Iyo ichangoburwa HIFU isiri-invasive-ultrasound ablation paBeijing Puhua International Hospital (BPIH) ine mabhenefiti makuru pamusoro peanowanzo shandiswa nzira mukurapa gomarara repancreatic.
Pancreatic Cancer uye High Intensity Focused Ultrasound Ablation (HIFU)
Pancreatic Cancer
Kutanga kuongororwa kwepancreatic cancer kwakaoma kwazvo.Igomarara rakaipisisa iro rinowanzova nekusaziva zvakanaka.National Institutes of Health inoshuma kuti 1-gore rekurarama kwegomarara repancreatic rinongori 8%, makore mashanu ekupona ari pasi pe5%, uye avhareji yehupenyu inotarisirwa mwedzi miviri kusvika ku3.Varwere vakawanda vanowanzoongororwa chete padanho repamusoro rechirwere, sezvo zviratidzo zvekenza yepancreatic zvinowanzoonekwa chete kana chirwere chacho chawedzera.Zviratidzo zvinosanganisira marwadzo emudumbu, kuonda kusingatsananguriki uye kuomerwa nekugaya zvokudya zvine mafuta.Padanho repamusoro zviratidzo zvekurwadziwa kwakanyanya kwepazasi kunokanganisa zvakanyanya kunaka kwehupenyu hwemurwere uye kushandiswa kwemishonga yeanalgesic kunogona kupa zororo, asi kazhinji haina kukwana.
Uyezve padanho repamusoro rechirwere ichi, sarudzo yekuvhiyiwa inogona kunge isingagoneki uye kazhinji kazhinji iyo inowanzoshandiswa kupindira kurapa uye chemotherapy inounza pamwe nezvakawanda zvisingadiwi mhedzisiro uye chepfu.
Iyo ichangoburwa HIFU isiri-invasive-ultrasound ablation paBeijing Puhua International Hospital (BPIH) ine mabhenefiti makuru pamusoro peanowanzo shandiswa nzira mukurapa gomarara repancreatic.
Kune varwere vane nhanho yekutanga pancreatic cancer, HIFU inogona kubvisa zvachose chironda.Kune varwere vane yepakati kana yepamusoro nhanho gomarara repancreatic, kurapwa kweHIFU kunogona kudzikamisa nekukasira kurwadza kwemudumbu nekuzasi kunokonzerwa nepancreatic cancer.
Chii chinonzi HIFU?
HIFU ipfupi kune yakakwirira-yakanyanya kutarisisa ultrasound ablation uye inomiririra chizvarwa chinotevera chekurapwa kwegomarara zvishoma.
HIFU inoshandisa Ultrasound's good penetrability, and intensity as the ultrasound beam inofamba nemu transducer probe uye inonangana pane imwe point, yakanangana nebundu, iro rinopisa pakati pe60 kusvika 100 Degrees Celsius.Iwo mapuroteni emasero ebundu anobatana achitungamira bundu ablation (kuparadzwa kwekupisa kwematishu), pasina kukuvadzwa kwenyama yakatenderedza.Iwo akafa bundu matishu anobva atorwazve nemuviri zvishoma nezvishoma.
Panyaya yegomarara repancreatic risingashande, kurapwa kweHIFU kunogona kunyatso kudzikisa bundu kuremerwa uye zvakanyanya kunakidza kuderedza bundu marwadzo kuburikidza nenyama denervation, bundu kuderedzwa uye neuromodulation, nekudaro kurebesa kurarama kwemurwere nekuvandudza hupenyu.
Kutevera kurapwa, 88% yevarwere vakawana madhigirii akasiyana ekurwadziwa,
pasina matambudziko akakomba akadai sekumusoro kwegumbo kubuda ropa kana gastric-intestinal perforation uye kukwidziridzwa kweMRI scans kunoratidza kunoshanda kwematishu ablation munzvimbo yeHIFU therapy.
Mushure mekuita tsvakiridzo yakakura nekusimudzira, kurapwa kweHIFU kwave kugamuchirwa zvakanyanya uye nekusimudzirwa mukurapa kwegomarara repancreatic.
