HIFU iherutse gutangizwa no gukuraho ultrasound mu bitaro mpuzamahanga bya Beijing Puhua (BPIH) ifite ibyiza byinshi kuruta uburyo bukoreshwa mu kuvura kanseri yandura.
Kanseri y'urwagashya hamwe n'uburemere bwinshi bwibanze kuri Ultrasound Ablation (HIFU)
Kanseri y'urwagashya
Kwipimisha hakiri kare kanseri yandura biragoye cyane.Ni kanseri mbi cyane ikunze kugira prognoz mbi.Ikigo cy’igihugu cyita ku buzima kivuga ko imyaka 1 yo kubaho kuri kanseri yandura ari 8% gusa, imyaka 5 yo kubaho iri munsi ya 5%, naho ikigereranyo cyo kubaho ni amezi 2 kugeza kuri 3.Abarwayi benshi bakunze gupimwa gusa mugihe cyambere cyindwara, kuko ibimenyetso bya kanseri yandura bikunze kugaragara gusa iyo indwara imaze gutera imbere.Ibimenyetso birimo ububabare bwo munda, gutakaza ibiro bidasobanutse ningorane zo gusya ibiryo binuze.Ku rwego rwo hejuru ibimenyetso byububabare bukabije bwo mu mugongo bigira ingaruka zikomeye kumibereho yumurwayi kandi gukoresha imiti idakira birashobora gutanga agahengwe, ariko mubisanzwe ntibihagije.
Byongeye kandi, murwego rwohejuru rwiyi ndwara, uburyo bwo kubaga ntibushobora kuba ingirakamaro kandi mubihe byinshi usanga imiti ikoreshwa cyane hamwe na chimiotherapie izana ingaruka nyinshi zitifuzwa nuburozi.
HIFU iherutse gutangizwa no gukuraho ultrasound mu bitaro mpuzamahanga bya Beijing Puhua (BPIH) ifite ibyiza byinshi kuruta uburyo bukoreshwa mu kuvura kanseri yandura.
Ku barwayi barwaye kanseri yo mu cyiciro cya mbere, HIFU irashobora gukuraho burundu igikomere.Ku barwayi barwaye kanseri yo mu cyiciro cyo hagati cyangwa yateye imbere, ubuvuzi bwa HIFU burashobora guhita bugabanya ububabare bukabije bwo munda no mu mugongo bwo hepfo buterwa na kanseri yandura.
HIFU ni iki?
HIFU ni ngufi cyane cyane yibanze cyane ya ultrasound kandi ihagarariye ibisekuruza bizazakuvura byibuze kuvura kanseri.
HIFU ikoresha ultrasound nziza yinjira, hamwe nubukomezi nkuko urumuri rwa ultrasound rugenda runyura muri transducer kandi rwibanze ku ngingo, neza cyane yibasira ikibyimba, gishyuha hagati ya dogere selisiyusi 60 na 100.Poroteyine ngengabuzima ya kanseri yibibyimba biganisha ku gukuramo ibibyimba (kwangiza ubushyuhe bwumubiri), nta ngingo zangiza.Ibibyimba byapfuye byapfuye bigenda bisubizwa buhoro buhoro umubiri.
Ku bijyanye na kanseri y'urwagashya idashoboka, kuvura HIFU birashobora kugabanya neza umutwaro w'ikibyimba kandi bikagabanya cyane ububabare bw'ikibyimba binyuze mu kubika ingirangingo, kugabanuka kw'ibibyimba ndetse na neuromodulation, bityo bikongerera umurwayi kubaho no kuzamura imibereho.
Nyuma yo kuvurwa, 88% by'abarwayi babonye impamyabumenyi zitandukanye zo kugabanya ububabare,
nta ngorane zikomeye nka gastrointestinal haemorrhage yo hejuru cyangwa gutobora gastric-intestinal hamwe na scan ya MRI yongerewe imbaraga byerekana gukuraho ingirabuzima fatizo mugace ka HIFU.
