Ukulandelela iNani leZibumbano eziThuthukileyo kunye neTender
I-rheumatoid arthritis isifo esingapheliyo, sesisistim , esivuthayo . Inkcazo yayo, kunye nekhosi yesi sifo, iyahlukahluka kwisigulane ngasinye kunye nezigulane ezahlukeneyo. Izixhumo eziguguzelayo kunye neethambo ziyimpawu zesifo se-rheumatoid arthritis.
Akukho luvavanyo olulinganisiweyo okanye uvavanyo oluthathwa njengemigangatho yegolide yokuvavanya nokubeka esweni isimo seklinikhi yezigulane ze-rheumatoid arthritis.
Kukho, kunoko, uvavanyo oluthile olusetyenziswa ukuseka isimo sengqondo kwisimo seklinikhi kunye neenjongo zophando, kubandakanya izibalo ezihlangeneyo, iimvavanyo zelabhoratri , izifundo zokucinga , ukuvavanya okusebenzayo, amanyathelo omhlaba, kunye nemibuzo yokuphendula ingxelo ngesigulane.
Izibalo ezihlanganyelweyo zibhekwa njengesona esithile esithile esithile sokliniki esilinganiselweyo esisetyenziselwa ukuvavanya imeko yezigulane ezineentlobo ezivuthayo ze-arthritis, ngakumbi i-rheumatoid arthritis. Izibalo zohlanganiso nazo ziyinxalenye ebalulekileyo yeeNgxaki zeMisebenzi yezifo (i-DAS) , i-American College yeRheumatology Idatha engundoqo eyenzelwe izilingo ze-rheumatoid arthritis, kunye ne-American College of Rheumatology.
Izindlela zokubala ezidibeneyo
Kukho amanani amaninzi ahlangeneyo. Izindlela zihluka kwinani lamajoyino abalekileyo kunye nendlela edibene ngayo. Izindlela zokubala ezihlangeneyo zibandakanya inani lama-66/68 Inani elihlangeneyo, i-Ritchie Articalular Index, i-Thompson Thompson-Kirwan Index, i-44-Swollen Joint Count, kunye ne-28-Count Count.
66/68 Ukubala okuhlangeneyo
Inani le-66/68 Inani elilingeneyo lihlola amanqaku angama-66 ngokukhukhumeza kunye namaqela angama-68 ukubonisa ububele kunye nentlungu ngokunyakaza. I-temporomandibular, i-sternoclavicular, i-acromioclavicular, i-shoulder, i-elbow, i-metacarpophalangeal (MCP), i-interphalangeal exalimal (PIP), i-interphalangeal distal (DIP), i-hip, i-knee, i-ankle, i-tarsus, i-metatarsophalangeal (MTP) kunye ne-interphalangeal yeenyawo ifakiwe kweli nani elihlangeneyo.
Amajoyina e-Hip angaphononongwa ukunyamekela kuphela-kodwa kungekhona ukuvuvukala.
I-Ritchie Articalular Index
I-Ritchie Articalular Index ihlola amanqaku ama-52. Ihlombe, i-elbow, isandla, i-hip, i-ankle, i-talocalcaneal, i-tarsus, kunye nomgudu wesibeleko zivandlakanyiswa ukunyamekela kuphela. I-MCP kunye ne-PIP izihlanganisi ziyahlolwa ngamaqela. Amalungu alungileyo nakwesobunxele ahlolisiswa ndawonye kwi-temporomandibular, i-sternoclavicular, kunye nama-acromiaoclavicular joints. Le ngcaciso ibandakanya ukufakwa: 0 = nontender, 1 = ithenda, 2 = ithenda nge-wincing, 3 = ithenda nge-wincing kunye nokuhoxiswa. Amanqaku amanqaku angabelana ukusuka kwi-0 ukuya ku-78.
Inkcazelo ye-Thompson-Kirwan
I-Thompson-Kirwan Index ihlola ukunyameka nokuvuvukala kwama-38. Amalungu afakwa ngokwemimandla yawo. Amanqaku apheleleyo angabalwa ukusuka ku-0-534. Ibundu lilinganiselwa ngaphezu kwamanye amalunga. I-PIP, i-MCP, ii-MTP, izibonda, izibonda, kunye namaqhosha zifakwe kule nkcazelo.
Ukubala okudibeneyo oku-44
I-44-Swollen Joint Count yinxalenye ye-DAS yasekuqaleni (i-Score Work Score). I-sternoclavicular, acromioclavicular, shoulder, elbow, isalathisi, i-MCP, i-PIP, i-knee, i-ankle, kunye ne-MTP.
Ukubala oku-28
I-28-Joint count yinxalenye ye-DAS28. Amagxa, izibini, izibilini, i-MCP, i-PIP kunye namadolo afakwe kwi-Count-28 Count.
Izihlanganisi zeenyawo zingabandakanywa.
Ngaphantsi
Ngoxa i-Ritchie Articular Index isebenzisa inkqubo yokubamba ukubeka amanqaku kunye no-Thompson-Kirwan usebenzisa i-system score scoring, ezinye izinto ezintathu ezidibeneyo ezichazwe ngasentla zibala amanqaku angavumelekanga ngaphandle kokubeka ubunzima bokuvuvukala okanye ukunyamezela.
Nangona ubuchule bezinto ezihlanganyelweyo kwiimvavanyo zeklinikhi akuphikisana, ngokuqhelekileyo kwindlela yokwenziwa kweeklinikhi kubaluleka kwabanye, ikakhulu ngenxa yobunzima kunye nobunzima bokuqhuba izibalo. I-American College yeRheumatology (ACR) ibandakanya ukubala okubhaliweyo kwiingcebiso zabo kwiinkonzo zonyango, nangona kunjalo.
Inani elidibeneyo lama-28 liquka amajoyina amaninzi achaphazelekayo, kwaye iziphumo zalo zihambelana kakuhle kunye ne-66/68 Inani elihlangeneyo. Ngenxa yokulula kunye nokuthembeka, i-28-Joint count ibhekwa njengendlela yokubambisana ekhethiweyo.
> Imithombo:
> Uvavanyo Oluhlangeneyo kwi-Rheumatoid Arthritis. DL Scott kunye neDes Houssien. I-British Medical Journal 1996; 35 (isongezelelo 2): 14-18.
> Izibambiswano ezihlangeneyo. Ozlem Pala, MD kunye noL. Frank Cavaliere, MD Chapter 7.
> Izibambiswano ezihlangeneyo kwiZenzo eziqhelekileyo. IiNcwadana zeOxford. Rheumatology. DL Scott et al. 2003; 42 (8).