Nā lāʻau no Gout Flares

Anter

• Nā lāʻau gout wā pōkole
• Nā lāʻau lapaʻau wā lōʻihi
• E kamaʻilio me kāu kauka
• Q&A
• Q:
• A:

Hoʻokomo ʻia nā gout, a i ʻole nā ​​lapalapa ahi e kahi buildup o uric acid i loko o kou koko. Uric acid kahi mea a kou kino e hana ai ke wāwahi ia i nā mea ʻē aʻe, i kapa ʻia nā purine.ʻO ka hapa nui o ka uric acid i loko o kou kino e hoʻoheheʻe i kou koko a haʻalele i kāu mimi. Akā no kekahi poʻe, hana ke kino i ka nui o ka uric acid a i ʻole wehe koke ia. ʻO kēia ke alakaʻi i nā pae kiʻekiʻe o ka uric acid i kou kino, i hiki ke alakaʻi i ka gout.

Hoʻokumu ke kūkulu i nā crystals e like me ke kui kele i loko o kou ami a me nā mea e pili ana, e ʻeha ana, pehu, a me ka ʻula. ʻOiai ʻoi loa ka ʻeha o ke ahi, hiki i ka lāʻau ke kōkua iā ʻoe e kaohi i ka gout a kaohi i nā lapalapa ahi.

ʻOiai ʻaʻohe o mākou lāʻau no ka gout, loaʻa nā lāʻau pōkole a me nā wā lōʻihi e kōkua i ka mālama ʻana i kāu mau ʻōuli.

Nā lāʻau gout wā pōkole

Ma mua o nā manawa lōʻihi, e kau paha kāu kauka i kahi lāʻau kiʻekiʻe o nā lāʻau anti-inflammatory a i ʻole nā ​​steroid. ʻO kēia mau lāʻau lapaʻau mua e hōʻemi i ka ʻeha a me ka mumū. Hoʻohana ʻia lākou a hiki i ka hōʻoia ʻana o kāu kauka ua hōʻemi kou kino i nā kiʻekiʻe o ka uric acid i kou koko ma ona iho.

Hiki ke hoʻohana ʻia kēia mau lāʻau i ka hui pū ʻana me kekahi a i ʻole me nā lāʻau wā lōʻihi. Pākuʻi ʻia lākou:

Nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs): Loaʻa kēia mau lāʻau i luna o ka papa kūʻai e like me nā lāʻau lapaʻau ibuprofen (Motrin, Advil) a me naproxen (Aleve). Loaʻa pū lākou ma ke kuhikuhi e like me nā lāʻau celecoxib (Celebrex) a indomethacin (Indocin).

Colchisin (Colcrys, Mitigare): Hiki i kēia mea hoʻoiho ʻeha ke kuhikuhi i ke kuʻi gout i ka hōʻailona mua o ka hoʻouka kaua ʻana. Hoʻolālā maikaʻi ʻia nā lāʻau haʻahaʻa o ka lāʻau, akā ʻo nā lāʻau kiʻekiʻe ke kumu i nā hopena ʻē aʻe e like me ka nausea, ka luaʻi, a me ka diarrhea.

Corticosteroids: ʻO Prednisone ka mea i kuhikuhi pinepine ʻia i ka corticosteroid. Hiki ke lawe ʻia e ka waha a i ʻole injected i loko o ka ami i hoʻopili ʻia e hoʻomaha ai i ka ʻeha a me ka mumū. Hiki iā ia ke hoʻopili ʻia i loko o ka mākala ke hoʻopili ʻia kekahi mau hono. Hāʻawi pinepine ʻia ʻo Corticosteroids i ka poʻe hiki ʻole ke hoʻomanawanui i nā NSAID a i ʻole colchicine.

Nā lāʻau lapaʻau wā lōʻihi

ʻOiai e hana nā hana pōkole e kāpae i kahi hoʻouka gout, hoʻohana ʻia nā mālama wā lōʻihi e hōʻemi i nā pae uric acid i ke koko. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka nui o nā lapalapa e hiki mai ana a hoʻoliʻiliʻi loa iā lākou. Hoʻopaʻa wale ʻia kēia mau lāʻau ma hope o ka hōʻoia ʻana o nā hōʻoia koko he hyperuricemia ʻoe, a i ʻole he pae uric acid kiʻekiʻe.

Nā koho lāʻau lōʻihi e pili pū me:

ʻO Allopurinol (Lopurin lāua ʻo Zyloprim): ʻO kēia ka lāʻau i kauoha pinepine ʻia no ka hoʻohaʻahaʻa ʻana i nā pae acid uric. He mau pule paha ka lōʻihi o ka hopena, no laila hiki iā ʻoe ke ʻike i kahi lapalapa i kēlā manawa. Inā loaʻa iā ʻoe kahi lapalapa, hiki ke mālama ʻia me kekahi o nā lālani mua e kōkua ai i ka hoʻomaha ʻana i nā ʻōuli.

ʻO Febuxostat (Uloric): Paukū kēia lāʻau lapaʻau waha i kahi enzyme e haki i ka purine i loko o ka uric acid. Pale kēia i kou kino mai ka hana ʻana i ka waikawa uric. Hoʻomaʻamaʻa nui ʻia ka febuxostat e ke ake, no laila palekana ia no nā poʻe me nā maʻi puʻupaʻa.

Probenecid (Benemid lāua ʻo Probalan): Hoʻomaopopo nui ʻia kēia lāʻau no ka poʻe nona nā puʻupaʻa e excrete uric acid pono ʻole. Kōkua ia i nā puʻupaʻa e hoʻonui i ka excretion i mea e kūpaʻa ai kāu pae acid uric. ʻAʻole ia e koi ʻia no ka poʻe me ka maʻi puʻupaʻa.

Lesinurad (Zurampic): Ua ʻae ʻia kēia lāʻau waha e ka Food and Drug Administration ma 2015. Hoʻohana ʻia ia i ka poʻe nona ka allopurinol a i ʻole febuxostat i hōʻemi ʻole ai i nā pae uric i lawa. Hoʻohana pū ʻia ʻo Lesinurad me kekahi o kēlā mau lāʻau ʻelua. He lāʻau lapaʻau hoʻohiki hou ia no ka poʻe e pilikia i ka kaohi ʻana i ko lākou maʻi gout. Eia nō naʻe, hiki mai ia me kahi makaʻu o ka holo pono ʻole o ka hakuʻala.

Pegloticase (Krystexxa): ʻO kēia lāʻau lapaʻau kahi enzyme e hoʻolilo i ka uric acid i kahi ʻē aʻe, ʻoi aku ka palekana ʻoi aku ka inoa, kapa ʻia ʻo allantoin. Hāʻawi ʻia ia ma ke ʻano he infra intravenous (IV) i kēlā me kēia pule ʻelua. Hoʻohana wale ʻia ʻo Pegloticase i ka poʻe no ka mea ʻaʻole i hana nā lāʻau lōʻihi lōʻihi ʻē aʻe.

E kamaʻilio me kāu kauka

Loaʻa nā lāʻau he nui i kēia lā e kōkua i ka hōʻoluʻolu i nā ʻōuli gout. Ke hoʻomau nei ka ʻimi noiʻi e loaʻa nā lāʻau hou aʻe, a me kahi hiki ke hoʻōla. E aʻo hou aʻe e pili ana i ka mālama ʻana i kāu gout, e kamaʻilio me kāu kauka. ʻO nā nīnau āu e nīnau ai paha:

• Aia kekahi mau lāʻau ʻē aʻe e pono ai wau e lawe e mālama i koʻu gout?
• He aha kaʻu e hana ai e kōkua ai i ka pale ʻana i ka lapalapa gout?
• Aia kahi papaʻai hiki iā ʻoe ke ʻōlelo e kōkua i ka mālama ʻana i kaʻu mau ʻōuli?

Q&A

Q:

Pehea e hiki ai iaʻu ke pale aku i nā ahi gout?

A:

Hiki i nā loli nohona ke kōkua i ka hōʻemi ʻana i kāu mau gout flares. Hoʻopili kēia i ka mālama ʻana i kahi kaupaona olakino, hoʻoikaika kino, a - malia paha ʻo ka mea nui loa - ka mālama ʻana i kāu papaʻai. Hoʻokumu ʻia nā ʻōuli ʻo Gout e nā purine, a ʻo kahi ala e hōʻemi ai i nā purine i kou kino ke pale aku i nā meaʻai i loaʻa iā lākou. Hoʻopili kēia mau meaʻai i ke akepaʻa a me nā ʻiʻo ʻola ʻē aʻe, nā iʻa iʻa e like me nā heleuma, a me ka pia. E aʻo e pili ana i nā meaʻai e hōʻalo ai a i mea e palena ai, e nānā i kēia ʻatikala e pili ana i ka ʻai gout-friendly.