Thola Umbono Wesibili Wamahhala
Isibhedlela Sezingane Esihamba Phambili eHyderabad
I-Pediatrics iwumkhakha wezempilo obhekene nokunakekelwa kwezokwelapha kwezinsana, izingane kanye nentsha ehlushwa izifo ezahlukene.
Ukunakekelwa kwezingane ezinempilo futhi ezigulayo kuyingxenye ebalulekile yanoma yisiphi isibhedlela. Izibhedlela zaseYashoda, eHyderabad, zinomnyango osunguliwe weziguli zezingane, futhi silwela ukuhlinzeka ngezinsizakalo zokunakekelwa kwempilo ezisezingeni eliphezulu ngokunakekelwa okunesisa ezinganeni ezihlushwa izifo. Njengoba sineminyaka eminingi yobuchwepheshe ekwelapheni izifo zezingane, sesibe ngesinye sezibhedlela zezingane ezinhle kakhulu eHyderabad zokwelashwa nokuphathwa kwezingane.
Sigxila ekuhlinzekeni ukunakekelwa kwekhwalithi ephezulu okugxile ezidingweni nasezidingweni zezingane ezihlushwa yisifo.
Ezibhedlela zaseYashoda, i-Center for Pediatrics inikeza izinsizakalo eziningi kanye nokunakekelwa okuphelele kwezingane kusukela ekuzalweni kuya eminyakeni eyi-18. Sihlinzeka ngezinsizakalo eziningi zezokwelapha, ukunakekelwa kwezokwelapha okuphakeme, ukukhuthazwa kwezempilo, kanye nezinhlelo zokuvimbela izingane kanye nentsha.
Ochwepheshe bethu banamakhono nolwazi oluningi kuzo zonke izigaba zezokwelapha zezingane. Ngemuva kwalokho sinikeza ukunakekelwa kwezingane okusezingeni eliphezulu ngendlela yokuxhumana okuvulekile, ukwesekwa ngokomzwelo, kanye nemfundo kubo bonke iziguli nemindeni yazo mayelana nokuphatha izinkinga zempilo zezingane.
Lesi sikhungo sinikeza iziguli izinsizakalo zokulaliswa esibhedlela kanye nezokulaliswa esibhedlela. Izinsizakalo zokulaliswa esibhedlela ziphatha izinkinga eziningi zezokwelapha zezingane, kanye nokuxilongwa kanye nokuphathwa kwezimo zokuziphatha nezokukhula ezifana nesifo sokungakwazi ukunaka (ADHD), isifo se-autism spectrum disorder, izinkinga zokukhula, kanye nezingane ezinezinkinga eziningi ezidinga ukunakekelwa okuqhubekayo kwezimo ezingamahlalakhona.
Odokotela bezingane abangochwepheshe emnyangweni baxoxa ngalesi simo nabazali ngokugcwele, bese behlela ukwelashwa komuntu siqu kuye ngokuthi ingane izizwa kanjani. Sinakekela kakhulu ekuhlinzekeni izinsizakalo ezigxile ezinganeni ezigulini. Iwadi yezingane ifakwe kahle ubuchwepheshe bamuva futhi ikhuthaza intuthuko iyonke yengane. Le ndlela ephelele yokwelapha isenze saba yisibhedlela sezingane esiphezulu eHyderabad.
Izinsizakalo ezahlukahlukene ezinikezwa umnyango wezokwelapha izingane zifaka:
- I-Neonatology: Isikhungo esikhethekile sezingane esihlinzeka ngokunakekelwa kwezinsana ezisanda kuzalwa, ikakhulukazi lezo ezigulayo noma ezingakafiki isikhathi.
- I-Allergy kanye ne-Immunology: Ihlobene nokuphathwa kanye nokwelashwa kwezifo zesistimu yomzimba ezinganeni. Ihlanganisa izimo ezifana ne-allergy conjunctivitis, i-allergy rhinitis, i-sinusitis, ufuba, inyumoniya, i-eosinophilic esophagitis noma i-gastroenteritis, i-atopic dermatitis, i-contact dermatitis, i-urticaria ebukhali nehlala isikhathi eside, i-angioedema, izifo ezinzima zokuntuleka kwamasosha omzimba, ukuntuleka kwama-antibody, ukuntuleka kokuhambisana, ukukhubazeka kwamaseli e-phagocytic, futhi nokuningi.
- Umuthi Ophuthumayo Wezingane: Kubhekisela ekunakekelweni kwezingane ezinezifo ezibucayi noma ukulimala okudinga ukunakekelwa kwezokwelapha okusheshayo.
- I-Endocrinology: Igatsha lezokwelapha eligxile ekuphatheni nasekwelapheni izifo zesimiso se-endocrine, njengalezo ezithinta i-thyroid gland, i-pituitary gland, i-adrenal glands, kanye ne-pancreas. Lezi zifo zifaka phakathi isifo sikaGraves, i-acromegaly, isifo sikashukela sentsha, ukungasebenzi kahle kwe-adrenal, i-cystic fibrosis, i-hyperthyroidism, njll.
- Inhliziyo: Kuhilela ukwelapha izimo zenhliziyo, njenge-congenital mitral stenosis, i-aortopulmonary septal defect, i-bicuspid aortic valve, nezinye.
- Ukunakekelwa Okubalulekile:Lo mnyango uqondisa izinsana, izingane kanye nentsha egula kakhulu.
- Isikhumba: Ibhekana nezifo zesikhumba, okuhlanganisa i-eczema, i-psoriasis, i-acne, i-vitiligo, ama-hives, i-dermatitis, nokuningi.
- I-Nephrology: Yelapha izifo zezinso kanye nomgudu womchamo njengokwehluleka kwezinso, umfutho wegazi ophakeme, ezinso, kanye nokukhubazeka komchamo.
- I-Psychiatry: Ibhekana nezinkinga zokuziphatha kanye nokukhula ezinganeni ezifana nesifo sokungakwazi ukugxilisa ingqondo (ADHD), isifo sokungalawuleki (OCD), I-Tourette syndrome, isifo sokungathandi ukuphikiswa, ukukhathazeka, ukucindezeleka, njll.
- I-Pulmonology: Igxile ezinkingeni zokuphefumula ezinganeni, okuhlanganisa i-apnea, i-asthma, i-bronchitis, i-cystic fibrosis, izinkinga zamaphaphu azalwa nazo, nokunye.
- I-Rheumatology: Kuphathelene nezinkinga zamathambo ezinganeni, njenge-lupus erythematosus eqala ukusebenza ezinganeni kanye ne-scleroderma.
- I-Neurology: Iphatha izinkinga zesimiso sezinzwa, okuhlanganisa ukukhubazeka kokuzalwa, izimila, i-hydrocephalus, ukukhubazeka kwemithambo yegazi, kanye isithuthwane.
- I-Oncology: Kuhilela izinhlobo ezahlukene zomdlavuza wezingane ezifana i-leukemia, i-lymphoma, i-neuroblastoma, i-histiocytosis, i-retinoblastoma, kanye nama-sarcomas.
- I-Gastroenterology: Kuphathelene nezimo zesisu kanye nesibindi ezinganeni, njengesifo se-coeliac, i-colitis, ukuqunjelwa, isifo sikaCrohn, kanye ne-esophagitis.
- Hematology: Kuhilela izinkinga zegazi, njenge-anemia, isifo se-sickle cell, thalassemia, i-spherocytosis.
- Izifo Ezithathelwanayo: Iphatha izifo ezifana ne-meningitis, i-influenza, isifo se-Lyme, isimungumungwane, i-chickenpox, i-herpes simplex, i-osteomyelitis, kanye nokukhwehlela okukhulu.
- I-ophthalmology: Igxile ezimweni zamehlo ezinganeni, okuhlanganisa ukutheleleka kwamehlo, amehlo avilaphayo, i-conjunctivitis, i-astigmatism, i-myopia, i-hypermetropia, amehlo axubile, nokuningi.
Izibhedlela zaseYashoda nazo zinolwazi kulezi zindawo ezilandelayo:
- Ukuhlolwa Kwezingane Ezisanda Kuzalwa
- Ukunakekelwa Okukhethekile Nokunakekelwa Okujulile Kwezinsana Ezisanda Kuzalwa
- Isevisi Yezokuthutha Eziphuthumayo Zezingane
- Ukunakekelwa Kwangaphambi Kokuhlinzwa Nangemva Kokuhlinzwa
Ubuchwepheshe Nezinsiza
- Iyunithi Yokunakekelwa Okujulile Kwabantwana Ekhethekile Enemishini Yokuphefumula
- Iyunithi Yokunakekelwa Okujulile Kwezingane Ezisanda Kuzalwa, kanye nama-Ventilator Okuphefumula Ezinsana Ezisanda Kuzalwa
Imibuzo Efunwa Kakhulu Ngokuquleka Kwe-Febrile Ezinganeni
Hlangana nethimba lethu lochwepheshe bezingane
UDkt. Jamir Dilip Arlikar
I-MBBS, i-MS General Surgery, i-Mch Paediatric Surgery Fellowship, i-Johns Hopkins, e-USAUmeluleki Ohloniphekile Wokuhlinzwa Kwezingane kanye Ne-Urology Yezingane Udokotela Ohlinzayo We-Laparoscopic Wezingane Ongenasidingo, Udokotela Ohlinzayo Wezingane Ezisanda Kuzalwa
UDkt Tejopratap Oleti
MBBS, MD, DM (I-Neonatology)Umeluleki Omkhulu Wezingane Ezisanda Kuzalwa, i-HOD – UMnyango Wezingane Ezisanda Kuzalwa
Umqondisi wezokwelapha
UDkt. Dara Swamy
I-MD Paediatrics (PGIMER Chandigarh), i-DNB Paediatrics, i-IDPCCMSr Consultant Udokotela Wezingane kanye Nezingane Eziqinisayo
UDkt. G Praveen Kumar
I-MBBS, i-DNB (Udokotela Wezingane), i-DM (I-Neonatology)Umxhumanisi weNeonatologist nodokotela wezingane
UDkt. B. Prasanth Babu
I-MBBS, i-DCH, i-DNB (i-Paediatrics), i-Fellowship ku-Neonatology (i-Amrita-Kochi)Udokotela Wezingane Ongumeluleki kanye Nodokotela Wezingane Ezisanda Kuzalwa
UDkt. Satyapriya Sahoo
I-MBBS, MD (I-Paediatrics), i-DrNB (I-Neonatology)Udokotela Wezingane Ezisanda Kuzalwa kanye Nodokotela Wezingane
UDkt Siddannagoud
I-MBBS, MD (Indondo Yegolide), i-DM (Indondo Yegolide) (Ukunakekelwa Okubucayi Kwezingane) (i-AIIMS)I-Consultant Pediatric Intensivist
UDkt. D. Ramesh
MD (Udokotela Wezingane), i-DCHInhloko yoMnyango kanye noMeluleki Omkhulu-uMnyango Wezingane Nezingane Ezisanda Kuzalwa
UDkt. D. Srikanth
MD (Izingane), i-PGPN (eBoston, e-USA)Umeluleki Omkhulu Udokotela Wezingane kanye Nodokotela Wezingane Ezisanda Kuzalwa
UDkt. N. Varsha uMonica Reddy
I-MBBS, MD (I-Paediatrics), i-FIPN (i-Fellow in Pediatric Neurology, i-IGICH), i-PGDDN (i-PG Diploma in Developmental Neurology)Udokotela Wezinzwa Zezingane
UDkt. Niranjan N
MD(Ped), DNB, DM (I-Neonatology)Umqondisi Wezokwelapha – I-Neonatology, Inhloko – Iyunithi Yokunakekelwa Okujulile Kwezinsana, Umeluleki Omkhulu Wezinsana Nezingane kanye Nezingane
UDkt. Sneha T
MD (Pediatrics), Ubudlelwano Ekunakekelweni Okubucayi KwezinganeI-Consultant Pediatric Intensivist
UDkt. Suresh Kumar Panuganti
I-DCH, i-DNB (i-Pediatrics), i-Fellowship in Pediatric Critical Care (e-UK), i-PG Diploma ku-Pediatrics kanye ne-Child Health (e-Imperial College, eLondon)Umeluleki Oyinhloko-Ukunakekelwa Okubucayi Kwezingane kanye Nezingane
UDkt. Nayani Sridevi
I-DNB Pediatrics, i-FNB Pediatrics Intensive CareUmeluleki Wezingane kanye Nochwepheshe Wezingane Ogxile Emsebenzini
Ukunakekelwa Kwezingane Okungochwepheshe Kwezifo Nezimo Ezikhethekile
UMnyango Wezingane Ezibhedlela zaseYashoda ugxile empilweni yezinsana, izingane kanye nentsha, unikeza ukunakekelwa kokuvimbela, ukuxilonga, kanye nokwelashwa kwezifo. Bahlinzeka ngemitholampilo ekhethekile, ukugoma, kanye nemizamo yokuqwashisa ukuthuthukisa inhlalakahle. Ukunakekela kuhlanganisa ukuphatha izifo, izifo ezingamahlalakhona ezifana ne-asthma, ukungezwani komzimba, nesifo sikashukela, kanye nezinkinga zokukhula ezifana ne-autism kanye ne-ADHD.
Odokotela bezingane baphinde babhekane nezinkinga zokudla okunempilo kanye nokukhuluphala ngokweqile, behlose ukuqapha ukukhula, ukwelapha izimo, nokuvimbela izinkinga. Izinkinga zobuntwana zingathinta izitho ezahlukahlukene zomzimba, zithinte ukukhula kanye nezinyathelo ezibalulekile, kube nemiphumela yesikhathi eside empilweni yezinzwa, yokuphefumula, noma yokugaya ukudla. Izimpawu ezifana nomkhuhlane, izinguquko zokuziphatha, izinkinga zokudla, noma izinselele zomphakathi zidinga ukubonisana ngokushesha kwezingane.
