Gout ndi chiyani? Kodi Ubwino wa Gout ndi Chiyani?

Gout , yomwe imadziwikanso kuti matenda a mafumu kapena matenda a olemera, ndi matenda aakulu a rheumatic omwe anatsogolera ku imfa ya sultan. Ngakhale gout, yomwe imatchedwanso matenda a gout, ili mgulu la matenda a rheumatic, imatha kuonedwa ngati matenda a metabolism. Matendawa, omwe amapezeka kwambiri mwa amuna, amatha kusokoneza ntchito ya munthu komanso chikhalidwe chake.

Gout ndi mawu omwe amagwiritsidwa ntchito kutanthauza matenda osiyanasiyana omwe amadziwika ndi kuchuluka kwa uric acid. Kuwunjika kumeneku kumachitika pamapazi a munthu. Anthu omwe ali ndi gout amatha kumva edema komanso kupweteka mmalo olumikizirana phazi. Chala chachikulu chakuphazi ndi chimodzi mwa mfundo zomwe zimakhudzidwa kwambiri ndi matendawa. Matenda a gout amachititsa ululu wadzidzidzi komanso wakuthwa ndipo anthu amatha kumva ngati mapazi awo akuyaka. Ngakhale kuti zizindikiro za gout ndi zosakhalitsa, pali njira zosiyanasiyana zochepetsera zizindikiro.

Gout ndi chiyani?

Gout, matenda osachiritsika (kwanthawi yayitali) komanso kutupa kolumikizana kofala, ndi vuto lomwe limadziwika ndi kudzikundikira kwa makristasi a monohydrate otchedwa monosodium urate mu minofu. Gout, yemwe mbiri yake inayamba kale, ndi matenda a rheumatological omwe amaphunzira mwatsatanetsatane ndipo akhoza kulamulidwa.

Mmikhalidwe yabwinobwino, zotayira mthupi, makamaka zonyansa zama protein, zimasinthidwa kukhala uric acid ndikuchotsedwa mthupi. Mavuto otulutsa uric acid kapena kupanga kwambiri zinthuzi angayambitse magazi ndi thupi. Pamene kuchuluka kwa uric acid mmagazi kupitirira bwino, amatchedwa hyperuricemia. Matendawa amatha kupita ku gout pakapita nthawi ndikupangitsa kutupa kwa mafupa kowawa kwambiri.

Hyperuricemia imapangitsanso mkodzo ndi magazi kukhala acidic kwambiri. Nyama zina, zakumwa zoledzeretsa monga mowa, ma geranium ndi nyemba zouma ndi zina mwazakudya zokhala ndi uric acid wambiri. Kupatula zakudya, chibadwa, kunenepa kwambiri kapena kunenepa kwambiri, ndi kupsinjika maganizo ndi zina mwa zinthu zomwe zimagwirizanitsidwa ndi kuchuluka kwa uric acid mmagazi.

Uric acid, yomwe imapezeka mochulukirachulukira mmagazi, imatuluka mmipata ya minofu ndikuwunjikana mmalo olumikizirana mafupa ndi ozungulira. Kuchulukana mmalo olumikizirana mafupa kungayambitse kutupa mmalo awa, zomwe zimapangitsa kuti pakhale madzi ochulukirapo mmalo olumikizirana mafupa, zoletsa kuyenda komanso kupweteka. Matendawa, omwe amakhudza kwambiri chala chachikulu chakumapazi ndi mawondo, amatchedwa gout. Nthawi zina uric acid imatha kudziunjikira mu impso. Chisamaliro chiyenera kutengedwa chifukwa izi zingapangitse mapangidwe a miyala ya impso.

Kodi Magawo a Matenda a Gout Ndi Chiyani?

Matenda a gout amakula mmagawo anayi: kuukira kwachimake, nthawi yosiyana, gout ndi tophus gout.

• Acute Attack: Ndi gawo la matendawa lomwe limayamba mwadzidzidzi mmalo olumikizirana mafupa ndipo limatha masiku 5-10. Kutupa kwakanthawi kochepa komanso kupweteka kumawonedwa mmalo olumikizirana mafupa.

