Yiyiphi indlela engcono kakhulu yokwelapha yeGout?
I-Gout ivame ukuhlaselwa ngokukhawuleza kunye kunye. Ngokuqhelekileyo, umxube wokuqala we-metatarsophalangeal ( unyawo olukhulu ) ubandakanyeka, kodwa ezinye izihlanganisi zinokuchaphazeleka. Amanqaku aseGouty abonisa iimpawu ezibonakalayo zokuvuvukala (okt, ubomvu). Injongo ephambili yonyango kukuphelisa ukuhlaselwa okukhoyo kunye nokukhusela ukuhlasela kwexesha elizayo.
Nantsi indlela:
- Ukuhlaselwa kokuqala kwe-gout kungadlulela iintsuku eziliqela kwaye kuyanyamalala nangona ungakhange uphethwe. Uhlaselo olulandelayo alukwazi kwenzeka ngeveki, iinyanga, iminyaka, okanye kungekhona. Iziganeko ezinzima zesifo (oko kukuthi, ukuhlaselwa okuphindaphindiweyo okwenzeka ngexesha elide) kungabangela umonakalo kwizihlanganisi ezichaphazelekayo kunye nokulahleka kokuhamba. Isicwangciso sonyango lubalulekile ekukhuseleni ukuhlaselwa kunye nomonakalo ohlangeneyo.
- I-Gout inxulumene nokungaqhelekanga okuzuze ilifa lokucwangcisa i- acid ye-uric emzimbeni. Amanqanaba e-uric acid angaphakanyiswa ngokutya ukutya okuninzi ngokwe-purine , xa kukho ukwanda ngokweqile kwe-uric acid ngomzimba, okanye xa iintso zingagcini i-uric acid.
- Iinjongo zonyango ziquka ukunqumla ukuhlaselwa kwe-gout acute , ukukhululeka kwentlungu kunye nokuvuvukala, ukukhusela ukuhlaselwa kwangaphambili, nokuphepha iingxaki (umzekelo, ukwakheka kwe- tophi , amatye eentso kunye nokutshabalalisa ngokubambisana).
- Nangona unyango lwama-gout luhlala luphathwa ngokuphumelelayo kwaye lungekho nkxalabo, kuba ngumngeni omkhulu xa kukho ezinye iimeko kunye ne-gout okanye ukuba kukho ukuthotyelwa kwesigulane kwisigulane sokuguqula indlela yokuphila okanye imirhumo yeyeza.
- Kunconywa utshintsho lwezinto zokutya, njengokuphepha ukutya okucebile . Amanye amanyathelo okukhusela aquka ukugcina ukutya okunokwenyuka kwamanzi, ukunciphisa ubunzima, ukunciphisa ukusetyenziswa kotywala, kunye nemichiza yokunciphisa uxinzelelo lwe-hyperuricemia.
- Amagciwane omzimba aquka:
- iziyobisi ezingekho-steroidal ezichasayo (NSAIDS)
- colchicine
- corticosteroids
- hormone ye-adrenocorticotropic (ACTH)
- allopurinol
- probenecid
- sulfinpyrazone
- Uloric (febuxostat)
- Krystexxa (pegloticase)
- I-NSAIDS iqhelekileyo imithi yokuqala echanekileyo yokunyanga igulane elibi. I-Indomethacin ithathwa njengeyasebenza. Ezinye i-NSAIDS inokusebenza ngokulinganayo. I-NSAIDS iqalelwa ngokukhawuleza kwinqanaba elivumelekileyo elichanekileyo kwaye liyancitshiswa njengoko iimpawu zingaphantsi. Amachiza kufuneka aqhutywe kude kube yintlungu kunye nokuvuvukala kungekho ubuncinane kwiiyure ezingama-48. I-COX-2 inhibitors ingaba luncedo kwizigulane ezinokukhathazeka ngamathumbu kodwa ukusetyenziswa kwazo kwintlobo emnandi gout akuzange kufundwe ngokuthe ngqo okanye kubikwe.
- I-Colchicine isetyenziselwa ukuphatha iilora ezinzima zesifo se-arthritis kunye nokukhusela ukuhlaselwa kwamandla okuphindaphindiweyo. I-Colchicine ayiphilisi okanye ithatha indawo yamanye amayeza anciphisa inani le-uric acid emzimbeni. Isilwanyana sithintela okanye siphumelele ukuhlaselwa kwe-gout ngokunciphisa ukuvuvukala. I-Colchicine ingasetyenzwa ngeendlela ezimbini: abanye abantu bathabatha imali encinci rhoqo kwiinyanga okanye iminyaka, kanti abanye bathabatha inani elikhulu le-colchicine ngexesha elifutshane (iiyure eziliqela).
