Chii chinonzi Cryoablation yeKenza? Chinangwa, Maitiro & Mhedzisiro

Cryoablation imushonga usingaite zvakanyanya unovhiringidza unoshandisa kutonhora kwakanyanya kuti utonhore uye kuparadza maseru ekenza. Funga nezvazvo sechinhu chinangwa chekuzorodza therapy chinogona kubvisa tumors pasina kuvhiyiwa kwechinyakare.

Maitiro aya anoshanda nekupinza probes dzakatetepa, dzakaita setsono zvakananga mutumor. Iwo probes anobva aendesa tembiricha inotonhora iyo inogadzira bhora rechando rakatenderedza maseru ekenza, zvichikonzera kuti afe. Muviri wako unotora maseru aya akafa nekufamba kwenguva.

Chii chinonzi cryoablation?

Cryoablation imhando ye cryotherapy inoparadza tishu isina kujairika nekuiisa muchando. Munguva yemaitiro, vanachiremba vanoshandisa nitrogen yemvura kana argon gasi kugadzira tembiricha yakaderera se -40°C (-40°F) pamucheto weprobes dzakakosha.

Maitiro ekutonhora anokuvadza maseru ekenza nenzira dzakawanda. Kutanga, makristasi echando anoumba mukati memasero, achiputsa membrane avo. Chechipiri, kutonhora kwakanyanya kunodimbura ropa rinopa tumor, richiripa chikafu uye okisijeni.

Nzira iyi inonziwo cryosurgery kana percutaneous cryoablation. Izwi rekuti

Chinhu chikuru ndechokuti cryoablation haina kukuvadza zvakanyanya kupfuura kuvhiyiwa kwakavhurika. Iwe unowanzoona kurwadziwa kushoma, nguva shoma yekupora, uye njodzi shoma yematambudziko. Varwere vazhinji vanoenda kumba zuva rimwechete kana mushure mehusiku humwe chete muchipatara.

Dzimwe nguva cryoablation inoshanda sechishandiso chekurapa. Kana iwe wakamirira kuvhiyiwa kana mamwe marapirwo, kutonhodza bundu kunogona kubatsira kudzora kukura kwayo uye kuderedza zviratidzo panguva iyoyo.

Ndeipi nzira ye cryoablation?

Nzira ye cryoablation inowanzo tora maawa 1-3, zvichienderana nehukuru uye nzvimbo yebundu rako. Iwe uchagamuchira kana anesthesia yemuno ine sedation kana general anesthesia kuti ikuchengetedze iwe uchifara mukuita kwese.

Chiremba wako anoshandisa kutungamira kwemifananidzo kuti anyatsoisa probes. Izvi zvinogona kusanganisira CT scans, MRI, kana ultrasound kuti uone chaizvo kwakanyatso kuwanikwa bundu. Mufananidzo unobatsira kuona kuti probes inosvika panzvimbo chaiyo ichidzivirira nhengo dzine hutano dziri pedyo.

Hezvino zvinoitika panguva yekutonhodza:

1. Chiremba anopinza imwe kana akawanda probes dzakatetepa kuburikidza neganda rako mu bundu
2. Gasi rinotonhodza rinoyerera kuburikidza ne probes, richigadzira bhora rechando rakatenderedza kenza
3. Tishu inotonhodzwa kwemaminitsi anenge 10-15
4. Nzvimbo yacho inobva yabvumirwa kunyungudika zvachose
5. Kutonhodza-kunyungudika cycle kunogona kudzokororwa 1-2 nguva dzimwe zvakare kuti zvive zvakanyanya kushanda

Kudzokorora kutonhodza uye kunyungudika cycles kunobatsira kuona kuparadzwa kwakakwana kwemasero ekenza. Chikwata chako chekurapa chinotarisa kuumbwa kwebhora rechando pazviratidziro zvemifananidzo kuti chive nechokwadi chekuti inovhara bundu rose pamwe chete nemuganhu mudiki wetishu ine hutano.

Mushure mekuita, probes inobviswa uye mabhandeji madiki anoisa pamusoro penzvimbo dzekuisa. Varwere vazhinji vanogona kudzokera kuzviitiko zvakajairika mukati memazuva mashoma, kunyangwe iwe uchizofanira kudzivirira kusimudza zvinhu zvinorema kwevhiki.

