Goute

ʻO Gout kahi ʻano o ka maʻi o ka maʻi. Hana ʻia ia ke kūkulu ʻia ʻo ka uric acid i loko o ke koko a hana i ka mumū ma nā hono.

ʻO ke gout koʻikoʻi kahi maʻi ʻeha e hoʻopili pinepine i hoʻokahi wale nō ami. ʻO ka gout Chronic ka mahele pinepine o ka ʻeha a me ka mumū. Hiki ke hoʻopili ʻia ma mua o hoʻokahi ami.

Hoʻokumu ʻia ka gout e ke kiʻekiʻe o ka pae maʻamau o ka uric acid i kou kino. Hiki paha kēia inā:

• Hana kou kino i ka waikawa uric he nui loa
• He paʻakikī ka paʻakikī o kou kino i ka hemo ʻana o ka uric acid

Ke kūkulu ʻia ka uric acid i loko o ka wai e puni ana i nā hono (ka wai synovial), hana nā aniani uric acid. Hoʻokumu kēia mau aniani i ka hui e wela, e ʻeha ana, pehu a mehana.

ʻAʻole ʻike ʻia ke kumu kūpono. Holo paha ʻo Gout i loko o nā ʻohana. Hoʻonui pinepine ka pilikia i nā kāne, i nā wahine ma hope o ka menopause, a me ka poʻe inu ʻona. Ke hele a makua ka poʻe, lilo ka gout i mea maʻamau.

E ulu pū paha ke ʻano i nā poʻe me:

• Diabetes
• ʻO ka maʻi kīwī
• Ka momona
• ʻO ka anemia sickle cell a me nā anemias ʻē aʻe
• Leukemia a me nā maʻi ʻaʻa koko ʻē aʻe

Kū paha ʻo gout ma hope o ka lawe ʻana i nā lāʻau e hoʻopilikia i ka hemo ʻana o ka uric acid mai ke kino. ʻO ka poʻe e lawe i kekahi mau lāʻau, e like me hydrochlorothiazide a me nā pila wai ʻē aʻe, hiki i kahi kiʻekiʻe o ka uric acid i loko o ke koko.

Nā ʻōuli o ka gout huʻi:

• I ka hapanui o nā hihia, hoʻokahi a i ʻole kekahi mau ami i hoʻopili ʻia. ʻO ka manamana nui, ke kuli a i ʻole nā ​​kuʻekuʻe wāwae e hoʻopili pinepine ʻia. I kekahi manawa he nui a huiʻeha nā hono.
• Hoʻomaka koke ka ʻeha, pinepine i ka pō. ʻEha pinepine ka ʻeha, i wehewehe ʻia e like me ka ʻōniu ʻana, ka ʻeha ʻana, a me ka hōʻeha ʻana.
• ʻImi a ʻulaʻula ka hui. ʻOluʻolu pinepine ia a pehu (ʻeha ke kau i kahi lau a i ʻole ʻūlū ma luna ona).
• He fiva paha kā.
• Hele paha ka hoʻouka kaua i kekahi mau lā, akā hoʻi mai kēlā manawa kēia manawa. ʻOi aku ka lōʻihi o ka hoʻouka hou ʻana.

Hele pinepine ka ʻeha a me ka pehu ma hope o ka hoʻouka mua. E hoʻouka hou aku ka poʻe he nui i ka 6 a i ka 12 mau mahina e hiki mai ana.

Hiki i kekahi poʻe ke hoʻomohala i ka gout mau. Kāhea ʻia kēia ʻo gouty arthritis. Hiki i kēia ʻano ke alakaʻi i ka hōʻino hui a me ka nalo o ka neʻe i nā hono. E loaʻa i nā poʻe me ka maʻi gout ka ʻeha hui a me nā ʻōuli ʻē aʻe i ka hapa nui o ka manawa.

