Yu kin gɛt dis bad bad pen na yu jɔyn dɛn bak? Mek wi lan mɔ bɔt gaut.

Sɔntɛnde, we yu wek na mɔnin, yu tink se wan jɔyn, mɔ yu big fut, yu ni, ɔ yu an, kin rɛd wantɛm wantɛm, i kin swel, ɛn i kin fil pen? Yu tink se i de mek yu fil bad sote yu nɔ ebul fɔ ivin tɔch am? I kin fil lɛk se i de bɔn faya? If na so, yu kin gɛt wan sik we dɛn kɔl ‘gout’. Bɔku pipul dɛn kin kɔl am bak ‘gout’. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin rili na Gout?

Fɔ tɔk am simpul wan, gaut na wan kayn at at sik we de mek pɔsin fil bad . I kin kam bikɔs wan kemikal we dɛn kɔl yurik asid pasmak na wi bɔdi. Yurik asid kin kɔmɔt we di bɔdi de brok di kemikal dɛn we dɛn kɔl purin we de insay sɔm it dɛn. nכmal wan, dis yurik asid de filta kכmכt na wi kidni dεm εn kכmכt na wi urine.

Bɔt, sɔmtɛm wi bɔdi kin mek tumɔs yurik asid, ɔ wi kidni nɔ kin ebul fɔ pul am fayn fayn wan. Na da tɛm de di prɔblɛm kin bigin. dis ekstra yurik asid de stat fכ deposit insay wi joyn dεm lεk shap kristכl dεm we lεk tכn. we dεn kristכl dεm ya kin gɛda, ‘gout atak’ kin kam wan wan wit bכku pen εn swεla.

Bɔku tɛm, dis kin afɛkt di big fut jɔyn. Bɔt dis sik kin afɛkt ɔda jɔyn dɛn na yu fut , bak. Fɔ ɛgzampul:

• Ni dɛn
• Fut
• Ɔda jɔyn dɛn na di fut dɛn
• Jɔyn dɛn na di an ɛn di an dɛn
• Ɛlbɔ dɛn

Di sayn dɛm fɔ gaut kin kam ɛn go bɔku bɔku tɛm. Wi kin kɔl dɛn tin ya ‘flares’ ɔ ‘gout attacks’. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu nɔ gɛt yurik asid, ɛn fɔ chenj di tin dɛn we yu de it. Dis kin ɛp fɔ ridyus di frɛkuɛns fɔ dɛn gout atak ya.

Wetin na di sayn dɛm fɔ Gɔt?

Wan gaut atak na tin we kin rili mek pɔsin fil pen. I kin bigin wantɛm wantɛm, bɔku tɛm na midul nɛt. We yu gɛt gaut atak, yu kin notis sɔm sayn dɛn lɛk dis na yu jɔyn we dɔn afɛkt:

• Siri pen we pɔsin nɔ go ebul fɔ bia.
• di skin we de rawnd di joyn de rεd כ di kכla de chenj.
• Stif na di joyn, i nɔ izi fɔ bɛn ɛn strɛch.
• De swɛl.
• Nɔto jɔs we a ol mi an, bɔt ivin we a tɔch di bedshit, di pen (tɛndnɛs) nɔ kin bia.
• di joyn de fil wam, lεk se i "on faya."

Aw lɔng wan gaut atak kin las?

Bɔrku tɛm, gaut atak kin tek lɛk wan ɔ tu wiks. Sɔm flawa kin las fɔ lɔng tɛm, ɛn sɔm kin mek yu gɛt mɔ siriɔs sik. Yu nɔr kin gɛt ɛni gaut simptom bitwin di atak dɛm.

Wetin kin mek pɔsin gɛt gaut?

As wi bin dɔn tɔk, gaut kin apin we di bɔdi gɛt tumɔs yurik asid (wan tin we wi kɔl ‘hyperuricemia’). dis yurik asid kristכl dεm na dεn de dכpכsit na di jכint dεm εn mek yu fil pen.

Mɛmba se nɔto ɔlman kin gɛt gaut jɔs bikɔs di yurik asid we de na dɛn blɔd dɔn go ɔp smɔl. Bɔrku pipul dɛm wae gɛt hyperuricemia nɔr kin ɛva gɛt gaut. Dis min se ɔda tin dɛn, nɔto jɔs we di yurik asid lɛvɛl go ɔp, kin afɛkt dis.

Udat dɛn kin gɛt mɔ risk fɔ gɛt gaut?

