Hyaluronic asidhi nokuti majoini: kugadzirira uye wongororo pamusoro pavo

The chakaoma inofananidza Nhamba dzinoratidza kuti mumwe kana mumwe chirwere ari mapfundo panyika uchitambudzika, rechishanu ose mugari vokuRussia pakati pavo, vanhu vanenge mamiriyoni maviri. Chinopedza vagari kuchinja (yakaderera musana marwadzo, hosha yemajoini nevamwe) kunoteverwa kupera mvura mumuviri uye kuparadzwa shwashwa tishu. Mumwe zvikuru zvinoriumba hunoumba connective zvinyama uye yaiva nevanhu utachiona zvinwiwa, ndiye hyaluronic acid. Nokuti mapfundo wechisikigo fuma kungava Boon, sezvo zvinobatsira kuwedzera mufambo uye kuderedza marwadzo. Wide okutsiva dzinongoitika synovial mvura iri Hudyu munhu - asi hyaluronic asidhi - kunowedzera viscosity kwayo, chinobatanidzwa kudyisa uye kudzorera hyaline shwashwa marongerwo uye anovandudza zvishoma nezvishoma mumatope (kunyange zvinenge kuparadzwa) of cartilaginous hurongwa iri pamapfudzi, hudyu uye mabvi mapfundo, kufambisa kufamba munhu. Izvi zvinoitika sei?

Healthy uye vanorwara mapfundo: ukoshi kugadzirirwa hyaluronic asidhi

The nemamiriro utano mapfupa muhudyu unotora pamusoro-zvemapuranga rakasimba hyaline shwashwa, synovial Kamudzira lining mukati parusvingo articular Kamudzira uye synovial fluid articular nomumativi lubricity uye, nokuda viscoelastic ehupfumi, cushioning rakaramba. Hyaline shwashwa kufukidza pfupa rinenge anogamuchira simba kubva dambudziko akaturikidzana, uyewo kubva synovial mvura. In utano majoini ine gobvu marongerwo uye kwakavharwa nenyama kugeza nemvura kwayo kugonyesa pemvura uye pakudaro hwezvekukurukurirana zvikuru zvishoma nezvishoma mumatope mukati pfupa majoini. In varwere osteoarthritis, uyewo vanhu pamusoro makore 50 synovial mvura anorasikirwa ayo lubricating uye anodzivirira zvivako. uwandu raro vagari nyama iri yekudyidzana ipfupi. Shwashwa anorasikirwa dzayo chiine chimiro, mvongamupopoto iri articular hukawanika kunosimudzirwa uye zvinotungamirira kuzvimba munzvimbo dzakapoteredza uye chitarisiko marwadzo. Hyaluronic asidhi kuti vagari anoita chinhu fanana mashandiro sezvo synovial fluid sezvazvakanyorwa vaiona rakaisvonaka nzira - "mvura prosthesis" - pavanoshevedzera navanachiremba yake.

Kushandiswa hyaluronic asidhi kugadzirira majoini

Kuwanda intra-articular majekiseni, kugadzirira kuburikidza iyo hyaluronate akasuma kupinda mhango yakabatana neutachiona hyaline shwashwa kunoenderana kwokuomerwa hosha, rwakadini kukuvara rinenge uye anoita 3-5 majekiseni por kosi. Akadzokorora makosi sezvakarayirwa nachiremba: mumwedzi mitanhatu kana gore. Ivepo hyaluronic asidhi nokuda majoini muchipatara marongero uye pakiriniki. Kana majoini asina mwoyo zvakawanda, vanachiremba angabvumira murwere asina kuchinja mutinhimira upenyu, asi zvinokurudzirwa panguva mushonga kuderedza mutoro pamusoro ibvi kana pamafudzi rwakashodoka. Majekiseni hyaluronic asidhi pamwe nechitarisiko zvinyama kuzvimba zviratidzo: kuzvimba, kuwedzera ganda tembiricha iri muhudyu, ikawanda marwadzo uye nekusagona zvakabaya ibvi nani usanonoka kukurira izvi zvinhu. Izvi imhaka zvakawanda intra-articular effusion, riri hyaluronic asidhi gadziriro majoini kwazvo dilutes kushanda kwavo ipfupi chaizvo. Kamwe kushoma yakafanira zvazvingava corticosteroids kunodzikira, kushandiswa hyaluronic asidhi anogona kupa zvakawanda raidudzwa kuchirapa mugumisiro.

Hyaluronic asidhi (majekiseni kuti majoini): chii chakazoitika?

Intra hyaluronate kwakavakirwa zvinodhaka obva matatu makuru chirwere kwacho majoini: kuwedzera viscosity uye uwandu pamusoro synovial fluid hyaluronic asidhi kunobatsira kuderedza kukweshera vadyi hukawanika, uye yakakura cushioning unhu kana inofamba; izvozvo anowedzera chondrocyte masero uye inopa simba patsva kuti hyaline shwashwa; kudzivirira anogumbura pezvakaitwa uye anoderedza kwokuomerwa nezviratidzo zvavo. Saka, hyaluronic asidhi nokuti majoini chinhu rakaisvonaka nzira kuderedza zviratidzo chemajoini uye kunaka kwoupenyu. Izvi yakachengeteka gel kudyara kunoderedza mutoro pamusoro vagari uye zvinogara shwashwa nokuumba munhu wechisikigo prosthesis akafanana kuvanhu synovial mvura.