Maitiro ekugadzirira cryoablation yako?

Kugadzirira cryoablation kunosanganisira matanho akati wandei kuti uve nechokwadi chekuchengeteka kwako uye mhedzisiro yakanakisisa. Chiremba wako achakupa mirairo chaiyo zvichienderana nemamiriro ako ega uye nzvimbo yegomarara rako.

Kutanga, uchada kumisa mishonga yakati wandei usati waita maitiro acho. Zvinhu zvinotadzisa ropa kufamba zvakanaka zvakaita se warfarin, aspirin, kana clopidogrel zvinowanzoitwa kuti zvisamiswe mazuva 5-7 zvisati zvaitika kuti zvideredze njodzi yekubuda ropa. Zvisinei, usambomisa mishonga usina kutanga wataura nachiremba wako.

Runyora rwako rwekugadzirira runogona kusanganisira:

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• Miedzo yeropa isati yaitwa kuti uone kugona kwako kuita ropa uye kushanda kwematsvo
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• Zvidzidzo zvekuongorora kuti uone nzvimbo chaiyo yegomarara rako
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• Kutsanya kwemaawa 8-12 usati waita maitiro acho kana uchizotorwa anesthesia
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• Kuronga kuti mumwe munhu akutyire kumba mushure meizvozvo
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• Kupfeka mbatya dzakasununguka, dzakakodzera zuva remaitiro acho
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Kana uri kuita cryoablation pedyo nemapapu ako, unogona kutanga wada miedzo yekushanda kwemapapu. Kuti uone magomarara ematsvo, chiremba wako achaongorora kushanda kwematsvo ako zvakanyatso. Miedzo iyi inobatsira kuona kuti une hutano hwakakwana hwemaitiro acho.

Zvakakoshawo kuti ukurukure nhoroondo yako yekurapa zvakadzama. Udza chiremba wako nezve chero allergies, maitiro ekare kune anesthesia, kana mamwe mamiriro ehutano. Ruzivo urwu runovabatsira kuronga nzira yakachengeteka yekurapa kwako.

Maitiro ekuverenga mhedzisiro yako ye cryoablation?

Kunzwisisa mhedzisiro yako ye cryoablation kunosanganisira kutarisa kubudirira kwemaitiro nekukurumidza uye kudzora tumor kwenguva refu. Chiremba wako achashandisa zvidzidzo zvekuongorora kuti aongorore kuti kurapwa kwakashanda sei uye kuongorora chero matambudziko.

Kubudirira nekukurumidza kunoyerwa nezvido zvevachiremba zvinonzi

Mifananidzo yekutevera inowanzoitika panguva idzi:

1. Mazuva 1-3 mushure mekuvhiyiwa kuti uone matambudziko anobva ipapo
2. Mwedzi 1-3 kuti uone mhinduro yekutanga yegomarara
3. Mwedzi 6 kuti uongorore kuenderera mberi kwekudzora gomarara
4. Mwedzi 6-12 ega ega mushure meizvozvo kuti uongorore kwenguva refu

Zvaungatarisa mumishumo yako yemifananidzo zvinosanganisira mazwi akaita se "kubviswa kwakakwana" (gomarara rose rakaomeswa nechando zvakabudirira) kana "kubviswa kusina kukwana" (imwe tishu yegomarara inogona kuramba iripo). Usavhunduka kana ukaona "kusina kukwana" - dzimwe nguva imwe nguva yekuvhiya cryoablation inogona kugadzirisa chero maseru egomarara asara.

Nzvimbo yakabatwa ichataridzika zvakasiyana pama scans kwemwedzi mushure mekuvhiyiwa. Unogona kuona kuzvimba, kuunganidzwa kwemvura, kana kuumbwa kwetishu. Shanduko idzi dzakajairika chikamu chekupona sezvo muviri wako uchibvisa maseru egomarara akafa.

Cryoablation inoshanda sei pagomarara?

