Zolemba

Zamkati

• Kodi pali kusiyana kotani pakati pa pseudogout ndi gout?
• Nchiyani chimayambitsa pseudogout?
• Kodi zizindikiro za pseudogout ndi ziti?
• Kodi pseudogout imapezeka bwanji?
• Ndi matenda ati omwe angayanjane ndi pseudogout?
• Kodi pseudogout imathandizidwa bwanji?
• Kutulutsa madzi
• Mankhwala
• Opaleshoni
• Ndi zovuta ziti zomwe zimakhudzana ndi pseudogout?
• Kodi anthu okhala ndi mbiri yonyenga amakhala ndi chiyembekezo chotani kwanthawi yayitali?
• Kodi ndingapewe pseudogout?

Kodi pseudogout ndi chiyani?

Pseudogout ndi mtundu wa nyamakazi yomwe imayambitsa kutupa kwadzidzidzi, kowawa m'magulu anu. Zimachitika pamene timibulu timapanga mu synovial fluid, madzimadzi omwe amapangitsa zimfundo. Izi zimabweretsa kutupa ndi kupweteka.

Matendawa nthawi zambiri amakhudza mawondo, koma amathanso kukhudza ziwalo zina. Ndizofala kwambiri kwa akulu azaka zopitilira 60.

Pseudogout imadziwikanso kuti matenda a calcium pyrophosphate deposition (CPPD).

Kodi pali kusiyana kotani pakati pa pseudogout ndi gout?

Pseudogout ndi gout zonsezi ndi mitundu ya nyamakazi, ndipo zonsezi zimayambitsidwa ndi kudzikundikira kwa makhiristo m'malo olumikizirana mafupa.

Ngakhale pseudogout imayambitsidwa ndi timibulu ta calcium pyrophosphate, gout imayambitsidwa ndi makhiristo a urate (uric acid).

Nchiyani chimayambitsa pseudogout?

Pseudogout imachitika pomwe timibulu ta calcium pyrophosphate timapanga timadziti tomwe timagwirizana. Makina amathanso kuyika mu cartilage, momwe amatha kuwononga. Kukhazikika kwa kristalo mumalumikizidwe olowa amabweretsa kutupa ndi kupweteka kwambiri.

Ochita kafukufuku samamvetsetsa bwino chifukwa chake makhiristo amapangidwa. Mpata wopanga mwina ukuwonjezeka ndi zaka. Makhiristo amapanga pafupifupi theka la anthu azaka zopitilira 85, malinga ndi Arthritis Foundation. Komabe, ambiri a iwo alibe pseudogout.

Pseudogout nthawi zambiri imatha kuyenda m'mabanja, ambiri mwa akatswiri azachipatala amakhulupirira kuti ndi chibadwa. Zina mwazinthu zingakhale monga:

• hypothyroidism, kapena chithokomiro chosagwira ntchito
• hyperparathyroidism, kapena matenda opatsirana kwambiri a parathyroid
• chitsulo chowonjezera m'magazi
• hypercalcemia, kapena calcium yochuluka m'magazi
• kuchepa kwa magnesium

Kodi zizindikiro za pseudogout ndi ziti?

Pseudogout nthawi zambiri imakhudza mawondo, komanso imakhudzanso akakolo, maloko, ndi zigongono.

Zizindikiro zambiri zimatha kuphatikiza:

• kupweteka kwa mafupa
• kutupa kwa olowa omwe akhudzidwa
• madzimadzi ozungulira olowa
• kutupa kosatha

Kodi pseudogout imapezeka bwanji?

Ngati dokotala akuganiza kuti muli ndi pseudogout, angakulimbikitseni mayeso otsatirawa:

• kusanthula kwamadzimadzi olowa pochotsa madzi mumalumikizidwe (arthrocentesis) kuti ayang'ane timibulu ta calcium pyrophosphate
• Ma X-ray amalumikizidwe kuti awone ngati pali kuwonongeka kwa cholumikizira, calcification (calcium buildup) ya cartilage, komanso calcium m'matumba olumikizana
• Kujambula kwa MRI kapena CT kuyang'ana malo omwe calcium imamangidwa
• ultrasound komanso kuyang'ana madera a calcium buildup

Kuyang'ana makina am'miyendo yolumikizana kumathandizira dokotala kuti adziwe.

