Majoini ako anokuvara kana kuzvimba kamwe kamwe here? Izvi zvinogona kunge zviri pseudogout!

Wakambomuka mangwanani here ukaona joini yakaita sebvi kana ruoko rwako rakatsvuka, rakazvimba, uye richirwadziwa zvisingatsungiririki? Kana kuti pamwe wakaenda kunorara husiku pasina matambudziko, wozomuka mangwanani uine rudzi urwu rwekurwadziwa kwakanyanya? Izvi zvinogona dzimwe nguva kuva chirwere chatisingatombofungi nezvacho, senge arthritis, inova chirwere chinouya nekuzvimba kwemajoini. Tiri kuzotaura nezvechirwere chakadaro nhasi.

Chii ichi (Pseudogout)?

Zvichitaurwa zviri nyore, pseudogout rudzi rwearthritis. Asi inoitika kamwe kamwe, pasina yambiro , nekurwadziwa kwakanyanya uye kuzvimba mumajoini ako. Zvinonzwa sekunge pane chiri kukuwira chinyararire.

Kunyangwe chirwere ichi (pseudogout) chichigona kukanganisa chero majoini mumuviri wako, chinowanzoonekwa mumajoini aya:

• Mumabvi
• Mumaoko nemaoko
• Mumafudzi
• Muhudyu uye majoini akafanana
• Mumagokora
• Mumakumbo

Vanachiremba vanoshandisa mamwe mazita akati wandei pachirwere ichi (Pseudogout). Ungave wakambonzwa mazita aya:

• Kuiswa kwecalcium pyrophosphate (CPPD): Izvi zvinoreva kuti kemikari inonzi calcium pyrophosphate inoiswa mumajoini.
• Calcium pyrophosphate arthritis: Uku kuzvimba kwemajoini kunokonzerwa necalcium pyrophosphate.
• Chondrocalcinosis: Izvi zvinoreva kuiswa kwecalcium munyama dzakapfava dzemajoini anonzi cartilage.

Mazita ese aya anotaura nezvechirwere chimwe chete. Saka, kana chiremba akataura rimwe remazita aya, musazvidya mwoyo, zvinoreva izvi (Pseudogout).

Chii chinosiyanisa Pseudogout neGout ?

Zvino ungave uchifunga kuti, "Oh, chirwere ichi chinonzi Gout here?" Kutaura zvazviri, pane zvakawanda zvakafanana pakati pezviviri izvi, ndosaka zvichinzi 'pseudo-gout'. Izwi rekuti 'pseudo' rinoreva 'nhema' kana 'nhema'. Saka izvi zvakafanana ne 'pseudo gout '.

Asi pane musiyano wakajeka pakati pezviviri izvi.

• Gout inoitika kana paine kemikari inonzi uric acid yakawandisa muropa rako (chirwere chinonzi hyperuricemia). Makristaro aya akapinza euric acid anobva asara mumajoini, zvichikonzera kuzvimba.
• Pseudogout inokonzerwa nemhando yakasiyana zvachose yemakristaro anoungana mumajoini. Anodaidzwa kuti makristaro ecalcium pyrophosphate (CPP) . Ndosaka ichinziwo ``Calcium pyrophosphate deposition''.

Mumwe musiyano ndewekuti, gout.Gout inowanzo kanganisa majoini apo chigunwe chako chikuru chinobatana netsoka yako (metatarsophalangeal (MTP) joint). Pseudogout kazhinji haisanganisire majoini iwayo. Pane kudaro, inowanzo kanganisa majoini makuru akadai semabvi nemaoko.

Ndezvipi zviratidzo zve (Pseudogout)?

Ndezvipi zviratidzo zvauchaona kana uri muchirwere ichi (Pseudogout)? Ngatitarisei:

• Kurwadziwa kwemajoini kamwe kamwe, kusingatsungiririki ndicho chiratidzo chikuru.
• Kuchinja ruvara rweganda kana kutsvuka. Ganda rakatenderedza mapfundo anorwadza rinogona kutsvuka.
• Kuzvimba. Joini rinobatwa rinozvimba zvakanyanya.
• Kuoma kwejoini. Zvinova zvakaoma kukotama kana kutwasanudza joini.
• Kunzwa kudziya mukati kana pedyo nejoini. Unogona kunzwa kudziya kana ukaibata neruoko rwako.

