Kungani Iziguli Zikhetha Izibhedlela zase-Apollo eLucknow ukuze Zihlolwe I-Arthrography
- Ifa likazwelonke lika-Apollo: Izibhedlela zase-Apollo zaqala ngo-1983 futhi manje zisebenza enye yamanethiwekhi amakhulu okunakekelwa kwempilo ahlanganisiwe e-Asia, enezibhedlela ezingaphezu kuka-70 kanye nemibhede engaphezu kuka-10,000. Izibhedlela zase-Apollo eLucknow, eziseKanpur Road, ziyindawo yokunakekelwa kwezokwelapha ekhethekile ekhonza i-Uttar Pradesh kanye nesifunda esiseduze.
- Amaqembu ahlangene e-radiology kanye ne-orthopaedic: I-arthrogram iwusizo kuphela njengombiko owulandelayo. Kwa-Apollo Lucknow, ochwepheshe be-radiology abaqeqeshwe ekuthathweni kwezithombe zemisipha benza umjovo nokubika, kuyilapho odokotela abahlinzayo bezokwelapha amathambo kanye nemithi yezemidlalo behumusha okutholakele ngokomongo wokuhlolwa kwakho.
- Ukujula komnyango we-orthopaedic: Amayunithi okwelapha amathambo, okufakelwa amalunga, omgogodla kanye nokulimala kwezemidlalo esibhedlela anabasebenzi bethimba labaxhumanisi abaningi amalungu abo aphezulu avame ukuba neminyaka eyi-15 kuya kwengama-30 yokusebenza komuntu ngamunye, okunikeza umnyango amashumi eminyaka amaningana okuhlangenwe nakho kokusebenza kanye nokuthathwa kwezithombe. Uhlu lwamanje lwabaxhumanisi kanye namaphrofayili abantu ngabanye kushicilelwe kuwebhusayithi ye-Apollo Hospitals Lucknow futhi kungaqinisekiswa edeskini lokuqokwa.
- Ubuchwepheshe bokuthwebula izithombe ngaphansi kophahla olulodwa: I-fluoroscopy yedijithali yokubeka inaliti ngendlela enembile, i-MRI ephezulu ye-MR arthrography, kanye ne-CT ye-CT arthrography (ewusizo lapho i-MRI ingavunyelwe, isibonelo nge-implants ethile noma ama-pacemaker) iyatholakala ekhampasi efanayo, ngakho-ke umjovo kanye nokuskena kwenzeka ngesikhathi esisodwa.
- Umjovo oqondiswa yi-ultrasound lapho kufanele khona: Kumahlombe nasezinqeni, kusetshenziswa isiqondiso se-ultrasound noma se-fluoroscopic esikhundleni somjovo ongaboni, okuthuthukisa ukunemba futhi kunciphisa imizamo ephindaphindwayo.
- Izinhlelo kuwo wonke amaqembu eminyaka: Kunezindlela zokunakekelwa ezihlukene zabadlali abasebasha kanye nabadlali bezemidlalo abangazinzi emahlombe noma abalimele emathangeni, kubantu abadala abasebenzayo abanezinkinga ze-rotator cuff kanye nedolo, kanye nasezigulini ezindala lapho i-arthritis, ukuhlolwa kwe-implant kanye nokutheleleka kuyimibuzo. Izithombe zezingane zenziwa ngezinqubo zokusindisa imisebe kanye nokusekelwa kwe-anesthesia yezingane lapho kudingeka khona ukudambisa ubuhlungu.
- Ukuqhubeka kokuvuselelwa: Ukwelashwa ngokuzivocavoca umzimba kanye nokuvuselelwa kwezemidlalo kusho ukuthi ukuxilongwa kulandelwa uhlelo oluhlelekile kunokunikezwa umbiko ngaphandle kwesiqondiso.
- Izinsizakalo zokusekela iziguli ezizidingayo ngempela: Umshwalense kanye nedeski le-TPA lokucubungula ngaphandle kwemali, usizo ngamaphepha okugunyazwa kusengaphambili, kanye nosizo lwemindeni ehamba isuka ngaphandle kweLucknow.
Uhlolojikelele
I-arthrogram iyinqubo yokuthwebula eyisipesheli enikeza izithombe ezinemininingwane yejoyinti, esiza ochwepheshe bezokunakekelwa kwempilo ukuthi bahlole izimo ezihlukahlukene ezithinta amalunga, njengezinyembezi, ukuvuvukala, noma okunye okungavamile. Esibhedlela i-Apollo Lucknow, siyaziqhenya ngedumela lethu lokuvelela ekunakekelweni kwamathambo, sisebenzisa ubuchwepheshe obusezingeni eliphezulu nezindlela ezithuthukile zokuthwebula izithombe ukuze siqinisekise ukuxilonga okunembile nezinhlelo zokwelapha ezisebenzayo. Ukuzibophezela kwethu ekwethembeni kwesiguli nokunakekelwa komuntu siqu kusenza sibe esinye sezibhedlela ezingcono kakhulu zezinqubo ze-arthrogram esifundeni.
Kungani i-Arthrography Idingeka
Ama-arthrograms abalulekile ekuxilongeni izinkinga ezihlobene ngokuhlanganyela okungenzeka zingabonakali ngama-X ray avamile noma izikena ze-MRI. Le nqubo ihlanganisa ukujova udayi ohlukile endaweni ehlangene, okuthuthukisa ukubonakala kwezakhiwo ezihlangene ngesikhathi sokuthwebula. Izinzuzo ze-arthrogram zifaka:
- Ukuxilongwa Okunembile: Ivumela ukuhlolwa okuningiliziwe kwelunga, okusiza ekuboneni izimo ezifana nokudabuka kwemisipha noma i-cartilage, ukuphuma kwamalunga, kanye nezinye izinkinga.
- Ukwelashwa Okuqondiswayo: Ulwazi olutholakala ku-arthrogram lungaqondisa izinqumo zokwelapha, kungakhathaliseki ukuthi lokho kuhilela ukwelashwa ngokomzimba, imithi, noma ukuhlinzwa.
- Ihlasela Kancane: Uma kuqhathaniswa nokuhlinzwa okwenziwa ngokuhlola, i-arthrogram iyindlela elula kakhulu enganikeza ulwazi olubalulekile mayelana nempilo yamalunga.
