Xa ugqirha ekuxelela ukuba unethumba emzimbeni wakho, uloyiko olufika engqondweni yakho luthi, "Owu, ngaba kuya kufuneka ndityandwe?" Akukho namnye kuthi othanda ukuzisika imizimba yethu okanye ukwenzakala okukhulu. Kodwa ngoku, isayensi yezonyango ihambele phambili kakhulu. Ngaba ukhe weva ngetekhnoloji enokutshabalalisa iithumba emzimbeni ngaphandle kwamanxeba otyando, njengomlingo? Yiloo nto siyibiza ngokuba yi-HIFU, emele i-High-Intensity Focused Ultrasound. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Kalula nje, yintoni le HIFU?
Kulungile, masiqale siqonde igama lale nto. I-Ultrasound egxile kwi-High-Intensity. Oko kuthetha "amaza esandi agxile kwi-high-intensity". Nangona eli gama liyinkimbinkimbi kancinci, umsebenzi ulula kakhulu.
Uninzi lwethu luqhelene nee-ultrasound scans. Olu vavanyo lwenziwa ukujonga umntwana osesibelekweni sikamama okhulelweyo, okanye ukujonga amalungu angaphakathi esibelekweni. Lubandakanya ukuthumela amaza esandi emzimbeni kunye nokujonga umfanekiso ophumayo.
Kodwa i-HIFU yahlukile ngokupheleleyo. Endaweni yokuthatha imifanekiso, isebenzisa amaza esandi anamandla aphindwe kangangamawaka kune-ultrasound ukutshabalalisa izicubu ezigulayo emzimbeni, njengethumba.
Khawuthelekelele usebenzisa iiglasi zelanga ukuze ugxilise ukukhanya kwelanga kwindawo enye uze utshise iphepha. Yile nto yenzekayo ngetekhnoloji ye-HIFU. Amawaka amaza esandi ajoliswa ngaxeshanye, kwindawo enye, oko kukuthi, kanye apho kukho ithumba. La mandla aphezulu abangela ukuba ubushushu bezicubu ezijoliswe kuzo bunyuke ngequbuliso, butshabalalise ezo seli (oku sikubiza ngokuba yi-"ablation" kunyango).
Into emangalisayo ngale nto kukuba la maza esandi adlula eluswini nakwimisipha yakho ngaphandle kokulimaza naziphi na izicwili eziphilileyo ngaphandle, kwaye asebenza kuphela kwindawo ekujoliswe kuyo. Xa besenza olu nyango, oogqirha basebenzisa ii-MRI scans (Magnetic Resonance Imaging) okanye ii-Ultrasound scans ukuze babone kanye apho kujoliswe khona. Yiyo loo nto oku kuchanekile kakhulu.
Zeziphi iimeko ezinokunyangwa nge-HIFU?
Itekhnoloji ye-HIFU ngoku isetyenziswa ukunyanga iintlobo ngeentlobo zezifo kwihlabathi liphela. Isebenza ngakumbi ekunyangeni iithumba eziqinileyo ezikhula naphi na emzimbeni. Ezi thumba zinokuba zimbi (zinomhlaza) okanye zibe zimbi (azinamhlaza).
Ungafumana umbono olungileyo ngale nto kwitheyibhile engezantsi.