Nekuda kwekusapindira kwehunhu, kuvhiya kazhinji kunofanirwa kudzivirirwa uye varwere vazhinji vanongoda kurapwa kumwe chete kweHIFU kuti vawane mhedzisiro inodiwa yekuparadza bundu.Zvinoshamisa, mushure mezuva rimwe chete rekurapwa, varwere vazhinji vanogona kudzokera kumba, sezvo pasina mhedzisiro inokanganisa hutano hwevarwere.
Kuenzanisa kweHIFU uye zvakajairwa kurapwa sarudzo
Zvinosuruvarisa 70% - 80% yevarwere vepancreatic cancer havawanikwe mukutanga kwemamiriro ezvinhu.Kana kuongororwa kwegomarara repancreatic kunoitika, murwere kazhinji anenge atofambira mberi kusvika pakati kana nhanho yepamusoro yemamiriro ezvinhu aya, ane hupenyu hwakajairika hwemwedzi 3-6 chete.Kana vangoonekwa, vasingasviki 10% yevarwere vane pancreatic cancer vanokodzera kuvhiyiwa, izvo zvinoshungurudza uye zvine njodzi uye kazhinji zvinongowedzera hupenyu hwemurwere nemwedzi 9 chete.Kunyangwe ikasanganiswa neradiotherapy uye chemotherapy, nguva yekurarama inogona kungowedzerwa neimwe mwedzi 0.5-1.Sarudzo dzekurapa dzakajairwa dzinodhura uye hadzishande, sezvo dzisingawedzere nguva yekurarama uye kupa zororo rekurwadziwa kumurwere.
Nekudaro vanenge vese varwere vegomarara repancreatic vanokodzera iyo isiri-invasive, yakaderera njodzi HIFU kurapwa.
Maererano nenhamba dzedu, kupona kwevarwere kunogona kuwedzerwa kubva pachiyero che3 kusvika kumwedzi mitanhatu kusvika kumakore 1 kusvika kumakore maviri uye inoshamisa 98% yevarwere vanowana kuvandudzwa kunooneka mukuzorodza kurwadziwa uye kuwedzera kwehupenyu mushure mekugamuchira kurapwa kweHIFU!
Zvakanakira zveHIFU Ultrasound Ablation Therapy
1.Noninvasivetreatment kuchengetedza nhengo uye zvimiro, pasina kuwedzerwa ropa uye pasina mwaranzi.
2.3D yakananga module inotsanangura muganho wetumor uye inoverengera chirongwa che 3D chekurapa, ichigara ichiongorora mhinduro dzematishu uye kugadzirisa marapirwo ekurapa zvinoenderana, kuwana yega kurapwa protocol.
3.Conformal uye chaiyo ablation.Iine plus uye minus 1mm accumulative error, kufamba chaiko kwe6-dimensional motion system kunogona kubvisa mabundu ari padyo nemidziyo mikuru kana tsinga zvakachengeteka.
4.Muzviitiko zvakawanda chikamu chimwe chete chekurapa chinodiwa uye hapana chinogumira nekuda kwekukura kwebundu uye chimiro, Muganho pakati pematishu akarapwa uye asina kurapwa anogona kutetepa semaseru matanhatu kusvika gumi pahupamhi.
5.Real-time color doppler ultrasound-inotungamirirwa kurapa nedhijitari quantitative kuongororwa inobvumira kutarisa panguva yekurapa kwese uye inopa yekukurumidza ultrasound mufananidzo wekutarisa mhedzisiro yese inotevera kurapwa.
6.Simba renzvimbo yakatarisa rakakwirisa zvekukwanisa kukonzeresa huturu hwekukurumidza (tembiricha iri pamusoro pe56Derees Celsius) izvo zvinokonzeresa coagulative necrosis isingachinjike.
7.activation ye immune system, sezvo necrotic tishu inoraswa nemuviri wega mhinduro yekuporesa.