Ke ʻeha koke nei a pehu paha kou mau hono? He pseudogout paha kēia!

Ua ala aʻe ʻoe i ke kakahiaka a ʻike koke i kahi hui e like me kou kuli a i ʻole kou pulima i ʻulaʻula, pehu, a me ka ʻeha hiki ʻole ke hoʻomanawanui? A i ʻole ua hele paha ʻoe e hiamoe i ka pō me ka ʻole o nā pilikia, a laila ala aʻe i ke kakahiaka me kēia ʻano ʻeha nui? I kekahi manawa hiki i kēia ke lilo i kūlana a mākou i noʻonoʻo ʻole ai, e like me ka arthritis, ʻo ia ke kūlana e hele mai me ka pehu ʻana o nā hui. E kamaʻilio mākou e pili ana i ia ʻano maʻi i kēia lā.

He aha kēia (Pseudogout)?

I ka ʻōlelo maʻalahi, he ʻano ʻāʻī nō hoʻi ka pseudogout . Akā hiki koke mai ia, me ka ʻole o ka ʻōlelo aʻo , me ka ʻeha nui a me ka pehu ʻana i kou mau hono. Me he mea lā e kolo mālie ana kekahi mea ma luna ou.

ʻOiai hiki i kēia ʻano (pseudogout) ke hoʻopili i kekahi hui i loko o kou kino, ʻike pinepine ʻia ia ma kēia mau hui:

• Ma nā kuli
• Ma nā lima a me nā kuʻekuʻe lima
• Ma nā poʻohiwi
• Ma nā ʻūhā a me nā hono pili
• Ma nā kuʻekuʻe lima
• I loko o nā kuʻekuʻe wāwae

Hoʻohana nā kauka i kekahi mau inoa ʻē aʻe no kēia maʻi (Pseudogout). Ua lohe paha ʻoe i kēia mau inoa:

• Ka waiho ʻana o ka calcium pyrophosphate (CPPD): ʻO ke ʻano kēia ua waiho ʻia kahi kemika i kapa ʻia ʻo calcium pyrophosphate i loko o nā hono.
• ʻO ka maʻi ʻaʻai Calcium pyrophosphate: ʻO kēia ka mumū o nā hono i hoʻokumu ʻia e ka calcium pyrophosphate.
• Chondrocalcinosis: Pili kēia i ka waiho ʻana o ka calcium i loko o nā ʻiʻo palupalu o nā hono i kapa ʻia ʻo cartilage.

Pili kēia mau inoa a pau i ke kūlana olakino hoʻokahi. No laila, inā haʻi ke kauka i kekahi o kēia mau inoa, mai hopohopo, ʻo ia hoʻi kēia (Pseudogout).

He aha ka ʻokoʻa ma waena o ka Pseudogout a me ka Gout ?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAuē, ʻo kēia anei ka maʻi hono like i kapa ʻia ʻo Gout ?" ʻOiaʻiʻo, he nui nā ʻano like ma waena o nā mea ʻelua, ʻo ia ke kumu i kapa ʻia ai ʻo 'pseudo-gout'. ʻO ka huaʻōlelo 'pseudo' ʻo ia hoʻi 'wahaheʻe' a i ʻole 'hoʻopunipuni'. No laila ua like kēia me 'pseudo gout '.

Akā, aia nā ʻokoʻa maopopo ma waena o nā mea ʻelua.

• Hiki mai ka gout ke nui loa ka kemika i kapa ʻia ʻo uric acid i loko o kou koko (kahi ʻano i kapa ʻia ʻo hyperuricemia). A laila e waiho ana kēia mau kristal ʻoi o ka uric acid i loko o nā hono, e hoʻoulu ai i ka mumū.
• Hoʻokumu ʻia ʻo Pseudogout e kahi ʻano kristal ʻokoʻa loa e hōʻiliʻili ana i loko o nā hono. Ua kapa ʻia lākou he mau kristal calcium pyrophosphate (CPP) . ʻO ia ke kumu i kapa ʻia ai hoʻi ʻo "Calcium pyrophosphate deposition".

ʻO kekahi ʻokoʻa, ʻo ia ka gout.Hoʻopilikia pinepine ka gout i ka hui kahi e pili ai kou manamana wāwae nui i kou wāwae (ka hui metatarsophalangeal (MTP)). ʻAʻole pili pinepine ka Pseudogout i kēlā hui. Akā, hoʻopilikia pinepine ia i nā hui nui e like me nā kuli a me nā pulima.

He aha nā hōʻailona o (Pseudogout)?

He aha nā hōʻailona e ʻike ai ʻoe i kēia maʻi (Pseudogout)? E nānā kākou:

• ʻO ka ʻeha koke a hiki ʻole ke hoʻomanawanui i nā hono ka hōʻailona nui.
• ʻO ke ʻano o ka ʻili a i ʻole ka ʻulaʻula. Hiki ke lilo ka ʻili a puni ke ami ʻeha i ʻulaʻula.
• Pehu. Lilo ka hono i pehu loa.
• ʻOʻoleʻa o ke ami. Lilo i mea paʻakikī ke kulou a hoʻopololei paha i ke ami.
• He manaʻo mehana i loko a i ʻole a puni ke ami. Hiki paha iā ʻoe ke manaʻo i ka mehana ke hoʻopā ʻoe me kou lima.

ʻAʻole mau loa kēia mau hōʻailona. Hele mai lākou a hele aku. Hele mai lākou i nā nalu. Kāhea mākou i kēia mau lapalapa a i ʻole nā ​​​​hoʻouka kaua. (Pseudogout) Hoʻomaka koke kahi 'hoʻouka'. Ma mua o ka manaʻo e like me ka hele mālie ʻana o kāu mau hōʻailona, ​​​​loaʻa paha iā ʻoe kāu mau hōʻailona āpau i ka manawa hoʻokahi. Hiki i kahi 'hoʻouka' e like me kēia ke mau mai kekahi mau lā a i kekahi mau pule, a i kekahi manawa ʻoi aku ka lōʻihi.

No ke aha e hana ʻia ai kēia (Pseudogout)?

ʻO ke kumu nui o kēia, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ia ka waiho ʻana o nā ʻāpana liʻiliʻi a pauka o kahi mea i kapa ʻia ʻo calcium pyrophosphate (CPP) i loko o kou mau hono i hoʻopilikia ʻia. Hōʻiliʻili kēia mau mea i loko o ke cartilage (ka ʻāpana palupalu e pale ai i nā iwi mai ka hamo ʻana kekahi i kekahi) i loko o nā hono a i loko o nā membrane lahilahi (nā membrane synovial) e hoʻopuni ana i nā hono a hāʻawi i kahi huna ʻaila i nā hono. I ka hala ʻana o ka manawa, hui pū kēia mau ʻāpana `(CPP)` i loko o nā hono, e hana ana i kēlā 'hoʻouka' ʻeha.

Eia nō naʻe, ʻaʻole maopopo i nā kānaka ʻepekema ke kumu e hana ai kou kino i ka `(CPP)` hou aʻe a no ke aha e waiho ʻia ai i loko o kou mau hono. Hōʻike kekahi mau noiʻi he mea hoʻoilina paha ia, ʻo ia hoʻi inā loaʻa i kou mau mākua, aia kāu mau keiki i ka pilikia o ka loaʻa ʻana. No kekahi poʻe, hiki ke ulu aʻe ke ʻano ma hope o ka ʻeha o ka hono. Manaʻo ʻia hoʻi he hiki i kekahi mau kūlana metabolic a endocrine paha (pseudogout) ke kumu.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka pseudogout?

ʻOiai hiki i kekahi ke loaʻa i ka pseudogout, ʻoi aku ka maʻamau i ka poʻe ma luna o 65 mau makahiki. Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi maʻi mau i ka loaʻa ʻana o ka pseudogout. Eia kekahi laʻana:

• Ka haʻahaʻa o ka magnesium i loko o ke koko (Hypomagnesemia)
• ʻO ka Hyperparathyroidism
• Maʻi thyroid
• Ka nui o ka hao i loko o ke kino (Hemochromatosis)
• ʻO Hypophosphatasia (ka waiho kūpono ʻole ʻana o nā mineral i loko o nā iwi)
• ʻOsteopenia
• Maʻi puʻupaʻa mau loa (CKD)

Eia kekahi, hiki i ka poʻe i loaʻa i nā ʻano ʻē aʻe o ka arthritis (pseudogout) ke loaʻa iā ia. Nā Laʻana:

• ʻO ka ʻōpū
• ʻO ka Osteoarthritis (ʻeha hui)
• ʻO ka ʻāʻī rheumatoid
• ʻO ka maʻi ʻaʻai ma hope o ka trauma

He aha nā pilikia e hiki mai ana o ka pseudogout?