Nazi Ezinye Izifo Nezimo Ezivamile Zezingane:
- I-Congenital Diaphragmatic Hernia
- Ukukhubazeka Kwenhliziyo Okuzalwe Nakho (ASD kanye ne-VSD)
- I-Cleft Palate
- I-Craniosynostosis
- Iziphambeko Zokuzalwa Ezisodongeni Lwesisu
- I-Esophageal Atresia Ezinganeni
- I-Imperforate Anus Ezinganeni
- Isifo sikaHirschsprung ezinganeni
- Ukuvaleka kwamathumbu noma ukuwohloka kwawo ezinganeni
- Ama-Cysts Entanyeni Azalwa Nawo
- Ama-Cysts Amaphaphu Azalwa Nawo
- I-Appendicitis
- I-Otitis Media enezinkinga
- Amathumba
- I-Adenoid Hypertrophy
- I-Vesicoureteral Reflux (VUR)
- I-Hypospadias kanye Nokukhubazeka Okuyinkimbinkimbi Kwezitho Zangasese
- I-Undescended Testis
- i-hydrocele
- Ukuvinjwa kwe-Ureteropelvic Junction
- Ukwakhiwa Kabusha Kwesinye Sezingane
- Umdlavuza Wesinye Wezingane
- Ukuvinjelwa Kwemigudu Ye-GI Nokopha
- Ama-Cysts e-Choledochal
- Hydrocephalus
- I-Encephalocele kanye ne-Meningocele
- Brain izimila
- Ukukhubazeka Komgogodla/I-Scoliosis Enzima
- Isimila seWilms sezingane
- I-Inguinal Hernias kanye ne-Umbilical Hernias
- Ukubopha Ulimi
- Ukukhubazeka Kodonga Lwesifuba
Izimpawu ze-Congenital Diaphragmatic Hernia
- Ukucindezeleka kokuphefumula
- ICyanosis
- Imisindo yenhliziyo elahlekile
- Ukubonakala kwesisu esisicaba noma esicwilisiwe
- Imisindo yamathumbu esifubeni
- Izinkinga zokudla
Izimbangela ze-Congenital Diaphragmatic Hernia
- Izakhi Zofuzo
- Ukukhubazeka kwe-Chromosomal
- I-Genetic Syndromes
- Izinguquko Ezingahleliwe Zezakhi Zofuzo (Ukuguqulwa Kwezakhi Zofuzo)
- Izingosi zemvelo
Izimpawu Zokukhubazeka Kwenhliziyo Yokuzalwa
- ICyanosis
- Izinkinga Zokuphefumula
- Izinkinga Zokudla
- Ukububula kwenhliziyo
- Ukukhathala
- Ukuvuvuka
Izimbangela Zokukhubazeka Kwenhliziyo Yokuzalwa
- Ufuzo nomlando womndeni
- Impilo Yomama
- Imithi
- Izinguquko zokuphila
Funda kabanzi mayelana - Isifo Senhliziyo Esizalwa Naso (ASD & VOD)
Izimpawu ze-Cleft Palate
- Ubunzima bokudla
- Izinkinga zokukhuluma
- Ukutheleleka kwendlebe nokulahlekelwa ukuzwa
- Izinkinga zamazinyo
- Ezinye izinkinga zokuzalwa
Izimbangela ze-Cleft Palate
- Ufuzo
- Ukubhema nokusebenzisa utshwala
- Imithi
- Diabetes
- Ukuntuleka kokudla okunomsoco
- Ukuvezwa ngamakhemikhali
Funda kabanzi mayelana - I-Cleft Palate
Izimpawu ze-Craniosynostosis
- Ukuma kwekhanda okungajwayelekile
- Indawo ethambile (i-fontanelle)
- Umugqa oqinile
- I-asymmetry yobuso
- Ukwanda kwengcindezi
- Ukukhala okuphezulu
- ukuquleka
- Ukubambezeleka kwentuthuko
Izimbangela ze-Craniosynostosis
- Izakhi Zofuzo
- Ukucindezeleka kwangaphakathi kwesibeletho noma indawo engajwayelekile yombungu.
- Ukubhema kukamama noma ukuchayeka emithini ethile, njenge-valproic acid.
- Isenzakalo Esingahleliwe
Izimpawu ze-Gastroschisis kanye ne-Omphalocele
- Imbobo ngakwesokudla kwenkinobho yesisu noma enkinobheni yesisu
- Ukuvuvuka noma iqhubu elibonakalayo
- Amathumbu noma ezinye izitho eziphumayo
- Ku-omphalocele, ulwelwesi oluncane nolubonakalayo lumboza izitho eziphumayo
- Izinkinga zokugaya
- Ubunzima bokuphefumula uma i-omphalocele inkulu futhi ivimbela ukukhula kwamaphaphu
- Ku-Gastroschisis, Izitho eziphumayo azimboziwe ngesikhwama esibonakalayo futhi zibonakala zigobile, zigobile, futhi zonakele
Izimbangela ze-Gastroschisis kanye ne-Omphalocele
- Izici zofuzo, njenge-chromosome eyengeziwe
- Ubudala bomama abasebasha (ngaphansi kweminyaka engama-20)
- Ukukhulelwa kusencane
- Ukuphuza utshwala kukamama noma ukubhema ugwayi, noma izifo ezithile kungandisa ingozi
- Imisipha ebuthaka
- Imbangela yokusetshenziswa kwemithi ethile
- Ukukhubazeka kwezinso noma kwenhliziyo
- Ezinye izinkinga zokuzalwa, njenge-hernia ye-diaphragmatic yokuzalwa
Izimpawu ze-Esophageal Atresia ezinganeni
- Ukukhwehlela nokuminyana
- Ukuqunjelwa ngokweqile
- Ukuphefumula kanzima
- I-Cyanosis (umbala oluhlaza okwesibhakabhaka wesikhumba)
- I-aspiration pneumonia
- Ukuphazamiseka kwesisu
Izimbangela ze-Esophageal Atresia ezinganeni
- Uma umphimbo ungakhuli ube yipayipi eliqhubekayo, uhlukana ube izingxenye ezimbili
- Izici zofuzo kanye nezemvelo
Izimpawu ze-Imperforate Anus ezinganeni
- Akukho ukuvulwa kwendunu
- Ukungakwazi ukuphuma ngendle
- Ukuqunjelwa nokuhlanza
- Ukuvuvukala kwesisu
- Ukukhishwa kwendle endaweni engavamile
- Ukutheleleka kwe-Urinary tract
Izimbangela ze-Imperforate Anus ezinganeni
- Uma i-rectum kanye ne-anus kungakhuli kahle
- Izimo zofuzo ezifana ne-Down syndrome
- Ukukhubazeka komgudu womchamo noma umgogodla
Izimpawu zesifo sikaHirschsprung ezinganeni
- Ukudlula kwe-muconium okulibazisekile
- Isisu esivuvukile noma esivuvukile
- Ukuhlanza okuluhlaza noma okunsundu
- Uhudo
- Igesi eningi kakhulu ebangela ukuxinana
- Ukuqunjelwa okungapheli ezinganeni
- Ukuntuleka kokukhuluphala noma ukukhula kabi
- Ukuvuvukala kwamathumbu
Izimbangela Zesifo SikaHirschsprung Ezinganeni
- Ukuntuleka kwamangqamuzana ezinzwa emathunjini amakhulu
- Ukuncipha kwemisipha yokususa indle
- Ukuguqulwa kwezakhi zofuzo njenge-Ret proto-oncogene
Funda kabanzi mayelana - Isifo sikaHirschsprung
Izimpawu zokuvaleka kwamathumbu noma ukubola kwamathumbu ezinganeni
- Ukungakwazi ukudlulisa igesi noma indle
- Ubuhlungu besisu nokuvuvukala
- Ukushaya kwenhliziyo okusheshayo nokuphefumula
- Uhudo kanye nendle enegazi
- Ukuchama kancane
- Ukukhuluphala noma ukukhula kabi
Izimbangela zokuvaleka kwamathumbu noma ukuwohloka kwawo ezinganeni
- Izinga lokuzalwa
- Ukungenisa into yangaphandle
- Ukuqonda ngaphakathi
- IHernia
- Ukunamathela okwakheka ngemva kokuhlinzwa
Funda kabanzi mayelana - Ukuphazamiseka Kwamathumbu Nge-Volvulus
Izimpawu zama-Congenital Neck Cysts
- Ikhipha uketshezi olufana ne-mucus oluvela emgodini omncane noma emgodini
- Ubomvu, ukufudumala, ububele, kanye nobuhlungu ku-cyst
- Iqhubu elizwakalayo elingenabuhlungu
- Ukuphefumula nokugwinya ubunzima
Izimbangela Zezinhlungu Zentamo Ezizalwa Nazo
- I-Brachial cleft cyst: Ukuthuthukiswa okungaphelele kwesakhiwo se-brachial sombungu
- I-Thyroglossal duct cyst: Insalela ye-embryonic ducts ebangela ukwakheka kwe-thyroid gland
- I-cystic hygroma: Intuthuko engaphelele yesistimu ye-lymphatic
- I-dermoid cyst: izicubu zombungu ezilahlekile ngesikhathi sokuthuthukiswa
Izimpawu ze-Congenital Lung Cysts
- Ukuphefumula kanzima noma ukuphefumula ngokushesha
- Ukukhwehlela okuqhubekayo okunokuphefumula komoya
- I-pneumonia ephindaphindayo noma i-bronchitis
- Ubuhlungu besifuba noma ukungakhululeki
- Ukuvuvukala okuhlobene ne-cyst
Izimbangela Zezimila Zamaphaphu Ezizalwa Nazo
- Ukuthuthukiswa kwamaphaphu okungavamile
- Ukukhubazeka komoya womoya wamaphaphu okuzalwa: isakhiwo se-cystic esingasebenzi
Izimpawu ze-Appendicitis
- Ubuhlungu besisu obuba bubi kakhulu ngokunyakaza nokukhwehlela
- Ukulahlekelwa kwesifiso
- Izinguquko zokuziphatha
- Ukushintsha kwemikhuba yamathumbu
- Ingxenye engezansi kwesokudla yesisu ingase ibe mnene uma uyithinta
Izimbangela ze-Appendicitis
- Ukuqina kwendle (i-fecalith) kanye nokuvimba i-appendix
- Ukuvuvukala kwama-lymph nodes
Funda kabanzi mayelana - I-Appendicitis
Izimpawu ze-Otitis Media ezinezinkinga
- Izinwele ezinzima
- Ubuhlungu bendlebe obukhulu
- Ukuzizwa ukhathele noma unesimo sengqondo esinciphile
- Unenkinga yokulinganisela
- Ukukhishwa koketshezi olunuka kabi
- Ukungasebenzi kahle kobuchopho
Izici Zengozi Ye-Otitis Media Nezinkinga
- Ishubhu le-eustachian elifushane, elivundlile
- Ukwanda kwe-adenoid okuvimbela ukuvuleka kwamapayipi e-eustachian ngokomzimba.
- Ukuchayeka entuthuni kagwayi
- Ukusetshenziswa kwe-pacifier noma ukuncelisa ngebhodlela
- Ezinye izimo, njenge-Down syndrome noma i-cleft palate
Izimpawu ze-tonsillitis
- Umphimbo obuhlungu, intamo eqinile, kanye nobunzima bokugwinya
- Ama-lymph node avuvukele noma athambile ekhanda
- Ube nobuhlungu besisu
- I-Halitosis (ukuphefumula okubi)
- Amathoni abomvu futhi avuvukele
- Amabala amhlophe naphuzi kuma-tonsils
Izinkinga ze-tonsillitis
- Ukutheleleka ngegciwane
- Ukutheleleka kwamagciwane njenge-strep throat
Izimpawu ze-Adenoid Hypertrophy
- Umlomo uphefumula ebusuku, uhona ngenkathi ulele, kanye nekhala eligobhozayo njalo.
