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Imijovo ye-PRP: Ingabe ukwelashwa kwe-plasma okunothe ngeplatelet kuyasebenza?

Imfundo Yezempilo

Imithi yokuzivuselela ingumngcele omusha othembisayo. Imithi yokwelapha efana nokwelashwa kweplatelet-rich rich (PRP) isebenzisa amandla ekhono elibonakalayo lomzimba lokuziphilisa. Kusetshenziswa amaplatelet wesiguli, imijovo ye-PRP isebenza ngokusheshisa inqubo yokuphulukisa, ikakhulukazi ukulimala okuphuza ukwelashwa futhi okungapheli. Izimangalo eziningi ezimangazayo zenzelwa le ndlela yokwelapha entsha enesibindi, kepha ngocwaningo nokubonisana nabahlinzeki bezempilo, kungenzeka ukuthola ukuthi i-PRP iyindlela yokwelashwa efanelekile yini kuwe.

Uyini umjovo we-PRP?

Iplasma ecebile ngeplatelet ukulungiselela igazi lesiguli uqobo lwaso ukuze libe nokuhlungwa okungaphezulu kwesilinganiso kwama-platelet. Lapho ijojowe ibuyele esigulini endaweni yokulimala, igxuma iqala inqubo yokuphulukisa lapho.

Ama-platelets amangqamuzana amancane amise okwediski egazini. Zisebenza njengezilungisi zomzimba, zakha amahlule egazi lapho kukhona ukulimala. Lapho ukulimala kuzisebenzisa, ama-platelet aya emsebenzini, akha amahlule egazi, futhi akhiphe ngokushesha amaprotheni we-factor factor ukuqala inqubo yokuphulukisa. Lawa maprotheni akhombisa amaseli endaweni elimele ukuthi akhule, ahlukanise, akhiqize imithambo yegazi emisha, futhi abeke izicubu ezinemicu ukulungisa umonakalo.

Ukwelashwa kwe-plasma okunothe ngeplatelet kuhilela ukudonsa igazi esigulini bese uliphotha nge-centrifuge. Le nqubo ihlukanisa amangqamuzana abomvu egazi namaseli amaningi amhlophe egazi e-plasma yegazi, equkethe amanzi, ama-electrolyte, amaprotheni nama-platelets. Iplasma ene-platelet ecebile iyahlukana nezinye izingxenye zegazi bese ibuyela engxenyeni yomzimba elimele ngomjovo. Ama-platelet avame ukusebenza ngaphambi kokujova, okusho ukuthi inqubo yokujiya iqalwa ngaphambi kokuba kufakwe amaplatelet endaweni elimele. Abanye odokotela, noma kunjalo, bakholelwa ukuthi kungcono ukuvumela amaplatelets ukuthi asebenze ngaphakathi komzimba. Lapho yenziwe yasebenza, amaplatelet ngokushesha aqala ukujiya futhi akhiqize ama-hormone wezinto zokukhula aqala ukwelapha indawo ethintekile.

Ngaphandle kokuhlinzwa, lezi zinqubo zivame ukuba yisiguli. Umhlinzeki wezokunakekelwa kwempilo uzodonsa igazi, alungise igazi kwi-centrifuge, abuye abuyisele i-plasma ecebile eplatelet ngqo endaweni yokulimala nge noma ngaphandle kokusebenzisa ama-platelet kuqala. Umhlinzeki wezokunakekelwa kwempilo angasebenzisa umuthi wokubulala izinzwa wendawo endaweni yokujova kuqala. Ezinye izinqubo zingadinga ukusetshenziswa kwe-ultrasound noma i-endoscope ukusiza udokotela aqondise umjovo ekulimaleni.

