I-arthroscopic debridecic okanye i-worhout ayikhuthazwa kwi-osteoarthritis
Xa ugugile i-osteoarthritis , yamkelekileyo isenzo esilungelelaniswayo, esilungelelweyo sonyango sizama kuqala xa sizama ukuyilawula. Xa unyango olungapheliyo luphelile, kusenokuba ixesha lokukhangela ekusebenzisaneni ngokuhlanganyela. I-arthroscopic debridement yindlela enye yokukhetha, kodwa iingcali zicebise ukuba zenziwe kuphela kwizigulane ezithile kunye nezizathu ezifanelekileyo.
Ukuqonda i-Arthroscopic Debridement
Usenokuba uvile ukuxoxwa kwe-arthroscopic ekubhekiselelwe kuyo ngokwemiqathango epheleleyo, njenge- arthroscopy , utyando lwe-arthroscopic, okanye uguqa ngamadolo. Ukuxoxwa kwe-Arthroscopic, ngokukodwa, kubandakanya ukusetyenziswa kwezixhobo zokugqithisa ukususa i- cartilage eyonakalisiweyo okanye ithambo. Udokotela osebenza ngokugqithisileyo wenza into ekhuselayo, ebizwa ngokuba yintambo yokubambisana, ukususa nayiphi na ingcola edibaniseneyo. Ukuba izidumbu ezivulekileyo okanye iziqhekeza zihlala emva kokuhlamba, zisuswa.
Kungekho minyaka emininzi edlulileyo, ukuxubusha kwe-arthroscopic kwakuqhelekileyo kwizigulane ze-osteoarthritis ezingafumananga ukufumana uncedo olusuka kunyango olulondolozayo. Kwakulindelwe ukuba ugqirha wayeza kuphakamisa idolo ukuze abone oko kubangela iimpawu ze-osteoarthritis ezingapheliyo. Kodwa ngowama-2002, inqaku elipapashwe kwi- New England Journal of Medicine latshintshile indlela i-arthroscopic debridement ibonwa ngayo.
Abaphandi AbaPhezulu Umbuzo Umbuzo we-Arthroscopic Debridement
Abanye bacinga ukuba i-arthroscopic debridement isebenze ngokucoca umbane ngokubambisana ngexesha leenkqubo zokukhupha iidolo kunye neentlobo ze-enzyme ezinokutsha.
Abanye bakholelwa ukuba ukuphuculwa kwakubangelwa ukususwa kweenqabunga ze-cartilage, iziqhekeza ezidwenguliweyo, izicubu ze-synovial, kunye ne-debris ekhululekile. Kodwa kwakungacacanga ukuba kwenzekani.
Iziphumo ezifundwayo ezipapashwe ngo-2002 zamangalisa abaninzi, kungekhona ubuncinci kubo abagulane abafungela i-arthroscopic debridement.
Abaphandi baye baqala ukukrokra ukuba ukuxilongwa kwe-arthroscopic kwakungeyona ndlela isebenzayo kunokuba i-placebo kuba ayinaso nasiphi na isichazi somsindo malunga nendlela esenza ngayo.
Esi sifundo, izigulane ezili-180 ezine-osteoarthritis zamadolo zaye zabelwa ukuba zifumane ukuxoxwa kwe-arthroscopic, ukuhlamba i-arthroscopic, okanye ukuhlinzwa ngendawo ye-placebo. Akukho nanye ngexesha lokufunda ngabagulane kumaqela athola ukuxoxwa kwe-arthroscopic okanye ukulahla ingxelo engaphantsi kwengxelo okanye umsebenzi ohlangeneyo ophuculweyo xa kuthelekiswa neqela le-placebo.
Iziphumo zophando zinefuthe elikhulu kwaye kukho ukudideka malunga nokuba ngubani omele asebenze. Ngaba izigulane kunye neenkampani ze-inshorensi bezihlawula i-bucks enkulu kwinkqubo eyayingenasiphumo ngaphezu kwe-placebo?
Ukuhlaziywa kweCchrane ye-Arthroscopic Debridement
Ukuhlaziywa kweCochrane yophando ngokubhekiselele kwi-arthroscopic debridement kwanyatheliswa ngo-2008 kwaye yanikeza ingqiqo ngakumbi. Izilingo ezintathu, ezilawulwayo ezilawulwayo ezibandakanya izigulane ezingama-271 zibandakanyiwe ekuhlaziyweni. Kwisifundo esinye, xa kuthelekiswa nokuhlamba, akukho mvelaphi ephawulekayo efunyenwe kwi-arthroscopic debridement. Ukuqhathaniswa ne-placebo (ukutyunjwa kwe-sham), kwakukho iziphumo ezimbi kakhulu zokuhlinzwa okwenziwa nge-arthroscopic kwiiveki ezi-2 ngokweentlungu kunye nomsebenzi, kwaye akukho mfahluko omkhulu kwiminyaka emibini.
Ucwaningo lwesibini luqhathanise ukuxoxwa kwe-arthroscopic kunye nokugqithisa kwaye kugqiba ukuba ukuxoxwa kwe-arthroscopic kwanciphisa kakhulu intlungu emadolweni kwiminyaka emihlanu. Ucwaningo lwesithathu luqhathanise ukuxilongwa kwe-arthroscopic ukuya ekugqibeleni kwenaliti evalwe kwaye waphetha ukuba akukho mvelaphi ephawulekayo.
Olunye uphando ukususela ngoko luye lwafika kwisigqibo esifanayo: akukho ubungqina bonyango obaneleyo bokuthi ukuxilongwa kwe-arthroscopic kusebenza kakuhle kwi-osteoarthritis yamadolo kwaye akulona unyango olucebisiweyo.
Ngaphantsi
I-American Academy ye-Orthopedic Surgeons (AAOS) ifake izigqibo kwiingcebiso zabo zonyango kwi-knee osteoarthritis.
I-AAOS ithi ayikwazi ukuncoma ukuxoxwa kwe-arthroscopic kunye / okanye ukuhlamba ukunyanga i-osteoarthritis. Esi siphakamiso sisekelwe ngokusisiseko kwisifundo se-2002 esichazwe ngasentla, kunye nezinye izifundo ezifanayo eziqhutywe kamva. Nangona kunjalo, isincomo asisebenzisi kubantu abanokuxilongwa ngokugqithiseleyo kwendoda yokuziliba, i-body loose, okanye enye ingxube emadolweni kunye ne-osteoarthritis.
> Imithombo:
> I-American Academy ye-Orthopedic Surgeons (AAOS). Ukunyangwa kwe-Osteoarthritis ye-Knee, ukushicilelwa kwe-2: Isishwankathelo seNcomelo . Ipapashwe ngoMeyi 18, 2013.
> Laupattarakasem W, Laopaiboon M, Laupattarakasem P, Sumananont C. I-Arthroscopic Debridement ye-Osteoarthritis ye-Knee. Ukuhlaziywa kweCchrane. Ipapashwe ngoJanuwari 23, 2008.
> Mandl LA, uMartin GM. Ubume bemiSebenzi yokuThengwa kwe-Knee ne-Hip Osteoarthritis. Isemgangathweno. Ukuhlaziywa ngoFebruwari 15, 2017.
> Moseley JB, O'Malley K, Petersen NJ, et al. Uvavanyo olulawulwayo lwe-Arthroscopic Surgery ye-Osteoarthritis ye-Knee. I-New England Journal of Medicine . Julayi 11, 2002; 347: 81-88. i-doi: 10.1056 / NEJMoa013259.