Pehea e ʻike ai inā he gout kāu i kāu poʻohiwi - a he aha e hana ai ma hope

Anter

• ʻO nā mea wikiwiki e pili ana i ka gout
• Nā ʻōuli o ka gout i kou poʻohiwi
• Nā kumu o ka gout i loko o kou poʻohiwi
• Overproduction o uricʻakika
• Nā kumu ʻē aʻe
• Nā kumu pilikia no ka gout i loko o kou poʻohiwi
• Hoohanau
• Makahiki
• Nā Genetics
• Nā kūlana olakino
• Auila
• ʻIke o ka gout i kou poʻohiwi
• Mālama i ka gout i kou poʻohiwi
• Nā lāʻau maʻamau
• Nā lāʻau ʻē aʻe
• Lapaʻau ʻē aʻe
• Ka lōʻihi o ka gout flare-up
• Nā pilikia o ka gout i kou poʻohiwi
• Kāohi pale gout
• ʻO nā kūlana ʻē aʻe e hōʻeha i ka ʻūhā a me ka mumū
• Pseudogout
• ʻO ka nānā aku

ʻO Gout kahi ʻano maʻamau o ka maʻi kōpaʻa. He kuʻi ʻeha a ʻeha hoʻi ia i maʻa mau i ka manamana nui, akā hiki ke hoʻopili i nā hono ʻē aʻe. ʻO ia i nā poʻohiwi a me nā pūhaka.

Hoʻonāukiuki ʻia ka mumū e ke kūkulu ʻia ʻana o nā aniani liʻiliʻi o ka uric acid i loko a me kou mau hono. Hana ka hopena o kāu ʻōnaehana pale maʻi i ka hoʻouna ʻana i nā hunaola hakakā i nā wahi, e hoʻoulu ai i ka mumū.

Kūleʻa ka hoʻouka Gout i sporadic a hiki i ka hopena ma mua o hoʻokahi ami. Hiki ke mālama maʻamau ʻia ʻo Gout me ka meaʻai a me ka lāʻau. Ke mālama ʻia ka maʻi gout, kākaʻikahi nā pilikia. Akā hiki i ka gout untreated ke hoʻopau ʻia.

Aia kekahi mau kānaka i kahi predisposition genetical e gout.

ʻO nā mea wikiwiki e pili ana i ka gout

• Ua hoʻi ka wehewehe o ka gout ma kahi o 5,000 mau makahiki i ʻAigupita kahiko. Hoʻohālikelike ʻia ia no ke ʻano o ke ʻano he arthritis.
• E pili ana i ka heluna nui o ka honua he gout.
• ʻEhā pākēneka o ka poʻe maʻAmelika Hui Pū ʻIa i loaʻa i ka gout.
• Ke piʻi nei ka hanana o ka gout i nā makahiki i hala aku nei i nā ʻāina kūkulu.
• ʻO ka inoa mai ka huaʻōlelo Latina "gutta," ʻo ia hoʻi ka hāʻule. Ua kuhikuhi ʻia i kahi manaʻo medieval ʻo kekahi o nā "humors" ʻehā e pono ai no ke olakino "hāʻule" i kahi hui.
• Ua kapa ʻia ʻo Gout ka maʻi o nā mōʻī, ma muli o ka hui pū ʻana me nā meaʻai momona a me nā mea inu lama.
• ʻO Beniamina Franklin lāua ʻo Thomas Jefferson he gout lāua.

Nā ʻōuli o ka gout i kou poʻohiwi

Hiki koke mai nā hoʻouka Gout. ʻEha a ʻehaʻeha paha ka ʻeha o kou poʻohiwi.

Eia kekahi, ʻo ka wahi paha:

• ulaʻula
• pehu
• ʻoʻoleʻa
• wela a wela paha
• pili loa i ka hoʻopā a me ka neʻe

Nā kumu o ka gout i loko o kou poʻohiwi

Manaʻo ʻia ʻoi aku ka nui o ka waikawa uric i kou kahena koko e hoʻonāuki i ka gout ma o ka hana ʻana i nā aniani e like me ka nila kuʻi i loko o kāu mau aʻa a me nā hono. ʻIke ʻia i ka ʻenehana he nui loa me ka hyperuricemia.

