Isibhedlela I-Pulmonology Engcono Kakhulu Nezokwelapha Zokuphefumula eNdiya | Isibhedlela Esiphezulu Samaphaphu - Izibhedlela ze-Apollo

UDkt Arindam Mukherjee

Pulmonology

Iminyaka eyi-16+, i-MBBS, i-DM (Ukwelashwa Kwamaphaphu Nokunakekelwa Okubucayi), i-MD (Ukwelashwa Okuvamile), i-DNB (Ukwelashwa Okuvamile)

Izibhedlela Ezikhethekile ze-Apollo, i-EM Bypass, eKolkata

UDkt Arjun Ramaswamy

Pulmonology

Iminyaka engu-9+, MD (Imithi Yokuphefumula), DM (Imithi Yokwelapha Amaphaphu, Ukunakekelwa Okubucayi kanye Nemithi Yokulala)

I-Apollo Hospitals, eMumbai

UDkt Ashok Bajpai

Pulmonology

Iminyaka engu-47+, MBBS, MD, DTCD

Apollo Hospitals, Indore

UDkt Ashok Sengupta

Pulmonology

Iminyaka engu-33+ , MBBS, DTMH, MD, MRCP

Izibhedlela Ezikhethekile ze-Apollo, i-EM Bypass, eKolkata

UDkt Ashwin K Mani

Pulmonology

Iminyaka engama-22+ , AB (Int.Med), AB (Pulmology), AB (Critical care Med.)

Isibhedlela i-Apollo Firstmed, e-Chennai

Funda kabanzi mayelana ne-Asthma

Buka All

izinhlobo Izinkinga Zamaphaphu

Ezibhedlela zase-Apollo, sisebenza ngokukhethekile ekuxilongeni nasekwelapheni uhla lwezinkinga zamaphaphu. Ithimba lethu lochwepheshe likuhlomele ukuphatha izimo zokuphefumula eziyinkimbinkimbi, liqinisekisa ukuthi uthola ukunakekelwa okuphezulu kakhulu. Nansi imibandela esiyiphathayo:

Izinkinga Zomoya

Asthma

Isifuba somoya yisimo esingelapheki sokuphefumula esithinta imigudu yakho yokuphefumula, okwenza ukuphefumula kube nzima. Uma unesifuba somoya, imigudu yakho yokuphefumula iyavuvuka futhi ibe mincane, okuholela ezimpawu ezinjengokuhefuzela, ukukhwehlela, ukuphelelwa umoya, nokuqina kwesifuba. Lezi zimpawu zingahlukahluka ngobukhulu futhi zingase zibangelwe izici ezihlukahlukene ezihlanganisa ukungezwani komzimba, ukuvivinya umzimba, umoya obandayo, noma izifo zokuphefumula.

Ezibhedlela ze-Apollo, sakha izinhlelo eziqondene nawe zokulawula isifuba somoya ezikusiza ukuthi ulawule izimpawu futhi uvimbele ukuqubuka. Indlela yethu ihlanganisa imithi, amasu okugwema, kanye nokuguqulwa kwendlela yokuphila ukuze ikusize ugcine impilo esebenzayo, engenazo izimpawu.

Izifo Eziphuthumayo Zokuvimbela Izifo (COPD)

I-COPD yisifo samaphaphu esiqhubekayo esenza kube nzima ukuphefumula. Lesi simo siqala ngokuhamba kwesikhathi, ngokuvamile ngenxa yokuchayeka isikhathi eside kumagesi acasulayo noma izinhlayiyana, ngokuvamile entuthuni kagwayi. I-COPD ihlanganisa izimo ezimbili eziyinhloko: i-bronchitis engapheli kanye ne-emphysema, kokubili okungabangela ukukhwehlela okuqhubekayo, ukukhiqizwa kwamafinyila, kanye nokuphefumula.

Uhlelo lwethu olubanzi lokulawula i-COPD luhlanganisa ukuvuselelwa kwamaphaphu, ukwelapha ngemithi, nokulungiswa kwendlela yokuphila ukuze kusizwe ukukhula kancane kwesifo futhi kuthuthukise izinga lakho lempilo. Sisebenza eduze nawe ukuthuthukisa amasu okulawula izimpawu nokugcina imisebenzi yansuku zonke.

Funda kabanzi mayelana ne-COPD

I-bronchitis engapheli

I-bronchitis engapheli kwenzeka lapho imigudu yomoya emaphashini akho (amashubhu e-bronchial) ivuvuka futhi ikhiqize amafinyila amaningi. Lokhu kuholela ekukhwehleleni okungapheli okuhlala okungenani izinyanga ezintathu onyakeni iminyaka emibili ilandelana. Lesi simo sidala ukuthi amashubhu e-bronchial abe mancane, okwenza kube nzima ukuphefumula futhi kuholele ekungenweni izifo zokuphefumula njalo.

Sinikeza ukwelashwa okuthuthukisiwe ukusiza ukunciphisa ukuvuvukala, ukusula umoya, nokuvimbela izinkinga. Indlela yethu ihlanganisa kokubili ukukhululeka kwezimpawu ngokushesha kanye namasu okuphatha isikhathi eside ukuze uthuthukise amandla akho okuphefumula.

Funda kabanzi mayelana ne-Chronic Bronchitis

I-Emphysema

I-Emphysema yisimo esibucayi samaphaphu lapho amasaka omoya (alveoli) emaphashini akho alimala, okuholela ekuphefumuleni. Lo monakalo udala ukuthi izindonga zangaphakathi zezikhwama zomoya zibe buthakathaka futhi ziqhume, zenze izikhala zomoya ezinkulu esikhundleni sezincane eziningi, okunciphisa indawo engaphezulu etholakalayo ukushintshaniswa kwegesi ngesikhathi sokuphefumula.

Indlela yethu yokwelapha igxile ekubambezeleni ukuqhubeka kwe-emphysema ngenkathi ithuthukisa amandla akho okuphefumula. Sinikeza izinketho ezihlukahlukene zokwelapha, okuhlanganisa imithi, ukuvuselelwa kwamaphaphu, futhi kwezinye izimo, ukungenelela kokuhlinzwa ukukusiza ukuphatha izimpawu ngempumelelo.

Amagciwane Amaphaphu Nezimo Ezivuvukalayo

I-pneumonia

Inyumoniya isifo esivuthela amasaka omoya ephashini elilodwa noma womabili. Lawa masaka omoya angase agcwale uketshezi noma ubomvu, okubangele izimpawu ezifana nokukhwehlela okunephlegm, imfiva, ukugodola, kanye nobunzima bokuphefumula. Lesi simo singasukela kokumnene kuye esisongela ukuphila, ikakhulukazi kubantu abadala kanye nabantu abanamasosha omzimba abuthakathaka.

Ithimba lethu lochwepheshe linikeza ukunakekelwa okuphelele kwazo zonke izinhlobo zenyumoniya, okuhlanganisa kokubili izifo ezibangelwa amagciwane namagciwane. Sisebenzisa amathuluzi okuxilonga athuthukile ukuze sihlonze imbangela ethile futhi sithuthukise izinhlelo zokwelapha ezihlosiwe ukuze silulame kahle.

Funda kabanzi mayelana nenyumoniya

Isifo Sofuba (TB)

Isifo sofuba isifo esiyingozi esithinta amaphaphu akho. Nakuba i-TB ingalala ithule emzimbeni wakho ngaphandle kokubangela izimpawu (i-TB equbisile), i-TB eqavile ingabangela izinkinga ezinkulu uma ingelashwa. Izimpawu zihlanganisa ukukhwehlela okungapheli, ubuhlungu besifuba, ukuncipha, umkhuhlane, nokujuluka ebusuku.

Ezibhedlela zase-Apollo, sinikeza ukuphathwa kwe-TB okuphelele, okuhlanganisa ukuhlolwa okuthuthukisiwe kokuxilonga kanye nezinqubo zokwelapha zesikhathi eside. Indlela yethu iqinisekisa ukuqedwa ngokuphelele kokutheleleka ngenkathi ivimbela ukumelana nemithi futhi inciphisa imiphumela engemihle.

Funda kabanzi mayelana ne-Tuberculosis

I-Bronchiectasis

I-Bronchiectasis yenzeka lapho imigudu yokuphefumula emaphashini akho iba banzi unomphela futhi iba nezibazi, okuholela ekwakhekeni kwamafinyila kanye nokutheleleka njalo. Lesi simo esingelapheki sibangela ukuthi imigudu yakho yomoya ilahlekelwe amandla ayo okusula amafinyila ngendlela evamile, okwenza indawo lapho amagciwane engachuma khona. Izimpawu ezijwayelekile zihlanganisa ukukhwehlela okungapheli okunamafinyila amaningi, ukuphelelwa umoya, kanye nezifo zesifuba eziphindelelayo.

Indlela yethu yokwelapha ekhethekile igxile ekuvimbeleni ukulimala okwengeziwe ngenkathi silawula izimpawu. Sihlanganisa amasu okukhipha umoya, ukwelapha ngemithi, namasu okuvimbela ukutheleleka ukuze sikusize ugcine impilo yamaphaphu engcono kanye nezinga lempilo.

Funda kabanzi mayelana ne-Bronchiectasis

Izifo Zamaphaphu Zangaphakathi

I-Interstitial Lung Disease (ILD) ibhekisela eqenjini lezinkinga ezidala izibazi eziqhubekayo zezicubu zamaphaphu. Lesi sibazi sithinta i-interstitium, okuyithishu nesikhala esizungeze amasaka omoya emaphashini akho, okwenza kube nzima ukuphefumula nokuthola umoya-mpilo owanele egazini lakho. Izimpawu ngokuvamile zihlanganisa ukuphelelwa umoya, ukukhwehlela okomile, nokukhathala.

Sinikeza ukunakekelwa okuphelele kwazo zonke izinhlobo ze-ILD, sisebenzisa amasu okuxilonga athuthukile ukuze sinqume imbangela ethile futhi sithuthukise izinhlelo zokwelapha ezihlosiwe. Indlela yethu ingase ihlanganise imithi, ukwelashwa komoyampilo, kanye nokuvuselelwa kwamaphaphu ukuze sisize ukulawula izimpawu nokuqhubeka kancane kwesifo.

Sarcoidosis

I-Sarcoidosis yisifo sokuvuvukala esingathinta izitho eziningi, kodwa ngokuvamile sithinta amaphaphu. Lesi simo sibangela ukuba amaqoqo amancane amangqamuzana avuvukalayo (ama-granulomas) akhe ezingxenyeni ezihlukahlukene zomzimba wakho. Lapho lezi zikhula emaphashini akho, zingaholela ebunzimeni bokuphefumula, ubuhlungu besifuba, nokukhwehlela okungapheli.

Ithimba lethu lezinhlaka eziningi lihlinzeka ngokunakekelwa kochwepheshe be-sarcoidosis, liqaphe ukuqhubeka kwayo futhi lilungise izinhlelo zokwelashwa njengoba kudingeka. Sigxila ekulawuleni ukuvuvukala nokuvimbela ukulimala kwezitho kuyilapho sikusiza ukugcina imisebenzi yakho yansuku zonke.

Funda kabanzi mayelana ne-Sarcoidosis

I-Hypersensitivity Pneumonitis

I-Hypersensitivity Pneumonitis iwukungezwani komzimba okubangela ukuvuvukala emaphashini akho ngemva kokuhogela izinto ezithile zemvelo, njengezinhlamvu zesikhunta, amagciwane, noma ezinye izintuli eziphilayo. Lokhu kuvuvukala kungenza kube nzima ukuphefumula futhi kubangele ukulimala kwamaphaphu isikhathi eside uma ukuchayeka kuqhubeka.

Sisiza ukuhlonza izinto eziyimbangela nokuthuthukisa izinhlelo zokuphatha eziphelele ezihlanganisa ukuguqulwa kwemvelo nokwelashwa ukuze kuvinjelwe ukulimala okwengeziwe kwamaphaphu futhi kuthuthukiswe ukuphefumula kwakho.

Izinkinga Zokuphefumula Ezihlobene Nobuthongo

I-apnea yokulala

I-Sleep Apnea iwukuphazamiseka kokulala lapho ukuphefumula kuma ngokuphindaphindiwe futhi kuqale phakathi nokulala. Lokhu kumisa isikhashana kungathatha amasekhondi ambalwa ukuya emaminithini futhi kungenzeka izikhathi ezingu-30 noma ngaphezulu ngehora. Lesi simo singaholela ekukhathaleni emini, ikhanda elibuhlungu ekuseni, ubunzima bokugxilisa ingqondo, nokwanda kwengozi yezinkinga zenhliziyo nemithambo yegazi.

Ochwepheshe bethu bokulala bahlinzeka ngokuhlolwa okuphelele nezinketho zokwelapha, okuhlanganisa nezifundo zokulala ukuze zinqume ubucayi besimo sakho kanye nezinhlelo zokwelashwa eziqondene nawe ukuze zikusize ufinyelele ukulala okuzolile.

I-Apnea Elala Ngokuthambisa

I-Obstructive Sleep Apnea kwenzeka lapho imisipha yomphimbo wakho ikhululeka futhi ivala indlela yakho yokuphefumula phakathi nokulala. Lolu uhlobo oluvame kakhulu lwe-apnea yokulala, olubangela ukuhona okukhulu, ukuhefuzela lapho ulele, kanye nokozela okwedlulele emini. Uma ingelashwa, ingaholela ezinkingeni ezinkulu zempilo ezihlanganisa izinkinga zenhliziyo nomfutho wegazi ophakeme.

Sinikeza izinketho zokwelapha eziphelele, okuhlanganisa ukwelashwa kwe-CPAP, izinto ezisetshenziswa ngomlomo, kanye nokuguqulwa kwendlela yokuphila ehambisana nezidingo zakho ezithile kanye nobukhulu besimo.

