Mālama i ka Gout i kou kuʻekuʻe wāwae

Anter

• He aha nā ʻōuli o ke gout i ka kuʻekuʻe wāwae?
• He aha nā kumu a me nā kumu o ka gout i ka kuʻekuʻe wāwae?
• ʻO wai ka gout ma ka kuʻekuʻe wāwae?
• Pehea ka gout ma ka kuʻekuʻe wāwae i ʻike ʻia?
• Pehea e mālama ʻia ai ka gout ma ka kuʻekuʻe wāwae?
• Laau Lapaʻau
• Nā hoʻoponopono home
• Pehea ka lōʻihi o ke gout ma ka kuʻekuʻe wāwae?
• Hiki iā ia ke alakaʻi i nā pilikia?
• He aha ke kuanaʻike?

He aha ka gout?

ʻO Gout kahi ʻano ʻeha o ka maʻi ʻōlapa e hoʻopili pinepine i ka manamana nui, akā hiki ke hoʻomohala i kekahi hui, me ka kuʻekuʻe wāwae. Hana ia ke loaʻa i kou kino nā pae kiʻekiʻe o ka uric acid. Hoʻokumu kēia waikawa i nā aniani ʻoi loa ke kumu o ka ʻeha ʻana, ka pehu ʻana, a me ka palupalu.

Ke pili ka gout i ka kuʻekuʻe wāwae, hiki iā ia ke neʻe i kēlā me kēia lā, keu hoʻi i ka piʻi a i lalo i nā alapiʻi, ʻeha a hōʻoluʻolu ʻole paha. ʻOiai ʻaʻohe mea ola no ka gout, aia kekahi mau ʻano lapaʻau e hiki ke kōkua i ka pale ʻana i ka lapalapa a me ka mālama ʻana i nā ʻōuli ʻeha.

E heluhelu e aʻo hou e pili ana i ka gout a pehea e hiki ai ke hoʻopili i kou kuʻekuʻe wāwae.

He aha nā ʻōuli o ke gout i ka kuʻekuʻe wāwae?

ʻO ka ʻōuli nui o ka gout i ka kuʻekuʻe wāwae, ʻo ia ka ʻeha a me ka hōʻoluʻolu ʻole ma nā wahi a puni. E hoʻomanaʻo i ka manawa pinepine ʻole ʻia ke gout, me ka nānā ʻole i ka ami e hoʻopili nei. Hele paha ʻoe i mau hebedoma a i ʻole mau mahina me ka ʻole o nā ʻōuli, e ala wale me ka ʻehaʻeha o kou kuʻekuʻe wāwae.

I kekahi mau hihia, hoʻomaka ka gout i kekahi o kou manamana wāwae nui ma mua o ka neʻe ʻana i nā wahi ʻē aʻe, e like me kou kuʻekuʻe wāwae. I ka hala ʻana o ka manawa, lōʻihi paha ka lōʻihi o kēia mau uila ma mua o ka hana ma mua.

ʻO nā ʻōuli ʻē aʻe āu e manaʻo ai mai ka gout i kou kuʻekuʻe wāwae e komo pū:

• palupalu
• pehu
• ʻulaʻula
• mehana i ka hoʻopā
• ʻoʻoleʻa a me ka palena palena o ka neʻe

He aha nā kumu a me nā kumu o ka gout i ka kuʻekuʻe wāwae?

ʻO ke kūkulu ʻia ʻana o ka uric acid i ke kino e ʻike ʻia ʻo hyperuricemia. Hana kou kino i ka uric acid ke wāwahi ia i nā purine. Loaʻa kēia mau mea i loko o kāu mau hunaola. Hiki iā ʻoe ke loaʻa nā purine i loko o nā ʻano meaʻai like ʻole, ʻo kaʻiʻo ʻulaʻula hoʻi a me kekahi iʻa iʻa, a me ka waiʻona a me kekahi mau mea inu kō.

ʻO ka maʻamau, hele ka acid uric ma loko o kāu mau puʻupaʻa, kahi e kōkua ai e hoʻopau i ka acid uric keu i kāu mimi. Akā i kekahi manawa he nui loa ka uric acid no kāu mau puʻupaʻa e lawelawe. I nā hihia ʻē aʻe, ʻaʻole hiki i nā puʻupaʻa ke hana i kahi nui maʻamau o ka uric acid ma muli o kahi ʻano paʻa.

ʻO ka hopena, ʻoi aku ka nui o ka acid uric e holo i kou kino, e pau ana i kou kuʻekuʻe wāwae ma ke ʻano he mau aniani uric acid.

ʻO wai ka gout ma ka kuʻekuʻe wāwae?

Hoʻopili ʻo Gout e pili ana i nā mākua ma ʻAmelika Hui Pū ʻIa. Hoʻonui pinepine ia i nā kāne no ka mea maʻamau nā pae haʻahaʻa o ka wahine i nā pae uric acid. Akā ma hope o ka menopause, hoʻomaka nā wahine i ke kiʻekiʻe o ka pae uric acid. A ʻo kahi hopena, hoʻomohala nā wahine i ka gout i kahi makahiki makua ma mua o nā kāne.

