I-HIFU -Ukhetho olutsha lweZigulana ezineeTumors eziPhakathi ukuya kweziPhezulu

HIFU Intshayelelo

HIFU, emeleI-Ultrasound eGxilwe ngamandla aphezulu, sisixhobo sonyango esingesosihlaseli esenzelwe unyango lwamathumba aqinileyo.Iphuhliswe ngabaphandi abavela kwiSizweUphando lobuNjineliIzikoye-Ultrasound Medicinengokusebenzisana neChongqing Medical University kunye neChongqing Haifu Medical Technology Co., Ltd. Phantse iminyaka engamashumi amabini yomzamo ongapheliyo, i-HIFU ifumene imvume yokulawula kumazwe angama-33 kunye nemimandla yehlabathi jikelele kwaye ithunyelwe kumazwe angaphezu kwama-20.Ngoku isetyenziswa kwizicelo zeklinikhi kwingaphezu kwe-2,000 yezibhedlele kwihlabathi jikelele.Ukusukela ngoDisemba ka-2021, i-HIFU isetyenziselwe ukunyangaphezu 200,000 iimekokuzo zombini iithumba ezinobungozi kunye nezibi, kunye namatyala angaphezu kwezigidi ezi-2 zezifo ezingezona ithumba.Le teknoloji yamkelwa ngokubanzi ziingcali ezininzi ezaziwayo ekhaya nakwamanye amazwe njengomzekelounyango non-invasive indlela kunyango lwangoku.

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UMgaqo-siseko Wonyango
Umgaqo osebenzayo we-HIFU (i-High-Intensity Focused Ultrasound) ifana nendlela ukukhanya kwelanga kugxininiswe ngayo nge-lens convex.Njengokukhanya kwelanga,Amaza e-ultrasound nawo anokujoliswa kwaye angene ngokukhuselekileyo emzimbeni womntu.I-HIFU yiunyango non-invasiveukhetho olusebenzisa amandla angaphandle e-ultrasound ukugxila kwiindawo ezithile ekujoliswe kuzo ngaphakathi komzimba.Amandla agxininiswe kukuqina okuphezulu ngokwaneleyo kwindawo yokwenzakala, afikelele kumaqondo obushushu angaphezu kwama-60 ngokukaCelsius.okomzuzwana.Oku kubangela i-coagulative necrosis, ekhokelela ekufunxeni ngokuthe ngcembe okanye ukukrala kwezicubu ze-necrotic.Okubalulekileyo, izicubu ezijikelezayo kunye nokuhamba kwamaza omsindo azonakaliswa kwinkqubo.

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Usetyenziso

I-HIFU ibonakaliswe kwizinto ezahlukeneyoamathumba amabi, kubandakanywa nomhlaza we-pancreatic, umhlaza wesibindi, umhlaza wezintso, umhlaza webele, i-pelvic tumors, i-sarcomas ye-tissue ethambileyo, i-tumor yethambo elibi, kunye ne-retroperitoneal tumors.Ikwasetyenziselwa ukunyangaiimeko zesiniezifana ne-uterine fibroids, i-adenomyosis, i-breast fibroids, kunye nokukhulelwa kwe-scar.

Kolu phando lwamaziko amaninzi onyango lwe-HIFU unyango lwe-uterine fibroids ebhaliswe kwi-World Health Organization yokubhalisa iqonga, u-Academician Lang Jinghe wasePeking Union Medical College Hospital wakhonza ngokwakhe njengososayensi oyintloko weqela lophando,Izibhedlele ze-20 zithathe inxaxheba, iimeko ze-2,400, ngaphezu kweenyanga ze-12 zokulandelela.Iziphumo, ezipapashwe kwi-BJOG Journal ye-Obstetrics kunye neGynecology emhlabeni jikelele ngo-JUNE 2017, ibonisa ukuba ukusebenza kwe-ultrasonic ablation (HIFU) kunyango lwe-uterine fibroids ihambelana nokuhlinzwa kwendabuko, ngelixa ukhuseleko luphezulu, ukuhlala esibhedlele kwesigulane. lifutshane, kwaye ukubuyela kubomi obuqhelekileyo ngokukhawuleza.

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Izinto eziluncedo kunyango

  • Unyango olungangeneleli:I-HIFU isebenzisa amaza e-ultrasound, aluhlobo lwe-non-ionizing mechanical wave.Ikhuselekile, njengoko ingabandakanyi imitha ye-ionizing.Oku kuthetha ukuba akukho mfuneko yokwenziwa kotyando, ukunciphisa ukuxhatshazwa kwezicubu kunye neentlungu ezinxulumene nazo.Kananjalo ayinamitha, enokunceda ekuphuculeni ukhuselo lomzimba.
  • Unyango oluqaphelayo: Izigulane zifumana unyango lwe-HIFU ngelixa zivukile,kunye ne-anesthesia yendawo kuphela okanye i-sedation esetyenziswe ngexesha lenkqubo.Oku kunceda ukunciphisa iingozi ezinxulumene ne-anesthesia jikelele.
  • Ixesha elifutshane lenkqubo:Ubude benkqubo buhluka ngokusekelwe kwiimeko zesigulane ngasinye, ukusuka kwimizuzu engama-30 ukuya kwiiyure ze-3.Iiseshoni ezininzi aziqhelekanga, kwaye unyango lunokugqitywa kwiseshoni enye.
  • Ukuchacha ngokukhawuleza:Emva konyango lwe-HIFU, izigulane zinokuphinda ziqale kwakhona ukutya kwaye ziphume ebhedini phakathi kweeyure ezi-2.Uninzi lwezigulane zinokukhutshwa ngosuku olulandelayo ukuba akukho zingxaki.Kwisigulane esiqhelekileyo, ukuphumla kweentsuku ezingama-2-3 kuvumela ukubuyela kwimisebenzi eqhelekileyo yomsebenzi.
  • Ugcino lokuchuma: Izigulana zesifazane ezineemfuno zokuchuma zingakwazizama ukukhulelwa kwangoko kwiinyanga ezi-6 emva konyango.
  • Unyango oluluhlaza:Unyango lwe-HIFU luthathwa ngokuba lunobuhlobo nokusingqongileyo kuba alunamonakalo we-radioactive kwaye luphepha iziphumo ebezingalindelekanga eziyityhefu ezinxulumene nechemotherapy.
  • Unyango olungenamava kwiimeko zesini:Unyango lwe-HIFU lweemeko ze-gynecological lushiya kungekho ziva zibonakalayo, zivumela abafazi ukuba bahlaziye ngokuzithemba.

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Amatyala

Ityala le-1: Inqanaba le-IV lomhlaza we-pancreatic kunye ne-metastasis ebanzi (indoda, i-54)

HIFU ablated elikhulu 15 cm pancreatic ithumba ngexesha elinye

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Ityala lesi-2: Umhlaza wesibindi sokuqala (indoda, iminyaka engama-52 ubudala)

I-Radiofrequency ablation ibonise i-tumor eseleyo (i-tumor ekufutshane ne-inferior vena cava).I-tumor eseleyo yachithwa ngokupheleleyo emva kokunyanzelwa kwe-HIFU, kwaye i-vena cava engaphantsi yayikhuselwe kakuhle.

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Ixesha lokuposa: Jul-24-2023