Wali ozuukuse ku makya n’osanga ekiwanga ng’okugulu oba engalo nga kimyufu, nga kizimba, era nga kiri mu bulumi obutagumiikiriza? Oba olyawo weebaka ekiro nga tolina buzibu bwonna, ate n’ozuukuka ku makya ng’olina obulumi obw’amaanyi obw’ekika kino? Eno oluusi eyinza okuba embeera gye tutalowoozaako wadde, gamba ng’endwadde z’enkizi, embeera ejja n’okuzimba ennyondo. Tugenda kwogera ku bulwadde bwe buti leero.

Kino (Pseudogout) kye ki?

Mu ngeri ennyangu, pseudogout nayo kika kya bulwadde bwa arthritis. Naye kibaawo mu bwangu, awatali kulabula kwonna , ng’olina obulumi obw’amaanyi n’okuzimba mu binywa byo. Kiwulira ng’ekintu ekikwekwese.

Wadde embeera eno (pseudogout) esobola okukosa ekiwanga kyonna mu mubiri gwo, esinga kulabibwa mu binywa bino:

• Mu maviivi
• Mu ngalo n’engalo
• Mu bibegabega
• Mu kiwato n’ennyondo ezikwatagana nabyo
• Mu bikoona
• Mu bisambi

Abasawo bakozesa amannya amalala agawerako ku mbeera eno (Pseudogout). Oyinza okuba nga wali owulidde amannya gano:

• Calcium pyrophosphate deposition (CPPD): Kino kitegeeza nti eddagala eriyitibwa calcium pyrophosphate liteekebwa mu binywa.
• Calcium pyrophosphate arthritis: Buno buzimba bwa binywa obuva ku calcium pyrophosphate.
• Chondrocalcinosis: Kino kitegeeza okuteekebwa kwa calcium mu bitundu ebigonvu eby’ennyondo ebiyitibwa cartilage.

Amannya gano gonna gategeeza embeera y’emu ey’obujjanjabi. Kale, omusawo bw’ayogera ku limu ku mannya gano, teweeraliikiriranga, kitegeeza kino (Pseudogout).

Njawulo ki eriwo wakati wa Pseudogout ne Gout ?

Kati oyinza okuba ng'olowooza nti, "Oh, buno bwe bulwadde bw'ebinywa bwe bumu obuyitibwa Gout ?" Mu butuufu, waliwo okufaanagana kungi wakati w’ebintu bino byombi, y’ensonga lwaki kiyitibwa ‘pseudo-gout’. Ekigambo ‘pseudo’ kitegeeza ‘eky’obulimba’ oba ‘ekicupuli’. Kale kino kiringa 'pseudo gout '.

Naye waliwo enjawulo entegeerekeka wakati w’ebintu bino byombi.

• Gaasi abaawo nga mu musaayi gwo mulimu eddagala eriyitibwa uric acid erisusse (embeera eyitibwa hyperuricemia). Olwo ebiwujjo bino ebisongovu ebya asidi wa uric ne bitereka mu binywa ne bivaako okuzimba.
• Pseudogout eva ku kika kya kirisitaalo eky’enjawulo ddala ekikuŋŋaanyizibwa mu biyungo. Ziyitibwa kirisitaalo za kalisiyamu payrofosfati (CPP) . Eno y'ensonga lwaki era kiyitibwa ``Calcium pyrophosphate deposition''.

Enjawulo endala eri nti, gaasi.Gaasi esinga kukosa kiwanga ekigere kyo ekinene we kikwatagana n’ekigere kyo (ekiwanga ky’ekigere ekiyitibwa metatarsophalangeal (MTP). Ebiseera ebisinga Pseudogout terimu kiyungo ekyo. Wabula kisinga kukwata nnyondo ennene ng’amaviivi n’engalo.

Bubonero ki obulaga (Pseudogout)?

Bubonero ki bw’onoofuna mu mbeera eno (Pseudogout)? Ka tulabe:

• Obulumi bw’ennyondo obw’amangu, obutagumiikiriza bwe bubonero obukulu.
• Olususu okukyuka langi oba okumyuuka. Olususu olwetoolodde ekiwanga oluluma luyinza okumyuuka.
• Okuzimba. Ekiwanga ekikosebwa kizimba nnyo.
• Okukaluba mu kiwanga. Kifuuka kizibu okufukamira oba okugolola ekinywa.
• Okuwulira ebbugumu mu kiwanga oba okwetooloola. Oyinza okuwulira ebbugumu ng’ogikwatako n’omukono.

