Wani Irin Arthritis Sau da yawa Misdiagnosed kamar Gout
Kwayoyin cuta na calcium pyrophosphate (CPPD) wani nau'i ne na wariyar launin fata. Ana haifar shi ta wurin adiyo na lu'ulu'u na phosphate a cikin gidajen kwakwalwa kuma yana da irin halaye irin su gout. Rikici na CPPD zai iya faruwa ba zato ba tsammani kuma yana haifar da ciwo mai tsanani, kumburi, da nakasa.
An san sunayen CPPD da wasu sunayen ciki har da pseudogout , wani tsohuwar tsohuwar har yanzu ana amfani da shi a yawancin ayyuka na kiwon lafiya, da kuma chondrocalcinosis , wanda ke nufin ma'anar bayanan calcium wanda ke ci gaba a cikin haɗin haɗin.
Cutar cututtuka
Tare da CPPD, ci gaba da samuwar allurar a cikin gidajen abinci zai iya haifar dashi da ciwon halayyar cututtukan cututtukan ƙwayoyin cuta na ciki wanda ya haɗu da ciwo, haushi, kumburi, gajiya, ƙananan zazzabi, da ƙuntatawa motsi.
Rashin haɗari na kai hari na CPPD yayi kokarin karawa da shekaru. Bisa ga kididdigar da Cibiyar Harkokin Rheumatology ta Amirka ta yi, ci gaban kirkiro na kirji na faruwa a kusan kashi uku cikin manya a cikin 50s. Wannan lamarin yana ƙaruwa zuwa kusan kashi 50 cikin dari lokacin da mutum ya kai 90.
Ba duk wanda ke tasowa CPPD crystal zai fuskanci bayyanar cututtuka ba. Daga cikin kashi 25 cikin dari waɗanda suka yi, mafi yawancin zasu sami ciwo mai raɗaɗi da suka shafi gwiwoyi ko jin zafi da ƙusar da idon kafa , wuyan hannu , hannayensu , wuyan hannu , ko kafadu . Rikicin CPPD na iya wucewa daga 'yan kwanaki zuwa makonni.
Rukuni na CPPD na iya haifar da rashin lafiya, tiyata, damuwa, ko matsananciyar wahala. A cikin shekaru, cutar na iya haifar da ci gaba da cigaba da kayan aiki, wanda ya haifar da rashin lafiya.
Kimanin kashi biyar cikin 100 na wadanda suke fama da su za su ci gaba da cike da maganin arthritis na yau da kullum da ke hada da abubuwan da ke cikin jiki (ma'anar ma'anoni iri ɗaya a jikin daban daban, irin su wuyan hannu ko gwiwoyi).
Sanin asali
Sakamakon ganewar cutar na CPPD sau da yawa an jinkirta saboda alamun sun kasance kuskure ga wasu nau'in maganin ƙwayar gabbai wanda ya hada da osteoarthritis , rheumatoid arthritis, da kuma gout (wata cuta wadda ta haifar da lu'ulu'u na fata).
Sakamakon ganewar asali zai hada da zuwan ruwa daga haɗin gwiwa da kuma nazarin ƙididdigar crystalline a cikin lab.
Dikita zai iya yin umurni da gwaje-gwajen hotunan kamar samfurin lantarki, nazarin rubutun kwaikwayo (CT) , ko kuma hotunan hotunan magudi (MRI) yayi nazari don taimakawa wajen gane yawan mutane da aka ƙididdige a haɗe.
Jiyya
Ba kamar gout ba, wanda za'a iya rusa murfin acid na uric acid tare da magunguna, lu'ulu'u sun shafi CPPD basu da ma'ana (ma'ana ba za a iya narkar da su ba).
Saboda haka, magani yana mayar da hankali ne a kan gyaran bayyanar cututtuka da kuma guje wa hare-hare na gaba. Zaɓuɓɓuka na Pharmaceutical sun hada da:
- Magungunan anti-inflammatory marasa lafiya (NSAIDs) don sarrafa ciwo da kumburi
- Ƙananan kashi Colcrys (colchicine) , wanda ake amfani dasu don gout, ga mutanen da basu iya jurewa NSAID
- Cortisone (steroid) injections zuwa cikin haɗin da aka haɗo don samar da taimako, daga gajeren lokaci daga kumburi
- Plaquenil (hydroxychloroquine) ko methotrexate (MTX) a cikin lokuta mafi tsanani don sauke amsawar rigakafi da kuma rage ƙonewa
Za a iya ɗaukar tiyata don cire adadin lissafin daga haɗin gwiwa, ko da yake ana daukar nauyin gwaji tare da iyakance bayanai don tallafawa amfani.
> Sources:
> Cibiyar Rheumatology ta Amirka. "Yankin Calcium Pyrophosphate (CPPD)." Atlanta, Jojiya; sabunta Maris 2017.
> Schlee, S .; Bollheimer, L ;; Bersch, T. et al. "Kirsimeti na Crystal: Gout da Calcium Pyrophosphate Arthritis / Sashe na 1: Epidemiology da Pathophysiology." Z Gerontol Geriatr. 2017. DOI: 10.1007 / s00391-017-1197-3.