Izilwanyana Zendalo Ukuphulukisa Imonakalo nokunciphisa Ukuvutha
I-Platelet i-plasma eyityebi (i-PRP echanekileyo) yonyango esetyenziselwa iintlobo ezahlukahlukeneyo zomzimba wama-orthopedic. I-PRP yinkxalabo yeeseli zeplatelet ezithathwe kwigazi lakho, kwaye ezi iplatelet zinezinto zokukhula ezinokunceda kwinkqubo yokuphulukisa yokulimala okungapheliyo . Izinto zokukhula ziyimichiza ebonisa ukuba umzimba uqalise impendulo yokuphilisa. Ngokufakela i-PRP kwiindawo zokulimala, ithemba likhuthaza nokuphucula amandla omzimba wakho wokuphilisa izimo ezingapheliyo.
I-PRP iqulethe ukuxubusha okukhulu kweeplatelet, ezinye iiseli zegazi ezibalulekileyo ekuphiliseni, kunye nokukhula.
Ukusetyenziswa
I-PRP isetyenziselwe kumagumbi okusebenza iminyaka emininzi ukunceda ukuphulukiswa kwilonda, kunye nokuvuselela amathambo ekusebenzeni ngophahla . Kungekudala, i-PRP isetyenziswe kwizicwangciso zonyango zokunyanga kweemeko ezixhaphakileyo ezibandakanya:
Inkqubo
Iiprojekiti ze-PRP zenziwa kwiofisi yonyango. Inqubo ithatha malunga nemizuzu engama-30 ukwenzela ukuba ihoxise igazi, ichithe igazi kwi-centrifuge, kwaye ijobe i-PRP kwindawo eyalimalayo.
Ukufumana ugqirha onika ii-injection ze-PRP kunokuba ngumngeni, kodwa ngokuqhelekileyo oku kunikwa ngamagqirha emathambo abanobuchule bokukhathazeka kwezemidlalo ezingapheliyo.
I-PRP ifunyenwe njani
I-PRP ifumaneka kwisigulane esiphathwe. Igazi lihoxiswa kwisisu emlonyeni wesigulane kwaye igazi lifakwa kwi-centrifuge, umatshini ojikeleza ngesivinini esiphezulu ukuhlula iintlobo ezahlukeneyo zeeseli zegazi.
Ugqirha uthabatha isahlulo esityebi seplatelet yegazi, kwaye uyalungisa le ndawo kwindawo yokulimala. Akukho nje iiplatelet kwindawo egciniweyo yegazi "spun", kodwa kunye nezinye izinto ezibalulekileyo zokukhula, i-plasma kunye namanye amangqamuzana egazi obomvu.
Indlela i-PRP ifakwe ngayo
Iijoyi ze-PRP zinikezwa ngokukhawuleza xa igazi liye lahlulwa kwaye iiplatelets zahlukana.
Abanye oogqirha bangakhetha ukongeza "i-arhente esebenzayo," ngokuqhelekileyo i-thrombin okanye i-calcium chloride, ngelixa ezinye zifaka iiplatelets. Izifundo zibonise ukuba i-tendon ejoyiweyo inokuphinda isebenze i-PRP, ngoko ke i-arhente esebenzayo ayinakuyimfuneko.
Akukho nzululwazi ecacileyo ukulinganisa ubuninzi be-PRP kunye nenani leenjini ezifunekayo. Uninzi lwagqirha lenza injini enye, nangona ngamanye amaxesha ijoyilelo ze-PRP zinikezwa njengengqungquthela yeelenki ngaphezu kweentsuku ezimbalwa.
Impumelelo
Siyazi ukusuka kwiinkalo zee-laboratory ukuba i-PRP inokukunceda ukwandisa izinto ezithile zokukhula ezibalulekileyo kwinkqubo yokuphilisa. Into esingaziyo ukuba oko kwenza nantoni na ukuphilisa xa i-PRP ijojowe kwinxalenye eyillekileyo yomzimba.
Ucwaningo lwezonyango oluye lwenziwe kude kube lula ukuba lubonakalise ukuba i-PRP iphumelele ngakumbi kunamanye unyango. Nangona kukho iingxelo zeemeko zempumelelo, awaziwa ukuba ezi mpu melelo zibhetele, okanye zibi ngakumbi, kunamanye unyango oluqhelekileyo. Okwangoku, uphando luyaqhubeka ukuqinisekisa ukuba i-PRP iyanceda ngakumbi kunezinye iindlela zonyango lwe-tendonitis engapheliyo.
