Impuguke z’inzobere mu buvuzi kuri Platelet ikize Plasma (PRP) mu kuvura Epicondylitis yo hanze y’imbere (2022 Edition)

Platelet ikungahaye kuri plasma (PRP)

Epicondylitis yo hanze ya humeral ni indwara isanzwe ivura irangwa n'ububabare kuruhande rwinkokora.Nuburiganya kandi byoroshye kubisubiramo, bishobora gutera ububabare bwamaboko nimbaraga zamaboko bigabanuka, kandi bigira ingaruka zikomeye mubuzima bwa buri munsi nakazi k’abarwayi.Hariho uburyo butandukanye bwo kuvura epicondylitis yinyuma ya humerus, hamwe ningaruka zitandukanye.Nta buryo busanzwe bwo kuvura ubu.Plasma ikungahaye kuri plasma (PRP) igira ingaruka nziza mugusana amagufwa na tendon, kandi yakoreshejwe cyane mukuvura epicondylitis yo hanze.

Ukurikije ubukana bw'igipimo cyo gutora, kigabanijwemo ibyiciro bitatu:

100% byemewe rwose (Urwego I)

90% ~ 99% ni ubwumvikane bukomeye (Urwego II)

70% ~ 89% bahurije hamwe (Urwego III)

PRP Igitekerezo hamwe nibisabwa Ibisabwa

(1) Igitekerezo: PRP ni plasma ikomoka.Ububiko bwa platel burenze hejuru y'ibanze.Irimo umubare munini wibintu bikura hamwe na cytokine, bishobora guteza imbere neza gusana no gukira.

(2) Ibisabwa kubintu byakoreshejwe:

Concentration Kwibanda kwa platel ya PRP mukuvura epicondylitis yo hanze ya humeral birasabwa kuba (1000 ~ 1500) × 109 / L (inshuro 3-5 yibitekerezo byibanze);

Hitamo gukoresha PRP ikungahaye kuri selile yera;

Activation Gukora ibikorwa bya PRP ntabwo byemewe.

(Basabye ubukana: Urwego I; urwego rwibimenyetso urwego: A1)

Igenzura ryiza rya tekinoroji yo gutegura PRP

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(2) Ibikoresho: PRP igomba gutegurwa hakoreshejwe sisitemu yo gutegura ibikoresho byubuvuzi byo mu cyiciro cya III byemewe.

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(Basabwe ubukana: Urwego I; urwego rwibimenyetso urwego: Urwego E)

Ibyerekana no Kurwanya PRP

(1) Ibyerekana:

Treatment Ubuvuzi bwa PRP ntabwo busabwa neza kubwoko bw'imirimo y'abaturage, kandi burashobora gufatwa nk'ubukorwa ku barwayi bafite ibibazo byinshi (nk'imbaga y'imikino) kandi bakeneye bike (nk'abakozi bo mu biro, abakozi bo mu muryango, n'ibindi.) );

Patients Abarwayi batwite n'abonsa barashobora gukoresha PRP ubwitonzi mugihe ubuvuzi bwumubiri butagize ingaruka;

③ PRP igomba kwitabwaho mugihe imiti idakira idakira epicondylitis idakora neza mumezi arenze 3;

④ Nyuma yo kuvura PRP bigira akamaro, abarwayi bongeye kwisubiraho barashobora gutekereza kongera kuyikoresha;

⑤ PRP irashobora gukoreshwa amezi 3 nyuma yo guterwa steroid;

⑥ PRP irashobora gukoreshwa mukuvura indwara ya extensor tendon hamwe no kurira igice.

(2) Kurwanya burundu: ① trombocytopenia;Tum Ikibyimba kibi cyangwa kwandura.

(3) Kwanduza ibintu bifitanye isano: ① abarwayi bafite amaraso adasanzwe kandi bafata imiti igabanya ubukana;Emia Anemia, hemoglobine <100 g / L.

(Basabwe ubukana: Urwego rwa II; urwego rwibimenyetso byubuvanganzo: A1)

Ubuvuzi bwa PRP

Iyo inshinge ya PRP ikoreshwa mukuvura epicondylitis ya humerus, birasabwa gukoresha ubuyobozi bwa ultrasound.Birasabwa gutera 1 ~ 3 ml ya PRP ahakomeretse.Gutera inshinge imwe birahagije, mubisanzwe ntibirenza inshuro 3, kandi intera yo gutera ni ibyumweru 2 ~ 4.

(Basabye ubukana: Urwego I; urwego rwibimenyetso urwego: A1)

Gushyira mu bikorwa PRP mu mikorere

Koresha PRP ako kanya nyuma yo gukuraho cyangwa kudoda igikomere mugihe cyo kubagwa;Ifishi ya dosiye yakoreshejwe irimo PRP cyangwa ihujwe na gel ikungahaye kuri platel (PRF);PRP irashobora guterwa mumagufwa ya magufa, agace kegereye agace kahantu henshi, kandi PRF irashobora gukoreshwa mukuzuza agace keza ka tendon no gupfukirana ubuso.Igipimo ni 1-5ml.Ntabwo byemewe gutera PRP mumyanya ihuriweho.

(Basabwe ubukana: Urwego rwa II; urwego rwibimenyetso byubuvanganzo: Urwego E)

PRP Ibibazo bifitanye isano

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(4) Gahunda yo gusubiza mu buzima busanzwe: nta gukosorwa bisabwa nyuma yo kuvura inshinge PRP, kandi ibikorwa bitera ububabare bigomba kwirindwa mu masaha 48 nyuma yo kuvurwa.Guhindura inkokora no kwaguka birashobora gukorwa nyuma yamasaha 48.Nyuma yo kubagwa hamwe na PRP, gahunda yo gusubiza mu buzima busanzwe nyuma yo kubagwa igomba gushyirwa imbere.

(Basabwe ubukana: Urwego I; urwego rwibimenyetso urwego: Urwego E)

Reba:Chin J Trauma, Kanama 2022, Imb.38, No 8, Ikinyamakuru cyo mu Bushinwa cy’ihungabana, Kanama 2022

Ibiri muri iyi ngingo byongeye gusubirwamo, kandi ntidutanga ingwate iyo ari yo yose cyangwa yerekana ko ari ukuri, kwiringirwa cyangwa kuzuza ibikubiye muri iyi ngingo, kandi ntabwo dushinzwe ibitekerezo by'iyi ngingo, nyamuneka ubyumve.）