Izibhedlela zase-Apollo eLucknow (i-Apollomedics Super Specialty Hospital) zinikeza ukufakelwa kwezinso ngohlelo oluhlanganisiwe oluhlanganisa i-nephrology, i-urology kanye nokuhlinzwa kokufakelwa, ukunakekelwa okubucayi, umuthi wokumpontshelwa igazi, izifo ezithelelanayo kanye ne-dietetics ngaphansi kophahla olulodwa. Amaphuzu alandelayo achaza ukuthi kungani imindeni kulo lonke elase-Uttar Pradesh icabangela iyunithi yokwelashwa kokufakwa kwezinso esikhundleni.
- Ithimba elilodwa elihlelekile lokufakelwa izitho: odokotela bezifo ze-nephrologists, odokotela bokufakelwa izitho kanye nodokotela be-urological, odokotela be-anesthesia, odokotela be-intensivists kanye nabaxhumanisi bokufakelwa izitho basebenza njengeyunithi eyodwa, ngakho-ke ukuhlolwa kwabanikeli kanye nokuhlolwa kwabamukeli kuhamba ngasikhathi sinye kunokuba kulandelelwe.
- Iminyaka eminingi yesipiliyoni sezokwelapha esihlangene: Abeluleki emnyangweni we-nephrology kanye ne-urology baletha amashumi eminyaka okusebenza okuhlangene ekuhlanzeni igazi, ukufinyelela emithanjeni yegazi, ukufakelwa komhlinzeki ophilayo kanye noshonile, kanye nokulandelwa kokufakelwa komhlinzeki ngemva kokufakelwa. Ubukhulu beqembu obuqondile kanye namaphrofayili omuntu ngamunye kuyashintsha ngokuhamba kwesikhathi futhi kuqinisekiswa kangcono ohlwini lodokotela besibhedlela noma ekwamukelweni.
- Ifa lika-Apollo: Izibhedlela zase-Apollo zaqala ngo-1983 futhi kusukela lapho sezikhule zaba ngelinye lamaqembu amakhulu okunakekelwa kwempilo ahlanganisiwe e-Asia. Leli qembu linelinye lamaqembu okufakelwa izitho eziqinile asebenza isikhathi eside eNdiya, kanti iziguli zaseLucknow ziyazuza ezinqubweni zeqembu lonke, imibono yesibili kanye nezindlela zokudlulisela.
- Usekelo lwe-dialysis ye-full-spectrum: i-hemodialysis, i-sustained low-efficiency dialysis (SLED) yeziguli ezingazinzile, ukwelashwa okuqhubekayo kokushintsha kwezinso e-ICU, kanye ne-peritoneal dialysis - ngakho isiguli asishiywa singenalo ibhuloho ngenkathi silinde ukufakelwa.
- Umgogodla we-immunological kanye nelebhu: iqembu legazi kanye nokuthayipha kwe-HLA, ukuhlolwa kokufanisana, ukuhlolwa kwama-antibody athile anikelwe kanye nekhono lokushintshana nge-plasma, okubalulekile kwabamukeli abangahambisani ne-ABO futhi abazwelayo.
- Ingqalasizinda yokusebenza yesimanje kanye nokunakekelwa okubucayi: Izindawo zokuhlinza ezihlungiwe nge-HEPA, ubuchwepheshe bokususwa kwe-laparoscopic nephrectomy, imibhede ye-ICU yokufakelwa kanye nezindawo zokuzihlukanisa zeziguli ezicindezelwe amasosha omzimba.
- Izinhlelo ezenzelwe ngokweminyaka: okokufaka kwe-nephrology yezingane ezinganeni ezinesifo sezinso sokuzalwa noma esakhiwe, kanye nezinqubo ezithinta abantu asebekhulile abathola isifo senhliziyo, isifo sikashukela noma ubuthakathaka.
- Ukuthobela imithetho nezimiso zokuziphatha: inqubo yekomidi lokugunyaza elisesibhedlela ngokuhambisana noMthetho kanye neMithetho Yokufakelwa Kwezitho Zabantu Nezicubu, kanye nabaxhumanisi bokufakelwa abaqondisa imindeni ngemibhalo, izidingo zeKomidi Lokugunyazwa Kwesifundazwe kanye nokubhaliswa kwe-SOTTO/NOTTO kohlu lokulinda lwabanikeli abashonile.
- Umshwalense kanye nedeski le-TPA: ukwesekwa ngokugunyazwa kusengaphambili, ukucutshungulwa ngaphandle kwemali kanye nemibhalo yesikimu sohlobo lwe-CGHS/ECHS/Ayushman Bharat lapho kufanele khona.
- Ukulandelela impilo yonke: imitholampilo ehlelekile yangemva kokufakelwa, ukuqapha izinga lemithi (amazinga e-tacrolimus), ukuqapha ukutheleleka kanye nokwelulekwa ngokudla, kanye nezinketho zokubonisana ngocingo zeziguli ezibuya ezifundeni ezikude.
Uhlolojikelele
Ukufakelwa kwezinso kuyindlela yokuhlinzwa esindisa impilo ehilela ukufaka esikhundleni sokusebenza kwezinso ezigulayo noma ezingasebenzi ngokufaka izinso eziphilile ezivela kumuntu onikelayo kumuntu otholayo. E-Apollo Hospitals Lucknow, sihlose ukuba phakathi kwezikhungo ezithembeke kakhulu zokufakelwa izinso esifundeni, ngokuzibophezela ekwenzeni kahle kwezokwelapha, ubuchwepheshe obuthuthukisiwe kanye nokunakekelwa kwesiguli okwenziwe ngokwezifiso. Ithimba lethu lodokotela bezifo kanye nodokotela abahlinzayo bokufakelwa izinso lisebenzisa amasu asekelwe ebufakazini kanye nezikhungo ezihlonyiswe kahle ukuze kusebenzelwe umphumela omuhle kakhulu ongafinyeleleka wesiguli ngasinye. Sigxile kakhulu ekwethembeni kwesiguli kanye nokwelulekwa okuqotho, sinikeza ukwesekwa okuphelele kulo lonke uhambo lokufakelwa izinso.
Eziningini zokufakelwa izinso zesiguli ziyashiywa endaweni yazo, bese inso entsha ifakwa esiswini esingezansi (iliac fossa) bese ixhunyaniswa nemithambo yegazi ye-pelvic kanye nesinye. Yingakho inqubo ngezinye izikhathi ichazwa njengokwengeza inso kunokushintshanisa eyodwa.
Kungani Ukufakelwa Kwezinso Kudingeka
Ukufakelwa kwezinso kuyadingeka uma umuntu enesifo sezinso esingapheli (ESRD) noma isifo sezinso esingamahlalakhona esithuthukile (CKD), lapho izinso zingasakwazi ukuhlunga ukungcola kanye noketshezi oluningi ngokwanele. Lokhu kungabangelwa isifo sikashukela, umfutho wegazi ophakeme, i-glomerulonephritis, isifo sezinso se-polycystic, isifo esingamahlalakhona esingaphakathi kwesisu, i-obstructive uropathy kanye, engxenyeni yeziguli zaseNdiya, isifo sembangela engakaziwa esitholakale sekwephuzile.
Izinzuzo zokufakelwa izinso zibalulekile. Ngokungafani ne-dialysis, edinga ukwelashwa okuqhubekayo futhi engadla isikhathi futhi ikhathaze, ukufakelwa izinso okuphumelelayo kungabuyisela ingxenye enkulu yokusebenza kwezinso, kuthuthukise ikhwalithi yokuphila, futhi, kubantu abafanelekile, kuthuthukise ukusinda isikhathi eside uma kuqhathaniswa nokuhlala ku-dialysis. Iziguli zivame ukubuyela emsebenzini nasemisebenzini evamile, zibhekene nemikhawulo embalwa yokudla noketshezi, futhi zibike impilo engcono iyonke. Ezibhedlela zase-Apollo eLucknow siyaqonda ukuphuthuma futhi sizibophezele ekunakekelweni okufika ngesikhathi nangokuphumelelayo.
