Viscosupplement Inodzosera Zvimwe Zvimwe Zvakasanganiswa Zvimwe Zvirwere
Synvisc (hylan GF 20) yakasununguka, yakasvibisa, yakakura maserosiyumu inokonzera mvura ine hylan A fluid, hylan B gel, uye mvura yemunyu. Hylan A uye hylan B dzinobva kune hyaluronan (inonziwo sodium hyaluronate) iyo inogadzirwa kubva kumakungu anokonzera. Hyaluronan isiriwo chinhu chakasikwa chiri mumuviri, kunyanya, mune zvakawanda muzvibatanidzwa.
Nhengo yemuviri inonzi hyaluronan inoshanda sechinhu chinopisa uye chinotyisa chinokonzera kuti zvibatanidze zvakakwana basa.
Synvisc imwe ye hyaluronates inoshandiswa mukurapa inozivikanwa seve viscosupplementation . Mushonga wacho dzimwe nguva unonzi sangano rinopinda mvura, hyaluronan injectons, kana injenyo ye hyaluronate.
Zviratidzo zveConvisc
Synvisc injections dzinogamuchirwa kuitira kurapa marwadzo kune varwere vane osteoarthritis yemabvi avo vakakundikana kutarisa kune mamwe maitiro ekuchengetedza, zvakadai sekusava narcotic analgesics kana kusasarudzwa kwemishonga. Mu osteoarthritis, pangave pasina huwandu hunokwana hwe hyaluronan kana hutano hwe hyaluronan hunogona kuderedzwa. Kushandiswa kweSyncc kune mamwe majoini iri kuongororwa, asi haisati yabvumirwa.
Synvisc inorowa, uchishandisa sirineni ine 2 ml, zvakananga mumabvi akabatanidzwa kuti adzore kugadzirisa uye kugadzirisa zvinhu zvekubatana kwemvura.
Pane chimwe chinhu cheSyncc, chinonzi Synvisc-One, iyo inoshandiswa sechinhu chimwechete (nguva-imwe) inonzi intra-articular injection (6 ml).
Synvisc Injections - Nheyo
- Viscosupplementation yave yakadzidziswa kurapwa kwemaosteoarthritis kubvira kuma1970.
- Synvisc yaiva FDA yakagamuchirwa musi wa 08/08/97.
- Synvisc injections inowanzopiwa sechikamu chezvikamu zvitatu, kamwechete pavhiki, imwe yevhiki imwe chete. Synvisc-One yakagadzirwa sejozi rimwe chete-nguva, seimwe nzira kune dzakatevedzana nehatu ne Synvisc.
- Kuti uwane mhinduro dzakanakisisa, osteoarthritic synovial fluid inowanzobviswa kubva pamabvi musati majova yokutanga.
- Synvisc inoonekwa semushonga kana chirwere, kwete mushonga.
Migumisiro Yechipfuva uye Ngozi
Zvipembenene zvakanyanya zvinowanzobatanidzwa neSyncc injections zvinosanganisira marwadzo mumabvi akavharwa, kuzvimba mumabvi akajowa, nekubatanidzwa kwekubatana . Zvimwe zvinogona kuitika zviitiko zvinotambudza zvinogona kuitika nemajoka epra-articular zvinosanganisira arthralgia (marwadzo akabatanidzwa), kuoma kwekubatana, kubatana kwekubatana, kubatana kwekubatana, kushamwaridzana kwehutano , marwadzo panzvimbo yejojo, arthritis, arthropathy, uye gumbo risina kunaka.
Kuongorora kwekutsvaga kwekutengeserana kwema 3-injection regimen ye Synvisc yakaratidza zvimwe zvisingawanzogadziriswa zvinosanganisira kusangana, mikoko, chivharo, chirwere chepfungwa, misoro, chizivi, chills, mitsipa yemaviri, malaise , zvinoputika, edema yeperi, uye kazhinji, thrombocytopenia (pasi platelets ).
Contraindications uye Manyevero
Synvisc haifaniri kuiswa muvarwere vane hunozivikanwa hypersensitivity kune zvigadzirwa zve hyaluronan. Uyezve, Synvisc haifaniri kuiswa mumabvi nemakondomu akabatana, zvirwere zveganda kana zvirwere, kana utachiona munzvimbo inopoteredza nzvimbo yejojo.
Synvisc inofanira kungoshandiswa seyo intra-articular injection (mukati memubatanidzwa).
Kana yakakonzerwa kunze kwekubatana mu synovial tissue kana joint capsule, zviitiko zvakashata kana zvemuitiro zvinogona kuitika. Injectedcular injection ye Synvisc (kupinda muropa mudziyo) inogona kukonzera maitiro ezvakaipa zviitiko uye inofanira kudziviswa.
Mushure mejoka ye Synvisc, zvinokurudzirwa kuti varwere havafaniri kuchengetedza zvinhu zvinotyisa kana mabasa akawanda ekuremerwa kwemahombekedzo kwemaawa makumi mana. Kurukurai mazano akanangana nemhosva yako nemumwe chiremba wako.
Kuchengetedzwa nekubudirira kweSyvisc mumadzimai ane pamuviri kana vakadzi vanoyamwisa hazvina kusimbiswa.
Kana iwe uine mishonga yemapapiro, mazai, huku, kana zvimwe zvakagadzirwa kubva kune shiri - zivisa chiremba wako.
Kuenzanisa Synvisc kuCorticosteroid Injections
Synvisc inofananidzwa nekubudirira kune intra-articular corticosteroid injections dzinokurumidza kutanga asi nguva shomanana yekuita pane Synvisc. Kupihwa majekesiti eSyvisc kunofungidzirwa akachengetedzeka kupfuura corticosteroids kune varwere vane comorbidities iyo inogona kuita kuti corticosteroids isapindirana. Uyezve, zvinofanira kuonekwa kuti kushandiswa kweNSAID kunogona kuderera kune vamwe varwere vanotevera majekiseni eSyncc.
Sources:
Information Patient Synvisc, Sanofi US.
http://products.sanofi.us/synvisc/synvisc.html
Information Patient Synvisc-One. Sanofi US.
http://products.sanofi.us/synviscone/synviscone.html
Hylan GF 20: Ongorora nezvekuchengetedzwa kwayo uye Efficacy muHurumende yeHoint Pain muOsteoarthritis. Magliore A. et al. Clinical Medical Insights: Arthritis Musculoskeletal Matambudziko. 2010; 3: 55-68.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2998981/