Wednesday, 8 June 2011




rpth kUj;Jtkid
Ez;Jis mWit rpfpr;ir ikak;
 (Key Hole surgery)
(Nkw;Fflw;fiu rhiy> <j;jhnkhop> fd;dpahFkhp khtl;lk;
Pin: 629 501.
Nghd; :04652-252253/251119)


·        mjpetPd (Laminor Flow) ,ul;il mWitrpfpr;ir $lk;
·        mjpetPd jPtpu rpfpr;irg;gphpT
·        tpgj;J kw;Wk; mtru rpfpr;irg; gphpT
·        mjpetPd kfg;NgW $lk; mtru rpfpr;irg;gphpT
·        mjpetPd mWit rpfpr;irf;Fg;gpd; ftdpf;Fk; gphpT
·        Nyg;Nuh];Nfhg;gp> vz;Nlh];Nfhg;gp> nfhyNdh];Nfhg;gp
·        mjpetPd Ma;tfk;> ];Nfd;> ,jakpd;diy tiuT ,ay;Kiw kUj;Jtk;.

jPtpu rpfpr;irg;gphpT (ICU)
     ,e;j kUj;Jtkidapy; cs;s jPtpurpfpr;irg;gphpthdJ (ICU) mjpetPd Rthrf;fUtpfs; kw;Wk; Neha; fz;fhzpg;G fUtpfisf;nfhz;Ls;sJ.  ,q;F toq;fg;gLk; rpfpr;irfspy; gytifahd tpgj;Jf;fhaq;fs;> jiyf;fhaq;fs; jPtpu M];j;kh> er;R ghjpg;G (Poison) rpWePuf nraypog;G> n`ghbf; vd;nfgNyhgjp> mWitrpfpr;irf;Fg;gpd; nghJthf Nkw;nfhs;sg;gLk; rpfpr;irfs; Mfpait mlq;Fk;


euk;gpay; kw;Wk; euk;gpay; mWit rpfpr;ir:

     ,e;j kUj;Jtkidapy; cs;s euk;gpay; gphpthdJ gf;fthjk; (Stroke)> typg;GNeha;> jiytyp Nghd;w euk;G rk;ke;jg;gl;l NfhshWfSf;F KOikahd rpfpr;ir mspf;fpd;wJ.  gy;NtW euk;G kw;Wk; jir njhlh;ghd Neha;fis fz;lwptjw;fhd Nkk;gl;l kpd; mbg;gilapyhd clw;$W Ma;Tf;fhd euk;gpay; ghpNrhjidafk; xd;Wk;> typg;G Nehahspfis fz;fhzpg;gjw;fhd ePbj;j fhy tPbNah EEG fz;fhzpg;G rhjdk; cl;gl etPd ECG trjpAk; ,jpy; cs;sJ.  ,q;Fs;s euk;gpay; JiwahdJ mjpetPd vyf;l;Nuh Nkf;dbf; ikf;Nuh];Nfhg;> mjprf;jptha;e;j bhpy; rp];lk; kw;Wk; ];BhpNah lhf;bf; rp];lk; Mfpa midj;J rhjdq;fisAk; nfhz;lJ.  %isapy; ,uj;jf;fl;bfs;> jz;Ltl mWitrpfpr;ir> fOj;J vYk;gpd; ntspg;gFjpf;fhd rpfpr;ir Mfpait Nkw;nfhs;sg;gLfpd;wd.



fhJ %f;F njhz;il mWitrpfpr;ir:
     ,e;j gphpthdJ kpfTk; etPdkhd Neha; fz;lwpAk; fUtpfSld; $bajhFk;.  ntspg;Gw NehahspfSf;fhd gphptpy; mjpetPd tPbNah Nery; vz;Nlh];Nfhgp> kw;Wk; tPbNah yhhpq;Nfh];Nfhgp (Fuy;tis ,af;fj;ij tPbNah %yk; ghh;f;Fk; fUtp) tPbNah xl;Nlh];Nfhgp (cs;fhij ghpNrhjpf;Fk; fUtp) kw;Wk; MbNah nkl;hp fUtp Nghd;wit cs;sd.  ,g;gphptpy; fhJ> %f;F> Fuy;tis> Kd;njhz;il Nghd;wtw;wpw;fhd tPbNah vz;Nlh];Nfhgp ,af;f mbg;gilapyhd vz;Nlh];Nfhg;gpf; irdy; mWitrpfpr;ir> fhJ %f;F kw;Wk; njhz;ilf;fhd Nyrh; mWit rpfpr;ir> fhJ Nfshj jd;ik kw;Wk; fhjpy; xOf;F Nghd;wtw;wpw;F Ez;zpa fhJ vz;Nlh];Nfhg;gp mWit rpfpr;ir> Fuy; NfhshWfSf;F vz;Nlh];Nfhgpf; %ykhf Fuy;tisapy; nra;ag;gLk; mWitrpfpr;ir> kz;NlNahl;L mbg;ghf mWitrpfpr;ir kw;Wk; fhJ rk;ge;jg;gl;l euk;Gf;fhd mWitrpfpr;ir %f;F rPuikg;G mWitrpfpr;ir> jiyr;Rw;wy; kw;Wk; fhJ Nfshik Mfpatw;iw kjpg;gPLnra;jy; Mfpatw;iw cs;slf;fpAs;sJ.