| Imeko enyangwayo | Iinkcukacha ezithe xaxe |
|---|---|
| Umhlaza kunye neethumba zamalungu ahlukeneyo | Inyanga izifo ezifana namathambo, ingqondo, amabele, izintso, isibindi, ipancreas, ingakumbi umhlaza weprostate. |
| Iifibroids zesibeleko | I-HIFU isetyenziselwa ukunyanga le meko, exhaphakileyo phakathi kwabasetyhini, ngaphandle kotyando. |
| Uloyiko olubalulekileyo | I-HIFU ingasetyenziselwa ukunyanga inxalenye ethile yengqondo ukubonelela ngoncedo kwiingcangcazelo ezinzulu zezandla ezingenakulawulwa ngamayeza. |
| Isifo sikaParkinson | Uphawu oluphambili lwesi sifo kukungcangcazela, kwaye i-HIFU ikwasetyenziswa ukulawula loo meko. |
| Intlungu yomhlaza esasazeke emathanjeni | Le ndlela ikwasetyenziselwa ukunciphisa iintlungu ezibangelwa kukukhula kwamathambo aqhekeziweyo xa umhlaza usasazeka emathanjeni. |
| Amaqhuqhuva e-thyroid | Ikwasetyenziselwa ukususa ezinye iziqwenga ezikhula kwi-thyroid gland entanyeni. |
Ukongeza kolu luhlu, oogqirha basaphanda ukuba i-HIFU ingazinyanga na ezinye izifo ezininzi. Ngoko ke le yiteknoloji ephucukayo imihla ngemihla.
Kutheni sikhetha unyango lwe-HIFU? Zithini iingenelo zalo?
Usenokuba uzibuza, "Kutheni usenza le nkqubo ukuba unako utyando?" Kukho izizathu ezahlukeneyo zoko.
Inzuzo yokuqala neyona ibalulekileyo kukuba ayingenisi ntsholongwane.Oko kuthetha ukuba akukho manxeba, akukho manxeba makhulu, kwaye akukho mithungo. Yiyo loo nto umngcipheko wokosuleleka uphantsi kakhulu.
Isizathu sesibini kukuba olu lunyango olujoliswe ngqo . Njengoko bekutshiwo ngaphambili, ekubeni lujolise kwaye lutshabalalisa iiseli ezigulayo kuphela, izicubu eziphilileyo ezijikelezileyo azonakaliswa. Kwakhona, ekubeni lungasebenzisi imitha, alunazo iziphumo ebezingalindelekanga ezifana nezo zonyango lwemitha.
Olu nyango aludingi ukuhlala esibhedlele. Ungaya ekhaya ngaloo mini inye emva konyango (inkqubo yokulaliswa ngaphandle). Ixesha lokuchacha lifutshane kakhulu. Ungabuyela kwimisebenzi yakho yesiqhelo kwiintsuku ezimbalwa.
Kodwa simele sikhumbule into enye. Ayizizo zonke iithumba okanye umhlaza onokunyangwa nge-HIFU. Umzekelo, olu nyango lusetyenziselwa kuphela umhlaza weprostate ukuba usekwinqanaba lokuqala, awusasazekanga ngaphaya kwendlala, kwaye ubonakala ngokucacileyo kwi-MRI okanye kwi-Ultrasound scan. Ugqirha wakho uya kugqiba ukuba olu nyango lufanelekile na kuwe okanye akunjalo.
Kwenzeka ntoni ngaphambi nangexesha lonyango?
Ukuze sikunike ukuqonda okungcono ngale ndlela yonyango, makhe sijonge amanyathelo abandakanyekayo kule nkqubo.
Ngaphambi konyango
Emva kokugqiba ekubeni ufumane unyango lwe-HIFU, ugqirha wakho uza kuqala akucele ukuba wenze i-MRI okanye i-ultrasound scan. Oku kuya kunceda ekufumaneni indawo echanekileyo yethumba kunye nobukhulu balo. Emva koko uza kunikwa imiyalelo ekhethekileyo (umz. indlela yokulawula ukutya kwakho) ekufuneka uyilandele ukususela ngosuku olungaphambi konyango. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.
Ngexesha lonyango
Ngosuku lonyango, la manyathelo adla ngokulandelwa:
1. Ukulungiselela: Uza kulaliswa ebhedini ekhethekileyo. Ngokuxhomekeke kwinxalenye yomzimba onyangwayo, isixhobo esikhethekileyo (isixhobo sokuzinzisa) singasetyenziselwa ukugcina loo nxalenye ingashukumi. Umzekelo, ukuba ingqondo iyanyangwa, ifreyimu yentloko (ifreyimu yentloko) ingasetyenziselwa ukugcina intloko ingashukumi.
