Nammude Arogyam July 2018 | Page 20

CAPD
Hcp-Xcw tlmw Ubm-en-knkv
BWv CAPD F¶-dn-b-s¸-Sp¶
Iïn\yqhkv Bw_p-te-ädn
s]cn-tSm-Wn-b Ubm-en-knkv.
tcmKn-bpsS ico-c-¯n h¨p
-Xs¶ \S-¡p¶ Hcp ip²o-I-cW
{]{In-b-bm-Wv. Cu {]{Inb
\S-¡p-¶Xv DZ-c-¯n-\-I-¯pÅ
s]cn-t«m-Wn-b Imhnän-bn-emWv
( Fig. 4).
s]cn-t«m-Wnbw AYhm
s]cn-t«m-Wn-b saws{_-bn³
F¶p hnfn-¡-s¸-Sp¶ Hcp
t\À¯ kvXcw DZ-c-`n-¯n-sbbpw
DZ-c-¯n-\p-Ån DÅ Ah-b-h
-§-sfbpw s]mXn-bp-¶p. Cu
kvXcw AÀ° {]th-i-yam-Wv.
AXn-\À°w AXv X¶n-eqsS
Nne hkvXp-¡sf am{Xta
IS-¯n-hn-Sp-I-bpÅq F¶m-Wv.
At\Iw sNdp-Zzm-c-§Ä Cu
kvXc-¯n Dïv. ]mgvh-kvXp
-¡sf Acn¨p \o¡m³ Cu
Zzmc-§Ä klm-bn-¡p-¶p.
F§-s\-bmWv
Bip]{Xn-bn h¨mWv
XpS-§p-¶-Xv. CXn-\m
bn Hcp Syq_v ( CAPD I¯o
-äÀ) tcmKn-bpsS DZ-c-`n¯n
hgn s]cn-t«m-Wn-b Imhn-
dnbn-te¡v IS¯n Xbv¨p
]nSn-¸n-¡p-¶p.
Cu ikv{X-{Inb
aq¶p-Xcw Dïv.
1. Xpd¶v ik-{X-{Inb
CAPD
(Open Surgery)
2. Xmt¡mÂZzmc ikv{X
20 \½p-sS B-tcm-Kyw | Pqsse 2018
Fig. 4
CAPD
XpS-§p-¶Xv?
-{Inb (Keyhole Surgery)
3. Bedside sN¿p¶
s]ÀIyq-t«-\n-bkv
I¯o-äÀ C³tkÀj³
CXn aq¶m-aXv kqNn
-¸n-¨Xv sF.-kn.-bp-hn h¨v
s\t{^m-f-PnÌv Xs¶
sXmen-¸pdw ac-hn¸n¨v
sN¿p¶ efn-X-amb
ikv{X-{In-b-bm-Wv.
C§s\ sNbvXmÂ
XntbäÀ Nne-hpw A\
-kvtX-jy-bpsS _p²n-ap-«p
-Ifpw \ap¡v Hgn-hm-¡mw.
CAPD I¯o-äÀ ico-c
-¯n h¨p ]nSn-¸n¨p
Ign-ªm GI-tZ-iw-
]¯p Znh-k-t¯mfw
Bip-]-{Xn-bn InS¶v
CAPD sN¿p-¶-sX-§-s\-sb
-¶pÅ ]cn-io-e\w
t\tS-ïn-h-cpw. CXn-\mbn
s\t{^m-f-Pnkpw ]cn-io
-e\w kn²n¨ CAPD
sSIv\o-jy\pw klm-
bn-¡pw.