Iphathwa njani i-gout

Umxholo

• Amayeza aphambili ekhemesti
• 1. Unyango lwe-gout
• 2. Ukulawulwa kwe-uric acid
• Ukutshintsha kokutya

Ukunyanga isifo se-gout, ngokwesayensi esibizwa ngokuba yi-Gouty Arthritis, kuyacetyiswa ukuba uthathe amayeza asebenza kwi-uric acid, enje ngeColchicine, Allopurinol okanye iProbenecida, eyehlisa i-uric acid emzimbeni, ukuqokelelana kwemithambo-luvo emalungwini, thintela ukuvela kweengxaki.

Ngexesha lengxaki yegawuthi, apho kukho ukudumba okukhulu kunye nentlungu kwilungu, ugqirha uhlala ekhokela ukusetyenziswa kweziyobisi ezichasayo. Umntu onesi sifo kufuneka akulumkele ukutya kwabo kubo bonke ubomi babo ukunqanda ukonakala kweempawu kunye nobunzima obunokubangelwa yi-gout, njengokukhubazeka ngokudibeneyo kunye nokonakala kwezintso, umzekelo.

Igawuthi sisifo samathambo esidumbisayo esinokubangela iintlungu ezininzi ngexesha lokuhlaselwa, okubonakala ngesiquphe, okubangelwa kukufakwa kwe-uric acid nge-crystallization efakwe ngaphakathi kwamalungu, ihlala inabantu abane-uric acid ephezulu. Qonda ukuba yintoni ebangela igawuthi kwaye zithini iimpawu.

Amayeza aphambili ekhemesti

Unyango lwe-gout lunokukhokelwa yi-rheumatologist okanye ugqirha jikelele, kwaye lunokwahluka ukuba umntu ukwingxaki okanye ukuba lunyango lokugcina isifo. Iingcebiso zetyala ngalinye zezi:

1. Unyango lwe-gout

Ukunyanga uhlaselo lwegawuthi, ekwabizwa ngokuba yigawuthi ebukhali, ugqirha wakho uya kukucebisa ngamayeza anceda ukukhawulezisa ukudumba. Ezona ziphambili zibandakanya:

• Ulwaphulo-mthetho, ezinje ngeNaproxen, Ketoprofen, Ibuprofen okanye i-Indomethacin, umzekelo: zibonisiwe ukuba zinciphise iimpawu zesifo samathambo, kanye emva kokuqala kweempawu, kwaye kufuneka zigcinwe kude kube kusonjululwe ingxaki, malunga neveki enye;
• ICorticosteroids, ezinje ngePrednisone, Prednisolone, Methylprednisolone okanye i-Triamcinolone, umzekelo: nazo zinesiphumo sokuchasana nokuvuvukala, kwaye zinokusetyenziswa kwiipilisi okanye inaliti ezinokuba zi-intramuscular okanye zinokusetyenziswa ngqo kwilungu elichaphazelekayo, ukunceda ukufumana impendulo ephendula ngokukhawuleza okukhulu nangokufanelekileyo;
• Colchicine: lolunye uhlobo lokuchasana nokudumba okubonisiweyo ukunceda ukukhulula ingxaki ye-gout ngokukhawuleza, kwaye umphumo wayo ubhetele xa uqalwe kwiiyure zokuqala zokuqala kwengxaki. Funda ngakumbi malunga nokuba isebenza njani kunye nendlela yokusebenzisa eli yeza kwiColchicine.

La machiza kufuneka asetyenziswe ngononophelo, njengoko eyalelwa ngugqirha, njengoko enokubangela iziphumo ebezingalindelekanga ezinjengokugabha, ukugabha, urhudo okanye ukunyusa umngcipheko wokopha esiswini, ngakumbi ukuba kusetyenziswe ngokungalunganga.

2. Ukulawulwa kwe-uric acid

Emva kwesisombululo se-gout, unyango lothintelo lunokuqaliswa ukunqanda uhlaselo oluthe kratya kunye nokunciphisa amanqanaba e-uric acid egazini. Kuboniswa ngokukodwa nanini na xa isigulana sihlaselwa kabini okanye nangaphezulu ngonyaka, ukuba une-tophi kumalungu, isifo esinganyangekiyo sezintso okanye imbali yamatye ezintso ngenxa ye-uric acid engaphezulu.

Amanye amayeza asetyenziswayo abandakanya:

• Yonke into: lelona yeza liphambili elisetyenziselwa ukulawula amanqanaba e-uric acid egazini, ukunciphisa amanqanaba ayo kunye nokwenzeka kokuqokelelana kwamalungu;
• Unyango lweUricosuric, ezinje ngeProbenecida: ukunceda ukwandisa ukupheliswa kwe-uric acid kumchamo.

Amanye amachiza amatsha, anje ngeFebuxostate okanye iPegloticase, anamandla anhibitors ekubunjweni kwe-uric acid, kwaye lukhetho kunyango, ukuba ezinye azinakusetyenziswa, ngenxa yokungavumi okanye ukunganyamezelani, umzekelo. Jonga ukuba ungachonga njani kwaye ulwe i-uric acid ephezulu.

Ukutshintsha kokutya

Ukondla i-gout, kuyacetyiswa ukuba kuthintelwe ukutya okutyebileyo kwiiprotein, ezinje ngokutya kwaselwandle, inyama yezilwanyana encinci kunye ne-offal, njengoko zisenza kwi-purine metabolism kwaye zihlala zonyusa uxinzelelo lwe-uric acid egazini.

Elinye icebo elibalulekileyo kukonyusa ukungenisa kwakho amanzi kunye nokuphepha iziselo ezinxilisayo, ngakumbi ibhiya, ukukhetha ubisi olunamafutha asezantsi kunye neyogathi.

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