Ua ʻike mākou a pau e pili ana i nā Ultrasound Scans, ʻeā? Hoʻohana ʻia kēia scan i ka wā hāpai e nānā i nā kikoʻī o ka pēpē a i ʻole e ʻike i ke kumu o ka ʻeha o ka ʻōpū. Akā ua ʻike anei ʻoe ma ka hoʻohana ʻana i kēia ʻenehana ultrasound like, hiki ke luku ʻia nā mea e like me nā puʻupuʻu kanesa i loko o ke kino me ka ʻole o ke ʻoki ʻana? ʻO kēlā ʻenehana lapaʻau kupaianaha hou ka mea a mākou e kapa nei he High-Intensity Focused Ultrasound, a i ʻole HIFU no ka pōkole.
I ka ʻōlelo maʻalahi, he aha ka HIFU?
He kaʻina hana lapaʻau ʻaʻole invasive ka HIFU e hoʻohana ana i nā nalu ultrasound ikehu kiʻekiʻe e hoʻopau i nā ʻiʻo pilikia i loko o ke kino.
Hoʻomanaʻo ʻoe i kou wā kamaliʻi, e hoʻohana ana i kahi aniani convex e hoʻopili i ka lā a puhi i kahi mea e like me ka lau? Pēlā ia. Hoʻohana ka mīkini HIFU i kahi kukuna nalu leo kiʻekiʻe e kuhikuhi pololei i ka ʻiʻo. ʻO ka ikehu o kēia mau nalu leo ke kumu o ka piʻi koke ʻana o ka mahana o ka ʻiʻo i kuhikuhi ʻia, e luku ana i nā cell. Kāhea mākou i kēia kaʻina hana ʻo Ablation .
ʻO ka mea kūikawā e pili ana i kēia, ʻo ia ka hele ʻana o nā nalu kani ma o nā papa ʻē aʻe o nā ʻiʻo, e like me ka ʻili a me ka ʻiʻo, me ka ʻole o ka hōʻino ʻana iā lākou, a hoʻopilikia wale i ka pahuhopu. Hoʻohana pinepine nā kauka i kahi scan MRI a i ʻole kahi scan Ultrasound i kēia manawa e ʻike pono ai i kahi e mālama ai. ʻO ia ke kumu i kapa ʻia ai i kekahi manawa ʻo Magnetic Resonance-guided Focused Ultrasound (MRgFUS).
He aha nā kūlana e hiki ai ke hoʻohana ʻia ka mālama ʻana o HIFU?
Ke hoʻohana ʻia nei ka ʻenehana HIFU e mālama i kekahi mau maʻi. He mea kūpono loa ia no nā puʻupuʻu ʻino paʻa a me nā puʻupuʻu benign. Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi mai ka papa ma lalo nei.
| ʻĀpana/kūlana kino e mālama ʻia ana | He wehewehe maʻalahi |
|---|---|
| Nā ʻōpū kanesa | Hoʻohana ʻia ia no kekahi ʻano maʻi kanesa e kū mai ana i loko o nā ʻōpū e like me ka prostate, ke akepaʻa, nā puʻupaʻa, ka pancreas, ka umauma, ka iwi, a me ka esophagus. |
| Nā Fibroids Uterine | Hiki ke wehe ʻia kēia ʻano puʻupuʻu ʻaʻole maʻi kanesa, ka mea e kū nei i nā wahine he nui, me ke ʻoki ʻole ʻana. |
| Haʻalulu Koʻikoʻi | Hoʻohana ʻia ia e mālama i ka ʻāpana pili o ka lolo i nā hihia o nā haʻalulu ma nā lālā, e like me nā lima, i hiki ʻole ke hoʻokele ʻia me ka lāʻau lapaʻau. |
| Ka maʻi o Parkinson | Hoʻohana ʻia ia e mālama i ka lolo e kāohi i nā haʻalulu e kū mai ana i kēia maʻi. |
| ʻEha mai ka maʻi kanesa e pālahalaha ana i nā iwi | Hoʻohana ʻia ia e hōʻoluʻolu i ka ʻeha nui i hoʻokumu ʻia e ka laha ʻana o nā hunaola kanesa i nā iwi. |
| Nā puʻupuʻu thyroid | Hoʻohana ʻia nō hoʻi ia no kekahi mau nodules pilikia i loko o ka kelepa thyroid. |
Ke hoʻomau nei nā mea noiʻi lapaʻau i ka noiʻi ʻana inā hiki ke hoʻohana ʻia kēia ʻenehana HIFU no kekahi mau maʻi ʻē aʻe.
