Momwe Mungadziwire Ngati Mumakhala Ndi Gout Pamapewa Anu - ndi Zomwe Muyenera Kuchita Pambuyo pake

Zamkati

• Mfundo zachidule zokhudza gout
• Zizindikiro za gout paphewa panu
• Zomwe zimayambitsa gout paphewa panu
• Kuchulukitsa kwa uric acid
• Zinthu zina
• Zowopsa za gout paphewa panu
• Jenda
• Zaka
• Chibadwa
• Zochitika zamankhwala
• Moyo
• Kuzindikira gout paphewa panu
• Chithandizo cha gout paphewa panu
• Mankhwala wamba
• Mankhwala ena
• Mankhwala ena
• Kutalika kwa gout
• Zovuta za gout paphewa panu
• Kupewa gout
• Zina zomwe zimayambitsa kupweteka kwamapewa ndi kutupa
• Zolemba
• Maganizo ake

Gout ndi mtundu wamba wa nyamakazi. Ndikutupa kwadzidzidzi komanso kowawa komwe kumakonda kupezeka pachala chachikulu chakumapazi, koma kumatha kukhudza mafupa ena. Ndi m'mapewa ndi m'chiuno.

Kutupa kumayambitsidwa ndi kuchuluka kwa timibulu tating'onoting'ono ta uric acid mkati ndi mozungulira malo anu. Chitetezo chanu cha mthupi chimagwira ntchito potumiza maselo olimbana ndi matenda m'deralo, ndikupangitsa kutupa.

Kuukira kwa gout kumangokhala kwakanthawi ndipo kumatha kukhudza kuphatikiza kumodzi. Gout nthawi zambiri imatha kuyang'aniridwa ndi zakudya ndi mankhwala. Pamene gout imathandizidwa, zovuta zimakhala zochepa. Koma gout osachiritsidwa amatha kulepheretsa.

Pali kuti anthu ena amakhala ndi chibadwa cha gout.

Mfundo zachidule zokhudza gout

• Kulongosola kwa gout kumayambira pafupifupi zaka 5,000 ku Egypt wakale. Amadziwika kuti ndi mtundu wamatenda wodziwika bwino kwambiri.
• Pafupifupi anthu padziko lonse ali ndi gout.
• Anthu anayi pa anthu 100 alionse ku United States ali ndi gout.
• Kuchuluka kwa gout kwakhala kukuwonjezeka m'zaka zaposachedwa m'maiko otukuka.
• Dzinalo limachokera ku liwu Lachilatini "gutta," lomwe limatanthauza dontho. Linanena za chikhulupiriro chamakedzana kuti chimodzi mwa "nthabwala" zinayi zofunika kuti thanzi "ligwere" mgwirizane.
• Gout amatchedwa matenda amfumu, chifukwa chothandizana ndi zakudya zabwino komanso kumwa mowa.
• Benjamin Franklin ndi Thomas Jefferson onse anali ndi gout.

Zizindikiro za gout paphewa panu

Kuukira kwa gout kumachitika mwadzidzidzi. Kupweteka kwanu kwamapewa mwina koopsa kapena kopweteka.

Kuphatikiza apo, malowa atha kukhala:

• chofiira
• kutupa
• ouma
• kutentha kapena kutentha
• tcheru kwambiri kukhudza ndikuyenda

Zomwe zimayambitsa gout paphewa panu

Kuchuluka kwa uric acid m'magazi anu kumaganiziridwa kuti kumayambitsa gout popanga timibulu tofanana ndi singano tomwe timakhala m'matumba ndi ziwalo zanu. Kuchuluka kwa uric acid kumatchedwa hyperuricemia.

Uric acid ndichotayidwa chomwe chimapangidwa ndi kuwonongeka kwa ma purines, mankhwala omwe amapezeka mwathupi lanu. Uric acid amapangidwanso mukamagaya zakudya zomwe zili ndi purines.

Nthawi zambiri impso zanu zimachotsa zinyalala za uric kudzera mumkodzo wanu. Ngati impso zanu sizikugwira ntchito moyenera, milingo ya uric acid imatha kuchuluka m'magazi anu.

