Ese ingingo zawe zibabara cyangwa zibyimba mu buryo butunguranye? Ibi bishobora kuba ari pseudogout!

Ese wigeze ubyuka mu gitondo ugahita ubona ingingo nk'ivi ryawe cyangwa ukuboko kwawe gutukura, bibyimbye, kandi ububabare bukabije? Cyangwa wenda wagiye kuryama nijoro nta kibazo, hanyuma ukabyuka mu gitondo ufite ubu bubabare bukabije nk'ubu? Iyi ishobora kuba indwara rimwe na rimwe tutatekerezaho, nka rubagimpande, ari na yo ndwara iza no kubyimba ingingo. Tugiye kuvuga ku ndwara nk'iyo uyu munsi.

Iki ni iki (Pseudogout)?

Mu magambo make, pseudogout na yo ni ubwoko bwa rubagimpande. Ariko ibaho mu buryo butunguranye, nta nteguza , ikababara cyane kandi ikabyimba ingingo. Ukumva hari ikintu kirimo kigutera.

Nubwo iyi ndwara (pseudogout) ishobora kugira ingaruka ku ngingo iyo ari yo yose mu mubiri wawe, ikunze kugaragara muri izi ngingo:

• Mu mavi
• Mu biganza no mu maboko
• Mu bitugu
• Mu kibuno n'ingingo zifitanye isano
• Mu nkokora
• Mu birenge

Abaganga bakoresha andi mazina menshi kuri iyi ndwara (Pseudogout). Ushobora kuba warumvise aya mazina:

• Gushyira calcium pyrophosphate mu ngingo (CPPD): Ibi bivuze ko hari ikinyabutabire cyitwa calcium pyrophosphate gishyirwa mu ngingo.
• Udukoko twa calcium pyrophosphate: Iyi ni indwara yo kubyimba ingingo iterwa na calcium pyrophosphate.
• Chondrocalcinosis: Ibi bivuga ko kalisiyumu ishyirwa mu ngingo zoroshye z'ingingo zitwa cartilage.

Aya mazina yose avuga ku ndwara imwe. Niba muganga avuze rimwe muri aya mazina, ntugahangayike, bivuze ko ari ryo (Pseudogout).

Ni irihe tandukaniro riri hagati ya Pseudogout na Gout ?

Noneho ushobora kuba urimo kwibaza uti "Ese iyi ni indwara imwe y'ingingo yitwa Gout ?" Mu by'ukuri, hari byinshi bisa hagati y'izo ndwara zombi, niyo mpamvu yitwa 'pseudo-gout'. Ijambo 'pseudo' risobanura 'ibinyoma' cyangwa 'ikinyoma'. Ibi rero ni nka 'pseudo gout '.

Ariko hari itandukaniro rigaragara hagati y’ibyo byombi.

• Goutte ibaho iyo hari ikintu cyitwa aside urike nyinshi mu maraso yawe (indwara yitwa hyperuricemia). Izi kristu zityaye za aside urike zikinjira mu ngingo, bigatera ububyimbirwe.
• Pseudogout iterwa n'ubwoko butandukanye rwose bwa kristu zirundanya mu ngingo. Zitwa kristu za calcium pyrophosphate (CPP) . Niyo mpamvu nanone yitwa ``Calcium pyrophosphate deposition''.

Irindi tandukaniro ni, goutte.Goutte ikunze kwibasira ingingo aho ikirenge kinini gihurira n'ikirenge cyawe (urugingo rwa metatarsophalangeal (MTP). Ubusanzwe Pseudogout ntijya muri iyo ngingo. Ahubwo, ikunze kwibasira ingingo nini nko mu mavi no mu maboko.

Ni ibihe bimenyetso bya (Pseudogout)?

Ni ibihe bimenyetso uzahura nabyo muri iyi ndwara (Pseudogout)? Reka turebe:

• Ububabare butunguranye kandi budashobora kwihanganira ni cyo kimenyetso nyamukuru.
• Guhinduka ibara ry'uruhu cyangwa gutukura. Uruhu rukikije ingingo ibabara rushobora guhinduka umutuku.
• Kubyimba. Ingingo yafashwe irabyimba cyane.
• Kugorana kw'ingingo. Biba bigoye kuyigora cyangwa kuyigorora.
• Ukumva ubushyuhe mu ngingo cyangwa hafi yayo. Ushobora kumva ubushyuhe iyo uyikozeho n'ukuboko kwawe.

