I-FDA evunyelwe iRezūm System: Indlela entsha, ekhuselekileyo ye-BPH
I-Benign prostatic hypertrophy (BPH) yinkinga eqhelekileyo kumadoda njengoko ikhula. Ziziphi iindlela zokwelapha ezikhoyo kwaye ziqhathaniswa njani nenye indlela entsha yokuhlinzwa okanye imithi eyaziwa ngokuba yiRezūm® System?
Unyango olutsha lweBenign Prostatic Hypertrophy (BPH) kuMadoda
Phantse kwisiqingatha samadoda angaphezulu kweminyaka yobudala engama-75 aphuma ebhedini amaxesha amaninzi ngobusuku ukuvota (i- nocturia .) Kwabaninzi, imbambano yongxowankulu ye-prostate gland.
Nangona i-prostate gland eyandisiweyo ingabangelwa ngumhlaza wesibeletho, kaninzi kubangelwa yimeko engaxhamliyo ebizwa ngokuba yi-benign prostatic hypertrophy (BPH).
Ukuhamba kwee-urine kungaphuculwa ngokukhwabanisa iprotate. Kodwa le ndlela ayikho ngokupheleleyo ingozi. Elinye izinga lokungahlambuluki okanye ukungabi namandla kuqhelekileyo. Olunye unyango (oluxutywa ngezantsi) lubandakanya imishanguzo kwakunye neenkqubo zokucoca ezincinci. Ekubeni i-BPH ayiyona imeko eyingozi, amadoda amaninzi akhetha esikhundleni sokuba ahlupheke.
Kunyaka ophelileyo, iDiary Food and Drug Administration (i-FDA) ivume iRezūm® System, leyo ithatha indlela entsha, ephephile yokuphatha i-BPH. Inkqubo elula, i-ofisi yimizuzu emihlanu ibuyisela ukuhamba kakuhle komchamo kunye nomngcipheko ophantsi weziphumo ezibi. Ngokwenza njalo, le nkqubo inokuphucula umgangatho wobomi kwizigidi zabantu.
Unfortunate Anatomy
I-urethra-ityhubhu ebangela ukuba i-bladder-idlule ngokuthe ngqo kwi-prostate gland gland.
Izicubu zeprostate zikhula njengeminyaka yobudala, ekhulisa i-gland iphinde ikhuphe i-urethra efana nebhanti iqhutywe ngokukhawuleza emlanjeni. Oku kwenza kube nzima ukukhupha i-bladder ngokupheleleyo ngexesha elinye. Nangona unqwenela ukuvuthwa, ukukhohlisa ngexesha kuya kuba yinto evamile. Nangona iimpawu ziqhelekile ngokuqhelekileyo, ugqirha wakho uya kuncomela iimvavanyo ukuba ahlolisise i-BPH ngaphambi kokuba kukho unyango olwenziweyo.
Izinketho zamanje zonyango kwi-BPH
Ukuze uqonde iingenelo kunye neengozi kwaye uqhathanise ukhetho lokuphatha i-BPH (kuquka iRezūm® System) luncedo ukuxoxa ngeendlela ezahlukeneyo ezikhoyo. Ezi ziquka:
Ugqirha - Ukuvuthwa ukususa i-prostate gland, ebizwa ngokuba yi- prosturethral resection of prostate okanye iTURP, yenziwa phantsi kwe-anesthesia jikelele. Isixhobo sifakwa kwi-urethra kwaye isabelo seprotate ejikeleze urethra sisuswa. Imiphumo emibi ibandakanya ezo zihlobene ne-anesthesia, kunye nokungabi namandla kunye nokungahlambuluki.
Amachiza - Kukho iindidi ezimbini ezahlukeneyo zemithi ye-BPH :
- Iproscar (i-finasteride) kunye ne-Avodart (i-dutasteride) emsebenzini ngokuthintela i-hormone ebangela ukuba i-prostate gland ikhule.
