FDA Yavomereza Rezūm System: Njira Yatsopano, Yopambana ya BPH
Benign prostatic hypertrophy (BPH) ndi vuto lalikulu kwa amuna pamene akukalamba. Kodi ndi mankhwala ati omwe alipo ndipo amawayerekezera bwanji ndi njira yatsopano yopaleshoni kapena mankhwala omwe amadziwika kuti Rezūm® System?
Chithandizo Chatsopano cha Benign Prostatic Hypertrophy (BPH) mwa Amuna
Pafupi theka la amuna okalamba kuposa zaka 75 amadzuka pamabedi kangapo usiku kuti akoke ( nocturia .) Kwa ambiri, vutoli ndi prostate gland.
Ngakhale prostate gland yowonjezereka ikhoza kuyambitsidwa ndi kansa ya prostate, kawirikawiri ndi chifukwa cha matenda osatetezeka otchedwa benign prostatic hypertrophy (BPH).
Kuthamanga kwa mitsempha kumatha kusintha pochita opaleshoni kuchotsa prostate. Koma njira iyi siyiyi yopanda ngozi kwathunthu. Kusayenerera kwina kapena kuperewera kumakhala koyenera. Mankhwala ena (omwe atchulidwa m'munsimu) akuphatikizapo mankhwala komanso njira zochepetsera zochepa. Popeza BPH sioopsa, amuna ambiri amasankha m'malo momangokhala chete.
Chaka chatha, Food and Drug Administration (FDA) inavomereza Rezūm® System, yomwe imatenga njira yatsopano yopezera BPH. Ndondomeko yowonjezera ya mphindi zisanu imabweretsanso mkodzo woyenera ndi mavuto aakulu. Pochita zimenezi, njirayi ikhoza kuthetsa ubwino wa moyo kwa anthu mamiliyoni ambiri.
Nthenda yosauka
Urethra-chubu yomwe imapatsa chikhodzodzo-imadutsa mwachindunji kupyolera mu prostate gland gland gland.
Matenda a prostate amakula ngati amuna a zaka, omwe amachulukitsa gland ndikupangitsa kuti chiberekerocho chikhale cholimba m'chiuno. Izi zimapangitsa kuti kukhale kovuta kwambiri kutulutsa chikhodzodzo kwathunthu nthawi imodzi. Ngakhale kuti mukufuna kukodza, kumangokhala pa nthawi kumakhala kozolowereka. Ngakhale kuti zizindikirozo zimakhala zachilendo, dokotala wanu amalimbikitsa mayeso kuti apeze BPH musanayambe kuchipatala.
Zochitika Zamakono Zamakono kwa BPH
Pofuna kumvetsetsa zomwe zingatheke phindu ndi zoopsa ndikuyerekezera zomwe mungachite pofuna kuchiza BPH (kuphatikizanso Rezūm® System) ndizothandiza kukambirana njira zosiyanasiyana zomwe zilipo. Izi zikuphatikizapo:
Opaleshoni - Opaleshoni yochotsa prostate gland, yotchedwa transurethral resection ya prostate kapena TURP, yachitidwa ndi anesthesia wamba. Chida chimayikidwa mu urethra ndipo gawo la prostate lozungulira urethra likuchotsedwa. Zotsatirapo zimaphatikizapo zokhudzana ndi matenda a anesthesia, komanso kusowa mphamvu komanso kusadziletsa.
Mankhwala - Pali mitundu iwiri yosiyanasiyana ya mankhwala kwa BPH :
- Proscar (finasteride) ndi Avodart (dutasteride) ntchito potseka homoni yomwe imayambitsa prostate gland.
- Alpha imathandiza kugwira ntchito yopumula minofu yosalala mkati mwa prostate, kotero kuti vuto lochepa limagwiritsidwa ntchito ku urethra. Zitsanzo monga Hytrin (terazosin,) Cardura (doxazosin,) Uroxatral (alfuzosin,) ndi Flomax (tamsuloxin.)
Njira zochepa zowonongeka - Njira zochepa zowonongeka sizowonongeka kusiyana ndi opaleshoni yachizolowezi, koma nthawi zina zimakhala zothandiza. Zosankha zikuphatikizapo:
- TUNA - Kuperekera kwa singano ya fetereza
- TUMT - Transurethral microwave thermotherapy
Gawo la Rezūm® likuonanso kuti ndi njira yochepa yosawonongera.
Njira zamankhwala zosankha - Pa nthawi yomweyi palibe umboni wabwino wakuti mankhwala a BPH , monga saw palmetto , ali othandiza.
Njira Yatsopano Kwambiri: Rezum System ya BPH
Njira ina yopita opaleshoni, Rezūm® System imagwiritsa ntchito nthunzi kuti iphe maselo. Nazi momwe zimagwirira ntchito:
- Lidocaine amalowetsedwa kuti asokoneze mitsempha yomwe imatsogolera ku prostate.
- Kenaka gelisi ya Lidocaine imayikidwa mu urethra kuti katswiri wa urologist apereke cystoscope yapadera kudzera mu urethra kwa prostate. (Palibe odwala kapena anesthesia wamtsempha amafunika, ndipo njirayi si yopweteka.)
- Katswiri wa urologist amasankha madera anayi mpaka khumi pa prostate ndipo amayambitsa injini yaing'ono m'madzi. Mpweya umapha minofu, yomwe thupi limangobwereza. Jekeseni iliyonse imatenga masekondi asanu ndi anayi ndipo ndondomeko yatha muchepera mphindi zisanu.
