Kugadzirisa Zviratidzo uye Zvimwe Zvinokonzera Matambudziko
Gout chirwere cheArthritis chinokonzerwa nekuvakwa uye kristalllization ye uric acid muchibatanidzwa. Zvichienderana nekuoma kwekurwisa, kurapwa kunogona kusanganisira kupfuura-the-counter (OTC) anti-inflammatory drugs kuti kuderedza marwadzo, pamwe nekugadzirisa mafambiro (zvakadai sekudya zvinodhaka uye doro) kuti kuderedza nguva yakawanda yekurwisa. Kurwisa kwenguva refu kunogona kudiwa mishonga inorayirirwa kubatsira kubatsira kuderedza uric acid muropa.
Mishonga yeMusha uye Upenyu
Gout zviratidzo zvinokonzerwa nokuwedzera kwakanyanya kweUric acid , chiitiko chinonzi hyperuricemia . Nokufamba kwenguva, kuvakwa-kunogona kutungamirira pakuumbwa kweuric acid crystals mukati uye zvakapoteredza kubatana, zvichikonzera zvakanyanya uye zvenguva refu zvinorwadza nekuputika.
Sezvo zvakadaro, kurapa gout kunogona kuiswa pazvinhu zviviri: kuderedza uric acid uye kuderedza gout kurwa. Kune huwandu hwemishonga epamba uye mararamiro emararamiro anogona kubatsira.
Pain Management
Gout attack inowanzotora mazuva matatu kusvika kune gumi. Huri kurwadziwa mukati mekutanga kwekurwisa (kazhinji maawa 36 okutanga) kazhinji kuchava kwakaipisisa.
Pakati pezvokudya zvekumba:
- Iroji pack kana kuti cold compress inogona kupa runyararo rwakawanda rwekurwisa kwakanyanyisa. Iva nechokwadi chekuvhara chikwata chevhaji mu tambo tsvuku uye shandisa kujoka kwemaminetsi gumi nemashanu kusvika makumi maviri kuti udzivirire fristbite. Iwe unogona kuita izvi kanguva pazuva.
- Zorora zororo. Sezvo chikuru chiso chako chinowanzobatwa, sarudza rutsoka kuti uderedze zvakananga. Ramba uchitsika tsoka dzako zvakanyanya, uye, kana iwe uchida kufamba-famba, shandisa dhaka.
Dietary Interventions
Chimwe chezvikonzero zvinokonzera hyperuricemia ndiyo zvokudya zvatinodya. Zvimwe zvine mazinga akawandisa ezvinoumba zvinowanzozivikanwa se purine iyo, kana yaputsika, inoshandurwa kuva uric acid.
Zvimwe zvine zvinhu zvinokanganisa kusanganisa kweuric acid kubva kuitsvo.
Kunyange pasina humwe uchapupu hwokuti kupindira kwezvokudya kunogona kuderedza kana kusimba kana nguva yekurwisa, iwe unofanira kuedza kuedza kudzivisa kuwedzera mamiriro ako.
Kuti uite izvi, iwe unoda ku:
- Rega kunwa doro chero ipi zvayo, kunyanya doro.
- Dzivisa zvokudya zvakakwirira-purine .
- Dzivisa fructose-zvinotapira zvinwiwa zvinokanganisa uric acid.
- Inwa mvura yakawanda kuti uwedzere urric acid mujeri rako.
Over-the-Counter (OTC) Mishonga
OTC mishonga inowanzoshandiswa panguva yekurwiswa kunononoka kuenzanisa kuderedza marwadzo pamwe chete nekuputika. Pakati pezvaunogona kuita:
- Nonsteroidal anti-inflammatory drugs (NSAIDs), dzakadai seAleve (naproxen) uye Advil (ibuprofen), inoshanda nekuvhara enzyme ye COX nenzira inonzi analgesic (pain relieving) uye anti-inflammatory.
