Palibe mankhwala kusiya kulibe pakadali pano. Njira yochiritsira imagwira ntchito pamilingo iwiri. Amafuna:

• à kuthetsa zizindikiro (kuwawa ndi kutupa) kuchokera pachimake kuukira ndi kusokoneza vutoli chifukwa cha anti-inflammatory agents;
• à pewani kubwereza ndi mavuto, m’kupita kwa nthaŵi, kugwiritsira ntchito mankhwala amene amachepetsa mlingo wa uric acid m’mwazi.

Mankhwala ochepetsa ululu komanso kuthana ndi kutupa

Pakachitika zovuta, mankhwala osagwiritsidwa ntchito poletsa kutupa Oral (NSAIDs) amalembedwa, monga ibuprofen (Advil®, Motrin®) kapena naproxen (Naprosyn®, Aleve®, Anaprox®). Iwo amachitapo kanthu mwamsanga.

Ngati nonsteroidal odana ndi kutupa mankhwala alibe mphamvu, m`kamwa mankhwala ndi Colchicine (Colchimax®), itha kuthandiza. Mankhwalawa ali ndi anti-inflammatory and pain-relieving effect. Inali yoyamba kugwiritsidwa ntchito pochiza gout. Kutengedwa kwa nthawi yayitali, kumachepetsanso kuchuluka kwa khunyu. Kumbali inayi, sizilepheretsa kupanga makristasi a uric acid m'magulu. Ogwiritsa ntchito ambiri amakhala ndi nseru, kusanza, kutsekula m'mimba, komanso kutsekula m'mimba. Zotsatira zofunika izi zikufotokozera chifukwa chake colchicine salinso mankhwala oyamba omwe amaperekedwa kuti athetse ululu.

Ngati wodwalayo sanatsitsimutsidwe ndi kale mankhwala, steroidal odana ndi kutupa mankhwala, kapena corticosteroids, akhoza kuperekedwa (mwachitsanzo, prednisone). Amatengedwa pakamwa, m'mapiritsi, kapena jekeseni mumgwirizano wa matenda.

Mankhwala oletsa kuyambiranso komanso zovuta

Mankhwalawa amafuna kuchepetsa uricemia kuteteza kukomoka komanso kuchepetsa chiopsezo cha matenda a impso ndi kuwonongeka kwa mafupa kosatha. Zimagwira ntchito m'njira ziwiri ndipo zimapereka zotsatira zosangalatsa.

Kuonjezera excretion wa uric acid. Mankhwala ena amagwira ntchito pa impso kuti thupi lichotse uric acid wambiri. Kuphatikiza pakuchepetsa kuchuluka kwa uric acid m'magazi, amalepheretsa kuyika kwa makhiristo m'malo olumikizirana mafupa. Mankhwala othandiza kwambiri ndi probenecid (Bénemide ku France, Benuryl ku Canada). Iye ali chosokoneza kwa anthu omwe ali ndi vuto la impso kapena matenda a impso.

Kuchepetsa kupanga uric acid. Allopurinol (Zyloric® ku France, Zyloprim® ku Canada) amachepetsa kuwonongeka kwamagulu komwe kungachitike pakapita nthawi. Kutsika kwakukulu kwa mlingo wa uric acid kumawonedwa patatha maola 24 chiyambireni chithandizo. Zimapitirira ndipo zimabweretsa chiwerengero chokwanira pambuyo pa masabata a 2 a chithandizo. Allopurinol amagwira ntchito poletsa enzyme yomwe imagwira nawo ntchito yopanga uric acid.

Chenjezo. Osayamba kulandira chithandizo ndi allopurinol mpaka chiwopsezo cha gout chitatha. Apo ayi, vutoli likhoza kuyambiranso.

Chakudya panthawi yamavuto

Nawa maupangiri angapo:

• Pewani kumwa mowa kapena kuchepetsa kumwa kamodzi patsiku, ndipo musapitirire zakumwa zitatu pa sabata⁶.
• Ndikwabwino kuletsa kudya nyama, nsomba zam'madzi ndi nsomba, zomwe ndi zakudya zokhala ndi ma purines, makamaka ngati chimodzi mwazakudyazi chadziwika kuti chimayambitsa kugwidwa.
• Pewani kudya zakudya zomwe zili ndi mafuta ambiri⁶.
• Imwani malita 2-3 amadzimadzi patsiku, theka lake liyenera kukhala madzi⁶.

Kusintha kwina kwa zakudya, komwe kumasiyana munthu ndi munthu malinga ndi thanzi, kungakhale kopindulitsa. Ndi bwino kukaonana ndi katswiri wa kadyedwe kuti mudziwe payekha.