Matendawa amatha kufanana ndi zina
Chondrocalcinosis, yomwe imadziwika kuti calcium pyrophosphate dihydrate deposition disease (CPPD), ndiyo njira imene calcium imapangira makina amene amamanga m'matumbo. Ndi chimodzi mwa zinthu zomwe zimawoneka ngati anthu akula. Malingana ndi Arthritis Foundation, theka la anthu oposa 85 ali ndi makina a calcium m'matumbo ofewa a ziwalo zawo.
Kuwonjezera pa msinkhu, zifukwa zina zoopsa za CPPD zimaphatikizapo genetics (matendawa amathamangira m'mabanja); mkhalidwe umene thupi limasunga chitsulo chochuluka kuposa momwe amafunikira, wotchedwa hemochromatosis; makilogalamu otsika a magnesium; ndi mavuto ena a chithokomiro.
Monga momwe mungaganizire, katsamba sikhala kofanana ndi khungu lakuthwa kakang'ono. Amatha kukwiyitsa minofu yambiri yokhululuka ndikupangitsa kutupa komwe kumayambitsa kuswa kwa karotila.
Zizindikiro za CPPD
Sikuti aliyense amene amapanga makandulo a calcium m'magulu awo adzakhala ndi zizindikiro (ngakhale kuti makina amatsenga pa X-ray ), ndipo sikuti aliyense amene ali ndi zizindikiro adzakhala ndi zomwezo. Izi ndi zina chifukwa pali mitundu yambiri ya calcium crystal, malinga ndi Arthritis Foundation, yomwe ikufotokoza zizindikiro zotsatirazi zomwe zimagwirizanitsidwa ndi CPPD:
- Matenda a osteoarthritis omwe amadziwika ndi kuwonongeka kwa ziwalo zina mwachindunji: mabondo oyambirira, kenako nsonga, amatsatidwa ndi ziwalo zomwe zala zimagwirizanitsa ndi manja (metacarpophalangeal joints), ziuno, mapewa, mabala, ndi mapeto ake. Mphuno imatha kukhala patsogolo kwambiri pambali imodzi ya thupi, ndipo pakapita nthawi angakhale opunduka. Zizindikirozi zimakhudza pafupifupi theka la anthu omwe ali ndi CPPD.
- Kupweteka koopsa kwa kutupa kumene mgwirizano, kawirikawiri bondo, umatentha, wofiira, kutupa, ndi wolimba. Kutentha kumatha kuyamba. Chifukwa zizindikirozi zimakhala zofanana ndi za matenda omwe amadziwika ngati gout, pamene CPPD imatenga mawonekedwewa nthawi zambiri amatchedwa pseudogout. Maguluwa akhoza kukhala kwa masiku kapena masabata, malinga ndi chipatala cha Mayo. Ngati wina ali nawo kwa zaka zambiri, ziwalo zawo zingathe kuwonongeka kosatha. Pafupifupi kotala la anthu omwe ali ndi CPPD adzakhala ndi pseudogout.
- Zizindikiro zachilendo zomwe zimafanana ndi matenda a nyamakazi (RA), kuphatikizapo kuuma m'magulu m'mawa, kutopa, ndi kutupa kochepa. Zizindikiro za chikhalidwe cha RA ichi zimakhala ndi ziwalo zingapo muyeso yofanana (zomwe zimakhudza mgwirizano womwewo kumbali zonse za thupi, monga zida zonse kapena maondo onse). Zimakhudza pafupifupi asanu pa zana a omwe ali ndi CPPD.
Kukhala ndi CPPD
Zirizonse zomwe zimatengera, zolinga za kuchiza CPPD ndi kuchepetsa kutupa, kuchepetsa ululu, ndi kubweretsa maulendo ambiri. Chifukwa cha kutupa, kutupa, ndi kupweteka, mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) nthawi zambiri amagwira ntchito. Anthu ena adzalandira chithandizo cha NSAID monga Advil ndi Motrin (ibuprofen) ndi Aleve (naproxen). Ngati izi sizigwira ntchito, dokotala akhoza kulamula NSAID yamphamvu ngati naproxen.
Pseudogout nthawi zambiri amamasulidwa ndi mankhwala ochepa a mankhwala omwe amatchedwa colchicin omwe amagwiritsidwa ntchito pochizira gout. Nthawi zina zimatengedwa tsiku ndi tsiku kuti zisawononge zigawo za pseudogout. Corticosteroid monga prednisone ndi njira ina yothandizira kupweteka komanso kuchepetsa kutupa. Mankhwalawa ali ndi mavuto omwe angakhale ovuta kwa anthu achikulire, choncho ndikofunikira kugwira ntchito limodzi ndi dokotala kuti aziika pamodzi mankhwala ozunguza bongo omwe angachite bwino kusiyana ndi kuvulaza.
Pamene mgwirizano womwe umakhudzidwa ndi CPPD umakhala wopweteka kwambiri ndipo umatupa, dokotala wanu akhoza kukhetsa madzi ena omwe amamangidwa pogwiritsa ntchito singano m'deralo. Izi zidzachotsanso zina mwa makinawo. Pambuyo pake, mankhwala osokoneza bongo ndi corticosteroid akhoza kuikidwa mu olowa.
Pakhomo, pali njira zingapo zosavuta zomwe mungatengere kuti mukhale omasuka pamene CPPD ikukuvutitsani. Choyamba, ndikofunika kuti mupumule. Kuphatikiza apo, kugwiritsa ntchito mapuloteni ozizira kumalo omwe ali achy ndi kutupa kumathandiza kuchepetsa kutupa ndi kutupa
> Zotsatira:
> Arthritis Foundation. "Matenda a Calcium Pyrophosphate Deposit (CPPD)."
> MacMullan, Paul ndi McCarthy, Geraldine. "Chithandizo ndi Utsogoleri wa Pseudogout: Kudziwa Kwa Wachipatala." Ther Adv Musculosketlet Dis . 2012 Apr; 4 (2): 121-131.
> Chipatala cha Mayo. "Pseudogout." Jul 2, 2015.