Ucwaningo lubonisa ukuthi i-Gout ayihlukanisi ngokocansi
Kungakhathaliseki ukuthi owesilisa noma owesifazane, abantu abahlukunyezwayo banezici ezithile ezingozini, ngokusho kocwaningo olwethulwa eMhlanganweni Wezincwadi Zonyaka We-American College of Rheumatology ka-November 2005. I-Institutes of Health kaZwelonke ibike ukuthi:
- I-Gout itholakala cishe ku-840 kubantu abangu-100,000.
- I-Gout ayitholakali ezinganeni nakubantu abadala.
- Amadoda, ikakhulukazi lawo aphakathi kweminyaka engama-40 no-50, cishe amathuba okuthuthukisa i-gout kunabesifazane, abangavamile ukuthuthukisa isifo ngaphambi kokuya esikhathini.
- I-Gout Screening Quiz
Kungani Isifundo?
I-Gout ichazwe njengento eyenzeka kakhulu kubantu. Kodwa-ke, ukukhuphuka kwe-gout phakathi kwabesifazane kanye nokuthi kungenzeka ukuthi izifundo zomdokotela ezigxile emadodeni zingahle zenze ezinye zezibalo ziholele abacwaningi ukuba bafunde izici zesifo somzimba kubantu besifazane.
Kuyini i-Gout?
I-Gout ingenye yezifo ezibuhlungu kakhulu ze-rheumatic kanye nama-akhawunti angama-5 amaphesenti azo zonke izifo ze-arthritis. Igama elithi arthritis libhekisela ezinhlobonhlobo ezingaphezu kwezingu- 100 zezifo zesifo se-rheumatic ezithinta amalunga, imisipha, namathambo, kanye nezinye izicubu nezinhlaka.
Gout imiphumela kusuka idiphozi ezinama-crystals ezinjenge-uric acid emathisini axhunyiwe, endaweni ehlangene phakathi kwamathambo amabili, noma kokubili.
Lezi ziphofu ziholela e-arthritis evuthayo , ebangela ukuvuvukala, ubomvu, ukushisa, ubuhlungu, nokuqina emathongweni.
Hyperuricemia
I-asidi ye-uric iyisici esibangelwa ukuwohloka kwe-purines, okuyingxenye yazo zonke izicubu zomuntu futhi itholakala ekudleni okuningi.
Ngokuvamile, i-uric acid ichitheka egazini futhi idluliselwe ezinsweni emcimbini lapho iqedwa khona.
Uma umzimba ukwandisa ukukhiqizwa kwe-uric acid noma uma izinso zingagcini i-uric acid ngokwanele emzimbeni, amazinga e-uric acid akha egazini (isimo esibizwa ngokuthi i- hyperuricemia).
- I-Gout Quiz: Hlola Ulwazi Lwakho
Izingozi Zezingozi
Izimbangela eziningi ezinobungozi zihlobene nokuthuthukiswa kwe-hyperuricemia ne-gout:
- I-Genetics (kuze kube ngu-18 amaphesenti abantu abane-gout banomlando womndeni wesifo)
- Ubulili (i-gout ivame kakhulu emadodeni kunabesifazane)
- Ubudala (i-gout ivame kakhulu kubantu abadala kunabantwana)
- Isisindo (ukukhuluphala ngokweqile kuholela ekukhiqizeni ngokweqile kwe-uric acid)
- Ukudla ngokweqile kotshwala (ukuphuza utshwala ngokweqile kungabangela ukucindezeleka ngokweqile)
- Ukukhubazeka kwe-enzyme (kungaphazamisa indlela umzimba owehla ngayo i-purines ibangela igciwane)
- Ukuvezwa kokuhola (ukuhola kungabangela nesifo)
Ukudla
Ukudla okuphezulu (okungukuthi ukudla okucebile ku-purines kungabangela noma kukhulise igciwane)
Imithi ethile
Abanye abantu abathatha imithi ethile noma abanezimo ezithile zempilo basengozini yokuba namazinga aphezulu e-uric acid emzimbeni wabo ophuma emzimbeni. Ezinye izidakamizwa zingaholela ekufweni kwegazi ngoba zinciphisa ikhono lomzimba lokususa i-uric acid. Lezi zidakamizwa zifaka:
- I-Diuretics (izidakamizwa ezandisa izinga lokukhipha umchamo)
- Ama-salicylates (imithi elwa nokuvuvukala eyenziwe kusuka ku-salicylic acid njenge- aspirin)
- I-Niacin (le vithamini nayo ibizwa ngokuthi i-nicotinic acid)
- I-Cyclosporine (i-immunosuppressant)
- I-Levodopa (ejwayele ukuphatha izifo zikaParkinson)
Mayelana NeSifundo
Ngesikhathi esingaphezu kweminyaka engu-24, abacwaningi bacwaninga imiphumela esekelwe eqenjini elizoba ngabesifazane ukuze banqume ukuthi ngabe kukhona yini umehluko ezinkingeni ezingozini kanye nezimo ezihambisanayo zokugulana phakathi kwabesilisa ababili. Ukwaziswa kwaqoqwa kubantu besifazane abakhulu mayelana nalokhu:
- Isisindo
- Inkomba yomzimba womzimba
- Izimo zezokwelapha
- Imithi yokwelashwa (kuhlanganise nokusetshenziswa kwezidakamizwa)
- Ukudla kokudla nokudakwa
- Indlela yokuphila
Amacala amasha omuthi oqoshiwe kusukela ngo-1980 (ingqikithi engu-444) ahlolwe ngaleso sikhathi ngokususelwa ekuboniseni izici ezinobungozi ezinokuthi gout ezinjengezi:
- Ubudala
- Amazinga wesisindo
- Ukudla ukudla
- Umlando wezokwelapha obalulekile
- Ukusetshenziswa kwemithi ethile
Imiphumela Yokufundwa
Imiphumela yabonisa ukuthi kukhona umehluko omkhulu endleleni lezi zici eziyingozi ezithinta lesi sifo emadodeni nakwabesifazane. Izingozi eziphakeme ze-gout zazihlotshaniswa nokukhula:
- Inkomba yomzimba womzimba
- Isisindo
- Isibalo se-Waist-to-hip
Uma kuqhathaniswa nalabo abasesigabeni esiphansi kakhulu, abesifazane abanesigaba esiphezulu se-index mass body babenengozi yokukhuphuka ngokuphindwe kasikhombisa.
Okunye Okufundwa Kwesifundo
- Ukushisa komfutho nokusetshenziswa okwenyuka kwama-diuretics nakho kwaba nomthelela oqinile ozimele engozini ye-gout.
- Ukwandisa uketshezi lwezobisi kuhlotshaniswa nokunciphisa ingozi ye-gout, ukuphindaphinda izici ezenzeka emadodeni.
Iziphetho
- Imizamo ephelele futhi ephikisayo yokushintsha lezi zici eziyingozi kuzo zobulili zombili zingasiza ekunciphiseni kakhulu umphumela we-gout kanye nezifo ezihambisanayo.
- Amasu okuvimbela kanye nokwelashwa kwalezi zici kufanele aqondiswe kuzo zobulili zombili.
- Izifo ezikhulayo zokukhuluphala ngokweqile kanye nokwanda okukhulayo komfutho wegazi ophezulu kanye nokusetshenziswa kwesisu kuveza inselele enkulu ekuvimbeleni nasekulawuleni igciwane.
Izinsiza ezihlobene
Imithombo: I-ACR Press Release 11/13/05, i-Gout ayicacisi ngokocansi; Ukushicilelwa kwe-NIH No 02-5027