Kuru >> Dzidzo Yehutano >> PRP majekiseni: Ko platelet-yakafuma plasma kurapa inoshanda here?

PRP majekiseni: Ko platelet-yakafuma plasma kurapa inoshanda here?

Dzidzo yehutano

Regenerative mushonga ndeye anovimbisa mutsva muganho. Mishonga yekurapa yakaita seplatelet-rich plasma (PRP) yekurapa inosunga simba remuviri kugona kugona kuzvirapa. Uchishandisa maplatelet emurwere, majekiseni ePPR anoshanda nekukurumidza kurapwa, kunyanya kukuvara kunonoka kupora uye kunyangwe kusingaperi. Zvakawanda zvinokatyamadza zvirevo zviri kuitirwa iyi yakashinga nyowani kurapwa, asi kuburikidza nekutsvagisa nekubvunzana nevatapi vezvehutano, zvinokwanisika kuona kana PRP iriyo chaiyo yekurapa sarudzo iwe.

Chii chinonzi PRP jekiseni?

Platelet-yakapfuma plasma kugadzirirwa kweropa remurwere chairo kuti riwane pamusoro-avhareji kuwanda kweplatelet. Kana jekiseni rodzokera mumurwere kunzvimbo yekukuvara, rinosvetuka-rinotanga iko kurapa uko.

MaPlatelet madiki, akaita kunge maseru akafanana neropa muropa. Ivo vanoshanda sechigadziko chemuviri, vachigadzira kugwamba kweropa kana paine kukuvara. Kana kukuvara kuchivagonesa, maplatelet anoenda kubasa, vanogadzira ropa, uye nekukurumidza kuburitsa maprotein ekukura kuti atange kupora. Aya mapuroteni anoratidzira maseru munzvimbo yakakuvadzwa kuti ikure, kusiyanisa, kugadzira tsinga dzeropa nyowani, uye nekuisa pasi tambo ine tambo kugadzirisa iyo kukuvara.

Platelet-rich plasma kurapwa inosanganisira kukweva ropa kubva kumurwere uye kurimhanyisa mucentrifuge. Maitiro aya anopatsanura masero matsvuku eropa uye mazhinji emasero machena eropa kubva muplasma yeropa, iyo inoumbwa nemvura, electrolyte, mapuroteni, uye maplatelet. Iyo platelet-yakazara plasma inopatsanurwa kubva kune zvimwe zvikamu zveropa uye inodzokera kune yakakuvadzwa chikamu chemuviri kuburikidza nejekiseni. Iwo maplatelet anowanzo gadziridzwa pamberi pejekiseni, zvichireva kuti nzira yekuvharisa inotangwa zvisati zvaziviswa kune maplatelet munzvimbo yakakuvara. Vamwe varapi, zvakadaro, vanotenda kuti zvirinani kurega maplatelet amutse mukati memuviri. Kana yagadziriswa, maplatelet anobva atanga kugwamba uye kuburitsa mahormone ekukura anotanga kuporesa nzvimbo yakakanganiswa.

Kunze kwekuvhiyiwa, maitiro aya anowanzove ekunze. Anopa hutano anotora ropa, agadzire iro ropa mucentrifuge, uye odzoreredza platelet-yakazara plasma yakanangana panzvimbo yekukuvara pamwe kana pasina kutanga maplatelet kutanga. Anopa hutano anogona kushandisa anesthetic yemuno panzvimbo yejekiseni kutanga. Dzimwe nzira dzinogona kuda kushandiswa kweultrasound kana endoscope kubatsira chiremba kutungamira jekiseni kune kukuvara.

Zvishandiso

Kune kukuvara kwakawanda, muviri unozviporesa pachako nekukurumidza uye haudi kupindirwa kwakakosha. Kurapa kwePRP kunowanzo shandiswa kurapa mamiriro apo kurapa kwacho kunosemesa kunonoka, sekukuvara kune mhasuru, tendon, kana mapfupa. Uku kukuvara kunononoka-kupora kunogona kutora mwedzi kana kunyange makore kugadzirisa, asi platelet-yakafuma yeplasma kurapwa inogona kukurumidza kuita. Vazhinji varwere vachasangana neplatelet-rich plasma kurapwa senzira yekusarudzika yekukuvara kwemitambo, kukuvara kusingaperi kwetendon, uye hudyu kana mabvi osteoarthritis.

Kudzivirirwa

Nekudaro, iyo FDA haina kubvumidza kurapwa kwePRP. Iyo FDA yakabvisa iyo centrifuges, asi kwete marapirwo, saka ese PRP kurapwa inyanzvi iri kure-chitaridzi uye haina kuvharwa neinishuwarenzi.

