I-arthritis ye-rheumatoid iyinhlangano engapheli, ehamba phambili, evuvukalayo, engase ikhubaza uhlobo lwe-arthritis echaphazela abantu abadala baseMelika abayizigidi ezingu-1.5. Lesi sifo singahlotshaniswa nobuhlungu obuhlangene, ukukhubazeka okuhlangene, ukwehla komzimba, kanye nemiphumela yesistimu. Ubukhulu bokuqina buxhomeke kumuntu kodwa, kungakhathaliseki ukuthi, umgomo ukuphuza ukukhula kwesifo nokuvimbela ukukhubazeka.
Lapho kutholakala ukutholakala kwamathambo e-rheumatoid arthritis, uhlelo lwezokwelapha luyakhiwa ngokushesha. Ukwengeza ekulawuleni izimpawu zesifo, umgomo wokugcina ukwelashwa ukusiza isiguli ukuba sithole ukukhululwa.
Izidakamizwa ze-biologic , ezaqala ukuvela endaweni yesehlakalo ngo-1998, zenza ukuxolelwa okufezekayo. Nakuba iziguli ezithile ze-arthritis ze-rheumatoid zikwazi ukufezekisa ukuxolelwa ngaphambi kokutholakala kwezidakamizwa ze-biologic, iningi lalingakwenzi. Izidakamizwa ze-Biologic zinezinhloso eziphambili kakhulu emzimbeni futhi ngalokho, kungenzeka ukuthi ukuxolelwa kwaba umgomo ongokoqobo.
Ukuthuthukiswa kwezinto eziphilayo kwakungekho emgqeni, noma kunjalo, ngencazelo yokukhululwa okwakhiwe ngo-1981 yi-American College of Rheumatology (ACR). I-American College of Rheumatology yabona isidingo sokubuyekeza incazelo ka-1981. Akuyona nje incazelo ekhishwayo yokuxoxisana enikeza abacwaningi izindinganiso ezicacile ekuvivinyweni komtholampilo, inikeza iziguli umqondo wokuthi ukuxolelwa kufezeka futhi kubanika umbono mayelana nokuthi ukukhululwa kuvelaphi.
Ngo-1981, ukuxolelwa kwachazwa njengokuqedwa kwazo zonke izifo. Izincazelo ezibuyekeziwe zokuxoshwa zicacile.
I-Updated Rheumatoid Arthritis Remission Definition
I-American College of Rheumatology ne-European League Against Rheumatism ihlaziye idatha yecwaningo lomtholampilo kanye namalungu ekomidi ahlolisisiwe ngaphambi kokunquma ngezincazelo ezimbili zokwehliswa kwamathambo e-rheumatoid arthritis okuyinto esebenza ngokuyinhloko ekusetshenzisweni kwezivivinyo zokwelashwa.
Incazelo 1
Ukuze kucatshangelwe ekuxoxweni, umhlanganyeli wezocwaningo lwezokwelapha uzodinga ukuba nalokhu:
- Isibalo sokuhlangana kwamathenda - ngaphansi kwesilinganiso noma esilingana no-1
- Ukuvuvukala isibalo sokujoyina - ngaphansi kokulingana no-1
- Iprotheyini esebenzayo e-C - ngaphansi noma elingana no-1 mg / dl
- Isibalo somhlaba jikelele wokubekezela - esingaphansi noma esilingana no-1 ngesilinganiso esingu-0 kuya ku-10
I-CRP noma i-C-protein esebenzayo iyiprotheni ethile ekhiqizwa esibindi esiphezulu lapho kukhona ukuvuvukala okukhulu noma ukutheleleka.
Incazelo 2
Usebenzisa i-Simplified Disease Activity Index, ehlanganisa izindlela ezibalwe ngenhla kanye nokuhlolwa komdokotela jikelele, okuhlanganisiwe ndawonye. Ngesilinganiso kusuka ku-0 kuya kwezingu-10, ukukhululwa kungaphansi kwezingu-3.3.
Ukuhlolwa komhlaba jikelele okubekezela kubhekisela endleleni isiguli esizizwa ngayo. Udokotela ukuhlolwa komhlaba wonke kubhekisela endleleni udokotela azizwa ngayo isiguli esikwenzayo.
Okubalulekile
Izincazelo ezichazwe ngenhla zinesicelo ekuvivinyweni kwemitholampilo. Abacwaningi kumele bacabangele uma izincazelo zinezinhlelo zokusebenza emtholampilo.
I-American College of Rheumatology izigaba zokunquma ukukhipha imitholampilo emtholampilo (1981) zihlanganisa:
- Ukuqina kokusa kwelanga kusencane noma okulingana namaminithi angu-15
- Akukho ukukhathala
- Ayikho ubuhlungu obuhlangene
- Ayikho ithenda ehambisanayo noma ubuhlungu obuhambayo
- Azikho izicubu ezithambile zokuvuvukala emalungwini noma emathanjeni e-tendon
- Isilinganiso se-sedimentation ye-Erythrocyte (ukuhlolwa kwegazi okulinganisa ukuvuvukala okungafani) okungaphansi kuka-30 kwabesifazane nabesifazane abangu-20
Imithombo:
Abacwaningi be-Arthritis Ye-Rheumatoid Redefine Ukulahlwa. I-American College of Rheumatology. Februwari 3, 2011.
http://www.rheumatology.org/practice/clinical/classification/ra/ra_remission_2011.asp
Imfuneko yokuQala yokuKhulelwa kweMitholampilo ku-Arthritis. I-arthritis ne-Rheumatism. I-Pinals RS ne-al., Okthoba 1981.