Zviratidzo izvi hazvigari nekusingaperi. Zvinouya zvoenda. Zvinouya semafungu. Tinozvidaidza kuti kupenya kana kuti kurwiswa. (Pseudogout) 'Kurwiswa' kunotanga kamwe kamwe. Pane kunzwa sekunge zviratidzo zvako zviri kuwedzera zvishoma nezvishoma, unogona kuva nezviratidzo zvako zvese panguva imwe chete. 'Kurwiswa' kwakadai kunogona kutora kubva pamazuva mashoma kusvika kumavhiki mashoma, uye dzimwe nguva kutopfuura.

Sei izvi (Pseudogout) zvichiitika?

Chikonzero chikuru cheizvi, sezvambotaurwa, ndiko kuiswa kwezvidimbu zvidiki, zvine upfu zvechinhu chinonzi calcium pyrophosphate (CPP) mukati memajoini ako akanganiswa. Izvi zvinoungana mucartilage (chikamu chakapfava chinochengetedza mapfupa kuti asakwizane) mukati memajoini nemumajoini matete (synovial membranes) anotenderedza majoini uye anopa kuburitswa kwakafanana nemafuta kumajoini. Nekufamba kwenguva, izvi zvidimbu zve `(CPP)` zvinoungana mukati memajoini, zvichikonzera 'kurwiswa' kunorwadza.

Zvisinei, masayendisiti haasati aziva kuti nei muviri wako uchigadzira '(CPP)' yakawanda uye kuti nei ichiiswa mumajoini ako. Dzimwe ongororo dzinoratidza kuti inogona kunge iri nhaka, zvichireva kuti kana vabereki vako vanayo, vana vako vari panjodzi yekuiwanawo. Kune vamwe, chirwere ichi chinogona kuitika mushure mekukuvara kwemajoini. Zvinofungidzirwawo kuti mamwe mamiriro emuviri kana endocrine (pseudogout) anogonawo kukonzera izvi.

Ndiani ari panjodzi huru yekubatwa nechirwere chepseudogout?

Kunyangwe chero munhu achigona kuwana pseudogout, inonyanya kuitika kuvanhu vane makore anopfuura 65. Pamusoro pezvo, vanhu vane mamwe matambudziko asingaperi vari panjodzi huru yekubatwa pseudogout. Semuenzaniso:

• Kushomeka kwemagnesium muropa (Hypomagnesemia)
• Hyperparathyroidism
• Chirwere chethyroid
• Kuwanda kwesimbi mumuviri (Hemochromatosis)
• Hypophosphatesia (kusakwana kwemamineral mumapfupa)
• Osteopenia
• Chirwere cheitsvo chisingaperi (CKD)

Uyewo, vanhu vane mamwe marudzi earthritis (pseudogout) vanogonawo kuibata. Mienzaniso:

• Gout
• Osteoarthritis (kurwadziwa kwemajoini)
• Arthritis ine rheumatoid
• Arthritis mushure mekutambudzika

Ndezvipi zvinetso zvinogona kuitika nekuda kwe pseudogout?

Kana chirwere ichi (Pseudogout) chikasarapwa, chinogona kukonzera 'maronda' anorwadza kakawanda uye akanyanya. Izvi zvinoreva kuti kurwadziwa kwako kunongowedzera. Kune vamwe vanhu, kana zvidimbu izvi zve'CPP' zvikagara zvakatenderedza mapfupa ari pamusoro pemutsipa, zvinogonawo kukonzera zviratidzo zvakaita semusoro kana kurwadziwa kwemutsipa .

Vanachiremba vanoongorora sei pseudogout?

Paunoenda kunoona chiremba, iye achakuongorora uye achakuitira bvunzo kuti aone kana uine pseudogout. Chiremba achaongorora majoini ako uye achakubvunza nezvezviratidzo zvako. Panguva iyoyo, iva nechokwadi chekuti wataura zvinotevera zvakajeka:

• Wakatanga rini kuona zviratidzo izvi?
• Zviratidzo izvi zvinoita sekunge zvinouya zvoenda.
• Zviratidzo izvi zvinowedzera (kana kuti zvinoderera) here panguva dzezvimwe zviitiko kana dzimwe nguva dzezuva?

Kazhinji, chiremba wako anotora sampuli yemvura kubva mujoini rako (kufemerwa kwemajoini kana arthrocentesis). Izvi zvinosanganisira kuisa tsono diki mujoini rinorwadza wotora sampuli yemvura yacho, iyo yozotumirwa kurabhoritari kuti iongororwe. Rabhoritari ichaitarisa pasi pemaikorosikopu kuti ione kana paine zvidimbu zveCPP. Iyi ndiyo nzira yakanakisisa yekusimbisa pseudogout.

