Nthuav Qhia

Zoo Siab

• Dab tsi yog qhov txawv ntawm pseudogout thiab gout?
• Dab tsi ua pseudogout?
• Cov tsos mob pseudogout zoo li cas?
• Yuav kuaj li cas thiaj paub hais tias yog pseudogout?
• Cov mob dab tsi tuaj yeem cuam tshuam nrog kev kho mob pseudogout?
• Yuav kho tus mob no li cas?
• Muab cov kua dej tawm
• Cov Tshuaj Kho Mob
• Kev phais mob
• Cov teeb meem cuam tshuam dab tsi nrog pseudogout?
• Qhov tshwm sim mus sij hawm ntev rau cov neeg uas muaj pseudogout yog dab tsi?
• Kuv puas tuaj yeem tiv thaiv pseudogout?

Dab tsi yog pseudogout?

Pseudogout yog ib hom mob caj dab uas ua rau tshwm sim, mob o ntawm koj cov pob qij txha. Nws tshwm sim thaum cov kua siv lead ua kua hauv cov kua hluav taws xob synovial, cov kua dej uas ntub cov pob qij txha. Qhov no ua rau muaj mob thiab mob.

Tus mob no feem ntau cuam tshuam rau lub hauv caug, tab sis nws tuaj yeem cuam tshuam rau lwm cov pob qij txha tib yam. Nws muaj ntau rau cov neeg laus hnub nyoog 60 xyoo.

Pseudogout tseem tseem hu ua calcium pyrophosphate deposition (CPPD).

Dab tsi yog qhov txawv ntawm pseudogout thiab gout?

Cemudogout thiab gout yog ob hom mob caj dab, thiab nws yog ob qho tib si los ntawm kev txuam nrog cov khoom muaju hauv cov pob qij txha.

Thaum pseudogout tshwm sim los ntawm calcium pyrophosphate muaju, gout tshwm sim los ntawm urate (uric acid) muaju.

Dab tsi ua pseudogout?

Pseudogout tshwm sim thaum cov calcium pyrophosphate crystals tsim nyob rau hauv cov kua dej synovial hauv cov pob qij txha. Lub pob khoom kuj tseem tuaj yeem tso nyiaj rau hauv pob txha mos, qhov uas lawv tuaj yeem tsim kev puas tsuaj. Buildup ntawm cov siv lead ua rau qhov sib koom ua ke dej ua rau o pob qij txha thiab mob hnyav.

Cov kws tshawb nrhiav tsis nkag siab meej meej vim li cas cov muaju? Txoj kev pheej hmoo ntawm kev sib sau yuav muaj ntau zuj zus nrog lub hnub nyoog. Crystals tsim nyob hauv kwv yees li ntawm ib nrab ntawm cov neeg muaj hnub nyoog ntawm 85, raws li Arthritis Foundation. Txawm li cas los xij, ntau ntawm lawv tsis muaj pseudogout.

Pseudogout feem ntau tuaj yeem khiav hauv tsev neeg, yog li ntau tus kws kho mob ntseeg tias nws yog kev mob caj ces. Lwm qhov txuam nrog rau suav nrog:

• hypothyroidism, lossis ib txoj kev ua tsis taus qog
• hyperparathyroidism, lossis ib qho kev mob siab tshaj plaw parathyroid
• tshaj hlau nyob rau hauv cov ntshav
• hypercalcemia, lossis ntau cov calcium nyob rau hauv cov ntshav
• magnesium tsis muaj zog

Cov tsos mob pseudogout zoo li cas?

Pseudogout feem ntau cuam tshuam rau lub hauv caug, tab sis nws kuj cuam tshuam cov qij taws, dab teg, thiab lauj tshib.

Cov tsos mob tshwm sim tuaj yeem suav nrog:

• mob pob qij txha ntawm mob tej pob txha
• o ntawm qhov sib koom ua ke
• kua buildup nyob ib ncig ntawm qhov sib koom tes
• mob o

Yuav kuaj li cas thiaj paub hais tias yog pseudogout?

Yog tias koj tus kws kho mob xav tias koj muaj kev kho mob pseudogout, lawv tuaj yeem pom zoo kuaj hauv qab no:

• kev soj ntsuam ntawm kev sib koom ua kua dej los ntawm kev tshem cov kua dej ntawm qhov sib koom ua ke (arthrocentesis) txhawm rau nrhiav cov calcium pyrophosphate muaju
• Kev xoo hluav taws xob ntawm cov pob qij txha txhawm rau kuaj xyuas txhua qhov kev puas tsuaj rau kev sib koom tes, calcification (calcium buildup) ntawm cov pob txha mos, thiab tso nyiaj calcium nyob hauv cov kab noj hniav sib koom ua ke.
• MRI lossis CT scans txhawm rau saib rau thaj tsam ntawm calcium buildup
• ultrasound kuj mus saib rau thaj chaw ntawm calcium buildup

Ntsia cov pob zeb pom pom hauv cov kab noj hniav sib koom tes pab koj tus kws kho mob ua kev kuaj mob.

