We di dɔktɔ tɛl yu se yu gɛt tumbu na yu bɔdi, di fred we kin kam na yu maynd wantɛm wantɛm na, "O, a go gɛt fɔ ɔpreshɔn?" Nɔn pan wi nɔ lɛk fɔ kɔt wi bɔdi ɔ gɛt big big injuri. Bɔt naw, mɛdikal sayɛns dɔn go bifo bɔku. Yu dɔn yɛri bɔt wan teknɔlɔji we kin pwɛl di tumbu dɛn we de insay di bɔdi ɛn nɔ gɛt wund dɛn we dɛn kin du ɔpreshɔn pan, lɛk majik? Na dat wi de kɔl HIFU, we tinap fɔ High-Intensity Focused Ultrasound. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Simply put, wetin bi dis HIFU?
Okay, mek wi ɔndastand di nem fɔ dis fɔs. Ɔltrasɔund we gɛt ay Intɛnsity we dɛn de pe atɛnshɔn pan. Dat min se "hay-intensity focused sound waves". Pan ɔl we di nem kɔmplikt smɔl, di wok rili simpul.
Bɔku pan wi sabi ɔltra saund skan. dis skan dεn kin du fכ luk di pikin we de insay di bεlε fכ mama we de bכn, כ fכ luk di כgan dεm we de insay di bכdi. I min fɔ sɛn sawnd wev dɛn insay di bɔdi ɛn luk di pikchɔ we de kɔmɔt frɔm am.
Bɔt HIFU na sɔntin we rili difrɛn. Bifo i tek pikchɔ, i de yuz sawnd wev dɛn we gɛt pawa pas ɔltra saund wev bɔku bɔku tɛm fɔ pwɛl di sik dɛn we de insay di bɔdi, lɛk tumbu.
Imajin se yu de yuz wan sanglas fɔ put di san layt na wan ples ɛn put faya pan wan pepa. Dis na wetin kin apin wit HIFU teknɔlɔji. Bɔku bɔku sawnd wev dɛn kin de na di sem tɛm, na di sem ples, dat na jɔs usay di tumbu de. dis ay enεji de mek di tεmprachכ fכ di tisu we dεn tכk bכt de go כp wan wan, we de pwεl dεn sεl dεm (dis na wetin wi kכl ``ablation'' insay mεdisin).
Di wɔndaful tin bɔt dis na dat dɛn sawnd wev ya kin pas tru yu skin ɛn mɔsul dɛn we nɔ de ambɔg ɛni wɛlbɔdi tisu na do, ɛn dɛn kin jɔs wok pan di say we dɛn want fɔ du am. We dɔktɔ dɛn de du dis tritmɛnt, dɛn kin yuz MRI skan (Magnetic Resonance Imaging) ɔ Ultrasound skan fɔ si ustɛm di pɔsin we dɛn want fɔ tek. Na dat mek dis rili kɔrɛkt.
Us kɔndishɔn dɛn kin trit wit HIFU?
Naw dɛn de yuz HIFU teknɔlɔji fɔ trit bɔku bɔku sik dɛn ɔlsay na di wɔl. I kin wok fayn mɔ fɔ trit sɔlid tɔŋ dɛn we de divɛlɔp ɛnisay na di bɔdi. Dɛn tumbu ya kin bi malignant (kansa) ɔ benign (nɔto kansa).
Yu kin gɛt gud aidia bɔt dis frɔm di tebul we de dɔŋ ya.
