Gout bụ ọrịa sistemu. Ihe na-akpata ọrịa ahụ bụ ọrịa metabolic nke ntinye nke uric acid n'ime ọbara na-abawanye, nke na-eduga na ntinye nke kristal uric acid (urates) na nkwonkwo na anụ ahụ dị nro.¹.

N'otu oge ahụ, ụbara ọdịnaya nke uric acid n'ime ọbara anaghị egosi mgbe niile gout. Hyperuricemia na-esokwa ọtụtụ ọrịa, dị ka ọrịa akụrụ, etuto ahụ, ma ọ bụ ọrịa ọbara. Enwere ike ịhụ ọnọdụ a mgbe oke mgbatị ahụ gasịrị ma ọ bụ jiri nri ndị nwere abụba eme ihe n'ụzọ na-ezighị ezi. Naanị 10% nke hyperuricemia steeti na-aga n'ihu na gout.

Ihe kacha mara amara nke gout bụ nchịkọta nke urates na anụ ahụ na akụkụ ahụ na ihe omume nke nnukwu ọgụ nke mgbu na ebe ha na-achịkọta.

Kedu ihe nwere ike ibute gout? Dị ka ọ dị na ọrịa ọ bụla na mmepe nke gout, e nwere ihe ize ndụ:

• nguzogide insulin;
• ọbara mgbali elu;
• iri nnukwu anụ uhie na offal;
• ịṅụbiga mmanya ókè, karịsịa biya;
• mpụpụ nke uric acid na ọrịa akụrụ;
• ụfọdụ ụdị ọgwụgwọ ọrịa kansa na ọgwụgwọ ụkwara nta;
• ọrịa autoimmune;
• ihe nketa.

Gout na-emetụtakarị nkwonkwo, nke na-ekpebi foto ụlọ ọgwụ. Dị ka a na-achị, ihe mgbu ahụ siri ike, na-egbu mgbu na-adịghị ala ala. Ihe mgbaàmà kachasị nke gout bụ:

• ọgụ nke nnukwu ogbu na nkwonkwo;
• nguzobe nke tophi - ọnụ ọnụ gouty n'ebe kachasị mkpokọta urates;
• mmebi akụrụ.

A na-emetụtakarị nkwonkwo nke nnukwu mkpịsị ụkwụ. Ihe na-adịkarịghị emetụta bụ nkwonkwo ukwu: nkwonkwo ụkwụ, ikpere, ikpere ụkwụ, nkwojiaka, nkwonkwo aka.

Mwakpo mgbu na-amalitekarị n'abalị ma ọ bụ n'ụtụtụ. Acha ọbara ọbara na ọzịza nke nkwonkwo na-apụta, ihe mgbu na-eme, nke na-eme ka ọ dịkwuo elu mgbe awa 12-24 gasịrị. Ọtụtụ mgbe, nkwonkwo na-ekpo ọkụ na mmetụ ahụ ma na-emeghachi omume na-egbu mgbu na mmetụ kacha dị mfe.

Ọtụtụ mgbe, gout a na-emetụta ụmụ nwoke mgbe afọ 40 gachara. Ha na-arịa ọrịa ugboro asaa karịa ụmụ nwanyị². A na-ejikọta ọrịa a na ụmụ nwanyị na mgbanwe nke metabolism n'oge menopause na ọ bụ n'ihi mbelata nke ọkwa estrogen. Nke bụ eziokwu bụ na estrogens na-emetụta kpọmkwem mmepụta nke uric acid, na-ebelata itinye uche ya n'ime ọbara.

Tụkwasị na nke ahụ, nri ndị ikom na ndị inyom dịkwa iche. Na nri nke ụmụ nwoke, e nwere ọnụ ọgụgụ buru ibu nke ihe na-akpali akpali: anụ na-acha uhie uhie na anụ, mmanya siri ike na biya. Mmega ahụ nke ukwuu, ọnọdụ nrụgide na-edugakwa na ụbara ọdịnaya nke uric acid.

N'ezie gout na ndị ikom na ndị inyom dị iche iche.². Njirimara nke gout na ụmụ nwoke:

• mmalite nke ọrịa ahụ na-eme mgbe ọ dị afọ 30-40;
• nnukwu mkpịsị ụkwụ na nkwonkwo ụkwụ na-emetụtakarị.

