Wake wavuka ekuseni wabe usuthola ilunga elifana nedolo noma isihlakala sakho libomvu, livuvukele, futhi linobuhlungu obungabekezeleleki? Noma mhlawumbe walala ebusuku ngaphandle kwezinkinga, wabe usuvuka ekuseni unalolu hlobo lobuhlungu obukhulu? Lokhu kungaba yisimo esingacabangi ngaso, njenge-arthritis, okuyisimo esihambisana nokuvuvukala kwamalunga. Sizokhuluma ngesifo esinjalo namuhla.

Kuyini lokhu (i-Pseudogout)?

Kalula nje, i-pseudogout nayo uhlobo lwe-arthritis. Kodwa kwenzeka ngokuzumayo, ngaphandle kwesixwayiso , ngobuhlungu obukhulu nokuvuvukala kwamalunga akho. Kuzwakala sengathi kukhona okukunyonyobelayo.

Nakuba lesi simo (i-pseudogout) singathinta noma yiliphi ilunga emzimbeni wakho, sivame ukubonakala kula malunga:

• Emadolweni
• Ezandleni nasezingalweni
• Emahlombe
• Ezinqeni nasezihlangwini ezihlobene nazo
• Ezindololwaneni
• Emaqakaleni

Odokotela basebenzisa amanye amagama amaningana kulesi simo (i-Pseudogout). Kungenzeka ukuthi uke wezwa la magama:

• Ukufakwa kwe-calcium pyrophosphate (CPPD): Lokhu kusho ukuthi ikhemikhali ebizwa ngokuthi i-calcium pyrophosphate ifakwa emalungeni.
• I-Calcium pyrophosphate arthritis: Lokhu ukuvuvukala kwamalunga okubangelwa yi-calcium pyrophosphate.
• I-Chondrocalcinosis: Lokhu kubhekisela ekubekweni kwe-calcium ezicutshini ezithambile zamalunga ezibizwa ngokuthi i-cartilage.

Wonke la magama abhekisela esimweni esifanayo sezokwelapha. Ngakho-ke, uma udokotela ekhuluma ngelinye lala magama, ungakhathazeki, kusho lokhu (i-Pseudogout).

Uyini umehluko phakathi kwe-Pseudogout ne -Gout ?

Manje ungase ucabange, "O, ingabe lesi yisifo esifanayo samalunga esibizwa ngokuthi i-Gout ?" Empeleni, kunezinto eziningi ezifanayo phakathi kwalezi ezimbili, yingakho sibizwa ngokuthi 'i-pseudo-gout'. Igama elithi 'pseudo' lisho 'amanga' noma 'inkohliso'. Ngakho-ke lokhu kufana 'ne-pseudo gout '.

Kodwa kukhona umehluko ocacile phakathi kwalokhu okubili.

• I-Gout yenzeka uma kunekhemikhali eningi kakhulu ebizwa ngokuthi i-uric acid egazini lakho (isimo esibizwa ngokuthi i-hyperuricemia). Lawa makristalu abukhali e-uric acid abe esehlala emalungeni, okubangela ukuvuvukala.
• I-pseudogout ibangelwa uhlobo oluhlukile ngokuphelele lwamakristalu aqongelela emalungeni. Abizwa ngokuthi amakristalu e -calcium pyrophosphate (CPP) . Yingakho ibizwa nangokuthi "i-Calcium pyrophosphate deposition".

Omunye umehluko, i-gout.I-Gout ivame ukuthinta ilunga lapho uzwane lwakho olukhulu luxhumana khona nonyawo lwakho (ilunga le-metatarsophalangeal (MTP). I-Pseudogout ngokuvamile ayihileli lelo lunga. Kunalokho, ivame ukuthinta amalunga amakhulu njengamadolo nezihlakala.

Ziyini izimpawu ze-(Pseudogout)?

Yiziphi izimpawu ozozibona kulesi simo (i-Pseudogout)? Ake sibheke:

• Ubuhlungu bamalunga obungazelelwe nobungenakubekezeleleka buyisibonakaliso esiyinhloko.
• Ukushintsha kombala wesikhumba noma ukubomvu. Isikhumba esizungeze ilunga elibuhlungu singase sibe bomvu.
• Ukuvuvukala. Ilunga elithintekile livuvukala kakhulu.
• Ukuqina kwelunga. Kuba nzima ukugoba noma ukuqondisa ilunga.
• Umuzwa wokufudumala ngaphakathi noma eduze kwamalunga. Ungase uzizwe ukufudumala uma ulithinta ngesandla sakho.

