Gout chirwere chinosangana nekuchinja kwechirwere muzvikamu. Chinokonzera gout ndeyepamusoro ye uric acid. Nehutachiona hunoratidzwa nekurwadziwa kwakanyanya muzvibatanidza (kazhinji kacho mune imwe yezvigunwe zvikuru), kubwinya uye kuzvimba kweganda munzvimbo yakakanganiswa. Kana chirwere ichi chisina kubatwa, ipapo kuputika kwemapfupa kunoumbwa. Mubvunzo wekubvisa uric acid kubva mumuviri, uye izvo zvinodhaka zvinokonzera kubvisa kukwana kwakanyanya kwerati muropa, zvinogadziriswa nekufungisisa etiology yechirwere.
Ongororo yemishonga yekurapa gout, exreting uric acid
Ne gout, kudya kunobatsira kuderedza purines inokurudzirwa, asi uric acid haigone kubviswa nekubatsira kwekudya kwakakodzera. Muchirevo ichi, apo kuratidzira zviratidzo zvechirwere, zvinotenderwa kusangana nemumwe nyanzvi. Kubva pamarabhoreti anoedza murwere wemurwere, chiremba anorayira kurapa kwakakodzera. Nokurapa gout, 2 mishonga yemishonga inoshandiswa:
- zvinodhaka zvinokonzera uric acid kubva mumuviri;
- zvinodhaka zvinoderedza huwandu hweuric acid mumatumbu emisungo uye mapfundo.
Zvadaro, tichakurukura zvakanyanyisa mishonga inobvisa uric acid kubva mumuviri.
Probenecid (Probenecid)
Probenecid imwe yemishonga inonyanya kushandiswa yegoutti iyo inowedzera uric acid. Iyo mishonga inovhara kudzoka kwekugarisa kweuric acid mu tubules yeitsvo, nokudaro kuwedzera kushandiswa kwayo. Muhupenyu husingaperi hwechirwere ichi, chirwere chekutanga chinotanga 250 mg nehutungamiri kaviri pazuva. Mushure memavhiki, chirwere chacho chinowanzowedzerwa kusvika 500 mg uye kudya kwemaawa maviri pazuva. Mukana wekushaya kukwana kwehutachiona hwehutachiona, kuyerwa kunogona kuwedzerwa, asi kunofanirwa kutakurwa mupfungwa kuti kuwandisa kwemazuva ose hakuiti kudarika 2 g.Probenecid ndeyekugadzirira maitiro akawanda. Mukushayikwa kwekurwadza kwema gouty kwemwedzi mitanhatu, kana kuwedzera kuwanda kwekurota kwakakosha, muyero unoita zvishoma nezvishoma.
Blemaren
Imwe nzira yakagadziriswa yekurapa gout ndiBlamaren. Iyo mishonga inogadzirisisa metabolism, inogadzirisa muviri, uye uric acid matombo zvishoma nezvishoma kupera. Chimwe chinonyanya kukosha ndechekuti Blamaren haipindi kukanganisa kushanda kwetsvo uye chiropa, nekuda kwekuti mushonga wacho unogona kutorwa pasina ngozi kune hutano hwevakadzi vane pamuviri uye vanokanganisa. Nhamba yezuva nezuva mapiritsi 2 - 6. Nguva yekurapa - kusvika kumwedzi 6. Usati watora mahwendefa akanyanya kupera mugirazi remvura. Inogona kuva mineral water, juice yemichero, compote kana chai.
Allopurinol (Allopurinol)
Allopurinol - chirwere chinokanganisa kutanga kweUric acid , kuderedza kusarudzwa kwaro mumvura yemuviri, kusanganisira mumuguta. Chiremba anosarudza kuyerwa kwemishonga mumwe nomumwe, achifunga nezvekuoma kwechirwere chacho. Nhamba yezuva reAllopurinol inogona kubva pa100 mg kusvika 900 mg. Kuwanda kwekugamuchira - 2-4 dzimwe nguva pazuva
Tinotarisira mashoko pamusoro pemishonga inodzingwa kubva mumuviri weric uric acid, ichave yakakosha kana une gout muchikamu chisingaiti. Yeuka kuti hazvibviri kubvisa uric acid muchiitiko icho zviratidzo zvechirwere zvatove zviri pachena.