Gout yog ib tus kab mob ntev uas muaj teeb meem nrog cov metabolism hauv purine thiab nrog kev nce qib ntawm uric acid nyob rau hauv cov ntshav, nrog rau cov deposits ntawm sodium urate nyob rau hauv articular pob txha thiab lwm yam ntaub so ntswg. Txij li tus kab mob no cuam tshuam rau kev txav mus los, gout feem ntau kho tom tsev.
Definition
Qhov pib ntawm qhov teeb meem yog nyob rau hauv kev hloov pauv hauv cov metabolism, vim tias cov khoom sib txuas xws li guanine, adenine, xanthine thiab hypoxanthine pib tsim, tag nrho cov no tau ua ke rau hauv ib pawg ntawm purine bases. Raws li qhov tshwm sim ntawm cov kev hloov pauv hauv cov ntaub so ntswg ntawm lub cev, koob zoo li cov kua qaub ntawm uric acid ntsev pib tsim. Tag nrho cov no ua rau cov ntaub so ntswg puas thiab mob hauv lawv.
Gout tsos mob
Kev kho mob hauv tsev thiab kuaj mob tuaj yeem ua tau yog tias koj paub cov tsos mob ntawm tus kab mob, uas suav nrog:
- nce qhov kub ntawm thaj chaw cuam tshuam;
- mob pob qij txha;
- limited mobility;
- daim tawv nqaij tig liab thiab muaj qhov sib thooj, nce rhiab heev;
- puffiness present.
Feem ntau, tus kab mob cuam tshuam rau tus ntiv tes xoo, thiab tuaj yeem ua rau lub siab tsis ruaj khov, tsis qab los noj mov, xeev siab, ua tsis taus pa thiab ua tsis taus pa.
Cov tsos mob ntawm tus kab mob gout yog qhov tsim ntawm cov pob txha ntom ntom (tophi) tsim ntawm lub dab teg, lub luj tshib pob qij txha, calcaneal tendons thiab auricles.
Yog vim li cas
Gout yog ib qho kab mob metabolic, qhov ua rau tseem ceeb ntawm qhov tso zis ntau dhau ntawm uric acid lossis hyperuricemia. Ib qho khoom siv ntau dhau yuav yog qhov tshwm sim ntawm caj ces predispositions, thaum muaj qhov tsis muaj enzyme hauv lub cev uas yog lub luag haujlwm rau kev hloov pauv ntawm cov khoom tsim nyog.
Lwm yam hauv cov tsos mob tuaj yeem yog kev puas tsuaj ntawm cov pob txha pob txha lossis kev siv cov tshuaj xws li "salicylates", "diuretics" thiab "sulfonamides".
Uric acid ntau ntxiv yog tshwm sim los ntawm kev noj zaub mov tsis zoo, uas yog nplua nuj nyob rau hauv purines, feem ntau yog los ntawm nqaij liab thiab cawv. Tus neeg ua txhaum kuj tuaj yeem ua txoj kev ua neej nyob tsis muaj zog, vim tias nws pab ua kom cov metabolism hauv qeeb, thiab thaum kawg khaws cov uric acid hauv lub cev.
Views
Raws li kev tshuaj xyuas hais,kho cov tsos mob gout hauv tsev qhia tau zoo heev. Tab sis txhawm rau xaiv txoj kev kho kom raug, koj yuav tsum paub hom kab mob no.
Hnub no, cov tshuaj sib txawv ntawm thawj (tus yam ntxwv ntawm caj ces) thiab theem nrab gout.
hom kab mob kawg no tshwm sim nyob rau hauv lub xub ntiag ntawm provoking yam:
- tsis ua haujlwm hauv cov txheej txheem metabolic;
- cov teeb meem thyroid;
- mob ntshav qab zib;
- kis tau lossis kab mob hauv lub raum congenital.
cov cholesterol
Cov kab mob hauv qab no yog qhov txawv:
- Classic - tshwm sim hauv 80% ntawm cov neeg mob, tshwm sim tam sim ntawd, feem ntau thaum hmo ntuj. Manifested los ntawm qaug zog heev, mob taub hau thiab arthralgia. Nws yog tsim los ntawm hypothermia, raug mob, haus dej cawv thiab cov khoom noj muaj roj ntau ntau.