- Ukuphefumula okunzima, ukulala okungaphumuli, kanye nokuchama embhedeni
- Izinguquko kuthoni yezwi
- Ukutheleleka kwendlebe okuvamile
- Kunzima ukugwinya
- Ukulala kwasemini
Izimbangela ze-Adenoid Hypertrophy
- Ukutheleleka ngegciwane kanye nebhaktheriya
- Ukuchayeka ezintweni ezibangela ukungezwani komzimba, ukungcola komoya, nezinye izinto ezicasulayo
- Impendulo yomzimba kanye ne-hormone factor
- Izici zofuzo
Funda kabanzi mayelana - Ukuhlinzwa kwe-Adenoid Hypertrophy
Izimpawu ze-Vesicoureteral Reflux (VUR)
Ezinganeni eziningi, i-VUR ayinazimpawu, kodwa uma ihlotshaniswa nezimpawu ze-UTI, iholela ku:
- Umkhuhlane kanye nokuchama embhedeni
- Ubuhlungu noma ukuzwa ukushisa ngenkathi uchama
- Isidingo esivamile noma esiphuthumayo sokuchama
- Kunamafu noma umchamo onuka kabi
- Ubuhlungu besisu noma be-flank
- Ukucasuka noma ukondla kabi ezinganeni
Izimbangela ze-Vesicoureteral Reflux (VUR)
- Ukungajwayelekile okukhona ngesikhathi sokuzalwa
- Umhubhe we-ureteral omfushane kunojwayelekile
- Izinkinga zemizwa ezithinta esinyeni
- Ukuvimba noma ukuncipha kwentamo yesinye noma i-urethra
Izimpawu ze-Hypospadias kanye nokukhubazeka okuyinkimbinkimbi kwesitho sangasese
- Ukuvulwa kwe-urethral engafanele
- Ijwabu elinoboya
- Ukuba khona kwe-chordee kusobala kakhulu ngesikhathi sokuma
- Ubunzima bokuqondisa umchamo, okuholela ekugelezeni noma ekucindezeleni
Izimbangela ze-Hypospadias kanye nokukhubazeka okuyinkimbinkimbi kwesitho sangasese
- Umlando womndeni
- Izinguquko zofuzo noma zama-hormone
- Izici ezithile zomama, okuhlanganisa ubudala, isisindo, noma ubuchwepheshe bokusiza ekuzaleni (ART)
Izimpawu ze-Undescended Testis
- I-scrotum engenalutho noma ebheke eceleni
- I-testis ehoxayo
Izimbangela Ze-Testis Engasuswanga
- Ukungalingani kweHormonal
- Ukuzalwa ngaphambi kwesikhathi
- Izinkinga zofuzo ezifana ne-Down syndrome noma izinkinga zomzimba
- yizici zemvelo
- Impilo kamama
- Umlando womndeni
Funda kabanzi mayelana - I-Undescended Testis
Izimpawu zeHydrocele
- Ukuvuvukala kwe-scrotal okungenabuhlungu
- Ukushintshashintsha kosayizi
- Osayizi abahlukahlukene
- Umbala oluhlaza okwesibhakabhaka okhanyayo ngaphansi kokukhanya
Izinkinga ze-Hydrocele
- Congenital
- I-hydrocele engaxhumani
- Ukuvuvukala noma ukutheleleka
- Ukuhlukumezeka noma ukulimala
- Ukuzalwa ngaphambi kwesikhathi
Funda kabanzi mayelana - i-hydrocele
Izimpawu Zokuvinjelwa Kwe-Ureteropelvic Junction
- Ngezinye izikhathi ukungabi nazimpawu
- Ukukhula okubi noma ukuhlanza
- Ukutheleleka kwe-Urinary tract
- Igazi eliphuma emchameni (i-hematuria)
- Amatshe ezinso
- Isisindo sesisu
Izimbangela Zokuvinjelwa Kwe-Ureteropelvic Junction
- Ukukhubazeka kwemisipha
- Umthambo wegazi ungase uwele ngendlela engavamile ku-ureter
- Ukukhubazeka kokuzalwa kwesakhiwo se-ureter noma sezinso
Funda kabanzi mayelana - Ukuvinjwa kwe-Ureteropelvic Junction
Izimpawu zika Izingane Ukwakhiwa Kabusha Isinye
- Ukulangazelela njalo ukuchama
- Ubunzima bokulawula ukugeleza komchamo
- Ukungakwazi ukuchama ngenxa yesimila
- Ukuchama kabuhlungu
- Ubuhlungu esiswini, ethangeni, noma emhlane ongezansi
Izimbangela Izingane Ukwakhiwa Kabusha Isinye
- Ukulimala kwentambo yomgogodla
- Isimila sesimiso sezinzwa esiphakathi
- Isinye exstrophy
- Izimo zokuzalwa noma ezitholwe kabusha ezithinta isinyi
Izimpawu Zomdlavuza Wesinye Wezingane
- Ukuvuthwa njalo
- Igazi emcimbini
- Ukuchama kabuhlungu
- Ukuchama okuphuthumayo
- Ubuhlungu besisu noma eqolo
Izimbangela Zomdlavuza Wesinye Wezingane
- Izici zofuzo
- Izindlela zokwelapha ezithile, njenge-chemotherapy
- Izinguquko emaseli esinyeni
Izimpawu Zokuvinjelwa Kwe-GI Tract Nokopha
- Ubuhlungu besisu noma i-cramping
- Isisu esivuvukile noma esiqinile
- I-nausea nokuhlanza
- ukuqunjelwa
- Ukungabi nesifiso
- ukucobeka
- Fever
- Igazi emhlanzweni
- Izihlalo ezimnyama, ezimnyama, noma ezihlala isikhathi eside
- Igazi elibomvu elikhanyayo elixutshwe noma elimbozwe indle
- Ubuthakathaka noma ukukhathala
- Isikhumba noma izinsini ezimpunga
- Isizungu noma ukuquleka
Izimbangela Zokuvinjelwa Kwe-GI Tract Nokopha
- I-Intussusception (ingxenye yamathumbu ihlangana ibe yinye)
- UHernias
- Ukunamathela
- Izinjongo Zangaphandle
- Okuzenzakalelayo kokuzalwa
- Isifo samathumbu esivuvukalayo (isifo sikaCrohn)
- Imifantu yendunu
- Ukungezwani nobisi noma isoya ezinganeni
- Ukuvuvukala komphimbo noma isisu
- Izilonda ze-Peptic
- Ukutheleleka kwekholoni
Izimpawu ze-Choledochal Cysts kanye ne-Biliary Atresia
- jaundice
- Ubuhlungu besisu esiswini esingaphezulu kwesokudla
- I-nausea nokuhlanza
- Umchamo omnyama
- Umkhuhlane ohambisana ne-cholangitis
- Inqwaba ezwakalayo esiswini esingaphezulu kwesokudla
- Isihlalo esimpunga, esinombala wobumba
- Ukuvuvukala kwamanyikwe
- Isibindi esikhulu (i-hepatomegaly)
- Ukuzuza kwesisindo esincane
- Izinkinga ezivela ekulungisweni kabusha kwe-bile duct
Izimbangela ze-Choledochal Cysts kanye ne-Biliary Atresia
- Ukuxhumana okungavamile phakathi kwe-bile duct kanye ne-pancreatic duct
Izimpawu ze-Hydrocephalus
- Ikhanda elikhulu ngokungavamile noma elikhula ngokushesha
- Indawo ethambile evuvukele phezulu kwekhanda
- Imithambo egqamile ekhanda
- Amehlo okushona kwelanga (amehlo abheke phansi)
- Ukucasuka nokukhala ngokweqile
- ukuquleka
- Izinkinga zokubona, njengokubona okufiphele noma okukabili
- Inkinga ngokulinganisela kanye nokuxhumana okungekuhle
- Isicanucanu, ukuhlanza, kanye nokuvilapha
- Izinguquko ekuziphatheni
- Ukubambezeleka kwamakhono okukhula, njengokuhamba noma ukukhuluma
Izinkinga ze-Hydrocephalus
- Lapho umgogodla wengane ungavaleki khona ngokuphelele
- Ukulimala okukhulu ekhanda
- Izifo zobuchopho
- Isimo sokuzalwa
- Izicubu zesibindi
Funda kabanzi mayelana - Hydrocephalus
Izimpawu ze-Encephalocele kanye ne-Meningocele
- Ukubambezeleka kwentuthuko
- Ukuvuvuka okubonakalayo ekhanda
- Ukubona nokungezwa kahle
- ukuquleka
- Ubuthakathaka ezingalweni nasemilenzeni
- Izinselele ngokuxhumana kanye namakhono okunyakaza komzimba
Izimbangela ze-Encephalocele kanye ne-Meningocele
- Ipayipi le-neural liyahluleka ukuvala kahle
- Ukuntuleka kwe-folate
- Izici zofuzo
Izimpawu Zezimila Zobuchopho
- Ukuphathwa yikhanda
- I-nausea nokuhlanza
- Izinkinga zembono
- Ubunzima bokuhamba nokwenza ukunyakaza okuhlelekile
- Izinguquko zokuziphatha kanye nobuntu
- Ukuquleka kanye nokudinwa
- Ikhanda elikhulisiwe
- Ubuthakathaka kanye nokungazweli
Izimbangela Zezimila Zobuchopho
- Izifo zofuzo ezifana ne-Von Hippel-Lindau syndrome noma i-tuberous sclerosis
- Ukuchayeka ezinhlotsheni ezithile zemisebe
- Ukuguqulwa kwezakhi zofuzo noma ukususwa kwazo
Funda kabanzi mayelana - Brain izimila
Izimpawu Zokukhubazeka Komgogodla/I-Scoliosis Enzima
- Amahlombe nezinqe ezingalingani
- Ukukhubazeka kwekheji lezimbambo
- I-blade yehlombe evelele
- Ukhalo olungalingani
- Encike ohlangothini olulodwa
- Izingubo ezingalingani zilingana
Izimbangela Zokukhubazeka Komgogodla/I-Scoliosis Enzima
- Ngezinye izikhathi idiopathic
- Izimo ze-neuromuscular ezifana ne-cerebral palsy noma i-muscular dystrophy
- Ukukhubazeka komgogodla okuzelwe nakho
- Ukulimala kwangaphambilini, izifo, noma izimila
- Izici zofuzo
Funda kabanzi mayelana - I-Scoliosis Enzima
Izimpawu Zesimila Sezingane Esibizwa Nge-Wilms Tumor
- Ubukhulu obungavamile noma ukuvuvukala
- Ubuhlungu besisu obuhlabayo, obunamahlwili, noma obubukhali
- Igazi emchameni (hematuria)
- Ukukhathala noma ukulahlekelwa yisifiso sokudla
- ukuqunjelwa
- Umfutho wegazi ophezulu
Izimbangela Ze-Wilms Tumor Yezingane
- Izinguquko zofuzo
- Izinguquko ze-DNA ezizuzwe njengefa
- Okuzenzakalelayo kokuzalwa
- Izici zemvelo ezingaziwa
Funda kabanzi mayelana - Isimila seWilms sezingane
Izimpawu ze-Inguinal Hernias kanye ne-Umbilical Hernias
- Ukuvuvukala okubonakalayo eduze kwendawo yengquza noma eduze kwenkinobho yesisu
- Kubi kakhulu ngokucindezeleka
- Iyanyamalala uma iphumule
- Ukunganaki
- Ukuxokozela
Izimbangela ze-Inguinal Hernias kanye ne-Umbilical Hernias
- Ubuthakathaka emisipheni yesisu
- Ukuzalwa ngaphambi kwesikhathi
- Ukwehluleka kwendandatho yenkaba ukuvala
- Ukuvalwa okulibazisekile
Izimpawu Zokubopha Ulimi
- Ubunzima bokuphimisa amagama anjengokuthi 'd' 'i' 't' noma 'th'
- Ukukhathazeka ngokufaka ulimi emazinyweni
- I-notch noma i-tip yolimi olufana nenhliziyo
- Ubunzima bokukhotha izindebe noma i-ayisikhilimu cone
- Igebe phakathi kwamazinyo aphansi
- Ukuzwa ukusikeka ngaphansi kolimi ngenxa yokuthi i-frenulum ibambeke phakathi kwamazinyo
Izimbangela Zokubopha Ulimi
- Izimo Zokuzalwa
- I-lingual frenulum ihlala imfushane ngendlela engavamile, ijiyile, futhi iqinile
Izimpawu Zokukhubazeka Kodonga Lwesifuba
- Ukubukeka kwesifuba kungashintsha ngesikhathi sokukhula kwentsha
- Ukuphelelwa umoya ngesikhathi sokuzivocavoca
- Ukuqina okunciphile
- Ukukhathala
- ubuhlungu besifuba
- Ukushaya kwenhliziyo okungajwayelekile noma ukushaya kwenhliziyo okungajwayelekile
- Ukwanda kwezifo zokuphefumula
- Ingozi eyengeziwe ye-scoliosis
Izimbangela Zokukhubazeka Kodonga Lwesifuba
- Isakhi sofuzo
- Izifo zofuzo ezifana ne-Turner syndrome, i-Jeune syndrome, kanye ne-Marfan syndrome
- I-Scoliosis
- Okunye ukuphazamiseka kwezicubu ezixhumeneyo
Funda kabanzi mayelana - Ukukhubazeka Kodonga Lwesifuba
Isibhedlela Esingcono Kakhulu Sokuhlinzwa Kwezingane Okuphelele
Isigaba sezingane eYashoda Hospitals sinakekela izinsana, izingane, kanye nentsha engaphansi kweminyaka engu-18. Ithimba lodokotela bezingane nochwepheshe linikeza izinsizakalo ezahlukahlukene, kusukela ekuhlolweni okuvamile kanye nokunakekelwa kokuvimbela kuya ekwelapheni izifo ezingathi sína. Umnyango wezingane uqhuba izivivinyo zezokwelapha ezahlukahlukene kanye nokwelashwa, okuhlanganisa ukugoma okuvamile, ukwelulekwa kokudla okunempilo, kanye nokuphatha izinkinga zempilo zesikhathi esifushane nezesikhathi eside ezinganeni. Izibhedlela zaseYashoda ziphinde zinikeze ukunakekelwa okubucayi kwezingane ezinganeni ezigula kakhulu futhi zinamayunithi akhethekile e-neonatology, okuhlanganisa ukunakekelwa kwezinsana ezingaphambi kwesikhathi nezisengozini enkulu. Ithimba liphinde lenze ukuhlinzwa kwezingane ezimweni ezahlukene.
Izinhlobo Zokwelashwa Nokuhlinzwa Ezinikezwa Ezibhedlela zaseYashoda:
- Ukulungiswa Kwe-Hernia (Inguinal noma Umbilical)
- Ukulungiswa kwe-Hydrocele
- Ukuhlinzwa kwe-Phimosis (Ukusoka)
- Ukulungiswa Kwe-Frenotomy/I-Lip-Tie
- I-Orchiopexy
- Ukulungiswa Okulula Kokuphuka Kwamathambo
- Ukususwa Kwezicubu Ezithambile/Izilonda Ezingenabungozi
- I-Tonsillectomy ne-Adenoidectomy
- Ukususwa Kwama-Cysts Entanyeni Okuzalwa Nawo
- Ukulungisa I-Cleft Palate
- Ukulungiswa kwe-Encephalocele, i-Meningocele
- Ukulungiswa Kokukhubazeka Kodonga Lwesifuba
- I-Congenital Diaphragmatic Hernia (CDH)
- I-Appendectomy
- Ukuhlinzwa Kwesimila Sezingane eWilms
- Ukuhlinzwa Kwesimila Sobuchopho Sezingane
- Ukuhlinzwa Kokulungisa Iziphambeko Zokuzalwa Zodonga Lwesisu
- Ukuhlinzwa Kokulungisa Ukukhubazeka Kokuzalwa Kwe-GI Tract
- I-Hypospadias Eyinkimbinkimbi Yezingane
- Ukwakhiwa Kabusha Kwesinye Sezingane
- Ukuhlinzwa Kokulungisa I-Vesicoureteral Reflux (VUR)
- Ukulungiswa Kwezinkinga Zenhliziyo Ezizalwa Nazo (ASD noma VSD)
- Ukulungiswa kwe-Craniosynostosis
- Ukubekwa/Ukubuyekezwa kwe-Shunts ye-Hydrocephalus
Preview: Umgomo oyinhloko wokulungisa i-hernia ufana kokubili kuma-hernia e-inguinal kanye ne-umbilical, okuhlanganisa nokubeka kabusha izicubu ze-herniated nokuqinisa udonga lwesisu ukuze kuvinjelwe ukuphinda kuvele. Kuhilela futhi ukunciphisa izimpawu ngokuhlinzwa, nokuvimbela noma yiziphi izinkinga ezisongela ukuphila njengokuboshwa (ukubanjwa) noma ukuklinywa (ukususwa kwegazi) kwe-hernia ngokuhlinzwa okuphuthumayo.
Izinyathelo Zokuhlinza
- Kungakhathaliseki ukuthi ukuhlinzwa kuvuliwe noma kwenziwa nge-laparoscopic, isiguli sinikezwa i-anesthesia ejwayelekile noma yendawo, kuye ngokuthi isimo sibucayi kangakanani.
- Ngendlela ye-laparoscopic, udokotela ohlinzayo wenza i-incision bese efaka i-laparoscope ukuze abone kangcono izitho zangaphakathi. Kanti ekuhlinzeni okuvulekile, kwenziwa i-incision e-groin ukuze kutholakale i-hernia ye-inguinal kanye ne-close the navel ukuze kutholakale i-hernia ye-umbilical.
- Ngendlela evulekile, udokotela ohlinzayo ususa ngokucophelela isikhwama se-hernia endaweni yokwelashwa. Ekulungisweni kwe-laparoscopic, indawo yokwelashwa igcwala i-carbon dioxide ukuze udokotela ohlinzayo ahlinze endaweni ekhulisiwe.
- Izicubu ezivuvukele ziphindiselwa emuva emgodini wesisu kusetshenziswa amathuluzi akhethekile, bese kubekwa i-mesh yokwenziwa ukuze imboze futhi iqinise indawo ebuthaka, kulandelwe ukukhishwa kwegesi kanye nokuvalwa kwesilonda.
