He aha ka Radiofrequency Ablation no ka maʻi 'aʻai? Ke Kumu, ke kaʻina hana & nā hopena

ʻO ka radiofrequency ablation (RFA) he lapaʻau liʻiliʻi e hoʻohana ana i ka ikehu wela e luku i nā sela maʻi 'aʻai. E noʻonoʻo iā ia he ala pololei a i manaʻo ʻia e "kuke" i ka ʻiʻo tumora mai loko mai, me ka hoʻohana ʻana i ka ikehu uila i hoʻololi ʻia i ka wela ma o kahi mea e like me ka nila.

Hāʻawi kēia lapaʻau i ka manaʻolana no ka nui o nā kānaka me ka maʻi 'aʻai, ʻoiai ke hiki ʻole ke ʻoki a i ʻole ke makemake ʻoe e pale i nā kaʻina hana nui. He mea maikaʻi loa ia no nā tumora liʻiliʻi a hiki ke hana pinepine ʻia ma ke ʻano he kaʻina hana outpatient, ʻo ia hoʻi hiki iā ʻoe ke hele i ka home i ka lā hoʻokahi.

He aha ka radiofrequency ablation?

Hana ka radiofrequency ablation ma ka hāʻawi ʻana i ka wela i hoʻomalu ʻia i loko o nā sela maʻi 'aʻai ma o kahi probe kūikawā. Hiki ka wela i nā mahana o kahi 212°F (100°C), e luku ana i ka ʻiʻo tumora me ka hōʻemi ʻana i ka pōʻino i nā wahi olakino a puni.

Hoʻohana ke kaʻina hana i ke ʻano o ka ikehu e hoʻohana ai i nā nalu lekiō, akā ua manaʻo ʻia a hoʻomalu ʻia e hana i ka wela therapeutic. Ke alakaʻi nei kāu kauka i kahi electrode lahilahi ma kou ʻili pololei i loko o ka tumora me ka hoʻohana ʻana i ke alakaʻi kiʻi e like me nā scans CT a i ʻole ultrasound.

Hoʻopili ʻia nā sela maʻi 'aʻai i luku ʻia e kou kino i nā pule a i nā mahina. He kūlohelohe a palekana kēia kaʻina hana, e like me ke ʻano o kou kino e mālama ai i nā ʻiʻo i pōʻino.

No ke aha e hana ʻia ai ka radiofrequency ablation?

Paipai ʻia ka RFA ke hiki iā ia ke mālama pono i kāu maʻi 'aʻai me ka mālama ʻana i kou maikaʻi o ke ola. Koho pinepine ʻia no nā kānaka ʻaʻole maikaʻi no ke ʻoki ʻana ma muli o ka makahiki, nā kūlana olakino ʻē aʻe, a i ʻole kahi tumora.

Hiki i kāu kauka ke ʻōlelo aku i ka RFA inā he mau tumora kāu i nā ʻōkana e like me ke ake, nā māmā, nā puʻupaʻa, a i ʻole nā iwi. He mea waiwai nui ia no ka mālama ʻana i ka maʻi 'aʻai ate, nā tumora mua a me nā mea i laha mai nā ʻāpana ʻē aʻe o kou kino.

I kekahi manawa, hoʻohana ʻia ka RFA me nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy a i ʻole ka radiation therapy. Hiki nō hoʻi ke kōkua i ka mālama ʻana i nā hōʻailona maʻi maʻi, ʻo ia hoʻi ka ʻeha o ka iwi mai nā ʻōpū i laha i kou iwi.

Ua hana maikaʻi ka hana no nā ʻōpū liʻiliʻi ma mua o 2 ʻīniha (5 cm) ke anawaena. Pono paha nā ʻōpū nui i nā kau lapaʻau he nui a i ʻole ka hui ʻana i ka RFA me nā hana ʻē aʻe.

He aha ke kaʻina hana no ka radiofrequency ablation?

ʻO ka hana RFA maʻamau e lawe i 1-3 mau hola a hana ʻia e ka interventional radiologist. E loaʻa iā ʻoe ka sedation ʻike a i ʻole ka anesthesia maʻamau e hōʻoluʻolu iā ʻoe i ka wā o ka mālama ʻana.