- I-Alpha blockers isebenza ngokuphucula i-muscle ehamba phambili ngaphakathi kweprotate, ukuze ingcinezelo encinci isetyenziswe kwi-urethra. Imizekelo ibandakanya i-Hytrin (terazosin,) i-Cardura (doxazosin,) i-Uroxatral (alfuzosin,) ne-Flomax (tamsuloxin.)
Iinkqubo ezincinci ezingenayo - Iinkqubo ezincinci ezingenayo ziyingcipheko encinci kunezobugcisa bendabuko, kodwa ngamanye amaxesha kusebenza kakuhle. Khetha ziquka:
- I-TUNA - Isalathisi ye-alder
- I-TUMT - iTransurethral microwave thermotherapy
Inkqubo yeRezūm® ikwajongwa njengenkqubo encinci yokungena.
Izinyathelo zonyango ezingezinye iindlela - Ngexesha langoku akukho bungqina obuhle bokuthi unyango lwezityalo zeBPH , olufana ne- palmetto , lusebenza kakuhle.
Indlela Eyona Ntsha Yonke: I-Rezum System ye-BPH
Enye indlela yokuhlinzwa, i-Rezūm® System isebenzisa umlotha ukubulala amaseli. Nantsi indlela esebenza ngayo:
- I-Lidocaine ijojowe ukuze idibanise iimbilini ezikhokelela kwi-prostate.
- I-gidinoine ye-Lidocaine ijojowe kwi-urethra ukwenzela ukuba i-urologist idlulise i-cystoscope ekhethekileyo ngokugqithisa kwi-prostate. (Akukho mfuneko okanye i-anesthesia yomgudu iyadingeka, kwaye inqubo ayibuhlungu.)
- I-urologist ikhetha indawo ezine ukuya kwi-10 kwiprotrate kwaye igawula inani elincinci lomqhubi nganye. I-steam iyabulala izicubu, nto leyo umzimba ephinda ibuyiselwe. Ijoyi nganye ithatha imizuzwana engama-9 kwaye inkqubo iphelile ngaphantsi kwemizuzu emihlanu.
Ukulinda nokubukela
Amadoda ashiya iofisi kunye ne-cathter ye-urinary ehlala kwindawo ezintathu iintsuku zokuhlaziya. Emva koko, kuyinto eqhelekileyo ukuba ufumane umva wokuphuthuma kunye nokuphindaphinda kwexesha lokuhamba. Ukuphuculwa akukhawulezi. Nangona kunjalo, ukuphucuka komchamo kudla ngokubonakala kwiiveki ezintathu. Ukuphuculwa ngokuphawulekayo kuthatha iinyanga ezintathu.
Yintoni eyaziwayo ngeziphumo zeRezum System ye-BPH?
Ngenxa yokuba inkqubo yeRezūm® yinto entsha, oogqirha abanamava amaninzi nawo. Kwiimvavanyo zeclini, le nkqubo yayisetyenziselwa amadoda aneeprothethi zesayizi esithile. Indlela ekusebenziseni ngayo iicatates ezinkulu ngoku ihlolwe kakuhle.
Azikho iingxaki ezinkulu zonyango ezivela kwinkqubo ziye zabikwa. Ngenxa yokuba ukushisa kwe-steam kuhlala kwi-prostate, ukukwazi ukukhenkceza okanye ukulungiswa kungabonakali. Kwaye ngenxa yokuba unyango alonakalisi i-urh sphincter, umngcipheko wokungahlambuluki uphantsi.
Iziphumo zexesha elide zeRezūm® System azikafumaneki. Ingaba unyango lwesibini luya kufuneka kwixesha elizayo kwaye, ukuba kunjalo, ukude kangakanani na kwixesha elizayo akusaziwa. Ukuvavanya iziphumo zesilingo se-post-clinic okwenzeka ngoku ngoku nethemba lokuphendula eminye yale mibuzo ngokukhawuleza.
