Ukulawula iGout kwi-Ankle yakho

Umxholo

• Zithini iimpawu zokuthamba igxalaba emaqatheni?
• Zintoni izizathu kunye nezinto ezibangela igawuthi emaqatheni?
• Ngubani ofumana igawuthi emaqatheni?
• Ifunyaniswa njani igawuthi emaqatheni?
• Iphathwa njani i-gout emaqatheni?
• Amayeza
• Unyango lwasekhaya
• Kuthatha ixesha elingakanani igawuthi emaqatheni?
• Ngaba ingakhokelela nakwezinye iingxaki?
• Yintoni imbonakalo?

Yintoni igawuthi?

Igawuthi luhlobo olubuhlungu lwesifo samathambo esidla ngokuchaphazela ubhontsi omkhulu, kodwa inokukhula nakweyiphi na indibaniselwano, kubandakanya iqatha. Yenza xa umzimba wakho unamanqanaba aphezulu e-uric acid. Le asidi yenza iikristali ezibukhali ezibangela iintlungu ngesiquphe, ukudumba, kunye nokuthantamisa.

Xa igawuthi ichaphazela iqatha, inokwenza intshukumo yemihla ngemihla, ngakumbi ukunyuka nokuhla kwizinyuko, kubuhlungu okanye kungonwabisi. Ngelixa lungekho unyango lwe-gout, kukho unyango oluninzi olunokunceda ukuthintela ukuqhuma kunye nokulawula iimpawu ezibuhlungu.

Funda ukuze ufunde ngakumbi malunga ne-gout kunye nendlela enokuthi ichaphazele ngayo iqatha lakho.

Zithini iimpawu zokuthamba igxalaba emaqatheni?

Olona phawu luphambili lwe-gout emaqatheni ziintlungu kunye nokuphazamiseka kwindawo ejikelezileyo. Gcina ukhumbula ukuba igawuthi ihlala ingalindelekanga, nokuba indibaniselwano ichaphazela njani. Unokuhamba iiveki okanye iinyanga ngaphandle kweempawu, kodwa uvuke kuphela unentlungu evuthayo eqatheni.

Kwezinye iimeko, igawuthi iqala kwenye yeenzwane zakho ezinkulu ngaphambi kokuba udlulele kwezinye iindawo, ezinjengeqatha lakho. Ixesha elingaphezulu, ezi flare-ups zinokuhlala ixesha elide kunangaphambili.

Ezinye iimpawu onokuziva zivela kwi-gout kwi-ankle yakho zibandakanya:

• ukuthamba
• ukudumba
• bomvu
• ukufudumala kwebala
• ukuqina kunye noluhlu olulinganiselweyo lokuhamba

Zintoni izizathu kunye nezinto ezibangela igawuthi emaqatheni?

Ubuninzi beuric acid emzimbeni waziwa njenge hyperuricemia. Umzimba wakho uvelisa i-uric acid xa isaphula i-purines. Ezi yimixube efumaneka kuzo zonke iiseli zakho. Unokufumana i-purines kwiindidi zokutya, ngakumbi inyama ebomvu kunye nokunye ukutya kwaselwandle, kunye notywala kunye nezinye iziselo ezineswekile.

Ngokwesiqhelo, i-uric acid idlula kwizintso zakho, ezinceda ekupheliseni i-uric acid eyongezelelweyo kumchamo wakho. Kodwa ngamanye amaxesha ininzi kakhulu iuric acid ukuze izintso zakho uziphathe. Ngamanye amaxesha, izintso azinakucwangcisa inani eliqhelekileyo le-uric acid ngenxa yemeko engaphantsi.

Ngenxa yoko, i-uric acid engaphezulu ijikeleza kuwo wonke umzimba wakho, iphelele emaqatheni njengeikristale zeuric acid.

Ngubani ofumana igawuthi emaqatheni?

Igawuthi ichaphazela abantu abadala eUnited States. Ihlala ixhaphake emadodeni kuba abantu basetyhini bahlala benamanqanaba asezantsi e-uric acid. Kodwa emva kokuyeka ukuya exesheni, abafazi baqala ukuba nenqanaba eliphezulu le-uric acid. Ngenxa yoko, abasetyhini bathambekele ekuphuhliseni i-gout kubudala obudala kunamadoda.

