Ukuphatha i-Gout ku-Ankle yakho

-Delile

• Ziyini izimpawu zokuvuvukala kwesikhumba emaqakaleni?
• Ziyini izimbangela nezimbangela zegout eqakaleni?
• Ubani otholwa yisigaxa eqakaleni?
• Itholakala kanjani i-gout eqakaleni?
• Iphathwa kanjani i-gout eqakaleni?
• Imithi
• Amakhambi asekhaya
• Kuhlala isikhathi esingakanani i-gout eqakaleni?
• Ingabe kungaholela kunoma yiziphi izinkinga?
• Uyini umbono?

Yini i-gout?

I-Gout iyindlela ebuhlungu yesifo samathambo esivuthayo esivame ukuthinta uzwane olukhulu, kepha singakhula kunoma yiliphi ilunga, okubandakanya iqakala. Yakha lapho umzimba wakho unamazinga aphezulu e-uric acid. Le asidi yakha amakristalu abukhali abangela ukuqhuma okungazelelwe kobuhlungu, ukuvuvukala nobumnene.

Lapho i-gout ithinta iqakala, ingenza ukunyakaza kwansuku zonke, ikakhulukazi ukwehla nokunyuka izitebhisi, kubuhlungu noma kungakhululeki. Ngenkathi lungekho ikhambi le-gout, kunezindlela zokwelapha eziningana ezingasiza ukuvimbela ukuqhuma nokulawula izimpawu ezibuhlungu.

Funda ukuze ufunde kabanzi mayelana ne- gout nokuthi ingathinta kanjani iqakala lakho.

Ziyini izimpawu zokuvuvukala kwesikhumba emaqakaleni?

Uphawu oluyinhloko lwe-gout emaqakaleni ubuhlungu nokungahambi kahle endaweni ezungezile. Khumbula ukuthi i-gout ivame ukungaqondakali, kungakhathalekile ukuthi ijoyinti lithini. Ungahamba amasonto noma izinyanga ngaphandle kwezimpawu, kuphela ukuvuka unobuhlungu obuvuthayo eqakaleni lakho.

Kwezinye izimo, i-gout iqala kwesinye sezinzwane zakho ezinkulu ngaphambi kokudlulela kwezinye izindawo, njengeqakala lakho. Ngokuhamba kwesikhathi, lokhu kuqubuka kungahlala isikhathi eside kunangaphambili.

Ezinye izimpawu ongase uzizwe kusuka ku-gout emaqakaleni zifaka:

• ububele
• ukuvuvukala
• ububomvu
• imfudumalo yokuthinta
• ukuqina nobubanzi obulinganiselwe bokunyakaza

Ziyini izimbangela nezimbangela zegout eqakaleni?

Ukwakheka kwe-uric acid emzimbeni kwaziwa njenge-hyperuricemia. Umzimba wakho ukhiqiza i-uric acid lapho ihlahlela i-purines. Lezi yizinhlanganisela ezitholakala kuwo wonke amaseli akho. Ungathola futhi ama-purine ezinhlotsheni eziningana zokudla, ikakhulukazi inyama ebomvu nezinye izinhlanzi zasolwandle, kanye notshwala nezinye iziphuzo ezinoshukela.

Imvamisa, i-uric acid idlula ezinso zakho, ezisiza ukuqeda i-uric acid eyengeziwe emchameni wakho. Kodwa kwesinye isikhathi kune-uric acid eningi kakhulu engabanjwa izinso zakho. Kwezinye izimo, izinso azikwazi ukucubungula inani elijwayelekile le-uric acid ngenxa yesimo esingaphansi.

Ngenxa yalokhu, i-uric acid eyengeziwe ijikeleza emzimbeni wakho wonke, iphelela eqakaleni lakho njengamakristalu e-uric acid.

Ubani otholwa yisigaxa eqakaleni?

I-Gout ithinta abantu abadala e-United States. Kuvame ukuba kuvame kakhulu emadodeni ngoba abesifazane bavame ukuba namazinga aphansi e-uric acid. Kepha ngemuva kokuyeka ukuya esikhathini, abesifazane baqala ukuba namazinga aphezulu e-uric acid. Ngenxa yalokho, abesifazane bavame ukuthuthukisa i-gout besebekhulile kunabesilisa.

Ochwepheshe abaqiniseki ukuthi kungani abanye abantu bekhiqiza i-uric acid eningi noma banenkinga yokuyicubungula. Kodwa kunobufakazi bokuthi lesi simo kuvame ukuba zofuzo.

Ezinye izinto ezingakhuphula ubungozi bokuhlaselwa yi-gout zifaka:

• kudla ukudla okuningi kwe-purine ephezulu
• ukudla ukudla neziphuzo, ikakhulukazi utshwala, okwandisa ukukhiqizwa kwe-uric acid
• ukukhuluphala ngokweqile

Ukuba nomfutho wegazi ophakeme noma ukwehluleka kwenhliziyo nakho kungakubeka engcupheni enkulu yokuthola igout. Ama-diuretics, kwesinye isikhathi asetshenziselwa ukwelapha lezi zimo, nawo angakhuphula ubungozi bakho.

Itholakala kanjani i-gout eqakaleni?

Uma ucabanga ukuthi ungahle ube ne-gout kodwa ungatholakali, zama ukubona udokotela ngenkathi unezimpawu. I-Gout kulula ukuyixilonga uma uphakathi kwe-flare-up edala ukuvuvukala, ubomvu, nezinye izimpawu ezibonakalayo.

Ngesikhathi sokuqokwa kwakho, udokotela wakho cishe uzokubuza imibuzo eminingana mayelana nokudla kwakho, noma imiphi imithi oyiphuzayo, nokuthi unomlando womndeni we-gout. Lokhu kungasiza ukukhipha ezinye izimbangela zezimpawu zakho, kufaka phakathi ukutheleleka noma isifo samathambo.

Udokotela wakho angaphinde ayalele ukuhlolwa kwegazi ukuhlola amazinga akho e-uric acid. Kodwa abanye abantu banamazinga aphezulu e-uric acid futhi abahlakuli i-gout. Abanye banamazinga ajwayelekile e-uric acid kepha basathuthuka i-gout. Ngenxa yalokhu, bazofuna ukwenza ezinye izivivinyo futhi.

I-X-ray, i-MRI, noma i-CT scan yeqakala lakho nayo ingasiza ekuqedeni ezinye izimbangela zokuvuvukala okuhlangene. Ngokuya ngokuhlolwa kwakho, bangahle futhi ba-ode i-ultrasound ukubheka ukuthi kukhona amakristalu emaqakaleni akho.

Ekugcineni, bangenza isivivinyo soketshezi ngokuhlanganyela. Lokhu kuhilela ukuthatha isampula elincane loketshezi oluhlangene eqakaleni lakho ngenaliti encane bese ulibuka ngaphansi kwesibonakhulu nganoma imaphi amakristalu e-uric acid.

Ngokuya ngemiphumela yokuhlolwa kwakho nokuhlolwa kwakho, bangakudlulisela kuchwepheshe we-arthritis ovuvukele obizwa nge-rheumatologist ukuze athole ukwelashwa.

Iphathwa kanjani i-gout eqakaleni?

Alikho ikhambi le-gout, kodwa inhlanganisela yemithi kanye nokwelashwa kwasekhaya kungasiza ukuphatha izinhlungu eqakaleni futhi kunciphise inani lama-flare-ups onawo.

Imithi

Imithi engasiza ekunciphiseni ubuhlungu obuvela ekuqhumeni kwe-gout emaqakaleni akho ibandakanya:

• izidakamizwa ezingekho emthethweni ze-anti-inflammatory (NSAIDS), ezifana ne-ibuprofen (Advil)
• amandla kadokotela we-NSAIDS, njenge-celecoxib (i-Celebrex) noma i-indomethacin (i-Indocin)
• corticosteroids, engathathwa ngomlomo noma ifakwe ngomjovo weqakala lakho ukusiza ukudambisa izinhlungu nokuvuvukala
• colchicine (Colcrys), isiqabu sobuhlungu esibheke ebuhlungwini be-gout kepha kwesinye isikhathi singadala isicanucanu neminye imiphumela emibi

Udokotela wakho angaphinde anikeze umthamo ophansi wansuku zonke we-colchicine ukunciphisa ubungozi bokuqubuka okuzayo.

Eminye imishanguzo engasiza ekwehliseni inani lama-flare-ups akho afaka phakathi:

• i-allopurinol (i-Zyloprim) ne-febuxostat (i-Uloric), ekhawulela ukukhiqizwa kwe-uric acid yomzimba futhi ingasiza ekunciphiseni amathuba okuba igout yakheke kwamanye amalunga
• i-uricosurics, efana ne-lesinurad (i-Zurampic) ne-probenecid (i-Probalan), esiza umzimba wakho ukuqeda i-uric acid eyeqile, noma ingakhuphula ingozi yamatshe ezinso

Amakhambi asekhaya

Enye yezindlela eziphumelela kakhulu zokuphatha i-gout ukunciphisa ukudla kwakho okuneziphuzo ezinothuli kanye neziphuzo. Khumbula, umzimba wakho ukhiqiza i-uric acid lapho yephula i-purine.

Lokho kusho ukusebenzisa kancane:

• inyama ebomvu
• inyama yomzimba, efana nesibindi
• ukudla kwasolwandle, ikakhulukazi i-tuna, ama-scallops, ama-sardine, ne-trout
• utshwala
• iziphuzo ezinoshukela

Ukusika okunye kwalokhu nakho kungaba nomthelela ekwehliseni isisindo, okungaba yibhonasi eyengeziwe uma uphethe isisindo esingeziwe, okuyisici esiyingozi engcupheni yegout. Lokhu kuyiqiniso ikakhulukazi uma ushintshanisa lokhu kudla ngezithelo, imifino, okusanhlamvu okuphelele, namaprotheni anciphile. Funda kabanzi mayelana nokuthi yini okufanele uyidle nokuthi yini okufanele uyigweme uma une-gout.

Kunezinye izindlela zokwelapha ekhaya ongazama, kepha lezi azifundiswanga ngokwanele ukuze zazi ukuthi ziyasebenza yini. Noma kunjalo, bangase banikeze usizo oluthile. Nakhu ukuthi ungazizama kanjani ngokwakho.

Kuhlala isikhathi esingakanani i-gout eqakaleni?

Ukuqubuka kwama-gout kungahlala amahora amaningi ngasikhathi, kepha ungabuzwa ubuhlungu eqakaleni izinsuku noma amasonto. Abanye abantu bane-flare-up eyodwa kuphela ezimpilweni zabo, kanti abanye banayo kaningana ngonyaka.

Khumbula ukuthi i-gout yisimo esingelapheki, okusho ukuthi ihlala isikhathi eside futhi idinga ukuphathwa okuqhubekayo. Izinguquko ezidliwayo nemithi kungenza umehluko omkhulu, kodwa futhi uzoba sengozini yokuba ne-flare-up.

Khumbula ukuthi kungathatha nesikhathi ukuthola inhlanganisela elungile yezinguquko zokudla nemithi ekusebenzelayo. Ungadikibali uma izinto zingabonakali zithuthuka zisuka.

Ingabe kungaholela kunoma yiziphi izinkinga?

Uma kushiywe kungalawulwa, ukuvuvukala okuhlobene ne-gout kungadala ukulimala okungapheli kokuhlangana kweqakala lakho, ikakhulukazi uma unokuqubuka kaningi.

Ngokuhamba kwesikhathi, izigaxa zamakristalu e-uric acid, abizwa nge-tophi, nawo angakha azungeze iqakala lakho. Lezi zigaxa azibuhlungu, kepha zingadala ukuvuvukala okwengeziwe nokuthamba ngesikhathi sokuqhuma.

Uyini umbono?

I-Gout yisifo esingelapheki esingelapheki, ngakho-ke kuzodingeka ukuthi usibheke isikhathi esithile. Yize kungathatha isikhashana ukuthola indlela efanele yokuphatha, abantu abaningi abane-gout bathola ukuthi inhlanganisela yezinguquko zokulamula nezokuphila iyasebenza.

Uma usanda kutholakala, cabanga ukubona i-rheumatologist uma ungenayo. Bangakwazi ukunikela ngamathiphu amaningi mayelana nokuthi ungaziphatha kanjani izimpawu ze-gout.