E hoʻomaʻemaʻe a hoʻopāpā kou kauka i ka ʻili kahi e hoʻokomo ʻia ai ka probe. Ke hoʻohana nei i ke alakaʻi kiʻi manawa maoli, e alakaʻi mālie lākou i ka electrode ma kou ʻili pololei i loko o ka ʻiʻo tumor.

Eia ka mea e hana ʻia i ka wā o ka mālama maoli:

1. Hoʻonoho pololei ʻia ka electrode i loko o ka ʻōpū
2. Hoʻouna ʻia ka ikehu radiofrequency no 10-30 mau minuke
3. Hoʻokumu ka wela i kahi ʻāpana o ka ʻiʻo i luku ʻia a puni ka probe
4. Hiki ke hoʻohana ʻia nā kūlana probe he nui no nā ʻōpū nui
5. Hōʻoia ka kiʻi i ka mālama piha ʻana i ka wahi i manaʻo ʻia

Ma hope o ka mālama ʻana, e nānā ʻia ʻoe ma kahi hoʻihoʻi no kekahi mau hola. ʻO ka hapa nui o nā kānaka e ʻike wale i ka ʻoluʻolu māmā, hiki ke mālama ʻia me ka lāʻau lapaʻau ʻeha ma luna o ka counter.

Pehea e hoʻomākaukau ai no kāu radiofrequency ablation?

E hilinaʻi kāu hoʻomākaukau ʻana i ka mea e mālama ʻia nei, akā pili kekahi mau alakaʻi maʻamau i ka hapa nui o nā kaʻina hana RFA. E hāʻawi kāu hui lapaʻau i nā ʻōlelo kikoʻī i kūpono i kāu kūlana.

Pono ʻoe e hooki i ka ʻai ʻana a me ka inu ʻana no 6-8 mau hola ma mua o ke kaʻina hana. Kōkua kēia mālama ʻana i ka pale ʻana i nā pilikia inā pono ʻoe i ka anesthesia maʻamau a i ʻole ka sedation ʻike.

E nānā kāu kauka i kāu mau lāʻau lapaʻau i kēia manawa a e noi paha iā ʻoe e hooki i kekahi mau mea no kekahi manawa, ʻo ia hoʻi nā mea hoʻoheheʻe koko e like me ka warfarin a i ʻole aspirin. Mai hana i kēia mau loli me ka ʻole o ke alakaʻi olakino, no ka mea, pono e hooki ʻia kekahi mau lāʻau lapaʻau i nā lā ma mua o ke kaʻina hana.

E hoʻolālā i kekahi e hoʻokele iā ʻoe i ka home ma hope o ka mālama ʻana, no ka mea, e pili ana nā lāʻau lapaʻau sedation i kou hiki ke hoʻokele palekana. Pono ʻoe e hoʻonohonoho i kekahi e noho pū me ʻoe no nā hola 24 mua ma hope o ke kaʻina hana.

E ʻaʻahu i nā lole ʻoluʻolu, ʻaʻole paʻa a wehe i nā mea nani a i ʻole nā mea metala e hiki ke hoʻopilikia i nā mea hana kiʻi. E hāʻawi kāu hui lapaʻau i ka ʻaʻahu haukapila no ke kaʻina hana.

Pehea e heluhelu ai i kāu mau hopena ablation radiofrequency?

Hoʻoholo ʻia nā hopena RFA ma o nā haʻawina kiʻi kiʻi e hana ʻia 1-3 mau mahina ma hope o kāu mālama ʻana. Hōʻike kēia mau scans inā ua luku ʻia nā cell cancer a kōkua i ka ʻike ʻana i nā ʻiʻo tumora ola e koe ana.

ʻO ka mālama ʻana i ka holomua e hana i ka mea a nā kauka e kapa ai he

Pehea ka pono o ka radiofrequency ablation no ka maʻi 'aʻai?

