I-FDA Approved Rezūm System: Indlela entsha, ephephile ye-BPH
I-Benign hypertrophy ye-prostatic (BPH) yinkinga evamile kubantu njengoba bekhula. Yiziphi izindlela zokwelashwa ezitholakalayo futhi ziqhathaniswa kanjani nokunye okunye okunye ukuhlinzwa noma imithi eyaziwa ngokuthi iRezūm® System?
Ukwelapha okusha kweBenign Prostatic Hypertrophy (BPH) kuMadoda
Cishe isigamu samadoda asebekhulile kuneminyaka engama-75 aphuma embhedeni izikhathi eziningana ngobusuku ukuvota (i- nocturia .) Kwabaningi, le nkinga i-prostate gland ekhulisiwe.
Nakuba i-prostate gland eyandisiwe ingabangelwa umdlavuza we-prostate, ngokuvamile umphumela wesimo esingenangqondo esibizwa nge-benign prostatic hypertrophy (BPH).
Ukugeleza kwe-urine kungathuthukiswa ngokuhlinzwa ngokususa i-prostate. Kodwa le ndlela ayikho ngokuphelele ingozi. Okunye ukungaziphathi kahle noma ukungabi namandla okuvamile. Ezinye izindlela zokwelashwa (okukhulunywe ngezansi) zihlanganisa imithi kanye nezinqubo zokuhlinzeka ezincane ezingenasidingo. Njengoba i-BPH akuyona isimo esiyingozi, amadoda amaningi akhetha esikhundleni sokumane ethule.
Ngonyaka odlule, i-Food and Drug Administration (FDA) yamukele uhlelo lweRezūm®, oluthatha indlela entsha, ephephile yokuphatha i-BPH. Inqubo elula yehhovisi e-e-5 ivuselela ukugeleza komchamo efanele ngezinga eliphansi lemiphumela emibi. Ngokwenza njalo, le nqubo inekhono lokuthuthukisa ikhwalithi yokuphila yezigidi zamadoda.
I-Anatomy engalungile
I-urethra-i-tube efaka isikhwama sesikhumba ngokuqondile nge-prostate gland gland.
Izicubu ze-prostate zikhula njengoba amadoda ekhula, okwandisa igundane futhi ehlwitha i-urethra efana nebhande elenziwe kancane kancane ekhanda. Lokhu kwenza kube nzima nakakhulu ukususa lesi sifo ngokuphelele ngesikhathi esisodwa. Naphezu kwesifiso sokuvuthwa, ukukhishwa kwesikhashana kuba yinto evamile. Nakuba izimpawu ngokuvamile zijwayelekile, udokotela wakho uzotusa ukuhlolwa ukuze ahlolisise i-BPH ngaphambi kokwelashwa okwenziwa.
Izinketho zamanje zokwelapha ze-BPH
Ukuze uqonde izinzuzo nezingozi ezingenzeka futhi uqhathanise izinketho zokuphatha i-BPH (kufaka phakathi i-Rezūm® System) kuyasiza ukuxoxa ngezinketho ezahlukene ezikhona. Lokhu kufaka:
Ukuhlinzwa - Ukwelashwa ukususa i-prostate gland, okuthiwa ukuvuselelwa kwe-prostatethral ye-prostate noma i-TURP, kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Insimbi ifakwa ku-urethra futhi isabelo se-prostate esizungeze i-urethra sisusiwe. Imiphumela emibi ifaka phakathi nalabo abahlobene ne-anesthesia, kanye nokungabi namandla nokungaziphathi kahle.
Imithi - Kunezigaba ezimbili ezahlukene zemithi ye-BPH :
- I-Proscar (i-finasteride) ne-Avodart (i-dutasteride) umsebenzi ngokuvimbela i-hormone ebangela ukuthi i-prostate gland ikhule.
