Pseudoguta Imprimare Email
Pseudoguta este o boala a articulatiilor. Ca si in cazul gutei, boala implica formarea de cristale in interiorul articulatiilor. Diferenta consta in faptul ca in cazul pseudogutei, cristalele formate sunt din saruri si nu din acid uric.


SIMPTOME


     - atacuri de dureri articulare si acumulare de lichid in articulatie, ceea ce duce la umflaturi
     - artrita cronica
     - lipsa simptomelor intre atacuri


CAUZE


Pseudoguta este cauzata de depunerea de pirofosfat de calciu in articulatii. Pseudoguta afecteaza in principal persoanele in varsta. Totusi, poate afecta si persoanele tinere care sufera de boli precum:
     - acromegalie
     - boli ale paratiroidelor
     - boli ale tiroidei
     - boala Wilson

Deoarece are simptome similare, pseudoguta poate fi diagnosticata gresit ca:
     - guta
     - osteoartrita
     - artrita reumatoida

 

TRATAMENT


Scopul tratamentului este de a reduce durerea si umflaturile. Nici un tratament nu poate indeparta cristalele de pirofosfat de calciu din articulatii. Tratamentul poate sa includa.
     Medicamente antiinflamatoare non-steroidiene. Medicamentele de tipul ibuprofenului, naproxenului si indometacinului pot cauza sangerari stomacale si pot altera functia rinichilor.
     Colchicina. Medicamentul reduce inflamatia la persoanele care au guta dar este eficient si la persoanele care sufera de pseudoguta care nu pot lua antiinflamatoare non-steroidiene. Efectele secundare includ dureri de stomac, greata, varsaturi si diaree. In cazuri rare pot sa apara si sangerari.
     Aspirarea articulatiilor si injectii. Pentru a reduce durerea si presiunea dintr-o articulatie afectata, medicul va introduce un ac si va elimina o parte din lichidul articulatiei. Apoi va injecta un corticosteroid pentru a scadea inflamatia si un anestezic pentru a amorti temporar articulatia.
     Odihna. Limitarea miscarilor articulatiei asociata cu administrarea de medicamente poate reduce durerea si umflaturile. Medicul va poate recomanda limitarea activitatilor pentru o perioada.

In cazul in care pseudoguta este provocata de leziuni ale articulatiilor, tratamentul cauzei va ameliora simptomele.

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