Kanseri y'urwagashya ifite urwego rwo hejuru rwa malignance na prognoz mbi.Mubikorwa byubuvuzi, abarwayi benshi basuzumwa murwego rwo hejuru, bafite igipimo gito cyo kubaga kandi nta bundi buryo bwihariye bwo kuvura.Gukoresha HIFU birashobora kugabanya neza umutwaro wikibyimba, kugenzura ububabare, bityo kuramba kwabarwayi no kuzamura imibereho.
Amateka ya Hyperthermiakubibyimba birashobora gukurikiranwakera hashize imyaka 5.000muri Egiputa ya kera, hamwe nibyanditswe mu nyandiko za kera zandikishijwe intoki za Misiri zisobanura imikoresherezeubushyuhe bwo kuvura ibibyimba byamabere.Uwashinzekuvura ubushyuhe, Hippocrates, ufatwa nka se wubuvuzi bwiburengerazuba, yabayeho hashize imyaka 2500.
Hyperthermia nuburyo bwo kuvura burimo gukoresha amasoko atandukanye(nka radiofrequency, microwave, ultrasound, laser, nibindi)kongera ubushyuhe bwimitsi yibibyimba kurwego rwiza rwo kuvura.Iri zamuka ry'ubushyuhe ritera urupfu rw'uturemangingo twibibyimba mugihe bigabanya kwangirika kwingirabuzimafatizo zisanzwe.
Mu 1985, Amerika FDA yemeye kubaga, kuvura imirasire, chimiotherapie, Hyperthermia, hamwe na immunotherapie nkauburyo bwa gatanu bwiza bwo kuvura ibibyimba, byerekana uburyo bushya kandi bunoze.
Ihame shingiro nugukoresha imbaraga zumubiri kugirango ushushe umubiri wose cyangwa agace runaka k'umubiri, kuzamura ubushyuhe bwimyanya yumubiri wibibyimba kurwego rwo kuvura neza no kubukomeza mugihe runaka.Mugukoresha itandukaniro riri hagati yo kwihanganira ubushyuhe buri hagati yingirangingo zisanzwe na selile yibibyimba, igamije kugera kuntego yo gutera kanseri yibibyimba apoptose itangiza ibyangiritse bisanzwe.
Ikibazo cyo kuvura kanseri yandura 1:
Murebwayire: Umugore, imyaka 46, ikibyimba umurizo wa pancreas
Diameter yikibyimba ipima 34mm (anteroposterior), 39mm (transvers), na 25mm (craniocaudal).Gukurikiza ultrasound-iyobowe nubushyuhe bwo gukuraho ubushyuhe,ikurikiranwa rya MRI ryerekanye ko ikibyimba kinini cyari kidakozwe.
Umuti wo kuvura kanseri yandura 2:
Umurwayi: Umugore, imyaka 56, kanseri yandura hamwe na metastase nyinshi yumwijima
Kuvura icyarimwe kuri pancreatic na metastase metastase ukoresheje ultrasound-iyobowe na ultrasound yubuvuzi.Ikurikiranwa rya MRI ryerekanaga ibibyimba bidakora, bifite intera isobanutse neza.
Ikibazo cyo kuvura kanseri yandura 3:
Umurwayi: Umugabo, imyaka 54, kanseri yandura
Ububabare bworoheje rwose muminsi 2nyuma yo kuvura HIFU (ubukana bwinshi bwibanze ultrasound).Ikibyimba cyagabanutseho 62,6% mu byumweru 6, 90.1% mu mezi 3, naho urwego rwa CA199 rusubira mu mezi 12.
Umuti wo kuvura kanseri ya pancreatic Urubanza 4:
Umurwayi: Umugore, imyaka 57, kanseri yandura
Tumor necrosis yabaye nyuma yiminsi 3 ivuwe HIFU.Ikibyimba cyagabanutseho 28.7% mu byumweru 6, 66% mu mezi 3, kandi ububabare bwaragabanutse burundu.
Umuti wo kuvura kanseri yandura 5:
Umurwayi: Umugore, imyaka 41, kanseri yandura
Nyuma yiminsi 9 yo kuvura HIFU,gukurikirana PET-CT scan yerekanaga necrosis nini hagati yibibyimba.
Ikibazo cyo kuvura kanseri yandura 6:
Umurwayi: Umugabo, imyaka 69, kanseri yandura
Gukurikirana PET-CT gusikana igice cy'ukwezi nyuma yo kuvurwa HIFUyerekanye ibura ryuzuye, nta gufata FDG, no kugabanuka gukurikira kurwego rwa CA199.
Ikibazo cyo kuvura kanseri yandura 7:
Umurwayi: Umugore, imyaka 56, kanseri yandura
Gukurikirana CT scan umunsi umwe nyuma yubuvuzi bwa HIFU bwerekanwe80% gukuramo ibibyimba.
Umuti wo kuvura kanseri yandura 8:
Imyaka 57, kanseri yandura
Nyuma yo kuvura HIFU, gukurikirana CT scanyerekanye gukuraho byuzuye hagati yikibyimba.
Igihe cyo kohereza: Kanama-03-2023