He aha te Pseudogout? Tohutohu, Take, me te Maimoatanga

Ko te pseudogout tētahi momo mate khớp e puta mai ana i te whakatipuranga o ngā konganuku kāratiuma i roto i te cartilage o ō hononga, ā, ka puta mai ai ngā āwangawanga mamae ohorere. Ko te ingoa i huaina ai, nā te mea he rite tonu ngā tohu ki te gout, engari he rerekē ngā konganuku e pā ana, ā, he rerekē ngā hononga e pā ana.

Ko te tikanga ka pā tēnei āhuatanga ki ngā turi, ngā ringa, me ngā rekereke, ā, ka puta mai ai ngā wāhanga o te mamae nui o te hononga e roa pea mō ngā rā, ngā wiki rānei. Ahakoa ka rangona pea he wehi, ka taea te whakahaere i te pseudogout me te maimoatanga tika, ā, he tokomaha ngā tāngata e noho marie ana i te wā ka mōhio rātou ki te whakahaere i ngā āwangawanga.

He aha ngā tohu o te pseudogout?

Ko te tohu matua o te pseudogout ko te mamae ohorere, nui o te hononga e puta mai ana kahore he whakatūpato. Ka oho pea koe i te ata kotahi me te turi e mamae rawa ana, e pupū ana, ā, kaore e taea e koe te hikoi ki runga.

Ko ēnei ngā tohu matua ka pā pea koe i te wā o te whakaeke pseudogout:

• Te mamae nui o te hononga e piki ana i roto i ngā haora
• Te pupū nui o te hononga e pā ana
• Te mahana me te whero i te taha o te hononga
• Te ngoikore e whakamamae ana i te nekehanga
• Te ngawari ina pa koe ki te wāhi
• Te iti o te nekehanga o te hononga

Ko te tikanga ka pā te mamae ki te hononga kotahi i te wā, ko te nuinga ko tō turi. Heoi, ka taea hoki te pā ki ō ringa, ō rekereke, ō pakihiwi, ngā hope rānei. Ka roa pea ēnei āwangawanga mai i ngā rā torutoru ki ngā wiki maha i mua i te whakapai haere.

I waenganui i ngā whakaeke, ka rongo pea koe i te noho mārama, koia te take ka whakapohehe pea te pseudogout i te tīmatanga. He tokomaha ngā tāngata e pā ana hoki ki te momo roa e noho tonu ana te mamae me te ngoikore o ngā hononga, ahakoa he iti ake tēnei i te tauira whakaeke ohorere.

He aha ngā take o te pseudogout?

Ka puta te pseudogout ina hangaia ngā konganuku kāratiuma pyrophosphate dihydrate i roto i te cartilage o ō hononga. Ka taea e ēnei konganuku te pakaru me te whakaoho i te mumura nui, he rite ki te āhua o te wahi i roto i tō kiri e puta ai te pupū me te mamae.

Ka puta te hanganga o te konganuku na te tukanga e kiia nei ko te chondrocalcinosis, kei reira ngā whakatipuranga kāratiuma e kohikohi ana i roto i tō cartilage i te roa o te wā. Ko te nuinga o te whakatipuranga nei e pā ana ki te koroheketanga, i te mea ka huri te kaha o tō tinana ki te whakahaere i te kāratiuma i te wā e koroheke ana koe.

He maha ngā take ka āwhina ki te hanganga o te konganuku i roto i ō hononga:

• Te koroheketanga (ko te nuinga i ngā tāngata neke atu i te 60 tau)
• Ngā whara o mua o te hononga, ngā pokanga rānei
• Ngā take ira e rere ana i roto i ngā whānau
• Ngā āhuatanga hauora motuhake penei i te mate huka, ngā mate thyroid rānei
• Hemochromatosis (nui rawa te rino i roto i te tinana)
• Hyperparathyroidism (ngā whekau parathyroid e mahi nui ana)
• Te iti o te taumata magnesium i roto i te toto

I roto i ngā take onge, ka taea te hono atu te pseudogout ki te mate a Wilson (te whakatipuranga o te kōpara) ngā āhuatanga ira motuhake rānei e pā ana ki te tukanga o ōu kohuke. I etahi wā, kaore e taea te kimi i te take taketake, ā, ka puta noa mai te āhuatanga hei wāhanga o te tukanga koroheketanga.

