Ukwahlukana okukhoyo kwipesenti zokugqibela - ngulokho okwenza umntu ngamnye ahluke. Kwezinye iimeko, ukuvavanya iimpawu ezizuzekileyo zabazali kunye nezinye izihlobo kunokuxela ukuba yeyiphi na isifo esiya kuba sesinokwenzeka. Kucingelwa ukuba umntwana uya kuba nofana nofana nabazali bakhe, oko kukuthi, banokuphakama okufanayo kunye nomzimba kwaye, kwiimeko ezininzi, unemibala efanayo yembala nokubonakala. Kukho iziganeko ezininzi ezinokuthi abantwana bazuze ilifa kubazali bakhe, kuquka neetalente okanye izakhono kwiindawo ezahlukeneyo kunye neempawu zomzimba. Ngomntu, umngcipheko wesifo somzimba ungamaxesha angaphezulu kwama-8 aphezulu kunokuba ngabafazi ababengakabikho kwesi sifo. Ubudala obuqhelekileyo bokuhlaselwa kokuqala luvela kwiminyaka engama-30 ukuya kuma-60. Ezinye izinto ezinobungozi:
• Ukusetyenziswa kakhulu kotywala. Ngokwalo, utywala awubangele i-gout, kodwa kubangela ukugqithisa kwezigulane.
• Ukutya okuphezulu kwiprotheni.
• Uhlanga - umzekelo, kwi-Maori nasePolynesia, izinga le-uric acid egazini ekuqaleni liphezulu kunelobanye abantu, ngoko banokuthi banelungelo lokungena.
• Ukunyanya.
• Izifo ezibangela izinga eliphezulu lokuhlaziya iseli, njenge-erythremia (ukunyuswa kwengxube ye-erythrocyte), kunye ne-lymphomas nezinye i-cancer.
• Ubuninzi be-gout kwimbali yentsapho.
• Ukuthabatha i-diuretics okanye amancinci amancinci e-salicylic acid derivatives.
• Izifo zesifo.
Abantu abaphethwe yi-gout banomngcipheko ophuculweyo wokuphucula i-lipid imetabolism ne-blood pressure. Kwi-25% yezigulane, nangaphambi kokuhlaselwa kokuqala kwe-gout, kukho iimeko ze-renal colic ezibandakanyeka nokufakela i-uric acid crystals ezintso. Ngehlaselo olubi lwe-gout kwi-in vitro depostic articular, i-non-steroidal anti-inflammatory drugs (NSAIDs) iphumelele kakhulu. Bamele banikwe ngamanani aphakamileyo kumazinga okuqala okuhlaselwa; Uninzi lwabantu abagulayo bayazigcina zikhona. Kulabo abangenako ukuthatha ii-NSAID, esinye sezidakamizwa ezaziwa kakhulu kunazo zonke - i-colchicine ihlala.
Iingxaki
Iingxaki eziphambili ze-colchicin ziyinkalo ephantsi kakhulu yempembelelo yokwelapha kunye nomngcipheko omkhulu wemiphumo emibi. Ii-SAs ezisekelwe kwiziphumo ze-salicylic acid ezisezantsi amanani amancinci akhula umbhobho, kwaye nangona kumanqanaba amakhulu asebenzayo ngokuchasene nesi sifo, kubonakala ukuba ukusebenzisa kwabo kusagcinwa. Ngokudlulileyo, ukusetyenziswa okuphambili kwe-allopurinol, isilwanyana esasetyenziswa ngokubanzi ukukhusela ukugonywa kunye ne-gout, inokubangela ukuba ihlase i-articular. Ukuxilongwa kwe-gout kwenziwa ngesiseko sempawu zeklinikhi, ubukho kwimbali yesigulane kwizinto eziphambili kunye nokuhlolwa kwegazi malunga nomxholo we-uric acid. Ukuba kukho ukungathandabuzeki, ukuxilongwa kungaqinisekiswa ngokufunyanwa kweekristasi ze-urate ze-urate kwisampuli se-synovial. Kwi-gout engapheliyo, amalunga angatshatyalaliswa, kwaye uvavanyo lwe-X luza kubonisa utshintsho oluthile. Ukongezelela, ukuvuthwa kufakwa kwiishubhu ngendlela yeengqungquthela eziqhelekileyo ezibonakalayo ezizungeze amajoyina, iingxowa ze-articular, iigobolon zeton and ear shells ear shells.
Ukuxilongwa ngokubanzi
Ukuhlaselwa ngokukhawuleza kunokuhlala kwiiyure eziliqela ukuya kwiiveki ezimbalwa. I-gout ephazamisayo isoloko ifana nesifo se-arthritis, kwaye i-hospitalization ingafuneka ukuba ingabandakanyi izifo ezibi kakhulu. Ngokufanayo, ukuvutha kwamathambo kunokuqala nge-monoarthritis efana ne-gout. Ukwandisa izinga le-uric acid ngokwalo akufanele libe sisiseko sonyango lweziyobisi. Uninzi lwezigulane ezinezinga eliphezulu ze-uric ebudeni bobubomi babo aziyi kubona nayiphi na impawu. Kuphela abanye babo baya kuba neengxaki zokuhlala. Kodwa nakwezinye iimeko, ukuthatha amanani aphezulu ama-NSAID kwaye emva kokutya kunye nezinye iindlela zokulondoloza kuya kuba luncedo kunokuba unyango olukhuselekileyo lobomi. Kuyinto enqwenelekayo ukuphepha ukutya kunye nomxholo ophezulu we-purines, ukunyanzelisa amanzi, ngokukodwa kwimozulu eshushu, kunye nokusebenza okungaqhelekanga.
I-Diuretics kunye ne-acetylsalicylic acid kwiqondo eliphantsi kufuneka lilawulwe ngononophelo. Ukunyangwa kweziyobisi kufuneka kukhutshwe kuphela kwizigulane ezisengozini enkulu yokuphucula imiphumo emide yentsholongwane, njenge-arthritis okanye ingxaki engaqhelekanga yezifo ezingasigxina. Ngokuqhelekileyo ezi zigulane ezincinane ezinezinga eliphezulu le-uric acid egazini, abantu abanomdla ongapheliyo okanye ukuhlaselwa rhoqo, kunye nabantu abaneentsholongwane zesifo. Esinye sezidakamizwa ezikhuselekileyo kakhulu zi-allopurinol. Isebenza kakuhle kwaye ikhuselekile nokuba isebenzise ixesha elide. Nangona kunjalo, ezinye izigulane zikhalaza ngokukhawuleza, kodwa emva kokuyeka isicatshulwa, iyalala. Isilwanyana sivimbela i-enzyme xanthine oxidase, eguqula i-xanthine kwi-uric acid. Ezinye izidakamizwa zeprolactic yi probenecid kunye ne-sulfin-pyrazone, eyandisa ukwanda kwe-uric acid ngeentso. I-Gout isifo esiqhelekileyo esichaphazela malunga ne-1% yabemi. Iyabangela intlungu ebuhlungu. Ngaphambili, lahlala "lilungelo" leemeko eziphakamileyo zoluntu, abameli babo babedla ukutya okucebileyo kwi-purines kwaye obomi babo babethatyathwa ngetyhefu ngokukhawuleza kunye nokutshatyalaliswa kwamalungu. Namhlanje, iintlungu ezibangelwa sisi sifo zingaphathwa ngempumelelo ngezilwanyana ezichasayo, ngaphezu koko, ukuhlaselwa ngokugqithiseleyo kunokuthintelwa kunye neziyobisi ezinciphisa izinga le-uric acid egazini.