Ngaba yiGout okanye iPseudogout?

Umxholo

• Ushwankathelo
• Iimpawu zepseudogout vs. gout
• Oonobangela be-pseudogout vs. gout
• Imiba yomngcipheko
• Ukuchongwa kwepseudogout vs.
• Ezinye iimeko
• Unyango lwe-pseudogout vs. gout
• Igawuthi
• I-Pseudogout
• Ukuthintela i-pseudogout vs. gout
• Ukuthatha

Ushwankathelo

I-Gout kunye ne-pseudogout ziintlobo ze-arthritis. Zibangela iintlungu nokudumba kumalungu. Zombini ezi meko zibangelwa ziikristale ezibukhali eziqokelela kumalungu. Kungenxa yoko le nto babizwa ngokuba yi-crystal arthritis kunye ne-crystalline arthropathy.

I-Gout kunye ne-pseudogout ngamanye amaxesha ziphosakele ngenxa yezinye iimeko ezidibeneyo, ezinje:

• irheumatoid Arthritis
• osteoarthritis
• Isifo seCarpal tunnel
• isifo samathambo esosulelayo
• i-ankylosing spondylitis

Umahluko phakathi kwe-gout kunye ne-pseudogout ubandakanya apho iintlungu zenzeka khona kunye neentlobo zeekristali ezibangela oko. Unyango lwahlukile.

Igawuthi idla ngokwenzeka kubhontsi omkhulu. Inokuchaphazela namalungu afana:

• ukudityaniswa komnwe
• idolo
• iqatha
• isihlahla

I-Pseudogout ikwabizwa ngokuba yi-calcium pyrophosphate deposition disease (CPPD). Njengoko igama layo libonisa, i-pseudogout ihlala iphosakele nge-gout. I-CPPD ihlala yenzeka emadolweni nakwamanye amalungu amakhulu, kubandakanya:

• isinqe
• iqatha
• ingqiniba
• isihlahla
• igxalaba
• isandla

Iimpawu zepseudogout vs. gout

Igawuthi nepseudogout zibangela iimpawu ezifanayo kumalungu. Zombini zinokubangela iimpawu ngequbuliso. Okanye, banokusetwa kukulimala okuncinci, njengokushaya idolo okanye ingqiniba nxamnye nento ethile.

I-Gout kunye ne-pseudogout zombini zinokubangela:

• ngequbuliso, iintlungu eziqatha
• ukudumba
• ukuthamba
• bomvu
• ukufudumala kwindawo yeentlungu

Uhlaselo lwegawuthi lubangela iintlungu ezibukhali eziba mandundu ukuya kuthi ga kwiiyure ezili-12. Iimpawu ziye zinciphise kangangeentsuku ezininzi. Intlungu iyahamba emva kweveki ukuya kwiintsuku ezili-10. Malunga neepesenti ezingama-60 zabantu abane-gout baya kuba nolunye uhlaselo kwisithuba sonyaka. Ukuba une-gout engapheliyo, unokuhlaselwa okanye iintlungu rhoqo.

Uhlaselo lwePseudogout nalo ngequbuliso. Nangona kunjalo, iintlungu zihlala zihleli zinjalo kwaye zinokuhlala iintsuku okanye iiveki. Abanye abantu banokuba neentlungu okanye ukungonwabi okungapheliyo. Intlungu yePseudogout ifana nentlungu ebangelwa yi-osteoarthritis okanye isifo samathambo.

Oonobangela be-pseudogout vs. gout

Ungayifumana igawuthi ukuba une-uric acid eninzi egazini lakho. Oku kubangela ukuba amakristali e-urate e-urate akheke kumalungu. Amanqanaba aphezulu e-uric acid anokubangelwa xa:

• umzimba wenza uric acid eninzi kakhulu
• izintso azisusi okanye i-uric acid ikhawuleze ngokwaneleyo
• utya ukutya okuninzi kakhulu okwenza i-uric acid, efana nenyama, iimbotyi ezomisiweyo, ukutya kwaselwandle notywala

Ezinye iimeko zempilo zinokuphakamisa umngcipheko we-gout. Oku kubandakanya:

• isifo seswekile
• igazi elonyukayo
• cholesterol ephezulu
• isifo sentliziyo

I-Pseudogout ibangelwa zii-calcium pyrophosphate dihydrate crystals kumalungu. Amakristali abangela iintlungu xa zingena kulwelo kwilungu. Unobangela wezi kristali awukaziwa.