Cryoablation inoratidza mazinga akakura ekubudirira kune marudzi mazhinji egomarara, kunyanya kana tumor idiki uye yakabatwa kare. Kushanda kunosiyana zvichienderana nerudzi rwegomarara, saizi yetumor, uye nzvimbo, asi mhedzisiro yese inokurudzira zvikuru.

Kune gomarara reitsvo, zvidzidzo zvinoratidza kuti cryoablation inobudirira kubvisa tumors mune 85-95% yezviitiko kana tumor iri diki pane 4 cm. Tumors hombe dzinogona kuda mamwe marapirwo, asi dzinogona kuramba dzichibudirira nekushandisa nzira iyi.

Mazinga ekubudirira kune akasiyana marudzi egomarara anosanganisira:

• Tumors diki dzeitsvo (pasi pe3 cm): 95-98% kubviswa kwakakwana
• Tumors yechiropa: 80-90% kudzora kwenzvimbo pamakore 2
• Tumors yemapapu: 85-95% kudzora kwenzvimbo ye tumors pasi pe3 cm
• Gomarara re prostate: 85-90% biochemical chirwere-isina kupona pamakore 5

Mhedzisiro yakanaka inoitika kana cryoablation ichishandiswa kune tumor diki dzisina kupararira kune dzimwe nhengo dzemuviri wako. Kansa dzematanho ekutanga dzinopindura zviri nani kupfuura dzakakura, ndosaka kubata kansa kare kuchikosha.

Kunyange kana cryoablation isingarapisi kansa yako zvachose, inogona kupa zvakanakira zvakakosha. Varwere vazhinji vanowana zororo rezviratidzo, kukura kwetumo kunonoka, uye kuvandudzwa kwemhando yehupenyu. Dzimwe nguva inotenga nguva inokosha yekuti dzimwe kurapwa dzivandudzwe kana kuti hutano hwako hwese huvandudzwe.

Ndezvipi zvinhu zvinokonzera njodzi yekukanganisa kwe cryoablation?

Nepo cryoablation ichiwanzo kuva yakachengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yekukanganisa. Kunzwisisa izvi zvinhu zvinokonzera njodzi kunobatsira iwe nachiremba wako kuita sarudzo yakanakisa yekuti kurapwa uku kwakakunakira here.

Hutano hwako hwese hunoita basa rakakosha mukusarudza njodzi. Kana uine chirwere chemoyo, matambudziko emapapu, kana kusashanda kwematsvo, maitiro acho anogona kutakura njodzi dzakakwirira. Zvisinei, varwere vazhinji vane izvi zvirwere vachiri kupinda cryoablation zvakabudirira nekuchenjerera.

Zvimwe zvinhu zvinogona kuwedzera njodzi yako zvinosanganisira:

• Nzvimbo yetumor padyo nezvivakwa zvakakosha zvakaita semidziyo mikuru yeropa kana tsinga
• Tumor hombe kwazvo (inopfuura 5 cm) inoda nguva refu yekutonhora
• Tumor dzakawanda dzinoda kurapwa muchikamu chimwe chete
• Kurapa kwemwaranzi kwakapfuura kunzvimbo yekurapa
• Zvirwere zvekugwamba kweropa kana kushandiswa kwemishonga inotetesa ropa
• Chirwere chemoyo chakakomba kana chirwere chemapapu chinoita kuti anesthesia ive nenjodzi

Zera rega rega harifaniri kuwedzera njodzi, asi varwere vakuru vanogona kunge vaine mamiriro ehutano akawanda anoda kufungwa. Chiremba wako achaongorora mamiriro ako ega ega nekuchenjerera asati akurudzira cryoablation.

Mashoko akanaka ndewekuti njodzi zhinji dzinogona kugadziriswa nekugadzirira kwakakodzera nekutarisa. Chikwata chako chekurapa chichashanda newe kuderedza njodzi uye kuona ruzivo rwekurapa rwakachengeteka zvakanyanya.

Ndezvipi zvipingamupinyi zvinogona kuitika zve cryoablation?

Cryoablation zvipingamupinyi hazviwanzoitiki, asi zvakakosha kunzwisisa zvingaitika kuitira kuti uzive uye utaure chero zviratidzo zvinonetesa. Zvipingamupinyi zvakawanda zvakapfava uye zvinogadziriswa zvega kana nekugadzirisa kuri nyore.

Mhedzisiro yakajairika inowanzo kuve yenguva pfupi uye inogadziriswa. Unogona kunzwa kurwadziwa panzvimbo dzekupinza probe, zvakafanana nezvaunganzwa mushure mekuwana majekiseni akati wandei. Vamwe varwere vanoonawo zviratidzo zvakaita sefuru kwemazuva mashoma sezvo muviri wavo uchigadzirisa maseru egomarara akafa.

Zvipingamupinyi zvakajairika zvinowanzo gadzirisa mukati memazuva mashoma kusvika kumavhiki zvinosanganisira:

• Kubuda ropa panzvimbo dzekupinza probe (kazhinji diki)
• Kushaya simba kwenguva pfupi kana kunzwa kunzwa pedyo nenzvimbo yekurapa
• Kuneta uye fivha yakapfava sezvo immune system yako ichibvisa maseru akafa
• Kuchinja kwenguva pfupi kwekuita basa reitsvo (ye cryoablation yeitsvo)
• Pneumothorax (mapapu akawira) emaitiro emapapu - inoonekwa mune anenge 15-30% yezviitiko

Zvimwe zvipingamupinyi zvakakomba hazviwanzoitiki asi zvinogona kuitika. Izvi zvinogona kusanganisira kukuvadza nhengo dzepedyo, kubuda ropa kwakanyanya, kana hutachiona panzvimbo yekurapa. Njodzi yezvipingamupinyi zvakakomba inowanzoita isingasviki 5% yezvizhinji zve cryoablation maitiro.

Zvimwe zvipingamupinyi zvakanyanya kunzvimbo yegomarara. Semuenzaniso, prostate cryoablation inogona kukanganisa basa reurinary kwenguva pfupi, nepo itsvo cryoablation inogona kukanganisa basa reitsvo muzviitiko zvisingawanzoitiki. Chiremba wako achakurukura njodzi dzakatarwa nenzvimbo newe.

Chinhu chikuru kuziva nguva yekutsvaga rubatsiro rwekurapa. Bata chiremba wako nekukasira kana uine kurwadziwa kukuru, zviratidzo zveutachiona (fivha, kutonhora, kutsvuka), kuoma kufema, kana zvimwe zviratidzo zvinonetesa mushure mekuvhiwa kwako.

Ndingatarisira riini kuona chiremba nezve cryoablation?

Unofanira kufunga nezvekukurukura cryoablation nachiremba wako kana uine bundu rinogona kukodzera kurapwa uku. Hurukuro iyi yakakosha kunyanya kana kuvhiyiwa kwechinyakare kuchikonzera njodzi huru kana iwe uchitsvaga nzira dzekurapa dzisina kukuvadza.

Nguva yakanaka yekutsvaga cryoablation ndeyekuti kenza yako inowanikwa kare uye bundu racho rakati rebei. Mabundu madiki (anowanzoita pasi pe4-5 cm) anopindura zviri nani kurapwa kwechando pane makuru.

Funga nezvekubvunza nezve cryoablation kana uine:

• Bundu rimwe chete reitsvo diki kudarika 4 cm
• Kenza yepakutanga yemumapapu isingakodzeri kuvhiyiwa
• Mabundu echiropa asina kupararira kune zvimwe zvikamu zvemuviri
• Kenza yegland ye prostate yakavharirwa mugland
• Mamiriro ehutano anoita kuti kuvhiyiwa kwechinyakare kuve nenjodzi
• Kuda kukuru kwekurapwa kusingakuvadzi zvakanyanya

Mushure me cryoablation, unofanira kubata chiremba wako nekukasira kana uine zviratidzo zvinonetesa. Izvi zvinogona kusanganisira kurwadziwa kukuru kusingavandudzwi nemishonga yakarairwa, zviratidzo zveutachiona, kana kuoma kufema.

Zvakakoshawo kuchengeta zvese zvako zvekutevera-up, kunyangwe iwe uchinzwa zvakanaka. Mufananidzo wenguva dzose unobatsira kuona kuti kurapwa kwakabudirira uye kunobata chero nyaya kare. Chiremba wako anogona kugadzirisa chirongwa chako chekutevera-up zvichienderana nekuti unopora sei uye mhando yako yekenza.

