Benshi mu barwayi ba kanseri y'umwijima batemerewe kubagwa cyangwa ubundi buryo bwo kuvura bafite amahitamo.
Isubiramo ry'imanza
Umuti wo kuvura kanseri y'umwijima 1:
Umurwayi: Kanseri y'umwijima, umugabo
Ku isi ya mbere HIFU ivura kanseri y'umwijima, yarokotse imyaka 12.
Umuti wo kuvura kanseri y'umwijima 2:
Umurwayi: Umugabo, imyaka 52, kanseri y'umwijima y'ibanze
Nyuma yo gukuraho radiofrequency, ikibyimba gisigaye cyamenyekanye (ikibyimba hafi ya vena cava yo hasi).Nyuma yubuvuzi bwa kabiri bwa HIFU, gukuraho burundu ikibyimba gisigaye cyagezweho, hamwe no kurinda byimazeyo vena cava yo hasi.
Umuti wo kuvura kanseri y'umwijima 3:
Kanseri y'umwijima y'ibanze
Gukurikirana nyuma yibyumweru bibiri bivura HIFU byerekanaga ibura ryuzuye!
Umuti wo kuvura kanseri y'umwijima 4:
Umurwayi: Umugabo, imyaka 33, kanseri y'umwijima metastatike
Igisebe kimwe kiboneka muri buri gice cyumwijima.Ubuvuzi bwa HIFU bwakorewe icyarimwe, bikavamo ikibyimba cya nérosose no kwinjizwa amezi atatu nyuma yo kubagwa.
Umuti wo kuvura kanseri y'umwijima 5:
Umurwayi: Umugabo, imyaka 70, kanseri y'umwijima y'ibanze
Ikibyimba gisigaye cyagaragaye kuri MRI nyuma yo gushira amavuta ya iyode nyuma ya embolisation ya transarterial.Kwiyongera kwa patchy kwabuze nyuma yo kuvura HIFU, byerekana gukuramo ibibyimba byuzuye.
Ikibazo cyo kuvura kanseri y'umwijima 6:
Umurwayi: Umugore, imyaka 70, kanseri y'umwijima y'ibanze
Ikibyimba cyamaraso cyane gipima 120mm* 100mm iboneka mu gice cyiburyo cyumwijima.Kurandura ibibyimba byuzuye nyuma yo kuvura HIFU, buhoro buhoro buhoro buhoro.
Umuti wo kuvura kanseri y'umwijima 7:
Umurwayi: Umugabo, imyaka 62, kanseri y'umwijima y'ibanze
Lesion iherereye iruhande rw'igisenge cya diafragmatique, vena cava yo hasi, hamwe na sisitemu y'imitsi.Nyuma yamasomo 5 ya radiofrequency hamwe na 2 ya TACE, ikibyimba gisigaye cyagaragaye mugukurikirana MRI.Ubuvuzi bwa HIFU bwatangije neza ikibyimba mugihe urinda imiyoboro y'amaraso ikikije.
Umuti wo kuvura kanseri y'umwijima 8:
Umurwayi: Umugabo, imyaka 58, kanseri y'umwijima y'ibanze
Gusubiramo byagaragaye nyuma yo kubagwa kanseri y'umwijima iburyo.Kurandura ibibyimba byuzuye byagezweho hamwe no kuvura HIFU, byemejwe no kubyimba ibibyimba nyuma y'amezi 18.
Hyperthermia ya Kanseri y'umwijima - Ubushakashatsi busanzwe
HIFU (High Intensity Focused Ultrasound) irashobora gukoreshwa mu kuvura kanseri y'umwijima.Uburyo gakondo bwo kuvura kanseri yumwijima burimo kubaga, kubaga transbolial embolisation, na chimiotherapie.Nyamara, abarwayi benshi basuzumwa mugihe cyateye imbere cyangwa bafite ibibyimba hafi yimiyoboro yamaraso, bigatuma kubaga bidashoboka.Byongeye kandi, abarwayi bamwe ntibashobora kubagwa bitewe nubuzima bwabo, kandi uburyo bwo kubaga ubwabo butwara ibyago byo guhura nibibazo.
Ubuvuzi bwa HIFU kuri kanseri y'umwijima butanga ibyiza byinshi:irashobora kwibasirwa cyane, itera ububabare bwangiritse kandi yangiritse, ifite umutekano, ifite ibibazo bike, kandi irashobora gusubirwamo nibiba ngombwa.Irashobora kunoza ibimenyetso byabarwayi no kuramba.
Kuvura nyuma ya HIFU, nta kibazo cyo guturika kw'ibibyimba, jaundice, kumeneka kw'amaraso, cyangwa gukomeretsa kw'amaraso, byerekana ko kwivuza ari byiza.
(1) Ibyerekana:Ubuvuzi bwa palliative kubibyimba byateye imbere, kanseri yumwijima yonyine kuruhande rwiburyo hamwe na diameter iri munsi ya 10cm, ibibyimba binini kumurongo wiburyo hamwe na nodules ya satelite ikomeza kugarukira kumyijima yiburyo, kugaruka kwaho nyuma yo kubagwa, portal vein tumor trombus.
