I-DAS28, inguqulo eguquliwe ye-DAS yasekuqaleni, isilinganiso esilinganisweni somsebenzi wesifo esetshenziselwa ukuqapha ukwelashwa kwesifo samathambo . I-DAS28, echaza "amaphuzu omsebenzi wesifo," ibalwa ngokusebenzisa ifomula ehlanganisa inani lamalungu amathenda namajoyino avuvukile (amajoyina angu-28 angaphezulu). I-DAS28 ayilona kuphela ewusizo ekuhloleni iziguli emisebenzini yomtholampilo, kodwa nasekuhlolweni kwezempilo.
Kukhona izinguqulo eziningana ze-DAS, kodwa zonke zilinganisa umthwalo wesifo usebenzisa isifo somhlaba jikelele wesiguli (ukuhlolwa komuntu ngesiguli), ukubalwa kwethenda kanye nokubala okubumbene (kuze kufike ku-28), ne- ESR (isilinganiso se-sedimentation ye-erythrocyte ) noma i- CRP (C- amaprotheni asebenzayo) . I-DAS ingabalwa ngokusebenzisa uhlelo oluthile noma wokubala. Uma une-iPhone noma enye i-smartphone kunezinhlelo zokusebenza ze-DAS ezitholakalayo.
Umlando we-DAS
Ukuqala kwe-DAS kubhekwa cishe ngo-1983. I-DAS yangempela yayihlanganisa inkomba ye-Ritchie articular, isibalo se-44 esivimbayo, isibalo se-ESR (isilinganiso se-erythrocyte sedimentation) kanye nokuhlolwa kwezempilo jikelele kwi-analog scale ebonakalayo.
Ukusebenzisa ku-Practice Practice
Izinqumo mayelana nokwelashwa zingase zisekelwe kumanani wamanje we-DAS28 noma ekushintsheni kwamanani we-DAS28 uma kuqhathaniswa namanani ngaphambi kokuqala ukwelashwa. Izindalo zomsebenzi eziphezulu ze-DAS28 nezifo eziphansi seziqinisekisiwe. Kukhona ubuhlobo obucacile obucacile phakathi kwe-DAS enamandla phakathi nesikhathi esithile kanye nenani lokulimala kwe-x-ray lapho isiguli siqala phakathi naleso sikhathi.
Ukulinganisa kwe-DAS28
Emva kokubala okuyinkimbinkimbi kwenziwe:
DAS28> 5.1 = umsebenzi wesifo esiphakeme
DAS28 <3.2 = umsebenzi wesifo esiphansi
I-DAS28 <2.6 = ukuxolelwa
Ezinye izinguqulo ze-DAS28 ezivumela i-CRP ukuthi isetshenziswe esikhundleni se-ESR noma evumela ukushiywa kwe-CRP noma i-ESR.
Okubalulekile
Ngeke uzwe ukuthi i-rheumatologist yakho ibhekisela ngqo kumaphuzu wakho we-DAS28.
Kodwa, ngokuqinisekile, udokotela wakho uyakunaka izibalo ezihlangene, isilinganiso se-sedimentation, ne-CRP ngokuhambelana nokuvakasha kwehhovisi elilodwa kuya kwesilandelayo. Ungabi namahloni. Buza udokotela wakho mayelana ne-DAS28 yakho uma kungakhulunywa ngaye. Ngokusho kweNational Rheumatoid Arthritis Society, "Ukutholakala kwamaphuzu aphezulu okutholile kutholakale ukwandisa amathuba okulimala okuhlanganyelwe, ngisho nasezigulini ezibonakala ziqhuba kahle. Ngakho-ke, nakuba kungenalo isilinganiso esiphelele somsebenzi wesifo, kungase kube usizo ukubuza ukuthi 'Iyini i-DAS28 yami?' Ngokuzayo uzovakashela umnyango we-rheumatology. "
Imithombo:
Isigaba somsebenzi wezifo. I-Arthritis Ye-Rheumatoid: Ukuxilongwa Kwangaphambili Nokunakekelwa. I-Kushi, i-Weinblatt ne-Kavanaugh. Uhlelo lwesithathu. Ishicilelwe ngu-Professional Communications, Inc. (2010).
I-Score ye-DAS28. I-National Rheumatoid Arthritis Society. Kugcine ukubuyekezwa ngomhla ka 5/5/2014.