Iterambere rya societe, abantu benshi kandi benshi bitondera imyitozo.Imyitozo idahwitse ituma imitsi yacu, ingingo hamwe na ligaments bidashobora kwihanganira.Igisubizo gishobora kuba ibikomere, nka tendonitis na osteoarthritis.Kugeza ubu, abantu benshi bumvise PRP cyangwa plasma ikungahaye kuri platel.Nubwo PRP itavura amarozi, isa nkaho ari nziza mu kugabanya ububabare muri byinshi.Kimwe nubundi buvuzi, abantu benshi bifuza kumenya igihe cyo gukira nyuma yo guterwa PRP.
Gutera PRP bikoreshwa mukugerageza kuvura ibikomere byinshi byamagufwa nindwara zangirika, nka osteoarthritis na arthritis.Abantu benshi bizera ko PRP ishobora gukiza osteoarthritis.Hariho ubundi bwumvikane buke kubyerekeye PRP icyo aricyo nicyo ishobora gukora.Umaze guhitamo inshinge za PRP, hazabaho ibibazo byinshi bijyanye nigipimo cyo gukira kwa PRP cyangwa plasma ikungahaye kuri platel nyuma yo guterwa.
Gutera PRP (plasma ikungahaye kuri platel) nuburyo bwo kuvura busanzwe, butanga uburyo bwo kuvura abarwayi benshi bafite ibikomere byindwara nindwara.PRP ntabwo ivura amarozi, ariko ifite ingaruka zo kugabanya ububabare, kugabanya umuriro no kunoza imikorere.Tuzaganira kubishobora gukoreshwa hepfo.
Gahunda yose ya PRP ifata iminota 15-30 kuva itangira kugeza irangiye.Mugihe cyo gutera PRP, amaraso azakusanywa mumaboko yawe.Shira amaraso mumiyoboro idasanzwe ya centrifuge, hanyuma uyishyire muri centrifuge.Centrifuges itandukanya amaraso mubice bitandukanye.
Ibyago byo guterwa PRP ni bike cyane kuko wakiriye amaraso yawe.Mubisanzwe ntabwo twongeyeho imiti iyo ari yo yose yo guterwa PRP, bityo uzatera igice cyamaraso gusa.Abantu benshi bazumva ububabare nyuma yo kubagwa.Abantu bamwe bazabisobanura nkububabare.Ububabare nyuma yo guterwa PRP buratandukanye cyane.
Gutera PRP mu ivi, ku rutugu cyangwa mu nkokora mubisanzwe bitera kubyimba gake no kutamererwa neza.Gutera PRP mumitsi cyangwa imitsi mubisanzwe bitera ububabare burenze gutera inshinge.Uku kutoroherwa cyangwa ububabare bimara iminsi 2-3 cyangwa irenga.
Nigute ushobora kwitegura gutera inshinge PRP?
Mugihe cyo gutera PRP, platine yawe izakusanywa hanyuma yinjizwe ahantu yangiritse cyangwa yakomeretse.Ibiyobyabwenge bimwe bishobora guhindura imikorere ya platel.Niba ufashe aspirine kubuzima bwumutima, urashobora gukenera kubaza umuganga wawe cyangwa umuganga wibanze.
Aspirin, Merrill Lynch, Inama, Alleve, Naproxen, Naproxen, Celebrex, Mobik na Diclofenac byose bibangamira imikorere ya platine, nubwo bizagabanya reaction yo gutera inshinge PRP, birasabwa guhagarika gufata aspirine cyangwa indi miti igabanya ubukana icyumweru kimwe mbere n'ibyumweru bibiri nyuma yo guterwa.Tylenol ntabwo izagira ingaruka kumikorere ya platel kandi irashobora gufatwa mugihe cyo kuvura.
Ubuvuzi bwa PRP bukoreshwa mu kuvura ububabare no gutwika ivi, inkokora, urutugu na hip osteoarthritis.PRP irashobora kandi kuba ingirakamaro kubikomere byinshi bya siporo bikabije, harimo:
1) Amarira ya Meniscus
Iyo dukoresheje suture kugirango dusane menisque mugihe cyo kubagwa, mubisanzwe dushyira PRP hafi yikibanza cyo gusana.Igitekerezo kiriho nuko PRP ishobora kunoza amahirwe yo gukiza menisque yasanwe nyuma yo kudoda.
2) Gukomeretsa urutugu
Abantu benshi barwaye bursite cyangwa rotator cuff inflammation barashobora kwitabira gutera inshinge PRP.PRP irashobora kugabanya rwose gucana.Ngiyo intego nyamukuru ya PRP.Iyi inshinge ntishobora gukiza byimazeyo rotator cuff amarira.Kimwe n'amarira ya meniscus, turashobora gutera PRP muri kano gace nyuma yo gusana rotate cuff.Mu buryo nk'ubwo, byizerwa ko ibyo bishobora kuzamura amahirwe yo gukira amarira ya rotator.Mugihe hatabayeho kurwara bursite, PRP irashobora kugabanya neza ububabare buterwa na bursite.
3) Amavi osteoarthritis
Bumwe mu buryo bukoreshwa cyane muri PRP ni ukuvura ububabare bwa osteoarthritis.PRP ntizahindura osteoarthritis, ariko PRP irashobora kugabanya ububabare buterwa na osteoarthritis.Iyi ngingo itangiza PRP inshinge ya arthritis ivi muburyo burambuye.
