Interventional radiology, yomwe imadziwikanso kuti interventional therapy, ndi gawo lomwe likukula lomwe limaphatikiza kuzindikira zithunzi ndi chithandizo chamankhwala.Imagwiritsa ntchito malangizo ndi kuyang'anira kuchokera ku zida zojambulira zithunzi monga angiography ya digito yochotsera, CT, ultrasound, ndi magnetic resonance kuti ichite chithandizo chocheperako pogwiritsa ntchito singano zoboola, ma catheter, ndi zida zina zolumikizirana kudzera m'malo achilengedwe a thupi kapena kudula ming'alu yaying'ono. Kujambula kwa radiology tsopano kwakhala chimodzi mwa zipilala zitatu zazikulu pamodzi ndi mankhwala achikhalidwe amkati ndi opaleshoni m'machitidwe azachipatala.
Chithandizo cha opaleshoni chimachitika motsogozedwa ndi kuyang'aniridwa ndi zida zojambulira panthawi yonseyi. Chimathandiza kuti munthu afike molondola komanso mwachindunji kudera lomwe lakhudzidwa popanda kuvulaza kwambiri, zomwe zimapangitsa kuti zikhale zopindulitsa pankhani yakulondola, chitetezo, kugwira ntchito bwino , zizindikiro zazikulu, komanso zovuta zochepa. Chifukwa cha zimenezi, yakhala njira yabwino kwambiri yothandizira matenda ena.
1.Matenda omwe amafunika chithandizo chamkati
Pa matenda monga chemotherapy ndi thrombolysis, chithandizo cha interventional chimapereka ubwino wambiri poyerekeza ndi chithandizo cha mankhwala amkati.Mankhwala amatha kugwira ntchito mwachindunji pamalo omwe pakhala zilonda, kuonjezera kuchuluka kwa mankhwala pamalo omwe akufunidwa, kukulitsa mphamvu ya chithandizo, ndikuchepetsa zotsatira zoyipa m'thupi mwa kuchepetsa mlingo wa mankhwala.
2.Matenda omwe amafunika chithandizo cha opaleshoni
Chithandizo cha opaleshoni chili ndi ubwino wambiri kuposa chithandizo cha opaleshoni:
- Zimachotsa kufunika kochita opaleshoni, zomwe sizimafuna kudula khungu kapena kudula khungu la mamilimita ochepa chabe, zomwe zimapangitsa kuti munthu asavulale kwambiri.
- Odwala ambiri amapatsidwa mankhwala oletsa ululu m'malo mwa mankhwala oletsa ululu, zomwe zimachepetsa zoopsa zomwe zimadza chifukwa cha mankhwala oletsa ululu.
- Zimachepetsa kuwonongeka kwa minofu yabwinobwino, zimathandiza kuti munthu achire msanga, komanso zimafupikitsa nthawi yomwe amakhala kuchipatala.
- Kwa odwala okalamba kapena omwe akudwala kwambiri ndipo sangathe kulekerera opaleshoni, kapena kwa odwala omwe alibe mwayi wochita opaleshoni, chithandizo chothandizira odwala chimapereka njira yothandiza yochiritsira.
Chithandizo cha opaleshoni chimaphatikizapo njira zosiyanasiyana, makamaka zomwe zimagawidwa m'magulu awiri: chithandizo cha mitsempha yamagazi ndi chithandizo chosakhala cha mitsempha yamagazi.Kuchiza matenda a mitsempha yamagazi, monga coronary angiography, thrombolysis, ndi stent placement ya angina ndi acute myocardial infarction, ndi zitsanzo zodziwika bwino za njira zochizira matenda a mitsempha yamagazi. Kumbali ina, njira zochizira matenda a mitsempha yamagazi zimaphatikizapo percutaneous biopsy, radiofrequency ablation, argon-helium knife, ndi radioactive particles implantation ya khansa ya chiwindi, khansa ya m'mapapo, ndi zotupa zina. Kuphatikiza apo, kutengera machitidwe okhudzana ndi matenda omwe achiritsidwa, chithandizo chochizira matenda chingagawidwenso m'magulu awiri: neurointervention, cardiovascular intervention, chotupa, gynecological intervention, ndi zina zambiri.
