Ðe gout le ŋuwòa? Alo ɖe wòle le ame aɖe si nènya mea? Ne nenemae la, ɖe nède dzesi ƒuƒu sue siawo siwo me vevesese aɖeke mele o le wò asibidɛwo, abɔta, alo klowo ŋu kpɔa? Ame geɖe bua nusiawo be wosɔ eye woŋea aɖaba ƒua wo dzi, gake le nyateƒe me la, woate ŋu anye gout ƒe dɔléle si nu sẽ wu ƒe dzesi. Egbea míele nu ƒom tso nyati aɖe si ŋu ame geɖe menya nu tsoe o, gake enye nyati vevi aɖe ŋutɔ, si woyɔna be 'Tophi'.
Kpuie ko la, nukae nye Tophi?
Tophi nye uric acid ƒe kristalo gã siwo ƒoa ƒu ɖe wò lãkusiwo me. Esia nye gout si de ŋgɔ ƒe dzesi vevi aɖe.
Bu eŋu kpɔ, ne uric acid ƒe agbɔsɔsɔ si le míaƒe ʋu me va sɔ gbɔ akpa , si nye dɔléle si woyɔna le atikewɔwɔ me be hyperuricemia la, uric acid sia si sɔ gbɔ wu la dzea ƒoƒo ƒu abe ahuhɔ̃e kakɛ suesuesuewo ene eye wògena ɖe míaƒe ƒunukpeƒewo. Esia gbɔe vevesese sesẽ si míesena le gout me tsona.
Gbã la, kristalo siawo le sue ŋutɔ. Gake ne womewɔ atike na gout nyuie o la, le ɣeyiɣi aɖe megbe la, uric acid ƒe kristalo siawo va kpena ɖe wo nɔewo ŋu eye wowɔa ƒuƒu gãwo, alo ƒunukpeƒewo. Woyɔa ƒunukpeƒe siawo siwo le abe ƒunukpeƒetetedɔ siwo vuvu le ŋutigbalẽa te ene la be tophi . Zi geɖe la, dɔléle sia si woyɔna be tophaceous gout si nɔa anyi didi la xɔa ƒe geɖe hafi wòva dzea egɔme.
Vevietɔ wu la, tophi nye dzesi sẽŋu aɖe be womate ŋu aɖu gout dzi o eye dɔlélea va nu sẽ.
Afikae tophi siawo ate ŋu atsi ɖo le ŋutilãa me?
Zi geɖe la, ƒunukpeƒetetedɔ siawo dzɔna ɖe míaƒe ƒunukpeƒewo kple wo ŋu. Le kpɔɖeŋu me:
- Ƒunukpeƒetetedɔ
- Synovial ƒe lãkusiwo
- Ƒuwo
- Ami ƒe lãkusi
- Lãmetsiŋusẽwo
- Lãmetsiŋusẽ ƒe lãkusiwo
Esia fia be wokpɔa wo zi geɖe le teƒe siwo ƒunukpeƒewo le, abe wò asibidɛwo, asibidɛwo, abɔta, klowo, kple afɔkpodziwo ene .
Gake nukutɔe la, ɣeaɖewoɣi la, tophi siawo te ŋu dzɔna le teƒe siwo womele mɔ kpɔm na o.
- Le tomekawo me
- Le ŋɔti me
- Le ayikuwo me
- Ŋutilã ƒe anyigba
- Ŋku ƒe ɣie (Sclera) .
