Pa matenda ambiri omwe amavutitsa thupi la munthu, kutengeka kwa fecal (FI) ndi imodzi mwa zovuta kwambiri. Chikhalidwe chochititsa manyazi cha "ngozi" zoterezi chimakhudza kwambiri khalidwe la munthu ndipo zingathandize kuti anthu azikhala okhaokha. Mpaka pano, njira zamankhwala zakhala ndi kusintha kwa khalidwe, biofeedback , ndi opaleshoni.
Mwamwayi, Solesta, gel osagwira ntchito, posachedwa akubwera powonekera ngati njira yopanda opaleshoni ya FI.
Solesta ndi chiyani?
Solesta ndi gel wopangidwa ndi dextranomer ndi sodium hyaluronate. Solesta amalowetsedwa mu minofu pansi pa chikhomo cha anus, kupyolera mu mndandanda wa ma shoti anayi, popanda kusowa kwa anesthesia. Njira yonseyi imatenga mphindi 10 zokha ndipo imagwiritsidwa ntchito ndi opaleshoni oyipa.
Zimakhulupirira kuti jekeseni ya Solesta imamanga minofu yomwe imamangirira maluwa, kutulutsa kutsegula pang'ono ndipo motero kumathandiza kuti minofu ikhale yosungidwa. Izi zimachepetsanso mwayi wopezeka pamadzi osasamala.
Solesta yavomerezedwa kuti igwiritsidwe ntchito ku Ulaya kuyambira 2006 ndi ku US kuyambira 2011. A FDA avomereza Solesta kuti agwiritsidwe ntchito ndi anthu a zaka zoposa 18 omwe zizindikiro zawo sizinasinthe ndi kusintha kwa zakudya kapena mankhwala otsekula m'mimba.
Kodi Zimagwira Ntchito?
Chithandizo chachikulu cha kafukufuku wogwiritsira ntchito Solesta chimachokera ku phunziro limene gel linagwiritsidwa ntchito pa odwala pafupifupi 200 ku US ndi Europe. Odwala anali atapatsidwa kulandira majekeseni a Solesta kapena "sham" omwe ankagwiritsidwa ntchito poyesa zotsatira za placebo . Kwa miyezi isanu ndi umodzi, oposa theka la odwala Solesta anali ndi 50 peresenti kapena kuchepa kwakukulu pafupipafupi za zochitika za kusadzimva poyerekeza ndi pafupifupi 30% mwa odwala omwe analandira chithandizo cha "sham".
Izi zikuwoneka kuti Solesta, osati kwenikweni "machiritso ozizwitsa," ali ndi mwayi wopereka mpumulo wa zizindikiro kwa anthu ena.
Mavuto ndi Zotsatira Zotsatira
Solesta amawoneka kuti ndi otetezeka komanso olekerera. A FDA amafotokoza zotsatirazi zotsatirazi:
- Mavuto otheka komanso / kapena osokonezeka mu rectum kapena anus
- Kutuluka kwa magazi kochokera ku rectum pambuyo pa ndondomekoyi
- Zowopsya kwambiri za ululu m'mimba, kudzimbidwa, kutsegula m'mimba ndi malungo
- Nthawi zambiri chiopsezo cha matenda ndi / kapena kutupa mu anus
Ndani Sagwiritse Ntchito Solesta?
Malingana ndi FDA, Solesta sangathe kuperekedwa kwa anthu omwe ali ndi matenda awa:
- Kusuta kwa zinthu zomwe zimapangidwira Solesta
- Matenda achilombo, kuphatikizapo ziphuphu za ana , zotupa , zotupa kapena zosaoneka bwino
- Kuchotsa magazi pakalipano
- Ma chitetezo a chitetezo
- Kutenga
- Matenda opweteka kwambiri (IBD)
Zotsatira:
Graf, W., et.al. "Kuchita bwino kwa dextranomer mu kukhazikika kwa hyaluronic asidi pochiza matenda osokoneza bongo: mayesero osadziwika, osokonezedwa" Lancet 2011 377: 997-1003.
"Solesta® - P100014" US Food and Drug Administration Administration