Uphando lubonisa i-Gout ayifuni ngokuzibandakanya ngocansi
Ingaba ibhinqa okanye ibhinqa, abantu abanexholongwane bangabelana nemingcipheko ethile, ngokutsho kophando olwenziwe ngoNovemba 2005 I-American College ye-Rheumatology Annual Scientific Meeting. IiNational Institutes of Health ziye zabika ukuba:
- I-Gout ivela malunga nama-840 kubantu abayi-100,000.
- I-Gout ayifumaneki kubantwana kunye nabantu abadala.
- Amadoda, ngokukodwa abo aphakathi kweminyaka engama-40 no-50, banakho ukuvelisa umtya ongaphezu kwabasetyhini, abangaqhelekanga ukuba bahlakulele ingxaki ngaphambi kokumisa.
- Gout Screening Quiz
Kutheni Isifundo?
I-Gout ichazwe njengokuba ihamba ngokubanzi kumadoda. Nangona kunjalo, ukunyuka kweengxaki zentlobo phakathi kwabasetyhini kunye nokuba kungenzeka ukuba izifundo zezobugqirha zembali ezidlulileyo ziye zatshintsha ezinye zala manani zikhuthaza abaphandi ukuba bafunde iimpawu zobungqingili kwabasetyhini.
Yintoni i-Gout?
I-Gout yenye yezifo zesifo se-rheumatic and accounts for about 5 percent of all cases of arthritis. Ixesha elithi i-arthritis libhekiselele kwiintlobo ezingaphezu kwe- 100 zeentlobo zesifo se-rheumatic ezichaphazela amalunga, imisipha, namathambo, kunye nezinye izicubu kunye nezakhiwo.
Iziphumo zeGout ukusuka kwiifomethi ze-crystal ezinjenge-uric acid kwiisiski ezixhumeneyo, kwindawo edibeneyo phakathi kwamathambo amabini, okanye zombini.
Ezi zidiphozi zikhokelela kwisifo se- arthritis esivuthayo , esibangela ukuvuvukala, ubomvu, ukufudumala, intlungu, kunye nokuqina kumalunga.
Hyperuricemia
I-acid ye-Uric yinto ephumela ekuhleni kwe-purines, eyingxenye yazo zonke izicubu zomntu kwaye zifumaneka kwiindawo ezininzi zokutya.
Ngokuqhelekileyo, i-uric acid iyachithwa egazini kwaye idluliselwe ezintsheni kumchamo apho ipheliswa khona.
Ukuba umzimba ukwandisa umkhiqizo we-uric acid okanye ukuba iintso zingagqithisi okwaneleyo i-uric acid emzimbeni, amazinga e-uric acid akha kwigazi (imeko ebizwa ngokuba yi- hyperuricemia).
- Gout Quiz: Vavanya ulwazi lwakho
Izinto zobungozi
Iimeko ezinobungozi ezinxulumene nophuhliso lwe-hyperuricemia kunye ne-gout:
- I-Genetics (ukuya kuma-18 ekhulwini abantu abanomdlavuza baneembali zentsapho yesi sifo)
- Ubulili (igulane ixhaphake kakhulu kumadoda kunabesifazane)
- Ubudala (umtya uvame kakhulu kubantu abadala kunabantwana)
- Isisindo (ukugqithisa ngokweqile kukukhokelela kwimveliso ye-uric acid)
- Ukusela ngokweqile ukusela utywala (ukusela utywala obuninzi kunakhokelela ekubeni u-hyperuricemia)
- Iziphene ze-enzyme (ezinokuphazamisa indlela umzimba uphula ngayo i-purines ibangela igulane)
- Ukubonakalisa ukukhokela (ukukhokela kunokubangela ukuba ugulane)
Ukutya
Ukutya okuphezulu (oko kukutya okunotye kwi-purines kunokubangela okanye kwandise igciwane)
Amanye amayeza
Abanye abantu abathatha amayeza athile okanye abaneemeko ezithile zempilo basengozini yokuba namanqanaba aphezulu e-uric acid emzimbeni wabo. Ezinye iziyobisi zingakhokelela ekubeni u-hyperuricemia ngenxa yokunciphisa amandla omzimba ukususa i-uric acid. Ezi zi yobisi ziquka:
- I-Diuretics (iziyobisi ezandisa ukwanda komchamo)
- I-salicylates (amayeza anxamnye nokuvuvukala awenziwe kwi-salicylic acid njenge- aspirin)
- I-Niacin (le vithamini nayo ibizwa ngokuba yi-nicotinic acid)
- I-Cyclosporine (i-immunosuppressant)
- I-Levodopa (esetyenziselwa ukuphatha i-Parkinson's Disease)
Malunga nesiFundo
Ngaphezulu kweminyaka engama-24, abaphandi bafunda iziphumo ezisekelwe kwiqela elithile labasetyhini ukuchonga ukuba ngaba kwakukho umbandela kwimingcipheko kunye neziganeko ezinxulumene ne-gout kuzo zonke zesini zesini. Ulwazi luqokelelwe kubemi besetyhini ngokuphathelele:
- U bunzima
- Isalathisi somzimba
- Iimeko zonyango
- Izonyango zonyango (kubandakanywa nokusetyenziswa kwezidyoliyo)
- Ukutya nokutya kotywala
- Indlela yokuphila
Amatyala amasha e-gout aqoshiwe ukususela ngo-1980 (iyonke i-444) yavavanywa ngokusekelwe kwiimeko ezinobungozi ezinobungozi ezinjenge:
- Ubudala
- Amanqanaba omzimba
- Ukutya kwidlo
- Imbali yonyango echaphazelekayo
- Ukusetyenziswa kwamachiza athile
Iziphumo zophando
Iziphumo zibonise ukuba akukho mmahluko omncinci kwindlela le mngcipheko echaphazela ngayo isifo kubantu namabhinqa. Ingozi ephezulu ye-gout iboniswe ukuba inxulumene nokunyuka:
- Isalathisi somzimba
- U bunzima
- Isilinganiselo sokuma-to-hip ratio
Xa kuthelekiswa nalabo abakwinqanaba eliphantsi, abafazi abanesigaba esiphezulu sesalathisi sobunzima bomzimba babenomngcipheko wesibhozo.
Ezinye iziphumo zoFundo
- Uxinzelelo lwexinzelelo kunye nokusetyenziswa okwandisiweyo kwezidumbu ze-diuretics kwakunefuthe elizimeleyo elizimeleyo kwengozi ye-gout.
- Ukwandisa ukondla ubisi kwakunxulumene nomngcipheko we-gout, ukuphindaphinda iziganeko ezibonakalayo kumadoda.
Izigqibo
- Imizamo epheleleyo kunye neqhubekayo yokuguqula le mingcipheko kwimiba yesibini inokukunceda ekunciphiseni kakhulu iziganeko zentsholongwane kunye nokuxhatshazwa.
- Izicwangciso zokuthintela nokuphulukiswa kwezi zifo kufuneka zicebise kuzo zesini zesini.
- Ukukhula kwezifo zesifo sokugqithisa nokunyuka kwegazi lokunyamezela kunye nokusetyenziswa kwesigxina kubonisa umngeni omkhulu ekukhuseleni nasekulawulweni kwe-gout.
Izixhobo ezinxulumene nazo
Imithombo: I-ACR Press Release 11/13/05, i-Gout ayinayo i-Sexually discriminate; Ukupapashwa kwe-NIH No-02-5027