I-intraarticular hyaluronic acid injection ingenye yezindlela zokwelashwa ze- knee osteoarthritis . Yini esikwaziyo ngokuphumelela kwe-hyaluronic acid ngenxa ye-hip? Ingabe i-hyaluronic acid injection iye yafundelwa amanye amalunga noma ingabe isetshenziselwa ukuphatha i-knee osteoarthritis?
I-Hyaluronic Acid Injections Ingabe i-FDA-Iyavunyelwa nge-Knee Osteoarthritis kodwa hhayi nge-Hips
I-Hyaluronic acid injection ziye zavunyelwa i-FDA iminyaka eminingi njengokwelashwa kwe-knee osteoarthritis.
Kodwa i-hyaluronic acid ayivunyelwe ngezinyopho noma amanye amalunga. Noma kunjalo, odokotela abathile bebelokhu bewusebenzisa ngaphandle kwelebuli ngenxa yezinyosi ze-hip ngeziguli zabo. Isibonelo, umshuwalense wezokwelapha we-Blue Cross / Blue Shield ubheka izijocavo ze-intra-articular kuwo noma yikuphi okuhlangene ngaphandle kwamadolo okuphenya hhayi okudingekayo emzimbeni. Abacwaningi baye bahlola ukuphumelela kwezijovo ze-hyaluronic acid ngenxa ye-hip kanti imiphumela ayifuni kahle. I-American College of Rheumatology ayincomo ukuyisebenzisa nge-hip osteoarthritis.
Izidakamizwa ze-Hyaluronic Acid Injectable
Kunezinhlobo eziningana ze-hyaluronic acid engenayo , kanti i- Synvisc yiyo eyayiqala ukuvunywa. Euflexxa, Orthovisc , Hyalgan, noSupartz yizinye. I-Synvisc-One ivunyelwe ngo-Febhuwari 26, 2009, njengokwakhiwa kwe-injection eyodwa yeS Synvisc, okudinga uchungechunge lwemijovo emithathu.
- Kuyini i-Viscosupplementation? Funda ukuthi lezi zisetshenziswa kanjani nge-knee osteoarthritis.
- I-Hyaluronan Injections ye-Knee Osteoarthritis : izinto ezingu-10 okufanele wazi ngazo ngalokhu ukwelashwa.
- Ama-injection Joint Lubricant : Ukuxoxisana okuningi ngezifundo zamuva ukuthi lokhu kuphumelela yini kwe-knee-arthritis yegciwane.
I-Hyaluronic Acid ayikwazi ukusebenza nge-Hip Osteoarthritis
I-Hyaluronic acid ihlose ukubuyisela izindawo ezijwayelekile ze-synovial fluid.
Kuye kwaphakanyiswa ukuthi i-hyaluronic acid ingase ibe nomthelela wokuzivikela kwesikhumba, futhi inganciphisa ukukhiqizwa kanye nomsebenzi wamakhemikhali abandakanya ukuvuvukala (njengabaxhumanisi abathwala izidakamizwa, i-matrix metalloproteinases).
Ngokwesinye isifundo, umjovo owodwa we-hyaluronic acid awuphumelelanga i- hip osteoarthritis - empeleni, ayikho ephumelelayo kune-placebo. Ngenxa yokuthi i-hyaluronic acid isuswa ngokushesha kumajoyini, kungenziwa isidingo esingaphezu kwesisodwa ukunikeza inzuzo. Ukususwa okusheshayo kwe-hyaluronic acid kungumqondo owodwa wokuthi kungani ama-injection amaningi angabangela imiphumela engcono.
Ucwaningo olubheka ukusebenza kwe-hyaluronic acid nge-hip osteoarthritis kuye kwaba mncane futhi kuncane. Ucwaningo olwengeziwe luyadingeka ukuze kutholakale ukuthi i-hyaluronic acid iyindlela efanele yokwelapha yamajoyina ngaphandle kwamadolo.
Ama-Hiduronic Acid Injections Futhi Ahluleka Ukuthandwa Ngu-Knee Osteoarthritis
Ukubuyekezwa kwe-Cochrane kwezifundo ezingu-76, ezanyatheliswa ngo-2006, kwaqedela ukuthi i-hyaluronic acid ayikho into ephumelelayo kakhulu ye-knee osteoarthritis kune-NSAID. Yanciphisa amazinga obuhlungu, kodwa ayikho ngaphezu kwalokhu ukwelashwa okujwayelekile, futhi ithatha amasonto amahlanu ukukhiqiza imiphumela egcwele. Inzuzo yayiwukuthi imiphumela ingaba yinde isikhathi eside.
Ngokusekelwe kokubuyekezwa kwezifundo ezingu-15, i-American Academy of Orthopedic Surgeons (AAOS) ikhishwe izincomo ezintsha ngoJuni 2013 ethi hyaluronic acid ayihlangabezani nezinyathelo ezibalulekile zokuphuthumisa emitholampilo. Lokhu kungaholela odokotela abambalwa nabambalwa basebenzisa le mijovo ye-knee osteoarthritis.
Imithombo:
Umphumela we-hyaluronic acid e-symptomatic hip osteoarthritis: Isivivinyo esilawulwa ngokuphindaphindiwe, esihleliwe, esibekwe eceleni. I-arthritis ne-Rheumatism. Mashi 2009. Richette P et al.
I-Hyaluronic Acid Injections ye-Osteoarthritis, uTimothy Gower, i-Arthritis Foundation, ifinyelele 1/5/16.
Bellamy N, et. al. "I-Viscosupplementation yokwelashwa kwe-osteoarthritis yamadolo." Cochrane, 19 Ephreli 2006.
I-Hochberg MC, i-Altman RD, ngo-Ephreli KT, et al. I-American College of Rheumatology 2012 izincomo zokusetshenziswa kwe-nonpharmacologic kanye nemithi yokwelapha e-osteoarthritis yesandla, i-hip, namadolo. I-Arthritis Care Res (i-Hoboken). 2012; 64 (4): 465-474.
Ukwelashwa kwe-Osteoarthritis ye-Knee Isiqondiso Esisekelwe EmiBhalweni Yesibili. I-American Academy Yabaqondisi Abaqondisi Abahlinzeki Bama-Orthopedic May 18, 2013.