Isebenzisa

Ngokulimala okuningi, umzimba uziphilisa ngokushesha futhi awudingi ukungenelela okukhethekile. Ukwelashwa kwe-PRP kuvame ukusetshenziselwa ukwelapha izimo lapho inqubo yokuphulukisa ihamba kancane ngokudumazayo, njengokulimala kwemisipha, imisipha, noma amathambo. Lokhu kulimala okuphulukisa kungathatha izinyanga noma ngisho neminyaka ukuxazululwa, kepha ukwelashwa okucebile kweplatelet kungasheshisa inqubo. Iningi leziguli zizohlangabezana nokwelashwa okucebile kweplatelet njengenqubo yokukhetha ukulimala kwezemidlalo, ukulimala okungapheli kwethenda, kanye ne-hip noma idolo le-osteoarthritis.

Ukuphepha

Kodwa-ke, i-FDA ayivumanga ukwelashwa kwe-PRP. I-FDA isule ama-centrifuge, kepha hhayi imishanguzo, ngakho-ke yonke imishanguzo ye-PRP ayikho kwelebula futhi ayihlanganiswa ngumshuwalense.

Ngaphezu kwalokho, akubona bonke odokotela nososayensi abavumelana ngokuthi yiziphi izimo okufanele zilashwe yi-PRP.

Ngokwengeziwe, kunokuvumelana okuncane mayelana nezinqubo zokwelashwa ze-PRP. Kukhona ukungavumelani okuyisisekelo mayelana nokulungiswa kwe-plasma ecebile ngeplatelet. Mangaki ama-platelet adingekayo? Ingabe kufanele kufakwe amangqamuzana amhlophe egazi? Kuthiwani nge-fibrin, iphrotheni elibalulekile ekunqandeni igazi? Ingabe kufanele ifakwe? Ngabe ukusebenzisa ama-platelet ngaphambi komjovo kungumbono omuhle? Izimpendulo zayo yonke le mibuzo kusaxoxwa ngazo futhi ziyaxoxwa emphakathini wezokwelapha nowesayensi.

Ukuzulazula phakathi kwehlathi lezimangalo kungaba nzima lapho unquma ukuthi i-PRP iyindlela yokwelashwa efanele yini. Ngenhlanhla, isayensi nesipiliyoni sokwelashwa kwe-PRP kuqinile ekulimaleni nasezimweni ezithile. Kwabanye, noma kunjalo, isayensi ayifinyeleli kangako. Indawo ozoqala kuyo inezimo ezenziwa yi-PRP kanye nocwaningo olusekela izimangalo.

Ukwelashwa kwe-PRP

Ukwelashwa kwe-plasma okunothe ngeplatelet kwaqale kwasetshenziswa ekuhlinzweni kwenhliziyo evulekile ukusheshisa ukwelashwa kwesilonda ngenxa yokuhlinzwa. Odokotela abahlinzayo beMaxillofacial baqala ukuyisebenzisa ukusheshisa ukwelashwa kwezinqubo zamathambo, njengokuvuselelwa komhlathi. Ngokushesha, ochwepheshe bezokwelapha kwezemidlalo bamukela imijovo yeplasma ecebile ngeplatelet ukusheshisa ukululama kwezemidlalo, nokuyilapho umhlaba wonke waqala ukunaka.

Namuhla, ukwelashwa kwe-PRP kuyasiza kwizimo eziningi:

