Yonke into ekufuneka uyazi ngeGout

Umxholo

• Iimpawu zesifo segawuthi
• Unobangela sifo
• Ukuxilongwa kwegaw
• Unyango lwe sifo
• Ukutya kwe-Gout ukuphephe
• Gout amayeza asekhaya
• Utyando lweGout
• Izinto ezibangela igawuthi
• Uthintelo lwegawuthi
• Gout imifanekiso
• Gout kunye netophus
• Ngaba i-gout ibuhlungu?
• Gout iioyile ezifanelekileyo
• Ngaba igawuthi ililifa?
• Igawuthi notywala

Igawuthi ligama eliqhelekileyo leemeko ezahlukeneyo ezibangelwa kukukhula kweuric acid. Olu lwakhiwo luhlala luchaphazela iinyawo zakho.

Ukuba une-gout, uya kuziva ngathi ukudumba kunye nentlungu kumalungu onyawo lwakho, ngakumbi uzwane lwakho olukhulu. Iintlungu ngesiquphe kwaye ziba buhlungu, okanye ukuhlaselwa yintlungu, kunokuyenza ibonakale ngathi unyawo lwakho luyatsha.

Iimpawu zesifo segawuthi

Abanye abantu bane-uric acid eninzi egazini labo, kodwa akukho zimpawu. Oku kubizwa ngokuba yi-asymptomatic gout.

Kwi-gout ebukhali, iimpawu ziza ngokukhawuleza ukusuka ekwakhiweni kweekristal ze-uric kwi-joint yakho kwaye zihlala iintsuku ezi-3 ukuya kwezi-10.

Uya kuba neentlungu ezinkulu kunye nokudumba, kwaye indibaniselwano yakho inokuziva ifudumele. Phakathi kokuhlaselwa yi-gout awuyi kuba nazimpawu.

Ukuba awuyinyangi igawuthi, inokuba sisifo esinganyangekiyo. Izigaqa ezilukhuni ezibizwa ngokuba yitophi ekugqibeleni zinokukhula kumalungu akho kunye nolusu kunye nezicubu ezithambileyo ezibangqongileyo. Ezi dipozithi zinokonakalisa umphelo kumalungu akho.

Ukunyangwa ngokukhawuleza kubalulekile ukukhusela i-gout ekubeni ingaguquki. Ukwazi indlela yokuzibona iimpawu kunokukunceda ufike kugqirha ngaphambi kokuba igawuthi ibangele iingxaki ezihlala zihleli.

Unobangela sifo

Ukwakhiwa kweuric acid egazini lakho ekonakaleni kwe-purines kubangela igawuthi.

Iimeko ezithile, ezinje ngegazi kunye nokuphazamiseka kwemetabolism okanye ukomisa, kwenza umzimba wakho uvelise i-uric acid eninzi kakhulu.

Ingxaki yezintso okanye ye-thyroid, okanye isifo esizuze ilifa, singenza kube nzima kumzimba wakho ukususa i-uric acid engaphezulu.

Kungenzeka ukuba ufumane igawuthi ukuba:

• yindoda esele ikhulile okanye umfazi ose-postmenopausal
• Unabazali, abantakwenu, okanye amanye amalungu osapho ane-gout
• usele utywala
• thatha amayeza anjenge-diuretics kunye ne-cyclosporine
• unesimo esifana noxinzelelo lwegazi oluphezulu, isifo sezintso, isifo se-thyroid, isifo sikashukela, okanye i-apnea yokulala

Kwabanye abantu abane-gout, ukutya kukungunobangela. Khangela ukuba kukuphi ukutya okuphezulu ngokukodwa kwimiphunga evelisa igawuthi.

Ukuxilongwa kwegaw

Ugqirha wakho unokuchonga i-gout esekwe kuphononongo lwembali yakho yezonyango, uvavanyo lomzimba, kunye neempawu zakho. Ugqirha wakho uya kuseka isifo sakho kwi:

• inkcazo yakho yeentlungu ezidibeneyo
• kukangaphi ukhe uva iintlungu eziqatha kwilunga lakho
• ubomvu kanjani okanye udumbile ummandla

Ugqirha wakho unokuyalela uvavanyo ukuba ukhangele i-uric acid kwindibaniselwano yakho. Isampulu yolwelo oluthathwe kwijoyinti yakho lingabonisa ukuba ingaba ine-uric acid na. Ugqirha unokufuna kwakhona ukuthatha i-X-ray yelungu lakho.

