Munyori: Robert Simon
Zuva Rekusika: 16 Chikumi 2021
Gadziridza Zuva: 17 Mbudzi 2024
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Zvemukati

Mhedziso

Gout uye pseudogout marudzi eArthritis. Zvinokonzera kurwadziwa uye kuzvimba mumajoini. Ose mamiriro aya anokonzerwa nemakristani anopinza anoungana mumajoini. Ichi ndicho chikonzero ivo vanodanwawo kunzi crystal arthritis uye crystalline arthropathy.

Gout uye pseudogout dzimwe nguva zvinokanganisa kune mamwe mamiriro akabatana, akadai se:

  • rheumatoid arthritis
  • osteoarthritis
  • carpal tunnel chirwere
  • hutachiona hweArthritis
  • ankylosing spondylitis

Musiyano uripo pakati pe gout nepseudogout unosanganisira panowanikwa marwadzo uye mhando dzekristasi dzinozvikonzera. Kurapa kwakasiyanawo.

Gout inowanzoitika muchigunwe chikuru. Inogona zvakare kukanganisa majoini akadai se:

  • munwe wakabatanidzwa
  • ibvi
  • gumbo
  • chiningoningo

Pseudogout inonzi zvakare calcium pyrophosphate deposition chirwere (CPPD). Seizvo zita rayo rinoratidzira, pseudogout inowanzo kanganiswa ne gout. CPPD inowanzoitika mumabvi uye mamwe majoini mahombe, kusanganisira:


  • hudyu
  • gumbo
  • gokora
  • chiningoningo
  • bendekete
  • ruoko

Zviratidzo zvepseudogout vs. gout

Gout uye pseudogout zvinokonzeresa zvakafanana zviratidzo mumajoini. Ose anogona kukonzera kamwe kamwe zviratidzo. Kana, vanogona kumisikidzwa nekukuvara kudiki, sekurova bvi rako kana gokora pane chimwe chinhu.

Gout uye pseudogout zvinogona kukonzera:

  • pakarepo, kurwadziwa kwakanyanya
  • kuzvimba
  • unyoro
  • kutsvuka
  • kudziya panzvimbo yekutambudzika

Kurwiswa kwegout kunokonzeresa, kurwadziwa kwakanyanya kunowedzera kusvika maawa gumi nemaviri. Zviratidzo zvinobva zvadzikira kwemazuva akati wandei. Marwadzo anoenda mushure mevhiki kusvika kumazuva gumi. Vanenge makumi matanhatu muzana yevanhu vane gout vanozove nekumwe kurwiswa mukati megore. Kana uine gout isingaperi, unogona kunge uchirwiswa kana kurwadziwa kazhinji.

Pseudogout kurwiswa kuri kamwe kamwe. Nekudaro, kurwadziwa kwacho kunogara kwakafanana uye kunogona kugara kwemazuva kana vhiki. Vamwe vanhu vanogona kugara vachirwadziwa kana kusagadzikana kusingaendi. Marwadzo ekunyepedzera akafanana nemarwadzo anokonzerwa neosteoarthritis kana rheumatoid arthritis.


Zvinokonzera pseudogout vs. gout

Unogona kuwana gout kana uine yakawandisa uric acid muropa rako. Izvi zvinokonzeresa sodium urate makristasi anovaka mumajoini. High mwero uric acid inogona kukonzerwa kana:

  • muviri unoita uric acid yakawandisa
  • itsvo hadzisi kubvisa kana uric acid nekukasira zvakakwana
  • unodya zvekudya zvakawandisa zvinogadzira uric acid, senge nyama, bhinzi dzakaomeswa, hove, uye doro

Mamwe mamiriro ehutano anogona kukwidza njodzi yako yegout. Izvi zvinosanganisira:

  • chirwere cheshuga
  • BP
  • cholesterol yakawanda
  • chirwere chemoyo

Pseudogout inokonzerwa necalcium pyrophosphate dihydrate makristasi mumajoini. Iko makristasi anokonzera kurwadziwa pavanopinda mukati memvura mumubatanidzwa. Chikonzero chemakristasi aya hachisati chazivikanwa.

