I-Viscosupplement ibuyisela iipropati zeMpawu zoLuntu eziHlangeneyo
I-synvisc (hylan i-GF 20) i-elastic, i-viscous, high molecular weight fluid equkethe i-hylan I-fluid, i-hylan B gel, kunye namanzi etyuwa. I-hylan A kunye ne-hylan B zithathwe kwi-hyaluronan (ebizwa ngokuba yi-hyduronate ye-sodium) eyenziwa yinkomo yenkukhu. I-Hyaluronan yinto engokwemvelo efumaneka emzimbeni, ngokukodwa, ngexabiso elikhulu kumalungu.
I-hyaluronan yendalo yomzimba isebenza njenge-lubricant and shock absorber efunekayo kumsebenzi ohlangeneyo oqhelekileyo.
I-Synvisc yenye ye-hyaluronates esetyenziselwa unyango olubizwa ngokuba yi- viscosupplementation . Ngamanye amaxesha unyango lubizwa ngokuba yonyango olumanyeneyo, i-hyaluronan injection, okanye i-injection ye-hyaluronate.
Iingcaciso zeS Synvisc
Amagciwane e-synvisc avunyelwe ukunyangwa kwentlungu kwizigulane ezine- osteoarthritis zamadolo ezingaphumeleli ukuphendula unyango oluthe xaxa, olunjengama- analgesics angenayo i-narcotic okanye ukhetho lwezonyango ezingenalo unyango. Kwi-osteoarthritis, kunokubakho inani elaneleyo le-hyaluronan okanye umgangatho we-hyaluronan unokunciphisa. Ukusetyenziswa kwe-Synvisc kwamanye amalunga kuphandwa, kodwa akukavunywa.
I-Synvisc ifakwe i-Synvisc, isebenzisa isirinji equkethe i-2 ml, ngqo kwi-knee joint ukuze ubuyisele iipropati zokugcoba kunye nokuqhaqhafaza okuqhelekileyo.
Kukho omnye umkhiqizo we-Synvisc, obizwa ngokuba ngu-Synvisc-One, olawulwa njengowunye (inye-time) ye-intra-articular injection (6 ml).
Iingqungquthela ze-Synvisc - Imvelaphi
- I-Viscosupplementation iye yafundiswa unyango lwe-osteoarthritis ukususela ngo-1970.
- I-synvisc yayivunywe yi-FDA ngomhla we-08/08/97.
- Iijovisi ze-Synvisc zinikezwa njengoluhlu lweentyolo ezi-3, kanye ngeveki, enye iveki epheleleyo. I-Synvisc-One yaphuhliswa njenge-injection yexesha elilodwa, njengenye indlela eya kuluhlu lwesithathu kunye ne-Synvisc.
- Ukufumana iziphumo ezilungileyo, i-osteoarthritic synovial fluid isuswe ukusuka emadolweni ngaphambi kokuba ijoyi yokuqala.
- I-synvisc ithathwa njengonyango okanye unyango, kungekhona isiza.
Iimpawu eziPhakathi kunye neengozi
Imiphumo echaphazelekayo ehambelana ne-Synvisc injections ibandakanya intlungu kwidolo ejoyiweyo, ukuvuvukala kwidolo ejoyiweyo kunye nokuxutywa okuhlangeneyo . Ezinye iziganeko ezimbi ezinokuthi zenzeke ngezilwanyana zangaphakathi ziquka i-arthralgia (intlungu edibeneyo), ukuqina okuhlangeneyo, ukuxhamla ngokuhlangeneyo, ukuvuvukala okuhlanganyeneyo, ukufudumala okuhlangeneyo , intlungu kwisayithi yokuxilongwa, i-arthritis, i-arthropathy kunye nokungaqhelekanga.
I-Synvisc ibonakalise ezinye iziphumo ezinqabileyo eziqhelekileyo ezibandakanya ukugqithisa, ukuvuthwa, umkhuhlane, isicathulo, intloko, isisu, izifo, imisipha, i- malaise , imiba yokuphefumula, i-edema ye-peripher, kunye neqabileyo, i-thrombocytopenia (iiplatelet eziphantsi ).
Ukungqinelana kunye nezilumkiso
I-Synvisc ayifanele ifakwe kwiigulane ezine-hypersensitivity eyaziwayo kwimveliso ye-hyaluronan. Kwakhona, i-Synvisc ayifanele ijojowe ngamadolo kunye neentsholongwane ezihlangeneyo, izifo zesikhumba okanye izifo, okanye usulelo kwiindawo ezijikeleze indawo yesayiti.
I-synvisc imele isetyenziswe nje njengengeniso ye-intra-articular (ngaphakathi kokudibeneyo).
Ukuba ijojowe ngaphandle kwendibano ye-synovial tissue okanye i-capsule ehlanganyelweyo, iziganeko ezimbi zendawo okanye inkqubo ziyakwenzeka. Injectvascular injection ye-Synvisc (ibe yinqanawa yegazi) inokubangela iziganeko ezimbi kwaye zifanele zigwenywe.
Emva kwe-Synvisc injection, kucetyiswa ukuba izigulane zifanele ziphephe imisebenzi enzima okanye imisebenzi enokuthwala ixesha elide malunga neeyure ezingama-48. Xoxa ngeengcebiso ezithile malunga necala lakho kunye nogqirha wakho.
Ukhuseleko kunye nokusebenza kwe-Synvisc kwabasetyhini abakhulelweyo okanye abafazi abangabongikazi abazange basungulwe.
Ukuba unobunzima beentsiba, amaqanda, iinkukhu, okanye ezinye iimveliso ezivela kwiintaka - zazisa ugqirha wakho.
Ukuqhathanisa i-synvisc ne-Corticosteroid Injections
I-synvisc iyafana nokusebenza kweenjini zangaphandle ze- corticosteroid ezinokuqala ngokukhawuleza kodwa ixesha elifutshane elithatha inyathelo kuneS Synvisc. Iilenki eziphindaphindiweyo ze-synvisc ithathwa njengekhuselekileyo kunama-corticosteroids kwizigulane ezinama-comorbidity ezingenza ukuba i-corticosteroids ingqinelani. Kwakhona, kufuneka kuqatshelwe ukuba ukusetyenziswa kwe- NSAID kunokunciphisa kwezinye izigulane zilandela i-Synvisc injections.
Imithombo:
I-Synvisc ye-patient Information, iSanofi US.
http://products.sanofi.us/synvisc/synvisc.html
Ulwazi lweMonde lwe-Synvisc-One. Sanofi US.
http://products.sanofi.us/synviscone/synviscone.html
I-Hylan GF 20: Ukuhlaziywa koKhuseleko kunye noPhulo lwayo kwiCandelo loLawulo lweNtlungu ehlangeneyo kwi-Osteoarthritis. UMagliore A. et al. Iinkcazo zezoLonyango lwezonyango: I-Arthritis Musculoskeletal Disorders. 2010; 3: 55-68.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2998981/