Gouty tophus chiratidzo chechirwere chegout. Icho chinorwadza chinopisa chinoputika mujoini chinokonzerwa nekuvaka-up kweuric acid munyu.

Gout chirwere chinoratidzwa nekurwadza kwekuzvimba kuputika kunowanikwa munharaunda. Vanonzi gout attack kana gout attack. Gout mhedzisiro yeuric acid yakawandisa muropa, kana hyperuricemia. Nekudaro, mumwe chete muvanhu gumi vane hyperuricaemia ndivo vangangomutsa gout. Iyi ndiyo mamiriro anodiwa, asi haana kukwana kutanga kwechirwere. Zvingangodaro kuti kune chikamu chemajini kune gout.

Zviratidzo zvinogona kuzivisa kurwisa gout:

• kurira;
• kusagadzikana;
• kurwadziwa;
• kukamurwa kwekufamba;
• kuoma kwekubatana.

Kubatsira kwemurwere kwekukwanisa kutarisira dambudziko zvakare kukwanisa kutarisira kurapwa kwayo kwekudzivirira. Zviratidzo zvekubata pachako zvakanyanya kukosha.

• kamwe-kamwe kutanga, kazhinji usiku kana pakuzorora;
• kurwadziwa kwakanyanya, kutsva kwekubatana mubatanidzwa;
• kukuvara kwemajoini (kazhinji mumakumbo uye kunyanya chigunwe chikuru);
• kubatana kwakatsvuka, kuzvimba, kupisa, kuwanda, kurwadza kubata;
• zvichibvira kuzvimba uye kutsvuka kweganda rakapoteredza mubatanidzwa wakakanganiswa;
• zvinogoneka gouty tophus;
• zvichibvira kupisa uye kupindwa nechando.

Saka gouty tophus chiratidzo chekurwisa gout. Ichi hachiwanzo kuratidzwa kiriniki. Iyo dhipoziti yeuric acid muchimiro cheurate (uric acid munyu) pasi peganda, inoonekwa yakatenderedza majoini akakanganisika uye / kana pinna yenzeve, magokora, Achilles tendons kana minwe. Inoonekwa muchimiro chemasuru pasi peganda, eyakaomarara uye yakasimba kuenderana. Iyo tophus haiwanzo panjodzi yekutapukirwa nekuti uric acid haikodzeri kukura kwehutachiona.

Zvekuongororwa kwe gout, chiremba anotarisa kuvapo kwetophus. Izvi zvinogona kuonekwa pakuongororwa kwekliniki. Chiremba anogona zvakare kutora x-ray yemapfupa akabatana uye majoini ayo anogona kuratidza maronda emapfupa kana zvinogona kuitika tophi yakatenderedza mubatanidzwa. Tophus inogonawo kuenda isingazivikanwe pakuongorora kwepanyama uye x-ray uye inoonekwa nejoinhi ultrasound iyo inoratidza uric acid deposits pane yakabatana shwashwa.

Tophus mhedzisiro yegout. Chirwere ichi chinokonzerwa nekuwanda kweuric acid muropa. Uric acid inowanikwa muropa asi pamwero uri pasi pe70 mg/litre. Izvo zvinokonzerwa nedzimwe nzira dzekuchenesa dzehupenyu. Inobva yabviswa neitsvo, iyo inoshanda sefa.

Pane zvikonzero zviviri zvinogona kukonzera hyperuricemia:

• hyperproduction yeuric acid (mhedzisiro yekudya yakapfuma mumapuroteni kana kuparadzwa kukuru kwemasero);
• kuderera kubviswa neitsvo (chinonyanya kukonzera).

Izvi zvinotevera zvinhu zvinogona kukonzera gout kurwisa:

• Kunwa doro;
• kunyanya-kushandiswa kwezvokudya zvakapfuma muprotein nemafuta;
• ketoacidosis kurwisa panguva yeshuga;
• kurasikirwa kwemvura kubva mumuviri nekuda kwekushanda kwakasimba kwemuviri, kupera simba, kutsanya, nezvimwewo;
• mamiriro ezvinhu anoshungurudza (njodzi, kukuvadzwa, kuvhiyiwa, utachiona, nezvimwewo);
• kutora mimwe mishonga (diuretics, low-dose aspirin, kutanga kurapwa kwe hypo-uricemic).

Kusiya chirwere chisina kurapwa kunoreva kuzviisa pangozi yakakura yekurwisa gout, iyo inokonzera kurwadziwa kwakanyanya mujoini rakakanganiswa.

Muzviitiko zvisingawanzoitiki, tophus isina kurapwa ingaronda uye isunungure chinhu chena. Tinotaura nezve tophaceae gout inowanikwa muchikamu chetatu chevarwere vasina kurapwa mukati memakore mashanu ekutanga kwechirwere.

Mukufamba kwenguva, gout inogona kukonzera matambudziko emwoyo uye itsvo.

Kurapa kwegout kune zvinangwa zviviri:

• bata gout kurwisa kana zvikaitika;
• rapa murwere kwenguva yakareba kuti kuderedze kuitika kwepfari.

Kurapa kwekubatwa kune chinangwa chekubvisa marwadzo. Inotanga nekuzorora uye kutonhodza mubatanidzwa wakakanganisika. Chiremba anogona kuzonyora mishonga yakasiyana-siyana yekubatsira kugadzirisa dambudziko: colchicine, anti-inflammatory drugs uye dzimwe nguva corticosteroids.

Chinangwa chekurapa kwekutanga ndechekuchengetedza uric acidemia kuitira kudzivirira kubatwa, kuumbwa kwe tophi, kukanganiswa kwemajoini uye kutaridzika kwematombo eitsvo. Chikamu chekutanga chekurapa chine kuiswa kwehutsanana uye zvekudya matanho. Chiremba anogona kuzogadzira mushonga we hypo-uricemic.

Mishonga yakasiyana iripo:

• allopurinol;
• febuxostat;
• probenecid;
• benzbromarone.

Kuti atarise kushanda kwekurapa kwekutanga, chiremba anotarisisa huwandu hweuric acid hwemurwere kuti asimbise kuti inowira pasi pehukoshi zvichiita kuti zvikwanise kuwana kuparara kweuric acid salt.

Gout chirwere chisingaperi chinoda kurapwa kwehupenyu hwose uye hutungamiri hwemarudzi akawanda, kusanganisira chiremba anoenda, rheumatologist, cardiologist, nephrologist, nezvimwewo.