Iimpawu zeGout

Umxholo

• Iimpawu zesifo segawuthi
• Iimpawu sifo sifo
• Iimpawu zesifo esinganyangekiyo
• Imingcipheko yesifo
• Iingxaki zesifo segawuthi
• Amaqhuqhuva phantsi kolusu lwakho
• Ukonakala kwezintso
• Isifo seBursitis
• Ukulawula iimpawu zesi sifo
• Ukuthatha

Ushwankathelo

Igawuthi luhlobo lwesifo samathambo esikhula kumanqanaba aphezulu e-uric acid egazini lakho. Uhlaselo lwegawuthi lunokuba ngequbuliso kwaye lube buhlungu. Unokufumana ukutshiswa, kwaye ilunga elichaphazelekayo linokuba lukhuni kwaye lidumbe.

Qhubeka ufunda ukuze ufunde okungakumbi malunga neempawu ze-gout, izinto ezinobungozi kunye neengxaki zale meko, kunye nendlela yokulawula iimpawu xa ufumana uhlaselo lwe-gout.

Iimpawu zesifo segawuthi

Kukho iintlobo ezahlukeneyo iimpawu sifo. Abanye abantu abanazimpawu. Oku kuthetha ukuba abanazimpawu, nangona benamazinga aphezulu e-uric acid egazini labo. Aba bantu abadingi nyango. Abanye, nangona kunjalo, baneempawu ezibi okanye ezingapheliyo ezifuna unyango.

Iimpawu ezibukhali ziza ngesiquphe kwaye zenzeka okwexesha elifutshane. Iimpawu ezingapheliyo zisisiphumo sokuhlaselwa okuphindaphindiweyo kwegawuthi kwithuba elide.

Iimpawu sifo sifo

Intlungu, ukuba bomvu, kunye nokudumba ziimpawu eziphambili zohlaselo lwegawuthi. Oku kunokwenzeka ebusuku kwaye kukuvuse ebuthongweni. Nokuba uchukumise ukukhanya kwindibaniselwano yakho kunokuba nzima. Kunokuba nzima ukuhamba okanye ukugoba. Ezi mpawu zenzeka ngokudibeneyo kuphela ngexesha elinye, ikakhulu kwizwane zakho ezinkulu. Kodwa amanye amalungu achaphazeleka rhoqo.

Iimpawu ziza ngokukhawuleza kwaye zinzima kakhulu kwiiyure ezili-12 ukuya kwezi-24, kodwa zinokuhlala ixesha elide njengeentsuku ezili-10.

Iimpawu zesifo esinganyangekiyo

Intlungu kunye nokudumba okunxulunyaniswa nokuhlaselwa yi-gout kudla ngokunyamalala ngokupheleleyo phakathi kohlaselo. Kodwa ukuhlaselwa ngokuphindaphindiweyo kwe-gout ngokukhawuleza kunokubangela umonakalo ongapheliyo.

Kunye nentlungu edibeneyo, ukudumba, ukuba bomvu kunye nokudumba, igawuthi inokunciphisa ukuhamba ngokudibeneyo. Njengoko igawuthi iphucuka, ulusu olujikeleze ilungu lakho elichaphazelekayo linokukrwitsha kunye nokucola.

Igawuthi inokuchaphazela amalungu amaninzi emzimbeni wakho. Ngokwesiqhelo, uhlaselo lokuqala lwegawuthi lwenzeka kumalungu onzwane lwakho olukhulu. Uhlaselo lunokwenzeka ngesiquphe, kwaye uzwane lwakho lubonakala ngathi ludumbile kwaye lufudumele ngaphandle kwebala. Ukongeza kuzwane lwakho olukhulu, amanye amalungu achaphazeleka yi-gout abandakanya:

• amaqatha
• amadolo
• iminwe
• ingqiniba
• isihlahla
• izithende
• yenze

Imingcipheko yesifo

Ukutya ukutya neziselo eziqulathe isixa esikhulu seepurine kunegalelo ekuthini igout. Oku kubandakanya:

• iziselo ezinxilisayo
• inyama yehagu
• Thekhi
• isibindi
• intlanzi
• iimbotyi ezomileyo
• ertyisi

I-Purines yimixube yemichiza ekutyeni kwaye iyenzeka ngokwendalo emzimbeni wakho, evelisa i-uric acid njengoko iphula i-purines. Ngokwesiqhelo, i-uric acid inyibilika kwigazi lakho kwaye iphume emzimbeni ngomchamo. Kodwa ngamanye amaxesha i-uric acid iqokelela egazini, ibangele uhlaselo lwesifo.

