Koj cov pob qij txha puas mob lossis o tam sim ntawd? Qhov no yuav yog pseudogout!

Puas muaj ib zaug koj sawv thaum sawv ntxov thiab pom ib qho pob qij txha xws li koj lub hauv caug lossis dab teg liab, o, thiab mob heev uas tsis tuaj yeem ua tau? Los yog tej zaum koj mus pw thaum hmo ntuj yam tsis muaj teeb meem dab tsi, thiab tom qab ntawd sawv thaum sawv ntxov nrog hom mob hnyav no? Qhov no qee zaum tuaj yeem yog ib qho mob uas peb tsis xav txog, xws li mob pob qij txha, uas yog ib qho mob uas los nrog pob qij txha o. Peb yuav tham txog cov kab mob zoo li no hnub no.

Qhov no yog dab tsi (Pseudogout)?

Hais yooj yim xwb, pseudogout kuj yog ib hom mob pob qij txha. Tab sis nws tshwm sim sai sai, tsis muaj lus ceeb toom , nrog rau mob hnyav thiab o hauv koj cov pob qij txha. Nws zoo li muaj ib yam dab tsi nkag los rau ntawm koj.

Txawm hais tias tus mob no (pseudogout) tuaj yeem cuam tshuam rau txhua qhov pob qij txha hauv koj lub cev, nws feem ntau pom muaj nyob rau hauv cov pob qij txha no:

• Hauv cov hauv caug
• Hauv tes thiab dab teg
• Hauv xub pwg nyom
• Hauv lub duav thiab cov pob qij txha uas cuam tshuam
• Hauv cov luj tshib
• Hauv cov pob luj taws

Cov kws kho mob siv ntau lub npe rau tus mob no (Pseudogout). Tej zaum koj yuav tau hnov ​​​​​​cov npe no:

• Calcium pyrophosphate deposition (CPPD): Qhov no txhais tau tias cov tshuaj hu ua calcium pyrophosphate tau tso rau hauv cov pob qij txha.
• Calcium pyrophosphate mob pob qij txha: Qhov no yog mob pob qij txha uas tshwm sim los ntawm calcium pyrophosphate.
• Chondrocalcinosis: Qhov no hais txog qhov tso calcium hauv cov nqaij mos ntawm cov pob qij txha hu ua cartilage.

Tag nrho cov npe no hais txog tib yam mob. Yog li, yog tias tus kws kho mob hais ib lub npe no, tsis txhob txhawj, nws txhais tau li no (Pseudogout).

Qhov txawv ntawm Pseudogout thiab Gout yog dab tsi?

Tam sim no koj yuav xav tias, "Auj, qhov no puas yog tib yam kab mob sib koom ua ke hu ua Gout ?" Qhov tseeb, muaj ntau yam zoo sib xws ntawm ob qho no, yog vim li cas nws thiaj hu ua 'pseudo-gout'. Lo lus 'pseudo' txhais tau tias 'cuav' lossis 'cuav'. Yog li qhov no zoo li 'pseudo gout '.

Tiam sis muaj qhov sib txawv meej ntawm ob qho no.

• Kab mob gout tshwm sim thaum muaj cov tshuaj hu ua uric acid ntau dhau hauv koj cov ntshav (ib yam mob hu ua hyperuricemia). Cov kua qaub uric acid ntse no ces yuav tso rau hauv cov pob qij txha, ua rau o.
• Pseudogout yog tshwm sim los ntawm ib hom crystals sib txawv kiag li uas sib sau ua ke hauv cov pob qij txha. Lawv hu ua calcium pyrophosphate (CPP) crystals. Yog vim li ntawd nws thiaj hu ua "Calcium pyrophosphate deposition".

Lwm qhov txawv yog, gout.Feem ntau mob pob qij txha uas koj tus ntiv taw loj txuas nrog koj txhais taw (qhov pob qij txha metatarsophalangeal (MTP). Feem ntau qhov mob pob qij txha no tsis cuam tshuam rau qhov pob qij txha ntawd. Tiam sis, feem ntau nws cuam tshuam rau cov pob qij txha loj xws li lub hauv caug thiab dab teg.

