Wonke umuntu unezici ezihlukile ezifana nesakhiwo sobuso, izigxivizo zeminwe, amaphethini ezwi, kanye nokusayina. Njengoba lokhu kuhlukile, akufanele yini izimpendulo zethu ekwelashweni kwezokwelapha nazo zihlukaniswe ngabanye?
I-Precision medicine iguqula kakhulu ukunakekelwa kwempilo ngokwenza ukwelashwa kuhambisane nephrofayili yempilo yomuntu eyingqayizivele. Le ndlela ihlanganisa ulwazi lwezakhi zofuzo kanye nezici zemvelo nendlela yokuphila ukuze kuthuthukiswe ukuxilongwa kwesifo, ukuvimbela, kanye nokwelashwa. Enye yezindlela ezibaluleke kakhulu zokusebenzisa imithi enembile isekunakekelweni komdlavuza. Ngaphambilini, iziguli ezitholakale zinohlobo olufanayo lomdlavuza zazivame ukunikezwa ukwelashwa okufanayo. Kodwa-ke, le ndlela ejwayelekile ayisebenzi ngaso sonke isikhathi. Njengoba umdlavuza ngamunye unezakhi zawo zofuzo, ucwaningo lwezokwelapha lugxila kakhulu ekwelashweni okuqondiswe ngqo kulo mehluko, okuvula indlela yezinhlelo zokwelapha eziqondene nomuntu ngamunye.
Ngaphandle kokuthuthukisa ukusebenza kahle kokwelashwa, imithi enembile kulindeleke ukuthi inciphise izindleko zokunakekelwa kwempilo. Ngokusiza odokotela ukuthi bakhethe izindlela zokwelapha eziphumelela kakhulu zesiguli ngasinye, kunciphisa ukwelashwa kokuzama nokwehluleka futhi kuvimbele imiphumela emibi engadingekile, okungenzeka kwehlise izindleko zezokwelapha zizonke. Lokhu kusebenza kahle kubaluleke kakhulu ezinhlelweni zezempilo zikazwelonke njenge-NHS, eqhubeka nokulwa nezingcindezi zezimali.
Nakuba kusenenqubekela phambili okusamelwe yenziwe ekuqapheleni ngokugcwele amandla okwelapha okunembile komuntu siqu emhlabeni wonke, intuthuko yezobuchwepheshe ekuxilongeni isivele isheshisa lolu shintsho. Lokhu kusungula izinto ezintsha kuthuthukisa ukunemba ekuthathweni kwezithombe zezokwelapha kanye nokuxilonga, ekugcineni kuholela emasu okwelapha asebenza kahle futhi anembile.
Isidingo Esikhulayo Sokunemba Ezinqubweni Zezokwelapha
Ukuzama ukuthola ukunemba okukhulu sekuvele kwenza umthelela omkhulu ekunakekelweni kwezempilo, ikakhulukazi ezinqubweni eziyinkimbinkimbi ezifana ne-Prostate Artery Embolization (PAE). Le ndlela engeyona eyokuhlinzwa, esetshenziselwa ukwelapha i-prostate ekhulisiwe noma i-Benign Prostatic Hyperplasia (BPH), ithembele ezinhlelweni ze-Interventional Radiology (IR) ukuze kufezwe imiphumela eqondiwe. Ngokunikeza enye indlela engangenisi kakhulu, i-PAE inciphisa ingozi yesiguli, ivumela ukuphuma ngosuku olufanayo, futhi ivumela abantu ukuthi baqale kabusha imikhuba yabo yansuku zonke ngokushesha okukhulu—konke lokhu kunciphisa ingcindezi ezinsizeni zesibhedlela.
I-Interventional Radiology ihlanganisa uhla lwezindlela ezisebenzisa isiqondiso sesithombe se-radiological ukuze kuhlinzekwe ukwelashwa okunembile. Lezi zindlela zifaka phakathi i-X-ray fluoroscopy, i-ultrasound, i-CT, kanye ne-MRI, ngayinye idlala indima ekuthuthukiseni ukunemba kwenqubo. Njengoba ukusungula izinto ezintsha ku-IR kuqhubeka nokusheshisa, ukungenelela kokuhlinzwa okuvamile kuyachazwa kabusha, kuhlinzeka ngezinketho ezingangenisi nje kuphela imiphumela yesiguli kodwa futhi ezifinyeza kokubili isikhathi senqubo kanye nokululama.
Intuthuko yezobuchwepheshe kulezi zinhlelo zokuthwebula izithombe manje inikeza odokotela ukufinyelela okuthuthukisiwe kwe-ergonomic ku-anatomy yesiguli. Izici ezifana nezingalo ze-C ezifakwe ophahleni naphansi zihlinzeka ngokumbozwa komzimba wonke—kusukela ekhanda kuye ozwaneni kanye nasesicongweni somunwe kuya esicongweni somunwe—okuthuthukisa ukunemba ngenkathi kusiza ukusebenza kahle komsebenzi. Ngaphezu kwalokho, ikhono lokufeza ukuthwebula izithombe zekhwalithi ephezulu ngemithamo ephansi yemisebe libalulekile. Liqinisekisa ukuzulazula okunembile kanye nokwenza izinqumo eziqinisekile ngenkathi libeka phambili ukuphepha kweziguli kanye nochwepheshe bezokwelapha kuyo yonke inqubo.
Ukuhlanganisa Izindlela Zokuthwebula Izithombe Eziningi
Ukuthuthukisa ukunemba kokubili ekuxilongeni nasekwelapheni kudinga ukuhlanganiswa okungenamthungo kwezithombe ezivela kubuchwepheshe obuhlukahlukene bokuthwebula izithombe zezokwelapha. Ukuthwebula izithombe okuthuthukisiwe kudlala indima ebalulekile ngokuhlanganisa i-ultrasound yesikhathi sangempela nedatha ye-CT, i-MRI, noma ye-ultrasound ethathwe ngaphambilini. Le ndlela inikeza umbono ophelele wezakhiwo zomzimba, okuvumela odokotela ukuthi bakhombe ngokunembile izindawo ezikhathazayo, bazulazule ku-anatomy eyinkimbinkimbi ngokuzethemba, futhi bathuthukise ukuqondiswa kwe-biopsy.
Ukunemba okukhulu kunciphisa amathuba okuphindaphinda izinqubo, kuqinisekisa ukushintshwa okusheshayo kwemiphumela ye-pathology futhi kusiza ukwelashwa ngesikhathi esifanele. Ngokusheshisa inqubo yokuxilonga kanye nokuthuthukisa ukunemba kokwelashwa, ukuhlanganiswa kwezithombe ekugcineni kunegalelo ekusindiseni izimpilo ngokungenelela kwangaphambi kwesikhathi nangokusebenza kahle.
Intuthuko Eqhutshwa Yi-AI Ekhwalithini Yesithombe
Nakuba izinhlelo zokuthatha izithombe ze-multimodal kanye ne-interventional radiology (IR) ziqhubeka nokuthuthukisa izinto ezintsha, ukuthatha izithombe zekhwalithi ephezulu kusalokhu kuyitshe lesisekelo lezokwelapha ngokunemba. Ubuchwepheshe obusezingeni eliphezulu, ikakhulukazi ubuhlakani bokwenziwa (AI), buguqula ukuthwebula izithombe zezokwelapha ngokuthuthukisa ukucaca nokusebenza kahle.
Amasu okwakha kabusha ukufunda okujulile asebenzisa i-AI asiza ekunciphiseni umsindo ngenkathi ekhulisa amandla esignali, ekhiqiza izithombe ezibukhali nezicacile ngesivinini esisheshayo. Ngaphezu kwalokho, ukuthwebula izithombe nge-3D ngezindlela ezifana ne-CT ne-MRI kunikeza odokotela imibono yama-engeli amaningi, kodwa ukwanda kokutholwa kwedatha kuvame ukuholela emsindweni wesithombe owengeziwe. Ngokusebenzisa i-AI ukuhlunga izinto ezinyakazayo kanye nedatha engabalulekile, odokotela be-radiology bangagxila olwazini olubaluleke kakhulu, okuholela ekuxilongweni okunembe kakhudlwana kanye nezinhlelo zokwelapha ezisebenzayo.
