Ngaba une-gout? Okanye ngaba kukho umntu omaziyo onayo? Ukuba kunjalo, ngaba wakha wazibona ezi ziqwenga zincinci, ezingenabuhlungu kwiminwe yakho, iingqiniba, okanye emadolweni? Abantu abaninzi bacinga ukuba ezi zinto ziqhelekile kwaye abazinaki, kodwa eneneni zinokuba luphawu lwemeko enzima ye-gout. Namhlanje sithetha ngesihloko abantu abaninzi abangasaziyo, kodwa esibaluleke kakhulu, esibizwa ngokuba yi-'Tophi'.
Kalula nje, yintoni uTophi?
IiTophi ziikristale ezinkulu ze-uric acid eziqokelelana kwizicwili zakho. Olu luphawu oluphambili lwe-gout eqhubele phambili.
Khawucinge nje, xa ubungakanani be-uric acid egazini lethu buphezulu kakhulu , imeko eyaziwa ngokwezonyango ngokuba yi-hyperuricemia, le uric acid eyongezelelweyo iqala ukuhlangana njengeengqayi zeglasi ezincinci ize ihlale emalungwini ethu. Le yimbangela yentlungu enzima esiyivayo kwi-gout.
Ekuqaleni, ezi kristali zincinci kakhulu. Kodwa ukuba i-gout ayinyangwa kakuhle, ngokuhamba kwexesha, ezi kristali ze-uric acid ziyadibana kwaye zenze amaqhuma amakhulu, okanye amaqhuma. La maqhuma, abonakala ngathi ngamaqhuma avuvukileyo phantsi kolusu, abizwa ngokuba yi-tophi . Le meko, ebizwa ngokuba yi-gout engapheliyo ye-tophaceous, idla ngokuthatha iminyaka ukuba ivele.
Okubaluleke kakhulu, i-tophi luphawu oluqinileyo lokuba i-gout ayilawuleki kwaye esi sifo siye saba sibi kakhulu.
Ezi tophi zingaphuhla phi emzimbeni?
Amaxesha amaninzi, la maqhuqhuva akheka ngaphakathi nangaphandle kwamalungu ethu. Umzekelo:
- I-Cartilage
- Iimembrane ze-synovial
- Amathambo
- Izicubu zamafutha
- Iitendon
- Iiligamenti
Oku kuthetha ukuba zibonakala kakhulu kwiindawo apho kukho amalungu, njengeminwe yakho , izihlathi, iingqiniba, amadolo, kunye namaqatha .
Kodwa ngokumangalisayo, ngamanye amaxesha ezi tophi zinokwakheka kwiindawo ezingalindelekanga.
- Kwizindlebe
- Empumlweni
- Kwizintso
- Umphezulu wolusu
- Ubumhlophe beliso (i-sclera)
- Iivalvu zentliziyo
Ixesha elininzi, la maqhuqhuva awabuhlungu . Oku kusenokuba kungenxa yokuba la ngamaqhuqhuva amadala, asele ekho ixesha elide imizimba yethu sele iwaqhelile. Nangona kunjalo, njengoko la maqhuqhuva ekhula, ulusu oluwajikelezileyo lunokuba lukhuni kakhulu, lube buhlungu, kwaye luqine. Ngamanye amaxesha, la maqhuqhuva anokugqabhuka, akhuphe ulwelo lwe-uric acid emhlophe efana netshokholethi . Ukuba oku kuyenzeka, inxeba linokuba buhlungu kakhulu kwaye lithathe ixesha elide ukuphola.
| Uphawu | Uhlobo lweqhubu le-tophi |
|---|---|
| Inkangeleko | Iqhuma eliqinileyo, elihlala liyingqukuva, phantsi kwesikhumba. Linokuba lincinci njenge-pea okanye likhulu njenge-orenji. |
| Intlungu | Ihlala ingenabuhlungu, kodwa inokuba buhlungu ukuba iqhuma likhula likhulu kwaye lolule okanye likrazule ulusu. |
| Imiboniso eyodwa | Amanye amaqhuqhuva anokuba nolwelo olumhlophe lwe-uric acid kumphezulu wawo. Oku kunokunceda ukuwahlula kumaqhuqhuva abonakala kwi-rheumatoid arthritis. |
Iingxaki ezinokubakho kunye neengozi ze-tophi
Ezi ziqhuma azizozinto zintle nje kuphela, zinokubangela umonakalo omkhulu emizimbeni yethu.
- Ukutshatyalaliswa kwamathambo kunye nezicubu: Iqhuma le-tophi linokunyibilika kancinci kancinci lize litshabalalise izicubu, ezifana nethambo kunye ne-cartilage, apho lenzeka khona. Lo monakalo uhlala ungalungiseki.
