HA-PRP Paipu
ʻO ka wehewehe pōkole:
ʻO ka PRP-HA KIT kahi mea hou i wehewehe ʻia i ka lāʻau aesthetic, gynecological a me andrological e hoʻohui i ʻelua manaʻo lapaʻau i hoʻokahi no nā hopena kūlohelohe.
ʻO Osteoarthritis (OA) kekahi o nā maʻi kaumaha nui loa o ka honua.ʻO ka ʻūhā ka lua o ka wahi maʻamau o OA ma hope o ke kuli.ʻO ka hapa nui o ka hip OA ka mea mua, ʻoiai hiki ke hoʻopili ʻia me nā maʻi pediatric ʻē aʻe o ka ʻūhā a i ʻole kekahi mau mea pilikia e like me ka hoʻonui ʻana i ka makahiki, ka momona a me nā haʻuki kiʻekiʻe.ʻO ka hapa nui o nā poʻe maʻi e hōʻike i ka hoʻomaka ʻana o ka ʻeha ʻeha o ka ʻūhā me ka ʻole o ka ʻeha.Hiki ke maʻalahi ka ʻike ma nā radiographs.
HIA VIGNETTE
Ke mālama nei ʻoe i kekahi wahine haʻuki 51 makahiki me ka osteoarthritis haʻahaʻa haʻahaʻa.Ke nīnau nei ʻo ia e pili ana i nā koho non-surgical no kona makemake e hoʻomau i ka holo.ʻO wai o kēia mau mea i manaʻo ʻole ʻia ka lāʻau lapaʻau mua?
A) Lapaʻau kino
B) NSAID
C) Hoʻokomo i loko o ke kino
D) Nā kāmaʻa kūpono
Ua hana nā mea kākau o kēia noiʻi i kahi loiloi ʻōnaehana a me ka meta-analysis o nā haʻawina e kū nei e hoʻohālikelike i kēia mau ʻano hana lapaʻau ʻehā (CS, HA, PRP, NS).Pono nā haʻawina kūpono i nā ho'āʻo i hoʻopaʻa ʻia e loiloi i ka maikaʻi o CS, HA, PRP a me kahi placebo (NS) no nā maʻi me ka hip OA.ʻO ka hope loa, ua hoʻokomo lākou i 11 RCT me 1353 mau mea maʻi.ʻO ka mea nui, ua hoʻoholo lākou ʻaʻohe ʻokoʻa ma waena o NS, CS, PRP a me HA no hip OA ma 2, 4 a me 6 mahina.He ʻoiaʻiʻo kēia no nā haʻahaʻa haʻahaʻa a me ke kaumaha molekala kiʻekiʻe HA.
ʻO kēia haʻawina he hōʻike meta-analysis pūnaewele i hoʻokomo wale i nā hōʻike pae 1 e kōkua maoli i ka mea heluhelu e huki i nā manaʻo e pili ana i ka maikaʻi hoʻohālikelike.Ua hahai lākou i nā kulekele Cochrane a me PRISMA.Loaʻa nā palena i ka nui liʻiliʻi liʻiliʻi a ʻaʻole i hoʻohālikelike nā mea kākau i nā injections IA i nā ʻano hana ʻē aʻe o ka hoʻokele nonoperative.ʻAʻole ʻike ʻia ka ʻokoʻa ma waena o nā pae like ʻole o ka hip OA kahi e ʻokoʻa nui ai ka hoʻokele, me nā injections IA.
He haʻawina ikaika kēia e hāʻawi ana i nā hōʻike pae 5 no ka mālama ʻana i ka hip OA.ʻAʻole ia i ʻōlelo ʻaʻole hana ʻo CS, PRP a me HA, akā ʻaʻohe ʻokoʻa koʻikoʻi i hoʻohālikelike ʻia me NS ma 2, 4 a me 6 mahina.Ke noho nei nā injections IA i ʻāpana o ka hoʻokele multimodal o non-surgical hip OA.Aia paha kekahi wahi no ka hoʻokolokolo hou ʻana ma ʻaneʻi e pili ana i ka pinepine o ka hoʻopaʻa ʻana, ka hui pū ʻana o nā injections a me ka noʻonoʻo ʻana i nā hopena o nā anesthetics kūloko (kahi i ʻike ʻia he chondrotoxic).
