Amfani da Opioid da marasa lafiya na ciwo mai tsanani ko dai sun ragu ko kuma sun daidaita bayan sun karbi na'urar motsa jiki na kashin baya, bisa ga sabon binciken.
Sakamakon ya haifar da masu bincike don ba da shawarar cewa likitoci sunyi la'akari da motsa jiki na kashin baya (SCS) da wuri don marasa lafiya waɗanda ciwon su ke daɗaɗawa a kan lokaci maimakon rubuta ƙarin magunguna, in ji babban mai bincike Ashwini Sharan, MD, a cikin wata hira.Ƙananan masu watsawa, masu ƙarfin baturi suna isar da sigina ta hanyar jagoranci na lantarki da aka dasa tare da kashin baya don shiga tsakani da saƙon zafi da ke tafiya daga jijiyoyi zuwa kwakwalwa.
Binciken ya haɗa da bayanan inshora daga marasa lafiya 5476 waɗanda ke da SCS kuma idan aka kwatanta da lambobi na magungunan opioid kafin da bayan dasawa.Shekara guda bayan dasawa, kashi 93% na marasa lafiya waɗanda suka ci gaba da haɓakar kashin baya (SCS) suna da matsakaicin matsakaicin matsakaicin morphine na yau da kullun fiye da marasa lafiya waɗanda aka cire tsarin su na SCS, bisa ga binciken, wanda Sharan ke shirin ƙaddamarwa don bugawa.
"Abin da muka lura shi ne cewa mutane sun sami karuwa mai yawa a amfani da su na narcotic shekara guda kafin a dasa su," in ji Sharan, farfesa a fannin neurosurgery a Jami'ar Thomas Jefferson a Philadelphia kuma shugaban kungiyar Neuromodulation ta Arewacin Amirka.Sharan ya gabatar da sakamakon a taron shekara-shekara na kungiyar a wannan makon." A cikin rukunin da suka ci gaba da SCS, an sake rage adadin narcotic zuwa matakin da yake kafin ya girma.
"Babu yawancin bayanan jama'a masu kyau, a zahiri, wanda ya ce menene alaƙar da ke tsakanin waɗannan narcotics da waɗannan abubuwan da aka sanyawa. Wannan shine ainihin maƙasudin wannan, "in ji shi. yin amfani da na'urar azaman dabarun rage narcotic saboda imani ko a'a, ba a yi nazari ba."
Masu binciken ba su san tsarin SCS na masana'antun da aka sanya a cikin majinyatan da suka yi nazari ba, kuma ba su da kuɗin da aka jera don ƙarin bincike, a cewar Sharan.St. Jude Medical ne ya dauki nauyin binciken farko, wanda Abbott ya samu kwanan nan.FDA ta amince da tsarin St. Jude's BurstDR SCS a watan Oktoban da ya gabata, na baya-bayan nan a cikin jerin amincewar SCS.
Abbott ya yi tsayin daka don shawo kan likitoci su rubuta maganin kashe radadi na opioid OxyContin a farkon shekarun samunsa, in ji rahoton STAT News.Kamfanin dillancin labaran ya samu bayanai daga shari’ar da jihar West Virginia ta kawo kan Abbott da kuma mai samar da OxyContin Purdue Pharma LP, bisa zargin cewa sun sayar da maganin ba da dace ba.Purdue ya biya dala miliyan 10 a shekara ta 2004 don sasanta lamarin.Babu wani kamfani, wanda ya amince da haɗin gwiwar inganta OxyContin, ya yarda da aikata ba daidai ba.
Sharan ya ci gaba da cewa "SCS ita ce makoma ta karshe.""Idan ka jira shekara daya wani ya kusan ninka adadin narcotic, to dole ne ka yaye su daga wannan. Lokaci ne mai yawa asara."
Sharan ya lura cewa takardar sayan maganin morphine na shekara guda yana kashe dala 5,000, kuma farashin illolin da ke ƙarawa ga jimillar.Masu motsa jiki na kashin baya sun kai kimanin $16,957 a cikin Janairu 2015, sama da 8% daga shekarar da ta gabata, bisa ga Indexididdigar Farashin Fasaha ta Cibiyar Kiwon Lafiya ta Zamani/ECRI.Sabbin samfura masu rikitarwa waɗanda Boston Scientific da Medtronic suka ƙera sun kai matsakaicin $19,000, daga kusan $13,000 don tsofaffin samfura, bayanan ECRI sun nuna.
Asibitoci suna zabar sabbin samfura, in ji ECRI, kodayake sabuntawa kamar haɗin gwiwar Bluetooth ba su da wani abu don inganta jin zafi, a cewar Sharan.Shugaban al'umma ya ce yana dasa na'urori kusan 300 a shekara, ciki har da SCS, kuma yana ƙoƙarin yin "babban bambanci, lokacin da nake magana da likitoci, akan fasali da aiki. Mutane sun yi hasarar gaske a cikin sabbin kayan aiki masu haske."
Lokacin aikawa: Janairu-27-2017