Inā ʻaʻole mālama ʻia, hiki i kēia ʻano (Pseudogout) ke hoʻoulu i nā 'flares' ʻeha pinepine a ʻoi aku ka koʻikoʻi. ʻO ke ʻano kēia e ʻoi aku ka ʻino o kou ʻeha. No kekahi poʻe, inā e noho ana kēia mau ʻāpana 'CPP' a puni nā iwi ma ka ʻaoʻao o luna o ka ʻāʻī, hiki iā lākou ke hana i nā hōʻailona e like me ke poʻo poʻo a i ʻole ka ʻeha ʻāʻī .

Pehea e ʻike ai nā kauka i ka pseudogout?

Ke hele ʻoe e ʻike i ke kauka, e nānā ʻo ia iā ʻoe a hana i kekahi mau hoʻokolohua e hoʻoholo ai inā he pseudogout kou. E nānā ke kauka i kou mau hono a nīnau e pili ana i kāu mau hōʻailona. I kēlā manawa, e hōʻoia e haʻi maopopo i kēia mau mea:

• I ka manawa hea ʻoe i ʻike mua ai i kēia mau hōʻailona?
• Me he mea lā e hele mai a hele aku kēia mau hōʻailona.
• Ke piʻi nei (a i ʻole e emi ana) kēia mau hōʻailona i kekahi mau hana a i kekahi mau manawa o ka lā?

I ka manawa pinepine, e lawe kāu kauka i kahi hāpana wai mai kou hui (joint aspiration a i ʻole arthrocentesis). Pili kēia i ke kau ʻana i kahi nila lahilahi i loko o ka hui ʻeha a lawe i kahi hāpana o ka wai, a laila hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻokolokolo ʻana. E nānā ke keʻena hoʻokolohua iā ia ma lalo o kahi microscope e ʻike inā he mau ʻāpana CPP. ʻO kēia ke ala maikaʻi loa e hōʻoia ai i ka pseudogout.

E hoʻomanaʻo e hiki paha iā ʻoe ke ʻeha iki ke loaʻa ka wai i loko o kēia hui, ʻoiai inā pehu nui a ʻeha ka hui. Eia nō naʻe, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi lāʻau hoʻomāʻū e kōkua i ka hōʻemi ʻana i ka ʻeha.

Eia kekahi, hiki i ke kauka ke hana i nā hoʻokolohua kiʻi e nānā i nā waihona calcium i loko o nā hono (chondrocalcinosis). Hiki i kēia ke komo pū me:

• Nā kukuna X
• ʻIke CT (ʻike CT - ʻike tomography i helu ʻia)
• ʻO ke kiʻi MRI `(MRI - kiʻi resonance magnetic)`
• ʻO ke kiʻi ʻana o ka ultrasound `(Ultrasound)`

Hiki iā ʻoe ke hoʻohana i nā hoʻokolohua e like me.

He aha nā lāʻau lapaʻau maikaʻi loa no (Pseudogout)?

E paipai kāu kauka i nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i kāu mau hōʻailona a hoʻēmi i ke alapine o nā hoʻouka pseudogout. ʻO nā lāʻau lapaʻau maʻamau ka lāʻau lapaʻau.

