HIFU - He Koho Hou no nā Maʻi me nā ʻŌpū Waena a i ka Pae Kiʻekiʻe

Hoʻolauna HIFU

HIFU, kahi e kū nei noUltrasound i kālele ʻia me ka ikaika kiʻekiʻe, he mea lapaʻau hou ʻaʻole invasive i hoʻolālā ʻia no ka mālama ʻana i nā puʻupuʻu paʻa. Ua hoʻomohala ʻia e nā mea noiʻi mai ka NationalNoiʻi ʻenekiniaKikowaenao ka lāʻau lapaʻau Ultrasoundma ka laulima ʻana me ke Kulanui Lapaʻau ʻo Chongqing a me Chongqing Haifu Medical Technology Co., Ltd. Me kahi kokoke i ʻelua mau makahiki o ka hoʻoikaika mau ʻana, ua loaʻa iā HIFU nā ʻae hoʻoponopono ma 33 mau ʻāina a me nā ʻāpana ma ka honua holoʻokoʻa a ua hoʻokuʻu ʻia aku i nā ʻāina he 20 a ʻoi. Ke hoʻohana ʻia nei i nā noi lapaʻau maʻoi aku ma mua o 2,000 mau haukapila ma ka honua holoʻokoʻa.Mai Dekemaba 2021, ua hoʻohana ʻia ʻo HIFU e mālamama luna o 200,000 mau hihiao nā puʻupuʻu maikaʻi a me nā puʻupuʻu ʻino, a me nā hihia he 2 miliona o nā maʻi ʻaʻole puʻupuʻu. Ua ʻike nui ʻia kēia ʻenehana e nā loea kaulana he nui ma ka home a ma waho hoʻi he kumu hoʻohālikeka lāʻau lapaʻau ʻaʻole komo ke ʻano hana i ka lāʻau lapaʻau o kēia wā.

Kumumanaʻo Lapaʻau
Ua like ke kumumanaʻo hana o HIFU (High-Intensity Focused Ultrasound) me ke ʻano o ka hoʻopili ʻia ʻana o ka lā ma o kahi aniani convex. E like me ka lā,hiki ke hoʻopili ʻia nā nalu ultrasound a komo palekana i loko o ke kino o ke kanaka.ʻO HIFU kahika lāʻau lapaʻau ʻaʻole komokoho e hoʻohana ana i ka ikehu ultrasound o waho e kālele ana i nā wahi kikoʻī i loko o ke kino.Hoʻopili ʻia ka ikehu i kahi ikaika kiʻekiʻe ma kahi o ka lesion, e hōʻea ana i nā mahana ma luna o 60 degere Celsiusno kekahi manawa. ʻO kēia ke kumu o ka necrosis coagulative, e hopena ana i ka omo mālie ʻana a i ʻole ka ʻeha o ka ʻiʻo necrotic.ʻO ka mea nui, ʻaʻole i hōʻino ʻia nā ʻiʻo a puni a me ka hele ʻana o nā nalu kani i ke kaʻina hana.

Nā noi

Ua hōʻike ʻia ʻo HIFU no nā ʻano like ʻolenā puʻupuʻu ʻino, me ke kanesa pancreatic, ke kanesa ake, ke kanesa puʻupaʻa, ke kanesa umauma, nā puʻupuʻu pelvic, nā sarcomas ʻiʻo palupalu, nā puʻupuʻu iwi malignant, a me nā puʻupuʻu retroperitoneal. Hoʻohana ʻia nō hoʻi e mālamanā kūlana gynecologicale like me nā fibroids uterine, adenomyosis, fibroids umauma, a me nā ʻōpala hāpai.

