Kukondoweza Kwa Msana Kukhoza Kuchepetsa Kugwiritsa Ntchito Opioid

Kugwiritsiridwa ntchito kwa opioid ndi odwala omwe amamva kupweteka kosalekeza kunagwa kapena kukhazikika atalandira chipangizo cholimbikitsa msana, malinga ndi kafukufuku watsopano.

Zotsatirazo zinapangitsa ochita kafukufuku kuti afotokoze kuti madokotala amalingalira zolimbikitsa msana (SCS) mwamsanga kwa odwala omwe ululu wawo umawonjezereka pakapita nthawi m'malo mopereka mankhwala opweteka kwambiri, anatero wofufuza wamkulu Ashwini Sharan, MD, poyankhulana.Ma transmitter ang'onoang'ono, oyendetsedwa ndi batire amapereka zidziwitso kudzera munjira zamagetsi zomwe zimayikidwa pamphepete mwa msana kuti zisokoneze mauthenga opweteka omwe amayenda kuchokera ku mitsempha kupita ku ubongo.

Phunziroli linaphatikizapo deta ya inshuwaransi kuchokera kwa odwala 5476 omwe anali ndi SCS ndikuyerekeza manambala a mankhwala awo opioid asanayambe komanso atatha kuikidwa.Chaka chimodzi pambuyo pa kuikidwa, 93% ya odwala omwe adapitiliza chithandizo chamsana (SCS) anali ndi mlingo wochepa wa tsiku ndi tsiku wa morphine wofanana ndi odwala omwe adachotsa dongosolo lawo la SCS, malinga ndi kafukufuku, zomwe Sharan akufuna kuzipereka kuti zifalitsidwe.

"Zomwe tidawona ndizakuti anthu adachulukirachulukira pakugwiritsa ntchito mankhwala osokoneza bongo chaka chimodzi chisanachitike," adatero Sharan, pulofesa wa neurosurgery pa Yunivesite ya Thomas Jefferson ku Philadelphia komanso Purezidenti wa North American Neuromodulation Society.Sharan anapereka zotsatira zake pamsonkhano wapachaka wa gululo sabata ino.” M’gulu limene linapitiriza ndi SCS, mlingo wa mankhwala oledzeretsa unachepetsedwanso monga momwe unalili usanachuluke.

"Palibe zambiri zabwino za chiwerengero cha anthu, makamaka, zomwe zimanena kuti pali mgwirizano wotani pakati pa mankhwala ozunguza bongo ndi implants izi. Ndizo zenizeni za izi, "adawonjezeranso. "Tili ndi chikalata chogwira ntchito ndi ndondomeko ndipo tikuthandizira kafukufuku woyembekezera. kugwiritsa ntchito chipangizochi ngati njira yochepetsera mankhwala osokoneza bongo chifukwa khulupirirani kapena ayi, zomwe sizinaphunzirepo. "

Ofufuzawo sanadziwe kuti ndi makina ati a SCS omwe adayikidwa mwa odwala omwe adaphunzira, ndipo alibe ndalama zopangira kafukufuku wina, malinga ndi Sharan.Kafukufuku woyamba adathandizidwa ndi St. Jude Medical, yomwe idapezedwa posachedwa ndi Abbott.A FDA adavomereza dongosolo la St. Jude's BurstDR SCS mu Okutobala wapitawo, waposachedwa kwambiri pamndandanda wa zivomerezo za SCS.

Abbott adayesetsa kukakamiza madokotala kuti apereke mankhwala opweteka opioid OxyContin m'zaka zoyambirira za kupezeka kwake, malinga ndi lipoti la STAT News.Bungwe lofalitsa nkhani lidapeza zolemba pamlandu womwe boma la West Virginia linabweretsa motsutsana ndi Abbott ndi OxyContin wopanga Purdue Pharma LP, ponena kuti adagulitsa mankhwalawa mosayenera.Purdue adalipira $ 10 miliyoni mu 2004 kuti athetse mlanduwo.Palibe kampani iliyonse, yomwe idavomereza kuti ilimbikitse OxyContin, idavomereza zolakwika.

"SCS ndiye njira yomaliza," adatero Sharan."Ngati mudikirira chaka kuti wina awonjezere mlingo wake wamankhwala oledzeretsa, ndiye kuti muyenera kuwachotsa. Ndi nthawi yotayika kwambiri."

Mankhwala a morphine a chaka chimodzi amawononga $5,000, ndipo mtengo wa zotsatira zake umawonjezera kuchuluka kwake, adatero Sharan.Zolimbikitsa za msana zimawononga pafupifupi $ 16,957 mu January 2015, mpaka 8% kuchokera chaka chatha, malinga ndi Modern Healthcare/ECRI Institute Technology Price Index.Zitsanzo zatsopano, zovuta kwambiri zopangidwa ndi Boston Scientific ndi Medtronic zimawononga pafupifupi $ 19,000, kuchokera pafupifupi $ 13,000 kwa zitsanzo zakale, ECRI data imasonyeza.

Zipatala zikusankha mitundu yatsopano, ECRI idanenanso, ngakhale zosintha ngati kulumikizidwa kwa Bluetooth sikuchita chilichonse kuti zithandizire kuchepetsa ululu, malinga ndi Sharan.Pulezidenti wa anthu anati amaika zipangizo za 300 pachaka, kuphatikizapo SCS, ndipo amayesa "kusiyana kwakukulu, ndikalankhula ndi madokotala, pazinthu zotsutsana ndi ntchito. Anthu amatayika kwambiri mu zida zatsopano zonyezimira."