- Subacute - feem ntau pom nyob rau hauv qhov sib koom ua ke ntawm tus ntiv tes xoo, nrog rau qhov mob hnyav thiab txo qis kev txav mus los.
- Rheumatoid - tus yam ntxwv thawj qhov txhab ntawm tes thiab dab teg pob qij txha.
- Pseudo-phlegmonous - tshwm sim los ntawm cov txheej txheem inflammatory, tsis tsuas yog cov pob qij txha, tab sis kuj cov ntaub so ntswg thiab daim tawv nqaij ib puag ncig raug cuam tshuam.
- Kab mob-kev tsis haum - tsawg (5%), tsim sai sai thiab muaj qhov tshwm sim loj.
- Asymptomatic - qhov teeb meem yuav luag tsis pom, tab sis nws tshwm sim, tsis muaj sijhawm kuaj thiab kho nws yuav hnyav dua.
- Periatic - kab moblocalized tsis nyob rau hauv cov pob qij txha, tab sis nyob rau hauv cov leeg.
Txoj kev kho mob gout hauv tsev
Feem ntau, kev kho mob zoo li no tau ua tiav tom tsev, tab sis ua ntej koj pib noj tshuaj, koj yuav tsum mus ntsib kws kho mob. Txawm hais tias tus neeg mob paub tseeb tias nws paub txhua yam txog tus kab mob, cov txiaj ntsig ntawm kev kuaj ntshav thiab zis tuaj yeem txiav txim siab cov ntsiab lus ntawm urates, thiab tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem sau cov tshuaj no. Kev tshuaj xyuas raws sij hawm yuav pab kom paub txog qhov teeb meem thiab sau ntawv kho kom txaus.
Txoj kev kho mob gout hauv tsev yog qhov sib txawv, thiab vim tias nws yog ib tus kab mob ntev thiab kho tsis tau tag nrho, yog li ntawd, nws yog qhov tsim nyog los txo qhov hnyav thiab zaus ntawm tus kab mob exacerbation. Thiab yog tias, txawm li cas los xij, nws tsis tuaj yeem zam qhov kev tawm tsam, ces lub luag haujlwm tseem ceeb yog txhawm rau txo tus neeg mob qhov teeb meem thiab ua kom qhov pib ntawm kev zam txim.
Kev tiv thaiv kev mob hnyav
Thaum pib, koj yuav tsum pib tswj koj cov zaub mov. Los ntawm cov ntawv qhia zaub mov nws yuav tsum tau cais los yog txwv tsis pub siv cawv, nqaij, nplua nuj broths, jelly, kaus poom zaub mov, haus nqaij, legumes, kas fes, tshuaj yej, caviar thiab chocolate. Thiab koj yuav tsum noj cov khoom noj mis nyuj, txiv ntseej, nqaij qaib, pasta, cereals thiab zaub.
Rau kev tiv thaiv thiab kho mob gout tom tsev ntawm tes thiab taw, nws raug nquahu kom haus dej ntau, kwv yees li 2-3 liters, tsis suav cov dej uas yog ib feem ntawm thawj qhov kev kawm. Cov dej haus alkaline tau suav hais tias noj qab haus huv, nrog rau cov kua txiv hmab txiv ntoo thiab citrus.
Ntau zaus kev noj zaub mov zootxaus kom ua tiav qhov kev zam txim ruaj khov. Tsuas yog tom qab kuaj xyuas kom meej, tus kws kho mob txiav txim siab txog kev siv qee yam tshuaj. Cov pab pawg tshuaj hauv qab no tuaj yeem raug tshuaj:
- anthuran - nrawm tshem tawm cov urates;
- allopurinols - tsom los thaiv kev tsim cov uric acid.
Txawm li cas los xij, kev kho mob gout tom tsev yuav tsum tau ua raws li tus kws kho mob tau sau tseg.
Txoj kev tawm tsam mob hnyav
Yuav kom tshem tau tus mob gout sai sai, koj yuav tsum:
- Cia li dag.
- Kua tus kab mob ko taw rau hauv qhov chaw siab, piv txwv li, muab koj txhais ko taw tso rau hauv ncoo.
