Pseudogout ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Pseudogout ni ubwoko bw'indwara y'amagufwa iterwa n'amabuye y'umunyu wa calcium aterana mu gice cy'umugongo w'umubiri, bikaba bigatera ububabare butunguranye kandi bukomeye. Izina ryayo rikomoka ku kuba ibimenyetso byayo bisa cyane n'iby'indwara ya gout, ariko iterwa n'amabuye atandukanye kandi ikagira ingaruka ku maguru atandukanye.

Iyi ndwara ikunda kwibasira amaguru, amaboko, n'ibirenge, ikaba itera ububabare bukomeye mu maguru bushobora kumara iminsi cyangwa ibyumweru. Nubwo bishobora gutera ubwoba, pseudogout irashobora kuvurwa neza, kandi abantu benshi babasha kubaho neza iyo bamenye uko bakwitwara mu gihe cy'ububabare.

Ibimenyetso bya pseudogout ni ibihe?

Ikimenyetso nyamukuru cya pseudogout ni ububabare bukomeye kandi butunguranye mu maguru buza bidateguwe. Ushobora kubyuka umunsi umwe ubonye ko ukuguru kwawe kubabaza cyane kandi kwifubika ku buryo udashobora kugenda.

Dore ibimenyetso by'ingenzi ushobora kugira mu gihe cy'ububabare bwa pseudogout:

• Ububabare bukomeye mu maguru bugera ku rwego rwo hejuru mu masaha make
• Kwifubika cyane mu gice cy'umubiri cyibasiwe
• Ubushyuhe n'umutuku mu gice cy'umubiri cyibasiwe
• Gukakara bituma bigoye kugenda
• Kubabara iyo ukoze kuri icyo gice
• Kudakora neza kw'umubiri mu gice cy'umubiri cyibasiwe

Ububabare busanzwe bugira ingaruka ku gice kimwe cy'umubiri, cyane cyane ukuguru. Ariko kandi, bushobora kwibasira amaboko, ibirenge, amavi, cyangwa ibitugu. Ibi bibazo bishobora kumara kuva ku minsi mike kugeza ku byumweru byinshi mbere yuko bigenda buhoro buhoro.

Hagati y'ibibazo, ushobora kumva umeze neza, ariyo mpamvu pseudogout ishobora gutera urujijo mu ntangiriro. Bamwe mu bantu bagira kandi ubwoko bw'iyi ndwara buhoraho aho amaguru ahora ababara kandi akakara, nubwo ibi bidafata benshi ugereranyije n'ubwoko bw'ububabare butunguranye.

Impamvu za pseudogout ni izihe?

Pseudogout iterwa n'amabuye ya calcium pyrophosphate dihydrate aterana mu gice cy'umugongo w'umubiri. Aya mabuye ashobora gutandukana agakurura ububabare bukomeye, kimwe n'uko igiti kinini mu ruhu rutera kubabara no kwifubika.

Iterana ry'aya mabuye riba kubera igikorwa cyitwa chondrocalcinosis, aho calcium iterana mu gice cy'umugongo w'umubiri mu gihe kinini. Iyi iterana ikunze kubaho kubera gusaza, kuko ubushobozi bw'umubiri bwo gucunga calcium buhinduka uko umuntu asaza.

Ibintu byinshi bishobora gutera iterana ry'amabuye mu maguru:

• Gusaza (bikunze kugaragara mu bantu barengeje imyaka 60)
• Imvune z'amaguru cyangwa ibyago byabayeho mbere
• Ibintu by'umurage bikomoka mu muryango
• Indwara zimwe na zimwe nka diyabete cyangwa ibibazo by'umwijima
• Hemochromatosis (umubare munini w'ibyuma mu mubiri)
• Hyperparathyroidism (gukora cyane kwa parathyroid glands)
• Kugira umunyu muke wa magnesium mu maraso

Mu bihe bitoroshye, pseudogout ishobora guhuzwa na Wilson's disease (iterana ry'umuringa) cyangwa ibibazo by'umurage bimwe na bimwe bigira ingaruka ku buryo umubiri utunganya imyunyu y'ubutaka. Rimwe na rimwe, nta mpamvu ishingiyeho ishobora kugaragara, kandi iyi ndwara itera gusa nk'igice cyo gusaza.

Uduce twa pseudogout ni izihe?

Pseudogout isanzwe ikunda kugaragara mu buryo butatu nyamukuru, buri bwoko bufite ibimenyetso n'uburyo bwo kuvura bitandukanye. Gusobanukirwa ubwoko ufite bifasha muganga wawe gutegura gahunda nziza yo kukuvura.

Uburyo bukabije ni bwo bukomeye cyane, bufite ibibazo bikomeye kandi bitunguranye bisa n'ibimenyetso bya gout. Ibi bibazo biva vuba, akenshi nijoro, kandi bishobora gutera ububabare bukomeye mu maguru no kwifubika iminsi cyangwa ibyumweru.

Pseudogout ihoraho ivuga ububabare n'ubukakara mu maguru buhoraho hagati y'ibibazo. Ubu bwoko bushobora kwitiranywa na osteoarthritis cyangwa rheumatoid arthritis, kuko butera ububabare buhoraho aho kuba ibibazo byihariye.

Uburyo budafite ibimenyetso bivuga ko ufite amabuye ya calcium mu gice cy'umugongo w'umubiri, ariko ntabwo atera ububabare cyangwa kwifubika. Abantu benshi babimenya mu buryo butunguranye mu bipimo by'ama rayons X kubera izindi mpamvu kandi bashobora kutazigera bagira ibimenyetso.

Ni ryari ukwiye kujya kwa muganga kubera pseudogout?

Ukwiye gushaka ubufasha bw'abaganga niba ufite ububabare bukomeye kandi butunguranye mu maguru buza vuba kandi budakira n'ikiruhuko cyangwa imiti yo kugabanya ububabare ugura udafite resept. Ibi ni ingenzi cyane niba icyo gice cy'umubiri cyifubitse, kikaba cyatukura, cyangwa kikaba gishyushye.

Ntugatege amatwi niba ufite umuriro hamwe n'ububabare mu maguru, kuko bishobora kugaragaza ubwandu bw'amagufwa bukenera kuvurwa vuba. Kimwe n'ibyo, niba udashobora gushyira umubare ku gice cy'umubiri cyibasiwe cyangwa ukagikora neza, igihe kirageze cyo kubona umuganga.

Hamagara muganga wawe niba ufite ibibazo by'ububabare mu maguru bisubira, nubwo bisa nkaho bikira ubwabyo. Ibi bimenyetso bishobora gufasha muganga wawe gupima neza no gukumira ingaruka mbi mu gihe kizaza.

Ku bantu basanzwe bafite pseudogout, shaka ubufasha bw'itsinda ry'ubuvuzi niba ibibazo bikomeza kuba byinshi, bikamara igihe kirekire ugereranyije, cyangwa ntibikire imiti yanyu. Impinduka mu ndwara yawe zishobora gusaba impinduka mu buryo bwo kukuvura.

Ibyago byo kurwara pseudogout ni ibihe?

Imyaka niyo kintu gikomeye cyane cyatera pseudogout, aho abenshi barwara iyo ndwara barengeje imyaka 60. Uko usaza, umugongo w'umubiri wawe uba ufite amahirwe menshi yo guterana amabuye ya calcium, bituma ibibazo byinshi bibaho.