Ɛnibɔdi kin gɛt gaut. Bɔt, man dɛn kin gɛt gaut tri tɛm pas uman dɛn. pan uman dεm, bכku tεm, gכt kin kam afta dεn dכn mεnopos. Pipul wae gɛt sɔm kayn sik wae nɔr de mɛn kin gɛt bɔrku risk bak fɔ gɛt gaut. Dɛn kayn sik ya na:

• We pɔsin wet pasmak ɔ we fat pasmak.
• At kכndyushכn, εspεshali kכnjestiv at fεil.
• Shuga.
• Ay blɔd prɛshɔn (Hypertension).
• Kidni sik.
• Blɔd kansa.

Dɔn bak, yu kin gɛt mɔ risk fɔ gɛt gaut if yu:

• If yu mama ɛn papa ɔ grani ɛn granpa gɛt gaut (we min se na ɛritajmɛnt).
• If yu it tumɔs animal prɔtin – mɔ rɛd mit, sifud, ɛn ɔgan mit lɛk liva ɛn intestinal.
• If yu de drink rɔm ɔltɛm.
• If yu de tek diuretic medication (wata pils).
• If yu de tek immunosuppressants.

Us it dɛn kin mek gaut wɔs?

As wi bin dɔn tɔk, it dɛn we gɛt bɔku purin kin mek di yurik asid lɛvɛl go ɔp na di bɔdi ɛn mek yu gɛt gaut. Na sɔm pan di it dɛm wae kin mek dis sik:

• Drink dɛn we gɛt shuga ɛn swit it dɛn: Af pan di shuga we wi kin it na fruktose, we na wan kayn frut shuga. dis kin kכnvכlt to yurik asid na di bכdi. So, ɛni it ɔ drink we gɛt bɔku shuga kin mek yu gɛt mɔ gaut.
• High fructose con syrup: Dis na bak wan kɔnsɛntret fɔm fɔ fruktose. Yu kin fɛn am bɔku bɔku wan na it dɛn we dɛn pak ɛn snek dɛn we gɛt atifishal flawa.
• Alkol: Pan ɔl we nɔto ɔl rɔm gɛt bɔku purin, rɔm kin mek di kidni dɛn nɔ pul yurik asid, we kin kam bak ɛn gɛda na di bɔdi.
• Ɔgan mit: Tin dɛn lɛk liva, intestinal, bren, ɛn kidni.
• Sɔm gem mit dɛn: Tin dɛn lɛk gɔs ɛn venison gɛt bɔku purin.
• Sɔm sifud dɛn:Fish dɛn lɛk ɛring, ɔysta, mɔsul, kɔd, tuna, trawt, ɛn hadɔk.
• Rɛd mit: bif, got mit, bɔd mit, bekin.
• Turkey: Ɛspɛshali sizin tik mit.
• Grevi ɛn mit sos dɛn.

Impɔtant: Dis nɔ min se yu fɔ avɔyd dɛn it ya kpatakpata. Bɔt i rili impɔtant fɔ mek pɔsin we gɛt gaut it dɛn smɔl smɔl.

Aw yu go no if yu gɛt gaut?

If yu gɛt sayn dɛn fɔ gɛt gaut, go to dɔktɔ. I go chɛk yu ɛn aks yu bɔt di sayn dɛn we yu gɛt. Tɛl di dɔktɔ we yu fɔs notis se yu jɔyn dɛn de pen ɛn swel, ɛn aw ɔltɛm dɛn tin ya kin apin.

Us tɛst dɛn kin du fɔ no if pɔsin gɛt gaut?

Yu dɔktɔ kin du sɔm imej tɛst fɔ tek pikchɔ fɔ yu jɔyn dɛn we dɔn afɛkt. Dɛn tɛst ya kin chɛk bak fɔ ɛni jɔyn damej we gaut kin mek. Yu kin nid fɔ gɛt tɛst dɛn lɛk dɛn wan ya:

• X-ray we dɛn kin du.
• Ultrasound we dɛn kin yuz.
• MRI (Magnetik Rɛsɔnans Imej).
• CT skan – mɔ di dual-ɛnaji CT skan.

Ɔda tɛst dɛn we dɛn kin yuz fɔ no if pɔsin gɛt gaut na:

• Blɔd tɛst dɛn we de sho di lɛvɛl we yurik asid de na yu blɔd.
• Joint aspiration: na we dεn de yuz nidul fכ pul wan sεmpl fכ wata we de insay di joyn. dis kin kכrekt fכ no if yurik asid kristכl dεm de.

Aw dɛn kin trit gaut?

We yu de trit gaut, tu men tin dɛn de we yu fɔ tink bɔt. Wan na fɔ kɔntrol di simptom dɛm we gaut atak apin, ɛn di ɔda wan na fɔ ridyus di yurik asid lɛvɛl bay we yu de ridyus di it dɛm we gɛt bɔku purin.

