Kana uine chirwere cheshuga cheType 2, une mukana wekuti uwane chirwere chinonzi Gout . Usashamisika, rimwe divi racho nderechokwadiwo. Kureva kuti, kana uine gout , uri panjodzi yekubatwa nechirwere cheshuga. Zvirwere izvi zviviri zvakafanana neshamwari mbiri. Asi hazvisi hushamwari hwakanaka. Saka, ngatikurukurei nezvazvo zvakadzama nhasi. Kunzwisisa izvi kuchakubatsira kugadzirisa matambudziko ese ari maviri aya.
Kutanga, ngationei kuti Gout chii.
Zvichitaurwa zviri nyore, gout rudzi rwechirwere chearthritis chinokonzera kurwadziwa kamwe kamwe uye kwakanyanya mumajoini. Chinowanzo tanga muzvigunwe zvikuru. Asi chinogonawo kukanganisa mamwe majoini, akadai semabvi, zvitsitsinho, nemagokora. Marwadzo acho akanyanya zvekuti vamwe vanhu vanonzwa kurwadziwa kusingatsungiririki kunyangwe machira acho akabata miviri yavo.
Zvakanaka, saka sei izvi zvichiitika? Dambudziko iri rinoitika kana paine kuwedzera kwemakemikari anonzi ``uric acid`` mumuviri wedu. Izvi zvinonzi ``hyperuricemia`` mune zvesainzi yekurapa. ``uric acid`` chinhu chinorasika chinoumbwa kana masero emuviri wedu achiparara uye patinogaya zvimwe zvekudya (kunyanya chikafu chine ``purines`` yakawanda). Kazhinji, ``uric acid`` iyi inonyungudika muropa, inopfuura nemuitsvo, uye inoburitswa muweti.
Zvisinei, kana muviri wako uchigadzira uric acid yakawandisa, kana kuti itsvo dzako dzisingagoni kuibvisa zvakanaka, huwandu hweuric acid muropa rako hunowedzera. Nekufamba kwenguva, uric acid iyi yakawandisa inoshanduka kuita makristaro madiki, akapinza uye inosara mumajoini ako. Ndipo panotanga kurwadziwa kwakanyanya nekuzvimba.
Kazhinji, kurwiswa kwekutanga kwegout kunogona kutora vhiki imwe chete kana mazuva gumi. Zvakare, munhu akamborwara ane mukana we85% wekuva negout mukati memakore matatu. Izvi zvinogona dzimwe nguva kuva zvenhaka. Kana amai vako, baba, kana munin'ina wako vakamborwara, uri panjodzi.
Hukama uhwu huripo pakati pechirwere cheshuga negout hunomuka sei?
Sezvatakambotaura, vanhu vane chirwere cheshuga vane mukana mukuru wekuva ne "uric acid" yakawanda muropa ravo. Saizvozvowo, vanhu vane "uric acid" yakawanda vane mukana mukuru wekuva nechirwere cheshuga. Chikonzero chikuru cheizvi chakaonekwa sechirwere chinonzi "insulin resistance".
Muchirwere cheshuga cherudzi rwechipiri, muviri haushandisi hormone insulin nemazvo. Izvi zvinokonzera kuti huwandu hweshuga muropa huwedzere. Tsvagiridzo yakawana kuti kuramba insulin uku kunoderedza kubuda kwe uric acid muitsvo. Izvi zvinowedzera huwandu hwe uric acid muropa. Uyewo, kuwedzera kwehuwandu hwe uric acid kunogona kuwedzera kuramba insulin.
Izvi zvakatosimbiswa neongororo. Ongororo yakaitwa muna 2014 yakawana kuti vakadzi vane gout vaiva ne71% mukana wekuwana chirwere cheshuga kupfuura vakadzi vasina gout.
Kune zvimwe zvinhu zvinowanzokonzera njodzi kuzvirwere zvose zviri zviviri:
- Kufuta: Vanhu vanosvika 90% vane chirwere cheshuga vakafuta. Uyewo, munhu akafuta ane mukana wekuwana gout wakapetwa kana kupfuura munhu ane huremu hwakajairika. Izvi zvinodaro nekuti kana huremu huchiwedzera, kugona kweitsvo kubvisa uric acid kunoderera.
- Mamwe Matambudziko Ehutano: Vanhu vanosvika 80% vane chirwere cheshuga vanewo BP yakakwira. BP yakakwira inobatanidzwawo ne insulin resistance. Pamusoro pezvo, gout nechirwere cheshuga zvinobatanidzwa nechirwere cheitsvo nechirwere chemwoyo.
- Zera: Kana uine makore anopfuura makumi mana nemashanu ekuberekwa, njodzi yako yekubatwa nezvirwere izvi zviviri yakanyanya.
Ndezvipi zvinokonzera gout ?