He aha ngā momo pseudogout?

Ko te tikanga ka puta te pseudogout i roto i ngā tauira matua e toru, he rerekē ngā āhuatanga me ngā huarahi maimoatanga mō ia. Ko te mārama ki te momo kei a koe ka āwhina i tō tākuta ki te hanga i te mahere whakahaere pai mōu.

Ko te momo koi te mea tino whakamataku, me ngā whakaeke ohorere, nui e rite ana ki ngā tohu gout tuku iho. Ka puta mai ngā āwangawanga i te tere, i te po rānei, ā, ka taea te whakamamae nui me te pupū o tō hononga mō ngā rā ki ngā wiki.

Ko te pseudogout roa e pā ana ki te mamae me te ngoikore o te hononga e noho tonu ana i waenganui i ngā whakaeke. Ka taea te pohehe tēnei momo ki te osteoarthritis, te mate pāwera rheumatoid rānei, i te mea ka puta mai te mamae tonu, ehara i ngā wāhanga motuhake.

Ko te momo kahore he tohu e whakaatu ana kei a koe ngā whakatipuranga konganuku kāratiuma i roto i tō cartilage, engari kaore e puta te mamae, te mumura rānei. He tokomaha ngā tāngata e kitea ana tēnei i te wā o ngā X-rays mō ētahi take, ā, kaore pea e puta ngā tohu.

Nōhea te haere ki te tākuta mō te pseudogout?

Me rapu awhina hauora koe ki te pāngia koe e te mamae ohorere, nui o te hononga e puta mai ana i te tere, ā, kaore e pai ake me te okioki, ngā rongoā mamae rānei e hokona ana i waho.

Kaua e tatari ki te puta mai he kirika me te mamae o te hononga, i te mea ka taea tēnei te tohu i te mate o te hononga e hiahia ana ki te maimoatanga tere. Pēnei anō, ki te kore e taea e koe te mau i te taumaha ki runga i te hononga e pā ana, te neke rānei i te noa, kua tae ki te wā ki te kite i te kaiwhakarato hauora.

Whakapa atu ki tō tākuta ki te pāngia koe e ngā wāhanga mamae hononga e puta mai ana, ahakoa ka rite pea ki te whakapai ake i a rātou ano. Ka taea e ēnei tauira te āwhina i tō tākuta ki te whakatau i te whakatau tika, te aukati rānei i ngā raruraru i muri mai.

Mō ngā tāngata kua whakatauhia te pseudogout, whakapa atu ki tō rōpū hauora ki te kaha ake ngā whakaeke, te roa atu i te noa, te whakautu rānei ki ō maimoatanga i whakaritea. Ka hiahia pea ngā huringa i tō āhuatanga ki ngā whakarerekētanga ki tō mahere whakahaere.

He aha ngā take morearea mō te pseudogout?

Ko te tau te take morearea nui rawa atu mō te whanaketanga o te pseudogout, me te nuinga o ngā take e puta ana i ngā tāngata neke atu i te 60 tau. I te wā e koroheke ana koe, ka kaha ake te kohikohi o tō cartilage i ngā konganuku kāratiuma, ka kaha ake ai ngā whakaeke.

Ko te whai i ētahi āhuatanga hauora e piki nui ana tō morearea o te whanaketanga o tēnei āhuatanga:

• Te mate huka, ngā mate metabolic rānei
• Ngā raruraru thyroid (e mahi nui ana me te kore e mahi)
• Te mate whatukuhu, ngā raruraru whatukuhu roa rānei
• Hemochromatosis (te mate morearea rino)
• Hyperparathyroidism
• Ngā whara o mua o te hononga, ngā pokanga rānei
• Te hītori whānau o te pseudogout, te chondrocalcinosis rānei

He iti ake te noa, engari he take morearea nui ngā mate a Wilson, ngā āhuatanga ira motuhake e pā ana ki te whakahaere kohuke, me te whakamahinga roa o ētahi rongoā penei i ngā diuretics. Ko te whai i ngā taumata iti o te magnesium, ngā āhuatanga autoimmune rānei ka taea te piki ake i tō ngoikore.

