Maganin laser na CO2 mai sassauƙa don atrophy na farji

An gano cewa maganin laser na CO2 mai sassauƙa yana da tasiri kuma yana da aminci wajen magance matsalar ƙaiƙayi na vulvovaginal atrophy na ɗan lokaci kaɗan, a cewar wani bincike da aka yi a mujallar Menopause.

Binciken jadawalin da aka yi a baya ya ƙunshi mata 139 da ke da alamun atrophy na farji, waɗanda suka kammala zaman laser sau uku na tsawon makonni 6 a asibitin Vulvar da Lafiyar Jima'i da ke Prohealth, Asibitin Waukesha Memorial, da ke Wisconsin, daga Janairu 2016 zuwa Disamba 2019.

Duk marasa lafiyar sun haura shekaru 18 (matsakaicin shekaru 62) kuma ba su da juna biyu.

An ruwaito cewa an samu estrogen a jiki a lokaci guda a cikin kashi 53% na marasa lafiya (n = 74). An rubuta ganewar cutar kansar nono a cikin kashi 27% (n = 38) da kuma lichen sclerosus a cikin kashi 22% (n = 31).

An yi wa marasa lafiya tambayoyi kafin a yi musu maganin laser na farko da na uku ta hanyar tambayoyi guda biyu da aka tabbatar: Ma'aunin Aikin Jima'i na Mata (FSFI) da Tambayoyin Alamomin Vulvovaginal (VSQ). An kuma cike ma'aunin analog na gani (VAS).

An fara yin maganin ta hanyar farji ta amfani da na'urar bincike ta farji, sannan aka yi maganin farji da wani abu daban, ta amfani da tsarin murabba'i. An shafa Lidocaine 2% a cikin kyallen farji mintuna 20 kafin a yi maganin. Saitin laser don maganin farji da farji sun yi kama da na baya.

Matsakaicin bin diddigin ya kasance makonni 13.8.

Duk sakamakon FSFI sun inganta: kafin magani 12.7 idan aka kwatanta da bayan magani 19.0 (P)

VSQ ta kuma nuna cewa tambayoyi 18 cikin 21 sun inganta sosai (P)

Bugu da ƙari, VAS ta nuna ci gaba mai mahimmanci a cikin jima'i mai zafi da bushewar farji da farji: magani kafin 12.7 da 4.6, bi da bi idan aka kwatanta da magani bayan 2.4 da 1.5 (duka P

Bugu da ƙari, ƙarin mata 17 sun fara yin jima'i bayan an yi musu maganin laser na biyu. Babu wani mummunan sakamako da aka ruwaito a tsakanin duk waɗanda suka halarci binciken.

"Mun yi mamakin yadda marasa lafiya suka inganta da wuri bayan magani ɗaya ko biyu," in ji babban mai bincike Sarit Aschkenazi MD, MS, darakta na likita a Asibitin Prohealth Waukesha Memorial. "An samu ci gaba har ma a cikin mata masu fama da manyan alamu waɗanda ba sa amsawa ga maganin gargajiya, kamar su estrogen na shafawa, ko waɗanda ke shan maganin aromatase don rigakafin cutar kansar nono. Mun yi matuƙar farin ciki da ganin mata masu fama da cutar lichen sclerosis waɗanda suka kamu da cutar fata mai tsanani suna nuna alamun ci gaba."

Ana kyautata zaton maganin laser yana aiki ta hanyar isar da makamashi ga kyallen da ke ƙarƙashin fata, tare da rage lalacewar epithelium da ke saman fata. Yana ƙarfafa fibroblasts don samar da ƙarin zare na collagen da elastin, haka kuma yana ƙara yawan ruwa, naɗewar fata, da kauri na epithelial na fatar farji da farji, a cewar Aschkenazi.

"Wannan yayi kama da tasirin da ake samu lokacin da aka shafa laser a fatar fuska," in ji ta. "An yi amfani da laser a fatar fuska sama da shekaru goma kuma an tabbatar da cewa yana da aminci. Binciken ƙwayoyin fata ya nuna waɗannan tasirin. Duk waɗannan canje-canjen suna kama da canje-canjen da ke faruwa lokacin da estrogen ke cikin kyallen takarda a matakin kafin a fara haila."

Aschkenazi ya ce, wannan na'urar laser wata hanya ce mai kyau ta magance wata cuta da ta zama ruwan dare gama gari kamar atrophy na vulvovaginal. "Wannan sabon zaɓi ne idan estrogen ba shi da tasiri, an hana shi ko kuma ba a so."

Duk da haka, ana buƙatar nazarin sarrafawa bazuwar don tantance ingancin maganin laser a sarari, da kuma tabbatar da mafi kyawun adadin zaman magani, tazara da kuma sau nawa za a maimaita ƙarin magani.

"Ɗaya daga cikin hanyoyin magance matsalar ita ce a haɗa maganin laser da maganin hormones na jiki, idan ba a yi amfani da shi ba, kamar maganin estrogen ko maganin dehydroepiandrosterone na jiki (DHEA) don tsawaita inganta kyallen jiki da kuma cimma tasirin haɗin gwiwa a ƙananan allurai," in ji Aschkenazi.

Duk da cewa an gano cewa maganin laser yana da aminci ga duk marasa lafiya da aka yi nazari a kai, Aschkenazi ta ba da shawarar amfani da hanyoyin magani na gargajiya don alamun atrophy na farji da farko kafin a ƙara maganin laser, da kuma bin ƙa'idodin magani don guje wa duk wani mummunan sakamako. Waɗanda ke fama da irin waɗannan alamun suma ya kamata su kula da kula da fata ta hanyar rage abubuwan da ke haifar da haushi ga fata, riguna masu matse jiki, sabulu da kuma kushin mata masu ƙamshi. "Ƙara man shafawa marasa sinadarin hormone yana taimakawa wajen guje wa bushewar da ke tattare da alamun rashin haihuwa," in ji ta.