Ngaba nawe uyayiva le ntlungu inzima yamalungu? Masifunde ngakumbi nge-gout.

Ngamanye amaxesha xa uvuka kusasa, ngaba ilungu, ingakumbi uzwane lwakho olukhulu, idolo, okanye iqatha, ngequbuliso liba bomvu, lidumbe, kwaye libe buhlungu? Ngaba libuhlungu kangangokuba awukwazi nokulichukumisa? Ngaba livakala ngathi liyatsha? Ukuba kunjalo, usenokuba unesifo esibizwa ngokuba yi-'gout'. Abantu abaninzi babiza ngokuba yi-'gout'. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye iGout?

Ngamafutshane, i-gout luhlobo lwe-arthritis evuthayo . Ibangelwa kukugqithisela kwekhemikhali ebizwa ngokuba yi-uric acid emizimbeni yethu. I-uric acid iveliswa xa umzimba uqhekeza iikhemikhali ezibizwa ngokuba yi-purines ezifumaneka ekutyeni okuthile. Ngokwesiqhelo, le uric acid iyahluzwa iphume kwizintso zethu ize ikhutshwe kumchamo wethu.

Kodwa, ngamanye amaxesha imizimba yethu ivelisa i-uric acid eninzi kakhulu, okanye izintso zethu azikwazi ukuyikhupha ngokufanelekileyo. Kulapho ke ingxaki iqala khona. Le uric acid eyongezelelweyo iqala ukuhla emalungeni ethu njengeekristale ezibukhali ezifana nameva. Xa ezi kristale ziqokelelana, 'uhlaselo lwe-gout' ngequbuliso luza nentlungu enkulu kunye nokudumba.

Oku kudla ngokuchaphazela amalungu amakhulu ezinzwane. Nangona kunjalo, le meko inokuchaphazela namanye amalungu ezinyaweni zakho . Umzekelo:

• Amadolo
• Iqatha
• Amanye amalungu eenyawo
• Amalungu ezandla kunye nezandla
• Iingqiniba

Iimpawu zegout ziyavela zize ziphele ngokuphindaphindiweyo. Sizibiza ngokuba 'ziiflares' okanye 'zii-gout attacks'. Ugqirha wakho uza kukunika amayeza okunciphisa amanqanaba e-uric acid yakho, kunye notshintsho kwindlela otya ngayo. Oku kunokunceda ukunciphisa ukuphindaphindeka kwezi ntlaselo zegout.

Zithini iimpawu zeGout?

Uhlaselo lwe-gout lubuhlungu kakhulu. Lungaqala ngequbuliso, rhoqo phakathi kobusuku. Xa uhlaselwa yi-gout, unokubona iimpawu ezifana nezi kwilungu lakho elichaphazelekileyo:

• Intlungu enzima enganyamezelekiyo.
• Ubomvu okanye ukutshintsha kombala kolusu olujikeleze ilungu.
• Ukuqina kwelungu, ubunzima bokugoba nokolula.
• Ukudumba.
• Hayi nje kuphela xa ndibamba isandla sam, kodwa nokuba ndichukumisa ilaphu lokulala, intlungu (ukuthamba) ayinyamezeleki.
• Ilungu liziva lifudumele, ngokungathi "liyatsha."

Uhlaselo lwe-gout lunokuhlala ixesha elingakanani?

Uhlaselo lwe-gout ludla ngokuthatha malunga neveki okanye ezimbini. Amanye amaqhuma anokuhlala ixesha elide, kwaye amanye anokubangela iimpawu eziqatha ngakumbi. Usenokungabi nazo naziphi na iimpawu ze-gout phakathi kohlaselo.

Yintoni ebangela i-gout?

Njengoko besitshilo ngaphambili, i-gout yenzeka xa umzimba une-uric acid eninzi kakhulu (imeko esiyibiza ngokuba yi-'hyperuricemia'). Ezi kristale ze-uric acid zezona zinto zigcina amalungu kwaye zibangela iintlungu.

Khumbula, ayinguye wonke umntu ofumana i-gout kuba nje amanqanaba e-uric acid egazini lakhe enyuke kancinci. Abantu abaninzi abane-hyperuricemia abaze babe ne-gout. Oku kuthetha ukuba ezinye izinto, kungekuphela nje amanqanaba aphezulu e-uric acid, zinokuchaphazela oku.

Ngubani osengozini enkulu yokuba ne-gout?

Nabani na unokuba ne-gout. Nangona kunjalo, amadoda anamathuba aphindwe kathathu okufumana i-gout kunabasetyhini. Kwabasetyhini, i-gout idla ngokuvela emva kokuya exesheni. Abantu abanezifo ezithile ezingapheliyo nabo basengozini enkulu yokufumana i-gout. Ezi zifo ziquka:

• Ukutyeba kakhulu okanye ukutyeba kakhulu.
• Iingxaki zentliziyo, ingakumbi ukusilela kwentliziyo okuxineneyo.
• Isifo seswekile.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Isifo sezintso.
• Umhlaza wegazi.

Kwakhona, unokuba sengozini enkulu yokuba ne-gout ukuba:

• Ukuba abazali bakho okanye ootatomkhulu noomakhulu bakho bane-gout (oko kuthetha ukuba yimfuza).
• Ukuba utya kakhulu iiproteni zezilwanyana – ingakumbi inyama ebomvu, ukutya kwaselwandle, kunye nenyama yezitho ezifana nesibindi namathumbu.
• Ukuba usela utywala rhoqo.
• Ukuba uthatha amayeza okukhupha isisu (iipilisi zamanzi).
• Ukuba uthatha amayeza okunciphisa umzimba.

Ziziphi ukutya ezibangela ukuba i-gout ibe mandundu?

Njengoko besitshilo ngaphambili, ukutya okune purines eninzi kunokunyusa amanqanaba e-uric acid emzimbeni kwaye kubangele i-gout. Nazi ezinye zokutya ezinokubangela oku:

• Iziselo ezineswekile nokutya okumnandi: Isiqingatha seswekile esiyityayo yi-fructose, uhlobo lweswekile yeziqhamo. Le swekile iguqulwa ibe yi-uric acid emzimbeni. Ke ngoko, nakuphi na ukutya okanye isiselo esineswekile eninzi kunokunyusa i-gout.
• Isiraphu yombona enefructose eninzi: Le ikwaluhlobo oluxineneyo lwefructose. Inokufumaneka ngobuninzi ekutyeni okupakishwe kwiipakethe kunye nezidlo ezinencasa yokwenziwa.
• Utywala: Nangona kungengabo bonke utywala obune-purines eninzi, utywala buthintela izintso ekukhupheni i-uric acid, ethi emva koko ifunxwe kwakhona ize iqokeleleke emzimbeni.
• Inyama yamalungu omzimba: Izinto ezifana nesibindi, amathumbu, ubuchopho kunye nezintso.
• Ezinye iinyama zezilwanyana zasendle: Izinto ezifana neehansi kunye nenyama yenkomo zine-purines eninzi.
• Ezinye iintlanzi zaselwandle:Iintlanzi ezifana ne-herring, i-oysters, i-mussels, i-cod, i-tuna, i-trout, kunye ne-haddock.
• Inyama ebomvu: inyama yenkomo, inyama yebhokhwe, inyama yengulube, ibhekoni.
• I-Turkey: Inyama ye-turkey enongiweyo ngokukodwa.
• Iigravies kunye neesosi zenyama.

Kubalulekile: Oku akuthethi ukuba ufanele uziphephe ngokupheleleyo ezi zinto zokutya. Nangona kunjalo, kubaluleke kakhulu ukuba umntu one-gout azitye ngokulinganisela.

Uyazi njani ukuba une-gout?

Ukuba uneempawu ze-gout, bonana nogqirha. Uza kukuhlola aze akubuze ngeempawu zakho. Mxelele ugqirha ukuba uqale nini ukuqaphela iintlungu kunye nokudumba kwamalungu, kwaye ezi mpawu zenzeka kangaphi.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe isifo se-gout?

Ugqirha wakho unokwenza uvavanyo lokuthatha imifanekiso yamalungu akho achaphazelekileyo. Olu vavanyo lunokujonga nomonakalo wamalungu odibeneyo obangelwe yi-gout. Kusenokufuneka wenze uvavanyo olufana nolu:

• Ii-X-reyi.
• I-ultrasound.
• I-MRI (Umfanekiso weMagnetic Resonance).
• I-CT scan – ingakumbi i-CT scan yamandla amabini.

