Gout: nws yog dab tsi, ua rau muaj mob thiab kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav kuaj li cas
• Ua rau ntawm gout
• Yuav kho tus mob li cas
• Cov zaub mov yuav tsum ua li cas

Gout lossis gouty mob caj dab, nrov npe hu ua rheumatism hauv taw, yog ib qho mob tshwm sim los ntawm cov uric acid nyob rau hauv cov ntshav, ib qho xwm txheej hu ua hyperuricemia nyob rau hauv uas qhov concentration ntawm urate hauv cov ntshav ntau dua 6.8 mg / dL, uas ua rau ntau ntawm kev mob pob txha. Cov tsos mob muaj xws li o, liab thiab mob thaum tsiv pob qij txha, feem ntau cuam tshuam, feem ntau, yog tus ntiv taw loj, uas yog mob, tshwj xeeb tshaj yog thaum taug kev.

Nws yog ib qho tseem ceeb kom nco ntsoov tias tsis yog txhua tus neeg uas muaj tus mob uric acid siab yuav tshwm sim gout, vim tias tus kabmob muaj raws lwm yam.

Kev tawm tsam txhawm rau txhawm rau txhim kho, thiab qhov koj tuaj yeem ua yog txhim kho koj cov zaub mov kom txo qis uric acid nyob rau hauv koj cov ntshav thiab siv cov tshuaj tiv thaiv kab mob kom tswj tau qhov mob thiab mob, xws li Ibuprofen, Naproxen lossis Colchicine. Txawm li cas los xij, nws yog ib qho tseem ceeb uas tswj cov qib ntawm uric acid hauv cov ntshav kom tiv thaiv gout tawm tsam thiab cov teeb meem uas cuam tshuam tsis tau, xws li deformities hauv pob qij txha.

Txhawm rau tswj cov qib uric acid nyob rau hauv cov ntshav, tus kws kho mob rheumatologist lossis tus kws kho mob tshaj tawm tuaj yeem pom zoo kom siv cov tshuaj los tiv thaiv uric acid ntau lawm, xws li Allopurinol, lossis cov tshuaj los pab lub raum tshem tawm uric acid nyob rau hauv cov zis, xws li Probeneced.

Cov tsos mob tseem ceeb

Cov tsos mob gout tshwm sim los ntawm qhov kev tso tawm ntawm uric acid muaju nyob rau hauv cov pob qij txha, uas ua rau mob sib koom tes mob hnyav uas kav ntev li ob peb hnub thiab cuam tshuam nrog kev txav, ntxiv rau cov kev ntsuas kub hauv zos, ua kom tawv nqaij thiab liab.

Qhov mob, uas feem ntau pib thaum kaj ntug, mob hnyav txaus kom tus neeg mob sawv thiab kav ntev li 12 txog 24 teev, txawm li cas los xij, tom qab qhov mob tus neeg yuav muaj kev tsis xis nyob rau hauv qhov kev sib koom tes, tshwj xeeb tshaj yog thaum tsiv, uas tuaj yeem siv sijhawm ntev li ob peb. hnub rau lub lis piam, tshwj xeeb yog tias qhov gout tsis tau kho kom zoo.

Ib qho kev sib koom tes tuaj yeem cuam tshuam, txawm li cas los xij gout tshwm sim ntau dua hauv qab nqag, tshwj xeeb tshaj yog cov ntiv taw loj. Kuj tseem yuav muaj kev tsim cov raum pob zeb thiab kev ua haujlwm ntawm uric acid muaju nyob hauv qab daim tawv nqaij, tsim cov qog ntawm cov ntiv tes, lauj tshib, hauv caug, ko taw thiab pob ntseg, piv txwv.

Paub yuav ua li cas paub txog cov tsos mob ntawm gout.

Yuav kuaj li cas

Kev kuaj mob ntawm tus mob gout yog ua raws li tus neeg mob keeb kwm kho mob, kev kuaj mob lub cev thiab kuaj ntxiv, xws li ntsuas ntshav thiab tso zis uric acid, ntxiv rau cov ntsuas hluav taws xob.

Tus txheej txheem kub rau kev kuaj mob gout yog kev soj ntsuam ntawm urate muaju los ntawm microscopy.

