Gout: Ọgwụgwọ ọgwụ. gout agha

Gout emee mebiri nke purine metabolism na ahụ mmadụ. Mgbe a na-ahụrụ na ọbara uric acid ịta na-inflated, na nkwonkwo na / ma ọ bụ periarticular anụ ahụ, akụrụ na ndị ọzọ na akụkụ emetụta urate ego - sodium urate salts.

Na-akpata gout

Ngafe uric acid a kpụrụ n'okpuru nduzi nke mụbara njikọ nke endogenous purine belata excretion nke urate ma ọ bụ Nchikota ẹkedọhọde Filiks. Ghọta mgbaàmà nke bụ isi na sekọndrị ọrịa. Nke ikpeazụ ikpe na iwu ji ya ntị ka ọgwụ ọjọọ eme ihe e site a nwoke na-gburu site na gout. Na-akpata ọrịa na-achọ ntụle zuru ezu.

Gout, uric acid overproduction kpasue

Oversupply nke purine ndọkwasi nile na nucleosides - isi ihe mere maka elu ịta nke uric acid. Na-akparaghị ókè nri oriri, n'ụba nwere substrates akpụ purines, ndammana edemede hyperproduction acid.

Mgbaàmà nke abụọ na-akpata hyperproduction elu gabiga ókè mmebi nke mkpụrụ ndụ na-ewere ọnọdụ na a ndabere nke ọrịa ụfọdụ (provocateur, ihe atụ, na-aghọ hematological malignancies paraproteinemia, hemolysis, aṅụrụma, anticancer ọgwụ). Hyperuricemia mgbe esokwa psoriasis. Otú ọ dị, na-adakarị daa ọrịa nke gout amalite na okwu ikpe ndị a mgbe.

Gout e mere site belatara excretion nke uric acid

Na 90% nke ndị na-na-anyịgbu ọrịa gout, e na-ebelata acid mmịpụta. Ịhapụ ahụ enyemaka uric acid akụrụ, gootu na akpụkpọ. Site mbenata excretion nke urate site akụrụ, ha n'ụba akpọkọtara na ahu na crystallize. Obere kristal na-edebe na nkwonkwo, na-eduga mbufụt na ihe mgbu. A akụrụ urate mgbe pụtara ìhè jed.

A yiri onu mgbe ụfọdụ ime ka diuretics, na mmanya, acetylsalicylic acid, aminophylline, caffeine, diazepam, diphenhydramine, L-dopa, dopamine, vitamin B ₁₂ na C, na obere Dosages. Ụzọ na-eduga ná ọrịa outbreaks. Ebute gout akpata agba surrogate mmanya na isi mmalite ndị ọzọ na-ebu arọ ọla.

Symptomatology gout: mgbaàmà nke ọdịdọ

Omume nke mgbaàmà metụtara na nnu ego kpụrụ uric acid. The kristal edebe ke nkwonkwo na akụrụ. The mbụ agha nke gout na-emekarị adịghị ime tupu afọ nke iri atọ. Ahụmahụ ya kasị ọrịa ruru 40-60 afọ.

Ndị agha na-esonyere ọzịza na nācha ọbara-ọbara nke nkwonkwo, oké morbidity. Enweghị ọgwụgwọ, ọ na-adịghị agafe ruo ọtụtụ ụbọchị ma ọ bụ ọbụna izu. Anyasị na abalị - kacha nke oge nke omume nke na-akwụsị akwụsị ọgụ.

Kpasuru iwe gout ukwuu anụ oriri, na-aba n'anya, ụfọdụ akara ule nke azụ, kọfị na ndị ọzọ na ngwaahịa mma na purine bases. The ọrịa ọtụtụ mgbe na-emetụta ndị na mkpịsị ụkwụ ukwu, ma ndị ọzọ na nkwonkwo-emeri na-adịghị ekwe. Ya egbu mgbaàmà bụ nnukwu ogbu na nkwonkwo, nke na-adị mgbe ihe oghom gbasara akụrụ pathologies.

nnukwu gout

Ogbu na nkwonkwo - nnukwu ụdị gout. Ọ na-kwupụtara na mberede ọbịbịa gouty agha - a na-egbu mgbu mbufụt nke nkwonkwo. Mgbe gouty ogbu na nkwonkwo urate kristal dapụ nke anụ ahụ na nkwonkwo, na-eme mbufụt. Gouty ọgụ ime, na-emekarị n'abalị.

