Calcium pyrophosphate arthritis

Calcium pyrophosphate dihydrate (CPPD) arthritis chirwere chakabatana chinogona kukonzera kurwiswa kweArthritis. Kufanana negout, makristasi anogadzira majoini. Asi mune iyi arthritis, makristasi haana kuumbwa kubva kuurric acid.

Kuiswa kwecalcium pyrophosphate dihydrate (CPPD) kunokonzeresa chimiro cheArthritis. Kuvakwa kweichi chemakemikari kunoumba makristaro mune shwashwa yezvibatanidzwa. Izvi zvinotungamira pakurwiswa kwekubatana kwekuzvimba uye kurwadziwa mumabvi, mawoko, makumbo, mapfudzi uye mamwe majoini. Mukupesana negout, mubatanidzwa wematatarsal-phalangeal wechigunwe chikuru chetsoka hauna kukanganiswa.

Pakati pevakuru vakura, CPPD ndiyo inowanzo kukonzeresa kamwe kamwe (acute) arthritis mune imwe mubatanidzwa. Kurwiswa kunokonzerwa ne:

• Kukuvadza kujoini
• Hyaluronate jekiseni mubatanidzwa
• Kurwara

CPPD arthritis inonyanya kubata vakweguru nekuti kubatana kwekubatana uye osteoarthritis inowedzera nezera. Kukuvara kwakadaro kwemajoini kunowedzera maitiro eCPPD kuisa. Nekudaro, CPPD arthritis inogona dzimwe nguva kubata vanhu vadiki vane mamiriro akadai se:

• Hemochromatosis
• Chirwere cheparathyroid
• Dialysis-inoenderana nereso kutadza

Muzviitiko zvakawanda, CPPD arthritis haina kukonzera chero zviratidzo. Pane kudaro, x-ray yemasangano akabatwa akadai semabvi anoratidzira maficha e calcium.

Vamwe vanhu vane chisingaperi CPPD vanoisa mumajoini mahombe vanogona kuve nezviratidzo zvinotevera:

• Kurwadziwa
• Kuzvimba
• Ushamwari
• Kutsvuka

Kurwiswa kwekutambudzika kwekubatana kunogona kugara kwemwedzi. Panogona kunge pasina zviratidzo pakati pekurwiswa.

Mune vamwe vanhu CPPD arthritis inokanganisa zvakanyanya kujoini.

CPPD arthritis inogona zvakare kuitika musana, zvese zvakadzika uye zvepamusoro. Kushushikana pamitsipa yemuzongoza kunogona kukonzera marwadzo mumaoko kana makumbo.

Nekuti zviratidzo zvakafanana, CPPD arthritis inogona kuvhiringidzwa ne:

• Gouty arthritis (gout)
• Osteoarthritis
• Rheumatoid arthritis

Mamiriro mazhinji eArthritic anoratidza zvakafanana zviratidzo. Kunyatso kuyedza iyo yakasangana fluid yemakristasi inogona kubatsira chiremba kuona mamiriro acho.

Unogona kuita bvunzo dzinotevera:

• Joint fluid fluid kuti uone machena masero eropa uye calcium pyrophosphate makristasi
• Yakabatana x-rays yekutsvaga kwekubatana kwemajoini uye calcium deposits munzvimbo dzakabatana
• Mimwe bvunzo dzekubatanidza imaging dzakadai seCT scan, MRI kana ultrasound, kana zvichidikanwa
• Kuongororwa kweropa kuongorora mamiriro ezvinhu akabatana necalcium pyrophosphate arthritis

Kurapa kunogona kusanganisira kubvisa fluid kuti ubvise kumanikidza mujoini. Tsono inoiswa mumubatanidzwa uye mvura inoshuva. Dzimwe sarudzo dzekurapa dzakajairika ndedzekuti:

• Steroid majekiseni: kurapa zvakanyanya kuzvimba majoini
• Oral steroids: kurapa akawanda akazvimba majoini
• Nonsteroidal anti-inflammatory mishonga (NSAIDs): kurerutsa marwadzo
• Colchicine: kurapa kurwiswa kweCPPD arthritis
• Kune chisingaperi CPPD arthritis mune dzakawanda majoini methotrexate kana hydroxychloroquine inogona kubatsira

Vazhinji vanhu vanoita zvakanaka nekurapwa kudzikisira kurwadziwa kwakanyanya kwemajoini. Mushonga wakadai se colchicine unogona kubatsira kudzivirira kudzokororwa. Iko hakuna kurapwa kwekubvisa iyo CPPD makristasi.

Kukuvara kwekusingaperi kwekubatana kunogona kuitika pasina kurapwa.

Fonera wako mupi wezvehutano kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwira.

Iko hakuna inozivikanwa nzira yekudzivirira iyi kusagadzikana. Zvisinei, kurapa mamwe matambudziko anogona kukonzera CPPD arthritis kunogona kuita kuti mamiriro acho asanyanya kuoma.

Kugara uchitevera kushanya kunogona kubatsira kudzivirira kukuvara kusingaperi kwemajoini akanganiswa.

Karusiyamu pyrophosphate dihydrate deposition chirwere; CPPD chirwere; Acute / chisingaperi CPPD arthritis; Pseudogout; Pyrophosphate arthropathy; Chondrocalcinosis

• Pfudzi akabatana kuzvimba
• Osteoarthritis
• Chimiro chemubatanidzwa

Andrés M, Sivera F, Pascual E. Therapy yeCPPD: sarudzo uye humbowo. Curr Rheumatol Mumiriri. 2018; 20 (6): 31. PMID: 29675606 pubed.ncbi.nlm.nih.gov/29675606/.

Edwards NL. Crystal deposition hosha. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 257.

Terkeltaub R. Calcium crystal chirwere: calcium pyrophosphate dihydrate uye yakakosha calcium phosphate. Mune: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley uye Firestein's Bhuku reRheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: chits. 96.