Pseudogout

Zvemukati

• Ndeupi musiyano uripo pakati pseudogout uye gout?
• Chii chinokonzera pseudogout?
• Ndezvipi zviratidzo zvepseudogout?
• Pseudogout inoonekwa sei?
• Ndeapi marapirwo angave anofambidzana nepseudogout?
• Pseudogout inorapwa sei?
• Kuchenesa mvura yacho
• Mishonga
• Kuvhiya
• Ndeapi matambudziko anosangana nepseudogout?
• Ndeupi mutarisiro wenguva refu wevanhu vane pseudogout?
• Ini ndinogona kudzivirira pseudogout?

Chii chinonzi pseudogout?

Pseudogout rudzi rweArthritis iyo inokonzeresa, kuzvimba kunorwadza mumajoini ako. Izvo zvinoitika kana makristaro achiumbwa mu synovial fluid, iyo fluid inozodza majoini. Izvi zvinotungamira mukuzvimba uye kurwadziwa.

Aya mamiriro anowanzo kubata mabvi, asi anogona kukanganisa mamwe majoini zvakare. Inowanzoitika kune vanhu vakuru vanopfuura makore makumi matanhatu.

Pseudogout inozivikanwawo secalcium pyrophosphate deposition (CPPD) chirwere.

Ndeupi musiyano uripo pakati pseudogout uye gout?

Pseudogout uye gout zvese zviri zviviri mhando yemajoini, uye zvese zviri zviviri zvinokonzerwa nekuunganidza makristasi mumajoini.

Ipo pseudogout ichikonzerwa ne calcium pyrophosphate crystals, gout inokonzerwa ne urate (uric acid) makristasi.

Chii chinokonzera pseudogout?

Pseudogout inoitika apo calcium pyrophosphate crystals inoumba mu synovial fluid mumajoini. Mvere dzinogona zvakare kuisa mu cartilage, uko kwavanogona kukonzera kukuvara. Kuvakwa kwekristaro mune yakasangana fluid kunoguma nekuzvimba majoini uye kurwadziwa kwakanyanya.

Vatsvakurudzi havanyatsonzwisisi kuti sei makristasi achiumba. Mukana wekuti vagadzire vangangowedzera nezera. Mvere dzinoumbwa muhafu yenguva dzevanhu vanopfuura makore makumi masere nemashanu, maererano neArthritis Foundation. Nekudaro, mazhinji acho haana pseudogout.

Pseudogout inowanzo mhanya mumhuri, saka vazhinji vezvokurapa vanozvitenda kuti ihwo hutachiona. Zvimwe zvinopa zvinhu zvinogona kusanganisira:

• hypothyroidism, kana utachiona husingashande
• hyperparathyroidism, kana yakanyanyisa parathyroid gland
• iron yakawandisa muropa
• hypercalcemia, kana calcium yakawandisa muropa
• kushomeka kwemagesium

Ndezvipi zviratidzo zvepseudogout?

Pseudogout kazhinji inobata mabvi, asi inobatawo makumbo, mawoko, uye magokora.

Kazhinji zviratidzo zvinogona kusanganisira:

• kurwadza kwemajoini
• kuzvimba kwechikamu chakakanganiswa
• mvura inovaka yakatenderedza mubatanidzwa
• kuzvimba kusingaperi

Pseudogout inoonekwa sei?

Kana chiremba wako achifunga kuti une pseudogout, ivo vanogona kukurudzira zvinotevera bvunzo.

• kuongororwa kwejoini fluid nekubvisa iyo fluid kubva mubatanidzwa (arthrocentesis) kutsvaga calcium pyrophosphate makristasi
• X-rays yejoinhi kuti atarise chero kukuvara kune iyo yekubatana, calcification (calcium buildup) yekatekete, uye kuiswa kwecalcium mumabatanidzwa akabatanidzwa.
• MRI kana CT inoongorora kutsvaga nzvimbo dze calcium buildup
• ultrasound zvakare kutsvaga nzvimbo dzecalcium buildup

Kutarisa makristasi anowanikwa mumabatanidzwa akabatanidzwa anobatsira chiremba wako kuti aongorore.

