Yuav ua li cas paub yog tias koj muaj Gout hauv koj lub xub pwg - thiab yuav ua li cas ntxiv

Zoo Siab

• Cov lus qhia sai txog gout
• Cov tsos mob mob gout hauv koj lub xub pwg
• Cov ua rau mob gout hauv koj lub xub pwg
• Kev ua haujlwm ntau ntawm uric acid
• Lwm yam
• Kev pheej hmoo ua rau mob gout hauv koj lub xub pwg
• Tub los ntxhais
• Lub hnub nyoog
• Noob caj noob ces
• Muaj mob
• Txoj kev ua neej
• Kev kuaj mob ntawm gout hauv koj lub xub pwg
• Kev kho mob ntawm gout hauv koj lub xub pwg
• Cov qauv tshuaj
• Lwm yam tshuaj
• Lwm yam kev kho mob
• Ntev lub gout flare-up
• Qhov mob lwm yam gout hauv koj lub xwb pwg
• Tiv thaiv gout
• Lwm yam mob uas ua rau mob lub xub pwg thiab mob
• Nthuav Qhia
• Qhov kev xam pom yog

Gout yog hom mob caj dab ntau. Nws yog qhov mob tshwm sim sai thiab mob uas feem ntau tshwm sim hauv cov ntiv taw loj, tab sis tuaj yeem cuam tshuam rau lwm cov pob qij txha. Nws nyob hauv lub xwb pwg thiab lub duav.

Cov mob yog tshwm sim los ntawm kev tsim ntawm cov pob zeb me me ntawm uric acid nyob rau hauv thiab ib puag ncig koj cov pob qij txha. Koj muaj zog tiv thaiv kab mob los ntawm xa cov kis mob sib kis mus rau thaj chaw, ua rau muaj mob.

Kev tawm tsam Gout muaj feem yuav ua taus mob thiab yuav cuam tshuam ntau dua ib leeg. Gout feem ntau tuaj yeem tswj tau nrog kev noj haus thiab tshuaj noj. Thaum kho cov mob gout, muaj mob tsawg tsawg. Tab sis tsis kho lub gout tuaj yeem yog kev xiam oob khab.

Muaj qee tus neeg muaj caj ces caj ces rau mob gout.

Cov lus qhia sai txog gout

• Cov lus piav qhia ntawm gout rov qab yuav luag 5,000 xyoo rau ancient Egypt. Nws suav hais tias yog kev to taub zoo tshaj plaws ntawm kev mob caj dab.
• Txog ntawm lub ntiaj teb cov pej xeem muaj gout.
• Plaub feem pua ​​ntawm cov neeg hauv Tebchaws Meskas muaj gout.
• Qhov tshwm sim ntawm gout tau nce zuj zus nyob rau xyoo tsis ntev los hauv cov tebchaws.
• Lub npe los ntawm lo lus Latin "gutta," uas txhais tau hais tias poob. Nws tau hais txog kev ntseeg nruab nrab yav dhau los uas ib ntawm plaub qhov "lom zem" uas xav tau rau kev noj qab haus huv "nqis" rau hauv kev sib koom tes.
• Gout tau raug hu ua kab mob ntawm cov vaj ntxwv, vim tias nws cov koom nrog kev noj zaub mov ntau thiab kev haus cawv.
• Benjamin Franklin thiab Thomas Jefferson ob leeg muaj gout.

Cov tsos mob mob gout hauv koj lub xub pwg

Gout tawm tsam feem ntau yog tshwm sim sai. Koj lub xub pwg mob tej zaum yuav ua mob hnyav los yog sab nrauv.

Ib qho ntxiv, thaj chaw yuav yog:

• xim liab
• o o
• txhav
• kub los hlawv
• rhiab heev rau kov thiab txav

Cov ua rau mob gout hauv koj lub xub pwg

Ib qho dhau heev ntawm uric acid nyob rau hauv koj cov hlab ntshav yog xav ua rau mob gout los ntawm kev sau cov duab puab ua kua muaj koob uas tsim koj cov ntaub so ntswg thiab pob qij txha. Dhau ntawm uric acid yog qhov paub ua hyperuricemia.

