Cryoablation don kumburin huhu
Ciwon daji na huhu da ke Yaɗuwa da kuma ƙwayoyin huhu masu ban tsoro
A cewar bayanai daga Hukumar Bincike Kan Ciwon Daji ta Duniya ta Hukumar Lafiya ta Duniya, an gano kimanin sabbin masu cutar kansa miliyan 4.57 a China a shekarar 2020.tare da cutar kansar huhu wanda ke da kusan mutane 820,000Daga cikin larduna da birane 31 na kasar Sin, yawan kamuwa da cutar kansar huhu a cikin maza ya fi yawa a dukkan yankuna banda Gansu, Qinghai, Guangxi, Hainan, da Tibet, kuma adadin mace-mace shine mafi girma ba tare da la'akari da jinsi ba.An kiyasta cewa jimillar yawan kamuwa da cutar kumburin huhu a China ya kai kashi 10% zuwa 20%, tare da yuwuwar yaɗuwa mafi girma a tsakanin mutane sama da shekaru 40. Duk da haka, ya kamata a lura cewa yawancin ƙusoshin huhu raunuka ne marasa lahani.
Ganewar Kwayoyin Huhu
Ƙwayoyin huhuyana nufin inuwa mai siffar zagaye mai kauri a cikin huhu, tare da girma dabam-dabam da gefuna masu haske ko masu duhu, da diamita ƙasa da ko daidai yake da 3 cm.
Ganewar Hoto:A halin yanzu, ana amfani da dabarar daukar hoton da aka yi niyya, wacce aka sani da ganewar hoton nodule opacity na gilashin ƙasa, sosai. Wasu ƙwararru na iya cimma ƙimar alaƙar cututtuka har zuwa kashi 95%.
Ganewar Cututtuka:Duk da haka, ganewar asali ba zai iya maye gurbin ganewar cututtukan nama ba, musamman a lokuta na maganin daidai gwargwado na musamman ga ƙari wanda ke buƙatar ganewar cututtukan ƙwayoyin cuta a matakin ƙwayoyin halitta.Gano cututtuka ya kasance ma'aunin zinariya.
Hanyoyin Bincike da Waraka na Gargajiya don Nodules na Huhu
Binciken Halittar Jiki:Ana iya samun nasarar gano cututtukan nama da kuma gano cututtukan kwayoyin halitta ta hanyar maganin sa barci na gida ta hanyar huda fata. Matsakaicin nasarar biopsy shine kusan kashi 63%,amma matsaloli kamar pneumothorax da hemothorax na iya faruwa. Wannan hanyar tana tallafawa ganewar asali ne kawai kuma yana da wahalar yin magani a lokaci guda.Akwai kuma haɗarin zubar da ƙwayoyin ƙari da kuma yaɗuwar ƙwayoyin cuta. Yin amfani da biopsy na yau da kullun yana ba da ƙarancin adadin ƙwayoyin cuta,yin gwajin cututtukan nama a ainihin lokaci yana da ƙalubale.
Sake yin tiyatar tiyatar Thoracoscopic ta hanyar bidiyo (VATS) ta hanyar maganin sa barci: Wannan hanyar tana ba da damar gano cutar da magani a lokaci guda, tare da nasarar da ke kusantowa 100%. Duk da haka, wannan hanyar ba za ta dace da tsofaffi marasa lafiya ko wasu al'ummomi na musamman ba.waɗanda ba sa jure wa maganin sa barci na gaba ɗayamarasa lafiya da ƙusoshin huhu waɗanda ba su kai girman mm 8 ba ko kuma ƙarancin yawa (<-600), ƙusoshin da ke cikin zurfin tsakanin sassa daban-daban, daƙusoshi a yankin mediastinal kusa da tsarin hilarBugu da ƙari, tiyata ba zai zama zaɓin bincike da magani mai dacewa ga yanayin da ya shafisake dawowa bayan tiyata, kumburin da ke sake dawowa, ko ciwon daji da ya faru bayan tiyata.
Sabuwar Hanyar Magani ga Nodules na Huhu - Cryoablation
Tare da ci gaba da haɓaka fasahar likitanci, maganin ƙari ya shiga zamanin "ganewar asali daidai da magani daidai". A yau, za mu gabatar da wata hanyar magani ta gida wacce take da matuƙar tasiri ga ciwace-ciwacen da ba su da illa da kuma ciwace-ciwacen huhu da ba su da jijiyoyin jini, da kuma ciwace-ciwacen da ke tasowa a matakin farko (ƙasa da 2 cm) -cryoablation.