- I-Alpha blockers isebenza ngokuphumula imisipha ebushelelezi ngaphakathi kwe-prostate, ukuze ingcindezi encane isetshenziswe ku-urethra. Izibonelo zifaka i-Hytrin (terazosin,) I-Cardura (doxazosin,) i-Uroxatral (alfuzosin,) no-Flomax (tamsuloxin.)
Izinqubo ezincane ezingenasidingo - Izinqubo ezincane ezingenasidingo zingenasidingo esincane kunokuhlinzwa okwejwayelekile, kodwa ngezinye izikhathi zingasebenza kakhulu. Izinketho zihlanganisa:
- I-TUNA - Ukuguqulwa kwesaliti ye-Transurethral
- I-TUMT - I-thermotherapy ye-microwave ye-Transurethral
Uhlelo lweRezūm® lubuye lubhekwe njengenqubo encane yokuhlasela.
Izinketho zokwelashwa ezihlukile - Ngesikhathi samanje akukho bufakazi obuhle bokuthi ukwelashwa kwemithi ye-BPH , njenge- saw palmetto , kuyasebenza.
Indlela Ephelele Yonke: I-Rezum System ye-BPH
Enye indlela yokuhlinza, uhlelo lweRezūm® lusebenzisa isisindo ukubulala amaseli. Nakhu ukuthi kusebenza kanjani:
- I-Lidocaine ijojowe ukuze iphoqe izinzwa eziholela ku-prostate.
- I-Lidocaine gel iyabe iselalwa ku-urethra ukuze i-urologist idlulise i-cystoscope eyakhelwe ngokukhethekile ngokusebenzisa i-urethra kuya ku-prostate. (Ayikho i-anesthesia ejwayelekile noma yomgogodla iyadingeka, futhi inqubo ayibuhlungu.)
- Udokotela we-urologist ukhetha izindawo ezine kuya kwezingu-10 ku-prostate futhi uzilimaza kancane kancane. I-steam iyabulala izicubu, okuyinto umzimba uvele uphinde uhlaziye. Umjovo ngamunye uthatha imizuzwana eyisishiyagalolunye futhi inqubo iphelile emaminithini angaphansi kwemihlanu.
Ukulinda nokubuka
Amadoda asuka ehhovisi nge-catheter yamanzi ehlelwe endaweni ngezinsuku ezintathu ukukhokhela ukuvuvukala. Emva kwalokho, kuvamile ukuzwa umuzwa wokuphuthuma nokuvama kokuvuthwa isikhathi esithile. Ukuthuthukisa akusikho ngokushesha. Noma kunjalo, ukuthuthukiswa komchamo okuvame ukubonakala cishe emavikini amathathu. Ukuthuthukiswa okuphawulekayo kuthatha izinyanga ezintathu.
Yini Eyaziwa Ngomphumela We-Rezum System ye-BPH?
Ngenxa yokuthi uhlelo lweRezūm® luyinto entsha, odokotela banokuhlangenwe nakho okulinganiselwe nakho. Ezilingo zomtholampilo, inqubo yasetshenziselwa amadoda anezifesheni zezinga elithile. Yeka ukuthi le nqubo isebenza kanjani kuma-prostate amakhulu manje isivivinywa.
Azikho izinkinga ezinkulu zezokwelapha ezivela enkambisweni kuye kwabikwa. Ngenxa yokuthi ukushisa kwe-steam kuhlala ku-prostate, ikhono lokukhipha noma ukulungisa lingathinteki. Futhi ngoba ukwelashwa akulimazi i-sphincter ye-urinary, ingozi yokungaziphathi kahle iphansi kakhulu.
Imiphumela yesikhathi eside ye-Rezūm® System ayitholakali. Kungakhathaliseki ukuthi ukwelashwa kwesibili kuyodingeka esikhathini esizayo futhi, uma kunjalo, ukuthi kude kangakanani nakusasa kusasaziwa. Ukuhlola imiphumela yokuhlolwa kwe-post-clinic okwamanje kuqhubeka nethemba lokuphendula enye yale mibuzo ngokushesha.
