Cov Tshuaj Kho Mob rau gout: tshuaj xyuas cov tshuaj, kev ua tau zoo, tshuaj xyuas

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Gout tsis yog kab mob tshiab, tib neeg raug mob los ntawm nws ib txhiab xyoo dhau los. Tshaj uric acid nyob rau hauv tus neeg mob cov ntshav ua rau intoxication. Cov kab mob ntawm cov urinary system tsis tuaj yeem tiv nrog kev tshem tawm ntawm nws cov metabolites, uas ua rau tsub zuj zuj thiab deposition ntawm ntsev nyob rau hauv cov pob qij txha. Tus neeg mob raug kev txom nyem los ntawm qhov mob uas ua rau nws lub neej tsis muaj zog. Dab tsi yog cov tshuaj tua kab mob zoo tshaj plaws rau gout? Ib daim ntawv teev cov tshuaj pleev kom zoo tshaj plaws thiab kev npaj, nrog rau lwm txoj kev kho mob, tau nthuav tawm hauv qab no.

Kev txhim kho kab mob

Qhov no yog kab mob ntev, uas feem ntau tshwm sim los ntawm cov kab mob metabolic. Kev rhuav tshem cov protein ntau ua rau kev tsim cov uric acid ntau ntxiv. Gout tau nrov npe hu ua "tus kab mob ntawm cov vaj ntxwv", vim nws qhov tshwm sim tau raug kev txom nyem feem ntau cov neeg nplua nuj uas tuaj yeem them taus ib txwm.immoderation nyob rau hauv kev haus dej haus cawv thiab noj junk zaub mov. Tus kab mob manifests nws tus kheej li mob hnyav nyob rau hauv cov pob qij txha. Feem ntau, tus neeg mob hnov qhov tsis xis nyob hauv ob txhais ceg. Nyob ntawm theem ntawm gout, tus neeg mob yuav poob lub peev xwm txav mus los ntawm nws tus kheej - qhov mob hnyav tuaj yeem ncav cuag lub zog zoo li no. Feem ntau ib daim duab kho mob ntawm gout, uas ib tug neeg raug mob thiab tsis xis nyob hauv cov pob qij txha ntawm tes.

Qhov ua rau mob gout yog qhov tso tawm ntawm urates nyob rau hauv cov ntaub so ntswg cartilaginous ntawm cov leeg. Cov txheej txheem no yog nrog los ntawm kev mob, uas yog nrog los ntawm kev tsis xis nyob los yog mob hnyav (qhov kev siv ntawm qhov kev xav yuav txawv nyob ntawm tus kab mob theem).

Daim ntawv mob gout (tus cwj pwm los ntawm qhov mob hnyav, qee zaum mob tsis taus ntawm cov pob qij txha) tshwm sim nws tus kheej thaum cov concentration ntawm uric acid hauv cov ntshav nce ntxiv - ntau dua 60 mg / l. Qhov nyiaj urate hauv cov ntshav no tshwm sim vim muaj kev sib txuam ntawm cov laj thawj hauv qab no:

• kev quav cawv;
• malnutrition - tsis tu ncua overeating ntawm cov rog thiab yooj yim carbohydrates;
• kev hloov pauv;
• kev ua neej nyob tsis taus, kev tsis taus, kev phais yav dhau los;
• rog dhau ntawm ib qib twg.

Cov txiv neej rog rog feem ntau yuav raug mob gout. Qhov nruab nrab hnub nyoog ntawm kev loj hlob ntawm pathology yog hais txog plaub caug-tsib xyoo. Cov laus kuj raug mob gout, cov hluas tsis tshua muaj. Cov poj niam tsis tshua muaj teeb meem sib koom ua ke, lawv feem ntau tsis tsim txom cawv thiab cov khoom noj rog ntau npaum li. Tsis tas li ntawd, cov ntxhais ntawm txhua lub hnub nyoog sim ua raws lihnyav, thiab rog rog yog ib qho ntxiv uas provokes gout.

