Ngaba amalungu akho abuhlungu okanye avuvukala ngequbuliso? Oku kusenokuba yi-pseudogout!

Ngaba wakha wavuka kusasa waza ngequbuliso wafumana ilungu elifana nedolo okanye isihlakala sakho libomvu, lidumbile, kwaye libuhlungu kakhulu? Okanye mhlawumbi uye walala ebusuku ngaphandle kweengxaki, waza wavuka kusasa unolu hlobo lwentlungu enzima? Oku ngamanye amaxesha kunokuba yimeko esingacingi ngayo, njenge-arthritis, imeko eza nokudumba kwamalungu. Siza kuthetha ngesifo esinjalo namhlanje.

Yintoni le (i-Pseudogout)?

Ngamafutshane, i-pseudogout ikwaluhlobo lwe-arthritis. Kodwa iyenzeka ngequbuliso, ngaphandle kwesilumkiso , ineentlungu eziqatha kunye nokudumba kwamalungu akho. Kuvakala ngathi kukho into ekwehlelayo.

Nangona le meko (pseudogout) inokuchaphazela naliphi na ilungu emzimbeni wakho, idla ngokubonakala kakhulu kula malungu:

• Emadolweni
• Ezandleni nasezihlahleni
• Emahlombe
• Kwisinqe kunye namalungu anxulumene naso
• Kwiingqiniba
• Emaqatheni

Oogqirha basebenzisa amanye amagama aliqela kwesi sifo (i-Pseudogout). Usenokuba ukhe weva la magama:

• Ukufakwa kweCalcium pyrophosphate (CPPD): Oku kuthetha ukuba ikhemikhali ebizwa ngokuba yicalcium pyrophosphate ifakwa emalungeni.
• I-Calcium pyrophosphate arthritis: Oku kukudumba kwamalungu okubangelwa yi-calcium pyrophosphate.
• I-Chondrocalcinosis: Oku kubhekisa ekubekweni kwe-calcium kwizicubu ezithambileyo zamalungu abizwa ngokuba yi-cartilage.

Onke la magama abhekisa kwimeko efanayo yempilo. Ngoko ke, ukuba ugqirha ukhankanya elinye lala magama, ungakhathazeki, lithetha oku (i-Pseudogout).

Yintoni umahluko phakathi kwePseudogout kunye neGout ?

Ngoku usenokuba ucinga, "Owu, ingaba esi sisifo samalungu esibizwa ngokuba yiGout ?" Enyanisweni, kukho ukufana okuninzi phakathi kwezi zimbini, yiyo loo nto sibizwa ngokuba yi-'pseudo-gout'. Igama elithi 'pseudo' lithetha 'ubuxoki' okanye 'ubuqhetseba'. Ngoko ke oku kufana ne-'pseudo gout '.

Kodwa kukho umahluko ocacileyo phakathi kwezi zimbini.

• I-Gout yenzeka xa kukho ikhemikhali eninzi ebizwa ngokuba yi-uric acid egazini lakho (imeko ebizwa ngokuba yi-hyperuricemia). Ezi kristali zibukhali ze-uric acid ziyahlala emalungeni, zibangele ukudumba.
• I-Pseudogout ibangelwa luhlobo olwahlukileyo ngokupheleleyo lweekristale eziqokelelana emalungeni. Zibizwa ngokuba ziikristale ze -calcium pyrophosphate (CPP) . Yiyo loo nto ikwabizwa ngokuba yi-"Calcium pyrophosphate deposition".

Omnye umahluko kukuba, i-gout.I-Gout idla ngokuchaphazela ilungu apho uzwane lwakho olukhulu ludibana khona nonyawo lwakho (i-metatarsophalangeal (MTP) joint). I-Pseudogout ayidli ngokubandakanya elo lungu. Endaweni yoko, idla ngokuchaphazela amalungu amakhulu afana namadolo kunye nezandla.

Zithini iimpawu ze (Pseudogout)?

Zeziphi iimpawu oza kuzibona kule meko (i-Pseudogout)? Makhe sijonge:

• Intlungu yamalungu ngequbuliso, enganyamezelekiyo luphawu oluphambili.
• Ukutshintsha kombala wolusu okanye ukuba bomvu. Ulusu olujikeleze ilungu elibuhlungu lunokuba bomvu.
• Ukudumba. Ilungu elichaphazelekileyo lidumba kakhulu.
• Ukuqina kwelungu. Kuba nzima ukugoba okanye ukolula ilungu.
• Ukuziva ufudumele ngaphakathi okanye kufutshane nelungu. Usenokuziva ufudumele xa ulichukumisa ngesandla sakho.