Atụmatụ gout na ụmụ nwanyị:

• mmalite nke ọrịa na ịka nká na ọnọdụ postmenopausal;
• nkwonkwo aka na-emetụtakarị;
• Ọtụtụ mgbe na-etolite tophi (gouty nodes).

Ihe na-akpata gout

Ọrịa a na-eme mgbe protein metabolism na-akpaghasị n'ime ahụ. Na mbụ, a na-akpọ gout "ọrịa eze", ebe ọ bụ na ọ bụ naanị ndị ọgaranya nwere ike ịnweta nnukwu mmanya anụ ahụ, anụ - ngwaahịa ndị na-enye aka na mmepe nke gout. Taa, nri a dị maka akụkụ dị iche iche nke ndị mmadụ. A na-emetụtakarị ndị agadi, mana enwere ọrịa ahụ ọbụna n'ime afọ 30.

• Otu ihe egwu gụnyere: ndị na-aṅụ biya, ndị na-eri anụ, ndị buru ibu.

• Gout na-etolitekarị na ndị mmadụ na-aṅụ diuretics.

• Gout na-apụta mgbe arụrụ arụ nke akụrụ ma ọ bụ ọrịa akụrụ.

N'ezie usoro niile dị na ahụ gị bụ ụbụrụ na-achịkwa. Mkpụrụ ndụ ụbụrụ gị na-enweta ozi sitere na akụkụ ahụ na sistemụ niile, nyochaa ozi a, mepụta mmeghachi omume dị mkpa, wee bufee iwu kwesịrị ekwesị site na mkpụrụ ndụ akwara n'akụkụ dị iche iche nke ahụ gị.

Ndepụta ọgwụ 10 kachasị ọnụ ma dị irè maka gout

Ọgwụgwọ gout gụnyere ma ọgwụgwọ ọgwụ na ọgwụ na-abụghị ọgwụ.². Usoro ọgwụgwọ na-abụghị nke ọgwụ na-agụnye: ibelata oke anụ na nri mmiri na nri, ịhapụ mmanya, biya na ise siga, ibu ibu na oke ibu, ịmụta ụzọ ndụ ziri ezi.

Ọgwụgwọ ọgwụ na-agụnye mwepụ nke nnukwu ọgụ nke gout na ọgwụgwọ antihyperuricemic, nke na-enye gị ohere ibelata ọkwa uric acid n'ime ahụ, gbochie nguzobe nke urates na igbari ndị etolitela.

N'ime oge siri ike, ọgwụ ndị na-abụghị steroidal anti-inflammatory (NSAIDs) yana Colchicine na-enyere aka belata mgbu. Na-esote, a na-enye ọgwụ mgbochi gout.

Mụ na ọkachamara anyị - dọkịta n'ozuzu Mikhail Lystsov anyị achịkọtala ọkwa nke ọgwụ na-adịghị ọnụ ma dị irè maka gout.

Ọgwụ mgbochi mkpali na-abụghị steroidal (NSAIDs)

1. Ketonal

Ihe na-arụ ọrụ nke Ketonal bụ Ketoprofen, nke nwere mmetụta analgesic, mgbochi mkpali na antipyretic. A na-ahụ oke ọdịnaya nke ọgwụ n'ime ọbara n'ime nkeji 15-30 mgbe nchịkwa gasịrị. Ọ na-ejikọta protein na ọbara site na 99% wee banye nke ọma n'ime mmiri nkwonkwo, ya mere a na-eji ya na ọgwụgwọ gout.

Nkwenye: peptic ọnyá afọ nke afo na duodenum, hemophilia na ọbara ọgbụgba, ọrịa gbasara akụrụ na imeju, obi mgbawa na ogbo nke decompensation, ọnọdụ mgbe akwara ọbara na-agafe agafe grafting, ọbara ọgbụgba ma ọ bụ enyo ha, dyspepsia, ime na lactation, ụmụaka n'okpuru 12. afọ, hypersensitivity na ketoprofen na acetylsalicylic acid.

Were ọgwụ ahụ 1-2 capsules 2-3 ugboro n'ụbọchị na nnukwu mmiri ma ọ bụ mmiri ara ehi.

