Intra-articular Hyaluronic Acid (HA) a me Platelet Rich Plasma (PRP) injection versus Hyaluronic acid (HA) injection wale nō i loko o nā poʻe maʻi me ka Papa III a me IV Knee Osteoarthritis (OA): He Haʻawina Retrospective on Functional Outcome

ʻO ka osteoarthritis o ka kuli (OA) ka ʻano maʻamau o ka maʻi o ka maʻi maʻi e hōʻeha ai i ka ʻeha nui, ke kīnā ʻole, ka nalowale o ka hana a pili i ka maikaʻi o ke ola o nā maʻi.

Ua hōʻike nā haʻawina he 15% o ka heluna kanaka o ka honua i loaʻa i ka osteoarthritis e komo pū ana me 39 miliona mau kānaka ma nā ʻāina ʻEulopa a ʻoi aku ma mua o 20 miliona o ʻAmelika.Ke piʻi nei ka nui o nā maʻi i hoʻopilikia ʻia a ma 2020 e hoʻonui paha kēia helu.Ma Malaysia, 9.3% o ka poʻe makua Malaysian e ʻeha i ke kuli a ʻoi aku ma mua o ka hapalua o lākou i loaʻa nā hōʻike lapaʻau o OA. ʻO ka prevalence mai 1.1% a 5.6% ma nā ʻano lāhui like ʻole ma Malaysia.

Hōʻike ʻia ʻo Knee OA e ka degeneration o ka cartilage articular e alakaʻi i ka luku hui.ʻO nā kumu kumu o ka OA he multifactorial me kekahi mau mea predisposing e like me ka trauma mechanical, ka momona, nā kumu genetic, ka maʻi hui pū, ka maʻi hui mua, ka ulu ʻana o ka makahiki, nā mea metabolic, osteoporosis, a me ka laxity ligamentous.Hana ʻia ka ʻike o OA me ka loiloi lapaʻau a me ka hoʻokolokolo radiological ma ke ʻano he mea hoʻohui.Ma lalo o 50% o nā maʻi me nā loli radiological o ka osteoarthritis he hōʻailona;no laila, hoʻokumu ʻia ka mālama ʻana ma nā hōʻailona ma mua o nā loli radiological.

ʻO ke kumu nui o nā lāʻau lapaʻau no ka wā mua o ka osteoarthritis kuli he analgesics, hoʻololi hana a me ka physiotherapy.I ka wā lōʻihi, lilo ka poʻe maʻi i ka refractory i ka regime lapaʻau mua, no laila ua lilo ke ʻoki reconstructive i ke ʻano o ka mālama ʻana.ʻO nā analgesics i hoʻohana nui ʻia i nā poʻe maʻi OA kuli e kōkua wale i ka hoʻohaʻahaʻa ʻana i ka ʻeha a me ka ʻeha akā ʻaʻole maikaʻi lākou i ka lohi ʻana i ka piʻi ʻana o ka maʻi.I kēia manawa, nui nā hoʻoikaika ʻana e hoʻomohala i nā hoʻolālā e pili ana i ka ʻenekinia kiko no ka mālama ʻana i ka OA.Hōʻike nā haʻawina hou i nā lāʻau lapaʻau e like me ka glucosamine, chondroitin sulphate a me intra-articular injections o ka hyaluronic acid ʻaʻole makemake wale i ka hōʻeha ʻeha, akā pale pū kekahi i ka holomua o ka maʻi.