Gouty tophus bụ ihe mgbaàmà nke ọrịa gout. Ọ bụ ọkụ ọkụ na-egbu mgbu na nkwonkwo nke nchikota uric acid salts kpatara.

Gout bụ ọrịa na-egosipụta site n'ọkụ ọkụ na-egbu mgbu na-apụta na nkwonkwo. A na-akpọ ha ọgụ gout ma ọ bụ ọgụ gout. Gout bụ nsonaazụ uric acid dị ukwuu n'ọbara, ma ọ bụ hyperuricemia. Agbanyeghị, naanị otu onye n'ime mmadụ iri nwere hyperuricemia nwere ike ịkpalite ọgụ gout. Nke a bụ ọnọdụ dị mkpa, mana ezughị ezu maka mmalite nke ọrịa ahụ. O yikarịrị ka enwere akụkụ mkpụrụ ndụ ihe nketa maka gout.

Mgbaàmà nwere ike ịkpọsa ọgụ nke gout:

• tingling;
• erughị ala;
• mgbu;
• mmachi ngagharị;
• isi ike nke nkwonkwo.

Uru maka onye ọrịa nwere ike ịtụ anya nsogbu ahụ bụkwa inwe ike ịtụ anya ọgwụgwọ mgbochi mkpali ya. Ihe mgbaàmà nke ọdịdọ ahụ n'onwe ya dị mkpa karịa:

• mmalite na mberede, ọtụtụ mgbe n'abalị ma ọ bụ na-ezu ike;
• ihe mgbu siri ike, ọkụ ọkụ na nkwonkwo;
• mmebi nkwonkwo na-egbuke egbuke (na-emekarị na ụkwụ na karịa karịsịa nnukwu ụkwụ);
• nkwonkwo uhie, fụrụ akpụ, ọkụ, nnukwu, na-egbu mgbu imetụ aka;
• enwere ike ọzịza na ọbara ọbara nke akpụkpọ ahụ gburugburu nkwonkwo emetụtara;
• enwere ike ime gouty tophus;
• enwere ike ikpo ọkụ na oyi.

Ya mere gouty tophus bụ ihe mgbaàmà nke ọgụ gout. Nke a bụ ngosipụta ụlọ ọgwụ dị ụkọ. Ọ bụ nkwụnye ego nke uric acid n'ụdị urate (uric acid salts) n'okpuru akpụkpọ ahụ, nke a na-ahụ anya gburugburu nkwonkwo emetụtara na / ma ọ bụ pinna nke ntị, elbows, Achilles tendon or the fingertips. Ọ na-apụta n'ụdị nodules n'okpuru akpụkpọ ahụ, nke siri ike na nke na-agbanwe agbanwe. Oke tophus adịghị adịkarị n'ihe ize ndụ nke ibute ọrịa n'ihi na uric acid adịghị mma na mmepe nke ụmụ nje.

Maka nchoputa nke gout, dọkịta na-achọ ọnụnọ nke tophus. Enwere ike ịhụ nke a na nyocha ụlọ ọgwụ. Dọkịta ahụ nwekwara ike were x-ray nke ọkpụkpụ na nkwonkwo emetụtara nke nwere ike igosi ọnya ọkpụkpụ ma ọ bụ tophi nwere ike ime gburugburu nkwonkwo. Tophus nwekwara ike ịhụghị ya na nyocha anụ ahụ na x-ray wee chọpụta ya site na nkwonkwo ultrasound nke na-egosi nkwụnye ego uric acid na cartilage nkwonkwo.

Tophus bụ nsonaazụ nke gout. Ihe na-ebute ọrịa a site n'inwe oke uric acid n'ime ọbara. Uric acid na-adị n'ime ọbara mana ọ dị n'okpuru 70 mg / lita. Ọ bụ nsonaazụ nke ụfọdụ usoro nhicha nke organism. A na-ewepụ ya site na akụrụ, nke na-eme dị ka nzacha.

Enwere ihe abụọ kpatara hyperuricemia:

• hyperproduction nke uric acid (nsonaazụ nke nri bara ụba na protein ma ọ bụ mbibi dị ukwuu nke mkpụrụ ndụ);
• mbelata mkpochapụ site na akụrụ (ihe na-emekarị).

Ihe ndị na-esonụ nwere ike ịkpata ọgụ gout:

• Ị consumptionụ mmanya na -aba n'anya;
• oke oriri nke nwere protein na abụba bara ụba;
• ketoacidosis ọgụ n'oge ọrịa shuga;
• mmiri na-apụ n'ahụ n'ihi oke mgbakasị ahụ, akpịrị ịkpọ nkụ, ibu ọnụ, wdg;
• ọnọdụ nrụgide (ihe mberede, trauma, ịwa ahụ, ọrịa, wdg);
• ịṅụ ọgwụ ụfọdụ (diuretics, aspirin dị ala, ịmalite ọgwụgwọ hypo-uricemic).

Ịhapụ ọrịa ahụ na-agwọghị ya pụtara ikpughe onwe gị n'ihe ize ndụ dị ukwuu nke ọgụ gout, nke na-ebute oke mgbu na nkwonkwo metụtara.

N'ọnọdụ ndị a na-adịghị ahụkebe, tophus a na-agwọbeghị nwere ike ịkpata ọnya wee hapụ ihe na-acha ọcha. Anyị na-ekwu maka gout tophaceae nke na-eme na otu ụzọ n'ụzọ atọ nke ndị ọrịa a na-agwọghị n'ime afọ 5 nke mmalite nke ọrịa ahụ.

N'ime ogologo oge, gout nwere ike ịkpata nsogbu obi na akụrụ.

Ọgwụgwọ gout nwere ebumnuche abụọ:

• na-emeso ọgụ gout mgbe ọ na-eme;
• na-emeso onye ọrịa ahụ ogologo oge iji belata ihe ọdịdọ.

Ngwọta nke ọdịdọ ahụ bụ iji belata ihe mgbu. Ọ na-amalite site na izu ike na ime ka nkwonkwo emetụtara dị jụụ. Dọkịta ahụ nwere ike ịnye ọgwụ dị iche iche iji nyere aka dozie nsogbu ahụ: colchicine, ọgwụ mgbochi mkpali na mgbe ụfọdụ corticosteroids.

Ebumnuche nke ọgwụgwọ bụ isi bụ ịnọgide na-enwe uric acidemia iji gbochie ọdịdọ, nhazi nke tophi, nsogbu nkwonkwo na ọdịdị nke nkume akụrụ. Nzọụkwụ mbụ nke ọgwụgwọ gụnyere nguzobe nke ịdị ọcha na usoro nri. Dọkịta ahụ nwere ike guzobe ọgwụgwọ hypo-uricemic.

Ọgwụ dị iche iche dị:

• allopurinol;
• febuxostat;
• probenecid;
• benzbromaron.

Iji lelee ịdị irè nke ọgwụgwọ bụ isi, dọkịta na-enyocha ọkwa uric acid nke onye ọrịa iji gosi na ọ dara n'okpuru uru na-eme ka o kwe omume ịnweta mgbasa nke uric acid salts.

Gout bụ ọrịa na-adịghị ala ala nke na-achọ ọgwụgwọ ogologo ndụ na nlekọta multidisciplinary, gụnyere dọkịta na-aga, onye na-ahụ maka ọrịa rheumatologist, ọkà mmụta obi, onye nephrologist, wdg.