Uma unesifo sikashukela sohlobo lwesibili, kungenzeka ukuthi ube nesifo esibizwa ngokuthi i-Gout . Ungamangali, olunye uhlangothi lwaso luyiqiniso. Okusho ukuthi, uma une -gout , nawe usengozini yokuthola isifo sikashukela. Lezi zifo ezimbili zifana nabangane ababili. Kodwa akubona ubungane obuhle kakhulu. Ngakho-ke, ake sixoxe ngalokhu ngokujulile namuhla. Ukuqonda lokhu kuzokusiza ukuthi uphathe zombili lezi zimo.
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Okokuqala, ake sibone ukuthi iyini i-Gout .
Kalula nje, i-gout uhlobo lwe-arthritis olubangela ubuhlungu obungazelelwe, obukhulu emalungeni. Ngokuvamile luqala ozwaneni olukhulu. Kodwa lungathinta namanye amalunga, njengamadolo, amaqakala, kanye nezindololwane. Ubuhlungu bukhulu kangangokuthi abanye abantu bazizwa ubuhlungu obungabekezeleleki ngisho nalapho amashidi ethinta imizimba yabo.
Kulungile, kungani lokhu kwenzeka? Lesi simo senzeka lapho kuba nokwanda kwe-"uric acid" yamakhemikhali emzimbeni wethu. Lokhu kubizwa ngokuthi "i-hyperuricemia" kwisayensi yezokwelapha. "i-uric acid" iwumkhiqizo ongcolile owakheka lapho amangqamuzana omzimba wethu ewohloka nalapho sigaya ukudla okuthile (ikakhulukazi ukudla okunama-"purines" amaningi). Ngokuvamile, le "uric acid" iyancibilika egazini, idlule ezinso, bese ikhishwa emchameni.
Kodwa-ke, uma umzimba wakho ukhiqiza i-uric acid eningi kakhulu, noma uma izinso zakho zingakwazi ukuyisusa kahle, izinga le-uric acid egazini lakho liyakhula. Ngokuhamba kwesikhathi, le uric acid eningi kakhulu iphenduka amakristalu amancane, abukhali bese ifakwa emalungeni akho. Yilapho-ke kuqala khona ubuhlungu obukhulu nokuvuvukala.
Esikhathini esiningi, ukuhlaselwa kokuqala kwe-gout kungahlala cishe isonto noma izinsuku eziyishumi. Futhi, umuntu oke waba nayo unethuba elingu-85% lokuthola enye phakathi neminyaka emi-3. Lokhu ngezinye izikhathi kungaba yifa. Uma umama wakho, ubaba, noma umfowenu noma udadewabo benayo, usengozini.
Lobu budlelwano phakathi kwesifo sikashukela kanye ne-gout buqala kanjani?
Njengoba sixoxile ngaphambili, abantu abanesifo sikashukela banamathuba amaningi okuba namazinga aphezulu e-'uric acid' egazini labo. Ngokufanayo, abantu abanamazinga aphezulu e-'uric acid' banamathuba amaningi okuthola isifo sikashukela. Imbangela eyinhloko yalokhu ihlonzwe njengesimo esibizwa ngokuthi 'ukumelana ne-insulin'.
Kusifo sikashukela sohlobo lwesibili, umzimba awusebenzisi i-hormone insulin ngendlela efanele. Lokhu kubangela ukwanda kwamazinga kashukela egazini. Ucwaningo luthole ukuthi lokhu kumelana ne-insulin kunciphisa ukukhishwa kwe-uric acid ezinso. Lokhu kwandisa izinga le-uric acid egazini. Futhi, ukwanda kwamazinga e-uric acid kungenza kube kubi kakhulu ukumelana ne-insulin.
Lokhu kuye kwaqinisekiswa ngisho nangocwaningo. Ucwaningo lwango-2014 luthole ukuthi abesifazane abane -gout babenamathuba angu-71% okuthola isifo sikashukela kunabesifazane abangenaso.
Kunezinye izici eziyingozi ezivamile kuzo zombili lezi zifo:
- Ukukhuluphala ngokweqile: Cishe abantu abangu-90% abanesifo sikashukela bakhuluphele ngokweqile. Futhi, umuntu okhuluphele ngokweqile unamathuba aphindwe kane okuthola i-gout kunomuntu onesisindo esijwayelekile. Lokhu kungenxa yokuthi njengoba isisindo sikhula, ikhono lezinso lokususa i-uric acid liyancipha.
- Ezinye izinkinga zempilo: Cishe abantu abangu-80% abanesifo sikashukela nabo banomfutho wegazi ophakeme. Umfutho wegazi ophakeme nawo uhlotshaniswa nokumelana ne-insulin. Ngaphezu kwalokho, kokubili i-gout nesifo sikashukela kuhlotshaniswa nesifo sezinso nesifo senhliziyo.
- Ubudala: Uma uneminyaka engaphezu kwengu-45 ubudala, ingozi yakho yokuthola lezi zifo zombili iphakeme.
