Ixesha elilindelekileyo lokuSebenza kwePlatelet Rich Plasma (PRP) yoNyango emva kweSicelo

Ngenkqubela yoluntu, abantu abaninzi ngakumbi banikela ingqalelo kwimithambo.Ukuzilolonga okungekho ngokwenzululwazi kwenza imisipha yethu, amalungu kunye nemigqa inganyamezeleki.Isiphumo sinokuba yingozi yoxinzelelo, njenge-tendonitis kunye ne-osteoarthritis.Ukuza kuthi ga ngoku, abantu abaninzi baye beva nge-PRP okanye i-platelet-rich plasma.Nangona i-PRP ayilonyango lomlingo, ibonakala iyasebenza ekunciphiseni intlungu kwiimeko ezininzi.Njengolunye unyango, abantu abaninzi bafuna ukwazi uluhlu lwexesha lokubuyisela emva kwesitofu se-PRP.

Inaliti ye-PRP isetyenziselwa ukuzama ukunyanga ukulimala kwamathambo kunye nezifo eziphazamisayo, ezifana ne-osteoarthritis kunye nesifo samathambo.Abantu abaninzi bakholelwa ukuba i-PRP inokunyanga i-osteoarthritis yabo.Kukho ezinye izinto ezininzi zokungaqondi malunga nokuba yintoni i-PRP kunye nokuba yintoni enokuyenza.Emva kokuba ukhethe inaliti ye-PRP, kuya kuba nemibuzo emininzi malunga nezinga lokubuyisela i-PRP okanye i-platelet-rich plasma emva kwesitofu.

I-injection ye-PRP (i-plasma ene-platelet-rich) yindlela yonyango eyongezelelekileyo yonyango, ukubonelela ngeendlela zonyango kwizigulane ezininzi ezinokulimala kwamathambo kunye nezifo.I-PRP ayilona unyango lomlingo, kodwa lunempembelelo yokunciphisa intlungu, ukunciphisa ukuvuvukala nokuphucula umsebenzi.Siza kuxoxa ngeendlela ezinokuthi zisetyenziswe ngezantsi.

Yonke inkqubo ye-PRP ithatha malunga nemizuzu eyi-15-30 ukusuka ekuqaleni ukuya ekupheleni.Ngethuba lokutofa kwe-PRP, igazi liya kuqokelelwa kwingalo yakho.Faka igazi kwi-tube ye-centrifuge ekhethekileyo, uze uyibeke kwi-centrifuge.IiCentrifuges zahlula igazi libe ngamacandelo ahlukeneyo.

Umngcipheko wenaliti ye-PRP uphantsi kakhulu kuba ufumana igazi lakho.Ngokuqhelekileyo asifaki nawaphi na amachiza kwinaliti ye-PRP, ngoko ke uya kutofa inxalenye yegazi kuphela.Uninzi lwabantu luya kuziva lubuhlungu emva kotyando.Abanye abantu baya kuyichaza njengentlungu.Intlungu emva kwesitofu se-PRP iya kwahluka kakhulu.

Inaliti ye-PRP edolweni, ehlombe okanye engqinibeni idla ngokubangela ukudumba okuncinci kunye nokungonwabi.Ukutofa i-PRP kwizihlunu okanye kwii-tendon ngokuqhelekileyo kubangela intlungu ngaphezu kwenaliti edibeneyo.Oku kuphazamiseka okanye intlungu ithatha iintsuku ezi-2-3 okanye ngaphezulu.

Uyilungiselela njani inaliti ye-PRP?

Ngethuba lokutofa kwe-PRP, iiplatelet zakho ziya kuqokelelwa kwaye zifakwe kwindawo eyonakeleyo okanye eyonzakeleyo.Ezinye iziyobisi zinokuchaphazela ukusebenza kweplatelet.Ukuba uthatha i-aspirin kwimpilo yentliziyo, unokufuna ukubonisana ne-cardiologist okanye ugqirha wakho wokunyamekela.

I-Aspirin, i-Merrill Lynch, i-Advil, i-Alleve, i-Naproxen, i-Naproxen, i-Celebrex, i-Mobik kunye ne-Diclofenac yonke iphazamisa umsebenzi weplatelet, nangona iya kunciphisa ukusabela kwi-injection ye-PRP, kucetyiswa ukuba uyeke ukuthatha i-aspirin okanye ezinye izidakamizwa ezichasayo kwiveki enye ngaphambi kunye neeveki ezimbini emva kokutofa.I-Tylenol ayiyi kuchaphazela umsebenzi weplatelet kwaye ingathathwa ngexesha lonyango.

