FDA ta amince da tsarin Sanya: Sabon Sahi, Tsaro na BPH
Harkar jini mai karuwanci na benign (BPH) wata matsala ce ga maza kamar yadda suka tsufa. Waɗanne jiyya ne suke samuwa kuma ta yaya aka kwatanta su da sabon sabon tsarin zuwa tiyata ko magunguna da aka sani da System Rezūm®?
Sabon Jiyya don Harshen Cutar Abun Hoto (BPH) a Maza
Game da rabin mutanen da suka tsufa shekarun 75 sun fita daga cikin gado sau da yawa a daren zuwa urinate ( nocturia .) Ga mutane da yawa, batun shine glandon karuwanci.
Ko da yake glandan karuwanci zai iya haifar da ciwon karuwanci, sau da yawa shi ne sakamakon rashin jin dadi wanda ake kira hypertrophy prostatic benign (BPH).
Za a iya inganta ƙwayar ƙwayar ƙwayar ta hanyar cirewa ta hanyar zubar da jini. Amma wannan hanyar ba cikakkiyar hadarin ba ne. Wani mataki na rashin daidaito ko rashin ƙarfi shi ne al'ada. Sauran maganin (tattauna a kasa) sun hada da magunguna da kuma hanyoyin da ba su da haɗari. Tun da BPH ba yanayin haɗari ba ne, mutane da yawa za su zaɓa a maimakon su sha wahala kawai a cikin shiru.
A bara, Cibiyar Abinci da Drugta (FDA) ta amince da tsarin Rezūm®, wanda ke dauke da sabon tsari, mafi aminci ga magance BPH. Hanyar mai sauƙi, mai tsawon minti biyar na sake dawo da iskar gaggawa tare da ƙananan haɗarin tasiri. Ta hanyar yin haka, wannan hanya yana da damar inganta yanayin rayuwa ga miliyoyin maza.
Mutuwar rashin tausayi
Urethra-bututu wadda take fitowa da mafitsara-wuce ta kai tsaye ta hanyar gishiri mai sanyayi.
Zubar da ƙwayar ƙasa yana girma kamar yadda mutane suke da shekaru, wanda ya yada glandan kuma ya sanya urethra girma kamar belin da aka ɗauka a hankali a kusa da kugu. Wannan yana sa ya ƙara wuya a cire jakar mafitsara gaba daya. Duk da yunkurin da ake yiwa urinate, wani lokaci ya zama al'ada. Yayin da bayyanar cututtuka sun fi dacewa sosai, likitanku zai bada shawara ga gwaje-gwajen don bincikar BPH kafin a samu wani magani.
Maganin Jiyya na yanzu don BPH
Don fahimtar yiwuwar amfani da kasada da kuma kwatanta zaɓuɓɓuka don zalunta BPH (ciki har da tsarin Rezūm®) yana da amfani don tattauna zabin da aka samo. Wadannan sun haɗa da:
Hoto - Yin tiyata don cire glandon prostate, wanda ake kira siginar karuwa na prostate ko TURP, an yi shi a karkashin wariyar launin fata. An cire kayan aiki a cikin kututturewa kuma an raba sashi na prostate kewaye da urethra. Hanyoyi masu haɗari sun haɗa da wadanda ke da alaƙa da cutar, da rashin ƙarfi da rashin ƙarfi.
Magunguna - Akwai nau'i biyu na magunguna don BPH :
- Proscar (finasteride) da kuma Avodart (dutasteride) aiki ta hanyar hana hormone wanda zai sa gubar gubar ta fara girma.
- Masu aikin Alpha suna aiki ta hanyar kwantar da tsoka mai tsabta a cikin prostate, saboda haka ba a rage matsa lamba ga urethra. Misalan sun hada da Hytrin (terazosin,) Cardura (doxazosin,) Uroxatral (alfuzosin,) da Flomax (tamsuloxin.)
Hanyoyi masu rinjaye - mafi girman ƙananan hanyoyi ba su da haɗari fiye da tiyata, amma wasu lokuta wani lokaci yana da matukar tasiri. Zabuka sun haɗa da:
- TUNA - Maɓallin allurar burodi
- TUMT - Transurethral obin na lantarki thermotherapy
An kuma yi amfani da tsarin Rezūm® a hanya mai mahimmanci.
Zaɓuɓɓukan maganin zaɓuɓɓuka dabam-dabam - A halin yanzu babu shaidar da ta dace cewa maganin kula da ganye ga BPH , kamar su palmetto , suna da tasiri.
Hanyoyin Sabuwar Hanya: Tsarin Rezum na BPH
Sauya ga tiyata, Rezūm® System yana amfani da tururi don kashe kwayoyin. Ga yadda yake aiki:
- Lidocaine an injected don rage jijiyoyin da ke kai ga prostate.
- Gel din Lidocaine ana toshe shi a cikin urethra don taimakawa urologist don yin amfani da cystoscope ta musamman ta hanyar urethra zuwa prostate. (Babu buƙatar ƙwayar cuta ko ƙwayar cututtuka, kuma hanya bata da zafi.)
- Urologist ya zaɓi yankuna hudu zuwa 10 a kan prostate kuma yana ƙin ƙaramin adadin tururi a kowace. Sata yana kashe nama, wanda jikin ya ke da shi kawai. Kowace ƙwayar yana ɗauke da tara da gajeren lokaci kuma hanya ta wuce a cikin minti biyar.
