Into ekufuneka uyazi malunga notywala kunye neGout

Umxholo

• Ngaba utywala bubangela igawuthi?
• Ngaba utywala bunokubangela ukuvela?
• Ngaba ukutshintsha indlela osela ngayo kungathintela igawuthi?
• Yintoni ukumodareyitha?
• Ukuthatha

Ushwankathelo

Ukudumba kwamathambo kunokuchaphazela uninzi lwamalungu omzimba, ukusuka ezandleni ukuya ezinyaweni. Igawuthi luhlobo lwesifo samathambo esihlala sichaphazela iinyawo neenzwane. Ikhula xa i-uric acid isakha emzimbeni, imeko ekwabizwa ngokuba yi-hyperuricemia.

I-asidi yeUric yimveliso yeekhemikhali ezibizwa ngokuba ziipurines. Ezi zinto zinamachiza zinokufumaneka kukutya okufana nenyama ebomvu kunye nokutya kwaselwandle.

Xa i-uric acid ingafakwanga emzimbeni ngokufanelekileyo, inokwakha kwaye idale amakristali. Ezi kristali ziqhele ukwenziwa kwizintso kwaye zijikeleze amalungu, zibangela iintlungu kunye nokudumba.

Phantse izigidi ezi-8 zabantu abadala eUnited States banegawuthi. Izinto ezinobungozi eziqhelekileyo kwi-gout ziquka:

• ukuphelelwa ngamanzi emzimbeni
• ukutya okuphezulu kwe-purine
• Ukutya kakhulu iziselo ezineswekile okanye iziselo ezinxilisayo

Ezi zinto zokutya zinokubangela amanqanaba aphezulu e-uric acid egazini, ekhokelela kuphuhliso lwegawuthi. Ngesi sizathu, bakwajongwa njengezinto ezibangela abantu abasele benesifo segawuthi.

Ngaba ukusela kakhulu utywala kunokubangela igawuthi okanye kubangele ukuba i-gout flare-up ukuba sele unayo le meko? Kwelinye icala, ngaba ukunciphisa ukusela utywala kunokuzinciphisa iimpawu zakho zokugula?

Masiqwalasele ngakumbi unxibelelwano phakathi kotywala negawuthi.

Ngaba utywala bubangela igawuthi?

ngumthombo weepurines. Ezi zinto zivelisa i-uric acid xa isophulwe ngumzimba. Utywala bonyusa imetabolism yee-nucleotides. Le yimithombo eyongezelelweyo ye-purines enokujikwa ibe yi-uric acid.

Ukongeza, utywala buchaphazela izinga apho uric acid efihliweyo. Oko kunokukhokelela kumanqanaba okwanda egazini.

Xa kuziwa kumxholo we-purine, ayingabo bonke utywala obenziwe ngokulinganayo. Imimoya inomxholo ophantsi we-purine. Ibhiya rhoqo ineyona iphezulu.

Uphando oludlulileyo lufumanise ukuba zombini ibhiya kunye notywala bonyusa kakhulu amanqanaba e-uric acid, ibhiya idlala indima ebaluleke kakhulu. Ukutya ibhiya kubonakala kunxulunyaniswa nomngcipheko okhulayo we-hyperuricemia emadodeni. Oku kuyinyani ngokukodwa kumadoda anesiselo esinxilisayo (ezili-12 okanye ngaphezulu iziselo ngeveki).

Ngamanye amagama, nangona ingenguye wonke umntu osela utywala oza kufumana i-hyperuricemia okanye i-gout, uphando luxhasa unxibelelwano olunokwenzeka.

Kwesinye ngotywala kunye ne-gout, izifundo ezininzi zahlalutywa ukukhangela ikhonkco phakathi kokusela utywala kunye nokukhula kwegawuthi. Kolunye uhlalutyo, abaphandi bafumanisa ukuba ukusela utywala kakhulu kukhokelele kumngcipheko ophindwe kabini wokuhlaselwa sesi sifo.

Nangona kunjalo, kubalulekile ukuba uqaphele ukuba ulwalamano lubonakala lukhona kwabo basela ngaphezulu kwesixa "esilinganiselweyo" sotywala.

Ngaba utywala bunokubangela ukuvela?

Omnye waphanda izizathu zokuzixela kwe-gout ngaphezulu kwabathathi-nxaxheba abangama-500. Kulawo axele ukutya okanye indlela yokuphila, i-14.18 yeepesenti yathi ukusela utywala kwakungunobangela wokuhlaselwa ngamandla kwegawuthi.

