Idan kun kasance gurgu, shin za ku fi son ku sake tafiya?
Ga mutane da yawa masu raunin kashin baya, sake dawo da mafitsara a haƙiƙa ya fi mahimmanci fiye da ikon su na sake samun amfani da ƙafafu.
Wannan shine dalilin da ya sa sabon magani wanda ya haɗa da motsa jiki na maganadisu yana haifar da bege a cikin al'ummar raunin kashin baya.
Maganin ya taimaka wa mutanen da ke da raunin kashin baya su sake samun babban matakin kula da mafitsara na makonni hudu.
Masana kimiyyar neuroscientists a Jami'ar California, Los Angeles (UCLA) sun yi aiki tare da mutane biyar da ke fama da raunin kashin baya, suna motsa ƙananan ƙwayoyin jikinsu ta hanyar amfani da na'urar maganadisu da aka sanya a gindin kashin baya.
Wannan binciken shine irinsa na farko da ya nuna gagarumin ci gaba a cikin kula da mafitsara tsakanin jiyya.
Maza da suka shiga binciken sun ce wannan dabara ta inganta rayuwarsu da kashi 60% a matsakaici.
A Amurka, fiye da mutane 250 suna fama da rauni na kashin baya. Daga cikin wadannan, kashi 000% na rasa karfin yin fitsari da son rai.
Rashin aikin mafitsara na iya haifar da cututtuka na yoyon fitsari, rashin natsuwa, gazawar koda, duwatsun koda, da rashin ingancin rayuwa gaba ɗaya.
Wani bincike na 2012 ya gano cewa ga mutane da yawa masu raunin kashin baya, sha'awar dawo da kula da mafitsara ya fi karfin begen sake tafiya.
“Wasu majiyyatan suna tantance aikin mafitsara kafin tafiya saboda rashin nacewar mafitsara na dauke da kyama a cikin jama’a. Wannan yana hana su fita zuwa cin abinci ko halartar taron jama'a. A cikin marasa lafiya da ciwon mahaifa ba tare da aikin hannu ba, wannan yana buƙatar taimakon mai kulawa don catheterization kuma yana iyakance 'yancin su, "in ji Dokta Daniel Lu, babban mai binciken binciken da kuma masanin farfesa na neurosurgery a David Geffen School of Medicine a UCLA. Inji Healthline.
"Daga fuskar likitanci, rashin aikin mafitsara zai iya haifar da sepsis, gazawar koda ko ma mutuwa," in ji shi.
Table na abubuwan ciki
Rayuwa ba tare da sarrafa mafitsara ba
Mutanen da ke da raunin kashin baya suna zubar da mafitsara ta amfani da kunkuntar bututu da ake kira catheter. Ana shigar da na'urar a cikin mafitsara sau da yawa a rana don zubar da fitsari daga jiki.
Ga wasu mutanen da ke fama da rauni wanda kuma ke hana su yin amfani da hannayensu, ana buƙatar ma'aikacin kulawa ya saka catheter.
Alexander "Sasha" Rabchevsky, Ph.D., farfesa ne a fannin ilimin lissafi a Jami'ar Kentucky Brain Raunin Rauni da Cibiyar Nazarin Rauni. Ya kasance cikakken T5 mai rauni tun 1985.
Ya ce kula da mafitsara na daya daga cikin manyan kalubalen da ake fuskanta na gurgunta rayuwa, ta jiki da ta hankali.
"Akwai rashin fahimta gabaɗaya game da mahimmancin mahimmanci da ƙalubalen da ke tattare da amfani da [catheters] na yau da kullun a cikin yawan raunin kashin baya," Rabchevsky ya gaya wa Healthline.
Ko da yake Rabchevsky ya ce ya saba da catheters, ga mutane da yawa masu raunin kashin baya, gwagwarmayar rayuwa ce.
"Na shafe shekaru 30 ina amfani da injin catheter kuma ko da yake ina jin kunya tun da farko ina tsoron manna bututu a cikin azzakarina don yin baqin ciki, ya zama na yau da kullun cewa matsalolina yanzu sun shafi tsabta. kuma a ina da lokacin da zan iya amfani da catheters na, kamar a cikin jirgin sama, in ji shi.
"Amma wannan ba ya magana ga mutane marasa adadi waɗanda ke da matsalolin zamantakewar jama'a saboda buƙatar su na catheterization a cikin jama'a, ko masu gudanar da kansu ko kuma tare da taimakon da ake bukata," in ji Rabchevsky.
