Nyob rau hauv tsab xov xwm peb yuav xav txog cov tshuaj zoo rau kev kho mob gout.
Gout yog ib txoj kab mob sib kis uas yuav tsum tau kho nrog tshuaj. Lub articulation cuam tshuam vim qhov ntim ntau ntawm uric acid thiab ntsev. Cov tshuaj rau kev kho mob ntawm gout yog xaiv los ntawm kev txiav txim siab qhov ua rau ntawm tus kab mob, tshuaj xyuas tus neeg mob. Kho tam sim ntawd.
Ua rau thiab cov tsos mob ntawm tus kab mob
Gout feem ntau yog nyob ntawm cov ntiv taw loj. Qhov ua rau ntawm cov kab mob pathology tuaj yeem ua rau lub cev ua haujlwm ntau dhau, metabolic tsis zoo hauv lub cev, kev noj zaub mov tsis txaus.
Gout is a very insidious disease. Tej zaum nws yuav tsis tshwm sim ntev. Thaum lub sij hawm exacerbation, nws muaj cov tsos mob hauv qab no: qhov kub thiab txias hauv zos, o ntawm thaj chaw cuam tshuam, mob hnyav uas tshwm sim thaum hmo ntuj. Ntawmqhov sib koom tes no yog qhov rhiab heev rau qhov kov me ntsis.
Raws li twb tau sau tseg lawm, cov tsos mob ntawm gout thiab kev kho tshuaj muaj kev cuam tshuam.
Schemes thiab cov ntsiab cai ntawm kev kho
Ua ntej tshaj plaws, nws yuav tsum tau hais tias txoj kev kho mob rau tus kab mob hauv kev zam txim thiab qhov mob hnyav ntawm gout muaj qhov sib txawv. Thaum lub sij hawm exacerbation, anti-inflammatory kev kho yog nqa tawm. Cov tshuaj rau kev kho mob ntawm gout thaum lub sijhawm exacerbation tuaj yeem muab rau tus neeg mob intra-articularly, intramuscularly thiab qhov ncauj, uas yog txiav txim los ntawm tus kws kho mob.
Xaiv cov tshuaj, ntau npaum li cas hauv txhua rooj plaub raug teeb tsa tus kheej. Feem ntau thaum lub sij hawm exacerbation, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob. Nrog rau tus mob gouty mob caj dab tshiab los yog tus neeg mob tau txais kev tso cai, kev kho mob feem ntau yog qhia rau kev tiv thaiv kev rov ua dua ntawm qhov exacerbation, nrog rau kev tshem tawm cov tsos mob sib xws: ntshav lipids, rog, ntshav qab zib tsawg, atherosclerosis, kub siab.. Tsis tas li ntawd, kev kho mob cuam tshuam nrog kev tiv thaiv kev tsim cov pob zeb uric acid hauv ob lub raum. Kev kho mob tuaj yeem ua tau raws li kev saib xyuas ntawm tus kws kho mob nephrologist lossis rheumatologist hauv tsev, hauv tsev kho mob tshwj xeeb lossis hauv tsev kho mob. Qhov kev ua tau zoo ntawm kev ntsuas tau txiav txim siab los ntawm kev sib xyaw ua ke: qhov pom tau zoo tuaj yeem ua tiav nrog kev sib xyaw ua ke ntawm cov tshuaj pharmacological, khoom noj khoom haus kom zoo, kev kho lub cev thiab kev noj qab haus huv. Qhov no txhais tau hais tias kev kho mob nyuaj yuav ua tau zoo tshaj plaws.
Txoj kev kho mob ntawm pathology thaum lub sijhawm exacerbation
Yog li, kev kho mob zoo tshaj plaws hauv tsev kho mob. Nyob rau theem no, qhov tseem ceeb tshaj plaws yog kev tshem tawm qhov mob, txo lossis tshem tawm qhov kev siv ntawm cov txheej txheem inflammatory, kev kho kom rov zoo li qub ntawm kev sib koom ua ke. Thaum lub sij hawm exacerbation, nres nres nrog kev pab los ntawm cov tshuaj teev hauv qab no.
Non-steroidal anti-inflammatory tshuaj rau gout
"Ibuprofen". Cov tshuaj no yog siv nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Nws yog tsuas yog siv nyob rau hauv lub sij hawm thaum ib tug exacerbation nres mus txog nws climax, uas yog, nrog rau qhov siab tshaj plaws ntawm cov tsos mob. Cov kev cai niaj hnub rau tus neeg mob tuaj yeem nyob hauv thaj tsam ntawm 1200-2400 milligrams. Dab tsi lwm yam tshuaj nyob rau hauv cov ntsiav tshuaj yog siv los kho gout?
