Konke Odinga Ukukwazi Nge-Gout

-Delile

• Izimpawu ze-gout
• Izimbangela ze-gout
• Ukuxilongwa kwe-Gout
• Ukwelashwa sifo
• Ukudla kwe-Gout okufanele ukugweme
• Gout amakhambi asekhaya
• Ukuhlinzwa kwe-Gout
• Izimbangela ze-Gout
• Ukuvimbela i-gout
• Izithombe ze-Gout
• Gout nge-tophus
• Ingabe i-gout ibuhlungu?
• Gout amafutha abalulekile
• Ingabe i-gout izuzwe njengefa?
• Igawuthi notshwala

I-Gout yigama elijwayelekile lezimo ezahlukahlukene ezibangelwa ukwakheka kwe-uric acid. Lokhu kwakha kuvame ukuthinta izinyawo zakho.

Uma une-gout, mhlawumbe uzozwa ukuvuvukala nobuhlungu emajoyintini onyawo lwakho, ikakhulukazi uzwane lwakho olukhulu. Ubuhlungu obungazelelwe futhi obukhulu, noma ukuhlaselwa yi-gout, kungenza kube sengathi unyawo lwakho luvutha.

Izimpawu ze-gout

Abanye abantu bane-uric acid eningi egazini labo, kodwa azikho izimpawu. Lokhu kubizwa ngokuthi i-gout asymptomatic.

Nge-gout acute, izimpawu zivela ngokushesha kusuka ekwakhiweni kwamakristalu e-uric acid ejoyinini lakho futhi lihlala izinsuku ezi-3 kuye kwezi-10.

Uzoba nobuhlungu obukhulu nokuvuvukala, futhi ilunga lakho lingazizwa lifudumele. Phakathi kokuhlaselwa yi-gout ngeke ube nezimpawu.

Uma ungayiphathi i-gout, ingaba yisifo esingelapheki. Izigaxa ezilukhuni ezibizwa nge-tophi ekugcineni zingakhula emalungeni akho nasesikhunjeni nakwizicubu ezithambile ezizungezile. Lezi zimali zingalimaza unomphela amalunga omzimba wakho.

Ukwelashwa ngokushesha kubalulekile ukuvimbela ukuthi iguni ingaguquki. Ukwazi ukuthi ungazibona kanjani izimpawu kungakusiza ukuthi ufike kudokotela wakho ngaphambi kokuthi i-gout idale izinkinga ezingapheli.

Izimbangela ze-gout

Ukwakheka kwe-uric acid egazini lakho kusukela ekuwohlokeni kwe-purines kudala i-gout.

Izimo ezithile, njengokuphazamiseka kwegazi kanye ne-metabolism noma ukwehla emzimbeni, kwenza umzimba wakho ukhiqize i-uric acid eningi kakhulu.

Inkinga yezinso noma yegilo, noma ukuphazamiseka okuzuzwe njengefa, kungenza kube nzima emzimbeni wakho ukususa i-uric acid eyeqile.

Kungenzeka ukuthi uthole i-gout uma:

• ungowesilisa osekhulile noma owesifazane osephelelwe yisikhathi ngokuya esikhathini
• Unabazali, izingane zakini, noma amanye amalungu omndeni ane-gout
• uphuze utshwala
• thatha imithi efana ne-diuretics ne-cyclosporine
• unesimo esifana nomfutho wegazi ophakeme, isifo sezinso, isifo se-thyroid, isifo sikashukela noma i-apnea yokulala

Kwabanye abantu abane-gout, ukudla kuyimbangela. Thola ukuthi yikuphi ukudla okuphezulu kakhulu kuma-purine akhiqiza i-gout.

Ukuxilongwa kwe-Gout

Udokotela wakho angakwazi ukuxilonga i-gout ngokuya ngokubuyekezwa komlando wakho wezokwelapha, ukuhlolwa ngokomzimba, kanye nezimpawu zakho. Udokotela wakho kungenzeka asekele ukuxilongwa kwakho ku:

• incazelo yakho yobuhlungu obuhlangene
• uvame kangakanani ukuzwa ubuhlungu obukhulu ejoyintini lakho
• indlela ebomvu ngayo noma evuvukele ngayo le ndawo

Udokotela wakho angaphinde alayishe isivivinyo sokuhlola ukwakheka kwe-uric acid ejoyintini lakho. Isampula loketshezi oluthathwe ejoyintini lakho lingakhombisa ukuthi liqukethe i-uric acid. Udokotela angafuna futhi ukuthatha i-X-ray yelungu lakho.

