Kodi Ndi Gout kapena Pseudogout?

Zamkati

• Chidule
• Zizindikiro za pseudogout vs. gout
• Zifukwa za pseudogout vs. gout
• Zowopsa
• Kuzindikira kwa pseudogout vs. gout
• Zochitika zina
• Chithandizo cha pseudogout vs. gout
• Gout
• Zolemba
• Kupewa pseudogout vs. gout
• Kutenga

Chidule

Gout ndi pseudogout ndi mitundu ya nyamakazi. Amayambitsa kupweteka komanso kutupa m'malo olumikizirana mafupa. Zonsezi zimayambitsidwa ndi makhiristo akuthwa omwe amasonkhana m'malo. Ichi ndichifukwa chake amatchedwanso crystal arthritis ndi crystalline arthropathy.

Gout ndi pseudogout nthawi zina amalakwitsa chifukwa cha zinthu zina zolumikizana, monga:

• nyamakazi
• nyamakazi
• matenda a carpal
• nyamakazi yopatsirana
• ankylosing spondylitis

Kusiyanitsa pakati pa gout ndi pseudogout kumaphatikizapo komwe kupweteka kumachitika ndi mitundu yamakristalo omwe amayambitsa. Chithandizo amasiyana.

Gout imachitika kwambiri chala chachikulu chakuphazi. Zitha kukhudzanso ziwalo monga:

• cholumikizira chala
• bondo
• bondo
• dzanja

Pseudogout amatchedwanso calcium pyrophosphate deposition matenda (CPPD). Monga momwe dzinalo limanenera, pseudogout nthawi zambiri amalakwitsa kuti ndi gout. CPPD imachitika bondo ndi ziwalo zina zazikulu, kuphatikiza:

• mchiuno
• bondo
• chigongono
• dzanja
• phewa
• dzanja

Zizindikiro za pseudogout vs. gout

Gout ndi pseudogout zimayambitsa zizindikiro zofananira m'malo olumikizirana mafupa. Zonsezi zimatha kuyambitsa zadzidzidzi. Kapenanso, amatha kuchotsedwa ndi kuvulala pang'ono, monga kugunda bondo kapena chigongono.

Gout ndi pseudogout zimatha kuyambitsa:

• mwadzidzidzi, kupweteka kwambiri
• kutupa
• chifundo
• kufiira
• kutentha pamalopo

Kuukira kwa gout kumayambitsa kupweteka mwadzidzidzi, komwe kumakulirakulira mpaka maola 12. Zizindikirozo zimachepetsa masiku angapo. Ululu umatha pambuyo pa sabata mpaka masiku 10. Pafupifupi 60 peresenti ya anthu omwe ali ndi gout adzaukidwanso kwina pasanathe chaka. Ngati mukudwala gout, mutha kukhala ndi zovuta kapena zopweteka pafupipafupi.

Ziwombankhanza zimayambanso mwadzidzidzi. Komabe, ululu nthawi zambiri umakhala wofanana ndipo umatha kukhala masiku kapena milungu. Anthu ena atha kukhala ndi zowawa kapena zovuta zomwe sizimatha. Kupweteka kwa pseudogout kuli ngati kupweteka komwe kumayambitsidwa ndi nyamakazi ya nyamakazi kapena nyamakazi.

Zifukwa za pseudogout vs. gout

Mutha kupeza gout ngati muli ndi uric acid wambiri m'magazi anu. Izi zimayambitsa timibulu ta sodium urate kuti timangirire m'malo olumikizirana mafupa. Kuchuluka kwa uric acid kumatha kuyambitsidwa pamene:

• thupi limapanga uric acid wambiri
• impso sizikuchotsa kapena uric acid mwachangu mokwanira
• mumadya zakudya zambiri zomwe zimapanga uric acid, monga nyama, nyemba zouma, nsomba, ndi mowa

Matenda ena atha kukulitsa chiopsezo cha gout. Izi zikuphatikiza:

• matenda ashuga
• kuthamanga kwa magazi
• cholesterol yambiri
• matenda amtima

Pseudogout imayamba chifukwa cha calcium pyrophosphate dihydrate makhiristo m'malo am'magazi. Makhiristo amayambitsa zowawa akamalowa mumadzimadzi olowa. Chifukwa cha makhiristo sichikudziwika.

