Ingabe une-gout? Noma ingabe othile omaziyo unayo? Uma kunjalo, wake wazibona lezi zinhlayiya ezincane, ezingenabuhlungu eminweni yakho, ezindololwaneni, noma emadolweni? Abantu abaningi bacabanga ukuthi lokhu kuyinto evamile futhi bayazishaya indiva, kodwa empeleni kungaba uphawu lwecala elibi kakhulu le-gout. Namuhla sikhuluma ngesihloko abantu abaningi abangasazi, kodwa esibaluleke kakhulu, esibizwa ngokuthi 'iTophi'.
Kalula nje, uyini uTophi?
Ama-Tophi amakristalu amakhulu e-uric acid aqoqana ezicutshini zakho. Lokhu kuyisibonakaliso esibalulekile se-gout esithuthukile.
Cabanga nje, lapho inani le-uric acid egazini lethu liba phezulu kakhulu , isimo esaziwa ngokwezokwelapha ngokuthi i-hyperuricemia, le-uric acid eyengeziwe iqala ukuhlangana njengezingcezu ezincane zengilazi bese ingena emalungeni ethu. Lokhu kuyimbangela yobuhlungu obukhulu esibuzwayo ku-gout.
Ekuqaleni, la makristalu mancane kakhulu. Kodwa uma i-gout ingelashwa kahle, ngokuhamba kwesikhathi, la makristalu e-uric acid ayahlangana futhi akhe amaqhubu amakhulu, noma amaqhubu. La maqhubu, abukeka njengeziqhubu ezivuvukele ngaphansi kwesikhumba, abizwa ngokuthi i-tophi . Lesi simo, esibizwa ngokuthi i-gout engapheli ye-tophaceous, ngokuvamile sithatha iminyaka ukuba sikhule.
Okubaluleke kakhulu, i-tophi iyisibonakaliso esinamandla sokuthi i-gout ayisalawuleki futhi lesi sifo sesibe sibi kakhulu.
La ma-tophi angakhula kuphi emzimbeni?
Ngokuvamile, la maqhubu akheka emalungeni ethu nasezindaweni ezizungezile. Isibonelo:
- Uqwanga
- Ulwelwesi lwe-synovial
- Amathambo
- Izicubu zamafutha
- Ama-Tendon
- Ama-Ligaments
Lokhu kusho ukuthi zivame ukubonakala ezindaweni lapho kunamalunga, njengeminwe yakho , izihlakala, izindololwane, amadolo, kanye namaqakala .
Kodwa ngokumangalisayo, ngezinye izikhathi la ma-tophi angakheka ezindaweni ezingalindelekile.
- Emadlebeni endlebe
- Ekhaleni
- Ezinso
- Ubuso besikhumba
- Umhlophe weso (i-sclera)
- Ama-valve enhliziyo
Esikhathini esiningi, la maqhubu awabuhlungu . Lokhu kungenzeka ngoba lawa amaqhubu amadala, asenesikhathi eside ejwayele imizimba yethu. Kodwa-ke, njengoba la maqhubu ekhula, isikhumba esiwazungezile singaba lukhuni kakhulu, sibe buhlungu, futhi siqine. Ngezinye izikhathi, la maqhubu angaqhuma, akhiphe uketshezi lwe-uric acid olumhlophe olufana nolwe-chalk . Uma lokhu kwenzeka, inxeba lingaba buhlungu kakhulu futhi lithathe isikhathi eside ukuphola.
| Isici | Uhlobo lweqhubu le-tophi |
|---|---|
| Ukubukeka | Isigaxa esiqinile, esivame ukuba yindilinga, ngaphansi kwesikhumba. Singaba sincane njengephizi noma sibe sikhulu njengewolintshi. |
| Ubuhlungu | Ngokuvamile akubuhlungu, kodwa kungaba buhlungu uma iqhubu likhula likhulu futhi lelula noma lidabula isikhumba. |
| Izici ezikhethekile | Amanye amaqhubu angaba noketshezi olumhlophe lwe-uric acid ebusweni bawo. Lokhu kungasiza ukuwahlukanisa namaqhubu abonakala ku-rheumatoid arthritis. |
Izinkinga ezingaba khona kanye nezingozi ze-tophi
Lezi ziqhubu azizona nje izinto ezinhle. Zingabangela umonakalo omkhulu emizimbeni yethu.
