Mhando yeArthritis Kazhinji Isingazivikanwi seGout
Calcium pyrophosphate deposition disease (CPPD) rudzi rweArthritis. Inokonzerwa nehomwe ye calcium phosphate makristasi muzvibatanidzi uye ine maitiro akadaro kune gout. Kushandiswa kweCPP kunogona kuitika kamwe-kamwe uye kunokonzera kurwadziwa kukuru, kuvhiringidza, nekuremara.
CPPD inozivikanwa nemamwe mazita kusanganisira pseudogout , izwi rekare rinoshandiswa mumitambo yakawanda yezvechiremba, uye chondrocalcinosis , iyo inotaura zvakananga nezvema calcium deposits inokura munzvimbo dzakabatana.
Zviratidzo
NeCPPD, kufambira mberi kwe calcium muzvibatanidza kunogona kuita kuti dzimwe nguva zvirwere zvinoputika zvirwere zveArthritis zvirwere zvinosanganisira kurwadziwa, kuoma, kuvhara, kuneta, kutsika-gwara fever, nekudziviswa kwekufamba.
Ngozi yekurwisa kwePCPD inowedzera kuwedzera nezera. Maererano nehuwandu hunobva kuAmerican College yeRheumatology, kukurudzirwa kwemakristomu kunokwana anenge matatu muzana yevanhu vakuru mumakore avo makumi mashanu. Nhamba iyoyo inowedzera kusvika inenge 50 muzana nenguva iyo munhu anosvika 90.
Havasi vose vanoita CPPD crystal vachaona zviratidzo. Pakati pa25 muzana vanoita, vazhinji vachava nezvikamu zvinorwadza zvinosanganisira mabvi kana kurwadziwa nekuputika maziso , maziso , maoko , maziso , kana mapepa . CPPD kurwisa kunogona kubva pamazuva mashomanana kusvika kumavhiki mashoma.
CPPD kurwisa kunogona kukonzerwa nechirwere chakakomba, kuvhiyiwa, kushungurudzika, kana kunyanyisa kunetseka. Mukufamba kwemakore, chirwere chacho chinogona kukonzera kuora kwekuwedzera kwemasangano, zvichiguma nekuremara kwenguva refu.
Vanenge vashanu kubva muzana yevanorwara vanozoita chirwere chisingaperi chine chirwere cheArthritis -chimiro chine chokuita nhengo dzomumipata (zvinoreva maitiro akafanana pamativi akasiyana emuviri, zvakadai semagetsi kana mabvi).
Kuziva
Kuongororwa kwePCPD kazhinji kunonoka nokuti zviratidzo zvinowanzokanganiswa nemamwe marudzi arthritis kusanganisira osteoarthritis , rheumatoid arthritis, uye gout (chirwere chinozivikanwa nekuumbwa kweuric acid crystals).
Kuongororwa kunowanzobatanidza kushuva kwehutachiona kubva kune hutano hwakagadziriswa uye kuongorora kwekristalline inowanikwa mubhuku.
Chiremba anogonawo kuronga kufungidzira maitiro akadai se ultrasound, computed tomography (CT) scan, kana maginiti resonance imaging (MRI) scan kuti vabatsire kuziva calcified masses pedyo nejoka.
Kurapa
Kusiyana negout, umo uric acid makristasi anogona kuparadzwa nemishonga, makristasi anosanganisira CPPD haasviki (kureva kuti haakwanisi kupera).
Kurapa, naizvozvo, kunonyanya kuratidza kuderedza zviratidzo uye kudzivisa kurwiswa kwemangwana. Mishonga inogona kusanganisira:
- Nonsteroidal anti-inflammatory drugs (NSAIDs) kudzora marwadzo nekuputika
- Nhamba yakaderera Colcrys (colchicine) , inowanzoshandiswa kugurisa, kune vanhu vasingakwanisi kutsungirira NSAIDs
- Cortisone (steroid) majekiseni mukati memubatanidzwa wakagadzikana kuti ape rubatsiro rwakasimba, kwenguva pfupi kubva mukuputika
- Plaquenil (hydroxychloroquine) kana methotrexate (MTX) muzviitiko zvakanyanya kukuvadza kupindira kwezvirwere zvemuviri uye kuderedza kupisa
Kuvhiya kunogona kufungidzirwa kubvisa maverengedhi akaenzana kubva kune imwe sangano, kunyange zvichiri kuongororwa kuedzwa nechechina dhesi kuti ishandise kushandiswa kwayo.
> Sources:
> American College of Rheumatology. "Calcium Pyrophosphate Deposition (CPPD)." Atlanta, Georgia; yakarongwa muna March 2017.
> Schlee, S ;; Bollheimer, L .; Bersch, T. et al. "Crystal Arthritides: Gout uye Calcium Pyrophosphate Arthritis / Chikamu 1: Epidemiology uye Pathophysiology." Z Gerontol Geriatr. 2017. DOI: 10.1007 / s00391-017-1197-3.