Uyezve, havazi vese vanachiremba uye vesaenzi vanobvumirana nezvekuti ndeapi mamiriro anofanira kurapwa nePRP.

Pamusoro pezvo, pane kubvumirana kudiki pane zvirevo zvekurapa zvePRP. Pane kusawirirana kwakakosha nezveplatelet-yakafuma plasma kugadzirira. Mangani maplatelet anodiwa? Masero machena eropa anofanirwa kuverengerwa here? Ko zvakadii ne fibrin, puroteni inokoshesa kugwamba kweropa? Inofanira kuverengerwa here? Kumisikidza maplatelet pamberi pejekiseni izano rakanaka here? Mhinduro dzemibvunzo iyi yese dzichiri kukurukurwa nekukakavadzana munharaunda yekurapa nesainzi.

Kufamba-famba nepakati pegwenzi rezvirevo kunogona kunge kwakaoma kana uchisarudza kuti PRP ndiyo yekurapa kwakanaka here. Neraki, iyo sainzi uye ruzivo nePRP kurapwa kwakasimba kune kumwe kukuvara nemamiriro. Kune vamwe, zvakadaro, sainzi haina kugadzikana. Nzvimbo yekutanga ine mamiriro ezvinhu PRP inobata uye nekutsvagisa kunotsigira zvirevo.

PRP kurapwa

Platelet-rich plasma kurapwa yakatanga kushandiswa mukuvhura-moyo kuvhiya kuti ikurumidze kupora kwemaronda nekuda kwekuvhiya. Vanachiremba veMaxillofacial vakatanga kuishandisa kuti vakurumidze kupora kwemaitiro emapfupa, sekuvakazve shaya. Nenguva isipi, nyanzvi dzemishonga yemitambo dzakatambira majekiseni eplatelet-akapfuma eplasma kuti ikurumidze kukuvara kwemitambo kukuvara, uye ndopaya apo pasi rose rakatanga kuteerera.

Nhasi, kurapwa kwePRP kunobatsira kune yakazara mamiriro ezvinhu.

Orthopedists uye zvemitambo varapi vanoshandisa iyo bone, tendon, kubatana, ligament, uye kukuvara kwemhasuru.
Vanachiremba vemazino vanoshandisa majekiseni ePRP ekubvisa mazino, kuisa, kana kuvhiya kwenguva kuti akurumidze kupora pamwe nekupodza nyoro kukuvara kwemapfupa nemapfupa.
Vanachiremba veese maronda vanoshandisa PRP kukurumidza kupodza ronda uye kudzikisira hutachiona hutachiona.
Vanachiremba vePurasitiki vagara vachishandisa PRP kukurumidza kupora kwekuvhiya kwekuzora, asi vamwe vanoshandisa majekiseni ePPRP kukurudzira kukura kwemashuga kumeso kumeso kuti aite makwinya uye kudzoreredza ruvara rweganda.
Dermatologists vanoshandisa PRP pamwe chete nemishonga minyoro kana finasteride ku kudzoreredza bvudzi muvarume nevakadzi. Platelet kukura zvinhu zvinokurudzira bvudzi follicles kukura, uye mishonga inogadzirisa mhedzisiro ye testosterone pane yebvudzi follicle.
Dzimwe ophthalmologists dzakatanga kushandisa PRP maziso anodonhedza akananga pameso peziso remaronda emaronda kana kukuvara kwemaziso akaoma. PRP madonhwe eziso akaiswa zvakananga pamisodzi yemisodzi inogona kuwedzera kugadzirwa kwemisodzi.
Otolaryngologists vakashandisa majekiseni ePPR kurapa kunzwa kana kunhuhwirira kurasikirwa.
Chekupedzisira, mamwe maurologist anopa PRP majekiseni ekurapa kusagadzikana kwe erectile.

Haasi munhu wese anokwikwidza majekiseni ePPR. Iwe haufanire kuwana PRP jekiseni kana iwe:

vane yakaderera platelet kuverenga
tora vatete veropa
vane kenza
vane pamuviri
vane hutachiona hunoshanda

PRP inoshanda zvechokwadi here?

Kune mamwe mamiriro, kurapwa kweplatelet-kwakapfuma kweplasma kune gakava uye kwete kutsigirwa kwakasimba nesainzi. Varapi vega vanotaura mhedzisiro inoshamisa, asi izvo zvinotsigira zvidzidzo zvinowanzo sanganisira chete diki sampuro yevarwere. Zvimwe zvidzidzo zvinoratidza kuvandudzika kunoshamisa, uye kumwe kunoratidza zvinopesana.

