HIFU – Uburyo bushya ku barwayi bafite ibibyimba biri hagati na hagati

Intangiriro ya HIFU

HIFU, bisobanuyeUltrasound yibanda ku bushyuhe bwinshi, ni igikoresho gishya cyo kwa muganga kidakoreshwa mu kuvura ibibyimba bikomeye. Cyakozwe n'abashakashatsi bo mu kigo cy'igihugu gishinzweUbushakashatsi ku by'UbwubatsiIkigoby'ubuvuzi bwa Ultrasoundku bufatanye na Kaminuza y’Ubuvuzi ya Chongqing na Chongqing Haifu Medical Technology Co., Ltd. Hamwe n’imyaka hafi makumyabiri y’ingamba zidashira, HIFU yabonye uburenganzira mu mategeko mu bihugu 33 n’uturere two ku isi kandi yoherejwe mu bihugu birenga 20. Ubu irimo gukoreshwa mu buvuzi muriIbitaro birenga 2,000 ku isi yose.Guhera mu Ukuboza 2021, HIFU yakoreshejwe mu kuvuraabarwayi barenga 200.000ku ndwara z’ibibyimba bidakomeye n’izisanzwe, ndetse n’abantu barenga miliyoni 2 barwaye indwara zitari ibibyimba. Iri koranabuhanga ryemerwa cyane n’impuguke nyinshi zizwi mu gihugu no mu mahanga nk’icyitegererezo.ubuvuzi budakoresha imiti igabanya ubukana uburyo bwo gukoresha mu buvuzi bwa none.

Ihame ry'Ubuvuzi
Ihame ry'imikorere ya HIFU (High-Intensity Focused Ultrasound) risa n'uburyo urumuri rw'izuba rwibanda binyuze muri lens igaragara. Kimwe n'izuba ry'izuba,Imiraba ya ultrasound ishobora kandi kwibanda ku kintu runaka no kwinjira mu mubiri w'umuntu mu mutekano.HIFU niubuvuzi budakoresha imiti igabanya ubukanauburyo bukoresha ingufu za ultrasound zo hanze kugira ngo bwibande ku bice byihariye biri mu mubiri.Ingufu ziba nyinshi bihagije aho igisebe cyakomeretse, zikagera ku bushyuhe buri hejuru ya dogere selisiyusi 60akanya gato. Ibi bitera kwangirika kw'amaraso, bigatera inkovu ku ngingo zifata cyangwa zigatera inkovu ku ngingo.Icy'ingenzi ni uko ingirabuzimafatizo zikikije ndetse n'inzira y'amajwi inyuramo ntabwo byangirika muri icyo gikorwa.

Porogaramu

HIFU igaragazwa ku bintu bitandukanyeibibyimba bibi, harimo kanseri ya pancreas, kanseri y'umwijima, kanseri y'impyiko, kanseri y'ibere, ibibyimba byo mu kibuno, sarcomas zoroshye, ibibyimba by'amagufwa bibi, n'ibibyimba byo mu gifu. Ikoreshwa kandi mu kuvuraindwara z'abagorenka fibroids zo mu mura, adenomyosis, fibroids zo mu ibere, n'inkovu zo gutwita.

Muri ubu bushakashatsi bw’ivuriro bukorerwa mu bigo byinshi ku kuvura indwara za HIFU za fibroids zo mu mura bwanditswe binyuze mu buryo bwo kwiyandikisha bw’Umuryango w’Abibumbye wita ku Buzima, Inzobere mu by’Imari Lang Jinghe wo mu bitaro bya Peking Union Medical College Hospital ni we wabaye umuhanga mu bya siyansi mukuru w’itsinda ry’ubushakashatsi,Ibitaro 20 byitabiriye, abarwayi 2.400, bakurikiranwa mu gihe cy'amezi arenga 12Ibyavuye mu bushakashatsi, byasohotse mu kinyamakuru cya BJOG Journal of Obstetrics and Gynaecology cyakozwe ku rwego rw’isi muri KAMENA 2017, bigaragaza ko uburyo bwo kuvura indwara ya ultrasound (HIFU) mu kuvura fibroids zo mu nda bujyanye n’uburyo bwo kubaga gakondo, mu gihe umutekano uri hejuru, igihe umurwayi amara mu bitaro ari gito, kandi ubuzima busanzwe bugasubira vuba.

Ibyiza byo Kuvura

• Uburyo bwo kuvura butari ubwandu:HIFU ikoresha imiraba ya ultrasound, ikaba ari ubwoko bw'imiraba idakoresha iyoni. Ni nziza, kuko idakoresha imirasire ikoresha iyoni. Ibi bivuze ko nta mpamvu yo kubagwa, kugabanya ibikomere by'ingingo ndetse n'ububabare bujyana nayo. Nta na radiation ikoreshwa, ishobora gufasha kongera ubudahangarwa bw'umubiri.
• Ubuvuzi bworoshye: Abarwayi bahabwa ubuvuzi bwa HIFU bakiri maso,hakoreshejwe gusa ikinya cyangwa ikinyabutabire cyo mu gace runaka mu gihe cyo kubagwa.Ibi bifasha kugabanya ibyago bijyana no gukoresha ikinya rusange.
• Igihe gito cyo gukora:Igihe cyo gukora ubu buvuzi gitandukana bitewe n'uburwayi bw'umurwayi ku giti cye, kuva ku minota 30 kugeza ku masaha 3. Ubusanzwe si ngombwa ko habaho imyitozo myinshi, kandi ubuvuzi bushobora kurangizwa mu gihe kimwe.
• Gukira vuba:Nyuma yo kuvurwa na HIFU, abarwayi muri rusange bashobora kongera kurya no kuva mu buriri mu masaha 2. Abarwayi benshi bashobora gusezererwa umunsi ukurikiyeho niba nta ngorane zibaye. Ku murwayi usanzwe, kuruhuka iminsi 2-3 bituma asubira mu mirimo isanzwe.
• Kubungabunga uburumbuke: Abarwayi b'abagore bafite ibisabwa ku burumbuke bashoboraGerageza gusama hakiri kare nyuma y'amezi 6 nyuma yo kuvurwa.
• Ubuvuzi bw'icyatsi kibisi:Ubuvuzi bwa HIFU bufatwa nk'ububungabunga ibidukikije kuko nta byangiza imirasire kandi burinda ingaruka mbi ziterwa na chemotherapy.
• Uburyo bwo kuvura indwara z'abagore butagira inkovu:Ubuvuzi bwa HIFU ku ndwara z’abagore ntibusiga inkovu zigaragara, butuma abagore bakira icyizere cyinshi.

Amakesi

Icyiciro cya 1: Kanseri ya pancreas yo mu cyiciro cya kane ifite ikwirakwira ryinshi ry’amaraso (abagabo, 54)

HIFU yakuyeho ikibyimba kinini cya pancreas gifite uburebure bwa cm 15 icyarimwe

Ikibazo cya 2: Kanseri y'umwijima y'ibanze (umugabo, imyaka 52)

Gukuraho imirasire y'amaraso byagaragaje ko hari ikibyimba gisigaye (ikibyimba kiri hafi ya vena cava iri hasi). Ikibyimba gisigaye cyararangiye burundu nyuma yo gusubira inyuma kwa HIFU, kandi vena cava iri hasi yari irinzwe neza.