Gouti ni iki? Niki Goute?

Gout , izwi kandi nkindwara yabami cyangwa indwara yabakire, ni indwara ikomeye ya rubagimpande yatumye bapfa ba sultani. Nubwo indwara ya goutte, nanone yitwa indwara ya goutte, iri mu cyiciro cyindwara zifata rubagimpande, irashobora gufatwa nkindwara ya metabolike. Indwara ikunze kugaragara ku bagabo, irashobora kugira ingaruka mbi ku mirimo yumuntu no mu mibereho.

Indwara ya Goute ni ijambo rikoreshwa mu kwerekana imiterere itandukanye irangwa no kwirundanya kwa uric. Uku kwirundanya mubisanzwe bibaho kumaguru yumuntu. Abantu barwaye indwara ya goutte barashobora kumva kuribwa no kubabara mu maguru. Urutoki runini ni rumwe mu ngingo zibasiwe cyane niyi ndwara. Indwara ya goutte itera ububabare butunguranye kandi bukabije kandi abantu bashobora kumva nkaho ibirenge byabo byaka. Nubwo ibimenyetso bya goutte byigihe gito, hariho uburyo butandukanye bwo kugenzura ibimenyetso.

Gouti ni iki?

Indwara ya Gout, idakira (igihe kirekire) hamwe no guhurira hamwe, ni indwara irangwa no kwirundanya kwa kristu ya monohydrate yitwa monosodium urate mu ngingo. Gout, amateka yayo yatangiriye mu bihe bya kera, ni indwara ya rubagimpande yakozwe ku buryo burambuye kandi irashobora kugenzurwa.

Mubihe bisanzwe, ibikoresho byimyanda mumubiri, cyane cyane imyanda ya proteine, bihinduka aside irike ikavanwa mumubiri. Ibibazo byo gusohora aside irike cyangwa kubyara ibintu byinshi cyane bishobora kuvamo kwirundanya mumaraso no mumubiri. Iyo ingano ya aside irike mu maraso irenze ibisanzwe, yitwa hyperuricemia. Iyi miterere irashobora gutera imbere kurwara mugihe kandi bikavamo uburibwe bukabije.

Hyperuricemia nayo itera inkari namaraso kuba acide cyane. Inyama zimwe, ibinyobwa bisindisha nka byeri, geranium nibinyamisogwe byumye biri mu biribwa bifite aside irike nyinshi. Usibye indyo, ibintu bikomokaho, kubyibuha birenze urugero cyangwa umubyibuho ukabije, hamwe no guhangayika biri mubintu bifitanye isano no kwiyongera kwa aside irike mu maraso.

Acide Uric, iboneka mu maraso menshi mu maraso, isohoka mu cyuho cyumubiri kandi ikarundanya mu ngingo hamwe no mu nkengero zayo. Kwiyongera mu ngingo bishobora gutera uburibwe muri utwo turere, bigatuma amazi yiyongera mu ngingo, kubuza kugenda no kubabara. Iyi ndwara, yibasira cyane cyane amano manini hamwe n ivi, yitwa gout. Rimwe na rimwe, aside irike irashobora no kwirundanya mu mpyiko. Hagomba kwitonderwa kuko ibi bishobora kuvamo impyiko.

Nibihe byiciro byindwara ya Goute?

Indwara ya Goute igenda itera mubyiciro 4: igitero gikaze, igihe cyo gutandukana, indwara ya karande na tophus.

• Igitero gikaze: Nicyiciro cyindwara itangira gitunguranye mugice kandi ikamara iminsi 5-10. Kubyimba igihe gito no kubabara bigaragara mu ngingo.

