Eyona >> Imfundo Yezempilo >> Inaliti ye-PRP: Ngaba unyango lweplatelet olutyebileyo luyasebenza?

Inaliti ye-PRP: Ngaba unyango lweplatelet olutyebileyo luyasebenza?

Imfundo yezeMpilo

Amayeza okuzala ngokutsha ngumda omtsha othembisayo. Unyango olunjengeplatelet-rich plasma (PRP) unyango lubopha amandla omzimba obonakalayo wokuziphilisa. Usebenzisa iiplatelets zesigulana, inaliti ye-PRP isebenza ngokukhawulezisa inkqubo yokuphilisa, ngakumbi ukwenzakala okucothayo ukunyanga nokungapheliyo. Amabango amaninzi amangalisayo ayenziwa kolu nyango lutsha, kodwa ngophando kunye nokubonisana nababoneleli ngezempilo, kunokwenzeka ukuba uqaphele ukuba ngaba i-PRP lolona khetho lonyango olufanelekileyo kuwe.

Yintoni inaliti ye-PRP?

Iplasma etyebe ngeplatelet ngamalungiselelo egazi lesigulana ukuze libe nomndilili weplatelet. Xa utofelwe emva kwisigulana kwindawo yokulimala, iyaqala inkqubo yokuphilisa apho.

Iiplatelets zincinci, iiseli ezimile okweediski kwigazi. Basebenza njengezilungisi zomzimba, benza amahlwili egazi xa kukho ukwenzakala. Xa ukwenzakala kusebenze, iiplatelets ziya emsebenzini, zenze amahlwili egazi, kwaye zikhuphe ngokukhawuleza iiprotein zokukhula ukuqala inkqubo yokuphilisa. Ezi proteni zibonisa iiseli kwindawo eyonzakeleyo ukuba zikhule, zahlule, zivelise imithambo yegazi entsha, kwaye zibeke izicubu ezinemicu ukulungisa umonakalo.

Unyango lweplasma olucekeceke kakhulu lubandakanya ukuthathwa kwegazi kwisigulana kunye nokulujikeleza kwi-centrifuge. Le nkqubo yahlula iiseli ezibomvu zegazi kwaye uninzi lweeseli ezimhlophe zegazi kwi-plasma yegazi, enamanzi, ii-electrolyte, iiproteni kunye neeplatelets. Iplasma enezinto ezininzi zeplatelet ezahlulayo kwamanye amacandelo egazi ize ibuyele kwinxalenye eyonzakeleyo yomzimba ngenaliti. Iiplatelets zihlala zisebenza ngaphambi kokuba kwenziwe inaliti, oko kuthetha ukuba inkqubo yokujiya iqalwa ngaphambi kokuba kufakwe iiplatelets kwindawo eyenzakeleyo. Abanye oogqirha, nangona kunjalo, bakholelwa ekubeni kubhetele ukuvumela iiplatelets ukuba zisebenze emzimbeni. Xa zenziwe zasebenza, iiplatelet ngoko nangoko ziqala ukujiya kwaye zivelise ukukhula kwehomoni yezinto eziqala ukuphilisa indawo echaphazelekayo.

Ngaphandle kotyando, ezi nkqubo zihlala zingalaliswanga. Umboneleli wezempilo uza kutsala igazi, alungise igazi kwi-centrifuge, kwaye abuyisele iiplasma ezinotye ngqo kwiplatelet kwindawo yokwenzakala kunye okanye ngaphandle kokuvula iiplatelets kuqala. Umboneleli wezempilo unokusebenzisa i-anesthetic yendawo kwindawo yenaliti kuqala. Ezinye iinkqubo zinokufuna ukusetyenziswa kwe-ultrasound okanye i-endoscope ukunceda ugqirha akhokele inaliti yokwenzakala.