Cov tsos mob ntawm (Pseudogout) yog dab tsi?

Koj yuav muaj cov tsos mob li cas hauv tus mob no (Pseudogout)? Cia peb saib seb:

• Mob pob qij txha uas mob sai sai thiab tsis tuaj yeem ua tau yog cov tsos mob tseem ceeb.
• Daim tawv nqaij hloov xim lossis liab. Daim tawv nqaij nyob ib puag ncig qhov pob qij txha uas mob yuav liab.
• o. Qhov pob qij txha uas raug mob yuav o heev.
• Mob pob qij txha. Nws nyuaj rau khoov lossis ncaj pob qij txha.
• Muaj qhov sov so hauv lossis ib ncig ntawm qhov pob qij txha. Tej zaum koj yuav hnov ​​sov so thaum koj kov nws nrog koj txhais tes.

Cov tsos mob no tsis kav ntev mus ib txhis. Lawv tuaj thiab mus. Lawv tuaj ua nthwv dej. Peb hu cov no ua flares lossis tawm tsam. (Pseudogout) Ib qho 'kev tawm tsam' pib tam sim ntawd. Es tsis txhob xav tias koj cov tsos mob maj mam zuj zus tuaj, koj yuav muaj tag nrho koj cov tsos mob ib zaug. Ib qho 'kev tawm tsam' zoo li no tuaj yeem kav ntev li ob peb hnub mus rau ob peb lub lis piam, thiab qee zaum ntev dua.

Vim li cas qhov no (Pseudogout) thiaj tshwm sim?

Qhov laj thawj tseem ceeb rau qhov no yog, raws li tau hais ua ntej lawm, qhov uas cov khoom me me, zoo li hmoov av ntawm cov tshuaj hu ua calcium pyrophosphate (CPP) tso rau hauv koj cov pob qij txha uas raug mob. Cov no sib sau ua ke hauv cov pob txha mos (qhov mos mos uas tiv thaiv cov pob txha kom tsis txhob sib txhuam) hauv cov pob qij txha thiab hauv cov ntaub nyias nyias (synovial membranes) uas nyob ib puag ncig cov pob qij txha thiab muab cov roj zoo li cov kua qaub rau cov pob qij txha. Raws li lub sijhawm dhau mus, cov khoom me me '(CPP)' no sib sau ua ke hauv cov pob qij txha, ua rau mob 'nres'.

Txawm li cas los xij, cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas koj lub cev tsim ntau dua '(CPP)' thiab vim li cas nws thiaj li tso rau hauv koj cov pob qij txha. Qee qhov kev tshawb fawb qhia tias nws yuav yog los ntawm noob caj noob ces, txhais tau tias yog tias koj niam koj txiv muaj nws, koj cov menyuam muaj feem yuav mob nws thiab. Rau lwm tus, qhov mob no yuav tshwm sim tom qab raug mob pob qij txha. Nws kuj xav tias qee qhov mob metabolic lossis endocrine (pseudogout) kuj tseem yuav ua rau nws.

Leej twg muaj feem yuav mob pseudogout ntau dua?

Txawm hais tias leej twg los yeej muaj mob pseudogout, feem ntau nws tshwm sim rau cov neeg hnub nyoog tshaj 65 xyoo. Tsis tas li ntawd xwb, cov neeg uas muaj tej yam mob ntev ntev muaj feem yuav mob pseudogout ntau dua. Piv txwv li:

• Cov magnesium qis hauv cov ntshav (Hypomagnesemia)
• Kev mob hyperparathyroidism
• Kab mob thyroid
• Muaj hlau ntau dhau hauv lub cev (Hemochromatosis)
• Hypophosphatasia (kev tso cov pob zeb tsis zoo hauv cov pob txha)
• Kev mob pob txha tsis muaj zog
• Kab mob raum ntev (CKD)

Tsis tas li ntawd xwb, cov neeg uas twb muaj lwm hom mob pob qij txha (pseudogout) kuj tuaj yeem mob tau. Piv txwv li:

• Mob pob qij txha
• Mob pob qij txha (mob pob qij txha)
• Mob pob qij txha caj qaum
• Mob pob qij txha tom qab raug mob

Cov teeb meem uas yuav tshwm sim los ntawm pseudogout yog dab tsi?