He ʻokoʻa nā helu holomua o RFA ma muli o ka nui o ka maʻi, kahi, a me ke ʻano o ka maʻi 'aʻai, akā he mea hoʻoikaika nui nā hopena holoʻokoʻa. No nā maʻi liʻiliʻi o ke akepaʻa (ma lalo o 2 ʻīniha), ʻoi aku ka nui o nā helu holomua ma mua o 90% no ka luku ʻana i ka maʻi.

ʻO ka hana ʻoi aku ka maikaʻi no ka maʻi 'aʻai mua o ke akepaʻa a me nā metastases akepaʻa mai ka maʻi 'aʻai colorectal. He kiʻekiʻe nō hoʻi nā helu holomua no nā maʻi ʻaʻai o ka māmā, ʻoi aku hoʻi no nā maʻi liʻiliʻi ma mua o 1.5 ʻīniha ke anawaena.

Nui nā mea e pili ana i ka maikaʻi o ka hana ʻana o RFA no kāu kūlana kikoʻī:

• Ka nui o ka maʻi - ʻoi aku ka nui o nā helu holomua o nā maʻi liʻiliʻi
• Wahi - ʻoi aku ka maikaʻi o nā maʻi mai nā kīʻaha koko nui
• ʻAno maʻi 'aʻai - ʻoi aku ka maʻalahi o kekahi mau maʻi 'aʻai i ka wela ma mua o nā mea ʻē aʻe
• Ke olakino holoʻokoʻa - kākoʻo ke olakino maikaʻi i ka hoʻōla a me ka hoʻōla

ʻOiai ʻaʻole e hoʻopau loa ʻo RFA i ka maʻi 'aʻai, hāʻawi pinepine ia i nā pōmaikaʻi nui. Nui ka poʻe e ʻike i ka hōʻemi ʻia o nā hōʻailona, ​​ka ulu lohi ʻana o ka maʻi, a me ka maikaʻi o ke ola.

Hiki ke hana hou ʻia ke kaʻina hana inā pono, a ʻaʻole ia e pale iā ʻoe mai ka loaʻa ʻana o nā lāʻau lapaʻau maʻi 'aʻai ʻē aʻe i ka wā e hiki mai ana. ʻO kēia maʻalahi e lilo ai ʻo RFA i koho waiwai i ka mālama maʻi 'aʻai piha.

He aha nā mea pilikia no nā pilikia radiofrequency ablation?

ʻOiai palekana ʻo RFA, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu hui lapaʻau e hana i nā hoʻoholo i ʻike ʻia e pili ana i kāu lapaʻau.

He mea nui ka makahiki a me ke kūlana olakino holoʻokoʻa i ka hoʻoholo ʻana i kou pae pilikia. ʻO ka poʻe ma luna o 70 a i ʻole ka poʻe me nā maʻi olakino he nui e kū i nā pilikia liʻiliʻi, ʻoiai ʻoi aku ka palekana o RFA ma mua o ke ʻoki nui.

Hoʻopilikia nui ka wahi maʻi i nā pae pilikia. Pono nā maʻi kokoke i nā kīʻaha koko nui, ka diaphragm, a i ʻole nā ​​hale koʻikoʻi ʻē aʻe i ka mālama hou a me ka loea i ka wā o ka lapaʻau.

He nui nā mea pilikia e pono ai ka nānā pono ʻana:

• ʻO ka ʻoki ʻana i ka ʻōpū ma mua i hana paha i ka ʻiʻo ʻōpū
• Nā maʻi e pili ana i ke koko a i ʻole ka hoʻohana ʻana i nā lāʻau e hoʻoheheʻe ai i ke koko
• Nā maʻi puʻuwai a i ʻole nā maʻi māmā
• Nā maʻi e hana nei a i ʻole ka ʻōnaehana pale i nā maʻi
• Hāpai (ʻAʻole hana ʻia ka RFA i ka wā hāpai)

E loiloi pono kāu hui lapaʻau i kēia mau mea ma mua o ka ʻōlelo ʻana i ka RFA. Hiki iā lākou ke ʻōlelo i nā hana mālama hou a i ʻole nā lapaʻau ʻē aʻe inā kiʻekiʻe loa kou pae pilikia.

He aha nā pilikia e hiki ke loaʻa mai ka radiofrequency ablation?

