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International standard One stop services for Mother and Child care at Royal Phnom Penh Hospital

International standard One stop services for Mother and Child care at Royal Phnom Penh Hospital

Phnom Penh, 29th Feb 2020, Royal Phnom Penh Hospital (RPH), which is a tertiary care hospital managed and operated by Bangkok Dusit Medical Services Public CO. LTD (BDMS) has been in service since 2014.

The Official Grand Opening of the Pediatric Ward is focused on “One stop services for mother and child care”.

Royal Phnom Penh Hospital (RPH) has been recognized internationally for using state of the art medical technology and also efficiently leveraging the hospital’s professional network while adhering to the highest international standards and professional ethics, the hospital is committed to continuously improving their services to benefit patients and society. In these two and a half years of operation, the Royal Phnom Penh Hospital (RPH) is the first hospital in Cambodia to have the international accreditation from the Joint Commission International (JCI) which ensures an international medical standard and healthcare services to Cambodia and international patients. The accreditation is awarded to the hospital for providing quality medical service standard to patients and gaining the trust from International Insurance company, corporate company and government agencies around the world.

With the rising of middle-class in Cambodia, there is a need for better medical care and treatment and the Royal Phnom Penh Hospital has been playing an important role in providing a World-Class service and treatment to every Cambodian, tourists and expatriates.

To respond to the increased number of mother and child patients, especially in maternity services, the hospital has been investing in strong medical professionals, nursing team and medical equipment that focuses more on children emergency service, so with the setting up of new 24 hours pediatric ward, NICU and PICU together with a strong Pediatrics, obstetrics & gynecology team, the Hospital aims to ensure that all mother and child gets the highest level of care and patient safety.

“To celebrate the opening of our new pediatric ward, NICU, PICU and facility for mother and child care service at Royal Phnom Penh Hospital (RPH), and on behalf of the management and staffs of the hospital and our BDMS network, I would love to take this opportunity to extend our sincere thanks and appreciation for the support from the Royal Government of Cambodia, who are always very supportive and welcoming.

It is our honor and pleasure to be in Cambodia,” said Dr. Thanarat Samupet, deputy hospital director

“At the same time, we also would like to extend our appreciation to all our patients, business partners, suppliers, and other friends who had provided support to the high-quality venture over the past-four-year since we opened. Without your support, we will not be here today,”

“we are committed to pursue our mission by bringing in more high-tech medical equipment and delivering the most outstanding level of medical services and healthcare to the community.

So, if you are considering getting health care services abroad, please consider Royal Phnom Penh Hospital in future, as we can provide the same if not better medical services locally, thus saving your time and money for traveling abroad for medical care”

Because maternal and child’s health is important, our clinic provides an excellence care from prenatal stages, through adolescence and women’s health. Our highly skilled staffs including pediatricians, obstetricians and gynecologists, we are here to assist you and your family.

Children’s health also plays an important role in growth and development process. Frequent well visits, assessments of growth and development, physical exam and immunizations are essential to quality of care. Our clinic provides a comprehensive pediatric healthcare from birth to adolescence. We are committed to providing high quality medical care for healthy and sick children and supporting their families. No matter how big or how small the problem, we are always here to help.

 

Obstetrics & Gynecology and Pediatric services:

  • Mother and child Emergency and Trauma services 24/7
  • Full service for outpatient for pediatric and obstetrics & gynecology patient
  • Full service for pediatric vaccination program and women vaccination program
  • Hygiene pediatric ward
  • International standard for NICU and PICU services
  • Ambulance service 24/7
  • Hygiene delivery room

About the Royal Phnom Penh Hospital (RPH, which is a tertiary care hospital managed and operated by Bangkok Dusit Medical Services Public Co., Ltd (BDMS), opened in Cambodia since October 2014.

Address: No. 888 Russian Confederation Blvd. Sangkat Toeuk Thla, Khan Sen Sok, Phnom Penh, Cambodia

Hospital Hotline Call: +855 (0) 23 991 000/ +855(0)12991000

Email: info@royalphnompenhhospital.com

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4th Generation ESWL, Really better than the old generation one?