Ukufakelwa kwesitshalo akufanele wonke umuntu. Ukutheleleka okungelashwa, umdlavuza osebenzayo, isifo senhliziyo noma samaphaphu esibi esingalungiseki, kanye nezimo lapho isiguli singenakukwazi ukuthatha imithi yokucindezela amasosha omzimba ngendlela ethembekile yizona zizathu ezenza ukufakelwa kwesitshalo kuhlehliswe noma kwelulekwe ukuthi kungenzeki. Lokhu kuhlolwa ngokwethembeka ngesikhathi sokuhlolwa.
Izingozi Zokubambezeleka
Ukuhlehlisa ukufakelwa izinso kungaholela ezinkingeni ezinkulu zempilo. Njengoba ukusebenza kwezinso kwehla, ubuthi buyaqoqana, okubangela ukukhathala, isicanucanu, ukungakuthandi ukudla, ukuphelelwa umoya nokuvuvukala. Ukuthembela isikhathi eside ekuhlanzeni izinso kuhlotshaniswa nokutheleleka kokufinyelela emithanjeni yegazi, izifo zenhliziyo, i-anemia, kanye nokuphazamiseka kwamaminerali namathambo.
Ukwelashwa ngesikhathi kubalulekile. Isikhathi eside esichithwa ku-dialysis ngaphambi kokufakelwa ngokuvamile sihlotshaniswa nemiphumela engemihle ye-graft kanye nemiphumela yesiguli, yingakho ukufakelwa ngaphambi kokufakelwa - ukufakelwa ngaphambi kokuhlinzwa kuba nesidingo, ngokuvamile lapho i-eGFR yehla ngaphansi kwama-15 kuya ku-20 mL/min/1.73 m? kanye nokwehla okuqhubekayo - kunconywa lapho kutholakala khona umnikeli ophilayo. Ezibhedlela zase-Apollo eLucknow sikhuthaza ukudluliselwa kusenesikhathi ukuze ukuhlolwa kungasheshi.
Izinzuzo Zokufakelwa Kwezinso
- Izinga lempilo elithuthukisiwe: iziguli eziningi zibika amandla angcono, isifiso sokudla kanye nekhono lokuqhubeka nomsebenzi, ukufunda kanye nemithwalo yemfanelo yomndeni.
- Ukusinda okungcono kwesikhathi eside kwabafanelekayo: Idatha yokubhalisa ikhombisa njalo ukusinda okujwayelekile isikhathi eside ngemva kokufakelwa izicubu kunangesikhathi sokulungisa i-dialysis, yize imiphumela yomuntu ngamunye ihlukahluka ngokweminyaka kanye nezinye izifo.
- Inkululeko ekuhlanzeni nge-dialysis: i-graft esebenzayo isusa isidingo sezikhathi ezimbili kuya kwezintathu ze-dialysis ngesonto kanye nohambo oluhambisanayo.
- Izinkinga ezimbalwa ezihlobene nezifo: ukulawulwa okungcono kwe-anemia, izifo zamathambo, kanye nomfutho wegazi ovamile.
- Ukuguquguquka okukhulu kokudla: Imikhawulo ye-potassium, i-phosphate kanye noketshezi ivame ukuncipha kakhulu, yize ukulinganisela usawoti kanye nokulawula isifo sikashukela kusabalulekile.
- Amandla okuzala abuyiselwe: Ukuhlala njalo kokuya esikhathini kanye nokuzala kuvame ukuthuthuka ngemva kokufakelwa; ukukhulelwa kungenzeka kodwa kumele kuhlelwe nethimba lokufakelwa, ngokuvamile okungenani unyaka ngemuva kokufakelwa okuzinzile kanye nemithi ephephile yokukhulelwa.
Lezi zinzuzo ziza nomthwalo wemfanelo wokuphila konke wemithi yokucindezela amasosha omzimba, ukuhlolwa kwegazi njalo kanye nezinyathelo zokuzivikela ekuthelelekeni.
Ukulungiselela Nokubuyisela
Amathiphu Wokuzilungiselela
- Ukubonisana: Hlangana nethimba lokufakelwa isitho ukuze nixoxe ngomlando wezokwelapha, isimo samanje kanye nendlela yokufakelwa isitho.
- Ukuhlolwa kwangaphambi kokufakelwa: ukuhlolwa kwegazi, ukuthayipha izicubu kanye nokuqhathaniswa kwazo, ukuthwebula izithombe, ukuhlolwa kwenhliziyo, ukuhlolwa kwezifo kanye nokubuyekezwa kwamazinyo ukuze kuqinisekiswe ukuthi uyafaneleka.
- Ukulungiswa kwendlela yokuphila: ukudla okulinganiselayo, umsebenzi ofanele womzimba, ukuyeka ngokuphelele ukubhema, ukuhlafuna ugwayi (i-gutkha, i-khaini) kanye notshwala.
- Uhlelo lokusekela: thola umnakekeli oyinhloko kanye nomuntu osekelayo, njengoba izinyanga ezintathu zokuqala zidinga ukuvakashelwa njalo esibhedlela.
Amathiphu Okubuyisela
- Ukunakekelwa kokulandelela: Yiba khona kuzo zonke izibuyekezo ezihleliwe; ukuvakasha kwasekuqaleni kungaba kabili ngesonto.
- Ukubambelela emithini: thatha imithi yokucindezela amasosha omzimba ngezikhathi ezimisiwe, ungalokothi weqe noma uzilungisele imithamo, futhi ugweme imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela kanye nemithi yamakhambi noma ye-ayurvedic engakanqunywanga ngaphandle kokuyiqeda nethimba.
- Indlela yokuphila enempilo: qhubeka nokudla okunengqondo, umsebenzi womzimba kancane kancane kanye nokulawula isisindo.
- Hlala unolwazi: funda izimpawu eziyisixwayiso zokwenqatshwa kanye nokutheleleka futhi wazi ukuthi ubani okufanele umshayele ucingo.
Ithimba lethu likuqondisa kuzo zonke lezi zinyathelo.
Isiqondiso Sezokwelapha Samanje Silandelwe
Ukunakekelwa kule yunithi kuhambisana neziqondiso zezwe nezamazwe ngamazwe ezamukelwa kabanzi kunokuba kube ngokwesiko lendawo kuphela.
- I-Indian Society of Nephrology (ISN India) kanye ne-Indian Society of Organ Transplantation (ISOT): Iziqondiso zokuvumelana ze-ISOT Indian mayelana nokuhlolwa nokuphathwa komnikeli wezinso ophilayo kanye nokunakekelwa kwangemva kokufakelwa kusalokhu kuyinkomba eyinhloko yaseNdiya, futhi zigcizelela ukumelwa kwabanikeli abazimele, ukulandelwa kwabanikeli besikhathi eside kanye nokuqapha isifo sofuba kanye nezinye izifo ezithathelwanayo.
- Umhlahlandlela Wokusebenza Kwezokwelapha we-KDIGO 2020 Ekuhlolweni Nokuphathwa Kwabazongenela Ukufakelwa Kwezinso: lokhu kwasusa insimu ekuncishisweni kweminyaka eqinile kanye ne-BMI kwaba ukukhethwa kwabantu ngabanye, okusekelwe engozini, futhi kwavimbela ukushiywa ngaphandle njalo kweziguli ezindala noma ezikhuluphele ngokweqile ngenxa nje yezinombolo.
