Ilashwa kanjani i-gout

-Delile

• Amakhambi ekhemisi amakhulu
• 1. Ukwelashwa kokuhlaselwa yi-gout
• 2. Ukulawulwa kwe-uric acid
• Izinguquko zokudla

Ukwelapha isifo se-gout, esibizwa ngokwesayensi ngokuthi yi-Gouty Arthritis, kunconywa ukuthatha imishanguzo esebenza ku-uric acid, njengeColchicine, Allopurinol noma i-Probenecida, eyehlisa i-uric acid emzimbeni, ukunqwabelana kwama-urates emajoyintini, kanye ukuvimbela ukuvela kwezinkinga.

Ngesikhathi se-gout crisis, lapho kukhona ukuvuvukala okukhulu nobuhlungu ejoyintini, udokotela uvame ukuqondisa ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala. Umuntu onalesi sifo kufanele futhi aqaphele ukudla kwakhe ezimpilweni zabo zonke ukuze agweme ukwanda kwezimpawu nezinkinga ezingabangelwa yi-gout, njengokukhubazeka okuhlangene nokulimala kwezinso, ngokwesibonelo.

I-Gout yisifo samathambo esivuthayo esingadala ubuhlungu obukhulu ngesikhathi sokuhlaselwa, okuvela ngokungazelelwe, kubangelwe yi-crystallization ye-uric acid efakwa ngaphakathi kwamalunga, imvamisa kubantu abane-uric acid ephezulu. Qonda ukuthi yini ebangela i-gout nokuthi yiziphi izimpawu.

Amakhambi ekhemisi amakhulu

Ukwelashwa kwe-gout kungaqondiswa yi-rheumatologist noma udokotela ojwayelekile, futhi kungahluka uma lowo muntu esenkingeni noma uma kuwukulashwa kwesifo. Izincomo zecala ngalinye yilezi:

1. Ukwelashwa kokuhlaselwa yi-gout

Ukwelapha i-gout attack, ebizwa nangokuthi i-acute gout, udokotela wakho uzokweluleka ngemithi esiza ukuqeda ngokushesha ukuvuvukala. Okuyinhloko kufaka:

• Ama-anti-inflammatories, njengeNaproxen, iKetoprofen, i-Ibuprofen noma i-Indomethacin, ngokwesibonelo: zikhonjiswa ukukhulula izimpawu zesifo samathambo, ngemuva nje kokuqala kwezimpawu, futhi kufanele zigcinwe kuze kube yilapho inkinga ixazululwa, cishe isonto elilodwa;
• Ama-Corticosteroids, njenge-Prednisone, i-Prednisolone, i-Methylprednisolone noma i-Triamcinolone, ngokwesibonelo: nazo zinomphumela wokulwa nokuvuvukala, futhi zingasetshenziswa kumaphilisi noma imijovo engaba yimisipha noma ingasetshenziswa ngqo kwijoyinti elithintekile, lisiza ukuthola impendulo ephendula ngokwengeziwe. iyashesha futhi isebenza ngempumelelo;
• I-Colchicine: olunye uhlobo lwe-anti-inflammatory olukhonjisiwe ukusiza ukukhulula inkinga ye-gout ngokushesha, futhi umphumela wayo ungcono uma uqalwa emahoreni okuqala okuqala kwenhlekelele. Funda kabanzi mayelana nokuthi isebenza kanjani nokuthi uwusebenzisa kanjani lo muthi eColchicine.

Le mithi kufanele isetshenziswe ngokuqapha, njengoba eyalelwe ngudokotela, ngoba ingadala imiphumela emibi efana nesicanucanu, ukugabha, isifo sohudo noma ikhuphule ubungozi bokopha esiswini, ikakhulukazi uma kusetshenziswe ngokungafanele.

2. Ukulawulwa kwe-uric acid

Ngemuva kokuxazululwa kwenkinga ye-gout, kungaqalwa ukwelashwa ukuvimbela ukuhlaselwa okuqhubekayo futhi kunciphise amazinga e-uric acid egazini. Kuboniswa ikakhulukazi noma nini lapho isiguli sihlaselwa kabili noma ngaphezulu ngonyaka, uma sine-tophi emalungeni, isifo sezinso esingapheli noma umlando wamatshe ezinso ngenxa ye-uric acid eyeqile.

Eminye yemithi esetshenzisiwe ifaka phakathi:

• I-Allopurinol: ngumuthi oyinhloko osetshenziselwa ukulawula amazinga we-uric acid egazini, ukunciphisa amazinga ayo kanye nethuba lokuqongelela emajoyintini;
• Amakhambi we-Uricosuric, njengeProbenecida: kusiza ukukhulisa ukuqedwa kwe-uric acid emchameni.

Eminye imishanguzo emisha, efana neFebuxostate noma iPegloticase, inhibitors enamandla yokwakheka kwe-uric acid, futhi iyindlela yokwelashwa, uma eminye ingeke isetshenziswe, ngenxa yokungezwani komzimba noma ukungabekezelelani, ngokwesibonelo. Futhi, hlola ukuthi ungabona kanjani futhi ulwe ne-uric acid ephezulu.

Izinguquko zokudla

Ekuphakeleni i-gout, kunconywa ukuthi ugweme ukudla okunothe ngamaprotheni, njengokudla kwasolwandle, inyama yezilwane esencane kanye ne-offal, njengoba kusebenza ku-purine metabolism futhi kujwayele ukukhulisa i-uric acid egazini.

Elinye icebo elibalulekile ukukhuphula amanzi owasebenzisayo nokugwema iziphuzo ezidakayo, ikakhulukazi ubhiya, ukukhetha ubisi olunamafutha aphansi neyogathi.

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