Now days, every modern surgeon aims to do every operation as non-invasively as possible. In the past, kidney stones had be done by open surgery, Luckily right now we have several methods to get rid of the stone without any wound or minimizing the wound. ESWL is one option for stone management we are going to talk about. The first ESWL machine was invented in Germany after World War 2. With the benefits of shockwave sound that can infiltrate into skin without any wound, it has been developed into the 4th generation machine which does not need to be done under anesthesia so the patient can save on unnecessary expenses in terms of the anaesthesiologist team, operative cost and hospital stay.

1st Generation ESWL machine is really big, being the size of around a big truck and the patient needed to be operated on under a full-filled water tank. Definitely, needed the anaesthesia within the water so everything was difficult and nearly impossible to do.

That’s why 2nd generation ESWL machine was invented to solve the problem of staying in a water tank for a long time. With this generation ESWL, the first ever-dry technique, the patient tended to be more comfortable during the procedure. But the cons still exist, for example, the machine was still big, the patient was still not comfortable and needed anesthesia due to the pain.

Commonly practiced all over the world right now,  the 3rd generation ESWL machine is a lot more compact, more comfortable for the patient – allowing them lie down on the bed during operation. However, anaesthesia is still needed due to some shockwave pulse possibly missing the target and causing kidney pain.

Royal Phnom Penh hospital is the first and currently only hospital in Cambodia that has installed this technology. Even in Thailand most ESWL machines are still the previous 3rd generation that need to do shockwave under anaesthesia.

From the original paper from Taiwan, 4th generation ESWL reach 98.5% compared with 3rd generation one at 82.6% shockwave hit rate. The less missed target, the less pain patient will be experience. The pain is minimal so there is no need for any anaesthesia or even pain killers. The 12 mm of stone disappeared at 80% stone free rate within 3 months following up as reported.

With 1 year of experience in this machine, our success rate is around 70% (in every size of kidney stone). Strong patient satisfaction with no serious complications so far. Anyway, there are alternative management for the kidney stone and every procedure has pros and cons. The distinctive pro for 4th generation ESWL is day-care management and it is the least invasive for stone management. Is it worth to try before doing any harmful operation? Any questions you can come to visit me at the Urology clinic.

Dr. Soarawee Weerasopone

Minimally invasive Urologist

Royal Phnom Penh hospital

 

 

第四代体外冲击波碎石(ESWL),是真的比上一代更好吗?

现今,每位现代外科医生都希望尽量能做无创伤口地进行每项手术。 以前, 肾结石是藉节由通过开放手术完成的,幸运的是,现在我们有几种方法可以除碎结石,而不会造成任何伤口或使伤口极为微小。 体外冲击波碎石 (ESWL) 是我们将要讨论的肾结石处理的第一种选项。 第二次世界大战后,德国发明了第一代碎石机(ESWL)。由于液电式冲击波技术,通过水下放电的方式, 利用火花塞和一个椭圆形反射器,将电能转换成机械能,具有高能量密度的冲击波。从技术上,比较简单方便地就能实现输出不同能量的单脉冲或输出同一特性的多脉冲的变换,但电极损耗较大,因此在发射几千次冲击波(仅数位病患手术)后必须进行更换电极组件。目前,已经发展到第四代碎石机器,手术前无需再打麻醉,可以替患者节省不必要的麻醉费,手术费和住院费。

第一代体外冲击波碎石(ESWL)机器真的很大,大约有一辆大车的大小, 患者需要在注满水的水箱里进行手术。 绝对需要进行麻醉,所有操作都很困难,几乎无法完成。

第二代体外冲击波碎石(ESWL)机器的发明就是为了解决长时间在水箱中治疗的问题。 这一代的体外冲击波碎石(ESWL)机器使用了从未有过的干式技术,患者在手术过程中往往会比较舒适些,但是,缺点仍然存在比如说机器还是很大,在治疗当中,患者仍然不舒服,并且还是需要打麻醉缓解疼痛。

现在在世界各地都普遍使用第三代体外冲击波碎石(ESWL)机器,它的尺寸减小了许多,可以让患者在手术过程中更舒适的躺在床上进行治疗。 但是,一部分的冲击波会丢失结石目标并导致肾脏疼痛,因此仍需要麻醉。

金边皇家医院是柬埔寨第一家也是目前唯一一家安装了第四代体外冲击波碎石技术的医院, 即使在泰国,大多数体外冲击波碎石(ESWL)机器仍是需要在麻醉下进行手术的前三代机器。

