Sɛ wowɔ Asikreyare a Ɛto so Abien a, ɛda adi kakra sɛ wubenya tebea bi a wɔfrɛ no Gout . Mma ɛnyɛ wo nwonwa, ɔfã foforo no nso yɛ nokware. Ɛne sɛ, sɛ wowɔ gout , asiane mu nso sɛ wubenya asikreyare. Saa nyarewa abien yi te sɛ nnamfo baanu. Nanso ɛnyɛ adamfofa pa koraa. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ. Eyi a wobɛte ase no bɛboa wo ma woadi tebea abien yi nyinaa ho dwuma.
Nea edi kan no, ma yɛnhwɛ nea Gout yɛ.
Sɛ yɛbɛka no tiawa a, gout yɛ ntini mu yare bi a ɛde ɛyaw a emu yɛ den ba mpofirim wɔ nkwaa mu. Ɛtaa fi ase wɔ nansoaa kɛse no mu. Nanso ebetumi aka nkwaa afoforo te sɛ nkotodwe, asen, ne nsateaa nso. Ɛyaw no mu yɛ den araa ma nnipa binom te ɛyaw a wontumi nnyina ano bere mpo a ntama no ka wɔn nipadua no.
Okay, enti dɛn nti na eyi ba? Saa tebea yi ba bere a nnuru ``uric acid`` a ɛwɔ yɛn nipadua mu no kɔ soro no. Wɔfrɛ eyi ``hyperuricemia`` wɔ aduruyɛ ho nyansahu mu. ``uric acid`` yɛ nwura a ɛba bere a yɛn nipadua mu nkwammoaa asɛe ne bere a yɛyam nnuan bi (titiriw nnuan a ``purines`` pii wom). Mpɛn pii no, saa ``uric acid`` yi tew wɔ mogya no mu, ɛfa asaabo no mu, na ɛkɔ nipadua no mu.
Nanso, sɛ wo nipadua no yɛ uric acid pii dodo, anaasɛ w’asaabo ntumi nyi mfi hɔ yiye a, uric acid dodow a ɛwɔ wo mogya mu no kɔ soro. Bere kɔ so no, uric acid a ɛboro so yi dan ahwehwɛ nketenkete a ano yɛ nnam na ɛkɔ wo nkwaa mu. Ɛno na ɛyaw a emu yɛ den ne ɔfe no fi ase.
Mpɛn pii no, gout ntua a edi kan no tumi di bɛyɛ dapɛn biako anaa nna du. Afei nso, obi a wanya bi no wɔ hokwan 85% sɛ obenya foforo wɔ mfe 3 ntam. Ɛtɔ mmere bi a eyi betumi afi awosu mu. Sɛ wo maame, wo papa, anaa wo nua bi anya bi a, wowɔ asiane mu.
Ɔkwan bɛn so na abusuabɔ a ɛda asikreyare ne gout ntam yi sɔre?
Sɛnea yɛadi kan aka ho asɛm no, nnipa a wɔwɔ asikreyare no taa nya `uric acid` pii wɔ wɔn mogya mu. Saa ara nso na nnipa a `uric acid` dɔɔso no taa nya asikreyare. Wɔahu nea ɛde eyi ba titiriw ne tebea bi a wɔfrɛ no `insulin resistance`.
Wɔ asikreyare a ɛto so abien mu no, nipadua no mfa insulin hormone nni dwuma yiye. Eyi ma asikre dodow a ɛwɔ mogya mu no kɔ soro. Nhwehwɛmu ada no adi sɛ insulin a ɛko tia yi ma uric acid a efi asaabo mu no so tew. Eyi ma uric acid dodow a ɛwɔ mogya no mu no kɔ soro. Afei nso, uric acid dodow a ɛkɔ soro no betumi ama insulin a ɛko tia no ayɛ kɛse.
Nhwehwɛmu mpo asi eyi so dua. Nhwehwɛmu bi a wɔyɛe wɔ afe 2014 mu kyerɛe sɛ mmea a wɔwɔ gout no taa nya asikreyare 71% sen mmea a wonni asikreyare.