2. Nimesulide

N'ime obi Nimesulide bụ ihe na-arụ ọrụ nke otu aha. Ọgwụ na-egbochi njikọ nke prostaglandins - ndị na-akpalite mbufụt. Nimesulide na-arụ ọrụ ozugbo na mpaghara mbufụt, nwere analgesic, antipyretic mmetụta. A na-enweta mmetụta kachasị elu 2-3 awa mgbe ịṅụchara ọgwụ ahụ.

Na mgbakwunye na ọgụ nke gout, Nimesulide dị irè na ọrịa ogbu na nkwonkwo na psoriatic, spondylitis, osteoarthritis na osteochondrosis, myalgia nke ọdịdị dị iche iche, sprains, tendons na ihe mgbu ndị ọzọ. Were ọgwụ 1 mbadamba 2 ugboro n'ụbọchị mgbe nri gasịrị.

Nkwenye: dị ka ndị ọzọ na-abụghị steroidal ọgwụ mgbochi mkpali, ma afọ ụmụaka bụ nanị 12 afọ. Ọzọkwa, e kwesịghị iji Nimesulide na ndị NSAID ndị ọzọ.

3. Meloxicam-Akrihin

Isi ihe na-arụ ọrụ bụ Meloxicam, nke sokwa na otu ọgwụ mgbochi mkpali na-abụghị steroidal. A na-eji Meloxicam na-agwọ ọrịa ogbu na nkwonkwo, ogbu na nkwonkwo, ọrịa nkwonkwo degenerative, rheumatoid ogbu na nkwonkwo, spondylitis, ọrịa akwara, sciatica na ihe mgbu ndị ọzọ. A na-eji ya na-arụsi ọrụ ike na ọgwụgwọ gout, ọ bụ ezie na onye nrụpụta adịghị achọpụta nke a. Ekwesịrị ị were Meloxicam 1 mbadamba otu ugboro kwa ụbọchị.

Nkwenye na mmetụta ndị dị na ya dị ka nke ndị NSAID ndị ọzọ.

4. Celecoxib

A na-akpọ ọgwụ ahụ aha isi ihe na-arụ ọrụ. Ọdịiche ya dị na eziokwu ahụ bụ na Celecoxib kacha dị irè na ndị ọrịa agadi (karịsịa n'ime ụmụ nwanyị), anaghị ebelata ọrụ akụrụ yana ọ na-akpasu iwe na mucosa eriri afọ. Celecoxib na-ebelata mgbu nkwonkwo nke ọma, ya mere a na-enyekarị ya na ọgwụgwọ gout. Ịkwesịrị ị na-a theụ ọgwụ 1 capsule otu ugboro n'ụbọchị ma ọ bụ na usoro abụọ kewara.

Nkwenye: hemorrhagic ọrịa strok, subarachnoid ọbara ọgbụgba, afọ ruo 18 afọ.

Ndị nnọchi anya antigout

5. Colchicine

Colchicine bụ ọgwụ izizi maka ọgụ gouty. Ọgwụ ahụ na-ebelata ọkwa nke mkpụrụ ndụ ọbara ọcha na mpaghara mbufụt ma belata nnabata nke uric acid salts. Colchicine na-arụ ọrụ nke ọma na nnukwu ọgụ nke gout: ugbua n'ime awa iri na abụọ mbụ, ọnọdụ ahụ na-akawanye mma. Site na iji Colchicine kwa ụbọchị, ohere nke mwakpo nke abụọ na-ebelata site na 12%³.

Usoro ngwa: were ọgwụ ahụ maka nnukwu ọgụ nke gout, mbadamba 1 kwa awa 1-2 ruo mgbe mgbu ahụ na-ebelata (ọ bụghị ihe karịrị mbadamba 8 kwa ụbọchị). Iji gbochie mwakpo ugboro ugboro, a na-ewere Colchicine ọkara mbadamba otu ugboro n'ụbọchị maka oge ọgwụgwọ niile.

Contraindications: hypersensitivity na components, nnukwu obi, ịba ọcha n'anya na gbasara akụrụ ọdịda, ime na lactation, afọ ruo 18 afọ. Mmetụta ndị kachasị emetụta ọgwụgwọ bụ ọgbụgbọ, ọgbụgbọ, na mgbu afọ.

