HIFU – He Kōwhiringa Hou mō ngā Tūroro he Puku Waenga ki te Wāhanga Matatau

Whakataki HIFU

HIFU, e tohu ana mōUltrasound Arotahi Kaha Teitei, he taputapu hauora auaha kāore e pokanoa, i hangaia mō te rongoā i ngā pukupuku totoka. Nā ngā kairangahau o te NationalRangahau HangarauPokapūo te Rongoā Ultrasoundi te mahi tahi me te Whare Wānanga Hauora o Chongqing me te Chongqing Haifu Medical Technology Co., Ltd. Nā te tata ki te rua tekau tau o te whakapau kaha, kua whiwhi a HIFU i ngā whakaaetanga ture i roto i te 33 whenua me ngā rohe o te ao, ā, kua kaweake ki neke atu i te 20 whenua. Kei te whakamahia inaianei i roto i ngā tono haumanu i roto ineke atu i te 2,000 ngā hōhipera puta noa i te ao.I te marama o Tīhema 2021, kua whakamahia te HIFU hei rongoāneke atu i te 200,000 ngā takeo ngā pukupuku pai me ngā pukupuku kino, tae atu ki te neke atu i te 2 miriona ngā mate kore-pukupuku. E mōhiotia whānuitia ana tēnei hangarau e ngā tohunga rongonui maha i te kāinga me tāwāhi hei tauiramaimoatanga kore-whakaekenga te huarahi rongoā o nāianei.

Te Kaupapa Maimoatanga
He rite te kaupapa mahi o te HIFU (High-Intensity Focused Ultrasound) ki te arotahi o te hihi o te rā mā roto i te karu arotahi. Pērā i te hihi o te rā,Ka taea hoki te arotahi i ngā ngaru ultrasound, ā, ka uru haumaru ki roto i te tinana o te tangata.He HIFUmaimoatanga kore-whakaekengahe kōwhiringa e whakamahi ana i te pūngao oro-ā-waho hei arotahi ki ngā wāhi motuhake o roto i te tinana.Ka kukū te pūngao ki te kaha e tika ana ki te wāhi i whara ai, ka eke te pāmahana ki runga ake i te 60 nekehanga Celsiusmō tētahi wā poto. Ka puta te pirau toto, ka mutu ka mimiti haere, ka whara rānei te kiko pirau.He mea nui kia kaua e pakaru ngā kiko e karapoti ana me te rerenga o ngā ngaru oro i roto i te tukanga.

Ngā tono

E tohuhia ana te HIFU mō ngā momongā pukupuku kino, tae atu ki te mate pukupuku repeure, te mate pukupuku ate, te mate pukupuku tākihi, te mate pukupuku ū, ngā pukupuku pelvis, ngā sarcoma kiko ngohengohe, ngā pukupuku wheua kino, me ngā pukupuku retroperitoneal. Ka whakamahia hoki hei rongoāngā āhuatanga wahinepērā i ngā fibroids uterine, te adenomyosis, ngā fibroids ū, me ngā koha hāputanga.

I roto i tēnei rangahau haumanu maha-pokapū mō te maimoatanga HIFU o ngā fibroids uterine kua rēhitatia mā te tūāpapa rēhita o te World Health Organization, ko te Kaiako Lang Jinghe o te Peking Union Medical College Hospital te kaipūtaiao matua o te rōpū rangahau,E 20 ngā hōhipera i whai wāhi, e 2,400 ngā kēhi, neke atu i te 12 marama o te aroturukitangaKo ngā kitenga, i whakaputaina i roto i te BJOG Journal of Obstetrics and Gynaecology whai mana o te ao i te marama o PIPIRI 2017, e whakaatu ana ko te whai huatanga o te ultrasonic ablation (HIFU) i roto i te maimoatanga o ngā fibroids uterine he rite ki te pokanga tuku iho, engari he teitei ake te haumaru, he poto ake te noho hōhipera o te tūroro, ā, he tere ake te hoki ki te oranga noa.

Ngā Painga Maimoatanga

• Maimoatanga kore-whakaekenga:Ka whakamahia e te HIFU ngā ngaru ultrasound, he momo ngaru miihini kore-whakakoi. He haumaru, nā te mea kāore e uru ki te irahiko whakakoi. Ko te tikanga o tēnei, kāore he take mō ngā tapahi pokanga, ka whakaiti i te whara o te kiko me te mamae e pā ana. Kāore hoki he irahiko, ka taea te āwhina i te whakapai ake i te ārai mate.
• Maimoatanga mohio: Ka whiwhi ngā tūroro i te maimoatanga HIFU i a rātou e ara ana,me te rongoā whakamoe ā-rohe, te rongoā whakangāwari rānei e whakamahia ana i te wā o te tikanga.Ka āwhina tēnei ki te whakaiti i ngā mōrearea e pā ana ki te rongoā whakamoe whānui.
• Te wā poto o te tukanga:Ka rerekē te roa o te tikanga i runga i te āhua o ia tūroro, mai i te 30 meneti ki te 3 hāora. Kāore e hiahiatia he maha ngā wā mahi, ā, ka taea te whakaoti i te maimoatanga i te wā kotahi.
• Te whakaora tere:I muri i te maimoatanga HIFU, ka taea e ngā tūroro te hoki anō ki te kai me te ara ake i te moenga i roto i ngā haora e rua. Ko te nuinga o ngā tūroro ka taea te tuku i te hōhipera i te rā e whai ake nei mena kāore he raruraru. Mō te tūroro noa, mā te okioki mō ngā rā e rua ki te toru ka taea te hoki ki ngā mahi noa.
• Te tiaki i te momonatanga: Ka taea e ngā tūroro wahine e hiahia ana ki te momonatanga tengana kia hapu i roto i te ono marama i muri i te maimoatanga.
• Te rongoā matomato:E kiia ana te maimoatanga HIFU he hoa taiao nā te mea kāore he kino irahiko, ā, ka karohia hoki ngā pānga taha paitini e pā ana ki te chemotherapy.
• Te maimoatanga kore-ira mō ngā mate wahine:Kāore e kitea ngā koha e te maimoatanga HIFU mō ngā mate wahine, ā, ka taea e ngā wāhine te ora ake me te piki ake o te māia.

Ngā kēhi

Take 1: Te mate pukupuku repeure wāhanga tuawhā me te horapa whānui (tāne, 54)

I tangohia e te HIFU te pukupuku repeure nui 15 cm te rahi i te wā kotahi

Take 2: Matepukupuku ate tuatahi (tāne, 52 tau te pakeke)

I whakaatuhia e te tango i te auau irirangi he pukupuku toenga (he pukupuku e tata ana ki te vena cava o raro). I tangohia katoatia te pukupuku toenga i muri i te tango HIFU, ā, i tiakina pai te vena cava o raro.