Kusiyana kunowanikwa mumapato ekupedzisira - izvi ndizvo zvinoita kuti munhu mumwe nomumwe ave akaenzana. Mune zvimwe zviitiko, kuongorora maitiro evakaberekwa nevabereki nedzimwe hama zvinogona kufanotaura mumhando ipi iyo chirwere chichave chichida. Zvinofungidzirwa kuti mwana achave akafanana kana vabereki vake, kureva kuti, vane inenge yakaenzana yakakwirira uye muviri uye, mumatambudziko akawanda, mutsvuku wakafanana wemvere uye kuonekwa. Pane zvakawanda zvingaita kuti mwana awane nhaka kubva kuvabereki vake, kusanganisira matarenda kana unyanzvi munzvimbo dzakasiyana uye maitiro chaiwo. Kune munhu, njodzi yegout is 8 times in higher than for women who before menopause rarely suffer from this disease. Nguva yakanyanya kuitika yekutanga kurwisa inobva pamakore makumi matatu kusvika makumi matatu. Zvimwe zvinokonzera ngozi:
• Kunyanya kunwa doro. Nayo pachayo, doro harina kukonzera gout, asi rinokonzera kuwedzera kune varwere.
• High-protein diet.
• Race - somuenzaniso, muMaori nePolynesians, uwandu hweuric acid muropa pakutanga hwakakwirira kune hwevamwe vanhu, saka ivo vanowanzoita gout.
• Kuwedzera muviri.
• Zvirwere zvinokonzera kuwandisa kwemasero matsva, akadai se erythremia (yakawedzera erythrocyte concentration), pamwe chete nemakiriniyamu nemamwe makondombera.
• Kuvapo kwegout muhupenyu hwemhuri.
• Kutora diuretics kana kuti maduku maduku e salicylic acid.
• Zvirwere zvepyiyo.
Vanhu vanorwara neGout vane ngozi yakawanda yekuita kuti zvirwere zvirwere zvinokonzerwa nemasabolism uye kuwedzera kwehutano. Muna 25% yevarwere, kunyange vasati vatanga kurwisa gout, pane zviitiko zvekuita renal colic zvine chokuita nekuiswa kwe uric acid makristasi muitsvo. Nekurwadza kwakasimba kwegout mu in vitro articular deposition, kwete-steroidal anti-inflammatory drugs (NSAIDs) inoshanda zvikuru. Vanofanirwa kupiwa mukukwirira kwepamusoro mumatanho ekutanga ekurwisa; Vakawanda vanorwara vanorwara vanovachengeta. Kune avo vasingakwanisi kutora NSAIDs, imwe yemidziyo yakare-kare inozivikanwa - colchicine inoramba iripo.
Kukanganisika
Kukanganisa kukuru kwechirchicine kune mararamiro akareba kwazvo ekurapa kwehutano uye ngozi yakawanda yemigumisiro. NSAIDs inobva kuSalicylic acid inowanikwa mune zviduku zvishoma inowedzera gout, uye kunyange zvazvo muhope huru inoshanda zvakasimba kurwisana nechirwere ichi, zviri pachena, kushandiswa kwavo kunoramba kuchidzivirirwa. Zvinoshamisika kuti, kushandiswa kukuru kwe allopurinol, chirwere chinowanzoshandiswa kudzivirira kugunun'una ne gout, chinogona kukonzera kurwiswa kwemashoko. Kuongororwa kwegout kunoitwa pamagariro ezviratidzo zvekurapa, kuvapo munhoroondo yemurwere yezvakagadzirisa zvinhu uye kuongororwa kweropa kwezvinhu zveuric acid. Kana kusahadzika kuchiripo, kuongororwa kunogona kusimbiswa nekuonekwa kweyerodium urate makristasi muyero ye synovial fluid. Mune gout risingaperi, majoini anogona kuparadzwa, uye kuongorora X-ray kucharatidza kuchinja kunowanzoitika. Mukuwedzera, kunyorera kunowanikwa mumasukisi nenzira ye nyore nyore kuonekwa gouty nodules kumativi ejoint, mabheti articular, tendon shells uye makumbo emakumbo.
Differential diagnostics
Kurwisa kwakaoma kunogona kubva pamaawa akawanda kusvika kumavhiki mashomanana. Gout yakawanda inowanzofanana zvikuru neyetsvina yemajoini, uye kugadziriswa kunogona kudikanwa kusabvisa chirwere ichi chakakomba. Saizvozvowo, arthropathy inokuvadza inogona kutanga ne monoarthritis yakafanana neye gout. Kuwedzerwa uric acid level pachako hakufaniri kuva chikonzero chekurapa zvinodhaka. Nhamba yakawanda yevarwere vane uric acid yakakwirira mumararamiro avo haazogoni zviratidzo zvegout. Vamwe vavo chete ndivo vachabva vachinetseka. Asi kunyange mumatambudziko aya, kutora mazinga akawanda eNSAID uye nekutevera kudya uye zvimwe zvidziviriro zvichave zvakakosha kupfuura kurarama kwenguva yakareba kurapwa. Izvo zvinodiwa kudzivisa kudya nehuwandu hwehuwandu hwe purines, kupera mvura, kunyanya mumamiriro okunze anopisa, nekushanda kunoshamisa kwekushanda.
Diuretics uye acetylsalicylic acid muchidimbu chemaawa inofanira kugoverwa nokungwarira. Mishonga yekudzivirira kurapwa inofanira kupiwa chete kune varwere vari pangozi yakakura yekugadzirisa kwenguva yakareba migumisiro yegout, yakadai seArthritis kana kusagadzikana kwechirwere chepachirwere chirwere chisingaperi. Kazhinji kazhinji ava ndivo vaduku vakura vane huwandu hwakanyanya hweUric acid muropa, vanhu vane chirwere chisingaperi chisingagumi kana kurwisa kunowanzoitika, uye vanhu vane zvirwere zvepfungwa. Imwe yezvinowanzochengetedza mishonga ndeye allopurinol. Inoshanda chaizvo uye yakachengeteka kunyange kwekushandisa kwenguva refu. Zvisinei, vamwe varwere vanogunun'una pamusoro pemhanje, asi mushure mokunge varega chirwere, iyo inonyangarika. Mishonga inhibits the enzyme xanthine oxidase, inoshandura xanthine mu uric acid. Zvimwe prophylactic zvinodhaka zvinonzi probenecid uye sulfin-pyrazone, izvo zvinowedzera kuwedzerwa kweuric acid kuburikidza neitsvo. Gout chirwere chinowanzoonekwa chinokanganisa 1% yevanhu. Izvo zvinokonzera kurwadziwa pamwe chete. Pakupedzisira, yakaramba iine "ropafadzo" yemakwikwi akakwirira evanhu, avo vamiririri vaidya zvokudya zvakawanda zvakapfuma mu purines uye upenyu hwavo hwaiwanzopiswa nehuwandu hwekugadzikana uye kuparadzwa kwemasangano. Nhasi, kurwadziwa kwakanyanya kunokonzerwa nechirwere kunogona kubudirira kurapwa nemishonga inopesana nekuputira, uyezve, kurwisa kunogona kudzivirirwa nemishonga inoderedza huwandu hweuric acid muropa.