Chithandizo cha khansa, chomwe chili pakati pa mankhwala amkati ndi opaleshoni, ndi njira yachipatala yochizira khansa.Njira imodzi yomwe imagwiritsidwa ntchito pochiza matenda a chotupa ndi njira yochotsera chotupa chamadzimadzi ya nitrogen solid yomwe imachitidwa ndi AI Epic Co-Ablation System.
Ukadaulo watsopano womwe wayambitsidwa kuchipatala chathu, AI Epic Co-Ablation System, ndi njira yatsopano yofufuzira yomwe idayamba padziko lonse lapansi ndipo ikuwonetsa luso lapakhomo. Si mpeni wamba wochita opaleshoni,koma m'malo mwake amagwiritsa ntchito malangizo ojambulira zithunzi kuchokera ku CT, ultrasound, ndi njira zina. Pogwiritsa ntchito singano yochotsera ya 2mm-diameter, imagwiritsa ntchito mphamvu zakuthupi ku minofu yodwala kudzera mu kuzizira kwambiri (-196°C) ndi kutentha (kupitirira 80°C). Izi zimapangitsa maselo a chotupa kutupa ndi kuphulika, pomwe zimayambitsa kusintha kosasinthika kwa matenda monga kutsekeka, kutupa, kuwonongeka, ndi kutsekeka kwa magazi m'maselo a chotupa. Nthawi yomweyo, kupangika mwachangu kwa makristalo a ayezi mkati ndi mozungulira maselo, mitsempha yaying'ono, ndi ma arterioles panthawi yozizira kwambiri kumabweretsa kuwonongeka kwa mitsempha yaying'ono yamagazi ndipo kumabweretsa zotsatira zophatikizana za hypoxia yapafupi. Pamapeto pake, kuchotsedwa mobwerezabwereza kwa maselo a chotupa cholinga chake ndi kukwaniritsa cholinga chochizira chotupa.
Dongosolo la AI Epic Co-Ablation System limadutsa malire a njira zachikhalidwe zochizira chotupa. Kuchotsa chotupa mwachizolowezi kumakhudzana ndi mavuto monga kuvulala kwambiri, zoopsa zazikulu, kuchira pang'onopang'ono, kuchuluka kwa kubwereranso kwa chotupa, mtengo wokwera, ndi zizindikiro zinazake. Njira imodzi yoziziritsira kapena yotenthetsera ilinso ndi zofooka zake. Komabe,Dongosolo la AI Epic Co-Ablation limagwiritsa ntchito ukadaulo wophatikizana wa ablation yozizira ndi yotentha. Limaphatikiza zabwino za chithandizo chachikhalidwe cha kuzizira, kuphatikizapo kupirira bwino, chitetezo champhamvu, kupewa mankhwala oletsa ululu, komanso kuyang'anira zithunzi. Lingagwiritsidwe ntchito pa zotupa pafupi ndi mitsempha yayikulu yamagazi ndi mtima, kwa odwala omwe ali ndi pacemakers yoyikidwa, ndipo lingathandize chitetezo cha mthupi, pakati pa zabwino zina.
Mwa kusintha njira zoziziritsira zomwe zimatuluka magazi mosavuta komanso zomwe zimaika singano m'malo olumikizirana, komanso kuthana ndi mavuto a ululu woonekera kwa odwala komanso kusalolera kutentha, AI Epic Co-Ablation System imapereka njira yatsopano yothandizira matenda osiyanasiyana osavulaza komanso oopsa monga khansa ya m'mapapo, khansa ya chiwindi, khansa ya impso, khansa ya kapamba, khansa ya ndulu, khansa ya khomo lachiberekero, fibroids ya uterine, zotupa za mafupa ndi minofu yofewa, ndi zina zambiri.
Njira yatsopano yochiritsira matenda a chotupa yapereka njira zatsopano zochiritsira matenda ena omwe kale anali ovuta kuchiza kapena osachiritsika. Ndi yoyenera makamaka kwa odwala omwe ataya mwayi wochita opaleshoni yabwino chifukwa cha zinthu monga ukalamba. Madokotala awonetsa kuti chithandizo chamankhwala, chifukwa cha chibadwa chake chosavulaza kwambiri komanso mawonekedwe a ululu wochepa komanso kuchira mwachangu, chagwiritsidwa ntchito kwambiri m'malo azachipatala.
Nthawi yotumizira: Ogasiti-18-2023