Funda kabanzi mayelana ne-Obstructive Sleep Apnea

Izimo ze-Vascular and Circulatory

Umfutho wegazi ophezulu wamaphaphu

I-Pulmonary Hypertension wuhlobo lomfutho wegazi ophakeme othinta imithambo esemaphashini akho kanye nakwesokudla senhliziyo yakho. Lokhu kucindezela okwandayo kwenza kube nzima ngenhliziyo yakho ukupompa igazi ngamaphaphu akho, okuholela ezimpawu ezifana nokuphelelwa umoya, ukukhathala, ubuhlungu besifuba, nokuba nekhanda elilula.

Ithimba lethu elikhethekile lihlinzeka ngokunakekelwa kochwepheshe kuzo zonke izinhlobo zomfutho wegazi ophakeme wamaphaphu, lisebenzisa izindlela zokwelapha ezithuthukisiwe ukuze kuthuthukiswe ukugeleza kwegazi nokunciphisa ubunzima enhliziyweni yakho kuyilapho ikusiza ukuphatha izimpawu ngokuphumelelayo.

Funda kabanzi mayelana ne-Pulmonary Hypertension

Embolism Embolism Embolism

I-Pulmonary Embolism yisimo esibucayi esenzeka lapho ihlule legazi lingena emthanjeni osephashini lakho, livimbe ukugeleza kwegazi. Lokhu ngokuvamile kwenzeka lapho amahlule asuka emithanjeni ejulile emilenzeni yakho eya emaphashini akho. Izimpawu zingabandakanya ukuphelelwa umoya kungazelelwe, ubuhlungu besifuba, ukukhwehlela, nokushaya kwenhliziyo okusheshayo.

Sihlinzeka ngokungenelela okusheshayo kanye nokuphathwa kwesikhathi eside kwe-pulmonary embolism, okuhlanganisa ukwelashwa okuphuthumayo lapho kudingekile nokunakekelwa okuqhubekayo ukuvimbela iziqephu zesikhathi esizayo.

Funda kabanzi mayelana ne-Pulmonary Embolism

Izifo Zamaphaphu Emsebenzini

I-Asbestosis

I-Asbestosis yisifo esiyingozi, esingelapheki esibangelwa ukuchayeka isikhathi eside emiculweni ye-asbestos. Lapho uhogelwa, le micu emincane ingavaleleka esicutshini samaphaphu akho, ibangele izibazi eziholela ekuqineni emaphashini akho kanye nobunzima bokuphefumula. Lesi simo sivame ukuvela eminyakeni eminingi ngemva kokuchayeka, sibe nezimpawu ezihlanganisa ukuphefumula, ukukhwehlela okomile okuqhubekayo, ubuhlungu besifuba, kanye nokuphelelwa ukudla.

Ithimba lethu elikhethekile linikeza ukunakekelwa okuphelele okugxile ekubambezeleni ukuqhubeka kwesifo nokulawula izimpawu ukuze uthuthukise izinga lakho lempilo. Yize i-asbestosis ingelapheki, sinikeza izindlela zokwelapha ezizokusiza uphefumule kalula futhi uvimbele izinkinga.

Ukulimala Kwephaphu Okuhlobene Ne-Vaping

Ukulimala Kwephaphu Okuhlobene Ne-Vaping, okubuye kwaziwe ngokuthi i-EVALI (I-E-cigarette noma ukusetshenziswa komkhiqizo we-Vaping-Associated Lung Injury), yisimo esibucayi sokuphefumula esibangelwa ukusebenzisa i-e-cigarette noma i-vaping. Lesi simo singabangela ukuvuvukala okukhulu emaphashini akho, okuholela ezimpawu ezinjengobunzima bokuphefumula, ubuhlungu besifuba, ukukhwehlela, imfiva, nokukhathala.

Sihlinzeka ngezinqubo zokwelapha ezikhethekile zokulimala kwamaphaphu okuhlobene nokuhwamuka, okuhlanganisa kokubili ukungenelela okusheshayo nokwesekwa kokululama kwesikhathi eside. Indlela yethu igxile ekwehliseni ukuvuvukala kanye nokuvimbela ukulimala okwengeziwe kwamaphaphu kuyilapho ikusiza ukuthi uyeke ukufutha ngokuphepha.

Ezinye Izimo Zokuphefumula

Lung Cancer

Umdlavuza Wamaphaphu yisimo esibucayi lapho amangqamuzana angavamile emaphashini ekhula ngokungalawuleki, akhe izimila ezingasakazekela kwezinye izingxenye zomzimba wakho. Izimpawu zakuqala zingase zihlanganise ukukhwehlela okungapheli, ubuhlungu besifuba, ukuhayiza, ukuncipha kwesisindo ngendlela engaqondakali, nokukhwehlela igazi. Sinikeza ukunakekelwa okuphelele komdlavuza, okuhlanganisa ukuhlolelwa ukutholwa kusenesikhathi kubantu abasengozini enkulu.

Ithimba lethu lezinhlaka eziningi lihlinzeka ngezinketho zokwelapha ezisezingeni eliphezulu ezihlanganisa ukuhlinzwa, ukwelashwa ngamakhemikhali, ukwelapha ngemisebe, kanye nokwelashwa okuhlosiwe. Sakha izinhlelo zokwelashwa eziqondene nawe ngokusekelwe ohlotsheni nesigaba somdlavuza, siqinisekisa ukuthi uthola ukunakekelwa okuphumelelayo ngangokunokwenzeka.

Funda kabanzi mayelana ne-Lung Cancer

Ukukhwehlela Okungapheli

Ukukhwehlela Okungapheli kuchazwa njengokukhwehlela okuqhubekayo amasonto ayisishiyagalombili noma ngaphezulu kubantu abadala. Lokhu kukhwehlela okungapheli kungaba nomthelela omkhulu eqophelweni lakho lempilo futhi kungase kube uphawu lwesimo esingaphansi njengesifuba somoya, i-acid reflux, noma i-post-nasal drip. Ukukhwehlela kungase kome noma kukhiphe amafinyila, futhi kungase kuhambisane nokucasuka komphimbo, ukushintsha kwezwi, nokukhathala.

Senza ukuhlola okuphelele ukuze sithole umsuka wokukhwehlela kwakho okungapheli futhi sithuthukise nezinhlelo zokwelapha eziqondiswe ukubhekana nezimpawu kanye nesimo esiwumsuka.

I-Allergic Rhinitis

I-Allergic Rhinitis, eyaziwa nangokuthi i-hay fever, yenzeka lapho amasosha akho omzimba esabela ngokweqile ezintweni eziphuma emoyeni njengempova, uthuli, noma i-pet dander. Lokhu kungezwani komzimba kubangela ukuvuvukala emakhaleni akho, okuholela ezimpawini ezinjengokuthimula, ikhala eligijimayo, ukuminyana kwamakhala, namehlo alumayo. Lesi simo singathinta kakhulu imisebenzi yakho yansuku zonke kanye nekhwalithi yokulala.

Indlela yethu ihlanganisa ukukhululeka kwezimpawu ngokushesha namasu okuphatha isikhathi eside, okuhlanganisa ukuhlonza i-allergen, amasu okugwema, kanye ne-immunotherapy uma kufaneleka.

Funda kabanzi mayelana ne-Allergic Rhinitis

I-Pulmonary Fibrosis

I-Pulmonary Fibrosis ihilela ukuqhuma okuqhubekayo kwezicubu zamaphaphu, okwenza kube nzima ukuphefumula ngokuhamba kwesikhathi. Isibazi sibangela ukuthi izicubu zamaphaphu zibe ugqinsi futhi ziqine, kunciphise ikhono laso lokudlulisa umoya-mpilo egazini lakho. Izimpawu zihlanganisa ukuphelelwa umoya okuqhubekayo, ukukhwehlela okomile, ukukhathala, nokuncipha kwesisindo okungachazeki.

Sinikeza ukunakekelwa okuphelele sisebenzisa izinketho zakamuva zokwelapha ukuze sibambezele ukukhula kwesifo futhi sisize ukulawula izimpawu, okuhlanganisa ukwelapha ngemithi, ukwengezelelwa komoyampilo, nezinhlelo zokuvuselela amaphaphu.

Funda kabanzi mayelana ne-Pulmonary Fibrosis

Ukwehluleka Ukuphefumula

Ukwehluleka Ukuphefumula kuyisimo esibucayi esenzeka lapho amaphaphu akho engakwazi ukushintshanisa kahle umoya-mpilo ne-carbon dioxide ngegazi lakho. Lokhu kungaba kubi (ukuqala kungazelelwe) noma okungamahlalakhona (okuthuthuka ngokuhamba kwesikhathi). Lesi simo sidinga ukunakekelwa kwezempilo ngokushesha njengoba singabeka impilo engcupheni. Izimpawu zihlanganisa ukuphefumula kanzima, ukuphefumula ngokushesha, umbala oluhlaza okwesibhakabhaka ezindebeni noma eminweni, kanye nokudideka.

Amathimba ethu okunakekela abagula kakhulu ahlinzeka ngokungenelela okusheshayo kanye nokuphatha okuqhubekayo kokubili kokuhluleka kokuphefumula okunamandla nokungapheli, kusetshenziswa izinhlelo ezithuthukisiwe zokusekela ukuphila lapho kudingeka.

I-Pneumothorax

I-Pneumothorax, evame ukubizwa ngokuthi amaphaphu awile, yenzeka lapho umoya uvuza esikhaleni esiphakathi kwamaphaphu akho nesifuba. Lo moya uphusha ngaphandle kwephaphu lakho futhi ulenze liwe. Izimpawu zihlanganisa ubuhlungu besifuba obungazelelwe kanye nokuphefumula. Lesi simo singazenzekela noma sibangelwe ukulimala esifubeni.

Sihlinzeka ngokuhlolwa nokwelashwa okusheshayo, okungase kuhlanganise ukubheka ukuwa okuncane noma ukungenelela okusebenzayo okufana nokubekwa kweshubhu lesifuba ngokugoqeka okukhulu.

I-Pleural Effusion

I-Pleural Effusion kwenzeka lapho uketshezi oluningi lunqwabelana esikhaleni esiphakathi kwamaphaphu akho nodonga lwesifuba (i-pleural space). Lokhu kunqwabelana koketshezi kungacindezela iphaphu lakho, kwenze ukuphefumula kube nzima. Izimpawu ezijwayelekile zihlanganisa ubuhlungu besifuba, ukukhwehlela okomile, ukuphefumula kanzima, nemfiva uma uketshezi lunegciwane.

Ithimba lethu lihlinzeka ngokuxilonga nokwelashwa okuphelele, okuhlanganisa i-thoracentesis ukususa uketshezi oluningi lapho kudingekile, kanye nokwelashwa kwanoma yiziphi izimo ezicashile ezibangela ukuphuma kwamanzi.

cystic fibrosis

I-Cystic Fibrosis isifo esiwufuzo esidala umonakalo omkhulu emaphashini akho kanye nohlelo lokugaya ukudla. Lesi simo sithinta amangqamuzana akhiqiza amafinyila, awenze ajiye futhi anamathele. Lokhu kuholela ezifweni ezingapheli zamaphaphu, izinkinga zokuphefumula, nezinkinga zokugaya ukudla. Izimpawu zihlanganisa ukukhwehlela okungapheli okunamafinyila aminyene, izifo zamaphaphu njalo, kanye nokungakhuli kahle.

Sihlinzeka ngokunakekelwa okukhethekile ngohlelo lwethu lwe-Cystic Fibrosis, sinikeza izinhlelo eziphelele zokwelapha ezibhekana nezidingo zokuphefumula nezokudla okunempilo.

Funda kabanzi mayelana ne-Cystic Fibrosis

Ama-Lung Nodules

Ama-Lung Nodules yizicubu ezincane emaphashini ezibonakala ziyindilinga, izithunzi ezimhlophe ku-X-ray yesifuba noma i-CT scan. Nakuba ama-nodule amaningi engenawo umdlavuza, adinga ukuhlolwa ukuze kutholwe ubunjalo bawo. Lawa maqhuqhuva angeke abangele izimpawu futhi avame ukutholakala ngesikhathi sokuhlolwa kwesithombe kwezinye izimo.

Sihlinzeka ngokuhlolwa okuphelele kwamaqhuqhuva wamaphaphu sisebenzisa izindlela ezithuthukisiwe zokuthwebula izithombe futhi, lapho kudingekile, izinqubo ezihlasela kancane ukuze sinqume ukuthi ingabe ukwelashwa okwengeziwe kuyadingeka.

Ukutheleleka kwe-Syncytial Virus (RSV) yokuphefumula

I-RSV igciwane elivamile lokuphefumula elivame ukudala izimpawu ezithambile, ezinjengamakhaza. Kodwa-ke, kungaba yingozi, ikakhulukazi ezinganeni nakubantu abadala. Leli gciwane lithelela amaphaphu nemigudu yokuphefumula, libangele ukuvuvukala okungaholela ku-bronchiolitis kanye nenyumoniya ezimeni ezimbi kakhulu. Izimpawu zihlanganisa ikhala eligelezayo, ukukhwehlela, ukuthimula, umkhuhlane, nokuphefumula.

Sihlinzeka ngokunakekelwa okukhethekile kwezifo ze-RSV, ngokunaka okukhethekile ezigulini ezisengozini enkulu, sinikeza kokubili ukunakekelwa okusekelayo nokuqapha ukuvimbela izinkinga.