Iyi mamiriro inogovera zviratidzo pamwe nemamwe mamiriro, saka dzimwe nguva inogona kusanzwisiswa se:

• osteoarthritis (OA), chirwere chemajoini chinodzikira chinokonzerwa nekurasikirwa nekatekete
• rheumatoid arthritis (RA), chirwere chenguva refu chekuvhiringidza chinogona kukanganisa nhengo dzinoverengeka uye nyama
• gout, iyo inokonzeresa kuzvimba kunorwadza kwezvigunwe nemakumbo kazhinji asi inogona kukanganisa mamwe majoini

Ndeapi marapirwo angave anofambidzana nepseudogout?

Pseudogout dzimwe nguva inogona kusanganiswa nezvimwe zvirwere, senge:

• chirwere chetachiona hypothyroidism uye hyperparathyroidism
• hemophilia, chirwere chekubuda ropa chinodzivirira iro ropa kubva kugwamba kazhinji
• ochronosis, mamiriro anoita kuti rima pigment riiswe mu cartilage uye mamwe materu anobatana
• amyloidosis, iyo yakavakwa yeakajairika mapuroteni mumatumbu
• hemochromatosis, mwero wepamusoro wesimbi muropa

Pseudogout inorapwa sei?

Ikozvino parizvino hapana kurapwa kunowanikwa kuti ubvise macrystal deposits.

Kuchenesa mvura yacho

Chiremba wako anogona kudhonza iyo synovial fluid kubva mubatanidzwa kuti ubvise kumanikidza mukati memubatanidzwa uye kudzora kuzvimba.

Mishonga

Kuti ubatsire nekurwiswa kwakanyanya, chiremba wako anogona kunyorera nonsteroidal anti-anogumbura zvinodhaka (NSAIDs) kudzora kuzvimba uye kubvisa marwadzo.

Iwe unogona kusakwanisa kutora NSAIDs kana:

• urikutora mushonga wekuonda ropa, senge warfarin (Coumadin)
• une hurombo hweitsvo
• une nhoroondo yemaronda emudumbu

Kuti ubatsire kudzikisa njodzi yekuwedzera kuputika, chiremba wako anogona kupa mishonga yakaderera yecolchicine (Colcrys) kana NSAIDs.

Mimwe mishonga inoshandiswa kurapa pseudogout inosanganisira:

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

Kuvhiya

Kana majoini ako apera, chiremba wako anogona kukurudzira kuvhiyiwa kuti agadzirise kana kutsiva.

Ndeapi matambudziko anosangana nepseudogout?

Mune zvimwe zviitiko, iyo kristaro inoiswa mu synovial fluid inogona kutungamira mukukuvara kwekubatana kusingaperi. Majoinhi akanganiswa nepseudogout anogona kupedzisira ave necyst kana bone spurs, ayo ari kukura anonamira kunze pamapfupa.

Pseudogout inogona zvakare kukonzera kurasikirwa kwekatekete.

Ndeupi mutarisiro wenguva refu wevanhu vane pseudogout?

Zviratidzo zvepseudogout zvinogona kugara chero kubva pamazuva mashoma kusvika kumavhiki akati wandei. Vazhinji vanhu vanokwanisa kubata zviratidzo kwazvo nemushonga.

Mimwe mishonga yemumba yakadai senge inotonhora inogona kuunza zororo.

Ini ndinogona kudzivirira pseudogout?

Kunyange iwe usingakwanise kudzivirira chirwere ichi, unogona kuwana mishonga yekuderedza kuzvimba uye kubvisa marwadzo. Kurapa mamiriro ari pasi anokonzeresa pseudogout kunogona kudzora kukura kwayo uye kudzikisira kuomarara kwezviratidzo.