He mau pono koʻikoʻi ka HIFU non-invasive-ultrasound ablation hou i hoʻolauna ʻia ma ka Halemai Honua ʻo Beijing Puhua (BPIH) ma mua o nā kaʻina hana i hoʻohana pinepine ʻia i ka mālama ʻana i ka maʻi ʻaʻai pancreatic.
Ka maʻi ʻaʻai pancreatic a me ka High Intensity Focused Ultrasound Ablation (HIFU)
Ka maʻi ʻaʻai pancreatic
He mea paʻakikī loa ka ʻike mua ʻana i ka maʻi ʻaʻai pancreatic. He maʻi ʻaʻai ʻino loa ia e loaʻa pinepine ana kahi prognosis maikaʻi ʻole. Ua hōʻike ka National Institutes of Health ʻo ka nui o ke ola no 1 makahiki no ka maʻi ʻaʻai pancreatic he 8% wale nō, ʻo ka nui o ke ola no 5 makahiki he emi ma mua o 5%, a ʻo ka awelika o ke ola he 2 a 3 mahina. Hoʻomaopopo pinepine ʻia ka hapa nui o nā maʻi i ka wā holomua o ka maʻi, ʻoiai ʻike pinepine ʻia nā hōʻailona o ka maʻi ʻaʻai pancreatic ke holomua ka maʻi. ʻO nā hōʻailona e komo pū me ka ʻeha o ka ʻōpū, ka pohō kaumaha i wehewehe ʻole ʻia a me ka paʻakikī i ka ʻai ʻana i nā meaʻai momona. I ka wā holomua, hoʻopilikia nui nā hōʻailona o ka ʻeha nui o ke kua i lalo i ke ʻano o ke ola o ka mea maʻi a ʻo ka hoʻohana ʻana i nā lāʻau analgesic e hāʻawi i kahi hōʻoluʻolu, akā ʻaʻole lawa pinepine.
Eia kekahi, i ke kahua holomua o kēia maʻi, ʻaʻole hiki ke hana ʻia ke koho o ke ʻoki ʻana, a i ka hapa nui o nā hihia, ʻo nā lāʻau lapaʻau interventional i hoʻohana pinepine ʻia a me ka chemotherapy e lawe pū mai me lākou i nā hopena ʻaoʻao maikaʻi ʻole a me ka ʻawahia.
He mau pono koʻikoʻi ka HIFU non-invasive-ultrasound ablation hou i hoʻolauna ʻia ma ka Halemai Honua ʻo Beijing Puhua (BPIH) ma mua o nā kaʻina hana i hoʻohana pinepine ʻia i ka mālama ʻana i ka maʻi ʻaʻai pancreatic.
No nā poʻe maʻi me ke kanesa pancreatic pae mua, hiki i ka HIFU ke hoʻopau loa i ka ʻeha. No nā poʻe maʻi me ke kanesa pancreatic pae waena a holomua paha, hiki i ka lāʻau lapaʻau HIFU ke hōʻoluʻolu koke i ka ʻeha koʻikoʻi o ka ʻōpū a me ke kua haʻahaʻa i hoʻokumu ʻia e ke kanesa pancreatic.
He aha ka HIFU?
ʻO ka HIFU ka pōkole no ka ablation ultrasound i kālele ʻia i ka ikaika kiʻekiʻe a ke hōʻike nei ia i ka hanauna hou onā lāʻau lapaʻau minimally invasive no ka maʻi ʻaʻai.
Hoʻohana ʻo HIFU ka maikaʻi o ke komo ʻana o ka ultrasound, a me ka ikaika i ka wā e hele ai ke kukuna ultrasound ma o ka transducer probe a ua kau ʻia i loko o kahi kiko, e kuhikuhi pono ana i ka puʻupuʻu, kahi i hoʻomehana ʻia ma waena o 60 a 100 Degere Celsius. Hoʻopili nā protein cellular o ka puʻupuʻu e alakaʻi ana i ka ablation tumor (ka luku wela ʻana o nā ʻiʻo), me ka ʻole o ka hōʻino ʻia ʻana o nā ʻiʻo a puni. A laila e hoʻopili hou ʻia nā ʻiʻo puʻupuʻu make e ke kino.
I ke ʻano o kahi maʻi ʻaʻai pancreatic hiki ʻole ke hana ʻia, hiki i ka mālama ʻana iā HIFU ke hōʻemi pono i ke kaumaha o ka puʻupuʻu a ʻoi aku ka hoihoi i ka hōʻemi ʻana i ka ʻeha o ka puʻupuʻu ma o ka denervation o nā ʻiʻo, ka hōʻemi ʻana o ka nui o ka puʻupuʻu a me ka neuromodulation, no laila e hoʻolōʻihi ai i ke ola o ka mea maʻi a hoʻomaikaʻi i ke ʻano o ke ola.
Ma hope o ka mālama ʻana, ua loaʻa i ka 88% o nā maʻi nā ʻano like ʻole o ka hōʻoluʻolu ʻeha,
me ka ʻole o nā pilikia koʻikoʻi e like me ke kahe koko ʻana o ka ʻōpū o luna a i ʻole ka perforation gastric-intestinal a me nā scan MRI i hoʻonui ʻia e hōʻike i ka ablation ʻiʻo kūpono ma ka wahi lapaʻau HIFU.
