Viscosupplement for Knee Osteoarthritis
Monovisc chirwere chisina kuonekwa viscosupplement chinoshandiswa kugadzirisa masangano emabvi akabatwa ne osteoarthritis . Iyo injo-articular injection , zvinoreva, inopindwa mujoka yakabatwa. Monovisc yakagadzirwa neAnika Therapeutics, Inc. uye yakagamuchira kugamuchirwa kwekutengeswa kubva kuU.S. FDA musi waFebruary 25, 2014. Monovisc inotengeswa naDePuy Synthes, Mitek Sports Medicine pasi pegvumirano chebvumirano neAnika.
Iyo hyaluronan (shuga yakakomba yemhuri yeglycosaminoglycan) muMonovisc iyo yakakura mashekeri ekuremera, yakagadzirwa yakachena yehyaluronan yemhuka kubva kune isiri mhuka. Iyo hyaluronan inotorwa kubva kumasero eubhakitiriya uye inopindirana-nekodzero yekugadzirisa. Monovisc inopa dhienzano yakafanana kuOrthovisc , imwe Anika Therapeutics viscosupplement - asi Orthovcc inotungamirirwa mune zvikamu zvitatu zvinokonzera panzvimbo yesero rimwe chete.
Zviratidzo
Monovisc inoratidzirwa mukurapa kwemafupa osteoarthritis muvarwere vakakundikana kurapwa kwakachengetedza, zvakadai sekusava nemishonga yemishonga nemishonga isinganzwisisiki yepamusoro (eg, acetaminophen ). Chimiro chikuru chemabvi estestearthritis chirwere chinokanganisa chikafu chinokonzera marwadzo makuru uye zvishoma zvishoma zvekufamba mubatanidzwa. Mu osteoarthritis, pane kusakanganiswa ne synovial fluid zvakare. Synovial fluid inobatanidza kubatana kwemazuva ose, zvichibvumira kushamwaridzana kusina kusununguka.
Viscosupplements, zvakadai seMonovisc nevamwe vakambobvumirwa, kudzokera kunyoresa, kugadzirisa zvinhu kune imwe.
Zvidzidzo Zvidzidzo
Dambudziko rekuchengetedza uye rinobudirira kubva kuchikoro chekudzidzira, chinotungamirirwa, cheviri-mapofu chidzidzo chinosanganisira 369 vadzidzi vanoongorora nemabvi estestearthritis kumasangano 31 muU.S. uye Canada ndiyo yaiva nheyo yeDAA yekugamuchirwa kweMonovisc, maererano neAnika Therapeutics.
Vatori vechikamu vainge vaendeswa kuMonovisc kana kuti marine injections (control). Vakataridzirwa kuvandudzwa muhutano hwekubatana vachishandisa WOMAC (Western Western uye McMaster Universities Osteoarthritis Index), kunyanya kutsvaga varwere veMonovisc vakawana kuwedzera kukuru muhuwandu hwavo hweWOMAC vachienzaniswa nevarwere vekutarisira kwemavhiki gumi nemaviri. Nzvimbo yekuchengetedzwa kwekutsvaga yakaratidza "kutsika kwakanyanya kwezviitiko zvinotambudza" uye hapana zviitiko zvakakomba zvakanyanya neMonovisc.
Zvimwe Viscosupplements
Yokutanga viscosupplement yakagamuchirwa mugore ra1999. Ikozvino kune mamwe mashanu maevcosupplements, akawanda acho anoda mitsva yejojo panzvimbo yejojo imwe.
- Hyalgan
- Synvisc uye Synvisc-One (jekiseni rimwe chete rakagadzirwa kubva kuhuku dzekuku)
- Supartz
- Orthovisc
- Euflexxa
Kubudirira kweViscosupplementation
Muna 2012, mushumo wakabudiswa muAnals of Internal Medicine wakagumisa kuti viscosupplementation yakanga isingabatsiri uye ine ngozi. Mharidzo yacho yakataura kuti viscosupplementation inounza kuderedza kusingabatsiri mune marwadzo asi zvingaita kuti kuwedzere njodzi yezvakaipa uye zviitiko zvakashata. Icho chirevo chaive chichibva pane meta-kuongororwa kwe 89 randomized miedzo inosanganisira vanopfuura 12,000 knee osteoarthritis varwere.
IAmerican Academy of Orthopedic Surgeons, zvisinei, inotaura kuti "Viscosupplementation inogona kubatsira vanhu vane arthritis vasina kugamuchira mishonga inokosha.Iyo inoshanda zvikuru kana arthritis iri mumatangiro ayo (zvishoma kusvika pakuenzanisa) Vamwe varwere vanogona kurwadziwa pane imwe nzvimbo yejojo, uye pane dzimwe nguva majekiseni anoita kuti kuwedzera kukurira.Zvingatora mavhiki mashomanana kuti aone kuvandudzwa mushure mekuonekwa kwevhisikizi.Haisi vese varwere vachave nekugadzikana kwekutambudzika.Kana majekesheni ari anoshanda anogona kudzokorora mushure mechinguva, kazhinji mwedzi mitanhatu.Kushanda kwemazuva mazhinji kweevcosupplementation haisi kuzivikanwa uye kutsvakurudza kunopfuurira munharaunda iyi. "
> Sources:
> FDA inobvumira Monovisc, A New Injection Injection Treatment for Treatment of Pain Pamusana peOsteoarthritis yeKnee. Anika Therapeutics. February 25, 2014.
Viscosupplementation for Osteoarthritis of the Knee: A Reviewed System and Meta-analysis. August 7, 2012. Rutjes et al. Anals of Internal Medicine.
> Viscosupplementation Kuchirwa kweArthritis. OrthoInfo. AAOS. April 2013.