UHippocrates wachaza nesifo njengesifo sengqondo - iimpawu kunye nokunyangwa kwabasetyhini kunye namadoda awakuchaza kwimisebenzi yakhe, ukunyamekela inguqu kwiimfucu ze-cartilage zamalungu omnxeba omkhulu. Kwaye kwisiphumo sokugqibela, kwagqitywa ukuba esi sisifo esingasigxina esibangela ukuphazanyiswa komzimba kunye nokulimala kwizitho zangaphakathi.
Iimbangela ze-gout kubasetyhini
Ukuze uphendule imibuzo malunga nokuba yiyiphi i-gout, yintoni imiqondiso kunye nokonyango kwabasetyhini, umntu kufuneka aqonde isizathu sokugula. Kubantu kuthiwa isifo sezintloko kunye nookumkani, kuba ngokuqhelekileyo kubangelwa ukusetyenziswa okungenangqiqo kokutya nokusela. Kwiimeko ezinjalo, urate urate (uric acid) ifakwe kwaye iqokelele kumalungu.
Okwangoku, i-gout ayilula. Ichaphazela abantu abathathu kwi-1000. Kuyabasetyhini, eso sifo sibonakala emva kokuqala kwesisu (kwishumi lesithandathu). Kuze kube ngeli xesha, abameli bezesondo ezifanelekileyo kwiimeko eziyingxaki zigcina i-estrogen, ezisusa i-acid yase-uric emzimbeni. Ukuhlaselwa kukukhuthaza umsebenzi wengqondo kwaye uncede ukuhlakulela iitalente ezifihlakeleyo.
Xa ukuxilongwa kwe-gout kuyenziwa, izizathu zingaba ngolu hlobo:
- Izintso azinaso ixesha lokuhlangabezana nomlinganiselo omkhulu we- uric acid ;
- urate iitrothi ziphonswa ngaphandle kwemida eyamkelekileyo, kodwa iintso azikwazi ukuzenza.
Ukukhupha isifo kunoku:
- isifo sikashukela;
- iinkqubo ezithintekayo nezivuzayo;
- ukusilela kwehomoni .
Iziganeko zokubangela ukuvela kwintlobo yabasetyhini, kwanaxa eselula kakhulu:
- izifo zenhliziyo ;
- Ukutya ngokutya;
- ukuzalwa.
Izibonakaliso zentsholongwane kwabasetyhini
Iimpawu zeso sifo zibonakaliswa ekuhlaselweni kwe- arthritis e-gouty , kukuvuvukala kokubambisana. Ukuhlaselwa kwentlungu ngokukhawuleza kuvezwa ngumfazi ebusuku okanye kusasa. Indawo echaphazelekayo iya kuba:
- zivule;
- kukhanya;
- u buhlungu;
- uzive ushushu.
Ebudeni bemini, iimpawu ziya kubonakala zingabonakali, kwaye ubusuku buya kwanda kwakhona. Xa iimpawu zesifo se-gout zingapheli kwiintsuku ezi-3 ukuya kwezi-7, ngamanye amaxesha. Ekuhlaselweni okulandelayo kwinkqubo ebuhlungu, ezinye izihlanganisi zingabandakanyeka, ezikhokelela ekubhujisweni kwabo. Kwiindawo zezilonda, i-outgrowths (tofus) yenziwa, edla ngokugqithisa. Kule meko, loo mntu uya kubona amakhristal e-white of urate.
Xa ufumanisa ukuba unomdlavuza, iimpawu kunye nonyango kwabasetyhini kuxhomekeke kwisilinganiselo sesi sifo:
- Isigaba sokuqala - kule meko akukho zitshintsho zangaphandle, kodwa izinga le-uric acid emzimbeni landa kakhulu. Ibhinqa kule ngxaki inokuvakalelwa intlungu kwiisisu kunye namalungu, unqwenela ukuvuthwa, usweleke.
- Isigaba sesibini sibonakala ngokuhlaselwa ngokukhawuleza. Izigulisa ukukhula kobuthakathaka obuninzi, i-nausea kunye ne-chills. Emva kweveki, iimpawu ziyahamba, kwaye imeko yempilo iyaqhelaniswa.
- Isixa sesithathu - kule meko, loo mfazi akanakunqandwa, uziva kakuhle, kodwa ukuzola kungabungozi. Amanqanaba okuchama amaninzi amaxesha angaphezu kwesiqhelo kwaye ihlala iqokelela rhoqo emzimbeni.