Kudikirira ndi Kuwonerera
Amuna amachoka ku ofesiyo ndi catheter yamkodzo yomwe imatsalira m'malo masiku atatu kuti ikhale yotupa. Pambuyo pake, ndi zachilendo kuona kuti mwachangu ndikumangika kwa nthawi yaitali. Kupititsa patsogolo sikungwiro. Komabe, kusintha kwa mkodzo kumayenda kawirikawiri patatha masabata atatu. Kusintha kwakukulu kumatenga miyezi itatu.
Kodi Amadziwika Zotani Zotsatira za Rezum System ya BPH?
Chifukwa Rezūm® System ndi yatsopano, madokotala alibe chidziwitso chochepa. M'mayesero a chipatala, ndondomekoyi imagwiritsidwa ntchito kwa amuna omwe ali ndi ma prostates a kukula kwake. Mankhwalawa amagwiritsidwa ntchito kwambiri mu ma prostate akuluakulu tsopano akuyesedwa.
Palibe vuto lalikulu lachipatala kuchokera mu ndondomeko yakhala ikudziwika. Chifukwa kutentha kwa nthunzi kumakhalabe mu prostate, kumatha kukwera kapena kukhala ndi erection sikungakhudzidwe. Ndipo chifukwa mankhwala samapweteka mkodzo sphincter, chiopsezo chosadziletsa ndi chochepa kwambiri.
Zotsatira za nthawi yaitali za Rezūm® System sizinapezeke. Kaya chithandizo chachiwiri chidzafunika m'tsogolomu ndipo, ngati zili choncho, kutalika kwake sikudziwikiratu. Kuwona zotsatira zazitsulo zam'mbuyomu zikuchitika panopa ndi chiyembekezo choyankha mafunso ena mwamsanga.
Kupeza Chithandizo
Dera la FDA litavomereza Rezūm® System, kampani yomwe inayambitsa njirayi inalola malo ena azachipatala omwe amagwira ntchito m'mayesero a zachipatala, kuphatikizapo Cleveland Clinic, kuti apereke kwa odwala. Cleveland Clinic inayamba kugwiritsa ntchito chithandizo mu February 2016 ndipo yakhutira ndi zotsatira zake, ngakhale kuphunzitsa anzake kudziko lonse momwe angachitire.
Gawo la Rezūm® lakhalapo mu nthawi yowonjezereka mankhwala ochiritsa odwala chifukwa cha vuto limodzi. Mwamwayi, ndi chiyambi chabe. Tsopano tikulembera odwala m'mayesero a zamagulu a machitidwe atatu ochizira BPH, onse omwe angathe kukhala ndi zotsatira zochepa.
Mavuto a BPH osadziwika
Monga cholembera chomaliza, ndikofunika kukambirana za mavuto omwe angakhalepo a BPH osatulutsidwa. Zoonadi, zizindikiro za BPH zingakhudze moyo wanu. Kuwonjezera pa izi, Komabe, BPH yosatetezedwe ikhoza kutsogolera:
- Matenda a chikhodzodzo
- Mitsuko ya chikhodzodzo
- Kuwonongeka kwa impso (ngati mkangano wa mkodzo umalepheretsedwa kuti ubwerere mu impso zanu)
- Kulephera kukodza ( kutsekedwa kwa chikhodzodzo ) ndizodzidzimutsa kuwonjezera pa zopweteka kwambiri
Pansi pa Rezum System ndi Chithandizo cha BPH
BPH ndi vuto lalikulu lomwe limakhudza anthu 50 peresenti ya amuna opitirira 75 ndipo pafupifupi 90 peresenti ya anthu oposa 85. Kuwonjezera pa kusokonezeka komanso kusokoneza moyo wanu, BPH ingayambitse mavuto ena. M'mbuyomu, njira yothandizira opatsirana (TURP) ndiyo njira yokhayo yothandizira, yomwe imasiya amuna ambiri kuti asankhe kuzunzika mwakachetechete. Njira ya Rezūm® imapanga njira yatsopano ndi yotetezeka ku njira ndi mankhwala omwe alipo.
Dr. Ulchaker ndi katswiri wa urologist wodziwika ndi BPH ku Prostate Center ku Glickman Urological ndi Kidney Institute, pulogalamu ya nambala 2 ya urology ya mtunduwu monga momwe zilili ndi US News & World Report.
> Zotsatira:
> Dixon, C., Cedano, E., Pacik, D. et al. Zogwira Mtima ndi Kutetezedwa kwa Chithandizo cha Vapor Water Water Symbol Symptoms Lower to Benign Prostatic Hyperplasia. Urology . 2015. 86 (5): 1042-7.
> Roehrbom, C., Gange, S., Gittelman, M. et al. Thermal Therapy: Kuchokera kwa Zaka 2 Zomwe Zimakhala Zosintha Zomwe Zikulamuliridwa ndi Zopindulitsa Zophunzira za Chithandizo Chachidule Chachizindikiro Chakumtunda Chifukwa cha Benign Prostatic Hyperplasia. Journal of Urology . 2017. 197 (6): 1507-1516.
> Woo H., ndi R. Gonzalez. Maganizo pa Rezum System: Njira Yowonongeka Yochepa ya Benign Prostatic Hyperplasia Pogwiritsa Ntchito Mpweya Wophiphiritsira Wopopera Madzi Madzi Otentha Thermal Therapy. Zipangizo Zamankhwala (Auckland) . 2017. 10: 71-80.