Nhanganyaya yeHIFU
HIFU, inomiririraUltrasound Yakanyanya Kusimba, chishandiso chitsva chekurapa chisingapindi mishonga chakagadzirirwa kurapa bundu rakasimba. Chakagadzirwa nevaongorori vanobva kuNationalTsvagiridzo yeUinjiniyaNzvimbo yepakatiyeMishonga yeUltrasoundpamwe chete neChongqing Medical University neChongqing Haifu Medical Technology Co., Ltd. Nekushanda nesimba kwemakore anoda kusvika makumi maviri, HIFU yakawana mvumo yepamutemo munyika 33 nenzvimbo pasi rose uye yakatumirwa kunyika dzinopfuura makumi maviri. Iye zvino iri kushandiswa mumabasa ekurapa muzvipatara zvinopfuura 2,000 pasi rose.Kubva muna Zvita 2021, HIFU yave kushandiswa kurapanyaya dzinopfuura 200,000yemamota asina njodzi neekenza, pamwe chete nezvirwere zvinopfuura mamiriyoni maviri zvisina bundu. Iyi tekinoroji inozivikanwa zvikuru nenyanzvi dzakawanda dzinozivikanwa munyika nekunze kwenyika seyemuenzaniso.kurapwa kusingapindi mishonga nzira yekurapa kwemazuva ano.
Nheyo yeKurapa
Pfungwa yekushanda kweHIFU (High-Intensity Focused Ultrasound) yakafanana nekuti chiedza chezuva chinotariswa sei kuburikidza negirazi rakamonana. Kungofanana nechiedza chezuva,Mafungu e ultrasound anogonawo kutariswa uye kupinda mumuviri wemunhu zvakachengeteka.HIFU ikurapwa kusingapindi mishongasarudzo inoshandisa simba rekunze re ultrasound kuti ritarise nzvimbo dzakatarwa mukati memuviri.Simba racho rinoiswa zvakanyanya panzvimbo ine chironda, richisvika pakupisa kuri pamusoro pe60 degrees Celsius.kwechinguva. Izvi zvinokonzera coagulative necrosis, zvichikonzera kunyudzwa zvishoma nezvishoma kana kuti mavanga enyama inobuda ropa.Chinokosha ndechekuti, nyama dzakapoteredza uye kufamba kwemafungu eruzha hazvikuvadzi panguva iyi.
Mashandisirwo
HIFU inoratidzwa kune zvakasiyana-siyanabundu rakaipa, kusanganisira kenza yepancreas, kenza yechiropa, kenza yeitsvo, kenza yemazamu, bundu rechiuno, sarcomas dzenyama dzakapfava, bundu remapfupa anouraya, uye bundu remudumbu. Inoshandiswawo kurapamamiriro evakadzizvakaita semafibroids emuchibereko, adenomyosis, mafibroids emazamu, uye pamuviri une mavanga.
Muchidzidzo ichi chekurapa hutachiona hwemudumbu hwechibereko cheHIFU chakanyoreswa kuburikidza nepuratifomu yekunyoresa yeWorld Health Organisation, Academician Lang Jinghe wePeking Union Medical College Hospital ndiye akashanda semusayendisiti mukuru weboka rekutsvagisa,Zvipatara makumi maviri zvakatora chikamu, nyaya 2,400, uye mwedzi inopfuura gumi nemiviri yekuteveraZvakawanikwa, zvakaburitswa muBJOG Journal of Obstetrics and Gynaecology ine simba pasi rose muna CHIKUMI 2017, zvinoratidza kuti kushanda kwe ultrasound ablation (HIFU) mukurapa uterine fibroids kunoenderana nekuvhiyiwa kwechinyakare, nepo kuchengetedzeka kuri kwakakwira, kugara kwemurwere muchipatara kupfupi, uye kudzoka kuhupenyu hwemazuva ese kuri nekukurumidza.
Mabhenefiti Ekurapwa
- Kurapa kusingapindi mushonga:HIFU inoshandisa mafungu e ultrasound, ayo ari rudzi rwemafungu asingasanganisi ionizing mechanical wave. Yakachengeteka, sezvo isingasanganisire ionizing radiation. Izvi zvinoreva kuti hapana chikonzero chekuchekwa kwekuvhiyiwa, kuderedza kukuvara kwenyama uye marwadzo anokonzerwa nayo. Hainawo mwaranzi, izvo zvinogona kubatsira kuvandudza dziviriro yemuviri.
- Kurapwa vachiziva: Varwere vanorapwa neHIFU vakamuka,nekushandisa mushonga wekutindivadza kana kuti sedation chete panguva yekuvhiyiwa.Izvi zvinobatsira kuderedza njodzi dzinosanganisirwa nekushandisa anesthesia.
- Nguva pfupi yekuita:Nguva yekuvhiyiwa inosiyana zvichienderana nemamiriro emurwere mumwe nemumwe, kubva pamaminitsi makumi matatu kusvika maawa matatu. Kuvhiyiwa kwakawanda hakudiwi, uye kurapwa kunogona kuitwa kamwe chete.
- Kupora nekukurumidza:Mushure mekurapwa neHIFU, varwere vanogona kutangazve kudya uye kumuka mumaawa maviri. Varwere vazhinji vanogona kuburitswa muchipatara zuva rinotevera kana pasina matambudziko. Kune murwere akajairika, kuzorora kwemazuva maviri kusvika matatu kunobvumira kudzokera kumabasa ake enguva dzose.
- Kuchengetedza kubereka: Varwere vemadzimai vane zvinodiwa zvekubereka vanogonaedza kubata pamuviri mushure memwedzi mitanhatu mushure mekurapwa.
- Kurapa kwegirini:Kurapwa neHIFU kunoonekwa sekwakachengeteka kune zvakatipoteredza nekuti hakuna kukuvara kwemwaranzi uye hakukuvadzi migumisiro ine chepfu inokonzerwa nechemotherapy.
- Kurapa kusina mavanga ezvirwere zvevakadzi:Kurapwa neHIFU kwezvirwere zvevakadzi hakusiyi mavanga anooneka, zvichibvumira vakadzi kupora nechivimbo chakawedzerwa.
Nyaya
Nyaya 1: Kenza yepancreas yedanho rechina ine kupararira kukuru kwemasero (murume, 54)
HIFU yakabvisa bundu guru repancreas re 15 cm panguva imwe chete
Nyaya yechipiri: Kenza yechiropa (murume, ane makore makumi mashanu nemaviri ekuberekwa)
Kubviswa kwemajini neRadiofrequency kwakaratidza bundu rakasara (bundu riri pedyo ne inferior vena cava). Bundu rakasara rakabviswa zvachose mushure mekudzoserwa kweHIFU, uye inferior vena cava yakachengetedzwa zvakanaka.
Nguva yekutumira: Chikunguru-24-2023