膝关节的外泌体治疗
外泌体是细胞用来指挥其他细胞的讯息颗粒。把它当作治疗使用,比 PRP 或干细胞注射更新,背后的证据也更年轻。本页说明这项治疗是什么、哪些已经确立、哪些还没有,因为这才是做决定时该有的基础。
- 注射不是手术,不需要恢复期
- 最新三种注射选项之中
- 没有保证现有证据不支持任何保证
- 评估决定它是否合理
外泌体到底是什么
细胞之间以释放微小的膜性颗粒来沟通,这些颗粒携带蛋白质与遗传讯息,就是外泌体。干细胞对周围组织所起的作用,有很大一部分似乎是透过它们完成的,而不是干细胞自己变成了新的组织。
直接使用外泌体的思路就在这里:把讯息本身送到,而不是送去那个原本要发出讯息的细胞。
与 PRP、干细胞注射的分别
三种治疗,分别就在注射进去的是什么。
- PRP
- 在就诊当天以您自己的血液制备,浓缩其中的血小板与其携带的生长因子。三者之中最为成熟,在膝关节退化上的应用纪录也最长。
- 干细胞治疗
- 导入细胞,用以支持关节的修复。
- 外泌体治疗
- 导入讯息颗粒本身,不含细胞。三者之中最新,在这里是众多选项之一,而不是用来取代其他选项。
哪些已知,哪些未知
实验室与早期临床的研究确实令人期待,而「令人期待」正是此刻准确的说法。目前还不存在的,是足以让人有把握说出预期疗效的长期、大规模试验证据。
因此本页不对疗效作任何承诺。若有人向您保证外泌体治疗必有某种结果,那已经超出现有证据所能支持的范围。我们能做的,是说明思路、列出其他选项,让您依照事实的原貌自行判断。
判断是否适合您
评估流程与任何膝关节注射之前一样:病史、理学检查,必要时加上影像。
可以合理考虑
- 经评估确认的膝关节退化
- 物理治疗与止痛药都试过,疼痛仍在
- 您已经明白它的证据比 PRP 年轻
- 您要的是思路与替代选项,而不是一个承诺
不适合,或需要先评估
- 关节有活动性感染
- 某些癌症
- 部分血液或免疫疾病
- 凝血疾病,或正在服用抗凝血药物:请带上用药清单
不如从这里开始
对许多膝盖而言,合理的第一步是 PRP,理由很直接:它的证据更充分。这一点是咨询的一部分,不需要您自己开口提。
无论哪一种,需要做几次都视关节状况与反应而定,会在评估时说明,而不是事先定好。
其他选项,按证据强弱排列
为您看诊的是谁
- 您的医生
- 诊所每一位医生都在本网站列出姓名与资历,其中一位是名列国家专科医生名册的家庭医学专科医生。为您看诊的是医生,不是柜台。
- 您的病历
- 保存在诊所自己的加密系统里,不是放在抽屉里的纸本,所以为您看诊的医生能看到您完整的病史。
- 您的复诊
- 之后有问题或需要续药,直接用 WhatsApp 联系为您看诊的医生,不必经过前台。
- 您的时间
- 每天开到晚上8点,可不预约直接到诊。诊所自1981年起在甲洞峇鲁服务,这一页的大部分事情一次到诊就能完成。
直接来,或先问清楚
营业时间内(每日 上午9点至晚上8点)可不预约直接到诊,也可以先传讯息,把想问的都问清楚再来。
病人的话
甲洞与吉隆坡一带病人的评价
4.9来自 785 则 Google 评价
Fei Ru OohGoogle 在地向导 · a month agoI have been visiting this clinic since I was a kid, and now my children already reached adulthood! It has gone through 3 generations from Dr Chye to Dr Lee and now Dr Chan. A true family clinic, specialized in family health. Dr Chan carries the same trait of his predecessors, very caring, knowledgeable, patient and goes above and beyond to help his patients. He truly invests his time in knowing his patients' family, know every family members and remember everyone well. He spends extra hours even beyond the official working hours. Highly recommend this clinic, especially Dr Chan.来自 Google
Vidhya Naira month agoI recently had two cysts removed by Dr. Richard Ngu at Clinic Chye in Kepong. I had an excellent experience. Dr Richard was professional, skilled, and made me feel comfortable throughout the entire procedure. The surgery was smooth, and the results were clean and neat. Thank you, Dr. Richard Ngu, for your excellent care and dedication. I truly appreciate your professionalism and kindness. I highly recommend Dr. Richard Ngu to anyone looking for a trustworthy and excellent experienced doctor.来自 Google
ParrotGoogle 在地向导 · a month agoThank you Dr.Chan for your amazing care and support during a difficult time. Forever grateful for Dr.Chan for your dedication and expertise. Dr.Chan for your compassionate care made all the difference in my recovery. Thank you Dr.Chan for helping me stay strong and hopeful. Dr.Chan for your hard work and commitment truly saved lives.来自 Google
June Lee2 months agoI had a great experience at this clinic. The staff were friendly, professional, and welcoming. The doctor was patient, listened carefully to my concerns, and explained everything clearly. The clinic was clean, well-organized, and the waiting time was reasonable. I felt well cared for throughout my visit. I highly recommend this clinic to anyone looking for quality medical care.来自 Google
Lee JinHao4 months agoFirst and foremost, I would like to express my sincere gratitude to Dr. Chan, Dr. Hoo, and the nursing team. I am deeply impressed by their dedication and high sense of responsibility. They were incredibly patient and professional when explaining my medical condition, ensuring I fully understood every detail. Furthermore, they were proactive in providing an effective treatment plan that addressed my symptoms immediately. I truly appreciate their exceptional care.来自 Google