Makhiristo omwe amapangidwa kuchokera ku uric acid wochulukirayo amayesedwa ndi chitetezo chanu cha mthupi ngati matupi akunja. Maselo omenyera matenda amapita kudera lamakristalo, ndikupangitsa kutupa.

A gout akusimba kuti 10 peresenti yokha ya milandu imayamba chifukwa cha kuchuluka kwa thupi la uric acid. Zina 90% zimachitika chifukwa cha kulephera kwa impso kuthetsa uric acid wokwanira.

Kuchulukitsa kwa uric acid

Kugwiritsa ntchito mankhwala ochulukirapo omwe ali ndi purine kumatha kuyambitsa kuchuluka kwa uric acid mwa anthu ena. Zinthu zomwe zili ndi purines ndi monga:

• nyama yofiira
• nsomba
• nsomba
• mowa
• nyemba zouma

Mowa, makamaka mowa wodalirika, umalimbikitsanso kupanga ndi kusunga uric acid. Koma kumwa vinyo pang'ono pang'ono sikumayenderana ndi gout.

Zinthu zina

Pafupifupi kuchuluka kwa uric acid m'magazi awo ndimomwe zimatulukira gout. Zinthu zina zomwe zingatengeke pakukula kwa gout ndi monga:

• chibadwa
• matenda a magazi
• Khansa monga khansa ya m'magazi
• madzimadzi ochepa kwambiri am'magulu
• acidity ya madzimadzi olowa
• chakudya chokhala ndi purine
• olowa kuvulala, matenda, kapena opaleshoni
• kuchuluka kwa kuchuluka kwama cell ngati psoriasis

Mankhwala ena amatha kuwonjezera uric acid m'magazi. Izi zikuphatikiza:

• okodzetsa, omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi kapena matenda amtima
• Mlingo wotsika wa aspirin
• cyclosporine, mankhwala omwe amaletsa chitetezo cha mthupi
• levodopa, mankhwala omwe amagwiritsidwa ntchito pochizira a Parkinson

Zowopsa za gout paphewa panu

Chilichonse chomwe chimawonjezera kuchuluka kwa uric acid m'magazi anu chikhoza kukuika pachiwopsezo cha gout. Zina mwaziwopsezo ndi izi:

Jenda

Gout imafala kwambiri mwa amuna.

Zaka

Gout nthawi zambiri imapezeka mwa amuna opitilira 40 komanso azimayi atatha kusamba. Mu, kufalikira kwa gout kuli pafupifupi 10 peresenti ya amuna ndi 6 peresenti ya akazi.

Chibadwa

Kukhala ndi achibale ena omwe ali ndi gout kumawonjezera ngozi. Mitundu yapadera yadziwika yomwe imakhudzana ndi kuthekera kwa impso kuchotsa uric acid.

Zochitika zamankhwala

Zochitika zamankhwala zomwe zimakhudza impso zimayika pachiwopsezo cha gout. Ngati mwachitidwa opaleshoni kapena mukuvulala, izi zitha kuwonjezera ngozi.

Anthu ambiri omwe ali ndi gout amakhalanso ndi matenda ena. Kaya gout imayambitsa izi kapena imawonjezera chiopsezo cha izi sizikudziwika.

Zina mwazachipatala zomwe zimawonjezera chiopsezo chanu cha gout, makamaka ngati sanalandire chithandizo, onetsani:

• kuthamanga kwa magazi
• matenda ashuga
• matenda a impso
• mitundu ina ya kuchepa kwa magazi m'thupi
• matenda amadzimadzi
• matenda obanika kutulo
• psoriasis
• kutsogolera poizoni

Moyo

Kunenepa kwambiri kapena kunenepa kwambiri kumawonjezera chiopsezo chanu cha gout. Kulemera kowonjezera kumakulitsa kupanga kwanu kwa uric acid.

Kudya zakudya zopitilira muyeso ndi zakumwa zomwe zili ndi purine wambiri kumatha kukulitsa chiopsezo cha gout. Omwe amadya zakudya zotengera mpunga ndi ndiwo zamasamba komanso otsika mu purine samadwala gout.

Kuzindikira gout paphewa panu

Dokotala wanu amakuyesani, atenga mbiri yakuchipatala, ndikufunsani za zomwe mukudwala. Amatha kuzindikira gout kutengera zomwe mwapeza.