Uric acid yog cov khoom pov tseg tsim los ntawm kev tawg ntawm purines, tshuaj lom neeg cov tshuaj lom neeg muaj sia nyob hauv koj lub cev. Uric acid kuj tseem ua thaum koj zom cov zaub mov uas muaj purines.

Nquag koj ob lub raum tshem cov uric acid pov tseg rau hauv koj cov zis. Yog koj lub raum tsis ua haujlwm zoo, uric acid yuav tsim nyob rau hauv koj cov hlab ntshav.

Cov muaju uas tsim los ntawm cov tshaj uric acid tawm tsam los ntawm koj muaj zog tiv thaiv kab mob ua lub cev txawv teb chaws. Cov kab mob sib kis tau mus rau thaj chaw ntawm muaju, ua rau mob.

Daim ntawv tshaj tawm txog gout hais tias tsuas yog 10 feem pua ​​ntawm cov mob yog tshwm sim los ntawm koj lub cev tsim tawm cov kua qaub uric. Lwm qhov 90 feem pua ​​yog tshwm sim los ntawm lub raum tsis ua haujlwm kom tshem tawm cov uric acid txaus.

Kev ua haujlwm ntau ntawm uric acid

Kev siv cov khoom lag luam ntau dhau lawm uas muaj cov tshuaj purines yuav ua rau muaj kev mob siab ntawm uric acid nyob rau qee tus neeg. Cov khoom hauv purines siab muaj xws li:

• cov nqaij liab
• nqaij nruab deg
• ntses
• npias
• taum qhuav

Cawv, tshwj xeeb tshaj yog cov cawv siab heev, kuj txhawb nqa cov khoom lag luam thiab khaws cov kua qaub uric. Tabsis haus cawv ntau ntau me ntsis yog tsis cuam tshuam nrog gout.

Lwm yam

Tsuas yog hais txog nrog theem siab ntawm uric acid hauv lawv cov hlab ntsha txhaws tsim gout. Lwm qhov cuam tshuam uas tuaj yeem koom nrog hauv kev txhim kho gout suav nrog:

• kev tshuaj ntsuam genetic predisposition
• ntshav ntshawv siab
• mob cancer xws li mob leukemia
• cov kua dej tsawg dua hauv cov pob qij txha
• lub acidity ntawm kev sib koom ua kua
• kev noj haus muaj txiaj ntsig hauv purines
• txha raug mob, raug mob, lossis phais
• siab cell turnover tej yam kev mob zoo li psoriasis

Qee cov tshuaj yuav ua rau nce uric acid ntau ntxiv hauv cov hlab ntshav. Cov no suav nrog:

• diuretics, siv los kho ntshav siab los yog kab mob plawv
• tsis tshua muaj kev noj tshuaj ntawm cov tshuaj aspirin
• cyclosporine, yog ib hom tshuaj uas ua rau lub cev tiv thaiv tsis tau
• levodopa, ib yam tshuaj uas siv los kho Parkinson

Kev pheej hmoo ua rau mob gout hauv koj lub xub pwg

Txhua yam uas tau nce qib ntawm uric acid hauv koj cov hlab ntshav tuaj yeem ua rau koj muaj kev pheej hmoo rau mob gout. Qee qhov kev pheej hmoo txaus ntshai yog:

Tub los ntxhais

Gout yog hais txog feem ntau ntawm cov txiv neej.

Lub hnub nyoog

Gout feem ntau tshwm sim rau cov txiv neej tshaj 40 thiab hauv poj niam tom qab lawm. Hauv, qhov muaj ntau ntawm gout yog li 10 feem pua ​​ntawm cov txiv neej thiab 6 feem pua ​​ntawm cov poj niam.

