Kodi muli ndi gout? Kapena kodi pali munthu amene mumamudziwa amene ali nayo? Ngati ndi choncho, kodi munayamba mwaonapo zotupa zazing'onozi, zopanda ululu pa zala zanu, zigongono, kapena mawondo anu? Anthu ambiri amaona izi ngati zachilendo ndipo amazinyalanyaza, koma kwenikweni zingakhale chizindikiro cha vuto lalikulu la gout. Lero tikulankhula za nkhani yomwe anthu ambiri saidziwa, koma ndi yofunika kwambiri, yotchedwa 'Tophi'.
Mwachidule, kodi Tophi ndi chiyani?
Ma tophi ndi makhiristo akuluakulu a uric acid omwe amasonkhana m'thupi lanu. Ichi ndi chizindikiro chachikulu cha gout yoopsa.
Tangoganizirani, pamene kuchuluka kwa uric acid m'magazi mwathu kukukwera kwambiri , matenda omwe amadziwika kuti hyperuricemia, uric acid yowonjezera iyi imayamba kusonkhana pamodzi ngati zidutswa zazing'ono zagalasi ndikuyika m'malo olumikizirana mafupa athu. Ichi ndi chomwe chimayambitsa ululu waukulu womwe timamva mu gout.
Poyamba, makhiristo amenewa amakhala ang'onoang'ono kwambiri. Koma ngati gout sichithandizidwe bwino, pakapita nthawi, makhiristo a uric acid amenewa amalumikizana ndikupanga ziphuphu zazikulu, kapena timibulu. Ziphuphu zimenezi, zomwe zimawoneka ngati ziphuphu zotupa pansi pa khungu, zimatchedwa tophi . Matendawa, omwe amatchedwa gout yosatha, nthawi zambiri amatenga zaka zambiri kuti ayambe.
Chofunika kwambiri, tophi ndi chizindikiro champhamvu chakuti gout yayamba kudwala kwambiri ndipo matendawa afika poipa kwambiri.
Kodi tophi izi zingamere kuti m'thupi?
Kawirikawiri, ziphuphuzi zimapangika mkati ndi mozungulira malo olumikizirana mafupa athu. Mwachitsanzo:
- Kachere
- Ma membrane a synovial
- Mafupa
- Minofu yamafuta
- Minofu ya m'chiuno
- Mitsempha
Izi zikutanthauza kuti zimapezeka kwambiri m'malo omwe muli mafupa, monga zala zanu, zigongono, zigongono, mawondo, ndi akakolo .
Koma zodabwitsa, nthawi zina ma tophi amenewa amatha kupangika m'malo osayembekezereka.
- Mu makutu
- M'mphuno
- Mu impso
- Pamwamba pa khungu
- Kuyera kwa diso (sclera)
- Ma valve a mtima
Nthawi zambiri, ziphuphuzi sizipweteka . Izi zitha kukhala chifukwa chakuti izi ndi ziphuphu zakale zomwe matupi athu azolowera. Komabe, pamene ziphuphuzi zikukulirakulira, khungu lozungulira zimatha kukhala zolimba kwambiri, zopweteka, komanso zolimba. Nthawi zina, ziphuphuzi zimatha kuphulika, kutulutsa madzi oyera a uric acid . Ngati izi zitachitika, bala likhoza kukhala lopweteka kwambiri ndipo limatenga nthawi yayitali kuti lichiritsidwe.
| Khalidwe | Chikhalidwe cha chotupa cha tophi |
|---|---|
| Maonekedwe | Chiphuphu cholimba, chomwe nthawi zambiri chimakhala chozungulira, pansi pa khungu. Chingakhale chaching'ono ngati nandolo kapena chachikulu ngati lalanje. |
| Ululu | Kawirikawiri sizimapweteka, koma zimakhala zopweteka ngati chotupacho chikukulirakulira ndikutambasula kapena kung'amba khungu. |
| Zinthu zapadera | Ma nodule ena akhoza kukhala ndi madzi oyera a uric acid pamwamba pake. Izi zingathandize kuwasiyanitsa ndi ma nodule omwe amapezeka mu nyamakazi. |
Zovuta ndi zoopsa zomwe zingachitike chifukwa cha tophi
Matumbo awa si zinthu zokongola zokha, koma amatha kuwononga kwambiri matupi athu.
- Kuwonongeka kwa mafupa ndi minofu: Chotupa cha tophi chimatha kusungunuka pang'onopang'ono ndikuwononga minofu, monga mafupa ndi cartilage, komwe chimapangika. Kuwonongeka kumeneku nthawi zambiri sikungasinthe.