- Isiqondiso se-KDIGO 2009 sokunakekelwa kwabathola ukufakelwa kwezinso, kanye nezibuyekezo ezilandelayo: isekela ukuqaliswa kanye nokugcinwa kokucindezelwa kwamasosha omzimba, ukuvimbela ukutheleleka kanye nezinhlelo zokuqapha.
- Isiqondiso se-KDIGO 2024 CKD: kuqinisa ukudluliselwa kusenesikhathi, i-eGFR kanye nezinga lobungozi elisekelwe ku-albuminuria, kanye nokulungiselela ngesikhathi ukwelashwa kokushintsha izinso - okuhlanganisa nengxoxo ngokufakelwa izinso ngaphambi kokuhlinzwa.
- UMthetho Wokufakelwa Kwezitho Zomuntu Nezicubu, ka-1994, kanye noshintsho luka-2011 kanye neMithetho ka-2014: uhlaka lwezomthetho olulawula imvume yabanikeli, imibhalo yezihlobo eziseduze, ukuvunyelwa kwekomidi lokugunyaza kwezihlobo ezingezona eziseduze, ukufakelwa izitho zokufakelwa (ukushintshana okubhangqiwe) kanye nokwabiwa kwabanikeli abashonile nge-NOTTO, i-ROTTO kanye nesifundazwe i-SOTTO.
- Isiqondiso Sohlelo Lukazwelonke Lokufakelwa Izitho: Eminyakeni yamuva nje imikhawulo esuselwe ekhaya yokubhalisa ohlwini lokulinda lwabanikeli abashonile kwelinye izwe isusiwe, futhi umkhawulo weminyaka ephezulu wokubhalisa ukufakelwa kwezinso zabanikeli abashonile awusasetshenziswa - ukubhaliswa manje sekusekelwe ekufanelekeni kwezokwelapha.
Kukuphi lapho ubufakazi bungaqiniseki khona - isibonelo indlela efanele yokucindezela amasosha omzimba yesikhathi eside yesiguli ngasinye, noma inzuzo eqondile yokufakelwa isitho kumuntu osekhulile obuthakathaka kakhulu - ithimba lizokusho lokho futhi lixoxe ngezinkinga zokushintshana esikhundleni sokunikeza isiqiniseko esingamanga.
Isikhathi Senqubo kanye Nesigaba Sangaphambi Kwenqubo
Ukufakelwa izinso ngomnikelo ophilayo kuwukuhlinzwa okuhleliwe. Ukufakelwa kwezinso ngomnikelo oshonile kuyisimo esiphuthumayo esingafika nganoma yisiphi isikhathi, futhi umamukeli kumele afike esibhedlela ezile ukudla ngokushesha.
| Stage | Ubude besikhathi obujwayelekile | Kwenzakalani |
|---|---|---|
| Ukubonisana kokuqala kwe-nephrology | Ukuvakasha okungu-1 | Qinisekisa isigaba se-CKD, imbangela, isimo se-dialysis, xoxa ngokufaneleka kokufakelwa kanye nezinketho zomnikeli |
| Ukulungiswa komemukeli | I-2 kumaviki angu-4 | Ukubalwa kwegazi, ukuhlolwa kwe-virology (i-HIV, i-hepatitis B kanye ne-C), ukuhlolwa kwesifo sofuba, i-echocardiogram, ukuhlolwa kokucindezeleka noma i-angiography uma kubonisiwe, izithombe zomchamo, ukuhlolwa kwamazinyo kanye nokuhlolwa kwabesifazane |
| Ukuhlolwa kwabanikeli | Amaviki amabili kuya kwamane, ngokuvamile ahambisana | Iqembu legazi, ukuthayipha kwe-HLA, ukufana, ukuskena kokusebenza kwezinso okuhlukanisiwe, i-CT angiography, ukwelulekwa kwengqondo nokuzimela |
| Ukugunyazwa ngokomthetho | Iyaguquguquka, ngokuvamile amasonto amathathu kuya kwangu-8 | Ubufakazi obuseduze, ikomidi lokugunyazwa kwesibhedlela noma imvume yeKomidi Lokugunyazwa Kwesifundazwe njengoba kufanele |
| Ukwamukelwa ngaphambi kokuhlinzwa | Izinsuku ezi-1 kuya kweziyi-2 ngaphambi kokuhlinzwa | Ukufaniswa kokugcina, i-dialysis uma kudingeka, ukubuyekezwa kwe-anesthesia, imvume, ukuhlela ukuqaliswa |
| Ukuhlinzwa | Ngokuvamile amahora amathathu kuya kwayisithupha | I-graft ibekwe ku-iliac fossa, i-vascular kanye ne-ureteric anastomosis |
Izikhathi ezibekiwe ziyabonisa. Amashejuli ekomidi, izinkinga zokufaneleka kwabaxhasi kanye nesidingo sokuhlolwa okwengeziwe kwenhliziyo noma ukutheleleka kungakwandisa lokho.
Izinketho Zobuchwepheshe Nezokunikela Ziqhathaniswa
| Option | Okubandakanya | Izinzuzo eziyinhloko | Okucatshangelwayo okuyinhloko |
|---|---|---|---|
| Ukufakelwa komnikeli okuhlobene nokuphila | Izinso ezivela kumzali, umfowabo, ingane, umlingani noma ugogo nomkhulu | Isikhathi esihleliwe, ukulinda okufushane kakhulu, isikhathi eside sokufakelwa okungcono, ukufakelwa ngaphambi kokukhulelwa kungenzeka | Kudinga umnikeli ozimisele, ogunyaziwe ngokwezokwelapha nangokomthetho; umnikeli uhlinzwa kakhulu |
| Ukufakelwa kwesilwane esifile | Izinso zinikezwa ngokubhaliswa kwezitho zikahulumeni | Akekho umuntu ophilayo osengozini yokuhlinzwa | Isikhathi sokulinda esingalindelekile, amathuba aphezulu okungasebenzi kahle kwe-graft, ukushayelwa esibhedlela ngokushesha |
| Ukufakelwa okungahambelani ne-ABO | Umnikeli ongalingani ngokweqembu legazi, kanye nokususwa kwe-antibody ngaphambi kokuhlinzwa | Ivula abaxhasi abebengenqatshwa ngaphandle kwalokho | Udinga ukushintshaniswa kwe-plasma noma i-immunoadsorption kanye nemithi eyengeziwe; izindleko eziphezulu kanye nengozi yokutheleleka |
| Shintsha noma ushintshanise okubhangqiwe | Ababili abamukeli abanikelayo abangahambisani bashintshana ngabanikeli, ngemvume esemthethweni | Kugwema ukudambisa uzwela ezimweni eziningi | Kuncike ekutholeni i-pair efanayo; imibhalo eyengeziwe kanye nokuxhumana |
| Ukususwa kwe-nephrectomy yomnikeli ovulekile | Izinso zisuswe ngokusikwa kwe-flank noma i-subcostal | Isungulwe kahle, ngezinye izikhathi ikhethwa kakhulu ekwakheni imithambo yegazi eyinkimbinkimbi | Ukululama isikhathi eside kwabanikeli, isilonda esikhulu, ubuhlungu obukhulu ngemva kokuhlinzwa |
| Ukuhlinzwa kwe-Laparoscopic noma i-nephrectomy yomhlinzeki osizwa ngesandla | Ukususwa kwembobo yokhiye wenso yomnikeli | Ubuhlungu obuncane bomnikeli, ukuhlala isikhathi esifushane, ukubuyela emsebenzini ngokushesha | Kudinga ubuchwepheshe obuthile bokuhlinzwa; kungaguqulwa kube okuvulekile uma kudingeka |
| Ukuqhubeka nokuhlanza igazi | I-Hemodialysis noma i-peritoneal dialysis ngaphandle kokufakelwa | Akukho ukuhlinzwa, akukho ukucindezeleka kwamasosha omzimba | Umthwalo wesikhathi oqhubekayo, izinkinga zokufinyelela, umbono wesikhathi eside ompofu kakhulu kunokufakelwa okuphumelelayo |
Ukuthi yiziphi izinketho ezitholakalayo nezifanele isiguli esithile kunqunywa ngemva kokuhlolwa futhi kuxoxwe ngokukhululekile.