Hiki i nā waihona o ka uric acid ke hana i nā lumps ma lalo o ka ʻili a puni nā hono a i ʻole nā ​​wahi ʻē aʻe e like me nā kuʻekuʻe, nā manamana lima, a me nā pepeiao. Kapa ʻia ka puʻupuʻu he tophus, mai ka Lākina, ʻo ia hoʻi he ʻano pōhaku. Hiki i ka Tophi (mau lumps) ke ulu ma hope o ka loaʻa ʻana o ke gout i kekahi mau makahiki. Hiki i kēia mau puʻupuʻu ke hoʻokahe i nā mea chalky.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nānā wai Synovial (hōʻike i nā aniani uric acid)
• Uric acid - ke koko
• Hui x-kukuna (he maʻamau paha)
• ʻO Biopsy Synovial
• Uric acid - mimi

ʻO kahi pae uric acid i ke koko ma mua o 7 mg / dL (milligrams per deciliter) kiʻekiʻe. Akā, ʻaʻole ka poʻe āpau me kahi pae acid uric kiʻekiʻe i loaʻa ka gout.

E lawe i nā lāʻau no ka gout ke hiki koke inā loaʻa kahi hoʻouka hou.

Lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen a i ʻole indomethacin ke hoʻomaka nā ʻōuli. E kamaʻilio me kāu kauka olakino e pili ana i ka mahele lāʻau kūpono. Pono ʻoe i nā kaha ikaika no kekahi mau lā.

• ʻO kahi lāʻau lapaʻau i kapa ʻia ʻo colchicine kōkua e hōʻemi i ka ʻeha, pehu, a me ka mumū.
• ʻO Corticosteroids (e like me prednisone) hiki ke lilo i mea maikaʻi loa. Hoʻokomo paha kāu mea hāʻawi i ka hui pū me nā steroid i mea e hōʻoluʻolu ai i ka ʻeha.
• Me nā hōʻeha o ka gout i nā hui like i hiki ke hoʻohana ʻia i kahi lāʻau hoʻōla i kapa ʻia ʻo anakinra (Kineret).
• Hele pinepine ka ʻeha ma waena o 12 mau hola o ka hoʻomaka ʻana o ka mālama ʻana. ʻO ka hapanui o ka manawa, hala nā ʻeha āpau i loko o 48 mau hola.

Pono paha ʻoe e lawe i nā lāʻau i kēlā me kēia lā e like me allopurinol (Zyloprim), febuxostat (Uloric) a i ʻole probenecid (Benemid) e hoʻemi i ka pae uric acid i kou koko. Ke hoʻohaʻahaʻa nei i ka acid uric ma lalo o 6 mg / dL e pono ai e pale i nā waiho o ka uric acid. Inā he tophi ʻike ʻia ʻoe, pono ka haʻahaʻa o ka uric acid ma mua o 5 mg / dL.

Pono ʻoe i kēia mau lāʻau inā:

• He mau hōʻeha paha kāu i loko o ka makahiki hoʻokahi a i ʻole koʻikoʻi loa kāu mau hoʻouka ʻana.
• He hōʻino kāu i nā hono.
• He tophi kāu.
• Loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole nā ​​pōhaku hakuʻala.

Hiki i nā papaʻai a me nā loli nohona ke kōkua i ka pale ʻana i nā hōʻeha gouty:

• E hōʻemi i ka waiʻona, ʻoi aku ka pia (hiki ke kōkua kekahi mau waina).
• Lilo kaupaona.
• Hoʻomaʻamaʻa i kēlā me kēia lā.
• Ka palena i kāu lawe ʻana i ka ʻulaʻula a me nā mea inu kō.
• Koho i nā meaʻai olakino, e like me nā huahana waiū, nā mea kanu, nā nati, nā legume, nā huaʻai (ʻoi aku ka nui o nā kō), a me nā ʻano hua holoʻokoʻa.
• Kāko a me nā mea kōkua C (hiki ke kōkua i kekahi poʻe).

