'Yan majalisar dokokin jam'iyyar Democrat sun bayyana damuwa game da yiwuwar bambance-bambancen launin fata a cikin karatun bugun jini (suna kiran wannan batun "rayuwa da mutuwa") watanni biyu bayan Hukumar Abinci da Magunguna ta Amurka (FDA) ta ba da gargadin jama'a kan waɗannan na'urori ranar Juma'a.Amince da "iyakan su".
A karon farko cikin shekarun da suka gabata, masu bincike sun gano kuskuren yiwuwar yin amfani da na'urar ta mutane masu launi, kuma jerin sabbin bincike sun samar da sabbin bayanai da ke nuna matsalar tare da ba da gargadin watanni da yawa.Kwanan nan, masu bincike daga Jami'ar Michigan sun buga wasiƙa a cikin fitowar Disamba 2020 na New England Journal of Medicine, kuma sun gano cewa yuwuwar bacewar hypoxemia tare da oximeter ya ninka sau uku na marasa lafiya baƙi.
"Da fatan za a lura cewa abubuwa da yawa na iya shafar daidaiton karatun oximeter na bugun jini, irin su ƙarancin wurare dabam dabam, launin fata, kauri na fata, zafin fata, amfani da taba na yanzu, da amfani da ƙusa ƙusa,” gargaɗin FDA ya karanta.
Ba a fayyace bambance-bambancen kabilanci a cikin daidaiton kayan aiki ba, wanda zai iya bata wa likitoci da marasa lafiya da ke ƙoƙarin jawo hankali ga matsalar.
"Yana da kyau a lura cewa ba a ambaci kalmar' jinsi' ko' jinsi 'a cikin sadarwar FDA ba," in ji Thomas Valley, likitan kula da huhu kuma marubucin wasikar NEJM.“A lokaci guda, mun gano cewa akwai bambanci tsakanin baƙar fata da marasa lafiya.Ba mu san dalilin da ya sa ake samun irin wannan bambancin ba, muna tunanin launin fata ne.”
A lokacin cutar ta Covid-19, pulse oximeters da aka yi amfani da su don auna matakan oxygen sun zama kayan aikin asibiti mai amfani musamman saboda kwayar cutar tana yin katsalandan ga yanayin yanayin jiki na sarrafa iskar oxygen.A asibitoci, kayan aiki suna taka muhimmiyar rawa wajen yanke shawara game da kula da marasa lafiya.A ƙarshen bazarar da ta gabata, bayan da likitoci da yawa suka ba da shawarar cewa yana iya zama da amfani a ajiye na'urar a gida (misali, kamar yadda mutane za su so su ajiye ma'aunin zafi da sanyio a cikin ma'ajin magani), sigar gida ta na'urar ta fara. tashi daga kan shelves a cikin kantin magani da Amazon da sauran rukunin yanar gizo da sauri sayar da su.
Sai dai kuma, takardar da ta fitar a watan Disambar da ya gabata (da kuma nassoshi game da jerin nazarce-nazarcen da aka yi a baya da suka rubuta irin wannan matsala, ciki har da takardun da aka buga a shekara ta 2005) sun firgita masu bincike da ma’aikatan jinya, waɗanda suka ce ba su sami sinadarin ba don sanin matsalar.Takaici da ƙudurin jima'i.shekaru 15.
Utibe Essien, mataimakiyar farfesa a fannin likitanci a Jami'ar Pittsburgh School of Medicine, ya ce: "Ba zan iya yarda da daidaiton wannan lambar ba, kuma dogaro da na'urorin da za su iya nuna son kai ga wasu rukunin mutane yana da matukar tayar da hankali.", Gayawa STAT farkon wannan watan.
Dangane da wannan damuwar, William Maisel, darektan Ofishin Kiwon Lafiyar Samfura da Ingancin Cibiyar Kayan Aiki da Lafiyar Radiyo ta FDA, ya shaidawa STAT cewa hukumar tana nazarin bayanan da ake da su tare da yin la'akari da ƙarin bincike idan ya cancanta.Ya ce FDA tana da kwarin gwiwa cewa oximeters na asibiti suna da daidaito sosai, amma ya kara da cewa ga na'urorin da ake sayar da su ta kan layi da kuma a cikin kantin magani, wannan na iya zama ba daidai ba, kuma hukumar ba ta sake duba ko amince da hakan ba.
Michael Schuddin, masanin ilimin huhu a Jami'ar Jihar Michigan kuma marubucin wasiƙar NEJM, ya ce ya ji daɗin cewa FDA ta jaddada a cikin bayaninta mahimmancin rashin dogaro da yawa akan na'urorin bugun jini don yanke shawarar likita.Duk da haka, ya kara da cewa ya yi imanin cewa rashin ambaton jinsi a sarari "damar da aka rasa."
Ya ce: "Bisa iyakan wannan labarin, Ina zargin cewa FDA na son yin taka tsantsan a cikin bayanansu game da bambance-bambancen launin fata a cikin daidaiton bugun jini, da kuma mai da hankali kan batun daidaiton bugun jini."
