Ọtụtụ ndị ọrịa cancer imeju na-erughị eru maka ịwa ahụ ma ọ bụ nhọrọ ọgwụgwọ ndị ọzọ nwere nhọrọ.
Nyochaa Okwu
Usoro ọgwụgwọ ọrịa kansa imeju:
Onye ọrịa: Nwoke, ọrịa kansa imeju nke mbụ
Ụwa mbụ HIFU ọgwụgwọ maka imeju cancer, lanarị 12 afọ.
Usoro ọgwụgwọ ọrịa kansa imeju:
Onye ọrịa: Nwoke, 52 afọ, ọrịa kansa imeju bụ isi
Mgbe mwepu nke ugboro redio, a chọpụtakwara etuto ahụ fọdụrụnụ (akpụ ahụ dị nso na vena cava dị ala).Na-eso nke abụọ HIFU ọgwụgwọ, zuru ablation nke ihe fọdụrụ akpụ enweta, na-emebibeghị nchebe nke usụhọde vena cava.
Usoro ọgwụgwọ ọrịa kansa imeju:
Ọrịa cancer imeju nke mbụ
Na-esochi mgbe izu abụọ nke HIFU ọgwụgwọ gosiri kpamkpam efu nke etuto ahụ!
Usoro ọgwụgwọ ọrịa kansa imeju: 4:
Onye ọrịa: Nwoke, 33 afọ, ọrịa kansa imeju metastatic
Otu ọnya dị na lobe imeju ọ bụla.HIFU ọgwụgwọ rụrụ n'out oge, dapụtara na akpụ necrosis na absorption ọnwa atọ post-ịwa ahụ.
Usoro ọgwụgwọ ọrịa kansa imeju:
Onye ọrịa: Nwoke, 70 afọ, ọrịa kansa imeju bụ isi
Akpụ akpụ akpụ ahụrụ na MRI mgbe etinyere mmanụ ayodiin na-esochi mgbaka transarterial.Nkwalite ngwa ngwa kwụsịrị mgbe ọgwụgwọ HIFU gasịrị, na-egosi ablation zuru oke.
Usoro ọgwụgwọ ọrịa kansa imeju nke isii:
Onye ọrịa: nwanyị, 70 afọ, ọrịa kansa imeju bụ isi
Nnukwu akpụ vaskụla na-atụ 120mm* Ahụrụ 100mm n'akụkụ aka nri nke imeju.Zuru ezu akpụ ablation enweta mgbe HIFU ọgwụgwọ, nke nta nke nta etinye obi gị dum na oge.
Usoro ọgwụgwọ ọrịa kansa imeju nke asaa:
Onye ọrịa: Nwoke, 62 afọ, ọrịa kansa imeju bụ isi
Ọnya dị n'akụkụ elu ụlọ diaphragmatic, vena cava dị ala, na sistemụ vein portal.Mgbe oge 5 nke redio redio na oge 2 nke TACE, ụbụrụ fọdụrụnụ achọpụtara na MRI na-esote.Ọgwụgwọ HIFU mechiri etuto ahụ nke ọma ka ọ na-echekwa arịa ọbara gbara ya gburugburu.
Usoro ọgwụgwọ ọrịa kansa imeju:
Onye ọrịa: Nwoke, 58 afọ, ọrịa kansa imeju bụ isi
A na-ahụ nlọghachi azụ mgbe a wachara ya ahụ maka ọrịa cancer imeju nke lobe ziri ezi.Zuru ezu akpụ ablation enweta na HIFU ọgwụgwọ, kwadoro site akpụ absorption 18 ọnwa mgbe e mesịrị.