- Tau swabs soaked nyob rau hauv Vishnevsky ointment los yog moistened nrog Dimexide ntawm qhov sib koom ua ke.
- Yuav kho tus mob gout hauv tsev thaum lub sijhawm exacerbation, koj yuav tsum ua raws li kev noj zaub mov nruj ib nrab. Cov ntawv qhia zaub mov yuav tsum muaj cov nplej zom, zaub broths, mis nyuj, jelly, oat broth.
- Txhua hnub kom haus dej kom ntau (txog 3 litres ib hnub), qhov zoo tshaj plaws alkaline muaj pes tsawg leeg.
- Nws yuav tsum tau muab sau tseg tias thaum lub sij hawm exacerbation, cov tshuaj uas tau muab los tiv thaiv qaug dab peg tsis tuaj yeem pab tau. Yog li ntawd, yog tias tus neeg mob tsis coj lawv los yog tsis siv lawv, ces koj yuav tsum tsis txhob pib. Thiab yog tias muaj kev kho mob tsis tu ncua, ces koj yuav tsum haus txhua yam raws li kws kho mob qhia.
- Yuav kom nkag siab yuav ua li cas txo qhov mob gout hauv tsev, koj yuav tsum tau hu rau tus kws kho mob tshwj xeeb. Tus kws kho mob yuav sau ntawv tsis yog steroidalCov tshuaj tiv thaiv kab mob - Zoo, Indomethacin, Ketorol, Movalis, Diclofenac thiab Nimesulide.
- Cov tshuaj "Colchicine" suav tias yog nrov heev. Nws raug coj raws li cov txheej txheem hauv qab no - thawj hnub 3 zaug 1 ntsiav tshuaj, thib ob thiab thib peb 1 ntsiav tshuaj 2 zaug hauv ib hnub, thiab txij li plaub mus txog thaum kawg ntawm kev tawm tsam, 1 ntsiav tshuaj thaum sawv ntxov.
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Yog tias tus neeg mob txiav txim siab kho mob gout tom tsev, tom qab ntawd ua ntej siv ntau yam kev kho mob pej xeem, nws yog ib qho tsim nyog yuav tsum tau ua qhov tshwj xeeb ntxuav lub cev. Qhov tseeb yog tias thaum siv txoj kev no, koj tuaj yeem sim ntxuav lub cev ntawm uric acid thiab ntsev nyob rau hauv cov pob qij txha yam tsis muaj kev kho mob ntxiv. Qhov no tuaj yeem ua tau yooj yim nrog "cov ntawv qhia zaub mov" rau pluas tshais. Rau nws, thaum yav tsaus ntuj, ncuav 2 tbsp. l. cereals nrog ib liter dej thiab tawm txhua hmo. Thaum sawv ntxov, cov kua qub tau ntws tawm thiab cov dej tshiab yog nchuav dua. Tom qab xa mus rau nruab nrab kub thiab boil rau 3 feeb, ntws thiab ntxiv dej ntxiv. Cov txheej txheem no yuav tsum tau ua 4 zaug. Tom qab ntawd ua noj tshais yog noj ntawm lub plab khoob. Tom qab ntawd, koj yuav tsum tsis kam noj zaub mov thiab dej tsawg kawg ob peb teev. Ua raws li koj cov zaub mov noj txhua hnub.
Txoj kev muaj txiaj ntsig
Kev kho mob hauv tsev ntawm gout ntawm ob txhais ceg thiab lwm qhov ntawm lub cev muaj ntau haiv neeg, yog li txhua tus xaiv qhov tsim nyog thiab zoo rau lawv tus kheej.
1. Zib ntab rau txhua qhov teeb meem sib koom ua ke yog suav tias yog thawj cov tshuaj pej xeem uas tau qhia kom siv. Koj tuaj yeem rub cov khoom tshwj xeeb no rau hauv qhov chaw mob, thiab tom qab ob peb lub lis piam ua tiav qhov txiaj ntsig zoo. Qhov no tau piav qhia los ntawm qhov tseeb tias cov khoom yuav pab txhim kho cov roj ntsha hauv lub cev, vim tias nws hloov mus rau uric acid ntau zog, yog li txhim kho tus neeg mob txoj haujlwm. Nws tseem pom zoo kom siv cov khoom nrog lwm cov khoom xyaw uas txhim kho nws cov nyhuv.
