Sarrafa cututtukan cututtuka da mawuyacin ƙwayoyin cuta
Gout wani nau'i ne na cututtukan zuciya wanda ya haifar da ginawa da kuma crystallization na uric acid a cikin haɗin gwiwa. Dangane da irin mummunar harin, magani na iya ƙila a yi amfani da kwayoyi masu ƙyama-ƙwayoyin cuta (OTC) don magance ciwo, da kuma gyare-gyaren halayen (irin su rage cin abinci da kuma barasa) don rage yawan hare-hare. Kwanakin haɗari na iya buƙatar magungunan maganin likita don taimakawa wajen rage matakan acid a cikin jini.
Gidajen gidan da Salon
Kwayoyin cututtuka na Gout suna haifar da ƙananan haɗarin uric acid , yanayin da ake kira hyperuricemia . Bayan lokaci, ginawa zai iya haifar da samfurori na lu'ulu'u na uric acid a ciki da kuma kusa da haɗin gwiwa, da haifar da mummunan ciwo da zafi da kumburi.
Saboda haka, za a mayar da hankali ga magance gouttukan abu biyu a kan abubuwa biyu: ragowar acid uric da kuma ciwo mai zafi. Akwai wasu magungunan gida da salon gyaran salon da zai iya taimakawa.
Gudanar da raɗaɗi
Hakan zai faru ne daga kwanaki uku zuwa 10. Abin zafi a farkon farkon harin (yawanci na farkon sa'o'i 36) zai zama mafi munin.
Daga cikin zaɓin maganin gida:
- Kusar kankara ko damfarar sanyi zai iya ba da cikakken taimako daga wani hari mai tsanani. Tabbatar ka kunna tsawan kankara a cikin tawul ɗin maƙalafi kuma yi amfani da haɗin gwiwa don kawai 15 zuwa 20 minutes don hana sanyi. Zaka iya yin wannan sau da yawa a rana.
- Sauran haɗin gwiwa. Tun da babban yatsa ya fi sau da yawa, ya taso kafar don sauko da matsa lamba. Ka daina ƙafafunka kamar yadda ya yiwu, kuma, idan kana buƙatar motsawa, yi amfani da tsaka.
Harkokin Abinci
Ɗaya daga cikin abubuwan da ke haifar da hyperuricemia shine abincin da muke ci. Wadansu suna dauke da matakai masu girma wanda aka sani da purine wanda, lokacin da aka rushe, an canza shi zuwa acic acid.
Sauran sun hada da abubuwa da suke lalata ƙwayar uric acid daga kodan.
Duk da yake babu wani shaida cewa ayyukan cin abinci na iya rage ko dai tsananin ko tsawon lokacin harin, ya kamata ka yi ƙoƙari don kauce wa tsananta yanayinka.
Don haka, za ku buƙaci:
- Ka daina shan barasa na kowane irin, musamman giya.
- Ka guje wa abinci mai tsabta .
- Ku guje wa abincin da aka yi da fructose-abincin da ya shawo kan matsalar acic acid.
- Sha yalwa da ruwa don yada jigilar salic acid a cikin jininka.
Magunguna masu yawa (OTC)
Ana amfani da magungunan ƙwayoyin OTC a lokacin mota mai sauƙi don rage saurin haɗin gwiwa da kumburi. Daga cikin zaɓuɓɓuka:
- Magungunan anti-inflammatory masu ciwo marasa amfani (NSAIDs), irin su Aleve (naproxen) da Advil (ibuprofen), sunyi aiki ta hanyar kulle enzyme COX a hanyar da ta shafi analgesic (rage jin zafi) da anti-inflammatory.
- Tylenol (acetaminophen) za a iya amfani dashi a cikin mummunar matsalar. Duk da yake ba shi da kariya masu kariya daga NSAIDs, yana da mummunar maganin miyagun kwayoyi.