Ezi mpawu azihlali ngonaphakade. Ziyafika zihambe. Ziza ngamaza. Sizibiza ngokuba ziiflares okanye uhlaselo. (Pseudogout) 'Uhlaselo' luqala ngequbuliso. Endaweni yokuba uzive ngathi iimpawu zakho ziya zisiba mandundu kancinci kancinci, unokuba nazo zonke iimpawu zakho ngaxeshanye. 'Uhlaselo' olunje lunokuhlala ukusuka kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa, kwaye ngamanye amaxesha nangaphezulu.

Kutheni le nto (i-Pseudogout) isenzeka?

Isizathu esiphambili soku, njengoko bekutshiwo ngaphambili, kukugcwala kwamasuntswana amancinci, anjengomgubo wento ebizwa ngokuba yi -calcium pyrophosphate (CPP) ngaphakathi kwamalungu akho achaphazelekileyo. La masuntswana aqokelelana kwi -cartilage (inxalenye ethambileyo egcina amathambo ukuba angakhuhlani) ngaphakathi kwamalungu nakwi -membranes ezincinci (i-synovial membranes) ezijikeleze amalungu kwaye zibonelela ngokukhupha okufana neoyile kumalungu. Ekuhambeni kwexesha, la masuntswana `(CPP)` ayahlangana ngaphakathi kwamalungu, nto leyo ebangela ukuba 'kuhlaselwe' kabuhlungu.

Nangona kunjalo, izazinzulu azikaqiniseki ukuba kutheni umzimba wakho uvelisa i-`(CPP)` engaphezulu kwaye kutheni ifakwa kumalungu akho. Ezinye izifundo zibonisa ukuba isenokuba yimfuza, nto leyo ethetha ukuba ukuba abazali bakho banayo, nabantwana bakho basengozini yokuba nayo. Kwabanye, le meko isenokuvela emva kokwenzakala kwamalungu. Kukwacingelwa ukuba ezinye iimeko ze-metabolic okanye ze-endocrine (pseudogout) nazo zinokubangela loo nto.

Ngubani osengozini enkulu yokufumana i-pseudogout?

Nangona nabani na enokuba ne-pseudogout, ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-65 ubudala. Ukongeza, abantu abanezigulo ezithile ezingapheliyo basengozini enkulu yokufumana i-pseudogout. Umzekelo:

• I-magnesium ephantsi egazini (i-Hypomagnesemia)
• I-Hyperparathyroidism
• Isifo se-thyroid
• Isinyithi esigqithisileyo emzimbeni (iHemochromatosis)
• I-Hypophosphatasia (ukufakwa kweeminerali emathanjeni ngendlela engafanelekanga)
• I-Osteopenia
• Isifo sezintso esingapheliyo (CKD)

Kwakhona, abantu abasele benazo ezinye iintlobo zesifo samathambo (pseudogout) nabo banokuba naso. Imizekelo:

• Igawuthi
• I-Osteoarthritis (intlungu yamalungu)
• Irheumatoid arthritis
• I-arthritis emva kwe-traumatic

Ziziphi iingxaki ezinokubakho ze-pseudogout?

Ukuba ayinyangwa, le meko (i-Pseudogout) inokubangela 'ukudumba' okubuhlungu rhoqo nokuqatha ngakumbi. Oku kuthetha ukuba intlungu yakho iya kuba mandundu ngakumbi. Kwabanye abantu, ukuba ezi ziqwenga ze-'CPP' zihlala zijikeleze amathambo kwinxalenye ephezulu yentamo, zinokubangela neempawu ezifana neentloko ezibuhlungu okanye iintlungu zentamo .

Oogqirha bayixilonga njani i-pseudogout?

Xa usiya kugqirha, uza kukuhlola aze enze uvavanyo oluthile ukuze abone ukuba unayo na i-pseudogout. Ugqirha uza kuhlolisisa amalungu akho aze akubuze ngeempawu zakho. Ngelo xesha, qiniseka ukuba uchaza ngokucacileyo oku kulandelayo:

• Uqale nini ukuqaphela ezi mpawu?
• Ezi mpawu zibonakala ngathi ziyafika ziphinde ziphele.
• Ingaba ezi mpawu ziyanda (okanye ziyancipha) ngexesha lemisebenzi ethile okanye ngamaxesha athile emini?

Rhoqo, ugqirha wakho uza kuthatha isampuli yolwelo oluvela kwilungu lakho (i-joint aspiration okanye i-arthrocentesis). Oku kuquka ukufaka inaliti encinci kwilungu elibuhlungu uze uthathe isampuli yolwelo, oluza kuthunyelwa kwilabhoratri ukuze luhlolwe. Ilabhoratri iza kulujonga phantsi kwe-microscope ukuze ibone ukuba kukho na amasuntswana e-CPP. Le yeyona ndlela ilungileyo yokuqinisekisa i-pseudogout.