Elo nani laliphantse lali-10 leepesenti ngaphezulu kwezinye izinto ezibangelwe, njengokutya inyama ebomvu okanye ukomisa. Abaphandi bayaqaphela ukuba iipesenti ezili-14.18 ziphantsi kakhulu kunophando lwangaphambili lwabathathi-nxaxheba abangaphezu kwama-2 000 abane-gout. Kuleyo, utywala yayilelona gosa lesibini liphezulu eline-gout.

Olunye kutshanje luye lwajonga nzulu kwiimpawu zokuqala kokubini (ngaphambi kweminyaka engama-40) kunye nokufika kade (emva kweminyaka engama-40) gout kubantu abangaphezu kwama-700. Abaphandi bafumanisa ukuba ukusela utywala kunokwenzeka ukuba kube yinto ebangela ukuba iqela lokuqala liqale ngokuchaseneyo neqela lokuqalisa kade.

Kwiqela lokuqala kwangoko, ngaphezulu kweepesenti ze-65 zabathathi-nxaxheba baxele ukusela utywala, ngakumbi ibhiya, ngaphambi kokuvutha. Xa ibhiya isisiselo esithandwayo kwisihlwele esincinci, oku kungachaza unxibelelwano phakathi kokuhlaselwa kotywala kunye nokuhlaselwa kwegawuni kubantu abancinci.

Ngaba ukutshintsha indlela osela ngayo kungathintela igawuthi?

Xa une-gout, kubalulekile ukuba ugcine amanqanaba e-uric acid esezantsi kangangoko ukunqanda ukuvela. Ngenxa yokuba utywala bonyusa amanqanaba e-uric acid, oogqirha abaninzi baya kuncoma ukusela kuphela ngokumodareyitha okanye ukunciphisa kakhulu.

Ukuba uyabuthanda utywala, ukwenza utshintsho olulula kwindlela osela ngayo kunokunceda ekuthinteleni ukuqhuma kwexesha elizayo. Nokuba awunayo i-gout, ukuphepha ukusela kakhulu kunokukunceda ukuthintela amava e-gout okokuqala.

Yintoni ukumodareyitha?

Ukuselwa ngokuphakathi kotywala kubhekisa koku kulandelayo:

• ukuya kuthi ga kwisiselo esinye ngemini kubafazi bayo yonke iminyaka
• ukuya kuthi ga kwiziselo ezibini ngosuku ngamadoda aneminyaka engama-65 nangaphantsi
• ukuya kuthi ga kwisiselo esinye ngosuku ngamadoda amadala kunama-65

Ukongeza ekwazini izixa ezinconywayo zokusela utywala ngokuphakathi, kubalulekile ukuba uqonde ukuba kuthetha ntoni ukusela:

• iglasi enye ye-12-ounce (oz.) yeglasi yebhiya eneepesenti ezi-5 zotywala ngevolumu (ABV)
• i-8- ukuya kwi-9-oz. iglasi yotywala be-malt ene-7 yeepesenti ye-ABV
• i-oz-5 enye iglasi yewayini kunye neepesenti ezili-12 ze-ABV
• i-1.5 oz enye ukudubula kwemimoya ekhutshiweyo eneepesenti ezingama-40 ze-ABV

Enoba uyayonwabela iglasi yewayini emva kwesidlo sangokuhlwa okanye ukuphuma ebusuku nabahlobo, ukusela isixa esifanelekileyo ngokumodareyitha kunokukunceda ukunciphisa umngcipheko wokuhlaselwa ngamandla kwegawuthi.

Ukuthatha

Ngelixa zininzi izinto ezinokunyusa umngcipheko wokukhula kwegawuthi, ezinye ziphakathi kolawulo lwakho. Ukuphepha ukutya okune-purine-rich, ukusela ngokumodareyitha, kunye nokugcina i-hydrated ziinguqu ezimbalwa zendlela yokuphila onokuyenza ngokukhawuleza ukunciphisa umngcipheko.

Ukuba sele une-gout, ukwenza olu tshintsho kwindlela ophila ngayo kunokunceda ekunciphiseni ubungqongqo kunye nokuba qatha kohlaselo lwakho.

Njengesiqhelo, thetha nogqirha ukubona ukuba loluphi utshintsho olulungele umzimba wakho. Ukufumana iingcebiso ezongezelelweyo malunga nokutya, ukufuna isondlo kunokunceda ukhethe ukutya okusempilweni kwi-gout yakho.