- An gabatar da shirye-shiryen magunguna na kayan ado, wanda aka samo daga wani kayan sunadarai wanda aka samo a cikin barkono barkono, don samar da taimako mai kyau na bayyanar cututtuka. Suna samuwa creams, lotions, da kuma sifofin transdermal kuma suna samuwa akan counter.
Sharuɗɗa
Ana amfani da magungunan takardun magani idan abincin da ake ci da kuma salon rayuwa ba zai iya ba da taimako da / ko kuma akwai alamun haɓaka haɗuwa da haɗin gwiwa. Ana amfani da magungunan asibitocin da ake amfani dasu don biyan gout za a iya fashe su cikin nau'i biyu: anti-inflammatory and reducing acid-acid.
Anti-Inflammatory Drugs
Ana amfani da kwayoyi masu amfani da kwayoyi masu amfani da kwayoyi wadanda ake amfani dashi don biyan gout ne a kan abin da ke gudana ko amfani dasu idan an buƙata su rage ƙwayar cututtuka. Daga cikin zaɓuɓɓuka:
- Colchicine wata maganin rigakafi ne mai maganin kumburi da ake amfani dashi don magance gouttukan gogewa. Da miyagun ƙwayoyi yana aiki ta hanyar hana jigilar ƙwayoyin ƙwayoyin ƙwayar ƙwayoyin ƙwayar cuta. Ana iya amfani da Colchicine a kan kansa amma an fi dacewa da shi tare da maganin ƙwayar cutar ta uric acid kamar probenecid. Hanyoyi masu haɗari sun hada da zazzabin ciki, tashin zuciya, da ƙananan ciki.
- Corticosteroids , dauka ko dai ta hanyar magana ko ta hanyar allura a cikin haɗin gwiwa, bayar da gajeren lokaci taimako na m bayyanar cututtuka. Magungunan miyagun ƙwayoyi suna aiki ta hanyar tsayar da tsarin rigakafi a matsayin cikakke kuma, saboda haka, ba za a iya amfani da shi azaman tsarin ci gaba ba. Yin maganin jiyya (yawanci tare da maganin miyagun ƙwayoyi) za'a iya sanya shi cikin kwanaki biyar. Cireststeroid injections mafi yawan amfani idan akwai shaida na arthritis da kuma haɗin gwiwa yashwa. Cunkushe zai iya haifar da gagarumar riba, sauƙi mai raɗaɗi, osteoporosis, matsalolin ido, cutar hawan jini, da kuma haɗarin kamuwa da cuta.
- Qutenza (capsaicin) patch 8.0 bisa dari na iya samar da taimako mai tsanani a lokacin wani harin mai tsanani. Hanyoyi masu haɗari sun haɗa da halayen aikace-aikacen aikace-aikacen, ciki har da konewa, tsabtace jiki, redness, busawa, da mummunan raguwa.
Uric Acid-Rage Drugs
Idan wasu magancewa ba su rage yawan matakan uric acid, likitoci sukan juya zuwa magunguna wanda zai iya rage karuwar maganin cutar uric acid ko ƙara yawan ƙwayar uric acid daga jikin.
A halin yanzu akwai kwayoyi guda biyar da Cibiyar Abinci da Drugura ta Amurka ta amince da ita don waɗannan dalilai:
- Probenecid wata magani ne mai mahimmanci kowace rana don taimakawa kodanka kawar da acid uric. Yayinda yake da tasiri wajen rage bayyanar cututtuka, sau da yawa yakan iya ɗaukar lokaci kafin magungunan ƙwayoyi ke aiki. A wasu lokuta, hare-haren hare-haren zai iya karuwa a lokacin farkon watanni 6 zuwa 12 har sai jikin ya daidaita zuwa magani.
Hanyoyi na ciki sun hada da duwatsu na koda , tashin zuciya, rash, ciki mai fushi, da ciwon kai. Kwamfutar da aka kirkiro da ake kira ColBenemid yana samuwa wanda ya hada da probenecid tare da colchicine.