He mea tika te kōrero, kaore i rite ki te gout, kaore e pā te kai ki te whanaketanga o te pseudogout. Ko te āhuatanga nei e pā ana ki te tukanga o tō tinana i ngā kohuke, ehara i te mea e kai ana koe, e inu ana rānei.

He aha ngā raruraru pea o te pseudogout?

Ko te nuinga o ngā tāngata e whai ana i te pseudogout e whakahaere pai ana i tō rātou āhuatanga kahore he raruraru roa. Heoi, ka taea e ngā whakaeke e puta mai ana te whakarawe i te cartilage o ō hononga, ā, ka puta mai ai te ngoikore tonu, te iti rānei o te nekehanga.

Ko ēnei ngā raruraru matua e taea te whanake i te roa o te wā:

• Te whakarawe hononga roa me te kakahu cartilage
• Te ngoikore tonu me te iti o te nekehanga
• Te osteoarthritis tuarua i roto i ngā hononga e pā ana
• Ngā whakaeke e puta mai ana e kaha ake ana
• Te huringa hononga i roto i ngā take kino, kahore i te maimoatia
• Te uaua ki ngā mahi o ia rā na te iti o te hononga

He onge, ka taea e ngā tāngata te whanaketanga i te āhuatanga e kiia nei ko te mate crowned dens, kei reira ngā konganuku kāratiuma e hangaia ana i te taha o te tuarua vertebra i tō kaki. Ka taea tēnei te puta i te mamae nui o te kaki me te ngoikore e pohehe pea ki ētahi atu āhuatanga kino.

Ko te rongo pai, me te maimoatanga tika me te whakahaere, ka taea te aukati, te whakaiti rānei i te nuinga o ngā raruraru. Ko te whakatau tere me te tiaki tika e whakaiti nui ana i tō morearea o ngā raruraru hononga roa.

Me pēhea te aukati i te pseudogout?

Ahakoa kaore e taea e koe te aukati katoa i te pseudogout, ina koa ki te pā ana ki te koroheketanga, te ira rānei, ka taea e koe te mahi i ngā mahi hei whakaiti i tō morearea o ngā whakaeke, te whakaheke rānei i te hanganga o te konganuku i roto i ō hononga.

Ko te whakahaere i ngā āhuatanga hauora taketake he mea nui mō te aukati. Ko te pupuri i tō mate huka, ngā mate thyroid, ngā raruraru whatukuhu rānei e whakahaeretia ana e taea te āwhina ki te whakaiti i tō morearea o te whanaketanga o ngā whakatipuranga konganuku kāratiuma.

Ko te noho mahi tinana e āwhina ana ki te pupuri i te hauora hononga me te ngawari. Ka taea e ngā mahi iti-pānga penei i te kauhoe, te hikoi, te yoga ngawari rānei te pupuri i ō hononga e neke ana kahore he whakawhiu nui ki a rātou.

Ko te mahi tahi me tō tākuta ki te tirotiro me te maimoatanga i ngā koretake kohuke, ina koa ngā taumata iti o te magnesium, ka taea hoki te tiaki. Ko ngā tirotiro noa e tuku ana i te kitenga tere me te whakahaere i ngā āhuatanga e āwhina pea ana ki te whanaketanga o te pseudogout.

Me pēhea te whakatau i te pseudogout?

Ko te whakatau i te pseudogout e pā ana ki ngā mahi maha, e tīmata ana me tō tākuta e tirotiro ana i te hononga e pā ana, e ui ana ki ō tohu. Ka hiahia rātou ki te mohio ki te tere o te puta mai o te mamae, ngā hononga e pā ana, me te whai koe i ngā wāhanga rite i mua.

