Pseudogout

Anter

• He aha ka ʻokoʻa ma waena o pseudogout a me ka gout?
• He aha ke kumu o pseudogout?
• He aha nā hōʻailona o ka pseudogout?
• Pehea e ʻike ʻia ai ka pseudogout?
• He aha nā kūlana olakino e pili ai i ka pseudogout?
• Pehea e mālama ʻia ai ka pseudogout?
• Ke hoʻopau nei i ka wai
• Nā Lapaʻau
• ʻOki kino
• He aha nā pilikia e pili ana i ka pseudogout?
• He aha ka wā lōʻihi e nānā ai no ka poʻe me pseudogout?
• Hiki iaʻu ke pale i ka pseudogout?

He aha ka pseudogout?

ʻO Pseudogout kahi ʻano o ke arthritis e kumu ai i ka pehu wale, ʻehaʻeha i kou mau hono. Hana ʻia ia i ke ʻano o nā aniani i loko o ka wai synovial, ka wai e hoʻoheheʻe i nā hono. ʻO kēia ke alakaʻi i ka mumū a me ka ʻeha.

Hoʻopili pinepine kēia ʻano i nā kuli, akā hiki ke hoʻopili i nā hono ʻē aʻe pū kekahi. ʻOi aku ka maʻamau i nā mākua ma mua o 60 mau makahiki.

ʻIʻike ʻia ʻo Pseudogout ʻo ka maʻi calcium pyrophosphate (CPPD) maʻi.

He aha ka ʻokoʻa ma waena o pseudogout a me ka gout?

ʻO ka Pseudogout a me ka gout nā ʻano ʻelua o ka maʻi pākī, a ma muli o ka hōʻiliʻili ʻia ʻana o nā aniani ma nā ami.

ʻOiai pseudogout e kumu ʻia e nā crystals calcium pyrophosphate, kumu ʻia ka gout e nā urate (uric acid) nā aniani.

He aha ke kumu o pseudogout?

Hana ʻia ʻo Pseudogout ke hana nā crystals calcium pyrophosphate i loko o ka wai synovial i nā hono. Hiki i nā aniani ke waiho i ka cartilage, kahi e hiki ai ke hōʻino. Kūkulu ke aniani i loko o ka wai hui i nā hopena pehu a me ka ʻehaʻeha.

ʻAʻole maopopo piha ka poʻe noiʻi no ke aha e kū ai nā aniani. Hoʻonui ka manawa o lākou i ka makahiki. Hoʻokumu nā aniani ma kahi o ka hapalua o ka poʻe ma mua o 85 mau makahiki, e like me ka Arthritis Foundation. Eia nō naʻe, ʻaʻohe o lākou pseudogout ka hapa nui o lākou.

Hiki ke holo pinepine ʻo Pseudogout i loko o nā ʻohana, no laila nui nā loea lapaʻau i manaʻo he ʻano moʻokalaleo ia. ʻO nā kumu hāʻawi ʻē aʻe e komo pū paha:

• hypothyroidism, a i ʻole he thyroid underactive
• hyperparathyroidism, a i ʻole he gland parathyroid overactive
• ʻoi loa ka hao i ke koko
• hypercalcemia, a i ʻole ka nui o ka puna i loko o ke koko
• ʻaukake magnesium

He aha nā hōʻailona o ka pseudogout?

Hoʻopili pinepine ʻo Pseudogout i nā kuli, akā pili pū kekahi ia i nā kuʻekuʻe wāwae, nā pūlima, a me nā kuʻe lima.

Pili pū nā ʻōuli laulā:

• ʻeha o ka ʻeha pū
• pehu o ka ami pili
• hana wai a puni ka ami
• pehu mau

Pehea e ʻike ʻia ai ka pseudogout?

Inā manaʻo kāu kauka he pseudogout kāu, e ʻōlelo paha lākou i nā hoʻokolohua aʻe:

• ke kālailai i ke kinowai hui e ka lawe ʻana i ka wai mai ka hui (arthrocentesis) e nānā no nā aniani kalipona pyrophosphate
• ʻO nā kukuna X o nā hono e nānā no nā hōʻino o ka ami, ka helu ʻana (ka hoʻū ʻana o ka calcium) o ka cartilage, a me nā waihona o ka calcium i loko o nā ʻāpana pū.
• ʻImi ʻo MRI a i ʻole CT e nānā i nā wahi o ka paʻa calcium
• ultrasound hoʻi e ʻimi i nā wahi o ka hana kalipuna

Ke nānā nei i nā aniani i loaʻa i nā lua āpau kōkua i kāu kauka e hana i kahi ʻike.

