Izimpawu ze-Gout

-Delile

• Izimpawu ze-gout
• Izimpawu ze-gout ezinzima
• Izimpawu zokugula okungalapheki
• Izici ezinobungozi bokugula
• Izinkinga ze-gout
• Amaqhuqhuva ngaphansi kwesikhumba sakho
• Ukulimala kwezinso
• I-Bursitis
• Ukuphatha izimpawu ze-gout
• Ukuthatha

Ukubuka konke

I-Gout uhlobo lwesifo samathambo esivela emazingeni aphezulu e-uric acid egazini lakho. Ukuhlaselwa yi-Gout kungaba ngokuzumayo futhi kube buhlungu. Ungahle ushiswe, futhi ilunga elithintekile lingaba lukhuni futhi livuvuke.

Qhubeka ufunda ukuze ufunde kabanzi mayelana nezimpawu ze-gout, izinto ezinobungozi kanye nezinkinga zalesi simo, nokuthi ungaziphatha kanjani izimpawu uma uhlaselwa yi-gout.

Izimpawu ze-gout

Kunezinhlobo ezahlukene zezimpawu ze-gout. Abanye abantu abanazimpawu. Lokhu kusho ukuthi abanazimpawu, yize benamazinga aphakeme e-uric acid egazini labo. Laba bantu abadingi ukwelashwa. Abanye, noma kunjalo, banezimpawu ezinzima noma ezingapheli ezidinga ukwelashwa.

Izimpawu ezinzima zifika ngokuzumayo futhi zenzeka isikhathi esifushane. Izimpawu ezingalapheki ziwumphumela wokuhlaselwa okuphindaphindiwe kwe-gout esikhathini eside.

Izimpawu ze-gout ezinzima

Ubuhlungu, ubomvu, nokuvuvukala yizimpawu eziyinhloko zokuhlaselwa yi-gout. Lokhu kungenzeka ebusuku futhi kukuvuse ebuthongweni. Ngisho nokuthinta okuncane ejoyintini lakho kungakhathaza. Kungaba nzima ukuhambisa noma ukugoba. Lezi zimpawu zivame ukuvela ngokuhlanganyela okukodwa ngasikhathi, ikakhulukazi ezinzwaneni zakho ezinkulu. Kepha amanye amalunga athinteka kaningi futhi.

Izimpawu zifika ngokuzumayo futhi zinzima kakhulu amahora angama-12 kuye kwangama-24, kepha zingahlala izinsuku eziyi-10.

Izimpawu zokugula okungalapheki

Ubuhlungu nokuvuvukala okuhambisana nokuhlaselwa yi-gout ngokuvamile kuyanyamalala ngokuphelele phakathi kokuhlaselwa. Kodwa ukuhlaselwa okuphindaphindiwe kwe-gout acute kungadala umonakalo ongapheli.

Kanye nobuhlungu obuhlangene, ukuvuvukala, ubomvu nokuvuvukala, i-gout inganciphisa ukuhamba ngokuhlanganyela. Njengoba i-gout ithuthuka, isikhumba esizungeze ilunga lakho elithintekile singase silume futhi sihlube.

I-Gout ingathinta amalunga amaningi emzimbeni wakho. Imvamisa, ukuhlaselwa kokuqala kwegout kwenzeka emajoyintini ozwane lwakho olukhulu. Lokhu kuhlasela kungenzeka ngokuzumayo, kuthi uzwane lwakho lubonakale luvuvukele futhi lufudumele lapho uluthinta. Ngokungeziwe kuzwane lwakho olukhulu, amanye amalunga athintwe yi-gout afaka:

• amaqakala
• amadolo
• iminwe
• indololwane
• isihlakala
• izithende
• insteps

Izici ezinobungozi bokugula

Ukusetshenziswa kokudla neziphuzo eziqukethe inani eliphakeme lama-purine kunomthelela ku-gout. Lokhu kufaka phakathi:

• iziphuzo ezidakayo
• i-Bacon
• igalikuni
• isibindi
• inhlanzi
• ubhontshisi omisiwe
• uphizi

Ama-purines ayizinhlanganisela zamakhemikhali ekudleni futhi avele ngokwemvelo emzimbeni wakho, okhiqiza i-uric acid njengoba iphula ama-purines. Imvamisa, i-uric acid iyancibilika egazini lakho futhi iphume emzimbeni wakho ngomchamo. Kodwa kwesinye isikhathi i-uric acid iyanqwabelana egazini, ibangele ukuhlaselwa yi-gout.

I-Gout ingenzeka kunoma ngubani, kepha izici ezithile zandisa ubungozi bakho. Izici zobungozi zifaka:

• umlando womndeni we-gout
• ukukhuluphala ngokweqile
• umfutho wegazi ophezulu ongalashwa
• isifo sikashukela
• isifo se-metabolic syndrome
• izifo ze-coronary artery
• isifo esingapheliyo sezinso
• ukuphuza kakhulu utshwala
• ukudla okunepuline ephezulu
• imishanguzo ethile yokulwa nokuphikiswa uma ngabe ufakelwe isitho somzimba
• ukusetshenziswa kwemithi ethile, njenge-diuretics ne-aspirin
• ukuhlukumezeka kwakamuva noma ukuhlinzwa

Ingozi yokuqhamuka kwegciwane nayo iphakeme uma ungowesilisa. Ukuvezwa komthofu kungakhuphula nobungozi besi sifo. Ukuthatha imithamo ephezulu ye-niacin kungenza ukuthi i-gout yakho iqhume.

Udokotela wakho angaxilonga i-gout ngokuhlolwa kwegazi nangokuthatha uketshezi kwilunga elihlangene.

Izinkinga ze-gout

Izimpawu ezicacile nezihlala njalo ze-gout ziyelapheka. Ubuhlungu be-Gout bungaba bukhulu kakhulu kunezinye izinhlobo zobuhlungu be-arthritic, ngakho-ke bheka udokotela uma unobuhlungu obungazelelwe, obubukhali kujoyini obungathuthuki noma obubi.

Uma iyekwa ingalashwa, i-gout ingadala ukuguguleka kwamalunga. Ezinye izinkinga ezinkulu zifaka:

Amaqhuqhuva ngaphansi kwesikhumba sakho

Igawuthi engalashwa ingadala ukufakwa kwamakristalu e-urate ngaphansi kwesikhumba sakho (tophi). Lezi zizwakala njengezigaxana ezinzima futhi zingaba buhlungu futhi zivuthe ngesikhathi sokuhlaselwa yi-gout. Njengoba i-tophi yakha emalungeni, angadala ukukhubazeka nobuhlungu obungapheli, anciphise ukuhamba, futhi ekugcineni angabhubhisa amalunga akho ngokuphelele. I-tophi nayo ingakhukhula kancane esikhunjeni sakho bese ikhipha into emhlophe e-chalky.

Ukulimala kwezinso

Amakhemikhali e-Urate nawo angakha ezinso zakho. Lokhu kungadala amatshe ezinso futhi ekugcineni kuthinte ikhono lezinso zakho lokuhlunga imfucuza emzimbeni wakho.

I-Bursitis

I-Gout ingadala ukuvuvukala kwesikhwama esiketshezi (bursa) esivikela izicubu, ikakhulukazi endololwaneni nasemadolweni. Izimpawu ze-bursitis zifaka phakathi nobuhlungu, ukuqina nokuvuvukala. Ukuvuvukala kwi-bursa kwandisa ubungozi bokutheleleka, okungaholela ekulimaleni okuhlala njalo okuhlangene. Izimpawu zokutheleleka zibandakanya ukubomvu okuba kubi noma ukufudumala ezungeze amalunga nomkhuhlane.

Ukuphatha izimpawu ze-gout

Imithi iyatholakala ukukusiza ukuphatha izimpawu ze-gout. Lokhu kufaka phakathi izidakamizwa ezingezona ukuvuvukala, ezifana ne-indomethacin (Tivorbex), ibuprofen (Advil, Motrin IB), ne-naproxen (Aleve, Naprosyn). Imiphumela emibi yale mithi ingafaka ukopha, izilonda zesisu, nobuhlungu besisu. Uma izimpawu zakho zingaphenduli kule mithi, odokotela bakho bangancoma ezinye izidakamizwa ukumisa ukuhlaselwa nokuvimbela ukuhlaselwa okuzayo.

I-Colchicine (Colcrys) inganciphisa ubuhlungu be-gout, kepha imiphumela emibi ingafaka isicanucanu, uhudo nokuhlanza.

Ama-Corticosteroids afana ne-prednisone nawo anciphisa ukuvuvukala nobuhlungu. Le mithi kadokotela ingathathwa ngomlomo noma ifakwe kujoyini lakho. Imiphumela emibi ifaka ukuguquka kwemizwelo, umfutho wegazi ophakeme, nokugcinwa kwamanzi.

Kunemithi evimba ukukhiqizwa kwe-uric acid neminye esiza umzimba wakho ukukhipha i-uric acid, efana ne-allopurinol (Zyloprim) ne-probenecid, ngokulandelana.

Ukuthatha

Ngokushintshwa kwendlela yokuphila, kungenzeka ukuvimbela ukuhlaselwa yi-gout esikhathini esizayo futhi uhlale ungenazimpawu. Thatha imithi njengokuyalelwa. Ukunciphisa ukuphuza kwakho utshwala neziphuzo ezine-high-fructose corn syrup kunganciphisa amathuba okuhlaselwa. Futhi ungavimbela ukuhlaselwa yi-gout ngokwandisa ukungenisa kwakho amanzi futhi unciphise ukudla kwakho inyama, izinkukhu, nokunye ukudla okune-purine ephezulu. Ukulahlekelwa amakhilogremu amaningi kusiza ekugcineni izinga le-uric acid enempilo.