Gout: Chithandizo mankhwala. gout kuukira

Gout amapezeka kuphwanya kagayidwe purine mu thupi la munthu. Pamene munthu wapezeka mu magazi uric asidi ndende ndi mpweya, ndi olowa ndi / kapena periarticular zimakhala, impso ndi ziwalo zina anakhudzidwa ndi madipoziti urate - sodium wochuluka urate salt.

Zimayambitsa gout

The muyeso asidi uric aumbike mchikakamizo cha kuchuluka kaphatikizidwe amkati purine yafupika excretion wa urate kapena osakaniza anasankha njira. Angadziwire zizindikiro za matenda pulayimale ndi sekondale. Zikatero afunika kulabadira mankhwala chojambulidwa munthu amene anagwidwa ndi gout. The zimayambitsa matenda zimafuna kulingalira zambiri.

Gout, asidi uric overproduction chikwiyire

Oversupply wa zapansi purine ndi nucleosides - chifukwa chachikulu kwa mkulu wa ndende asidi uric. Ndi mowa malire chakudya, mochuluka munali magawo kupanga purines, mwachibadwa ukapezeka hyperproduction acid.

Zizindikiro zimayambitsa sekondale hyperproduction mopambanitsa kuwonongedwa kwa maselo zikuchitika pa maziko a matenda ena (provocateur Mwachitsanzo, amakhala hematological malignancies paraproteinemia, hemolysis, uchidakwa, anticancer mankhwala amphamvu). Hyperuricemia kawirikawiri zimathera psoriasis. Komabe, kudwala matenda a gout akufotokozera mu milandu nthawi zambiri.

Gout amayamba ndi wotsikirapo excretion asidi uric

90% ya anthu amene Akulemedwa ndi gout matenda, pali yafupika asidi m'zigawo. Kusiya thupi asidi uric impso, m'mimba ndi khungu. Ndi kuchepetsa excretion wa urate ndi impsozo, ali kuchuluka kudziunjikira mu thupi ndi kuwumitsa. timibulu zazing'onozi waikamo mu malo, zikubweretsa kutupa ndi ululu. A urate impso pamene kukwapula yade.

A chodabwitsa ofanana amayambitsa okodzetsa, mowa, asidi acetylsalicylic, aminophylline tiyi kapena khofi, ntchito diazepam, ndi diphenhydramine, L-dopa, dopamine, mavitamini B ₁₂ ndi C, mu Mlingo yaing'ono. Kukuthandiza kumabweretsa kubuka mliri. Kukuthandiza gout chifukwa kujambula surrogate mowa ndi zina zomwe zili ndi zitsulo zolemera.

Symptomatology gout: zizindikiro za khunyu

Zadzidzidzi zizindikiro kugwirizana ndi madipoziti mchere anapanga asidi uric. makhiristo waikamo mu zimfundo ndi impso. Nthawi yoyamba ya gout zambiri zimachokeradi asanafike zaka makumi atatu. zinachitikira odwala ambiri anafika zaka 40-60.

kumuukira limodzi ndi kutupa ndi redness zimfundo, odwala kwambiri. Popanda mankhwala, zilibe kudali masiku angapo mwinanso masabata. Madzulo ndi usiku - kwambiri nthawi ya yatsoka kuukira chosakhalitsa.

Chikwiyire gout zambiri nyama chakudya, mowa, sukulu zina za nsomba, khofi ndi mankhwala ena olemera ndi zapansi purine. Matendawa nthawi zambiri zimakhudza chala chachikulu, koma mfundo zina kugonjetsedwa si lilibe. chizindikiro Chake chidwi ndi pachimake nyamakazi, umene umachitika zoipa pathologies aimpso.

pachimake gout

Nyamakazi - pachimake mawonekedwe a gout. Tisonyeza zimenezo mwa mwadzidzidzi kubwera gouty kuukira - ndi kutupa chowawa malo. Pamene gouty nyamakazi urate timibulu akugwa zimakhala mu M'mimbamo limodzi kuchititsa kutupa. kuukira Gouty zidzachitika, zambiri usiku.