- Tylenol (acetaminophen) inogona kushandiswa mumatambudziko akaoma. Kunyange zvazvo isina maitiro anopesana nemapurisa eNSAIDs, iyo inonyanya kuchinja analgesic mishonga.
- Nyaya yepamusoro inonzi capsaicin yakagadzirwa, yakagadzirwa kubva kumakemikari akawanikwa muikorosi yakasvibirira, yakaratidzwa kuti inopa rubatsiro runyoro rwezviratidzo zvegout. Izvo zviripo zvinokonzerwa nemakisi, mavara, uye zvinyorwa zvekare zvinowanikwa nyore nyore pamusoro pekambani.
Zvinyorwa
Chirwere chemishonga chinowanzoshandiswa kana zvirongwa zvekudya uye mararamiro zvinokundikana kupa rubatsiro uye / kana kune uchapupu hwekuwedzera kwekukanganisa pamwe. Mishonga yemishonga inoshandiswa kurapa gout inogona kuparadzaniswa zvachose kuva mhando mbiri: anti-inflammatory uye uric acid-kuderedza.
Anti-Inflammatory Drugs
Mishonga inorwisa-kupisa mishonga inowanzoshandiswa kurapa gout ingarongedzerwa nguva inoshandiswa kana inoshandiswa kana ichidiwa kuti kuderedze zviratidzo zvakaoma. Pakati pezvaunogona kuita:
- Colchicine ishoko rinorwisana ne-inflammatory drug rinoshandiswa kurapa gout risingaperi. Mushonga unoita nekuvhara maitiro ezvokuvhiringidza akonzerwa nekuumbwa kweuric acid crystals. Colchicine inogona kushandiswa payo asi inowanzonyorwa pamwe chete ne uric acid-kuderedza mishonga seprobenecid. Zvimwe zvinokonzera zvinosanganisira kubuda, kusuruvara, uye mimba dzomumakumbo.
- Corticosteroids , inotorwa mumuromo kana muchijoka mujoka, inopa kuzorora kwenguva pfupi kwezviratidzo zvakaoma. Chirwere chinoshanda nekugadzirisa masimba ezvirwere zvemuviri semunhu wose, uye zvakadaro, haagoni kushandiswa sechimiro chekuenderera mberi kwerapi. Kurapa mumuromo (kazhinji neine drug prednisone ) kunogona kunyorerwa kwemazuva mashanu. Corticosteroid injections inonyanya kushandiswa kana pane uchapupu hwehutano uye kubatana kwekugoverana. Kunyanya kushandiswa kunogona kutungamirira kuhomwe, kuputika nyore, osteoporosis, matambudziko eziso, kukwirira kweropa, uye kuwedzerwa kwehutachiona hwehutachiona.
- Qutenza (capsaicin) 8,0 muzana patch inogona kupa ruregerero rukuru rwemarwadzo panguva yekurwiswa kwakaoma. Migumisiro yechirwere inosanganisira kushandiswa kwekushandiswa kwenzvimbo, kusanganisira kupisa, kuchenesa, kubwinya, kuzvimba, uye kunyoroka.
Uric Acid-Kuderedza Zvinodhaka
Kana mamwe maitiro apera akakundikana kuderedza uric acid mazinga, vanachiremba vanowanzotendeukira kumishonga inogona kuderedza huwandu hwehyric acid kana kuti kuwedzera kuwedzerwa kweuric acid kubva mumuviri.
Pano pane mishanu mishonga inobvumirwa neU.S. Food and Drug Administration nekuda kwezvinangwa izvi:
- Probenecid inonzi mishonga yemuromo inotorwa zuva nezuva kuti ibatsire itsvo dzako dzibvise uric acid. Kunyange zvazvo zvichibudirira pakugadzirisa zviratidzo, zvinogona kutora nguva asati mushonga unoshanda. Mune zvimwe zviitiko, kupikisa kunogona kuwedzera mukati memwedzi mitanhatu kusvika kune gumi kusvikira muviri uchinatsira kurapwa.