Diagnostics & Ukuhlolwa

Izinsizakalo zethu zokuxilonga inhliziyo zisebenzisa izindlela ezithuthukile zokuqonda impilo yenhliziyo yakho. Lezi zivivinyo zisisiza ukuthi sihlonze izinkinga kusenesikhathi, okuholela emiphumeleni yokwelashwa engcono.

I-bronchoscopy

I-bronchoscopy iyinqubo yokuxilonga esivumela ukuthi sihlole imigudu yakho yomoya ngeso lengqondo sisebenzisa ishubhu elincanyana elinekhamera (i-bronchoscope). Le nqubo yokuhlasela kancane iyasisiza:

Thola okungavamile emigwaqweni yakho yomoya
Thola amasampula ezicubu lapho kudingeka
Hlola izimo ezahlukene zamaphaphu kuhlanganise izifo kanye nezimila
Hlola ukukhwehlela okungapheli noma ezinye izimpawu ezingachazeki

Inqubo ngokuvamile ithatha amaminithi angu-30-60, futhi ungakwazi ukuya ekhaya ngalolo suku. Nakuba ungase ube nobuhlungu obuncane emphinjeni ngemva kwalokho, lokhu kuhlola kunikeza ulwazi olubalulekile mayelana nempilo yamaphaphu akho futhi kusisiza sinqume uhlelo lokwelapha olusebenza kahle kakhulu.

Ukuhlolwa Kokusebenza Kwephaphu (PFTs)

Lokhu kuhlola okuphelele kukala umthamo wamaphaphu akho kanye nokugeleza komoya, okusisiza:

Hlola izimo ezifana ne-asthma ne-COPD
Hlola amandla kanye nokusebenza kwamaphaphu
Gada ukuqhubeka kwezifo zokuphefumula
Linganisa ukusebenza kokwelashwa kwamanje

I-X-ray yesifuba kanye ne-CT Scans

Lezi zinqubo zokuthwebula zisisiza ukuthi sithole okuhlukile okuhlukile kwamaphaphu, okuhlanganisa:

Izifo
Izigaxana
Izicubu
Okunye ukungahambi kahle kwesakhiwo esifubeni

I-Endobronchial Ultrasound (EBUS)

Le nqubo ethuthukisiwe, ehlasela kancane ihlanganisa i-bronchoscopy ne-ultrasound imaging ukuze:

Bona ngale kwezindonga zomoya
Hlola ama-lymph nodes aseduze nezinye izakhiwo
Thatha amasampula ezicubu eziqondile
Umdlavuza wamaphaphu wesiteji ngaphandle kwezinqubo zokuhlinzwa ezihlaselayo

Inqubo ngokuvamile ithatha cishe ihora, futhi ungakwazi ukuya ekhaya ngalolo suku.

Izifundo Zokulala

Ezigulini ezinokuphazamiseka kokuphefumula okuhlobene nokulala, senza izifundo zokulala ezibanzi ukuze:

Linganisa amaphethini okulala
Thola i-apnea yokulala nezinye izinkinga zokulala
Gada amaphethini okuphefumula ngesikhathi sokulala
Nquma uhlelo lokwelapha olufaneleka kakhulu

Funda kabanzi mayelana ne-Bronchoscopy

Okufanele Ukulindele Phakathi Nezinqubo Zokuxilonga

Kuzo zonke izinqubo zokuxilonga, ithimba lethu:

Uchaza inqubo ngokuningiliziwe ngaphambi kokuqala
Isebenzisa i-anesthesia efanele noma i-sedation lapho kudingeka
Ukuqapha ngokucophelela kuyo yonke inqubo
Inikeza imiyalelo ecacile yenqubo yangemva kwenqubo
Buyekeza imiphumela nawe ngokugcwele

Our Ukwelashwa Nezinqubo

Sinikeza uhla olubanzi lwezinsizakalo ze-pulmonology

ukubhekana nohlu oluphelele lwezinkinga zokuphefumula:

Izinqubo zokuxilonga
Izinqubo Zokwelapha

Izinqubo zokuxilonga

I-Diagnostic Bronchoscopy

I-bronchoscopy iyinqubo evumela udokotela wakho ukuthi abheke ngaphakathi kwemigudu yakho yomoya esebenzisa ishubhu elincanyana, eliguquguqukayo elibizwa ngokuthi i-bronchoscope. Leli shubhu linekhamera encane ekugcineni kwalo futhi lifakwa ngekhala lakho noma ngomlomo ngenkathi ungaphansi kwe-anesthesia yendawo noma ukuthuliswa okuncane. Phakathi nenqubo, udokotela wakho angahlola umphimbo wakho, i-larynx, trachea, nemigudu yomoya ephansi ukuze abone noma yiziphi izinkinga ezinjengokuvuvukala, ukopha, noma izimila.

Ukuhlolwa Kokusebenza Kwephaphu (PFTs)

I-Pulmonary Function Tests iyiqembu lokuhlola okungahlanyisi okubonisa ukuthi amaphaphu akho asebenza kahle kangakanani. Cabanga ngalezi zivivinyo njengokuhlola ngokuphelele uhlelo lwakho lokuphefumula. Phakathi nama-PFT, uzocelwa ukuthi uphefumulele emlonyeni oxhunywe emshinini obizwa ngokuthi i-spirometer. Ukuhlola kukala izici ezihlukahlukene zokuphefumula kwakho, okuhlanganisa ukuthi ungakanani umoya ongawuhogela futhi uwukhiphe, ukuthi ungashesha kangakanani ukuwukhipha uphinde uwukhiphe umoya emaphashini akho, nokuthi amaphaphu akho awuletha kahle kangakanani umoya-mpilo egazini lakho.

Lezi zivivinyo ezingenabuhlungu ngokuvamile zithatha imizuzu engama-45-90 futhi zinikeza ulwazi olubalulekile mayelana nekhono lamaphaphu akho, ukugeleza komoya, kanye nempilo yonke yokuphefumula. Imiphumela isisiza ukuthi sihlonze izimo ezifana nesifuba somoya kanye ne-COPD, siqaphe izimo zamaphaphu ezikhona, futhi sihlole ukusebenza ngempumelelo kokwelashwa.

Funda kabanzi mayelana nezivivinyo ze-Pulmonary Function

I-X-ray yesifuba kanye ne-CT Scans

Lezi zivivinyo zokuthwebula zisivumela ukuthi sibone izithombe ezinemininingwane yamaphaphu akho nezakhiwo ezikuzungezile. I-X-ray yesifuba ukuhlolwa okusheshayo, okungenabuhlungu okukhiqiza isithombe esinezinhlangothi ezimbili zesifuba sakho, okusisiza ukuthi sihlonze izinkinga eziyisisekelo njengenyumoniya, umdlavuza wamaphaphu, noma uketshezi oluzungeze amaphaphu. Ngokuvamile kuwukuhlola kokuqala kwesithombe esikusebenzisa lapho sihlola izinkinga zamaphaphu.

Iskena se-CT (Computed Tomography) sinikeza izithombe ezinemininingwane eminingi, enezinhlangothi ezintathu zamaphaphu akho. Phakathi nale nqubo engenabuhlungu, ulala unganyakazi phezu kwetafula elihamba emshinini omise okwedonadi kuyilapho kuthathwa izithombe eziningi ze-X ray ngama-engeli ahlukene. Lezi zithombe ezinemininingwane zisisiza ukuthi sithole ukungajwayelekile okucashile okungenzeka kungabonakali kuma-X-reyi avamile futhi ziwusizo ikakhulukazi ekuxilongeni izimo ezifana namaqhuqhuva amancane wamaphaphu noma umdlavuza wamaphaphu osanda kuqala.

Funda kabanzi mayelana ne-Chest Imaging

I-Thoracentesis

I-Thoracentesis inqubo esusa uketshezi okweqile esikhaleni esiphakathi kwamaphaphu akho nodonga lwesifuba (i-pleural space). Uma uketshezi lunqwabelana kulesi sikhala, lungenza ukuphefumula kube nzima. Phakathi nenqubo, udokotela wakho uvala indawo encane yodonga lwesifuba sakho futhi afake ngokucophelela inaliti encane phakathi kwezimbambo zakho ukuze akhiphe uketshezi. Lolu ketshezi lungabe seluhlolwa ukuze kutholakale ukuthi yini ebangela ukunqwabelana.

Inqubo ngokuvamile ithatha imizuzu engu-15-30, futhi iziguli eziningi zithola impumuzo ngokushesha ebunzimeni bokuphefumula. Nakuba ungase uzizwe ucindezelekile phakathi nenqubo, ukusetshenziswa kwe-anesthesia yendawo kuqinisekisa ukungakhululeki okuncane.

I-Lung Biopsy

I-lung biopsy inqubo lapho sithatha khona isampula elincane lezicubu zamaphaphu ukuze lihlolwe kabanzi. Lokhu kusisiza ukuba sihlole izimo ezihlukahlukene zamaphaphu, okuhlanganisa umdlavuza, izifo, nezifo ezivuvukalayo. Sinikeza izinhlobo ezimbalwa zezinqubo ze-lung biopsy, sikhetha indlela efaneleke kakhulu ngokuya ngesimo sakho esithile:

I-biopsy yenaliti iyona ehlasela kancane, kusetshenziswa inaliti ezacile eshuthekwe odongeni lwesifuba sakho ngaphansi kokuqondiswa kwesithombe.
I-Bronchoscopic biopsy usebenzisa i-bronchoscope ukuthatha amasampula ngesikhathi se-bronchoscopy.
I-biopsy yokuhlinzwa kungase kudingeke kumasampula amakhulu noma izindawo okunzima ukuzifinyelela.

Indlela ngayinye yenziwa nge-anesthesia efanele ukuqinisekisa ukunethezeka kwakho.

I-Endobronchial Ultrasound (EBUS)

I-EBUS iyinqubo ethuthukisiwe, ehlasela kancane ehlanganisa i-bronchoscopy ne-imaging ye-ultrasound. Lobu buchwepheshe busenza sikwazi ukubona ngale kwezindonga zemigudu yomoya futhi sihlole ama-lymph nodes aseduze nezinye izakhiwo. Phakathi nenqubo, i-bronchoscope ekhethekile ene-ultrasound probe encane esihlokweni sayo iqondiswa ngomlomo wakho nasemizileni yakho yomoya ngenkathi udakiwe.

I-EBUS iwusizo ikakhulukazi ekuxilongeni nasekubekeni umdlavuza wamaphaphu, njengoba isivumela ukuthi sithathe amasampula ezicubu eziqondile kuma-lymph nodes ngaphandle kwesidingo sezinqubo zokuhlinzwa ezihlaselayo. Inqubo ngokuvamile ithatha cishe ihora, futhi ungakwazi ukuya ekhaya ngalolo suku.

Funda kabanzi mayelana no EBUS

Funda kabanzi mayelana ne-Pulmonary Rehabilitation

Izinqubo Zokwelapha

I-Bronchoscopy yokwelapha

I-bronchoscopy yokwelapha idlulela ngalé kokuhlola imigudu yakho yokuphefumula - kuyinqubo lapho siphatha khona izinkinga esizithola emigudwini yakho yokuphefumula. Sisebenzisa amathuluzi akhethekile ananyathiselwe ku-bronchoscope, singasusa izinto ezingase zivimbe imigudu yakho yomoya, njengamapulaki amafinyila, izinto zangaphandle, noma ukukhula kwezicubu. Singakwazi futhi ukubeka ama-stents ukuze sigcine imigudu yokuphefumula ivuliwe noma sifake imithi yokwelapha ngokuqondile ezindaweni ezithintekile.

Le nqubo yenziwa ngaphansi kwe-sedation noma i-anesthesia ukuze uthole induduzo yakho, futhi ngenkathi ungase ube nomphimbo obuhlungu ngemva kwalokho, iziguli eziningi zibona ukuthuthuka okusheshayo ekuphefumuleni kwazo. Isikhathi sokululama ngokuvamile sifushane, futhi iziguli eziningi zingabuyela ekhaya ngosuku olufanayo noma ngakusasa, kuye ngokwelashwa okuqondile okwenziwe.

Ukufaka Isifuba

Ukufakwa kweshubhu esifubeni, okubuye kwaziwe nge-tube thoracostomy, kuyinqubo lapho sibeka khona ishubhu eliguquguqukayo esikhaleni esiphakathi kwamaphaphu akho nodonga lwesifuba. Leli shubhu lisiza ukukhipha umoya onqwabelene, igazi, noma uketshezi olungacindezela iphaphu lakho futhi lwenze ukuphefumula kube nzima. Kucabange njengokudala indlela elawulwayo yokukhipha izinto ezingafuneki ephashini lakho, ulivumele ukuthi liphinde linwebe futhi lisebenze kahle.

Inqubo yenziwa ngaphansi kwe-anesthesia yendawo, futhi ngenkathi ungase uzwe ingcindezi ethile ngesikhathi sokufakwa, ukukhululeka ebunzimeni bokuphefumula kuvame ukushesha. Ishubhu ngokuvamile lihlala endaweni izinsuku ezimbalwa ngenkathi ukugeleza kwamanzi kuqhubeka, futhi siqapha ukuqhubeka kwakho ngokucophelela kuze kube yilapho isikhishwa ngokuphephile.

I-Lobectomy kanye ne-Pneumonectomy

Lezi yizinqubo zokuhlinza lapho sisusa khona izingxenye zephaphu lakho ezilimele noma ezigulayo. I-lobectomy isusa i-lobe eyodwa yephaphu lakho (iphaphu lakho langakwesokudla linama-lobe amathathu, kanti kwesokunxele sakho sinamabili), kuyilapho i-pneumonectomy isusa iphaphu lonke. Lezi zinqubo ngokuvamile zenziwa ukwelapha umdlavuza wamaphaphu, kodwa kungase kudingeke kwezinye izimo ezifana nezifo ezinzima noma i-bronchiectasis.