- Kuwonongeka kwa mafupa: Kuti mafupa agwire ntchito bwino, minofu yofewa, monga cartilage, iyenera kukhala yathanzi. Tophi ikhoza kuwononga minofu iyi, zomwe zimapangitsa kuti mafupawo asayende.
- Mavuto ena: Ngakhale kuti chotupa cha tophi sichimachitika kawirikawiri, chingachepetse mitsempha, kutenga matenda, kapena kusokoneza ntchito ya chiwalo monga impso.
N’chifukwa chiyani ma tophi amenewa amapangidwa? Kodi timawachitira bwanji?
Monga tafotokozera kale, chifukwa chachikulu cha izi ndi kuwonjezeka kosalamulirika kwa kuchuluka kwa uric acid m'magazi. Ngakhale maselo apadera m'thupi lathu otchedwa macrophages amayesa kuchotsa makristalo a uric acid awa, pamene kuchuluka kwa uric acid kumakhalabe kwakukulu, maselowa sangathe kuchotsa makristasi awa kwathunthu.
Pakapita nthawi, maselo amenewa amasonkhana mozungulira mipira ikuluikulu ya uric acid, ndikupanga mawonekedwe omwe amawonekaZili ngati kumanga khoma , kuyesa kulilekanitsa ndi thupi lonse. Ndicho chimene timachitcha granuloma. Tophus ndi chotupa chachikulu cha uric acid chomwe chimapangidwa motere.
Njira zochizira
Mwamwayi, vutoli lingathe kuthetsedwa. Madokotala nthawi zambiri amapereka mankhwala omwe amachepetsa kuchuluka kwa uric acid m'magazi.
- Mankhwala: Mankhwala monga Allopurinol ndi Febuxostat amachepetsa kupanga kwa uric acid. Mankhwalawa angathandize kupewa tophi yatsopano kuti isapangidwe ndikuthandizira tophi yomwe ilipo kuti isungunuke. Komabe , zimatenga miyezi yosachepera 6 ya mankhwala osalekeza kuti asungunuke zotupazi . Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wanu akuyang'anira .
- Opaleshoni: Ngati chotupa cha tophi ndi chachikulu kwambiri, chopweteka, chatenga kachilomboka, kapena chikuwononga kwambiri chiwalo cholumikizira mafupa, dokotala wanu angakulangizeni kuti muchotse chotupacho (tophectomy).
Kusintha kwa moyo
Kuwonjezera pa mankhwala, kusintha kwina komwe mumachita pa moyo wanu kungathandize kwambiri pakuletsa gout.
| Zomwe ziyenera kusinthidwa | Kufotokozera |
|---|---|
| Zakudya | Chepetsani zakudya zokhala ndi ma purines ambiri (monga nyama yofiira, nsomba zam'madzi, mowa) ndi zakumwa zotsekemera. Idyani ndiwo zamasamba zambiri, zipatso, ndi zakudya zokhala ndi ulusi wambiri. |
| Mankhwala ena | Mankhwala ena omwe mumamwa pa matenda ena (monga ma diuretics ena) amatha kuwonjezera kuchuluka kwa uric acid m'thupi. Lankhulani ndi dokotala wanu za izi ndipo pangani kusintha ngati pakufunika kutero. |
| Uphungu wa zachipatala | Ndikofunikira kwambiri kuonana ndi dokotala monga mwalembedwera ndipo osasiya kumwa mankhwala omwe mwalembedwa. |
Ngakhale kuti gout singathe kuchiritsidwa kwathunthu, ndi chithandizo choyenera komanso moyo wabwino, mutha kuwongolera kuchuluka kwa uric acid m'thupi lanu, kupewa mavuto akuluakulu monga gout, komanso kukhala ndi moyo wathanzi.
Uthenga Wopita Nawo Kunyumba
- Tophi ndi chizindikiro chochenjeza kuti gout yakula kwambiri ndipo sikulamuliridwa bwino.
- Ziphuphu zimenezi zimapangika chifukwa chakuti kuchuluka kwa uric acid m'magazi kumakhalabe kokwera kwa nthawi yayitali.
- Ngakhale kuti nthawi zambiri sizipweteka, izi zingayambitse kuwonongeka kosatha kwa mafupa ndi mafupa.
- Chithandizo chachikulu ndi kupitiriza kumwa mankhwala ochepetsa uric acid omwe dokotala wamulembera.
- Ngati muli ndi zotupa izi m'thupi lanu, musanyalanyaze ndipo lankhulani ndi dokotala wanu.
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