ʻO ka mālama kūpono ʻana i nā hōʻeha koʻikoʻi a hoʻohaʻahaʻa i ka uric acid i kahi pae ma lalo o 6 mg / dL i hiki i nā kānaka ke noho i kahi ola maʻamau. Eia nō naʻe, hiki ke hele i mua ke ʻano koʻikoʻi o ka maʻi i ka gout maʻi mau inā ʻaʻole mālama maikaʻi ʻia ka acid uric kiʻekiʻe.

Komo pū nā pilikia:

• ʻO ka arthritis gouty arthritis.
• Pohaku hakuʻala.
• Nā waihona i loko o nā puʻupaʻa, e alakaʻi aku ai i ka hōʻino kīnā ʻole mau.

ʻO nā pae kiʻekiʻe o ka uric acid i ke koko e pili pū me ka hoʻonui ʻana i ka maʻi o ka maʻi puʻupaʻa. Ke hana ʻia nei nā noiʻi e ʻike inā e hoʻemi ana ka uric acid i ka makaʻu no nā maʻi puʻupaʻa.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka go go go arthritis a i ʻole inā e hoʻomōhala ʻoe i ka tophi.

ʻAʻole hiki iā ʻoe ke pale aku i ka gout, akā hiki paha iā ʻoe ke hōʻalo i nā mea e hoʻonāukiuki ai i nā ʻōuli. Lawe i nā lāʻau e hoʻohaʻahaʻa i ka uric acid hiki ke pale i ka holomua o ka gout. I ka hala ʻana o ka manawa, e nalowale kāu waihona o ka uric acid.

Gouty arthritis - huʻi; Gout - hōʻeha; Hyperuricemia; Gout Tophaceous; ʻO Tophi; Podagra; Gout - wā lōʻihi; Gout maʻi; Gout huʻi; Huʻi gouty arthritis

• Nā pōhaku hakuʻala a me ka lithotripsy - hoʻokuʻu
• Nā pōhaku hakuʻala - mālama pono iā ʻoe iho
• Nā pōhaku hakuʻala - he aha e nīnau aku ai i kāu kauka
• Nā hanana urinary Percutaneous - hoʻokuʻu

• Nā aniani ʻumika uric
• ʻO Tophi gout i ka lima

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ʻO Edwards NL. Nā maʻi waiho Crystal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 273.

FitzGerald JD, Neogi T, Choi HK. Hoʻoponopono: mai hoʻokuʻu i ka apathy gout i alakaʻi i ka genopathy gouty. Rumatika rumitis. 2017; 69 (3): 479-482. PMID: 28002890 www.ncbi.nlm.nih.gov/pubmed/28002890.

Khanna D, Fitzgerald JD, Khanna PP, et al. 2012 Kālā ʻAmelika Hui Pū ʻIa o Rheumatology no ka mālama ʻana i ka gout. Mahele 1: ʻōnaehana ʻōnaehana nonpharmacologic a me nā lāʻau lapaʻau i ka hyperuricemia. Hoʻolaha Hoʻolaha Hoʻolaha Hoʻolaha (Hoboken). 2012; 64 (10): 1431-1446. PMID: 23024028 www.ncbi.nlm.nih.gov/pubmed/23024028.

Khanna D, Khanna PP, Fitzgerald JD, et al. 2012 Kālā ʻAmelika Hui Pū ʻIa o Rheumatology no ka mālama ʻana i ka gout. Mahele 2: therapy and antiinflam inflammatory prophylaxis o ka huehue gouty arthritis. Hoʻolaha Hoʻolaha Hoʻolaha Hoʻolaha (Hoboken). 2012; 64 (10): 1447-1461. PMID: 23024029 www.ncbi.nlm.nih.gov/pubmed/23024029.

Liew JW, Gardner GC. Hoʻohana o anakinra i nā mea maʻi i hōʻola ʻia me ka arthritis e pili ana i ka aniani. J Rheumatol. 2019 pii: jrheum.181018. [Epub ma mua o ka paʻi]. PMID: 30647192 www.ncbi.nlm.nih.gov/m/pubmed/30647192.