Mmene Kudya, Kumwa Mowa, ndi Kutaya Kwambiri Zimapangitsani Kuopsa Kwako
Gout ndi mawonekedwe a nyamakazi omwe amadziwika ndi zowawa mwadzidzidzi, zopweteka kwambiri ndi kutupa m'magulu, nthawi zambiri chimphona chachikulu. Ngakhale kuti zinthu zina zingakulepheretseni kuchipatala, monga matenda a chiberekero kapena matenda a impso, ena monga zakudya, mowa, ndi kunenepa kwambiri akhoza kuthandiza kwambiri.
Kawirikawiri, anthu ambiri adzayamba kuukiridwa pakati pa zaka zapakati pa 30 ndi 50.
Ngakhale kuti amuna ambiri amakhala ndi gout kuposa akazi, chiopsezo kwa amai chikhoza kuwonjezeka kwambiri pambuyo pa kutha kwa nthawi.
Zotsatira Za Zakudya
Mosiyana ndi mitundu ina ya nyamakazi , gout imayamba chifukwa cha zovuta m'thupi la thupi kusiyana ndi chitetezo cha mthupi. Kuopsa kwa gout kumagwirizana ndi zinthu zambiri-majini, zamankhwala, ndi moyo-zomwe zimathandizira kuti chiwerengero cha uric acid chiwonjezeke m'magazi, chomwe chimatchulidwa ngati hyperuricemia .
Zakudya zomwe timadya zimathandiza kwambiri pakukula kwa zizindikiro za gout. Izi zimayambira mbali yaikulu ku zakudya zomwe zimapezeka mu zakudya zambiri zotchedwa purine. Mukamadya, purine imathyoledwa ndi thupi ndipo imakhala yopanda kanthu, uric acid . Muzochitika zachilendo, izo zikanasankhidwa kuchokera m'magazi ndi impso ndikuchotsedwa m'thupi kudzera mu mkodzo
Ngati izi sizikuchitika ndipo asidi ya uric imayamba kuunjikira, ikhoza kupanga mapepala ophatikizidwa ndi ophatikizana ndikuwombera.
Chakudya ndi zakumwa zina ndizo zomwe zimachititsa kuti izi zitheke. Mwa iwo:
- Zakudya zapamwamba-purine zimaonedwa kuti ndizoopsa kwambiri kwa gout. Izi zikuphatikizapo zakudya monga nyama ya nyama, nyama yankhumba, mchere, ndi mitundu ina ya nsomba
- Mowa umakhala wovuta makamaka ngati umapangidwa ndi yisiti ya brewer, chophatikiza ndi purine yapamwamba kwambiri. Mowa, mobwerezabwereza, ndi olekanitsa chifukwa amachititsa kuti uric asidi azipanga.
- Zakudya zapamwamba-fructose, kuphatikizapo soda ndi zakumwa zotsekemera, zimayambitsa matenda a shuga ngati shuga yowonjezera imadetsa mpweya wa uric acid pa impso.
Zotsatira Zachibadwa
Mankhwala amtunduwu amatha kukhala ndi chiopsezo chachikulu chotengera gout. Nthenda yotereyi ndi chitsanzo chimodzi, chotsogoleredwa ndi SLC2A9 ndi kusintha kwa SLC22A12 komwe kumayambitsa matenda a impso. Izi zikachitika, impso zimatha kusakaniza uric acid kapena kubwezeretsanso uric asidi m'magazi.
Kulephera kusunga pakati pa kuchuluka kwa uric acid ndi kuchuluka kwake kumathamangitsidwa ndipo pamapeto pake kumayambitsa matenda a hyperuricemia.
Matenda ena amtundu wokhudzana ndi gout ndi awa:
- Kusagwirizana kwa fructose
- Matenda a Kelley-Seegmiller
- Matenda a Lesh-Nyhan
- Medullary cystic matenda a impso
Zotsatira za Zamankhwala
Pali matenda ena omwe angathe kukupangitsani kuti mukhale ndi matenda. Zina mwachindunji kapena molakwika zimakhudza nsomba, pamene ena amadziwika ndi mayendedwe osasangalatsa omwe asayansi ena amakhulupirira amachititsa kuti uric acid apange.
