Gout Ua Rau

Zoo Siab

• Txo qhov tsis tshua pom muaj ntawm uric acid
• Kev tsim tawm ntawm uric acid ntau dua
• Noj cov zaub mov hauv purines siab
• Yam pheej hmoo
• Lub hnub nyoog thiab poj niam txiv neej
• Keeb kwm tsev neeg
• Cov Tshuaj Kho Mob
• Kev haus dej haus cawv
• Hmoov txhuas
• Lwm yam mob
• Gout txhais
• Outlook

Txheej txheem cej luam

Gout tshwm sim los ntawm kev tsim cov urate muaju hauv cov nqaij hauv lub cev. Feem ntau nws tshwm sim hauv lossis ib ncig ntawm cov pob qij txha thiab ua rau mob mob caj dab.

Urate muaju tso rau hauv cov nqaij thaum muaj uric acid ntau heev nyob rau hauv cov ntshav. Cov tshuaj no yog tsim thaum lub cev zom cov tshuaj hu ua purines. Ntau dhau ntawm uric acid nyob rau hauv cov ntshav kuj tseem hu ua hyperuricemia.

Gout tuaj yeem tshwm sim los ntawm kev txo qis ntawm uric acid, kev tsim khoom ntawm uric acid, lossis kev noj haus ntau ntawm purines.

Txo qhov tsis tshua pom muaj ntawm uric acid

Kev txo qis ntawm cov uric acid yog qhov ntau tshaj plaws gout. Uric acid nquag tshem tawm ntawm koj lub cev los ntawm koj lub raum. Thaum qhov no tsis tshwm sim muaj txiaj ntsig, koj qhov uric acid nce ntxiv.

Qhov ua rau yuav yog noob caj noob ces, lossis koj yuav muaj teeb meem lub raum uas ua rau koj tsis muaj peev xwm tshem tawm cov uric acid.

Cov tshuaj txhuas lom thiab qee yam tshuaj, xws li tshuaj cawm siav thiab siv cov tshuaj tiv thaiv kab mob, tuaj yeem ua rau lub raum puas uas yuav ua rau uric acid tuav tseg. Kev tswj ntshav qab zib tsis tau thiab ntshav siab kuj tseem tuaj yeem txo lub raum kev ua haujlwm.

Kev tsim tawm ntawm uric acid ntau dua

Kev tsim uric acid ntau ntxiv tuaj yeem ua rau mob gout. Feem ntau, qhov ua kom muaj uric acid ntau lawm tseem tsis tau paub. Nws tuaj yeem tshwm sim los ntawm enzyme txawv txav thiab tuaj yeem tshwm sim hauv cov xwm txheej nrog rau:

• cov kua mis
• mob leukemia
• hemolytic anemia
• psoriasis

Nws kuj tseem tuaj yeem ua kev phiv los ntawm kev siv tshuaj kho mob lossis tshuaj tua hluav taws xob, vim tias muaj keeb kwm muaj keeb, lossis vim rog dhau.

Noj cov zaub mov hauv purines siab

Purines yog ntuj tso tshuaj lom neeg ntawm DNA thiab RNA. Thaum koj lub cev zom lawv, lawv tig mus ua uric acid. Qee qhov purines pom tshwm sim hauv lub cev. Txawm li cas los xij, kev noj zaub mov kom huv hauv purines tuaj yeem ua rau mob gout.

Qee cov zaub mov tshwj xeeb tshaj yog muaj purines thiab tuaj yeem nce cov ntshav uric acid nyob rau hauv cov ntshav. Cov zaub mov muaj tshuaj ntxuav muaj ntau:

• cov khoom nruab nrog hauv nruab nrog, xws li ob lub raum, mob siab, thiab qab zib
• cov nqaij liab
• roj oily, xws li sardines, anchovies, thiab herring
• qee cov zaub, suav nrog asparagus thiab zaub paj
• taum
• nceb

Yam pheej hmoo

Feem ntau, tsis paub meej tias mob gout lossis hyperuricemia tsis paub meej. Cov kws kho mob ntseeg tias nws yuav yog vim kev sib txuam los ntawm caj ces, yam tshuaj hormones, los yog zaub mov noj. Muaj qee kis, kev siv tshuaj kho lossis qee yam mob yuav ua rau mob gout.