Uma unezimpawu ze-gout, ungaqala ngokuvakashela udokotela wakho wokunakekela oyinhloko. Uma i-gout yakho inzima, ungadinga ukubona uchwepheshe wezifo ezihlangene.

Ukwelashwa sifo

Uma iyekwa ingalashwa, i-gout ingagcina iholele ekuqaqanjelweni ngamathambo. Lesi simo esibuhlungu singashiya ilunga lakho lilimele unomphela futhi livuvukile.

Uhlelo lokwelashwa olutuswa udokotela wakho luzoya ngesigaba nobukhulu be-gout yakho.

Imithi yokwelapha i-gout isebenza ngenye yezindlela ezimbili: Ikhipha izinhlungu futhi yehlise ukuvuvukala, noma ivimbela ukuhlaselwa yi-gout esikhathini esizayo ngokwehlisa amazinga e-uric acid.

Izidakamizwa zokudambisa ubuhlungu be-gout zifaka:

• izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-aspirin (iBufferin), ibuprofen (Advil, Motrin), ne-naproxen (Aleve)
• i-colchicine (Colcrys, Mitigare)
• ama-corticosteroids

Izidakamizwa ezivimbela ukuhlaselwa yi-gout zifaka:

• i-xanthine oxidase inhibitors, efana ne-allopurinol (Lopurin, Zyloprim) ne-febuxostat (Uloric)
• i-probenecid (Probalan)

Kanye nemithi, udokotela wakho angancoma izinguquko zendlela yokuphila ukusiza ukuphatha izimpawu zakho nokunciphisa ubungozi bokuhlaselwa yi-gout esikhathini esizayo. Isibonelo, udokotela angakukhuthaza ukuthi:

• ukunciphisa ukuphuza kwakho utshwala
• ukuncipha emsimbeni
• yeka ukubhema

Imithi nokushintsha kwendlela yokuphila akuyona ukuphela kwendlela yokuphatha i-gout. Izindlela zokwelapha ezimbalwa ezihlukile ziye zabonisa isithembiso.

Ukudla kwe-Gout okufanele ukugweme

Ukudla okuthile ngokwemvelo kuphakeme kuma-purine, umzimba wakho owehlelela ku-uric acid. Iningi labantu alinayo inkinga ngokudla okuphezulu kwe-purine. Kepha uma umzimba wakho unenkinga yokukhipha i-uric acid eyeqile, ungahle uthande ukugwema ukudla neziphuzo ezithile, njenge:

• inyama ebomvu
• inyama yomzimba
• ukudla kwasolwandle okuthile
• utshwala

Iziphuzo ezinoshukela kanye nokudla okuqukethe i-sugar fructose nakho kungaba yinkinga, yize kungenayo i-purines.

Ukudla okuthile kusiza ukunciphisa amazinga e-uric acid emzimbeni. Funda ukuthi yikuphi ukudla okuyizinketho ezinhle uma uthola i-gout.

Gout amakhambi asekhaya

Ezinye izindlela zokusiza i-gout azingeni ebhodleleni elivela ekhemisi lakho. Ubufakazi obuvela ocwaningweni bubonisa ukuthi la makhambi emvelo angasiza ekunciphiseni amazinga e-uric acid futhi avimbele ukuhlaselwa yi-gout:

• ama-cherries we-tart
• i-magnesium
• ujinja
• uviniga we-apula cider
• isilimo esidliwayo esinamagatsha anamanzi
• itiye lembabazane
• dandelion
• imbewu yobisi lwamakhakhasi

Kodwa ukumane udle lokhu kudla kungahle kunganeli ukuthambisa i-gout. Funda ukuthi zingakanani ezizothatha umthelela omkhulu ezimpawu zakho.

Ukuhlinzwa kwe-Gout

I-Gout ngokuvamile ingaphathwa ngaphandle kokuhlinzwa. Kodwa ngemuva kweminyaka eminingi, lesi simo singalimaza amalunga, sidabule imisipha, futhi sidale izifo esikhunjeni ngaphezu kwamalunga.