Māhele kēia ʻano i nā ʻōuli me nā kūlana ʻē aʻe, no laila hiki ke kuhi hewa ʻia i kekahi manawa e like me:

• osteoarthritis (OA), kahi maʻi hui degenerative i hopena ʻia e ka nalo ʻana o ka cartilage
• rheumatoid arthritis (RA), kahi maʻi hoʻōla lōʻihi e hiki ke hoʻololi i kekahi mau ʻokanalā a me nā ʻaʻa
• ke gout, kahi e hōʻeha ai i ka mumū o nā manamana wāwae a me nā wāwae i ka maʻamau akā hiki ke hoʻopili i nā hono ʻē aʻe

He aha nā kūlana olakino e pili ai i ka pseudogout?

Hiki i ka Pseudogout ke hoʻopili ʻia me kekahi mau maʻi ʻē aʻe, e like me:

• nā maʻi thyroid hypothyroidism a me hyperparathyroidism
• hemophilia, kahi maʻi hoʻokahe hoʻoilina e pale aku i ke koko mai ka hoʻopili ʻana maʻamau
• ochronosis, kahi kūlana e waiho i kahi pigment ʻeleʻele e waiho i ka cartilage a me nā mea hoʻopili ʻē aʻe
• amyloidosis, kahi kūkulu o kahi protein kūpono ʻole i loko o nā aʻa
• hemochromatosis, kahi pae kiʻekiʻe o ka hao ma ke koko

Pehea e mālama ʻia ai ka pseudogout?

ʻAʻohe o kēia manawa i kahi lapaʻau e hemo ai nā waihona aniani.

Ke hoʻopau nei i ka wai

Hiki i kāu kauka ke kahe i ka wai synovial mai ka hui e hoʻokuʻu i ke kaomi i loko o ka ami a hoʻemi i ka mumū.

Nā Lapaʻau

I mea e kōkua ai i ka hoʻouka kaua nui ʻana, hiki i kāu kauka ke kuhikuhi i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e hoʻēmi i ka pehu ʻana a hoʻomāmā i ka ʻeha.

ʻAʻole hiki iā ʻoe ke lawe iā NSAID inā:

• ke lawe nei ʻoe i nā lāʻau lapaʻau lahilahi, e like me warfarin (Coumadin)
• loaʻa iā ʻoe ka hana ʻiʻo maikaʻi ʻole
• Loaʻa iā ʻoe kahi moʻolelo o nā puʻuwai ʻōpū

I mea e hōʻemi ai i ka makaʻu o ka hoʻonui hou ʻana, hiki i kāu kauka ke kuhikuhi i nā lāʻau haʻahaʻa o colchisin (Colcrys) a i ʻole NSAIDs.

Hoʻohana ʻia nā lāʻau ʻē aʻe e mālama i ka pseudogout:

• hydroxychloroquine (Plaquenil, Quineprox)
• methotrexate (Rheumatrex, Trexall)

ʻOki kino

Inā hele i waho kou mau hono, hiki i kāu kauka ke koi aku i ke ʻoki e hoʻoponopono a i ʻole hoʻololi iā lākou.

He aha nā pilikia e pili ana i ka pseudogout?

I kekahi mau hihia, hiki i nā waihona aniani i loko o ka wai synovial ke alakaʻi i ka hōʻino paʻa paʻa mau. ʻO nā hui i hoʻopilikia ʻia e ka pseudogout hiki ke hoʻomohala i nā cista a i ʻole nā ​​iwi iwi, nā ulu e pili ana i nā iwi.

Pseudogout paha i ka hopena o ka lilo o ka cartilage.

He aha ka wā lōʻihi e nānā ai no ka poʻe me pseudogout?

Hiki ke mau nā ʻōuli o ka pseudogout ma kahi o kekahi mau lā a i kekahi mau pule. Hiki i ka hapa nui o ka poʻe ke hoʻokele maikaʻi i nā ʻōuli me ka lāʻau.

Hiki i nā hoʻoponopono home āpau e like me ke anuanu ke lawe i kahi kōkua hou.

Hiki iaʻu ke pale i ka pseudogout?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i ka maʻi, hiki iā ʻoe ke ʻike i nā lāʻau e hōʻemi ai i ka mumū a hoʻomaha i ka ʻeha. ʻO ka mālama ʻana i ke kūlana kumu e kumu ai i ka pseudogout e lohi paha i kona ulu a hoʻemi i ke koʻikoʻi o nā ʻōuli.