Ib qho tshuaj zoo hauv tsev rau gout yog massage nrog zib mu. Thaum xub thawj, nrog kev pab los ntawm ib tug kub cua sov ncoo, qhov sib koom ua ke yog rhuab, thiab tom qab 15 feeb, ib tug massage yog ua, txhuam cov muaj pes tsawg leeg mus rau hauv lub cheeb tsam. Thaum kawg ntawm txoj kev, nws yuav tsum tau siv ib daim ntaub so ntswg moistened nrog zib mu mus rau lub sib koom tes, npog nrog polyethylene thiab insulate. Txhua yam yog hnub nyoog 4 teev, thiab tom qab ntawd ntxuav nrog dej sov. Cov chav kawm ntawm kev kho mob yuav siv sij hawm 12 zaug, thawj zaug tau ua los ntawm ib hnub rau ib hnub, thiab tom qab thib plaub - txhua hnub.
2. Thaum tiv thaiv cov tsos mob thiab kho gout hauv tsev, siv da dej tshwj xeeb. Ua li no, ib khob ntawm chamomile paj yog nchuav nrog 10 liv dej thiab 2 khob ntawm hiav txwv ntsev raug xa mus rau qhov ntawd. Cov tshuaj yog sab laug rau infuse. Tom ntej no, koj yuav tsum ua 15 feeb da dej
3. Thiab kuj compresses yog siv los kho.
- 3 fwj ntawm valerian tincture yog tov nrog triple cologne, thiab cov chaw cuam tshuam yog lubricated nrog cov kua no ua ntej mus pw. Txhawm rau kom tau txais txiaj ntsig zoo dua, nws raug nquahu kom ntub cov paj rwb swab hauv qhov sib tov thiab muab tso rau ntawm qhov chaw cuam tshuam,thiab npog txhua yam nrog polyethylene rau saum.
- Ncuav ib nrab ib kilo ntsev nrog iodine nrog dej huv, thiab ces boil kom txog thaum tag nrho cov kua evaporated. Ntxiv 200 grams ntawm vaseline los yog nqaij qaib rog rau lub resulting loj, sib tov txhua yam thiab siv rau thaj tsam teeb meem. Kaw qhov chaw nrog ib daim ntaub woolen, thiab muab qhwv nrog ntaub qhwv.
- Sib tov elderberry thiab chamomile paj thiab npaj infusion raws li lawv, ncuav boiling dej tshaj lawv rau 2 teev. Xws li ib tug muaj pes tsawg leeg yog siv rau thaj tsam mob.
4. Kev kho mob gout hauv tsev nrog iodine yog ib txoj hauv kev zoo heev. Txhawm rau ua qhov no, koj yuav tsum noj 10 grams iodine thiab 5 ntsiav tshuaj aspirin. Nyob rau hauv ib lub thawv cais, cov ntsiav tshuaj yog crushed mus rau lub xeev powdery, txhua yam yog poured nrog iodine, tov. Lub resulting loj yog siv rau thaj tsam inflammatory. Tom ntej no, koj yuav tsum hnav cov thom khwm sov lossis hnab looj tes. Cov txheej txheem no raug pom zoo kom ua ua ntej yuav mus pw.
5. Koj tuaj yeem npaj ntau yam tshuaj pleev uas pab tau tus kab mob zoo.
- Nws raug nquahu kom siv hop cones rau qhov no. Lawv raug crushed mus rau ib tug hmoov lub xeev thiab tov nyob rau hauv tib tus nqi nrog butter, thiab ces rhuab nyob rau hauv ib tug da dej da dej. Qhov tshwm sim muaj pes tsawg leeg yog rubbed rau hauv cheeb tsam cuam tshuam.
- Hauv cov zos Lavxias, cov tshuaj pleev ib ce raws li cawv thiab butter tau siv los kho. Cov khoom xyaw yog tov ua ke, thiab ces rhuab kom txog thaum cov cawv evaporates, tom qab uas cov khoom yog npaj txhij rau siv.