Esibhedlela sase-Apollo e-Lucknow, odokotela bethu abanolwazi nge-radioologist nodokotela bamathambo basebenza ndawonye ukuze baqinisekise ukuthi i-arthrogram ngayinye yenziwa ngokunemba, okuholela emiphumeleni emihle yesiguli.
Izingozi Zokubambezeleka
Ukuhlehlisa i-arthrogram kungaba nemiphumela empilweni yamalunga akho. Izinkinga ezingaba khona zokuhlehlisa le nqubo yokuxilonga zifaka:
- Isimo esiba sibi: Izimo ezinjengokudabuka noma ukuvuvukala zingaba zimbi kakhulu ngokuhamba kwesikhathi, okuholela ekwandeni kobuhlungu kanye nokwehla kokuhamba.
- Ukwenyuka Kwenkimbinkimbi Yokwelashwa: Ukuxilongwa kusenesikhathi kuvame ukuholela ezindleleni zokwelapha ezilula nezingenazo izithiyo eziningi. Ukulibazisa inqubo kungabangela isidingo sokungenelela okuyinkimbinkimbi kamuva.
- Ubuhlungu obungapheli: Izinkinga zamalunga ezingelashwa zingaholela ebuhlungwini obungapheli, okuthinta ikhwalithi yempilo yakho kanye nemisebenzi yansuku zonke.
E-Apollo Hospitals Lucknow, siyaqonda ukubaluleka kokuhlolwa ngesikhathi. Ithimba lethu lihlose ukunikeza ukubonisana okusheshayo kanye nezinqubo zokukusiza ukuthi uphinde uthole ukusebenza kahle kanye nokuhamba kahle.
Izinzuzo Zokwenza I-Arthrogram
- Ukuhlola Okuphelele: Izithombe ezinemininingwane ezitholakele zivumela ukuhlolwa okuphelele kwelunga, okusekela ukuxilongwa okunembe kakhudlwana.
- Izinhlelo Zokwelapha Ezihlanganisiwe: Ngolwazi olunembile mayelana nesimo sakho samalunga, ochwepheshe bethu bangakha izinhlelo zokwelapha ezenzelwe wena ezihlangabezana nezidingo zakho ezithile.
- Imiphumela Ethuthukisiwe: Ukuxilongwa kusenesikhathi nangokunembile ngokuvamile kuhlotshaniswa nezinqumo zokwelapha ezingcono futhi kunganciphisa ingozi yezinkinga ezingagwenywa.
- Ukubuyisela Okuthuthukisiwe: Ngokuthola imbangela eyinhloko yezimpawu zakho zamalunga, singakusiza ekuqondiseni ukuvuselelwa ukuze ubuyele emisebenzini yansuku zonke ngendlela ehleliwe.
E-Apollo Hospitals Lucknow, sizibophezele ekuqinisekiseni ukuthi iziguli zethu zithola ukunakekelwa okusezingeni eliphezulu kanye nencazelo ecacile yokuthi okutholakele kusho ukuthini.
Ukulungiselela Nokubuyisela
Ukulungiselela
- Ukubonisana: Hlela ukubonisana nochwepheshe wethu wamathambo ukuze nixoxe ngezimpawu zakho kanye nesidingo sokuhlolwa kwe-arthrogram.
- Umlando Wezokwelapha: Nikeza umlando ophelele wezokwelapha, okuhlanganisa noma yimiphi imithi oyiphuzayo, ukungezwani komzimba, kanye nezinkinga zamalunga zangaphambilini.
- Ukuzila ukudla: Landela noma yimiphi imiyalelo yokuzila ukudla enikezwa ithimba lakho lezempilo, ikakhulukazi uma kudingeka ukulaliswa.
- Ezokuthutha: Hlela ukuthi othile akuyise ekhaya ngemoto ngemva kwenqubo, njengoba ungase uzizwe uthukuthele uma kusetshenziswa umuthi wokudambisa ukucindezeleka.
Lokubuyisela
- Ukuphumula: Zinike isikhathi sokuphumula ngemva kwenqubo. Gwema imisebenzi enzima okungenani amahora angu-24.
- Isicelo seqhwa: Faka iqhwa esilungwini esithintekile ukuze unciphise ukuvuvukala nokungakhululeki.
- Landelela: Yiba khona kuma-aphoyintimenti okulandelela ukuze uxoxe ngemiphumela kanye nezinyathelo ezilandelayo ohlelweni lwakho lokwelashwa.
- Ukulawula Ubuhlungu: Sebenzisa iziqeda-buhlungu kuphela njengoba kunconywe udokotela wakho ukuze uphathe noma yikuphi ukungakhululeki.
E-Apollo Hospitals Lucknow, ithimba lethu lizokuqondisa kuzo zonke izinyathelo zokulungiselela kanye nokululama.
Lokho Okushiwo Yisiqondiso Samanje
I-Arthrography akuyona ukuhlolwa kokuqala. Izisebenzi zaseNdiya nezamazwe ngamazwe zikubeka ngemuva kokuhlolwa kwezokwelapha kanye ne-radiographs ecacile, futhi ngokuvamile ngemva noma eduze kwe-MRI.
- The I-Indian Orthopedic Association (IOA) futhi I-Indian Arthroscopy Society (IAS) gcizelela ukuhambisana kwemitholampilo kuqala: umlando, izivivinyo ezivusa inkanuko kanye ne-X-ray ecacile ngaphambi kokuthatha izithombe ezithuthukisiwe. I-Arthroscopy isalokhu iyindinganiso yokubhekisela ye-intra-articular pathology, futhi ukuthatha izithombe kusetshenziswa ukuhlela, hhayi ukukufaka esikhundleni.
- The Inhlangano Yezokwelashwa Ngemisebe Nezithombe YaseNdiya (IRIA) futhi I-Indian Society of Musculoskeletal Radiology Sekela umjovo wangaphakathi oqondiswa yisithombe (oqondiswa yi-fluoroscopic noma i-ultrasound) phezu komjovo ongaboni ukuze uthole ukunemba, ikakhulukazi esinqeni nasehlombe.
