Ƙaddamar da tsarin Tsarin Gida na Osteoarticular
Hanyar OATS, raguwa don tsarin gyaran gyare-gyare na al'ada, wata hanya ce da ake amfani dasu don biyan maganin ƙwayar mota. OATS wata hanya ce da dama da ake amfani dasu don magance wannan matsala; Irin wannan hanya ana kiransa mosaicplasty.
Mosaicplasty yana amfani da tiloti daga wuraren da ba a ciki ba a cikin haɗin gwiwa kuma yana motsa wannan guringuntsi zuwa wani wuri mai lalacewa.
Wannan hanya ne kawai don amfani da maganin lalata ƙwayar mota. Wannan yana nufin lalacewa mai yawa wanda ake gani a cikin yanayin kamar osteoarthritis ba za'a iya bi da shi ba tare da mosaicplasty. Wannan magani ne kawai ana amfani dashi ga yankunan da ba su da ƙwayoyi na lalacewa, yawanci iyakance ga 10 - 20 mm a girman. Irin wannan lalacewa yawanci ana gani a kananan marasa lafiya (kasa da shekaru 50) waɗanda ke fama da mummunan rauni zuwa haɗin gwiwa.
Har ila yau Known As: osteoarticular canja wuri, mosaicplasty, Osteochondral Autograft Transfer System
Yaushe An Yi Dokar OATS?
Sau da yawa likita zai yi la'akari da irin wannan hanya, amma idan hasken x ko hasken arthroscopic ya nuna shaidar karin lalacewa na ƙwayoyin cartilage, ba za a yi hanya ta OATS ba. Dalilin shi ne cewa tsarin OATS ba zai amfana wa marasa lafiya ba.
Hanyar OATS, wadda kamfanin Arthrex ya haɓaka, yana da nau'i na mosaicplasty.
Ƙananan "matosai" na guringuntsi kuma an cire su daga yankunan haɗin gwiwa inda jiki zai iya yi ba tare da guringuntsi ba, kuma waɗannan suna motsa zuwa wuri mai lalacewa na haɗin gwiwa. Kamfanin Arthrex yana da alamar kasuwanci mai rijista don tsarin OATS Osteochondral Autograft Transfer System.
Ta Yaya Ayyukan Nasara Shin Dokar OATS?
Nazarin 96 marasa lafiya idan aka kwatanta da hanyoyin OATS don maganin cututtukan ƙwayoyin cuta don maganin ƙwayar wucin gadi na gindin gwiwa.
Magunguna sun kasance a matsakaicin shekaru 30-32 kuma an biye su a shekara biyar na tsawon shekaru biyar. Sun sami irin wannan aikin lafiyar lafiyar gwiwa da kuma gwiwa don duka hanyoyin. Amma akwai bambanci wajen kasancewa iya kula da matakin mafi kyau na wasanni, tare da OAT mosaicplasty mafi alhẽri daga microfracture.
Yaya aka yi Dokar OATS?
Yin amfani da OATS mai amfani da shi (Osteochondral Autograft Transfer System) wanda Arthrex ya samo shi ne a cikin wannan aikin miki. Kayan aiki na ciki ya haɗa da mai karɓar mai karɓa, mai girbi mai bayarwa, sandar align, tamp, tube mai ba da kyauta da kuma maƙalari.
Mai haƙuri shi ne mai bayarwa da mai karɓa, tare da gyaran kifi da ƙwayar da aka ɗauka daga wani yanki kusa da haɗin gwiwa don a kwashe shi zuwa yankin da ke da lahani. Ana ba da mai girbi mai bada kyautar OATS a kan ginin mai ba da kyauta kuma ya buga ta da mallet har sai an noma 15 millimeters a cikin mai bayarwa. Ana amfani da rike don girbi ainihin kuma ya janye.
Yanzu an sanya soket a farfajiyar da ke da ƙwayar magungunan ƙwayar wucin gadi wanda zai zama daidai girman don karɓar toshe. Ana girbi mai girbi mai karɓa kuma ya juya don cire wani toshe don yin girman girman da zurfin rami.
An yi amfani da sandar jeri don auna zurfin kuma an yi gyare-gyaren da ake bukata don shirya shi don dasa dashi.
Da zarar an shirya, ana sanya suturar bayarwa a bakin leken mai karɓa kuma an cire shi zuwa ciki. An danna tamp din don a ajiye jigon a cikin soket. Kwararren na iya cika wuraren mai ba da kyauta tare da tashar hydroxyapatite kuma zai iya amfani da glues na halitta don hatimin sakon mai karɓa.
Source:
Arthrex: Yi amfani da OATS kawai (Osteochondral Auto Transferft System) M Tech, 2013.
Haruna J. Krych, MD; Heather W. Harnly, MD; Scott A. Rodeo, MD; Riley J. Williams III, MD. "Matakan Ayyuka suna Ƙaruwa Bayan Osteochondral Autograft Transfer Mosaicplasty Than Bayan Microfracture for Articular Cartilage Lahani na Knee A Nazarin Kwata-kwata-kwata-kwata-kwata." J Bone Joint Surg Am, 2012 Jun 06; 94 (11): 971 -978. http://dx.doi.org/10.2106/JBJS.K.00815.