Cov tsos mob tseem ceeb ntawm gout

Kev kuaj mob ntawm cov pob qij txha thiab kev teem caij kho mob yog ua los ntawm tus kws kho mob orthopedic. Kev sab laj ntawm tus kws phais mob, endocrinologist, immunologist, kws noj zaub mov feem ntau kuj xav tau. Ua ntej muab tshuaj loog rau gout, koj yuav tsum kos ib daim duab kho mob kom raug.

Cov tsos mob ntawm qhov mob ntawm qhov sib koom ua ke (feem ntau tshwm sim ntawm ko taw, hauv thaj tsam ntawm tus ntiv tes xoo lossis valgus, ntau dua ntawm ob txhais tes, pob qij txha):

• muaj zog, ntse, paroxysmal, mob heev;
• liab ntawm daim tawv nqaij thiab o ntawm thaj tsam ntawm qhov sib koom ua ke;
• muaj lub npe hu ua tophi - daj ntseg nodules ze ntawm qhov chaw ntawm gout;
• nce lub cev kub;
• kos mob hauv cheeb tsam lumbar;
• cim qhia ntawm pyelonephritis, glomerulonephritis - qaug zog, asthenia, pos zis, kub subfebrile.

Vim li cas cov tsos mob ntawm gout feem ntau mus koom tes nrog cov tsos mob ntawm lub raum? Qhov tseeb no tau piav qhia yooj yim: ntau dhau ntawm urates hauv cov ntshav tsis zoo cuam tshuam rau lub cev ntawm cov zis. Cov tshuaj tua kab mob rau gout thaum lub sij hawm exacerbation yuav tsum tsis txhob muaj tshuaj lom rau lub raum, vim lawv twb ua hauj lwm los hnav, sim deprive lub cev ntawm ntau tshaj uric acid. Nyob rau tib lub sijhawm nrog gout, pyelonephritis ntev feem ntau tshwm sim, thiab urolithiasis yog tsim.

Nyob ntawm poj niam los txiv neej, daim duab kho mob ntawm tus kab mob tej zaum yuav muaj me ntsissib txawv:

• hauv cov txiv neej, gout feem ntau cuam tshuam rau ob txhais tes thiab pob qij txha ntawm cov ntiv tes ntawm sab sauv, hauv cov poj niam qhov chaw tseem ceeb ntawm tus kab mob yog tus ntiv taw loj thiab valgus;
• hauv cov poj niam, tsuas yog ib qho kev sib koom ua ke feem ntau cuam tshuam, thiab cov neeg nyob sib ze raug cuam tshuam los ntawm gout tsuas yog thaum kho tsis tau sijhawm;
• poj niam feem ntau raug kev txom nyem los ntawm kev qaug zog thiab lub raum teeb meem nyob rau tib lub sijhawm nrog mob pob qij txha - rau cov txiv neej, cov tsos mob tsis tshua muaj tshwm sim.

Tshuaj muaj txiaj ntsig thaum muaj kev tawm tsam

Ua ntej qhov kev tawm tsam ntawm tus kab mob, raws li txoj cai, tus neeg mob zoo li qub. Nyob rau hauv ib hnub, qhov mob los yog tingling nyob rau hauv lub pob qij txha yuav pib - nyob rau hauv lub sij hawm no, yuav tsum tau siv tshuaj loog ointment rau gout. Txoj kev kho sai dua yog pib, nws tuaj yeem ua tau zoo dua. Cov tshuaj tua kab mob rau gout yuav tsum tau siv ncaj qha thaum muaj kev tawm tsam.

1. Exacerbation feem ntau pib nrog kev tawm tsam ntawm qhov hu ua gouty mob caj dab. Cov txheej txheem cuam tshuam rau ib qho kev sib koom ua ke, thaum lub sij hawm exacerbation tus naj npawb ntawm dislocations yuav nce.
2. Feem ntau, cov poj niam raug kev txom nyem los ntawm cov ntiv taw loj (tsawg dua - pob taws lossis pob qij txha). Cov txiv neej muaj feem pua ntawm kev puas tsuaj ntawm ob txhais tes.
3. Qhov mob hnyav feem ntau tshwm sim thaum sawv ntxov. Tsawg zaus - ua ntej yuav mus pw, tsawg heev - nyob rau nruab hnub.
4. Gout yog tus yam ntxwv los ntawm qhov mob hnyav thiab liab ntawm qhov chaw ntawm qhov teeb meem. Piv txwv li, hauv kev mob caj dab, hyperemia kuj yog yam ntxwv, tab sis tsis yog li ntawdzoo li gout.

Ntawm cov teeb meem ntawm gout, ntau yam nephropathy, proteinuria, arterial hypertension feem ntau pom. Thaum tsis ua tiav kev kho mob: kev noj zaub mov zoo, so kom zoo, noj tshuaj tshwj xeeb, lub raum tsis ua haujlwm tuaj yeem txhim kho. Cov tshuaj tua kab mob rau gout thaum lub sij hawm exacerbation, raws li twb tau sau tseg, yuav tsum tsis txhob muaj tshuaj lom rau lub raum. Vim lawv twb ua hauj lwm mus rau qhov txwv, sim tshem tawm ntau tshaj uric acid. Yuav ua li cas anesthetize gout thaum lub sij hawm exacerbation? Koj yuav tsum tau noj cov tshuaj hauv qhov ncauj los ntawm tus kws kho mob orthopedist:

• tsis yog-steroidal tshuaj tiv thaiv kab mob;
• tshuaj uricosuric;
• uricosynthesis inhibitors;
• tshuaj loog hauv zos.

Yuav ua li cas rau tshuaj loog gout, yog vim li cas rau kev noj qab haus huv nws yog txwv tsis pub noj tshuaj? Koj tuaj yeem sim siv lwm yam tshuaj. Tab sis cov kws tshuaj niaj hnub no kho cov txheej txheem no nrog kev txiav txim siab: qhov mob feem ntau hnyav heev uas tus neeg mob tsis tuaj yeem zam tau thiab raug yuam kom noj cov tshuaj tua kab mob rau gout, txawm tias muaj contraindications.

Tshuaj tiv thaiv exacerbations

Kab mob ib txwm yooj yim los tiv thaiv dua li kho. Cov lus no kuj muaj tseeb rau gout. Yog tias koj ua lub neej noj qab haus huv, ces qhov kev tawm tsam yuav luag ploj mus. Cov tshuaj tua kab mob rau gout yuav tsis tau noj yog tias koj ua raws li yooj yimcov cai:

• tshem tawm tag nrho cov nqaij rog rog, zaub mov ceev, txhua yam kib ntawm koj cov zaub mov - xws li cov zaub mov ua rau nce qib ntawm uric acid hauv cov ntshav;
• ua lub cev kho lub hlis twg rau kev noj qab haus huv ntawm tus txha caj qaum;
• saib xyuas koj qhov hnyav thiab tiv thaiv kev loj hlob ntawm kev rog;
• so zoo txhua hnub, tsis ua haujlwm dhau thiab ntxhov siab ntev.

Yog tus kab mob tau mus txog theem siab, ces noj yooj yim thiab noj qab haus huv txoj kev noj qab haus huv tsis zoo li yuav muaj qhov hnyav. Thaum tus neeg mob hnov txog kev rov qab los, yuav tsum pib kawm luv luv ntawm cov hauv qab no (qhov pes tsawg yog muab los ntawm tus kws kho mob):

• tsis yog-steroidal tshuaj tiv thaiv kab mob (qhov mob zoo tshaj plaws rau gout);
• tshuaj corticosteroids, txhaj tshuaj, thiab tshuaj pleev tshuaj raws li cov khoom siv no (tseem txwv siv sijhawm ntev, vim tias cov tshuaj no tuaj yeem ua rau cov pob txha mos thiab ua rau muaj kev quav yeeb quav tshuaj);
• "Colchicine" (tshwj xeeb cuam tshuam rau cov ntshav muaj pes tsawg leeg, txhawb kev tawg ntawm urates);
• ascorbic thiab nicotinic acids (pab kom tshem tawm cov urates ntau dhau los ntawm cov ntshav);
• uricodepressive cov tshuaj sai sai thiab zoo txo qhov concentration ntawm uric acid, feem ntau ua rau mob nyem rau hnub tom ntej tom qab pib kev tswj hwm, raug tshuaj los ntawm orthopedist lossis neuropathologist rau hyperuricemia;
• cov tshuaj uricosuric txhim kho urate khiav tawm ntawm cov ntshav ntawm qhov tshem tawm tsawg dua 3.56mmol/hnub

