Iyini i-Pseudogout? Izimpawu, Izimbangela, & Ukwelashwa

I-Pseudogout uhlobo lwe-arthritis oluvela lapho ama-crystals e-calcium eqoqa e-cartilage yakho yomthambo futhi abangele ukuqhuma okuhlungu okungazelelwe. Ithola igama layo ngoba izimpawu zibukeka zifana ne-gout, kodwa ibangelwa ama-crystals ahlukile futhi ithonya ama-joints ahlukile.

Leli simo sivame ukubamba amadolo, izandla, nezinyawo, lidala iziqephu zobuhlungu obukhulu bomthambo obungagcina izinsuku noma amasonto. Nakuba kungase kuzwakale kukhathaza, i-pseudogout ilawuleka ngokwelashwa okufanele, futhi abantu abaningi baphila ngokunethezeka uma beqonda ukuthi bangayiphatha kanjani lezi ziqephu.

Ziyini izimpawu ze-pseudogout?

Isici esiyinhloko se-pseudogout ubuhlungu bomthambo obukhulu obuvela ngokuzumayo ngaphandle kokuxwayisa. Ungase uvuke ekuseni unedolo elibuhlungu kakhulu futhi liqabukile kangangokuba awukwazi ukuhamba ngalo.

Nazi izimpawu eziyinhloko ongazihlangabezana nazo ngesikhathi sokuhlaselwa kwe-pseudogout:

• Ubuhlungu bomthambo obukhulu obufinyelela epeak ngaphakathi kwamahora ambalwa
• Ukuqabuka okukhulu komthambo othonyeke
• Ukushisa nokuqabuka eduze komthambo
• Ukuqina okwenza kube nzima ukuhamba
• Ubuhlungu lapho uthinta indawo
• Ukunciphisa ukunyakaza komthambo

Ubuhlungu ngokuvamile buthonya umthambo munye ngesikhathi, ikakhulukazi idolo lakho. Noma kunjalo, bungathinta nezandla, izinyawo, amahlombe, noma izihlalo. Lezi ziqephu zingagcina noma kuphi kusukela ezinsukwini ezimbalwa kuya kwamasonto ambalwa ngaphambi kokuthi zithuthuke kancane kancane.

Phakathi kweziqephu, ungase uzizwe uphelele, yingakho i-pseudogout ingase idide ngokuqala. Abanye abantu nabo bahlangabezana nefomu ehlala njalo lapho ama-joints ehlala ebuhlungu futhi eqine, nakuba lokhu kungavamile kunesibonelo sokuqhuma okuzumayo.

Yini ebangela i-pseudogout?

I-Pseudogout ivela lapho ama-crystals e-calcium pyrophosphate dihydrate eqoqa e-cartilage yakho yomthambo. La ma-crystals angaqhekeka futhi abangele ukuvuvukala okukhulu, njengendlela i-splinter esikhunjeni sakho ebangela ukuqabuka nobuhlungu.

Ukwenziwa kwama-crystals kwenzeka ngenqubo ebizwa nge-chondrocalcinosis, lapho ama-deposits e-calcium eqoqa e-cartilage yakho ngokuhamba kwesikhathi. Lokhu kuqoqwa kuvame ukuxhumene nobudala, njengoba ikhono lomzimba wakho lokulawula i-calcium lushintsha njengoba ukhula.

Izici eziningi zingase zifake isandla ekwenzeni kwama-crystals ema-joints akho:

• Ubudala obukhulu (kuvamile kubantu abadlula u-60)
• Ukulimala komthambo noma ukuhlinzwa kwangaphambili
• Izici ze-genetic ezidluliselwa emindenini
• Izimo zezokwelapha ezithile njengesi-diabetes noma izifo ze-thyroid
• I-Hemochromatosis (i-iron eningi emzimbeni)
• I-Hyperparathyroidism (ama-glands e-parathyroid asebenza kakhulu)
• Amazinga e-magnesium aphansi egazini

Kwezinye izimo ezingavamile, i-pseudogout ingaxhunyaniswa ne-Wilson's disease (ukuqoqwa kwe-copper) noma izimo ezithile ze-genetic ezithinta indlela umzimba wakho uqapha ngayo amaminerali. Ngezinye izikhathi, akukho sizathu esingaphansi esingatholakala, futhi isimo nje sivela njengengxenye yenqubo yokuguga yemvelo.