Ua rau ntawm gout

Gout tshwm sim los ntawm qhov tshwm sim ntawm hyperuricemia, uas sib raug rau qhov nce ntawm uric acid nyob rau hauv cov ntshav, uas tuaj yeem tshwm sim ob qho tib si vim yog qhov nce ntawm kev tsim cov uric acid thiab kuj vim yog muaj qhov tsis txaus rau kev tshem tawm cov khoom no. Lwm yam ua rau gout yog:

• Noj tshuaj tsis txaus;
• Kev siv tshuaj diuretics ntau dhau;
• Siv dej cawv;
• Kev siv cov khoom noj muaj protein ntau dhau heev lawm, xws li nqaij liab, menyuam yaus, nqaij nruab deg thiab legumes, xws li taum pauv, taum lossis lentils;
• Ntshav Qab Zib;
• Kev pham;
• Kev tswj tsis tau txoj kev kho ntshav siab;
• Arteriosclerosis.

Vim tias qhov ntau ntawm cov roj ncig ua ke uric acid, muaj kev tso tawm ntawm monosodium urate muaju, uas yog cov qauv khov ntawm uric acid, nyob rau hauv cov pob qij txha, tshwj xeeb tshaj yog cov ntiv taw, pob taws thiab hauv caug.

Qhov tshwm sim ntawm gout feem ntau tshwm sim rau cov neeg rog dhau los yog cov neeg rog, uas muaj lub neej ua tsis haum thiab leej twg muaj mob ntev uas tsis tau muaj kev tswj tau zoo. Tsis tas li ntawd, gout muaj ntau dua rau cov txiv neej 40 thiab 50 xyoo thiab poj niam tom qab lawm, feem ntau los ntawm hnub nyoog 60 xyoo.

Yuav kho tus mob li cas

Kev kho cov mob gout tau muab faib ua ob theem: kev tswj tus mob hnyav thiab kev kho mus ntev. Kev kho mob rau mob gout cuam tshuam nrog kev siv tshuaj tiv thaiv uas yuav tsum tau pom zoo los ntawm tus kws kho mob, xws li Ibuprofen lossis Naproxen, piv txwv li, txhawm rau txhawm rau txha mos thiab mob. Lwm qhov kev tiv thaiv kev tiv thaiv dav siv los tswj kev mob thiab mob yog Colchicine, uas kuj ua rau qib uric acid.

Cov kev kho mob Corticoid, xws li Prednisone, kuj tseem siv tau los kho cov mob ua ke thiab mob txha nrawm, txawm li ntawd los cov kev kho no tsuas yog siv thaum tus neeg tsis tuaj yeem siv lwm cov tshuaj los tiv thaiv lossis thaum lawv tsis muaj qhov xav tau.

Ntxiv nrog rau cov kev hais daws no, tus kws kho mob Rheumatologist lossis tus kws tshaj lij kuj tseem yuav muab cov tshuaj noj kom tswj cov qib uric acid hauv cov ntshav kom tiv thaiv tau kev tawm tsam ntxiv thiab tiv thaiv kom tsis txhob muaj teeb meem, xws li Allopurinol lossis Probenecida. Saib ntxiv txog kev kho mob gout.

Nws kuj tseem ceeb kom hloov pauv kev noj haus, vim tias nws tuaj yeem cuam tshuam ncaj qha rau cov nyiaj uric acid thiab, yog li ntawd, kev tso khoom ntawm muaju nyob rau hauv kev sib koom tes, thiab kho cov kab mob hauv qab uas tuaj yeem txhawb qhov tshwm sim ntawm gout thaum tsis kho, xws li tawg thiab mob ntshav qab zib, piv txwv.

Cov zaub mov yuav tsum ua li cas

Txhawm rau kom tshem tawm cov tsos mob ntawm gout thiab tiv thaiv kev tawm tsam tshiab, nws yog ib qho tseem ceeb kom hloov koj txoj kev noj haus kom cov qib uric acid nquag. Nyob rau hauv txoj kev no, tus neeg yuav tsum txo qis lossis zam kom tsis txhob muaj cov zaub mov muaj ntau nyob hauv purines, xws li cheese, lentils, kua taum, nqaij liab lossis nqaij ntses, vim lawv nce qib uric acid hauv cov ntshav, thiab haus li 2 mus rau 4 litres dej nyob rau ib hnub, raws li dej pab tshem tawm ntau tshaj uric acid nyob rau hauv cov zis.

Tshawb nrhiav seb cov zaub mov koj yuav tsum lossis tsis noj nyob rau hauv qhov poob hauv cov yeeb yaj kiab hauv qab no: