Izilonda Zemvelo Zokuphulukisa Ukulimala Nokunciphisa Ukuvuvukala
I-plasma ecebile i-platelet (i-PRP eqoshiwe) iyindlela yokwelapha esetshenziselwa izimo ezihlukahlukene zomuthi wama-orthopedic. I-PRP yinkimbinkimbi yamaseli aseplatelet ethathwe egazini lakho, futhi la mapleletti anezici zokukhula ezingasiza ekuphuculeni kokulimala okungapheli . Izinto zokukhula ziyimikhemikhali ekhomba umzimba ukuthi uqale impendulo yokuphulukisa. Ngokujova i-PRP ezindaweni zokulimala, ithemba lokukhuthaza nokuthuthukisa ikhono lomzimba wakho lokuphulukisa izimo ezingapheli.
I-PRP iqukethe ukuhlunga okukhulu kwamaplatelet, amanye amaseli egazi abalulekile ekuphulukiseni, nasezikhungweni zokukhula.
Ukusetshenziswa
I-PRP isetshenziswe emakamelweni okusebenza amashumi eminyaka ambalwa ukusiza ekuphulukiseni ukulimala, nokugqugquzela amathambo okwakhiwa ekuhlinzekeni kwamagogasi . Muva nje, i-PRP isetshenziselwe izilungiselelo zokuphulukisa ukwelashwa kwezimo ezivamile zokusebenzisa izinto ezibandakanya:
Inqubo
Ama-injection ye-PRP angenziwa ehhovisi likadokotela. Inqubo ithatha imizuzu engaba ngu-30 ukuze ihoxise igazi, ichithe igazi e-centrifuge, futhi ijobe i-PRP endaweni eyalimala.
Ukuthola udokotela ohlinzeka nge-PRP injection kungaba yinselele, kodwa ngokuvamile kuvame ukwenziwa odokotela bamazinyo abagxile ekunakekeleni ukulimala kwemidlalo engapheli.
Indlela i-PRP etholakalayo ngayo
I-PRP itholakala kwisiguli eselashwa. Igazi lihoxiswa emgqeni wesandla sesiguli futhi igazi libekwa ku-centrifuge, umshini ohamba ngejubane eliphakeme ukuhlukanisa izinhlobo ezahlukene zamaseli egazi.
Udokotela uthola ingxenye ecebile yeplatelet yegazi, futhi uyalima endaweni yokulimala. Akukhona nje amaplatelet ku-ungqimba ogqamile wegazi "le-spun", kodwa futhi nezinye izici ezibalulekile zokukhula, i-plasma, namanye amangqamuzana egazi abomvu.
Indlela i-PRP efakwe ngayo
Ama-injection ye-PRP anikezwa ngokushesha nje lapho igazi likhishwe futhi amapulethi ahlukanisiwe.
Abanye odokotela bangakhetha ukwengeza "i-agent esebenzayo," ngokuvamile i-thrombin noma i-calcium chloride, kuyilapho ezinye zijova nje amaplatelet. Ucwaningo luye lwabonisa ukuthi amathenda ajojowe angavuselela i-PRP, ngakho-ke i-agent esebenzayo ingase ingadingekile.
Asikho isayensi ecacile yokufakazela inani elincane le-PRP kanye nenani lezijovo ezidingekayo. Iningi odokotela benza umjovo owodwa, nakuba ngezinye izikhathi ama-injection ye-PRP anikezwa njengesichungechunge samajova ngaphezu kwesikhashana samasonto amaningana.
Ukuphumelela
Siyazi kusukela ezifundweni ze-laboratory ukuthi i-PRP ingakusiza ukwandisa izici ezithile zokukhula ezibalulekile kwinqubo yokuphulukisa. Lokho esingasazi ukuthi lokhu kwenza noma yikuphi umehluko ekuphulukisweni lapho i-PRP ingenwa egumbini elilimale lomzimba.
Ucwaningo lwezokwelapha olwenziwe kuze kube manje alubonakali ngokucacile ukuthi i-PRP iphumelela kakhulu kunezinye izindlela zokwelashwa. Ngenkathi kukhona imibiko yamacala okuphumelela, aziwa ukuthi lezi mpumelelo ziba ngcono, noma zimbi, kunezinye izindlela zokwelashwa ezijwayelekile. Njengamanje, uphenyo luyaqhubeka ukuze lunqume ukuthi i-PRP iyasiza yini kunezinye izindlela zokwelashwa okungapheliyo.
I-PRP iboniswe ukuthi inemiphumela ethile enenzuzo yombhoxo we-tennis, ukulimala kwe-Achilles, ngisho ne-knee arthritis.