Yog tias tsis kho, qhov mob no (Pseudogout) tuaj yeem ua rau mob 'flares' ntau zaus thiab hnyav dua. Qhov no txhais tau tias koj qhov mob tsuas yog yuav hnyav zuj zus xwb. Rau qee tus neeg, yog tias cov 'CPP' no nyob ib puag ncig cov pob txha hauv sab saud ntawm lub caj dab, lawv kuj tuaj yeem ua rau muaj cov tsos mob xws li mob taub hau lossis mob caj dab .

Cov kws kho mob kuaj mob pseudogout li cas?

Thaum koj mus ntsib kws kho mob, nws yuav kuaj koj thiab ua qee qhov kev kuaj mob kom paub tseeb tias koj puas muaj mob pseudogout. Tus kws kho mob yuav kuaj koj cov pob qij txha thiab nug txog koj cov tsos mob. Thaum ntawd, nco ntsoov hais meej meej cov hauv qab no:

• Koj thawj zaug pom cov tsos mob no thaum twg?
• Cov tsos mob no zoo li tuaj thiab mus.
• Cov tsos mob no puas nce ntxiv (lossis txo qis) thaum lub sijhawm ua ub ua no lossis thaum lub sijhawm twg ntawm hnub?

Feem ntau, koj tus kws kho mob yuav coj ib qho kua los ntawm koj cov pob qij txha (kev rho cov pob qij txha los yog kev kuaj mob pob qij txha). Qhov no suav nrog kev ntxig ib rab koob nyias nyias rau hauv cov pob qij txha uas mob thiab coj ib qho kua, uas tom qab ntawd xa mus rau chav kuaj mob kom kuaj. Chav kuaj mob yuav saib nws hauv qab lub tshuab microscope kom pom tias puas muaj cov khoom me me CPP. Qhov no yog txoj hauv kev zoo tshaj plaws los paub meej tias yog pseudogout.

Nco ntsoov tias koj yuav mob me ntsis thaum koj tau dej rau hauv qhov pob qij txha no, tshwj xeeb tshaj yog tias qhov pob qij txha o thiab mob heev. Txawm li cas los xij, koj tus kws kho mob tuaj yeem muab tshuaj loog rau koj kom pab txo qhov mob.

Ntxiv mus, tus kws kho mob kuj tseem yuav ua cov kev kuaj duab los xyuas seb puas muaj calcium nyob hauv cov pob qij txha (chondrocalcinosis). Qhov no yuav suav nrog:

• Cov duab X-ray
• Kev ntsuas CT (CT scan - computed tomography scan)
• Kev kuaj MRI '(MRI - magnetic resonance imaging')
• Kev kuaj mob ultrasound (Ultrasound)

Koj tuaj yeem siv cov kev ntsuam xyuas zoo li.

Cov kev kho mob zoo tshaj plaws rau (Pseudogout) yog dab tsi?

Koj tus kws kho mob yuav pom zoo cov kev kho mob los pab tswj koj cov tsos mob thiab txo qhov zaus ntawm kev tawm tsam pseudogout. Cov kev kho mob feem ntau yog cov tshuaj.