- Uloric (fusa) shi ne mai kwantar da xanthine oxidase (XOI) wanda ya rage aikin jikin na uric acid. Ana yin kowace rana, Uloric zai iya rage yawan mummunar hare-haren. Ƙunƙasasshen suna da mahimmanci lokacin fara farawa. Ko da idan sun faru, dole ne ka ci gaba da karɓar magani kamar yadda aka tsara.
Abubuwan da ke cikin lalacewa sun hada da motsa jiki, haɗin gwiwa, da ciwon tsoka. Kada ka ɗauki Uloric idan kana amfani da azathioprine (wanda ake amfani da shi wajen maganin cututtuka na rheumatoid) ko kuma mercaptopurine (da ake amfani da shi wajen lymphoma, cutar Crohn, ko kuma ulcerative colitis). - Zyloprim (allopurinol) wata magungunan XOI ne na baki. Kamar yadda Uloric yake, alamar bayyanar cututtuka na iya faruwa a lokacin fara magani. Don hana wannan, ana amfani da miyagun ƙwayoyi a ƙananan bayanan kuma daga baya ya karu.
Hanyoyin da ke ciki ba su da yawa fiye da wasu kwayoyi masu guba na gaggawa da kuma ƙila su hada da rash da ciki. Matsala masu wahala sukan wuce kamar yadda jikinka ya dace da magani. - Zurampic ( lesinurad ) wata maganin maganin da ke cikin maganganu ne wanda ke haifar da sakamakon XOI lokacin da XOI kadai ya isa. Za a iya ɗauka tare da Uloric ko Zyloprim amma dole ne a yi amfani dasu da taka tsantsan kamar yadda zai iya kara yawan haɗarin zuciyarka. Har ila yau, kuna buƙata ku zauna lafiya don hana kudan zuma.
Hanyoyin lalacewa na iya haɗawa da ciwon kai, m zazzaɓi, ƙwayoyin tsoka, ciwon haɗin gwiwa, da haɓakar acid. Lesinurad kuma yana samuwa tare da allopurinol a cikin takarda mai suna Duzallo. - Krystexxa (pegloticase) wata sabuwar kwayar halitta ne da aka kawo ta hanyar jigilar intravenous a cikin ƙwayar cuta kuma ana amfani dashi ne kawai lokacin da sauran jiyya suka kasa. Krystexxa yana aiki ta hanyar juya uric acid a cikin wani abu da ake kira allantoin wadda za'a iya fitar da shi daga jiki. Ana gudanar da shi a kowane mako biyu a wata asibiti kuma an ajiye shi ne kawai don lokuta mafi tsanani.
Abubuwa masu lahani na yau da kullum sun haɗu da ƙananan wuta, tashin hankali, ƙuƙwalwa, ciwon makogwaro, maƙarƙashiya, zafi ciwo, da kuma zubar da jini. A wasu lokuta, rashin lafiyar rashin lafiya zai iya faruwa.
Ana iya amfani da wasu magunguna masu amfani tare da magani, kamar Cozaar (losartan), miyagun ƙwayoyi masu guba, da Tricor (cin amana), da miyagun kwayoyi. Dukansu na iya taimakawa wajen rage yawan kwayoyin cutar uric acid.
> Sources:
> Anaud, P. da Bley, K. "Halin da ake ciki na maganin ciwon shan magani: ilimin likita da kuma hanyoyin aiwatar da sabon ƙaddarar kashi 8%." Br J Anaesth. 2011; 107 (4): 490-502. DOI: 10.1093 / bja / aer260.
> Hanier, B; Matheson, E. da Wilke, T. "Sanin ganewa, Jiyya, da Rigakafin Gout." Dokar Am Am Fam. 2014; 90 (12): 831-836.
> Richette, P. da Barden, T. "Gout." Lancet. 2010; 375 (9711): 318-28. DOI: 10.1016 / S0140-6736 (09) 60883-7.