Uhlobo lweArthritis Ngokuqhelekileyo lungaxilongwa njengeGout
I-calcium pyrophosphate disease deposition (CPPD) uhlobo lwe-arthritis. Yibangelwa iiphozithi ze-khalsium phosphate crystals kumalungu kwaye ineziganeko ezifanayo kwi-gout. Ukuhlaselwa kwe-CPPD kungavela ngokukhawuleza kwaye kubangele ubuhlungu obukhulu, ukuvuvukala nokukhubazeka.
I-CPPD yaziwa ngamanye amagama kuquka ukuhlaziywa , ixesha elide lisasetyenziswa kwiindlela ezininzi zezokwelapha, kunye ne- chondrocalcinosis , ekhankanya ngokukodwa kwiimali ze-calcium ezikhulayo kwiindawo ezidibeneyo.
Iimpawu
Nge-CPPD, ukubunjwa okuqhubekayo kwe-calcium kwizihlanganisi kunokubangela ukuba iziganeko ezinokuvutha kwamathumbu ziquka ukuhlungu, ukuqina, ukuvuvukala, ukukhathala, umkhuhlane we-low-grade, kunye nomda wokuhamba.
Umngcipheko wokuhlaselwa kwe-CPPD ukhula ukwandisa ngobudala. Ngokweenkcukacha ezivela kwi-American College of Rheumatology, ukuphuhliswa kwamakristali e-calcium kwenzeka cishe malunga nepesenti zabantu abadala kuma-50s. Leyo nani inyuka ifikelela kuma-50 ekhulwini ngelixa umntu afinyelela kuma-90.
Akubona wonke umntu ovelisa iCCPD ekristal eya kuba neempawu. Kwama-25 ekhulwini abenzayo, baninzi baya kuba neentlungu ezibuhlungu ezibandakanya amadolo okanye amava entlungu kunye nokuvuvukala ama- ankle , izibonda , izandla , izibonda okanye amanxeba . Ukuhlaselwa kwe-CPPD kunokuhlala kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa.
Ukuhlaselwa kwe-CPPD kungabangela ukugula okukhulu, ukuhlinzwa, ukuxhwaleka, okanye ukugqithisa okukhulu. Kwixesha leminyaka, lesi sifo singabangela ukuhlahloka kwamalungu amaninzi, okubangelwa ukukhubazeka kwexesha elide.
Phantse amahlanu ekhulwini kwabagulayo baya kuvelisa i- arthritis engapheliyo-imeko efana neengxube zengxowankulu (oku kuthetha ukuba unamalungu afanayo kumacandelo ahlukeneyo omzimba, afana namasundu okanye amadolo).
Ukuxilongwa
Ukuxilongwa kwe-CPPD kudla ukulibaziseka ngenxa yokuba iimpawu ziphosakele ngezinye iintlobo ze-arthritis kuquka i- osteoarthritis , i-rheumatoid arthritis, kunye ne-gout (isifo esibonakaliswe ukubunjwa kwama-crystals e-uric acid).
Ukuxilongwa ngokuqhelekileyo kuya kubandakanya ukufunwa kwamanzi kunye nokuhlalutya kwe-crystalline kwi-lab.
Ugqirha unokuphinde alayishe iimvavanyo zokucinga ezifana ne-ultrasound, scan scan (CT) , okanye i -imaging magnetic imaging (MRI) ukukhangela ukukunceda ukufumanisa imibala ebhaliweyo ngokubanzi.
Unyango
Ngokungafani ne-gout, apho i-uric acid crystals ichithwa ngamachiza, i-crystals iquka i-CPPD ayikho into (engathi ayinako ukuchithwa).
Ngoko ke unyango lujoliswe ekunciphiseni iimpawu kunye nokuphepha kokuhlaselwa kwangomso. Okukhethwa kwamachiza kuquka:
- Izidakamizwa ezichasene nezidakamizwa (non-steroidal anti-inflammatory (NSAIDs) ukulawula intlungu kunye nokuvuvukala
- I-dose ephantsi-Colcrys (colchicine) , eqhelekileyo isetyenziselwa igulane, kubantu abangakwazi ukunyamezela i-NSAIDs
- I-Cortisone (i-steroid) iilenki kwidibaniselwano ezichaphazelekayo ukubonelela ngoncedo olukhawulezileyo, olufutshane elifutshane
- I-Plaquenil (i-hydroxychloroquine) okanye i- methotrexate (i-MTX) kwiimeko ezinzima kakhulu ukunyusa impendulo yomzimba kunye nokunciphisa ukuvutha
Ukuhlinzwa kungathatyathwa ukuba kususwe ubuninzi bebakala ukusuka kwidibeneyo, nangona isacingwa ngoluvavanyo kunye nedatha echanekileyo ukuxhasa ukusetyenziswa kwayo.
> Imithombo:
> Ikholeji yaseMerika yaseRheumatology. "I-Calcium Pyrophosphate Deposition (CPPD)." Atlanta, Georgia; kuhlaziywe ngoMatshi 2017.
> Schlee, S .; Bollheimer, L .; Bersch, T. et al. "I-Crystal Arthritides: I-Gout neCalcium Pyrophosphate Arthritis / Icandelo 1: I-epidemiology kunye ne-Pathophysiology." I-Gerontol Geriatr. 2017. INGXELO: 10.1007 / s00391-017-1197-3.