Une gout here? Kana kuti mumwe munhu waunoziva anayo here? Kana zvakadaro, wakamboona mapundu aya madiki asingarwadzi paminwe yako, magokora, kana mabvi? Vanhu vazhinji vanofunga kuti izvi zvakajairika uye vanozvifuratira, asi zvinogona kuva chiratidzo chechirwere chakakomba chegout. Nhasi tiri kutaura nezvenyaya iyo vanhu vazhinji vasingazive nezvayo, asi inokosha zvikuru, inonzi 'Tophi'.
Zvichitaurwa zviri nyore, chii chinonzi Tophi?
Tophi makristaro makuru euric acid anoungana munyama dzako. Ichi chiratidzo chikuru chegout yakakwira.
Fungidzira, kana huwandu hwe uric acid muropa redu hwakwira zvakanyanya , chirwere chinozivikanwa se hyperuricemia, iyi extra uric acid inotanga kuungana pamwe chete sezvidimbu zvidiki zvegirazi uye inowira mumajoini edu. Ichi ndicho chikonzero chekurwadziwa kwakanyanya kwatinonzwa mu gout.
Pakutanga, makristaro aya madiki zvikuru. Asi kana gout ikasarapwa zvakanaka, nekufamba kwenguva, makristaro aya euric acid anobatana pamwe chete oumba mapundu makuru, kana kuti maronda. Mapundu aya, anoita semapundu akazvimba pasi peganda, anonzi tophi . Chirwere ichi, chinonzi gout isingaperi ye tophaceous, chinowanzo tora makore kuti chibude.
Chinonyanya kukosha ndechekuti tophi chiratidzo chekuti gout haichadzoreki uye chirwere chacho chatonyanya kuipa.
Matophi aya anogona kukura kupi mumuviri?
Kazhinji, mapundu aya anoumba mukati uye akapoteredza majoini edu. Semuenzaniso:
- Kanyama kakawonda
- Matanda emusana
- Mapfupa
- Mafuta
- Misungo
- Mitsetse
Izvi zvinoreva kuti anowanzoonekwa munzvimbo dzine majoini, akadai seminwe, maoko, magokora, mabvi, uye zvitsitsinho .
Asi zvinoshamisa kuti dzimwe nguva ma tophi aya anogona kuumbwa munzvimbo dzisingatarisirwi.
- Munzeve
- Mumhino
- Muitsvo
- Pamusoro peganda
- Kuchena kweziso (sclera)
- Mavharuvhu emwoyo
Kazhinji, mapundu aya haarwadzi . Izvi zvinogona kunge zvichikonzerwa nekuti aya mapundu ekare, agara kwenguva refu ayo miviri yedu yajaira. Zvisinei, sezvo mapundu aya achikura, ganda rakaapoteredza rinogona kuomarara, kurwadza, uye kuomarara. Dzimwe nguva, mapundu aya anogona kuputika, obuda mvura chena yeuric acid . Kana izvi zvikaitika, ronda rinogona kurwadza zvikuru uye rinotora nguva yakareba kuti rirapwe.
| Hunhu | Hunhu hwebundu re tophi |
|---|---|
| Chitarisiko | Bundu rakaomarara, rinowanzoita denderedzwa, riri pasi peganda. Rinogona kuva diki sepizi kana rakakura seorenji. |
| Marwadzo | Kazhinji hazvirwadzi, asi zvinogona kurwadza kana bundu rikakura robvarura kana kutambanudza ganda. |
| Zvinhu zvakakosha | Mamwe mapundu anogona kunge aine mvura chena yeuric acid pamusoro pawo. Izvi zvinogona kubatsira kusiyanisa kubva pamapundu anowanikwa mu rheumatoid arthritis. |
Matambudziko angangoitika uye njodzi dze tophi
Mapundu aya haasi emhando yepamusoro chete, anogona kukonzera kukuvara kukuru kwemiviri yedu.
- Kuparadzwa kwemapfupa nenyama: Bundu re tophi rinogona kunyungudika zvishoma nezvishoma roparadza nyama, dzakadai semapfupa ne cartilage, kwarinoumbwa. Kukuvadzwa uku kazhinji hakudzoreki.