Daim ntawv tshuaj pleev kom txo tau cov tsos mob ntawm gout

Yuav ua li cas tshuaj loog gout tom tsev? Rau kev kho kom zoo tshaj plaws, koj yuav tsum siv tsis tau tsuas yog ntsiav tshuaj, tab sis kuj tshuaj pleev. Hauv qab no yog cov npe ntawm cov tshuaj kho mob hauv tsev nrov tshaj plaws rau cov neeg mob zoo tib yam.

1. "Fulflex" tuaj yeem siv tau ob qho tib si thaum lub sijhawm zam txim thiab thaum exacerbation. Nws txawv ntawm kev sib tw tshuaj pleev nyob rau hauv nws cov natural muaj pes tsawg leeg - nws tsis muaj hormonal cov khoom xyaw thiab tsis muaj yees. Cov nyhuv kho ntawm cov tshuaj pleev yog muaj peev xwm tshem tawm cov urates ntawm cov pob qij txha, thiab thaum siv peb zaug ib hnub twg, koj tuaj yeem ua tiav qhov mob me me.
2. "Vishnevsky's ointment" yog ib qho ntawm cov khoom pheej yig tshaj plaws (kwv yees li 30 rubles ib lub raj mis). Nws muaj anti-inflammatory thiab antibacterial nyhuv. Siv rau thaj tsam teeb meem ntawm lub cev ob mus rau peb zaug hauv ib hnub, nyiam dua nyob rau hauv ib qho kev sib tw nees nkaum rau peb caug feeb.
3. Diphenhydramine ointment feem ntau yog siv los ua tshuaj loog rau exacerbation ntawm gout ntawm cov ntiv taw. Nws cov nyhuv yog hnov tom qab thawj daim ntawv thov. Diphenhydramine (lub ntsiab active tivthaiv ntawm cov tshuaj pleev no) pab sai sai tiv nrog qhov mob thiab o, so spasms ntawm du nqaij.
4. "Ketonal-gel" tso cai rau koj kho gout ntau zog. Thaum thov peb zaug hauv ib hnub, nws ua rau yuav luag ua tiav cov tsos mob ntawm hnub ob. "Ketonal-gel" pab tshem tawm cov deposits ntawm uric acid ntsev nyob rau hauv cov pob qij txha, nrog rau txo.mob ntse. Cov tshuaj muaj ntau yam contraindications - ua ntej siv, koj yuav tsum sab laj nrog koj tus kws kho mob.

tshuaj kho mob gout

Qee zaum, cov tshuaj tsis muaj zog los tiv thaiv kab mob gout. Nyob rau hauv cov ntaub ntawv no, koj yuav tsum tau siv cov tshuaj txhaj - lawv maj mam nyob rau hauv lub plab hnyuv kab mob thiab nkag mus rau hauv cov hlab ntsha ncaj qha.

1. "Movalis" - tshuaj niaj hnub rau kev txhaj tshuaj rau qhov mob hauv pob qij txha. Tom qab thawj qhov kev pab cuam tiav, kev kho mob nrog cov ntsiav tshuaj daim ntawv ntawm cov tshuaj yuav tsum tau txuas ntxiv mus. Lub ntsiab tsis zoo ntawm "Movalis" yog lub xub ntiag ntawm ib tug dav daim ntawv teev cov contraindications. Nws yog nruj me ntsis txwv tsis pub siv thaum cev xeeb tub thiab lactation, nrog rau cov neeg muaj kab mob siab thiab raum. Kev txais tos yog ua tiav tom qab kev sab laj nrog tus kws kho mob.
2. "Diclofenac" hauv ampoules rau kev txhaj tshuaj tuaj yeem yuav ntawm txhua lub tsev muag tshuaj. Rau qee tus neeg mob, kev txhaj tshuaj rau cov kab mob gout ntawm ob txhais ceg yog qhov zoo dua rau cov tshuaj, vim lawv tsis nqa hnyav rau ntawm lub plab thiab cov hnyuv, tab sis nkag mus rau hauv cov hlab ntsha thaum txhaj tshuaj intravenously.

