Ese urwaye goutte? Cyangwa hari umuntu uzi uyirwaye? Niba ari uko bimeze, waba warigeze ubona utu tubyimba duto, tutagira ububabare ku ntoki zawe, ku nkokora, cyangwa ku mavi? Abantu benshi babifata nk'ibisanzwe kandi bakabyirengagiza, ariko mu by'ukuri bishobora kuba ikimenyetso cy'indwara ikomeye ya goutte. Uyu munsi turimo kuvuga ku ngingo abantu benshi batazi, ariko ni ingenzi cyane, yitwa 'Tophi'.
Mu magambo make, Tophi ni iki?
Tophi ni utubumbe tunini twa aside urike twiyongera mu ngingo zawe. Iki ni ikimenyetso cy'ingenzi cy'indwara ya goutte igeze kure.
Tekereza, iyo ingano ya aside urike mu maraso yacu ibaye nyinshi cyane , indwara izwi nka hyperuricemia mu buvuzi, iyi aside urike itangira kwivanga nk'uduce duto tw'ikirahure ikajya mu ngingo zacu. Iyi ni yo mpamvu y'ububabare bukomeye twumva muri goutte.
Mu ntangiriro, izi kristu ziba ari nto cyane. Ariko iyo goutte idavuwe neza, uko igihe kigenda gihita, izi kristu za aside urique zirahura zigakora uduheri tunini, cyangwa utubyimba. Utu duheri, tumeze nk'uduheri twabyimbye munsi y'uruhu, twitwa tophi . Iyi ndwara, yitwa gout idakira yo mu bwoko bwa tophaceous, ubusanzwe bifata imyaka myinshi kugira ngo itere imbere.
Icy'ingenzi kurushaho, tophi ni ikimenyetso gikomeye cy'uko goutte yagabanutse kandi ko indwara yabaye mbi cyane.
Ni hehe izi tophi zishobora gukurira mu mubiri?
Akenshi, ibi bibyimba biba mu ngingo zacu no hafi yazo. Urugero:
- Indwara y'umusonga
- Uturemangingo tw'amaraso
- Amagufwa
- Ibinure
- Imitsi y'uruti
- Imitsi
Ibi bivuze ko zikunze kugaragara ahantu hari ingingo, nko ku ntoki, ku maboko, ku nkokora, ku mavi, no ku maguru .
Ariko igitangaje ni uko rimwe na rimwe izi tophi zishobora kwibera ahantu hatunguranye.
- Mu matwi
- Mu mazuru
- Mu mpyiko
- Ubuso bw'uruhu
- Umweru w'ijisho (sclera)
- Utunyangingo tw'umutima
Akenshi, ibi bibyimba ntibibabaza . Ibi bishobora guterwa n'uko ibi bibyimba bishaje kandi bimaze igihe kirekire imibiri yacu imaze kumenyera. Ariko, uko ibi bibyimba bikura, uruhu rubikikije rushobora gukomera cyane, kubabara no gukomera. Hari igihe ibi bibyimba bishobora gucika, bigatanga amazi y'umweru ya aside urique . Ibi bibaye, igikomere gishobora kubabaza cyane kandi bigafata igihe kirekire kugira ngo gikire.
| Ibiranga | Imiterere y'ikibyimba cya tophi |
|---|---|
| Isura | Ikibyimba gikomeye, akenshi kiba gifite uruziga, munsi y'uruhu. Gishobora kuba gito nk'amashaza cyangwa kinini nk'icunga. |
| Ububabare | Ubusanzwe ntabwo ibabaza, ariko ishobora kubabaza iyo ikibyimba kibaye kinini kikarambura cyangwa kigaca uruhu. |
| Ibiranga byihariye | Hari utudomo dushobora kuba dufite aside umweru ya uric ku buso bwatwo. Ibi bishobora kudufasha gutandukanya utudomo tugaragara mu ndwara ya rubagimpande. |
Ingorane n'ibyago bishoboka bya tophi
Ibi bibyimba si ibintu byiza gusa, bishobora kwangiza cyane imibiri yacu.
- Kwangirika kw'amagufwa n'ingingo: Ikibyimba cya tophi gishobora gushonga buhoro buhoro no gusenya ingingo, nk'amagufwa n'imitsi, aho biba. Uku kwangirika akenshi ntigushobora gusubizwa inyuma.
