Matenda a nyamakazi ndi matenda aakulu, omwe amachititsa kuti anthu azidwala matenda a nyamakazi. Matendawa akhoza kugwirizanitsidwa ndi ululu wamagulu, kuwonongeka kwa mgwirizano, kuchepa kwa thupi, komanso zotsatira zake. Mlingo wa kuuma umadalira munthu payekha koma, mosasamala kanthu, cholinga chake ndi kuchepetsa matenda kupita patsogolo ndikuchotsa kulemala.
Ngati matenda a nyamakazi akuyambitsidwa, dongosolo la mankhwala limayambitsidwa. Kuwonjezera pa kuyang'anira zizindikiro za matendawa, cholinga chachikulu cha chithandizo ndi kuthandiza wodwala kuti athandizidwe.
Mankhwala osokoneza bongo , omwe adayamba kuchitika mu 1998, anapanga chikhululukiro chotheka. Ngakhale odwala nyamakazi odwala matenda a nyamakazi adatha kukwanitsa kubwezeredwa mankhwala asanakhalepo, mankhwala ambiri sanathe. Mankhwala a biologic anali ndi zolinga zapamwamba kwambiri mu thupi ndipo ndizo, kuthekera kwa kuchotsedwa kunakhala cholinga chenichenicho.
Kupita patsogolo kwa biologics sikunali pamzere, komabe, ndi tanthauzo la chikhululukiro chomwe chinakhazikitsidwa mu 1981 ndi American College of Rheumatology (ACR). Bungwe la American College of Rheumatology linadziŵa kuti pakufunika kusinthira tanthauzo la 1981. Zosintha zowonjezera zowonjezera zimapereka ochita kafukufuku momveka bwino m'mayesero a chipatala, zimapereka odwala lingaliro lakuti kukhululukidwa kumatheka ndipo kumawawunikira momwe angakhululukidwe.
Mu 1981, kukhululukidwa kunatanthauzidwa ngati kuchotseratu matenda onse. Mafotokozedwe atsopano omwe amamasulidwa kuti akhululukidwe ndi ofunika kwambiri.
Chidziwitso Chotsitsimutsa Chifuwa Chakumidzi
Bungwe la American College of Rheumatology ndi European League Against Rheumatism linasanthula chidziwitso cha mayesero a kachipatala ndi a komiti omwe anafukulidwa asanaganize za ziganizo ziwiri za kukhululukidwa kwa nyamakazi ya nyamakazi yomwe imagwiritsidwa ntchito kwambiri muzitsulo zamankhwala.
Tanthauzo 1
Kuti muwone ngati mukukhululukidwa, otsogolera omwe akuyesera kuti akhale nawo:
- Chiwerengero cha mgulu - zosakwana kapena zofanana ndi 1
- Kutupa kuwerengera pamodzi - kosakwana kapena kofanana ndi 1
- Mapuloteni a C- ochepa - osachepera kapena ofanana ndi 1 mg / dl
- Chiwerengero cha odwala padziko lonse - osakwana kapena ofanana ndi 1 pa 0 mpaka 10 scale
Puloteni ya CRP kapena C-yogwira ntchito ndi mapuloteni enieni omwe amapangidwa pachiwindi chomwe chili pamwamba pa kutupa kwakukulu kapena matenda.
Tanthauzo 2
Amagwiritsa Ntchito Matenda Osavuta Ntchito Index, zomwe zikuphatikizapo ndondomeko zomwe zili pamwambapa kuphatikizapo kufufuza kwa dokotala, kuphatikiza pamodzi. Pa mlingo kuchokera pa 0 mpaka 10, chikhululukiro chachepera kapena chikufanana ndi 3.3.
Kuyezetsa magazi padziko lonse kumatanthauza momwe wodwala akumverera kuti akuchita. Kafukufuku wapadziko lonse amasonyeza momwe dokotala amamvera wodwalayo akuchita.
Mfundo Yofunika Kwambiri
Mafotokozedwe atsopanowa asinthidwa ali ndi ntchito mu mayesero a zamagetsi. Ofufuza ayenera kuganizira ngati tanthawuzoli likugwiritsanso ntchito muzochita zamakono.
Bungwe la American College of Rheumatology (classification criteria) lokhazikitsa chidziwitso cha kuchipatala mu chipatala (1981) ndi:
- Kuuma kwa mmawa kuposera kapena kofanana ndi mphindi 15
- Palibe kutopa
- Palibe kupweteka kwina
- Palibe chikondi chokhalira pamodzi kapena kupweteka koyenda
- Palibe minofu yofewa yotupa m'magulu kapena m'mimba
- Mlingo wa Erythrocyte sedimentation (kuyesa magazi komwe kumayambitsa kutentha kwambiri) osakwana kapena wofanana ndi 30 mwa akazi ndi 20 mwa amuna
Zotsatira:
Odwala Matenda a Matenda a Khunyu Amafufuzanso Okhululukidwa. American College of Rheumatology. February 3, 2011.
http://www.rheumatology.org/practice/clinical/classification/ra/ra_remission_2011.asp
Zolinga Zoyamba za Chikhululukiro cha Mchipatala mu Arthritis. Arthritis ndi Rheumatism. Mipukutu RS et al., October 1981.