Yu jɔyn dɛn kin at ɔ swel wantɛm wantɛm? Dis kin bi pseudogout!

Yu dɔn ɛva wek na mɔnin ɛn wantɛm wantɛm yu si se yu jɔyn lɛk yu ni ɔ yu an rɛd, i dɔn swel, ɛn i de fil pen we yu nɔ go ebul fɔ bia? Ɔ sɔntɛm yu bin de go slip na nɛt ɛn yu nɔ bin gɛt ɛni prɔblɛm, dɔn yu wek na mɔnin wit dis kayn bad bad pen? Sɔmtɛm dis kin bi wan sik wae wi nɔr kin ivin tink bɔt, lɛk at at sik, wae na wan sik wae kin kam wit joyn wae de swel. Wi go tɔk bɔt dis kayn sik tide.

Wetin na dis (Pseudogout)?

Fɔ tɔk am simpul wan, pseudogout na wan kayn at at sik bak. Bɔt i kin apin wantɛm wantɛm, ɛn yu nɔ kin wɔn yu , wit bad bad pen ɛn swel na yu jɔyn dɛn. I kin tan lɛk se sɔntin de slip pan yu.

Pan ɔl we dis sik (pseudogout) kin afɛkt ɛni jɔyn na yu bɔdi, dɛn kin si am mɔ pan dɛn jɔyn ya:

• Na di ni dɛn
• Na di an ɛn di an dɛn
• Na di sholda dɛn
• Na di hip ɛn di jɔyn dɛn we gɛt fɔ du wit am
• Na di ɛlb dɛn
• Na di ankles

Dɔktɔ dɛn kin yuz sɔm ɔda nem dɛn fɔ dis sik (Pseudogout). Sɔntɛm yu dɔn yɛri dɛn nem ya:

• di kכlsiכm payrofכsfεt dεposit (CPPD): dis min se wan kεmikכl we dεn kכl kalsiכm payrofכsfεt de dכn na di jכint dεm.
• Calcium pyrophosphate arthritis: Dis na di jɔyn inflameshn we di kalsiɔm payrofosfɛt kin mek.
• di chondrocalcinosis: dis de tכk bכt di dεposishכn fכ kalsiכm na di sכft tisu dεm na di joyn dεm we dεn kכl kכtilaj.

Ɔl dɛn nem ya de tɔk bɔt di sem sik we pɔsin kin gɛt. So, if di dɔktɔ menshɔn wan pan dɛn nem ya, nɔ wɔri, i min dis (Pseudogout).

Wetin na di difrɛns bitwin Pseudogout ɛn Gout ?

Naw yu kin de tink se, "O, na di sem jɔyn sik we dɛn kɔl Gaut ?" fכ tru, bכku tin dεm de we fiba bitwin di tu, na dat mek dεn kכl am ‘pseudo-gout’. Di wɔd ‘pseudo’ min ‘false’ ɔ ‘fake’. So dis na lɛk ‘pseudo gout ’.

Bɔt klia difrɛns de bitwin dɛn tu.

• Gaut kin apin we wan kemikal we dɛn kɔl yurik asid bɔku na yu blɔd (wan sik we dɛn kɔl hyperuricemia). afta dat dεn shap kristכl dεm ya fכ yurik asid de dכpכt na di jכint dεm, we de mek dεn inflameshn.
• di pseudogout de kכz fכ wan komplit difrεnt tכp kristכl dεm we de kכmכt na di jכyn dεm. Dɛn kɔl dɛn kalsiɔm payrofɔsfɛt (CPP) kristal. na dat mek dεn kכl am bak ``Kalsiכm payrofכsfεt dεposishכn''.

Wan ɔda difrɛns na, gaut.di gכt kin afekt di joyn we yu big tכ de kכnekt to yu fut (di mεtatarsophalangeal (MTP) jכint). Pseudogout nɔ kin involv da jɔyn de. Bifo dat, i kin afɛkt big jɔyn dɛn lɛk di ni ɛn an.

Wetin na di sayn dɛm fɔ (Pseudogout)?

Us simptom yu go gɛt pan dis sik (Pseudogout)? Mek wi tek wan luk:

• Di pen we yu jɔyn dɛn kin fil wantɛm wantɛm ɛn we yu nɔ kin ebul fɔ bia na di men sayn.
• Skin kin chenj ɔ i kin rɛd. Di skin we de rawnd di jɔyn we de pen kin tɔn rɛd.
• De swɛl. Di jɔyn we di sik afɛkt kin rili swel.
• Stif na di jɔyn. I kin at fɔ bɛn ɔ stret di jɔyn.
• Filin fɔ wam insay ɔ rawnd di jɔyn. Yu kin fil wam we yu tɔch am wit yu an.

