Nā kumu o Gout

Anter

• Hoʻoemi i ka excretion o uric acid
• Hoʻonui i ka hana o ka uric acid
• Meaʻai kiʻekiʻe i nā purine
• Nā kumu weliweli
• Ka makahiki a me ke kāne
• Mōʻaukala ʻohana
• Nā Lapaʻau
• ʻO ka inu waiʻona
• Hōʻike kēpau
• Nā kūlana olakino ʻē aʻe
• ʻO nā kumu Gout
• Outlook

Hōʻike Overview

Hoʻokumu ʻia ʻo Gout e ka hoʻokumu ʻia ʻana o nā crystals urate i nā kino o ke kino. Hana ʻia ia i loko a puni paha o nā hono a hopena i kahi ʻano ʻeha o ka maʻi ʻōlapa.

Hoʻokomo nā crystals urate i nā pūnaewele ke nui ka nui o ka uric acid i ke koko. Hoʻokumu ʻia kēia kemika ke wāwahi ke kino i nā mea i ʻike ʻia he purine. ʻO ka nui loa o ka uric acid i ke koko e ʻike ʻia he hyperuricemia.

Hiki ke kumu ʻia ka gout e ka hoʻoliʻiliʻi excretion o uric acid, hoʻonui i ka hana ʻana o ka uric acid, a i ʻole kaʻai nui ʻana o nā purine.

Hoʻoemi i ka excretion o uric acid

Hoʻoemi i ka excretion o uric acid ke kumu maʻamau o ka gout. Lawe ʻia ka acid acid mai kou kino e kou mau puʻupaʻa. Ke kūleʻa ʻole kēia, e piʻi ka nui o kāu pae uric acid.

Hiki ke hoʻoilina ke kumu, a i ʻole loaʻa iā ʻoe nā pilikia ʻōpū e hōʻemi ai iā ʻoe e hemo i ka uric acid.

ʻO ka lāʻau make kēpau a me kekahi mau lāʻau, e like me diuretics a me nā lāʻau immunosuppressant, hiki ke hōʻeha i nā puʻupaʻa e alakaʻi ai i ka paʻa ʻana o ka waikawa uric. Hiki i ke kaohi maʻi kō ʻole a me ke kahe kiʻekiʻe ke hoʻoemi i ka hana o ka hakuʻala.

Hoʻonui i ka hana o ka uric acid

ʻO ka hoʻonui ʻia o ka hana uric acid hiki ke kumu i ka gout. I ka hapanui o nā hihia, ʻike ʻole ʻia ke kumu o ka hoʻonui ʻia o ka hana uric acid. Hiki ke kumu ʻia e nā ʻenekema abnormalities a hiki ke hana i nā ʻano e like me:

• lymphoma
• maʻi leukemia
• hemolytic anemia
• psoriasis

Hiki ke hana ʻia ma ke ʻano he ʻaoʻao o ka chemotherapy a i ʻole radiation radiation, no ka mea he hereditary abnormalities, a ma muli paha o ka momona.

Meaʻai kiʻekiʻe i nā purine

ʻO nā purine nā ʻāpana kemika maoli o DNA a me RNA. Ke wāwahi kou kino iā lākou, lilo lākou i waikawa uric. Loaʻa kūlohelohe kekahi mau purine i ke kino. Eia nō naʻe, hiki i kahi papaʻai kiʻekiʻe i nā purine ke alakaʻi i ka gout.

ʻOi aku ke kiʻekiʻe o kekahi mau meaʻai i nā purine a hiki ke hāpai i nā kiʻekiʻe o ka uric acid i ke koko. ʻO kēia mau meaʻai purine kiʻekiʻe:

• ʻiʻo ʻoka, e like me nā puʻupaʻa, nā ake, a me nā mea ʻono
• ʻiʻo ʻulaʻula
• iʻa ʻaila, e like me ka sardine, ka heleuma, a me ka ʻai
• kekahi mau mea kanu, me asparagus a me cauliflower
• pīni
• ʻulā

Nā kumu weliweli

I nā manawa he nui, ʻaʻole ʻike ʻia ke kumu kūpono o ka gout a i ʻole hyperuricemia. Manaʻo nā kauka he kumu ia paha o ka hoʻohui ʻana o ka hoʻoilina, ka hormonal, a i ʻole nā ​​papaʻai. I kekahi mau hihia, hiki i ka lāʻau lapaʻau a i ʻole kekahi mau ʻano olakino ke kumu ʻia hoʻi nā maʻi gout.

Ka makahiki a me ke kāne

ʻOi aku ka manaʻo o nā kāne ma mua o nā wahine i loaʻa nā ʻōuli o ka gout. Hoʻomaopopo ʻia ka hapa nui o nā kāne ma waena o 30 a 50 mau makahiki. I nā wahine, ʻoi loa ka maʻi ma hope o ka menopause.

