English Summary of Video (AI):
The video discusses the following topics:
- Angelica Panganiban's health update about her hip condition.
- Explanation of a medical procedure involving centrifuging blood to separate its components (red blood cells, white blood cells, plasma, and platelets) for platelet-rich plasma (PRP) therapy.
- Healthcare professionals use ultrasound imaging to safely guide an injection into Angelica's hips.
- Angelica develops hip pain during pregnancy, a common issue resulting from several potential factors such as nerve compression, muscle or soft tissue pain.
- Post-pregnancy persistence of hip pain prompted medical investigation.
- Use of ultrasound to find fluid in the joint area, indicating an abnormal condition.
- Exclusion of medication due to breastfeeding, opting for therapy instead.
- Angelica's hip pain speculated to be caused by several potential issues: intra-articular (inside bone/joint), extra-articular (outside the bone), or referred pain from other areas like nerves or spine.
- Hospital visit for PRP therapy to aid in recovery by reducing inflammation and speeding up healing.
- Explanation of how PRP therapy works, done by orthopedic specialists and not a cure for all hip pain types.
- MRI diagnosis of Angelica with avascular necrosis, described as bone death due to a lack of blood supply leading to the deterioration of bone tissue, commonly seen in the hips.
- Various potential causes of avascular necrosis, including steroid abuse, trauma, and alcohol abuse are discussed.
- Treatment method for Angelica's avascular necrosis involved drilling a hole and injecting PRP directly into the dead bone to stimulate regrowth and the renewal of blood flow.
- Details on how PRP contains growth factors that promote tissue repair and regeneration.
- An admission of experiencing the condition for almost a year, leading to a positive outlook after diagnosis and the start of proper treatment.
- The importance of identifying the cause of the pain to proceed with the correct treatment.
- Avascular necrosis being most commonly caused by steroid use, traumatic injury, alcohol abuse, and smoking.
- Descriptions of signs of potential avascular necrosis, including long-term pain not localized, which can eventually show symptoms over months.
- Diagnostic procedures for avascular necrosis, emphasizing MRI's sensitivity and specificity for detecting bone changes.
- Treatment options for avascular necrosis, ranging from non-surgical approaches (medications) to surgical interventions, with decompression as an option.
- Advice on avoiding avascular necrosis, such as limiting alcohol consumption, quitting smoking, and regularly checking with doctors if on steroid medication for other conditions.
- An invitation for viewers to comment and engage with the content creator's social media channels and YouTube channel.
- Appreciation for Angelica Panganiban for sharing her story and well wishes for her recovery.
Note: The video may contain additional information about subscribing, liking, or sharing the content on social media, but per the request, these points are excluded from the summary.
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00:00.0
Tulo ng tulo yung luha ko, parang bang kahit pa paano nakaramdam ako ng awa sa sarili ko na
00:05.2
bakit ako nagkakaganito, bakit sa akin nangyari ito.
00:09.9
Sorry, sorry, sorry.
00:14.4
So recently nag-upload si Ms. Angelica Panganiban ng update sa buhay niya
00:18.4
kasi meron daw siyang iniindang sakit dito sa kanyang hips.
00:21.5
So sabay-sabay natin panoorin yung video and alamin natin kung ano nangyari.
00:24.8
Ano daw po yung nangyari dyan?
00:26.1
After the centrifuge, ito yung red blood cells.
00:29.6
Ito yung cell separator, separates your red blood cells from your platelet-rich plasma.
00:36.1
So sa scene na ito, in-explain nung healthcare professional kay Ms. Angelica na nagkaroon sila ng centrifuge.
00:41.7
Itong procedure na ito ginagawa para mahiwalay yung mga components ng dugo
00:45.5
kasi yung dugo natin meron niyang red blood cell, yung pulan ng dugo, meron niyang white blood cell,
00:50.5
yung puti ng dugo, tsaka merong plasma.
00:52.7
Tapos meron din niyang mga platelets.
00:54.5
Iikot niya na mabilis.
00:55.6
Tapos kapag umikot niya na mabilis, matutulungan na maghiwahiwala yung mga components ng dugo.
