Te Tiaki Matepukupuku i tua atu i ngā Rohe: Te Maimoatanga HIFU Matatau, Kore-Whakaeke i Beijing

I te aroaro o te mate pukupuku, ko te tumanako tahi a ngā tūroro o te ao katoa ko te kimi i te huarahi maimoatanga tino whai hua, matatau, me te iti rawa o te whakaekenga. Mena kei te rapu koe i tētahi hōhipera e whakakotahi ana i te tohungatanga hauora Hainamana taumata teitei, te hangarau hou, me ngā ratonga paerewa o te ao, ko te Tari Ao o te Hōhipera Oncology Rohe Tonga o Beijing te whiringa pono māu.

Mō ngā tau tekau kua pahure ake nei, kua uru atu te Hōhipera Matepukupuku o te Rohe Tonga o Beijing ki te tātaritanga me te rongoā i ngā momo pukupuku, e tautoko ana i te mahi tahi a ngā momo marautanga, e whakauru ana i ngā puna hauora o ngā tari katoa, ā, kua whakatūria he rōpū mahi tahi rerekē mō te mate-kotahi, kia tino whakaratohia ai te tātaritanga tika me ngā ratonga maimoatanga paerewa mō ngā tūroro.

I whakatūria e te Hōhipera Oncology Rohe Tonga o Beijing he tari Oncology Gastrointestinal, melanoma Matepukupuku Tākihi, Oncology Lymphoid, Oncology Wheua me te kiko ngohengohe, Urology, Oncology Thoracic, HNS (Pokanga Kaki Upoko), Tari Oncology Thoracic, Gynecology, TCM (rongoā Hainamana tuku iho), Rongoā Whānui, Pokanga Whānui, Whakaora Wawaotanga, Rūma Whakahaere, ICU me ngā tari radiology (MRI, CT, DR, mammography, me ētahi atu), taiwhanga, tari Pathology, rūma ultrasound tae, pēke toto me ētahi atu tari āwhina hauora, e whakarato ana i te maimoatanga takitahi paerewa mō ngā tūroro, e whakapau kaha ana ki te matepukupuku puku, te matepukupuku pūkahukahu, te matepukupuku colorectal, te matepukupuku ate, te matepukupuku esophageal, te lymphoma kino, ngā pukupuku gynecological, te matepukupuku ū, ngā pukupuku upoko me te kaki, ngā pukupuku wheua me te melanoma kino me ētahi atu pukupuku tātaritanga me te maimoatanga whānui.

Hei whakatutuki i ngā hiahia hauora kanorau o ngā tūroro o te kāinga me tāwāhi, kua whakatūria e mātou he Pokapū Hauora ā-Ao. Kei te whakahaere mātou i tētahi pūnaha ara-rua o "Inihuarangatia Hauora + Tari ā-Ao", e piri ana ki tētahi tauira hauora ā-ao, ā, he taputapu hauora matatau o te ao. Mai i te whakarite wā, tae atu ki te tātaritanga me te maimoatanga, ki te whakaora, ko tā mātou ariā ratonga kounga teitei e hangai pai ana ki ngā paerewa tātaritanga hauora, maimoatanga, me te ratonga o te ao, kia whakarite kia whiwhi koe i tētahi wheako hauora whai hua, tūmataiti, me te kounga teitei.

I te Tari Ao o Aotearoa, e whakahīhī ana mātou ki te tuku atu ki a koe tētahi hangarau maimoatanga pukupuku kore-whakaekenga matua o te ao—HIFU (high-intensity focused ultrasound).

Ko te HIFU (high-intensity focused ultrasound), e mōhiotia whānuitia ana ko te "High-Intensity Focused Ultrasound Ablation System," e mahi ana i runga i tētahi mātāpono ka taea te mārama penei: ka arotahi tika ngā ngaru ultrasound iti-pūngao mai i waho o te tinana ki te puku i roto. Mā tēnei ka puta he pāmahana teitei tonu i te pūwāhi arotahi, ka "tahu" i ngā pūtau puku kia mate, engari kāore e tino kino ki ngā kiko hauora e karapoti ana.