Pseudogout dzimwe nguva inofungidzirwa kuti inokonzerwa nehumwe hutano mamiriro, senge matambudziko ehutachiona.

Njodzi zvinhu

Gout yakajairika kuvarume kupfuura vakadzi kusvika pazera remakore makumi matanhatu. Varume vane makore makumi mana kusvika makumi mashanu ekuberekwa vane mikana yekuita gout. Vakadzi vanowanzo gout mushure mekuguma kuenda kumwedzi.


Pseudogout inowanzoitika kune vanhu vakuru vane makore makumi mashanu kana kupfuura. Vakwegura vakuru vari pangozi yakanyanya yemamiriro aya akabatanidzwa. MuUnited States, vangangoita makumi mashanu muzana yevanhu vane makore anodarika makumi masere nemashanu vane mazita ekunyepedzera. Izvo zvishoma zvakajairika kune vakadzi kupfuura varume.

Kuongororwa kwepseudogout vs. gout

Iwe unozoda bvunzo dzepanyama kubatsira kuongorora gout uye pseudogout. Chiremba wako achatarisawo nhoroondo yako yekurapa. Udza chiremba wako nezve chero zviratidzo zvauinazvo uye paunenge uine izvozvo.

Kuongororwa kweropa kunogona kuratidza kana uine huwandu hweuric acid mumuviri wako. Izvi zvinogona kureva kuti une gout.

Iwe unogona zvakare kuve nekumwe kuongororwa kweropa kuti uongorore pseudogout kana gout. Kuongororwa kweropa kunobatsirawo kutonga kunze mamwe mamiriro anokonzeresa kurwadza kwemajoini. Chiremba wako anogona kutarisa:

  • ropa remaminerari mazinga, senge calcium, phosphorus, magnesium, phosphatase
  • ropa resimbi mazinga
  • utachiona hwehomoni

Kana iwe uine chero mhando yemarwadzo akabatana, chiremba wako anogona kukutumira iwe X-ray. Iwe unogona zvakare kuve neiyo ultrasound kana CT scan. Scans dzinogona kuratidza kukuvara mumajoini uye kubatsira kuziva chikonzero.

X-ray inogona zvakare kuratidza makristasi mujoini, asi kwete mhando yemakristaro. Dzimwe nguva, pseudogout makristasi anogona kunge akarasika ne gout makristasi.

Joint fluid inogona kutorwa kubva kune yakakanganiswa majoini. Izvi zvinosanganisira kushandisa tsono refu. Chiremba wako anogona kudzora nzvimbo nekirimu kana jekiseni kutanga. Mvura inotumirwa kubhu kuongorora chero chiratidzo chehutachiona.

Imwe nzira iyo vanachiremba vanogona kuziva kana iwe uine gout kana pseudogout ndeyekutarisa pamakristasi. Makristasi anobviswa kubva mujoini fluid. Zvadaro, makristasi anoongororwa neine polarized microscope.

Gout makristasi akafanana netsono. Pseudogout makristasi akaenzana mativi uye anotaridzika kunge zvidhinha zvidiki.

Mamwe mamiriro

Gout uye pseudogout zvinogona kuitika pamwechete muzviitiko zvisingawanzoitika. Chidzidzo chekurapa chakazivisa nyaya yemurume ane makore makumi matanhatu nematatu ekurwadziwa nemabvi. Fluid yakabviswa kubva mubatanidzwa uye yakaongororwa. Akawanikwa aine makristasi ezvese mamiriro mumabvi. Kumwe kutsvagurudza kunodikanwa kuti izvi zvinogona kuitika kangani.

Iwe unogona kuve pseudogout uye mamwe mamiriro akabatana, senge osteoarthritis. Iwe unogona zvakare kuve pseudogout uye hutachiona mumubatanidzwa.

Kurapa kwepseudogout vs. gout

Ose gout uye pseudogout anogona kukuvadza majoini ako. Kurapa aya mamiriro kwakakosha kubatsira kudzivirira kupisa-uye kuchengetedza muviri wako. Kurapa kwegout uye pseudogout kwakasiyana nezvikonzero zvakati.