Lezi zimpawu azihlali phakade. Ziyafika zidlule. Ziza ngamagagasi. Lokhu sikubiza ngokuthi ama-flare noma ukuhlaselwa. (Pseudogout) 'Ukuhlasela' kuqala ngokuzumayo. Esikhundleni sokuzizwa sengathi izimpawu zakho ziya ziba zimbi kancane kancane, ungase ube nazo zonke izimpawu zakho ngesikhathi esisodwa. 'Ukuhlasela' okunjengalokhu kungahlala kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa, futhi ngezinye izikhathi ngisho nangaphezulu.

Kungani lokhu (i-Pseudogout) kwenzeka?

Isizathu esiyinhloko salokhu, njengoba kushiwo ngaphambili, ukubekwa kwezinhlayiya ezincane, ezimpuphu zento ebizwa ngokuthi i-calcium pyrophosphate (CPP) ngaphakathi kwamalunga akho athintekile. Lezi ziqoqana ku -cartilage (ingxenye ethambile evimbela amathambo ukuthi angagudlani) ngaphakathi kwamalunga kanye nakuma -membrane amancane (ama-synovial membrane) azungeze amalunga futhi ahlinzeke ngokukhishwa okufana namafutha emalungeni. Ngokuhamba kwesikhathi, lezi zinhlayiya ze-`(CPP)` ziyahlangana ngaphakathi kwamalunga, okubangela lokho 'kuhlaselwa' okubuhlungu.

Kodwa-ke, ososayensi abakaqiniseki ukuthi kungani umzimba wakho ukhiqiza i-`(CPP)` eyengeziwe nokuthi kungani ifakwa emalungeni akho. Ezinye izifundo ziphakamisa ukuthi ingaba yifa, okusho ukuthi uma abazali bakho benayo, izingane zakho zisengozini yokuba nayo. Kwabanye, lesi simo singase sivele ngemva kokulimala kwamalunga. Kucatshangwa nokuthi ezinye izimo ze-metabolic noma ze-endocrine (pseudogout) nazo zingase ziyibangele.

Ubani osengozini enkulu yokuthola i-pseudogout?

Nakuba noma ubani angaba ne-pseudogout, ivame kakhulu kubantu abangaphezu kweminyaka engu-65. Ngaphezu kwalokho, abantu abanezimo ezithile ezingamahlalakhona basengozini enkulu yokuthola i-pseudogout. Isibonelo:

• I-magnesium ephansi egazini (i-Hypomagnesemia)
• I-Hyperparathyroidism
• Isifo se-thyroid
• Insimbi eningi emzimbeni (i-Hemochromatosis)
• I-Hypophosphatasia (ukufakwa kwamaminerali okungafanele emathanjeni)
• I-Osteopenia
• Isifo sezinso esingamahlalakhona (CKD)

Futhi, abantu asebevele benazo ezinye izinhlobo zesifo samathambo (pseudogout) nabo bangaba naso. Izibonelo:

• I-Gout
• I-Osteoarthritis (ubuhlungu bamalunga)
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• I-arthritis yangemva kwenhlekelele

Yiziphi izinkinga ezingaba khona ngenxa ye-pseudogout?

Uma ingelashwa, lesi simo (i-Pseudogout) singabangela 'ukuqubuka' okubuhlungu okuvamile futhi okukhulu. Lokhu kusho ukuthi ubuhlungu bakho buzoqhubeka buba bubi kakhulu. Kwabanye abantu, uma lezi zingcezu ze-'CPP' zihlala emathanjeni engxenyeni engenhla yentamo, zingadala nezimpawu ezifana nobuhlungu bekhanda noma ubuhlungu bentamo .

Odokotela bakuthola kanjani i-pseudogout?

Uma uya kudokotela, uzokuhlola bese enza izivivinyo ezithile ukuze anqume ukuthi une-pseudogout. Udokotela uzohlola amalunga akho futhi abuze ngezimpawu zakho. Ngaleso sikhathi, qiniseka ukuthi usho okulandelayo ngokucacile:

• Uqale nini ukuqaphela lezi zimpawu?
• Lezi zimpawu zibonakala zifika ziphinde ziphele.
• Ingabe lezi zimpawu ziyanda (noma ziyancipha) ngesikhathi semisebenzi ethile noma ngezikhathi ezithile zosuku?

Ngokuvamile, udokotela wakho uzothatha isampula yoketshezi oluvela emalungeni akho (ukufuthwa kwamalunga noma i-arthrocentesis). Lokhu kuhilela ukufaka inalithi encane emalungeni abuhlungu bese uthatha isampula yoketshezi, oluzothunyelwa elabhorethri ukuze luhlolwe. Ilabhorethri izolubheka ngaphansi kwe-microscope ukuze ibone ukuthi kukhona yini izinhlayiya ze-CPP. Lena yindlela engcono kakhulu yokuqinisekisa i-pseudogout.

