Cyoablation don nodule na huhu
Ciwon daji na Huhu na Yaduwa da Nodules na Pulmonary
Bisa kididdigar da Hukumar Bincike Kan Kansa ta Hukumar Lafiya ta Duniya ta WHO ta fitar, an ce, a shekarar 2020, an samu sabbin masu kamuwa da cutar sankara miliyan 4.57 a kasar Sin.tare da cutar kansar huhu ya kai kusan lokuta 820,000.Daga cikin larduna da birane 31 na kasar Sin, yawan wadanda suka kamu da cutar sankara ta huhu a cikin maza sun kasance a matsayi na farko a dukkan yankuna in ban da Gansu, da Qinghai, da Guangxi, da Hainan, da Tibet, kuma adadin mace-mace shi ne mafi girma ba tare da la'akari da jinsi ba.An kiyasta yawan adadin nodules na huhu a cikin kasar Sin kusan kashi 10% zuwa 20%, tare da yiwuwar yaduwa a tsakanin mutane fiye da shekaru 40.Duk da haka, ya kamata a lura da cewa yawancin nodules na huhu sune raunuka marasa kyau.
Ganewar nodules na huhu
nodules na huhukoma zuwa ga inuwa mai yawa mai siffar zagaye a cikin huhu, masu girma dabam dabam da bayyane ko ɓangarorin gefe, da diamita ƙasa da ko daidai da 3 cm.
Binciken Hoto:A halin yanzu, ana amfani da dabarar da aka yi niyya ta hoton hoto, wanda aka sani da ganewar yanayin hoto na ƙasa-glass opacity hoto, ko'ina.Wasu ƙwararrun ƙwararrun na iya cimma ƙimar alaƙar cututtukan cuta har zuwa 95%.
Ganewar cututtuka:Duk da haka, ganewar asali ba zai iya maye gurbin ganewar cututtuka na nama ba, musamman ma a lokuta na takamaiman magani na ƙwayar cuta wanda ke buƙatar ganewar ƙwayoyin cuta a matakin salula.Fahimtar cututtukan cututtuka ya kasance ma'aunin zinariya.
Hanyoyin Ganewa na Al'ada da Hanyoyin warkewa don Nodules na huhu
Biopsy na Percutaneous:Za'a iya samun ganewar ƙwayar cuta ta nama da ganewar cututtukan ƙwayoyin cuta a ƙarƙashin maganin sa barci ta hanyar huda.Matsakaicin nasarar nasarar biopsy shine kusan 63%,amma matsaloli irin su pneumothorax da hemothorax na iya faruwa.Wannan hanyar tana goyan bayan ganewar asali ne kawai kuma yana da wahala a yi jiyya na lokaci ɗaya.Har ila yau, akwai haɗarin zubar da ƙwayar ƙwayar cuta da metastasis.Biopsy na al'ada percutaneous yana ba da iyakacin adadin nama,yin ainihin-lokacin nama Pathology ganewar asali kalubale.
Gabaɗaya Anesthesia Bidiyo-Taimakawa Aikin tiyata na Thoracoscopic (VATS) Lobectomy: Wannan tsarin yana ba da damar ganewar asali da magani lokaci guda, tare da nasarar nasarar kusan 100%.Koyaya, wannan hanyar bazai dace da tsofaffi marasa lafiya ko mutane na musamman bawadanda ba su da juriya ga maganin sa barci, marasa lafiya tare da nodules na huhu da ke ƙasa da 8 mm a girman ko ƙananan yawa (<-600), nodules dake zurfi tsakanin sassan sabani, danodules a cikin yankin mediastinal kusa da tsarin hilar.Bugu da ƙari, tiyata maiyuwa ba zai zama zaɓin da ya dace da bincike da magani don yanayin da ya shafisake dawowa bayan aiki, nodules mai maimaita, ko ciwace-ciwacen ƙwayar cuta.
Sabuwar Hanyar Magani don Nodules na Huhu - Cryoablation
Tare da ci gaba da ci gaban fasahar likitanci, maganin ƙwayar cuta ya shiga zamanin "madaidaicin ganewar asali da daidaitaccen magani“.A yau, za mu gabatar da hanyar magani na gida wanda ke da tasiri sosai ga ciwace-ciwacen da ba su da kyau da kuma nodules na huhu na huhu, da kuma nodules na ciwon daji na farko (kasa da 2 cm) -kuka.
