Gout chirwere chinokanganisa majozi nekuda kwekuiswa kwechirasi yeUric acid. Chirwere ichi chine ukama hwehuwandu - vanhu vatatu bedzi kunze kwechiuru vangangozviwana.
Inokura kazhinji pashure pemakore makumi mana, uye inobata varume nemadzimai vane nguva yakafanana. Masangano anonyanya kukuvadza ari pazvigunwe.
Pane zvinhu zvakawanda zvinowedzera mukana wekugadzira gout:
- chirwere cheshuga mellitus ;
- hypertension;
- nhaka;
- unalanced nutrition.
Nokudaro, zvinogona kugumiswa kuti gout inowedzera kune avo vane kushayiswa kwezvinhu mumutumbi.
Kuti unzwisise nzira yekurapa gout nemishonga, unofanira kuziva zviratidzo zvayo.
Zviratidzo zveGout
Chirwere chinozviratidza pakarepo, uye chinosangana nekutambudzika kwakanyanya. Murwere anonzwa kupisa mukati memubatanidzwa, uye izvi zvinoitika, sekutonga, usiku. Kunzwa kwekubatana panguva ino kwakanyanya zvokuti kunyange pasi pehutachiona chechiedza, marwadzo anorwadza anogona kukura.
Kurwiswa kunotevera kune nzira yakasiyana-siyana: kusati kwanzwa kupisa uye kurwadziwa kwakanyanya kunoitika , murwere anonzwa kurira kwekunzwa munzvimbo yakabatana .
Kana kusina kurapwa, kugumburwa kunowanzoitika kakawanda, uye chirwere chinokanganisa majoints matsva. Kazhinji, kuregererwa kunokonzera kubata kwetsvo uye urinary tract.
Usati wasarudza mishonga yekurapa gout, zvakakosha kunzwisisa kuti chii chinoitika mumuviri maererano nehosha iyi:
- Inowedzera huwandu hweuric acid muropa.
- Pane kuunganidza uric acid makemikari mumuviri.
- Iyo urinisi yakasanganiswa inoiswa mumatumbu uye nhengo.
- Ita gouty cones uye granulomas kumativi ese.
Kunyatsobvisa gout hazvibviri, asi kunonoka kuderedza hurongwa hwekugadzirisa uye kuraramisa hupenyu kune murwere panguva yekurwisana mune mikana yekurapa kwemazuva ano.
Kurapa kwakanakisisa kune gout
Mishonga inoshandiswa gout pamakumbo uye nedzimwe nhengo dzomuviri ndezvishoma - mashoma mapoka emishonga.
Mishonga inoshandiswa panguva yekurwisa
Saka, mushonga wokutanga weGout ndiColchicine, iyo inokanganisa kushandiswa kweuric acid. Iyi inoratidzira-inopikisa anti-gout mishonga inobva pa cesspool. Iyo inoderedza marwadzo uye ine anoregesic effect, uye inoitawo kuderedza kubuda kweeukocytes kunzvimbo inobatwa, inhibisa kuumbwa kwe microcrystals ye uric acid uye inodzivirira kuiswa kwayo mumasukisi. Nokudaro, chirwere chacho hachitauri kungozvidzivirira - chinotarisirwa kurapwa, asiwo chimiro, nemhaka yekurwisa-kupisa simba uye anesthesia.
Mishonga haikwanise kushandiswa kureva kudarika uye kushaya simba. Kana yakatorwa kwenguva yakareba, ipapo pane dambudziko re leukopenia uye anemia.
Mhedziso yemishonga inowanikwa mumaawa gumi nemaviri mushure mekunge vapindirwa, kunze kwekuti inotorwa pakutanga kwekurwa. Kana iyo ikatanga kutorwa nguva pfupi, hakuzovi nemugumisiro wakanaka kubva mukurapa, kana kuti ichange isingaoneki. Mishonga inoshanda mune 90% emhosva.
Pakati pemishonga yemazuva ano ye gout - NSAID inoreva. Muzviitiko izvi, mapoka maviri emishonga anoshandiswa zvikuru:
- pyrazolone - Reopyrin, Butadion, Phenylbutazone, Ketazol;
- Indole - Indomethacin, Metindol.
Iyi mishonga mitsva ye gout panguva yekugumburwa inobvumirwa zviri nani kupfuura Colchicine, uyewo inopa zvakanyanya kufanirwa kurapa.
Voltaren inowanzoshandiswa kumira gout kurwisa. Nhamba yekutanga inotyisidzika, iyo 200 mg pazuva, uye iyo inorayirwa mune zvishoma - 150 mg pazuva.
Mishonga iyi yose yakagadzirirwa kubata zvirwere. Nokuda kwekurapa kwekusingaperi mushure mishonga inotevera inoshandiswa.
Mishonga yegout kwenguva refu
Nokushandisa kwenguva yakareba, mushonga we allopurinol gout wakakodzera. Inotarirwa kuderedza huwandu hweUric acid muropa remazi uye inosunungurwa mumapiritsi e1 0.1 uye 0.3 g.
Kurapa kunotanga mudiki madhagi kuti urege kuwedzera kuwedzera kwechirwere uye kudzivirira kutarisa kwemaitiro. Mishonga haigamuchirwi panguva yekurwisana - isati yatora Allopurinol
Mukuwedzera kune Allopurinol, mifananidzo inotevera inogona kushandiswawo pakurapa:
- Thiopurinol;
- Probenecid;
- Anturan;
- Benzobromarone;
- Hypuric;
- Losartan.