{"id":739,"date":"2017-05-06T18:30:30","date_gmt":"2017-05-06T18:30:30","guid":{"rendered":"http:\/\/nenp.ir\/?p=739"},"modified":"2017-05-06T18:30:30","modified_gmt":"2017-05-06T18:30:30","slug":"%d8%aa%d8%a7%d8%b2%d9%87-%d9%87%d8%a7%db%8c-%d9%be%d8%b2%d8%b4%da%a9%db%8c","status":"publish","type":"post","link":"https:\/\/nenp.ir\/?p=739","title":{"rendered":"\u062a\u0627\u0632\u0647 \u0647\u0627\u06cc \u067e\u0632\u0634\u06a9\u06cc"},"content":{"rendered":"<p><a href=\"https:\/\/nenp.ir\/wp-content\/uploads\/2017\/04\/2227431_417.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-631\" src=\"https:\/\/nenp.ir\/wp-content\/uploads\/2017\/04\/2227431_417.jpg\" alt=\"2227431_417\" width=\"580\" height=\"320\" srcset=\"https:\/\/nenp.ir\/wp-content\/uploads\/2017\/04\/2227431_417.jpg 580w, https:\/\/nenp.ir\/wp-content\/uploads\/2017\/04\/2227431_417-300x165.jpg 300w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><\/a><br \/>\n#\u062a\u0627\u0632\u0647\u200c\u0647\u0627\u06cc_\u067e\u0632\u0634\u06a9\u06cc<br \/>\n\u062a\u0648\u0635\u06cc\u0647\u200c\u0647\u0627 \u062f\u0631 \u0632\u0645\u06cc\u0646\u0647 \u0622\u0631\u062a\u0631\u06cc\u062a \u062a\u0627\u0632\u0647 \u0622\u063a\u0627\u0632 \u0634\u062f\u0647<br \/>\n\u062f\u06a9\u062a\u0631 \u0628\u0627\u0628\u06a9 \u0639\u0632\u06cc\u0632 \u0627\u0641\u0634\u0627\u0631\u06cc- \u067e\u0627\u062a\u0648\u0644\u0648\u0698\u06cc\u0633\u062a<br \/>\nhttp:\/\/ard.bmj.com\/content\/early\/2016\/12\/15\/annrheumdis-2016-210602.full<\/p>\n<p> \u062c\u062f\u06cc\u062f\u062a\u0631\u06cc\u0646 \u062a\u0648\u0635\u06cc\u0647\u200c\u0647\u0627\u06cc \u0627\u062a\u062d\u0627\u062f\u06cc\u0647 \u0639\u0644\u06cc\u0647 \u0631\u0648\u0645\u0627\u062a\u06cc\u0633\u0645 \u0627\u0631\u0648\u067e\u0627 \u062f\u0631 \u0632\u0645\u06cc\u0646\u0647 \u0622\u0631\u062a\u0631\u06cc\u062a \u062a\u0627\u0632\u0647 \u0622\u063a\u0627\u0632 \u0634\u062f\u0647 (Early arthritis) \u062f\u0631 \u0634\u0645\u0627\u0631\u0647 \u062f\u0633\u0627\u0645\u0628\u0631 \u0645\u062c\u0644\u0647 Annals of Rheumatic Diseases \u0645\u0646\u062a\u0634\u0631 \u0634\u062f\u0647 \u0627\u0633\u062a. \u0628\u0631 \u0627\u0633\u0627\u0633 \u0627\u06cc\u0646 \u062a\u0648\u0635\u06cc\u0647\u200c\u0647\u0627:<br \/>\n&#8211; \u0628\u06cc\u0645\u0627\u0631\u0627\u0646\u06cc \u06a9\u0647 \u0628\u0627 \u0622\u0631\u062a\u0631\u06cc\u062a (\u0647\u0631 \u06af\u0648\u0646\u0647 \u062a\u0648\u0631\u0645 \u0645\u0641\u0635\u0644\u060c \u0628\u0647\u200c\u0647\u0645\u0631\u0627\u0647 \u062f\u0631\u062f \u06cc\u0627 \u0633\u0641\u062a\u06cc) \u0645\u0631\u0627\u062c\u0639\u0647 \u0645\u06cc\u200c\u06a9\u0646\u0646\u062f\u060c \u0628\u0627\u06cc\u062f \u062f\u0631 \u0639\u0631\u0636 \u0634\u0634 \u0647\u0641\u062a\u0647 \u067e\u0633 \u0627\u0632 \u0622\u063a\u0627\u0632 \u0639\u0644\u0627\u06cc\u0645 \u0628\u0647 \u06cc\u06a9 \u0631\u0648\u0645\u0627\u062a\u0648\u0644\u0648\u0698\u06cc\u0633\u062a \u0627\u0631\u062c\u0627\u0639 \u0648 \u062a\u0648\u0633\u0637 \u0648\u06cc \u0648\u06cc\u0632\u06cc\u062a \u0634\u0648\u0646\u062f.