Ezinye iimvavanyo eziqhelekileyo ezisetyenziselwa ukuxilonga i-gout ziquka:

• Uvavanyo lwegazi olulinganisa inqanaba le-uric acid egazini lakho.
• Ukufunxa amalungu: Inkqubo esebenzisa inaliti ukususa isampuli yolwelo ngaphakathi kwilungu. Oku kunokuchonga ngokuchanekileyo ubukho beekristale ze-uric acid.

Inyangwa njani i-gout?

Xa unyanga i-gout, kukho izinto ezimbini ezibalulekileyo ekufuneka ziqwalaselwe: Enye kukulawula iimpawu xa uhlaselo lwe-gout lusenzeka, enye kukunciphisa amanqanaba e-uric acid ngokunciphisa ukutya okune-purines eninzi.

Amayeza eGout

Ugqirha wakho angacebisa amayeza anjengala ukunceda ukulawula iimpawu:

• Ii-NSAID (Amayeza Angengo-Steroidal Anti-Inflammatory): La ngamayeza okuthomalalisa iintlungu kunye namayeza okuthomalalisa ukudumba. Umzekelo, ungathenga amayeza afana ne-ibuprofen kunye ne-naproxen kwikhemesti. Nangona kunjalo, la mayeza awafanelekanga kubantu abaneengxaki ezifana nesifo sezintso okanye izilonda zesisu. Ngoko ke, musa ukuwasebenzisa ngaphandle kokubonisana nogqirha.
• I-Colchicine: Eli liyeza elinikwa ngugqirha. Ukuba lithathwa kwiiyure ezingama-24 emva kokuhlaselwa yi-gout, linokunciphisa ukudumba kunye nentlungu.
• IiCorticosteroids: La ngamayeza anciphisa ukudumba. Ugqirha wakho angakunika la mayeza njengeepilisi onokuthi uwasele ngomlomo. Angakunika nenaliti kwilungu elichaphazelekayo okanye kwisihlunu esikufutshane.

Ugqirha wakho angakunika amayeza okunciphisa amanqanaba e-uric acid egazini lakho. Amayeza asetyenziswa kakhulu ngala:

• I-Allopurinol.
• I-Febuxostat.
• I-Pegloticase.
• Iprobenecid.

Ukutya okuphantsi kwe-purine kwi-gout

Ugqirha wakho unokucebisa ukuba ulandele ukutya okune-purine ephantsi . Oku kuquka ukuyeka ukutya okune-purine eninzi kunye nokutya ukutya okuthile okunceda ukunciphisa amanqanaba e-uric acid.

Ngaba iGout inganyangeka ngokupheleleyo?

Enyanisweni, i-gout ayinakunyangeka ngokupheleleyo. Nangona kunjalo, ngokusebenza nogqirha ukuze ufumane unyango olufanelekileyo lokulawula iimpawu zakho kunye nokunciphisa amanqanaba akho e-uric acid, unokunciphisa kakhulu ukuhlaselwa yi-gout rhoqo.

Yintoni emele ilindelwe ngumntu one-gout?

Ukuba une-gout, kufuneka ulindele ukuba iimpawu zakho ziphinde ziphele. Ukuba awufumani kuxilongwa kwaye awufumani unyango olufanelekileyo, ezi zimpawu zinokuba zixhaphake kakhulu.

Kwabanye abantu, nokuba baqale unyango, njengoko amanqanaba abo e-uric acid eqhelana namayeza amatsha okanye utshintsho kwindlela yokutya, banokufumana ezinye iintlaselo ze-gout kwizigaba zokuqala. Oku kuqhelekile.

Iyintoni imbono yabantu abane-gout?

Abantu abaninzi abane-gout bafumana indibaniselwano yonyango kunye notshintsho kwindlela yokuphila olubasebenzelayo ngokuhamba kwexesha. Oku kunokubanceda balawule iimpawu zabo kwaye kunciphise ukuhlaselwa yi-gout rhoqo. I-Gout yimeko enokunyangwa. Ukugcina amanqanaba e-uric acid egazini engaphantsi kwe-6 mg/dL kunokunciphisa kakhulu ukuhlaselwa yi-gout rhoqo.

Nangona kunjalo, ukuba ayinyangwa, i-gout inokubangela umonakalo osisigxina kumalungu. Amaqhuma aqala kumalungu nakwizicubu ezithambileyo ezivela kwi-uric acid abizwa ngokuba yi-tophi. Abanye abantu abane-gout abanganyangwanga banokufumana ezinye iingxaki zempilo, ezinje:

• Ukudumba okukhulu kwamalungu kunye nokukhubazeka kwamalungu.
• I-Tophi – amaqhuma enziwe kukuqokelelwa kweekristale ze-uric acid kumalungu nakwizicubu ezithambileyo.
• Amatye ezintso.
• Isifo sentliziyo.

Ngaba iGout ingathintelwa?

Eyona ndlela ilungileyo yokuthintela i-gout kukunciphisa ukutya okune-purines eninzi. Kwakhona, sela amanzi amaninzi ukuze izintso zakho zisebenze kakuhle kwaye uthintele ukuphelelwa ngamanzi emzimbeni.

Ukuzilolonga rhoqo akunciphisi nje kuphela uxinzelelo kumalungu akho, kodwa kukwanceda ekukhuseleni ukutyeba kakhulu nezinye iimeko ezinegalelo ekuphuhlisweni kwe-gout.

Ungayilawula njani i-gout attack?

Xa uhlaselwa yi-gout, ungenza ezi zinto ukulawula iimpawu zakho:

• Ziphephe iziselo ezinxilisayo nezineswekile.
• Sela amanzi amaninzi.
• Gcina ilungu elichaphazelekileyo lingaphezulu kwenqanaba lentliziyo kangangoko kunokwenzeka.
• Faka umkhenkce kwilungu. Songa ipakethe yomkhenkce ngetawuli ebhityileyo okanye ufake ipakethe ebandayo malunga nemizuzu eli-15-20 amaxesha amaninzi ngemini.
• Nciphisa uxinzelelo kwilungu ngokuphepha ukwenza umthambo onzima okanye ukwenza umthambo.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana intlungu ekhawulezileyo neqatha kakhulu kuyo nayiphi na ijoyinti yakho, ingakumbi ukuba ijoyinti idumbile, ibomvu, okanye inombala otshintshileyo, bona ugqirha ngokukhawuleza. Iimpawu zegout zinokufana nezo zosulelo olufuna unyango ngokukhawuleza.

Ukuba uhlaselwa yi-gout kakhulu, okanye ukuba iimpawu zakho zimbi kakhulu kunangaphambili, thetha nogqirha wakho ngaloo nto.

Ndingayibuza yiphi imibuzo ugqirha wam?

• Ngaba ndine-gout okanye olunye uhlobo lwe-arthritis?
• Ndingenza ntoni ukuze ndithintele ukuhlaselwa yi-gout kwixesha elizayo?
• Zeziphi ukutya neziselo endifanele ndiziphephe?
• Ngaba ndiza kufuna amayeza okunyanga i-gout?

Ziziphi iimpawu zokuqala ze-gout?

Uhlaselo lwe-gout ludla ngokuvela ngequbuliso, ngaphandle kwesilumkiso esininzi. Uya kuqala ukuziva iintlungu ezikhawulezileyo nezingenakunyamezeleka kwilungu elichaphazelekayo. Uhlaselo lwe-gout ludla ngokuvela ebusuku. Ngoko ke unokuzibona ezi mpawu xa uvuka kusasa. Kuqhelekile ukuba uhlaselo lwe-gout luqale ngokungabi nazimpawu lube neempawu eziqatha ngequbuliso.

Ukuba awuzange ufunyaniswe une-gout ngaphambili, okanye awuzange ube neempawu ezifana nezi ngaphambili, bonana nogqirha ngokukhawuleza ukuqinisekisa ukuba awunaso esinye isifo, njengosulelo.

Ukuba sele uyazi ukuba une-gout kwaye uziva ngathi uqala ukudumba, thatha amayeza owanikwe ngugqirha wakho ngoko nangoko ukulawula iimpawu zakho.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

I-Gout yimeko ebuhlungu yokudumba kwamalungu. Iikristale ezibukhali ezenziwe yi-uric acid egqithisileyo emzimbeni ziqokelelana kumalungu, nto leyo ebangela iimpawu ezifana nentlungu nokudumba. Ngokuthetha nogqirha wakho nokufunda ngamayeza kunye notshintsho kwindlela yokutya, unokulawula iimpawu zakho kwaye unciphise ukuhlaselwa yi-gout kwixesha elizayo. Ungakhathazeki, le yimeko elawulekayo. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho.

I- Gout, i-uric acid, iintlungu zamalungu, ukudumba kwamalungu, ii-purines, i-gout, ulawulo lokutya