Ingabe I-Gout noma i-Pseudogout?

-Delile

• Ukubuka konke
• Izimpawu ze-pseudogout vs. gout
• Izimbangela ze-pseudogout vs. gout
• Izici zobungozi
• Ukuxilongwa kwe-pseudogout vs. gout
• Ezinye izimo
• Ukwelashwa kwe-pseudogout vs. gout
• Gout
• I-Pseudogout
• Ukuvimbela i-pseudogout vs. gout
• Ukuthatha

Ukubuka konke

I-Gout ne-pseudogout yizinhlobo ze-arthritis. Zibangela ubuhlungu nokuvuvukala emajoyintini. Zombili lezi zimo zidalwa amakristalu abukhali aqoqa emajoyintini. Yingakho abizwa nangokuthi i-crystal arthritis ne-crystalline arthropathy.

I-Gout ne-pseudogout kwesinye isikhathi kuyiphutha ngezinye izimo ezihlanganisiwe, njenge:

• isifo samathambo
• i-osteoarthritis
• umhubhe we-carpal syndrome
• isifo samathambo esithathelwanayo
• i-ankylosing spondylitis

Umehluko phakathi kwe-gout ne-pseudogout ubandakanya lapho kwenzeka khona ubuhlungu nezinhlobo zamakristalu azibangelayo. Ukwelashwa nakho kuyehluka.

I-Gout ivame ukwenzeka ezinzwaneni ezinkulu. Kungathinta namalunga njengoku:

• ukuhlanganiswa komunwe
• idolo
• iqakala
• isihlakala

I-Pseudogout ibizwa nangokuthi i-calcium pyrophosphate deposition disease (CPPD). Njengoba igama layo liphakamisa, i-pseudogout ivame ukuphutha nge-gout. I-CPPD imvamisa yenzeka emadolweni nakwamanye amalunga amakhulu, kufaka phakathi:

• inqulu
• iqakala
• indololwane
• isihlakala
• ihlombe
• isandla

Izimpawu ze-pseudogout vs. gout

I-Gout ne-pseudogout kubangela izimpawu ezifanayo kakhulu emalungeni. Zombili zingadala izimpawu ezingazelelwe. Noma, zingasuswa ngokulimala okuncane, njengokushaya idolo lakho noma indololwane ulwe nokuthile.

I-Gout ne-pseudogout zombili kungadala:

• ngokungazelelwe, ubuhlungu obukhulu
• ukuvuvukala
• ububele
• ububomvu
• ukufudumala esizeni sobuhlungu

Ukuhlaselwa yi-gout kubangela ubuhlungu obungazelelwe, obubukhali obuba kubi kuze kufike emahoreni ayi-12. Izimpawu bese zinciphisa izinsuku ezimbalwa. Ubuhlungu buyaphela ngemuva kwesonto kuya ezinsukwini eziyi-10. Cishe amaphesenti angama-60 abantu abane-gout bazoba nokunye ukuhlaselwa kungakapheli unyaka. Uma une-gout engapheli, ungahle ube nokuhlaselwa noma ubuhlungu kaningi.

Ukuhlaselwa kwamanga-mbumbulu nakho kungazelelwe. Kodwa-ke, ubuhlungu ngokuvamile buhlala bunjalo futhi bungahlala izinsuku noma amasonto. Abanye abantu bangaba nobuhlungu njalo noma ukungaphatheki kahle okungapheli. Ubuhlungu be-pseudogout bufana nobuhlungu obubangelwa i-osteoarthritis noma i-rheumatoid arthritis.

Izimbangela ze-pseudogout vs. gout

Ungathola i-gout uma une-uric acid eningi egazini lakho. Lokhu kudala amakristalu e-sodium urate ukuba akhe amalunga. Amazinga aphezulu e-uric acid angabangelwa lapho:

• umzimba wenza i-uric acid eningi kakhulu
• izinso azisusi noma i-uric acid isheshe ngokwanele
• udla ukudla okuningi kakhulu okwenza i-uric acid, efana nenyama, ubhontshisi omisiwe, ukudla kwasolwandle notshwala

Ezinye izimo zempilo zingakhuphula ubungozi bokuhlaselwa yi-gout. Lokhu kufaka phakathi:

• isifo sikashukela
• umfutho wegazi ophakeme
• cholesterol ephezulu
• Isifo senhliziyo

I-pseudogout ibangelwa amakristalu e-calcium pyrophosphate dihydrate emajoyintini. Amakristalu abangela ubuhlungu lapho engena kuketshezi olukujoyineni. Isizathu salezi zinhlayiya asikaziwa.

