I-Gout yisifo esingapheli, esingenakunyakazeka esatholakala ngisho nangaphansi kweHippocrates. Ngenxa yokuphazanyiswa kwe-purine metabolism, i-uric acid usawoti iqoqa futhi ifakwa ezinhloboneni ezihlangene futhi eduze kwazo. Ngenxa yalokhu, ukuvuvukala kuqala futhi ukwelashwa kwe-gout kuyadingeka ngenkathi kucindezelwa. Lesi sifo sibangela ukubola kwamalungu. Kodwa into engathandeki kakhulu ukuthi uphawu luhambisana nobuhlungu obukhulu kakhulu.
Ukwelashwa kwe-gout ngokukhushulwa ekhaya
Ukuze ususe zonke izibonakaliso zesifo, awudingi ukuya esibhedlela. Ukuze usebenze ekwelapheni, ngemuva kokuqokwa ngumchwepheshe, kungenzeka nezimo zendlu. Ukwelashwa kunezigaba ezimbili eziyinhloko:
- ukukhululeka kokuhlaselwa ngesikhathi sokucindezela;
- ukuvimbela ukuvimbela ukuthunjwa okuphindaphindiwe.
I-Gout isifo esiyinkimbinkimbi kangangokuthi akunakwenzeka ukubhekana nalo ngokushesha, ngeshwa. Futhi umqondo othi "ukubopha ukuhlaselwa" akusho ukuphumula okwesikhashana ebuhlungu, kodwa ukunciphisa isikhathi sokuzwa okubuhlungu. Uma ungenzi lutho nhlobo, izimpawu zingase zinyamalale amasonto amabili kuya kwamathathu. Ukwelashwa kwe-gout ngokukhushulwa ekhaya kuzonciphisa le nkathi ukuya ezinsukwini ezimbili noma ezintathu.
Isiguli kumele sihambisane nokuphumula kombhede. Iziphetho zibhekene nalesi sifo kaningi. Kufanele zigcinwe endaweni ephakanyisiwe yesikhathi sokwelashwa. Ukuze wenze lokhu, ungamane ubeke umcamelo ngaphansi kwengalo noma umlenze wesifo.
Okuningi akunconywa. Ukudla kwesiguli kumele kupheliswe kakhulu. Shiya kuwo ama-porridges namanzi okukhanya. I-liquide - mhlawumbe eyodwa equkethe ama-alkali: umhluzi oat, amanzi amaminerali noma amanzi ajwayelekile ahlanzekile ngejusi kalamula, ubisi, i-jelly yemvelo - kufanele idliwe ngaphezulu.
Ukwelapha ukukhuphuka kwe-gout ezinzwaneni ezinkulu, ingalo noma ezinye izidakamizwa ezingavumelani nezidakamizwa ezihlangene, zivame ukusetshenziswa - i-Indomethacin, i- Nimesulide , i-Diclofenac noma i-Movalis. Amaphilisi ajwayelekile anezifo ezifana ne-gout, ngokuvamile ayisebenzi kahle. Phuza ama-NSAID kuze kufike ukuhlaselwa.
I-Rheumatologists ingabuye ibeke izidakamizwa ezilandelayo zokwelashwa kwe-gout ngesikhathi sokukhubeka:
- I-Colchicine. Le alkaloid ayivumeli i-granulocyte ukuba ihlukaniswe ezingeni leselula, iphazamisa ukufuduka kwama-leukocyte, futhi ivimbela usawoti we-uric acid ukuba uhlale ehlangene nezicubu ezihlangene. Udinga ukuphuza emahoreni ayishumi nambili kokuqala kokuqala kokuhlaselwa - umuthi usetshenziselwa usizo oluphuthumayo.
- I-Cortisone, i-prednisolone nezinye i-glucocorticoids. Imithi enjalo ngokushesha iyanciphisa inqubo yokuvuvukala, kodwa ngesikhathi esifanayo bayashaywa yi-immunity.
Ukuze ugweme ukwelashwa nge-gout ngenkathi kukhishwa amandla
Kuneziphakamiso eziningana ezizosiza ukugwema ukwelashwa kwezidakamizwa kwe-gout ngenkathi kuqhuma amandla:
- Isiguli kufanele sibe nomthwalo ubuncane emajoyini.
- Iziguli ezine-gout akufanele zithume, ziphuze utshwala, zihlukunyezwe i-caffeine ne-soda.
- Kubalulekile ukunikeza isikhathi sokusebenza okuvamile nokulawula isisindo.
- Ngosuku kufanele uqiniseke ukuthi uphuze amanzi amaningi ahlanzekile.
- Kubalulekile ukulandela ukudla. Awunakudla inyama enenhlanzi nenhlanzi, izinongo, amagilebhisi kanye neziqhamo zalo, ama-legumes, amafutha, ibhotela. Futhi izithelo omisiwe, amaqanda, inkukhu, inhlanzi ekhanyayo, amantongomane, imifino ekudleni kufanele ifakwe ngokuphambene nalokho.
Kuzo izindlela zendabuko zokwelapha i-gout ngokukhuphula, okugeza okufudumele nge-iodine kanye ne-soda kubhekwa ukuthi kungcono kakhulu. Kuzo, ukujoyina kufanele kugcinwe imizuzu engamashumi amabili. Futhi emva kokugcoba nge- lugol futhi ehlanganiswe ubusuku.