Kusamalira Gout mu Ankle Yanu

Zamkati

• Kodi zizindikiro za gout m'chiuno mwake ndi ziti?
• Kodi zimayambitsa ndi kuyambitsa gout mu akakolo ndi chiyani?
• Ndani amatenga gout mu akakolo?
• Kodi gout m'mapazi amapezeka bwanji?
• Kodi gout m'miyendo amachiritsidwa bwanji?
• Mankhwala
• Zithandizo zapakhomo
• Kodi gout kumatenga nthawi yayitali bwanji?
• Kodi zingayambitse zovuta zina?
• Maganizo ake ndi otani?

Gout ndi chiyani?

Gout ndi njira yowawa yamatenda yotupa yomwe nthawi zambiri imakhudza chala chachikulu chakumapazi, koma imatha kulumikizana, kuphatikiza bondo. Amapanga thupi lanu likakhala ndi uric acid wambiri. Asidiyu amapanga timibulu tomwe timayambitsa kupweteka mwadzidzidzi, kutupa, ndi kukoma mtima.

Gout ikakhudza bondo, imatha kupanga kuyenda kwatsiku ndi tsiku, makamaka kukwera masitepe, opweteka kapena osasangalatsa. Ngakhale kulibe gout, pali mitundu ingapo yamankhwala yomwe ingathandize kupewa kuphulika komanso kuwongolera zowawa.

Werengani kuti mumve zambiri za gout ndi momwe zingakhudzire bondo lanu.

Kodi zizindikiro za gout m'chiuno mwake ndi ziti?

Chizindikiro chachikulu cha gout mu akakolo ndi kupweteka komanso kusapeza bwino m'malo oyandikana nawo. Kumbukirani kuti gout nthawi zambiri imakhala yosayembekezereka, ngakhale kulumikizana komwe kumakhudza. Mutha kupita milungu ingapo ngakhale miyezi ingapo osakhala ndi zisonyezo, koma kuti mudzuke ndikumva kuwawa kwamiyendo.

Nthawi zina, gout imayamba ndi chala chimodzi chakumapazi musanapite kumalo ena, monga bondo lanu. Popita nthawi, izi zimatha kukhala zazitali kuposa kale.

Zizindikiro zina zomwe mungamve kuchokera ku gout m'chiuno mwanu ndi izi:

• chifundo
• kutupa
• kufiira
• kutentha mpaka kukhudza
• kuuma ndi mayendedwe ochepa

Kodi zimayambitsa ndi kuyambitsa gout mu akakolo ndi chiyani?

Kuchuluka kwa uric acid m'thupi kumadziwika kuti hyperuricemia. Thupi lanu limapanga uric acid mukamaphwanya purines. Awa ndi mankhwala omwe amapezeka m'maselo anu onse. Mutha kupezanso ma purine mumitundu ingapo ya chakudya, makamaka nyama yofiira ndi nsomba zina, komanso mowa ndi zakumwa zotsekemera zotsekemera.

Nthawi zambiri, uric acid imadutsa mu impso zanu, zomwe zimathandiza kuthetsa uric acid wowonjezera mumkodzo wanu. Koma nthawi zina mumakhala uric acid wambiri woti impso zanu zizigwira. Nthawi zina, impso sizingagwiritse ntchito kuchuluka kwa uric acid chifukwa cha zovuta.

Zotsatira zake, uric acid yambiri imazungulira mthupi lanu lonse, kumathera mchiuno mwanu ngati timibulu ta uric acid.

Ndani amatenga gout mu akakolo?

Gout imakhudza achikulire ku United States. Zimakonda kupezeka mwa amuna chifukwa azimayi nthawi zambiri amakhala ndi uric acid wochepa. Koma atatha kusamba, azimayi amayamba kukhala ndi uric acid wambiri. Zotsatira zake, azimayi amakonda kukhala ndi gout ali okalamba kuposa amuna.