Koma adokotala adzafuna kuthana ndi zina zomwe zingayambitse kupweteka kwanu poyitanitsa mayeso.

Kuyesa kuyesa paphewa panu kumaphatikizapo X-ray, ultrasound, ndi MRI scan.

Adokotala ayesanso kuchuluka kwa magazi a uric acid. Koma kuchuluka kwambiri kapena uric acid sikokwanira kuti muzindikire zenizeni.

Chiyeso chapadera ndikutenga nyemba paphewa palimodzi synovial fluid pogwiritsa ntchito singano yopyapyala kwambiri. Izi zimatchedwa arthrocentesis kapena chiyembekezo cholumikizana. Labotale idzayang'ana timibulu ta uric acid pansi pa microscope.

Dokotala wanu akhoza kukutumizirani kwa rheumatologist kuti mukalandire chithandizo.

Chithandizo cha gout paphewa panu

Palibe machiritso a gout, koma mankhwala ambiri apangidwa m'zaka zaposachedwa omwe angathandize kupwetekedwa m'mapewa kwamoto ndikuletsa kuyatsa kwamtsogolo.

Mankhwala amayesetsa kuchepetsa kupweteka, kuchepetsa uric acid, ndikuchepetsa kutupa.

Mankhwala wamba

Dokotala wanu angakuuzeni mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) pamankhwala opweteka kapena mankhwala omwe amachepetsa kutupa.

Mankhwala osokoneza bongo amaphatikizapo indomethacin (Indocin) kapena celecoxib (Celebrex), ndi prednisone, corticosteroid. Prednisone nthawi zambiri imalowetsedwa mu cholumikizira, koma oral prednisone itha kukhala yofunikira pamagulu ambiri.

Kutengera kukula kwa zizindikilo zanu, adokotala amatha kukupatsani mankhwala ena omwe:

• amaletsa maselo oyera am'magazi kuti asawononge timibulu ta uric acid, monga colchicine (Colcrys)
• kuchepetsa kuchuluka kwa uric acid yopanga, monga allopurinol (Zyloprim) ndi febuxostat (Uloric), omwe amatchedwa xanthine oxidase inhibitors
• thandizani impso zanu kuchotsa uric acid wambiri, monga probenecid (Probalan) ndi lesinurad (Zurampic), omwe amatchedwa uricosurics

Mankhwala onsewa amakhala ndi zovuta, ndipo ena amatha kulumikizana ndi mankhwala ena kapena kuwonjezeranso zina zomwe mungakhale nazo. Onetsetsani kuti mukukambirana za mankhwala anu ndi dokotala.

Mankhwala ena

ndipo mutha kupeza mayeso azachipatala.

Dokotala wanu angafunenso kuyesa kugwiritsa ntchito mankhwala atsopano "osachotsedwa," kapena cholinga chomwe sichinavomerezedwe pano.

Ngati mankhwala avomerezedwa ndi nyamakazi kapena matenda ena koma sanavomerezedwe ndi gout, dokotala wanu akhoza kukupatsani mankhwala.

Ena mwa mankhwala atsopanowa ndi awa:

• pegloticase (Krystexxa), yomwe imachepetsa uric acid ndipo imavomerezedwa ku United States kuti ikalandire chithandizo chamatenda osachiritsika
• canakinumab, antibody monoclonal omwe amaletsa kutupa
• anakinra, mdani wa interleukin-1 beta yemwe amaletsa kutupa

Mungafunike kufunsa ndi omwe amakupatsirani inshuwaransi kuti mumve mankhwalawa mukamagwiritsa ntchito ngati chizindikiro.

Mankhwala ena

Umboni wokhudzana ndi kusintha kwa zakudya ndiwosadziwika, malinga ndi American College of Physicians ya gout mu 2017.

Kafukufuku adawonetsa kuti kuchepa kwa nyama yofiira, shuga, ndi mowa kumachepetsa uric acid. Koma sizikuwonekeratu kuti izi zidakulitsa zotsatira zakuwonetsa.

Mutha kupeza mpumulo kuzithandizo zina zotupa, monga ayezi komanso mankhwala.

