Dukurikije imibare ifatika y’ikigo mpuzamahanga gishinzwe ubushakashatsi kuri kanseri (IARC) y’umuryango w’ubuzima ku isi (OMS), kanseri y'ibihaha yabaye kimwe mu bibyimba bibi cyane, kandi gukumira no kuvura kanseri y'ibihaha ni byo biza ku mwanya wa mbere. yo kwirinda kanseri no kuyivura.
Ukurikije imibare ifatika ifatika, gusa20% by'abarwayi ba kanseri y'ibihaha itari ntoya barashobora kuvurwa.Abenshi mu barwayi ba kanseri y'ibihaha basanzwe barimoibyiciro byateye imberemugihe basuzumwe, kandi barashobora kubona inyungu nke mubuvuzi gakondo bwa radiotherapi hamwe na chimiotherapie.Hamwe niterambere rihoraho niterambere ryubumenyi bwubuvuzi, kugaragara kwakuvura ablativenk'igisimburwa cyo kubaga cyazanye ibyiringiro bishya byo kuvura abarwayi ba kanseri y'ibihaha.
1. Waba uzi bangahe kubijyanye no kuvura kanseri y'ibihaha?
Ubuvuzi bukabije bwa kanseri y'ibihaha burimogukuraho microwave hamwe no gukuraho radiofrequency.Ihame ryo kuvura ririmo kwinjiza electrode ikuraho, izwi kandi nka a“Iperereza,”mu kibyimba mu bihaha.Electrode irashobora guterakugenda byihuseby'uduce nka ion cyangwa molekile y'amazi mu kibyimba, bikabyara ubushyuhe kubera guterana, biganisha kuriibyangiritse bidasubirwaho nka coagulative necrosis ya selile yibibyimba.Muri icyo gihe, umuvuduko wo kohereza ubushyuhe ugabanuka vuba mu ngingo zisanzwe zikikije ibihaha, bikomeza ubushyuhe buri mu kibyimba, bigatera a“Ingaruka zo gukumira ubushyuhe.”Ubuvuzi bwa Ablative burashobora kwica neza ikibyimba mugihekugabanya cyane kurinda ibihaha bisanzwe.
Ubuvuzi bwa Ablative burangwa nabwogusubiramo, kutoroherwa kwabarwayi, ihahamuka rito, no gukira vuba,kandi yaramenyekanye cyane kandi ikoreshwa mubikorwa byubuvuzi.Nyamara, urebye ko kuvura ablative bikubiyemo ibintu byinshi nka radiologiya, oncologiya, radiologiya interventionaliste, hamwe na anatomiya yo kubaga, bisaba ubuhanga buhanitse bwo kubaga hamwe na kamere zuzuye zitangwa na muganga ubaga.
Uyu munsi, turashaka kubagezaho impuguke izwi mubijyanye no kuvura interineti,Dr. Liu Chen, umaze imyaka myinshi akora muri urwo rwego kandi yitangiye ubushakashatsi bw’ubuvuzi kandi asanzwe akwirakwiza uburyo bwo kwisuzumisha no kuvura indwara ziterwa n’ibibyimba biterwa cyane n’ibibyimba by’ibibyimba, ibyago byo gutwika amashyuza, no guterwa ibice.Dr. Liu azwi nk '“intwari ku mutwe w'urushinge” kandi yagize uruhare mu gushyiraho ubwumvikane bw’inzobere n’amabwiriza y’uburyo butandukanye bwo kuvura kanseri y'ibihaha mu Bushinwa.Yatangije igitekerezo cyo gucunga neza biopies ya kanseri y'ibihaha kandi ashyiraho uburyo busanzwe bwo kubaga kugira ngo hafatwe ingamba zo kuvura indwara zivura imiti ivura kanseri y'ibihaha hakiri kare, iteza imbere muri rusange gahunda yo gusuzuma no kuvura kanseri y'ibihaha mu Bushinwa.
“Intwari ku nama y'urushinge” - Muganga Liu Chen
Azobereye muburyo bwo gupima kwisuzumisha no kuvura ibibyimba biyobowe na mashusho
1. Gukuraho Microwave / Gukuraho Radiofrequency
2. Biopsy itandukanye
3. Gutera uduce duto twa radio
4. Gucunga ububabare bwigihe gito
2. Intego n'ibimenyetso byo kuvura ablative kanseri y'ibihaha
“Ubwumvikane bw'impuguke ku buvuzi bwa Ablative bwo kuvura ibibyimba by'ibanze na Metastatike”(2014 Edition) igabanya imiti ivura kanseri y'ibihaha mu byiciro bibiri: kuvura no kuvura indwara.
