Mishonga yeGout Flares
Zvemukati
Kurwiswa kweGout, kana marasha, zvinokonzerwa neuric acid muropa rako. Uric acid chinhu chinoitwa nemuviri wako kana chikaputsa zvimwe zvinhu, zvinonzi purines.Mazhinji euric acid mumuviri wako anonyungudika muropa rako uye anosiya mumuti wako. Asi kune vamwe vanhu, muviri unoita uric acid yakawandisa kana kuti hauibvise nekukasira zvakakwana. Izvi zvinotungamira kune yakakwira uric acid mumuviri wako, izvo zvinogona kutungamira kune gout.
Iyo yekuvaka inokonzera tsono-senge makristasi kuumba mune yako yekubatana uye yakatenderedza nyama, zvichikonzera kurwadziwa, kuzvimba, uye kutsvuka. Kunyangwe marasha anogona kunge achinyanya kurwadza, mishonga inogona kukubatsira kudzora gout uye kudzora mwoto.
Kunyange isu tisati tave nemushonga we gout, mishonga yenguva pfupi uye yakareba-iripo kubatsira kuchengetedza zviratidzo zvako pasi pesimba.
Ipfupi-yenguva gout mishonga
Pamberi pokurapa kwenguva refu, chiremba wako angangopa dosi yakakwira yemishonga inorwisa-kupisa kana steroid. Aya marapiro ekutanga-mutsara anoderedza marwadzo uye kuzvimba. Ivo anoshandiswa kudzamara chiremba wako asimbisa kuti muviri wako waderedza iwo mazinga euric acid muropa rako wega.
Iyi mishonga inogona kushandiswa mukubatana pamwe chete kana nemishonga yenguva refu. Zvinosanganisira:
Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs): Iyi mishonga inowanikwa pamusoro pekambani semishonga ibuprofen (Motrin, Advil) uye naproxen (Aleve). Izvo zvinowanikwawo nemushonga semushonga celecoxib (Celebrex) uye indomethacin (Indocin).
Colchicine (Colcrys, Mitigare): Iyi yekurapa yekurapa yekurapa inogona kumisa gout flare pachiratidzo chekutanga chekurwiswa. Mashoma madhiragi emushonga anoshivirirwa zvakanaka, asi madosi epamusoro anogona kukonzera mhedzisiro senge kusvotwa, kurutsa, uye manyoka.
Corticosteroids: Prednisone ndiyo inonyanya kutaurwa corticosteroid. Inogona kutorwa nemuromo kana kujowa mujoini yakakanganiswa kubvisa marwadzo nekuzvimba. Inogona zvakare kuiswa jekiseni mumhasuru kana majoini akati wandei akanganiswa. Corticosteroids inowanzo kupihwa kune vanhu vasingakwanise kutsungirira NSAIDs kana colchicine.
Yenguva refu mishonga
Nepo kurapwa kwenguva pfupi kuchishanda kumisa gout kurwisa, kurapwa kwenguva refu kunoshandiswa kudzikisa uric acid mazinga muropa. Izvi zvinogona kubatsira kudzikisa huwandu hwemafireza emunguva yemberi uye voita kuti asanyanya kuoma. Iyi mishonga inongomisikidzwa mushure mekuongororwa kweropa kwaratidza kuti une hyperuricemia, kana uric acid yepamusoro.
Yenguva refu-term mishonga sarudzo inosanganisira:
Makomborero (Lopurin uye Zyloprim): Iyi ndiyo mishonga inowanzo rongerwa yekudzikisa uric acid mazinga. Zvinogona kutora vhiki dzinoverengeka kuti zviite zvizere, saka unogona kusangana nemoto panguva iyoyo. Kana iwe uine flare, inogona kurapwa neimwe yekutanga-tambo kurapwa kubatsira kubvisa zviratidzo.
Febuxostat (Uloric): Uyu mushonga wemuromo unovhara enzyme inopwanya purine kuita uric acid. Izvi zvinodzivirira muviri wako kubva mukugadzira uric acid. Febuxostat inogadziriswa kunyanya nechiropa, saka zvakachengeteka kune vanhu vane chirwere cheitsvo.
Wedzerikure (Benemid naProbalan): Mushonga uyu unonyanya kunyorerwa vanhu vane itsvo dzisingabudise uric acid zvakanaka. Inobatsira itsvo kuwedzera kuburitswa kuitira kuti uric acid level yako igadzikane. Hazvikurudzirwe kune vanhu vane chirwere cheitsvo.
Lesinurad (Zurampic): Uyu mushonga wemuromo wakabvumidzwa neKudya neDrug Administration mu2015. Inoshandiswa muvanhu avo allopurinol kana febuxostat isina kudzikisa uric mazinga akakwana. Lesinurad inogara ichishandiswa neimwe yeaya maviri madhiragi. Iyo yekurapa nyowani kurapwa kwevanhu vane dambudziko kudzora kwavo gout zviratidzo. Nekudaro, inouya nenjodzi yekukundikana kweitsvo.
Pegloticase (Krystexxa): Uyu mushonga inzyme inoshandura uric acid kuita imwe, chinhu chakachengeteka, chinonzi allantoin. Inopihwa seinopinda (IV) infusion mukati memavhiki maviri. Pegloticase inoshandiswa chete muvanhu vasina kumwe kurapwa kwenguva yakareba mishonga.
Taura nachiremba wako
Mishonga yakawanda iripo nhasi kubatsira kubvisa gout zviratidzo. Kutsvagisa kuri kuenderera mberi kutsvaga mamwe marapirwo, pamwe nemushonga unogoneka. Kuti udzidze zvakawanda nezvekurapa gout yako, taura nachiremba wako. Mibvunzo iwe yaunogona kubvunza inosanganisira:
- Pane here mimwe mishonga yandinofanira kutora kurapa gout yangu?
- Chii chandingaite kubatsira kudzivirira gout flares?
- Pane here chikafu chaungakurudzire icho chingabatsira kuchengetedza zviratidzo zvangu?
Q&A
Mubvunzo:
Ndingaite sei kudzivirira gout flares?
A:
Maitiro akati wandei ehupenyu anogona kuchinja kudzikisa gout flares yako. Izvi zvinosanganisira kuchengeta huremu hune hutano, kurovedza muviri, uye - pamwe zvinonyanya kukosha - kugadzirisa kudya kwako. Zviratidzo zveGout zvinokonzerwa ne purines, uye imwe nzira yekudzikisa purines mumuviri wako ndeyekurega chikafu chine izvo. Izvi zvekudya zvinosanganisira chiropa uye imwe nyama yemuviri, hove dzakadai seanchovies, uye doro. Kuti udzidze nezve izvo zvekudya zvaunofanira kudzivirira uye zvekuganhura, tarisa ichi chinyorwa pane gout-inoshamwaridzika kudya.
Iyo Healthline Medical TeamMhinduro dzinomiririra iwo mafungiro evanachiremba vedu vezvekurapa. Zvese zvirimo ndezvechokwadi zvine ruzivo uye hazvifanire kutorwa sezano rekurapa.