Ukuphazamiseka kwe-arthroscopic noma ishout akusikiselwe i-osteoarthritis
Uma unama- knee osteoarthritis , kuyamukeleka ukuthi imithi engeyona yokuhlinza, yokuzimela iqala kuqala uma izama ukuyilawula. Uma ukwelapha okungelapheki kwehluleka, kungase kube yisikhathi sokubheka ukuhlinzwa okuhlangene. Ukuphazamiseka kwe-arthroscopic kuyindlela eyodwa yokukhetha, kodwa ochwepheshe baye bakusho ukuthi kufanele kwenziwe kuphela kwiziguli ezithile futhi ngezizathu ezifanele.
Ukuqonda ukukhishwa kwe-Arthroscopic
Kungenzeka ukuthi uzwe ukuxilongwa kwe-arthroscopic okukhulunywe ngayo emibhalweni ejwayelekile, njenge- arthroscopy , ukuhlinzwa kwe-arthroscopic, noma ukushaya ibhande. Ukukhathala kwe-arthroscopic, ngokuqondile, kuhilela ukusebenzisa izinsimbi zokuhlinza ukususa i- cartilage esonakele noma ithambo. Udokotela ohlinzayo ngokuvamile wenza inhlanzi, ebizwa ngokuthi i-joint joint, ukuze asuse noma yiziphi izinhlayiya ezungeze ukuhlanganyela okuthintekile. Uma izidumbu noma izingcezu ezivulekile zihlala ngemuva kokuhlanza, zisuswa.
Eminyakeni eminingi kakhulu edlule, ukuxilongwa kwe-arthroscopic kwakuvame kakhulu ezigulini ze-osteoarthritis ezingazange zithole usizo oluvela ekunakekeleni okungaqondakali. Kwacishe kulindelwe ukuthi udokotela angasikisela ukugoba ngamadolo ukuze abone ukuthi yini ebangela izimpawu ze-osteoarthritis ezingapheli. Kodwa ngo-2002, isihloko esashicilelwe eNew England Journal of Medicine sashintsha indlela ukuguqulwa kwe-arthroscopic kubhekwa ngayo.
Abacwaningi Ukusebenza kombuzo weDrbridement ye-Arthroscopic
Abanye bacabanga ukuthi ukuxilongwa kwe-arthroscopic kusetshenziswe ngokuxubha amanzi ohlangothini ngesikhathi sezinqubo zokuqothula amadolo amakhulu kanye nama-enzyme okuvuthayo.
Abanye bakholelwa ukuthi ukuthuthukiswa kwakungenxa yokususwa kwezingqimba zomzimba, iziqephu ezingekho emthethweni, izicubu ezinama-synovial, nama-debris okuxekethile. Kodwa kwakungacacisi ukuthi kwenzekani.
Imiphumela yokutadisha eyashicilelwa ngo-2002 yamangaza abaningi, hhayi okungenani iziguli ezafunga ukuxilongwa kwe-arthroscopic.
Abacwaningi bebeqale ukusola ukuthi ukukhishwa kwe-arthroscopic kwakungaphumelelanga kakhulu kune-placebo ngoba babengenakho incazelo yomsindo yokuthi kanjani noma kungani isebenza.
Esicwaningweni, iziguli ezingu-180 ezine-osteoarthritis yamadolo zazihanjelwe ngezikhathi ezithile ukuthola ukuxilongwa kwe-arthroscopic, ukuhlaselwa kwe-arthroscopic, noma ukuhlinzwa kwe-placebo. Ngaso sonke isikhathi lapho ucwaningo lwenza iziguli emaqenjini abathola ukuxilongwa kwe-arthroscopic noma ukulahla ubuhlungu obubi bombiko noma umsebenzi ohlangene owenziwe ngcono uma kuqhathaniswa neqembu le-placebo.
