Ke ʻike nei hoʻi ʻoe i kēia ʻeha nui o nā hono? E aʻo hou kākou e pili ana i ka gout.

I kekahi manawa ke ala ʻoe i ke kakahiaka, e lilo koke anei kahi hui, ʻoiai kou manamana wāwae nui, kuli, a kuʻekuʻe wāwae paha, i ʻulaʻula, pehu, a ʻeha? Ua ʻeha loa anei a hiki ʻole iā ʻoe ke hoʻopā aku? Ua like anei me ke ahi? Inā pēlā, loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo 'gout'. Ua kapa pū kekahi poʻe he 'gout'. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka Gout?

I ka ʻōlelo maʻalahi, ʻo ka gout kahi ʻano o ka maʻi ʻāʻī mumū . Hoʻokumu ʻia ia e ka nui o kahi kemika i kapa ʻia ʻo uric acid i loko o ko mākou kino. Hoʻopuka ʻia ka waikawa uric i ka wā e wāwahi ai ke kino i nā kemika i kapa ʻia ʻo purines i loaʻa i kekahi mau meaʻai. ʻO ka maʻamau, kānana ʻia kēia uric acid mai ko mākou mau puʻupaʻa a hoʻokuʻu ʻia i loko o kā mākou mimi.

Akā, i kekahi manawa hana nui ko mākou kino i ka uric acid, a ʻaʻole hiki i ko mākou mau puʻupaʻa ke hoʻokuʻu pono iā ia. ʻO ia ka manawa e hoʻomaka ai ka pilikia. Hoʻomaka kēia uric acid keu e waiho i loko o ko mākou mau hono ma ke ʻano he mau kristal ʻoi, e like me ke kakalaioa. Ke hōʻiliʻili kēia mau kristal, hiki koke mai kahi 'gout attack' me ka ʻeha nui a me ka pehu.

ʻO ka hapa pinepine, hoʻopilikia kēia i ka hui manamana wāwae nui. Eia nō naʻe, hiki i kēia kūlana ke hoʻopilikia i nā hui ʻē aʻe o kou wāwae . Eia kekahi laʻana:

• Nā kuli
• Kuʻekuʻe wāwae
• Nā hono ʻē aʻe o nā wāwae
• Nā hono o nā lima a me nā kuʻekuʻe lima
• Nā kuʻekuʻe lima

Hele mai a hele pinepine nā hōʻailona o ka gout. Kāhea mākou i kēia mau 'flares' a i ʻole 'gout attacks'. E kuhikuhi kāu kauka i ka lāʻau lapaʻau e hoʻohaʻahaʻa i kāu mau pae uric acid, a me nā hoʻololi ʻana i ka meaʻai. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ke alapine o kēia mau hoʻouka ʻana o ka gout.

He aha nā hōʻailona o ka Gout?

He ʻeha loa ka hoʻouka kaua gout. Hiki ke hoʻomaka koke, pinepine i waenakonu o ka pō. Ke loaʻa iā ʻoe ka hoʻouka kaua gout, e ʻike paha ʻoe i nā hōʻailona e like me kēia ma kou hui i hoʻopilikia ʻia:

• ʻEha nui hiki ʻole ke hoʻomanawanui.
• ʻUlaʻula a ʻeleʻele paha o ka ʻili a puni ke hono.
• ʻOʻoleʻa o ke hono, paʻakikī i ke kūlou ʻana a me ke kīkoʻo ʻana.
• Pehu.
• ʻAʻole wale i ka wā e paʻa ai au i kuʻu lima, akā , i ka wā e hoʻopā ai au i ka pepa moe, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha (palupalu).
• Mehana ke ami, me he mea lā e "ahi ana."

Pehea ka lōʻihi e hiki ai i kahi hoʻouka kaua gout?

ʻO ka maʻamau, he hoʻokahi a ʻelua paha pule ka lōʻihi o ka hoʻouka ʻana o ka gout. Hiki i kekahi mau lapalapa ke lōʻihi, a hiki i kekahi ke hana i nā hōʻailona koʻikoʻi. ʻAʻole paha ʻoe e loaʻa i kekahi mau hōʻailona gout ma waena o nā hoʻouka ʻana.

