kwemishini emisha, efana nezimila zenhliziyo yezingane kanye namathuluzi okuxilonga athuthukile, ekuthuthukiseni imiphumela yesiguli.
• Izifundo Zokuthuthukisa: Icwaninga umthelela wokungenelela kwangaphambi kwesikhathi ekukhuleni kwengane, okuhlanganisa ukudla okunomsoco, ukukhuthazwa kwengqondo, nokwelashwa kokuziphatha.

Lezi zifundo azigcini nje ngokunikela ocwaningweni lomhlaba wonke kodwa futhi zinikeza iziguli zethu ezisencane ukufinyelela ekwelashweni okuphambili.

Ithimba lethu lezingane lizinikele ekuthuthukiseni umkhakha ngocwaningo nokushicilelwa. Sinikele ngamaphepha amaningi kumajenali ezokwelapha ahlonishwayo ngezihloko ezifana nalezi:

• Amasu Okuhlinza Okusha: Ucwaningo ngokuhlinzwa kwezingane okungenakuhlasela kancane okunciphisa izikhathi zokululama futhi kuthuthukise imiphumela.
• Imiphumela Yesikhathi Eside Yokunakekelwa Kwezinsana: Ucwaningo olunemininingwane yamazinga empumelelo kanye nokuthuthuka kokuthuthuka kwezinsana ezizalwa ngaphambi kwesikhathi ezilashwa ku-NICU yethu.
• Ukuphathwa Kwezimo Zezingane Ezingamahlalakhona: Ukushicilelwa okugxile ezenzweni ezingcono kakhulu zokulawula izimo ezifana nesifo sikashukela sezingane kanye nenkinga yenhliziyo yokuzalwa.

Lezi zincwadi zisiza ukusabalalisa ulwazi kanye nokusungula izindinganiso ezintsha ekunakekelweni kwezingane.

Izibhedlela ze-Apollo zisebenzisana nezikhungo eziphambili nezinhlangano zocwaningo ukuze zenze izifundo eziphelele ezithuthukisa ukuqonda kwethu impilo yezingane. Le mizamo yokubambisana ihlanganisa:

• Izilingo Eziningi: Ukusebenzisana nezinye izibhedlela ukuhlola izivumelwano zokwelapha ngezinga elikhulu, ukuqinisekisa ukumelwa okuhlukahlukene kweziguli kanye nedatha eqinile.
• Izinyathelo Zocwaningo Lwamazwe Ngamazwe: Ukuzibandakanya kumaphrojekthi ocwaningo omhlaba wonke abhekana nezinkinga zezingane ezidlangile kubantu abahlukahlukene.
• Ukusebenzisana Kwezemfundo: Ukusebenzisana nezikhungo zemfundo ukuqeqesha odokotela bezingane bakusasa futhi sabelane ngentuthuko yakamuva ekunakekelweni kwezingane kwezempilo.

Lokhu kubambisana kuqinisa amakhono ethu ocwaningo futhi kube negalelo ekuthuthukiseni ukunakekelwa kwesiguli.

Ukuzibophezela kwethu ekunakekelweni kwesiguli komuntu ngamunye kubonakala ezicwaningweni eziningi zeziguli zezingane, ezigqamisa imiphumela yokwelashwa eyimpumelelo kuzo zonke izici ezincane ezihlukahlukene.