• Igihe cyigihe: Iki nicyiciro ibibazo byumurwayi bishira burundu. Ariko, ibitero bikaze birashobora kongera kubaho ako kanya nyuma yiki cyiciro.
• Indwara idakira: Niba igihe kiri hagati yibitero kigabanuka gahoro gahoro kandi ntikivurwe, kubyimba burundu, kubabara no kugabanya umuvuduko bishobora kugaragara mubice bimwe cyangwa byinshi.
• Tophus Gout: Iyo indwara igenda itera imbere, aside irike irundanya cyane mu ngingo no mu ngingo ziyikikije kandi ikabyimba yitwa tophi. Tophi ibaho cyane cyane kumano manini, igufwa rya metatarsal, hejuru yintoki no hafi yinkokora.

Nibihe bimenyetso byindwara ya goutte?

Bitewe no kwegeranya ion ion mu mubiri mugitondo, kubyimba bibaho mu ngingo kandi ububabare bukabije burabaho. Mubyukuri, ububabare bukabije kuburyo umurwayi akanguka asinziriye. Indwara ya Goute ni indwara iterwa no kwirundanya kwa aside irike mu mpyiko. Usibye ibimenyetso nkamaraso mu nkari namabuye, ububabare bwo mu nda no mu mugongo bushobora kubaho. Ububabare buhinduka karande na aside irike yegeranijwe mu ngingo irashobora gutera guhora kubyimba ingingo kandi bigatera guhindagurika.

Indwara ya Gout muri rusange ifatwa nkumuriro wingingo (arthritis). Gutangira ibitero biratunguranye kandi birababaza. Ibimenyetso bitandukanye bishobora kugaragara ahantu hafashwe, harimo gutwika, gukomera, no kubyimba. Ibimenyetso bya goute birashobora gutandukana kubantu. Irashobora no gukurikira inzira idafite ibimenyetso mubantu bamwe. Mugihe aba bantu basanze bongereye aside irike mumaraso, ntakibazo kijyanye na goutte. Ibimenyetso bibaho mugihe cyibitero byitwa acute gout ibimenyetso. Kubabara, gutukura no kuribwa nibyo bimenyetso nyamukuru byindwara ya goutte. Cyane cyane nyuma yibitero bitangira nijoro, abantu barashobora gukanguka basinziriye kubera ibimenyetso. Ndetse ntoya cyane kubantu bahohotewe irashobora gutera ibibazo bidashoboka. Mugihe kimwe, hariho imbogamizi mumigendere yingingo zanduye.

Ibibazo bituruka mubitero bikaze mubisanzwe bibaho mugice kimwe. Amano manini nigice gikunze kwibasirwa hamwe. Nubwo igihe cyo kurega gikunze gutandukana hagati yamasaha 12-24, hariho kandi indwara ya goute ikabije aho ibimenyetso bikomeza iminsi 10. Abarwayi bakomeza ubuzima bwabo nta kirego bafite mugihe kiri hagati yibitero bikaze.

Ibitero bikunze kwibasirwa na goutte birashobora kwangiza burundu ingingo. Usibye ububabare bufatanije, ibimenyetso nko gutwika, gutukura, kuribwa no kugendagenda neza bigenda byiyongera mugihe, mugihe ibimenyetso nko gukuramo no kwishisha uruhu rwahantu hafashwe bishobora kugaragara. Muri iyi ndwara, ishobora kugira ingaruka ku zindi ngingo zumubiri usibye amano manini, ingingo zintoki, intoki, inkokora, agatsinsino ndetse nigice cyo hejuru cyikirenge biri mu tundi turere dushobora kwibasirwa na goutte.

Niba ibitero bya goutte bibaye kenshi kurenza ibisanzwe, ibi byitwa indwara idakira. Hagomba kwitonderwa kuko indwara zidakira zishobora gutera ibibazo bikomeye byubuzima iyo bidafashwe neza. Ku barwayi ba goutite idakira, ububabare bushobora guhoraho, kandi muriki gihe, ibitotsi byumuntu bigira ingaruka mbi. Ibibazo nkumunaniro, kongera imihangayiko no guhindura imyumvire bishobora kubaho bitewe no kudasinzira. Usibye gusinzira neza, kugenda, gukora imirimo yo murugo, nibindi bikorwa bisanzwe bya buri munsi nabyo bishobora kugira ingaruka mbi.

