Kusarudza Dambudziko rekuwedzera kuRheumatoid Arthritis
Kunyange zvazvo kune marudzi akawanda eArthritis , varwere havawanzobatanidzi mune imwe yezvidzidzo zvakanyatsozivikanwa uye zvakanyatsozivikaniswa nezvirwere zverheumatic. Murefu angave ari mumatanho ekutanga ekuputika arthritis , asi muenzaniso wezviratidzo hahuenderani nemhando yakasiyana yeArthritis. Panove pane zviratidzo zvinoputika zvinokwana zvinopfuura rimwe rheumatic chirwere.
Apo murwere ane zviratidzo zvinowirirana nekuputika arthritis asi kwete rudzi rwuripo, ivo vanorondedzerwa sevane unfferentiated arthritis. Iyi inzira yekureva kuti hapana kugadzirisa zvirwere zvinogona kuitika.
Sei Kufanotaura Nzira yeUndifferentiated Arthritis Ndeyekukosha
Inofungidzirwa kuti 40-50% yevarwere vane hutachiona husina hutachiwana vanopedzisira varegererwa . Inenge 30% yevanhu vane arthritis isina kufanirwa inovaka rheumatoid arthritis , asi vamwe vose vanovandudza mamwe mamiriro. Sezvo chinangwa chekurapa kune varwere vane rheumatoid arthritis ndechekugadzirisa kufambira mberi kwechirwere, zvinobatsira kuedza kufanotaura kuti ndeapi varwere vane chirwere chisina kufanira chinonzi arthritis vanogona kuwedzera rheumatoid arthritis.
Muna 2008, chirevo chekufanotaura chakagadzirwa muEurope uye chakabudiswa mumagazini, Arthritis & Rheumatism . Nekufungidzirwa kwakapiwa kumurwere wezera, hutano, nhamba yezvibatanidzi zvakakanganiswa, nguva yehutu hwemangwanani , CRP , rheumatoid factor , uye anti-CCP , dambudziko rekuwedzera rheumatoid arthritis rainyanya kuzivikanwa kune varwere vane hutachiona husingafadzi.
Muna 2010, American College of Rheumatology yakabatana neEuropean Against Against Rheumatism kuti iongorore mirayiridzo inoshandiswa kuongorora rheumatoid arthritis. Aya maitiro akavandudzwa akatarirwa pamatanho ekutanga echirwere panzvimbo pekupedzisira-zvikamu zvehutano zvaive zvakagadzikana nehupenyu hunoramba huripo kana hutachiona hutachiona.
Maererano nemitemo yakadzokororwa, tsanangudzo yehutachiona yeArthritis inotarisana nehunovapo huripo hwe synovitis mune imwe sangano, kusabatwa kweumwe kuongorora kunoenderana nekutsanangura synovitis, uye kubudirira kwepurogiramu yakazara ye 6 kana kupfuura (kunze kwe10) kubva mumwe munhu anowanikwa mune zvinotevera 4 maongorori: nhamba uye nzvimbo yezvibatanidza zvakagadziriswa (mapeji akaenzana 0-5), serologic chisingaoneki (rheumatoid factor kana anti-CCP; mapeji akaenzana 0-3), kukwirira kwechikamu chechikamu (CRP kana sedimentation rate ; pota mapeji 0-1), uye nguva yezviratidzo (mazinga maviri;
Kunyange zvazvo ruzivo rwehuwandu (kureva,, x-ray kana MRI), kunyanya kwekugadzirisa kwemaoko nemakumbo, inogona kupa humwe ruzivo kune chiongorori, iyo inopedza nguva uye isingabatsiri sechinhu chekuongorora kufananidza dambudziko rekukura rheumatoid arthritis muvarwere vane unferentiated arthritis.
Kufambira mberi kwerheumatoid arthritis kwakafanana nevarwere vanotanga kuonekwa kuti vane chirwere chisingaverengeki asi vanoramba vachiwedzera rheumatoid arthritis nevaya vanoonekwa kuti vane rheumatoid arthritis pakutanga. Kuteerera kurapwa nehutano -kuchinja zvinorwisa-rheumatic zvinodhaka kana mishonga yebiologic muvarwere vane chirwere chisina kufanirwa chirwere chinogona kushandisa kurapa kusina kukodzera kwevarwere vanozoenderera mberi kuti vawane kuregererwa kwemazvirokwazvo, asi kurapwa kwekutanga kunopa mukana wakanakisisa mukudzivirira zvirwere zvishoma, kuremara, uye kupera kwehutano hwehupenyu pakati pevaya vari pangozi yekuve nekurwara kwehutuku hwemafu.
Ndicho chikonzero kufanidzira dambudziko kunobatsira kusarudza varwere vangangodaro havafaniri kunonoka kurapwa.
Kurapa Kunofanira Kuderedzwa Here?
Pane zvidzidzo zviduku zvakaratidza kushandiswa kwezvirwere-kuchinja zvinorwisa-rheumatic mishonga kana biologics kudzivirira kuenderera mberi kwehutachiona husingafadzi kune rheumatoid arthritis. Kunyange zvazvo zviitiko zvinoratidza kuti methotrexate naOrencia (abatacept) vakadzivisa kufambira mberi kune rheumatoid arthritis yakaenzaniswa ne placebo, Remicade haina. Dzidzo dzakakura dzinodiwa.
Sources
2010 Rheumatoid Arthritis Classification Criteria: An American College yeRheumatology / European League Against Rheumatism Collaborative Initiative. Aletaha, Daniel et al. Arthritis & Rheumatism. August 10, 2010.
Kuchengetedza Kubudirira Kubva kuUndifferentiated Arthritis kuRheumatoid Arthritis: The Clinical and Economic Implications. Michael H. Schiff, MD. The American Journal of Managed Care. November 19, 2010.
Kuzadzikiswa Kwekufanotaura Mutemo weZirwere Zvirwere Muvarwere Nekukurumidza-Onset Undifferentiated Arthritis. Arthritis & Rheumatism. van der Helm-van Mil, AHM, et al. Bhuku 58, Nyaya 8. August, 2008.