Uric acid kahi huahana neoneo i hana ʻia e ka haki ʻana o nā purine, nā mea hoʻohui kemika i kū i loko o kou kino. Hana ʻia kahi waikawa Uric ke ʻeli ʻoe i nā meaʻai i loaʻa nā purine.

ʻO ka maʻamau o kou mau puʻupaʻa e hemo i ka uric acid urima ma o kou mimi. Inā ʻaʻole holo pono kāu mau puʻupaʻa, hiki i nā pae uric acid ke kūkulu i loko o kou kahawai.

ʻO nā aniani i hana ʻia mai kēia acid uric keu i hoʻouka ʻia e kāu ʻōnaehana pale kino e like me nā kino ʻē. Hele nā ​​pūnaewele hakakā maʻi maʻi i ka wahi o nā aniani, e hoʻoulu ai.

Hōʻike ʻo A ʻo ka gout he 10 wale nō ka pākēneka o nā hihia i hoʻokumu ʻia e ka hoʻonui ʻana o kou kino i ka hana o ka uric acid. Hoʻokumu ʻia ka 90 pakeneka ʻē aʻe e ka holo pono ʻole o nā puʻupaʻa e hoʻopau i ka nui o ka uric acid.

Overproduction o uricʻakika

ʻO ka ʻai nui ʻana i nā huahana i loaʻa ka purine e hāʻawi i nā kiʻekiʻe o ka uric acid i kekahi poʻe. ʻO nā huahana kiʻekiʻe i nā purine pū me:

• ʻiʻo ʻulaʻula
• iʻa kai
• iʻa
• pia
• pīni maloʻo

ʻAlekohola, ʻo ia hoʻi ka waiʻona kiʻekiʻe loa, hoʻolaha pū kekahi i ka hana a me ka paʻa ʻana o ka uric acid. Akā, ʻaʻole e pili ka inu ʻana i ka waina i nā mea kaulike me ka gout.

Nā kumu ʻē aʻe

Wale e pili ana me nā kiʻekiʻe o ka uricʻakika i loko o ko lākou kahe ke hoʻomohala i ka gout. ʻO nā kumu ʻē aʻe i pili i ka hoʻomohala ʻana o ka gout me:

• he predisposition kūpuna
• nā maʻi koko
• maʻi ʻaʻai e like me leukemia
• liʻiliʻi loa ka wai synovial i nā hono
• ka waikawa o ka wai hui
• kahi papaʻai kiʻekiʻe i nā purine
• ʻeha pū, maʻi, a ʻoki kino paha
• ke kūlana huli kiʻekiʻe o ke kelepona e like me psoriasis

Hiki i kekahi mau lāʻau ke hoʻonui i nā kiʻekiʻe o ka uric acid i ke kahe o ke koko. Pākuʻi ʻia kēia mau mea:

• diuretics, hoʻohana e mālama i ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai
• haʻahaʻa o ka aspirin
• cyclosporine, kahi lāʻau e kāomi i ka ʻōnaehana pale
• levodopa, kahi lāʻau i hoʻohana ʻia e mālama iā Parkinson's

Nā kumu pilikia no ka gout i loko o kou poʻohiwi

ʻO kēlā me kēia mea e hoʻonui ai i nā pae o ka uric acid i kou kahawai ke hoʻokau iā ʻoe i ka gout. ʻO kekahi mau kumu pilikia pilikia:

Hoohanau

ʻO Gout ka mea maʻamau i nā kāne.

Makahiki

Kū pinepine ʻo Gout i nā kāne ma mua o 40 a me nā wahine ma hope o ka menopause. I ka, ka prevalence o ka gout ma kahi o 10 pakeneka o nā kāne a me 6 pākēneka o nā wahine.

Nā Genetics

ʻO ka loaʻa ʻana o nā lālā ʻohana ʻē aʻe me ka gout e hoʻonui i kou makaʻu. Ua ʻike ʻia nā ʻiʻo kikoʻī e pili pū me ka hiki o ka hakuʻala e hemo i ka uric acid.