Ukufumana unyango
Emva kokuba i-FDA ivume iRezūm® System, inkampani eyenze inkqubo yavumela amanye amaziko ezonyango abandakanyekayo kwiimvavanyo zeclini, kuquka neCleveland Clinic, ukuyihambisa kwizigulane. IKlinikhi yaseCleveland yaqala ukusebenzisa unyango ngoFebruwari 2016 kwaye iyanelisekile ngeziphumo, kwanokufundisa osebenza nabo lonke ilizwe ukuba benze njani inkqubo.
Inkqubo yeRezūm® iye yafika kwixesha lokufumana unyango olumninzi lweengxaki zengxaki efanayo. Ngethamsanqa, yinto yokuqala. Ngoku sibhalisa izigulane kwizilingo zeekliniki zenkqubo ezintathu ezahlukileyo zokunyanga i-BPH, zonke ezinokuba neziphumo ezincinci ezimbalwa.
Iingxaki zeBPH ezingabonakaliyo
Njengengxelo yokugqibela, kubalulekile ukuthetha malunga neengxaki ezinokuthi zingabhekanga kwi-BPH. Ngokuqinisekileyo, iimpawu zeBPH zinokuchaphazela umgangatho wobomi. Ukongeza kule nto, nangona kunjalo, i-BPH engakhange ilandelwe ingakhokelela eku:
- Izifo ezifayo
- Amatye e-Bladder
- Ukulimala kweentso (ukuba ukugeleza komchamo kungavinjelwa ukuze ibuyele ezintsheni zakho)
- Ukungakwazi ukuvuthwa konke ( ukukhutshwa kwesibhanki ) kuyimeko engxamisekileyo yokongeza kwintlungu
Ngaphantsi kwiRezum System kunye neZonyango zeBPH
I-BPH yinkathazo ebalulekileyo echaphazela ama-50 eepesenti amadoda angaphezu kwe-75 kunye neepesenti ezingama-90 zalao angaphezulu kwama-85. Ukongezelela ukungonakali kunye nempembelelo embi kwindlela yakho yokuphila, i-BPH ingakhokelela kwezinye iingxaki. Kwixesha elidlulileyo, inkqubo yokugonywa yongenayo (TURP) yodwa yonyango ekhoyo, ishiya amadoda amaninzi ukuba akhethe ukuhlupheka. Inkqubo yeRezūm® yongeza enye indlela ekhuselekileyo nekhuselekileyo kwiinkqubo kunye neyeza ezikhoyo ngoku.
UGqirha Ulchaker ngu-urologist ogqityiweyo kwi-BPH kwi-Prostate Centre kwi-Clinic yeCleveland ye-Glickman ye-Urological and Kidney Institute, inkqubo yeSizwe ye-urology yesizwe esingu-No. 2 njengoko ichazwe yi- US News & World Report.
> Imithombo:
> Dixon, C., Cedano, E., Pacik, D. et al. Ukusebenza kunye noKhuseleko lwe-Rezum System Water Water Vapor Ukwelashwa kweziTyhulwa eziNcinci ze-Urinary Secondary kwi-Benign Prostatic Hyperplasia. Urology . 2015. 86 (5): 1042-7.
> Roehrbom, C., Gange, S., Gittelman, M. et al. I-Treatment Thermal Treatment: Iingxelo eziNyaka ezi-2 eziPhezulu zoPhando oluLawulayo kunye noPhulo oluPhezulu lweCrossover lweZonyango zeMpawu eziNcinci ze-Urinary ngenxa ye-Benign Prostatic Hyperplasia. Umbhalo we-Urology . 2017. 197 (6): 1507-1516.
> Woo H., noR. Gonzalez. I-Perspective kwi-Rezum System: IsiCwangciso seZonyango esiNyango esincinci seBenign Prostatic Hyperplasia Ukusebenzisa i-Convective Radiofrequency I-Water Vapor Thermal Therapy. Izixhobo zonyango (Auckland) . 2017. 10: 71-80.