Hetiang ruh natna nasa tak hi i nei ve em? Gout chungchang hi i zir belh leh ang u.

A châng chuan zing i thawh hian ruh, a bîk takin i ke ruh lian tak, i khup, a nih loh leh i ke ruh chu a sen thut a, a hring a, a na em? I khawih pawh theih loh khawpin a na em? Mei alh ang maiin a hria em? Chutiang a nih chuan ‘gout’ tih natna i nei mai thei. Mi tam tak chuan ‘gout’ an ti bawk. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.

Gout hi eng nge ni tak tak?

A awlsam zawngin, gout hi inflammatory arthritis chi khat a ni . Kan taksaa chemical pakhat uric acid an tih tam lutuk vang a ni. Uric acid hi taksain ei tur thenkhata awm purines an tih chemical a tihchhiat hian a siam chhuak thin. A tlangpuiin he uric acid hi kan kal atang hian a filter chhuak a, kan zun ah a chhuak thin.

Mahse, a chang chuan kan taksa hian uric acid a siam tam lutuk a, a nih loh leh kan kal (kidney) hian a paih chhuak tha thei lo. Chutah chuan buaina chu a intan ta a ni. He extra uric acid hi kan ruh (joint)-ah hian hling ang maia hling ang maiin a lo awm tan thin. Heng crystal te hi an lo awm khawm chuan ‘gout attack’ a lo thleng nghal a, natna nasa tak leh hliam na tak a awm bawk.

A tam zawkah chuan hei hian ke ruh lian (big toe joint) a nghawng thin. Mahse, he natna hian i ke ruh dangte pawh a nghawng thei a ni , too. Entir nan:

• Khup a ni
• Ke rek
• Ke ruh inzawmna dangte
• Kut leh kutkawr inzawmna (joints) te
• Elbows a ni

Gout symptoms hi a lo thleng leh fo thin. Hengte hi ‘flares’ emaw ‘gout attack’ emaw kan ti thin. I doctor chuan i uric acid level tihhniam nan damdawi a pe ang che a, chubakah ei leh in thlak danglamna tur pawh a pe bawk ang. Hei hian heng gout attack te hi a tihziaawm thei a ni.

Gout natna lan chhuahna chu engte nge ni?

Gout attack hi thil hrehawm tak a ni. A intan nghal thei a, a tam zawk chu zanlai pelh hnuah a ni. Gout attack i neih hian i ruh natnaah hian hetiang symptoms hi i hmu thei ang:

• Natna nasa tak tuar theih loh.
• Joint chhehvel vun sen emaw rawng danglam emaw.
• Joint a stiffness, bending leh stretch harsa.
• Vung.
• Ka kut ka vawn lai chauh ni lovin, khum puan ka khawih pawhin a na (tenderness) chu tuar theih loh khawpin a awm.
• Joint chu a lum hle a, "mei alh" ang maiin a awm.

Gout attack hi eng chen nge a awm theih ang?

Gout attack hi kar khat emaw kar hnih emaw vel a ni tlangpui. Flare thenkhat chu rei zawk a daih thei a, thenkhat chuan symptom na zawk a thlen thei bawk. Attack inkar ah hian gout symptoms i nei lo mai thei.

Eng thilin nge gout hi a thlen?

Kan sawi tawh ang khan gout hi taksain uric acid (‘hyperuricemia’ kan tih ang chi) a neih tam lutuk hian a lo awm thin. Heng uric acid crystals te hi ruhkawr chhunga deposit leh natna thlentu an ni.

Mi zawng zawng hian an thisena uric acid level a san deuh vang mai maiin gout an vei vek lo tih hre reng ang che. Hyperuricemia vei tam tak chuan gout an nei ngai lo. Hei hian a awmzia chu uric acid level sang chauh ni lovin thil dangin hei hi a nghawng thei tihna a ni.

Tute nge gout vei theihna sang zawk?

Tu pawhin gout an nei thei. Mahse, mipa hian hmeichhia aiin a let thum zetin gout an vei tam zawk. Hmeichhiaah chuan gout hi menopause hnuah a lo awm fo thin. Natna khirh tak tak thenkhat nei te pawh hi gout vei an hlauhawm zawk bawk. Chutiang natnate chu:

• Thau lutuk emaw thau lutuk emaw.
• Lung natna, a bik takin congestive heart failure.
• Zunthlum.
• Thisen sang (Hypertension).
• Kal natna.
• Thisen cancer a ni.

Tin, gout vei theihna i nei sang thei bawk a, chu chu:

• I nu leh pa emaw, i pi leh pu emaw hian gout an vei a nih chuan (hereditary tihna a ni).
• Rannung protein i ei tam lutuk chuan – a bik takin sa sen, tuifinriat thil, leh organ sa, liver leh intestines ang chi te.
• Zu i in fo chuan.
• Diuretic damdawi (tui pills) i ei a nih chuan.
• Immunosuppressant i ei a nih chuan.

Eng ei tur nge gout tizual?