Cryotherapy
Dabarar cryoablation mai ƙarancin zafi (cryotherapy), wacce kuma aka sani da cryosurgery ko cryoablation, wata dabara ce ta likitanci ta tiyata wadda ke amfani da daskarewa don magance kyallen da aka nufa. A ƙarƙashin jagorancin CT, ana samun daidaiton matsayi ta hanyar huda kyallen ƙari. Bayan isa ga raunin, zafin jiki na wurin yana raguwa da sauri zuwa ga-140°C zuwa -170°Cta amfani daiskar argoncikin mintuna kaɗan, don haka cimma burin maganin kawar da ƙari.
Ka'idar Cryoablation ga Nodules na Huhu
1. Tasirin kankara-lu'ulu'u: Wannan ba ya shafar aikin pathology kuma yana ba da damar gano cutar a cikin lokaci mai tsawo.Cryoablation yana kashe ƙwayoyin ƙari a jiki kuma yana haifar da toshewar ƙwayoyin cuta.
2. Tasirin garkuwar jiki: Wannan yana cimma nasarar kariya daga cutar kansa daga cutar. Yana inganta sakin antigen, yana kunna tsarin garkuwar jiki, kuma yana rage tasirin garkuwar jiki.
3. Daidaita gabobin da ke motsi (kamar huhu da hanta): Wannan yana ƙara yawan nasarar aikin biopsy. An samar da ƙwallon daskararre, wanda hakan ya sa ya zama mai sauƙin daidaitawa, kuma gefuna suna bayyana kuma ana iya gani a hoto. Wannan aikace-aikacen mallakar fasaha yana da sauƙi kuma mai inganci.
Saboda halaye biyu na cryoablation -"tasirin daskarewa da gyarawa" da kuma "tsarin nama mai ɗorewa bayan daskarewa ba tare da shafar ganewar cututtuka ba"yana iya taimakawa wajen yin biopsy na nodule na huhu,cimma ganewar cutar da aka daskare a ainihin lokacin yayin aikin, da kuma inganta nasarar biopsy.Ana kuma san shi da "cryoablation don biopsy na nodule na huhu".
Amfanin Cryoablation
1. Magance matsalar numfashi:Daskarewa na gida yana daidaita kyallen huhu (ta amfani da hanyoyin daskarewa na coaxial ko bypass).
2. Magance cutar pneumothorax, hemoptysis, da kuma haɗarin kamuwa da cutar embolism ta iska da kuma haifar da ƙari: Bayan an yi ƙwallon da ta daskare, sai a kafa wata hanyar da ba ta da matsi mai ƙarfi ta waje ta jiki don gano cutar da kuma maganinta.
3. Cimma burin gano cutar da kuma magani a lokaci guda: Ana fara yin cryoablation na ƙunƙun huhu, sannan a sake dumama shi da kuma duba yanayin numfashi ta hanyar digiri 360 domin ƙara yawan ƙwayoyin halittar da ke ɗauke da kwayar halittar.
Duk da cewa cryoablation hanya ce ta magance ciwon daji a gida, wasu marasa lafiya na iya nuna martanin garkuwar jiki daga nesa. Duk da haka, adadi mai yawa na bayanai sun nuna cewa idan aka haɗa cryoablation tare da radiotherapy, chemotherapy, magani mai niyya, immunotherapy, da sauran hanyoyin magani, ana iya cimma nasarar magance ciwon daji na dogon lokaci.
Alamomi don Percutaneous Cryoablation a ƙarƙashin Jagorar CT
Ƙwayoyin huhu na yankin B: Ga ƙwayoyin huhu da ke buƙatar cire sassa ko sassa da yawa, cryoablation na iya samar da cikakken ganewar asali kafin tiyata.
Ƙwayoyin huhu na yankin A: Hanyar wucewa ko kuma ta hanyar da ba ta da tabbas (manufar ita ce a kafa hanyar toshewar kyallen huhu, zai fi kyau a sami tsawon santimita 2).
Alamomi
Ciwon daji marasa cutarwa da kuma kumburin huhu masu yaduwa marasa jijiyoyin jini:
Wannan ya haɗa da raunukan da suka riga sun kamu da cutar kansa (atypical hyperplasia, in situ carcinoma), raunukan da ke haifar da yaduwar garkuwar jiki, ƙwayoyin cuta masu kumburi, ƙuraje da ƙuraje na gida, da kuma ƙuraje masu yaduwa.
Ciwon daji na matakin farko:
Dangane da gogewar da ake da ita, cryoablation ita ma hanya ce mai inganci ta magani wadda aka yi daidai da tiyatar cire ƙwayoyin da ba su da haske a gilashin ƙasa waɗanda suka kai ƙasa da santimita 2 tare da ƙasa da kashi 25% na sinadaran da ke da ƙarfi.
Lokacin Saƙo: Satumba-05-2023