Dɛn sayn ya nɔr kin de sote go. Dɛn kin kam ɛn go. Dɛn kin kam insay wef. Wi kin kɔl dɛn tin ya flawa ɔ atak. (Pseudogout) Wan ‘atak’ de stat wantɛm wantɛm. Bifo yu fil lɛk se yu sik de wɔs smɔl smɔl, yu kin gɛt ɔl yu sik dɛn wan tɛm. ‘Atak’ lɛk dis kin te frɔm sɔm dez to sɔm wiks, ɛn sɔmtɛm i kin ivin te.

Wetin mek dis (Pseudogout) kin apin?

di men rizin fכ dis na, lεk aw wi bin dכn tכk, di sכm sכm sכm pauda pat dεm fכ wan tin we dεn kכ l kalsiכm payrofכsfεt (CPP) insay yu joyn dεm we dεn afekt. dis dεm de kכmכt na di kכtilaj (di sכft pat we de mek di bon dεm nכ de rכb pan dεn wan) insay di jכint dεm εn insay di tכn mεmbran dεm (synovial membranes) we de rawnd di joyn dεm εn gi wan sekreshכn we lεk כyl to di joyn dεm. ova tεm, dεn `(CPP)` patikyula dεm ya de kכlכm tכgeda insay di joyn dεm, we de mek da penful 'atכk' de.

Bɔt sayɛnsman dɛn stil nɔ shɔ wetin mek yu bɔdi de mek mɔ `(CPP)` ɛn wetin mek i kin de na yu jɔyn dɛn. Sɔm stɔdi dɛn dɔn sho se i kin kɔmɔt frɔm yu mama ɛn papa, we min se if yu mama ɛn papa gɛt am, yu pikin dɛnsɛf kin gɛt am. Fɔ ɔda pipul dɛn, dis sik kin kam afta dɛn dɔn wund dɛn jɔyn. dεn kin tink bak se sכm mεtabolik כ εndokrin kכndishכn dεm (pseudogout) kin mek am bak.

Udat de pan ay risk fɔ gɛt pseudogout?

Pan ɔl we ɛnibɔdi kin gɛt pseudogout, i kin bɔku pan pipul dɛn we dɔn pas 65. Apat frɔm dat, pipul dɛn we gɛt sɔm kayn sik dɛn we nɔ de mɛn kin gɛt pseudogout. Fɔ ɛgzampul:

• Di magnɛsiɔm we nɔ bɔku na di blɔd (Hypomagnesemia) .
• Di sik we dɛn kɔl haypaparatayroyd
• Tayrɔyd sik
• Ayɔn we pasmak na di bɔdi (Hemochromatosis) .
• Hypophosphatasia (di minral dεm we nɔ fayn na di bon dεm) .
• Ɔstiopenia we pɔsin kin gɛt
• Kidni sik we nɔ de mɛn (CKD) .

Dɔn bak, pipul dɛm wae dɔn ɔlrɛdi gɛt ɔda kayn at at sik (pseudogout) kin gɛt am bak. Ɛgzampul dɛn:

• Gout we pɔsin kin gɛt
• Ɔstiɔ-arayt (jɔyn pen) .
• Rimatɔyd at at sik
• Arthritis we kin apin afta pɔsin dɔn fil bad

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt pseudogout?

if dεn nכ trit dis kכndyushכn (Pseudogout) kin mek mכr fכs εn mכr siriכs penful ‘flares’. Dis min se yu pen go jɔs wɔs. fכ sכm pipul dεm, if dεn ‘CPP’ fragmεnt ya lod rawnd di bon dεm na di כp pat na di nεk, dεn kin mek dεn simptom dεm lεk ed pen כ nεk pen .

Aw dɔktɔ dɛn kin no if pɔsin gɛt pseudogout?

We yu go to dɔktɔ, i go chɛk yu ɛn du sɔm tɛst fɔ no if yu gɛt pseudogout. Di dɔktɔ go chɛk yu jɔyn dɛn ɛn aks yu bɔt di sayn dɛn we yu gɛt. Da tɛm de, mek shɔ se yu tɔk klia wan bɔt dɛn tin ya:

• Ustɛm yu fɔs notis dɛn sayn ya?
• I tan lɛk se dɛn sayn ya kin kam ɛn go.
• Dɛn sik ya kin bɔku (ɔ kin stɔp) we dɛn de du sɔm tin dɛn ɔ sɔm tɛm dɛn na di de?

Bɔku tɛm, yu dɔktɔ go tek wan sɛmpul fɔ wata frɔm yu jɔyn (jɔyn aspireshɔn ɔ atrɔsɛntɛsis). Dis min se dɛn fɔ put wan tint nidul insay di jɔyn we de pen ɛn tek wan sɛmpul pan di wata, dɔn dɛn kin sɛn am na lɛbɔtri fɔ mek dɛn chɛk am. Di lab go luk am ɔnda maykroskɔp fɔ si if ɛni CPP patikyula de. Dis na di bɛst we fɔ kɔnfɔm pseudogout.

