I-Pseudogout

Umxholo

• Uyintoni umahluko phakathi kwepseudogout kunye ne-gout?
• Yintoni ebangela i-pseudogout?
• Ziintoni iimpawu zepseudogout?
• Ifunyaniswa njani i-pseudogout?
• Zeziphi iimeko zonyango ezinokuthi zinxulunyaniswe nopseudogout?
• Iphathwa njani imbumbulu?
• Ukucoca ulwelo
• Amayeza
• Ugqirha
• Zeziphi iingxaki ezinxulumene nepseudogout?
• Yeyiphi imbonakalo yexesha elide kubantu abane-pseudogout?
• Ndingayithintela into ekuthiwa yi-pseudogout?

Yintoni ipseudogout?

I-Pseudogout luhlobo lwesifo samathambo esibangela ukudumba okuzenzekelayo, okubuhlungu kumalungu akho. Kwenzeka xa i-crystals form in the synovial fluid, ulwelo oluthambisa amalunga. Oku kukhokelela kukudumba kunye neentlungu.

Le meko ihlala ichaphazela amadolo, kodwa inokuchaphazela namanye amalungu. Kuqheleke kakhulu kubantu abadala abangaphezu kweminyaka engama-60.

I-Pseudogout yaziwa ngokuba sisifo se-calcium pyrophosphate deposition (CPPD).

Uyintoni umahluko phakathi kwepseudogout kunye ne-gout?

I-pseudogout kunye ne-gout zombini ezi ntlobo ze-arthritis, kwaye zombini zibangelwa kukuqokelelwa kweekristali kumalungu.

Ngelixa i-pseudogout ibangelwa zii-calcium pyrophosphate crystals, igawuthi ibangelwa yi-urate (uric acid) crystals.

Yintoni ebangela i-pseudogout?

I-Pseudogout yenzeka xa i-calcium pyrophosphate crystals ifom kwi-synovial fluid kumalungu. Amakristali anokufaka kwi-cartilage, apho anokubangela umonakalo. Ukwakhiwa kwekristale kulwelo oluhlangeneyo kubangela ukudumba kwamalungu kunye nentlungu ebuhlungu.

Abaphandi abayiqondi ngokupheleleyo ukuba kutheni iifom ze-crystals zenza. Ithuba lokuba bayile liyonyuka ngokuhamba kweminyaka. Iikristali zenza malunga nesiqingatha sabantu ngaphezulu kweminyaka engama-85, ngokweArthritis Foundation. Nangona kunjalo, uninzi lwazo alunanyani.

I-pseudogout ihlala ibaleka kwiintsapho, ke uninzi lweengcali zonyango lukholelwa ukuba yimeko yemfuza. Ezinye izinto ezinegalelo zinokubandakanya:

• hypothyroidism, okanye idlala lengqula elingasebenziyo
• i-hyperparathyroidism, okanye i-parathyroid gland engaphezulu
• i-iron engaphezulu kwegazi
• i-hypercalcemia, okanye i-calcium eninzi egazini
• Ukunqongophala kwemagnesium

Ziintoni iimpawu zepseudogout?

I-Pseudogout ihlala ichaphazela amadolo, kodwa ichaphazela namaqatha, izihlahla kunye neengqiniba.

Iimpawu eziqhelekileyo zingabandakanya:

• ukuqhuma kwentlungu edibeneyo
• ukudumba kwelungu elichaphazelekayo
• ulwakhiwo olungamanzi ngokudibeneyo
• ukudumba okungapheliyo

Ifunyaniswa njani i-pseudogout?

Ukuba ugqirha wakho ucinga ukuba une-pseudogout, banokucebisa ngezi mvavanyo zilandelayo:

• Uhlalutyo lolwelo ngokudibeneyo ngokususa ulwelo kwilunga (arthrocentesis) ukujonga ikristale pyrophosphate crystals
• I-X-ray yamajoyina ukujonga nawuphi na umonakalo kwilungu, i-calcification (calcium buildup) ye-cartilage, kunye ne-calcium deposits kwimibutho edibeneyo
• I-MRI okanye i-CT iskena ukukhangela iindawo ezakhiweyo zekhalsiyam
• I-ultrasound nayo ijonge iindawo ezakhiweyo zekhalsiyam

Ukujonga iikristali ezifumaneka kwimingxunya edibeneyo kunceda ugqirha wakho enze uxilongo.