Iko hakuna yakagamuchirwa pese pese nzira kwayo yekugadzirira PRP jekiseni. Zvinhu zvinoverengeka zvinogona kukanganisa budiriro yejekiseni rePRP zvichiri kunetsekana, kusanganisira nguva yekumisa maplatelet, angave machena masero eropa mujekiseni anobatsira kana kutadzisa kurapwa, uye yakawanda sei fibrin (protein-inogwamba ropa rinowanikwa muplasma) inofanirwa kuverengerwa nejekiseni. Mune mamwe mazwi, hapana yakasimbiswa protocol yezvibodzwa zvePRP zvinoenderana nechero mamiriro ezvinhu avanorapa.

Nekuda kweizvozvo, hapana chibvumirano pane chiyero chebudiriro yejekiseni rePRP. Zvichienderana nemamiriro acho uye kugadzirira kwejekiseni rePRP, jekiseni rePRP rinogona kana kusashanda.

Tendon, mhasuru, uye ligament kukuvara

Kune mamwe mamiriro, zvisinei, kurapwa kwePRP kune rutsigiro rwakasimba uye kwakawana mibairo yakanaka kwazvo. Sayenzi inonyengetedza kuti majekiseni ePRP mushonga unorapa zvakanyanya kukuvara kwetendon (tendinopathy). Izvi zvinosanganisira elbow tenisi (epicondylitis), rotator cuff kukuvara, jumper ibvi (patellar tendonitis), Achilles tendonitis, plantar fasciitis, uye tendinosis, pakati pevamwe.

Zvese izvi kukuvara kwetendon zvinonyanya kuzivikanwa kurapa uye kubata. Vanotora nguva yakareba kuti vapore uye vanogona kudzikira zvakanyanya hupenyu hwevanhu vanoshingaira. Vazhinji vanokura kuva mamiriro asingagumi uye kunyange ehupenyu. Kubudirira kwehuwandu hwePRP jekiseni yekugadzirisa aya mamiriro akanyanya kwazvo.

Iko kushandiswa kwePRP mukurapa mhasuru nyoro kukuvara kwemasuru uye kukuvara kwegiramu zvishoma zvishoma zvine chokwadi. Humbowo kusvika parizvino hunoratidza kuti PRP inokurumidza kuporesa nguva. Kudzoreredza kubva mukukuvara kwemhasuru (senge yekudhonzwa nyundo) kana kukuvara kwegumbo (senge ankle sprain) inogona kuve yakareba uye yakaoma maitiro. Mazhinji emhedzisiro yePRP anobatsira kukurumidza kupora kubva kukuvara kwemhasuru uye ligament.

Arthritis uye cartilage patsva

Iyo sainzi inotsigira kushandiswa kwePRP pakurapa kukuvara kwetikoroti haina chokwadi. Osteoarthritis, yakajairika uye inokanganisa mamiriro eartilage, yakagara iri mukwikwidzi wePRP majekiseni. Nekudaro, shwashwa ine hushoma chete kugona kukura uye kumutsiridza. Mune imwe kudzidza pamwe ne200 osteoarthritis varwere , Jekiseni rePRP rakadzora kurwadziwa uye nekuwedzera basa mushure memwedzi gumi nembiri zvichienzaniswa nevamwe varwere.

Saka majekiseni ePRP anogona kubatsira shwashwa kuti itangezve kutsva kupfuura dzimwe nzira dzokurapa, zvoita kuti ive imwe nzira inonzwisisika kune majekiseni eSteroid kana hyaluronic acid. Nekudaro, zvese zvokurapa zvakagadzirirwa kumutsiridza shwashwa (kusanganisira PRP) zvine mhedzisiro. Dzimwe dzidzo dzinodiwa munzvimbo ino.

PRP yemamwe matambudziko ehutano

Iko kushandiswa kwePRP mukurapa mazino nekuvhiya zvakanyatso tsigirwa. Platelet-yakapfuma plasma zvese zvinomhanyisa kuporesa uye zvakanyanya kudzikisira kuitika kwehutachiona.

Nekudaro, kurapwa kwePRP muurology, ophthalmology, dermatology, cosmetic kuvhiya, uye dzimwe nzvimbo dzinoda kudzidza kwakawanda. Varwere vanofunga kurapwa kwePRP kune mamwe mamiriro kunze kwetendon, mhasuru, kana matambudziko akabatana vanofanirwa kuita kushingairira kwavo nekutsvagisa, chenjerera, uye kubvunza kune mumwe kana vamwe vanopa hutano.

Zvinotora nguva yakareba sei kuti majekiseni ePPR ashande?

Majekiseni ePPR haabvise zviratidzo kana kugadzirisa dambudziko nenzira imwecheteyo semishonga kana kuvhiyiwa. Pane kudaro, ivo vanotanga echisikigo yekugadzirisa maitiro ayo anotora mavhiki kusvika kumwedzi kuti apedze zvinoenderana nemhando yekukuvara.