Obubonero buno tebuwangaala mirembe gyonna. Bajja ne bagenda. Zijja mu mayengo. Bino tubiyita flares oba attacks. (Pseudogout) ‘Okulumba’ kutandika mangu. Mu kifo ky’okuwulira ng’obubonero bwo bweyongera mpolampola, oyinza okuba n’obubonero bwo bwonna omulundi gumu. ‘Olumba’ nga luno luyinza okumala ennaku ntono okutuuka ku wiiki ntono, ate oluusi n’okusingawo.

Lwaki kino (Pseudogout) kibaawo?

Ensonga enkulu lwaki kino kikolebwa, nga bwe kyayogeddwako emabegako, okuteekebwa kw’obutundutundu obutonotono obw’obuwunga obw’ekintu ekiyitibwa calcium pyrophosphate (CPP) munda mu binywa byo ebikoseddwa. Bino bikuŋŋaanyizibwa mu bitundu by’omubiri ebiyitibwa cartilage (ekitundu ekigonvu ekikuuma amagumba obutasikagana) munda mu binywa ne mu bitundu ebigonvu (synovial membranes) ebyetoolodde ennyondo ne biwa ensuwa eringa amafuta. Ekiseera bwe kigenda kiyitawo, obutundutundu buno obwa `(CPP)` bukuŋŋaana wamu munda mu binywa, ne buleeta ‘okulumba’ okwo okuluma.

Wabula bannassaayansi bakyakakasa lwaki omubiri gwo gukola `(CPP)` eziwera era lwaki gufuna okuteekebwa mu binywa byo. Okunoonyereza okumu kulaga nti kiyinza okuba nga kya nsikirano, ekitegeeza nti singa bazadde bo bakifuna, n’abaana bo baba mu bulabe bw’okubufuna. Ku balala, embeera eno eyinza okubaawo oluvannyuma lw’okulumwa ekiwanga. Era kirowoozebwa nti embeera ezimu ez’okukyusakyusa emmere oba endocrine (pseudogout) nazo ziyinza okukireeta.

Ani ali mu bulabe obw’amaanyi obw’okulwala pseudogout?

Wadde omuntu yenna asobola okulwala pseudogout, businga kubeera mu bantu abasukka mu myaka 65. Okugatta ku ekyo, abantu abalina embeera ezimu ezitawona bali mu bulabe bwa maanyi okukwatibwa pseudogout. Okugeza nga:

• Magnesium omutono mu musaayi (Hypomagnesemia) .
• Obulwadde bwa hyperparathyroidism
• Obulwadde bwa thyroid
• Ekyuma ekisusse mu mubiri (Hemochromatosis) .
• Hypophosphatasia (okuteekebwa kw’eby’obuggagga eby’omu ttaka mu ngeri etasaana mu magumba) .
• Okukendeera kw’amagumba
• Obulwadde bw’ekibumba obutawona (CKD) .

Ekirala, abantu abalina edda ebika by’endwadde z’enkizi ebirala (pseudogout) nabo basobola okubufuna. Eby’okulabirako:

• Gaasi
• Osteoarthritis (okulumwa ennyondo) .
• Obulwadde bw’endwadde z’enkizi
• Obulwadde bw’endwadde z’enkizi oluvannyuma lw’okukosebwa

Bizibu ki ebiyinza okuva mu pseudogout?

Singa tejjanjabibwa, embeera eno (Pseudogout) esobola okuleeta ‘flares’ eziruma ennyo era ez’amaanyi. Kino kitegeeza nti obulumi bwo bujja kwongera okusajjuka. Ku bantu abamu, singa ebitundu bino ebya ‘CPP’ bibeera ku magumba mu kitundu eky’okungulu eky’ensingo, era bisobola okuleeta obubonero ng’okulumwa omutwe oba okulumwa ensingo .

Abasawo bazuula batya obulwadde bwa pseudogout?

Bw’ogenda okulaba omusawo, ajja kukukebera era akole ebigezo ebimu okuzuula oba olina pseudogout. Omusawo ajja kwekebejja ennyondo zo era akubuuze ku bubonero bwo. Mu kiseera ekyo, kakasa nti oyogera bulungi bino wammanga:

• Obubonero buno wasooka kulaba ddi?
• Obubonero buno bulabika bujja ne bugenda.
• Obubonero buno bweyongera (oba bukendeera) mu biseera by’emirimu egimu oba mu biseera ebimu eby’olunaku?

Ebiseera ebisinga, omusawo wo ajja kuggya sampuli y’amazzi okuva mu kiwanga kyo (okusiba ekiwanga oba okusiba ebinywa). Kino kizingiramu okuyingiza empiso ennyimpi mu kiwanga ekiruma n’okwata sampuli y’amazzi ago, oluvannyuma ne gasindikibwa mu laboratory okwekebejjebwa. Laabu ejja kugitunuulira wansi wa microscope okulaba oba waliwo obutundutundu bwa CPP. Eno y’engeri esinga okukakasa pseudogout.

