Wahi a ka ʻikepili pili o ka International Agency for Research on Cancer (IARC) o ka World Health Organization (WHO), ua lilo ka maʻi kanesa o ka māmā i hoʻokahi o nā puʻupuʻu ʻino koʻikoʻi loa, a ʻo ka pale ʻana a me ka mālama ʻana i ka maʻi kanesa o ka māmā ua lilo ia i mea nui loa o ka pale ʻana a me ka mālama ʻana i ka maʻi kanesa.
Wahi a nā ʻikepili helu pili, ma kahi oHiki i ka 20% o nā maʻi maʻi ʻaʻai māmā liʻiliʻi ke hana i ka lāʻau lapaʻauʻO ka hapa nui o nā maʻi kanesa māmā ua komo mua i lokonā pae holomuake ʻike ʻia, a loaʻa paha iā lākou nā pono palena mai nā lāʻau lapaʻau radiotherapy a me chemotherapy kuʻuna. Me ka holomua mau a me ka hoʻomohala ʻana o ka ʻepekema lapaʻau, ka puka ʻana mai olāʻau lapaʻau ablativema ke ʻano he pani no ke ʻoki ʻana ua lawe mai i ka manaʻolana hou no ka mālama ʻana no nā maʻi maʻi kanesa o ka māmā.
1. Pehea ka nui o kou ʻike e pili ana i ka lāʻau ablative no ka maʻi ʻaʻai māmā?
ʻO ka lāʻau lapaʻau ablative no ka maʻi ʻaʻai māmā e komo pū me iaka hoʻopau ʻana i ka microwave a me ka hoʻopau ʻana i ke alapine radioʻO ke kumumanaʻo lapaʻau e pili ana i ka hoʻokomo ʻana i kahi electrode ablative, i ʻike ʻia hoʻi he"ʻimi,"i loko o ka puʻupuʻu i loko o ka māmā. Hiki i ka electrode ke hananeʻe wikiwikio nā ʻāpana e like me nā ion a i ʻole nā mole wai i loko o ka puʻupuʻu, e hoʻopuka ana i ka wela ma muli o ka friction, e alakaʻi ana ika hōʻino hiki ʻole ke hoʻihoʻi ʻia e like me ka necrosis coagulative o nā pūnaewele tumor.I ka manawa like, emi koke ka wikiwiki o ka hoʻoili wela i loko o ka ʻiʻo māmā maʻamau e hoʻopuni ana, e mālama ana i ka wela i loko o ka puʻupuʻu, e hana ana i kahi"Hopena hoʻokaʻawale wela."Hiki i ka lāʻau lapaʻau Ablative ke pepehi pono i ka puʻupuʻu i ka wāka hoʻonui ʻana i ka pale ʻana o nā ʻiʻo māmā maʻamau.
Hoʻohālikelike ʻia ka lāʻau lapaʻau Ablative e kānaka hana hou ʻana, ka ʻoluʻolu iki o ka mea maʻi, ka ʻeha liʻiliʻi, a me ka ho'ōla wikiwiki ʻana,a ua ʻike nui ʻia a hoʻohana ʻia i ka hana lapaʻau. Eia nō naʻe, no ka mea e pili ana ka lāʻau ablative i nā ʻano aʻo like ʻole e like me ka radiology, oncology, interventional radiology, a me ke anatomy ʻokiʻoki, koi ia i kahi pae kiʻekiʻe o nā mākau ʻokiʻoki a me nā ʻano piha mai ke kauka hana.
