Ingabe nawe uzwa ubuhlungu obukhulu bamalunga? Ake sifunde kabanzi nge-gout.

Ngezinye izikhathi uma uvuka ekuseni, ingabe ilunga, ikakhulukazi uzwane lwakho olukhulu, idolo, noma iqakala, liba bomvu ngokuzumayo, livuvuke, futhi libe buhlungu? Ingabe libuhlungu kangangokuthi awukwazi ngisho nokulithinta? Ingabe lizwakala sengathi liyasha? Uma kunjalo, ungase ube nesimo esibizwa ngokuthi 'i-gout'. Abantu abaningi bakubiza nangokuthi 'i-gout'. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.

Iyini ngempela i-Gout?

Kalula nje, i-gout uhlobo lwe-arthritis yokuvuvukala . Ibangelwa ukwanda kwekhemikhali ebizwa ngokuthi i-uric acid emizimbeni yethu. I-uric acid ikhiqizwa lapho umzimba uphula amakhemikhali abizwa ngokuthi ama-purines atholakala ekudleni okuthile. Ngokuvamile, le uric acid ihlungwa iphume ezinso zethu bese ikhishwa emchameni wethu.

Kodwa, ngezinye izikhathi imizimba yethu ikhiqiza i-uric acid eningi kakhulu, noma izinso zethu azikwazi ukuyikhipha kahle. Yilapho inkinga iqala khona. Le uric acid eyengeziwe iqala ukugcwala emalungeni ethu njengamakristalu abukhali, afana nameva. Lapho la makristalu eqoqana, 'ukuhlaselwa yi-gout' kungazelelwe kuza nobuhlungu obukhulu nokuvuvukala.

Ngokuvamile, lokhu kuthinta ilunga lonyawo olukhulu. Kodwa-ke, lesi simo singathinta namanye amalunga onyawo lwakho . Isibonelo:

• Amadolo
• Iqakala
• Amanye amalunga ezinyawo
• Amalunga ezandla nezingalo
• Izindololwane

Izimpawu ze-gout ziyavela futhi ziphele ngokuphindaphindiwe. Lokhu sikubiza ngokuthi 'ukuqubuka' noma 'ukuhlaselwa yi-gout'. Udokotela wakho uzokunikeza imithi yokwehlisa amazinga akho e-uric acid, kanye nokushintsha kokudla. Lokhu kungasiza ekunciphiseni ukuvama kwalokhu kuhlaselwa yi-gout.

Ziyini izimpawu ze-Gout?

Ukuhlaselwa yi-gout kuyinto ebuhlungu kakhulu. Kungaqala ngokuzumayo, ngokuvamile phakathi nobusuku. Uma uhlaselwa yi-gout, ungase uqaphele izimpawu ezinjengalezi emalungeni akho athintekile:

• Ubuhlungu obukhulu obungabekezeleleki.
• Ukubomvu noma ukushintsha kombala kwesikhumba esizungeze ilunga.
• Ukuqina kwejoyinti, ubunzima bokugoba nokwelula.
• Ukuvuvukala.
• Hhayi nje kuphela uma ngibamba isandla sami, kodwa ngisho noma ngithinta ishidi lombhede, ubuhlungu (ukuthamba) abubekezeleleki.
• Ilunga lizwakala lifudumele, sengathi "liyasha."

Ukuhlaselwa yi-gout kungahlala isikhathi esingakanani?

Ukuhlaselwa yi-gout kuvame ukuhlala cishe isonto elilodwa noma amabili. Amanye ama-flares angahlala isikhathi eside, kanti amanye angabangela izimpawu ezimbi kakhulu. Ungase ungabi nazo izimpawu ze-gout phakathi nokuhlaselwa.

Yini ebangela i-gout?

Njengoba sishilo ngaphambili, i-gout yenzeka lapho umzimba une-uric acid eningi kakhulu (isimo esisibiza ngokuthi 'i-hyperuricemia'). Lawa makristalu e-uric acid yiwo ahlala emalungeni futhi abangele ubuhlungu.

Khumbula, akubona bonke abantu abathola i-gout ngoba amazinga abo e-uric acid egazini ephakanyisiwe kancane. Abantu abaningi abane-hyperuricemia abakaze babe ne-gout. Lokhu kusho ukuthi ezinye izici, hhayi nje amazinga aphezulu e-uric acid, zingathinta lokhu.

