Igawuthi: yintoni, unobangela, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Njani na isifo
• Unobangela sifo
• Unyango lwenziwa njani
• Ukutya kufanele ukuba njani

I-Gout okanye i-gouty arthritis, eyaziwa ngokuba yi-rheumatism ezinyaweni, sisifo esidumbisayo esibangelwa yi-uric acid egazini, imeko ekuthiwa yi-hyperuricemia apho uxinzelelo lwe-urate egazini lukhulu kune-6.8 mg / dL, ebangela okuninzi yeentlungu ezidibeneyo. Iimpawu zibandakanya ukudumba, ukuba bomvu kunye nentlungu xa ususa ilunga, eyona ichaphazeleka kakhulu, ihlala iyinzwane enkulu, ebuhlungu, ngakumbi xa uhamba.

Kubalulekile ukuba uqaphele ukuba ayingabo bonke abantu abane-uric acid ephezulu eya kuphuhlisa igawuthi, kuba esi sifo sixhomekeke kwezinye izinto.

Uhlaselo lwe-Gout luyaphucuka, kwaye into onokuyenza kukuphucula indlela otya ngayo ukunciphisa amanqanaba e-uric acid egazini lakho kunye nokusetyenziswa kwamachiza okuthintela ukudumba ukulawula iintlungu nokudumba, njenge-Ibuprofen, iNaproxen okanye iColchicine. Nangona kunjalo, kubalulekile ukulawula amanqanaba e-uric acid egazini ukunqanda ukuhlaselwa yi-gout kunye neengxaki ezingenakuguqulwa, njengokukhubazeka kumalungu.

Ukulawula amanqanaba e-uric acid egazini, i-rheumatologist okanye ugqirha unokucebisa ukuba kusetyenziswe amayeza ukuvimba uric acid, njenge-Allopurinol, okanye amayeza okunceda izintso zisuse i-uric acid kumchamo, njengeProbeneced.

Iimpawu eziphambili

Iimpawu zeGout zivela ngenxa yokubekwa kweekristale zeuric acid kumalungu, okukhokelela kwintlungu ebambekayo edla ngokuhlala iintsuku ezimbalwa kwaye iba mandundu ngokuhamba, ukongeza kubushushu basekhaya, i-edema kunye nokubomvu.

Intlungu, edla ngokuqala ekuzeni kokusa, inzima ngokwaneleyo ukuvusa isigulana kwaye ihlala malunga neeyure ezili-12 ukuya kwezi-24, nangona kunjalo, emva kwentlungu umntu anokufumana ukungonwabi kwilungu elichaphazelekayo, ngakumbi xa ushukuma, onokuhlala ezimbalwa iintsuku ukuya kwiiveki, ngakumbi ukuba igawuthi ayiphathwa kakuhle.

Naliphi na ilungu linokuchaphazeleka, nangona kunjalo igawuthi ixhaphake kakhulu kwimilenze esezantsi, ngakumbi iinzwane ezinkulu. Kukho ukubakho kwamatye ezintso kunye nokubekwa kweekristali ze-uric acid phantsi kolusu, ukwenza amaqhuma eminwe, iingqiniba, amadolo, iinyawo neendlebe, umzekelo.

Yazi indlela yokubona iimpawu zesifo.

Njani na isifo

Ukuxilongwa kwegawuthi kwenziwa ngokwembali yesigulana, uvavanyo lomzimba kunye neemviwo ezincedisayo, ezinje ngegazi kunye nomchamo we-uric acid, ukongeza kwiiradiographs.

Umgangatho wegolide wokuchonga i-gout kukuqwalaselwa kweekristali ze-urate ngokusebenzisa imicroscopy.

