Mushure memazana makumi mana mumutumbi, zvirongwa zvemagetsi zvinowedzera kuwedzera, kusanganisira kushandiswa uye kugadziriswa kweuric acid, iyo inowanzowedzera muzviviri zvezvibatanidzwa zvikuru uye zviduku. Iko panguva ino vamwe vakadzi vanoziva kuti gout chii - zviratidzo uye kurapa kwehutano uku kwave kuchizivikanwa kubva panguva yaHippocrates. Zvino yakaonekwa sehosha yeumambo, sezvo chikonzero chikuru chechirwere uku kushandiswa kwemafuta, mapuroteni-richine mapuroteni, zvokudya uye doro.
Zviratidzo zvechirwere chakadai se gout uye kurapwa kwehutano
Izvo hazvina zviratidzo zvepakutanga zvechirwere chinenge chichifungidzirwa, saka kufambira mberi kwayo kunogona kutongwa chete kana arthritis inomuka (acute attack).
Main clinic manifestations:
- kurwadziwa kwakanyanya mune imwechete kana kupfuura, mazhinji (70% ematambudziko) mumusangano we metatarsophalangeal wechigunwe;
- kurira kweainge akabatwa;
- peremia yeganda pamusoro pekubatana, kuwanikwa kwekrismoni kana bluish tinge;
- kuwedzera kunzwisisika munzvimbo yakakanganiswa;
- fever, chills.
Uyewo, gout inobata maitsvo. Zviratidzo zvepfungwa iyi:
- urolithiasis ;
- renal colic;
- glomerulonephritis;
- tubulointerstitial nephritis;
- renal insufficiency.
Chimwe chinhu chinoratidzika chehutachiona ndechekutifusi - dense mutsvuku pamapanga emakumbo, tsoka, maoko, marangi, ane sariti yeurric acid .
Gout therapy inoitwa mumatanho maviri. Chokutanga, kurwiswa kwakanyanya kwechirwere uye kuputira kwemajoini kubviswa, mushure mokunge mishonga inoshandiswa mishonga uye kudzivirira kwekudzoka zvakare kunoitwa.
Kurapa kwekurwa kwegout muvakadzi uye zviratidzo zvayo
Mune nguva yakaoma ye gouty arthritis pane zvakanyanya "kudya-nzara-nzara" inoratidzwa (mishonga yemasvine, kissels, porridges pamusoro pemvura), kunyanya kunwa, zvakanakisisa alkaline mvura.
Nokuda kwekukurumidzirwa kusununguka kwekuputika kwete-steroidal anti-inflammatory drugs inorayirwa:
- Celecoxib;
- Indomethacin;
- Meloksikam;
- Voltaren;
- Ibuprofen;
- Ketoprofen;
- Nimesulide;
- Naproxen;
- Butadiene;
- Movalis;
- Nimulid;
- Homvio-Revnman;
- Celebrex.
Kazhinji kamukira kfupi kahomoni ye glucocorticosteroid, asi kana bedzi kana nzira yakakwana isingabatsiri.
Kurapa kwezviratidzo uye kurwiswa kwakaoma kwegout of the foot, knee uye chiuno chekunyora zvinoda kubata pamubhedha wezororo nekuzorora zvakakwana kwemakumbo kwehuwandu hwemazuva 3-4.
Mushure mokubvisa kuvhuvhuta nekugadzirisa zviratidzo zveArthritis, munhu anogona kuenderera mberi kune chirongwa chechirwere chechirwere.
Kugadzirira kurapwa nekudzivirira zviratidzo zvegout pasina kuwedzera
Chinangwa chikuru chechipiri chechirwere chemishonga ndechekuderedza kushandiswa kweuric acid nemuviri uye kuwedzera maruva ayo kuburikidza neitsvo.
Nechinangwa ichi, zvinodhaka zvinotevera zvinorayirwa:
- Allopurinol;
- Probenecin;
- Colchicine;
- Urodan;
- Alopron;
- Kebuzon;
- Diakarb nevamwe.
Kuiswa kwemajoini uye hutano hutano hunoonekwa mushure memazuva makumi matatu ekurapwa.
Zvakakosha kuziva kuti kudzivirira kunogona kugadziriswazve kwehutano uye kuwedzerwa kwegouty arthritis, munhu anofanira kugara achiomerera kune kudya kunorayirwa nachiremba uye nguva nenguva kutora mishonga yakanyorwa.
Kurapa kwezviratidzo nemigumisiro ye gout kumba
Rheumatologists havana chokwadi nezvekushandiswa kwemishonga isiri yemasikirwo kana yevanhu mukurapa kwegout, sezvo isingashandisi zvakakwana kunyange neine unyoro hwekuvhiringidza muhutano.
Sekuve rubatsiro rubatsiro inobvumirwa kutora mishonga yemakwenzi.
Iropeji yekugadzirisa chikafu
Zvisungo:
- rakapwanyika rakaoma bhazha - 1 teaspoon;
- mvura - 1.5 makapu.
Kugadzirira uye kushandiswa
Birai phytochemicals pamusana wekupisa kwemaminitsi mashanu kusvika ku8. Siyai mhinduro inoputirwa kwemaawa matatu pasina chifukidzo kuti iparidze mafuta ose anokosha. Dzvinyirira mishonga, inomwa muzvikamu zviduku mukati mezuva.