HA-PRP Tube
Tsanangudzo Pfupi:
PRP-HA KIT inyanzvi yakatsanangurwa patsva mune aesthetic, gynecological uye andrological mushonga unosanganisa maviri ekurapa pfungwa mune imwe kune yakasikwa mhedzisiro.
Osteoarthritis (OA) chimwe chezvirwere zvakanyanya kurema pasi rese.Hudyu ndiyo yechipiri inonyanya kuzivikanwa nzvimbo yeOA kuseri kwemabvi.Yakawanda hip OA ndiyo yekutanga, kunyangwe ichigona kusanganisirwa nezvimwe zvirwere zvehudyu zvevana kana zvimwe zvinhu zvine njodzi sekuwedzera zera, kufutisa nemitambo ine chekuita zvakanyanya.Ruzhinji rwevarwere vanozotaura kusinganzwisisike kwekuwedzera kwehudyu kurwadziwa pasina kukuvara kwakajeka.Kuongororwa kunoitwa nyore nyore pane radiographs.
CASE VIGNETTE
Uri kurapa ane makore makumi mashanu nerimwe ekuberekwa mutambi ane hudyu osteoarthritis.Ari kubvunza nezve sarudzo dzisiri dzekuvhiya sezvo ari kuda kuenderera mberi achimhanya.Ndechipi chezvinotevera chisingatariswe semutsetse wekutanga kurapwa?
A) Physical Therapy
B) NSAIDs
C) Intra-articular jekiseni
D) Shangu dzakakodzera
Vanyori vechidzidzo ichi vakaita ongororo yakarongeka uye meta-analysis yezvidzidzo zviripo kuenzanisa idzi nzira ina dzekurapa (CS, HA, PRP, NS).Zvidzidzo zvinokodzera zvinofanirwa kuve zvakarongeka zvakadzorwa miedzo inoongorora kushanda kweCS, HA, PRP uye placebo (NS) kune varwere vane hudyu OA.Pakupedzisira, vaisanganisira 11 RCTs inosanganisira 1353 varwere.Chaizvoizvo, vakagumisa kuti pakanga pasina mutsauko pakati peNS, CS, PRP uye HA yehudyu OA pa2, 4 uye 6 mwedzi.Izvi zvaive zvechokwadi kune zvese zvakaderera- uye zvakakwirira molecular uremu HA.
Ichi chidzidzo chaive network meta-analysis yaingosanganisira nhanho 1 humbowo hunobatsira chaizvo muverengi kutora mhedziso nezve kuenzanisa kushanda.Vakatevera Cochrane nePRISMA nhungamiro.Kukanganisa kunosanganisira (zvishoma) saizi diki yemuenzaniso uye kuti vanyori havana kuenzanisa majekiseni eIA kune mamwe maitiro ekusashanda manejimendi.Izvo zvakare hazviratidzike kusiyanisa pakati pezvikamu zvakasiyana zvehudyu OA uko manejimendi, kusanganisira majekiseni eIA, anogona kusiyanisa zvakanyanya.
Ichi chidzidzo chakasimba chinopa level 5 humbowo hwekutarisira hip OA.Hazvirevi kuti CS, PRP uye HA hazvishande, asi kuti pakanga pasina misiyano yakakosha kana ichienzaniswa neNS pa2, 4 uye 6 mwedzi.IA majekiseni anoramba ari chikamu che multimodal manejimendi yeasina-kuvhiya hudyu OA.Panogona kunge paine imwe nzvimbo yekutsvagisazve pano sekuwanda kwemajekiseni, misanganiswa yemajekiseni uye tichifunga nezvemhedzisiro yeanesthetics yemunzvimbo (iyo inozivikanwawo sechondrotoxic).