Unobangela sifo

Igawuthi yenzeka ngenxa ye-hyperuricemia, engqinelana nokwanda kwe-uric acid egazini, enokwenzeka ngenxa yokwanda kwemveliso ye-uric acid kunye nangenxa yokusilela ekupheliseni le nto. Ezinye izinto ezibangela igawuthi zezi:

• Ukunganeli kwamayeza;
• Ukusetyenziswa kakhulu kwe-diuretics;
• Ukusetyenziswa gwenxa kotywala;
• Ukusetyenziswa kakhulu kokutya okune-protein, okufana nenyama ebomvu, abantwana, ukutya kwaselwandle kunye nemidumba, njengee-ertyisi, iimbotyi okanye iilentile;
• Isifo seswekile;
• Ukutyeba kakhulu;
• Uxinzelelo lwegazi olungenakubanjiswa;
• Isifo sokuqina kwemithambo yegazi.

Ngenxa yexabiso elikhulu lokujikeleza kwe-uric acid, kukho ukubekwa kwe-monosodium urate crystals, eyindlela eqinileyo ye-uric acid, kumalungu, ngakumbi iinzwane ezinkulu, amaqatha namadolo.

Ukuvela kwegawuthi kuxhaphake kakhulu kubantu abatyebe kakhulu okanye abatyebe kakhulu, abaphila ubomi bokuhlala phantsi nabanezifo ezinganyangekiyo ezingalawulwa kakuhle. Ukongeza, igawuthi ixhaphake kakhulu emadodeni aphakathi kweminyaka engama-40 nengama-50 ubudala kunye nabasetyhini emva kokuyeka ukuya exesheni, ngesiqhelo ukusuka kwiminyaka engama-60.

Unyango lwenziwa njani

Unyango lwe-Gout lwahlulwe ngokwamanqanaba amabini: ulawulo lweengxaki ezinzima kunye nonyango lwexesha elide. Unyango kuhlaselo lwegaw lubandakanya iziyobisi ezichasayo ekufuneka zinconyelwe ngugqirha, ezinje ngeIbuprofen okanye iNaproxen, umzekelo, ukunciphisa iintlungu zokudibana kunye nokudumba. Elinye iyeza lokuthomalalisa ukudumba elisetyenziswa ngokubanzi ukulawula iintlungu kunye nokudumba yiColchicine, ekwasebenza kwinqanaba leuric acid.

Unyango lweCorticoid, olunjengePrednisone, lunokusetyenziselwa ukunyanga iintlungu ngokudibeneyo kunye nokudumba, nangona kunjalo la mayeza asetyenziswa kuphela xa umntu engakwazi ukuthatha ezinye iziyobisi ezichasayo okanye xa engenaziphumo zifunwayo.

Ukongeza kula mayeza, i-rheumatologist okanye ugqirha jikelele unokuyalela amayeza okulawula amanqanaba e-uric acid egazini ukunqanda uhlaselo olunye kunye nokukhusela iingxaki, ezinje nge-Allopurinol okanye i-Probenecida. Bona ngakumbi malunga nokunyangwa kwegawuthi.

Kukwabalulekile ukutshintsha imikhwa yokutya, kuba inokuba nefuthe ngokuthe ngqo kwinani lokujikeleza kwe-uric acid kwaye, ngenxa yoko, ukubekwa kweekristali kwilungu, kunye nokunyanga izifo ezisisiseko ezinokuthi zithande ukwenzeka kwegawuthi xa inganyangwa. uxinzelelo lwegazi kunye neswekile, umzekelo.

Ukutya kufanele ukuba njani

Ukuthomalalisa iimpawu zesifo segawuni kunye nokuthintela uhlaselo olutsha, kubalulekile ukuba utshintshe indlela otya ngayo ukuze amanqanaba euric acid aqheleke. Ngale ndlela, umntu kufuneka anciphise okanye akuthintele ukutya okutyebileyo kwi-purines, enje ngeshizi, iilentile, isoya, inyama ebomvu okanye ukutya kwaselwandle, njengoko bekonyusa amanqanaba e-uric acid egazini, kwaye basele malunga ne-2 ukuya kwi-4 yeelitha zamanzi ngosuku, kuba amanzi anceda ukususa i-uric acid engaphezulu kumchamo.

Fumanisa ukuba kukuphi ukutya ekufanele ukuba ungakutyi okanye ungakutyi kwividiyo elandelayo: