Isibhedlela Esingcono Kakhulu Esiseduze Nami eChennaiisithombe
Sinikeza uhlu oluphelele lwezinqubo zokunakekelwa okubucayi , okuhlanganisa ukuphefumula ngomshini, ukuqapha i-hemodynamic, i-dialysis yokwehluleka kwezinso, kanye nokuphathwa kokutheleleka. Ochwepheshe bethu bokunakekelwa kwamaphaphu kanye nokubucayi baphatha amacala okuphefumula ayinkimbinkimbi, kuyilapho ochwepheshe bethu bokuqaqamba kwemisipha bephatha i-sepsis, ukulimala, kanye nokungasebenzi kahle kwezitho eziningi. Umnyango uphinde usekele ukufinyelela okusheshayo ekuhlinzweni okuphuthumayo kanye nokubonisana nochwepheshe uma kudingeka.
Isidingo sokunakekelwa okubucayi siye sakhula kancane kancane, ngezimo ezifana ne-sepsis, ukumiswa kwenhliziyo, kanye ne-acute respiratory distress syndrome (ARDS) ezidinga ukungenelela ngesikhathi kanye nokuphathwa okusekelwe ebufakazini. Amayunithi okunakekelwa okujulile e-Apollo Noida aklanyelwe ukuhlangabezana nalesi sidingo esikhulayo ngemikhuba ehambisana nezindinganiso ze-SCCM (Society of Critical Care Medicine) kanye ne-ISCCM (Indian Society of Critical Care Medicine). Izinqubo zethu zokwelapha ze-sepsis, i-ARDS, kanye nokwehluleka kwezitho eziningi zilandela izindlela eziqashelwa emhlabeni wonke futhi zivuselelwa njalo ngokuhambisana neziqondiso zamanje.
Izibhedlela zase-Apollo, eNoida zinikeza izinqubo eziningi zokunakekelwa okuphuthumayo ezithuthukisiwe ezenziwa odokotela abangochwepheshe bokunakekelwa okubucayi kanye namaqembu abahlengikazi abaqeqeshwe kahle kakhulu . Lokhu kungenelela kubalulekile ekuqiniseni iziguli ezimweni ezisongela ukuphila kanye nokusekela izinhlelo zomzimba ezibalulekile.
Izinqubo ezibalulekile zifaka:
- Umoya omncane wokuphefumula – ukusiza noma ukufaka esikhundleni sokuphefumula okuzenzekelayo
- Ukuqapha kwe-Haemodynamic - ukuze kulinganiswe kahle umfutho wegazi kanye nomphumela wenhliziyo
- Ukufakwa kwe-catheter ye-venous ephakathi – ukunikeza imithi ebalulekile noma ukuqapha umfutho wegazi ophakathi
- Ukubekwa komugqa we-arterial – ukuze kuhlolwe umfutho wegazi njalo futhi kuthathwe amasampula egazi
- Ukuvuselelwa Okuphuthumayo - izindlela ezithuthukisiwe zokusindisa impilo ekubambeni kwenhliziyo noma ukuphefumula
- Ukuqapha kwe-ICU - ukulandelela amapharamitha abalulekile ubusuku nemini kusetshenziswa izinhlelo ezihlanganisiwe
- Ukuhlaziywa kwegesi yegazi - ukuhlola ukutholakala komoya-mpilo, umoya opholile, kanye nebhalansi ye-acid-base
- Ukwesekwa kokudla okunempilo - ukudla okunempilo kanye nokudla okunempilo okwenzelwe iziguli zase-ICU
- Ukusekelwa kwezitho eziningi - kufaka phakathi ukwelashwa kokushintsha kwezinso kanye ne-ECMO
- Ukuqapha inhliziyo - I-ECG eqhubekayo kanye ne-telemetry yeziguli ezinengozi yenhliziyo
Lezi zinqubo zenziwa ngokuhambisana nemikhuba emihle yomhlaba wonke kanye nezindinganiso eziqinile zokulawula ukutheleleka.
I-Apollo Noida inikeza uhlu oluphelele lwezinsizakalo zokunakekelwa okubucayi , iqinisekisa ukwesekwa okuseqophelweni eliphezulu kusukela ngesikhathi sokwamukelwa ekululameni.