ʻAʻole maopopo ka poʻe loea no ke aha e hana ai kekahi poʻe i ka nui o ka uric acid a i ʻole he pilikia i ka hana ʻana. Akā aia nā hōʻike he ʻano genetical ke ʻano.

ʻO nā mea ʻē aʻe e hoʻonui i kou makaʻu i ka hoʻomohala ʻana o ka gout e:

• ka ʻai ʻana i nā meaʻai purine kiʻekiʻe
• ka ʻai ʻana i nā meaʻai a me nā mea inu, ʻo ka waiʻona hoʻi, ka mea e hoʻonui ai i ka hana a ka uric acid
• ke kaumaha nui

Loaʻa i ke koko kiʻekiʻe a i ʻole ʻole ka puʻuwai hiki ke hoʻokau iā ʻoe i kahi kiʻekiʻe o ka hoʻomohala ʻana o ka gout. ʻO nā diuretics, kahi i hoʻohana ʻia i kekahi manawa e mālama i kēia mau ʻano, hiki ke hoʻonui i kou makaʻi.

Pehea ka gout ma ka kuʻekuʻe wāwae i ʻike ʻia?

Inā manaʻo ʻoe he gout nō kāu akā ʻaʻole i hōʻike ʻia, e hoʻāʻo e ʻike i ke kauka ʻoiai ke loaʻa nei nā ʻōuli. ʻOi aku ka maʻalahi o ka diagnose ʻo Gout ke hele ʻoe i waenakonu o kahi lapalapa ahi e hoʻoulu ana, ʻulaʻula, a me nā ʻōuli ʻike ʻia.

I kou wā i koho ʻia ai, e nīnau paha kāu kauka iā ʻoe i kekahi mau nīnau e pili ana i kāu papaʻai, nā lāʻau āu e lawe ai, a inā he moʻo ʻohana ka gout. Hiki i kēia ke kōkua i ke kāpae ʻana i nā kumu kūpono ʻē aʻe o kāu mau ʻōuli, e like me ka maʻi a i ʻole ka rheumatoid arthritis.

E kauoha paha kāu kauka i kahi hoʻokolohua koko e nānā i kāu pae uric acid. Akā loaʻa i kekahi poʻe nā pae kiʻekiʻe o ka uric acid a ulu ʻole i ka gout. Loaʻa i nā poʻe ʻē aʻe nā pae acid uric maʻamau akā hoʻomohala mau i ka gout. A ʻo kahi hopena, makemake lākou e hana i kekahi mau hoʻokolohua ʻē aʻe.

Hiki i kekahi X-ray, MRI, a i ʻole CT scan o kou kuʻekuʻe wāwae ke kōkua i ka hoʻopau ʻana i nā kumu kūpono ʻē aʻe o ka huʻi pū. Kaukaʻi ʻia i kāu hoʻokolohua, kauoha paha lākou i kahi ultrasound e nānā no ke kū ʻana o nā aniani ma kou kuʻekuʻe wāwae.

ʻO ka hope, hana paha lākou i kahi hoʻowali wai hui. Hoʻopili kēia i ka lawe ʻana i kahi laʻana o ka wai hui mai kou kuʻekuʻe wāwae me kahi nila liʻiliʻi a nānā iā ia ma lalo o kahi microscope no nā aniani uric acid.

Ma muli o nā hopena o kāu hoʻokolohua a me nā hoʻokolohua, hiki iā lākou ke kuhikuhi iā ʻoe i kahi loea loea arthritis i kapa ʻia he rheumatologist no ka lāʻau.

Pehea e mālama ʻia ai ka gout ma ka kuʻekuʻe wāwae?

ʻAʻohe lāʻau lapaʻau no ka gout, akā hiki i ka hui ʻana o nā lāʻau a me nā mālama ʻana i ka home ke kōkua i ka mālama ʻana i ka ʻeha kuʻekuʻe wāwae a hoʻemi i ka nui o nā uila i loaʻa iā ʻoe.

Laau Lapaʻau

Nā lāʻau i hiki ke kōkua i ka hōʻemi i ka ʻeha mai ka gout flare-up i kou kuʻekuʻe wāwae e komo pū:

• ʻo nā lāʻau anti-inflammatory nonsteroidal over-the-counter (NSAID), e like me ka ibuprofen (Advil)
• kuhikuhi-ikaika NSAID, e like me celecoxib (Celebrex) a i ʻole indomethacin (Indocin)
• corticosteroids, i hiki ke lawe waha ʻia a i ʻole ʻoki ʻia i loko o kou ami kuʻekuʻe wāwae e kōkua ai e hōʻoluʻolu i ka ʻeha a me ka mumū
• colchisin (Colcrys), kahi mea hōʻeha ʻeha e pahuhopu i ka maʻi gout akā hiki i kekahi manawa ke hana i ka nausea a me nā hopena ʻē aʻe.

Kauoha paha kāu kauka i kahi lā haʻahaʻa o colchicine i kēlā me kēia lā e hōʻemi i kou makaʻu o nā pale i ka wā e hiki mai ana.

