Gout ndi mtundu wa nyamakazi umene umakhudza Achimereka oposa mamiliyoni atatu pachaka. Amadziwika kuti gouty arthritis, matendawa amayamba chifukwa cha mapangidwe a uric acid (kuphatikizapo zala zazikulu zazing'ono), zomwe zimabweretsa ululu, kupweteka, ndi chifundo. Ngakhale kuti zinthu zina, monga matenda a chiberekero kapena matenda a impso, zingakuchititseni kuti mukhale ndi vutoli, zakudya, mowa, ndi kunenepa kwambiri zingathandizenso.
Chithandizo chingaphatikizepo pa----counter (OTC) ndi mankhwala osokoneza bongo kuti athetse ululu ndi kuchepetsa ma oric acid. Mukhoza kuchepetsa kuchuluka kwa chiwonongeko ndi kuchepa thupi, kuchita nthawi zonse, komanso kupewa zakudya zowonongeka.
Zizindikiro
Zizindikiro za gout zimakhala zikupita patsogolo ndipo zikhoza kuipiraipira patapita nthawi ngati sizitsatiridwa. Zizindikiro zowopsya ndi zobwereza zimagwirizana kwambiri ndi siteji ya matendawa.
Gout akumwa ndi nthawi yomwe musanayambe kuukira. Panthawiyi kuti kupitirira kwa uric asidi m'magazi anu kumayambitsa urate (mchere wochokera ku uric asidi) kuti amange ndi kupanga makina. Ngakhale kuti simudzakhala ndi zizindikiro zilizonse panthawiyi, kuwonjezereka kwa khungu kumakhala kovuta.
Gout yodabwitsa kwambiri ndi siteji pamene mudzayamba kukumana ndi ziwonongeko zokhala paliponse kuyambira masiku atatu mpaka 10. Kuwombera (zomwe nthawi zambiri zimakhudza zala zazikulu zazing'ono komanso bondo, chikopa, chidendene, pakati, chigoba, mkono, ndi zala) zidzapweteka mwadzidzidzi ndi kupweteka, kuuma, kufiira, kutopa, ndi nthawi zina kutentha thupi.
Gout wodwala wodwala matenda opatsirana ndi matenda opatsirana omwe amachititsa kuti makoswe amtunduwu asakanikizidwe kuti akhale tophi . Mapangidwe a masitiniwawa amatha kuchotsa minofu ya mafupa ndi mafupa ndipo amachititsa kudwala matenda a nyamakazi komanso kutaya thupi .
Mavuto a gout osatulutsidwa amaphatikizapo miyala ya impso komanso kugwira ntchito kwa impso .
Zimayambitsa
Zochitika zina zamankhwala zingapangitse chiopsezo chanu chokhala ndi matendawa , mwina chifukwa chakuti amalephera kugwira ntchito ya impso (kulola kuti uric acid ikhalepo) kapena amachititsa kutupa kosatha (zomwe asayansi ena amakhulupirira kuti amalimbikitsa uric acid kupanga). Zitsanzo monga matenda a impso (CKD) , mtima wa congestive (CHF) , shuga komanso psoriatic nyamakazi .
Mofananamo, majini angayambitse mbali. Chitsanzo chimodzi chotere ndi ma genetic mutation a SLC2A9 kapena SLC22A12 gene yomwe imathandiza kuti muyambe kuchuluka kwa uric acid ndi thupi ndi kuchuluka kwake. Zina zomwe zimayambitsa matendawa zimaphatikizapo matenda a impso a polycystic (PKD) ndi Fabry matenda.
Zochitika zina zomwe zimawopsyeza zikhoza kuchititsa kuti chitukukocho chikhale chitukuko. Zikuphatikizapo:
- Kunenepa kwambiri , komwe kumakhudzana ndi ntchito yothetsera impso
- Amadya kwambiri mu purines , mankhwala omwe amapezeka mu zakudya zina zomwe zimapanga uric acid
- Zakudya zapamwamba-fructose ndi zakumwa zoledzeretsa zomwe zimapangitsa kugwira ntchito kwa impso
Mankhwala ena amakhala ndi diuretic effect omwe angapangitse uric acid m'magazi, kuphatikizapo cyclosporine , Lasix (furosemide) , aspirin yaing'ono, ndi niacin (vitamini B3).
Kudziwa
Gout nthawi zambiri amapezeka pamayesero a labu ndi kuunika kwa thupi.
Mayesero ojambula angagwiritsidwe ntchito pothandizira kuchipatala ndi / kapena kuyesa momwe zimakhalira zowonongeka.
Kuyeza kwa golide ndiko kusanthula kwa synovial madzi omwe amadzimadzi amadzimadzi amachotsedwa ndi singano ndi syringe ndikuyang'aniritsa pansi pa microscope pofuna umboni wamakristasi a urate. Zida zina zogwiritsira ntchito zizindikiro zimaphatikizapo mayeso a ntchito za impso ndi urinalysis kuti athandizidwe kuwona momwe mungapezere matenda a impso.
Zojambula zosiyana zojambula zingagwiritsidwe ntchito kuyesa kuchuluka kwa mgwirizano. Mwa iwo:
- Ultrasounds ndi njira yosankhika yoyesera pamene angathe kuwonongeka koyambirira.
- X-rays akhoza kuwulula kukokoloka kofanana koma osati kumayambiriro oyambirira.
- Zithunzi zojambulidwa ndi maginito (MRI) ndi zojambula za tomography (CT) zingapereke umboni wowonongeka wa zowonongeka komanso zimakhala ndi zofooka m'matenda oyambirira.
Chithandizo
Njira yothandizira mankhwalawa ndi katatu: kuchepetsa kupweteka ndi kutupa, kuchepetsa uric asidi m'magazi, komanso kuletsa kudya kapena mankhwala omwe amalimbikitsa uric acid kupanga.
Mankhwalawa amatha kupatsidwa mpumulo ndi kupuma kwa ayezi kuti achepetse kutupa komweko. Mankhwala osagwiritsa ntchito mankhwala osokoneza bongo (NSAID) monga Advil (ibuprofen) kapena Aleve (naproxen) angathandizenso.
Matenda oopsa kapena obwerezabwereza angapindule ndi kutupa kwa corticosteroids (kupatsirana ndi mapiritsi kapena jekeseni) kapena mankhwala osokoneza bongo otchedwa Colcyrs (colchicine) omwe amaletsa mavitamini opweteka otulutsidwa ndi uric acid.
Ngati zakudya ndi zina zothandizira sizikuthandizani, mankhwala ochepetsa uric-acid monga Uloric (febuxostat) kapena Zyloprim (allopurinol) akhoza kulamulidwa. Zotsatira zake zimaphatikizapo kukwiya kwa m'mimba, kunyowa, kupweteka pamodzi, ndi kupweteka kwa minofu.
Krystexxa (pegloticase), mankhwala atsopano opangidwa ndi mankhwala osokoneza bongo, amatha kusungirako anthu omwe mankhwala ena onse amatha kuperewera.
Kulimbana
Ngakhale gout ingathe kulamulidwa kwambiri ndi mankhwala ndi mpumulo, pali njira zambiri zodzifunira zomwe mungachite kuti muzitha kuchiza kapena kuchepetsa kubwereza koopsa. Zikuphatikizapo:
- Kupewa zakudya zakutchire monga chiwindi, mthunzi wanyama, mussels, tuna, bacon, ndi mowa
- Kuwonjezera kudya kwanu zipatso, masamba, mbewu zonse, ndi mkaka wochepa
- Kumwa magalasi asanu ndi atatu mpaka 16 patsiku kuti muthandize poyera uric acid mwa kukodza ndi kuchepetsa kuchuluka kwa magazi.
- Kuika ndondomeko yolemetsa ngati muli olemera kwambiri kapena owonjezera
- Kukwezetsa phazi lanu panthawi yomwe mukukumenyana koopsa ndikuiyika bwino
- Pogwiritsa ntchito chipangizo cha nzimbe kapena zoyendetsera kupondereza phazi
- Pogwiritsa ntchito njira zosangalatsa kuti musamalire bwino ululu
Ngati zizindikiro zanu sizikuyenda pambuyo pa maola 48 kapena kutha kwa nthawi yoposa sabata, funsani dokotala kuti akonze dongosolo. Nthawi zina, mankhwala amafunika kusintha kapena kusintha ngati sakulephera.
> Zotsatira:
> Hanani, B; Matheson, E. ndi Wilke, T. "Kuzindikira, Kuchiza, ndi Kuteteza Gout." Am Fam Physician. 2014; 90 (12): 831-836.
> Richette, P. ndi Barden, T. "Gout." Lancet. 2010; 375 (9711): 318-28. DOI: 10.1016 / S0140-6736 (09) 60883-7.
> Zhang, Y .; Chen, C .; Choi, H. et al. "Zakudya zolemera m'magazi zimayambitsa kudya komanso kugwiritsira ntchito mankhwala opatsirana." Ann Rheum Dis. 2012; 71 (9): 1448-53. DOI: 10.1136 / annrheumdis-2011-201215.