Imithi Ye-Gout Flares

-Delile

• Imithi ye-gout yesikhashana
• Imithi yesikhathi eside
• Khuluma nodokotela wakho
• I-Q & A.
• Q:
• A:

Ukuhlaselwa yi-Gout, noma ama-flare, kubangelwa iqoqo le-uric acid egazini lakho. I-uric acid yinto eyenziwa ngumzimba wakho lapho yephula ezinye izinto, ezibizwa ngama-purines.Iningi le-uric acid emzimbeni wakho liyancibilika egazini lakho bese lishiya umchamo wakho. Kepha kwabanye abantu, umzimba wenza i-uric acid eningi kakhulu noma ungayikhiphi ngokushesha ngokwanele. Lokhu kuholela emazingeni aphezulu e-uric acid emzimbeni wakho, okungaholela ekutheni kube ne-gout.

I-buildup ibangela amakristalu afana nenaliti ukuba akhe kujoyini lakho nakwizicubu ezizungezile, okubangela ubuhlungu, ukuvuvukala nokubomvu. Yize ukuqhuma kungaba buhlungu impela, imithi ingakusiza ulawule i-gout futhi ukhawulele ama-flare.

Ngenkathi singenakho ukwelashwa kwe-gout, imithi yesikhashana neyesikhathi eside iyatholakala ukusiza ukugcina izimpawu zakho zilawulwa.

Imithi ye-gout yesikhashana

Ngaphambi kokwelashwa kwesikhathi eside, udokotela wakho cishe uzonikeza isilinganiso esikhulu semithi elwa nokuvuvukala noma i-steroids. Lokhu kwelashwa komugqa wokuqala kunciphisa ubuhlungu nokuvuvukala. Zisetshenziswa kuze kube yilapho udokotela wakho eqinisekisa ukuthi umzimba wakho wehlise amazinga e-uric acid egazini lakho uwedwa.

Le mithi ingasetshenziswa ngokuhlangana komunye nomunye noma ngemithi yesikhathi eside. Kubandakanya:

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID): Le mithi iyatholakala ekhawunteni njengemithi ibuprofen (Motrin, Advil) ne-naproxen (Aleve). Zitholakala futhi ngodokotela njenge-celecoxib yemithi (Celebrex) kanye indomethacin (Indocin).

I-Colchicine (Colcrys, Mitigare): Lokhu kudambisa izinhlungu kadokotela kungamisa ukuvutha kwe-gout esibonelweni sokuqala sokuhlaselwa. Izilinganiso eziphansi zomuthi zibekezeleleka kahle, kepha imithamo ephakeme ingadala imiphumela emibi efana nesicanucanu, ukugabha nohudo.

Ama-Corticosteroids: I-Prednisone yi-corticosteroid evame kakhulu ukubekwa. Ingathathwa ngomlomo noma ifakwe kujoyini elithintekile ukudambisa izinhlungu nokuvuvukala. Ingafakwa futhi emsipheni lapho kuthinteka amalunga amaningana. Ama-Corticosteroids ngokuvamile anikezwa abantu abangakwazi ukubekezelela ama-NSAID noma i-colchicine.

Imithi yesikhathi eside

Ngenkathi ukwelashwa kwesikhashana kusebenza ukuyeka ukuhlaselwa yi-gout, izindlela zokwelashwa zesikhathi eside zisetshenziselwa ukunciphisa amazinga e-uric acid egazini. Lokhu kungasiza ekwehliseni inani lama-flares esikhathi esizayo futhi kubenze babe nzima kakhulu. Le mithi inikezwa kuphela ngemuva kokuthi ukuhlolwa kwegazi sekuqinisekisile ukuthi une-hyperuricemia, noma izinga eliphezulu le-uric acid.

Izinketho zemithi yesikhathi eside zifaka:

I-Allopurinol (ILopurin neZyloprim): Le yimithi ebekwa kakhulu yokunciphisa amazinga e-uric acid. Kungathatha amasonto ambalwa ukuthi kusebenze ngokugcwele, ngakho-ke ungahle ube nokuqubuka ngaleso sikhathi. Uma une-flare, ingalashwa ngolunye lwezindlela zokwelashwa zokuqala ukusiza ukukhulula izimpawu.

I-Febuxostat (Uloric): Lo muthi womlomo uvimba i-enzyme ephula i-purine ibe yi-uric acid. Lokhu kuvimbela umzimba wakho ekwenzeni i-uric acid. IFebuxostat icutshungulwa kakhulu yisibindi, ngakho-ke kuphephile kubantu abanesifo sezinso.

I-Probenecid (IBenemid noProbalan): Lo muthi unikezwa kakhulu abantu izinso zabo ezingakhiphi i-uric acid kahle. Kuyasiza izinso ukuthi zikhuphule ukuphuma ukuze izinga lakho le-uric acid lizinze. Akunconyelwa abantu abanesifo sezinso.

I-Lesinurad (iZurampic): Le mithi yomlomo yamukelwa yi-Food and Drug Administration ngo-2015. Isetshenziswa kubantu i-allopurinol noma i-febuxostat enganciphisanga amazinga e-uric ngokwanele. I-Lesinurad ibuye isetshenziswe kwesinye sezidakamizwa ezimbili. Kuyinto yokwelashwa okusha okuthembisayo kubantu abanenkinga yokulawula izimpawu zabo ze-gout. Kodwa-ke, kuza nengozi yokwehluleka kwezinso.

I-Pegloticase (Krystexxa): Lesi sidakamizwa iyi-enzyme eguqula i-uric acid ibe enye, indawo ephephile, ebizwa nge-allantoin. Inikezwa njengokufakwa ngomjovo (IV) njalo emavikini amabili. I-Pegloticase isetshenziswa kuphela kubantu eminye imithi yesikhathi eside engazange ibasebenzele.

Khuluma nodokotela wakho

Imithi eminingi iyatholakala namuhla ukusiza ukukhulula izimpawu ze-gout. Ucwaningo luyaqhubeka ukuthola ukwelashwa okuningi, kanye nokwelashwa okungenzeka. Ukuze ufunde kabanzi ngokwelapha i-gout yakho, khuluma nodokotela wakho. Imibuzo ongayibuza ifaka phakathi:

• Ingabe ikhona eminye imithi okufanele ngiyiphuze ukwelapha i-gout yami?
• Yini engingayenza ukusiza ukugwema ukuqhuma kwe-gout?
• Ingabe kukhona ukudla ongakuncoma okungasiza ukugcina izimpawu zami zilawulwa?

I-Q & A.

Q:

Ngingakuvimbela kanjani ukuqhuma kwe-gout?

A:

Izinguquko eziningana zendlela yokuphila zingasiza ekunciphiseni ama-gout flares akho. Lokhu kufaka phakathi ukugcina isisindo esinempilo, ukuzivocavoca umzimba, futhi - mhlawumbe okubaluleke kakhulu - ukuphatha indlela odla ngayo. Izimpawu ze-Gout zidalwa yi-purines, futhi enye indlela yokwehlisa ama-purine emzimbeni wakho ukugwema ukudla okuqukethe. Lokhu kudla kufaka phakathi isibindi nezinye izidalwa zomzimba, ukudla kwasolwandle okufana nama-anchovies, nobhiya. Ukuze ufunde ukuthi yikuphi ukudla okufanele ukugweme nokuthi yikuphi okumele ukhawule, hlola le ndatshana ekudleni okunobungani be-gout.