Hyperthermia maka ọrịa kansa imeju - Nchọpụta ọkọlọtọ
HIFU (High Intensity Focused Ultrasound) nwere ike iji na-agwọ ọrịa cancer imeju.Usoro ọgwụgwọ ọdịnala maka ọrịa kansa imeju gụnyere ịwa ahụ, mgbaka transarterial, na chemotherapy.Agbanyeghị, a na-achọpụta ọtụtụ ndị ọrịa n'ọkwa dị elu ma ọ bụ nwee etuto dị nso na arịa ọbara, na-eme ka ịwa ahụ ghara ịdị irè.Ọzọkwa, ụfọdụ ndị ọrịa enweghị ike ịwa ahụ n'ihi ọnọdụ anụ ahụ ha, usoro ịwa ahụ n'onwe ha na-ebukwa nsogbu nke nsogbu.
Ọgwụgwọ HIFU maka ọrịa kansa imeju na-enye ọtụtụ uru:ọ dị ntakịrị mkpasu iwe, na-akpata ntakịrị ihe mgbu na mmebi, ọ dị mma, enwechaghị nsogbu, enwere ike ịmeghachi ya ma ọ bụrụ na ọ dị mkpa.Ọ nwere ike melite mgbaàmà ndị ọrịa ma mee ka ndụ ha dịkwuo ogologo.
Ọgwụgwọ Post-HIFU, ọ nweghị ihe gbasara mgbawa tumor, jaundice, leakage bile, ma ọ bụ mmerụ ahụ vaskụla, na-egosi na ọgwụgwọ ahụ adịghị mma.
(1) Ngosipụta:Ngwọta ọgwụgwọ maka etuto dị elu, ọrịa kansa imeju naanị ya na lobe aka nri nke nwere dayameta na-erughị 10cm, nnukwu etuto dị n'akụkụ aka nri ya na nodules satịlaịtị na-adịgide na oke imeju ziri ezi, nlọghachi mpaghara mgbe a wachara ya ahụ, portal vein tumor thrombus.
(2) Ihe mgbochi:Ndị ọrịa nwere cachexia, ọrịa kansa imeju na-agbasa, arụ ọrụ imeju siri ike n'oge ikpeazụ, yana metastasis dị anya.
(3) Usoro ọgwụgwọ:Ndị ọrịa nwere etuto dị n'akụkụ aka nri kwesịrị dinara n'akụkụ aka nri ha, ebe ndị nwere etuto ahụ na lobe aka ekpe na-edobekarị n'ọnọdụ dị ala.Tupu usoro ahụ, a na-eji ultrasound chọpụta etuto ahụ maka ebumnuche ziri ezi na atụmatụ ọgwụgwọ.A na-agwọkwa etuto ahụ site na usoro nke ablations na-aga n'ihu, na-amalite site na isi ihe ọ bụla ma na-aga n'ihu na ahịrị, mpaghara, na n'ikpeazụ dum ụbụrụ ụbụrụ.A na-eme ọgwụgwọ otu ugboro n'ụbọchị, na oyi akwa ọ bụla na-ewe ihe dịka 40-60 nkeji.Usoro a na-aga n'ihu kwa ụbọchị, oyi akwa site na oyi akwa, ruo mgbe a kpochapụrụ ụbụrụ ahụ dum.Mgbe ọgwụgwọ gasịrị, a na-enyocha ebe a na-agwọ ọrịa maka mmebi akpụkpọ anụ ọ bụla, na-esote nyocha nke ultrasound mpụga nke mpaghara niile ezubere iji chọpụta ịdị irè ọgwụgwọ ahụ.
