Chithunzi cha HA-PRP
Kufotokozera Kwachidule:
PRP-HA KIT ndi luso lodziwika bwino lamankhwala okongoletsa, achikazi komanso andrological omwe amaphatikiza malingaliro awiri ochizira m'modzi pazotsatira zachilengedwe.
Nyamakazi ya Osteoarthritis (OA) ndi imodzi mwazovuta kwambiri zamatenda padziko lonse lapansi.Mchiuno ndi malo achiwiri omwe amapezeka kwambiri a OA kumbuyo kwa bondo.Ambiri a m'chiuno OA ndi oyambirira, ngakhale amatha kugwirizanitsidwa ndi matenda ena a ana a m'chiuno kapena zinthu zina zoopsa monga kukula kwa zaka, kunenepa kwambiri komanso masewera olimbitsa thupi.Odwala ambiri adzanena kuti amayamba kupweteka kwa m'chiuno popanda kuvulala koonekeratu.Kuzindikira kumapangidwa mosavuta pa radiographs.
CASE VIGNETTE
Mukuchiza wothamanga wamkazi wazaka 51 yemwe ali ndi nyamakazi yofatsa ya m'chiuno.Akufunsa za zosankha zosachita maopaleshoni pomwe akufuna kupitiliza kuthamanga.Ndi ziti mwa zotsatirazi zomwe sizingaganizidwe ngati chithandizo choyamba?
A) Physical Therapy
B) NSAIDs
C) jakisoni wa intra-articular
D) Nsapato zoyenera
Olemba a phunziroli adafufuza mwadongosolo komanso kusanthula meta kwa maphunziro omwe alipo kuti afanizire njira zinayi zochiritsira (CS, HA, PRP, NS).Maphunziro oyenerera ayenera kuyesedwa mwachisawawa poyesa mphamvu ya CS, HA, PRP ndi placebo (NS) kwa odwala omwe ali ndi chiuno cha OA.Pamapeto pake, adaphatikiza 11 RCTs yokhala ndi odwala 1353.Kwenikweni, adatsimikiza kuti palibe kusiyana pakati pa NS, CS, PRP ndi HA pa hip OA pa 2, 4 ndi 6 miyezi.Izi zinali zoona kwa onse otsika komanso apamwamba a molekyulu HA.
Kafukufukuyu anali meta-analysis ya netiweki yomwe idangophatikiza umboni wa mulingo 1 womwe umathandizadi owerenga kuzindikira za kufananiza koyenera.Anatsatira malangizo a Cochrane ndi PRISMA.Zochepa zikuphatikizapo (pafupifupi) kukula kwachitsanzo chaching'ono komanso kuti olembawo sanafanizire jekeseni wa IA ndi njira zina zoyendetsera ntchito zopanda ntchito.Sikuwonekanso kusiyanitsa magawo osiyanasiyana a hip OA pomwe kasamalidwe, kuphatikiza jakisoni wa IA, amatha kusiyanasiyana kwambiri.
Uwu ndi kafukufuku wamphamvu womwe umapereka umboni wa 5 wowongolera hip OA.Sizikunena kuti CS, PRP ndi HA sagwira ntchito, koma panalibe kusiyana kwakukulu poyerekeza ndi NS pa 2, 4 ndi 6 miyezi.Majekeseni a IA amakhalabe mbali ya kayendetsedwe ka multimodal ka OA osachita opaleshoni.Mwina pali malo ena oti afufuze mowonjezereka pano ponena za kuchuluka kwa jakisoni, kuphatikiza jakisoni ndikuganizira zotsatira za mankhwala oletsa ululu wamba (omwe amadziwikanso kuti ndi chondrotoxic).