Tophi nikibazo cya karande idakira irangwa no kwirundanya kwa kirisiti ya acide munsi yuruhu. Tophus, ishobora kugaragara mu biganza, mu birenge, mu kuboko no mu matwi, igaragara nkibyimba bikabije byo mu mubiri bitababaza ariko bigahinduka umuriro kandi bikarishye mu gihe cyigitero. Mugihe tophus ikomeje gukura, irashobora kwangiza uruhu hamwe nuduce twose. Ni ngombwa cyane kwakira ubuvuzi bukwiye kuko ubumuga bushobora kubaho nkuko iyi miterere igenda itera.

Acide Uric iboneka mu maraso menshi, irashobora kwirundanyiriza mu bihaha kimwe nimpyiko. Usibye iyi miterere idasanzwe, birasabwa kwitonda kuko ibibazo bitandukanye byubuzima nka cataracte na syndrome yumaso yumye bishobora kugaragara kubarwayi ba karande idakira.

Niki Gitera Goute?

Impamvu nyamukuru itera indwara ya goutte ni umubiri mwinshi ukora aside irike cyangwa kutabasha gusohora aside irike ikoresheje impyiko. Ingeso mbi yo kurya nabi, kunywa inzoga nyinshi, indwara zitunguranye kandi zikomeye, kuvura ibiyobyabwenge bitandukanye, guhahamuka hamwe, kubaga indwara nimpyiko biri mubihe bishobora gutera kwiyongera kwa aside irike mumaraso. Kongera imyaka birashobora kandi kongera ibyago byo kurwara goutte. Indwara ya Goute ni indwara ishobora gukorerwa mumiryango mubantu bamwe. Imirongo myinshi itandukanye, cyane cyane gen SLC2A9 na ABCG2, irashobora guteganya indwara ya goutte. Imirasire ifitanye isano na goutte ifitanye isano na metabolisme ya uric aside.

Biremewe ko ibintu bikomokaho bishobora kuba ingirakamaro mugushinga indwara ya goutte, kandi usibye nimiryango, indwara zimwe na zimwe zishobora no kugira ingaruka zorohereza. Umubyibuho ukabije, diyabete, indwara zumutima, umuvuduko ukabije wamaraso hamwe na cholesterol nyinshi biri mu ndwara aho usanga abarwayi bafite ibyago byo kwandura indwara.

Mugihe cyibibazo bimwe na bimwe, kwiyongera kwa aside irike mumubiri bishobora kubaho. Iyi miterere, ifitanye isano nibikorwa bidasanzwe bya enzyme, mubisanzwe bibaho mubihe nka lymphoma, leukemia, anemia anemia na psoriasis. Ubwiyongere bwumusemburo wa aside uric bushobora kubaho nkingaruka nyuma ya chimiotherapie na radiotherapi ikoreshwa mukuvura abarwayi ba kanseri.

Indwara ya Gouti isuzumwa ite?

Kumenya kristal ya monosodium urate mumazi ya synovial fluid (fluid mumwanya uhuriweho) nuburyo bwa zahabu bwo gusuzuma indwara ya gout. Muri iri suzuma, abaganga bafata urugero rwamazi avuye ahantu hafashwe hamwe nurushinge ruto. Amazi ya Synovial ahinduka umuhondo nigicu mugihe gikabije cya goutte. Isuzuma rya Microscopique kuri aya mazi, arimo na kristu na selile yera, itandukanya no gutwika ingingo biterwa na mikorobe.

