Ndeipi Nzira Yakanakisisa Yokurapa Nzira yeGout?
Gout kazhinji inorwisa imwe sangano kamwe kamwe uye zvakasimba. Kazhinji, yekutanga metatarsophalangeal joint ( bigwe zvigunwe ) zvinosanganiswa, asi mamwe majoini angangobatwa. Gouty joints inoratidza zviratidzo zvinooneka zvekuputika (kureva, kubwinya). Chinangwa chikuru chekurapa ndechekudzivisa kusangana kuripo uye kudzivirira kusangana kwegout.
Heino Ndezvipi:
- Kutanga kwokutanga kwegout kunogona kupedza mazuva anoverengeka uye kunopera kunyange kana isingateereri. Kurwiswa kunotevera hakuitike kwevhiki, mwedzi, makore, kana kwete zvachose. Mhosva dzakanyanya dzehuti (kureva, kudzokororwa kunowanzoitika kwechinguva refu) kunogona kukonzera kukuvadzwa kwezvikamu zvakakanganiswa uye kurasikirwa kwekufamba. Purogiramu yekurapa inokosha pakudzivirira kutambudzwa uye kuwirirana pamwe chete.
- Gout inobatana nehupenyu husina kuwanikwa hwekushanda uric acid mumuviri. Uric acid mizinga inogona kuve yakakosha nokudya zvakakwana zvakakwana zvezvokudya zvepineine , apo pane kuwedzererwa kweuric acid nemuviri, kana kana itsvo dzirega kubvisa uric acid yakawanda.
- Kurapa zvinangwa zvinosanganisira kupedza kurwisa kwakanyanya , kurwirwa kwekutambudzika nekuputika, kudzivirira kurwiswa kwemazuva anotevera, nekudzivirira matambudziko (semuenzaniso, kugadzirwa kwe tophi , mazvo emabwe, uye kuparadza pamwe).
- Kunyange zvazvo kurapwa kwegout kunowanzotarisirwa kubudirira uye pasina zvinetso, zvinowedzera zvinetso kana mamwe mamiriro ezvinhu aripo pamwe chete negout kana kana pane murombo ane hanya maererano nemararamiro anoraramisa mararamiro kana chirongwa chemishonga.
- Kuchinja kwezvokudya kunorumbidzwa, zvakadai sokudzivisa kudya kwepineine-richine . Zvimwe zvipingamupinyi zvinosanganisira kuchengetedza kukwana kwakakwana kwemvura, kuderedza kuyerwa, kuderedza kunwa doro, uye mishonga yekuderedza hyperuricemia.
- Mishonga ye gout inosanganisira:
- kwete-steroidal anti-inflammatory drugs (NSAIDS)
- colchicine
- corticosteroids
- adrenocorticotropic hormone (ACTH)
- allopurinol
- probenecid
- sulfinpyrazone
- Uloric (febuxostat)
- Krystexxa (pegloticase)
- NSAIDS inowanzotanga mishonga inorayirwa kuti irape gout yakaoma. Indomethacin inonzi inoshanda. Zvimwe NSAIDS inogona kunge yakafanana. NSAIDS inotanga kurongerwa pamusana wepamutemo inotenderwa uye inoderedzwa sezvo zviratidzo zvinopera. Mishonga inofanira kupfuurirwa kusvikira kurwadziwa nekuputika kusina kwemaawa makumi mana. COX-2 inhibitor inogona kuva yakakosha kune varwere vane zvinetso zvemakumbo asi kushandiswa kwavo kwegout guru hakuna kumbobvunzwa zvakananga kana kurondedzerwa.
- Colchicine inoshandiswa kurapa acute flares ye gouty arthritis uye kudzivirira kudzivisa kurwisa kwakanyanya. Colchicine hairi kurapa gout kana kutora nzvimbo yemimwe mishonga inoderedza huwandu hweuric acid mumuviri. Mishonga inodzivirira kana kudzikinura gout kurwisa nekuderedza kupisa. Colchicine inogona kushandiswa nenzira mbiri: vamwe vanhu vanotora zvishoma zvayo nguva dzose kwemwedzi kana makore, asi vamwe vanotora zvakawanda zvechirchicine munguva pfupi (maawa akawanda).