Akatswiri sakudziwa chifukwa chake anthu ena amapanga uric acid yambiri kapena amavutika kuikonza. Koma pali umboni woti vutoli nthawi zambiri limakhala lachibadwa.

Zinthu zina zomwe zingapangitse chiopsezo chanu chokhala ndi gout ndizo:

• kudya zakudya zambiri za purine
• kudya zakudya ndi zakumwa, makamaka mowa, zomwe zimapangitsa uric acid kupanga
• kukhala wonenepa kwambiri

Kukhala ndi kuthamanga kwa magazi kapena kulephera kwa mtima kumatha kukupangitsani kukhala pachiwopsezo chachikulu chotenga gout. Ma diuretics, omwe nthawi zina amagwiritsidwa ntchito kuthana ndi izi, amathanso kuonjezera ngozi yanu.

Kodi gout m'mapazi amapezeka bwanji?

Ngati mukuganiza kuti mwina muli ndi gout koma simunapezeke, yesetsani kukaonana ndi dokotala mukadali ndi zizindikiro. Gout ndiyosavuta kuzindikira mukakhala pakati pa ziphuphu zomwe zimayambitsa kutupa, kufiira, komanso zizindikilo zina zowonekera.

Mukasankhidwa, dokotala wanu adzakufunsani mafunso angapo pazakudya zanu, mankhwala aliwonse omwe mumamwa, komanso ngati muli ndi mbiri yakumwa gout. Izi zitha kuthandiza kuthana ndi zina zomwe zingayambitse matenda anu, kuphatikiza matenda kapena nyamakazi.

Dokotala wanu amathanso kuyitanitsa mayeso a magazi kuti muwone kuchuluka kwanu kwa uric acid. Koma anthu ena amakhala ndi uric acid wambiri ndipo samapanga gout. Ena amakhala ndi ma uric acid koma amakhala ndi gout. Zotsatira zake, adzafunanso kuchita mayeso ena.

Kujambula X-ray, MRI, kapena CT pamiyendo yanu kumathandizanso kuthetsa zina zomwe zingayambitse kutupa. Kutengera mayeso anu, amathanso kuyitanitsa ma ultrasound kuti aone ngati pali makhiristo m'chiuno mwanu.

Pomaliza, atha kuyesa mayeso amadzimadzi. Izi zimaphatikizapo kutenga kachidutswa kakang'ono kamadzimadzi kuchokera ku akakolo anu ndi singano yaying'ono ndikuyang'ana pansi pa microscope ya makhiristo aliwonse a uric acid.

Kutengera zotsatira za mayeso anu ndi mayeso, atha kukutumizirani kwa katswiri wamatenda otupa wotchedwa rheumatologist kuti akuthandizeni.

Kodi gout m'miyendo amachiritsidwa bwanji?

Palibe mankhwala a gout, koma kuphatikiza mankhwala ndi chithandizo chanyumba kumatha kuthandizira kuthana ndi kupweteka kwa akakolo ndikuchepetsa kuchuluka kwa ziwopsezo zomwe muli nazo.

Mankhwala

Mankhwala omwe angathandize kuchepetsa kupweteka kwa gout flare-up mu bondo lanu ndi awa:

• mankhwala osokoneza bongo (NSAIDS), monga ibuprofen (Advil)
• mphamvu ya mankhwala NSAIDS, monga celecoxib (Celebrex) kapena indomethacin (Indocin)
• corticosteroids, yomwe imatha kutengedwa pakamwa kapena jekeseni m'chiuno mwanu kuti muchepetse ululu ndi kutupa
• colchicine (Colcrys), mankhwala ochepetsa ululu omwe amalimbana ndi ululu wa gout koma nthawi zina amatha kuyambitsa nseru ndi zovuta zina

Dokotala wanu amathanso kukupatsani mankhwala ochepa tsiku lililonse a colchicine kuti muchepetse chiopsezo chamtsogolo.