I-pseudogout ngamanye amaxesha kucingelwa ukuba ibangelwa yenye imeko yezempilo, enje ngengxaki ye-thyroid.

Imiba yomngcipheko

Igawuthi ixhaphake kakhulu emadodeni kunabafazi de kube malunga neminyaka engama-60. Amadoda aneminyaka engama-40 ukuya kwengama-50 ubudala kunokwenzeka ukuba abe ne-gout. Abasetyhini bahlala befumana igawuthi emva kokuyeka ukuya exesheni.

I-Pseudogout idla ngokwenzeka kubantu abadala abaneminyaka engama-50 okanye ngaphezulu. Abantu abadala abadala basemngciphekweni omkhulu wale meko yokudibana. EUnited States, phantse iipesenti ezingama-50 zabantu abangaphezu kweminyaka engama-85 ubudala banamagama okubhala. Kuqheleke kancinane kubantu basetyhini kunamadoda.

Ukuchongwa kwepseudogout vs.

Uya kudinga uvavanyo lomzimba ukunceda ukufumanisa isifo kunye ne-pseudogout. Ugqirha wakho uya kujonga nembali yakho yonyango. Tshela ugqirha wakho malunga naziphi na iimpawu onazo nangexesha onazo.

Uvavanyo lwegazi lunokubonisa ukuba unamanqanaba aphezulu e-uric acid emzimbeni wakho. Oku kunokuthetha ukuba une-gout.

Unokuba nolunye uvavanyo lwegazi lokufumanisa i-pseudogout okanye i-gout. Uvavanyo lwegazi lukwanceda ukulawula ezinye iimeko ezibangela iintlungu ezidibeneyo. Ugqirha wakho unokujonga:

• amanqanaba amaminerali egazi, anje ngecalcium, phosphorus, magnesium, phosphatase
• amanqanaba egazi entsimbi
• amanqanaba ehomoni yedlala lengqula

Ukuba unalo naluphi na uhlobo lwentlungu edibeneyo, ugqirha wakho uya kukuthumela i-X-ray. Unokuba ne-ultrasound okanye i-CT scan. Ukuskena kunokubonisa ukonakala kumalungu kunye nokunceda ekufumaneni unobangela.

IX-reyi ingabonisa iikristali kwilungu, kodwa hayi ukuba loluphi uhlobo lweekristali. Ngamanye amaxesha, iikristali ze-pseudogout zinokuphosakela ngeekristal zegout.

Amanzi adibeneyo angathathwa kwilungu elichaphazelekayo. Oku kubandakanya ukusebenzisa inaliti ende. Ugqirha wakho unokuyinciphisa indawo ngekhilimu okanye ngenaliti kuqala. Amanzi athunyelwa kwilebhu ukujonga ukuba akukho phawu losulelo.

Enye indlela oogqirha abanokuyixela ukuba une-gout okanye i-pseudogout kukujonga iikristali. Amakristali ayasuswa kulwelo oludibeneyo. Emva koko, iikristali ziyavavanywa ngemicroscope ebonakalayo.

Amachiza egawuthi amile okweenaliti. Amakristalu e-Pseudogout axande kwaye ajongeka njengezitena ezincinci.

Ezinye iimeko

I-Gout kunye ne-pseudogout zinokwenzeka kunye kwiimeko ezinqabileyo. Uphononongo lwezonyango luxele ityala lendoda eneminyaka engama-63 ubudala eneentlungu emadolweni. I-Fluid isuswe kwilungu kwaye yavavanywa. Wafunyanwa enamakristal kuzo zombini iimeko emadolweni. Uphando oluthe kratya luyafuneka malunga noku kwenzeka kaninzi kangakanani.

Unokuba ne-pseudogout kunye nezinye iimeko ezidibeneyo, ezinje ngearthrosis. Unokuba ne-pseudogout kunye nosulelo kwilungu.

Unyango lwe-pseudogout vs. gout

Zombini i-gout kunye ne-pseudogout zingonakalisa amalungu akho. Ukunyanga le miqathango kubalulekile ukunceda ukuthintela i-flare-ups kunye nokukhusela umzimba wakho. Unyango lwe-gout kunye ne-pseudogout yahlukile ngezizathu ezininzi.

