KALÇA OSTEOARTRİTİ TEDAVİSİNDE GIDA TAKVİYELERİ VE
EKLEM İÇİ ENJEKSİYONLAR
Elçin Ulusoy
Alaca Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Çorum, Türkiye
Ulusoy E. Kalça Osteoartriti Tedavisinde Gıda Takviyeleri ve Eklem İçi Enjeksiyonlar. Çalış M, Talay Çalış H ed. Ağrıda Odak Noktası Kalça. 1. Baskı. Ankara: Türkiye Klinikleri; 2025. p.199-212.
ÖZET
Kalça osteoartriti (OA), kalça ekleminde ağrı, sertlik ve fonksiyon kaybına yol açan kronik dejeneratif bir hastalıktır. Kalça OA tedavisinde önerilen farmakolojik tedavilerin mevcut yan etkileri nedeniyle alternatif tedavilere olan ilgide artış görülmektedir. Semptomatik yavaş etkili ilaçlar (SYSADOA) olarak da bilinen glukozamin sülfat, kondroitin sülfat, kolajen, avokado ve soya fasulyesi ekstresi, diaserein başta olmak üzere diğer gıda takviyeleri OA’da kullanılan destek tedaviler arasında sayılabilir. Güncel OA tedavi kılavuzlarında gıda takviyelerinin rutin kullanımı önerilmemektedir. SYSADOA’ların kısa sürede ağrı üzerine olumlu etkileri vardır. Ancak uzun dönemdeki etkinlikleri tartışmalıdır.
Kalça OA tedavi yöntemlerinden eklem içi enjeksiyonlar için kortikosteroid, hyalüronik asit enjeksiyonlarının kısa dönem takiplerinde ağrı ve fonksiyon üzerine olumlu etkileri bildirilmiştir. Plateletten zengin plazma ve mezenkimal kök hücre eklem enjeksiyonlarının ise potansiyel faydaları bildirilmektedir. Ancak uluslararası rehberlerde öneriler arasında değillerdir. Proloterapi, rejeneratif enjeksiyon yöntemi olup, kalça OA’da ağrı ve fonksiyonel sonuçlar açısından potansiyel faydaları olduğu gösterilmiştir.
Anahtar Kelimeler: Gıda takviyeleri; İntraartiküler enjeksiyon; Kalça osteoartriti; Osteoartrit;
Tedavi
Citation
Referanslar
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