Ziyini izinhlobo ze-pseudogout?

I-Pseudogout ngokuvamile iveza izindlela ezintathu eziyinhloko, ngayinye ine-characteristics nezinqubo zokwelapha ezahlukile. Ukuqonda ukuthi yiluphi uhlobo olukhona kusiza udokotela wakho ukuba enze uhlelo oluhle kakhulu lokuphatha olufanele wena.

Ifomu ebukhali yiyona ebonakala kakhulu, ngokuqhuma okuzumayo, okukhulu okulingisa izimpawu ze-gout ezivamile. Lezi ziqephu zivela ngokushesha, ngokuvamile ebusuku, futhi zingenza umthambo wakho ube buhlungu kakhulu futhi uqabuke izinsuku kuya kwamasonto.

I-pseudogout ehlala njalo ihilela ubuhlungu bomthambo obuqhubekayo nokuqina okuqhubeka phakathi kweziqephu. Leli fomu lingase lidideke ne-osteoarthritis noma i-rheumatoid arthritis, njengoba libangela ukungakhululeki okuqhubekayo kunokuba kube yiziqephu ezicacile.

Ifomu elingenazimpawu lisho ukuthi unama-deposits e-calcium crystal e-cartilage yakho, kodwa awabangeli ubuhlungu noma ukuvuvukala. Abantu abaningi bathola lokhu ngokungaqondile ngesikhathi se-X-rays ngezizathu ezithile futhi bangase bangazweli izimpawu.

Nini kufanele ubona udokotela nge-pseudogout?

Kufanele ufuna ukunakekelwa kwezokwelapha uma uhlangabezana nobuhlungu bomthambo obukhulu obuvela ngokushesha futhi obungathuthuki ngokuphumula noma ngokunciphisa ubuhlungu bokudayisa. Lokhu kubaluleke kakhulu uma umthambo uqabuka, ubomvu, noma ufudumala uma uthintwa.

Ungalindi uma uthola ubushushu kanye nobuhlungu bomthambo, njengoba lokhu kungase kubonise ukutheleleka komthambo okudinga ukwelashwa ngokushesha. Ngokufanayo, uma ungakwazi ukuphatha isisindo esithintekile somthambo noma ukuyisusa ngokujwayelekile, sekufanele ubona umhlinzeki wezinsizakalo zezempilo.

Xhumana nodokotela wakho uma uneziqephu eziphindaphindayo zobuhlungu bomthambo, ngisho noma kubonakala sengathi ziyaphela zodwa. Lezi zibonelo zingasiza udokotela wakho ukuba enze ukuxilongwa okuchane kakhulu futhi avikele izinkinga zesikhathi esizayo.

Kwabantu abasuke besexilongwe nge-pseudogout, xhumana neqembu lakho lezempilo uma iziqephu ziqala ukuba khona njalo, zigcine isikhathi eside kunokujwayelekile, noma zingaphenduli ekwelapheni okuqokiwe. Ukushintsha esimweni sakho kungase kudinge ukulungiswa kuhlelo lwakho lokuphatha.

Ziyini izici ezingozi ze-pseudogout?

Ubudala yiyona nto eyingozi enkulu yokuthuthukisa i-pseudogout, ngezimo eziningi ezenzeka kubantu abadlula u-60. Njengoba ukhula, i-cartilage yakho iba nethuba lokuqoqa ama-crystals e-calcium, okwenza kube lula ukuqhuma.