I-pseudogout kwesinye isikhathi kucatshangwa ukuthi ibangelwa esinye isimo sempilo, njengezinkinga ze-thyroid.

Izici zobungozi

I-Gout ivame kakhulu emadodeni kunabesifazane kuze kube cishe iminyaka engama-60. Abesilisa abaneminyaka engama-40 kuya kwengama-50 ubudala banamathuba amaningi okuthi bathole i-gout. Abesifazane ngokuvamile bathola i-gout ngemuva kokunqamuka kokuya esikhathini.

I-pseudogout ivame ukwenzeka kubantu abadala abaneminyaka engama-50 noma ngaphezulu. Abantu abadala asebekhulile basengozini enkulu yalesi simo sokuhlanganyela. E-United States, cishe abantu abangamaphesenti angama-50 abaneminyaka engaphezu kwengu-85 banombumbulu. Kuvame kancane kubantu besifazane kunabesilisa.

Ukuxilongwa kwe-pseudogout vs. gout

Uzodinga ukuhlolwa komzimba ukusiza ukuxilonga i-gout ne-pseudogout. Udokotela wakho uzobheka nomlando wakho wezokwelapha. Tshela udokotela wakho nganoma yiziphi izimpawu onazo nokuthi unazo nini.

Ukuhlolwa kwegazi kungakhombisa ukuthi unamazinga aphezulu e-uric acid emzimbeni wakho. Lokhu kungasho ukuthi une-gout.

Ungase futhi ube nokunye ukuhlolwa kwegazi ukuxilonga i-pseudogout noma i-gout. Ukuhlolwa kwegazi nakho kusiza ukukhipha ezinye izimo ezidala izinhlungu ezihlangene. Udokotela wakho angahlola:

• amazinga amaminerali egazi, njenge-calcium, i-phosphorus, i-magnesium, i-phosphatase
• amazinga we-iron iron
• amazinga e-thyroid

Uma unanoma yiluphi uhlobo lobuhlungu obuhlangene, udokotela wakho cishe uzokuthumela i-X-ray. Ungase futhi ube ne-ultrasound noma i-CT scan. Izikrini zingakhombisa ukulimala emajoyintini futhi zisize ukuthola imbangela.

I-X-ray nayo ingakhombisa amakristalu ejoyintini, kodwa hhayi ukuthi hlobo luni lwamakristalu. Kwesinye isikhathi, amakristalu we-pseudogout angaphanjaniswa namakristalu we-gout.

Uketshezi oluhlangene lungathathwa kwilunga elithintekile. Lokhu kuhilela ukusebenzisa inaliti ende. Udokotela wakho angaphazamisa le ndawo ngokhilimu noma umjovo kuqala. Uketshezi luthunyelwa ebhodini ukuhlola noma yiluphi uphawu lokutheleleka.

Enye indlela odokotela abangatshela ngayo ukuthi une-gout noma i-pseudogout ukubuka amakristalu. Amakristalu akhishwa kuketshezi oluhlangene. Ngemuva kwalokho, amakristalu ahlolwa ngemicroscope ehlukanisiwe.

Amakristalu we-Gout amise okwenaliti. Amakristalu wePseudogout angunxande futhi abukeka njengezitini ezincane.

Ezinye izimo

I-Gout ne-pseudogout kungenzeka ndawonye ezimweni ezingavamile. Ucwaningo lobudokotela lubike ngecala lowesilisa oneminyaka engama-63 onezinhlungu emadolweni. Uketshezi lwasuswa ejoyintini lwahlolwa. Watholwa enamakristalu ngazo zombili izimo emadolweni. Ucwaningo oluningi luyadingeka ukuthi lokhu kungenzeka kaningi kangakanani.

Ungaba ne-pseudogout nezinye izimo ezihlanganisiwe, njenge-osteoarthritis. Ungaba futhi ne-pseudogout kanye nokutheleleka kujoyini.

Ukwelashwa kwe-pseudogout vs. gout

Kokubili i-gout ne-pseudogout kungalimaza amalunga akho. Ukwelapha lezi zimo kubalulekile ukusiza ukuvimbela ukuqhuma nokuvikela umzimba wakho. Ukwelashwa kwe-gout ne-pseudogout kuhlukile ngezizathu eziningana.