gy;kUj;Jtk;> tha;rk;ge;jg;gl;l kw;Wk; Kfr;rPuikg;G rpfpr;irfs;:



     ,g;gphpT gy;kUj;Jtj;jpd; gy;Ntw gphpTfspypUe;J ty;Yeh;fis jd;dfj;Njf; nfhz;Ls;sJ.  tha;rk;ge;jg;gl;l kw;Wk;> Kfr;rPuikg;G rpfpr;irfs; vd;gJ tha;> jhil> Kfk; kw;wk; fOj;Jg;gFjp Mfpatw;wpy; ghjpf;Fk; Neha;fisf;fz;lwpe;J mtw;wpw;F rpwg;G tha;e;j rpfpr;irfis mspg;gJjhd;.  tha; rk;ge;jg;gl;l kw;Wk; Kfr;rPuikg;G rpfpr;irfs; xU jdpj;Jtk; tha;ejjhff; fUjg;gLfpwJ.  ,g;gphptpy;  Kfj;jpy; Vw;gl;Ls;s fhaq;fs;> jiy kw;Wk; fOj;jpy; tuf;$ba Gw;WNeha;fs;> vr;rpy; Rug;gpfspy; Vw;gLk; Neha;fs; tpfhukhd Kfj;Njhw;wk;> Kfj;jpy; typ nrl;NuhNkd;b Gyhh; %l;L NfhshWfs;> ghjpg;gile;j gw;fs; jpRf;fl;bfs; kw;Wk; jhilapy; Vw;gLk; fl;bfs; kw;Wk tha;r;rijapy; Vw;gLk; ghjpg;Gfs;> tha;g;Gz;fs; Nghd;w gy NfhshWfSf;F ,q;F rpfpr;iraspf;fg;gLfpwJ.



ijuha;L
     ijuha;L tPf;fk; kw;Wk; Gw;WNeha; mWitrpfpr;irapy; Gjpjhf mwpKfg;gLj;jg;gl;l Harmonic Focus fUtpfs; %yk; mWitrpfpr;ir nra;ag;gLfpwJ.  ,jdhy; ,uj;j ,og;gpd;ik> Fuy; euk;G ghjpg;gpd;ik> rpwpa jOk;G Nghd;w gad;fs; Vw;gLfpd;wd.

`hh;Nkhdpf; Scalpel vd;gJ kUj;Jtj;Jiwapd; tsh;r;rpg;ghijapy; xU iky;fy; MFk;.

     ,f;fUtpfspy; kpd;rf;jpahdJ ve;jpurf;jpahf khw;wg;gl;L ,f;fUtpapd; Edpg;gFjpf;F (Blade) tUk;NghJ> mJ epkplj;jpw;F 55>000 Hz msTf;F mjph;TWk;.  mt;thW mjph;TWk; NghJ Vw;gLk; khw;wj;jpy; mWitrpfpr;ir nra;aTk; ,uj;j ,og;Gfis KOtJk; fl;Lg;gLj;jTk; cjTfpwJ.
ed;ikfs;: ,ijg;gad;gLj;jp 5mm msTs;s ,uj;j Foha;fisak; mWit rpfpr;riapd;NghJ ,uj;jf;frpT ,y;yhky; mWitrpfpr;ir nra;a gad;gLfpwJ.
     ,J jw;fhy mWit rpfpr;irapy; gad;gLj;jg;gLk; Cautery y; ,Ue;J Kw;wpYk; khWgl;lJ.  ,f;fUtpahdJ gf;fj;jpRf;fSf;F vt;tpj NrjKk; ,d;wp Neha;g;gFjpia kl;Lk; rhp nra;a gad;gLfpwJ.


