Waukulu >> Maphunziro A Zaumoyo >> Majekeseni a PRP: Kodi mankhwala opangira ma plasma amagwiritsidwa ntchito?

Majekeseni a PRP: Kodi mankhwala opangira ma plasma amagwiritsidwa ntchito?

Maphunziro a Zaumoyo

Mankhwala obwezeretsa ndi gawo latsopano lolonjeza. Njira zochiritsira monga mankhwala othandiza kupangira magazi m'mapuloteni (PRP) zimagwiritsa ntchito mphamvu yokhoza kudzichiritsa yokha. Pogwiritsa ntchito mapaleti amtundu wa wodwala, jakisoni wa PRP amagwira ntchito mwachangu njira yochiritsira, makamaka kuvulala komwe kumachedwa kuchira komanso kwanthawi yayitali. Malingaliro odabwitsa ambiri akupangidwira chithandizo chatsopanochi, koma kudzera mu kafukufuku ndi kufunsa ndi othandizira azaumoyo, ndizotheka kudziwa ngati PRP ndiyo njira yoyenera yothandizira inu.

Kodi jakisoni wa PRP ndi chiyani?

Plasma wokhala ndi maplatelet ndiwo kukonzekera kwa mwazi wa wodwalayo kotero kuti umakhala ndi ziŵerengero zoposa za mapulateleti. Mukabwereranso kwa wodwalayo pamalo ovulala, imadumphadumpha ndikuyamba kuchiritsa kumeneko.

Ma Platelet ndi timaselo tating'onoting'ono tokhala ngati ma disc mumwazi. Amagwira ntchito yokonza thupi, ndikupanga magazi atagunda pakavulala. Kuvulala kuwatsegulira, ma platelet amapita kukagwira ntchito, amapanga magazi m'magazi, ndikutulutsa mwachangu mapuloteni azinthu zoyambira kuti ayambe kuchira. Mapuloteniwa amadziwitsa maselo omwe avulala kuti akule, amasiyanitsa, amatulutsa mitsempha yatsopano yamagazi, ndikuthira minyewa yolimba kuti ikonzenso kuwonongeka.

Mankhwala opangira ma platelet olemera m'madzi amaphatikizapo kukoka magazi kuchokera kwa wodwalayo ndikuwapota mu centrifuge. Izi zimasiyanitsa maselo ofiira am'magazi ndi ambiri mwa magazi oyera m'magazi am'magazi, omwe mumakhala madzi, ma electrolyte, mapuloteni, ndi ma platelet. Plasma wokhala ndi plateletete amalekanitsidwa ndi zigawo zina za mwazi ndipo amabwerera ku mbali yovulala ya thupi kudzera mu jakisoni. Ma platelet nthawi zambiri amatsegulidwa asanayidwe jekeseni, kutanthauza kuti njira yotsekera magazi ndiyomwe imayambitsidwa asanapangire malo am'magazi. Madokotala ena, komabe, amakhulupirira kuti ndi bwino kulola ma at platelet ayambe kugwira ntchito mthupi. Akatsegulidwa, ma platelet nthawi yomweyo amayamba kuundana ndikupanga mahomoni okula omwe amayamba kuchiritsa dera lomwe lakhudzidwa.

Kupatula kuchitidwa opaleshoni, njirazi nthawi zambiri zimakhala zakunja. Wopereka chithandizo chamankhwala amatenga magazi, amakonzekeretsa magazi mu centrifuge, ndikubwezeretsanso magazi omwe ali ndi maplatelet mwachindunji pamalo omwe wavulalawo kapena asanayambitse ma platelet poyamba. Wopereka chithandizo chamankhwala amatha kugwiritsa ntchito mankhwala oletsa ululu m'deralo poyamba. Njira zina zitha kufunikira kugwiritsa ntchito ultrasound kapena endoscope kuti athandize adotolo kutsogolera jakisoni kuvulala.

Ntchito

Povulala kwambiri, thupi limadzichiritsa mwachangu ndipo silifuna kuchitapo kanthu mwapadera. Chithandizo cha PRP chimagwiritsidwa ntchito kwambiri pochiza matenda omwe machiritso ake amachedwa kuchepa, monga kuvulala kwa minofu, minyewa, kapena mafupa. Kuvulala kwapang'onopang'ono kumeneku kumatha kutenga miyezi kapenanso zaka kuti kuthetsedwe, koma mankhwala a plasma omwe ali ndi mapiritsi ambiri amatha kufulumira. Odwala ambiri amakumana ndi mankhwala opangira ma platelet ngati njira yosankhira kuvulala kwamasewera, kuvulala kosalekeza kwa tendon, ndi ntchafu kapena mawondo a mafupa.