Kāore e hiahiatia he pokanga mō te tukanga katoa, kāore he patunga e toe ana, ā, kāore hoki he toto e puta, nō reira e mōhiotia ana ko te "soitara kore e kitea".

He aha ngā āhuatanga e tika ana mō te HIFU (high-intensity focused ultrasound)?

Matepukupuku Repeure

He tino pai mō ngā mate pukupuku o te pane, o te tinana/hiku rānei o te repe taiaki kāore e taea te mahi nā te pānga o ngā uaua toto, mō ngā tūroro rānei kāore e taea te aro ki te radiotherapy, ki te chemotherapy rānei.

Matepukupuku ate

Tae atu ki te mate pukupuku ate tuatahi me te mate pukupuku ate kua horapa.

Ētahi atu Puku Totoka

Pērā i ngā fibroids uterine, ngā pukupuku kiko ngohengohe, me ētahi atu.

He aha ngā painga o te HIFU (high-intensity focused ultrasound) ki te whakatauritea ki ngā maimoatanga tuku iho?

I tēnei wā, kua whānuitia te whakamahinga o te hangarau HIFU (high-intensity focused ultrasound) hei rongoā i ngā pukupuku totoka maha tae atu ki ngā fibroids uterine, te adenomyosis, te mate pukupuku ū, te fibroadenoma ū, te mate pukupuku ate, ngā pukupuku wheua, te mate pukupuku repeure, me te maha atu, e whakarato ana i ngā kōwhiringa rongoā hou mō ngā mano tini o ngā tūroro.

I ētahi marama kua pahure ake nei, ka tīmata a Mr. Zhou ki te pāngia e te mamae o te puku o runga, me te kore hiahia kai, ā, i muri mai ka kitea te kōwhai o tōna kiri me ōna kanohi. I heke tōna taumaha mā te 10 kirokaramu i roto i te wā poto. Nā ēnei tohumate noa o te nakunaku me te jaundice i akiaki ia ki te rapu tirotiro hauora tonu.

I te mutunga o Hūrae 2025, i whakaūtia ōna mataku e ngā whakamātautau i Te Whare Wānanga Hauora o Harbin: i whakaatuhia e ngā whakamātautau toto he ngoikore te mahi ate me te aukati i te ate, ā, i kitea anō i roto i te karapa CT whakarei ake he "pūpū upoko repeure, e whakapaetia ana he mate pukupuku repeure." I muri mai ka tukuna te ERCP ki te tūroro me te whakatakotoranga stent repeure hei whakamama i te aukati i te ate, ā, i pai ake ai ōna tohu jaundice.

I te rapu i ētahi atu tātaritanga me te maimoatanga, ka haere te tūroro ki tētahi hōhipera matepukupuku i Tianjin. I whakaatuhia e ngā hua MRI whakarei ake: i pā te pukupuku pane repe ki ngā oko toto nui tae atu ki te uaua tomokanga matua me te pūtake celiac, me te whakawhānui o ngā awa repe me ngā awa wai. Ko te tikanga o tēnei kua uru te pukupuku ki ngā "ara ora" nui, ā, he tino uaua, he tino mōrearea hoki te tango pokanga tika. I muri mai, ka whiwhi te tūroro i tētahi koiora pukupuku repe, ā, e whā ngā huringa o te chemotherapy i oti i a ia.

Heoi, i muri i te rongoā chemotherapy, i mau tonu te mamae o te puku o te tūroro, me te hiahia tonu ki te rongoā whakamamae hei whakahaere. I a ia e rapu ana i tētahi mahere maimoatanga e tika ana, ka tae mai ia ki te Hōhipera Oncology Rohe Tonga o Beijing.

I te aroaro o tētahi take uaua pēnei e pā ana ki tētahi pukupuku e karapoti ana i ngā oko toto, te aukati o te ate, me ngā tohu kāore anō kia whakatauhia i muri i te chemotherapy, i whakarite te Tari Hyperthermia/Haifu i te Hōhipera Oncology Rohe Tonga o Beijing i tētahi aromatawai maha-mātauranga, ā, i te mutunga ka whakatauhia he mahere maimoatanga e aro ana ki te HIFU (te ultrasound arotahi kaha-teitei).