01:00.1
I think, ibibigay kay Ms. Angelica yung plasma na component para doon sa hips niya.
01:07.4
So imagine the pain, no?
01:11.3
Kapag ini-inject sa may bone area or sa joint area, medyo masakit kahit may anesthesia.
01:16.1
Okay, so dito naman, ultrasound image to.
01:18.4
Para matulungan yung mga doctors and healthcare personnel na ma-inject dito sa hips ni Ms. Angelica yung plasma na nakuha.
01:25.6
So dito sa ultrasound, makikita natin yung injection.
01:29.2
Kasi bakal yan, nakikita naman yan sa ultrasound.
01:31.1
Ginagamitan ng ultrasound para safe yung pagpasok noong needle.
01:34.4
Wala tayong matamahang ibang parte ng buto or ibang parte ng ugat or mga ibang soft tissue na delikado.
01:40.4
May mga iniinda akong sakit sa hips.
01:43.2
Well, nagsimula ito nung nabuntis ako.
01:45.7
Siguro, sakit niya six months into pregnancy.
01:49.7
Alam niyo, sa pagbabuntis, sobrang daming sakit kang pwede yung maramdaman.
01:52.6
Kasi ba naman, meron kang batang binubuhay.
01:55.6
So pwedeng may maipit dyan na ugat.
01:58.3
Medyo nahihirapan na yung mga buto mo.
02:00.0
Pwede rin naman nagkakaroon ng mga muscle pain or soft tissue pain.
02:03.2
So mga pinagdadaanan po yan ng mga mamis natin pag nagbubuntis sila.
02:07.6
Pwedeng normal, pwedeng mawala after pagbubuntis.
02:09.8
Pwede rin naman magtuloy-tuloy.
02:11.4
Kapag nagtuloy-tuloy, dapat may investigahan na.
02:13.2
Kung ano ba talaga yung mga masakit sa katawan ko.
02:16.0
Nung nagsubok na akong mag-workout, bumalik akong mag-yoga,
02:19.8
nag-start akong tumakbo ng konti.
02:22.9
May sumakit na naman sa left part ng hips ko.
02:25.7
So ang akala ko, pinched nerve lang siya.
02:28.4
Ito kasing hip pain, marami talagang causes eh.
02:30.9
Pwedeng sa loob ng buto, yung mga tinatawag nating intra-articular
02:34.1
or sa loob ng joint space.
02:36.1
Pwede namang extra-articular sa labas ng buto.
02:38.4
Yung mga nakapaligid na soft tissue dyan.
02:40.3
Pwede rin naman mga nerves.
02:41.6
May naipit na nerves ka dito sa spine mo.
02:44.9
Tapos yung kirot mo sa hips, tinatawag lang para nating referred pain.
02:48.3
Kapag sinabing referred pain, pain siya na nanggaling sa ibang parte ng katawan.
02:52.4
Pero dito mo naramdaman sa hips mo.
02:54.2
After ng Palawan, dumiretso kami ng hospital.
02:56.9
So na-ultrasound ako.
02:57.9
So may nakita silang liquid doon sa may bandang singit ko.
03:02.2
So na-advise ako na mag-therapy
03:04.3
because hindi ko in-option yung pag-inom ng gamot dahil I'm breastfeeding.
03:09.3
Okay, so na-ultrasound daw si Ms. Angelica.
03:11.3
May nakita ang fluid.
03:12.3
So sa ultrasound po kasi sensitive yan na maka-detect ng mga any fluid.
03:15.8
So kapag sinabi nating fluid, pwedeng tubig, pwedeng dugo dun sa joint space mo.
03:20.9
Pag nagkaroon ng detection ng fluid by ultrasound,
03:23.4
ibig sabihin hindi yun.
03:24.7
Kasi normally dapat hindi yun may kita eh.
03:27.2
Kung may makita man, dapat sobrang onti lang.
03:29.2
Tapos doon sa kabilang side, ganun din dapat sa right side niya.
03:32.0
Sa edad ni Ms. Angelica, di masyado common yung osteoarthritis.
