Matepukupuku repeure He nui te mate pukupuku, ā, he kino te matapae. I roto i te mahi haumanu, ko te nuinga o ngā tūroro ka kitea i te wā kua tino matatau, he iti ngā reiti pokanga tango, ā, kāore he kōwhiringa maimoatanga motuhake. Mā te whakamahinga o te HIFU ka taea te whakaiti i te taumaha o te pukupuku, te whakahaere i te mamae, ā, ka roa ake te oranga o te tūroro me te whakapai ake i te kounga o te oranga.
Te hītori o te hyperthermiaka taea te whai i ngā pukupuku5,000 tau ki murii Ihipa onamata, me ngā tuhinga i roto i ngā tuhinga tawhito o Ihipa e whakaahua ana i te whakamahinga ote wera hei rongoā i ngā pukupuku o te ū.Ko te kaiwhakaū orongoā wera, i ora a Hippocrates, e kiia ana ko ia te matua o te rongoā o te Uru, i te 2,500 tau ki muri.
Ko te Hyperthermia he tikanga rongoā e whakamahi ana i ngā momo puna whakamahana(pērā i te auau irirangi, te ngaruiti, te oro-oro, te taiaho, me ētahi atu)hei whakanui ake i te pāmahana o te kiko pukupuku ki tētahi taumata rongoā whai hua. Mā tēnei pikinga o te pāmahana ka mate ngā pūtau pukupuku, ā, ka whakaitihia hoki te kino ki ngā pūtau noa.
I te tau 1985, i whakamanahia e te US FDA te pokanga, te rongoā irahiko, te rongoā matū, te rongoā wera nui, me te rongoā ārai mate heingā tikanga whai hua tuarima mō te rongoā i te pukupuku, e tohu ana i tētahi huarahi hou, whai hua hoki.
Ko te kaupapa matua ko te whakamahi i te pūngao tinana hei whakamahana i te tinana katoa, i tētahi wāhi motuhake rānei o te tinana, me te whakanui ake i te pāmahana o te kiko pukupuku ki tētahi taumata rongoā whai hua, me te pupuri tonu mō tētahi wā. Mā te whakamahi i ngā rerekētanga o te manawanui ki te pāmahana i waenga i ngā kiko noa me ngā pūtau pukupuku, ko te whāinga kia tutuki ai te whāinga o te whakaoho i te apoptosis o ngā pūtau pukupuku me te kore e kino ki ngā kiko noa.
Te Maimoatanga Matepukupuku Repeure Take 1:
Tūroro: Wahine, 46 tau te pakeke, he pukupuku kei te hiku o te repeure
Ko te whānui o te puku he 34mm (anteroposterior), 39mm (transverse), me te 25mm (craniocaudal). Whai muri i te whakaora wera ablation e arahina ana e te ultrasound,I whakaatuhia e te MRI whai muri kua whakakorea te nuinga o te pukupuku.
Te Take Maimoatanga Matepukupuku Repeure 2:
Tūroro: Wahine, 56 tau te pakeke, mate pukupuku repeure me ngā horapa maha ki te ate
Te rongoā i te wā kotahi mō ngā pūtau kua horapa ki te repe taiaki me te ate mā te whakamahi i te rongoā whakakore wera e arahina ana e te ultrasound.I whakaatuhia e te MRI whai muri i te whakakorenga o te pukupuku, ā, he mārama, he tika hoki ngā taha.
Te Maimoatanga Matepukupuku Repeure Take 3:
Tūroro: Tāne, 54 tau te pakeke, mate pukupuku repeure
Ka tino memeha te mamae i roto i ngā rā e ruai muri i te maimoatanga HIFU (high-intensity focused ultrasound).I heke te pukupuku mā te 62.6% i te 6 wiki, 90.1% i te 3 marama, ā, i hoki ngā taumata CA199 ki te āhua noa i te 12 marama.
Te Take Maimoatanga Matepukupuku Repeure 4:
Tūroro: Wahine, 57 tau te pakeke, mate pukupuku repeure
I puta te nekrosis o te puku i ngā rā e 3 i muri i te maimoatanga HIFU.I mimiti te pukupuku mā te 28.7% i te 6 wiki, mā te 66% i te 3 marama, ā, i tino memeha haere te mamae.
Te Take Maimoatanga Matepukupuku Repeure 5:
Tūroro: Wahine, 41 tau te pakeke, mate pukupuku repeure
I muri i ngā rā e 9 o te maimoatanga HIFU,i whakaatuhia e te matawai PET-CT he nui te nekrosis i waenganui o te pukupuku.
Te Take Maimoatanga Matepukupuku Repeure 6:
Tūroro: Tāne, 69 tau te pakeke, mate pukupuku repeure
He matawai PET-CT whai muri i te hawhe marama i muri i te maimoatanga HIFUi whakakitea te ngaronga katoa o te pukupuku, kāore he tangohanga FDG, ā, i muri mai ka heke ngā taumata CA199.
Te Take Maimoatanga Matepukupuku Repeure 7:
Tūroro: Wahine, 56 tau te pakeke, mate pukupuku repeure
I whakaatuhia i roto i te karapa CT whai muri i te rā kotahi i muri i te maimoatanga HIFU80% te tango i te pukupuku.
Te Take Maimoatanga Matepukupuku Repeure 8:
57 tau te pakeke, he mate pukupuku repeure
I muri i te maimoatanga HIFU, ka whakahaerehia he matawai CT whai murii kitea te tango katoa i waenganui o te puku.
Wā tuku: Akuhata-03-2023