Ib qho ntawm cov kev kho mob uas tsis yog phais tshiab yog kev txhaj tshuaj platelet-nplua nuj plasma. Lawv yog npaj rau kev kho mob ntawm ntau yam kev raug mob thiab ib tug xov tooj ntawm cov kab mob ntawm lub musculoskeletal system.
siv txoj kev
Tam sim no, kev kho mob nrog cov tshuaj no tau dhau los ua neeg nyiam nyob hauv ntiaj teb. Tom qab tag nrho, platelet-nplua nuj plasma muaj qhov tshwj xeeb loj hlob yam. Lawv ua ib lub luag haujlwm tseem ceeb tshaj plaws hauv kev kho cov pob txha, cov leeg, ligaments thiab tendons. Txoj kev no txhawb kev kho qhov txhab, intra-articular restoration ntawm hyaluronic acid, coagulation thiab hemostasis. Nws kuj muaj cov tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob.
Txoj kev kho no qhia tau hais tias muaj txiaj ntsig zoo tshaj plaws hauv cov kab mob hauv qab no: epicondylitis, tendonitis, enthesopathy, tendinosis. Nws tuaj yeem raug sau tseg rau qhov pom ntawm cov pob qij txha cuav, nrog kev ncua sijhawm ntawm cov pob txha tawg, pob txha mos, uas feem ntau pom hauv kev raug mob thiab osteoarthritis. Tab sis qhov no tsis yog tag nrho cov npe.siv cov platelet-nplua nuj plasma. Nws kuj tseem pab kom kho tau sai tom qab kev phais, xws li endoprosthetics lossis arthroscopic phais.
Kev qhia
Tam sim no, muaj ntau qhov chaw uas muaj kev txhaj tshuaj plasma tuaj yeem siv tau. Cov tshuab no tau dhau los ua qhov nrov tshaj plaws ntawm cov kws kho mob kis las thiab hauv kev kho hniav. Tab sis ntau thiab ntau zaus koj tuaj yeem hnov txog nws siv hauv cosmetology.
Piv txwv li, nws tuaj yeem siv los tiv thaiv kev laus lossis kev rov qab los tom qab kev phais yas, kev ua kom zoo nkauj nruj lossis raug tshav ntuj ntev. Platelet txhaj yog muab los kho cov tawv nqaij uas raug mob los ntawm tus neeg mob tus cwj pwm tsis zoo, kev ua si hmo ntuj, qee yam tshuaj, lossis kev tsis zoo.
Tsis tas li, thev naus laus zis yog siv los kho seborrhea, pob txuv, caws pliav ntawm daim tawv nqaij. Cov txiaj ntsig zoo tau tiav nrog kev txhaj tshuaj txhawm rau txhim kho plaub hau kev loj hlob.
Kev ua haujlwm
Ntau tus neeg ntshai yuav txhaj tshuaj platelet-nplua nuj plasma vim lawv ntseeg tias cov ntshav pub dawb yog siv los npaj. Tab sis feem ntau hauv tsev kho mob uas tshwj xeeb hauv cov txheej txheem zoo li no, lawv yuav piav qhia rau koj tias qhov no tsis yog li ntawd.
Tus kws kho mob tshwj xeeb coj tus neeg mob cov ntshav venous. Nws yog tsim nyog los kos yam tsawg kawg 20 ml tam sim ntawd mus rau hauv ib tug tshwj xeeb xeem raj, uas yog muab tso rau hauv ib tug centrifuge. Nyob rau hauv cov ntaub ntawv no, cov ntshav tsis tuaj rau hauv kev sib cuag nrog ib puag ncig sab nraud, uas tsis suav nrog qhov muaj peev xwm ntawm nws cov kab mob. Nyob rau hauv tus txheej txheem ntawm kev ua nws nyob rau hauv ib tug centrifuge, 3 ml ntawm enrichedPlasma platelets.