EiuaPuy; njhlh;ghd rpfpr;irfs;


     EiuaPuy; Neha;f;fhd gphptpy; EiuaPuy; ,af;fj;jpw;fhd ghpNrhjid> laf;Ndh  ,g;gphptpd; Nehf;fk; Rthrf;Foha; rk;ge;jg;gl;l NfhshWfis Kd;dNu fz;lwpe;J mjpNtf rpfpr;iraspg;gjhFk;.

khh;gfr; rpfpr;ir

     ,g;gphptpy; ngz;fs; kw;Wk; Mz;fSf;F Vw;gLk; khh;gff; fl;bfs; Gw;WNeha;fis fz;lwpe;J mtw;iw mWitrpfpr;ir nra;a kUj;Jtj;Jiw Kd;Ndw;wj;jhy; Vw;gl;l `hh;Nkhdpf;];Nfy;gy;; vd;w njhopy; El;gk; gad;gLj;jg;gLfpwJ.  ngz;fspd; khh;gfj;ij nghpjhf;fTk;> rpwpjhf;fTk; khh;gf fh];kbf; gphpT cs;sJ.
Fly; Neha;f;fhd gphpT:

     Nyguh]; Nfhgpf; vd;w fPN`hy; mWitrpfpr;ir fle;j 10 Mz;Lfshf ehl;by; gpugykhfptUk; Xh; cd;dj mWitrpfpr;irahFk;.  ,e;j fPN`hy; topKiwapd; %yk; gytifahd mWitrpfpr;irfis Nkw;nfhs;s KbAk;.  ,jd;%yk; nra;ag;gLk; gpj;jg;ig ePf;Fk; mWitrpfpr;ir> mg;gd;bf;]; ePf;fk;> fUg;ig ePf;fk;> l;a+gy; ];nlhpiyNr\d;> n`h;dpah mWit rpfpr;ir kw;Wk; neQ;R vhpr;rYf;fhd rpfpr;ir Nghd;wit ep&gpf;fg;l;l topKiwfshff; fUjg;gLtJld; gy mWitrpfpr;irahsh;fspd; mj;jhl;rpiaAk; ngw;Ws;sJ.  mWitrpfpr;ir kw;Wk; mjd; njhlh;ghd njhopy;El;gk; Mfpatw;wpd; mt;tg;Nghija epytuj;ij mwpe;J nfhs;tNjhL ,g;gphpT mWitrpfpr;iria ghJfhg;ghd KiwapYk; ep&gz mbg;gilapYk; newp rhh;e;Jk; ,Uf;f topKiwfis Nkw;nfhs;fpwJ.



kfg;NgW kw;Wk; kfsph; kUj;Jtk;:

     kfg;NgW kw;Wk; kfspUf;fhd Neha;fis cldbahf ftdpf;f 24 kzpNeuKk; nray;gLk; xU kUj;Jtg;gphpT cs;sJ.  kfspUf;F Vw;gLk; Gw;WNehia fz;lwpe;J mij jLf;f cjTk; gphpT xd;Wk; cs;sj.  ,g;gphptpy; kyl;L jd;ikf;fhd fhuzj;ij mwpe;J mjid rhpnra;a xU jdpkUj;Jtf;FO xd;Wk; cs;sJ.


Foe;ij eyg;gphpT
     ,g;gphpT Foe;ijfSf;FNfw;w topKiwfs; kw;Wk; fdpthd Copah;fs;> Mfpatw;iwf; nfhz;Ls;sJ.  Foe;ijfspd; eyid kdjpy; nfhz;L tbtikf;fg;gl;l ,e;j ikakhdJ Foe;ij kw;Wk; FLk;gq;fis ghJfhg;ghd #oypy; itj;jpUg;gjw;fhf mjpetPd njhopy;El;g rhjdq;fs;> jFjptha;e;j MNyhrfh;fs;> gr;rpsq;Foe;ij epGzh;fs;> kw;Wk; Foe;ij eykUj;Jth; kw;Wk; rpwe;j nrtpypah;fspd; ftdpg;igAk; nfhz;Ls;sJ.  ,e;j ikak; Foe;ijfSf;fhd jPtpu mWitrpfpr;irg; gphpitAk; nfhz;Ls;sJ.
rpWePuf mikg;gpay;
     rpWePuf mikg;gpay; gphptpy; rpWePh; Foha;fspy; milg;G rpWePuf Foha; fw;fspdhy; NfhshW gphpnjNuh];Nfhgpfs; kw;Wk; ,d;l;uhfhHNghhpay; ypNjhl;hpg;]p> rpWePufghij Gw;WNeha; Mfpatw;wpw;fhd vd;Nlh];Nfhgp mWitrpfpr;irfs; Nkw;nfhs;sg;gLfpwJ.  ,jpy; rpWePufk; kw;Wk; rpWePh;g;ig uj;jf;fl;bfis Gw;WNeha; kUj;Jth;fSld; jpwk;gl fl;Lg;gLj;jYk;> rpWePuf nray;ghl;bd; jd;ikia kjpg;gPL nra;tjw;fhd rpWePh;g;igapd; gy;NtW nraypog;Gfis fz;lwpjy;> rpWePh;g;ig euk;G kz;lyk; kw;Wk; rpWePiu mlf;fKbahj jd;ik mjid Fzkhf;Fk; topKiwfs;> Mz;Fwpapy; Vw;gLk; fl;bfs;> tpiug;G Vw;glhj jd;ik kw;Wk; kyl;Lj;jd;ik> Mz;Fwpapy; Vw;gLk; Kd;Njhy; RUf;fk;> kw;Wk; Mz;Fwpapy; Vw;gLk; gpwtpf;NfhshWfs; Mz;Fwpapy; Vw;gLk; Gw;WNeha;> tpijtPf;fk; Nghd;wtw;iw Fzg;gLj;jYk; ,jpy; cs;slq;Fk;.




