Binciken Ƙungiyar Zama da Ƙunƙwasa
Rheumatoid arthritis ne mai cike da kullum, tsarin jiki , cututtukan flammatory . Da gabatarwa, da kuma yanayin cutar, yana da mawuyacin hali a cikin mutum mai haƙuri da tsakanin marasa lafiya daban-daban. Ƙunƙarar cike da ƙarancin jiki sune halaye na rheumatoid arthritis.
Babu gwajin gwadawa ɗaya ko kima wanda ake la'akari da daidaitattun zinariya don kimantawa da kuma kula da yanayin asibiti na marasa lafiya na wutsiya.
Akwai, maimakon haka, ƙididdiga daban-daban da aka yi amfani da ita don kafa matsayi na haƙuri a cikin asibiti da kuma dalilai na bincike, ciki har da ƙididdigar haɗin gwiwa, gwaje-gwajen gwaje-gwajen , nazarin ilimin lissafi , gyaran aikin, matakan duniya, da kuma tambayoyin kai tsaye.
Ƙididdigar hadin kai ana dauke da ƙimar ƙwararrun ƙwararren asibiti da aka yi amfani dasu don tantance yanayin marasa lafiya da cututtukan cututtuka na ƙwayoyin ƙwayar cutar, musamman magungunan wariyar launin fata. Ƙididdigar haɗin gwiwar sune mahimmin ɓangaren cututtukan cututtukan cututtuka (DAS) , Cibiyar Kwalejin Rheumatology na Amirka da ke Cibiyar Nazarin Rheumatology don maganin cututtuka na asibitoci, da kuma ka'idodin tsaftacewar Rheumatology na Amirka.
Hanyar Haɗi tare
Akwai lambobi masu yawa da yawa. Hanyoyin sun bambanta a yawan adon da aka ƙidaya kuma yadda aka zana wani haɗin gwiwa. Ƙididdigar ƙididdigar sun haɗa da Ƙididdigar 66/68, Ritchie Articular Index, The Thompson-Kirwan Index, 44-Swollen Joint Count, da kuma 28-Joint Count.
66/68 Haɗin gwiwa
Ƙungiyar Haɗin Kan 66/68 yana kimanta 66 haɗin gwiwa don kumburi da kuma sassan 68 don jin tausayi da ciwo tare da motsi. Kwararren dan lokaci, sifa, ƙwallon ƙafa, kwakwalwa, yatsun hannu, wuyan hannu, wuyan hannu, kwakwalwa (MCP), kwakwalwa na kusa (PIP), kwakwalwar distal (DIP), hip, gwiwa, idon, tarsus, hakar gwanin kafa (MTP) a cikin wannan haɗin gwiwa.
Za'a iya nazarin alafan linji don kawai tausayi kawai - amma ba saboda kumburi ba.
Ritchie Articular Index
Shafin Ritchie Articular yana nazarin haɗin 52. Kullun, yatsun hannu, wuyan hannu, yatsa, idon, alakincaneal, tarsus, da spine ne kawai aka kiyasta don jin tausayi kawai. Ana tantance kayan aiki na MCP da PIP a kungiyoyi. Haɗin gwiwar hagu da hagu suna kimantawa tare a cikin ɗan gajeren lokaci, adadin asali, da kuma acromioclavicular joints. Wannan fassarar ta ƙunshi fadi: 0 = nontender, 1 = m, 2 = m tare da wincing, 3 = m tare da wincing da janyewa. Zamanin cike zai iya kewayo daga 0 zuwa 78.
Shafin Thompson-Kirwan
Dubban Thompson-Kirwan yana kimanta tausayi da kumburi a cikin ɗakuna 38. Gidajen suna da nauyi bisa ga yanki. Zamanin cike na iya kewayo daga 0-534. Kwanci yana da nauyi fiye da sauran kayan aiki. An shigar da PIP, MCP, Wurin MTP, alƙalai, wuyan hannu, da idãnun kafa a cikin wannan alamar.
44-Combined Joint Count
Hidimar Sadarwar Harkokin Giraguwa 44 tana cikin ɓangare na DAS na ainihi (Cutar Ayyukan Cututtuka). Ƙaramar ƙwararru, acromioclavicular, kafada, kafa hannu, wuyan hannu, MCP, PIP, gwiwa, idon, da kuma na MTP sun haɗa a cikin wannan haɗin gwiwa.
28-Ƙungiyar Saduwa
Labaran Sadarwar 28 ne na DAS28. Kwangiyoyi, yatsun hannu, wuyan hannu, MCP, PIP, da gwiwoyi sun haɗa a cikin Ƙidodi na 28.
An cire jigon ƙafafu.
Layin Ƙasa
Duk da yake Ritchie Articular Index yana amfani da tsarin tsarawa domin zane-zane kuma Thompson-Kirwan yayi amfani da tsarin ma'auni na ma'auni, sauran ƙididdigar hadin gwiwa guda uku da aka bayyana a sama sun ƙidaya mahaɗin mahaukaci ba tare da yin la'akari da ƙananan kumburi ko tausayi ba.
Duk da amfani da haɗin gwiwa a cikin gwaji na asibitoci ba a jayayya ba, a cikin aikin likita na yau da kullum ana tambayar wasu muhimmancin haɗin gwiwa, yawancin saboda ƙananan da kuma wahalar yin lissafin. Kwalejin Kwalejin Rheumatology na Amirka (ACR) ya haɗa da haɗin gwiwa a cikin shawarwarin su don kula da asibiti, duk da haka.
Shafin 28 na Ƙungiyar Ƙungiyar ta ƙunshi ɗakunan da aka fi shafa, kuma sakamakonsa ya dace sosai tare da Ƙungiyar Sadarwar 66/68. Saboda sauki da aminci, an ƙidaya 28-Joint Count a matsayin hanyar ƙididdigar haɗin gwiwa.
> Sources:
> Nazarin hadin gwiwa a Rheumatoid Arthritis. DL Scott da DA Houssien. Labarin Jarida ta Birtaniya 1996; 35 (ƙarin 2): 14-18.
> Haɗin gwiwa. Ozlem Pala, MD da L. Frank Cavaliere, MD Babi na 7.
> Shawarar Haɗi a Harkokin Kasuwanci. Oxford Journals. Rheumatology. DL Scott et al. 2003; 42 (8).