• Intercritical Period: Iyi ndi nthawi yomwe madandaulo a wodwalayo amatheratu. Komabe, kuukira koopsa kungabwerenso pambuyo pa gawoli.
• Matenda a Gout: Ngati nthawi yapakati pa kuukira ifupikitsa pangonopangono ndipo osachiritsidwa, kutupa kosatha, kupweteka ndi kuchepa kwa kayendetsedwe kake kakhoza kuchitika mmalo amodzi kapena angapo.
• Tophus Gout: Matendawa akamakula, uric acid amaunjikana mopitirira muyeso mmalo olumikizirana mafupa ndi mminyewa yozungulira nkupanga kutupa kotchedwa tophi. Tophi amapezeka makamaka pachala chachikulu, fupa la metatarsal, pamwamba pa zala ndi pafupi ndi zigongono.

Kodi zizindikiro za matenda a gout ndi chiyani?

Chifukwa cha kudzikundikira kwa ayoni asidi mthupi mmawa, kutupa kumachitika mmalo olumikizirana mafupa ndipo kupweteka kwambiri kumachitika. Ndipotu ululuwo ndi waukulu kwambiri moti wodwalayo amadzuka kutulo. Gout ndi matenda omwe amayamba chifukwa cha kuchuluka kwa uric acid mu impso Kuwonjezera pa zizindikiro monga magazi mu mkodzo ndi miyala, kupweteka kwa mmimba ndi mmunsi. Ululu amakhala aakulu ndi uric acid anasonkhana m`malo olumikizirana mafupa angayambitse kutupa mosalekeza wa mfundo ndi chifukwa deformations.

Gout nthawi zambiri imatengedwa kuti ndi kutupa kwa mafupa ( nyamakazi). Kuyamba kuukira ndi mwadzidzidzi ndi zowawa. Zizindikiro zosiyanasiyana zimatha kuchitika mdera lomwe lakhudzidwa, kuphatikizapo kuyaka, kuuma, ndi kutupa. Zizindikiro za gout zimatha kusiyana munthu ndi munthu. Zitha kutsata njira ya asymptomatic mwa anthu ena. Ngakhale kuti anthuwa amapezeka kuti awonjezera uric acid mmagazi, palibe zodandaula za gout. Zizindikiro zomwe zimachitika panthawi yachiwopsezo zimatchedwa pachimake gout. Ululu, redness ndi edema ndi zizindikiro zazikulu za gout. Makamaka pambuyo pa kuukira komwe kumayamba usiku, anthu amatha kudzuka ku tulo chifukwa cha zizindikiro. Ngakhale kukhudzana kochepa kwambiri ndi dera lomwe lakhudzidwa kungayambitse madandaulo osaneneka. Panthawi imodzimodziyo, pali malire pamayendedwe a olowa omwe akhudzidwa.

Madandaulo omwe amapezeka pachiwopsezo chowopsa cha gout nthawi zambiri amapezeka pamfundo imodzi. Chala chachikulu ndi chomwe chimakhudzidwa kwambiri ndi malo olumikizirana mafupa. Ngakhale kuti nthawi ya madandaulo nthawi zambiri imasiyanasiyana pakati pa maola 12-24, palinso matenda oopsa a gout omwe zizindikiro zimapitirira kwa masiku 10. Odwala kupitiriza moyo wawo popanda madandaulo pa nthawi pakati pachimake gout kuukira.

Kuukira kobwerezabwereza kwa gout kungayambitse kuwonongeka kwa mafupa. Kuphatikiza pa ululu wamagulu, zizindikiro monga kutupa, kufiira, edema ndi mavuto oyendayenda amatha kusintha pakapita nthawi, pamene zizindikiro monga kupukuta ndi kuyabwa kwa khungu la dera lomwe lakhudzidwa likhoza kuchitika. Mu matendawa, omwe amatha kukhudza ziwalo zina za thupi pambali pa chala chachikulu, zala zammanja, zala, chigongono, chidendene ndi kumtunda kwa phazi ndi zina zomwe zingakhudzidwe ndi gout.

Ngati matenda a gout achitika pafupipafupi kuposa momwe amachitira, izi zimatchedwa matenda a gout. Chisamaliro chiyenera kutengedwa chifukwa matenda a gout amatha kubweretsa mavuto aakulu ngati salandira chithandizo choyenera. Odwala gout aakulu, ululu ukhoza kukhala wokhazikika, ndipo pamenepa, khalidwe la kugona la munthuyo limakhudzidwa kwambiri. Mavuto monga kutopa, kupsinjika maganizo kowonjezereka ndi kusintha kwa maganizo kungachitike chifukwa cha kusowa tulo. Kupatula kugona bwino, kuyenda, kugwira ntchito zapakhomo, ndi zochitika zina zatsiku ndi tsiku zimathanso kukhudzidwa.

