Isi sifo esivamile esifanayo singenza iimpawu
I-Chondrocalcinosis, eyaziwa ngokusemthethweni njenge-calcium pyrophosphate isifo sokumisa i-dihydrat (CPPD), yimeko apho i-calcium ifomathiza iifridi ezikwakha kwi-cartilage yamajoyina . Ngenye yezinto ezininzi zenzeka xa abantu bekhula. Ngokutsho kweArthritis Foundation, isiqingatha sabantu abangaphezulu kwama-85 banamakhristum e-crystals kwiisisitye esithambileyo sawo.
Ngaphandle kweminyaka, ezinye izinto ezinobungozi ze-CPPD ziquka i-genetics (eso sifo sibaleka kwiintsapho); imeko apho umzimba ugcina khona isinyithi ngaphezu kweyona nto, ebizwa ngokuba yi-hemochromatosis; amanqanaba aphantsi e-magnesium; kunye neengxaki ezithile ze-thyroid.
Njengoko unokucinga, i-cartilage ayifani nxamnye neekristal ezincinci. Basenokucaphukisa izicubu ezinokuxolela kwaye kubangele ukuvuvukala okukhokelela ekuphahleni kwe-cartilage.
Iimpawu zeCPPD
Akunjalo wonke umntu ovelisa i-calcium crystals kwizikhundla zawo uya kuba neempawu (nangona iikristali ziza kubonakala kwi- X-ray ), kwaye kungekhona wonke umntu onempawu eya kuba nayo. Oku kungenxa yokuba kukho uhlobo olungaphezulu kweyodwa ye-calcium crystal, ngokwe-Arthritis Foundation, echaza ezi zilandelayo zihlobo zeempawu eziqhelekileyo ezihambelana neCPPD:
- I-osteoarthritis ebonakaliswa ukuguqulwa kwamalungu athile kumyalelo othile: amadolo okuqala, emva kokuxhamla, ngokulandelwa ngamalungu apho iminwe ifakelwe khona isandla (ama-metacarpophalangeal joints), iinqumlo, amahlombe, amaqhosha, kunye namaqhosha ekugqibeleni. Ukuphuka kwamalungu angaphumelela kwelinye icala lomzimba, kwaye kunye nexesha abanokukhubazeka. Ezi zimpawu zichaphazela isiqingatha sabantu abaneCPPD.
- Ukuhlaselwa okubuhlungu kokuvuvukala apho idibeneyo, ngokuqhelekileyo idolo, iyatshisa, ibomvu, ikhubekile, inzima. Umkhuhlane ungakhula. Ngenxa yokuba le mpawu ifana neyesi sifo sokuzimela esibizwa ngokuba yi-gout, xa i-CPPD ithatha kule fomu idla ngokuba yi-pseudogout. Ezi ziqendu zinokuhlala iintsuku okanye iiveki, ngokweMayo Clinic. Ukuba umntu unabo iminyaka, amajoyina abo angakhutshwa ngokusisigxina. Phantse kwikota yabantu abaneCPPD baya kuhlakulela i-pseudogout.
- Izimpawu ezingapheliyo zifana nezo-rheumatoid arthritis (RA), kubandakanywa ukuqina kobungozi kusasa, ukukhathala, kunye nokuvutha komgangatho ophantsi. Iimpawu zalo mqathango ongu-RA zivame ukubandakanya amaninzi amaninzi kumzekelo olinganayo (ochaphazela umxhelo ofanayo kwicala ngalinye lomzimba, njengezibini zombini okanye amadolo amabini). Ichaphazela malunga neepesenti ezintlanu zalabo abaneCPPD.
Ukuphila kunye neCPPD
Naluphi na uhlobo oluthathayo, iinjongo zokuphatha i-CPPD kukunciphisa ukuvuvukala, ukunciphisa intlungu, kwaye uvelise uluhlu oluninzi lokunyuka kwamalungu. Ukuvuvukala, ukuvuvukala, kunye nentlungu, iziyobisi ezichasayo ezingabhubhisiyo (i-NSAID) zihlala zisebenza kakuhle. Abanye abantu baya kufumana i-NSAID ezifana ne-Advil ne-Motrin (ibuprofen) kunye ne-Aleve (naproxen). Ukuba ezi zingasebenzi, ugqirha unokumisela i-NSAID enamandla njenge naproxen.
I-pseudogout idla ngokukhululeka ngezilwanyana eziphantsi kweziyobisi ezibizwa ngokuba yi-colchicine ezisetyenziselwa ukuphatha igciwane. Ngamanye amaxesha kuthathwa imihla ngemihla ukucima iziqephu zokungabikho. I-corticosteroid efana ne-prednisone yenye enye indlela yokunciphisa intlungu kunye nokunciphisa ukuvuvukala. Zonke ezi ziziyobisi ezinokuthi zingabangela ingxaki kubantu abadala, ngoko kubalulekile ukusebenza kunye nogqirha ukubeka i-regimen yezilwanyana ezenza okungcono kunokuba yingozi.
Xa iqela elichaphazelekayo elichaphazelekayo yiCPPD liba buhlungu kakhulu kwaye ludumala, ugqirha wakho angashenxisa ezinye izikhukhula ezakhiweyo ngokufaka inaliti kwindawo. Oku kuya kususa ezinye zee-crystals kwi-joint. Emva koko, iyeza elincinci kunye ne-corticosteroid ingafakwa kwi-joint.
Ekhaya, kunamanyathelo ambalwa ongawuthatha ukuze uzilungiselele xa iPPPD ikunika ingxaki. Okokuqala, kubalulekile ukuphumla. Ukongezelela, ukusebenzisa iipakethe ezibandayo kwi-joint kunye nokuvuvukala kuya kunceda ukunciphisa ukuvuvukala nokuvuvukala
> Imithombo:
> IArthritis Foundation. "I-Calcium Pyrophosphate Deposition Disease (CPPD)."
> MacMullan, uPaul noMcCarthy, uGeraldine. "Unyango kunye noLawulo lwePseudogout: Iingcaciso kumgqirha." Ther Adv Musculosketlet Dis . 2012 ngoMatshi; 4 (2): 121-131.
> Clinical Mayo. "Inkcazo." Julayi 2, 2015.