Kenza yepancreatic ine chirwere chegomarara rakanyanya uye fungidziro yakaipa yechirwere. Mukurapa, varwere vazhinji vanoonekwa vari padanho repamusoro, nekuvhiyiwa kwakaderera uye pasina dzimwe nzira dzekurapa dzakakosha. Kushandisa HIFU kunogona kuderedza mutoro wegomarara zvinobudirira, kudzora marwadzo, nokudaro kuwedzera nguva yekurarama kwemurwere uye kuvandudza hupenyu hwake.
Nhoroondo yeHyperthermiakune bundu rinogona kurondwamakore zviuru zvishanu apfuuramuIjipiti yekare, nezvinyorwa zviri muzvinyorwa zvekare zveIjipiti zvichitsanangura kushandiswa kwekupisa kurapa bundu remazamu.Muvambi wekurapa nekupisa, Hippocrates, uyo anonzi ndiye baba vemishonga yekumadokero, akararama makore angangoita 2,500 apfuura.
Hyperthermia inzira yekurapa inosanganisira kushandisa nzira dzakasiyana dzekupisa(senge radiofrequency, microwave, ultrasound, laser, nezvimwewo)kuwedzera tembiricha yenyama yegomarara kusvika padanho rekurapa rinoshanda. Kukwira kwetembiricha uku kunotungamira kurufu rwemasero egomarara ukuwo kuchideredza kukuvara kwemasero akajairwa.
Muna 1985, US FDA yakabvumidza kuvhiyiwa, kurapwa nemwaranzi, chemotherapy, Hyperthermia, uye immunotherapy senzira yechishanu dzinoshanda dzekurapa bundu, zvichimiririra nzira itsva uye inoshanda.
Nheyo huru ndeyekushandisa simba remuviri kupisa muviri wese kana nzvimbo chaiyo yemuviri, kusimudzira tembiricha yenyama yebundu kusvika padanho rekurapa rinoshanda uye kurichengetedza kwenguva yakati. Nekushandisa mukana wekusiyana kwekutsungirira tembiricha pakati penyama dzakajairika nemasero ebundu, chinangwa ndechekuzadzisa chinangwa chekukonzera apoptosis yemasero ebundu pasina kukuvadza nyama dzakajairika.
Nyaya 1 yeKurapa Kenza yePancreatic:
Murwere: Mukadzi, ane makore 46 ekuberekwa, bundu riri mumuswe wepancreas
Upamhi hwebundu iri hunosvika 34mm (anteroposterior), 39mm (transverse), uye 25mm (craniocaudal). Mushure mekurapwa ne ultrasound ne thermal ablation,MRI yekutevera yakaratidza kuti bundu guru rakanga risina kushanda.
Nyaya Yechipiri Yekurapa Kenza Yepancreatic:
Murwere: Mukadzi, ane makore 56 ekuberekwa, kenza yepancreatic ine metastases yakawanda yechiropa
Kurapa panguva imwe chete kwezvirwere zvepancreas uye chiropa uchishandisa ultrasound-guided thermal ablation therapy.MRI yakatevera yakaratidza kuti bundu harina kushanda, uye mipendero yacho yakajeka uye yakanyatsojeka.
Nyaya 3 yeKurapa Kenza yePancreatic:
Murwere: Murume, ane makore makumi mashanu nemana ekuberekwa, kenza yepancreas
Marwadzo apera zvachose mukati memazuva mavirimushure mekurapwa neHIFU (high-intensity focused ultrasound).Bundu iri rakadzikira ne62.6% pamavhiki matanhatu, 90.1% pamwedzi mitatu, uye mazinga eCA199 akadzokera paakajairika pamwedzi gumi nemiviri.
Nyaya 4 yeKurapa Kenza yePancreatic:
Murwere: Mukadzi, ane makore 57 ekuberekwa, kenza yepancreas
Kubuda kwebundu kwakaitika mazuva matatu mushure mekurapwa neHIFU.Bundu iri rakadzikira ne28.7% pamavhiki matanhatu, 66% pamwedzi mitatu, uye kurwadziwa kwakadzikira zvachose.
Nyaya 5 yeKurapa Kenza yePancreatic:
Murwere: Mukadzi, ane makore 41 ekuberekwa, kenza yepancreas
Mushure memazuva mapfumbamwe ekurapwa neHIFU,Kuongororwa kwePET-CT kwakatevera kwakaratidza kupararira kukuru kwechirwere pakati pebundu.
Nyaya 6 yeKurapa Kenza yePancreatic:
Murwere: Murume, ane makore 69 ekuberekwa, kenza yepancreas
Kuongorora kwePET-CT mushure memwedzi mumwe mushure mekurapwa neHIFUyakaratidza kunyangarika zvachose kwebundu, hapana kutorwa kweFDG, uye kudzikira kwemazinga eCA199 kwakazotevera.
Nyaya 7 yeKurapa Kenza yePancreatic:
Murwere: Mukadzi, ane makore 56 ekuberekwa, kenza yepancreas
Kuongororwa kweCT kwakatevera zuva rimwe chete mushure mekurapwa neHIFU kwakaratidza80% kubviswa kwebundu.
Nyaya 8 yeKurapa Kenza yePancreatic:
makore makumi mashanu nemanomwe ekuberekwa, kenza yepancreatic
Mushure mekurapwa neHIFU, kuongororwa kweCT kunoteverayakaratidza kubviswa kwemasero ese pakati pebundu.
Nguva yekutumira: Nyamavhuvhu-03-2023