Kankere ea Pancreatic e na le boemo bo phahameng ba mofetše le tebello e mpe ea lefu. Tloaelong ea bongaka, bakuli ba bangata ba fumanoa ba le boemong bo tsoetseng pele, ka sekhahla se tlase sa ho tlosoa ha opereishene 'me ha ho na mekhoa e meng e khethehileng ea kalafo. Tšebeliso ea HIFU e ka fokotsa moroalo oa hlahala ka katleho, ea laola bohloko, ka hona ea lelefatsa bophelo ba mokuli le ho ntlafatsa boleng ba bophelo.
Histori ea Hyperthermiabakeng sa lihlahala li ka lateloamorao dilemong tse 5,000 tse fetilengEgepeta ea boholo-holo, ka lirekoto tse ngotsoeng ka letsoho tsa Egepeta ea boholo-holo tse hlalosang tšebeliso eamocheso ho phekola lihlahala tsa matsoele.Mothehi oaphekolo ea mocheso, Hippocrates, ea nkoang e le ntate oa bongaka ba Bophirimela, o phetse lilemong tse ka bang 2,500 tse fetileng.
Hyperthermia ke mokhoa oa phekolo o kenyeletsang ho sebelisa mehloli e fapaneng ea ho futhumatsa(joalo ka maqhubu a radiofrequency, microwave, ultrasound, laser, jj.)ho eketsa mocheso oa lisele tsa hlahala ho fihlela boemong bo sebetsang ba phekolo. Keketseho ena ea mocheso e lebisa lefung la lisele tsa hlahala ha ka nako e tšoanang e fokotsa tšenyo ea lisele tse tloaelehileng.
Ka 1985, FDA ea Amerika e ile ea netefatsa opereishene, kalafo ea mahlaseli, chemotherapy, Hyperthermia, le immunotherapy e lemekhoa ea bohlano e sebetsang ea kalafo ea hlahala, e emelang mokhoa o mocha le o sebetsang.
Molao-motheo oa mantlha ke ho sebelisa matla a 'mele ho futhumatsa' mele oohle kapa sebaka se itseng sa 'mele, ho phahamisa mocheso oa lisele tsa hlahala ho ea boemong bo sebetsang ba phekolo le ho bo boloka ka nako e itseng. Ka ho sebelisa monyetla oa liphapang tsa mamello ea mocheso pakeng tsa lisele tse tloaelehileng le lisele tsa hlahala, e ikemiselitse ho finyella sepheo sa ho baka apoptosis ea lisele tsa hlahala ntle le ho senya lisele tse tloaelehileng.
Nyeoe ea 1 ea Kalafo ea Kankere ea Pancreatic:
Mokuli: Mosadi, ea lilemo li 46, hlahala mohatleng oa manyeme
Bophara ba hlahala bo boholo ba 34mm (anteroposterior), 39mm (transverse), le 25mm (craniocaudal). Ka mor'a phekolo ea thermal ablation e tataisoang ke ultrasound,MRI e latelang e senotse hore boholo ba hlahala bo ne bo sa sebetse.
Nyeoe ea 2 ea Kalafo ea Kankere ea Pancreatic:
Mokuli: Mosali, ea lilemo li 56, kankere ea pancreatic e nang le metastases ea sebete se ngata
Kalafo e etsoang ka nako e le 'ngoe bakeng sa ho hlaha ha pancreatic le sebete ka ho sebelisa phekolo ea thermal ablation e tataisoang ke ultrasound.Tlhahlobo ea MRI e latelang e bontšitse ho se sebetse ha hlahala, ka mahlakore a hlakileng le a nepahetseng.
Nyeoe ea 3 ea Kalafo ea Kankere ea Pancreatic:
Mokuli: Monna, lilemo tse 54, kankere ea pancreatic
Bohloko bo imollotsoe ka botlalo matsatsing a 2kamora kalafo ea HIFU (high-intensity focused ultrasound).Sefuba se ile sa fokotseha ka 62.6% libekeng tse 6, 90.1% likhoeling tse 3, 'me maemo a CA199 a khutlela setloaeling likhoeling tse 12.
Nyeoe ea 4 ea Kalafo ea Kankere ea Pancreatic:
Mokuli: Mosadi, lilemo tse 57, kankere ea pancreatic
Ho hlaha ha hlahala ho etsahetse matsatsi a 3 kamora kalafo ea HIFU.Hlahala e ile ea fokotseha ka 28.7% ha e le libeke tse 6, 66% ha e le likhoeli tse 3, 'me bohloko bo ile ba kokobela ka botlalo.
Nyeoe ea 5 ea Kalafo ea Kankere ea Pancreatic:
Mokuli: Mosadi, lilemo tse 41, kankere ea pancreatic
Kamora matsatsi a 9 a kalafo ea HIFU,Tlhahlobo e latelang ea PET-CT e bontšitse necrosis e kholo bohareng ba hlahala.
Nyeoe ea 6 ea Kalafo ea Kankere ea Pancreatic:
Mokuli: Monna, lilemo tse 69, kankere ea pancreatic
Tlhahlobo e latelang ea PET-CT halofo ea khoeli kamora kalafo ea HIFUho senotsoe ho nyamela ka ho feletseng ha hlahala, ha ho na ho monya ha FDG, le ho fokotseha ho latelang ha maemo a CA199.
Nyeoe ea 7 ea Kalafo ea Kankere ea Pancreatic:
Mokuli: Mosadi, lilemo tse 56, kankere ea pancreatic
Tlhahlobo e latelang ea CT scan letsatsi le le leng kamora kalafo ea HIFU e bontšitseHo tlosoa ha hlahala ka 80%.
Nyeoe ea 8 ea Kalafo ea Kankere ea Pancreatic:
Lilemo tse 57, kankere ea pancreatic
Kamora kalafo ea HIFU, ho etsoa tlhahlobo ea CT e latelangho senotsoe ho tlosoa ha lesapo ka botlalo bohareng ba hlahala.
Nako ea poso: Phato-03-2023