Kodi mafupa anu amapweteka kapena kutupa mwadzidzidzi? Izi zitha kukhala pseudogout!

Kodi munadzukapo m'mawa mwadzidzidzi n’kupeza kuti chiwalo cholumikizira mafupa monga bondo lanu kapena dzanja lanu lafiira, latupa, komanso likumva ululu wosapiririka? Kapena mwina munagona usiku popanda vuto lililonse, kenako n’kudzuka m’mawa ndi ululu waukulu ngati uwu? Nthawi zina izi zingakhale vuto lomwe sitiganizira nkomwe, monga nyamakazi, lomwe ndi vuto lomwe limabwera ndi kutupa kwa chiwalo cholumikizira mafupa. Tikambirana za matenda otere lero.

Kodi ichi (chotchedwa Pseudogout) n'chiyani?

Mwachidule, pseudogout ndi mtundu wa nyamakazi. Koma imachitika mwadzidzidzi, popanda chenjezo lililonse, ndi ululu waukulu ndi kutupa m'mafupa anu. Zimakhala ngati chinachake chikukugwerani mwangozi.

Ngakhale kuti vutoli (pseudogout) lingakhudze chiwalo chilichonse m'thupi lanu, nthawi zambiri limapezeka m'mafupa awa:

• Mu mawondo
• M'manja ndi m'manja
• M'mapewa
• M'chiuno ndi mafupa ena ofanana
• M'zigongono
• M'makolo

Madokotala amagwiritsa ntchito mayina ena angapo pa vuto ili (Pseudogout). Mwina munamvapo mayina awa:

• Kuyika kwa calcium pyrophosphate (CPPD): Izi zikutanthauza kuti mankhwala otchedwa calcium pyrophosphate amaikidwa m'malo olumikizirana mafupa.
• Matenda a nyamakazi a Calcium pyrophosphate: Uku ndi kutupa kwa mafupa komwe kumachitika chifukwa cha calcium pyrophosphate.
• Chondrocalcinosis: Izi zikutanthauza kuyika kwa calcium m'maselo ofewa a mafupa otchedwa cartilage.

Mayina onsewa amatanthauza matenda omwewo. Choncho, ngati dokotala atchula limodzi mwa mayinawa, musadandaule, limatanthauza izi (Pseudogout).

Kodi kusiyana pakati pa Pseudogout ndi Gout ndi kotani?

Tsopano mwina mukuganiza kuti, "O, kodi iyi ndi matenda omwewo otchedwa Gout ?" Kwenikweni, pali kufanana kwakukulu pakati pa awiriwa, ndichifukwa chake amatchedwa 'pseudo-gout'. Mawu oti 'pseudo' amatanthauza 'zabodza' kapena 'zabodza'. Chifukwa chake izi zili ngati 'pseudo gout '.

Koma pali kusiyana koonekeratu pakati pa ziwirizi.

• Gout imachitika pamene mankhwala otchedwa uric acid ali ochulukirapo m'magazi mwanu (vuto lotchedwa hyperuricemia). Makristalo akuthwa awa a uric acid amaikidwa m'malo olumikizirana mafupa, zomwe zimayambitsa kutupa.
• Pseudogout imayamba chifukwa cha mitundu yosiyanasiyana ya makhiristo omwe amasonkhana m'malo olumikizirana mafupa. Amatchedwa makhiristo a calcium pyrophosphate (CPP) . Ichi ndichifukwa chake amatchedwanso ``Calcium pyrophosphate deposition''.

Kusiyana kwina ndi, gout.Matenda a gout nthawi zambiri amakhudza malo olumikizirana mafupa kumene chala chanu chachikulu chala chimalumikizana ndi phazi lanu (cholumikizira cha metatarsophalangeal (MTP). Pseudogout nthawi zambiri siimakhudza malo olumikizirana mafupawo. M'malo mwake, nthawi zambiri imakhudza malo olumikizirana mafupa akuluakulu monga mawondo ndi zikhatho.

Kodi zizindikiro za (Pseudogout) ndi ziti?

Kodi ndi zizindikiro ziti zomwe mudzakumane nazo mu vuto ili (Pseudogout)? Tiyeni tiwone:

• Kupweteka kwadzidzidzi komanso kosapiririka kwa mafupa ndiye chizindikiro chachikulu.
• Kusintha mtundu wa khungu kapena kufiira. Khungu lozungulira malo olumikizirana mafupa likhoza kufiira.
• Kutupa. Cholumikizira chomwe chakhudzidwacho chimatupa kwambiri.
• Kuuma kwa cholumikizira. Zimakhala zovuta kupindika kapena kuwongola cholumikiziracho.
• Kumva kutentha mkati kapena mozungulira malo olumikizirana mafupa. Mungamve kutentha mukakhudza ndi dzanja lanu.

