Izinzuzo, iingozi, kunye nokulinganiselwa kwama-injection ehlangeneyo
Injini ye-intra-articular iyigama elisetyenziselwa ukuchaza i-shot shot ehanjiswe ngqo ngokubambisana nenjongo ephambili yokunciphisa intlungu. I-Corticosteroids (i-steroids) yayiyinto yokuqala yokusetyenziswa kule njongo. Ezinye iintlobo zeziyobisi ngoku zisetyenziswa ngokuqhelekileyo kubandakanya i-anesthetics yendawo, i- hyaluronic acid , kunye ne- Botox .
Injo-articular injection isinikezwa xa intlungu engaphenduliyo kunyango oluthe xaxa oluquka ukuxhatshazwa kweentlungu, izidakamizwa ezichasene nomlomo kunye nokunyanga.
Iindidi ze-Intra-Articular Injections
Injongo yeenjini zangaphakathi-articular ingahluka kwiziyobisi ezisetyenziswayo. Nangona ukuphulukana kwentlungu yinjongo eqhelekileyo, bangasetyenziselwa ukuhambisa izidakamizwa ezifana neDoxil (doxorubicin) ngqo kwi-joint joint affected by the cancer. Ziyakwazi nokuba ziindlela eziphumelelayo zokuphelisa isifo sofayo kumalungu (esaziwa ngokuba yi-fungal arthritis).
Xa zisetyenziselwa ukunciphisa intlungu, iintlobo ezahlukeneyo zonyango zisebenza ngeendlela ezahlukeneyo:
- I-Corticosteroids isebenza ngokunciphisa ukutshaya kwendawo. Bakwenza oko ngokuvimbela ukuveliswa kweeseli ezivuthayo eziveliswa ngokwemvelo ngokuphendula kwimeko eyingozi okanye imeko engapheliyo. Iingonyango ezingapheliyo ziqhelekileyo zisetyenziselwa ukunyanga i- osteoarthritis , i-gout gout, kunye ne- rheumatoid arthritis yamadolo. Nangona kunjalo, ukusetyenziswa kwexesha elide lokusetyenziswa kwe-corticosteroid kuyaziwa ngokutshabalalisa amanqaku.
- I-acid ye-Hyaluronic yinto eyenzeka ngokwemvelo efumaneka kwi-synovial fluids ehambisa ii-joints. Nge-osteoarthritis, le nto ingakwazi ukuphuka ngokukhawuleza kwaye ibangele ukunyuka kwesimo. Iinjongo ze-intra-articular zenzelwe ukwandisa i-lubrication, ukunciphisa intlungu, kunye nokuphucula uluhlu lwesilumko kwidibene. Ucwaningo lwezonyango luye lwaxutyushwa ngendlela efanelekileyo ngayo le mifanekiso.
- I-anesthetics zendawo zithunyelwa ngeenjini zangaphakathi-articular njengendlela yokuphucula intlungu emva kokuhlinzwa okwenziwa yi-arthroscopic. Kodwa ngumkhuba oye waphononongwa njengoko ubungqina bubonisa ukuba kunokunciphisa i-chondrocytes (kuphela iiseli ezitholakala kwi-cartilage) ngokudibeneyo.
- I-Botox (i-botulinum neurotoxin A) iilenki ziye zaboniswa ukubonelela intlungu enkulu kubantu abane-knee osteoarthritis. Nangona kunjalo, ukusetyenziswa okuqhubekayo kweBotox akubonakali ukuphucula okanye ukubuyisela umsebenzi womzimba wokubambisana.
- Iplasma ene-Platelet-rich (i-PRP) itholakala kwigazi elipheleleyo kwaye iqulethelethi (ii-red cells ezisezantsi ziyi-clotting) kunye negalelo legazi elibizwa ngokuba yi-plasma. Injini-articular injections ze-PRP ziye zaboniswa ukunciphisa intlungu kunye nokuphucula umsebenzi womzimba kubantu abane-osteoarthritis ngelixa bexhasa ukuhlaziywa kwe-collagen kumalungu. Abanye abantu banenzuzo ngaphezu kweminye, nangona kunjalo, kwaye uninzi aluphuculanga nganye kweso, kodwa kunokuba lube nolwazi lokunciphisa ukunyuka kwe-arthritis.
Ingqwalasela yonyango
Iimpembelelo ezibini eziphambili ezinxulumene ne-intra-articular injections zisulelo kunye nesabela kwendawo. Ezinye iziphumo zempembelelo ziyakwenzeka ngokumalunga neziyobisi ezithile okanye izinto ezijoyiweyo.
Injini-articular injections, ngokubanzi, akufuneki ithathwa njengendlela yonyango yonyango lwe-osteoarthritis okanye ezinye izifo ezidibeneyo. Imiphumo yamaninzi amachiza athambekele ekuhambeni kwexesha, kwaye igalelo elibi kumajoyina ngokwawo maxa wambi lunokuba lunzulu.
Xa zisetyenzisiwe, i-corticosteroid shots ayinikeze ngaphantsi kweenyanga ezintathu ngaphandle. Ubungakanani bokhuseleko luyahlukahluka ngohlobo lwe-steroid esetyenzisiweyo:
- I-Hydrocortisone ibuthathaka kwaye isebenza ngokufutshane.
- Amalungiselelo e-Methylprednisolone angasebenza omnye ukuya kwiiveki ezimbini.
- I-Celestone (i-betamethasone) ingasebenzela iiveki ezimbini ukuya kweebhozo.
- UKenalog noAristocort (amalungiselelo e-triamcinolone) angasebenza kwiiveki ezine ukuya kwe-16.
- I-Aristopan (enye ilungiselelo le-triamcinolone) inokuhlala iinyanga.
Ama-injection ye-Hyaluronic acid, ngokuthelekiswa, ngokuqhelekileyo ilawulwa njengechungechunge lweeditshulwa ezicwangcisiweyo kwiiveki ezintathu ukuya ezintlanu. Ngokuqhelekileyo zisetyenziselwa ukuthenga ixesha ngaphambi kokuhlinzwa ngokuguqulwa kwamadolo kubantu abangakwazi ukunyamezela i-steroids kwaye abazange bafumane ukufumana imiphumo emilonyeni yomlomo.
I-Botox, okwangoku, ibonakala ibangela umonakalo omncinci kwi-cartilage, ineziphumo ezimbalwa zecala, kwaye ibonakala iyasebenza ekuphatheni imeko ezinzima ze-osteoarthritis.
Xa kuthethwa oko, akukho mvumelwano ecacileyo malunga nokusetyenziswa okufanelekileyo. Iziphumo zonyango zingahlala ixesha elide kwiiveki ezili-12 kwabanye abantu kwaye zifutshane nje ngeeveki ezine kwabanye.
I-PRP ayinayo imiphumo emibi eyaziwayo, kodwa ukusebenza kwayo kuyahluka kakhulu kumntu kumntu. Iintlawulo zonyango zinokuhlala phi kwiinyanga ezintandathu ukuya kwisithoba.
Imithombo:
> Evans, C .; Krause, V .; kunye ne-Setton, L. "Inkqubela kwindlela yokwelapha intra-articular." Nat Rev Rheumatol. 2014; 10 (1): 11-22.