(2) Kwivuguruza:Abarwayi bafite cachexia, bakwirakwiza kanseri yumwijima, imikorere mibi yumwijima mugihe cyanyuma, na metastasis ya kure.
(3) Uburyo bwo kuvura:Abarwayi bafite ibibyimba kumurongo wiburyo bagomba kuryama kuruhande rwiburyo bwabo, mugihe abafite ibibyimba kuruhande rwibumoso basanzwe bashyizwe mumwanya mwiza.Mbere yuburyo bukoreshwa, ultrasound ikoreshwa mugushakisha ikibyimba mugutegura neza no gutegura imiti.Ikibyimba noneho kivurwa binyuze muburyo bwo gukuraho gukurikiranye, guhera kumurongo umwe hanyuma ugatera kumurongo, uturere, hanyuma amaherezo yibibyimba byose.Ubuvuzi busanzwe bukorwa rimwe kumunsi, buri cyiciro gifata iminota igera kuri 40-60.Inzira irakomeza burimunsi, umurongo ku kindi, kugeza ikibyimba cyose kimaze kuvaho.Nyuma yo kuvurwa, ahantu havuwe hasuzumwa ibyangiritse ku ruhu, hakurikiraho gusuzumwa na ultrasound yo hanze y’ahantu hose hagamijwe gusuzuma neza uburyo bwo kuvura.
(4) Kuvura nyuma yo kuvurwa:Abarwayi bakurikiranwa kumikorere yumwijima no kurwego rwa electrolyte.Ubuvuzi bugomba gutangwa kubarwayi bafite imikorere mibi yumwijima, asite, cyangwa jaundice.Abarwayi benshi bafite ubushyuhe busanzwe bwumubiri mugihe cyo kuvura.Umubare muto w'abarwayi barashobora kwiyongera k'ubushyuhe mu minsi 3-5, mubisanzwe munsi ya 38.5 ℃.Kwiyiriza ubusa birasabwa mumasaha 4 nyuma yo kuvurwa, mugihe abarwayi bafite kanseri yumwijima yibumoso bagomba kwiyiriza amasaha 6 mbere yo kwimuka buhoro buhoro.Bamwe mu barwayi barashobora kubabara mu nda byoroheje iminsi 3-5 nyuma yo kuvurwa, bigenda bikemuka buhoro buhoro.
(5) Gusuzuma imikorere:HIFU irashobora gusenya kanseri yumwijima, igatera na nérosose idasubirwaho ya selile kanseri.Isuzuma rya CT ryerekana igabanuka ryinshi ryagaciro rya CT mu turere twagenewe, kandi CT yongerewe imbaraga yemeza ko nta maraso y’imitsi iva mu maraso yagenewe.Itsinda ryongera imbaraga rishobora kugaragara kurwego rwo kuvura.MRI yerekana impinduka zerekana ubukana bwikibyimba ku mashusho afite uburemere bwa T1 na T2 kandi ikerekana ibura ryamaraso mu gice cyerekanwe mu cyiciro cy’imitsi y’imitsi n’umuyoboro, hamwe n’icyiciro cyatinze cyerekana umurongo wongera imbaraga ku ntera yo kuvura.Igenzura rya Ultrasound ryerekana kugabanuka gahoro gahoro ingano yibibyimba, kubura amaraso, hamwe na tissue necrosis amaherezo ikinjira.
(6) Gukurikirana:Mu myaka ibiri yambere nyuma yo kuvurwa, abarwayi bagomba gusurwa buri mezi abiri.Nyuma yimyaka ibiri, gukurikirana bigomba kubaho buri mezi atandatu.Nyuma yimyaka itanu, birasabwa buri mwaka kwisuzumisha.Urwego rwa Alpha-fetoprotein (AFP) rushobora gukoreshwa nk'ikimenyetso cyo kongera kubyimba.Niba kuvura bigenda neza, ikibyimba kizagabanuka cyangwa kibure burundu.Mugihe mugihe ikibyimba kikiriho ariko kitagifite selile zifatika, ugomba kwitonda mugihe ikibyimba gifite diameter irenze 5cm kigaragara kumashusho, kandi scan ya PET irashobora gukoreshwa kugirango bisobanurwe neza.
Kwitegereza ivuriro ryibisubizo mbere na nyuma yubuvuzi, harimo urugero rwa alpha-fetoproteine, imikorere yumwijima, hamwe na MRI scan,berekanye igipimo cyo kuvura hejuru ya 80% kubarwayi ba kanseri yumwijima bavuwe na HIFU.Mugihe aho amaraso atanga ibibyimba byumwijima bikungahaye, kuvura HIFU birashobora guhuzwa no gutabarana.Mbere yo kuvura HIFU, transatheter arterial chemoembolisation (TACE) irashobora gukorwa kugirango ihagarike amaraso mu gice cy’ibibyimba rwagati, hamwe na agent embolic ikora nk'ikimenyetso cy'ibibyimba kugirango ifashe HIFU.Amavuta ya iyode ahindura acoustic impedance hamwe na coeffisente yo kwinjiza mu kibyimba, byorohereza ihinduka ryingufu yibanda kuri HIFU no gutera imbere.
Igihe cyo kohereza: Kanama-08-2023