Asiane afoforo wɔ hɔ a ɛtaa ba nyarewa abien no nyinaa mu:
- Kɛse mmoroso: Nnipa a wɔwɔ asikreyare no mu bɛyɛ 90% yɛ kɛse mmoroso. Afei nso, obi a ne mu duru boro so no betumi anya gout mmɔho anan sen obi a ne mu duru yɛ pɛ. Nea enti a ɛte saa ne sɛ bere a mu duru kɔ soro no, tumi a asaabo no tumi yi uric acid fi mu no so tew.
- Akwahosan ho haw afoforo: Nnipa a wɔwɔ asikreyare no mu bɛyɛ 80% nso wɔ mogya mmoroso. Mogya mmoroso nso ne insulin a wɔko tia no wɔ abusuabɔ. Nea ɛka ho no, gout ne asikreyare nyinaa ne asaabo mu yare ne komayare wɔ abusuabɔ.
- Mfe a woadi: Sɛ woadi boro mfe 45 a, asiane a ɛwɔ hɔ sɛ wubenya nyarewa abien yi nyinaa yɛ kɛse.
Dɛn ne nneɛma a ɛkanyan gout ?
Ebia nea ɛkanyan gout wɔ onipa biako mu no renkanyan obi foforo mu. Nanso nneɛma kakraa bi wɔ hɔ a mpɛn pii no ebetumi akanyan gout . Ɛho hia sɛ wohu eyinom.
| Nkanyan | Nkyerɛmu |
|---|---|
| Nsã a wɔnom | Beer ne nsa a ano yɛ den titiriw ma uric acid dodow kɔ soro. |
| Nnuan a purines pii wom | Nam kɔkɔɔ (nantwinam, abirekyi nam), akwaa nam te sɛ mmerɛbo, ne ɛpo mu nnuan bi (shrimp, lobster, squid, sardines, halibut). |
| Nsã ne nnuan a asikre wom | Titiriw anonne a ɛyɛ dɛ ne nnuan a asikre bi a wɔfrɛ no fructose wom. |
| Nnuru bi | Nnuru bi a wɔde sa mogya mmoroso, nan a ɛho ahonhon, ne komayare. Wo ne wo duruyɛfo nka eyi ho asɛm. |
| Mmuadadi ne Nsu a Ɛma Nnipa Nsu | Sɛ nsu nnɔɔso wɔ nipadua no mu mpo a, uric acid dodow betumi akɔ soro. |
Sɛ wususuw sɛ biribi rema wo gout no ayɛ kɛse a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa akwan a wobɛfa so asiw ano ho.
Ɔkwan bɛn so na wobedi gout ne asikreyare ho dwuma?
Ɔkwan a eye sen biara a wobɛfa so adi tebea abien yi nyinaa ho dwuma ne sɛ wobɛyɛ nsakrae wɔ asetra mu. Eyinom bɛboa ma woadi wo uric acid dodow ne asikre dodow a ɛwɔ wo mogya mu no so.
1. Hwɛ yiye wɔ nea wudi ne nea wonom ho.
Aduane ho hia paa ma wɔn baanu nyinaa. Wɔ aduan a ɛfata wo asikreyare akyi no, ɛsɛ sɛ wususuw nneɛma a ɛka gout nso ho .
- Tew nnuan a purine wom (nam kɔkɔɔ, ɛpo mu nnuan bi) so anaasɛ gyae di sɛnea wubetumi biara .
- Gyae nsanom koraa anaasɛ to ano hye kɛse.
- Fa nnuan te sɛ nufusu a srade nnim ne yogurt ka w’aduan ho. Wɔahu sɛ eyinom boa ma wɔbɔ obi ho ban fi gout ho .
- Sɛ ɛbɛyɛ yiye a, kɔ aduan ho ɔbenfo a wɔakyerɛw ne din sɛnea ɛbɛyɛ a wubetumi ayɛ aduan ho nhyehyɛe a ɛfata w’anigye ne w’ahiade yiye.
2. Apɔw-mu-teɛteɛ
Ɛnyɛ sɛ apɔw-mu-teɛteɛ a wobɛyɛ daa no boa ma wohwɛ asikre dodow a ɛwɔ wo mogya mu so nko, na mmom ɛboa ma wo mu duru so tew nso. Bere a wo mu duru so tew no, tumi a wo nipadua no tumi yi uric acid fi mu no nso kɔ soro. Nanso, di kan ne wo duruyɛfo nkasa na si apɔw-mu-teɛteɛ ko a ɛfata wo ho gyinae.
3. Nom nsu pii.
Nsu nkuruwa 8 (bɛyɛ lita 2) a wobɛnom da biara no yɛ botae pa. Nsu pii a wobɛnom no boa ma w’asaabo yɛ adwuma yiye na ɛma uric acid fi wo nipadua mu. Ɛsɛ sɛ wonom nsu pii mpo bere a woreteɛteɛ w’apɔw mu no.
4. Di akwahosan ho haw afoforo so
Nneɛma te sɛ mogya mmoroso, asaabo mu yare, ne kɛseyɛ mmoroso betumi ama uric acid dodow akɔ soro na ama gout asɛe kɛse . Enti, sɛ wowɔ saa tebea horow yi bi a, kɔ wo duruyɛfo nkyɛn daa na di ayaresa a wɔakyerɛw ama wo no akyi pɛpɛɛpɛ.
Ayaresa a wɔde sa gout
Sɛ wowɔ asikreyare a, sɛ woma wo uric acid dodow yɛ 6 mg/dL anaasɛ ɛba fam a, ebetumi aboa ma asiane a ɛwɔ hɔ no so atew. Sɛ wunnim wo dodow a, bisa wo duruyɛfo ma ɔnyɛ wo mogya mu nhwehwɛmu.
Ebia wo duruyɛfo bɛkyerɛw nnuru a wode bɛsa gout .
| Ayaresa no su | Dwumadie / Nhwɛsoɔ |
|---|---|
| Sɛnea ɛbɛyɛ a wobedi uric acid dodow so bere tenten | |
| Nnuru a wɔde yɛ uricosuric | Ɛboa ma uric acid pii fi asaabo no mu. |
| Nnuru a esiw Xanthine oxidase ano | Ɛtew uric acid a nipadua no yɛ so. |
| Sɛnea ɛbɛyɛ a ɛbɛtew ɛyaw ne ɔfe so bere a gout reyɛ kɛse no | |
| Colchicine a wɔde yɛ aduru | Sɛ wɔnom bere a ɛyaw no afi ase ara pɛ a, etu mpɔn kɛse. Yafunu mu yare betumi aba. |
| Nnuru a wɔfrɛ no corticosteroids | Wɔde ma sɛ nnuru (e.g. Prednisone) anaasɛ sɛ wɔde twitwiw nkwaa no mu. |
| NSAIDs (Nnuru a ɛnyɛ steroid a wɔde ko tia ɔyare mmoawa) . | Nhwɛso ahorow bi ne Ibuprofen ne Naproxen. Nea ɛho hia sen biara: Nnom aspirin. Ebetumi ama ɛyaw no mu ayɛ den. |
Nkrasɛm a Wɔde Kɔ Fie
- Abusuabɔ a emu yɛ den paa wɔ asikreyare ne gout ntam . Sɛ wowɔ bi a, ɛda adi sɛ wubenya foforo no.
- Nea ɛde gout ba titiriw ne uric acid dodow a ɛkɔ soro wɔ mogya no mu. Saa tebea yi abu so wɔ nnipa a wɔwɔ asikreyare mu.
- Ayaresa a eye sen biara ne asetra mu nsakrae. Wobetumi adi nyarewa abien no nyinaa so denam aduan pa a wobedi, apɔw-mu-teɛteɛ, mu duru a wosiw ano, ne nsu pii a wɔnom so.
- Hu nnuan a ɛma wo gout no mu yɛ den na kwati .
- Bere nyinaa wo ne wo duruyɛfo nkasa mfa sɛnkyerɛnne anaa ayaresa biara ho. Mma w’ankasa nnom nnuru da.
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