6. Rau kev kho mob ntawm gout nres hauv tsev, kev kho mob sib txawv yog qhov zoo heev. Thawj hnub mus rau qhov chaw mobtxias yog thov, thiab thib ob, cawv ua kom sov compress. Ua li no, cov ntaub so ntswg yog muab qhwv rau hauv plaub qhov chaw thiab moistened nrog cawv, thiab tom qab ntawd nteg tawm ntawm qhov sib koom tes, qhwv hauv zaj duab xis cling thiab tsau nrog ib daim ntaub qhwv. Cov txheej txheem raug ua kom txog rau thaum kawg ntawm theem mob hnyav.
7. Rau kev kho mob, muv stings yog siv, tab sis koj yuav tsum to taub tias apitherapy tsis haum rau txhua leej txhua tus, vim muaj ntau yam tsis haum rau muv venom. Yog tias nws tseem ploj lawm, txoj kev no muab qhov txiaj ntsig zoo. Nws yog ua raws li cov txheej txheem hauv qab no - thawj hnub 2 muv siv rau kev sib koom ua ke, thib ob - 3, thib peb - 4, thiab yog li kev kho yuav siv sijhawm 7 hnub.
siv tshuaj ntsuab
tshuaj ntsuab yog suav tias yog cov pab zoo tshaj plaws hauv kev kho niaj hnub no. Txawm li cas los xij, kev kho mob gout hauv tsev yuav tsum tau ua tom qab sab laj nrog kws kho mob.
Nov yog qee cov zaub mov txawv:
- Lub kaw lus spruce ua ke nrog cov noob yog ntxuav thiab nchuav nrog dej npau npau (350 ml) ib hmos. Qhov no infusion yog noj 3 zaug ib hnub twg.
- Bay nplooj ntoos yog qhov zoo rau kev ntxuav cov pob qij txha, 10 grams ntawm raw cov ntaub ntawv yuav tsum tau nchuav rau hauv 300 ml dej thiab boiled nyob rau hauv ib lub lauj kaub enamel tsis npog nrog lub hau. Tom ntej no, lub thawv yog muab tshem tawm los ntawm qhov hluav taws kub thiab qhwv nyob rau hauv ib tug huv phuam thiab tawm rau 4 teev kom infuse. Cov tshuaj uas tau txais yog qaug cawv nyob rau hauv me me.
- Txhawm rau tswj lub cev, nws raug nquahu kom haus cov kua txiv hmab txiv ntoo, nrog rau kev ua kom muaj dej los ntawm nws nplooj. Txhawm rau ua qhov no, 10 grams ntawm cov khoom qhuav yog nchuav rau hauv 300 ml dej thiab haus 100 ml 30 feeb ua ntej noj mov.
- Hauv kev kho mob gout hauv lub hauv caug thiab lwm qhov ntawm lub cev hauv tsev, siv cov decoction ntawm celery cag. Ib tablespoon ntawm crushed raw cov ntaub ntawv yog poured rau hauv 400 ml ntawm dej thiab txhua yam yog siav rau txog 5-7 feeb. Npaj decoction yog noj 25 grams ua ntej noj mov.
- Lwm txoj kev haus dej haus yog tshuaj yej los ntawm ib txoj hlua. Nws pom zoo kom haus dej kub.
Gout Diet
Kev kho mob hauv tsev ntawm tus mob no muaj txiaj ntsig zoo hauv txhua txoj kev kho. Cov khoom noj khoom haus tseem ceeb yog kev cais tawm ntawm cov khoom xyaw uas ua rau muaj kev nce ntxiv ntawm uric acid.
Cov khoom txwv tsis pub:
- khoom noj ntsim thiab haus luam yeeb, nrog rau cov kua ntses uas tsim nyog (ketchup, mustard) tsis raug tso cai;
- dej qab zib uas ua rau lub paj hlwb, xws li kas fes, tshuaj yej muaj zog thiab cocoa;
- nqaij-raws li concentrated broths thiab lwm yam zoo ib yam li semi-tiav khoom, by-products;
- nqaij thiab ntses cov kaus poom, tab sis tseem tsis tau tso cai noj cov ntses rog nws tus kheej;
- chocolate, cocoa taum thiab lwm yam khoom qab zib;
- cawv;
- dej haus uas muaj cov tshuaj tua kab mob.
