I-radiology yokungenelela, eyaziwa nangokuthi ukwelashwa kokungenelela, iwumkhakha osafufusa ohlanganisa ukuxilongwa kwezithombe kanye nokwelashwa kwezokwelapha.Isebenzisa isiqondiso nokuqapha okuvela emishinini yokuthwebula izithombe njenge-digital subtraction angiography, i-CT, i-ultrasound, kanye ne-magnetic resonance ukwenza ukwelashwa okungangenisi kakhulu kusetshenziswa izinaliti zokubhoboza, ama-catheter, kanye namanye amadivayisi okungenelela ngokusebenzisa izimbobo zemvelo zomzimba noma ukusikwa okuncane. I-interventional radiology manje isibe enye yezinsika ezintathu ezinkulu kanye nemithi yangaphakathi yendabuko kanye nokuhlinzwa emtholampilo.
Ukwelashwa okungenelelayo kwenziwa ngaphansi kwesiqondiso nokuqapha imishini yokuthwebula izithombe kuyo yonke inqubo. Kuvumela ukufinyelela okunembile nokuqondile endaweni enesifo ngaphandle kokubangela ukulimala okukhulu, okwenza kube nenzuzo ngokwemibandelaukunemba, ukuphepha, ukusebenza kahle , izinkomba ezibanzi, kanye nezinkinga ezimbalwa. Ngenxa yalokho, sekuyindlela yokwelapha ekhethwayo yezifo ezithile.
1.Izifo ezidinga ukwelashwa kwemithi yangaphakathi
Ezimweni ezifana ne-tumor chemotherapy kanye ne-thrombolysis, ukwelashwa okungenelelayo kunikeza izinzuzo eziningana uma kuqhathaniswa nokwelashwa kwemithi yangaphakathi.Imithi ingasebenza ngqo endaweni lapho kunezilonda khona, ikhulise kakhulu ukuhlushwa kwemithi endaweni eqondiwe, ithuthukise ukusebenza kahle kokwelapha, futhi inciphise imiphumela emibi yomzimba ngokunciphisa umthamo wemithi.
2.Izifo ezidinga ukwelashwa ngokuhlinzwa
Ukwelashwa okungenelelayo kunikeza izinzuzo eziningana ngaphezu kokwelashwa kokuhlinzwa:
- Kuqeda isidingo sokusikwa ngokuhlinzwa, okungadingi ukusikwa kwesikhumba noma amamilimitha ambalwa nje, okuholela ekunciphiseni ukulimala.
- Iningi leziguli lithola i-anesthesia yendawo esikhundleni se-anesthesia ejwayelekile, okunciphisa izingozi ezihlobene ne-anesthesia.
- Kubangela umonakalo omncane ezicutshini ezivamile, kuvumela ukululama okusheshayo, futhi kunciphisa isikhathi sokuhlala esibhedlela.
- Ezigulini esezikhulile noma labo abagula kakhulu futhi abangakwazi ukubekezelela ukuhlinzwa, noma ezigulini ezingenawo amathuba okuhlinzwa, ukwelashwa okungenelelayo kunikeza inketho yokwelashwa ephumelelayo.
Ukwelashwa okungenelelayo kuhlanganisa izindlela eziningi ezahlukene, ezihlukaniswe kakhulu phakathi kokungenelela kwemithambo yegazi kanye nokungenelela okungeyona eyemithambo yegazi.Ukungenelela kwemithambo yegazi, njenge-coronary angiography, i-thrombolysis, kanye nokubekwa kwe-stent kwe-angina kanye ne-acute myocardial infarction, kuyizibonelo ezaziwayo zamasu okungenelela kwemithambo yegazi. Ngakolunye uhlangothi, ukungenelela okungeyona imithambo yegazi kuhlanganisa i-percutaneous biopsy, i-radiofrequency ablation, ummese we-argon-helium, kanye nokufakelwa kwezinhlayiya ezinemisebe yomdlavuza wesibindi, umdlavuza wamaphaphu, kanye nezinye izimila. Ngaphezu kwalokho, ngokusekelwe ezinhlelweni ezihlobene nezifo ezilashwe, ukwelashwa okungenelelayo kungahlukaniswa kabanzi kube yi-neurointervention, ukungenelela kwenhliziyo, ukungenelela kwesimila, ukungenelela kwabesifazane, ukungenelela kwemisipha, nokuningi.
