FDA Yakagamuchirwa Rezūm System: Nzira Itsva, Yakachengeteka yeBPH
Benign prostatic hypertrophy (BPH) dambudziko rinowanzoitirwa varume sezvavanokura. Ndeapi marapirwo aripo uye anoenzanisa sei nemamwe matsva ekuvhiya kana mishonga inozivikanwa seRezūm® System?
New Treatment yeBenign Prostatic Hypertrophy (BPH) muMarume
Inenge hafu yevarume vakwegura kudarika makore 75 vanobuda pamubhedha kakawanda kausiku kuti vashandise ( nocturia .) Kune vakawanda, nyaya yacho yakawedzerwa prostate gland.
Kunyange zvazvo prostate yakawedzerwa gland inogona kukonzerwa nekenza yeprotate, kazhinji inokonzerwa nemamiriro asina kufanana anonzi benign prostatic hypertrophy (BPH).
Urin flowing inogona kuvandudzwa nekuvhiya kubvisa prostate. Asi iyo nzira haisi zvachose pangozi-isina. Dzimwe hutano hwekusaziva kana kusava nehutano hwakajairika. Mimwe mishonga (inokurukurwa pasi apa) inosanganisira mishonga uyewo zvishoma nezvishoma kushandiswa kwezvirwere. Sezvo BPH haisi mungozi, varume vakawanda vanosarudza pane kungoerekana vatambura mukunyarara.
Gore rapera, Food and Drug Administration (FDA) yakabvumira Rezūm® System, inotora nzira itsva, yakachengeteka yekurapa BPH. Izvo zvisina kumira, maminitsi mashanu ehofisi yehutori huri kudzorera urori rwakakodzera runofamba nehutano huripo hwemigumisiro. Nokuita kudaro, iyi nzira inogona kuvandudza hupenyu hwemamiriyoni evarume.
Kusuruvara Anatomy
I-urethra-iyo tube inobvisa chiganda-inopinda zvakananga kuburikidza ne prostate gland gland gland.
Prostate tishu dzinokura savarume vane makore, izvo zvinowedzera gland uye zvinokonzera urethra sebhanhire iri zvishoma nezvishoma yakasimbiswa pachiuno. Izvi zvinoita kuti zviwedzere kuoma kuvhara bladder zvachose panguva imwechete. Pasinei nechishuvo chokudzora, kunongedza pane imwe nguva kunowanzoita. Kunyange zvazvo zviratidzo zvinowanzoita zvekare, chiremba wako achakurudzira miedzo kuti aongorore BPH vasati vapiwe mushonga.
Current Treatment Options yeBPH
Kuti uzonzwisisa zvinogona kubatsira uye njodzi uye uenzanise maitiro ekurapa BPH (kusanganisira Rezūm® System) zvinobatsira kukurukura nzira dzakasiyana-siyana dziripo. Izvi zvinosanganisira:
Kuvhiya - Kuvhiya kubvisa prostate gland, inonzi kutengesa kwepureththral ye prostate kana TURP, inoitwa pasi pese anesthesia. Chimbo chinoshandiswa mu urethra uye chikamu cheprostate chakakomberedza urethra chakabviswa. Zvimwe zvinokonzera zvinosanganisira izvo zvine chokuita neanesthesia, pamwe nekushaya simba uye incontinence.
Mishonga - Kune zvikamu zviviri zvakasiyana zvemishonga yeBPH :
- Proscar (finasteride) uye Avodart (dutasteride) basa nekudzivirira hormone inokonzera prostate gland kukura.
- Alpha inogadzirisa basa nekuzorodza musero unotapira mukati meprostate, kuitira kuti kusanyanya kudzvinyirira kunoshandiswa kune urethra. Mienzaniso inosanganisira Hytrin (terazosin,) Cardura (doxazosin,) Uroxatral (alfuzosin,) uye Flomax (tamsuloxin.)
Minimally invasive tarisiro - Minimally invasive nzira dzisingasvikiki kudarika kuvhiyiwa kwechiremba, asi dzimwe nguva inogona kubudirira zvikuru. Zvimwe zvinosanganisira:
- TUNA - Transurethral needle ablation
- TUMT - Transurethral microwave thermotherapy
Sangano reRezūm® rinotaridzirwawo kuti rinopedzisira risingaiti.
Mishonga inoshandiswa mimwe mikana - Panguva yazvino hapana humwe uchapupu huripo hwokuti mishonga yemishonga yeBPH , yakadai saona palmetto , inoshanda.
Nzira Yakazara Yese: Rezum System yeBPH
Imwe nzira yokuvhiya, Rezūm® System inoshandisa kupisa kuuraya masero. Heino nzira iyo inoshanda:
- Lidocaine inorohwa kuti ivhare mitsipa inotungamirira ku prostate.
- Lidocaine gel inoshandiswa muhuturo kuitira kuti urologist ipe cystoscope yakanyatsogadzirwa kuburikidza neuroreti ye prostate. (Hapana mutungamiri kana mushonga wepestine anesthesia inodiwa, uye nzira yacho haina marwadzo.)
- Irologist inosarudza zvikamu zvina kusvika kune gumi pamusoro peprostate uye inokanganisa zvishoma zvishoma mumhepo. Mhepo inouraya mhuka, iyo iyo muviri inongodzoka zvakare. Mujoyo mumwe nomumwe unotora masekondi mapfumbamwe uye nzira yacho inopfuura mumaminitsi mashoma mashanu.