- Dzi ƒe ʋukawo
Zi geɖe la, vevesese aɖeke menɔa ƒunukpeƒetetedɔ siawo ŋu o . Esia ate ŋu anye esi esiawo nye ƒuƒu xoxo siwo nɔa anyi ɣeyiɣi didi aɖe si míaƒe ŋutilã va zu numame na ta. Gake ne ƒunukpeƒe siawo le lolom ɖe edzi la, ŋutigbalẽ si ƒo xlã wo ate ŋu asẽ ŋutɔ, wòase veve, eye wòasesẽ. Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo ate ŋu agbã, eye uric acid tsi ɣi aɖe si le abe chalk ene la dona . Ne edzɔ alea la, abi la ate ŋu ase veve ŋutɔ eye wòaxɔ ɣeyiɣi didi hafi wòahaya.
| Nɔnɔme si le ame ŋu | Tophi ƒe ƒuƒoƒo ƒe nɔnɔme |
|---|---|
| Dzedzeme | Kpe sesẽ aɖe, si nyea goglo zi geɖe, le ŋutigbalẽa te. Ate ŋu anɔ sue abe pea ene alo alolo abe orange ene. |
| Vevesese | Zi geɖe la, vevesese aɖeke menɔa eŋu o, gake ate ŋu ase veve ne ƒunukpeƒea lolo eye wòkeke alo vuvu ŋutigbalẽa. |
| Nu tɔxɛ siwo le eme | Ðewohĩ uric acid ɣi aɖe anɔ nodules aɖewo ŋu le woƒe gowo dzi. Esia ate ŋu akpe ɖe ame ŋu woade vovototo wo kple ƒunukpeƒetetedɔ siwo wokpɔna le ƒunukpeƒetetedɔ me. |
Kuxi siwo ate ŋu ado tso tophi me kple afɔku siwo le eme
Menye nu dzeaniwo koe ʋuʋudedi siawo nye o. Woate ŋu agblẽ nu le míaƒe ŋutilã ŋu vevie.
- Ƒu kple lãmekawo ƒe tsɔtsrɔ̃: Tophi ƒe ƒuƒu ate ŋu alɔ lãmekawo abe ƒu kple ƒunukpeƒe ene vivivi eye wòagblẽ wo dome, afisi wòdzɔna le. Zi geɖe la, womate ŋu atrɔ nusiwo gblẽ sia o.
- Ƒunukpeƒewo ƒe gbegblẽ: Hafi ƒunukpeƒe nate ŋu awɔ dɔ nyuie la, ele be lãkusi falɛfalɛawo abe ƒunukpeƒetetedɔ ene nanɔ lãmesẽ me. Tophi ate ŋu agblẽ nu le lãkusi sia ŋu, si ana ƒunukpeƒea magate ŋu aʋuʋu o.
- Kuxi bubuwo: Togbɔ be ƒã hã la, tophi ƒuƒu ate ŋu ami lãmeka aɖe, axɔ dɔlékuiwo, alo ado kplamatse ŋutinu aɖe abe ayiku ene ƒe dɔwɔwɔ.
Nukatae tophi siawo dzɔna? Aleke míewɔa nu ɖe wo ŋui?
Abe alesi míedzro eme va yi ene la, nusi koŋ gbɔ esia tsoe nye uric acid ƒe agbɔsɔsɔ si le ʋu me ƒe dzidziɖedzi si dzi womeɖu o. Togbɔ be lãmenugbagbevi tɔxɛ siwo le míaƒe dɔlélenutsiŋutete me si woyɔna be macrophages dzea agbagba be yewoaɖe uric acid ƒe kristalo siawo ɖa hã la, ne uric acid ƒe agbɔsɔsɔ gakpɔtɔ sɔ gbɔ la, lãmenugbagbevi siawo mete ŋu ɖea kristalo siawo ɖa keŋkeŋ o.
Le ɣeyiɣi aɖe megbe la, lãmenugbagbevi siawo ƒoa ƒu ɖe uric acid ƒe bɔl gãwo ŋu, eye wowɔa nusi dzenaEle abe gli tutu ene , agbagbadzedze be yeamae ɖa tso ŋutilãa ƒe akpa mamlɛa gbɔ. Emae nye nusi míeyɔna be granuloma. Tophus nye uric acid ƒe ƒuƒoƒo gã aɖe si dzɔna nenema.