Imali enzima, ebizwa nge-tophi, ingakha kumajoyinti akho nakwezinye izindawo, njengendlebe yakho. Lezi zigaxa zingaba buhlungu futhi zivuvuke, futhi zingalimaza unomphela amalunga akho.

Izinqubo ezintathu zokuhlinza ziphatha i-tophi:

• ukuhlinzwa kokukhishwa kwe-tophi
• ukuhlinza okuhlangene
• ukuhlinzwa ngokuhlanganyela

Yikuphi kwalokhu kuhlinza okunconyelwa udokotela wakho kuya ngobungako bomonakalo, lapho kutholakala khona itophi, nezinto ozithandayo. Funda ukuthi ukuhlinzwa kungasiza kanjani ekuqiniseni amalunga abuthakathaka yi-gout.

Izimbangela ze-Gout

Ukudla okuthile, imishanguzo, nemibandela kungabeka izimpawu ze-gout. Ungadinga ukugwema noma ubeke umkhawulo ekudleni naseziphuzweni ezifana nalezi, eziphakeme kuma-purine:

• inyama ebomvu, efana nengulube ne-veal
• inyama yomzimba
• izinhlanzi, njenge-cod, i-scallops, izimbaza, ne-salmon
• utshwala
• amasoda
• isiphuzo sezithelo

Eminye imithi oyiphuzayo ukuphatha ezinye izimo inyusa izinga le-uric acid egazini lakho. Khuluma nodokotela wakho uma uthatha noma iyiphi yalezi zidakamizwa:

• isisu, noma amaphilisi amanzi
• i-aspirin
• imishanguzo yokwehlisa umfutho wegazi, njenge-beta-blockers kanye ne-angiotensin II receptor blockers

Impilo yakho ingaba nomthelela ekuqhamukeni. Zonke lezi zimo zixhunywe ku-gout:

• ukukhuluphala ngokweqile
• isifo sikashukela noma ama-prediabetes
• ukoma komzimba
• ukulimala ngokuhlanganyela
• izifo
• ukuhluleka kwenhliziyo
• umfutho wegazi ophakeme
• isifo sezinso

Kwesinye isikhathi kungaba nzima ukukhomba ukuthi yiziphi kulezi zinto ezibangela ukuhlaselwa kwakho yi-gout. Ukugcina idayari kungenye yezindlela zokulandela umkhondo wokudla kwakho, imishanguzo, kanye nempilo yakho ukusiza ukuthola imbangela yezimpawu zakho.

Ukuvimbela i-gout

Nazi izinyathelo ezimbalwa ongazithatha ukusiza ukuvimbela i-gout:

• Nciphisa ukuthi uphuza kangakanani utshwala.
• Nciphisa ukudla okucebe kakhulu nge-purine, njenge-shellfish, iwundlu, inyama yenkomo, ingulube nenyama yezitho zomzimba, okudlayo.
• Yidla ukudla okunamafutha aphansi, okungenamsoco ocebile ngemifino.
• Ukuncipha emsimbeni.
• Yeka ukubhema.
• Ukuzivocavoca umzimba.
• Hlala u-hydrated.

Uma unezimo zezokwelapha noma uthatha imishanguzo ephakamisa ubungozi bokugula, buza udokotela wakho ukuthi ungayihlisa kanjani ingozi yokuhlaselwa yi-gout.

Izithombe ze-Gout

Gout nge-tophus

Lapho amakristalu e-uric acid akheka emajoyintini isikhathi eside, akhiqiza imali enzima ebizwa nge-tophi ngaphansi kwesikhumba. Ngaphandle kokwelashwa, lawa ma-tophi angalimaza amathambo noqwanga futhi ashiye amalunga ekhubazeke unomphela.

ITophi yizigaxa ezivuvukile ezizungeze amalunga abukeka njengamafindo esiqwini somuthi. Zenzeka emajoyintini afana neminwe, izinyawo, namadolo, kanye nasezindlebeni. I-Tophi ngokwabo ayilimazi, kodwa ukuvuvukala okubangelwa kungaba buhlungu.

Kwesinye isikhathi ifomu le-tophi liyizicubu ezixhuma ngaphandle kwamalunga. Thola ezinye zezindawo ezingajwayelekile kakhulu lapho ungathola khona lokhu kukhula.