Kijjukire nti oyinza okuwulira obulumi ng’ofunye amazzi mu kiwanga kino naddala ng’ekiwanga kizimba nnyo era nga kiruma. Wabula omusawo asobola okukuwa eddagala eriweweeza ku bulumi okuyamba okukendeeza ku bulumi.

Okugatta ku ekyo, omusawo ayinza n’okukola okukebera ebifaananyi okukebera oba waliwo ekirungo kya kalisiyamu mu binywa (chondrocalcinosis). Kino kiyinza okuli:

• Ebifaananyi bya X-ray
• CT scan (CT scan - okukebera mu kompyuta) .
• MRI scan (MRI - okukuba ebifaananyi mu ngeri ya magineeti) .
• Sikaani ya Ultrasound `(Eddoboozi ery'amaanyi)`

Osobola okukozesa ebigezo nga.

Bujjanjabi ki obusinga obulungi ku (Pseudogout)?

Omusawo ajja kukuwa amagezi ku bujjanjabi obukuyamba okufuga obubonero bwo n’okukendeeza ku mirundi gy’olwala pseudogout. Enzijanjaba ezisinga okukozesebwa ze ddagala.

• NSAIDs (N.S.A.I.D. - nonsteroidal anti-inflammatory drugs): Zino ddagala eriweweeza ku bulumi n’okuziyiza okuzimba. Osobola okugula eddagala eritali ku ddagala nga ibuprofen oba naproxen. Wabula si buli muntu nti alina okukozesa eddagala lino erya NSAID.Naddala bw’oba ​​olina ebizibu ebirala eby’obulamu. N’olwekyo, tokozesa ddagala lino nga toyogedde na musawo, era tolikozesa butasalako okumala ennaku ezisukka mu kkumi.
• Corticosteroids: Lino ddagala lya maanyi eriziyiza okuzimba eriweebwa omusawo. Ziyinza okukuweebwa ng’empeke z’olina okumira oba nga cortisone eyakubwa butereevu mu kiwanga ekikoseddwa.
• Colchicine: Lino era ddagala eriweebwa omusawo okukendeeza ku buzimba n’obulumi. (Pseudogout) Eddagala lino lisinga kukola singa limira mu ssaawa 24 ng’omuntu atandise okulumba. Oluusi omusawo ayinza okukugamba okumira eddagala lino ku ddoozi entono okumala ebbanga eddene okukendeeza ku mirundi gy’okulumba.
• Empiso z’ebiramu: Oluusi omusawo ayinza okukuwa amagezi okukozesa empiso nga anakinra oba canakinumab okuyamba okufuga obulumbaganyi bwa pseudogout. Eddagala lino likola mu ngeri y’emu nga colchicine. Wadde nga zikkirizibwa ekitongole kya Food and Drug Administration (FDA) okujjanjaba ebika by’endwadde z’enkizi ebirala, tezinnaba kukkirizibwa mu butongole kujjanjaba pseudogout. Kino kitegeeza nti yinsuwa yo eyinza obutazisasula, era ziyinza okuba ez’ebbeeyi okusinga obujjanjabi obulala.

Kiki kye nsuubira singa mba nnina pseudogout?

Bw’oba ​​olina pseudogout, osobola okusuubira nti ojja kuba n’obulumbaganyi bw’obubonero buno obujja ne bugenda. Obulumbaganyi buno buyinza okweyongera singa tonoonya bujjanjabi kuva musawo.

Ne bw’oba ​​ofuna obujjanjabi, emirundi ‘obulumbaganyi’ buno giyinza okweyongera n’emyaka. Kino kya bulijjo.

Pseudogout esobola okuziyizibwa?

Mu butuufu, mu kiseera kino tewali ngeri ntongole ey’okuziyiza pseudogout. Naye bannassaayansi bakyanoonyereza okuzuula ddala lwaki emibiri gyaffe gikola ebitundutundu bino ebingi ennyo ebya ``(CPP)``.

Okufuga embeera zo endala ez’obulamu (e.g., ssukaali, puleesa) kiyinza okuyamba okukendeeza ku mirundi ‘obulumbaganyi’ buno (pseudogout).

