Njira yomwe yangotulutsidwa kumene ya HIFU non-invasive-ultrasound ablation ku Beijing Puhua International Hospital (BPIH) ili ndi zabwino zambiri kuposa njira zomwe zimagwiritsidwa ntchito pochiza khansa ya kapamba.
Khansa ya Pancreatic ndi High Intensity Focused Ultrasound Ablation (HIFU)
Khansa ya Pancreatic
Kuzindikira koyambirira kwa khansa ya pancreatic ndizovuta kwambiri.Ndi khansa yoopsa kwambiri yomwe nthawi zambiri imakhala ndi chidziwitso chochepa.Nyuzipepala ya National Institutes of Health inanena kuti chiwerengero cha kupulumuka kwa khansa ya pancreatic kwa chaka chimodzi ndi 8% yokha, zaka 5 zopulumuka ndi zosakwana 5%, ndipo moyo wapakati ndi miyezi iwiri mpaka 3.Odwala ambiri nthawi zambiri amapezeka kuti ali ndi matendawa, chifukwa zizindikiro za khansa ya pancreatic nthawi zambiri zimawonekera pamene matendawa apita patsogolo.Zizindikiro zake ndi monga kupweteka kwa m’mimba, kuwonda mosadziwika bwino komanso kuvutika kugaya zakudya zamafuta.Pakupita patsogolo zizindikiro za ululu wopweteka kwambiri wa msana zimakhudza kwambiri moyo wa wodwalayo komanso kugwiritsa ntchito mankhwala oletsa ululu kungapereke mpumulo, koma nthawi zambiri sikokwanira.
Kuphatikiza apo, pamlingo wapamwamba kwambiri wa matendawa, njira yopangira opaleshoni siyingakhale yotheka ndipo nthawi zambiri njira zochiritsira zomwe zimagwiritsidwa ntchito nthawi zambiri ndi chemotherapy zimabweretsa zotsatirapo zoyipa komanso poizoni.
Njira yomwe yangotulutsidwa kumene ya HIFU non-invasive-ultrasound ablation ku Beijing Puhua International Hospital (BPIH) ili ndi zabwino zambiri kuposa njira zomwe zimagwiritsidwa ntchito pochiza khansa ya kapamba.
Kwa odwala omwe ali ndi khansa yoyambirira ya kapamba, HIFU imatha kuchotsa chotupacho.Kwa odwala omwe ali ndi khansa yapakatikati kapena yapakatikati, chithandizo cha HIFU chimatha kuchepetsa ululu wam'mimba komanso wam'munsi womwe umabwera chifukwa cha khansa ya kapamba.
Kodi HIFU ndi chiyani?
HIFU ndi yachidule ya high-intensity focused ultrasound ablation ndipo imayimira m'badwo wotsatira wachithandizo chochepa cha khansa.
HIFU imagwiritsa ntchito ultrasound wabwino penetrability, ndi mphamvu monga ultrasound mtengo amayenda kudzera transducer kafukufuku ndi lolunjika mu mfundo, ndendende kulunjika chotupa, amene mkangano pakati 60 kuti 100 Digiri Celsius.Mapuloteni am'manja a chotupacho amaundana ndikupangitsa kuti chotupacho chiwonongeke (kuwonongeka kwa minofu), popanda kuvulazidwa kwa minofu yozungulira.Minofu yotupa yakufayo imatengedwanso pang'onopang'ono ndi thupi.
Pankhani ya khansa ya m'mimba yosagwira ntchito, chithandizo cha HIFU chimatha kuchepetsa kuchulukira kwa chotupa ndikuchepetsanso kupweteka kwa chotupa kudzera muminofu, kuchepa kwa chotupa ndi neuromodulation, potero kumatalikitsa moyo wa wodwalayo ndikuwongolera moyo wabwino.
Pambuyo pa chithandizo, 88% ya odwala adalandira magawo osiyanasiyana a ululu,
popanda zovuta zazikulu monga kutuluka kwa m'mimba kumtunda kapena kutuluka kwa m'mimba-m'mimba ndi ma scans owonjezereka a MRI amavumbulutsa kutuluka kwa minofu m'dera la HIFU.
