Diabetes leh gout inzawmna chungchanga i hriat tur

Type 2 Diabetes i neih chuan Gout tih natna i vei theihna a sang deuh hlek a ni. Mak ti suh, a sir lehlamah pawh a dik a ni. Chu chu, gout i neih chuan zunthlum vei theihna i nei bawk tihna a ni. Heng natna pahnih hi ṭhian pahnih ang mai a ni. Mahse, ṭhian ṭha tak a ni lo. Chuvangin, vawiinah hian he thu hi tlem tal sawi ila. Hei hi hriatthiamna chuan heng dinhmun pahnih hi i enkawl theih nan a pui ang che.

A hmasain Gout chu eng nge a nih i en ang u.

A awlsam zawngin sawi ila, gout hi ruh natna chi khat a ni a, ruh natna rang tak, nasa tak thlentu a ni. Ke ruh lian atang hian a intan fo thin. Mahse ruh dang, khup, ke ruh leh kekawrte pawh a nghawng thei bawk. A natna hi a nasat em avangin mi thenkhat chuan puan in an taksa a khawih pawhin tuar theih loh khawpin natna an nei thin.

Okay, chuti a nih chuan engvangin nge hetiang hi a thlen? Hetiang dinhmun hi kan taksaa chemical ``uric acid`` a pun chuan a lo awm thin. Hei hi medical science-ah chuan ``hyperuricemia`` an ti a. ``uric acid`` hi bawlhhlawh a ni a, kan taksa cell te a chhiat a, ei tur thenkhat (a bik takin ``purines`` tamna ei tur) kan ei hian a lo awm thin. A tlangpuiin he ``uric acid`` hi thisenah a inthiar a, kal kaltlangin a kal a, zunah a chhuak thin.

Amaherawhchu, i taksain uric acid a siam tam lutuk chuan, emaw, i kal (kidney)-in a paih chhuak tha thei lo a nih chuan i thisena uric acid level a sang chho zel a ni. Hun a kal zel a, he uric acid tam lutuk hi crystal te tak te, hrual takah a chang a, i ruh chhungah a awm ta a ni. Chutah chuan natna nasa tak leh hliam na tak chu a intan ta a ni.

A tam zawkah chuan gout attack hmasa ber hi kar khat emaw ni sawm emaw vel a ni thei. Tin, mi pakhat nei tawh chuan kum 3 chhungin a nei leh theihna chance 85% a nei bawk. Hei hi a chang chuan rochun atanga lo chhuak a ni thei bawk. I nu emaw, i pa emaw, i unaupa emaw chuan a lo nei tawh a nih chuan i hlauhawm hle.

Engtin nge he zunthlum leh gout inzawmna hi a lo awm?

Kan sawi tawh ang khan zunthlum vei te hian an thisenah `uric acid` a tam zawk thin. Chutiang bawkin `uric acid` sang tak nei te pawhin zunthlum an vei tam zawk. Hei hi a chhan ber chu `insulin resistance` an tih dinhmun a ni tih hmuhchhuah a ni.

Type 2 diabetes-ah chuan taksain hormone insulin a hmang dik lo. Hei hian thisen sugar level a tisang a ni. Research atanga a lan dan chuan he insulin resistance hian kidney atanga uric acid paih chhuah a ti tlem a ni. Hei hian thisenah uric acid level a tisang a ni. Tin, uric acid level sang hian insulin resistance a tichhe thei bawk.

Natna pahnihah hian risk factor dang a awm ve ve a, chungte chu:

• Thau lutuk: Zunthlum vei zinga 90% vel chu thau lutuk an ni. Tin, mi thau lutuk chuan taksa rihna pangngai aiin a let li zetin gout a vei tam zawk bawk. Hei hi a chhan chu taksa rihna a san chuan kal (kidney) hian uric acid a paih chhuah theihna a tlahniam a ni.
• Hriselna lama harsatna dang: Zunthlum vei zinga 80% velin thisen sang an nei bawk. Thisen sang hi insulin resistance nen pawh a inzawm tlat a ni. Hei bakah hian gout leh diabetes pahnih hi kal natna leh thinlung natna nen a inzawm tlat a ni.
• Kum: Kum 45 aia upa i nih chuan heng natna pahnih hi i vei theihna a sang zawk.

Gout natna thlentu (triggers) te chu engte nge ni ?

Mi pakhata gout tichhuaktu hian mi dangah a tichhuak lo mai thei. Mahse thil tlemte chu a tlangpuiin gout tichhuak thei a awm . Hengte hi hriat chian a pawimawh.

Thil engemaw takin i gout a ti na nia i hriat chuan i doctor nen a inven dan tur sawipui a tha ber.

Gout leh zunthlum hi engtin nge kan enkawl ang?

Heng dinhmun pahnih hi enkawl dan tha ber chu nunphung tihdanglam hi a ni. Hengte hian i uric acid level bakah i thisen sugar level pawh a control thei dawn a ni.

1. I ei leh in ah fimkhur rawh.

Diet hi an pahnih tan a pawimawh hle. I zunthlum vei nena inmil ei leh in bakah hian gout natna thlentu thilte pawh i ngaihtuah tel a ngai a ni .

• Purine tamna ei tur (sa sen, tuifinriat thil thenkhat) a theih ang anga ei tlem emaw, bansan emaw .
• Zu in hi titawp vek emaw, nasa taka tihtlem emaw.
• I ei leh in ah hian ei tur thau tlem leh yogurt ang chi te telh bawk ang che. Hengte hian gout laka invenna atan a pui tih hmuhchhuah a ni .
• A theih chuan registered dietitian hmu la, chutiang chuan i duh leh mamawh ang zela ei tur ruahmanna i siam thei ang.

2. Exercise tih tur a ni

Exercise neih fo hian thisen sugar level a control mai bakah i taksa rihna a tihtlem phah bawk. I rihna i tihtlem chuan i taksain uric acid a paih chhuah theihna pawh a tipung bawk. Mahse, i doctor nen inbia hmasa la, eng exercise nge i tana tha tur tih i rel ang.

3. Tui tam tak in tur.

Ni khata tui glass 8 (litre 2 vel) in hi tum tha tak a ni. Tui tam in hian i kal (kidney) a thawk tha a, i taksa atanga uric acid a paih chhuak thin. Exercise i tih hian tui i in tam zawk tur a ni.

4. Hriselna lama harsatna dangte thunun

Thisen sang, kal natna, leh thau lutuk ang chi thilte hian uric acid level a tisang thei a, gout a ti na zual thei bawk . Chuvangin, heng zinga pakhat tal i neih chuan doctor hmu fo la, i enkawl dan tur dik tak chu zawm rawh.

Gout natna enkawlna

Zunthlum i vei chuan i uric acid level 6 mg/dL emaw a aia hniam emaw dah hian i hlauhawmna a tihziaawm thei a ni. I level i hriat loh chuan i doctor hnenah thisen test turin zawt la.

I doctor chuan gout enkawlna tur damdawi a pe thei ang .