Ngeshwa, lezi zifundo ezincane ezilandela iziguli isikhathi esifushane. Ngenxa yalokhu, odokotela abaningi, futhi nakanjani izinkampani zomshuwalense, cabangela i-PRP ukuba ihlolwe. Kodwa-ke, khuluma kunoma yisiphi isiguli esiye sathola impumelelo nge-PRP, futhi bayokutshela ngokuphumelela kwalokhu ukwelashwa! Kubalulekile ukukhumbula, ngisho noma kukhona ezinye izindaba zokuphumelela nezifundo ezincane ezibonisa inzuzo, asazi ngempela ukuthi i-PRP iwufanele yini izindleko zalokhu ukwelashwa.
Okuqhamuka uma udla imishanguzo
Imiphumela emibi ayivamile, kodwa kungenzeka. Noma nini lapho inaliti efakwa esikhumbeni, ukutheleleka kungenzeka.
Olunye uhlangothi oluvame kakhulu lomphumela we-injection ye-PRP ukwanda kokuvuvukala nobuhlungu ngemva komjovo.
Ama-injection ye-PRP awavunyelwe kubantu abanezinkinga zokuphuma kwegazi, labo abaphatha imithi yokulwa ne-coagulation (isib. Coumadin ), noma labo abanomdlavuza, izifo ezisebenzayo, noma abakhulelwe.
Izindleko
Ama-injection ye-PRP awahlanganiswa nezinhlelo eziningi zomshuwalense, ngakho-ke kuvame ukukhokhela ukuhlinzeka ngale nsizakalo. Uma umshuwalense wakho ungafihli lezi zinxephezelo, ungazama ukukhalaza kumhlinzeki womshuwalense, kodwa ngenxa yokuthi kunobuncane bokufakaza kwesayensi ukusekela ukusetshenziswa kwe-PRP, amathuba okuba ukufakwa kwezimali angase aphansi.
Iningi odokotela banecala phakathi kuka-$ 500 no-$ 1,000 ngomjovo, nakuba ngizwe ngezimali ezifika ku-$ 2,500. Imali ye-injection ye-PRP iyahlukahluka kakhulu, futhi ungakwazi ukukhokhela nodokotela wakho. Nakuba kunezindleko eziningi ezihlukene zokuthola i-PRP, amahhovisi amaningi odokotela asebenzisa izinkampani ezilahlayo ezinikezwa ezinye zezinkampani ezinkulu zokuhlinzeka ngamathambo. Lezi zinkampani zibiza ama-dollar angamakhulu ambalwa, ngakho-ke kukhona ukuguquguquka okukhokhwayo, futhi kufanele uxoxe ngezinga elihle kakhulu uma uphuma ephaketheni.
Izwi elivela
Ama-injection ye-PRP abe yimbangela yokukhathalela kakhulu odokotela bama-orthopedic kanye neziguli zabo. Ukuzama ukugqugquzela impendulo yokuphulukisa emzimbeni kungaba yinselelo, futhi ama-injection ye-PRP ingaba yindlela ephumelelayo yokufeza lowo mgomo. Ngenkathi kunesidingo esithile sokusekela ukusetshenziswa kwe-PRP injection kwezinye izimo zemitholampilo, kukhona enye idatha ebuza ukuthi lokhu kuyasiza kunokwelashwa kwendabuko. Kukhona umonakalo omkhulu kuma-injection we-PRP, futhi ngokuqinisekile kuyindlela enengqondo, kodwa izindleko zalezi zijovo ngokuvamile azihlanganiswa nezinhlelo zomshuwalense. Ngicabanga ukuthi kunengqondo ukucubungula umjovo we-PRP, kodwa ngokuqinisekile akufanele kubhekwe njengendlela yokwelashwa okuphoqelekile, futhi lokhu kufanele kucatshangelwe kuphela lapho ezinye izindlela zokwelashwa ezilula, nezengeziwe ezivivinywa zizama ukuqala.
> Imithombo:
> Hsu WK, et al. "I-Plasma ecebile nge-Platelet ekusetshenzisweni kwe-Orthopedic: Izincomo ezisekelwa ngokufakazela ubufakazi" J Am Acad Orthop Surg December 2013 vol. 21 cha. 12 739-748
> I-Hall MP, et al "I-Plasma e-Platelet ecebileyo: Imiqondo yamanje kanye nesicelo semithi yezemidlalo" J Am Acad Orthop Surg, Vol 17, No 10, Okthoba 2009, 602-608.