Odokotela bamathambo kanye nemithi yezemidlalo bayisebenzisela ukulimala kwamathambo, imisipha, ukuhlangana, umgogodla nokulimala kwemisipha.
Odokotela bamazinyo basebenzisa imijovo ye-PRP ukukhipha izinyo, ukufakelwa, noma ukuhlinzwa ngezikhathi ezithile ukusheshisa ukululama kanye nokuphulukisa ukulimala kwezicubu namathambo.
Odokotela abahlinzayo bayo yonke imivimbo basebenzisa i-PRP ukusheshisa ukuphulukiswa kwamanxeba nokunciphisa amazinga okutheleleka.
Odokotela abahlinzayo basePlastiki sekuyisikhathi eside besebenzisa i-PRP ukusheshisa inqubo yokuphulukisa yokuhlinzwa kwezimonyo, kepha abanye basebenzisa imijovo ye-PRP ukukhuthaza ukukhula kwezicubu ebusweni ukuze bushelelezi imibimbi futhi kubuyise umbala wesikhumba.
Ama-dermatologists asebenzisa i-PRP kanye nemithi I-minoxidil noma imali uku ukuhlehlisa izinwele kwabesilisa nabesifazane. Izici zokukhula kwamaplatelet zikhuthaza ukukhula kwezinwele, futhi imithi ilawula imiphumela ye-testosterone ku-follicle yezinwele.
Ezinye izazi zamehlo seziqale ukusebenzisa amathonsi wamehlo e-PRP ngqo ebusweni beso sezilonda ze-corneal noma ukulimala kwamehlo okomile. Amaconsi e-PRP wamehlo abekwe ngqo kwizindlala zezinyembezi angakhuphula ukukhiqizwa kwezinyembezi.
Odolaryngologists basebenzise imijovo ye-PRP ukwelapha ukulahleka kokuzwa noma kwephunga.
Ekugcineni, odokotela abathile be-urologists banikeza imijovo ye-PRP yokwelapha ukungasebenzi kahle kwe-erectile.

Akuwona wonke umuntu olungele ukuthola imijovo ye-PRP. Akufanele uthole umjovo we-PRP uma:

unokubalwa kweplatelet okuphansi
thatha izinciphisi zegazi
unomdlavuza
abakhulelwe
ube nokutheleleka okusebenzayo

Ingabe i-PRP iyasebenza ngempela?

Kwezinye izimo, ukwelashwa kwe-plasma okunothe ngeplatelet kunempikiswano futhi akusekelwa ngokuqinile yisayensi. Odokotela ngamunye babika imiphumela emangalisayo, kepha izifundo ezisekelayo zivame ukufaka isampula elincane leziguli. Ezinye izifundo zikhombisa ukuthuthuka okumangazayo, kanti okunye kukhombisa okuphambene nalokho.

Ayikho indlela elungile eyamukelwa indawo yonke yokulungiselela umjovo we-PRP. Izici eziningana ezingaba nomthelela empumelelweni yomjovo we-PRP zisengaphikiswa, kufaka phakathi ukuthi ama-platelet azowasetshenziswa nini, noma ngabe amaseli amhlophe egazi asemjoweni asiza noma avimbela inqubo yokuphulukisa, nokuthi i-fibrin (iprotheni yokuvala igazi etholakala ku-plasma) kufanele ifakwe nomjovo. Ngamanye amagama, ayikho i-protocol esunguliwe yokujova kwe-PRP maqondana nanoma yiziphi izimo abazelaphayo.

Ngenxa yalokhu, akukho ukuvumelana ngezinga lempumelelo lokujova kwe-PRP. Ngokuya ngesimo nokulungiswa komjovo we-PRP, umjovo we-PRP ungasebenza noma ungasebenzi.

Ukulimala kwetendon, imisipha, kanye ne-ligament

Kwezinye izimo, noma kunjalo, ukwelashwa kwe-PRP kunokusekelwa okuqinile futhi kuzuze imiphumela emihle kakhulu. Isayensi iyakholisa ukuthi imijovo ye-PRP iyindlela yokwelashwa ephumelele kakhulu ukulimala kwethenda (tendinopathy). Lokhu kufaka indololwana yethenisi (i-epicondylitis), ukulimala kwekhiphu ye-rotator, idolo le-jumper (patellar tendonitis), i-Achilles tendonitis, i-plantar fasciitis, ne-tendinosis, phakathi kwabanye.

Konke lokhu kulimala kwethenda kunzima ukwelapha nokuphatha. Kuthatha isikhathi eside ukuphola futhi kunganciphisa kakhulu izinga lempilo labantu abasebenzayo. Eziningi zikhula zibe izimo ezingalapheki ngisho nokuphila konke. Izinga lokuphumelela komjovo we-PRP wokuxazulula lezi zimo liphezulu kakhulu.

