Hyperthermia ee Ablation-ka Burada: Kiiska Daaweynta Kansarka Pancreatic iyo Cilmi-baarista

kansarka ganaca.infographics.sawirka vector ee qaabka kartoonka.

Kansarka ganaca wuxuu leeyahay darajo sare oo malignant ah iyo saadaal xumo.Dhaqdhaqaaqa kiliinikada, bukaanada intooda badan waxaa lagu ogaadaa heer sare, oo leh heerar qalliin oo hooseeya oo aan lahayn doorashooyin kale oo daaweyn ah.Isticmaalka HIFU waxay si wax ku ool ah u yareyn kartaa culeyska buro, xakameynta xanuunka, taas oo sii dheereyneysa badbaadada bukaanka iyo hagaajinta tayada nolosha.

Taariikhda Hyperthermiaburooyinka waa la raadin karaa5,000 oo sano ka horMasar hore, oo ay ku jiraan diiwaanno qoraal-gacmeedyo hore oo Masari ah oo qeexaya isticmaalkakulaylka lagu daweeyo burooyinka naaska.Aasaasihiidaaweynta kulaylka, Hippocrates, oo loo tixgeliyo aabaha daawada reer galbeedka, wuxuu noolaa qiyaastii 2,500 oo sano ka hor.

Hyperthermia waa hab daawayn oo ku lug leh adeegsiga ilo kulayl oo kala duwan(sida soo noqnoqda raadiyaha, microwave, ultrasound, laser, iwm.)si loo kordhiyo heerkulka unugyada burooyinka ilaa heer daweyn oo waxtar leh.Kor u kaca heerkulku wuxuu keenaa dhimashada unugyada burooyinka iyadoo la yareynayo dhaawaca unugyada caadiga ah.

1985, US FDA waxay shahaado bixisay qalliin, daawaynta shucaaca, kiimoterabiga, Hyperthermia, iyo immunotherapy sidahababka shanaad ee waxtarka leh ee daaweynta burooyinka, oo matalaya hab cusub oo waxtar leh.

Mabda'a aasaasiga ah waa in la isticmaalo tamarta jirka si loo kululeeyo jirka oo dhan ama meel gaar ah oo jirka ah, kor u qaadista heerkulka heerkulka unugyada burooyinka ilaa heer daaweyneed oo wax ku ool ah iyo ilaalinta wakhti go'an.Iyada oo ka faa'iidaysanaysa kala duwanaanshaha u dulqaadashada heerkulka u dhexeeya unugyada caadiga ah iyo unugyada burooyinka, waxay ujeedadeedu tahay in la gaaro yoolka ah in la keeno apoptosis unugyada burada iyada oo aan waxyeello u geysan unugyada caadiga ah.

 

Kiis Daawaynta Kansarka Ganaca 1:

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Bukaanka: Dheddig, 46 jir ah, buro ku taal dabada xameetida

Dhexroorka burada ayaa cabbiraysa 34mm (anteroposterior), 39mm (transverse), iyo 25mm (craniocaudal).Ka dib markii daawaynta kuleylka kuleylka ee ay hagto ultrasound-ka,MRI dabagal ah ayaa shaaca ka qaaday in burada inteeda badan ay firfircoon tahay.

Kiis 2aad ee Daaweynta Kansarka Pancreatic:

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Bukaanka: Dheddig, 56 jir ah, kansarka ganaca leh ee beerka beerka ku badan

Daawaynta isku mar ah ee beeryarada iyo beerka-baska-baxa labadaba iyadoo la isticmaalayo daawaynta kuleylku hagayo ultrasound-ka.MRI-da la-socodku waxay muujisay firfircooni-la'aan buro, oo leh meelo cad oo sax ah.

 

Kiis 3aad ee Daaweynta Kansarka Pancreatic:

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Bukaan: Lab, 54 jir ah, kansarka ganaca

Xanuunku wuxuu si buuxda uga nastay 2 maalmood gudahoodka dib HIFU (ultrasound diirada sare leh) daaweynta.Burada ayaa hoos u dhacday 62.6% 6 toddobaad, 90.1% 3 bilood, iyo heerarka CA199 ayaa caadi ku soo noqday 12 bilood.

 

Kiis 4 ee Daaweynta Kansarka Pancreatic:

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Bukaanka: Dheddig, 57 jir ah, kansarka ganaca

Burada necrosis waxay dhacday 3 maalmood ka dib daawaynta HIFU.Burada ayaa hoos u dhacday 28.7% 6 toddobaad, 66% 3 bilood, xanuunkana si buuxda ayaa loo nasiyey.

 

Kiis 5 ee Daaweynta Kansarka Pancreatic:

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Bukaanka: Dheddig, 41 jir ah, kansarka ganaca

Kadib 9 maalmood oo daawaynta HIFU ah,Baaritaanka PET-CT ee dabagalka ayaa muujiyay necrosis ballaaran oo ku yaala bartamaha burada.

 

Kiis 6 ee Daaweynta Kansarka Pancreatic:

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Bukaan: Lab, 69 jir ah, kansarka ganaca

Baaritaanka dabagalka PET-CT nus bilood ka dib daaweynta HIFUayaa shaaca ka qaaday in gebi ahaanba la waayo burada, ma jiro FDG kor u qaadis ah, iyo hoos u dhac ku xiga ee heerarka CA199.

 

Kiiska Daawaynta Kansarka Xameetida 7:

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Bukaanka: Dheddig, 56 jir ah, kansarka ganaca

Baaritaanka CT-ga ee daba-galka ah hal maalin kadib daawaynta HIFU ayaa muujisay80% burada oo laga saaro.

Kiis 8 ee Daaweynta Kansarka Pancreatic:

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57 jir, kansarka ganaca

Daawaynta HIFU ka dib, iskaanka CT-ga oo dabagal ahayaa shaaca ka qaaday ka-saarid dhammaystiran oo ku taal bartamaha burada.


Waqtiga boostada: Agoosto-03-2023