Ithimba leSikhumbuzo seMtholampilo lichazwe
Ezilingo zomtholampilo we-arthritis ye-rheumatoid, izinqubo ezijwayelekile zisetshenziselwa ukuqhathanisa ukuphumelela kwemithi ye-arthritis noma ukwelashwa kwamathambo, noma ukuqhathanisa isilingo esisodwa kwenye. I-criteria, eyaziwa ngokuthi i-American College of Rheumatology (ACR), iyisilinganiso esetshenziswe cishe kuzo zonke izici ezishicilelwe ezibukeka ngendlela ephumelelayo (yokwenza) yokwelapha kuzo zonke izinhlobo zezifo zesifo se- rheumatic .
I-ACR20 yayiyiqoqo lokuqala lezinqubo ezisungulwe, lilandelwa kamuva yi-ACR50 ne-ACR70.
Ukusetshenziswa kwe-ACR Criteria
Izindlela ze-ACR zisetshenziselwa ukuhlola nokusungula ukuthuthukiswa kwethenda noma ukubala okubumbene okuhlangene kanye nokuthuthukiswa kwemingcele emihlanu elandelayo:
- Isigaba esiphezulu se-phase reaction: Kungakanani ukuvuvukala kumalungu akho njengoba kunqunywe iprotheyini esebenzayo ka-C noma i-sedimentation rate.
- Ukuhlolwa kwesineke: Ubona kanjani intuthuko yakho nokuphendula kokwelashwa.
- Ukuhlolwa kwabahlengikazi: Okushiwo udokotela wakho ekuthuthukisweni kwakho nasekuphenduleni ukwelashwa.
- Isilinganiso sezinhlungu : Ubuhlungu obuningi obunamalungu akho nsuku zonke.
- Imibuzo yemibuzo yokukhubazeka / esebenzayo: Ingakanani isifo samathambo esiphezulu sakho esiphazamisa ikhono lakho lokwenza imisebenzi yakho yansuku zonke.
Imigomo ye-ACR ingasetshenziswa futhi ukusiza odokotela ukuba banqume ngokuphumelelayo ukuthi izindlela zakho zokwelapha ziyasebenza ukuthuthukisa izimpawu zakho ze-rheumatoid arthritis, nakuba zivame ukusetshenziselwa ukuvivinywa kwemitholampilo.
Ukuqonda Lokho I-ACR20, i-ACR50, ne-ACR70 Khombisa ezivivinyweni zemitholampilo
Izivivinyo zemitholampilo zibika iphesenti yabahlanganyeli abafundelayo abazuze i-ACR20, i-ACR50 ne-ACR70. Isibonelo, uma isifundo sibike ukuthi amaphesenti angama-55 weziguli athole i-ACR20, lokho kusho ukuthi amaphesenti angama-55 weziguli ocwaningweni athole ukuthuthukiswa kwamaphesenti angama-20 kuthenda noma izibalo ezihlanganisiwe ezihlanganisiwe, kanye nokuthuthukiswa kwamaphesenti angama-20 kwezinye izinto ezintathu eziyisihlanu.
Uma ukuhlolwa komtholampilo kubika ukuthi amaphesenti angu-40 weziguli athola i-ACR50, lokho kusho ukuthi amaphesenti angu-40 eziguli esifundweni athole ukuthuthukiswa kwamaphesenti angu-50 kuthenda noma izibalo ezihlanganisiwe, kanye nokuphuthukiswa kwamaphesenti angu-50 kwezigaba ezintathu eziyisihlanu. Okufanayo kusebenza ku-ACR70, kuphela ngezinga lokuthuthukiswa kwamaphesenti angu-70. Ukuze iziguli zihlolwe ngokusebenzisa imidwebo ye-ACR, kumelwe ukuthi ziqedile ukuvivinywa komtholampilo.
I-ACR20 Ingabe i-FDA ivunyelwe
I-US Food and Drug Administration (FDA) yakhuthaza ukusetshenziswa kwe-ACR20 njengomphumela wokuzikhethela wokuhlolwa kwezidakamizwa zezidakamizwa ezisetshenziselwa ukwelapha isifo samathambo. Lokhu kuvunyelwa kwaholela ekusetshenzisweni okubanzi kwe-ACR20 ekuvivinyweni kwemitholampilo. Ngokuvamile kuthiwa yi-ACR20 kuphela ngoba idinga okungenani amaphesenti angama-20 ekuthuthukiseni ngenhla.
Imithombo:
> Felson DT, Anderson JJ, uBoers M, et al. I-American College of Rheumatology Incazelo Yokuqala Yokuthuthukiswa Kwe-Arthritis Ye-Rheumatoid. I-arthritis ne-Rheumatism. 1995; 38: 727-735. i-doi: 10.1002 / ubuciko.1780380602.
> Felson DT, MP. I-ACR20 nokuchaza i-Threshold yempendulo ku-Rheumatic Diseases: Kuningi Okuhle Okuhle. I-Arthritis Research & Therapy . 2014; 16 (1): 101. i-doi: 10.1186 / ar4428.
Isikhungo se-Arthritis sikaJohn Hopkins. Izinkombandlela zokuxilongwa kwe-ACR: I-ACR Incazelo yokuthuthukisa ku-RA Trials. Johns Hopkins Medicine. Kubuyekezwe ngomhla ka-16 Agasti, 2017.
I-Rocha K. ACR Score: Ukulinganisa i-Rheumatoid Arthritis. I-Rheumatoid Arthritis Support Network. Kubuyekezwe ngomhla ka-22 Mashi, 2017.