Tophi ndi matenda a gout omwe amadziwika ndi kudzikundikira kwa uric acid makhiristo pansi pa khungu. Tophus, yomwe imatha kuchitika mmanja, mmapazi, mmanja ndi mmakutu, imawoneka ngati kutupa kwapangonopangono komwe sikuli kowawa koma kumatupa komanso kuphulika panthawi yakuukira. Pamene tophus ikupitiriza kukula, imatha kuwononga khungu lozungulira ndi minofu. Ndikofunikira kwambiri kulandira chithandizo choyenera chifukwa kupunduka kwamagulu kumatha kuchitika pamene vutoli likupitirira.

Uric acid, yomwe imapezeka kwambiri mmagazi, imatha kuwunjikana mmapapo komanso mu impso. Kupatula chikhalidwe chosowa kwambiri ichi, tikulimbikitsidwa kusamala chifukwa mavuto osiyanasiyana azaumoyo monga ngala ndi matenda a maso owuma amatha kuchitika mwa odwala gout.

Kodi Gout Imayambitsa Chiyani?

Choyambitsa chachikulu cha gout ndicho kuchulukitsidwa kwa thupi kwa uric acid kapena kulephera kutulutsa uric acid wopangidwa kudzera mu impso. Kudya mopanda thanzi, kumwa mowa mopitirira muyeso, matenda adzidzidzi komanso oopsa, mankhwala osiyanasiyana, kupwetekedwa mafupa, maopaleshoni ndi matenda a impso ndi zina mwa zinthu zomwe zingayambitse kuchuluka kwa uric acid mmagazi. Kuwonjezeka kwa msinkhu kungapangitsenso chiopsezo chokhala ndi gout. Gout ndi matenda omwe amapezeka mmabanja mwa anthu ena. Mitundu yambiri yosiyanasiyana, makamaka ma jini a SLC2A9 ndi ABCG2, amatha kuyambitsa gout. Majini okhudzana ndi gout amagwirizanitsidwa ndi uric acid metabolism.

Zimavomerezedwa kuti chibadwa cha chibadwa chikhoza kukhala chothandiza pakupanga gout, komanso kuwonjezera pa zifukwa za mbanja, matenda ena angakhalenso ndi zotsatira zothandizira. Kunenepa kwambiri, matenda a shuga, matenda a mtima, kuthamanga kwa magazi ndi mafuta a kolesterolini ndi ena mwa matenda omwe chiwopsezo cha gout chimakhala chachikulu mwa odwala.

Pazovuta zina, kuchuluka kwa uric acid mthupi kumatha kuchitika. Matendawa, omwe amakhudzana ndi zochitika zachilendo za michere, nthawi zambiri amapezeka mmikhalidwe monga lymphoma, leukemia, hemolytic anemia ndi psoriasis. Kuwonjezeka kwa kupanga uric acid kumatha kuchitika ngati zotsatirapo pambuyo pa chemotherapy ndi radiotherapy yomwe imagwiritsidwa ntchito pochiza odwala khansa.

Kodi Matenda a Gout Amadziwika Bwanji?

Kuzindikira makhiristo a monosodium urate mu synovial fluid (madzi mu malo olowa) ndi njira yodziwira gout. Pakufufuza uku, madokotala amatenga chitsanzo chamadzimadzi kuchokera kumalo okhudzidwa okhudzidwa ndi singano yopyapyala. Synovial madzimadzi amakhala achikasu ndi mitambo pa pachimake gout flares. Kuwunika kwamadzimadzi kumeneku, komwe kumakhalanso ndi makristasi ndi maselo oyera a magazi, kumasiyanitsa ndi kutupa mmafupa komwe kumachitika chifukwa cha tizilombo toyambitsa matenda.

