Yu gɛt gaut? Ɔ pɔsin we yu sabi gɛt am? If na so i bi, yu dɔn ɛva notis dɛn smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔku pipul dɛn kin tink bɔt dɛn tin ya as nɔmal tin ɛn nɔ kin pe atɛnshɔn to dɛn, bɔt dɛn kin rili bi sayn fɔ se pɔsin gɛt mɔ siriɔs kes fɔ gaut. Tide wi de tok abaut wan topik we plenti pipul no sabi, bot na wan we rili impotant, we dem kol 'Tophi'.
Fɔ tɔk am simpul wan, wetin na Tɔfi?
Tofi na big kristal dεm we gεt yurik asid we de bכku insay yu tisu dεm. Dis na wan impɔtant sayn fɔ advans gaut.
Imajin, we di yurik asid we de na wi blɔd tu bɔku , we na wan sik we dɛn kɔl hyperuricemia, dis ɛkstra yurik asid kin bigin fɔ gɛda togɛda lɛk smɔl smɔl glas shards ɛn i kin de na wi jɔyn dɛn. Dis na de kɔz fɔ de siriɔs pen wae wi kin fil pan gaut.
Fɔs, dɛn kristal ya kin rili smɔl. Bɔt if dɛn nɔ trit gaut fayn, as tɛm de go, dɛn yurik asid kristal ya kin jɔyn togɛda ɛn mek big big lumps, ɔ nodul. Dɛn kɔl dɛn lumps ya we tan lɛk lumps we dɔn swel ɔnda di skin, tophi . Dis sik wae dɛn kin kɔl chronic tophaceous gout, kin tek sɔm ia fɔ mek i kam.
Di tin we impɔtant pas ɔl na dat, tofi na strɔng tin we de sho se pɔsin nɔ ebul fɔ kɔntrol di gaut ɛn di sik dɔn rili bad.
Usay dɛn tofi ya kin divɛlɔp na di bɔdi?
Bɔku tɛm, dɛn lumps ya kin kam insay ɛn rawnd wi jɔyn dɛn. Fɔ ɛgzampul:
- Kartilaj we de na di bɔdi
- di sinovial mεmbran dεm
- Bɔn dɛn
- Fat tisu we de na di bɔdi
- Tεndon dεm
- Ligamɛnt dɛn
Dis min se dɛn kin si dɛn mɔ na say dɛn we jɔyn dɛn de, lɛk yu finga dɛn, yu an, yu ɛlbow, yu ni dɛn, ɛn yu anklɛ dɛn .
Bɔt i sɔprayz fɔ no se sɔntɛnde dɛn tofi ya kin fɔm na say dɛn we yu nɔ bin de ɛkspɛkt.
- Na di ia dɛn we de na di yes
- Na di nos
- Na di kidni dɛn
- Skin surface
- Di wayt na di yay (Sclera) .
- Di valv dɛn we de na di at
Bɔku tɛm, dɛn lumps ya nɔ kin pen . Dis kin bi bikɔs dɛn tin ya na ol tin dɛn we dɔn de fɔ lɔng tɛm we wi bɔdi dɔn yus to. Bɔt as dɛn lumps ya de gro big, di skin we de rawnd dɛn kin tayt bad bad wan, i kin mek i fil pen, ɛn i kin at. Sɔntɛnde, dɛn lumps ya kin brok, ɛn dɛn kin pul wan wayt yurik asid wata we tan lɛk chalk . If dis apin, di wund kin rili pen ɛn i kin tek lɔng tɛm fɔ wɛl.
| Di kwaliti we pɔsin gɛt | Di kayn we aw wan tofi lump tan |
|---|---|
| Aw a luk | Wan had lump, bɔku tɛm i kin bi sfɛri, ɔnda di skin. I kin smɔl lɛk pis ɔ big lɛk ɔrɛnj. |
| Pen | Bɔku tɛm i nɔ kin pen, bɔt i kin mek pɔsin fil pen if di lump gro big ɛn strɛch ɔ te di skin. |
| Speshal tin dɛn we dɛn kin du | sכm nodul dεm kin gεt wayt yurik asid fכs na dεn sεf. Dis kin ɛp fɔ difrɛns frɔm di nodul dɛm we dɛn kin si pan rεumatoid at. |
Posisibul kɔmplikeshɔn ɛn risk dɛm fɔ tofi
Dɛn bɔmp dɛn ya nɔto jɔs fayn fayn tin dɛn. Dɛn kin mek wi bɔdi pwɛl bad bad wan.
- di bon εn di tisu dεm we de pwεl: wan tכfi lכmp kin sכlv sכmtεm εn pwεl di tisu dεm lεk bon εn katilej usay i de fכm. Bɔku tɛm, dis damej nɔ kin chenj.
- di joyn dεm we de pwεl: fכ mek di joyn wok fayn, di sכft tisu dεm lεk di katilej fכ hεlth. Tɔfi kin pwɛl dis tisu, ɛn dis kin mek di jɔyn nɔ ebul fɔ muv.