Zizindikirozi sizimakhalapo kwamuyaya. Zimabwera ndi kupita. Zimabwera ngati mafunde. Timazitcha kuti kuphulika kapena kuukira. (Pseudogout) 'Kuukira' kumayamba mwadzidzidzi. M'malo momva ngati zizindikiro zanu zikuipiraipira pang'onopang'ono, mutha kukhala ndi zizindikiro zanu zonse nthawi imodzi. 'Kuukira' kotereku kumatha kukhala kuyambira masiku angapo mpaka milungu ingapo, ndipo nthawi zina kupitirira apo.

N’chifukwa chiyani izi (Pseudogout) zimachitika?

Chifukwa chachikulu cha izi, monga tafotokozera kale, ndi tinthu tating'onoting'ono ta ufa wa chinthu chotchedwa calcium pyrophosphate (CPP) mkati mwa mafupa anu omwe akhudzidwa. Izi zimasonkhana mu cartilage (gawo lofewa lomwe limateteza mafupa kuti asakhudzene) mkati mwa mafupa ndi m'maselo opyapyala (synovial membranes) omwe amazungulira mafupa ndikupereka kutulutsa kofanana ndi mafuta ku mafupa. Pakapita nthawi, tinthu ta `(CPP)` timeneti timasonkhana mkati mwa mafupa, zomwe zimapangitsa kuti 'kuukira' kowawako.

Komabe, asayansi sakudziwabe chifukwa chake thupi lanu limapanga '(CPP)' yambiri komanso chifukwa chake imayikidwa m'mafupa anu. Kafukufuku wina akusonyeza kuti ikhoza kukhala yobadwa nayo, zomwe zikutanthauza kuti ngati makolo anu ali nayo, ana anu nawonso ali pachiwopsezo chotenga matendawa. Kwa ena, vutoli likhoza kuyamba pambuyo pa kuvulala kwa mafupa. Akuganizanso kuti matenda ena a kagayidwe kachakudya kapena matenda a endocrine (pseudogout) angayambitsenso vutoli.

Ndani ali pachiopsezo chachikulu chotenga matenda a pseudogout?

Ngakhale kuti aliyense akhoza kukhala ndi pseudogout, imapezeka kwambiri mwa anthu azaka zopitirira 65. Kuphatikiza apo, anthu omwe ali ndi matenda enaake osatha ali pachiwopsezo chachikulu chotenga pseudogout. Mwachitsanzo:

• Kuchepa kwa magnesium m'magazi (Hypomagnesemia)
• Hyperparathyroidism
• Matenda a chithokomiro
• Kuchuluka kwa chitsulo m'thupi (Hemochromatosis)
• Hypophosphatasia (kusungidwa kosakwanira kwa mchere m'mafupa)
• Kufooka kwa mafupa
• Matenda a impso osatha (CKD)

Komanso, anthu omwe ali kale ndi mitundu ina ya nyamakazi (pseudogout) nawonso akhoza kudwala matendawa. Zitsanzo:

• Matenda a m'mimba
• Matenda a mafupa (osteoarthritis)
• Matenda a nyamakazi
• Matenda a nyamakazi pambuyo pa zoopsa

Kodi mavuto omwe angakhalepo chifukwa cha pseudogout ndi ati?

Ngati sichichiritsidwa, vutoli (Pseudogout) lingayambitse 'flares' zopweteka pafupipafupi komanso zoopsa. Izi zikutanthauza kuti ululu wanu udzangokulirakulira. Kwa anthu ena, ngati zidutswa za 'CPP' izi zikukhala mozungulira mafupa omwe ali pamwamba pa khosi, zingayambitsenso zizindikiro monga mutu kapena kupweteka kwa khosi .

Kodi madokotala amazindikira bwanji pseudogout?

Mukapita kukaonana ndi dokotala, adzakuyesani ndikukuyesani mayeso kuti adziwe ngati muli ndi matenda a pseudogout. Dokotala adzakuyesani mafupa anu ndikufunsani za zizindikiro zanu. Panthawiyo, onetsetsani kuti mwanena momveka bwino izi:

• Kodi munayamba liti kuzindikira zizindikiro izi?
• Zizindikiro zimenezi zimaoneka kuti zimabwera ndi kutha.
• Kodi zizindikirozi zimawonjezeka (kapena zimachepa) pazochitika zina kapena nthawi zina za tsiku?