Rangarira kuti unganzwa kurwadziwa kana wawana mvura mujoini iri, kunyanya kana joini rakazvimba zvikuru uye richirwadza. Zvisinei, chiremba wako anogona kukupa mushonga unoderedza kurwadziwa.

Pamusoro pezvo, chiremba anogonawo kuita bvunzo dzekuongorora kuti pane calcium yakawanda here mumajoini (chondrocalcinosis). Izvi zvinogona kusanganisira:

• X-rays
• CT scan (CT scan - computed tomography scan)
• Kuongororwa kweMRI (MRI - magnetic resonance imaging)
• Kuongororwa kweUltrasound `(Ultrasound)`

Unogona kushandisa bvunzo dzakadai se.

Ndeapi marapirwo akanakisa e (Pseudogout)?

Chiremba wako achakurudzira mishonga inobatsira kudzora zviratidzo zvako uye kuderedza kuwanda kwekurwiswa kwepseudogout. Mishonga inonyanya kushandiswa ndeyemishonga.

• NSAIDs (N.S.A.I.D. - mishonga isingashandisi masteroidal anti-inflammatory): Iyi mishonga inoderedza marwadzo uye inoderedza kuzvimba. Unogona kutenga mishonga inotengeswa kunze kwechitoro chemishonga senge ibuprofen kana naproxen. Zvisinei, havasi vese vanofanirwa kushandisa maNSAIDs aya.Kunyanya kana uine mamwe matambudziko ehutano. Saka, usashandise mushonga uyu usina kutaura nachiremba, uye usaushandise nguva dzose kwemazuva anopfuura gumi.
• Corticosteroids: Iyi mishonga ine simba yekudzivirira kuzvimba inonyorerwa nachiremba. Inogona kupihwa kwauri semapiritsi ekunwa kana kuti sejekiseni recortisone zvakananga mujoini rakakanganiswa.
• Colchicine: Uyu mushonga unonyorerwawo nachiremba kuderedza kuzvimba nekurwadziwa. (Pseudogout) Mushonga uyu unoshanda zvakanyanya kana ukatorwa mukati memaawa makumi maviri nemana kubva pakutanga kwechirwere. Dzimwe nguva chiremba wako anogona kukuudza kuti utore mushonga uyu nedosi shoma kwenguva yakareba kuti uderedze kuwanda kwekurwiswa.
• Majekiseni emuviri: Dzimwe nguva chiremba wako anogona kukurudzira majekiseni akadai seanakinra kana canakinumab kubatsira kudzora kurwiswa kwepseudogout. Mishonga iyi inoshanda nenzira yakafanana necolchicine. Kunyangwe ichitenderwa neFood and Drug Administration (FDA) kurapa mamwe marudzi earthritis, haisati yatenderwa zviri pamutemo kurapa pseudogout. Izvi zvinoreva kuti inishuwarenzi yako ingasavabhadhara, uye inogona kudhura kupfuura mamwe marapirwo.

Chii chandinofanira kutarisira kana ndiine pseudogout?

Kana uine pseudogout, unogona kutarisira kuva nekurwiswa kwezviratidzo izvi kunouya kwozopera. Kurwiswa uku kunogona kuwanda kana ukasatsvaga rubatsiro kubva kuna chiremba.

Kunyangwe uri kurapwa, kuwanda kwe 'kurwiswa' uku kunogona kuwedzera nekukura. Izvi zvakajairika.

Pseudogout inogona kudzivirirwa here?

Kutaura zvazviri, parizvino hapana nzira chaiyo yekudzivirira pseudogout. Asi masayendisiti achiri kutsvaga kuti aone kuti sei miviri yedu ichigadzira zvidimbu izvi zvakawanda zve "(CPP)".

Kudzora mamwe matambudziko ehutano hwako (semuenzaniso, chirwere cheshuga, BP) kunogona kubatsira kuderedza kuwanda kwe "kurwiswa" uku (pseudogout).

Vamwe vanhu vanowanzova nezviratidzo zvakawanda kupfuura vamwe. Kana ukasangana ne "pseudogout attack", haisi mhosva yako, uye usafunge kuti imhaka yekuti wakaita chimwe chinhu chisina kunaka. Kazhinji hapana zvikonzero zvakananga zvaunogona kuchinja kana kudzivirira.

Ndinofanira kuona chiremba rini?