Ko ngā X-rays te taputapu whakatau tuatahi e whakamahia ana, i te mea ka taea e rātou te whakaatu i ngā whakatipuranga kāratiuma i roto i tō cartilage e kiia nei ko te chondrocalcinosis. Ka puta mai ēnei whakatipuranga hei raina ma, ngā tohu rānei i runga i te X-ray, ā, he tohu matua tēnei o te āhuatanga.

Ki te pāngia koe e te whakaeke mahi, ka taea e tō tākuta te mahi i te hononga aspiration, kei reira rātou e whakamahi ana i te ngira iti hei tango i te wai mai i te hononga pupū. Katahi ka tirotirohia tēnei wai i raro i te microscope hei rapu i ngā konganuku kāratiuma motuhake e puta ai te pseudogout.

Ko ngā whakamātautau toto e āwhina ana ki te whakakore i ētahi atu āhuatanga penei i te gout, te mate pāwera rheumatoid, ngā mate rānei. Ka tirotiro pea hoki tō tākuta mō ngā āhuatanga taketake e āwhina pea ana ki te hanganga o te konganuku, penei i te mate huka, ngā raruraru thyroid rānei.

I etahi wā, ka taea te whakamahi i te whakaahua matatau penei i te ultrasound, te MRI rānei hei whiwhi i te whakaahua marama ake o ngā hanganga hononga me ngā whakatipuranga konganuku, ina koa ki te kore te whakatau i te marama mai i ngā whakamātautau tuatahi.

He aha te maimoatanga mō te pseudogout?

Ko te maimoatanga mō te pseudogout e aro ana ki te whakahaere i te mamae me te mumura i te wā o ngā whakaeke, te aukati rānei i ngā wāhanga i muri mai. Ka rerekē te huarahi e whakawhirinaki ana ki te whakahaere koe i te whakaeke koi, te ngana rānei ki te aukati i te puta mai anō.

I te wā o te whakaeke mahi, ko ngā rongoā anti-mumura te raina tuatahi o te maimoatanga. Ka tūtohutia pea e tō tākuta ngā NSAIDs penei i te ibuprofen, te naproxen rānei hei whakaiti i te mamae me te pupū, ahakoa me whakamahi tika ēnei ki te whai koe i ngā raruraru whatukuhu, puku rānei.

Mō ngā whakaeke kino, te kore rānei o ngā NSAIDs e tika ana, ka tūtohutia pea e tō tākuta te colchicine, ko te rongoā ano e whakamahia ana mō te gout. Ka tino whai hua tēnei ki te whakaiti i te mumura e puta mai ana i ngā whakatipuranga konganuku i roto i ō hononga.

I roto i ngā take kaore ngā rongoā waha e mahi ana, te kore rānei e tika ana, ka taea e ngā whakauru corticosteroid tika ki te hononga e pā ana te tuku i te whakaora tere. He tino whai hua ēnei whakauru mō ngā tāngata kaore e taea te tango i ētahi atu rongoā anti-mumura.

Mō ngā take roa, ngā whakaeke auau rānei, ka tūtohutia pea e tō tākuta te colchicine iti hei whakamaramatanga. Ka taea tēnei te āwhina ki te whakaiti i te auau me te kino o ngā whakaeke i muri mai ina tangohia tonutia.

Me pēhea te whakahaere i te pseudogout i te kāinga?

Ko te whakahaere i te pseudogout i te kāinga e pā ana ki te tiaki tere i te wā o ngā whakaeke, ngā rautaki roa rānei hei aukati i ngā wāhanga i muri mai. He mea nui te okioki i te wā o te whakaeke, na reira kaua e whakawhiu i te taumaha, te whakawhiu rānei ki te hononga e pā ana.