Chitetezo

Komabe, a FDA sanavomereze chithandizo cha PRP. A FDA achotsa ma centrifuge, koma osati mankhwala, kotero chithandizo chilichonse cha PRP sichimadziwika ndipo sichikulipidwa ndi inshuwaransi.

Komanso, si madokotala ndi asayansi onse omwe amavomereza kuti ndi zinthu ziti zomwe ziyenera kuthandizidwa ndi PRP.

Kuonjezerapo, pali mgwirizano wochepa pa ndondomeko za chithandizo cha PRP. Pali kusagwirizana kwakukulu pakukonzekera kwa plasma kochuluka. Ndi ma platelet angati omwe amafunikira? Kodi maselo oyera amayenera kuphatikizidwa? Nanga bwanji fibrin, mapuloteni ofunikira kwambiri kuti magazi azigunda? Kodi iyenera kuphatikizidwa? Kodi kuyambitsa ma platelet musanafike jakisoni ndibwino? Mayankho a mafunso onsewa akukambiranabe ndikukambirana m'magulu azachipatala komanso asayansi.

Kuyenda munthawi yazitetezo kungakhale kovuta posankha ngati PRP ndi mankhwala oyenera. Mwamwayi, sayansi ndi zokumana nazo ndi chithandizo cha PRP ndizolimba pazovulala zina. Kwa ena, komabe, sayansi siyotsimikizika. Malo oyambira ndi momwe zinthu za PRP zimathandizira komanso kafukufuku yemwe amatsimikizira zomwe akunenazo.

Chithandizo cha PRP

Chithandizo cham'magazi cholemera m'maplatelet chinagwiritsidwa ntchito koyamba pakuchita opareshoni ya mtima kuti kufulumizitse machiritso chifukwa cha opaleshoniyi. Madokotala ochita opaleshoni a Maxillofacial adayamba kuigwiritsa ntchito kuthamangitsa kuchiritsa kwa mafupa, monga kukonzanso nsagwada. Posakhalitsa, akatswiri azamankhwala adalandira ma jakisoni wokhala ndi ma platelet olemera kuti athamangitse kuvulala kwamasewera, ndipo ndipamene dziko lonse lapansi lidayamba kutchera khutu.

Masiku ano, chithandizo cha PRP ndichothandiza pazinthu zonse:

Madokotala a Orthopedists ndi asing'anga amathandizira pa kuvulala kwa mafupa, tendon, joint, ligament, ndi minofu.
Madokotala a mano amagwiritsa ntchito jakisoni wa PRP pochotsa mano, zopangira, kapena opaleshoni yapanthawi kuti afulumizitse kuchira komanso kuchiritsa kuwonongeka kwa minofu ndi mafupa.
Opaleshoni ya mikwingwirima yonse amagwiritsa ntchito PRP kufulumizitsa machiritso a zilonda ndikuchepetsa matenda.
Ochita opaleshoni apulasitiki akhala akugwiritsa ntchito PRP kufulumizitsa machiritso azodzikongoletsa, koma ena amagwiritsa ntchito jakisoni wa PRP kulimbikitsa kukula kwa minofu kumaso kuti athetse makwinya ndikubwezeretsanso khungu.
Dermatologists amagwiritsa ntchito PRP limodzi ndi mankhwala nyimbo kapena ndalama kuti kusintha tsitsi mwa amuna ndi akazi. Kukula kwa ma Platelet kumathandizira kuti ma follicles atsitsi kukula, ndipo mankhwalawo amathetsa zotsatira za testosterone pamutu wazitsitsi.
Akatswiri ena ophthalmologists ayamba kugwiritsa ntchito madontho a diso la PRP molunjika pamaso pazilonda zam'mimba kapena kuvulala kwamaso. Madontho a diso la PRP omwe amayikidwa molunjika pamatulutsa misozi atha kukulitsa kupanga misozi.
Otolaryngologists agwiritsa ntchito jakisoni wa PRP pochiza kumva kapena kununkhiza.
Pomaliza, ma urologist ena amapereka PRP jakisoni kuti athetse vuto la erectile.

Sikuti aliyense ndi woyenera kubayidwa ndi PRP. Simuyenera kulandira jakisoni wa PRP ngati:

khalani ndi ziwerengero zochepa zamagulu
tengani oonda magazi
khalani ndi khansa
ali ndi pakati
khalani ndi matenda opatsirana

Kodi PRP imagwiradi ntchito?

Nthawi zina, mankhwala okhala ndi maplatelet olemera m'maplatelet amakhala ovuta komanso osagwirizana ndi sayansi. Odwala payekha amafotokoza zotsatira zabwino, koma kafukufuku wothandizira nthawi zambiri amakhala ndi ochepa chabe mwa odwala. Kafukufuku wina akuwonetsa kusintha kwakukulu, ndipo zina zimawonetsa zosiyana.

