CIMS News CIMS R Care & Cureboon in case of emergency surgery. In using these arteries, there are...
Transcript of CIMS News CIMS R Care & Cureboon in case of emergency surgery. In using these arteries, there are...
CIMS News
Care & CureVolume-6 | Issue-70 | May 25, 2016
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CIMS News
Care & CureVolume-6 | Issue-70 | May 25, 2016
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ykÃk rLk{trºkík AkuMkeBMk nkuÂMÃkx÷ yãíkLk ykhkuøÞ Mkuðkyku Ãkwhe Ãkkzðk {kxu rðþk¤ søÞk{kt
íkuLke MkwrðÄkykuLkku rðMíkkh fhe hne Au.
yíÞkÄwrLkf MkwrðÄkyku íkÚkk Wå[ økwýð¥kkÞwõík xufLkku÷kuS MkkÚku Lkðku 10 {k¤Lkku “MkeBMk RMx ç÷kuf”
y™u MkeBMk ¾Bçkkíkk r÷Lkuf (hurzÞkuÚkuhkÃke) MkuLxh (y™u MkeBMk fuLMkh MkuLxh).
yk «Mktøku ykÃkLke nkshe íkÚkk ykrþðkoË ykÃkðk y{khe «u{¼he rðLktíke.
MkeBMk Mke.yuMk.ykh. y™u MkeBMk VkWLzuþLk MkkÚku Areez Khambatta Benevolent Trust Lke yuf Ãknu÷
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íkkhe¾ : hrððkh, sqLk 19, 2016.
Mk{Þ : Mkðkhu 11 Úke çkÃkkuhu 3 f÷kf MkwÄe
MÚk¤ : MkeBMk nkuÂMÃkx÷, MkeBMk nkuÂMÃkx÷ hkuz,
ykuV MkkÞLMk Mkexe hkuz, Mkku÷k, y{ËkðkË-380060.
CIMS News
Care & CureVolume-6 | Issue-70 | May 25, 2016
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The new 10 - storey “CIMS East Block” (multi-super specialty) and
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with state-of-the-art facilities and latest technology.
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Date
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The additional important arteries of the body which are used in the Coronary Arterial Bypass surgery
In today's day and age, diseases of the coronary arteries are one of the leading causes of premature death.
Whenever a blockage is detected within an artery it is possible to treat it with medication or angioplasty, though only up to a certain extent. But, when diseases (blockages) are present in multiple arteries, it becomes necessary to undergo a coronary artery bypass surgery for which excess arteries present in the body itself are used. These additional arteries are grafted before and after the blockage thus it is referred to as Coronary Artery Bypass Grafting Surgery.
In the front portion of our chest, God has placed one extra artery each on the left and right-hand side that, in medical terminology, are known as Left & Right Internal Mammary Artery. It is a miracle of nature that diseases rarely occur in these arteries and in fact, they are in fairly good condition until the late stages of our life. Thus, these arteries are most often used for the surgery.
The second preference for use in the surgery is often given to arteries of the hand (Radial Artery). The specialty of the radial artery is that it is of good length due to which it can be used in performing the bypass surgery for multiple arteries. The main vein of leg, the saphenous vein, is also used a lot in surgeries. The specialty of this vein is that it can be easily removed from the leg, many times which turns out to be a boon in case of emergency surgery. In using these arteries, there are some disadvantages too, such as pain development in the area from which the artery has been taken. Also, there can be a loss of sensation in the harvesting area but these are not considered to be critical problems.
In order to extend the life of a bypass surgery, it is necessary to take a few precautions such as maintaining a strict diet, refraining from tobacco, performing light exercises etc.
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suLkku WÃkÞkuøk MksoheLke ytËh MkkiÚke ðÄkhu fhðk{kt ykðu Au.
