Amayeza eGout flares

Umxholo

• Amayeza e-gout yexesha elifutshane
• Amayeza exesha elide
• Thetha nogqirha wakho
• Imibuzo neempendulo
• Q:
• A:

Ukuhlaselwa yi-Gout, okanye i-flares, kubangelwa kukukhula kweuric acid egazini lakho. IUric acid yinto eyenziwa ngumzimba wakho xa isaphula ezinye izinto, ezibizwa ngokuba ziipurines.Uninzi lwe-uric acid emzimbeni wakho linyibilika egazini lakho lize lishiye umchamo wakho. Kodwa kwabanye abantu, umzimba wenza i-uric acid eninzi kakhulu okanye awuyisusi ngokukhawuleza ngokwaneleyo. Oku kukhokelela kumanqanaba aphezulu e-uric acid emzimbeni wakho, enokuthi ikhokelele kwi-gout.

I-buildup ibangela ukuba amakristali afana nenaliti enze indibaniselwano yakho kunye nethishu ejikelezileyo, ebangela iintlungu, ukudumba kunye nokubomvu. Nangona ii-flares zinokuba buhlungu kakhulu, amayeza anokunceda ukulawula i-gout kunye nokunciphisa i-flares.

Ngelixa singekabikho unyango lwe-gout, amayeza amfutshane kunye nexesha elide ayafumaneka ukunceda ukugcina iimpawu zakho ziphantsi kolawulo.

Amayeza e-gout yexesha elifutshane

Ngaphambi konyango lwexesha elide, ugqirha wakho uya kuthi anike idosi ephezulu yeziyobisi ezichasayo okanye ii-steroids. Olu nyango lonyango lokuqala lucutha iintlungu kunye nokudumba. Ziyasetyenziswa de ugqirha wakho aqinisekise ukuba umzimba wakho uwanciphisile amanqanaba e-uric acid egazini lakho wedwa.

La mayeza anokusetyenziswa ngokudibeneyo kunye namachiza exesha elide. Ziquka:

Izidakamizwa ezichasayo ezichasayo (i-NSAID): La machiza ayafumaneka ekhawuntarini njengamayeza ibuprofen (Motrin, Advil) kunye naproxen (Aleve). Zikwafumaneka ngugqirha njengamayeza e-celecoxib (Celebrex) kunye indomethacin (Indocin).

Colchicine (IiColcrys, iMitigare): Oku kunciphisa iintlungu ngugqirha kunokumisa i-gout flare kuluphawu lokuqala lohlaselo. Iidosi ezisezantsi zamachiza ziyanyamezeleka, kodwa iidosi eziphezulu zinokubangela iziphumo ebezingalindelekanga ezifana nesicanucanu, ukugabha kunye norhudo.

ICorticosteroids: I-Prednisone yeyona corticosteroid iqhelekileyo. Ingathathwa ngomlomo okanye ifakwe kwilungu elichaphazelekayo ukunciphisa iintlungu kunye nokudumba. Inokungeniswa kwakhona kwimisipha xa kuchaphazeleka amalungu amaninzi. I-Corticosteroids zihlala zinikwa abantu abangakwaziyo ukunyamezela ii-NSAID okanye i-colchicine.

Amayeza exesha elide

Ngelixa unyango lwexesha elifutshane lusebenza ukunqanda ukuhlaselwa yintsholongwane, unyango lwexesha elide lusetyenziselwa ukunciphisa amanqanaba e-uric acid egazini. Oku kunokunceda ukunciphisa inani lama-flares exesha elizayo kwaye kubenze babe nzima. La mayeza amiselwe kuphela emva kokuba kuvavanyo lwegazi luqinisekisile ukuba unehyperuricemia, okanye inqanaba eliphezulu leuric acid.

Izinketho zonyango lwexesha elide zibandakanya:

Yonke into (ILopurin kunye neZyloprim): Eli lelona yeza liqhelekileyo liqhelekileyo lokunciphisa amanqanaba e-uric acid. Kungathatha iiveki ezininzi ukwenza ngokupheleleyo, ukuze ube nakho ukuvela ngelo xesha. Ukuba unayo i-flare, inokunyangwa ngolunye lonyango lokuqala lokunceda ukunciphisa iimpawu.

UFebuxostat (Uloric): La mayeza omlomo athintela i-enzyme eqhekeza i-purine kwi-uric acid. Oku kuthintela umzimba wakho ekwenzeni i-uric acid. IFebuxostat iqhutywa ikakhulu sisibindi, ke ikhuselekile kubantu abanesifo sezintso.

Iiprobene (IBenemid kunye neProbalan): La mayeza amiselwe ikakhulu abantu abanezintso ezingakhuphi i-uric acid ngokufanelekileyo. Inceda izintso zonyuse ukuphuma kwakho ukuze inqanaba le-uric acid yakho izinze. Akucetyiswa kubantu abanesifo sezintso.

I-Lesinurad (iZurampic): Eli yeza lomlomo lavunywa kuLawulo lokutya kunye noLawulo lweziyobisi kwi-2015. Isetyenziswa ebantwini i-allopurinol okanye i-febuxostat enganciphisanga amanqanaba e-uric ngokwaneleyo. I-Lesinurad ihlala isetyenziswa nenye yezi ziyobisi. Lunyango olutsha oluthembisayo kubantu abanengxaki yokulawula iimpawu zabo zesifo. Nangona kunjalo, kuza nomngcipheko wokusilela kwezintso.

I-Pegloticase (Krystexxa): Eli chiza yi-enzyme eguqula i-uric acid iye kwenye, indawo ekhuselekileyo, ebizwa ngokuba yi-allantoin. Inikwa njenge-intravenous (IV) ukumnika rhoqo emva kweeveki ezimbini. I-Pegloticase isetyenziswa kuphela kubantu abangakhange basebenzele elinye iyeza lexesha elide.

Thetha nogqirha wakho

Amayeza amaninzi ayafumaneka namhlanje ukunceda ekunciphiseni iimpawu zesifo. Uphando luyaqhubeka ukufumana unyango ngakumbi, kunye nonyango olunokubakho. Ukuze ufunde okungakumbi malunga nokunyanga i-gout yakho, thetha nogqirha wakho. Imibuzo onokuyibuza ibandakanya:

• Ngaba akhona amanye amayeza endinokuwathatha ukunyanga igawuthi yam?
• Ndingenza ntoni ukunceda ukuthintela i-gout flares?
• Ngaba kukhona ukutya onokukucebisa okunokunceda ukugcina iimpawu zam ziphantsi kolawulo?

Imibuzo neempendulo

Q:

Ndingayithintela njani i-gout flares?

Isigulana esingaziwayo

A:

Utshintsho kwindlela yokuphila oluninzi lunokunceda ukunciphisa i-gout flares. Oku kubandakanya ukugcina ubunzima obusempilweni, ukwenza umthambo, kwaye- mhlawumbi yeyona nto ibalulekileyo- ukulawula indlela otya ngayo. Iimpawu zeGout zibangelwa zii-purines, kwaye enye indlela yokunciphisa i-purines emzimbeni wakho kukuphepha ukutya okukuzo. Oku kutya kubandakanya isibindi kunye nezinye inyama zenyama, ukutya kwaselwandle okunje ngeanchovies, kunye nebhiya. Ukufunda malunga nokutya okumele ukunqande kunye nokunciphisa, jonga eli nqaku malunga nokutya okufanelekileyo kwe-gout.

Iimpilo zeQela lezoNyango lezeMpilo libonisa izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.