Noob caj noob ces

Muaj lwm cov neeg hauv tsev neeg nrog gout ua rau koj muaj feem ntau dua. Cov caj ceg tshwj xeeb tau txheeb xyuas uas cuam tshuam nrog lub raum lub peev xwm tshem tawm cov uric acid.

Muaj mob

Cov mob kho mob uas cuam tshuam rau lub raum kev ua haujlwm ua rau koj muaj kev pheej hmoo rau mob gout. Yog tias koj muaj kev phais lossis raug mob, qhov no tuaj yeem txhawb koj ntau dua.

Ntau tus neeg muaj gout tseem muaj lwm yam mob. Txawm hais tias gout ua rau muaj cov mob no lossis ua rau muaj kev pheej hmoo rau cov mob no tsis tau paub meej.

Qee yam mob uas ua rau koj muaj mob gout, tshwj xeeb yog tias lawv tsis kho, suav nrog:

• ntshav siab
• mob ntshav qab zib
• mob raum
• qee hom ua haujlwm hauv ntshav
• metabolic mob
• obstructive pw tsaug zog apnea
• psoriasis
• taug txhuas

Txoj kev ua neej

Kev rog dhau los yog muaj rog rog tuaj yeem ua rau koj muaj mob gout. Qhov hnyav ntxiv nce koj qhov ua haujlwm ntawm uric acid.

Kev noj cov zaub mov ntau thiab cov dej haus uas muaj purines ntau yuav ua rau koj muaj kev phom sij ntawm gout. Cov neeg uas noj zaub mov ua raws kev ua qoob loo thiab zaub mov thiab qis hauv purines muaj qhov gout qis dua.

Kev kuaj mob ntawm gout hauv koj lub xub pwg

Koj tus kws kho mob yuav tshuaj xyuas koj, keeb kwm kev kho mob, thiab nug txog koj cov tsos mob. Tej zaum lawv tuaj yeem txheeb xyuas qhov gout raws li koj cov tsos mob.

Tab sis tus kws kho mob yuav xav txiav txim tawm lwm qhov laj thawj uas ua rau koj lub xub pwg mob los ntawm kev xaj kev kuaj.

Kev ntsuam xyuas cov duab rau koj lub xub pwg suav nrog X-rays, duab hluav taws xob, thiab MRI scan.

Tus kws kho mob tseem yuav kuaj seb puas muaj ntshav ntau ntawm cov uric acid. Tab sis theem siab lossis uric acid tsis txaus los ua qhov kev kuaj mob tseeb.

Ib qhov kev ntsuam xyuas tshwj xeeb tshaj yog ua piv txwv ntawm koj lub xub pwg sib txuas ua kua synovial kua siv ib rab koob nyias nyias. Qhov no yog hu ua arthrocentesis lossis kev sib koom ua ke. Ib lub chaw kuaj mob mam li saib cov uric acid muaju hauv lub tsom.

Koj tus kws kho mob yuav xa koj mus rau tus kws kho mob Rheumatologist rau kev kho mob txuas ntxiv.

Kev kho mob ntawm gout hauv koj lub xub pwg

Nws tsis muaj txoj hauv kev rau mob gout, tab sis ntau cov tshuaj tau tsim nyob rau hauv xyoo tsis ntev los uas tuaj yeem pab mob lub xub pwg nyom ntawm lub ntsej muag thiab tiv thaiv cov nplaim taws yav tom ntej.

Cov tshuaj txhawm rau txo qis mob, txo koj cov qib uric acid, thiab txo qhov mob.

Cov qauv tshuaj

Koj tus kws kho mob yuav qhia cov tshuaj tiv thaiv mob tsis haum tshuaj (NSAIDs) rau qhov mob lossis tshuaj uas txo qhov mob.

Cov tshuaj kws kho mob muab tshuaj suav nrog indomethacin (Indocin) lossis celecoxib (Celebrex), thiab prednisone, ib corticosteroid. Cov tshuaj Prednisone feem ntau raug txhaj rau hauv cov leeg sib koom tes, tab sis qhov ncauj prednisone yuav xav tau thaum muaj ntau cov koom nrog.

