Kuchotsa kwatsopano kwa HIFU non-invasive-ultrasound ku Beijing Puhua International Hospital (BPIH) kuli ndi ubwino waukulu poyerekeza ndi njira zomwe zimagwiritsidwa ntchito kwambiri pochiza khansa ya kapamba.
Khansa ya Pancreatic ndi High Intensity Focused Ultrasound Ablation (HIFU)
Khansa ya Pancreatic
Kuzindikira khansa ya kapamba msanga n'kovuta kwambiri. Ndi khansa yoopsa kwambiri yomwe nthawi zambiri imakhala ndi chiyembekezo choipa. Bungwe la National Institutes of Health linanena kuti kuchuluka kwa khansa ya kapamba yomwe imapulumuka chaka chimodzi ndi 8% yokha, kuchuluka kwa zaka 5 zomwe zimapulumuka ndi zosakwana 5%, ndipo moyo wapakati ndi miyezi iwiri mpaka itatu. Odwala ambiri nthawi zambiri amapezeka ali pamlingo wapamwamba wa matendawa, chifukwa zizindikiro za khansa ya kapamba nthawi zambiri zimaonekera pokhapokha matendawa atakula. Zizindikiro zake ndi monga kupweteka m'mimba, kuchepa thupi kosafotokozedwa bwino komanso kuvutika kugaya zakudya zamafuta. Pamlingo wapamwamba, zizindikiro za ululu waukulu wam'munsi mwa msana zimakhudza kwambiri moyo wa wodwalayo ndipo kugwiritsa ntchito mankhwala ochepetsa ululu kungapereke mpumulo, koma nthawi zambiri sikokwanira.
Komanso pa nthawi yomwe matendawa afika pachimake, njira yochitira opaleshoni singakhale yothandiza ndipo nthawi zambiri njira zochiritsira zomwe zimagwiritsidwa ntchito nthawi zambiri komanso mankhwala a chemotherapy zimabweretsa zotsatirapo zoyipa komanso poizoni.
Kuchotsa kwatsopano kwa HIFU non-invasive-ultrasound ku Beijing Puhua International Hospital (BPIH) kuli ndi ubwino waukulu poyerekeza ndi njira zomwe zimagwiritsidwa ntchito kwambiri pochiza khansa ya kapamba.
Kwa odwala khansa ya kapamba yoyambirira, HIFU imatha kuchotsa chilondacho kwathunthu. Kwa odwala khansa ya kapamba yapakati kapena yapamwamba, chithandizo cha HIFU chingachepetse nthawi yomweyo ululu waukulu wa m'mimba ndi pansi pa msana womwe umabwera chifukwa cha khansa ya kapamba.
Kodi HIFU ndi chiyani?
HIFU ndi chidule cha high-intensity focused ultrasound ablation ndipo ikuyimira mbadwo wotsatira wamankhwala ochepetsa kufala kwa khansa.
HIFU imagwiritsa ntchito Kulowa bwino kwa ultrasound, komanso mphamvu yake pamene kuwala kwa ultrasound kumadutsa mu transducer probe ndipo kumalunjika pamalo enaake, kulunjika bwino ku chotupacho, chomwe chimatenthedwa pakati pa madigiri 60 mpaka 100 Celsius. Mapuloteni a maselo a chotupacho amaundana zomwe zimapangitsa kuti chotupa chiwonongeke (kuwonongeka kwa minofu), popanda kuwonongeka kwa minofu yozungulira. Kenako minofu ya chotupa chakufa imayamwanso pang'onopang'ono ndi thupi.
Pankhani ya khansa ya kapamba yosachiritsika, chithandizo cha HIFU chingachepetse bwino kuchuluka kwa chotupa komanso chosangalatsa kwambiri ndi kuchepetsa ululu wa chotupa kudzera mu kuchepetsa minofu, kuchepetsa kuchuluka kwa chotupa ndi kusintha kwa mitsempha, motero kutalikitsa moyo wa wodwalayo ndikukweza moyo wake.
Pambuyo pa chithandizo, 88% ya odwala adalandira mpumulo wosiyanasiyana wa ululu,
popanda mavuto aakulu monga kutuluka magazi m'mimba kapena kuboola kwa m'mimba ndi matumbo komanso kusanthula bwino kwa MRI kumasonyeza kuchotsa minofu bwino m'dera la chithandizo cha HIFU.
