Kuziva izvi zvinokonzeresa gout kunogona kukubatsira kudzivirira kupisa

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Unogona kuve mumwe we 8.3 mamirioni eAmerica ine gout, mhando yeArthritis iyo inogona kukonzera kuzvimba uye kurwadziwa kwakanyanya. Gout inozivikanwa ne marara anorwadza , inowanzoitika husiku, iyo inogona kutora mavhiki mashoma, nekurwadziwa kwakanyanya kunowanzoitika mumaawa makumi maviri nemana ekutanga. Zvimwe zviratidzo zvegout zvinosanganisira inodziya, yakatsvuka ganda kutenderedza akabatana akabatana.

Gout inoitika kana paine kuwanda kweuric acid muropa (chirwere chinodaidzwa chinonzi hyperuricemia). Uric acid chigadzirwa chemarara chinoitwa kana muviri ukatyora purine, kemikari inogadzirwa nemuviri asi izvo zvinowanikwawo muzvikafu zvakasiyana siyana. Kune vanhu vazhinji, yakawandisa uric acid inoburitswa mumuti. Asi kune vamwe, uric acid inovaka (pamwe nekuti kugadzirwa kwayo kwakawedzerwa, kubviswa kwayo kwadzikira, kana mubatanidzwa wezvose zviri zviviri). Iyo buildup inotungamira kune kuumbwa kwetsono-senge makristasi ayo anogara akatenderedza majoini, kunyanya chigunwe chihombe nemakumbo epasi, zvichikonzera kuzvimba uye kuboora marwadzo akabatana. Sekureva kweArthritis Foundation, kuchengetedza uric acid mazinga muropa pazasi pe6 mg / dl Zvakakosha kudzivirira gout kurwiswa.

Kana zvasvika pakudzivirira gout, kuziva zviratidzo, kuita zvaunogona kudzivisa zvinokonzeresa, uye kuwana kurapwa nekukurumidza matanho akakosha ekutanga kutora. Hyperuricemia uye gout matambudziko ekurapa kwenguva refu, anodaro Lynn Ludmer, MD , wezvekurapa director we rheumatology paMercy Medical Center muBaltimore. Nekufamba kwenguva, gout isingarapwe inogona kutungamira mukusingaperi kuzvimba uye kukuvara kwemajoini, izvo zvinogona kuve zvechigarire.

8 yakajairika gout inokonzeresa

Kwemazana emakore vanachiremba vakafunga kuti gout yainyanya kukonzerwa nekudya. Kutaura zvazviri, gout yaiwanzonzi chirwere chemadzimambo nekuti yaibatanidzwa nechikafu chinorema pazvinhu zvakapfuma uye nyama pamwe nedoro — chikafu chinongowanikwa nevapfumi chete.

Masayendisiti ikozvino anoziva kuti honzeri huru yegout genetics uye kuve nenhoroondo yemhuri yemamiriro acho ndiyo yako hombe njodzi chinhu. Vanhu vanofanirwa kunzwisisa kuti gout genet uye kwete yavo 'kukanganisa' nekuda kwekudya kwavo, makomendi Theodore R. Minda, MD, FACP , chiremba werheumatologist kuNew York City's Hospital for Special Surgery. Kudya uye mararamiro ehupenyu zvinonyatso batsira, asi mune mashoma chete varwere vegout ndivo vakakwana.

Asi nepo genetics iriyo inonyanya kukonzera njodzi yegout, kune vamwe vanobatsira, kusanganisira:

1. Kufutisa

Paunonyanya kuyera, itsvo dzako dzinonetsa kushanda kuti ubvise marara senge uric acid kubva mumuviri wako. Mune imwe kudzidza , rakabudiswa mumagazini Arthritis uye Rheumatology , vanhu vaive vakafutisa vaive ne85% panjodzi yakakura yekuve ne hyperuricemia (inotungamira kune gout) maringe nevanhu vane hutano-huremu. Vanhu vakafutisa vaive nekanosvika ka3,5 mukana zvakanyanya kupfuura zvakajairika-huremu vanhu kuti vave neuric acid yakawandisa. Vatsvakurudzi vakawana zvakare kuti 44% yehypururicemia kesi dzakakonzerwa nehuremu hwakawanda chete.

