Yayin da gout na iya zama mai kyau bayyane bisa ga bayyanar kawai, likita zai fi son yin gwaje-gwaje don tabbatar da ganewar asali da kuma yin watsi da wasu dalilai. A matsayin cututtukan da ke tattare da ajiya na lu'ulu'u na asibiti a cikin gidajen, likita na iya neman hujja akan wannan ta hanyar zubar da ruwa tare da allura don dubawa a ƙarƙashin microscope.
A wasu lokuta, ganewar asali na iya kwatanta bayyanar cututtuka da jerin lab da / ko gwajin hoto.
Nazarin jiki
A yawancin lokuta, ana iya gane ganewar asiri ta hanyar nazari game da alamun bayyanarku da tarihin likita. Bugu da ƙari, jarrabawar jiki, likitanku zai so ya yi bayani game da harin (ciki har da yadda ya fara da kuma tsawon lokacin da ya dade) da kuma gano duk wani hadarin da zai iya taimakawa wajen kai harin.
Wasu alamun kwaikwayo na tsararraki na iya zama isa su tabbatar da ganewar asali, kamar:
- Wani harin kai daya-arthritic (ma'ana kawai hadin gwiwa ɗaya ne)
- Raunin mai tsanani a farkon haɗin gwanin kafa na farko na karamin kafa
- Babban haɗuwa da haɗuwa da ƙusar wuta a rana ɗaya
- Samun fiye da ɗaya hari a cikin wannan hadin gwiwa
Duk da yake wannan yana iya zama abin da likitanku ya buƙaci ya tsara shirin shirin , ƙarin shaida zai iya zama dalili idan wannan ne karo na farko ko kuma idan lokuttuka sun kasance mai tsanani.
Labs da gwaje-gwaje
Tsarin zinariya na yin gwaji ta hanyar cirewa daga ruwa mai tsabta daga haɗin gwiwa kuma neman hujjoji na lu'ulu'u na asibiti na uric (wanda ake kira crystals urate monosodium) a ƙarƙashin microscope. Ruwan haɗin gwal yana da lokacin farin ciki, abu mai launin haske wanda ke haɗin haɗin gwiwa kuma ya lubricate sarari a tsakanin ɗakoki.
Hanyar, wanda aka sani da bincike na ruwa , ya fara tare da allurar rigakafi na gida don rage haɗin gwiwa. Bayan 'yan mintuna kaɗan, likita zai saka wani allura a cikin sararin samaniya don cire samfurin ruwa wanda za'a aika zuwa lab domin bincike.
Bugu da ƙari, yin bincike na lu'ulu'u na uranium na monosodium, jaridar za ta duba manyan matakan gaggawa da kuma shaida na tophus , ƙwayoyin ƙwayoyin uric acid da ke cikin cutar baya-baya.
Daga cikin ɗayan tashar jarrabawar da za'a iya ba da umurni:
- Za a iya gwada gwajin jini na uric acid don bincika matakan acid fiye da 6.8 milligrams ta kowace ƙwararrun (ko da yake mutane da ƙananan matakan zasu iya samun gout).
- Za a iya yin gwajin cutar Urea da kuma halittar halittar jini don ganin ko aikin aikin koda ya ɓace a sakamakon hyperuricemia (wucewar uric acid).
- Za a iya amfani da maganin gaggawa don duba matakan acarin acid a cikin fitsari da kuma tantance yawan hadarin koda.
Gwaje-gwajen Hoto
Don taimakawa tare da ganewar asali, likita na iya yin nazarin gwaje-gwajen hotunan don kimanta halaye na haɗin gwaninta ko don bincika samsoshin kashi na tsakiya wanda yake nuna alakar wariyar launin fata. Zaɓuɓɓukan gwajin hoto sun hada da X-ray, ƙididdigar hoto (CT) , hoton ɗaukar hoto mai haske (MRI) , da kuma duban dan tayi.
Kowane gwajin yana da amfani da ƙuntatawa:
- Hakanan X-rayuka na iya bayyana kasusuwan da yaduwar gurasar amma suna da amfani kawai bayan shekara daya da rashin lafiya.