Maryam Aziz2 months agoI choose this clinic when i moved to Kepong because of the good reviews. And once i attend this clinic, i experienced it myself. The clinic is clean, the staff are professional and welcoming, incredibly efficient. The clinic interior design also calming and made my visits less anxious. The doctors here (Dr. Chan & Dr. Kon - sorry if misspelled) are very attentive, explain briefly to me what the do's and don'ts on after care treatments and for future preventions. I also just learned that this clinic is specialized in skin problems and i refer my dry and ictchy skin problems on my fingers. I've been put some plasters to hide the crack and dry skin for months. Thanks for the advise, now my skin is getting better. I will always come here for treatment and medical advises in future.来自 Google
Lye kok fai4 months agoSome clinics treat patients, but this clinic truly cares for people. Every visit here reminds me why trust matters so much in healthcare. Dr Chan is incredibly patient, detailed, and attentive, no matter how busy the clinic gets, he never makes you feel rushed. He listens, explains, and reassures, which makes a big difference when you’re not feeling your best. Carmen and the entire team deserve just as much recognition. From the moment you walk in, you’re welcomed with warmth and kindness. Even on the busiest days, the staff remain calm, friendly, and professional, something that is not easy to maintain. The clinic is always full, and honestly, that speaks for itself. It’s not just about treatment, it’s about the trust they’ve built with every patient who walks through their doors. For me, this is a place where I feel safe, heard, and genuinely cared for. At the same time, I hope the team, especially Dr Chan, will remember to take care of their own health too. Behind the dedication and long hours, I can see the tiredness , and it just shows how much effort is being put into caring for others. Thank you for your unwavering dedication, compassion, and excellent service. This is more than just a clinic , it’s a place people can rely on.来自 Google
joey liew7 months agoDoc tor here is professional with good attitude toward patients. Environment is new and clean. Suggest to put a little playground for kids in case of long waiting time.来自 Google
LeeminGoogle 在地向导 · 2 months agoDr Ivan is a very reliable and humble doctor. The atmosphere of the office is clean and quiet. The staffs are kind too. I highly recommend this clinic when you need to consult a doctor.👍👍来自 Google
yuen szhi7 months agoI am truly grateful to Dr Chan for his marvellous diagnosis and attentive care during the few difficult days when I was down with dengue. He was very thorough, patient, and reassuring, and his medical advice was clear and genuinely helpful throughout my recovery. He took the time to monitor my condition closely and explained everything in a way that gave me confidence and peace of mind. On top of that, the charges were very reasonable, which I deeply appreciate. Thank you Dr Chan for his dedication, professionalism, and kindness. I highly recommend him to anyone seeking a trustworthy and caring doctor.来自 Google
Kristina JGoogle 在地向导 · 2 years agoDr Chye and his fellow associates along with his admin staffs has always been helpful and knowledgeable. They always act with urgency and they consult in detail. You’ll always be satisfied. They always listen to your concerns and advise for each of your concerns. Good sets of meds. I’ve been coming here for more than 2 years plus and also my family members and we’re always delighted with the doctors treatments来自 Google