Sebenzisa

Kokonzakala okuninzi, umzimba uyaziphilisa ngokukhawuleza kwaye awufuni ungenelelo olukhethekileyo. Unyango lwe-PRP luhlala lusetyenziselwa ukunyanga iimeko apho inkqubo yokuphilisa icothisa kancinci, njengokulimala kwezihlunu, imisipha, okanye amathambo. Oku kwenzakala okupholileyo kungathatha iinyanga okanye iminyaka ukusombulula, kodwa unyango lweplatelet olutyebileyo lweplasma lunokukhawulezisa inkqubo. Uninzi lwezigulana ziya kudibana neplatelet etyebileyo kunyango lweplasma njengenkqubo yokukhetha ukulimala kwezemidlalo, ukulimala okungapheliyo kwethoni, kunye nehips okanye idolo le-osteoarthritis.

Ukhuseleko

Nangona kunjalo, i-FDA ayilwamkelanga unyango lwe-PRP. I-FDA isuse iicentrifuge, kodwa ayilulo unyango, yiyo yonke into unyango lwe-PRP luseburhulumenteni kwaye alusetyenziswanga yi-inshurensi.

Ngaphezu, ayingabo bonke oogqirha kunye nososayensi abavumelanayo malunga nokuba zeziphi iimeko ekufuneka ziphathwe yi-PRP.

Ukongeza, kuncinci ukuvumelana kwiinkqubo zonyango ze-PRP. Kukho ukungavisisani okusisiseko malunga nokulungiselela iplatelet-rich rich. Zingaphi iiplatelets ezifunekayo? Ngaba iiseli ezimhlophe zegazi kufuneka zibandakanywe? Kuthekani nge-fibrin, iproteni ebaluleke kakhulu ekunqandeni igazi? Ngaba kufuneka ibandakanywe? Ngaba ukwenza iiplatelets ngaphambi kwenaliti ngumbono olungileyo? Iimpendulo zayo yonke le mibuzo zisaxoxwa kwaye kuxoxwa ngazo kwezonyango nakwezenzululwazi.

Ukuhambahamba phakathi kwefreyimu yamabango kunokuba nzima xa usenza isigqibo malunga nokuba ngaba unyango oluchanekileyo lonyango lwe-PRP. Ngethamsanqa, isayensi kunye namava kunyango lwe-PRP zomelele kukonzakala kunye neemeko. Kwabanye, nangona kunjalo, inzululwazi ayiqinisekisi kangako. Indawo oza kuqala kuyo ziimeko zokuphathwa kwe-PRP kunye nophando oluxhasa amabango.

Unyango lwe-PRP

Unyango lweplasma olutyebe kakhulu lwasetyenziswa okokuqala kutyando lwentliziyo evulekileyo ukukhawulezisa ukuphilisa amanxeba ngenxa yokusebenza. Oogqirha baseMaxillofacial baqala ukuyisebenzisa ukukhawulezisa ukuphilisa iinkqubo zethambo, ezinjengokwakhiwa kwakhona kwemihlathi. Kungekudala, iingcali zamayeza ezemidlalo zamkela iiplatelet ezityebileyo zeplatelet ukukhawulezisa ukubuyiswa kokulimala kwezemidlalo, kwaye kulapho ilizwe liphela laqala ukuthathela ingqalelo.

Namhlanje, unyango lwe-PRP luluncedo kumgangatho opheleleyo weemeko:

Oogqirha bamathambo kunye noogqirha bezemidlalo bayisebenzisela ithambo, umsipha, ukudibana, umgudu kunye nokulimala kwezihlunu.
Oogqirha bamazinyo basebenzisa inaliti ye-PRP yokukhupha izinyo, ukufakelwa, okanye utyando lwexesha ukuze kukhawuleziswe ukubuyisa kunye nokuphilisa ukonakala kwethishu namathambo.
Oogqirha bayo yonke imitya basebenzisa i-PRP ukukhawulezisa ukuphilisa amanxeba kunye nokunciphisa amazinga osulelo.
Oogqirha abenziwe ngeplastikhi kudala basebenzisa i-PRP ukukhawulezisa inkqubo yokuphilisa ngoqhaqho, kodwa abanye basebenzisa inaliti ye-PRP ukukhuthaza ukukhula kwezicwili ebusweni ukuhambisa imibimbi nokubuyisela umbala wolusu.
Iigermatologists zisebenzisa i-PRP kunye namayeza imicocidil okanye ifinishi ukuya ukubuyisa ukulahleka kweenwele emadodeni nakwabafazi. Ukukhula kweplatelet kukhuthaza ukukhula kweefollic zeenwele, kwaye amayeza alawula iimpembelelo ze testosterone kwizinwele zentloko.
Ezinye i-ophthalmologists ziye zaqala ukusebenzisa i-PRP eye yehla ngokuthe ngqo kumphezulu wamehlo kwizilonda ze-corneal okanye ukonzakala kwamehlo okomileyo. I-PRP yamehlo abekwe ngokuthe ngqo kwiincindi zeinyembezi anokunyusa ukuveliswa kweenyembezi.
I-Otolaryngologists isebenzise inaliti ye-PRP ukunyanga ukuva okanye ukulahleka kwephunga.
Okokugqibela, ezinye iingcali ze-urologists zinika inaliti ye-PRP ukunyanga ukungasebenzi kakuhle kwe-erectile.

Asinguye wonke umntu ongumgqatswa wenaliti ye-PRP. Akufanele ufumane inaliti ye-PRP ukuba:

ubalo lweplatelet olusezantsi
uthathe abacoci gazi
unomhlaza
ukhulelwe
usulelo olusebenzayo

Ngaba i-PRP iyasebenza ngokwenene?

Kwezinye iimeko, unyango olutyebileyo lweplasma luyimpikiswano kwaye aluxhaswanga ngokuqinileyo yisayensi. Ugqirha ngamnye uxela iziphumo ezibi, kodwa izifundo ezixhasayo zihlala zibandakanya isampulu encinci yezigulana. Olunye uphononongo lubonisa ukuphucuka okumangalisayo, kwaye ezinye zibonisa okwahlukileyo.

Akukho ndlela yamkelweyo kwilizwe liphela yokulungiselela inaliti ye-PRP. Izinto ezininzi ezinokuba nefuthe kwimpumelelo yenaliti ye-PRP zisathetheleleka, kubandakanya ixesha lokuvula iiplatelets, nokuba iiseli ezimhlophe zegazi kwinaliti ziyanceda okanye zithintela inkqubo yokuphilisa, kwaye ingakanani i-fibrin (iproteni egubungela igazi efumaneka kwiPlasma) kufuneka ibandakanywe nenaliti. Ngamanye amagama, akukho mgaqo olandelwayo wezitofu ze-PRP ezinxulumene nayo nayiphi na imiqathango abayinyangayo.

Ngenxa yoko, akukho mvumelwano ngenqanaba lempumelelo yenaliti ye-PRP. Kuxhomekeka kwimeko kunye nokulungiswa kwenaliti ye-PRP, inaliti ye-PRP inokuthi okanye ingasebenzi.

Ukulimala kwetendon, umsipha, kunye neligament

Kwezinye iimeko, nangona kunjalo, unyango lwe-PRP lunenkxaso eyomeleleyo kwaye lufezekisile iziphumo ezigqwesileyo. Inzululwazi iyacenga ukuba inaliti ye-PRP lunyango oluphumelele kakhulu Ukulimala kwethenda (tendinopathy). Oku kubandakanya ingqiniba yentenetya (i-epicondylitis), ukwenzakala kwekhafu yokujikeleza, idolo lejumper (patellar tendonitis), i-Achilles tendonitis, i-plantar fasciitis, kunye ne-tendinosis, phakathi kwezinye.

Konke oku kwenzakala kwethenda kunzima kakhulu ukunyanga nokulawula. Bathatha ixesha elide ukuphilisa kwaye banokunciphisa kakhulu umgangatho wobomi wabantu abasebenzayo. Uninzi lukhula lube ziimeko ezingapheliyo kunye nobomi. Inqanaba lokuphumelela kwenaliti ye-PRP yokusombulula le meko liphezulu kakhulu.

