Ukukhishwa okusha kwe-HIFU non-invasive-ultrasound ablation e-Beijing Puhua International Hospital (BPIH) kunezinzuzo eziphawulekayo phezu kwezinqubo ezivame ukusetshenziswa ekwelapheni umdlavuza wamabele.
Umdlavuza wePancreatic kanye ne-High Intensity Focused Ultrasound Ablation (HIFU)
Umdlavuza wePancreatic
Ukuxilongwa kusenesikhathi komdlavuza we-pancreatic kunzima kakhulu.Umdlavuza oyingozi kakhulu ovame ukuba nesibikezelo esibi.I-National Institutes of Health ibika ukuthi izinga lokusinda konyaka owodwa kumdlavuza we-pancreatic lingama-8% kuphela, izinga lokusinda leminyaka emihlanu lingaphansi kuka-5%, kanti isilinganiso sokuphila siyizinyanga ezimbili kuya kwezi-3.Iziguli eziningi zivame ukutholakala kuphela esigabeni esithuthukile salesi sifo, njengoba izimpawu zomdlavuza we-pancreatic zivame ukubonakala kuphela lapho lesi sifo sesithuthukile.Izimpawu zihlanganisa ubuhlungu besisu, ukuncipha kwesisindo ngendlela engaqondakali kanye nobunzima bokugaya ukudla okunamafutha.Esigabeni esithuthukile izimpawu zobuhlungu obukhulu obuphansi emuva buthinta kakhulu izinga lempilo yesiguli futhi ukusetshenziswa kwezidakamizwa ezidambisa ubuhlungu kungase kunikeze ukukhululeka okuthile, kodwa ngokuvamile akwanele.
Ngaphezu kwalokho esigabeni esithuthukisiwe salesi sifo, inketho yokuhlinzwa ingase ingasebenzi futhi ezikhathini eziningi izindlela zokwelapha zokungenelela ezivame ukusetshenziswa kanye nokwelashwa ngamakhemikhali kuletha imiphumela eminingi engathandeki kanye nobuthi.
Ukukhishwa okusha kwe-HIFU non-invasive-ultrasound ablation e-Beijing Puhua International Hospital (BPIH) kunezinzuzo eziphawulekayo phezu kwezinqubo ezivame ukusetshenziswa ekwelapheni umdlavuza wamabele.
Ezigulini ezinomdlavuza we-pancreatic esigabeni sokuqala, i-HIFU ingasiqeda ngokuphelele isilonda.Ezigulini ezinomdlavuza we-pancreatic ophakathi noma oseqophelweni eliphezulu, ukwelashwa kwe-HIFU kungadambisa ngokushesha ubuhlungu obunzima besisu nabasezansi obubangelwa umdlavuza we-pancreatic.
Yini i-HIFU?
I-HIFU imfushane nge-high-intensity focused ultrasound ablation futhi imele isizukulwane esilandelayo seizindlela zokwelapha ezingangeneleli kancane zomdlavuza.
I-HIFU isebenzisa Ukungena okuhle kwe-ultrasound, nokuqina njengoba ugongolo lwe-ultrasound luhamba ku-transducer probe futhi lugxile ephuzwini, eliqondise ngokunembile isimila, esishisisa phakathi kuka-60 kuya ku-100 Digrisi Celsius.Amaprotheni eselula e-tumor coagulate okuholela ekuphumeni kwesimila (ukubhujiswa okushisayo kwezicubu), ngaphandle kokulimala kwezicubu ezizungezile.Izicubu zesimila ezifile zibe sezimuncwa kabusha kancane kancane ngumzimba.
Endabeni yomdlavuza we-pancreatic ongasebenzi, ukwelashwa kwe-HIFU kunganciphisa ngempumelelo umthwalo we-tumor futhi kunciphise ngokuthakazelisayo ubuhlungu besimila ngokuncishiswa kwezicubu, ukuncishiswa kwe-tumor mass kanye ne-neuromodulation, ngaleyo ndlela kwandise isikhathi sokuphila kwesiguli futhi kuthuthukise izinga lokuphila.
Ngemuva kokwelashwa, ama-88% eziguli athole amazinga ahlukene okukhululeka kobuhlungu,
ngaphandle kwezinkinga ezingathi sína njengokuphuma kwegazi emathunjini aphezulu noma ukubhobozwa kwamathumbu emathunjini kanye nezikena ze-MRI ezithuthukisiwe kuveza ukukhishwa kwezicubu okuphumelelayo endaweni yokwelapha ye-HIFU.
