Chii chinonzi Radiofrequency Ablation yeKenza? Chinangwa, Maitiro & Mhedzisiro

Radiofrequency ablation (RFA) imushonga usingashandisi nzira dzakawanda unovhiringidza unoshandisa simba rekupisa kuparadza maseru ekenza. Funga nezvazvo semaitiro chaiwo, akatarisana eku "kubika" tishu re bundu kubva mukati, uchishandisa simba remagetsi rakashandurwa kuita kupisa kuburikidza netsono-yakaita seprobe.

Mushonga uyu unopa tariro kune vanhu vazhinji vane kenza, kunyanya kana kuvhiyiwa kusingabviri kana kana uchida kudzivisa maitiro akawanda. Inoshanda zvakanyanya kune bundu diki uye inogona kuitwa sechirongwa chekunze, zvinoreva kuti unogona kuenda kumba zuva rimwe chetero.

Chii chinonzi radiofrequency ablation?

Radiofrequency ablation inoshanda nekupa kupisa kunodzorwa zvakananga mumasero ekenza kuburikidza neprobe yakakosha. Kupisa kunosvika tembiricha yeanenge 212°F (100°C), iyo inoparadza tishu re bundu uku ichideredza kukuvadzwa kunzvimbo dzakakomberedza dzine hutano.

Maitiro acho anoshandisa rudzi rumwe chetero rwesimba rinopa simba kumafungu eredhiyo, asi rakaunganidzwa uye rinodzorwa kuti rigadzire kupisa kwekurapa. Chiremba wako anotungamira electrode yakatetepa kuburikidza neganda rako zvakananga mubundu achishandisa imaging guidance senge CT scans kana ultrasound.

Masero ekenza akaparadzwa anotorwa zvishoma nezvishoma nemuviri wako kwemavhiki akati wandei kusvika kumwedzi. Iyi nzira ndeyechisikigo uye yakachengeteka, yakafanana nekuti muviri wako unobata sei mamwe matishu akakuvadzwa.

Nei radiofrequency ablation ichiitwa?

RFA inokurudzirwa kana ichikwanisa kurapa kenza yako uku ichichengetedza hupenyu hwako. Inowanzo sarudzwa kune vanhu vasiri vakakodzera kuvhiyiwa nekuda kwezera, mamwe mamiriro ehutano, kana nzvimbo yebundu.

Chiremba wako angakurudzira RFA kana uine bundu mumitezo yakaita seriver, mapapu, itsvo, kana mapfupa. Inokosha zvikuru pakurapa kenza yeriver, ese ari maviri bundu rekutanga uye ayo akapararira kubva kune dzimwe nhengo dzemuviri wako.

Dzimwe nguva RFA inoshandiswa pamwe chete nemamwe marapirwo akadai sechemotherapy kana radiation therapy. Inogonawo kubatsira kubata zviratidzo zvekenza, kunyanya kurwadziwa kwemapfupa kubva kumavhuvhutu akapararira kumapfupa ako.

Maitiro acho anoshanda zvakanyanya kune mavhuvhutu madiki kudarika 2 inches (5 cm) muhupamhi. Mavhuvhutu makuru anogona kuda akawanda ekurapa kana kusanganisa RFA nemamwe maitiro.

Ndeapi maitiro e radiofrequency ablation?

Maitiro eRFA anowanzo tora 1-3 maawa uye anoitwa ne interventional radiologist. Iwe uchagamuchira conscious sedation kana general anesthesia kuti ikuchengetedze uchizorora mukati mekurapa.

Chiremba wako achachenesa uye kunyaradza ganda panenge pichaiswa probe. Vachishandisa chaiyo-nguva yekutungamira mifananidzo, vachanyatso tungamira electrode kuburikidza neganda rako zvakananga munyama yevhuvhutu.

Hezvino zvinoitika panguva yekurapa chaiko:

1. Iyo electrode inoiswa zvakanyatso mukati mevhuvhutu
2. Radiofrequency simba rinopihwa kwemaminitsi gumi nemashanu
3. Kupisa kunogadzira nzvimbo yenyama yakaparadzwa yakatenderedza probe
4. Nzvimbo dzakawanda dzeprobe dzinogona kushandiswa kune mavhuvhutu makuru
5. Imaging inosimbisa kurapwa kwakakwana kwenzvimbo inotarwa

Mushure mekurapa, iwe uchaongororwa munzvimbo yekupora kwemaawa akati wandei. Vanhu vazhinji vanongonzwa kusagadzikana kudiki, izvo zvinogona kubatwa nemishonga yekurwadziwa inopfuura-the-counter.