Ko te whakamahi i te hukapaka ki te hononga pupū mō ngā meneti 15-20 i ngā wā maha i te rā ka taea te āwhina ki te whakaiti i te mumura me te whakamamae i te mamae. Takai te hukapaka ki te tauera hei tiaki i tō kiri, ā, kaua e whakamahi tika ki te hononga.

Ko ēnei ngā rautaki whakahaere kāinga whai hua:

• Okioki i te hononga e pā ana, ā, kaua e mahi i ngā mahi e kaha ake ai te mamae
• Whakaarahia te hononga ki te taea hei whakaiti i te pupū
• Whakamahia ngā putea hukapaka mō ngā wā poto i te rā
• Tangohia ngā rongoā i whakaritea tika i te aronga
• Noho makuku hei āwhina i tō tinana ki te tukatuka i ngā rongoā
• Whakamahia ngā mahi nekehanga ngawari i te wā ka mutu te mamae koi

I waenganui i ngā whakaeke, ko te pupuri i te mahi whakakori tinana noa e āwhina ana ki te pupuri i ō hononga ngawari me te kaha. Aro atu ki ngā mahi iti-pānga kaore e whakawhiu i ō hononga, ā, whakapakari haere i ngā taumata mahi i te wā e manawanui ana.

Pupuri i te puka tohu hei kimi i ngā take pea mō ō whakaeke. Ka taea te whai hua tēnei mōhiohio mō tō rōpū hauora ki te whakarite i tō mahere maimoatanga me te kimi i ngā tauira i tō āhuatanga.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, tuhia katoa ō tohu, tae atu ki te wā i tīmata ai, ngā hononga e pā ana, me te nui o te mamae i runga i te pānga 1 ki te 10. Ka āwhina tēnei mōhiohio i tō tākuta ki te mārama ki te tauira o tō āhuatanga.

Kawe mai i te rārangi katoa o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā e hokona ana i waho, ngā taapiri, ngā rongoā otaota rānei. Ka taea e ētahi rongoā te mahi tahi me ngā maimoatanga pseudogout, na reira he mea nui tēnei mōhiohio mō te tiaki haumaru.

Whakaritea he rārangi o ngā pātai hei ui ki tō tākuta:

• He aha te take o te mamae me te pupū o taku hononga?
• He aha ngā whakamātautau e hiahia ana ahau ki te whakau i te whakatau?
• He aha ngā whiringa maimoatanga kei te wātea mō taku āhuatanga?
• Me pēhea e taea ai e au te aukati i ngā whakaeke i muri mai?
• He mahi kei te hiahia ahau ki te karo?
• Nōhea me whakapa atu ahau ki a koe mō ngā tohu e kino ake ana?

Ki te taea, kawe mai i te mema whānau, te hoa rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerotia i te wā o te hui. Whakaarohia te tuhi i ngā tuhinga, te ui rānei mēnā ka taea e koe te tuhi i te kōrero mō te tohutoro i muri mai.

Kaua e whakaroa ki te ui mō te marama ki te kore koe e mārama ki tetahi mea. E hiahia ana tō tākuta ki te āwhina i a koe ki te whakahaere i tō āhuatanga, ā, he mea nui te kōrero marama mō ngā hua pai rawa atu.

He aha te tango matua mō te pseudogout?

Ko te pseudogout tētahi āhuatanga e taea te whakahaere, ahakoa he mamae i te wā o ngā whakaeke, kaore e hiahia ki te pā nui ki tō kounga ora me te maimoatanga tika me te tiaki.

Ko te matua ko te mahi tahi me tō rōpū hauora ki te whakawhanake i te mahere whakahaere whai hua e rite ana ki tō āhuatanga motuhake. Ko te whakatau tere me te maimoatanga tika ka taea te aukati i te nuinga o ngā raruraru, ā, ka āwhina i a koe ki te pupuri i te mahi hononga pai. He tokomaha ngā tāngata e whai ana i te pseudogout e ora ana i te ora mahi, e whakaoti ana i te ako ki te mohio ki ō rātou take, te whakahaere rānei i ngā whakaeke i te tere.