Izinqubo Ngezinye izikhathi Zenziwa Kanyekanye
- Ukususwa kwe-nephrectomy yomdabu: Ukususwa kwenso eyodwa noma zombili zokuqala kwisifo sezinso se-polycystic ngaphandle kwesikhala se-graft, ekuthelelekeni okungapheli, noma ekucindezelekeni kwegazi okungalawuleki noma ekuphumeni kwegazi okuyinkinga. Kungenziwa ngaphambi noma ngesikhathi sokufakelwa.
- Ukubekwa kwe-stent ye-ureter: I-stent yesikhashana ye-JJ ivame ukufakwa ngesikhathi sokuhlangana kwe-ureter nesinye bese isuswa emavikini ambalwa kamuva nge-cystoscopy.
- Ukwakhiwa kabusha kwesinyi noma umgudu womchamo: ngezinye izikhathi kuyadingeka ezigulini ezinesifo esincane, esingahambisani kahle ne-bladder noma i-posterior urethral valve, ikakhulukazi ezigulini ezisencane.
- I-Parathyroidectomy: kwi-hyperparathyroidism enzima eseyinesikhathi eside, ngokuvamile ihlelwa ngokwehlukana kunokuba ihlanganiswe.
- Ukubopha ukufinyelela kwe-Dialysis: I-fistula egeleza kakhulu emithanjeni yegazi ingavalwa kamuva uma icindezela inhliziyo; ivame ukugcinwa izinyanga eziningana njengenetha lokuphepha.
- Ukulungiswa kwe-Hernia noma i-cholecystectomy: kuphela uma kudingeka ngokwezokwelapha futhi kuphephile ukuhlanganisa; ngokuvamile kuhlehliswa.
Ukuvuselelwa Kwesigaba Ngesigaba
| Isigaba | Isikhathi esijwayelekile | Yini ongayilindela | Ukuqapha |
|---|---|---|---|
| Ngemva kokuhlinzwa ngokushesha | Usuku lwe-0 ku-3 | I-ICU yokufakelwa noma igumbi lokuhlukaniswa, i-catheter yomchamo, amapayipi okukhipha amanzi, ukufaka okuqinile? ishadi lokukhipha, i-creatinine yansuku zonke | Ukuzivocavoca kokuphefumula, ukunyakaza kwemilenze, ukungabi khona kwezivakashi ezinekhwehlela noma umkhuhlane |
| Ukuhlala ewadini kusenesikhathi | Usuku lwe-4 ku-10 | Ukususwa kwe-catheter kanye ne-drain, ukudla okudliwa ngomlomo, ukulungiswa komthamo wokucindezela amasosha omzimba ngamazinga emithi, ukuhamba egumbini kanye nephaseji | Akukho ukuphakamisa, ukuhlanzeka kwezandla ngokucophelela, ishadi lokufunda imithi |
| Ukukhishwa kanye nenyanga yokuqala | Iviki 2 kuya ku-4 | Uvakashela kabili kuya kathathu ngesonto, ukususwa kwe-stent ngokuvamile cishe amasonto amabili kuya kwamane, ukuhlolwa kwenxeba | Hlala eduze kwesibhedlela uma uhlala kude; gwema izixuku, gwema ukudla okuluhlaza noma okusemgwaqweni |
| Ukuhlanganiswa | Inyanga 2 kuya ku-3 | Ukuvakashelwa njalo ngeviki bese kuba njalo ngemva kwamasonto amabili, amazinga ezidakamizwa ezinzile, amandla ethuthuka, umsebenzi wasedeskini uvame ukuba khona | Akukho ukuphakamisa okunzima okungaphezu kwama-5 kg, akukho ukushayela kuze kube yilapho sekuqediwe, qhubeka nokuvimbela ukutheleleka |
| Buyela ohlelweni | Inyanga 3 kuya ku-6 | Ukuvakasha kwanyanga zonke, iziguli eziningi zibuyela emsebenzini, ukuhamba kungenzeka ngemithi nemibiko | Ukuzivocavoca okulinganisiwe, ukuvikelwa elangeni, ukugonywa minyaka yonke njengoba kuceliwe |
| Isikhati eside | Ngaphezu kwezinyanga eziyi-6 | Ukubuyekezwa njalo ngenyanga eyodwa kuya kwezintathu, bese kuba njengoba kwelulekwa, impilo yonke | Ungalokothi uyeke ukucindezela amasosha omzimba, hlola isifo sikashukela, umfutho wegazi, isikhumba kanye neminye imidlavuza |
Ukubuyela Emsebenzini Ojwayelekile, Emsebenzini Nokuzivocavoca
Ngenxa yokuthi i-graft itholakala ngaphansi kodonga lwesisu esiswini esingezansi, isobala kakhulu kunenso yemvelo. Iseluleko somsebenzi sakhelwe ekuyivikeleni.
- Ukuhamba: kusukela ngosuku lokuqala ngemva kokuhlinzwa, kwanda kancane kancane.
- Izitebhisi: ngokuvamile kulawuleka phakathi nesonto elilodwa kuya kwamabili, kancane kancane.
- Ukushayela: ngokuvamile ngemva kwamasonto amane kuya kwayisithupha, uma usukwazi ukuqinisa amabhuleki ngaphandle kobuhlungu futhi usuyeke imithi enamandla yokudambisa izinhlungu.
- Umsebenzi wedeski noma wehhovisi: ngokuvamile amasonto ayisithupha kuya kwayisishiyagalombili, ngezinye izikhathi kusenesikhathi ekhaya.
- Umsebenzi wezandla noma wasepulazini, ukuphakamisa: ngokuvamile hhayi ngaphambi kwezinyanga ezintathu, futhi kuphela ngemva kokubuyekezwa kokuhlinzwa, ukuze kuncishiswe ingozi ye-hernia yokusika.
- Ukubhukuda kanye nejimu: ngokuvamile ngemva kwezinyanga ezintathu, uma inxeba selipholile futhi seliphelile.
- Imidlalo yokuxhumana kanye nokushayisana: i-kabaddi, ukubambana, isibhakela, ubuciko bokulwa, i-rugby kanye nekhilikithi njengomgcini we-wicketkeeper oseduze kunengozi yangempela yokulimala okuqondile ezinso ezifakwe futhi ngokuvamile kuyadumazeka; uma isiguli siphikelela, umlindi ovikelayo kanye nengxoxo yomuntu ngamunye kubalulekile.
- Izikhundla zasekhaya zaseNdiya: ukuquleka okujulile, ukuhlala phansi ugoqe imilenze, nokusebenzisa indlu yangasese yokuquleka yesitayela saseNdiya, cindezela inxeba elingezansi lesisu. Sebenzisa indlu yangasese yesitayela saseNtshonalanga noma isihlalo se-commode okungenani amasonto ayisithupha kuya kwayisishiyagalombili, futhi ugweme ukulala phansi emasontweni okuqala - ukuvuka phansi ulayishe i-incision. Umbhede oqinile ophakeme edolweni kulula.
- Imisebenzi yenkolo neyenhlalo: ukukhothama emthandazweni, emibuthanweni emikhulu kanye nokuvakashela ethempelini noma emasikweni kufanele kulinde okungenani izinyanga ezintathu, lapho imithamo yokucindezela amasosha omzimba iphansi, ngenxa yengozi yokutheleleka.