Mibvunzo inowanzo bvunzwa nezve cryoablation

Mubvunzo 1: Cryoablation inoshanda sezviri kuvhiyiwa kenza here?

Kana tuma tuduku, twematanho ekutanga, cryoablation inogona kushanda zvakanyanya sekuvhiyiwa ichipa zvakanakira zvakakosha. Zvidzidzo zvinoratidza kuti huwandu hwekupona hunowanzoenzaniswa pakati pe cryoablation nekuvhiyiwa kune varwere vakasarudzwa zvakakodzera.

Zvakanakira zvikuru zve cryoablation zvinosanganisira nguva pfupi yekupora, kurwadziwa kushoma, uye kuchengetedzwa kwetishu ine hutano. Zvisinei, kuvhiyiwa kungave kuchiri sarudzo iri nani kune tuma hombe, kenza yakapararira, kana nyaya dzinoda kubviswa kwetishu zvizere kuti dziongororwe.

Q2: Ko cryoablation inokonzera kukuvadzwa zvachose kune tishu yakapoteredza here?

Cryoablation yakagadzirirwa kuderedza kukuvadzwa kune tishu ine hutano, asi kumwe kukanganisa kunzvimbo dzakapoteredza hakudzivisiki. Maitiro acho anowanzo sanganisira muganho muduku wetishu ine hutano yakapoteredza tumor kuti ive nechokwadi chekubviswa kwakakwana kwekenza.

Varwere vazhinji vanowana shanduko dzenguva pfupi munzvimbo yakabatwa, senge kuzvimba kana kusanzwa, izvo zvinowanzo gadzirisa mukati memavhiki kusvika kumwedzi. Kukuvadzwa zvachose kune nhengo dzepedyo hakusi kazhinji kana maitiro acho achiitwa nenyanzvi dzine ruzivo vachishandisa gwara rakakodzera rekuona.

Q3: Zvinotora nguva yakareba sei kupora kubva ku cryoablation?

Kupora kubva ku cryoablation kazhinji kunokurumidza kupfuura kuvhiyiwa kwechinyakare. Varwere vazhinji vanogona kudzokera kuzviitiko zvavo zvemazuva ese mukati me2-3 mazuva, kunyangwe iwe uchifanira kudzivisa kusimudza zvinhu zvinorema kwevhiki.

Kupora kwakakwana padanho re cellular kunotora mavhiki akati wandei kusvika kumwedzi sezvo muviri wako zvishoma nezvishoma uchitora maseru ekenza akafa. Munguva iyi, unogona kuona kuneta kuduku kana kusagadzikana, asi zviratidzo izvi zvinowanzo kuvandudza zvishoma nezvishoma.

Q4: Ko cryoablation inogona kudzokororwa kana kenza ikadzoka here?

Hongu, cryoablation inogona kudzokororwa kana kenza ikadzokera kunzvimbo imwechete kana kana kurapwa kwekutanga kusina kubvisa maseru ese ekenza. Iri ndiro rimwe remabhenefiti eiyi nzira shoma inopinda.

Maitiro ekudzokorora anowanzo chengeteka uye anoshanda, kunyangwe chiremba wako achazotsanangura mamiriro ese ega ega. Dzimwe nguva kusanganiswa kwe cryoablation nemamwe marapirwo kunopa mhedzisiro yakanakisa yenguva refu.

Q5: Ndichada mamwe marapirwo ekenza mushure me cryoablation here?

Kuti iwe uchada here mamwe marapirwo zvinoenderana nerudzi rwako rwekenza, nhanho, uye kuti cryoablation yakashanda sei. Vamwe varwere vanowana kuti cryoablation ndiyo chete marapirwo avanoda, nepo vamwe vachigona kubatsirwa nekuiisa pamwechete nemamwe marapirwo.

Oncologist wako achagadzira chirongwa chakazara chekurapa zvichienderana nemamiriro ako ega. Izvi zvinogona kusanganisira kuenderera mberi kwekuongorora, hormone therapy, immunotherapy, kana mamwe marapirwo ekudzivirira kudzoka kwekenza uye kuvandudza hutano hwako hwenguva refu.