Ukuthola Ukwelashwa
Ngemuva kokuba i-FDA ivume uhlelo lweRezūm®, inkampani eyathuthukisa le nqubo yavumela ezinye izikhungo zezokwelapha ezihilelekile ekuhlolweni kwemitholampilo, kuhlanganise neCleveland Clinic, ukuyihlinzeka iziguli. Umtholampilo waseCleveland waqala ukusebenzisa ukwelashwa ngoFebhuwari 2016 futhi uye wanelisa kakhulu imiphumela, waze wafundisa osebenza nabo lonke indlela yokwenza inqubo.
Uhlelo lweRezūm® luye lwaba nenkathi yezidakamizwa eziningi ezithinta isiguli ngenkinga evamile. Ngenhlanhla, kuyisiqalo nje. Manje sibhalisa iziguli ekuvivinyweni kokwelashwa kwezinhlelo ezintathu ezihlukene zokwelapha i-BPH, konke okungenzeka kube nemiphumela emibi embalwa.
Izinkinga ze-BPH ezingekho
Njengombhalo wokugcina, kubalulekile ukukhuluma ngezinkinga ezingase zenzeke ze-BPH engaphenduliwe. Ngokuqinisekile, izimpawu ze-BPH zingathinta izinga lakho lokuphila. Ngaphezu kwalokhu, noma kunjalo, i-BPH engalashwa ingaholela ku:
- Izifo zesibindi
- Amatshe esikhumba
- Ukulimala kwezinso (uma ukugeleza komchamo kuvinjelwe ukuze ibuyele ezintsheni zakho)
- Ukuhluleka ukuvuthwa nhlobo ( ukuvinjelwa kwe-outlet ye-bladder ) kuyisimo esiphuthumayo ngaphezu kokubuhlungu kakhulu
Ngezansi kwi-Rezum System kanye Nezokwelapha ze-BPH
I-BPH yinkinga ebalulekile ethinta amaphesenti angu-50 amadoda ngaphezu kuka-75 futhi amaphesenti angu-90 alabo abangaba ngu-85. Ngaphezu kokungahambi kahle nomthelela omubi endleleni yakho yokuphila, i-BPH ingaholela kwezinye izinkinga. Esikhathini esedlule, inqubo yokuhlinzwa engavamile (TURP) yodwa yokwelapha etholakalayo, ishiya amadoda amaningi ukuba akhethe ukuhlupheka ngokuthula. Uhlelo lweRezūm® lunezela okunye okuphephile nokuphephile kunqubo kanye nemithi okwamanje etholakalayo.
UDkt. Ulchaker ungumhlengikazi onguchwepheshe we-BPH ku-Prostate Centre e-Cleveland Clinic sikaGlickman Urological and Kidney Institute, uhlelo lukazwelonke lwe-Urology lwesizwe olubekwe yi- US News & World Report.
> Imithombo:
> Dixon, C., Cedano, E., Pacik, D. et al. Ukusebenza nokuphepha kwe-Rezum System Water Treatment Caps for Symptoms Lower Urinary Tract Secondary to Benign Prostatic Hyperplasia. Urology . 2015. 86 (5): 1042-7.
> Roehrbom, C., Gange, S., Gittelman, M. et al. Ukwelashwa Kwe-thermometer Convective: Imiphumela Ephumelelayo Yonyaka Eyiminyaka emibili Yezifundo Ezilawulwe Ngama-Crossover Ezilawulwa Ngamaphutha futhi Ezibonakalayo Zokuphathwa Kwezimpawu Eziphansi Zase-Urinary ngenxa ye-Benign Prostatic Hyperplasia. Journal of Urology . 2017. 197 (6): 1507-1516.
> Woo H., no-R. Gonzalez. I-Perspective kwi-Rezum System: Isu Lokuhlinzeka Ngokwemvelo Esincane Lokungenwa Kwe-Benign Prostatic Hyperplasia Ukusebenzisa I-Convective Radiofrequency Water Vapor Thermal Therapy. Amadivaysi Ezokwelapha (Auckland) . 2017. 10: 71-80.