03:35.3
Although common yan sa mga medyo may edad na.
03:37.3
Sa mga babae na medyo may edad.
03:39.1
May family history.
03:40.0
Pwede rin naman yung mga rheumatoid arthritis sa mga kababaihan na medyo mas bata-bata.
03:44.5
Pwede rin yan sa kanila.
03:45.3
Mga vascular necrosis.
03:48.1
Lahat nang may itis.
03:49.2
Kasi kapag itis, ibig sabihin na mamaga yung parte ng buto.
03:52.2
Pag sa hips, more on mga pamamagayan eh.
03:54.5
Mga inflammatory causes.
03:56.3
Dinala ako ni Greg sa Asian Hospital sa ortho doctor.
04:00.3
In-injection nun ako ng PRP.
04:02.9
Ito yung blood na kinukuha sa atin.
04:04.8
Like lalagay nila yung sangking.
04:06.3
Tapos magiging ano na siya.
04:08.2
Stem cell na siya.
04:09.4
Okay, so again yung procedure na ginawa kay Ms. Angelica, yung PRP.
04:12.6
So nakakatulong ito para mapahupa yung pamamaga doon sa area na yun.
04:16.0
Or para ma-speed up yung recovery doon sa hips niya.
04:19.0
Ang mga gumagawa po nito, mga specialist.
04:21.1
Itong pinuntahan ni Ms. Angelica.
04:22.9
So sila po yung dapat tanungin nyo.
04:24.3
And of course, hindi po ito gamot para sa lahat ng klaseng hip pain.
04:27.8
Dapat po na-investigahan na yan bago kayo magpa-PRP.
04:31.2
So na pa-MRI ako.
04:33.2
And lumabas yung results ko na meron pala akong avascular necrosis.
04:37.9
So avascular necrosis is bone death.
04:41.0
Namatay na yung mga bones ko sa aking balakang.
04:44.3
Ang ibig sabihin ng word na avascular,
04:45.6
ibig sabihin walang blood vessel, avascular.
04:48.4
Or walang blood supply.
04:49.6
Necrosis, ibig sabihin po niyan patay, tunaw.
04:51.7
Walang blood supply, natunaw yung buto.
04:53.8
So literally talaga pong dead bone ng mga patients na may avascular necrosis.
04:57.7
Common din yan sa hips, okay?
04:59.3
Sa ibang parte ng buto, pwede rin yan.
05:00.9
Pero usually sa mga nakikita ko before sa mga patients ko,
05:03.8
sa hips talaga yan.
05:04.7
Ang nangyari po dyan, yung femur.
05:06.5
Kanyari ito yung ulo ng femur.
05:08.0
Yung femur, ito yung buto natin dito sa may thigh.
05:10.4
May ulo po kasi yan.
05:11.3
Ito yung ulo niyan.
05:12.5
Tapos may neck yan.
05:14.6
Tapos may katawan niyan.
05:15.5
Sa ulo po kasi niyan, meron mga blood vessels dyan na nagsusupply.
05:18.6
Para magkaroon siya ng nutrition.
05:20.3
Mag-supply siya ng oxygen and all.
05:21.7
Tapos kapag nagkaroon ng avascular necrosis,
05:23.8
nawawala yung blood supply doon sa ulo na yun.
05:26.3
So di siya makakakuha ng nutrition, ng oxygen and all.
05:29.3
Ang nangyari na mamatay siya,
05:30.6
nagiging flat yung ulo.
05:31.8
Tapos yung pagiging round niya, nasisira.
05:33.7
Pwedeng maging ganun.
05:34.7
Pwedeng maging UP-UP na ganun.
05:36.6
So kapag ganun yung buto mo,
05:38.1
na normally dapat bilog,
05:39.5
talagang masakit po yung pag nilalakas.
05:41.3
So MRI, yung ginawa kay Ms. Angelica,
05:43.2
yan yung pinaka-sensitive,
05:44.7
pinaka-specific na imaging modality
05:46.7
na makikita yung avascular necrosis.