Pseudogout nthawi zina amaganiza kuti imayambitsidwa ndi matenda ena, monga vuto la chithokomiro.

Zowopsa

Gout ndiofala kwambiri mwa amuna kuposa akazi mpaka zaka pafupifupi 60. Amuna omwe ali ndi zaka 40 mpaka 50 amakhala ndi gout. Amayi nthawi zambiri amatenga gout atatha kusamba.

Pseudogout nthawi zambiri imachitika mwa achikulire omwe ali ndi zaka 50 kapena kupitilira apo. Okalamba ali pachiwopsezo chachikulu cha mgwirizano wophatikizana. Ku United States, pafupifupi 50 peresenti ya anthu azaka zopitilira 85 ali ndi mbiri yabodza. Ndizofala pang'ono mwa akazi kuposa amuna.

Kuzindikira kwa pseudogout vs. gout

Mufunika kuyesedwa kwakuthupi kuti muthandizire kupeza gout ndi pseudogout. Dokotala wanu ayang'ananso mbiri yanu yazachipatala. Uzani dokotala wanu za zizindikiro zilizonse zomwe muli nazo komanso nthawi yomwe muli nazo.

Kuyezetsa magazi kumatha kuwonetsa ngati muli ndi uric acid wambiri mthupi lanu. Izi zikhoza kutanthauza kuti muli ndi gout.

Muthanso kukhala ndi mayeso ena amwazi kuti mupeze pseudogout kapena gout. Kuyezetsa magazi kumathandizanso kuthana ndi zinthu zina zomwe zimayambitsa kupweteka kwamagulu. Dokotala wanu akhoza kuwona:

• magazi amchere, monga calcium, phosphorus, magnesium, phosphatase
• magazi magazi misinkhu
• mahomoni a chithokomiro

Ngati muli ndi ululu wamtundu uliwonse, dokotala wanu angakutumizireni X-ray. Muthanso kukhala ndi ultrasound kapena CT scan. Zithunzi zitha kuwonetsa kuwonongeka kwa malo ndikuthandizira kupeza chifukwa.

X-ray imatha kuwonetsanso makhiristo palimodzi, koma osati amtundu wanji. Nthawi zina, makhiristo a pseudogout atha kukhala olakwika ndi ma gout makhiristo.

Madzi ophatikizana atha kutengedwa kuchokera kuphatikizidwe lomwe lakhudzidwa. Izi zimaphatikizapo kugwiritsa ntchito singano yayitali. Dokotala wanu amatha kuzaza malowa ndi kirimu kapena jakisoni poyamba. Amadzimadzi amatumizidwa ku labu kuti akaone ngati ali ndi matenda.

Njira imodzi yomwe madokotala angadziwire ngati muli ndi gout kapena pseudogout ndiyo kuyang'ana makhiristo. Makhiristo amachotsedwa pamadzimadzi olowa nawo. Kenako, timibulu timayesedwa ndi microscope yolowerera.

Makhiristo a gout ndi ofanana ndi singano. Makristali a Pseudogout ndi amakona anayi ndipo amawoneka ngati njerwa zazing'ono.

Zochitika zina

Gout ndi pseudogout zitha kuchitika limodzi nthawi zambiri. Kafukufuku wamankhwala adanenanso za bambo wina wazaka 63 yemwe ali ndi ululu wamondo. Madzi amachotsedwa pamalowo ndikuyesedwa. Anapezeka kuti ali ndi makhiristo amitundu yonse mu bondo. Kafufuzidwe kafukufuku amafunika kuti izi zitha kuchitika kangati.

Mutha kukhala ndi pseudogout ndi zinthu zina zolumikizana, monga osteoarthritis. Muthanso kukhala ndi pseudogout ndi matenda olowa.

Chithandizo cha pseudogout vs. gout

Gout ndi pseudogout zonse zitha kuwononga zimfundo zanu. Kuchita izi ndikofunikira kuti muthane ndi zotentha komanso kuteteza thupi lanu. Chithandizo cha gout ndi pseudogout ndi chosiyana pazifukwa zingapo.