6. Colchicum-dispert

Colchicum bụ nkwadebe ahịhịa sitere na mkpụrụ osisi colchicum mgbụsị akwụkwọ. Na-ezo aka na ndị ọrụ mgbochi gout dị irè. N'ihe banyere ọgwụ ọgwụ na contraindications, ọ bụ analog nke osisi nke Colchicine, mana ọ nweghị ihe mgbochi afọ, yana setịpụ mmetụta ya dị obere.³.

Usoro ngwa: ọ bụrụ na mwakpo dị oke njọ, were mbadamba 2 n'otu oge, mgbe ahụ, otu mbadamba kwa awa 1-2 ruo mgbe enyemaka mgbu.

Nkwenye: hypersensitivity na akụkụ nke ọgwụ, ime na lactation, imeju na akụrụ ọdịda, mmegbu nke hematopoiesis.

7. Allopurinol

Allopurinol bụ ọgwụ na-egbochi gout nke Russia mere. Ihe na-arụ ọrụ nke otu aha na ihe mejupụtara na-egbochi enzyme na-etinye aka na njikọ nke uric acid. Ọgwụ ahụ na-ebelata ọdịnaya nke uric acid n'ime ọbara na mmamịrị na, n'ihi ya, na-ebelata mkpokọta ya na akụkụ na anụ ahụ.³.

 Allopurinol dị irè na ọgwụgwọ ogologo oge nke gout na-adịghị ala ala, ma a pụghị iji ya mee ihe na nnukwu oge ya, n'ihi na ọ na-abawanye mgbu na oke ọgụ.

Otu esi eji: a na-ewere ọgwụ ahụ 1 mbadamba otu ugboro n'ụbọchị. Enwere ike ịbawanye dose ahụ nke nta nke nta ruo mgbe enwere mmetụta achọrọ.

Nkwenye: ụkọ akụrụ na imeju, afọ ime na inye nwa ara, ụmụaka na-erubeghị afọ 3.

8. Febuxostat

Febuxostat bụ ọgwụ mgbochi gout nke Russia mere. Isi ihe na-arụ ọrụ - febuxostat - na-egbochi enzymes na-etinye aka na njikọ nke uric acid, si otú a na-ebelata ọdịnaya ya n'ime ọbara. A na-enyekarị Febuxostat maka anabataghị ọgwụ ndị mbụ. Enwere ike ịṅụ ọgwụ ahụ n'agbanyeghị nri, ọ na-enyere aka nke ọma n'oge ọ bụla. Otú ọ dị, ọgwụgwọ ogologo oge na Febuxostat nwere ike ibute ọrịa dyspeptic, rashes akpụkpọ na edema. Mgbe ụfọdụ, a na-enwe ntakịrị mbelata na ọrụ imeju na nlọghachite nke ọgụ gouty.

Otu esi eji: mbadamba 1 otu ugboro n'ụbọchị, n'agbanyeghị nri.

Nkwenye: hypersensitivity na akụkụ nke ọgwụ, nnukwu gbasara akụrụ na imeju, ime na lactation, afọ ruo afọ 18.

9. gout

Ọgwụ ọzọ nwere febuxostat na isi. A na-enye Goutagrel maka ọgwụgwọ hyperuricemia na-adịghị ala ala, ọrịa ogbu na nkwonkwo na tophi. Enwere ike ịṅụ ọgwụ ahụ naanị mgbe mwepụ nke nnukwu ọgụ nke gout - mbadamba 1 kwa ụbọchị.

Nkwenyehypersensitivity na febuxostat, afọ n'okpuru 18 afọ, ime na lactation, galactose inlerance na ụkọ lactase. Mgbe ụfọdụ, ọgwụ na-akpata mmetụta dị n'ụdị isi ọwụwa, afọ ọsịsa, ọgbụgbọ, ọkụ ọkụ.

10. Urisan

Na ndepụta anyị, Urisan bụ naanị mgbakwunye nri, ebe ọ na-ewere ọnọdụ kwesịrị ekwesị na ọgwụgwọ gout dị nro. Urisan bụ nkwadebe ahịhịa nke nwere flavonoids na curcumin. Ọ na-enyere aka belata ihe mgbu, na-ebelata mbufụt na ọzịza nke nkwonkwo, wepụ nnu na normalize ọkwa nke uric acid. A na-ewere Urisan 2 capsules ugboro abụọ n'ụbọchị na nri.

