Majekeseni a hyaluronic acid omwe amagwiritsidwa ntchito ndi njira imodzi yothandizira osteoarthritis . Kodi tikudziwa chiyani za mphamvu ya hyaluronic asidi pachiuno? Kodi majeremusi a hyaluronic ayesedwa pa ziwalo zina kapena kodi amagwiritsidwa ntchito makamaka pochizira mafupa a bondo?
Hyaluronic Acid Injections Kodi FDA-Yavomerezedwa Knee Osteoarthritis koma Osati kwa Kuwala
Majekesiti a Hyaluronic acid akhala FDA ovomerezeka kwa zaka zambiri monga chithandizo cha mafupa a m'magazi.
Koma hyaluronic asidi sivomerezedwe m'chiuno kapena ziwalo zina. Komabe, madokotala ena akhala akugwiritsira ntchito mankhwalawa chifukwa cha opaleshoni ya hip kwa odwala awo. Mwachitsanzo, inshuwalansi ya buluu ya Blue Cross / Blue Shield imapanga injini za intra-articular zomwe zimagwiritsidwa ntchito pamphindi wina uliwonse kusiyana ndi bondo lofufuzira komanso osati mankhwala. Akatswiri ofufuza apeza kuti majekeseni a hyaluronic acid ndi othandiza kwambiri. The American College of Rheumatology sikuti amalangiza kugwiritsa ntchito iyo kwa hip osteoarthritis.
Mankhwala Osakaniza a Hyaluronic Acid
Pali mitundu yambiri ya jekeseni ya hyaluronic acid, yomwe Synvisc ndiyo yomwe inavomerezedwa poyamba. Euflexxa, Orthovisc , Hyalgan, ndi Supartz ndi ena. Synvisc-One inavomerezedwa pa February 26, 2009, monga njira imodzi yokha yopangira jekeseni ya Synvisc, yomwe imafuna katemera katatu.
- Kodi Viscosupplementation Ndi Chiyani? Phunzirani za momwe izi zimagwiritsidwira ntchito pa mitsempha ya m'magazi.
- Zilonda za Hyaluronan za Knee Osteoarthritis : Zinthu 10 zomwe muyenera kudziwa za mankhwalawa.
- Zowonongeka Zowonjezera: Zokambirana zambiri za kafukufuku waposachedwapa ngati izi ndi zothandiza kwa mafupa a mitsempha.
Hyaluronic Acid Yopanda Ntchito ya Hip Osteoarthritis
Hyaluronic acid ikufuna kubwezeretsa zinthu zachilengedwe za synovial madzi.
Izi zatchulidwanso kuti hyaluronic acid ikhoza kukhala ndi chitetezo pa kadoti , ndipo ikhoza kuchepetsa kupanga ndi ntchito za mankhwala omwe amaphatikizapo kutupa (monga proinflammatory mediator, matrix metalloproteinases).
Malinga ndi kafukufuku wina, jekeseni imodzi ya hyaluronic asidi si yothandiza kwa hip osteoarthritis - kwenikweni, yopambana kuposa placebo. Chifukwa hyaluronic acid imachotsedwa mwamsanga kuchokera kumagulu, jekeseni oposa umodzi ukhoza kuwunikira kuti apindule. Kutaya mwamsanga kwa hyaluronic asidi ndi lingaliro limodzi chabe loti n'chifukwa chiyani jekeseni angapo imabweretsa zotsatira zabwino.
Zofukufuku zomwe zimayang'ana mphamvu ya hyaluronic acid chifukwa cha mchiuno wa opaoarthritis akhala ochepa komanso ochepa. Mafufuzidwe ambiri amafunika kudziwa ngati hyaluronic acid ndi njira yoyenera yothandizira pa ziwalo zina kusiyana ndi bondo.
Hyaluronic Acid Injections Komanso Kusakondedwa ndi Knee Osteoarthritis
Kuphunzira kwa Cochrane kafukufuku 76, wofalitsidwa mu 2006, kunamveka kuti hyaluronic asidi sinali yogwira mtima kwambiri kwa mafupa osteoarthritis kuposa a NSAID. Zidapangitsa kuchepetsa kupweteka, koma osati kuposa mankhwalawa, ndipo amatenga milungu isanu kuti iwonongeke. Ubwino unali kuti zotsatira zitha kukhala zamuyaya.
Malingana ndi kafukufuku wa maphunziro 15, American Academy of Orthopedic Surgeons (AAOS) inapereka malingaliro atsopano mu June 2013 akuti hyaluronic asidi sichitsatizana ndi zofunikira zowonjezera zowonjezera kuchipatala. Izi zingachititse madokotala ocheperapo ndi ochepa pogwiritsa ntchito jekeseni wa mafupa a bondo.
Zotsatira:
Zotsatira za hyaluronic acid m'thupi lachidziwitso cha mitsempha ya mitsempha: Chiyeso chodziwika bwino, chokhazikika, chokhazikitsa malo. Arthritis & Rheumatism. March 2009. Richette P et al.
Hyaluronic Acid Injections kwa Osteoarthritis, Timothy Gower, Arthritis Foundation, anapeza 1/5/16.
Bellamy N, et. al. "Viscosupplementation for treatment of osteoarthritis ya bondo." Cochrane, 19 April 2006.
Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 akulimbikitsanso kugwiritsa ntchito mankhwala osagwiritsiridwa ntchito ospharmacologic ndi mankhwala okhudza mankhwala opatsirana m'magazi a dzanja, chiuno, ndi bondo. Mankhwala Osamalira Amagazi (Hoboken). 2012; 64 (4): 465-474.
Kuchiza kwa Osteoarthritis ya Knee Umboni Wopereka Umboni 2 Edition. Bungwe Loona za Odwala Opaleshoni la American Academy of Orthopedic May 18, 2013.