DAS28, shanduro yakashandurwa yeDAS yapakutanga, inguva yakawanda yezvirwere zvechirwere chinoshandiswa kuongorora kurapwa kwerheumatoid arthritis . DAS28, iyo inomiririra "chirwere chekuita zvirwere," inotaridzika kushandisa shanduro inosanganisira nhamba yezvinyoro zvinyoro uye masangano ekubhururuka (masangano 28 akareba). DAS28 haisi kungobatsira chete kuongorora varwere mumakiriniki ekudzidzira, asi kumakiriniki ekuedzwa.
Kune zvinyorwa zvakawanda zveDAS, asi vose vanoyera chirwere chekushandisa kushandisa chirwere chehutano pasi rose (chirwere chekuzviongorora), kubatana kwekwereti uye kuvharwa kwezvibatanidzwa (kusvika kusvika 28), uye ESR (erythrocyte sedimentation rate ) kana CRP (C- reactive protein) . DAS inogona kuverengwa kuburikidza nekushandisa purogiramu chaiyo kana kuverenga. Kana iwe une iPhone kana imwe imwe smartphone kune DAS mapurogiramu anowanikwa.
Nhoroondo yeDAS
Kutanga kweDAS kunofungidzirwa munharaunda 1983. DAS yepakutanga yaisanganisira Ritchie articular index, iyo 44 yakabatana-yakawanda, yeE ESR (erythrocyte sedimentation rate) uye kuongorora kwehutano hwehutano pane analog scale scale.
Kushandisa muChipical Practice
Zvisarudzo pamusoro pemishonga zvinogona kunge zvichibva pane zvinodiwa zveDAS28 kana nezvekuchinja kwehutano hweDAS28 huenzaniswa nehutano husati watanga kurapwa. DAS28 yakakwirira uye yakadzika zvirwere zvekuita zviitiko yakagadziridzwa. Ikoko kunewo hukama hunotsanangurwa zvakajeka pakati pezvinoreva DAS munguva imwechete uye chiyero che-x-ray kukuvadzwa kunoitwa nemurwere panguva iyoyo.
Nhamba dzeDAS28
Mushure mokuverengwa kwakaoma kwakaitwa:
DAS28> 5.1 = chirwere chepamusoro
DAS28 <3.2 = chirwere chepasi chakanyanya
DAS28 <2.6 = kuregererwa
Dzimwe shanduro dzeDAS28 dziripo dzinobvumira CRP kuti ishandiswe panzvimbo ye ESR kana iyo inobvumira kusasikirwa kweRPP kana ESR.
The Bottom Line
Iwe unogona kusambofa uchinzwa rheumatologist yako inotaura zvakananga kune yako DAS28 chikamu.
Asi, kunyatso chokwadi, chiremba wako ari kutarisa kubatana kwezvikamu, sedimentation rate, uye CRP zvichienzaniswa kubva kune imwe hofisi kuenda kune imwe inotevera. Usanyara. Kumbira chiremba wako nezveDAS28 yako kana isina kududzwa. Maererano neNational Rheumatoid Arthritis Society, "Chirongwa chinoramba chiripo chakawanikwa kuti chiwedzere mikana yekukurumidza kuwirirana, pamwe nevarwere vanoita sevanoita zvakanaka.Naizvozvo, kunyange zvazvo isiri chiitiko chakakwana chezvirwere, zvinogona kubatsira kubvunza kuti 'Chii changu DAS28?' nguva inotevera unoshanyira dheumatology dhipatimendi. "
Sources:
Dhiyabhorosi Chikamu Chebasa. Rheumatoid Arthritis: Kuziva Kukura Kwekare uye Kuporesa. Kushi, Weinblatt, uye Kavanaugh. Dhidhiro yechitatu. Yakabudiswa na Professional Communications, Inc. (2010).
DAS28 Score. National Rheumatoid Arthritis Society. Yakapedzisira kuongororwa 5/5/2014.