
athi takkuva invasive vidhanam

kaneesa invasive vidhanalu (kaneesa invasive shastrachikitsalu anie kooda pilustaaru) avasaramaina kothalu parimaanaanni parimitam chese shastrachikitsa paddhatulanu kaligi untaayi, tadwara gaayam nayam chese samayam, sambandhita noppi mariyu sankramana pramaadaanni taggistundi. nirvachanam prakaram shastrachikitsa anedi haanikaramainadi mariyu kontha parimaanamlo kothalu avasaramayye aneka operationlanu "open surgery" gaa suuchistaaru. bahiranga shastrachikitsa samayamlo chesina kothalu konnisaarlu pedda gayalanu kaligistaayi, ivi badhakaramga undavacchu mariyu nayam kaavadaaniki chaalaa samayam pattavacchu. vaidya saanketika parignaanamlo purogatulu kaneesa invasive vidhaanaala abhivruddhi mariyu kramam tappakunda upayoginchadaaniki veelu kalpinchaayi. udaaharanaku, endovascular eneurism marammattu, oka athi takkuva invasive shastrachikitsa, 2003 natiki samyukta rashtraalalo pottikadupu bruhaddhamani raktanaalaala marammatu yokka atyanta saadhaarana paddhatigaa maarindi. eee prakriyaloo open bruhaddhamani shastrachikitsa yokka sambandhita open surgery prakriya kante chaalaa chinna kothalu untaayi.
interventional radiologistlu kaneesa invasive vidhaanaalaku mundanjalo unnaaru. imaging paddhatulanu upayoginchi, radiologistlu saampradaaya shastrachikitsalo avasaramaina pedda kothalaku badulugaa catheterla dwara sareeram gundaa madhyavartitva parikaraalanu nirdesinchagaligaaru. phalitamgaa, okasari shastrachikitsa avasaramayye aneka paristhitulaku ippudu shastrachikitsa kaani chikitsa cheyavachu.
kothalu, charmanni puncture cheyadam ledhaa sareeramloki videshee vastuvulu ledhaa padaarthaalanu pravesapettakapovadam vanti roganirdhaarana paddhatulanu naan-invasive vidhanalu antaaru. aneka chikitsa vidhanalu naan-invasivga vargeekarinchabaddaayi. shastrachikitsaku invasive kaani pratyaamnaaya chikitsaku pradhana udaaharana radiation therapy, dheenini radiotherapy anie kooda pilustaaru.
vaidya upayogaalu.
mottamodata angioplasty mariyu catheter-pampinhee chesina stentnu pravesapettina interventional radiologistlu kaneesa invasive vidhaanaalaku maargadarsakatvam vahinchaaru. sariiramlooni anni bhagala chitraalanu pondavacchu mariyu catheterla (suudulu mariyu suukshma gottalu) dwara madhyavartitva parikaraalanu nirdesinchadaaniki upayoginchagala aneka itara athi takkuva invasive vidhanalu anusarinchabaddaayi, tadwara okasari open surgery avasaramayye aneka paristhitulaku ippudu shastrachikitsa kaani chikitsa cheyavachu. oka athi takkuva invasive prakriyaloo saadhaaranamgaa arthroscopic (keellu mariyu vennemuka kosam) ledhaa laparoscopic parikaraala vadakam mariyu endoscope ledhaa pedda ettuna display panel dwara shastrachikitsa kshetraanni parokshamgaa pariseelinchi parikaraala remot-controll manipulation untundi, mariyu idhi charmam dwara ledhaa shareera kuharam ledhaa shareera nirmaana dwaaram dwara nirvahinchabadutundi. interventional radiology ippudu shastrachikitsa avasaranni nivaarinche aneka paddhatulanu andistundi.
athi takkuva invasive vidhananni upayoginchadam dwara, oka rogiki pedda kothanu muusivaeyadaaniki bahula kutlu ledhaa pradhaanamainavi kakunda kothapai antukune patti matrame avasaram kaavacchu. idhi saadhaaranamgaa takkuva sankramana, vaegamgaa kolukune samayam mariyu takkuva aasupatrilo basa cheyadaaniki ledhaa out patient chikitsaku anumatistundi. ayithe, prati prakriya yokka bhadrata mariyu prabhavanni yaadruchchika niyantrita pareekshalatoo pradarsinchaali. eee padaanni zaan ii roopondinchaaru. eah. 1984loe vikam, 1987loe "british medical journal" loe daani gurinchi raasaaru.
