Ho latela Palo ea Lihlopha Tse Senyelitsoeng le Tse Bonolo
Ramatiki ea lefu la masapo ke mafu a sa foleng, a tloaelehileng , a ho ruruha . Tlhaloso ea eona, hammoho le tsela ea lefu lena, e fapana ka har'a mokuli le pakeng tsa bakuli ba fapaneng. Litho tsa ho ruruha le tse bonolo li na le litšobotsi tsa mafolofolo a lefu la ramatiki.
Ha ho teko e lekanang kapa tekanyetso e nkoang e le tekanyo ea khauta ea ho hlahloba le ho hlahloba boemo ba bongaka ba bakuli ba lefu la masapo.
Ho e-na le hoo, ho na le liteko tse sa tšoaneng tse sebelisetsoang ho theha boemo ba mokuli sebakeng sa tlhokomelo ea meriana le lipatlisisong, ho kenyelletsa litekanyetso tse kopanetsoeng, liteko tsa laboratori , lithuto tsa litšoantšo , litekanyetso tsa mosebetsi, litekanyetso tsa lefatše, le melaetsa ea lipotso ka boithaopo.
Lintlha tse kopanetsoeng li nkoa e le litekanyo tse tobileng ka ho fetisisa tsa bongaka bo sebelisetsoang ho hlahloba boemo ba bakuli ba nang le mafu a ho ruruha a ramatiki, haholo-holo lefu la ramatiki. Litho tsa likarolo li boetse ke karolo ea bohlokoa ea Matšoao a Meriana ea Disease (DAS) , American College ea Rheumatology Core Data e behiloeng bakeng sa liteko tsa lithethefatsi tsa ramatiki, le American College of Rheumatology.
Mekhoa e Kopane ea Litsela
Ho na le lintlha tse 'maloa tse kopanetsoeng. Mekhoa ena e fapana ka palo ea manonyeletso a balloang le kamoo motsoako o itseng o fumanoeng kateng. Mekhoa e kopanetsoeng ea lipalo e kenyelelitse Palo ea 66/68 ea Joint Count, The Ritchie Articular Index, The Thompson-Kirwan Index, 44-e Tsoa ea Palo e Kopanetsoeng, le palo e kopanetsoeng ea 28.
66/68 Palo e Kopaneng
Tlhaloso e kopanetsoeng ea 66/68 e lekanya manonyeletso a 66 bakeng sa ho ruruha le lihlopha tse 68 bakeng sa bonolo le bohloko ka ho tsamaea. Tlhaloso ea li-temporomandibular, sternoclavicular, acromioclavicular, lehetla, sefahleho, letsoho, metacarpophalangeal (MCP), interphalangeal e fokolang (PIP), distal interphalangeal (DIP), hip, knee, ankle, tarsus, metatarsophalangeal (MTP), le interphalangeal ea maoto li kenyelelitsoe ho palo ena e kopanetsoeng.
Lihlopha tsa Hip li ka hlahlojoa bakeng sa bonolo feela - empa eseng bakeng sa ho ruruha.
The Ritchie Articular Index
Ritchie Articular Index e hlahloba manonyeletso a 52. Lehetla, lejoe, letsoho, letheka, letheka, letheka, lehare le mokokotlo oa mokokotlo li hlahlojoa bakeng sa bonolo feela. Litho tsa MCP le PIP li hlahlojoa ka lihlopha. Li-joints tse letona le tse letšehali li hlahlojoa hammoho ka temporomandibular, sternoclavicular, le li-acromioclavicular joints. Lethathamo lena le kenyeletsa ho hlophisa: 0 = nontender, 1 = tender, 2 = tender ka wincing, 3 = tender ka ho hlakola le ho tlosa. Lintlha kaofela li ka tloha ho 0 ho isa ho tse 78.
Index ea Thompson-Kirwan
Index ea Thompson-Kirwan e hlahloba lerato le ho ruruha ka manonyeletso a 38. Manonyeletso a lekanngoa ho ea ka libaka tsa bona. Lintlha kaofela li ka tloha ho 0-534. Leoto le boima ho feta manonyeletso a mang. Litho tsa PIP, MCP, MTP, lihlopha, lihlopha le maqaqailane li kenyelletsitsoe lenaneng lena.
44-Ho ruruha Palo e Kopaneng
Tlhaloso e kopanetsoeng ea 44-e ruruhileng ke karolo ea DAS ea pele (Mathata a Ketsahalo ea Mafu). Sternoclavicular, acromioclavicular, shoulder, elbow, arm, MCP, PIP, knee, ankle, le manonyeletso a MTP li kenyelelitsoe palo ena e kopanetsoeng.
28-Palo e Kopaneng
Tlhaloso e kopanetsoeng e 28 ke karolo ea DAS28. Mahetla, likhama, lihlopha, MCP, PIP, le mangole li kenyelelitsoe palo e kopaneng ea 28.
Lihlopha tsa maoto ha li kenyelletsoe.
The Bottom Line
Le hoja Index ea Ritchie Articular e sebelisa mokhoa oa ho kenya marang-rang 'me Thompson-Kirwan o sebelisa lenane la litekanyetso tse boima, lintlha tse ling tse tharo tse kopanetsoeng tse hlalositsoeng ka holimo li bala manonyeletso a sa tloaelehang ntle le ho nka boima ba ho ruruha kapa bonolo.
Le hoja molemo oa litekanyetso tse kopanetsoeng litekong tsa meriana ha li hanyetsanoe, tloaelong ea tloaelo ea bongaka bohlokoa ba litekanyetso tse kopanetsoeng bo botsoa ke ba bang, haholo-holo ka lebaka la ho rarahana le bothata ba ho etsa lipalo. American College of Rheumatology (ACR) e kenyelletsa lintlha tse kopanetsoeng litlhabisong tsa bona bakeng sa tlhokomelo ea bongaka, leha ho le joalo.
Tlhaloso e kopanetsoeng e 28 e kenyeletsa manonyeletso a tloaelehileng ka ho fetisisa, 'me liphetho tsa eona li tsamaisana hantle le palo ea 66/68 ea Joalo. Ka lebaka la ho nolofatsa ha eona le ho tšepahala, Palo e kopanetsoeng ea 28 e nkoa e le mokhoa o khethiloeng oa palo e kopanetsoeng.
> Mehloli:
> Tlhahlobo e Kopanetsoeng ka Rheumatoid Arthritis. DL Scott le DA Houssien. British Medical Journal 1996; 35 (tlatsetsa 2): 14-18.
> Litsekane tse kopanetsoeng. Ozlem Pala, MD le L. Frank Cavaliere, MD Khaolo ea 7.
> Litsekane tse kopanetsoeng ka mekhoa e tloaelehileng. Oxford Journals. Rheumatology. DL Scott et al. 2003; 42 (8).