Nā kūlana olakino

ʻO nā kūlana olakino e pili i ka hana o ka puʻuwai e hoʻokau iā ʻoe i ka gout. Inā loaʻa iā ʻoe kahi ʻoki a ʻeha hoʻi, hiki i kēia ke hoʻonui i kou makaʻu.

Nui nā kānaka me ka gout i loaʻa i nā kūlana olakino ʻē aʻe. ʻO ke gout ke kumu o kēia mau ʻano a hoʻonui paha i ka makaʻu no kēia mau kūlana ʻaʻole maopopo.

ʻO kekahi o nā kūlana olakino e hoʻonui ai i kou maka o ka gout, keu hoʻi inā ʻaʻole mālama ʻia lākou, e hoʻopili pū me:

• kahe koko kiʻekiʻe
• diabetes
• maʻi maʻi ʻōpū
• kekahi ʻano anemia
• maʻi maʻi metabolic
• pāʻālua hiamoe ʻaʻano
• psoriasis
• lāʻau make kēpau

Auila

ʻO ka momona a i ʻole ka momona ka mea e hoʻonui ai i kou maka o ka gout. Hoʻonui ka kaupaona keu i kāu hana o ka uric acid.

ʻO ka ʻai nui ʻana i nā meaʻai a me nā mea inu e kiʻekiʻe i nā purine hiki ke hoʻonui i kou makaʻi o ke kaʻi. ʻO ka poʻe e ʻai i nā papaʻai e pili ana i ka laiki a me nā mea kanu a me ka haʻahaʻa o nā purine he haʻahaʻa ko ka gout.

ʻIke o ka gout i kou poʻohiwi

E nānā ana kāu kauka iā ʻoe, e lawe i kahi mōʻaukala olakino, a nīnau e pili ana i kāu mau hōʻailona. Hiki paha iā lākou ke ʻike i ka gout ma muli o kāu mau ʻōuli.

Akā makemake ke kauka e kāpae i nā kumu kūpono ʻē aʻe no kou ʻeha poʻohiwi ma ke kauoha ʻana i nā hoʻokolohua.

ʻO nā hoʻokolohua kiʻi no kou poʻohiwi me nā X-ray, ultrasound, a me ka scan MRI.

E hōʻoia pū ke kauka no nā pae koko o ka uric acid. Akā ʻaʻole lawa nā pae kiʻekiʻe a i ʻole ka uric acid e hana ai i kahi kuhi definitive.

ʻO kahi hōʻoia kikoʻī e lawe i kahi laʻana o kou poʻohiwi hui synovial wai e hoʻohana ana i kahi nila kuina. Kapa ʻia kēia ʻo arthrocentesis a i ʻole aspiration ami. A laila e nānā kahi hale hana no nā aniani uric acid ma lalo o kahi microscope.

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi rheumatologist no ka mālama mau.

Mālama i ka gout i kou poʻohiwi

ʻAʻohe lāʻau lapaʻau no ka gout, akā ua hoʻomohala ʻia nā lāʻau he nui i nā makahiki i hala aku nei i hiki ke kōkua me ka ʻeha o ka poʻohiwi o kahi lapalapa a pale i nā lapalapa e hiki mai ana.

Hoʻopaʻa nā lāʻau e hōʻemi i ka ʻeha, hoʻohaʻahaʻa i kāu mau pae o ka uric acid, a hoʻemi i ka pehu.

Nā lāʻau maʻamau

Hōʻike paha kāu kauka i nā lāʻau lapaʻau anti-inflammatory nonsteroidal over-the-counter (NSAIDs) no ka ʻeha a i ʻole nā ​​lāʻau i kuhikuhi ʻia e hōʻemi ai i ka mumū.

Hoʻokomo ʻia nā lāʻau i kuhikuhi ʻia me indomethacin (Indocin) a i ʻole celecoxib (Celebrex), a me prednisone, he corticosteroid. Hoʻokomo pinepine ʻia ʻo Prednisone i loko o ka ami i hoʻopili ʻia, akā pono paha ka prednisone waha inā pili ka nui o nā hono.