Kutalika kwa gout

Mafuta oyambitsa gout nthawi zambiri amatha. Thupi limazimitsa kuyankha kotupa pakapita nthawi.

Mutha kukumananso mobwerezabwereza m'miyezi isanu ndi umodzi kufikira zaka ziwiri, kapena nthawi ina iliyonse mtsogolo ngati zinthu zomwe zili pachiwopsezo chanu sizisintha. Gout ikhoza kukhala yodwala, makamaka ngati mupitiliza kukhala ndi uric acid wambiri.

Gout amathanso kufalikira ndikuphatikizira ziwalo zina. Gout wamapewa amatha kuchitika mwa anthu omwe akhala ndi gout yayitali.

Dokotala wanu akhoza kukupatsani mankhwala ochepa nthawi zonse kuti athandize kupewa ziwopsezo zamtsogolo komanso zovuta zomwe zingachitike, komanso kuti muchepetse uric acid serum level. Ndikofunika kutsatira dongosolo lanu la mankhwala kuti muchepetse kuyatsa.

Zovuta za gout paphewa panu

Anthu omwe ali ndi gout yanthawi yayitali amatha kukhala ndi zovuta. Uric acid makhiristo pakapita nthawi amatha kuwononga phewa kapena ziwalo zina.

Pafupifupi 15 peresenti ya anthu omwe ali ndi gout amapanga miyala ya impso pamene uric acid imadzichulukitsa mu impso.

Vuto lina la gout yayikulu ndikupanga tinthu tating'onoting'ono ta uric acid m'matumba anu ofewa, makamaka zala zanu ndi zala zanu. Nodule amatchedwa tophus.

Ma nodule awa samakhala opweteka, koma amatha kutentha, kutenga kachilombo, kapena kutentha. Mitunduyi imatha kupasuka ndi mankhwala oyenera.

Kupewa gout

Njira zopewera ma gout ndi izi:

• kudya chakudya chopatsa thanzi, kuphatikiza zakudya zochepa ndi zochepa zomwe zili ndi ma purine ambiri
• kukhala wathanzi labwino
• kuchita masewera olimbitsa thupi pafupipafupi
• kumwa madzi ambiri
• kusiya kusuta

Mungafune kutsata zomwe zikuwoneka ngati zikuyambitsa gout yamapewa anu kuti muthe kupewa moto wamtsogolo.

Zina zomwe zimayambitsa kupweteka kwamapewa ndi kutupa

Ngati mukumva kupweteka m'mapewa ndi kutupa, ndibwino kuti muwone dokotala wanu kuti akuthandizeni kuzindikira ndikuthandizani. Pali mayeso enieni omwe angazindikire gout.

Zina mwazomwe zingakhale ndi zizindikiro zofananira ndi izi:

• bursiti
• tendinitis
• tendon misozi
• nyamakazi

Zolemba

Palinso mtundu wina wa nyamakazi wotchedwa pseudogout, womwe umakhudza makamaka achikulire. Pseudogout imayambitsa kutupa kwadzidzidzi m'malo olumikizirana mafupa, koma makhiristo a uric acid samakhudzidwa. Pseudogout imayambitsidwa ndi kuchuluka kwa timibulu ta calcium pyrophosphate dihydrate.

Kufufuza kwa makhiristo mumadzimadzi anu a synovial kumatha kudziwa ngati kutupa kwamapewa kwanu ndi pseudogout kapena gout phewa.

Maganizo ake

Gout paphewa ndi chinthu chosowa kwambiri, koma chithandizo ndi malingaliro ndizofanana ndi gout m'malo ena. Ndi mitundu yonse ya gout, kumamatira kumankhwala anu ndi dongosolo lamankhwala kumakupatsani zotsatira zabwino.

Ndikofunika kukaonana ndi dokotala ngati muli ndi kutupa m'mapewa komanso kupweteka. Ngati ndi gout, chithandizo chidzakuthandizani kusamalira vutoli ndikuthandizira kupewa kuyaka kwamtsogolo. Dokotala wanu akhoza kukulangizani zamankhwala atsopano omwe akupangidwa.

Mungafune kulumikizana ndi Alliance for Gout Awareness kapena Arthritis Foundation kuti muzindikire zatsopano za chithandizo cha gout.