Erin ɗan rahoto ne na fasahar kiwon lafiya a California kuma mawallafin marubucin wasiƙar STAT Health Tech.
Statnews, yanzu muna yin aikin yara?Biology da physics ana koyar da su a azuzuwan sama da firamare, amma marubucin wannan labarin bai san ilimin halitta da kimiyyar lissafi ba.
Kamar yadda wani mai sharhi ya nuna, yana da kyau marubucin ya gyara labarin daga "jiki mai samar da iskar oxygen" zuwa "jiki mai samar da iskar oxygen".
Alamun yana toshewa/shanye hasken.Launin da kuke gani a cikin fenti shine launin da fenti ke nunawa.Saboda haka, abin da kuke gani baƙar fata ne, wanda ke nufin cewa launuka na farko a cikin bakan tunani ba launuka na farko ba ne.Fari, duk launuka suna nunawa.Oximeter yana aiki a ƙarƙashin haske, don haka hasken da aka toshe shi yana tasiri sosai.
Da alama mawallafin wannan labarin ba su riga sun sami ilimin halittu da kimiyyar lissafi ba, don haka dole ne su sami ilimin asali kawai.Tun da ƙaramar sakandare da sakandare kwasa-kwasan wajibi ne, koyar da ilmin halitta da kimiyyar lissafi, zai iya taimaka mana mu yi tunanin ko za mu shiga aikin yara a nan, ta yadda yaran firamare su iya rubuta wannan labarin.Mun samu yardar iyayenmu?
Ma'aunin iskar oxygen na yatsa yana amfani da hasken infrared don gano jikewar iskar oxygen, saboda haemoglobin oxidized yana ɗaukar ƙarin hasken infrared.SO: Dangane da gano haske, wannan na'urar ba ta da tasiri ga masu duhun fata.An san wannan fiye da shekaru 20, amma ba a dauki matakan daidaitawa ba.FDA yakamata ta bayyana wannan a sarari, wanda zai iya haɓaka haɓakar mita oxygen (yatsa), saboda DOES yana aiki mafi kyau ga mutane masu fata masu duhu.“ƙasantar ƙabilanci” a cikin taken wannan labarin magana ce ta launi na wani lahani mai ma'ana (ƙirar da aka yi niyya).
Marubuci, ina jin kunyar karuwar kabilanci.Labarin ku yana rage ingancin labarai.Koyaya, a lokacin ba ku kaɗai kuke yin wannan ba a cikin statnews.Wataƙila ingancin statnews yana raguwa.
Yaushe abubuwan launin fata na Jam'iyyar Liberal suka tsaya lokacin da ta yi hauka?Race oximeter?Yana kamar covid-19 na wariyar launin fata.Liberalism cuta ce ta tabin hankali.A'a, masu sassaucin ra'ayi tabbas ba 'yan wariyar launin fata ba ne.Suna yiwa kowa daidai.Suna ƙin kowa bisa doka a Amurka.
Oximeter yana amfani da hasken haske don auna oxygen.Idan kuna da wasu abubuwan da ke toshe hasken (kamar fenti, goge ƙusa, da sauransu), hasken hasken zai shafa.Hankali kadan maimakon son zuciya.
Jahilai likitocin da suke yin tsokaci a kan wariyar launin fata wawa ne.Dokokin kimiyyar lissafi makafi ne ga kabilanci kuma ana gudanar da su ne da dokokin kimiyyar lissafi.Lokacin da farfesa / malami ya koyar da ainihin ilimin yaɗa haske, rarrabuwar kawuna, da sha, kamar yana barci a cikin aji.Bana son wawan likita irinsa yayi min magani.
Ya kamata marubucin ya yi bincike mai yawa kan yadda oximeter ke aiki, ba makircin kabilanci ba.
Shin matakin melanization na fatar mutum da gadon ƙusa yana taka rawar jiki a cikin ɗaukar haske da watsawa?Na tuna kwanan nan labarin da aka buga a NEJM (New England Journal of Medicine) ya yi wannan tambayar.A matsayina na mutum mai son ilimin kimiyya kuma likita mai aiki, Ina maraba da la'akari da kowane ra'ayi da fahimtar da za su iya taimaka mini kimanta marasa lafiya.Tunanina na farko shine yiwuwar karatun oximeter na bugun jini zai shafi matakin ko ƙarfin melanin a cikin fata da kusoshi.Wato ilmin halitta da kimiyyar lissafi!Shanye hasken ultraviolet ta fata da kuma yadda yake shafar samarwa da samar da sinadarin bitamin D a cikin fata yana kara misalta wannan batu.Melanin na iya rage ɗaukar hasken UVB a cikin fata!Yana da mahimmanci a fahimta da fahimtar wannan.
Ba duk kimiyya ba ne "wariyar launin fata"!Sai dai idan mun karanta, nazari da kuma nazarin “Kimiyya”, ya kamata mu yi taka-tsan-tsan don kada mu yanke shawara mara kyau!
Lokacin aikawa: Maris-03-2021