Intraarticular hyaluronic acid injections ndeimwe yezvokurapa zvemafupa osteoarthritis . Chii chatinoziva pamusoro pekubudirira kwe hyaluronic acid nokuda kwechiuno? Iva ne hyaluronic acid injenji yakadzidzwa kune mamwe majoi kana kuti inonyanya kushandiswa kugadzirisa osteoarthritis bondo here?
Hyaluronic Acid Injections Ndeye FDA-Yakagamuchirwa neKnee Osteoarthritis asi Kwete yeHoro
Hyaluronic acid injections ave FDA yakagamuchirwa kwemakore mazhinji sechirwere chemafu osteoarthritis.
Asi hyaluronic acid haina kubvumirwa muchiuno kana mamwe maungo. Kunyange zvakadaro, vamwe vanachiremba vave vachishandisa iyo-off-label nekuda kwechirongwa chechirwere chevarwere vavo. Somuenzaniso, Blue Cross / Blue Shield yehutano inshuwarheni inotarisa intra-articular injections yaro mune imwe nhengo imwe neimwe kunze kwebvi kuti iite upfumi uye kwete mishonga inokosha. Vatsvakurudzi vadzidza kubudirira kweiyo hyaluronic acid injection nokuda kwechiuno uye zvigumisiro zvakanga zvisina kufadza. IAmerican College yeRheumatology haitauri kushandisa iyo ye hip osteoarthritis.
Injectable Hyaluronic Acid Zvinodhaka
Kune maronda akawanda ejojeni hyaluronic acid, pamwe ne Synvisc ndiyo iyo yakatanga kugamuchirwa. Euflexxa, Orthovisc , Hyalgan, uye Supartz vamwe. Synvisc-One yakagamuchirwa musi waFebruary 26, 2009, sechinhu chimwe chete chinokonzerwa nekujowa kweSync, iyo inoda mutsara wezvikamu zvitatu.
- Chii Chinonzi Viscosupplementation? Dzidza nezvekuti izvi zvinoshandiswa sei pamabvi osteoarthritis.
- Hyaluronan Injections yeKnee Osteoarthritis : 10 zvinhu zvaunofanira kuziva nezvekurapa uku.
- Joint Lubricant Injections : Kukurukurirana kwakawanda nezvekuongorora kwechangobva kuitika kana izvi zvinoshanda pamabvi osteoarthritis.
Hyaluronic Acid Inoshaya Hip Osteoarthritis
Hyaluronic acid inotarisira kudzorera zvinhu zvakajairika zve synovial fluid.
Izvo zvave zvichinziwo kuti hyaluronic acid inogona kuva nekudzivirirwa kwegoroti , uye inogona kuderedza kushandiswa uye basa remakemikari anobatanidzwa mukuputika (zvakadai sevanopindira mumiririri, matrix metalloproteinases).
Maererano nekumwe kuongorora, chirongwa chimwechete che hyaluronic acid hachikwanisi ku hip osteoarthritis - chaizvoizvo, hachigoni kupfurikidza ne placebo. Nokuti hyaluronic acid yakanatswa kubva pamajoini, injiti inopfuura imwe chete inogona kudiwa kuti ipe rubatsiro. Kubviswa nokukurumidza kwe hyaluronic acid inongova imwe yedzidziso yekuti sei majekiseni akawanda angabereka chibereko chakanaka.
Zvidzidzo zvakatarisa kubudirira kwe hyaluronic acid ye hip osteoarthritis vave vashoma uye vashoma. Zvimwe zvidzidzo zvinodiwa kuti zvione kana hyaluronic acid ndiyo yakakodzera kurapa nzira yezvibatanidzwa kunze kwemabvi.
Hyaluronic Acid Injections Uyewo Kurwisana Nokuda kweKnee Osteoarthritis
Kubvunzurudzwa kweCochrane kwezvidzidzo makumi mapfumbamwe nematanhatu, kwakabudiswa muna 2006, kwakagumisa kuti hyaluronic acid yakanga isiri yanyatsoshanda yakawanda yegondo osteoarthritis kupfuura NSAIDs. Yakaderedza marwadzo emazinga, asi kwete kupfuura iyo yakarapwa, uye inotora vhiki shanu kuti iite zvizere. Kubatsira kwaiva kuti migumisiro inogona kuva yakareba kwenguva refu.
Kubva pakuongororwa kwezvidzidzo zve15, American Academy of Orthopedic Surgeons (AAOS) yakabudisa mazano matsva muna June 2013 achiti hyaluronic acid haina kukwana zvishoma nezvishoma zvakakosha kuvandudza matanho. Izvi zvinogona kutungamirira kuvakadzi vashomanana uye vashomanana vachishandisa aya majekiseni emabvi osteoarthritis.
Sources:
Migumisiro ye hyaluronic acid muzviratidzo zvekuputika osteoarthritis: Chiitiko chinotaridzika, chinotaridzika, chinonzi placebo-controlled. Arthritis & Rheumatism. March 2009. Richette P et al.
Hyaluronic Acid Injections yeOsteoarthritis, Timothy Gower, Arthritis Foundation, yakawana 1/5/16.
Bellamy N, et. al. "Viscosupplementation for the treatment of osteoarthritis of the knees." Cochrane, 19 Kubvumbi 2006.
Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 mazano ekushandiswa kwee nonpharmacologic uye pharmacologic therapies mu osteoarthritis yesimba, hip, nemabvi. Arthritis Care Res (Hoboken). 2012; 64 (4): 465-474.
Kurapa kweOsteoarthritis yeKnee Uchapupu-Inotungamirirwa Nhungamiro 2nd Edition. American Academy of Orthopedic Board of Directors Board of Directors May 18, 2013.