Mhando kugadzirira kuti hyaluronic asidhi kuti joini

Munokuridzirwa kukundwa dystrophic-chinopedza majoini varwere majekiseni kugadzirira ine hyaluronate, takatanga pamwe 70-ies wekupedzisira remakore. The zvinodhaka uye vakadanwa kuti "hyaluronic asidhi". Nokuti kurapa mapfundo kukanganiswa chemajoini deforming, izvozvo anowiriranawo batsira, nekuti rinomiririra njodzi nzira kuna operative nzira uye yekudyidzana kunonatsiridza unhu dzevarwere upenyu. Most akawanikwa zvinodhaka mu Pharmacies nhasi - ndiye "Ostenil" (kusanganisira "Ostenil Mini" uye "Ostenil Plus"), uyewo "Sinokrom" uye "Sinokrom Forte" - kubva Germany uye Austria, "Fermatron" (Fermatron C "uye" Fermatron ndinoiitawo ") - kubva UK," Suplazin "- kubva Ireland. Zvishoma kacho, unogona kuwana mishonga yakadaro dzakakurumbira se "adanta" (Japan), "ViskoPlyus" (Sweden), "viscos" (Germany), "hyalgan Phidias '(Italy)," Gialual Artro »(Ukraine)," Gialyuks "uye" Giruan Plus "(South Korea)," Dyuralan Es Jay "uye" Synvisc "(USA). Kubva mudzimba gadziriro with "Giastat" (Tula) uye "Intradzhekt Gialuform" (rabhoritari "Toskani" Moscow). Formulations nokuti kutsiva synovial mvura iri murwiyo ine yavaibvisa hyaluronate, muri zvinogadzirisa, izvo kugadzirwa chenhando syringes.

Mari zvinodhaka hyaluronic asidhi kuti joini

Vakawanda kupfuura zvinogona kutengwa Pharmacies. Zvisinei, kutonga nezvinooneka wongororo, hyaluronic asidhi nokuti majoini (kunyanya yokumwe-akaita) - kwete kokupata mafaro. Nokuti mutengo zvinodhaka zvichisiyana zvitatu zviuru zvishanu rubles por sirinji. A wandei mugove mari iyi rinofukidza muchiso ruzivo. Mari zvigadzirwa Russian iri muboka repasi munenge wechitatu. Mukuwedzera, nzira vachafanira kubhadhara avhareji 500-1000 rubles (papfudzi uye ibvi majoini), uye kana matambudziko pamwechete hudyu - kusvika 1500 rubles. Somuenzaniso, imwe intra-articular jekiseni rine mushonga "Gialyuks" wakatangwa nokuda 4750 rubles. Kana isu funga kuti vakadaro mararamiro majekiseni kudiwa kuti matatu shanu (zvichienderana mamiriro majoini), yaipedzerwa anogona kugarwa zvikuru murwere pachake kana mhuri bhajeti. Zvisinei, imwe nzira kurapwa kwakadaro - kwete zvakachipa uye kunaka nokushanda prosthetic mapfundo, saka vanhu vakawanda vanosarudza vachinyatsoziva kushanda gadziriro hyaluronate.

Hyaluronic asidhi: wongororo

Joint anodyara nokuda mvura iri muchimiro hydrogel pamwe hyaluronidase kuunza zvinokosha zvikomborero. Saka, zvose zvinofungwa netsinhiro zvose yezvokurapa rheumatologists uye varwere kubva kwakajairika rezvebonde akawana akanaka chaizvo. Vakawanda vavo vari zano varege kuponesa pamusoro yakamboita zvigadzirwa, nokuti zvinoenderana naye kwete chete mugumisiro nzira, asiwo mberi hutano mapfundo. Foreign zvigadzirwa vanorumbidzwa kuti pakarepo kushanda. Hyaluronic asidhi nokuti intra-articular ibvi joinhi jekiseni kamwe pavhiki iri outpatient marongero. Reviews ruzhinji wevarwere anoratidza nechitarisiko zvishoma kuzvimba pashure jekiseni, kubudikidza pakatanga bhuku hyaluronic acid. Mukati zuva kana maviri yokunze kwemajoini chitarisiko inowana senguva chimiro.

kanzuru

Kunze kunaka zvinodhaka, munhu pamusoro forum vanokurudzira kuti kuteerera chiremba zvinodiwa uye mukurumbira kuchipatara. Pashure mushonga chete hyaluronic acid, maererano navo, refu akanzwa kurerukirwa mamiriro. Full achishingaira upenyu famba, kufarira zvemitambo uye kufamba anova kuwanikwa zvakare!