Kugira ibibazo bimwe na bimwe by'ubuzima byongera cyane ibyago byo kurwara iyi ndwara:

• Diyabete cyangwa ibibazo byo guhindura imyunyu y'ubutaka
• Ibibazo by'umwijima (ibikorwa byinshi n'ibicye)
• Ibibazo by'impyiko cyangwa ibibazo by'impyiko bya hato na hato
• Hemochromatosis (indwara yo kugira ibyuma byinshi)
• Hyperparathyroidism
• Imvune z'amaguru cyangwa ibyago byabayeho mbere
• Amateka y'umuryango wa pseudogout cyangwa chondrocalcinosis

Ibyago bitoroshye ariko bikomeye birimo Wilson's disease, ibibazo bimwe na bimwe by'umurage bigira ingaruka ku buryo umubiri utunganya imyunyu y'ubutaka, no gukoresha imiti imwe na imwe igihe kirekire nka diuretics. Kugira umunyu muke wa magnesium cyangwa ibibazo bimwe na bimwe by'ubudahangarwa bishobora kandi kongera ibyago byawe.

Birakwiye kumenya ko bitandukanye na gout, indyo yawe isanzwe ntabwo igira ingaruka ku iterambere rya pseudogout. Iyi ndwara ihujwe cyane n'uburyo umubiri wawe utunganya imyunyu y'ubutaka aho kuba ibyo urya cyangwa ukunywa.

Ingaruka zishoboka za pseudogout ni izihe?

Abantu benshi barwara pseudogout bayivura neza nta kibazo gikomeye cy'igihe kirekire. Ariko kandi, ibibazo bisubira bishobora gahoro gahoro kwangiza umugongo w'umubiri kandi bigatera ubukakara buhoraho cyangwa kudakora neza kw'umubiri.

Dore ingaruka nyamukuru zishobora kubaho mu gihe kinini:

• Kwibasira umugongo w'umubiri n'umwenda wa cartilage
• Ubukakara buhoraho no kudakora neza kw'umubiri
• Osteoarthritis y'amagufwa mu maguru yibasiwe
• Ibibazo bisubira bikomeza kuba byinshi
• Guhinduka kw'amagufwa mu bihe bikomeye kandi bitavuwe
• Kugira ikibazo mu bikorwa bya buri munsi kubera kudakora neza kw'amagufwa

Gake, abantu bashobora kurwara indwara yitwa crowned dens syndrome, aho amabuye ya calcium aterana hafi y'umugongo wa kabiri mu ijosi. Ibi bishobora gutera ububabare bukomeye mu ijosi n'ubukakara bishobora kwitiranywa n'izindi ndwara zikomeye.

Inkuru nziza ni uko, kuvurwa neza no kuyicunga neza, ingaruka nyinshi zishobora kwirindwa cyangwa kugabanywa. Gupima hakiri kare no kuvurwa neza bigabanya cyane ibyago byo kugira ibibazo by'amagufwa mu gihe kirekire.

Pseudogout ishobora kwirindwa gute?

Nubwo udashobora kwirinda burundu pseudogout, cyane cyane niba ihujwe no gusaza cyangwa umurage, ushobora gufata ingamba zo kugabanya ibyago byo kugira ibibazo no kugabanya iterana ry'amabuye mu maguru.

Kuvura neza ibibazo by'ubuzima ni ingenzi mu kwirinda. Kugira diyabete, ibibazo by'umwijima, cyangwa ibibazo by'impyiko byagenzurwa neza bishobora kugabanya ibyago byo kugira amabuye ya calcium.

Gukora imyitozo ngororamubiri bifasha kubungabunga ubuzima bw'amagufwa n'ubushobozi bwo kugenda. Imikino itoroshya umubiri nko koga, kugenda, cyangwa yoga yoroshye ishobora gutuma amaguru yawe akora neza nta gukomeretsa cyane.

Gukorana na muganga wawe kugira ngo ugenzure kandi uvure ibibazo by'imyunyu y'ubutaka, cyane cyane umunyu muke wa magnesium, bishobora kandi kurinda. Gusuzuma buri gihe bituma hamenyekana hakiri kare kandi hafatwa ingamba ku bibazo bishobora gutera pseudogout.