Khumbula ukuba ungaziva iintlungu xa ufumana amanzi kweli lungu, ingakumbi ukuba ilunga lidumbile kakhulu kwaye libuhlungu. Nangona kunjalo, ugqirha wakho angakunika iyeza elinciphisa iintlungu.

Ukongeza, ugqirha angenza uvavanyo lwemifanekiso ukujonga ukuba kukho i-calcium engakanani emalungeni (chondrocalcinosis). Oku kungabandakanya:

• Ii-X-reyi
• I-CT scan (i-CT scan - i-computed tomography scan)
• Iskeni se-MRI (i-MRI - i-magnetic resonance imaging)
• Iskeni ye-ultrasound `(Ultrasound)`

Ungasebenzisa iimvavanyo ezifana.

Zeziphi iindlela zonyango ezilungileyo (i-Pseudogout)?

Ugqirha wakho uza kucebisa unyango oluza kunceda ukulawula iimpawu zakho nokunciphisa ukuhlaselwa kwe-pseudogout rhoqo. Unyango oluqhelekileyo ngamayeza.

• Ii-NSAID (N.S.A.I.D. - amayeza okulwa nokuvuvukala angengowe-steroidal): La ngamayeza okudambisa iintlungu kunye namayeza okulwa nokuvuvukala. Ungathenga amayeza athengiswa ngaphandle kwe-ibuprofen okanye i-naproxen. Nangona kunjalo, ayinguye wonke umntu ofanele asebenzise ezi NSAID.Ingakumbi ukuba unezinye iingxaki zempilo. Ngoko ke, musa ukusebenzisa eli yeza ngaphandle kokuthetha nogqirha, kwaye ungalisebenzisi rhoqo kangangeentsuku ezingaphezu kweshumi.
• IiCorticosteroids: La ngamayeza anamandla okulwa nokuvuvukala amiselwe ngugqirha. Anganikwa wena njengeepilisi onokuthi uwathathe okanye njenge-cortisone fluid ngqo kwilungu elichaphazelekayo.
• I-Colchicine: Eli liyeza elichazwe ngugqirha ukunciphisa ukudumba kunye nentlungu. (Pseudogout) Eli yeza lisebenza kakhulu ukuba lithathwe kwiiyure ezingama-24 emva kokuqala kohlaselo. Ngamanye amaxesha ugqirha wakho unokukuxelela ukuba uthathe eli yeza ngedosi ephantsi ixesha elide ukunciphisa ukuhlaselwa rhoqo.
• Iinaliti zebhayoloji: Ngamanye amaxesha ugqirha wakho unokucebisa iinaliti ezifana ne-anakinra okanye i-canakinumab ukunceda ukulawula ukuhlaselwa kwe-pseudogout. La mayeza asebenza ngendlela efanayo ne-colchicine. Nangona evunyiwe yi-Food and Drug Administration (FDA) ukunyanga ezinye iintlobo ze-arthritis, awakavunywa ngokusemthethweni ukunyanga i-pseudogout. Oku kuthetha ukuba i-inshurensi yakho isenokungazigubungeli, kwaye zinokubiza kakhulu kunezinye iindlela zonyango.

Yintoni endimele ndiyilindele ukuba ndine-pseudogout?

Ukuba une-pseudogout, ungalindela ukuba ezi mpawu ziza ziphinde zidlule. Ezi mpawu zinokuba zixhaphake kakhulu ukuba awufuni unyango kugqirha.

Nokuba ufumana unyango, ukuphindaphindeka kwezi 'hlaselo' kunokwanda njengoko ukhula. Oku kuqhelekile.

Ngaba i-pseudogout ingathintelwa?

Enyanisweni, okwangoku akukho ndlela ithile yokuthintela i-pseudogout. Kodwa izazinzulu zisaphanda ukufumanisa ukuba kutheni imizimba yethu ivelisa iziqwenga ezininzi ze-"(CPP)".

Ukulawula ezinye iimeko zakho zempilo (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu) kunokunceda ukunciphisa ukuphindaphindeka kwezi 'hlaselo' (ze-pseudogout).

Abanye abantu ngokwendalo baneempawu ezixhaphakileyo kunabanye. Ukuba ufumana 'uhlaselo' olungaqhelekanga, ayilotyala lakho, kwaye ungacingi ukuba kungenxa yokuba wenze into engalunganga. Ngokwesiqhelo akukho zinto zibangela ukuba utshintshe okanye uthintele.

Ndifanele ndimbone nini ugqirha?