"Indomethacin". Cov tshuaj no yog ib qho ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory zoo tshaj plaws. Nws raug sau tseg kom tshem tawm ntawm gout ntawm ob txhais ceg hauv feem ntau ntawm cov neeg mob. Nws lub ntsiab kom zoo dua yog lub peev xwm sai sai tshem tawm qhov mob thaum lub sij hawm exacerbation. Cov ntsiav tshuaj yuav tsum tau noj ntawm 0.05 grams peb zaug ib hnub.
Muaj lwm yam tshuaj los kho gout.
Butadion ointment yog hom tshuaj tiv thaiv uas tuaj yeem tshem tawm kub taub hau thiab mob. Tsis tas li ntawd, cov cuab yeej no yog ib qho tshuaj antirheumatic zoo heev. Cov tshuaj pleev yuav tsum tau siv ze ntawm thaj chaw cuam tshuam nrog ib txheej nyias. Tsis tas yuav rub nws hauv.
Hormonal steroids
Cov tshuaj kho mob gout no yeej tsis tso cai, vim tias lawv muaj cov txiaj ntsig zoo, tab sis lawv tsis muaj kev phiv tsawg. Yog tias lawv tau muab tawm, ces tsuas yog nyob rau hauv qhov xwm txheej hnyav, lawv muaj lub sijhawm siv tsawg heev. Cov tshuaj steroid-hom tshuaj tiv thaiv kab mob hauv qab no feem ntau siv rau kev kho mob:
- Y "Betamethasone". Cov tshuaj no yog siv los txo qhov mob. Cov tshuaj hormonal tuaj yeem siv tshuaj pleev ib ce lossis ua haujlwm.
- "Methylprednisolone". Xws li cov tshuaj tiv thaiv kab mob yog siv hauv cov ntsiav tshuaj, tshuaj pleev thiab tshuaj.
- "Ketazon". Cov tshuaj copes zoo nrog cov txheej txheem ntawm o. Nws tuaj yeem noj hauv daim ntawv ntawm cov ntsiav tshuaj lossis dragees. Tus neeg mob gout yuav tsum noj tshuaj ob zaug ib hnub.
Cov tshuaj steroid npaj siv tau tsuas yog tom qab kev pom zoo los ntawm tus kws kho mob tuaj koom. Koj tsis tuaj yeem siv lawv ntawm koj tus kheej, vim qhov no yog fraught nrog ntau tus tib neeg kev noj qab haus huv.
Kev kho mob gout nrog cov tshuaj uric acid tshem tawm yog nrov.
YColchicine
Tawm tsam gout ntawm ob txhais ceg, ib qho tshuaj zoo tshaj plaws yog "Colchicine". Cov tshuaj no yog cog raws li cog thiab yuav luag tag nrho kev nyab xeeb, thiab yog li ntawd tsis muaj kev txwv rau cov neeg mob, tsuas yog raum tsis ua hauj lwm thiab kev tsis haum tshuaj. Ua tsaug rau "Colchicine", tsis tsuas yog mob hnyav raug tshem tawmthiab lwm yam cim qhia ntawm gout, tab sis kuj nres qhov tsim ntawm uric acid ntsev. Tias yog vim li cas cov tshuaj zoo kawg nkaus nres kev tawm tsam gouty, vim tias nws muaj cov nyhuv analgesic.
Cov tshuaj rau kev kho mob gout ntawm ob txhais ceg "Colchicine" tso cai rau koj tshem tawm uric acid los ntawm cov ntshav. Tab sis qhov ua tau zoo ntawm cov tshuaj yog txiav txim siab los ntawm thaum tus neeg mob pib noj nws. Qhov tseeb yog tias koj yuav tsum haus "Colchicine" thawj hnub ntawm qhov pib ntawm o. Cov tshuaj tiv thaiv kab mob gout no yuav tsum tau noj txhua teev (tsis pub ntau tshaj kaum daim hauv ib hnub).
Cov neeg mob teb zoo rau Colchicine, sau tseg tias nrog kev pab ntawm cov tshuaj nws muaj peev xwm ua tiav cov ntsiab lus ntawm uric acid hauv cov ntshav plasma txo qis. Kev siv tshuaj xaus tom qab qhov kev siv ntawm cov tsos mob txo qis thiab cov tsos mob ntawm tus kab mob ploj mus.
Yuav ua li cas lwm yam tshuaj yog muab los kho gout?
