Kuchiza kwa gout - mankhwala osokoneza uric acid

Gout ndi matenda omwe amagwirizana ndi kusintha kwa ziwalo. Chifukwa cha gout ndi mkulu wa uric acid. Matendawa amadziwika kwambiri ndi zilonda zam'mimba (nthawi zambiri m'modzi mwala zazikulu zazing'ono), kufiira ndi kutupa kwa khungu kumadera okhudzidwa. Ngati matendawa sali ochiritsidwa, ndiye kuti pang'onopang'ono mafupawo amapangidwa. Funso la kuchotsa uric acid m'thupi, ndi mankhwala omwe amachititsa kuti muchotse urate wambiri m'magazi, amathetseratu kuganizira za etiology ya matendawa.

Ndemanga za mankhwala ochizira gout, excreting uric acid

Ndi gout, zakudya zomwe zimathandiza kuchepetsa purines zimalimbikitsa, koma uric acid sungakhoze kuchotsedwa mothandizidwa ndi zakudya zoyenera. Pachifukwa ichi, pakuwonetsa zizindikiro za matendawa, ndizofunikira kuti muyankhule ndi katswiri. Pogwiritsa ntchito mayeso a ma laboratory a mkodzo wa wodwala, dokotala amapereka chithandizo choyenera. Pochiza gout, mitundu iwiri ya mankhwala imagwiritsidwa ntchito:

• mankhwala osakaniza uric acid kuchokera mu thupi;
• mankhwala omwe amachepetsa mchere wa uric m'matumbo ndi ziwalo.

Kenako, tidzakambirana mwatsatanetsatane mankhwala omwe amachotsa uric acid m'thupi.

Probenecid (Probenecid)

Probenecid ndi imodzi mwa mankhwala omwe amagwiritsidwa ntchito kwambiri pogwiritsa ntchito mankhwala omwe amachititsa kuti udulidwe wa uric acid ukhale wambiri. Mankhwalawa amachititsa kubwezeretsa uric asidi mu tubulu ya impso, motero kumapangitsa kuti izi zisinthe. Pa matenda aakulu, chiwerengero choyamba chokhala ndi mlingo umodzi ndi 250 mg ndi kasamaliro kawiri pa tsiku. Pambuyo pa sabata, mlingowu umawonjezeka kufika 500 mg ndi kudya kwa nthawi ziwiri patsiku. Ngati mankhwala osokoneza bongo sangakwanitse, mlingowo ukhoza kuwonjezeka, komabe ziyenera kukumbukira kuti mlingo wa tsiku ndi tsiku sunapitirire 2 g. Probenecid ndiyake yokonzekera nthawi yaitali. Ngati kulibe koopsa kwa miyezi isanu ndi umodzi, ngati kuwonjezera apo mkodzo umakhala wabwinobwino, mlingowo umachepa pang'ono.

Blemaren

Njira imodzi yothetsera vutoli ndi Blamaren. Mankhwalawa amachititsa kuti thupi liziyenda bwino, limatulutsa thupi, ndipo miyala ya uric acid imathera pang'onopang'ono. Chinthu chofunika kwambiri ndi chakuti Blamaren sichimasokoneza kugwira ntchito kwa impso ndi chiwindi, chifukwa cha mankhwala omwe angatengedwe popanda chiopsezo cha umoyo wa amayi omwe ali ndi pakati komanso omwe akulera. Mlingo wa tsiku ndi tsiku ndi mapiritsi 2 - 6. Nthawi ya chithandizo - mpaka miyezi isanu ndi umodzi. Musanatenge mapiritsi otchulidwa mu galasi la madzi. Zitha kukhala madzi amchere, madzi a zipatso, compote kapena tiyi.

Allopurinol (Allopurinol)

Allopurinol - mankhwala omwe amakhudza kaphatikizidwe ka uric asidi , kuchepetsa kuchepa kwa madzi m'madzi, kuphatikizapo mkodzo. Dokotala amatsimikiza mlingo wa mankhwala payekha, poganizira kukula kwa matendawa. Mlingo wa tsiku ndi tsiku wa Allopurinol ukhoza kuchoka pa 100 mg kufika 900 mg. Kuchuluka kwa kuvomereza - 2-4 pa tsiku atangomaliza kudya. Mankhwalawa angagwiritsidwe ntchito pochiza ana, 10-20 mg pa kilogalamu ya kulemera kwake kwa mwanayo tsiku ndi tsiku. Allopurinol imatsutsana kuti igwiritsidwe ntchito panthawi yoyembekezera ndi lactation. Kuwonjezera apo, mankhwalawa sangathe kutengedwa ndi chiwopsezo chachikulu cha chithokomiro, impso ndi chiwindi. Ngati kuchepa kwa ntchito ya chiwindi kapena impso, kuchepetsa mlingo wa mankhwala ayenera kuperekedwa.

Tikukhulupirira kuti zomwe mankhwalawa amachotsedwa ku thupi la uric acid, zidzakhala zothandiza ngati muli ndi gout mu sitepe yosafulumira. Kumbukirani kuti n'zosatheka kuchotsa uric acid pakakhala kuti zizindikiro za matendazo zakhala zikuwonekera kale.