Isibhedlela Esingcono Kakhulu Sokufakelwa Inhliziyo eHyderabad, eNdiya.

• Ukufakelwa kwenhliziyo kokuqala phakathi kwezifundazwe eTelangana nase-Andhra Pradesh
• Okokuqala esifundeni sayo ukwenza ukufakelwa kwenhliziyo namaphaphu okuhlangene.
• Advanced ECMO & Ventricular Assist Device (VAD) Program
• Ubuchwepheshe Ekuhlinzweni Kokufakelwa Inhliziyo Okuncane Okungangeni Kahle
• Ithimba Lokufakelwa Izitho Ezihlukahlukene Elinokunakekelwa Kweziguli Kusukela Emuva Kuze Kuphele

Ukufakelwa inhliziyo kuyindlela yokwelapha esindisa impilo ezigulini ezinezinkinga zokwehluleka kwenhliziyo ezithuthukile ezingasaphenduli emithini, ekushintsheni indlela yokuphila, noma ezinqubweni zenhliziyo ezivamile. Ukufakelwa inhliziyo inqubo ekhethekile kakhulu lapho inhliziyo enesifo esibi ithathelwa indawo yinhliziyo enempilo enikelayo, okubuyisela ukusebenza kwenhliziyo futhi kuthuthukise kakhulu ukusinda kanye nekhwalithi yokuphila ezigulini ezikhethwe ngokucophelela.

Ezibhedlela zaseYashoda, siyaqonda ukuthi inqubo yokufakelwa inhliziyo ingaphezu nje kwenqubo yokuhlinzwa; luhambo lokwelashwa oluphelele oluhlanganisa ukuhlolwa okuningiliziwe, ubuchwepheshe obuhlukahlukene, ukunakekelwa okuthuthukisiwe kokuhlinzwa, ukuqapha okujulile ngemva kokuhlinzwa, kanye nokulandelela impilo yonke. Inqubo yethu yokwelashwa kokufakelwa iqinisekisa ukuhlanganiswa okungenazinkinga kochwepheshe bokwehluleka kwenhliziyo, odokotela abahlinzayo bokufakelwa, odokotela abaqinisayo, odokotela bezifo zokuzivikela, ochwepheshe bokuvuselelwa, kanye nabaxhumanisi bokufakelwa besebenza ndawonye kuzo zonke izigaba zokunakekelwa kokufakelwa, okwenza izibhedlela zaseYashoda zibe ngesinye sezibhedlela ezinhle kakhulu zokufakelwa inhliziyo eHyderabad kanye nendawo ekhethwayo yokufakelwa inhliziyo eNdiya.

Kunconywa nini ukufakelwa inhliziyo?

Ukufakelwa inhliziyo kucatshangelwa kuphela ngemva kokuba zonke izindlela zokwelapha ezifanele zezokwelapha nezokuhlinzwa sezihloliwe. Kunconywa iziguli ezinezinkinga zenhliziyo ezisezingeni lokugcina, lapho inhliziyo ingasakwazi ukupompa igazi ngempumelelo, okuholela ezimpawini eziqhubekayo kanye nekhwalithi yokuphila enciphile kakhulu.
Ukuhlolwa okuphelele kokufakelwa kwenhliziyo kuyadingeka uma:

• Imithi kanye nezinye izindlela zokwelapha azikwazi ukuxazulula ukwehluleka kwenhliziyo okubangelwa ukuminyana
• Isifo esibi semithambo yenhliziyo esibangela umonakalo ongenakulungiseka emisipheni yenhliziyo
• Ezinye izifo zenhliziyo ezivimbelayo ezibangela ukuphazamiseka okukhulu kokusebenza kwenhliziyo
• Izifo zenhliziyo eziyinkimbinkimbi zokuzalwa lapho ukungenelela kokuhlinzwa nakho kungenzeki
• Izinkinga zesigqi senhliziyo ezisongela impilo njalo naphezu kokwelashwa nokuhlinzwa
• Ukulaliswa esibhedlela njalo kanye nokuthembela kumadivayisi okusiza ngomshini

Yingani Ukhetha Thina?

Njengenye yezibhedlela ezinhle kakhulu zokufakelwa inhliziyo eNdiya, izibhedlela zaseYashoda sezizenzele indawo ethembekile yeziguli ezifuna ukufakelwa inhliziyo eHyderabad kanye nokwelashwa okuthuthukile kokwehluleka kwenhliziyo.

Odokotela Bokufakelwa Inhliziyo eHyderabad
Odokotela bethu abanolwazi ngokufakelwa inhliziyo eHyderabad bahlanganisa odokotela abahlinza inhliziyo abanekhono eliphezulu, odokotela bokufakelwa, odokotela abaqinisayo, odokotela ababulala izinzwa, odokotela bezifo zokuzivikela, kanye nochwepheshe bokuvuselelwa abasebenza ndawonye ukuze benze ngempumelelo ngisho nezinqubo zokufakelwa inhliziyo eziyinkimbinkimbi kakhulu.

Ingqalasizinda Ethuthukisiwe Yenhliziyo
Izindawo zethu zokuhlinza ezixubile ezithuthukisiwe, ama-ICU okufakelwa inhliziyo azinikele, ukwesekwa kwe-ECMO, kanye nokunakekelwa okubucayi okusebenzayo ubusuku nemini kuhlanganiswa kalula ukuze kuhlinzekwe ngengqalasizinda yokufakelwa kwezitho esezingeni lomhlaba, okuvumela ochwepheshe bethu ukuthi baphathe ngisho namacala okufakelwa inhliziyo ayinkimbinkimbi kakhulu ngokunemba.