Ukuba nezimo ezithile zezokwelapha kukhulisa kakhulu ingozi yakho yokuthuthukisa leli simo:

• I-Diabetes noma izifo zokuguqulwa kwamandla
• Izinkinga ze-Thyroid (ezisebenza kakhulu nezingasebenzi kahle)
• Isifo sezinso noma izinkinga ezihlala njalo zezinso
• I-Hemochromatosis (isifo sokuqoqwa kwe-iron)
• I-Hyperparathyroidism
• Ukulimala komthambo kwangaphambili noma ukuhlinzwa
• Umlando womndeni we-pseudogout noma i-chondrocalcinosis

Izici ezingavamile kodwa eziyinhloko ezingozi zihlanganisa i-Wilson's disease, izimo ezithile ze-genetic ezithinta ukuguqulwa kwamaminerali, nokusetshenziswa isikhathi eside kwamaqembu athile wemithi njenge-diuretics. Ukuba namazinga e-magnesium aphansi noma izimo ezithile ze-autoimmune kungakhuphula nokuqabuleka kwakho.

Kubalulekile ukuqaphela ukuthi ngokungafani ne-gout, ukudla kwakho ngokuvamile akukuthinti ukuthuthukiswa kwe-pseudogout. Isimo sihlanganisene kakhulu nendlela umzimba wakho uqapha ngayo amaminerali kunalokho okudlayo noma okuphayona.

Ziyini izinkinga ezingase zenzeke nge-pseudogout?

Abantu abaningi abane-pseudogout bayilawula kahle isimo sabo ngaphandle kwezinkinga ezinkulu zesikhathi eside. Noma kunjalo, ukuqhuma okuphindaphindayo kungalimaza kancane kancane i-cartilage yakho yomthambo futhi kube yimbangela yokuqina okuhlala njalo noma ukunciphisa ukunyakaza.

Nazi izinkinga eziyinhloko ezingase zithuthuke ngokuhamba kwesikhathi:

• Ukulimala komthambo okuhlala njalo nokuqothulwa kwe-cartilage
• Ukuqina okuhlala njalo nokunciphisa ukunyakaza
• I-Osteoarthritis yesibili ema-joints athintekile
• Ukuqhuma okuphindaphindayo okuqala ukuba khona njalo
• Ukuguqulwa komthambo ezimweni ezinzima, ezingelapheki
• Ubunzima bemisebenzi yansuku zonke ngenxa yokulinganiselwa komthambo

Ngokungavamile, abantu bangase bathuthukise isimo esibizwa nge-crowned dens syndrome, lapho ama-crystals e-calcium eqoqa eduze kwe-vertebra yesibili entanyeni yakho. Lokhu kungabangela ubuhlungu obukhulu bentanyeni nokuqina okungase kudidwe nezinye izimo ezinkulu.

Izindaba ezinhle ukuthi ngokwelashwa okufanele nokuphathwa, izinkinga eziningi zingavikeleka noma zinciphisiwe. Ukuxilongwa kwangaphambi kwesikhathi nokukhathalela okufanele kunciphise kakhulu ingozi yezinkinga zomthambo zesikhathi eside.

I-pseudogout ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele i-pseudogout, ikakhulukazi uma ihlangene nobudala noma i-genetics, ungathatha izinyathelo zokunciphisa ingozi yakho yokuqhuma nokunciphisa ukwenziwa kwama-crystals ema-joints akho.

Ukuphatha izimo zezempilo ezingaphansi kubalulekile ukuvimbela. Ukugcina i-diabetes yakho, izifo ze-thyroid, noma izinkinga zezinso zilawulwa kahle kungasiza ekuqedeni ingozi yakho yokuthuthukisa ama-deposits e-calcium crystal.

Ukusebenza ngokomzimba kusiza ekugcineni impilo yomthambo nokuqina. Ukuzivocavoca okungathinti njengokubhukuda, ukuhamba, noma i-yoga ebushelelezi kungagcina ama-joints akho ehamba ngaphandle kokubeka ukucindezela okukhulu kubo.

Ukusebenza nodokotela wakho ukuqapha nokwelapha noma yikuphi ukungalingani kwamaminerali, ikakhulukazi amazinga e-magnesium aphansi, kungase kube yivikelo. Ukuhlolwa okujwayelekile kuvumela ukutholwa kwangaphambi kwesikhathi nokuphathwa kwezimo ezingase zifake isandla ekuthuthukiseni kwe-pseudogout.

I-pseudogout ixilongwa kanjani?