Gout

Gout imatha kuchiritsidwa ndikutsitsa uric acid wambiri m'magazi anu. Izi zimathandiza kuchotsa makhiristo ofanana ndi singano m'malo olumikizirana mafupa. Mankhwala omwe amachiza gout pochepetsa uric acid ndi awa:

• xanthine oxidase inhibitors (Aloprim, Lopurin, Uloric, Zyloprim)
• ziwonetsero (Probalan, Zurampic)

Zolemba

Palibe mankhwala osokoneza bongo amtundu wambiri wa pseudogout mthupi. Dokotala wanu angakulimbikitseni kukhetsa madzi ochulukirapo. Izi zingathandize kuchotsa kristalo. Izi zimaphatikizapo kugwedeza malowa ndikugwiritsa ntchito singano yayitali kuti muthe kapena mutenge madzi kuchokera palimodzi.

Pseudogout imathandizidwa makamaka ndi mankhwala omwe amathandiza kuchepetsa ululu ndi kutupa. Mankhwalawa amagwiritsidwanso ntchito pochiza matenda a gout. Amaphatikizapo mankhwala omwe amatengedwa pakamwa kapena jekeseni olowa:

• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen (Advil), naproxen (Aleve), ndi celecoxib (Celebrex)
• mankhwala ochepetsa kupweteka kwa colchicine (Colcrys, Mitigare)
• mankhwala osokoneza bongo a corticosteroid, monga prednisone
• methotrexate
• anakinra (Kineret)

Pazovuta zazikulu, mungafunike kuchitidwa opaleshoni kuti muthe kukonza ziwalo zomwe zawonongeka. N'zotheka kuti mudzafunikirabe kupweteka ndi mankhwala odana ndi kutupa pambuyo pa opaleshoni.

Pambuyo pake, kulimbitsa thupi komanso kuchita masewera olimbitsa thupi kunyumba ndikofunikira kwambiri kuti mafupa anu azitha kusintha komanso kukhala athanzi. Dokotala wanu akukulangizani ngati zili bwino kuchita masewera olimbitsa thupi mukachira kuchokera ku opaleshoni.

Kupewa pseudogout vs. gout

Kudya ndi kusintha kwa moyo kumatha kutsitsa uric acid mthupi. Izi zitha kuthandiza kupewa gout. Arthritis Foundation ikulimbikitsa kuti musinthe zomwe mumadya tsiku lililonse:

• siyani kudya kapena kuchepetsa nyama yofiira ndi nkhono
• amachepetsa kumwa mowa, makamaka mowa
• siyani kumwa soda ndi zakumwa zina zomwe zili ndi shuga wa fructose

Ndikofunikanso kukhala wathanzi. Kunenepa kwambiri kumawonjezera chiopsezo chanu cha gout.

Mankhwala ena amatha kukweza uric acid. Dokotala wanu akhoza kusiya kapena kusintha mankhwala monga:

• okodzetsa kuthamanga kwa magazi
• mankhwala opondereza chitetezo

Pseudogout ndi yovuta kwambiri kupewa. Izi ndichifukwa choti zomwe zimayambitsa makhiristo sizikudziwika. Mutha kuthandizira kupewa kuwukira kwa pseudogout ndi kuwonongeka kwamagulu ndi chithandizo.

Kutenga

Gout ndi pseudogout ali ndi zizindikiro zofananira zofanana. Komabe, zomwe zimayambitsa, chithandizo, komanso kupewa kwa matendawa amasiyana.

Mungafunike mayesero angapo kuti mudziwe chomwe chikuyambitsa kupweteka kwanu. Zonsezi ndizotheka kuchiza.

Onani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro zolumikizana. Kuchiza msanga ndikofunikira kuti muchepetse kuwonongeka kwa malo anu komanso mavuto ena azaumoyo, monga mavuto a impso.

Ngati muli ndi gout kapena pseudogout, mufunika chithandizo chamankhwala komanso kusintha kwa moyo kuti muthane ndi ziwalo. Lankhulani ndi dokotala wanu, katswiri wazakudya, komanso wothandizira zakuthupi za mankhwala abwino, zakudya, ndi masewera olimbitsa thupi.