He aha ke kumu o ka gout?

E like me kā mākou i ʻōlelo ai ma mua, hiki mai ka gout ke nui loa ka uric acid i ke kino (kahi kūlana a mākou e kapa nei ʻo 'hyperuricemia'). ʻO kēia mau kristal uric acid ka mea e waiho ana i loko o nā hono a hoʻoulu i ka ʻeha.

E hoʻomanaʻo, ʻaʻole i loaʻa i nā kānaka a pau ka gout no ka mea ua kiʻekiʻe iki ko lākou pae uric acid koko. ʻAʻole loa e loaʻa i ka gout ka nui o ka poʻe me ka hyperuricemia. ʻO ke ʻano kēia, hiki i nā mea ʻē aʻe, ʻaʻole wale nā ​​​​pae uric acid kiʻekiʻe, ke hoʻopilikia i kēia.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka gout?

Hiki i kekahi ke loaʻa i ka gout. Eia nō naʻe, ʻekolu manawa ka nui o ka loaʻa ʻana o ka gout i nā kāne ma mua o nā wahine. I nā wahine, ulu pinepine ka gout ma hope o ka menopause. ʻO ka poʻe me kekahi mau maʻi mau loa, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka gout. ʻO ia mau maʻi:

• Kaumaha loa a momona paha.
• Nā pilikia o ka puʻuwai, ʻoi aku hoʻi ka hāʻule ʻana o ka puʻuwai congestive.
• Ka maʻi diabetes.
• Ke koko kiʻekiʻe (Hypertension).
• Maʻi puʻupaʻa.
• Ka maʻi ʻaʻai koko.

Eia kekahi, hiki paha iā ʻoe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka gout inā ʻoe:

• Inā loaʻa i kou mau mākua a kūpuna paha ka gout (ʻo ia hoʻi, he maʻi hoʻoilina ia).
• Inā ʻoe e ʻai nui i ka protein holoholona - ʻoiai ka ʻiʻo ʻulaʻula, nā meaʻai kai, a me nā ʻiʻo ʻōpū e like me ke akepaʻa a me nā ʻōpū.
• Inā inu mau ʻoe i ka waiʻona.
• Inā ʻoe e lawe ana i ka lāʻau diuretic (nā pila wai).
• Inā ʻoe e lawe ana i nā immunosuppressants.

He aha nā meaʻai e hoʻonui ai i ka gout?

E like me kā mākou i ʻōlelo ai ma mua, hiki i nā meaʻai kiʻekiʻe i nā purines ke hoʻonui i nā pae uric acid i loko o ke kino a hoʻoulu i ka gout. Eia kekahi o nā meaʻai e hiki ke hoʻoulu i kēia:

• Nā mea inu kō a me nā meaʻai ʻono: ʻO ka hapalua o ke kō a mākou e ʻai ai he fructose, kahi ʻano kō hua. Hoʻololi ʻia kēia i ka uric acid i loko o ke kino. No laila, ʻo kēlā me kēia meaʻai a mea inu paha i kiʻekiʻe i ke kō hiki ke hoʻonui i ka gout.
• ʻO ka syrup kulina fructose kiʻekiʻe: He ʻano fructose i hoʻohuihui ʻia kēia. Hiki ke loaʻa i nā nui he nui i nā meaʻai i hoʻopaʻa ʻia a me nā meaʻai māmā me nā ʻono hana.
• ʻOna: ʻOiai ʻaʻole kiʻekiʻe nā purines i ka waiʻona a pau, hoʻōki ka waiʻona i nā puʻupaʻa mai ka hoʻokuʻu ʻana i ka uric acid, a laila e hoʻopili hou ʻia a hōʻiliʻili ʻia i loko o ke kino.
• ʻIʻo kino: Nā mea e like me ke ake, nā ʻōpū, ka lolo, a me nā puʻupaʻa.
• ʻO kekahi mau ʻiʻo holoholona hihiu: ʻO nā mea e like me ka nahe a me ka venison he kiʻekiʻe i nā purines.
• Kekahi mau meaʻai kai:ʻO nā iʻa e like me ka herring, oysters, mussels, cod, tuna, trout, a me ka haddock.
• ʻAi ʻulaʻula: pipi, ʻiʻo kao, puaʻa, puaʻa.
• Pelehu: ʻO ka ʻiʻo pelehu i hoʻomoʻa ʻia.
• Nā mea ʻono a me nā mea ʻono ʻiʻo.

