Ngokuthuthuka komphakathi, abantu abaningi bayakunaka ukuzivocavoca.Ukuvivinya umzimba okungavumelani nesayensi kwenza imisipha yethu, amalunga kanye nemigqa ingabekezeleleki.Umphumela ungase ube ukulimala kokucindezeleka, njenge-tendonitis ne-osteoarthritis.Kuze kube manje, abantu abaningi baye bezwa nge-PRP noma i-plasma ecebile ngeplatelet.Nakuba i-PRP ingeyona imithi yomlingo, ibonakala iphumelela ekwehliseni ubuhlungu ezimweni eziningi.Njengezinye izindlela zokwelapha, abantu abaningi bafuna ukwazi ibanga lesikhathi sokuthola kabusha ngemva komjovo we-PRP.
Umjovo we-PRP usetshenziselwa ukuzama ukwelapha ukulimala okuningi okuhlukene kwamathambo kanye nezifo eziwohlokayo, njenge-osteoarthritis nesifo samathambo.Abantu abaningi bakholelwa ukuthi i-PRP ingakwazi ukwelapha i-osteoarthritis yabo.Kunokuningi okunye ukungaqondi kahle mayelana nokuthi iyini i-PRP nokuthi yini engayenza.Uma usukhethe umjovo we-PRP, kuzoba nemibuzo eminingi mayelana nezinga lokutholwa kwe-PRP noma i-plasma ecebile ngeplatelet ngemva komjovo.
Umjovo we-PRP (i-plasma ecebile nge-platelet) iyindlela yokwelapha evamile, ehlinzeka ngezinketho zokwelapha iziguli eziningi ezinokulimala kwamathambo nezifo.I-PRP ayiyona imithi yomlingo, kodwa inomphumela wokunciphisa ubuhlungu, ukunciphisa ukuvuvukala nokuthuthukisa umsebenzi.Sizoxoxa ngokusetshenziswa okungenzeka ngezansi.
Lonke uhlelo lwe-PRP luthatha cishe imizuzu eyi-15-30 ukusuka ekuqaleni kuze kube sekupheleni.Ngesikhathi somjovo we-PRP, igazi lizoqoqwa engalweni yakho.Faka igazi eshubhuni eliyingqayizivele le-centrifuge, bese ulifaka ku-centrifuge.Ama-Centrifuges ahlukanisa igazi ezingxenyeni ezihlukahlukene.
Ingozi yomjovo we-PRP iphansi kakhulu ngoba uthola igazi lakho.Ngokuvamile asingezi noma yimiphi imithi kumjovo we-PRP, ngakho uzojova ingxenye yegazi kuphela.Abantu abaningi bazozizwa bebuhlungu ngemva kokuhlinzwa.Abanye abantu bazoyichaza njengobuhlungu.Ubuhlungu ngemva kokujova i-PRP buzohluka kakhulu.
Umjovo we-PRP edolweni, ehlombe noma endololwaneni ngokuvamile ubangela ukuvuvukala nokungaphatheki kahle.Ukujova i-PRP emisipha noma imisipha ngokuvamile kubangela ubuhlungu obukhulu kunomjovo ohlangene.Lokhu kungezwani noma ubuhlungu buhlala izinsuku ezingu-2-3 noma ngaphezulu.
Ungawulungiselela kanjani umjovo we-PRP?
Ngesikhathi somjovo we-PRP, ama-platelet akho azoqoqwa futhi ajovwe endaweni eyonakele noma elimele.Ezinye izidakamizwa zingathinta ukusebenza kweplatelet.Uma uthatha i-aspirin ukuze uthole impilo yenhliziyo, kungase kudingeke uthintane nodokotela wakho wenhliziyo noma udokotela onakekelayo.
I-Aspirin, i-Merrill Lynch, i-Advil, i-Alleve, i-Naproxen, i-Naproxen, i-Celebrex, i-Mobik ne-Diclofenac yonke iphazamisa umsebenzi we-platelet, nakuba izonciphisa ukusabela kumjovo we-PRP, kunconywa ukuyeka ukuthatha i-aspirin noma ezinye izidakamizwa ezilwa nokuvuvukala ngesonto elilodwa ngaphambi kanye namasonto amabili ngemva kokujova.I-Tylenol ngeke ithinte umsebenzi weplatelet futhi ingathathwa ngesikhathi sokwelashwa.