2. Zvimwe zvekudya

Nekuda kweiyo yavo yepamusoro purine yemukati, zvimwe zvekudya zvinogona kukwidza huwandu hweuric acid muropa. Zvinosanganisira:

• Nyama tsvuku
• Nyama ine mafuta, senge bacon
• Nyama yemuviri - semuenzaniso, itsvo, chiropa, uye mutserendende
• Zvimwe zvegungwa, zvinosanganisira salmon, sardines, uye anchovies; uye shellfish, senge mussels
• Yakakwirira fructose chibage sirasi (inowanikwa mune dzakasiyana zvigadzirwa, kunyanya zvine shuga zvinwiwa sodas)
• Zvinwiwa zvinodhaka, izvo zvinopa gout kwete nekuda kweiyo yavo purine, asi nekuti zvakare zvinoita kuti zviomere itsvo kuburitsa yakawandisa uric acid

Zvakawanda sei zvezvikafu izvi zvakanaka kuva nazvo? Hatipikisane neapo neapo chinwiwa pane yakakosha chiitiko kana shoma yenyama tsvuku kana shrimp, asi zvishoma zviri nani, Dr. Minda anodaro. Iyo inyaya yakawanda, saka tinokurudzira kuva nezvishoma sezvaunogona. Neraki, chikafu chegout kudya kunovaka, saka imupfumi unowana muhutano hwese kutevedzera gout-inoshamwaridzika kudya.

3. High BP

Vanhu vane BP yakakwira (hypertension) vane 2-to-3 fold yakawedzera njodzi yekuvandudza gout. Sekureva kweAmerican Heart Association, isingadzorwe yakakwira BP inogona kushayisa simba, kutetepa, nekuomesa tsinga dzinotakura ropa mumuviri wese, kusanganisira tsinga dzinowanikwa muitsvo. Izvi zvinoita kuti zviomere itsvo kuita basa radzo kuburitsa tsvina senge uric acid kubva mumuviri. Chii chimwe, iyo diuretics (mishonga inoshandiswa kuwedzera kuita weti) iyo inowanzo gadzirirwa kurapa yakakwira BP inogona kubatsira kuchinetso ne kudzikamisa huwandu hweti (mubatanidzwa weuric acid) iyo yakanyatsoburitswa mumuti.

4. Mimwe mishonga

Mukuwedzera kune diuretics, zvimwe mishonga izvo zvinogona kuwedzera huwandu hweuric acid kana kudzikisa kubuda kwavo zvinosanganisira:

• Asipasi-dhizaini aspirin
• Immunosuppressant zvinodhaka-semuenzaniso, iyo inoshandiswa kudzivirira kurambwa kwemitezo mukuisira varwere
• Mishonga inoshandiswa kurapa tibhii
• Nicotinic acid, inoshandiswa kurapa niacin kushomeka (niacin ndeye vitamini B)

5. Chirwere cheshuga

Ndiwo munondo unocheka nekwose: Iyo Gout Dzidzo Sosaiti inocherekedza kuti insulin kuramba (chinetso chakakura cheType 2 chirwere cheshuga) kunogona kutungamira ku gout uye kuva neakawanda-uric acid muuropa rako inogona kutungamira ku insulin kushorwa. Iboka rinoshuma kuti 26% yevanhu vane gout vane Type 2 chirwere cheshuga.

6. Gender

Varume vane yakawedzera ngozi yakapetwa kana yekuvandudza gout maringe nevakadzi. Zvinotaridza kuti kemukadzi kemikari estrogen inobatsira vakadzi kuchengetedza uric acid mazinga mukutarisa, asi iyo dziviriro inotanga kupera kana kamwe kupera kuenda kumwedzi kwarova uye esrogen madonhwe. Kune dzidziso dzekuti nei estrogen inogona kudzivirira vakadzi, kusanganisira kuti itsvo dzinogona kuburitsa uric acid yakawanda pamberi peestrogen, anotsanangura Dr. Ludmer.

7. Zera

Gout njodzi inowanzo kukwira nezera. Zvichida imhaka yekuti zvizhinji zvezvinhu zvine njodzi zvinosanganisirwa negout-chirwere cheshuga, kufutisa, uye kuwedzerwa kweropa - zvinowanzoitawo sekukwira patinokwegura. Varume vanowanzoita gout pakati pemakore makumi mana-60. Kune vakadzi, ane makore makumi matanhatu-80 ekuberekwa. Vakadzi vanokwanisa kudzikamisa chirwere kwenguva yakati rebei nekuda kwezve zvataurwa zvinodzivirira zveesrogen.

8. Kushungurudzika kune majoini

Vanhu vakakuvara kana kuvhiyiwa pajoini vanowanzoita gout munzvimbo iyoyo. Isu tinoziva kuti kushushikana kwemuviri kunogona kumisa gout flares, anodaro Dr. Minda. Semuenzaniso, vamwe vanhu vanowana gout flare mushure mekumhanya. Zvinofungidzirwa kuti kushungurudzika pachigunwe chikuru chetsoka kunonyatsoburitsa mamwe euric acid makristasi mumubatanidzwa unopinda mukati memubatanidzwa fluid, zvichikonzera kuzvimba.