Ubani osengozini enkulu yokuthola i-gout?

Noma ubani angaba ne-gout. Kodwa-ke, amadoda anamathuba aphindwe kathathu okuthola i-gout kunabesifazane. Kwabesifazane, i-gout ivame ukwenzeka ngemva kokunqamuka kokuya esikhathini. Abantu abanezifo ezithile ezingamahlalakhona nabo basengozini enkulu yokuthola i-gout. Izifo ezinjalo zifaka:

• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile.
• Izimo zenhliziyo, ikakhulukazi ukwehluleka kwenhliziyo okuhlanganisiwe.
• Isifo sikashukela.
• Umfutho wegazi ophezulu (i-Hypertension).
• Isifo sezinso.
• Umdlavuza wegazi.

Futhi, ungase ube sengozini enkulu yokuthola i-gout uma:

• Uma abazali bakho noma ogogo nomkhulu bakho benesifo se-gout (okusho ukuthi kuyisifo sofuzo).
• Uma udla amaprotheni ezilwane amaningi kakhulu – ikakhulukazi inyama ebomvu, ukudla kwasolwandle, kanye nenyama yezitho zomzimba njengesibindi namathumbu.
• Uma uphuza utshwala njalo.
• Uma uthatha imithi yokukhipha isisu (amaphilisi amanzi).
• Uma uthatha ama-immunosuppressants.

Yikuphi ukudla okwandisa i-gout?

Njengoba sishilo ngaphambili, ukudla okunama-purines amaningi kungakhuphula amazinga e-uric acid emzimbeni futhi kubangele i-gout. Nazi ezinye zokudla ezingabangela lokhu:

• Iziphuzo ezinoshukela nokudla okumnandi: Ingxenye yoshukela esiwudlayo yi-fructose, uhlobo loshukela wezithelo. Lokhu kuguqulwa kube yi-uric acid emzimbeni. Ngakho-ke, noma yikuphi ukudla noma isiphuzo esinoshukela omningi kungandisa i-gout.
• Isiraphu yommbila ene-fructose ephezulu: Lena futhi uhlobo oluhlanganisiwe lwe-fructose. Ingatholakala ngobuningi obukhulu ekudleni okupakishwe kanye nokudla okulula okunezinongo zokwenziwa.
• Utshwala: Nakuba kungebona bonke utshwala obunama-purines amaningi, utshwala buvimba izinso ekukhipheni i-uric acid, bese iphinda imuncwe futhi iqongeleleke emzimbeni.
• Inyama yezitho zomzimba: Izinto ezifana nesibindi, amathumbu, ubuchopho nezinso.
• Ezinye izinyama zezilwane zasendle: Izinto ezifana nehansi nenyama yenkomo zigcwele ama-purine.
• Ukudla kwasolwandle:Izinhlanzi ezifana ne-herring, ama-oyster, ama-mussels, i-cod, i-tuna, i-trout, kanye ne-haddock.
• Inyama ebomvu: inyama yenkomo, inyama yembuzi, ingulube, ubhekeni.
• I-Turkey: Inyama ye-turkey enongiwe kakhulu.
• Ama-gravies nama-sauce enyama.

Okubalulekile: Lokhu akusho ukuthi kufanele ukugweme ngokuphelele lokhu kudla. Kodwa-ke, kubaluleke kakhulu ukuthi umuntu one-gout akudle ngokulinganisela.

Wazi kanjani ukuthi une-gout?

Uma unezimpawu ze-gout, bona udokotela. Uzokuhlola futhi akubuze ngezimpawu zakho. Tshela udokotela ukuthi waqala nini ukuqaphela ubuhlungu bamalunga nokuvuvukala, nokuthi lezi zimpawu zenzeka kangaki.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale i-gout?

Udokotela wakho angenza izivivinyo zokuthwebula izithombe ukuze athathe izithombe zamalunga akho athintekile. Lezi zivivinyo zingahlola nanoma yimuphi umonakalo wamalunga obangelwa yi-gout. Kungadingeka ukuthi wenze izivivinyo ezinjengalezi:

• Ama-X-ray.
• I-Ultrasound.
• I-MRI (Umfanekiso Wokuqabulana Kwamagnetic).
• I-CT scan – ikakhulukazi i-CT scan yamandla amabili.

