Arthroscopic disridement kana kushushi hazvikurudzirwi nehasteoarthritis
Paunenge uine bhesteoarthritis yegumbo , inogamuchirwa tsika dzisiri dzekuvhiya, dzinochengetedza mishonga dzinotanga kuedza kutanga. Kana kurapa kusina-chirwere kunokundikana, inogona kunge iri nguva yokutarisa mubasa rokubatana. Arthroscopic debridement ndeimwe nzira yekuvhiya, asi nyanzvi dzakaratidza kuti dzinofanira kuitwa kune vamwe varwere uye nokuda kwezvikonzero zvakanaka.
Kunzwisisa Arthroscopic Debridement
Iwe wakangodaro wakanzwa arthroscopic kukwikwidzana kunotaurwa mune mamwe mazwi akadai, zvakadai seArthroscopy , chirwere che arthroscopic, kana kuongorora bhomwe. Arthroscopic debridement, kunyanya, inosanganisira kushandisa zvigadzirwa zvokuvhiya kubvisa karotika yakaora kana bone. Chiremba anovhiya anowanzoita kushungurudza, kunonzi chibatanidzwa chekubatanidza, kubvisa chero matsipa akakomberedzwa. Kana miviri yakasununguka kana zvidimbu zvakasara mushure mekushamba, zvinodzingwa.
Kwete makore mazhinji akapfuura, kukwikwidza kweArthroscopic kwaive kwakajairika kune osteoarthritis varwere vasina kuwana rubatsiro kubva pakuchengetedzwa kwakachengetedza. Zvaive zvichitarisirwa kuti chiremba aizokurudzira kuvhara mabvi kuti aone chinokonzera zviratidzo zvisingagoneki zvehutachiona . Asi muna 2002, imwe nyaya yakabudiswa muNew England Journal yeMedicine yakashandura kuti arthroscopic kukanganiswa kwaionekwa.
Vanotsvakurudza Mhinduro Mubvunzo weDhiyabhorosi yeArthroscopic
Vamwe vaifunga kuti arthroscopic kukanganiswa kwaishanda nekudhonza mvura mukati memubatanidzwa panguva yekugadzirisa mabvi emafuta uye zvimwe zvinokonzera maperembudzi.
Vamwe vakatenda kuti kuvandudzwa kwaive kwakonzerwa nekubviswa kwezviputi zvehututi, zvimedu zvakabvaruka, zvigunwe zve synovial, uye zvisikwa zvakasvibiswa. Asi chaizvoizvo zvakanga zvisina kujekesa zvaiitika.
Mitsva yekudzidza yakabudiswa muna 2002 yakashamisika vazhinji, kwete avo vashoma avo vaiva varwere vaipikira arthroscopic kukanganiswa kwakavabatsira.
Vatsvakurudzi vakanga vatanga kufungidzira kuti kukwikwidza kwechirwere cheputika kwakanga kusina kubudirira kupfuura placebo nokuti vakange vasina chero tsanangudzo yezwi kana kuti sei yakashanda.
Muchidzidzo chacho, 180 varwere vane osteoarthritis yemabvi vakanga vakagadzirirwa kugamuchira arthroscopic debridement, arthroscopic lavage, kana chirwere chepalbobo. Pane imwe nguva panguva yekudzidza vairwere vari mumapoka anogamuchira arthroscopic kukanganiswa kana kuparadza mushumo unorwadza kana kuwedzerwa kubatana basa nekuenzaniswa neboka re placebo.
Migumisiro yekudzidza yakave nemigumisiro yakakura uye pakanga pane kuvhiringidzika pamusoro pekuti ndiani aifanira kuva nekuvhiyiwa. Aive nevarwere uye makambani eishuwarisi ari kubhadhara mari yakawanda yehutano hwakanga husina maturo kupfuura placebo?
Cochrane Review yeArthroscopic Debridement
Kubvunzurudzwa kweCochrane kwekutsvakurudza kunobatanidza kugadziriswa kwechirwere ichi kwakabudiswa muna 2008 uye kwakapa zvishoma kunzwisisa. Miedzo mitatu yakasarudzwa, inodzorwa inosanganisira boka rose revarwere 271 yakabatanidzwa mukuongorora. Mune rumwe ruzivo, zvichienzaniswa nekushambadzira, pakanga pasina misiyano yakakosha yakawanikwa yehutrosiko. Kuenzaniswa ne placebo (kuvhiyiwa mashura), paiva nemigumisiro yakaipisisa yokuvhiya arthroscopic pamasvondo maviri maererano nemarwadzo uye basa, uye hapana misiyano yakakura pamakore maviri.
Chidzidzo chechipiri chakafananidza kukwikwidzika kwechirwere chechirwere nechirwere uye kugumisa kuti kukwikwidza kwechirwere chechirwere kunokonzera kuderedza kurwadziwa kwemabvu pamakore mashanu. Chidzidzo chechitatu chakafananidza arthroscopic chikwata chekuvhara-sindano yekuvhara uye yakagumisa kwakanga kusina kusiyana kwakakosha.
Imwe tsvakurudzo kubva panguva iyo yakasvika pakuguma kwakafanana: hakuchina kukwana kwehutachiona hunokonzerwa kuti arthroscopic kukanganisika inoshanda kune osteoarthritis yemabvi uye haisi mushonga unorayirwa.
The Bottom Line
IAmerican Academy of Orthopedic Surgeons (AAOS) yakabatanidza mhedziso mumishandiro avo ekurapa kwema knee osteoarthritis.
IAAOS inotaura kuti haikwanise kukurudzira arthroscopic kukanganiswa uye / kana kushambadzira kurapa osteoarthritis. Izvi zvinokurudzirwa zvikurukuru pane zvakataurwa pamusoro apa 2002, pamwe nezvimwe zviitiko zviviri zvakafanana zvakaitwa gare gare. Kunyange zvakadaro, kukurudzirwa hakushandi kune vanhu vane chirwere chekudzivirira kwemazino, kusununguka muviri, kana chimwe chinhu chinotyisa mumabvi pamwe ne osteoarthritis.
> Sources:
> The American Academy of Orthopedic Surgeons (AAOS). Kurapa kweOsteoarthritis yeKnee, 2nd edition: Summary of Recommendations . Yakabudiswa May 18, 2013.
> Laupattarakasem W, Laopaiboon M, Laupattarakasem P, Sumananont C. Arthroscopic Kugadziriswa kweOsteoarthritis yeKnee. Cochrane Review. Yakabudiswa naJanuary 23, 2008.
> Mandl LA, Martin GM. Maererano neUkuvhiya Therapy yeKnee uye Hip Osteoarthritis. Kusvika pari zvino. Yakapedzerwa February 15, 2017.
> Moseley JB, O'Malley K, Petersen NJ, et al. Chirongwa Chichidzorwa cheArthroscopic Surgery yeOsteoarthritis yeKnee. New England Journal of Medicine . July 11, 2002; 347: 81-88. doi: 10.1056 / NEJMoa013259.