Ukuba unempawu ze-gout, ungaqala ngotyelelo kugqirha wakho wokhathalelo. Ukuba igawuthi yakho inzima, kungafuneka ubone ugqirha kwizifo ezidibeneyo.

Unyango lwe sifo

Ukuba ayishiywanga inganyangwa, igawuthi ekugqibeleni inokukhokelela kwisifo samathambo. Le meko ibuhlungu inokushiya indibaniselwano yakho yonakele ngokusisigxina kwaye idumbile.

Isicwangciso sonyango esinconyelwa ngugqirha wakho siya kuxhomekeka kwinqanaba kunye nobukhali be-gout yakho.

Amayeza okunyanga isifo segawuthi ngenye yeendlela ezimbini: Zithomalalisa iintlungu kwaye zehlise nokudumba, okanye zithintele uhlaselo lwegaw elizayo ngokunciphisa amanqanaba e-uric acid.

Iziyobisi zokuphelisa iintlungu ze-gout zibandakanya:

• iziyobisi ezichasayo (ii-NSAID), ezinje nge-aspirin (iBufferin), ibuprofen (Advil, Motrin), kunye ne-naproxen (Aleve)
• icolchicine (iiColcrys, iMitigare)
• icorticosteroids

Iziyobisi ezithintela uhlaselo lwesifo ziquka:

• xanthine oxidase inhibitors, ezinje nge allopurinol (Lopurin, Zyloprim) kunye ne febuxostat (Uloric)
• indawo yemeko yekhompyutha (Probalan)

Kunye namayeza, ugqirha wakho unokucebisa utshintsho kwindlela yokuphila ukuze uncede ukulawula iimpawu zakho kunye nokunciphisa umngcipheko wokuhlaselwa gout kwixa elizayo. Umzekelo, ugqirha unokukukhuthaza ukuba:

• ukunciphisa ukusela kwakho utywala
• yehla emzimbeni
• yeka ukutshaya

Amayeza kunye notshintsho kwindlela yokuphila ayisiyiyo kuphela indlela yokulawula i-gout. Unyango oluncinci olwenziweyo luye lwabonisa isithembiso.

Ukutya kwe-Gout ukuphephe

Ukutya okuthile ngokwendalo kuphezulu kwi-purines, ethi umzimba wakho wehle ube yi-uric acid. Uninzi lwabantu alunangxaki ngokutya okuphezulu kwe-purine. Kodwa ukuba umzimba wakho unengxaki yokukhupha i-uric acid engaphezulu, unokufuna ukunqanda ukutya okuthile kunye neziselo, ezinje:

• inyama ebomvu
• inyama yenyama
• ukutya kwaselwandle okuthile
• utywala

Iziselo ezineswekile kunye nezinto zokutya eziqukethe iswekile fructose zinokuba yingxaki, nangona zingaqulathanga purines.

Ukutya okuthile kunceda ukunciphisa amanqanaba e-uric acid emzimbeni. Funda ukuba kukuphi ukutya okukhethiweyo ukuba une-gout.

Gout amayeza asekhaya

Ezinye iindlela zokunceda igawuthi azingeni kwibhotile kwikhemesti yakho. Ubungqina obuvela kwizifundo bucebisa ukuba amayeza endalo anokunceda ukuthoba amanqanaba e-uric acid kunye nokuthintela ukuhlaselwa yi-gout:

• Iitsheri zetart
• nemagniziyam
• ijinja
• iviniga yeapile cider
• isileri
• iti yomqombothi
• dandelion
• imbewu yobisi lwameva

Kodwa ukutya nje oku kutya kusenokungonelisi ukuthambisa igawuthi. Funda ukuba zingaphi eziza kuthatha impembelelo enkulu kwiimpawu zakho.

Utyando lweGout

Igawuthi inokunyangwa ngaphandle kotyando. Kodwa emva kweminyaka emininzi, le meko inokonakalisa amalungu, ikrazule imisipha, kwaye ibangele nosulelo kulusu ngaphezulu kwamalungu.