2. I-Anesthesia: Ngokuxhomekeke kwindawo yonyango kunye nemeko yakho, usenokuba usezingqondweni, unikwe i-laxation encinci, okanye unikwe i-anesthesia epheleleyo (i-anesthesia eqhelekileyo).
3. Ukujonga: Ugqirha usebenzisa i-MRI okanye umatshini we-ultrasound ukufumana eyona tissue ifunekayo ukunyangwa.
4. Ukuqala unyango: Iprobe yomatshini we-HIFU ekhupha amaza esandi ibekwa phezu kolusu lwakho, ijolise ngqo kwindawo ekujoliswe kuyo. (Ukuba unyanga i-prostate, kufakwa iprobe enobukhulu bomnwe nge-rectum.)
5. Ukukhupha amaza esandi:Emva koko, amaza esandi anamandla aphezulu akhutshwa rhoqo emva kwemizuzwana embalwa, efudumeza kwaye etshabalalisa iiseli ezijoliswe kuzo. Oku kwenziwa kancinci kancinci, de lonke ithumba ligutyungelwe.
6. Uvavanyo lokugqibela: Ekupheleni konyango, kwenziwa iskeni kwakhona ukuqinisekisa ukuba ithumba litshatyalalisiwe ngempumelelo.
Ixesha elithathwayo ukuze yonke le nkqubo igqitywe linokwahluka ngokuxhomekeke kubukhulu nendawo ekuyo ithumba. Ngokwesiqhelo, unyango lunokwenziwa ngexesha elinye.
Ngaba kukho naziphi na iingozi okanye iingxaki ngale nto?
Njengakwezinye iindlela zonyango, i-HIFU inomngcipheko omncinci. Nangona kunjalo, xa kuthelekiswa neenkqubo ezifana notyando, umngcipheko weengxaki uphantsi kakhulu.
Kunqabile kakhulu ukuba kubekho ukutsha kwesikhumba okungabonakaliyo. Kwakhona, iziphumo ebezingalindelekanga ezithile zinokwenzeka ngokuxhomekeke kwindawo enyangiweyo. Umzekelo, emva konyango lwe-HIFU lomhlaza weprostate, abanye abantu banokuba neengxaki zomchamo okwethutyana okanye ukungasebenzi kakuhle kwe-erectile.
Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho malunga neenzuzo kunye neengxaki zolu nyango, kunye nemiphumo enokubakho, ngaphambi kokuba uqale. Emva koko ungenza isigqibo esinolwazi.
Ixesha lokuchacha liyahluka kumntu nomntu, kodwa ungabuyela kubomi bakho obuqhelekileyo kwixesha elifutshane, malunga neveki.
Umyalezo Wokuya Ekhaya
- I-HIFU lunyango lwanamhlanje nolukhuselekileyo olusebenzisa amaza esandi agxile ngamandla aphezulu ukutshabalalisa iithumba emzimbeni ngaphandle kokuzisika emzimbeni.
- Le ndlela ibangela umonakalo omncinci kwizicwili eziphilileyo kwaye ayibandakanyi ukuvezwa kwimitha.
- Le ndlela isetyenziswa ukunyanga izifo ezininzi, ezinje ngomhlaza, ii-uterine fibroids, kunye nokungcangcazela.
- Ixesha lokuchacha lifutshane kakhulu kunelotyando oluqhelekileyo, kwaye umngcipheko weziphumo ebezingalindelekanga nawo uphantsi.
- Olu nyango alufanelekanga kubo bonke abaguli. Ugqirha wakho uya kugqiba ukuba lufanelekile na kuwe.
- Nceda uxoxe ngayo nayiphi na imibuzo, iinkxalabo, okanye amathandabuzo onawo ngale nto nogqirha wakho.
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