He mea nui: ʻAʻole kēia manaʻo e pono ʻoe e pale loa i kēia mau meaʻai. Eia nō naʻe, he mea nui loa i ka mea me ka gout e ʻai iā lākou me ke kaulike.

Pehea ʻoe e ʻike ai inā he gout kou?

Inā loaʻa iā ʻoe nā hōʻailona o ka gout, e ʻike i ke kauka. E nānā ʻo ia iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. E haʻi i ke kauka i ka wā i ʻike mua ai ʻoe i ka ʻeha a me ka pehu ʻana o nā hono, a pehea ka pinepine o ka loaʻa ʻana o kēia mau hōʻailona.

He aha nā hoʻokolohua e hana ʻia e hōʻoia i ka gout?

Hiki i kāu kauka ke hana i kekahi mau hoʻokolohua kiʻi e kiʻi i nā kiʻi o kou mau hono i hoʻopilikia ʻia. Hiki i kēia mau hoʻokolohua ke nānā i kekahi hōʻino hui i hana ʻia e ka gout. Pono paha ʻoe e loaʻa nā hoʻokolohua e like me kēia:

• Nā kukuna X.
• ʻO ke kani uila.
• MRI (Kiʻi Hoʻohālikelike Magnetika).
• CT scan - ʻoiai ke scan CT ikehu pālua.

ʻO nā hoʻokolohua maʻamau ʻē aʻe i hoʻohana ʻia no ka ʻike ʻana i ka gout:

• Nā hoʻāʻo koko e ana i ka nui o ka waikawa uric i loko o kou koko.
• ʻO ka ʻūlū ʻana o ka hui: He kaʻina hana e hoʻohana ana i kahi nila e wehe i kahi hāpana wai mai loko mai o kahi hui. Hiki i kēia ke ʻike pololei i ke alo o nā kristal waikawa uric.

Pehea e mālama ʻia ai ka gout?

I ka mālama ʻana i ka gout, ʻelua mau mea nui e noʻonoʻo ai. ʻO kekahi, ʻo ia ke kāohi i nā hōʻailona ke kū mai ka hoʻouka ʻana o ka gout, a ʻo kekahi, ʻo ia ka hoʻemi ʻana i nā pae uric acid ma ka hoʻēmi ʻana i nā meaʻai kiʻekiʻe i nā purines.

Nā lāʻau lapaʻau no ka Gout

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia e kōkua i ka kaohi ʻana i nā hōʻailona:

• Nā NSAID (Non-Steroidal Anti-Inflammatory Drugs): He mau lāʻau hoʻomaha ʻeha a me nā lāʻau anti-inflammatory kēia. No ka laʻana, hiki iā ʻoe ke kūʻai i nā lāʻau e like me ka ibuprofen a me ka naproxen mai ka hale kūʻai lāʻau. Eia naʻe, ʻaʻole kūpono kēia no ka poʻe me nā pilikia e like me ka maʻi puʻupaʻa a i ʻole nā ​​ʻōpū ʻōpū. No laila, mai lawe i kēia me ka ʻole o ke kūkākūkā ʻana me ke kauka.
• Colchicine: He lāʻau lapaʻau kēia i kuhikuhi ʻia e ke kauka. Inā lawe ʻia i loko o 24 mau hola o ka hoʻouka ʻana o ka gout, hiki iā ia ke hōʻemi i ka mumū a me ka ʻeha.
• Corticosteroids: He mau lāʻau lapaʻau kēia e hōʻemi ai i ka mumū. Hiki i kāu kauka ke hāʻawi iā ʻoe i kēia mau mea ma ke ʻano he mau pila e lawe waha. Hiki iā lākou ke hāʻawi iā ʻoe i kahi inikini i loko o ka hui i hoʻopilikia ʻia a i ʻole kahi ʻiʻo kokoke.

Hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e hoʻohaʻahaʻa i kāu pae uric acid i loko o ke koko. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• ʻAllopurinol.
• ʻO Febuxostat.
• Pegloticase.
• ʻO Probenecid.

ʻAi haʻahaʻa purine no ka gout

Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hahai i kahi papaʻai haʻahaʻa-purine . Pili kēia i ka hōʻoki ʻana i nā meaʻai kiʻekiʻe i nā purines a me ka ʻai ʻana i kekahi mau meaʻai e kōkua ana i ka hoʻohaʻahaʻa ʻana i nā pae uric acid.

Hiki ke ho'ōla loa ʻia ka Gout?

ʻO ka ʻoiaʻiʻo, ʻaʻole hiki ke ho'ōla loa ʻia ka gout. Eia nō naʻe, ma ka hana pū ʻana me ke kauka e ʻimi i ka lāʻau kūpono e kāohi ai i kāu mau hōʻailona a hoʻohaʻahaʻa i kāu mau pae uric acid, hiki iā ʻoe ke hōʻemi nui i ke alapine o nā hoʻouka ʻana o ka gout.

He aha ka mea e manaʻo ai kekahi me ka gout?

Inā loaʻa iā ʻoe ka gout, pono ʻoe e manaʻo e hele mai a hele aku kāu mau hōʻailona. Inā ʻaʻole ʻoe e loaʻa i kahi hōʻailona kūpono a me ka lāʻau lapaʻau, hiki i kēia mau lapalapa ke lilo i mea pinepine.

No kekahi poʻe, ʻoiai ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻoiai ko lākou pae uric acid e hoʻololi i nā lāʻau lapaʻau hou a i ʻole nā ​​​​loli ʻai, hiki iā lākou ke loaʻa hou aku i nā hoʻouka kaua gout i nā pae mua. He mea maʻamau kēia.

He aha ka manaʻolana no ka poʻe me ka gout?

Loaʻa i ka poʻe he nui ka gout kahi hui pū ʻana o nā lāʻau lapaʻau a me nā hoʻololi nohona e pono ai no lākou i ka hala ʻana o ka manawa. Hiki i kēia ke kōkua iā lākou e kāohi i ko lākou mau hōʻailona a hōʻemi i ke alapine o nā hoʻouka kaua gout. He maʻi hiki ke mālama ʻia ka gout. ʻO ka mālama ʻana i nā pae uric acid koko ma lalo o 6 mg/dL hiki ke hōʻemi nui i ke alapine o nā hoʻouka kaua gout.

Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka gout ke hōʻeha mau loa i nā hono. ʻO nā puʻupuʻu i hana ʻia i loko o nā hono a me nā ʻiʻo palupalu mai ka uric acid ua kapa ʻia ʻo tophi. Hiki i kekahi poʻe me ka gout i mālama ʻole ʻia ke loaʻa i nā pilikia olakino ʻē aʻe, e like me:

• ʻO ka mumū nui o nā hono a me ke kīnā o nā hono.
• Tophi - nā puʻupuʻu i hoʻokumu ʻia e ka hōʻiliʻili ʻana o nā kristal uric acid i loko o nā hono a me nā ʻiʻo palupalu.
• Nā pōhaku puʻupaʻa.
• Maʻi puʻuwai.

Hiki ke pale ʻia ka Gout?

ʻO ke ala maikaʻi loa e pale aku ai i ka gout, ʻo ia ka kaupalena ʻana i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i nā purines. Eia kekahi, e inu i ka wai he nui e mālama pono ai kou mau puʻupaʻa a pale i ka maloʻo ʻana.

ʻAʻole wale ka hoʻoikaika kino mau e hōʻemi i ke kaumaha ma kou mau hono, akā kōkua pū kekahi i ka pale ʻana i ka momona a me nā kūlana ʻē aʻe e kōkua ai i ka ulu ʻana o ka gout.

Pehea e kāohi ai i ka hoʻouka ʻana o ka gout?

