Isimo esivame ukutyhilwa ukuGout
I-Pseudogout yimeko edibeneyo enokudibana nayo ukuba inokuphuhliswa ukuba unayo i- calcium pyrophosphate isifo se- deposit (CPPD) . Njengoko kudla iphosakele ngenxa yesifo okanye enye imeko yesifo se- rheumatic , kufuneka uhlalutyo olufanelekileyo. Ukungabikho kwamagama okungafihlakeleyo kunokubangela ukuguqulwa okukhulu, ukuvuvukala okungapheliyo kunye nokukhubazeka okungapheliyo. Nazi iinkcukacha ezili-10 omele uziqonde kwaye uziqonde malunga nokusekela.
1. I-Pseudogout ihluke kwiGout ngohlobo lwe-Crystals
Njengoko igama layo lisikisela, ukuguguza kufana ne-gout, kodwa iimeko ezi zimbini zibangelwa idiphozi yee-crystals ezahlukeneyo. I-Pseudogout yimeko eqhubekayo xa i-calcium pyrophosphate crystals iqokelela kwi-joint kunye nezicubu ezijikeleze idibaniselwano elichaphazelekayo. I-Gout ivela xa i- uric acid crystals ifakwe kwidibene ezichaphazelekayo.
2. Iimpawu zokuHlola iziNdlu
Phantse iipesenti ezingama-25 zabantu CPPD kuphuhlisa into ekubhekiswa kuyo ngokubhekiselele. Phantse iipesenti ezi-5 zezigulane zikhula iimpawu ezijonge ngokugqithisileyo i- rheumatoid arthritis , ngelixa ama-50 ekhulwini kwezigulane ezinePPPD zikhupha iimpawu ezinjenge- osteoarthritis . Nangona kunjalo, akubona bonke abantu abaneCPPD abanomqondiso.
3. I-Pseudogout ngokukhawuleza ikhula kwiNye
Ngelixa ukuhlaselwa kwe-pseudogout kungathi kunzima nje ukuhlaselwa kwe- gout , ngokuqhelekileyo kubuhlungu kakhulu.
Ukuhlaselwa kwe-pseudogout kungaba nale mpawu:
- Ngokuqhelekileyo ihlala apho ukusuka kwiintsuku eziliqela ukuya kwiiveki ezimbini
- Inokuthi ihambe kunye nomkhuhlane
- Ivela ngokukhawuleza okanye inokuziswa ngokugula okukhulu, ukuhlinzwa okanye ukuphazamiseka
- Ubangela umonakalo kunye nomonakalo odibeneyo obunzima, emva kweminyaka yokuhlaselwa
4. Amaqumrhu achaphazelekayo
Phantse isiqingatha sazo zonke izihlaselo zokuhlambalaza zenzeke emadolweni , ngelixa inzwane enkulu ixhaphake ngokuqhelekileyo.
I-Pseudogout ingahlakulela nayiphi nayinye into, nangona kunjalo, kuquka inzondo enkulu.
5. Ngubani Osemngciphekweni wePseudogout
Nabani na onokuhlakulela i-pseudogout, kodwa umngcipheko ukwandisa kakhulu ngobudala. I-crystal deposits ehambelana nokuhlaselwa ichaphazela malunga neepesenti ezi-3 zabantu kwi-60ties yabo. Ipesenti iya kwanda ukuya kuma-50 ekhulwini kubantu kwi-90ties yabo. Le meko ifanayo phakathi kwabesetyhini kunye namadoda. Inani elincinci labantu abanokubamba iqela linelifa eliyifumene nesimo.
Umngcipheko wokuphuhlisa imeko iya kunyuka ukuba isigulane sinakho kwezi zifo ezilandelayo:
- Hyperparathyroidism
- Hemochromatosis
- Hypothyroidism
- Amyloidosis
- Hypomagnesemia
- Hypophosphatasia
6. Ukuxilongwa yiNgcali
Kungenxa yokuba ukugxekwa kunokuthi ulandele ezinye iintlobo ze-arthritis, kubalulekile ukuba uhlolwe yi- rheumatologist- isazi se-arthritis kunye nezifo ezihambelana ne-rheumatic. Ukuxilongwa kwangaphambili, ngokuchanekileyo kunika ithuba elihle lokukhusela umonakalo omkhulu.
7. Iimvavanyo zokuxilonga
Uvavanyo oluphawulekayo lokuxilongwa ekuboneni i-pseudogout luvavanyo oluhlangeneyo lwamanzi. I-fluid ehlangeneyo ithathwa kwi-joint joint and is tested for crystal-shaped or shamboid-shaped CPPD. Ngokusekelwe ekuqwalaselweni kwezi kristal, ukuxilongwa kungaqinisekiswa.
Ubungqina be-X-ray buxhasa ukuxilongwa xa i- chondrocalcinosis ifunyanwa. Ukuba kuyimfuneko, iimvavanyo zebhan ezininzi zingenziwa ukulawula ezinye iintlobo ze-arthritis .
8. Iindlela zokonyango
Akukho nonyango yokunyusa, kodwa iyeza kusetyenziselwa ukunyanga iimpawu. I-Nonsteroidal anti-inflammatory (NSAIDs) ijwayele ukumiselwa ukulawula intlungu kunye nokuvuvukala ngexesha lokuhlaselwa. Ngenjongo yokuthintela ukuhlaselwa okuqhubekayo, i-low-dose ye- colchicine kunye ne-NSAID ziqhelekileyo. I-Cortisone idlwengula kwidibaniselwano echaphazelekayo ingaba enye indlela yokulawula intlungu kunye nokuvuvukala, ingakumbi kubantu abangenakusebenzisa enye imithi.
Ugqirha kwakhona ukhetho lwamalungu amanxeba awonakele.
9. Ukutya kunye nePseudogout
Ukutya akuchaphazeli ukuqala okanye ukuphuhliswa kwengqondo . Utshintsho lokutya alukwazi ukulawula iimpawu. Nangona ama-crystals anxulumene nokugqithisa ayingxenye ye-calcium, inkolelo yokuba ukutya ukutya okuphezulu kwi-calcium kubangela ukuphuhliswa kwe-pseudogout.
I-Pseudogout engabonakaliyo ibangela iingozi ezihlangeneyo
Ukuba ishiywe ingakhange ithatyathwe, i-crystals ye-pseudogout kwimigaments kunye ne-cartilage inokubangela ukulimala ngokubambisana. Kukho ke ukulahleka kwesimo esiqhelekileyo kumajoyina achaphazelekayo.
ILizwi
Uphulo olufanelekileyo luxhomekeke kwisifo esifanelekileyo sokuxilongwa. Nangona oko kusenokuthiwa nasiphi na isifo okanye imeko, kuyinyaniso xa kukho iimpawu ezigqithisiweyo okanye xa imeko enye imela enye. Jonga ugqirha wakho xa ufumana unxulumano olungxamisekileyo.
> Imithombo:
> Barre L. Calcium Pyrophosphate Deposition. (CPPD). Ikholeji yaseMerika yaseRheumatology.
> I-Calcium Pyrophosphate Izidumbu ze-Crystal Deposition Disease (CPPD). Arthritis Foundation.
> Gout kunye nePseudogout. Umbutho waseMerika oPhezulu lweZandla.