Ukuvikela i-Graft Nokuvimbela Ukuphindeka
- Thatha i-tacrolimus noma i-cyclosporine ngezikhathi ezifanayo nsuku zonke, futhi amazinga omthamo ahlolwe ngokwesimiso esinikeziwe, ngaphambi komthamo wasekuseni.
- Lawula umfutho wegazi kanye nesifo sikashukela ngokuqinile; isifo sikashukela sangemva kokufakelwa sivamile, ikakhulukazi ezigulini zaseNdiya ezinomlando womndeni.
- Gcina uketshezi olunikezwa yithimba, ikakhulukazi ezinyangeni ezishisayo kusukela ngo-Ephreli kuya kuJuni, lapho ukuphelelwa amanzi emzimbeni kungakhuphula i-creatinine.
- Ezinye izifo zokuqala zingabuya ezinso ezintsha, okuhlanganisa i-glomerulosclerosis ye-focal segmental, i-IgA nephropathy, i-membranous nephropathy kanye nesifo sezinso sesifo sikashukela. Ukuhlolwa njalo kwamaprotheni omchamo kusiza ekutholeni lokhu kusenesikhathi.
- Gwema ama-NSAID afana ne-diclofenac, i-ibuprofen kanye ne-nimesulide, ama-antibiotic angakabhalwanga ngudokotela, ama-contrast scan ngaphandle kokwazisa udokotela wezinzwa, kanye nemikhiqizo yamakhambi, i-ayurvedic noma ye-homeopathic engalawulwa, eminye yayo equkethe izinsimbi ezisindayo noma izithako ezinobuthi obungalawulwa yi-nephrotoxic.
- Qaphela isifo sofuba, esivame eNdiya futhi cishe singaphansi kokucindezelwa kwamasosha omzimba; bika umkhuhlane oqhubekayo, ukwehla kwesisindo noma ukukhwehlela.
- Bilisa noma uhlunge amanzi okuphuza, gwema ukudla kwasemgwaqweni bese usika izithelo, bese ugqoka imaski ezindaweni ezinabantu abaningi ezinyangeni ezimbalwa zokuqala.
- Sebenzisa isivikelo selanga kanye nemikhono emide; ukucindezela amasosha omzimba isikhathi eside kwandisa ingozi yomdlavuza wesikhumba.
- Goma njengoba kuceliwe - imijovo engasebenzi kuphela; imijovo ephilayo ayivunyelwe ngemva kokufakelwa, ngakho-ke yiqedele ngaphambi kokuhlinzwa lapho kungenzeka khona.
Izingane kanye neziguli ezindala
Izingane kanye nentsha
Ukufakelwa utshani kuyindlela yokwelapha ekhethwayo yezingane ezinesifo sezinso esisesigabeni sokugcina ngoba isekela ukukhula, ukufunda kanye nentuthuko kangcono kune-dialysis. Ukukhubazeka kokuzalwa kwezicubu zezinso kanye nomgudu womchamo kanye nama-valve angemuva kwe-urethra kuyizimbangela ezivamile eNdiya, ngakho-ke ukuhlolwa kwesinyi kuyingxenye ebalulekile yokusebenza. Ukukhula, ukudla okunomsoco, isimo sokugonywa kanye nokuya esikoleni kulandelwa kanye nokusebenza kwezinso. Ubusha bunengozi ebhalwe kahle yokulahlekelwa imithi, ngakho imindeni kanye nomxhumanisi wokufakelwa utshani bahlela izikhumbuzo kanye nokushintshela ekunakekelweni kwabantu abadala okuqondisiwe.
Abantu abadala abadala
Ubudala bodwa abuseyona isithiyo. Isiqondiso samanje sisekela ukuhlolwa komuntu ngamunye, futhi i-India isuse umkhawulo weminyaka ephezulu yokubhaliswa kwabanikeli abashonile. Abantu abadala abazongenela ukhetho badinga ukuhlolwa kwenhliziyo ngokucophelela, ubuthakathaka kanye nokuhlolwa kwengqondo, kanye nengxoxo engokoqobo yokuthi ngabe ukufakelwa noma i-dialysis esekelwa kahle kuzobasiza kangcono yini. Ukucindezeleka kwamasosha omzimba kuvame ukuba lula kancane, ngoba ingozi yokutheleleka iyanda njengoba iminyaka ikhula. Umnakekeli othembekile ubalulekile.
Uma Ukhetha Ukungafaki Isithombo Esitshaliwe
Ukwenqaba noma ukuhlehlisa ukufakelwa isitho kuyisinqumo esivumelekile, futhi kufanele kube yinto enolwazi.
- Ukulungiswa kwe-hemodialysis: ngokuvamile izikhathi ezimbili kuya kwezintathu ngesonto, njalo emahoreni amathathu kuya kwamane, isikhathi sokuhamba siphezulu. Kudinga i-fistula noma i-catheter ehlala njalo futhi kuthwala izingozi zokwehluleka ukufinyelela kanye nokutheleleka.
- I-Peritoneal dialysis: Kwenziwa ekhaya, kuthambile enhliziyweni futhi kungcono kulabo abahlala kude nesikhungo sokuhlanza igazi, kodwa kudinga ukuhlanzeka okuqinile, indawo yokugcina izikhwama zamanzi futhi kuthwala ingozi ye-peritonitis.
- Ukuphathwa kwezinso okulondolozayo: ezigulini ezibuthakathaka kakhulu noma esezikhulile, ukulawulwa kwezimpawu, ukwelashwa kwe-anemia, ukuphathwa kokudla kanye nokusekelwa kokudambisa ubuhlungu ngaphandle kwe-dialysis, kugxile enduduzo kanye nekhwalithi yokuphila.
- Ongakulindela ngokuhamba kwesikhathi: Ngaphandle kokwelashwa kokushintsha izinso, ukwehluleka kwezinso okuthuthukile kuqhubekela phambili ekugcwaleni uketshezi oluningi, ukuphelelwa umoya, izimpawu ze-uraemic futhi ekugcineni ukufa. Izikhathi ziyahlukahluka kakhulu phakathi kwabantu kanye nethimba lizoxoxa ngalokhu ngokwethembeka kunokunikeza inombolo eqondile.
Ungashintsha umqondo wakho. Iziguli eziningi ziqala nge-dialysis bese ziza ukuhlolwa kokufakelwa izitho ezinyangeni noma eminyakeni kamuva.
Izici Ezithonya Izindleko Zokwelashwa
Izindleko zokufakelwa izinso aziyona inombolo eyodwa. Kuncike esimweni somtholampilo, futhi kokubili izindleko zomnikeli kanye nozamukeli kumele zihlelwe. I-Apollo Hospitals Lucknow ayishicileli amanani ephakheji kuleli khasi; ukuze uthole isilinganiso esibhaliwe esiqondene necala lakho, sicela ukhulume nomxhumanisi wokufakelwa izinso noma ideski lokukhokhisa kanye nomshwalense.