- Kukuvara kwemajoini: Kuti joini rishande zvakanaka, nyama dzakapfava, dzakadai secartilage, dzinofanira kunge dzakagwinya. Tophi inogona kukuvadza nyama iyi, zvichiita kuti joini rirege kufamba.
- Mamwe matambudziko: Kunyangwe zvisingawanzoitiki, bundu re tophi rinogona kudzvanya tsinga, kutapukirwa nehutachiona, kana kukanganisa mashandiro enhengo yakaita seitsvo.
Sei ma tophi aya achiumbwa? Tinoabata sei?
Sezvatakambokurukura, chikonzero chikuru cheizvi kuwedzera kusingadzoreki kwehuwandu hwe uric acid muropa. Kunyange zvazvo masero akakosha muimmune system yedu anonzi macrophages achiedza kubvisa makristaro aya e uric acid, kana huwandu hwe uric acid hukaramba hwakakwira, masero aya haakwanise kubvisa makristaro aya zvachose.
Nekufamba kwenguva, masero aya anoungana akakomberedza mabhora makuru euric acid, oita chitarisiko chakaita seZvakafanana nekuvaka rusvingo , uchiedza kuruparadzanisa nemuviri wese. Ndizvo zvatinodaidza kuti granuloma. Tophus ibundu guru re uric acid rinoumbwa saizvozvo.
Nzira dzekurapa
Nerombo rakanaka, chirwere ichi chinogona kudzorwa. Vanachiremba ndivo vanowanzo nyora mishonga inoderedza huwandu hwe uric acid muropa.
- Mishonga: Mishonga yakaita seAllopurinol neFebuxostat inoderedza kugadzirwa kweuric acid. Mishonga iyi inogona kubatsira kudzivirira tophi itsva kuti isaumbwe uye kubatsira tophi iripo kuti inyungudike. Zvisinei , zvinotora mwedzi mitanhatu yemishonga inoenderera mberi kuti inyungudike mapundu aya . Kurapa uku kunofanira kushandiswa chete pasi pekutarisirwa kwachiremba wako .
- Kuvhiyiwa: Kana bundu re tophi rakakura zvikuru, richirwadza, rabatwa nehutachiona, kana kuti riri kukonzera kukuvara kukuru kwepfundo, chiremba wako anogona kukurudzira kubviswa kwepfundo (tophectomy).
Kuchinja kwemararamiro
Kuwedzera pamishonga, mamwe magadzirirwo aunoita mararamiro ako anogona kubatsira zvikuru mukuderedza gout.
| Chii chinofanira kuchinjwa | Tsananguro |
|---|---|
| Kudya | Deredza kudya zvine purines yakawanda (semuenzaniso, nyama tsvuku, hove, doro) uye zvinwiwa zvine shuga. Idya miriwo yakawanda, michero, uye chikafu chine fiber yakawanda. |
| Mimwe mishonga | Mimwe mishonga yaunotora yemamwe matambudziko (semuenzaniso, mimwe mishonga inobvisa mvura mumuviri) inogona kuwedzera huwandu hwe uric acid mumuviri. Taura nachiremba wako nezveizvi uye chinja kana zvichidikanwa. |
| Mazano ekurapa | Zvakakosha kuona chiremba sezvawakanyorerwa uye kusamborega kutora mishonga yawakanyorerwa. |
Kunyange hazvo gout isingarapike zvachose, nekurapwa kwakakodzera uye mararamiro, unogona kudzora huwandu hwe uric acid mumuviri wako, kudzivirira matambudziko akakomba akadai segout, uye kurarama hupenyu hune hutano.
Mharidzo Yekuenda Nayo Kumba
- Tophi chiratidzo chekuti gout yanyanya kuipa uye haisi kudzorwa nemazvo.
- Mapundu aya anoumbwa nekuti huwandu hwe uric acid muropa hunoramba hwakakwira kwenguva yakareba.
- Kunyange zvazvo kazhinji zvisingarwadzi, izvi zvinogona kukonzera kukuvara kusingagadzirisiki kumapfundo nemapfupa.
- Kurapa kukuru ndekuramba uchitora mishonga inoderedza uric acid yakanyorwa nachiremba.
- Kana uine mapundu aya mumuviri wako, usaaregeredza uye taura nachiremba wako.
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