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yk Ä{LkeykuLku WÃkÞkuøk{kt ÷uðkLkk y{qf økuhVkÞËkyku Ãký Au suðk fu, sÞktÚke Ä{Lke ÷eÄe nkuÞ íÞkt Úkkuzku Ëw:¾kðku Úkðku yÚkðk íkku íÞkt Ãkøk{kt Úkkuzk MkuLMkuMkLk ÷kuMk Úkðk Ãkhtíkwt yu çknw {níðLke ðMíkwt nkuíke LkÚke. ÓËÞLke Ä{LkeykuLke çkkÞÃkkMk MksoheLke ykðhËk ðÄkhðk {kxu Úkkuze íkfuËkhe hk¾ðe Ãký sYhe Au, su{ fu ¾kuhkfLke ÃkhuS Ãkk¤ðe, ÔÞMkLkkuÚke Ëqh hnuðwt , n¤ðe fMkhíkku fhðe, ðøkuhu.ðøkuhu
ÓËÞLke Ä{LkeykuLke çkkÞÃkkMk Mksohe{kt ðÃkhkíke þhehLke
ðÄkhkLke yøkíÞLke Ä{Lkeyku
MkkisLÞzkì. Äð÷ LkkÞf
({ku) +91-90991 11133Email:
fkzeoÞkuÚkkuhkMkef MksoLk (ÓËÞLke MksoheLkk rLk»ýktík)M.S. (Gold Medalist), DNB (CTS), Fellow RPAH (Sydney)
Courtesy
Dr. Dhaval Naik
(M) +91-90991 11133Email:
Cardio Thoracic SurgeonM.S. (Gold Medalist), DNB (CTS), Fellow RPAH (Sydney)
MkeBMk fkŠzÞkf Mksohe xe{zkì. ÄehuLk þkn
+91-98255 75933zkì. Äð÷ LkkRf
+91-90991 11133zkì. {LkLk ËuMkkE
+91-96385 96669
MkeBMk fkŠzÞkf yuLMÚkuxeMx xe{zkì. rLkhuLk ¼kðMkkh+91-98795 71917
zkì. rnhuLk Äku÷feÞk+91-95863 75818
zkì. r[tíkLk þuX+91-91732 04454
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Lasers in Cancer Treatment
The word LASER stands for Light Amplification by
Stimulated Emission of Radiation. Laser light is different
from regular light. The light from the sun or from a light
bulb has many wavelengths and spreads out in all
directions. Laser light, on the other hand, has a single
wavelength and can be focused in a very narrow beam.
This makes it both powerful and precise. Lasers can be
used instead of blades (scalpels) for very careful surgical
work such as cutting through body tissue.
Types of lasers
Many types of lasers are used to treat
medical problems. Today, 3 kinds of lasers are
commonly used in cancer treatment: carbon
dioxide (CO2), argon and neodymium:
yttrium aluminum garnet (Nd:YAG).
Carbon dioxide (CO2) lasers
The CO2 laser is mainly a surgical tool. It can
cut or vaporize (dissolve) tissue with fairly
little bleeding as the light energy changes to heat. This
type of laser is used to remove thin layers from the surface
of the skin without going into the deeper layers.
Argon Lasers
The argon laser only goes a short distance into tissue. It's
sometime used during colonoscopies (tests to look for
colon cancer) to remove growths called Polyps before they
become cancer.
Nd:YAG ( Neodymium : Yttrium-Aluminum-Garnet)
lasers
Light from this laser can go deeper into tissue than light
from other types of lasers. This light can also travel
through optical fibers which can be bent and put into a
tumor to heat it up and destroy it.
Advantages of Laser Surgery
Lasers are more precise and exact than blades (scalpels).
