Hadin hadin gwiwa ba tare da mafi tsawo ba a cikin maganin da aka ba da shawarar don maganin Osteoarthritis
A baya a cikin shekarun 1970s, an yi amfani da shi don jin dadi wanda ya sami karfin arthroscopic tare da hadin gwiwa. Shekaru da dama bayan haka, haɗin gwiwa ba kamar yadda aka saba ba. A gaskiya, haɗin gwiwa ba a lissafa a tsakanin maganin da aka ba da shawarar ga gwiwa osteoarthritis .
Mene Ne Haɗin Jiki?
A cikin osteoarthritis, kamar yadda guringuntsi ya rushe, raguwa na nama, gurasar faya-faya da ƙananan enzymes za'a iya barin cikin haɗin gwiwa.
Haka kuma za'a iya samun lu'ulu'u a cikin haɗin gwiwa ko a cikin haɗin haɗin gwiwa . Hadin hadin gwiwa hanya ce ta wanke kayan nama ko tarkace daga sararin samaniya.
Hanyar ta shafi shigar da kananan shambura a cikin haɗin gwiwa a ɗaya ko fiye da wuraren shigarwa. Akwai nau'i uku na haɗin gwiwa:
- Tidal irrigation hadin gwiwa - yana amfani da ɗaya aya na shiga cikin hadin gwiwa don yin amfani da ruwa da kuma zana ruwa fitar.
- Ƙungiyar kwashe-ba-arthroscopic - yana amfani da maki biyu na shiga cikin haɗin gwiwa, ɗaya don yin amfani da ruwa kuma ɗayan ya zub da ruwa. Babu dubawa na gani na haɗin gwiwa ya auku.
- Arthroscopic hadin gwiwa - haɗin gwiwa tare da dubawa na gani na haɗin gwiwa (arthroscopy) .
A lokacin da aka lakafta, an haɗa ta haɗin gwiwa da gishiri da wanke ruwa (watau saline), kuma ruwan haɗin haɗin yana kwashe daga haɗin gwiwa. Za'a iya maimaita sauyawar inject da magudana sau da yawa. Hakanan, kawar da haɗin gwiwa na rage ƙananan ƙumburi da haɗin gwiwa.
Amma ana amfani da tasiri na haɗin gwiwa tare da nazarin.
Nazarin Nazarin Game da Ingantaccen Haɗin gwiwa
A cewar binciken Cochrane game da gwaje-gwaje bakwai na gwaji da suka shafi likitoci 567, masu bincike sun ƙaddara cewa hadin gwiwa ba tare da ba da amfani mai mahimmanci ga marasa lafiya da ciwon osteoarthritis na gwiwa ba game da taimako na jin zafi ko ingantaccen aiki.
Uku daga cikin gwaje-gwaje guda bakwai sun haɗa da haɗin gwiwa na arthroscopic. Biyu daga cikin nazarin da aka yi a cikin layi maras arthroscopic, kuma sauran biyu sun kasance ruwan ban ruwa.
Binciken binciken na Cochrane ya saba da ƙarshen binciken da aka buga a Arthritis & Rheumatism a 1999. A cikin wannan binciken, an sami likita 98 da cututtukan osteoarthritis a cikin watanni 6 kuma ba da izini ba daya daga cikin jiyya guda hudu: placebo na intraarticular , corticosteroids na intraarticular, hadin gwiwa tare da placebo na intraarticular, da kuma hadin gwiwa tare da corticosteroids intraarticular. Sakamako ya nuna cewa, idan aka kwatanta da placebo, duka corticosteroids na intraarticular da haɗin gwiwa yana da sauƙi ya ɓatar da ciwo - amma ba ingantaccen aiki ba. Corticosteroid na cikin jiki ba ta ba da jinkiri ba, yayin da amfani da haɗin gwiwa ya kasance har zuwa makonni 24.
A shekara ta 2008, Cibiyar Nazarin Kwararren Orthopedic American (AAOS) ta wallafa wasu sharuɗɗa 22 don maganin cututtukan gashin osteoarthritis . Arthroscopy tare da haɗin gizon ko haɗin gwiwa ba a bada shawara don magance matsalolin osteoarthritis. Bisa ga AAOS, babu wata shaida mai muhimmanci.
Duk da haka wani binciken, wanda aka buga a Annals of Rheumatic Diseases a shekara ta 2004, ya nuna cewa ba wai kawai akwai rashin amfani da ke haɗuwa da haɗin gwiwa ba, matsalolin da suka danganci hanya zasu yiwu.
Tsaro shi ne yiwuwar maganin arthroscopic wankewa a marasa lafiya da chondrocalcinosis . Hasarin damuwa a cikin batutuwa tare da chondrocalcinosis, da / ko lu'ulu'u, kafin wanka sau biyar ne daga wadanda ba tare da wata hadari ba.
Kamar yadda yake tare da allurar rigakafi, akwai yiwuwar kamuwa da cuta ta hanyar haɗin gwiwa. Tattaunawa da duk maganin ku na likita tare da likitanku. Tare, la'akari da amfani da hadari, da kuma yanke shawara.
Sources:
Haɗin gwiwa don osteoarthritis na gwiwa. Reichenbach S. et al. Cochrane Tallafin Bayanan Tsaro. 2010 Mayu 12; (5): CD007320.
Hanyoyin haɗin gwiwa da kuma maganin steroid a cikin marasa lafiya tare da osteoarthritis na gwiwa: sakamakon sakamako mai yawa, bazuwar, gwajin sarrafawa. Ravaud P. Arthritis & Rheumatism 42 (3): 475-82. 03/01/1999.
Jiyya na Osteoarthritis na Knee (Nonarthroplasty). Richmond, John MD. Journal of the American Academy of Orthopedic Surgeons 17 (9): 591-600. Satumba 2009.
Hadin gwiwa tare da yin amfani da shi. Pasquetti P. et al. Annals na Rheumatic Diseases. 2004; 63: 1529-1530