Ezinye izivivinyo ezivamile ezisetshenziselwa ukuxilonga i-gout zifaka:

• Ukuhlolwa kwegazi okulinganisa izinga le-uric acid egazini lakho.
• Ukufuthwa kwamalunga: Inqubo esebenzisa inaliti ukususa isampula yoketshezi ngaphakathi kwamalunga. Lokhu kungabona ngokunembile ukuba khona kwamakristalu e-uric acid.

Iphathwa kanjani i-gout?

Lapho welapha i-gout, kunezinto ezimbili ezibalulekile okufanele uzicabangele. Eyokuqala ukulawula izimpawu lapho kuvela ukuhlaselwa yi-gout, kanti eyesibili ukunciphisa amazinga e-uric acid ngokunciphisa ukudla okunama-purines amaningi.

Imithi ye-Gout

Udokotela wakho angase asikisele imithi efana nale ukusiza ukulawula izimpawu:

• Ama-NSAID (Izidakamizwa Ezingezona Ezokwelapha Ukuvuvukala): Lezi ziyimithi yokuqeda ubuhlungu kanye nemithi yokuqeda ukuvuvukala. Isibonelo, ungathenga imithi efana ne-ibuprofen kanye ne-naproxen ekhemisi. Kodwa-ke, lezi azifanele abantu abanezinkinga ezifana nesifo sezinso noma izilonda zesisu. Ngakho-ke, ungazisebenzisi ngaphandle kokubonisana nodokotela.
• I-Colchicine: Lona umuthi onikezwa ngudokotela. Uma uthathwa zingakapheli amahora angama-24 kusukela ekuqaleni kokuhlaselwa yi-gout, unganciphisa ukuvuvukala nobuhlungu.
• Ama-Corticosteroids: Lena futhi imithi enciphisa ukuvuvukala. Udokotela wakho angakunika lawa njengamaphilisi okuphuza ngomlomo. Angase futhi akunike umjovo esilungwini esithintekile noma emsipheni oseduze.

Udokotela wakho angase futhi akunike imithi yokwehlisa amazinga e-uric acid egazini lakho. Imithi evame ukusetshenziswa yile:

• I-Allopurinol.
• I-Febuxostat.
• I-Pegloticase.
• I-Probenecid.

Ukudla okuphansi kwe-purine kwe-gout

Udokotela wakho angase akuncome ukuthi ulandele ukudla okune-purine ephansi . Lokhu kuhilela ukuyeka ukudla okune-purine eningi nokudla ukudla okuthile okusiza ukwehlisa amazinga e-uric acid.

Ingabe i-Gout ingelapheka ngokuphelele?

Eqinisweni, i-gout ayikwazi ukwelapheka ngokuphelele. Kodwa-ke, ngokusebenzisana nodokotela ukuthola ukwelashwa okufanele ukulawula izimpawu zakho nokwehlisa amazinga akho e-uric acid, unganciphisa kakhulu ukuvama kokuhlaselwa yi-gout.

Yini okufanele ilindelwe umuntu one-gout?

Uma une-gout, kufanele ulindele ukuthi izimpawu zakho zizofika ziphele. Uma ungatholi ukuxilongwa okufanele kanye nokwelashwa, lokhu kuqubuka kunganda kakhulu.

Kwabanye abantu, ngisho nangemva kokuqala ukwelashwa, njengoba amazinga abo e-uric acid ejwayela imithi emisha noma izinguquko zokudla, bangase babhekane nokuhlaselwa yi-gout ezigabeni zokuqala. Lokhu kuvamile.

Iyini inhloso yabantu abane-gout?

Abantu abaningi abaphethwe yi-gout bathola inhlanganisela yezindlela zokwelapha kanye nezinguquko zendlela yokuphila ezibasebenzelayo ngokuhamba kwesikhathi. Lokhu kungabasiza ukulawula izimpawu zabo futhi kunciphise ukuvama kokuhlaselwa yi-gout. I-Gout iyisimo esingelapheka. Ukugcina amazinga e-uric acid egazini engaphansi kuka-6 mg/dL kunganciphisa kakhulu ukuvama kokuhlaselwa yi-gout.

Kodwa-ke, uma ingelashwa, i-gout ingadala umonakalo ohlala njalo emalungeni. Amaqhubu akheka emalungeni nasezicutshini ezithambile ezivela ku-uric acid abizwa ngokuthi i-tophi. Abanye abantu abane-gout abangelashwanga bangase babe nezinye izinkinga zempilo, njenge:

• Ukuvuvukala okukhulu kwamalunga kanye nokukhubazeka kwamalunga.
• I-Tophi – amaqhubu akhiwa ukuqongelela kwamakristalu e-uric acid emalungeni nasezicutshini ezithambile.
• Amatshe ezinso.
• Isifo senhliziyo.