• Cov Tshuaj NSAIDs (N.S.A.I.D. - cov tshuaj uas tsis yog steroidal anti-inflammatory): Cov no yog cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kev o. Koj tuaj yeem yuav cov tshuaj uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj xws li ibuprofen lossis naproxen. Txawm li cas los xij, tsis yog txhua tus neeg yuav tsum siv cov tshuaj NSAIDs no.Tshwj xeeb tshaj yog tias koj muaj lwm yam teeb meem kev noj qab haus huv. Yog li ntawd, tsis txhob siv cov tshuaj no yam tsis tau nrog kws kho mob tham, thiab tsis txhob siv nws txuas ntxiv mus ntau tshaj kaum hnub.
• Cov tshuaj Corticosteroids: Cov no yog cov tshuaj tiv thaiv kev o uas muaj zog uas tus kws kho mob tau sau ntawv kom noj. Tej zaum yuav muab rau koj ua cov tshuaj ntsiav lossis txhaj tshuaj cortisone ncaj qha rau hauv cov pob qij txha uas raug mob.
• Colchicine: Qhov no kuj yog ib yam tshuaj uas kws kho mob tau sau ntawv kom txo qhov o thiab mob. (Pseudogout) Cov tshuaj no zoo tshaj plaws yog tias noj tsis pub dhau 24 teev tom qab pib mob. Qee zaum koj tus kws kho mob yuav qhia koj kom noj cov tshuaj no tsawg dua rau lub sijhawm ntev dua kom txo qhov zaus ntawm mob.
• Kev txhaj tshuaj biologic: Qee zaum koj tus kws kho mob yuav pom zoo kom txhaj tshuaj xws li anakinra lossis canakinumab los pab tswj kev tawm tsam pseudogout. Cov tshuaj no ua haujlwm zoo ib yam li colchicine. Txawm hais tias lawv tau txais kev pom zoo los ntawm Food and Drug Administration (FDA) los kho lwm hom mob pob qij txha, lawv tseem tsis tau txais kev pom zoo los kho pseudogout. Qhov no txhais tau tias koj daim ntawv pov hwm yuav tsis them rau lawv, thiab lawv yuav kim dua li lwm yam kev kho mob.

Yog tias kuv muaj mob pseudogout, kuv yuav tsum xav li cas?

Yog koj muaj mob pseudogout, koj yuav muaj cov tsos mob no uas tuaj thiab ploj mus. Cov tsos mob no yuav tshwm sim ntau dua yog tias koj tsis nrhiav kev kho mob los ntawm kws kho mob.

Txawm tias koj tau txais kev kho mob los xij, qhov zaus ntawm cov 'kev tawm tsam' no yuav nce ntxiv raws li hnub nyoog. Qhov no yog ib txwm muaj.

Puas tiv thaiv tau kab mob pseudogout?

Qhov tseeb, tam sim no tsis muaj ib txoj kev tshwj xeeb los tiv thaiv pseudogout. Tab sis cov kws tshawb fawb tseem tab tom tshawb nrhiav kom paub meej tias vim li cas peb lub cev tsim cov "(CPP)" no ntau dhau.

Kev tswj koj lwm yam mob (piv txwv li, ntshav qab zib, ntshav siab) yuav pab txo qhov zaus ntawm cov kev tawm tsam (pseudogout).

Muaj ib txhia neeg uas muaj cov tsos mob ntau dua li lwm tus. Yog tias koj raug tus kab mob pseudogout 'attack', nws tsis yog koj qhov txhaum, thiab tsis txhob xav tias nws yog vim koj ua qee yam tsis raug. Feem ntau tsis muaj cov yam ua rau koj mob uas koj tuaj yeem hloov lossis tiv thaiv tau.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj mob sai sai thiab mob hnyav rau ib qho ntawm koj cov pob qij txha, tshwj xeeb tshaj yog tias qhov pob qij txha o, liab, lossis hloov xim, mus ntsib kws kho mob tam sim ntawd. Cov tsos mob ntawm pseudogout zoo ib yam li cov mob gout , qee cov kab mob bacterial, thiab lwm yam mob uas xav tau kev kho mob tam sim ntawd.

Tsis tas li ntawd xwb, yog tias koj muaj ntau zaus mob pseudogout dua li niaj zaus, lossis yog tias koj cov tsos mob hnyav dua li niaj zaus, qhia rau koj tus kws kho mob txog qhov ntawd thiab.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj ntsib kws kho mob, koj tuaj yeem nug cov lus nug zoo li no:

• Kuv puas muaj mob pseudogout, los yog lwm hom mob pob qij txha?
• Kuv yuav tau ua cov kev ntsuam xyuas twg?
• Kuv ua tau dab tsi los tiv thaiv kev tawm tsam yav tom ntej (pseudogout)?
• Cov tshuaj twg zoo tshaj plaws los tswj kuv cov tsos mob?

