Kutsata Chiwerengero cha Zilonda Zotupa ndi Zabwino
Matenda a kutupa nyamakazi ndi matenda aakulu, opatsirana , otupa . Kufotokozera kwake, komanso matenda, zimakhala zosiyana pakati pa wodwala komanso pakati pa odwala osiyanasiyana. Mankhwala otupa ndi ofewa ali ndi makhalidwe a chifuwa chachikulu cha nyamakazi.
Palibe chiyeso chokha kapena chiwerengero chomwe chimayesedwa ngati golidi yoyesa ndikuwunika momwe odwala matenda a nyamakazi amachitira.
M'malo mwake, pali njira zosiyanasiyana zomwe zimagwiritsidwa ntchito pofuna kukhazikitsa chikhalidwe cha odwala m'makampani komanso zofufuza, kuphatikizapo ziwerengero zowerengera, kuyesa ma laboratory , kufufuza zojambula , kulingalira ntchito, mayendedwe apadziko lonse, ndi mayankho okhuza odwala.
Ziwerengero zofanana zimayesedwa ngati njira yeniyeni yowonjezera yogwiritsidwa ntchito poyeza momwe odwala ali ndi kutupa kwa nyamakazi, makamaka nyamakazi ya nyamakazi. Ziwerengero za ziwalo ndizofunika kwambiri pa zochitika za matenda a matenda (DAS) , American College ya Rheumatology Core Data Yomwe imayambitsa mayendedwe a matenda a nyamakazi, komanso American College of Rheumatology.
Njira Zowonjezereka
Pali ziwerengero zingapo. Njirazi zimasiyanasiyana ndi chiwerengero cha ziwalo zomwe zimawerengedwa ndi momwe mndandanda wapadera umapezera. Njira zowonjezera zowonjezereka zikuphatikizidwa ndi 66/68 Joint Count, The Ritchie Articular Index, The Thompson-Kirwan Index, 44-Kutupa Kuwerengera Powonjezera, ndi Kuwerengera kwa Joint 28.
66/68 Kuwerengera Kwabwino
Kuwerengera Pakati pa 66/68 kumayang'anitsitsa ziwalo 66 kuti zidzipumphuke ndipo 68 ziwalo zothandizira ndi kupweteka ndi kuyenda. MCP), interphalangeal (PIP), distal interphalangeal (DIP), chiuno, bondo, chiuno, tarsus, metatarsophalangeal (MTP), komanso interphalangeal mapazi amaphatikizidwa ndi ma pulogalamu yamtunduwu, mapulomandibular, sternoclavicular, acromioclavicular, shoulder, elbow, mkono, metacarpophalangeal (MCP) mu chiwerengero ichi chowerengera.
Mapepala a hi amakhoza kuyesedwa mwachikondi okha - koma osati kutupa.
The Ritchie Articular Index
Ritchie Articular Index akuyesa ziwalo 52. Mapewa, golidi, mkono, chiuno, chiuno, tchikali, tars, ndi khola lachiberekero amayesedwa mwachikondi. Mankhwala a MCP ndi PIP amawunika m'magulu. Manambala a kumanzere ndi kumanzere amayankhidwa pamodzi mu temporomandibular, sternoclavicular, ndi ma acromioclavicular. Ndondomekoyi ikuphatikizapo: 0 = nontender, 1 = tender, 2 = mapulogalamu operewera, 3 = malonda ndi kupukuta. Zonsezi zingathe kukhala kuyambira 0 mpaka 78.
Mbiri ya Thompson-Kirwan
Nthano ya Thompson-Kirwan ikuwonetsa chikondi ndi kutupa m'magulu 38. Mankhwalawa amalemedwa malinga ndi malo awo. Malipiro onse akhoza kuchoka ku 0-534. Bondo liri lolemera kuposa ziwalo zina. Mipingo ya PIP, MCP, MTP, mipiringidzo, mawindo, ndi mavoti amaphatikizidwa mu ndondomekoyi.
44-Kutaya Kuwerengera Kowonjezereka
Chiwerengero cha 44-Chotembenuka Chimodzi ndi mbali ya DAS yoyamba (Matenda a Zochita Zachilombo). Mphepete mwachangu, pakhosi, pakhosi, pakhosi, pakhosi, mitsempha, ndi ma MTP mumaphatikizidwewa.
28-Kuwerengera Komwe
Kuwerengera kwa Joint 28 ndi gawo la DAS28. Mapepala, mabala, maulendo, MCP, PIP, ndi mawondo aphatikizidwa muwerengero 28.
Zilumikizo za mapazi sizimatulutsidwa.
Mfundo Yofunika Kwambiri
Ngakhale kuti Ritchie Articular Index ikugwiritsa ntchito pulogalamu yolembera ndipo Thompson-Kirwan amagwiritsa ntchito zilembo zowonongeka, ziwerengero zitatu zomwe zili pamwambazi zimawerengera ziwalo zosalongosoka popanda kuwona kulemera kwa kutupa kapena kuchepa.
Ngakhale kuti phindu la mgwirizanowu mumayesero sangathe kutsutsidwa, m'zochitika zamakono zochitika zachipatala tanthauzo la ziwerengero zovomerezeka limafunsidwa ndi ena, makamaka chifukwa cha zovuta ndi zovuta zogwira ntchitozo. American College of Rheumatology (ACR) imaphatikizapo ziwerengero zawo pamagulu awo okhudzana ndi chithandizo chamankhwala, komabe.
Kuwerengera kotereku kokwana 28 kumaphatikizapo ziwalo zomwe zimakhudzidwa kwambiri, ndipo zotsatira zake zimagwirizana bwino ndi 66/68 Kuwerengera Powonjezera. Chifukwa cha kuphweka kwake ndi kudalirika, chiwerengero cha 28-Choyimira Chimodzi chimayesedwa kuti ndi njira yowerengera yokhala pamodzi.
> Zotsatira:
> Kuyanjana Pamodzi mu Chifuwa cha Matenda. DL Scott ndi DA Houssien. British Medical Journal 1996; 35 (kuphatikiza 2): 14-18.
> Zowonongeka. Ozlem Pala, MD ndi L. Frank Cavaliere, MD Mutu 7.
> Zowonjezereka Zogwirizana ndi Zochitika Zachizolowezi. Oxford Journals. Rheumatology. DL Scott et al. 2003; 42 (8).