Ubushakashatsi butandukanye bwa laboratoire burashobora kandi gukoreshwa muburyo bwo gusuzuma indwara ya gout. Nubwo ibimenyetso bya biohimiki nkibara ryamaraso yera, igipimo cyimitsi ya erythrocyte (ESR) na proteine ​​c-reaction (CRP) ni ingirakamaro muri goute ikaze, ntitwakwibagirwa ko idasanzwe kuri iyi ndwara. Nubwo gupima urugero rwa aside irike binyuze mu gupima amaraso ni ikizamini gikomeye, birashobora rimwe na rimwe kuganisha ku kiyobora. Twakagombye kuzirikana ko mugihe abantu bamwe bafite umuvuduko mwinshi wamaraso ya uric ariko bakaba badafite ibimenyetso byindwara ya goutte, abantu bamwe bashobora kuba bafite ibimenyetso bya goutte nubwo aside irike yamaraso iba mike. Kubera izo mpamvu, nubwo gupima urugero rwa aside irike yamaraso yonyine bidafatwa nkibihagije mugupima indwara ya goutte, irashobora gukoreshwa mugusuzuma inzira ya goute kubarwayi bamwe.

Usibye ibizamini bya biohimiki, ubushakashatsi butandukanye bwerekana amashusho burashobora gukoreshwa mugupima indwara ya goutte. Nubwo bidakunze gukorwa, ultrasonography irashobora kumenya kristu zegeranijwe mugace ka karitsiye. Amashusho ya X-ray ari mubikoresho byo gusuzuma radiologiya bishobora kuba ingirakamaro mugutandukanya goute nizindi ndwara zifatika.

Indwara ya Goute ivurwa ite?

Muri gout, uburyo butandukanye bwo kuvura bukoreshwa mugihe cyibitero bikaze no mugihe cyibitero. Mu gihe imiti igabanya ubukana ikoreshwa mu bihe bikaze iyo ububabare bukabije, imiti ikoreshwa mu kuvura imiti irashobora guhinduka nabaganga bitewe nindwara. Imiti itari steroidal anti-inflammatory, colchicine cyangwa corticosteroide iri mu miti ishobora gukoreshwa mu kuvura indwara ya goutte, bitewe nimiterere yumuntu. Imiti irimo ingirakamaro ya colchicine ni imiti igabanya ubukana ifatwa nkigikorwa cyo kurwanya ububabare buterwa na goutte.

Mu barwayi bamwe, umuriro wa goutte urashobora kugira amasomo akomeye kandi adakira. Mu rwego rwo gukumira amabuye yimpyiko, tophus cyangwa izindi ngaruka ziterwa na goutte zishobora kugaragara muri aba bantu, imiti igabanya umusaruro wa aside irike mu mubiri cyangwa kongera aside irike isohoka mu nkari. Ni ngombwa cyane ko ikoreshwa ryibi biyobyabwenge, bishobora gutera ingaruka nkumuriro, kurwara uruhu, gutwika umwijima cyangwa ibibazo byimpyiko, bikorwa bigenzurwa na muganga.

Kubera ko imyitozo ngororamubiri ishobora kongera ubukana bwibitero, abarwayi basabwa kuruhuka mugihe gikaze. Kuvura indyo bigira uruhare runini nkimiti muri gout. Mu kuvura indwara ya goutte, abarwayi basabwa gukurikiza indyo yihariye yateguwe numuganga wimirire, kunywa amazi menshi no kuzamura imibereho yabo hamwe na gahunda yimyitozo ngororamubiri.

Indwara ya Goute

Gutegura gahunda yimirire yihariye ikwiranye na goutte nimwe muntambwe zingenzi zishobora gufatwa kugirango ugabanye ubukana. Iyi ndyo igamije kugabanya urugero rwa aside irike yamaraso kurwego rusanzwe.

Kugabanya cyangwa guca burundu kunywa inzoga, cyane cyane kunywa byeri, nimpinduka zingenzi mubuzima muburyo bwo kunoza ibimenyetso bya goutte. Byongeye kandi, kongera ibicuruzwa byamazi, guhitamo ibikomoka ku mata make, kwirinda kurya inyama zingingo cyangwa amafi mato mato arimo vitamine nyinshi, guhitamo ibinyamisogwe nkisoko ya poroteyine, no kurya ibikomoka ku ngano zose cyangwa imboga mbuto nimbuto zo gukoresha karubone. muri gahunda yimirire Ni mubindi bikorwa bishoboka.

