Hippocrates zvakare akataura chirwere chakadai gout - zviratidzo uye kurapwa kwevakadzi nevarume vaakatsanangura mumabasa ake, vachicherechedza kuchinja kwehutakiti maviri ezvinyorwa zvechigunwe chikuru. Uye muchigumisiro chekupedzisira, zvakagumiswa kuti ichi chirwere chisingagumi chinotungamirira kukuvhiringidzwa kwemasabetism uye kukuvadza kune nhengo dzomukati.
Zvinokonzera gout muvakadzi
Nekuda kupindura mibvunzo pamusoro peiyo gout, chii zviratidzo uye kurapa kwevakadzi, mumwe anofanira kunzwisisa chinokonzera chirwere. Muvanhu iyo inonzi chirwere chevatongi uye madzimambo, nokuti kazhinji inowanzobva kushandiswa kusinganzwisisiki kwezvokudya nezvinodhaka zvinokuvadza. Mumamiriro ezvinhu akadaro, urate salts (uric acid) inoiswa uye inounganidza muzvikamu.
Parizvino, gout haigoni. Inobata vanhu vatatu kubva kune 1000. Madzimai, chirwere ichi chinoratidzika mushure mokutanga kwekumera (mumakore gumi nematanhatu). Kusvikira panguva ino, vamiririri vehutano hwakanaka kubva mumamiriro ezvinhu akaoma vanochengeta estrogen, iyo inobvisa uric acid kubva mumuviri. Kunokonzera kukurudzira kuita zvepfungwa uye kubatsira kubvisa matarenda akavanzika.
Apo kuongororwa kwegout kunoitwa, zvikonzero zvinogona kunge zvakadai:
- itsvo hadzina nguva yekutarisana nehuwandu hweuric acid ;
- urate salts inokandwa kunze kwemiganhu inogamuchirwa, asi itsvo haigoni kuvhiringidza.
Kukonzera chirwere chinogona:
- chirwere cheshuga mellitus;
- zvirwere zvinotapukira uye zvinopisa;
- hormonal failure .
Kuongorora zvinhu zvinowanzoitika kune gout kuvakadzi, kunyange pazera duku ndevokuti:
- zvirwere zvepfungwa ;
- Kunyanya kudya;
- hutano.
Zviratidzo zvegout muvakadzi
Zviratidzo zvechirwere zvinoratidzwa mukurwisa kwegouty arthritis , ndiko kuputika kwekubatana. Kurwiswa kunorwadza kamwe kamwe kunonzwiwa nevakadzi usiku kana mangwanani-ngwanani. Nzvimbo yakagadzikana ichave:
- svetuka;
- shiny;
- blush;
- kunzwa uchipisa.
Pakati pezuva, zviratidzo zvichange zvisingaoneki, uye usiku huchawedzera zvakare. Apo zviratidzo zvehutano zvegout zvinogona kupera kubva pa3 kusvika kune mazuva manomwe, dzimwe nguva kwenguva refu. Pakurwisana kunotevera mune zvinorwadza, dzimwe nhengo dzingave dzakabatanidzwa, izvo zvinotungamirira pakuparadzwa kwavo zvishoma. Munzvimbo yezvipembenene, kunze kwegungwa (tofus) inoumbwa, iyo inowanzoputika. Muchiitiko ichi, munhu wacho achaona mashizha akachena eurate.
Kana uchitaridzwa ne gout, zviratidzo uye kurapwa kune vakadzi zvinotarisana nehuwandu hwechirwere ichi:
- Chikamu chekutanga - munyaya iyi hapana chekuchinja kwekunze, asi uwandu hweuric acid mumuviri hunowedzera kuwedzera. Mukadzi ari munyaya iyi anogona kunzwa marwadzo mumimba uye manhengo, chido chokudzora, ane usuru.
- Chikamu chechipiri chinoratidzwa nekurwiswa kwakaoma. Varwere vanokura kushaya simba, kuora mwoyo uye chills. Mushure mevhiki, zviratidzo zvinopera, uye hutano hunojairika.