Ke loaʻa iā ʻoe kahi hōʻeha gout, hiki iā ʻoe ke hana i kēia mau mea e kāohi ai i kāu mau hōʻailona:

• E hōʻalo i ka waiʻona a me nā mea inu kō.
• E inu i ka wai nui.
• E mālama i ka hono i hoʻopilikia ʻia ma luna o ka pae o ka puʻuwai e like me ka hiki.
• E hoʻopili i ka hau i ke hono. E ʻōwili i kahi ʻeke hau i loko o kahi kāwele lahilahi a i ʻole e kau i kahi ʻeke anu no kahi 15-20 mau minuke i kekahi mau manawa i ka lā.
• E hōʻemi i ke kaomi ma luna o ke hono ma ka pale ʻana i ka hoʻoikaika kino nui a i ʻole ka hana kino.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha koke a koʻikoʻi i kekahi o kou mau hono, ʻoiai inā pehu ka hono, ʻulaʻula, a ʻeleʻele paha, e ʻike koke i ke kauka. Hiki ke like nā hōʻailona o ka gout me nā maʻi e pono ai ke mālama koke ʻia.

Inā loaʻa iā ʻoe nā hoʻouka kaua gout hou aʻe, a inā ʻoi aku ka ʻino o kāu mau hōʻailona ma mua o ka wā ma mua, e kamaʻilio pū me kāu kauka e pili ana i kēlā.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• Loaʻa iaʻu ka gout a i ʻole kekahi ʻano arthritis ʻē aʻe?
• He aha kaʻu e hana ai e pale aku i nā hoʻouka kaua gout i ka wā e hiki mai ana?
• He aha nā meaʻai a me nā mea inu e pono iaʻu ke hōʻalo?
• E pono anei iaʻu ka lāʻau lapaʻau e mālama ai i ka gout?

He aha nā hōʻailona mua o ka gout?

ʻO ka maʻamau, hiki koke mai ka hoʻouka kaua gout, me ka ʻole o ka hōʻike nui. E hoʻomaka pinepine ʻoe e ʻike i ka ʻeha koke a hiki ʻole ke hoʻomanawanui ʻia ma ke ami i hoʻopilikia ʻia. Loaʻa pinepine nā hoʻouka kaua gout i ka pō. No laila, e ʻike paha ʻoe i kēia mau hōʻailona ke ala ʻoe i ke kakahiaka. He mea maʻamau ka hele ʻana o ka hoʻouka kaua gout mai ka loaʻa ʻole o nā hōʻailona a i ka loaʻa koke ʻana o nā hōʻailona koʻikoʻi.

Inā ʻaʻole ʻoe i ʻike ʻia he gout ma mua, a i ʻole ʻaʻole i loaʻa nā hōʻailona e like me kēia ma mua, e ʻike koke i ke kauka e hōʻoia ʻaʻole ʻoe he maʻi ʻē aʻe, e like me ka maʻi.

Inā ʻike mua ʻoe he gout kou a manaʻo ʻoe e hoʻomaka ana kahi flare-up, e lawe koke i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka e kāohi i kāu mau hōʻailona.

ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)

He ʻeha ka mumū o nā hono i ka gout. Hōʻiliʻili nā kristal ʻoi i hana ʻia mai ka nui o ka uric acid i loko o ke kino i loko o nā hono, e hana ana i nā hōʻailona e like me ka ʻeha a me ka pehu. Ma ke kamaʻilio ʻana me kāu kauka a me ke aʻo ʻana e pili ana i nā lāʻau lapaʻau a me nā hoʻololi ʻana i ka meaʻai, hiki iā ʻoe ke kāohi i kāu mau hōʻailona a hōʻemi i ke alapine o nā hoʻouka ʻana o ka gout i ka wā e hiki mai ana. Mai hopohopo, he kūlana hiki ke hoʻokele ʻia kēia. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a kāu kauka.

ʻO ka gout, ka waikawa uric, ka ʻeha o nā hono, ka pehu ʻana o nā hono, nā purines, ka gout, ka kaohi ʻana i ka ʻai