He nui ngā painga o te HIFU kore-whakaekenga-ultrasound ablation hou i whakaurua mai i te Hōhipera o te Ao o Beijing Puhua (BPIH) i ngā tikanga e whakamahia whānuitia ana mō te rongoā i te mate pukupuku repeure.
Te Matepukupuku Repeure me te Whakakorenga Ultrasound Arotahi Kaha Teitei (HIFU)
Matepukupuku Repeure
He tino uaua te tautuhi wawe i te mate pukupuku repe taiaki. He mate pukupuku tino kino tēnei, ā, he kino te āhua o te mate. E ai ki te National Institutes of Health, ko te oranga mō te mate pukupuku repe taiaki i roto i te 1 tau he 8% noa iho, ko te oranga mō te 5 tau he iti iho i te 5%, ā, ko te roanga o te oranga he 2 ki te 3 marama. Ko te nuinga o ngā tūroro ka tautuhia i te wā kua tino matatau te mate, nā te mea ka kitea noa ngā tohu o te mate pukupuku repe taiaki ina kua horapa te mate. Kei roto i ngā tohu ko te mamae o te puku, te ngaronga taumaha kāore i te mārama, me te uaua ki te nakunaku i ngā kai ngako. I te wā kua tino matatau, ka pā nui ngā tohu o te mamae nui o te tuara o raro ki te kounga o te oranga o te tūroro, ā, mā te whakamahi i ngā rongoā whakamamae mamae ka taea te whakaora, engari kāore i te rawaka i te nuinga o te wā.
Hei tāpiri atu ki tēnā, i te wā kua tino pāngia tēnei mate, kāore pea e taea te pokanga, ā, i te nuinga o te wā ka puta mai he maha ngā pānga taha kāore e hiahiatia me ngā paitini i ngā maimoatanga wawaotanga me te chemotherapy e whakamahia whānuitia ana.
He nui ngā painga o te HIFU kore-whakaekenga-ultrasound ablation hou i whakaurua mai i te Hōhipera o te Ao o Beijing Puhua (BPIH) i ngā tikanga e whakamahia whānuitia ana mō te rongoā i te mate pukupuku repeure.
Mō ngā tūroro e pāngia ana e te mate pukupuku repe taiaki i te wā tōmua, ka taea e te HIFU te tango katoa i te whara. Mō ngā tūroro e pāngia ana e te mate pukupuku repe taiaki i te wā waenga, i te wā kua piki ake rānei, ka taea e te rongoā HIFU te whakamama tonu i te mamae nui o te puku me te tuara o raro i puta mai i te mate pukupuku repe taiaki.
He aha te HIFU?
Ko te HIFU te whakarāpopototanga mō te ablation ultrasound arotahi kaha-teitei, ā, e tohu ana i te whakatupuranga e whai ake nei ongā maimoatanga iti rawa te whakaekenga mō te mate pukupuku.
Ka whakamahia e te HIFU te pai o te urunga o te hihi oro-oro, me te kaha o te hihi oro-oro i te mea e haere ana te hihi oro-oro i roto i te pūwhakawhiti me te arotahi ki tētahi pūwāhi, e aro tika ana ki te puku, e werahia ana i waenga i te 60 ki te 100 nekehanga Celsius. Ka ū ngā pūmua pūtau o te puku, ka mutu ka tangohia te puku (te whakangaromanga wera o te kiko), me te kore e whara te kiko e karapoti ana. Kātahi ka mimiti haeretia ngā kiko puku mate e te tinana.
Mēnā he mate pukupuku repe taikaha kāore e taea te rongoā, ka taea e te maimoatanga HIFU te whakaiti i te taumaha o te pukupuku, me te mea nui ake, ka whakaiti i te mamae o te pukupuku mā te tango i te kiko, te whakaiti i te papatipu pukupuku me te neuromodulation, kia roa ai te oranga o te tūroro me te whakapai ake i te kounga o te oranga.
I muri i te maimoatanga, i whiwhi te 88% o ngā tūroro i ngā taumata rerekē o te whakamamae mamae,
Ki te kore he raruraru nui pērā i te toto o te puku o runga, te poka rānei o te puku, ā, ka kitea he whai hua te tango i te kiko i te wāhi whakaora HIFU mā te matawai MRI whakarei ake.
