Ngati muli ndi matenda a shuga a mtundu wachiwiri, muli ndi mwayi wopeza matenda otchedwa Gout . Musadabwe, mbali ina nayonso ndi yoona. Izi zikutanthauza kuti, ngati muli ndi matenda a gout , muli pachiwopsezo chotenga matenda a shuga. Matenda awiriwa ali ngati mabwenzi awiri. Koma si ubwenzi wabwino kwambiri. Chifukwa chake, tiyeni tikambirane za izi mozama pang'ono lero. Kumvetsetsa izi kudzakuthandizani kuthana ndi matenda onsewa.
Choyamba, tiyeni tiwone chomwe Gout ndi.
Mwachidule, gout ndi mtundu wa nyamakazi yomwe imayambitsa kupweteka kwadzidzidzi komanso koopsa m'malo olumikizirana mafupa. Nthawi zambiri imayamba pa chala chachikulu cham'manja. Koma imathanso kukhudza mafupa ena, monga mawondo, akakolo, ndi zigongono. Ululuwu ndi woopsa kwambiri kotero kuti anthu ena amamva kupweteka kosapiririka ngakhale mapepalawo atakhudza matupi awo.
Chabwino, ndiye chifukwa chiyani izi zimachitika? Vutoli limachitika pamene pali kuwonjezeka kwa mankhwala a ``uric acid`` m'thupi lathu. Izi zimatchedwa ``hyperuricemia`` mu sayansi ya zamankhwala. ``uric acid`` ndi zinthu zonyansa zomwe zimapangidwa pamene maselo a thupi lathu amawonongeka komanso pamene tikugaya zakudya zina (makamaka zakudya zokhala ndi ``purines`` zambiri). Kawirikawiri, ``uric acid`` iyi imasungunuka m'magazi, imadutsa mu impso, ndipo imatuluka mu mkodzo.
Komabe, ngati thupi lanu limapanga uric acid wochuluka kwambiri, kapena ngati impso zanu sizingathe kuchotsa bwino, kuchuluka kwa uric acid m'magazi anu kumawonjezeka. Pakapita nthawi, uric acid wochulukirapoyu amasanduka tinthu tating'onoting'ono, tomwe timalowa m'malo olumikizirana mafupa. Pamenepo ndi pomwe ululu waukulu ndi kutupa zimayamba.
Nthawi zambiri, kuukira koyamba kwa gout kumatha kwa sabata imodzi kapena masiku khumi. Komanso, munthu amene wakhala ndi gout ali ndi mwayi wa 85% wokhala ndi gout mkati mwa zaka zitatu. Izi nthawi zina zimatha kukhala zobadwa nazo. Ngati amayi anu, abambo anu, kapena m'bale wanu adadwala gout, muli pachiwopsezo.
Kodi ubale uwu pakati pa matenda a shuga ndi gout umayamba bwanji?
Monga tafotokozera kale, anthu odwala matenda a shuga amakhala ndi `uric acid` yambiri m'magazi mwawo. Mofananamo, anthu omwe ali ndi `uric acid` yambiri amakhala ndi `uric acid` yambiri m'magazi mwawo. Chifukwa chachikulu cha izi chadziwika kuti ndi vuto lotchedwa `insulin resistance`.
Mu matenda a shuga amtundu wachiwiri, thupi siligwiritsa ntchito bwino insulin ya mahomoni. Izi zimapangitsa kuti shuga m'magazi achuluke. Kafukufuku wapeza kuti insulin iyi imachepetsa kutulutsa uric acid mu impso. Izi zimawonjezera kuchuluka kwa uric acid m'magazi. Komanso, kuchuluka kwa uric acid m'magazi kungapangitse kuti insulin isachuluke kwambiri.
Izi zatsimikiziridwa ndi kafukufuku. Kafukufuku wa mu 2014 adapeza kuti akazi omwe ali ndi gout anali ndi mwayi waukulu wa 71% wodwala matenda a shuga kuposa akazi omwe alibe gout.
Palinso zinthu zina zomwe zimayambitsa matenda onsewa:
- Kunenepa Kwambiri: Pafupifupi 90% ya anthu omwe ali ndi matenda a shuga ndi onenepa kwambiri. Komanso, munthu wonenepa kwambiri amakhala ndi mwayi wopeza matenda a gout nthawi zinayi kuposa munthu wonenepa bwino. Izi zili choncho chifukwa pamene kulemera kumawonjezeka, mphamvu ya impso yochotsa uric acid imachepa.
- Mavuto ena azaumoyo: Pafupifupi 80% ya anthu omwe ali ndi matenda a shuga alinso ndi kuthamanga kwa magazi. Kuthamanga kwa magazi kumakhudzananso ndi kukana insulin. Kuphatikiza apo, gout ndi matenda a shuga zimagwirizanitsidwa ndi matenda a impso ndi matenda a mtima.
- Zaka: Ngati muli ndi zaka zoposa 45, chiopsezo chanu cha matenda onsewa chimakhala chachikulu.
Kodi ndi zinthu ziti zomwe zimayambitsa gout ?
