Mawu Otsindika Amagulu Achipatala Akufotokozedwa
M'mayesero a kachipatala ka nyamakazi ya nyamakazi, zizindikiro zoyenera zimagwiritsidwa ntchito poyerekeza momwe mankhwala a nyamakazi amawathandizira, kapena kuyerekeza mayesero amodzi. Njira yotchedwa American College of Rheumatology (ACR) ndiyoyeso yomwe imagwiritsidwa ntchito pafupipafupi zonse zomwe zimafalitsidwa zomwe zikuyang'ana njira yothandizira (mankhwala) othandizira matenda osiyanasiyana .
ACR20 inali yoyamba ya zoyenera kukhazikitsidwa, yotsatira kenako ndi ACR50 ndi ACR70.
Kugwiritsa Ntchito Mfundo Zachilengedwe
Njira za ACR zimagwiritsidwa ntchito poyesa ndi kukhazikitsa kusintha kwa chiwerengero cha malonda kapena kutupa pamodzi ndi kusintha kwa magawo atatu otsatirawa:
- Pachimake gawo loyambira: Kodi ndi zotupa zotani zomwe zili m'magulu anu monga momwe zinakhazikitsidwa ndi mapuloteni a C-othandizira kapena mlingo wa sedimentation.
- Kuleza mtima: Momwe mukuwonera kuti mukupita patsogolo ndi yankho la mankhwala.
- Kufufuza kwa dokotala : Zimene dokotala wanu akuziwona mukupita patsogolo ndikumvera mankhwala.
- Kuchuluka kwa ululu: Ndikumva ululu wambiri m'magulu anu tsiku ndi tsiku.
- Mafunso Olemala / Ogwira Ntchito: Kodi kuchuluka kwake kwa nyamakazi kukutheketsani bwanji ndi zochita zanu za tsiku ndi tsiku?
Njira za ACR zingagwiritsidwe ntchito kuthandiza madokotala kudziwa bwino ngati mankhwala anu akuthandizira kuti mukhale ndi matenda a nyamakazi, ngakhale kuti nthawi zambiri amagwiritsidwa ntchito pa mayesero a zamankhwala.
Kumvetsetsa zomwe ACR20, ACR50, ndi ACR70 Zisonyezani mu Zilonda za M'chipatala
Mayesero am'chipatala amafotokoza chiwerengero cha ophunzira omwe adalandira ACR20, ACR50, ndi ACR70. Mwachitsanzo, ngati kafukufuku wanena kuti 55 peresenti ya odwala anapeza ACR20, izo zikutanthauza kuti 55 peresenti ya odwala omwe amaphunzirawo adapititsa patsogolo 20 peresenti ya chiwerengero cha chiwerewere kapena zotupa, komanso kupitirira 20 peresenti mu zitatu mwa zina zisanu.
Ngati mayesero a kachipatala akuti odwala 40 peresenti apeza ACR50, zikutanthawuza kuti 40 peresenti ya odwala omwe amaphunzirawo amapindula ndi 50 peresenti yowonjezereka m'mabuku omwe ali ndi ubweya kapena kutupa, komanso kusintha kwa magawo makumi asanu mwa magawo asanu mwa magawo asanu. Zomwezo zikugwiranso ntchito ku ACR70, yokhala ndi gawo lakumapeto kwa 70 peresenti. Kwa odwala kuti ayesedwe pogwiritsa ntchito njira za ACR, ayenera kuti adatsiriza mayeso a kuchipatala.
ACR20 Kodi FDA imavomerezedwa
Bungwe la US Food and Drug Administration (FDA) linalimbikitsa kugwiritsa ntchito ACR20 monga zotsatira za kusankha kwazitsulo zamakono zomwe zimagwiritsidwa ntchito pofuna kuchiza nyamakazi. Kupititsa patsogolo kumeneku kunatsogolera ku ntchito yofala ya ACR20 mu mayesero a zamankhwala. Kawirikawiri amatchulidwa ngati ACR20 chabe chifukwa zimafuna kuti peresenti 20 pakhale ndondomeko yomwe ili pamwambapa.
Zotsatira:
> Felson DT, Anderson JJ, Boers M, et al. Kalasi ya American of Rheumatology Choyambirira Definition of Improvement mu Chifuwa cha Matenda a Nyamakazi. Arthritis & Rheumatism. 1995; 38: 727-735. onetsani: 10.1002 / luso.1780380602.
> Felson DT, LaValley MP. ACR20 ndi Kufotokozera Zomwe Zidzasankhidwa Poyankha mu Mafupa a Rheumatic: Zambiri Zabwino. Arthritis Research & Therapy . 2014; 16 (1): 101. lembani: 10.1186 / ar4428.
Johns Hopkins Nyamakazi ya Amayi. Malangizo Othandizira A ACR: ACR Tanthauzo la Kuonjezera mu Mayesero A RA. Johns Hopkins Mankhwala. Idasinthidwa pa August 16, 2017.
Rocha K. ACR Score: Kuyeza Chifuwa cha Matenda a Nyamakazi. Matenda a Matenda a Nyamakazi. Kusinthidwa pa March 22, 2017.