Gouty tophus ndi chizindikiro cha matenda a gout. Ndikotupa kowawa kophatikizana kophatikizana komwe kumachitika chifukwa cha kuchuluka kwa mchere wa uric acid.

Gout ndi matenda omwe amawonetsedwa ndi zotupa zopweteka zomwe zimapezeka mu mgwirizano. Amatchedwa kuukira kwa gout kapena gout. Gout ndi zotsatira za uric acid wambiri m'magazi, kapena hyperuricemia. Komabe, m'modzi mwa anthu 1 aliwonse omwe ali ndi hyperuricaemia ndi amene amayambitsa gout. Izi ndizofunikira, koma sizokwanira kuti matenda ayambe. Zikuwoneka kuti pali gawo lobadwa nalo ku gout.

Zizindikiro zitha kulengeza kuukira kwa gout:

• kumva kulira;
• kusapeza bwino;
• ululu;
• malire a kuyenda;
• kuuma kwa cholumikizira.

Phindu kwa wodwalayo loti athe kuyembekezera zovuta ndizoti athe kuyembekezera chithandizo chake chotsutsana ndi zotupa. Zizindikiro za kulanda palokha ndizofunikira kwambiri:

• kuyamba mwadzidzidzi, nthawi zambiri usiku kapena kupumula;
• kupweteka kwambiri, kutentha pamgwirizano;
• kuwonongeka kwamagulu (nthawi zambiri kumapazi komanso makamaka chala chachikulu);
• olumikizana ofiira, otupa, otentha, ochuluka, owawa kukhudza;
• kutheka ndi kufiira kotheka kwa khungu mozungulira olowa;
• zotheka gouty tophus;
• kutentha thupi ndi kuzizira.

Gouty tophus ndiye chizindikiro cha kuukira kwa gout. Ichi ndi chiwonetsero chazachipatala chosowa. Ndi gawo la uric acid mu mawonekedwe a urate (uric acid salt) pansi pa khungu, wowonekera kuzungulira malo olumikizidwa ndi / kapena pinna wa khutu, zigongono, matayala a Achilles kapena zala. Amawoneka ngati mawonekedwe apansi pakhungu, olimba komanso osasinthasintha. Tofus nthawi zambiri samakhala pachiwopsezo chotenga matenda chifukwa uric acid siyabwino pakukula kwa tizilombo tating'onoting'ono.

Pofufuza gout, adokotala amayang'ana kupezeka kwa tophus. Izi zitha kuwoneka poyesa kuchipatala. Dotolo amathanso kutenga x-ray ya mafupa ndi ziwalo zomwe zakhudzidwa zomwe zitha kuwonetsa zotupa za mafupa kapena zotheka tophi mozungulira olumikizanawo. Tophus amathanso kuzindikirika pakuwunika kwakuthupi ndi x-ray ndikudziwika ndi cholumikizira ultrasound chomwe chikuwonetsa uric acid depositi pa cartilage yolumikizana.

Tophus ndi zotsatira za gout. Matendawa amayamba chifukwa chokhala ndi uric acid wambiri m'magazi. Uric acid mwachilengedwe imapezeka m'magazi koma pamlingo wosakwana 70 mg / lita. Ndi zotsatira za njira zina zoyeretsera thupi. Kenako amachotsedwa ndi impso, yomwe imakhala ngati sefa.

Pali zifukwa ziwiri zomwe zimayambitsa hyperuricemia:

• Hyperproduction wa uric acid (chifukwa cha chakudya cholemera kwambiri mu mapuloteni kapena kuwonongeka kwakukulu kwa maselo);
• kuchepetsa kuchepa kwa impso (chifukwa chofala kwambiri).

Zinthu zotsatirazi zingayambitse gout:

• Kumwa mowa;
• kumwa mopitirira muyeso zakudya zolemera mu mapuloteni ndi mafuta;
• matenda a ketoacidosis pa matenda ashuga;
• kutaya madzi mthupi chifukwa chakulimbikira thupi, kuchepa kwa madzi m'thupi, kusala kudya, ndi zina zambiri;
• zovuta (ngozi, zoopsa, opaleshoni, matenda, ndi zina);
• kumwa mankhwala ena (okodzetsa, aspirin wotsika, kuyamba chithandizo chamankhwala).

Kusiya matendawa osachiritsidwa kumatanthauza kudziwonetsera pachiwopsezo chachikulu cha gout, zomwe zimapweteka kwambiri mgulu lomwe lakhudzidwa.

Nthawi zina, tophus osachiritsidwa amatha kulonda ndi kutulutsa zinthu zoyera. Timalankhula za gout ya tophaceae yomwe imachitika mwa atatu mwa odwala omwe sanalandire chithandizo pasanathe zaka 5 matendawa atayamba.

M'kupita kwanthawi, gout imatha kuyambitsa mavuto amtima ndi impso.

Mankhwala a gout ali ndi zolinga ziwiri:

• kuchitira gout kuukira zikachitika;
• chititsani wodwalayo kwakanthawi kuti muchepetse kugwidwa.

Chithandizo cha kulanda ndicholinga chothana ndi ululu. Iyamba ndi kupumula ndi kuziziritsa zolumikizira zomwe zakhudzidwa. Kenako adotolo amatha kupereka mankhwala osiyanasiyana kuti athetse vutoli: colchicine, anti-inflammatory drug and sometimes corticosteroids.

Cholinga cha chithandizo choyambirira ndikuteteza uric acidemia pofuna kupewa kugwidwa, mapangidwe a tophi, zovuta zamagulu komanso mawonekedwe amiyala ya impso. Gawo loyamba la mankhwala limapangidwa ndikukhazikitsa njira zaukhondo komanso zakudya. Dokotala amatha kukhazikitsa chithandizo chamankhwala.

Mankhwala osiyanasiyana alipo:

• zopezeka;
• febuxostat;
• kufufuza;
• alireza.

Kuti muwone ngati mankhwalawa ndi othandiza, adotolo amayang'anira uric acid wodwalayo kuti atsimikizire kuti imagwera pansi pamtengo kupangitsa kuti mchere wa uric usungunuke.

Gout ndi matenda osachiritsika omwe amafunikira chithandizo chanthawi zonse ndikuwongolera magawo osiyanasiyana, kuphatikiza dokotala, rheumatologist, cardiologist, nephrologist, etc.