Yini i-Synvisc?
I-arthritis ye-knee ingenye yezimbangela ezivame kakhulu zokuhlukumeza amadolo . Lapho i- cartilage ebushelelezi yamadolo ehlangene igqoke imizimba emincane, ubuhlungu obuhlangene ngokuvamile buwumphumela. Ukwelashwa kwe- arthritis yamadolo kugxile ekuzameni ukukhulula ubuhlungu ngenkathi kugcinwa ukwelashwa okulula ngangokunokwenzeka. Imithi engahambisani ne-kneth arthritis igxile ekunciphiseni ubuhlungu, ngokuyinhloko ngokusetshenziswa kwemithi elwa nokuvuvukala , ukuguqulwa komsebenzi, izinsiza zokuvotela kanye nezigciwane ze-cortisone .
Ngeshwa, lezi zindlela zokwelapha kungenzeka ukuthi azikwazi ukukhulula ukuhlukumeza kuzo zonke iziguli. Uma ukwelapha okungelapheki ukuhluleka ukunikeza usizo olufanele, ukuhlinzwa ngokuguqula amadolo kungacatshangwa. Ukwazi ukuthi isikhathi siphila yini ukuguqula amadolo kungaba yisinqumo esinzima sokwenza. Amagciwane okugcoba okuhlangene kukhona ukwelashwa okuhloswe ukukhulula izimpawu ze-arthritis yamadolo bese kuphuza isidingo sokuhlinzwa ngokuguqula amadolo.
I-Joint iseza kanjani umsebenzi?
I-Viscosupplementation imithi ejojowe ebizwa nge-hyaluronan. I-hyaluronan engenayo ivame ukubizwa ngokuthi igama layo elibizwa ngokuthi "i-Synvisc". Amanye amagama omuthi we-hyaluronan ahlanganisa i- Orthovisc , i-Euflexxa, ne-Supartz.
Izibhamu zokubambisana ezihlangene zivame ukuphathwa njengamachungechunge amathathu emigodini, umjovo ngamunye uhlukaniswe ngesonto elilodwa ngaphandle. Ngesinye isikhathi iningi elikhudlwana lalawo mithi lingasetshenziswa ekwenzeni umjovo owodwa, okufana ne-Synvisc One injection.
I-Hyaluronan, igama lezinto ezifakwe ku-viscosupplement injection, ikhona ku-ohlangothini ojwayelekile ohlangene futhi inesibopho sezinto zokugcoba zomuthi ovamile ohlangene. Imiphumela yokugcoba yamanzi ehlangene ivumela ukuba izingxenyana zomzimba zihlangane ngendlela ephathekayo.
Ngokujova imithi ibe ngamadolo , amanye abantu abheka lokhu okubizwa ngokuthi ukuhlanganiswa kokuhlanganyela. Yingakho ungase uzwe nge-viscosupplements njengamafutha 'emotweni' emadolweni. I-Hyaluronan nayo iboniswe ukuthi inezindawo zokulwa nokuvuvukala, futhi ingasiza ukuvikela i-cartilage esele kuhlangene.
Ingabe Kuyasiza?
Ucwaningo oluningi luye lwaphenya ukuphumelela kwe-viscosupplements ehlukahlukene njengokwelashwa kwe-arthritis yamadolo. Ucwaningo lubekwe emiphumeleni yabo kungabikho nzuzo uma kuqhathaniswa nama-placebo injection, ukuze kube nokuthuthuka okuncane kwezimpawu. Kodwa-ke, izifundo ezinkulu, ezenziwe kangcono zibonakala zibonisa inzuzo encane kakhulu ngalezi zijovo.
Ekuqaleni, kwakukhona ithemba elihle lokuthi lezi zimboni ezihlangene zizophumelela ekusizeni izimpawu zamathambo ezigama. Ucwaningo oluncane lubonakala lubonisa inzuzo encane yeziguli, ngakho-ke izijovo zaqala ukuthandwa. Ngeshwa, izifundo ezinkulu azibonisanga ngalomphumela. Okubaluleke kakhulu, ukuthi lapho izimpumputhe zaphuphuthekiswa (ngakho-ke iziguli noma odokotela babengazi ukuthi yikuphi ukwelashwa - i-viscosupplement noma i-placebo - yayise-syringe) imiphumela yayinganaki.
Ngaphansi: Kufanele Ube Nezifo
Pho lokhu kushiya iziguli kuphi?
Asikho isifundo esiye sabonisa ukuthi imijovo yokubambisana ngokuhlanganyela yindlela yokwelapha ephumelelayo kunani elikhulu leziguli esikhathini eside. Intshisekelo yakudala kulezi zibhamu yayisekelwe ikakhulu ezinfundweni ezincane ezingahle zenzelwe kahle.
Ngakolunye uhlangothi, iziguli eziningi zizofunga lezi zijovo ziye zazisiza, futhi kukhona okuncane kakhulu ekujuleni. Akekho isifundo esiye sabona imiphumela emibi kakhulu emibi ehambisana nokusetshenziswa kwezijovo zokugcoba ezihlangene emadolweni. Uma ukusabela ku-viscosupplement injection kwenzeka, bavame ukuvuvukala kwamadolo ukuvuvukala, okuvame ukuhlala phansi ezinsukwini ezimbalwa.
Izinkampani eziningi zomshuwalense ziye zaqala ukuphika ukutholakala kwezigciwane ze-viscosupplement ngenxa yokungabi namakhono okwelashwa. Kodwa-ke, uma unesithakazelo kulezi zijova, kufanele uxoxe nodokotela wakho uma kungaba ukwelashwa okunengqondo ukuze uzame ukuthola ukukhululeka emthonjeni we-arthritis.
Imithombo:
Strauss EJ, et al. "I-Hyaluronic Acid Viscosupplementation ne-Osteoarthritis: Ukusetshenziswa Kwamanje Neziqondiso Zesikhathi Esizayo" Am J Sports Med. 2009 Feb 3.
Watterson JR, no-Esdaile JM. "I-Viscosupplementation: Izindlela zokwelapha kanye nokutholakala komtholampilo e-Osteoarthritis ye-Knee" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Septemba / Okthoba 2000; 8: 277 - 284.
UStanton T. "Ukubheka Ukubheka Ngesibili Ukuphumelela Kwe-Viscosupplementation" AAOSNow. NgoJanuwari 2016, Page.