- The I-American College of Radiology Imigomo Yokufaneleka (ubuhlungu obungapheli behlombe kanye nezihloko zobuhlungu obungapheli benqulu, kubuyekezwe ngo-2023) izinga I-MR arthrography njengoba ngokuvamile kufanelekile ekudabukeni okusolwayo kwe-labral, ukungazinzile kwe-glenohumeral, ukudabuka kabusha kwe-meniscus ngemuva kokuhlinzwa, kanye nokuhlolwa kokuminyana kwe-femoroacetabular, kuyilapho i-MRI engeyona i-contrast ivame ukwanele ekudabukeni kwe-rotator kanye nasekudabukeni kwe-meniscal okujwayelekile. Lolu ushintsho olukhulu lwamuva: i-arthrography ejwayelekile ye-cuff engeyona inkimbinkimbi noma isifo se-meniscal ayisanconywa, ngoba i-MRI yesimanje ephezulu isebenza kahle ngaphandle kokungafani.
- I-CT arthrography kuyindlela eyamukelekayo lapho i-MRI ingenakwenziwa, isibonelo nge-cardiac pacemaker, ezinye izimila zensimbi, noma i-claustrophobia enzima, kanye nokuhlola i-cartilage kwamanye amadolo namahlombe ngemva kokuhlinzwa.
- I-ESSR (i-European Society of Musculoskeletal Radiology) Iziqondiso zobuchwepheshe, ezibuyekezwe eminyakeni yamuva nje, zilinganisa ukuhlushwa kwe-gadolinium encibilikisiwe kwe-MR arthrography futhi zincoma ukubambezeleka okungaphezu kwemizuzu engama-45 phakathi komjovo nokuskena ukuze kugwenywe ukuncishiswa kokungafani.
- Ngokuphathelene nokuphepha kwe-gadolinium, isiqondiso samanje se-radiology sicebisa ukuthi uqaphele isifo sezinso esithuthukile; i-gadolinium encibilikisiwe ngaphakathi kwe-articular ithwala ukuchayeka okuphansi kakhulu ohlelweni lomzimba kunokusetshenziswa ngemithambo yegazi, kodwa ukusebenza kwezinso kanye nokusabela kokuqhathanisa kwangaphambilini kufanele kusadalulwe.
Isiqondiso siyashintsha. Udokotela wakho we-radiation uzonquma inqubo eqondile yombuzo wakho wamalunga nowezokwelapha ngalolo suku.
Izinhlobo ze-Arthrography kanye nezinketho zobuchwepheshe
| Technique | Ukuthi isebenza kanjani | Ifaneleka kakhulu | Amaphuzu okufanele acatshangelwe |
|---|---|---|---|
| I-arthrogram evamile (ye-X-ray/fluoroscopic) | Umehluko ofakwe i-iodine ejovweni, izithombe ezithathwe nge-fluoroscopy noma amafilimu alula | Ukuhlola i-joint capsule, i-adhesive capsulitis, ukukhululeka eduze kwezitho zokufakelwa, ukuvuza okuphambene | Isebenzisa imisebe ye-ionizing; imininingwane elinganiselwe yezicubu ezithambile uma kuqhathaniswa ne-MRI |
| I-MR arthrogram (eqondile) | Nciphisa i-gadolinium efakwe ngaphansi kwesiqondiso sesithombe, ilandelwe ngokushesha yi-MRI | Ukudabuka kwehlombe nenqulu, ukungahlaliseki, i-meniscus yangemva kokuhlinzwa, ukukhubazeka okuncane kwe-cartilage | Izithombe ezinemininingwane eminingi yezicubu ezithambile; zidinga ukuhambisana ne-MRI; kuthatha isikhathi eside iyonke |
| I-MR arthrogram (engaqondile) | Umehluko onikezwa ngemithambo yegazi, usakazeka ungene emalungeni, bese kuba yi-MRI ngemva kokuzivocavoca okulula | Iziguli lapho ukubhoboza amalunga kungadingeki khona | Ukunwebeka okuncane kwamalunga, ngokuvamile akunembile kangako kunendlela eqondile |
| I-arthrography ye-CT | Umehluko oxutshwe ne-iodine ungene esihlanganyelweni kulandelwe yi-CT enezingcezu ezincane | Iziguli ezingakwazi ukwenza i-MRI; imininingwane yobuso bamathambo kanye ne-cartilage; amanye amahlombe ngemva kokuhlinzwa | Kuhilela imisebe; imininingwane emihle kakhulu yamathambo; imininingwane encane yemisipha kune-MRI |
| Indlela yokujova eqondiswa yi-ultrasound | I-Ultrasound isetshenziswa ukufaka inaliti esikhundleni se-fluoroscopy | Ukujova emahlombe nasesinqeni, iziguli ezigwema imisebe, ukukhathazeka okuhlobene nokukhulelwa | Kuncike kokuhlangenwe nakho komqhubi; ukuskena kwezithombe ngokwako kusalandela |
| Umjovo ohlanganisiwe wokuxilonga nokwelapha | Ukubulala izinzwa kwendawo okune-steroid noma okungenayo ku-contrast | Ukuqinisekisa ukuthi ubuhlungu buvela ngempela kulelo lunga | Indlela yokuqeda ubuhlungu emahoreni alandela yona ngokwayo iwulwazi lokuxilonga; gcina inothi layo |
Isikhathi kanye neSigaba Sangaphambi Kwenqubo
- Ukubonisana kanye nesinqumo: Ngokuvamile uvakashela i-OPD kanye. Letha ama-X-ray angaphambilini, amafilimu e-MRI kanye nemibiko, kanye nanoma yimaphi amanothi okuhlinzwa.
- Ukuhlolwa kwangaphambi kwenqubo: Ukuhlolwa kokusebenza kwezinso kungacelwa uma unesifo sikashukela, umfutho wegazi ophakeme noma isifo sezinso esaziwayo. Imithi yokunciphisa igazi efana ne-warfarin, i-clopidogrel noma ama-anticoagulant amasha kumele imenyezelwe; udokotela wakho uzokweluleka ukuthi uyimise yini nokuthi uzoyimisa isikhathi esingakanani. Ungalokothi uyeke umuthi wenhliziyo wedwa.