| Isici | Kungani kushintsha izindleko |
|---|---|
| Uhlobo lomnikeli | Ukufakelwa okungahambelani ne-ABO futhi okuzwela kakhulu kudinga ukushintshaniswa kwe-plasma kanye nemithi eyengeziwe yebhayoloji, okuphakamisa izindleko kakhulu kunokufakelwa okuvamile okuhambisanayo nomhlinzeki ophilayo. |
| Izinga lokuhlolwa kwangaphambi kokutshala | Ukuhlolwa okwengeziwe kwenhliziyo, i-angiography, ukwelashwa kwesifo sofuba noma ukuhlanza amazinyo kuyanezela ebhilini langaphambi kokuhlinzwa |
| I-Dialysis ngaphambi nangemva kokuhlinzwa | Kudingeka izikhathi zokulinda, kanye nanoma yikuphi ukuhlanza igazi okudingekayo ukuze kusebenze kahle ukufakelwa kwezicubu |
| Kusetshenziswa ukucindezela amasosha omzimba okubangelwa ukuvuvukala | I-Basiliximab kanye ne-anti-thymocyte globulin zihluke kakhulu ngentengo |
| Isigaba segumbi | Igumbi lokuhlala lodwa, igumbi elilodwa noma i-suite lishintsha indawo yokuqasha kanye nezindleko ezixhunyiwe |
| Isikhathi sokuhlala esibhedlela kanye ne-ICU | Ukuhlala isikhathi eside ngenxa yokutheleleka, ukwenqatshwa noma izinkinga zokuhlinzwa |
| Izinkinga | Iziqephu zokwenqatshwa, ukuhlolwa kwe-biopsy, ukuvuza komchamo, ukuphuma kwamanzi e-lymphocele, ukuhlola kabusha noma ukutheleleka okukhulu |
| Uhlobo lokuhlinzwa kwabanikeli | Izinto ezisetshenziswayo zokuhlinzwa kwe-laparoscopic nephrectomy zihlukile ekuhlinzweni okuvulekile |
| Ukuhlala esibhedlela komnikeli kanye nophenyo lwakhe | Ukuhlolwa, ukuhlinzwa kanye nokululama komnikeli kungumthwalo wemfanelo womndeni othola usizo. |
| Imithi eqhubekayo | Imithi yokucindezela amasosha omzimba impilo yonke kanye nemithi yokuvimbela amagciwane kanye nama-antibiotic kuyizindleko eziphindaphindayo zanyanga zonke, ngokuvamile eziphezulu ngonyaka wokuqala bese zincipha ngemva kwalokho. |
| Ukuhlolwa kokulandelela | Ukuhlolwa njalo kwe-creatinine kanye nezinga lemithi ngonyaka wokuqala, kanye nanoma iyiphi i-biopsy yokufakelwa |
| Izinyathelo zomthetho kanye nezincwadi | Izidingo zekomidi lokugunyazwa kanye namadokhumenti abhalwe phansi ahilela izindleko ezincane kodwa zangempela |
Umshuwalense kanye nokwelashwa ngaphandle kwemali eNdiya
- Iningi lezinqubomgomo zomshuwalense wezempilo limboza ukufakelwa kwezinso njengokungeniswa esibhedlela okuhleliwe, kodwa ukumbozwa kuncike enanini elinomshwalense, indlela inqubomgomo ebhalwe ngayo kanye nokuthi inqubomgomo isebenze isikhathi esingakanani.
- Izinkathi zokulinda zibalulekile. Isigaba sesifo esivele sikhona seminyaka emibili kuya kwemine sivame ukusebenza. Uma isifo sezinso esingamahlalakhona sitholakale noma samenyezelwa ngaphambi kokuba inqubomgomo iqale, ukufakelwa kungase kungene phakathi naleso sikhathi sokulinda. Izinqubomgomo eziningi zinesikhathi sokulinda sokuqala sezinsuku ezingu-30 kanye nezikhathi zokulinda ezithile zezinqubo eziqanjwe ngamagama.
- Isembozo esihleliwe uma kuqhathaniswa nengozi: Ukufakelwa kwesifo sezinso esingamahlalakhona kuyindlela yokwelashwa ehleliwe futhi ayiphathwa njengesimangalo sengozi, ngakho-ke izinqubomgomo zengozi kuphela noma zengozi yomuntu siqu ngokuvamile aziphenduli. Ezinye izinqubomgomo zezinkampani zamaqembu azinazo izikhathi zokulinda zesifo esivele sikhona - hlola idokhumenti yakho yenqubomgomo enikezwe yi-HR.
- Izindleko zabanikeli: Izinqubomgomo eziningi zimboza ukulaliswa esibhedlela komnikeli kanye nokuhlinzwa ngaphansi kwenzuzo yomnikeli wezitho zomzimba, kodwa ngokuvamile kuphela ngenqubo yokuvuna futhi ngokuvamile kuze kube sezingeni eliphansi. Ukuhlolwa kwangaphambi komnikeli, izinkinga zomnikeli kanye nokulandelwa komnikeli kuvame ukukhishwa. Qinisekisa lokhu ngokubhala ngaphambi kokwamukelwa.
- Ngemva kokulaliswa esibhedlela kanye nemithi: imithi yokucindezela amasosha omzimba ngemva kokuphuma esibhedlela ivame ukubuyiselwa imali kuphela uma ulaliswe esibhedlela isikhathi esilinganiselwe, ngokuvamile izinsuku ezingu-60 kuya kwezingu-180. Imithi yempilo yonke ivame ukutholakala ngaphandle kokuthi une-OPD noma umhlinzeki wezifo ezibucayi.
- Inqubo yokukhokha ngaphandle kwemali: Ideski lomshuwalense lithumela isicelo sokugunyazwa kusengaphambili kanye namanothi omtholampilo kanye nesilinganiso kumshuwalense wakho noma i-TPA. Imvume yokufakelwa okuhleliwe ivame ukuthatha usuku olulodwa kuya kwezintathu zokusebenza, ngakho-ke thumela okungenani isonto ngaphambi kokungeniswa. Noma yikuphi ukuthuthukiswa ngesikhathi sokuhlala kudinga isicelo esisha.
- Amadokhumenti okufanele uwaphathe: ikhadi lezempilo, ishejuli yenqubomgomo, i-ID enesithombe sikahulumeni kanye nobufakazi bekheli lesiguli nomnikeli, ubufakazi bobudlelwano, amarekhodi e-dialysis kanye ne-nephrology yangaphambilini, kanye nencwadi yomqashi yezinqubomgomo zenkampani.
- Izikimu zikahulumeni: I-Ayushman Bharat PM-JAY, izinhlelo zikahulumeni, i-CGHS, i-ECHS kanye namaphaneli esitimela noma e-PSU kungasebenza. Ukuthi isibhedlela silungiselelwe yini uhlelo lwakho oluthile, kanye nalokho okumboziwe, kumele kuqinisekiswe nedeski lomshwalense ngaphambi kokungena esikhundleni sokucabanga.
- Izinciphiso okufanele uzilindele: izinto ezisetshenziswayo, izinto ezingezona ezokwelapha, imali ekhishwa ngokulingana nerenti yekamelo uma uthuthukisa isigaba segumbi, kanye nezigaba zokukhokha ngokubambisana ezivamile ezinqubomgomo zezakhamuzi ezindala.
Ukuhlela Ukwamukelwa kanye Nokuthi Yini Okufanele Uyilethe
Ngaphambi kokungena
- Gcwalisa yonke imibhalo yezomthetho kanye nemvume yekomidi lokugunyaza; ukuhlinzwa akukwazi ukuhlelwa ngaphandle kwakho.
- Hlela indawo yokuhlala eduze kwesibhedlela okungenani amasonto amane kuya kwayisithupha ngemva kokuphuma esibhedlela uma uhlala ngaphandle kweLucknow.
- Thola umnakekeli wesikhathi esigcwele. Emindenini ehlangene, qamba umuntu oyedwa othatha izinqumo kanye nomsizi oyedwa ukuze imiyalelo ingalahleki phakathi kwezihlobo; izibhedlela zinciphisa inani labanakekeli ezindaweni zokufakelwa izitho ukuze kulawulwe ukutheleleka.
- Hlela abanikeli begazi emndenini kusenesikhathi.
- Thola usizo lwamazinyo kanye nanoma yikuphi ukwelashwa kokutheleleka kuqediwe kusenesikhathi.
