Ba'a ba da shawarar yin amfani da duniyar arthroscopic ko bazawa don osteoarthritis
Idan kana da gwiwa na osteoarthritis , an yarda da wannan aikin cewa marasa lafiya, magungunan ra'ayin mazan jiya an fara gwagwarmaya lokacin da suke ƙoƙarin sarrafa shi. Lokacin da marasa lafiya ba su da kasa, yana iya zama lokaci don duba cikin tiyata. Samun digiri na arthroscopic shine zaɓi guda daya, amma masana sun bada shawara cewa kawai za a yi akan wasu marasa lafiya da kuma dalilan da ya dace.
Fahimtar Hidimar Arthroscopic
Kusan kuna jin muryar arthroscopic da aka ambata a cikin sharuddan karin bayani, irin su arthroscopy , tiyata na arthroscopic, ko kuma kunna gwiwa. Ƙaƙƙirar arthroscopic, musamman, ya shafi amfani da kayan ƙera don cire lalacewa ko kashi. Kwararren likita mai yawan gaske ne ya yi aiki, wanda ake kira haɗin gwiwa, don cire duk wani tarkace a cikin haɗin gwiwa. Idan jikin jiki ko gutsutsiyoyi sun kasance bayan wanka, an cire su.
Ba shekaru da yawa da suka shude ba, samfurin arthroscopic ya kasance mai yawan gaske ga marasa lafiya na osteoarthritis wanda basu sami taimako daga magani mai ra'ayin mazan jiya. An yi tsammanin likita zai bayar da shawarar cewa ya durƙusa gwiwa ya ga abin da ke haifar da bayyanar cututtukan osteoarthritis . Amma a shekara ta 2002, wata kasida da aka buga a New England Journal of Medicine ya canza yadda aka duba daddare arthroscopic.
Masu bincike Masu Tambaya Yin Amfani da Tsarin Arthroscopic
Wadansu sunyi tunanin cewa samfurin gyaran kafa na arthroscopic ya yi aiki ta hanyar haɗuwa da ruwa ta hanyar haɗin gwiwa a lokacin hanya don kawar da gindin lalacewa da yiwuwar enzymes mai flammory.
Wasu sun yi imanin cewa cigaba ta kasance ne saboda kawar da furotin na guringuntsi, da gutsattsarin guraben ƙwayoyi, da kayan aiki na synovial, da kuma lalacewa. Amma ainihin bai bayyana abin da ke faruwa ba.
Sakamakon binciken da aka buga a shekara ta 2002 yayi mamakin mutane da dama, ba maƙallacin wadanda marasa lafiya suka yi rantsuwa da taimakon arthroscopic ya taimaka musu.
Masu binciken sun fara zaton cewa rikici na arthroscopic ba ya fi tasiri fiye da placebo saboda basu da cikakken bayani game da yadda ko dalilin da ya sa yake aiki.
A cikin binciken, 180 marasa lafiya da osteoarthritis na gwiwa sun ba da izinin samun izini don karɓar rashawa na arthroscopic, wankewar arthroscopic, ko aikin tiyata. Babu wani lokaci yayin binciken yayin da marasa lafiya a cikin kungiyoyi masu karɓar rashawa na arthroscopic ko rahoton wanke ba su da zafi ko inganta aikin haɗin aiki idan aka kwatanta da ƙungiyar placebo.
Sakamakon binciken yana da babbar tasiri kuma akwai rikice akan wanda ya kamata a yi masa tiyata. Shin, marasa lafiya da kamfanonin inshora suna biya manyan kaya don hanyar da ba ta da tasiri fiye da placebo?
Cochrane Review of Arthroscopic Debridement
An sake nazarin Cochrane game da binciken da aka yi a kan rubutun arthroscopic a shekarar 2008 kuma ya ba da karin haske. Uku da aka ƙayyade, wanda aka gudanar da gwagwarmayar gwagwarmaya da ke dauke da marasa lafiya 271 sun kasance a cikin wannan bita. A cikin binciken daya, idan aka kwatanta da wanka, babu wani muhimmin bambanci da aka samo don samfurin arthroscopic. Idan aka kwatanta da placebo (sham tiyata), akwai sakamako mafi muni ga aikin tiyata na arthroscopic a cikin makonni 2 dangane da jin zafi da aiki, kuma babu wani bambanci mai muhimmanci a shekaru biyu.
Nazarin na biyu idan aka kwatanta daddare arthroscopic tare da amsawa kuma ya tabbatar da cewa samfurin gyare-gyare na arthroscopic yana rage saurin gwiwa gwiwa a shekaru biyar. Nazarin na uku idan aka kwatanta daddare arthroscopic zuwa rufe-allurar rigakafi kuma kammalawa babu wani bambanci mai ban mamaki.
Sauran binciken tun daga lokacin ya zo daidai da wannan hujja: babu cikakkiyar shaida ta asibiti cewa samfurin arthroscopic yana da tasiri ga osteoarthritis na gwiwa kuma ba magani ba ne.
Layin Ƙasa
Cibiyar Nazarin Kwararrun Orthopedic American (AAOS) ta kafa shawarar a cikin maganin magance su don ciwon osteoarthritis.
AAOS ya faɗi cewa ba zai iya bada shawara ga duniyar arthroscopic da / ko wanke don magance osteoarthritis. Wannan shawarwarin ya fi dacewa da binciken da aka ambata a sama da 2002, tare da wasu nau'o'i biyu da aka gudanar a baya. Duk da haka, shawarwarin bai shafi mutanen da ke da asali na asali na haɗari mai haɗari ba, jiki mai laushi, ko kuma wani ɓarna a cikin gwiwa tare da osteoarthritis.
> Sources:
> Cibiyar Nazarin Kwararrun Orthopedic ta Amirka (AAOS). Jiyya na Osteoarthritis na Knee, 2nd edition: Tsarin shawarwarin . An buga Mayu 18, 2013.
> Laupattarakasem W, Laopaiboon M, Laupattarakasem P, Sumananont C. Arthroscopic Debridement na Osteoarthritis na Knee. Cochrane Review. An wallafa shi a Janairu 23, 2008.
> Mandl LA, Martin GM. Ƙididdigar Harkokin Hanya na Knee da kuma Hip Osteoarthritis. Na zamani. Updated Fabrairu 15, 2017.
> Mosesley JB, O'Malley K, Petersen NJ, et al. Jaraba ta Sarrafawa na Harkokin Arthroscopic na Osteoarthritis na Knee. New England Journal of Medicine . Yuli 11, 2002; 347: 81-88. Doi: 10.1056 / NEJMoa013259.