- I-Corticosteroids okanye i-horrenone ye-adrenocorticotropic ingasetyenziselwa izigulane ezingenakuthatha iNSAIDS okanye i-colchicine. Izigulane ezinegulane eliqhelekileyo zifumana amayeza edaynonone (20-40mg) okanye ilingana zayo iintsuku ezi-3 ukuya kwezi-4, ngoko ke iyakuthatyathwa kancane kancane ukuya kwiiveki ezimbini ukuya kwiiveki ezimbini. I-ACTH ilawulwa njengomjovo we-intramuscular (i-dose yokuqala kunye nokulandelwa kwezidalwa kwiintsuku eziliqela njengoko kuyimfuneko).
- I-Allopurinol (igama lophawu lwegama - iZyloprim) , elimiselwe isigulane esingapheliyo okanye i-arthritis engapheliyo, isebenza ngokuchaphazela inkqubo eyenza i-uric acid emzimbeni. Isetyenziselwa ukuthintela ukuhlaselwa kwe-gout, kungekhona ukubaphatha xa bevela.
- Iprobenecid (amagama egama - iBenemid, Probalan) inqunywe umuthi ongapheliyo kunye nesifo samathambo. Isetyenziselwa ukuthintela ukuhlaselwa okunxulumene ne-gout, ungabathanga xa kwenzeka. Isebenza ezintsheni zokunceda umzimba uqede uric acid. Iprobenecid iyaziwa njenge-artiyoyric acid.
- I-ColBenemid (ngamanye amagama e-brand yeCol-Probenecid kunye neProben-C) iyeza-gout equlethe i-Probenecid, i-arhente ye-uricosuric, kunye ne-Colchicine, eneendawo zokulwa ne-anti-gout.
- I-Sulfinpyrazone (igama lomgama - i-Anturane) liyaziwa ngokuba yi-articoric gouty. Isebenza ngokunciphisa inani le-uric acid egazini lakho, ukukhusela ukuhlasela kwe- gout . Isilwanyana sinceda ukukhusela ukuhlaselwa kodwa akusetyenziswanga ukujongana nokuhlaselwa xa sele iqalile. I-Sulfinpyrazone ayifumaneki okwamanje e-US
- I- osartan, (amagama e-brand-Cozaar kunye ne-Hyzaar), ayikho imveliso ye-gout ngokuthe ngqo kodwa i-angiotensin II i-receptor antagonist, isicatshulwa esicincileyo esingasinceda ukulawula ama-uric acid. I-Fenofibrate, (igama lomtshini - iTricor), akuyona imveliso ethile ye-gout kodwa isilwanyana esinciphisa i-lipid esingasinceda amazinga e-uric acid.
- Iipilisi ze-analgesic zisetyenziselwa ukunciphisa ubuhlungu obukhulu be-gout. Zonke izidakamizwa ezikhankanywe ngasentla zingasetyenziselwa ukudibanisa, ukulawula iimpawu, ukuthintela ukuhlaselwa kwexesha elizayo, nokugcina amazinga e-uric acid enempilo.
- I-Krystexxa (i-pegloticase) isilwanyana se- biologic . Isebenza ngokuphula i-uric acid. It isetyenziswe kwizigulane zogulane eziye zahluleka okanye azikwazi ukunyamezela imishanguzo yegout.
- I-uloric (i-febuxostat) isilwanyana esisetyenziselwa ukuphathwa okungapheliyo kwe- hyperuricemia kwi-gout . I-urloric iyanciphisa amazinga e-serum uric acid ngokuthintela i-xanthine oxidase-i-enzyme ejongene nomveliso we-uric acid.
Iingcebiso:
- Gcina ukutya okwaneleyo.
- Gcina ubunzima bakho phantsi kolawulo. Ukunyaniseka kuye kwaxhunyaniswa ne-gout.
- Utshintsho lwezinto zokutya lunokukunceda ukukhusela ukuhlasela kwe-gout. Gwema ukutya okucebileyo. Ukunciphisa utywala.
- Amachiza anokunceda ukulawula intlungu kunye nokuvuvukala kokuhlasela kwe-gout kwaye kuncede ukukhusela ukuhlaselwa kwangaphambili ngokuphelisa i-acid ye-uric engaphezulu okanye ukuchaphazela ukuveliswa kwe-uric acid excess.
- Qondana nesicwangciso sonyango ugqirha wakho uncoma.
Ingaba ufuna ntoni:
- Ukutya okuphantsi kweepinesine.
- Amachiza ukulawula intlungu.
- Amachiza ukulawula ukuvutha.
- Amachiza ukulawula izinga le-uric acid.