Kan sawi tawh ang khan purines tamna ei tur hian taksaa uric acid level a tisang thei a, gout a thlen thei bawk. Hei hi a thlen thei ei tur thenkhat chu hetiang hi a ni:

• Sugary drinks leh sweet foods: Sugar kan ei zinga a chanve chu fructose a ni a, chu chu fruit sugar chi khat a ni. Hei hi taksaah uric acid ah a inthlak a. Chuvangin, ei leh in eng pawh, sugar tamna chuan gout a tipung thei a ni.
• Fructose sang corn syrup: Hei hi fructose chi khat concentrated tak a ni bawk. Ei tur packaged leh snack artificial flavour neiah te pawh a tam hle.
• Zu: Zu zawng zawng hian purines a pai tam lo nain, zu hian kal atanga uric acid paih chhuah a titawp a, chu chu a insiam leh a, taksaah a pung khawm leh thin.
• Organ sa: Liver, intestines, thluak, leh kal ang chi thil te.
• Game sa thenkhat: Goose leh venison ang chi thilah hian purines a tam hle.
• Tuipui thil thenkhat:Nga te chu herring, oyster, mussel, cod, tuna, trout, leh haddock te an ni.
• Sa sen: bawng sa, kel sa, vawk sa, bacon.
• Turkey: A bik takin turkey sa seasoned.
• Gravy leh sa sauce te.

Pawimawh: Hei hian heng chawte hi i pumpelh vek tur a ni tihna a ni lo. Mahse, gout vei tan chuan a tlem berah ei a pawimawh hle.

Engtin nge gout i vei tih i hriat theih ang?

Gout symptoms i neih chuan doctor pan tur a ni. A enfiah ang che a, i symptoms te a zawt ang che. Doctor hnenah ruh natna leh hliam i hriat tirh lai te, heng symptoms te hi eng chen nge a lo awm tih te hrilh bawk ang che.

Gout natna hriat theih nan eng test nge tih thin?

I doctor chuan imaging test thenkhat a ti thei a, chu chuan i ruh natna te chu a la thei a ni. Heng test te hian gout vanga ruh chhiatna a awm leh awm loh a enfiah thei bawk. Hetiang test hi i neih a ngai mai thei:

• X-ray hmanga tih a ni.
• Ultrasound hmanga tih a ni.
• MRI (Magnetic Resonance Imaging) hmanga tihchhuah a ni.
• CT scan – a bik takin dual-energy CT scan.

Gout hriat theihna atana hman tlanglawn test dangte chu:

• Thisen test hmanga i thisena uric acid awm zat tehna.
• Joint aspiration: Joint chhunga tui sample lakchhuahna atana needle hmanga lak chhuah dan. Hei hian uric acid crystal awm leh awm loh dik takin a hre thei a ni.

Engtin nge gout hi enkawl a nih?

Gout enkawlnaah hian thil pawimawh pahnih ngaihtuah tur a awm. Pakhat chu gout attack a awm huna symptoms control nan a ni a, pakhat zawk chu purines tamna ei tur tihtlem a, uric acid level tihhniam a ni.

Gout damdawi hman tur

I doctor chuan natna lan chhuahna control-na atan heng ang damdawi hi a rawn rawt thei ang:

• NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): Hengte hi natna tidamtu leh natna dotu damdawi te an ni. Entirnan, damdawi dawr atangin ibuprofen leh naproxen ang chi damdawi i lei thei ang. Mahse, hengte hi kal natna emaw, pum natna emaw ang chi harsatna nei tan chuan a tha lo hle. Chuvangin hengte hi Doctor rawn hmasa lovin ei loh tur a ni.
• Colchicine: Hei hi prescription damdawi a ni. Gout attack atanga darkar 24 chhunga ei chuan inflammation leh natna a tiziaawm thei a ni.
• Corticosteroids: Hengte hi inflammation tihziaawmna damdawi an ni bawk. I doctor chuan hengte hi ei tur pill angin a pe thei che a ni. Tin, ruh natna emaw, a bul hnaia thau emaw-ah injection an pe thei bawk.

I doctor chuan i thisen uric acid level tihhniam nan damdawi a pe thei bawk. Damdawi hman tam berte chu:

• Allopurinol a ni.
• Febuxostat a ni.
• Pegloticase hmanga enkawl a ni.
• Probenecid a ni.

Gout tan chuan purine tlem ei thin

I doctor chuan purine tlem ei leh in zawm turin a rawt mai thei . Hei hian purines tamna ei tur tihtlem a, uric acid level tihhniamna tura puitu ei tur thenkhat ei tam a huam a ni.

Gout hi a dam kim thei em?

Dik tak chuan gout hi a dam kim thei lo. Mahse, doctor nen thawk hovin i natna lan chhuah dan control tur leh i uric acid level tihhniamna tur damdawi dik tak zawng chhuakin gout attack tamna chu nasa takin i tihtlem thei a ni.

Gout vei chuan eng nge a beisei ang?