Palibe njira yolandirika konsekonse yokonzekera jekeseni wa PRP. Zinthu zingapo zomwe zingakhudze kupambana kwa jakisoni wa PRP ndizotheka kukayikira, kuphatikiza nthawi yoyambitsa ma platelet, kaya ma cell oyera m'magazi amathandiza kapena kulepheretsa kuchira, komanso fibrin (puloteni yotseka magazi yomwe imapezeka mu plasma) iyenera kuphatikizidwa ndi jakisoni. Mwanjira ina, palibe protocol yokhazikitsidwa ndi jakisoni wa PRP pokhudzana ndi zomwe amathandizidwa.

Zotsatira zake, palibe mgwirizano pamlingo wopambana wa jakisoni wa PRP. Kutengera mawonekedwe ndi kukonzekera kwa jekeseni wa PRP, jakisoni wa PRP atha kugwira kapena sangathe kugwira ntchito.

Tendon, minofu, ndi kuvulala kwa mitsempha

Pazinthu zina, komabe, chithandizo cha PRP chimathandizidwa kwambiri ndipo chapeza zotsatira zabwino. Sayansi imalimbikitsa kuti jakisoni wa PRP ndi mankhwala opambana kwambiri Kuvulala kwa tendon (tendinopathy). Izi zimaphatikizapo chigongono cha tenisi (epicondylitis), kuvulala kwa khafu wa rotator, bondo la jumper (patellar tendonitis), Achilles tendonitis, plantar fasciitis, ndi tendinosis, pakati pa ena.

Zovulala zonse zamtunduwu ndizovuta kuzisamalira. Amatenga nthawi yayitali kuti achiritse ndipo amatha kuchepa kwambiri moyo wa anthu achangu. Ambiri amakula mikhalidwe yanthawi yayitali komanso moyo wawo wonse. Kuchuluka kwa jakisoni wa PRP pothana ndi mavutowa ndiokwera kwambiri.

Kugwiritsa ntchito PRP pochiza kuvulala kwa minofu yofewa ndi kuvulala kwa mitsempha sikungakhale kotsimikiza kwenikweni. Umboni pakadali pano ukuwonetsa kuti PRP imathandizira nthawi yakuchiritsa. Kubwezeretsa kuvulala kwa minofu (monga kukoka nyama) kapena kuvulala kwa mitsempha (monga bondo lamphongo) kumatha kukhala njira yayitali komanso yovuta. Zotsatira zambiri za PRP zimathandizira kuchira msanga kuvulala kwa minofu ndi mitsempha.

Matenda a nyamakazi ndi khungu

Sayansi yothandizira kugwiritsidwa ntchito kwa PRP pochiza kuvulala kwa karoti sidziwika kwenikweni. Osteoarthritis, yomwe imafala kwambiri komanso yofooketsa matenda a cartilage, yakhala ikuyimira kale kubaya kwa PRP. Komabe, chichereŵechereŵe chimangokhala ndi mphamvu zochepa kuti chikule ndi kusinthika. Mmodzi kuphunzira ndi odwala 200 osteoarthritis , Jakisoni wa PRP amachepetsa kupweteka ndikuwonjezeka kwa ntchito pakatha miyezi 12 poyerekeza ndi odwala ena.

Chifukwa chake majakisoni a PRP atha kuthandiza kuti chichereŵechere chikhazikitsenso bwino kuposa njira zina zamankhwala, ndikupangitsa kuti ikhale njira ina yololera ya jakisoni wa steroid kapena hyaluronic acid. Komabe, mankhwala onse omwe cholinga chake ndikubwezeretsanso khungu (kuphatikiza PRP) ali ndi zotsatirapo zosiyanasiyana. Kafukufuku wochuluka amafunika m'dera lino.

PRP pamavuto ena azaumoyo

Kugwiritsa ntchito PRP mu mano ndi opaleshoni kumathandizidwanso mofananamo. Plasma yodzala ndi ma Platelet onse amathamangira kuchiritsa ndipo amachepetsa kwambiri kuchuluka kwa matenda.

Komabe, chithandizo cha PRP mu urology, ophthalmology, dermatology, opaleshoni yodzikongoletsa, ndi madera ena amafunika kuphunzira zambiri. Odwala omwe akuganiza za chithandizo cha PRP pazinthu zina osati tendon, minofu, kapena zovuta zamagulu ayenera kuchita khama lawo ndikufufuza, kusamala, ndikufunsana ndi m'modzi kapena angapo othandizira zaumoyo.

Zimatenga nthawi yayitali bwanji kuti jakisoni wa PRP agwire ntchito?

Majakisoni a PRP sathetsa zizindikiro kapena kukonza vutoli mofanana ndi mankhwala kapena opaleshoni. M'malo mwake, amayamba kusintha kwachilengedwe komwe kumatenga milungu kapena miyezi kuti amalize kutengera mtundu wovulalayo.

Pamagulu ophatikizana, mafupa, kapena minofu ya PRP, zotsatira za jakisoni wa PRP ziyenera kuwoneka pafupifupi miyezi itatu ndikumaliza miyezi isanu ndi umodzi kapena isanu ndi inayi. Ngati sipanakhalepo kusintha kokwanira mu ululu kapena kuyenda panthawiyo, jekeseni wina angafunike. Ntchito yakuchiritsa ikadzatha, zotsatira zake zimakhala zosatha.

Zomwe mungayembekezere pambuyo pa jakisoni wa PRP

Ma jakisoni olemera m'maplatelet mu joint, minofu, kapena tendon amafunika nthawi kuti achire. Monga tanenera, PRP siyithetsa vutoli kapena kuthetsa zizindikilo koma m'malo mwake imayamba ndikufulumizitsa njira yachilengedwe yokonzanso. Kuchiritsa kumeneko kumatenga milungu kapena miyezi ingapo kuti amalize, koma malowa azikhala opweteka ndipo mwina atupa masiku oyamba. M'malo mwake, kutupa ndi gawo la njira yoyamba yochiritsira.

Nthawi yobwezeretsa ndi zoperewera

Nthawi zambiri, nthawi yobwezeretsa jakisoni wa PRP imakhala tsiku limodzi kapena awiri ampumulo mpaka milungu iwiri ndikuthandizira kuyenda (mwachitsanzo, ndodo), pambuyo pake mankhwala amthupi ayamba.

Mankhwala ena a PRP amalola odwala kubwerera kuntchito tsiku lotsatira. Ena adzafunika kupumula tsiku limodzi kapena awiri. Pewani kuchita masewera olimbitsa thupi ndikusunga zochitika zomwe zimagwiritsa ntchito dera lomwe lakhudzidwa mpaka kuchepa. Ngati mwalandira jakisoni m'chiuno, bondo, kapena bondo, pewani kuyenda panthawiyi. Kutengera jakisoni, wodwala angafunikire kugwiritsa ntchito choponyera, nsapato zoyenda, kapena ndodo kulikonse kuyambira masiku ochepa mpaka milungu iwiri.

Ngakhale kuti madera omwe amathandizidwayo atha kutupa, mankhwala oletsa kutupa, monga ma steroids kapena ma NSAID, ayenera kupewedwa kwa sabata limodzi. Dokotala wanu akhoza kukupatsani mankhwala ochepetsa ululu omwe nawonso samatsutsana ndi zotupa.

Chithandizo chilichonse chamthupi chimayamba pafupifupi milungu iwiri chithandizocho. Pogwiritsa ntchito chithandizo chamagulu, minofu, kapena tendon, wothandizira zaumoyo adzafuna ulendo wotsatira m'masabata asanu ndi limodzi kapena asanu ndi atatu kuti awone momwe ntchito ikuyendera. Kupwetekako kumachepa pang'onopang'ono pamasabata ndi miyezi yotsatira.

Zotsatira zoyipa

Mankhwala othandiza m'magazi amagwiritsira ntchito magazi ochokera kwa wodwalayo, motero ndi otetezeka modabwitsa komanso alibe zovuta. Zotsatira zoyipa zomwe anthu angakumane nazo ndizosintha kwakanthawi katsamba. Zomwe zimachitika patsamba lanu monga kuvulala kwamitsempha, kuwonongeka kwa minofu, kapena kupweteka kwanuko kumachokera ku jekeseniyo. Pali chiopsezo chaching'ono chotenga matenda monga momwe ziliri ndi jakisoni onse.

Kodi jakisoni wa PRP amawononga ndalama zingati?

Inshuwalansi siimapereka chithandizo chamankhwala okhala ndi mapiritsi ochuluka ngati singagwire ntchito pochita opaleshoni, ndipo ngakhale atatero, mwina sangaphimbidwe. Wodwalayo adzaponya mtengo wonse wa jakisoni wa PRP.

Palibe mgwirizano woti mankhwala a PRP ayenera kuwononga ndalama zingati. Mtengo wapakati wa chithandizo cha PRP ndi $ 750, koma ndondomekoyi imatha kulipira kulikonse kuchokera $ 300 mpaka $ 2,500 . Kufunsira koyambirira kumatha kukhala mtengo wowonjezera, ndipo iyenso, singapezeke ndi inshuwaransi. Chifukwa chake, ndalama zakuthumba zamitengo yambiri ya PRP zimatha kuyambira $ 300 mpaka $ 2,700.