Lub hnub nyoog thiab poj niam txiv neej

Cov txiv neej muaj mob ntau dua li cov poj niam muaj cov tsos mob ntawm gout. Feem ntau ntawm cov txiv neej raug kuaj pom muaj hnub nyoog 30 thiab 50 xyoo. Rau cov poj niam, tus kab mob feem ntau kuj tshwm sim tom qab lub cev ntas tag lawm.

Gout tsis tshua muaj rau cov menyuam yaus thiab cov hluas hnub nyoog.

Keeb kwm tsev neeg

Cov neeg muaj ntshav txheeb ze uas muaj gout feem ntau yuav kuaj pom tus mob no lawv tus kheej.

Cov Tshuaj Kho Mob

Muaj ntau yam tshuaj uas tuaj yeem ua rau koj muaj kev phom sij ntawm gout. Cov no suav nrog:

• Cov tshuaj aspirin tsawg-txhua hnub. Kev siv tshuaj aspirin tsawg feem ntau siv los tiv thaiv lub plawv thiab mob hlab ntsha tawg.
• Thiazide diuretics. Cov tshuaj no yog siv los kho mob ntshav siab, txhaws ntshav siab (CHF), thiab lwm yam mob.
• Immunosuppressant tshuaj. Cov tshuaj tiv thaiv kab mob, xws li cyclosporine (Neoral, Sandimmune), tau noj tom qab hloov khoom nruab nrog cev thiab rau qee qhov mob rheumatologic.
• Levodopa (Sinemet). Nov yog txoj kev kho zoo tshaj rau cov neeg muaj tus mob Parkinson.
• Niacin. Kuj tseem hu ua cov vitamins B-3, niacin yog siv los ua kom cov lipoproteins ntau dua (HDL) hauv cov ntshav.

Kev haus dej haus cawv

Kev haus cawv ib nrab yuav ua rau muaj kev mob gout. Qhov no feem ntau txhais tau tias ntau dua ob khob dej rau ib hnub rau feem coob txiv neej los yog ib hnub rau txhua tus poj niam lossis tus txiv neej tshaj 65 xyoos.

Npias nyob rau hauv kev tshwj xeeb tau cuam tshuam, thiab cov dej haus cawv muaj qhov muaj zog hauv purines. Txawm li cas los xij, kev tshawb fawb xyoo 2014 tau lees paub tias cov cawv, npias, thiab cawv yuav ua rau muaj kev gout dua ntxiv. Kawm paub ntau ntxiv txog kev sib raug zoo ntawm kev haus cawv thiab gout.

Hmoov txhuas

Raug nrog cov qib siab ntawm cov hmoov txhuas tseem cuam tshuam nrog gout.

Lwm yam mob

Cov neeg uas muaj cov kab mob thiab mob no yuav ua rau mob gout:

• rog dhau
• mob ntshav qab zib
• ntshav siab
• cov roj (cholesterol) siab
• hypothyroidism
• mob raum
• hemolytic anemia
• psoriasis

Gout txhais

Lwm yam uas tuaj yeem tsim cov gout nres muaj xws li:

• sib koom tes raug mob
• kis tau tus mob
• kev phais mob
• tsoo cov pluas noj
• sai zuj zus ntawm cov qib uric acid los ntawm kev siv tshuaj
• lub cev qhuav dej

Outlook

Koj tuaj yeem txo cov kev pheej hmoo ntawm kev txhim kho gout los ntawm saib koj kev haus dej haus cawv thiab noj zaub mov kom tsawg hauv purines. Lwm qhov ua rau mob gout, xws li mob raum lossis tsev neeg keeb kwm, ua rau lub cev tsis muaj zog.

Tham nrog koj tus kws kho mob yog tias koj txhawj xeeb txog koj qhov muaj feem yuav ua mob gout.

Lawv tuaj yeem tsim kho phiaj xwm los txo koj txoj hmoo los ntawm tus mob. Piv txwv li, yog tias koj muaj kev pheej hmoo txaus rau mob gout (xws li mob tshwj xeeb), lawv yuav xav txog tias ua ntej pom zoo siv qee hom tshuaj.

Txawm li cas los xij, yog tias koj txhim kho gout, so paub tseeb tias tus mob tuaj yeem tswj tau los ntawm kev siv tshuaj, kev noj zaub mov, thiab lwm yam kev kho mob.