- Isigaba sokugqibela - sele sidlulela kwifomu engapheliyo, kwaye iifom ye-nodular ayibonakali kuphela kumalungu, kodwa nakwiitoni. Ukuba ingxaki ingaqali ngokukhawuleza, ngoko imiphumo ingaba yingozi.
Gout ezandleni
Kwimeko engapheliyo, ibhinqa linokubandezeleka kakhulu kwimimandla engenazo iimpawu ezingabonakaliyo. Xa imeko yesifo se-gout, iimpawu zibonakaliswa ngendlela yokuvuvukala, okuthintela abameli bezesondo ezibuthathaka ukuba bangabikho ubomi obupheleleyo. Ngethuba lokugqithisela izinga lokushisa lomzimba liphakama ukuya kuma-39-40 degrees, kwaye iipilisi zithinteli.
Gout kwimilenze
Esi sifo sivame ukubonakala kwimilenze. Ukuhlaselwa nganye kwintlungu kunye ne-gout yehla, kodwa idibeneyo iya kulahleka ukuhamba. Ukuba ngethuba le ntshukumo uva ukuxakisha, ngoko uyazi ukuba inqubo engenakuguqulwa yokuchithwa kwexesha sele iqalile. I-Tofus iqala ukuyibeka ngonyawo, idolo, i-ankle okanye kwisithupha, kwaye iya kukhula emzimbeni wonke, ihlasele iinyawo ezingaphezulu kunye neendlebe. Iinkqubo ezivuthayo zibangelwa i-coal renal, engakhokelela kwiziphumo ezibulalayo.
Gout - njani ukunyanga?
Ngaphambi kokuqala unyango lwe-gout kubasetyhini, ugqirha uncoma uviwo olubanzi, kuquka:
- uvavanyo lwe-ultrasound;
- iimvavanyo zegazi kunye nomchamo;
- electrocardiogram;
- ukucatshulwa kwamagnetic emonance.
Ukonyango kwesi sifo ngu-rheumatologist. Xa kwenzeka ukuphulwa kwamalungu, ungabonisana nomzimba wamazinyo. Ukukhetha iziyobisi ngenxa yokuhlasela kakubi, izigulane zibhedlele. Esibhedlele kukho ezimbini izigaba eziphambili:
- ukuphazanyiswa koxinzelelo;
- ngokuqhelekileyo kwemetabolism.
Ngaba kunokwenzeka ukuphilisa igciwane ngonaphakade?
Ukuze uphendule umbuzo ogqithisiweyo wezigulane malunga nokuba unako ukuphilisa umtsalane ngokupheleleyo, kuyimfuneko ukwazi ukuba yeyiphi isigaba sesi sifo kubasetyhini sele sakhulile ngexesha. Kwizigaba zokuqala, imeko ingatshintshwa ngokukhawuleza, ukuba ulandela ukutya okumiselweyo, uphumelele kwikhosi kwaye uphile ngendlela ephilileyo yokuphila. Kwimeko enokunyanzelwanga, ingcali ingenza lula imeko yesigulane kwaye inciphise inani leempawu.
Ukuhlaselwa kwe-gout - yintoni oyenzayo?
Ukuba ufumana ukuhlaselwa kwe-gout, awukwazi ukususa ngokukhawuleza intlungu, unokunciphisa kuphela umphumo. Xa izigulane ziqala ukuziva iimpawu zokuqala zokudakisa, zifuna:
- Faka isicelo seqhwa (amanzi abandayo kakhulu) okanye uqine ngeoli (i-Dimexid, i-Vishnevsky) kwindawo eqatha.
- Beka umsila phantsi kweqela elibi.
- Sebenzisa ubuncinane ii-2 ilitha zamanzi (amanzi amaminerali, i-jelly okanye ubisi).
- Qaphela ukutya okuqulethwe ukutya okusanhlamvu kunye nemifuno yemifuno.
- Funa iingcebiso zonyango.
Ukulungiselela umbane
Unokuthatha unyango lwe-gout kuphela emva kokubonisana neengcali eziza kubeka ikhosi yeziyobisi, ziqwalasela:
- ubudala;
- nqanaba;
- iimpawu zendalo;
- anamnesis.