Pseudogout imenyeshwa gute?

Kumenya pseudogout bisaba intambwe nyinshi, bitangirira ku muganga wawe akugenzura icyo gice cy'umubiri kandi akabaza ibimenyetso byawe. Azashaka kumenya uburyo ububabare bwatangiye, amaguru yibasiwe, niba wari waragize ibibazo nk'ibyo mbere.

Ama rayons X akenshi niyo ntambwe ya mbere yo gupima, kuko ashobora kugaragaza amabuye ya calcium mu gice cy'umugongo w'umubiri yitwa chondrocalcinosis. Aya mabuye agaragara nk'imirongo cyangwa ibice byera mu bipimo bya rayons X kandi ni ikimenyetso cy'ingenzi cy'iyi ndwara.

Niba ufite ikibazo gikomeye, muganga wawe ashobora gukuramo amazi mu gice cy'umubiri cyifubitse. Aya mazi nyuma azasuzumwa munsi ya mikoroskopi kugira ngo harebwe amabuye ya calcium atera pseudogout.

Ibisuzumwa by'amaraso bifasha gukuraho izindi ndwara nka gout, rheumatoid arthritis, cyangwa ubwandu. Muganga wawe ashobora kandi kureba ibibazo by'ubuzima bishobora gutera iterana ry'amabuye, nka diyabete cyangwa ibibazo by'umwijima.

Mu bihe bimwe na bimwe, gusuzuma ibintu by'umubiri neza nka ultrasound cyangwa MRI bishobora gukoreshwa kugira ngo hamenyekane neza imiterere y'amagufwa n'amabuye, cyane cyane niba ibizamini bya mbere bitagaragaje neza.

Uko pseudogout ivurwa

Kuvura pseudogout byibanda ku kugabanya ububabare n'ububabare mu gihe cy'ibibazo no gukumira ibibazo by'igihe kizaza. Uburyo bwo kuvura butandukanye bitewe n'uko uhanganye n'ikibazo cyangwa ugerageza gukumira gusubira.

Mu gihe cy'ikibazo gikomeye, imiti igabanya ububabare n'ububabare niyo ntambwe ya mbere yo kuvura. Muganga wawe ashobora kugutegurira imiti igabanya ububabare nka ibuprofen cyangwa naproxen kugira ngo agabanye ububabare n'ububabare, nubwo iyi miti igomba gukoreshwa neza niba ufite ibibazo by'impyiko cyangwa igifu.

Ku bibazo bikomeye cyangwa iyo imiti igabanya ububabare idakwiriye, muganga wawe ashobora kugutegurira colchicine, imiti ikoreshwa mu kuvura gout. Iyi miti ishobora kugabanya ububabare buterwa n'amabuye mu maguru.

Mu bihe imiti ifatwa mu kanwa idakora cyangwa idakwiriye, gutera imiti ya corticosteroid mu gice cy'umubiri cyibasiwe bishobora gutera impinduka vuba. Iyi miti ikoreshwa cyane ku bantu badashobora gufata indi miti igabanya ububabare.

Ku bibazo bya hato na hato cyangwa ibibazo bisubira, muganga wawe ashobora kugutegurira colchicine nkeya nk'uburyo bwo kwirinda. Ibi bishobora kugabanya umubare n'uburemere bw'ibibazo by'igihe kizaza iyo bifatwa buri gihe.

Uko wakwitwara mu rugo mu gihe ufite pseudogout

Kwitwara mu rugo mu gihe ufite pseudogout bivuga kwita vuba mu gihe cy'ibibazo n'ingamba zo gukumira ibibazo by'igihe kizaza. Kuruhuka ni ingenzi mu gihe cy'ikibazo, rero wirinde gushyira umubare cyangwa umuvuduko ku gice cy'umubiri cyibasiwe.