Okufanele ukulethe
- Yonke imibiko yangaphambilini, amarekhodi e-dialysis, izifinyezo zokukhishwa, izithombe kanye nemithi yamanje.
- I-ID enesithombe sikahulumeni kanye nobufakazi bekheli lesiguli, umnikeli kanye nabasizi; amadokhumenti obudlelwano; izithombe ezinosayizi wepasipoti.
- Ikhadi lomshwalense, ikhophi yepholisi, incwadi yokugunyazwa kusengaphambili, kanye namakhadi ohlelo lapho kufanele khona.
- Izingubo zikakotini ezikhululekile, ezivuleka ngaphambili, amaslippers angasheleli, ibhodlela elikhulu lamanzi kanye nezinto zokugeza zomuntu siqu.
- Uhlelo lokusebenza lwencwadi yokubhalela noma locingo lokuqopha ukuphuma komchamo, isisindo kanye nezikhathi zemithi - lo mkhuba uyaqhubeka ekhaya.
- Isikhwama esihlukile somnikeli, ovame ukungeniswa ngosuku olungaphambi kwalokho bese ekhishwa ngaphambi komemukeli.
Ekhaya ngaphambi kokukhishwa
- Hlela igumbi elihlanzekile, elinomoya omuhle, okungcono kakhulu libe nombhede kunokuba libe nombhede ophansi.
- Hlela indlela yokungena endlini yangasese yesitayela saseNtshonalanga noma esihlalweni sempahla encane.
- Thenga i-thermometer yedijithali, i-BP monitor, isikali sokulinganisa kanye ne-glucometer uma unesifo sikashukela.
- Lungisa isihleli samaphilisi kanye nama-alamu ocingo ngezikhathi zemithi.
Izimpawu Zesexwayiso Ezidinga Ukubuyekezwa Okuphuthumayo
Xhumana nethimba lokufakelwa izitho noma uye emnyangweni wezimo eziphuthumayo ngaphandle kokulinda i-aphoyintimenti elandelayo uma ubona:
- Umkhuhlane ongaphezu kwama-38°C, ukubanda, noma yimuphi umkhuhlane ongachazeki ohlala isikhathi esingaphezu kosuku
- Ukwehla okukhulu kokukhishwa komchamo, noma ukukhuluphala okungazelelwe okungaphezu kuka-1 kuya ku-2 kg ngosuku
- Ubuhlungu, ukuvuvukala noma ubuthakathaka phezu kwezinso ezitshaliwe esiswini esingezansi
- Ubomvu, ukuphuma kwamanzi, ukuvuleka noma ubuhlungu obandayo esilondeni
- Ukuchama okushisayo, umchamo onephunga elibi noma onamabala egazi
- Ukuhlanza noma uhudo oluqhubekayo, okungashintsha amazinga okucindezela amasosha omzimba ngendlela eyingozi
- Ukuphefumula kanzima, ubuhlungu besifuba, noma ukuvuvukala kwemilenze nobuso
- Ukukhwehlela okuhlala isikhathi esingaphezu kwamasonto amabili, ukujuluka ebusuku noma ukwehlisa isisindo ngendlela engachazeki
- Ukungasebenzisi imithi yokucindezela amasosha omzimba ngendlela efanele, noma ukuhlanza ngokushesha ngemva kokuthatha imithi yokunciphisa amasosha omzimba
- Ukudideka okusha, ikhanda elibuhlungu noma ukuxhuzula
- Noma yimuphi umsebenzi wamazinyo ohleliwe, ukuhlinzwa, ukuskena okuphambene noma umuthi omusha ovela komunye udokotela? yazisa ithimba lokufakelwa izitho kuqala.
Iziguli Ezihamba Zisuka Ngaphandle KweLucknow
Iziguli ezivela eKanpur, eBarabanki, eSitapur, eHardoi, e-Unnao, eRae Bareli, e-Ayodhya, eGonda, eBahraich, eGorakhpur nakwezinye izingxenye ze-Uttar Pradesh zingase ziye ezibhedlela zase-Apollo eLucknow ukuze zihlolwe futhi zelashwe ngokufakelwa inhliziyo. Iziguli ezivela ngaphandle kweLucknow zingahlela ukuvakasha kwazo ngempumelelo ngokusebenzisana nethimba lesibhedlela kusenesikhathi.
- Ukubonisana kokuqala kwesiguli esingalaliswanga kungasiza ithimba lokufakelwa izitho zomzimba ukuthi libukeze amarekhodi ezokwelapha angaphambilini, uphenyo kanye nomlando wokwelashwa ngaphambi kokunquma ukuthi kudingeka ukuhlolwa okuningiliziwe noma ukuhlala isikhathi eside.
Iziguli ezifakwe ohlwini lokulinda lokufakelwa inhliziyo zingase zidingeke zihlale ngaphakathi kwebanga elifanele lohambo ukusuka esibhedlela, njengoba ukutholakala kanye nesikhathi senhliziyo enikelayo efanelekile akunakubikezelwa kusengaphambili.
Iziguli ezihamba zivela kwamanye amadolobha kufanele ziphathe imibiko yokuhlolwa kwangaphambilini, izithombe, izifinyezo zokukhishwa esibhedlela, imithi kadokotela, izincwadi zokudlulisela kanye nohlu lwamanje lwemithi yokusekela ukuqhubeka kokunakekelwa nokusiza ithimba lezokwelapha ukuthi linqume ukuthi yiluphi uphenyo olungadinga ukuphinda luphindwe. - Iziguli namalungu omndeni kufanele bagcine izinombolo zabo zeselula ezibhalisiwe zisebenza futhi bazise ithimba lokuxhumanisa ukufakelwa uma imininingwane yabo yokuxhumana ishintsha. Lapho inhliziyo yomnikeli engaba khona efanelekile itholakala, ithimba lokufakelwa kungadingeka lixhumane nesiguli ngokushesha.
- Imindeni ehlela ukuhlala isikhathi eside eLucknow kufanele ixoxe ngokuvakasha okulindelekile kokuhlolwa, izidingo zokulandelela kanye nokuhlela indawo yokuhlala nethimba lokuxhumanisa ukufakelwa ukuze kwenziwe amalungiselelo okuhamba ngendlela efanele.
Ukuxhumana kanye nama-Aphoyintimenti
| Imininingwane | Ulwazi |
|---|---|
| Isibhedlela | Isibhedlela Esikhethekile Se-Apollomedics? Izibhedlela zase-Apollo, eLucknow |
| Ikheli | I-KBC 31, iSector B, i-LDA Colony, iKanpur Road, eLucknow, e-Uttar Pradesh 226012 |
| Ucingo losizo oluphakathi | 1860-500-1066 |
| Ukuqatjhwa | Ukubhukha ku-inthanethi ngekhasi lenqubo elisemthethweni lewebhusayithi ye-Apollo Hospitals Lucknow, ngeplatifomu ye-Apollo 24|7, ngokufonela ucingo oluphakathi, noma mathupha endaweni yokwamukela izivakashi esibhedlela. |
| Izinsizakalo eziphuthumayo | Ukunakekelwa okuphuthumayo kuyatholakala amahora angu-24 ngosuku, izinsuku eziyi-7 ngesonto; shayela ucingo losizo noma finyelela umnyango wezimo eziphuthumayo ngqo |
| I-OPD kanye nezikhathi zokuvakasha | Amashejuli e-OPD ngokomeluleki kanye namahora okuvakasha ewadini awashicilelwa ekhasini elisemthethweni lenqubo; lokhu kuqinisekiswa ngesikhathi sokubhukha. |
| I-imeyili kanye nemigqa eqondile yomnyango | I-imeyili yokufakelwa isitho noma inombolo yomnyango eqondile ayishicilelwe ekhasini elisemthethweni lenqubo; lokhu kwabelwana ngakho yi-transp. |
Imibuzo Evame Ukubuzwa Ngokuphathelene Nokufakelwa Kwezinso Ezibhedlela zase-Apollo eLucknow
1. Ubani ongadinga ukufakelwa izinso?
Ukufakelwa izinso kungacatshangelwa iziguli ezinesifo sezinso esisesigabeni sokugcina noma isifo sezinso esingamahlalakhona esithuthukile lapho izinso zingasakwazi ukwenza imisebenzi yazo ngokwanele. Ukufaneleka kuncike empilweni iyonke, izimo eziyisisekelo kanye nokuhlolwa yithimba lokufakelwa izinso.
