Ukwelashwa okusha kwe-HIFU okungangenisi i-ultrasound eBeijing Puhua International Hospital (BPIH) kunezinzuzo ezinkulu kunezinqubo ezisetshenziswa kakhulu ekwelapheni umdlavuza we-pancreatic.
Umdlavuza We-Pancreatic kanye ne-High Intensity Focused Ultrasound Ablation (HIFU)
Umdlavuza we-Pancreatic
Ukuxilongwa kusenesikhathi komdlavuza we-pancreatic kunzima kakhulu. Umdlavuza oyingozi kakhulu ovame ukuba nomphumela omubi. I-National Institutes of Health ibika ukuthi izinga lokusinda konyaka owodwa lomdlavuza we-pancreatic lingu-8% kuphela, izinga lokusinda kweminyaka emi-5 lingaphansi kuka-5%, kanti isilinganiso sokuphila siyizinyanga ezi-2 kuya kwezi-3. Iziguli eziningi zivame ukutholakala kuphela esigabeni esithuthukile salesi sifo, njengoba izimpawu zomdlavuza we-pancreatic zivame ukubonakala kuphela lapho lesi sifo sesiqhubekele phambili. Izimpawu zifaka phakathi ubuhlungu besisu, ukwehla kwesisindo okungachazeki kanye nobunzima bokugaya ukudla okunamafutha. Esigabeni esithuthukile izimpawu zobuhlungu obukhulu obuphansi emhlane zithinta kakhulu ikhwalithi yokuphila kwesiguli futhi ukusetshenziswa kwemithi yokunciphisa ubuhlungu kunganikeza impumuzo ethile, kodwa ngokuvamile akwanele.
Ngaphezu kwalokho esigabeni esithuthukile salesi sifo, ukhetho lokuhlinzwa lungase lungasebenzi futhi ezimweni eziningi izindlela zokwelapha ezisetshenziswa kakhulu kanye ne-chemotherapy kuletha imiphumela emibi eminingi engathandeki kanye nobuthi.
Ukwelashwa okusha kwe-HIFU okungangenisi i-ultrasound eBeijing Puhua International Hospital (BPIH) kunezinzuzo ezinkulu kunezinqubo ezisetshenziswa kakhulu ekwelapheni umdlavuza we-pancreatic.
Ezigulini ezinomdlavuza we-pancreatic osesigabeni sokuqala, i-HIFU ingasusa ngokuphelele isilonda. Ezigulini ezinomdlavuza we-pancreatic osesigabeni esiphakathi noma esithuthukile, ukwelashwa kwe-HIFU kunganciphisa ngokushesha ubuhlungu obukhulu besisu kanye nomhlane ongezansi obubangelwa umdlavuza we-pancreatic.
Kuyini i-HIFU?
I-HIFU isifinyezo se-high-intensity focused ultrasound ablation futhi simelela isizukulwane esilandelayo se-ukwelashwa komdlavuza okungangenisi kakhulu.
Ukusetshenziswa kwe-HIFU Ukungena kahle kwe-ultrasound, kanye nokuqina njengoba umsebe we-ultrasound uhamba nge-probe ye-transducer futhi ugxile endaweni ethile, uqondise ngqo isimila, esishiswa phakathi kwama-degree Celsius angu-60 kuya kwangu-100. Amaprotheni eseli lesimila ayaqina okuholela ekubhujisweni kwesimila (ukubhujiswa kwezicubu ngokushisa), ngaphandle kokulimala kwezicubu ezizungezile. Izicubu zesimila ezifile bese ziphinde zimuncwe umzimba kancane kancane.
Uma kwenzeka umdlavuza we-pancreatic ongasebenzi, ukwelashwa kwe-HIFU kunganciphisa ngempumelelo umthwalo wesimila futhi kunciphise ubuhlungu besimila ngokudambisa izicubu, ukunciphisa ubukhulu besimila kanye nokuguqulwa kwemizwa, ngaleyo ndlela kwandise isikhathi sokuphila kwesiguli futhi kuthuthukise ikhwalithi yokuphila.
Ngemva kokwelashwa, ama-88% eziguli athole amazinga ahlukene okukhululeka kobuhlungu,
ngaphandle kwezinkinga ezinkulu njengokuphuma kwegazi esiswini noma ukubhoboka kwesisu namathumbu kanye nokuskena kwe-MRI okuthuthukisiwe kwembula ukususwa kwezicubu okusebenzayo endaweni yokwelapha ye-HIFU.
Ngemva kokwenza ucwaningo olunzulu kanye nentuthuko, ukwelashwa kwe-HIFU kuye kwamukelwa kabanzi futhi kwakhuthazwa ekwelapheni umdlavuza we-pancreatic.
