Ka maʻi ʻaʻai pancreatic he kiʻekiʻe ke kiʻekiʻe o ka maʻi ʻino a me ka wānana maikaʻi ʻole. I ka hana lapaʻau, ʻike ʻia ka hapa nui o nā maʻi i kahi pae holomua, me nā helu resection haʻahaʻa a ʻaʻohe koho lapaʻau kūikawā ʻē aʻe. Hiki i ka hoʻohana ʻana iā HIFU ke hōʻemi pono i ke kaumaha o ka puʻupuʻu, kaohi i ka ʻeha, a laila e hoʻolōʻihi i ke ola o ka mea maʻi a hoʻomaikaʻi i ke ʻano o ke ola.
ʻO ka mōʻaukala o Hyperthermiano ka hiki ke ʻike ʻia nā ʻōpūi 5,000 mau makahiki i hala aku neima ʻAigupita kahiko, me nā moʻolelo i loko o nā palapala kahiko o ʻAigupita e wehewehe ana i ka hoʻohana ʻana owela e mālama ai i nā puʻupuʻu umauma.ʻO ka mea nāna i hoʻokumuka lāʻau lapaʻau wela, ʻo Hippocrates, ka mea i manaʻo ʻia ʻo ia ka makuakāne o ka lāʻau lapaʻau Komohana, ua ola ma kahi o 2,500 mau makahiki i hala.
ʻO ka Hyperthermia kahi ʻano lapaʻau e pili ana i ka hoʻopili ʻana i nā ʻano kumu hoʻomehana like ʻole(e like me ke alapine (radiofrequency), microwave, ultrasound, laser, a me nā mea ʻē aʻe)e hoʻonui i ka mahana o ka ʻiʻo puʻupuʻu i kahi pae therapeutic kūpono. ʻO kēia piʻi ʻana o ka mahana e alakaʻi ai i ka make ʻana o nā cell tumor me ka hoʻēmi ʻana i ka hōʻino ʻana i nā cell maʻamau.
I ka makahiki 1985, ua hōʻoia ka US FDA i ke ʻoki kino, ka radiation therapy, chemotherapy, Hyperthermia, a me ka immunotherapy e like me ...nā ʻano hana kūpono ʻelima no ka mālama ʻana i ka maʻi puʻupuʻu, e hōʻike ana i kahi ʻano hana hou a kūpono hoʻi.
ʻO ke kumu nui, ʻo ia ka hoʻohana ʻana i ka ikehu kino e hoʻomehana i ke kino holoʻokoʻa a i ʻole kahi kikoʻī o ke kino, e hoʻokiʻekiʻe ana i ka mahana o ka ʻiʻo puʻupuʻu i kahi pae therapeutic kūpono a mālama iā ia no kekahi manawa. Ma ka hoʻohana ʻana i nā ʻokoʻa o ka hoʻomanawanui i ka mahana ma waena o nā ʻiʻo maʻamau a me nā cell tumor, manaʻo ia e hoʻokō i ka pahuhopu o ka hoʻoulu ʻana i ka apoptosis cell tumor me ka ʻole o ka hōʻino ʻana i nā ʻiʻo maʻamau.
Ka hihia lapaʻau no ka maʻi ʻaʻai pancreatic 1:
Maʻi: Wahine, 46 makahiki, puʻupuʻu ma ka huelo o ka pancreas
ʻO ke anawaena o ka puʻupuʻu he 34mm (anteroposterior), 39mm (transverse), a me 25mm (craniocaudal). Ma hope o ka hoʻōla wela ablation i alakaʻi ʻia e ka ultrasound,ua hōʻike ʻia kahi MRI hahai ʻana ua hoʻopau ʻia ka hapa nui o ka puʻupuʻu.
Ka hihia lapaʻau no ke kanesa pancreatic 2:
Maʻi: Wahine, 56 makahiki, maʻi ʻaʻai pancreatic me nā metastases akepaʻa he nui
Hoʻōla like ʻia no nā metastases pancreatic a me ke ake me ka hoʻohana ʻana i ka thermal ablation therapy i alakaʻi ʻia e ka ultrasound.Ua hōʻike ʻia kahi MRI ma hope o ka hoʻopau ʻana o ka puʻupuʻu, me nā kaʻe maopopo a pololei hoʻi.
Ka hihia lapaʻau no ke kanesa pancreatic 3:
Maʻi: Kāne, 54 makahiki, maʻi ʻaʻai pancreatic
Hoʻomaha loa ʻia ka ʻeha i loko o 2 mau lāma hope o ka mālama ʻana iā HIFU (high-intensity focused ultrasound).Ua emi ka puʻupuʻu ma 62.6% i 6 mau pule, 90.1% i 3 mau mahina, a ua hoʻi nā pae CA199 i ka maʻamau i 12 mau mahina.
Ka hihia lapaʻau no ka maʻi ʻaʻai pancreatic 4:
Maʻi: Wahine, 57 makahiki, maʻi ʻaʻai pancreatic
Ua hiki mai ka necrosis tumor i 3 mau lā ma hope o ka mālama ʻana iā HIFU.Ua emi ka puʻupuʻu ma 28.7% i 6 mau pule, 66% i 3 mau mahina, a ua hoʻomaha loa ʻia ka ʻeha.
Ka hihia mālama ʻana i ka maʻi ʻaʻai pancreatic 5:
Maʻi: Wahine, 41 makahiki, maʻi ʻaʻai pancreatic
Ma hope o 9 mau lā o ka mālama ʻana iā HIFU,ua hōʻike ʻia kahi nānā PET-CT ma hope o ka necrosis nui ma waenakonu o ka puʻupuʻu.
Ka hihia lapaʻau no ke kanesa pancreatic 6:
Maʻi: Kāne, 69 makahiki, maʻi ʻaʻai pancreatic
ʻO kahi scan PET-CT hapalua mahina ma hope o ka mālama ʻana iā HIFUua hōʻike ʻia ka nalo loa ʻana o ka puʻupuʻu, ʻaʻohe lawe ʻana o FDG, a ma hope iho ka emi ʻana o nā pae CA199.
Ka hihia lapaʻau no ke kanesa pancreatic 7:
Maʻi: Wahine, 56 makahiki, maʻi ʻaʻai pancreatic
Ua hōʻike ʻia kahi CT scan i hoʻokahi lā ma hope o ka mālama ʻana iā HIFU80% hoʻopau ʻana i ka puʻupuʻu.
Ka hihia lapaʻau no ke kanesa pancreatic 8:
57 makahiki, maʻi ʻaʻai pancreatic
Ma hope o ka mālama ʻana iā HIFU, e hana ʻia kahi scan CT ma hopeUa hōʻike ʻia ka ablation piha ma waenakonu o ka puʻupuʻu.
Ka manawa hoʻouna: ʻAukake-03-2023