2. Ngingazi kanjani ukuthi ngiyafaneleka yini ukufakelwa izinso eLucknow?
Ukufaneleka kunqunywa ngokuhlolwa okuningiliziwe kokufakelwa okungafaka ukuhlolwa kwegazi, ukuhlolwa kwenhliziyo namaphaphu, ukuhlolwa kokutheleleka, ukuthwebula izithombe kanye nokubuyekezwa kwezinye izimo zezokwelapha. Ithimba lokufakelwa liphinde lihlole ukuthi ukuhlinzwa kanye nokwelashwa kwesikhathi eside okucindezela amasosha omzimba kuyafaneleka yini esigulini.
3. Ingabe ilungu lomndeni linganikela ngenso ukuze ifakelwe?
Yebo. Umnikeli ophilayo ofanele angaba yisihlobo esiseduze noma omunye umnikeli ofanelekile njengoba kuvunyelwe ngaphansi kwemithethonqubo yokufakelwa izinso yaseNdiya. Umnikeli kumele ahlolwe ngokwezokwelapha ukuze aqinisekise ukuthi ukunikezwa kwezinso kuyafaneleka yini ngokwezokwelapha.
4. Ingabe ukufakelwa izinso kungenziwa uma iqembu legazi lomnikeli lihlukile?
Ezimweni ezithile, ukufakelwa izinso kungacatshangwa kusetshenziswa izindlela zokwelapha ezikhethekile. Ukufaneleka kuncike emazingeni e-antibody, ukuhambisana komhlinzeki nomemukeli kanye nokuhlolwa yithimba lokufakelwa izinso.
5. Yiziphi izivivinyo ezidingekayo ngaphambi kokufakelwa izinso?
Ukuhlolwa kuvame ukufaka ukuhlolwa kweqembu legazi, ukuthayipha izicubu, ukufanisa, ukuhlolwa kokusebenza kwezinso nesibindi, ukuhlolwa kokutheleleka, ukuhlolwa kwenhliziyo kanye nokuthwebula izithombe. Ukuhlolwa okwengeziwe kunganconywa kuye ngobudala bomuntu othola igazi, impilo yakhe kanye nomlando wezokwelapha.
6. Kuyini ukufanisa izinso ngaphambi kokufakelwa izinso?
Ukuhlola ukuthi umuntu otholayo une-antibodies yini engase isabela kumaseli omnikeli. Kuyingxenye ebalulekile yokuhlola ukuthi izinso zomnikeli ziyahambisana yini nomzimba womuntu otholayo.
7. Kuthatha isikhathi esingakanani ukuhlinzwa kokufakelwa izinso?
Isikhathi sokuhlinzwa kokufakelwa izinso siyahlukahluka kuye ngesimo sesiguli, ukuhlinzwa kwesisu kwangaphambilini kanye nobunzima bokuhlinzwa. Ithimba lokufakelwa linganikeza isilinganiso somuntu ngamunye ngemva kokuhlola umnikeli kanye nomamukeli.
8. Kuzodingeka ngihlale isikhathi esingakanani esibhedlela ngemva kokufakelwa izinso?
Ubude bokuhlala esibhedlela buyahlukahluka kuye ngokusebenza kwezinso, ukululama, ingozi yokutheleleka kanye nezinye izici zezokwelapha. Iziguli ziqashwe ngokucophelela ngemva kokuhlinzwa futhi ziyakhishwa uma ithimba lokufakelwa likubona kufanelekile ngokwezokwelapha.
9. Inso efakwe kwenye indawo iqala nini ukusebenza?
Ezinye izinso ezifakwe utshani ziqala ukusebenza ngokushesha ngemva kokuhlinzwa, kanti ezinye zingathatha isikhathi eside. I-dialysis yesikhashana ingadingeka ngezinye izikhathi uma izinso ezifakwe utshani zibambezele ukusebenza kwazo.
10. Ingabe ngizodinga imithi yokuphila kwami konke ngemva kokufakelwa izinso?
Abantu abathola ukufakelwa izinso ngokuvamile badinga imithi yokucindezela amasosha omzimba isikhathi eside ukuze banciphise ingozi yokwenqatshwa. Le mithi kufanele ithathwe njengoba nje kuyalelwe futhi idinga ukubhekwa njalo yithimba lokufakelwa izinso.
11. Yiziphi izingozi ezinkulu ngemva kokufakelwa izinso?
Izinkinga ezingaba khona zifaka phakathi ukwenqatshwa, ukutheleleka, ukopha, amahlule egazi, imiphumela emibi ehlobene nemithi kanye nezinkinga ezithinta izinso ezifakwe utshani. Ukulandelela njalo kusiza ithimba lezempilo ukuhlonza nokuphatha izinkinga ngokushesha okukhulu.
12. Yiziphi izimpawu zokwenqatshwa kokufakelwa izinso?
Ukwenqatshwa kwezinso ngezinye izikhathi kungenzeka ngaphandle kwezimpawu ezisobala futhi kungatholakala kuqala ngokuhlolwa kwegazi. Izimpawu eziyisixwayiso ezingaba khona zingafaka phakathi umkhuhlane, ukwehla kokukhishwa komchamo, ukuvuvukala, ukungakhululeki eduze kwendawo yokufakelwa noma ukwanda okungachazeki kwe-creatinine.
13. Yiziphi izinguquko zendlela yokuphila ezidingekayo ngemva kokufakelwa izinso?
Iziguli ngokuvamile zelulekwa ukuba ziphuze imithi yazo njalo, zigcine inhlanzeko enhle, zilandele ukudla okulinganiselayo, zihlale zimatasa ngokomzimba njengoba zelulekwa futhi zigweme ukubhema. Ukuphepha kokudla kanye nokuvimbela ukutheleleka kubaluleke kakhulu ngenkathi kuthathwa imithi yokucindezela amasosha omzimba.
14. Ngingabuyela emsebenzini nasemisebenzini evamile ngemva kokufakelwa izinso?
Iziguli eziningi zingabuyela kancane kancane emisebenzini evamile ngemva kokululama, yize isikhathi siyahlukahluka kuye ngohlobo lomsebenzi, ukululama kokuhlinzwa kanye nempilo iyonke. Ukuphakamisa okunzima kanye nomsebenzi onzima womzimba kufanele kugwenywe kuze kube yilapho ithimba lokufakelwa linikeza imvume.
15. Ngingabhukha kanjani ukubonisana nokufakelwa kwezinso e-Apollo Hospitals Lucknow?
Iziguli zingaxhumana nezibhedlela zase-Apollo eLucknow ngokusebenzisa iziteshi zazo zokuqokwa ezisemthethweni ukuze zihlele ukubonisana nethimba le-nephrology noma lokufakelwa kwezinso. Iziguli ezihamba ngaphandle kweLucknow kufanele ziphathe imibiko yangaphambilini, amarekhodi e-dialysis, imithi kadokotela kanye nemibhalo yezokwelapha efanele lapho ziboniswana.
Okufakiwe Kamuva
Ochwepheshe Bethu.
Ithimba Lakho Lokunakekela.
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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.