Ibiribwa birimo purine nkeya mumirire bisobanurwa nkibiryo birimo miligarama 100 za purine kuri garama 100. Imbuto zose ziri mubiribwa bidatera ikibazo goutte. Imbuto za Cherry zirashobora gushyigikira imikorere isanzwe yumubiri mukurinda indwara ya goutte kubera uruhare rwayo murwego rwa aside irike ndetse no kurwego rwo gutwika. Ibicuruzwa byose byimboga, birimo ibirayi, amashaza, ibihumyo, ingemwe nimboga rwatsi rwatsi, biri mubiribwa bishobora kuribwa nabarwayi ba goutte. Usibye imbuto nimboga, amagi, ibikomoka ku mata, imbuto, ikawa, icyayi nicyayi kibisi, ibirungo namavuta yibimera ni ibiryo bishobora gushyirwa muri gahunda yimirire yabarwayi ba goutte.

Kugabanya ibiro

Ibiro byinshi birashobora kuba ibintu bishobora gutera indwara ya goutte. Kurwanya insuline, kugaragara cyane cyane kubantu bafite ibiro byinshi, ni indwara ifatwa nkaho ifitanye isano na aside irike yo mu maraso. Hamwe no kugabanya ibiro, abantu barashobora guca intege imisemburo ya insuline kandi bakagira uruhare mukugabanya aside irike.

Ikintu abarwayi ba goute bagomba kwitondera mugihe cyo kugabanya ibiro ni umuvuduko wo guta ibiro. Ugomba kwitonderwa kuko gutakaza ibiro byihuse kumirire ya karori nkeya cyane bishobora kongera ibyago byo kwandura indwara ya goutte.

Gukora siporo

Imyitozo isanzwe nubundi buryo bushobora gukorwa kugirango hirindwe indwara ya goutte kandi bishobora kugira uruhare mukugabanya aside irike.

Ibiryo bihagije

Kugenzura ibyokurya bihagije bya buri munsi birashobora kugabanya ibyago byo kwandura indwara ya goutte. Hamwe no gufata amazi, gusohora aside irike yinyongera mumaraso ava mumpyiko byoroha kandi bigakurwa hamwe ninkari. Kunywa ibicurane nikibazo kidakwiye kwirengagizwa, cyane cyane kubantu bakora siporo buri gihe, batakaza amwe mumazi yo mumubiri babize ibyuya.

Kugabanya Kunywa Inzoga

Inzoga ni imbarutso izwi kuri gout. Impamvu yibi bintu nuko umubiri ushyira imbere gusohora inzoga aho gukuramo aside irike ikabije mumubiri hamwe no kunywa inzoga. Rero, biroroha kuri aside irike, ikomeza kuba mwinshi nyuma yo kunywa inzoga, kwegeranya no guhinduka muburyo bwa kirisiti.

Indyo, imyitozo ngororamubiri nizindi mpinduka mubuzima bigira akamaro cyane mukuvura indwara ya goute nubundi buzima bwatewe na aside irike nyinshi. Mu bantu bamwe, kwivuza birashobora gukenerwa hiyongereyeho guhindura imibereho. Kwumira cyane ku miti yashyizweho nabaganga ni igice cyingenzi mu kuvura.

Niba ubonye ibimenyetso bya goutte, ni ubwoko bwo gutwika ingingo, muri wewe cyangwa abo mugukikije, birasabwa ko witabaza ibigo nderabuzima hanyuma ukabona ubufasha bwabaganga binzobere kubijyanye no kuvurwa neza no guhindura imibereho.

Twifurije iminsi myiza.