Maphunziro osiyanasiyana a labotale angagwiritsidwenso ntchito pochiza matenda a gout. Ngakhale zizindikiro za biochemical monga kuwerengera kwa maselo oyera a magazi, kuchuluka kwa erythrocyte sedimentation (ESR) ndi mapuloteni a c-reactive (CRP) ndizothandiza pa gout pachimake, tisaiwale kuti siziri zenizeni za matendawa. Ngakhale kuyeza kuchuluka kwa uric acid poyezetsa magazi ndikofunikira kwambiri, nthawi zina kumatha kubweretsa kusokonekera. Tiyenera kukumbukira kuti ngakhale kuti anthu ena ali ndi uric acid wambiri mmagazi koma alibe zizindikiro za gout, anthu ena akhoza kukhala ndi zizindikiro za gout ngakhale kuti uric acid mmagazi awo ndi otsika. Pazifukwa izi, ngakhale kuyeza kwa uric acid mmagazi kokha sikumayesedwa kokwanira kuti munthu adziwe matenda a gout, angagwiritsidwe ntchito pofufuza momwe gout amayendera mwa odwala ena.

Kuphatikiza pa kuyesa kwa biochemical, maphunziro osiyanasiyana oyerekeza angagwiritsidwe ntchito pozindikira gout. Ngakhale kuti sichimachitidwa nthawi zonse, ultrasonography imatha kuzindikira makhiristo omwe ali mdera la cartilage. X-ray radiographs ndi zina mwa zida zowunikira ma radiological zomwe zitha kukhala zothandiza kusiyanitsa gout ndi matenda ena olumikizana.

Kodi Matenda a Gout Amachizidwa Bwanji?

Mu gout, njira zosiyanasiyana zothandizira zimagwiritsidwa ntchito panthawi yachiwopsezo komanso nthawi yapakati. Ngakhale kuti mankhwala oletsa kutupa amagwiritsidwa ntchito panthawi yovuta kwambiri pamene ululu uli wovuta kwambiri, mankhwala omwe amagwiritsidwa ntchito pochiza mankhwala amatha kusinthidwa ndi madokotala malinga ndi nthawi ya matendawa. Non-steroidal anti-inflammatory drugs, colchicine kapena corticosteroids ndi ena mwa mankhwala omwe angagwiritsidwe ntchito pochiza gout, malinga ndi momwe munthuyo alili. Mankhwala okhala ndi colchicine ndi mankhwala oletsa kutupa omwe amawonedwa kuti ndi othandiza poletsa kupweteka kwa gout.

Odwala ena, matenda a gout amatha kukhala ovuta kwambiri komanso osatha. Pofuna kupewa miyala ya impso, tophus kapena mavuto ena okhudzana ndi gout omwe angachitike mwa anthuwa, mankhwala omwe amachepetsa kupanga uric acid mthupi kapena kuwonjezera uric acid excretion mu mkodzo angagwiritsidwe ntchito. Ndikofunika kwambiri kuti kugwiritsa ntchito mankhwalawa, omwe angayambitse mavuto monga kutentha thupi, zotupa pakhungu, kutupa kwa chiwindi kapena matenda a impso, kuchitidwa moyanganiridwa ndi dokotala.

Popeza kuchita masewera olimbitsa thupi kungapangitse kuopsa kwa kuukira, odwala akulimbikitsidwa kuti apume panthawi yovuta. Thandizo lazakudya limagwira ntchito yofunika kwambiri ngati mankhwala a gout. Pofuna kuchiza gout, odwala akulimbikitsidwa kuti azitsatira zakudya zapadera zokonzedwa ndi katswiri wa zakudya, kudya madzi ambiri komanso kusintha moyo wawo ndi mapulogalamu ochita masewera olimbitsa thupi.

Zakudya za Matenda a Gout

Kukonzekera pulogalamu yaumwini yazakudya zoyenera ku gout ndi imodzi mwazinthu zofunika kwambiri zomwe zingatengedwe kuti muchepetse kuchuluka kwa kuchulukirachulukira. Zakudyazi cholinga chake ndi kuchepetsa mlingo wa uric acid mmagazi kuti ukhale wokwanira.

Kuletsa kapena kusiya kumwa mowa, makamaka kumwa mowa, ndikofunikira kusintha moyo wawo pakuwongolera zizindikiro za gout. Kuphatikiza apo, kuonjezera kumwa kwamadzimadzi, kusankha mkaka wopanda mafuta ochepa, kupewa kudya nyama zammimba kapena nsomba zazingono zokhala ndi purine zambiri, kusankha nyemba ngati gwero la mapuloteni, komanso kudya zakudya za tirigu kapena masamba atsopano ndi zipatso zomwe zimaphatikizidwa ndi chakudya. mu dongosolo zakudya Ndi mwa zina zotheka ntchito.