nirdishta vidhanalu.
aneka vaidya vidhaanaalanu minimal invasive anie pilustaaru; endoscopyni choppinche chinna kothalu, endoscopy, laparoscopy, arthroscopy vanti "-oskopee" pratyayamtho mugustaayi. athi takkuva invasive vidhaanaalaku itara udaaharanalalo hypodermic injection, mariyu air-presure injection, subdermal implantlu, vakrikaraka shastrachikitsa, percutaneous shastrachikitsa, cryosurgery, micro surgery, keyhol shastrachikitsa, interventional radiologyni upayoginchi endovascular shastrachikitsa (angioplasty vantivi), coronary catheterization, vennemuka mariyu medadu electrodela shaashwata placement, stereotactic shastrachikitsa, naas vidhanam, rediyodhaarmikata aadhaarita vaidya imaging paddhatulu, gaama camera, positron emission tomography mariyu spect (single photan emission tomography) vantivi unnaayi. sambandhita vidhanalu image-guided surgery mariyu robot-assisted surgery.
parikaraalu.
fiber optic cables, suukshma veediyo kemeraalu mariyu pratyeka shastrachikitsa parikaraalu vanti pratyeka vaidya parikaraalanu upayoginchavacchu, ivi shareera uparitalamloni chinna randhraala dwara sareeramloki choppinchina gottala dwara nirvahinchabadataayi. sareeram lopali bhaagamlooni chitraalu bahya veediyo maanitarku prasaram cheyabadataayi mariyu shastrachikitsakudu rooga nirdhaarana chese avakaasam undhi, antargata lakshanaalanu drushyaparamgaa gurtinchadam mariyu vaatipai shastrachikitsa dwara vyavaharinchadam.
labhalu.
kaneesa invasive shastrachikitsaku samaanamaina open surgery kante takkuva operative gaayam, itara samasyalu mariyu pratikuula prabhavalu undaali. idhi ekkuva ledhaa takkuva khareedainadi kaavacchu (dantha implantla kosam, athi takkuva invasive paddhati vyavasthaapinchina implantla kharchunu taggistundi mariyu implant-prosthetic punaravasa samayanni 4 nundi 6 nelalatho taggistundi). operation samayam ekkuva, conny aasupatrilo chaeradaaniki samayam takkuva. idhi takkuva noppi mariyu macchalanu kaligistundi, kolukovadanni vegavantam chestundi mariyu antukonadam mariyu gaayam cheelika vanti shastrachikitsa anantara samasyala sambhavaneeyatanu taggistundi. konni adhyayanalu gunde shastrachikitsanu polchayi.
pramaadaalu.
kaneesa invasive vidhaanaala yokka pramaadaalu mariyu samasyalu itara shastrachikitsala maadirigaane untaayi, pramaadaalalo maranaalu, raktasraavam, sankramana, avayava gaayam mariyu thromboembolic vyaadhi unnaayi.
insufflation samayamlo challani, podi vaayuvulaku ekkuvagaa gurikavadam valla hypothermia mariyu peritoneal gaayam vachhe pramaadam ekkuvagaa undavacchu. shastrachikitsa thema chikitsanu upayoginchadam, idhi infuflation kosam vaedi chesina mariyu thematho kuudina carbon dye oxidenu upayoginchadam, eee pramaadaanni tagginchavachhu.
invasive vidhanalu.
konnisaarlu naan-invasive paddhatula vadakam oka empika kaadu, tadwara tadupari sthaayi kaneesa invasive paddhatulanu pariseelistaaru. veetilo hypodermic injection (siranji upayoginchi), endoscope, charmam suudi puncture kaligi unna charma charma shastrachikitsa, saadhaaranamgaa "keyhol surgery" anie piluvabade laparoscopic shastrachikitsa, coronary catheter, angioplasty mariyu stereotactic shastrachikitsa vantivi unnaayi.
open surgery.
"open surgery" anedi shastrachikitsa jaragadaniki kotha saripoye edainaa shastrachikitsa prakriya. kanajaalaalu mariyu nirmaanaalu gaaliki gurikaavadamtoe, shastrachikitsakudi sahaayarahita drushtitoe ledhaa loups ledhaa suukshmadarshinula vaadakamtho eee prakriyanu nirvahinchavacchu. saadhaaranamgaa "slip disk" anie piluvabade herniated disk kosam, mariyu chaalaa rakaala cardiac surgery mariyu neurosurgery kosam upayoginche open sarjareeki konni udaaharanalu.