Abantu abamu mu butonde baba n’obubonero bungi okusinga abalala. Bw’ofuna ‘okulumba’ okw’obulimba, si musango gwo, era tokitwala nti kiva ku kuba nti wakola ekikyamu. Ebiseera ebisinga tewabaawo biva butereevu by’osobola okukyusa oba okuziyiza.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obulumi obw’amangu, obw’amaanyi mu kimu ku binywa byo naddala ng’ekiwanga kizimba, kimyufu oba nga kikyuse langi, laba omusawo mu bwangu. Obubonero bwa pseudogout bufaanagana nnyo n’obw’obulwadde bwa gaasi , yinfekisoni ezimu eza bakitiriya, n’embeera endala ezeetaaga okujjanjabibwa amangu.

Ate era bw’oba ​​olina okulumbibwa kw’obulwadde bwa pseudogout okusinga bulijjo, oba obubonero bwo bwe buba bwa maanyi okusinga bulijjo, ekyo nakyo buulira omusawo wo.

Bibuuzo ki bye nnina okubuuza omusawo?

Bw’osisinkana omusawo osobola okubuuza ebibuuzo nga bino:

• Nnina pseudogout, oba ekika ekirala eky’endwadde z’enkizi?
• Bigezo ki bye nja kuba nnina okukola?
• Kiki kye nnyinza okukola okutangira ‘obulumbaganyi’ obw’omu maaso (pseudogout)?
• Eddagala ki erisinga okufuga obubonero bwange?

Emmere n’ebyokunywa bisobola okuleetawo okulumba (pseudogout)?

Kino kibuuzo abantu bangi kye babuuza, era kikulu. Ebintu by’olya n’okunywa bisobola okukuleetera okulumbibwa obulwadde bwa pseudogout? Eky’okuddamu kitera kuba nti nedda. Eno y'emu ku njawulo enkulu wakati wa pseudogout ne gaut .

Okulya emmere ezimu (naddala ennyama n’ebyennyanja ebirimu ebirungo bya purines ebingi, n’omwenge nga bbiya) kiyinza okuvaako okulumbibwa gaasi . Kino kiri bwe kityo kubanga emmere ezo bwe zigaaya, omubiri gukola asidi wa Uric omungi. Y’ensonga lwaki abantu abalina gaasi baweebwa amagezi okugoberera emmere erimu ebirungo ebitono ebiyitibwa purines.

Wabula mu pseudogout, ebitundu bya CPP tebikuŋŋaanyizibwa mu mubiri nga uric acid. N’olwekyo, pseudogout tetera kukwatagana butereevu na by’olya oba by’onywa.

Kya lwatu nti omusawo ayinza okukuwa amagezi okulya oba okwewala emmere ezimu okukuuma obulamu bwo okutwalira awamu oba okuddukanya embeera endala z’oyinza okuba nazo, naye si nnyo ku pseudogout.

Wadde erinnya Pseudogout litegeeza ‘false’ gout , obulumi, okuzimba, n’obutabeera bulungi by’owulira si bya bicupuli. Ddala kiyinza okuba ekizibu okugumiikiriza. Kiyinza okukunyiiza obutasobola kuziyiza Pseudogout. Wabula abantu bangi basobola okukozesa eddagala erituufu erigatta okukendeeza ku buzibu Pseudogout bw’erina ku bulamu bwabwe obwa bulijjo.

Oyinza okulumbibwa oluusi n’oluusi naye omusawo asobola okukuyamba okufuna engeri gy’oyinza okuddukanyaamu obubonero bwo.

Bintu ki ebikulu bye tusaanidde okujjukira okuva mu mboozi eno?

Okay, kale ka tufunze ebimu ku bintu by’olina okukuuma mu birowoozo okuva mu bye twogeddeko:

• Pseudogout kika kya bulwadde bwa arthritis obujja mu bwangu, nga bulumwa nnyo ennyondo n’okuzimba.
• Kino kiva ku kuteekebwa kw’obutundutundu obuyitibwa calcium pyrophosphate (CPP) mu binywa.
• Unlike gout , embeera eno teyongerwa butereevu olw’emmere n’ebyokunywa.
• Bw’ofuna obubonero buno, kakasa nti ogenda ew’omusawo akuzuule mu butuufu.
• Obujjanjabi bw’oyinza okukozesa mulimu eddagala eriweweeza ku bulumi n’eddagala eriziyiza okuzimba, eriyinza okuyamba okufuga obubonero.
• Wadde nga kino tekiyinza kuziyizibwa ddala, obujjanjabi busobola okutumbula omutindo gw’obulamu.

N’olwekyo, bw’oba ​​ggwe oba omuntu gw’omanyi alina obubonero buno, totya kulaba musawo n’ofuna amagezi. Okuzuula amangu obulwadde n’okubujjanjaba kikulu nnyo.

` Pseudogout, Chondrocalcinosis, CPPD, Obulumi mu binywa, Okuzimba kw’ennyondo, Calcium pyrophosphate, Endwadde z’enkizi