I-PRP iboniswe ukuba ibe nemiphumo enenzuzo yelenki ye-tennis, ukulimala kwe-Achilles, kunye ne-knee arthritis.
Ngelishwa, ezi zifundo ezincinci ezilandela izigulane ngexesha elifutshane. Ngenxa yoko, uninzi oogqirha, kwaye ngokuqinisekileyo iinkampani ze-inshorensi, qwalasela i-PRP ukuba uvavanyo. Nangona kunjalo, thetha nawuphi na isigulane ofumene impumelelo nge-PRP, kwaye baya kukuxelela ngokuphumelela le nyango! Kubalulekile ukukhumbuza, nangona kukho iindaba eziyimpumelelo kunye nezifundo ezincinci ezibonisa inzuzo, asiyazi ukuba i-PRP iyayixabisa indleko yale nyango.
Imiphumela
Iziphumo eziqhelekileyo aziqhelekanga, kodwa zinokwenzeka. Nanini na inaliti ifakwe ngesikhumba, usulelo luya kwenzeka.
Esinye isiphumo esivamekileyo sesinye se-injection ye-PRP kukunyuka ukuvuvukala kunye nentlungu emva kwejojo.
Iinjongo ze-PRP azinconywa kubantu abaneentsholongwane eziphaphayo, abo bathatha imithi yokulwa ne-coagulation (umzekelo, i- Coumadin ), okanye abo abanomdlavuza, abagulayo okanye abakhulelweyo.
Iindleko
Iiprojekiti ze-PRP azihlanganiswa zicwangciso ezininzi ze-inshorensi, ngoko ke kukho imirhumo yokubonelela le nkonzo. Ukuba i-inshorensi yakho ayigqubuthele la ma-injections, unokuzama ukukhenkcela umniki-inshurensi, kodwa kuba kukho ubungqina obuncinci besayensi ukuxhasa ukusetyenziswa kwe-PRP, amathuba okubhengezwa aphantsi.
Uninzi lwamagqirha ahlawulisa phakathi kwama-$ 500 kunye ne-$ 1,000 ngomjovo, nangona ndivile ngeemali eziya kwi-$ 2,500. Imirhumo ye-injection ye-PRP iyahluka ngokubanzi, kwaye unokukwazi ukuhlawula umvuzo kunye nodokotela wakho. Nangona kukho iindleko ezininzi ezahlukileyo ukufumana i-PRP, iiofisi ezininzi zedolophu zisebenzisa iikiti ezilahlayo ezinikezwa ngamanye amaqumrhu amakhulu anikezwa ngamathambo. Lezi kits zibiza iikhilomitha ezimbalwa zeedola, ngoko ke kukho ukuguqulwa kwintlawulo, kwaye kufuneka uxoxisane nenqanaba elihle kakhulu xa uhlawula ipokothini.
ILizwi
Iiprojekiti ze-PRP ziye zaba yinto enomdla wabalingane bamazinyo kunye nezigulane zabo. Ukuzama ukuvuselela impendulo yokuphilisa emzimbeni kunokuba ngumngeni, kwaye ii-injection ze-PRP zingayindlela efanelekileyo yokufezekisa loo njongo. Nangona kukho idatha exhasa ukusetyenziswa kweenjini ze-PRP kwiimeko ezithile zeklinikhi, kukho enye idatha ebuza ukuba ngaba oku kunenzuzo kunokwenziwa kwonyango. Kukho umonakalo omkhulu kwiisenjini ze-PRP, kwaye ngokuqinisekileyo zikhethekileyo, kodwa iindleko zala mayeza azinakuthi zihlanganiswe zicwangciso ze-inshurensi. Ndicinga ukuba kunengqiqo ukuqwalasela injection ye-PRP, nangona ngokuqinisekileyo akufanele ijongwe njengonyango olufunekayo, kwaye oku kufuneka kuhlolwe kuphela xa ezinye iinkqubo ezenza lula kwaye zibonakaliswe zonyango zizama ukuqala.
> Imithombo:
> Hsu WK, et al. "I-Plasma ene-Platelet-Richs in Applications: Iingcebiso ezisekelwe kwiNyango" J Am Acad Orthop Surg December 2013 vol. 21 no. 12 739-748
> I-Hall MP, et al "I-Plasma e-Platelet enezityebi: Iingcamango zangoku kunye nesicelo kwiMicrosoft yezemidlalo" J Am Acad Orthop Surg, Vol 17, No-10, Oktobha 2009, 602-608.