Gout amathandizidwa bwanji
Zamkati
- Mankhwala akuluakulu a mankhwala
- 1. Chithandizo cha matenda a gout
- 2. Kulamulira uric acid
- Zakudya zimasintha
Pofuna kuchiza matenda a gout, asayansi omwe amatchedwa Gouty Arthritis, tikulimbikitsidwa kumwa mankhwala omwe amagwiritsa ntchito uric acid, monga Colchicine, Allopurinol kapena Probenecida, yomwe imachepetsa uric acid mthupi, kudzikundikira kwa malo ogwirira, komanso pewani kuwoneka kwamavuto.
Pakakhala vuto la gout, momwe mumakhala kutupa kwakukulu komanso kupweteka pachilumikizo, dokotala nthawi zambiri amatsogolera kugwiritsa ntchito mankhwala osokoneza bongo. Munthu amene ali ndi matendawa amayeneranso kusamala ndi chakudya chake m'miyoyo yawo yonse kuti apewe kukulitsa zizindikilo ndi zovuta zomwe gout imatha kuyambitsa, monga kupunduka palimodzi ndi kuwonongeka kwa impso, mwachitsanzo.
Gout ndi nyamakazi yotupa yomwe imatha kupweteka kwambiri pakamenyedwa, yomwe imawoneka modzidzimutsa, yoyambitsidwa ndi crystallization ya uric acid yomwe imayikidwa mkati mwamalumikizidwe, nthawi zambiri mwa anthu omwe ali ndi uric acid yambiri. Mvetsetsani chomwe chimayambitsa gout ndi zomwe zizindikiro zake.
Mankhwala akuluakulu a mankhwala
Chithandizo cha gout chitha kutsogozedwa ndi rheumatologist kapena dokotala wamba, ndipo chimatha kusiyanasiyana ngati munthuyo ali pamavuto kapena ngati chithandizo chokwanira cha matendawa. Malangizo pamlanduwu ndi awa:
1. Chithandizo cha matenda a gout
Pofuna kuchiza matenda a gout, omwe amatchedwanso pachimake pachimake, adotolo akukulangizani zamankhwala omwe amathandiza kuti muchepetse kutupa. Zikuluzikulu ndizo:
- Anti-zotupa, monga Naproxen, Ketoprofen, Ibuprofen kapena Indomethacin, mwachitsanzo: amawonetsedwa kuti athetse matenda a nyamakazi, atangoyamba kumene, ndipo ayenera kusamalidwa mpaka mavutowo atathe, pafupifupi sabata limodzi;
- Corticosteroids, monga Prednisone, Prednisolone, Methylprednisolone kapena Triamcinolone, mwachitsanzo: amakhalanso ndi zotsutsana ndi zotupa, ndipo atha kugwiritsidwa ntchito m'mapiritsi kapena jakisoni yemwe amatha kukhala wamisempha kapena atha kugwiritsidwanso ntchito molumikizana ndi omwe akhudzidwa, yachangu komanso yothandiza;
- Colchicine: ndi mtundu wina wotsutsa-kutupa womwe ukuwonetsedwa kuti uthandizire kuthana ndi vuto la gout mwachangu, ndipo zotsatira zake zimakhala bwino zikayamba m'maola oyambilira. Dziwani zambiri za momwe imagwirira ntchito komanso momwe mungagwiritsire ntchito mankhwalawa ku Colchicine.
Mankhwalawa ayenera kugwiritsidwa ntchito mosamala, monga adalangizira adotolo, chifukwa amatha kuyambitsa zovuta zina monga nseru, kusanza, kutsekula m'mimba kapena kuwonjezera chiopsezo cha kutuluka magazi m'mimba, makamaka ngati agwiritsidwa ntchito molakwika.
2. Kulamulira uric acid
Pambuyo pothana ndi vuto la gout, njira zodzitetezera zitha kuyambitsidwa kuti ziteteze kuukira kwina ndikuchepetsa uric acid m'magazi. Zimasonyezedwa makamaka wodwalayo akakomoka kawiri kapena kupitilira apo pachaka, ngati ali ndi tophi m'malo olumikizirana mafupa, matenda a impso kapena mbiri yamiyala ya impso chifukwa cha uric acid wambiri.
Ena mwa mankhwala omwe amagwiritsidwa ntchito ndi awa:
- Kuthamanga: ndi mankhwala omwe amagwiritsidwa ntchito pochepetsa uric acid m'magazi, amachepetsa milingo yake komanso kuthekera kukuunjikira m'malo olumikizirana mafupa;
- Mankhwala a Uricosuric, monga Probenecida: kuthandizira kukulitsa kuthetsedwa kwa uric acid mkodzo.
Mankhwala ena atsopano, monga Febuxostate kapena Pegloticase, ndi omwe amaletsa uric acid mapangidwe, komanso njira yothandizila kuchiza, ngati ena sangagwiritsidwe ntchito, chifukwa cha chifuwa kapena kusagwirizana, mwachitsanzo. Komanso, onani momwe mungadziwire ndikumenya uric acid.
Zakudya zimasintha
Pakudya gout, tikulimbikitsidwa kupewa zakudya zokhala ndi zomanga thupi zambiri, monga nsomba, nyama zazing'ono zazing'ono komanso nyama zanyama, chifukwa zimagwiritsa ntchito purine metabolism ndipo zimakulitsa uric acid m'magazi.
Mfundo ina yofunika ndikuwonjezera kumwa madzi ndikupewa zakumwa zoledzeretsa, makamaka mowa, kukonda mkaka wopanda mafuta ambiri ndi yogurt.
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