Usho ukuthini umdlavuza wendawo wendlala yesinye?
E-Liv Hospital Urology Clinic, i-HIFU isetshenziswa njengendlela yokwelapha eyinhloko kumdlavuza wendlala yesinye, okungukuthi, esigabeni lapho wonke umdlavuza usezicubu ze-prostate kanye nezicubu ezizungezile ziphelele.
Umdlavuza wendlala yesinye ungahlangabezana nengozi ngesikhathi sokuhlinzwa
Incidentally, prostate cancer can be seen in 12% of patients who undergo open or endoscopic surgery with the diagnosis of benign prostatic hyperplasia, that is, BPH-benign prostatic enlargement. These patients need additional treatment for cancer, but conventional treatments may cause them to undergo local umdlavuza wendlala treatment with more severe complications. Tumor-focused Focal HIFU treatment in primary prostate cancer can provide patients with an uncomplicated process.
Yini i-Focal HIFU?
I-HIFU iyindlela yokwelapha yamanje esetshenziswa njengokwelashwa kwendawo kumdlavuza wendlala yesinye oyinhloko, njengendlela yokwelapha yokuhlenga ngemva kwe-radiotherapy nokwehluleka ukuhlinzwa, futhi njengokwelashwa okusekelayo kumdlavuza wendlala yesinye osethuthuke kakhulu endaweni. I-"Radical HIFU" uma ihlanganiswe ne-TUR isetshenziswa njenge-HIFU egxilile lapho ingahlaseli ngaphandle kwe-TUR. Uma kubhekwa yonke inqubo yokwelashwa komdlavuza wendlala yesinye, okuyisifo esiguquguqukayo nesithatha isikhathi eside, i-HIFU iyindlela yokwelapha eguquguqukayo. I-HIFU ayikwazi ukuqhathaniswa nanoma iyiphi indlela yokwelapha yakudala, kodwa izinkomba zayo zingase zinqwabelane nazo zonke ezinye izindlela zokwelapha phakathi nalesi sifo futhi ingase idale ezinye izindlela. Ngaphezu kwalokho, ingasetshenziswa ezigulini zabo bonke ubudala kanye nazo zonke izimo zezempilo ngenxa yokuthi inqubo ingenziwa ngeseshini eyodwa futhi imiphumela emibi iphansi ngesikhathi nangemva kwenqubo, kanye nangenxa yokungeyona yayo- ukuhlasela.
Yiziphi iziguli ezifanele ukwelashwa kwe-Focal HIFU?
Overtreatment is seen in prostate cancer. The need for less invasive and adequate treatments is very high. For this reason, it is preferable to apply this type of treatment strategy to patients with a single focal low-risk isisu ku-prostate.
Inhloso ukuhlela isu lokwelapha ingxenye kanye nenesimila esikhawulelwe ngaphandle kwe-TUR ezimweni zomdlavuza wendlala yesinye, wasendaweni. Uma kwenzeka ukwehluleka noma ukuphindeka kwalolu hlobo lokwelashwa, kunethuba lokuguqulwa okuphelele/okunamandla. Ngakolunye uhlangothi, ihloselwe ukuvikela ukusebenza kwe-sphincter nokusebenza kocansi. Ngakolunye uhlangothi, esimweni sokulinda, ukucindezeleka kwengqondo isiguli esizobhekana nakho kuyakhululeka. Ngokumelene nombuzo "wokwelashwa ngokweqile," ukwelashwa okugxilwe komdlavuza we-prostate kuyindlela engahlaseli.
Isetshenziswa kanjani ukwelashwa kwe-Focal HIFU?
I-HIFU iwukwelashwa okungahlaseli okwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kuqedwe ngeseshini eyodwa. Enkambweni, kusetshenziswa isithwebuli se-ultrasonic, esigxile kumagagasi e-ultrasonographic akhishwa i-applicator emise okwesipuni, efakwa ku-rectum futhi iqukethe i-angled piezoelectric crystal. Ukulandelana kokudubula kwe-HIFU, ukushuba, kanye nobude besikhathi sabenzi bezicelo kucacisiwe esimweni ngasinye. Ukuma kwe-intrarectal kwabafake izicelo ngesikhathi senqubo kunqunywa ku-3D nge-algorithm yekhompiyutha, izilinganiso zibhekwa ngesithombe se-3D, zilungiswe, futhi izithombe ezizenzakalelayo nezisheshayo ze-ultrasonic zesikhathi sangempela zenziwa isilonda ngasinye ngokohlelo lokwelapha. Ngakho-ke, i-acuity ephezulu kakhulu ye-intraoperative inikezwa kuhlelo lokusebenza lwe-HIFU. Lesi yisici esenza ubuchwepheshe obusebenzisa inqubo ye-HIFU "i-robot yokuhlinzwa ehlakaniphile".