Gushyira igikombe cy'amazi akonje ku gice cy'umubiri cyifubitse iminota 15-20 incuro nyinshi ku munsi bishobora kugabanya ububabare no kubabara. Funga igikombe cy'amazi akonje mu mwenda kugira ngo urinde uruhu rwawe, kandi ntukishyire ku gice cy'umubiri cyibasiwe.

Dore ingamba zo kwicunga mu rugo:

• Ruhuka icyo gice cy'umubiri cyibasiwe kandi wirinde ibikorwa byongera ububabare
• Shyira icyo gice cy'umubiri hejuru aho bishoboka kugira ngo ugabanye kwifubika
• Shyiraho igikombe cy'amazi akonje mu gihe gito umunsi wose
• Fata imiti yateguwe nk'uko byategetswe
• Nywa amazi menshi kugira ngo umubiri wawe utunganye imiti
• Kora imyitozo ngororamubiri yoroshye iyo ububabare bukabije bucika

Hagati y'ibibazo, kugira gahunda yo gukora imyitozo ngororamubiri buri gihe bifasha kubungabunga ubushobozi bw'amagufwa n'imbaraga. Ibaze ku mikino itoroshya umubiri idakomeretsa amaguru, kandi buhoro buhoro wongere ibikorwa uko bishoboka.

Andika ibimenyetso byawe kugira ngo umenye ibitera ibibazo byawe. Aya makuru ashobora gufasha itsinda ryawe ry'ubuvuzi mu guhindura gahunda yawe yo kuvura no kumenya imiterere y'indwara yawe.

Uko wakwitegura gusura muganga

Mbere yo kujya kwa muganga, andika ibimenyetso byawe byose, harimo igihe byatangiye, amaguru yibasiwe, n'uburemere bw'ububabare kuri urwego rwa 1 kugeza kuri 10. Aya makuru afasha muganga wawe gusobanukirwa imiterere y'indwara yawe.

Zana urutonde rwuzuye rw'imiti yose ufata, harimo imiti ugura udafite resept, imiti y'inyongera, n'imiti y'ibimera. Imiti imwe na imwe ishobora kugira ingaruka ku miti ya pseudogout, bityo aya makuru ni ingenzi kugira ngo ubone ubuvuzi buzeye.

Tegura urutonde rw'ibibazo ugomba kubaza muganga wawe:

• Ni iki gitera ububabare n'ububabare mu maguru yanjye?
• Ni ibihe bipimo nkenera kugira ngo hamenyekane neza?
• Ni ubuhe buryo bwo kuvura buhari kuri njye?
• Nakwirinda gute ibibazo by'igihe kizaza?
• Hari ibikorwa nakwirinda?
• Ni ryari nakwiye guhamagara muganga wanjye niba ibimenyetso byanjye bikomeye?

Niba bishoboka, zana umuntu wo mu muryango wawe cyangwa inshuti kugira ngo aguhe inkunga mu kwibuka amakuru yavuzwe mu gihe cy'isura. Tekereza kwandika cyangwa kubaza niba ushobora gufata amajwi kugira ngo ubashe kubisubiramo nyuma.

Ntukabe ikibazo niba utasobanukiwe ikintu. Muganga wawe arashaka kugufasha gucunga indwara yawe neza, kandi gutumanaho neza ni ingenzi kugira ngo ubone umusaruro mwiza.

Icyo ukwiye kumenya kuri pseudogout

Pseudogout ni indwara ishobora kuvurwa, kandi nubwo itera ububabare mu gihe cy'ibibazo, ntabwo igomba kugira ingaruka ku mibereho yawe niba uvuwe neza kandi ukagira ubuvuzi buhagije. Ikintu nyamukuru ni ugukorana n'itsinda ryawe ry'ubuvuzi kugira ngo mugire gahunda yo kukuvura ibereye uko uhagaze.

