Calcium pyrophosphate arthritis

Kalsiyum pyrophosphate dihydrate (CPPD) arthritis waa cudur wadajir ah oo sababi kara weerarada arthritis. Sida turqo, kristantarradu waxay ku samaysmaan laabatooyinka. Laakiin arthritis-kan, kristantarradu kama samaysan yihiin uric acid.

Ku shubista kaalshiyam pyrophosphate dihydrate (CPPD) ayaa sababa qaabkan arthritis-ka. Soo-saarista kiimikadaan waxay ka samaysan tahay kristantarro ku jira carjawda kala-goysyada. Tani waxay keenaysaa weeraro barar wadajir ah iyo xanuun jilbaha, curcurada, anqawyada, garbaha iyo kalagoysyada kale. Marka la barbardhigo gout, wadajirka metatarsal-phalangeal ee suulka weyn saameyn kuma yeesho.

Dadka qaangaarka ah, CPPD waa sababaha ugu badan ee kadis ah (ba'an) arthritis-ka hal wadajir. Weerarka waxaa sababay:

• Dhaawaca kalagoysyada
• Cirbadda Hyaluronate ee kala-goysyada
• Jirro caafimaad

Cudurka 'CPPD arthritis' wuxuu inta badan ku dhacaa waayeelka maxaa yeelay wadajirka wadajirka ah iyo osteoarthritis ayaa ku kordha da'da. Burburka noocan oo kale ah wuxuu kordhiyaa u janjeeridda dhigaalka CPPD. Si kastaba ha noqotee, cudurka 'CPPD arthritis' wuxuu mararka qaarkood saameyn ku yeelan karaa dadka da'da yar ee qaba xaaladaha sida:

• Hemochromatosis
• Cudurka Parathyroid
• Kelyaha cillad-darrada ku-tiirsan oo ku-tiirsan

Xaaladaha badankood, CPPD arthritis ma keenaan wax calaamado ah. Taabadalkeed, raajada xubnaha kaladuwan ee ay saameeyeen sida jilbaha waxay muujinayaan kaydka astaamaha ee kalsiyum.

Dadka qaarkood ee leh kaydinta joogtada ah ee CPPD ee kala-goysyada waaweyn waxay yeelan karaan astaamaha soo socda:

• Xanuun
• Barar
• Diirimaad
• Guduudasho

Weerarrada xanuunka wadajirka ah waxay socon karaan bilo. Ma jiri karaan astaamo u dhexeeya weerarada.

Dadka qaarkiis CPPD arthritis wuxuu dhaawac daran u geystaa kala-goysyada.

Cudurka 'CPPD arthritis' wuxuu sidoo kale ku dhici karaa lafdhabarta, labadaba hoose iyo sare. Cadaadiska dareemayaasha laf-dhabarka waxay sababi karaan xanuun gacmaha ama lugaha ah.

Sababtoo ah astaamuhu waa isku mid, CPPD arthritis-ka waxaa lagu qaldi karaa:

• Arthritis gouty (turqo)
• Cudurka Osteoarthritis
• Rheumatoid arthritis

Xaaladaha arthritic badankood waxay muujiyaan astaamo isku mid ah. Si taxaddar leh u tijaabinta dheecaanka wadajirka ah ee loo yaqaan 'crystals' ayaa ka caawin kara dhakhtarka inuu ogaado xaaladda.

Waxaad mari kartaa tijaabooyinka soo socda:

• Imtixaanka wadajirka ah ee dareeraha ah si loo ogaado unugyada dhiigga cad iyo kalsiyam pyrophosphate crystals
• Raajooyin wada jir ah si loo raadiyo dhaawaca wadajirka ah iyo kaydka kalsiyum ee meelaha wadajirka ah
• Tijaabooyinka kale ee sawir wadajirka ah sida CT scan, MRI ama ultrasound, haddii loo baahdo
• Tijaabooyinka dhiigga si loo baaro xaaladaha ku xiran kaalshiyamka pyrophosphate arthritis

Daaweyntu waxay ku lug yeelan kartaa ka saarista dareeraha si loo yareeyo cadaadiska ku dhaca laabatooyinka. Cirbad ayaa la gelinayaa kala-goysyada dheecaanka ayaa la marsiinayaa. Qaar ka mid ah xulashooyinka daaweynta caadiga ah waa:

• Cirbadaha isteeroydhiska: si loo daaweeyo kala-goysyada oo barara si daran
• Daawooyinka afka laga qaato: si loo daaweeyo kalagoysyo badan oo bararsan
• Daawooyinka anti-bararka ee nonsteroidal (NSAIDs): si loo yareeyo xanuunka
• Colchicine: si loo daaweeyo weerarada cudurka 'CPPD arthritis'
• Xanuunka joogtada ah ee loo yaqaan 'CPPD arthritis' ee ku dhaca kala goysyada kala duwan ee methotrexate ama hydroxychloroquine ayaa laga yaabaa inuu ku caawiyo

Dadka badankood waxay ku fiicnaadaan daaweynta si loo yareeyo xanuunka daran ee wadajirka ah. Daawada sida colchicine ayaa kaa caawin karta kahortagga weerarada soo noqnoqda. Ma jirto wax daaweyn ah oo laga saarayo kristantarrada 'CPPD'.

Burbur joogto ah ayaa dhici kara daaweyn la'aan.

Wac bixiyaha xanaanada caafimaadkaaga hadii aad isku aragto weeraro barar wadajirka ah iyo kalagoys xanuun.

Ma jiro hab la yaqaan oo looga hortago cilladan. Si kastaba ha noqotee, daaweynta dhibaatooyinka kale ee sababi kara cudurka 'CPPD arthritis' ayaa laga yaabaa inay xaaladda ka dhigto mid aad u daran.

Booqashooyinka dabagalka ah ee joogtada ah ayaa laga yaabaa inay ka hortagaan waxyeelada joogtada ah ee kalagoysyada waxyeeladu gaadhay.

Calcium pyrophosphate cudurka dhigaalka dhigaalka; Cudurka CPPD; Xanuun daran / dabadheeraad ah CPPD arthritis; Been abuurka; Pyrophosphate arthropathy; Chondrocalcinosis

• Barar garabka wadajirka ah
• Cudurka Osteoarthritis
• Qaab dhismeedka wadajirka

Andrés M, Sivera F, Pascual E. Daaweynta loogu talagalay CPPD: xulashooyinka iyo caddaynta. Curr Rheumatol Rep. 2018; 20 (6): 31. PMID: 29675606 pubmed.ncbi.nlm.nih.gov/29675606/.

Edwards NL. Cudurada ku dhaca dhigaalka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 257.

Terkeltaub R. Kalsiyum Cudur kristal: kalsiyum pyrophosphate dihydrate iyo kaalshiyam aasaasi ah. Gudaha: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley iyo Firestein's Buugga Buugga Rheumatology. 10aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 96.