Kawirikawiri, dokotala wanu amatenga chitsanzo cha madzi kuchokera ku malo olumikizirana mafupa (kupuma kwa mafupa kapena arthrocentesis). Izi zimaphatikizapo kulowetsa singano yopyapyala m'malo olumikizirana mafupa opweteka ndikutenga chitsanzo cha madziwo, omwe amatumizidwa ku labotale kuti akawunikidwe. Labotale idzayang'ana pansi pa maikulosikopu kuti ione ngati pali tinthu ta CPP. Iyi ndiyo njira yabwino kwambiri yotsimikizira pseudogout.

Kumbukirani kuti mungamve kupweteka pang'ono mukalandira madzi m'malo olumikizirana mafupawa, makamaka ngati malo olumikizirana mafupawo atupa kwambiri komanso apweteka. Komabe, dokotala wanu angakupatseni mankhwala ochepetsa ululu kuti muchepetse ululuwo.

Kuphatikiza apo, dokotala angachitenso mayeso ojambulira kuti aone ngati calcium ili m'malo olumikizirana mafupa (chondrocalcinosis). Izi zingaphatikizepo:

• X-ray
• Kujambula kwa CT (CT scan - computed tomography scan)
• Kujambula kwa MRI (MRI - kujambula kwa maginito)
• Kujambula kwa Ultrasound `(Ultrasound)`

Mungagwiritse ntchito mayeso ngati.

Kodi mankhwala abwino kwambiri a (Pseudogout) ndi ati?

Dokotala wanu adzakupatsani chithandizo chothandiza kuchepetsa zizindikiro zanu ndikuchepetsa kuchuluka kwa matenda opatsirana. Chithandizo chofala kwambiri ndi mankhwala.

• NSAIDs (N.S.A.I.D. - mankhwala oletsa kutupa osagwiritsa ntchito steroidal): Awa ndi mankhwala ochepetsa ululu komanso oletsa kutupa. Mutha kugula mankhwala ogulitsidwa kunja kwa chipatala monga ibuprofen kapena naproxen. Komabe, si aliyense amene ayenera kugwiritsa ntchito NSAIDs izi.Makamaka ngati muli ndi mavuto ena azaumoyo. Chifukwa chake, musagwiritse ntchito mankhwalawa popanda kulankhula ndi dokotala, ndipo musagwiritse ntchito mosalekeza kwa masiku opitilira khumi.
• Corticosteroids: Awa ndi mankhwala amphamvu oletsa kutupa omwe dokotala wakupatsani. Angakupatsidwe ngati mapiritsi oti mumwe kapena ngati jakisoni wa cortisone mwachindunji m'malo olumikizirana mafupa.
• Colchicine: Iyi ndi mankhwala omwe dokotala amamupatsa kuti achepetse kutupa ndi ululu. (Pseudogout) Mankhwalawa amagwira ntchito bwino kwambiri ngati atengedwa mkati mwa maola 24 kuchokera pamene munthu wayamba kudwala. Nthawi zina dokotala wanu angakuuzeni kuti mumwe mankhwalawa pa mlingo wochepa kwa nthawi yayitali kuti muchepetse kudwala pafupipafupi.
• Jakisoni wa biologic: Nthawi zina dokotala wanu angakulangizeni jakisoni monga anakinra kapena canakinumab kuti athandize kuwongolera kuukira kwa pseudogout. Mankhwalawa amagwira ntchito mofanana ndi colchicine. Ngakhale kuti amavomerezedwa ndi Food and Drug Administration (FDA) kuti achiritse mitundu ina ya nyamakazi, sanavomerezedwe mwalamulo kuti achiritse pseudogout. Izi zikutanthauza kuti inshuwaransi yanu singawaphimbe, ndipo akhoza kukhala okwera mtengo kuposa mankhwala ena.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi pseudogout?

Ngati muli ndi pseudogout, mutha kuyembekezera kuti zizindikiro izi zimabwera ndi kutha. Ziwopsezo zimenezi zitha kuchulukirachulukira ngati simukufuna chithandizo kuchokera kwa dokotala.

Ngakhale mutakhala kuti mukulandira chithandizo, kuchuluka kwa 'ziwopsezo' zimenezi kungachuluke ndi ukalamba. Izi ndi zachilendo.

Kodi pseudogout ingapewedwe?

Ndipotu, pakadali pano palibe njira yeniyeni yopewera pseudogout. Koma asayansi akufufuzabe kuti adziwe chifukwa chake matupi athu amapanga zidutswa zambiri za ``(CPP)``.

Kuwongolera matenda ena (monga matenda a shuga, kuthamanga kwa magazi) kungathandize kuchepetsa kuchuluka kwa 'ziwopsezo' izi (za pseudogout).