Imiphumela yocwaningo yaba nomthelela omkhulu futhi kwakukhona ukudideka ngokuthi ngubani okufanele abe nokuhlinzwa. Ingabe iziguli nezinkampani zomshuwalense bezikhokhela amabhakede amakhulu ngenqubo eyayingenakho ithonya kune-placebo?
Ukubuyekezwa kweCochrane weDibridement ye-Arthroscopic
Ukubuyekezwa koChrane kwezocwaningo eziphathelene nokukhishwa kwe-arthroscopic kwanyatheliswa ngo-2008 futhi kwanikeza ukuqonda okungaphezulu. Izilingo ezintathu ezilawulwe ngokungahleliwe, ezilawulwayo ezibandakanya iziguli ezingu-271 zifakwe ekubuyekezweni. Esinye isifundo, uma kuqhathaniswa nokuhlamba, kwakungekho umehluko ophawulekayo owatholwa ukukhathala kwe-arthroscopic. Uma kuqhathaniswa ne-placebo (ukuhlinzeka ngamakhemikhali), kwakukhona imiphumela embi kakhulu yokuhlinzeka nge-arthroscopic emavikini amabili ngenxa yobuhlungu kanye nomsebenzi, futhi akukho mandla ophawulekayo eminyakeni emibili.
Ucwaningo lwesibini lwaqhathanisa ukuxilongwa kwe-arthroscopic ngokuhlenga futhi kwaphetha ngokuthi ukuxilongwa kwe-arthroscopic kwanciphisa kakhulu ubuhlungu bamadolo eminyakeni emihlanu. Ucwaningo lwesithathu lwaqhathanisa ukuxilongwa kwe-arthroscopic kuya kwesilinki esivaliwe futhi kwaphetha ukuthi kwakungekho umehluko ophawulekayo.
Olunye ucwaningo kusukela ngaleso sikhathi selufinyelele esiphethweni esifanayo: akukhona ubufakazi obanele bokutholwa kwe-arthroscopic ukuxoxisana kuphumelela kwe-osteoarthritis yamadolo futhi akusilo ukwelashwa okunconyiwe.
Okubalulekile
I-American Academy of Orthopedic Surgeons (AAOS) ifaka iziphetho ezincomo zabo zokwelashwa nge-knee osteoarthritis.
I-AAOS ithi ayikwazi ukuphakamisa ukukhishwa kwe-arthroscopic kanye / noma ukugeza ukuphatha i-osteoarthritis. Lesi sincomo sisekelwe ikakhulu ekucwaningweni okushiwo ngenhla ka-2002, kanye nezinye izifundo ezimbili ezifanayo ezenziwa kamuva. Kodwa-ke, isincomo asisebenzi kubantu abanesifo sokuqala sokusizwa, ukungahambi kahle, noma okunye ukudabuka emadolweni kanye ne-osteoarthritis.
> Imithombo:
> I-American Academy yezi-Orthopedic Surgeons (AAOS). Ukwelashwa kwe-Osteoarthritis ye-Knee, uhlelo lwesibili: Isifinyezo sezincomo . Ishicilelwe uMeyi 18, 2013.
> Laupattarakasem W, Laopaiboon M, Laupattarakasem P, Sumananont C. Ukuguqulwa kwe-Arthroscopic ye-Osteoarthritis ye-Knee. Ukubuyekezwa kwe-Cochrane. Ishicilelwe ngoJanuwari 23, 2008.
> Mandl LA, uMartin GM. Sibutsetelo se-Surgical Therapy of Knee ne-Hip Osteoarthritis. Kusesikhathini. Kubuyekezwe ngo-Februwari 15, 2017.
> Moseley JB, O'Malley K, Petersen NJ, et al. Isivivinyo Esilawulwayo Sokuhlinzwa Kwe-Arthroscopic ye-Osteoarthritis Ye-Knee. I-New England Journal of Medicine . NgoJulayi 11, 2002; 347: 81-88. i-doi: 10.1056 / NEJMoa013259.