Unyango lwe-PRP lusetyenziselwa ukunyanga iintlungu kunye nokuvuvukala kwamadolo, i-elbow, igxalaba kunye ne-hip osteoarthritis.I-PRP inokuba luncedo kukulimala okuninzi kwezemidlalo, kubandakanya:

1) Ukukrazula kwe-meniscus

Xa sisebenzisa i-suture ukulungisa i-meniscus ngexesha lotyando, sidla ngokujova i-PRP malunga nendawo yokulungisa.Ingcamango yangoku kukuba i-PRP inokuphucula amathuba okuphilisa i-meniscus elungisiweyo emva kwe-suture.

2) Ukulimala komkhono wamagxa

Abantu abaninzi abane-bursitis okanye ukuvuvukala kwe-rotator cuff banokuphendula kwi-injection ye-PRP.I-PRP inokunciphisa ngokuthembekileyo ukuvuvukala.Le njongo ephambili ye-PRP.Ezi zitofu azikwazi ngokuthembekileyo ukunyanga iinyembezi ze-rotator cuff.Njenge-meniscus izinyembezi, sinokujova i-PRP kule ndawo emva kokulungisa i-rotator cuff.Ngokufanayo, kukholelwa ukuba oku kunokuphucula amathuba okuphilisa i-rotator cuff tear.Ukungabikho kwe-bursitis enenxeba, i-PRP inokuthi ikhulule ngokufanelekileyo intlungu ebangelwa yi-bursitis.

3) I-osteoarthritis yamadolo

Enye yezona zinto ziqhelekileyo zokusetyenziswa kwe-PRP kukunyanga intlungu ye-knee osteoarthritis.I-PRP ayiyi kuguqula i-osteoarthritis, kodwa i-PRP inokunciphisa intlungu ebangelwa yi-osteoarthritis.Eli nqaku lizisa inaliti ye-PRP ye-knee arthritis ngokubanzi.

I-4) Ukulimala kwe-Knee joint ligament

I-PRP ibonakala iluncedo kukulimala kwe-medial collateral ligament (MCL).Uninzi lwamanxeba e-MCL aziphilise kwiinyanga ezi-2-3.Olunye ukonzakala kwe-MCL lunokuba lungapheliyo.Oku kuthetha ukuba bonzakele ixesha elide kunokuba besilindele.Inaliti ye-PRP inokunceda i-MCL ikrazule iphile ngokukhawuleza kwaye inciphise intlungu yokukrala okungapheliyo.

Igama elingapheliyo lithetha ukuba ixesha lokudumba kunye nokudumba lide kakhulu kunexesha elilindelekileyo lokubuyisela.Kule meko, inaliti ye-PRP ibonakaliswe ukuphucula ukuphiliswa kunye nokunciphisa ukuvuvukala okungapheliyo.Ezi zitofu ezibuhlungu kakhulu.Kwiiveki ezisemva kokutofa, uninzi lwenu luya kuziva lubi ngakumbi kwaye luqine ngakumbi.

Olunye usetyenziso olunokwenzeka lwenaliti ye-PRP lubandakanya:

Ingqiniba yethenisi: ulnar collateral ligament ukulimala kwengqiniba.

I-Ankle sprain, i-tendonitis kunye ne-ligament sprain.

Ngokusebenzisa unyango lwe-PRP, igazi lesigulane liyakhutshwa, lihlulwe kwaye liphinde lifakwe kumalungu awonzakeleyo kunye nezihlunu zokunciphisa intlungu.Emva kokutofa, iiplatelet zakho ziya kukhupha izinto ezithile zokukhula, ezihlala zikhokelela ekuphiliseni nasekulungisweni kwezicubu.Yiyo loo nto kunokuthatha ixesha ukubona iziphumo emva kokutofa.Iiplatelet esizitofayo aziyi kunyanga ngokuthe ngqo izicubu.IiPlatelets zikhupha iikhemikhali ezininzi ukubiza okanye ukuhambisa ezinye iiseli zokulungisa kwindawo eyonakeleyo.Xa iiplatelets zikhupha imichiza yazo, zibangela ukudumba.Oku kuvutha kwakhona isizathu sokuba i-PRP inokulimala xa ijojowe kwii-tendon, imisipha kunye nemigqa.