Ma hope o ka hana ʻana i ka noiʻi nui a me ka hoʻomohala ʻana, ua ʻae nui ʻia ka mālama ʻana o HIFU a ua hoʻolaha ʻia i ka mālama ʻana i ka maʻi ʻaʻai pancreatic.
Ma muli o kona ʻano ʻaʻole invasive, i ka hapa nui o nā hihia, pono e pale ʻia ke ʻoki ʻana a ʻo ka hapa nui o ka poʻe maʻi e pono ai hoʻokahi lāʻau HIFU e hoʻokō ai i ka hopena i makemake ʻia o ka luku ʻana i ka puʻupuʻu. ʻO ka mea kupaianaha, ma hope o hoʻokahi lā wale nō o ka loaʻa ʻana o ka lāʻau, hiki i ka hapa nui o nā maʻi ke hoʻi i ka home, no ka mea, ʻaʻohe hopena ma hope e hoʻopilikia ana i ke olakino o nā maʻi.
Hoʻohālikelike o HIFU a me nā koho lapaʻau maʻamau
ʻO ka mea pōʻino, ʻaʻole i ʻike ʻia he 70% - 80% o nā maʻi maʻi kanesa pancreatic i ka wā mua o ke kūlana. Ke ʻike ʻia ka maʻi kanesa pancreatic, ua holomua mua ka mea maʻi i ke kahua waena a i ʻole ka pae holomua o kēia kūlana, me ka manaʻolana ola maʻamau he 3-6 mahina wale nō. Ke ʻike ʻia, ʻaʻole i hiki i ka 10% o nā maʻi me ka maʻi kanesa pancreatic nā moho kūpono no ke ʻoki ʻana, he mea hōʻeha a pilikia hoʻi a hoʻolōʻihi wale i ke ola o ka mea maʻi a hiki i 9 mahina. ʻOiai inā i hui pū ʻia me ka radiotherapy a me ka chemotherapy, hiki ke hoʻolōʻihi ʻia ka manawa ola e 0.5-1 mahina hou aʻe. He pipiʻi a ʻaʻole pono nā koho lapaʻau maʻamau, no ka mea, ʻaʻole lākou e hoʻolōʻihi i ke ola a hāʻawi i ka hōʻoluʻolu ʻeha no ka mea maʻi.
Eia nō naʻe, aneane hiki i nā poʻe maʻi maʻi pancreatic ke kūpono no ka mālama ʻana iā HIFU non-invasive a haʻahaʻa ka pilikia.
Wahi a kā mākou helu helu, hiki ke hoʻolōʻihi ʻia ke ola o nā maʻi mai 3 a 6 mau mahina maʻamau a i 1 a 2 mau makahiki a he 98% kupaianaha o nā maʻi e loaʻa ana nā hoʻomaikaʻi i ʻike ʻia i ka hōʻoluʻolu ʻeha a me ka hoʻolōʻihi ʻana i ke ola ma hope o ka loaʻa ʻana o ka lāʻau HIFU!
Nā Pōmaikaʻi o ka HIFU Ultrasound Ablation Therapy
1.ʻO ka lāʻau lapaʻau ʻaʻole invasive e mālama i nā ʻōkana a me nā ʻano, me ka ʻole o ke kahe koko a me ka ʻole o ka radiation.
2.Ho'ākāka ka modula hoʻolālā 3D i ka palena o nā puʻupuʻu a helu i kahi hoʻolālā therapeutic 3D, e nānā mau ana i nā pane o nā ʻiʻo a hoʻoponopono i nā palena therapeutic e like me ia, e hoʻokō ana i kahi protocol lapaʻau pākahi.
3.ʻO ka ablation kūlike a pololei. Me ka hewa hōʻiliʻili 1mm me ka plus a me ka minus, hiki i ka neʻe pololei o ka ʻōnaehana neʻe 6-dimensional ke hoʻopau palekana i nā puʻupuʻu e pili ana i nā kīʻaha koko nui a i ʻole nā aʻalolo.
4.I ka hapanui o nā hihia hoʻokahi wale nō kau lapaʻau e pono ai a ʻaʻohe palena ma muli o ka nui a me ke ʻano o ka puʻupuʻu. Hiki i ka palena ma waena o nā ʻiʻo i mālama ʻia a me ka ʻiʻo i mālama ʻole ʻia ke haiki e like me 6 a 10 mau cell ka laulā.
5.ʻO ka lāʻau lapaʻau i alakaʻi ʻia e ka ultrasound doppler kala manawa maoli me ka nānā ʻana i ka helu kikohoʻe e ʻae i ka nānā ʻana i ka wā o ka mālama ʻana a hāʻawi i kahi kiʻi ultrasound koke e loiloi i ka hopena holoʻokoʻa ma hope o ka mālama ʻana.
6.Ua lawa ka ikehu o ka ʻāpana focal e hoʻoulu ai i kahi ʻawahia wela koke (ka mahana ma luna o 56 Derees Celsius) ka mea e hoʻoulu ai i ka necrosis coagulative irreversible.
7.Ka hoʻoulu ʻana o ka ʻōnaehana pale kino, ʻoiai ua hoʻopau ʻia nā ʻiʻo necrotic e ka pane ho'ōla ponoʻī a ke kino.