Ukusekelwa Kokufakelwa Inhliziyo Kusukela Ekugcineni Kuya Ekugcineni
Ukufakelwa inhliziyo ngempumelelo kudlulela ngale kokuhlinzwa. Uhlelo lwethu oluphelele luhlanganisa ubuchwepheshe obuthuthukisiwe bokuhlinzwa, ukwesekwa kokujikeleza kwegazi ngomshini, ukuvuselelwa, kanye nokulandelela impilo yonke, kanye nabaxhumanisi bokufakelwa abazinikele abaqondisa iziguli nemindeni kuzo zonke izinyathelo.

Ifa Lokwenza Kahle Kokufakelwa Izitshalo
Izibhedlela zaseYashoda zenze ukufakelwa kwenhliziyo kokuqala phakathi kwezifundazwe kanye nokufakelwa kokuqala okuhlanganisiwe kwenhliziyo namaphaphu eTelangana nase-Andhra Pradesh. Namuhla, siyaqhubeka nokuhola njengesikhungo esiphelele sokufakelwa kwenhliziyo, amaphaphu, namaphaphu, sinikeza ukunakekelwa kokufakelwa okuthuthukisiwe ngobuchwepheshe obuhlukahlukene kanye nengqalasizinda yezokwelapha yesimanje.

Izinga Lempumelelo Eliphezulu Kakhulu Lokufakelwa Inhliziyo eNdiya
Izinga lempumelelo yokufakelwa inhliziyo eNdiya lithuthuke kakhulu eminyakeni eyishumi edlule ngenxa yentuthuko ekulinganisweni kwabaxhasi, ubuchwepheshe bokuhlinzwa, ukunakekelwa okubucayi, ukwelashwa okucindezela amasosha omzimba, kanye nokulandelwa kwesikhathi eside. Ezibhedlela zaseYashoda, uhlelo lwethu lokufakelwa olunemikhakha eminingi, ingqalasizinda ethuthukisiwe, kanye nezinqubo zezokwelapha ezisekelwe ebufakazini zinegalelo emiphumeleni emihle yesiguli kanye nokusinda isikhathi eside ngemva kokufakelwa inhliziyo.

Kwenziwa kanjani ukufakelwa inhliziyo?

Ukufakelwa inhliziyo inqubo ehlelwe ngokucophelela lapho inhliziyo eyonakele kakhulu noma ehlulekayo ithathelwa indawo yinhliziyo enempilo enikelayo. Ukwelashwa kuhilela ukuhlolwa okuningiliziwe, ukuqhathaniswa kwabanikelayo, ukuhlinzwa okuyinkimbinkimbi, ukunakekelwa okujulile ngemva kokuhlinzwa, kanye nokulandelwa impilo yonke.

Ukuhlola Ngaphambi Kokuhlinzwa:
Ithimba elihlanganisa imikhakha eminingi lihlola ukuhlolwa kwegazi okudingekayo kanye nokuhlolwa kweqembu legazi, i-ECG, i-2D echocardiography, i-coronary angiography, i-CT scan noma i-cardiac MRI, ukuhlolwa kokutheleleka, ukuhlolwa kokudla okunempilo, kanye nokuhlolwa kwengqondo

Ukufaneleka Kokufakelwa Izitshalo Nokubhaliswa Kohlu Lokulinda
Ngemva kokuhlolwa okuphelele, iziguli ezihlangabezana nezindinganiso zezokwelapha ezidingekayo zibhaliswe ohlwini lokulinda olugunyaziwe lokufakelwa izitho zomzimba. E-Telangana, izinhliziyo zabanikeli abashonile zabiwa nge-Jeevandan (Uhlelo Lokufakelwa Kwezidumbu), inethiwekhi yokunikezwa nokufakelwa kwezitho zombuso. Lolu hlelo lulandela inqubo yokwabiwa esobala neyokuziphatha, efanisa izinhliziyo zabanikeli futhi icabangela zonke izici ezibalulekile.

Ukunakekelwa Okukhethekile Ngesikhathi Ulinde Inhliziyo Yomnikeli
Iziguli ezinesifo senhliziyo esithuthukile zingadinga imithi, amadivayisi afakelwa, i-ECMO, noma amadivayisi okusiza nge-ventricular (VADs) ukusekela ukusebenza kwenhliziyo kuze kube yilapho ifakelwa.

Ukuqhathaniswa Kwabaxhasi Nokufakelwa Izitshalo:
Ngemva kokuba ochwepheshe bethu bokufakelwa izitho zomzimba behlole ngokucophelela izindlela zokufanisa umnikeli, umamukeli (isiguli) ungeniswa esibhedlela ukuze ahlolwe okokugcina futhi alungiselele ukuhlinzwa. Ngaphansi kokuhlinzwa okuvamile, inhliziyo enesifo isuswa ngokucophelela bese ithathelwa indawo yinhliziyo yomnikeli enempilo kusetshenziswa amasu okuhlinzwa athuthukile kanye nokusekelwa kwe-heart-lung bypass.

Ukululama Nokulandelela Kokuphila Konke
Ngemva kokuhlinzwa kokufakelwa, iziguli zigcinwa ziqashwe e-ICU yokufakelwa inhliziyo ezinikele, lapho ithimba elikhethekile lokufakelwa liqapha khona ukusebenza kwenhliziyo, ukujikeleza kwegazi, ukuphefumula, kanye nokululama okuphelele ngenkathi lilawula ngenkuthalo ukuvimbela ukutheleleka kanye nezimpawu zokuqala zokwenqatshwa kwezitho zomzimba. Ukwelashwa kokucindezela amasosha omzimba impilo yonke, ukubonisana nodokotela njalo, kanye nophenyo oluqhubekayo kuqinisekisa impilo yesikhathi eside kanye nekhwalithi yokuphila.