Gout i nei em? A nih loh leh i hriat miin a nei em? Chutiang a nih chuan, i kut zungtang, i kekawrte, a nih loh leh i khup-ah te hian hêng natna tê tê, natna nei lote hi i hmu tawh em? Mi tam tak chuan hengte hi thil pangngaiah an ngai a, an ngaihthah a, mahse a takah chuan gout natna khirh zawk chhinchhiahna a ni thei. Vawiin hian thupui pakhat, mi tam takin an hriat loh, mahse a pawimawh em em, ‘Tophi’ tih kan sawi dawn a ni.
A awlsam zawngin, Tophi hi eng nge ni?
Tophi hi uric acid crystal lian tak tak a ni a, i tissue-ah a lo awm khawm thin. Hei hi advanced gout symptom pawimawh tak a ni.
Imagine, when the amount of uric acid in our blood becomes too high , a condition medically known as hyperuricemia, he extra uric acid hi glass shards te tak te angin a inzawm khawm tan a, kan ruhkawr ah a deposit tan thin. Hei hi gout natna avanga natna nasa tak kan neih chhan a ni.
A tirah chuan heng crystal te hi an te hle a. Mahse gout hi enkawl tha a nih loh chuan hun kal zelah heng uric acid crystal te hi an inzawm khawm a, lumps lian tak tak, a nih loh leh nodules an siam thin. Heng vun hnuaia hnim hring ang maia langte hi tophi an ti a. He natna hi chronic tophaceous gout tia koh a ni a, a lo awm theih nan kum tam tak a ngai tlangpui.
A pawimawh ber chu tophi hi gout chu thunun theih loh a nih tawh thu leh natna a nasat tawhzia tilangtu chak tak a ni.
Khawiah nge heng tophi te hi taksaah hian an lo thanlen theih ang?
A tam zawkah chuan heng lumps te hi kan ruh chhung leh a chhehvelah a lo awm thin. Entir nan:
- Cartilage a ni
- Synovial membrane a awm a
- Ruh te
- Fat tissue a ni
- Tendons te hi a awm
- Ligaments (ligaments) te
Chumi awmzia chu, i kut zungtang, i kutphah, i kutphah, i khup, leh i ke ruhte ang chi ruh awmna hmunah an hmu tam ber tihna a ni .
Mahse mak tak maiin, a chang chuan heng tophi te hi beisei loh hmunah an lo piang thei a ni.
- Beng bulah chuan
- Hnar chhungah
- Kidney-ah chuan
- Vun chunglam
- Mit var (sclera) .
- Thinlung valve a awm
A tam zawkah chuan heng lumps te hi a na lo . Hei hi hengte hi kan taksain a lo hman tawh, lump hlui, hun rei tak atanga lo awm tawh an nih vang pawh a ni thei. Mahse, heng lumps te hi a lian chhoh zel chuan an chhehvel vun chu a tight hle thei a, a na thei a, a khauh thei bawk. A châng chuan, heng lumps te hi a chhe thei a, chalky white uric acid fluid a chhuak thei bawk . Chutiang a nih chuan hliam chu a na hle thei a, a dam nan hun rei tak a daih thei bawk.
| Mihring ziarang | Tophi lump awm dan |
|---|---|
| Landan | Vun hnuaia hnah khauh tak, a tam zawkah chuan zungbun ang maia awm. Pea ang maia te emaw, orange ang maia lian emaw pawh a ni thei. |
| Na | A tlangpuiin a na lo a, mahse a zung chu a lian a, vun a inzawm emaw, a tikehsawm emaw chuan a na thei hle. |
| Thil danglam bik a awm | Nodules thenkhatah chuan an chung lamah uric acid fluid dum a awm thei. Hei hian rheumatoid arthritis-a hmuh theih nodules atanga thliar hrang turin a pui thei a ni. |
Tophi natna avanga harsatna awm thei leh hlauhawmna
Heng bumps te hi thil mawi tak tak mai a ni lo. Kan taksaah chhiatna nasa tak an thlen thei a ni.
