I-Hyperthermia yokwelapha umdlavuza

I-Hyperthermia isebenzisa ukushisa ukulimaza nokubulala amangqamuzana omdlavuza ngaphandle kokulimaza amaseli ajwayelekile.

Ingasetshenziselwa:

• Indawo encane yamaseli, njengesimila
• Izingxenye zomzimba, ezifana nesitho noma isitho
• Umzimba wonke

I-Hyperthermia cishe isetshenziswa njalo kanye nemisebe noma i-chemotherapy. Kunezinhlobo ezahlukahlukene ze-hyperthermia. Ezinye izinhlobo zingabhubhisa izicubu ngaphandle kokuhlinzwa. Ezinye izinhlobo zisiza imisebe noma i-chemotherapy isebenze kangcono.

Izikhungo ezimbalwa kuphela zomdlavuza e-United States ezinikeza le ndlela yokwelashwa. Kufundwa kuzilingo zomtholampilo.

I-Hyperthermia ifundelwa ukwelapha izinhlobo eziningi zomdlavuza:

• Ikhanda nentamo
• Ubuchopho
• Amaphaphu
• Isisu
• Endometrium
• Isifuba
• Isinye
• Okufushane
• Isibindi
• Izinso
• Umlomo wesibeletho
• I-Mesothelioma
• I-Sarcomas (izicubu ezithambile)
• I-Melanoma
• I-Neuroblastoma
• Ovarian
• I-Pancreatic
• Indlala yesinye
• Indlala yegilo

Lolu hlobo lwe-hyperthermia luletha ukushisa okuphezulu kakhulu endaweni encane yamaseli noma isimila. I-hyperthermia yendawo ingalapha umdlavuza ngaphandle kokuhlinzwa.

Izinhlobo ezahlukene zamandla zingasetshenziswa, kufaka phakathi:

• Amagagasi omsakazo
• Ama-microwaves
• Amagagasi e-Ultrasound

Ukushisa kungalethwa kusetshenziswa:

• Umshini wangaphandle oletha ukushisa kumathumba aseduze kobuso bomzimba.
• I-probe yokuletha ukushisa kwizicubu ngaphakathi komzimba, njengomphimbo noma i-rectum.
• Iphenyi efana nenaliti yokuthumela amandla omsakazo ngqo kwisimila ukubulala amangqamuzana omdlavuza. Lokhu kubizwa ngokuthi yi-radiofrequency ablation (RFA). Luhlobo oluvame kakhulu lwe-hyperthermia yendawo. Ezimweni eziningi, i-RFA iphatha izicubu zesibindi, izinso, namaphaphu ezingenakukhishwa ngokuhlinzwa.

Lolu hlobo lwe-hyperthermia lusebenzisa ukushisa okuphansi ezindaweni ezinkulu, njengesitho, isitho somzimba, noma isikhala esingenalutho ngaphakathi komzimba.

Ukushisa kungalethwa kusetshenziswa lezi zindlela:

• Abafakizicelo ebusweni bomzimba bagxila amandla kumdlavuza ongaphakathi komzimba, njengomdlavuza wesibeletho noma wesinye.
• Elinye igazi lomuntu liyasuswa, lifudunyezwe, bese libuyiselwa emlenzeni noma esithweni somzimba. Lokhu kuvame ukwenziwa ngemithi yokwelapha ngamakhemikhali. Le ndlela ilapha i-melanoma ezingalweni noma emilenzeni, kanye nomdlavuza wamaphaphu noma wesibindi.
• Odokotela bafudumeza imishanguzo yamakhemikhali bese bewapompa endaweni ezungeze izitho esiswini somuntu. Lokhu kusetshenziselwa ukwelapha umdlavuza kule ndawo.

Le ndlela yokwelapha inyusa izinga lokushisa komzimba womuntu sengathi unomkhuhlane. Lokhu kusiza i-chemotherapy isebenze kangcono ukwelapha umdlavuza osusakazekile (metastasized). Izingubo zokulala, amanzi afudumele, noma igumbi elifudumele lisetshenziselwa ukufudumeza umzimba womuntu. Ngesikhathi salokhu kwelashwa, abantu kwesinye isikhathi bathola imithi yokubenza bazole futhi bazole.

Ngesikhathi sokwelashwa kwe-hyperthermia, ezinye izicubu zingashisa kakhulu. Lokhu kungadala:

• Kushe
• Amabhamuza
• Ukungakhululeki noma ubuhlungu

Eminye imiphumela emibi engaba khona ifaka:

• Ukuvuvukala
• Amahlule egazi
• Ukopha

I-hyperthermia yomzimba wonke ingadala:

• Uhudo
• Isicanucanu nokuhlanza

Ezimweni ezingavamile, ingalimaza inhliziyo noma imithambo yegazi.

Iwebhusayithi yeAmerican Cancer Society. I-Hyperthermia yokwelapha umdlavuza. www.cancer.org/treatment/treatment-and-side-effects/treatment-types/hyperthermia.html. Kubuyekezwe uMeyi 3, 2016. Kufinyelelwe ngoDisemba 17, 2019.

UFeng M, uMatuszak MM, uRamirez E, uFraass BA. Umfutho wegazi ophezulu. Ku: Tepper JE, Foote RL, Michalski JM, eds. I-Gunderson & Tepper's Clinical Radiation Oncology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2021: isahluko 21.

UVane M, uGiuliano AE. Amasu we-Ablative ekwelapheni izifo zesifuba ezinobungozi nezibi. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 682-685.

• Umdlavuza