Wahi a ka ʻikepili kūpono o ka International Agency for Research on Cancer (IARC) o ka World Health Organization (WHO), ua lilo ka maʻi ʻaʻai maʻi i kekahi o nā maʻi maʻi maʻi koʻikoʻi loa, a ʻo ka pale ʻana a me ka mālama ʻana i ka maʻi ʻaʻai māmā ua lilo i mea nui. o ka pale ana a me ka lapaau ana.
Wahi a nā ʻikepili pili pili, e pili ana waleHiki i ka 20% o nā poʻe maʻi maʻi maʻi ʻaʻai māmā liʻiliʻi ke hele i ka lāʻau lapaʻau curative.ʻO ka hapa nui o nā poʻe maʻi maʻi maʻi maʻi maʻi i kēia manawanā pae holomuake ʻike ʻia, a loaʻa paha iā lākou nā pōmaikaʻi liʻiliʻi mai ka radiotherapy kuʻuna a me ka mālama ʻana i ka chemotherapy.Me ka holomua mau a me ka ulu ʻana o ka ʻepekema lapaʻau, ka puka ʻana olāʻau ablativema ke ʻano he pani no ka ʻoki ʻana ua lawe mai i ka manaʻolana lapaʻau hou no nā poʻe maʻi maʻi maʻi maʻi.
1. Pehea ka nui o kāu ʻike e pili ana i ka ablative therapy no ka maʻi kanesa?
ʻO ka lāʻau ablative no ka maʻi maʻi maʻi maʻi ka nuiablation microwave a me ka radiofrequency ablation.ʻO ka loina lapaʻau e pili ana i ka hoʻokomo ʻana i kahi electrode ablative, i ʻike ʻia ʻo a"ʻimi,"i loko o ke koko koko.Hiki i ka electrode ke kumuneʻe wikiwikio nā ʻāpana e like me nā ion a i ʻole nā molekole wai i loko o ka ʻōpū, e hoʻoulu ana i ka wela ma muli o ka friction, e alakaʻi ana ipōʻino hiki ʻole ke hoʻihoʻi ʻia e like me ka coagulative necrosis o nā pūnana maʻi.I ka manawa like, e emi koke ana ka wikiwiki o ka hoʻololi ʻana i ka wela i loko o ka ʻiʻo māmā maʻamau a puni, e mālama ana i ka wela i loko o ka ʻōpū, e hana ana i kahi"ka hopena hoʻokaʻawale wela."Hiki i ka ablative therapy ke pepehi pono i ke koko i ka wāka hoʻonui ʻana i ka pale o ka ʻiʻo māmā maʻamau.
Hōʻike ʻia ka ablative therapy e kānaka hoʻihoʻi hou ʻana, ka liʻiliʻi o ka ʻehaʻeha o ka mea maʻi, ka ʻeha liʻiliʻi, a me ka hoʻōla wikiwiki ʻana,a ua ʻike nui ʻia a hoʻohana ʻia i ka hana lapaʻau.Eia nō naʻe, me ka noʻonoʻo ʻana e pili ana ka ablative therapy i nā ʻano aʻoaʻo like ʻole e like me radiology, oncology, interventional radiology, a me surgical anatomy, pono ia i kahi kiʻekiʻe o nā mākau hana a me nā ʻano kikoʻī mai ke kauka hana.
I kēia lā, makemake mākou e hoʻolauna iā ʻoe i kahi loea kaulana i ke kahua o ka mālama interventional,ʻO Kauka Liu Chen, ka mea i hana ma ke kula no nā makahiki he nui a ua hoʻolaʻa ʻia i ka noiʻi unuhi lapaʻau a me ka hoʻonui ʻia ʻana o nā diagnostics interventional minimally invasive a me nā lāʻau lapaʻau e like me nā biopsies tumo paʻakikī a kiʻekiʻe, ablation thermal, a me ka implantation particle.Ua ʻike ʻia ʻo Kauka Liu ma ke ʻano he "hero on the needle tip" a ua komo ʻo ia i ka hoʻokumu ʻana i ka ʻikepili loea a me nā alakaʻi no nā ʻano hana lapaʻau ʻokoʻa no ka maʻi kanesa ma Kina.Ua hoʻokumu ʻo ia i ka manaʻo o ka hoʻokele piha ʻana i nā biopsies maʻi kanesa āpau a hoʻokumu i nā kaʻina hana maʻamau no ka hoʻomaikaʻi ʻana i ka hoʻoholo ʻana o ka mālama interventional i ka lāʻau lapaʻau kūloko no ka maʻi maʻi maʻi maʻi mua, e hāpai ana i ka hoʻomohala holoʻokoʻa o ka maʻi maʻi kanesa o Kina a me ka ʻōnaehana mālama.
"Hero ma ka ʻĀpana Needle" - Kauka Liu Chen
Hana kūikawā i ka hōʻailona interventional minimally invasive a me nā ʻenehana lapaʻau no nā maʻi maʻi ma lalo o ke alakaʻi kiʻi
1. Hoʻokuʻu ʻia ka microwave/Radiofrequency
2. ʻO ka biopsy percutaneous
3. Ka hoʻokomo ʻana i nā mea kani radioactive
4. Hoʻoponopono ʻeha interventional
2. Ke kumu a me nā hōʻailona o ka lāʻau ablative no ka maʻi maʻi maʻi
ʻO ka "Consensus Expert on Ablative Therapy for Primary and Metastatic Lung Tumors"(2014 edition) hoʻokaʻawale i ka lāʻau ablative no ka maʻi ʻaʻai māmā i ʻelua mau ʻāpana: curative a palliative.