从台湾的原始论文来看,第三代体外冲击波碎石(ESWL)达到 82.6%的碎石率,第四代体外冲击波碎石(ESWL)则可达到 98.5%的碎石率,因此,患者经历的痛苦越少,疼痛也是最轻的,所以不需要用任何麻醉或者止痛药。 根据报导,12毫米以下的结石在 三个月内达到了 80%的结石消失率。

凭借该该机器使使用一年后的经验,在各种大小的肾结石中,我们的成功率约为 70%。 到目前为止,患者满意度很高,也没有严重的并发症。 总之,肾结石有其他治疗方法,每个方法都有其优缺点。 第四代体外冲击波碎石(ESWL)的独特优点包含对肾结石碎石处理后的损伤最小且无伤口,不需要住院、不需要打麻醉药等。 在进行任何有害操作之前是否值得尝试? 如有任何问题可以来我们医院泌尿外科看诊喔!

Soarawee Weerasopone 医生 微创泌尿科医生 曼谷皇家医院

 

 

第4世代ESWL(体外衝撃波結石破砕術)は旧世代のESWLよりも本当に優れているでしょうか?

今日、最前線で活躍する外科医は、あらゆる手術を可能な限り非侵襲的に行うことを目指しています。過去、腎臓結石は開腹手術によって行われていましたが、幸いなことに、現在は、創傷をなくしたり、最小にしたりして、結石を取り除く方法がいくつかあります。ESWL(体外衝撃波結石破砕術)は、これから説明する結石管理療法の1つです。最初のESWLマシンは、第二次世界大戦後にドイツで発明されました。創傷なしで皮膚から身体内部に向けて治療できる衝撃波の効用において、今日では、第4世代の機器が開発されるに至り、麻酔、開腹手術、入院の必要がなくなり、コストをセーブすることができています。

第1世代のESWLマシンは非常に大きく、大型トラックほどのサイズであり、患者様は満杯の水タンクのもとで施術する必要がありました。どうしても、水の中において麻酔が必要だったので、すべてが困難で、ほとんど施術は不可能に近いものでした。

そのため、第2世代のESWLマシンが発明されて、水槽に長時間とどまるという問題を解決しました。この世代のESWLによって、初の水に濡れない技術を持つことで、施術中、患者様がより快適になってゆきました。しかし、短所はまだ存在し、たとえば、機器はまだ大きいため、患者様にとっては快適ではなく、また痛みのために麻酔が必要でした。

現在世界中で一般的に実施されている第3世代のESWLマシンは、はるかにコンパクトで、患者様は、手術中にベッドに横になることができより快適です。ただし、一部の衝撃波が破砕対象の標的を失い、腎臓の痛みを引き起こす可能性があるため、麻酔は依然として必要です。

ロイヤルプノンペン病院は、カンボジアで、第4世代ESWL(体外衝撃波結石破砕術)を導入した、最初で、現在も唯一の病院です。タイでも、ほとんどのESWLマシンは、麻酔下で衝撃波を発生させる施術が必要がある、前の第3世代です。

台湾の学術論文の原文によると、第3世代ESWLの衝撃波命中率の88.5%と比較して、第4世代は98.5%に達しました。標的の結石を見逃すことが少なくなるほど、患者様の痛みは少なくなります。痛みは最小限なので、麻酔や鎮痛剤さえ必要ありません。12 mmの石は、3ヶ月以内に80%の無結石率で消失したと報告があります。

この第4世代ESWLマシンでの当院の1年の経験により、結石除去の成功率は(腎臓結石のあらゆるサイズにおいて)約70%です。これまでのところ、深刻な合併症がなく、高い患者様の満足度をいただいています。上記のみならず、腎臓結石には、様々な手法の治療法があり、また、それぞれの治療に適応、不適応があります。第4世代ESWL(体外衝撃波結石破砕術)の特徴は、入院不要な日帰り手術管理下で実施され、結石管理にとって最も侵襲性が低いものです。様々な侵襲の高い治療を行う前に試す価値はないでしょうか?
どうぞ、泌尿器科外来に私を訪ねていただき、ご質問ください。

