Maitiro Ekuziva Kana Iwe Uine Gout Mumapfudzi Ako - uye Chii Chaunofanira Kuita Tevere

Zvemukati

• Kukurumidza chokwadi nezve gout
• Zviratidzo zve gout mupfudzi rako
• Zvinokonzera gout mubendekete rako
• Kuwedzeredza kweuric acid
• Zvimwe zvinhu
• Njodzi zvinhu zve gout mupfudzi rako
• Gender
• Zera
• Genetics
• Mamiriro ekurapa
• Mararamiro
• Kuongororwa kwe gout mumapfudzi ako
• Kurapa kwe gout mupfudzi rako
• Mishonga yakajairwa
• Mimwe mishonga
• Kumwe kurapwa
• Nguva yenguva yegout-up
• Matambudziko egout mupfudzi rako
• Kudzivirira gout
• Mimwe mamiriro ezvinhu anokonzera kurwadziwa kwepafudzi uye kuzvimba
• Pseudogout
• Maonero

Gout rudzi rwakajairika rweArthritis. Iko kuzvimba kamwe kamwe uye kunorwadza uko kunowanzoitika mune chigunwe chihombe, asi kunogona kukanganisa mamwe majoini. Iyo iri mumapendekete nemuhudyu.

Iko kuzvimba kunokonzereswa neyakaunganidzwa yemakristuru madiki euric acid mukati uye kutenderedza majoini ako. Ma immune system ako anoita nekutumira hutachiona-kurwisa maseru kunharaunda, zvichikonzera kuzvimba.

Kurwiswa kweGout kunowanzo kuve kushoma uye kunogona kukanganisa anopfuura rimwe chete mubatanidzwa. Gout inogona kazhinji kutarisirwa nekudya uye mishonga. Kana gout ikarapwa, zvinetso hazviwanzo kuitika. Asi isina kurapwa gout inogona kuremadza.

Ikoko kune vamwe vanhu vane chibereko chekuzvarwa negout.

Kukurumidza chokwadi nezve gout

• Tsananguro yegout inodzokera kumashure makore anoda kusvika zviuru zvishanu kuEgypt yekare. Inoonekwa seyakanyanya kunzwisiswa mhando yemajoini.
• About yehuwandu hwepasi rose ine gout.
• Zvikamu zvina muzana zvevanhu muUnited States vane gout.
• Chiitiko che gout chave chichiwedzera mumakore achangopfuura munyika dzakabudirira.
• Zita racho rinobva pazwi rechiLatin "gutta," zvinoreva kudonha. Yaitaura nezvekutenda kwepakati nepakati kuti imwe yeane "majee" anodiwa kuti hutano "hudonhe" mubatanidzwa.
• Gout yainzi chirwere chemadzimambo, nekuda kwekubatana kwayo nezvikafu zvakapfuma uye kunwa doro.
• Benjamin Franklin naThomas Jefferson vese vaive ne gout.

Zviratidzo zve gout mupfudzi rako

Kurwiswa kwegout kunowanzoitika kamwe kamwe. Mapfudzi ako kurwadziwa pamwe kwakanyanya kana kunorwadza.

Uye zvakare, iyo nzvimbo inogona kunge iri:

• tsvuku
• kuzvimba
• kuomarara
• kupisa kana kupisa
• inonetsekana nekubata uye kufamba

Zvinokonzera gout mubendekete rako

Kuwedzeredza kweuric acid muropa rako inofungidzirwa kukonzera gout nekugadzira makristasi akaita serin'i anovaka mumatumbu nemajoini ako. Yakawandisa uric acid inozivikanwa se hyperuricemia.

Uric acid chigadzirwa chemarara chinogadzirwa nekuparara kwepine, makemikari makemikari anowanzovapo mumuviri wako. Uric acid inogadzirwawo kana iwe uchigaya chikafu chine purine.

Kazhinji itsvo dzako dzinobvisa uric acid tsvina kuburikidza neweti yako. Kana itsvo dzako dzisingashande nemazvo, uric acid mazinga anogona kuvaka muropa rako.

Iwo makristaro anoumba kubva kune iyi yakawandisa uric acid anorwiswa ne immune system yako semitumbi yekunze. Masero ekurwisa hutachiona anoenda kunzvimbo yemakristasi, zvichikonzera kuzvimba.