Yu fɔ mɛmba se yu kin fil sɔm pen we yu gɛt wata na dis jɔyn, mɔ if di jɔyn dɔn swel bad bad wan ɛn i de fil pen. Bɔt yu dɔktɔ kin gi yu wan mɛrɛsin we de mek yu nɔ fil fayn fɔ ɛp fɔ mek yu nɔ fil pen.

apat frכm dat, di dכkta kin du imej tεst dεm bak fכ chεk fכ di kalsiכm dεposit dεm na di jכint dεm (chondrocalcinosis). Dis kin inklud:

• X-ray we dɛn kin du
• CT skan (CT skan - kɔmpyuta tomografi skan) .
• MRI skan `(MRI - magnɛtik rɛsɔnans imej)`
• Ultrasound skan `(Oltrasaund)`

Yu kin yuz tɛst dɛn lɛk.

Wetin na di bɛst tritmɛnt fɔ (Pseudogout)?

Yu dɔktɔ go tɛl yu fɔ gi yu tritmɛnt fɔ ɛp fɔ kɔntrol yu sik ɛn fɔ ridyus di pseudogout atak. Di tritmɛnt dɛn we dɛn kin yuz mɔ na di mɛrɛsin dɛn.

• NSAID (N.S.A.I.D. - nonsteroidal anti-inflammatory drugs): Dɛn wan ya na pen kil ɛn anti-inflammatory drɔgs. Yu kin bay ɔva-di-kɔnta drɔgs lɛk ibuprofen ɔ naproxen. Bɔt nɔto ɔlman fɔ yuz dɛn NSAID ya.Ɛspɛshali if yu gɛt ɔda wɛlbɔdi prɔblɛm dɛn. So, nɔ yuz dis mɛrɛsin we yu nɔ tɔk to dɔktɔ, ɛn nɔ yuz am ɔltɛm fɔ pas tɛn dez.
• Kɔtikosterɔyd: Dɛn wan ya na pawaful mɛrɛsin dɛn we de mek pɔsin nɔ fil bad we dɔktɔ gi am. Dɛn kin gi yu as pils fɔ tek ɔ as kɔtizɔn shot dairekt insay di jɔyn we afɛkt.
• Kɔlchisin: Dis na mɛrɛsin bak we dɔktɔ kin gi fɔ ridyus di inflamɛns ɛn pen. (Pseudogout) Dis mɛrɛsin kin wok fayn if yu tek am insay 24 awa afta di atak bigin. Sɔntɛnde yu dɔktɔ kin tɛl yu fɔ tek dis mɛrɛsin wit smɔl doz fɔ lɔng tɛm fɔ mek yu nɔ gɛt bɔku atak.
• Bayolojikal injɛkshɔn: Sɔntɛnde yu dɔktɔ kin tɛl yu fɔ tek injɛkshɔn lɛk anakinra ɔ canakinumab fɔ ɛp fɔ kɔntrol di pseudogout atak. Dɛn mɛrɛsin ya kin wok di sem we lɛk kolchisin. Pan ɔl we di Food and Drug Administration (FDA) dɔn gri fɔ trit ɔda kayn at at sik, dɛn nɔ ɔfishal wan gri fɔ trit pseudogout yet. Dis min se yu inshɔrans nɔ go kɔba dɛn, ɛn dɛn kin dia pas ɔda tritmɛnt dɛn.

Wetin a fɔ ɛkspɛkt if a gɛt pseudogout?

If yu gɛt pseudogout, yu kin ɛkspɛkt fɔ gɛt atak fɔ dɛn kayn sik ya we kin kam ɛn go. Dɛn atak ya kin kam mɔr if yu nɔr go to dɔktɔ.

Ivin if yu de gɛt tritmɛnt, di frɛkuɛns fɔ dɛn ‘atak’ ya kin bɔku wit yu ej. Dis na nɔmal tin.

Yu tink se dɛn kin mek dɛn nɔ gɛt pseudogout?

Infakt, naw, no patikyula we nɔ de fɔ mek dɛn nɔ gɛt pseudogout. Bɔt sayɛnsman dɛn stil de du risach fɔ no klia wan wetin mek wi bɔdi de mek tumɔs pan dɛn ``(CPP)`` fragmɛnt ya.

Fɔ kɔntrol yu ɔda wɛl bɔdi kɔndishɔn (e.g., dayabitis, ay blɔd prɛshɔn) kin ɛp fɔ ridyus di frɛkuɛns fɔ dɛn (pseudogout) ‘atak’ ya.

