U-Hippocrates uphinde wakhuluma ngesifo esinjengokuthi gout - izibonakaliso kanye nokwelashwa kwabesifazane namadoda awakhulume emisebenzini yakhe, ukunaka izinguquko ezinxenyeni ze-cartilage zamalungu ezinzwane ezinkulu. Futhi ekugcineni, sekuphethwe ukuthi lesi yisifo esingapheli esiholela ekuphazanyeni komzimba kanye nokulimala ezitho zangaphakathi.
Izimbangela ze-gout kwabesifazane
Ukuze uphendule imibuzo mayelana nokuthi yini i-gout, yiziphi izimpawu kanye nokwelashwa kwabesifazane, umuntu kufanele aqonde imbangela ye-pathology. Kulabo bantu kuthiwa yisifo sezihloniphekile namakhosi, ngoba ngokuvamile kuvela ekusetshenzisweni okungenangqondo kokudla nokuphuza okulimazayo. Ezimweni ezinjalo, u-urate usawoti (uric acid) uyagcinwa futhi uqoqe ngamalunga.
Njengamanje, i-gout ayivamile. Lithinta abantu abathathu kusuka ku-1000. Kwabesifazane, lesi sifo sibonakala ngemuva kokuqala kokuya esikhathini (eminyakeni eyishumi). Kuze kube yilesi sikhathi, abamele abesilisa ocansini obuhle kusukela esimweni sezinkinga basindisa ama-estrogens, asusa i-uric acid emzimbeni. Ukuvuthisa kushukumisa umsebenzi wengqondo nokusiza ukuthuthukisa amathalenta afihlekile.
Uma kutholakala ukuxilongwa kwe-gout, izizathu zingaba kanje:
- izinso asinaso isikhathi sokubhekana nesilinganiso esikhulu se- uric acid ;
- ukuphuza usawoti kukhishwa ngaphandle kwemingcele evumelekile, kodwa izinso azikwazi ukuzenza.
Ukususa lesi sifo kungaba:
- isifo sikashukela mellitus;
- izinqubo ezithathelwanayo nezokuvuvukala;
- ukuhluleka kwe-hormonal .
Ukufaka izinto ezibonakalayo ekubhekeni kwe-gout kwabesifazane, ngisho nasebancane kakhulu:
- izifo zenhliziyo ;
- Ukudla ngokweqile;
- ukuzalwa.
Izimpawu zokugaya kwabesifazane
Izimpawu zesifo zibonakaliswa ekuhlaselweni kwe- arthritis e-gouty , ukuvuvukala kokujoyina. Ukuhlaselwa kobuhlungu obukhukhumezayo buzwa owesifazane ebusuku noma ekuseni kakhulu. Indawo ethintekile kuyoba:
- ukuvuvukala;
- i-shiny;
- i-blush;
- uzizwe ushisayo.
Phakathi nosuku, izimpawu ngeke zibonakale kancane, futhi ebusuku izokwanda futhi. Uma izimpawu zesifo se-gout zingadlulela ezinsukwini ezintathu kuya kwezingu-7, ngezinye izikhathi zinde. Ekuhlaselweni okulandelayo ngenqubo ebuhlungu, amanye amalunga angabandakanyeka, okuholela ekubhujisweni kwabo okuncane. Esikhathini sezilonda, izimpande (ama-tofus) akhiwa, okuvame ukuqhuma. Kulolu cala, lo muntu uzobona amakristalu amhlophe e-urate.
Uma kuthiwa unesifo sofuba, izimpawu kanye nokwelapha kwabesifazane kuxhomeke kwisilinganiso sesifo:
- Isigaba sokuqala - kulokhu akukho zinguquko zangaphandle, kepha izinga le-uric acid emzimbeni likhuphuka ngokuphawulekayo. Owesifazane kuleli cala angakwazi ukuzwa ubuhlungu emathunjini nasezihlangwini, isifiso sokuvuthwa, unesibindi.
- Isigaba sesibili sibonakala ngokuhlasela okunamandla. Iziguli zakha ubuthakathaka obuvamile, izinambuzane nezikhukhula. Ngemva kwesonto, izimpawu ziyahamba, futhi isimo sempilo sijwayelekile.
- Okwesithathu - kuleso simo, lona wesifazane akahlukunyezwa, uzizwa kahle, kodwa lokhu kuzolile kungaba yingozi. Izinga le-urate izikhathi eziningana lidlula umkhuba futhi lihlale liqoqa emzimbeni.