- Chechitatu - mumamiriro ezvinhu aya, mukadzi haana kugumburwa, anonzwa zvakanaka, asi kunyarara kunogona kuva nengozi. Nhamba yeurate kakawanda inodarika chimiro uye inoramba ichiunganidza mumuviri.
- Chikamu chekupedzisira - chava kutopinda muchimiro chisingaverengeki, uye maumbirwe e nodular anoonekwa kwete muzvibatanidzi chete, asiwo mumatoni. Kana dambudziko racho risina kutanga nokukurumidza, zvino migumisiro inogona kuva yengozi.
Gout pamaoko
Mune chirwere chisingagumi, mukadzi anogona kunzwa kurwadziwa kwakanyanya mumashure ane maitiro asingaoneki. Kana pane chirwere chegout, zviratidzo zvinoratidzwa nenzira yezvokuvhiringidza, izvo zvinodzivisa vamiririri vevakadzi vasina simba kuti vatungamirire hupenyu hwakakwana. Munguva yekuwedzerwa kwekushisa kwemuviri kunokwira kusvika kune 39-40 degrees, uye painkillers haauyisi zororo.
Gout pamakumbo
Ichi chirwere chinowanzoonekwa pamakumbo. Nekurwa kwega kwega kwekunzwa nekuputika kunopera, asi kubatana kunorasikirwa nekufamba. Kana panguva yekutenderera iwe unonzwa kuoma, zvino ziva kuti kusakanganiswa kwekushandura kwakatanga. Tangi inotanga kuumba netsoka, mabvi, chidzitiro kana pachigunwe, uye ipapo ichakura mumuviri wose, ichirova maoko kumusoro uye nenzeve. Kuvhiringidza kunokonzera kukonzera renal colic, izvo zvinogona kutungamirira kuhutu hunouraya.
Gout - nzira yekurapa sei?
Asati atanga kurapwa kwegout kuvakadzi, chiremba anokurudzira kuongorora kwakakwana, kusanganisira:
- ultrasound exam;
- ropa uye urini kuongororwa;
- electrocardiogram;
- magnetic resonance imaging.
Kurapa kwechirwere ichi ndirheumatologist. Kana pane kukanganisa kwekufamba kwemajoini, unogona kubvunza nyanzvi. Kusarudza mishonga pakurwisa kwakanyanya, varwere vari muchipatara. Muchipatara pane 2 zvikamu zvikuru:
- kukanganiswa kwekuwedzera;
- normalization ye metabolism.
Zvingaita here kurapa gout nokusingaperi?
Kuti apindure mubvunzo unozivikanwa wevarwere pamusoro pekuti zvinokwanisika kurapa gout zvakakwana, zvakakosha kuziva kuti chirwere chechirwere chevakadzi chakagadzirwa sei panguva ino. Muchikamu chekutanga, mamiriro acho anogona kuchinjwa zvakanyanya, kana iwe uchitevera kudya kwakatemwa, enda nenzira yekurapa uye utungamirire mararamiro akanaka. Muchiitiko chisina hanya, nyanzvi inogona kuita kuti mamiriro emurwere agadzikane uye kuderedza nhamba yehuta.
Kurwisa kweGout - chii chaunofanira kuita?
Kana ukawana gout attack, haugoni kubvisa pakarepo kurwadziwa, iwe unogona kuderedza kushanda kwawo. Apo varwere vanotanga kunzwa kunzwa kwekutanga zviratidzo zvekuwedzera, vanoda:
- Isa sechando (mvura inotonhorera) kana kuomesa namafuta (Dimexid, Vishnevsky) kunzvimbo yakaoma.
- Isa mutsago pasi pechitsime chakavhiringidza.
- Shandisa zvinenge 2 malita emvura (mineral water, jelly kana mukaka).
- Chengetedza kudya kunosanganisira zviyo zvakasvibira uye zvinomera zvemiti.
- Tsvaga mazano ekurapwa.
Kugadzirira gout
Iwe unogona kutora mushonga wegout chete mushure mekunge uchitaura kune imwe nyanzvi uyo anopa chirongwa chezvinodhaka, achifunga:
- age;
- stage;
- zvikamu zvehupenyu;
- anamnesis.