Contraindications: ime na lactation, onye ọ bụla anabataghị akụkụ nke ọgwụ.

Otu esi ahọrọ ọgwụ maka gout

Nhọrọ nke ọgwụ dị irè maka gout na-adabere kpọmkwem na ọkwa nke ọrịa ahụ ma chọọ ndụmọdụ nke dọkịta. Ụfọdụ ọgwụ ndị ekwekọghị na diuretics, ndị ọzọ na-contraindicated na nnukwu ọgụ nke ọrịa. Ịchịkwa onwe nke ọgwụ ahụ nwere ike ime ka mgbu na-arịwanye elu na ọnọdụ ahụ ka njọ. Ejila onwe gị ọgwụ, nyefee dọkịta na nhọrọ nke ọgwụ ahụ.

Nyocha nke ndị dọkịta banyere ọgwụ maka gout

N'oge na-adịbeghị anya, ebumnuche bụ isi maka gout bụ nri, mana ọgwụgwọ ọrịa ahụ kwesịrị ịdị mgbagwoju anya ma jikọta ya. N'ime nnukwu ọgụ, a na-enye ọgwụ mgbochi mkpali na colchicine na ndị na-abụghị steroidal, na mgbe a kwụsịrị ọgụ ahụ, a ga-ewere ọgwụ mgbochi gout ogologo oge.

Ọgwụgwọ gout na-abụkarị ogologo oge ma jikọta ya na nri siri ike. N'oge a, a na-akagbu ma ọ bụ jiri ọgwụ ndị ọzọ dochie diuretics. Ugbu a, gout na-ejikọta ya na pathology nke akụrụ na usoro obi, oke ibu. Ọ na-achọkwa ụzọ jikọtara ọnụ maka ọgwụgwọ gout.

Ajụjụ na azịza ndị ama ama

A na-aza ajụjụ ndị a na-ajụkarị banyere ọgwụgwọ gout site n'aka ọkachamara n'ozuzu Mikhail Lystsov.

Kedu ka esi ewepụ ihe mgbu gout ngwa ngwa?

– Ọ bụrụ na ị na-enweta gout mgbu, ị kwesịrị ị gakwuru dọkịta ozugbo. Ị nwere ike were onwe gị naanị ọgwụ mgbochi mkpali na-abụghị steroidal (dịka ọmụmaatụ, Nimesulide ma ọ bụ Meloxicam) ma ọ bụ ọgwụ dọkịta nyere ya na mbụ. Ọ dịghị anabata iji onwe ya ọgwụ antigout.

Kedu nri dị mma maka iwepu uric acid?

A na-ebelata ọkwa uric acid site na nri nwere obere protein na purines. Ndị a gụnyere ngwaahịa mmiri ara ehi, anụ siri ike (karịsịa ọkụkọ), mmanụ ihe oriri, mkpụrụ osisi na akwụkwọ nri. A na-atụ aro ịṅụkwu mmiri mmiri iji kpalie akụrụ.

Kedu dọkịta m kwesịrị ịkpọtụrụ maka gout?

- Ọ bụrụ na ị na-enwe mgbaàmà gout maka oge mbụ, ị kwesịrị ịkpọtụrụ onye na-agwọ ọrịa. Ọ ga-eme nyocha na nyocha dị mkpa. Mgbe achọpụtara nchoputa ahụ, onye na-ahụ maka rheumatologist ga-emeso ọgwụgwọ ahụ.

Gout: ọgwụgwọ na ndiife ịgba akwụkwọ

Ojiji nke usoro ọdịnala nke ịgwọ gout yana ọgwụ na-ebelata mgbu, oge na ugboro ole ọgụ.

Mmetụta na-agbasa nke ọtụtụ osisi ọgwụ na nhazi ịnweta na nkwonkwo jikọtara ya na mmetụta nke ihe ndị na-arụ ọrụ ndụ (mmanụ ndị dị mkpa, acid acid, microelements) na pH nke mmamịrị, nke na-agbanwe ogo nke saturation ya na crystalloids.

