Ukusetshenziswa plasma platelet-ocebile. Platelet-ocebile plasma kuphi futhi lokho ukusetshenziswa?

Eyodwa yezindlela entsha ye ukwelashwa non-koda kukhona umjovo platelet-ocebile plasma. Ahloselwe ekwelapheni ukulimala ahlukahlukene nezinye zezifo uhlelo zemisipha.

Ukusebenzisa indlela

Okwamanje, imithi yokwelapha emhlabeni nalezi imijovo ngokubaluleka kuthandwa. Phela, i-plasma platelet-ocebile iqukethe nezici ukukhula ekhethekile. Badlala omunye izindima ezibaluleke kakhulu ekululameni kwezingane amathambo, imisipha, nemisipha futhi imisipha. Le ndlela ikhuthaza ukuphulukiswa amanxeba, ekwakhiweni kabusha intraarticular ka asidi i-hyaluronic coagulation futhi hemostasis. libuye libe analgesic, anti-inflammatory futhi elwa namagciwane umphumela.

Indlela ephumelela kakhulu yokwelapha ezinjalo kubonisa lezi zifo ezilandelayo: epicondylitis, tendinitis, enthesopathies, tendinosis. Ingase futhi zabelwe ukubukeka emalungeni zamanga, e accretion kancane amathambo siphukile, izilonda uqwanga, avamise ebonwe ukuhlukumezeka ne-osteoarthritis. Kodwa lokhu akulona uhlu oluphelele, lapho-plasma platelet-ocebile isetshenziswa. futhi sisiza esheshisa ukuphulukiswa emva kokuhlinzwa, ezifana hip ukukhishwa noma ukuhlinzwa arthroscopic.

ubufakazi

Okwamanje, ziningi izindawo engasetshenziswa plasma umjovo-ocebile. Adume kakhulu lobu buchwepheshe isibe phakathi ezemidlalo wezokwelapha kanye amazinyo. Kodwa ngokuya, ungezwakala on isicelo, futhi izimonyo.

Ngokwesibonelo, ingasetshenziswa njengoba zokuvimbela yokuguga, noma emumva ukuhlinzwa plastic, izinqubo yezimonyo nolaka noma nokunwetshiwe elangeni. umjovo Platelet wenziwa ukwelapha isikhumba abaphethwe imikhuba emibi nokuphila nesineke ebusuku, ethola inombolo izidakamizwa noma isimo jikelele ukuwohloka.

Futhi, ubuchwepheshe asetshenziselwa ukwelapha seborrhea, induna, nezibazi izinguquko isikhumba. ukusebenza okuhle kwafezwa imijovo ukuthuthukisa izinwele zikhula zibheke ngakhona.

Buciko izinqubo

Abaningi besaba imijovo ye-plasma platelet-ocebile, ngoba bakholelwa ukuthi ibhalwe kokusebenzisa igazi. Kodwa emitholampilo kakhulu ukuthi ngokukhethekile lezo zinqubo, wena ukuchaza ukuthi lokhu akunjalo.

Uchwepheshe ethatha igazi emithambo yegazi isiguli. Kuyadingeka ukuthola okungenani 20 ml ngqo ukuhlolwa tube ekhethekile, okuyinto ibekwe endaweni Centrifuge. Kulokhu, igazi akuyona nabo imvelo bangaphandle, okwenza kungabi kungenzeka ukutheleleka wakhe. Ngokuhamba ukucutshungulwa yayo kule Centrifuge etholwe 3 ml plasma platelet-ocebile.

It is injected ngqo ezindaweni inkinga. Abaningi Ngincoma ukuba wenze umjovo ngaphansi ultrasound isiqondiso ukuze uthole ngqo izicubu. Kubalulekile futhi ukuqonda ukuthi kuyinto engenakwenzeka ukuba uthole plasma ocebile kusukela egazini coagulated. Ngemva ukwakheka ihlule zonke izinhlayiya zegazi ohlala kuyo, kanye serum uhlala inombolo abangelutho kubo. Ngakho-ke, ukuze silondoloze igazi ewuketshezi usebenzisa anti-coagulant ekhethekile.

plasma ocebile

Ukusetshenziswa le ndlela kuye kwasusa umgoqo. Kodwa ukusebenzisa kubalulekile ukuqonda ukuthi iyini le-plasma platelet-ocebile. Ngokuvamile, lokuhlushwa wathi izinhlayiyana zegazi ivela 150 ku 350 x 10 ⁹ / l. Ngokwesilinganiso, umuntu ngamunye ukuze kwabo 200. Nokho, ochwepheshe bathole ukuthi kuzuzwe nomphumela zokwelapha, kubalulekile ukuthi emakamu safinyelela 1000 x 10 ⁹ / l.

Lapho okuqukethwe kwalezi amapuleti esefike ezingeni eshiwo, le oketshezini olungenambala lwegazi yomuntu ubhekwa ocebile. Ngezinye lokuhlala aphansi kungekho nomphumela oqabulayo uyalandelwa. Kodwa futhi kungase kutholakale ukuthi okweqa ngomthamo, lishone 1000 x 10 ⁹ / L, aliholeli i ukusheshisa izinqubo sokubuyiselwa.

nezici ukukhula

Imijovo wegazi, okuyinto abacebile zegazi, nomthelela obonakalayo zokwelapha. Isiza ukwanda lokuhlushwa nezici ukukhula. Ochwepheshe ukukhomba sibalo 4.

