I-Gout yisifo esithinta amalunga ngenxa yokufakwa kwesawoti we-uric acid. Lesi sifo sinesisindo esithinta isihlobo - abantu abathathu kuphela kwabayinkulungwane cishe bayothola.
Ikhula njalo ngemuva kweminyaka engama-40, futhi iyathinta kokubili amadoda nabesifazane abanesimo esifanayo. Amalungu aphethwe kakhulu ukulimala asezinzwaneni.
Kunezici eziningana ezandisa ingozi yokuthuthukisa igciwane:
- isifo sikashukela mellitus ;
- i-hypertension;
- isici esiyinzalo;
- ukudla okungenamkhawulo.
Ngakho-ke, kungaphetha ngokuthi i-gout ivela kulabo abanokulinganisela okuphazamisayo kwezinto emzimbeni.
Ukuze uqonde indlela yokuphatha igciwane ngemithi, udinga ukwazi izimpawu zayo.
Izimpawu ze-gout
Lesi sifo sibonakala ngokuzumayo, futhi sihambisana nobuhlungu obukhulu. Isiguli sizwa ukushisa endaweni ehlangene, futhi lokhu kwenzeka, njengombuso, ebusuku. Ubuzwe bokuhlanganyela kulo mzuzu buphakeme kakhulu kangangokuthi ngisho nangaphansi kwesisindo somshini okhanyayo, ubuhlungu obukhulu bungakhula.
Ukuhlaselwa okulandelayo kunenkambo ehlukile: ngaphambi kokuzwa ukushisa nobuhlungu obunzima , isiguli sizwa ukuzwa okukwenziwe endaweni ehlangene .
Uma kungabikho ukwelashwa, ukuhlukunyezwa kwenzeka kaningi, kanti lesi sifo sithinta amalunga amasha. Ngokuvamile, inqubo enganakiwe ibangela ukukhubazeka kwezinso kanye nomgudu we-urinary.
Ngaphambi kokukhetha izidakamizwa zokwelashwa, kufanelekile ukuqonda ukuthi yiziphi izinqubo ezenzeka emzimbeni mayelana nalesi sifo:
- Ukwandisa izinga le-uric acid egazini.
- Kukhona ukuqoqwa kwamakhemikhali e-uric acid emzimbeni.
- Amakhemikhali omchamo afakwa ezicubu nasezigumbini.
- Thuthukisa ama-cones ane-gouty nama-granulomas azungeze amalunga.
Ngokuqinisekile ukukhipha igciwane akunakwenzeka, kodwa ukunciphisa inqubo yentuthuko nokusiza impilo isiguli ngesikhathi sokuhlaselwa kwamathuba emithi yesimanje.
Ukuphulukiswa okungcono kakhulu kwe-gout
Imithi esetshenziselwa i-gout emilenzeni nezinye izingxenye zomzimba bambalwa - amaqembu ambalwa nje emithi.
Imithi esetshenziswa ngesikhathi sokuhlaselwa
Ngakho, ukwelashwa kokuqala kwe-gout yi-Colchicine, echaphazela ukushintshaniswa kwe-uric acid. Lona imithi elwa nokulwa-gout ngokuqondile esekelwe ku-cesspool. Iyanciphisa ubuhlungu futhi inomphumela omuhle, futhi iyanciphisa ukufuduka kwama-leukocytes ezindaweni ezithintekile, ivimbela ukwakheka kwamakhemikhali amancane we-uric acid futhi ivimbela ukufakwa kwazo kwezicubu. Ngakho-ke, lesi sidakamizwa asiqondisi kuphela ekuvimbeleni - ukwelashwa okuzokwenzeka, kodwa futhi nesimo sezomnotho, ngenxa yempikiswano yokulwa nokuvuvukala kanye ne-anesthesia.
Imithi ayikwazi ukusetshenziselwa ukuqhwaba nokungaqiniseki kahle. Uma kuthathwa isikhathi eside, khona-ke kukhona usongo lwe-leukopenia ne-anemia.
Imiphumela yomuthi ibonakala emahoreni angu-12 okuqala ngemuva kokungeniswa, uma nje kuthathwa ekuqaleni kokuhlaselwa. Uma iqala ukuthathwa sekwephuzile, ngeke kube khona umphumela omuhle kusukela ekwelapheni, noma ngeke kubonakale kancane. Imithi iphumelela ngamacala angu-90%.
Phakathi kwemithi yesimanje ye-gout - izindlela ze-NSAID. Kulezi zimo, ezimbili uchungechunge lwemithi isetshenziswa kabanzi:
- i-pyrazolone - iReopyrin, iButadion, iPhenylbutazone, i-Ketazol;
- Indole - Indomethacin, i-Metindol.
Le mithi emisha ye-gout ngesikhathi sokugubha ingcono ibekezelela kangcono kuneColchicine, futhi inikeze nomphumela wokwelashwa ozwakalayo.
I-Voltaren iphinde isetshenziswe njalo ukuyeka ukuhlasela kwe-gout. Isilinganiso sokuqala sishaqeka, singama-200 mg ngosuku, bese sibhalwe ngesamba esincane - 150 mg ngosuku.
Yonke le mithi yenzelwe ukwelashwa. Ukuze ukwelashwa ifomu elingapheli izidakamizwa ezilandelayo zisetshenziswa.
Imithi ye-gout yokusebenzisa isikhathi eside
Ukusebenzisa isikhathi eside, ukwelashwa kwe-allopurinol gout kufanelekile. Kuhloswe ukunciphisa izinga le-uric acid e-plasma yegazi bese kukhishwa ngamaphilisi ka-0.1 no-0.3 g.
Ukwelashwa kuqala emithini encane ukuze ugweme ukudlwengula kwalesi sifo nokuvimbela ukusabela okweqile. Imithi ayinqunywe ngesikhathi sokuhlaselwa - ngaphambi kokuthatha i-Allopurinol
Ngaphezu kwe-Allopurinol, izilinganiso ezilandelayo zingasetshenziselwa ukwelashwa:
- I-Thiopurinol;
- I-Probenecid;
- I-Anturan;
- I-Benzobromarone;
- I-Hypuric;
- I-Losartan.