Ua raws li qhov mob hnyav ntawm koj cov tsos mob, koj tus kws kho mob tuaj yeem sau tshuaj rau lwm cov tshuaj uas:

• inhibit cov qe ntshav dawb los tawm tsam uric acid muaju, xws li colchicine (Colcrys)
• txo qis uric acid ntau lawm, xws li allopurinol (Zyloprim) thiab febuxostat (Uloric), uas yog hu ua xanthine oxidase inhibitors.
• pab koj ob lub raum tshem tawm ntau cov uric acid, xws li probenecid (Probalan) thiab lesinurad (Zurampic), uas hu ua uricosurics

Tag nrho cov tshuaj no muaj cov kev mob tshwm sim, thiab qee qhov tuaj yeem cuam tshuam nrog lwm cov tshuaj noj los yog ua kom tsis zoo rau lwm yam mob uas koj yuav muaj. Nco ntsoov tham txog koj txoj kev npaj yuav tshuaj nrog koj tus kws kho mob.

Lwm yam tshuaj

thiab koj tuaj yeem pom qhov sim tshuaj kuaj.

Koj tus kws kho mob kuj tseem yuav xav sim siv cov tshuaj tshiab "tawm ntawv cim," lossis rau lub hom phiaj uas nws tsis tau pom zoo tam sim no.

Yog tias cov tshuaj tau pom zoo rau mob rheumatoid mob caj dab lossis lwm yam mob thiab tseem tsis tau pom zoo rau mob gout, koj tus kws kho mob yuav pom zoo kom tshem nws daim ntawv lo.

Qee yam tshuaj tshiab no yog:

• pegloticase (Krystexxa), uas txo cov uric acid thiab raug pom zoo hauv Tebchaws Meskas rau kev kho mob ntawm tus mob refractory ntev gout
• canakinumab, tshuaj tua kab mob monoclonal uas tiv thaiv kev mob o
• anakinra, tus interleukin-1 beta antagonist uas suppresses o

Koj yuav tsum tau nrog koj lub chaw muag kev pov hwm tham txog cov tshuaj no thaum siv daim ntawv lo.

Lwm yam kev kho mob

Cov ntaub ntawv pov thawj hais txog kev hloov kev noj zaub mov yog qhov tsis txaus ntseeg, raws li American College ntawm Cov Kws Kho Mob rau mob gout hauv 2017.

Cov kev tshawb fawb pom tias txo qis kev noj cov nqaij liab, muaj suab thaj, thiab haus dej caw tsawg ntawm cov uric acid. Tab sis nws tsis paub meej tias qhov no txhim kho cov tsos mob tshwm sim.

Koj tuaj yeem tau txais qee cov kev pab los ntawm lwm qhov kev kho rau mob, xws li dej khov thiab kev kho lub cev.

Ntev lub gout flare-up

Pib yaim ntawm gout feem ntau kav. Lub cev tawm ntawm lub ntsej muag rov qab los tom qab ib lub sijhawm.

Koj yuav muaj cov teeb meem no rov hauv lub hlis mus rau ob xyoos, lossis txhua lub sijhawm tom ntej yog tias koj cov kev pheej hmoo tsis hloov. Gout yuav mob ntev, tshwj xeeb yog tias koj tseem muaj uric acid siab.

Gout kuj tseem tuaj yeem kis rau kev koom nrog lwm cov pob qij txha. Mob caj dab gout tuaj yeem tshwm sim hauv cov neeg uas muaj gout ntev heev.

Koj tus kws kho mob tuaj yeem sau tshuaj kom tsawg ntawm cov tshuaj txuas mus ntxiv kom pab tiv thaiv cov teeb meem yav tom ntej thiab cov teeb meem yuav tshwm sim, thiab txo qis qib uric acid ntshiab. Nws yog ib qho tseem ceeb kom ua raws li koj txoj kev kho mob kom txo qis taws.