Sɔm pipul dɛn kin gɛt dis sik ɔltɛm pas ɔda pipul dɛn. If yu gɛt pseudogout ‘atak’, nɔto yu fɔlt, ɛn nɔ tink se na bikɔs yu du sɔntin we nɔ rayt. Bɔrku tɛm, no dairekt trig nɔr de wae yu kin chenj ɔr stɔp.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt bad bad pen na wan pan yu jɔyn dɛn wantɛm wantɛm, mɔ if di jɔyn dɔn swel, rɛd, ɔ in kɔlɔ dɔn chenj, go to dɔktɔ wantɛm wantɛm. Di sayn dɛm fɔ pseudogout rili fiba di wan dɛm wae de kam wit gout , sɔm baktri infɛkshɔn, ɛn ɔda tin dɛm wae nid fɔ gɛt tritmɛnt kwik kwik wan.

Dɔn bak, if yu de gɛt mɔ atak dɛm fɔ pseudogout pas aw yu kin gɛt, ɔ if yu sik dɛn kin tranga pas aw yu kin gɛt, tɛl yu dɔktɔ bɔt dat bak.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu mit di dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• A gɛt pseudogout, ɔ ɔda kayn at at sik?
• Us tɛst dɛn a go gɛt fɔ du?
• Wetin a kin du fɔ mek a nɔ gɛt ‘atak’ tumara bambay (pseudogout)?
• Wetin na di bɛst mɛrɛsin fɔ kɔntrol mi sik dɛn?

Yu tink se it ɛn drink kin mek pɔsin atak (pseudogout)?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks, ɛn na impɔtant wan. Di tin dɛm we yu de it ɛn drink kin mek yu gɛt pseudogout atak? Bɔku tɛm, di ansa na nɔ. Dis na wan pan di men difrɛns bitwin pseudogout ɛn gout .

If yu it sɔm it dɛn (espɛshali mit ɛn fish we gɛt bɔku purin, ɛn rɔm lɛk bia) i kin mek yu gɛt gaut atak. Dis na bikɔs we dɛn it dɛn it dɛn de, di bɔdi kin mek mɔ yurik asid. Na dat mek dɛn kin advays pipul dɛn we gɛt gaut fɔ fala di it we nɔ gɛt bɔku purines.

כltu, insay pseudogout, di CPP fragmεnt dεm nכ de akumulet na di bכdi lεk yurik asid. So, pseudogout nɔ kin gɛt ɛnitin fɔ du wit wetin yu de it ɔ drink.

Na tru se yu dɔktɔ kin advays yu fɔ it ɔ avɔyd sɔm it dɛn fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi ɔ fɔ mek yu ebul fɔ kɔntrol ɔda tin dɛn we yu kin gɛt, bɔt nɔto fɔ pseudogout nɔmɔ.

Pan ɔl we di nem Pseudogout min ‘false’ gout , di pen, swel, ɛn diskɔmfɔt we yu kin fil nɔto fek. I kin rili at fɔ bia. I kin mek yu at pwɛl we yu nɔ ebul fɔ stɔp Pseudogout. Bɔt bɔku pipul dɛn kin yuz wan kɔmbaynshɔn fɔ di rayt mɛrɛsin fɔ mek dɛn nɔ gɛt di impak we Pseudogout gɛt pan dɛn ɛvride layf.

Yu kin gɛt atak wan wan tɛm, bɔt yu dɔktɔ kin ɛp yu fɔ fɛn we fɔ kɔntrol yu sik dɛn.

Wetin na di impɔtant tin dɛn we wi fɔ mɛmba frɔm dis stori?

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Pseudogout na wan kayn at at sik we kin kam wantɛm wantɛm, wit siriɔs pen na di jɔyn dɛn ɛn swel.
• dis de bi fכ di diposishכn fכ di fragmεnt dεm we dεn kכl kalsiכm payrofכsfεt (CPP) insay di jכint dεm.
• Dis sik nɔ kin tan lɛk gout , i nɔ kin ambɔg am dairekt wan bay we i de it ɛn drink.
• If yu gɛt dɛn sik ya, mek shɔ se yu go to dɔktɔ fɔ no di kɔrɛkt tin bɔt yu sik.
• Di tritmɛnt opshɔn dɛm na fɔ mɛn pen ɛn mɛrɛsin dɛm wae de mek pɔrsin nɔr de fil fayn, wae kin ɛp fɔ kɔntrol di sik dɛm.
• Pan ɔl we dɛn nɔ go ebul fɔ stɔp dis kpatakpata, tritmɛnt kin mek di layf bɛtɛ.

So, if yu ɔr pɔrsin wae yu sabi gɛt dɛn sik ya, nɔr frayd fɔ go to dɔktɔ ɛn gɛt advays. Fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant.

` Pseudogout, Chondrocalcinosis, CPPD, Jɔyn pen, Jɔyn swɛlin, Kalsiɔm payrofɔsfɛt, Atraytis