Khoom noj thiab dej haus puas ua rau muaj kev tawm tsam (pseudogout)?

Qhov no yog ib lo lus nug uas ntau tus neeg nug, thiab nws yog ib lo lus nug tseem ceeb. Tej yam koj noj thiab haus puas ua rau mob pseudogout? Feem ntau cov lus teb yog tsis yog. Qhov no yog ib qho ntawm qhov sib txawv tseem ceeb ntawm pseudogout thiab gout .

Kev noj qee yam khoom noj (tshwj xeeb tshaj yog nqaij thiab ntses uas muaj purines ntau, thiab cawv xws li npias) tuaj yeem ua rau mob gout . Qhov no yog vim tias thaum cov khoom noj ntawd raug zom, lub cev tsim cov kua qaub uric ntau dua. Yog vim li ntawd cov neeg uas muaj mob gout thiaj li raug qhia kom ua raws li kev noj zaub mov uas muaj purines tsawg.

Txawm li cas los xij, hauv pseudogout, cov khoom CPP tsis sib sau ua ke hauv lub cev zoo li uric acid. Yog li ntawd, pseudogout feem ntau tsis muaj feem cuam tshuam ncaj qha rau yam koj noj lossis haus.

Tau kawg, koj tus kws kho mob yuav qhia koj kom noj lossis tsis txhob noj qee yam khoom noj kom tswj tau koj txoj kev noj qab haus huv lossis tswj hwm lwm yam mob uas koj muaj, tab sis tsis yog rau pseudogout.

Txawm hais tias lub npe Pseudogout txhais tau tias ' mob gout cuav', qhov mob, o, thiab tsis xis nyob uas koj hnov ​​tsis yog cuav. Nws tuaj yeem nyuaj heev rau ris. Nws tuaj yeem ua rau koj chim siab yog tias tsis tuaj yeem tiv thaiv Pseudogout. Txawm li cas los xij, ntau tus neeg tuaj yeem siv kev sib xyaw ua ke ntawm cov tshuaj tsim nyog los txo qhov cuam tshuam uas Pseudogout muaj rau lawv lub neej txhua hnub.

Tej zaum koj yuav muaj kev tawm tsam qee zaum, tab sis koj tus kws kho mob tuaj yeem pab koj nrhiav txoj hauv kev los tswj koj cov tsos mob.

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov los ntawm zaj dab neeg no yog dab tsi?

Zoo, yog li cia peb sau qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Pseudogout yog ib hom mob pob qij txha uas tshwm sim sai sai, nrog rau mob pob qij txha hnyav thiab o.
• Qhov no yog vim muaj cov khoom me me hu ua calcium pyrophosphate (CPP) tso rau hauv cov pob qij txha.
• Tsis zoo li mob gout , qhov mob no tsis ua rau mob hnyav dua los ntawm zaub mov thiab dej haus.
• Yog koj muaj cov tsos mob no, nco ntsoov mus ntsib kws kho mob kom paub tseeb tias koj mob.
• Cov kev xaiv kho mob suav nrog cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kev o, uas tuaj yeem pab tswj cov tsos mob.
• Txawm hais tias qhov no tsis tuaj yeem tiv thaiv tau tag nrho los xij, kev kho mob tuaj yeem txhim kho lub neej zoo dua.

Yog li ntawd, yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob no, tsis txhob ntshai mus ntsib kws kho mob thiab tau txais kev qhia. Kev kuaj mob thaum ntxov thiab kev kho mob yog qhov tseem ceeb heev.

Pseudogout , Chondrocalcinosis, CPPD, Mob pob qij txha, o ntawm pob qij txha, Calcium pyrophosphate, Mob pob qij txha