Izinzuzo
- Iqeda ubuhlungu nokungakhululeki
- Kuvimbela izinkinga ezisongela impilo
- Enye indlela ehlala isikhathi eside
- Izinga lempilo elithuthukisiwe
Funda kabanzi mayelana - Inguinal & Inkaba I-Hernia Repair Surgery
Preview: Ukulungiswa kwe-hydrocele, noma i-hydrocelectomy, kuhlose kakhulu ukukhulula isiguli ekungakhululeki nasekusindeni ngokuthuthukisa ukuhamba kanye nokuthuthukisa ukubukeka kobuhle. Inhloso yayo ukwelapha izimo ezingaphansi ezihlotshaniswa ne-hydrocele, njenge-hernia, kanye nokubhekana ne-hydrocele eqhubekayo ezinganeni.
Izinyathelo Zokuhlinza
- Ukuhlinzwa kokulungisa i-hydrocele, okwaziwa nangokuthi i-hydrocelectomy, kuqala ngokusikwa okuncane embotsheni noma emathunjini kanye nokuhlinzwa kokubulala izinzwa okuvamile noma kwesifunda ukuze kufinyelelwe esikhwameni esigcwele uketshezi.
- Udokotela ohlinzayo ube esehlukanisa futhi akhiphe uketshezi ngaphambi kokuphatha isikhwama ukuze avimbele ukuphinda kuvele. Lokhu kuvame ukufezwa ngokususa nokuphonsa ingxenye enkulu yezikhwama ezixineneyo noma ukugoqa sonke isikhwama ukuze kutholakale ezincane (inqubo yeJaboulay).
- Ekugcineni, i-incision ivalwa nge-sutures encibilikayo, bese kufakwa ipayipi lokukhipha amanzi lesikhashana ukuze kususwe uketshezi oluningi.
Izinzuzo
- Ukuvuvukala nokungakhululeki okuncishisiwe
- Ukuhamba okwenziwe ngcono
- Isixazululo esihlala isikhathi eside sokuvimbela ukuphinda kuvele
- Ingozi encishisiwe yokutheleleka
- Khulisa ukuzethemba nokuzethemba
- Umsebenzi wansuku zonke othuthukisiwe
- Izinga lempumelelo eliphakeme ngokululama okusheshayo
Funda kabanzi mayelana - I-Hydrocelectomy
Preview: Inhloso eyinhloko yokuhlinzwa kwe-phimosis ukunciphisa izimpawu ezifana nokungakhululeki ngesikhathi sokuchama noma ucansi kanye nokuvimbela izinkinga zesikhathi esizayo ezibangelwa ijwabu eliqine kakhulu. Le nqubo ekugcineni ithuthukisa impilo yocansi kanye nomchamo ngokunciphisa ingozi yokutheleleka (njenge-balanitis) kanye nesimo esibi se-paraphimosis kanye nokuthuthukisa inhlanzeko.
Izinyathelo Zokuhlinza
- Inqubo iqala ngokubonisana nodokotela wezifo zomchamo ukuze kuhlolwe i-phimosis, kuxoxwe ngezinye izindlela zokuhlinzwa, futhi kuhlinzekwe ngemiyalelo yangaphambi kokuhlinzwa, engafaka phakathi ukuyeka imithi ethile noma ukuzila ukudla kwesiguli. Ngesikhathi sokuhlinzwa, isiguli sihlanzwa futhi sihlanzwe indawo bese sithola i-anesthesia yendawo noma ejwayelekile.
- Kusikwa isiyingi eduze kwe-glans, bese kuhlukaniswa, kuhlutshulwe, kususwe ijwabu, bese izingqimba zesikhumba zihlanganiswa ndawonye.
- Ngemva kwenqubo, isiguli siqashwa kuqala, kulandelwe isethi yemiyalelo yokuphathwa kokunakekelwa kwamanxeba, futhi siphinde selulekwe ngokugwema umsebenzi onzima kanye nocansi.
Izinzuzo
- Kuqeda ukungakwazi ukuhoxisa ijwabu
- Ingozi encishisiwe yokutheleleka
- Ingozi ephansi yomdlavuza wepenis
- Ukuhlanzeka okuthuthukisiwe
- Kubuyisela ukuchama okuvamile
- Thuthukisa imisebenzi yocansi
- Ukuzethemba okukhulu
Funda kabanzi mayelana - Ukusoka
Preview: I-frenotomy inqubo yokuhlinzwa eyenzelwe ukuthuthukisa ukusebenza komlomo ngokwandisa ububanzi bokunyakaza kolimi noma izihlathi. Endabeni yezinsana, lokhu kuvame ukuhilela ukulekelelwa kokugoba okufanele ukuthuthukisa ukondla kanye nenduduzo. Ezinganeni ezindala kanye nabantu abadala, kuhilela kakhulu izinkinga ezifana nokuphazamiseka kokukhuluma, ukuhlanzeka komlomo okuthuthukisiwe, kanye nokusekelwa kokwelashwa kwamazinyo. Inhloso eyinhloko ukunciphisa ukulinganiselwa kokusebenza kanye nokucindezeleka, okuhlanganisa izinkinga eziningi, okuhlanganisa izinkinga zamazinyo, ubuhlungu bomhlathi, kanye nobunzima bokudla.
Izinyathelo Zokuhlinza
- I-frenotomy yendabuko noma ye-laser ihilela ukubeka isiguli endaweni ethile kanye nokufaka izinzwa endaweni ethile nge-anesthetic yendawo yabantu abadala noma isixazululo sangaphandle/amanzi kashukela okufakelwa izinsana, okwenza i-frenulum evimbelayo iqine ukuze ifinyeleleke ngaphambi kokudala ukusikwa okuncane ngesikele esingenamagciwane noma i-scalpel.
- Ngemva kokusikwa kanye nanoma yikuphi ukusikwa okubuthuntu okudingekayo, ukopha okuncane kulawulwa ngokucindezela kwe-gauze, futhi ukunakekelwa kwangemva kokunakekelwa kwezinsana ngokuvamile kuhilela ukuncelisa ngokushesha ukuze kududuzeke.
- Le laser isika futhi ifake uketshezi emzimbeni ngasikhathi sinye, inciphise kakhulu ukopha, isuse isidingo sokuthunga, futhi isize ukululama ngokushesha.
Izinzuzo
- Ukuncelisa okulula
- Ukugaya ukudla okuthuthukisiwe, ukulala, nokuphefumula
- Ukulala okungcono kanye nokuhlanzeka komlomo
- Ingozi encishisiwe yezinkinga zempilo yomlomo
- Inkulumo ethuthukisiwe
- Ukuncipha kwekhanda kanye nokuqina kwemisipha
- Kwenza kube lula ukuhlafuna nokugwinya
Preview: Inhloso eyinhloko ye-orchidopexy ukuvikela impilo yokuzala yesiguli esikhathini esizayo nokuvimbela izinkinga ezihambisana ne-testicle engavuthwanga. Inqubo ye-orchidopexy ithuthukisa kakhulu amandla okuzala, yenza kube lula ukuqapha umdlavuza, futhi ivikele i-testicle ukuze igweme ukugoba kwe-testicle okubuhlungu nokuyingozi ngokuyibeka kabusha endaweni epholile. Ngaphezu kwalokho, ibhekana nezinkinga ezihlobene njenge-hernias kanye nokulimala, kuyilapho futhi ihlinzeka ngezinzuzo ezibalulekile zengqondo futhi ithuthukisa ukuzethemba komfana.
Izinyathelo Zokuhlinza
- Ukuhlinzwa kwe-inguinal orchiopexy kuqala ngokwakhiwa kwesibazi esincane esinqeni ukuze kufinyelelwe emgudwini we-inguinal.
- Lokhu kuvumela udokotela ohlinzayo ukuthi athole, ahlanganise, futhi akhulule isende ezicutshini ezizungezile kanye nanoma yisiphi isikhwama se-hernia esihambisanayo. Ngemva kwalokho, kwakhiwa isikhwama se-scrotal esihlukile ukuze isende libekwe endaweni yalo yokugcina.
- Ngezinqubo ze-inguinal noma ze-laparoscopic, i-testicle ifakwa esikhwameni se-scrotal bese iqiniswa endaweni yayo ukuze ivimbele ukuthi ingaphinde ikhuphuke, ngemva kwalokho yonke imivimbo ivalwa nge-sutures encibilikayo.
- Kodwa-ke, uma indlela ye-laparoscopic yembula ukuthi imithambo yegazi mifushane kakhulu, inqubo eyinkimbinkimbi kakhulu, enezigaba ezifana nendlela kaFowler-Stephens ingadingeka.
Izinzuzo
- Ingozi encishisiwe yomdlavuza wamasende
- Amandla okuzala akhuphukile
- Kuvimbela ukugoba kwesende
- Ingozi ephansi yokulimala
- Ukuthuthukiswa kocansi okuvamile okuthuthukisiwe
- Ukuzethemba okuthuthukisiwe
- Izinga lempilo elingcono
Preview: Izinhloso eziyinhloko zokulungisa ukuphuka ukufeza ukwehla kwesakhiwo somzimba ngokubuyisela izingcezu zamathambo eziphukile endaweni yazo efanele nokunikeza ukuqina okuzinzile ngokufakelwa kokuhlinzwa ukuqinisekisa ukuphulukiswa okufanele. Le ndlela ekabili ibalulekile ukuvimbela izinkinga ezifana ne-malunion noma ukungahlangani, ukulawula ubuhlungu, futhi ekugcineni kubuyisele ukusebenza kahle kanye nokuhamba kwesitho esithintekile.
Izinyathelo Zokuhlinza
- Ukunciphisa okuvulekile kuhilela ukuhambisa ngesandla izingcezu zamathambo eziphukile ziyiswe endaweni yazo efanele yomzimba, kulandelwe ukuqina kwangaphakathi, okuqinisekisa ithambo elilungisiwe endaweni yalo ngezinsimbi ezahlukene zokuhlinza.
- Amapuleti nezikulufo, izinduku zangaphakathi kwe-medullary (izipikili), noma izikhonkwane nezintambo kusetshenziswa njengezinto zokwakha, bese umlenze uvinjelwa nge-cast noma i-splint ukuze kukhuthazwe ukuphulukiswa nokuvikelwa.
Izinzuzo
- Qinisekisa ukuphulukiswa okufanele
- Ukunciphisa ubuhlungu nokuvuvukala
- Kuvimbela ukulimala okuqhubekayo
- Ikhuthaza ukusebenza okuphezulu ngangokunokwenzeka kwesitho
Preview: Ukususwa kwesilonda sezicubu ezithambile esingenobungozi kufeza kokubili imigomo yokuxilonga kanye neyokwelapha, ngenhloso eyinhloko yokuqinisekisa ukuxilongwa nge-biopsy, ikakhulukazi ekukhuleni okusolisayo, kanye nokuvimbela imiphumela engaba khona njengokutheleleka. Imigomo yokwelapha yokuhlinzwa ihlanganisa ukuqeda izimpawu ezifana nobuhlungu noma ukungakhululeki, ukubuyisela noma ukuthuthukisa ukusebenza okuye kwaphazanyiswa yizinqwaba ezinkulu, kanye nokwanelisa ukukhathazeka kobuhle besiguli.
Izinyathelo Zokuhlinza:
- Okokuqala, udokotela ohlinzayo wenza i-incision phezu kwesilonda (esiyindilinga ngezilonda zesikhumba, esiqondile ngezilonda ezingaphansi kwesikhumba).
- Okulandelayo, inqwaba iyasikwa ngokucophelela (kususwe udonga oluphelele lwezimila), futhi noma yikuphi ukuphuma kwegazi kulawulwa ngezinqubo zokuqeda ukopha.
- Kufakwa ibhandishi elihlanzekile ngemva kokuba isampula isisusiwe futhi ithunyelwe ukuyohlolwa. Inxeba libe seligoqwa ngezendlalelo, kungaba kalula noma nge-graft yesikhumba ukuze kutholakale ukukhubazeka okukhulu.
Izinzuzo
- Ukuthuthukisa ubuhle
- Yehlisa ukukhathazeka
- Ukukhululeka ezimpawini ezisheshayo
- Ukubuyiselwa kwemisebenzi yamalunga kanye nokubona
- Ukuvimbela izinkinga ezifana nokutheleleka, ukopha, kanye nokucindezeleka kwezicubu ezizungezile.
Funda kabanzi mayelana - Ukususwa Kwezicubu Ezithambile/Izilonda Ezingenabungozi
Preview: Ukuhlinzwa okuhlanganisiwe kwe-tonsillectomy kanye ne-adenoidectomy kwelapha izifo zomphimbo eziphindaphindayo kanye nokuphefumula okuphazamisayo kokulala (SDB), ikakhulukazi ezinganeni. Ukuhlinzwa kuvame ukunconywa ngemva kokutheleleka okuvamile eminyakeni edlule futhi kuyindlela yokwelapha evame kakhulu nephumelelayo yokuhogela kanye ne-sleep apnea. Ukususa izicubu ezivuvukele kuvula imisele ye-eustachian, kusiza ezinkingeni ezixhumene nokutheleleka kwendlebe kanye ne-sinus. Kuphinde kubhekane nezinkinga zesakhiwo ezifana nokugwinya okukhulu, ubunzima bokukhuluma, ithumba le-peritonsillar, kanye nezimo ezingamahlalakhona njenge-tonsil stone halitosis.
Izinyathelo Zokuhlinza
- I-tonsillectomy: Isiguli silala ngomhlane umlomo waso uvuliwe yi-retractor ekhethekile, okuvumela udokotela ohlinzayo ukuba asuse ama-tonsils esebenzisa amasu ahlukahlukene, okuhlanganisa ukuhlukaniswa ngommese obandayo nge-cautery elandelayo, noma izindlela ezisekelwe ekushiseni njenge-electrocautery (ukusika nokukhipha i-cautery ndawonye) noma i-Coblation (ukuncibilikisa izicubu ngamandla e-radiofrequency), kulandelwe yi-hemostasis ebukhali ukuvimbela ukuphuma kwegazi.
- I-Adenoidectomy: Udokotela ohlinzayo uthola ama-adenoid abekwe ngemuva kwekhala ngomlomo ngaphambi kokususa izicubu ngemishini eminingana ekhethekile, kulandele ukuklwebha nge-curette, ukushefa nokumunca nge-microdebrider, bese kuncibilikiswa izicubu nge-electrocautery noma i-coblation. Lezi zindlela zokususa, kanye ne-hemostasis, zitholakala ngokucindezela noma nge-cautery.