Tus mob no qhia nrog rau lwm yam mob, yog li nws qee zaum yuav hais tsis raug raws li:

• osteoarthritis (OA), mob qog ua ke los ntawm kev poob pob txha mos
• rheumatoid mob caj dab (RA), mob ntev ntev uas yuav cuam tshuam rau ntau yam kabmob thiab cov nqaij
• gout, uas ua rau mob rau cov ntiv taw thiab ko taw ib txwm tab sis tuaj yeem cuam tshuam rau lwm cov pob qij txha

Cov mob dab tsi tuaj yeem cuam tshuam nrog kev kho mob pseudogout?

Pseudogout qee zaum tuaj yeem cuam tshuam nrog lwm yam mob, xws li:

• cov thyroid cuam tshuam hypothyroidism thiab hyperparathyroidism
• hemophilia, lim ntshav los ntshav uas tiv thaiv kom ntshav txhob los ntshav kom xwm yeem
• ochronosis, ib qho mob uas ua rau cov xim tsaus nti tso nyiaj hauv pob txha mos thiab lwm cov ntaub so ntswg sib txuas
• amyloidosis, ib qho kev txhim kho ntawm cov protein tsis txaus hauv cov ntaub so ntswg
• hemochromatosis, ib qib siab tsis txaus ntawm cov hlau nyob rau hauv cov ntshav

Yuav kho tus mob no li cas?

Tam sim no tsis muaj txoj kev kho kom tshem tau cov nyiaj siv lead ua.

Muab cov kua dej tawm

Koj tus kws kho mob tuaj yeem tso cov kua dej synovial los ntawm kev sib koom tes txhawm rau txo lub siab ntawm qhov sib koom tes thiab txo qhov mob.

Cov Tshuaj Kho Mob

Txhawm rau pab tiv thaiv mob hnyav, koj tus kws kho mob tuaj yeem sau tshuaj nonsteroidal anti-inflammatory tshuaj (NSAIDs) kom txo qhov o thiab txo qhov mob.

Koj yuav tsis tuaj yeem siv tshuaj NSAIDs yog tias:

• koj noj tshuaj ntshav kom ntshav, xws li warfarin (Coumadin)
• koj lub raum tsis ua haujlwm
• koj muaj keeb kwm mob ncauj plab

Txhawm rau pab txo qis kev phom sij ntxiv, koj tus kws kho mob tuaj yeem sau cov tshuaj colchicine (Colcrys) lossis NSAIDs tsawg.

Lwm yam tshuaj siv los kho tus mob pseudogout muaj xws li:

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

Kev phais mob

Yog tias koj cov pob qij txha npleem tawm, koj tus kws kho mob yuav pom zoo kom muaj kev phais kho kho lossis hloov kho.

Cov teeb meem cuam tshuam dab tsi nrog pseudogout?

Qee qhov xwm txheej, cov kua siv lead ua ntim rau hauv cov kua dej synovial tuaj yeem ua rau kev sib koom ua ke tas mus li. Cov pob qij txha uas raug cuam tshuam los ntawm kev hais txog pob txuv tuaj yeem tuaj yeem tsim cov hlwv lossis pob txha spurs, uas yog kev loj hlob uas lo rau ntawm cov pob txha.

Hnoos qeev kuj tuaj yeem ua rau pob txha mos poob.

Qhov tshwm sim mus sij hawm ntev rau cov neeg uas muaj pseudogout yog dab tsi?

Cov tsos mob ntawm daim pseudogout tuaj yeem nyob ntawm txhua ob peb hnub mus rau ntau lub lis piam. Feem ntau ntawm cov neeg muaj peev xwm tswj hwm cov tsos mob zoo heev nrog kev kho mob.

Complementary tshuaj tom tsev xws li kho txias yuav coj kev pab ntxiv.

Kuv puas tuaj yeem tiv thaiv pseudogout?

Txawm hais tias koj tsis tuaj yeem tiv thaiv tus mob, koj tuaj yeem nrhiav kev kho mob los txo qhov mob thiab txo qis mob. Kho cov mob hauv qab uas ua rau mob pseudogout tuaj yeem ua rau nws txoj kev loj hlob qeeb dua thiab txo qis dua qhov mob hnyav.