I-Pseudogout

-Delile

• Uyini umehluko phakathi kwepseudogout ne-gout?
• Yini ebangela i-pseudogout?
• Ziyini izimpawu ze-pseudogout?
• Ihlolwe kanjani i-pseudogout?
• Yiziphi izimo zezokwelapha ezingahle zihlotshaniswe ne-pseudogout?
• Iphathwa kanjani i-pseudogout?
• Ukukhipha uketshezi
• Imithi
• Ukuhlinzwa
• Yiziphi izinkinga ezihambisana ne-pseudogout?
• Uyini umbono wesikhathi eside wabantu abane-pseudogout?
• Ngingayivimbela i-pseudogout?

Yini ipseudogout?

I-Pseudogout uhlobo lwesifo samathambo esidala ukuvuvukala okuzenzekelayo, okubuhlungu emajoyintini akho. Kwenzeka lapho amakristalu akha ku-synovial fluid, uketshezi oluthambisa amalunga. Lokhu kuholela ukuvuvukala nobuhlungu.

Lesi simo sivame ukuthinta amadolo, kepha singathinta namanye amalunga. Kuvame kakhulu kubantu abadala abangaphezu kweminyaka engama-60.

I-Pseudogout yaziwa nangokuthi isifo se-calcium pyrophosphate deposition (CPPD).

Uyini umehluko phakathi kwepseudogout ne-gout?

I-pseudogout ne-gout zombili izinhlobo zesifo sokuqaqamba kwamalunga, futhi zombili zibangelwa ukuqongelela kwamakristalu emajoyintini.

Ngenkathi i-pseudogout ibangelwa amakristalu e-calcium pyrophosphate, i-gout ibangelwa amakristalu e-urate (uric acid).

Yini ebangela i-pseudogout?

I-pseudogout yenzeka lapho kwakheka amakristalu e-calcium pyrophosphate ku-synovial fluid ezinhlanganisweni. Amakristalu angafaka futhi ku-cartilage, lapho angadala khona umonakalo. Ukwakhiwa kwekristalu ku-fluid ehlanganisiwe kubangela amalunga okuvuvukala nobuhlungu obukhulu.

Abaphenyi abaqondi ngokugcwele ukuthi kungani amakristalu akha. Ithuba lokwakha okungenzeka landa ngokukhula. Amakristalu akha cishe isigamu sabantu abaneminyaka engaphezu kwengama-85, ngokusho kwe-Arthritis Foundation. Kodwa-ke, iningi labo alinayo i-pseudogout.

I-pseudogout ivame ukusebenza emindenini, ngakho-ke ochwepheshe abaningi bezokwelapha bakholelwa ukuthi yisimo sezakhi zofuzo. Ezinye izinto ezinikelayo zingafaka:

• i-hypothyroidism, noma i-thyroid engasebenzi
• i-hyperparathyroidism, noma i-parathyroid gland eyeqile
• insimbi eyeqile egazini
• i-hypercalcemia, noma i-calcium eningi egazini
• ukushoda kwe-magnesium

Ziyini izimpawu ze-pseudogout?

I-pseudogout ivame ukuthinta amadolo, kepha ibuye ithinte namaqakala, izihlakala nezindololwane.

Izimpawu ezijwayelekile zingafaka:

• iziqubu zobuhlungu obuhlangene
• ukuvuvukala kwejoyinti elithintekile
• uketshezi oluzungeze ilunga
• ukuvuvukala okungapheli

Ihlolwe kanjani i-pseudogout?

Uma udokotela wakho ecabanga ukuthi une-pseudogout, bangancoma izivivinyo ezilandelayo:

• ukuhlaziywa ketshezi elihlangene ngokususa uketshezi ku-joint (arthrocentesis) ukufuna amakristalu e-calcium pyrophosphate
• Ama-X-ray amajoyinti ukuhlola noma yikuphi ukulimala kokuhlangana, i-calcification (calcium buildup) ye-cartilage, kanye nokufakwa kwe-calcium emigodini ehlanganisiwe
• Iskena se-MRI noma se-CT ukubheka izindawo zokwakhiwa kwe-calcium
• i-ultrasound ibuye ibheke izindawo zokwakhiwa kwe-calcium

Ukubheka amakristalu atholakala emigodini ehlanganisiwe kusiza udokotela wakho ukuthi axilonge.