Tshuaj rau kev kho mob yooj yim
Thaum qhov mob gouty nres tau nres, nws yuav tsum tau hloov mus rau kev kho mob tseem ceeb, uas suav nrog txo cov ntsiab lus ntawm uric acid hauv cov ntshav thiab tshem tawm cov ntsev ntawm lub cev. Cov tshuaj nyob rau hauv cov xwm txheej zoo li no yog cov tshuaj uas tsis yog-steroidal, lawv yuav luag tsis pab tshem tawm qhov mob thiab lwm yam kab mob ua rau cov tsos mob. Muaj ob pawg ntawm cov tshuaj no: uricodepressants thiab uricosuric.
Kev kho mob gout nrog cov tshuaj uas tshem tawm uric acid yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob tshwj xeeb.
Uricodepressants
Cov tshuaj no nyuaj siabsynthesis ntawm uric acid.
Cov tshuaj "Allopurinol". Nws yuav tsum tau noj ib hnub ib zaug ntawm 300 milligrams lossis peb zaug ib hnub rau ib puas milligrams. Cov ntsiav tshuaj pom zoo kom noj tom qab noj mov. Allopurinol tshem tawm uric acid los ntawm cov ntshav plasma. Tsis tas li ntawd, cov tshuaj no tiv thaiv qhov tshwm sim ntawm cov teeb meem. Thaum nws txais tos, tus neeg mob lub luag haujlwm yog tswj cov ntsiab lus ntawm uric acid hauv cov ntshav txhua lub hlis. Kev siv cov tshuaj yuav tsum tau pom zoo nrog tus kws kho mob. Qhov tseeb yog vim "Allopurinol" tus neeg mob tuaj yeem ua rau hnyav dua nyob rau hauv lub xub ntiag ntawm concomitant pathologies. "Thiopurinol" yog ib qho analogue ntawm cov tshuaj tau piav qhia saum toj no.
Dab tsi ntxiv yog siv rau kev kho mob gout? Cov tshuaj uric acid yog pheej yig.
Uricosuric agents (tshem cov ntsev ntawm cov pob qij txha thiab ntxuav cov ntshav)
Tshuaj hom no ntxuav cov ntshav thiab tshem cov ntsev ntawm cov pob qij txha.
- "Benemid". Cov ntsiav tshuaj tuaj yeem ua kom ceev cov kua ntsev tawm ntawm lub cev ntau zaus. Cov tshuaj no haum rau tib neeg.
- "Anturan". Cov ntsiav tshuaj zoo li no, piv nrog rau yav dhau los, tseem muaj txiaj ntsig zoo dua. Tab sis cov tshuaj yuav tsum tsis txhob noj nrog tshuaj Aspirin, vim nws txwv nws txoj haujlwm. Kev kho mob gout nrog cov tshuaj uas tshem tawm uric acid tau zoo heev.
- Flexen. Cov tshuaj uas tau nthuav tawm yog muag hauv ampoules, ntsiav tshuaj, suppositories thiab capsules. Txoj kev kho no yog siv thaum tsim nyog txhawm rau txhawm rau txhawm rau mob hnyav thiab tiv nrog lwm tus. Cov tsos mob ntawm gouty.
- Amplivix. Kev kho mob nrog cov tshuaj no pab txhawm rau txhawm rau tshem tawm cov ntsev uric acid los ntawm lub cev. Tab sis koj yuav tsum coj nws ob peb lub lis piam mus txog ob peb hlis.
Txhua cov tshuaj uas tsis yog tshuaj steroidal tau sau tseg los ntawm kws kho mob, nyob ntawm tus yam ntxwv ntawm kev tawm tsam. Tsis tas li ntawd, lub peev xwm ntawm lub raum thiab lub siab ua haujlwm thiab lub hnub nyoog ntawm tus neeg yuav tsum raug coj mus rau hauv tus account.
Feem ntau siv rau cov tshuaj pleev ib ce yog cov tshuaj xws li "Dimexide", uas yog ib qho cuab yeej ntxiv hauv kev kho mob gout. Nws yuav tsum siv kom raug:
- kev daws yuav tsum muab sib xyaw ua ke sib npaug nrog dej;
- ces ib daim ntaub qhwv ntub dej hauv qhov sib tov, thov rau qhov sib koom ua ke, npog nrog zaj duab xis;
- ua ib qho ntxiv, lub compress yuav tsum tau qhwv nrog ntaub phuam qhwv caj dab lossis paj rwb;
- yuav tsum muab tshem tawm hauv ib nrab teev.
Cov kev kho mob tuaj yeem kav li 10 txog 90 hnub. Cov neeg mob teb zoo rau qhov kev daws teeb meem no. Tab sis nws tsis tuaj yeem siv rau hauv kev tawm tsam.