Amasevisi afaka:
- Ukusekelwa kokuphila okuthuthukisiwe (i-ALS) kanye nokusekelwa kokuphila okuyisisekelo (i-BLS)
- Ukuphathwa kwe-Ventilator kanye namasu okuyekisa ingane
- Ukuqapha okuqhubekayo izimpawu ezibalulekile, ibhalansi yoketshezi, kanye namazinga okudambisa ukucindezeleka
- Ukungenelela kwezimo eziphuthumayo njengokufakwa kwepayipi, ukususwa kwe-fibrillation, kanye nokwelashwa nge-vasopressor
Insizakalo ngayinye iqondiswa ochwepheshe bezokwelapha ezibucayi, besekelwa abelaphi bokuphefumula, ochwepheshe be-physiotherapist, kanye nosokhemisi, okudala imodeli yokunakekelwa ehlanganisiwe yeziguli ezigula kakhulu.
Ukuze kuhlangatshezwane nezidingo ezihlukile zamaqembu eziguli ahlukene, i-Apollo Hospitals, iNoida inikeza amayunithi akhethekile ahlukene, ngalinye linabasebenzi abanolwazi kanye nezinsiza ezifanele.
- Iyunithi yokunakekela izingane ezisanda kuzalwa (NICU) – Ukunakekela izinsana ezisanda kuzalwa ngaphambi kwesikhathi nezigula kakhulu, ngemishini yokuphefumula, i-phototherapy, kanye nokulawula ukutheleleka.
- Iyunithi Yokunakekelwa Kakhulu Kwezingane (PICU) – Yenzelwe izingane ezinezimo ezisongela ukuphila, inabasebenzi bezingane eziqinisayo futhi egxile ezinganeni ukunakekelwa kokunakekelwa okubucayi amaqembu.
- Iyunithi Yokunakekelwa Kwenhliziyo (CCU) – Ukuqapha okukhethekile kanye nokwelashwa kwezimo zenhliziyo ezibukhali okuhlanganisa i-myocardial infarction, i-arrhythmias, kanye nokwehluleka kwenhliziyo.
- I-Neuro ICU kanye ne-Trauma ICU – Ukuphathwa kokulimala okukhulu kobuchopho, isifo sohlangothi, kanye ne-polytrauma, okuhlanganisa ukuqapha ingcindezi yangaphakathi kwekhanda kanye nokufinyelela ngokushesha kokuhlinzwa kwemizwa.
Lezi zingxenye zibonisa ukuzibophezela kuka-Apollo ekuhlinzekeni ukunakekelwa okuqondiwe nokuphumelelayo kuzo zonke iziguli.
Njengenye yezibhedlela zokunakekelwa okubucayi eziphezulu esifundeni, i-Apollo Hospitals, i-Noida iqinisekisa izinsizakalo eziphuthumayo ezisheshayo nezithembekile zeziguli ezidinga ukwesekwa okusheshayo kwe-ICU.
Amaphuzu avelele afaka:
- Ukwamukelwa Okuphuthumayo Nokuzinza 24x7 ngodokotela be-ER abaqeqeshwe ngokulimala kanye nodokotela abanamandla okuqinisa
- Izinsizakalo ze-ambulensi ngokusekelwa kokunakekelwa okubucayi, okuhlanganisa amayunithi eselula afakwe umoya wokuphefumula kanye nama-EMT aqeqeshiwe
- Izinqubo eziphuthumayo kanye nezinqubo zokuvuselela ngokulandela iziqondiso zomhlaba wonke ezifana ne-ACLS, i-ATLS, ne-BLS
Uhlelo lwethu lokusabela eziphuthumayo luxhunywe kalula kwi-ICU ukuze lushintshele ngokushesha ezindaweni zokunakekelwa ezithuthukisiwe.
Izibhedlela zase-Apollo, eNoida zihlala ziphambili ekunakekelweni okubucayi ngocwaningo oluqhubekayo kanye nokusungula izinto ezintsha kwezokwelapha. Ochwepheshe bethu bezokwelapha okubucayi kanye nabanye ozakwethu bahlanganyela kumaphrojekthi asezingeni eliphezulu ahlose ukuthuthukisa imiphumela kanye nokunciphisa izinkinga ezihlobene ne-ICU.
Izinyathelo ezibalulekile zihlanganisa:
- Izivivinyo zomtholampilo eziqhubekayo kugxilwe ezinqubweni ze-ICU kanye nokuphathwa kwama-antibiotic
- Imikhuba emisha ekuphatheni i-sepsis, i-ARDS, kanye ne-pneumonia ehlobene nokuphefumula
- eziyimpumelelo ngokululama ekuhlulekeni kwezitho eziningi zomzimba, okubonisa amandla okungenelela kwemikhakha eminingi kanye nokuvuselelwa ngemva kwe-ICU
Le mizamo ayithuthukisi nje amazinga angaphakathi kodwa futhi inegalelo eziqondisweni zikazwelonke kanye nezincwadi zomhlaba wonke.
Ingqalasizinda ye-ICU ka-Apollo Noida isekelwa ubuchwepheshe bezokwelapha obusezingeni lomhlaba, okwenza kube nokusabela okusheshayo kanye nokwelashwa okuqondiswa ngokunembile.
Izikhali zethu zobuchwepheshe zihlanganisa:
- Ama-ventilator athuthukisiwe kanye nemishini ye-ECMO ukwehluleka kokuphefumula kanye nokudlula kwenhliziyo nemithambo yegazi
- Izinhlelo zokuqapha iziguli zesikhathi sangempela nge-telemetry, ukuhlaziywa kwe-waveform, kanye nokuhlanganiswa kwezexwayiso
- Amathuluzi okuxilonga ahlaselayo nangenawo umthelela, kufaka phakathi i-ultrasound ephathekayo, i-echocardiography eseceleni kombhede, kanye nezihlaziyi zegesi yegazi
Le mishini iphathwa ochwepheshe be-ICU abaqeqeshwe ngobuchwepheshe kanye nonjiniyela bezokwelapha ukuqinisekisa ukusebenza okungaphazamiseki kanye nokuphepha kwesiguli.
1
Yini Ongayilindela E-ICU?
Iyunithi Yokunakekelwa Okujulile (i-ICU) iyindawo eqashwe kakhulu lapho iziguli ezinezimo ezisongela ukuphila zithola ukwesekwa okuqhubekayo eqenjini lodokotela abanakekela abagula kakhulu, abahlengikazi, kanye nochwepheshe. Imindeni ingalindela ukubona iziguli zixhunywe kuma-monitor ahlukahlukene kanye nemishini, njengemishini yokuphefumula kanye namaphampu okufaka. Ithimba le-ICU lizokwazisa imindeni njalo ngenqubekela phambili yesiguli kanye nezinhlelo zokunakekelwa.
2
Imibuzo Evame Ukubuzwa Ngemishini Yokusekela Ukuphila
Izinhlelo zokusekela impilo ezifana nama-ventilator omshini , amaphampu okufaka umoya, kanye nemishini yokuhlanza umoya zivame ukusetshenziswa ezindaweni ze-ICU. Lezi ziphathwa ngokucophelela odokotela bezokunakekelwa okubucayi, ochwepheshe bezokunakekelwa kwamaphaphu kanye nababucayi, kanye namaqembu abahlengikazi abaqeqeshwe ngokunakekelwa okubucayi . Imishini ichazelwa imindeni ngesikhathi sokuqeqeshwa, futhi ukuphepha kuqinisekiswa ngokuqapha amahora angama-24 ngosuku, izinsuku eziyi-7 ngesonto kanye nezaziso ezizenzakalelayo.
3
Izinqubomgomo Zezivakashi Nokuxhumana Neziguli
Ukuze kuncishiswe ingozi yokutheleleka, amahora okuvakashela ayalawulwa, futhi izinombolo zezivakashi ziyanqunyelwa. Ukuxhumana neziguli kungase kunqunyelwe ngesikhathi sokulalisa noma sokufaka ithubhu, kodwa abasebenzi bethu bobuhlengikazi basiza ekuvuseleleni futhi banikeze ukusekelwa ngokomzwelo emindenini. Kwamanye amayunithi, ukuxhumana ngevidiyo kuvunyelwe ukuxhumana kude.
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Imibuzo Evame Ukubuzwa Ngokuphathelene Nokukhokhiswa Nomshuwalense
Ukunakekelwa kwe-ICU kuhilela ukwelashwa okuyinkimbinkimbi kanye nezinqubo ezivamile. Umnyango wethu wokukhokha usiza ngokusobala ezindleleni, uhlinzeka ngezitatimende eziningiliziwe, futhi usekela ukuqinisekiswa komshuwalense . Siphinde sinikeze isiqondiso ngezikhungo ezingenayo imali kanye nezicelo zezinqubo zokunakekelwa okubucayi ngaphansi kwezinhlelo zezinkampani, ezizimele, noma ezixhaswe nguhulumeni.
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