I ahu mai tēnei kōwhiringa i te nui o te wheako o te hōhipera i roto i tēnei hangarau: hei tari motuhake i tīmata wawe i te maimoatanga HIFU (high-intensity focused ultrasound) i te Tai Tokerau o Haina, neke atu i te 2,000 ngā tikanga tango i Haifu kua mahia e te hōhipera, e kapi ana i ngā pukupuku totoka tae atu ki ngā mate pukupuku repeure me te ate. Kua whakawhanakehia e rātou he rautaki maimoatanga pakari me te haumaru mō te whakahaere i ngā mate pukupuku repeure uaua kāore e taea te mahi nā te whakaekenga o ngā toto.

Mō tēnei tūroro, i whakatakoto te tīma hauora i tētahi mahere maimoatanga tino tika. Mā te whakamahi i te CT hei kimi i te wāhi tika, i aro atu rātou ki te pukupuku 3.7cm x 3cm i te pane o te repe taiaki, me te karo hoki i ngā oko toto nui kua takaihia. Mā te aroturukitanga wā-tūturu i te wā o te maimoatanga i whakarite kia kapi tika te pūngao i te pukupuku.

I whakaatuhia e ngā karapa CT i muri tonu i te maimoatanga he nekrosis toto totoka whai hua i puta i te rohe pukupuku e hiahiatia ana, me te tino heke o te mahi. I kōrero te tūroro he tino whakaoranga i te mamae o te puku o runga, kāore e hiahiatia kia whakawhirinaki ki ngā rongoā whakamamae, me te whakapai ake i te kaha me te hiahia kai.

E mārama ana mātou he nui te whakawhirinakitanga e hiahiatia ana mō te whiriwhiri i tētahi hōhipera i tētahi whenua ke. I te Tari Ao o te Hōhipera Oncology o Beijing South Region, e whakapau kaha ana mātou ki te whakahoki i taua whakawhirinakitanga mā te whakamahi i ngā tohunga matatau, ngā hangarau matatau pēnei i te HIFU (high-intensity focused ultrasound), me ngā paerewa ratonga o te ao.

Ko te Tari Hyperthermia me te HIFU (high-intensity focused ultrasound) i te Hōhipera Oncology o te Rohe Tonga o Beijing e whakapau kaha ana ki te whakarato i ngā momo maimoatanga rerekē mō ngā tūroro mate pukupuku. He maha ngā taputapu hyperthermia o ngā auau rerekē kei roto i te tari, e tika ana mō te rongoā tāpiri mō ngā momo pukupuku totoka (haunga ngā kanohi me te kōhao angaanga). Ka taea te whakamahi tahi i te hyperthermia me ngā tikanga tuku iho pērā i te radiotherapy me te chemotherapy, e whai ana ki te whakaiti i te mamae mai i ētahi maimoatanga me te whakarato i ngā rautaki maimoatanga whaiaro, ngawari ake mō ngā tūroro. Ko ētahi o ngā taonga hyperthermia ka hipokina e te inihua hauora.

Ka whakaratohia hoki e te tari he maimoatanga kore-whakaeke HIFU (high-intensity focused ultrasound)®. Ka whakamahia e tēnei hangarau ngā ngaru ultrasound arotahi hei mahi ki te wāhi whara i roto i te tinana, kāore e hiahiatia he pokanga, ka āwhina ki te tiaki i te hanganga me te mahi a ngā okana, me te tautoko i te tere o te whakaora o te tūroro.

Ahakoa kei hea koe, mēnā kei te pāngia koe, tō whānau rānei e te mate pukupuku, tēnā whakapā mai ki a mātou i tēnei wā tonu. Kei te rite tā mātou tīma ratonga tūroro o te ao ki te whakarato ki a koe he ratonga kōrero ngaio me ngā ratonga whakarite wā watea.

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Tukua te Tari Ao o te Hōhipera Matepukupuku o te Rohe Tonga o Beijing kia noho hei hoa kaha māu ki te wikitoria i ngā mate me te whakaora anō i te hauora.