Senza lokhu kuhlinzwa sisebenzisa ukuhlinzwa okujwayelekile kwendabuko noma amasu ahlasela kancane, kuye ngesimo sakho esithile. Ukululama ngokuvamile kubandakanya ukuhlala esibhedlela izinsuku ezingu-5-7, okulandelwa isikhathi sokuhlunyeleliswa ekhaya. Ithimba lethu linikeza ukwesekwa okuphelele phakathi naso sonke isikhathi sokululama kwakho, okuhlanganisa nokulawula izinhlungu nokuzivocavoca kokuphefumula ukukusiza ukuthi uphinde uthole amandla.

Ukuhlinzwa Kwethoracoscopic Okusizwa Ngevidiyo (i-VATS)

I-VATS iwuhlelo lokuhlinza olungena kancane kancane olusebenzisa ukusika okuncane kanye nemishini yevidiyo ekhethekile ukwenza izinqubo zamaphaphu. Esikhundleni sokwenza isifuba esikhulu, sakha izimbotshana ezimbalwa lapho sifaka khona ikhamera encane nezinsimbi zokuhlinza. Ikhamera inikeza umbono ocacile, okhulisiwe wesifuba sakho kumamonitha evidiyo, okusivumela ukuthi senze izinqubo zokuhlinzwa ezinembile.

Le ndlela ngokuvamile iholela ebuhlungwini obuncane, ukuhlala isikhathi esifushane esibhedlela, kanye nokululama ngokushesha uma kuqhathaniswa nokuhlinzwa okuvamile okuvamile. Nakuba kungezona zonke izinqubo zamaphaphu ezingenziwa kusetshenziswa i-VATS, kuyindlela enhle kakhulu ezigulini eziningi ezidinga ama-lung biopsies, ukukhishwa kwesimila esincane, noma ukwelashwa kwezifo ezithinta inhliziyo.

Ukwelashwa Kwengcindezi Yomoya Eqhubekayo (CPAP).

Ukwelashwa kwe-CPAP kuwukwelashwa okuphumelelayo kakhulu kwe-apnea yokulala, okukusiza ukuthi uphefumule ngokujwayelekile ngesikhathi sokulala. Ukwelapha kusebenzisa umshini oletha ukugeleza komoya okuqhubekayo ngemaski oyigqoka ngenkathi ulele. Lo mfutho womoya omnene ugcina imigudu yakho yokuphefumula ivulekile, ivimbela ukuhlaba ikhefu kokuphefumula okubonisa i-apnea yokulala.

Nakuba kungase kuthathe isikhathi ukulungisa ukulala ngomshini we-CPAP, iziguli eziningi zibika ukuthuthuka okuphawulekayo kukhwalithi yazo yokulala, ukuqapha emini, kanye nempilo yonke uma sezijwayele ukwelashwa. Ithimba lethu lisebenzisana eduze nawe ukuze liqinisekise ukufaka imaski okufanele kanye nezilungiselelo zomshini, futhi sinikeza ukusekelwa okuqhubekayo ukukusiza ukuthi uthole inzuzo enkulu ekwelashweni kwakho.

I-Inhalation Therapy

I-inhalation therapy iletha imithi ngokuqondile emigudwini yakho yomoya nasemaphashini ngokusebenzisa izinsiza ezifana nama-inhalers noma ama-nebulizers. Le ndlela yokulethwa eqondile isho ukuthi imithamo emincane yemithi ingasetshenziswa ngenkathi kutholwa imiphumela engcono kunemithi yomlomo. Sinikeza izinhlobo ezimbalwa zemishini yokuhogela:

Ama-inhaler omthamo olinganisiwe aletha amanani anembayo emithi ngendlela ye-aerosol, kuyilapho izihogela eziyimpushana ezomile zinikeza umuthi ngendlela eyimpushana.
Ama-nebulizer aguqula umuthi owuketshezi ube yinkungu enhle ongayihogela kalula ngesifihla-buso noma umlomo.

Abelaphi bethu bokuphefumula bazosebenza nawe ukuze banqume idivayisi engcono kakhulu yezidingo zakho futhi baqinisekise ukuthi uyakwazi ukuyisebenzisa ngendlela efanele.

Ukuvuselelwa Kwamaphaphu

Ukuvuselelwa kwamaphaphu kuwuhlelo olubanzi oluklanyelwe ukukusiza ukuthi ulawule isimo samaphaphu akho futhi uthuthukise izinga lakho lempilo. Lolu hlelo luhlanganisa ukuqeqeshwa kokuzivocavoca, amasu okuphefumula, ukwelulekwa ngokudla okunempilo, kanye nemfundo mayelana nesimo samaphaphu akho. Kucabange njengohlelo olukhethekile lokufaneleka lwamaphaphu akho kanye nempilo yonke.

Amaseshini ethu ahlelekile ngokuvamile athatha amaviki angu-8-12, nemihlangano izikhathi ezingu-2-3 ngesonto. Uzosebenza nethimba lochwepheshe okuhlanganisa abelaphi bokuphefumula, abelaphi bomzimba, nezazi zokudla okunomsoco ezizokusiza uqinise amandla, uthuthukise ukusebenza kahle kokuphefumula kwakho, futhi ufunde amasu okuphatha isimo sakho ekuphileni kwansuku zonke.

I-Allergy Immunotherapy

I-Allergy immunotherapy, eyaziwa nangokuthi isibhamu sokungezwani komzimba, iyindlela yokwelapha yesikhathi eside eyehlisa ukuzwela kwakho ezintweni ezithile ezingezwani nomzimba. Ukwelapha kusebenza njengomuthi wokugoma - sikunikeza amanani akhuphuka kancane kancane e-allergen, okusiza amasosha akho omzimba akhe ukubekezelela into. Lokhu kungaholela ekukhululekeni okuhlala njalo ezimpawu zokungezwani komzimba futhi kuvimbele ukukhula kwesifuba somoya kwezinye izimo.

Ukwelashwa ngokuvamile kuqala ngokudutshulwa kanye noma kabili ngeviki izinyanga ezimbalwa, okulandelwa imithamo yesondlo njalo emavikini ambalwa. Nakuba kudinga ukuzibophezela kwesikhathi eside, iziguli eziningi zithola ukuncipha okuphawulekayo ezimpawu zazo zokungezwani komzimba nezidingo zemithi.

Funda kabanzi mayelana ne-Allergy Immunotherapy

Izinqubo Zokubamba

I-Airway stenting ihilela ukubeka amathuluzi amancane afana neshubhu (ama-stents) ukuze abambe imigudu yokuphefumula evulekile eseyincane noma evinjwe izinqubo zezifo. Lawa ma-stents asebenza njengesikafula, agcina indlela yokuphefumula evulekile futhi enze ukuphefumula kube lula. Inqubo ngokuvamile yenziwa ngesikhathi se-bronchoscopy, nawe ungaphansi kwe-sedation noma i-anesthesia.

Ngenkathi ezinye iziguli zibeke ama-stents okwesikhashana, ezinye zingawadinga isikhathi eside. Ithimba lethu lihlinzeka ngokunakekela okuqhubekayo ukuze kuqashwe i-stent futhi liqinisekise ukuthi iyaqhubeka nokusebenza ngendlela efanele, lenza ukulungisa noma ukushintshwa njengoba kudingeka.

Funda kabanzi mayelana no Airway Stenting

Ukungenelela Kokuhlinzwa Komdlavuza Wamaphaphu

Indlela yethu yokuhlinzwa yokwelapha umdlavuza wamaphaphu ibanzi futhi iqondene nawe, kusukela ezinqubweni ezihlasela kancane ukuze kususwe izimila ezincane kuye kokuhlinzwa okubanzi lapho kudingeka. Uhlobo lokuhlinzwa luncike kusayizi womdlavuza, indawo, kanye nesiteji, kanye nempilo yakho iyonke.

Sisebenzisa amasu okuhlinza akamuva, okuhlanganisa ukuhlinza okusizwa ngerobhothi uma kufanele, ukuze sinikeze imiphumela engcono kakhulu engenzeka. Ithimba lethu lezinhlaka eziningi lisebenza ndawonye ukuze lixhumanise ukunakekelwa kwakho ngaphambi, ngesikhathi, nangemuva kokuhlinzwa, okuhlanganisa nokwesekwa kokubuyisela esimweni esikahle ukuze ululame futhi uphinde uthole amandla.

Ukuphathwa Kokukhwehlela Okungapheli

Indlela yethu yokulawula ukukhwehlela okungamahlalakhona ibanzi futhi iqondene nomuntu ngamunye, njengoba siqonda ukuthi ukukhwehlela okungapheli kungalithinta kanjani izinga lempilo yakho. Isinyathelo sokuqala sibandakanya ukuhlolwa okuphelele ukuze kutholakale imbangela eyinhloko yokukhwehlela kwakho, okungase kuhlanganise i-acid reflux, i-post-nasal drip, isifuba somoya, noma ezinye izimo. Sisebenzisa amasu okuxilonga athuthukile okuhlanganisa ukuhlola ukusebenza kokuphefumula, izifundo zokuthwebula izithombe, futhi lapho kudingekile, nokuhlolwa kwendlela yokuphefumula.

Ukwelashwa kuklanyelwe ukubhekana nezimpawu zakho kanye nembangela ewumsuka. Lokhu kungase kuhlanganise imithi efana nemithi yokucindezela ukukhwehlela, i-acid reducer, noma i-inhalers, kuye ngokuthi yini ebangela ukukhwehlela kwakho. Siphinde futhi sinikeze isiqondiso mayelana nokuguqulwa kwendlela yokuphila, njengokuphakama kwekhanda lakho ngenkathi ulele noma ugwema ukudla okuvusa amadlingozi, okungasiza ukwehlisa imvamisa yokukhwehlela kanye nokuqina. Kuwo wonke ukwelashwa kwakho, siqapha ukuqhubeka kwakho futhi silungisa uhlelo lwakho lokunakekela njengoba kudingeka ukuze siqinisekise umphumela ongcono kakhulu ongakhona.

Ukuphathwa kwe-Pulmonary Embolism

I-Pulmonary embolism idinga ukunakekelwa okusheshayo nochwepheshe, futhi indlela yethu yokuphatha ebanzi iqala ngokuhlolwa okusheshayo nokuqala ukwelashwa okufanele. Ukwelashwa okuyinhloko ngokuvamile kuhilela imithi ye-anticoagulation (ukunciphisa igazi) ukuvimbela amahlule akhona ukuthi angakhuli futhi avimbele amahlule amasha ukuthi akheke. Siqapha ngokucophelela impendulo yakho ekwelashweni futhi silungisa imithamo yemithi njengoba kudingeka.

Ezimweni ezimbi kakhulu, singase sincome ukwelashwa okunolaka okufana nokwelashwa kwe-thrombolytic (imithi encibilikisa amahlule) noma, ezimweni ezingavamile, ukususwa kokuhlinzwa kwehlule. Ukulandela isigaba esibucayi sokwelashwa, sakha uhlelo lokuphatha lwesikhathi eside oluhlanganisa:

Ukuqapha njalo amazinga egazi lakho lokujiyisa
Ukuhlolwa kwezici zakho zobungozi zamahlule esikhathi esizayo
Amasu okuvimbela ukuphindeka, okufana namasokisi okucindezela noma ukuguqulwa kwendlela yokuphila
Ukuxhumana nodokotela wakho wokunakekela oyinhloko ukuze uthole ukunakekelwa okuqhubekayo

Ithimba lethu likunikeza ukwesekwa okuqhubekayo kukho konke ukululama kwakho, likufundisa ngezimpawu eziyisixwayiso zamahlule esikhathi esizayo futhi likusize ugcine izinga elifanele lokunyakazisa umzimba ngenkathi ululama.

Ubuchwepheshe & Ingqalasizinda

Izisetshenziswa Zokuxilonga Ezithuthukile
Therapeutic Technology
Ingqalasizinda Yokunakekela Okubalulekile

Izisetshenziswa Zokuxilonga Ezithuthukile

I-High-Resolution Imaging Systems

Izikhungo zethu zifaka ubuchwepheshe bezithombe obusezingeni eliphezulu obuhlinzeka:

Ukuhlolwa okunembile kwezakhiwo zamaphaphu
Ukuhlolwa kokusebenza okuningiliziwe
Ukubonakala okucacile kwemigudu yomoya kanye nezicubu ezizungezile
Ukutholwa okunembile kokungajwayelekile noma okucashile

Ilabhorethri Yokuhlola Umsebenzi Wamaphaphu (PFT).