Nws yog txhaj ncaj qha rau hauv thaj chaw teeb meem. Ntau tus pom zoo kom txhaj tshuaj ultrasound-guided kom tau ncaj qha mus rau hauv cov ntaub so ntswg puas. Nws tseem ceeb heev kom nkag siab tias cov ntshav plasma tsis tuaj yeem tau los ntawm cov ntshav txhaws. Tseeb, thaum lub sij hawm tsim ntawm ib tug clot, tag nrho cov platelets yuav nyob twj ywm nyob rau hauv nws, thiab ib tug tsis tseem ceeb npaum li cas ntawm lawv yuav nyob twj ywm nyob rau hauv cov ntshav. Yog li ntawd, cov tshuaj anticoagulant tshwj xeeb yog siv los ua kom cov ntshav nyob hauv lub xeev ua kua.
Nrog Plasma
Siv txoj kev no yog qhov ua tiav. Tab sis txhawm rau siv nws, koj yuav tsum nkag siab tias platelet-nplua nuj plasma yog dab tsi. Feem ntau, qhov concentration ntawm cov phiaj hauv cov ntshav yog los ntawm 150 txog 350 x 10 9/ l. Qhov nruab nrab, txhua tus neeg muaj txog 200 tus ntawm lawv. Tab sis cov kws tshaj lij tau pom tias txhawm rau ua tiav cov txiaj ntsig kho mob, nws yog qhov tsim nyog kom lawv cov concentration nce mus txog 1000 x 10 9/ l.
Thaum cov ntsiab lus ntawm cov phiaj no nce mus txog qib uas tau teev tseg, tib neeg cov ntshav plasma raug suav hais tias muaj txiaj ntsig zoo. Thaum qis concentrations, tsis muaj kev kho mob tshwm sim. Tab sis nws tseem tsis tau muaj pov thawj tias ntau tshaj li qhov ntau npaum li cas ntawm 1000 x 10 9/ l tsis ua rau kev nrawm ntawm cov txheej txheem rov qab.
Growth Factors
Kev txhaj tshuaj ntawm cov ntshav uas muaj platelets muaj txiaj ntsig zoo. Lawv ua kom cov concentration ntawm kev loj hlob yam. Cov kws tshaj lijfaib 4 qhov ntsuas.
Yog li, muaj qhov loj hlob ntawm vascular endothelium, epithelium, nrog rau kev hloov pauv thiab platelet. Lawv yeej ib txwm nyob rau hauv tej proportions rau ib leeg. Tab sis nws yuav tsum to taub tias cov ntshav plasma muaj cov nplaum nplaum uas tsim nyog rau kev txuas cov phaj rau subendothelial hlwb. Tab sis nws muaj tib tus naj npawb ntawm lawv ib yam li hauv cov hlab ntsha. Yog li ntawd, cov ntshav plasma thiab ntshav ntshav tsis dhau los ua cov kua nplaum fibrin.
Nws tseem ceeb heev kom nkag siab tias nws tsis muaj cov nyhuv osteoinductive. Cov plasma nplua nuj tsis tuaj yeem tsim cov pob txha yam tsis muaj cov hlwb tsim nyog. Nws tsuas yog ua kom lawv loj hlob sai.
Txoj Cai Ua Haujlwm
Platelet-nplua nuj plasma muaj cov nyhuv stimulating. Nws pab txhawb rau qhov tseeb tias kev loj hlob ntawm cov hlab ntsha, lub npe hu ua angiogenesis, yog nrawm. Nws kuj txhawb mitosis ntawm cov hlwb koom nrog hauv cov txheej txheem tsim dua tshiab. Tab sis cov plasma no tsis tuaj yeem txhim kho cov ntaub ntawv pob txha tsis yog cellular.
Txhawm rau ua tiav cov txiaj ntsig, kev ua kom yuav tsum tau ua tam sim ua ntej txhaj tshuaj. Tom qab tag nrho, qhov tso tawm ntawm 70% ntawm kev loj hlob yam dhau los hauv thawj 10 feeb. Tag nrho cov no raug tso tawm hauv ib teev. Tab sis txawm tias tom qab ntawd, platelets txuas ntxiv ua rau lawv li 8 hnub ntxiv, thiab tsuas yog tom qab lub sijhawm teev tseg lawv tuag.