The heat produced by lasers helps clean (sterilize) the
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÷uMkh MksoheLkk VkÞËk÷uMkh yu ç÷uz (MfkÕÃku÷) fhíkk ðÄkhu Mk[kux nkuÞ Au. ÷uMkMko îkhk ÃkuËk Úkíke økh{e þhehLke ÃkuþeykuLke ÄkhLku MðåA (stíkw{wõík) fhe þfu Au suÚke [uÃk ÷køkðkLkku ¾íkhku ½xe òÞ Au. ÷uMkhLke økh{eÚke hõíkðkneLke
fuLMkhLke Mkkhðkh{kt ÷uMkh
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MkkisLÞCourtesy
zkì. sÞuþ ðe. Ãkxu÷
({ku) +91-9825049874
(fuLMkh MksoheLkk rLk»ýktík)MkSof÷ ykuLfku÷kuS økúwÃk
MS
Dr. Jayesh V. Patel
(M) +91-9825049874Email:
Surgical Oncology GroupMS
edges of the body tissue that is cut thus reducing the risk
of infection. Since laser heat seals blood vessels there is
less bleeding, swelling, pain or scarring. Laser surgery may
mean less cutting and damage to healthy tissues. More
procedures may be done in outpatient settings. Healing
time is often shorter.
Disadvantages of Laser Surgery
Laser equipment costs a lot of money and is bulky
compared to the usual surgical tools used. Strict safety
precautions must be followed in the operating room when
lasers are used. The entire surgical team and the patient
must wear eye protection.
Treating Cancer With Lasers
u To cut or incise and excise various pre-cancerous
lesions like leukoplakia and erythroplakia
To take incisional biopsies of various oral cancers
To shrink or destroy a tumor with heat
Trans-oral endoscopic laser excision of upper
aerodigstive and laryngeal cancers
Small tumors on the vocal cords may be treated with
lasers instead of radiation in some patients
Tumors blocking the upper airway can be partly
removed to make breathing easier.
Laser-induced interstitial thermotherapy (LITT) . The
laser light is passed through a fiber optic wire and
right into a tumor, where it heats up, damaging or
killing cancer cells.
In addition, lasers can seal nerve endings to reduce pain
after surgery and seal lymph vessels to reduce swelling
and limit the spread of tumor cells.
Though lasers can be used alone, they are most often used
with other cancer treatments, such as chemotherapy or
radiation.
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Mke÷ ÚkR òÞ Au íkuÚke ykuAwt ÷kune ðnu Au, Mkkuòu, Ãkezk yLku s¾{Lkk rLkþkLk ½xe òÞ Au. ÷uMkh MksoheLkk fkhýu íktËwhMík ÃkuþeykuLke ðkZfkÃk yLku LkwfMkkLk ½xe òÞ Au. ykWxÃkuþLx Mku®xøk{kt ðÄkhu «r¢Þk fhe þfkÞ Au. íku{kt ½ýe ðkh Mkkò Úkðk{kt ykuAku Mk{Þ ÷køku Au.
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÷uMkMko îkhk fuLMkhLke Mkkhðkhu ÕÞwfkuÃkurfÞk yLku yurhÚkúkuÃ÷urfÞk suðk rðrðÄ r«-fuLMkhøkúMík
sÏ{kuLku fkÃkðk fu Ëqh fhðk.u {kuZkLkk rðrðÄ fuLMkh {kxu RÂLMkÍLk÷ çkkÞkuÃMke ÷uðk.u økh{e îkhk økktXLku Mktfku[ðk yÚkðk Lkkþ fhðk.u yÃkh yuhkuzkRsÂMxð yLku ÷urhÂLsÞ÷ fuLMkhLkk xÙkLMk-ykuh÷
yuLzkuMfkurÃkf ÷uMkh yuÂõMkÍLk.u Mðhíktíkwyku ÃkhLke LkkLke økktXkuLku fux÷kf ËËeoyku{kt hurzÞuþLkLkk
çkË÷u ÷uMkh îkhk Mkkhðkh fhe þfkÞ Au. u WÃkhLkk nðkLkk {køkoLku yðhkuÄíke økktXkuLku yktrþf heíku Ëqh fhe
ïkMk ÷uðkLkwt Mkh¤ çkLkkðe þfkÞ.u ÷uMkh RLzâwMz RLxhÂMxrþÞ÷ Úk{kuoÚkuhuÃke (yu÷ykRxexe). ÷uMkh
÷kRx yuf VkRçkh ykuÂÃxf ðkÞh{ktÚke MkeÄe økktX{kt ÃkMkkh ÚkkÞ Au ßÞkt íku økh{e ÃkuËk fhu Au yLku fuLMkhLkk fku»kLku LkwfMkkLk fhu Au yÚkðk ¾ík{ fhu Au.