Lesi simo sabelana ngezimpawu nezinye izimo, ngakho-ke kwesinye isikhathi singatholwa ngendlela engafanele njenge:

• i-osteoarthritis (OA), isifo samalunga esiwohlokayo esibangelwa ukulahleka koqwanga
• i-rheumatoid arthritis (RA), isifo sokuvuvukala sesikhathi eside esingathinta izitho nezicubu eziningana
• i-gout, edala ukuvuvukala kobuhlungu kwezinzwane nezinyawo ngokuvamile kepha kungathinta amanye amalunga

Yiziphi izimo zezokwelapha ezingahle zihlotshaniswe ne-pseudogout?

I-pseudogout kwesinye isikhathi ingahlotshaniswa nezinye izifo, njenge:

• ukuphazamiseka kwe-thyroid hypothyroidism kanye ne-hyperparathyroidism
• i-hemophilia, isifo sokufa esivela egazini esivimbela igazi ekunqandeni ngokujwayelekile
• ochronosis, isimo esidala ukuthi i-pigment emnyama ifake ku-cartilage nakwezinye izicubu ezixhuma
• i-amyloidosis, inqwaba yamaprotheni angajwayelekile ezicutshini
• i-hemochromatosis, izinga eliphakeme ngokungajwayelekile lensimbi egazini

Iphathwa kanjani i-pseudogout?

Okwamanje akukho ukwelashwa okutholakalayo ukuqeda ama-crystal deposits.

Ukukhipha uketshezi

Udokotela wakho angakhipha uketshezi lwe-synovial ohlangothini ukuze akhulule ingcindezi ngaphakathi kwejoyinti futhi anciphise ukuvuvukala.

Imithi

Ukusiza ngokuhlaselwa okunamandla, udokotela wakho angakunikeza izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ukunciphisa ukuvuvukala nokukhulula izinhlungu.

Ngeke ukwazi ukuthatha ama-NSAID uma:

• uthatha imishanguzo yokunciphisa igazi, njenge-warfarin (Coumadin)
• unomsebenzi ongasebenzi kahle wezinso
• unomlando wezilonda zesisu

Ukusiza ukunciphisa ubungozi bokuphakama okwengeziwe, udokotela wakho angakunikeza imithamo ephansi ye-colchicine (Colcrys) noma ama-NSAID.

Eminye imithi esetshenziselwa ukwelapha i-pseudogout ifaka:

• i-hydroxychloroquine (iPlaquenil, iQuineprox)
• i-methotrexate (Rheumatrex, Trexall)

Ukuhlinzwa

Uma amalunga akho esegugile, udokotela wakho angancoma ukuhlinzwa ukuze alungiswe noma afakwe amanye.

Yiziphi izinkinga ezihambisana ne-pseudogout?

Kwezinye izimo, i-crystal deposits ku-synovial fluid ingaholela ekulimaleni okungapheli okuhlangene. Amajoyinti athintwe yi-pseudogout angagcina ekhule ama-cysts noma ama-bone spurs, okuyizicubu ezinamathela emathanjeni.

I-Pseudogout nayo ingaholela ekulahlekelweni uqwanga.

Uyini umbono wesikhathi eside wabantu abane-pseudogout?

Izimpawu ze-pseudogout zingahlala noma kuphi ukusuka ezinsukwini ezimbalwa kuya emavikini ambalwa. Iningi labantu liyakwazi ukuphatha izimpawu kahle ngokwelashwa.

Amakhambi ahambisanayo asekhaya njengokwelashwa okubandayo angaletha ukukhululeka okwengeziwe.

Ngingayivimbela i-pseudogout?

Ngenkathi ungakwazi ukuvimbela lesi sifo, ungathola ukwelashwa ukunciphisa ukuvuvukala nokuqeda izinhlungu. Ukwelapha isimo esingaphansi esidala i-pseudogout kunganciphisa ukukhula kwayo futhi kwehlise ukuqina kwezimpawu.