Naphezu kweqiniso lokuthi isifo sikashukela kanye ne-gout izifo ezihluke ngokuphelele, zivame ukwenzeka ndawonye.
Ngaphezu kwalokho, cishe “bayizihlobo”, ngoba imbangela yazo iyindlela yokuphila engalungile. Cabanga ukuthi siyini i-gout, futhi yiziphi izici zokwelashwa kwayo ngokumelene nesizinda sikashukela.
Yini gout?
IGout yisifo esidalwa ukuqunjelwa kwe-uric acid nosawoti wayo.. Le acid ikhona futhi emzimbeni ophilile.
Gout
Kepha ngobunzima be-excretion, iyakhala, ifakwe emalungeni nasemakhonteni. Lokhu kuholela ekuthuthukisweni kwalesi sifo.
Izizathu zokuthuthuka
Isifo sofuba sivame kakhulu emadodeni. "Ubudala obubi" buvame ukuba yiminyaka engama-30-60. Lokhu kungenxa yokuthi umzimba wesilisa awunandaba kangako ne-insulin futhi unesibalo esiphezulu se-uric acid.
Isizathu esingaholela ekukhuleni kanyekanye kwe-gout nesifo sikashukela kufaka phakathi:
- ukungasebenzi ngokomzimba;
- ukondleka okungalingani;
- ukusetshenziswa kabi kotshwala;
- ubungozi befa
- iminyaka Njengoba sikhula, izitho zomzimba nezinhlelo kusebenza zimbi kakhulu. Ukwehla kwe-insulin secretion noma ukungakwazi ukuyisebenzisa kuholela ekuthuthukisweni kwesifo sikashukela, futhi izinkinga ngokuphuma kwe-uric acid kuyindlela eqondile ye-gout.
Izizathu ezifakwe kuhlu yizona eziphambili, kodwa hhayi zodwa. Ngakho-ke, udokotela kuzodingeka ukuthi aqoqe ngokucophelela ama-anamnesis ukuze anikeze isu eliphelele lokwelashwa.
Izimpawu
I-Gout yisifo esingamahlalakhona. Imvamisa, ukwanda kokuhlungwa kwe-uric acid kukhubaza umonakalo ezinzwaneni. Kodwa-ke, inqubo le ingathinta izihlakala, amadolo, amaqaqa. Izikhathi zokuxolelwa zilandelwa ukuqeda.
Ukuqhuma kwe-gout kwenzeka ngezimpawu ezilandelayo:
- Ubuhlungu obukhulu ekuhlanganeni okuthinteka yilesi sifo;
- ubomvu besikhumba endaweni yokuhlangana okugulayo, okuhambisana nokwanda kokushisa kwendawo;
- ukuvuvukala kwezicubu;
- ukuqina ngokuhlangana kwesizi;
- ubuthakathaka obujwayelekile;
- ubunzima bokuchama ngaphambi kokuhlaselwa futhi, ngakolunye uhlangothi, ukuchama okunamandla ngemuva kokuphela.
Uma kungekho ukwelashwa okwanele, lesi sifo siyaqhubeka. Lokhu kuholela ekuguqukeni ngokuhlanganyela. Lesi sifo siyasakazeka, sithinta zonke izingxenye zomzimba ezintsha.
Ukwelashwa kwe-gout nesifo sikashukela
Zonke izindlela zokwelapha zokwelapha i-gout in diabetesics zibandakanya: ukondliwa okufanele, ukwelashwa ngezidakamizwa, i-hirudotherapy, i-physiotherapy.