Gout

I-Gout ingelashwa ngokwehlisa amazinga aphezulu e-uric acid egazini lakho. Lokhu kusiza ukuqeda amakristalu afana nensingo emajoyintini. Imithi elapha i-gout ngokunciphisa i-uric acid ifaka:

• I-xanthine oxidase inhibitors (i-Aloprim, i-Lopurin, i-Uloric, i-Zyloprim)
• i-uricosurics (i-Probalan, i-Zurampic)

I-Pseudogout

Akukho ukwelashwa kwezidakamizwa kwamakhemikhali amaningi we-pseudogout emzimbeni. Udokotela wakho angancoma ukukhipha uketshezi oluningi kusuka ekujoyineni. Lokhu kungasiza ukususa enye ye-crystal. Lokhu kubandakanya ukufaka indawana endaweni nokusebenzisa inaliti ende ukufuthelana noma ukuthatha uketshezi kwilunga.

I-pseudogout iphathwa kakhulu yimithi esiza ukulawula izinhlungu nokuvuvukala. Le mithi isetshenziselwa ukwelapha izimpawu zokugula. Kubandakanya imithi ethathwa ngomlomo noma ejojelwe ejoyintini:

• izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen (Advil), naproxen (Aleve), ne-celecoxib (Celebrex)
• izidakamizwa ze-colchicine reliever pain (Colcrys, Mitigare)
• izidakamizwa ze-corticosteroid anti-inflammatory, njenge-prednisone
• imethotrexate
• anakinra (Kineret)

Ezimweni ezimbi kakhulu, ungadinga ukuhlinzwa ukusiza ukulungisa amalunga omzimba awonakele. Kungenzeka ukuthi usazodinga ukukhululeka kobuhlungu nemithi elwa nokuvuvukala ngemuva kokuhlinzwa.

Ngemuva kwalokho, ukwelashwa ngokomzimba kanye nokuzivocavoca ekhaya kubaluleke kakhulu ukugcina amalunga akho eguquguquka futhi enempilo. Udokotela wakho uzokweluleka uma kuphephile ukuzivocavoca ngemuva kokuphulukiswa ekuhlinzweni.

Ukuvimbela i-pseudogout vs. gout

Izinguquko zokudla nezindlela zokuphila zinganciphisa i-uric acid emzimbeni. Lokhu kungasiza ukuvimbela i-gout. I-Arthritis Foundation incoma ukwenza lezi zinguquko ekudleni kwakho kwansuku zonke:

• yeka ukudla noma ukunciphisa inyama ebomvu ne-shellfish
• ukunciphisa ukuphuza utshwala, ikakhulukazi ubhiya
• yeka ukuphuza i-soda nezinye iziphuzo eziqukethe ushukela we-fructose

Kubalulekile futhi ukugcina isisindo esinempilo. Ukukhuluphala kwandisa ubungozi bokuvuvukalelwa yi-gout.

Eminye imithi ingakhuphula amazinga e-uric acid. Udokotela wakho angayeka noma angene esikhundleni semithi efana nale:

• isisu somfutho wegazi ophakeme
• izidakamizwa ezicindezela amasosha omzimba

I-pseudogout inzima kakhulu ukuyivimba. Lokhu kungenxa yokuthi izimbangela ngqo zamakristalu azikaziwa. Ungasiza ekuvikeleni ukuhlaselwa kwe-pseudogout kanye nomonakalo ohlangene ngokwelashwa.

Ukuthatha

I-Gout ne-pseudogout inezimpawu ezifanayo kakhulu zokujoyina. Kodwa-ke, izimbangela, ukwelashwa, nokuvinjelwa kwalezi zimo ze-arthritis zihlukile.

Ungadinga izivivinyo eziningana ukuthola ukuthi yini ebangela ubuhlungu bakho obuhlangene. Zombili lezi zimo ziyelapheka.

Bheka udokotela wakho ngokushesha uma unezimpawu ezihlangene. Ukwelashwa kusenesikhathi kubalulekile ukusiza ukuvimbela ukulimala kwamalunga akho nezinye izimo zempilo, njengezinkinga zezinso.

Uma une-gout noma i-pseudogout, uzodinga ukwelashwa nezinguquko zendlela yokuphila ukusiza ukugcina amalunga akho enempilo. Khuluma nodokotela wakho, isazi sokudla okunempilo, kanye nodokotela womzimba mayelana nemithi engcono kakhulu, indlela yokudla, kanye nohlelo lokuzivocavoca umzimba.