Cyotherapy
Dabarar cryoablation mai ƙarancin zafin jiki (cryotherapy), wanda kuma aka sani da cryosurgery ko cryoablation, wata dabarar likita ce ta tiyata wacce ke amfani da daskarewa don kula da kyallen takarda.A ƙarƙashin jagorancin CT, ana samun daidaitaccen matsayi ta hanyar huda ƙwayar ƙwayar cuta.Bayan kai ga raunin, yanayin zafin gida a wurin yana raguwa da sauri zuwa-140°C zuwa -170°Camfaniargon gasa cikin mintuna kaɗan, ta haka ne aka cimma burin maganin zubar da ƙari.
Ƙa'idar Cryoablation don Nodules na huhu
1. Ice-crystal sakamako: Wannan ba zai shafi ilimin cututtuka ba kuma yana ba da damar gano cututtukan cututtuka na intraoperative da sauri.Cryoablation a zahiri yana kashe ƙwayoyin ƙari kuma yana haifar da ɓoyewar microvascular.
2. Immunomodulatory sakamako: Wannan yana samun amsawar rigakafi mai nisa akan ƙwayar cuta. Yana inganta sakin antigen, yana kunna tsarin garkuwar jiki, kuma yana sauƙaƙa da hana rigakafi.
3. Tsayar da gabobi na tafi-da-gidanka (kamar huhu da hanta): Wannan yana haɓaka ƙimar nasarar biopsy. An kafa ƙwallon daskararre, yana sauƙaƙa don daidaitawa, kuma gefuna suna bayyane da bayyane akan hoto.Wannan aikace-aikacen haƙƙin mallaka yana da sauƙi kuma mai inganci.
Saboda halaye biyu na cryoablation -"Daskarewa anchoring da gyarawa sakamako" da "cikakken tsarin nama bayan daskarewa ba tare da shafar ganewar asali ba", zai iya taimaka a cikin huhu nodule biopsy,cimma ainihin lokacin daskararre ganewar asali yayin aikin, da kuma inganta ƙimar nasarar biopsy.An kuma san shi da "cryoablation don huhu nodule biopsy“.
Amfanin Cryoablation
1. Magance matsalar numfashi:Daskarewa na gida yana daidaita ƙwayar huhu (ta amfani da coaxial ko hanyoyin daskarewa).
2. Magance pneumothorax, hemoptysis, da kuma haɗarin kamuwa da cutar iska da ƙwayar ƙwayar cuta: Bayan kafa ƙwallo mai daskararre, an kafa tashar daɗaɗɗen matsa lamba ta extracorporeal don ganewar asali da dalilai na magani.
3. Cimma maƙasudin ganewa da kuma jiyya a lokaci guda: Cryoablation na nodule na huhu ana yin shi da farko, sannan kuma a sake dawo da dumama da 360° multidirectional biopsy don ƙara yawan ƙwayar biopsy.
Ko da yake cryoablation hanya ce don kula da ciwon daji na gida, wasu marasa lafiya na iya nuna amsawar rigakafi mai nisa.Duk da haka, babban adadin bayanai ya nuna cewa lokacin da aka haɗa cryoablation tare da radiotherapy, chemotherapy, maganin da aka yi niyya, immunotherapy, da sauran hanyoyin jiyya, za a iya samun nasarar sarrafa ciwon daji na dogon lokaci.
Alamomi don Cryoablation Percutaneous a ƙarƙashin Jagorar CT
B-zone huhu nodules: Ga nodules na huhu da ke buƙatar ɓarna ko ɓangarori masu yawa, cryoablation na ɓarna na iya samar da tabbataccen ganewar asali.
A-zone huhu nodules: Kewaya ko hanyar da ba ta dace ba (maƙasudin shine kafa tashar nama na huhu, zai fi dacewa da tsayin 2 cm).
Alamomi
Ciwace-ciwacen ciwace-ciwacen daji da kuma nodules na huhu masu yaduwa:
Wannan ya haɗa da raunukan da suka rigaya ya faru (hyperplasia na yau da kullun, a cikin carcinoma), raunuka masu haɓakawa na rigakafi, ƙwayoyin cuta masu kumburi, cysts da abscesses, da nodules masu yaduwa.
Tumor nodules na farko:
Dangane da gogewar data kasance, cryoablation shima ingantaccen hanyar magani ne mai kwatankwacin aikin tiyata don nodules na gilashin ƙasa ƙasa da 2 cm tare da ƙasa da 25% ingantaccen sashi.
Lokacin aikawa: Satumba-05-2023