- Isigaba Sangemva Kokuhlinzwa: Isiguli siyalandelwa ukuze selulame size sivuke ngokuphelele futhi sikwazi ukuphefumula nokugwinya ukudla kalula. Iziguli ezine-sleep apnea noma lezo ezisencane kakhulu zingadinga ukunakekelwa ebusuku futhi zitshelwe ngomphimbo obuhlungu kanye nobuhlungu bendlebe obuvamile. Odokotela abahlinzayo banikeza imithi futhi basikisela ukuthi uhlale unamanzi ngenkathi ulandela ukudla okuthambile, kanti ukululama okuphelele kuthatha amasonto angu-1-2.
Izinzuzo
- Ukugeleza komoya okuthuthukisiwe
- Ukulala okungcono
- Ukuncipha kwe-seep apnea
- Ukuziphatha okuthuthukisiwe kwasemini kanye nokuzwa
- Ukutheleleka okuncane komphimbo
- Ukuqedwa kokuphefumula okubi
- Inkulumo ecacile
Funda kabanzi mayelana - I-tonsillectomy & I-Adenoidectomy
Preview: Izinhloso ezinkulu zokususa ama-cysts entanyeni yokuzalwa ukuxilonga nokwelapha, kugxilwe ekuvimbeleni ukuphinda kuvele ngokususa ngokuphelele zonke izicubu ze-epithelial nokuqeda amathuba angavamile omdlavuza ngokuqinisekiswa kwe-histological. Ngokwezokwelapha, ukuhlinzwa kwelapha futhi kugweme ukutheleleka okuphindaphindayo ngenkathi ngesikhathi esifanayo kubhekwana nezinkinga ezinkulu zobuhle ngokususa ubukhulu obubonakalayo.
Izinyathelo Zokuhlinza
- Ngemva kokusikwa, kwenziwa ukuhlukaniswa ngokucophelela, ngokuvamile kusetshenziswa i-probe noma idayi efakwe umjovo njenge-Methylene blue ukuze kutholakale futhi kulandelwe yonke indlela ye-cyst ukuze kususwe ngokuphelele, okungase kuhlanganise nenqubo ekhethekile ye-Sistrunk yokususa ingxenye yethambo le-hyoid uma kwenzeka i-cyst ye-thyroglossal duct.
Izinzuzo
- Kunciphisa ingozi yokuphinda kwenzeke lesi sifo
- Ukuthuthukisa ubuhle
- Ukuvimbela izinkinga
Preview: Imigomo eyinhloko yokulungisa i-cleft palate ukwenza kube lula ukuthuthuka kwenkulumo okuvamile ngokubuyisela ukusebenza kwe-palate, ukuvumela ukudla nokuphuza okuvamile ngokuvimbela ukudla ukuthi kungaphumi ngekhala, kanye nokufaka isandla ekuthuthukisweni kobuhle nokusebenza kahle ngenkathi kunciphisa ingozi yokutheleleka kwendlebe okuphindaphindiwe.
Izinyathelo Zokuhlinza
- Imigomo eyinhloko yokulungisa i-cleft palate ukwenza kube lula ukuthuthuka kwenkulumo okuvamile ngokubuyisela ukusebenza kwe-palate, ukuvumela ukudla nokuphuza okuvamile ngokuvimbela ukudla ukuthi kungaphumi ngekhala, kanye nokufaka isandla ekuthuthukisweni kobuhle nokusebenza kahle ngenkathi kunciphisa ingozi yokutheleleka kwendlebe okuphindaphindiwe.
Izinzuzo
- Ukudla okuthuthukisiwe
- Ukuzwa okungcono
- Kuthuthukisa ukuthuthukiswa kwenkulumo
- Isakhiwo samazinyo esithuthukisiwe
- Ingeza ukwesekwa kokukhula kobuso
- Ukuzethemba okuthuthukisiwe
- Izinselele zomphakathi nezingokomzwelo ezincishisiwe
- Ukunciphisa ukungenelela kwesikhathi eside
Funda kabanzi mayelana - Ukulungisa I-Cleft Palate
Preview: Izinhloso nezinhloso zokuhlinzwa zokulungisa i-neural tube defect iwukugcina izicubu ze-neural ngokuzibuyisela endaweni engaphakathi kwe-cranial noma umgogodla, ukuvimbela ukutheleleka ngokudala isivalo esingenamanzi (esingangeni manzi), nokulungisa amaphutha ethambo kanye nobuhle. Ngaphezu kwalokho, kuhilela nokuphatha izimo ezihambisanayo, okuhlanganisa i-hydrocephalus, ukuthuthukisa imisebenzi, noma ukunciphisa izinguquko zesibili ze-neurological.
Izinyathelo Zokuhlinza
- Inqubo yokuhlinzwa iqala ngokuchayeka esikhwameni kanye nokuhlola, lapho uketshezi oluningi lukhishwa khona noma kutholakala izicubu zobuchopho ezingasebenzi kahle, futhi izicubu zemizwa ezisebenzayo zibuyiselwa kancane emigodini yekhanda noma yomgogodla.
- Okulandelayo, ukuvalwa okubalulekile okungangeni manzi kwe-dura mater kulandelwa ukuvalwa kwesici sethambo, okungase kuhilele ukusetshenziswa kwezingxenyana zokufakelwa ezimbotsheni ezinkulu.
- Ekugcineni, udokotela ohlinzayo angenza ezinye izinqubo, njengokubeka i-VP shunt ye-hydrocephalus, ngaphambi kokuvala isikhumba ngokucophelela endaweni yokulungisa.
- Ukwelashwa ngemva kokuhlinzwa kuqukethe ukunakekelwa okunembile kwenxeba ukuvimbela ukutheleleka, ukuqapha ngokucophelela izinkinga ezifana nokuvuza kwe-CSF, ukuma kwesiguli esithile (isibonelo, ukubeka izingane ngesisu) ukuvikela ukulungiswa, kanye nokuvuselelwa kwesikhathi eside ngokwelashwa ngokomzimba nangokomsebenzi.
Izinzuzo
- Izinkinga ezincishisiwe
- Imiphumela ethuthukisiwe yezinzwa
- Ukuthuthukiswa kwe-neurocognitive okuthuthukisiwe
- Ukulungiswa kokukhubazeka ngokomzimba
- Kuvimbela ingozi ye-meningitis noma i-encephalitis
Preview: Inhloso eyinhloko ukuhlinzeka ngokuthuthukiswa kobuhle nokwengqondo, ukulungiswa ngokomzimba nangokomzimba, kanye nokulondoloza noma ukuthuthukisa ukusebenza kokuphefumula nokwenhliziyo. Izinhloso zayo ziyahlukahluka ngokusekelwe ohlotsheni lokukhubazeka, njengesifuba se-funnel noma isifuba sejuba.
Izinyathelo Zokuhlinza
- Inqubo ye-Nuss: Okwaziwa nangokuthi i-minimally invasive pectus excavatum (funnel chest) Repair, kuhilela ukudalwa kwezimbobo ezimbili ezincane zesifuba kanye nokusebenzisa isiqondiso se-thoracoscope ukuze ufake intambo ensimbi egobile ngaphansi kwe-sternum. Udokotela ohlinzayo ube esejikeleza intambo ngamadigri angu-180 ukuze alungise ngokushesha isifuba esicwile, ayibophe endaweni yayo iminyaka emibili kuya kwemine ukuze i-sternum kanye ne-cartilage kukwazi ukuvuselelwa ngaphambi kokususwa.
- Inqubo ye-Ravitch: Ukuze kudalulwe iphutha futhi kususwe ama-cartilage aqinile ngenkathi kulondolozwa ulwelwesi lwezimbambo, i-Ravitch Technique yendabuko ye-Pectus Excavatum ifaka ukusikwa kwesifuba okukhulu. I-sternum kamuva iyasuswa (ngokuvamile nge-wedge osteotomy) bese iqiniswa ngenduku yokuzinza noma izisekelo ze-mesh ngaphambi kokuba inxeba livalwe.
- Inqubo ka-Abramson: Inqubo yokulungisa i-pectus carinatum (isifuba sejuba) engangeni kakhulu ilungisa i-sternum ephumayo ngokubeka insimbi egobile phezu kwe-sternum ngokusika okuncane, bese iqiniswa ngeziqinisi ukuze kucindezelwe futhi kulungiswe udonga lwesifuba eminyakeni emibili kuya kwemithathu.
Izinzuzo
- Ukuzethemba okukhulisiwe
- Ukucindezeleka kwengqondo okuncishisiwe
- Ukwanda kokuhlanganyela emisebenzini
- Umsebenzi othuthukisiwe we-cardiopulmonary
- Ukuphefumula okungcono
- Izimpawu ezincishisiwe
- Inikeza ukwakheka kwemvelo
- Ukubukeka okulinganayo nokuthuthukisiwe
Preview: Izinhloso zokulungisa i-diaphragmatic hernia ukubuyisela i-anatomy ngokubuyisela izitho zesisu esiswini, ukulungisa iphutha ngokuvala imbobo ku-diaphragm, nokuthuthukisa ukusebenza kwamaphaphu ngokuvumela amaphaphu alimele ukuba akhule.
Izinyathelo Zokuhlinza
- I-Laparotomy, lapho udokotela ohlinzayo enza khona ukusika ngaphansi nje kwezimbambo, ivame ukuthandwa kakhulu uma kunezinkinga ezinkulu.
- Ukuhlinzwa kwe-Thoracotomy, lapho kwenziwa khona ukusikwa esifubeni, kuvamile ezimweni ezifika sekwephuzile noma ekulungisweni kwe-CDH yosana olusanda kuzalwa.
- I-Laparoscopy/Thoracoscopy ibhekwa njengeziphambeko ezincane ngenxa yesilinganiso esiphezulu sokuphindeka kwalesi sifo naphezu kwemiphumela emihle yobuhle.
Izinzuzo
- Ukuvimbela ukufuduka kwezitho zomzimba
- Ukusebenza kwamaphaphu okuthuthukisiwe
- Ukugqugquzelwa kokudla
- Nciphisa ingozi yezinkinga ezifana nokuvaleka kwamathumbu
Preview: Inhloso eyinhloko yokususwa kwe-appendicitis ukunciphisa i-appendicitis ebukhali ngokuhlinzwa ngokususa i-appendix evuvukele, ngaleyo ndlela kuxazululwe ukutheleleka futhi kuncishiswe ingozi yokubhoboka ngokushesha. Le nqubo ivimbela nezinkinga ezisongela ukuphila, njenge-sepsis kanye ne-peritonitis, ngokususa umthombo wokutheleleka nokuvumela ukuphuma kwamanzi uma kwenzeka kuqhume.
Izinyathelo Zokuhlinza
- Ukuhlinzwa kwe-laparoscopic appendectomy kuyindlela ekhethwayo yokuhlinzwa okungangenisi kakhulu. Kwenziwa ngaphansi kwe-anesthesia ejwayelekile ngokusebenzisa ukusikwa okuncane kwesisu okukodwa kuya kwezintathu.
- Kusetshenziswa i-laparoscope kanye namathuluzi akhethekile ukuhlola isisu, esigcwaliswe yi-CO2, ukuze kuvalwe futhi kususwe i-appendix ngesikhathi senqubo.
- Le ndlela inikeza izinzuzo ezifana nokululama okusheshayo, izibazi ezincane, kanye nokungakhululeki okuncishisiwe; noma kunjalo, ingaguqulwa ibe ukuhlinzwa okuvulekile uma kwenzeka ukuqhekeka noma ukutheleleka okukhulu.
Izinzuzo
- Kuvimbela ukuqhekeka kwe-appendix
- Inikeza ukuxilongwa okuqondile
- Ithuthukisa ikhwalithi yempilo
- Ukuncipha kwezibazi
- Ukululama ngokushesha
- Ubuhlungu obunciphile ngemva kokuhlinzwa
- Yehlisa ingozi yokutheleleka
- Ukuhlala isikhashana esibhedlela
Preview: Inhloso eyinhloko yokuhlinzwa ukususa lonke isimila ngemingcele ecacile, ukwenza i-nephrectomy engaphelele ukuze kulondolozwe ukusebenza kwezinso uma kungenzeka, kanye nokuhlola umdlavuza ngokuhlola ama-lymph node aseduze. Kunezinketho ezimbili zokuhlinzwa: i-radical nephrectomy, ehilela ukususwa okuphelele kwezinso ezithintekile kanye nama-lymph node azungezile, noma i-partial nephrectomy (i-nephron-sparing), eyenziwa kuma-tumors amancane ukuze kulondolozwe izicubu ezinempilo.
Izinyathelo Zokuhlinza
- Kunezindlela ezimbili zokuhlinzwa: i-radical nephrectomy, ehilela ukususwa ngokuphelele kwezinso ezithintekile kanye nama-lymph node azizungezile, noma i-partial nephrectomy (i-nephron-sparing), eyenziwa ezimilanjeni ezincane ukuze kulondolozwe izicubu ezinempilo.
- Nakuba ukuhlinzwa okuvulekile kuyindlela evamile futhi kuthola inani elikhulu lama-lymph node, ngezinye izikhathi kusetshenziswa amasu angangenisi kakhulu, futhi kungase kwenziwe i-biopsy ekuqaleni ukuqinisekisa ukuxilongwa.
Izinzuzo
- Kungenzeka ukusindisa ukusebenza kwezinso
- Ukuxilongwa okunembile kanye nezigaba
- Imiphumela yokuhlinzwa eyenziwe ngcono
- Ukuthuthukiswa kokusebenza kahle kokwelashwa okuphelele
- Inikeza ukunakekelwa okusekelayo ngokuphatha imiphumela emibi ye-chemotherapy
Preview: Ukuhlinzwa Okuphelele Kokususwa Kwezicubu (GTR) kuwumgomo oyinhloko wokuhlinzwa kwesimila sobuchopho; kuthuthukisa ukusinda futhi kuhlinzeke ngokuxilongwa kwezicubu, okubalulekile ekuqondiseni ukwelashwa okwengeziwe. Ukuhlinzwa, okususa noma ukususa isimila, kusiza futhi ukunciphisa izimpawu futhi kuthuthukise ukusebenza kahle kwemisebe kanye ne-chemotherapy ngenkathi kulondolozwa ukusebenza kobuchopho okubalulekile.