Ukusetyenziswa kwe-PRP ekunyangeni ukonzakala kwemisipha ethambileyo kunye nokulimala kwe-ligament kuyinto encinci. Ubungqina ukuza kuthi ga ngoku bubonisa ukuba i-PRP iyakhawulezisa ixesha lokuphilisa. Ukubuyiselwa kwimeko yokulimala kwemisipha (njengokutsalwa kwe-hamstring) okanye ukulimala kwe-ligament (njenge-ankle sprain) kunokuba yinkqubo ende kwaye inzima. Uninzi lweziphumo ze-PRP zinegalelo ekubuyiseleni ngokukhawuleza kwimisipha kunye nokulimala kwethambo.

Isifo samathambo kunye nokuhlaziywa kwe-cartilage

Inzululwazi exhasa ukusetyenziswa kwe-PRP ekunyangeni ukwenzakala kwe-cartilage ayiqinisekanga ngakumbi. I-Osteoarthritis, eyona nto ixhaphakileyo kwaye iyenza buthathaka imeko ye-cartilage, kudala ingumgqatswa wenaliti ye-PRP. Nangona kunjalo, i-cartilage inesakhono esincinci sokukhula kunye nokuzala kwakhona. Ngenye kufundwa kunye nezigulana ezingama-200 zamathambo , Inaliti ye-PRP yehlisa iintlungu kunye nomsebenzi owandileyo emva kweenyanga ezili-12 xa kuthelekiswa nezinye izigulana.

Ke iinaliti ze-PRP zinokunceda i-cartilage ukuba iphinde iphinde iphinde iphinde ibe bhetele kunezinye iindlela zonyango, ukuyenza ibe yenye indlela efanelekileyo yokufaka inaliti ye-steroid okanye i-hyaluronic acid. Nangona kunjalo, zonke iindlela zonyango ezijolise ekuvuseleleni i-cartilage (kubandakanya i-PRP) zineziphumo ezixubeneyo. Izifundo ezingakumbi ziyafuneka kule ndawo.

I-PRP yezinye iingxaki zempilo

Ukusetyenziswa kwe-PRP kunyango lwamazinyo kunye notyando kuxhaswa ngokulinganayo. Iplasma etyebileyo eplatelet yomibini ikhawulezisa ukuphilisa kwaye inciphisa ngokubonakalayo imeko yosulelo.

Nangona kunjalo, unyango lwe-PRP kwi-urology, i-ophthalmology, i-dermatology, utyando lwezithambiso, kunye nezinye iindawo zifuna ukufunda ngakumbi. Izigulana ezithathela ingqalelo unyango lwe-PRP lweemeko ezingezizo i-tendon, izihlunu, okanye iingxaki ezidibeneyo kufuneka zenze ukukhuthala kwazo kunye nophando, zilumke, kwaye zidibane nomnye okanye ababoneleli abaninzi bezempilo.

Kuthatha ixesha elingakanani ukuba iinaliti ze-PRP zisebenze?

Inaliti ye-PRP ayizinciphisi iimpawu okanye ilungise ingxaki ngendlela efanayo neziyobisi okanye uqhaqho. Endaweni yoko, baqala inkqubo yokuzihlaziya yendalo eza kuthatha iiveki ukuya kwiinyanga ukuyigqiba kuxhomekeke kubume bokwenzakala.

Ukudibanisa, ithambo, okanye inaliti ye-PRP inaliti, iziphumo zenaliti ye-PRP kufuneka zibonakale malunga neenyanga ezintathu kwaye zigqibe kwiinyanga ezintandathu ukuya kwezilithoba. Ukuba akukho phuculo laneleyo kwintlungu okanye ukuhamba ngelo xesha, kunokufuneka enye inaliti. Xa inkqubo yokuphilisa igqityiwe, isiphumo siya kuhlala sisisigxina.