Michael CheongGoogle 在地向导 · 7 months agoEver since my bro told me about this place, this is my go to when I feel unwell or want medical advice. When im here I feel safe and the doctors here give very good consultations and treatments. The price is also affordable and they don't simply do things. Super reccomended 👍🏼👍🏼👍🏼👍🏼👍🏼来自 Google
Jessy Ooi9 months agoVery friendly and kindly responsible klinic dr. detial is much help me. Explain and teach you how to do thnext step. Help you balance life, take more vitamins ect...来自 Google
Yong Chuen Choi7 months agoHighly recommend for their outstanding service. The entire team was professional, welcoming, and incredibly efficient. The level of care provided was excellent, and the treatment received was highly effective. Healthcare environments can sometimes feel stressful, but this clinic has a wonderful, relaxing atmosphere. The interior design is tasteful and calming, using warm colors and great lighting that made my visit much less anxious. It felt more like a wellness center than a clinic. Wouldn't hesitate to return here for any future medical needs.来自 Google
Mohan Das2 years agoDr. chan is very friendly and knowledgeable. He gave proper advice and gave a lots of tips on how to overcome my dry cough. The clinic ambiance is so good and the nurses are so friendly. Since this is my panel clinic and nearby my house , I always prefer this clinic for my medication and for my family.来自 Google
Lee Daphane4 months agoVery happy with the service here. The doctors and nurses are friendly, kind, and patient. The place is clean, and the pricing is reasonable too. Highly recommended!👍🏻来自 Google
Zo EeGoogle 在地向导 · 2 years agoThe clinic admins were friendly and polite. The atmosphere of the clinic is clean and neat, I don't feel uncomfortable or sickly being here. Doctor is very good, he explained my medical situation and patiently explained what I needed to be precautions of. Highly recommend this clinic.来自 Google
Aqilah NizarGoogle 在地向导 · 2 months agoNice sraff, clean clinic and efficient live numbering waiting queing system. Dr Kon is really helpful. Explanations is detailed but easily understamdable. Recommended.来自 Google
Asmine Nga year agoOur family have been with Chye Clinic for many years. Dr Chan is a very caring doctor. Well explained things to us, he even answered our questions by whatsapp. Nurses are friendly & helpful. Clean and comfortable waiting area and toilets. The best clinic by far.来自 Google
murny razi7 months agoI had a very pleasant experience at this clinic. The staff were friendly. The doctor took time to listen, explained everything clearly, and made me feel comfortable and well taken care of. The clinic is clean and well-organized. Highly recommended to anyone looking for great service and genuine care. Thank you so much! Keep up the great work and excellent service! Worth every penny. Important is affordable price! ❤️❤️❤️❤️来自 Google
常见问题
- 外泌体治疗比 PRP 更好吗?
- 尚未确立。在膝关节退化上,PRP 的应用纪录更长、证据更多。外泌体治疗较新,证据基础仍在累积。
- 需要做几次?
- 视关节状况与反应而定,会在评估时说明,不会事先一概而论。
- 会需要休养吗?
- 膝关节注射一般不需要特别休养,但通常会建议在术后短期内避免剧烈活动。
- 哪些人不适合?
- 关节有活动性感染、某些癌症,以及部分血液或免疫疾病者不适合;有凝血疾病或正在服用抗凝血药物者,需要先行评估。咨询时请带上用药清单。
- 费用多少?
- 预约之前先向诊所询问目前的价目。费用会随治疗部位与预计次数而不同。
- 外泌体从哪里来?
- 用于治疗的外泌体多数来自实验室培养的干细胞,经纯化后不含细胞本身。来源与纯化方式,请在咨询时询问;说不清楚来源的产品,就不该注射。
- 外泌体治疗和干细胞治疗是一回事吗?
- 不是。干细胞治疗注射的是细胞;外泌体治疗注射的是细胞释出的讯息颗粒,不含细胞。外泌体的思路是把讯息送到,而不是送去发出讯息的细胞。
- 多久会有感觉?
- 如实的答案是:现有证据不足以给出一个可靠的时间表。膝关节注射类的治疗,一般在数周内评估反应,评估时会和您约定复查的时间。
预约之前先问清楚费用,甲洞,每天开到晚上8点
48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.
Chye Clinic