Unyango lubandakanya ubuncinane beenkqubo ezi-5, kwaye ikhosi iya kumiselwa kwiiveki ezi-3-6. Unyango luquka:
- Ii-NSAID ( izidakamizwa ezingekho-stteroidal anti-inflammatory ) - zinciphisa ukuvakalelwa okubuhlungu (iMetolol, Ibuprom, iVoltaren);
- Iziyobisi ze-Urikozuric ezine-gout - ukunciphisa inani le-uric acid (i-Anturan, iKetason, iButadion);
- I-horticone yeCorticosteroid - inqanda ukuvuvukala kwaye ikhutshwe ngendlela yeenjini kunye namacwecwe (Prednisolone, Triamcinolone, Dexamethasone).
Hirudotherapy for gout
Unyango olongezelelweyo ngeenjongo eziphambili lunokuthi lube yi-hirudotherapy. Iinqweba kunye ne-gout zonyuka ngegazi kunye ne-uric acid. Le khosi ihlala kwiiseshoni ezi-5 ukuya kwezi-6 kwaye kuxhomekeke kwimeko yomzimba wakho. I-salive yezibungu ze-annelid ziphucula umthambo, zisusa i-slags, idibanisa izicubu ezinxibelelwano kunye nokwandisa ukujikeleza kwegazi. Ngaphambi kokuba uwasebenzise, qhagamshelana nogqirha wakho.
I-Gout - unyango kunye nezilwanyana zomntu
Ukuze banciphise imeko yabo ngesifo esifana nesifo, unyango ekhaya lungabandakanya:
- kucamngca;
- ukuphumla;
- ukusila.
Unyango lwe-gout kunye neendlela eziqhelekileyo ziquka iinkqubo ezifana:
- intuthuko yeentlungu kunye ne-iodine, ekufuneka ichithwe kunye ne-baking soda emanzini afudumele kwaye isetyenziswe kwindawo evukelekileyo;
- umchamo we-urine - kuyo kuyimfuneko ukunyuka kwimihla ngemihla;
- ukusetyenziswa kwe-decoction ye-cowberries;
- Ukuxinwa kwewayini iviniga kunye nobumba obomvu;
- Ukunyangwa kwamajoyina achaphazelekayo nomxube we-Aspirin kunye ne-iodine.
Isondlo se gout
Imenyu yesondlo ye-gout yenye yeendlela zonyango. Kufuneka ukuba udle amaqhezu amancinci ama-4-5 amaxesha ngosuku kwaye uphuze ukuya kuma-3 ilitha amanzi ngosuku. Ukuzila ukutya kwesi sifo kunqatshelwe, kuba kungakhokelela ekunyuseni okukrakra kwe-uric acid kunye nokudibanisa negazi. Ukugqiba nasiphi na isiselo esinxilisayo asinqwenelekayo, kwaye iwayini elibomvu alivunyelwe.
Izigulane kufuneka zifakwe ngaphandle kokutya kwazo:
- ityuwa;
- idididi;
- isibindi;
- izintso;
- sirrel;
- isiti;
- kubhontshisi.
- iziqhamo ezitsha (ikakhulukazi iil citrus) kunye nemifuno (igalikhi, iitapile, iibhontshisi, ii-eggplants njalonjalo);
- maqanda;
- inyama yeenkukhu ezimhlophe;
- zokutya kwezilwanyana;
- iinantambo kunye nembewu;
- iimveliso zokubhaka kwii-grains ezipheleleyo, i-rye kunye nomgubo omhlophe;
- iimveliso zobisi ezivuthayo;
- isobho.
Gout kunye neengxaki zayo
Ukuba unesinye isicupho se-gout, kufuneka ukwazi ukuba esi sifo sinenkinga enkulu. Into eyingozi kunazo zonke:
- Ukuhlaselwa okuphindaphindiweyo - ibhinqa linokuvakalelwa ngamava amaninzi ngonyaka. Oku kungenxa yokungahambisani nokutya nokukhusela.
- Ukutshatyalaliswa kweendawo ezininzi zomzimba kunye ne-tofusi , ezenziwe kwizitho zangaphakathi. Oku kunzima ukuyijonga, ngoko ke akunakwenzeka ukuphilisa.
- Ukubonakala kweentso zamathambo. Uric acid uqokelela kuwo kwaye urate pathologies zenziwe. Kwiimeko eziphambili, izitho zangaphakathi zobhontshisi ziqala ukusilela kwaye zome. Izigulane ziyakwazi ukufa kweklinikhi.