Kākaʻikahi ʻo Gout i nā keiki a me nā ʻōpio ʻōpio.

Mōʻaukala ʻohana

ʻO ka poʻe me nā ʻohana pili koko i loaʻa ka gout e ʻike ʻia me kēia ʻano ponoʻī.

Nā Lapaʻau

Nui a hewahewa nā lāʻau i hiki ke hoʻonui i kou makaʻi i ka maʻi gout. Pākuʻi ʻia kēia mau mea:

• ʻO ka aspirin haʻahaʻa haʻahaʻa i kēlā me kēia lā. Hoʻohana pinepine ʻia ka aspirin haʻahaʻa e pale ai i ka puʻuwai a me ka hahau.
• ʻO nā diuretics ʻo Thiazide. Hoʻohana ʻia kēia mau lāʻau e mālama ai i ke koko kiʻekiʻe, ka puʻuwai puʻuwai (CHF), a me nā kūlana ʻē aʻe.
• Nā lāʻau hoʻomalu Immunosuppressant. Lawe ʻia nā lāʻau Immunosuppressant, e like me cyclosporine (Neoral, Sandimmune) ma hope o nā hoʻoliʻiliʻi o nā meaola a no kekahi mau ʻano rheumatologic.
• Levodopa (Sinemet). ʻO kēia ka lapaʻau i makemake nui ʻia no ka poʻe me ka maʻi ʻo Parkinson.
• Niacin. ʻIke ʻia hoʻi me ka huaola B-3, hoʻohana ʻia ka niacin e hoʻonui i nā lipoproteins kiʻekiʻe (HDL) i ke koko.

ʻO ka inu waiʻona

Hoʻonui ka inu kaulike i ka inu goute e hoʻonui i ka makaʻu o ka maʻi gout. ʻO ka mea maʻamau ma mua o ʻelua mau mea inu i kēlā me kēia lā no ka hapanui o nā kāne a i hoʻokahi paha i kēlā me kēia lā no nā wahine āpau a i ʻole nā ​​kāne ma 65.

Hoʻokomo ʻia ka pia, a kiʻekiʻe ka mea inu i nā purine. Eia naʻe, ua hoʻopaʻa ʻia kahi noiʻi ma 2014 e hiki i ka waina, ka pia, a me ka waiʻona ke hoʻoulu hou i nā gout. E aʻo hou aʻe e pili ana i ka pilina ma waena o ka wai ʻona a me ka gout.

Hōʻike kēpau

Pili pū ka hōʻike ʻana i nā pae kiʻekiʻe o ke kēpau me ka gout.

Nā kūlana olakino ʻē aʻe

ʻO ka poʻe i loaʻa nā maʻi aʻe a me nā kūlana e loaʻa i ka gout:

• momona
• diabetes
• kahe koko kiʻekiʻe
• kolesterol kiʻekiʻe
• hypothyroidism
• maʻi maʻi ʻōpū
• hemolytic anemia
• psoriasis

ʻO nā kumu Gout

ʻO nā mea ʻē aʻe e hoʻomaka i kahi hoʻouka gout me:

• ʻeha hui pū
• maʻi maʻi
• ʻoki kino
• papaʻai hāʻule
• ka hoʻohaʻahaʻa wikiwiki ʻana o nā pae acid uric ma o ka lāʻau
• hoʻomake wai

Outlook

Hiki iā ʻoe ke hōʻemi i kou manawa o ka hoʻomohala ʻana i ka gout ma ka nānā ʻana i kāu lawe ʻana i ka wai ʻona a me ka ʻai ʻana i ka papaʻai haʻahaʻa i nā purine. ʻO nā kumu ʻē aʻe o ka gout, e like me ka hōʻino ʻana o ka hakuʻala a i ʻole ka mōʻaukala ʻohana, hiki ʻole ke pale aku.

E kamaʻilio me kāu kauka inā hopohopo ʻoe i kou manawa e ulu ai i ka gout.

Hiki iā lākou ke noʻonoʻo me kahi hoʻolālā e hōʻemi i kou manawa o ka hoʻomohala ʻana i kēia ʻano. ʻO kahi laʻana, inā loaʻa iā ʻoe nā mea pilikia no ka gout (e like me kahi ʻano olakino), noʻonoʻo paha lākou ma mua o ka paipai ʻana i kekahi ʻano lāʻau.

Eia nō naʻe, inā hoʻomohala ʻoe i ka gout, e ʻike pono e hiki ke mālama ʻia ke ʻano ma o ka hoʻohuihui ʻia ʻana o nā lāʻau, nā hoʻololi o nā papaʻai, a me nā ʻano lāʻau ʻē aʻe.