Gout

Gout rudzi rweArthritis. Zvinoitika apo uric acid inovaka muropa uye inokonzeresa kuzvimba mumajoini.

Acute gout mamiriro anorwadza anowanzo bata mubatanidzwa mumwe chete. Chisingaperi gout ndiyo inodzokororwa zvikamu zvekurwadziwa uye kuzvimba. Zvinopfuura imwechete kubatana zvinogona kukanganiswa.

Gout inokonzerwa nekuve yakakwira-kupfuura-yakajairwa nhanho yeuric acid mumuviri wako. Izvi zvinogona kuitika kana:

• Muviri wako unoita uric acid yakawandisa
• Muviri wako une nguva yakaoma kubvisa uric acid

Kana uric acid ikawanda mukati memvura yakatenderedza majoini (synovial fluid), uric acid makristasi anoita. Aya makristasi anoita kuti mubatanidzwa uve unotsva, zvichikonzera kurwadziwa, kuzvimba uye kudziya.

Chikonzero chaicho hachizivikanwi. Gout inogona kumhanya mumhuri. Dambudziko rakajairika kuvarume, kuvakadzi mushure mekuguma kuenda kumwedzi, uye vanhu vanonwa doro. Sezvo vanhu vanokura, gout inova yakajairika.

Mamiriro acho anogona zvakare kukura mune vanhu vane:

• Chirwere cheshuga
• Chirwere cheitsvo
• Kufutisa
• Sickle cell anemia uye mamwe anemias
• Leukemia uye mimwe kanzira yeropa

Gout inogona kuitika mushure mekutora mishonga inokanganisa kubviswa kweuric acid kubva mumuviri. Vanhu vanotora mimwe mishonga, yakadai sehydrochlorothiazide nemamwe mapiritsi emvura, vanogona kunge vane uric acid yakakwira muropa.

Zviratidzo zveacute gout:

• Muzviitiko zvakawanda, chete kana mashoma majoini anokanganiswa. Chigunwe chikuru, mabvi, kana majoini ejuru anowanzo kanganiswa. Dzimwe nguva majoini mazhinji anozvimba uye anorwadza.
• Marwadzo anotanga kamwe kamwe, kazhinji panguva yehusiku. Marwadzo anowanzo kuve akaomarara, anorondedzerwa sekurova, kupwanya, kana kushungurudza.
• Iko kubatana kunoonekwa kunodziya uye kutsvuka. Inowanzo nyorova uye kuzvimba (zvinorwadza kuisa jira kana jira pamusoro payo).
• Panogona kuve nefivha.
• Kurwiswa kunogona kuenda mumazuva mashoma, asi kunogona kudzoka nguva nenguva. Kuwedzera kurwisa kunowanzo gara kwenguva yakareba.

Kurwadziwa uye kuzvimba kazhinji zvinopera mushure mekurwiswa kwekutanga. Vanhu vazhinji vanozove neimwe kurwisa mumwedzi mitanhatu kusvika gumi nemiviri inotevera.

Vamwe vanhu vanogona kukudziridza gout isingaperi. Izvi zvinonziwo gouty arthritis. Aya mamiriro anogona kutungamira mukubatana kukuvara uye kurasikirwa kwekufamba mumajoini. Vanhu vane gout isingagumi vanozove nemarwadzo akabatana uye zvimwe zviratidzo nguva zhinji.

Madepositi eurric acid anogona kugadzira mapundu ari pasi peganda akatenderedza majoini kana dzimwe nzvimbo dzakadai segokora, zvigunwe zvemunwe, nenzeve. Bundu rinonzi tophus, kubva muchiLatin, zvichireva mhando yedombo. Tophi (akawanda mapundu) anogona kukura mushure mekunge munhu anga aine gout kwemakore mazhinji. Aya mapundu anogona kuburitsa chakachaka zvinhu.

Miedzo inogona kuitwa inosanganisira:

• Synovial fluid kuongorora (inoratidza uric acid makristasi)
• Uric acid - ropa
• Yakabatana x-rays (inogona kunge yakajairwa)
• Synovial biopsy
• Uric acid - weti

Uric acid level muropa inopfuura 7 mg / dL (milligrams pa deciliter) yakakwira. Asi, havazi vese vane yakakwira uric acid nhanho ine gout.

Tora mishonga yegout nekukurumidza kana uchikwanisa kana paine kurwisa kutsva.

Tora nonsteroidal anti-inflammatory drug (NSAIDs) senge ibuprofen kana indomethacin apo zviratidzo zvinotanga. Taura nemupi wako wezvehutano nezve iyo chaiyo dosi. Iwe uchazoda dosi dzakasimba kwemazuva mashoma.

• Mushonga wekunyora unonzi colchicine unobatsira kudzikisa kurwadziwa, kuzvimba, uye kuzvimba.
• Corticosteroids (senge prednisone) inogona zvakare kushanda zvakanyanya. Wako mupi anogona jekiseni iyo yakatsva musanganiswa nesteroids kubvisa marwadzo.
• Nokurwiswa kwegout muzvibatanidzwa zvakawanda mushonga unobayiwa jekiseni unonzi anakinra (Kineret) unogona kushandiswa.
• Marwadzo anowanzoenda mukati memaawa gumi nemaviri ekutanga kurapwa. Kazhinji yenguva, kurwadziwa kwese kwapera mukati maawa makumi mana nemasere.