Ukusetshenziswa kwe-PRP ekwelapheni ukulimala kwezicubu ezithambile kanye nokulimala kwe-ligament akuqinisekile kangako. Ubufakazi kuze kube manje bubonisa ukuthi i-PRP iyasheshisa isikhathi sokuphulukiswa. Ukubuyiselwa ekulimaleni kwemisipha (njenge-hamstring edonswayo) noma ukulimala kwe-ligament (njenge-ankle sprain) kungaba inqubo ende futhi eyinkimbinkimbi. Imiphumela eminingi ye-PRP ifaka isandla ekululameni ngokushesha ekulimaleni kwemisipha kanye ne-ligament.

Ukuvuselelwa kwe-arthritis ne-cartilage

Isayensi esekela ukusetshenziswa kwe-PRP ekwelapheni ukulimala kwe-cartilage ayiqinisekile. I-Osteoarthritis, okuvame kakhulu futhi kuyenze ibe buthakathaka imibandela ye-cartilage, sekuyisikhathi eside ilwela umjovo we-PRP imijovo. Kodwa-ke, uqwanga unamandla amancane kakhulu okukhula nokuzalwa kabusha. Kokukodwa funda neziguli ezingama-200 ze-osteoarthritis , Imijovo ye-PRP yehlisa ubuhlungu nomsebenzi owandayo ngemuva kwezinyanga eziyi-12 uma kuqhathaniswa nezinye iziguli.

Ngakho-ke imijovo ye-PRP ingasiza uqwanga ukuba luvuselele kangcono kunezinye izindlela zokwelashwa, lukwenze kube okunye okunengqondo kumjovo we-steroid noma i-hyaluronic acid. Kodwa-ke, zonke izindlela zokwelapha ezihloselwe ukuvuselela uqwanga (kufaka phakathi i-PRP) zinemiphumela exubile. Kudingeka izifundo eziningi kule ndawo.

I-PRP yezinye izinkinga zempilo

Ukusetshenziswa kwe-PRP ekwelashweni kwamazinyo nokuhlinzwa kusekelwa ngokufanayo. Iplasma ecebile ngeplatelet yomibili iyasheshisa ukwelashwa futhi yehlisa kakhulu izehlakalo zokutheleleka.

Kodwa-ke, ukwelashwa kwe-PRP ku-urology, ophthalmology, dermatology, ukuhlinzwa kwezimonyo, nezinye izindawo kudinga ukutadisha okwengeziwe. Iziguli ezicubungula ukwelashwa kwe-PRP ngezimo ezingezona eze-tendon, imisipha, noma izinkinga ezihlangene kufanele zenze ukukhuthala kwazo kanye nocwaningo, ziqaphele, futhi zixhumane nomhlinzeki wezempilo oyedwa noma abaningi.

Kuthatha isikhathi esingakanani ukuthi imijovo ye-PRP isebenze?

Imijovo ye-PRP ayizinciphisi izimpawu noma ilungise inkinga ngendlela efanayo nezidakamizwa noma ukuhlinzwa. Esikhundleni salokho, baqala inqubo yokuzivuselela yemvelo ezothatha amasonto kuya ezinyangeni ukuphothulwa kuye ngohlobo lokulimala.

Ngokujova okuhlangene, kwamathambo, noma kwemisipha, imiphumela yomjovo we-PRP kufanele ibonakale cishe ezinyangeni ezintathu bese igcwaliswa ezinyangeni eziyisithupha kuya kweziyisishiyagalolunye. Uma kungazange kube nokuthuthuka okwanele ebuhlungwini noma ekuhambeni ngaleso sikhathi, kungadingeka omunye umjovo. Lapho inqubo yokuphulukisa isiqediwe, umphumela uzoba unomphela.