Igawuthi

Igawuthi inokunyangwa ngokwehlisa amanqanaba aphezulu e-uric acid egazini lakho. Oku kunceda ukulahla iikristali ezinjengeentswelo kumalungu. Amayeza aphatha i-gout ngokunciphisa i-uric acid ibandakanya:

• Xanthine oxidase inhibitors (Aloprim, Lopurin, Uloric, Zyloprim)
• ii-uricosurics (i-Probalan, iZurampic)

I-Pseudogout

Akukho lunyango lweziyobisi kwiikristali ezininzi zepseudogout emzimbeni. Ugqirha wakho unokucebisa ukuba ukhuphe ulwelo olungaphezulu kwilungu. Oku kunokunceda ukususa enye i-crystal. Oku kubandakanya ukuphazamisa indawo kunye nokusebenzisa inaliti ende ukuze uthabathe okanye uthathe ulwelo kwilungu.

I-Pseudogout inyangwa ikakhulu ngamachiza anceda ukulawula iintlungu kunye nokudumba. La machiza ayasetyenziswa ukunyanga iimpawu zesifo. Babandakanya amayeza athathwa ngomlomo okanye afakwe kwilungu:

• iziyobisi ezichasayo (ii-NSAID), ezinje nge-ibuprofen (Advil), naproxen (Aleve), kunye ne-celecoxib (Celebrex)
• Icholchicine yokunciphisa iintlungu iziyobisi (Colcrys, Mitigare)
• iziyobisi ezichasene ne-corticosteroid, ezinje nge-prednisone
• imethotrexate
• anakinra (Kineret)

Kwiimeko ezinzima, unokufuna utyando ukuze uncede ukulungisa amalungu awonakeleyo. Kuyenzeka ukuba usazokufuna isiqabu seentlungu kunye namayeza okulwa nokudumba emva kotyando.

Emva koko, unyango lomzimba kunye nokuzivocavoca ekhaya kubaluleke kakhulu ukugcina amalungu akho eguquguqukayo kwaye esempilweni. Ugqirha wakho uya kukucebisa xa kukhuselekile ukusebenzisa emva kokuba uphilile kuqhaqho.

Ukuthintela i-pseudogout vs. gout

Ukutya kunye notshintsho kwindlela yokuphila kunokuhlisa i-uric acid emzimbeni. Oku kunokunceda ukukhusela i-gout. IArthritis Foundation icebisa ukuba wenze olu tshintsho kwindlela otya ngayo imihla ngemihla:

• yeka ukutya okanye unciphise inyama ebomvu kunye neentlanzi
• ukunciphisa ukusela utywala, ngakumbi ibhiya
• yeka ukusela isoda kunye nezinye iziselo ezineswekile ye-fructose

Kwakhona kubalulekile ukugcina ubunzima obuphilileyo. Ukutyeba kwandisa umngcipheko wokuhlaselwa yintsholongwane.

Amanye amayeza anokuphakamisa amanqanaba e-uric acid. Ugqirha wakho angayeka okanye atshintshe iziyobisi ezinje:

• womchamo uxinzelelo lwegazi
• iziyobisi zokucinezela amajoni omzimba

I-pseudogout inzima ngakumbi ukuyithintela. Kungenxa yokuba izizathu ngqo zeekristali azikaziwa. Unokunceda ukuthintela uhlaselo lwe-pseudogout kunye nomonakalo odibeneyo kunyango.

Ukuthatha

Igawuthi nepseudogout zineempawu ezifanayo zokudibana. Nangona kunjalo, oonobangela, unyango kunye nothintelo lwezi meko zamathambo zahlukile.

Unokufuna iimvavanyo ezininzi ukuze ufumanise ukuba yintoni ebangela ukuba iintlungu zidibane. Zombini ezi meko ziyanyangeka.

Yiya kugqirha ngokukhawuleza ukuba unayo nayiphi na imiqondiso edibeneyo. Unyango lwakwangoko lubalulekile ekuncedeni ukuthintela ukonakala kumalungu akho kunye nezinye iimeko zempilo, ezinjengeengxaki zezintso.

Ukuba une-gout okanye i-pseudogout, uyakufuna unyango kunye notshintsho kwindlela yokuphila ukuze uncede ugcine amalungu akho esempilweni. Thetha nogqirha wakho, isondlo, kunye nonyango olusebenzayo malunga namayeza afanelekileyo, ukutya, kunye nesicwangciso sokuzilolonga.