HIFU - Uburyo bushya kubarwayi bafite Intermediate to Advanced-stage Tumors

HIFU Intangiriro

HIFU, KuriUmuvuduko mwinshi Wibanze Ultrasound, ni igikoresho gishya cyubuvuzi kidashobora gutera kuvura ibibyimba bikomeye.Yatejwe imbere nabashakashatsi bo mu GihuguUbushakashatsiIkigoUbuvuzi bwa Ultrasoundku bufatanye na kaminuza y’ubuvuzi ya Chongqing na Chongqing Haifu Medical Technology Co., Ltd. Hamwe n’imyaka igera kuri makumyabiri y’imbaraga zidacogora, HIFU yemerewe gukurikiza amategeko mu bihugu 33 n’uturere ku isi kandi byoherejwe mu bihugu birenga 20.Ubu irakoreshwa mubikorwa byubuvuzi muriibitaro birenga 2000 kwisi yose.Kuva mu Kuboza 2021, HIFU yakoreshejwe mu kuvuraimanza zirenga 200.000y'ibibyimba byiza kandi bibi, kimwe na miliyoni zirenga 2 z'indwara zitari ibibyimba.Iri koranabuhanga rizwi cyane ninzobere nyinshi zizwi mugihugu ndetse no mumahanga nkintangarugerokwivuza kudatera uburyo mubuvuzi bwa none.

Ihame ryo kuvura
Ihame ryakazi rya HIFU (High-Intensity Focused Ultrasound) risa nuburyo urumuri rwizuba rwibanda kumurongo wa convex.Nka kurya kw'izuba,ultrasound waves nayo irashobora kwibanda kandi ikinjira mumubiri wumuntu neza.HIFU ni akwivuza kudateraamahitamo akoresha ingufu za ultrasound zo hanze kugirango yibande kumwanya runaka ugenewe imbere mumubiri.Ingufu zegeranijwe cyane kuburyo bukabije ahakomeretse, igera ku bushyuhe buri hejuru ya dogere selisiyusi 60akanya.Ibi bitera necrosis ya coagulative, bikaviramo kwinjiza buhoro buhoro cyangwa gukomeretsa ingirangingo.Icyangombwa, ibice bikikije hamwe no kunyura mumajwi y amajwi ntabwo byangiritse muribikorwa.

Porogaramu

HIFU yerekanwe kubintu bitandukanyeibibyimba bibi, harimo kanseri y'urwagashya, kanseri y'umwijima, kanseri y'impyiko, kanseri y'ibere, ibibyimba byo mu nda, sarcomas yoroheje yoroheje, ibibyimba by'amagufwa mabi, n'ibibyimba bya retroperitoneal.Ikoreshwa kandi mu kuvuraimiterere y'abagorenka fibroide ya nyababyeyi, adenomyose, fibroide y'ibere, no gutwita inkovu.

Muri ubu bushakashatsi bw’ibigo byinshi by’ubuvuzi bwa HIFU bwo kuvura fibroide nyababyeyi yanditswe binyuze ku rubuga rw’umuryango w’abibumbye ryita ku buzima, Umunyeshuri Lang Jinghe wo mu bitaro by’ubuvuzi bya Peking Union ku giti cye yabaye umuhanga mukuru w’itsinda ry’ubushakashatsi,Ibitaro 20 byitabiriye, abantu 2,400, amezi arenga 12 yo gukurikirana.Ibyavuye mu bushakashatsi byasohotse mu kinyamakuru cyitwa BJOG Journal of Obstetrics and Gynecology ku isi hose muri KAMENA 2017, byerekana ko imikorere yo gukuraho ultrasonic (HIFU) mu kuvura fibroide nyababyeyi ijyanye no kubaga gakondo, mu gihe umutekano uri hejuru, ibitaro by’umurwayi bikaguma ni ngufi, kandi gusubira mubuzima busanzwe birihuta.

Ibyiza byo kuvura

• Kuvura kudatera:HIFU ikoresha imiraba ya ultrasound, ikaba ari ubwoko bwa tekinike ya ionizing.Ni umutekano, kuko ntabwo irimo imirasire ya ionizing.Ibi bivuze ko bidakenewe kubagwa, kugabanya ihahamuka ryimitsi nububabare bujyanye nayo.Ntabwo kandi idafite imirasire, ishobora gufasha kunoza ubudahangarwa.
• Kuvura ubwenge: abarwayi bavurwa HIFU mugihe bari maso,hamwe na anesthesi yaho gusa cyangwa sedation ikoreshwa mugihe gikwiye.Ibi bifasha kugabanya ingaruka zijyanye na anesthesia rusange.
• Igihe gito:Igihe cyibikorwa kiratandukanye bitewe nuburwayi bwa buri muntu, kuva kuminota 30 kugeza kumasaha 3.Amasomo menshi mubisanzwe ntabwo akenewe, kandi kuvura birashobora kurangizwa mugice kimwe.
• Gukira vuba:Nyuma yo kuvura HIFU, abarwayi barashobora gukomeza kurya no kuva muburiri mugihe cyamasaha 2.Abarwayi benshi barashobora gusezererwa bukeye mugihe nta ngorane.Ku barwayi basanzwe, kuruhuka iminsi 2-3 bituma ushobora gusubira mubikorwa bisanzwe.
• Kubungabunga uburumbuke: abarwayi b'abagore bafite ibyangombwa byo kubyara barashoboragerageza gusama hakiri amezi 6 nyuma yo kuvurwa.
• Ubuvuzi bw'icyatsi:Ubuvuzi bwa HIFU bufatwa nkibidukikije kuko nta byangiza radio kandi birinda ingaruka zuburozi zijyanye na chimiotherapie.
• Kuvura inkovu kubibazo byabagore:Ubuvuzi bwa HIFU kubibazo byabagore ntibusiga inkovu zigaragara, zituma abagore bakira bafite ikizere cyinshi.

Imanza

Urubanza rwa 1: Icyiciro cya IV kanseri yandura hamwe na metastasis nini (umugabo, 54)

HIFU yakuyeho ikibyimba kinini cya cm 15 icyarimwe

Ikiburanwa cya 2: Kanseri yibanze y'umwijima (umugabo, imyaka 52)

Gukuraho radiofrequency byerekanaga ikibyimba gisigaye (ikibyimba hafi ya vena cava yo hasi).Ikibyimba gisigaye cyavanyweho burundu nyuma yumwiherero wa HIFU, kandi vena cava yo hasi yarinzwe neza.