Kpasuru iwe mmanya, trauma, anụ ahụ bufee, ịwa, na-esote gout ọgwụ. ọgwụ ọgwụgwọ nwere ike wepu ọgụ ma na-ebelata ọnọdụ. Mgbe awakpo nkwonkwo na gburugburu anụ ahụ zaa, ikpa na saịtị nke n'ekwú blushes, ihe mgbu na-amụba.

Nnukwu ogbu na nkwonkwo ọgụ akwụsị n'ime ụbọchị ole na ole (mgbe ụfọdụ izu), ọbụna ma ọ bụrụ na ha na-agaghị mesoo. Ugboro ugboro ọgụ laghachi mgbe ọnwa isii ma ọ bụ otu afọ. Ọ bụ ezie na udo oge na mgbe ụfọdụ ịdịru ruo 10-20 afọ. Ndị na-adịghị atụ n'anya ọgwụgwọ, ugboro nke ọgụ na-amụba, nke na-agụnye multiple nkwonkwo. Na oge nke ọgụ abawanye, ha na-aghọ ndị ọzọ akpọ.

adịghị ala ala gout

-Adịghị ala ala na ọrịa na-esonyere e ji mara atụmatụ:

• adịghị ala ala ogbu na nkwonkwo;
• ìgwè urate kristal;
• gbasara akụrụ ọrịa.

Ruo ogologo oge gout na-esonyere niile ihe ịrịba ama nke oge. Adịghị ala ala ogbu na nkwonkwo na-emetụta ndị dịrị ndụ site na nke abụọ na ụdị ọrịa ahụ, na-egbu oge ma ọ bụ inadequately mesoo.

Na mmeri nke akụrụ e nwere 3 ụdị mmegharị:

1. Gbasara akụrụ urate kristal tojuru anụ ahụ. Ha aga weakly owụt mkpali mmeghachi omume.
2. Intrarenal ụzọ eruba mmamịrị urate kristal clogged.
3. The urinary tract na-kpụrụ uric acid nkume.

Mgbanwe na-jikọtara na dị iche iche ọdịiche, dapụtara na adakarị okwu "gouty akụrụ". Nkume zalegshie na urinary tract, bụ asymptomatic ma ọ bụ igosipụta ụfọdụ e ji mara urolithiasis.

Ụzọ nke ọgwụgwọ

The nsogbu nke ọgwụgwọ bụ iji gbochie gouty ọgụ na ndọrọ ego nke nnukwu ogbu na nkwonkwo. Akwado ezigbo ọmụmụ oriri, buru ibu nrụpụta, nri usoro ọgwụgwọ, ọgwụ Mbelata, amụba hyperuricemia, gout gbochie ma e wezụga mmanya. ọgwụ ọgwụgwọ nwere ike iwepu mbufụt na ihe mgbu.

Mmiri na-ebelata ịta nke urate, ọ bụghị ime ka ha na-ada kristal edebe ke anụ ahụ na akụkụ. Ke adianade do, ọ mmemmem ha leaching na mwepụ si ahụ. Mmanya bụ ike nke na mamịrị mmetụta. Na nnukwu doses ya dehydrates ahụ, Ọrụ crystallization nke salts wetere gouty agha. Ọzọkwa, ọ na slows ala na excretion nke urate si ahụ, ka ha bụrụ edebe ke nkwonkwo.

Chọghị ibu ibu na-enyere belata ihe ize ndụ nke ntighari gout ọgụ. Ihe oriri kwesịrị belata abụba ma belata calories. Diet jikọtara na mgbe mmega rụrụ.

aṅụ ọgwụ

Main akụkụ site nke na-achịkwa gout, - ọgwụgwọ na ọgwụ, dochie ihe mgbu, eliminates ihe mgbu nzaghachi, akara akpaghasị metabolism dapụtara hyperuricemia. Nkụnwụ a rụrụ na acetaminophen (Tylenol) ma ọ bụ site na ndị ọzọ ndị ọzọ dị ike analgesics.

Nke ndị so ná ndị mgbochi mkpali ọgwụ indomethacin na-atụ aro. Otú ọ dị, ọ bụghị kwesịrị ekwesị n'ihi na ọrịa ndị na-adịghị anabata ọgwụ aspirin na ọrịa na ọ dịghị òkè polyps. N'ihi na mwepụ nke gouty agha adabara colchicine.