Whai muri i te rangahau me te whanaketanga whānui, kua whānuitia te whakaaetia me te whakatairanga i te maimoatanga HIFU hei rongoā mō te mate pukupuku repeure.
Nā te mea kāore e pokanoa te pokanga, i te nuinga o te wā me karo te pokanga, ā, kotahi noa te maimoatanga HIFU e hiahiatia ana e te nuinga o ngā tūroro kia tutuki ai te hua e hiahiatia ana, arā, te whakangaromanga o te pukupuku. He mea whakamiharo, i muri i te kotahi noa o te rā o te maimoatanga, ka taea e te nuinga o ngā tūroro te hoki ki te kāinga, nā te mea kāore he pānga kino ki te hauora o ngā tūroro.
Te whakataurite i te HIFU me ngā kōwhiringa maimoatanga paerewa
Engari, kāore i te kitea te mate pukupuku repeure i te tīmatanga o te mate, e 70% – 80% rānei. Ina kitea te mate pukupuku repeure, kua tae kē te tūroro ki te wāhanga waenga, ki te wāhanga matatau rānei o tēnei mate, ā, ko te roanga o te oranga he 3-6 marama noa iho. Kia kitea rā anō, he iti iho i te 10% o ngā tūroro he mate pukupuku repeure e tika ana mō te pokanga, he mahi mamae, he mōrearea hoki, ā, e 9 marama noa iho te roa o te oranga o te tūroro. Ahakoa ka honoa ki te radiotherapy me te chemotherapy, ka taea noa te whakaroa i te oranga mā te 0.5-1 marama anō. He utu nui, ā, he koretake hoki ngā kōwhiringa maimoatanga noa, nā te mea kāore e roa ake te oranga, ā, kāore hoki e whakaora i te mamae o te tūroro.
Heoi, tata ki te katoa o ngā tūroro matepukupuku repe taiaki e āhei ana ki te whiwhi i te maimoatanga HIFU kore-whakaekenga, iti-mōrearea.
E ai ki ā mātou tatauranga, ka taea te whakaroa i te oranga o ngā tūroro mai i te 3 ki te 6 marama noa ki te 1 ki te 2 tau, ā, he 98% o ngā tūroro i kite i ngā whakapainga kitea i roto i te whakamamae mamae me te whakaroa i te oranga i muri i te whiwhinga maimoatanga HIFU!
Ngā Painga o te HIFU Ultrasound Ablation Therapy
1.Maimoatanga kore-whakaeke hei tiaki i ngā okana me ngā hanganga, me te kore whakawhiti toto, me te kore irahiko.
2.Ka tautuhia e te kōwae arotahi 3-ahu te rohe o ngā pukupuku, ka tatau i tētahi mahere whakaora 3-ahu, me te aroturuki tonu i ngā urupare kiko me te whakarerekē i ngā tawhā whakaora kia rite ki tēnā, kia tutuki ai tētahi tikanga maimoatanga takitahi.
3.Te tangohanga ōrite me te tika. Mēnā he hapa tāpiri me te hapa tango 1mm te nui, ka taea e te nekehanga tika o te pūnaha nekehanga 6-ahu te tango haumaru i ngā pukupuku e tata ana ki ngā oko nui, ki ngā io rānei.
4.I te nuinga o te wā, kotahi noa te wā maimoatanga e hiahiatia ana, ā, kāore he herenga e pā ana ki te rahi me te āhua o te puku. Ka taea e te whānuitanga o te kiko i waenga i te kiko i rongoatia me te kiko kāore i rongoatia te whaiti, tae atu ki te 6 ki te 10 ngā pūtau.
5.Mā te rongoā ā-orooro doppler tae wā-tūturu me te tātari tauanga mamati ka taea te aroturuki i te roanga o te maimoatanga katoa, ā, ka puta he whakaahua ā-orooro tonu hei aromatawai i te hua whānui i muri i te maimoatanga.
6.He nui te kaha o te rohe arotahi ka puta he paitini wera tonu (neke atu i te 56°C te pāmahana) ka puta he nekrosis totoka kore e taea te whakatika.
7.Te whakahohenga o te pūnaha ārai mate, i te mea ka tangohia atu te kiko necrotic e te urupare whakaora a te tinana ake.