DAS28, tsamba lomasulidwa la DAS yapachiyambi, ndiyeso yochuluka ya matenda omwe amagwiritsidwa ntchito poyang'anira chithandizo cha nyamakazi ya nyamakazi . DAS28, yomwe imatanthauza "chiwerengero cha matenda," ikuwerengedwa pogwiritsira ntchito ndondomeko yomwe imaphatikizapo chiwerengero cha ziwalo zachifundo ndi ziwalo zotupa (ziwalo 28 zoposa). DAS28 sizothandiza kokha poyesa odwala kuchipatala, koma ku mayesero a zachipatala.
Pali ziwerengero zambiri za DAS, koma onse amayesa matenda olemetsa pogwiritsa ntchito thanzi labwino la padziko lonse (kudzipenda mozama kwa odwala), chiwerengero cha chiwerewere ndi zovunda (mpaka 28), ndi mlingo wa ESR (mlingo wa erythrocyte ) kapena CRP (C- puloteni yogwira ntchito) . DAS ikhoza kuwerengedwera pogwiritsira ntchito pulojekiti yeniyeni kapena chowerengera. Ngati muli ndi iPhone kapena foni yamakono pali mapulogalamu a DAS omwe alipo.
Mbiri ya DAS
Chiyambi cha DAS chimawerengedwa chakumapeto kwa 1983. DAS oyambirira ankaphatikizapo chiwerengero cha Ritchie articular index, chiwerengero cha kutupa 44, ESR (erythrocyte sedimentation rate) ndi kafukufuku wathanzi pa analog scale.
Kugwiritsa ntchito muzochita zamakono
Zosankha zokhudzana ndi chithandizo zingakhale zozikidwa pazinthu zamakono zomwe zilipo DAS28 kapena kusintha kwa ma DAS28 poyerekeza ndi zikhalidwe zisanayambe mankhwala. DAS28 High and Low Pervical Influence (PAS) ndizovomerezeka. Palinso mgwirizano womveka bwino pakati pa DAS yeniyeni panthawi ina komanso kuchuluka kwa x-ray kuwonongeka komwe wodwala akukula mkati mwa nthawiyo.
Kulemba kwa DAS28
Pambuyo pa kuwerengetsa kovuta kunapangidwa:
DAS28> 5.1 = ntchito yapamwamba ya matenda
DAS28 <3.2 = ntchito yochepa ya matenda
DAS28 <2.6 = chikhululukiro
Mabaibulo ena a DAS28 omwe amalola CRP kugwiritsidwa ntchito mmalo mwa ESR kapena omwe amalola kuperewera kwa CRP kapena ESR.
Mfundo Yofunika Kwambiri
Mwinamwake simungamvepo kachirombo ka rheumatologist yanu imatchula mwachindunji ku mapiritsi anu a DAS28.
Koma, motsimikizika, dokotala wanu akuyang'anitsitsa ziwerengero, mgwirizano wa chitetezo, ndi CRP poyerekeza ndi ofesi yotsatira. Musakhale wamanyazi. Funsani dokotala wanu za DAS28 ngati sanatchulidwe. Malinga ndi bungwe la National Rheumatoid Arthritis Society, "Apeza masewera apamwamba akupezeka kuti apitirize kuwonongeka pamodzi, ngakhale odwala amene akuwoneka kuti akuchita bwino. Choncho, ngakhale kuti sizowonongeka bwino, zingakhale zothandiza kuti ndifunse 'Kodi DAS28 yanga ndi yani?' Nthawi ina mukadzayendera dipatimenti ya rheumatology. "
Zotsatira:
Matenda a Ntchito Zolimbana ndi Matenda. Matenda a Nyamakazi: Matenda Oyambirira ndi Chithandizo. Kushi, Weinblatt, ndi Kavanaugh. Kusintha kwachitatu. Lofalitsidwa ndi Professional Communications, Inc. (2010).
DAS28 Score. National Rheumatoid Arthritis Society. Yatsitsiridwa komaliza 5/5/2014.