Ukuhlaselwa kungadluka ngokuhamba kwesikhathi uma kushiywa kungakhulumi
I-Gout, eyaziwa nangokuthi i-arthritis e-gouty, ingathuthuka uma kune-uric acid engaphezu komzimba. Izimpawu zingaba ngokuzumayo futhi ezinzima, ezibangela ubuhlungu, ubomvu, nokuvuvukala ekuhlanganyeleni okuthintekile, ngokuvamile okuyizinzwane ezinkulu. Ukuhlaselwa kwenzeka kaningi ebusuku noma ekuseni ekuseni. Uma kushiywe kungalashwa, ukuhlaselwa okuphindaphindiwe kungabangela ukukhubazeka okuhlangene kanye nokuvinjelwa okuqhubekayo kokunyakaza.
Ngenkathi ubukhulu bezimpawu zihlukahluka, i-gout iqala ukuqhubeka ngezigaba futhi ibuhlungu ngokuhamba kwesikhathi. Ngokuqaphela nokuphatha izimpawu ekuqaleni, ungakwazi ukugwema izinkinga eziningi zesikhathi eside futhi uthuthukise ikhwalithi yakho yonke yokuphila.
Izimpawu Ezivamile
Izimpawu ze-gout zingahluka ngesiteji sesifo. Ukuhlaselwa okwenzeka ngesikhathi sokuqala kungase kube mnene futhi kulawulwe kepha kuvame ukubi kakhulu uma kungashiywa ngaphandle kokulashwa.
Izigaba ezintathu zichazwe ngokubanzi kanje:
- I-hyperuricemia engenangqondo lapho kungekho khona izimpawu kodwa ama- crystals e- uric acid aqala ukwakha nxazonke
- I-gout ephakathi emaphakathi lapho izimpawu ziqala futhi ziphinde zibuye
- I-gout isifo esingapheliyo lapho ama-crystals e-uric acid akha khona ama-chunky deposits, abizwa ngokuthi i- tophi , ngaphakathi nasezindaweni ezizungezile izikhala, okwenza ukuvuvukala okuqhubekayo nezinye izinkinga zesikhathi eside
I-Gout ejwayelekile engavamile
Ukuhlasela okunamandla gout kuvame ukuhlala ezinsukwini ezintathu ukuya kwezingu-10, noma ngaphandle kwemithi .
Ngenkathi ubuhlungu bungalimaza ngokuzumayo, kuvame ukuqinisa ekuqaleni kokuhlaselwa ngaphambi kokuxazulula kancane kancane. Amaphesenti angaphezulu kwesigamu azobandakanya ukuhlanganiswa kwe- metatarsal-phalangeal phansi kwesinqe esikhulu. Amanye amasayithi avamile afaka amadolo, isinxe, isithende, i-midfoot, i-elbow, isandla, neminwe.
Ukuhlasela kungase kwenzeke ebusuku noma ekuseni.
Lokhu kungenxa yokuthi, ngokwengxenye, ukuphelelwa amandla kwamanzi ebusuku (okwandisa ukuhlushwa kwe-uric acid) kanye namazinga okushisa omzimba aphansi (okugqugquzela i-uric acid crystallization).
Izimpawu ezivame kakhulu zokuhlasela kwe-gout zihlanganisa:
- Ubuhlungu obungazelelwe futhi obunzima abanye abagulayo bachaza ngokufana nokuphula ithambo, ukugwazwa ngilazi, noma ukushisa okukhulu
- Ukuvuvukala okuhlangene, ubomvu nokufudumala okubangelwa ukuvuvukala okukhulu
- Ubunzima obuhlangene nobuhlungu ngokuhamba
- Umkhuhlane omncane
- Ukukhathala
Ukuhlasela kwe-Gout kungavame ukuvela kumaqoqo lapho amazinga we-uric acid eqhubeka ngokuphakama (isimo esaziwa ngokuthi i-hyperuricemia). Ngokuvamile, amahora angu-36 okuqala azoba buhlungu kunazo zonke, emva kwalokho ubuhlungu buzoqala ukwehlisa, nakuba kancane kancane.
Gout Tophaceous Chronicle
Ukuphefumula okungapheli kungaholela ekwakheni kabanzi kwe-tophi ngaphansi kwesikhumba nakwezungeze isikhala esihlangene. Ukuqoqwa kwalezi zindlala ezinzima, izimpukane kungasusa i-bone ne-cartilage futhi kuholele ekuthuthukiseni izimpawu ezingapheli ze- arthritis .
