Viscosupplement bakeng sa Knee Osteoarthritis
Monovisc ke ente e le 'ngoe ea viscosupplement e sebelisetsoang ho tšoara manonyeletso a mabe a amehileng ke lefu la osteoarthritis . Ke ente ea intra-articular , e bolelang, e kenngoa ka motsoako o amehileng. Monovisc e qapiloe ke Anika Therapeutics, Inc. mme e amohetse tumello ea ho rekisa ho tloha US FDA ka la 25 Fetileng, 2014. Monovisc e rekisoa ke DePuy Synthes, Mitek Sports Medicine tlasa tumellano ea tumello le Anika.
Hyaluronan (tsoekere e rarahaneng ea lelapa la glycosaminoglycan) ho Monovisc ke boima ba 'mele oa molek'hule, motsoako o hloekileng oa tlhaho oa hyaluronan oa tlhaho o tsoang mohloling o seng oa liphoofolo. Hyaluronan e tsoa lisele tsa baktheria 'me e hokahane le mohato oa mong'a ntlo. Monovisc e fana ka tekanyo e tšoanang le ea Orthovisc , e 'ngoe ea Anika Therapeutics viscosupplement - empa Orthovisc e tsamaisoa ka letoto la liente tse tharo ho e-na le ente e le' ngoe.
Litlhaloso
Monovisc e bontšoa bakeng sa ho phekoloa ha masapo a mokuli a lengole ho bakuli ba hlōlehileng phekolo ea meriana, e kang lithethefatsi tse se nang lithethefatsi le meriana e bohloko ea lithethefatsi (mohlala, acetaminophen ). Ntho e ka sehloohong ea lefu la masapo ke lefu la khase e bakang bohloko bo tebileng le tsamaiso e fokolang ea motsoako o amehileng. Ho mafu a masapo, ho na le lintho tse sa tloaelehang le metsi a synovial . Motsoako oa synovial o kenyelletsa setlolo se tloaelehileng, se lumellang ho tsamaisana ho se nang mahlomola.
Lihlahisoa tsa lihlahisoa, tse kang Monovisc le tse ling tseo pele li neng li amoheloa, li khutlela mahetleng a li-viscous, li-lubricating ho se kopane.
Liphetho tsa Thuto
Tlaleho ea polokeho le katleho e tsoang thupelong ea kliniki e sa laoleheng, e laoloang ka makhetlo a mabeli a nang le bokooa e entsoeng ka ba 369 ba nang le sehlopha sa masapo a maotong a maotong lihlopheng tse 31 United States le Canada e ne e le motheo oa tumello ea FDA ea Monovisc, ho ea ka Anika Therapeutics.
Barupeluoa ba ne ba fuoa monovisc kapa liente tsa saline (taolo). Ba ile ba hlahlojoa hore ba ntlafatsoa ke bohloko bo kopaneng ba sebelisa WOMAC (ea Western Ontario le McMaster Universities Osteoarthritis Index), haholo-holo ho batla bakuli ba monovisc ba fihletseng ntlafatso e khōloanyane ho phapang ea bona ea WOMAC ha bapisoa le bakuli ba laola libeke tse 12. Karolo ea tšireletso ea tlhahlobo e senola "tekanyo e tlaase haholo ea liketsahalo tse bohloko" 'me ha ho liketsahalo tse mpe tse mpe le Monovisc.
Li-Viscosutillements tse ling
Lekhetlo la pele la viscosupplement le ile la amoheloa ka 1997. Hona joale ho na le li-viscosupplements tse ling tse 5, tseo bongata ba tsona li hlokang lihlopha tsa liente ho e-na le liente tse le 'ngoe.
- Hyalgan
- Synvisc le Synvisc-One (ente e le 'ngoe e entsoeng ka likhoho tsa khōhō)
- Supartz
- Orthovisc
- Euflexxa
Katleho ea Viscosupplementation
Ka 2012, tlaleho e phatlalalitsoeng ho Annals ea Internal Medicine e fihletse qeto ea hore li-viscosupplementation li ne li sa sebetse ebile li kotsi. Tlaleho eo e boletse hore viscosupplementation e etsa hore ho be le ho fokotseha ho sa hlokahaleng ha bohloko empa ho ka 'na ha e-ba le monyetla oa hore ho be le menyetla ea ho hlasela le ho etsa liketsahalo tse bohloko. Sephetho sena se ne se thehiloe meta-analysis ea 89 liteko tse ngata tse amang bakuli ba knee ba knee ba 12 000.
Leha ho le joalo, "American Academy of Orthopedic Surgeons" e bolela hore "Ho sebelisa li-viscosupplementation ho ka thusa batho ba nang le ramatiki ha ba e-s'o arabele kalafo ea mantlha. sebakeng sa lisebelisoa, 'me ka linako tse ling liente li fella ka ho eketseha ha ho ruruha. Ho ka' na ha nka libeke tse 'maloa ho bona ntlafatso kamor'a li-viscosupplementation Ha ho bakuli bohle ba tla ba le phomolo ea bohloko.Aba liente li sebetsa ka makhetlo ka mor'a nako, hangata likhoeli tse 6. Ho atleha ha nako e telele ea viscosupplementation ha ho e-s'o tsejoe 'me lipatlisiso li ntse li tsoela pele sebakeng sena. "
> Mehloli:
> FDA e lumellana le monovisc, phekolo e ncha ea ho oela ha motho a le mong bakeng sa phekolo ea bohloko ka lebaka la Osteoarthritis ea Knee. Anika Therapeutics. La 25 February, 2014.
Tlhaloso ea tlhahiso ea lihlahisoa bakeng sa Osteoarthritis ea Knee: Tlhahlobo e Hlophisitsoeng le Tlhahlobo ea Meta. La 7 August 2012. Rutjes et al. Annals of Internal Medicine.
> Tlhahlobo ea likokoana-hloko Tlhokomelo ea ramatiki. OrthoInfo. AAOS. April 2013.