I-PRP ekuqaleni ibangela ukuvuvukala okukhulu ukunyanga ingxaki.Oku kudumba okuqatha kunokuhlala iintsuku ezininzi.Kuthatha ixesha ukuba iiseli zokulungisa eziqeshiweyo zifike kwindawo eyonzakeleyo kwaye ziqalise inkqubo yokulungisa.Kwiinzakala ezininzi ze-tendon, kunokuthatha iiveki ze-6-8 okanye ixesha elide ukubuyisela emva kokutofa.

I-PRP ayiyiyo i-panacea.Kwezinye izifundo, i-PRP ayizange incede i-tendon ye-Achilles.I-PRP inokunceda okanye ayinakunceda ipatellar tendinitis (verbose).Amanye amaphepha ophando abonisa ukuba i-PRP ayikwazi ukulawula ngokufanelekileyo intlungu ebangelwa yi-patellar tendinitis okanye idolo lokuxhuma.Abanye oogqirha bachaza ukuba i-PRP kunye ne-patellar tendinitis zaphathwa ngempumelelo - ngoko ke, asinayo impendulo yokugqibela.

Ixesha lokubuyisela i-PRP: Ndingalindela ntoni emva kokutofa?

Emva kwesitofu esidibeneyo, isigulane sinokufumana iintlungu malunga neentsuku ezimbini ukuya kwezintathu.Abantu abafumana i-PRP ngenxa yokulimala kwezicubu ezithambileyo (i-tendon okanye i-ligament) banokuba neentlungu iintsuku eziliqela.Basenokuziva beqinile.I-Tylenol idla ngokusebenzayo ekulawuleni intlungu.

Iipilisi zentlungu ezichazwe ngugqirha azifane zifuneke.Izigulane zihlala zithatha iintsuku ezimbalwa emva konyango, kodwa oku akuyomfuneko kwaphela.Uncedo lweentlungu ludla ngokuqala kwiiveki ezintathu ukuya kwezine emva kokutofwa kwe-PRP.Iimpawu zakho ziya kuqhubeka ziphucuka kwiinyanga ezintathu ukuya kwezintandathu emva kokutofwa kwe-PRP.Uluhlu lwexesha lokubuyisela luyahluka ngokuxhomekeke kwinto esiyinyangayo.

Iintlungu okanye ukungonwabi kwe-osteoarthritis kudla ngokukhawuleza kunentlungu ehambelana nee-tendon (ezifana ne-tennis elbow, i-golf elbow okanye i-patellar tendinitis).I-PRP ayilungile kwiingxaki ze-tendon ze-Achilles.Ngamanye amaxesha ukusabela kwamalungu e-arthritis kwezinaliti kukhawuleza kakhulu kunoko kunyangwa nge-tendinitis.

Kutheni i-PRP endaweni ye-cortisone?

Ukuba uphumelele, i-PRP idla ngokuzisa isiqabu esihlala sihleli

Ngenxa yokuba izicubu ezithambileyo eziwohlokayo (i-tendon, ligaments) zisenokuba sele ziqalise ukuhlaziya okanye ukuzihlaziya.Iiprotheyini ze-Bioactive zinokuvuselela ukuphilisa kunye nokulungiswa.Uphando olutsha lubonisa ukuba i-PRP isebenza ngakumbi kunenaliti ye-cortisone - inaliti ye-cortisone inokugquma ukudumba kwaye ayinakukwazi ukuphilisa.

I-Cortisone ayinayo impawu zokuphilisa kwaye ayikwazi ukudlala indima yexesha elide, ngamanye amaxesha ibangela umonakalo omkhulu wezicubu.Kutshanje (2019), ngoku kukholeleka ukuba inaliti ye-cortisone inokubangela ukonakala kwe-cartilage, enokuthi ibe mandundu i-osteoarthritis.

(Imixholo yeli nqaku ishicilelwe, kwaye asiboneleli nasiphi na isiqinisekiso esicacileyo okanye esichaziweyo sokuchaneka, ukuthembeka okanye ukugqibelela kokuqulathwe kweli nqaku, kwaye abanaxanduva ngezimvo zeli nqaku, nceda uqonde.)