Nekufambira mberi kwevanhu, vanhu vakawanda vanoteerera kurovedza muviri.Kurovedza muviri kusiri kwesainzi kunoita kuti tendon, majoini nemarunda edu asatsungirike.Mhedzisiro yacho inogona kunge iri kukuvara kwekushushikana, senge tendonitis uye osteoarthritis.Kusvika ikozvino, vanhu vazhinji vakanzwa nezvePRP kana platelet-rich plasma.Kunyange zvazvo PRP isiri mishonga yemashiripiti, inoita seinoshanda mukuderedza marwadzo muzviitiko zvakawanda.Kufanana nemamwe marapirwo, vanhu vazhinji vanoda kuziva nguva yekudzosa mushure mejekiseni rePRP.
PRP jekiseni rinoshandiswa kuyedza kurapa kwakasiyana kwakasiyana kukuvara kwemapfupa uye zvirwere zvinopera, senge osteoarthritis uye arthritis.Vanhu vazhinji vanotenda kuti PRP inogona kurapa osteoarthritis yavo.Pane kumwe kusanzwisisana kwakawanda pamusoro pekuti PRP chii uye kuti chii chinogona kuita.Kana ukangosarudza jekiseni rePRP, pachava nemibvunzo yakawanda pamusoro pehuwandu hwekudzorera kwePRP kana kuti platelet-rich plasma mushure mejekiseni.
PRP jekiseni (platelet-rich plasma) inzira inowedzera yakajairika yekurapa, inopa nzira dzekurapa kune vakawanda varwere vane kukuvara kwemapfupa uye zvirwere.PRP haisi mishonga yemashiripiti, asi ine mhedzisiro yekuderedza marwadzo, kuderedza kuzvimba nekuvandudza basa.Tichakurukura zvinogona kushandiswa pasi apa.
Iyo yese PRP chirongwa inotora anenge 15-30 maminetsi kubva pakutanga kusvika kumagumo.Munguva yePRP jekiseni, ropa richatorwa kubva muruoko rwako.Isa ropa mune imwe yakasarudzika centrifuge chubhu, wozoisa mu centrifuge.Centrifuges inoparadzanisa ropa muzvikamu zvakasiyana-siyana.
Ngozi yePRP jekiseni yakaderera zvikuru nokuti uri kugamuchira ropa rako pachako.Isu kazhinji hatiwedzeri chero mishonga kune PRP jekiseni, saka iwe unongopinza chikamu cheropa.Vanhu vazhinji vanozonzwa kurwadziwa mushure mekuvhiyiwa.Vamwe vanhu vanozozvitsanangura sekurwadziwa.Marwadzo mushure mePRP jekiseni achasiyana zvakanyanya.
PRP jekiseni mumabvi, pfudzi kana gokora rinowanzokonzera kuzvimba kushoma uye kusagadzikana.Kubaya PRP mumhasuru kana tendon kunowanzokonzera marwadzo akawanda kupfuura jekiseni rejoint.Uku kusagadzikana kana kurwadziwa kunogara kwemazuva 2-3 kana kupfuura.
Nzira yekugadzirira sei jekiseni rePRP?
Munguva yePRP jekiseni, maplatelet ako achaunganidzwa uye akabayiwa munzvimbo yakakuvadzwa kana yakakuvadzwa.Mimwe mishonga inogona kukanganisa kushanda kweplatelet.Kana iwe ukatora aspirin yehutano hwemoyo, ungangoda kubvunza chiremba wemwoyo wako kana chiremba wekutanga wekuchengeta.
Aspirin, Merrill Lynch, Advil, Alleve, Naproxen, Naproxen, Celebrex, Mobik uye Diclofenac zvose zvinokanganisa basa replatelet, kunyange zvazvo zvichaderedza maitiro ePRP injection, zvinokurudzirwa kurega kutora aspirin kana mamwe mishonga inorwisa-kupisa vhiki imwe chete isati yasvika. uye mavhiki maviri mushure mejekiseni.Tylenol haizokanganisa platelet basa uye inogona kutorwa panguva yekurapa.