Igawuthi inokwenzeka nakubani na, kodwa izinto ezithile zonyusa umngcipheko wakho. Izinto zomngcipheko zibandakanya:

• Imbali yosapho yesifo
• ukutyeba kakhulu
• uxinzelelo lwegazi olunganyangwa
• iswekile yemellitus
• isifo metabolic
• izifo ze-coronary artery
• isifo esinganyangekiyo sezintso
• Ukusela kakhulu utywala
• ukutya okuphezulu kwe-purine
• amayeza athile okuthomalalisa ulwelwesi ukuba ubufakelwe ilungu elithile
• ukusetyenziswa kwamayeza athile, anjenge-diuretics kunye ne-aspirin
• ukwenzakala kutshanje okanye uqhaqho

Umngcipheko wokuphuhliswa kwegawuthi uphezulu ukuba uyindoda. Ukuvezwa kwelothe kunokunyusa umngcipheko wokuhlaselwa yintsholongwane. Ukuthatha iidosi eziphezulu ze-niacin kunokubangela ukuba igawuthi iphume.

Ugqirha wakho unokufumanisa isifo segawuthi ngovavanyo lwegazi kwaye ngokuthatha ulwelo kwilungu elichaphazelekayo.

Iingxaki zesifo segawuthi

Iimpawu ezingapheliyo nezihlala zihleli ze-gout ziyanyangeka. Iintlungu ze-Gout zinokuba qatha kunezinye iintlobo zentlungu ye-arthritic, ke jonga ugqirha ukuba unequbuliso, iintlungu ezibukhali kwilungu elingaphucukanga okanye eliba mandundu.

Ukuba ayishiywanga inganyangwa, igawuthi inokubangela ukhukuliseko ngokudibeneyo. Ezinye iingxaki ezinzulu zibandakanya:

Amaqhuqhuva phantsi kolusu lwakho

Igawuthi enganyangekiyo inokubangela iidipozithi zeekristale ze-urate phantsi kolusu lwakho (tophi). Ezi zivakala njengemaqhuqhuva anzima kwaye zinokuba buhlungu kwaye zitshise ngexesha lokuhlaselwa kwegawuthi. Njengoko i-tophi yakha ngokudibeneyo, inokubangela ukukhubazeka kunye nentlungu engapheliyo, ukunciphisa umda wokuhamba, kwaye ekugqibeleni inokutshabalalisa amalungu akho ngokupheleleyo. I-tophi inokuphazamisa inxenye yesikhumba sakho kwaye ikhuphe into emhlophe emhlophe.

Ukonakala kwezintso

Iikristali ze-Urate nazo zingakha kwizintso zakho. Oku kunokubangela amatye ezintso kwaye ekugqibeleni kuchaphazele ukukwazi kwakho kwezintso ukucoca iimveliso zenkunkuma emzimbeni wakho.

Isifo seBursitis

Igawuthi inokubangela ukudumba kwe-sac fluid (bursa) eqinisa izicwili, ngakumbi engqinibeni nasemadolweni. Iimpawu ze-bursitis zikwabandakanya iintlungu, ukuqina, kunye nokudumba. Ukudumba kwi-bursa kwandisa umngcipheko wosulelo, onokuthi ukhokelele kumonakalo odibeneyo osisigxina. Iimpawu zosulelo zibandakanya ukwanda kobomvu okanye ukufudumala kumalungu kunye nomkhuhlane.

Ukulawula iimpawu zesi sifo

Amayeza ayafumaneka ukukunceda ulawule iimpawu zesi sifo. Oku kubandakanya iziyobisi ezichasayo ezingasebenziyo, ezinjenge-indomethacin (Tivorbex), ibuprofen (Advil, Motrin IB), kunye ne naproxen (Aleve, Naprosyn). Iziphumo zala mayeza zingabandakanya ukopha, izilonda zesisu, kunye nentlungu esiswini. Ukuba iimpawu zakho aziphenduli kula mayeza, oogqirha bakho banokucebisa ezinye iziyobisi ukuyeka ukuhlaselwa nokukhusela ukuhlaselwa kwangaphambili.

I-Colchicine (Colcrys) inokunciphisa iintlungu ze-gout, kodwa iziphumo ebezingalindelekanga zinokubandakanya isicaphucaphu, urhudo kunye nokugabha.

ICorticosteroids enje nge-prednisone ikwanciphisa ukudumba kunye nentlungu. La mayeza amiselweyo anokuthathwa ngomlomo okanye afakwe kwilungu lakho. Iziphumo zibandakanya ukutshintsha kwemood, uxinzelelo lwegazi oluphezulu, kunye nokugcinwa kwamanzi.

Kukho amayeza athintela imveliso ye-uric acid kunye nezinye ezinceda umzimba wakho ukuba ususe i-uric acid, njenge-allopurinol (iZyloprim) kunye ne-probenecid, ngokwahlukeneyo.

Ukuthatha

Ngotshintsho kwindlela yokuphila, kunokwenzeka ukuthintela uhlaselo lwegaw elizayo kwaye uhlale ungenazimpawu. Thatha amayeza njengoko kuyalelwe. Ukunciphisa utywala kunye notywala kunye ne-high-fructose isiraphu yengqolowa kunokunciphisa amathuba okuhlaselwa. Unokuthintela uhlaselo lwe-gout ngokwandisa ukungenisa kwakho amanzi kunye nokunciphisa ukutya kwakho inyama, iinkukhu, kunye nokunye ukutya okuphezulu kwe-purine. Ukuphulukana neepawundi ezigqithileyo kunceda ekugcineni inqanaba le-uric acid esempilweni.