05:49.0
Kasi kapag sa x-ray, hindi masyado yan kita.
05:51.4
Kung makikita man yan sa x-ray,
05:53.9
Talagang sira na yung buto.
05:55.2
Pero pag mga first part or first stages
05:57.3
ng avascular necrosis,
05:58.5
hindi pa yan masyado kita sa x-ray.
06:00.3
Sa MRI kasi kita-kita po doon yung buto,
06:02.3
mga joints, mga fluid,
06:03.9
tsaka yung mga muscle.
06:04.9
So bumalik kami sa pagsaksak ng PRP sa hips ko.
06:09.5
nag-drill sila ng hole.
06:11.8
Inject nila yung PRP directly
06:13.6
doon sa dead bone ko.
06:15.5
Kasi ang cause ng avascular necrosis
06:18.4
ay steroids abuse.
06:20.1
One of the most common cause
06:21.4
or re-relate sa AVN or avascular necrosis
06:24.2
is steroid abuse or steroid use.
06:26.3
Ang steroid kasi hindi lang yun for bodybuilders.
06:28.5
Meron din yan medication
06:30.9
sa mga merong severe allergy
06:32.1
or mga autoimmune na disease.
06:34.2
Also sa mga bodybuilders,
06:36.4
gumagamit din sila ng steroid.
06:37.8
So yan po yung iba't-ibang klase ng steroid.
06:39.8
So sa case ni Ms. Angelica,
06:41.2
hindi daw siya gumagamit ng steroid
06:42.8
for bodybuilding.
06:43.6
Although merong ibang causes pa
06:45.0
bukod sa steroid,
06:45.7
hindi lang po steroid,
06:46.4
pwede rin trauma.
06:47.3
Okay, dati ka siguro na aksidente,
06:49.0
tumama yung dito sa hips,
06:50.5
tapos hindi nakita na may diferensya na pala.
06:53.3
Tumagal yung panahon,
06:54.4
nawala ng blood supply yung buto.
06:56.0
Since nawala ng blood supply yung buto,
06:58.9
Kasi kapag medyo alcoholic po yung tao,
07:00.7
talagang araw-araw tumutoma,
07:02.3
naapektoan po yung mga blood vessels.
07:05.3
kukunti yung blood flow doon.
07:07.3
wala na namang supply yung buto,
07:08.6
mamatay na naman siya.
07:09.5
Nag-drill na nila yung hole,
07:11.2
papunta nga doon sa dead bone ko.
07:13.6
Nilagyan nila ng plasma,
07:15.9
magkaroon ng regrowth.
07:17.1
Mabuhay siya ulit.
07:18.2
Magkaroon ng blood flow.
07:21.9
tinutulungan na mag-repair agad
07:23.6
o mabawasan yung pamamaga.
07:25.1
Kasi mayroon yung mga growth factors.
07:26.9
Pag sinabi natin growth factors,
07:28.3
yan yung mga component ng dugo natin
07:29.9
na tumutulong para magkaroon ng renewal
07:32.1
o para mabuhay ulit
07:33.4
yung mga namatay na tissue.
07:34.9
Mutulong sila doon.
07:35.7
So, ganun yung ginawa ng mga doctors
07:37.3
and hoping na makatulong
07:39.3
sa case ni Ms. Angelica.
07:40.6
Halos isang taon na guys.
07:43.3
nararamdaman ko to.
07:44.7
November na ngayon.
07:46.3
Patuloy ang pagiging positive
07:48.4
na matatapos na yung calvaryo
07:51.1
dahil finally na pinpoint namin
07:53.1
kung ano yung cause.
07:54.0
Yes, kung ano yung cause.
07:54.8
Yun naman yung pinaka-important.
07:56.1
Buti nalaman na rin agad
07:57.3
sa tulong ng mga doctors,
07:59.1
kung ano yung talaga yung nagkakos ng pain.
08:00.6
So, at least meron na tayong diagnosis.
08:02.6
Kasi kapag alam mo na yung sakit,
08:04.0
ito yung treatment.
08:05.7
Matutuloy-tuloy na yung procedure
08:07.0
and matutulongan mo na yung pasyente.