Iingcali aziqinisekanga ukuba kutheni abanye abantu bevelisa i-uric acid engaphezulu okanye benengxaki yokuzilungisa. Kodwa kukho ubungqina bokuba imeko ihlala ifumaneka kwimfuza.

Ezinye izinto ezinokunyusa umngcipheko wokuphuhlisa i-gout zibandakanya:

• Ukutya ukutya okuninzi okupine purine
• Ukutya ukutya neziselo, ngakumbi utywala, oko kunyusa imveliso ye-uric acid
• ukutyeba kakhulu

Ukuba noxinzelelo lwegazi okanye ukusilela kwentliziyo nako kunokukubeka emngciphekweni omkhulu wokukhula kwegawuthi. I-diuretics, edlalwa ngamanye amaxesha ukunyanga le miba, inokunyusa umngcipheko.

Ifunyaniswa njani igawuthi emaqatheni?

Ukuba ucinga unokuba une-gout kodwa khange ufunyaniswe, zama ukubona ugqirha ngelixa uneempawu. Igawuthi kulula ukuyichonga xa uphakathi kwe-flare-up ebangela ukudumba, ukuba bomvu, kunye nezinye iimpawu ezibonakalayo.

Ngexesha lokuqeshwa kwakho, ugqirha wakho uya kukubuza imibuzo eliqela malunga nokutya kwakho, nawaphi na amayeza owathathayo, nokuba unayo imbali yosapho ye-gout. Oku kunokukunceda ukulawula ezinye izinto ezinokubangela iimpawu zakho, kubandakanya usulelo okanye isifo samathambo.

Ugqirha wakho unokuyalela uvavanyo lwegazi ukujonga amanqanaba akho e-uric acid. Kodwa abanye abantu banamanqanaba aphezulu e-uric acid kwaye abaphuhlisi igawuthi. Abanye banamanqanaba e-uric acid kodwa baqhubeka nokukhula. Ngenxa yoko, baya kufuna ukwenza ezinye iimvavanyo ngokunjalo.

I-X-ray, i-MRI, okanye i-CT scan ye-ankle yakho inokukunceda ekupheliseni ezinye izizathu ezinokubangela ukudumba ngokudibeneyo. Kuxhomekeka kuvavanyo lwakho, banokuyalela ukuba kwenziwe i-ultrasound ukujonga ubukho beekristal kwiqatha lakho.

Okokugqibela, banokwenza uvavanyo ngokudibeneyo kolwelo. Oku kubandakanya ukuthatha isampulu encinci yolwelo oludibeneyo kwiqatha lakho ngenaliti encinci kwaye uyijonge phantsi kwemicroscope yayo nayiphi na ikristale yeuric acid.

Ngokusekwe kwiziphumo zovavanyo lwakho kunye novavanyo, banokukuthumela kwingcali yesifo samathambo esibizwa ngokuba yi-rheumatologist kunyango.

Iphathwa njani i-gout emaqatheni?

Akukho lunyango lwesifo segawuthi, kodwa indibaniselwano yamayeza kunye nonyango lwasekhaya lunokunceda ukulawula iintlungu zamaqatha kunye nokunciphisa inani le-flare-ups onayo.

Amayeza

Amayeza anokunceda ukunciphisa iintlungu kwi-gout flare-up kwiqatha lakho zibandakanya:

• iziyobisi ezichasayo ezingaphaya kwamayeza (i-NSAIDS), ezinje nge-ibuprofen (Advil)
• amandla e-NSAIDS amiselweyo, anje nge celecoxib (Celebrex) okanye indomethacin (Indocin)
• i-corticosteroids, enokuthi ithathwe ngomlomo okanye itofelwe kwilungu lakho le-ankle ukunceda ukunciphisa iintlungu kunye nokudumba
• colchicine (Colcrys), isiqabu sentlungu esijolise kwintlungu yegout kodwa ngamanye amaxesha inokubangela isicaphucaphu kunye nezinye iziphumo ebezingalindelekanga.

Ugqirha wakho unokuyalela idosi esezantsi yemihla ngemihla ye-colchicine ukunciphisa umngcipheko wokutsha kwexesha elizayo.