Le meko yabelana ngeempawu kunye nezinye iimeko, ngamanye amaxesha ngamanye amaxesha inokuchazwa gwenxa njenge:

• I-osteoarthritis (OA), isifo esihlangeneyo esidibeneyo esibangelwa kukuphulukana nentlala
• i-rheumatoid arthritis (RA), isifo sexesha elide sokudumba esinokuchaphazela amalungu kunye nezicubu
• igawuthi, ebangela ukudumba okubuhlungu kweenzwane neenyawo eziqhelekileyo kodwa kunokuchaphazela amanye amalungu

Zeziphi iimeko zonyango ezinokuthi zinxulunyaniswe nopseudogout?

I-pseudogout ngamanye amaxesha inokunxulunyaniswa nezinye izifo, ezinje:

• Iingxaki ze-thyroid hypothyroidism kunye ne-hyperparathyroidism
• i-hemophilia, sisifo sokufa esivela kwilifa elithintela igazi ekunqandeni ngesiqhelo
• i-ochronosis, imeko ebangela ukuba i-pigment emnyama ifake kwi-cartilage nakwezinye izicubu ezinxibelelwano
• i-amyloidosis, iprotheni engaqhelekanga kwizicubu
• I-hemochromatosis, inqanaba eliphezulu ngokungaqhelekanga lesinyithi egazini

Iphathwa njani imbumbulu?

Okwangoku akukho nyango lufumanekayo ukuze kususwe idipozithi yekristale.

Ukucoca ulwelo

Ugqirha wakho unokukhupha i-synovial fluid edibeneyo ukuze anciphise uxinzelelo ngaphakathi kwendibaniselwano kunye nokunciphisa ukudumba.

Amayeza

Ukukunceda kuhlaselo olubi, ugqirha wakho unokumisela amachiza (ii-NSAIDs) ezingezizo ezokulwa nokudumba ukuze kunciphise ukudumba kunye nokunciphisa iintlungu.

Awunakho ukuthatha ii-NSAID ukuba:

• uthatha amayeza okucoca igazi, njenge-warfarin (Coumadin)
• unomsebenzi ongalunganga wezintso
• unembali yezilonda esiswini

Ukukunceda ukunciphisa umngcipheko wokongezwa kwe-flare-ups, ugqirha wakho unokumisela idosi ezisezantsi ze-colchicine (Colcrys) okanye ii-NSAID.

Amanye amayeza asetyenziselwa ukunyanga i-pseudogout aquka:

• ihydroxychloroquine (iPlaquenil, iQuineprox)
• imethotrexate (Rheumatrex, Trexall)

Ugqirha

Ukuba amalungu akho aphelile, ugqirha unokucebisa utyando ukulungisa okanye ukubuyisela.

Zeziphi iingxaki ezinxulumene nepseudogout?

Ngamanye amaxesha, i-crystal deposits kwi-synovial fluid ingakhokelela kumonakalo osisigxina odibeneyo. Amalungu achaphazelwe yimbumbulu ekugqibeleni anokukhulisa ii-cysts okanye i-bone spurs, ezikhulayo ezikumathambo.

I-Pseudogout nayo inokubangela ukulahleka kwe-cartilage.

Yeyiphi imbonakalo yexesha elide kubantu abane-pseudogout?

Iimpawu zepseudogout zinokuhlala naphi na ukusuka kwiintsuku ezimbalwa ukuya kwiiveki ezininzi. Uninzi lwabantu luyakwazi ukulawula iimpawu kakuhle kunyango.

Unyango olongezelelekileyo lwasekhaya njengonyango olubandayo lunokuzisa uncedo olongezelelekileyo.

Ndingayithintela into ekuthiwa yi-pseudogout?

Ngelixa ungenako ukusithintela isifo, unokufumana unyango ukunciphisa ukudumba kunye nokunciphisa iintlungu. Ukunyanga imeko engunobangela we-pseudogout kunokucothisa ukukhula kwayo kunye nokunciphisa ubunzima beempawu.