No ke aha i koho ai nā kauka i ka lāʻau lapaʻau HIFU?
ʻO ke kumu nui, he lāʻau lapaʻau ʻaʻole kēia e komo kino, hana ʻia ma waho, a ʻoi aku ka palekana ma mua o nā ʻano lāʻau lapaʻau ʻē aʻe.
ʻO ka mea nui loa, ʻaʻole ia e koi i ke ʻoki kino nui e ʻoki ai i ke kino. A ʻaʻole hoʻi e hoʻohana i ka radiation. He pōmaikaʻi nui kēia.
Akā hoʻokahi mea e hoʻomanaʻo ai: ʻAʻole hiki ke mālama ʻia nā ʻano puʻupuʻu āpau me HIFU. No ka laʻana, kūpono wale kēia lāʻau lapaʻau no kekahi me ke kanesa prostate inā he pae mua o ke kanesa, haʻahaʻa ka pilikia, kaupalena ʻia i ka prostate, a ʻike maopopo ʻia ma kahi MRI a i ʻole ultrasound scan.Inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino, a inā paʻakikī ke ʻike maopopo i ka puʻupuʻu ma kahi scan, ʻaʻole kūpono paha ka mālama ʻana iā HIFU. No laila, na kāu kauka e hoʻoholo inā kūpono ia iā ʻoe.
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana iā HIFU?
Ma mua o ka mālama ʻana
ʻO ka maʻamau, ma mua o ka mālama ʻana iā HIFU, e loaʻa iā ʻoe kahi MRI a i ʻole ultrasound scan. E kōkua kēia i ke kauka e ʻike i ka ʻāpana kikoʻī o ka ʻiʻo e pono ai ke mālama ʻia. E hāʻawi kāu hui lapaʻau iā ʻoe i nā kuhikuhi maopopo e pili ana i ka hoʻomākaukau ʻana no ka mālama ʻana (no ka laʻana, inā pono ʻoe e hoʻokē ʻai). He mea nui loa ka hahai pololei ʻana i kēia mau kuhikuhi.
I ka wā o ka mālama ʻana
ʻOkoʻa iki paha ke ʻano o ka hana ʻana o ka HIFU ma muli o kou kūlana, akā penei ka maʻamau:
1. Hoʻomākaukau: E hoʻomoe ʻia ʻoe ma luna o kahi papa hoʻokolokolo. Hiki ke hoʻohana ʻia kahi mea hana kūikawā e hoʻopaʻa i ka ʻāpana o ke kino e mālama ʻia ana. (No ka laʻana, inā e mālama ʻia ana ka lolo, he kiʻikuhi e hoʻopaʻa i ke poʻo).
2. Anesthesia: Ma muli o ke kūlana, hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e noho mālie ai, e hoʻomaha iki ʻia, a i ʻole e hoʻomaha loa ʻia (anesthesia laulā).
3. Ke kuhikuhi ʻana: Me ka hoʻohana ʻana i kahi MRI a i ʻole Ultrasound scan, kaha ke kauka i kahi kikoʻī o ka ʻiʻo e mālama ʻia.
4. Hoʻomaka i ka lāʻau lapaʻau: Ua kau ʻia ka ʻāpana hoʻopuka nalu leo (probe) o ka mīkini HIFU ma kou ʻili, ma luna o ka wahi i hōʻailona ʻia. (No ka maʻi ʻaʻai prostate, ua hoʻokomo ʻia kēia probe ma o ka rectum).