- Corticosteroids kana adrenocorticotropic hormone inogona kushandiswa kune varwere vasingagoni kutora NSAIDS kana colchicine. Varwere vane gout yakakura vanowanzogamuchira maitiro ezuva nezuva ezvinyorwa (20-40mg) kana kuti yakaenzana naro kwemazuva matatu kusvika ku4, zvino inowanikwa zvishoma nezvishoma kwevhiki imwe chete kusvika kwevhiki mbiri. ACTH inoshandiswa sejekiseni yepramuscular (chiyero chekutanga uye maitiro anotevera pashure pemazuva mazhinji zvichidiwa).
- Allopurinol (zita rechiratidzo - Zyloprim) , iro rinorayirwa gout risingagumi kana gouty arthritis, rinoshandisa kuburikidza nehurongwa hunogadzira uric acid mumuviri. Iyo inoshandiswa kudzivirira gout kurwisa, kwete kuvabata kana kangoitika.
- Probenecid (marita mazita - Benemid, Probalan) inorayirwa kuti isingaperi gout uye gouty arthritis. Iyo inoshandiswa kudzivirira kutambudzwa kunobatana ne gout, kwete kuvabata kana kangoitika. Iyo inoshanda painso kuti dzibatsire muviri kubvisa uric acid. Probenecid inozivikanwa seanorosheric agent.
- ColBenemid (mamwe marita mazita iCol-Probenecid naProben-C) imishonga inonzi gout ine Probenecid, iyo inyanzvi yemagetsi, uye Colchicine, iyo ine anti-gout properties.
- Sulfinpyrazone (zita rechiratidzo - Anturane) inozivikanwawo senhengo yeurricosuric uye inoshandiswa kurapa gouty arthritis. Inoshanda kuburikidza nekuderedza chiyero cheUric acid muropa rako, kudzivirira gout kurwisa. Mishonga inobatsira kudzivirira kutambudzwa asi haisashandisi kurwisa kurwisa kana yatanga. Sulfinpyrazone is not currently available in the US
- L osartan, (marita mazita - Cozaar neHyzaar), haisi kunyatsotaura mishonga yegout asi anongororwa anoyotensin II, mushonga unorwisa muviri unogona kubatsira kutonga uric acid mazinga. Fenofibrate, (zita rechirwere - Tricor), haisi mishonga inonzi gout asi iyo inoderedza-kuderedza mishonga inogona kubatsira uric acid mazinga.
- Analgesic painkillers inoshandiswawo kugadzirisa kurwadziwa kukuru kwegout. Zvose zvezvinotaurwa zvinodhaka zvinogona kushandiswa mukubatana, kudzora zviratidzo, kudzivirira kurwiswa kwemazuva anotevera, nekuchengetedza utano hwakanaka hweutric acid.
- Krystexxa (pegloticase) chirwere chinonzi biologic . Inoshanda nekuputsa uric acid. Inoshandiswa muvarwere vane gout avo vakakundikana kana kuti havagoni kushivirira mishonga yemagout inowanikwa.
- Uloric (febuxostat) mushonga unoshandiswa wehutano husingaperi hwehutachiona mune gout . Uloric inoderedza serum uric acid mazinga nekuvhara xanthine oxidase - iyo enzyme inokonzera uric acid inogadzirwa.
Mazano:
- Chengetedza kudya kwakakwana kwakakwana.
- Chengeta uremu hwako pasi pekutonga. Kuwedzera muviri kwakabatanidzwa kune gout.
- Kudya kwezvokudya kunogona kubatsira kudzivirira gout kurwisa. Dzivisa kudya kwepine-purine. Deredza doro.
- Mishonga inogona kubatsira kutarisa kurwadziwa nekuputika kwegout kusangana uye kubatsira kudzivirira kurwiswa kwemazuva ekupedzisira nekubvisa uric acid yakawandisa kana kukanganisa kubudiswa kwemuyric acid yakawandisa.
- Ita zvinoenderana nechirongwa chekurapa chiremba wako anokurudzira.
Zvaunoda:
- Kudya pasi mu purines.
- Mishonga yekudzivirira marwadzo.
- Mishonga yekudzivirira kupisa.
- Mishonga yekudzikisa uric acid.