Indlela Ukudla, Utshwala, Nokukhuluphala Okubangela Ingozi Yakho
I-Gout iyindlela ye-arthritis evezwe ukuhlaselwa okungazelelwe, okuhlukumezekile kobuhlungu nokuvuvukala emalungwini, ngokuvamile kaningi inzwane enkulu. Yize izici ezithile zingenza ube nesifo esidala, njengezifo zofuzo noma isifo esingenasifo sezinso, ezinye ezifana nokudla, utshwala, nokukhuluphala kungabamba iqhaza ngokujulile.
Ngokuvamile, abantu bazovame ukubhekana nokuhlasela kwabo kokuqala phakathi kweminyaka engama-30 no-50.
Ngenkathi amadoda kungenzeka abe nomuthi kunabesifazane, ingozi kwabesifazane ingakwazi ukwandisa kakhulu emva kokuya esikhathini.
Izimbangela Zokudla
Ngokungafani nezinye izinhlobo ze- arthritis , i-gout ibangelwa ukungajwayelekile emzimbeni we-metabolism kunokuba isistimu yomzimba. Ingozi ye-gout ihlotshaniswa nezici eziningi-izakhi zofuzo, ezokwelapha, nezindlela zokuphila-ezihlangene ekukhuphukeni kwamazinga e-uric acid egazini, isimo esizibhekisela njenge- hyperuricemia .
Ukudla esikudlayo kudlala indima ebalulekile ekuthuthukiseni izimpawu ze-gout. Lokhu kubangelwa yingxenye enkulu ekwakheni i-organic etholakala kokudla okuningi okuthiwa i-purine. Uma kudliwe, i-purine iphulwe ngumzimba futhi iguqulwa ibe yimfucuza, i- uric acid . Ngaphansi kwezimo ezivamile, kuzobe kuhlungiwe egazini yizinso futhi kukhishwe umzimba ngomchamo
Uma lokhu kungenzeki futhi i-uric acid iqala ukuqoqa, ingafaka idiphozi ehlanganisiwe bese iholela ekuhlaselweni kwe-gout.
Ukudla okunye nokuphuza yizinto ezivame ukukwenza lokhu. Phakathi kwazo:
- Ukudla okuphezulu-purine kubhekwa njengengozi enkulu yengozi. Lokhu kufaka phakathi ukudla okunjengezilwane zenyama, ubhekeni, i-veal, nezinhlobo ezithile zezinhlanzi zasolwandle
- Ubhiya buyinkimbinkimbi ikakhulukazi njengoba kwenziwa ngomvubelo we-brewer, isithako esinomqondo ogqamile kakhulu we-purine. Utshwala, ngokujwayelekile, lukhawulelwe njengoba lukhuthaza kakhulu ukukhiqizwa kwamazinga e-uric acid.
- Iziphuzo eziphakeme kakhulu, kufaka phakathi ama-sodas kanye neziphuzo ezivuthiwe izithelo, zingabangela ukuphathwa kwe-hyperuricemia njengoba ushukela ogxilile unciphisa ukwanda kwe-uric acid ezintsheni.
Izifo Zamafuzo
Izakhi zofuzo zingadlala indima ebalulekile engozini yakho. I-hyperuricemia ye-hyperuricemia yinye isibonelo, esibangelwa ukuguqulwa kwe- SLC2A9 ne- SLC22A12 okuholela emsebenzini ongasebenzi kahle (izinso). Uma lokhu kwenzeka, izinso azikwazi ukuhlunga i-uric acid noma ukubuyisela kabusha amakristali e-uric acid egazini.
Ukuhluleka ukugcina ukulinganisa phakathi kokukhipha uric acid okuningi nokuthi kungakanani okuxoshwayo ekugcineni kuholele ekuhloleni i-hyperuricemia.
Ezinye izifo zofuzo ezihlobene ne-gout zifaka:
- Ukuhlukumezeka kwe-Hereditary fructose
- I-Kelley-Seegmiller syndrome
- I-Lesh-Nyhan syndrome
- I-Medullary cystic isifo sezinso
Izimbangela Zezokwelapha
Kukhona izimo ezithile zezokwelapha ezingakunqanda ekuguleni. Ezinye zithinta ngokuqondile noma ngokungaqondile umsebenzi wezintambo, kanti ezinye zibhekene nempendulo engavamile yokuvuvukala abanye ososayensi bakholelwa ukuthi bangakhuthaza ukukhiqizwa kwe-uric acid.
Ezinye zezinto ezivamile ezingozi zempilo zihlanganisa:
- Isifo esiphelele sezinso
- Ukuhluleka kwenhliziyo ukulahla
- Isifo sikashukela
- I-anemia ye-Hemolytic
- I-hypertension (i-high blood pressure)
- I-Hypothyroidism (umsebenzi ophansi we -roid)
- Lymphoma
- I-Psoriasis
- I-arthritis yengqondo
Ezinye izenzakalo zezokwelapha ziyaziwa ukuthi zihlasela ukuhlasela kwe-gout, kufaka phakathi ukulimala okuhlangene okulimazayo, ukutheleleka, ukuhlinzwa okwakamuva, nokudla okuphazamiseka (okugcina okungakwandisa ukugxila kwe-uric acid ngenxa yokwehla okusheshayo komthamo womzimba).
Imithi Yenza Imithi
Imithi ethile ihlotshaniswa ne-hyperuricemia mhlawumbe ngoba ine-diuretic effect (yokwandisa ukuhlushwa kwe-uric acid) noma ilahle ukusebenza komuthi. Amacala ajwayelekile kakhulu ahlanganisa:
- I-Aminophylline (sebenzisa ukuphatha i-bronchitis engapheli)
- I-Cyclosporine (isidakamizwa sokuzivikela ngomzimba)
- I-Ethambutol (esetshenziselwa ukwelapha isifo sofuba)
- I-Lasix (i-furosemide)
- I-Levodopa (esetshenziswa ukuphatha isifo sikaParkinson)
- I-aspirin ye-dose ephansi (esetshenziselwa ukunciphisa ingozi yokuhlasela inhliziyo)
- I-Niacin (i-vitamin B3)
- Thiazide diuretics (esetshenziselwa ukwelapha ukucindezelwa kwegazi noma isifo senhliziyo)
Izindlela Zengozi Yokuphila
Izinqumo ozenzayo empilweni zidlala indima enkulu emngeni wakho wokugcoba njengezinto ongakwazi ukuzilawula, iminyaka yobudala noma ubulili. Angeke asuse ngokuphelele ingozi yakho, kodwa angathinta ukuthi uhlaselwa kaningi kangakanani futhi unzima kangakanani.
Ukukhuluphala
Oyinhloko kulezi zikhathazo ukukhuluphala. Ngokwakhe, isisindo somzimba ngokweqile sinciphisa ukususwa kwe-uric acid emzimbeni. Futhi, uma ulinganisa ngokwengeziwe, lokhu kukhululeka kuzoba ngaphezulu.
Ukuphikiswa kwe-insulin kungenye yezinto zokushayela ngemuva kwalokhu okunamandla. Uma ukhuluphele kakhulu noma ukhuluphele, umzimba wakho ukhiqiza i-insulin engaphezulu. Amazinga aphezulu e-insulini aholela ekukhulekeni okukhulu kwe-renal aholela kumazinga aphezulu we-uric acid.
Ukutadisha kuka-2015 futhi kuthole ukuhlanganiswa okuqondile phakathi kwe-waistline yomuntu kanye nengozi yakhe yokugaya. Ngokusho kwabacwaningi, phakathi kwabantu abane-gout, labo abanamafutha aphezulu esiswini banesisindo esingamaphesenti angu-47.4 sokuhlaselwa uma kuqhathaniswa nalabo abanamahlombe avamile abaphethe ingozi ye-27.3%. Lokhu kungakhathaliseki ukuthi i-body mass index index (BMI) yomuntu, okuphakamisa ukuthi amafutha amaningi esiwaphetheyo, ingozi enkulu yezibonakaliso.
Ezinye Izinto
Kusukela ekuboneni ukuphathwa kwezempilo, eziningi zezici ezifanayo ezihambisana nezifo ezingapheli ezifana nesifo sikashukela se-2 nesifo senhliziyo zihlobene ne-gout. Lokhu kufaka:
- Amafutha angaphezu kwama-visceral (amafutha esiswini)
- Umfutho wegazi ophezulu (ngaphezu kuka 130/85 mmHg)
- I-high LDL ('okubi') ye-cholesterol ne- HDL ephansi ("okuhle") ye-cholesterol
- I-triglycerides ephezulu
- Ukuphikiswa kwe-insulin
- Ukusebenzisa utshwala njalo
- Indlela yokuphila yama-sedentary
> Imithombo:
> Hanani, B; UMatheson, E. noWilke, T. "Ukuxilongwa, Ukwelashwa, Nokuvimbela I-Gout." Am Fam Physician. 2014; 90 (12): 831-836.
> Richette, P. noBarden, T. "Gout." Lancet. 2010; 375 (9711): 318-28. I-DOI: 10.1016 / S0140-6736 (09) 60883-7.
> Rothenbacher, D .; Kleiner, A. Koenig, W. et al. "Ubuhlobo phakathi kwamaCytokines okuvuthayo kanye namazinga e-Uric Acid anezimo ezimbi ze-Cardiovascular in Patients with Stable Coronary Heart Disease." PLoS One. 2012; 7 (9): e45907. I-DOI: 10.1371 / iphephandaba.pone.0045907.
> Roughley, M .; UBelcher, J .; Mallen, C. et al. "I-Gout kanye nobungozi bokugula okungenasifo nesifo se-nephrolithiasis: ukuhlaziywa kwe-meta-analysis of study studies." I- Arthritis Res Ther. 2015; 17 (1): 90. I-DOI: 10.1186 / s13075-015-0610-9.