Ukuxilongwa kwe-pseudogout kuhilela izinyathelo eziningi, kuqala ngodokotela wakho ohlola umthambo othonyeke futhi abuze ngezimpawu zakho. Uzothanda ukwazi ukuthi ubuhlungu buvele ngokushesha kangakanani, yimaphi ama-joints athintekile, nokuthi uke waba neziqephu ezifanayo ngaphambili.

I-X-rays ngokuvamile iyithuluzi lokuqala lokuxilongwa elisetshenziswayo, njengoba lingabonisa ama-deposits e-calcium e-cartilage yakho ebizwa nge-chondrocalcinosis. La ma-deposits abonakala njengemigqa emhlophe noma ama-spots ku-X-ray futhi yisibonakaliso esiyinhloko sesimo.

Uma uhlangabezana nokuqhuma okusebenzayo, udokotela wakho angase enze ukukhipha komthambo, lapho esebenzisa khona i-needle encane ukususa i-fluid emthambeni oqabulayo. Leli-fluid bese lihlolwa ngaphansi komkhiqizo ukubuka ama-crystals e-calcium athile abangela i-pseudogout.

Izivivinyo zegazi zisiza ekuqedeni ezinye izimo njenge-gout, i-rheumatoid arthritis, noma ukutheleleka. Udokotela wakho angase futhi ahlole izimo ezingaphansi ezingase zifake isandla ekwenzeni kwama-crystals, njenge-diabetes noma izinkinga ze-thyroid.

Kwezinye izimo, ukubuka izithombe okuthuthukile njenge-ultrasound noma i-MRI kungase kusetshenziswe ukuthola umbono ocacile wemiqondo yomthambo nama-deposits e-crystal, ikakhulukazi uma ukuxilongwa kungacaci ekuhlolweni kokuqala.

Ukuphathwa kwe-pseudogout kuyini?

Ukuphathwa kwe-pseudogout kugxile ekulawuleni ubuhlungu nokuvuvukala ngesikhathi sokuqhuma nokuvimbela iziqephu zesikhathi esizayo. Indlela ihluka kuye kokuthi uhlangabezana nokuhlaselwa okubukhali noma uzama ukuvimbela ukuphindaphinda.

Ngesikhathi sokuqhuma okusebenzayo, imithi yokulwa nokuvuvukala yiyona yokuqala yokwelapha. Udokotela wakho angase akukhuthaze i-NSAIDs njenge-ibuprofen noma i-naproxen ukunciphisa ubuhlungu nokuqabuka, nakuba lezi kufanele zisetshenziswe ngokucophelela uma unezinkinga zezinso noma isisu.

Kokuqhuma okukhulu noma lapho i-NSAIDs ingafaneleki, udokotela wakho angase aqinise i-colchicine, imithi efanayo esetshenziswa kwi-gout. Lokhu kungase kube nomphumela omkhulu ekuqedeni ukuvuvukala okubangelwa ama-deposits e-crystal ema-joints akho.

Kwezimo lapho imithi yomlomo ingasebenzi noma ingafaneleki, ukugxilwa kwe-corticosteroid ngqo emthambeni othonyeke kungase kunikeze ukukhululeka okusheshayo. Lezi zibonakaliso ziwusizo kakhulu kubantu abangakwazi ukuthatha ezinye izidakamizwa zokulwa nokuvuvukala.

Kwezimo ezihlala njalo noma eziqhuma njalo, udokotela wakho angase akhuthaze i-colchicine ephansi njengendlela yokuvimbela. Lokhu kungasiza ekuqedeni ubukhulu nokuvamile kweziqephu zesikhathi esizayo uma kuthathwa njalo.

Indlela yokuphatha i-pseudogout ekhaya?

Ukuphatha i-pseudogout ekhaya kuhilela ukunakekelwa okusheshayo ngesikhathi sokuqhuma kanye neqhinga lesikhathi eside lokuvimbela iziqephu zesikhathi esizayo. Ukuphumula kubalulekile ngesikhathi sokuhlaselwa, ngakho-ke gwema ukufaka isisindo noma ukucindezela emthambeni othonyeke.