A ye gout inoshuma kuti chete gumi muzana yezviitiko zvinokonzerwa nemuviri wako wakawedzera kugadzirwa kweuric acid. Mamwe makumi mapfumbamwe muzana anokonzerwa nekutadza kweitsvo kubvisa uric acid yakakwana.

Kuwedzeredza kweuric acid

Kudya zvakawandisa zvigadzirwa zvine purine zvinogona kupa kuwanda kweuric acid mune vamwe vanhu. Zvigadzirwa zvakakwirira muma purines zvinosanganisira:

• nyama tsvuku
• hove dzegungwa
• hove
• doro
• bhinzi dzakaomeswa

Doro, kunyanya rakanyanya-humbowo doro, zvakare rinokurudzira kugadzirwa nekuchengetwa kweuric acid. Asi kunwa waini muhuwandu hwakaenzana hakunei ne gout.

Zvimwe zvinhu

Chete nezve hurefu hweiyo uric acid muropa ravo inovandudza gout. Zvimwe zvinhu zvinogona kuve nekubatanidzwa mukuvandudza gout zvinosanganisira:

• hutachiona
• kusagadzikana kweropa
• Gomarara senge leukemia
• yakawandisa synovial fluid mumajoini
• acidity yekubatana fluid
• chikafu chine purine
• kubatana kukuvara, hutachiona, kana kuvhiyiwa
• yakakwira maseru ekudzora mamiriro senge psoriasis

Mimwe mishonga inogona kuwedzera uric acid mazinga muropa. Izvi zvinosanganisira:

• diuretics, inoshandiswa kurapa yakakwira BP kana chirwere chemwoyo
• yakaderera mishonga yeaspirini
• cyclosporine, mushonga unodzvinyirira immune system
• levodopa, mushonga unoshandiswa kurapa waParkinson

Njodzi zvinhu zve gout mupfudzi rako

Chero chinhu chinowedzera huwandu hweuric acid muropa rako chinogona kukuisa panjodzi yegout. Zvimwe zvakasarudzika zvine njodzi ndeizvi:

Gender

Gout inenge yakajairika muvarume.

Zera

Gout inowanzoitika kuvarume vanopfuura makumi mana uye mumadzimai mushure mekuguma kuenda kumwedzi. Mu, kuwanda kwegout ingangoita gumi muzana yevarume uye 6 muzana yevakadzi.

Genetics

Kuva nedzimwe nhengo dzemhuri dzine gout kunowedzera njodzi yako. Magen'a chaiwo akaonekwa anoenderana neitsvo kugona kubvisa uric acid.

Mamiriro ekurapa

Mamiriro ekurapa anokanganisa kushanda kweitsvo anokuisa iwe panjodzi yegout. Kana iwe ukavhiyiwa kana kushungurudzika, izvi zvinogona kuwedzera njodzi yako.

Vanhu vazhinji vane gout vanewo mamwe marapirwo. Kunyangwe gout ichikonzera aya mamiriro kana kuwedzera njodzi kune aya mamiriro hazvisi pachena.

Mimwe yemamiriro ekurapa anowedzera njodzi yako yegout, kunyanya kana isina kurapwa, inosanganisira:

• BP
• chirwere cheshuga
• chirwere cheitsvo
• mamwe marudzi ekushaya ropa
• metabolic chirwere
• kuvhiringidza kufema kufema
• psoriasis
• kutungamira chepfu

Mararamiro

Kunyanya kufutisa kana kufutisa kunowedzera mukana wako wekuti ubatwe negout. Iyo yekuwedzera huremu inowedzera kugadzirwa kwako kweuric acid.

Kudya zvakawandisa zvekudya uye zvinwiwa izvo zvakakwirira mu purine zvinogona kuwedzera njodzi yako yegout. Avo vanodya kudya kunobva mupunga nemiriwo uye yakaderera mumasini vane chiitiko chidiki chegout.

Kuongororwa kwe gout mumapfudzi ako

Chiremba wako achakuongorora, otora nhoroondo yezvokurapa, uye obvunza nezve zviratidzo zvako. Ivo vanogona kuve vachikwanisa kuziva gout zvichibva pane zvako zviratidzo.