Yini ongayilindela ngemuva kokujova kwe-PRP

Imijovo yeplasma ecebile ngeplatelet kujoyinti, imisipha, noma umsipha kuzodinga isikhathi sokululama. Njengoba kushiwo, i-PRP ayiyilungisi inkinga noma iqede izimpawu kepha kunalokho iqala futhi isheshise inqubo yokuvuselela yemvelo. Leyo nqubo yokwelashwa izothatha amasonto noma izinyanga ezimbalwa ukuqeda, kepha indawo yokwelashwa izoba buhlungu futhi mhlawumbe ivuvukele ezinsukwini ezimbalwa zokuqala. Eqinisweni, ukuvuvukala kuyingxenye yenqubo yokuqala yokuphulukisa.

Isikhathi sokutakula nemikhawulo

Ngokuvamile, isikhathi sokutakula umjovo we-PRP usuku olulodwa kuya kwezinsuku zokuphumula kuze kufike emavikini amabili ngokuxhaswa kokuhamba (okungukuthi, izinduku), ngemuva kwalokho kuzoqala ukwelashwa ngokomzimba.

Ezinye izindlela zokwelashwa ze-PRP zizovumela iziguli ukuthi zibuyele emsebenzini ngosuku olulandelayo. Abanye bazodinga usuku olulodwa noma ezimbili zokuphumula. Gwema ukuzivocavoca umzimba bese ugcine imisebenzi esebenzisa indawo ethintekile ibe yincane. Uma ngabe ujove umjovo enqulwini, edolweni, noma eqakaleni, gwema ukuhamba ngalesi sikhathi. Ngokuya ngomjovo, isiguli singadinga ukusebenzisa indwayimane, ibhuthi yokuhamba, noma izinduku kunoma yikuphi kusukela ezinsukwini ezimbalwa kuye emasontweni amabili.

Yize indawo elashwa ingakhukhumala, imithi elwa nokuvuvukala, efana ne-steroids noma ama-NSAID, kufanele igwenywe okungenani isonto. Udokotela wakho angakunikeza izidambisi zobuhlungu ezingezona ezokulwa nokuvuvukala.

Noma yikuphi ukwelashwa ngokomzimba kuzoqala cishe emasontweni amabili ngemuva kokwelashwa. Ngokwelashwa okuhlangene, kwemisipha, noma kwethenda, umhlinzeki wezokunakekelwa kwempilo uzofuna ukuvakashelwa kokulandelwa emasontweni ayisithupha kuya kwayisishiyagalombili ukuhlola inqubekela phambili. Ubuhlungu buzokwehla kancane kancane emasontweni nasezinyangeni ezilandelayo.

Okuqhamuka uma udla imishanguzo

Ukwelashwa kwe-plasma ecebile ngeplatelet isebenzisa igazi lesiguli, ngakho-ke liphephe ngokumangazayo futhi alinayo imiphumela emibi. Imiphumela emibi kuphela abantu abangayithola ukuphendula kwesayithi lokujova okwesikhashana. Ukuphendula kwesayithi lendawo njengokulimala kwemizwa, ukulimala kwezicubu, noma ubuhlungu bendawo kuvela kumjovo uqobo. Kukhona ingozi encane yokutheleleka njengoba ikhona nayo yonke imijovo.

Kubiza malini umjovo we-PRP?

Umshwalense awukuhlanganisi ukwelashwa kwe-plasma okunothe ngeplatelet ngaphandle uma kuyingxenye yenqubo yokuhlinzwa, futhi noma kunjalo, kungenzeka kungambozwa. Isiguli sizokhipha zonke izindleko zomjovo we-PRP.

Akukho ukuvumelana ngokuthi kufanele ukwelashwa okungakanani kwe-PRP kufanele kubize. Izindleko ezijwayelekile zokwelashwa kwe-PRP yi- $ 750, kepha inqubo ingabiza noma yikuphi kusuka ku- $ 300 kuya ku- $ 2,500 . Ukubonisana kokuqala kungaba izindleko ezengeziwe, futhi nakho, kungahle kungakhokhelwa umshwalense. Ngakho-ke, ngokuvamile, izindleko ezingaphandle kwesikhwama zezinqubo eziningi ze-PRP zingahle zisuke ku- $ 300 ziye ku- $ 2,700.