Pane zvirwere zvakawanda zvinotambudza muviri wemunhu, fecal incontinence (FI) chimwe chezvinhu zvakaoma zvikuru. Kuzvinyadzisa kwe "njodzi" dzakadaro kunokanganisa zvakanyanya mararamiro ehupenyu hwevanhu uye zvinogona kuita kuti vanhu vasarudze. Kusvikira ikozvino, maitiro ekurapwa ave eine maitiro ekuchinja, biofeedback , nekuvhiya.
Nenzira yakanaka, Solesta, gel inogadziriswa, ichangobva kuuya panzvimbo yacho sechisarudzo chisina kupirisa cheFI.
Chii Solesta?
Solesta igeri rinoumbwa ne dextranomer uye sodium hyaluronate. Solesta inopindwa mujasi pasi peganda re anus, kuburikidza nemakwikwi emakwikwi mana, pasina chidikanwi cheaneshesia. Iyo yose inotora inenge maminitsi gumi chete uye inoitwa neirarectal surgeons.
Inofungidzirwa kuti jekesti yaSolesta inogadzira zvigunwe zvakanyungudutsa mutsara, zvichiita kuti pave nekuzarura kwakanyanya uye saka zvichibatsira mishonga muinus kuchengetedza fecal. Izvo zvino zvinoderedza mukana wekusazvipira kunzvimbo yezvipfeko.
Solesta yakabvumidzwa kuti ishandiswe muEurope kubva muna 2006 uye muU.S. kubva muna 2011. FDA yakagamuchira Solesta kuti ishandiswe nevanhu vanopfuura makore gumi nemasere avo vane zviratidzo zvisingasimudzirwe nemishonga yekuchinja kana mishonga yekurwisa.
Rinoshanda here?
Iyo huru yekutsvakurudza inotsigira kushandiswa kweSolesta inobva pakudzidza umo gel raishandiswa pane vanenge 200 varwere vari muUnited States neEurope. Varwere vainge vakagadzirirwa kupiwa majekiseni eSolesta kana kuti "sham" yaishandiswa kuongorora chero nzvimbo yepakiti . Kwemwedzi mitanhatu, nguva inopfuura hafu yevarwere vaSolesta vakawana 50% kana kuti kuderera kukuru muhuwandu hwekushaya hutano hunoenzanisa nevana makumi matatu kubva muzana varwere vakagamuchira "sham" kurapwa.
Izvozvo zvinoratidzika sekuti Solesta, asi kwete kwete "kurapa kwezvishamiso," ane mukana wekupa humwe rupo rwekuratidza kune vamwe vanhu.
Ngozi nemigumisiro
Solesta inowanzoonekwa seyakachengeteka uye inobvumirwa zvakanaka. Iyo FDA inorondedzera zvinotevera migumisiro yemigumisiro inotevera:
- Kunetseka kunogona kuitika uye / kana kusanzwisiswa mu rectum kana anus
- Zvichida kubuda kweropa kubva pane rectum mushure mekuitwa
- Dambudziko duku rekurwadziwa kwepamuviri, kuvimbiswa, chirwere uye fever
- Kazhinji njodzi yehutachiona uye / kana kuputika mune anus
Ndiani Asingashandisi Solesta?
Maererano neCDA, Solesta haigoni kupiwa kune vanhu vane hutano hunotevera:
- Zvinokonzera mishonga kusvika kune zvinokonzerwa naSolesta
- Zvinetso zvechirwere, kusanganisira zvipembenene zvekare , zviputika , matumbo kana kusagadzikana kwemaitiro
- Iye zvino rectal kubva ropa
- Zvirwere zvekudzivirira zvirwere
- Kurwara
- Chirwere chinokonzera chirwere (IBD)
Sources:
Graf, W., et.al. "Kubudirira kwe dextranomer muchisimbiswa hyaluronic acid pakurapa faecal incontinence: chirongwa chisingarangwi, chinoshandiswa sham-controlled" Lancet 2011 377: 997-1003.
"Solesta® - P100014" US Food and Drug Administration