I kēia lā, makemake mākou e hoʻolauna iā ʻoe i kahi loea kaulana i ke kahua o ka mālama ʻana i ka maʻi,ʻO Kauka Liu Chen, ka mea i hana ma ke kahua no nā makahiki he nui a ua hoʻolaʻa ʻia i ka noiʻi unuhi lapaʻau a me ka hoʻolaha ʻana i nā ʻano maʻamau o nā diagnostics interventional minimally invasive a me nā lāʻau lapaʻau e like me nā biopsies tumor paʻakikī a me ka pilikia kiʻekiʻe, thermal ablation, a me ka hoʻokomo ʻana i nā ʻāpana.Ua ʻike ʻia ʻo Kauka Liu ʻo ia ke "koa ma ka piko o ke kui" a ua komo ʻo ia i ka hoʻokumu ʻana i ka ʻaelike loea a me nā alakaʻi no nā ʻano hana lapaʻau like ʻole no ka maʻi kanesa māmā ma Kina. Ua hoʻomaka ʻo ia i ke kumumanaʻo o ka hoʻokele piha ʻana i nā biopsies maʻi kanesa māmā a ua hoʻokumu i nā kaʻina hana ʻoki maʻamau e hoʻomaikaʻi i ka hoʻoholo ʻana o ka lapaʻau komo i ka lāʻau kūloko no ka maʻi kanesa māmā mua, e paipai ana i ka hoʻomohala holoʻokoʻa o ka ʻōnaehana ʻike a me ka mālama ʻana i ka maʻi kanesa māmā o Kina.
"He Koa ma ka Wēlau o ke Kuila" - Kauka Liu Chen
He loea i ka hōʻoia ʻana i ka hana komo a me nā ʻano hana lapaʻau minimally invasive no nā ʻōpū ma lalo o ke alakaʻi kiʻi ʻana
1. Hoʻopau ʻana i ka Microwave/Radiofrequency
2. Biopsy Percutaneous
3. Hoʻokomo ʻia ʻana o nā ʻāpana radioactive
4. Hoʻokele ʻeha hana komo
2. Kumu a me nā hōʻailona o ka lāʻau ablative no ka maʻi ʻaʻai māmā
ʻO ka "ʻaelike loea ma ka lāʻau lapaʻau Ablative no nā puʻupuʻu māmā mua a me Metastatic"(paʻi 2014) ua hoʻokaʻawale i ka lāʻau lapaʻau ablative no ka maʻi ʻaʻai māmā i ʻelua mau māhele: curative a me palliative.
Hoʻōla ablationmanaʻo e hoʻopau loa i ka ʻiʻo puʻupuʻu kūloko a hiki ke hoʻokō i kahi hopena ho'ōla.ʻO ke kanesa māmā mua kahi hōʻailona kūpono no ka lāʻau ablative,ʻoi aku hoʻi no nā poʻe maʻi me ka hana cardiopulmonary maikaʻi ʻole, ka ʻelemakule, ka hiki ʻole ke ʻae i ke ʻoki ʻana, ka hōʻole ʻana e hana i ka resection ʻoki, a i ʻole ka poʻe me ka hoʻi hou ʻana o ka puʻupuʻu hoʻokahi ma hope o ka radiotherapy conformal, a me kekahi mau poʻe maʻi me nā ʻeha maʻi kanesa māmā mua he nui e pono ai ke mālama i ka hana māmā.
Hoʻopau ʻana i ka maʻi palliativemanaʻo ehoʻopau loa i ka puʻupuʻu mua i nā poʻe maʻi me ka maʻi kanesa māmā kiʻekiʻe, e hōʻemi ana i ke kaumaha o ka puʻupuʻu, e hōʻoluʻolu ana i nā hōʻailona i hoʻokumu ʻia e ka puʻupuʻu, a me ka hoʻomaikaʻi ʻana i ke ola o ka mea maʻi.No nā poʻe maʻi me ke kanesa māmā pae kiʻekiʻe, hiki i nā ʻōpū me ke anawaena kiʻekiʻe >5 cm a i ʻole me nā ʻeha he nui ke hana i nā kau lapaʻau multi-niedle, multipoint, a i ʻole nā kau he nui, a i ʻole e hui pū ʻia me nā ʻano lapaʻau ʻē aʻe e hoʻolōʻihi i ke ola. No nā metastases māmā malignant pae hope loa, inā maikaʻi ka kaohi ʻana o nā ʻōpū extrapulmonary a he liʻiliʻi wale nō o nā ʻeha metastatic koena i loko o nā māmā, hiki i ka lāʻau lapaʻau ablative ke kōkua pono i ka kaohi ʻana i ka maʻi a hoʻomaikaʻi i ke ʻano o ke ola o ka mea maʻi.
