Mishonga yekurapa uye kudzivirira gout uye mhedzisiro

Zvemukati

• 1. Asina-steroidal anti-anogumbura zvinodhaka
• 2. Colchicine
• 3. Corticoids
• 4. Mabhokisi ekugadzira uric acid
• 5. Mishonga inowedzera kubviswa kweuric acid

Kurapa gout, chiremba anogona kukurudzira kushandiswa kwemishonga inorwisa-kupisa, zvinodzora marwadzo uye corticosteroids, ayo anoshandiswa mune yakaoma kesi. Uye zvakare, mimwe yemishonga iyi inogona zvakare kushandiswa, mumadosi mashoma, kudzivirira kurwiswa.

Kune zvekare mimwe mishonga inobatsira kudzivirira matambudziko anokonzerwa nechirwere, ayo anoshanda nekuderedza kugadzirwa kweuric acid kana kukurudzira kupera kwayo.

Nekudaro, kurapwa kwe gout kunofanirwa kuve kwakasarudzika zvichienderana nekuoma, nguva yedambudziko, majoini akanganiswa, zvinopesana uye chiitiko chekare icho munhu anga aine kurapwa.

1. Asina-steroidal anti-anogumbura zvinodhaka

Asiri-steroidal anti-anogumbura madhiragi senge ibuprofen, naproxen, indomethacin kana celecoxib anoshandiswa zvakanyanya kugadzirisa zviratidzo mukurwisa kwakanyanya kwegout, pamadosi akakwirira, uye kudzivirira kurwisa mune ramangwana pamadosi ari pasi.

Nekudaro, iyi mishonga inogona kukonzera mhedzisiro padanho regastric, senge kurwadziwa nemudumbu, kubuda ropa uye maronda, kunyanya kune vanhu vanotora mishonga iyi zuva nezuva. Kuti udzikise mhedzisiro iyi, chakanakira kutora mishonga iyi mushure mekudya uye chiremba vanogona zvakare kukurudzira kutora dziviriro yemudumbu, mazuva ese, pane isina chinhu mudumbu, kuti usunungure kusagadzikana.

2. Colchicine

Colchicine imushonga unoshandiswa zvakanyanya kurapa uye kudzivirira kurwisa kwe gout, sezvo ichideredza kuiswa kwemakristeti eurate uye nemhedzisiro yekuzvimba, zvichideredza marwadzo. Mushonga uyu unogona kushandiswa zuva nezuva kudzivirira kurwiswa, uye muyero unogona kuwedzerwa panguva yekurwisa kwakanyanya. Dzidza zvakawanda nezve uyu mushonga.

Mhedzisiro inowanzoitika iyo inogona kuitika nekushandiswa kwecocchicine zvinetso zvekugaya, senge manyoka, kuda kurutsa uye kurutsa.

3. Corticoids

Chiremba anogona kukurudzira corticosteroids senge prednisolone mumapiritsi kana majekiseni, kudzikisira kurwadziwa nekuzvimba, ayo anonyanya kushandiswa mumamiriro ezvinhu apo vanhu vasingakwanise kutora mamwe anti-inflammatories senge indomethacin kana celecoxib, semuenzaniso, kana havagone kushandisa colchicine.

Mhedzisiro inowanzoitika inogona kukonzerwa nekushandisa prednisolone ndeyekuchinja kwemamiriro, kuwanda kweshuga yeropa uye kuwedzerwa kweropa. Ziva kuti mimwe mhedzisiro inogona kukonzerwa necorticosteroids.

4. Mabhokisi ekugadzira uric acid

Mushonga unoshandiswa zvakanyanya kuvharidzira kugadzirwa kweuric acid iallopurinol (Zyloric), iyo inodzivisa xanthine oxidase, inova enzyme inoshandura xanthine kuita uric acid, ichideredza huwandu hwayo muropa, ichideredza njodzi yekuonekwa kwematambudziko. Ona zvimwe nezve uyu mushonga.

Mhedzisiro inowanzoitika inogona kukonzerwa neallopurinol kuputika kweganda.

5. Mishonga inowedzera kubviswa kweuric acid

Mushonga unogona kushandiswa kubvisa uric acid yakawandisa mumugini iri probenecid, izvo zvinotungamira mukudzikira kweropa. Dzidza zvakawanda nezve uyu mushonga.

Mhedzisiro inowanzoitika inogona kuitika nekushandiswa kwemishonga iyi kuputika kweganda, kurwadziwa mudumbu uye matombo eitsvo.

Uye zvakare, mimwe mishonga, senge losartan, calcium chiteshi vanopikisa, fenofibrate uye statins, zvakare inobatsira kudzikisa uric acid, saka, pese pazvinenge zvichiruramiswa, vanofanirwa kutariswa, vachifunga kubatsirwa kwavo mu gout.