Puas yog Gout lossis Pseudogout?

Zoo Siab

• Txheej txheem cej luam
• Cov tsos mob pseudogout thiab gout
• Ua rau pseudogout thiab gout
• Yam pheej hmoo
• Kev kuaj pom ntawm pseudogout thiab gout
• Lwm yam mob
• Kho mob pseudogout thiab gout
• Gout
• Nthuav Qhia
• Tiv thaiv pseudogout thiab gout
• Cov nqa mus

Txheej txheem cej luam

Gout thiab pseudogout yog hom mob caj dab. Lawv ua rau mob thiab o hauv cov pob qij txha. Ob qho xwm txheej ntawm cov mob no yog tshwm sim los ntawm cov khoom siv ntse uas khaws hauv cov pob qij txha. Vim li no lawv thiaj tseem hu ua kev mob caj dab thiab cov pob qij txha pob txha.

Gout thiab pseudogout qee zaus yuam kev rau lwm yam kev mob ua ke, xws li:

• rheumatoid mob caj dab
• osteoarthritis
• carpal qhov syndrome
• kis mob caj dab
• ankylosing spondylitis

Qhov sib txawv ntawm gout thiab pseudogout muaj xws li qhov twg mob tshwm sim thiab hom muaju uas ua rau nws. Txoj kev kho kuj txawv.

Gout feem ntau tshwm sim hauv cov ntiv taw loj. Nws kuj tseem tuaj yeem cuam tshuam cov pob qij txha xws li:

• ntiv tes sib koom tes
• lub hauv caug
• pob luj taws
• dab teg

Pseudogout tseem tseem hu ua calcium pyrophosphate deposition disease (CPPD). Raws li nws lub npe qhia, pseudogout yog feem ntau yuam kev rau gout. CPPD tshwm sim hauv lub hauv caug thiab lwm qhov sib koom ua ke loj dua, suav nrog:

• ntsag
• pob luj taws
• lauj tshib
• dab teg
• xub pwg
• tes

Cov tsos mob pseudogout thiab gout

Gout thiab pseudogout ua rau cov tsos mob zoo sib xws hauv cov pob qij txha. Ob qho tib si tuaj yeem ua rau cov tsos mob tshwm sim sai. Los yog, lawv tuaj yeem tsim tawm los ntawm kev raug mob me, xws li ntaus koj lub hauv caug lossis lub luj tshib tiv thaiv qee yam.

Gout thiab pseudogout tuaj yeem ua rau ob qho tib si:

• dheev, mob heev
• o tuaj
• rhiab
• liab
• sov so ntawm qhov chaw ntawm qhov mob

Kev raug mob gout ua rau mob sai, mob nrawm nrawm yuav mus txog 12 teev. Cov tsos mob mam li txo rau ob peb hnub. Qhov mob ploj mus tom qab ib lub lim tiam txog 10 hnub. Li ntawm 60 feem pua ​​ntawm cov neeg muaj tus mob gout yuav muaj lwm qhov hauv ib xyoos. Yog tias koj mob gout ntev, koj tuaj yeem tawm tsam lossis mob ntau zaus.

Pseudogout tawm tsam kuj yog cia li. Txawm li cas los xij, qhov mob feem ntau nyob qis qis thiab tuaj yeem siv sijhawm ntau hnub lossis ntau vas thiv. Qee tus neeg yuav muaj qhov mob lossis tsis xis nyob uas tsis ploj mus. Pseudogout mob zoo li mob mob pob txha caj dab los yog mob caj dab.

Ua rau pseudogout thiab gout

Koj tuaj yeem mob gout yog tias koj muaj uric acid ntau nyob hauv koj cov ntshav. Qhov no ua rau cov sodium urate muaju los tsim cov pob qij txha. Theem cov uric acid yuav tshwm sim thaum:

• lub cev ua rau muaj cov uric acid ntau dhau
• ob lub raum tsis tau xoo lossis uric acid ceev txaus
• koj noj ntau cov zaub mov uas ua rau uric acid, xws li nqaij, taum qhuav, nqaij nruab deg, thiab dej cawv

Lwm yam mob yuav ua rau koj muaj mob gout. Cov no suav nrog:

• mob ntshav qab zib
• ntshav siab
• cov roj (cholesterol) siab
• kab mob plawv

Pseudogout tshwm sim los ntawm calcium pyrophosphate dihydrate muaju hauv cov pob qij txha. Lub iav ci ua rau mob thaum lawv nkag mus rau hauv cov kua dej hauv qhov sib koom ua ke. Cov ua rau muaju no tseem tsis tau paub meej.

Pseudogout qee zaum xav hais tias yog vim lwm tus mob, xws li teeb meem muaj cov thyroid.

