I-gouty arthritis yisifo lapho inqubo ye-uric acid usawoti ifakwa egazini, ama-tissue, amalunga, amathambo, ama-tendon. Ngokuhamba kwesikhathi, lezi zakhiwo zithatha uhlobo lwama-crystals - urates. Ngakho-ke, lesi sifo sibonakala ngokulimala kwezinso, kuhambisana nokuthuthukiswa okusheshayo kwe- urolithiasis nephritis.
Izigaba ze-arthritic arthritis
Kunezinyathelo ezintathu ze-arthritis ene-gouty:
- I-Gout ithinta uhlelo lwe-urinary noma lwe-musculoskeletal, ubuhlungu obuhlangene bungaphazanyiswa ngokungavamile, kubonakaliswe kanye ezinyangeni ezingu-2-3, isikhumba ngaphezu kwendawo evulekile iba isikhulu. Ngemuva kokuhlaselwa kwe-arthritis e-gouty, izimpawu ziyanyamalala, kodwa ngesikhathi esifanayo ukubhujiswa kwezicubu kuyaqhubeka, ngakho-ke ngokuhamba kwesikhathi ubuhlungu buzwa ngcono.
- I-pathology iqala ukuphazamisa ezinye i-cartilage, isikhwama se-articular kanye nezicubu eziseduze, izimpawu ze-arthritis ezinobuthi ezinjenge-chills, fever kanye nobuthakathaka zivela. Ngokuvamile babona ukwakheka kwe-tophi okungenabuhlungu.
- Kukhona ukuqhuma lapho kuhamba nokuzwa okungajabulisi kokuqina komculo ngemuva kwesikhathi sokuphumula. Ngezinhlungu, izinhlungu zenzeka, amafaysi akhiwa ezandleni, ezinhlangothini, ezinyaweni, emadolweni. Ezimweni ezingavamile, kunesilonda esincane esikhumbeni phezu kwezinto ezincane futhi okuvela kubo okungenani okuqukethwe okungakhululwa ngendlela yobuningi obunamathele bombala omhlophe.
Ukuxilongwa kwe-arthritis e-gouty
Kunezindlela eziningana zokuthola i-arthritis ye-gouty:
- ukuhlaziywa kwegazi kanye nomchamo ukuveza inani eliqondile le-uric acid emzimbeni;
- Ukuhlolwa kwe-X (kuvumela ukubona ukuthi "kunamathele" amathambo okwembumbulu futhi kunwetshwa kwesithunzi sezingxenye ezithintekayo ezihlangene ngenxa yokufakwa kwesigodi);
- ukuhlolwa kwe-tofusov (ngokuvamile eyenziwa ngaphansi kwe-microscope);
- I-Ultrasound yamalungu kanye nezitho zesigxobo esiswini.
Imithi ye-arthritis e-gouty
Ukususa ngokuphumelelayo isifo sobuhlungu bese uyeka ukuvuvukala esigabeni sokuqala sokuthuthukiswa kwe-arthritis enesifo esibuhlungu kuzosiza isidakamizwa se-Colchicine. Uphilisa izifo ezinsukwini ezimbalwa nje. Kodwa imithi enjalo ibhekwa njengento enobuthi, ngakho-ke inkambo yokwelashwa kufanele ibe mfushane.
Ngesikhathi esifanayo neColchicine, ukuphulukisa ubuhlungu obungenayo i-steroidal kufanele kuthathwe:
- Sanaprox;
- I-Nalgezin forte;
- I-Indoene;
- I-Metindole;
- I-indocid.
Uma ukwelashwa okunjalo kungenzi umphumela oyifunayo, isiguli simisiwe izidakamizwa ze-hormonal. Izidakamizwa ezisetshenziswa njengeBetamethasone ne-Methylprednisolone, ngesimo sezifundo ezimfushane noma amajova angashadile.
Ukunciphisa ngokushesha izinga le-uric acid ku-arthritis engapheli kusiza izidakamizwa:
- Ukuqhafaza ukuxuba (Magurlit, Urikozim, Blamaren);
- ukwandisa ukwedlula kwemikhawulo (Nofibal, Allomaron, i-Probenecid igrifibrate,);
- ukunciphisa ukukhiqizwa kwe-uric acid (Purinol, Allopurinol, Allupol, Allopurinol-egis).
Ngezikhathi eziphuthumayo, ngaphezu kokuthatha imithi, umthwalo ohlangene ohlangene nawo kufanele unciphise, futhi ukucindezela kweqhwa kufanele kwenziwe izikhathi eziningana ngosuku. Isikhathi sabo kufanele sibe imizuzu emi-5-7.
I-Dietotherapy ye-arthritis e-gouty
Ukudla kungenye yezindlela eziyinhloko zokwelapha i-arthritis enamandla. Kungasiza ekuvimbeleni noma ekunciphiseni ngokweqile ukuqina nokuvama kokubanjwa kwalesi sifo. Kusukela ekudleni kwesiguli kufanele kususwe:
- isibindi;
- izinso;
- izinhlobo ezinhlobonhlobo zezinyama nezinyamazane zezinyama;
- imikhiqizo yokubhema;
- i-herring;
- ama-sprats;
- ubhontshisi;
- isipinashi;
- ukholifulawa.
Lokhu kungenxa yokuthi lezi zokudla zinama-purines, umkhiqizo wokugcina we-uric acid. Kumele futhi kunciphise ukusetshenziswa kwanoma yikuphi ukuphuza utshwala. Bavimbela umsebenzi wezinso ukukhipha uric acid emzimbeni.