Isimo Esivame Ukukhohlwa Ukuthi Gout
I-pseudogout yisimo esibuhlungu esihlangene esingathuthuka uma unesifo se- calcium pyrophosphate dehydrate deposition (CPPD) . Njengoba ngokuvamile kuphutha ngenxa ye-gout noma esinye isimo se-rheumatic , kudingeka ukuxilongwa kahle. Ukungaboni kahle kwezingcingo kungabangela ukuwohloka okukhulu okuhlangene, ukuvuvukala okungapheli, nokukhubazeka okungapheli. Nazi amaqiniso angu-10 okufanele wazi futhi uwaqonde mayelana ne-pseudogout.
1. I-Pseudogout ihluke ku-Gout ngohlobo lwamaCristal
Njengoba igama layo liphakamisa, i-pseudogout ifana ne-gout, kodwa izimo ezimbili zibangelwa ukufakwa kwamakhekhethi ahlukene. I-pseudogout yinkinga eqala lapho amakristalu e-calcium pyrophosphate eqoqa ngokuhlangana nezicubu ezizungezile okuhlangene okuhlangene. I-Gout iqala uma ama- crystal e- uric acid efakwa ekuhlanganyeleni okuthintekile.
2. Ukuzibulala Ngokwemigomo Eminye Imibandela
Cishe amaphesenti angu-25 abantu i-CPPD ithuthukisa lokho okuvame ukubizwa ngokuthi i-pseudogout. Cishe amaphesenti angu-5 weziguli ahlakulela izimpawu ezibonakala ngokufanayo njenge- rheumatoid arthritis , kuyilapho cishe amaphesenti angu-50 weziguli ezine-CPPD yokuthumba ziveza izimpawu ezinjenge- osteoarthritis . Kodwa-ke, akuwona wonke umuntu onenqubomgomo ye-CPPD.
3. I-Pseudogout iqala ngokuzenzekelayo kuYodwa
Ngenkathi ukuhlaselwa kwe-pseudogout kungase kube nzima njengokuhlasela kwe- gout okunzima, ngokuvamile kuyabuhlungu kakhulu.
Ukuhlaselwa kwe-pseudogout kungase kube nalezi zimpawu:
- Ngokuvamile uhlala kuphi kusukela ezinsukwini ezimbalwa kuya kwamasonto amabili
- Kungenzeka kuhambisane nomkhuhlane
- Ivela ngokuzenzekelayo noma ingalethwa ngokugula okukhulu, ukuhlinzwa noma ukuhlukunyezwa
- Umonakalo wesikhumba kanye nomonakalo ohlangene obonakalayo, emva kweminyaka yokuhlaselwa
4. Amajoyina afakiwe
Cishe isigamu sazo zonke izihlaselo ze-pseudogout zenzeka emadolweni , kanti izinzwane ezinkulu zivame ukuthinteka yi-gout.
I-pseudogout ingathuthuka kunoma yikuphi ukujoyina, noma kunjalo, kufaka phakathi izinzwane ezinkulu.
5. Ngubani osemngciphekweni we-pseudogout
Noma ubani angahlakulela ukusekela, kodwa ingozi ikhula kakhulu ngokukhula. I-crystal deposits ehambisana ne-pseudogout ithinta cishe amaphesenti amathathu abantu eminyakeni yawo-60. Iphesenti ikhuphuka ibe ngamaphesenti angama-50 abantu eminyakeni yawo engamashumi ayisishiyagalolunye. Isimo sivame kakhulu phakathi kwabesifazane nabesilisa. Inombolo encane yabantu abane-pseudogout inesabelo esizuze njengefa kuleso simo.
Ingozi yokuthuthukisa isimo isanda uma isiguli sinoma yiziphi izifo ezilandelayo zokuxuba:
- Hyperparathyroidism
- I-Hemochromatosis
- I-Hypothyroidism
- Ama-Amyloidosis
- Hypomagnesemia
- I-Hypophosphatasia
6. Ukuxilongwa nguNgcweti
Ngenxa yokuthi i-pseudogout ingalingisa ezinye izinhlobo ze-arthritis, kubalulekile ukuba ihlolwe yi- rheumatologist -isazi se-arthritis nezifo ezihambisana ne-rheumatic. Ukuxilongwa kwangaphambili, okunembile kunikeza ithuba elihle lokuvimbela umonakalo omkhulu ohlangene.
7. Izivivinyo zokuxilonga
Isivivinyo esibalulekile kunazo zonke sokuhlola ukuhlolwa kwe-pseudogout ukuhlolwa okuhlangene kwamanzi. I-fluid ehlangene idonselwa ekuhlanganyeleni okuthintekile futhi ihlolwe ngamakhekhedi e-CPPD anomumo oqoshiwe. Ngokususelwa ekuhloleni kwala makristalu, ukuxilongwa kungaqinisekiswa.
Ubufakazi be-X-ray buphinde busekele ukuxilongwa lapho i- chondrocalcinosis itholakele. Uma kudingekile, ukuhlola okuningi kwelebhu kungenziwa ukulawula ezinye izinhlobo ze-arthritis .
8. Izinketho zokwelashwa
Ayikho indlela yokwelashwa, kepha imithi isetshenziselwa ukuphatha izimpawu. Ama-anti-inflammatory (non-steroidal anti-inflammatory (NSAIDs) ngokuvamile avunyelwe ukulawula ubuhlungu nokuvuvukala ngesikhathi sokuhlaselwa kwe-pseudogout. Ukuze kuzuzwe ukuhlaselwa okuqhubekayo, amanani aphansi we- colchicine nama-NSAID ajwayelekile. I-Cortisone idonsela ekuhlanganyeleni okuthintekayo ingase ibe enye indlela yokulawula ubuhlungu nokuvuvukala, ikakhulu kubantu abangakwazi ukusebenzisa leminye imithi.
Ukwelashwa nakho kuyindlela yokufakelwa amajoyina kakhulu.
9. Ukudla kanye nePseudogout
Ukudla akuthinti ukuqala noma ukuthuthukiswa kwe-pseudogout . Ukushintsha kokudla akukwazi ukulawula izimpawu. Nakuba ama-crystals ahlobene nokusekela i-pseudogout ayingxenye ye-calcium, kuyinkolelo yokuthi ukudla ukudla okuphezulu ku-calcium kwenza kube nokuthuthukiswa kwe-pseudogout.
I-Pseudogout engabonakali ibangela ukulimala okuhlangene
Uma kushiywe kungalashwa, amakristalu wokugcoba emigqeni kanye ne-cartilage ingaholela ekulimazeni okuhlangene. Khona-ke kungahle kube khona ukulahlekelwa kokunyakaza okujwayelekile kumajoyini afintekile.
Izwi elivela
Ukwelashwa okufanele kuncike ekuxilongweni okufanele. Yize lokho kungashiwo nganoma yisiphi isifo noma isimo, kuyinto ekhethekile uma kunezimpawu eziqhamukayo noma lapho isimo esisodwa silinganisa esinye. Bheka udokotela wakho uma uhlangana ngokuhlangenwe nakho okubuhlungu okungazelelwe.
> Imithombo:
> I-Barre L. Calcium Pyrophosphate Deposition. (CPPD). I-American College of Rheumatology.
> I-Calcium Pyrophosphate Dihydrate I-Crystal Deposition Disease (CPPD). I-Arthritis Foundation.
> I-Gout ne-Pseudogout. I-American Society Yokuhlinzwa Yezandla.