Nyuma yo gukora ubushakashatsi niterambere ryinshi, kuvura HIFU byemewe cyane kandi bitezwa imbere mukuvura kanseri yandura.
Bitewe nuburyo budahwitse, kubaga byakunze kwirindwa kandi abarwayi benshi bakeneye ubuvuzi bumwe gusa bwa HIFU kugirango bagere kubisubizo byifuzwa byo kurimbuka.Igitangaje, nyuma yumunsi umwe gusa wo kwivuza, abarwayi benshi barashobora gusubira murugo, kuko nta ngaruka zibaho nyuma yubuzima bwabarwayi.
Kugereranya HIFU nuburyo busanzwe bwo kuvura
Kubwamahirwe 70% - 80% byabarwayi ba kanseri yandura ntibasuzumwa hakiri kare.Iyo isuzuma rya kanseri yandura ribaye, umurwayi ubusanzwe yamaze gutera intambwe yo hagati cyangwa yateye imbere yiyi ndwara, hamwe nubuzima busanzwe bwamezi 3-6 gusa.Bimaze gupimwa, abarwayi batageze kuri 10% barwaye kanseri yandura ni abakandida babereye kubagwa, bikaba bibabaje kandi bishobora guteza akaga kandi mubisanzwe byongerera ubuzima umurwayi amezi agera kuri 9 gusa.Nubwo byahujwe na radiotherapi na chimiotherapie, igihe cyo kubaho gishobora kongerwa gusa amezi 0.5-1.Uburyo busanzwe bwo kuvura buhenze kandi ntacyo bukora, kuko ntibwongerera igihe cyo kubaho kandi butanga ububabare kumurwayi.
Nyamara abarwayi ba kanseri yandura hafi ya bose bemerewe kuvurwa badatera, ibyago bike byo kuvura HIFU.
Dukurikije imibare yacu, ubuzima bw’abarwayi burashobora kuva ku mezi 3 kugeza ku mezi 6 kugeza ku myaka 1 kugeza ku myaka 2 kandi 98% by’abarwayi bafite iterambere ryinshi mu kugabanya ububabare no kongera ubuzima nyuma yo kuvurwa na HIFU!
Ibyiza bya HIFU Ultrasound Ablation
1.Noninvasivetreatment kugirango ibungabunge ingingo nimiterere, nta guterwa amaraso cyangwa imirase.
2.Icyerekezo cya 3D cyerekana module isobanura imbibi za tumors kandi ikabara gahunda yo kuvura 3D, igahora ikurikirana ibisubizo byumubiri kandi igahindura ibipimo byo kuvura bikurikije, kugera kuri protocole yumuntu ku giti cye.
3.Gukuraho neza.Hamwe no kongeramo no gukuramo 1mm ikosa ryo gukusanya, kugenda neza kwa sisitemu yimikorere ya 6-irashobora gukuraho ibibyimba byegeranye nimiyoboro minini cyangwa imitsi neza.
4.Mu bihe byinshi, hasabwa icyiciro kimwe gusa cyo kuvura kandi nta mbogamizi ziterwa n'ubunini bw'ikibyimba n'imiterere, Itandukaniro riri hagati yinyama zivuwe kandi zitavuwe zirashobora kuba ntoya nka selile 6 kugeza 10.
5.Ibihe nyabyo byamabara doppler ultrasound-yayobowe nubuvuzi hamwe nisesengura ryinshi rya digitale itanga igenzura mugihe cyose cyo kuvura kandi igatanga ishusho ya ultrasound ihita isuzuma ibisubizo rusange nyuma yo kuvurwa.
6.Ingufu z'akarere kibanze ni nyinshi bihagije kugirango zitume uburozi bwumuriro bwihuse (ubushyuhe buri hejuru ya 56Derees Celsius) buzatera necrosis ya coagulative idasubirwaho.
7.Gukora sisitemu yubudahangarwa, nkuko tissue ya nérotic ikurwaho nigisubizo cyumubiri ubwacyo.