Khumbula ukuthi ungase uzwe ubuhlungu uma uthola amanzi kuleli lunga, ikakhulukazi uma ilunga livuvukele kakhulu futhi libuhlungu. Kodwa-ke, udokotela wakho angakunika umuthi oqeda izinhlungu ukuze usize ekunciphiseni ubuhlungu.

Ngaphezu kwalokho, udokotela angenza nokuhlolwa kwezithombe ukuhlola ukuthi kukhona yini i-calcium emalungeni (i-chondrocalcinosis). Lokhu kungafaka:

• Ama-X-ray
• I-CT scan (i-CT scan - i-computed tomography scan)
• Ukuskena kwe-MRI (i-MRI - i-magnetic resonance imaging)
• Ukuskena kwe-Ultrasound `(Ultrasound)`

Ungasebenzisa izivivinyo ezifana nalezi.

Yiziphi izindlela zokwelapha ezingcono kakhulu (i-Pseudogout)?

Udokotela wakho uzoncoma ukwelashwa okuzosiza ukulawula izimpawu zakho nokunciphisa ukuvama kokuhlaselwa yi-pseudogout. Ukwelashwa okuvame kakhulu imithi.

• Ama-NSAID (N.S.A.I.D. - izidakamizwa ezilwa nokuvuvukala ezingezona eze-steroidal): Lezi yizidakamizwa eziqeda ubuhlungu kanye nezidakamizwa ezilwa nokuvuvukala. Ungathenga imithi ethengiswa ngaphandle kwemithi kadokotela njenge-ibuprofen noma i-naproxen. Kodwa-ke, akuwona wonke umuntu okufanele asebenzise la ma-NSAID.Ikakhulukazi uma unezinye izinkinga zempilo. Ngakho-ke, ungasebenzisi lo muthi ngaphandle kokukhuluma nodokotela, futhi ungawusebenzisi njalo izinsuku ezingaphezu kweshumi.
• Ama-Corticosteroids: Lena imithi enamandla yokulwa nokuvuvukala enqunywe udokotela. Ingase inikezwe wena njengamaphilisi okufanele uwathathe noma njengomjovo we-cortisone ngqo esilungwini esithintekile.
• I-Colchicine: Lona futhi umuthi onqunywe udokotela ukunciphisa ukuvuvukala nobuhlungu. (I-Pseudogout) Lo muthi usebenza kahle kakhulu uma uthathwa zingakapheli amahora angama-24 kusukela ekuqaleni kokuhlaselwa. Ngezinye izikhathi udokotela wakho angakutshela ukuthi uthathe lo muthi ngesilinganiso esiphansi isikhathi eside ukuze unciphise imvamisa yokuhlaselwa.
• Imijovo ye-biologic: Ngezinye izikhathi udokotela wakho angase ancome imijovo efana ne-anakinra noma i-canakinumab ukusiza ukulawula ukuhlaselwa kwe-pseudogout. Le mithi isebenza ngendlela efanayo ne-colchicine. Nakuba ivunyelwe yi-Food and Drug Administration (FDA) ukwelapha ezinye izinhlobo ze-arthritis, ayikavunyelwa ngokusemthethweni ukwelapha i-pseudogout. Lokhu kusho ukuthi umshwalense wakho ungase ungazimbozi, futhi zingabiza kakhulu kunezinye izindlela zokwelapha.

Yini okufanele ngiyilindele uma ngine-pseudogout?

Uma une-pseudogout, ungalindela ukuhlaselwa kwalezi zimpawu ezifikayo nezidlulayo. Lokhu kuhlaselwa kungaba yinto evame kakhulu uma ungadingi ukwelashwa kudokotela.

Ngisho noma uthola ukwelashwa, ukuvama kwalokhu 'kuhlaselwa' kunganda njengoba ukhula. Lokhu kuvamile.

Ingabe i-pseudogout ingavinjelwa?

Eqinisweni, okwamanje ayikho indlela eqondile yokuvimbela i-pseudogout. Kodwa ososayensi basacwaninga ukuthola ukuthi kungani imizimba yethu ikhiqiza izingcezu eziningi kakhulu ze-"(CPP)".

Ukulawula ezinye izimo zakho zempilo (isib. isifo sikashukela, umfutho wegazi ophakeme) kungasiza ekunciphiseni ukuvama kwalokhu 'kuhlaselwa' (pseudogout).

Abanye abantu ngokwemvelo banezimpawu ezivame kakhulu kunabanye. Uma uhlangabezana 'nokuhlaselwa' okungeyikho, akulona iphutha lakho, futhi ungacabangi ukuthi kungenxa yokuthi wenze okuthile okungalungile. Ngokuvamile azikho izimbangela eziqondile ongazishintsha noma uzivimbele.