Ukuba unentlungu ekhawulezileyo neqatha kwelinye lamalungu akho, ingakumbi ukuba ilungu lidumbile, libomvu, okanye litshintshile umbala, bona ugqirha ngokukhawuleza. Iimpawu ze-pseudogout zifana kakhulu nezo ze- gout , ezinye izifo zebhaktheriya, kunye nezinye iimeko ezifuna unyango olukhawulezileyo.

Kwakhona, ukuba uhlaselwa kakhulu yi-pseudogout kunesiqhelo, okanye ukuba iimpawu zakho zinzima kakhulu kunesiqhelo, xelela ugqirha wakho ngaloo nto.

Ndingayibuza yiphi imibuzo ugqirha?

Xa udibana nogqirha, ungambuza imibuzo efana nale:

• Ngaba ndine-pseudogout, okanye olunye uhlobo lwe-arthritis?
• Zeziphi iimvavanyo endiza kuzenza?
• Ndingenza ntoni ukuthintela 'uhlaselo' olungelulo olongezelelweyo kwixesha elizayo?
• Yeyiphi iyeza elingcono lokulawula iimpawu zam?

Ngaba ukutya neziselo zingabangela uhlaselo (i-pseudogout)?

Lo ngumbuzo obuzwa ngabantu abaninzi, kwaye ubalulekile. Ngaba izinto ozityayo noziselayo zinokubangela uhlaselo lwe-pseudogout? Impendulo idla ngokuba ngu-hayi. Lo ngomnye wemiba ephambili phakathi kwe-pseudogout kunye ne-gout .

Ukutya ukutya okuthile (ingakumbi inyama nentlanzi ene-purines eninzi, kunye notywala obufana nebhiya) kunokubangela uhlaselo lwe-gout . Oku kungenxa yokuba xa ukutya oko kugayiwa, umzimba uvelisa i-uric acid engaphezulu. Yiyo loo nto abantu abane -gout becetyiswa ukuba balandele ukutya okune-purines encinci.

Nangona kunjalo, kwi-pseudogout, iziqwenga ze-CPP aziqokeleli emzimbeni njenge-uric acid. Ke ngoko, i-pseudogout ayisoloko inxulumene ngokuthe ngqo noko ukutyayo okanye ukuselayo.

Kakade ke, ugqirha wakho unokukucebisa ukuba utye okanye uphephe ukutya okuthile ukuze ugcine impilo yakho iyonke okanye ukulawula ezinye izifo onokuba nazo, kodwa kungekhona ngokukodwa kwi-pseudogout.

Nangona igama elithi Pseudogout lithetha i- gout 'yobuxoki', iintlungu, ukudumba, kunye nokungonwabi okuzivayo aziyonyani. Kunokuba nzima kakhulu ukunyamezela. Kunokuba yinto ecaphukisayo ukungakwazi ukuthintela i-Pseudogout. Nangona kunjalo, abantu abaninzi banokusebenzisa indibaniselwano yamayeza afanelekileyo ukunciphisa impembelelo ye-Pseudogout kubomi babo bemihla ngemihla.

Usenokuba nokuhlaselwa ngamanye amaxesha, kodwa ugqirha wakho unokukunceda ufumane iindlela zokulawula iimpawu zakho.

Zeziphi izinto ezibalulekileyo esifanele sizikhumbule kweli bali?

Kulungile, masishwankathele ezinye zezinto ekufuneka uzikhumbule koko sithethe ngako:

• I-Pseudogout luhlobo lwe-arthritis oluvela ngequbuliso, luneentlungu ezinkulu kunye nokudumba kwamalungu.
• Oku kungenxa yokugcwala kweziqwenga ezibizwa ngokuba yi -calcium pyrophosphate (CPP) emalungeni.
• Ngokungafaniyo ne-gout , le meko ayibi mandundu ngokuthe ngqo kukutya nokusela.
• Ukuba ufumana ezi mpawu, qiniseka ukuba ubona ugqirha ukuze ufumane ukuxilongwa ngokuchanekileyo.
• Iindlela zonyango ziquka amayeza okudambisa iintlungu kunye namayeza okulwa nokuvuvukala, anokunceda ukulawula iimpawu.
• Nangona oku kungenakuthintelwa ngokupheleleyo, unyango lunokuphucula umgangatho wobomi.

Ngoko ke, ukuba wena okanye umntu omaziyo unezi mpawu, ungoyiki ukubona ugqirha ukuze ufumane ingcebiso. Ukuxilongwa kwangoko kunye nonyango kubaluleke kakhulu.

I- Pseudogout, i-Chondrocalcinosis, i-CPPD, iintlungu zamalungu, ukudumba kwamalungu, i-Calcium pyrophosphate, i-Arthritis