- Ɔda prɔblɛm dɛn: Pan ɔl we i nɔ kin apin so ɔltɛm, tofi lump kin kɔmprɛs wan nɛv, gɛt infɛkshɔn, ɔ i kin ambɔg di wok we wan ɔgan lɛk di kidni dɛn de du.
Wetin mek dɛn tofi ya kin fɔm? Aw wi kin trit dɛn?
As wi bin dɔn tɔk, di men rizin fɔ dis na we di yurik asid we de na di blɔd de go ɔp we dɛn nɔ de kɔntrol. pan ɔl we spɛshal sɛl dɛn na wi imyun sistɛm we dɛn kɔl makrofag dɛn kin tray fɔ pul dɛn yurik asid kristal ya, we di yurik asid lɛvɛl kɔntinyu fɔ de ɔp, dɛn sɛl dɛn ya nɔ kin ebul fɔ pul dɛn kristal dɛn ya kpatakpata.
As tɛm de go, dɛn sɛl ya kin gɛda rawnd big big yurik asid bɔl dɛn, ɛn mek wetin tan lɛkI tan lɛk se yu de bil wɔl , we yu de tray fɔ separet am frɔm di ɔda pat dɛn na di bɔdi. Na dat wi kin kɔl granuloma. Tofus na big big wan we gɛt yurik asid we de fɔm lɛk dat.
Di we aw dɛn kin trit am
Bɔt gud tin na dat, dɛn kin ebul fɔ kɔntrol dis sik. Dɔktɔ dɛn kin gi yu mɛrɛsin mɔ we de mek di yurik asid we de na di blɔd go dɔŋ.
- Mεdikeshכn dεm: Mεdikeshכn dεm lεk Allopurinol εn Febuxostat de ridyus di prodakshכn כf yurik asid. Dɛn mɛrɛsin ya kin ɛp fɔ mek nyu tofi nɔ fɔm ɛn ɛp fɔ mek di tofi we dɔn de, sɔlv. Bɔt i kin tek at le 6 mɔnt fɔ kɔntinyu fɔ tek mɛrɛsin fɔ sɔlv dɛn lumps ya . Dis tritmɛnt fɔ de ɔnda yu dɔktɔ in sɔpɔtishɔn nɔmɔ .
- Ɔpreshɔn: If wan tofi lump rili big, i de pen, i dɔn gɛt di sik, ɔ i de mek yu jɔyn bad bad wan, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul am (tophectomy).
Di we aw pipul dɛn de liv dɛn layf kin chenj
Apat frɔm di mɛrɛsin dɛn, sɔm chenj dɛn we yu kin mek na yu layf kin ɛp yu fɔ kɔntrol gaut.
| Wetin nid fɔ chenj | Tɔk bɔt |
|---|---|
| Lɛ yu bɔdi kam dɔŋ | Limit it dɛn we gɛt bɔku purin (e.g., rɛd mit, sifud, alkol) ɛn drink dɛn we gɛt shuga. It mɔ vɛjitebul, frut, ɛn it dɛn we gɛt fayv. |
| Ɔda mɛrɛsin dɛn | Sɔm mɛrɛsin dɛm wae yu kin tek fɔ ɔda kɔndishɔn dɛm (e.g., sɔm diuretics) kin inkrisayz di yurik asid lɛvɛl. Tɔk to yu dɔktɔ bɔt dis ɛn mek chenj dɛn if nid de. |
| Advays we di dɔktɔ dɛn kin gi | I rili impɔtant fɔ go to dɔktɔ lɛk aw dɛn tɛl yu fɔ du am ɛn nɔ ɛva stɔp fɔ tek di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek. |
Pan ɔl we yu nɔ go ebul fɔ mɛn gaut ɔltogɛda, if yu gɛt di rayt tritmɛnt ɛn layf, yu kin rili kɔntrol yu yurik asid lɛvɛl, mek yu nɔ gɛt siriɔs prɔblɛm dɛn lɛk gaut, ɛn liv fayn layf.
Mɛsej we dɛn kin kɛr go na os
- Tɔfi na wɔnin sayn fɔ se gaut dɔn kam bad bad wan ɛn dɛn nɔ de kɔntrol am fayn.
- dis lumps dεm de fכm biכs di yurik asid lεvεl na di bכdi de hכy fכ lכng tεm.
- Pan ɔl we bɔku tɛm dɛn nɔ kin pen, dɛn tin ya kin mek di jɔyn ɛn bon dɛn pwɛl we nɔ go ɛva chenj.
- Di men tritmɛnt na fɔ kɔntinyu fɔ tek di mɛrɛsin dɛn we dɔktɔ gi yu fɔ mek yu nɔ gɛt yurik asid.
- If yu gɛt ɛni wan pan dɛn lumps ya na yu bɔdi, nɔ ignore dɛn ɛn rili tɔk to yu dɔktɔ.
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