- Isikhathi phakathi nosuku: Ama-arthrogram e-MR avame ukuhlelwa ngendlela yokuthi i-MRI slot ilandele umjovo zingakapheli imizuzu engama-30 kuya kwengama-45, njengoba umehluko uncipha ngokuhamba kwesikhathi.
- Ukuzila ukudla: Akudingeki kubantu abadala abaningi abasebenzisa i-arthrogram ecacile. Ukuzila ukudla okungathatha amahora amane kuya kwayisithupha kusebenza uma kuhlelwe ukudambisa noma ukubulala izinzwa okuvamile, ikakhulukazi ezinganeni.
- Isikhathi sonke esibhedlela: Ngokuvamile kuthatha amahora amabili kuya kwamane kusukela ekubhalisweni kuze kube yilapho ukhishwa esibhedlela, isikhathi eside uma kusetshenziswa umuthi wokudambisa ubuhlungu noma uma umnyango uphuza.
- Ukuya esikhathini nokukhulelwa: Tshela ithimba ukuthi ukhulelwe noma ukhulelwe, njengoba i-fluoroscopy kanye ne-CT kuhilela imisebe. Indlela eqondiswa yi-ultrasound noma i-aphoyintimenti ehlelwe kabusha ingaba ngcono kakhulu.
Izinqubo Ngezinye izikhathi Ezenziwa Ngesikhathi Esifanayo
- Isifiso esihlangene: Uketshezi luyakhishwa ngaphambi kokuba kufakwe i-contrast bese kuthunyelwa inani lamaseli, i-Gram stain, i-culture, futhi lapho kusolwa khona ukuthi isifo sofuba sikhona, ukuze kuhlolwe i-AFB kanye ne-GeneXpert. Lokhu kubalulekile eNdiya, lapho isifo sofuba samalunga sihlala siwumehluko obalulekile.
- Ibhulokhi lokubulala izinzwa lendawo lokuxilonga: Kuqinisekisa ukuthi ilunga liwumthombo wobuhlungu, ikakhulukazi ekudidekeni komgogodla we-hip vs lumbar.
- Umjovo we-corticosteroid wokwelapha: Ngezinye izikhathi kungezwa i-capsulitis enamathelayo noma i-arthritis yokuvuvukala, ngokubona kukadokotela olaphayo.
- Ukwanda kwamanzi (ukwanda kwe-capsular): Ehlombe eliqandisiwe, i-saline ene-steroid kanye ne-local anesthetic isetshenziswa ukwelula i-capsule eqinile ngesikhathi senqubo efanayo.
- Ukuvakashela okufanayo nge-radiographs noma ukubuka okuthwala isisindo uma ingatholakali kakade.
Umugqa Wesikhathi Wokuthola Isigaba Ngesigaba
| Isigaba | Lokho ongakuzwa | Okufanele ngikwenze | Yini okufanele uyigweme |
|---|---|---|---|
| Amahora okuqala angu-1-2 | Ukugcwala noma ukuqina kwamalunga ngenxa yoketshezi olujovwe; ubuhlungu obuncane | Phumula emnyangweni, isikhathi sokubuka, bika noma yisiphi isiyezi noma ukuqhuma | Ukuzishayela ekhaya uma kusetshenziswe umuthi wokudambisa ubuthongo |
| Usuku olufanayo (amahora angu-2?24) | Ubuhlungu, ukuvuvukala okuncane, ukuchofoza ngezikhathi ezithile njengoba uketshezi lumunca | Iqhwa imizuzu eyi-15-20 izikhathi ezimbalwa, gcina isitho sisekelwe, unikezwe ukuqeda ubuhlungu | Ijimu, ukugijima, ukuphakamisa izinto ezisindayo, ukugibela amabhayisikili amade anamasondo amabili |
| Usuku 2?3 | Ukungakhululeki kahle; ukubhoboza indawo kuyaphela | Ukunyakaza okuthambile kokuhamba, umsebenzi wedeski uvame ukwenzeka | Ukugoba ujule, ukuhlala ugobile imilenze isikhathi eside uma ujovelwe isinqe noma idolo |
| Usuku 4?7 | Iningi labantu libuyela ezimpawini zokuqala | Qhubeka nokuhamba, umsebenzi wasekhaya olula, i-physiotherapy uma kuceliwe | Xhumana nezemidlalo, umsebenzi wezandla onzima kuze kube yilapho ubuyekezwa |
| Isonto lesi-2 kuqhubeke | Izimpawu zibonisa isimo esiyisisekelo, hhayi ukuhlolwa | Ukubonisana okulandelayo ukuze kuxoxwe ngemibiko kanye nohlelo lokwelashwa | Ukunganaki umkhuhlane oqhubekayo, ukusabalala kobomvu noma ubuhlungu obandayo |
I-arthrogram iyisivivinyo sokuxilonga, hhayi ukwelashwa. Ukululama lapha kubhekisela ekululameni ngemva komjovo, hhayi enkingeni yamalunga uqobo.
Ukubuyela Emsebenzini, Empilweni Yansuku Zonke Nasezemidlalo
- Umsebenzi wedeski kanye nehhovisi: Ngokuvamile ngosuku olulandelayo, ngezinye izikhathi kusihlwa esifanayo.
- Ukushayela: Hhayi ngosuku lapho kunikezwe umuthi wokudambisa. Ukuze uthole umjovo wehlombe noma wedolo, qhubeka kuphela uma ungakwazi ukulawula imoto ngokunethezeka, ngokuvamile ngemva kwamahora angu-24 kuya kwangu-48.
- Ukugibela amabhayisikili anamasondo amabili: Linda okungenani amahora angama-24 kuya kwangu-48; Izindawo zomgwaqo zaseLucknow kanye neziphuli-sivinini zidlulisa ukugxumagxuma ngesinqe noma edolweni elijoviwe.
- Imisebenzi yasekhaya kanye neyezinga eliphansi lamaNdiya: Ukuhlala phansi ugoqe imilenze, usebenzisa indlu yangasese yesitayela samaNdiya nokulala phansi konke kuthwala umthwalo omkhulu esinqeni nasedolweni. Sebenzisa isihlalo se-Western commode noma isihlalo se-commode izinsuku ezimbili kuya kwezintathu ngemuva kokuhlinzwa kwe-hip noma idolo, bese usukuma esihlalweni kunokuba usuke phansi.
