Ichi chakabatana chirwere chinogona kufanana nemamwe mamiriro ezvinhu
Chondrocalcinosis, inonyanya kuzivikanwa se calcium pyrophosphate dihydrate deposition disease (CPPD), ndiyo mamiriro ayo makirisium emakristasi anovaka mumusana wezvibatanidzwa. Icho chimwe chezvinhu izvo zvinowanzoitika apo vanhu vanokura. Maererano neArthritis Foundation, hafu yevanhu vanopfuura 85 vane calcium makristasi muzvinyoro zvinyoro zvezvibatanidzwa zvavo.
Kunze kwezera, zvimwe zvipingamupinyi zveCPPD zvinosanganisira genetics (chirwere chinotanga kufamba mumhuri); chimiro umo muviri unochengeta dare rakawanda kudarika iyo inoda, inonzi hemochromatosis; low levels of magnesium; uye zvimwe zvinetso zvehutano.
Sezvaunogona kufungidzira, maronda haafaniri kutarisana nemakristal. Vanokwanisa kutsamwisa hunyanya hunyanya kukanganwira uye kunokonzera kuvhiringidza uko kunotungamirira kukanganisa kwekartilage.
Zviratidzo zveCPP
Havasi vose vanoita makisikiti mumakumbo avo vachave nezviratidzo (kunyange zvazvo makristasi acharatidzira pa -X-rays ), uye kwete vose vane zviratidzo vachave zvimwechetezvo. Izvi zvinokonzerwa nokuti pane rudzi rwemhando imwe ye calcium crystal, maererano neArthritis Foundation, inotsanangura zvinotevera zviratidzo zvinowanzobatanidzwa neCPPD:
- Osteoarthritis iyo inoratidzirwa nekusara kwezvibatanidza zvakananga mune zvakarongeka: mabvi okutanga, ipapo mashure, anoteverwa nemajoini apo zvigunwe zvinobatanidza kuruoko (metacarpophalangeal joints), mahudyu, mapepa, mazamu, uye pakupedzisira maziso. Kuparara kwemajoini kunogona kuenderera mberi kune rumwe rutivi rwemuviri, uye pamwe nenguva vanogona kuoma. Zviratidzo izvi zvinokanganisa hafu yevanhu vane CPPD.
- Kurwiswa kunorwadza kwokuputika umo mubatanidzwa, kazhinji mabhesi, anopisa, tsvuku, kubhururuka, uye akaoma. Fivha inogona kukura. Nemhaka yokuti zviratidzo izvi zvakafanana neyechirwere chinotarisa muviri chinonzi gout, apo CPPD inotora pane iyi fomu inowanzonzi pseudogout. Izvi zvikamu zvinogona kugara kwemazuva kana vhiki, maererano neMayo Clinic. Kana mumwe munhu akava nazvo kwemakore, majoini awo anogona kusimudzira zvachose kuparadzwa. Inenge chechina yevanhu vane CPPD vachakurira pseudogout.
- Zviratidzo zvisingaperi zvinofanana neye rheumatoid arthritis (RA), kusanganisira kuoma muzvibatanidzi mangwanani, kuneta, uye kuputika kwepamusoro. Zviratidzo zveiR-yakafanana nemamiriro ezvinhu zvinowanzobatanidza maverengani akawanda mumutambo wakasiyana-siyana (unobata chibatanidzwa chimwe chete kune rumwe rutivi rwemuviri, zvakadai semasvingo maviri kana mabvi maviri). Icho chinokanganisa anenge mashanu muzana yevaya vane CPPD.
Kurarama neCPPD
Chero chinzvimbo chaunotora, zvinangwa zvekurapa CPPD ndezvokuderedza kuvhiringidza, kubvisa marwadzo, nekuunza huwandu hwakawanda hwekufambisa kumapfundo. Nokuputika, kuzvimba, uye kurwadziwa, nonsteroidal anti-inflammatory drugs (NSAIDs) inowanzoshanda. Vamwe vanhu vachawana zororo ne-the-counter-NSAIDs dzakadai sa Advil naMotrin (ibuprofen) uye Aleve (naproxen). Kana izvi zvisingashande, chiremba anokwanisa kupa NSAID yakasimba se naproxen.
Pseudogout inowanzobudiswa nehuwandu hwemishonga yemishonga inonzi "colchicine" inoshandiswa kurapa gout. Dzimwe nguva zvinotorwa zuva roga rega kuti zvivhare zvikamu zvepseudogout. A corticosteroid yakadai sa prednisone ndeimwe nzira yekugadzirisa marwadzo uye kuderedza kupisa. Mishonga iyi yose inogona kuve nemigumisiro inogona kuva yakaoma kune vakwegura, saka zvakakosha kushanda pamwe nechiremba kuti aise pamwe chirongwa chemishonga chinogona kuita zvakanaka pane kukuvadza.
Kana chibatanidzwa chakakanganiswa neCPP chiva chinorwadza zvikuru uye chinoputika, chiremba wako anogona kuvhara rimwe remvura inogadzirwa nekuisa nenyuchi munzvimbo. Izvi zvichabvisawo mamwe emakristani kubva pamubatanidzwa. Mushure meizvozvo, mishonga inopera uye corticosteroid inogona kuiswa mujoka.
Pamba, kune zvishoma zvishoma zvingaita kuti uite kuti uwedzere kufara apo CPPD ichikupa dambudziko. Chokutanga kubva, zvakakosha kuti ugare. Mukuwedzera, kushandisa mari yekutonhorera kune hutano iyo achy uye kubvunda kunobatsira kuderedza kuzvimba nekuputika
> Sources:
> Arthritis Foundation. "Calcium Pyrophosphate Deposition Disease (CPPD)."
> MacMullan, Paul uye McCarthy, Geraldine. "Kurapwa uye Kutungamirirwa kwePseudogout: Insights For the Clinician." Ther Adv Musculosketlet Dis . 2012 Apr; 4 (2): 121-131.
> Mayo Clinic. "Pseudogout." Jul 2, 2015.