Amfanin, Risks, da ƙuntatawar Injections
Wani allurar rigakafi mai mahimmanci shine lokacin da ake amfani dashi don bayyana harbi wanda aka kai tsaye a cikin haɗin gwiwa tare da manufar farko na kawar da ciwo. Corticosteroids (steroids) sune abubuwa na farko da aka yi amfani dashi don wannan dalili. Wasu nau'ukan miyagun ƙwayoyi daban-daban suna amfani da su yanzu ciki har da abubuwan da ke cikin gida, hyaluronic acid , har ma Botox .
An yi amfani da allurar rigakafi mai mahimmanci lokacin da ciwo ba ya amsawa ga wasu magunguna masu mahimmanci ciki har da masu saurin jin zafi, kwayoyi masu maganin kumburi , da magungunan jiki.
Nau'in Intra-Articular Injections
Manufar magungunan ƙwayoyin cuta na iya bambanta ta amfani da miyagun ƙwayoyi. Yayinda taimakon jin zafi shine manufa mafi mahimmanci, ana iya amfani da su kamar yadda Doxil (doxorubicin) kai tsaye a cikin haɗin gwiwar da aka shafi ciwon daji. Hakanan kuma suna iya zama hanyar da ta dace wajen kawar da ciwon gurguntacciyar fuka a cikin kwakwalwa (wanda aka fi sani da labarun fungal).
Idan aka yi amfani da shi don gyaran ciwo, hanyoyi daban-daban da ke cikin magunguna suna aiki a hanyoyi daban-daban:
- Corticosteroids aiki ta rage rage ƙananan ƙonewa . Suna yin haka ta hanyar hana hana ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin da aka samar da su don amsa mummunan rauni ko yanayin da ke ciwo. Magungunan ƙwayoyin intra-articular sun fi amfani dasu don magance osteoarthritis , m gout, da rheumatoid arthritis na gwiwa. Duk da haka, ana amfani da amfani da ƙwayar corticosteroid na dindindin don ci gaba da lalata kayan aiki.
- Hyaluronic acid shine abu ne na yanayi wanda ke faruwa a cikin ruwaye na synovial wanda ke saɗa gidajen. Tare da osteoarthritis, wannan abu zai iya raguwa da sauri kuma ya kai ga damuwa da yanayin. Hanyoyin inganci na intanet suna nufin haɓaka lubrication, rage ciwo, da kuma inganta yanayin motsi a cikin haɗin gwiwa. An haɗu da nazarin asibiti a kan yadda tasirin wannan tasiri ya kasance.
- Anyi amfani da kayan maganin gida a wasu lokuta ta hanyar maganin injections mai wucin gadi a matsayin wani nau'i na taimako na jin zafi bayan aikin tiyata arthroscopic. Amma wannan aiki ne wanda aka bincikar da shi kamar yadda shaida ta nuna cewa zai iya zalunta chondrocytes (kawai kwayoyin dake samuwa a cikin guringuntsi) a cikin haɗin gwiwa.
- Botox (botulinum neurotoxin A) injections an nuna su samar da taimako mai zafi ga mutanen da ciwon osteoarthritis ci gaba. Duk da haka, aikin yin amfani da Botox ba ya bayyana don inganta ko mayar da aikin jiki na haɗin gwiwa.
- Rawanin jini mai wadata (PRP) yana samuwa ne daga jinin jini kuma yana dauke da platelets (kwayoyin jini na jini a tsakiya don rarrabawa) da kuma sashi na jini wanda ake kira plasma. An nuna magunguna na PRP don rage ciwo da inganta aikin jiki a cikin mutanen da ke dauke da osteoarthritis yayin taimakawa wajen farfado da collagen a cikin gidajen. Wasu mutane sun amfana fiye da sauran, duk da haka, mafi yawancin basu inganta ba amma suna jin dadin ci gaba da ciwon maganin ƙwayar cutar.
Ra'ayin Nazarin
Abubuwa biyu na halayen da ke hade da injections masu tsaka-tsakin zuciya shine kamuwa da cuta da halayen shafin yanar gizon. Sauran cututtukan lalacewa na iya faruwa dangane da kwayoyi masu mahimmanci ko abubuwa injected.
Magungunan ƙwayoyin intra-articular, da kuma manyan, ba za a taba la'akari da hanyar maganin osteoarthritis ko wasu haɗin gwiwa ba. Hanyoyin da yawa daga cikin wadannan kwayoyin sunyi amfani da lokaci, da kuma mummunar tasiri a kan ɗakunan da kansu zasu iya zama wani babban lokaci.
Idan aka yi amfani da shi, ya kamata a ba da alamar corticosteroid ba a kasa da watanni uku ba. Lokacin tsawon sauƙi zai iya bambanta bisa ga irin steroid da aka yi amfani da su:
- Hydrocortisone shine yawanci rauni da gajeren aiki.
- Methylprednisolone shirye-shirye na iya aiki na daya zuwa makonni biyu.
- Celestone (betamethasone) zai iya yin aiki na makonni biyu zuwa takwas.
- Kenalog da Aristocort (shirye-shiryen triamcinolone) zasu iya aiki na hudu zuwa 16 makonni.
- Aristopan (wani shiri na triamcinolone) zai iya zama na tsawon watanni.
Anyi amfani da ingancin hyaluronic acid, ta kwatanta, ana gudanar da shi azaman jerin shirye-shiryen da aka tsara akan makonni uku zuwa biyar. Ana amfani da su da yawa don saya lokaci kafin a tilastawa waraka a kan mutanen da basu iya jure wa steroid ba kuma basu sami taimako daga magunguna ba.
Botox, a halin yanzu, ya bayyana yana haifar da lalacewa ga guringuntsi, yana da ƙananan illa, kuma yana da tasiri wajen magance lokuta masu tsanani na osteoarthritis.
Da wannan aka ce, babu wata yarjejeniya mai kyau a kan amfani da ya dace. Harkokin jiyya na iya wucewa har tsawon makonni 12 a wasu mutane kuma a takaice kamar makonni huɗu a wasu.
PRP ba shi da wani sakamako mai illa, amma tasirinta zai iya bambanta ƙwarai daga mutum zuwa mutum. Yin amfani da magani zai iya faruwa a ko'ina daga watanni shida zuwa tara.
Sources:
> Evans, C. Krause, V. da kuma Setton, L. "Ci gaba a cikin maganin intra-articular." Nat Rev Rheumatol. 2014; 10 (1): 11-22.