Ukubekela iqhwa emthambeni oqabulayo imizuzu engu-15-20 izikhathi eziningi ngosuku kungasiza ekuqedeni ukuvuvukala nokunciphisa ubuhlungu. Phinda ubeke iqhwa etawelini ukuvikela isikhumba sakho, futhi ungayibeki ngqo emthambeni.

Nazi izindlela zokuphatha ekhaya ezisebenzayo:

• Phumula umthambo othonyeke futhi ugweme imisebenzi eyenza ubuhlungu bube bukhulu
• Phakamisa umthambo uma kungenzeka ukunciphisa ukuqabuka
• Sebenzisa ama-ice packs isikhathi esifushane usuku lonke
• Thatha imithi eqokiwe ngokuqondile njengoba kuqondiswe
• Hlala uthola amanzi ukuze usizo umzimba wakho uqaphe imithi
• Sebenzisa ukuzivocavoca okuqondile kokunyakaza uma ubuhlungu obukhulu buye buye

Phakathi kweziqephu, ukugcina uhlelo lokuzivocavoca olujwayelekile kusiza ekugcineni ama-joints akho aqine futhi aqine. Gxila emisebenzini engathinti ama-joints akho, futhi kancane kancane ukhulisa amazinga wemisebenzi njengoba kuvunyelwe.

Gcina idayari yezimpawu ukuthola izinto ezingase zibangele ukuqhuma kwakho. Lolu lwazi lungaba usizo eqenjini lakho lezempilo ekulungiseni uhlelo lwakho lokwelapha nokubona izibonelo esimweni sakho.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ngaphambi kwe-appointment yakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yimaphi ama-joints athintekile, nokuthi ubuhlungu bukhulu kangakanani ngesilinganiso esingu-1 kuya ku-10. Lolu lwazi lusiza udokotela wakho ukuthi aqonde isibonelo sesimo sakho.

Letha uhlu oluphelele lwazo zonke imithi oyithathayo, kufaka phakathi imithi yokudayisa, izongezo, nemithi yemifino. Ezinye izidakamizwa zingase zisebenzisane nokuphathwa kwe-pseudogout, ngakho-ke lolu lwazi lubalulekile ekunakekelweni okuphephile.

Lungisa uhlu lwemibuzo okumele uyibuze udokotela wakho:

• Yini ebangela ubuhlungu bomthambo nokuqabuka kwami?
• Yiziphi izivivinyo engizidingayo ukuqinisekisa ukuxilongwa?
• Yiziphi izinketho zokwelapha ezitholakalayo esimweni sami?
• Ngingazivimbela kanjani iziqephu zesikhathi esizayo?
• Ingabe kunemisebenzi engingayigwema?
• Nini kufanele ngixhumane nawe ngezimpawu ezibi kakhulu?

Uma kungenzeka, letha ilungu lomndeni noma umngani ukukusiza ukuba ukhumbule ulwazi olubalulekile oluxoxwe ngesikhathi se-appointment. Cabanga ukuthatha amanothi noma ukubuza uma ungarekhoda ingxoxo ukuze uyibhekisele kamuva.

Ungangabazi ukucela incazelo uma ungaqondi lutho. Udokotela wakho ufuna ukukusiza ulawule isimo sakho ngokuphumelelayo, futhi ukuxhumana okuqondile kubalulekile ukuze uthole imiphumela emihle kakhulu.

Iyini into ebalulekile nge-pseudogout?

I-Pseudogout yisimo esilawuleka esingase sibe buhlungu ngesikhathi sokuqhuma, kodwa akudingeki sithinte kakhulu ikhwalithi yokuphila kwakho ngokwelashwa okufanele nokukhathalela. Okubalulekile ukusebenza neqembu lakho lezempilo ukwenza uhlelo lokuphatha oluphumelelayo olufanele isimo sakho esithile.

Ukuxilongwa kwangaphambi kwesikhathi nokwelashwa okufanele kungavimbela izinkinga eziningi futhi kukusize ugcine umsebenzi omuhle womthambo. Abantu abaningi abane-pseudogout baphila impilo esebenzayo, ezele ngokufunda ukuqaphela izinto ezibangela futhi baphathe ukuqhuma ngokushesha.