Dr. Soarawee Weerasopone

低侵襲性医療 泌尿器科専門医

Royal Phnom Penh hospital

 

 

 

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ការការពារ និងការព្យាបាលជំងឺស្ទះសរសៃឈាមក្នុងខួរក្បាល

អ្នកស្លាប់ដោយសារជំងឺដាច់សរសៃឈាមក្នុងខួរក្បាល (Stroke) មានចំនួន ១៥លាននាក់ ក្នុងមួយឆ្នាំ

តាមរបាយការណ៍របស់អង្គការសុខភាពពិភពលោក (WHO) បានឱ្យដឹងថា អត្រាប្រជាជនពិភពលោក ដែលស្លាប់ដោយសារជំងឺដាច់សរសៃឈាមក្នុងខួរក្បាល (Stoke) មានរហូតដល់ទៅ១៥លាននាក់ក្នុងមួយឆ្នាំៗ រហូតមានប្រទេសខ្លះជំងឺ Stoke ជាឃាតកធំទី៣ ដែលបានសម្លាប់ប្រជាជនរបស់ខ្លួន។

សម្រាប់ប្រទេសកម្ពុជា ជំងឺដាច់សរសៃឈាមក្នុងខួរក្បាលនេះ ក៏កំពុងចោទជាបញ្ហាគួរឲ្យកត់សម្គាល់មួយដែរ ខណៈរបាយការណ៍ជាក់លាក់អំពីអត្រាកើតជំងឺនេះ មិនទាន់កំណត់បាននៅឡើយ រីឯនៅប្រទេសថៃបានរកឃើញថា ជំងឺដ៏កាចសាហាវនេះជាឃាតកសម្លាប់មនុស្សទី៣។

ដោយសារសង្កេតឃើញថា​ ជំងឺដាច់សរសៃឈាមក្នុងខួរក្បាល ឬ Stoke នេះ កំពុងចោទជាបញ្ហាខ្លាំងគួរកត់សម្គាល់ដែរនោះ មន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញ នាថ្ងៃទី២៦ ខែឧសភា ឆ្នាំ២០១៨នេះ ប្រកាសទទួលពិនិត្យ និងព្យាបាលជំងឺ Stoke ជូនប្រជាពលរដ្ឋកម្ពុជាជាផ្លូវការ ដើម្បីរួមចំណែកកាត់បន្ថយអត្រានៃការរងគ្រោះ និងរួមចំណែកថែរក្សាសុខភាពរបស់ប្រជាពលរដ្ឋផងដែរ ដែលមានលោកវេជ្ជបណ្ឌិត ចាន់ផុង តាំងកាណាគុល ឯកទេសផ្នែកប្រព័ន្ធប្រសាទមកពីមន្ទីរពេទ្យបាងកក ប្រទេសថៃ និងលោកស្រីវេជ្ជបណ្ឌិត ហុក តុលា ឯកទេសផ្នែកប្រព័ន្ធប្រសាទនៃមន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញផ្ទាល់តែម្ដង។

លោកវេជ្ជបណ្ឌិត ណារិនតារ៉ា ប្រធានមន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញ បានឲ្យដឹងថា ចំពោះអ្នកដែលកើតជំងឺ Stoke មានពេលវេលាតែ១ម៉ោង ឬ២ម៉ោងទេ ដែលត្រូវបញ្ជូនទៅមន្ទីរពេទ្យដើម្បីជួយសង្គ្រោះ ម្ល៉ោះហើយក្រុមគ្រួសារ ក៏ដូចជាអ្នកជំងឺផ្ទាល់ចាំបាច់ត្រូវយល់ដឹងពីជំងឺ Stoke នេះឲ្យបានច្បាស់លាស់។ ដូច្នេះហើយបានជាមន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញ អញ្ជើញលោកវេជ្ជបណ្ឌិត ចាន់ផុង តាំងកាណាគុល ដែលជាអ្នកជំនាញផ្នែក Stoke ពីមន្ទីរពេទ្យបាងកកតែម្ដង មករួមការងារជាមួយលោកស្រីវេជ្ជបណ្ឌិត ហុក តុលា ដែលមានជំនាញផ្នែក Stoke ដែរ នៅមន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញតែម្ដង ដើម្បីព្យាបាលឲ្យបានត្រឹមត្រូវតាមស្ដង់ដារ។