Asi chiremba achada kutonga zvimwe zvinokonzeresa zvekurwadziwa kwepafudzi nekuraira bvunzo.

Kufungidzira bvunzo papfudzi rako kunosanganisira X-rays, ultrasound, uye MRI scan.

Chiremba anozoedzawo mazinga eropa euric acid. Asi mazinga epamusoro kana uric acid hazvina kukwana kuti zvinyatso kuzivikanwa.

Imwe bvunzo chaiyo ndeyekutora muyenzaniso wepafudzi rako akabatana synovial fluid uchishandisa tsono yakatetepa. Izvi zvinonzi arthrocentesis kana kubatana kushuvira. Rabhoritari inozotsvaga uric acid makristasi pasi pe microscope.

Chiremba wako anogona kukuendesa kune rheumatologist kuti urambe uchirapa.

Kurapa kwe gout mupfudzi rako

Iko hakuna mushonga we gout, asi mishonga yakawanda yakagadzirwa mumakore achangopfuura ayo anogona kubatsira nemarwadzo epafudzi e-flare-up uye kudzivirira marara emunguva yemberi.

Mishonga inovavarira kudzikisa marwadzo, kudzikisa yako uric acid, uye kudzikisa kuzvimba.

Mishonga yakajairwa

Chiremba wako anogona kukurudzira pamusoro pe-the-counter nonsteroidal anti-inflammatory drug (NSAIDs) yekurwadziwa kana mishonga yemishonga inoderedza kuzvimba.

Mishonga yekunyorera inosanganisira indomethacin (Indocin) kana celecoxib (Celebrex), uye prednisone, corticosteroid. Prednisone inowanzojowa mumubatanidzwa wakakanganiswa, asi oral prednisone inogona kunge ichidikanwa kana majoini mazhinji achibatanidzwa.

Zvichienderana nekuomarara kwezviratidzo zvako, chiremba wako anogona kupa mamwe madhiragi ayo:

• inhibit chena masero eropa kubva pakurwisa uric acid makristasi, senge colchicine (Colcrys)
• kuderedza huwandu hwekugadzirwa kweuric acid, senge allopurinol (Zyloprim) uye febuxostat (Uloric), inonzi xanthine oxidase inhibitors
• batsira itsvo dzako kubvisa uric acid yakawanda, senge probenecid (Probalan) uye lesinurad (Zurampic), inonzi uricosurics

Yese mishonga iyi ine mhedzisiro, uye mamwe anogona kusangana nemimwe mishonga kana kuwedzera mamwe mamiriro aungave iwe. Ive neshuwa yekukurukura chirongwa chako chekurapa zvinodhaka nachiremba wako.

Mimwe mishonga

uye iwe unogona kuwana kiriniki kuyedzwa.

Chiremba wako anogona zvakare kuda kuyedza kushandisa mushonga mutsva "off label," kana nechinangwa icho chisiri kubvumidzwa parizvino.

Kana mishonga ichibvumidzwa ye rheumatoid arthritis kana imwe mamiriro uye isati yabvumirwa gout, chiremba wako anogona kuikurudzira kuti isabude.

Mimwe yemishonga mitsva iyi ndeiyi:

• pegloticase (Krystexxa), iyo inoderedza uric acid uye inogamuchirwa muUnited States kurapwa kweakanyanya kusagadzikana kusingaperi gout
• canakinumab, monoclonal antibody inodzvinyirira kuzvimba
• anakinra, an interleukin-1 beta anopikisa uyo anodzvinyirira kuzvimba

Iwe ungangoda kutarisa neyako inishuwarenzi mupi wekuvhara kwemishonga iyi kana uchishandiswa kure-chitaridzi.

Kumwe kurapwa

Humbowo hune chekuita nezvekuchinja kwekudya hauna kukwana, sekureva kweAmerican College yeVarapi vegout muna2017.

Zvidzidzo zvakaratidza kuti kuderedzwa kwenyama tsvuku, mashuga, uye doro zvakadzora uric acid. Asi zvaive zvisiri pachena kuti izvi zvakavandudza mhedzisiro yezviratidzo.

Unogona kuwana zororo kubva kune kumwe kurapa kwekuzvimba, senge chando uye kurapwa kwemuviri.

