Shin zaka zama dan takara don yaduwar wutan lantarki?
Shin, kun san cewa yanzu akwai hanyar da ba a yi amfani da miyagun ƙwayoyi ba wanda ke samuwa idan kuna da ciwon sukari mai tsanani wanda ba shi da iko tare da corticosteroids da kuma masu aikin beta-agonists ? A gaskiya ma, Alair Bronchial Thermoplasty System ya sami lambar yabo ta kyauta mafi kyau na kyauta na 2010 wanda yake "Mafi kyawun abin sabo" a cikin Sashen Lafiya don ci gaba da wannan fasaha.
Tsarin thermoplasty na tsakiya shine mai fita (ma'anar mafi yawan marasa lafiya suna zuwa gidan su bar barci a cikin gadonsu) tafarkin bronchoscopic da ke rage yawan hanyoyi na kullunku don ƙuntatawa da kuma kunkuntar lokacin da aka nuna ku ga abubuwan da ke haifar da kai hari zuwa asibiti . Tsarin thermoplasty na zamani shine hanyar da za ta samar da makamashi na thermal zuwa ga huhu na marasa lafiya da ciwon sukari don rage adadin tsoka mai tsoka a cikin huhu, da tsokoki da ke haifar da bronchostriction da alamun fuka . Marasa lafiya sami iko mafi kyau akan fuka saboda ƙwayoyin ba za su iya ƙuntatawa sosai ba kuma suna yin karfin gaske ga masu tarin fuka.
Tsarin Harkokin Ƙarƙashin Ƙarƙashin Ƙirƙashin Alair yana rage yawan ƙwayar iska mai haɗari mai zurfi ta hanyar jagorancin wutar lantarki zuwa ga huhu a kai tsaye. An yi amfani da thermoplasty na tsakiya a karkashin matsakaicin matsakaici tare da mai haƙuri wanda yakan koma gidan a ranar daya. Cikakken cikakke shine zamanni uku wanda kowannensu ya bi da wani wuri daban na huhu.
A wannan lokaci, aminci da ingancin magungunan maimaitawa ba a san su ba.
Shaidun kulawa na Tsarin Harkokin Tsarin Harkokin Kasa
Bisa ga shafin yanar gizon Alair Bronchial Thermoplasty System, an nuna shi "don maganin asibiti mai ciwo mai tsanani a cikin marasa lafiya 18 da shekaru wanda ba'a kula da ƙwayar ƙwayar cuta ba tare da ciwon corticosteroids da kuma masu aikin beta."
Dole likitanku ya kamata a shawo kan hanyoyi na bronchoscopy, amma kuma yana buƙatar shan horo na musamman a cikin amfani da thermoplasty na bronchial kafin ya iya amfani da Alarm Bronchial Thermoplasty System.
Contraindications ga Harkokin Ƙarƙashin Ƙasa
Wasu marasa lafiya ba su cancanci magani ba tare da thermoplasty bronchial:
- Marasa lafiya tare da kowane nau'i na na'urorin da ba a haɗa ba kamar mai ɗaukar hoto , mai bada launi na ciki, ko wasu na'urorin lantarki wanda ba a haɗa ba.
- Marasa lafiya tare da ƙwarewa ko rashin lafiyar da ake amfani dashi a lokacin da aka gano masarauta irin su lidocaine, atropine, da benzodiazepines.
- Magunguna da suka riga sun bi da su tare da Alair Bronchial Thermoplasty System. Ba a ba da izini ba a halin yanzu a matsayin lafiya da inganci na magungunan maimaitawa ba a sani ba.
Bugu da ƙari, wasu yanayi na iya zama takaddama na wucin gadi ga thermoplasty bronchial. Marasa lafiya tare da wadannan bazai shafe haske a cikin jiki ba:
- Rashin kamuwa da numfashi na numfashi.
- Ƙarƙashin ƙwaƙwalwar asthma a cikin makonni 2 da suka gabata.