Kaukaʻi ʻia i ke koʻikoʻi o kāu mau ʻōuli, hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻē aʻe e:

• kaohi i nā keokeo o ke koko mai ka hoʻouka ʻana i nā aniani uric acid, e like me colchicine (Colcrys)
• ho'ēmi i ka nui o ka hana uric acid, e like me allopurinol (Zyloprim) a me febuxostat (Uloric), i kapa ʻia he xanthine oxidase inhibitors
• kōkua i kou puʻupaʻa e hoʻopau hou aku i ka uric acid, e like me probenecid (Probalan) a me lesinurad (Zurampic), i kapa ʻia he uricosurics

Loaʻa nā hopena ʻē aʻe i kēia mau lāʻau āpau, a pili paha kekahi i nā lāʻau ʻē aʻe a i ʻole nā ​​mea ʻino ʻē aʻe i loaʻa iā ʻoe. E kūkā pono e kūkākūkā i kāu hoʻolālā lāʻau lapaʻau me kāu kauka.

Nā lāʻau ʻē aʻe

a ʻike paha ʻoe i kahi hoʻokolokolo hoʻokolokolo.

E makemake paha kāu kauka e hoʻāʻo i ka hoʻohana ʻana i kahi lāʻau "off label" hou, a i ʻole no ke kumu i ʻae ʻole ʻia i kēia manawa.

Inā ʻae ʻia kahi lāʻau no ka rumatika a i ʻole kahi ʻano ʻē aʻe a ʻaʻole ʻae ʻia no ka gout, hiki i kāu kauka ke koi aku iā ia e lepili i ka lepili.

ʻO kekahi o kēia mau lāʻau hou:

• pegloticase (Krystexxa), ka mea e hoʻēmi ai i ka waikawa uric a ʻae ʻia i United States no ka mālama ʻana i ka gout maʻi refactory koʻikoʻi.
• canakinumab, he monoclonal antibody e hoʻopau i ka pehu
• anakinra, kahi interleukin-1 beta antagonist e hoʻopau i ka pehu

Pono paha ʻoe e nānā me kāu ʻoihana inikua no ka uhi ʻana o kēia mau lāʻau i ka wā i hoʻohana ʻia ka lepili.

Lapaʻau ʻē aʻe

ʻAʻole maopopo nā hōʻike e pili ana i nā loliʻai, e like me ka American College of Physicians no ka gout ma 2017.

Ua hōʻike ʻia nā noiʻi i hoʻemi ʻia ka lawe ʻana o ka ʻiʻo ʻulaʻula, nā kō, a me ka waiʻona i hoʻemi ʻia nā pae o ka uric acid. Akā ʻaʻole i maopopo ua hoʻomaikaʻi kēia i nā hopena hōʻailona.

Hiki paha iā ʻoe ke hōʻoluʻolu mai nā ʻano lāʻau ʻē aʻe no ka mumū, e like me ka hau a me ka lāʻau hoʻoikaika kino.

Ka lōʻihi o ka gout flare-up

ʻO ka hopena mua o ka gout ma hope loa. Hōʻalo ke kino i ka pane hoʻoweliweli ma hope o kekahi manawa.

E ʻike paha ʻoe i ka lapalapa hou ʻana i loko o ʻeono mahina a i ʻelua mau makahiki, a i ʻole i kēlā me kēia manawa i ka wā e hiki mai ana inā ʻaʻole e loli kāu mau pilikia. Hiki ke lilo ʻo Gout i mea mau, ke hoʻomau ʻoe i nā kiʻekiʻe o ka uric acid.

Pāhola paha ʻo Gout i mea e hoʻopili ai i nā hono ʻē aʻe. Hiki i ka gout poʻohiwi ke hana i nā poʻe i lōʻihi ka gout koʻikoʻi.

Hiki i kāu kauka ke kauoha i nā pae haʻahaʻa o nā lāʻau i ka manawa mau e kōkua ai i ka pale ʻana i nā lapalapa o ka wā e hiki mai ana a me nā pilikia kūpono, a e hoʻohaʻahaʻa i ka pae serum acid serum. He mea nui e pili i kāu papa hana e hoʻoliʻiliʻi i nā lapalapa.