Khumbula ukuthi leli simo lihlukile kwi-gout ejwayelekile futhi lidinga indlela ethile yokwelapha. Ngokuhlanganiswa okulungile kwemithi, ukulungiswa kwesitayela sokuphila, kanye neqhinga lokukhathalela ekhaya, unganciphisa umthelela we-pseudogout emisebenzini yakho yansuku zonke.

Hlala uxhumana nodokotela wakho njalo, ikakhulukazi uma izimpawu zakho zishintsha noma zibe zimbi. Uhlelo lwakho lokwelapha lungase ludinge ukulungiswa ngokuhamba kwesikhathi, futhi ukuxhumana okuqhubekayo kuqinisekisa ukuthi uthola ukunakekelwa okuphumelelayo okungenzeka.

Imibuzo evamile ebuzwayo nge-pseudogout

Ingabe i-pseudogout ifana ne-gout ejwayelekile?

Cha, i-pseudogout ne-gout ejwayelekile izimo ezahlukile ezingelwa izinhlobo ezahlukile zama-crystals. I-Gout ibangelwa ama-crystals e-uric acid futhi ngokuvamile ithonya ithumbu elikhulu, kuyilapho i-pseudogout ibangelwa ama-crystals e-calcium futhi ngokuvamile ithonya amadolo. Ukuphathwa kwalezi zimo nakho kuhlukile, nakuba ezinye izidakamizwa njenge-colchicine zingasetshenziswa kokubili.

Ingabe ukushintsha kokudla kungasiza ekuvimbeleni ukuqhuma kwe-pseudogout?

Ngokungafani ne-gout, i-pseudogout ngokuvamile ayithintiwe ukudla njengoba ibangelwa ama-deposits e-calcium crystal kunokuba kube ukwakheka kwe-uric acid. Noma kunjalo, ukugcina ukudla okunempilo nokuhlala uthola amanzi kungase kusekele impilo yomthambo jikelele futhi kusize umzimba wakho uqaphe imithi ngokuphumelelayo. Gxila ekulawuleni noma yiziphi izimo zezempilo ezingase zifake isandla ekwenzeni kwama-crystals.

Isikhathi eside kangakanani iziqephu ze-pseudogout ngokuvamile zigcina?

Iziqephu ze-pseudogout ngokuvamile zigcina noma kuphi kusukela ezinsukwini ezimbalwa kuya kwamasonto ambalwa. Isikhathi singase sihluke kuye ezintweni njengokuthi uqala ukwelashwa ngokushesha kangakanani, ubukhulu bokuqoqwa kwama-crystals, nempilo yakho jikelele. Ngokwelashwa okusheshayo usebenzisa imithi yokulwa nokuvuvukala, abantu abaningi bathola izimpawu zabo zithuthuka phakathi kwezinsuku ezimbalwa kuya kwesonto.

Ingabe i-pseudogout ingabangela ukulimala komthambo okuhlala njalo?

Nakuba i-pseudogout ingabangela ukulimala komthambo uma ingelapheki iminyaka eminingi, abantu abaningi abamukela ukwelashwa okufanele abathuthuki izinkinga ezinkulu. Ukuqhuma okuphindaphindayo, okukhulu kungalimaza kancane kancane i-cartilage, kodwa le nqubo ngokuvamile ihamba kancane futhi ingavikeleka ngokuphathwa okufanele. Ukuxilongwa kwangaphambi kwesikhathi nokwelashwa kunciphise kakhulu ingozi yezinkinga zomthambo ezihlala njalo.

Ingabe ngizodinga ukuhlinzwa nge-pseudogout?

Ukuhlinzwa akudingeki ngokuvamile kwi-pseudogout futhi ngokuvamile kucabangelwa kuphela ezimweni ezinzima lapho ukulimala komthambo kukhulu noma lapho ezinye izindlela zokwelapha zingasebenzi. Abantu abaningi bayilawula kahle isimo sabo ngemithi nokulungiswa kwesitayela sokuphila. Uma ukuhlinzwa kuke kukhuthazwa, ngokuvamile kungaba ukulungisa i-cartilage eyonakele kakhulu noma ukushintsha umthambo othonyeke kakhulu ngokuqoqwa kwama-crystals okuphindaphindayo.