Kana ukangoerekana warwadziwa zvakanyanya mune rimwe remajoini ako, kunyanya kana joini rakazvimba, rakatsvuka, kana kuti rakachinja ruvara, enda kuna chiremba nekukasika. Zviratidzo zve pseudogout zvakafanana zvikuru nezve gout , mamwe mabhakitiriya, nezvimwe zvirwere zvinoda kurapwa nekukasika.

Uyewo, kana uri kubatwa nechirwere chepseudogout kakawanda kupfuura zvawagara uchiita, kana kuti zviratidzo zvako zvakanyanya kupfuura zvawagara uchiita, udza chiremba wako nezvazvo zvakare.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Paunosangana nachiremba, unogona kubvunza mibvunzo yakaita seiyi:

• Ndine pseudogout, kana imwe mhando yearthritis here?
• Ndezvipi bvunzo dzandichafanira kuita?
• Chii chandingaita kuti ndidzivise 'kurwiswa' mune ramangwana (kunyepedzera)?
• Ndeipi mishonga yakanakisisa yekudzora zviratidzo zvangu?

Chikafu nechinwiwa zvinogona kukonzera kurwiswa (pseudogout) here?

Uyu mubvunzo unobvunzwa nevanhu vazhinji, uye unokosha. Zvinhu zvaunodya nekunwa zvinogona kukonzera chirwere chepseudogout here? Mhinduro inowanzova kwete. Uyu ndiwo mumwe wemisiyano mikuru pakati pepseudogout negout .

Kudya zvimwe zvekudya (kunyanya nyama nehove dzine purines yakawanda, uye doro rakadai sedoro) zvinogona kukonzera chirwere chegout . Izvi zvinodaro nekuti kana chikafu ichocho chikagayiwa, muviri unoburitsa uric acid yakawanda. Ndosaka vanhu vane gout vachikurudzirwa kutevedzera kudya kushoma mu purines.

Zvisinei, mu pseudogout, zvidimbu zveCPP hazviunganidzi mumuviri se uric acid. Saka, pseudogout kazhinji haina chekuita zvakananga nezvaunodya kana kunwa.

Ehe, chiremba wako anogona kukukurudzira kuti udye kana kudzivisa zvimwe zvekudya kuti uchengetedze hutano hwako hwese kana kuti ugadzirise zvimwe zvirwere zvaungave nazvo, asi kwete zvakananga zve pseudogout.

Kunyange zvazvo zita rekuti Pseudogout richireva gout 'yenhema', kurwadziwa, kuzvimba, uye kusagadzikana kwaunonzwa hazvisi zvenhema. Zvinogona kuoma kutsungirira. Zvinogona kunetsa kusakwanisa kudzivirira Pseudogout. Zvisinei, vanhu vazhinji vanogona kushandisa musanganiswa wemishonga yakakodzera kuderedza kukanganisa kunoita Pseudogout muhupenyu hwavo hwezuva nezuva.

Unogona kurwiswa dzimwe nguva, asi chiremba wako anogona kukubatsira kuwana nzira dzekugadzirisa zviratidzo zvako.

Ndezvipi zvinhu zvinonyanya kukosha zvatinofanira kurangarira kubva munyaya iyi?

Zvakanaka, ngatipfupisei zvimwe zvezvinhu zvaunofanira kurangarira kubva pane zvatataura nezvazvo:

• Pseudogout rudzi rwearthritis runouya kamwe kamwe, ruchirwadza zvikuru uye kuzvimba kwemajoini.
• Izvi zvinokonzerwa nekuiswa kwezvidimbu zvinonzi calcium pyrophosphate (CPP) mumajoini.
• Kusiyana negout , chirwere ichi hachikurumidzi kukonzerwa nechikafu nechinwiwa.
• Kana ukaona zviratidzo izvi, iva nechokwadi chekuona chiremba kuti uwane chirwere chacho nemazvo.
• Nzira dzekurapa dzinosanganisira mishonga inoderedza marwadzo uye mishonga inorwisa kuzvimba, iyo inogona kubatsira kudzora zviratidzo.
• Kunyangwe izvi zvisingagone kudzivirirwa zvachose, kurapwa kunogona kuvandudza hupenyu.

Saka, kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, usatya kuona chiremba wowana mazano. Kuongororwa nekukurumidza uye kurapwa kwakakosha zvikuru.

Kurwadziwa kwemajoini , Chondrocalcinosis, CPPD, Marwadzo emajoini, Kuzvimba kwemajoini, Calcium pyrophosphate, Arthritis