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Spinal Cord Stimulation Inogona Kuderedza Opioid Kushandisa

Kushandiswa kweopioid nevarwere vasingaperi vanorwara 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 yakaderera yemazuva ese morphine-yakaenzana madosi pane varwere vakange vabviswa SCS system yavo, 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 zvakabuda pamusangano wepagore weboka iri svondo rino.”Muboka rakaenderera mberi neSCS, chirwere chenarcotic chakaderedzwa zvakare kusvika pamwero wawaive usati wawedzera.

Spinal

"Iko hakuna yakawanda yakanaka data yehuwandu, iyo inotaura kuti chii chiri hukama pakati peizvi narcotic nemaimplants aya.Ndiko kutaura chaiko uku,” akawedzera."Tine gwaro rekushanda neprotocol uye tiri kutsigira ongororo yekushandisa mudziyo senzira yekuderedza zvinodhaka nekuti zvitende kana kwete, izvo zvisati zvadzidzwa."

Vatsvagiri vacho vaisaziva kuti ndeapi magadzirirwo eSCS masisitimu akaiswa muvarwere vane data ravakadzidza, uye havana mari yakarongedzerwa imwe fundo, sekureva kwaSharan.Chidzidzo chekutanga chakabhadharwa neSt. Jude Medical, iyo ichangobva kuwanikwa naAbbott.FDA yakabvumira St. Jude's BurstDR SCS sisitimu yaGumiguru 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 nedunhu reWest 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 sarudzo," Sharan akaenderera mberi."Kana iwe ukamirira gore kuti mumwe munhu aite kaviri dosi yezvinodhaka, saka unofanirwa kumurumura kubva ipapo.Inguva yakarasika yakawanda.”

Kunyorerwa kwegore kwemorphine kunowanzoita $5,000, uye mutengo wemhedzisiro unowedzera kune iyo 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 dzechikuru, ECRI data show.

Zvipatara zviri kusarudzira mhando nyowani, ECRI yakashuma, kunyangwe zvigadziriso zvakaita seBluetooth yekubatanidza hazviiti chinhu kugadzirisa marwadzo, sekureva kwaSharan.Mutungamiri wenharaunda akati anodyara midziyo inosvika mazana matatu pagore, kusanganisira SCS, uye anoedza kuita "musiyano mukuru, pandinotaura nevarapi, pazvinhu zvinopesana nebasa.Vanhu vanorasika chaizvo mumaturusi matsva anopenya. "


Nguva yekutumira: Jan-27-2017