So wowɔ gout? Anaasɛ obi a wunim no wɔ bi? Sɛ saa a, so woahyɛ saa akuru nketenkete a ɛyaw nnim yi nsow wɔ wo nsateaa, wo nsateaa, anaa wo nkotodwe so pɛn? Nnipa pii susuw eyinom sɛ ɛyɛ ade a ɛfata na wobu wɔn ani gu so, nanso nokwarem no, ebetumi ayɛ gout a emu yɛ den kɛse ho sɛnkyerɛnne. Ɛnnɛ yɛreka asɛmti bi a nnipa pii nnim ho asɛm, nanso ɛho hia paa, a wɔfrɛ no 'Tophi'.
Sɛ yɛbɛka no tiawa a, dɛn ne Tophi?
Tophi yɛ uric acid ahwehwɛ akɛse a ɛboaboa ano wɔ wo ntini mu. Eyi yɛ sɛnkyerɛnne titiriw a ɛkyerɛ sɛ obi anya gout a akɔ anim.
Fa no sɛ, sɛ uric acid dodow a ɛwɔ yɛn mogya mu no dɔɔso dodo , tebea a wɔfrɛ no hyperuricemia wɔ aduruyɛ mu a, saa uric acid a ɛboro so yi fi ase boaboa ano te sɛ ahwehwɛ nketenkete na ɛkɔ yɛn nkwaa mu. Eyi na ɛde ɛyaw a emu yɛ den a yɛte wɔ gout mu no ba.
Mfiase no, saa ahwehwɛ yi sua koraa. Nanso sɛ wɔansa gout yiye a, bere kɔ so no, saa uric acid ahwehwɛ yi ka bom ma ɛyɛ akuru akɛse, anaa ntini nketenkete. Wɔfrɛ saa akuru yi a ɛte sɛ akuru a ahonhon wɔ honam ani no tophi . Saa tebea yi a wɔfrɛ no chronic tophaceous gout no taa gye mfe pii ansa na aba.
Nea ɛho hia sen biara no, tophi yɛ ade a ɛkyerɛ denneennen sɛ gout abɛyɛ nea wontumi nni so na yare no mu ayɛ den.
Ɛhe na saa tophi ahorow yi betumi anyin wɔ nipadua no mu?
Mpɛn pii no, saa akuru yi ba yɛn nkwaa mu ne nea atwa ho ahyia. Nhwɛsoɔ:
- Ntini a ɛwɔ ntini mu
- Synovial ntini a ɛwɔ nipadua no mu
- Nnompe
- Srade a ɛwɔ nipadua no mu
- Ntini a ɛwɔ nipadua no mu
- Ntini a ɛwɔ ntini mu
Eyi kyerɛ sɛ wɔtaa hu wɔn wɔ mmeae a nkwaa wɔ te sɛ wo nsateaa, wo nsateaa, wo nsateaa, wo nkotodwe, ne wo nansoaa .
Nanso nea ɛyɛ nwonwa no, ɛtɔ mmere bi a saa tophi ahorow yi tumi yɛ wɔ mmeae a wɔnhwɛ kwan.
- Wɔ aso mu ntini mu
- Wɔ hwene mu
- Wɔ asaabo mu
- Wora no ani
- Aniwa fitaa (Sclera) .
- Koma mu ntini ahorow
Mpɛn pii no, saa akuru yi nyɛ yaw . Ebia eyi te saa efisɛ eyinom yɛ akisikuru dedaw a akyɛ a yɛn nipadua ayɛ ne su. Nanso, bere a saa akuru yi nyin kɛse no, were a atwa ho ahyia no betumi ayɛ den yiye, ayɛ yaw, na ayɛ den. Ɛtɔ mmere bi a, saa akuru yi betumi apaapae, na ɛma uric acid nsu fitaa a ɛte sɛ chalk . Sɛ eyi ba a, kuru no betumi ayɛ yaw kɛse na egye bere tenten ansa na ayɛ yiye.
| Su a ɛwɔ hɔ | Sɛnea tophi a ɛyɛ kurukuruwa te |
|---|---|
| Mmaeɛ | Akuru a ɛyɛ den, a ɛtaa yɛ kurukuruwa, wɔ honam ani. Ebetumi ayɛ ketewaa te sɛ pea anaasɛ kɛse te sɛ borɔdɔma. |
| Yeaw | Mpɛn pii no, ɛnyɛ yaw, nanso sɛ akuru no nyin kɛse na ɛtrɛw anaa ɛtetew honam ani a, ebetumi ayɛ yaw. |
| Nneɛma titiriw a ɛwom | Ebia ntini ahorow bi wɔ uric acid nsu fitaa bi wɔ wɔn ani. Eyi betumi aboa ma wɔahu nsonsonoe a ɛda wɔn ntam wɔ ntini a wohu wɔ ntini mu yare mu no ho. |
Nsɛnnennen ne asiane ahorow a ebetumi aba wɔ tophi ho
Saa akuturuku yi nyɛ nneɛma a ɛyɛ fɛ kɛkɛ. Wobetumi asɛe yɛn nipadua no kɛse.
- Nnompe ne ntini a ɛsɛe: Tophi kurukuruwa betumi apete nkakrankakra na asɛe ntini te sɛ dompe ne ntini a ɛwɔ baabi a ɛba no. Mpɛn pii no, saa ɔsɛe yi yɛ nea wontumi nsakra.