Kev txwv rau cov khoom no thaum muaj mob txuas ntxiv vim tias lawv muaj cov tshuaj zoo li no, vim tias cov tshuaj purine tau tsim hauv lub cev, thiab hauv cov txheej txheem ntawm nws cov assimilation nce ntxiv ntawm uric acid. formed.
Kev kuaj mob thiab kho cov tsos mob ntawm gout hauv tsev yog qhov tseem ceeb heev, xws lilawv muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub cev tag nrho, yog li ntawd, thaum muaj mob, nws raug nquahu kom haus dej ntau ntau. Grapefruit thiab txiv qaub extracts suav hais tias yog qhov tseem ceeb tshaj plaws thiab zoo rau lub cev.
Steamed food, boiled lean meat thiab ntau zaub yog zoo. Cov nqaij zoo tshaj yog qaib ntxhw, qaib los yog luav.
Cov zaub mov rau gout yuav tsum tau txais kev txhawb nqa los ntawm ntau cov khoom noj ua kua, uas yog ntau yam cereals thiab qaub-mis nyuj thiab cov khoom noj siv mis. Cov zaub mov uas tsis tu ncua nrog kev noj zaub mov yuav tsum pab txo qhov hnyav tag nrho, uas yuav txo qhov hnyav ntawm lub raum. Nws raug pom zoo tias cov ntawv qhia zaub mov muaj xws li qe, tsev cheese, durum nplej, nplej zom thiab ntau yam cereals.
Cabbage yuav tsum muab qhov chaw tseem ceeb hauv kev noj haus. Cov khoom lag luam muaj qhov tsawg kawg nkaus ntawm purine, thiab vim nws muaj peev xwm txo qhov hnyav tag nrho, cov zaub no tuaj yeem pab txhawb kom tus neeg mob rov qab sai.
Nws yog qhov yuav tsum tau ua kom cov kua dej uas koj haus. Qhov tsawg kawg nkaus koob tshuaj yog 2 litres ib hnub twg, tab sis nws yog qhov zoo dua yog tias qhov ntsuas siab dua. Nws tsis pom zoo kom haus cov tshuaj yej zoo tib yam thaum muaj mob, vim tias lawv muaj cov tshuaj uas txhawb nqa lub paj hlwb. Cov kev xaiv tsuas yog dej tshuaj yej, uas suav nrog lapacho, rooibos thiab tshuaj ntsuab. Cov dej ntxhia thaum muaj mob yog siv nrog qhov nruab nrab ntawm salinity ("Luzhanskaya", "Borjomi").
Kev xav
Cov neeg hais li cas hauv lawv qhov kev tshuaj xyuas? Kev kho mob gout tom tsevlawv xav tias muaj txiaj ntsig txaus. Raws li cov neeg mob, lawv ua feem ntau ntawm kev kho mob hauv tsev. Txawm hais tias qhov tseeb tias kev siv tshuaj tseem yuav luag tsis tuaj yeem zam, lwm txoj kev kho mob occupies ib qho chaw tseem ceeb. Kev siv ntau yam tshuaj pleev, compresses thiab da dej muaj txiaj ntsig zoo rau cov xwm txheej ntawm kev sib koom tes. Kev noj haus thiab kev siv cov khoom uas muaj qhov tsawg kawg nkaus ntawm purines, tsis tsuas yog cuam tshuam tag nrho cov mob ntawm cov pob qij txha, tab sis kuj zoo kawg nkaus ua rau cov neeg mob. Kev haus dej kom ntau yog pab tau kom txo tau qhov mob ntawm tus kab mob.
Raws li cov kws kho mob, kev kho hauv tsev tau zoo thiab muaj txiaj ntsig zoo, tab sis lawv tseem hais tias ua ntej pib cov txheej txheem, mus rau hauv tsev kho mob rau kev kuaj mob thiab kuaj, thiab tom qab ntawd, cov kws tshaj lij lawv tus kheej yuav qhia koj tias qhov tshuaj zoo tshaj plaws. rau tus neeg mob yuav.
