March 2022: I-HIFU (High Intensity Focused Ultrasound) iyindlela yokwelapha esezingeni eliphezulu esebenzisa amaza e-ultrasound agxilile, anamandla amakhulu ukushisa nokubulala izingxenye ezinomdlavuza zendlala yesinye. Izicubu eziqondiwe zishiselwa ku-880 kuya ku-980 degrees Celsius ngemva kokuqhuma ngakunye kwamasekhondi ama-3 kwe-HIFU beam. Izinga lokushisa kwezinye izindawo lifinyelela kuma-degree angu-1000, okwenza amanzi esicutshini abile! Amaseli e-prostate endaweni yokwelashwa abhujiswa ngokushesha. Ukuqhuma ngakunye okuyimizuzwana emi-3 kucekela phansi izicubu ezilingana nohlamvu lwerayisi kuyilapho kungadali monakalo kumaseli angomakhelwane. Ngenxa yokuthi indawo ngayinye eselashwayo incane kakhulu, kuthatha ikhono eliningi nokunemba ukuphatha kahle i-prostate nge-HIFU futhi kuzuzwe imiphumela engcono kakhulu.
Because of the HIFU beam’s small size and precision, treated individuals have significantly reduced urine incontinence and erectile dysfunction. These are the two most dreaded, life-altering adverse effects that patients fear, and which lead to many men avoiding umdlavuza wendlala ukwelashwa.
Isofthiwe yekhompuyutha eyinkimbinkimbi yedivayisi ye-Sonablate® 500 HIFU ihlanganisa ubuchwepheshe bokuthwebula be-ultrasound obuqondise amaseli e-prostate ngaphandle kokulimala kwezicubu ezizungezile. Njengomphumela, uma kuqhathaniswa nokuhlinzwa kwerobhothi, i-HIFU inezinga lokwelapha eliphakeme kakhulu futhi yenza ukungakwazi ukuzithiba okuncane kakhulu.
I-Doppler ingesinye isici sobuchwepheshe obuyinkimbinkimbi be-HIFU ultrasound. Lokhu kuvumela udokotela ukuthi ezwe ukugeleza kwegazi eduze kwemizwa elawula ukuqhanyelwa ngaphandle kwe-prostate. Ukulimala kwalawa ma-neuron abalulekile nemithambo yegazi kungancishiswa noma kugwenywe ngokuhlela izindawo zemithambo yegazi kukhompuyutha yesofthiwe yokwelapha. I-Erectile Dysfunction (ED) cishe ayinakwenzeka ngenxa yalokhu.
Izinzuzo ze-HIFU
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Akudingeki neze ukusika.
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I-HIFU inqubo yokulaliswa ngaphandle eyenziwa esikhungweni sokuhlinza.
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Akukho ukuhlala esibhedlela okudingekayo.
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Uzoba nokululama okufushane kakhulu uma kuqhathaniswa nokuhlinzwa okukhulu.
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Ukwelashwa kuthatha amahora ambalwa uma kuqhathaniswa namaviki emithi eminingi yokwelashwa ngemisebe.
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Imisebenzi eminingi evamile ingaqalwa kabusha ezinsukwini ezimbalwa.
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Abukho ubuhlungu obuncane.
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I-HIFU idala ukwehla kwengozi yokulimala kwezakhiwo ezizungezile.
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I-HIFU inezinga eliphansi kakhulu lokungakwazi ukuzibamba umchamo.
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I-HIFU inezinga eliphansi kakhulu lokungasebenzi kahle kwe-erectile.
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Obani abangenele ukhetho oluhle lwe-HIFU?
Ungase ube yikhandidethi elihle le-HIFU uma:
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Unesigaba sokuqala, umdlavuza wendlala yesinye ongazange usabalale noma ubonakale ngaphandle kwe-prostate.
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Unomdlavuza wendlala yesinye ngemva kokwelashwa ngemisebe yanoma yiluphi uhlobo, noma uma ezinye izindlela zokwelapha zibeka engcupheni enkulu yezinkinga.
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Ufuna ukugwema imiphumela emibi kanye nezinkinga ezingaba khona zokuhlinzwa okukhulu noma ngemisebe.
Yenziwa kanjani i-HIFU?
Ngaphansi kokujwayelekile, umgogodla, noma i-epidural anesthesia, i-HIFU yenziwa. Ngokuya ngosayizi nokuma kwe-prostate yakho, ukwelashwa kungathatha noma yikuphi ukusuka emahoreni ama-2 kuye kwamane. Uzokhishwa ekhaya ngemva kokuhlala isikhashana endaweni yokululama, lapho uzolandelwa abahlengikazi besikhungo sokuhlinzwa.
Ngemuva kwe-HIFU
Ukushisa okudalwe ngesikhathi sokwelashwa kwe-HIFU kubangela ukuba wonke ama-prostate akhule. Ukuchama akunakwenzeka ngenxa yalokhu. Ishubhu elincanyana (i-catheter) lifakwa esinyeni sakho ngembobo yesikhumba engu-3/16″ ngenhla nje kwethambo lomlomo wakho ngaphambi kokuthi kuqale ukuhlinzwa kwe-HIFU. Ishubhu lizokhipha ukuchama esinyeni sakho libe esikhwameni esincane esiboshelwa emlenzeni wakho kuze kube yilapho ukuvuvukala kwehle futhi ungakwazi ukuchama ngendlela evamile. Ifihlwe ngaphansi kwebhulukwe lakho, ngakho akekho owaziyo ukuthi ikhona. Ayingeni ku-urethra, ngokungafani nama-catheter asetshenziswa ngemva kokuhlinzwa kanzima, ngakho-ke ijabulisa kakhulu futhi inengozi ephansi kakhulu yokutheleleka.
Iziguli zingase zidlule inani elincane legazi, izicubu ze-prostate endala, noma into efana namafinyila emchamweni wazo phakathi namasonto ambalwa alandelayo. Iningi labantu lichama kangcono kunangaphambi kokwelashwa kwe-HIFU lapho zonke izicubu ze-prostate sezikhishiwe.
