Xilliga Baaritaanka Daaweynta Qalitaanka
Dhibaatooyinka arthritis-ka ee rheumatoid arthritis, shuruudaha caadiga ah ayaa loo isticmaalaa in lagu barbardhigo waxtarnimada daaweynta arthritis-ka ama daaweynta arthritis-ka, ama si loo barbar dhigo hal tijaabo oo kale. Shuruudaha loo yaqaan "College College of Rheumatology" (ACR), waa cabbirka loo isticmaalo dhammaan koorasyada la daabacay oo eegaya waxtarka (waxtarka) daaweynta dhammaan noocyada cudurrada rheumatiska .
ACR20 waxay ahayd aasaaska koowaad ee shuruudaha la sameeyay, kadibna waxaa raacay ACR50 iyo ACR70.
Isticmaalka shuruudaha ACR
Shuruudaha ACR ayaa loo isticmaalaa si loo qiimeeyo loona dhiso hirgelinta hindisada ama isugeynta xisaabinta isugeynta oo ay weheliso horumarinta saddexda shuruudood ee soo socda:
- Xajmiga Fudud ee Xaaladda: Xajmiga intee le'eg ayaa ku xiran xaglahaaga sida lagu go'aamiyey borotiinka C-reactive ama sicir bararka.
- Qiimeynta Bukaanka: Sidaad u aragtid horumarkaaga iyo jawaabta daaweynta.
- Qiimaynta Dhakhtarka: Waxa uu takhtarkaagu eegayo horumarkaaga iyo jawaabta daaweynta.
- Heerka Xanuunka: Xanuun intee le'eg ayaad ku qabtaa xubnahaaga maalin kasta.
- Naafanimada / suáalaha shaqeynta: Intee in le'eg ee xanuunka 'rheumatoid' arthritis-ku wuxuu faragelinayaa awoodda aad u leedahay inaad qabato hawlahaaga maalmeed.
Shuruudaha ACR ayaa sidoo kale loo isticmaali karaa si ay u caawiyaan dhakhaatiirta inay si wax ku ool ah u go'aamiyaan haddii daaweyntaadu ay ka shaqeyneyso sidii loo hagaajin lahaa calaamadaha xanuunka 'rheumatoid arthritis', inkasta oo loo isticmaalo tijaabooyinka kiliinikada.
Fahmidda ACR20, ACR50, iyo ACR70 oo muujinaya tijaabooyinka caafimaadka
Kliinikada xanuunada waxay sheegeysaa boqolkiiba kaqaybgalayaasha daraasadda kuwaas oo ku guuleystay ACR20, ACR50, iyo ACR70. Tusaale ahaan, haddii daraasad ay soo saartay in boqolkiiba 55 bukaannada ay gaareen ACR20, taas macneheedu waa 55 boqolkiiba bukaanada daraasadda waxay gaadheen 20 boqolkiiba horumarinta hindisada ama bararka isku dhafka ah, iyo sidoo kale 20% hagaajinta saddexda shuruudood ee kale.
Haddii tijaabo caafimaad ay soo gudbiso in boqolkiiba 40 bukaannada ay gaareen ACR50, taas macnaheedu waa boqolkiiba 40 bukaanka daraasaddan waxay gaadheen 50 boqolkiiba kobcinta qandaraaska ama bararka la isku daro, iyo sidoo kale 50 boqolkiiba horumarinta saddexda shanta kale ee shuruudaha. Sidoo kale waxay khuseysaa ACR70, oo keliya boqolkiiba 70 heerka hagaajinta. Bukaannada loo qiimeeyo iyada oo la adeegsanayo shuruudaha ACR, waa inay dhameystiraan maxkamadeynta bukaan socodka.
ACR20 Miyaa FDA la ogolaaday
Maamulka Mareykanka ee Cuntada iyo Maandooriyaha (FDA) ayaa kugula taliyay isticmaalka ACR20 maaddaama natiijada natiijada doorashada ee tijaabooyinka daaweynta ee daawooyinka loo isticmaalo daaweynta rheumatoid arthritis. Qiimeeynta Tani waxay keentay isticmaalka baahsan ee ACR20 ee tijaabooyinka kiliinikada. Waxaa caadi ahaan loo yaqaan ACR20 si fudud, sababtoo ah waxay u baahan tahay ugu yaraan boqolkiiba 20 kobcinta shuruudaha kor ku xusan.
Ilaha:
> Felson DT, Anderson JJ, Boers M, et al. Kulliyadda Maraykanka ee Rheumatology Qeexida Horudhaca ah ee Hagaajinta Xanuunka Rheumatoidka. Arthritis & Rheumatism. 1995; 38: 727-735. doi: 10.1002 / art.1780380602.
> Felson DT, Baarlamaanka LaValley. ACR20 iyo Qeexida Isku Duubka Ka Jawaabidda Cudurada Raajootada: Aad u Muhiim ah. Arthritis Research & Therapy . 2014; 16 (1): 101. doi: 10.1186 / ar4428.
Xarunta Arthritis Johns Hopkins. Tilmaamaha Tilmaamaha ACR: Qeexida ACR Qeexida Hagaajinta RA-da. Johns Hopkins Daawada. La soo dhajiyay August 16, 2017.
Rocha K. ACR dhibcaha: Cabiraadda Rheumatoid Asthir. Shabakada Taageerada Rheumatoid Arthritis. La daabacay Maarso 22, 2017.