Ukwelashwa ngezidakamizwa
Umuthi wezidakamizwa ze-gout wenziwa ngezigaba ezi-2:
- Imithi okuhloswe ngayo ukuqeda ukuvuvukala: izinhlungu, ubomvu, ukuvuvukala. Isiguli sithatha lezi zimali kuze kube yilapho izinhlungu zisuswa ngokuphelele. Kulesi sigaba, izidakamizwa ezivela esigabeni semithi engeyona ye-steroidal elwa nokuvuvukala imiselwe. Ekuhlaselweni okunzima, izidakamizwa ze-hormonal ezisusa ukuvuvukala zinokwenzeka;
- Imithi isiguli esiyithatha ngaphandle kokuhlaselwa i-gout acute. Isenzo sabo sihlose ukwehlisa inani le-uric acid egazini. Ukunikezwa okufanele kwezidakamizwa nokuhambisana nemiyalelo yezokwelapha kuzokwenza ukuthi kungagcini nje ngokugwema ukubhebhetheka okusha kanye nokubhujiswa kwamajoyina, kodwa futhi kuvikele leyo nkinga njengokuhluleka kwe-renal. I-Allomaron, iTiopurinol, i-Allopurinol yilesi sigaba sezimali.
Ukudla
Ngaphambi kokuqalwa kokwelashwa kwe-gout, ukunamathela ekudleni okhethekile bekuyindlela ukuphela kwendlela yokwelapha. Lapho kunqunywa ukudla okuthile, odokotela bacabanga ngezinto ezinjengokuba khona kwesifo sikashukela esigulini, isisindo somzimba, imvamisa yokuvela kanye nobunzima bokuqunjelwa.
Inani elikhulu lama-purines litholakala kwinyama offal
Umongo wokudla kwabanesifo sikashukela nge-gout unje ngokulandelayo. Ngaphandle kokuhlaselwa, lokhu kudla kufanele kufake okungenani amaprotheni, amafutha, usawoti kanye no-purine. Uma isiguli sikhuluphele, ekudleni kufanele kube yi-hypocaloric.
Inhloso yokudla ukunciphisa i-uric acid futhi iguqule noshukela ngasikhathi sinye:
- imikhawulo yemikhiqizo ye-purine;
- ukuphuza kakhulu;
- ukulawula okuphoqelekile kwesisindo somzimba sesiguli.
Imikhiqizo elandelayo ayivunyelwe:
- usawoti. Inketho enhle ukwenqaba, kepha uma isiguli singeke sikwenze lokhu, sinciphise isikhathi sokudla nsuku zonke ku-6-8 g;
- isibindi;
- umhluzi: inyama nenhlanzi;
- amasoseji;
- i-offal (amaphaphu, izinso);
- izinhlanzi ezinamafutha;
- ukudla okuphezulu kwekhalori;
- izindunduma (ngaphandle kwephizi).
Ukugwema ukwanda ngokweqile kweleveli ye-uric acid, imikhiqizo elandelayo ilinganiselwe:
- inyama. Kuvunyelwe ngenani elincane, okungenawo amafutha, kubilisiwe. Uma kungenakwenzeka ukuqeda ukubonakaliswa kwalesi sifo, le mikhiqizo ikhishwe ngokuphelele ekudleni;
- inhlanzi
- uphizi.
Imikhiqizo enqatshelwe ushukela: zonke izinhlobo zokudla okusemathinini, u-ayisikhilimu, izithelo ezomisiwe (ngaphandle kwama-prun), isipinashi, i-sorrel, ushokoledi, i-confectionery, izithelo namajikijolo ngenkomba ye-glycemic ephezulu.
Ngokuqondene nemikhiqizo evunyelwe, kufanele icebe nge-fiber kanye nama-carbohydrate:
- i-pasta (kusuka kukolweni we-durum);
- okusanhlamvu: i-buckwheat, ukolweni, amabele;
- izithelo ezomisiwe - ama-prunes;
- imifino emisha ebilisiwe: iklabishi, ithanga, utamatisi, ukhukhamba. I-Folic acid emifino isiza i-purine excretion;
- amantongomane (ngamanani amancane);
- imikhiqizo yobisi ebilisiwe ngobuningi obungenamkhawulo ukunxenxa ukuntuleka kwamaprotheni. Ungaphuza ubisi, udle ushizi wekotishi kanye noshizi omnene;
- amaqanda - 1 pc. ngosuku, noma yikuphi ukucubungula;
- kusuka ezitsheni ezimnandi - i-marmalade, i-jelly, uswidi, ama-pastries, aklanyelwe ngokukhethekile abanesifo sikashukela.
Kubalulekile ukugcina umbuso ophuza. Inani lamanzi eliphuzwe ngosuku akufanele libe ngaphansi kwamalitha ama-2. Okuhlukile iziguli ezinezinkinga zezinso. Ukusuka eziphuzweni, umuntu kufanele anikeze ukukhetha i-rosehip decoction, iziphuzo zezithelo ezingenakuthengwa, namanzi amaminerali nge-alkaline reaction.
Izici zokudla okunempilo kweziguli ezikhuluphele
Into esemqoka ukunciphisa inani lama-kilojoule (hhayi angaphezu kwama-30 kcal nge-1 kg yesisindo somzimba).
Ukudla okunama-khalori aphezulu kuholela ekwandeni kokuhlushwa kwama-purine. Kufanele kukhunjulwe ukuthi ukuncipha okubukhali nakho kuyingozi. Ukwehla kwesisindo kufanele kube bushelelezi.
Ukuvinjwa okungalawulwa ekudleni, futhi, ngisho nangaphezulu, ukubulawa yindlala kungaholela ku-ketoacidosis ngemuva kwesifo sikashukela (ukunqwabelana kwama-ketones egazini). Ukwehla kwenani lamandla kwenzeka ngenxa yokuncipha kwenani lemikhiqizo yokubhaka.
Ngokukhuphuka ngokweqile, isiguli sinqunyelwe ukudla koketshezi (okusanhlamvu, imikhiqizo yobisi, ujeli). Isikhathi sokukhulisa, kuyadingeka ukukhipha inyama ngokuphelele, ngoba imikhiqizo ye-purine iholela empilweni engeyinhle.
IHirudotherapy
Nge-gout, umetabolism emajoyintini agulisiwe awuthintekile. Ukwelashwa nge-leech kungenye yezindlela zakudala. Le ndlela isetshenziswa kokubili ekwelapheni i-gout nasekwelapheni isifo sikashukela.
I-Hirudotherapy inqubo engenabuhlungu ngokuphelele enomthelela ekujezisweni kwe-purine metabolism.
Ukwelashwa okufakazelwe kahle i-gout enama-leeches.
Ingqangi yokwelashwa imi kanjena. Ama-leeches amunca igazi ngosawoti we-uric acid. Ngaphezu kwalokho, ama-painkiller atholakala kumathe we-leeches anegalelo ekuvuvukeni okungapheli (amahora we-6 kuya ku-24) kwe-lymph kanye negazi elincane. Ukugeleza kwe-Lymphatic kusuka emanxebeni kuvuselela ama-lymph node ukukhiqiza amaseli okuvikela - ama-lymphocyte.
Umphumela we-hirudotherapy ungokulandelayo:
- wandise ukungatheleleki;
- ukukhuphuka kwegazi kwezicubu kanye namajoyinti athinteka yi-gout;
- ukuvuselelwa kokwakhiwa kwegazi;
- ukwenza ngcono ukusebenza kohlelo lwe-endocrine, kuvumele amazinga kashukela.
Imvamisa enkulu yalezi zinqubo isikhathi esiyi-1 ngeviki. Ngokuya kobunzima besifo, kungenzeka ukusebenzisa kusuka ku-1 kuya ku-20 leeches kuseshini engu-1.
Uma i-gout iyinkimbinkimbi ngohlobo 1 noma isifo sikashukela sohlobo 2, inkambo ejwayelekile yokwelashwa iyizikhathi ezi-5 kuya kwezi-6.
Amavidiyo ahlobene
Mayelana nezimbangela nezindlela zokwelapha i-gout nesifo sikashukela kuvidiyo:
IGout akusona isigwebo, ikakhulukazi njengoba impumelelo yezokwelapha zesimanje ingathola imiphumela ezinzile. Kepha okuningi kuya ngesiguli uqobo, isiyalo sakhe nokuhambisana nemiyalelo kadokotela. Ukwelashwa okufanele kuholela eqinisweni lokuthi ushukela wegazi ujwayelekile, futhi i-gout yesulela isikhathi eside.