ʻO ka hoʻokaʻawale ʻanamakemake e hoʻopau loa i ka ʻiʻo tumo kūloko a hiki ke loaʻa i kahi hopena curative.ʻO ka maʻi maʻi maʻi maʻi mua he hōʻailona maoli no ka ablative therapy,ʻoi loa no nā poʻe maʻi me ka hana cardiopulmonary maikaʻi ʻole, nā makahiki ʻelemakule, hiki ʻole ke ʻae i ka ʻoki ʻana, hōʻole ʻole e hana i ka ʻokiʻoki ʻana, a i ʻole ka poʻe me ka hoʻi hou ʻana o ka maʻi maʻi ma hope o ka radiotherapy conformal, a me kekahi mau mea maʻi me nā maʻi maʻi maʻi maʻi maʻi mua e pono e mālama i ka hana o ka māmā. .
Palliative ablationmanao eʻAʻole hiki ke hoʻopau i ka maʻi maʻi mua i ka maʻi maʻi maʻi maʻi maʻi maʻi, hoʻemi i ke kaumaha o ka maʻi, hoʻomaha i nā hōʻailona i hoʻokumu ʻia e ka maʻi ʻaʻa, a hoʻomaikaʻi i ka maikaʻi o ke ola o ka mea maʻi.No nā poʻe maʻi me ka maʻi maʻi maʻi maʻi maʻi pae kiʻekiʻe, hiki i nā maʻi maʻi me ke anawaena kiʻekiʻe ma mua o 5 knm a i ʻole me nā ʻeha he nui ke hele i nā manawa lapaʻau multi-needle, multipoint, a i ʻole e hui pū ʻia me nā ʻano lapaʻau ʻē aʻe e hoʻolōʻihi i ke ola.No nā metastases māmā maʻi hope loa, inā maikaʻi ka hoʻomalu ʻana i nā maʻi maʻi extrapulmonary a he liʻiliʻi wale nō o nā ʻeha metastatic koena i loko o ka māmā, hiki i ka ablative therapy ke kōkua maikaʻi i ka mālama ʻana i ka maʻi a hoʻomaikaʻi i ka maikaʻi o ke ola o ka mea maʻi.
3. Nā pōmaikaʻi o ka ablative therapy
ʻO ka ʻokiʻoki liʻiliʻi, hoʻōla wikiwiki: Manaʻo ʻia ka lāʻau ablative he ʻoki interventional invasive liʻiliʻi.ʻO ka nila electrode ablative i hoʻohana maʻamau he anawaena o1-2mm, ka hopena o nā ʻokiʻoki liʻiliʻi e like me ka nui o ka lua nila.Hāʻawi kēia ala i nā pono e like meka ʻeha liʻiliʻi, ka liʻiliʻi o ka ʻeha, a me ka wikiwiki o ka hoʻōla.
ʻO ka manawa ʻoki pōkole, ʻoluʻolu ka ʻike:Hoʻohana pinepine ʻia ka lāʻau ablative ma lalo o ka anesthesia kūloko a i hui pū ʻia me ka sedation intravenous, e hoʻopau ana i ka pono o ka intubation endotracheal.Aia nā poʻe maʻi i kahi moe hiamoe māmā a hiki ke hoʻāla maʻalahi ʻia me ka pā mālie.Manaʻo paha kekahi mau maʻi e like me ka pau ʻana o ke kaʻina hana ma hopehe hiamoe wikiwiki.
ʻO ka biopsy hoʻokahi no ka hōʻoia pololei:I ka wā ablative therapy, hiki ke hoʻohana ʻia kahi alakaʻi coaxial a i ʻole nā mea kani biopsy puncture e loaʻa ai kahi biopsy o ka lesion.Mahope ihoka ʻike pathological a me ka hoʻāʻo genetichāʻawi i ka ʻike waiwai no nā hoʻoholo lapaʻau ma hope.
Kaʻina hana hou: Ua hōʻike ʻia nā haʻawina he nui mai nā kumu ʻāina a me nā kumu honua ʻo ka hoʻohālikelike ʻana i ka helu hoʻomalu kūloko o nā maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi ablative e hoʻohālikelike ʻia me ka hoʻokaʻawale ʻana a i ʻole ka stereotactic radiation therapy.I ka hihia o ka hoʻihoʻi kūloko, ablative therapyhiki ke hana hou i na manawa he nuie loaa hou ka ma'i oiaika hoʻonui ʻana i ka maikaʻi o ke ola o ka mea maʻi.
Hoʻoulu a hoʻonui paha i ka hana immune: Ablative therapy i kapepehi i nā pūnaeʻe koko i loko o ke kino, a i kekahi mau hihia, hiki iā ia ke hoʻoikaika a hoʻonui i ka hana immune o ka mea maʻi, e alakaʻi ana i kahi kahi i hōʻike ʻia ai ka hoʻihoʻi ʻana o nā maʻi koko i mālama ʻole ʻia ma nā wahi ʻē aʻe o ke kino.Hoʻohui ʻia, hiki ke hoʻohui ʻia ka lāʻau ablative me ka lāʻau ʻōnaehana e hana aihe hopena synergistic.
He kūpono loa ka lāʻau ablative no nā poʻe maʻi hiki ʻole ke ʻae i ka ʻokiʻoki ʻana a i ʻole ka anesthesia āpau ma muli o kamaikaʻi ʻole ka hana cardiopulmonary, ʻelemakule, a i ʻole nā maʻi maʻi maʻi.He lapaʻau maikaʻi nō hoʻi ia no nā maʻi menā nodule lehulehu (e like me nā nodule aniani honua).
Ka manawa hoʻouna: ʻAukake-23-2023