Gudanar da Gashin Gari shine Goal
Gout yana da ciwo mai tsanani irin na arthritis. Mutane da yawa da suka yi fama da hare-haren sun kwatanta kwarewa, kuma a gaskiya ma, za su yi kawai game da wani abu don tabbatar da cewa basu da wani. Suna so su san yadda za su warke gout, amma akwai hakikanin magani?Mene Ne Cure?
Merriam-Webster Dictionary ya fassara maganin magani kamar "dawowa daga cutar, gyaran alamu ko bayyanar cututtukan cututtukan musamman a lokacin da ake kallo."
Dangane da wannan ma'anar, magani don gout ya nuna cewa magani yana hana rikicewar hare-haren gout. Don a warkewa, marasa lafiya masu ciwo za suyi dacewa da magani kuma su dace da tsarin kulawa na dogon lokaci.
Rashin haɗari mai tasowa yana tasowa kamar yadda kwayar cutar uric acid ta tara a cikin jiki da kuma lu'ulu'u na asibiti na Uric (monosodium urate monostrate cristal ko MSU) kuma an ajiye su a cikin gidajen abinci da taushi wanda ke kewaye da gidajen. Ana kwantar da murfin lu'u-lu'u zuwa ƙananan ƙumburi .
Ba duk mutane da hyperuricemia ke ci gaba da gout: an kiyasta cewa har zuwa kashi biyu cikin uku na mutane da hyperuricemia ba zasu cigaba da fararen lu'ulu'u ba ko bayyanar cututtuka . Duk da haka, makasudin magani na dogon lokaci shine kiyaye kwayar cutar uric acid a ƙarƙashin 6 MG / dl. A wannan matakin, sabon lu'u-lu'u ba su da siffar, lu'ulu'u na yanzu suna iya narkewa, an tsai da hare-hare mai tsanani, kuma Tophi ya raguwa kuma ya ɓace.
Mafi mahimmanci, lokacin da ake ajiye acid din uric a ƙarƙashin 6 MG / dl, kuma an cire duk dukiyar ajiya, an warkar da gout - ko da yake ba tare da ci gaba da jiyya ba, yawancin mutane zasu sake dawowa.
Ƙunƙarar Ƙungiyar Guda
Da farko farkon gout, zafi da ƙumburi sun fi tsanani a cikin 'yan sa'o'i kadan.
Ko da ba a ba da izini ba, alamun cututtuka suna inganta a cikin kwanaki, yiwuwar ɗaukar mako guda. Ga wasu mutane, hare-haren goutt na gaba zai iya zama mummunan, tare da shekaru tsakanin hare-hare. Yayin da lokaci ya ci gaba, duk da haka, yawan hare-haren gout yakan kara yawan mita. Kowace hari zai iya wucewa kuma zai iya haɗuwa da ɗakuna.
Sarrafa Gout da kuma hana Rikicin Mutuwar
A hade da magunguna da kuma canje-canje na abincin da ake amfani da ita ana amfani dasu musamman don hana yaduwar hare-haren gout, ko a wasu lokuta, don rage yawan hare-haren gout. Rage muhimmancin matakan uric acid shine akai-akai makasudin.
Mutanen da ke fama da mummunar hawan gouttuka bazai buƙaci magungunan rigakafi na dogon lokaci, kuma za su iya samun ta hanyar magance manyan hare-hare kamar yadda suke faruwa. Amma mutanen da suka kai hare-haren gout sau da yawa, tsawo a cikin lokaci da katsewa na iya buƙatar magani don sarrafa rikicewa.
An dauki nau'ikan NSAIDs (maganin masu kare cututtuka masu amfani da kwayar cutar) da farko na tsaron gida akan wani harin kai hari, sai dai idan an haramta wa kwayoyi saboda rashin lafiyar ko tarihin jini na jini , alal misali. Yawancin lokaci, NSAIDs na iya kawo harin kai a karkashin iko a cikin sa'o'i 24.
Glucocorticoids , wanda ake kira corticosteroids, suna da tasiri na biyu na kare kariya daga wani mummunar harin.
Sau da yawa, wadannan kwayoyi suna sanya su a cikin babban nau'i a farkon, sannan kuma sunyi tsawon kwanaki 10 zuwa 14. Saboda mawuyacin tasiri , corticosteroids wani bayani ne na gajeren lokaci, ba dogon lokaci ba.
Colchicine shine lokacin da miyagun ƙwayoyi suka zaɓa don biyan hare-hare mai tsanani. Saboda lokacin da yake buƙatar sarrafa farmaki da kuma yiwuwar maye gurbin, ba a ƙara yin amfani da colchicine don magance matsalolin hare-hare mai tsanani ba, amma har yanzu ana amfani dashi don hana su.
Idan an ƙaddara cewa mai kamata ya kamata a yi masa haƙuri tare da miyagun ƙwayoyi mai sauƙi, akwai wasu zabi. Allopurinol ne mai hana xanthine oxidase wanda ya rage samar da uric acid.
Probenecid yana daya daga cikin magungunan uricosuric wanda ke ƙara yawan hawan uric acid.
Uloric (febuxostat) wani magani ne wanda ake wajabta don gudanarwa na hyperuricemia na yau da kullum a cikin gout. Uloric yana rage kwayar cutar uric acid ta hanyar hana xanthine oxidase (maganin enzyme da ke cikin aikin acid uric acid).
Krystexxa (pegloticase) wani magani ne na likita wanda yake samuwa ga marasa lafiya wanda ba za su iya ɗauka ba, ko wanda ba a taimaka musu ba, ta hanyar jiyya . Krystexxa yana aiki ne ta hanyar karya gashin uric acid.
Sources:
Bayanai na haƙuri: Gout (Bayan Ƙari). Na zamani. Michael A. Becker. Maris 29, 2012.
http://www.uptodate.com/contents/gout-beyond-the-basics?source=search_result&search=Gout+beyond+the+basics&selectedTitle=1%7E150
Yin gwagwarmaya don magance: wata hanya don maganin gout. Fernando Perez-Ruiz. Rheumatology. 2009.
http://rheumatology.oxfordjournals.org/content/48/suppl_2/ii9.full
Mahimmanci a kan cututtuka na Rheumatic. Klippel, J. et al. An wallafa ta asusun Arthritis. Sha Uku na Uku Edition.