Pambuyo pochita kafukufuku ndi chitukuko chambiri, chithandizo cha HIFU chakhala chovomerezeka komanso cholimbikitsidwa pochiza khansa ya kapamba.
Chifukwa chakuti sichimayambitsa matenda, opaleshoni nthawi zambiri imapewedwa ndipo odwala ambiri amafunikira chithandizo chimodzi cha HIFU kuti akwaniritse zotsatira zomwe akufuna kuti awononge chotupa. Chodabwitsa n'chakuti, patatha tsiku limodzi lokha atalandira chithandizo, odwala ambiri amatha kubwerera kunyumba, chifukwa palibe zotsatirapo zomwe zingakhudze thanzi la odwala.
Kuyerekeza kwa HIFU ndi njira zochiritsira zokhazikika
Mwatsoka, 70% - 80% ya odwala khansa ya kapamba sapezeka ali pachiyambi cha matendawa. Pamene matendawa apezeka, wodwalayo nthawi zambiri amakhala atafika kale pakati kapena patsogolo pa matendawa, ndipo nthawi zambiri amakhala ndi moyo wa miyezi 3-6 yokha. Akapezeka, odwala osakwana 10% omwe ali ndi khansa ya kapamba ndi omwe ali oyenera kuchitidwa opaleshoni, zomwe zimakhala zoopsa komanso zoopsa ndipo nthawi zambiri zimangowonjezera moyo wa wodwalayo mpaka miyezi 9 yokha. Ngakhale ataphatikizidwa ndi radiotherapy ndi chemotherapy, nthawi yopulumuka nthawi zambiri imatha kuwonjezeredwa ndi miyezi 0.5-1 yokha. Njira zochiritsira zokhazikika zimakhala zodula komanso zosagwira ntchito, chifukwa sizimawonjezera nthawi yokhalitsa komanso zimathandiza kuchepetsa ululu kwa wodwalayo.
Komabe, pafupifupi odwala onse a khansa ya kapamba ali oyenerera kulandira chithandizo cha HIFU chosavulaza komanso chotsika mtengo.
Malinga ndi ziwerengero zathu, kupulumuka kwa odwala kumatha kukulitsidwa kuyambira miyezi itatu mpaka isanu ndi umodzi mpaka chaka chimodzi mpaka ziwiri ndipo 98% ya odwala akupeza kusintha kwakukulu pakuchepetsa ululu ndi kukulitsa moyo wawo atalandira chithandizo cha HIFU!
Ubwino wa HIFU Ultrasound Ablation Therapy
1.Chithandizo chosagwiritsa ntchito mankhwala ophera tizilombo kuti tisunge ziwalo ndi ziwalo, popanda kuthiridwa magazi komanso popanda kuwala kwa dzuwa.
2.Gawo lolunjika pa 3D limafotokoza malire a chotupa ndipo limawerengera dongosolo la chithandizo cha 3D, kuyang'anira nthawi zonse mayankho a minofu ndikusintha magawo ochiritsira moyenerera, kukwaniritsa njira yothandizira payekha.
3.Kuchotsa koyenera komanso kolondola. Ndi cholakwika cha plus ndi minus 1mm accumulative, kuyenda kolondola kwa dongosolo la 6-dimensional motion system kumatha kuchotsa zotupa zomwe zili pafupi ndi mitsempha yayikulu kapena mitsempha mosamala.
4.Nthawi zambiri pamafunika chithandizo chimodzi chokha ndipo palibe zoletsa chifukwa cha kukula ndi mawonekedwe a chotupacho, Mpata pakati pa minofu yochiritsidwa ndi yosachiritsidwa ukhoza kukhala wochepa mpaka maselo 6 mpaka 10 m'lifupi.
5.Chithandizo cha ultrasound chotsogozedwa ndi doppler ya utoto nthawi yeniyeni chokhala ndi kusanthula kwa digito kumathandiza kuyang'anira nthawi yonse ya chithandizo ndipo chimapereka chithunzi cha ultrasound nthawi yomweyo kuti chiwunikire zotsatira zonse pambuyo pa chithandizo.
6.Mphamvu ya focal region ndi yokwanira kuyambitsa poizoni wa kutentha nthawi yomweyo (kutentha kopitilira 56Derees Celsius) zomwe zimayambitsa coagulative necrosis yosasinthika.
7.Kuyambitsa chitetezo chamthupi, pamene minofu yotupa imachotsedwa ndi kuchira kwa thupi.