Minimally invasive ụzọ nke ọgwụgwọ nke imeju cancer ọrịa

Ịwa ahụ mwepụ nke imeju etuto ahụ na-enye ihe kasị mma ohere maka a na-agwọ ya. Dị mwute ikwu na, imeju etuto ahụ na-abụkarị ihe oke buru ibu ma ọ bụ mmasị ibu ọbara arịa, na ndị ọzọ dị oké owuwu. Nke a na-eme ka ịwa ahụ oke ize ndụ ma ọ bụ impractical. Ịwa ahụ mwepụ agaghị ekwe omume na 30-40% nke ọrịa na isi na 90% nke ọrịa na abụọ imeju cancer.

Kemgbe ụwa, ọgwụ ndị na-adighi ike na ọgwụgwọ nke imeju cancer. Ya mere, e nwere ọtụtụ ihe ndị usoro na-ekwe ka na-alụ ọgụ a na ọrịa.

ụdị

Primary imeju cancer: The kasị nkịtị ụdị isi cancer bụ hepatocellular carcinoma (HCC). Nke a akpụ nke na-amalite isi mkpụrụ ndụ nke imeju. Primary imeju cancer bụ ugboro abụọ ọzọ na-ahụkarị mmadụ karịa ndị inyom. HCC bụ ihe nkịtị na ndị na-arịa ọrịa imeju bụ imeju.

Metastatic Imeju Cancer: Cancer pụrụ ibunye ọ bụla nke ozu na imeju. E kansa mkpụrụ ndụ nwere ike na-eto eto maka ọnwa ma ọ bụ afọ tupu ha na-ahụrụ. Imeju metastases na-enwekarị etuto ahụ nke colon na ikensi. Ọrịa na ndị ọzọ ụdị cancer nọkwa n'ihe ize ndụ nke na-emepe emepe imeju cancer.

Imeju-eme dị ka amalite ojii maka ndụ nke kansa na-ekesa na n'ọbara. Ndị a na mkpụrụ ndụ nwere ike na-eto eto na-etolite a ngwọta. Ọ na-kweere na 70% niile ọrịa na-achịkwaghị achịkwa na cancer-emecha nweta abụọ imeju etuto ahụ ma ọ bụ metastases (etuto ahụ kpụrụ isi cancer mkpụrụ ndụ na-agbasa site na ndị ọzọ cancer saịtị).

nchọpụta nsogbu

E nwere ọnụ ọgụgụ nke ule nke nwere ike inyere na nchoputa nke cancer, gụnyere ọbara ule, anụ ahụ nnyocha na a dịgasị iche iche nke Onyonyo usoro tinyere X-ray, agbakọrọ tomography (CT), magnetik resonance Onyonyo (MRI) na ultrasound.

Na-emekarị, nke ikpeazụ nchoputa agaghị ruo mgbe ahụ, ruo mgbe ị na-eme a biopsy. Mgbe ha nyochasịrị biopsy sample, ndị ọkachamara nwere ike ikpebi ụdị cancer bụ ugbu a na otú ngwa ngwa na o nwere ike na-agbasa. Nke a na ozi dị mkpa mgbe na-eme mkpebi banyere ụdị ọgwụgwọ.

ọgwụgwọ

Etuto ahụ mkpa inweta ọbara ya ifịk ifịk-n'ịwa, na-eri nri onwe ha na-eto. Radiologists ọnụ na ọkachamara na ubi nke vaskụla ịwa anapụta ezubere iche ọgwụ ọjọọ ẹkenam n'ime ọbara arịa site a catheter ebe ahu.

Na ọgwụgwọ nke cancer ọrịa, radiologists nwere ike ọgụ akpụ emetụta na ya site embolization na radio ebili mmiri. Embolization ọma mepụtara usoro interventional Radiology, nke a na-na-emeso merụrụ ahụ na oke ọbara ọgbụgba, na-achịkwa na-agba ọbara mgbe nnyefe, mbenata ọbara na ọnwụ n'ihu ịwa ahụ na maka ọgwụgwọ nke etuto ahụ.

Na ọgwụgwọ nke cancer ọrịa, embolization a na-eji belata inweta ọbara etuto ahụ, radieshon nnyefe (radioembolizatsiya) ma ọ bụ ikpokọta a Usoro na-anara ọgwụ napụta cancer ọgwụ ozugbo etuto ahụ (chemoembolization).

Ke adianade do, cancer mkpụrụ ndụ na-gburu thermal ụzọ (radiofrequency ablation) ma ọ bụ friji akpụ (cryoablation).

chemoembolization

Chemoembolization bụ a minimally invasive ọgwụgwọ nke imeju cancer, nke ike-eji ma onwe ha ma na njikọ na ndị ọzọ na usoro. Chemoembolization enye ochichi nke elu doses himioembolizata kpọmkwem n'ime ihe ngwa, anapụ akpụ nke ọbara ya ọkọnọ site igbochi ma ọ bụ embolization nke akwara udia ngwọta. Iji nyocha agụ maka nduzi, ndị interventional radiologist ewebata a obere catheter n'ime femoral akwara. Ọ na-eji a nnukwu dose nke ọgwụ, dị ka bibiri na-arụ ọrụ usoro na, ya, obere ọgwụ circulates na ike mkpụrụ ndụ nke ahụ. Chemoembolization na-agụnyekarị a ọgwụ na ọnụnọ nke abụọ ụbọchị anọ. Ọrịa na-emekarị laghachi nkịtị na-eme n'ime otu ọnwa.