Gout

Gout inogona kurapwa nekudzikisa yakakwira uric acid muropa rako. Izvi zvinobatsira kubvisa makirisito akafanana neakabatana mumajoini. Mishonga inobata gout nekuderedza uric acid inosanganisira:

  • xanthine oxidase inhibitors (Aloprim, Lopurin, Uloric, Zyloprim)
  • uricosurics (ChiPecan, Zurampic)

Pseudogout

Iko hakuna kurapwa kwemushonga kune akawandisa pseudogout makristasi mumuviri. Chiremba wako anogona kukurudzira kudurura zvakawandisa mvura kubva mubatanidzwa. Izvi zvinogona kubatsira kubvisa imwe yekristaro. Izvi zvinosanganisira kudzikisira nzvimbo uye kushandisa tsono refu kuti usvike kana kutora mvura kubva mubatanidzwa.

Pseudogout inonyanya kurapwa nemishonga inobatsira kudzora kurwadziwa uye kuzvimba. Iyi mishonga inoshandiswawo kurapa gout zviratidzo. Zvinosanganisira mishonga inotorwa nemuromo kana kujowa mubatanidzwa.

  • nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen (Advil), naproxen (Aleve), uye celecoxib (Celebrex)
  • colchicine pain reliever zvinodhaka (Colcrys, Mitigare)
  • corticosteroid anti-anogumbura zvinodhaka, senge prednisone
  • methotrexate
  • anakinra (Kineret)

Muzviitiko zvakakomba, ungangoda kuvhiyiwa kuti ubatsire kugadzirisa maronda akakanganisika. Zvinokwanisika kuti iwe ucharamba uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wavhiya

Mushure mezvo, kurapa kwemuviri uye kurovedza-kumba kwakakosha kwazvo kuti majoini ako agadzikane uye ave noutano. Chiremba wako anokuraira kana zvakachengeteka kurovedza muviri mushure mekupora kubva pakuvhiyiwa.

Kudzivirira pseudogout vs. gout

Kudya uye mararamiro ehupenyu anogona kudzikisa uric acid mumuviri. Izvi zvinogona kubatsira kudzivirira gout. Iyo Arthritis Foundation inokurudzira kuita shanduko idzi kune chako chikafu chezuva nezuva:

  • rega kudya kana kudzikisira nyama yakatsvuka uye hove
  • kuderedza kunwa doro, kunyanya doro
  • rega kunwa soda nezvimwe zvinwiwa zvine fructose shuga

Zvakakoshawo kuchengetedza huremu hune hutano. Kufutisa kunowedzera njodzi yako yegout.

Mimwe mishonga inogona kusimudza uric acid mazinga. Chiremba wako anogona kumira kana kutsiva zvinodhaka zvakadai se:

  • diuretics yeakakwira BP
  • immune-inodzvinyirira zvinodhaka

Pseudogout yakanyanya kuoma kudzivirira. Izvi zvinodaro nekuti izvo chaizvo zvinokonzera makristasi hazvisati zvazivikanwa. Unogona kubatsira kudzivirira pseudogout kurwiswa uye kukuvara kwemajoini nekurapwa.

Kutora

Gout uye pseudogout vane zvakafanana zvakafanana zviratidzo zvekubatana. Nekudaro, izvo zvinokonzeresa, kurapwa, uye kudzivirira kweaya mamiriro eArthritis akasiyana.

Ungangoda bvunzo dzinoverengeka kuti uone chiri kukonzeresa kurwadziwa kwako pamwe chete. Ose ezvinhu aya anorapika.

Ona chiremba wako pakarepo kana iwe uine zviratidzo zvekubatana. Kurapa kwekutanga kwakakosha kubatsira kudzivirira kukuvara kwemajoini ako uye mamwe mamiriro ehutano, senge matambudziko eitsvo.

Kana iwe uine gout kana pseudogout, iwe uchazoda kurapwa uye mararamiro ekuchinja kuti ubatsire kuchengeta majoini ako akagwinya. Taura nachiremba wako, nyanzvi yezvokudya, uye mushandi wepanyama pamusoro pemishonga yakanakisisa, kudya, uye chirongwa chekurovedza muviri kwauri.

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