3. Nā Pōmaikaʻi o ka lāʻau lapaʻau ablative
ʻO ke ʻoki kino minimally invasive, ho'ōla wikiwiki: Ua manaʻo ʻia ka lāʻau lapaʻau ablative he ʻoki kino minimally invasive. ʻO ke anawaena o ka nila electrode ablative i hoʻohana ʻia maʻamau he1-2mm, e hopena ana i nā ʻoki liʻiliʻi e like me ka nui o ka lua nila. Hāʻawi kēia ʻano hana i nā pono e like meka trauma liʻiliʻi, ka ʻeha liʻiliʻi, a me ka ho'ōla wikiwiki.
Ka manawa ʻoki pōkole, ka ʻike ʻoluʻolu:Hana pinepine ʻia ka lāʻau lapaʻau ablative ma lalo o ka anesthesia kūloko a i ʻole i hui pū ʻia me ka sedation intravenous, e hoʻopau ana i ka pono no ka intubation endotracheal. Aia nā maʻi i loko o kahi kūlana hiamoe māmā a hiki ke hoʻāla maʻalahi ʻia me kahi pā mālie. Manaʻo paha kekahi mau maʻi ua pau ke ʻoki ʻana ma hope ohiamoe koke.
ʻO ka biopsy like no ka ʻike pololei:I ka wā o ka lāʻau lapaʻau ablative, hiki ke hoʻohana ʻia kahi mea hana biopsy coaxial guidance a i ʻole synchronous puncture e loaʻa ai kahi biopsy o ka lesion.ka hōʻailona 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 kūloko a me nā kumu honua e like ka nui o ka kaohi kūloko o nā maʻi maʻi ʻaʻai māmā mua e hana ʻia ana i ka lāʻau ablative me ka resection ʻoki kino a i ʻole ka lāʻau radiation stereotactic. I ke ʻano o ka hoʻi hou ʻana o ka wahi, ka lāʻau ablativehiki ke hana hou ʻia i nā manawa he nuie hoʻihoʻi i ka mana o ka maʻi i ka wāka hoʻonui ʻana i ka maikaʻi o ke ola o ka mea maʻi.
Hoʻoulu a hoʻoikaika paha i ka hana palekana: ʻO ka pahuhopu o ka lāʻau lapaʻau ablativepepehi i nā hunaola tumor i loko o ke kino, a i kekahi mau hihia, hiki iā ia ke hoʻoulu a hoʻoikaika paha i ka hana pale o ka mea maʻi, e alakaʻi ana i kahi kahi e hōʻike ai nā ʻōpū i mālama ʻole ʻia ma nā wahi ʻē aʻe o ke kino i ka regression. Eia kekahi, hiki ke hui pū ʻia ka lāʻau ablative me nā lāʻau lapaʻau systemic e hanahe hopena synergistic.
He kūpono loa ka lāʻau lapaʻau ablative no nā poʻe maʻi i hiki ʻole ke ʻae i ka resection ʻoki kino a i ʻole ka anesthesia laulā ma muli oka hana cardiopulmonary maikaʻi ʻole, ka ʻelemakule, a i ʻole nā maʻi like ʻoleHe lāʻau lapaʻau makemake ʻia hoʻi ia no nā poʻe maʻi menā nodules he nui o ke kahua mua (e like me nā nodules aniani honua he nui).
Ka manawa hoʻouna: ʻAukake-23-2023