លោក ណារិនតារ៉ា បានបន្តថា នៅមន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញ ក៏មានការពិភាក្សាតាមប្រព័ន្ធសន្ទនាតាមអ៊ីធឺរណេត ជាមួយក្រុមគ្រូពេទ្យឯកទេស ឬវេជ្ជបណ្ឌិតឯកនៅមន្ទីរពេទ្យបាងកកបានផងដែរ។

លោកវេជ្ជបណ្ឌិត ចាន់ផុង តាំងកាណាគុល បានប្ដេជ្ញាថា វត្តមានរបស់លោកនៅប្រទេសកម្ពុជា គឺធ្វើយ៉ាងណាផ្ដល់ការព្យាបាលជំងឺ Stoke ជូនប្រជាពលរដ្ឋកម្ពុជាឲ្យបានកាន់ច្រើន ស្របតាមបទដ្ឋានសុខាភិបាលតែមួយជាមួយមន្ទីរពេទ្យដ៏ល្បីល្បាញនៅប្រទេសថៃ គឺមន្ទីរពេទ្យបាងកក។

លោកបានណែនាំទៅកាន់ប្រជាពលរដ្ឋទូទៅថា ថ្វីដ្បិតជំងឺ Stoke ជាជំងឺកាច់សាហាវមួយ ក៏ប៉ុន្តែវាក៏មានវិធីបង្ការបានដែរ ដើម្បីកាត់បន្ថយជំងឺ Stoke គឺមានការយល់ដឹងពីការថែទាំងសុខភាពកម្រិតបឋមទេ ដូចជាការហាត់ប្រាណ ការបរិភោគចំណីអាហារឲ្យបានទៀងទាត់ ពិសេសគឺការពិនិត្យសុខភាពឲ្យបានទៀងទាត់។

លោកស្រីវេជ្ជបណ្ឌិត ហុក តុលា បានឲ្យដឹងថា ចំពោះជំងឺឆ្លងនៅប្រទេសកម្ពុជា គឺបានកាត់បន្ថយបានច្រើនហើយ ដូចជាជំងឺថ្លើម របេង គ្រុនចាញ់ គ្រុនឈាមជាដើម ប៉ុន្តែជំងឺមិនឆ្លង ដូចជាជំងឺលើសឈាម ទឹកនោមផ្អែម លើសខ្លាញ់ ជំងឺ Stoke នេះ គឺកំពុងតែកើនឡើងខ្លាំង។ លោកស្រីបន្តថា ការយល់ដឹងរបស់ប្រជាពលរដ្ឋខ្មែរអំពីជំងឺទាំងអស់នេះ នៅមានកម្រិតនៅឡើយ។

លោកស្រី ហុក តុលា បានបន្តទៀតថា ភាគច្រើននៃជំងឺ Stoke នេះ គឺតែងកើតលើប្រជាពលរដ្ឋដែលមានអាយុ ៦៥ឆ្នាំឡើង។ ក្រៅពីនេះ បញ្ហាធាត់ ការបរិភោគចំណីអាហារមិនត្រឹមត្រូវតាមរបបអាហារ ក៏ជាបញ្ហាប្រឈមផងដែរ។

ប្រធានមន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញ លោក ណារិនតារ៉ា បានអំពាវនាវដល់ប្រជាពលរដ្ឋខ្មែរទាំងអស់ ត្រូវរួសរាន់មកពិនិត្យ និងព្យាបាលជំងឺ Stoke ក៏ដូចជាជំងឺផ្សេងៗទៀត នៅមន្ទីរពេទ្យរ៉ូយ៉ាល់ភ្នំពេញ ពីព្រោះមន្ទីរពេទ្យដែលឈានមុខគេនៅកម្ពុជានេះ មានក្រុមគ្រូពេទ្យ និងវេជ្ជបណ្ឌិតឯកទេសជំនាញៗពោរពេញដោយបទពិសោធន៍ និងព្យាបាលស្របតាមស្ដង់ដារតែមួយជាមួយមន្ទីរពេទ្យបាងកក នៃប្រទេសថៃ ដែលជាមន្ទីរដ៏ល្បីល្បាញមួយនៅតំបន់អាស៊ីអាគ្នេយ៍៕

 

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