Gupima hakiri kare no kuvurwa neza bishobora kwirinda ingaruka nyinshi kandi bigufasha kubungabunga ubuzima bw'amagufwa. Abantu benshi barwara pseudogout babaho neza, bagira ubuzima bwiza bamenye ibitera ibibazo byabo kandi bagacunga ibibazo vuba.

Wibuke ko iyi ndwara itandukanye na gout isanzwe kandi isaba uburyo bwihariye bwo kuvura. Hamwe n'imiti ikwiye, guhindura imibereho, n'ingamba zo kwicunga mu rugo, ushobora kugabanya ingaruka za pseudogout ku bikorwa byawe bya buri munsi.

Komeza kuvugana na muganga wawe, cyane cyane niba ibimenyetso byawe bihinduka cyangwa bikomeza. Gahunda yawe yo kuvura ishobora gusaba impinduka mu gihe kinini, kandi kuvugana buri gihe bihamya ko uboneye ubuvuzi buhagije.

Ibibazo byakunda kubaho kuri pseudogout

Pseudogout isa na gout isanzwe?

Oya, pseudogout na gout isanzwe ni indwara zitandukanye ziterwa n'amabuye atandukanye. Gout iterwa n'amabuye ya acide urique kandi ikunda kwibasira igikumwe kinini, naho pseudogout iterwa n'amabuye ya calcium kandi ikunda kwibasira amaguru. Uburyo bwo kuvura buri ndwara butandukanye, nubwo imiti imwe nka colchicine ishobora gukoreshwa mu kuvura zombi.

Guhindura indyo bishobora gufasha kwirinda ibibazo bya pseudogout?

Bitandukanye na gout, pseudogout isanzwe ntabwo igira ingaruka ku mirire kuko iterwa n'amabuye ya calcium aho kuba acide urique. Ariko kandi, kugira indyo nzima no kunywa amazi menshi bishobora gufasha ubuzima bw'amagufwa no gufasha umubiri wawe gukoresha imiti neza. Ibaze ku kuvura ibibazo by'ubuzima bishobora gutera iterana ry'amabuye.

Ibibazo bya pseudogout bisanzwe bimara igihe kingana iki?

Ibibazo bya pseudogout bisanzwe bimara kuva ku minsi mike kugeza ku byumweru byinshi. Igihe gishobora guhinduka bitewe n'ibintu nko gutangira kuvurwa vuba, uburemere bw'amabuye, n'ubuzima bwawe muri rusange. Hamwe no kuvurwa vuba hakoreshejwe imiti igabanya ububabare, abantu benshi basanga ibimenyetso byabo bigenda mu minsi mike cyangwa icyumweru kimwe.

Pseudogout ishobora kwangiza amaguru burundu?

Nubwo pseudogout ishobora kwangiza amaguru niba idavuwe mu myaka myinshi, abantu benshi bavurwa neza ntabwo bagira ibibazo bikomeye. Ibibazo bisubira kandi bikomeye bishobora gahoro gahoro kwangiza umugongo w'umubiri, ariko uyu muvuduko usanzwe aba buhoro kandi ushobora kwirindwa hakoreshejwe ubuvuzi buhagije. Gupima hakiri kare no kuvurwa neza bigabanya cyane ibyago byo kugira ibibazo by'amagufwa bya hato na hato.

Nzakenera kubagwa kubera pseudogout?

Kubagwa ntabwo bikunda kuba ngombwa kuri pseudogout kandi bisanzwe batekerezaho mu bihe bikomeye aho kwangiza amaguru ari byinshi cyangwa iyo indi miti idakora. Abantu benshi bacunga indwara yabo neza hakoreshejwe imiti no guhindura imibereho. Niba kubagwa byigeze kugirwa inama, bisanzwe byaba ari ukosora umugongo w'umubiri wangiritse cyangwa gusimbuza igice cy'umubiri cyangiritse cyane n'amabuye.