Ndi msuzi chifukwa cha kuphwanya kusinthanitsa kwa uric asidi m'thupi, izi zimadziunjikira m'magulu, zomwe zimapangitsa kutupa ndi kuwonongeka. Ndipadera kwambiri, njira yothetsera matenda, yomwe imatchedwa matenda odwala nyamakazi, imakhudza ziwalo za mapazi (makamaka, metatarsophalangeal joints of the thumb). Mawonetseredwe apamwamba pa nkhaniyi ndi: kupweteka kwakukulu, kukulitsa kwina, kubwezeretsa khungu pamwamba pawo.
Kuchiza kwa nyamakazi ya nyamakazi ya nyamakazi
Poyamba matenda aakulu a nyamakazi, mankhwala akulimbikitsidwa kuchipatala. Ntchito yayikuluyi - posakhalitsa kuthetsa chiwonongeko ndi zotsatira zochepa. Pakalipano, maziko a mankhwala osokoneza bongo amatsitsimutsa ndi mankhwala a Colchicine. Mankhwalawa ali ngati mapiritsi a pamlomo pa maziko, omwe amachotsa kutupa ndi ululu mwa kuchepetsa kupanga uric acid, kupondereza kusinthanitsa kwa selo kumalo a kutupa, kuteteza kusamuka kwa leukocyte kuti ziwonongeke.
Kuonjezera apo, mankhwala ochizira matenda a nyamakazi panthawi ya kuchulukitsa nthawi zambiri amalimbikitsidwa kugwiritsa ntchito mankhwala osagwiritsa ntchito mankhwala oletsa kutupa, omwe ndi:
- Diclofenac;
- Indomethacin ;
- Ibuprofen;
- Nimesulide;
- Napprksen;
- Phenylbutazone.
Ngati sizingatheke kugwiritsa ntchito mankhwala ochizira kapena ngati palibe chithandizo pambuyo pa kugwiritsa ntchito mankhwala a colchicine ndi mankhwala osagwiritsidwa ntchito poletsa kutupa, kugwiritsira ntchito glucocorticoids ndi zomveka - kwanuko (intra-articularly) kapena kachitidwe kawiri (pamlomo, pamtima). Mankhwala awa ndi awa: prednisolone, triamcinolone acetonide, triamcinolone hexacetonide. Ndiponso, monga mankhwala am'deralo, kumaphatikizidwa ndi Dimexide kukhoza kulamulidwa, komwe kumapereka zotsatira zamatsenga komanso zotsutsa.
Mankhwala odwala matenda a nyamakazi amathandiza kuchepetsa kuchuluka kwa mchere wa uric m'thupi mwa kupondereza kaphatikizidwe ka uric acid kapena kuthamanga msangamsanga. Pachifukwachi, mankhwalawa akhoza kulembedwa:
- allopurinol;
- thiopurinol;
- probenecid;
- sulfinpyrazone;
- benzobromarone.
Panthawi ya kukhululukidwa, ndizothandiza kupanga njira za physiotherapeutic:
- chithandizo cha ultraviolet;
- chithandizo cha kutentha;
- phonophoresis;
- laser;
- magnetotherapy;
- chithandizo;
- electrophoresis ;
- chithandizo cha matope.
Ndondomekozi zapamwamba zimathandizira kusintha kagayidwe kachakudya m'magulu, kuchepetsa kuwonongeka kwa mitsempha ya m'mimba, kumapangitsa magazi ndi mitsempha kutuluka. Kuphatikiza apo, machitidwe opanga masewera olimbitsa thupi ndi kupaka minofu amaperekedwa.
Chofunika kwambiri pa chithandizo cha matenda a nyamakazi ndicho kugwirizana ndi zakudya, zomwe zimapangitsa kuti zakudya zopanda purines, komanso kukana zakumwa zoledzeretsa, zilepheretsedwe. Zimalimbikitsanso kuonjezera kudya kwa madzi.
Kuchiza kwa nyamakazi yamtundu pakhomo
Pomwe adalandira chivomerezo cha dokotala, n'zotheka kuwonjezera chithandizo chachikulu cha matenda ndi njira zosiyana siyana. Mwachitsanzo, imodzi mwa yogwiritsidwa ntchito kwambiri ndiyo kugwiritsa ntchito madzi akuda a radish. Wothandizirawa amachotsa mchere pamalumikiza, koma ndiyenera kukumbukira kuti m'matumbo ambiri amatha kukhala otsutsana. Kumwa madzi kumangokonzedwa mwatsopano, kutsatira ndondomeko yotsatirayi:
- Pa tsiku loyamba la mankhwala - tiyi 1. supuni ya madzi tsiku lililonse ora pambuyo chakudya.
- Mu tsiku lachiwiri ndi lotsatira - yonjezerani mlingo wa tiyi imodzi. supuni, pang'onopang'ono kuzibweretsa mpaka theka la galasi patsiku la phwando limodzi.
Pa kalasi imodzi, tengani malita atatu a madzi a radish wakuda.