Ma kēia haʻawina lapaʻau multi-center o ka mālama ʻana iā HIFU o nā fibroids uterine i hoʻopaʻa inoa ʻia ma o ka paepae hoʻopaʻa inoa ʻana o ka World Health Organization, ua lawelawe pilikino ʻo Academician Lang Jinghe o ka Peking Union Medical College Hospital ma ke ʻano he poʻokela ʻepekema o ka hui noiʻi.Ua komo he 20 mau haukapila, 2,400 mau hihia, ʻoi aku ma mua o 12 mau mahina o ka hahai ʻanaʻO nā mea i loaʻa, i paʻi ʻia ma ka BJOG Journal of Obstetrics and Gynaecology i Iune 2017, e hōʻike ana i ka pono o ka ultrasonic ablation (HIFU) i ka mālama ʻana i nā fibroids uterine e kūlike me ke ʻoki kuʻuna, ʻoiai ʻoi aku ka kiʻekiʻe o ka palekana, ʻoi aku ka pōkole o ka noho ʻana o ka mea maʻi ma ka haukapila, a ʻoi aku ka wikiwiki o ka hoʻi ʻana i ke ola maʻamau.

Nā Pōmaikaʻi Lapaʻau

• Lapaʻau ʻaʻole komo:Hoʻohana ʻo HIFU i nā nalu ultrasound, ʻo ia kekahi ʻano nalu mechanical non-ionizing. He palekana ia, no ka mea, ʻaʻole ia e pili ana i ka radiation ionizing. ʻO ke ʻano kēia, ʻaʻohe pono no nā ʻoki ʻoki, e hōʻemi ana i ka trauma o nā ʻiʻo a me ka ʻeha e pili ana. ʻAʻohe ona radiation, hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka pale ʻana.
• Lapaʻau ʻike: Loaʻa i nā maʻi ka lapaʻau HIFU i ko lākou ala ʻana,me ka anesthesia kūloko a i ʻole ka sedation wale nō i hoʻohana ʻia i ka wā o ke kaʻina hana.Kōkua kēia i ka hoʻohaʻahaʻa ʻana i nā pilikia e pili ana me ka anesthesia laulā.
• Ka manawa hana pōkole:ʻOkoʻa ka lōʻihi o ke kaʻina hana ma muli o ke kūlana o kēlā me kēia mea maʻi, mai 30 mau minuke a i 3 mau hola. ʻAʻole pono nā kau he nui, a hiki ke hoʻopau ʻia ka lāʻau lapaʻau i hoʻokahi kau.
• Hoʻōla wikiwiki:Ma hope o ka mālama ʻana iā HIFU, hiki i nā mea maʻi ke hoʻi hou i ka ʻai ʻana a ala aʻe mai kahi moe i loko o 2 mau hola. Hiki ke hoʻokuʻu ʻia ka hapa nui o nā mea maʻi i ka lā aʻe inā ʻaʻohe pilikia. No ka mea maʻi maʻamau, ʻo ka hoʻomaha ʻana no 2-3 mau lā e ʻae ai i ka hoʻi ʻana i nā hana hana maʻamau.
• Mālama ʻana i ka hānau keiki: Hiki i nā poʻe maʻi gynecological me nā koi hānau keikie ho'āʻo e hāpai i ka wā ma mua o 6 mau mahina ma hope o ka lāʻau lapaʻau.
• Hoʻōla ʻōmaʻomaʻo:Ua manaʻo ʻia ka mālama ʻana o HIFU he launa maikaʻi me ke kaiapuni no ka mea ʻaʻohe ona pōʻino radioactive a pale aku i nā hopena ʻawahia e pili ana i ka chemotherapy.
• He lāʻau lapaʻau no nā maʻi gynecological me ka ʻole o ka ʻeha:ʻAʻole waiho ka mālama ʻana o HIFU no nā maʻi gynecological i nā ʻeha i ʻike ʻia, e ʻae ana i nā wahine e ho'ōla me ka hilinaʻi nui.

Nā hihia

Hihia 1: Ka maʻi ʻaʻai pancreatic pae IV me ka metastasis ākea (kāne, 54)

Ua ʻoki ʻo HIFU i ka puʻupuʻu pancreatic nui he 15 cm i hoʻokahi manawa

Hihia 2: Ka maʻi ʻaʻai ake mua (kāne, 52 makahiki)

Ua hōʻike ka ablation radiofrequency i ke koena o ka puʻupuʻu (ʻo ka puʻupuʻu kokoke i ka vena cava haʻahaʻa). Ua hoʻopau loa ʻia ke koena o ka puʻupuʻu ma hope o ka hoʻihoʻi ʻana o HIFU, a ua pale maikaʻi ʻia ka vena cava haʻahaʻa.