Ngakho, kukhona semithambo endothelial ukukhula factor, EPITHELIAL futhi platelet-etholakala kanye nokuguqulwa. Bahlale bekulungele endaweni isilinganiso esithile komunye nomunye. Kodwa kumelwe siyaqonda ukuthi plasma ocebile iqukethe adhesion molecule ezidingekayo ukuze unamathisele amapuleti ukuze amaseli subendothelial. Kodwa kuba inani elifanayo kwawo bunch evamile. Ngakho-ke, lokhu plasma bese serum ningabi fibrin glue.

Kubalulekile futhi ukuqonda ukuthi akuyona nobuntu umphumela osteoinductive. plasma lesimo akakwazi yakha ithambo ngaphandle kobukhona amaseli abafanele. Imane kungase ukusheshisa ukukhula kwabo.

Umgomo we operation

Platelet plasma ocebile kunomphumela Ugqozi. Lokho kwenza yokuthi ukukhula esasizosheshisa imithambo yegazi, ngokuthi angiogenesis. futhi kuvusa mitosis lamaseli abahilelekile ukuvuselelwa. Kodwa-plasma esinjalo sasingenakuba ngcono amathambo acellular izinto.

Ukuze kuzuzwe umphumela ukusebenza kumele kwenziwe ngokushesha ngaphambi umjovo. Ngemva uketshezi 70% nezici ukukhula ubabonisa phezu imizuzu 10 okokuqala. Bonke zikhishwa ihora. Kodwa ngemva kwalokho platelet uqhubeke synthesize nabo cishe 8 izinsuku, futhi kuphela ngemva kwalesi sikhathi, baba ayafa.

izici Ukukhula neqhaza yokuthi hemodynamics evamile, kuyalungiswa izicubu kwezimila futhi umzimba kuzo.

Izimo

Ngeshwa, zikhona izimo lapho imijovo akunconywa. Ngakho, indlela is contraindicated in iziguli izimila ebulalayo, abakhubazeke ngokwenqondo ezinzima, izifo igazi letindzala. Futhi, ngaphambi inqubo, kubalulekile ukuze sithole ukuthi isiguli yokungezwani komzimba ukuze sodium citrate. Lokhu anticoagulant zokunqanda amahlule.

Liphinde kuwufanele bajwayelane ubuchwepheshe inqubo abakhethiwe emtholampilo. Ngokwesibonelo, kusebenze of platelet wokuhlanganisa kudinga ukusetshenziswa izinhlelo ezikhethekile. Kwezinye zazo njengesizathu esinomthelela zidilika esetshenziswa thrombin sezinkomo. Asikwazi ukubeka eceleni isimo lapho i omzimba kungenziwa plasma ekhiqizwa kuye. Ngezinye izikhathi, yebo, kukalutshwana kakhulu, kodwa kungaholela eziyingozi. Okwamanje sisungule nezinye izinhlelo usebenzisa namanye amanxusa veering. Ngokwesibonelo, ivikeleke kakhulu ukusetshenziswa okuthiwa fibrin-matrix noma kuyi-collagen-type II.

Sebenzisa Dentistry

Kunezindlela eziningana ongakhetha kuzona ingasetshenziswa kanjani platelet-ocebile plasma. Ngakho, kungasiza ukumisa Ukudlondlobala kwalesi sifo periodontal, izicubu periodontal ukuqinisa, ukuvimbela ukulahleka amazinyo ziba ngcono. Futhi, i-plasma Kusiza ekudambiseni nokopha izinsini nokuqeda ka halitosis. Ngaphezu kwalokho, isetshenziswa Implantology futhi nokuvuselelwa kulandela ukugasela maxillofacial.

Izinkomba ngokusetshenziswa wathi ubuchwephese obulandelayo:

- zendawo generalized periodontitis;

- periodontitis;

- gingivitis;

- periimplantitis;

- ukuhlinzwa ukhishwe nolwelwesi izinyo.

umphumela zokwelapha azibonile ngemva kwesonto kokusebenzisa lobu buchwepheshe. Ukwakheka platelet I-plasma ocebile, uvumela ukumisa komzimba ekunciphiseni izinhlungu, ukwandisa amathuba engraftment we nolwelwesi, ukuthuthukisa ukuphulukiswa izicubu elandela izinqubo zokuhlinza, ukunciphisa nokopha izinsini.

imithi Ezemidlalo

Kaningi, platelet I-plasma ocebile, isetshenziswa ekwelapheni nekunonophisa isikhathi emumva ukulimala. Kule ndlela yokwelapha ukuphuma odokotela emidlalweni eminingi.

Ngakho, uma plasma oyifunayo kungenziwa busuka imisipha ezilimele, emgodleni umsipha (ngemva nokwehlisa igebe yayo) noma ngqo emalungeni. Ngayinye yalezi kuqinisekisa umjovo lokho kwaqala ukuvuselelwa kwezicubu, ukukhuthazwa zamagama iqala izingxenye okudingekayo ukuze ababuyisele ekupheleleni isakhiwo sabo. Le ndlela kwaba enye engcono ukwethulwa izindlela hormone.