Kuchengetedza Nhamba YeZviputi Zvinyoro uye Zvakanaka
Rheumatoid arthritis chirwere chisingagumi, systemic , chinopisa . Mharidzo yaro, pamwe chete nedzimwe chirwere chacho, inowirirana mukati memumwe murwere uye pakati pevarwere vakasiyana. Kudzora uye zvinyoro zvinyoro zvinoratidza hutachiona hwehutachiona hwehutu.
Hapana kuedza kwakawanda kana kuongororwa kunofanirwa kutaridzika yegoridhe yekutarisa uye kuongororwa kwehutachiona hwehutanoid arthritis varwere.
Pane, pane kudaro, kuongororwa kwakasiyana-siyana kunoshandiswa kugadzirisa mamiriro ehutano mumararamiro emakiriniki uye nekutsvakurudza zvinangwa, kusanganisira zviyero zvekubatana, kuongororwa kwebhishopi, zvidzidzo zvekufungidzira , kuongororwa kwebasa, zviyero zvepasi rose, uye mhinduro dzemwoyo murefu dzemibvunzo.
Nhengo dzakawanda dzinofungidzirwa kuti ndiyo inonyanya kuongororwa yakagadziriswa inoshandiswa kuongororwa nehutano hwevarwere vane huputi hwemhando dzeArthritis, kunyanya rheumatoid arthritis. Mapoka anoverengeka anovewo chikamu chinokosha cheDaase Action Scores (DAS) , American College yeRheumatology Core Data Yakagadzirirwa rheumatoid arthritis clinical trials, uye American College of Rheumatology remission criteria .
Maitiro Akabatana Akabatana
Iko kune maverengero akabatanidzwa akabatanidzwa. Nzira idzi dzinowirirana muhuwandu hwezvibatanidzwa izvo zvinoverengerwa uye kuti imwe sangano yakatorwa sei. Joint count nzira dzinosanganisira 66/68 Joint Count, The Ritchie Articular Index, The Thompson-Kirwan Index, 44-Yakashandura Joint Count, uye 28-Inowanhatu Count.
66/68 Joint Count
Vadzidzi 66/68 Verengai kuongorora nhengo 66 dzekudzivirira uye majoyini 68 nokuda kwehurombo uye kurwadziwa nekufamba. The temporomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, wrist, metacarpophalangeal (MCP), prophaimal interphalangeal (PIP), distal interphalangeal (DIP), hip, mabhesi, chiuno, tarsus, metatarsophalangeal (MTP), uye interphalangeal yemakumbo zvinosanganiswa iri mubato iri.
Nhengo dzejasi dzinogona kuongororwa nokuda kwenyoro chete - asi kwete kwekudzimba.
Ritchie Articular Index
Ritchie Articular Index inoratidzira nhengo 52. Ipafudzi, bhokwe, chiuno, chiuno, chidzitiro, chechidiki, tars, uye mhondi yepervical inoongororwa kuitira unyoro chete. Nhengo dze MCP nePIP dzinoongororwa mumapoka. Majofu akarurama uye ari kuruboshwe anongororwa pamwe chete mu temporomandibular, sternoclavicular, uye acromioclavicular joints. Iri rondedzero rinosanganisira kuisa: 0 = nontender, 1 = tender, 2 = tender with wincing, 3 = tender with wincing and withdrawal. Nhamba yacho yose inogona kubva kubva 0 kusvika 78.
The Thompson-Kirwan Index
I Thompson-Kirwan Index inoratidzira unyoro uye kuzvirumbidza mumasangano 38. Masangano acho anorema maererano nepamusoro penzvimbo yavo. Nhamba yacho yose inogona kubva kubva ku 0-534. Mabvi akareruka kupfuura mamwe masangano. IPIP, MCP, masangano eMTP, makumbo, maziso, uye maziso emakumbo zvinowanikwa mune ino index.
44-Dzora Joint Count
A 44-Yakashandura Joint Count chikamu cheDAS chaiyo (Disease Activity Score). The sternoclavicular, acromioclavicular, shoulder, elbow, wrist, MCP, PIP, mabvi, zvigunwe, uye mazita aMATP anowanikwa mune izvi zvakabatanidzwa.
28-Joint Count
Nhamba ye 28-Joint Count chikamu cheDAS28. Mafudzi, makumbo, maziso, MCP, PIP, nemabvi anowanikwa muMakumi maviri nemakumi mana anoverengeka.
Zvigunwe zvetsoka hazvina kubviswa.
The Bottom Line
Kunyange zvazvo Ritchie Articular Index inoshandisa kadhi yekodhi yekuongorora uye Thompson-Kirwan anoshandisa zvikwereti zvinorema zvigadziriro, mamwe matatu matatu akabatanidzwa akafananurwa pamusoro apa anoverenga maitiro asina kukwana asingatauri kuoma kwekudzimba kana unyoro.
Kunyange zvazvo ruzivo rwekubatana kwezvikwata mumakiriniki emakiriniki hakupikiswi, muchiito chekuchirapa chiitiko chinorehwa kukosha kwezvibatanidzwa zvakabvunzwa nevamwe, zvikurukuru nekuda kwekuoma nekuoma kwekuita zviyero. IAmerican College yeRheumatology (ACR) inosanganisira zvikamu zvakabatanidzwa mukurumbidzwa kwavo kwekuchengetwa kwekliniki, zvisinei.
Nhamba ye 28-Inowirirana inosanganisira zvikamu zvinowanzobatwa, uye zvigumisiro zvayo zvinoratirana zvakanaka ne 66/68 Joint Count. Pamusana pekusarura kwayo uye kuvimbika, iyo 28-Joint Count inofungidzirwa sarudzo inosarudzwa yenhamba.
> Sources:
> Joint Assessment muRheumatoid Arthritis. DL Scott uye DA Houssien. British Medical Journal 1996; 35 (kuwedzera 2): 14-18.
> Joint Counts. Ozlem Pala, MD naL. Frank Cavaliere, MD Chitsauko 7.
> Joint Counts muRoutine Practice. Oxford Journals. Rheumatology. DL Scott et al. 2003; 42 (8).