Qhov mob lwm yam gout hauv koj lub xwb pwg

Cov neeg muaj tus mob gout ntev yuav mob taus. Uric acid muaju nyob rau lub sijhawm dhau mus tuaj yeem ua rau lub xub pwg lossis lwm cov pob qij txha.

Kwv yees li 15 feem pua ​​ntawm cov neeg muaj tus mob gout muaj pob zeb raum yog uric acid yuav ntxiv rau hauv lub raum.

Lwm qhov mob ntxiv ntawm kev mob gout yog kev tsim cov nodules ntawm uric acid hauv koj cov nqaij mos, tshwj xeeb tshaj yog koj cov ntiv tes thiab ntiv taw. Qhov lus nod hu ua tophus.

Cov hnoos qeev no feem ntau tsis yog mob heev, tab sis tuaj yeem ua rau o o, kis tus kab mob, lossis ua pa tawm. Cov taub hau no tuaj yeem yaj nrog cov kev kho tsim nyog tsim nyog.

Tiv thaiv gout

Kev tiv thaiv Gout muaj kev ntsuas kev ua neej:

• noj zaub mov kom zoo rau lub cev, nrog rau cov zaub mov thiab dej haus uas muaj ntau yam ntawm purines
• tswj lub cev noj qab nyob zoo
• qoj ib ce tsis tu ncua
• haus dej kom ntau
• txiav kev haus luam yeeb

Koj tuaj yeem xav taug qab saib qhov twg zoo li yuav ua rau muaj qhov khoob khoob ntawm koj lub xub pwg txhawm rau kom koj tuaj yeem zam dhau cov teeb meem yav tom ntej.

Lwm yam mob uas ua rau mob lub xub pwg thiab mob

Yog tias koj mob lub xub pwg thiab mob o, nws yog qhov zoo tshaj rau koj mus ntsib koj tus kws kho mob txhawm rau kuaj mob thiab kho mob kom zoo. Muaj qee qhov kev kuaj mob uas tuaj yeem txheeb xyuas qhov gout.

Qee qhov xwm txheej uas yuav muaj cov tsos mob zoo sib xws:

• bursitis
• tendinitis
• leeg leeg kua muag
• osteoarthritis

Nthuav Qhia

Kuj tseem muaj ib yam kev mob caj dab hu ua pseudogout, uas cuam tshuam rau cov laus feem ntau. Pseudogout ua rau mob nrawm nrawm hauv cov pob qij txha, tab sis cov kua qaub uric acid tsis koom nrog. Pseudogout tshwm sim los ntawm kev txuam nrog cov muaju ntawm cov calcium calcium pyrophosphate dihydrate.

Kev soj ntsuam ntawm cov muaju hauv koj cov kua dej synovial tuaj yeem txiav txim siab seb puas yog mob lub xub pwg pseudogout lossis lub xub pwg gout.

Qhov kev xam pom yog

Gout nyob rau hauv lub xub pwg yog ib qho mob uas tsis tshua muaj tshwm sim, tab sis kev kho mob thiab kev saib xyuas zoo ib yam rau kev mob gout hauv lwm cov pob qij txha. Nrog rau txhua yam gout, ua raws li koj cov tshuaj noj thiab phiaj xwm kho yuav ua rau koj lub txiaj ntsig zoo.

Nws yog ib qho tseem ceeb kom ntsib kws kho mob yog tias koj mob caj dab mob thiab mob. Yog tias nws mob gout, kho yuav pab koj tswj hwm tus mob thiab pab tiv thaiv kom tsis txhob muaj kev kub ntxhov yav tom ntej. Koj tus kws kho mob tuaj yeem qhia koj txog cov kev kho mob tshiab hauv kev tsim kho.

Tej zaum koj yuav xav tau nyob rau hauv kev sib cuag nrog lub Alliance rau Gout Kev Paub lossis Lub Pob Txha Lub Pob Txha los khaws nrog cov kev tsim kho tshiab hauv kev kho mob gout.