Nā pilikia o ka gout i kou poʻohiwi

Hiki i nā poʻe me ka gout lōʻihi lōʻihi ke hoʻomohala i nā pilikia. Hiki i nā crystals waikawa o Uric ke hōʻino i ka poʻohiwi a i ʻole nā ​​hui ʻē aʻe.

Ma kahi o 15 pākēneka o ka poʻe me ka gout e hoʻomohala i nā pōhaku hakuʻala e like me ka uric acid e hōʻiliʻili ʻia i nā puʻupaʻa.

ʻO kekahi pilikia o ka gout maʻi ka hoʻokumu ʻana i nā nodule o ka uric acid i loko o kāu mea palupalu, keu hoʻi i kou mau manamana lima a me nā manamana wāwae. Kapa ʻia ka nodule he tophus.

ʻAʻole ʻeha mau kēia mau nodule, akā e hoʻomāhuahua ʻia paha, maʻi ʻia, a i ʻole ka ohia. Hiki i kēia mau nodule ke hoʻopau me ka lāʻau lapaʻau kūpono.

Kāohi pale gout

ʻO nā hana pale Gout e hoʻopili i nā ʻano nohona penei:

• e ʻai nei i ka papaʻai olakino, me nā palena a kaulike paha o nā meaʻai a me nā mea inu i nui nā purine
• ka mālama ʻana i kahi kaupaona olakino
• hoʻoikaika kino mau
• inu wai nui
• haʻalele i ka puhipaka

Hiki paha iā ʻoe ke mālama i ke ʻano o ka mea e hoʻāla ai i ka gout o kou poʻohiwi i hiki iā ʻoe ke pale i nā lapalapa o ka wā e hiki mai ana.

ʻO nā kūlana ʻē aʻe e hōʻeha i ka ʻūhā a me ka mumū

Inā loaʻa iā ʻoe ka ʻeha o ka poʻohiwi a me ka mumū, ʻoi aku ka maikaʻi e ʻike i kāu kauka no kahi hōʻoia a me ka lāʻau. Aia kekahi mau hoʻāʻo kikoʻī i hiki ke hoʻomaopopo i ka gout.

ʻO kekahi o nā ʻano ʻē aʻe i loaʻa i nā ʻōuli like like me:

• bursitis
• tendinitis
• waimaka tendon
• osteoarthritis

Pseudogout

Aia kekahi ʻano o ka maʻi pākī e ʻike ʻia ma ke ʻano he pseudogout, e pili ana i ka hapanui o nā mākua. Hoʻokumu ʻo Pseudogout i ka huʻi ʻehaʻeha o nā hono, akā ʻaʻole pili nā crystals uric acid. Hoʻokumu ʻia ʻo Pseudogout e ka hōʻiliʻili o nā aniani o ka calcium pyrophosphate dihydrate.

ʻO ke anamanaʻo o nā aniani i loko o kāu wai synovial hiki ke hoʻoholo inā he pseudogout kou poʻohiwi a i ʻole ka gout poʻohiwi.

ʻO ka nānā aku

ʻO ka goout i ka poʻohiwi kahi ʻano laha ʻole, akā like ka mālama ʻana a me ka nānā ʻana me ka gout i nā hono ʻē aʻe. Me nā ʻano gout āpau, pili i kāu lāʻau a me kāu papa hana e hāʻawi iā ʻoe i kahi hopena maikaʻi aʻe.

He mea nui ia e ʻike i ke kauka inā loaʻa ka pehu o ka poʻohiwi a me ka ʻeha. Inā he gout, kōkua ke kōkua iā ʻoe e hoʻokele i ke ʻano a kōkua i ka pale ʻana i nā lapalapa e hiki mai ana. Hiki i kāu kauka ke aʻoaʻo iā ʻoe e pili ana i nā lapaʻau hou ma lalo o ke kūkulu ʻana.

Makemake paha ʻoe e launa pū me ka Alliance for Gout Awcious a i ʻole ʻo ka Arthritis Foundation e hoʻomau me nā hanana hou i ka hoʻomaʻamaʻa gout.