I-Gout yisifo esingavamile. Umuntu oye wagula naye uhlangabezana nokuhlupheka okukhulu. Ukuchazwa okuningiliziwe ukuthi yiluphi uhlobo lwesifo sofuba, yiziphi izimpawu zalo nokuthi luphathwa kanjani, luzosinika imininingwane yethu.
Izimbangela ze-gout
I-Gout iyinhlobo yesifo esihlangene, imbangela yalokho okuyiwona okufakelwa khona usawoti . Lokhu kungenxa yokuphazamiseka kwemithi, i-uric acid iqoqa amalunga, okugcina ekuholela ekubhujisweni kwezicubu ezihlangene. Izimbangela zomzimba zokufakwa kwamakhekhedi e-sodium urate (njenge-uric acid ebizwa ngokuthi yindawo yesayensi) yilezi:
- inani elikhulu le-uric acid emzimbeni, izinso eziphilile asinaso isikhathi sokususa;
- i-uric acid ikhiqizwa ngendlela evamile, kodwa izinso ezigulayo azikwazi ukubhekana nokuphuma kwayo.
Ngokwezibalo zezokwelapha, amadoda asebekhulile angase ahlupheke kakhulu, kepha ngezinye izikhathi abesifazane bayagula emva kokuqala kokuya esikhathini. Izisebenzi zezokwelapha ziphawula ukuthi emashumini eminyaka ambalwa inani leziguli ezine-gout liye landa kakhulu futhi liyaqhubeka landa. Lokhu kungenxa yokuthi abantu abaningi bayadla okungalungile: badla ukudla okucebile emahlathini, ikakhulukazi inyama enamahloni nezinhlanzi, futhi baphinde baphathise utshwala. Ngaphezu kwalokho, ochwepheshe bayaqiniseka ukuthi kunesidingo sokufa: ingozi yokuthola i-gout ngezinye izikhathi iphakeme kulabo bantu abazali babo abahlukunyezwa ngamanoni.
Izifo Zama-Gout - Izimpawu Nezokwelapha
Nakuba igama lesibili le-gout "ukugula kwamakhosi", lesi sifo asiyona into ehloniphekile. Amalungu athembekile avuvuka, isikhumba esiseduze siba sikhulu, kukhona i-hyperthermia endaweni ehlangene. Kulesi simo, kunezinhlungu ezinzima ekuhlanganyeleni okulimaziwe. Njengomthetho, ukuhlaselwa kwe-gouty kwenzeka ebusuku emva kokudla okuningi nokudla ngokweqile. Ukuhlaselwa kwe-gout kungadlulela izinsuku ezimbalwa, kodwa manje kukhona imithi eyanciphisa ubuhlungu nokuqeda ezinye izimpawu zesifo.
Ukubonakaliswa okujwayelekile kwesifo esingelapheki kungukuthi i-tofusi - ukuqoqwa kwamakhekheji kasawoti, okulula ukuphunga ezindaweni zamalungu amancane, ikakhulukazi iminwe nezinzwane.
Ukwelashwa kwe-gout kunezikhombisi ezimbili eziyinhloko.
Eyokuqala kubo ukuphazanyiswa kokuhlaselwa okubuhlungu. Ekubonisweni kokuqala kwesifo, isiguli sifakwa emnyangweni we-rheumatology emtholampilo. Lokhu kuyadingeka ukuze kutholakale ngokunembile ukuxilongwa nokuhlukaniswa kwe-gout kwezinye izifo ezinephethini elifanayo lokuvuza, okubandakanya kusuka ku-arthritis esebenzayo. Esikhathini esizayo, ukuqubuka kungasuswa endaweni yendawo. Ukuze wenze lokhu, faka:
- Izidakamizwa ezingekho emthethweni (Ibuprofen, Diclofenac, Naproxen, njll.) Lezi zidakamizwa zinciphisa ukuvuvukala nokunciphisa ubuhlungu.
- I-Glucocorticoids - amajova wezidakamizwa ze-hormonal (i-Betamethasone, i-Methylprednisolone) endaweni yezingxenyana ezivuthayo.
- I-Colchicine iyimithi ephumelelayo engagcini nje ukuqeda ukuvuvukala, kodwa ibuye ibuye ibuyisele umsebenzi wokuhlanganiswa okonakele.
Isiqondiso sesibili sokwelashwa kwe-gout yi-normalization yezinqubo ze-metabolic emzimbeni. Lolu hlobo lwezokwelapha lwenziwa ngesikhathi "sokuthula", lapho kungekho ukukhushulwa kwesifo. Ukuze unciphise ukwakheka kwe-uric acid, isilonda sinconywa ukuthatha izidakamizwa ezikhethekile, isibonelo, i-Allopurinol. Futhi, izidakamizwa ezithuthukisa i-excretion ye-uric acid usawoti emzimbeni ingahle ibhalwe.
Ingxenye ephoqelekile yokwelapha i-gout iyidla. Imikhiqizo eminingi ayifakiwe ekudleni kwesiguli. Phakathi kwabo:
- inyama ebomvu;
- izinhlanzi ezinhlobonhlobo ezinamafutha;
- izitshalo ezimnandi;
- ushizi;
- utshwala.
Ukwazi ukuthi kungani kukhona isifo esingenakuphikiswa samakhosi - umuthi, ungavimbela ukutholakala kwawo, uma unamathela ezisekelweni zokudla okunempilo.