Loaʻa iā ʻoe ka gout? A i ʻole kekahi āu i ʻike ai ua loaʻa iā ia? Inā pēlā, ua ʻike anei ʻoe i kēia mau puʻupuʻu liʻiliʻi, ʻeha ʻole ma kou mau manamana lima, kuʻekuʻe lima, a i ʻole nā kuli? Manaʻo ka poʻe he mea maʻamau kēia a hoʻowahāwahā iā lākou, akā hiki iā lākou ke lilo i hōʻailona o kahi hihia koʻikoʻi o ka gout. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi kumuhana a ka poʻe he nui i ʻike ʻole ai, akā he mea nui loa ia, i kapa ʻia ʻo 'Tophi'.
I ka ʻōlelo maʻalahi, he aha ʻo Tophi?
ʻO Tophi nā kristal nui o ka waikawa uric e hōʻiliʻili ana i loko o kou mau ʻiʻo. He hōʻailona koʻikoʻi kēia o ka gout holomua.
E noʻonoʻo, i ka wā e piʻi nui ai ka nui o ka uric acid i loko o ko kākou koko , kahi ʻano i ʻike ʻia ma ke ʻano lapaʻau he hyperuricemia, hoʻomaka kēia uric acid keu e hui pū e like me nā ʻāpana aniani liʻiliʻi a waiho i loko o ko kākou mau hono. ʻO kēia ke kumu o ka ʻeha nui a mākou e ʻike ai i ka gout.
I ka wā mua, he liʻiliʻi loa kēia mau kristal. Akā inā ʻaʻole mālama pono ʻia ka gout, i ka hala ʻana o ka manawa, hui pū kēia mau kristal uric acid a hana i nā puʻupuʻu nui, a i ʻole nā nodules. ʻO kēia mau puʻupuʻu, e like me nā puʻupuʻu pehu ma lalo o ka ʻili, ua kapa ʻia ʻo tophi . ʻO kēia ʻano, i kapa ʻia ʻo chronic tophaceous gout, he mau makahiki ka lōʻihi e ulu ai.
ʻO ka mea nui loa, ʻo ka tophi kahi hōʻailona ikaika ua lilo ka gout i mea kaohi ʻole a ua lilo ka maʻi i mea koʻikoʻi.
Ma hea e hiki ai i kēia mau tophi ke ulu i loko o ke kino?
ʻO ka hapa pinepine, hana ʻia kēia mau puʻupuʻu i loko a puni o ko kākou mau hono. Eia kekahi laʻana:
- ʻO ke iwi ʻili
- Nā membrane synovial
- Nā iwi
- ʻIʻo momona
- Nā ʻūmiʻi
- Nā ligaments
ʻO ke ʻano kēia, ʻike pinepine ʻia lākou ma nā wahi i loaʻa ai nā hono, e like me kou mau manamana lima, nā pulima lima, nā kuʻekuʻe lima, nā kuli, a me nā kuʻekuʻe wāwae .
Akā, ʻo ka mea kupanaha, i kekahi manawa hiki i kēia mau tophi ke hana ʻia ma nā wahi i manaʻo ʻole ʻia.
- I loko o nā pepeiao
- I loko o ka ihu
- I loko o nā puʻupaʻa
- ʻIli ʻili
- ʻO ke keʻokeʻo o ka maka (Sclera)
- Nā kiwikā puʻuwai
ʻO ka hapa nui o ka manawa, ʻaʻohe ʻeha o kēia mau puʻupuʻu. Malia paha no ka mea he mau puʻupuʻu kahiko kēia a lōʻihi hoʻi i maʻa mau ai ko kākou kino. Eia naʻe, i ka ulu ʻana o kēia mau puʻupuʻu, hiki i ka ʻili a puni iā lākou ke lilo i mea paʻa loa, ʻeha, a paʻakikī. I kekahi manawa, hiki i kēia mau puʻupuʻu ke haki, e kahe ana i kahi wai uric acid keʻokeʻo . Inā hana ʻia kēia, hiki i ka ʻeha ke ʻeha loa a lōʻihi ka manawa e ho'ōla ai.
| ʻAno | ʻO ke ʻano o kahi puʻupuʻu tophi |
|---|---|
| helehelena | He puʻupuʻu paʻakikī, pinepine poepoe, ma lalo o ka ʻili. Hiki ke liʻiliʻi e like me ka pī a i ʻole ka nui e like me ka ʻalani. |
| ʻEha | ʻAʻohe ʻeha maʻamau, akā hiki ke ʻeha inā ulu nui ka puʻupuʻu a kīkoʻo a haehae paha i ka ʻili. |
| Nā hiʻohiʻona kūikawā | Hiki i kekahi mau nodules ke loaʻa kahi wai uric acid keʻokeʻo ma ko lākou ʻili. Hiki i kēia ke kōkua i ka hoʻokaʻawale ʻana iā lākou mai nā nodules i ʻike ʻia i ka rheumatoid arthritis. |
Nā pilikia a me nā pilikia o ka tophi
ʻAʻole wale kēia mau puʻupuʻu he mau mea nani. Hiki iā lākou ke hōʻeha nui i ko mākou kino.
