Ziphuphu Zachilengedwe Zokuchiritsa Kuwonongeka ndi Kuchepetsa Kutupa
Platelet wolemera plasma (wofupikitsa PRP) ndi mankhwala omwe amagwiritsidwa ntchito pa mitundu yosiyanasiyana ya mafupa. PRP ndi ndondomeko ya maselo a platelet otengedwa m'magazi anu, ndipo mapulateletti ameneŵa ali ndi zinthu zokula zomwe zingathandize pa machiritso aakulu . Zikukula ndizo mankhwala omwe amasonyeza kuti thupi liyambe kulandira machiritso. Pobaya jekeseni wa PRP m'madera ovulala, chiyembekezo ndikuthandizira ndi kukulitsa mphamvu za thupi lanu kuchiza matenda aakulu.
PRP imakhala ndi mapepala apamwamba kwambiri, maselo ena amagazi ofunika kwambiri mu machiritso, ndi kukula.
Ntchito
PRP yagwiritsidwa ntchito mu zipinda zogwirira ntchito kwazaka makumi angapo kuti zithandizidwe ndi machiritso ovulaza, ndi kulimbikitsa mafupa opanga opaleshoni ya msana . Posachedwapa, PRP yagwiritsidwa ntchito poyang'anira matenda opatsirana pogwiritsa ntchito:
Ndondomeko
Majeremusi a PRP akhoza kuchitidwa ku ofesi ya udokotala. Ndondomekoyi imatenga pafupifupi mphindi makumi atatu kuti imachotse magazi, imathamanga magazi mu centrifuge, ndipo imani jekeseni wa PRP ku malo ovulalawo.
Kupeza dokotala yemwe amapereka jekeseni wa PRP kungakhale kovuta, koma kaŵirikaŵiri izi zimaperekedwa ndi madokotala a mafupa omwe amagwiritsa ntchito mosamala zowononga masewera.
Momwe Pulogalamu Yapezera
PRP imapezeka kwa wodwalayo amene akuchiritsidwa. Magazi amachotsedwa ku mitsempha m'manja mwa wodwalayo ndipo magazi amaikidwa mu centrifuge, makina omwe amawulukira pa liwiro lalikulu kuti athe kusiyana ndi mitundu yosiyanasiyana ya maselo a magazi.
Dokotala amachotsa gawo lolemera la platelet la magazi, ndipo amajambulira izi kumalo ovulala. Palibenso ma platelets omwe amagawidwa ndi magazi "opopera", komanso zina zofunika kukula, plasma, ndi maselo ofiira ena.
Momwe PRP imayidwira
Majekeseni a PRP amaperekedwa mwamsanga pamene magazi amakhetsedwa ndipo mapulaneti amagawanika.
Madokotala ena angasankhe kuwonjezera "wothandizira," kawirikawiri amachititsa thrombin kapena calcium chloride, pamene ena amamwa jekeseni. Kafukufuku wasonyeza kuti mavitoni omwe ali ndi jekeseni akhoza kuyambitsa PRP, kotero wogwira ntchitoyo sangakhale wofunikira.
Palibe sayansi yeniyeni yovomerezeka yowonjezera kuchuluka kwa PRP ndi majekesiti oyenera. Madokotala ambiri amapanga jekeseni umodzi, ngakhale kuti nthawi zina jekeseni ya PRP imaperekedwa ngati jekeseni yambiri pamasiku angapo.
Mphamvu
Timadziwa kuchokera ku ma laboratory kuti PRP ikhoza kuthandizira kukulitsa zinthu zina zomwe zikufunikira pa machiritso. Chimene sitikudziwa n'chakuti izi zimapangitsa kusiyana kulikonse pakuchiritsa pamene PRP imalowetsedwa mu gawo lovulazidwa la thupi.
Maphunziro a zachipatala omwe apangidwa pano sakuwonetsa ngati PRP ili yothandiza kuposa mankhwala ena. Ngakhale zilipo zokhudzana ndi milandu yabwino, sizikudziwika ngati zopambanazi zili bwino, kapena zoipitsitsa, kuposa zochiritsira zina. Pakalipano, kafukufuku akuyang'anitsitsa ngati PRP ndi yothandiza kuposa njira zina zothandizira matenda opatsirana.