Ukwelashwa kwe-PRP kusetshenziselwa ukwelapha ubuhlungu nokuvuvukala kwamadolo, indololwane, ihlombe kanye ne-hip osteoarthritis.I-PRP ingase ibe usizo ekulimaleni okuningi kwezemidlalo okusetshenziswe ngokweqile, okuhlanganisa:
1) I-meniscus izinyembezi
Uma sisebenzisa i-suture ukulungisa i-meniscus ngesikhathi sokuhlinzwa, ngokuvamile sijova i-PRP eduze nendawo yokulungisa.Umbono wamanje wukuthi i-PRP ingase ithuthukise amathuba okuphulukisa i-meniscus elungisiwe ngemva kwe-suture.
2) Ukulimala komkhono wehlombe
Abantu abaningi abane-bursitis noma ukuvuvukala kwe-rotator cuff bangase baphendule umjovo we-PRP.I-PRP inganciphisa ngokuthembekile ukuvuvukala.Lona umgomo oyinhloko we-PRP.Le mijovo ayikwazi ukwelapha izinyembezi ze-rotator cuff.Njenge-meniscus izinyembezi, singase sijobe i-PRP kule ndawo ngemva kokulungisa i-rotator cuff.Ngokufanayo, kukholelwa ukuthi lokhu kungase kuthuthukise amathuba okuphulukiswa kwezinyembezi ze-rotator cuff.Uma ingekho i-bursitis ene-lacerated, i-PRP ngokuvamile ingadambisa ngempumelelo ubuhlungu obubangelwa i-bursitis.
3) I-osteoarthritis yamadolo
Enye yezindlela ezivame ukusetshenziswa kakhulu ze-PRP ukwelapha ubuhlungu be-knee osteoarthritis.I-PRP ngeke ihlehlise i-osteoarthritis, kodwa i-PRP inganciphisa ubuhlungu obubangelwa i-osteoarthritis.Lesi sihloko sethula umjovo we-PRP we-knee arthritis ngokuningiliziwe.
I-4) Ukulimala kwe-Ligament ehlangene edolweni
I-PRP ibonakala iwusizo ekulimazeni kwe-medial collateral ligament (MCL).Iningi lokulimala kwe-MCL lizipholisa ngaphakathi kwezinyanga ezi-2-3.Okunye ukulimala kwe-MCL kungaba okungapheli.Lokhu kusho ukuthi sebelimele isikhathi eside kunesikulindele.Umjovo we-PRP ungasiza izinyembezi ze-MCL ziphole ngokushesha futhi unciphise ubuhlungu bokukhala okungapheli.
Itemu elithi Chronic lisho ukuthi isikhathi sokuvuvukala nokuvuvukala side kakhulu kunesilinganiso esilindelekile sokululama.Kulokhu, umjovo we-PRP ufakazelwe ukuthuthukisa ukuphulukiswa nokunciphisa ukuvuvukala okungapheli.Lokhu kwenzeka kube imijovo ebuhlungu kakhulu.Emasontweni alandela umjovo, iningi lenu lizozizwa libi kakhulu futhi liqine kakhulu.
Okunye ukusetshenziswa okungenzeka komjovo we-PRP kufaka phakathi:
Indololwane yethenisi: ukulimala kwendololwane ye-ulnar collateral ligament.
I-ankle sprain, i-tendonitis kanye ne-ligament sprain.
Ngokwelashwa kwe-PRP, igazi lesiguli liyakhishwa, lihlukaniswe futhi liphinde lijovwe emalungeni alimele kanye nemisipha ukuze kudambise ubuhlungu.Ngemuva komjovo, ama-platelet akho azokhulula izici ezithile zokukhula, okuvame ukuholela ekuphulukiseni nasekulungiseni izicubu.Kungakho kungathatha isikhathi ukubona imiphumela ngemuva komjovo.Ama-platelet esiwajovayo ngeke alaphe ngokuqondile izicubu.Ama-Platelets akhipha amakhemikhali amaningi ukuze abize noma adlulisele amanye amaseli okukhanda endaweni eyonakele.Lapho ama-platelet ekhipha amakhemikhali awo, abangela ukuvuvukala.Lokhu kuvuvukala futhi kuyisizathu sokuthi kungani i-PRP ingalimala lapho ijova emathanjeni, emisipha kanye nemigqa.
