Ƙungiyar Harkokin Ƙungiyar Harkokin Ƙungiyar Amurkan Tattalin Arziki ita ce mafi girma a duniya. An tsara shirin ne a kusa da bayanin da aka gabatar da dubban dubban gabatarwar kimiyya wanda aka saki a cikin rahotanni na farko da ake kira "abstracts." Yayin da yake nazarin abubuwan da suka gabata na shekarar 2015, daya musamman, da Dr. John Mulhall ya rubuta daga Memorial Sloan Kettering a New York, ya kama ni ido.
Dokta Mulhall, mashawarcin gwani game da cin zarafin mata. Ya rubuta littattafan da yawa a kan wannan batu kuma an gabatar da shi a kowace shekara a Cibiyar Nazarin Ciwon Magunguna ta Cibiyar Ƙwararren Ciwon Magunguna a watan Satumba.
A cikin nazarin Dokar Mulhall, mutane 276 suna yin tiyata don ciwon gurguwar karuwanci. An kiyasta su a baya don ci gaba da cike da ƙyama (cutar Peyronie) a cikin shekaru 3 bayan kammala aikin. Matsayin shekaru na mahalarta nazarin shine 56. Dr. Mulhall ya ruwaito cewa kashi 17.4 cikin dari na maza sun gina wani tsattsauran ra'ayi. Abun mahaifa ya ci gaba da kusan watanni 12 bayan tiyata. Ci gaba da cutar Peyronie a cikin wadannan mazajen da ke yin tiyata ya yi sau uku sau da yawa cewa hadarin rayuwa na mutumin da ke bunkasa Peyronie. Kimanin kashi 5 cikin dari na maza suna bunkasa cutar Peyronie a rayuwarsu.
Kamar yadda aka bayyana a cikin Wikipedia, "cutar Peyronie wani cuta ne na haɗin kai wanda ya shafi girma na fibrous plaques a cikin azzakari.
Musamman, ƙuƙwalwar ƙuƙwalwar ƙwayar cuta ta kewaya da jikin cavernosa (kwayoyin halitta na azzakari). Wannan nau'in abin da ke fama da cutar yana fama da ciwo, ƙananan ƙwayar cuta, lalacewar ƙazanta, rashin haɓaka, asarar girth da ragewa. Wikipedia ta nuna cewa "an yi amfani da wasu maganin da dama, amma babu wanda ya dace sosai."
A cikin bincikensa, Dokta Mulhall ya furta cewa cutar Peyronie ta haifar da tiyata ta hanyar rigakafi ta riga ta ruwaito a cikin wallafe-wallafen kimiyya a wani lokaci. A gare ni, wannan yana da ban mamaki. Yaya zai yiwu cewa magungunan likitancin urologic zasu iya watsi da matsalar irin wannan matsala da zafin hali? An yi amfani da tausin-gyaran karuwanci a cikin mutane da yawa a cikin shekaru 30 da suka gabata. Idan mutane miliyan biyu sun kamu da cutar kanjamau don cutar kanjamau fiye da 300,000 sun haifar da cutar Peyronie a sakamakon haka.
Ina iya tunani kawai game da cikakkun bayani biyu na rashin kulawa da wannan matsala mai matsala. Daya, urologists kawai ba magana da marasa lafiya bayan tiyata. Zai yiwu sun kasance ba su san komai ba game da abin da Peyronie ke faruwa akai-akai? Sauran yiwuwar shi ne cewa urologists suna da masaniya game da wannan tasiri mai ban tsoro, amma sun yanke shawara su yi shiru. Wannan zai kasance daidai da rashin nasarar urologists don bayar da rahoton wani tasiri na gaba na tiyata wanda Dr. Mulhall ya kawowa ga jama'a-matsalar da ke damuwa da yaduwar fitsari a lokacin kogas.
Dokta Mulhall da sauran masana sunyi rahoton wannan matsala mai banƙyama wadda ke faruwa a kusan kimanin kashi 20 cikin 100 na maza da ke da tarin daji. "Climacturia," wani lokaci ne da Dokta Mulhall ya tsara don bayyana wannan matsala.
Idan magunguna shine kadai hanya ta tsawanta rayuwa a cikin maza da ciwon ciwon karu, za a iya la'akari da mummunar illa kamar yadda cutar Peyronie da climacturia za su iya la'akari da mummunar mummunan aiki don ceton rayuwar mutum. Duk da haka, a wannan rana da kuma shekaru, wasu zaɓuɓɓuka masu yawa kamar radiation, tsirrai iri, farfadowa mai mahimmanci da ma sa ido mai sauƙi tare da kulawar aiki, dukansu ana dauke su a al'ada.
Duk da haka, a kowace shekara fiye da mutane 75,000 suna ci gaba da zabar shan karuwanci.
Bisa ga yawancin rashin amfani da tiyata idan aka kwatanta da sauran zaɓuɓɓuka, wanda ba zai iya taimakawa ba sai ya yi mamaki dalilin da ya sa aikin tiyata ya kasance sananne. Dalilin yana da sauƙin fahimta. Binciken ya nuna cewa kashi 80% na lokacin, marasa lafiya kawai ba su dace da jagorancin likita ba yayin da suke zaɓar magani: "Duk abin da kuka ce doc, ku ne gwani." Matsalar ita ce a cikin likitoci na duniya prostate (wadanda likita ne) su ne likitoci sun kasance na farko a cikin layi don ba da shawara ga maza da ciwon gurguntaccen cutar sankara. Shin ba abin mamaki ba ne a wancan lokacin cewa tiyata shi ne babban shawarwarin da masana urologists ke bayarwa.