Ukwelashwa ngokungenelela kwe-tumor, okuphakathi kokwelashwa kwangaphakathi nokuhlinzwa, kuyindlela yokwelapha yokwelapha umdlavuza.Enye yezindlela ezisetshenziswa ekwelashweni kokungenelela kwe-tumor yi-composite liquid nitrogen solid tumor ablation eyenziwa yi-AI Epic Co-Ablation System.
Ubuchwepheshe obusha obusanda kwethulwa esibhedlela sethu, i-AI Epic Co-Ablation System, buyindlela yocwaningo entsha eyaqala emhlabeni wonke futhi ikhombisa ukusungula izinto ezintsha zasekhaya. Akuyona imela evamile yokuhlinzwa,kodwa kunalokho isebenzisa isiqondiso sezithombe ezivela ku-CT, i-ultrasound, nezinye izindlela. Ngokusebenzisa inalithi yokukhipha engu-2mm ububanzi, isebenzisa ukuvuselela ngokomzimba ezicutshini ezigulayo ngokuqandisa okujulile (-196°C) nokushisa (ngaphezu kuka-80°C). Lokhu kubangela ukuthi amangqamuzana esimila avuvuke futhi aqhekeke, kuyilapho kubangela izinguquko ze-pathological ezingenakuguqulwa njengokuminyana, ukuvuvukala, ukonakala, kanye ne-coagulative necrosis ezicutshini zesimila. Ngesikhathi esifanayo, ukwakheka okusheshayo kwamakristalu eqhwa emaseli nasezindaweni ezizungezile, ama-microveins, nama-arterioles ngesikhathi sokuqandisa okujulile kuholela ekubhujisweni kwemithambo yegazi emincane futhi kuphumela emphumeleni ohlangene we-hypoxia yendawo. Ekugcineni, lokhu kususwa okuphindaphindiwe kwamangqamuzana esimila kuhlose ukufeza umgomo wokwelashwa kwesimila.
Uhlelo lwe-AI Epic Co-Ablation ludlula imikhawulo yezindlela zokwelapha isimila zendabuko. Ukuhlinzwa okuvamile kuhlotshaniswa nezinkinga ezifana nokulimala okuphezulu, izingozi eziphezulu, ukululama kancane, amazinga aphezulu okubuyela emuva, izindleko eziphezulu, kanye nezinkomba ezithile. Izindlela ezilodwa zokwelapha ngokubanda noma ukushisa nazo zinemikhawulo yazo. Kodwa-ke,Uhlelo lwe-AI Epic Co-Ablation lusebenzisa ubuchwepheshe obuhlanganisiwe bokukhipha uketshezi olubandayo nolushisayo. Luhlanganisa izinzuzo zokwelapha ngokuqandisa kwendabuko, okuhlanganisa ukubekezelela okuhle, ukuphepha okuphezulu, ukugwema i-anesthesia ejwayelekile, kanye nokuqapha izithombe. Lungasetshenziswa ezimila eziseduze nemithambo yegazi emikhulu kanye nenhliziyo, ezigulini ezine-pacemakers ezifakiwe, futhi lungavuselela amasosha omzimba, phakathi kwezinye izinzuzo.
Ngokuthuthukisa amasu okuqandisa endabuko avame ukopha futhi athwala ingozi yokuhlwanyelwa kwenaliti, kanye nokubhekana nezinkinga zobuhlungu besiguli obubonakalayo kanye nokungabekezeleli kahle ukususwa kokushisa, i-AI Epic Co-Ablation System inikeza indlela entsha yokwelapha izimila ezahlukene ezingenabungozi nezimbi njengomdlavuza wamaphaphu othuthukile, umdlavuza wesibindi, umdlavuza wezinso, umdlavuza we-pancreatic, umdlavuza we-bile duct, umdlavuza wesibeletho, i-uterine fibroids, izimila zamathambo nezicubu ezithambile, nokuningi.
Indlela entsha yokwelapha ngokungenelela kwe-tumor inikeze amathuba amasha okwelapha kwezinye izimo ezazinzima ukuzelapha noma ezingelapheki ngaphambili. Ifaneleka kakhulu ezigulini ezilahlekelwe ithuba lokuhlinzwa okungcono ngenxa yezici ezifana nokuguga. Umkhuba wezokwelapha ukhombisile ukuthi ukwelashwa ngokungenelela, ngenxa yemvelo yayo engangenisi kakhulu kanye nezici zobuhlungu obuphansi kanye nokululama okusheshayo, kuye kwasetshenziswa kabanzi ezindaweni zezokwelapha.
Isikhathi sokuthunyelwe: Agasti-18-2023