Pambuyo pochita kafukufuku wambiri ndi chitukuko, chithandizo cha HIFU chavomerezedwa ndikulimbikitsidwa pochiza khansa ya kapamba.
Chifukwa chosasokoneza, opaleshoni nthawi zambiri imayenera kupewedwa ndipo odwala ambiri amangofunika chithandizo chimodzi cha HIFU kuti akwaniritse chotupacho.Chodabwitsa n'chakuti, patatha tsiku limodzi lolandira chithandizo, odwala ambiri amatha kubwerera kwawo, chifukwa palibe zotsatira zomwe zimakhudza thanzi la odwala.
Kuyerekeza kwa HIFU ndi njira zochiritsira zokhazikika
Tsoka ilo 70% - 80% ya odwala khansa ya pancreatic sapezeka koyambirira kwa matendawa.Matenda a khansa ya pancreatic akapezeka, wodwalayo nthawi zambiri amakhala atapita kale pakatikati kapena pamlingo wapamwamba wamtunduwu, wokhala ndi moyo wanthawi zonse wa miyezi 3-6 yokha.Akapezeka, odwala ochepera 10% omwe ali ndi khansa ya kapamba ndi omwe ali oyenera kuchitidwa opaleshoni, yomwe ndi yowopsa komanso yowopsa ndipo nthawi zambiri imangowonjezera moyo wa wodwalayo mpaka miyezi 9 yokha.Ngakhale ataphatikizidwa ndi radiotherapy ndi chemotherapy, nthawi yopulumuka imatha kukulitsidwa ndi miyezi ina ya 0.5-1.Njira zochiritsira zokhazikika ndizokwera mtengo komanso zosagwira ntchito, chifukwa sizitalikitsa nthawi ya moyo komanso kupereka mpumulo kwa wodwalayo.
Komabe pafupifupi odwala onse omwe ali ndi khansa ya kapamba ali oyenera kulandira chithandizo cha HIFU chosasokoneza, chomwe chili pachiwopsezo chochepa.
Malinga ndi ziwerengero zathu, kupulumuka kwa odwala kumatha kuwonjezedwa kuchokera ku 3 mpaka miyezi 6 mpaka 1 mpaka zaka 2 komanso chidwi cha 98% cha odwala omwe akupeza kusintha kowoneka bwino pakuchepetsa ululu komanso kukulitsa moyo atalandira chithandizo cha HIFU!
Ubwino wa HIFU Ultrasound Ablation Therapy
1.Noninvasivetherapy kuteteza ziwalo ndi zomanga, popanda kuikidwa magazi komanso popanda radiation.
2.3D yolunjika gawo imatanthawuza malire a zotupa ndikuwerengera dongosolo lachirengedwe la 3D, kuyang'anira mosalekeza mayankho a minofu ndikusintha magawo ochizira molingana, kukwaniritsa njira yamankhwala.
3.Kuchotsera kovomerezeka komanso kolondola.Pokhala ndi cholakwika chowonjezera cha 1mm, kusuntha kolondola kwa 6-dimensional motion system kumatha kuwononga zotupa zoyandikana ndi ziwiya zazikulu kapena minyewa mosatekeseka.
4.Nthawi zambiri gawo limodzi lokha la chithandizo limafunikira ndipo palibe malire chifukwa cha kukula ndi mawonekedwe a chotupacho, Mphepete mwa minyewa yomwe imachiritsidwa ndi yosachiritsidwa imatha kukhala yopapatiza ngati ma cell 6 mpaka 10.
5.Thandizo la nthawi yeniyeni la doppler ultrasound lotsogozedwa ndi kusanthula kwa digito limalola kuyang'anira panthawi yonse ya chithandizo ndikupereka chithunzi cha ultrasound kuti awunike zotsatira zonse pambuyo pa chithandizo.
6.Mphamvu za dera loyang'anizana ndizomwe zimapangitsa kuti pakhale kutentha kwanthawi yayitali (kutentha kopitilira 56Derees Celsius) komwe kungayambitse matenda a coagulative necrosis.
7.Kuyambitsa chitetezo chamthupi, monga minofu ya necrotic imatayidwa ndi kuyankha kwa machiritso a thupi.