- Ukubhujiswa kwamathambo nezicubu: Iqhubu le-tophi lingancibilika kancane kancane futhi libhubhise izicubu, njengethambo ne-cartilage, lapho lakheka khona. Lo monakalo uvame ukungalungiseki.
- Umonakalo wamalunga: Ukuze ilunga lisebenze kahle, izicubu ezithambile, njenge-cartilage, kumele zibe nempilo. I-Tophi ingalimaza lezicubu, yenze ilunga lingashukumi.
- Ezinye izinkinga: Nakuba zingavamile, iqhubu le-tophi lingacindezela inzwa, litheleleke, noma liphazamise ukusebenza kwesitho njengezinso.
Kungani lawa ma-tophi akheka? Siwaphatha kanjani?
Njengoba sixoxile ngaphambili, isizathu esiyinhloko salokhu ukwanda okungalawuleki kwamazinga e-uric acid egazini. Nakuba amangqamuzana akhethekile ohlelweni lwethu lokuzivikela olubizwa ngokuthi ama-macrophages ezama ukususa lawa makristalu e-uric acid, lapho amazinga e-uric acid ehlala ephezulu, lawa maseli awakwazi ukususa lawa makristalu ngokuphelele.
Ngokuhamba kwesikhathi, la maseli aqoqana azungeze amabhola amakhulu e-uric acid, akha lokho okubukekaKufana nokwakha udonga , uzama ukuluhlukanisa nomzimba wonke. Yilokho esikubiza ngokuthi i-granuloma. I-tophus iyisigaxa esikhulu se-uric acid esakheka kanjalo.
Izindlela zokwelapha
Ngenhlanhla, lesi simo singalawulwa. Odokotela banikeza imithi ehlisa izinga le-uric acid egazini.
- Imithi: Imithi efana ne-Allopurinol ne-Febuxostat inciphisa ukukhiqizwa kwe-uric acid. Le mithi ingasiza ekuvimbeleni ukwakheka kwe-tophi entsha futhi isize i-tophi ekhona ukuthi incibilike. Kodwa-ke , kuthatha okungenani izinyanga eziyisithupha zemithi eqhubekayo ukuncibilikisa la maqhubu . Lokhu kwelashwa kufanele kusetshenziswe kuphela ngaphansi kokuqondisa kukadokotela wakho .
- Ukuhlinzwa: Uma iqhubu le-tophi likhulu kakhulu, libuhlungu, selithelelekile, noma libangela umonakalo omkhulu emalungeni, udokotela wakho angase akuncome ukususwa ngokuhlinzwa (i-tophectomy).
Izinguquko zendlela yokuphila
Ngaphezu kwemithi, ezinye izinguquko ozenzayo endleleni yakho yokuphila zingasiza kakhulu ekulawuleni i-gout.
| Okudinga ukushintshwa | Incazelo |
|---|---|
| Ukudla | Nciphisa ukudla okunama-purines amaningi (isib. inyama ebomvu, ukudla kwasolwandle, utshwala) kanye neziphuzo ezinoshukela. Yidla imifino eminingi, izithelo, kanye nokudla okucebile nge-fiber. |
| Eminye imithi | Eminye imithi oyithathayo yezinye izimo (isib., eminye imithi yokukhipha isisu) ingakhuphula amazinga e-uric acid. Khuluma nodokotela wakho ngalokhu bese wenza izinguquko uma kudingeka. |
| Iseluleko sezokwelapha | Kubaluleke kakhulu ukubona udokotela njengoba echaziwe futhi ungayeki ukuthatha imithi echaziwe. |
Nakuba i-gout ingelapheki ngokuphelele, ngokwelashwa okufanele nendlela yokuphila, ungakwazi ukulawula amazinga akho e-uric acid, uvimbele izinkinga ezinkulu njenge-gout, futhi uphile impilo enempilo.
Umlayezo Wokuya Nawe Ekhaya
- I-Tophi iyisibonakaliso esiyisixwayiso sokuthi i-gout isibe nzima futhi ayilawulwa kahle.
- Lezi zigaxa zakha ngoba amazinga e-uric acid egazini ahlala ephezulu isikhathi eside.
- Nakuba ngokuvamile kungabi buhlungu, lokhu kungabangela umonakalo ongenakulungiseka emalungeni nasemathanjeni.
- Ukwelashwa okuyinhloko ukuqhubeka nokuthatha imithi yokwehlisa i-uric acid enqunywe udokotela.
- Uma unezinye zalezi ziqhubu emzimbeni wakho, ungawanaki futhi khuluma nodokotela wakho nakanjani.
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