Zakudya zokhala ndi purine zochepa mzakudya zimatanthauzidwa ngati zakudya zomwe zili ndi ma milligrams osakwana 100 a purine pa 100 magalamu. Zipatso zonse ndi zina mwa zakudya zomwe sizibweretsa vuto la gout. Chipatso cha Cherry chimathandizira kuti thupi lizigwira ntchito bwino popewa matenda a gout chifukwa chothandizira pamlingo wa uric acid komanso kuchuluka kwa kutupa. Zakudya zonse zamasamba, kuphatikizapo mbatata, nandolo, bowa, biringanya ndi masamba obiriwira, ndi zina mwa zakudya zomwe zimatha kudyedwa ndi odwala gout. Kuwonjezera pa zipatso ndi ndiwo zamasamba, mazira, mkaka, mtedza, khofi, tiyi ndi tiyi wobiriwira, zonunkhira ndi mafuta a masamba ndi zakudya zomwe zingaphatikizidwe mu ndondomeko ya zakudya za odwala gout.

Kuchepetsa Kulemera kwa Thupi

Kunenepa kwambiri kumatha kukhala chiwopsezo cha matenda a gout. Kukana insulini, komwe kumachitika makamaka mwa anthu onenepa kwambiri, ndi vuto lomwe limalumikizidwa ndi kuchuluka kwa uric acid mmagazi. Ndi kuchepa thupi, anthu amatha kusokoneza kukana kwa insulin ya mahomoni ndikuchepetsa uric acid.

Chinthu chomwe odwala matenda a gout ayenera kumvetsera pamene akuwonda ndi kuthamanga kwa kuwonda. Chisamaliro chiyenera kutengedwa ngati kuwonda mwachangu pazakudya zotsika kwambiri zopatsa mphamvu kungapangitse chiopsezo chokhala ndi gout.

Kuchita masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi nthawi zonse ndi njira ina yomwe ingatheke kupewa matenda a gout ndipo kungathandize kuchepetsa uric acid.

Kugwiritsa Ntchito Madzi Okwanira

Kuonetsetsa kuti munthu akumwa madzi okwanira tsiku ndi tsiku kungachepetse chiopsezo chokhala ndi gout. Ndi madzimadzi, kutuluka kwa uric acid wowonjezera mmagazi kuchokera ku impso kumakhala kosavuta ndipo kumachotsedwa ndi mkodzo. Kugwiritsa ntchito madzi amadzimadzi ndi nkhani yomwe siyenera kunyalanyazidwa, makamaka ndi anthu omwe amachita masewera olimbitsa thupi nthawi zonse, omwe amataya madzi ena amthupi chifukwa cha thukuta.

Kuchepetsa Kumwa Mowa

Mowa umadziwika kuti umayambitsa gout. Chifukwa cha izi ndikuti thupi limayika patsogolo kutulutsa mowa mmalo mochotsa uric acid wochulukirapo mthupi ndikumwa mowa. Choncho, zimakhala zosavuta kuti uric acid, yomwe imakhala yochuluka kwambiri pambuyo pomwa mowa, iwunjike ndikusandulika kukhala kristalo.

Zakudya, masewera olimbitsa thupi ndi kusintha kwina kwa moyo ndizothandiza kwambiri pochiza gout ndi matenda ena omwe amayamba chifukwa cha uric acid wambiri. Kwa anthu ena, chithandizo chamankhwala chingakhale chofunikira kuwonjezera pa kusintha kwa moyo. Kutsatira mosamalitsa mankhwala operekedwa ndi madokotala ndi mbali yofunika kwambiri ya chithandizo.

Ngati muwona zizindikiro za gout, zomwe ndi mtundu wa kutupa pamodzi, mwa inu nokha kapena omwe ali pafupi nanu, ndi bwino kuti muyankhule ndi mabungwe azachipatala ndikupeza chithandizo kuchokera kwa madokotala apadera za chithandizo choyenera ndi kusintha kwa moyo.

Tikukufunirani masiku athanzi.