Gout ndi matenda osadziwika. Munthu amene wagwidwa ndi matendawa akukumana ndi mavuto aakulu. Kufotokozera tsatanetsatane wa mtundu wa matenda a gout, zizindikiro zake ndi momwe amachitira, zimapereka zinthu zathu.
Zifukwa za gout
Gout ndi mtundu wa matenda a mgwirizano, chomwe chimayambitsa ndi salti . Izi zimachitika chifukwa cha matenda osokoneza bongo, uric acid amadzimangirira m'magulu, omwe pamapeto pake amatsogolera kuwonongedwa kwa ziwalo zomangira pamodzi. Zomwe zimayambitsa kusungidwa kwa makina a sodium urate (monga uric acid wotchedwa sayansi) ndi:
- mchere wochuluka wa uric mu thupi, zomwe impso zathanzi sizikhala ndi nthawi yochotsa;
- Uric acid imapangidwa kawirikawiri, koma impso za matenda sizikumana ndi zotsatira zake.
Malingana ndi chiwerengero cha zachipatala, amuna okalamba amakhala ovutika kwambiri koma nthawi zina amai amadwala atangoyamba kumene kusamba. Ogwira ntchito zamankhwala amati m'zaka zaposachedwa chiŵerengero cha odwala omwe ali ndi gout chawonjezeka kwambiri ndipo chikupitirira kuwonjezeka. Izi ndi chifukwa chakuti anthu ambiri akudya molakwika: amadya zakudya zopangidwa ndi purines, makamaka nyama zamtundu ndi nsomba, komanso mowa mowa. Kuphatikiza apo, akatswiri amakhulupirira kuti pali choloŵa choloŵa cholowa chawo: nthawi zambiri pangozi yowonjezereka ndi yapamwamba kwambiri mwa anthu omwe makolo awo amavutika ndi mchere.
Matenda a Gout - Zizindikiro ndi Chithandizo
Ngakhale kuti dzina lachiwiri la gout ndi "matenda a mafumu", matendawa sali ovomerezeka nkomwe. Mphuno yomwe imakhudzidwa imakhala ikuphulika, khungu lapafupi limakhala lofiira, pali hyperthermia m'deralo. Pankhaniyi, palinso ululu woopsa muzowonongeka. Monga lamulo, zigawenga zoopsa zimachitika usiku utatha kumwa kwambiri ndi kudya kwambiri. Kuukira kwa gout kungathe masiku angapo, koma tsopano pali mankhwala omwe amachepetsa kupweteka ndi kuthetsa zizindikiro zina za matendawa.
Chiwonetsero cha matenda akuluakulu ndi tofusi - mitsuko ya mchere, yomwe imakhala yosavuta kufufuza m'malo ochepa, makamaka zala ndi zala.
Chithandizo cha gout chili ndi malangizo awiri.
Woyamba mwa iwo ndi kusokoneza kwa chiwawa choopsa. Pakuonekera koyamba kwa matendawa, wodwalayo amaikidwa mu dipatimenti ya rheumatology ya kuchipatala. Izi ndizofunikira kukhazikitsa ndondomeko yeniyeni ya matendawa ndi matenda ena omwe amachititsa kuti phokoso lichititsidwe, kuphatikizapo nyamakazi yowonongeka. M'tsogolomu, kugwidwa kumatha kuchotsedwa m'nyumba. Kuti muchite izi, yesani:
- Mankhwala osagwiritsidwa ntchito (Ibuprofen, Diclofenac, Naproxen, etc.) Mankhwalawa amathandiza kutupa ndi kuchepetsa ululu.
- Glucocorticoids - jekeseni wa mankhwala osokoneza bongo (Betamethasone, Methylprednisolone) kumalo amodzi.
- Colchicine ndi mankhwala ogwira mtima omwe amachotsa kutupa, koma amathandizanso kubwezeretsa ntchito ya mgwirizano wowonongeka.
Njira yachiwiri ya mankhwala opatsirana ndikumayambitsa njira zamagetsi m'thupi. Mankhwalawa amachitika nthawi yamtendere, pamene palibe vutoli. Pofuna kuchepetsa kupanga uric acid, wodwalayo akulimbikitsidwa kutenga mankhwala apadera, mwachitsanzo, Allopurinol. Komanso, mankhwala osokoneza bongo omwe amachititsa kuti mchere wa uric acid ukhale wochokera m'thupi ukhoza kuuzidwa.
Chigawo chovomerezeka cha chithandizo cha gout ndi zakudya. Zambiri mwazinthu sizichotsedwa pa zakudya za wodwalayo. Zina mwa izo:
- nyama yofiira;
- nsomba za mitundu ya mafuta;
- mbewu zowala;
- tchizi;
- mowa.
Podziwa chifukwa chake pali matenda osadziwika a mafumu, mungathe kulepheretsa kuchitika, ngati mukutsatira maziko a zakudya zoyenera.