Nguva yenguva yegout-up

Mavambo ekutanga e gout anowanzo gara. Muviri unodzima mhinduro yekuzvimba mushure menguva yakati rebei.

Unogona kusangana nekudzokorora kuputika mumwedzi mitanhatu kusvika kumakore maviri, kana chero nguva mune ramangwana kana zvinhu zvako zvine njodzi zvisina kushanduka. Gout inogona kusingaperi, kunyanya kana iwe uchiramba uine huwandu hwakawanda hweuric acid.

Gout inogonawo kupararira kusanganisira mamwe majoini. Pfudzi gout inogona kuitika muvanhu vane kwenguva refu yakaoma gout.

Chiremba wako anogona kunyorera yakaderera nhanho yemishonga nguva dzese yekubatsira kudzivirira ramangwana kuputika-pamwe nezvinogona kuitika, uye kudzikisa uric acid serum level. Zvakakosha kunamatira kune yako chirongwa chekurapa kuti udzikise marasha.

Matambudziko egout mupfudzi rako

Vanhu vane chirwere chisingaperi chine nguva refu vanogona kukudziridza matambudziko. Uric acid makristasi nekufamba kwenguva anogona kukuvadza bendekete kana mamwe majoini.

Inenge gumi neshanu muzana yevanhu vane gout vanogadzira matombo eitsvo sezvo uric acid inoungana muitsvo.

Chimwe chinetso che gout isingaperi kugadzirwa kwemanyundo euric acid muzvinyoro zvako, kunyanya zvigunwe nezvigunwe. Iyo nodule inonzi tophus.

Aya maqhumu haawanzo kurwadza, asi anogona kuve anopisa, ane hutachiona, kana oozy. Aya maqhumu anogona kunyungudika nemushonga wakakodzera wemishonga.

Kudzivirira gout

Matanho ekudzivirira eGout anosanganisira anotevera matanho ehupenyu:

• kudya chikafu chine hutano, kusanganisira zvishoma kana zvine mwero zvekudya uye zvinwiwa zvine yakawanda purine
• kuchengetedza huremu hune hutano
• kurovedza muviri nguva dzose
• kunwa mvura yakawanda
• kurega kusvuta

Iwe ungangoda kuteedzera izvo zvinoita kunge zvinokonzeresa kusimuka-kwepfudzi rako gout kuitira kuti iwe ugone kudzivirira ramangwana marara.

Mimwe mamiriro ezvinhu anokonzera kurwadziwa kwepafudzi uye kuzvimba

Kana iwe uine kurwadziwa kwepafudzi uye kuzvimba, zviri nani kuti uone chiremba wako kuti awane chirwere chekuziva uye kurapwa. Pane chaiwo bvunzo dzinogona kuona gout.

Mimwe yemamwe mamiriro anogona kuve nezviratidzo zvakafanana anosanganisira:

• bursitis
• tendinitis
• tendon misodzi
• osteoarthritis

Pseudogout

Kune zvakare mhando yeArthritis inozivikanwa se pseudogout, iyo inobata zvikuru vakuru vakuru. Pseudogout inokonzera kamwe kamwe kurwadza kuzvimba mumajoini, asi uric acid makristasi haana kubatanidzwa. Pseudogout inokonzerwa nekuunganidzwa kwemakristaro ecalcium pyrophosphate dihydrate.

Kuongororwa kwemakristasi mune yako synovial fluid kunogona kuona kana pfudzi rako kuzvimba kuri pseudogout kana gapfu gout.

Maonero

Gout mubendekete chinhu chisingawanzoitika, asi kurapwa nemaonero zvakafanana nezve gout mune mamwe majoini. Nemarudzi ese e gout, kunamatira kumushonga wako uye chirongwa chekurapa kuchakupa mhedzisiro iri nani.

Izvo zvakakosha kuti uone chiremba kana iwe uine pfudzi kuzvimba uye kurwadziwa. Kana iri gout, kurapwa kuchakubatsira iwe kugadzirisa mamiriro acho uye kubatsira kudzivirira marara emangwana. Chiremba wako anogona kukuraira nezve matsva marapirwo ari kuitwa.

Iwe ungangoda kuve nekutaurirana neAlliance yeGout Kuzivisa kana iyo Arthritis Foundation kuti uenderere pamwe nezvinoitika zvitsva mukurapa gout.