Chikwiyire mowa, zoopsa, zimamuchulukira thupi, opaleshoni yotsatira gout mankhwala. mankhwala mankhwala kuchotsa kuukira ndi zofewa chikhalidwe. Pamene pomenyana olowa ndi zimakhala ozungulira pathupi, khungu pa malo blushes moto, ululu kuwonjezeka.

Pachimake kuukira nyamakazi kutha pakapita masiku ochepa (nthawizina masabata), ngakhale iwo ankachitira. kuukira mobwerezabwereza anabwerera patapita miyezi isanu kapena chaka. Ngakhale nthawi bata ndi zina lolimba kwa zaka 10-20. Anthu amene alibe baffling chithandizo, pafupipafupi kuukira zikuchulukirachulukira, zomwe zimafunika mfundo angapo. Kutalika kuukira kuwonjezeka, iwo kukhala yapadera kwambiri.

gout aakulu

matenda aakulu limodzi ndi mbali khalidwe:

• aakulu nyamakazi;
• kudzikundikira timibulu urate;
• matenda aimpso.

Yaitali gout limodzi ndi zizindikiro zonse za nthawi. Matenda nyamakazi anakhudzidwa anthu amene ankakhala mwa mawonekedwe yachiwiri ya matenda, anachedwa kapena inadequately ankachitira.

Ndi kugonjetsedwa kwa impso pali mitundu 3 kusinthidwa:

1. Aimpso urate timibulu inamera minofu. Iwo Umayenda ofooka anasonyeza yotupa anachita.
2. Intrarenal njira otaya timibulu mkodzo urate yatsekera.
3. Thirakiti mkodzo aumbike miyala asidi uric.

Zosintha amaphatikiza yofanana osiyana, chifukwa mu matenda akuti "gouty impso". Miyala zalegshie kapepala kakuti mkodzo, ndi asymptomatic kapena kuonetsa makhalidwe ena a urolithiasis.

Njira zochizira

Vuto la mankhwala ndi kuteteza kuukira gouty ndi achire wa pachimake nyamakazi. Kuthandizira madzimadzi kudya mokwanira, onenepa Yambitsaninso, zakudya mankhwala, kuchepetsa mankhwala wowonjezera hyperuricemia, gout kupewedwa kupatula mowa. mankhwala mankhwala kuthetsa kutupa ndi ululu.

Madzi amachepetsa ndende ya urate, osati kuwalola iwo kugwa makhiristo waikamo mu zimakhala ndi ziwalo. Komanso facilitates leaching awo ndi kuchotsa thupi. Mowa amatha zotsatira diuretic. Pa mlingo waukulu izo dehydrates thupi, zomwe crystallization salt kuyambitsa kuukira gouty. Komanso, kubweza pansi excretion wa urate m'thupi, kuzilola kuti waikamo mu malo.

Kuonda amathandiza kuchepetsa chiopsezo kuukira kobwereza gout. The zakudya ayenera kuchepetsa mafuta ndi kuchepetsa zopatsa mphamvu. Zakudya pamodzi ndi zonse zolimbitsa thupi anachita.

mankhwala

zinthu zikuluzikulu zimene ankalamulira gout, - mankhwala ndi mankhwala, kupweteka, kumatha munthu amene yotupa, ulamuliro kusokoneza kagayidwe chifukwa mu hyperuricemia. Mankhwala ochititsa dzanzi imagwiridwa ndi panado (Tylenol) kapena analgesics ena amphamvu kwambiri.

Wa nonsteroidal odana ndi yotupa indomethacin mankhwala osavomerezeka. Komabe, si abwino kwa odwala omwe matupi awo sagwirizana ndi aspirin odwala ndi tizilombo ting'onoting'ono m'mphuno. Jaji kuukira gouty ndi oyenera colchicine.