Amalebhu ethu e-PFT aphelele anikeza:

Imishini yokuhlola esezingeni eliphezulu yokulinganisa umthamo wamaphaphu
Amathuluzi anembile okuhlola ukugeleza komoya
Amakhono aphelele okuhlola ukusebenza kwamaphaphu
Ukulinganisa okuvamile nokugcinwa kwemiphumela enembile

I-Bronchoscopy Suite

Izikhungo zethu zesimanje ze-bronchoscopy zihlanganisa:

Ama-bronchoscopes athuthukisiwe okuhlolwa kwendlela yomoya
Amasistimu wokubonwa kwencazelo ephezulu
Amakhono okusampula kwezicubu
Imishini yesimanje yokuqapha isiguli

Therapeutic Technology

Izisetshenziswa Ezithuthukisiwe Ze-Pulmonology Yokungenela

Sisebenzisa ubuchwepheshe obuphambili ukwenza lokhu:

Izinqubo ezihlaselayo kancane
Ukungenelela kwezindiza
Izinqubo ze-Pleural
Ukungenelela kokuphefumula okuyinkimbinkimbi

Ilabhorethri Yokufunda Ukulala

Isici sethu sezindawo zokulala ezikhethekile:

Imishini yesimanje yokuqapha ukulala
Amathuluzi okuxilonga athuthukile okuphazamiseka kokulala
Amasistimu wokuhlaziya iphethini yokulala ephelele
Izinsiza zokunethezeka kwesiguli

Ingqalasizinda Yokunakekela Okubalulekile

Amayunithi Akhethekile Okunakekela Ukuphefumula

Izikhungo zethu zokunakekelwa kokuphefumula ezizinikele zihlinzeka:

Amasistimu okusekela impilo athuthukile
Ukuqapha okuqhubekayo kwesiguli
Imishini yesimanje yokungenisa umoya
Amandla okuphendula izimo eziphuthumayo

Amakhono e-Telemedicine

Sinikezela ngezinsizakalo ze-telemedicine ezithuthukisiwe eziqinisekisa:

Ukufinyelela kude ekubonisaneni kochwepheshe
Ukunakekelwa okuvamile
Ukuqapha impilo yedijithali
Ukwesekwa kwesiguli okuqhubekayo

Bhuka Ukubonisana

Ucwaningo & Izifundo Zemitholampilo

I-Apollo Hospitals izibophezele ekuthuthukiseni ukunakekelwa kokuphefumula ngocwaningo olusha kanye nezifundo zezigameko ezibanzi. Ucwaningo lwethu lwe-Pulmonology & Clinical Studies lugxile ekuthuthukiseni izimiso zokwelapha, ukuthuthukisa imiphumela yesiguli, kanye nokufaka isandla emgwaqeni wolwazi womhlaba wonke empilweni yokuphefumula.

Izilingo Zamanje Zomtholampilo

Izivivinyo zethu eziqhubekayo ze-pulmonology zihlanganisa ucwaningo mayelana:

Imithi yokwelapha Isifuba somoya
Ukwelashwa kwe-COPD
Imithi yokwelapha umdlavuza wamaphaphu
Amasu okwelapha athuthukile

Izincwadi Zokucwaninga

Ithimba lethu le-pulmonology libe nesandla ngalokhu:

Amakhulu amaphepha ocwaningo ngezifo zokuphefumula
Izifundo ngokuphazamiseka kokulala
Ukushicilelwa kumasu okwelapha athuthukile

Izifundo Ngokuhlanganyela

Izibhedlela ze-Apollo zisebenzisana nezikhungo ezihamba phambili ukuthuthukisa imithi yamaphaphu ngalezi:

Amaphrojekthi ocwaningo lomhlaba jikelele
Izilingo ze-Multicenter
Ubambiswano lwezikhungo zamazwe ngamazwe
Ukusebenzisana kwezemfundo ukuthuthukisa ukunakekelwa kokuphefumula

Case Studies

Ukuzibophezela kwethu ekusebenzeni kahle ekunakekelweni kwe-pulmonology kuboniswa ngemiphumela eminingi yesiguli ephumelelayo.

isiguli Journey

Ezibhedlela ze-Apollo, siyakusekela kuzo zonke izinyathelo zohambo lwakho lokunakekelwa kokuphefumula, siqinisekisa okuhlangenwe nakho okushelelayo nokuqinisekisayo nokunakwa komuntu siqu esigabeni ngasinye.

Ukubonisana kwasekuqaleni

Uhambo lwakho lokunakekelwa kokuphefumula luqala ngokuhlolwa okuphelele ukuze uqonde izidingo zakho zezempilo futhi usungule uhlelo olungcono kakhulu lokwelashwa kwakho. Phakathi nalokhu kuvakasha, ungalindela:

Ukuhlolwa Kwezokwelapha

Buyekeza umlando wakho wezokwelapha
Ingxoxo ngezimpawu zakho zokuphefumula kanye nokukhathazeka
Ukuhlola umzimba okuphelele
Ukuhlola ukuphefumula kokuqala

Ukuhlela Ukuxilonga

Izincomo zokuhlolwa kokusebenza kwamaphaphu okufanele
Ukuhlela izifundo ezidingekayo zokuthatha izithombe
Ingxoxo yanoma yiziphi izivivinyo ezikhethekile ezidingekayo njenge-bronchoscopy noma izifundo zokulala
Ukuhlelela ukubonisana okwengeziwe uma kudingeka

Isigaba Sokwelapha

Ngesikhathi sokwelashwa kwakho, kungakhathaliseki ukuthi unenqubo yokuxilonga noma uqala ukwelashwa, ithimba lethu liqinisekisa ukuthi unolwazi, unethezekile, futhi unakekelwa kahle.

Ukulungiselela Ngaphambi Kwenqubo

Incazelo enemininingwane yenqubo oyihlelile
Imiyalelo ecacile yanoma yikuphi ukulungiswa okudingekayo
Ingxoxo ngokuthi yini ongayilindela ngesikhathi nangemva kwenqubo
Ithuba lokubhekana nanoma yikuphi ukukhathazeka

Ngesikhathi Ukwelashwa

Ukunakekelwa kochwepheshe eqenjini lethu le-pulmonology elinolwazi
Ukuqapha okuqhubekayo phakathi nezinqubo
Izibuyekezo ezivamile mayelana nokuqhubeka kwakho
Ukunakekelwa okusekelayo kukho konke ukuhlala kwakho

Ukunakekelwa Kwangemva Kwenqubo

Sula imiyalelo yokutakula
Isiqondiso sokuphathwa kwemithi
Ukuhlela i-aphoyintimenti yokulandelela
Ukufinyelela kumasevisi okusekela

Ukubuyisela kanye Nokuvuselela

Indlela yethu ebanzi yokubuyisela ihlanganisa:

Ukuvuselelwa Kwamaphaphu
Izinhlelo zokuzivocavoca ezihleliwe
Amasu okuphefumula nokuqeqeshwa
Izikhathi zokufundisa mayelana nempilo yamaphaphu
Ukuqapha inqubekelaphambili evamile

Ukuxhaswa Okuqhubekayo

Ama-aphoyintimenti okulandelela avamile
Ukuphathwa kwemithi
Isiqondiso sokuguqulwa kwendlela yokuphila
Ukufinyelela kubelaphi bokuphefumula

Ukulungiselela Ukuvakasha Kwakho

Ukuze uqinisekise ukunakekelwa okungcono kakhulu, sicela ulethe:

Amadokhumenti adingekayo
Qedela umlando wezokwelapha
Imiphumela yokuhlolwa yangaphambilini noma imibiko
Uhlu lwemithi yamanje
Imininingwane yomshwalense
Amadokhumenti wokukhomba

Amarekhodi Ezokwelapha

I-X-ray yesifuba yangaphambilini noma ama-CT scan
Imiphumela yakamuva yokuhlolwa komsebenzi wamaphaphu
Imibiko yokufunda yokulala (uma ikhona)
Amarekhodi okwelashwa kwangaphambilini
Noma yimiphi imiphumela yaselabhorethri efanele

Ongakulindela

Phakathi Nokuvakasha Kwakho Kokuqala

Ukubonisana ne-pulmonologist
Ukuhlolwa kokuqala kwempilo yakho yokuphefumula
Ingxoxo yezimpawu nokukhathazeka
Ukuthuthukiswa kohlelo lokwelapha lokuqala
Ukuhlela ukuhlolwa okudingekayo

Ukunakekelwa Kokulandelela

Ukuqapha njalo ukuqhubeka kwakho
Ukulungiswa kwezinhlelo zokwelapha njengoba kudingeka
Ukwesekwa okuqhubekayo kokuphatha isimo sakho
Ukufinyelela ekunakekelweni kwezimo eziphuthumayo uma kudingeka

Izinsizakalo Zokusekela

Sinikeza ukwesekwa okuphelele ngokusebenzisa:

Izinhlelo zemfundo yeziguli
Izikhathi zokwelapha ukuphefumula
Isiqondiso sokuguqulwa kwendlela yokuphila
Ukufinyelela kokunakekelwa kwezimo eziphuthumayo
Izinsizakalo ze-Telemedicine

Xhumana noMnyango wethu We-Pulmonology ukuhlela ukubonisana kwakho noma nganoma imiphi imibuzo mayelana nohambo lwakho lokunakekela

Zama ukwenza izinto ngokushesha -
Yiba yi-ProHealth!

Yakha uhlelo lwakho lwe-ProHealth manje

Uhlelo lwe-ProHealth luhlinzeka ngohlelo lwezempilo oluqondene nawe olunokuhlaziywa kwezingozi, amaphakheji aklanyelwe wena, ukuxilongwa okuthuthukile, kanye nesiqondiso sochwepheshe ukuze kuthuthukiswe inhlalakahle yakho.

Incwadi ye-ProHealth

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Umzimba Ogcwele

Qonda isimo sakho sempilo esiphelele okuhlanganisa impilo yezitho zenhliziyo, amaphaphu, izinso, isibindi, ukusebenza komzimba, ukuqina komzimba kanye nemisebenzi yokulala

Uhlobo lobudala

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Ubulili

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I-Apollo ProHealth

₹9700/-

Umzimba Ogcwele

Uhlelo lwezempilo oluhlelwe ngokwezifiso olusekelwe emlandweni wakho wezokwelapha kanye nesimo sakho samanje sempilo sokuxilongwa okufanele kanye nokubonisana nodokotela

Uhlobo lobudala

31 +

Ubulili

owesilisa Owesifazane

Indawo

Isibhedlela i-Apollo Greams Road Chennai

I-Apollo ProHealth

Iphakheji Yehlobo le-Apollo ProHealth - Izibhedlela ze-Apollo eGreams Road eChennai

₹6100/-

Summer

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Ama-Electrolyte e-Serum, i-Calcium, Ukuhlolwa Komsebenzi We-Pulmonary, i-Vitamin D, i-Magnesium, i-Vitamin B12, i-Ultrasound KUB

Uhlobo lobudala

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Ubulili

owesilisa Owesifazane

Indawo

Isibhedlela i-Apollo Greams Road Chennai

I-Apollo ProHealth

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₹13800/-

Inhliziyo / Inhliziyo

Uhlelo lwezempilo oluhlelwe ngokwezifiso lokuhlola impilo yenhliziyo yakho

Ukuhlolwa Komsebenzi We-2D Echo+TMT+Pulmonary+Pap Smear (kwabesifazane)

Uhlobo lobudala

18 +

Ubulili

owesilisa Owesifazane

Indawo

Isibhedlela i-Apollo Greams Road Chennai

Bhukha Ukubonisana Kwamazwe Ngamazwe Kwamahhala

Isiguli Samazwe Ngamazwe Imisebenzi

Emnyangweni We-Pulmonology Wezibhedlela ze-Apollo, sinikeza ukusekelwa okuphelele ezigulini zomhlaba wonke ezifuna ukunakekelwa kokuphefumula eNdiya. Amasevisi ethu aklanyelwe ukwenza uhambo lwakho lwezokwelapha lube bushelelezi futhi lunethezekile kusukela ekuqaleni kuze kube sekugcineni, nokuba khona kwamazwe ngamazwe okuqinile kusiza iziguli ezivela emazweni angaphezu kuka-100.

Ukusekelwa Kwangaphambi Kokufika
Ngesikhathi Sokuhlala Kwakho
Ukunakekelwa Ngemva Kokwelashwa
Izinkonzo Zokusekela Ezengeziwe

Ukusekelwa Kwangaphambi Kokufika

Ngaphambi kokuthi ufike, sikusiza ukuthi ulungiselele ngokuthi:

Ukubuyekeza amarekhodi akho ezempilo yokuphefumula kanye nemiphumela yokuhlolwa yangaphambilini
Ukunikeza ukubonisana kokuqala kwe-pulmonology nge-telemedicine
Ukudala izinhlelo zokuqala zokwelapha zesimo sakho sokuphefumula
Ukunikeza izilinganiso zezindleko ezisobala zezinqubo
Ukusiza ngemibhalo ye-visa
Ukusiza ukuhlela uhambo ngokucabangela izidingo zakho zokuphefumula
Ukuhlela ezokuthutha zezokwelapha eziphuthumayo uma kudingeka

Ngesikhathi Sokuhlala Kwakho

Ngenkathi unathi, siqinisekisa ukunethezeka kwakho ngokuthi:

Abaxhumanisi besiguli abazinikele emhlabeni wonke
Izinsiza zokutolika ulimi
Ukuzwela kwamasiko ekulethweni kokunakekelwa kokuphefumula
Amalungiselelo ngendawo yokuhlala enethezekile
Izibuyekezo ezijwayelekile ngenqubekelaphambili yokwelashwa
Usizo ngezinto zokuhamba zasendaweni
Ukufinyelela ezindaweni ezisezingeni eliphezulu ze-pulmonology
Ukusekelwa okuvela eqenjini lethu lochwepheshe be-pulmonologists

Ukunakekelwa Ngemva Kokwelashwa

Ngemva kokwelashwa kwakho, siyaqhubeka nokukusekela ngokuthi:

Izinhlelo ezinemininingwane zokulandelela ukunakekelwa kokuphefumula
Ukufinyelela kwedijithali kumarekhodi ezokwelapha nemiphumela yokuhlolwa
Ukubonisana okubonakalayo kokuqapha okuqhubekayo
Ukuxhumana nama-pulmonologists wangakini
Ukuqapha njalo impilo yakho yokuphefumula
Sula iziteshi zokuxhumana nganoma yikuphi ukukhathazeka
Isiqondiso sokuphatha izimo zokuphefumula ekhaya
Ukusekela ukuphathwa kwemithi

Izinkonzo Zokusekela Ezengeziwe

Sihlinzeka ngosizo olwengeziwe oluhlanganisa:

Izinhlelo zokudla zifanelana nezintandokazi zakho zamasiko kanye nezidingo zokuphefumula
Ukusekela amalungu omndeni
24/7 izinsiza zokuxhumana eziphuthumayo
Usizo lwezokuvakasha wendawo uma ulufisa
Isiqondiso sokushintshisana kohlobo lwemali
Ukwesekwa kwekhemisi kwemithi yokuphefumula
Ukufinyelela ezinhlelweni zokuvuselela amaphaphu
Usizo ngamadivaysi ezokwelapha afana nama-inhalers noma imishini ye-CPAP

Ngayinye yalezi zinsizakalo iklanyelwe ukuqinisekisa ukuthi ulwazi lwakho e-Apollo Hospitals lukhululekile futhi lugxile kuphela empilweni yakho yokuphefumula kanye nempilo enhle. Ithimba lethu liyaziqonda izinselele eziyingqayizivele zokuhamba ukuze uthole ukunakekelwa kokuphefumula futhi lizibophezele ekukunikezeni ngekhwalithi ephezulu kakhulu yesevisi yezokwelapha.