Zina mwazidzidzidzi zowopsa kwa mankhwala ndi izi:
- Matenda a impso
- Kusokonezeka mtima kwa mtima
- Matenda a shuga
- Hemolytic anemia
- Kuthamanga kwa magazi (kuthamanga kwa magazi)
- Hypothyroidism (kutsika kwa chithokomiro chochepa)
- Lymphoma
- Psoriasis
- Psoriatic nyamakazi
Zochitika zina zachipatala zimadziwika kuti zimayambitsa matenda a gout, kuphatikizapo kupwetekedwa kwa mgwirizano wothandizira, matenda, matenda opangidwa posachedwapa, ndi zakudya zopweteka (zomwe zimatha kuwonjezera uric acid chifukwa cha kuchepa kwa thupi).
Mankhwala Amawachititsa
Mankhwala ena amawoneka ndi hyperuricemia mwina chifukwa amachititsa kuti thupi liziyenda bwino (kuwonjezeka kwa uric acid) kapena kuwononga thupi. Zowonongeka kwambiri ndizo:
- Aminophylline (gwiritsani ntchito kuchiza matendawa)
- Cyclosporine (mankhwala osokoneza thupi)
- Ethambutol (omwe amachiza chifuwa chachikulu)
- Lasix (furosemide)
- Levodopa (ankachitira matenda a Parkinson)
- Mankhwala otsika a aspirin otsika (omwe amachepetsa kuchepa kwa mtima)
- Niacin (vitamini B3)
- Thiazide diuretics (yogwiritsidwa ntchito pochiza magazi kapena matenda a mtima)
Zochitika Zowopsa Kwamoyo
Zosankha zomwe mumapanga pamoyo zimathandiza kwambiri paziopsezo zanu monga zifukwa zomwe simungathe kuzilamulira, zaka kapena chikhalidwe. Zingathetseretu chiopsezo chanu, koma zingakhudzire momwe mumayendera mobwerezabwereza.
Kunenepa kwambiri
Mmodzi mwazinthu izi ndi kunenepa kwambiri. Payekha, kulemera kwa thupi kumachepetsa kuchotsa uric acid kuchokera m'thupi. Ndipo, pamene mukulingalira kwambiri, kuwonongeka kwakukulu kumeneku kudzakhala.
Kuthamanga kwa insulin ndi chimodzi mwa magalimoto oyambitsa izi. Ngati muli olemera kwambiri kapena ochepa kwambiri, thupi lanu limapanga insulini yambiri. Mankhwala apamwamba a insulin amachititsa kuti vuto lalikulu la nthendayi liwonongeke kwambiri kumayambitsa ma oric acid.
Kuphunzira kwa 2015 kunapezanso mgwirizano pakati pa ubweya wa munthu ndi chiopsezo chake cha gout. Malingana ndi ochita kafukufuku, pakati pa anthu omwe ali ndi gout, anthu omwe ali ndi mafuta ambiri m'mimba ali ndi chiopsezo cha 47.4 peresenti ya chiwonongeko poyerekeza ndi omwe ali ndi chiuno chokwanira omwe ali ndi chiwopsezo cha 27.3 peresenti. Izi ziribe kanthu kuti thupi la munthu limakhala ndi chiwerengero chotani (BMI), kutanthauza kuti mafuta ambiri omwe timawawonekera, amawopsa kwambiri.
Zinthu Zina
Kuchokera ku kasamalidwe ka thanzi, zambiri zomwe zimakhudzana ndi matenda aakulu monga mtundu wa shuga ndi matenda a mtima zimagwirizanitsidwa ndi gout. Izi zikuphatikizapo:
- Mafuta ochepa kwambiri (mafuta apamimba)
- Kuthamanga kwa magazi (pamwamba pa 130/85 mmHg)
- Mphamvu yapamwamba ya LDL ('bad') ndi yotsika ya HDL ("zabwino") ya cholesterol
- High triglycerides
- Insulin kukana
- Kugwiritsa ntchito mowa nthawi zonse
- Kukhala moyo wosadzikonda
> 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.
> Rothenbacher, D .; Kleiner, A. Koenig, W. et al. "Kugwirizana pakati pa zotupa zotchedwa Cytokines ndi Uric Acid Levels ndi zotsatira zoopsa za m'maganizo mwa Odwala omwe ali ndi Matenda a Coronary Heart Stable." PLoS One. 2012; 7 (9): e45907. DOI: 10.1371 / magazini.pone.0045907.
> Roughley, M .; Wofukula, J .; Mallen, C. et al. "Gout ndi matenda a matenda a impso ndi nephrolithiasis: meta-kufufuza zofufuza." Arthritis Res Ther. 2015; 17 (1): 90. DOI: 10.1186 / s13075-015-0610-9.