PRP yasonyezedwa kuti ili ndi zotsatira zina zowonjezera tennis, Achilles kuvulala, ngakhalenso nyamakazi ya knee.
Mwatsoka, izi ndi zochepa zochepa zomwe zimatsatira odwala kwa nthawi yochepa. Chifukwa cha ichi, madokotala ambiri, ndipo ndithudi makampani a inshuwalansi, taganizirani za PRP kuti ayesere. Komabe, lankhulani ndi wodwala aliyense yemwe wapeza bwino ndi PRP, ndipo adzakuuzani za momwe mankhwalawa angapangire bwino! Ndikofunika kukumbukira, ngakhale kuti pali nkhani zina zopambana ndi maphunziro apang'ono omwe amasonyeza kupindula, sitikudziwa ngati PRP ndiyodula mtengo wa mankhwalawa.
Zotsatira Zotsatira
Zotsatira zake si zachilendo, koma n'zotheka. Nthawi iliyonse singano imaikidwa kudzera pakhungu, matenda amatha kuchitika.
Zina zowonjezera zotsatira za jekeseni wa PRP ndi kuwonjezeka kwa kutupa ndi ululu pambuyo pa jekeseni.
Majekeseni a PRP sakuvomerezeka kwa anthu omwe ali ndi matenda a magazi, omwe amamwa mankhwala oletsa anti-coagulation (monga Coumadin ), kapena omwe ali ndi khansa, matenda opatsirana, kapena ali ndi pakati.
Mtengo
Majekeseni a PRP sali opangidwa ndi mapulani ambiri a inshuwalansi, choncho kaŵirikaŵiri amalipiritsa kupereka ntchitoyi. Ngati inshuwalansi yanu sichikuphimba majekeseniwa, mukhoza kuyesa wothandizira inshuwalansi, koma chifukwa palibe umboni wa sayansi wothandizira pulogalamu ya PRP, mwayi wofalitsa ukhoza kukhala wotsika.
Madokotala ambiri amapereka ndalama pakati pa $ 500 ndi $ 1,000 pa jekeseni, ngakhale kuti ndamva za ndalama zokwana madola 2,500. Malipiro a jekeseni wa PRP amasiyana kwambiri, ndipo mukhoza kupereka malipiro ndi dokotala wanu. Ngakhale kuti pali ndalama zambiri zopezera PRP, maofesi ambiri azachipatala amagwiritsa ntchito makina osokonezeka omwe amaperekedwa ndi makampani akuluakulu opatsa mafupa. Makitiwa amawononga ndalama zokwana madola mazana angapo, motero pamakhala malipiro oyenera, ndipo muyenera kukambirana momwe mungathere ngati mulipira mthumba.
Mawu Ochokera
Majekeseni a PRP akhala akuthandizira odwala opaleshoni komanso odwala awo. Kuyesera kulimbikitsa machiritso mkati mwa thupi kungakhale kovuta, ndipo majeremusi a PRP angakhale njira yowunikira kukwaniritsira cholinga chimenecho. Ngakhale pali deta yothandizira kugwiritsa ntchito majekesiti a PRP m'mabvuto enaake, palinso deta ina yomwe imadzifunsa ngati izi zimapindulitsa kwambiri kusiyana ndi chithandizo chamankhwala. Mulibe vuto lalikulu mu jekeseni la PRP, ndipo ndithudi ndi njira yabwino, koma mtengo wa jekeseni umenewu sungapangidwe ndi mapulani a inshuwalansi. Ndikuganiza kuti ndizomveka kuganizira jekeseni la PRP, komatu ndithudi siliyenera kuwonedwa kuti ndilolandira chithandizo, ndipo izi ziyenera kuganiziridwa pamene njira zina zosavuta komanso zowonjezereka zimayesedwa poyamba.
> Zotsatira:
> Hsu WK, et al. "Plasma yolemera ya Platelet mu Mapulogalamu a Orthopedic: Malingaliro Ozikidwa pa Zovomerezeka za Chithandizo" J Am Acad Orthop Surg December, December vol. 21 no. 12 739-748
> Hall MP, et al "Plasma yolemera ya Platelet: Malingaliro Otsopano ndi Kugwiritsa Ntchito Mankhwala Omasewera" J Am Acad Orthop Surg, Vol 17, No 10, October 2009, 602-608.