I-HA-PRP Tube
Inkcazelo emfutshane:
I-PRP-HA KIT yinto entsha echazwe ngokutsha kwi-aesthetic, i-gynecological andrological medicine edibanisa iikhonsepthi ezimbini zonyango kwelinye kwiziphumo zendalo.
I-Osteoarthritis (OA) yenye yezona zifo zinzima kakhulu kwihlabathi jikelele.I-hip yindawo yesibini eqhelekileyo ye-OA emva kwedolo.Uninzi lwe-hip OA luyiprayimari, nangona lunokudibaniswa nezinye izifo zabantwana be-hip okanye izinto ezithile ezinobungozi ezifana nokunyuka kweminyaka, ukukhuluphala kunye nemidlalo yempembelelo ephezulu.Uninzi lwezigulana ziya kuxela ukuqala okungaqondakaliyo kweentlungu ezibuhlungu ze-hip ngaphandle kokulimala okucacileyo.Ukuxilongwa kwenziwa ngokulula kwiiradiographs.
CASE VIGNETTE
Unyanga imbaleki yabasetyhini eneminyaka engama-51 ubudala ene-hip osteoarthritis.Ubuza malunga neendlela ezingezizo utyando njengoko efuna ukuqhubeka nokubaleka.Yeyiphi kwezi zilandelayo engayi kuthathwa njengonyango lokuqala?
A) Unyango loNyango
B) I-NSAIDS
C) Isitofu se-Intra-articular
D) Izihlangu ezifanelekileyo
Ababhali bolu phononongo benza uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta lwezifundo ezikhoyo ukuthelekisa ezi ndlela zine zonyango (CS, HA, PRP, NS).Izifundo ezifanelekileyo kufuneka zibe yizilingo ezilawulwa ngokungahleliwe ezivavanya ukusebenza kwe-CS, HA, PRP kunye ne-placebo (NS) kwizigulane ezine-hip OA.Ekugqibeleni, baquka i-11 RCTs equka izigulane ze-1353.Ngokusisiseko, bagqiba ukuba akukho mahluko phakathi kwe-NS, CS, PRP kunye ne-HA ye-hip OA kwi-2, i-4 kunye ne-6 iinyanga.Oku bekuyinyani kubo bobabini ubunzima obuphantsi kunye nobuphezulu bemolekyuli yeHA.
Olu phononongo lwaluluhlalutyo lwemeta yenethiwekhi olubandakanya kuphela ubungqina benqanaba le-1 obunceda ngokwenene umfundi ukuba enze izigqibo malunga nokusebenza ngokuthelekisayo.Balandela i-Cochrane kunye ne-PRISMA izikhokelo.Ukulinganiselwa kubandakanya (ngokomlinganiselo) ubungakanani besampulu encinci kwaye ababhali abazange baqhathanise ii-injection ze-IA kwezinye iindlela zolawulo olungasebenziyo.Kananjalo akubonakali ukwahlula phakathi kwamanqanaba ahlukeneyo e-hip OA apho ulawulo, kubandakanya inaliti ye-IA, inokwahluka kakhulu.
Olu luphononongo oluqinileyo olubonelela ngenqanaba le-5 ubungqina bolawulo lwe-hip OA.Ayichazi ukuba i-CS, i-PRP kunye ne-HA ayisebenzi, kunokuba kwakungekho nantlukwano ebalulekileyo xa kuthelekiswa ne-NS kwi-2, 4 kunye ne-6 iinyanga.Iinaliti ze-IA zihlala ziyinxalenye yolawulo lwe-multimodal ye-OA ye-hip engeyiyo yokuhlinzwa.Kusenokwenzeka ukuba kukho indawo yophando oluthe kratya apha malunga nokuphindaphindwa kweenaliti, indibaniselwano yeenaliti kunye nokuthathela ingqalelo iziphumo zeyeza lendawo yokuthomalalisa iintlungu (ekwaziwa ngokuba yi-chondrotoxic).
