ʻO Gout a Pseudogout paha?

Anter

• Hōʻike Overview
• Nā ʻōuli o pseudogout vs. gout
• Nā kumu o pseudogout vs. gout
• Nā kumu weliweli
• ʻIke o pseudogout vs. gout
• Nā kūlana ʻē aʻe
• Ka mālama ʻana i ka pseudogout vs. gout
• Goute
• Pseudogout
• Ka pale ʻana i ka pseudogout vs. gout
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO Gout a me pseudogout kekahi ʻano o ka arthritis. Hāpai lākou i ka ʻeha a me ka pehu ʻana i nā hono. Hoʻokumu ʻia kēia mau ʻano ʻelua e nā aniani ʻiʻo e ʻohiʻohi i nā hono. ʻO kēia ke kumu i kapa ʻia ai lākou he aniani arthritis a me crystalline arthropathy.

Kuhi hewa ʻo Gout a me pseudogout i kekahi manawa no nā ʻano hui ʻē aʻe, e like me:

• rumatika
• osteoarthritis
• maʻi maʻi tunnel carpal
• maʻi maʻi maʻi
• spondylitis ankylosing

Loaʻa nā ʻokoʻa ma waena o ka gout a me pseudogout kahi e loaʻa ai ka ʻeha a me nā ʻano o nā aniani ke kumu. ʻOkoʻa hoʻi ka lapaʻau ʻana.

Hana ka gout i ka manamana nui. Hiki iā ia ke hoʻopili i nā hono e like me:

• ami manamana
• kuli
• kuʻekuʻe wāwae
• pulimaʻu

Kāhea ʻia ʻo Pseudogout calcium pyrophosphate deposition disease (CPPD). E like me ka hōʻike a kona inoa, kuhihewa pinepine ʻia ʻo pseudogout no ka gout. Hana pinepine ʻo CPPD i ke kuli a me nā hono ʻē aʻe nui, e like me:

• pūhaka
• kuʻekuʻe wāwae
• kuʻekuʻe lima
• pulimaʻu
• poʻohiwi
• lima

Nā ʻōuli o pseudogout vs. gout

ʻO Gout a me pseudogout ke kumu o nā ʻōuli like loa i nā hono. Hiki i nā mea ʻelua ke hōʻeha i nā ʻōuli. A i ʻole, hiki iā lākou ke hemo ʻia e kahi ʻeha liʻiliʻi, e like me ke kuʻi ʻana i kou kuli a i kou kuʻe lima paha i kekahi mea.

Hiki iā Gout a me pseudogout ke kumu ʻelua:

• ʻāwīwī, ʻeha ʻeha loa
• pehu
• palupalu
• ʻulaʻula
• mehana ma ke kahua o ka ʻeha

ʻO kahi hoʻouka gout ke kumu o ka ʻeha a ʻoi loa o ka ʻeha a ʻoi aku ka ʻino a hiki i nā hola 12. Hoʻoemi nā ʻōuli no kekahi mau lā. Hele ka ʻeha ma hope o hoʻokahi pule a 10 mau lā. Ma kahi o 60 pākēneka o ka poʻe me ka gout e hoʻouka kaua hou i loko o hoʻokahi makahiki. Inā loaʻa ʻoe i ka gout hoʻomau, loaʻa paha iā ʻoe nā hoʻouka a i ʻole ʻeha pinepine.

Kū koke ʻo Pseudogout hoʻouka. Eia nō naʻe, noho mau ka ʻeha a hiki ke mau no nā lā a i ʻole mau pule. Loaʻa paha i kekahi poʻe ka ʻeha mau a i ʻole ka hōʻeha ʻole e hele. ʻO kaʻeha Pseudogout e like me ka ʻeha i hoʻokumu ʻia e ka osteoarthritis a i ʻole ka rheumatoid arthritis.

Nā kumu o pseudogout vs. gout

Hiki iā ʻoe ke lilo i ke gout inā nui a nui kāu acid uric i kou koko. ʻO kēia ke kumu o nā crystals sodium urate e kūkulu i loko o nā hono. Hoʻokumu ʻia nā pae kiʻekiʻe o ka uric acid ke:

• hana ke kino i nā waikawa uric he nui loa
• ʻaʻole hiki i nā puʻupaʻa ke hoʻopau a i ʻole ka wikiwiki o ka uric acid
• ʻai ʻoe i nā meaʻai he nui loa e hana ai i ka uric acid, e like me ka ʻiʻo, nā pīni maloʻo, nā iʻa iʻa, a me ka waiʻona

Hiki i nā kūlana olakino ʻē aʻe ke hāpai i kou makaʻi o ka maʻi gout. Pākuʻi ʻia kēia mau mea:

• diabetes
• kahe koko kiʻekiʻe
• kolesterol kiʻekiʻe
• maʻi maʻi puʻuwai

Hoʻokumu ʻia ʻo Pseudogout e nā kalalika pyrophosphate dihydrate crystals i nā hono. Hoʻokū ke aniani i ka ʻeha ke komo lākou i loko o ka wai i ka hui. ʻAʻole i ʻike ʻia ke kumu o kēia mau aniani.