Site na mmụba nke pH nke mmamịrị site na 6.5 ruo 7, sedimenti nke ụfọdụ ụdị phosphates na-amụba okpukpu abụọ, yana mmeghachi omume acidic nke mmamịrị, ha na-agbaze.

Na-akpali mmịpụta nke salts nke mmamịrị ọgwụ ahịhịa bara ụba na acid organic:

• apụl,

• oroma nkịrịsị,

• nkume mmanya,

• amba

• salicylic…, nke na-emetụta ọrụ nke gland endocrine, ụfọdụ ọrụ nke cortex cerebral, acid-base rivnostan na ahụ, mmeghachi omume nke mmamịrị.

Metabolism dị n'ime sel ga-akawanye mma n'ihi nhazi nke oruru ọbara nke capillary. Usoro nke iwepụ nsị na nsị site na sel na akụkụ ahụ ga-esiwanye ike, ihe mgbochi ga-ewusi ike.

Enwere ike kewaa osisi ọgwụ dịka omume ha si dị n'ime otu:

1. Nnu-soluble na diuretic;

2. Imeziwanye metabolism;

3. Mkpali nke peristalsis nke uru ahụ dị nro nke tract urinary

4. antispasmodic;

5. mgbochi mkpali;

6. Ọgwụ nje.

Nchịkọta ahụ gụnyere ahịhịa ọgwụ, ya bụ 🍃:

• ụgbọ ịnyịnya

• nkịtị goldenrod

• ọgazị cinquefoil

• mgbọrọgwụ dandelion

• Akpa onye ọzụzụ atụrụ

• nikolaychiki flat

• marigolds ọgwụ

• Rowan nkịtị tomato

• violet na-esi ísì ụtọ

• lingonberị

Ọgwụgwọ herbal maka gout

Na nkenke gbasara akụkụ nke mkpokọta osisi ọgwụ 🍃:

• Ụgbọ ịnyịnya A na-eji diuretic, mgbochi mkpali na onye nnọchi anya hypotensive. Achọpụtala ya n'ụzọ nnwale na horsetail ubi na-akwalite mwepụ nke ledu n'ime ahụ.

• Potentilla ọgazị - site n'omume, ọ bụ ihe mgbu na-egbu mgbu na hemostatic. N'ihi ihe mgbochi spasmodic ya, a na-akpali peristalsis nke uru ahụ dị nro nke tract urinary. Dị ka akụkụ nke nchịkọta, ọgazị cinquefoil na-arụ ọrụ dị mkpa.

• Onye na-azụ atụrụ - eji dị ka onye na-achịkwa metabolism n'ime ahụ, diuretic na usoro mkpali.

• Marigolds bụ ezigbo ihe diuretic na diaphoretic, ọkachasị n'ihe banyere ọrịa metabolic, urolithiasis. Ọgwụ sechoochisny dị mma maka nnu diathesis.

• Violet na-esi ísì ụtọ - nwere antimicrobial, mgbochi mkpali Njirimara, dịtụ ibelata ọbara mgbali.

• Goldenrod nkịtị - nwere mmetụta mgbochi mkpali akpọpụtara n'ọnọdụ ebe microbial flora na-eguzogide ọgwụ nje. Goldenrod dị irè na urolithiasis gbagwojuru anya site na pyelonephritis. Ihe omume bụ diuretic choleretic, solegin, antiseptik.

• Dandelion mgbọrọgwụ enhances zhivchotvorennya, exhibits diuretic, antispasmodic na laxative Njirimara, irè edinam na mgbochi nke izugbe atherosclerosis.

• Nikolaichiki flat na-egosipụta mmetụta antispasmodic na diuretic, na-enwe mmetụta dị jụụ na sistemu ụjọ nke etiti.

• Rowan nkịtị (berry) bara uru maka ọrịa akụrụ, diathesis nnu, renal colitis, afọ ọsịsa, ụkọ vitamin A na C, imeju na ọrịa gallbladder. A na-eji Rowan nkịtị dị ka nnu-soluble, diuretic na multivitamin akụrụngwa.

• lingonberry nkịtị - Njirimara ọgwụ nke osisi ahụ yiri nke akwụkwọ bearberry, nke nwere ike ịrụ ọrụ dịka ihe ngbanwe. Otu ihe pụrụ iche bụ na akwụkwọ na mkpụrụ osisi cranberries na-ebelata uric acid. Omume nke melite metabolism na nnu-soluble, diuretic, antiseptik, astringent.