Kufanele ngimbone nini udokotela?

Uma uzwa ubuhlungu obungazelelwe, obukhulu kwelinye lamalunga akho, ikakhulukazi uma ilunga livuvukele, libomvu, noma lishintsha umbala, bheka udokotela ngokushesha. Izimpawu ze-pseudogout zifana kakhulu neze- gout , ezinye izifo ezibangelwa amagciwane, kanye nezinye izimo ezidinga ukwelashwa ngokushesha.

Futhi, uma uhlaselwa kakhulu yi-pseudogout kunokujwayelekile, noma uma izimpawu zakho zinzima kakhulu kunokujwayelekile, tshela udokotela wakho ngalokho futhi.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uhlangana nodokotela, ungabuza imibuzo efana nale:

• Ingabe ngine-pseudogout, noma olunye uhlobo lwe-arthritis?
• Yiziphi izivivinyo okuzodingeka ngizenze?
• Yini engingayenza ukuze ngivimbele 'ukuhlaselwa' kwesikhathi esizayo (okungelona iqiniso)?
• Yimuphi umuthi ongcono kakhulu wokulawula izimpawu zami?

Ingabe ukudla neziphuzo kungadala ukuhlaselwa (ukungahloniphi)?

Lona umbuzo abantu abaningi abawubuzayo, futhi ubalulekile. Ingabe izinto ozidlayo noziphuzayo zingadala ukuhlaselwa yi-pseudogout? Impendulo ngokuvamile iba cha. Lona omunye wemimehluko emikhulu phakathi kwe-pseudogout ne -gout .

Ukudla ukudla okuthile (ikakhulukazi inyama nenhlanzi okunama-purines amaningi, kanye notshwala obufana nobhiya) kungabangela ukuhlaselwa yi-gout . Lokhu kungenxa yokuthi lapho lokho kudla kugaywa, umzimba ukhiqiza i-uric acid eningi. Yingakho abantu abane- gout belulekwa ukuba balandele ukudla okunama-purines amancane.

Kodwa-ke, ku-pseudogout, izingcezu ze-CPP aziqongelelani emzimbeni njenge-uric acid. Ngakho-ke, i-pseudogout ngokuvamile ayihlobene ngqo nalokho okudlayo noma okuphuzayo.

Yiqiniso, udokotela wakho angase akucebise ukuthi udle noma ugweme ukudla okuthile ukuze ulondoloze impilo yakho iyonke noma uphathe ezinye izimo ongase ube nazo, kodwa hhayi ngqo ze-pseudogout.

Nakuba igama elithi Pseudogout lisho i- gout 'yamanga', ubuhlungu, ukuvuvukala, kanye nokungakhululeki okuzwayo akuzona izinto mbumbulu. Kungaba nzima kakhulu ukukuthwala. Kungaba yinto ekhungathekisayo ukungakwazi ukuvimbela i-Pseudogout. Kodwa-ke, abantu abaningi bangasebenzisa inhlanganisela yemithi efanele ukunciphisa umthelela i-Pseudogout enawo empilweni yabo yansuku zonke.

Ungase ube nokuhlaselwa ngezikhathi ezithile, kodwa udokotela wakho angakusiza ukuthola izindlela zokulawula izimpawu zakho.

Yiziphi izinto ezibaluleke kakhulu okufanele sizikhumbule kule ndaba?

Kulungile, ake sifingqe ezinye zezinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-Pseudogout uhlobo lwe-arthritis oluvela ngokuzumayo, olunezinhlungu ezinkulu zamalunga kanye nokuvuvukala.
• Lokhu kungenxa yokugcwala kwezingcezu ezibizwa ngokuthi i-calcium pyrophosphate (CPP) emalungeni.
• Ngokungafani ne -gout , lesi simo asibi kakhulu ngokudla nokuphuza.
• Uma uhlangabezana nalezi zimpawu, qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okunembile.
• Izindlela zokwelapha zifaka phakathi imithi yokwelapha izinhlungu kanye nemithi yokulwa nokuvuvukala, engasiza ekulawuleni izimpawu.
• Nakuba lokhu kungenakuvinjelwa ngokuphelele, ukwelashwa kungathuthukisa ikhwalithi yokuphila.

Ngakho-ke, uma wena noma othile omaziyo enalezi zimpawu, ungesabi ukubona udokotela bese uthola iseluleko. Ukuxilongwa kusenesikhathi kanye nokwelashwa kubaluleke kakhulu.

I- Pseudogout, i-Chondrocalcinosis, i-CPPD, Ubuhlungu bamalunga, Ukuvuvukala kwamalunga, i-Calcium pyrophosphate, i-Arthritis