Lesi sifo esihlangene esingajwayelekile singalingisa ezinye izimo
I-Chondrocalcinosis, eyaziwa ngokujulile njenge-calcium pyrophosphate dihydrate deposition disease (CPPD), yisimo lapho i-calcium ihlanganisa ama-crystals akha ekwakheni kwamalungu . Ngenye yezinto ezivama kakhulu lapho abantu bekhula. Ngokusho kwe-Arthritis Foundation, isigamu sabantu abangaphezu kuka-85 sinamakhadi e-calcium ezinxenyeni ezithambile zamalungu abo.
Ngaphandle kweminyaka yobudala, ezinye izici ezingozini ze-CPPD zihlanganisa izakhi zofuzo (lesi sifo sivame ukugijima emindenini); isimo lapho umzimba ugcina khona insimbi engaphezu kwalokho okudingekayo, okuthiwa i-hemochromatosis; amazinga aphansi we-magnesium; nezinkinga ezithile ze-thyroid.
Njengoba ungacabanga, i-cartilage ayihambisani namakhekhe amancane. Bangamcasula izicubu zokuthethelela futhi kubangele ukuvuvukala okuholela ekuqhekekeni kwe-cartilage.
Izimpawu ze-CPPD
Akuwona wonke umuntu owenza amakristali e-calcium ezinhlangothini zawo azoba nezibonakaliso (nakuba amakristalu azobonakala kuma- X-ray ), futhi akuwona wonke umuntu onayo izimpawu azokufana. Lokhu kungenxa yokuthi kunezinhlobo ezingaphezu kweyodwa ze-calcium crystal, ngokusho kwe-Arthritis Foundation, echaza izinhlobo ezilandelayo zezimpawu ezivame ukuhambisana ne-CPPD:
- I-osteoarthritis ekhonjiswe ukuwohloka kwamajoyini athile ngokulandelana okunye: amadolo okuqala, ama-wrists, alandelwa amalunga lapho iminwe ifaka khona isandla (amacetacarpophalangeal joints), iziqhwa, amahlombe, ama-elbows, nama-ankle ekugcineni. Ukuhlukana kwamajoyina kungase kuthuthuke kakhudlwana kolunye uhlangothi lomzimba, futhi ngokuhamba kwesikhathi bangase bafezeke. Lezi zimpawu zithinta cishe ingxenye yabantu abane CPPD.
- Ukuhlaselwa okubuhlungu kokuvuvukala lapho okuhlangene, ngokuvamile amadolo, kushisa, okubomvu, ukuvuvukala, nokuqina. Umkhuhlane ungase uthuthuke. Ngenxa yokuthi lezi zimpawu zifana nezesifo esizimele esibizwa ngokuthi i-gout, lapho i-CPPD ithatha leli fomu ngokuvamile ibizwa ngokuthi i-pseudogout. Lezi ziqephu zingadlulela izinsuku noma amasonto, ngokusho kweMayo Clinic. Uma othile enabo iminyaka eminingi, amalunga abo angabangela ukulimala unomphela. Cishe ingxenye yesine yabantu abane-CPPD bazokwakha i-pseudogout.
- Izimpawu ezingapheli ezifana ne-rheumatoid arthritis (RA), kufaka phakathi ukuqina komzimba emanzini ekuseni, ukukhathala nokuvuvukala okuphansi. Izimpawu zalesi simo esifana ne-RA zivame ukubandakanya amalunga amaningana kwiphethini elilinganiselwe (elichaphazela umhlanganiso ohlangothini ngalunye lomzimba, njengama-wrists noma amabili amadolo). Lithinta cishe amaphesenti amahlanu alabo abane-CPPD.
Ukuphila Nge-CPPD
Kungakhathaliseki ukuthi kuyithini, izinhloso zokwelapha i-CPPD zinganciphisa ukuvuvukala, ukukhulula ubuhlungu, nokuletha izinyathelo eziningi zokunyakaza kumajoyini. Ngenxa yokuvuvukala, ukuvuvukala, nobuhlungu, izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory drugs) (NSAIDs) zivame ukusebenza. Abanye abantu bazothola usizo nge-NSAID ezingaphezu kwe-counter ezifana ne-Advil ne-Motrin (ibuprofen) ne-Aleve (naproxen). Uma lezi zingasebenzi, udokotela anganikeza i-NSAID enamandla njenge naproxen.
I-pseudogout ivame ukukhululeka ngokulinganisa okuphansi kwemithi kadokotela okuthiwa i-colchicine esetshenziselwa ukuphatha igciwane. Ngezinye izikhathi kuthathwa nsuku zonke ukuze kugweme iziqephu ze-pseudogout. I-corticosteroid efana ne-prednisone iyinye indlela yokunciphisa ubuhlungu nokunciphisa ukuvuvukala. Zonke lezi zidakamizwa zinemiphumela emibi engaba yinkinga kubantu abadala, ngakho-ke kubalulekile ukusebenza eduze nodokotela ukuze kuhlanganiswe umuthi wezidakamizwa ozokwenza okungcono kakhulu kunokulimaza.
Uma isibambisene esithintekile yi-CPPD siba nobuhlungu obukhulu kakhulu futhi siguquke, udokotela wakho angase akhiphe amanye amakhemikhali akhiwe ngokufaka inaliti endaweni. Lokhu kuzosusa ezinye ze-crystals ekuhlanganyeleni. Ngemuva kwalokho, imishanguzo engapheliyo kanye ne-corticosteroid ingafakwa egumbini elihlangene.
Ekhaya, kunezinyathelo ezimbalwa ongazenza ukuze uzilungiselele kakhulu uma i-CPPD ikunika inkathazo. Okokuqala, kubalulekile ukuphumula. Ngaphezu kwalokho, ukusebenzisa amaphakheji abandayo ku-joint and achy and bully kuzosiza ukunciphisa ukuvuvukala nokuvuvukala
> Imithombo:
> I-Arthritis Foundation. "I-Calcium Pyrophosphate Deposition Disease (CPPD)."
> MacMullan, uPaul noMcCarthy, uGeraldine. "Ukwelashwa Nokuphathwa Kwe-Pseudogout: Ukuqonda KwaMtholampilo." Ther Adv Musculosketlet Dis . 2012 Apr; 4 (2): 121-131.
> I-Mayo Clinic. "Pseudogout." Julayi 2, 2015.