PRP therapy inoshandiswa kurapa kurwadziwa uye kuzvimba kwemabvi, gokora, pfudzi uye hip osteoarthritis.PRP inogonawo kubatsira kune dzakawanda dzakanyanya kushandiswa kukuvara kwemitambo, kusanganisira:
1) Meniscus kubvarura
Apo patinoshandisa suture kugadzirisa meniscus panguva yekuvhiyiwa, tinowanzobaya PRP kumativi ekugadzirisa nzvimbo.Ikozvino pfungwa ndeyokuti PRP inogona kuvandudza mikana yekuporesa meniscus yakagadziriswa mushure me suture.
2) Kukuvara kwepafudzi
Vanhu vazhinji vane bursitis kana rotator cuff kuzvimba vanogona kupindura jekiseni rePRP.PRP inogona kutendeseka kuderedza kuzvimba.Ichi ndicho chinangwa chikuru chePRP.Majekiseni aya haakwanise kurapa misodzi ye rotator cuff.Kufanana ne meniscus kubvarura, tinogona kuisa PRP munzvimbo ino mushure mekugadzirisa mutsara we rotator.Saizvozvowo, zvinotendwa kuti izvi zvinogona kuvandudza mikana ye rotator cuff kubvarura kuporesa.Mukushaikwa kwelacerated bursitis, PRP inogona kazhinji kubvisa zvinobudirira marwadzo anokonzerwa nebursitis.
3) Knee osteoarthritis
Imwe yeanonyanya kushandiswa kwePRP ndeyekurapa marwadzo emabvi osteoarthritis.PRP haizodzose osteoarthritis, asi PRP inogona kuderedza marwadzo anokonzerwa neosteoarthritis.Ichi chinyorwa chinozivisa jekiseni rePRP remabvi arthritis mune zvakadzama.
4) Knee joint ligament kukuvara
PRP inoratidzika seyakakosha pakukuvadzwa kweiyo medial collateral ligament (MCL).Vazhinji kukuvara kweMCL vanozviporesa mukati memwedzi 2-3.Kumwe kukuvara kweMCL kunogona kuve kusingagumi.Izvi zvinoreva kuti vakuvadzwa kwenguva yakareba kupfuura yataitarisira.Jekiseni rePRP rinogona kubatsira MCL kubvarura kupora nekukurumidza uye kuderedza marwadzo ekuchema kusingaperi.
Izwi rekuti chisingaperi rinoreva kuti nguva yekuzvimba nekuzvimba yakareba kupfuura avhareji inotarisirwa kupora nguva.Muchiitiko ichi, jekiseni rePRP rakaratidza kuvandudza kupora uye kuderedza kuzvimba kusingaperi.Izvi zvinoitika kuva majekiseni anorwadza zvikuru.Mumavhiki mushure mejekiseni, vazhinji venyu vanozonzwa zvakanyanya uye nekuoma.
Zvimwe zvinogona kushandiswa zvePRP jekiseni zvinosanganisira:
Tennis elbow: ulnar collateral ligament kukuvara kwegokora.
Ankle sprain, tendonitis uye ligament sprain.
Kuburikidza nePRP therapy, ropa remurwere rinotorwa, rakaparadzaniswa uye rinoiswazve mumajoini akakuvara uye tsandanyama kuti abvise marwadzo.Mushure mejekiseni, maplatelet ako anoburitsa chaiwo kukura zvinhu, izvo zvinowanzo tungamira mukupora kwetishu uye kugadzirisa.Ichi ndicho chikonzero zvingatora nguva kuti uone mhedzisiro mushure mejekiseni.Maplatelet atinopinza haazorapi matishu acho zvakananga.Maplatelet anoburitsa makemikari mazhinji kudaidza kana kuendesa mamwe maseru ekugadzirisa kunzvimbo yakakuvadzwa.Apo maplatelet anobudisa makemikari awo, anokonzera kuzvimba.Uku kuzvimba ndicho chikonzero nei PRP ichigona kukuvadzwa kana ichiiswa mumatendon, tsandanyama nemarunda.