Hadarin lafiya tare da catheters
Amfani da catheter yana da alaƙa da haɗarin lafiya da yawa. Yin amfani da dogon lokaci zai iya haifar da cututtuka na urinary fili da kuma tabo na dindindin.
Domin ana shigar da catheters a cikin mafitsara daga wajen jiki, wannan zai iya zama wurin shiga ga kwayoyin cuta kuma yana haifar da cututtuka.
Wadannan na iya zama barazana ga rayuwa idan ba a gano cutar ba kuma a yi maganinsu cikin gaggawa.
Hinesh Patel yana karatu a Jami'ar California, Irvine don MD da Ph.D.
Ya samu rauni a kashin baya fiye da shekara guda da ta wuce bayan faɗuwar bazata.
Raunin da ya samu ya sa ya rasa cikakken aikin mafitsarar sa. A cikin shekarar da ta gabata, ya ce ya kamu da cutar fiye da yadda ya zata. Yawancin wannan yana faruwa ne saboda rashin jin daɗi.
"Musamman tare da ƙayyadaddun jin daɗi bayan raunin kashin baya, alamun da kuke fuskanta ba lallai ba ne alamomin da matsakaicin mutum zai iya fuskanta don samun kamuwa da cuta da sauri," in ji Patel Healthline.
Maido da sarrafa mafitsara shine babban fifiko.
"Yana da yawa a jerina fiye da yadda nake tsammani ko da nayi tunani a baya," in ji shi.
Yadda aka gudanar da binciken
Masu binciken sun yi aiki tare da maza biyar da ke fama da raunin kashin baya. Mutanen sun sha minti 15 na motsa jiki a kowane mako daga na'urar da Hukumar Abinci da Magunguna ta Amurka (FDA) ta amince da ita, amma wanda gwaji ne lokacin da aka yi amfani da shi don gyaran mafitsara.
Bayan zama hudu, mazan sun ga ingantaccen ci gaba a aikin mafitsara. Dukkansu biyar sun iya yin fitsari da kansu. Daya daga cikin mahalarta ya iya daina amfani da catheter gaba daya kuma yayi fitsari da kansa - shekaru 13 bayan raunin da ya samu.
Waɗannan haɓakawa sun kasance har zuwa makonni huɗu bayan haɓakar maganadisu.
Sauran mazan hudu har yanzu suna amfani da catheter a kalla sau ɗaya a rana, amma wannan wani ci gaba ne daga mitar su na baya sau shida ko fiye a rana.
Har ila yau, ƙarfin mafitsara na mahalarta ya ƙaru, kamar yadda yawan fitsarin da suka iya samar da son rai ba tare da catheter ba.
Lu ya ce sakamakon yana da ban sha'awa kuma ya baiwa mahalarta binciken fata.
"Sun sami kwarin gwiwa sosai kuma sun kasa jira har sai an sami wannan dabarar don maganin asibiti," in ji shi.
Menene na gaba
Masu binciken sun yi shirin fadada binciken zuwa babban rukunin maza da mata.
Suna kuma so su bincika ko nau'ikan haɓakawa daban-daban za su inganta martanin mutanen da ba su sami fa'ida ɗaya kamar yadda wasu suka yi nazari ba.
Idan an maimaita sakamakon wannan binciken, ƙarin ingantattun hanyoyin za su iya canza tsarin kula da mafitsara a asibiti da kuma a gida.
Rabchevsky ya ce idan za a iya maimaita sakamakon binciken a cikin gwaji mai zaman kansa mafi girma kuma an daidaita tsarin, wannan fasaha na iya canza yadda ake kula da mafitsara bayan rauni na kashin baya.
Wannan sabuwar dabarar da ke tasowa, musamman don magance tabarbarewar mafitsara, na iya ba da hanya don daidaitawa, masu rahusa kuma ingantattun hanyoyin da ke akwai ga mutanen da ke da SCI, waɗanda ba za a yanke musu hukunci ba ga rayuwar da ke cike da catheterizations. da cututtukan yoyon fitsari… wanda zai zama babban nasara, aƙalla a rayuwata tun lokacin da nake daure a keken hannu,” in ji shi.
“Hakika dukkanmu muna son sake tafiya. Duk da haka, har sai hanyoyin kwantar da hankali sun ba mu damar motsa ƙafafu da / ko hannayenmu marasa ƙarfi da son rai, zai zama da gaske canza rayuwa idan ba mu kula da mafitsara 24/24 ba, in ji Rabchevsky.
