Ugulo lwe gout

I-Gout yisifo esichaphazela amanxeba ngenxa yokufakela kweesititi ze-uric acid. Esi sifo sinokuxhaphaka kwesantlupheko - kuphela abantu abathathu ngaphandle kwewaka banokufumana.

Ikhula ngokubanzi emva kweminyaka engama-40, kwaye ichaphazela amadoda namabhinqa ngendlela efanayo. Amalungu amaninzi afaneleke ukulimala asele kwizwane.

Kukho imiba emininzi eyenza umngcipheko wokuphuhlisa igciwane:

• isifo sikashukela ;
• xi nzelelo;
• ifa;
• ukutya okunokulinganisela.

Ngaloo ndlela, kunokugqitywa ukuba i-gout iyavela kulabo abanokungabikho kokuphazamiseka kwemithi emzimbeni.

Ukuqonda indlela yokuphatha igciwane ngamachiza, kufuneka ukwazi izibonakaliso zalo.

Iimpawu zokungena

Esi sifo sibonakalisa ngokukhawuleza, kwaye sihamba nentlungu enzima. Isigulane siziva sishushu kwindawo edibeneyo, kwaye oku kwenzeka, njengomthetho, ebusuku. Ububele bokubambisana kule mzuzu buphakamileyo kangangokuba nangaphantsi kobunzima beshidi elikhanyayo, ubuhlungu obukhulu bunokukhula.

Ukuhlaselwa okulandelayo kunendlela ehlukileyo kakhulu: ngaphambi kokuba kuvezwe ukushisa kunye nentlungu enzima , isigulane sinokuvakalelwa kwendawo edibeneyo .

Xa kungabikho unyango, ukutshatyalaliswa kwenzeka rhoqo, kwaye eso sifo sichaphazela amanxeba amatsha. Ngokuqhelekileyo, inkqubo yokungahoywa yimbangela yokukhubazeka kweentso kunye nomgudu wamanzi.

Ngaphambi kokukhetha iziyobisi unyango lwe-gout, kuyafaneleka ukuqonda ukuba zeziphi iinkqubo ezenzeka emzimbeni ngokuphathelele kwesi sifo:

1. Ukwandisa izinga le-uric acid egazini.
2. Kukhona ukuqokelela kwe-uric acid emzimbeni.
3. Umchamo womchamo ufakwe kwiiscuphe kunye namalungu.
4. Ukuphuhlisa ii-cones ezinama-gout kunye nama-granulomas macala.

Ngokuqinisekileyo ukukrazula i-gout akunakwenzeka, kodwa ukunciphisa inkqubo yokuphuhliswa nokuququzelela ubomi kwisigulane ngexesha lokuhlaselwa kwamathuba enzonyango.

Eyona ndlela yonyango yokunyanga

Amachiza asetshenziselwa ukungena emilenzeni kunye nezinye iinxalenye zomzimba bambalwa - ngamaqela ambalwa amayeza.

Amayeza asetyenziswa ngexesha lokuhlaselwa

Ngoko, ukwelashwa kokuqala kwe-gout yiColchicine, echaphazela ukutshintshisiswa kwe-uric acid. Le yonyango elisebenza ngokuthe ngqo kwi-anti-gout esekelwe kwi-cesspool. Iyanciphisa intlungu kwaye inefuthe lokuhlaselwa, kwaye iyanciphisa ukufuduka kwe-leukocytes kwindawo echaphazelekayo, inqanda ukubunjwa kwe-microcrystals ye-uric acid kwaye inqanda ukufakwa kwiifom. Ngaloo ndlela, isilwanyana asiqondisi nje kuphela ekukhuseleni - ukufumana unyango, kodwa nakwimeko, ngenxa yempembelelo yokuchasana kunye ne-anesthesia.

Amachiza ayinakusetyenziswa ukuxhamla kunye nokungafihli. Ukuba kuthathwa ixesha elide, ngoko kukho ingozi ye-leukopenia kunye ne-anemia.

Isiphumo sonyango siyabonwa kwiiyure eziyi-12 zokuqala emva kokungeniswa, ngaphandle kokuba kuthathwa ekuqaleni kokuhlaselwa. Ukuba iqalisa ukuthathwa ngokukhawuleza, akusayi kuba niphumo elihle kwonyango, okanye kuya kubonakala kangangoko. Amachiza asebenzayo kwiimeko ezingama-90%.

Phakathi kwamachiza anamhlanje e-gout - i-NSAID ithetha. Kule meko, ezimbini uchungechunge lwamachiza lisetyenziswa kakhulu:

• pyrazolone - Reopyrin, Butadion, i-Phenylbutazone, i-Ketazol;
• Indole - Indomethacin, iMetindol.

Lawa mayeza amatsha e-gout ngexesha lokubanjwa kweempawu zixhomekeke kangcono kuneColchicine, kwaye zinikezela ngonyango olungakumbi.

I-Voltaren iphinda isetyenziswe ukuyeka ukuhlaselwa kwe-gout. Isilinganiso sokuqala sishatywayo, ngu-200 mg ngosuku, kwaye ke imiselwe kwinani elincinci - 150 mg ngosuku.

Wonke la mayeza aklanyelwe ukunyanga. Ukunyanga kwefomu engapheliyo izidakamizwa ezilandelayo zisetyenziswa.

Ukusetyenziswa kwemithi yokusetyenziswa kwexesha elide

Ukusetyenziswa kwexesha elide, unyango lwe-allopurinol gout lufanelekile. Injongo yokunciphisa izinga le-uric acid kwi-plasma yegazi kwaye ikhutshwe kwizibhebhe ze-0.1 ne-0.3 g.

Unyango luqala kwiidayiti ezincinci ukukhusela ukukhubazeka kwesi sifo kunye nokuthintela ukuphendula. Amachiza akamiswanga ngexesha lokuhlaselwa - ngaphambi kokuba athathe i-Allopurinol kuyimfuneko ukufezekisa isimo esifanelekileyo, esinoxolo. Kwiimeko ezininzi, izidakamizwa ziyakunyamezela.

Ukongeza kwi-Allopurinol, ezi zilandelayo ziza kusetyenziswa unyango:

• Thiopurinol;
• Probenecid;
• Anturan;
• Benzobromarone;
• Hypuric;
• Losartan.