Hiki i ka hapa nui o nā kānaka ke ʻae maikaʻi i ka RFA, akā e like me nā hana lapaʻau ʻē aʻe, he mau pilikia kekahi. ʻO ka mea maikaʻi, he kakaikahi nā pilikia nui, e hana ana ma lalo o 5% o nā hihia.

ʻOi aku ka maʻamau o nā pilikia liʻiliʻi a maʻa mau e hoʻoponopono koke ʻia me ka mālama kūpono. ʻAʻole pono kēia mau mea i ka haukapila a hiki ke mālama ʻia ma ka home me ke alakaʻi ʻana mai kāu hui lapaʻau.

ʻO nā pilikia liʻiliʻi maʻamau e komo pū ana:

• ʻO ka ʻeha māmā a i ʻole ka ʻeha ma ke kahua lapaʻau
• Ka wela no 1-2 mau lā ma hope o ka lapaʻau
• ʻO ka luhi e mau ana no kekahi mau lā
• Ka liʻiliʻi o ke koko a i ʻole ka ʻeha ma ke kahua hoʻokomo
• Ka maʻi ʻana no kekahi manawa, ʻoiai ma hope o nā lapaʻau ate

He ʻāpana kēia mau hōʻailona o ka pane maʻamau o kou kino a maʻa mau e hoʻomaikaʻi i loko o kekahi mau lā. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī no ka mālama ʻana i kekahi ʻoluʻolu.

He kakaikahi nā pilikia nui akā pono ka mālama lapaʻau koke. ʻOiai he kakaikahi, he mea nui e ʻike i kēia mau mea hiki i hiki iā ʻoe ke ʻimi koke i ke kōkua inā pono.

Hiki i nā pilikia kakaikahi akā nui ke komo pū:

• He maʻi ma kahi o ka mālama ʻana a i ʻole i loko o ka ʻōkana i mālama ʻia
• Poino i nā ʻōkana kokoke a i ʻole nā kīʻaha koko
• Pneumothorax (māmā i hāʻule) i ka wā o ka mālama ʻana i ka māmā
• ʻEha o ka bile duct i ka wā o ka mālama ʻana i ke ake
• Ke kahe nui ʻana o ke koko e koi ana i ka hoʻoili ʻana

Hoʻohana kāu hui lapaʻau i nā hana mālama nui e hōʻemi i kēia mau pilikia. Hoʻohana lākou i ke alakaʻi kiʻi kiʻekiʻe a loaʻa nā protocols e mālama i nā pilikia e kū mai ana.

I ka manawa hea e ʻike ai au i ke kauka ma hope o ka radiofrequency ablation?

E kelepona koke i kāu kauka inā ʻoe e ʻike i ka ʻeha nui ʻaʻole e hoʻomaikaʻi me nā lāʻau i kuhikuhi ʻia, a i ʻole inā e hoʻomohala ʻoe i nā hōʻailona o ka maʻi e like me ke kuni ma luna o 101°F (38.3°C), nā anu, a i ʻole ka ʻulaʻula e hoʻonui ana a puni ka wahi lapaʻau.

Pono ʻoe e ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona ʻōlelo aʻo:

• Paʻakikī ka hanu ʻana a i ʻole ka ʻeha o ka umauma
• Ka luaʻi mau a i ʻole ka hiki ʻole ke mālama i nā wai
• Ke kahe nui ʻana o ke koko a i ʻole nā ʻeha nui ma kahi o ka mālama ʻana
• Nawaliwali nui a i ʻole ka noʻonoʻo
• Melemele o ka ʻili a i ʻole nā maka (ʻoi loa ma hope o ka mālama ʻana i ke ake)

No ka nānā maʻamau, e ʻike maʻamau ʻoe i kāu kauka i loko o 1-2 pule ma hope o ke kaʻina hana. Hāʻawi kēia kipa iā lākou e nānā i kāu holomua hoʻōla a hoʻoponopono i nā hopohopo āu e loaʻa ai.

