HIFU - Sarudzo Itsva yeVarwere vane Yepakati kusvika Yepamberi-nhanho Tumors

HIFU Nhanganyaya

HIFU, izvo zvinomiriraHigh Intensity Focused Ultrasound, inyanzvi yekurapa isiri-invasive yakagadzirirwa kurapwa kwemamota akasimba.Yakagadzirwa nevaongorori kubva kuNationalEngineering ResearchCenterye Ultrasound Medicinetichibatsirana neChongqing Medical University neChongqing Haifu Medical Technology Co., Ltd. Neanoda kusvika makumi maviri emakore ekuedza kusingadzoreki, HIFU yakawana mvumo yekutonga munyika makumi matatu nenhatu nematunhu pasi rose uye yakatengeswa kunze kwenyika dzinopfuura makumi maviri.Iko zvino yave kushandiswa mumakiriniki application mukatizvipatara zvinodarika zviuru zviviri pasi rose.Kubva muna Zvita 2021, HIFU yakashandiswa kurapapamusoro pe200,000 kesiyezvose zviri zviviri benign uye zvakaipa tumors, pamwe neanopfuura 2 miriyoni zviitiko zveasiri-bundu zvirwere.Iyi tekinoroji inozivikanwa zvakanyanya nevakawanda vane mukurumbira nyanzvi kumba nekune dzimwe nyika semuenzanisonon-invasive treatment nzira mumishonga yemazuva ano.

Kurapa Nheyo
Nheyo yekushanda yeHIFU (High-Intensity Focused Ultrasound) yakafanana nekutariswa kwezuva kuburikidza ne-convex lens.Kungofanana nechiedza chezuva,mafungu e ultrasound anogonawo kutariswa uye kupinda zvakachengeteka mumuviri wemunhu.HIFU arinon-invasive treatmentsarudzo inoshandisa ekunze ultrasound simba kuti itarise pane dzakanangwa nzvimbo mukati memuviri.Simba rinonangidzirwa kune yakakwira zvakakwana kusimba panzvimbo yeronda, inosvika tembiricha iri pamusoro pe60 degrees Celsius.kwechinguva.Izvi zvinokonzeresa coagulative necrosis, zvichikonzera kunyura zvishoma nezvishoma kana mavanga eiyo necrotic tissue.Zvinonyanya kukosha, matishu akapoteredzwa uye mafambiro emafungu enzwi haana kukuvadzwa mukuita.

Applications

HIFU inoratidzirwa kune akasiyanamamota akaipa, kusanganisira kenza yepancreatic, kenza yechiropa, kenza yeitsvo, kenza yemazamu, mapundu epelvic, zvinyoro zvinyoro sarcomas, marara emapfupa emamota, uye retroperitoneal tumors.Inoshandiswawo kurapagynecological mamirirozvakadai seuterine fibroids, adenomyosis, breast fibroids, uye nhumbu dzine mavanga.

Muchidzidzo chekiriniki chakawanda cheHIFU kurapwa kweuterine fibroids yakanyoreswa kuburikidza neWorld Health Organisation kunyoresa papuratifomu, Academician Lang Jinghe wePeking Union Medical College Hospital pachake akashanda semukuru wesainzi weboka reongororo,Zvipatara makumi maviri zvakatora chikamu, 2,400 kesi, kupfuura mwedzi gumi nemiviri yekutevera.Zvakawanikwa, zvakabudiswa muBJOG Journal of Obstetrics uye Gynecology yepasi rose muna JUNE 2017, zvinoratidza kuti kushanda kwe ultrasonic ablation (HIFU) mukurapa uterine fibroids inopindirana nekuvhiyiwa kwechinyakare, nepo kuchengetedzwa kwakakwirira, kugara muchipatara chemurwere. ipfupi, uye kudzokera kuhupenyu hwemazuva ose kunokurumidza.

Kurapa Kwakanakira

• Non-invasive treatment:HIFU inoshandisa masaisai eultrasound, ari rudzi rweasiri-ionizing mechanical wave.Izvo zvakachengeteka, sezvo zvisingabatanidzi ionizing radiation.Izvi zvinoreva kuti hapana chikonzero chekuvhiya kuvhiyiwa, kuderedza kushungurudza kwenyama uye kurwadziwa kwakabatana.Iyo zvakare haina radiation-isina, iyo inogona kubatsira kuvandudza kusadzivirirwa.
• Kuziva kurapwa: Varwere vanorapwa neHIFU vakasvinura,pamwe chete neanesthesia yemunharaunda kana sedation inoshandiswa panguva yekuita.Izvi zvinobatsira kuderedza njodzi dzinosangana ne general anesthesia.
• Nguva pfupi yekuita:Nguva yemaitiro inosiyana zvichienderana nemurwere wega wega mamiriro, kubva pamaminitsi makumi matatu kusvika kumaawa matatu.Zvirongwa zvakawanda hazviwanzodikanwa, uye kurapwa kunogona kupedzwa muchikamu chimwe chete.
• Kukurumidza kupora:Mushure mekurapwa kweHIFU, varwere vanogona kutangazve kudya uye kusimuka pamubhedha mukati memaawa maviri.Varwere vazhinji vanogona kuburitswa zuva rinotevera kana pasina matambudziko.Kumurwere wepakati, kuzorora kwemazuva 2-3 kunobvumira kudzoka kumabasa akajairika ebasa.
• Kuchengetedza Kubereka: Varwere veGynecological vane zvinodiwa zvekubereka vanogonaedza kubata pamuviri nokukurumidza semwedzi mitanhatu mushure mekurapwa.
• Green therapy:Kurapwa kweHIFU kunoonekwa sekwakabatana nemhoteredzo nekuti haina kukuvara kweradioactive uye inodzivirira chepfu mhedzisiro inosanganiswa nechemotherapy.
• Kurapa pasina scarless kune gynecological mamiriro:Kurapa kweHIFU kwezvirwere zvechikadzi kunosiya pasina mavanga anooneka, zvichiita kuti vakadzi vadzoke vaine chivimbo chakawedzerwa.

Cases

Nyaya 1: Nhanho IV kenza yepancreatic ine metastasis yakakura (murume, 54)

HIFU yakabvisa bundu guru re 15 cm panguva imwe chete

Case 2: Chekutanga cancer yechiropa (murume, makore makumi mashanu neshanu)

Radiofrequency ablation yakaratidza kusarira bundu (bundu riri pedyo ne inferior vena cava).Bundu rakasara rakabviswa zvachose mushure mekudzoka kweHIFU, uye iyo yakaderera vena cava yakachengetedzwa zvakanaka.