PRP pakutanga inokonzera kuzvimba kwakanyanya kurapa dambudziko.Uku kuzvimba kwakanyanya kunogona kugara kwemazuva akati wandei.Zvinotora nguva kuti masero ekugadzirisa akanyorerwa asvike panzvimbo yakakuvadzwa uye atange maitiro ekugadzirisa.Pakukuvadzwa kwematendon akawanda, zvinogona kutora mavhiki e6-8 kana kupfuura kuti apore mushure mejekiseni.
PRP haisi panacea.Mune zvimwe zvidzidzo, PRP haina kubatsira Achilles tendon.PRP inogona kana kusabatsira patellar tendinitis (verbose).Mamwe mapepa ekutsvakurudza anoratidza kuti PRP haigoni kudzora zvinobudirira marwadzo anokonzerwa nepatellar tendinitis kana kusvetuka ibvi.Vamwe vanachiremba vakashuma kuti PRP uye patellar tendinitis zvakabudirira kurapwa - saka, hatina mhinduro yekupedzisira.
PRP kupora nguva: Chii chandingatarisira mushure mejekiseni?
Mushure mejekiseni rekubatana, murwere anogona kunzwa kurwadziwa kwemazuva maviri kusvika matatu.Vanhu vanogamuchira PRP nekuda kwezvinyoro zvinyoro (tendon kana ligament) kukuvara vanogona kurwadziwa kwemazuva mazhinji.Vanogonawo kunzwa kuoma.Tylenol inowanzoshanda mukudzora marwadzo.
Mishonga inonyaradza marwadzo haiwanzodiwa.Varwere vanowanzotora mazuva mashomanana mushure mekurapa, asi izvi hazvidi zvachose.Kunyaradza kurwadziwa kunowanzotanga mukati memavhiki matatu kusvika mana mushure mejekiseni rePRP.Zviratidzo zvako zvicharamba zvichivandudza mukati memwedzi mitatu kusvika kumitanhatu mushure mejojo yePRP.Nguva yekudzorera inosiyana zvichienderana nezvatiri kurapa.
Marwadzo kana kusagadzikana kweosteoarthritis kunowanzo kukurumidza kupfuura kurwadziwa kunoenderana nematendon (senge tennis gokora, gorofu kana patellar tendinitis).PRP haina kunaka kune Achilles tendon matambudziko.Dzimwe nguva kuita kwemajoini eArthritis kumajekiseni aya kunokurumidza kupfuura kwevarwere vanorapwa netendonitis.
Sei PRP pane cortisone?
Kana ikabudirira, PRP inowanzounza zororo risingaperi
Nokuti degenerative soft tissues (tendon, ligaments) angave atanga kuvandudza kana kuzvigadzirisa.Bioactive mapuroteni anogona kukurudzira kupora uye kugadzirisa.Tsvagiridzo nyowani inoratidza kuti PRP inoshanda kupfuura jekiseni re cortisone - jekiseni re cortisone rinogona kuvhara kuzvimba uye harina kugona kuporesa.
Cortisone haina hunhu hwekuporesa uye haigone kuita basa renguva refu, dzimwe nguva ichikonzera kukuvara kwematishu.Munguva pfupi yapfuura (2019), iko zvino kwave kudavirwa kuti jekiseni recortisone rinogona kukonzera kukuvara kwekashwa, izvo zvinogona kuwedzera osteoarthritis.
(Zviri muchinyorwa ichi zvakadhindwa patsva, uye isu hatipe chero vimbiso yechokwadi, kuvimbika kana kuzara kwezviri muchinyorwa chino, uye hatina mhosva yemafungiro echinyorwa ichi, ndapota nzwisisa.)
Nguva yekutumira: Jan-19-2023