• Nā NSAID (NSAID - nā lāʻau anti-inflammatory nonsteroidal): He mau lāʻau ʻeha kēia a me nā lāʻau anti-inflammatory. Hiki iā ʻoe ke kūʻai i nā lāʻau lapaʻau ma ke kūʻai ʻole ʻia e like me ka ibuprofen a i ʻole naproxen. Eia naʻe, ʻaʻole pono nā kānaka a pau e hoʻohana i kēia mau NSAID.ʻOi loa aku inā he mau pilikia olakino ʻē aʻe kāu. No laila, mai hoʻohana i kēia lāʻau lapaʻau me ke kamaʻilio ʻole ʻana me ke kauka, a mai hoʻohana mau no nā lā he ʻumi a ʻoi.
• Corticosteroids: He mau lāʻau anti-inflammatory ikaika kēia i kuhikuhi ʻia e ke kauka. Hiki ke hāʻawi ʻia iā ʻoe ma ke ʻano he mau pila e lawe ai a i ʻole he pana cortisone pololei i loko o ka hui i hoʻopilikia ʻia.
• Colchicine: He lāʻau lapaʻau kēia i kuhikuhi ʻia e ke kauka e hōʻemi i ka mumū a me ka ʻeha. (Pseudogout) ʻOi aku ka maikaʻi o kēia lāʻau lapaʻau inā lawe ʻia i loko o 24 mau hola o ka hoʻomaka ʻana o kahi hoʻouka kaua. I kekahi manawa e haʻi aku paha kāu kauka iā ʻoe e lawe i kēia lāʻau lapaʻau ma kahi haʻahaʻa no kahi manawa lōʻihi e hōʻemi i ke alapine o nā hoʻouka kaua.
• Nā inikini biologic: I kekahi manawa, e ʻōlelo paha kāu kauka i nā inikini e like me anakinra a i ʻole canakinumab e kōkua i ka kaohi ʻana i nā hoʻouka pseudogout. Hana like kēia mau lāʻau lapaʻau me ka colchicine. ʻOiai ua ʻae ʻia lākou e ka Food and Drug Administration (FDA) e mālama i nā ʻano ʻē aʻe o ka arthritis, ʻaʻole i ʻae ʻia lākou e mālama i ka pseudogout. ʻO ke ʻano kēia, ʻaʻole paha e uhi kāu ʻinikua iā lākou, a ʻoi aku paha ke kumukūʻai ma mua o nā lāʻau lapaʻau ʻē aʻe.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka pseudogout?

Inā loaʻa iā ʻoe ka pseudogout, hiki iā ʻoe ke manaʻo e loaʻa nā hoʻouka ʻana o kēia mau hōʻailona e hele mai a hele aku. Hiki i kēia mau hoʻouka ke lilo i mea pinepine inā ʻaʻole ʻoe e ʻimi i ka lāʻau lapaʻau mai ke kauka.

ʻOiai inā ʻoe e loaʻa ana i ka lāʻau lapaʻau, hiki ke piʻi aʻe ka pinepine o kēia mau 'hoʻouka' me ka ʻelemakule. He mea maʻamau kēia.

Hiki ke pale ʻia ka pseudogout?

ʻO kaʻoiaʻiʻo, ʻaʻohe ala kikoʻī e pale aku ai i ka pseudogout i kēia manawa. Akā ke noiʻi nei nā kānaka ʻepekema e ʻike pono i ke kumu e hana ai ko mākou kino i nā ʻāpana he nui o kēia mau "(CPP)".

ʻO ka kaohi ʻana i kāu mau pilikia olakino ʻē aʻe (e like me ka maʻi diabetes, ke koko kiʻekiʻe) e kōkua paha i ka hōʻemi ʻana i ke alapine (pseudogout) o kēia mau 'hoʻouka'.

Loaʻa i kekahi poʻe nā hōʻailona pinepine ma mua o nā poʻe ʻē aʻe. Inā loaʻa iā ʻoe kahi 'hoʻouka' pseudogout, ʻaʻole ia kou hewa, a mai manaʻo ua hana hewa ʻoe. ʻAʻohe mea hoʻonāukiuki pololei e hiki iā ʻoe ke hoʻololi a pale aku paha.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha koke a koʻikoʻi ma kekahi o kou mau hono, ʻoiai inā pehu ka hono, ʻulaʻula, a ʻeleʻele paha, e ʻike koke i ke kauka. Ua like loa nā hōʻailona o ka pseudogout me nā hōʻailona o ka gout , kekahi mau maʻi bacteria, a me nā kūlana ʻē aʻe e pono ai ka mālama koke ʻana.

Eia kekahi, inā loaʻa iā ʻoe nā hoʻouka ʻana o ka pseudogout ma mua o ka maʻamau, a inā ʻoi aku ka koʻikoʻi o kāu mau hōʻailona ma mua o ka maʻamau, e haʻi i kāu kauka e pili ana i kēlā.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke hālāwai ʻoe me ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Loaʻa iaʻu ka pseudogout, a i ʻole kekahi ʻano ʻē aʻe o ka arthritis?
• He aha nā hoʻokolohua e pono iaʻu e hana?
• He aha kaʻu e hana ai e pale aku i nā 'hoʻouka kaua' e hiki mai ana (pseudogout)?
• He aha ka lāʻau lapaʻau maikaʻi loa e kāohi ai i koʻu mau hōʻailona?

Hiki i ka meaʻai a me ka mea inu ke hoʻoulu i kahi hoʻouka (pseudogout)?

He nīnau kēia a nā poʻe he nui e nīnau ai, a he nīnau koʻikoʻi hoʻi ia. Hiki i nā mea āu e ʻai ai a inu ai ke hoʻoulu i kahi hoʻouka ʻana o ka pseudogout? ʻO ka pane maʻamau ʻaʻole. ʻO kēia kekahi o nā ʻokoʻa nui ma waena o ka pseudogout a me ka gout .

ʻO ka ʻai ʻana i kekahi mau meaʻai (ʻoi aku ka ʻiʻo a me nā iʻa i kiʻekiʻe i nā purines, a me ka waiʻona e like me ka pia) hiki ke hoʻoulu i ka hoʻouka ʻana o ka gout . ʻO kēia no ka mea ke hoʻoheheʻe ʻia kēlā mau meaʻai, hana ke kino i ka nui o ka uric acid. ʻO ia ke kumu e ʻōlelo ʻia ai ka poʻe me ka gout e hahai i kahi papaʻai haʻahaʻa i nā purines.

Eia nō naʻe, i loko o ka pseudogout, ʻaʻole hōʻiliʻili nā ʻāpana CPP i loko o ke kino e like me ka uric acid. No laila, ʻaʻole pili pono ka pseudogout i ka mea āu e ʻai ai a inu paha.

ʻOiaʻiʻo, hiki i kāu kauka ke aʻo iā ʻoe e ʻai a pale paha i kekahi mau meaʻai e mālama i kou olakino holoʻokoʻa a i ʻole e mālama i nā kūlana ʻē aʻe āu e loaʻa ai, akā ʻaʻole no ka pseudogout.

ʻOiai ʻo ka inoa ʻo Pseudogout ke ʻano o ka gout 'wahaheʻe', ʻaʻole hoʻopunipuni ka ʻeha, ka pehu, a me ka ʻoluʻolu ʻole āu e manaʻo ai. Hiki ke paʻakikī loa ke hoʻomanawanui. Hiki ke hoʻonāukiuki i ka hiki ʻole ke pale aku iā Pseudogout. Eia nō naʻe, hiki i nā poʻe he nui ke hoʻohana i ka hui pū ʻana o nā lāʻau lapaʻau kūpono e hōʻemi i ka hopena o Pseudogout i ko lākou ola o kēlā me kēia lā.

Hiki ke loaʻa iā ʻoe nā hoʻouka ʻana mai kēlā manawa a i kēia manawa, akā hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i nā ala e hoʻokele ai i kāu mau hōʻailona.

He aha nā mea nui a kākou e hoʻomanaʻo ai mai kēia moʻolelo mai?

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO ka Pseudogout kahi ʻano maʻi ʻaʻai e hiki koke mai ana, me ka ʻeha nui o nā hono a me ka pehu.
• ʻO kēia ke kumu o ka waiho ʻana o nā ʻāpana i kapa ʻia ʻo calcium pyrophosphate (CPP) i loko o nā hono.
• ʻAʻole e like me ka gout , ʻaʻole i hoʻonui pololei ʻia kēia maʻi e ka meaʻai a me ka mea inu.
• Inā ʻike ʻoe i kēia mau hōʻailona, ​​e ʻike pono i ke kauka no ka hōʻoia pololei.
• ʻO nā koho lapaʻau e komo pū me nā painkiller a me nā lāʻau anti-inflammatory, hiki ke kōkua i ka kaohi ʻana i nā hōʻailona.
• ʻOiai ʻaʻole hiki ke pale loa ʻia kēia, hiki i ka lāʻau lapaʻau ke hoʻomaikaʻi i ka maikaʻi o ke ola.

No laila, inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, ​​​​mai makaʻu e ʻike i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. He mea nui loa ka ʻike mua a me ka mālama ʻana.

ʻO Pseudogout, Chondrocalcinosis, CPPD, ʻEha hui, Pehu hui, Calcium pyrophosphate, Arthritis