Iidipozithi ezinzima, ezibizwa ngokuba yi-tophi, zinokwakha kumalungu akho nakwezinye iindawo, njengendlebe yakho. Ezi ziqhuma zinokuba buhlungu kwaye zidumbe, kwaye zinokuwonakalisa umphelo amalungu akho.

Iinkqubo ezintathu zotyando ziphatha i-tophi:

• utyando lokususa itophi
• utyando olumanyeneyo
• utyando ngokudibeneyo

Luluphi kolu tyando alucebisayo ugqirha wakho alucebisayo kuxhomekeke kubungakanani bomonakalo, apho ikhoyo itofhi, kunye nezinto ozithandayo. Funda ukuba utyando lunokunceda njani ukuzinzisa amalungu atyhafiswe yi-gout.

Izinto ezibangela igawuthi

Ukutya okuthile, amayeza, kunye neemeko zinokuseta iimpawu zesifo. Kuya kufuneka uphephe okanye unciphise ukutya kunye neziselo ezinje ngezi, eziphezulu kwiipurine:

• inyama ebomvu, efana nengulube kunye ne-veal
• inyama yenyama
• iintlanzi, ezinjenge cod, scallops, iimbaza, kunye nesalmon
• utywala
• iisoda
• incindi yeziqhamo

Amanye amayeza owathathayo ukulawula ezinye iimeko anyusa inqanaba leuric acid egazini lakho. Thetha nogqirha wakho ukuba uthatha naliphi na kula machiza:

• umchamo, okanye iipilisi zamanzi
• Iasprini
• uxinzelelo lwegazi lokwehlisa amayeza, anjenge-beta-blockers kunye ne-angiotensin II receptor blockers

Impilo yakho inokuba yinto ebangela ukuba abantu bavule. Zonke ezi meko zidityaniswe ne-gout:

• ukutyeba kakhulu
• isifo seswekile okanye ii-prediabetes
• ukuphelelwa ngamanzi emzimbeni
• ukulimala ngokudibeneyo
• usulelo
• ukusilela kwentliziyo
• igazi elonyukayo
• isifo sezintso

Ngamanye amaxesha kunokuba nzima ukufumanisa ukuba zeziphi kwezi zinto ezibangela ukuhlaselwa yintlungu. Ukugcina idayari yenye yeendlela zokulandela umkhondo wokutya kwakho, amayeza kunye nempilo ukukunceda uchaze unobangela weempawu zakho.

Uthintelo lwegawuthi

Nanga amanyathelo onokuwathatha ukunceda ukuthintela igawuthi:

• Nciphisa utywala obuselayo.
• Nciphisa ukutya okune-purine-rich, njenge -fishfish, imvana, inyama yenkomo, inyama yehagu, kunye nenyama yomzimba, oyityayo.
• Yitya ukutya okunamafutha asezantsi, ukutya kwe-nondairy okutyebileyo kwimifuno.
• Yehla emzimbeni.
• Yeka ukutshaya.
• Zilolonge.
• Hlala hydrated.

Ukuba uneemeko zonyango okanye uthatha amayeza aphakamisa umngcipheko wokugula, cela ugqirha wakho ukuba ungawunciphisa njani umngcipheko wokuhlaselwa yi-gout.

Gout imifanekiso

Gout kunye netophus

Xa iikristali zeuric acid zakha kumalungu ixesha elide, zivelisa iidipozithi ezilukhuni ezibizwa ngokuba yitophi phantsi kolusu. Ngaphandle konyango, ezi tophi zingonakalisa ithambo kunye ne-cartilage kwaye zishiye amalungu angonakalanga ngokusisigxina.

ITophi ngamagaqa adumbileyo ajikeleze amalunga abonakala ngathi ngamaqhina kwisiqu somthi. Zenzeka kumalungu afana neminwe, iinyawo, amadolo, kunye neendlebe. I-Tophi ngokwabo ayilimazi, kodwa ukudumba okubangela kunokuba buhlungu.