Manaʻo ʻia ʻo Pseudogout i kekahi manawa e kekahi ʻano olakino ʻē aʻe, e like me nā pilikia thyroid.

Nā kumu weliweli

ʻOi aku ka maʻamau o ka gout i nā kāne ma mua o nā wahine a hiki i ka makahiki o 60 mau makahiki. ʻO ka poʻe kāne he 40 a 50 paha ko lākou mau makahiki e loaʻa ka gout. Loaʻa nā wahine i ka gout ma hope o ka menopause.

Hana ʻia ʻo Pseudogout i ka poʻe mākua he 50 a ʻoi paha makahiki. ʻOi aku ka makaʻu o nā mākua i kēia kūlana hui. Ma ʻAmelika Hui Pū ʻIa, ʻaneʻane 50 pākēneka o ka poʻe ma luna o ka makahiki 85 i loaʻa pseudogout. ʻOi aku ka maʻamau o nā wahine ma mua o nā kāne.

ʻIke o pseudogout vs. gout

Pono ʻoe i kahi hoʻokolohua kino e kōkua ai i ka diagnose gout a me pseudogout. E nānā pū kāu kauka i kāu mōʻaukala olakino. E haʻi i kāu kauka e pili ana i nā ʻōuli āu a loaʻa.

Hiki i kahi hōʻoia koko ke hōʻike inā loaʻa iā ʻoe nā kiʻekiʻe o ka uric acid i kou kino. ʻO kēia paha he gout kāu.

Loaʻa paha iā ʻoe nā hoʻokolohua koko ʻē aʻe e kuhi ai i ka pseudogout a i ʻole ke gout. Kōkua pū ʻia nā hoʻokolohua koko e hōʻalo i nā kūlana ʻē aʻe e ʻeha ai ka ʻeha pū. E nānā paha kāu kauka:

• nā pae o ka mineral o ke koko, e like me ka calcium, phosphorus, magnesium, phosphatase
• pae pae hao
• pae pae thyroid

Inā loaʻa iā ʻoe kekahi ʻano ʻeha pū, e hoʻouna paha kāu kauka iā ʻoe no kahi X-ray. Loaʻa paha iā ʻoe kahi ultrasound a CT scan paha. Hōʻike paha nā scans i ka hōʻino ma nā hono a kōkua e ʻike i ke kumu.

Hōʻike kekahi X-ray i nā pōaka i ka hui, akā ʻaʻole i ke ʻano o nā ʻālina. I kekahi manawa, kuhihewa paha nā aniani pseudogout no nā aniani gout.

Lawe ʻia ka wai hui mai kahi ami i hoʻopili ʻia. Hoʻopili kēia i ka hoʻohana ʻana i kahi nila kuikui. Hiki paha i kāu kauka ke hoʻopau i ka wahi me kahi kalima a ʻoki paha ma mua. Hoʻouna ʻia ka wai i kahi lab e nānā no nā hōʻailona o ka maʻi.

ʻO kahi ala e hiki ai i nā kauka ke haʻi inā he gout a pseudogout paha kāu e nānā i nā aniani. Lawe ʻia nā aniani mai ka wai hui. A laila, nānā i nā aniani me kahi microscope polarized.

ʻO nā aniani Gout he ʻano nila. ʻO nā aniani Pseudogout he huinahā like a like me nā pōhaku lepo.

Nā kūlana ʻē aʻe

Hiki pū kekahi ʻo Gout a me pseudogout i nā hanana kakaʻikahi. Ua hōʻike ʻia kahi noiʻi lapaʻau i ka hihia o kahi kāne 63 makahiki me ka ʻeha o ke kuli. Lawe ʻia ka wai mai ka hui a nānā ʻia. Ua loaʻa iā ia nā aniani no nā kūlana ʻelua i ka kuli. Pono e noiʻi hou aʻe i ka manawa e hiki ai kēia.

Hiki iā ʻoe ke loaʻa pseudogout a me nā ʻano hui ʻē aʻe, e like me ka osteoarthritis. Hiki iā ʻoe ke loaʻa pseudogout a me kahi maʻi i loko o ka ami.

Ka mālama ʻana i ka pseudogout vs. gout

Hiki i nā gout a me pseudogout ke hōʻino i kou mau ami. He mea nui ka mālama ʻana i kēia ʻano i mea e pale aku ai i ka lapalapa a pale i kou kino. ʻOkoʻa ka mālama ʻana no ka gout a me pseudogout no nā kumu he nui.

Goute

Hiki ke mālama ʻia ʻo Gout e ka hoʻohaʻahaʻa ʻana i nā pae kiʻekiʻe o ka uric acid i kou koko. Kōkua kēia i ke kāpae ʻana i nā aniani likelala i nā hono. Nā lāʻau i mālama i ka gout ma ka hoʻēmi ʻana i ka uric acid i loko:

• Nā mea hoʻopuka xanthine oxidase (Aloprim, Lopurin, Uloric, Zyloprim)
• uricosurics (Probalan, Zurampic)

Pseudogout

ʻAʻohe lāʻau lapaʻau no ka nui o nā pseudogout crystals i ke kino. Hiki i kāu kauka ke koi aku i ka hoʻokahe ʻana i ka wai nui mai ka hui. Kōkua paha kēia i ka hemo ʻana i kekahi o ke aniani. Hoʻopili kēia i ka helu ʻana i ka wahi a me ka hoʻohana ʻana i kahi nila kele lōʻihi e ʻiʻini a lawe ai paha i ka wai mai ka hui.

Mālama nui ʻia ʻo Pseudogout e nā lāʻau e kōkua i ka mālama ʻana i ka ʻeha a me ka pehu. Hoʻohana ʻia kēia mau lāʻau e mālama i nā hōʻailona gout. Hoʻopili lākou i nā lāʻau i lawe ʻia e ka waha a i ʻole injected i loko o ka ami.

• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ibuprofen (Advil), naproxen (Aleve), a me celecoxib (Celebrex)
• ʻO nā lāʻau hoʻomake ʻeha colchisin (Colcrys, Mitigare)
• nā lāʻau anti-inflammatory corticosteroid, e like me prednisone
• methotrexate
• anakinra (Kineret)

I nā hihia koʻikoʻi, pono paha ʻoe i ke kaha ʻana e kōkua ai i ka hoʻoponopono ʻana i nā hono ʻino. Hiki nō paha ʻoe e pono i kahi hōʻoluʻolu ʻeha a me nā lāʻau anti-inflammatory ma hope o ke kaha.

Ma hope, ʻo ka hoʻōla kino a me nā hoʻoikaika ʻana ma ka home he mea nui ia e mālama pono ai i kou mau hui. E aʻo aku kāu kauka iā ʻoe ke palekana i ka hoʻoikaika kino ma hope o kou hoʻōla ʻana mai ke ʻoki.

Ka pale ʻana i ka pseudogout vs. gout

Hiki i nā meaʻai a me nā loli nohona ke hoʻohaʻahaʻa i ka uric acid i ke kino. Kōkua paha kēia i ka pale ʻana i ka gout. Paipai ka Arthritis Foundation e hana i kēia mau hoʻololi i kāu papaʻai i kēlā me kēia lā:

• hooki i ka ʻai ʻana a i ʻole ka palena ʻana i ka ʻiʻo ʻulaʻula a me nā pūpū
• e hoʻēmi i ka inu lama, ʻoia hoʻi ka pia
• e hoʻōki i ka inu kīʻaha ʻana a me nā mea inu ʻē aʻe i loaʻa i ke kō kō

He mea nui nō hoʻi e mālama i kahi kaupaona olakino. Hoʻonui ka momona i kou makaʻu no ka gout.

Hiki i kekahi mau lāʻau ke hoʻāla i nā pae acid uric. Hiki paha i kāu kauka ke kū a pani i nā lāʻau e like me:

• diuretics no ke koko kiʻekiʻe
• lāʻau hoʻomalu pale pale

ʻOi aku ka paʻakikī o Pseudogout e pale aku. ʻO kēia no ka mea ʻaʻole i ʻike ʻia nā kumu kikoʻī o nā aniani. Hiki iā ʻoe ke kōkua i ka pale ʻana i nā hoʻouka pseudogout a me nā hōʻino pū me ka lāʻau.

ʻO ka lawe lawe ʻana

Loaʻa nā ʻano like like o Gout a me pseudogout. Eia nō naʻe, ʻokoʻa nā kumu, ka mālama ʻana, a me ka pale ʻana i kēia ʻano ʻānō.

Pono paha ʻoe i mau hoʻokolohua e ʻike i ke kumu o kou ʻeha pū. Hiki ke mālama ʻia kēia ʻano ʻelua.

E ʻike koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona like. He mea nui ka mālama mua ʻana i mea e pale ai i ka hōʻino ʻia o kou ami a me nā kūlana olakino ʻē aʻe, e like me nā pilikia o ka hakuʻala.

Inā loaʻa ka gout a pseudogout paha iā ʻoe, pono ʻoe i ka lāʻau lapaʻau a me nā loli nohona e kōkua i ke olakino o kou ami. E kamaʻilio me kāu kauka, mea mālama pono, a me ka mea hoʻoponopono kino e pili ana i ka lāʻau maikaʻi loa, nā papaʻai, a me nā hoʻolālā hoʻoikaika kino no ʻoe.