I-UCDAI imilinganiselo esetyenziswa ngokubanzi kwizilingo ze-IBD
Uphando luyinxalenye ebalulekileyo ekuphuhliseni unyango olutsha kuzo zonke izifo, kubandakanywa nezifo zesibindi (IBD) . Uphando luvame ukuthetha ukuvavanywa kwezilwanyana ezintsha kwiqela elincinci lezigulane, ukuze kuqinisekiswe ukuba kufuneka kuhlolwe kwiqela elikhulu, okanye ukuba ingcamango ifanele ishintshwe okanye ishiyiwe ngokupheleleyo. Kukho imigaqo kunye neeprotoksi ezijikeleze ukuvavanywa kwamachiza amatsha kwizigulane-akukhona into eyenziwa ngaphandle kokuqwalaselwa okubalulekileyo.
Ngokuqhelekileyo, isilwanyana sele sivivinywe kuqala kwiimodeli zekhompyutheni, kwaye ngoko kwizilwanyana (ngokuqhelekileyo amagundane okanye iigundane), kwaye emva koko abantu abaphilileyo. Kwiimvavanyo ezininzi zeekliniki, isilinganisi esizimeleyo sisetyenziselwa ukulandelela inkqubela phambili, kwaye esinye isilinganiselo se-ulcerative colitis yi-Ulcerative Colitis Disease Activity Index (UCDAI).
Abaphandi Bazi njani Ukuba unyango lusebenza?
Ukuze kuqinisekiswe ukuba unyango lwe-IBD lusebenza kakuhle, izazinzulu zivame ukusebenzisa i-scale ekhethekileyo ukulinganisa umsebenzi wesifo kwizigulane ngabanye. Umsebenzi wezifo unokubandakanya iimpawu ezinjengeentlungu, zihlandlo kangaphi umntu uye waya kwindawo yokuhlambela ngosuku, okanye ukuvuvukala kwikholoni efunyenweyo xa ugqirha ugqiba i- colonoscopy . Kwezinye iimeko, amanqaku angaphezulu-emathunjini esifo sesifo, njengesikhumba, iso, okanye iingxaki ezidibeneyo , nazo zingafakwa kwi-analysis.
Ingaba isilinganisi esikhethekileyo sinikela abaphandi ulwimi olufanayo ukuba bathethe ngendlela isigulane ngasinye esenza ngayo ngelixa ufumana unyango oluvavanywayo.
Ezi zicwangciso ezizodwa zingasetyenziswa okanye zingasetyenziswanga ngabagastroenterologists kwinkqubo yekliniki, ngaphandle kwesilingo sekliniki. Uninzi lwexesha, azinjalo, kuba ayifumani nantoni na into: abagqirha abayi kuqhathanisa amanqaku omnye ngesigulane somnye wesigulane, ngoko ke iziphumo aziyi kunceda.
Isikrini seklinikhi ngokuqhelekileyo sinceda kuphela xa kuthelekiswa nezigulane ezifumana ukungenelela okufanayo (njengamachiza) phezu kwexesha eliphantsi kweemeko ezifanayo. Ukongezelela, kunokuba nzima kakhulu kunye nokuchitha ixesha ukukwenza amanqaku kuzo zonke izigulane, ingakumbi xa kungekho nzuzo eqinisekisiwe yokwenza. Nangona kunjalo, kwezinye iimeko, ingasetyenziselwa ukulandelela umsebenzi wesifo kwizigulane eziqala unyango olutsha.
I-Ulcerative Colitis Disease Activity Index
Ukufumana i-ulcerative colitis, kukho izikali ezahlukeneyo zokulinganisa ezisetyenziselwa ukulungiselela uphando lweklinikhi. Elinye elisetyenziswa ngokufanelekileyo libizwa ngokuba ngu-UCDAI. Ihamba ngamanye amagama ngamanye amaxesha, kwaye ingabizwa ngokuba yi-Sutherland Index okanye i-Index Modified Ulcerative Colitis Disease Activity Index. I-UCDAI yakhiwe ngo-1987 nguSutherland, et al. I-UCDAI iya kunikwa ekuqaleni kweesilingo zekliniki ukuqinisekisa ukuba isiseko, kwaye kwakhona kwakhona kwiindawo ezicacileyo kulo lonke uvavanyo.
I-UCDAI yinkqutyana yeziqinisekiso malunga neempawu zesifo sezilonda zesilonda esinezifo, ukuphuma kwamagxeni, ukubonakala kwimbombo yekholoni, kunye nokulinganisa ugqirha wezenzo zesifo. Ngolunye lwezi zinto unikezwa inombolo ukusuka ku-0 ukuya kwe-3, kunye ne-3 ibe yinkalo ephezulu yesenzo sesifo.
Ezinye ze mibuzo zifuna udokotela ukuba enze i-endoscopy aze abone i-colon, ngoko ayikho isilinganisi esinokusetyenziswa sisigulane ukuqonda ukuba isifo sabo siphuthuka njani.
Ngenjongo yezilingo zeklinikhi, ukuxolelwa kudlalwa ngokuphindaphindiweyo njengomlinganiselo we-UCDAI we-1 okanye ngaphantsi, kwaye ukuphuculwa kukunciphisa amanqaku amathathu okanye ngaphezulu ukusuka kumanqaku ekuqaleni kwetyala.
ILizwi
I-UCDAI, okanye nayiphina isisombululo somsebenzi wesifo, ayikwazi ukuxelela umntu ukuba ingaba unayo i-colitis colitis, okanye yintoni isimo sesifo. Isixhobo esisetyenziswe ngabaphandi, ngokuphindaphindiweyo ngexesha leemvavanyo zeklinikhi ukufunda iziphumo zonyango elitsha.
Uninzi lwegastroenterologists alisebenzisi lesi sikali, ngoko akusilona nto omele ulindele ukuba yinxalenye yovavanyo oluqhelekileyo lwe-IBD.
Umthombo:
Sutherland LR, uMartin F, uGerer S, et al. "5-Aminosalicylic Acid Enema kwi-Treatment of Distal Ulcerative Colitis, Proctosigmoiditis, kunye neProctitis." Gastroenterology 1987; 92: 1894-1898. 5 Oktobha 2010.
Eyaziwayo njenge- Sutherland Index, i-Modified Ulcerative Colitis Disease Index Index