Gout: chomwe chiri, chimayambitsa, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Matendawa amapezeka bwanji
• Zifukwa za gout
• Momwe mankhwalawa amachitikira
• Zakudya zizikhala bwanji

Matenda a gout kapena gouty, omwe amadziwika kuti rheumatism m'mapazi, ndi matenda otupa omwe amayamba chifukwa cha uric acid m'magazi, vuto lotchedwa hyperuricemia momwe kuchuluka kwa urate m'magazi ndikoposa 6.8 mg / dL, komwe kumayambitsa zambiri Ululu wamagulu. Zizindikiro zake zimaphatikizira kutupa, kufiira komanso kupweteka mukasuntha cholumikizira, chomwe chimakhudzidwa kwambiri, nthawi zambiri, ndi chala chachikulu chakumapazi, chomwe chimapweteka, makamaka poyenda.

Ndikofunika kudziwa kuti si anthu onse omwe ali ndi uric acid ambiri omwe angatulukire gout, chifukwa matendawa amadalira pazinthu zina.

Kuukira kwa Gout kumapita patsogolo, ndipo zomwe mungachite ndikusintha zakudya zanu kuti muchepetse uric acid m'magazi anu komanso kugwiritsa ntchito mankhwala oletsa kutupa kuti muchepetse ululu ndi kutupa, monga Ibuprofen, Naproxen kapena Colchicine. Komabe, ndikofunikira kuwongolera kuchuluka kwa uric acid m'magazi kuti muteteze kuukira kwa gout ndi zovuta zomwe sizingasinthe, monga kupunduka kwamafundo.

Pofuna kuchepetsa uric acid m'magazi, rheumatologist kapena dokotala aliyense angalimbikitse kugwiritsa ntchito mankhwala oletsa kupanga uric acid, monga Allopurinol, kapena mankhwala othandizira impso kuchotsa uric acid mumkodzo, monga Probeneced.

Zizindikiro zazikulu

Zizindikiro za gout zimadza chifukwa chofunafuna timibulu ta uric acid m'malo olumikizirana mafupa, zomwe zimabweretsa kupweteka kophatikizana komwe kumatha masiku angapo ndikuwonjezeka poyenda, kuphatikiza pakuwonjezera kutentha kwanuko, edema ndi kufiira.

Ululu, womwe umayamba m'mawa kwambiri, umakhala wolimba mokwanira kudzutsa wodwalayo ndipo umakhala pafupifupi maola 12 mpaka 24, komabe, pambuyo poti munthuyo akumva kuwawa palimodzi palimodzi, makamaka akasuntha, omwe amatha kukhala ochepa masiku mpaka milungu, makamaka ngati gout sakuchiritsidwa bwino.

Kuphatikizana kulikonse kumatha kukhudzidwa, komabe gout imachitika pafupipafupi m'miyendo, makamaka zala zazikulu zakumapazi. Pakhoza kukhala mapangidwe amiyala ya impso ndi kuyika kwa makhiristo a uric acid pansi pa khungu, ndikupanga zotupa pa zala, zigongono, mawondo, mapazi ndi makutu, mwachitsanzo.

Dziwani momwe mungazindikire zizindikiro za gout.

Matendawa amapezeka bwanji

Kuzindikira kwa gout kumachitika malinga ndi mbiri ya wodwalayo, kuyezetsa thupi ndi mayeso owonjezera, monga magazi ndi mkodzo muyeso wa uric acid, kuphatikiza pama radiographs.

Muyeso wagolide wodziwitsa gout ndikuwona makhiristo kudzera mu microscopy.

Zifukwa za gout

Gout imachitika chifukwa cha hyperuricemia, yomwe imafanana ndi kuchuluka kwa uric acid m'magazi, zomwe zimatha kuchitika chifukwa cha kuchuluka kwa uric acid komanso chifukwa chakuchepa kwa kuchotsedwa kwa chinthuchi. Zina zomwe zimayambitsa gout ndi izi:

• Kumwa mankhwala osakwanira;
• Kugwiritsa ntchito okodzetsa mopambanitsa;
• Kumwa mowa mwauchidakwa;
• Kumwa mopitirira muyeso zakudya zokhala ndi mapuloteni, monga nyama zofiira, ana, nsomba ndi nyemba, monga nandolo, nyemba kapena mphodza;
• Matenda ashuga;
• Kunenepa kwambiri;
• Osalamulira ochepa matenda oopsa;
• Matenda a m'mimba.

Chifukwa cha kuchuluka kwa uric acid woyenda, pamakhala kuyikika kwa makhiristo a monosodium urate, omwe ndi mawonekedwe olimba a uric acid, m'malo olumikizirana mafupa, makamaka zala zazikulu zam'manja, akakolo ndi mawondo.

Kupezeka kwa gout kumakhala kofala kwambiri kwa anthu onenepa kwambiri kapena onenepa kwambiri, omwe amakhala moyo wongokhala komanso omwe ali ndi matenda osachiritsika omwe sakulamulidwa bwino. Kuphatikiza apo, gout imakonda kupezeka mwa amuna azaka zapakati pa 40 ndi 50 komanso azimayi atatha kusamba, nthawi zambiri amakhala azaka 60.

Momwe mankhwalawa amachitikira

Chithandizo cha gout chimagawika m'magawo awiri: kasamalidwe kabwino ka zovuta ndi chithandizo chanthawi yayitali. Kuchiza kwa matenda a gout kumaphatikizapo mankhwala odana ndi zotupa omwe ayenera kulimbikitsidwa ndi adotolo, monga Ibuprofen kapena Naproxen, mwachitsanzo, kuti athetse ululu wam'mimba ndi kutupa. Chithandizo china chotsutsana ndi zotupa chomwe chimagwiritsidwa ntchito poletsa kupweteka ndi kutupa ndi Colchicine, yomwe imagwiranso ntchito pamlingo wa uric acid.

Mankhwala a Corticoid, monga Prednisone, atha kugwiritsidwanso ntchito kuthana ndi mafupa ndi kutupa, komabe mankhwalawa amangogwiritsidwa ntchito ngati munthu sangathe kumwa mankhwala ena opatsirana ndi zotupa kapena ngati alibe zomwe angafune.

Kuphatikiza pa mankhwalawa, rheumatologist kapena dokotala akhoza kuperekanso mankhwala kuti athetse uric acid m'magazi kuti ateteze kuukira kwina komanso kupewa zovuta, monga Allopurinol kapena Probenecida. Onani zambiri zamankhwala gout.

Ndikofunikanso kusintha kadyedwe, chifukwa kamatha kukhudza mwachindunji kuchuluka kwa uric acid ndipo, chifukwa chake, kuyikika kwa makhiristo mu mgwirizano, ndikuchiza matenda omwe angathandizenso kupezeka kwa gout osachiritsidwa, monga matenda oopsa komanso matenda ashuga, mwachitsanzo.

Zakudya zizikhala bwanji

Kuti muchepetse zizindikiritso za gout ndikupewa kuwukira kwatsopano, ndikofunikira kusintha momwe mumadyera kuti uric acid isinthidwe pafupipafupi. Mwanjira imeneyi, munthuyo ayenera kuchepa kapena kupewa kudya zakudya zokhala ndi ma purine, monga tchizi, mphodza, soya, nyama zofiira kapena nsomba, chifukwa amachulukitsa uric acid m'magazi, ndikumwa pafupifupi malita 2 mpaka 4 madzi patsiku, chifukwa madzi amathandiza kuchotsa uric acid wochuluka mumkodzo.

Dziwani zakudya zomwe muyenera kudya kapena osadya pa vidiyo yotsatirayi: