Gout chirwere chisingagumi, chinokanganisa chakawanikwa kunyange pasi peHippocrates. Somugumisiro wekuvhiringidzwa kwe purine metabolism, uric acid munyu inowedzera uye inowanikwa mumasukisi akabatanidzwa uye pedyo navo. Nemhaka yeizvi, kupisa kunotanga uye kurapwa kwegout kunodiwa munguva yekuwedzera. Chirwere chacho chinokonzera kuora kwemajoini. Asi chinhu chinonyanya kufadza ndechokuti chiratidzo chacho chinosangana nekutambudzika kukuru.
Kurapa kwe gout nekuwedzerwa kumba
Kuti ubvise zvose zviratidzo zvechirwere, haufaniri kuenda kuchipatara. Kuti uite rubatsiro rwekurapa, mushure mekunge uchatarirwa neanyanzvi, zvinogona uye mumamiriro ezvinhu epamba. Therapy ine zvikamu zviviri zvikuru:
- kusunungurwa kwekurwisa munguva yekuwedzera;
- kudzivirira kuchengetedza kudengenyeka.
Gout yakaoma kwazvo chirwere zvokuti hazvibviri kurarama nayo pakarepo, nhamo. Uye chirevo che "kusunga kurwisa" hazvirevi kuponesa kwekanguva kubva pakurwadziwa, asi kuderedzwa munguva yekunzwa kunorwadza. Kana iwe usingaiti chinhu zvachose, zviratidzo zvingasazopera kwemavhiki maviri kusvika matatu. Mushonga wegout nekuwedzera kwekumba kumba uchaderedza nguva iyi kusvika kwemazuva maviri kana matatu.
Murwere anofanira kugara achizorora pamubhedha. Mhedziso inotambura nechirwere ichi kazhinji. Vanofanirwa kuchengetwa munzvimbo yakakwirira kwenguva yekurapa. Kuti uite izvi, iwe unogona kungoisa mutsami pasi pesimba kana gumbo.
Zvakawanda hazvibvumirwi. Kudya kwevarwere kunofanira kunge kwakanyanyiswa. Siya mairi mvura porridges uye light broths. Mvura - zvichida imwe inosanganisira alkali: oat broth, mvura yemvura kana mvura yakachena yakachena nemvura yemonamu, mukaka, jelly chaiyo - inofanira kupedzwa kupfuura.
Kurapa gout kuwedzera pamusoro pezvigunwe zvikuru, ruoko kana chimwe chekubatana, kwete-steroidal anti-inflammatory drugs zvinowanzoshandiswa - Indomethacin, Nimesulide , Diclofenac kana Movalis. Zvipembenene zvinokonzera vane chirwere chakadai gout, kazhinji hachishande zvakanaka. Inwa NSAIDs kusvikira kurwisa kusingapfuuri.
Rheumatologists inogonawo kuronga mishonga inotevera yekurapa gout panguva yekuwedzera:
- Colchicine. Iyi alkaloid haibvumi kuti granulocyte iparadzaniswe pamasero emasero, inopesana nekutama kwe leukocytes, uye inodzivirira mishonga yeUric acid kuti irege kumira pamashizha akabatanidzwa. Unofanirwa kuinwa mumaawa gumi nemaviri mushure mokutanga kwekurwisa - mushonga unoshandiswa pakubatsira nokukurumidza.
- Cortisone, prednisolone uye mamwe glucocorticoids. Mishonga yakadaro yakakurumidza kusimbisa kupisa, asi panguva imwechete iyo inorohwa nehutachiona.
Kuchengetedza mishonga ne gout munguva yekuwedzera
Pane mazano akawanda anozobatsira kudzivisa kurapwa kwemishonga kwegout panguva yekuwedzera:
- Murwere anofanira kuva nemutoro wepamusoro pamajoini.
- Varwere vane gout havafaniri kusvuta, kunwa doro, kushungurudza caffeine uye soda.
- Zvakakosha kugovera nguva yekuita basa rekuita nguva dzose nekudzivirira kuyerwa.
- Pazuva rinofanira kuva nechokwadi chekumwa marita maviri emvura yakachena.
- Zvakakosha kutevera kudya. Iwe haugoni kudya nyama yakasviba nehove, zvinonhuwira, mazambiringa uye zvigadzirwa zvayo, marumusi, mafuta, mafuta. Uye michero yakaomeswa, mazai, huku, hove yakachena, nutswa, miriwo muzvokudya inofanira kuwedzerwa kunopesana.
Pamitemo yekodzero yekurapa gout nekuwedzera, mabhati ekudziya ne iodine uye soda anoonekwa sekanakisisa. Mavari, sangano rinofanira kuchengetwa kwemaminitsi makumi maviri. Uye mushure mekunge ichigadzirwa ne lugol uye yakaputirwa usiku.