- Canjin canji na tsarin corticosteroids na yau da kullum don fuka (sama ko ƙasa) a cikin kwanaki 14 da suka gabata
- Sanarwar koyawa ko matsalar jini
- Dole ne marasa lafiya su dakatar da yin amfani da kwayoyin cutar, da magunguna, da aspirin da NSAIDS kafin suyi tafiya bayan tattaunawa da likita.
A ƙarshe, akwai wasu magungunan asthmatic wadanda ba a taɓa nazarin gwajin Alair Bronchial Thermoplasty System ba kuma ba a san su ba idan suna nuna irin wannan amfanin kamar sauran marasa lafiya. Idan wani daga cikin wadannan masu gaskiya ne, kana buƙatar tattauna yanayin ƙalubalanci da kuma amfanin da zafin jiki na wutan lantarki tare da likitanka kamar yadda zaka iya kasancewa cikin haɗarin hadarin abubuwan da zasu iya haɗuwa da tsarin thermoplasty na bronchial:
- Kwanan ku na post-bronchodilator FEV1 ya kasa da kashi 65 cikin dari na annabta.
- Kuna da wasu cututtuka na huhu irin su emphysema, dysfunction na muryar murya, haɓakar iska mai zurfi, cystic fibrosis ko barci mai barci mai barci.
- Kuna buƙatar yin amfani da ƙwararrajan kuɗi na gajere fiye da 12 a kowace rana a cikin kwanaki 2 kafin a fara aiki na thermoplasty.
- Kuna da dogara ga steroid kuma yana buƙatar corticosteroids na al'ada kamar prednisone a kashi fiye da 10 milligrams kowace rana.
- Kana da wasu yanayin kiwon lafiya wanda zai iya ƙara haɗarin rikice-rikice ciki har da ciwon sukari da ke ciwon insulin, cututtuka, cututtuka na rashin jijiyoyin jini, ƙwayar cuta ko kuma ciwon hawan kodayake, da hauhawar jini.
- Kuna da shigar da asibiti wanda ke buƙatar mai kulawa mai kulawa mai tsanani ko intubation a cikin shekaru 2 da suka gabata.
- Kuna da cututtuka 4 ko fiye da ƙananan cututtuka a cikin shekarar bara.
- Kuna da asibiti 3 ko fiye don cututtuka na numfashi a cikin bara.
- Kuna da ciwon haɗari 4 ko fiye da ake bukata wanda ya buƙaci na jiki, a cikin shekarar bara.
Sakamakon Tsarin Yammacin Bronchial
Gwajin AIR2 ya nuna cewa marasa lafiya da aka bi da thermoplasty na da ƙwayoyin magunguna masu yawa da suka haɗa da fuka-fuka:
- Inganta rayuwar rayuwa
- Raguwar kashi 32% na hare-haren fuka
- Raguwar kashi 84% na ziyara a gaggawa
- Raguwar kashi 73% a asibiti
- Haɓaka kashi 66% a cikin kwanakin da suka ɓace daga makaranta da aiki
Sauran binciken na Alair Bronchial Thermoplasty System sun nuna cewa babu wani ɓarna a cikin FEV1 da kuma wani barga mai zaman lafiya mai tsawo. Shaidun gwajin gwaji na nuna tsawon shekaru 5 na aminci ba tare da pneumothorax, intubation, ventilation na zuciya, cututtuka na zuciya, ko mutuwa saboda sakamakon kula da thermoplasty.
Duk da yake akwai ƙari a cikin bayyanar cututtuka na numfashi nan da nan bayan bin hanyar, akwai kamannin abin da mutum zai sa ran bin bronchoscopy a cikin wani asibiti.
A wata sanarwa ta farko, kamfanin ya ce sakamakon binciken ya kasance mai ladabi kamar yadda babban haɗari, mai wuya-da-control asthmatics yana ci gaba. Bayanan da suka gabata sun tattauna yadda ake samun magani don tsawon shekaru 5 kuma yana da raguwa mai yawa a cikin ƙwaƙwalwar asthma a wannan lokacin.
> Sources:
> ASTHMATX, Inc. Game da Ƙarƙashin Ƙarƙashin Ƙasa.
> Wechsler M et al. J Allergy Clin Immunol. 2013 Dec; 132 (6): 1295-302.