description of the substance
Hyaluronic acid is present in synovial fluid in the joint. It is also a component of cartilage, the vitreous eye, epidermis, connective tissue fiber. This is an important element, because it improves the quality characteristics of the collagen and elastin fibers.
Over time gialuronka level in the body decreases, slowing down the process of digestion of food. Lack of substance accelerates skin aging, deterioration of the functions of organs and destruction of cartilage. Last provokes the development of osteoarthritis. Therefore, an important means of hyaluronic acid for joint health.
The substance obtained by processing animal tissue:
- rooster combs;
- amniotic fluid;
- epidermis;
- synovial fluid;
- hyaline cartilage;
- vitreous.
Hyaluronic acid is also separated from the capsules of bacteria in a protective shell which has such a component. After receiving the substance is purified from contaminants.
In diseases of joints increase the level of consumption of hyaluronic acid:
- dishes based on gelatin;
- aspic;
- broths;
- jellied fish;
- cooked / steam meat;
- desserts with gelatin.
To the vegetable source material include buckwheat, lentils, beans, rice, starchy vegetables. Many gialuronka digested with consumption of potatoes, squash, beets. These products are not recommended for frying or abundantly fill the grease.
The role of substance
To preserve joint function in the body is important to maintain normal levels of hyaluronic acid. It increases the viscosity of synovial fluid, which friction prevents the mating surfaces. The substance is also filled with cartilage and intervertebral discs with moisture, making them flexible than prevents damage to these structures. The higher the percentage of hyaluronic acid in the joints, the less damaged tissue joints and the spine, their longer preserved motor function.
Drugs and their role
In diseases of the spine or joints used drugs in hyaluronic acid with varying molecular weight. They are produced in the form of solutions for injections, oral tablets or capsules. Action system means intended to preserve the normal moisture level in cartilage and intervertebral discs, improving their nutrition. Injections improve the liquid composition inside the joint and the degree of slip of its surfaces.
The injectable agent for treating joints include hyaluronic acid with molecular mass of more than 500 kDa (kilodaltons). The substance inhibits inflammatory processes, deformation of the articulated bones and occurrence of pain, helps to preserve the integrity of the cartilage.
Formulations with hyaluronic acid for the joints in the injection solution:
- Giastat;
- Sinsvisk;
- adanta;
- ostenil;
- ViskoPlyus;
- Fermatron;
- Gialual Artro;
- Hyalgan Phidias.
In the joint therapy is inappropriate to use ointments and other types of liniment or serum with hyaluronic acid. The active substance of external funds are not able to penetrate into the joints. These drugs can be used in dermatology and aesthetic medicine. In orthopedics greasy drugs used only as a supplement to the intra-articular injections, lozenges for improving the epidermis.
Attention! When arthritis on a background of metabolic disorders injections for joints with hyaluronic acid can not restore the correct assimilation of substances. Is administered into the joint to reduce the friction of the bones and slow down the process of cartilage destruction.
treatment of joints
Hyaluronic acid used in all types of arthritis, including low back pain. It is prescribed to promote healing of tissues after injury, minimally invasive diagnostic or surgical treatment of joint, spine. The drug is often used in preventive and symptomatic treatment, if the patient is not possible to do the surgery.
Hyaluronic acid in ampoules for the joints or in syringes is contraindicated:
- when using anticoagulants;
- children under 18 years of age;
- pregnant women;
- people with intolerance to the substance;
- in disorders of skin integrity in the area of the planned injection site;
- in infectious disease;
- in ankylosing spondylitis;
- in an aggravation of osteoarthritis or other diseases;
- if in the joint has a skin disease.
Oral Medications with hyaluronic acid can not drink for people with hypersensitivity to substances included, in lactating women, pregnant. Contraindications multicomponent drugs need to look personally into their instructions.
injections treatment
Injections do only medical facility. There is no difference whether the hyaluronic acid is introduced into the knee joint, hip joint, shoulder, elbow, knee or ankle. Injection is performed with a controlled X-ray apparatus, arthroscope or other device. For one course of injections administered to 6 Hyaluronic acid with each administration interval of seven days. Their action begins immediately.
Algorithm procedure:
- Examined the skin over the joint.
- Palpated sore joint.
- Disinfects the puncture site.
- Processed skin with local anesthetic effects.
- 15-30 minutes under the supervision of a needle is pierced articulation apparatus shell and through the joint space is moving its end depth.
- To verify the correctness of the needle setting (it should not rest against the bone inside the joint).
- Hyaluronic acid is introduced into the joint cavity.
- Without releasing the plunger of the syringe, the needle is removed from the joint.
- Disinfects the puncture site.
- The patient is asked to make circular and pendulum motion in the joint to speed up the distribution of funds.
- It is applied to a joint of a cold compress for 10 minutes.
Then the patient is informed about the expected effects of the injection, and what to do if complications. If administered hyaluronic acid in the ankle or foot, for the purpose of unloading at the joint bandage is worn. When injected into the hip joint is recommended to use crutches or a wheelchair.
Important! If the agent enters the anesthetic or other substance, it is necessary to make a test for sensitivity to prick. This is to prevent angioedema or shock due to drug intolerance.
Consequences of injection treatment
After intra-articular injection is a burning sensation, swelling of the joints, pain at the puncture site. They disappear for 48-72 hours. Sometimes there is a bruise. Rarer cases, bleeding inside the joint capsule. There should be no signs of infection and other symptoms of ill health.
Important! Need help your doctor if the expected consequences of injections does not subside, the pain increases, swelling increases, the skin over the joint flushed, covered with rash and / or increased local temperature.
Treatment of tablets and capsules
Eat inside hyaluronic acid should be at least 3 months. The maximum effectiveness of the treatment occurs at 9-12 months of uninterrupted course of therapy. Depending on the dosage take 1-2 tablet or capsule, 2-4 times / day. Means often advised to drink before eating. But there are other features of the use of these drugs: they are described in the instructions.
The cost of drugs
On August 2018 the minimum price of a single injection of hyaluronic acid is 1,200 rubles. If the agent is packaged in vials, you need to buy an additional syringe with a special needle. Tablets or capsules cost starts from 500 rubles. per pack. The three-month course of treatment will cost a minimum of 1,500 rubles.
Source:
radar station: https://www.rlsnet.ru/mnn_index_id_2664.htm
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