Nzira yekudzivirira gout kurwiswa

Iko hakuna chaunogona kuita nezve genetics yako, asi iwe unogona kuita hutano mararamiro shanduko ayo anogona kubatsira kudzikisira mukana wekuvandudza gout. Zvinosanganisira:

1. Kuderedza uremu kana iwe uchida ku: Kutsvakurudza inoratidza kuti kurasikirwa uremu hwemapaundi manomwe chete kunogona kubatsira pane gout. Chimwe chidzidzo chakaratidza 71% mashoma ekurwisa gout nekurasikirwa nehuremu .
2. Exercise: Chiitwa chemuviri chinogona kukubatsira kudzora huremu hwako, izvo zvinobva zvaderedza njodzi yako yegout. Imwe bakoat: Usarovedze panguva yegout flare.
3. Ramba uine hydrated: Arthritis Foundation inokurudzira kunwa anokwana magirazi masere ezvinwiwa zvisina kunwa (kunyanya mvura) pazuva . Uye kana iwe uri mukati mekurwiswa kwegout, peta iyo mari kuti ubatsire kufutisa uric acid yakawandisa kubva kune yako system.
4. Deredza doro. Kunyanya doro, iro rakakwira muma purine! Rimwe doro rinodhakwa rinogona kukwidza uric acid mazinga 6.5%; doro risiri chidhakwa rinogona kukwirisa 4.4%.
5. Deredza kushushikana: Nyanzvi hadzina chokwadi chaizvo kuti sei, kana kunyangwe kana , kushushikana kunogona kutungamira ku gout-asi ivo vanoziva kuti kushushikana kwepfungwa kunogona kazhinji kutungamira kune vanhu kuti vadye nekumwa zvakanyanya, nokudaro vachivaisa panjodzi huru yekugaya.
6. Ongorora zvakare sarudzo dzako dzekudya: Pamusoro pekuganhurira chikafu chinogona kukonzera gout, funga kuwedzera chikafu chingangobatsira kusimudzira kuburitswa kweuric acid uye / kana kuve neanopokana-nekurwisa zvivakwa. Sekureva kweArthritis Foundation, zvimwe zvezvikafu izvi zvinosanganisira:
   • Yakaderera-mafuta mukaka
   • Kafi
   • Zvikafu zvakapfuma muvhitamini C (sarudza izvo zvakare zvakaderera mune zvinowanzoitika shuga fructose, senge michero yemuchero uye mahabhurosi)
   • Asina-nyama-akavakirwa mapuroteni, senge pizi, nyemba, tofu, nemashizha miriwo miriwo
   • Tart cherries

Kurapa kwakanyanya gout kurwisa

Kana iwe uri kusangana nekurwadziwa kwegout, ona wako mupi wezvehutano. Kunyangwe iwe usingade mishonga, unogona kutaura nezve kudya uye zvinogona kuonda uye nekukurukura kana gout ichida manejimendi manejimendi, Dr. Fields vanopa zano.

Mishonga yekumba

Matanho ekuzvibatsira-ega anogona kurerutsa marwadzo eacute flare anosanganisira:

• Ice uye simudza yakabatana mubatanidzwa
• Inwa mvura yakawanda
• Deredza basa

Mishonga

Mune vanhu vane maviri kana anopfuura marara egout mugore, kana gout ine nhoroondo ye itsvo matombo kana kudzikira kweitsvo, kana gout ine tophi [madhipatimendi euric acid pasi peganda rakakomberedza majoini akafanana nemaburi ekukura], ipapo vanoda uric acid yavo kudzikiswa nemushonga, anotsanangura Dr. Fields.

Kuti urape zviratidzo zvako, wako mupi wezvehutano anogona kukurudzira:

• Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs) kudzikamisa kurwadziwa uye kuzvimba
• Colchicine , iyo inoderedza kuzvimba uye kuwanda kweiyo uric acid
• Corticosteroids yekudzora kurwadziwa uye kuzvimba. Izvi zvinogona kutorwa nemuromo kana kupihwa kuburikidza nejekiseni.

Kubatsira kudzikisa uric acid mazinga mumuviri wako uye kudzivirira kurwiswa mune ramangwana, iwe unogona kugamuchira anotevera mishonga yemumuromo:

• Zvichida (probenecid)
• Uloric (febuxostat)
• Zyloprim (allopurinol)

Kana iwe unogona kugamuchira Krystexxa (pegloticase), mushonga we IV infusions.

Varwere vanofanirwa kuve nepfungwa dzakashama pavanokurukura nezve mukana wekutora mushonga we gout nachiremba wavo, Dr. Fields vanopa zano. Mukana wekuti 'upore' wegout wakanyanya kwazvo, kana ukagara pamushonga wakadai seallopurinol.