Ukulandelela Inombolo Yezingxube Ezivulekile Nezintandokazi
I-arthritis ye-rheumatoid isifo esingapheli, sesistimu , esibhubhisayo . Isethulo saso, kanye nesigaba sesifo, siyashintsha ngaphakathi kwesiguli ngasinye futhi phakathi kweziguli ezahlukene. Amalunga e-swollen and tender awuphawu lwe-arthritis esebenzayo yesifo sofuba.
Akukho ukuhlolwa okulinganayo noma ukuhlolwa okubhekwa njengesilinganiso segolide sokuhlola nokuqapha isimo semitholampilo yeziguli zesifo samathambo e-rheumatoid arthritis.
Kunalokho, ukuhlolwa okuhlukahlukene okusetshenziselwa ukusungula isimo sesineke esimisweni somtholampilo nangenhloso yokucwaninga, kubandakanya izibalo ezihlangene, izivivinyo zelabhoratri , ukuhlola izithombe , ukuhlolwa okusebenzayo, izinyathelo zomhlaba wonke, kanye nemibuzo yokuziphendulela ngesineke.
Izibalo ezihlangene zibhekwa njengesilinganiso esincane kakhulu semitholampilo esetshenziselwa ukuhlola isimo seziguli ezinezinhlungu zokugula izifo, ikakhulukazi i-arthritis ye-rheumatoid. Ama-counts counts futhi ayingxenye ebalulekile yezifo zemisebenzi yezifo (i-DAS) , i-American College of Rheumatology Core Data Isekelwe ukuhlolwa kwamathambo e-rheumatoid arthritis, kanye ne-American College of Rheumatology.
Izindlela Zokubala Ezihlangene
Kunezinombolo ezimbalwa ezihlangene. Izindlela ziyahlukahluka kwinani lamajoyina abalwa nokuthi kanjani ukuhlanganiswa okuqondile okutholakele. Izindlela zokuhlangana ezihlangene zifaka hlangana i-66/68 Count Joint Count, i-Ritchie Articular Index, i-The Thompson-Kirwan Index, i-44-Swollen Joint Count, ne-28 Joint Count.
66/68 Ukubalwa Okuhlangene
I-66/68 Ukubala Okuhlangene kuhlola amalunga angama-66 wokuvuvukala namajoyina angu-68 ukuze abe nobubele nobuhlungu ngokuhamba. I-temporomandibular, i-sternoclavicular, i-acromioclavicular, ihlombe, i-elbow, i-metacarpophalangeal (MCP), i-interphalangeal ehamba phambili (PIP), i-distal interphalangeal (DIP), i-hip, i-knee, i-ankle, i-tarsus, i-metatarsophalangeal (MTP), kanye ne-interphalangeal ezinyaweni kufakiwe kule count count.
Amajoyina ama-hi angalinganiswa ngethenda kuphela - kodwa hhayi ukuvuvukala.
I-Ritchie Articular Index
I-Ritchie Articular Index ihlola amalunga angu-52. Ihlombe, i-elbow, i-wrist, i-hip, i-ankle, i-talocalcaneal, i-tarsus, nomgogodla womlomo wesibeletho zihlolwe ngethenda kuphela. Amalunga e-MCP ne-PIP ahlolwa ngamaqembu. Amajoyini angakwesokudla nangakwesokunxele ahlolisiswa ndawonye ngezikhathi ze-temporomandibular, sternoclavicular, nama-acromioclavicular. Lolu hlu lubandakanya ukufaka: 0 = nontender, 1 = ithenda, 2 = ithenda nge-wincing, 3 = ithenda nge-wincing nokuhoxiswa. Amaphuzu aphelele angaba kusuka ku-0 kuya ku-78.
I-Thompson-Kirwan Index
I-Thompson Thompson-Kirwan Index ihlola ububele nokuvuvukala emajoyini angu-38. Amalunga afakwa ngokwemvelo. Amaphuzu aphelele angaba kusuka ku-0-534. Ibhande lilinganiselwe ngaphezu kwamanye amalunga. Amalunga, i-PIP, i-MCP, i-MTP, ama-elbow, ama-wrists, nama-ankles afakiwe kulolu hlu.
44-Ukubala Okuhlangene Okuxubile
I-44-Swollen Joint count iyingxenye ye-DAS yasekuqaleni (Isigaba somsebenzi wezifo). I-sternoclavicular, acromioclavicular, shoulder, elbow, i-wrist, i-MCP, i-PIP, i-knee, i-ankle, ne-MTP amajoyina afakiwe kule namba ehlangene.
Ukubalwa okuhlangene okungu-28
I-28-Joint Count iyingxenye ye-DAS28. Amahlombe, ama-elbows, ama-wrists, i-MCP, i-PIP namadolo afakwe ku-28-Joint Count.
Amalungu ezinyawo ayengeniswa.
Okubalulekile
Ngenkathi i-Ritchie Articular Index isebenzisa uhlelo lokufaka ama-score and Thompson-Kirwan isebenzisa uhlelo lokulinganisa okulinganiselwe, ezinye izibalo ezintathu ezihlanganisiwe ezichazwe ngenhla zibala amalunga angavamile ngaphandle kokufaka ubukhulu bokuvuvukala noma ukuthenda.
Nakuba usizo lwezinto ezihlangene ezivivinyweni zomtholampilo aluphikisana, ngokujwayelekile umkhuba wokwelapha ukubaluleka kokubalwa okuhlanganyelwe kubuzwa abanye, ikakhulukazi ngenxa yinkimbinkimbi kanye nobunzima bokuqhuba izibalo. I-American College of Rheumatology (ACR) ihlanganisa izibalo ezihlangene ezincomo zabo zokunakekelwa kwemitholampilo, noma kunjalo.
I-28-Joint Count ihlanganisa amalunga avame kakhulu, futhi imiphumela yayo ihambisana kahle ne-66/68 Count Joint. Ngenxa yokulula nokuthembeka kwayo, i-28-Joint Count ibhekwa njengendlela yokubamba iqhaza ekhethiwe.
> Imithombo:
> Ukuhlanganiswa okuhlangene ku-Rheumatoid Arthritis. UDL Scott noDes Houssien. I-British Medical Journal 1996; 35 (ukwengezela 2): 14-18.
> Ama-Joint Counts. Ozlem Pala, MD noL. Frank Cavaliere, MD Isahluko 7.
> Ukubambisana Okuhlangene Ngokuzijwayeza Ngokuvamile. Imibiko ye-Oxford. I-rheumatology. DL Scott et al. 2003; 42 (8).