- Umsebenzi wasekhishini: Gwema ukugaya, ukugoqa izingubo ezisindayo nokufinyelela emashalofini aphezulu izinsuku ezimbili kuya kwezintathu ngemva kokuhlolwa kwe-arthrography ehlombe.
- Ijimu kanye nezemidlalo: Umsebenzi olula ngemva kwamahora angu-48 kuya kwangu-72 uma ungenabuhlungu. Buyela ekugijimeni, ekhilikithi, ebhedini, e-kabaddi noma ejimini kuphela ngemva kokubonisana nodokotela wamathambo, ngoba isinqumo sincike ekuxilongweni okutholwe yi-scan, hhayi emjovweni.
- Izindlela zokubuyela kwezemidlalo ngemva kwanoma yikuphi ukwelashwa okulandelayo ngokuvamile kuhlanganisa uhla oluphelele lokunyakaza olungenabuhlungu, amandla acishe alingane uma kuqhathaniswa nolunye uhlangothi, ukulawula okuqinisekile komlenze owodwa noma ngaphezulu, kanye nokuqedwa kwesigaba sokuvuselelwa esiqondene nezemidlalo.
Izingane, Abantu Abadala kanye Nezimo Ezikhethekile
Izingane kanye nentsha
Ukuhlolwa kwe-arthrogram ezinganeni kwenziwa ezimweni ezifana ne-developmental dysplasia ye-hip, i-osteochondritis dissecans, kanye nokuhlolwa kwamalunga ngemva kwe-traumatic. Umthamo wemisebe uyancishiswa, isiqondiso se-ultrasound siyathandwa lapho kungenzeka khona, futhi kungadingeka ukudambisa noma i-anesthesia ejwayelekile enesembozo se-anesthesia yezingane ezincane. Umzali ngokuvamile uvunyelwe ukuhlala kuze kube yilapho ukudambisa kuqala ukusebenza. Imiyalelo yokuzila ukudla yezingane iqinile futhi izochazwa ngokwehlukana.
Abantu abadala abadala
Ukusebenza kwezinso, ukulawulwa kwesifo sikashukela, ukusetshenziswa kwemithi yokuvimbela ukugabha kwegazi kanye nokuhambahamba konke kudinga ukunakwa. Ezigulini esezikhulile ezine-joint replacement, i-arthrography ngezinye izikhathi isetshenziselwa ukufuna ukukhululeka noma ukutheleleka. Ingozi yokuwa ngemva kokujova i-hip noma idolo ingokoqobo; hlela umnakekeli, futhi ugweme izitebhisi zodwa ngosuku lokuhlolwa.
Diabetes
Uma kufakwe i-steroid emjovweni, ushukela wegazi ungakhuphuka izinsuku ezimbalwa. Qapha kaningi futhi wazise udokotela wakho uma ukufundwa kunyuka kakhulu.
Ezinye izimo
- Ukungezwani komzimba okuhlukile okwaziwayo: Kumemezele kusenesikhathi; kungahlelwa umuthi wangaphambi kwesikhathi noma enye indlela.
- Ukutheleleka kwesikhumba okusebenzayo phezu kokutheleleka kwamalunga noma okuphathelene nomzimba: Inqubo ivame ukuhlehliswa.
- Izinkinga zokopha: Kudingeka kubuyekezwe ngaphambi kokujova.
- I-Claustrophobia: Xoxa ngalokhu kusenesikhathi; i-CT arthrography noma i-sedation kungaba izinketho.
Uma Ukhetha Ukungayitholi I-Arthrography
Ungase wenqabe, futhi leso sinqumo kufanele sihlonishwe futhi sibhalwe phansi. Qonda okulandelayo:
- Umbuzo wezokwelapha ungase ungaphenduliwe, futhi ukuhlinzwa kungase kudingeke kuhlelwe ngolwazi oluncane noma kube yi-arthroscopy yokuhlola esikhundleni salokho.
- Ezinye izindlela zifaka phakathi isikhathi sokuhlolwa kwe-physiotherapy kanye nokuguqulwa komsebenzi, ukuphinda i-MRI ecacile ngosuku olulandelayo, noma i-diagnostic arthroscopy ehlasela kakhulu.
- Ezinye izimo, njenge-labral small labral noma i-meniscal tears, zingaphathwa ngendlela ehlelekile ngaphandle kokudinga i-arthrogram, yingakho ingxoxo nomeluleki wakho ibalulekile.
- Ezinye izinkinga, ikakhulukazi ukungazinzi kanye nomonakalo oqhubekayo we-cartilage, zingaba zimbi kakhulu ngokuqhubeka nomsebenzi onzima, futhi ukubambezeleka kungashintsha ukuthi yikuphi ukwelashwa okungenzeka kamuva.
Yini Ethonya Izindleko Ze-Arthrography
Izindleko ziyahlukahluka kakhulu phakathi kwabantu futhi ziqinisekiswa kuphela ngemva kokubonisana nawe. Asishicileli izibalo lapha, futhi singakweluleka ukuthi ungathembeli kumawebhusayithi okuhlanganisa amanani. Khuluma ne-Apollo Lucknow reception, ikhawunta yokukhokhisa nge-radiology noma ideski lomshuwalense ukuze uthole isilinganiso esibhaliwe.