Ngenxa yokuthi ayihlaseli, ukuhlinzwa kuye kwagwenywa ezimweni eziningi futhi iziguli eziningi zidinga ukwelashwa okukodwa kwe-HIFU ukuze kufezwe umphumela ofiselekayo wokubhujiswa kwesimila. Ngokumangalisayo, ngemva kosuku olulodwa kuphela lokuthola ukwelashwa, iziguli eziningi zingabuyela emakhaya, njengoba kungekho miphumela engemihle ethinta impilo yeziguli.
Ukuqhathaniswa kwe-HIFU nezinketho zokwelapha ezijwayelekile
Okubuhlungu ukuthi iziguli ezingama-70% – 80% zomdlavuza we-pancreatic azitholakali zisesigabeni sokuqala salesi simo. Lapho kutholakala ukuthi umdlavuza we-pancreatic ukhona, isiguli sivame ukuba sesifinyelele esigabeni esiphakathi noma esithuthukile salesi simo, isikhathi sokuphila esivamile esiyizinyanga ezi-3-6 kuphela. Uma sesitholakele, ngaphansi kuka-10% weziguli ezinomdlavuza we-pancreatic zingabantu abafanelekile ukuhlinzwa, okuyinto ebuhlungu futhi eyingozi futhi ngokuvamile yandisa impilo yesiguli kuphela kuze kube yizinyanga eziyi-9. Ngisho noma ihlanganiswe ne-radiotherapy kanye ne-chemotherapy, isikhathi sokusinda ngokuvamile singandiswa kuphela ngezinyanga ezingu-0.5-1 ezengeziwe. Izinketho zokwelapha ezijwayelekile ziyabiza futhi azisebenzi, njengoba zingandisi isikhathi sokuphila futhi zinikeze isiguli ukukhululeka ebuhlungwini.
Kodwa-ke cishe bonke abantu abanomdlavuza we-pancreatic bayakufanelekela ukwelashwa kwe-HIFU okungangenisi ingozi futhi okungeyona ingozi.
Ngokwezibalo zethu, ukusinda kweziguli kungandiswa kusukela ezinyangeni ezi-3 kuya kwezi-6 ezijwayelekile kuya onyakeni owodwa kuya kwemibili kanye no-98% weziguli ezithola ukuthuthuka okuphawulekayo ekunciphiseni ubuhlungu kanye nokwelulwa kwesikhathi sokuphila ngemva kokuthola ukwelashwa kwe-HIFU!
Izinzuzo Zokwelashwa Nge-HIFU Ultrasound Ablation
1.Ukwelashwa okungahlaseli ukuze kulondolozwe izitho zomzimba nezakhiwo, ngaphandle kokumpontshelwa igazi futhi ngaphandle kwemisebe.
2.Imojuli yokuqondisa ye-3D ichaza umngcele wamathumba futhi ibala uhlelo lokwelapha lwe-3D, iqapha njalo izimpendulo zezicubu futhi ilungise amapharamitha okwelapha ngokufanele, ifinyelele inqubo yokwelashwa yomuntu ngamunye.
3.Ukususwa okuqondile nokuqondile. Ngephutha lokuqongelela elingu-plus no-minus elingu-1mm, ukunyakaza okunembile kohlelo lokunyakaza olunezinhlangothi eziyisithupha kungasusa izimila eziseduze nemithambo emikhulu noma imizwa ngokuphephile.
4.Ezimweni eziningi kudingeka iseshini eyodwa yokwelashwa futhi akukho mingcele ngenxa yobukhulu besimila kanye nesimo saso. Umkhawulo phakathi kwezicubu eziphathwe kahle kanye nezingelashwanga ungaba mncane njengobubanzi bamaseli ayi-6 kuya kwayi-10.
5.Ukwelashwa okuqondiswa yi-ultrasound ngesikhathi sangempela nge-doppler yombala enokuhlaziywa kwedijithali kuvumela ukuqapha phakathi nokwelashwa konke futhi kuhlinzeka ngesithombe se-ultrasound esisheshayo ukuhlola umphumela ophelele ngemva kokwelashwa.
6.Amandla esifunda esigxile phezulu anele ukudala ubuthi obusheshayo ekushiseni (izinga lokushisa elingaphezu kuka-56Derees Celsius) okuzobangela i-coagulative necrosis engenakuguqulwa.
7.Ukuvuselelwa kwesimiso somzimba sokuzivikela, njengoba izicubu ezifile zilahlwa yimpendulo yomzimba yokuphulukisa.