| Kɔndishɔn we dɛn de trit | Mɔ infɔmeshɔn |
|---|---|
| Kansa ɛn tumbu dɛn na difrɛn ɔgan dɛn | I kin trit tin dɛn lɛk bon, bren, bɔdi, kidni, liva, pankrias, ɛn mɔ di prɔstat kansa. |
| Fibroid dɛn we de na di uterin | Dɛn kin yuz HIFU fɔ trit dis sik, we kin apin to uman dɛn, we dɛn nɔ gɛt ɔpreshɔn. |
| Impɔtant Tremor | Dɛn kin yuz HIFU fɔ trit wan patikyula pat na di bren fɔ gi rilif fɔ siriɔs an trem we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin. |
| Dis sik we dɛn kɔl Parkinson | Di men sayn fɔ dis sik na fɔ shek, ɛn dɛn kin yuz HIFU bak fɔ kɔntrol da kɔndishɔn de. |
| Kansa pen we dɔn spre to di bon dɛm | dis mεtכd dεn kin yus bak fכ rεliv di siriכs pen we di bon dεm we de gro mεtastas we kansa spre to di bon dεm. |
| Tayrɔyd nodul dɛn | dεn kin yus am bak fכ pul sכm lump dεm we de fכm na di tayroyd gland na di nεk. |
Apat frɔm dis list, dɔktɔ dɛn stil de du risach if HIFU kin trit bɔku ɔda sik dɛn. So dis na teknɔlɔji we de go bifo ɛvride.
Wetin mek wi kin pik HIFU tritmɛnt? Wetin na di bɛnifit dɛn we wi kin gɛt?
Yu kin de wɔnda, "Wetin mek fɔ go tru dis prosidur if yu kin gɛt ɔpreshɔn?" Bɔku rizin dɛn de fɔ dat.
Di fɔs ɛn impɔtant bɛnifit na dat i nɔ de ambɔg pɔsin.Dat min se dɛn nɔ kɔt, dɛn nɔ gɛt big wund, ɛn dɛn nɔ stich. Na dat mek di risk fɔ gɛt di sik rili smɔl.
Di sɛkɔn rizin na dat dis na rili prɛsis targeted therapy . As wi bin dɔn tɔk, bikɔs i jɔs de tɔch ɛn pwɛl di sɛl dɛn we gɛt di sik, di wɛlbɔdi tisu we de rawnd am nɔ de pwɛl. Dɔn bak, bikɔs i nɔ de yuz redyushɔn, i nɔ gɛt di sayd ɛfɛkt dɛn we redyushɔn tɛrapi kin du.
Dis tritmɛnt nɔ kin nid fɔ de na ɔspitul. Yu kin go na os di sem de afta di tritmɛnt (outpatient procedure). Di tɛm fɔ wɛl kin rili shɔt. Yu kin go bak to yu nɔmal tin dɛn insay sɔm dez.
Bɔt wi fɔ mɛmba wan tin. Nɔto ɔl tumor ɔ kansa dɛn kin trit wit HIFU. Fɔ ɛgzampul, dɛn kin yuz dis tritmɛnt fɔ prɔstat kansa nɔmɔ if i bigin, i nɔ dɔn spre pas di gland, ɛn yu kin si am klia wan pan MRI ɔ Ultrasound skan. Yu dɔktɔ go disayd if dis tritmɛnt fayn fɔ yu ɔ nɔ fayn fɔ yu.
Wetin kin apin bifo ɛn we dɛn de trit am?
Fɔ mek yu ɔndastand dis tritmɛnt we dɛn kin du, lɛ wi luk di step dɛm we de insay dis prɔses.
Bifo dɛn trit am
Afta yu disayd fɔ gɛt HIFU tritmɛnt, yu dɔktɔ go fɔs aks yu fɔ mek dɛn du MRI ɔ ɔltra saund skan. Dis go ɛp fɔ no usay di tumbu de ɛn di sayz we i gɛt. Dɔn dɛn go gi yu spɛshal instrɔkshɔn (e.g. aw fɔ kɔntrol yu it) fɔ fala stat di de bifo di tritmɛnt. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
We dɛn de du tritmɛnt
Di de we dɛn de trit am, dɛn kin fala dɛn tin ya:
1. Fɔ pripia: Dɛn go mek yu ledɔm pan spɛshal bed. Dipen pan di pat pan di bɔdi we dɛn de trit, dɛn kin yuz spɛshal tin (stabilizing device) fɔ mek da pat de stil. Fɔ ɛgzampul, if dɛn de trit di bren, dɛn kin yuz ed freym (ed freym) fɔ mek di ed nɔ de muv.
