HIFU Isingeniso
HIFU, okusho ukuthiI-Ultrasound Egxilile Ephezulu, iyisisetshenziswa sezokwelapha esingahlanyisi esiklanyelwe ukwelapha izimila eziqinile.Ithuthukiswe ngabacwaningi bakwaNationalUcwaningo lobunjiniyelaIsikhungoUmuthi we-Ultrasoundngokubambisana ne-Chongqing Medical University kanye ne-Chongqing Haifu Medical Technology Co., Ltd. Cishe iminyaka engamashumi amabili yomzamo ongapheli, i-HIFU ithole ukugunyazwa kokulawula emazweni angu-33 nasezifundeni emhlabeni wonke futhi isithunyelwe emazweni angaphezu kuka-20.Manje isisetshenziswa ezinhlelweni zomtholampiloizibhedlela ezingaphezu kuka-2,000 emhlabeni jikelele.Kusukela ngoDisemba 2021, i-HIFU isetshenziswe ukwelaphaamacala angaphezu kuka-200,000kuzo zombili izimila ezimbi neziyingozi, kanye nezimo ezingaphezu kwezigidi ezi-2 zezifo ezingezona izimila.Lobu buchwepheshe baziwa kabanzi ngochwepheshe abaningi abadumile ekhaya naphesheya njengesiboneloukwelashwa okungeyona invasive indlela yezokwelapha yesimanje.
Isimiso Sokwelapha
Umgomo wokusebenza we-HIFU (High-Intensity Focused Ultrasound) ufana nendlela ukukhanya kwelanga okugxilwe ngayo ngelensi eyi-convex.Njengokukhanya kwelanga,amagagasi e-ultrasound nawo angagxila futhi angene ngokuphepha emzimbeni womuntu.I-HIFU aukwelashwa okungeyona invasiveinketho esebenzisa amandla e-ultrasound yangaphandle ukugxila ezindaweni ezithile eziqondiwe ngaphakathi komzimba.Amandla agxiliswe ekuqineni okuphezulu ngokwanele endaweni yenxeba, afinyelele izinga lokushisa elingaphezu kuka-60 degrees Celsius.okwesikhatshana.Lokhu kubangela i-coagulative necrosis, okuholela ekumunceni kancane kancane noma izibazi zezicubu ze-necrotic.Okubalulekile, izicubu ezizungezile kanye nokudlula kwamagagasi omsindo awonakele kule nqubo.
Izinhlelo zokusebenza
I-HIFU ikhonjiswe ezinhlobonhloboizimila ezimbi, okuhlanganisa umdlavuza we-pancreatic, umdlavuza wesibindi, umdlavuza wezinso, umdlavuza webele, amathumba e-pelvic, ama-sarcomas ezicubu ezithambile, izimila zamathambo ezimbi, kanye nezimila ze-retroperitoneal.Ibuye isetshenziselwe ukwelaphaizimo zabesifazanenjenge-uterine fibroids, i-adenomyosis, i-breast fibroids, nokukhulelwa kwezibazi.
Kulolu cwaningo lomtholampilo oluhlanganisa izikhungo eziningi zokwelashwa kwe-HIFU kwe-uterine fibroids ebhaliswe ngenkundla yokubhalisa ye-World Health Organization, u-Academician Lang Jinghe wasePeking Union Medical College Hospital wasebenza mathupha njengososayensi omkhulu weqembu locwaningo,Izibhedlela ezingama-20 zibambe iqhaza, amacala ayi-2,400, ngaphezu kwezinyanga eziyi-12 zokulandelela.Okutholakele, okushicilelwe ku-BJOG Journal of Obstetrics and Gynecology enethonya emhlabeni jikelele ngo-JUNE 2017, kubonisa ukuthi ukuphumelela kwe-ultrasonic ablation (HIFU) ekwelapheni i-uterine fibroids kuhambisana nokuhlinzwa kwendabuko, kuyilapho ukuphepha kuphakeme, ukuhlala esibhedlela kwesiguli. mfushane, futhi ukubuyela empilweni evamile kuyashesha.
Izinzuzo Zokwelashwa
- Ukwelashwa okungahlaseli:I-HIFU isebenzisa amaza e-ultrasound, okuwuhlobo lwegagasi lomshini elinga-ionizing.Iphephile, njengoba ingabandakanyi imisebe ye-ionizing.Lokhu kusho ukuthi asikho isidingo sokusikwa ngokuhlinzwa, ukunciphisa ukuhlukumezeka kwezicubu kanye nobuhlungu obuhambisana nakho.Futhi ayinayo imisebe, engasiza ukuthuthukisa amasosha omzimba.
- Ukwelashwa okuqaphela: Iziguli zithola ukwelashwa kwe-HIFU ngenkathi ziphapheme,nge-anesthesia yendawo kuphela noma i-sedation esetshenziswa ngesikhathi senqubo.Lokhu kusiza ukwehlisa izingozi ezihlobene ne-anesthesia jikelele.
- Isikhathi senqubo esifushane:Ubude benqubo buyahlukahluka kuye ngezimo zesiguli ngasinye, kusukela kumaminithi angu-30 kuya emahoreni angu-3.Izikhathi eziningi azidingeki, futhi ukwelashwa kungaqedwa ngeseshini eyodwa.
- Ukuthola ngokushesha:Ngemuva kokwelashwa kwe-HIFU, iziguli zingaqala kabusha ukudla futhi ziphume embhedeni phakathi namahora ama-2.Iziguli eziningi zingadedelwa ngosuku olulandelayo uma zingekho izinkinga.Esigulini esijwayelekile, ukuphumula kwezinsuku ezingu-2-3 kuvumela ukubuyela emisebenzini evamile yomsebenzi.
- Ukugcinwa Kokuzala: Iziguli zezifo zabesifazane ezinezidingo zokuzala zingakwazizama ukukhulelwa kusenezinyanga eziyisi-6 ngemva kokwelashwa.
- Ukwelapha okuluhlaza:Ukwelashwa kwe-HIFU kuthathwa njengokuhambisana nemvelo ngoba akunawo umonakalo okhipha imisebe futhi kugwema imiphumela emibi enobuthi ehambisana nokwelashwa ngamakhemikhali.
- Ukwelashwa okungenabala kwezimo zabesifazane:Ukwelashwa kwe-HIFU kwezimo zabesifazane kushiya kungabikho izibazi ezibonakalayo, okuvumela abesifazane ukuba balulame ngokuzethemba okukhulu.
Amacala
Icala 1: Isigaba IV somdlavuza we-pancreatic one-metastasis ebanzi (owesilisa, i-54)
I-HIFU yakhipha isimila esikhulu se-pancreatic esingu-15 cm ngesikhathi esisodwa
Icala lesi-2: Umdlavuza wesibindi oyinhloko (owesilisa, oneminyaka engama-52 ubudala)
Ukukhishwa kwe-Radiofrequency ablation kubonise isimila esisele (isimila esiseduze ne-inferior vena cava).I-tumor esele yaqedwa ngokuphelele ngemva kokuhlehliswa kwe-HIFU, futhi i-vena cava engaphansi yayivikelwe kahle.
Isikhathi sokuthumela: Jul-24-2023