Odwala ndemanga kuganizira kuti ndi mankhwala m'kamwa ndi zotsatira zina zimapezeka ndi pafupipafupi phwando ake (nthawi zonse kapena maola awiri mpaka kupweteka si kwambiri kuphwera kapena sizimaoneka zosiyanasiyana chokhwima).

Corticosteroid za thupi wothandizila amphamvu odana ndi yotupa, kuthetsa chloroquine. Kupewa mavuto yaitali mbali ya maphunziro Kwalamulidwa yochepa. Iwo chikalata odwala ndi matenda concomitant a chiwindi ndi impso.

Nthawi yaitali odwala kutenga mankhwala kuchepetsa ndende ya asidi uric m'magazi. Iwo amathandiza kuti yanyumba madipoziti katundu tofusnyh kuteteza mwala mapangidwe ndi chitukuko cha kudwala mu impso ndi. Chifukwa cha iwo, palibe kukonzanso gout. mankhwala mankhwala a gulu kapena kumawonjezera excretion wa urate, kapena kuchepetsa kaphatikizidwe awo purines chakudya.

Mankhwalawa angathe kuvutika kuukira nyamakazi, kotero phwando awo lidzayamba pambuyo pa attenuation za ndondomeko yotupa. Ngati iwo ankapatsidwa pamaso kuukira, chifukwa si akulankhula, kuyesa kusintha mlingo (makamaka ikutha ake). Popeza anthu ambiri odwala ndi mpweya wambiri wa uric asidi mwala mapangidwe si poyera mu impso ndipo sanena katundu gout, chithandizo ndi mankhwala amene amakhudza mlingo wa urate ndi mwangwiro khalidwe payekha.

Ndi sulfinpirazona probenecid ndi kumapangitsanso excretion asidi uric. Mankhwalawa si abwino zochizira anthu ndi urolithiasis. Nthawi zina iwo imautsa mapangidwe miyala. Kuledzera, pamodzi ndi madyedwe awo, amalimbikitsa inapita patsogolo ndi ndime asidi dongosolo mkodzo ndiponso kupewa mapangidwe conglomerates.

Chifukwa allopurinol kuteteza uric asidi kaphatikizidwe. Iwo ziletsa kutembenuka kagayidwe kachakudya wa zapansi purine mu chidulo. Lake mosamala Kwalamulidwa chifukwa chiopsezo mavuto kwa anthu amene chakhungu impso ntchito.

Kugwiritsa ntchito mankhwala kunyumba

Home mankhwala kuthetsa zizindikiro za gout, panopa zikuchepa. Chofuna olowa akwezedwa, kupereka mpumulo. Odwala yafupika kutsatira ayezi. Musakhale phwando aspirinsoderzhaschih mankhwala (iwo ziletsa excretion asidi uric).

Ankachitira zitsamba: rosehip ndi nyanja buckthorn, cranberries ndi strawberries, ndi blueberries rowan, barberry, ndi St. John wa liziwawa, birch ndi laimu, chicory ndi zitsamba zina. Gwiritsani Mankhwala.

Zakudya amalimbikitsa gout

Kudya pang'ono zipangitsa chikhululukiro khola. Choncho, kukwaniritsa Kupha okwana mankhwala olemera purines. Ngati kupatulapo mtheradi zosatheka zoika malire pazipita pa mowa awo. Kuyesera kukwaniritsa kuchuluka kwa kumwa mafuta ndiponso wodzaza.

The muyeso zimalimbikitsa purines anchovies, sardines, tsekwe, nkhuku ndi nyama iliyonse mafuta, zinyalala, nyama akupanga, nyemba ndi vinyo. Pamene matenda a tomato gout kudya pang'ono.

Phwetekere ladzala ndi organic zidulo. Purines mwa iwo palibiretu Mwachitsanzo, mu nyama. Choncho, akatswiri a zinthu zakudya amene ankalota gout, kudya tomato osati amaletsa. M'malo mwake, iwo amakhulupirira kuti mosachita wa tomato ndi mbale ndi zothandiza odwalawo.