Ngaba Ndifanele Ndiyisele Iwayini Ukuba NdineGout?

Umxholo

• Igawuthi
• Igawuthi notywala
• Indlela yokuphila itshintsha ukujonga ngaphaya kotywala
• Yise kude

Rhoqo isekwe kulwazi lwe-anecdotal, kukho izimvo ezingqubanayo malunga nefuthe lewayini kwi-gout. Nangona kunjalo, iziphumo zophononongo oluncinci olwenziwe ngo-2006 lwabantu abangama-200 zingabonisa impendulo kumbuzo othi, "Ngaba kufuneka ndisele iwayini ukuba ndinerhawuthi?" ngu “Hayi.”

Ngelixa uphononongo luqukumbele ukuba utywala buphembelela ukuhlaselwa gout okuphindayo, khange ifumanise ukuba umngcipheko wokuhlaselwa gout okuphindaphindayo kwahluka ngohlobo lotywala. Isiphetho sokugqibela sesi sixa se-ethanol kuso nasiphi na isiselo esinxilisayo sinoxanduva lokuhlaselwa rhoqo kwegawuthi, ngokuchaseneyo nalo naliphi na elinye icandelo.

Ngamanye amagama, awunciphisi umngcipheko wokubangela ukuhlaselwa yi-gout ngokusela iwayini endaweni yebhiya okanye yecocktails.

Igawuthi

Igawuthi luhlobo olubuhlungu lwesifo samathambo esikhula ngokwakhiwa kweuric acid kumalungu. Olu lwakhiwo mhlawumbi kungenxa yokuba uvelisa i-uric acid engaphezulu okanye ngenxa yokuba ungakwazi ukuphelisa ngokwaneleyo.

Umzimba wakho unokufumana i-uric acid engaphezulu ukuba utya ukutya okanye usele iziselo ezinee-purines. Iipurines ziyimichiza yendalo eyenzeka emzimbeni wakho yangena kwi-uric acid.

Ukuba ufumene ukuba une-gout, ugqirha wakho uya kuthi anike i-over-the-counter (i-OTC) okanye iyeza lokuchasana ne-nonsteroidal anti-inflammatory (NSAIDs). Ugqirha wakho uya kuthi acebise utshintsho kwindlela yokuphila, njengokutya kwi-uric acid esezantsi. Ngokuxhomekeke kwimeko ethile, ugqirha wakho unokucebisa i-colchicine okanye i-corticosteroids.

Igawuthi notywala

yenziwe ngaphezulu kwenyanga ye-12 kunye nabathathi-nxaxheba abangama-724 bafumanisa ukuba ukusela naliphi na inani lalo naluphi na uhlobo lwesiselo esinxilisayo kunyusa umngcipheko wokuhlaselwa yi-gout kwinqanaba elithile.

Uphononongo lubonise ukuba ngaphezulu kwesiselo esinye kwisithuba seeyure ezingama-24 kunxulunyaniswa nokunyuka kwama-36 eepesenti emngciphekweni wokuhlaselwa yigawuthi. Kwakhona, kwabakho unxulumano nomngcipheko owandileyo wokuhlaselwa yi-gout kwisithuba seeyure ezingama-24 zokusela:

• 1-2 ukunikezelwa kwewayini (enye isebenza yi-5 oz.)
• 2-4 ukunikezelwa kwebhiya (ukukhonza enye yi-12 oz. Ibhiya)
• I-2-4 yeenkonzo ezinxilisayo (enye isebenza yi-1.5 oz.)

Uphononongo luqukunjelwe ngesindululo sokuba abantu abane-gout esekwe kufuneka, ukunciphisa umngcipheko wokuhlaselwa gout okuphindayo, kuthintele ukusela utywala.

Indlela yokuphila itshintsha ukujonga ngaphaya kotywala

Kukho utshintsho kwindlela yokuphila, kunye nokulungiswa kotywala, olunokuthi lunciphise umngcipheko we-gout kunye ne-gout flare ups. Cinga ngoku:

• Ukunciphisa umzimba. Kuxeliwe ukuba ukutyeba ngaphezulu kokuphindeka kabini kumngcipheko wokugula.
• Ukuphepha i-fructose. Kugqitywe kwelokuba i-fructose inegalelo ekuphakamiseni imveliso ye-uric acid. Iziqhamo zejusi kunye neesoda ezineswekile ezifakiwe zibandakanyiwe kolu phando.
• Ukuphepha ukutya okuphezulu okucocekileyo. Ukuthintela i-gout kunye ne-gout flare-ups, i-Arthritis Foundation icebisa ukunciphisa okanye ukuphelisa ukusetyenziswa kweentlanzi ezithile (i-shellfish, i-shrimp, i-lobster) kunye neeprotheni zezilwanyana ezifana nenyama yenyama (isibindi, i-sweetbreads, ulwimi kunye neengqondo) kunye nezinye inyama ezibomvu (inyama yenkomo, inyathi, inyamakazi). Olunye usiko lwenkomo kunye nehagu zithathwa njengezisezantsi kwi-purines: i-brisket, i-tenderloin, igxalaba, i-sirloin. Inkukhu iqulethe inqanaba eliphakathi le-purines ngokunjalo. Eyona nto iphambili apha inokuba kukunciphisa zonke iinxalenye zenyama ukuya kwii-ounces ezi-3.5 kwisidlo ngasinye okanye isahlulo malunga nobungakanani bedikha yamakhadi.
• Ukunyusa ukusetyenziswa kwemifuno kunye nemveliso yobisi. Ngokwezikhokelo ezivela kwiKholeji yaseMelika yeRheumatology, imifuno kunye namafutha asezantsi okanye iimveliso zobisi ezingafakwanga zinokunceda unyango lwe-gout. Izikhokelo zikwabonisa ukuba imifuno ephezulu kwi-purines ayonyusi umngcipheko wokuhlaselwa yi-gout.

Yise kude

Nangona ubungqina be-anecdotal bunokucebisa ukuba iwayini ayinakufane ichaphazele i-gout yakho kunebhiya kunye notywala, uphando lubonisa ukuba akukho mahluko mkhulu uhambelana nokuhlaselwa yi-gout kunye nohlobo lwesiselo esinxilisayo osisebenzisayo.

Ewe kunjalo, wonke umntu wahlukile, ke cela uluvo lukagqirha wakho malunga noxilongo lwakho lwesifo nokuba uziva ungabusebenzisa ngokukhuselekileyo utywala ngokumodareyitha ukuze ubone ukuba iyichaphazela njani i-gout.