I-HIFU - Inketho Entsha Yeziguli Ezinezimila Eziphakathi Nezinga Eliphezulu

Isingeniso se-HIFU

I-HIFU, okusho ukuthiI-Ultrasound Egxile Emandleni Aphezulu, iyithuluzi lezokwelapha elisha elingahlaseli elenzelwe ukwelapha izimila eziqinile. Lakhiwe ngabacwaningi abavela ku-NationalUcwaningo LobunjiniyelaIsikhungowezokwelapha nge-Ultrasoundngokubambisana neChongqing Medical University kanye neChongqing Haifu Medical Technology Co., Ltd. Cishe iminyaka engamashumi amabili yomzamo ongapheli, i-HIFU ithole ukuvunyelwa komthetho emazweni nasezifundeni ezingu-33 emhlabeni jikelele futhi ithunyelwe emazweni angaphezu kuka-20. Manje isetshenziswa ezicelweni zezokwelapha e-izibhedlela ezingaphezu kuka-2,000 emhlabeni jikelele.Kusukela ngoDisemba 2021, i-HIFU ibilokhu isetshenziswa ukwelaphaamacala angaphezu kuka-200,000kokubili izimila ezingenabungozi nezimbi, kanye namacala angaphezu kwezigidi ezimbili ezifo ezingezona izimila. Lobu buchwepheshe buqashelwa kabanzi ochwepheshe abaningi abadumile ekhaya nakwamanye amazwe njengesiboneloukwelashwa okungahlaseli indlela yokwelapha yesimanje.

Isimiso Sokwelapha
Umgomo wokusebenza we-HIFU (High-Intensity Focused Ultrasound) ufana nendlela ukukhanya kwelanga okugxilwe ngayo ngelensi eqondile. Njengokukhanya kwelanga,Amagagasi e-ultrasound nawo angagxila futhi angene ngokuphephile emzimbeni womuntu.I-HIFU iyi-ukwelashwa okungahlaseliinketho esebenzisa amandla angaphandle e-ultrasound ukugxila ezindaweni ezithile eziqondiwe ngaphakathi komzimba.Amandla agxiliswe ngamandla aphezulu endaweni yesilonda, afinyelela amazinga okushisa angaphezu kwama-degree Celsius angu-60okwesikhashana. Lokhu kubangela i-coagulative necrosis, okuholela ekumuncweni noma ekuqhekekeni kancane kancane kwezicubu ezifile.Okubalulekile, izicubu ezizungezile kanye nokuhamba kwamaza omsindo akulimali kule nqubo.

Izicelo

I-HIFU iboniswa ngezinhlobo ezahlukene ze-izimila eziyingozi, okuhlanganisa umdlavuza we-pancreatic, umdlavuza wesibindi, umdlavuza wezinso, umdlavuza webele, izimila ze-pelvic, ama-sarcoma ezicubu ezithambile, izimila zamathambo ezinobungozi, kanye nezimila ze-retroperitoneal. Iphinde isetshenziswe ukwelaphaizimo zabesifazanenjenge-uterine fibroids, i-adenomyosis, i-breast fibroids, kanye nokukhulelwa kwezibazi.

Kulolu cwaningo lwezokwelapha olunezikhungo eziningi lokwelashwa kwe-HIFU kwama-fibroids esibelethweni olubhaliswe ngeplatifomu yokubhalisa ye-World Health Organisation, isazi sezemfundo uLang Jinghe wasePeking Union Medical College Hospital wasebenza njengososayensi oyinhloko weqembu locwaningo,Izibhedlela ezingu-20 zahlanganyela, amacala angu-2,400, izinyanga ezingaphezu kwe-12 zokulandelela. Okutholakele, okwanyatheliswa kuyi-BJOG Journal of Obstetrics and Gynaecology enethonya emhlabeni wonke ngoJuni 2017, kubonisa ukuthi ukusebenza kahle kwe-ultrasound ablation (HIFU) ekwelapheni i-uterine fibroids kuhambisana nokuhlinzwa kwendabuko, kuyilapho ukuphepha kuphakeme, ukuhlala kwesiguli esibhedlela kufushane, futhi ukubuyela empilweni evamile kuyashesha.

Izinzuzo Zokwelashwa

• Ukwelashwa okungahlaseli:I-HIFU isebenzisa amagagasi e-ultrasound, okuwuhlobo lwamagagasi omshini angenawo ama-ionizing. Iphephile, njengoba ingabandakanyi imisebe e-ionizing. Lokhu kusho ukuthi asikho isidingo sokusikwa ngokuhlinzwa, ukunciphisa ukulimala kwezicubu kanye nobuhlungu obuhambisana nakho. Ayinayo nemisebe, okungasiza ekuthuthukiseni amasosha omzimba.
• Ukwelashwa ngokuqaphela: Iziguli zithola ukwelashwa kwe-HIFU ziphapheme,ngokusetshenziswa kuphela kwe-local anesthesia noma i-sedation ngesikhathi senqubo.Lokhu kusiza ukunciphisa izingozi ezihlobene nokubulala izinzwa okuvamile.
• Isikhathi esifushane senqubo:Ubude benqubo buyahlukahluka kuye ngezimo zesiguli ngasinye, kusukela kumaminithi angu-30 kuya emahoreni ama-3. Izikhathi eziningi ngokuvamile azidingeki, futhi ukwelashwa kungaqedwa ngeseshini eyodwa.
• Ukululama okusheshayo:Ngemva kokwelashwa nge-HIFU, iziguli ngokuvamile zingaqala ukudla futhi zivuke embhedeni zingakapheli amahora ama-2. Iningi leziguli lingakhishwa esibhedlela ngosuku olulandelayo uma kungekho zinkinga. Kumuntu ojwayelekile, ukuphumula izinsuku ezi-2-3 kuvumela ukubuyela emisebenzini evamile yomsebenzi.
• Ukulondolozwa kokuzala: Iziguli zabesifazane ezinezidingo zokuzala zingakwaziZama ukukhulelwa ezinyangeni eziyisithupha ngemuva kokwelashwa.
• Ukwelashwa okuluhlaza:Ukwelashwa kwe-HIFU kubhekwa njengobungani nemvelo ngoba akunawo umonakalo obangelwa imisebe futhi kugwema imiphumela emibi enobuthi ehambisana ne-chemotherapy.
• Ukwelashwa okungenazibazi ezimweni zabesifazane:Ukwelashwa kwe-HIFU kwezimo zabesifazane akushiyi zibazi ezibonakalayo, okuvumela abesifazane ukuthi balulame ngokuzethemba okukhulu.

Amacala

Icala 1: Umdlavuza we-pancreatic wesigaba sesi-4 one-metastasis ebanzi (owesilisa, 54)

I-HIFU yaqeda isimila esikhulu se-pancreatic esingu-15 cm ngesikhathi esisodwa

Icala 2: Umdlavuza wesibindi oyinhloko (owesilisa, oneminyaka engu-52 ubudala)

Ukususwa kwe-Radiofrequency kwabonisa isimila esisele (isimila esiseduze ne-inferior vena cava). Isimila esisele sasuswa ngokuphelele ngemva kokubuyela emuva kwe-HIFU, kanti i-inferior vena cava yayivikelwe kahle.