Ungangoda kutora mishonga yemazuva ese yakadai se allopurinol (Zyloprim), febuxostat (Uloric) kana probenecid (Benemid) kudzikisa uric acid level muropa rako. Kuderedza uric acid kusvika pasi pe6 mg / dL inodiwa kudzivirira madhiri euric acid. Kana iwe uine tophi inooneka, iyo uric acid inofanira kunge yakaderera pane 5 mg / dL.

Unogona kuda iyi mishonga kana:

• Iwe une kurwisa kwakawanda mukati megore rimwe chete kana kurwisa kwako kwakanyanya.
• Une kukanganisa kwemajoini.
• Une tophi.
• Une chirwere cheitsvo kana cheitsvo.

Kudya uye mararamiro ehupenyu anogona kubatsira kudzivirira kurwisa kwe gouty:

• Deredza doro, kunyanya doro (imwe waini inogona kubatsira).
• Deredza uremu.
• Exercise zuva nezuva.
• Deredza kudya kwako kwenyama tsvuku uye zvinwiwa zvine shuga.
• Sarudza chikafu chine hutano, chakadai sechigadzirwa chemukaka, miriwo, nzungu, bhinzi, michero (isina shuga yakawanda), uye zviyo zvakakwana.
• Kofi uye vhitamini C zvinowedzera (zvinogona kubatsira vamwe vanhu).

Kurapa kwakanaka kwekurwiswa kwakanyanya uye kudzikisa uric acid kusvika padanho risingasviki 6 mg / dL inobvumira vanhu kurarama hupenyu hwakajairika. Nekudaro, iyo yakaoma fomu yechirwere ichi inogona kufambira mberi kune chisingaperi gout kana iyo yakakwira uric acid isina kurapwa zvakakwana.

Zvinetso zvinogona kusanganisira:

• Chisingaperi gouty arthritis.
• Itsvo matombo.
• Madepositi muitsvo, zvichitungamira mukusingaperi itsvo kutadza.

Yakakwira mazinga euric acid muropa inosanganisirwa nenjodzi yakawedzera yechirwere cheitsvo. Zvidzidzo zviri kuitwa kuti uone kuti kudzikisa uric acid kunoderedza njodzi yehosha yeitsvo.

Fonera mupiki wako kana iwe uine zviratidzo zveacute gouty arthritis kana kana iwe uchikura tophi.

Iwe unogona kusakwanisa kudzivirira gout, asi iwe unogona kukwanisa kudzivirira zvinhu zvinokonzeresa zviratidzo. Kutora mishonga kudzikisa uric acid kunogona kudzivirira kufambira mberi kwegout. Nekufamba kwenguva, mari yako yeuric acid inozopera.

Gouty arthritis - yakaoma; Gout - yakaoma; Hyperuricemia; Tophaceous gout; Tophi; Podagra; Gout - isingagumi; Chisingaperi gout; Gout yakasimba; Yakanyanya gouty arthritis

• Itsvo matombo uye lithotripsy - buditsa
• Itsvo matombo - kuzvitarisira
• Itsvo mabwe - chii kubvunza chiremba wako
• Percutaneous weti maitiro - kubuda

• Uric asidhi makristasi
• Tophi gout muruoko

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Edwards NL. Crystal deposition hosha. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 273.

FitzGerald JD, Neogi T, Choi HK. Edhisheni: usarega gout kusava nehanya kutungamira kune gouty arthropathy. Arthritis Rheumatol. 2017; 69 (3): 479-482. PMID: 28002890 www.ncbi.nlm.nih.gov/pubmed/28002890.

Khanna D, Fitzgerald JD, Khanna PP, uye al. 2012 American College yeRheumatology nhungamiro yekutungamira kwe gout. Chikamu 1: yakarongeka nonpharmacologic uye pharmacologic ekurapa nzira dzehyperuricemia. Arthritis Kuchengeta Res (Hoboken). 2012; 64 (10): 1431-1446. PMID: 23024028 www.ncbi.nlm.nih.gov/pubmed/23024028.

Khanna D, Khanna PP, Fitzgerald JD, et al. 2012 American College yeRheumatology nhungamiro yekutungamira kwe gout. Chikamu 2: kurapwa uye antiinfigueatory prophylaxis yeacute gouty arthritis. Arthritis Kuchengeta Res (Hoboken). 2012; 64 (10): 1447-1461. PMID: 23024029 www.ncbi.nlm.nih.gov/pubmed/23024029.

Zvinyorwa JW, Gardner GC. Kushandisa anakinra muzvipatara varwere vane kristaro-inosanganisirwa arthritis. J Rheumatol. 2019 pii: jrheum. 181018. [Epub pamberi pokudhinda]. PMID: 30647192 www.ncbi.nlm.nih.gov/m/pubmed/30647192.