Kumirira uye Kurinda
Varume vanobva kuhofisi vane catheter yekuvhunga iyo yasara panzvimbo panzvimbo kwemazuva matatu kuti vatsigire kubvumira. Mushure mezvo, zvakajairika kuti uwane pfungwa yekukurumidzira uye nguva zhinji yekudzora kwenguva yakati. Kuvandudza hakusi pakarepo. Zvisinei, dzimwe humwe huri nani hunobuda mumuginhi hunoonekwa mumavhiki matatu. Kuvandudza kunoshamisa kunotora mwedzi mitatu.
Chii Chinozivikanwa Nezviitiko zveRezum System yeBPH?
Nokuti Rezūm® System ndiyo itsva, vanachiremba vane ruzivo rwakanyanya nayo. Mumakiriniki ekuedzwa, nzira yacho yakashandiswa nevarume vane prostates yeimwe chiyero. Nzira yakanyatsoshanda iyo inoshanda mumahombekiti makuru ikozvino iri kuedzwa.
Hapana matambudziko makuru ezvokurapa kubva kumatongerwo akaitwa. Nemhaka yokuti kupisa kwemhepo kunogara mu prostate, kukwanisa kubuda kana kuva nekugadzirwa hakubatsiri. Uye nokuti kurapwa hakuiti kukanganisa urinary sphincter, njodzi yekudzivirira ishoma kwazvo.
Mhinduro dzenguva refu yeRezūm® System haisati yawanikwa. Pasinei nokuti kurapwa kwechipiri kuchadiwa mune ramangwana uye, kana zvakadaro, kusvika kure mune ramangwana zvisingazivikanwi. Kuongorora mishonga yekutsvaga kwepiriniki yekutsvaga kwechipatara ikozvino inoenderera mberi netariro yekupindura mamwe emibvunzo iyi munguva pfupi.
Kuwana Kurapa
Mushure mokunge FDA yakabvumira Rezūm® System, kambani yakagadzira nzira yacho yakabvumira mamwe mazvirwere anobatanidzwa mumakiriniki ekuedzwa, kusanganisira Cleveland Clinic, kuti apiwe iyo kuvarwere. Cleveland Clinic yakatanga kushandisa kurapa munaFebruary 2016 uye yakanyatsogutsikana nemigumisiro, kunyange kudzidzisa vashandi munyika yose kuti vaite sei.
IRezūm® System yakatanga munguva yehutano hune hutano hwakanaka kune dambudziko rakafanana. Nenzira yakanaka, ingongova kutanga. Iye zvino tiri kunyora varwere mumakiriniki ekuedzwa kwemitatu mitatu yakasiyana-siyana yekurapa BPH, yose ine mikana yezvikanganiso zvishoma.
Matambudziko eBPH asingazivikanwi
Semashoko ekupedzisira, zvakakosha kutaura pamusoro pezvinetso zvingangodaro zveBPH isingateereri. Zvechokwadi, zviratidzo zveBPH zvinogona kukanganisa hupenyu hwako. Mukuwedzera pane izvi, zvisinei, BPH isingateereri inogona kutungamirira kune:
- Chirwere zvirwere
- Bhanji yematombo
- Kuora kwepyiyo (kana kuyerera kwemuviri kunopfigirwa kuitira kuti udzoke muinso dzako)
- Kusakwanisa kurinha zvachose ( bladder outlet kuvhiringidzika ) ndeyekukurumidzira kunze kwekurwadziwa
Pasi pepamusoro paRezum System uye Mishonga yeBPH
BPH inetso yakakosha inokonzera 50 kubva muzana yevarume vanopfuura 75 uye inenge 90 muzana yeavo vanopfuura 85. Mukuwedzera kunetseka uye kusakanganisa maitiro ako ehupenyu, BPH inogona kutungamirira kune mamwe matambudziko. Munguva yakapfuura, chirongwa chekuvhiya chisingaiti (TURP) ndicho chete chirapa chaivepo, achisiya varume vazhinji kusarudza kutambura mukunyarara. Sangano reRezūm® rinowedzera nzira itsva uye yakachengeteka kune nzira uye mishonga iye zvino iripo.
Dr. Ulchaker iUrologist anoongorora BPH paProstate Centre paCleveland Clinic yeGlickman Urological uye Kidney Institute, chirongwa cheNyika 2 urology yenyika sechinoverengwa ne US News & World Report.
> Sources:
> Dixon, C., Cedano, E., Pacik, D. et al. Kubudirira uye kuchengetedzwa kweRezum System Water Water Vapor Kuchengetedza kweMugwagwa Wakaderera Mumiririri wechipiri kune Benign Prostatic Hyperplasia. Urology . 2015. 86 (5): 1042-7.
> Roehrbom, C., Gange, S., Gittelman, M. et al. Convective Thermal Therapy: Durable 2-Gore Yakawanikwa yeRandomized Controled uye Inofanirwa Crossover Studies for Kuchengetedzwa kweAinest Urinary Symptoms Nokuda kwaBenign Prostatic Hyperplasia. Journal of Urology . 2017. 197 (6): 1507-1516.
> Woo H., uye R. Gonzalez. Pfungwa paRezum System: A Minimally Invasive Treatment Strategic for Benign Prostatic Hyperplasia Using Convective Radiofrequency Water Vapor Thermal Therapy. Zvirwere Zvokurapa (Auckland) . 2017. 10: 71-80.