Yintoni onokuyilindela emva kwenaliti ye-PRP

Inaliti eneplatelet etyebileyo eplatinelet ngokudibeneyo, kwimisipha, okanye kuthenda iya kufuna ixesha lokubuyisela. Njengoko sele kukhankanyiwe, i-PRP ayilungisi ingxaki okanye ikhulule iimpawu kodwa endaweni yoko iqala kwaye ikhawulezise inkqubo yokuzihlaziya kwendalo. Inkqubo yokuphilisa iyakuthatha iiveki okanye iinyanga ukugqiba, kodwa indawo yonyango iya kuba buhlungu kwaye mhlawumbi idumbe kwiintsuku zokuqala. Ngapha koko, ukudumba yinxalenye yenkqubo yokuqala yokuphilisa.

Ixesha lokubuyisela kwimeko yesiqhelo kunye nokusikelwa umda

Ngokubanzi, ixesha lokufumana kwakhona inaliti ye-PRP inye ukuya kwiintsuku ezimbini zokuphumla ukuya kuthi ga kwiiveki ezimbini ngenkxaso yokuhamba (okt, iintonga), emva koko kuya kuqala unyango lomzimba.

Olunye unyango lwe-PRP luya kuvumela abaguli ukuba babuyele emsebenzini ngosuku olulandelayo. Abanye baya kufuna usuku olunye okanye ezimbini zokuphumla. Kunqande imithambo kwaye ugcine imisebenzi esebenzisa indawo echaphazelekayo iye ezantsi. Ukuba unayo inaliti esinqeni, emadolweni, okanye emaqatheni, kuphephe ukuhamba ngeli xesha. Kuxhomekeke kwinaliti, isigulana sinokufuna ukusebenzisa isilingi, ukuhamba ngeebhutsi, okanye iintonga ukuhambisa naphi na kwiintsuku ezimbalwa ukuya kwiiveki ezimbini.

Nangona indawo ephathwe ngayo inokuvuvukala, amayeza anxamnye nokuvuvukala, njenge-steroids okanye i-NSAID, kufuneka agwenywe ubuncinane ngeveki. Ugqirha wakho unokumisela ukuba kunyangwe iintlungu ezinganyangekiyo.

Naluphina unyango lomzimba luya kuqala malunga neeveki ezimbini emva konyango. Unyango oludibeneyo, lwezihlunu, okanye lweethenda, umboneleli wezempilo uya kufuna ukutyelelwa okulandelayo kwiiveki ezintandathu ukuya kwezisibhozo ukuvavanya inkqubela phambili. Intlungu iya kuthoba ngokuthe chu kwiiveki neenyanga ezilandelayo.

Imiphumela

Unyango lweplasma olunotyebile lweplatelet lusebenzisa igazi kwisigulana, ngenxa yoko lukhuselekile ngokumangalisayo kwaye lukhululekile kwiziphumo ebezingalindelekanga. Iziphumo ebezingalindelekanga ezinokuphela zabantu abanokuzifumana kukusabela kwesitofu okwethutyana. Ukuphendula kwesiza sendawo njengokulimala kwemithambo-luvo, ukonakala kwethishu, okanye iintlungu zalapha ekhaya zivela kwisitofu uqobo. Kukho umngcipheko omncinci wosulelo njengoko kukho zonke inaliti.

Ixabisa malini inaliti ye-PRP?

I-inshurensi ayilugubungeli unyango lweplasma olunotyebile lweplatelet ngaphandle kokuba luyinxalenye yenkqubo yotyando, kwaye nangona kunjalo, ayinakugqunywa. Isigulana siya kuyinyathela yonke indleko zenaliti ye-PRP.

Akukho sivumelwano malunga nokuba unyango lwe-PRP kufuneka lubize malini. Ixabiso eliphakathi lonyango lwe-PRP yi- $ 750, kodwa inkqubo inokubiza naphina ukusuka $ 300 ukuba $ 2,500 . Ukudibana okokuqala kunokuba yindleko eyongezelelekileyo, kwaye nayo, ayinakuhlawulwa yi-inshurensi. Ke, ngokubanzi, iindleko zokuphuma epokothweni kweenkqubo ezininzi ze-PRP zinokuvela kwi- $ 300 ukuya kwi- $ 2,700.