| Isici | Kungani kushintsha izindleko |
|---|---|
| Uhlobo lokufunda | I-arthrogram ejwayelekile ye-fluoroscopic, i-CT arthrogram kanye ne-MR arthrogram zihluka kakhulu ngesikhathi somshini kanye nezinto ezisetshenziswayo. |
| Kufundwe ngokuhlanganyela | Izinqubo zehlombe, isinqe, isihlakala, indololwane, iqakala kanye nedolo ziyahlukahluka ngezidingo ze-coil, ukulandelana kanye nesikhathi |
| Inani lamalunga | Izifundo ezihlangene noma ezihlangene eziningi zandisa isikhathi sokuskena |
| I-ejenti yokuqhathanisa | Nciphisa i-gadolinium uma kuqhathaniswa ne-iodine, kanye nomthamo osetshenzisiwe |
| Indlela yokuqondisa | Isikhathi se-suite se-fluoroscopy uma kuqhathaniswa nesiqondiso se-ultrasound |
| Ukuqeda ubuhlungu noma i-anesthesia | Ukubandakanyeka kodokotela ababulala izinzwa, ukuqapha kanye nokululama, ikakhulukazi ezinganeni nasezigulini ezikhathazekile |
| Izinqubo ezengeziwe | Ukuphefumula ngokuhlolwa kwelebhu, umjovo we-steroid wokwelapha, ukunwebeka kwamanzi emzimbeni |
| Uphenyo lwangaphambi kwenqubo | Umsebenzi wezinso, iphrofayili yokujiya kwegazi, ukuhlolwa kokutheleleka lapho kuboniswe khona |
| Ukubonisana nokulandelela | Ukuvakashelwa kwe-OPD ye-Orthopaedic ngaphambi nangemva kokuskena |
| Izindleko zokunakekelwa kwasemini noma zokuqapha | Uma kudingeka isikhathi eside sokubuka noma umbhede wokunakekelwa kwasemini |
| Umshuwalense uma kuqhathaniswa nokuzikhokhela | Ukuvunyelwa okungenamali, ukukhokha ngokubambisana kanye nemigomo yephakheji kuthinta lokho okukhokhayo ekhawunteni |
Umshuwalense, Ukwelashwa Okungenamali kanye Nenqubo ye-TPA eNdiya
- Isiguli esingalaliswanga esibhedlela uma kuqhathaniswa nesiguli esilaliswe esibhedlela: Izinqubomgomo eziningi zomshuwalense wezempilo zimboza izithombe zokuxilonga kuphela uma zihlobene nokwamukelwa noma inqubo yokunakekelwa kwasemini evunyelwe. I-arthrogram yesiguli esingalaliswa esibhedlela kuphela ingase ingakhokhelwa ngaphansi kwamanye amanqubomgomo. Qinisekisa nomshwalense wakho ngaphambi kokuqokwa.
- Indlela yokukhokha ngaphandle kwemali: I-Apollo Lucknow inedeski lomshuwalense kanye ne-TPA. Ngezinqubo ezihleliwe, thumela imininingwane yepholisi yakho kanye neseluleko sikadokotela bhala okungenani amahora angu-48 kuya kwangu-72 kusengaphambili ukuze kutholakale imvume kusengaphambili.
- Amadokhumenti avame ukudingeka: Ikhadi lenqubomgomo noma ikhadi le-e, i-ID enesithombe sikahulumeni njenge-Aadhaar, inothi likadokotela noma leseluleko elivela kumeluleki, imibiko yophenyo lwangaphambilini, kanye nefomu lokugunyazwa kusengaphambili eligcwalisiwe.
- Izikhathi zokulinda: Iningi lezinqubomgomo zesinxephezelo zaseNdiya linesikhathi sokulinda sokuqala sezinsuku ezingu-30, kanti izikhathi zokulinda zesifo ezikhona kakade zivame ukuba yiminyaka emibili kuya kwemine. Izimo ezihlobene namalunga kanye nesifo samathambo zivame ukufakwa ohlwini ngaphansi kwezikhathi zokulinda zesifo esithile zonyaka owodwa kuya kwemibili. Funda ishejuli yakho yenqubomgomo.
- Ingozi uma kuqhathaniswa nokunakekelwa okuhleliwe: Ukulimala ngemva kwengozi ebhalwe phansi kuvame ukukhokhwa kusukela ngosuku lokuqala, kuye ngemigomo yenqubomgomo, kanti isifo samalunga esiwohlokayo singase sidonsele isikhathi sokulinda. Gcina irekhodi lengozi, i-FIR uma ikhona, kanye nenothi lokuqala lokulimala.
- Izinhlelo zikahulumeni kanye nabaqashi: U-Ayushman Bharat PM-JAY, CGHS, ECHS, izinhlelo zikahulumeni wesifundazwe kanye namaphaneli ezinkampani ngalinye linesimo salo sokufaka kanye nenqubo yokugunyazwa. Hlola ukufakwa kwamanje kwe-Apollo Lucknow edeskini le-TPA lesibhedlela, njengoba amalungiselelo ephaneli eshintsha.
- Indlela yokubuyiselwa kwemali: Uma unqatshelwa noma ungatholakali ngaphandle kwemali, khokha bese ufaka isicelo kamuva. Gcina izikweletu zokuqala, amarisidi okukhokha, umbiko we-radiology, izithombe, kanye nesifinyezo sokukhishwa noma sokunakekelwa kwasemini.
- Inkokhelo ngokubambisana kanye nemikhawulo engaphansi: Amapholisi abantu asebekhulile avame ukuba nezigaba zokukhokha ngokubambisana. Cela ideski lomshuwalense ukuthi lichaze isabelo sakho esingaba khona ngaphambi kwenqubo.
Ukuhlela Ukuvakasha Kwakho Nokuthi Yini Ozoyiletha
- I-ID enesithombe sikahulumeni kanye nekhadi lomshuwalense noma le-TPA.
- Zonke izithombe ze-X-ray zangaphambilini, i-MRI kanye ne-CT ezinemibiko, kanye nanoma yimaphi amanothi okuhlinzwa noma amakhadi okufakelwa angaphambilini.
- Uhlu lwamanje lwemithi, okuhlanganisa imithi yokunciphisa igazi, imithi yesifo sikashukela kanye nezithasiselo zemithi noma ze-ayurvedic.
- Imininingwane yanoma yikuphi ukungezwani komzimba, ikakhulukazi idayi ehlukanisayo, i-iodine, noma i-anesthesia yendawo.
- Izingubo ezikhululekile ezingenazo iziphu zensimbi, izingwegwe noma imifekethiso. Susa ubucwebe, amabhengele, amaketanga e-mangalsutra, amawashi kanye nezikhonkwane zezinwele ngaphambi kokuhlolwa kwe-MRI. Shiya izinto eziyigugu ekhaya.
- Umsizi omdala, obalulekile uma kuhlelwe ukuthi kudliwe futhi kuwusizo kunoma yikuphi.
