Ezifo eziningi ezihlupha umzimba womuntu, ukungathembeki kwe-fecal (FI) kungenye yezinselele kakhulu. Imvelo ehlazisayo ye "zengozi" ezinjalo inomthelela omubi kakhulu emkhakheni wempilo womuntu futhi ingabangela ekuhlukaniseni umphakathi. Kuze kube manje, ukhetho lwezokwelapha luye lwaba nezinguquko zokuziphatha, i- biofeedback , nezinqubo zokuhlinza.
Ngenhlanhla, i-Solesta, i-gel engasebenzi kahle, isanda kufika endaweni njengendlela yokwelashwa okungewona ukwelashwa ye-FI.
Kuyini Solesta?
I-Solesta i-gel eyenziwe nge-dextranomer ne-sodium hyaluronate. I-Solesta ifakwe engxenyeni engaphansi kwendwangu ye-anus, ngokusebenzisa uchungechunge lwezibhamu ezine, ngaphandle kwesidingo se-anesthesia. Inqubo yonke ithatha imizuzu engaba ngu-10 kuphela futhi yenziwa ngabahlinzayo abahlinzayo.
Kukholelwa ukuthi ukujola kukaSolesta kwakha izicubu ezihlanganisa i-anus, okudala ukuvula okuncane futhi ngaleyo ndlela kusiza imisipha ku-anus ukuthi igcine impahla ye-fecal. Lokhu kunciphisa amathuba okungena okungekho emthethweni.
I-Solesta ivunyelwe ukusetshenziswa eYurophu kusukela ngo-2006 nase-US kusukela ngo-2011. I-FDA ivumile uSolesta ukuba ayisebenzise ngabanye abangaphezu kweminyaka engu-18 abanobufakazi babo abangazange bathuthukiswe yizinguquko zokudla noma imishanguzo yesifo sohudo.
Ingabe isebenza?
Ukusekela okuyinhloko kokucwaninga kokusetshenziswa kweSolesta kuvela ekutadisheni lapho igelisi lisetshenziselwa khona iziguli ezingaba ngu-200 kokubili e-US naseYurophu. Iziguli zazinikezwa ngezikhathi ezithile ukuthola ama-Solesta noma "sham" esetshenziselwa ukuhlola noma yimuphi umphumela we-placebo . Ngesikhathi sezinyanga eziyisithupha, isiguli esingaphezu kwengxenye yesiguli seSolesta sabhekana nesilinganiso se-50% noma esikhulu kakhulu emvuthwandaba wokuhlangenwe nakho kokungahambisani nokuqhathaniswa uma kuqhathaniswa nama-30% weziguli ezithola ukwelashwa "ngamakhosi".
Ngakho-ke kubonakala sengathi uSolesta, nakuba kungenjalo ngempela "ukwelashwa okuyisimangaliso," unokukwazi ukunikeza abanye abantu ithuba lokuveza impawu.
Izingozi nemiphumela emibi
Ngokuvamile uSolesta ubonakala ephephile futhi ekhuthazwe kahle. I-FDA ibika okulandelayo imiphumela emibi:
- Ubuhlungu obukhona kanye / noma ukunganaki ku-rectum noma i-anus
- Ukusuka okulula okungenzeka ukuvela e-rectum ngemuva kwenqubo
- Ingozi encane yezinhlungu zesisu, ukuqothulwa, isifo sohudo kanye nomkhuhlane
- Ingozi enkulu yokutheleleka kanye / noma ukuvuvukala ku-anus
Ubani Ongakwazi Ukusebenzisa Solesta?
Ngokusho kwe-FDA, i-Solesta ayikwazi ukuphathwa kubantu abanezimo zempilo ezilandelayo:
- Ukungezwani komzimba izithako eSolesta
- Izinkinga ezihlaselwa, kufaka phakathi izifucu ezindala , ama-hemorrhoids , izicubu noma izimo ezingavamile
- Ukuphuma kwe-rectal yamanje
- Amasosha omzimba ahlanganisiwe
- Ukutheleleka
- Isifo sesifo sofuba (IBD)
Imithombo:
Graf, W., et.al. "Ukusebenza kwe-dextranomeri ku-hyaluronic acid eqinisiwe ekwelapheni ukungathinteki kwe-faecal: isilingo esingahleliwe, esilawulwa ngamanyala" i- Lancet 2011 377: 997-1003.
"Solesta® - P100014" Ukuphathwa Kwezokudla Nezidakamizwa zase-US