Hyaluronan Injections yeKnee Osteoarthritis

10 Zvinhu Zvaunofanira Kuziva NezveHyaluronan

Hikuronan injections ndiyo nzira yekurapa ye osteoarthritis yemabvi . Osteoarthritis chirwere chinokanganisa chinokanganisa chinonyanya kukanganisa martila. Mhedziso yemapfupa maviri ari mujoka yakakwana yakafukidzwa nekartilage, zvichibvumira mapfupa kuti aratirane. Cartilage inoshandawo sekushamiswa kunotyisa.

Mu osteoarthritis , sezvinoita maronda anorega, synovial fluid inochinja uye inotadza kukwanisa kwayo kugadzirisa kubatana.

Marwadzo, kuoma, uye kukwana kwemafambiro ejoka rakavhiringidzika ndiwo mugumisiro wekuderera. Mushonga uno injing hyaluronan mumabvi, unozivikanwa semusvosupplementation, inobatsira kuvandudza kugadzirwa kwemabvi, kuderedza marwadzo, nekuvandudza mararamiro ekufamba. Hezvino zvinhu gumi zvaunofanirwa kuziva pamusoro pejojo ​​ye hyaluronan.

1 - Ikozvino mairi hyaluronates mashanu anotenderwa neU.S. Food and Drug Administration.

Hikuronan injections inonzi inorapwa kana kurapwa panzvimbo pemishonga. Viscosupplementation for osteoarthritis yakadzidziswa kubvira kuma1970. Muna 1997, yekutanga hyaluronates maviri yakagamuchirwa neCDA uye mamwe matatu kubva panguva iyo yakave yakagamuchirwa neCDA. Nhamba yeiyo inowanikwa yejoaluronan injections inotevera maererano nemagariro avo:

• Hyalgan - May 28, 1997
• Synvisc - August 8, 1997
• Supartz - January 24, 2001
• Orthovisc - February 5, 2004
• Euflexxa - December 3, 2004

• Synvisc-One - February 26, 2009

2 - Hyaluronan kazhinji haisi mutsara wokutanga wemapfupa osteoarthritis.

Kazhinji, zvirwere zve hyaluronan (uye dzimwe nguva zvinonzi viscucupplements) zvinokurudzirwa kune varwere vasina kuwana hutano hwakakwana kubva kune dzimwe nzira dzinoshandiswa pakurapa:

• Mishonga

• Kudzidzira muviri / Physical Therapy
• Kurasikirwa kwekurema kana murwere ari kudarika
• Kuchena uye kutonhora
• Mazvikokota ekufambisa mafoni (p., Mureza)

Kunyange zvazvo zvirwere zve hyaluronan zvisingawanzokurudzirwa usati waedza mamwe maitiro ekurapa , chigumisiro chakanaka chinowanzoitika kana murwere ari mumatambo ekutanga osteoarthritis. Varwere muzvikamu zvakatevera zve osteoarthritis, avo vangangodaro vachimirira kugadzirwa kwebvi , vanoonekwa sevakakosha mujikisi ye hyaluronan saka vanotarisira kuti vanogona kuwana rubatsiro apo vachimirira.

3 - Maitiro ekurapwa kwemajai mashanu ejoaluronan majoko akasiyana.

Nzira yakakwana yekurapa na Synvisc, Orthovisc , kana Euflexxa inoda majekiseni matatu emabvi akasiyana akapiwa vhiki imwe chete. Zvose Hyalgan naSupartz vanoda majekiseni mashanu akaparadzana anopiwa vhiki imwe chete. Majojo anopiwa nechiremba kana chiremba wechiremba muhofisi yavo. Rimwe kana mabvi maviri ose anogona kujowa panguva imwe chete. Kuwedzerwa kweSinvisc-One kune imwe nyika muna 2009 kwakaita kuti majekiseni ave nyore, achida chete pane majekiseni akawanda.

4 - Mishonga ye hyaluronan yakashandurwa zvakadini.

Zvidzidzo zvekuchipatara zvakagumisa kuti injini ye hyaluronan inogona kuderedza marwadzo nekuvandudza kushanda kune varwere vane runyoro kusvika pakuenzanisa osteoarthritis yemabvi.