- Amanzi kanye nokudla okulula ngemva kwenqubo, ngaphandle kokuthi utshelwe ngenye indlela.
- Kwabantwana: izinto zokunethezeka, izingubo zokushintsha, kanye nephepha lemiyalelo yokuzila ukudla kwabantwana.
Izimpawu Zesexwayiso Ezidinga Ukubuyekezwa Ngokushesha
Iningi labantu alinalutho olubi njengosuku lobuhlungu. Xhumana nesibhedlela ngokushesha uma ubona:
- Umkhuhlane ongaphezu kuka-100.4°F (38°C), ukubanda noma ukuqina ezinsukwini ezilandela inqubo.
- Ubuhlungu bamalunga buyanda kunokuba bunciphe ngemva kwamahora angu-48.
- Ukubomvu, ukufudumala, ukuvuvukala noma ukuphuma kwamanzi endaweni yokujova.
- Ukungakwazi ukunyakaza noma ukuthwala isisindo esijoyintini lapho wawukwazi khona ngaphambili.
- Ukuqubuka, ukulunywa, ukuvuvukala kobuso noma komphimbo, ukuphefumula kanzima noma ukuphelelwa umoya, okungase kubonise ukusabela okuhlukile futhi kudinga ukunakekelwa okuphuthumayo.
- Ukuba ndikindiki, ukuqaqamba noma ubuthakathaka esithweni.
- Kwabanesifo sikashukela, amazinga kashukela egazini aphezulu ngendlela engavamile ngemva komjovo we-steroid.
Ukuvikela Amalunga Nokunciphisa Ukuphindaphinda
- Qedela uhlelo lwe-physiotherapy; ukuqina okuzungeze ilunga kuyisivikelo esithembeke kakhulu ekulimaleni okuphindaphindiwe.
- Shintsha ukuma kwephansi laseNdiya okunzima kakhulu lapho kwandisa khona izimpawu: ukuquleka isikhathi eside, ukuhlala phansi ugobile imilenze, ukuguqa ngamadolo ukuze uhlanze iphansi noma i-puja, kanye nokuvuka njalo usuka phansi. Isihlalo esiphansi, i-Western commode adaptor kanye nombhede ophakanyisiwe kuyizinguquko ezilula nezisebenzayo.
- Gcina isisindo somzimba sisezingeni elifanele; ikhilogremu ngayinye inciphisa umthwalo emadolweni nasezinqeni ngokungalingani.
- Ukuntuleka kwe-Vitamin D kuvame kakhulu eNdiya. Hlola amazinga bese uwalungisa ngaphansi kweseluleko sikadokotela.
- Zifudumeze ngaphambi komdlalo, qhubeka nokuqeqeshwa kancane kancane, bese usebenzisa indlela efanele yemidlalo edlalwa ngaphezulu njenge-cricket bowling, i-badminton kanye ne-volleyball.
- Phatha kahle isifo sikashukela, njengoba ukungalawuli kahle kuhlotshaniswa nokuqandeka kwehlombe kanye nokuphola kwezicubu ezithambile kancane kancane.
- Yiba khona ekulandeleleni ukuze ukutholwa kusenesikhathi okungelapheka kungabi yinkinga yesakhiwo esisemuva kwesikhathi.
Kweziguli Ezihamba Zisuka Ezifundeni nasemadolobheni Aseduze
Izibhedlela zase-Apollo eLucknow zisemzileni iKanpur Road, okwenza kube lula ukufinyelela kuzo usuka endaweni ebanzi.
- Kuvame ukuhamba kusuka: I-Kanpur, i-Unnao, i-Barabanki, i-Raebareli, i-Sitapur, i-Hardoi, i-Lakhimpur Kheri, i-Sultanpur, i-Faizabad ne-Ayodhya, i-Gonda, i-Bahraich, i-Basti, i-Pratapgarh, i-Jaunpur, i-Fatehpur, i-Banda, i-Shahjahanpur ne-Bareilly, kanye neziguli ezivela ezingxenyeni zesifunda sase-Bihar ne-Nepal.
- Hlela indlela yokuvakasha okukodwa: Shayela kusengaphambili ukuze ukubonisana, ukuhlolwa kwangaphambi kwenqubo kanye nesikhala se-arthrogram kuhlelwe eduze, kugwenywe ukuphinda uhambo.
- Phatha wonke amafilimu angaphambilini ngokomzimba, hhayi nje kuphela ekhamera yocingo; odokotela be-radiology bavame ukudinga izithombe zokuqala.
- Isikhathi sokuhamba: Gwema uhambo olude lwebhasi noma lwebhayisikili ngokushesha ngemva kokuhlolwa kwe-arthrogram yesinqe noma yedolo. Uma kungenzeka, hlala endaweni yakini noma uhambe ngemoto umlenze usekelwe.
- Indawo yokuhlala: Izindlu eziningana zezivakashi namahhotela asebenza eduze komgwaqo iKanpur kanye ne-Alambagh stretch. Ihhovisi lesibhedlela lingakunikeza iseluleko ngezinketho eziseduze.
- Ukuxhumana: ILucknow ihanjiswa yiziteshi zesitimela zaseCharbagh naseGomti Nagar kanye neChaudhary Charan Singh International Airport, kanye nesiteshi samabhasi sase-Alambagh esiseduze nomgwaqo iKanpur Road.
- Ukunakekela umndeni ngokuhlanganyela: Umlindi oyedwa ongezwa imiyalelo, athathe umbiko futhi aphathe amaphepha uwusizo kakhulu kunezihlobo eziningana ezilindile. Uma isiguli sesikhulile, khetha umlindi naye ozoba khona ekhaya amahora angama-24 alandelayo.
