HIFU - Njira Yatsopano kwa Odwala Omwe Ali ndi Zotupa Zapakati mpaka Zapamwamba

Chiyambi cha HIFU

HIFU, zomwe zikuyimiraUltrasound Yoyang'ana Kwambiri Pamphamvu, ndi chipangizo chachipatala chatsopano chomwe sichimavulaza chomwe chapangidwa kuti chichiritse zotupa zolimba. Chapangidwa ndi ofufuza ochokera ku NationalKafukufuku wa UinjiniyaPakatiMankhwala a UltrasoundMogwirizana ndi Chongqing Medical University ndi Chongqing Haifu Medical Technology Co., Ltd. Ndi zaka pafupifupi makumi awiri za khama losalekeza, HIFU yapeza zilolezo zovomerezeka m'maiko ndi madera 33 padziko lonse lapansi ndipo yatumizidwa kumayiko opitilira 20. Tsopano ikugwiritsidwa ntchito m'mafakitale azachipatala kuzipatala zoposa 2,000 padziko lonse lapansi.Kuyambira mu Disembala 2021, HIFU yakhala ikugwiritsidwa ntchito pochizamilandu yoposa 200,000za zotupa zosaopsa komanso zoopsa, komanso milandu yoposa 2 miliyoni ya matenda osakhala a chotupa. Ukadaulo uwu umavomerezedwa kwambiri ndi akatswiri ambiri odziwika bwino m'dziko ndi kunja kwa dziko ngati chitsanzo chabwino.chithandizo chosalowa m'thupi njira yogwiritsira ntchito mankhwala amakono.

Mfundo Yothandizira
Mfundo yogwirira ntchito ya HIFU (High-Intensity Focused Ultrasound) ndi yofanana ndi momwe kuwala kwa dzuwa kumawunikira kudzera mu lenzi yozungulira. Monga momwe kuwala kwa dzuwa kumagwirira ntchito,Mafunde a ultrasound amathanso kukhazikika ndikulowa bwino m'thupi la munthu.HIFU ndichithandizo chosalowa m'thupinjira yomwe imagwiritsa ntchito mphamvu yakunja ya ultrasound kuti iyang'ane madera enaake mkati mwa thupi.Mphamvu imayikidwa mwamphamvu mokwanira pamalo ovulala, kufika kutentha kopitirira madigiri 60 Celsius.Kwa kanthawi kochepa. Izi zimayambitsa coagulative necrosis, zomwe zimapangitsa kuti pang'onopang'ono minofu yotupa iyambe kuyamwa kapena kuvulala.Chofunika kwambiri n'chakuti, minofu yozungulira ndi njira ya mafunde a phokoso sizimawonongeka panthawiyi.

Mapulogalamu

HIFU imasonyezedwa pa mitundu yosiyanasiyana yazotupa zoopsa, kuphatikizapo khansa ya kapamba, khansa ya chiwindi, khansa ya impso, khansa ya m'mawere, zotupa za m'chiuno, ma sarcoma ofewa a minofu, zotupa za m'mafupa, ndi zotupa za m'mimba. Imagwiritsidwanso ntchito pochizamatenda a akazimonga fibroids za uterine, adenomyosis, fibroids za m'mawere, ndi mimba zotupa.

Mu kafukufuku wa zachipatala wokhudza chithandizo cha HIFU cha fibroids ya uterine wolembetsedwa kudzera pa nsanja yolembetsa ya World Health Organisation, Academician Lang Jinghe wa Peking Union Medical College Hospital anali wasayansi wamkulu wa gulu lofufuza,Zipatala 20 zinatenga nawo mbali, milandu 2,400, komanso miyezi yopitilira 12 yotsatiridwaZomwe zapezekazi, zomwe zafalitsidwa mu BJOG Journal of Obstetrics and Gynaecology yomwe ili ndi mphamvu padziko lonse mu JUNE 2017, zikusonyeza kuti kugwira ntchito bwino kwa ultrasound ablation (HIFU) pochiza fibroids ya uterine kumagwirizana ndi opaleshoni yachikhalidwe, pomwe chitetezo chili chokwera, kukhala kwa wodwalayo kuchipatala kumakhala kochepa, ndipo kubwerera ku moyo wabwinobwino kumafulumira.

Ubwino wa Chithandizo

• Chithandizo chosagwiritsa ntchito mankhwala:HIFU imagwiritsa ntchito mafunde a ultrasound, omwe ndi mtundu wa mafunde osapanga ma ioni. Ndi otetezeka, chifukwa sagwiritsa ntchito ma radiation omwe amapanga ma ioni. Izi zikutanthauza kuti palibe chifukwa chochita opaleshoni, kuchepetsa kuvulala kwa minofu ndi ululu wokhudzana nawo. Komanso ilibe ma radiation, zomwe zingathandize kulimbitsa chitetezo cha mthupi.
• Chithandizo chodziwa bwino: Odwala amalandira chithandizo cha HIFU ali maso,pogwiritsa ntchito mankhwala oletsa ululu kapena mankhwala oletsa ululu omwe amagwiritsidwa ntchito panthawi ya opaleshoni.Izi zimathandiza kuchepetsa zoopsa zokhudzana ndi mankhwala oletsa ululu.
• Nthawi yochepa yochitira izi:Kutalika kwa opaleshoni kumasiyana malinga ndi momwe wodwala alili, kuyambira mphindi 30 mpaka maola atatu. Nthawi zambiri sikofunikira kuchita maulendo angapo, ndipo chithandizocho chingathe kuchitika nthawi imodzi.
• Kuchira mwachangu:Pambuyo pa chithandizo cha HIFU, odwala nthawi zambiri amatha kuyambanso kudya ndikudzuka pabedi pasanathe maola awiri. Odwala ambiri amatha kutulutsidwa tsiku lotsatira ngati palibe vuto lililonse. Kwa wodwala wamba, kupuma kwa masiku awiri kapena atatu kumalola kuti abwerere kuntchito zawo zachizolowezi.
• Kusunga chonde: Odwala achikazi omwe ali ndi zofunikira pa chonde akhozaYesani kutenga pakati pa miyezi 6 mutalandira chithandizo.
• Chithandizo chobiriwira:Chithandizo cha HIFU chimaonedwa kuti ndi choteteza chilengedwe chifukwa sichiwononga ma radiation ndipo chimapewa zotsatirapo zoyipa zokhudzana ndi chemotherapy.
• Chithandizo chopanda zipsera cha matenda a amayi:Chithandizo cha HIFU cha matenda a amayi sichimasiya zipsera zooneka, zomwe zimathandiza akazi kuchira ndi chidaliro chowonjezeka.

Milandu

Nkhani 1: Khansa ya kapamba ya Gawo Lachinayi yokhala ndi kufalikira kwakukulu kwa khansa (mwamuna, 54)

HIFU inachotsa chotupa chachikulu cha kapamba cha 15 cm nthawi imodzi

Nkhani yachiwiri: Khansa yoyamba ya chiwindi (mwamuna, wazaka 52)

Kuchotsa ma radiofrequency kunasonyeza chotupa chotsalira (chotupa chomwe chili pafupi ndi inferior vena cava). Chotupa chotsalacho chinachotsedwa kwathunthu pambuyo poti HIFU yabwerera m'mbuyo, ndipo inferior vena cava inali yotetezedwa bwino.