Kunyange zvazvo gout ingaita seinooneka yakajeka zvichibva pane chitarisiko choga, chiremba anowanzoda kuedza kuedza kuongorora uye kutonga zvimwe zvikonzero. Sechirwere chinoratidzwa nehomwe ye uric acid makristasi muzvibatanidza, chiremba angada kutsvaga uchapupu hweizvi kuburikidza nekubudisa huni hutachiona netsanga kuti uongorore pasi pe microscope.
Mune zvimwe zviitiko, kuongororwa kunogona kuburikidza nekuenzanisa zviratidzo nekatevedzeri rerabhu uye / kana kuongorora mifananidzo.
Kuongorora Panyama
Mune zviitiko zvakawanda, gout diagnostic inogona kuitwa kuburikidza nekuongorora kwezviratidzo zvako uye nhoroondo yezvechiremba. Mukuwedzera kuongorora kwemuviri, chiremba wako achada kuva netsanangudzo yekurwisa (kusanganisira kuti yakatanga sei uye yakareba kwenguva yakareba sei) uye ongorora chero njodzi dzingangove dzakakonzera kurwisa.
Zvimwe zviratidzo zvinoratidza kuti zvingave zvakakwana kuita kuti kuongororwa, kwakadai sekuti:
- A mono-arthritic attack (zvinoreva chibatanidza chimwe chete chinosangana)
- Kutambura kwakanyanya mumutambo wekutanga wemetatarsal-phalangeal wegunwe guru
- Kunyanyisa kubatana nekuputika kwezuva rimwe
- Kuva nekurwisa kwakawanda mune imwe sangano
Kunyange zvazvo izvi zvingangova zvose izvo chiremba wako achida kugadzira chirongwa chekurapa , humwe humwe uchapupu hunogona kunge hunoda d kana iyi ndiyo kurwisa kwako kokutanga kana kana zviratidzo zvekare zvinowedzera.
Labs uye Miedzo
Nzira yegoridhe yekuita gout diagnosis ndeyokubudisa synovial fluid kubva kune imwe pamwe uye kutsvaga uchapupu hweuric acid crystals (inonzi monosodium urate crystals) pasi pe microscope. Synovial fluid chinhu chakasvibirira, chine ruvara-ruvara chinogadzirisa hutano uye chinogadzirisa nzvimbo pakati pezvisungo.
Nzira iyi, inozivikanwa sey synovial fluid analysis , inotanga nejojo ​​yeanesthetic yekune imwe nzvimbo kuti ivhare hutano. Mushure memaminitsi mashomanana, chiremba achaisa nenyuchi muchikamu chakabatana kuti abvise samuti yemvura inenge yatumirwa kubasa rekuongorora.
Mukuwedzera pakutsvaga monosodium urate crystals, ibhi rinotarisa marefu eric acid levels pamwe neuchapupu hwetiphus , mazamu akaomeswa eUric acid anowanikwa mushure mechirwere chetachiona.
Pakati peimwe mimwe miedzo inogona kurairwa:
- Uric acid yeropa inogona kuongororwa kuti iongorore mazinga easidhi ari pamusoro pe 6.8 milligrams kuburikidza ne deciliter (kunyange vanhu vane mazinga akaderera vanogona kunge vane gout).
- Urea uye creatinine kuongororwa ropa kunogona kuitwawo kuti uone kana mafungiro ako epiyo asina kukanganisa nekuda kwehuwandu hweutachiona (yakawandisa uric acid).
- Kushandisa urinisi kunogona kushandiswa kutarisa uric acid mizinga mumuguta wako uye kuongorora ngozi yako yeimpimputa matombo.
Kufungidzira Miedzo
Kuti abatsire nehutachiona, chiremba anogona kurayira kufungidzira kuongororwa kuti aongorore unhu hwekubatana kwebvudzi kana kutarisa subchondral bone cysts zvinoratidza arthritis. Kufungidzira maitiro okuedzwa anosanganisira X-ray, computed tomography (CT) , magnetic resonance imaging (MRI) , uye ultrasound.
Chiyero chega chega chinobatsira uye zvisingakwanisi:
- X-rays inogona kubudisa bone uye cartilage kudengenyeka asi chaizvoizvo inobatsira pashure pegore rezvirwere zvisingaregi.
- CT uye MRI inoongorora zvinogona kubatsira kugona kuputika, kuputika kwepfupa, uye kukanganisa karotilage asi, maererano neongororo yakabudiswa muEuropean Radiology, inogona kunge isingagoni kuona zvirwere zvepakutanga.
- Ultrasound dzinobatsira sezvazvinoshandiswa, zvinowanikwa nyore, uye hazvidi kuti ionizing rayation. Vanogonawo kuongorora uchapupu hwepakutanga hwekristini inoshandiswa, kushandiswa kwemvura, uye kuwedzera kweiyo nzvimbo. Pamusoro penyika, havakwanisi kuifungidzira maitiro akadzika ejoka.
Mukuita, majekiseni anowanzoshandiswa kana iwe watangotanga kuona zviratidzo kana kurwisa kusingaperi. Zvimwe zviitiko zvekufungidzira zvingave zvakarayirwa zvichibva munhoroondo yezviratidzo zvako kana kuoma kwemamiriro ako.
Kusiyanisa Kuongorora
Kunyange zvazvo zviratidzo zvegout zvingaratidzika zvisinganzwisisiki nechitarisiko choga, pane mamwe maviri maitiro madaktari achaona izvo zvine zvimwe zvinoshamisa zvakafanana: pseudogout uye septic arthritis .
Kuti aparadzanise, chiremba achatarisa zvinhu zvina: synovial fluid analysis (kutarisa humwe uchapupu hwekristalllization), chichena chekuyera ropa (kutarisa utachiona), gram inoita tsika ye synovial fluid (kutarisa mabhakitiriya), uye nzvimbo yemarwadzo ako.
Gout
Gout ichava nezvimwe zvepanyama uye zviratidzo zvinoparadzanisa nedzimwe zvirwere, ndezvi:
- Synovial fluid analysis: kristal-shaped crystals
- Sero rekuyera yeropa: pasi pe50,000
- Gram stain culture: negative (kureva pasina hosha)
- Nzvimbo: kunyanya zvigunwe zvikuru, midfoot, mabvi, uye kumucheto kwezasi (pamwe nekubatanidzwa kweshumba, zvigaro, ruoko, kana minwe mumatambudziko ekupedzisira)
Pseudogout
Pseudogout ndiyo mamiriro ekuti makristori (kwete monosodium urate crystals) anowanikwa mune imwe sangano. Chirwere ichi chinogona kuparadzaniswa kubva kune gout nenzira dzinotevera:
- Synovial fluid analysis: kristal-shaped-crystals
- Sero rekuyera yeropa: pasi pe50,000
- Gram stain culture: negative
- Nzvimbo: kazhinji mabvi, chiuno, kana kuti zvigunwe zvikuru
Septic Arthritis
Septic arthritis, inozivikanwawo sechirwere chetachiona, uye inowanzokonzerwa nehutachiona hwehutachiona uye inogona kuuraya kana isina kusiyiwa. Inopesana ne gout nenzira dzinotevera dzinoita:
- Synovial fluid analysis: hakuna makristasi
- Yera tsvuku yesero yeropa: pamusoro pe 50,000
- Nzira yezvirimwa tsika: yakanaka (kusimbisa kubatwa kwebhakitiriya)
- Nzvimbo: kunyanya mabvi
> Sources:
> Rettenbacher, T .; Ennemoser, S ;; Weirich, H. et al. "Kuona mafungiro ekuti gout: kuenzaniswa kweS-high-resolved US uye neyakakurumbira X-ray." Eur Radiol. 2008; 18 (3): 621-30. DOI: 10.1007 / s00330-007-0802-z.
> Tuhina, N .; Jansen, T .; Dalbeth, L. et al. "2015 Gout Classification Criteria An American College yeRheumatology / European League Against Rheumatism Kubatana Pakutanga e." Arthritis Rheumatol. 2015; 67 (1): 2557-68. DOI: 10.1002 / mifananidzo.39254.