Zvimwe zvinosanganisa zvinosanganisira mazinyo eminzwa , kuora mwoyo, kupisa, kusuruvara kunorwadza, uye musoro. A tablet-formulated tablet inonzi ColBenemid inowanikwawo inosanganisira probenecid ne colchicine.
- Uloric (febuxostat) iri muromo xanthine oxidase inhibitor (XOI) iyo inoderedza kugadzirwa kwemuviri weUric acid. Kutorwa zuva rega rega, Uloric inogona kuderedza kuoma uye nguva dzose yekurwisa. Kuvhiringidzika kunowanzoonekwa paunotangira kurapwa. Kunyange kana zvikaitika, unofanira kuramba uchitora mishonga sezvaunenge wataurwa.
Migumisiro yakajairika inosanganisira kuora mwoyo, kurwadziwa pamwe chete, uye kupera kwemisimba. Usatora Uloric kana uri kushandisa azatioprine (inoshandiswa kurapa rheumatoid arthritis) kana mercaptopurine (inoshandiswa kurapa lymphoma, chirwere cheCrohn, kana chironda chekurara). - Zyloprim (allopurinol) mumwe mutauro XOI zvinodhaka. Sezvo neUloric, zviratidzo zvinopisa zvinogona kuitika munguva yekurapa kwokutanga. Kudzivirira izvi, mushonga uyu unowanzotarisirwa pamadhora mashoma uye zvishoma nezvishoma kuwedzera.
Migumisiro yakashata yakanyanya kudarika pane imwe uric acid-kuderedza madhiragi uye inogona kusanganisira kuputika uye kusuruvara kunorwadzisa. Matambudziko emudumbu anowanzoenda sezvo muviri wako uchichinja kumishonga. - Zurampic ( lesinurad ) mishonga yemuromo inokurudzira migumisiro yeXOIs apo XOI chete inokwana. Inogona kutorwa pamwe chete neUloric kana Zyloprim asi inofanira kushandiswa nekuchenjerera sezvo inogona kuwedzera moyo wako wehutano. Iwe unoda zvakare kugara wakachengetwa zvakanaka kuti udzivise mafungiro eminzwa.
Zvimwe zvinosanganisa zvinogona kusanganisira kuora musoro, unyoro fever, muscle aches, kurwadziwa pamwe chete, uye asidi reflux. Lesinurad inowanikwawo neallopurinol mune tablet yakaumbwa inonzi Duzallo. - Krystexxa (pegloticase) mishonga mitsva inonzi biologic inowanikwa nehutachiona hwemukati mumhepo uye inoshandiswa chete apo dzimwe mishonga dzakakundikana. Krystexxa inoshandiswa nekushandura uric acid muzvinhu zvinonzi allantoin izvo zviri nyore kubudiswa mumuviri. Inogadziriswa vhiki mbiri dzose kuchipatara uye saka yakachengeterwa chete zviitiko zvakanyanya.
Migumisiro yakajairika inosanganisira nguva shomanana yekutsvaga, kusuruvara, kuputika, kurwadziwa, kuputika, kurwadziwa kwepfupa, uye kurutsa. Muzviitiko zvisingawanzoitiki, zvinokonzera kukanganiswa kwegairo zvinogona kuitika.
Zvimwe zvinodhaka zvinoshandiswa zvinogona kushandiswa mukurapa kwegout, kusanganisira Cozaar (losartan), mishonga inopesana nemishonga, uye Tricor (fenofibrate), lipid-downing drug. Vose vari vaviri vanogona kubatsira mukuderedzwa kwe serum uric acid mazinga.
> Sources:
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> Hanani, B; Matheson, E. naWilke, T. "Kuziva, Kurapa, nekudzivirira kweGout." Am Fam Physician. 2014; 90 (12): 831-836.
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