Kugonjera Matenda Ndicholinga
Gout ndi matenda a nyamakazi. Anthu ambiri omwe atha kugwiritsidwa ntchito ndi gout amanena kuti zomwe zikuchitikazo ndizovuta kwambiri, ndipo zowona, zimatha kuchita chirichonse kuti asakhale ndi wina. Amafuna kudziwa mmene angachiritse gout, koma kodi palidi mankhwala?Kodi Chithandizo N'chiyani?
Merriam-Webster Dictionary imatanthawuza machiritso monga "kuchira kwa matenda, kukhululukidwa kwa zizindikiro kapena zizindikiro za matenda makamaka pa nthawi yaitali ya chiwonetsero."
Malinga ndi tanthawuzo limeneli, mankhwala a gout akusonyeza kuti chithandizo choletsa mankhwala chimalepheretsa kubwereza kwa mankhwalawa. Kuti achiritsidwe, gout odwala amayenera kuchitapo kanthu kuchipatala ndikugwirizana ndi ndondomeko ya mankhwala ya nthawi yayitali.
Mankhwala a gout amawonjezereka chifukwa choposa oric acid mu thupi ndi uric acid crystals (mawonekedwe a monosodium urate monohydrate crystals kapena MSU) ndipo amaikidwa m'magulu ndi minofu yofewa yomwe imayandikana nawo. Kuyika kwa makristasi kumamangirizidwa ku kutupa koopsa komanso kosatha.
Sikuti anthu onse omwe ali ndi matenda a hyperuricemia amapanga gout: akuganiza kuti mpaka awiri mwa atatu mwa anthu omwe ali ndi hyperuricemia sakhala ndi zizindikiro zamakristasi kapena gout . Komabe, cholinga cha mankhwala a nthawi yaitali ndi kusunga serum uric acid pansi pa 6 mg / dl. Pa mlingo umenewo, palibe makina atsopano omwe amapezeka, makina amatha kusungunuka, masewera olimbitsa thupi amapewa, ndipo tophi amawongolera ndi kutha.
Chofunika kwambiri, pamene uric acid imasungidwa pansi pa 6 mg / dl, ndipo madiresi onse amatha kusungunuka, gout amachiritsidwa - ngakhale popanda kupitiriza chithandizo, anthu ambiri adzabwereranso.
Kugonjetsedwa kwa Gout kosavomerezeka
Poyamba gout, ululu ndi kutupa zimakhala zovuta kwambiri mkati mwa ola limodzi loyamba.
Ngakhale osatengeredwa, zizindikiro zimakhala bwino m'masiku angapo, mwinamwake kutenga masabata angapo. Kwa anthu ena, masewera olimbitsa thupi amatha kukhala osavuta, ndi zaka pakati pa zovuta. Pamene nthawi ikupitirirabe, masewera a gout amawonjezeka pafupipafupi. Kugonjetsa kulikonse kungakhale nthawi yaitali ndipo kungaphatikizepo ziwalo zambiri.
Kusamalira Gout ndi Kupewa Kugonjetsedwa kwa Zowonongeka
Kuphatikiza kwa mankhwala ndi kusintha kwa zakudya kumagwiritsidwa ntchito popewera kugwiritsidwa ntchito kwa gout, kapena nthawi zina, kuchepetsa mafupipafupi a masewera a gout. Kutsika kwa asirikiti ya asidi nthawi zambiri kumakhala cholinga.
Anthu omwe ali ndi vuto losawopsa kapena lofewa sangafunike mankhwala omwe amateteza nthawi yayitali, ndipo amatha kulandira mankhwala oopsa ngati akuchitika. Koma anthu amene mavitamini awo amawombera kawirikawiri, nthawi yaitali ndi kulepheretsa amafunika mankhwala kuti aziletsa kubwereza.
NSAIDs (mankhwala osokoneza bongo omwe sagwiritsidwe ndi zotupa) amaonedwa ngati mzere woyamba wa chitetezo pa matenda a gout, kupatula ngati mankhwalawa akutsutsana chifukwa cha zovuta kapena mbiri ya zilonda zamagazi , mwachitsanzo. Kawirikawiri, ma NSAID angathe kubweretsa matenda a gout pansi pa maola 24.
Glucocorticoids , yomwe imatchedwanso corticosteroids, ndiyo njira yachiwiri yodziwombera pamtundu woopsa wa gout.
Kawirikawiri, mankhwalawa amalembedwa pamtingo waukulu, kenako amatha masiku 10 mpaka 14. Chifukwa cha zotsatira zake , corticosteroids ndi yankho laling'ono, osati nthawi yayitali.
Colchicine nthawiyina anali mankhwala osankhidwa kuti azitha kupweteka kwambiri kwa gout. Chifukwa cha nthawi yomwe imateteza kuthetsa ndi poizoni, colchicin silingathenso kulandira mankhwala oopsa a gout, koma ikugwiritsidwanso ntchito kuwateteza.
Ngati zatsimikiziridwa kuti wodwala ayenera kuchiritsidwa ndi mankhwala ochepetsa mkodzo, pali zosankha zingapo. Allopurinol ndi xanthine oxidase inhibitor yomwe imachepetsa kupanga uric acid.
Probenecid ndi imodzi mwa mawotchi omwe amachititsa kuti uric acid isakwane.
Uloric (febuxostat) ndi mankhwala omwe amalembedwa kuti azitha kudwala matenda oopsa opatsirana pogonana. Uloric imachepetsanso serum uric acid potseka xanthine oxidase (enzyme yomwe imayambitsa uric acid kupanga).
Krystexxa (pegloticase) ndi mankhwala osokoneza bongo omwe amapezeka kwa odwala omwe sangathe kutenga, kapena omwe sanathandizidwe, mankhwala opatsirana amodzi . Krystexxa amagwira ntchito mwa kuphwanya uric acid.
Zotsatira:
Zosowa za odwala: Gout (Beyond the Basics). Zaposachedwa. Michael A. Becker. March 29, 2012.
http://www.uptodate.com/contents/gout-beyond-the-basics?source=search_result&search=Gout+beyond+the+basics&selectedTitle=1%7E150
Kuwongolera: njira yothandizira gout. Fernando Perez-Ruiz. Rheumatology. 2009.
http://rheumatology.oxfordjournals.org/content/48/suppl_2/ii9.full
Choyamba pa Rheumatic Diseases. Klippel, J. et al. Lofalitsidwa ndi Arthritis Foundation. Gulu lachitatu.