Mɛrɛsin fɔ Gɔt

Yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin lɛk dis fɔ ɛp fɔ kɔntrol di sayn dɛm:

• NSAID (Non-Steroidal Anti-Inflammatory Drugs): Dɛn tin ya na mɛrɛsin dɛn we de mek pɔsin fil pen ɛn we de mek pɔsin nɔ gɛt inflammatory. Fɔ ɛgzampul, yu kin bay mɛrɛsin lɛk ibuprofen ɛn naproxen na di famasi. Bɔt dɛn tin ya nɔ fayn fɔ pipul dɛn we gɛt prɔblɛm lɛk kidni sik ɔ bɛlɛ ɔlsa. So, nɔ tek dɛn tin ya we yu nɔ go to dɔktɔ.
• Kɔlchisin: Dis na mɛrɛsin we dɛn kin gi pɔsin. If yu tek am insay 24 awa afta yu gɛt gaut atak, i kin mek yu nɔ gɛt inflamɛns ɛn pen.
• Kɔtikosterɔyd: Dɛn mɛrɛsin ya na mɛrɛsin bak we de ridyus di inflamɛns. Yu dɔktɔ kin gi yu dɛn tin ya as pils fɔ tek yu mɔt. Dɛn kin gi yu injɛkshɔn bak na di jɔyn we afɛkt ɔ wan mɔsul we de nia yu.

Yu dɔktɔ kin gi yu mɛrɛsin bak fɔ mek di yurik asid we de na yu blɔd go dɔŋ. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na:

• Alɔpurinol we dɛn kɔl.
• Febuxostat we dɛn kɔl Febuxostat.
• Pɛglotikaz.
• Probenecid we dɛn kɔl Probenecid.

Low purine diet fɔ gout

Yu dɔktɔ go tɛl yu fɔ fala di it we nɔ gɛt bɔku purine . Dis involv fɔ kɔt it dɛn we gɛt bɔku purin ɛn it mɔ pan sɔm it dɛn we de ɛp fɔ mek di yurik asid lɛvɛl go dɔŋ.

Yu tink se dɛn kin mɛn Gaut kpatakpata?

Infakt, dɛn nɔ go ebul fɔ mɛn gaut kpatakpata. Bɔt if yu wok wit dɔktɔ fɔ fɛn di rayt tritmɛnt fɔ kɔntrol di sik dɛn we yu gɛt ɛn fɔ mek yu yurik asid nɔ bɔku, yu kin ridyus di frɛkuɛns we yu kin gɛt gaut.

Wetin pɔsin we gɛt gaut fɔ ɛkspɛkt?

If yu gɛt gaut, yu fɔ ɛkspɛkt se yu sik dɛn go kam ɛn go. If yu nɔr gɛt di rayt diagnosis ɛn tritmɛnt, dɛn flawa ya kin kam mɔr.

Fɔ sɔm pipul dɛm, ivin afta dɛn dɔn bigin fɔ trit dɛn, as dɛn yurik asid lɛvɛl de ajɔst to nyu mɛrɛsin ɔr chenj na dɛn it, dɛn kin gɛt sɔm mɔ gaut atak dɛn we dɛn bigin. Dis na nɔmal tin.

Wetin na de luk fɔ pipul dɛm wae gɛt gaut?

Bɔrku pipul dɛm wae gɛt gaut kin si wan kɔmbayn tritmɛnt ɛn chenj na dɛn layf wae kin woke fɔ dɛn as tɛm de go. Dɛn tin ya kin ɛp dɛn fɔ kɔntrol dɛn sik ɛn ridyus di frɛkuɛns fɔ gaut atak. Gaut na wan sik we pɔsin kin mɛn. if yu kip di bכdi yurik asid lεvεl dεm dכn 6 mg/dL i kin ridyus di frεkuεns fכ gכt atak bכku bכku wan.

Bɔt if dɛn nɔ trit am, gaut kin mek di jɔyn dɛn pwɛl sote go. di lumps we de fכm na di joyn dεm εn di sכft tisu dεm frכm yurik asid dεn kכl dεm tכfi. Sɔm pipul dɛm wae gɛt gaut wae nɔr gɛt tritmɛnt kin gɛt ɔda wɛl bɔdi prɔblɛm dɛm bak, lɛk:

• Sivεr jכyn inflameshn εn joyn dεfכmiti.
• tכfi – lכmp dεm we de fכm bay di akyumyuleshכn fכ di yurik asid kristכl dεm na di joyn dεm εn sכft tisu dεm.
• Kidni ston dɛn.
• At sik.

