Gout chirwere umo, nemhaka yekushungurudzika kwemagetsi mumasikisi akasiyana emuviri, inokonzera (uric acid salts) inotanga kuunganidza, ichikonzera kuputira maitiro ikoko. Iso netsvo zvinoshungurudzika zvakanyanya (chigunwe chetsoka chinowanzoitika). Muchikamu chekutanga, chirwere chacho chiri nyore kubata, saka zvakakosha kuziva zviratidzo zvokutanga zvegout.
Nzira yekuziva gout?
Pane zvikamu zvina zvechirwere, izvo zvinoratidzirwa nehutano hwakasiyana-siyana. Chimbofunga zviratidzo zvikuru zvehuti muvakadzi pane imwe nhanho.
Asymptomatic hyperuricemia
Somugumisiro wekukurumidza kuumbwa mumuviri weUric acid, zviri mukati maro zvinobuda muropa. Izvi zvinogona kukonzerwa nekubatanidzwa kwe purine mumasabolism, kusina simba rekuita basa kana kuwedzera fructose muzvokudya. Hakuna kliniki zviratidzo zvechirwere chiri pano.
Acute gouty arthritis
Chiratidzo chekutanga chechirwere chegout chirwere chinorwisa arthritis (kakawanda pamakumbo). Iyo inowedzera kazhinji mushure mekuramba uye kwenguva yakareba hyperuricemia. Kutanga kurwisa kwemazuva 1 - 2 kunogona kuva zviratidzo zvinotevera:
- general malaise;
- kutya;
- kugona ;
- indigestion.
Semutemo, metatarsophalangeal joint of the first toe is affected, less often - knee, ankle or foot foot. Iko kunopinza, kunetseka kusinganzwisisiki mubato, iyo inokura nekukurumidza uye isingagadziriswi. Kurwisana kunowanzoitika usiku kana mangwanani. Zviratidzo zvinotevera zvinogonawo kuitika:
- kuzvirumbidza munzvimbo yekubatana kwakagadziriswa;
- kukanganisa kwekufamba mubatanidzwa;
- ruvara rweganda munzvimbo yakakanganiswa (yakateverwa ne-dequamation);
- kuwedzera kwekushisa kwemuviri;
- chills;
- kuwedzera kutuka;
- tachycardia ;
- kuwedzerwa kweropa.
Zviratidzo izvi zvinodzokorora zvachose mumazuva mashomanana kana masvondo.
Intercritical period
Mushure mokutanga kurwisa kwekubatana (kurwisa), pane kazhinji nguva yakareba ye "hupenyu hwakakwana" - kubva pamwedzi yakawanda kusvikira kune makore akawanda. Nhengo dzekubatana dzakadzorerwa zvachose, uye munhu anorwara anogona kunzwa akanakisisa.
Mune ramangwana, kurwiswa kwakaoma kunodzokororwa panguva dzakasiyana-siyana, kutora kuwedzera kwenhengo dzezasi nepamusoro. Nokufamba kwenguva, nguva dzinoshandiswa mukati dzinova shoma.
Gouty inopera inowira muzvibatanidza
Iyi nhanho inoratidzwa nekuumbwa kwegouty pamwe chete nekuchinja kweimpempa. Kune miviri miviri yenyoka yekukuvara:
- Urinary nephropathy - inoratidzwa nekusavapo kusingagumi mumugina wemapuroteni, leukocytes, pamwe nehutachiona.
- Kuumbwa kwematombo emuurate semugumisiro wemvura yakakura yeurric acid mumutambo wehutsva hwetsvo uye ureters; izvi zvinogona kukonzera kukundikana kwemazino.
Kuchinja kwemajoini kunoitika semugumisiro wekuparadzwa kwetikititi uye nzvimbo dzepamusoro, pamwe nekupindira neurate
X-ray zviratidzo zvehutano hwegout
Zvimwe zvakajeka X-ray zviratidzo zvechirwere zvinogona kuonekwa zvisati zvamboitika makore mashanu mushure mokutanga kwechirwere. Iyi nzira haisati yashandiswa kuti utange kuongororwa, asi kungotarisa zvinokonzera gout risingagumi pamasangano.