4) Gukomeretsa kw'amavi
PRP isa nkaho ari ingirakamaro mu gukomeretsa ingwate yo hagati (MCL).Imvune nyinshi za MCL zikira mu mezi 2-3.Imvune zimwe za MCL zirashobora kuba karande.Ibi bivuze ko bakomeretse igihe kirekire kuruta uko twari tubyiteze.Gutera PRP birashobora gufasha MCL kurira gukira vuba no kugabanya ububabare bwamarira adakira.
Ijambo karande risobanura ko igihe cyo gutwika no kubyimba ari kirekire cyane ugereranije nigihe giteganijwe cyo gukira.Muri iki gihe, gutera inshinge PRP byagaragaye ko bizamura gukira no kugabanya umuriro udakira.Ibi bibaye inshinge zibabaza cyane.Mu byumweru nyuma yo guterwa inshinge, benshi murimwe bazumva bamerewe nabi kandi bakomeye.
Ubundi buryo bushoboka bwo gukoresha inshinge PRP zirimo:
Inkokora ya Tennis: ulnar ingwate ligament yimvune yinkokora.
Amaguru y'amaguru, tendonitis na ligament sprain.
Binyuze mu buvuzi bwa PRP, hakurwa amaraso yumurwayi, aratandukana kandi yongera guterwa mu ngingo n’imitsi yakomeretse kugira ngo agabanye ububabare.Nyuma yo gutera inshinge, platine yawe izarekura ibintu byihariye byo gukura, mubisanzwe biganisha ku gukira no gusana.Iyi niyo mpamvu bishobora gufata igihe kugirango ubone ibisubizo nyuma yo guterwa.Amashanyarazi dutera ntabwo azakiza byimazeyo.Platelets irekura imiti myinshi yo guhamagara cyangwa kwimura izindi selile zo gusana ahangiritse.Iyo platine irekuye imiti, itera umuriro.Uku gutwika nimpamvu ituma PRP ishobora gukomereka mugihe yatewe mumitsi, imitsi na ligaments.
PRP yabanje gutera uburibwe bukabije kugirango ikemure ikibazo.Uku gutwika gukabije kurashobora kumara iminsi myinshi.Bifata igihe kugirango selile zishakishwa zinjire zigere ahakomeretse hanyuma zitangire inzira yo gusana.Kubikomere byinshi, birashobora gufata ibyumweru 6-8 cyangwa birenga kugirango ukire nyuma yo guterwa.
PRP ntabwo ari umuti.Mu bushakashatsi bumwe na bumwe, PRP ntabwo yafashije agace ka Achilles.PRP irashobora cyangwa ntishobora gufasha patellar tendinitis (verbose).Inyandiko zimwe zubushakashatsi zerekana ko PRP idashobora kugenzura neza ububabare buterwa na patellar tendinitis cyangwa gusimbuka ivi.Bamwe mu babaga bavuze ko PRP na patellar tendinitis bavuwe neza - bityo, nta gisubizo cya nyuma dufite.
Igihe cyo gukira PRP: Niki nakwitega nyuma yo gutera inshinge?
Nyuma yo gutera inshinge, umurwayi ashobora kubabara muminsi ibiri cyangwa itatu.Abantu bakira PRP kubera igikomere cyoroshye (tendon cyangwa ligament) barashobora kugira ububabare muminsi myinshi.Bashobora kandi kumva bakomeye.Ubusanzwe Tylenol igira akamaro mukurwanya ububabare.
Imiti igabanya ububabare irakenewe.Ubusanzwe abarwayi bafata iminsi mike y'ikiruhuko nyuma yo kuvurwa, ariko ibi ntabwo ari ngombwa rwose.Kugabanya ububabare mubisanzwe bitangira mubyumweru bitatu cyangwa bine nyuma yo guterwa PRP.Ibimenyetso byawe bizakomeza gutera imbere mumezi atatu kugeza kuri atandatu nyuma yo guterwa PRP.Igihe cyo gukira kiratandukanye bitewe nibyo tuvura.
Ububabare cyangwa kutoroherwa kwa osteoarthritis mubisanzwe byihuta kuruta ububabare bujyanye na tendons (nk'inkokora ya tennis, inkokora ya golf cyangwa patellar tendinitis).PRP ntabwo ari nziza kubibazo bya tendon ya Achilles.Rimwe na rimwe, reaction ya arthritis ihuza izo nshinge zirihuta cyane kuruta iy'abarwayi bavuwe na tendinitis.
Kuki PRP aho kuba cortisone?
Niba bigenze neza, PRP mubisanzwe izana ihumure rirambye
Kuberako ingirabuzimafatizo zoroshye (tendons, ligaments) zishobora kuba zaratangiye kuvuka cyangwa kwiyubaka ubwazo.Intungamubiri za bioaktike zirashobora gukiza no gusana.Ubushakashatsi bushya bwerekana ko PRP ikora neza kuruta gutera cortisone - inshinge ya cortisone irashobora guhisha umuriro kandi nta bushobozi bwo gukiza ifite.
Cortisone nta biranga gukiza kandi ntishobora kugira uruhare rurerure, rimwe na rimwe ikangiza ibyangiritse byinshi.Vuba aha (2019), ubu abantu bemeza ko inshinge ya cortisone ishobora no kwangiza karitsiye, ishobora kwangiza osteoarthritis.
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.）
Igihe cyoherejwe: Mutarama-19-2023