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Okubangela i-gout komunye umuntu kungase kungayibangeli komunye. Kodwa kunezinto ezimbalwa ezingabangela i-gout . Kubalulekile ukuzazi lezi.
| Isiqalisi | Incazelo |
|---|---|
| Ukusetshenziswa kotshwala | Ubhiya kanye notshwala obuqinile, ikakhulukazi, kwandisa amazinga e-uric acid. |
| Ukudla okunama-purines amaningi | Inyama ebomvu (inyama yenkomo, inyama yembuzi), inyama yezitho zomzimba njengesibindi, kanye nokudla kwasolwandle (ama-shrimp, i-lobster, i-squid, ama-sardine, i-halibut). |
| Iziphuzo nokudla okunoshukela | Ikakhulukazi iziphuzo ezinoshukela kanye nokudla okuqukethe uhlobo loshukela olubizwa ngokuthi i-fructose. |
| Eminye imithi | Eminye imithi yokwelapha umfutho wegazi ophakeme, ukuvuvukala kwemilenze, kanye nesifo senhliziyo. Khuluma nodokotela wakho ngalokhu. |
| Ukuzila Ukudla Nokuphelelwa Amanzi Emzimbeni | Ngisho noma kungekho manzi anele emzimbeni, amazinga e-uric acid angakhuphuka. |
Uma ucabanga ukuthi kukhona okubangela ukuqubuka kwe-gout yakho, kungcono ukukhuluma nodokotela wakho ngezindlela zokuyivimbela.
Ungayiphatha kanjani i-gout nesifo sikashukela?
Indlela engcono kakhulu yokuphatha lezi zimo zombili ukwenza izinguquko endleleni yokuphila. Lokhu kuzosiza ekulawuleni amazinga akho e-uric acid kanye namazinga kashukela egazini lakho.
1. Qaphela ukuthi udlani futhi uphuzani.
Ukudla kubaluleke kakhulu kubo bobabili. Ngaphezu kokudla okuhambisana nesifo sikashukela sakho, udinga futhi ukucabangela izici ezithinta i-gout .
- Nciphisa noma uyeke ukudla ukudla okune-purine eningi (inyama ebomvu, ukudla kwasolwandle) ngangokunokwenzeka .
- Yeka ukuphuza utshwala ngokuphelele noma unciphise kakhulu.
- Faka ukudla okufana nobisi olunamafutha aphansi kanye ne-yogurt ekudleni kwakho. Lokhu kutholakale ukuthi kusiza ekuvikeleni i-gout .
- Uma kungenzeka, bonana nochwepheshe wezokudla obhalisiwe ukuze ukwazi ukwakha uhlelo lokudla olufanelana kahle nezintandokazi zakho nezidingo zakho.
2. Ukuzivocavoca
Ukuzivocavoca njalo akusizi nje kuphela ukulawula amazinga kashukela egazini kodwa futhi kukusiza ukwehlisa isisindo. Njengoba unciphisa isisindo, ikhono lomzimba wakho lokususa i-uric acid nalo liyakhula. Kodwa-ke, khuluma nodokotela wakho kuqala ukuze unqume ukuthi hlobo luni lokuzivocavoca olukufanele.
3. Phuza amanzi amaningi.
Ukuphuza izingilazi zamanzi ezingu-8 (cishe amalitha amabili) ngosuku kuwumgomo omuhle. Ukuphuza amanzi amaningi kusiza izinso zakho ukuthi zisebenze kahle futhi kukhishwe i-uric acid emzimbeni wakho. Kufanele uphuze amanzi amaningi uma uzivocavoca.
4. Lawula ezinye izinkinga zempilo
Izinto ezifana nomfutho wegazi ophakeme, isifo sezinso, kanye nokukhuluphala ngokweqile kungakhuphula amazinga e-uric acid futhi kube kubi kakhulu ku-gout . Ngakho-ke, uma unezinye zalezi zimo, bona udokotela wakho njalo bese ulandela ukwelashwa kwakho okunqunyiwe kahle.
Ukwelashwa kwe -gout
Uma unesifo sikashukela, ukugcina izinga le-uric acid yakho lingaphansi noma lingaphansi kuka-6 mg/dL kungasiza ekunciphiseni ingozi yakho. Uma ungalazi izinga lakho, cela udokotela wakho ukuthi akuhlole igazi.
Udokotela wakho angase akunike imithi yokwelapha i-gout .
| Uhlobo lokwelashwa | Ukusebenza / Izibonelo |
|---|---|
| Ukulawula amazinga e-uric acid isikhathi eside | |
| Ama-ejenti e-uricosuric | Kusiza ekukhipheni i-uric acid eningi ezinso. |
| Izithibi ze-Xanthine oxidase | Kunciphisa ukukhiqizwa kwe-uric acid emzimbeni. |
| Ukunciphisa ubuhlungu nokuvuvukala ngesikhathi sokuqubuka kwe -gout | |
| I-Colchicine | Isebenza kahle kakhulu uma ithathwa ngokushesha nje lapho ubuhlungu buqala. Kungase kube nokuphazamiseka kwesisu. |
| Ama-Corticosteroids | Inikezwa njengamaphilisi (isib. i-Prednisone) noma njengomjovo esilungwini. |
| Ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) | Izibonelo zifaka phakathi i-Ibuprofen ne-Naproxen. Okubaluleke kakhulu: Ungayithathi i-aspirin. Ingenza ubuhlungu bube bubi kakhulu. |
Umlayezo Wokuya Nawe Ekhaya
- Kukhona ukuxhumana okunamandla kakhulu phakathi kwesifo sikashukela kanye ne-gout . Uma unaso, cishe uzoba naso esinye.
- Imbangela eyinhloko ye- gout ukwanda kwezinga le-uric acid egazini. Lesi simo sivamile kubantu abanesifo sikashukela.
- Ukwelashwa okungcono kakhulu ukushintsha indlela yokuphila. Zombili lezi zifo zingalawulwa ngokudla okufanele, ukuvivinya umzimba, ukulawula isisindo, nokuphuza amanzi amaningi.
- Thola futhi ugweme ukudla okubangela i-gout yakho ibe yingozi.
- Khuluma nodokotela wakho njalo nganoma yiziphi izimpawu noma ukwelashwa. Ungalokothi uthathe imithi wedwa.
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