Cov yam ntxwv loj hlob tuaj yeem ua rau muaj kev ua haujlwm ntawm hemodynamics, cov ntaub so ntswg ua pa thiab cov metabolism hauv lawv.
YContraindications
Hmoov tsis zoo, muaj cov xwm txheej uas nws tsis pom zooua txhaj tshuaj. Yog li, txoj kev no yog contraindicated nyob rau hauv cov neeg mob uas malignant neoplasms, teeb meem loj ntawm lub hlwb, kab mob hauv cov ntshav. Tsis tas li ntawd, ua ntej tus txheej txheem, nws yog ib qho tseem ceeb kom paub meej seb tus neeg mob puas ua xua rau sodium citrate. Cov tshuaj tiv thaiv coagulant no yog siv los tiv thaiv cov ntshav txhaws.
Nws tseem tsim nyog paub koj tus kheej nrog cov thev naus laus zis ntawm cov txheej txheem hauv tsev kho mob xaiv. Piv txwv li, kev ua kom cov platelet aggregation yuav tsum tau siv cov tshuab tshwj xeeb. Qee tus ntawm lawv siv bovine thrombin ua ib qho khoom ua kom khov. Nws yog tsis yooj yim sua kom tshem tawm cov xwm txheej uas cov ntshav plasma cov tshuaj tiv thaiv tuaj yeem tsim tau. Qhov no tshwm sim, ntawm chav kawm, tsis tshua muaj, tab sis nws tuaj yeem ua rau muaj teeb meem loj. Lwm cov tshuab tau tam sim no tau tsim los siv lwm cov folding agents. Piv txwv li, nws yuav muaj kev nyab xeeb dua los siv lub npe hu ua fibrin matrix lossis hom II collagen.
siv kho hniav
Muaj ntau txoj hauv kev rau kev siv cov platelet-nplua nuj plasma. Yog li, nrog nws cov kev pab, koj tuaj yeem nres qhov kev loj hlob ntawm periodontitis, ntxiv dag zog rau cov ntaub so ntswg, tiv thaiv cov hniav thiab loosening. Plasma kuj pab txo cov pos hniav los ntshav thiab tshem tawm ua pa phem. Tsis tas li ntawd, nws yog siv nyob rau hauv implantology thiab rau rehabilitation tom qab maxillofacial operations.
Cov lus qhia rau kev siv cov cuab yeej no yog raws li hauv qab no:
- localized thiab generalized periodontitis;
- periodontitis;
- gingivitis;
- peri-implantitis;
- hniav rho tawm, implantation.
Cov nyhuv kho tau pom nyob rau hauv ib lub lis piam tom qab siv cov cuab yeej no. Cov muaj pes tsawg leeg ntawm platelet-nplua nuj plasma tso cai rau koj kom tsis txhob mob o thiab txo qhov mob, ua rau muaj feem cuam tshuam ntawm kev cog hniav, txhim kho cov ntaub so ntswg zoo tom qab kev phais, thiab txo cov pos hniav los ntshav.
Sports Medicine
Ntau zaus, platelet-nplua nuj plasma yog siv los kho thiab ua kom lub sijhawm rov zoo tom qab raug mob. Ntau tus kws kho mob kis las xaiv rau hom kev kho no.
Yog li, yog tias tsim nyog, cov ntshav tuaj yeem txhaj rau hauv cov leeg nqaij puas, mus rau hauv cov leeg nqaij (tom qab kho nws qhov rupture) lossis ncaj qha rau hauv cov leeg. Txhua qhov kev txhaj tshuaj no ua rau lub fact tias cov txheej txheem ntawm cov ntaub so ntswg regeneration yog launched, stimulation ntawm synthesis ntawm cov khoom tsim nyog los kho lawv cov qauv pib. Txoj kev no tau dhau los ua lwm txoj hauv kev zoo tshaj plaws rau kev qhia txog tshuaj hormonal.