Yu tink se dɛn kin mek pɔsin nɔ gɛt Gɔt?

Di bɛst we fɔ mek yu nɔ gɛt gaut na fɔ lɛ yu nɔ it it dɛn we gɛt bɔku purin. Dɔn bak, drink bɔku wata fɔ mek yu kidni dɛn kɔntinyu fɔ wok fayn ɛn fɔ mek yu nɔ gɛt wata na yu bɔdi.

We yu de du ɛksɛsayz ɔltɛm, i nɔ jɔs de mek yu jɔyn dɛn nɔ strɛs, bɔt i de ɛp bak fɔ protɛkt yusɛf frɔm fat ɛn ɔda tin dɛn we kin mek yu gɛt gaut.

Aw fɔ kɔntrol pɔsin we gɛt gaut?

We yu gɛt gaut atak, yu kin du dɛn tin ya fɔ kɔntrol yu sik dɛn:

• Nɔ drink rɔm ɛn drink we gɛt shuga.
• Drink bɔku wata.
• Kip di joyn we afɛkt ɔp di lɛvɛl na di at as yu ebul.
• Put ays pan di jɔyn. Ɔ rap ays pak wit tin tawɛl ɔ put kol pak fɔ lɛk 15-20 minit bɔku tɛm insay di de.
• Ridyus di prɛshɔn pan di jɔyn bay we yu nɔ de du ɛksɛsayz ɔ fɔ du bɔku bɔku tin dɛn.

Ustɛm a fɔ go to dɔktɔ?

If yu fil pen wantɛm wantɛm na ɛni wan pan yu jɔyn dɛn, mɔ if di jɔyn dɔn swel, rɛd, ɔ in kɔlɔ dɔn chenj, go to dɔktɔ wantɛm wantɛm. Di sayn dɛm fɔ gaut kin tan lɛk di wan dɛm wae de kam wit infekshɔn wae nid fɔ trit kwik kwik wan.

If yu de gɛt mɔ gaut atak, ɔ if yu sik dɛn de wɔs pas aw yu bin de bifo, tɔk to yu dɔktɔ bɔt dat bak.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• A gɛt gaut ɔ ɔda kayn at at sik?
• Wetin a fɔ du fɔ mek a nɔ gɛt gaut atak tumara bambay?
• Us it ɛn drink dɛn a fɔ avɔyd?
• A go nid mɛrɛsin fɔ mɛn gaut?

Wetin na di fɔs sayn dɛm fɔ gɛt gaut?

Bɔku tɛm, gaut atak kin kam wantɛm wantɛm, ɛn dɛn nɔ kin wɔn am bɔku. Bɔku tɛm yu go bigin fɔ fil pen wantɛm wantɛm, we yu nɔ go ebul fɔ bia na di jɔyn we dɔn afɛkt. Bɔku tɛm, gaut atak kin apin na nɛt. So yu kin notis dɛn sayn ya we yu wek na mɔnin. Na kɔmɔn tin fɔ mek gaut atak kɔmɔt frɔm we i nɔ gɛt ɛni sayn to we i gɛt siriɔs sik wantɛm wantɛm.

If dɛn nɔr dɔn no se yu gɛt gaut bifo, ɔr yu nɔr dɔn gɛt sɔm kayn sik lɛk dis bifo, go to dɔktɔ kwik kwik wan fɔ mek shɔ se yu nɔ gɛt ɔda sik, lɛk infekshɔn.

If yu dɔn no se yu gɛt gaut ɛn fil lɛk se yu de bigin fɔ gɛt flawa, tek di mɛrɛsin we yu dɔktɔ gi yu wantɛm wantɛm fɔ kɔntrol yu sik dɛn.

Fɔ dɔn, mɛmba (Take-Home Message) .

Gaut na wan sik wae de mek di joyn dεm wae de mek yu fil pen. di shap kristכl dεm we de fכm frכm di εksyכs yurik asid na di bכdi de kכmכt na di jכint dεm, we de mek sכmtεm dεm lεk pen εn swεla. If yu tɔk to yu dɔktɔ ɛn lan bɔt di mɛrɛsin ɛn chenj dɛn we yu de it, yu go ebul fɔ kɔntrol di sik dɛn we yu gɛt ɛn ridyus di frɛkuɛns we yu go gɛt gaut tumara bambay. Nɔ wɔri, dis na kɔndishɔn we pɔsin kin ebul fɔ manej. Di tin we impɔtant pas ɔl na fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.

` Gaut, yurik asid, joyn pen, joyn swɛlin, purines, gaut, it kɔntrol