Ritumatoid arthritis ne mai cike da lalacewa, mikiya, mai kumburi, mai yiwuwar kawar da irin cututtuka wanda ke shafar miliyoyin mutanen Amirka miliyan 1.5. Kwayar cutar za a iya haɗuwa da haɗin gwiwa, haɗin gwiwa da haɓaka, rage aikin jiki, da kuma tasiri. Matsayin tsananin ya dogara da mutum amma, ko da kuwa, makasudin shi ne don rage ci gaba da cutar da kuma kawar da rashin lafiya.
Idan aka tabbatar da ganewar asali na maganin arthritis, an tsara tsarin shirin lafiya. Bugu da ƙari, wajen kula da bayyanar cututtuka na cutar, ainihin burin magani shi ne taimaka wa mai haƙuri samun gafara.
Magungunan halittu masu rai , wanda ya fara samuwa a cikin shekarar 1998, ya sa remission wani burin da zai iya samuwa. Yayinda wasu marasa lafiya na wutsiyoyin jini suka iya samun gafara kafin samun kwayoyin halitta, mafi yawan basuyi ba. Magungunan ilimin kwayoyin halitta sun fi niyyar ci gaba a cikin jiki kuma tare da wannan, yiwuwar gyarawa ya zama manufa mafi mahimmanci.
Ci gaba zuwa ilimin halitta ba a layi ba, duk da haka, tare da ma'anar remission da aka kirkiro a 1981 da Cibiyar Rheumatology na Amirka (ACR). Cibiyar Kwalejin Rheumatology ta Amurka ta gane cewa akwai bukatar sabunta bayanin 1981. Ba wai kawai bayanin fassarar da aka sabunta ya ba masu bincike cikakke ka'idodi a gwajin gwagwarmaya ba, yana ba marasa lafiya hankali cewa za'a iya samun gyarawa kuma ya ba su hangen nesa game da lokacin da remission ya auku.
A shekara ta 1981, an nuna cewa an kawar da duk wata cuta. Ma'anar da aka sabunta don gyarewa sun fi dacewa.
Ra'idar Amsaccen Ritumatoid Arthritis Response Definition
Cibiyar Kwalejin Rheumatology da Ƙungiyar Turai ta Rheumatism ta bincika bayanan bincike na asibitoci da kuma mambobin kwamitin binciken kafin su yanke shawara kan wasu ma'anoni guda biyu na farfadowa da maganin wariyar launin fata wadda ke amfani da ita a gwaji.
Definition 1
Don a yi la'akari da gafara, mai shiga tsakani na gwaji zai bukaci:
- Ƙungiyar haɗin gwiwa - kasa da ko daidai da 1
- Ƙungiyar haɗin gushewa - kasa da ko daidai da 1
- Furotin mai C-reactive - kasa da ko daidai da 1 MG / dl
- Binciken gwaji na duniya - kasa da ko daidai da 1 a kan sikelin 0 zuwa 10
CRP ko Furotin mai cin gashin jini shine ƙwayar gina jiki wanda aka haifa a cikin hanta wanda aka daukaka a gaban babban kumburi ko kamuwa da cuta.
Definition 2
Yana amfani da Nassin Ayyuka na Sauƙaƙe, wanda ya haɗa da ka'idodin da aka lissafa a sama da lissafin duniya na likita, ya kara da cewa. A kan sikelin daga 0 zuwa 10, remission ne kasa da ko daidai da 3.3.
Gwajin gwajin gwaji na duniya tana nufin yadda mai haƙuri ke jin cewa suna aiki. Kwararren likita na duniya yana nuna yadda likitan ke jin cewa mai haƙuri yana yin.
Layin Ƙasa
Ma'anonin da aka ambata da aka ambata sune aikace-aikace a gwajin gwaji. Masu bincike zasuyi la'akari idan ma'anar suna da aikace-aikace a cikin aikin likita.
Kwalejin Kayan Kwalejin Rheumatology na Amurka da aka tsara don ƙayyade magungunan asibiti a cikin aikin likita (1981) sun hada da:
- Ƙarfin matsala kasa da ko daidai da mintina 15
- Babu gajiya
- Babu haɗin gwiwa
- Babu haɗin tausayi ko zafi akan motsi
- Babu wani abu mai laushi mai yalwa a cikin gidajen abinci ko ƙuƙwalwa
- Erythrocyte sedimentation rate (gwajin jini wanda yayi la'akari da ƙananan ƙonewa) ba kasa da ko kuma daidai da 30 a mata da 20 a maza
Sources:
Masu bincike na Rheumatoid Masu Arthritis Sakamako Sakamako. Kwalejin Amirka na Rheumatology. Fabrairu 3, 2011.
http://www.rheumatology.org/practice/clinical/classification/ra/ra_remission_2011.asp
Matakan da suka shafi farko don maganin asibiti a cikin Arthritis. Arthritis da Rheumatism. Sanarwar RS et al., Oktoba 1981.