- Ruh leh tissue tihchhiat: Tophi lump hian a lo pian chhuahna tissue, ruh leh cartilage ang chi te chu zawi zawiin a ti bo thei a, a tichhia thei bawk. He chhiatna hi tihdanglam theih loh a ni fo.
- Joint damage: Joint a thawk tha tur chuan a soft tissue te, cartilage ang chi te hi a hrisel a ngai a ni. Tophi hian he tissue hi a tichhia thei a, ruh chu a che thei lo.
- Harsatna dang: A tlem hle nachungin, tophi lump hian nerve a compress thei a, a kai thei a, a nih loh leh organ pakhat, kidney ang chi hnathawh a tibuai thei bawk.
Engvangin nge heng tophi te hi an lo awm? Engtin nge kan enkawl ang?
Kan sawi tawh ang khan a chhan ber chu thisenah uric acid level thunun loh vang a ni. Kan immune system-a special cells macrophages an tihte hian heng uric acid crystals te hi paih chhuah tumin bei mah se, uric acid level a san reng chuan heng cell te hian heng crystals te hi an paih chhuak vek thei lo.
Hun a kal zel a, heng cell te hi uric acid ball lian tak tak vel ah an inkhawm a, a lan dan tur an siam thinIt's like building a wall , taksa dang atanga then hran tum. Chu chu granuloma kan tih chu a ni. Tophus chu uric acid lump lian tak, chutianga lo awm chu a ni.
Enkawl dan tur
Vanneihthlak takin he dinhmun hi control theih a ni. Doctor-te chuan thisena uric acid level tihhniam thei damdawi an pe ber a ni.
- Damdawi: Damdawi Allopurinol leh Febuxostat te hian uric acid siam chhuah a ti tlem a. Heng damdawi te hian tophi thar a lo awm loh nan a pui thei a, tophi awmsa pawh a hmin thei bawk. Mahse heng lumps te hi a hmin theih nan thla 6 tal damdawi ei chhunzawm zel a ngai a ni . He enkawlna hi doctor enkawlna hnuaiah chauh hman tur a ni .
- Surgery: Tophi lump a lian hle a, a na a, a natna a lo awm a, a ruh a tichhe nasa hle a nih chuan i doctor chuan surgery hmanga lakchhuah (tophectomy) a rawt thei ang.
Nunphung a inthlak danglam thin
Damdawi bakah hian i nunphung i tihdanglamna thenkhat hian gout control-na kawngah kawng thui tak a zawh thei a ni.
| Eng nge tihdanglam ngai | Hrilhfiahna |
|---|---|
| Ei leh in | Purine tamna ei tur (e.g., sa sen, tuifinriat thil, zu) leh in tur thlum tamna ei khap rawh. Thlai, thei leh fiber tamna ei tur tam zawk ei rawh. |
| Damdawi dang | Condition dang atana i ei thin damdawi thenkhat (e.g., diuretics thenkhat) hian uric acid level a tisang thei a ni. Hemi chungchang hi i doctor nen sawiho la, a tul chuan inthlak danglamna siam rawh. |
| Damdawi lam thurawn | Doctor hnena a tih ang anga hmuh a pawimawh hle a, damdawi pek tawhte ei kha bansan ngai lo turin a pawimawh hle. |
Gout hi tihdam kim theih ni lo mah se, enkawlna leh nunphung dik tak hmang chuan i uric acid level i control thei ngei ang, gout ang chi harsatna lian tham tak tak i veng thei a, nun hrisel tak i hmang thei bawk.
Take-Home Thuchah a ni
- Tophi hi gout a na tawh a, a control tha lo tih hriattirna a ni.
- Heng lumps te hi thisenah uric acid level rei tak a san avangin a lo awm thin.
- Natna nei lo fo mah se, hengte hian ruh leh ruhte chu tihdanglam theih loh khawpin a tichhe thei a ni.
- Enkawlna ber chu doctor-in a pek uric acid tihhniamna damdawi ei chhunzawm zel hi a ni.
- I taksaah heng lumps te hi i neih chuan ngaihthah suh la, i doctor nen inbia ngei ang che.
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