(4) Nlekọta ọgwụgwọ mgbe emechara:A na-enyocha ndị ọrịa maka ọrụ imeju na ọkwa electrolyte.Ekwesịrị inye ọgwụgwọ nkwado maka ndị ọrịa nwere ọrụ imeju na-adịghị mma, ascites, ma ọ bụ jaundice.Ọtụtụ ndị ọrịa na-enwe okpomọkụ ahụ nkịtị n'oge ọgwụgwọ.Ọnụ ọgụgụ dị nta nke ndị ọrịa nwere ike ịnwe mmụba dị nro na okpomọkụ n'ime ụbọchị 3-5, na-adịkarị n'okpuru 38.5 ℃.A na-atụkarị ọnụ ọnụ maka awa 4 ka a gwọchara ya, ebe ndị ọrịa nwere ọrịa imeju imeju lobe ekpe kwesịrị ibu ọnụ maka awa 6 tupu ha ejiri nwayọọ nwayọọ banye na nri mmiri mmiri.Ụfọdụ ndị ọrịa nwere ike ịnwe ihe mgbu dị nro nke elu afọ maka ụbọchị 3-5 mgbe ọgwụgwọ gasịrị, nke ji nwayọọ nwayọọ na-edozi onwe ya.
(5) Nlele nke ịdị irè:HIFU nwere ike ibibi imeju cancer anụ ahụ, na-eme ka irreversible necrosis nke cancer mkpụrụ ndụ.Nyocha CT na-egosi mbelata nke ọma na ụkpụrụ mbelata CT n'ime mpaghara ebumnuche, yana CT kwalitere iche na-egosi na enweghị ọbara akwara na portal venous na mpaghara ebumnuche.Enwere ike ịhụ eriri nkwalite na oke ọgwụgwọ.MRI na-ahụ anya mgbanwe na ike mgbaàmà nke etuto ahụ na onyonyo T1 na T2 ma gosipụta mwepu nke ọbara na mpaghara ebumnuche na akụkụ akwara na portal venous, yana oge na-egbu oge na-egosi eriri nkwalite n'akụkụ oke ọgwụgwọ.Nleba anya nke ultrasound na-egosi mbelata nke nta nke nta nke etuto ahụ, mwepu nke ọbara, na necrosis anụ ahụ nke na-emecha banye na ya.
(6) Nleba anya:N'ime afọ abụọ mbụ mgbe ọgwụgwọ gasịrị, ndị ọrịa kwesịrị inwe nleta nlegharị anya kwa ọnwa abụọ.Mgbe afọ abụọ gachara, nleta nlegharị anya kwesịrị ime kwa ọnwa isii.Mgbe afọ ise gachara, a na-atụ aro nlele nlele kwa afọ.Enwere ike iji ọkwa Alfa-fetoprotein (AFP) mee ihe dị ka ihe na-egosi nlọghachi azụ akpụ.Ọ bụrụ na ọgwụgwọ ahụ aga nke ọma, etuto ahụ ga-adalata ma ọ bụ pụọ kpamkpam.N'ọnọdụ ebe etuto ahụ ka dị ugbu a mana enweghịzi mkpụrụ ndụ ga-ekwe omume, ekwesịrị ịkpachara anya mgbe a na-ahụ etuto nwere dayameta karịrị 5cm na onyonyo, enwere ike iji nyocha PET maka nkọwa ọzọ.
Nleba anya n'ụlọọgwụ nke nsonaazụ tupu na mgbe ọgwụgwọ gasịrị, gụnyere ọkwa alfa-fetoprotein, ọrụ imeju, na nyocha MRI,egosila a ụlọ ọgwụ remission ọnụego nke n'elu 80% maka imeju ọrịa cancer na-emeso na HIFU.Na ikpe ebe ọbara ọkọnọ na imeju etuto ahụ bụ ọgaranya, HIFU ọgwụgwọ nwere ike jikọtara na transarterial aka.Tupu ọgwụgwọ HIFU, transcatheter arterial chemoembolization (TACE) nwere ike rụrụ iji gbochie ọbara ọkọnọ na Central tumor ebe, na embolic gị n'ụlọnga na-eje ozi dị ka a tumor akara aka HIFU ezubere iche.Iodine mmanụ na-agbanwe ụda impedance na absorption ọnụọgụ n'ime akpụ, na-eme ka ike mgbanwe na HIFU na-elekwasị anya na imeziwanye..
Oge nzipu: Ọgọst-08-2023