ʻO nā lāʻau ʻē aʻe hiki ke kōkua i ka hōʻemi ʻana i kāu helu o nā lapalapa e hiki mai ana me:

• allopurinol (Zyloprim) a me febuxostat (Uloric), ka mea e kaupalena ai i ka hana a ka uric acid a hiki ke kōkua i ka hōʻemi ʻana i nā manawa o ka gout i hana ʻia i nā hui ʻē aʻe.
• uricosurics, e like me lesinurad (Zurampic) a me probenecid (Probalan), ka mea e kōkua i kou kino e hoʻopau i ka uric acid nui, ʻoiai lākou e hoʻonui i kou makaʻi o nā pōhaku hakuʻala.

Nā hoʻoponopono home

ʻO kekahi o nā ala kūpono e mālama i ka gout ka palena ʻana i kāu lawe ʻana i nā meaʻai momona a me nā mea inu. E hoʻomanaʻo, hana kou kino i ka uric acid ke wāwahi ia i purine.

ʻO ia ka mea e ʻai ai i ka liʻiliʻi:

• ʻiʻo ʻulaʻula
• ʻiʻo ʻoka, e like me ke akepaʻa
• nā mea ʻai o ke kai, ʻo ia hoʻi nā tuna, scallops, sardines, a me nā iʻa
• ʻalekohola
• mea inu kō

ʻO ka ʻoki ʻana i kekahi o kēia mau mea e hāʻawi pū paha i ka lilo ʻana o ke kaupaona, a lilo ia i bonus i hoʻohui ʻia inā e hāpai ana ʻoe i kekahi kaona keu, ʻo ia kahi pilikia no ka gout. Heʻoiaʻiʻo loa kēia inā e hoʻololi ʻoe i kēia mau meaʻai no nā huaʻai, nā mea kanu, nā hua holoʻokoʻa, a me nā protein momona. E aʻo hou e pili ana i ka mea e ʻai ai a me nā mea e hōʻalo ai ke loaʻa ʻoe i ka gout.

Aia kekahi mau mālama home ʻē aʻe hiki iā ʻoe ke hoʻāʻo, akā ʻaʻole i lawa ka nānā pono ʻana i kēia mau mea e ʻike inā he maikaʻi. Eia nō naʻe, hāʻawi paha lākou i kahi hoʻomaha. Eia pehea e hoʻāʻo ai iā lākou iho nāu.

Pehea ka lōʻihi o ke gout ma ka kuʻekuʻe wāwae?

Hiki i nā Gout flare-up ke kū mau no kekahi mau hola i ka manawa hoʻokahi, akā ʻike paha ʻoe i ka ʻeha o kou kuʻekuʻe wāwae no nā lā a he mau pule paha. Hoʻokahi wale nō poʻe i hoʻokahi ahi i ko lākou ola, ʻoiai ʻo kekahi poʻe i kekahi mau manawa i ka makahiki.

E hoʻomanaʻo ʻo ka gout kahi kūlana mau, ʻo ia hoʻi he lōʻihi ia no ka manawa lōʻihi a koi ʻia i ka hoʻomau hoʻomau ʻana. Hiki i nā hoʻololi o ka meaʻai a me nā lāʻau ke hoʻololi i ka nui, akā e makaʻu pū kekahi ʻoe i ka loaʻa ʻana o ka lapalapa.

E noʻonoʻo e hiki nō ke lawe i kahi manawa e ʻike i ka hui kūpono o nā loliʻai a me nā lāʻau e kūpono iā ʻoe. Mai hoʻonāwaliwali inā ʻaʻole e hoʻomaikaʻi koke ʻia nā mea.

Hiki iā ia ke alakaʻi i nā pilikia?

Inā haʻalele ʻole ʻia, hiki i ka mumū pili i ka gout ke hōʻeha mau loa i kou ami kuʻekuʻe wāwae, keu hoʻi inā pinepine ʻoe i nā ahi uila.

Ma ka hala ʻana o ka manawa, hiki i nā puʻupuʻu o nā aniani uric acid, i kapa ʻia ʻo tophi, hiki ke hana a puni kou kuʻekuʻe wāwae. ʻAʻole ʻeha kēia mau puʻupuʻu, akā hiki iā lākou ke kumu i ka pehu hou a me ka palupalu i ka wā o kahi ahi.

He aha ke kuanaʻike?

He kūlana hoʻomau ʻo Gout me ka hoʻōla ʻole, no laila pono ʻoe e nānā iā ia no kekahi manawa. ʻOiai hiki ke hoʻolōʻihi i kahi manawa e ʻike i ka hoʻokele hoʻokele kūpono, nui ka poʻe me ka gout e ʻike i kahi hui o ka mediasi a me nā loli nohona e maikaʻi.

Inā ʻike hou ʻia ʻoe, e noʻonoʻo e ʻike i ka rheumatologist inā ʻaʻole ʻoe i ʻike. Hiki paha iā lākou ke hāʻawi i nā ʻōlelo aʻoaʻo hou aʻe e pili ana i ka mālama ʻana i nā ʻōuli gout.