Jira da kallo
Maza suna barin ofis din tare da urinary catheter wanda aka bari a wurin don kwana uku don ramawa don kumburi. Bayan haka, al'ada ne na al'ada don jin dadin gaggawa da kuma saurin urination na tsawon lokaci. Ingancin ba shine nan da nan ba. Duk da haka, wasu ci gaba a cikin ƙwayar isarwa yawanci ana gani a kusan makonni uku. Ɗaukaka matakai yana ɗauka watanni uku.
Me aka sani game da Sakamakon tsarin Rezum na BPH?
Saboda tsarin Rezūm® ya zama sabon abu, likitoci suna da kwarewa da yawa tare da shi. A cikin gwaje-gwaje na asibiti, ana amfani da hanya a cikin maza da masu karuwanci. Yayinda ake gwada fasaha a cikin manyan prostate yanzu.
Ba a bayar da rahoton manyan matsalolin likita daga hanya ba. Saboda yanayin zafi yana tsayawa a cikin prostate, iyawar da za ta yiwa ruwa ko kuma an gina wani abu ba shi da wani abu. Kuma saboda maganin ba zai lalacewa ba urinary sphincter, hadarin rashin tabbas yana da ragu.
Sakamakon lokaci mai tsawo na Rezūm® System ba'a samu ba. Ko za a yi amfani da magani na biyu a nan gaba, kuma idan haka ne, to, yaya har yanzu ba a sani ba. Ganawa da sakamakon binciken gwajin bayanan na yanzu yana aiki tare da fatan amsa wasu daga cikin wadannan tambayoyin nan da nan.
Samun magani
Bayan da FDA ta amince da tsarin Rezūm®, kamfanin da ya ci gaba da aikin ya sanya wasu cibiyoyin kiwon lafiya su shiga cikin gwaji, ciki har da Cleveland Clinic, don bayar da shi ga marasa lafiya. Cleveland Clinic ta fara amfani da magani a watan Fabrairun 2016 kuma an yarda da shi sosai tare da sakamakon, ko da koyaswa abokan aiki a duk duniya yadda za a gudanar da aikin.
System na Rezūm® ya samo asali a wani lokaci na karin jiyya don jin dadi ga matsalar ta kowa. Abin farin, shi ne kawai farkon. Mun yanzu suna rubuta marasa lafiya a gwaji na gwaje-gwaje na tsarin daban-daban na uku don magance BPH, duk tare da yiwuwar ƙananan sakamako.
Rarraba na BPH maras kyau
A matsayi na ƙarshe, yana da muhimmanci muyi magana game da matsalolin yiwuwar BPH maras kyau. Tabbas, alamun BPH na iya rinjayar rayuwarka. Baya ga wannan, duk da haka, BPH mara izini na iya haifar da:
- Bladder cututtuka
- Bladder duwatsu
- Cinwan koda (idan an katse kwafinsu na fitsari don yadawa cikin kodanku)
- Samun yiwuwar urinatewa ( maganin ƙwaƙwalwar mafitsara ) shi ne gaggawa ba tare da zama mai raɗaɗi ba
Ƙashin Ruwa a kan tsarin Rezum da Kula don BPH
BPH muhimmiyar matsala ta shafi kashi 50 cikin dari na maza fiye da 75 kuma kimanin kashi 90 cikin wadanda suka wuce 85. Bugu da ƙari, rashin jin daɗi da kuma mummunan tasiri game da salon ku, BPH na iya haifar da wasu matsaloli. A baya, wata hanya mai banƙyama (TURP) ita ce magani kawai, yana barin mutane da dama su fita don wahala a cikin shiru. System na Rezūm® yana ƙaddamar da sabon tsari mai lafiya don hanyoyin da magunguna a halin yanzu akwai.
Dr. Ulchaker ne likitan ilimin likitancin jiki a BPH a Cibiyar Tsarin Mulki a Cibiyar Nazarin Urological da Koda ta Cleveland ta Cibiyar Nazarin Kwalejin Kwalejin Cleveland, wadda ke da nauyin shirin Urology ta kasa na 2 wanda aka shirya ta Amurka da rahotanni na duniya.
> Sources:
> Dixon, C., Cedano, E., Pacik, D. et al. Aminci da Tsaro na Rezum Tsarin Ruwa na Ruwa na Ruwa don Ƙananan Magungunan Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia. Urology . 2015. 86 (5): 1042-7.
> Roehrbom, C., Gange, S., Gittelman, M. et al. Maganin Harkokin Tsaro Mai Saukewa: Durable Results 2-Year na Gudanar da Ƙarƙashin Ƙarƙwarar da Nazarin Kira don Tattaunawa na Ƙananan Ciwon Halitta Saboda Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Benign. Journal of Urology . 2017. 197 (6): 1507-1516.
> Woo H., da R. Gonzalez. Tsarin hangen nesa game da tsarin Rezum: Tsarin Kwaskwarima na Nunawa Mai Saukowa don Harsashin Harshen Cutar Harshen Benignata Ta Amfani da Harkokin Rashin Lafiya na Ruwa na Ruwa na Ruwa A Yau. Ma'aikatan lafiya (Auckland) . 2017. 10: 71-80.