Ibi bimenyetso ntibihoraho iteka ryose. Biza bikanagenda. Biza mu buryo bw'imiraba. Ibi tubyita ibitero cyangwa ibitero. (Pseudogout) 'Igitero' gitangira mu buryo butunguranye. Aho kumva ko ibimenyetso byawe bigenda birushaho kwiyongera buhoro buhoro, ushobora kugira ibimenyetso byawe byose icyarimwe. 'Igitero' nk'iki gishobora kumara iminsi mike kugeza ku byumweru bike, ndetse rimwe na rimwe kikarushaho kuba kirekire.

Kuki ibi (Pseudogout) bibaho?

Impamvu nyamukuru ibitera, nk'uko byavuzwe mbere, ni uko uduce duto tw’ifu y’ikintu cyitwa calcium pyrophosphate (CPP) mu ngingo zawe zangiritse. Utwo duce twirundanya mu kajagari (igice cyoroshye gituma amagufwa adakwirakwira) mu ngingo no mu ruhu rworoheje (uruhererekane rw’ingingo) rukikije ingingo kandi rutanga imisemburo isa n’amavuta mu ngingo. Uko igihe kigenda gihita, utwo duce twa `(CPP)` turahurira hamwe mu ngingo, bigatera iyo 'nyito' ibabaza.

Ariko, abahanga mu bya siyansi ntibaramenya neza impamvu umubiri wawe ukora byinshi (CPP) n'impamvu byinjizwa mu ngingo zawe. Hari ubushakashatsi bugaragaza ko bishobora kuba ari umurage, bivuze ko niba ababyeyi bawe babifite, abana bawe nabo baba bafite ibyago byo kubyibasira. Ku bandi, iyi ndwara ishobora kuvuka nyuma yo gukomereka kw'ingingo. Bivugwa kandi ko hari indwara zimwe na zimwe zishobora gutera imikorere mibi y'umubiri cyangwa imikorere y'ingirabuzimafatizo (pseudogout) zishobora kuyitera.

Ni nde uri mu kaga gakomeye ko kurwara pseudogout?

Nubwo umuntu wese ashobora kurwara pseudogout, ikunze kugaragara cyane ku bantu barengeje imyaka 65. Byongeye kandi, abantu bafite indwara zimwe na zimwe zidakira baba bafite ibyago byinshi byo kurwara pseudogout. Urugero:

• Manyeziyumu nke mu maraso (Hypomagnesemia)
• Hyperparathyroidism
• Indwara ya tiroyide
• Ubutare bwinshi mu mubiri (Hemochromatosis)
• Hypophosphatesia (imyunyungugu idakwiye mu magufwa)
• Osteopenia
• Indwara y'impyiko idakira (CKD)

Nanone, abantu basanzwe bafite ubundi bwoko bwa rubagimpande (pseudogout) nabo bashobora kuyirwara. Ingero:

• Gute
• Osteoarthritis (ububabare bw'ingingo)
• Indwara ya rubagimpande
• Nyuma yo gukomereka mu ngingo (arthritis)

Ni izihe ngorane zishobora guterwa na pseudogout?

Iyo itavuwe, iyi ndwara (Pseudogout) ishobora gutera 'flares' zibabaza kenshi kandi zikomeye. Ibi bivuze ko ububabare bwawe buzarushaho kwiyongera. Kuri bamwe, iyo utu duce twa 'CPP' twicaye hafi y'amagufwa yo hejuru y'ijosi, dushobora no gutera ibimenyetso nko kuribwa umutwe cyangwa kubabara mu ijosi .

Ni gute abaganga basuzuma indwara ya pseudogout?

Iyo ugiye kwa muganga, azagusuzuma kandi agukorere ibizamini kugira ngo amenye niba ufite pseudogout. Muganga azasuzuma ingingo zawe kandi akubaze ibimenyetso by'indwara zawe. Muri icyo gihe, menya neza ko yavuze ibi bikurikira:

• Ni ryari wabonye ibi bimenyetso bwa mbere?
• Ibi bimenyetso bisa nkaho biza hanyuma bikagenda.
• Ese ibi bimenyetso biriyongera (cyangwa biragabanuka) mu gihe cy'ibikorwa bimwe na bimwe cyangwa mu masaha amwe n'amwe y'umunsi?

Akenshi, muganga wawe agufata icyitegererezo cy'amazi yo mu ngingo yawe (gutemba ingingo cyangwa arthrocentesis). Ibi bisaba gushyira urushinge ruto mu ngingo ibabara hanyuma ugafata icyitegererezo cy'amazi, hanyuma akoherezwa muri laboratwari kugira ngo asuzumwe. Laboratwari izabireba ikoresheje mikorosikopi kugira ngo irebe niba hari uduce twa CPP. Ubu ni bwo buryo bwiza bwo kwemeza pseudogout.