Ukululama ngakunye Uxoxa indaba.

Thola ulwazi ngohambo olukhuthazayo lweziguli ezithole ithemba, ukuphulukiswa, kanye nokunakekelwa ezibhedlela zase-Apollo.

Ngesikhathi ngineminyaka engu-50 ngo-2010, udokotela wami ohlinzayo uDkt. Paul Ramesh wangitshela ukuthi uma ngikhetha usizo lwezokwelapha luzoba usizo lokwelapha kodwa ukukhetha ukuhlinzwa kwe-bypass kuzoba usizo lokwelapha. Umugqa owodwa ongasoze wakhunjulwa owangenza nganquma ukuhlinzwa kwaba... Funda kabanzi

R. Natarajan., eChennai

Ngibonga kakhulu uDkt. Manish Samson ngokuqondisa nokuchaza yonke inqubo ye-BTKR lapho sifika kuqala ukuze sibonisane. UDkt. Manish wanconywa kithi ngumndeni wethu ngaphakathi. Indlela yakhe enobungane kanye neziphakamiso eziqotho ... Funda kabanzi

UMnu. Chintamani Khanvilkar,

"Ngashaqeka ukwazi ukuthi nganginesisindo esingama-348 kg lapho ngizilinganisa lapho ngifika ezibhedlela zase-Apollo futhi ngangihlushwa yi-sleep apnea enzima, isifo samathambo kanye nemikhuba yokudla ephoqelelwe. Ngenqatshwa njengomuntu ofanelekela ukuhlolwa ... Funda kabanzi

UMnu. Sanjey Dey, Guwahati

"Njengoba ngingumpheki, bengilokhu ngingumuntu odla ngokweqile futhi odla ngokweqile eminyakeni eyishumi edlule futhi ngakhula cishe ngama-60 kg kusukela lapho. Ngathola isifo sikashukela ngisemncane kakhulu futhi eminyakeni emibili edlule ngisebenzisa imithi ngenxa ye-BP yami ephezulu. Ukuhlinzwa kwe-Bariatric c ... Funda kabanzi

UMnu. Satheesh Krishnan, Hyderabad

Izenzakalo Ezibalulekile & Izimpumelelo

Ukuqashelwa Ekunakekelweni Kwephaphu

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2. Ngokuqhubekayo zibalwa phakathi kwezibhedlela eziphezulu ze-pulmonology eNdiya naseNingizimu-mpumalanga Asia
3. Izikhungo ezigunyazwe yi-JCI ezibonisa amazinga okunakekelwa kwezempilo emhlabeni jikelele
4. Umamukeli wemiklomelo kazwelonke neyamazwe ngamazwe yokuphepha kwesiguli, ukusungula izinto ezintsha, kanye nokwenza kahle ku-pulmonology

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Amanani okuphumelela

I-97% izinga lokuphumelela kuzinqubo ze-bronchoscopic
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Impilo Blogs

Hlala unolwazi ngamabhulogi ezempilo abhalwe ngochwepheshe ahlanganisa ukuvimbela, ukwelashwa, amathiphu okuphila, kanye nentuthuko yezokwelapha.

Izifo Zamaphaphu| Umxhumanisi wePulmonologist

Ukunakekelwa Kwamaphaphu Okujwayelekile

Ukubuka konke I-COPD eyaziwa nangokuthi isifo samaphaphu esingapheli esivimba ukuhamba komoya futhi sibangele ubunzima bokuphefumula. Izimpawu zifaka phakathi ukukhwehlela, ukuphelelwa umoya, ukuphefumula kanzima, ukukhiqika kwe-phlegm noma i-mucous. Ngokuvamile kubangelwa ukuchayeka isikhathi eside ezintweni ezicasulayo emaphashini njengomusi kagwayi, ukungcola komoya. Kuhlanganisa i-bronchitis engapheli kanye ne-emphysema. Ukuxilongwa kusenesikhathi kanye nenkambo yokwelashwa kungasiza ekuhleleni inkambo engcono kanye nenqubekela phambili. Uma une-COPD, kubalulekile ukuzinakekela nokulandela lezi ziqondiso ukuze uphile impilo enempilo. Uma izimpawu ezifana nokuphelelwa umoya, ukukhwehlela okungapheli, noma ukwanda kwesikhwehlela (ulwelwesi olukhulu) ziqhubeka, shayela udokotela wakho okwelaphayo, ngokushesha noma ushayele u-1066 ukuze uthole i-Apollo Emergency. Ukuphathwa Okuyisisekelo kuhlanganisa UKUYEKA UKUBHEMA/UKUBHEMA OKUNGENAYO Uma ubhema, yeka ukubhema. Akulula futhi kungaba yinto esabekayo. Sicela ukhulume nodokotela wakho nge-nicotin njengesinyathelo sokuyeka ngokuphelele esikhathini eside. Ngisho noma ungabhemi, ungase ubheme intuthu kagwayi, eyaziwa nangokuthi ukubhema ugwayi ngaphandle kokubhema (ukubhema ugwayi ngaphandle kokubhema). Intuthu ephumayo noma ephuma komunye umuntu uhlobo lwentuthu oluvela ku: 1) Umuntu okhipha intuthu ngenkathi ebhema 2) I-cigar evuthayo, noma ugwayi, noma ipayipi IMITHI Kungenzeka ukuthi udokotela wakho okwelaphayo unikeze imithi efana nama-bronchodilators noma ama-corticosteroids. Le mithi enikezwe udokotela isiza ekunciphiseni izimpawu zakho njengokukhwehlela, ukuphefumula kanzima. Nakuba ama-bronchodilator (ngokuvamile athathwa nge-inhaler noma i-nebulizer) asiza ukukhulula imisipha eqinile yomgudu womoya ukuze ikusize uphefumule kalula, i-glucocorticosteroid izosiza ekunciphiseni ukukhiqizwa kwe-mucus futhi inciphise ukuvuvukala emigudwini yomoya. Ama-antibiotic noma imithi yokulwa namagciwane anikezwa uma isiguli sithola noma yiluphi uhlobo lokutheleleka kokuphefumula. Ungayeki, noma ushintshe imithi yakho ngaphandle kokukhuluma nodokotela wakho okwelaphayo. Ukuze uphinde u-ode imithi yakho, sicela ushayele ucingo lwe-Apollo Pharmacy 1860 500 0101 UKUTHUTHUKISA IKHWALITHI YOMOYA Thatha izinyathelo ezimbalwa ezibalulekile zokuthuthukisa ikhwalithi yomoya ekhaya lakho. Gcina ikhaya lakho lihlanzekile. Vula wonke amafasitela ekhaya lakho imizuzu emi-5-10 izikhathi eziningana ngosuku, ikakhulukazi uma upheka noma usebenzisa ishawa. Futhi, lungisa noma yimaphi amapayipi avuzayo. Isikhunta (noma isikhunta) singadala izimpawu ze-COPD. Uma usebenzisa i-humidifier, kufanele uqinisekise ukuthi ihlanzekile ukuvimbela ukwakheka kwamagciwane. UKWELASHWA KWE-OXYGEN Uma izinga elijwayelekile le-oxygen emzimbeni womuntu liphansi kakhulu, ungathola i-oxygen eyengeziwe ngemaski noma i-canula yamakhala. Kuyindlela yokufaka umoya-mpilo owengeziwe emaphashini akho futhi. Uma uthola umoya-mpilo owanele emzimbeni wakho, kungakusiza ukuthi ungabi nokuphefumula okunzima. Kukhona amayunithi aphathekayo angenza kube lula ukuhambahamba. Uma uselashwa nge-oxygen, hlela ukuthi ulethe amathangi e-oxygen ekhaya lakho. Zihlunga amanye amagesi, ngakho-ke ungaphefumula umoya-mpilo kuphela. UKUZIVOCAVOCA Izinketho ezinhle zokuzivocavoca yizo ezizokusiza ukuqinisa inhliziyo namaphaphu. Ukuphefumula Okujulile, ukugijima, ukuhamba, ukuqeqeshwa kokumelana ngokulinganisela kuzoba ezinye zezinketho ezinhle ongazibheka. Khumbula njalo ukwelula umzimba nokufudumala ngaphambi kokuqala noma yimuphi umkhuba wokuzivocavoca. Kodwa-ke qiniseka ukuthi uthola imvume kudokotela wakho mayelana nemikhuba yokuzivocavoca. UKUDLA OKUNHLE Ukudla kukunikeza amandla adingekayo ukuze wenze yonke imisebenzi, okuhlanganisa nokuphefumula. Ukudla ngendlela efanele kusiza ekugcineni amasosha omzimba wakho eqinile futhi enempilo. Yidla ukudla okune-fiber ephezulu njengezithelo, imifino, uphizi owomisiwe ophekiwe kanye nobhontshisi (imifino), ilayisi kanye nokusanhlamvu okugcwele. Phuza uketshezi oluningi – okungenani izingilazi eziyisithupha kuya kweziyisishiyagalombili zeziphuzo ezingenayo i-caffeine nsuku zonke ukuze ugcine umucu unciphile futhi kube lula ukuwukhwehlela. Gcina isisindo somzimba siphilile futhi uqaphe isisindo sakho njalo, okungenani kanye ngesonto. Ukuze uthole uhlelo lokudla olulinganiselayo noma ukwazi ukuthi mangaki amakhalori okufanele uwadle ngosuku, shayela ku-1860 500 1066 ukuze ubhukhe i-aphoyintimenti nochwepheshe wethu wokudla nokudla noma ungene ku-www.askapollo.com ukuze ubhukhe i-aphoyintimenti. Izinyathelo Zokuqapha ze-COVID-19 Zeziguli Ezine-COPD Abantu abane-COPD enzima basengozini enkulu yezinkinga ze-COVID-19 njengoba lesi sifo sithinta uhlelo lokuphefumula. Kufanele uqhubeke nokwelashwa kwakho kwe-COPD njengenjwayelo phakathi nokugqashuka kwe-COVID-19. Kufanele futhi uthathe izinyathelo zokuphepha ezilandelayo: Ungaphumi ekhaya lakho ngaphandle kokuthola usizo lwezokwelapha oludingekayo. Gcina Ibanga Lokuxhumana (Hlala okungenani amamitha angu-6 ukusuka kwabanye), uma kudingeka ukuphuma. Landela ngokuqinile inhlanzeko yezandla (geza izandla njalo, ikakhulukazi ngemva kokuba sendaweni yomphakathi). Mboza ukuthimula kwakho nokukhwehlela ngethishu noma ngendololwane, bese ulahla ithishu ngokushesha. Gwema ukuthinta ubuso ngezandla ezingagezwanga. Hlanza futhi ubulale amagciwane ezindaweni ezivame ukuthintwa njengezibambo zeminyango, ama-countertop kanye nezindawo zokugezela, njll. Ungalufuna nini usizo? Ngalesi sikhathi sobhubhane lwe-COVID-19, kubalulekile ukuqonda izimpawu eziphuthumayo nezinyathelo okufanele uzithathe lapho zenzeka. Ukuphefumula kanzima/ukuphefumula okubi kakhulu ngokuhamba kwesikhathi futhi okungaqedwa yimithi Ukushintsha kombala, iphunga, noma ukuba khona kwegazi esikhwehleni sakho Ukwanda kwesisindo noma ukwehla okungachazeki Amaqakala avuvukele, noma imilenze engasuki ngemva kokulala ubusuku bonke izinyawo zakho ziphezulu. Ukukhathala okukhulu nokungachazeki okuhlala isikhathi esingaphezu kwezinsuku ezimbili. Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo Izinzipho noma izindebe ziphenduka zibe luhlaza okwesibhakabhaka. Ukudideka noma ukudideka Ubunzima bokuvuka Ukukhiqizwa ngokweqile kwe-phlegm Uma ubhekene nezimpawu ezingenhla, kufanele ubonane nodokotela wakho okwelaphayo, ngokushesha. Ukuze ubhukhe i-aphoyintimenti nodokotela wakho okwelaphayo, shayela ku-1860 500 1066 noma ushayele ku-1066 ukuze uthole Usizo Oluphuthumayo. Ungazinaki izimpawu ezilandelayo ze-COPD ngoba zingadinga ukunakekelwa okuphuthumayo. Shayela ku-1066 Apollo Emergency ukuze uthole ukwelashwa okusheshayo endaweni ephephile. Ukuqina kwesifuba noma ubuhlungu Ukushaya kwenhliziyo okusheshayo Ukushintsha kombala wesikhwehlela Ukukhwehlela okuye kwaba kubi ngokushesha Izinga lokuqwashisa elishintshile Ubunzima obukhulu noma obungazelelwe bokuphefumula Izindebe noma iminwe eluhlaza okwesibhakabhaka Kufanele ulungele kahle ukuqhuma kwesifuba. Gcina oxhumana nabo besimo esiphuthumayo beseduze futhi kulula ukubafinyelela, uma kudingeka. Ungazigcina efonini yakho. Ukubonisana Ngokulandela Ungaphuthelwa ama-aphoyintimenti okulandelela ahleliwe nodokotela wakho okwelaphayo. Manje sinezindawo zokukuxhumanisa nodokotela wakho okwelaphayo ngocingo. Ukuze uthole ukubonisana ngocingo, shayela ku-18605001066. Uma kudingeka ukuhlolwa ngokomzimba, landela lawa macebiso: Shayela ku-18605001066 ukuze uhlole ukuthi udokotela wakho uyatholakala yini Phatha umbiko wakho kanye namadokhumenti afanele avela esibhedlela/kudokotela wakho owelaphayo. Umsizi oyedwa kuphela ozovunyelwa ukuba nawe esibhedlela. Gqoka imaski phakathi nokuvakashela kwakho esibhedlela. Faka isicelo se-e-pass yesikhathi sokufika ekhaya online ukuze uthole iseluleko sakho sezokwelapha ngokwemigomo kahulumeni wesifundazwe. Nganoma yimuphi omunye umbuzo, shayela ku: 1860 500 1066