Ukuxhumana kanye nama-Aphoyintimenti
| Imininingwane | Ulwazi |
|---|---|
| Isibhedlela | Izibhedlela zase-Apollo, eLucknow (Isibhedlela Esikhethekile Se-Apollomedics) |
| Ikheli | UMgwaqo iKanpur?Lucknow, iSector B, iBargawan, iKoloni le-LDA, iLucknow, e-Uttar Pradesh 226012 |
| Inombolo yosizo ye-aphoyintimenti ephakathi | 1860-500-1066 (Umugqa we-aphoyintimenti kazwelonke we-Apollo Hospitals) |
| Ukubhuka ku-inthanethi | Ngekhasi lenqubo ku-apollohospitals.com/lucknow/procedures/arthrogram kanye neplatifomu ye-Apollo 24|7 |
| imeyili | Imizila yokubuza nge-imeyili inikezwa ngefomu lokubuza kuwebhusayithi esemthethweni ye-Apollo Hospitals Lucknow. |
| Izinsizakalo eziphuthumayo | Izinsizakalo eziphuthumayo kanye nezengozi zisebenza ubusuku nemini |
| Izikhathi ze-OPD kanye ne-radiology | Izikhathi ze-OPD ngokochwepheshe kanye nezikhathi ze-radiology azishicilelwa njengesheduli ehleliwe; lokhu kuqinisekiswa ngesikhathi sokubhukha. |
| Umshwalense kanye nedeski le-TPA | Kutholakala esibhedlela; xhumana nodokotela ngaphambi kokuqokwa ukuze uthole imvume kusengaphambili kanye nesimo sephaneli |
Lapho imininingwane ethile efana nokwandiswa komnyango, amahora omtholampilo womeluleki oqanjwe ngegama noma intengo ingashicilelwanga, sicela uqinisekise ngqo endaweni yokwamukela izivakashi esibhedlela ngesikhathi sokubhukha kunokuthembela ohlwini lwabantu besithathu.
imibuzo ejwayelekile ukubuzwa
Iyini i-arthrogram, futhi yenziwa kanjani?
I-arthrogram inqubo yokuthwebula izithombe ehilela ukufaka idayi yokungafani esibayeni ukuze kuthuthukiswe ukubonakala ngesikhathi sokuhlolwa kwezithombe njenge-X-ray, i-CT noma i-MRI. Le nqubo ivame ukwenziwa udokotela we-radiologist ngaphansi kwesiqondiso sesithombe futhi ivame ukuhilela i-anesthesia yendawo ukuze kuncishiswe ukungakhululeki.
Yiziphi izingozi ezihlobene ne-arthrogram?
Ama-arthrogram ngokuvamile aphephile. Izingozi ezingaba khona zifaka phakathi ukusabela kokungezwani komzimba nodayi wokungafani, ukutheleleka endaweni yomjovo, ukopha, kanye nokungakhululeki kwesikhashana noma ukuvuvukala kwamalunga. Izinkinga ezinkulu ezifana nokutheleleka kwamalunga azivamile, futhi iqembu lithatha izinyathelo zokuphepha ezingenamagciwane ukuze lizinciphise.
Ithatha isikhathi esingakanani inqubo ye-arthrogram?
Umjovo ngokwawo uvame ukuthatha imizuzu eyi-15 kuya kwengama-30, kanti isikhathi esiphelele sokuhlolwa kwe-MR arthrography sivame ukuthatha imizuzu engama-30 kuya kwengama-60 noma ngaphezulu. Ungadinga isikhathi esifushane sokubheka ngaphambi kokuphuma.
Ngingaqalisa nini kabusha imisebenzi evamile ngemva kwe-arthrogram?
Iningi leziguli libuyela emisebenzini evamile zingakapheli usuku noma ezimbili. Landela izincomo zikadokotela wakho eziqondile mayelana nemikhawulo yokusebenza, ikakhulukazi uma kunikezwe nomjovo wokwelashwa.
Ngingahlela kanjani ukubonisana nodokotela we-arthrogram e-Apollo Hospitals Lucknow?
Ungashayela ucingo lwe-aphoyintimenti ye-Apollo ku-1860-500-1066, bhukha ngewebhusayithi ye-Apollo Hospitals Lucknow noma i-Apollo 24|7, noma ungene edeskini le-aphoyintimenti. Ithimba lizokuqondisa ngezidingo zangaphambi kwenqubo.
Ingabe i-arthrogram ibuhlungu?
Uzozwa ukugwazwa yi-pinkick ngenxa ye-anesthesia yendawo bese ucindezelwa noma ugcwala njengoba uketshezi lungena emalungeni. Iningi labantu lichaza lokhu njengokungakhululeki kunokuba kube buhlungu. Ubuhlungu usuku olulodwa ngemva kwalokho kuyinto evamile.
Kungani udokotela wami ecele i-MR arthrogram kanti mina sengivele ngine-MRI?
I-MRI ecacile ingase ingakhombisi ngokucacile ukudabuka okuncane kwe-labral, ukungazinzi okuncane noma ukudabuka kabusha kwe-meniscus eyayihlinzwe ngaphambilini. Ukuhlukanisa ijoyinti ngokuqhathanisa kuhlukanisa izakhiwo futhi kuthuthukisa ukutholakala kwalezi zinhlobo.
Ochwepheshe Bethu.
Ithimba Lakho Lokunakekela.
Disclaimer:
Ulwazi olunikezwe kuleli khasi luhloselwe izinjongo zolwazi olujwayelekile kanye nezemfundo kuphela. Nakuba senza imizamo efanele yokuqinisekisa ukuthi ulwazi lunembile, luthembekile, futhi lubuyekezwa njalo, akufanele lubhekwe njengoluthatha indawo yeseluleko sezokwelapha, ukuxilongwa, noma ukwelashwa kochwepheshe.
Ukufaneleka kwenqubo yezokwelapha, kanye nezinzuzo zayo, izingozi, ukulungiselela, ukululama, izinkinga ezingaba khona, kanye nemiphumela elindelekile, kungahlukahluka kumuntu nomuntu. Uchwepheshe wakho wezempilo uzonquma ukuthi inqubo iyafaneleka yini ngokusekelwe esimweni sakho kanye nomlando wezokwelapha.
Sicela uthintane nochwepheshe wezempilo ofanelekayo ukuze uthole iseluleko esiqondene nawe ngaphambi kokwenza izinqumo mayelana nanoma iyiphi inqubo yezokwelapha.
Ukuze uthole ulwazi olwengeziwe mayelana nendlela okuqukethwe kwethu kwezokwelapha okudalwa ngayo, okubuyekezwa ngayo, okubuyekezwa ngayo, nokugcinwa kwayo, sicela ufunde [Inqubomgomo Yokuhlela] yethu.