Wibuke ko ushobora kumva ububabare igihe ubonye amazi muri iyi ngingo, cyane cyane niba ingingo yabyimbye cyane kandi ibabaza. Ariko, muganga wawe ashobora kuguha umuti ugabanya ububabare kugira ngo ugabanye ububabare.

Byongeye kandi, muganga ashobora kandi gukora ibizamini byo gusuzuma kugira ngo arebe niba hari calcium nyinshi mu ngingo (chondrocalcinosis). Ibi bishobora kuba birimo:

• Imirasire ya X
• CT scan (CT scan - scan ya tomography ya computed)
• MRI scan (MRI - magnetic resonance imaging)
• Gupima ultrasound `(Ultrasound)`

Ushobora gukoresha ibizamini nka.

Ni ubuhe buryo bwiza bwo kuvura (Pseudogout)?

Muganga wawe azagusaba uburyo bwo kuvura kugira ngo bugufashe kugenzura ibimenyetso byawe no kugabanya inshuro z’ibitero bya pseudogout. Uburyo busanzwe bwo kuvura ni imiti.

• NSAID (N.S.A.I.D. - imiti igabanya ububabare itari steroide): Iyi ni imiti igabanya ububabare n'imiti igabanya ububabare. Ushobora kugura imiti idatanzwe na muganga nka ibuprofen cyangwa naproxen. Ariko, si buri wese ukwiye gukoresha iyi miti igabanya ububabare.Cyane cyane niba ufite izindi ngorane z'ubuzima. Kubwibyo, ntugakoreshe uyu muti utabanje kuvugana na muganga, kandi ntugakoreshe iminsi irenga icumi ubudasiba.
• Corticosteroids: Iyi ni imiti ikomeye igabanya ubushyuhe yandikiwe na muganga. Ishobora kuguha nk'ibinini byo gufata cyangwa nk'urushinge rwa cortisone mu ngingo yafashwe.
• Colchicine: Uyu ni umuti utangwa na muganga kugira ngo ugabanye ububabare n'uburibwe. (Pseudogout) Uyu muti ugira akamaro cyane iyo uwufashe mu masaha 24 uhereye igihe umurwayi atangiriye. Hari igihe muganga wawe ashobora kukubwira gufata uyu muti ku gipimo gito mu gihe kirekire kugira ngo ugabanye inshuro zo kuwufata.
• Inshinge z’ibinyabuzima: Hari igihe muganga wawe ashobora kukugira inama yo gutera inshinge nka anakinra cyangwa canakinumab kugira ngo bifashe mu kurwanya ibitero bya pseudogout. Iyi miti ikora nk'uko ikora muri colchicine. Nubwo yemejwe n'Ikigo gishinzwe ibiribwa n'imiti (FDA) kuvura ubundi bwoko bwa rubagimpande, ntabwo yemerewe ku mugaragaro kuvura pseudogout. Ibi bivuze ko ubwishingizi bwawe bushobora kutazishyura, kandi bushobora kuba buhenze kurusha ubundi buryo bwo kuvura.

Ni iki nkwiye kwitega mu gihe mfite pseudogout?

Niba ufite pseudogout, ushobora kwitega ko uzarwara ibi bimenyetso bikagenda. Ibi bitero bishobora kwiyongera cyane iyo utasabye muganga kwivuza.

Nubwo waba uri kuvurwa, inshuro z'ibi "bitero" zishobora kwiyongera uko umuntu akura. Ibi ni ibisanzwe.

Ese pseudogout ishobora kwirindwa?

Mu by’ukuri, nta buryo bwihariye bwo gukumira pseudogout buriho. Ariko abahanga mu bya siyansi baracyakora ubushakashatsi kugira ngo bamenye impamvu nyayo imibiri yacu ikora uduce twinshi twa ``(CPP)``.

Kugenzura izindi ndwara zawe (urugero: diyabete, umuvuduko ukabije w'amaraso) bishobora kugabanya inshuro izi "zibasira" (pseudogout).