Ingabe i-Gout ingavinjelwa?

Indlela engcono kakhulu yokuvimbela i-gout ukunciphisa ukudla okunama-purines amaningi. Futhi, phuza amanzi amaningi ukuze ugcine izinso zakho zisebenza kahle futhi uvimbele ukuphelelwa amanzi emzimbeni.

Ukuvivinya umzimba njalo akugcini nje ngokunciphisa ukucindezeleka emalungeni akho, kodwa futhi kusiza ekuvikeleni ukukhuluphala kanye nezinye izimo ezifaka isandla ekuthuthukisweni kwe-gout.

Ungalawula kanjani ukuhlaselwa yi-gout?

Uma uhlaselwa yi-gout, ungenza lezi zinto ukulawula izimpawu zakho:

• Gwema utshwala neziphuzo ezinoshukela.
• Phuza amanzi amaningi.
• Gcina ilunga elithintekile lingaphezulu kwezinga lenhliziyo ngangokunokwenzeka.
• Faka iqhwa esihlangwini. Songa iphakethe leqhwa ngethawula elincane noma ufake iphakethe elibandayo cishe imizuzu eyi-15-20 izikhathi eziningana ngosuku.
• Nciphisa ingcindezi emalungeni ngokugwema ukuvivinya umzimba okunzima noma umsebenzi womzimba.

Kufanele ngimbone nini udokotela?

Uma uzwa ubuhlungu obungazelelwe, obukhulu kunoma yiliphi ilunga lakho, ikakhulukazi uma ilunga livuvukile, libomvu, noma lishintsha umbala, bona udokotela ngokushesha. Izimpawu ze-gout zingafana nezezifo ezidinga ukwelashwa ngokushesha.

Uma uhlaselwa kakhulu yi-gout, noma uma izimpawu zakho zimbi kakhulu kunangaphambili, khuluma nodokotela wakho ngalokho futhi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Ingabe ngine-gout noma olunye uhlobo lwe-arthritis?
• Yini okufanele ngiyenze ukuze ngivimbele ukuhlaselwa yi-gout esikhathini esizayo?
• Yikuphi ukudla neziphuzo okufanele ngizigweme?
• Ingabe ngizodinga imithi yokwelapha i-gout?

Yiziphi izimpawu zokuqala ze-gout?

Ukuhlaselwa yi-gout kuvame ukwenzeka ngokuzumayo, ngaphandle kwesixwayiso esiningi. Uzovame ukuqala ukuzwa ubuhlungu obungazelelwe, obungenakubekezeleleka esilungwini esithintekile. Ukuhlaselwa yi-gout kuvame ukwenzeka ebusuku. Ngakho-ke ungase uqaphele lezi zimpawu uma uvuka ekuseni. Kuvamile ukuthi ukuhlaselwa yi-gout kusuke ekubeni kungabi nazimpawu kuye ekubeni nezimpawu ezinzima ngokuzumayo.

Uma ungakaze utholakale une-gout ngaphambili, noma ungakaze ube nezimpawu ezinjengalezi ngaphambili, bona udokotela ngokushesha ngangokunokwenzeka ukuze uqiniseke ukuthi awunaso esinye isimo, njengokutheleleka.

Uma usuvele wazi ukuthi une-gout futhi uzizwa sengathi uqala ukuvuvukala, thatha imithi oyinikezwe udokotela wakho ngokushesha ukuze ulawule izimpawu zakho.

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

I-Gout yisimo esibuhlungu sokuvuvukala kwamalunga. Amakristalu abukhali akhiwe yi-uric acid eningi emzimbeni aqoqana emalungeni, okubangela izimpawu ezifana nobuhlungu nokuvuvukala. Ngokukhuluma nodokotela wakho nokufunda ngemithi kanye nezinguquko ekudleni, ungalawula izimpawu zakho futhi unciphise ukuvama kokuhlaselwa yi-gout esikhathini esizayo. Ungakhathazeki, lesi yisimo esilawulekayo. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho.

I- Gout, i-uric acid, ubuhlungu bamalunga, ukuvuvukala kwamalunga, ama-purines, i-gout, ukulawula ukudla