- Isigaba sokugcina - sesivele sidlulela efomini elingavamile, futhi ama-nodular amafomu awaveli nje kumajoyini, kodwa nasezintheni. Uma inkinga ingaqali ngokushesha, imiphumela ingaba yingozi.
Gout ezandleni
Esigabeni esingavamile, owesifazane angabhekana nobuhlungu obunzima emiphakathini enokubukeka okungenasimo. Uma kwenzeka isifo se-gout, izimpawu zibonakaliswa ngendlela yokuvuvukala, okuvimbela abameleli besifazane ababuthakathaka ukuba bahole impilo egcwele. Ngesikhathi sokukhuphuka izinga lokushisa lomzimba likhuphukela kuma-degrees angu-39-40, futhi ama-painkillers awaletheli impumuzo.
Gout emilenzeni
Lesi sifo sivame ukubonakala emilenzeni. Ngokuhlaselwa kokubili kobuhlungu obunomuthi wokuphuza, kodwa okuhlangene kuzolahlekelwa ukuhamba. Uma phakathi nokuhamba kwakho uzwa i-crunch, khona-ke yazi ukuthi inqubo engaguquki yokuguquguquka isiqalile. I-tofus iqala ukwakha ezinyaweni, emadolweni, emagcekeni noma esifundeni, bese ikhula emzimbeni wonke, ishaya izitho ezingenhla nezindlebe. Izinqubo zokuvutha zibangelwa i-renal colic, engabangela imiphumela ebulalayo.
I-Gout - indlela yokuphatha ngayo?
Ngaphambi kokuqala ukwelashwa kwe-gout kwabesifazane, udokotela uncoma ukuhlolwa okuphelele, kuhlanganise:
- ukuhlolwa kwe-ultrasound;
- ukuhlolwa kwegazi kanye nomchamo;
- i-electrocardiogram;
- imaging resonance magnetic.
Ukwelashwa kwalesi sifo kuyi-rheumatologist. Uma kwenzeka ukwephulwa kwamalungu, ungaxhumana nomzimba wamazinyo. Ukuze ukhethe izidakamizwa ukuhlaselwa okunzima, iziguli zihlala esibhedlela. Esibhedlela kunezinyathelo ezimbili eziyinhloko:
- ukuphazanyiswa kokucindezela;
- ukujwayeleka kwe-metabolism.
Kungenzeka yini ukwelapha i-gout kuze kube phakade?
Ukuze uphendule umbuzo odumile weziguli mayelana nokuthi kungenzeka yini ukwelapha igciwane ngokuphelele, kubalulekile ukwazi ukuthi yisiphi isigaba sesifo kwabesifazane esithuthukile okwamanje. Ezigaba zokuqala, isimo singashintshwa ngokukhululekile, uma ulandela ukudla okunqunyiwe, uphumelele ekwelapheni futhi uphile impilo enempilo. Esimweni esinganakiwe, isazi singenza lula isimo sesiguli futhi sinciphise inani lokuhamba.
Ukuhlasela kwe-gout - yini okufanele uyenze?
Uma uhlangabezana nokuhlasela kwe-gout, awukwazi ukususa ngokushesha ubuhlungu, unganciphisa umphumela wawo kuphela. Uma iziguli ziqala ukuzwa izimpawu zokuqala zokucindezela, zidinga:
- Faka isicelo seqhwa (amanzi abandayo kakhulu) noma ucindezele ngamafutha (Dimexid, Vishnevsky) endaweni eqondile.
- Beka umcamelo ngaphansi kwe-joint joint.
- Sebenzisa okungenani ama-2 amalitha amanzi (amaminerali, i-jelly noma ubisi).
- Qaphela ukudla okuqukethe okusanhlamvu oketshezi kanye nemifino yemifino.
- Funa iseluleko sezokwelapha.
Amalungiselelo we-gout
Ungathatha imithi yokwelapha kuphela emva kokubonisana nodokotela ozobeka umuthi wezidakamizwa, ucabangela:
- iminyaka;
- isigaba;
- izici zenyama;
- anamnesis.