5. Ka nui o ka hoʻāʻo: ʻO ka mua, hāʻawi ʻia kahi liʻiliʻi o ka 'hoʻāʻo', a laila hoʻonui ʻia a hoʻemi ʻia paha ka ikaika o nā nalu kani ma muli o ka hohonu o ke kino.
6. Ke hāʻawi nei i ka lāʻau lapaʻau: A laila, hoʻouna ʻia nā nalu kani o ka ikaika kūpono i ka ʻiʻo i manaʻo ʻia i loko o nā pahū pōkole.
7. Hōʻoia: Ma hope o ka mālama ʻana, hana hou ʻia kahi scan e hōʻoia inā ua luku ʻia ka ʻiʻo i manaʻo ʻia.
Hiki ke hoʻopau ʻia ka mālama ʻana o HIFU i hoʻokahi kau.
He aha nā pōmaikaʻi a me nā pilikia o ka mālama ʻana iā HIFU?
E like me nā lāʻau lapaʻau āpau, loaʻa iā HIFU kona mau pono a me nā pilikia liʻiliʻi. E aʻo hou e pili ana iā lākou ma kēia papa.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Hopena ʻAoʻao |
|---|---|
| ʻAʻole koi ʻia ke ʻoki ʻana a i ʻole ka ʻoki ʻana (Non-invasive). | Ma keʻano holoʻokoʻa, haʻahaʻa loa ka pilikia. |
| ʻAʻohe pilikia i ka radiation. | He mea kākaʻikahi loa, hiki ke loaʻa nā kuni ma ka ʻili. |
| Ma muli o ke kuhikuhi wale ʻana i nā ʻiʻo maʻi, liʻiliʻi ka hōʻino ʻana i nā ʻiʻo olakino. | Hiki ke ʻokoʻa nā hopena ʻaoʻao ma muli o ka maʻi e mālama ʻia nei. |
| Hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau me ka ʻole o ka noho ʻana i ka haukapila a hoʻi i ka home (outpatient). | Eia kekahi laʻana, hiki ke paʻakikī ka mimi ʻana a i ʻole ka hana erectile ma hope o ka mālama ʻana i ka prostate. |
| He pōkole loa ka manawa ho'ōla, a hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o kekahi mau lā. | He mea nui loa e kamaʻilio me kāu kauka e pili ana i kēia. |
ʻEhia ka lōʻihi e hoʻōla ai?
ʻOkoʻa ka manawa hoʻōla ma hope o ka mālama ʻana iā HIFU mai kēlā me kēia kanaka a pili i ke kūlana e mālama ʻia nei. Eia nō naʻe, ʻoi aku ka wikiwiki ma mua o ke ʻoki kino nui. E wehewehe kāu hui lapaʻau i nā mea āpau mai ka lōʻihi o kou pono e hoʻomaha, nā mea hiki iā ʻoe ke hana a me nā mea hiki ʻole iā ʻoe ke hana, a hiki i nā mea hiki ʻole iā ʻoe ke hana.
Leka Lawe-Home
- He lāʻau lapaʻau hou a palekana hoʻi ʻo HIFU e hoʻohana ana i nā nalu kani ikehu kiʻekiʻe e hoʻopau i nā ʻōpū, e like me nā ʻōpū kanesa, me ka ʻole o nā ʻoki a i ʻole ka radiation.
- ʻAe kēia i ka mālama ʻana e kau wale ʻia i ka ʻiʻo maʻi, e hōʻemi ana i ka hōʻino ʻana i nā ʻiʻo olakino.
- Ke hoʻohālikelike ʻia me ke ʻoki ʻana, ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao, a he pōkole loa ka manawa hoʻōla.
- Akā, ʻaʻole kūpono kēia lāʻau lapaʻau no kēlā me kēia maʻi a i ʻole kēlā me kēia ʻano maʻi kanesa.
- E kamaʻilio mau me kāu kauka e pili ana i ke kūpono o kēia lāʻau lapaʻau iā ʻoe a me kona mau pōmaikaʻi a me nā pōʻino, a e hana i ka hoʻoholo kūpono.
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