- Kwangirika kw'ingingo: Kugira ngo ingingo ikore neza, ingingo zoroshye, nka cartilage, zigomba kuba zifite ubuzima bwiza. Tophi ishobora kwangiza iyi ngingo, bigatuma ingingo idakomeza kugenda.
- Izindi ngorane: Nubwo bidakunze kubaho, ikibyimba cya tophi gishobora gukanda imitsi, kwandura, cyangwa kubangamira imikorere y'urugingo nk'impyiko.
Kuki izi tophi zikora? Tuzifata dute?
Nkuko twabiganiriyeho mbere, impamvu nyamukuru ibitera ni ukwiyongera gukabije k’urugero rwa aside urike mu maraso. Nubwo uturemangingo twihariye mu budahangarwa bw’umubiri wacu twitwa macrophages tugerageza gukuraho utwo turemangingo twa aside urike, iyo uturemangingo twa aside urike tuguma hejuru, utwo turemangingo ntidushobora gukuraho utwo turemangingo burundu.
Uko igihe kigenda gihita, utwo turemangingo duterana tuzengurutse utubumbe tunini twa aside urique, tugakora uko tumezeNi nko kubaka urukuta , ukagerageza kurutandukanya n'ibindi bice by'umubiri. Ibyo ni byo twita granuloma. Tophus ni agace kanini ka aside urique gakora gutyo.
Uburyo bwo kuvura
Ku bw'amahirwe, iki kibazo gishobora kugenzurwa. Abaganga batanga imiti igabanya urugero rwa aside urique mu maraso.
- Imiti: Imiti nka Allopurinol na Febuxostat igabanya ikorwa rya aside urique. Iyi miti ishobora gufasha gukumira tophi nshya gukora no gufasha tophi isanzwe gushonga. Ariko , bifata nibura amezi 6 y'imiti idasibangana kugira ngo ishongeshe ibi bibyimba . Ubu buryo bwo kuvura bugomba gukoreshwa gusa munsi y'ubugenzuzi bwa muganga wawe .
- Kubagwa: Niba ikibyimba cya tophi ari kinini cyane, kibabaza, cyanduye, cyangwa kirimo kwangiza ingingo cyane, muganga wawe ashobora kukugira inama yo kubaga (tophectomy).
Impinduka mu mibereho
Uretse imiti, hari impinduka zimwe na zimwe uhindura mu mibereho yawe zishobora gufasha cyane mu kurwanya indwara ya goutte.
| Ibigomba guhindurwa | Ibisobanuro |
|---|---|
| Indyo | Gabanya ibiryo birimo purine nyinshi (urugero: inyama zitukura, amafi yo mu nyanja, inzoga) n'ibinyobwa birimo isukari. Rya imboga nyinshi, imbuto n'ibiryo bikungahaye kuri fibre. |
| Indi miti | Imiti imwe ufata ku zindi ndwara (urugero, imiti igabanya ubukana bw'amaraso) ishobora kongera urugero rwa aside irike. Vugana na muganga wawe kuri ibi kandi ugire icyo uhindura nibiba ngombwa. |
| Inama z'abaganga | Ni ngombwa cyane kubonana na muganga uko byanditse kandi ntugahagarike gufata imiti wanditswe na muganga. |
Nubwo goutte idashobora gukira burundu, iyo uvuwe neza kandi ubayeho neza, ushobora kugenzura urugero rwa aside urique yawe, ukirinda ingorane zikomeye nka goutte, kandi ukabaho ubuzima bwiza.
Ubutumwa bwo kujyana mu rugo
- Tophi ni ikimenyetso cy'umuburo cy'uko indwara ya gout yarushijeho kuba mbi kandi ntabwo iri kugenzurwa neza.
- Ibi bibyimba bibaho kubera ko urugero rwa aside urique mu maraso ruguma hejuru igihe kirekire.
- Nubwo akenshi bitababaza, ibi bishobora kwangiza ingingo n'amagufwa mu buryo budasubirwaho.
- Uburyo bw'ingenzi bwo kuvura ni ugukomeza gufata imiti igabanya aside urike yandikiwe na muganga.
- Niba ufite kimwe muri ibi bibyimba ku mubiri wawe, ntukirengagize kandi vugana na muganga wawe nta kabuza.
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