Nakuba igciwane libhekene nokuhlaselwa okumangalisayo, isifo samathambo esingapheli sichazwa ubuhlungu obuqhubekayo nokuvuvukala okuhambisana nokukhathala, ukuphazamiseka kwegazi, kanye nokuzwa okuvamile kokungahlaliseki. Ngokuhamba kwesikhathi, ukujoyina kungakwazi ukukhubazeka nokuphazamisa ukuhamba nokuhamba.
Ngisho noma iningi lama-tophi lizokhula ezinzwaneni ezinkulu, ezungeze iminwe, noma ekugcineni kwesigqoko, ama-toop nodules angabonakala cishe noma kuphi emzimbeni. Kwezinye izimo, zingangena esikhunjeni futhi zibangele ama-nodules afana ne-crusty. Zaziwa futhi ukuthi zithuthuke ezindlebeni, ezintanjeni zamagama, noma ngisho nangomgogodla. Iningi libhekwa njengelilimazi ngaphandle kokuthi lithinte ukuhamba ngokuhlanganyela.
Izinkinga
Amalunga nesikhumba akuzona izitho kuphela ezingathinteka yi-gout. I-long-term, i-hyperuricemia engalashwa nayo ingabangela ekubunjweni kwamakhemikhali ezintsheni nasekuthuthukiseni amatshe ezinso .
Ezimweni ezimbi, isimo esibizwa ngokuthi i-uric acid nephropathy (AUAN) esicacile (i-AUAN) singase sihlakulele, siholele ekulimaleleni kwezinso kanye nokunciphisa okusheshayo ekusebenzeni kwenkunzi . Abantu abanokukhubazeka kwezinso ezincane basengozini enkulu.
Izimpawu ze-AUAN zingahluka ngezinga lokukhubazeka kodwa zingabandakanya:
- Ukunciphisa umkhiqizo we-urine
- Umfutho wegazi ophezulu
- I-nausea
- Ukukhathala
- Ukuphelelwa umoya
- I-anemia
- Ukuvuvukala kwezicubu (i- edema ), ikakhulukazi emaphethelweni aphansi
- "Isithwathwa sase-Uremic" lapho irea ekhukhumezekile ngokuthuthumela iveza khona isikhumba
Nini Ukubona Udokotela
Akuwona wonke umuntu ozokwazi ukuzwa ama-gout azobhekana nezimpawu ezimbi noma adinga ukwelashwa okunciphisa urate . Uma kuthiwa, uma ungayinaki izimpawu noma uhluleka ukuthatha isinyathelo ukugwema ukuhlaselwa, ungase ugcine ukuzilimaza isikhathi eside.
Ngezinye izikhathi abantu abane-gout bacabanga ukuthi ukungabi khona kwezimpawu isikhathi eside kusho ukuthi lesi sifo sishiywe ngokuzenzekelayo. Lokhu kuvame ukukhohlisa. Ngaphandle kokuthi imbangela ebangelwa ukukhubazeka ilawulwa, lesi sifo singathuthuka buthule futhi sivune ukulimala okungenakukugwema.
Kulokhu, kufanele ubone udokotela uma:
- Lokhu ukuhlasela kwakho kokuqala. Ngisho noma ukwelashwa kungabikiwe, kuzodingeka uqhubeke nokuqapha imiphumela yakho yegazi ukuqinisekisa ukuthi uyakwazi ukugcina amazinga we-uric acid ngaphansi kuka-6.0 mg / dL.
- Izimpawu zakho aziphuculanga emva kwama-48 noma zigcine isikhathi esingaphezu kweviki. Uma ukwelashwa, lokhu kungase kube uphawu lokuthi izinguquko kudingeka zenziwe, kufaka phakathi ukungenelela kokudla nokuphila .
- Unomkhuhlane ophezulu. Nakuba umkhuhlane omncane ungahambisana nokuhlasela kwe-gout, umkhuhlane omkhulu (ngaphezu kuka-100.4 F) ungaba uphawu lwesifo.
> Imithombo:
> UJabalameli, uM .; I-Bagherifard, A .; Hadi, H. et al. "I-Gout Topherous Gout." I-QJM: I-International Journal of Medicine. 2017; 110 (4): 239-40. I-DOI: 10.1093 / qjmed / hcx019.
> Richette, P. noBarden, T. "Gout." Lancet. 2010; 375 (9711): 318-28. I-DOI: 10.1016 / S0140-6736 (09) 60883-7.
> Vargas-Santos, A. neNeogi, T. "Ukuphathwa kwe-Gout ne-Hyperuricemia ku-CKD." Amer J Kidney Dis. 2017; 70 (3): 422-39. I-DOI: 10.1053 / j.ajkd.2017.01.055.