I-DAS28, inguqu eguquguqukileyo ye-DAS yasekuqaleni, isilinganisi esilinganiselweyo somsebenzi wesifo esetyenziswe ukubeka unyango lwe- arthritis ye- rheumatoid . I-DAS28, emela "amanqaku omsebenzi wesifo," ibalwa ngokusebenzisa ifom ebandakanya inani lamathenda amathenda kunye namajoyino okuvuvukala (amanqanaba angama-28 aphezulu). I-DAS28 ayiluncedo kuphela ekuvavanyeni izigulane kwiinkqubo zempilo, kodwa nakwiimvavanyo zeclini.
Kukho iinguqulelo ezininzi ze-DAS, kodwa zonke zilinganisa umthwalo wesifo usebenzisa isigulane sempilo yesigulane (ukuhlolwa koxilongo), ukubalwa kwamathenda kunye nokubala okubhaliweyo (kufika ku-28), kunye ne- ESR (izinga lokutywiliswa kwe-erythrocyte ) okanye i- CRP (C- protein) . I-DAS ingabalwa ngokusebenzisa inkqubo ethile okanye i-calculator. Ukuba unayo i-iPhone okanye enye i-smartphone kukho iinkonzo ze-DAS ezikhoyo.
Imbali yeDAS
Ukuqala kwe-DAS kuthathwa ngo-1983. I-DAS yasekuqaleni yayibandakanya inkcazo yeRitchie articular, isibalo se-44 esinezibilini, i-ESR (i-sedryation sedimentation rate) kunye nokuhlolwa kwezempilo jikelele kwi-analog scale.
Ukusetyenziswa kwiZenzo zoKliniki
Izigqibo malunga nokunyanga zinokusekelwe kwiimpawu zamanje ze-DAS28 okanye kwiinguqu kwiimpawu ze-DAS28 xa kuthelekiswa namaxabiso ngaphambi kokuba kuqalwe unyango. I-thresholds ye-DAS28 ephakamileyo kunye nesifo esiphantsi kwemisebenzi sele iqinisekisiwe. Kukho ulwalamano olucacileyo olucacileyo phakathi kwe-DAS enokuthi ngethuba elithile kunye nesixa somonakalo we-x-ray esibhedlele isigulane ngaphakathi kwelo xesha.
Ukubalwa kweDAS28
Emva kokubala okunzima kuye kwenziwa:
DAS28> 5.1 = umsebenzi wesifo esiphakamileyo
DAS28 <3.2 = umsebenzi wesifo esiphantsi
DAS28 <2.6 = ukuxolelwa
Ezinye iinguqulelo ze-DAS28 ezivumela i-CRP ukuba isetyenziswe esikhundleni se-ESR okanye evumela ukushiywa kwe-CRP okanye i-ESR.
Ngaphantsi
Awuze uve i-rheumatologist yakho ibhekisele ngqo kwi-DAS28 yakho.
Kodwa, ngokuqinisekileyo, ugqirha wakho ubeka ingqalelo kwiibalo ezidibeneyo, isantya sokungcebeleka, kunye ne-CRP ngokumalunga nokufakela iofisi enye. Musa ukuthoba. Buza ugqirha wakho malunga ne-DAS28 ukuba awucacisiwe. Ngokwe-National Rheumatoid Arthritis Society, "Ukufumana amanqaku aphezulu okuqhubekayo atholakale ekwandiseni umonakalo wokulimala okuhlangeneyo, kwanezigulane ezibonakala ziqhuba kakuhle. Ngoko ke, nangona kungengomlinganiselo opheleleyo wesifo somsebenzi, kunokuba luncedo ukubuza 'Yintoni i-DAS28 yami?' Ngexesha elizayo u tyelela isebe le-rheumatology. "
Imithombo:
Isifo somsebenzi. I-Rheumatoid Arthritis: I-Early diagnosis and Treatment. Cush, Weinblatt, neKavanaugh. Uluhlu lwesithathu. Ishicilelwe nguComputer Communications, Inc. (2010).
I-Score yeDAS28. National Rheumatoid Arthritis Society. Kugqitywe ukuhlaziywa nge- 5/5/2014.