Dendaase Management Ndicho Chinangwa
Gout chirwere chinorwadza zvikuru cheArthritis. Vanhu vazhinji vane chirwere che gout vanotsanangura chiitiko ichi sechinoshamisa, uye chaizvoizvo, vangangoita chero chinhu chipi zvacho kuti vaone kuti havasati vaine imwe. Vanoda kuziva nzira yekurapa gout, asi kune imomo mushonga here?Chii Chirwere?
Merriam-Webster Dictionary inotsanangura chirwere se "kupora kubva kune chirwere; kuregererwa kwezviratidzo kana zviratidzo zvechirwere kunyanya munguva yenguva refu yekucherechedza."
Maererano neyo tsanangudzo, mushonga we gout unoratidza kuti kurapwa kunobudirira kunodzivirira kudzoka kwegout kushorwa. Kuti vaporeswe, gout vateereri vaifanira kupindura zvakanaka kurapwa uye kubvumirana nekuronga kwenguva refu chirongwa chekurapa.
Gout attack inowedzera sezvakawandisa uric acid inowedzera mumuviri uye uric acid crystals (monosodium urate monohydrate crystals kana MSU) fomu uye inowanikwa muzvibatanidzwa uye zvinyama zvinyoro zvakapoteredza majoini. Kuiswa kwekristasi kwakabatanidzwa kune yakaoma uye isingagumi kuputika .
Havasi vanhu vose vane hyperuricemia vanobudirira gout: inofungidzirwa kuti kusvika kune zvikamu zviviri kubva muzvitatu zvevanhu vane hyperuricemia havasati vatanga makristasi kana gout zviratidzo . Kunyange zvakadaro, chinangwa chekugara kwenguva refu ndechekuchengeta serum uric acid pasi pe 6 mg / dl. Panguva iyoyo, mashizha matsva haasati aumba, makristani aripo anogona kuparara, kurwisa kwakanyanya kunorwirwa kunodzivirirwa, uye tophi inopera uye inopera.
Zvinonyanya kukosha, kana uric acid ichichengetwa pasi pe 6 mg / dl, uye makirasi ese akadzikiswa, gout inopora - kunyange pasina kupfuurira kurapwa, vanhu vazhinji vachadzoka zvakare.
Kusapomerwa Gout Kurwisa
Nekutanga kwegout, kurwadziwa nekuputika kunowedzera mukati mukati maawa mashomanana ekutanga.
Kunyange kana usina kutorwa, zviratidzo zvinowanzovandudza mukati memazuva, zvichida kutora masvondo mashoma. Kune vamwe vanhu, zvinotevera zvinorwisa gout zvingave zvisingagoneki, uye makore pakati pekurwa. Sezvo nguva ichienderera mberi, kunyange zvakadaro, gout zvinowanzowedzera kazhinji. Kurwiswa kwega kwega kunogona kuramba kwenguva refu uye kunogona kusanganisira mamwe masangano.
Kutarisa Gout uye Kudzivirira Kudzoka Kwezvokukonzera
Kusanganiswa kwemishonga uye kuchinja kwezvokudya kunowanzoshandiswa kudzivirira kudzokorora kwegout, kana mune dzimwe nguva, kuderedza kuwandisa kwegout kushorwa. Kuderedza uric acid mazinga inowanzova chinangwa.
Vanhu vane chirwere chisina kuitika kana chenyoro zvinogona kusingadi kutora mishonga yekudzivirira kwenguva refu, uye vanogona kuwana nekubata kurwisa kwakanyanya sezvavanoitika. Asi vanhu vane zvirwere zvinoputika, nguva yakareba muhupenyu nekudzimara zvinoda mishonga yekudzivirira kudzokorora.
NSAIDs (nonsteroidal anti-inflammatory drugs) inoonekwa seyokutanga yezvidziviriro kurwisa gout, kunze kwekuti mishonga iyi isinganzwisisiki nekuda kwekurwisana kana nhoroondo yezvironda zvinopa ropa , somuenzaniso. Kazhinji, NSAIDs inogona kuunza gout kushandiswa pasi pesimba mukati maawa makumi maviri nemaviri.
Glucocorticoids , iyo inonziwo corticosteroids, inobatsira mutsara wechipiri wokudzivirirwa kurwisa gout attack.
Kakawanda, mishonga iyi inorayirwa pamwero mukuru pakutanga, uye inotora mazuva gumi kusvika ku14. Nemhaka yemigumisiro yakaipa , corticosteroids inguva yenguva pfupi, kwete kwenguva refu.
Colchicine aimbova mushonga wekusarudza kurapa acute gout kurwisa. Nokuda kwenguva iyo inotora kudzora kurwisa uye inogona kukanganisa, colchicine haisati yakurudzirwa pakurapa gout yakaoma, asi inoshandiswa kudzivirira.
Kana zvakagadzirirwa kuti murwere anofanirwa kubatwa neurate-kuderedza mishonga, kune zvingasarudzwa zvezvimwe. Allopurinol i xanthine oxidase inhibitor iyo inoderedza kubudisa uric acid.
Probenecid ndomumwe wemagetsi anowedzera huwandu hweucric acid.
Uloric (febuxostat) inoshandiswa nemishonga inotarisirwa kutungamirirwa kwehutachiona husingaperi mune gout. Uloric inoderedza serum uric acid nekudzivirira xanthine oxidase (iyo enzyme inobatanidza uric acid production).
Krystexxa (pegloticase) chirwere chinonzi biologic chinowanikwa kune varwere vasingagoni kutora, kana kuti vasina kubatsirwe, chirwere chinokonzera chirwere . Krystexxa inoshanda nekuputsa uric acid.
Sources:
Mashoko ekushivirira: Gout (Beyond the Basics). Kusvika pari zvino. Michael A. Becker. March 29, 2012.
http://www.uptodate.com/contents/gout-beyond-the-basics?source=search_result&search=Gout +beyond+the+basics&selectedTitle=1%7E150
Kurapa kuronga: nzira yekurapa gout. Fernando Perez-Ruiz. Rheumatology. 2009.
http://rheumatology.oxfordjournals.org/content/48/suppl_2/ii9.full
Primer paRheumatic Diseases. Klippel, J. et al. Yakabudiswa neArthritis Foundation. Chinyorwa chegumi nemitatu.