Kaadi-xuubka qulqulka ama "washout" ayaan lagu talineynin osteoarthritis
Markaad leedahay osteoarthritis jilicsan , waa habka la aqbali karo ee daaweynta aan daaweynta ahayn, daaweynta dabiiciga ah marka hore la isku dayayo markaad isku dayeyso inaad maareyso. Marka daaweynta qaliinka aan la qali karin, waxaa laga yaabaa inay noqoto wakhti aad ku eegto qaliin wadajir ah. Kaadi-xuubka arthroscopic waa hal qalliinka, laakiin khabiiro ayaa soo jeediyay in kaliya lagu sameeyo bukaannada qaarkood iyo sababaha saxda ah.
Fahmidda Duufaanta Arthroscopic
Waxaa laga yaabaa inaad maqashay qallafsanaan-xinjirowga qotada dheeraadka ah ee loo yaqaan ' arthroscopy' , qalitaanka arthroscopic, ama jilbaha jilicsan. Xididdada xajinta arthroscopic, gaar ahaan, waxay ku lug leedahay isticmaalka qalabka qalliinka si looga saaro kilyaha ama lafo-xumada. Dhakhtarka qalliinka wuxuu sida caadiga ah qabaa tuubo, oo lagu magacaabo tuubo wadajir ah, si loo soo saaro wixii burburay ee hareeraha isku-dhafka saamoobay. Haddii meydadka dabacsan ama jajabyada ay ku sii jiraan ka dib markii lagu dhaqo, waa la saarayaa.
Sanado badan ka hor, xakamaynta arthroscopic wuxuu ahaa mid caadi u ah bukaan-socodka osteoarthritis oo aan helin wax caawimaad ah oo ka yimid daaweyn dhawrista ah. Waxaa ku dhowaad la filayay in dhakhtarku soo jeedin doono in uu jilibka jeexjeexo si uu u arko waxa keena calaamadaha cudurka osteoarthritis . Laakiin sannadkii 2002, maqaal lagu daabacay wargeyska New England Journal of Medicine ayaa isbeddelay sida loo xannibmay qashin-qubka.
Su'aalaha Cilmi-baaristayaasha Waxtarka Waxtarka Dhirta Arthroscopic
Qaar ka mid ah xeeldheerta xeeldheer ayaa ka shaqeeyey dheecaan ka soo baxa wadajirka inta lagu gudajiro habraaca si looga takhaluso jilibka qashinka iyo enzymes macquul ah.
Qaar kale waxay rumaysteen in horumarinta ay sabab u tahay in laga saaro daboolka kilyaha, jeexjeexyada muraayada yaryar, nudaha synovial, iyo burburka dabacsan. Laakiin dhab ahaantii ma aysan caddeyn waxa dhacay.
Natiijooyinka daraasaddan oo la daabacay sannadkii 2002 ayaa la yaabay dad badan, oo aan ugu yaraan ka mid ah kuwa bukaanka ah ee dhidibtay xayiraadda xayawaanka.
Cilmi-baadhayaashu waxay bilaabeen in ay ka shakiyaan in shubanku ku dhaco xayawaanka aan ka badneyn xayawaanka sababta oo ah ma aysan helin sharaxaad faahfaahsan oo ku saabsan sida ama sababta ay u shaqeysay.
Daraasaddan, 180 bukaan ah oo qaba osteoarthritis oo jilibka ah ayaa loo xushay si loo helo qashin-xuubka arthroscopic, xajmiga arthroscopic, ama qalliinka placebo. Maqnaanshaha inta lagu jiro daraasaddan ayaa bukaanada ka mid ah kooxaha qaata qashin-xinjirowga ama "lavage" ka soo warramay xanuun yar ama kor u kaca shaqada marka la barbar dhigo kooxda xuubka.
Natiijada daraasaddan waxay saameyn weyn ku yeelatay waxaana jirey jahwareer ku saabsan cidda qaadanaysa qalliinka. Miyay bukaanada iyo shirkadaha caymisku bixiyaan bangiyada waawayn ee loogu talagalay nidaam aan wax saameyn ah ka lahayn xerada placebo?
Dib-u-eegista Cochrane ee Xabashida Arthroscopic
Dib-u-eegista Cochrane ee cilmi-baaris ku saabsan xakamaynta arthroscopic ayaa la daabacay sannadkii 2008 waxayna bixisay aragti yar. Saddex sadex garab oo tijaabo ah, oo la isku darey 271 bukaan ayaa lagu daray dib-u-eegista. Mid ka mid ah daraasaddan, marka la barbardhigo tuubada, ma jirin wax isbeddel ah oo laga helayo qashin-qubka. Marka la barbardhigo placebo (qaliinka shamaca), waxaa jiray natiijooyin ka soo baxday qalliinka arthroscopic 2 asbuuc marka laga eego xanuunka iyo shaqada, mana jirin farqi weyn oo laba sano ah.
Daraasaddan labaad ayaa lagu barbardhigay xakameyntii arthroscopic oo la yiraahdo "washout" waxaana lagu soo gabagabeeyay xakameynta xuubka xuubka jirka oo muddo shan sano ah si weyn hoos ugu dhacay. Daraasaddan saddexaad ee la barbardhigay xakamaynta arthroscopic-ka ee lagu xiray dharbaaxo cirbad ah iyo soo gabagabeynin ma jirin farqi weyn.
Cilmi-baarista kale tan iyo markaas waxay soo gaartay gabagabo la mid ah: ma jirto caddayn ku filan oo daaweyneed ah in xakamaynta xuubka kaadiheysta ay waxtar u tahay osteoarthritis ee jilibka mana aha daaweyn lagu taliyey.
Khadadka hoose
Akademiyada Maraykanka ee Dhakhaatiirta Orthopedic (AAOS) ayaa gabagabadii ku soo gebogebeeyay talooyinkooda daaweynta loogu talogalay jilibka osteoarthritis.
AAOS waxay sheegtaa inaysan kugula talin karin xakamaynta arthroscopic iyo / ama dufan si loo daaweeyo osteoarthritis. Taladani waxay ku saleysan tahay daraasaddan kor ku xusan 2002, iyo laba daraasadood oo kale oo la mid ah oo la sameeyay kaddib. Hase yeeshee, taladu ma khusayso dadka qaba cilad-celin asaasi ah oo ka mid ah jeex-jeexdinta, jidhka dabacsan, ama jahawareer kale ee jilibka ah oo ay la socdaan osteoarthritis.
> Ilo:
> Akademiyada Maraykanka ee Dhakhaatiirta Orthopedic (AAOS). Daaweynta Osteoarthritis ee Jilibka, daabacaadda 2aad: Soo-jeedinta Talooyinka . La daabacay May 18, 2013.
> Laupattarakasem W, Laopaiboon M, Laupattarakasem P, Sumananont C. Arthroscopic Deyrinta Osteoarthritis ee Jilibka. Dib u eegida Cochrane. La daabacay Janaayo 23, 2008.
> Mandl LA, Martin GM. Guudmarka Qalliinka Qalliinka ee Jilibka iyo Hip Osteoarthritis. UpToDate. La daabacay Febraayo 15, 2017.
> Moseley JB, O'Malley K, Petersen NJ, et al. Xakamaynta la Xakameynayo Qalitaanka Arthroscopic ee Osteoarthritis ee Jilibka. Somali Journal of Medicine . July 11, 2002; 347: 81-88. doi: 10.1056 / NEJMoa013259.