Kushandiswa kweopioid nevarwere vasingaperi vanorwadziwa kana vakadonha kana kudzikamiswa mushure mekunge vagamuchira musana wepinini stimulation device, maererano nechidzidzo chitsva.
Zvigumisiro zvakaita kuti vatsvakurudzi varatidze kuti vanachiremba vanofunga nezvemusana wepelinha stimulation (SCS) nokukurumidza kune varwere vane marwadzo anowedzera nekufamba kwenguva pane kurondedzera mamwe marwadzo, akadaro muongorori mukuru Ashwini Sharan, MD, mubvunzurudzo.Iwo madiki, ane bhatiri-powered transmitters anoendesa masaini kuburikidza nemagetsi emagetsi akaiswa padyo nemuzongoza kuti avhiringe mameseji emarwadzo anofamba kubva mutsinga kuenda kuuropi.
Chidzidzo chacho chaisanganisira data yeinishuwarenzi kubva kuvarwere ve5476 vaiva neSCS uye vakaenzanisa nhamba dzezvinyorwa zvavo zveopioid vasati vasimwa uye mushure mekudyarwa.Rimwe gore mushure mekudyarwa, 93% yevarwere vakaramba vachikurudzira musana (SCS) kurapwa vaive neavhareji yemazuva ese morphine-yakaenzana madosi pane varwere vaive neSCS system yavo yabviswa, maererano nekudzidza, iyo Sharan anoronga kuendesa kuti ibudiswe.
"Zvatakaona ndezvekuti vanhu vaive nekuwedzera kukuru mukushandisa kwavo zvinodhaka gore risati raiswa," akadaro Sharan, purofesa weurosurgery paThomas Jefferson University muPhiladelphia uye purezidhendi weNorth American Neuromodulation Society.Sharan akapa mibairo pamusangano wepagore weboka svondo rino.” Muboka rakaenderera mberi neSCS, mushonga wezvinodhaka wakaderedzwa zvakare kusvika pamwero wawaiva usati wawedzera.
"Hapana huwandu hwehuwandu hwakanaka hwehuwandu hwevanhu, chaizvoizvo, hunoti chii chiri hukama pakati pezvinodhaka izvi uye zvidyarwa izvi. Ndiyo chaiyo punchline yeizvi, "akawedzera. "Tine gwaro rekushanda uye protocol uye tiri kutsigira chidzidzo chinotarisirwa. yekushandisa mudziyo senzira yekuderedza narcotic nekuti zvitende kana kwete, izvo zvisati zvadzidzwa."
Vatsvagiri vacho havana kuziva kuti ndeapi magadzirirwo eSCS masisitimu akaiswa muvarwere vane data ravakadzidza, uye havana mari yakarongedzerwa imwe ongororo, sekureva kwaSharan.Chidzidzo chekutanga chakabhadharwa neSt. Jude Medical, iyo ichangobva kuwanikwa naAbbott.FDA yakabvumidza St. Jude's BurstDR SCS system Gumiguru apfuura, ichangoburwa munhevedzano yemvumo dzeSCS.
Abbott akaenda kune hurefu hwekunyengetedza varapi kuti vanyore opioid painkiller OxyContin mumakore ekutanga ekuwanikwa kwayo, maererano neshumo neSTAT News.Sangano renhau rakawana marekodhi kubva kunyaya yakaunzwa nenyika yeWest Virginia vachipokana naAbbott uye OxyContin mugadziri wePurdue Pharma LP, vachiti vakatengesa mushonga uyu zvisina kufanira.Purdue akabhadhara madhora gumi emamiriyoni muna 2004 kugadzirisa nyaya yacho.Hapana kambani, yakanga yabvuma kusimudzira OxyContin, yakabvuma kuita zvakaipa.
"SCS ndiyo yekupedzisira kuita," Sharan akaenderera mberi."Kana ukamirira gore kuti mumwe munhu aite kaviri dosi yezvinodhaka, unofanira kumurumura ipapo. Inguva yakawanda yakarasika."
Kunyorerwa kwegore kwemorphine kunowanzoita $5,000, uye mutengo wemhedzisiro unowedzera kune yakazara, Sharan akadaro.Spinal cord stimulators inodhura avhareji ye $ 16,957 muna Ndira 2015, kusvika 8% kubva gore rapfuura, maererano neModern Healthcare/ECRI Institute Technology Price Index.Nyowani, dzakaomarara mhando dzakagadzirwa neBoston Scientific neMedtronic dzinodhura avhareji yemadhora gumi nepfumbamwe, kubva pamadhora zviuru gumi nezvitatu zvemhando dzekare, ECRI data show.
Zvipatara zviri kusarudzira mhando nyowani, ECRI yakashuma, kunyangwe zvigadziriso senge Bluetooth yekubatanidza hazviiti chinhu kugadzirisa marwadzo, sekureva kwaSharan.Mutungamiri wenzanga akati anodyara michina inosvika mazana matatu pagore, kusanganisira SCS, uye anoedza kuita "musiyano mukuru, pandinotaura nevarapi, pazvinhu zvinoenderana nebasa. Vanhu vanorasika chaizvo mumaturusi matsva anopenya."
Nguva yekutumira: Jan-27-2017