Ukuxilongwa Komdlavuza Wamaphaphu

Ukuxilongwa komdlavuza wamaphaphu kuphawula ukuqala kohambo olunzima. Kubalulekile ukusondela kule nqubo ngokuqonda okucacile kwezinyathelo ezihilelekile kanye nethuba lokwelashwa okuphumelelayo. Eminyakeni yamuva nje, intuthuko ebalulekile kwezobuchwepheshe bokuxilonga ivumele ukutholakala kusenesikhathi kanye nokubekwa kwesigaba esinembile somdlavuza wamaphaphu, okuholele emiphumeleni engcono ezigulini eziningi. Uhambo lokuxilonga luvame ukuqala ngokuhlola ngokucophelela umlando wezokwelapha wesiguli, izici eziyingozi, kanye nezimpawu. Lokhu kulandelwa ukuhlolwa ngokomzimba kanye nochungechunge lwezivivinyo zezithombe, ezingafaka phakathi i-X-ray yesifuba, i-CT scans, i-PET scans, kanye ne-MRI scans. Lezi zivivinyo ezingahlaseli zinikeza umbono oningiliziwe wamaphaphu futhi zingasiza ekuboneni izindawo ezisolisayo ezidinga uphenyo olwengeziwe. Lo mhlahlandlela obanzi uhlose ukucacisa izivivinyo nezinqubo ezisetshenziselwa ukuxilonga umdlavuza wamaphaphu, unikeze umhlahlandlela walokho okufanele ukulindele futhi ugqamise izizathu zokuba nethemba lapho ubhekene nalesi sifo esibi. Ukuxilonga Umdlavuza Wamaphaphu: Indlela Yesinyathelo Ngesinyathelo Inqubo yokuxilonga umdlavuza wamaphaphu ihilela uchungechunge lwezivivinyo nezinqubo ezenzelwe ukuhlonza ubukhona kanye nobukhulu besifo ngokunembile. Uhambo lokuxilonga luvame ukuqala ngesiguli esiveza izimpawu noma sibonakala sisengozini enkulu ngokuhlolwa. Kusukela lapho, ithimba lochwepheshe bezempilo elihlanganisa imikhakha eminingi lisebenza ndawonye ukuqoqa ulwazi oludingekayo ukuze kwenziwe ukuxilongwa okuqondile futhi kuthuthukiswe uhlelo lokwelashwa olufanele. Umlando Wezokwelapha Nokuhlolwa Komzimba Isinyathelo sokuqala enkambisweni yokuxilonga siqala ngokuhlola umlando wezokwelapha wesiguli kanye nezimpawu zamanje. Udokotela uzobuza ngezinto eziyingozi njengomlando wokubhema, ukuchayeka ebuthi obungokwemvelo, kanye nomlando womndeni womdlavuza wamaphaphu. Bazokwenza nokuhlolwa ngokomzimba, behlola izimpawu ezifana namaqhubu entanyeni, ubunzima bokuphefumula, noma ubuhlungu besifuba. Ukuhlolwa Kwezithombe Ukuhlolwa kwezithombe kudlala indima ebalulekile ekuxilongeni umdlavuza wamaphaphu ngokunikeza umbono oningiliziwe wamaphaphu nezakhiwo ezizungezile. Ukuhlolwa okuvamile kokuthatha izithombe kuhlanganisa: I-X-ray yesifuba: Ukuhlolwa okulula, okungangenisi umswakama okungaveza izindawo zamaphaphu ezisolisayo I-Computed Tomography (CT) Scan: Ukuhlolwa kokuthatha izithombe okunemininingwane eminingi okusebenzisa i-X-ray kanye nobuchwepheshe bekhompyutha ukudala izithombe zamaphaphu ezinqamula izigaba. I-Magnetic Resonance Imaging (MRI): Indlela ethuthukisiwe yokuthwebula izithombe esebenzisa amasimu kazibuthe namagagasi omsakazo ukukhiqiza izithombe ezinemininingwane zezicubu ezithambile emzimbeni. I-MRI isetshenziswa kakhulu ukuhlola ubuchopho ukuze kutholakale ukuthi bune-metastasis ezigulini ezisengozini enkulu yokwanda kwe-metastasis yobuchopho. I-Positron Emission Tomography (PET) Scan: Ukuhlolwa kwezithombe okukhethekile okusebenzisa i-tracer enemisebe ukuhlonza izindawo zokukhula komsebenzi we-metabolic, okungaba inkomba yomdlavuza. I-Biopsy Uma ukuhlolwa kwezithombe kwembula indawo yamaphaphu esolisayo, isinyathelo esilandelayo ngokuvamile kuba yi-biopsy. Lokhu kuhilela ukuthola isampula yezicubu ekukhuleni okungavamile okulandelwa ukuhlolwa nge-microscope ngudokotela wezifo. Kungasetshenziswa amasu amaningana e-biopsy, kuye ngokuthi indawo kanye nosayizi wesilonda: I-Bronchoscopy: Ipayipi elincane neliguquguqukayo elinekhamera lifakwa ngekhala noma ngomlomo bese lingena emaphashini, okuvumela ukubona okuqondile kanye nokuthatha isampula yezicubu. I-Percutaneous Needle Biopsy: Inaliti ifakwa odongeni lwesifuba ukuze kukhishwe isampula yethishu encane emaphashini. I-Thoracoscopy: Izimbobo ezincane zenziwa esifubeni, okuvumela ukufakwa kweshubhu elinekhamera ukuze ubone ngeso lengqondo futhi uhlole amaphaphu. Amasu Okuxilonga Athuthukisiwe Ngaphezu kwezindlela zokuxilonga zendabuko, ezinye izikhungo zomdlavuza ezihamba phambili zinikeza amasu athuthukisiwe okuhlola umdlavuza wamaphaphu ngendlela enembile: I-Endobronchial Ultrasound (EBUS): Inqubo ekhethekile ye-bronchoscopy esebenzisa i-ultrasound ukubona ngeso lengqondo kanye nokuhlola ama-lymph node nezinye izakhiwo esifubeni. I-Navigational Bronchoscopy: Indlela esebenzisa ubuchwepheshe obufana ne-GPS ukuze iqondise amathuluzi e-bronchoscopic kumanxeba amancane, okunzima ukufinyelela kuwo ukuze uthole i-biopsy. ENdiya, ezinye izibhedlela ezithuthukile, njenge-Apollo Cancer Centres, nazo zinikeza ukuhlolwa okukhethekile okufana nokuskena kwe-PET-CT noma i-endobronchial ultrasound-guided biopsy (EBUS) ukuqonda isigaba somdlavuza wamaphaphu. Kodwa-ke, inqubo yokuxilonga ingahluka kuye ngokutholakala kwezinsiza kanye nobuchwepheshe ezindaweni ezahlukene zokunakekelwa kwempilo. Ngakho-ke, kunconywa ukuthi uthintane nochwepheshe wezempilo ofanelekayo ukuze uthole ukuxilongwa okunembile kanye nohlelo lokwelapha olufanele lomdlavuza wamaphaphu. Imuphi Umdlavuza Wamaphaphu Ovame Ukutholakala Kakhulu? Umdlavuza wamaphaphu uhlukaniswe kabanzi ngezinhlobo ezimbili eziyinhloko ngokusekelwe ekubonakaleni kwamangqamuzana omdlavuza ngaphansi kwesibonakhulu: umdlavuza wamaphaphu wamangqamuzana amancane (i-SCLC) kanye nomdlavuza wamaphaphu ongewona amangqamuzana amancane (i-NSCLC). Ukuqonda umehluko phakathi kwalezi zinhlobo ezimbili kubalulekile, njengoba zinezici ezihlukile, izibikezelo, kanye nezindlela zokwelapha. Umdlavuza Wamaphaphu Wamangqamuzana Amancane (i-SCLC) I-SCLC, eyaziwa nangokuthi umdlavuza wamangqamuzana e-oat, ibangela cishe u-10-15% wazo zonke izimo zomdlavuza wamaphaphu. Ukukhula okusheshayo nokusabalala kwamangqamuzana amancane omdlavuza ayindilinga kubonakalisa lolu hlobo lomdlavuza wamaphaphu olunolaka. I-SCLC ihlotshaniswa kakhulu nomlando wokubhema kakhulu kanye nokuchayeka ebuthi bemvelo njengegesi ye-radon. I-SCLC ihlukaniswe ngezigaba ezimbili: Isigaba esilinganiselwe: Umdlavuza uvalelwe ephashini elilodwa kanye nama-lymph node aseduze. Isigaba esibanzi: Umdlavuza ususabalele ngale kwephaphu lokuqala uye kwezinye izingxenye zomzimba. Ngenxa yokukhula kwayo okusheshayo nokusabalala kwayo, i-SCLC ivame ukutholakala isesigabeni esithuthukile. Izimpawu zingase zihlanganise: Ukukhwehlela okuqhubekayo, Ukuphelelwa umoya, Ubuhlungu besifuba, Ukukhathala Ukwehlisa isisindo ngokungahlosiwe. Kwezinye izimo, i-SCLC ingase futhi ibangele izimpawu ezihlobene ne-paraneoplastic syndromes, njenge-syndrome ye-inappropriate antidiuretic hormone (SIADH) noma i-Lambert-Eaton myasthenic syndrome (LEMS). Isibikezelo se-SCLC ngokuvamile asisihle, kanti izinga lokusinda kweminyaka emihlanu licishe libe ngu-7%. Kodwa-ke, ukutholwa kusenesikhathi kanye nokwelashwa okunamandla, okuvame ukuhlanganisa inhlanganisela ye-chemotherapy kanye nokwelashwa ngemisebe, kungathuthukisa imiphumela futhi kuholele ekusindeni isikhathi eside kwezinye izimo. Umdlavuza Wamaphaphu Ongewona Owesisele Esincane (i-NSCLC) I-NSCLC uhlobo oluvame kakhulu lomdlavuza wamaphaphu, olubalelwa cishe ku-85-90% wazo zonke izimo. I-NSCLC ikhula futhi isakazeka kancane kune-SCLC futhi ihlukaniswe ngezinhlobo ezintathu eziyinhloko ngokusekelwe ohlotsheni lwamaseli akha isimila: I-Adenocarcinoma: Uhlobo oluvame kakhulu lwe-NSCLC, oluvame ukutholakala ezindaweni zangaphandle zamaphaphu futhi luvame kakhulu kubantu abangabhemi kanye nabantu abasebasha. I-squamous cell carcinoma: Ngokuvamile ivela endaweni yesifuba emaphakathi ku-bronchi futhi ihlotshaniswa kakhulu nomlando wokubhema. I-Large cell carcinoma: Lolu uhlobo oluncane olungajwayelekile olubonakala ngamaseli amakhulu, abukeka ngendlela engavamile angenzeka kunoma iyiphi ingxenye yephaphu. Izimpawu ze-NSCLC zifana neze-SCLC futhi zingase zihlanganise ukukhwehlela okuqhubekayo, ukuphelelwa umoya, ubuhlungu besifuba, ukukhathala, kanye nokwehlisa isisindo ngokungahlosiwe. Kuye ngokuthi ikuphi nendawo kanye nosayizi wesimila, iziguli zingase zikhwehlele igazi, zihoshe, futhi zibe nobunzima bokugwinya. Ukwelashwa kwe-NSCLC kuncike esigabeni kanye nohlobo lomdlavuza kanye nempilo yesiguli iyonke. I-NSCLC esesigabeni sokuqala ingelashwa ngokuhlinzwa, kanti isifo esisezingeni eliphezulu singadinga inhlanganisela ye-chemotherapy, ukwelashwa ngemisebe, ukwelashwa okuqondiwe, kanye ne-immunotherapy. Intuthuko kwezokwelapha okuqondiwe kanye nokwelashwa ngamasosha omzimba ithuthukise kakhulu imiphumela yeziguli ezinezinguquko ezithile zofuzo noma ama-biomarker, njenge-EGFR, i-ALK, i-ROS1, kanye ne-PD-L1. Ukuhlolwa okuphelele kwama-molecule kwama-tumor e-NSCLC sekubalulekile enkambisweni yokuxilonga, okuqondisa izinqumo zokwelapha ezenzelwe wena. Ngaphezu kwezindlela zokwelapha zendabuko, ukwelashwa nge-proton kuye kwavela njengendlela ethembisayo kwabanye abaguli abanomdlavuza wamaphaphu. Ukwelashwa nge-proton uhlobo lokwelashwa ngemisebe olusebenzisa imisebe ye-proton enamandla aphezulu ukuqondisa nokubhubhisa amangqamuzana omdlavuza ngokunemba, okunciphisa umonakalo ezicutshini ezinempilo ezizungezile. Ukwelashwa nge-proton kungaba wusizo kakhulu ezigulini ezine-NSCLC esesigabeni sokuqala, njengoba kungaletha umthamo omkhulu wemisebe esigabeni ngenkathi kulondolozwa izakhiwo ezibalulekile eziseduze njengenhliziyo, umphimbo, kanye nomgogodla. Le ndlela eqondiwe inganciphisa ingozi yemiphumela emibi futhi ithuthukise ikhwalithi yokuphila kweziguli ezithola ukwelashwa. Isiphetho Indlela eya phambili ngemva kokuxilongwa komdlavuza wamaphaphu ingazwakala inzima, kodwa awuwedwa. Yiba nezingxoxo ezivulekile nethimba lakho lokunakekelwa mayelana nokuxilongwa kwakho, izinketho zokwelapha, kanye nanoma yiziphi izinkinga. Ngolwazi olufanele, ukwesekwa, kanye nokubambisana ngokubambisana nabahlinzeki bakho bezempilo, ungabhekana nalesi sikhathi esinzima ngokucaca nethemba. ul.listpages li { list-style: disc; }