Mankhwala ena omwe angathandize kuchepetsa kuchuluka kwa ziwopsezo mtsogolo ndi awa:

• allopurinol (Zyloprim) ndi febuxostat (Uloric), zomwe zimachepetsa uric acid kupanga thupi ndipo zitha kuthandiza kuchepetsa mwayi wakupha kwa gout m'malo ena
• ma uricosurics, monga lesinurad (Zurampic) ndi probenecid (Probalan), omwe amathandiza thupi lanu kuchotsa uric acid wochulukirapo, ngakhale atha kukulitsa chiopsezo cha miyala ya impso

Zithandizo zapakhomo

Njira imodzi yothanirana ndi gout ndiyo kuchepetsa kudya zakudya zopatsa thanzi ndi zakumwa. Kumbukirani, thupi lanu limapanga uric acid mukamaphwanya purine.

Izi zikutanthauza kudya pang'ono:

• nyama yofiira
• nyama zamagulu, monga chiwindi
• nsomba, makamaka tuna, scallops, sardines, ndi trout
• mowa
• zakumwa zotsekemera

Kudula zina mwazimenezi kumathandizanso kuti muchepetse kunenepa, komwe kumatha kukhala bonasi yowonjezerapo ngati mukulemera, zomwe zimayambitsa gout. Izi ndizowona makamaka ngati mutasintha zakudya izi ndi zipatso, ndiwo zamasamba, mbewu zonse, ndi mapuloteni owonda. Phunzirani zambiri pazomwe mungadye komanso zomwe muyenera kupewa mukakhala ndi gout.

Pali mankhwala ena apanyumba omwe mungayesere, koma awa sanaphunzire mokwanira kuti adziwe ngati ali othandiza. Komabe, akhoza kukupatsani mpumulo. Umu ndi momwe mungadziyesere nokha.

Kodi gout kumatenga nthawi yayitali bwanji?

Kuphulika kwa gout kumatha kukhala kwa maola angapo nthawi imodzi, koma mutha kumva kupweteka pachilonda chanu masiku kapena milungu. Anthu ena amakhala ndi vuto limodzi m'miyoyo yawo, pomwe ena amakhala nawo kangapo pachaka.

Kumbukirani kuti gout ndi matenda osachiritsika, kutanthauza kuti amatenga nthawi yayitali ndipo amafunika kuwayang'anira nthawi zonse. Kusintha kwa zakudya ndi mankhwala kungapangitse kusiyana kwakukulu, koma mudzakhalanso pachiwopsezo chokhala ndi flare-up.

Kumbukirani kuti zingathenso kutenga nthawi kuti mupeze zakudya zoyenera komanso mankhwala omwe amakuthandizani. Musataye mtima ngati zinthu sizikuwoneka bwino nthawi yomweyo.

Kodi zingayambitse zovuta zina?

Ngati sangasamalire, kutupa komwe kumachitika chifukwa cha gout kumatha kuwononga gawo lanu lamiyendo, makamaka ngati mumangokhalapo.

Popita nthawi, mabampu amchere a uric acid, otchedwa tophi, amathanso kupanga mozungulira bondo lanu. Ziphuphuzi sizopweteka, koma zimatha kuyambitsa kutupa komanso kufatsa kowonjezera pakamayaka.

Maganizo ake ndi otani?

Gout ndi matenda osachiritsika, chifukwa chake muyenera kuyang'anitsitsa kwakanthawi. Ngakhale zimatenga kanthawi kuti zipeze njira yoyenera yoyendetsera, anthu ambiri omwe ali ndi gout amapeza kuphatikiza kwa kusintha ndi kusintha kwa moyo kukhala kothandiza.

Ngati mwapezeka kumene, ganizirani zakuwona rheumatologist ngati simunapezebe. Atha kupereka maupangiri ena amomwe angayang'anire matenda a gout.