I-Gout: Ihlala Isikhathi Eside Kangakanani futhi Yini Ongayenza Ukuze Uthuthukise Izimpawu Zakho?

-Delile

• Ukuphathwa
• Ukudla kanye ne-gout
• Ukufuna usizo
• Umbono

Yini ongayilindela

I-Gout wuhlobo lwesifo samathambo esidalwa ukwakheka kwe-uric acid emajoyintini. Kubonakala ngobuhlungu obungazelelwe nobunzima emajoyintini. Imvamisa kuthinta ukuhlangana phansi kozwane olukhulu, kepha futhi kungathinta amalunga eminwe, izindololwane, izihlakala, noma amadolo. Isiqephu se-gout ngokuvamile sihlala cishe izinsuku ezingama-3 ngokwelashwa kuze kufike ezinsukwini eziyi-14 ngaphandle kokwelashwa. Uma ushiywe ungelashwa, maningi amathuba okuthi ube neziqephu ezintsha kaningi, futhi kungaholela ebuhlungwini obubi ngisho nasemonakalweni ohlangene.

Ngesikhathi sesiqephu se-gout, uzozwa ubuhlungu obukhulu obuhlangene. Lapho nje ubuhlungu bokuqala budlulile, ungaba nokukhathazeka okuqhubekayo. Ilunga nalo lizohlala livutha futhi libomvu, futhi ungahle ube nokunyakaza okulinganiselwe kuleyo ndawo.

Ungase uhlangabezane neziqephu ezivame kakhulu ze-gout, ezingaholela ekutheni i-gout engapheli kanye nomonakalo ohlala njalo ohlangene. Ungase futhi uthuthukise izigaxa ezincane, ezimhlophe nezibuhlungu ngaphansi kwesikhumba sakho. Yilapho kwakheke khona amakristalu e-urate.

I-Gout ivame ukuphathwa ngemithi elwa nokuvuvukala, i-steroids, noma i-colchicine, kepha kukhona nezinye izindlela zokuphila ezinganciphisa isikhathi sesiqephu se-gout, kufaka phakathi:

• ukugcina isisindo esinempilo
• ukuba nezinsuku okungenani ezimbili ezingenalo utshwala ngesonto
• ukuphuza okungenani amalitha amabili amanzi ngosuku
• ukuzivocavoca umzimba njalo (qaphela ukuthi ungafaki ingcindezi eyeqile kumajoyini)
• ukuyeka ukubhema
• ukuthatha izithasiselo zikavithamini C

Funda ukuze ufunde kabanzi ngokuphatha nokuvikela lesi simo.

Ukuphathwa

Imithi elwa nokuvuvukala, efana ne-ibuprofen (Advil, Motrin), kufanele ithathwe ngokushesha nje lapho uhlangabezana ne-flare-up. Lo muthi ungathengwa phezu kwekhawunta. Uma unomlando we-gout, qiniseka ukuthi uhlala unemithi elwa nokuvuvukala. Ngaleyo ndlela, uma unesiqephu, ungaphuza umuthi ngokushesha nje lapho izimpawu ziqala.

Umuthi olwa nokuvuvukala kufanele uqale ukusebenza zingakapheli izinsuku ezintathu. Okwamanje, amakhambi asekhaya alandelayo angasiza:

• phumula futhi uphakamise unyawo oluthintekile
• gcina ijoyinti lipholile ngokufaka i-ice pack imizuzu engafika kwengama-20
• phuza amanzi amaningi
• zama ukungavumeli izingubo zakho zombhede zithinte ijoyinti ebusuku, okungahle kuyicasule

Uma isiqephu singakadoli ngemuva kwezinsuku ezintathu, khuluma nodokotela wakho. Bangase banikeze ama-steroids, kungaba ngethebhulethi noma njengomjovo.

Uma unokuqubuka kaningi, udokotela wakho mhlawumbe uzofuna ukuhlola igazi lakho ukubheka izinga le-uric acid. Uma uhlola ukuthi une-uric acid ephezulu, ungahle unikezwe i-allopurinol (iZyloprim, Lopurin) noma i-febuxostat (Uloric), enganciphisa lawa mazinga uma ithathwa isikhathi eside.

Ukudla kanye ne-gout

I-uric acid ikhiqizwa ngumzimba lapho yephula ikhemikhali ebizwa nge-purine. Bese kukhishwa emzimbeni emchameni. I-purine itholakala emizimbeni yethu ngokwemvelo, kodwa futhi itholakala ekudleni okuningi. Ukulandela ukudla kwe-gout okuphansi ku-purine kungasiza ekunciphiseni ukuvama kwama-gout flare-ups.

Ukudla kwe-gout kuyefana nokudla okuningi. Kuncoma ukuthi udle ngendlela elinganiselayo nenempilo. Ukugcina isisindo esinempilo kubalulekile njengoba ukukhuluphala ngokweqile kukhulisa amathuba akho wokuqubuka kwama-gout. Ukukhuluphala ngokweqile nakho kukhulisa ukuqina kwama-flare-ups futhi kubenze kube nzima ukuphatha. ukwehla kwesisindo, noma ngaphandle kokukhawulela ukungena kwe-purine, kwehlisa amazinga e-uric acid.

Uma unomlando we-gout, lokhu kudla kungasiza ukulawula amazinga akho e-uric acid futhi kunciphise ubungozi bokuqhamuka:

• izithelo, imifino, nezinhlamvu eziphelele ezinikezela ngama-carbohydrate ayinkimbinkimbi
• amanzi
• imikhiqizo yobisi engenamafutha amancane noma engenamafutha
• ikhofi
• ama-cherries
• noma yikuphi ukudla okunothe ku-Vitamin C.

Kufanele futhi ubeke umkhawulo noma ugweme lokhu kudla:

• isinkwa esimhlophe
• Ungadla okunoshukela neziphuzo
• inyama ebomvu nezinkukhu ezinamafutha
• imikhiqizo yobisi egcwele
• isibindi nezinso
• okunye ukudla kwasolwandle, kufaka phakathi ama-anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel ne-tuna
• utshwala

Ukufuna usizo

Shayela udokotela wakho uma uhlangabezana nobuhlungu obungazelelwe futhi obukhulu kwelinye lamajoyinti akho okokuqala. Ukuxilongwa kwe-gout kubalulekile ukuze wazi ukuthi ungayelapha kanjani ngempumelelo. Uma usutholakele, udokotela wakho uzokunikeza izeluleko eziningi zokuthi ungasiphatha kanjani isimo uma singabuya.

Funa usizo lwezokwelashwa ngokushesha uma unomkhuhlane kanye nejoyinti elibomvu noma elishayo. Lokhu kungaba uphawu lokutheleleka, olungadinga ukwelashwa.

Umbono

Ukwenza izinqumo zokuphila ngendlela enempilo ngeke kusize kuphela ukulawula ukuqina kobuhlungu be-gout ngesikhathi sokuqhuma, kodwa futhi kungavimbela neziqephu ezizayo ukuthi zingaveli. Uma une-flare-up, thatha imishanguzo yokulwa nokuvuvukala ngokushesha nje lapho izimpawu zakho ziqala, bese uphumula bese uqandisa ilunga elithintekile. Khuluma nodokotela wakho uma izimpawu zingathuthuki ezinsukwini ezintathu zokwelashwa noma uma kungokokuqala ukuba nezimpawu lezi.