Ezinye iziyobisi ezinokukunceda ukunciphisa inani lexesha elizayo lokuphazamiseka kubandakanya:

• i-allopurinol (iZyloprim) kunye ne-febuxostat (i-Uloric), ethintela imveliso ye-uric acid yomzimba kwaye inokunceda ukunciphisa amathuba okuba igawuthi yenze amanye amalungu
• i-uricosurics, efana ne-lesinurad (i-Zurampic) kunye ne-probenecid (i-Probalan), enceda umzimba wakho ukuba uphelise i-uric acid engaphezulu, nangona inokunyusa umngcipheko wamatye ezintso

Unyango lwasekhaya

Enye yezona ndlela zisebenzayo zokulawula i-gout kukunciphisa ukutya kwakho okunesondlo kunye neziselo. Khumbula, umzimba wakho uvelisa i-uric acid xa isaphula i-purine.

Oko kuthetha ukuchitha kancinci:

• inyama ebomvu
• inyama, efana nesibindi
• Ukutya kwaselwandle, ngakumbi ityhuna, iscallops, isardadi kunye netrout
• utywala
• iziselo ezineswekile

Ukusika ezinye zezi zinto kunokuba negalelo ekunciphiseni ubunzima, obunokuba yibhonasi eyongeziweyo ukuba uthwele ubunzima obongezelelekileyo, nto leyo inobungozi kwirout. Oku kuyinyani ngakumbi xa utshintsha oku kutya ngenxa yeziqhamo, imifuno, ukutya okuziinkozo kunye neeproteni. Funda ngakumbi malunga nokutya kunye nokuba ungakuphepha xa une-gout.

Kukho ezinye iindlela zonyango ongazama ngazo, kodwa ezi azifundiswanga ngokwaneleyo ukuze zazi ukuba ziyasebenza na. Sekunjalo, banokunika isiqabu. Nantsi indlela yokuzizama ngokwakho.

Kuthatha ixesha elingakanani igawuthi emaqatheni?

I-Gout flare-ups inokuhlala iiyure ezininzi ngexesha, kodwa ungaziva iintlungu eqatheni iintsuku okanye iiveki. Abanye abantu bane-flare-up enye ebomini babo, ngelixa abanye benamaxesha aliqela ngonyaka.

Gcina ukhumbula ukuba igawuthi yimeko engapheliyo, oko kuthetha ukuba ihlala ixesha elide kwaye ifuna ulawulo oluqhubekayo. Utshintsho kwizidlo kunye namayeza angenza umohluko omkhulu, kodwa uya kuba semngciphekweni wokuba ne-flare-up.

Gcina ukhumbula ukuba kunokuthatha ixesha ukufumana indibaniselwano elungileyo yotshintsho kwindlela otya ngayo kunye namayeza anokusebenzelayo. Musa ukudimazeka ukuba izinto zibonakala zingaphucuki kwangoko.

Ngaba ingakhokelela nakwezinye iingxaki?

Ukuba ishiywe ingalawulwa, ukudumba okunxulumene ne-gout kunokubangela ukonakaliswa okungagungqiyo kwilungu lakho le-ankle, ngakumbi ukuba uhlala usenza impazamo.

Ixesha elingaphezulu, amaqhuma eekristali zeuric acid, ezibizwa ngokuba yitophi, nazo zinokujikeleza iqatha lakho. Ezi zivumba azibuhlungu, kodwa zinokubangela ukudumba kunye nokuthantamisa okongeziweyo ngexesha lokuqhambuka.

Yintoni imbonakalo?

Igawuthi yimeko enganyangekiyo engenanyango, kuya kufuneka uyibeke esweni kangangexesha elithile. Ngelixa kunokuthatha ixesha ukufumana indlela yolawulo olululo, uninzi lwabantu abane-gout lufumana indibaniselwano yolamlo kunye notshintsho kwindlela yokuphila ukuze lusebenze.

Ukuba usanda kufunyaniswa, cinga ukubona i-rheumatologist ukuba awukabikho. Banakho ukubonelela ngeengcebiso ezingaphezulu malunga nendlela yokulawula iimpawu ze-gout.