Nyob rau hauv qhov mob gouty nres, nws yog ib qho tseem ceeb uas yuav tau siv cov tshuaj uas txo qhov mob. Qhov zoo tshaj plaws ntawm lawv yog:
- "Movalis" hauv kev txhaj tshuaj. Ua tsaug rau nws txoj kev siv, cov nyhuv nrawm nrawm tuaj yeem ua tiav. Cov tshuaj yog muab intramuscularly. Nws yog nruj me ntsis txwv tsis pub muab cov tshuaj mus rau hauv cov hlab ntsha, vim qhov no yog fraught nrog deficiency.lub raum ua haujlwm.
- Y "Diclofenac". Cov cuab yeej no ua haujlwm nrawm. Koj tuaj yeem siv nws hauv daim ntawv ntawm cov tshuaj pleev lossis cov ntsiav tshuaj (thawj daim ntawv yog feem ntau siv). Kev kho mob yuav kav li ntawm ib lub hlis ib nrab.
- Voltaren. Siv rau qhov mob hnyav. Hauv qhov no, yuav tsum siv cov tshuaj pleev ib ce thiab cov ntsiav tshuaj.
- "Blemarin". Cov cuab yeej no pab kom tshem tawm uric acid sai sai thiab alkalizes nws. Qhov zoo ntawm cov tshuaj yog kev nyab xeeb rau lub raum thiab lub siab.
Nws yog txwv tsis pub koom nrog kev kho tus kheej ntawm gout nrog tshuaj thaum lub sijhawm exacerbation.
tshuaj tshiab
Pathology ntawm cov musculoskeletal system ntawm tib neeg lub cev ua rau lub neej nyuaj heev.
Gout yog ib yam kab mob insidious uas ua rau muaj kev txom nyem ntau. Yog li ntawd nws yuav tsum tau tawm tsam kom meej. Tus kab mob no kho tau siv cov tshuaj tiam tshiab niaj hnub no.
tshuaj tshiab rau kev kho mob gout "Febuxostat". Cov tshuaj no tsis yog purine keeb kwm, yog siv los tshem tawm cov ntsiab lus siab ntawm uric acid hauv lub cev nrog gout. Koj tsis tuaj yeem siv nws thaum lub sij hawm exacerbation ntawm tus kab mob. Qhov tseeb yog tias thawj theem ntawm cov kua qaub nce. Kev txais tos "Febuxostat" tau tso cai rau lub sijhawm ntev. Nrog rau kev loj hlob ntawm exacerbation tom qab lub sijhawm teem ntawm cov tshuaj, koj yuav tsum tsis txhob noj nws. Febuxostat yog cov cuab yeej siv tau zoo, tab sis nws tau siv nruj me ntsis rau nws lub hom phiaj.
tshuaj niaj hnub rau kev kho mob gout "Arcoxia". Nws yog thov raukev kho mob thiab lwm yam kev mob tshwm sim. Tab sis "Arcoxia" yuav tsis siv los ntawm txhua tus. Cov cuab yeej no tuaj yeem ua rau muaj kev phiv ntau, txawm tias thaum siv kom raug, tsis xav tau cov teebmeem tsis tshua muaj, ib leeg. Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj zaj duab xis-coated. Nws feem ntau yog siv los ua cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob.
Txhua tiam tshiab ntawm cov tshuaj gout tau ua pov thawj tias ua haujlwm, tab sis tsuas yog kws kho mob tuaj yeem pom zoo rau txhua tus neeg mob.
Niaj hnub nimno txoj kev kho lub cev tiv thaiv kab mob gout
Raws li ib feem ntawm txoj kev kho mob rau gout, physiotherapy yog zoo heev: ua tsaug rau nws, cov mob ntawm pob txha mos cov ntaub so ntswg txhim kho thiab lawv txoj kev lwj yog tiv thaiv. Koj tuaj yeem sau cov txheej txheem ntau tshaj plaws ntawm kev kho lub cev, uas feem ntau tau sau tseg ntawm kev tawm tsam ntawm gout:
- Electrophoresis yog ib txoj kev uas tus neeg mob lub cev raug cuam tshuam los ntawm hluav taws xob mus tas li impulses, vim muaj cov nyhuv kho hauv zos. Tsis tas li ntawd, electrophoresis ua rau nws muaj peev xwm txhim khu kev nkag mus ntawm cov tshuaj sab nraud los ntawm daim tawv nqaij.
- Novocaine thiab Analgin yog siv los kho mob gout, thiab cov pob txha mos txhawb nqa lithium, sulfur thiab zinc.