Umdlavuza Wamaphaphu: Ukutholwa Kusenesikhathi, Ukwelashwa, kanye Nezinsiza Zokusekela

Umdlavuza wamaphaphu uvame kakhulu emhlabeni wonke, futhi kwezokwelapha waziwa ngokuthi i-bronchogenic carcinoma. Iningi lamacala libangelwa ukukhula kwamaphaphu okungalawuleki okuthuthuka kube izimila eziyingozi. Isici esibalulekile esingandisa amathuba okululama ukutholakala kusenesikhathi kanye nokwelashwa ngokushesha. Uma umndeni wesiguli wazi ngezimpawu zomdlavuza wamaphaphu kanye nezindlela eziningi zokwelapha ezitholakalayo, ungabasiza ukuba bahambe kule ndlela enzima. Ukuze selaphe umdlavuza wamaphaphu ngempumelelo, thina e-Apollo Hospital eMysore sigcizelela kakhulu ekuhlinzekeni ukwelashwa okunesihawu kanye nobuchwepheshe bezokwelapha besimanje. Izinhlobo Zomdlavuza Wamaphaphu Umdlavuza wamaphaphu uvame ukuhlukaniswa kabanzi ngezinhlobo ezimbili eziyinhloko: Umdlavuza Wamaphaphu Ongewona Oweseli Elincane (i-NSCLC): Uwuhlobo oluvame kakhulu futhi lubangela cishe u-85% wamacala. Iqukethe i-adenocarcinoma, i-squamous cell carcinoma, kanye ne-large cell carcinoma. Umdlavuza Wamaphaphu Wamangqamuzana Amancane (i-SCLC): Lokhu akuvamile, kunolaka kakhulu, futhi kuvame ukusabalala kwezinye izingxenye zomzimba. Amaphaphu akho angaba yindawo yokuqala kwezinye izinhlobo zomdlavuza. Lezi zihlanganisa i-pleural mesothelioma, umdlavuza wolwelwesi lwamaphaphu; ama-sarcoma, okuyizimila zezicubu ezithambile noma amathambo; kanye nama-lymphoma, okuyizimila ze-lymph node. Lezi azivamile ukubizwa ngokuthi umdlavuza wamaphaphu futhi zelashwa ngendlela ehlukile. Ukuze ukhethe indlela yokwelapha engcono kakhulu, kubalulekile ukwazi uhlobo lomdlavuza wamaphaphu. Ukuqaphela Izimpawu Zomdlavuza Wamaphaphu Kuvamile ukuthi umdlavuza wamaphaphu ungakhombisi zimpawu zakuqala. Njengoba isimo siba sibi kakhulu, izimpawu eziningi zomdlavuza wamaphaphu ziyavela. Phakathi kwezimpawu nezinkomba zomdlavuza wamaphaphu ezivela emaphashini nasezindaweni ezizungezile kukhona: Ukukhwehlela okuqhubekayo okuba kubi ngokuhamba kwesikhathi Ubuhlungu besifuba noma ukungakhululeki Ukuphefumula kanzima Ukulahlekelwa isisindo okungachazeki Ukukhathala Ukukhwehlela igazi noma isikhwehlela esinombala wokugqwala Ukuvuvukala esifubeni esingaphezulu, ezingalweni, entanyeni, noma ebusweni. Kukhona umjuluko omncane noma ongekho ohlangothini lobuso bakho okunomfundi omncane kanye nejwabu leso elishona phansi. Uma wena noma othandekayo ehlangabezana nanoma yiziphi zalezi zimpawu, kubalulekile ukuthola usizo lwezokwelapha ngokushesha. Izigaba Zomdlavuza Wamaphaphu Isu lokwelapha umdlavuza wamaphaphu linqunywa kakhulu yisigaba sawo. Isigaba ngasinye sinezinhlanganisela eziningana zobukhulu nokusabalala eziwela kulesi sigaba. Ngokwesibonelo, eSigabeni sesiThathu, isimila esiyinhloko singase sibe sincane kuneseSigabeni sesiBili, kodwa ezinye izindlela zisibeka eqenjini elithuthukile kakhulu. Ngokuvamile, umdlavuza wamaphaphu uhlukaniswa kanje: Isigaba I: Lesi sifo asikafiki kuma-lymph node, futhi isimila sincane. Isigaba II: Ama-lymph node azungezile athintwe umdlavuza. Isigaba III: Sikhulu kuneSigaba II; kunezimila eziningi ku-lobe ehlukile yamaphaphu, noma lesi sifo sesithuthele kuma-lymph node noma ezakhiweni eziseduze. Isigaba IV: Elinye iphaphu, uketshezi oluzungeze iphaphu, uketshezi oluzungeze inhliziyo, noma ezinye izitho ezikude konke kuthintekile. Ukusebenzisa izithombe ezithuthukisiwe nokuhlola ukuze kuzuzwe isiteji esinembayo kusiza ekwakheni uhlelo olufanele lokwelapha. Ukuhlolwa Nokuxilongwa Komdlavuza Wamaphaphu Inqubo yokuxilonga umdlavuza wamaphaphu ingase ihilele izinyathelo eziningana. Ukuhlolwa ngokomzimba, imibuzo mayelana nomlando wakho wezokwelapha, kanye nokulalela izimpawu zakho ngokuvamile kuyingxenye yokubonana kwakho kokuqala nodokotela. Ukuthwebula izithombe, ukuhlolwa kwegazi, kanye nokuhlolwa koketshezi noma kwezicubu kuphakathi kwezinqubo udokotela wakho angase azincome noma azenze. I-CT Scan Yomthamo Ophansi (LDCT): Uma kukhulunywa ngokuhlonza umdlavuza wamaphaphu osesigabeni sokuqala, lena yindlela engcono kakhulu yokuhlola etholakalayo. Ama-X-ray esifubeni: Nakuba engazweli njenge-CT scan, kodwa iwusizo. Kudingeka izivivinyo eziningana ukuze kutholakale umdlavuza wamaphaphu ngesikhathi sokusolakala ecaleni, okuhlanganisa: I-Biopsy: Kuhilela ukuhlolwa kwesampula kwezicubu zamaphaphu ukuze kutholakale ukuthi kukhona amangqamuzana omdlavuza. Ukuhlolwa kwama-molecule: Ngesikhathi sokuhlolwa kwe-biopsy, udokotela wakho angase ahlole isampula yezicubu ukuze athole izinguquko zezakhi zofuzo (ukuguqulwa kwezakhi zofuzo) ezingabhekiswa emithini ethile njengengxenye yendlela yakho yokwelashwa. Ukuhlolwa Kwezithombe: Lokhu kufaka phakathi ama-CT scan, ama-PET scan, kanye nama-MRI ukuhlola ukusabalala komdlavuza. Ukuhlolwa Kwegazi: Ukuthola ama-biomarker angaba khona angase abonise noma axhumene nomdlavuza wamaphaphu Imiphumela yesiguli ingathuthukiswa ngokuhlolwa njalo, okungaholela ekutholakaleni kusenesikhathi. Izindlela Zokwelapha Umdlavuza Wamaphaphu Ukwelashwa komdlavuza wamaphaphu kuhlose ukuqeda ngokuphelele umdlavuza noma ukunciphisa kakhulu ukusabalala kwawo. Ukwelashwa kungasiza ekuqedeni amangqamuzana anomdlavuza, kuwavimbele ekukhuleni, ukuwaqeda, noma ukufundisa amasosha omzimba wakho ukuthi alwe nawo. Ngaphezu kwalokho, ezinye izindlela zokwelapha zisetshenziswa ukunciphisa ubuhlungu nezimpawu. Izici eziningi, njengohlobo lomdlavuza wamaphaphu onawo, indawo okuyo, kanye nokwanda kwawo, zingathinta indlela ophathwa ngayo. Uhlobo, isigaba, kanye nempilo ejwayelekile yesiguli konke kuthonya indlela umdlavuza wamaphaphu ophathwa ngayo. Izindlela zokwelapha ezivame kakhulu zihlanganisa: Ukuhlinzwa: Ukuhlinzwa kungasetshenziswa ezigabeni zokuqala ukususa isimila noma ingxenye yamaphaphu. Ukwelashwa Ngemisebe: Amaseli omdlavuza ahloswe ngemisebe enamandla aphezulu, ewabhubhisayo. Ukwelashwa ngamakhemikhali: Imithi isetshenziselwa ukubhubhisa noma ukuvimbela ukukhula kwamaseli omdlavuza. Ukwelashwa Okuqondiwe: Kugxile ekuguqukeni kwezakhi zofuzo ezithile kumaseli omdlavuza. Ukwelashwa nge-immunotherapy: Kuqinisa ukuzivikela komzimba ekulweni nomdlavuza. Njengoba isimo siqhubekela esigabeni esilandelayo, kufanele kusetshenziswe izindlela zokwelapha eziningana ngesikhathi esisodwa. Izindlela zokwelapha ezinhle kakhulu, njengokuhlinzwa okungadingi ukungenelela okuningi kanye nemithi eyenzelwe wena, zinikezwa yi-Apollo Hospital eMysore ukuze kuqinisekiswe ukwelashwa okungcono kakhulu. Izinsiza Zokusekela Iziguli Ezinomdlavuza Wamaphaphu Umdlavuza wamaphaphu ungaba nomthelela ongokomzwelo nowomzimba esigulini. Ezinye izinsiza ezingaba usizo ekusekeleni zingasiza iziguli kanye nemindeni yazo ukuba zibhekane kangcono nesimo. Isibhedlela i-Apollo eMysore sinikeza: Amaqembu Okusekela: Isiguli singase sifune amaqembu okusekela umdlavuza wamaphaphu ukuze sixhumane nabanye abantu ababhekene nezinto ezifanayo. Isiqondiso Sokudla Okunempilo Nendlela Yokuphila: Ngezindlela zokudla ezikhethekile, odokotela bezokudla basiza ekulawuleni imiphumela emibi yemithi. Ukunakekelwa Kwezinhlungu: Umgomo wokunakekelwa kwezinhlungu ezisezingeni eliphezulu ukuthuthukisa ikhwalithi yokuphila. Ngaphezu kokuhlangabezana nezidingo zomzimba zeziguli, lawa mathuluzi aphinde afune ukuhlangabezana nezidingo zazo ezingokomzwelo nezingokwengqondo. Isiphetho Nakuba umdlavuza wamaphaphu uyisifo esiyinkimbinkimbi, imiphumela ingathuthukiswa kakhulu ngokutholakala kusenesikhathi, ukwelashwa okufanele, kanye nezinsizakalo zokusekela. Isinyathelo sokuqala sokululama ukuqonda izimpawu zomdlavuza wamaphaphu nokubona udokotela ngokushesha okukhulu. Esibhedlela i-Apollo, eMysore, sihlela ukufinyelela izinga lokwelashwa nokusekelwa emhlabeni wonke phakathi nayo yonke inqubo yokwelashwa. Ukuze uthole izinketho zokwelapha ezingcono kakhulu - xhumana nathi manje. Imibuzo Evame Ukubuzwa Umbuzo 1. Ingabe umdlavuza wamaphaphu ungelapheka ezigabeni ezithuthukile? Impendulo. Naphezu kobunzima bokwelapha umdlavuza wamaphaphu othuthukile, ukunakekelwa kwe-palliative, i-immunotherapy, kanye nokwelashwa okuhlosiwe kungandisa ukusinda kanye nekhwalithi yokuphila. I-Q2. Lingakanani izinga lokusinda komdlavuza wamaphaphu? Impendulo. Amazinga okusinda komdlavuza wamaphaphu ayahlukahluka ngohlobo kanye nesigaba. Izinga lokusinda liphezulu uma kutholakala ukuthi unesifo kusenesikhathi, futhi okuphambene nalokho. Izigaba ezithuthukile zinezinga eliphansi kakhulu lokusinda; noma kunjalo, izindlela ezintsha zokwelapha ziyayithuthukisa kakhulu imiphumela. I-Q3. Ungavinjelwa kanjani umdlavuza wamaphaphu? Impendulo. Umuntu kumelwe agweme ukubhema nokubhema intuthu yomuntu obhemayo ukuze avimbele umdlavuza wamaphaphu. Gwema ukususa izinto eziyingozi kanye nokungcola ngaphandle kwemishini efanele yokuphepha. Kubantu abasengozini, kufanele kuqalwe ukudla okunomsoco okugcwele izithelo nemifino, ukuvivinya umzimba njalo, kanye nokuhlolwa.