Hari abantu bamwe bakunze kugira ibimenyetso byinshi kurusha abandi. Niba uhuye n'ikibazo cy'ubwandu bw'impimbano, si wowe ugiteye, kandi ntugatekereze ko ari uko wakoze ikintu kibi. Ubusanzwe nta bintu bishobora gutuma umuntu ahinduka cyangwa ngo abyirinde.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ububabare butunguranye kandi bukabije muri imwe mu ngingo zawe, cyane cyane niba ingingo yabyimbye, itukura, cyangwa yahinduye ibara, hita ubonana na muganga. Ibimenyetso bya pseudogout bisa cyane n'ibya goutte , zimwe mu ndwara zandurira muri bagiteri, n'izindi ndwara zisaba kuvurwa vuba.

Nanone, niba ufite ibitero byinshi bya pseudogout kurusha uko bisanzwe, cyangwa niba ibimenyetso byawe bikomeye kurusha uko bisanzwe, bibwira muganga wawe nabyo.

Ni ibihe bibazo ngomba kubaza muganga?

Iyo uhuye na muganga, ushobora kubaza ibibazo nk'ibi:

• Ese mfite pseudogout, cyangwa ubundi bwoko bwa rubagimpande?
• Ni ibihe bizamini ngomba gukora?
• Nakora iki kugira ngo ngire 'ibitero' by'ubusa (bya pseudogout)?
• Ni uwuhe muti mwiza wo kugenzura ibimenyetso byanjye?

Ese ibiryo n'ibinyobwa bishobora gutera indwara y'ubwiyandarike (pseudogout)?

Iki ni ikibazo abantu benshi bibaza, kandi ni ingenzi. Ese ibyo urya n'ibyo unywa bishobora gutera indwara ya pseudogout? Igisubizo akenshi ni oya. Iri ni rimwe mu tandukaniro rikomeye riri hagati ya pseudogout na gout .

Kurya ibiryo bimwe na bimwe (cyane cyane inyama n'amafi birimo purine nyinshi, ndetse n'inzoga nka byeri) bishobora gutera indwara ya goutte . Ibi biterwa nuko iyo ibyo biribwa bigogorwa, umubiri ukora aside urike nyinshi. Niyo mpamvu abantu barwaye goutte bagirwa inama yo gukurikiza indyo irimo purine nke.

Ariko, muri pseudogout, uduce twa CPP ntitwirunda mu mubiri nka aside urique. Kubwibyo, pseudogout akenshi ntabwo ifitanye isano itaziguye nibyo urya cyangwa unywa.

Birumvikana ko umuganga wawe ashobora kukugira inama yo kurya cyangwa kwirinda ibiryo bimwe na bimwe kugira ngo ukomeze kugira ubuzima bwiza muri rusange cyangwa kugira ngo ucunge izindi ndwara ushobora kuba ufite, ariko atari ukubera pseudogout.

Nubwo izina Pseudogout risobanura gout 'impimbano', ububabare, kubyimba, no kumererwa nabi wumva si ukwibeshya. Bishobora kugorana cyane kwihanganira. Bishobora kubabaza kudashobora kwirinda Pseudogout. Ariko, abantu benshi bashobora gukoresha imiti ikwiye kugira ngo bagabanye ingaruka Pseudogout igira ku buzima bwabo bwa buri munsi.

Ushobora kugira ibitero rimwe na rimwe, ariko muganga wawe ashobora kugufasha kubona uburyo bwo kwifata.

Ni ibihe bintu by'ingenzi tugomba kwibuka muri iyi nkuru?

Noneho reka tuvuge muri make bimwe mu bintu ugomba kuzirikana mu byo twavuze:

• Pseudogout ni ubwoko bwa rubagimpande butera mu buryo butunguranye, bukagira ububabare bukomeye mu ngingo no kubyimba.
• Ibi biterwa n'uko ibice byitwa calcium pyrophosphate (CPP) biba biri mu ngingo.
• Bitandukanye na goutte , iyi ndwara ntabwo irushaho gukomera bitewe n'ibyo kurya n'ibyo kunywa.
• Niba ubonye ibi bimenyetso, menya neza ko wagiye kwa muganga kugira ngo agufashe gusuzuma neza.
• Uburyo bwo kuvura burimo imiti igabanya ububabare n'imiti igabanya ububabare, ishobora gufasha mu kurwanya ibimenyetso.
• Nubwo ibi bidashobora kwirindwa burundu, kuvurwa bishobora kongera ubuzima bwiza.

Niba wowe cyangwa undi muntu uzi afite ibi bimenyetso, ntugatinye kujya kwa muganga no kugisha inama. Gusuzuma indwara hakiri kare no kuyivura ni ingenzi cyane.

Kubabara mu ngingo, Chondrocalcinosis, CPPD, Ububabare bw'ingingo, Kubyimba ingingo, Calcium pyrophosphate, Arthritis