fw;fs; vg;go cz;lhfpwJ?
xU n#ho rpWePufk; gpd;g[wk; ,Uf;fpwJ mit fHpt[g; bghUl;fisa[k;/ ePiua[k; rpWePuhf btapnaw;WfpwJ. ,j;Jld; fhy;rpak;/ Mf;!;nyl;/ a{hpf; mkpyk; nghd;w cg;g[fSk; btspnaWfpwJ ntapy; fhy';fspy; ekf;F mjpfkhf tpah;it btspg;gLfpwJ. me;j fhyj;jpy; ehk; nghJkhd jz;zPh; Fof;fhjjhy; ehk; btspnaw;Wk; rpWePh; mst[ FiwfpwJ. ,jdhy; nkw;go brhd;d cg;g[fspd; mst[ rpWePhpy; mjpfkhfp/ mJnt rpWePufj;jpy; kzy; J]s; nghy; goe;J gpwF ehsiltpy; fw;fshf khwptpLfpd;wd. bghJthf rpWePuf fw;fshy; Mz;fSk;/ bgz;fSk; mtjpg;gLtJ btapy; fhy;j;jpy;jhd;
mjpf Ml;L ,iwr;rp/ khl;L ,iwr;rp rhg;gpLtjhy; a{hpf; mkpyj;jpd; mst[ rpWePhpy; mjpfkhf ,Uf;Fk;. jz;zPh; mjpfk; Fof;fhtpl;lhy; mjd; mst[ mjpfhpf;f tha;g;g[ cs;sJ. ,jdhy; a{hpf; mkpyj;jpdhy; Md fw;fs; Vw;gLk;.
rpWePuf rpwg;g[ vf;!;nu !;nfd; Mfpait _yk; fw;fspd; mst[ ,Uf;Fk; ,lk;/ ghijapy; milg;g[/ tPf;fk;/ rpWePufj;jpd; gz; mst[ Mfpatw;iw Jy;ypakhf mwpayhk;.
nehapd;mwpFwpfs; ahit?
- gyUf;Fk; KJfpy; nyrhd typ ,Uf;Fk;. ,ij KJFg; gpog;g[/ rij typ vsW myl;rpak; bra;J tpLthh;fs;. ,th;fSf;F bghpa mstpy; rpWePufj;jpy; fw;fs; ,Uf;fyhk;.
- tapw;wpy; gf;fthl;oy; typ/ the;jp/ mjpfkhf nth;it btspgLjy;.
- rpWePh; bry;tjpy; vhpr;ry;/ mof;fo bry;Yjy;.
- rpWePhpy; uj;jk; bry;Yjy;.
- mof;fo Ruk; tUjy;.
rpWePuf fw;fis mfw;Wk; Kiw
giHa Kiw:- Kd;g[ KJFg;g[wj;jpy; mWit rpfpr;ir bra;J rpWePufk; mZfg;gLk;. gpwF mWit rpfpr;ir _yk; fw;fs; btspna vLf;fg;gl;L me;j ,lj;jpy; ijay; nghlg;gLk;. xU thuk;tiu nehahsp kUe;Jtkidapy; ,Uf;f ntz;Lk;. Ijay; nghl;l ,lj;jpy; ePz;l tL ,Uf;Fk; vy;yh ntiya[k; bra;a rhjhuzkhf _d;W thu';fs; MFk;. fw;fs; jpUk;g cw;gj;jpahdhy; ,k;Kiwapy; kPz;Lk; mWit rpfpr;ir bra;tJ kpf fodk;.
g[jpa Kiw: ,g;nghJ ve;jpu cjtp bfhz;L fw;fis cilf;Fk; g[jpa Kiw eilKiw te;Js;sJ. ,J nehahspfSf;bfy;yhk; xU thg;gpuhrhjk; MFk;. ,g;g[JKiw te;j gpwF gHikahd mWit rpfpr;ir Kiwapd; mtrpak; kpft[k; Fiwe;J tpl;lJ.
mjph;miy rpfpr;ir
kpf etPd Kiw mjph; miy rpfpr;ir. ,k;Kiwapy; mjph; miy cgnahfg;gLj;jg;gLfpwJ. ePz;l nki# nghd;w ve;jpuk; ghh;gjw;F/ vf;!;nu miwapy; cs;s gLf;if nghynt ,Uf;Fk;. ,e;j fUtpapy; ,Ue;J xU ug;gh; FkpH; btspg;gl;L KJFg;g[wj;jpy; fw;fs; ,Uf;Fk; gf;fk; mGj;Jk;. gpwF vf;!;nu fjph;fs; cjtpa[ld; ”mjph; miyfs”; fw;fs; kPJ tpGk;go Vw;ghL bra;ag;gLfpwJ. ,e;j miyfs; ”lg;.. lg” vd;W Xir nfl;Lf; bfhz;nl ,Uf;Fk;. rhjhuzkhf 1800 Kjy; 3000 mjph; miyfs; fw;fs; kPJ tpGk;. fy; cile;Jtplljh? vd;gij mt;tg;nghJ ”vf;!;nu” _yk; !;fphPdpy; ghh;j;J eph;zapf;fg;LfpwJ. ,e;j rpfpr;ir Kiwf;F kaf;f kUe;J njit ,y;iy.