Kurapa kunosanganisira zvishoma zvishanu zvakasiyana-siyana, uye iyo inotarisirwa kwemavhiki matatu kusvika matanhatu. Therapy inosanganisira:
- NSAIDs ( kwete-steroidal anti-inflammatory drugs ) - dzinogadzirisa manzwiro anorwadza (Metindol, Ibuprom, Voltaren);
- Urikozuric mishonga ine gout - kuderedza kuwanda kweuric acid (Anturan, Ketason, Butadion);
- Corticosteroid hormone - inhibit chirwere uye inosunungurwa nenzira yejojo uye mahwendefa (Prednisolone, Triamcinolone, Dexamethasone).
Hirudotherapy ye gout
Kuwedzerwa kurapwa kwezvinangwa zvikuru kunogona kuva hirudotherapy. Mucheka uye gout inonwisa neropa uye uric acid. Dzidzo yacho inotora masangano mashanu kusvika ku6 uye inoenderana nehutano hwemuviri wako. Salivha ye-annelid minye inovandudza metabolism, inobvisa slags, inoparadzanisa maviri uye inowedzera kupararira kweropa. Usati washandisa iyo, bvunza chiremba wako.
Gout - kurapwa nemishonga yevanhu
Kuti vagadzirise chirwere chavo nechirwere chakadai gout, kurapwa kumba kunogona kusanganisira:
- kufungisisa;
- kunonoka;
- massage.
Kurapa kwe gout nemhando dzevanhu kunosanganisira nzira dzakadai se:
- kununurwa kunorwadza ne iodine, iyo inofanira kunge yakanyungudutswa nekubika soda mumvura inodziya uye inoshandiswa kunzvimbo inopisa;
- urin therapy - mairi zvakakosha kusimudzira vashandi zuva rega rega;
- kushandiswa kwe decoction ye cowberries;
- Kumanikidzwa kwewaini yewainiki uye ivhu rakatsvuka;
- Kurapa kwezvibatanidzwa zvakagadzikana nechisanganiswa cheApirin neododhi.
Nutrition ye gout
Dietary menu ye gout ndeimwe yenzira dzokurapa. Zvakakosha kudya zvikamu zviduku 4-5 pazuva uye kunwa kusvika 3 litita emvura pazuva. Kutsanya nehosha iyi kwakarambidzwa zvakasimba, nokuti kunogona kutungamirira kukuwedzera kwakanyanya kweUric acid uye kusanganiswa neropa. Kuparadza chero doro kunodhaka kusingadiwi, uye waini tsvuku inorambidzwa.
Varwere havafaniri kubvisa kubva pakudya kwavo:
- munyu;
- condiments;
- chiropa;
- itsvo;
- sorele;
- radish;
- nyemba.
- michero mitsva (kunyanya michero yakakosha) uye miriwo (garlic, mbatatisi, beet, eggplants nezvimwe zvakadaro);
- mazai;
- chichena chiya nyama;
- seafood;
- nuts uye mbeu;
- Bhabheri Zvigadzirwa kubva muzviyo zvakakwana, rye nehupfu hwakachena;
- yakabikwa mukaka michina;
- vegetarian soups.
Gout uye zvinetso zvaro
Kana iwe uine imwe yakanyanya kuwedzerwa gout, iwe unofanirwa kuziva kuti chirwere ichi chine matambudziko makuru. Inonyanya kuipa kwavari ndeyikuti:
- Kudzokorora zvakare - mukadzi anogona kunzwa manzwiro anorwadza kakawanda pagore. Izvi zvinokonzerwa nokusapindirana nekudya uye kudzivirira.
- Kukundwa kwenhamba yakawanda yenhengo nemutumbi , iyo inoumbwa munhengo dzomukati. Izvozvo zvekupedzisira zvakaoma kwazvo kuona, saka hazvigoni kuporesa.
- Kuonekwa kweeiyo matombo. Uric acid inowedzera mukati mavo uye kuratidzira zvirwere zvinogadzirwa. Muchikwata chepamusoro, nhengo dzomukati dzomukati dzinotanga kukanganisa nekuoma. Varwere vanogona kurasikirwa nekliniki yekufa.