I-rheumatoid arthritis yimizimba engapheliyo, yokuzibulala, yokuvuvukala, inokukhubaza isifo se-arthritis esichaphazela abantu abayi-1.5 baseMelika abadala. Esi sifo sinokudityaniswa neentlungu ezidibeneyo, ukukhubazeka ngokuhlangeneyo, ukusebenza komzimba owehla, kunye nemiphumo yesistim. Iqondo lexinzelelo lixhomekeke kumntu kodwa, kungakhathaliseki, injongo ikunciphisa isifo sokunyuka nokukhubazeka.
Xa ukuxilongwa kwe-rheumatoid arthritis isungulwe, isicwangciso sonyango siphuhliswa ngokukhawuleza. Ukongezelela ekulawuleni iimpawu zesifo, injongo ekugqibeleni yonyango kukunceda isigulane sifumane ukuxolelwa.
Iziyobisi ze-Biologic , ezaqala ukubonakala kwindawo ngo-1998, zenza ukuxolelwa ngenjongo yokufikelela. Nangona ezinye izigulane ze-rheumatoid arthritis zikwazi ukufezekisa ukuxolelwa ngaphambi kokufumaneka kweziyobisi ze-biologic, ezininzi zazingenalo. Iziyobisi ze-biologic zineenkalo eziphambili kakhulu emzimbeni kwaye kunye, ukuba kungenzeka ukuxolelwa kwaba yinjongo engokoqobo.
Ukuqhubela phambili kwizinto zezinto eziphilayo kwakungekho kumgca, nangona kunjalo, nencazelo yokuxolelwa eyadalwa ngo-1981 yi-American College of Rheumatology (ACR). I-American College yeRheumatology yaqaphela isidingo sokuhlaziywa kwengcaciso ye-1981. Ingcaciso nje yokuhlaziywa okuhlaziyiweyo yenze ukuba abaphandi babe nemigangatho ecacileyo kwizilingo zekliniki, kunika izigulane ukuba ukuxolelwa kuyafezekiswa kwaye kubanika umbono malunga nokuba kuxoxwa nini.
Ngo-1981, ukuxolelwa kwachazwa njengokupheliswa kwezifo zonke. Iingcaciso ezihlaziyiweyo zokuxolelwa zichazwe ngakumbi.
I-Rheumatoid Arthritis Remission Definition
I-American College yeRheumatology kunye neYurophu Yokulwa neRheumatism ihlalutye iinkcukacha zesilingo kunye neekomiti zeekomiti ezicetywayo ngaphambi kokugqiba ngeenkcazo ezimbini ze-rheumatoid arthritis remission esetyenziswa ngokubanzi ekusebenziseni kwizilingo zeklinikhi.
Inkcazo 1
Ukuqwalaselwa ekuxoxweni, inxaxheba yeklinikhi yokuthatha inxaxheba kufuneka kufuneka ibe nayo:
- Inani lokubambisana kwee-tender - ngaphantsi okanye lilingana no-1
- Inani lokubhukuda ngokubhaliweyo - ngaphantsi okanye lilingana no-1
- Iprotheyini e-C-reactive - ngaphantsi okanye ilingana no-1 mg / dl
- Amanqaku ovavanyo lomhlaba jikelele-ngaphantsi okanye alingana no-1 kwizinga eli-0 ukuya kwe-10
Ipropheni esebenzayo yeCRP okanye iC-pro is protein ethile eyenziwa kwisibindi ephakamileyo phambi kobuhlungu obunzima okanye isifo.
Inkcazo 2
Usebenzisa i-Index Yesebenzi Esilula, equka iinkqubo ezichazwe ngasentla kunye noogqirha ovavanyo lwehlabathi jikelele, wongezwa kunye. Kwinqanaba ukusuka ku-0 ukuya ku-10, ukuxolelwa kungaphantsi okanye kulingana no-3.3.
Uvavanyo lwehlabathi lonke lubonisa indlela isigulane esivakalelwa ngayo. Ugqirha uvavanyo lwehlabathi lonke lithetha ngendlela ugqirha aziva ngayo isigulane esenzayo.
Ngaphantsi
Ezi nkcazo ezichazwe ngasentla zinesicelo kwizilingo zamachiza. Abaphengululi kufuneka baqwalasele ukuba ngaba iinkcazo zineenkcukacha zinezicelo kwiikliniki.
Ikholeji ye-American College yeRheumatology yokumisela ukuchithwa kwekliniki kwizonyango (1981) ziquka:
- Ukuqina koMasa ngaphantsi okanye kulingana nemizuzu eyi-15
- Akukho ukukhathala
- Akukho zintlungu
- Akukho ntsibano okanye intlungu ehambayo
- Akukho zihlunu ezithambileyo zokuvuvukala kumalungu okanye i-tendon sheaths
- Isantya se-sedimentation ye-Erythrocyte (ukuhlolwa kwegazi okwenza amanyathelo angaphantsi kwamanani) angaphantsi okanye alingana nama-30 kuma-20 kunye nabesilisa
Imithombo:
I-Rheumatoid Arthritis Abaphandi Bahlengahlengisa Ukuxolelwa. Ikholeji yaseMerika yaseRheumatology. Fe bruwari 3, 2011.
http://www.rheumatology.org/practice/clinical/classification/ra/ra_remission_2011.asp
Iimpawu zokuQala zokuThotyiswa kweSiklinikhi kwiArthritis. Arthritis neRheumatism. Iintambo ze-RS kunye no-Oktobha 1981.