- CT da MRI za su iya taimakawa wajen gano ƙananan fuska, yashwa kashi, da lalacewar siloti amma, bisa ga wani binciken da aka buga a Turai Radiology, ƙila ya kasa ganewar cutar ta farko.
- Ƙananan magunguna suna da amfani kamar yadda suke da ƙwaƙwalwar ajiya, suna samuwa, kuma basu buƙatar radiation ionizing. Sannan kuma suna iya gano shaidar farko na asusun ajiyar kuɗi, haɗakar ruwa, da kuma fadada sararin samaniya. A ƙasa, ba su iya ganin hangen nesa na haɗin gwiwa ba.
A aikace, ana amfani da magunguna sosai idan kun fara farawa da bayyanar cututtuka ko kuma kai hare-haren. Wasu gwaje-gwaje na hotuna za a iya ba da umurni bisa ga tarihin alamar bayyanarku ko kuma tsananin yanayin ku.
Bincike daban-daban
Duk da yake bayyanar cututtuka na iya zama wanda yafi dacewa ta bayyanarsa kadai, akwai wasu yanayi biyu likitoci zasu dubi cewa suna da siffofin irin wannan al'amuran: kwayar cutar da kuma maganin ƙwararru .
Don bambanta, likita zai dubi abubuwa hudu: binciken bincike na synovial (don bincika shaida na crystallization), sanadin jini (don bincika kamuwa da cutar), al'adar tsabta ta hanyar synovial (don duba kwayoyin cutar), da kuma wurin da zafin haɗin ku.
Gout
Gout zai sami wasu halaye na jiki da halayen da ke raba shi daga wasu cututtuka, wato:
- Nemo bincike mai tsabta: samfurori mai siffar allura
- Rawan jini na jini: a kasa 50,000
- Guruwar al'adu mara kyau: ƙananan (ma'ana babu kamuwa da cuta)
- Yanayi: da farko babban yatsun kafa, kwakwalwan kafa, gwiwa, da ƙananan ƙarancin (tare da hannuwan wuyan hannu, kafafun hannu, hannu, ko yatsunsu a cikin cutar ta baya)
Tsaro
Tsararraki wata yanayin ne inda lu'ulu'un kwayoyin (ba monosodium urate crystals) ke ci gaba a cikin haɗin haɗin gwiwa. Za a iya bambanta cutar daga gout a cikin hanyoyi masu zuwa:
- Binciken haɗin gine-gine na al'ada: lu'ulu'u masu launin rhomboid
- Rawan jini na jini: a kasa 50,000
- Girman al'adu na Gram: ƙananan
- Yanayi: yawanci gwiwa, wuyan hannu, ko babban yatsun
Magungunan Bayani
Magungunan asibiti, wanda aka fi sani da cutar wariyar launin fata, kuma yawanci yakan haifar da kamuwa da kwayar cutar kwayar cuta kuma yana iya zama m idan aka bar shi ba tare da gurguntawa ba. Ya bambanta da gout a cikin wadannan halaye hanyoyi:
- Abubuwan da ake amfani da su a cikin bincike: ba kristal
- Rawan jini na jini: sama da 50,000
- Yanayin hatsi marar kyau: tabbatacce (tabbatar da kamuwa da cutar kwayan cuta)
- Location: da farko gwiwa
> Sources:
> Rettenbacher, T; Ennemoser, S .; Weirich, H. et al. "Hanyoyin da aka gano na gout: kwatanta babban matakan da Amurka ta dauka ta hanyar X-ray." Eur Radiol. 2008; 18 (3): 621-30. DOI: 10.1007 / s00330-007-0802-z.
> Tuhina, N. Jansen, T. Dalbeth, L. et al. "Fassara Nau'in Ƙididdigar Gouttu A Kwalejin Ƙasar Amirka na Rheumatology / Turai Turai ta Gudanar da Harkokin Rheumatism Collaborative Initiative." Arthritis Rheumatol. 2015; 67 (1): 2557-68. DOI: 10.1002 / art.39254.