Uricosuric tshuaj rau gout

Yog tias tus neeg mob txoj kev noj qab haus huv tso cai, nws muaj peev xwm ua kom lub cev tawm ntawm uric acid los ntawm ob lub raum. Nws yog undesirable xaiv xws li ib txoj kev rau anesthetize gout nrog tshuaj yog hais tias muaj keeb kwm ntawm lub raum teeb meem (urolithiasis, mob ntev).pyelonephritis lossis glomerulonephritis). Txog niaj hnub no, muaj ob yam tshuaj zoo tshaj plaws nrog rau kev ua uricosuric.

1. "Probenecid" inhibits reabsorption ntawm urea, muaj peev xwm txhim kho cov nyhuv ntawm cov tshuaj tua kab mob rau gout ntawm ob txhais ceg, twb nyob rau hnub thib ob lossis thib peb ntawm kev noj cov neeg mob tau txais txiaj ntsig zoo. Nrog rau kev noj tshuaj ntev thiab tswj tsis tau, qee zaum nws tuaj yeem ua rau muaj kev vam khom tshuaj.
2. "Sulfinpyrazone" yog ib qho tshuaj muaj zog uas txhawb kev tso tawm ntawm urea los ntawm ob lub raum. Ua tsaug rau qhov kev txiav txim no, nws yuav pab txo qhov mob hauv pob qij txha. Yog tias koj muab cov tshuaj noj nrog cov khoom noj kom zoo, kev kho mob tuaj rau hnub thib ob. Cov koob tshuaj txhua hnub - tsis pub ntau tshaj 600 mg. Cov ntsiav tshuaj "Sulfinpyrazone" raug sau los ntawm tus kws kho mob orthopedist feem ntau rau kev kho mob ntev heev - txij li ib hlis lossis ntev dua.

YUricosynthesis inhibitors

Yog tias tus neeg mob muaj contraindications rau kev noj tshuaj uas tuaj yeem ua rau muaj kev cuam tshuam ntawm kev tawm ntawm uric acid los ntawm ob lub raum, ces uricosynthesis inhibitors yuav tsum tau siv. Qhov no yog ib chav kawm tshwj xeeb ntawm cov tshuaj tua kab mob rau gout. Lawv muaj peev xwm inhibit zus tau tej cov urates, cov nyhuv yog tshwj xeeb tshaj yog zoo thaum ua raws li ib tug kho kev noj haus nyob rau hauv parallel nrog ib tug chav kawm ntawm cov tshuaj.

1. "Allopurinol" - ib qho inhibitor ntawm uricosynthesis, tshuaj tiv thaiv kab mob uas tiv thaiv cov synthesis ntawm uric acid thiab nws tso rau hauv cov ntshav. Cov koob tshuaj yuav tsum tau nce ntxiv, yog li nws yog qhov zoo tshaj plaws los pib noj "Allopurinol" thaum lub sijhawmua ntej kev tawm tsam.
2. Orotic acid thiab tshuaj nrog nws nyob rau hauv muaj pes tsawg leeg muaj ib tug tsis muaj zog hypouricemic nyhuv tshaj Allopurinol. Txawm li cas los xij, orotic acid yog suav tias yog nyob rau hauv pharmacology ua ib qho kev mob zoo rau gout ntawm ob txhais ceg. Qhov siab tshaj plaws tau txais cov kua qaub ib hnub yog 500 mg rau ib tus neeg ntawm qhov nruab nrab tsim. Nyob rau hauv cov ntaub ntawv ntawm ib tug overdose, ib tug loj toxic nyhuv ntawm lub cev sab hauv yog ua tau.

Tshuaj kho mob gout: yuav ua li cas thiaj paub tias tshuaj twg yog?