Ukwelashwa kuhilela ubuncane bezinqubo ezinhlanu ezahlukene, kanti inkambo imisiwe amasonto amathathu kuya kwangu-6. Ukwelashwa kuhlanganisa:
- Ama-NSAID ( izidakamizwa ezingezangezokwelapha ezivuvukala ) - zikhulula izinzwa ezibuhlungu (i-Metindol, Ibuprom, i-Voltaren);
- Imithi ye-Urikozuric ene-gout - ukunciphisa inani le-uric acid (i-Anturan, i-Ketason, i-Butadion);
- Ama-hormone e-Corticosteroid - ayavimbela ukuvuvukala futhi akhululwa ngendlela yamajojo namaphilisi (i-Prednisolone, i-Triamcinolone, i-Dexamethasone).
I-Hirudotherapy ye-gout
Ukwelashwa okwengeziwe ngezinhloso eziyinhloko kungaba i-hirudotherapy. Amahlumela ne-gout aphuza igazi ne-uric acid. Lezifundo ziqala izikhathi ezingu-5 kuya kwezi-6 futhi kuxhomeke esimweni somzimba wakho. I-saliva yezibungu ze-annelid ithuthukisa umzimba, isusa ama-slags, ihlukanisa izicubu ezixhumeneyo futhi ivuselele ukujikeleza kwegazi. Ngaphambi kokuzisebenzisa, buza udokotela wakho.
I-Gout - ukwelashwa ngamakhambi abantu
Ukuze kunciphise isimo sabo ngesifo ezifana ne-gout, ukwelashwa ekhaya kungabandakanya:
- ukuzindla;
- ukuphumula;
- ukusikhipha.
Ukwelashwa kwe-gout ngezindlela zomuntu siqu kunezinqubo ezifana nalezi:
- ukuphumula ubuhlungu nge-iodine, okumele ichitheke nge-baking soda emanzini afudumele futhi isetshenziswe endaweni evuliwe;
- ukwelapha umchamo - kuwo kudingekile ukukhuphula ama-tofuys nsuku zonke;
- ukusetshenziswa kwe-decoction ye-cowberries;
- Ukucindezela kwewayini eliviniga nobumba obomvu;
- Ukwelashwa kwamajoyinti athintekile ngenhlanganisela ye-Aspirin ne-iodine.
Ukudla okunomsoco
Imenyu yokudla ye-gout ingenye yezindlela zokwelapha. Kudingeka udle izingxenye ezincane izikhathi 4-5 ngosuku bese uphuza kuze kufike ku-3 amalitha amanzi ngosuku. Ukuzila ukudla nalesi sifo kuvinjelwe, ngoba kungabangela ukwanda okukhulu kwe-uric acid kanye nokuhlanganiswa kwegazi. Ukudla noma yikuphi ukuphuza utshwala akuyona into engathandeki, futhi iwayini elibomvu alivunyelwe.
Iziguli kufanele zingabandakanyi ekudleni kwazo:
- usawoti;
- i-condiments;
- isibindi;
- izinso;
- i-sorrel;
- isithombo;
- ubhontshisi.
- izithelo ezintsha (ikakhulukazi i-citrus eziwusizo) kanye nemifino (garlic, amazambane, ama-beet, ama-eggplant njalonjalo);
- amaqanda;
- inyama yenkukhu emhlophe;
- izinhlanzi zasolwandle;
- amantongomane nembewu;
- imikhiqizo ebhakabhaka kusuka okusanhlamvu okuphelele, rye kanye nofulawa omhlophe;
- imikhiqizo yobisi evutshiwe;
- isobho semifino.
I-Gout nezinkinga zayo
Uma unezinye izifo eziphuthumayo, kufanele wazi ukuthi lesi sifo sinenkinga enkulu. Into eyingozi kunazo zonke yilezi:
- Ukuhlaselwa okuphindaphindiwe - owesifazane angathola imizwa ebuhlungu kaningi ngonyaka. Lokhu kungenxa yokungahambisani nokudla nokuvimbela.
- Ukunqotshwa kwezindawo eziningi zomzimba nge-tofusi , ezakhiwa ezingxenyeni zangaphakathi. Lezi zinsuku zilukhuni kakhulu ukubona, ngakho-ke akunakwenzeka ukuphilisa.
- Ukuvela kwamatshe amso. I-asidi ye-uric iqoqa kuwo futhi i-urate pathologies yenziwa. Ezimweni eziphambili, izitho zangaphakathi zebhontshisi ziqala ukwehluleka futhi zomile. Iziguli zingase zithole ukufa komtholampilo.