Rheumatoid arthritis inogara isingagadziriswi, inogadzirisa, inoputira, iyo inogona kuvhara rudzi rweArthritis inobata mamiriyoni 1.5 evanhu vokuAmerica. Chirwere ichi chinogona kusanganiswa nemarwadzo ekubatana, kubatana kwekubatana, kupera kwepanyama, pamwe nehutachiona hwehutano. Kuwedzerwa kwechisimba kunobva kune mumwe munhu asi, zvisinei, chinangwa ndechokudzivirira chirwere chekuwedzera uye kubvisa kuremara.
Kana chirwere cherheumatoid arthritis chikagadzirwa, chirongwa chekurapa chinokurumidza kusimbiswa. Mukuwedzera pakugadzirisa zviratidzo zvechirwere ichi, chinangwa chikuru chekurapa ndechokubatsira murwere kuwana kuregererwa.
Biologic zvinodhaka , izvo zvakatanga kusvika pachiitiko muna 1998, zvakagadzira kuregererwa chinangwa chinogoneka. Kunyange zvazvo imwe chirwere cherumatoid arthritis vakakwanisa kuwana kuregererwa kusati kwavapo kuwanikwa kwezvinodhaka zvebiologic, vakawanda havana. Biologic zvinodhaka zvakange zvichinyanya kufambira mberi mumuviri uye nezvo, kuve kwekuregererwa kwakava chinangwa chechokwadi.
Kufambira mberi kune biologics kwakanga kusiri mumutsara, kunyange zvakadaro, nedudziro yekuregererwa iyo yakasikwa muna 1981 neAmerican College of Rheumatology (ACR). IAmerican College yeRheumatology yakaona chido chekuvandudza tsanangudzo ye1981. Haisi kungoti kuongororwa kutsvaga kutsanangurwa kunopa vatsvakurudzi zvakajeka maitiro mumakiriniki emakiriniki, inopa varimi pfungwa yokuti kuregererwa kunobudirira uye kunovapa maonero ekuregererwa kunoitika.
Muna 1981, kuregererwa kwakatsanangurwa sekuparadzaniswa kwezvirwere zvose. Ive tsanangudzo tsanangudzo yekuregererwa inonyanya kujeka.
Iri Rheumatoid Arthritis Remission Definition
IAmerican College of Rheumatology neEuropean Against Against Rheumatism yakaongorora dhigirii rekuongorora dhigirii uye nhengo dzekomiti dzakaongororwa vasati vasarudza nezvemashoko maviri ekuratidza rheumatoid arthritis iyo inonyanya kushandiswa kushandiswa mumakiriniki epirini.
Tsanangudzo 1
Kuti ionekwe mukuregererwa, muchechi wekuongorora mutachipatara aizoda kuva:
- Tender joint count - pasi kana kuti yakaenzana ne1
- Kupfigira kubatana nhamba - inopfuura kudarika kana yakaenzana na1
- C-reactive protein - inopfuura kana yakaenzana ne 1 mg / dl
- Mwoyo murefu wehuwandu hwekuongorora - husingapfuuri kana kuti wakaenzana na1 pane 0 kusvika ku10
CRP kana C-reactive proteine ipuroteni yakakonzerwa muchiropa ichikwiridzirwa muhupo hwekuvhiringidza kwakanyanya kana utachiona.
Tsanangudzo 2
Rinoshandisa Dambudziko Rinojekesa Work Index, iro rinosanganisira zvinotarisirwa pamusoro apa pamwe nekuongorora kwechiremba pasi rose, yakawedzerwa pamwechete. Pamusana kubva ku3 kusvika ku10, kuregererwa kunopfuura kudarika kana kuenzana ne 3.3.
Mwoyo murefu wehutano hunoreva kuti murwere anonzwa sei vari kuita. Chiremba chiongorori chenyika yose chinoreva kuti chiremba anonzwa sei murwere ari kuita.
The Bottom Line
Izvo zvataurwa zvinotsanangurwa tsanangudzo zvinoshandiswa mune zvirongwa zvemakiriniki. Vatsvakurudzi vanofanira kufungisisa kana tsanangudzo iinewo kushanda mumakiriniki.
IAmerican College yeRheumatology classification criteria yekugadzirisa kliniki yekuregererwa mumakiriniki (1981) inosanganisira:
- Kuoma kwemanheru kudarika kana kuenzana nemaminitsi gumi nemashanu
- Kwete kuneta
- Hapana marwadzo akabatana
- Kwete kuwirirana pamwe kana kurwadziwa pakufamba
- Hapana zvinyoro zvinyoro zvinyoro zvinoputika muzvibatanidza kana tendon sheaths
- Erythrocyte sedimentation rate (kuongororwa kweropa inoshandisa nonspecific kuvimba) kudarika kana kuenzana ne30 muvakadzi uye 20 muvarume
Sources:
Rheumatoid Arthritis Vanotsvakurudza Vanodzikinura Ruregerero. American College of Rheumatology. February 3, 2011.
http://www.rheumatology.org/practice/clinical/classification/ra/ra_remission_2011.asp
Zvirongwa zvepakutanga zveKuremekedzwa Kwechipatara muArthritis. Arthritis uye Rheumatism. Pinals RS et al., October 1981.