yk WÃkhktík ÷uMkhÚke Mksohe ÃkAe Ãkezk ½xkzðk {kxu [uíkkíktíkwykuLkk AuzkLku Mke÷ fhe þfkÞ Au yLku Mkkuòu ½xkzðk íkÚkk økktXLkk fku»kLku «Mkhíkk yxfkððk r÷BV ðuMku÷Lku (LkMk) Mke÷ fhe þfkÞ Au.
yuf÷k ÷uMkMkoLkku WÃkÞkuøk fhe þfkÞ Au, Ãkhtíkw {kuxk ¼køku íku fuLMkhLke yLÞ Mkkhðkh MkkÚku ðÃkhkÞ Au su{ fu fu{kuÚkuhuÃke yÚkðk hurzÞuþLk MkkÚku.
Dr. Reedham MehtaMaxillofacial Surgeon
MDS
(M) +91-88666 56956Email: [email protected]
zkì. heÄ{ {nuíkk{uÂõMk÷kuVurMkÞ÷ MksoLk
MDS({ku) +91-8866656956
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y{urhfLk fku÷us ykuV fkŠzÞku÷kuS (yuMkeMke) MkuLxh ykuV yuõMku÷LMk íkhefu «{krýík ¼khíkLkwt yuf{kºk fuLÿ
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NABLCertificate No. M-0500
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yu{ykhykR – rMkøLkk yuõMkÃ÷kuhh yLku Mkexe MfuLk – rhðkuÕÞwþLk Rðeyku 128 M÷kRMk MkeBMk ¾kíku xqtf Mk{Þ{kt ykðu Au (ykøkk{e {rnLku)
yuf yuðe «r¢Þk su{kt MkuÃx{Lkk fkýk{kt yÚkðk ÓËÞLkk WÃkhLkk fûk (yuyuMkze) yLku Lke[uLkk fûk (ðeyuMkze){kt yuf Aºke suðwt WÃkfhý Ëk¾÷ fhðk{kt ykðu Au yLku íkuLku MktÃkqýo çktÄ fhkÞ Au. þhehLke {wÏÞ Ä{Lke{ktÚke VuVMkkLke Ä{Lke{kt ÷kuneLkk ðÄkhkLkk ÃkqhðXkLku rLkÞtºký{kt hk¾ðk {kxuLke «r¢Þk.
¼khík{kt «Úk{ ð¾ík WÃkÞkuøk{kt ÷uðkþu su yíÞkÄwrLkf fkŠzÞkuðuMõÞw÷h
R{u®søk Ähkðu Au.
çk÷qLk {kRxÙ÷ / yuykuŠxf
ÃkÕ{kuLkhe /
ðkÕÔÞw÷kuÃ÷kMxe.
yMkkÄkhý ðkÕðLku çk÷qLk
îkhk Ãknku¤k fhðkLke
ÃkØrík.