E komo kāu papa hana maʻamau i nā haʻawina kiʻi manawa e nānā i ka pono o ka mālama ʻana. He mea nui kēia mau manawa no ka nānā ʻana i kāu holomua a me ka hoʻolālā ʻana i nā lāʻau lapaʻau hou inā pono.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka radiofrequency ablation

Q1: He ʻeha anei ka radiofrequency ablation?

ʻO ka hapa nui o nā kānaka e ʻike wale i ka ʻoluʻolu māmā a i ʻole ka maʻamau i ka wā a ma hope o ka RFA. E loaʻa iā ʻoe ka sedation a i ʻole ka anesthesia i ka wā o ke kaʻina hana, no laila ʻaʻole ʻoe e ʻeha i ka wā e hana ana.

Ma hope o ka mālama ʻana, e ʻike paha ʻoe i ka ʻeha e like me ka ʻeha o ka ʻiʻo hohonu ma kahi i mālama ʻia ai. He mau lā 1-3 kēia a pane maikaʻi i nā lāʻau lapaʻau e like me ka acetaminophen a i ʻole ibuprofen.

Q2: Pehea ka lōʻihi o ka hoʻōla ʻana mai ka RFA?

He ʻokoʻa ka manawa hoʻōla e pili ana i kahi a me ka nui o ka maʻi i mālama ʻia, akā hoʻi ka hapa nui o nā kānaka i nā hana maʻamau i loko o 2-7 mau lā. E ʻoluʻolu ʻoe i ka luhi no nā lā mua, he mea maʻamau kēia.

Pono e pale ʻia ka hāpai ʻana i nā mea kaumaha a me nā hana ikaika no hoʻokahi pule. E hāʻawi kāu kauka i nā alakaʻi kikoʻī e pili ana i kāu kūlana pilikino a me kahi o kāu mālama ʻana.

Q3: Hiki anei ke hoʻi mai ka maʻi maʻi ma hope o ka radiofrequency ablation?

ʻOiai he mea maikaʻi loa ka RFA, hiki i ka maʻi maʻi ke hoʻi hou i kekahi manawa ma kahi i mālama ʻia ai a i ʻole ma nā wahi ʻē aʻe. Loaʻa ka hoʻi hou ʻana ma kahi i mālama ʻia ai ma kahi o 5-10% o nā hihia, e pili ana i ke ʻano a me ka nui o ka maʻi.

Kōkua nā kiʻi ukali maʻamau i ka ʻike ʻana i kekahi hoʻi hou ʻana i ka wā mua, i ka wā e hiki ai ke mālama ʻia. Inā hoʻi mai ka maʻi maʻi, hiki ke hana hou ʻia ka RFA, a i ʻole hiki ke hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe.

Q4: ʻOi aku ka maikaʻi o ka radiofrequency ablation ma mua o ke ʻoki?

Loaʻa i ka RFA a me ke ʻoki nā mea maikaʻi e pili ana i kāu kūlana. ʻAʻole i komo ka RFA, pono ka manawa hoʻōla pōkole, a hiki ke hana hou ʻia inā pono. ʻOi aku ka maikaʻi o ke ʻoki ʻana no nā maʻi nui a i ʻole ke pono e wehe i nā ʻiʻo.

E kōkua kāu oncologist iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho e pili ana i kāu mau ʻano maʻi, ke olakino holoʻokoʻa, a me nā makemake pilikino. I kekahi manawa, hāʻawi ka hui ʻana i nā ala i nā hopena maikaʻi loa.

Q5: Ehia mau lāʻau lapaʻau RFA e pono ai au?

Nui ka poʻe e pono i hoʻokahi wale nō lāʻau lapaʻau RFA e hoʻokō i ka luku ʻana i ka maʻi. Eia naʻe, pono paha nā maʻi nui a i ʻole nā maʻi he nui i nā kau he nui i hoʻokaʻawale ʻia i nā pule.

Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa e pili ana i nā hopena kiʻi a me ka maikaʻi o kou pane ʻana i ka lapaʻau mua. Loaʻa ka pōmaikaʻi o kekahi poʻe mai ka hui pū ʻana i ka RFA me nā lāʻau lapaʻau ʻē aʻe no ke ala piha loa.