Gout i neih chuan i symptoms te chu a lo thleng leh zel ang tih i beisei tur a ni. Diagnosis leh treatment mumal tak i hmuh loh chuan heng flares te hi a lo awm fo thei a ni.

Mi thenkhat tan chuan enkawlna an tan hnuah pawh an uric acid level chu damdawi thar emaw, ei leh in thlak danglam emaw a insiamrem avangin a tir lamah gout attack tlemte an nei leh thei a ni. Hei hi thil pangngai a ni.

Gout vei te tan engtin nge an hmalam hun?

Gout vei tam tak chuan enkawlna leh nunphung inthlak danglamna inzawmkhawm an hmu a, chu chuan hun kal zelah an tan a thawk tha hle. Hengte hian an symptoms control nan a pui thei a, gout attack awm fo pawh a ti tlem thei bawk. Gout hi enkawl theih a ni. Thisena uric acid level 6 mg/dL hnuai lam dah hian gout attack tamna nasa takin a ti tlem thei a ni.

Mahse, enkawl loh chuan gout hian ruh a tichhe vek thei a ni. Uric acid atanga ruh leh soft tissue-a lumps lo awmte hi tophi an ti a. Gout enkawl loh mi thenkhat chuan hriselna lama harsatna dang an nei thei bawk a, chungte chu:

• Ruh natna nasa tak leh ruh natna (joint deformity) nasa tak a awm.
• Tophi – ruh leh soft tissue-a uric acid crystal awm khawm avanga lumps lo awm.
• Kidney-ah lung a awm.
• Lung natna.

Gout hi ven theih a ni em?

Gout laka invenna tha ber chu purines tamna ei tur i ei tlem hi a ni. Tin, i kal (kidney) a thawk tha tur leh dehydration a awm loh nan tui tam tak in thin ang che.

Exercise neih fo hian i ruh (joint)-a stress a tihziaawm mai bakah, thau lutuk leh gout lo awm chhan dangte lakah a venghim bawk.

Gout attack hi engtin nge kan control theih ang?

Gout attack i neih chuan i symptoms control nan hengte hi i ti thei ang:

• Zu leh in tur thlum hi pumpelh tur a ni.
• Tui tam tak in thin ang che.
• A theih ang angin ruh natna chu thinlung level aia sangah dah tur a ni.
• Joint ah ice hnawih rawh. Ice pack chu towel te tak te hmangin khuh la, ni khatah vawi tam tak minute 15-20 vel cold pack hnawih bawk ang che.
• Exercise hahthlak tak tak emaw, taksa tihchakna emaw pumpelh la, ruh chunga pressure tihziaawm rawh.

Engtikah nge Doctor ka hmuh ang?

I ruh eng emaw zatah natna nasa tak, na tak i neih chuan, a bik takin ruh chu a hring emaw, a sen emaw, a rawng a danglam emaw a nih chuan doctor pan nghal rawh. Gout natna lan chhuah dan hi natna hrik enkawl vat ngai nen a inang thei a ni.

Gout attack i neih tam zawk a nih chuan, emaw, i symptoms a hma aia na zawk a nih chuan, chu pawh chu i doctor nen sawiho rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

• Gout emaw arthritis chi dang emaw ka nei em?
• Nakin lawka gout attack ka neih loh nan eng nge ka tih ang?
• Eng ei leh in nge ka ei loh tur?
• Gout enkawlna atan damdawi ka mamawh dawn em?

Gout natna lan chhuahna hmasa berte chu engte nge ni?

Gout attack hi a lo thleng thut tlangpui a, vaukhânna tam tak a awm lo. I ruh natna hmunah hian natna rang tak, tuar theih loh i nei tan fo ang. Gout attack hi zan lamah a thleng fo thin. Chuvangin zing i thawh hian heng symptoms te hi i hmu mai thei. Gout attack hi symptom nei lo atanga symptom na tak tak nei nghal mai hi thil awmze nei tak a ni.

Gout i vei tih hmuhchhuah i la nih loh chuan, emaw, hetiang symptoms hi i la nei lo a nih chuan, a rang thei ang bera doctor pan la, natna dang, infection ang chi i neih loh nan doctor pan rawh.

Gout i vei tih i hriat tawh a, flare-up i tan tirh ang maia i hriat chuan i symptoms control nan i doctor-in damdawi a pek chu ei nghal rawh.

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Gout hi ruh natna (inflammatory condition) na tak a ni. Taksa chhunga uric acid tam lutuk atanga siam crystal nalh tak takte chu ruhkawr ah a pung khawm a, chu chuan natna leh hliam ang chi symptoms a thlen thin. I doctor nena inbiakna leh damdawi leh ei leh in thlak danglamna chungchang i hriat hian i natna lan chhuah dan i thunun thei a, nakin lawka gout attack i neih tam dan pawh i tihtlem thei bawk. Ngaihtuah buai suh, hei hi manageable condition a ni. A pawimawh ber chu doctor thupek zawm hi a ni.

` Gout, uric acid, ruh na, ruh hring, purines, gout, diet control