Nooca Arthritis ah ayaa badanaa la baaray sida Gout
Cudurka pyrophosphate disease (CPPD) waa nooc ka mid ah arthritis. Waxaa keena kaydka kalsiyum fosfate-kristo ee kudubyada oo leh dabeecado isku mid ah oo loogu talagalay gout. Weerarka CPPD si lama filaan ah ayuu u dhici karaa wuxuuna keenaa xanuun daran, barar, iyo naafonimo.
CPPD waxaa loo yaqaanaa magacyo kale oo ay ka mid yahiin pseudogout , oo ah duruuf weyn oo wali lagu isticmaalo habab caafimaad oo badan, iyo shuban-biyood , kaas oo si gaar ah ugu tiirsanaya kaydka kalsiyum ee horumariya goobaha wadajirka ah.
Astaamaha
Iyadoo CPPD-gu, horumarinta calcium ee kudub-dhexaadku waxay kicin kartaa calaamadaha marxaladaha is- qabadsiinta xanuunka barar-xummada sida xanuun, qallaf, barar, daal, qandho hoose, iyo xaddidaadda dhaqdhaqaaqa.
Khatarta weerarka CPPD wuxuu u eg yahay inuu sii kordhayo da'da. Marka loo eego tirakoobka kulliyadda American College of Rheumatology, kalluunka kalsiyumku wuxuu ku dhacaa qiyaastii seddex boqolkiiba dadka qaangaarka ah 50-tii. Tiradaas waxay kor u kaceysaa illaa boqolkiiba 50 marka qofku gaaro 90.
Qof kasta oo sameeya kiriim CPPD wuxuu dareemayaa calaamado. Boqolkiiba 25 dadka sameeya, intooda badani waxay yeelan doonaan xannuuno xanuun jilicsan ama jilicsanaan xanuun iyo barar ah anqawyada , suxulka , gacmaha , curcurka , ama garbaha . Weerarada CPPD waxay socon karaan maalmo yar illaa dhowr toddobaad.
Cudurrada CPPD waxaa laga yaabaa in ay keenaan jirro daran, qalliin, jahawareer, ama fara badan. Muddadii sanadka, cudurku wuxuu sababi karaa sii xumaanshaha sii-dillaaca ee isku-dhafka, taasoo keenta curyaan waqti dheer ah.
Qiyaastii boqolkiiba shan dadka qaba dhibaatooyinka waxay ku dhici doonaan rheumatoid arthritis- durbadiiba waxay ka duwan tahay xaaladaha ka yimaada xubinta taranka (taas oo macnaheedu yahay iskudhacyo isku mid ah dhinacyada kala duwan ee jirka, sida caarada ama jilbaha).
Ciladeynta
Baaritaanka CPPD badanaa waa dib u dhac sababtoo ah calaamadaha sida caadiga ah ayaa lagu qaldamay noocyada kale ee arthritis-ka sida osteoarthritis , rheumatoid arthritis, iyo gout (cudur ay ku sifoobaan sameynta kareemyada uric acid).
Cilad-sheegiddu waxay inta badan ku lug leedahay rabitaanka dareeraha ee ka imanaya isku-dhafka saameynta leh iyo falanqaynta xayiraadaha crystalline ee shaybaarka.
Dhakhtarku wuxuu sidoo kale ku amri karaa baaritaanada imtixaanka sida ultrasound, scan CT- scan, ama MRI scan si loogu caawiyo in lagu ogaado qiyaasaha calcified ee ku xeeran wadajirka.
Daaweynta
Si ka duwan gout, kaas oo kareemooyinka uric acid la kala diri karaa daawooyinka, kristantarrada ku lug leh CPPD waa xal aan loo dhigin (macnaheedu ma awoodo in la kala diro).
Daaweyn, haddaba, waxa diiradda lagu saarayaa ciladda calaamadaha iyo ka hortagga weerarada mustaqbalka. Doorashooyinka dawooyinka waxaa ka mid ah:
- Daawooyinka aan dawooyinka lahayn (anti-inflammatory drugs) (NSAIDs) si loo xakameeyo xanuunka iyo bararka
- Kaadi-yar (Colchicine) , oo badanaa loo isticmaalo turjumista, dadka aan awoodin inay u dulqaataan NSAID
- Cortisone (steroid) cirbadaha loogu talagalay wadaagga ay saameysey si ay u bixiyaan gargaar joogta ah, oo muddo gaaban ah oo ka yimaada barar
- Plaquenil (hydroxychloroquine) ama methotrexate (MTX) xaalado aad u daran si ay u diidaan jawaab celinta difaaca oo ay yareyso barar
Qaliinka waxaa laga yaabaa in loo tixgeliyo in laga saaro tiro kakooban oo laga soo qaaday iskudhafka, inkasta oo loo tixgeliyo in la tijaabiyay xogta xadidan ee lagu taageerayo isticmaalka.
> Ilo:
> Kuleejka American Rheumatology. "Kala-bixinta Calcium Pyrofosphate Depot (CPPD)." Atlanta, Georgia; cusbooneysiiyay March 2017.
> Schlee, S .; Bollheimer, L .; Bersch, T. et al. "Crystal Arthritides: Gout iyo Calcium Pyrophosphate Arthritis / Qaybta 1: Epidemiology iyo Pathophysiology." Z Gerontol Geriatr. 2017. DOI: 10.1007 / s00391-017-1197-3.