£uõþLk÷ ^÷ku rhÍðo yu økkRz ðkÞh ykÄkrhík «r¢Þk Au suLkkÚke Mk[kux heíku ç÷z «uþh yLku ÓËÞLke Ä{LkeLkk [ku¬Mk ¼køk{kt «ðkn {kÃkðk{kt ykðu Au
MxÙõ[h÷ RLxhðuLþLMk yLku yuzÕx fkuLsurLkx÷ RLxhðuLþLk
£uõþLk÷ ^÷ku rhÍðo (FFR) yLku RLxÙkðuMõÞw÷h yÕxÙkMkkWLz (IVUS)
rhLk÷ rzLkðuoþLk «r¢Þk{kt rhLk÷ rzLkðuoþLk (ykhzeyuLk) íkhefu yku¤¾kíke xufrLkfLkku WÃkÞkuøk fheLku ðÄkhu Ãkzíkk Mkr¢Þ rhLk÷ íktíkwykuLku þktík fhðk{kt ykðu Au. íkuLkk fkhýu rfzLke{kt yuðk ytík:†kðku (nku{kuoLk)Lkwt WíÃkkËLk ½xu Au suLkkÚke ç÷z «uþh ðÄíkwt nkuÞ Au. íku ÓËÞ, rfzLke y™u hõíkðkrnLkeykuLku ðÄkhu LkwfMkkLk Mkk{u hûký ykÃku Au.
WÃkfhýkun
n Mke.ykh.xe.n ÃkuMk{ufh
yu.ykR.Mke.ze.
rhLk÷ rzLkðuoþLk
yuxÙeÞ÷ MkuÃx÷ rzVuõx (yuyuMkze), ðuLxÙeõÞw÷h MkuÃx÷ rzVuõx (ðeyuMkze) yLku
ÃkuxLx zõxMk ykxuorhÞMk (Ãkezeyu) íku{kt ðeyuMkze õ÷kuÍh {kxu nkRrçkúz «r¢Þk, zõx Mxu®Lxøk yLku MkkÞkLkkurxf rLkÞkuLkuxTMk{kt ykhðeykuxe Mxu®LxøkLkku Mk{kðuþ ÚkkÞ Au. íku rþþwyku{kt Mksohe fhðk {kxuLkku yMkhfkhf rðfÕÃk Au.
ykRðeÞwyuMk îkhk ykÃkýu fkuuhkuLkhe Ä{LkeLku ytËhÚke çknkh íkhV òuR þfeyu Aeyu suLkkÚke íkkífkr÷f íkMkðehku {¤u Au, su{ fu fkuhkuLkhe yuÂLsÞkuøkúkVe, su fuÚk ÷uçk{kt fhðk{kt ykðu Au. rMkBMk ð»kkuoÚke ðåÞwoy÷ rnMxku÷kuS Mkrník ykRðeÞwyuMkLkku WÃkÞkuøk fhu Au.
fkuBÃ÷uõMk fkuLsurLkx÷ rÃkrzÞkxÙef RLxhðuLþLk
yu{ykhykR su «Úk{ ð¾ík fkuhkuLkhe yu{ykhykR yuÂLsÞkuøkúkVe
(fkuLxÙkMx ðøkh) Ähkðu Au.
Mkexe MfuLk
MRI - rMkøLkk yuõMÃk÷kuhh
yuÃkkuRLx{uLx {kxu VkuLk : +91-79-3010 1200, 3010 1008 MkeBMk nkuÂMÃkx÷, þwfLk {ku÷ LkSf, ykuV MkkÞLMk Mkexe hkuz, Mkku÷k, y{ËkðkË-380060.
CIMS News
Care & CureVolume-6 | Issue-70 | May 25, 2016
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ykÃkýwt þheh yuf yr¼Òk Ãkrhðkh suðwt Au. ßÞkhu yuf ytøk ÔÞkfw¤ nkuÞ,
íÞkhu yLÞ ytøkku{kt Ãký Ãkezk yLkw¼ðkÞ Au.
yuÃkkuRLx{uLx {kxu VkuLk : +91-79-3010 1200, 3010 1008 yuBçÞw÷LMk yLku R{hsLMke : +91-98244 50000, 97234 50000
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CIMS News
Care & CureVolume-6 | Issue-70 | May 25, 2016