Ngaphezu kokuthembela entuthukweni yesayensi nezobuchwepheshe noma ukufakwa kobuchwepheshe obusha besimanje, izithombe zezokwelapha ezinembile nazo ziyazuza ngamathuluzi asizayo asezingeni eliphezulu asetshenziswa emkhakheni wezithombe zezokwelapha, njengezinto ezihlukanisayo kanye nezijovo zezinto ezihlukanisayo. I-LnkMed ingumkhiqizi waseShayina ogxile ocwaningweni nasekuthuthukisweni nasekukhiqizweni kwezijovo zemidiya ezihlukanisayo ezinomfutho ophezulu, eziseShenzhen, eGuangdong. Uchungechunge oluhlukahlukene lwezijovo ezikhiqizayo luhlanganisaUmjovo owodwa we-CT, Umjovo wekhanda eliphindwe kabili we-CT,Umjovo we-MRI, I-Angiography yokucindezela okuphezulu, okunganikeza umthamo onembile womjovo kanye nesilinganiso somjovo. Umfutho womjovo ungaboniswa ngesikhathi sangempela ukuqinisekisa umjovo we-contrast agent ophephile futhi onembile. Imikhiqizo ye-LnkMed iye yaqashelwa amakhasimende avela eThailand, eVietnam, e-Australia, eZimbabwe, eSingapore, e-Iraq, njll. ngesimo sayo sengqondo esiqotho, amakhono ochwepheshe ocwaningo nokuthuthukiswa, kanye nezinqubo zokuqapha eziqinile zekhwalithi. Ukuze uthole ulwazi olwengeziwe lomkhiqizo mayelana nama-injector anomfutho ophezulu, sicela uchofoze lesi sixhumanisi:https://www.lnk-med.com/products/
Ingabe Siseceleni?
Uhambo oluya kwezokwelapha ngokunemba luyaqhubeka, luqhutshwa yintuthuko ezinhlelweni zezithombe zezokwelapha kanye nobuchwepheshe obusezingeni eliphezulu obuklanyelwe ukuvumela leli kusasa eliguqukayo. Ngesikhathi esifanayo, imizamo yocwaningo igxile kakhulu ekunakekelweni kwezempilo kokuvimbela, ihlola ukuthi izici zemvelo nendlela yokuphila zithinta kanjani impilo yomphakathi kanye nengozi yesifo yesikhathi eside.
Isinyathelo esibalulekile kulokhu safika ngo-Okthoba 2023 lapho iSheffield kanye neSheffield Hallam University bebambisana nabalingani ababalulekile ukusungula isikhungo sokunakekelwa kwempilo sedijithali esiphambili eSouth Yorkshire. Lesi sinyathelo sihlose ukuqhubekisela phambili ukuthuthukiswa kobuchwepheshe bedijithali obusha obuthuthukisa ukuxilongwa kwezifo nokwelashwa. Ngokusekelwa kwamuva nje yi-Google, amaphrojekthi amaningana ocwaningo asunguliwe, okuhlanganisa nocwaningo lwe-PUMAS. Lesi sinyathelo sihlola ukuthi izinzwa ze-pixel smartphone—ezikwazi ukubona ukukhanya, i-radar, kanye nezimpawu zikagesi ezivela enhliziyweni—zingaba yini usizo ekuboneni izimo ezivamile ezifana nomfutho wegazi ophakeme, i-cholesterol ephezulu, kanye nesifo sezinso esingamahlalakhona. Ngokuvumela ukutholakala kusenesikhathi, intuthuko enjalo ingaguqula indlela abantu abahlanganyela ngayo nempilo yabo, ikhuthaze ukukhetha indlela yokuphila enolwazi okungase kunciphise noma kuvimbele ukuqhubeka kwesifo. Ekugcineni, lokhu kunamandla okusindisa izimpilo, kuthuthukise imiphumela yezempilo, futhi kunciphise ingcindezi ezinsizeni ze-NHS.
Njengoba kunokufinyelela kwedatha engakaze ibonwe ngaphambili ngabantu, ukuziphatha kwabo, kanye nempilo yabo iyonke, imboni yezokunakekelwa kwempilo isilungele inguquko eqhutshwa idatha. Kodwa-ke, ukuze kusetshenziswe ngokugcwele lolu lwazi oluningi, kudingeka indlela ehlanganisiwe kakhulu—ehlanganisa idatha ye-genomic, amarekhodi emitholampilo, ukuqonda kokuxilonga, kanye nezici zendlela yokuphila. Ukuhlangana nokuhlaziywa kwale mithombo yedatha ehlukahlukene kwakha isisekelo semithi yokunemba eyenzelwe wena. Umphumela? Ukwelashwa okuphumelelayo kakhudlwana, ukunakekelwa kwesiguli okuthuthukisiwe, kanye nokwehla okukhulu kwezindleko zokunakekelwa kwempilo kwesiguli ngasinye.
Isikhathi sokuthunyelwe: Feb-23-2025
