Cov kev kho mob los kho thiab tiv thaiv gout thiab phiv

Zoo Siab

• 1. Cov tshuaj tsis-steroidal tshuaj tiv thaiv
• 2. Colchicine
• 3. Corticoids
• 4. Cov blockers ntawm kev tsim uric acid
• 5. Cov kev kho mob uas ntxiv rau tshem tawm cov mob uric acid

Txhawm rau kho mob gout, tus kws kho mob tuaj yeem pom zoo kom siv cov tshuaj tiv thaiv kab mob, tshuaj kho mob thiab corticosteroids, uas tau siv rau hauv cov teeb meem mob nyhav. Ntxiv rau, qee cov tshuaj no kuj tseem siv tau, hauv cov koob tshuaj qis dua, kom tiv thaiv kev tawm tsam.

Kuj tseem muaj lwm txoj kev kho uas pab tiv thaiv cov teeb meem los ntawm tus kabmob, uas ua haujlwm los ntawm kev txo cov khoom tsim ntawm uric acid los txhawb nws txoj kev tshem tawm.

Yog li, kev kho mob ntawm gout yuav tsum ua raws tus kheej raws qhov loj, lub sijhawm muaj teebmeem, kev cuam tshuam ntawm cov pob qij txha, kev sib kis thiab kev paub dhau los uas tus neeg muaj nrog kev kho mob.

1. Cov tshuaj tsis-steroidal tshuaj tiv thaiv

Cov tshuaj uas tsis yog tshuaj steroidal xws li ibuprofen, naproxen, indomethacin lossis celecoxib yog dav siv los daws cov tsos mob hauv kev mob gout tawm tsam, ntawm kev txhaj tshuaj ntau dua, thiab tiv thaiv cov kev tawm tsam yav tom ntej ntawm kev txhaj tshuaj qis.

Txawm li cas los xij, cov tshuaj no tuaj yeem ua rau muaj kev mob tshwm sim ntawm txoj hnyuv, xws li mob plab, los ntshav thiab mob plab, tshwj xeeb tshaj yog cov neeg uas siv cov tshuaj no txhua hnub. Txhawm rau txo cov teebmeem no, qhov zoo tshaj plaws yog siv cov tshuaj no tom qab noj mov thiab tus kws kho mob kuj tseem yuav hais kom noj tshuaj tiv thaiv lub plab, txhua txhua hnub, ntawm lub plab khoob, kom daws qhov tsis xis nyob.

2. Colchicine

Colchicine yog ib qho kev kho dav siv los kho thiab tiv thaiv gout tawm tsam, vim tias nws txo qis ntawm qhov ua haujlwm ntawm urate muaju thiab qhov tsim nyog tau txais cov lus teb, yog li txo qhov mob. Cov tshuaj no tuaj yeem siv txhua hnub los tiv thaiv kev tawm tsam, thiab cov koob tshuaj tuaj yeem nce siab thaum muaj mob hnyav. Kawm ntxiv txog cov tshuaj no.

Cov kev mob tshwm sim feem ntau uas tuaj yeem tshwm sim nrog kev siv cov colchicine yog kev zom zaub mov, xws li zawv plab, xeev siab thiab ntuav.

3. Corticoids

Tus kws kho mob tuaj yeem pom zoo rau corticosteroids xws li prednisolone hauv cov ntsiav tshuaj lossis tshuaj, kom txo qhov mob thiab mob, uas yog siv rau hauv cov xwm txheej uas tib neeg tsis tuaj yeem noj lwm yam tshuaj tiv thaiv kab mob xws li indomethacin lossis celecoxib, piv txwv li, lossis lawv tsis tuaj yeem siv colchicine.

Cov kev mob tshwm sim feem ntau tuaj yeem tshwm sim los ntawm kev siv prednisolone yog kev hloov pauv mus rau hauv lub cev, nce cov ntshav qab zib thiab cov ntshav siab. Paub tias lwm cov kev phiv tuaj yeem tshwm sim los ntawm corticosteroids.

4. Cov blockers ntawm kev tsim uric acid

Cov tshuaj siv feem ntau los txhawm rau tsim cov tshuaj uric acid yog allopurinol (Zyloric), uas inhibits xanthine oxidase, uas yog ib qho enzyme uas hloov xanthine rau hauv uric acid, txo nws cov qib hauv cov ntshav, txo qhov kev pheej hmoo ntawm qhov tsos tshwm sim. Saib ntxiv txog cov tshuaj no.

Cov kev mob tshwm sim feem ntau tuaj yeem tshwm sim los ntawm allopurinol yog ua pob rau daim tawv nqaij.

5. Cov kev kho mob uas ntxiv rau tshem tawm cov mob uric acid

Cov tshuaj uas tuaj yeem siv los tshem tawm cov uric acid ntau ntxiv hauv cov zis yog probenecid, uas ua rau txo qis hauv cov hlab ntshav. Kawm ntxiv txog cov tshuaj no.

Cov kev mob tshwm sim feem ntau tuaj yeem tshwm sim nrog kev siv cov tshuaj no yog pob khaus tawv nqaij, mob plab thiab mob raum.

Ntxiv rau, lwm yam tshuaj, xws li losartan, calcium channel antagonists, fenofibrate thiab statins, kuj tseem ua rau txo qis ntawm uric acid, yog li, thaum twg los txiav txim siab, lawv yuav tsum tau txiav txim siab, suav txog lawv cov txiaj ntsig hauv gout.