Maitiro ekugadzirira radiofrequency ablation yako?

Kugadzirira kwako kuchatsamira pane nhengo inorapwa, asi mamwe matungamirirwo akajairika anoshanda kune akawanda maitiro eRFA. Chikwata chako chekurapa chichapa mirairo yakatarwa yakagadzirirwa mamiriro ako.

Iwe unowanzo kuda kumira kudya nekumwa kwemaawa 6-8 usati waita maitiro. Iyi chenjedzo inobatsira kudzivirira matambudziko kana iwe uchida general anesthesia kana conscious sedation.

Chiremba wako achatarisa mishonga yaunotora parizvino uye anogona kukukumbira kuti umise zvimwe zvacho kwenguva pfupi, kunyanya mishonga inotadzisa ropa kufamba zvakanaka senge warfarin kana aspirin. Usaita shanduko idzi usina kutungamirirwa nachiremba, nekuti mimwe mishonga inoda kumiswa mazuva mashoma chiitiko chisati chaitika.

Ronga kuti mumwe munhu akuendesere kumba mushure mekurapwa, sezvo mishonga yekukuzorodza ichakanganisa kugona kwako kutyaira zvakachengeteka. Unofanirwawo kuronga kuti mumwe munhu agare newe kwemaawa makumi maviri nemana ekutanga mushure mechiitiko.

Pfeka mbatya dzakasununguka, dzisina kusimba uye bvisa zvishongo kana zvinhu zvesimbi zvinogona kukanganisa michina yekufungidzira. Chikwata chako chekurapa chichapa nguo yechipatara yekuita chiitiko.

Ungaverenga sei mhedzisiro yako yeradiofrequency ablation?

Mhedzisiro yeRFA inowanzoongororwa kuburikidza nekutevera-kumusoro kwezvidzidzo zvekufungidzira zvinoitwa 1-3 mwedzi mushure mekurapwa kwako. Izvi zvinoratidza kana maseru ekenza akaparadzwa zvinobudirira uye anobatsira kuona chero tishu yetumor inoramba iripo.

Kurapa kunobudirira kunogadzira izvo vanachiremba vanodaidza kuti

Kushanda zvakanaka kwe radiofrequency ablation (RFA) ye cancer?

Mabasa ekuita RFA anochinja zvichienderana nehukuru hwe tumor, nzvimbo, uye mhando ye cancer, asi mhedzisiro yese inokurudzira zvikuru. Kune tumor diki diki dzechiropa (dzisina kusvika 2 inches), mabasa ekuita anowanzo pfuura 90% yekuparadzwa kwakakwana kwe tumor.

Maitiro acho anoshanda zvakanyanya kune primary liver cancer uye liver metastases kubva ku colorectal cancer. Mabasa ekuita e tumor dzemapapu akakwirawo, kunyanya kune tumor diki diki kupfuura 1.5 inches muhupamhi.

Zvimwe zvinhu zvinokanganisa kuti RFA inoshanda sei kune yako chaiyo mamiriro:

• Hukuru hwe Tumor - tumor diki diki dzine mabasa ekuita akakwirira
• Nzvimbo - tumor dziri kure nemidzi yeropa mikuru dzinopindura zviri nani
• Mhando ye Cancer - mamwe ma cancer anonyanya kupisa kupfuura mamwe
• Utano hwese - hutano hwakanaka hunotsigira kupora nekupora

Kunyange kana RFA isingabvise zvachose cancer, inowanzo kupa mabhenefiti akakosha. Vanhu vazhinji vanowana kuderedzwa kwezviratidzo, kukura kwetumo kunonoka, uye kuvandudzwa kwemhando yehupenyu.

Maitiro acho anogona kudzokororwa kana zvichidikanwa, uye haakudzivise kuti ugamuchire mamwe marapirwo e cancer mune ramangwana. Iyi flexibilty inoita kuti RFA ive sarudzo inokosha mukutarisira cancer yakazara.

Ndezvipi zvinhu zvine njodzi zve radiofrequency ablation complications?

Nepo RFA ichiwanzo chengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko. Kunzwisisa izvi kunobatsira iwe nechikwata chako chekurapa kuita sarudzo dzine ruzivo nezvekurapa kwako.