Matendawa amagawana zizindikilo ndi zina, motero nthawi zina amatha kusazindikira molakwika ngati:

• Osteoarthritis (OA), matenda ophatikizika olumikizana ndi mafupa omwe amayamba chifukwa cha matenda a cartilage
• nyamakazi (RA), matenda a kutupa kwanthawi yayitali omwe angakhudze ziwalo zingapo ndi ziwalo zingapo
• gout, yomwe imayambitsa kutupa kopweteka kwa zala zakumapazi ndi mapazi nthawi zambiri koma imatha kukhudza ziwalo zina

Ndi matenda ati omwe angayanjane ndi pseudogout?

Pseudogout nthawi zina imatha kuphatikizidwa ndi matenda ena, monga:

• Matenda a chithokomiro hypothyroidism ndi hyperparathyroidism
• hemophilia, matenda obadwa nawo omwe amateteza magazi kuti asamaundane bwino
• ochronosis, vuto lomwe limapangitsa kuti khungu lakuda liziika mu cartilage ndi ziwalo zina zolumikizirana
• amyloidosis, zomanga thupi zomanga thupi zomanga thupi
• hemochromatosis, mulingo wambiri wazitsulo m'magazi

Kodi pseudogout imathandizidwa bwanji?

Pakadali pano palibe chithandizo chamankhwala chotsitsa ma crystal.

Kutulutsa madzi

Dokotala wanu amatha kukhetsa synovial fluid kuchokera olumikizana kuti athetse kupsinjika kwa cholumikizira ndikuchepetsa kutupa.

Mankhwala

Kuti muthandizidwe mwamphamvu, dokotala wanu akhoza kukupatsani mankhwala osagwiritsa ntchito zotupa (NSAIDs) kuti achepetse kutupa ndikuchepetsa ululu.

Simungathe kutenga ma NSAID ngati:

• mukumwa mankhwala ochepetsa magazi, monga warfarin (Coumadin)
• muli ndi vuto la impso
• muli ndi mbiri ya zilonda zam'mimba

Pofuna kuchepetsa chiopsezo chowonjezereka, dokotala wanu akhoza kukupatsani mankhwala ochepa a colchicine (Colcrys) kapena NSAID.

Mankhwala ena omwe amagwiritsidwa ntchito pochizira pseudogout ndi awa:

• hydroxychloroquine (Plaquenil, Quineprox)
• methotrexate (Rheumatrex, Trexall)

Opaleshoni

Ngati mfundo zanu zikutha, dokotala angakulimbikitseni kuchitidwa opaleshoni kuti mukonze kapena m'malo mwake.

Ndi zovuta ziti zomwe zimakhudzana ndi pseudogout?

Nthawi zina, kristalo yemwe amasungidwa mu synovial fluid amatha kuwononga ziwalo zonse. Malumikizidwe omwe akhudzidwa ndi pseudogout amatha kukhala ndi zotupa kapena mafupa, zomwe ndi zotupa zomwe zimatulukira m'mafupa.

Pseudogout ingathenso kutayika katsamba.

Kodi anthu okhala ndi mbiri yonyenga amakhala ndi chiyembekezo chotani kwanthawi yayitali?

Zizindikiro za pseudogout zimatha kukhala masiku angapo mpaka milungu ingapo. Anthu ambiri amatha kusamalira zizindikiritsozo bwino ndikulandila chithandizo.

Mankhwala ochiritsira kunyumba monga mankhwala ozizira atha kubweretsanso mpumulo wowonjezera.

Kodi ndingapewe pseudogout?

Ngakhale simungathe kupewa matendawa, mutha kupeza chithandizo chamankhwala kuti muchepetse kutupa ndikuchotsa ululu. Kuthana ndi zomwe zimayambitsa pseudogout kumachedwetsa kukula kwake ndikuchepetsa kuopsa kwa zizindikilo.