- Nkwaa a ɛsɛe: Sɛ nkwaa bi bɛyɛ adwuma yiye a, ɛsɛ sɛ ntini a ɛyɛ mmerɛw te sɛ nnompe no yɛ nea ɛte apɔw. Tophi betumi asɛe saa ntini yi, na ama nkwaa no ntumi nkɔ baabiara.
- Nsɛnnennen afoforo: Ɛwom sɛ ɛntaa nsi de, nanso tophi akisikuru betumi amia ntini bi, anya ɔyare mmoawa, anaasɛ asiw akwaa bi te sɛ asaabo dwumadi kwan.
Dɛn nti na saa tophi ahorow yi hyehyɛ? Yɛyɛ wɔn sɛn?
Sɛnea yɛadi kan aka ho asɛm no, ade titiriw a ɛma eyi ba ne uric acid dodow a ɛkɔ soro wɔ mogya mu a wontumi nni so. Ɛwom sɛ nkwammoaa titiriw bi a ɛwɔ yɛn nipadua no mu tumi a ɛko tia nyarewa a wɔfrɛ no macrophages no bɔ mmɔden sɛ wobeyi uric acid ahwehwɛ yi afi hɔ de, nanso sɛ uric acid dodow kɔ so yɛ kɛse a, saa nkwammoaa yi ntumi nyi saa ahwehwɛ yi mfi hɔ koraa.
Bere kɔ so no, saa nkwammoaa yi boaboa wɔn ho ano twa uric acid bɔɔl akɛse ho hyia, na ɛyɛ nea ɛte sɛ nea ɛteƐte sɛ nea woresi ɔfasu , a worebɔ mmɔden sɛ wobɛtew afi nipadua no fã a aka no ho. Ɛno ne nea yɛfrɛ no granuloma. Tophus yɛ uric acid a ɛyɛ kurukuruwa kɛse bi a ɛba saa.
Akwan a wɔfa so sa yare
Nea eye ne sɛ, wobetumi adi tebea yi so. Nnuruyɛfo titiriw na wɔkyerɛw nnuru a ɛma uric acid dodow a ɛwɔ mogya mu no so tew.
- Nnuru: Nnuru te sɛ Allopurinol ne Febuxostat brɛ uric acid a ɛba no ase. Saa nnuru yi betumi aboa ma tophi foforo anhyehyɛ na aboa ma tophi a ɛwɔ hɔ dedaw no apete. Nanso anyɛ yiye koraa no egye asram 6 a wɔde kɔ so de nnuru di dwuma na ama saa akuru yi apete . Ɛsɛ sɛ wode saa ayaresa yi di dwuma wɔ wo duruyɛfo hwɛ ase nkutoo .
- Oprehyɛn: Sɛ tophi akisikuru bi sõ yiye, ɛyɛ yaw, yare no anya bi, anaasɛ ɛresɛe nkwaa bi kɛse a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn yi (tophectomy).
Asetra kwan mu nsakrae
Nnuru akyi no, nsakrae ahorow bi a woyɛ wɔ w’asetra kwan mu no betumi aboa kɛse wɔ gout ano aduru mu.
| Nea ɛsɛ sɛ wɔsesa | Nkyerɛmu |
|---|---|
| Adidie | Tow nnuan a purines pii wom (sɛ nhwɛso no, nam kɔkɔɔ, ɛpo mu nnuan, nsa) ne anonne a asikre wom ano hye. Di nhabannuru, nnuaba, ne nnuan a ahoɔdennuru wom pii. |
| Nnuru afoforo | Nnuru bi a wonom ma tebea afoforo (e.g., nnuru bi a ɛma wo ho yɛ hyew) betumi ama uric acid dodow akɔ soro. Wo ne wo duruyɛfo nka eyi ho asɛm na sɛ ɛho hia a, yɛ nsakrae. |
| Aduruyɛ mu afotu | Ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn sɛnea wɔakyerɛw ama wo no na wunnyae nnuru a wɔakyerɛw ama wo no nom da. |
Ɛwom sɛ wontumi nsa gout koraa de, nanso sɛ wɔde ayaresa ne asetra kwan a ɛfata di dwuma a, akyinnye biara nni ho sɛ wubetumi adi wo uric acid dodow so, asiw nsɛnnennen a anibere wom te sɛ gout ano, na woatra ase a ahoɔden wom.
Nkrasɛm a Wɔde Kɔ Fie
- Tophi yɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ gout abɛyɛ kɛse na wontumi nni so yiye.
- Saa akuru yi ba efisɛ uric acid dodow a ɛwɔ mogya no mu kɔ so yɛ kɛse bere tenten.
- Ɛwom sɛ mpɛn pii no ɛnyɛ yaw de, nanso eyinom betumi asɛe nkwaa ne nnompe a wontumi nsakra.
- Ayaresa titiriw ne sɛ wobɛkɔ so anom nnuru a ɛma uric acid so tew a oduruyɛfo akyerɛw ama no.
- Sɛ wowɔ saa akuru yi bi wɔ wo nipadua so a, mmu w’ani ngu so na akyinnye biara nni ho sɛ wo ne wo duruyɛfo nkasa.
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