- Umonakalo wamalungu: Ukuze ilungu lisebenze kakuhle, izicubu ezithambileyo, ezifana ne-cartilage, kufuneka zibe sempilweni. I-Tophi ingonakalisa eli candelo, yenze ilungu lingashukumi.
- Ezinye iingxaki: Nangona kunqabile, iqhuma le-tophi linokucinezela umthambo, lisuleleke, okanye liphazamise ukusebenza kwesitho esifana nezintso.
Kutheni ezi tophi zenzeka? Siziphatha njani?
Njengoko besixoxile ngaphambili, isizathu esiphambili soku kukunyuka okungalawulekiyo kwamanqanaba e-uric acid egazini. Nangona iiseli ezikhethekileyo kwinkqubo yethu yokuzikhusela ezibizwa ngokuba zii-macrophages zizama ukususa ezi kristale ze-uric acid, xa amanqanaba e-uric acid ehlala ephezulu, ezi seli azikwazi ukususa ezi kristale ngokupheleleyo.
Ekuhambeni kwexesha, ezi seli ziqokelelana zijikeleze iibhola ezinkulu ze-uric acid, zenze into ebonakala ngathiKufana nokwakha udonga , uzama ukuluhlula kumzimba wonke. Yiloo nto siyibiza ngokuba yi-granuloma. I-tophus sisiqwenga esikhulu se-uric acid esikhula ngolo hlobo.
Iindlela zonyango
Ngethamsanqa, le meko inokulawulwa. Oogqirha ikakhulu banika amayeza anciphisa amanqanaba e-uric acid egazini.
- Amayeza: Amayeza afana ne-Allopurinol kunye ne-Febuxostat anciphisa ukuveliswa kwe-uric acid. La mayeza anokunceda ukuthintela ukwakheka kwe-tophi entsha kwaye ancede i-tophi ekhoyo ukuba inyibilike. Nangona kunjalo , kuthatha ubuncinane iinyanga ezi-6 zonyango oluqhubekayo ukunyibilikisa la maqhuqhuva . Olu nyango kufuneka lusetyenziswe kuphela phantsi kweliso likagqirha wakho .
- Utyando: Ukuba iqhuma le-tophi likhulu kakhulu, libuhlungu, lisulelekile, okanye libangela umonakalo omkhulu kwilungu, ugqirha wakho unokucebisa ukuba lisuswe ngotyando (tophectomy).
Utshintsho kwindlela yokuphila
Ukongeza kumayeza, ezinye iinguqu ozenzayo kwindlela ophila ngayo zinokunceda kakhulu ekulawuleni i-gout.
| Yintoni ekufuneka itshintshiwe | Inkcazo |
|---|---|
| Ukutya | Nciphisa ukutya okune-purines eninzi (umz., inyama ebomvu, ukutya kwaselwandle, utywala) kunye neziselo ezineswekile. Yitya imifuno emininzi, iziqhamo, kunye nokutya okune-fiber eninzi. |
| Amanye amayeza | Amanye amayeza owasebenzisayo kwezinye iimeko (umz., amanye amayeza okukhupha umchamo) anokunyusa amanqanaba e-uric acid. Thetha nogqirha wakho ngale nto uze wenze utshintsho ukuba kuyimfuneko. |
| Iingcebiso zonyango | Kubaluleke kakhulu ukubona ugqirha njengoko kubhaliwe kwaye ungaze uyeke ukuthatha amayeza abhalwe ngugqirha. |
Nangona i-gout ingenakunyangwa ngokupheleleyo, ngonyango olufanelekileyo nendlela yokuphila, ngokuqinisekileyo unokulawula amanqanaba akho e-uric acid, uthintele iingxaki ezinzulu ezifana ne-gout, kwaye uphile ubomi obusempilweni.
Umyalezo Wokuya Ekhaya
- I-Tophi luphawu olulumkisayo lokuba i-gout iye yaba mandundu kwaye ayilawulwa ngokufanelekileyo.
- Ezi ziqhuma zenzeka kuba amanqanaba e-uric acid egazini ahlala ephezulu ixesha elide.
- Nangona zihlala zingenabuhlungu, ezi zinokubangela umonakalo ongenakuphikiswa kumalungu namathambo.
- Unyango oluphambili kukuqhubeka nokusela amayeza okwehlisa i-uric acid amiselwe ngugqirha.
- Ukuba unazo naziphi na ezi ziqhuma emzimbeni wakho, musa ukuzityeshela kwaye ngokuqinisekileyo thetha nogqirha wakho.
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