Kusiyana kumene kuli mu gawo lotsiriza - izi ndi zomwe zimapangitsa munthu aliyense kukhala wapadera. Nthawi zina, kufufuza makhalidwe omwe makolo ndi achibale awo amabadwa nawo amatha kufotokoza momwe matendawa angakhalire. Zikuganiza kuti mwanayo adzakhala wosiyana kwambiri ndi makolo ake, ndiko kuti, ali ndi msinkhu wofanana ndi thupi komanso nthawi zambiri tsitsi lofanana ndi maonekedwe ake. Pali zikhalidwe zambiri zomwe mwana angathe kulandira kuchokera kwa makolo ake, kuphatikizapo luso kapena luso m'madera osiyanasiyana ndi makhalidwe. Kwa munthu, chiopsezo cha gout ndi chokwanira katatu kusiyana ndi amayi amene amatha kusamba nthawi zambiri amadwala matendawa. Zaka zambiri zowonongeka koyamba zimakhala zaka 30 mpaka 60. Zowonjezera zina:
• Kumwa kwambiri mowa. Pokhapokha, mowa sichimayambitsa gout, koma amachititsa kuti odwala ayambe kuwonjezeka.
• Zakudya zamapuloteni.
• Mfuti - mwachitsanzo, ku Maori ndi ku Polynesia, mlingo wa asidi wa uric m'magazi poyamba ndi wapamwamba kusiyana ndi wa anthu ena, kotero amakhala ovuta kwambiri.
• Kunenepa kwambiri.
• Matenda omwe amachititsa kuti maselo atsopano asinthidwe, monga erythremia (kuchulukira kwa erythrocyte), komanso ma lymphomas ndi khansa zina.
• Kukhalapo kwa gout mu mbiri ya banja.
• Kutenga mankhwala opatsa mavitamini kapena tizilombo ting'onoting'ono ta mankhwala a salicylic acid.
• Matenda a impso.
Anthu omwe akudwala matenda a gout ali ndi chiopsezo chowonjezereka chokhala ndi vuto la kuchepa kwa magazi ndi matenda oopsa. Pa odwala 25 peresenti, ngakhale asanamenyedwe koyamba, pali colic coal yomwe imagwirizanitsa ndi chifuwa cha uric asidi mu impso. Ndi kugwidwa koopsa kwa gout kwa mavitamini articular deposition, mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) ndi othandiza kwambiri. Ayenera kupatsidwa mlingo waukulu m'magulu oyambirira; Ambiri odwala matendawa amakhala nawo pafupi. Kwa iwo omwe sangathe kutenga NSAID, chimodzi mwa mankhwala akale kwambiri odziwika - colchicine amakhala.
Kuipa
Kuipa kwakukulu kwa colchicine ndizochepa kwambiri zochiritsira zoopsa komanso chiopsezo chachikulu cha zotsatira zake. NSAID zogwiritsira ntchito mankhwala a salicylic acid mu tizilombo ting'onoting'ono tawonjezerapo gout, ndipo ngakhale kuti muyeso yaikulu imakhala yothandiza polimbana ndi matendawa, mwachiwonekere, ntchito yawo ikupewedweratu bwino. Chodabwitsa n'chakuti, ntchito yoyamba ya allopurinol, mankhwala omwe amagwiritsidwa ntchito popewera kugwidwa ndi gout, ingayambitse kuukira mwachangu. Kuzindikira kwa gout kumapangidwa chifukwa cha zizindikiro za kuchipatala, kukhalapo kwa mbiri ya wodwala ya zinthu zomwe zimayambitsa matenda ndi kuyezetsa magazi kwa zomwe zili mu uric acid. Ngati mukukayikirabe, matendawa angatsimikizidwe ndi kupezeka kwa khungu la sodium urate mu sitirovi yamadzi. Mu gout osatha, ziwalo zingathe kuwonongedwa, ndipo kuyesera kwa X-ray kudzawonetsa kusintha kwakukulu. Kuphatikizanso apo, kuyamwa kumapangika mu timitundu ting'onoting'ono tomwe timakhala timene timayang'anitsitsa pamagulu, zikwama zapamwamba, zipolopolo zamtundu komanso zipolopolo zam'mutu.
Kusiyanitsa mitundu
Kuukira koopsa kumatha maola angapo kupita masabata angapo. Gout kwambiri nthawi zambiri imakhala yofanana ndi nyamakazi yotchedwa purulent yamatenda. Mofananamo, kutupa nyamakazi kungayambike ndi monoarthritis yofanana ndi gout. Kuwonjezeka kwa msinkhu wa uric acid wokha sikuyenera kukhala maziko a mankhwala osokoneza bongo. Odwala ambiri omwe ali ndi ma asirikiti ambiri a moyo wawo sadzakhala ndi zizindikiro za gout. Ndi ena okhawo amene amavutika ndi matenda othawa. Koma ngakhale m'mayeserowa, kutenga mchere wa NSAID ndikutsata zakudya ndi zina zoteteza kudzathandiza kwambiri kusiyana ndi chithandizo chamoyo chotha msinkhu. Ndizofunika kupewa chakudya chokwanira ndi purines, kutaya madzi kwa madzi, makamaka nyengo yotentha, ndi ntchito zovuta zachilendo.
Diuretics ndi acetylsalicylic acid m'madzi otsika ayenera kuchitidwa mosamala. Mankhwala osokoneza bongo ayenera kuperekedwa kwa odwala omwe ali pachiopsezo chachikulu chokhala ndi zotsatira za nthawi yaitali, monga matenda a nyamakazi kapena matenda ovuta a matenda a impso. Kawirikawiri amenewa ndi odwala omwe ali ndi uric acid wambiri m'magazi, anthu omwe ali ndi matenda a nodular osagwiritsidwa ntchito nthawi zambiri kapena omwe amawombera mobwerezabwereza, komanso anthu omwe ali ndi matenda a impso. Imodzi mwa mankhwala omwe amateteza kwambiri ndi allopurinol. Ndizothandiza komanso zotetezeka ngakhale kwa nthawi yaitali. Komabe, odwala ena amangodandaula za kuthamanga, koma atasiya mankhwalawa, amatha. Mankhwalawa amaletsa tizilombo toyambitsa matenda xanthine oxidase, yomwe imasintha xanthine kukhala uric acid. Mankhwala ena opatsirana ndi probenecid ndi sulfin-pyrazone, omwe amachulukitsa excretion ya uric acid kudzera impso. Gout ndi matenda omwe amafala pafupifupi 1% mwa anthu. Zimayambitsa kupweteka pamodzi. Poyambirira, adakhalabe "mwayi" wa anthu apamwamba a anthu, omwe oimirawo amadya chakudya chokwanira chokhala ndi purines ndipo miyoyo yawo nthawi zambiri imakhala poizoni ndi kuwonongeka kwa nthawi ndi kuwonongeka kwa mafupa. Masiku ano, ululu waukulu womwe umayambitsidwa ndi matendawa ukhoza kuchiritsidwa bwino ndi mankhwala odana ndi kutupa, kuphatikizapo, zida zowonongeka zingapewe ndi mankhwala omwe amachepetsa mlingo wa uric acid m'magazi.