Chemoembolization bụ nnọọ irè nke ọgwụgwọ nke ịza imeju etuto ahụ, karịsịa na Nchikota na ndị ọzọ agwọ ọrịa. Chemoembolization gosiri ekwe pụta na ọgwụgwọ nke metastatic etuto ahụ. Ọ bụ nke a na ụdị ọgwụgwọ mma site FDA maka ọgwụgwọ nke metastases.

Radioembolizatsiya

Radioembolizatsiya yiri nnọọ chemoembolization ma na ojiji nke redioaktivu microspheres. Nke a ọgwụ na-eji maka ọgwụgwọ nke ma isi na metastatic imeju etuto ahụ. Eji embolic ngalaba nke redioaktivu isotope yttrium-90 iji napụta radieshon ozugbo na ngwọta. Onye ọ bụla okirikiri nke nke ise mkpụrụ ndụ ọbara uhie n'obosara. A nsogbu dị iche iche na-ẹkenam site catheter n'ime ukwu na-eme ka cell ọnwụ. Technology-enye a elu, obodo dose of radieshon enweghị ihe ize ndụ na ike anụ ahụ.

Nke a bụ a dịtụ ọhụrụ ọgwụ, nke dị irè na ọgwụgwọ nke isi na metastatic imeju cancer ọrịa. Ọ nwere ole na ole mmetụta tụnyere ot ụzọ nke cancer ọgwụgwọ.

radiofrequency ablation

N'ihi inoperable imeju etuto ahụ, radiofrequency ablation enye a metụtara nanị akụkụ ụfọdụ na-abụghị nke ogwugwo ọgwụgwọ na-egbu akpụ mkpụrụ ndụ site okpomọkụ ìgwè ewu na ike imeju anụ ahụ. N'ihi ya, nke a ọgwụgwọ dị nnọọ mfe n'ihi ọrịa karịa systemic ọgwụ. FDA mma RFA maka ọgwụgwọ nke imeju etuto ahụ.

Ke ekpri nọmba nke ikpe, RFA nwere ike ịgbatị ọrịa ndụ. Dabere na size nke akpụ RFA nwere ike ịda mbà ma ọ bụ igbu akpụ, ịba ụba ndidi lanarị oge budata ha ka mma àgwà nke ndụ. N'ihi na ọ bụ a obodo ọgwụgwọ na-adịghị emerụ ike anụ ahụ, ihe omume nwere ike ugboro ugboro ọtụtụ mgbe dị ka ọ dị mkpa ka na-arịa ọrịa na nkasi obi mpaghara. Nke a bụ nnọọ mma usoro, na sikwuoro ọnụego nke iji nke abụọ atọ percent, na kemgbe dị ebe ọ bụ na mbubreyo 1990s.

New Cancer Ọgwụ

Interventional Radiology ekere òkè dị mkpa na-emepe emepe usoro ndị ọhụrụ pụrụ ime ka cancer ọgwụgwọ na-eme n'ọdịnihu, gụnyere na ojiji nke magnetik ahụ na nnyefe nke mkpụrụ ndụ ihe nketa na ihe onwunwe, na-akpọ site n'usoro ọrịa, na-alụ ọgụ ma ọ bụ gbochie cancer. A usoro ndị ka investigational na ha na-enye ọhụrụ olileanya na agha megide cancer.

"Magnetik" ọgwụ

Interventional radiologists ugbu a nchọpụta a ọhụrụ Usoro ke nke nju-eji na-sere na chemotherapeutic gị n'ụlọnga na ngwọta. Microscope magnetik ahụ na-mmasị ka ọgwụ ọjọọ na a ga-anapụta site a catheter n'ime a ọbara arịa nke nourishes a ngwọta. The obere ụwa magnet na-positioned n'elu ọrịa ahụ ozugbo n'elu ọnọdụ nke ngwọta. Igwe Ọdụdọ ahụ mere na ha na-adaba akpụ. Ọ bụ ezie na Usoro ka ibuo, ma ukwu-ekwe. Dọkịta olileanya na ọ ga-enwe mmetụta nke ọgwụ na-ezere àgwà ụfọdụ nke ya mmetụta ndị dị otú ahụ dị ka ntutu isi ọnwụ na ọgbụgbọ.

site n'usoro ọgwụ

Na-adịbeghị anya, ndị ọkà mmụta sayensị nweela a nghọta ọhụrụ banyere mkpụrụ ndụ ihe nketa - bụ isi ndu nkeji nke si n'aka ruo n'aka na ọrụ ha na-akpọ guzobe ọrịa. Nke a ihe ọmụma mewo ogbo maka sayensị ọgwụ na - site n'usoro ọgwụ. Mgbe sayensị ka na n'oge ibuo nkebi, na-eme nnyocha na-enwe olileanya na-eme n'ọdịnihu ọ ga-eji maka:

• ọgwụgwọ nke cancer na ndị ọzọ na mkpụrụ ndụ ihe nketa na-anaghị ekwe;
• mgbanwe mkpụrụ ndụ nke dịghịzi usoro nke ọrịa na cancer na-alọta ha aka ahu, ebe ha nwere ike na-awakpo ndị ọrịa ma ọ bụ mee ihe dị ka ọgwụ mgbochi;
• dochie a ezighị ezi site n'usoro maka cancer ibu na a "ihe ọma" site n'usoro.

Otu n'ime nsogbu nke mkpụrụ ndụ ihe nketa ọgwụ chọta enem irè ụzọ napụta mkpụrụ ndụ ihe nketa ma ọ bụ genetically gbanwere mkpụrụ ndụ n'ime akpụ.

Dọkịta nwere elu-enwe olileanya maka ọhụrụ tolite na ha ngwa ngwa ngwa ọgwụ na omume.