Zera uye hutano hwese hunoita basa rakakosha pakuona njodzi yako. Vanhu vane makore anopfuura 70 kana avo vane mamiriro akawanda ekurapa vanogona kutarisana nenjodzi dzakakwirira zvishoma, kunyangwe RFA ichiri kazhinji yakachengeteka kupfuura kuvhiyiwa kukuru.

Nzvimbo yeTumor inokanganisa zvakanyanya njodzi. Tumor dziri pedyo nemidzi yeropa mikuru, diaphragm, kana zvimwe zvivakwa zvakakosha zvinoda kungwarira kwakanyanya uye hunyanzvi panguva yekurapa.

Zvimwe zvinokonzera njodzi zvinofanirwa kutariswa zvakanyanya:

• Kuvhiyiwa kwepamuviri kwaimbovepo kungave kwakagadzira nyama ine mavanga
• Zvirwere zvekukora ropa kana kushandiswa kwemishonga inotetesa ropa
• Zvirwere zvakakomba zvemtima kana mapapu
• Zvirwere zviripo kana immune system yakakuvadzwa
• Kuzvitakura (RFA haizivikanwi panguva yekuzvitakura)

Chikwata chako chekurapa chichanyatsoongorora izvi zvinokonzera njodzi chisati chatarisa RFA. Vanogona kukurudzira matanho ekuwedzera kana dzimwe nzira dzekurapa kana njodzi yako yakanyanya kukwirira.

Ndezvipi zvingaitika zvekupisa radiofrequency?

Vanhu vazhinji vanotsungirira RFA zvakanaka, asi semaitiro ekurapa chero api zvawo, inotakura njodzi. Mashoko akanaka ndewekuti matambudziko akakomba haawanzoitiki, achiitika mune vashoma vanopfuura 5% yezviitiko.

Matambudziko madiki anowanzoitika uye anowanzoita nekukurumidza nekutarisirwa kwakakodzera. Izvi zvinowanzoita kuti zvisade kupinda muchipatara uye zvinogona kutariswa kumba nekutungamirirwa nechikwata chako chekurapa.

Matambudziko madiki anowanzoitika anosanganisira:

• Kurwadziwa kudiki kusvika pakati nepakati panzvimbo yekurapa
• Fivha yenguva pfupi kwemazuva 1-2 mushure mekurapa
• Kuneta kunogona kugara mazuva akati wandei
• Kubuda ropa kudiki kana kupwanya panzvimbo yekupinza probe
• Nyaya yenguva pfupi, kunyanya mushure mekurapa chiropa

Zviratidzo izvi chikamu chemhinduro yemuviri wako yekupora uye inowanzoita mukati memazuva mashoma. Chiremba wako achapa mirairo chaiyo yekutarisira chero kusagadzikana.

Matambudziko akakomba haawanzoitiki asi anoda kutariswa kwekurapa nekukurumidza. Kunyange zvichiwanzowanikwa, zvakakosha kuziva izvi zvinogoneka kuti ugone kutsvaga rubatsiro nekukurumidza kana zvichidikanwa.

Matambudziko asingawanzoitiki asi akakomba anogona kusanganisira:

• Utachiona panzvimbo yekurapa kana muchikamu chakarapwa
• Kukuvadzwa kwenhengo dzepedyo kana tsinga dzeropa
• Pneumothorax (mapapu akawira) panguva yekurapa mapapu
• Kukuvadzwa kwemugero webile panguva yekurapa chiropa
• Kubuda ropa kwakanyanya kunoda kuwedzerwa ropa

Chikwata chako chekurapa chinotora matanho akawanda ekuderedza njodzi idzi. Vanoshandisa gwara rekuongorora rinoenderera mberi uye vane protocol yekugadzirisa chero matambudziko angamuka.

Ndingafonera rinhi chiremba mushure me radiofrequency ablation?

Fonera chiremba wako nekukasira kana uine kurwadziwa kwakanyanya kusingavanduki nemishonga yakanyorwa, kana kana uine zviratidzo zveutachiona senge fivha inodarika 101°F (38.3°C), kutonhora, kana kuwedzera kutsvukisa panzvimbo yekurapa.