<br \/>\n&#8211; \u0639\u0648\u0627\u0645\u0644 \u062e\u0637\u0631\u0633\u0627\u0632 \u0622\u0631\u062a\u0631\u06cc\u062a \u067e\u0627\u06cc\u062f\u0627\u0631 (Persistent) \u06cc\u0627 \u0633\u0627\u06cc\u0634\u06cc (Erosive) \u0634\u0627\u0645\u0644 \u062a\u0639\u062f\u0627\u062f \u0645\u0641\u0627\u0635\u0644 \u06af\u0631\u0641\u062a\u0627\u0631\u060c \u0648\u0627\u06a9\u0646\u0634\u06af\u0631\u0647\u0627\u06cc \u0641\u0627\u0632 \u062d\u0627\u062f\u060c \u0641\u0627\u06a9\u062a\u0648\u0631 \u0631\u0648\u0645\u0627\u062a\u0648\u06cc\u06cc\u062f\u060c \u0622\u0646\u062a\u06cc\u200c\u0628\u0627\u062f\u06cc \u0636\u062f \u067e\u067e\u062a\u06cc\u062f \u0633\u06cc\u062a\u0631\u0648\u0644\u06cc\u0646\u200c\u062f\u0627\u0631 (ACPA) \u0648 \u06cc\u0627\u0641\u062a\u0647\u200c\u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631\u0628\u0631\u062f\u0627\u0631\u06cc \u0628\u0627\u06cc\u062f \u062f\u0631 \u062a\u0635\u0645\u06cc\u0645 \u062f\u0631\u0645\u0627\u0646\u06cc \u0645\u0648\u0631\u062f \u062a\u0648\u062c\u0647 \u0642\u0631\u0627\u0631 \u06af\u06cc\u0631\u062f.<br \/>\n&#8211; \u0628\u06cc\u0645\u0627\u0631\u0627\u0646\u06cc \u06a9\u0647 \u062f\u0631 \u062e\u0637\u0631 \u0622\u0631\u062a\u0631\u06cc\u062a \u067e\u0627\u06cc\u062f\u0627\u0631 \u0647\u0633\u062a\u0646\u062f\u060c \u062d\u062a\u06cc \u062f\u0631 \u0635\u0648\u0631\u062a\u06cc \u06a9\u0647 \u0645\u0639\u06cc\u0627\u0631\u0647\u0627\u06cc \u0637\u0628\u0642\u0647\u200c\u0628\u0646\u062f\u06cc \u0631\u0627 \u0646\u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u0646\u062f\u060c \u0628\u0627\u06cc\u062f \u062f\u0631 \u0627\u0648\u0644\u06cc\u0646 \u0641\u0631\u0635\u062a (\u062a\u0631\u062c\u06cc\u062d\u0627\u064b \u062f\u0631 \u0639\u0631\u0636 \u0633\u0647 \u0645\u0627\u0647) \u062a\u062d\u062a \u062f\u0631\u0645\u0627\u0646 \u0628\u0627 \u062f\u0627\u0631\u0648\u0647\u0627\u06cc \u0622\u0646\u062a\u06cc\u200c\u0631\u0648\u0645\u0627\u062a\u06cc\u06a9 \u062a\u063a\u06cc\u06cc\u0631 \u062f\u0647\u0646\u062f\u0647 \u0628\u06cc\u0645\u0627\u0631\u06cc (DMARDs) \u062a\u0631\u062c\u06cc\u062d\u0627\u064b \u0645\u062a\u0648\u062a\u0631\u0648\u06a9\u0633\u0627\u062a \u0642\u0631\u0627\u0631 \u06af\u06cc\u0631\u0646\u062f.<br \/>\n&#8211; 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