Cov tshuaj niaj hnub zoo tshaj plaws (cov tshuaj thiab tshuaj txhaj) tau sau tseg hauv kev tshuaj xyuas ntawm cov kws kho mob thiab cov neeg mob tau teev tseg saum toj no. Tus neeg mob uas tsis muaj kev paub dhau los yuav ua siab ntev thiab xaiv cov tshuaj tsis raug, vim li ntawd, nws yuav tsis tuaj yeem nres qhov kev tawm tsam. Txhawm rau zam cov teeb meem zoo li no, koj yuav tsum mus ntsib kws kho mob thiab noj cov tshuaj uas nws tau sau tseg. Yog tias koj yuav tsum tau txhaj tshuaj, koj yuav tsum mus ntsib kws kho mob txhua hnub - hla ib hnub tuaj yeem ua rau mob hnyav dua.

Kuv yuav noj tshuaj dab tsi rau gout kom qhov mob sai li sai tau? Qee zaum, cov tshuaj tsis muaj zog los txo cov tsos mob ntawm tus kab mob gout. Nyob rau hauv rooj plaub no, cov kev tshuaj xyuas qhia siv cov tshuaj txhaj tshuaj - lawv muaj kev nyab xeeb rau cov kab mob hauv plab hnyuv thiab nkag ncaj qha rau hauv cov hlab ntsha.

Kev noj haus ua lub luag haujlwm tshwj xeeb hauv kev kho mob gout thiab lwm yam kab mob sib koom ua ke. Khoom noj khoom haus zoo dua li cov ntsiav tshuaj lossis tshuaj pleev kom txo cov urate ntau dhau hauv cov ntshav. Txo kev noj cov rog thiab cov protein, muab qhov nyiam rautxiv hmab txiv ntoo thiab zaub tshiab (tsis qaub). Tau txais cov protein thiab cov amino acids los ntawm fermented mis nyuj cov khoom - tsev cheese, mis nyuj, kefir, cheese, thiab lwm yam.

Lwm txoj hauv kev los daws qhov tsis xis nyob thaum muaj tus kab mob hnyav dua

Lwm cov tshuaj muaj ntau txoj hauv kev los daws qhov mob thaum muaj kev tawm tsam (raws li kev tshuaj xyuas, lawv tsis muaj zog npaum li cas ntawm qib ntawm cov tshuaj pharmacological).

• Lubricate ntawm daim tawv nqaij ntawm qhov sib koom ua ke qhov exacerbation pib nrog cov av nplaum dawb - nws tuaj yeem ua rau qee qhov rub cov urates tawm sab nraud (cov kws tshuaj niaj hnub tsis paub txog cov txiaj ntsig ntawm txoj kev no hauv kev tawm tsam gout, tab sis qee cov neeg mob tseem siv txoj kev no).
• Lubricating qhov chaw ntawm tus kab mob nrog greasy qaub cream - nws yog nrov ntseeg hais tias txoj kev no yuav txo tau qhov mob ntawm qhov mob.
• Yog tias mob gout nyob ntawm ko taw, tus neeg mob tus mob yuav tau pab kom txo tau cov da dej nrog chamomile infusion. Txhawm rau npaj cov tshuaj, boil ib tablespoon ntawm qhuav tws chamomile tshuaj ntsuab nyob rau hauv ib nrab ib liter dej rau kaum feeb. Tom qab cov kua zaub txias rau hauv chav tsev kub, muab koj txhais taw rau hauv nws.

Lub peev xwm ntawm pej xeem txoj hauv kev los tshuaj loog gout tsis muaj zog dua li cov tshuaj hauv khw muag tshuaj. Yog tias qhov kev tawm tsam tsis tshwm sim thawj zaug, tus neeg mob paub txog qhov tsis xis nyob uas tus kab mob tuaj yeem coj mus. Yog li nws yog qhov zoo dua los khaws cov khoom lag luam zoo thiab cov pov thawj tshuaj ua ntej - tshuaj pleev, ntsiav tshuaj, ampoules thiab koob txhaj tshuaj.