Izindlela Zokuhlinza
- I-craniotomy evulekile
- Ukuhlinzwa kwe-stereostatic
- I-Neuroendoscopy
- Isithombe se-intraoperative
- Ukuqapha i-Neurophysiology
Izinzuzo
- Kunciphisa izimpawu ezifana nokucindezela okukhulu ngaphakathi kwekhanda kanye nokuxhuzula
- Imiphumela ethuthukisiwe yezinye izindlela zokwelapha
- Izinketho eziqondiwe futhi ezingangenisi kakhulu
- Amazinga okusinda athuthukisiwe
- Ukuxilongwa kwenkinga kanye nokuqeda izimpawu ngokushesha
Preview: Inhloso eyinhloko yokuhlinzwa kokulungisa izinkinga zokuzalwa zodonga lwesisu, okuhlanganisa i-gastroschisis kanye ne-omphalocele, ukubuyisela umzimba ojwayelekile, ukuvikela izitho zangaphakathi, nokusekela imisebenzi yomzimba. Izinjongo zayo eziyinhloko zifaka phakathi ukunciphisa okuqukethwe yisisu esiswini sosana, ukuvala isici sodonga lwesisu, nokuqinisekisa ukuthi indawo yesisu yanele ukuvimbela izinkinga ezifana nokwanda kwengcindezi yangaphakathi kwesisu, ukulimala kwezitho, noma ukutheleleka.
Izinyathelo Zokuhlinza
- Udokotela ohlinzayo uhlola futhi elapha izitho eziveziwe, ofaka ipayipi le-nasogastric ngezikhathi ezithile ukuze akhiphe uketshezi lokugaya ukudla, ngaphambi kokubuyisela izitho esiswini.
- Udonga lwesisu luthungwa ngqo ukuze kutholakale amaphutha amancane, kuyilapho amaphutha amakhulu embozwa ngesikhwama esivikelayo kuze kube yilapho izitho zikwazi ukushintshwa kancane kancane futhi udonga lungavalwa ngezigaba.
Izinzuzo
- Ukuvikelwa kwezitho
- Ukuvimbela izinkinga
- Imisebenzi yezitho ethuthukisiwe
- Inikeza ukwesekwa kokuphefumula
- Umbono onempilo nowesikhathi eside
Preview: Ukuhlinzwa kokulungisa izinkinga zokuzalwa ze-GI Tract kuhlose ukubuyisela ubuqotho bomzimba, njengokubeka kabusha izitho zomzimba, ukusungula ukuqhubeka kwamathumbu, nokuxhuma kabusha izakhiwo. Kuphinde kuqinisekise ukugaya kahle kanye nokudla okunempilo ngokuvumela ukondla nokuvimbela ukungondleki isikhathi eside, kanye nokugwema isifo se-abdominal compartment syndrome kanye nokuqeda ukuvinjelwa.
Izinyathelo Zokuhlinza
- Ukuze kuqinisekiswe ukusebenza kahle, udokotela ohlinzayo uhlola izitho ezithintekile, asuse izicubu ezingaphilile, bese ethunga imiphetho enempilo ndawonye.
- Izitho ezilungisiwe zibuyiselwa esiswini.
Izinzuzo
- Ilungisa ukungalingani kokuzalwa okufana nokuvinjelwa (i-atresia), ukukhubazeka kwesisu, noma i-tracheoesophageal fistula (TEF)
- Ibuyisela imisebenzi efanele yesitho ngokulungisa i-gastroschisis noma i-omphalocele
- Kuvimbela izinkinga ezisongela impilo njengokulimala kwezitho zomzimba ngenxa yokuchayeka noma ukutheleleka
- Ukukhululeka ebuhlungwini obukhulu nasekucindezelekeni
- Kunciphisa izidingo zokuhlinzwa zesikhathi esizayo
- Kuthuthukisa imiphumela yezempilo yesikhathi eside
- Nikeza imiphumela engcono yobuhle
Preview: Izinhloso zokulungiswa kokuhlinzwa kwe-hypospadias eyinkimbinkimbi yezingane ukudala umnyango we-urethra ofana nomqhekezo (inyama), i-phallus eqondile ene-orthotopic (indawo evamile), kanye ne-glans kanye nesikhumba okujabulisa ubuhle. Lokhu kuqinisekisa ukusebenza kwe-urethra esanda kuthuthukiswa ezimweni eziyinkimbinkimbi, kuxazululwa izinkinga ezingaba khona, njenge-chordee (ukugoba kwepenile) kanye nokusungula i-urethra evumela umchamo ojwayelekile kanye nomsebenzi wocansi.
Izinyathelo Zokuhlinza
- Ukuhlinzwa Kwamathambo: Iqondisa ukugoba kwepenisi
- I-Urethroplasty: Kwakha i-urethra entsha esebenzayo
- Ukugcinwa noma ukusikwa kwepuleti le-urethra
- Ukusetshenziswa kwama-flaps noma ama-graft
- I-Meatplasty kanye ne-Glanuloplasty: Ukulungisa isihloko sepenis ye-glans kanye nokuvulwa kwangaphandle kwe-urethra
- I-Scrotoplasty: Kwenziwa ezimweni ezinzima ukuze kwakhiwe kabusha i-scrotum
- Indlela yokuhlinzwa ingaba yinqubo yesinyathelo esisodwa noma ezimbili
Izinzuzo
- Ukugeleza komchamo okuvamile kanye nemisebenzi yocansi
- Ukubukeka okuthuthukisiwe
- Ukuzethemba okuthuthukisiwe
- Umthelela ophansi wengqondo
- Akukho ukuvuka okubuhlungu ezinganeni ezincane
- Ukunakekelwa okulula ngemva kokuhlinzwa
Preview: Ukwakhiwa kabusha kwesinyi sezingane kuhlose ukubuyisela isimo kanye nokusebenza komchamo okuvamile, ukufeza ukuzibamba komchamo, kanye nokuthuthukisa ikhwalithi yokuphila kwengane ngokwakha isinyi esisebenzayo kanye nezakhiwo ezihambisana naso. Imigomo eyinhloko ukugwema ukuvuza komchamo, ukuphatha ukuthulula komchamo ukuze kuvinjelwe ukulimala kwezinso, kanye nokuhlinzeka ngomzila ohlukile wokukhipha amanzi kwesinye uma kudingeka. Le ndlela eyinkimbinkimbi, enezigaba eziningi ivame ukufaka ukuhlinzwa okuningi okuyinkimbinkimbi kanye nethimba elinolwazi oluhlukahlukene ukuze kutholakale imiphumela ephumelelayo.
Izinyathelo Zokuhlinza
- Odokotela abahlinzayo bangakhiqiza isinye esisha engxenyeni yamathumbu, bavame ukusinamathisela kuma-ureter kanye ne-urethra futhi ngezinye izikhathi benze ukulungiswa kwentamo yesinye ukuze bavimbele ukuvuza.
- Usayizi wesinye ungandiswa yizicubu zamathumbu, bese ama-ureter ephinde afakwe esinyeni esisha.
- Ukulungiswa kwe-pelvic kanye nethambo, njenge-osteotomies, ngezinye izikhathi kuyadingeka ukunciphisa ukucindezeleka kodonga lwesisu nokusiza enkambisweni yokulungisa.
Izinzuzo
- Kunikezwe ukuzimela ngokufakwa kwe-catheter okulula kanye nokuzibamba okungcono
- Finyelela iphethini evamile yokuvala izikhala
- Isidingo esinciphile sezinqubo
- Ubuhlungu obuncane nokuhlukumezeka
- Ukululama ngokushesha
- Ukuncipha kwegazi
- Ingozi encishisiwe yezinkinga
Preview: Ukuhlinzwa kwe-VUR kuhlose ukulungisa ukugeleza komchamo okubuyela emuva ukuze kubuyiselwe ukugeleza komchamo okufanele, kuvinjelwe ukutheleleka kwezinso (i-pyelonephritis) ngokuvimbela umchamo onegciwane ukuthi ungafiki ezinso, kugcinwe ukusebenza kwezinso ngokuvimbela izibazi, futhi kuncishiswe isidingo semithi yesikhathi eside.
Izinyathelo Zokuhlinza
- Umjovo we-Endoscopic: inqubo yokwelapha ngaphandle engangenisi kakhulu lapho kusetshenziswa i-cystoscope ngaphansi kwe-anesthesia ejwayelekile ukujova i-bulking agent (into efana nejeli) eduze kwe-ureteral orifice. Lokhu okufakwe ngaphakathi kwakha i-bulge esebenza njengesivikelo semvelo, okuvumela i-valve yemvelo ukuthi ivale kahle futhi ivimbele umchamo ukuthi ugelezele emuva ezinso.
- Ukufakelwa kabusha kwe-Ureteral nge-Laparoscopic kanye ne-Robotic-Assisted: inguqulo yobuchwepheshe obuphezulu yokulungiswa okujwayelekile, kusetshenziswa ukuhlinzwa kwe-keyhole noma amarobhothi esikhundleni sokusika okukhulu. Odokotela abahlinzayo bangase bashintshe indlela futhi bafake kabusha i-ureter, basebenze ngaphakathi noma ngaphandle kwesinye, futhi bakhe umhubhe omusha, osebenza kahle we-ureter onodonga lwesinyi kanye nemisipha yesinye. Lokhu kulungisa i-valve enephutha, kuvimbela ukuphuma komchamo emuva, futhi kukhuthaze ukululama okusheshayo ngobuhlungu obuncane kanye nezibazi.
Izinzuzo
- Nciphisa i-UTIs enomkhuhlane
- Ukubuyiselwa kokugeleza komchamo okuvamile
- Ukuhlasela okuncane
- Kulula ukusetshenziswa
- Amazinga empumelelo aphezulu
- Ukululama ngokushesha
Preview: Umgomo oyinhloko ukubuyisela ukugeleza kwegazi okuvamile ngokuvala imbobo enhliziyweni, okuvimbela ukuxubana kwegazi eligcwele umoya-mpilo kanye nelingenawo umoya-mpilo, ngaleyo ndlela kuvinjelwe izinkinga ezinkulu zesikhathi eside ezifana nomfutho wegazi ophezulu emaphashini (umfutho wegazi ophezulu wamaphaphu) kanye nokwehluleka kwenhliziyo, kanye nokuqeda izimpawu ezifana nobunzima bokuphefumula kanye nobuthakathaka kanye nokwandisa kakhulu isikhathi sokuphila.
Izinyathelo Zokuhlinza
- Ukuhlinzwa Kwenhliziyo: kuhilela ukuphathwa kwesiguli nge-anesthesia ejwayelekile kanye nokudalwa kokusikwa ngethambo lesifuba ukuze kube lula ukufinyelela enhliziyweni. Ukuphefumula kanye nokujikeleza kwegazi kwesiguli kulawulwa umshini wenhliziyo namaphaphu ngesikhathi senqubo, futhi iphutha livalwa odokotela besebenzisa i-patch noma i-sutures.
- Inqubo Esekelwe Ku-Catheter: Inketho engangenisi kakhulu ehilela ukufakwa kwepayipi elincane (i-catheter) elisuka embotsheni ngokusebenzisa ukusikwa okuncane kanye nokudlula kwalo emthanjeni wegazi liye enhliziyweni. Ngemva kokubekwa, idivayisi yokuvala (njengesiqeshana esimise okwesambulela) iqondiswa nge-catheter, inwetshwe ukuze imboze umgodi, iboshwe endaweni yayo, futhi ekugcineni ikhule kakhulu yizicubu zenhliziyo.
Izinzuzo
- Ukunciphisa ingozi yezinkinga ezifana ne-endocarditis, ukwehluleka kwenhliziyo, kanye nomfutho wegazi ophezulu wamaphaphu
- Ukuvimbela umonakalo wesikhathi eside, njengomonakalo wamaphaphu ongenakuguqulwa kanye nokuphazamiseka kwenhliziyo
- Ukusebenza kwenhliziyo okuthuthukisiwe
- Amazinga okusinda anyusiwe
Preview: I-craniosynostosis ihlose kakhulu ukwakha kabusha ugebhezi nobuso ukuze kubukeke ngendlela evamile, kuyilapho kuqinisekiswa ukuthi ubuchopho obusakhula bunesikhala esanele sokukhula. Ngokusebenza kahle, ukuhlukaniswa kwamathambo ahlanganisiwe kunciphisa ingcindezi eyingozi yangaphakathi kwekhanda futhi kuvikela ezinkingeni ezinkulu zesikhathi eside ezifana nezinkinga zokuthuthukiswa kwemizwa, ukuquleka, noma ukulahlekelwa umbono.
Izinyathelo Zokuhlinza
- Ukuhlinzwa kwe-endoscopic okungavamisile kancane ngokuvamile kwenziwa ezinsaneni ezingaphansi kwezinyanga eziyisithupha, okuhlanganisa ukusikwa okukodwa noma okubili kwesikhumba sekhanda ukuze kufakwe i-endoscope futhi kususwe umthungo wesikhumba sekhanda ohlanganisiwe.
- Ukuhlinzwa kungafaka phakathi ukufakwa kweziphethu ezincane ngesigqoko sokubumba esenziwe ngokwezifiso sekhanda izinyanga eziningana ukuze kuqondiswe ngobumnene ukwakheka kabusha kwekhanda njengoba ubuchopho bukhula.
Izinzuzo
- Kunciphisa ingcindezi ebuchosheni
- Kuthuthukisa ukuma kwekhanda kanye nokulingana
- Kukhuthaza ukukhula kobuchopho okuvamile
- Kuthuthukisa ikhwalithi yokuphila
- Kuvimbela izinkinga zesikhathi eside
Preview: Ukufakwa kwe-shunt kokuqala kuguqula uketshezi lomgogodla oluningi (CSF) ukuze kuncishiswe umfutho ophezulu, kusize ekuthuthukisweni kwezinzwa kanye nokuphatha izimpawu ze-hydrocephalus. Ukulungiswa kwe-shunt kubuyisela ukusebenza ngemva kokuvaleka, ukuphuka, ukutheleleka, noma izinkinga ezihlobene nokukhula, kulungisa izinkinga zokukhipha amanzi. Zombili lezi zinqubo zokuhlinzwa zihlose ukulawula umfutho wangaphakathi kobuchopho, ukunciphisa izimpawu kanye nokuvimbela umonakalo wezinzwa.
Izinyathelo Zokuhlinza
- Ngesikhathi sokufakwa kwe-shunt, udokotela ohlinzayo ubhoboza imbobo encane ogebhezini ukuze aqondise i-catheter eseduze iye kwi-ventricle yobuchopho bese efaka i-catheter ekude ngaphansi kwesikhumba iye endaweni yokukhipha amanzi, ngokuvamile esiswini.
- Uhlelo lwepompo kanye ne-valve lube seluxhunywa kuzo zombili izicatheter bese lufakwa ngaphansi kwesikhumba sekhanda ukulawula ukugeleza koketshezi lwe-cerebrospinal, kuvinjelwe ukuphuma kwamanzi ngokweqile noma okunganele.