Unofanirwawo kutsvaga rubatsiro rwekurapa nekukasira kana ukaona chero zviratidzo izvi zvekuyambira:

• Kutadza kufema kana kurwadziwa muchipfuva
• Kurutsa kusingaperi kana kutadza kuchengeta mvura pasi
• Kubuda ropa kwakanyanya kana mapundu makuru panzvimbo yekurapa
• Kushaya simba kwakanyanya kana dzungu
• Kusvava kweganda kana maziso (kunyanya mushure mekurapa chiropa)

Kuti utarise nguva dzose, iwe unowanzoona chiremba wako mukati me1-2 vhiki mushure mekuvhiyiwa. Kushanya uku kunovabvumira kuti vatarise kufambira mberi kwako kwekurapa uye kugadzirisa chero zvaungave nazvo.

Chirongwa chako chekutevera nguva dzose chichasanganisira zvidzidzo zvekuongorora nguva nenguva kuti utarise kushanda kwekurapa. Kugadzwa uku kwakakosha pakutevera kufambira mberi kwako uye kuronga chero mamwe marapirwo kana zvichidikanwa.

Mibvunzo inowanzo bvunzwa nezve radiofrequency ablation

Mubvunzo 1: Radiofrequency ablation inorwadza here?

Vanhu vazhinji vanongonzwa kusagadzikana kudiki kusvika pakati nepakati panguva uye mushure meRFA. Iwe uchagamuchira sedation kana anesthesia panguva yekuvhiyiwa, saka hauzonzwe kurwadziwa panguva yekuita.

Mushure mekurapwa, unogona kunzwa kurwadziwa kwakafanana nekurwadziwa kwemhasuru dzakadzama panzvimbo yekurapa. Izvi zvinowanzoitika kwemazuva 1-3 uye zvinopindura zvakanaka kumishonga yekurwadziwa inotengeswa pasina mushonga yakaita se acetaminophen kana ibuprofen.

Q2: Kutora nguva yakareba sei kupora kubva kuRFA?

Nguva yekupora inosiyana zvichienderana nenzvimbo uye saizi yegomarara rakarapwa, asi vanhu vazhinji vanodzokera kuzviitiko zvavo zvenguva dzose mukati memazuva 2-7. Unogona kunzwa kuneta kwemazuva mashoma ekutanga, izvo zvakajairika.

Kusimudza zvinhu zvinorema uye zviitiko zvine simba zvinofanirwa kudzivirirwa kwevhiki. Chiremba wako achapa gwara rakatarwa zvichienderana nemamiriro ako ega uye nzvimbo yekurapa kwako.

Q3: Gomarara rinogona kudzoka here mushure me radiofrequency ablation?

Nepo RFA ichinyanya kushanda, gomarara dzimwe nguva rinogona kudzoka panzvimbo yekurapa kana mune dzimwe nzvimbo. Kudzokera kwenzvimbo panzvimbo yakarapiwa kunoitika mune angangoita 5-10% yezviitiko, zvichienderana nerudzi rwegomarara uye saizi.

Kutevera nguva dzose imaging kunobatsira kuona chero kudzoka kare, kana zvichirapika zvakanyanya. Kana gomarara rikadzoka, RFA inogona kazhinji kudzokororwa, kana mamwe marapirwo anogona kushandiswa.

Q4: Radiofrequency ablation iri nani kupfuura kuvhiyiwa here?

RFA uye kuvhiyiwa imwe neimwe ine zvainobatsira zvichienderana nemamiriro ako chaiwo. RFA haina kupinda zvakanyanya, inoda nguva shoma yekupora, uye inogona kazhinji kudzokororwa kana zvichidikanwa. Kuvhiyiwa kunogona kunge kuri nani kumamota makuru kana kubviswa kwetishu kwakakwana kwakakosha.

Oncologist wako achakubatsira kuyera mabhenefiti nenjodzi dzechisarudzo chimwe nechimwe zvichienderana nehunhu hwako hwegomarara, hutano hwese, uye zvaunofarira. Dzimwe nguva kusanganisa nzira kunopa mhedzisiro yakanaka.

Q5: Ndingada marapirwo mangani eRFA?

Vanhu vazhinji vanoda kurapwa kumwe chete kweRFA kuti vawane kuparadzwa kwakakwana kwegomarara. Zvisinei, mamota makuru kana mamota akawanda anogona kuda misangano yakati wandei yakaparadzirwa mavhiki akasiyana.

Chiremba wako achasarudza chirongwa chekurapa chakakodzera zvichienderana nemhedzisiro yako yekufungidzira uye kuti unopindura sei kurapwa kwekutanga. Vamwe vanhu vanobatsirwa nekubatanidza RFA nemamwe marapirwo kuti vawane nzira yakazara.