Akazi ndi Amuna Omwe Amagawaniza Gout Zinthu Zowopsa

Zofukufuku Zofufuza Zomwe Gout Silipatula Mwachiwerewere

Kaya ndi amuna kapena akazi, anthu amene akudwala matenda a gout amakhala ndi mavuto ena, malinga ndi kafukufuku amene anapezeka mu November 2005 ya American College of Rheumatology's Annual Scientific Meeting. National Institutes of Health yanena kuti:

• Gout amapezeka pafupifupi 840 mwa anthu 100,000.
• Gout ndilosavomerezeka kwa ana ndi achinyamata.

• Amuna, makamaka omwe ali pakati pa zaka 40 ndi 50, amatha kukhala ndi gout kusiyana ndi amayi, omwe kawirikawiri amayamba matendawa asanayambe kusamba.
• Gout Screening Quiz

Chifukwa Chiyani Phunziroli?

Gout wakhala akunenedwa kuti ikuchitika makamaka mwa amuna. Komabe, kuwonjezereka kwa chiopsezo pakati pa akazi ndi kuthekera kuti maphunziro a zachipatala omwe amatsatira kwambiri za amuna angakhale atasintha zina mwa ziwerengerozi zinalimbikitsa ochita kafukufuku kuti aphunzire makhalidwe a amayi.

Kodi Gout Ndi Chiyani?

Gout ndi imodzi mwa matenda opweteka kwambiri a rheumatic ndi accounts pafupifupi 5 peresenti ya matenda onse a nyamakazi. Mawu akuti nyamakazi amatanthauza mitundu yoposa 100 ya matenda a rheumatic omwe amakhudza ziwalo, minofu, mafupa, komanso zida zina.

Sungani zotsatira kuchokera kumabwalo a singano onga crystals a uric acid mu mawonekedwe ogwirizana, mu malo ophatikizana pakati pa mafupa awiri, kapena onse awiri.

Izi zimayambitsa matenda a kutupa nyamakazi, omwe amachititsa kutupa, kufiira, kutentha, kupweteka, ndi kuuma mu ziwalo.

Hyperuricemia

Uric acid ndi chinthu chomwe chimabwera chifukwa cha kuwonongeka kwa purines, zomwe ziri mbali ya minofu yonse ya anthu ndipo zimapezeka mu zakudya zambiri.

Kawirikawiri, uric acid imasungunuka m'magazi ndipo imadutsamo impso mumkodzo kumene imachotsedwa.

Ngati thupi likuwonjezera kuchuluka kwa uric acid kapena ngati impso sizichotsa uric acid wokwanira, thupi la uric acid limatulutsa magazi (matenda otchedwa hyperuricemia).

• Gout Quiz: Yesani Zodziwa Zanu

Zowopsa

Zambiri mwazidzidzidzi zimayenderana ndi chitukuko cha hyperuricemia ndi gout:

• Genetics (mpaka 18 peresenti ya anthu omwe ali ndi gout ali ndi mbiri ya banja lawo)
• Chiwerewere (gout ndi chofala kwa amuna kuposa akazi)
• Zaka (gout ndilofala kwa akuluakulu kuposa ana)
• Kunenepa (kukhala woposa kunenepa kumabweretsa kuchulukitsa kwa uric acid)
• Kuledzeretsa mowa mopitirira muyeso (kumwa mowa mopitirira muyeso kungayambitse matenda oopsa a hyperuricemia)
• Matenda a enzyme (angathe kusokoneza momwe thupi limaperekera purines zimayambitsa gout)
• Kuwonetsa kutsogolera (kutsogolera kungayambitsenso gout)

Zakudya

Zakudya zapamwamba (ie zakudya zopangidwa mu purines zingayambitse kapena kukulitsa gout)

• Gout Diet: Chakudya Kudya
• Gout Diet: Chakudya Choyenera Kupewa

Mankhwala Ena

Anthu ena amene amamwa mankhwala ena kapena ali ndi thanzi labwino amakhala pachiopsezo chokhala ndi asidi ochuluka m'madzi awo. Mankhwala ena amachititsa kuti thupi likhale ndi matenda oopsa chifukwa amachepetsa thupi kuti lichotse uric acid. Mankhwala awa ndi awa:

• Diuretics (mankhwala omwe amawonjezera kuchuluka kwa mkodzo wosakaniza)

• Salicylates (anti-inflammatory mankhwala opangidwa kuchokera ku salicylic acid monga aspirin)
• Niacin (vitamini iyi imatchedwanso nicotinic asidi)
• Cyclosporine (immunosuppressant)
• Levodopa (ankakonda kudwala Matenda a Parkinson)

Za Phunziro

Kwazaka zoposa 24, ofufuza adafufuza zotsatira zokhudzana ndi gulu lomwe likuyembekezera kuti azimayi aziwona ngati pali kusiyana kwakukulu ndi zochitika za kugonana pakati pa amuna ndi akazi awiri. Chidziwitso chinasonkhanitsidwa kuchokera kwa azimayi ambiri okhudzana ndi:

• Kulemera
• Mndandanda wa misa ya thupi
• Matenda
• Thandizo lachipatala (kuphatikizapo kugwiritsa ntchito ma diuretics)
• Kudya chakudya ndi mowa

• Moyo

Matenda atsopano a gout omwe analembedwa kuyambira 1980 (okwana 444) adayesedwa poyang'ana pazidziwitso zomwe zingawathandize kuti:

• Zaka
• Kulemera kwa msinkhu
• Kudyetsa zakudya
• Mbiri yokhudza zachipatala
• Kugwiritsa ntchito mankhwala ena

Zotsatira Zophunzira

Zotsatira zimasonyeza kuti pali kusiyana kwakukulu mwa njira zomwe ziwopsezozi zimakhudzira matendawa mwa abambo ndi amai. Kuopsa kwakukulu kwa gout kunakhudzidwa ndi kuwonjezeka:

• Mndandanda wa misa ya thupi
• Kulemera
• Chiwerengero cha chiuno

Poyerekeza ndi omwe ali m'gulu laling'ono kwambiri, amayi omwe ali ndi chiwerengero chapamwamba kwambiri cha thupi laumphawi anali ndi chiopsezo chochulukitsa kasanu ndi kawiri.

Zina Zophunzira

• Kuthamanga kwa magazi komanso kuwonjezereka kwa ma diuretics kunakhalanso ndi mphamvu yodziimira okha pangozi ya gout.
• Kuwonjezeka kwa mkaka wa mkaka kunayanjananso ndi kuchepa kwa vuto la kugwidwa, kufotokoza zochitika za amuna.

Zotsatira

• Kuyesera kwakukulu ndi kosalekeza kukonzanso zoopsazi muzogonana zingathandize kuchepetsa kwambiri vuto la kugwidwa ndi kugonana.
• Njira zopewera ndi zothandizira pazifukwazi ziyenera kuperekedwa kwa amuna ndi akazi onse.
• Kukula kwa mliri wa kunenepa kwambiri ndi kuchulukanso kwa chiwopsezo cha mthupi komanso kugwiritsira ntchito diuretic kumaperekanso vuto lalikulu poletsa ndi kuteteza gout.

Zothandizira zokhudzana

• Gout
• Momwe Mungachitire Mankhwala Ndi Zakudya

_{Zowonjezera: ACR Press Release 11/13/05, Gout Silipatula; NIH Publication No 02-5027}