rpfpr;ir Koe;j xU kzp neuk; fHpj;J tPl;Lf;F brd;Wtplyhk;. Rpfpr;irf;F 30 Kjy; 45 epkplk; MFk;. rpwpa fw;fs; xU Kiw rpfpr;irapnyna KGikahf cile;J tpLk; 1 br.kP. mstpf;F nkny cs;s fw;fSf;F xU thuk; fHpj;J nkYk; xUKiw ,r;rpfpr;ir bra;a ntz;o ,Uf;Fk; ,k;Kiwapy; fw;fs; kzy;J]s;nghy; bghoahfp MfptpLk;. gpwF J]s; nghd;w fw;fs; rpWePhpy; btspnaWfpwJ ,J nghynt rpWrPufg; ghijapy; nky;ghfj;jpy; fw;fs; j';fptpl;lhYk; nkw;Thpa Kiwapy; fw;fis cilj;J btspnaw;wptplyhk;.
rpWePh; fPH; FHhapd; fPH;ghfj;jpy; cs;s mfw;WtJ vg;go?
rpWePuf fPHf;FHhapd; fPH;ghfj;jpy; fw;fs; j';fp mof;fo typ bfhLj;jhnyh my;yJ mjpf mstpy; milg;g[ Vw;gl;lhnyh fy;iy vLf;f mtrpak; Vw;gLk;. ,e;j ,lj;jpy; rpWePufg; ghijiar; Rw;wp KJbfUk;g[ ,Ug;gjhy; mjph; miyfs; rhpahd tpjj;jpy; fw;fs; nky Vtrhj;jakpy;iy. vdnt mjph; miy Kiw mt;tst[ cfe;jJ my;y.
mjdhy; ePskhd !;nfhg; (URETREROS COPE) rpWeph;ig tHpahf rpWePuff; FHha;tiu brYj;jg;gLfpwJ neuoahf fw;fisg; ghh;j;J rpwg;g[ ,Lf;fp bfhz;L fy;iy J]shf cilj;J tplyhk;. gpwF J]s; fw;fs; rhjhuzkhf rpWePhpy; btspnawptpLk;. rpfpr;irf;F gpwF ,uz;lhtJ ehs; tPl;ow;F brd;W tplyhk;. ,k;Kiw kaf;f kUe;J bfhLj;J bra;ag;gLk;. btspapy; tL VJk; fpilahJ.
rpWePufj;jpy; bghpa mstpy; fw;fs; ,Ue;jhy; ve;j Kiwapy; rpfpr;ir mspg;gPh;fs;?
Perctaneous Nephro Lithotomy Kiw:- rpWePufj;jpy; bghpa mstpy; fw;fs; ,Ue;jhy;/ ,k;Kiw _yk; vLg;gJ ey;yJ. ,k;Kiwapy; KJFg;g[wk; tHpahf 1 br.kP. Jthukpl;L/ rpWePufk; tiu ghij mikf;fg;gLfpwJ. mg;ghijapd; _yk; bly!;nfhg; rpWePufj;Jf;Fs; brYj;jp fw;fis neuoahf ghh;j;J/ tpnjhfpnyh!; my;yJ my;l;uh rt[z;l; mjpuiyfis brYj;jp cilj;J btspna vLf;fg;gLfpwJ.
,k;Kiwapy; rpfpr;ir Koe;J ,uz;lhk;ehs; tpl;ow;Fr; bry;yyhk;. tL mst[ xU br.kP jhd; ,Uf;Fk;
rpWePufj;jpy; fw;fs; tuhky; jLf;f Koa[kh? mjw;F ehk; nkw;bfhs;s ntz;oa tHpKiwfs; ahit?
xU Kiw fw;fs; te;jhy; kWgoa[k; tutha;g;g[ cs;sJ. gpd;tUk; tHpKiwfis filgpoj;jhy; fw;fs; tuhky; xust[ ,aYk;. mth;fs; czt[ tifapy; mjpf ftdk; brYj;j ntz;Lk;.
1. jpde;njhWk; jz;zPh; 2 Kjy; 3 ypl;lh; tiu Fof;f ntz;Lk;. fod btapypy; ntiy bra;nthUf;Fk;/ btg;gk; mjpfk; Vw;gLj;Jk; ve;jpu';fSld; ntiy bra;nthUf;Fk; ,J kpfkpf mtrpak;.
2. ML/ khL/ Mfpatw;wpd; ,iwr;rp/ ghy;/ japh;/ btz;bza; Kjypatw;iw Fiwj;J rhg;gpl ntz;Lk;.
3. gPd;!;/ gl;lhzp/ fPiu Mfpatw;iwa[k; Fiwj;J rhg;gpLtJ mtrpak;.
4.mof;fo kUe;Jthplk; nrhjid bra;J bfhz;lhy; fw;fs; rpwpa mstpy; ,Uf;fk;nghJ fz;Lgpoj;J rpfpr;ir _yk; rhp bra;J tplyhk;.
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