- Ukubuyekezwa kwe-shunt kuhilela ukushintshwa okungaphelele, lapho kufakwa khona ingxenye engasebenzi kahle kuphela, njenge-proximal catheter, i-distal catheter, noma i-valve, noma ukushintshwa okuphelele kwesistimu yonke uma kwenzeka ukungasebenzi kahle okukhulu.
- Ezimweni zokutheleleka, i-shunt ivame ukususwa okwesikhashana bese ithathelwa indawo entsha kuphela ngemva kokuba ukutheleleka sekuqediwe ngokuphelele.
Izinzuzo
- Ikhwalithi yokuphila ethuthukisiwe kanye nempilo iyonke
- Kunciphisa izimpawu ezifana nokuwohloka komqondo okuncane, izinkinga zokubona, noma izinkinga zokulawula isinyi
- Yehlisa ingcindezi ngaphakathi kwekhanda
- Kuvimbela ukulimala kwezinzwa
- Ibuyisela imisebenzi ngokuqinisekisa ukuthi i-CSF ikhishwa njalo
- Yamukela ukukhula kwezingane
Isibhedlela Somama Esihamba Phambili Esinezivivinyo Zokuxilongwa Ezithuthukisiwe Nezindawo Ezifanele
Umnyango unemishini yokuxilonga ethuthukisiwe edingekayo ekwelapheni izingane, okuhlanganisa amathuluzi okuxilonga asezingeni eliphezulu njenge-CT scanners eziyizicucu ezingu-16 kanye ne-Tesla MRIs eziyi-1.5. Lawa mathuluzi abalulekile ekuxilongweni kobuchopho, umgogodla, nezinye izitho zangaphakathi okunezinhlayiya ezincane, ngokuvamile esebenzisa izindlela ezilungele izingane nezisebenzisa imisebe ephansi. Ngaphezu kwalokho, ochwepheshe basebenzisa imishini ye-X-ray ne-ultrasound esezingeni eliphezulu ukuze banikeze ukuxilongwa okufika ngesikhathi nangokunembile. Izikhungo ezikhethekile zokuhlolwa kwezinsana, i-electroencephalograms (EEG), kanye nokuhlolwa kwelebhu okuthuthukisiwe kuhlinzekwa ukuze kutholakale izifo ezizalwa nazo nezitholwe kusenesikhathi.
Nasi uhlu lwezobuchwepheshe nezinsiza ezithuthukisiwe zeYashoda:
- I-EGD (i-esophagogastroduodenoscopy)
- I-Colonoscopy
- I-Esophagoscopy noma i-Bronchoscopy
- Ukubekwa Kwe-Gastrostomy Tube (G-tube)
- Ukubekwa Kwe-Central Venous Port/Catheter
- I-NICU
- I-PICU
- Iyunithi yokunakekela izingane ezisanda kuzalwa (NICU)
- Iyunithi Yokunakekelwa Kakhulu Kwezingane (PICU)
- Iyunithi Yokunakekelwa Kakhulu Kwenhliziyo (CICU)
- I-Cardiothoracic Intensive Care Unit (CTICU)
Kwenziwani?
Ukuze kutholakale isifo, kuhlolwe nge-biopsy, futhi kwelashwe izimpawu nezifo ezahlukahlukene zomgudu wokugaya ukudla ongaphezulu, okuhlanganisa isisu, i-duodenum, kanye nomphimbo, ukuze kutholakale izimpawu ezifana nesilungulela, ukwehla kwesisindo okungapheli, noma isicanucanu esingamahlalakhona.
Izinzuzo
- Ukuboniswa okuqondile
- Ukuhlasela okuncane
- Ukuhlolwa kwe-biopsy kanye nokuthathwa kwesampula kwezicubu
- Amakhono okuxilonga nokwelapha
- Isivinini nokuphepha
- Ukwelashwa okuphumelelayo
Kwenziwani?
I-Colonoscopy iyithuluzi eliwusizo lokuxilonga ezinganeni ngoba inikeza isithombe esiphelele solwelwesi lwangaphakathi lwe-colon, okuvumela odokotela ukuthi bahlole izimpawu ezingamahlalakhona njengobuhlungu besisu obungachazeki, uhudo, kanye nokopha kwegazi endukwini. Kubalulekile ekuboneni nasekwelapheni izifo zesisu, njengesifo samathumbu esivuvukalayo (IBD), kanye nokuthola nokususa ama-polyps abulalayo.
Izinzuzo
- Ukuhlolwa okuphelele kwamathumbu amakhulu kanye namathumbu amancane ngezinye izikhathi
- Amandla okuhlinzwa okwandisa indawo enciphile, i-polypectomy, kanye ne-hemostasis
- Ukuxilongwa kwezicubu okuqinisekile
Kwenziwani?
I-bronchoscopy: Kuyinqubo ebalulekile yokunakekelwa kokuphefumula kwezingane, esetshenziselwa ukuphenya izimpawu eziqhubekayo, njengokukhwehlela okungachazeki noma ukuphefumula, futhi ibalulekile ekuxilongeni nasekususeni izinto zangaphandle ngokuphephile emigudwini yomoya. Iphinde idlale indima ebalulekile ekuboneni izimo zamaphaphu ezingamahlalakhona kanye nokuqoqa amasampula oketshezi noma izicubu ngokusebenzisa i-bronchoalveolar lavage (BAL) ukuze kuhlaziywe ukutheleleka kanye nokuvuvukala.
I-Esophagoscopy: Ihlose ukuhlola nokunquma isizathu sobunzima bokugwinya kwezingane ngokwenza ukuhlolwa okubonakalayo komphimbo. Le ndlela iwusizo futhi ekutholeni nasekuhlaziyeni ukuvuvukala (i-esophagitis) kanye nokunquma imbangela yokopha kwesisu okuphezulu.
Izinzuzo
- Ukuboniswa okuqondile
- Ukuxilongwa okunembile
- Ukungenelela kokwelapha
- I-Biopsy kanye nokuqoqwa kwamasampula
- Ukutholwa kusenesikhathi
Kwenziwani?
I-G-tube inikeza amakhalori adingekayo kanye nezakhamzimba, okwenza kube ukungenelela okubalulekile ekukhuleni nasekuphathweni kwezifo ezinzima zesisu, kanye nalapho ezinye izinhlelo zokudla, njenge-NG-tube, zingabekezeleleki. I-G-tube inikeza amakhalori abalulekile kanye nezakhamzimba, okwenza kube ukungenelela okubalulekile ekukhuleni nasekulawuleni izifo ezinzima zesisu, noma lapho ezinye izinhlelo zokudla, njenge-NG-tube, zingabekezeleleki.
Izinzuzo
- Ukudla Okwanele Nokukhula
- Ukuphathwa kwemithi
- Izinga lempilo elithuthukisiwe
- yizinhlobonhlobo
- Induduzo eyengeziwe
- Ukunakekelwa kwasekhaya
Kwenziwani?
I-Central Line ifakwa ezinganeni ukuze kuvunyelwe ukulethwa okuphephile nokuqhubekayo kokwelashwa okubalulekile, kugwenywe isidingo sokubhobozwa njalo kwenaliti emithanjeni emincane. Isetshenziswa kakhulu ekuphathweni kwe-chemotherapy yomdlavuza, Ukudla Okunomsoco Kwe-Intravenous (IV), kanye nezifundo ezinde zama-antibiotic noma uketshezi lwe-IV, kuyilapho futhi kusiza ukuqoqwa okulula nokuvama kwamasampula egazi kanye nokumpontshelwa igazi.
Izinzuzo
- Yehlisa ukungakhululeki nobuhlungu
- Ukufinyelela kwesikhathi eside
- Kuvikela imithambo yegazi engaphandle
- Ingozi ephansi yokutheleleka
- Inkululeko eyengeziwe
- Isiza ekwelapheni okuyinkimbinkimbi
Kwenziwani?
Izinsana zilaliswa esibhedlela e-Neonatal Intensive Care Unit (NICU) ukuze zithole ukunakekelwa okubucayi ngezizathu ezahlukahlukene, okuhlanganisa ukuzalwa ngaphambi kwesikhathi (ngaphambi kwamasonto angu-37), ukuzalwa okunesisindo esiphansi, kanye nezinkinga zokuphefumula ezinzima, njengoba imizimba yazo engakavuthwa idinga ukunakekelwa okukhethekile. I-NICU iphinde yelaphe izifo ezibucayi, njengokutheleleka (i-sepsis), ukukhubazeka kokuzalwa okuthinta izitho zomzimba, kanye nezinkinga ze-metabolic ezifana ne-hypoglycemia.
Izinzuzo
- Kunobungane nesiguli
- Imiphumela ethuthukisiwe
- Indawo ehlelekile enezinhlelo ezilawulwayo
- Ubuchwepheshe obuphambili
- Ukunakekelwa okukhethekile amahora angu-24 ngosuku, izinsuku eziyi-7 ngesonto
Kwenziwani?
Iyunithi Yokunakekelwa Okujulile Kwezingane (i-PICU) inikeza ukunakekelwa okusheshayo nokukhethekile ezinganeni ezinezifo ezisongela ukuphila noma ezilulama ekuhlinzweni okukhulu. Ukutheleleka okukhulu (i-sepsis), ukulimala okubuhlungu, ukwehluleka kwezitho zomzimba, kanye nokucindezeleka okukhulu kokuphefumula okudinga usizo oluthuthukisiwe lwemishini ngezinye zezizathu ezivame kakhulu zokwamukelwa e-PICU.
Izinzuzo
- Ukuqapha okujulile
- Ukwelashwa okukhethekile
- Abasebenzi bezokwelapha abakhethekile
- Indawo elungele izingane
- Ukunakekelwa kwe-multidisciplinary
- Ukuzinza kanye nokululama
Kwenziwani?
Ukunakekelwa kwe-NICU kubalulekile ezinganeni ezisanda kuzalwa ezidinga ukunakekelwa okukhethekile kwezokwelapha ngenxa yezici ezifana nokubeletha kusenesikhathi (ngaphambi kwamasonto angu-37) noma isisindo sokuzalwa esiphansi (ngaphansi kuka-2.5 kg), njengoba izitho zazo zomzimba zingase zingakakhuli. Kuhlinzeka ngokuqapha okujulile kanye nokwelashwa okukhethekile ezinganeni ezisanda kuzalwa ezinezinkinga zempilo ezibucayi, njengokukhubazeka kokuzalwa noma izinkinga zokubeletha.
Izinzuzo
- Ubuchwepheshe obukhethekile
- Ubuchwepheshe obuphambili
- Ukunakekelwa okujulile nokungaphelelwa yisikhathi
- Indawo elawulwayo
- Imiphumela ethuthukisiwe
Kwenziwani?
Ukwamukelwa e-Pediatric Intensive Care Unit (PICU) kuyadingeka ezinganeni ezinezifo ezisongela ukuphila ezidinga ukunakekelwa okwengeziwe kanye nokungenelela kwezokwelapha kunokuba kunganikezwa yi-ward ejwayelekile. Ukutheleleka okukhulu (i-sepsis), ukulimala okubuhlungu, ukwehluleka kwezitho zomzimba, ukucindezeleka okukhulu kokuphefumula, kanye nokunakekelwa okujulile ngemva kokuhlinzwa ngemva kokuhlinzwa okukhulu nakho kuyizizathu ezivamile zokulaliswa esibhedlela.
Izinzuzo
- Ukunakekelwa kwezokwelapha okukhethekile
- Abasebenzi abazinikele
- Imishini ethuthukisiwe
- Ukuqapha okujulile
- Ukwelashwa kanye nokwelashwa
- Izimo ezisongela ukuphila
- Indlela ye-Multidisciplinary
- Indawo egxile ezinganeni
- Indawo eguquliwe
- Ukubandakanyeka okuseduze komndeni
- Ukuqhubeka nokusekelwa
- Ibhuloho eliya ekunakekelweni okukhethekile
- Amasevisi okusekela komndeni
Kwenziwani?
Iyunithi Yokunakekelwa Okujulile Kwenhliziyo (i-CICU) isetshenziselwa izingane ezidinga ukunakekelwa okujulile kanye nokuqapha okuqhubekayo kokubili izimo zenhliziyo ezizalwa nazo kanye nezitholwe, okuhlanganisa ukwehluleka kwenhliziyo kanye ne-cardiomyopathy. Kubalulekile futhi ekuqapheni ngokushesha ngemva kokuhlinzwa kanye nokwelashwa kwezingane ezigula kakhulu ngemva kokuhlinzwa okukhulu kwenhliziyo, amaphaphu, noma umgudu womoya.
Izinzuzo
- Ubuchwepheshe beqembu obukhethekile
- Ubuchwepheshe obuphambili
- Ukuqapha inhliziyo okuqhubekayo
- Imiphumela engcono yesiguli
- Ukunakekelwa okugxile emndenini
- Indlela ephelele
Kwenziwani?
Iyunithi Yokunakekelwa Okujulile Kwenhliziyo (i-CTICU) isetshenziselwa izingane ezidinga ukubhekwa ngokushesha nangokuseduze ngemva kwezinqubo ezifana nokuhlinzwa kwenhliziyo noma ukufakelwa inhliziyo ukuze kusekelwe ukululama kwazo okubucayi. Iphinde inikeze ukuphathwa kokunakekelwa okujulile kwezimo eziyinkimbinkimbi, ezingezona ezokuhlinzwa ezifana ne-myocarditis kanye ne-cardiomyopathy, kanye neziguli ezidinga ubuchwepheshe obuthuthukisiwe bokusekela impilo njenge-ECMO noma i-VADs.
Izinzuzo
- Ubuchwepheshe obukhethekile
- Ukuqapha okuthuthukisiwe kanye nobuchwepheshe
- Imiphumela yesiguli ethuthukisiwe
- Indlela yethu egxile eqenjini
- Ukunakekelwa okuphelele kweziguli ezisencane
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I-dengue encephalitis iyinkinga engavamile futhi enzima yezinzwa ye-dengue, ukutheleleka ngegciwane okuthwalwa umiyane okubangelwa yigciwane le-dengue. Ku…
Ukuzalwa ngaphambi kwesikhathi, okwaziwa nangokuthi ukuzalwa ngaphambi kwesikhathi, kubhekisela ekuzalweni komntwana ngaphambi kwamasonto angu-37 okukhulelwa. Ku…
Ukulimala kobuchopho okubuhlungu (i-TBI) kubhekisela ekushayweni noma ekushayweni okungazelelwe ebuchosheni ngenxa yengozi noma ukuwa.
