Mavutowo angapitirire kuwonjezereka pakapita nthawi ngati osatulutsidwa
Gout, wotchedwanso kuti gouty arthritis, ikhoza kukhalapo pamene pali uric acid wambiri mu thupi. Zizindikiro zikhoza kukhala mwadzidzidzi komanso zowawa, zopweteka, kufiira, ndi kutupa pamodzi wokhudzidwa, nthawi zambiri chachikulu chachikulu. Nkhondo zimachitika kawirikawiri usiku kapena m'mawa oyambirira. Ngati osasamalidwa, ziwonongeko zomwe zingabweretsedwe zingapangitse kufooka pamodzi ndi kupititsa patsogolo kayendetsedwe ka kayendetsedwe kake.
Ngakhale kukula kwa zizindikiro kumasiyana, gout amayamba kupita patsogolo ndi kuwonjezeka pakapita nthawi. Pozindikira ndi kuchiza zizindikirozo mofulumira, mungapewe mavuto ambiri a nthawi yaitali ndikuwongolera khalidwe lanu lonse.
Zizindikiro Zowonjezereka
Zizindikiro za gout zimasiyana mosiyana ndi siteji ya matenda. Nkhondo zomwe zimachitika nthawi yoyamba zikhoza kukhala zofatsa komanso zosamalidwa koma zimakhala zopweteka kwambiri ngati zisanatengedwe.
Zigawo zitatuzi zikufotokozedwa motere:
- Matenda a hyperuricemia omwe alibe zizindikiro koma uric acid makristasi akuyamba kupanga zozungulira
- Gout yambiri yomwe imakhalapo yomwe imakhala ndi zizindikiro
- Mankhwala opatsirana omwe amachititsa kuti mafuta a uric acid akhale amtengo wapatali, otchedwa tophi , m'madera oyandikana nawo, ochititsa kutupa mosalekeza ndi mavuto ena a nthawi yaitali
Gout Yoyamba Yamkati
Mankhwalawa amatha masiku atatu mpaka 10, popanda mankhwala .
Ngakhale kuti ululu ukhoza kuchitika modzidzimutsa, zimayamba kuwonjezeka kumayambiriro kwa chiwonongeko musanasankhe. Pafupifupi theka la milanduyi idzaphatikizapo metatarsal-phalangeal umodzi pamunsi pa chala chachikulu. Malo ena odziwika bwino amaphatikizapo bondo, ngolo, chidendene, midfoot, golidi, mkono, ndi zala.
Mavutowo amapezeka kwambiri usiku kapena m'mawa.
Izi zimachitika chifukwa cha kuchepa kwa madzi usiku (zomwe zimawonjezera uric acid concentration) ndi kutentha kwa thupi (komwe kumalimbikitsa uric acid crystallization).
Zizindikiro zowonjezereka za kuukira kwa gout zikuphatikizapo:
- Kupweteka kodzidzimutsa ndi koopsa komwe ena odwala matendawa amafotokoza kuti akufanana ndi kuswa fupa, kugwidwa ndi magalasi, kapena kutentha kwambiri
- Kutupa, kufiira, ndi kutentha kwapadera kunayamba chifukwa cha kutupa kwakukulu
- Kuuma kofanana ndi kupweteka ndi kuyenda
- Kutentha thupi
- Kutopa
Kugonjetsa kumachitika nthawi zambiri m'magulu pamene ma uric asidi akukwera (chidziwitso chotchedwa hyperuricemia). Kawirikawiri, maola 36 oyambirira adzakhala opweteka kwambiri, pambuyo pake ululu udzayamba kutha, ngakhale pang'onopang'ono.
Gout Tophaceous Gout
Matenda omwe amatha kudwala matendawa amachititsa kuti tophi azikhala pansi pa khungu komanso mkati mwake. Kuwonjezeka kwa ndalamazo, zovuta zowononga zimatha kuwononga mafupa ndi khunyu ndipo zimapangitsa kuti matenda a nyamakazi ayambe kukula.
