Mankhwala a Gout flares

Zamkati

• Mankhwala a gout a kanthawi kochepa
• Mankhwala a nthawi yayitali
• Lankhulani ndi dokotala wanu
• Mafunso ndi mayankho
• Funso:
• Yankho:

Kuukira kwa gout, kapena kuyaka, kumayambitsidwa ndi kuchuluka kwa uric acid m'magazi anu. Uric acid ndi chinthu chomwe thupi lanu limapanga chikawononga zinthu zina, chotchedwa purines.Ambiri mwa uric acid mthupi lanu amasungunuka m'magazi anu ndikusiya mkodzo wanu. Koma kwa anthu ena, thupi limapanga uric acid wambiri kapena silimachotsa mwachangu mokwanira. Izi zimabweretsa kuchuluka kwa uric acid mthupi lanu, zomwe zingayambitse gout.

Zomangidwazo zimapangitsa kuti makhiristo ngati singano apange mgulu lanu ndi minofu yoyandikana nayo, imayambitsa kupweteka, kutupa, komanso kufiyira. Ngakhale kuyatsa kumatha kukhala kopweteka kwambiri, mankhwala amatha kukuthandizani kuti muchepetse gout ndikuchepetsa moto.

Ngakhale tiribe mankhwala a gout, mankhwala akanthawi kochepa komanso ataliatali akupezeka kuti athandizire kuwongolera zizindikiro zanu.

Mankhwala a gout a kanthawi kochepa

Asanalandire chithandizo chanthawi yayitali, dokotala wanu amatha kukupatsani mankhwala osokoneza bongo kapena ma steroids. Mankhwala oyamba awa amachepetsa kupweteka ndi kutupa. Amagwiritsidwa ntchito mpaka dokotala atatsimikizira kuti thupi lanu lichepetsa uric acid m'magazi anu palokha.

Mankhwalawa amatha kugwiritsidwa ntchito limodzi kapena ndi mankhwala a nthawi yayitali. Zikuphatikizapo:

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs): Mankhwalawa amapezeka pa counter ngati mankhwala ibuprofen (Motrin, Advil) ndi naproxen (Aleve). Amapezekanso mwa mankhwala monga mankhwala a celecoxib (Celebrex) ndi indomethacin (Indocin).

Colchicine (Ma Colcrys, Mitigare): Wothandizira ululu wamankhwalawa amatha kuyimitsa gout pachizindikiro choyamba cha kuukira. Mlingo wochepa wa mankhwalawo ndi wololera bwino, koma kuchuluka kwake kumatha kuyambitsa zovuta zina monga nseru, kusanza, ndi kutsegula m'mimba.

Corticosteroids: Prednisone ndiye corticosteroid yodziwika bwino kwambiri. Ikhoza kumwedwa pakamwa kapena jekeseni mu cholumikizira chomwe chakhudzidwa kuti muchepetse ululu ndi kutupa. Ikhozanso kulowetsedwa mu minofu pamene ziwalo zingapo zakhudzidwa. Corticosteroids nthawi zambiri amaperekedwa kwa anthu omwe sangalole ma NSAID kapena colchicine.

Mankhwala a nthawi yayitali

Ngakhale chithandizo chanthawi yayitali chimayesetsa kuletsa gout, chithandizo chanthawi yayitali chimagwiritsidwa ntchito pochepetsa uric acid m'magazi. Izi zitha kuthandiza kuchepetsa kuchuluka kwamoto wamtsogolo ndikuwachepetsa. Mankhwalawa amangoperekedwa pambuyo poti mayeso a magazi atsimikizira kuti muli ndi hyperuricemia, kapena uric acid wambiri.

Zosankha zamankhwala kwakanthawi ndizo:

Kuthamanga (Lopurin ndi Zyloprim): Awa ndi mankhwala omwe amapatsidwa kuti achepetse uric acid. Zitha kutenga milungu ingapo kuti mugwire bwino ntchito, kuti mudzakhale ndi vuto nthawi imeneyo. Ngati muli ndi flare, itha kuchiritsidwa ndi imodzi mwanjira zoyambirira zothandizira kuti muchepetse matenda.

Nkhani Yamasewera Othamanga (Zowonjezera): Mankhwalawa amamwa ma enzyme omwe amathyola purine kukhala uric acid. Izi zimalepheretsa thupi lanu kupanga uric acid. Febuxostat imakonzedwa makamaka ndi chiwindi, chifukwa chake ndi zotetezeka kwa anthu omwe ali ndi matenda a impso.

Zotsatira (Benemid ndi Probalan): Mankhwalawa amaperekedwa makamaka kwa anthu omwe impso zawo sizimatulutsa uric acid moyenera. Zimathandiza impso kuonjezera kutuluka kotero kuti uric acid level yanu ikhale yolimba. Sikoyenera kwa anthu omwe ali ndi matenda a impso.

Lesinurad (Zurampic): Mankhwalawa amalandiridwa ndi Food and Drug Administration mu 2015. Amagwiritsidwa ntchito mwa anthu omwe allopurinol kapena febuxostat sanachepetse kuchuluka kwa uric mokwanira. Lesinurad imagwiritsidwanso ntchito ndi imodzi mwa mankhwala awiriwa. Ndi chithandizo chatsopano chodalirika kwa anthu omwe akuvutika kuwongolera zizindikiritso za gout. Komabe, zimadza ndi chiopsezo cha kulephera kwa impso.

Pegloticase (Krystexxa): Mankhwalawa ndi enzyme yomwe imasintha uric acid kukhala china, chotetezeka, chotchedwa allantoin. Amapatsidwa ngati kulowetsedwa m'mitsempha (IV) milungu iwiri iliyonse. Pegloticase imagwiritsidwa ntchito mwa anthu okha omwe mankhwala ena a nthawi yayitali sanagwire ntchito.

Lankhulani ndi dokotala wanu

Mankhwala ambiri alipo lero kuti athandize kuthetsa zizindikilo za gout. Kafukufuku akupitilizabe kupeza njira zina zamankhwala, komanso mankhwala omwe angatheke. Kuti mudziwe zambiri za momwe mungachiritsire gout, lankhulani ndi dokotala wanu. Mafunso omwe mungafunse ndi awa:

• Kodi pali mankhwala ena omwe ndiyenera kumwa ndikumwa gout yanga?
• Kodi ndingatani kuti ndipewe kuyaka kwa gout?
• Kodi pali chakudya chomwe mungalimbikitse chomwe chingathandize kuchepetsa zizolowezi zanga?

Mafunso ndi mayankho

Funso:

Kodi ndingapewe bwanji kutentha kwa gout?

Wosadziwika wodwala

Yankho:

Zosintha zingapo pamoyo wanu zitha kuthandiza kuchepetsa kutentha kwa gout. Izi zikuphatikizapo kukhala ndi thanzi labwino, kuchita masewera olimbitsa thupi, ndipo - mwina chofunikira kwambiri - kuyang'anira zakudya zanu. Zizindikiro za gout zimayambitsidwa ndi ma purine, ndipo njira imodzi yochepetsera kuyeretsa m'thupi mwanu ndikupewa zakudya zomwe zimakhala nazo. Zakudyazi zimaphatikizapo chiwindi ndi nyama zina zamagulu, nsomba monga anchovies, ndi mowa. Kuti mudziwe zakudya zomwe muyenera kupewa komanso zomwe muyenera kuchepetsa, onani nkhani yokhudza kudya gout.

Gulu la Zachipatala la HealthlineMayankho akuimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.