I-PRP ekuqaleni ibangela ukuvuvukala okunamandla ukuze kwelaphe inkinga.Lokhu kuvuvukala okunamandla kungase kuthathe izinsuku ezimbalwa.Kuthatha isikhathi ukuthi amaseli alungisiwe abuthiwe afike endaweni elimele futhi aqale inqubo yokulungisa.Ngokulimala okuningi kwe-tendon, kungase kuthathe amaviki angu-6-8 noma ngaphezulu ukuze ululame ngemva komjovo.
I-PRP ayiyona i-panacea.Kwezinye izifundo, i-PRP ayizange isize i-tendon ye-Achilles.I-PRP ingasiza noma ingasiza i-patellar tendinitis (i-verbose).Amanye amaphepha ocwaningo abonisa ukuthi i-PRP ayikwazi ukulawula ngempumelelo ubuhlungu obubangelwa i-patellar tendinitis noma idolo eligxumayo.Abanye odokotela abahlinzayo babike ukuthi i-PRP kanye ne-patellar tendinitis belashwe ngempumelelo - ngakho-ke, asinayo impendulo yokugcina.
Isikhathi sokutakula se-PRP: Yini engingayilindela ngemva komjovo?
Ngemva kokujova ngokuhlanganyela, isiguli singase sizwe ubuhlungu cishe izinsuku ezimbili kuya kwezintathu.Abantu abathola i-PRP ngenxa yokulimala kwezicubu ezithambile (i-tendon noma i-ligament) bangase babe nobuhlungu izinsuku ezimbalwa.Bangase futhi bazizwe beqinile.I-Tylenol ivame ukuphumelela ekulawuleni ubuhlungu.
Amaphilisi ezinhlungu kadokotela awavamile ukudingeka.Iziguli zivame ukuthatha izinsuku ezimbalwa zokuphumula ngemva kokwelashwa, kodwa lokhu akudingekile ngempela.Ukukhululeka kobuhlungu kuvame ukuqala phakathi namasonto amathathu kuya kwamane ngemva kokujova i-PRP.Izimpawu zakho zizoqhubeka ziba ngcono phakathi nezinyanga ezintathu kuya kweziyisithupha ngemva kokujova i-PRP.Ibanga lesikhathi sokutakula liyahlukahluka kuye ngokuthi selapha ini.
Ubuhlungu noma ukungaphatheki kahle kwe-osteoarthritis ngokuvamile kuyashesha kunobuhlungu obuhambisana nemisipha (njengendololwane yethenisi, indololwane yegalofu noma i-patellar tendinitis).I-PRP ayilungele izinkinga ze-tendon ye-Achilles.Ngezinye izikhathi ukusabela kwamalunga e-arthritis kule mijovo kuyashesha kakhulu kunokweziguli ezilashwa nge-tendinitis.
Kungani i-PRP esikhundleni se-cortisone?
Uma iphumelele, i-PRP ngokuvamile iletha ukukhululeka okuhlala njalo
Ngoba izicubu ezithambile eziwohlokayo (amathenda, imigqa) kungenzeka ukuthi seziqalile ukuvuselela noma ukuzivuselela.Amaprotheni e-Bioactive angakhuthaza ukuphulukiswa nokulungisa.Ucwaningo olusha lubonisa ukuthi i-PRP iphumelela kakhulu kunomjovo we-cortisone - umjovo we-cortisone ungavala ukuvuvukala futhi awunalo ikhono lokuphulukisa.
I-Cortisone ayinazo izici zokuphulukisa futhi ayikwazi ukudlala indima yesikhathi eside, ngezinye izikhathi ibangela ukulimala kwezicubu eziningi.Muva nje (ngo-2019), manje kukholakala ukuthi umjovo we-cortisone ungase futhi ubangele ukulimala koqwanga, okungase kube kubi kwe-osteoarthritis.
(Okuqukethwe yile ndatshana kuphrintwe kabusha, futhi asinikezeli nganoma yisiphi isiqinisekiso esicacile noma esishiwoyo sokunemba, ukwethembeka noma ukuphelela kokuqukethwe okuqukethwe kulesi sihloko, futhi asinasibopho ngemibono yalesi sihloko, sicela uqonde.)
Isikhathi sokuthumela: Jan-19-2023