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amakuru

Uruti rw'umugongo rushobora kugabanya ikoreshwa rya Opioid

Gukoresha Opioid n’abarwayi bafite ububabare budakira 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 ku barwayi batewe uruti rwumugongo (SCS) ku barwayi bafite ububabare bwiyongera igihe aho kwandika imiti myinshi."Imashini ntoya, ikoreshwa na bateri itanga ibimenyetso binyuze mumashanyarazi yatewe kumurongo wumugongo kugirango ubangikanye nubutumwa bwububabare buva mumitsi bugana mubwonko.

Ubushakashatsi bwarimo amakuru yubwishingizi bw’abarwayi 5476 bari bafite SCS bakagereranya nimero yandikiwe na opioid mbere na nyuma yo kuyitera.Umwaka umwe nyuma yo guterwa, 93% by’abarwayi bakomeje kuvura uruti rwumugongo (SCS) bafite impuzandengo ya buri munsi ya morfine ihwanye n’abarwayi bakuweho sisitemu ya SCS, nk'uko ubushakashatsi bubyerekana, Sharan ateganya gutanga kugira ngo bisohore.

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

Spinal

Ati: "Nta mibare myiza y’abaturage ihari, ahanini, ivuga isano irihe hagati yibi biyobyabwenge nuwatewe.Nibyo rwose ni byo byihutirwa. ”Ati: "Dufite inyandiko na protocole y'akazi kandi dutera inkunga ubushakashatsi buteganijwe bwo gukoresha igikoresho nk'ingamba zo kugabanya ibiyobyabwenge kuko ubyemera cyangwa utabyemera, ibyo ntibyigeze byigwa."

Sharan avuga ko abashakashatsi batigeze bamenya sisitemu ya SCS yakozwe mu barwayi bafite amakuru 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, iheruka mu byemezo 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 iboneka.Ishirahamwe ryamakuru ryabonye inyandiko mu rubanza rwazanywe na leta ya Virginie y’Uburengerazuba irega Abbott na OxyContin ushinzwe iterambere rya Purdue Pharma LP, bavuga ko bagurishije ibiyobyabwenge mu buryo butemewe.Purdue yishyuye miliyoni 10 z'amadolari mu 2004 kugira ngo ikemure ikibazo.Nta sosiyete, yari yemeye gufatanya na OxyContin, yemeye amakosa.

Sharan yakomeje agira ati: "SCS niyo nzira yanyuma."Ati: "Niba utegereje umwaka kugirango umuntu akubye kabiri ibiyobyabwenge, noneho ugomba kubimena.Ni igihe kinini cyatakaye. ”

Sharan yavuze ko umwaka umwe wanditseho morphine igura $ 5,000, kandi ikiguzi cyingaruka ziyongera kuri rusange.Ikigereranyo cy’ibiciro bya tekinoloji ya modern Healthcare / ECRI Institute cyerekana ko ibitera uruti rwumugongo byatwaye impuzandengo y’amadolari 16,957 muri Mutarama 2015, byiyongereyeho 8% ugereranije n’umwaka ushize.Moderi nshya, igoye cyane yakozwe na Boston Scientific na Medtronic igura impuzandengo ya $ 19,000, aho yavuye hafi $ 13,000 kubintu bishaje, nkuko amakuru ya ECRI abigaragaza.

Ibitaro bya ECRI byatangaje ko ibitaro bihitamo imiterere mishya, nubwo ivugururwa rya Bluetooth ridafite icyo rihindura mu kugabanya ububabare nk'uko Sharan abitangaza.Perezida wa societe yavuze ko ashyiramo ibikoresho bigera kuri 300 ku mwaka, harimo na SCS, kandi akagerageza gukora “itandukaniro rinini, iyo mvuganye n'abaganga, ku mikorere n'imikorere.Abantu barazimiye rwose mu bikoresho bishya. ”


Igihe cyo kohereza: Mutarama-27-2017