Dɔdamɔnu siwo wozãna
Dzɔgbenyuietɔe la, woate ŋu aɖu nɔnɔme sia dzi. Atike siwo ɖea uric acid ƒe agbɔsɔsɔ si le ʋua me dzi kpɔtɔna koŋue ɖɔktawo ŋlɔna na amewo.
- Atikewo: Atikewo abe Allopurinol kple Febuxostat ene ɖea uric acid ƒe wɔwɔ dzi kpɔtɔna. Atike siawo ate ŋu akpe ɖe ame ŋu be tophi yeyewo nagadzɔ o eye woakpe ɖe tophi si li xoxo ŋu wòaƒu. Gake ne mede ɖeke o la , exɔa ɣleti 6 ya teti ƒe atikewo zazã atraɖii hafi woate ŋu alɔ ƒunukpeƒe siawo . Ele be nàzã atike sia le wò ɖɔkta ƒe dzikpɔkpɔ te ko .
- Amekoko: Ne tophi ƒe ƒuƒu lolo ŋutɔ, le veve sem, dɔlékui le eŋu, alo le nu gblẽm le ƒunukpeƒe aɖe ŋu vevie la, wò ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ na wò be woaɖee ɖa (tophectomy).
Agbenɔnɔ ƒe tɔtrɔ
Tsɔ kpe ɖe atikewo ŋu la, tɔtrɔ aɖewo siwo nàwɔ le wò agbenɔnɔ me ate ŋu akpe ɖe ŋuwò ŋutɔ le gout dzi ɖuɖu me.
| Nusi wòle be woatrɔ | Nuɖᴐɖᴐ |
|---|---|
| Nuɖuɖu ɖoɖo | Ðe nuɖuɖu siwo me purine sɔ gbɔ ɖo (e.g., lã dzĩ, ƒumelã, aha) kple aha siwo me sukli le dzi kpɔtɔ. Ƒo amagbewo, atikutsetsewo, kple nuɖuɖu siwo me fibre sɔ gbɔ ɖo geɖe wu. |
| Atike bubuwo | Atike aɖewo siwo nènona na nɔnɔme bubuwo (e.g., tsinyegoe me atike aɖewo) ate ŋu ana uric acid ƒe agbɔsɔsɔ nadzi ɖe edzi. Ƒo nu tso esia ŋu kple wò ɖɔkta eye nàwɔ tɔtrɔwo ne ehiã. |
| Atikewɔwɔ ŋuti aɖaŋuɖoɖowo | Ele vevie ŋutɔ be nàkpɔ ɖɔkta abe alesi woŋlɔe na wò ene eye nàdzudzɔ atike siwo woŋlɔ nɛ la nono gbeɖe o. |
Togbɔ be womate ŋu ada gout keŋkeŋ o hã la, ne èwɔ atike nyuitɔ kple agbenɔnɔ nyuie la, àte ŋu aɖu wò uric acid ƒe agbɔsɔsɔ dzi godoo, axe mɔ ɖe kuxi sesẽwo abe gout ene nu, eye nànɔ agbe le lãmesẽ me.
Gbedasi si Wotsɔ Yi Aƒeme
- Tophi nye nuxlɔ̃amedzesi be gout va nu sẽ eye womele edzi ɖum nyuie o.
- Kpe siawo dzɔna elabena uric acid ƒe agbɔsɔsɔ si le ʋua me nɔa dzidzim ɖe edzi ɣeyiɣi didi aɖe.
- Togbɔ be zi geɖe la, esiawo mesea veve o hã la, woate ŋu agblẽ nu le ƒunukpeƒewo kple ƒuwo ŋu si womate ŋu atrɔ o.
- Atike vevitɔe nye be woayi edzi anɔ atike siwo ɖea uric acid dzi kpɔtɔna si ɖɔkta ŋlɔ na wo la nom.
- Ne ƒunukpeƒetetedɔ siawo dometɔ aɖe le wò ŋutilã ŋu la, mègaŋe aɖaba ƒu wo dzi o eye nàƒo nu kple wò ɖɔkta godoo.
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