Anthu ena mwachibadwa amakhala ndi zizindikiro zambiri kuposa ena. Ngati mwakumana ndi 'kuukira' kwa pseudogout, si vuto lanu, ndipo musaganize kuti ndi chifukwa choti mwachita cholakwika. Nthawi zambiri palibe zinthu zomwe zingachititse kuti musinthe kapena kuletsa.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuvutika mwadzidzidzi komanso moopsa kwambiri pa imodzi mwa malo olumikizirana mafupa anu, makamaka ngati malo olumikizirana mafupawo atupa, ofiira, kapena asintha mtundu, pitani kwa dokotala nthawi yomweyo. Zizindikiro za pseudogout zimafanana kwambiri ndi za gout , matenda ena a bakiteriya, ndi matenda ena omwe amafunika chithandizo chachangu.

Komanso, ngati mukudwala matenda a pseudogout ambiri kuposa masiku onse, kapena ngati zizindikiro zanu zili zoopsa kuposa masiku onse, uzani dokotala wanu za zimenezo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukakumana ndi dokotala, mungafunse mafunso monga awa:

• Kodi ndili ndi pseudogout, kapena mtundu wina wa nyamakazi?
• Ndi mayeso otani omwe ndiyenera kuchita?
• Kodi ndingachite chiyani kuti ndipewe kuukira kwamtsogolo (zabodza)?
• Kodi mankhwala abwino kwambiri oletsa zizindikiro zanga ndi ati?

Kodi chakudya ndi zakumwa zingayambitse matenda (pseudogout)?

Funso limene anthu ambiri amafunsa ndi ili, ndipo ndi lofunika kwambiri. Kodi zinthu zomwe mumadya ndi kumwa zingayambitse matenda a pseudogout? Yankho nthawi zambiri limakhala ayi. Iyi ndi imodzi mwa kusiyana kwakukulu pakati pa pseudogout ndi gout .

Kudya zakudya zina (makamaka nyama ndi nsomba zomwe zili ndi purines zambiri, komanso mowa monga mowa) kungayambitse matenda a gout . Izi zili choncho chifukwa zakudyazo zikagayidwa, thupi limapanga uric acid wambiri. Ichi ndichifukwa chake anthu omwe ali ndi gout amalangizidwa kuti azidya zakudya zokhala ndi purines zochepa.

Komabe, mu pseudogout, zidutswa za CPP sizimasonkhana m'thupi monga uric acid. Chifukwa chake, pseudogout nthawi zambiri sizimagwirizana mwachindunji ndi zomwe mumadya kapena kumwa.

Inde, dokotala wanu angakulangizeni kudya kapena kupewa zakudya zina kuti mukhale ndi thanzi labwino kapena kuthana ndi matenda ena omwe mungakhale nawo, koma osati makamaka matenda a pseudogout.

Ngakhale dzina lakuti Pseudogout limatanthauza gout 'yabodza', ululu, kutupa, ndi kusasangalala komwe mumamva si zabodza. Zingakhale zovuta kwambiri kupirira. Zingakhale zokhumudwitsa kulephera kupewa Pseudogout. Komabe, anthu ambiri angagwiritse ntchito mankhwala oyenera kuti achepetse zotsatira za Pseudogout pa moyo wawo watsiku ndi tsiku.

Mungakhale ndi ziwopsezo nthawi ndi nthawi, koma dokotala wanu angakuthandizeni kupeza njira zothanirana ndi zizindikiro zanu.

Kodi ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera munkhaniyi?

Chabwino, tiyeni tifotokoze mwachidule zina mwa zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Pseudogout ndi mtundu wa nyamakazi womwe umabwera mwadzidzidzi, womwe umabweretsa kupweteka kwambiri kwa mafupa ndi kutupa.
• Izi zimachitika chifukwa cha kuyika kwa zidutswa zotchedwa calcium pyrophosphate (CPP) m'malo olumikizirana mafupa.
• Mosiyana ndi gout , vutoli silikula kwambiri chifukwa cha chakudya ndi zakumwa.
• Ngati mukukumana ndi zizindikiro izi, onetsetsani kuti mwawonana ndi dokotala kuti akupatseni chithandizo choyenera.
• Njira zochiritsira zimaphatikizapo mankhwala ochepetsa ululu ndi oletsa kutupa, zomwe zingathandize kuchepetsa zizindikiro.
• Ngakhale kuti izi sizingapewedwe kotheratu, chithandizo chingathandize kuti moyo ukhale wabwino.

Choncho, ngati inu kapena munthu amene mumamudziwa ali ndi zizindikirozi, musaope kupita kwa dokotala kukapeza upangiri. Kuzindikira matendawa msanga ndi kulandira chithandizo n'kofunika kwambiri.

Pseudogout , Chondrocalcinosis, CPPD, Kupweteka kwa mafupa, Kutupa kwa mafupa, Calcium pyrophosphate, Nyamakazi