2. Anestezi: Dipen pan di say we dɛn de trit yu ɛn di sik we yu gɛt, yu kin no, dɛn kin gi yu layt sɛdɛshɔn, ɔ dɛn kin anestez yu ɔl (jɛnɔral anestezi).
3. Targeting: Di dɔktɔ de yuz MRI ɔ ɔltra saund mashin fɔ fɛn di rayt tisu we nid fɔ trit.
4. Fɔ stat di tritmɛnt: Dɔn dɛn kin put di HIFU mashin in sawnd wev-emitin prob oba yu skin, ɛn i kin jɔs tɔch di say we dɛn want fɔ du am. (If dɛn de trit di prɔstat, dɛn kin put wan finga saiz prob tru di rɛktum.)
5. Fɔ mek sawnd wev dɛn:Dɔn, dɛn kin mek sawnd wev dɛn we gɛt ay pawa ɛvri sɔm sɛkɔn, we kin mek di sɛl dɛn we dɛn want fɔ wam ɛn pwɛl. Dɛn kin du dis smɔl smɔl, te di wan ol tumbu kɔba.
6. Faynal chɛk-ap: We di tritmɛnt dɔn, dɛn kin du ɔda skan fɔ kɔnfɔm se dɛn dɔn pwɛl di tumbu fayn fayn wan.
di tεm we i tek fכ dis כl prכsεs fכ kכmplit kin difrεn dipכnt pan di sayz εn di say we di tכmכro de. Bɔrku tɛm, dɛn kin dɔn di tritmɛnt insay wan sɛshɔn.
Ɛni risk ɔr kɔmplikeshɔn de wit dis?
Jɔs lɛk ɛni mɛrɛsin, HIFU kin gɛt smɔl risk. Bɔt we yu kɔmpia am to di we aw dɛn kin du am lɛk ɔpreshɔn, di risk fɔ gɛt prɔblɛm dɛn rili smɔl.
Na smɔl tɛm nɔmɔ, pɔsin kin bɔn na di skin we de ɔp. Dɔn bak, sɔm patikyula sayd ɛfɛkt dɛn kin apin dipen pan di say we dɛn trit. Fɔ ɛgzampul, afta dɛn dɔn gɛt HIFU tritmɛnt fɔ prɔstat kansa, sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn urinary fɔ sɔm tɛm ɔ dɛn kin gɛt prɔblɛm wit dɛn uman we nɔ ebul fɔ tinap fayn.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ opin wan bɔt di gud ɛn bad tin dɛn we dis tritmɛnt gɛt, ɛn di bad tin dɛn we kin apin to yu bifo yu bigin. Dɔn yu kin disayd fɔ du sɔntin we yu no.
De tɛm wae yu kin wɛl kin difrɛn frɔm pɔrsin to ɔda pɔrsin, bɔt bɔrku tɛm yu kin kam bak to yu nɔrmal layf insay shɔt tɛm, lɛk wan wik.
Mɛsej we dɛn kin kɛr go na os
- HIFU na wan mɔdan, sef tritmɛnt we de yuz ay-intensiti fɔs sawnd wev fɔ pwɛl di tɔŋ dɛn we de insay di bɔdi we nɔ de kɔt insay di bɔdi.
- Dis we ya de mek smɔl damej to di wɛlbɔdi tisu ɛn i nɔ de involv fɔ mek pɔsin gɛt raytin.
- Dɛn kin yuz dis teknɔlɔji fɔ mɛn bɔku sik dɛn lɛk kansa, uterine fibroid, ɛn we pɔsin kin shek.
- Di tɛm fɔ wɛl kin shɔt pas aw dɛn kin du ɔpreshɔn ɔltɛm, ɛn di risk fɔ gɛt sayd ɛfɛkt dɛn bak kin smɔl.
- Dis tritmɛnt nɔ fayn fɔ ɔl di sik pipul dɛn. Yu dɔktɔ go disayd if i fayn fɔ yu.
- Duya tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn, wɔri, ɔ dawt we yu gɛt bɔt dis.
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