Kwizifo ezininzi ezibethelela umzimba womntu, ukunganyaniseki kwe-fec (FI) yenye yeyona mingeni. Ubume obuhlazo bokuba "iingozi" ezinjalo zichaphazela umgangatho wobomi bomntu kwaye zinokubangela inxaxheba ekuhlaleni. Kuze kube ngoku, ukhetho lwezokwelapha luye lwaba neenguqu zokuziphatha, i- biofeedback , kunye neenkqubo zokuqapha.
Ngethamsanqa, uSolesta, i-gel engenakulungeleka, sele esandula ukuza kwimeko njengendlela yokunyanga engeyiyo yonyango ye-FI.
Yintoni uSolesta?
I-Solesta i-gel eyenziwe nge-dextranomer kunye ne-sodium hyaluronate. I-Solesta ijojowe kwiimpawu eziphantsi kwebhande le-anus, ngokusebenzisa uluhlu lweemifanekiso ezi-4, ngaphandle kwesidingo se-anesthesia. Inqubo yonke ithatha imizuzu engama-10 kwaye iqhutywe ngabagqirha abagqithisileyo.
Kukholelwa ukuba i-injection kaSolesta yakha i-tissue i-anus, idala ukuvula okulula kwaye ngoko ke inceda izihlunu kwi-anus ukuba zigcine izinto eziphathekayo. Oku kunciphisa ubuncwane bendlela yokuzibandakanya kwimihlathi.
I-Solesta ivunyiwe ukuba isebenzise eYurophu ukususela ngo-2006 nakwi-US ukususela ngo-2011. I-FDA iye yamkela uSolesta ukuba ayisebenzise ngabantu abangaphezu kweminyaka eyi-18 abo iimpawu ezingakhange ziphuculwe yiinguqu zokutya okanye iirhudo.
Ngaba isebenza?
Inkxaso ephambili yophando ekusebenziseni uSolesta ivela kwisifundo apho i-gel isetyenziswe kwizigulane ezingama-200 kwii-US nakwiYurophu. Izigulane zanikwa ukuba zifumane ii-injections zikaSolesta okanye "i-Sham" esetyenziselwa ukuhlola nayiphi na impembelelo ye-placebo . Ngaphezulu kweenyanga ezintandathu, iinyanga ezilishumi kwisigidi seSolesta zafumana u-50% okanye ukuhla kwezinga eliqhelekileyo kwiimeko zokungahambisani nokungahambisani ne-30% yezigulane ezithe zafumana unyango.
Ngako oko kubonakala ngathi uSolesta, ngoxa kungengona "impiliso yokumangalisa," unako ukubonelela abanye abantu impawu.
Izingozi Neempembelelo Zecala
I-Solesta ibonakala ngokukhuselekileyo kwaye ibekezeleke. I-FDA ibika ezi ziphumo ezilandelayo:
- Intlungu enokwenzeka kunye / okanye ukuphazamiseka kwi-rectum okanye i-anus
- Ukuphuma okulula okuvela kwi-rectum emva kwenkqubo
- Umngcipheko omncinci weentlungu zesisu, ukuzitywa, uhudo kunye nomkhuhlane
- Ininzi yengozi yokusuleleka kunye / okanye ukuvuvukala kwi-anus
Ngubani Ongakwazi Ukusebenzisa uSolesta?
Ngokutsho kwe-FDA, uSolesta akakwazi ukulawulwa kubantu ngabanye ngeemeko zempilo ezilandelayo:
- Ukungena kwezilwanyana kwizithako kwiSolesta
- Iingxaki zeengxaki, kubandakanywa izifungo , izibilini , izibilini okanye izinto ezingaqhelekanga
- Ukuphuma kwamathambo kwangoku
- Iimpawu zokuzivikela zomzimba
- Sulelo
- Isifo sesibindi sokuvutha (IBD)
Imithombo:
Graf, W., et.al. "Ukusebenza kwe-dextranomeri kwi-hyaluronic acid ezinzileyo ukunyanga kwe-faecal incontinence: ityala elingalawulwa ngokungahambi kakuhle, elilawulwa ngumkhondo" uLancet 2011 377: 997-1003.
"Solesta® - P100014" Ulawulo lweZiko lokuTya kunye noLawulo lweDrug