Uruti rw'umugongo rushobora kugabanya ikoreshwa rya Opioid

Gukoresha Opioid n’abarwayi bafite ububabare budashira baramanutse cyangwa bahagaze nyuma yo kubona igikoresho cyo gutera uruti rwumugongo, nkuko ubushakashatsi bushya bubyerekana.

Umushakashatsi mukuru Ashwini Sharan, MD, mu kiganiro yagize ati: "Ibisubizo byatumye abashakashatsi batanga igitekerezo ko abaganga batekereza vuba vuba ku barwayi bafite ububabare bw’umugongo (SCS).Imashini ntoya, ikoreshwa na bateri itanga ibimenyetso binyuze mumashanyarazi yatewe kumurongo wumugongo kugirango ubangikanye nubutumwa bwububabare buva mumitsi bugana mubwonko.

Ubushakashatsi bwarimo amakuru y’ubwishingizi bw’abarwayi 5476 bafite SCS kandi bagereranya nimero yandikiwe na opioid mbere na nyuma yo kuyitera.Umwaka umwe nyuma yo guterwa, 93% by’abarwayi bakomeje kuvura uruti rw’umugongo (SCS) bafite impuzandengo ya buri munsi ya morfine ihwanye na buri munsi ugereranije n’abarwayi bakuweho sisitemu ya SCS, nk'uko ubushakashatsi bwakozwe na Sharan buteganya gutanga kugira ngo butangwe.

Sharan, umwarimu w’ubuvuzi bw’imyororokere muri kaminuza ya Thomas Jefferson muri Philadelphia akaba na perezida w’umuryango w’amajyaruguru ya Amerika witwa Neuromodulation, yagize ati: "Icyo twabonye ni uko abantu bagize ubwiyongere bukabije mu gukoresha ibiyobyabwenge umwaka umwe mbere yo guterwa."Sharan yerekanye ibisubizo mu nama ngarukamwaka y’itsinda muri iki cyumweru. "Mu itsinda ryakomeje hamwe na SCS, ibiyobyabwenge byongeye kugabanuka ku rwego byari bimeze mbere yuko bizamuka.

Yongeyeho ati: "Nta mibare myinshi y’abaturage y’abaturage, ahanini ivuga ko isano iri hagati y’ibi biyobyabwenge n’ibi byatewe. Mu byukuri ibyo ni byo byerekezo by’ibi." Dufite inyandiko y'akazi na protocole kandi dutera inkunga ubushakashatsi buteganijwe. yo gukoresha igikoresho nk'ingamba zo kugabanya ibiyobyabwenge kuko ubyemere cyangwa utabyemera, ibyo ntibyigeze byigwa. "

Sharan avuga ko abashakashatsi batigeze bamenya sisitemu ya SCS y’abakora yatewe mu barwayi bize, kandi nta nkunga bafite ku murongo kugira ngo bakore ubundi bushakashatsi.Ubushakashatsi bwambere bwatewe inkunga na Medical Jude Medical, iherutse kugurwa na Abbott.FDA yemeje sisitemu ya BurstDR SCS ya Mutagatifu Jude mu Kwakira gushize, ibyanyuma mubyiciro byemewe bya SCS.

Raporo y’amakuru ya STAT ivuga ko Abbott yakoze ibishoboka byose kugira ngo yumvishe abaganga kwandika imiti igabanya ubukana bwa OxyContin mu myaka ya mbere yaboneka.Uyu muryango w'amakuru wabonye inyandiko mu rubanza rwazanywe na leta ya Virginie y’Iburengerazuba urega Abbott na OxyContin ushinzwe iterambere rya Purdue Pharma LP, bavuga ko bacuruje ibiyobyabwenge mu buryo butemewe.Purdue yishyuye miliyoni 10 z'amadolari mu 2004 kugira ngo iki kibazo gikemuke.Nta sosiyete yari yemeye gufatanya guteza imbere OxyContin, yemeye amakosa.

Sharan yakomeje agira ati: "SCS ni bwo buryo bwa nyuma.""Niba utegereje umwaka kugira ngo umuntu akubye hafi inshuro ebyiri ibiyobyabwenge, ugomba rero kubikuramo. Ni igihe cyatakaye."

Sharan yavuze ko umwaka umwe wandikiwe na morphine igura amadorari 5,000, kandi ikiguzi cy'ingaruka ziyongera kuri rusange.Ibitera uruti rw'umugongo byatwaye impuzandengo ya $ 16,957 muri Mutarama 2015, byiyongereyeho 8% ugereranyije n'umwaka ushize, nk'uko byagaragajwe n'ikigereranyo cy'ibiciro by'ikoranabuhanga bigezweho.Moderi nshya, igoye cyane yakozwe na Boston Scientific na Medtronic yaguze impuzandengo ya $ 19,000, aho yavuye ku $ 13,000 kubintu bishaje, nkuko amakuru ya ECRI abigaragaza.

ECRI yatangaje ko ibitaro bihitamo imiterere mishya, nubwo ivugurura nka Bluetooth ihuza ntacyo ikora mu kunoza ububabare nk'uko Sharan abitangaza.Perezida w’umuryango yavuze ko ashyiramo ibikoresho bigera kuri 300 ku mwaka, harimo na SCS, kandi akagerageza gukora "itandukaniro rinini, iyo mvuganye n’abaganga, ku miterere n’imikorere. Abantu bazimira mu bikoresho bishya."