Ngamanye amaxesha ifomu ye-tophi kwizicubu ezinxibelelanayo ngaphandle kwamalungu. Fumanisa ezinye zeendawo ezingaqhelekanga apho ungafumana khona oku kukhula.

Ngaba i-gout ibuhlungu?

Ewe, igawuthi inokuba buhlungu. Ngapha koko, iintlungu kuzwane lwakho olukhulu zihlala ziyenye yeempawu zokuqala ezixelwa ngabantu. Intlungu ihamba kunye neempawu zesifo samathambo, njengokudumba kunye nokufudumala kumalungu.

Intlungu yesifo iyahluka kubukhali. Iintlungu ezinzwaneni ezinkulu zinokuba qatha ekuqaleni. Emva kohlaselo olubi, inokuthomalalisa ekubeni buthuntu.

Intlungu, kunye nokudumba kunye nezinye iimpawu, ziziphumo zokumiliselwa komzimba kukhuselo (ngamajoni omzimba) ngokuchasene neekristale zeuric acid kumalungu. Olu hlaselo lukhokelela ekukhululweni kweekhemikhali ezibizwa ngokuba zii-cytokines, ezikhuthaza ukudumba okubuhlungu.

Gout iioyile ezifanelekileyo

Iioyile eziyimfuneko zizinto ezisekwe kwizityalo ezisetyenziswa kwiaromatherapy. Ezinye ioyile kucingelwa ukuba zinokuchasana nokudumba, ukuphelisa iintlungu, kunye nefuthe lokulwa neentsholongwane.

Ezinye zeoyile ezifanelekileyo ezisetyenziselwa ukunyanga i-gout zibandakanya:

• ioyile ye-lemongrass
• oyile yembewu yeseleri
• Yarrow oyile isicatshulwa
• isicatshulwa segqabi lomnquma
• Isinamoni yaseTshayina

Ungaphefumla kwezi oyile, uthambise ioyile exutywe nolusu lwakho, okanye wenze iti kumagqabi omileyo esityalo. Musa nje ukubeka iioyile ngokwakho emlonyeni. Azikhuselekanga ukungenisa.

Kuhlala kungumbono olungileyo ukukhangela ugqirha ngaphambi kokuba usebenzise naluphi na unyango, nokuba lolunye luthathwa ngokuba lukhuselekile, njengeoyile eyimfuneko. Ukuba uyazisebenzisa ezi oyile, landela amanyathelo okhuseleko ukuqinisekisa ukuba awunampendulo.

Ngaba igawuthi ililifa?

Igawuthi ngokuyinxenye iyinxalenye yobudala. Abaphandi bafumene inqwaba yemfuza eyonyusa ukubanakho kwabantu kwi-gout, kubandakanya I-SLC2A9 kwaye IABCG2. Imfuza enxulunyaniswa negawuthi ichaphazela isixa se-uric acid umzimba obambe kwaye ukhuphe.

Ngenxa yemfuza, igawuthi ibaleka kwiintsapho. Abantu abanomzali, umntakwabo, okanye esinye isihlobo esisondeleyo esinesi sifo kunokwenzeka ukuba bayifumane le meko ngokwabo.

Kungenzeka ukuba izakhi zofuzo zibeka kuphela isigaba se-gout. Izinto zokusingqongileyo, ezinje ngokutya, zisibangela isifo.

Igawuthi notywala

Utywala, njengenyama ebomvu kunye nokutya kwaselwandle, kuphezulu kwii-purines. Xa umzimba wakho wophula i-purines, inkqubo ikhupha i-uric acid.

Ngakumbi uric acid kwandisa umngcipheko yokuba sifo. Utywala bunokunciphisa izinga apho umzimba wakho ususa khona i-uric acid.

Asinguye wonke umntu oselayo oya kuphuhlisa igawuthi. Kodwa ukusela kakhulu utywala (ngaphezulu kweziselo ezili-12 ngeveki) kungonyusa umngcipheko-ngakumbi emadodeni. Ubhiya bunokwenzeka ngaphezu kotywala ukuze buchaphazele umngcipheko.

Kuphando, abantu baxele ukuba ukusela utywala kubangela ukuba i-gout flare-ups ibangele. Fumanisa ukuba ukutshintsha indlela osela ngayo kungathintela igawuthi.