Izindlela zokwelapha nokuvimbela i-gout nemiphumela engemihle

-Delile

• 1. Izidakamizwa ezingezona ukuvuvukala
• 2. I-Colchicine
• 3. AmaCorticoids
• 4. Izivimbela zokukhiqiza i-uric acid
• 5. Amakhambi akhulisa ukuqedwa kwe-uric acid

Ukwelapha i-gout, udokotela angancoma ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, ukudambisa izinhlungu kanye ne-corticosteroids, ezisetshenziswa ezimweni ezibucayi. Ngaphezu kwalokho, eminye yale mithi ingasetshenziswa, ngemithamo ephansi, ukuvikela ukuhlaselwa.

Kukhona neminye imithi esiza ukuvimbela izinkinga ezibangelwa yilesi sifo, ezisebenza ngokunciphisa ukukhiqizwa kwe-uric acid noma ezikhuthaza ukuqedwa kwayo.

Ngakho-ke, ukwelashwa kwe-gout kufanele kwenziwe kube ngokwakho ngokuya ngobukhulu, ubude besimo esibucayi, amalunga athintekile, ukuphikisana nokuhlangenwe nakho kwangaphambilini umuntu abenakho ngokwelashwa.

1. Izidakamizwa ezingezona ukuvuvukala

Izidakamizwa ezingezona ukuvuvukala ezifana ne-ibuprofen, naproxen, indomethacin noma i-celecoxib zisetshenziswa kakhulu ukukhulula izimpawu ekuhlaselweni yi-gout acute, ngamanani aphezulu, nokuvikela ukuhlaselwa esikhathini esizayo ngamanani aphansi.

Kodwa-ke, le mithi ingadala imiphumela emibi ezingeni lesisu, njengobuhlungu besisu, ukopha nezilonda, ikakhulukazi kubantu abathatha le mithi nsuku zonke. Ukwehlisa le miphumela, okuhle ukuthatha le mithi ngemuva kokudla futhi udokotela angaphakamisa nokuthi uthathe isivikeli sesisu, nsuku zonke, esiswini esingenalutho, ukudambisa ukungakhululeki.

2. I-Colchicine

IColchicine ikhambi elisetshenziswa kabanzi ukwelapha nokuvikela ukuhlaselwa yi-gout, ngoba yehlisa ukubekwa kwamakristalu e-urate kanye nempendulo yokuvuvukala elandelayo, ngaleyo ndlela kuncishiswe ubuhlungu. Lo muthi ungasetshenziswa nsuku zonke ukuvimbela ukuhlaselwa, futhi umthamo ungakhuphuka ngesikhathi sokuhlaselwa okunamandla. Funda kabanzi ngalomuthi.

Imiphumela emibi kakhulu engenzeka ngokusetshenziswa kwe-colchicine ukuphazamiseka kokugaya ukudla, njengohudo, isicanucanu nokuhlanza.

3. AmaCorticoids

Udokotela angancoma ama-corticosteroids afana ne-prednisolone kumathebulethi noma ngemijovo, ukunciphisa izinhlungu nokuvuvukala, okusetshenziswa kakhulu ezimweni lapho abantu bengakwazi ukuthatha amanye ama-anti-inflammatories afana ne-indomethacin noma i-celecoxib, ngokwesibonelo, noma abakwazi ukusebenzisa i-colchicine.

Imiphumela emibi kakhulu engabangelwa ukusebenzisa i-prednisolone ukushintshashintsha kwemizwelo, ukukhuphuka kwamazinga kashukela wegazi nokwenyuka kwengcindezi yegazi. Yazi ukuthi eminye imiphumela emibi ingadalwa yi-corticosteroids.

4. Izivimbela zokukhiqiza i-uric acid

Umuthi osetshenziswa kakhulu ukuvimba ukukhiqizwa kwe-uric acid yi-allopurinol (Zyloric), evimbela i-xanthine oxidase, eyi-enzyme eguqula i-xanthine ibe yi-uric acid, inciphise amazinga ayo egazini, inciphise ubungozi bokuvela kwezinkinga. Bona okuningi ngalo muthi.

Imiphumela emibi kakhulu engadalwa yi-allopurinol ukuqubuka kwesikhumba.

5. Amakhambi akhulisa ukuqedwa kwe-uric acid

Umuthi ongasetshenziswa ukuqeda i-uric acid eyeqile emchameni yi-probenecid, okuholela ekwehleni kwegazi. Funda kabanzi ngalomuthi.

Imiphumela emibi kakhulu engenzeka ngokusetshenziswa kwale mithi ukuqubuka kwesikhumba, ubuhlungu besisu namatshe ezinso.

Ngaphezu kwalokho, ezinye izidakamizwa, ezinjenge-losartan, abaphikisi besiteshi se-calcium, i-fenofibrate nama-statins, nazo zinomthelela ekwehliseni i-uric acid, ngakho-ke, noma nini lapho kufanelekile, kufanele kubhekwe, kubhekwe inzuzo yabo ku-gout.