Kia mahara he rerekē tēnei āhuatanga i te gout noa, ā, e hiahia ana ki te huarahi motuhake ki te maimoatanga. Me te whakakotahitanga tika o ngā rongoā, ngā whakarerekētanga noho, ngā rautaki tiaki kāinga rānei, ka taea e koe te whakaiti i te pā o te pseudogout ki ō mahi o ia rā.

Noho hono tonu ki tō kaiwhakarato hauora, ina koa ki te huri, te kino ake rānei ō tohu. Ka hiahia pea tō mahere maimoatanga ki ngā whakarerekētanga i te roa o te wā, ā, ko te hononga tonu e whakarite ana kei te whiwhi koe i te tiaki pai rawa atu.

Ngā pātai e ui pinepinetia ana mō te pseudogout

He rite te pseudogout ki te gout noa?

Kāo, he rerekē ngā āhuatanga o te pseudogout me te gout noa e puta mai ana i ngā momo konganuku rerekē. Ko te gout e puta mai ana i ngā konganuku waikawa uric, ā, ko te tikanga ka pā ki te maihao nui, i te mea ko te pseudogout e puta mai ana i ngā konganuku kāratiuma, ā, ko te nuinga ka pā ki ngā turi. He rerekē hoki ngā maimoatanga mō ia āhuatanga, ahakoa ka taea te whakamahi i ētahi rongoā penei i te colchicine mō ngā mea e rua.

Ka taea e ngā whakarerekētanga kai te āwhina ki te aukati i ngā whakaeke pseudogout?

Kāo, kaore te pseudogout e pā ana ki te kai, i te mea e puta mai ana i ngā whakatipuranga konganuku kāratiuma, ehara i te whakatipuranga waikawa uric. Heoi, ko te pupuri i te kai hauora me te noho makuku ka taea te tautoko i te hauora hononga whānui, ā, ka āwhina i tō tinana ki te tukatuka i ngā rongoā nui atu. Aro atu ki te whakahaere i ngā āhuatanga hauora taketake e āwhina pea ana ki te hanganga o te konganuku.

E pehea te roa o ngā whakaeke pseudogout e noho ana?

Ko te tikanga ka roa ngā whakaeke pseudogout mai i ngā rā torutoru ki ngā wiki maha. Ka taea te rerekē te roa e whakawhirinaki ana ki ngā take penei i te tere o tō tīmatanga maimoatanga, te kino o te whakatipuranga konganuku, me tō hauora whānui. Me te maimoatanga tere me ngā rongoā anti-mumura, he tokomaha ngā tāngata e kite ana i te whakapai ake o ō rātou tohu i roto i ngā rā torutoru ki te wiki.

Ka taea e te pseudogout te puta i te whakarawe hononga tonu?

Ahakoa ka taea e te pseudogout te puta i te whakarawe hononga ki te kore e maimoatia i ngā tau maha, ko te nuinga o ngā tāngata e whiwhi ana i te maimoatanga tika kaore e whanake i ngā raruraru kino. Ka taea e ngā whakaeke e puta mai ana te whakarawe i te cartilage i te wa roa, engari ko tēnei tukanga te nuinga he ngāwari, ā, ka taea te aukati me te whakahaere tika. Ko te whakatau tere me te maimoatanga e whakaiti nui ana i te morearea o ngā raruraru hononga tonu.

Me hiahia ahau ki te pokanga mō te pseudogout?

He onge te hiahiatia o te pokanga mō te pseudogout, ā, ko te tikanga ka whakaarohia anake i roto i ngā take kino kei reira te whakarawe hononga nui, te kore rānei o ētahi atu maimoatanga e whai hua ana. Ko te nuinga o ngā tāngata e whakahaere pai ana i tō rātou āhuatanga me ngā rongoā me ngā whakarerekētanga noho. Ki te tūtohutia te pokanga, ko te tikanga ka whakatika i te cartilage kino rawa atu, te whakakapi rānei i te hononga kua pā kinotia e ngā whakatipuranga konganuku e puta mai ana.