Gukurahoigamije kuzuza burundu ibibyimba byaho kandi bishobora kugera ku ngaruka zo gukiza.Kanseri y'ibihaha hakiri kare ni ikimenyetso cyerekana uburyo bwo kuvura ablative,cyane cyane ku barwayi bafite imikorere mibi yumutima, gusaza, kutabasha kwihanganira kubagwa, kwanga kubagwa, cyangwa abafite ikibyimba kimwe cyongeye kugaruka nyuma ya radiotherapi ihuye, kimwe nabarwayi bamwe na bamwe bafite ibikomere byinshi bya kanseri yibihaha bakeneye kubungabunga imikorere yibihaha. .
Kwiyuhagiraigamijerwose udakora ikibyimba cyibanze kubarwayi barwaye kanseri yibihaha igezweho, kugabanya umutwaro wibibyimba, kugabanya ibimenyetso byatewe nikibyimba, no kuzamura imibereho yumurwayi.Ku barwayi barwaye kanseri y'ibihaha igezweho, ibibyimba bifite diameter ntarengwa> cm 5 cyangwa ibikomere byinshi birashobora gukorerwa inshinge nyinshi, kugwiza, cyangwa kuvura inshuro nyinshi, cyangwa guhuzwa nubundi buryo bwo kuvura kugirango ubeho igihe kirekire.Kubyiciro byanyuma byindwara yibihaha, niba kugenzura ibibyimba bidasanzwe ari byiza kandi umubare muto gusa wibisebe bisigara bibaho mubihaha, ubuvuzi bwa ablative burashobora gufasha neza kurwanya indwara no kuzamura imibereho yumurwayi.
3. Ibyiza byo kuvura ablative
Kubaga byibuze kubaga, gukira vuba: Ubuvuzi bwa Ablative bufatwa nk'ububabare bwa interineti bworoshye.Urushinge rwa electrode rukoreshwa rusanzwe rufite diameter ya1-2mm, bivamo uduce duto two kubaga ingano yumwobo wa inshinge.Ubu buryo butanga ibyiza nkaihahamuka rito, ububabare buke, no gukira vuba.
Igihe gito cyo kubaga, uburambe bwiza:Ubuvuzi bwa Ablative busanzwe bukorwa munsi ya anesthesi yaho cyangwa bugahujwe no kwikuramo imitsi, bikuraho intubrasi ya endotracheal.Abarwayi bari mubitotsi byoroheje kandi birashobora gukangurwa byoroshye na kanda yoroheje.Bamwe mu barwayi barashobora kumva ko kubaga birangiye nyumagusinzira vuba.
Biopsy icyarimwe kugirango isuzume neza:Mugihe cyo kuvura ablative, ubuyobozi bwa coaxial cyangwa ibikoresho bya biopsy bihuza bishobora gukoreshwa kugirango ubone biopsy yindwara.Ibikurikirakwisuzumisha indwara no gupima genetitanga amakuru yingirakamaro kubyemezo byafashwe nyuma.
Uburyo busubirwamo: Ubushakashatsi bwinshi bwakozwe haba mu gihugu ndetse no mu mahanga bwerekanye ko igipimo cy’ibanze cy’abarwayi ba kanseri y’ibihaha hakiri kare barimo kuvurwa ablative bagereranywa n’ubushakashatsi bwo kubaga cyangwa kuvura imishwarara ya stereotactique.Kubijyanye no kwisubiramo kwaho, kuvura ablativebirashobora gusubirwamo inshuro nyinshikongera kugenzura indwara mugihekuzamura ubuzima bwumurwayi.
Gukora cyangwa kuzamura imikorere yubudahangarwa: Ubuvuzi bwa Ablative bugamijekwica selile yibibyimba mumubiri, kandi hamwe na hamwe, irashobora gukora cyangwa kuzamura imikorere yumubiri wumurwayi, biganisha kuri a aho ibibyimba bitavuwe mubindi bice byumubiri byerekana gusubira inyuma.Byongeye kandi, ubuvuzi bwa ablative burashobora guhuzwa nubuvuzi bwa sisitemu kugirango butange umusaruroIngaruka.
Ubuvuzi bwa Ablative burakwiriye cyane cyane kubarwayi badashobora kwihanganira kubaga cyangwa kubaga muri rusange kuberaimikorere mibi yumutima, imyaka yambere, cyangwa byinshi byihishe inyuma.Nuburyo bwiza bwo kuvura abarwayi bafitehakiri kare-ibyiciro byinshi (nka nodules nyinshi zubutaka-ikirahure).
Igihe cyo kohereza: Kanama-23-2023