Kunyange zvazvo vamwe vatsoropodzi vachiratidza pane izvozvi uye vachiratidza kuti zvidzidzo zvakanga zvisina kukanganisa mune imwe nzira, vamwe vanachiremba vanotenda kuti hapana mhinduro inogadzirisa kana injenji ye hyaluronan inobatsira kupfuura injini ye corticosteroid kana mishonga yemuromo . Hapana humwe humwe hunoratidza huri hwe hyaluronan hunochinja hutachiona hwechirwere chetsika. Zviri pachena kuti majekiseni haasi mushonga.

5 - Pakati pevarwere vakabatsirwa nemajojo e hyaluronan, apo kurwadziwa kunorwa kwakaitika.

Chirwere chepfungwa chinonyanya kukosha chakaitika mavhiki masere kusvika ku12 mushure mekuvhara kwekutanga kuvarwere vakawanda. Zvidzidzo zvakaratidza kuti Synvisc neHyalgan vanopa ruzivo rwekunetseka kubva pamabvi esteoarthritis kwemwedzi mitanhatu, pamwe nevamwe varwere vachiwana zororo kwenguva yakareba.

Supartz yakaratidzwa mune zvidzidzo zvekupa marwadzo ekurwadza kusvika kumwedzi 4 1/2 mushure mokujaira kwechishanu.

Varwere vangave vakakwanisa kudzokorora nzira yekurapa nemayironi ye hyaluronan. Semuenzaniso, murwere ane chirwere chemwedzi mitanhatu kubva kuSyvisc asi ave nemarwadzo kudzoka angave ari mubvunzo weimwe nzira ye Synvisc injections.

6 - Kuti kuderedza zvingava nemigumisiro yakaipa, mushure mokunge mujoyi varwere havafaniri kudzivirira mabasa emaawa 48.

Zvipembenene zvakawandisa zvakapoteredza musangano wejojo, izvo zvinowanzonyorova, zvinosanganisira:

• chirwere chenguva pfupi chinorwadza
• kuzvimba
• kubwinya nekudziya
• itching
• kupwanya

7 - Injikoni yeHyaluronan inongova FDA-inogamuchirwa neosteoarthritis yemabvi.

Rimwe zuva, viscosupplementation inogona kushandiswa kubata mamwe masangano anokanganisa osteoarthritis. Hikuronan injections yepafudzi, hip, uye chikwama zviri kuidzidzwa.

8 - Murwere haafaniri kumira mamwe mishonga yavari kutora paanowana zvirwere zve hyaluronan.

Panofanira kunge kusina kuwirirana kusina kunaka nemamwe mishonga yemarwadzo kana mishonga inorwisa-kupisa iyo murwere ari kutora.

9 - Vose Medicare uye inshuwarisi yega yega inobhadhara mari yezvigadzirwa zvemishonga nemitemo inonzi inofanirwa nemishonga.

Parizvino, Medicare ichavhara majekiseni e hyaluronan pamabvi chete. Medicare inodawo hu-x-ray uchapupu hwemabvi osteoarthritis. Medicare inongogadzirisa majekiseni e hyaluronan kana ichinge isina kupiwa mushure memwedzi mitanhatu. Private inshuwarisi angave nemitemo yakasiyana saka nguva dzose inonakisisa kuongorora. Nguva dzose chengetedza zveMedicare updates zvakare.

10 - Pane zvakakosha zvekuchengetedza zvingatarisirwa usati washandisa zvirwere zve hyaluronan.

Varwere vanoda kuedza Synvisc, avo vanokonzera zvinhu zvinowanikwa kune shiri (kureva, mapepa, mazai kana huku), vanofanira kutaura nachiremba wavo. Varwere vanofanirawo kuita kuti chiremba wavo azive nezvemakumbo ayo ari kuvhuvhuta kana kutapukirwa. Uyewo, majekiseni e hyaluronan haana kuongororwa kuvana, vakadzi vane pamuviri, kana vanaamai vanoyamwisa.

_Sources:

_{Chii Chinonzi Viscosupplementation? Cleveland Clinic. 7/28/2007.
http://www.clevelandclinic.org/health/health-info/docs/3300/3363.asp?index=11428}

_{Nhungamiro yeAradic Management of Osteoarthritis ye Hip neKnee. American College of Rheumatology. 7/26/2007.
http://www.rheumatology.org/publications/guidelines/oa-mgmt.asp?aud=mem}