Ukuba unesifo seswekile sohlobo lwesibini, unokuba nethuba elincinci lokufumana isifo esibizwa ngokuba yiGout . Ungamangaliswa kukuba, nelinye icala laso liyinyani. Oko kukuthi, ukuba une -gout , usengozini yokufumana isifo seswekile. Ezi zifo zimbini zifana nabahlobo ababini. Kodwa ayibobuhlobo obuhle kangako. Ngoko ke, masithethe ngale nto nzulu namhlanje. Ukuqonda oku kuya kukunceda ulawule zombini ezi meko.
Okokuqala, masibone ukuba yintoni iGout .
Ngamafutshane, i-gout luhlobo lwe-arthritis olubangela iintlungu ezikhawulezileyo neziqatha kumalungu. Idla ngokuqala kuzwane olukhulu. Kodwa inokuchaphazela namanye amalungu, njengamadolo, amaqatha, kunye neengqiniba. Intlungu inzima kangangokuba abanye abantu baziva iintlungu ezinganyamezelekiyo nokuba amashiti achukumisa imizimba yabo.
Kulungile, kutheni oku kusenzeka? Le meko yenzeka xa kukho ukwanda kwekhemikhali ethi ``uric acid`` emizimbeni yethu. Oku kubizwa ngokuba yi ``hyperuricemia`` kwisayensi yezonyango. ``uric acid`` yinkunkuma eyenziwa xa iiseli zomzimba wethu ziqhekeka naxa sicola ukutya okuthile (ingakumbi ukutya okune ``purines`` eninzi). Ngokwesiqhelo, le ``uric acid`` iyanyibilika egazini, idlule kwizintso, kwaye ikhutshwe emchameni.
Nangona kunjalo, ukuba umzimba wakho wenza i-uric acid eninzi kakhulu, okanye ukuba izintso zakho azikwazi ukuyisusa ngokufanelekileyo, inqanaba le-uric acid egazini lakho liyakhula. Ekuhambeni kwexesha, le uric acid igqithisileyo ijika ibe ziikristale ezincinci, ezibukhali kwaye ifakwa ngaphakathi kwamalungu akho. Kulapho ke kuqala khona intlungu enzima kunye nokudumba.
Uninzi lwexesha, uhlaselo lokuqala lwe -gout lunokuhlala malunga neveki okanye iintsuku ezilishumi. Kwakhona, umntu oye waba nayo unethuba elingama-85% lokufumana enye kwiminyaka emi-3. Oku ngamanye amaxesha kunokuba yimfuza. Ukuba umama wakho, utata, okanye umntakwenu ukhe waba nayo, usengozini.
Olu lwalamano phakathi kwesifo seswekile kunye ne-gout luqala njani?
Njengoko besitshilo ngaphambili, abantu abanesifo seswekile banamathuba amaninzi okuba namanqanaba aphezulu e-'uric acid' egazini labo. Ngokufanayo, abantu abanamazinga aphezulu e-'uric acid' banamathuba amaninzi okuba nesifo seswekile. Isizathu esiphambili soku sichongiwe yimeko ebizwa ngokuba yi-'insulin resistance'.
Kwisifo seswekile sohlobo lwesibini, umzimba awusebenzisi i-hormone insulin ngokufanelekileyo. Oku kubangela ukuba amanqanaba eswekile egazini anyuke. Uphando lufumanise ukuba olu hlobo lokumelana ne-insulin lunciphisa ukukhutshwa kwe-uric acid kwizintso. Oku kwandisa amanqanaba e-uric acid egazini. Kwakhona, ukwanda kwamanqanaba e-uric acid kunokubangela ukuba ukuxhathisa kwe-insulin kube mandundu.
Oku kuye kwaqinisekiswa naluphando. Uphononongo luka-2014 lufumanise ukuba abafazi abane -gout banamathuba angama-71% okuba nesifo seswekile kunabasetyhini abangenaso.
Kukho nezinye izinto ezinobungozi ezixhaphakileyo kuzo zombini ezi zifo:
- Ukutyeba kakhulu: Malunga nama-90% abantu abanesifo seswekile batyebile kakhulu. Kwakhona, umntu otyebileyo kakhulu unamathuba aphindwe kane okuba ne -gout kunomntu onobunzima obuqhelekileyo. Oku kungenxa yokuba njengoko ubunzima busanda, amandla ezintso okususa i-uric acid ayancipha.
- Ezinye iingxaki zempilo: Malunga nama-80% abantu abanesifo seswekile nabo banoxinzelelo lwegazi oluphezulu. Uxinzelelo lwegazi oluphezulu lukwanxulunyaniswa nokunganyamezelani ne-insulin. Ukongeza, zombini i-gout kunye nesifo seswekile zinxulunyaniswa nesifo sezintso kunye nesifo sentliziyo.
- Ubudala: Ukuba uneminyaka engaphezu kwama-45 ubudala, umngcipheko wakho wezifo zombini uphezulu.
Zithini izinto ezibangela i-gout ?