cly;fhak; kw;Wk; %l;LtpaYf;fhd gphpT
     ,k;kUj;Jtkid kpf Kf;fpakhd ,lj;jpy; Nkw;Fflw;fiu rhiyapy; (West coast Road) mike;Js;sjhy; rhiy tpgj;jpdhy; Vw;gLk; fhaq;fSf;F cldbahf jPtpu rpfpr;ir mspf;fTk;> mth;fspd; capiu fhf;fTk; ,g;gphptpy; cs;s Rthrf;fUtpfs;> fz;fhzpg;G rhjdq;fs; kw;Wk; ,d;nld;rptp];l;fs; Nghd;wtw;Wld; xU rpwpa ICU itAk; jd;dfj;Nj nfhz;Ls;sNjhL ,g;gphpT ed;F gapw;rp ngw;w nrtpypah;fs; kw;Wk; clw;fhaq;fSf;fhd cjtpahsh;fisAk; nfhz;Ls;sJ. rpwe;j mDgtk; ngw;w %l;Ltpay; mWitrpfpr;irahsh;fs; FO xd;W ,g;gphptpis eph;tfpf;fpwJ.  ,q;Fs;s %l;Ltpay; rpfpr;irf;fhd mWit rpfpr;irf; $lj;jpy; jw;Nghija tbtikg;gpyhd mjpetPd C -Mh;k;> kw;Wk; l;hpy; rp];lk; vYk;GKwpT mjpetPd mWitrpfpr;ir Nlgps; Nghd;wtw;iwf; nfhz;L midj;J tifahd mWitrpfpr;irfisAk; mspf;fyhk;.


,uj;jf;Foha; mWitrpfpr;ir:
     ,q;F ,uj;jf;Foha;f;fhd rpfpr;iraspg;gjw;fhd KOikahd gphpT xd;W cs;sJ.  fhy;gFjpfspy; Vw;gLk; ,uj;jehs RUs; (Varicos vain) tPf;fj;ij Ez;Jis ,uj;jehs mWitrpfpr;ir %yk; (vz;Nlh];Nfhgp> th];Fyhh; rh;[hp) %yk; rhp nra;ayhk;.  ,J mWit rpfpr;irapy; kUj;Jtj;jpy; Vw;gl;l iky;fy; MFk;.

mWitrpfpr;irf; $lk;:

mjpetPd ,ul;il mWitrpfpr;ir $lkhdJ (Twin Laminar flow Modular Theatre) fPo;fhZk; trjpfisf; nfhz;Ls;sJ.
1.   Luminar flow = 0.3 micron msT tbfl;b (Hepa Filter) fpUkpfs; my;yhj fhw;iw cs;Ns nfhz;L tUk;.
2.   epkplj;jpw;F 20 Kiw Gjpafhw;iw cs;Ns nfhz;LtUk;.
3.   mWit rpfpr;irf; $lj;jpd; fhw;wOj;jk; ntspf;fhw;wOj;jj;ijtpl mjpfk;.  vdNt ntspNa cs;s mRj;jf;fhw;W cs;Ns tutha;g;G ,y;iy.
4.   24x24, 18x18 rJu msT gug;gsT nfhz;Ls;sJ.
5.   ,izg;Gfs; mw;w Rtiu nfhz;lJ.
6.   Neha;f;fpUkpfs; jLg;G tz;zg;g+r;R (Anti Bacterical Paint)
7.   midj;Jk; Computerized Monitor system %yk; ,aq;Fk;.
8.   n[h;kd; nlf;dhy[p mWit rpfpr;ir Nlgpis nfhz;Ls;sJ.
miktplk;:
     ,j;jifa rpwg;gk;rq;fSk;> trjpfSk; epiwe;j ,k;kUj;JtkidahdJ> ,aw;if vopy; #o;e;j fd;dpahFkhpkhtl;lj;jpd; njd; vy;iyapy; mugpf;fliynahl;b Nkw;F flw;fiu rhiyapy; <j;jhnkhop vd;Dk; Chpy; mikjpahd #oypy; mike;Js;sJ.