Ọrịa comments-elekwasị anya na na na onu ọgwụ nwere oké njọ mmetụta jikọtara ugboro nke ya n'ikuku (ọ bụla hour ma ọ bụ awa abụọ ruo mgbe ihe mgbu na-adịghị budata laa azụ ma ọ bụ na adịghị egosi oghom Jeremaya mere).

Corticosteroid bụ ndị dị ike mgbochi mkpali mmadụ, inyeaka nnukwu ọgụ. Iji zere oké njọ ogologo oge mmetụta nke ọgwụ obere ọmụmụ. Ha na-agbala na ọrịa na-enwe concomitant ọrịa nke imeju na-na akụrụ.

Ogologo oge ọrịa ịṅụ ọgwụ ọjọọ na belata ịta nke uric acid ke iyịp. Ha na-eme ka mgbasa nke arọ tofusnyh ego gbochie nkume guzobere na mmepe nke daa ọrịa na akụrụ. Ekele ha, ọ dịghị re-gout. nkà mmụta ọgwụ ọgwụgwọ nke a, Atiya ma ọ bụ na-enwekwu excretion nke urate, ma ọ bụ na-ebelata ha njikọ nke purines nri.

Ndị a ọgwụ ọjọọ nwere ike njọ ogbu na nkwonkwo agha, ka ha n'ikuku-amalite mgbe attenuation nke aza. Ọ bụrụ na e mesoro ha n'ihu agha, na N'ezie anaghị ịkwụsịtụ, ma na-agbalị ịgbazi onunu ogwu (karịsịa mgbe ya ikpochapu). Ebe ọ bụ na ọtụtụ ndị ọrịa na-elu-etoju nke uric acid nkume guzobere na-adịghị kpughere na akụrụ na-adịghị ibu arọ na gout, ọgwụgwọ na ọgwụ ndị na-emetụta larịị nke urate bụ kpere onye agwa.

Na sulfinpirazona probenecid ma welie excretion nke uric acid. Ndị a ọgwụ ọjọọ eme ihe na-adịghị adabara maka ọgwụgwọ nke ndị mmadụ na urolithiasis. Ha mgbe ụfọdụ akpasu guzobe nkume. Ịṅụ oké mmanya, jikọtara na ha oriri, akwalite accelerated site Itie acid urinary usoro na-egbochi guzobe conglomerates.

N'ihi allopurinol gbochie uric acid njikọ. Ha inhibit metabolic akakabarede nke purine bases n'ime acid. Ya nke ọma ọgwụ n'ihi na ihe ize ndụ nke mmetụta maka ndị isi ọrụ nke akụrụ.

Iji home ịgba akwụkwọ

Home agwọ ọrịa aka belata mgbaàmà nke gout, na nke ugbu a sharply. Ire ọkụ ka nkwonkwo na-elu, na-enye ya zuru ike. Rịara ọrịa na-ebelata site n'itinye ice. Wezuga n'ikuku aspirinsoderzhaschih ọgwụ (ha inhibit excretion nke uric acid).

Mesoo herbs: Rosehip na oké osimiri buckthorn, berry na strawberries, na blueberries Rowan, barberry, na St. Jọn wort, birch na wayo, chicory na ndị ọzọ na herbs. Iji homeopathic ịgba akwụkwọ.

Diet ọgwụ maka gout

Achọghị ana achi achi mụ kwụsịtụkwara. N'eziokwu, iji nweta ngụkọta mkpochapu ngwaahịa mma na purines. Ọ bụrụ na ndị zuru wezụga-agaghị ekwe omume wetara a kacha ịgba na ha oriri. Ịgbalị imegide ego nke abụba na-aba ụba mmanya.

Ngafe jupụta purines anchovies, sardines, ọgazị, ọkụkọ, na abụba ọ bụla anụ, offal, anụ extracts, agwa na wine. Mgbe nchoputa nke gout tomato eri na imeru ihe n'ókè.

The tomato jupụtara organic asịd. Purines na ha abụghị nke ukwuu dị ka ihe atụ, na anụ. Ya mere, nutritionists ndị na-emekpa site gout, rie tomato bụghị gbochie. Kama nke ahụ, ha kwere na a ezi uche ego nke tomato na efere ndị bara uru n'ihi ndị ọrịa a.