I-Acute Respiratory Distress Syndrome (ARDS) yisimo esibi esibonakala ngokuqala ngokuzumayo kokwehluleka kokuphefumula, okuholela ekunciphiseni…
I-Multiple Organ Dysfunction Syndrome (MODS) yisimo esibi esibonakala ngokungasebenzi kahle noma ukwehluleka kwezitho eziningi zomzimba. Ingakwazi…
Izinkinga ze-thyroid ezinganeni zibhekisela ekusebenzeni okungajwayelekile kwe-thyroid gland, okuholela ekukhiqizweni ngokweqile (i-hyperthyroidism) noma ekukhiqizweni okwanele (i-hypothyroidism)…
Umzimba wangaphandle yinoma yini engene emzimbeni ngomlomo, ekhaleni, ezindlebeni, noma komunye umgodi, noma…
Ukunakekelwa okujulile kwezinsana ezingaphambi kwesikhathi, okwaziwa nangokuthi ukunakekelwa okujulile kwezinsana ezisanda kuzalwa, ukunakekelwa okukhethekile kwezokwelapha kwezinsana ezisanda kuzalwa ezi…
I-Acute demyelinating encephalomyelitis (ADEM) isifo esingavamile sokuzivikela komzimba esibangela ukuvuvukala kanye nomonakalo ku-myelin sheath, okuyi…
Isifo sikaHirschsprung yisifo sokuzalwa esithinta amathumbu amakhulu (ikholoni) futhi sibangela ubunzima bokukhipha indle. Sibangelwa…
Amabhulogi Ezempilo Ezingane
చిన్నపిల్లల్లో ఊబకాయం, వారి భవిష్యత్తుకు పొంచి ఉన్న పెను ముప్పు.
Ephreli 29, 2026 13:12పిల్లల్లో అధిక బరువు భవిష్యత్తులో తీవ్ర ఆరోగ్య సమస్యలకు దారి తీయవచ్చు. చిన్నపిల్లల్లో ఊబకాయం లక్షణాలు, ఆహార నియమాలు మరియు వ్యాయామం ద్వారా దీనిని ఎలా ఎలా గాల్రి వివరంగా తెలుసుకోవచ్చు.
రెండు సంవత్సరాల లోపు పిల్లలలో ఆటిజంను సూచించే 'హెచ్చరిక సంకేతాలు' ఇవే!
Ephreli 01, 2026 12:01ఆటిజం అనేది ఒక వ్యాధి కాదు, అది ప్రపంచాన్ని చూసే ఒక భిన్నమైన కోణం. అయితే, దీనిని ఎంత త్వరగా గుర్తిస్తే, ఆ బిడ్డ భవిష్యత్తును అంత అద్భుతంగా తీర్చిదిద్దవచ్చు.
Izinsuku zokugcina ezingakafiki kanye nezingqondo ezingaqondwa kahle: Ukuntuleka kokunaka kanye nokuphazamiseka kokusebenza ngokweqile
Jan 01, 2026 04:47Funda nge-Attention Deficit Hyperactivity Disorder (ADHD), okuhlanganisa izimpawu zayo, izimbangela, kanye nezinketho zokwelapha, nokuthi ukuxilongwa kusenesikhathi kungasiza kanjani ekuphatheni lesi simo ngempumelelo.
అప్పుడే పుట్టిన పిల్లల్లో కామెర్లు ఎందుకు వస్తాయి? ఈ సమస్యకు ఎలాంటి చికిత్స చేస్తారు?
Disemba 17, 2025 12:29బిలిరుబిన్ అనేది మానవ శరీరంలో సహజంగా ఏర్పడే ఒక పసుపు వర్ణద్రవ్యం . ఇది ఒక వ్యర్థ పదార్థం , ఇది మన శరీరం యొక్క జీవక్రియలో కీలక పాత్ర పోషిస్తుంది. ఇది దెబ్బతిన్న ఎర్ర రక్త కణాలు విచ్ఛిన్నమైనప్పుడు ఏర్పడుతుంది.
తట్టు (మీజిల్స్) వ్యాధి: లక్షణాలు, కారణాలు, రోగ నిర్ధారణ & చికిత్సలు
Disemba 09, 2024 18:23తట్టు (మీజిల్స్)ను రుబియోలా అని కూడా అంటారు. ఇది శ్వాసకోశ వ్యవస్థలో ప్రారంభమయ్యే వైరల్ ఇన్ఫెక్షన్. తట్టు అనేది ఒక అంటు వ్యాధి. తట్టు వ్యాధిని కలిగించే వైరల్ ఇన్ఫెక్షన్ ప్రధానంగా పారామిక్సోవైరస్ కుటుంబానికి చెల్లవానికి చెల్లు ద్వారా వ్యాపిస్తుంది.
ఆటిజం: రకాలు, కారణాలు, లక్షణాలు మరియు నివారణ చర్యలు
Julayi 10, 2023 17:34ప్రస్తుత కాలంలో మానసిక ఎదుగుదల లోపం కారణంగా చాలా మంది పిల్లలు అనేక వ్యాధుల బారిన పడురున్నా. అందులో ఆటిజం అనే సమస్య కూడా ఒకటి.
పిల్లల్లో సాధారణంగా వచ్చే సీజనల్ వ్యాధులు: కారణాలు మరియు సంకేతాలు
07 Feb 2023 17:25కాలానుగుణంగా వస్తున్న మార్పుల కారణంగా చిన్న పిల్లలు అనేక రకాల ఆరోగ్య సమస్యలను ఎదుర్కొరుటు.
Iso Elipinki: Inkinga Evamile Phakathi Kwezingane
Jan 27, 2023 11:02I-Conjunctivitis, eyaziwa ngokuthi “iso elipinki,” yisifo samehlo esivamile esithinta izingane
పిల్లలకు నిద్ర పట్టకపోవడానికి కారణాలు & తల్లిదండ్రులు తీసుకోవాల్సిన జాగ్రత్తలు
Disemba 29, 2022 16:51నేటి డిజిటల్ యుగంలో జోల పాటలు పాడితే నిద్రపోయే పిల్లలు చాలా అరుదు. కొంతమంది పిల్లలు ఇలా పడుకోగానే అలా నిద్రలోకి జారుకుంటారు.
Umntwana Ozelwe Ngaphambi Kwesikhathi: Isimanga Esingalindelekile Sokuqala
Novemba 17, 2022 14:42Umbhangqwana ngamunye ulindele injabulo yokwamukela ilungu elisha lomndeni. Kodwa-ke, phakathi kwayo yonke imikhosi namalungiselelo
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I-FAQ's
UMnyango Wezingane Ezibhedlela ZaseYashoda uhlanganisa iminyaka emingaki?
UMnyango Wezingane eYashoda Hospitals uhlinzeka ngezinsizakalo zokunakekelwa kwempilo eziphelele kubantu kusukela ekuzalweni kuya ezinsukwini ezingu-28 zokuphila (izinsana), izinsuku ezingu-28 kuya onyakeni owodwa (izinsana), unyaka owodwa kuya kwengu-12 (izingane ezincane), futhi ekugcineni kusukela eminyakeni engu-12 kuya kwengu-18 (intsha), okuhlanganisa nezinsana ezisanda kuzalwa, izinsana, izingane, kanye nentsha. Umnyango unikeza izinsizakalo ezahlukahlukene, kusukela ekunakekelweni kokuvimbela kuya ekwelapheni izifo eziyinkimbinkimbi, ngokunakekelwa okukhethekile ezindaweni ezifana ne-neonatology, i-allergy kanye ne-immunology, kanye ne-dermatology.
Yiziphi izinhlobo zezimo eziphathwa yiMnyango Wezingane?
Umnyango wezingane welapha izifo eziningi zobuntwana, okuhlanganisa izifo ezivamile zesimiso somzimba (zokuphefumula noma zesisu) kanye nezifo ezithathelwanayo (kufaka phakathi ukutheleleka kwendlebe, umkhuhlane ovamile, noma umkhuhlane), izimo ezingamahlalakhona (njenge-cystic fibrosis noma i-cerebral palsy), kanye nezinkinga zokukhula (njenge-autism); kanye nezinselele zokuziphatha (isibonelo, i-ADHD) kanye nempilo yengqondo.
Ingabe izibhedlela zaseYashoda zinamayunithi akhethekile ezinsana ezisanda kuzalwa kanye nezinsana ezizalwa ngaphambi kwesikhathi?
Iyunithi Yokunakekelwa Okujulile Kwezinsana Ezisanda Kuzalwa (i-NICU) kanye neYunithi Yokunakekelwa Okujulile Kwezingane Ezisanda Kuzalwa (i-PICU) ezibhedlela zaseYashoda zihlonyiswe ngokugcwele ngobuchwepheshe obuthuthukisiwe bokuhlinzeka ngokunakekelwa okukhethekile nokuphuthumayo kwezinsana ezisanda kuzalwa, okuhlanganisa nezinsana ezizalwa ngaphambi kwesikhathi, amahora angama-24. Odokotela bezingane ezisanda kuzalwa kanye nodokotela bezingane abasebenzisa le yunithi bazibophezele emsebenzini wabo.
Ingabe izinsizakalo zezingane ezilaliswa esibhedlela kanye nezinsizakalo zangaphandle ziyatholakala?
Izibhedlela zaseYashoda eHyderabad zinikeza uhla olubanzi lwezinsizakalo zezingane, okuhlanganisa ukunakekelwa kwasesibhedlela kanye nokunakekelwa kwangaphandle. Lezi zinsizakalo zinikeza ukunakekelwa okuphelele, kusukela ekuhlolweni okuvamile kanye nokugonywa kuya ekuphathweni kwezimo eziyinkimbinkimbi ezidinga ukulaliswa esibhedlela. Iphinde ihlanganise ukubonisana okukhethekile kanye nezinsizakalo zokuxilonga ukusiza ekunakekelweni nasekuhleleni ukwelashwa kwengane yakho.
Izibhedlela zaseYashoda zisingatha kanjani izinkinga zokukhula noma zokuziphatha ezinganeni?
Isikhungo Sokuthuthukiswa Kwezingane saseYashoda Hospitals (CDC) sinikeza ukunakekelwa okuphelele kwezinkinga zokukhula nokuziphatha, kanye nethimba elihlanganisa imikhakha eyahlukahlukene elakha izinhlelo zokwelapha ezenzelwe wena zezimo ezifana ne-ASD ne-ADHD. Lesi sikhungo sinikeza izindlela eziningi zokwelapha, okuhlanganisa ukwelashwa emsebenzini, ukwelashwa kokukhuluma, kanye nokwelashwa nge-physiotherapy, futhi sisebenzisa indlela ephelele enezinsizakalo ezifana nokwelulekwa kwabazali kanye nezinhlelo zokungenelela kusenesikhathi.
Yini ehlukanisa uMnyango Wezingane waseYashoda phakathi kwezibhedlela zaseHyderabad?
UMnyango Wezingane eYashoda Hospitals uhlonishwa kakhulu eHyderabad ngethimba lawo lochwepheshe abanolwazi, ubuchwepheshe obusezingeni eliphezulu, kanye nezikhungo ezithuthukisiwe, ezihlinzeka ngokunakekelwa okuphelele, okugxile esigulini kulo lonke uhlobo lwezokwelapha zezingane.
Ingabe izibhedlela zaseYashoda zinikeza imijovo yezingane?
UMnyango Wezingane eYashoda Hospitals unikeza uhlelo lokugoma oluphelele lwezingane, oluqala ebuntwaneni kuya ebudaleni, ukuze kuvikelwe ezifweni ezivamile zezingane. Luhilela i-DPT, i-Polio, i-Hib, kanye ne-Hepatitis B. Endaweni enobungane nezingane, odokotela besibhedlela banikeza isiqondiso sezokwelapha sochwepheshe futhi banikeze ukukhetha okuphelele kwemithi yokugoma ebalulekile.
Yiziphi izinhlobo zezindawo zokuxilonga ezitholakalayo ezinganeni?
UMnyango Wezingane eYashoda Hospitals unikeza izinsizakalo eziningi zokuxilonga, okuhlanganisa nezinsizakalo zelebhu ezithuthukisiwe kanye nezokuthwebula izithombe njenge-MRI, i-CT, kanye ne-Video EEG. Isibhedlela sinikeza izinhlobo eziningi zokuhlolwa okukhethekile, njenge-cardiology kanye nokuxilongwa kwezakhi zofuzo, kanye nokuhlolwa okuvamile kwezinsana ezisanda kuzalwa ukuze kutholakale izinkinga zokuzwa, ukubona, kanye nokukhubazeka kwentuthuko yezinzwa.
Ngingabhukha kanjani i-aphoyintimenti yokunakekelwa kwezingane ezibhedlela zaseYashoda?
Ukuze uhlele i-aphoyintimenti yezingane ezibhedlela zaseYashoda, sebenzisa umsebenzi othi “Thola Udokotela” kuwebhusayithi yethu esemthethweni. Ngaphandle kwalokho, ama-aphoyintimenti angenziwa ngokushayela inombolo eyinhloko yesibhedlela. Enye indlela ukusebenzisa inkinobho ethi “Buza Manje” kuwebhusayithi yethu ukuqala ukuxhumana nge-WhatsApp ukuze ubhukhe i-aphoyintimenti.
Yiziphi izifo ezivamile ezinganeni?
Izifo ezivamile zezingane zifaka phakathi izifo zokuphefumula ezifana ne-influenza kanye ne-strep throat, kanye nezinkinga zesisu kanye nezesikhumba. Ezinye izinkinga ezivamile izifo zendlebe, i-conjunctivitis, kanye nokutheleleka ngamagciwane. Ukugoma kanye nenhlanzeko efanele kubalulekile ekuvimbeleni, futhi izimpawu ezibalulekile kufanele zihlolwe njalo ngudokotela wezingane.
Ingabe iziguli zakwamanye amazwe zingaluthola usizo lwezingane ezibhedlela zaseYashoda?
Sekuyiminyaka engaphezu kwamashumi amathathu, i-Yashoda Group of Hospitals eHyderabad inikeze ukunakekelwa kwempilo okuhle kakhulu, isebenzisa ubuchwepheshe obuthuthukisiwe kanye nabasebenzi abanolwazi olukhulu ukuletha ukwelashwa okujwayelekile emhlabeni wonke. Ithimba Lezinsizakalo Zeziguli Zamazwe Ngamazwe lesibhedlela liqinisekisa ulwazi olungenamthungo lweziguli zomhlaba wonke ngokusiza ngamalungiselelo e-visa kanye nokuhamba, ukubhukha amahhotela, abahumushi, kanye nokumbozwa komshuwalense wamazwe ngamazwe.
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