- Ka luku ʻia ʻana o nā iwi a me nā ʻiʻo: Hiki i kahi puʻupuʻu tophi ke hoʻoheheʻe mālie a luku i nā ʻiʻo, e like me ka iwi a me ke cartilage, kahi e hana ai. ʻAʻole hiki ke hoʻihoʻi ʻia kēia pōʻino.
- Ka hōʻino ʻana o nā hono: I mea e hana pono ai kahi hono, pono e olakino nā ʻiʻo palupalu, e like me ke cartilage. Hiki i ka Tophi ke hōʻino i kēia ʻiʻo, e hoʻopaʻa ai i ka hono.
- Nā pilikia ʻē aʻe: ʻOiai he mea kakaikahi, hiki i kahi puʻupuʻu tophi ke ʻūlū i kahi aʻalolo, lilo i ka maʻi, a i ʻole ke hoʻopilikia i ka hana o kahi ʻōkana e like me nā puʻupaʻa.
No ke aha i hana ʻia ai kēia mau tophi? Pehea mākou e mālama ai iā lākou?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui o kēia ka piʻi ʻana o ka nui o ka uric acid i loko o ke koko. ʻOiai nā cell kūikawā i loko o kā mākou ʻōnaehana pale i kapa ʻia ʻo macrophages e hoʻāʻo nei e wehe i kēia mau kristal uric acid, ke kiʻekiʻe mau ka nui o ka uric acid, ʻaʻole hiki i kēia mau cell ke wehe loa i kēia mau kristal.
I ka hala ʻana o ka manawa, hōʻuluʻulu kēia mau pūnaewele a puni nā pōpō uric acid nui, e hana ana i ka mea e like meUa like ia me ke kūkulu ʻana i kahi pā , e hoʻāʻo ana e hoʻokaʻawale iā ia mai ke koena o ke kino. ʻO ia ka mea a mākou e kapa nei he granuloma. ʻO ka tophus kahi puʻu nui o ka uric acid e hana ʻia e like me kēlā.
Nā ʻano lapaʻau
ʻO ka mea pōmaikaʻi, hiki ke kāohi ʻia kēia kūlana. Hoʻākāka nui nā kauka i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka pae o ka uric acid i loko o ke koko.
- Nā lāʻau lapaʻau: Hoʻemi nā lāʻau lapaʻau e like me Allopurinol lāua ʻo Febuxostat i ka hana ʻana o ka uric acid. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i ka hoʻokumu ʻana o nā tophi hou a kōkua i ka hoʻoheheʻe ʻana o nā tophi e kū nei. Eia nō naʻe , pono ma ka liʻiliʻi he 6 mau mahina o ka lāʻau lapaʻau mau e hoʻoheheʻe i kēia mau puʻupuʻu . Pono e hoʻohana wale ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a kāu kauka .
- ʻO ke ʻoki kino: Inā nui loa kahi puʻupuʻu tophi, ʻeha, ua loaʻa i ka maʻi, a i ʻole ke hōʻeha nui nei i kahi hui, hiki i kāu kauka ke ʻōlelo aku i ka wehe ʻana i ke ʻoki kino (tophectomy).
Nā loli o ke ʻano o ka nohona
Ma waho aʻe o nā lāʻau lapaʻau, hiki i kekahi mau hoʻololi āu e hana ai i kou nohona ke hele lōʻihi i ka kaohi ʻana i ka gout.
| He aha nā mea e pono ai ke hoʻololi ʻia | Wehewehena |
|---|---|
| ʻAi | E hōʻemi i nā meaʻai kiʻekiʻe i nā purines (e.g., ka ʻiʻo ʻulaʻula, nā meaʻai kai, ka waiʻona) a me nā mea inu kō. E ʻai i nā mea kanu, nā huaʻai, a me nā meaʻai waiwai i ka fiber. |
| Nā lāʻau lapaʻau ʻē aʻe | Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai no nā kūlana ʻē aʻe (e.g., kekahi mau diuretics) ke hoʻonui i nā pae uric acid. E kamaʻilio me kāu kauka e pili ana i kēia a hana i nā hoʻololi inā pono. |
| ʻŌlelo aʻoaʻo lapaʻau | He mea nui loa ka ʻike ʻana i ke kauka e like me ke kauoha a mai hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau i kauoha ʻia. |
ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia ka gout, me ka mālama kūpono a me ke ʻano o ka nohona, hiki iā ʻoe ke kaohi i kāu mau pae uric acid, pale i nā pilikia koʻikoʻi e like me ka gout, a ola i kahi ola olakino.
Leka Lawe-Home
- He hōʻailona ʻo Tophi ua lilo ka gout i mea koʻikoʻi a ʻaʻole i kaohi pono ʻia.
- Hoʻokumu ʻia kēia mau puʻupuʻu ma muli o ka noho kiʻekiʻe ʻana o nā pae uric acid i loko o ke koko no ka manawa lōʻihi.
- ʻOiai pinepine ʻole ka ʻeha, hiki i kēia mau mea ke hōʻeha mau i nā hono a me nā iwi.
- ʻO ka lāʻau lapaʻau nui, ʻo ia ka hoʻomau ʻana i ka lawe ʻana i nā lāʻau hoʻohaʻahaʻa uric acid i kauoha ʻia e ke kauka.
- Inā loaʻa kekahi o kēia mau puʻupuʻu ma kou kino, mai hoʻowahāwahā iā lākou a e kamaʻilio pono me kāu kauka.
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