Into ebangela i-gout komnye umntu isenokungayibangeli komnye umntu. Kodwa kukho izinto ezimbalwa ezinokubangela i-gout . Kubalulekile ukuzazi ezi zinto.
| Isixhobo sokubangela ingxaki | Inkcazo |
|---|---|
| Ukusetyenziswa kotywala | Ingakumbi ubhiya kunye notywala obuqinileyo, bonyusa amanqanaba e-uric acid. |
| Ukutya okune purines eninzi | Inyama ebomvu (inyama yenkomo, inyama yebhokhwe), inyama yezilwanyana ezifana nesibindi, kunye nezinye iintlobo zokutya kwaselwandle (iishrimp, i-lobster, i-squid, ii-sardines, i-halibut). |
| Iziselo nokutya okuneswekile | Ingakumbi iziselo eziswiti kunye nokutya okuqulethe uhlobo lweswekile olubizwa ngokuba yi-fructose. |
| Amanye amayeza | Amanye amayeza oxinzelelo lwegazi oluphezulu, ukudumba kwemilenze, kunye nesifo sentliziyo. Thetha nogqirha wakho ngale nto. |
| Ukuzila Ukutya kunye nokuphelelwa ngamanzi emzimbeni | Nokuba amanzi aneleyo emzimbeni, amanqanaba e-uric acid anokunyuka. |
Ukuba ucinga ukuba kukho into ebangela ukuba i-gout yakho ivuvuke, kungcono ukuthetha nogqirha wakho ngeendlela zokuyithintela.
Ungayilawula njani i-gout kunye nesifo seswekile?
Eyona ndlela ilungileyo yokulawula ezi meko zombini kukwenza utshintsho kwindlela ophila ngayo. Ezi ziya kunceda ukulawula amanqanaba akho e-uric acid kunye namanqanaba eswekile egazini lakho.
1. Lumka ngento oyityayo noyiselayo.
Ukutya kubaluleke kakhulu kubo bobabini. Ukongeza kwindlela yokutya ehambelana nesifo sakho seswekile, kufuneka uqwalasele nezinto ezichaphazela i-gout .
- Nciphisa okanye uyeke ukutya ukutya okune-purine eninzi (inyama ebomvu, ukutya kwaselwandle) kangangoko unako .
- Yeka ukusela utywala ngokupheleleyo okanye unciphise kakhulu.
- Faka ukutya okufana nobisi olunamafutha aphantsi kunye neyogathi ekutyeni kwakho. Oku kufunyenwe kunceda ekukhuseleni i-gout .
- Ukuba kunokwenzeka, bonana nogqirha wezokutya obhalisiweyo ukuze ukwazi ukwenza isicwangciso sokutya esifanelana neemfuno zakho.
2. Ukuzilolonga
Ukuzilolonga rhoqo akuncedi nje kuphela ekulawuleni amanqanaba eswekile egazini kodwa kukwanceda ekunciphiseni ubunzima. Njengoko uncipha ubunzima, amandla omzimba wakho okususa i-uric acid nawo ayakhula. Nangona kunjalo, thetha nogqirha wakho kuqala ukuze ugqibe ukuba loluphi uhlobo lokuzilolonga olufanelekileyo kuwe.
3. Sela amanzi amaninzi.
Ukusela iiglasi ezisi-8 zamanzi (malunga neelitha ezi-2) ngosuku lusukelo oluhle. Ukusela amanzi amaninzi kunceda izintso zakho zisebenze kakuhle kwaye kukhuphe i-uric acid emzimbeni wakho. Ufanele usele amanzi amaninzi xa uzilolonga.
4. Lawula ezinye iingxaki zempilo
Izinto ezifana noxinzelelo lwegazi oluphezulu, isifo sezintso, kunye nokutyeba kakhulu kunokunyusa amanqanaba e-uric acid kwaye kube mandundu kwi-gout . Ngoko ke, ukuba unayo nayiphi na kwezi meko, bona ugqirha wakho rhoqo kwaye ulandele unyango oluchaziweyo ngokuchanekileyo.
Unyango lwe -gout
Ukuba unesifo seswekile, ukugcina amanqanaba e-uric acid yakho kwi-6 mg/dL okanye ngaphantsi kwayo kunokunceda ukunciphisa umngcipheko wakho. Ukuba awuyazi inqanaba lakho, cela ugqirha wakho ukuba akuhlole igazi.
Ugqirha wakho angakunika amayeza okunyanga i-gout .
| Uhlobo lonyango | Ukusebenza/Imizekelo |
|---|---|
| Ukulawula amanqanaba e-uric acid ixesha elide | |
| Iiarhente ze-uricosuric | Inceda ekukhupheni i-uric acid engaphezulu kwizintso. |
| Izithinteli ze-Xanthine oxidase | Inciphisa ukuveliswa kwe-uric acid emzimbeni. |
| Ukunciphisa iintlungu kunye nokudumba ngexesha lokuhlaselwa yi-gout | |
| I-Colchicine | Isebenza kakuhle xa ithathwa kwangoko emva kokuba intlungu iqalile. Kunokubakho ukuphazamiseka kwesisu. |
| Ii-Corticosteroids | Inikwa njengeepilisi (umz. iPrednisone) okanye njengenaliti ejoyintini. |
| Ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) | Imizekelo iquka i-Ibuprofen kunye ne-Naproxen. Okubaluleke kakhulu: Musa ukuthatha i-aspirin. Ingenza intlungu ibe mandundu. |
Umyalezo Wokuya Ekhaya
- Kukho unxibelelwano oluqinileyo phakathi kwesifo seswekile kunye ne-gout . Ukuba unayo, unamathuba amaninzi okufumana esinye isifo.
- Eyona nto ibangela i- gout kukunyuka kwamanqanaba e-uric acid egazini. Le meko ixhaphakile kubantu abanesifo seswekile.
- Unyango olungcono kukutshintsha indlela yokuphila. Zombini ezi zifo zinokulawulwa ngokutya okufanelekileyo, ukuzilolonga, ukulawula ubunzima, nokusela amanzi amaninzi.
- Chonga kwaye uphephe ukutya okubangela ukuba i-gout yakho ibe mandundu.
- Soloko uthetha nogqirha wakho malunga naziphi na iimpawu okanye unyango. Ungaze uthathe amayeza wedwa.
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