Yokubatana, bone, kana tsandanyama PRP jekiseni, mhedzisiro yePRP jekiseni inofanirwa kuoneka mukati memwedzi mitatu uye kupedzisa mumwedzi mitanhatu kusvika mipfumbamwe. Kana pakange pasina kuve nekuvandudzwa kwakakwana mukurwadziwa kana kufamba panguva iyoyo, imwe jekiseni inogona kudiwa. Kana kurapa kwapera, zvinoitika zvinogara zvachose.

Chii chaunotarisira mushure mejekiseni rePRP

Platelet-rich plasma majekiseni mujoini, mhasuru, kana tendon inoda imwe nguva yekupora. Sezvambotaurwa, PRP haigadzirise dambudziko kana kubvisa zviratidzo asi panzvimbo pezvo rinotanga uye rinomhanyisa maitiro echinyakare ekugadzirisa. Iyo yekurapa maitiro inotora mavhiki akati wandei kana mwedzi kupedzisa, asi nzvimbo yekurapa ichave inorwadza uye pamwe ichazvimba kwemazuva ekutanga mashoma. Muchokwadi, kuzvimba chikamu chekutanga kurapa maitiro.

Nguva yekudzosa uye zvausingakwanise

Kazhinji, PRP jekiseni kupora nguva ndeimwe kusvika kumazuva maviri ekuzorora uye kusvika kumavhiki maviri nerutsigiro rwekufamba (kureva, madondoro), mushure meizvozvo kurapwa kwemuviri kuchatanga.

Mimwe mishonga yePRP inobvumidza varwere kuti vadzokere kubasa zuva rinotevera. Zvimwe zvinoda zuva rimwe kana maviri ezororo. Dzivisa kurovedza muviri uye chengeta zviitwa zvinoshandisa nzvimbo yakakanganiswa kusvika padiki. Kana iwe uine jekiseni muchiuno chako, ibvi, kana bhanhire, dzivisa kufamba panguva ino. Zvichienderana nejekiseni, murwere angangoda kushandisa chipfuramabwe, kufamba bhutsu, kana madondoro chero kupi kubva mazuva mashoma kusvika mavhiki maviri.

Kunyangwe iyo nzvimbo inorapwa inogona kuzvimba, anti-kupisa mishonga, senge steroids kana NSAIDs, inofanirwa kudzivirirwa kweinenge vhiki. Chiremba wako anogona kupa marwadzo ekudzora ayo zvakare asiri anti-kupisa.

Chero kurapwa kwemuviri kuchazotanga anenge mavhiki maviri mushure mekurapwa. Zvekubatana, mhasuru, kana kurapwa kwetendon, mupi wezvehutano anozoda kushanya kwekutevera-mumavhiki matanhatu kusvika masere kuti aongorore kufambira mberi. Marwadzo acho achadzikira zvishoma nezvishoma pamusoro pevhiki nemwedzi inotevera.

Zvimwe zvinokanganisa

Platelet-rich plasma kurapa inoshandisa ropa kubva kumurwere, saka rakachengeteka zvinoshamisa uye harina zvinokanganisa. Iyo chete mhedzisiro mhedzisiro inogona kusangana nevanhu ndeye yenguva pfupi jekiseni saiti maitiro Kugadziriswa kwenzvimbo yemuno senge kukuvara kwetsinga, kukuvara kwetishu, kana kurwadziwa kwemuno zvinobva mujekiseni pacharo. Pane njodzi diki yekutapukirwa sezvazviri nemajekiseni ese.

Yakawanda zvakadii jekiseni rePRP?

Inishuwarenzi haifukidze kurapwa kweplatelet-yakazara plasma kunze kwekunge iri chikamu chekuvhiya, uye kunyangwe zvakadaro, inogona kunge isingavharwe. Murwere achatsika mari yese yePRP jekiseni.

Iko hakuna kubvumirana pamusoro pekuti yakawanda sei kurapwa kwePRP kunofanira kuita. Ivhareji mutengo wePRP kurapwa ndeye $ 750, asi maitiro acho anogona kutenga chero kupi kubva pamadhora mazana matatu kusvika pamadhora mazana maviri nemazana mashanu . Kubvunza kwekutanga kunogona kunge kuri imwezve mari, uye naiyoyo inogona kunge isingavharirwe neinishuwarenzi. Saka, kazhinji, iyo yekunze-kwehomwe mutengo wezhinji PRP maitiro anogona kubva pamadhora mazana matatu kusvika pamadhora mazana maviri nemazana manomwe.