Pamene kugwidwa kumakhala koopsa kwambiri, matenda a nyamakazi amatanthauzira kupweteka kosalekeza ndi kutupa limodzi ndi kutopa, kuchepa magazi m'thupi, ndi kumverera kwachidziwitso. Patapita nthawi, mgwirizanowo ukhoza kufooka ndikusokoneza kuyenda ndi kuyenda.
Ngakhale kuti tophi zambiri zidzakula mulala zazikulu zazing'ono, kuzungulira zala, kapena kumapeto kwa chigoba, nsonga za tophi zikhoza kuwonekera paliponse m'thupi. Nthaŵi zina, amatha kudutsa pakhungu ndipo amachititsa kuti mitsempha yotchedwa crusty-like-like. Iwo amadziwikanso kuti amakula m'makutu, pamagulu a mawu, kapena ngakhale pamsana. Ambiri amaonedwa ngati opanda vuto pokhapokha atakhudzidwa.
Mavuto
Mankhwala ndi khungu sizinthu zokha zomwe zingakhudzidwe ndi gout. Nthawi yayitali, mankhwala osatetezedwa omwe angatengedwe angayambitsenso kupanga ma khungu m'mitsuko komanso kukula kwa impso .
Pa milandu yoopsa, matenda omwe amadziwika kuti acric acid nephropathy (AUAN) amatha kuyamba, zomwe zimayambitsa matenda a impso ndi kuchepetsa mofulumira kwa nsomba . Anthu omwe ali ndi vuto la impso lakuya ali pangozi yaikulu.
Zizindikiro za AUAN zimasiyana mosiyanasiyana koma zingakhalepo:
- Kuchepetsa mkodzo
- Kuthamanga kwa magazi
- Nausea
- Kutopa
- Kupuma pang'ono
- Anemia
- Kuphulika kwa minofu ( edema ), makamaka kumapeto kwenikweni
- "Uremic chisanu" chimene urea chimatulutsa thukuta chimamveka khungu
Nthawi Yomwe Muwone Dokotala
Sikuti aliyense adzalandira zizindikiro zowawa kapena akusowa chithandizo chamtundu wa urate . Ndikunenedwa kuti, ngati mumanyalanyaza zizindikiro kapena mukulephera kuchita kanthu kuti mutha kuzunzidwa, mungathe kumadzetsa mavuto aakulu.
Anthu omwe ali ndi gout nthawi zina amaganiza kuti kusapezeka kwa zizindikiro kwa nthawi yaitali kumatanthauza kuti matendawa satha. Izi kawirikawiri ndizolakwika. Pokhapokha ngati vutoli likuyambitsa matendawa, matendawa angapite patsogolo mwakachetechete ndikupeza zovulaza zosasinthika.
Kuti mukwaniritse izi, muyenera kuwona dokotala ngati:
- Ichi ndi chiyambi chanu choukira. Ngakhale ngati mankhwala sakuuzidwa, muyenera kupitiriza kufufuza zotsatira za magazi kuti muthe kusunga uric asidi pansi pa 6.0 mg / dL.
- Zizindikiro zanu sizikuyenda pambuyo pa 48 kapena kutha kwa zoposa sabata. Ngati muli ndi mankhwala, izi zikhoza kukhala chisonyezero chomwe chiyenera kusintha, kuphatikizapo zakudya ndi njira zamoyo .
- Muli ndi malungo ambiri. Ngakhale kuti malungo amatha kukhala ndi matenda a gout, kutentha kwakukulu (kuposa 100.4 F) kungakhale chizindikiro cha matenda.
> Zotsatira:
> Jabalameli, M .; Bagherifard, A .; Hadi, H. et al. "Odwala Matenda Ovuta Kwambiri." QJM: International Journal of Medicine. 2017; 110 (4): 239-40. DOI: 10.1093 / qjmed / hcx019.
> Richette, P. ndi Barden, T. "Gout." Lancet. 2010; 375 (9711): 318-28. DOI: 10.1016 / S0140-6736 (09) 60883-7.
> Vargas-Santos, A. ndi Neogi, T. "Utsogoleri wa Gout ndi Hyperuricemia mu CKD." Amer J Impso Dis. 2017; 70 (3): 422-39. DOI: 10.1053 / j.ajkd.2017.01.055.