Zvinokonzera gout mumunhu mumwe zvingasakonzera gout mune mumwe. Asi pane zvinhu zvishoma zvinogona kukonzera gout . Zvakakosha kuziva izvi.
| Chinokonzeresa | Tsananguro |
|---|---|
| Kushandisa doro | Doro nedoro rakaoma, kunyanya, zvinowedzera huwandu hweuric acid mumuviri. |
| Zvikafu zvine purines yakawanda | Nyama tsvuku (nyama yemombe, nyama yembudzi), nyama dzenhengo dzakadai sechiropa, uye zvimwe zvekudya zvegungwa (shrimp, lobster, squid, sardines, halibut). |
| Zvinwiwa zvine shuga uye zvekudya | Zvikurukuru zvinwiwa zvinotapira uye zvekudya zvine rudzi rweshuga inonzi fructose. |
| Mimwe mishonga | Mimwe mishonga yekurapa BP yakakwira, kuzvimba kwemakumbo, uye chirwere chemwoyo. Taura nachiremba wako nezveizvi. |
| Kutsanya uye Kushaya Mvura Mumuviri | Kunyangwe kana pasina mvura yakakwana mumuviri, huwandu hwe uric acid mumuviri hunogona kuwedzera. |
Kana uchifunga kuti pane chiri kukonzera gout yako, zvakanaka kutaura nachiremba wako nezvenzira dzekudzivirira gout.
Nzira yekurapa gout uye chirwere cheshuga?
Nzira yakanakisisa yekugadzirisa matambudziko ese ari maviri ndeyekuchinja mararamiro. Izvi zvichabatsira kudzora huwandu hwe uric acid mumuviri wako pamwe nehuwandu hweshuga muropa rako.
1. Chenjerera zvaunodya nezvaunonwa.
Kudya kwakakosha zvikuru kune vese vari vaviri. Pamusoro pekudya kunoenderana nechirwere cheshuga chako, unofanirawo kufunga nezvezvinhu zvinokanganisa gout .
- Deredza kana kurega kudya chikafu chine purine yakawanda (nyama tsvuku, zvimwe zvekudya zvegungwa) zvakanyanya sezvinobvira .
- Rega kunwa doro zvachose kana kuti deredza kunwa doro zvakanyanya.
- Isa zvekudya zvakaita semukaka usina mafuta akawanda uye yogati mukudya kwako. Izvi zvakawanikwa zvichibatsira kudzivirira gout .
- Kana zvichibvira, enda kune nyanzvi yezvekudya yakanyoreswa kuitira kuti ugone kugadzira hurongwa hwekudya hunoenderana nezvaunoda.
2. Kurovedza muviri
Kurovedza muviri nguva dzose hakungobatsiri chete kudzora huwandu hweshuga muropa asiwo kunobatsira kuderedza huremu. Sezvaunodzikisa huremu, kugona kwemuviri wako kubvisa uric acid kunowedzerawo. Zvisinei, taura nachiremba wako kutanga kuti usarudze rudzi rwekurovedza muviri rwakakunakira.
3. Inwa mvura yakawanda.
Kunwa magirazi masere emvura (anenge marita maviri) pazuva chinangwa chakanaka. Kunwa mvura yakawanda kunobatsira itsvo dzako kushanda zvakanaka uye kubvisa uric acid mumuviri wako. Unofanira kunwa mvura yakawanda paunenge uchirovedza muviri.
4. Kudzora mamwe matambudziko ehutano
Zvinhu zvakaita seBP yakakwira, chirwere cheitsvo, uye kufuta zvinogona kuwedzera huwandu hweuric acid uye kuwedzera gout . Saka, kana uine chimwe chezvirwere izvi, enda kuna chiremba wako nguva dzose uye tevera marapirwo awakanyorerwa nemazvo.
Kurapa gout
Kana uine chirwere cheshuga, kuchengetedza uric acid yako iri pa6 mg/dL kana pasi payo kunogona kubatsira kuderedza njodzi yako. Kana usingazive huwandu hweropa rako, bvunza chiremba wako kuti akuongorore ropa.
Chiremba wako anogona kukupa mishonga yekurapa gout .
| Rudzi rwekurapwa | Mashandiro / Mienzaniso |
|---|---|
| Kudzora huwandu hwe uric acid kwenguva refu | |
| Mishonga yeUricosuric | Inobatsira kuburitsa uric acid yakawanda kubva muitsvo. |
| Mishonga inodzivirira Xanthine oxidase | Inoderedza kugadzirwa kweuric acid mumuviri. |
| Kuderedza marwadzo nekuzvimba panguva yekurwiswa kwegout | |
| Colchicine | Inonyanya kushanda kana ikatorwa nekukurumidza kana marwadzo atanga. Mudumbu munogona kukanganiswa. |
| Corticosteroids | Inopihwa semapiritsi (semuenzaniso Prednisone) kana kuti jekiseni mujoini. |
| NSAIDs (Mishonga isingarwisi kuzvimba) | Mienzaniso inosanganisira Ibuprofen neNaproxen. Chinonyanya kukosha: Usatore aspirin. Inogona kuwedzera marwadzo. |
Mharidzo Yekuenda Nayo Kumba
- Pane hukama hwakasimba pakati pechirwere cheshuga negout . Kana uine chirwere ichi, une mukana mukuru wekuwana chimwe chirwere.
- Chikonzero chikuru chegout kuwedzera kwehuwandu hwe uric acid muropa. Dambudziko iri rinowanzoitika kuvanhu vane chirwere cheshuga.
- Kurapa kwakanakisa kushandura mararamiro. Zvirwere zvese izvi zvinogona kudzorwa nekudya kwakakodzera, kurovedza muviri, kudzora huremu, uye kunwa mvura yakawanda.
- Ziva uye dzivisa zvekudya zvinokukonzera gout .
- Gara uchitaura nachiremba wako nezvezviratidzo kana marapirwo. Usambofa watora mishonga wega.
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