Chomwe chimayambitsa gout mwa munthu mmodzi sichingayambitse gout mwa wina. Koma pali zinthu zingapo zomwe nthawi zambiri zimayambitsa gout . Ndikofunikira kudziwa izi.
| Choyambitsa | Kufotokozera |
|---|---|
| Kugwiritsa ntchito mowa | Mowa ndi mowa wamphamvu, makamaka, zimawonjezera kuchuluka kwa uric acid m'thupi. |
| Zakudya zokhala ndi purines zambiri | Nyama yofiira (ng'ombe, nyama ya mbuzi), nyama za m'thupi monga chiwindi, ndi nsomba zina (shrimp, lobster, squid, sardines, halibut). |
| Zakumwa ndi zakudya zokhala ndi shuga | Makamaka zakumwa zotsekemera ndi zakudya zokhala ndi mtundu wa shuga wotchedwa fructose. |
| Mankhwala ena | Mankhwala ena a kuthamanga kwa magazi, kutupa kwa miyendo, ndi matenda a mtima. Lankhulani ndi dokotala wanu za izi. |
| Kusala Kudya ndi Kusowa Madzi M'thupi | Ngakhale ngati madzi sali okwanira m'thupi, kuchuluka kwa uric acid m'thupi kumatha kukwera. |
Ngati mukuganiza kuti pali chinachake chomwe chikukupangitsani kudwala gout , ndi bwino kulankhula ndi dokotala wanu za njira zopewera vutoli.
Kodi mungatani kuti muthane ndi gout ndi matenda ashuga?
Njira yabwino yothetsera mavuto onsewa ndikusintha moyo wanu. Izi zidzakuthandizani kuwongolera kuchuluka kwa uric acid m'thupi lanu komanso kuchuluka kwa shuga m'magazi.
1. Samalani ndi zomwe mumadya ndi kumwa.
Zakudya ndizofunikira kwambiri kwa onse awiri. Kuwonjezera pa zakudya zomwe zimagwirizana ndi matenda anu a shuga, muyeneranso kuganizira zinthu zomwe zimakhudza gout .
- Chepetsani kapena siyani kudya zakudya zokhala ndi purine (nyama yofiira, nsomba zina) momwe mungathere .
- Siyani kumwa mowa kotheratu kapena kuchepetsa kwambiri.
- Phatikizani zakudya monga mkaka wopanda mafuta ambiri ndi yogati muzakudya zanu. Zakudya izi zapezeka kuti zimathandiza kuteteza ku gout .
- Ngati n'kotheka, pitani kwa katswiri wodziwa bwino zakudya kuti mupange dongosolo la chakudya lomwe likugwirizana ndi zomwe mumakonda komanso zosowa zanu.
2. Kuchita masewera olimbitsa thupi
Kuchita masewera olimbitsa thupi nthawi zonse sikuti kumathandiza kulamulira kuchuluka kwa shuga m'magazi komanso kumakuthandizani kuchepetsa thupi. Pamene mukuchepetsa thupi, mphamvu ya thupi lanu yochotsa uric acid imakulanso. Komabe, kambiranani ndi dokotala wanu kaye kuti mudziwe mtundu wa masewera olimbitsa thupi omwe ndi oyenera kwa inu.
3. Imwani madzi ambiri.
Kumwa magalasi 8 a madzi (pafupifupi malita awiri) patsiku ndi cholinga chabwino. Kumwa madzi ambiri kumathandiza impso zanu kugwira ntchito bwino ndikutulutsa uric acid m'thupi lanu. Muyenera kumwa madzi ochulukirapo mukamachita masewera olimbitsa thupi.
4. Lamulirani mavuto ena azaumoyo
Zinthu monga kuthamanga kwa magazi, matenda a impso, ndi kunenepa kwambiri zimatha kuonjezera kuchuluka kwa uric acid ndikuwonjezera gout . Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, pitani kwa dokotala nthawi zonse ndikutsatira chithandizo chomwe mwapatsidwa.
Chithandizo cha gout
Ngati muli ndi matenda a shuga, kusunga uric acid yanu pa 6 mg/dL kapena pansi pake kungathandize kuchepetsa chiopsezo chanu. Ngati simukudziwa kuchuluka kwa uric acid yanu, funsani dokotala wanu kuti akuyezeni magazi.
Dokotala wanu angakupatseni mankhwala ochizira gout .
| Mtundu wa chithandizo | Magwiridwe antchito / Zitsanzo |
|---|---|
| Kuwongolera kuchuluka kwa uric acid m'thupi kwa nthawi yayitali | |
| Mankhwala a Uricosuric | Zimathandiza kutulutsa uric acid wambiri mu impso. |
| Zoletsa za Xanthine oxidase | Amachepetsa kupanga kwa uric acid m'thupi. |
| Kuchepetsa ululu ndi kutupa panthawi ya matenda a gout | |
| Colchicine | Ndi yothandiza kwambiri ngati itengedwa ululu ukangoyamba. Kupweteka m'mimba kungachitike. |
| Corticosteroids | Amaperekedwa ngati mapiritsi (monga Prednisone) kapena ngati jakisoni m'malo olumikizirana mafupa. |
| NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) | Zitsanzo zake ndi Ibuprofen ndi Naproxen. Chofunika kwambiri: Musamwe aspirin. Ikhoza kukulitsa ululu. |
Uthenga Wopita Nawo Kunyumba
- Pali mgwirizano wamphamvu kwambiri pakati pa matenda a shuga ndi gout . Ngati muli ndi vuto la gout, muli ndi mwayi waukulu woti mudwalenso matenda ena.
- Chifukwa chachikulu cha gout ndi kuchuluka kwa uric acid m'magazi. Matendawa amapezeka kwambiri kwa anthu odwala matenda ashuga.
- Chithandizo chabwino kwambiri ndi kusintha moyo. Matenda onsewa amatha kuthetsedwa mwa kudya zakudya zoyenera, kuchita masewera olimbitsa thupi, kuchepetsa thupi, komanso kumwa madzi ambiri.
- Dziwani ndi kupewa zakudya zomwe zimakupangitsani kuti mudwale gout .
- Nthawi zonse lankhulani ndi dokotala wanu za zizindikiro zilizonse kapena chithandizo chilichonse. Musamwe mankhwala nokha.











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