Ngemva kokwenza ucwaningo olunzulu kanye nentuthuko, ukwelashwa kwe-HIFU sekuye kwamukelwa kabanzi futhi kwakhuthazwa ekwelapheni umdlavuza we-pancreatic.
Ngenxa yemvelo yayo engahlaseli, ukuhlinzwa ezimweni eziningi kufanele kugwenywe futhi isiguli esiningi sidinga ukwelashwa okukodwa kwe-HIFU ukuze kuzuzwe umphumela oyifunayo wokubhujiswa kwesimila.Ngokumangalisayo, ngemva kosuku olulodwa kuphela lokwelashwa, iziguli eziningi zingabuyela ekhaya, njengoba kungekho miphumela engemihle enomthelela empilweni yeziguli.
Ukuqhathaniswa kwe-HIFU nezinketho zokwelashwa ezijwayelekile
Ngeshwa, ama-70% - 80% eziguli ezinomdlavuza we-pancreatic awatholakali ekuqaleni kwalesi simo.Lapho kutholwa umdlavuza wama-pancreas, isiguli ngokuvamile sisuke sesithuthukele esigabeni esiphakathi noma esithuthukile salesi simo, isikhathi sokuphila esivamile esiyizinyanga ezi-3-6 kuphela.Uma sezitholakele, zingaphansi kuka-10% iziguli ezinomdlavuza we-pancreatic ezifanelekayo ukuba zihlinzwe, okubuhlungu futhi okuyingozi futhi ngokuvamile okunweba impilo yesiguli kuphela ngezinyanga eziyisi-9 kuphela.Ngisho noma kuhlanganiswa ne-radiotherapy kanye ne-chemotherapy, isikhathi sokusinda singanwetshwa kuphela ngezinyanga ezingeziwe eziyi-0.5-1.Izinketho zokwelashwa ezijwayelekile ziyabiza futhi azisebenzi, njengoba zinganwebisi isikhathi sokuphila futhi zinikeze isiguli ukukhululeka kobuhlungu.
Kodwa-ke, cishe zonke iziguli ezinomdlavuza wama-pancreas zifanelekile ukuthola ukwelashwa kwe-HIFU okungahlaseli, okunengozi ephansi.
Ngokwezibalo zethu, ukusinda kweziguli kunganwetshwa kusuka ku-3 kuye kweziyizinyanga eziyisi-6 kuye ko-1 kuya eminyakeni emi-2 kanye no-98% omangalisayo weziguli ezithola ukuthuthuka okubonakalayo ekudambiseni izinhlungu kanye nokwandiswa kwempilo ngemva kokuthola ukwelashwa kwe-HIFU!
Izinzuzo ze-HIFU Ultrasound Ablation Therapy
1.Ukwelashwa okungavamisile ukuze kulondolozwe izitho nezakhiwo, ngaphandle kokumpontshelwa igazi futhi kungenamisebe.
2.Imojula yokukhomba ye-3D ichaza umngcele wezimila futhi ibala uhlelo lokwelapha lwe-3D, ihlale iqapha izimpendulo zezicubu futhi ilungisa imingcele yokwelapha ngokufanele, kuzuzwe umthetho olandelwayo wokwelapha ngamunye.
3.Ukukhishwa okusemthethweni nokunembayo.Ngephutha lokuqongelela le-plus and minus 1mm, ukunyakaza okunembile kwesistimu yokunyakaza ye-6-dimensional kungaqothula izimila eziseduze nemithambo emikhulu noma imizwa ngokuphepha.
4.Ezimweni eziningi kudingeka iseshini yokwelashwa eyodwa kuphela futhi akukho mingcele ngenxa yobukhulu nokuma kwesimila, Umkhawulo phakathi kwezicubu ezilashiwe nezingelashiwe ungaba mncane njengamaseli ayisi-6 kuye kwayi-10 ububanzi.
5.Ukwelashwa okuqondiswa kwe-ultrasound yombala wesikhathi sangempela ngokuhlaziywa kobuningi bedijithali kuvumela ukuqapha phakathi nesikhathi sonke sokwelashwa futhi kunikeze isithombe esisheshayo se-ultrasound ukuze kuhlolwe umphumela ophelele ngemuva kokwelashwa.
6.Amandla wendawo okugxilwe kuyo aphakeme ngokwanele ukuze abangele ubuthi obushisayo obuseduze (izinga lokushisa elingaphezu kuka-56Derees Celsius) elizodala i-coagulative necrosis engalungiseki.
7.Ukwenza kusebenze amasosha omzimba, njengoba izicubu ze-necrotic zilahlwa yimpendulo yokuphulukisa komzimba.