Yam pheej hmoo

Gout tshwm sim rau cov txiv neej ntau dua li poj niam txog thaum muaj hnub nyoog 60 xyoo. Cov txiv neej uas muaj hnub nyoog 40 txog 50 xyoo feem ntau yog gout. Cov poj niam feem ntau tau gout tom qab lawm.

Pseudogout ib txwm muaj tshwm sim rau cov neeg laus hnub nyoog 50 xyoos lossis tshaj saud. Cov neeg laus dua muaj qhov pheej hmoo mob siab ntawm qhov sib koom tes no. Hauv lub tebchaws United States, yuav luag 50 feem pua ​​ntawm cov neeg muaj hnub nyoog ntawm 85 xyoo muaj pseudogout. Nws yog me ntsis ntau dua hauv cov poj niam dua li tus txiv neej.

Kev kuaj pom ntawm pseudogout thiab gout

Koj yuav tsum tau kuaj lub cev kom kuaj mob gout thiab pseudogout. Koj tus kws kho mob kuj yuav saib koj cov keeb kwm kho mob. Qhia rau koj tus kws kho mob txog cov tsos mob koj muaj thiab thaum twg koj muaj.

Kev kuaj ntshav tuaj yeem qhia tau yog tias koj muaj uric acid siab hauv koj lub cev. Qhov no txhais tau tias koj muaj gout.

Koj kuj tseem yuav tau muaj lwm txoj kev kuaj ntshav mus kuaj mob pseudogout lossis gout. Kev kuaj ntshav kuj tseem pab tswj hwm lwm yam mob uas ua rau mob tej pob txha. Koj tus kws kho mob yuav kuaj:

• cov ntshav ntxhia qib, xws li calcium, phosphorus, magnesium, phosphatase
• ntshav theem ntshav
• cov thyroid hormones txaus

Yog tias koj muaj tej yam kev mob pob txha, koj tus kws kho mob yuav xa koj mus rau xoo hluav taws xob. Koj tseem yuav tso duab hluav taws xob (ultrasound) lossis CT scan. Kev sojntsuam yuav pom kev puas tsuaj hauv pob qij txha thiab pab nrhiav qhov ua rau.

Kev xoo hluav taws xob kuj tuaj yeem ua rau pom lub pob zeb hauv qhov sib koom ua ke, tab sis tsis zoo li cas muaju. Qee zaum, pseudogout muaju yuav yuam kev rau gout muaju.

Cov kua dej ua ke tuaj yeem muab los ntawm qhov sib koom ua ke. Qhov no suav nrog siv rab koob ntev. Koj tus kws kho mob tuaj yeem loog thaj chaw nrog qab zib lossis pleev ua ntej. Cov kua dej xa mus rau ib qhov chaw kuaj ntshav kuaj xyuas seb puas muaj tus cim qhia txog tus mob.

Ib txoj hauv kev kws kho mob tuaj yeem qhia tau yog tias koj muaj gout lossis pseudogout yog saib cov muaju. Lub ntsej muag tawm yog tshem tawm cov kua dej sib koom ua ke. Tom qab ntawd, cov duab ci yog tshuaj xyuas nrog lub tshuab tsom iav.

Gout muaju yog rab koob-puab. Pseudogout muaju yog muaj duab plaub thiab zoo li me me cib.

Lwm yam mob

Gout thiab pseudogout tuaj yeem tshwm sim ua ke hauv qee zaus tsis tshua muaj. Cov kev tshawb fawb txog kev kho mob tau qhia txog tus neeg muaj hnub nyoog 63-xyoos uas mob hauv caug. Kev haus dej tau tshem tawm ntawm qhov sib koom ua ke thiab kuaj xyuas. Nws tau pom tias muaj cov muaju rau ob qho xwm txheej hauv lub hauv caug. Tseem muaj kev tshawb nrhiav ntxiv txog tias yuav ua tau qhov xwm txheej li cas.

Koj tuaj yeem muaj pseudogout thiab lwm yam kev sib koom tes, xws li osteoarthritis. Koj tseem tuaj yeem muaj pseudogout thiab mob hauv qhov sib koom tes.

Kho mob pseudogout thiab gout

Ob leeg gout thiab pseudogout tuaj yeem ua kev puas tsuaj koj pob qij txha. Kho cov mob no yog qhov tseem ceeb los pab tiv thaiv kom tsis txhob muaj teeb meem thiab tiv thaiv koj lub cev. Kev kho mob gout thiab pseudogout nws txawv rau ntau qhov laj thawj.