Ingabe i-gout ibuhlungu?

Yebo, i-gout ingaba buhlungu. Eqinisweni, ubuhlungu kuzwane olukhulu olukhulu kwesinye sezimpawu zokuqala kubikwa ngabantu. Ubuhlungu buhambisana nezimpawu ezijwayelekile zesifo samathambo, njengokuvuvukala nokufudumala emajoyini.

Ubuhlungu be-Gout buyahluka ngobukhulu. Ubuhlungu kuzwane olukhulu bungaba bukhulu ekuqaleni. Ngemuva kokuhlaselwa okunamandla, kungahle kudambe kube buhlungu obuthuntu.

Ubuhlungu, kanye nokuvuvukala nezinye izimpawu, kungumphumela wokuthi umzimba uqalise ukuzivikela (amasosha omzimba) emakhemikhali e-uric acid emajoyintini. Lokhu kuhlasela kuholela ekukhishweni kwamakhemikhali abizwa ngama-cytokines, akhuthaza ukuvuvukala okubuhlungu.

Gout amafutha abalulekile

Amafutha abalulekile yizinto ezisuselwa ezitshalweni ezisetshenziswa ku-aromatherapy. Amanye amafutha kucatshangwa ukuthi anemithi elwa nokuvuvukala, ukuqeda izinhlungu, kanye nemiphumela elwa namagciwane.

Amanye amafutha abalulekile asetshenziselwa ukwelapha i-gout afaka:

• uwoyela welemongrass
• uwoyela wembewu yesilimo esidliwayo esinamagatsha anamanzi
• i-yarrow oil extract
• ukukhishwa kweqabunga lomnqumo
• Isinamoni yaseShayina

Ungaphefumula lawa mafutha, uthambise uwoyela ohlanjululwe esikhunjeni sakho, noma wenze itiye ngamaqabunga omisiwe esitshalo. Vele ungafaki ooyela ngokwabo emlonyeni wakho. Aziphephile ukungena.

Kuhlale kungumqondo omuhle ukubuza nodokotela wakho ngaphambi kokusebenzisa noma iyiphi enye indlela yokwelapha, noma leyo ngokuvamile ebhekwa njengephephile, njengamafutha abalulekile. Uma usebenzisa la mafutha, landela izinyathelo zokuphepha ukuze uqiniseke ukuthi awunakho ukusabela.

Ingabe i-gout izuzwe njengefa?

I-Gout okungenani ngokwengxenye ingenxa yofuzo. Abaphenyi bathole inqwaba yezakhi zofuzo ezandisa ukuthambekela kwabantu ku-gout, kufaka phakathi SLC2A9 futhi ABCG2. Izakhi zofuzo ezihambisana ne-gout zithinta inani le-uric acid umzimba obambe futhi ukhiphe.

Ngenxa yezici zofuzo, i-gout isebenza emindenini. Abantu abanomzali, ingane yakini, noma esinye isihlobo esiseduze esine-gout maningi amathuba okuthi nabo bathole lesi simo.

Kungenzeka ukuthi izakhi zofuzo zisetha kuphela isiteji se-gout. Izici zemvelo, njengokudla, empeleni zidala lesi sifo.

Igawuthi notshwala

Utshwala, njengenyama ebomvu kanye nokudla kwasolwandle, kuphakeme kuma-purine. Lapho umzimba wakho uhlahlela i-purines, inqubo ikhipha i-uric acid.

I-uric acid engaphezulu inyusa ingozi yokuba ne-gout. Utshwala futhi bunganciphisa izinga lapho umzimba wakho ususa khona i-uric acid.

Akuwona wonke umuntu ophuzayo ozoba ne- gout. Kepha ukuphuza kakhulu utshwala (iziphuzo ezingaphezu kwezingu-12 ngeviki) kungakhuphula ubungozi - ikakhulukazi emadodeni. Ubhiya kungenzeka kakhulu kunotshwala ukuthonya ubungozi.

Ocwaningweni, abantu babike ukuthi ukuphuza utshwala kubanga ukuqhuma kwabo. Thola ukuthi ukushintsha imikhuba yakho yokuphuza kungayivimba yini i-gout.