Gout ndi matenda omwe amakhudza manyowa chifukwa cha salti ya uric acid. Matendawa ali ndi chiwerengero chofala - ndi anthu atatu okha mwa anthu chikwi omwe amatha kuchipeza.
Zimayamba kawirikawiri pambuyo pa zaka 40, ndipo zimakhudza amuna ndi akazi mofanana. Mankhwala omwe amatha kuvulala amakhala pamapazi.
Pali zifukwa zambiri zomwe zimawonjezera chiopsezo chokhala ndi gout:
- shuga ;
- chowopsa;
- choloŵa choloŵa;
- zakudya zopanda thanzi.
Choncho, zikhoza kutheka kuti anthu amatha kusokoneza zinthu m'thupi.
Kuti mumvetse mmene mungagwiritsire ntchito gout ndi mankhwala, muyenera kudziwa zizindikiro zake.
Zizindikiro za gout
Matendawa amadzidzimutsa mwadzidzidzi, ndipo amaphatikizidwa ndi ululu waukulu. Wodwala amamva kutentha mumalo olowa, ndipo izi zimachitika, monga lamulo, usiku. Kumvetsetsa kwa mgwirizano pa mphindi ino ndi kwakukulu kwambiri moti ngakhale pansi pa kulemera kwa pepala lowala, ululu waukulu ukhoza kukula.
Kuwopsa kumeneku kumakhala kosiyana kwambiri: asanatenge kutentha ndi kupweteka kwambiri , wodwalayo amamva kumverera komwe kumamveka kumalo ogwirizana .
Popanda chithandizo, kugwidwa kumapezeka nthawi zambiri, ndipo matendawa amakhudza ziwalo zatsopano. Kawirikawiri, kunyalanyazidwa kumayambitsa matenda a impso ndi kapu.
Musanapange mankhwala osokoneza bongo, ndi bwino kumvetsetsa zomwe zimachitika m'thupi pokhudzana ndi matendawa:
- Kuwonjezera kuchuluka kwa uric acid m'magazi.
- Pali kuwonjezeka kwa mankhwala a uric acid mu thupi.
- Mitsempha ya mkodzo imayikidwa mu ziwalo ndi ziwalo.
- Pangani makoswe amodzi ndi granulomas pamalumiki.
Mwamtheradi kuchotsa gout sizingatheke, koma kuchepetsa ndondomeko ya chitukuko ndi kupereka moyo kwa wodwala panthawi ya zigonjetso pamakono a mankhwala amakono.
Machiritso abwino a gout
Mankhwala ogwiritsidwa ntchito pa gout pa miyendo ndi ziwalo zina za thupi ndi ochepa - magulu pang'ono chabe a mankhwala.
Mankhwala omwe amagwiritsidwa ntchito panthawi yomwe amachitira
Kotero, mankhwala oyamba a gout ndi Colchicine, omwe amakhudza kusinthanitsa kwa uric acid. Izi ndi mankhwala oletsa-anti-gout omwe amachokera ku cesspool. Amachepetsa ululu ndipo amatha kupweteka kwambiri, komanso amachepetsa kusamuka kwa leukocyte kumadera okhudzidwa, amaletsa mapangidwe a microcrystals a uric acid ndipo amalepheretsa kuika m'matumba. Choncho, mankhwalawa saloledwa kokha kuteteza - kutenga chithandizo, komanso chikhalidwe, chifukwa cha anti-inflammatory effect ndi anesthesia.
Mankhwala sangathe kugwiritsidwa ntchito pochita chibwibwi komanso kusadziletsa. Ngati atenga nthawi yaitali, ndiye kuti pali vuto la leukopenia ndi kuchepa kwa magazi m'thupi.
Zotsatira za mankhwalawa zimapezeka m'maola 12 oyambirira ataloledwa, pokhapokha atatengedwa kumayambiriro kwa chiwonongeko. Ngati ayamba kutengedwa mochedwa, sipadzakhalanso zotsatira zabwino kuchokera kuchipatala, kapena sizidzawonekera. Mankhwalawa ndi othandiza m'mabuku 90%.
Pakati pa mankhwala amakono a gout - NSAID amatanthauza. Pazochitikazi, mankhwala awiri amagwiritsidwa ntchito kwambiri:
- pyrazolone - Reopyrin, Butadion, Phenylbutazone, Ketazol;
- Indole - Indomethacin, Metindol.
Mankhwala atsopanowa a gout panthawi ya kulumala amalekerera bwino kusiyana ndi Colchicine, komanso amapereka mankhwala othandiza kwambiri.
Voltaren imagwiritsidwanso ntchito poyimitsa gout. Mlingo woyamba umasokonezeka, ndi 200 mg patsiku, ndipo umapatsidwa ndalama zochepa - 150 mg patsiku.
Mankhwala onsewa apangidwa kuti athetse vutoli. Mankhwalawa amagwiritsidwa ntchito pochiza matenda osatha.
Mankhwala ogwiritsira ntchito nthawi yaitali
Kwa nthawi yaitali, mankhwala a allopurinol gout ndi ofunika. Cholinga chake ndi kuchepetsa kukula kwa uric acid m'magazi a magazi ndipo amatulutsidwa m'mapiritsi a 0.1 ndi 0.3 g.
Chithandizo chimayambira pa tizilombo tochepa kuti tipewe kuwonjezereka kwa matendawa ndi kupewa kutsekemera. Mankhwala sanagwiritsidwe ntchito panthawiyi - musanayambe kumwa Allopurinol
Kuwonjezera pa Allopurinol, ma analogs otsatirawa angagwiritsidwe ntchito pa chithandizo:
- Thiopurinol;
- Probenecid;
- Anturan;
- Benzobromarone;
- Hypuric;
- Losartan.