Gout

Kev kho cov mob Gout tuaj yeem kho tau los ntawm kev txo qis uric acid ntau hauv koj cov ntshav. Qhov no pab ua kom tshem tau cov koob npe nrov uas muaj npe hauv cov pob qij txha. Cov tshuaj khomob kho gout los ntawm kev txo uric acid suav nrog:

• xanthine oxidase inhibitors (Aloprim, Lopurin, Uloric, Zyloprim)
• uricosurics (Probalan, Zurampic)

Nthuav Qhia

Nws tsis muaj tshuaj kho rau ntau cov muaj hnub yug hauv lub cev. Koj tus kws kho mob yuav hais qhia kom hno cov dej ntau dhau ntawm qhov sib koom tes. Qhov no yuav pab tshem qee qhov siv lead ua. Qhov no suav nrog kev zom thaj tsam thiab siv rab koob ntev kom nqus lossis haus dej ntawm qhov sib koom ua ke.

Pseudogout feem ntau yog kho los ntawm cov tshuaj uas pab tswj kev hnov ​​mob thiab o. Cov tshuaj no tseem siv los kho cov mob gout. Lawv suav nrog cov tshuaj uas noj ntawm qhov ncauj lossis txhaj rau hauv cov leeg:

• nonsteroidal anti-inflammatory tshuaj (NSAIDs), xws li ibuprofen (Advil), naproxen (Aleve), thiab celecoxib (Celebrex)
• colchicine mob ib ce tshuaj (Colcrys, Mitigare)
• corticosteroid tshuaj tiv thaiv kev tiv thaiv, xws li prednisone
• methotrexate
• anakinra (Kineret)

Thaum muaj mob hnyav, yuav tau phais koj tus mob kom pab kho tej pob txha. Nws tseem muaj peev xwm koj tseem yuav xav tau qee qhov mob daws thiab tshuaj ua kom zoo tom qab phais mob.

Tom qab ntawd, kev tawm dag zog lub cev thiab kev tawm dag zog hauv tsev yog qhov tseem ceeb heev kom koj pob qij txha yoog thiab noj qab haus huv. Koj tus kws kho mob yuav qhia koj thaum nws muaj kev nyab xeeb tawm dag zog tom qab koj zoo los ntawm kev phais mob.

Tiv thaiv pseudogout thiab gout

Kev noj haus thiab kev ua neej pauv tuaj yeem txo qis uric acid hauv lub cev. Qhov no yuav pab tiv thaiv gout. Lub Pob Txha Lub Pob Txha Xav ua kom hloov cov kev hloov no rau koj txoj kev noj haus txhua hnub:

• tsum tsis txhob noj lossis txwv tsis pub ua nqaij liab thiab qwj ntses
• txo kev haus dej haus cawv, tshwj xeeb tshaj yog npias
• tsum tsis haus dej qab zib thiab lwm yam dej haus uas muaj fructose qab zib

Nws tseem ceeb heev kom muaj lub cev noj qab haus huv. Kev pham muaj kev phom sij ntau ntxiv rau qhov gout.

Qee cov tshuaj muaj peev xwm nce qib uric acid ntau ntxiv. Koj tus kws kho mob yuav txiav lossis hloov cov tshuaj xws li:

• tshuaj tso ntshav muaj ntshav siab
• tiv thaiv kab mob tshuaj

Kev tiv thaiv kab mob yog qhov nyuaj nyuaj los tiv thaiv. Qhov no yog vim hais tias muaj tseeb qhov ua rau muaju tsis tau tsis tau paub. Koj tuaj yeem pab tiv thaiv kev pseudogout tawm tsam thiab sib koom tes nrog kev kho mob nrog kev kho mob.

Cov nqa mus

Gout thiab pseudogout muaj cov kev mob sib xws heev. Txawm li cas los xij, cov laj thawj, kev kho mob, thiab kev tiv thaiv rau cov mob no sib txawv.

Koj tuaj yeem xav tau ntau qhov kev kuaj kom paub seb dab tsi ua rau koj qhov mob sib koom tes. Ob yam mob no yuav kho tau.

Mus ntsib koj tus kws kho mob tam sim ntawd yog tias koj muaj mob pob qij txha. Kev kho thaum ntxov yog ib qho tseem ceeb uas yuav pab tiv thaiv kev puas tsuaj rau koj cov pob qij txha thiab lwm yam mob, xws li mob raum.

Yog tias koj muaj gout lossis pseudogout, koj yuav tsum muaj kev kho mob thiab kev hloov pauv hauv lub neej los pab ua kom koj cov pob qij txha noj qab haus huv. Tham nrog koj tus kws kho mob, tus kws qhia noj haus, thiab kws saib xyuas lub cev txog cov tshuaj zoo tshaj plaws, kev noj zaub mov zoo, thiab kev npaj ua kom tawm dag zog rau koj.