HA-PRP Tube
Lus piav qhia luv luv:
PRP-HA KIT yog ib qho kev hloov kho tshiab hauv kev zoo nkauj, gynecological thiab andrological tshuaj uas muab ob txoj kev kho mob hauv ib qho rau cov txiaj ntsig ntuj.
Osteoarthritis (OA) yog ib qho ntawm cov kab mob tseem ceeb tshaj plaws thoob ntiaj teb.Lub duav yog qhov thib ob feem ntau qhov chaw ntawm OA qab lub hauv caug.Feem ntau lub duav OA yog qhov tseem ceeb, txawm hais tias nws tuaj yeem cuam tshuam nrog lwm yam kab mob ntawm cov menyuam yaus ntawm lub duav lossis qee yam kev pheej hmoo xws li hnub nyoog nce, rog rog thiab kev ua kis las siab.Feem coob ntawm cov neeg mob yuav qhia txog qhov pib ntawm qhov mob hnyav zuj zus ntxiv yam tsis muaj kev raug mob meej.Kev kuaj mob tau yooj yim ua rau ntawm cov duab hluav taws xob.
CAS VIGNETTE
Koj tab tom kho tus poj niam muaj hnub nyoog 51 xyoos uas muaj mob pob txha mob me me.Nws tab tom nug txog cov kev xaiv uas tsis yog phais raws li nws xav kom khiav mus ntxiv.Qhov twg hauv qab no yuav tsis suav tias yog thawj kab kev kho mob?
A) Kev kho lub cev
B) NSAIDS
C) Intra-articular txhaj tshuaj
D) Cov khau kom zoo
Cov kws sau ntawv ntawm txoj kev tshawb fawb no tau ua qhov kev tshuaj xyuas thiab kev tshuaj ntsuam xyuas meta ntawm cov kev tshawb fawb uas twb muaj lawm los sib piv rau plaub txoj kev kho mob no (CS, HA, PRP, NS).Cov kev tshawb fawb tsim nyog yuav tsum yog randomized tswj kev sim tshuaj ntsuam xyuas qhov ua tau zoo ntawm CS, HA, PRP thiab placebo (NS) rau cov neeg mob hip OA.Thaum kawg, lawv suav nrog 11 RCTs suav nrog 1353 tus neeg mob.Qhov tseem ceeb, lawv tau txiav txim siab tsis muaj qhov sib txawv ntawm NS, CS, PRP thiab HA rau hip OA ntawm 2, 4 thiab 6 lub hlis.Qhov no muaj tseeb rau ob qho tib si qis- thiab siab molecular hnyav HA.
Txoj kev tshawb no yog ib qho kev txheeb xyuas hauv network uas tsuas yog suav nrog qib 1 cov pov thawj uas pab tau cov neeg nyeem kos cov lus xaus txog kev sib piv.Lawv ua raws li Cochrane thiab PRISMA cov lus qhia.Cov kev txwv muaj xws li (kwv yees) cov qauv me me thiab cov kws sau ntawv tsis sib piv IA txhaj tshuaj rau lwm yam kev tswj xyuas tsis ua haujlwm.Nws kuj tsis tshwm sim kom paub qhov txawv ntawm cov theem sib txawv ntawm hip OA qhov twg kev tswj hwm, suav nrog IA txhaj tshuaj, tuaj yeem sib txawv heev.
Qhov no yog ib qho kev tshawb fawb muaj zog uas muab qib 5 pov thawj rau kev tswj hwm ntawm hip OA.Nws tsis tau hais tias CS, PRP thiab HA tsis ua haujlwm, es tsis muaj qhov sib txawv tseem ceeb piv rau NS ntawm 2, 4 thiab 6 lub hlis.Kev txhaj tshuaj IA tseem yog ib feem ntawm kev tswj hwm multimodal ntawm kev phais mob hip OA.Tej zaum yuav muaj qee qhov chaw rau kev tshawb nrhiav ntxiv ntawm no kom deb li deb li ntau zaus ntawm kev txhaj tshuaj, kev sib txuas ntawm kev txhaj tshuaj thiab txiav txim siab txog cov teebmeem ntawm cov tshuaj loog hauv zos (uas tseem paub tias yog chondrotoxic).