08:09.0
Doxan po na ko ang vascular necrosis.
08:11.2
Again, sabi natin kanina,
08:12.5
most common cause, steroid use.
08:14.1
Either binigay ng doctor mo
08:15.5
for your medications,
08:16.9
kung meron kang mga autoimmune disease
08:18.7
or mga any allergies
08:19.9
kasi binibigyan po kayo ng steroid niyan.
08:21.7
Pwede rin naman mga traumatic.
08:24.0
medyo na-abuse yung yung hip joint,
08:26.0
kung ano man yung work mo.
08:27.2
Tapos paulit-ulit,
08:29.1
nawawala ng blood supply.
08:30.4
Pwede mag-lead to AVN.
08:32.0
And pwede rin alcohol abuse
08:34.1
kasi lumilit yung blood supply
08:35.8
na mamatay yung buto.
08:36.9
Dok, ano po yung mga signs
08:37.9
na baka meron po ako nito?
08:39.2
Katulad sa case ni Miss Angelica,
08:41.6
6 months and above,
08:42.5
3 months and above.
08:44.2
hindi nila mapinpoint
08:45.0
kung saan dito sa hips.
08:46.3
Minsan, dito sa harapan
08:47.5
o kaya dito sa gilid
08:48.5
o kaya dito sa likod.
08:49.4
Walang, hindi nila mapinpoint
08:52.4
natuturo lang nila na gano'n.
08:53.6
Pwede rin naman sa mga pasyente,
08:55.0
wala silang naramdaman initially.
08:56.7
And then, after several months,
08:58.1
doon na lang mapapakita yung sintomas.
09:00.5
kung meron kayo yung mga nabanggit
09:02.9
And then, after nun,
09:03.6
pwede kayo ma-X-ray.
09:04.6
Pwede hindi pa yung kita sa umpisa.
09:06.2
Baka meron mga subtle signs.
09:08.0
doon po talaga makikita
09:09.1
specifically and very sensitive.
09:11.0
Kitang-kita po doon yung changes
09:13.1
And doon, pwede po kayo ma-diagnose
09:15.6
Dok, ano pong gamutan sa AVN?
09:17.4
Pwede silang mag non-surgical.
09:19.5
di mo na kayo operaan.
09:20.6
Baka bigyan mo na kayo ng ilang gamot.
09:22.1
Or depende sa case nyo,
09:23.2
kung medyo severe,
09:24.0
baka operaan po kayo.
09:25.2
Operaan kayo ng surgery.
09:29.0
yung nasirang joint
09:30.1
and yung nasirang buto
09:31.1
para mabawasan yung pamamaga
09:32.4
tsaka yung kirot.
09:33.1
I think doon sa case ni Ms. Angelica,
09:35.0
na-offeran na rin yung set ng surgery.
09:36.8
Kasi nagkaroon sila ng,
09:38.1
di ba dinrill daw,
09:39.0
binutas daw yung buto.
09:40.5
part po yun ng decompression
09:42.0
na tinatawag natin.
09:43.2
Dok, paano po makakaiwas sa AVN?
09:45.1
Bawasan yung pag-inom ng alak.
09:46.4
Bawasan din yung paninigarilyo
09:47.7
or tanggalin na at all.
09:48.9
Kung kayo po ay may medication
09:50.3
or may maintenance na steroid
09:52.2
para po sa sakit nyo,
09:53.2
dapat po lagi nagpapacheck sa doktor
09:54.8
kasi baka kailangan i-adjust yung dose
09:56.5
or baka kailangan mo na itigil
09:57.9
para hindi po kayo nasasobrahan
10:00.4
Kung meron kayo ito ng comment down below
10:01.6
and kung nag-benefit ka sa video nito,
10:03.2
please follow my Facebook page
10:04.4
and subscribe to my YouTube channel.
10:06.7
thank you for sharing your story.
10:08.3
Sana po ay tuloy-tuloy na po
10:09.4
yung paggaling nyo
10:10.1
sa inyong karamdaman.
10:16.4
Thank you for watching!