- Kev kho av nkos yog ib txoj hauv kev nrov los txhim kho tus neeg mob. Cov txheej txheem no feem ntau raug sau tseg thaum lub sijhawm kho spa.
- Kev kho cua sov ua kom cov uric acid tso tawm. Rau lub hom phiaj no, daim ntawv thov ozocerite thiab paraffin yog tsim rau cov neeg mob.
- Ib qho ntawm txoj kev kho lub cev zoo siab tshaj plaws yog balneotherapy. Cov nyhuv ntawm cov pob qij txha yog nqa tawm thaum da dej.
- Bishofite yog cov tshuaj ntuj uas muaj titanium, hlau, tooj liab, iodine, potassium, calcium thiab sodium. Compresses nrog nws tso cai rau koj los tshuaj loog qhov chaw mob thiab tshem tawm o.
- Ntxiv rau, kev kho cov hlau nplaum, ultrasound, UVT, zaws thiab kev tawm dag zog yog siv tau zoo rau gout.
Yuav ua li cas kho lub cev yuav ua tau zoo tshaj plaws hauv ib qho xwm txheej, tus kws kho mob tuaj yeem txiav txim siab. Feem ntau ntawm cov txheej txheem physiotherapy feem ntau muaj thaum kho spa.
Kev Tiv Thaiv
Qhov muaj peev xwm ntawm gout muaj ntau rau cov neeg uas tsim txom cov khoom noj rog, cawv, ua rau lub neej nyob tsis tswm thiab tsis quav ntsej txog kev noj zaub mov zoo. Kuj tseem muaj kev pheej hmoo yog cov neeg uas rog dhau thiab muaj ntshav siab, thiab cov neeg uas muaj cov txheeb ze uas muaj tus kab mob no. Kev tiv thaiv kev tiv thaiv yog qhov yooj yim heev: kev tawm dag zog, noj zaub mov kom raug, tsis txhob haus cawv, tswj qhov hnyav thiab huab cua ntshiab. Yog tias lawv tau pom, qhov tsis zoo yuav zam tau.
Ntxiv nrog rau kev kho mob gout nrog tshuaj, kev noj zaub mov tseem ceeb.
Kev noj haus
Nrog gout, nws yog cov khoom noj uas tso cai rau koj tswj tus kab mob thiab zam nws qhov kev tawm tsam yav tom ntej. Cov khoom tsim teeb meem tshaj plaws hauv qhov noyog nqaij liab.
Lub hauv paus ntsiab lus tseem ceeb ntawm kev noj zaub mov hauv qhov no yog zam cov khoom noj uas muaj ntau cov urate lossis cov tshuaj uas tuaj yeem hloov mus ua urate hauv lub cev. Cov khoom lag luam no feem ntau yog: nqaij, tshwj xeeb tshaj yog nqaij nyug thiab yaj, ob lub raum thiab daim siab, nqaij broths thiab kua zaub, jelly, qee cov ntses (herring, sardines, mackerel), dej cawv. Koj tuaj yeem noj mov ci, pasta, mis nyuj thiab khoom noj siv mis, cheeses yam tsis muaj kev txwv.
Reviews
Cov neeg mob sau tseg hauv kev tshuaj xyuas cov tshuaj uas pab lawv mob gout. Thaum mob hnyav, cov kws kho mob feem ntau sau tshuaj Colchicine. Cov tsos mob ntawm xeev siab tom qab noj cov tshuaj tau sau tseg, tab sis qhov mob thiab mob ntawm ob txhais ceg tau dhau los ua tsawg dua. Qee qhov kev tshuaj xyuas hais tias cov tshuaj no cuam tshuam rau lub siab, plab thiab ob lub raum. Txawm li cas los xij, cov tshuaj pab kho mob.
Lwm tus neeg mob qhia txog kev ua haujlwm ntawm Allopurinol. Muaj kev txhim kho tom qab ob peb zaug xwb. Kev tshuaj xyuas feem ntau tham txog kev nyuaj siab thiab mob taub hau raws li qhov tshwm sim ntawm kev kho mob, tab sis qhov no tsis tshwm sim rau txhua tus.
Thaum tsis muaj qhov ua tau zoo ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj thiab Colchicine, cov kws kho mob tau sau tshuaj hormonal-hom tshuaj uas txo qhov mob - glucocorticoid hormones.
Cov neeg mob kuj nco ntsoov tias kev noj zaub mov muaj txiaj ntsig zoo. Tab sis qhov tseem ceeb tshaj plaws yog pib noj cov tshuaj hauv lub sijhawm kom tsis txhob muaj kab mob gout.
