Mavitamini a m'mimba otchedwa Silicone Amagwiritsidwa Ntchito Kuwonjezera kapena Kumanganso Chifuwa
Silicone ndi polymer yomwe imagwiritsidwa ntchito mosiyanasiyana m'magulu opangira chisamaliro. Zikhoza kupezeka mu madzi, gel, kapena mitundu yolimba ya mphira. Phunzirani za ubwino wake ndi ntchito yake m'ma implants.
Ubwino wa Silicone
Silicone imapangidwa ndi silicon, oxygen, ndi zinthu zina, kawirikawiri mpweya ndi haidrojeni. Silicone ili ndi ubwino wambiri, kuphatikizapo:
- Khola pa kutentha kwakukulu
- Kulimbana ndi ukalamba
- Kulimbana ndi dzuwa
- Kulimbana ndi chinyezi
- Kulimbana ndi kutentha kwakukulu
Zochita za Silicone
Silicone imapezeka pafupifupi theka la zokongoletsera, tsitsi, khungu, ndi zinthu zowonjezera. Mtundu wa silicone wa gelisi umagwiritsidwa ntchito mu ma bandage ndi mavalidwe ndi m'mawere, timitengo, ndi implants.
Silicone imagwiritsidwa ntchito nthawi zambiri pafupipafupi. Amagwiritsiridwa ntchito m'malo mwa vitreous fluid pambuyo pa vitrectomy, amagwiritsa ntchito malonda a intraocular panthawi ya cataract, monga mapulasitiki a opaleshoni yowuma, komanso mankhwala a retina.
Silicone Achimake Implants
Ntchito yodziwika kwambiri ya silicone ndi monga mawere oyamwitsa opaleshoni. Mapiritsi a mawere ndi zipangizo zachipatala zomwe zimayikidwa pansi pa mfupa kapena minofu pachifuwa kuti ziwonjezere kukula kwa mawere kapena kuthandizanso kubwezeretsa bere. Mavitamini a m'mawere amakhala odzazidwa ndi saline kapena silicone .
Mitundu yonse ya implants imakhala ndi chipolopolo chakunja cha silicone.
Kwa odwala omwe ali ndi mavitamini odzaza mazira a silicone, akulimbikitsidwa kuti apeze kuyang'ana kwa MRI kuti asawonongeke patadutsa zaka zitatu pambuyo pake, ndipo patatha zaka ziwiri zilizonse. Kusiyana kwapadera ndi kuphulika kwa silicone kuchokera ku kulowetsa mu minofu yomwe imapanga mozungulira.
Kupaka mawere a silicone opasuka kungachititse ululu wa m'mawere kapena kusintha kwa mawere.
Zowopsa za Implants ya Abatalisi Amtumbo
Zowopsa za silicone ndi implants ya m'mawere amchere ndi ofanana. Zikuphatikizapo:
- Chigwirizano cha Capsular
- Ululu m'mimba
- Kutenga
- Kuwongolera mu ntchentche
- Kutaya kapena kutaya kwa kuyika
Kuti athetse mavuto enawa, opaleshoni yowonjezera angafunike. A FDA amanenapo kuti mapiritsi a m'mawere sali opangidwa kuti apitirize moyo wawo wonse, ndipo mutakhala nawo nthawi yaitali, ndiye kuti mukufunikira opaleshoni kuti muwachotse kapena kuwatsitsimutsa.
Kodi Ziphuphu Zachiberekero Zosakaniza Zimakhala Zosungika?
Dera la FDA linapereka chidziwitso cha chitetezo mu 2011 ndipo anati mavitamini apakati a gelisi a silicone amakhala otetezeka ngati agwiritsidwa ntchito ngati atatchulidwa. Iwo amanena kuti, "Palibe mgwirizano wooneka pakati pa mavitamini odzaza mawere a silicone ndi matenda ophwanya mafupa, khansa ya m'mawere, kapena mavuto obereka." Koma amadziwa kuti akusowa maphunziro akuluakulu ndi aatali kuti awalamulire.
Kufufuza mwatsatanetsatane za chitetezo cha mavitamini a mawere a silicone kumasonyeza kuti pali mayesero ochepa omwe amayendetsedwa mosavuta (RCT) omwe ali abwino kwambiri kuti ayese. Izi zili choncho ngakhale kuti amayi ambiri omwe ali ndi mavitamini oteteza mawere a sililicone amatha kubwezeretsa m'mawere kapena kupititsa m'mawere.
Chidziwitso chimodzi cha 2016 chomwe chinalembedwa mu Annals of Internal Medicine chinatsimikizira kuti, "Pali umboni wosatsimikizirika wa mgwirizano uliwonse pakati pa mapiritsi a silicone gel komanso zotsatira zaumoyo wautali. Umboni wabwino ndi wofunika kuchokera ku maphunziro akuluakulu omwe alipo, omwe angathenso kufotokozedwa kuti afotokoze mphamvu za mabungwe pakati pa silicone gel implants ndi zotsatira zaumoyo. "
Ndalama za Cochrane Zofufuza Zowonongeka zimayang'ana ngati pali kusiyana pakati pa zotsatira za mawere odzazidwa ndi saline komanso mavitamini omwe amadzaza kuberekanso m'mawere amapezeka kuti iwo alibe umboni wokwanira kuti aganizire kapena madokotala ochita opaleshoni kuti alangize bwino za amayi omwe zabwino, "Ngakhale kuti ndizofunikira kwambiri pa kubwezeretsa m'mimba mwa amayi omwe ali ndi khansara ya m'mawere, zowonjezera zabwino kwambiri zomwe zimagwiritsidwa ntchito pakuchitidwa opaleshoni zakhala zikuphunzitsidwa kawirikawiri m'malamulo a RCTs.
Kuwonjezera pamenepo, ubwino wa maphunzirowa ndi umboni wonse umene amapereka sungakhutiritse. "
> Zotsatira:
> Balk EM, Earley A, Avendano EA, Raman G. Zotsatira zaumoyo wam'tsogolo kwa amayi omwe ali ndi mavitamini osakanizidwa a gel osakaniza. Annals of Internal Medicine . 2015; 164 (3): 164. do: 10.7326 / m15-1169.
> FDA Kukonzekera ku Chitetezo cha Silicone Chodzaza Matenda Achibelewere . June 2011. Pakati pa Zida ndi Zaumoyo Za Ukhondo US Food and Drug Administration.
> Rocco N, Rispoli C, Moja L, et al. Mitundu yosiyanasiyana ya implants yokonzanso mawere. Dongosolo la Cochrane la Zosintha Zogwirizana . 2016. do: 10.1002 / 14651858.cd010895.pub2.
> Silicone Zosakaniza Zosakaniza Zachiberekero. FDA. https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/ZowonjezeraImplants/ucm063871.htm.