Ọgwụgwọ mpụga maka gout

Normalisation nke nri - nri maka gout

Na mgbakwunye na ọgwụgwọ ọgwụ, nri kwesịrị ekwesị dị oke mkpa - nri maka gout. Ọ bụrụ na onye ọrịa ahụ na-agbaso nri nri, mgbe ahụ, ọgụ nke ọrịa ahụ nwere ike ọ gaghị eme ruo ọtụtụ afọ.

Ọ dị ụkọ maka onye ọ bụla imecha kpochapụ "ọrịa eze". Mana ụfọdụ mmachi nri nwere ike ibelata ọgụ nke oke gout. N'ime ndị mmadụ, nri gout na-agbadata iri obere ngwaahịa anụ, nri ndị nwere abụba na nnu, yana jụ ịṅụ kọfị, shuga na ihe ọṅụṅụ na-aba n'anya.

Ọ bụ ihe amamihe dị na ya igbochi nnu na nri, n'ihi na ọ na-ejigide mmiri n'ime anụ ahụ ma na-egbochi ogige uric acid ịsacha site na akụrụ.

Nri kacha mma & kacha njọ ị ga-eri na gout | Belata ihe ize ndụ nke Mwakpo Gout na Hyperuricemia

Nri nwere purine nke ekwesịrị igbochi gụnyere:

1. Mkpụrụ ọka - peas, agwa, lentil, agwa.

2. Azụ - sprat, sardines, sprat, cod, zander, pike.

3. Offal - akụrụ, imeju, akpa ume, ụbụrụ.

4. Mushrooms - ọcha, champignon.

5. Akwụkwọ nri ụfọdụ ( sọrel, akwụkwọ nri, fig, rhubarb, radishes, asparagus, kọlịflawa).

6. Anụ (anụ ezi, anụ ehi, nwa atụrụ, ọgazị).

7. Sausaji (karịsịa liverwurst).

8. Efere anụ na azụ, yist, oatmeal, osikapa na-egbu maramara.

9. A na-eri anụ nke ọma ka sie ya, ebe ihe dị ka 50% nke purines na-abanye na abụba.

A na-egosi na ọ na-amachi ngwaahịa ndị na-akpali usoro ụjọ ahụ: kọfị, tii siri ike, koko, nri na-esi ísì ụtọ, ngwa nri, wdg. Ịṅụ mmanya na-aba n'anya nwere ike ịkpalite ọgụ gout n'ihi na mmanya na-emebi nsị nke uric acid site na akụrụ.

Ekwesịrị m ikwu na ọ bụghị onye ọ bụla nwere ike ịhapụ nri a na-emebu ozugbo. Ma mgbe na mwakpo mbụ enwere mgbu, dị ka a ga-asị na a na-egbutu ha ndụ, ọtụtụ ka na-anwa ịgbanwe gaa na nri na-adịghị mma.

Bara uru ngwaahịa maka gout bụ mmiri ara ehi na mmiri ara ehi ngwaahịa (nwere calcium na-ewusi ọkpụkpụ ike), ọka, akwụkwọ nri (poteto, zukini, cucumbers na tomato, ugu), tomato, ụdị nile nke mkpụrụ (ma e wezụga ahụekere), sie anụ na sie iyak.

Nri maka gout:

Ewepụrụ na nri:

OFE:

Efere anụ na ero, ofe nwere sọrel, akwụkwọ nri, mkpo

Anụ:

Veal, ọkụkọ, nwa atụrụ, anụ ezi, akụrụ, imeju, akpa ume, ụbụrụ, sausaji, anụ anwụrụ ọkụ, nri mkpọ.

Azụ:

Abụba, nnu, anwụrụ ọkụ, mkpọ

AKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWASỊ:

Chiiz dị ụtọ na nnu, feta cheese

Cereals na pasta:

mkpo

AKWỤKWỌ NSỌ:

letus, rhubarb, sọrel, akwụkwọ nri, kọlịflawa

Mkpụrụ osisi, beri, ỤTỌ:

Mkpụrụ fig, raspberries, chocolate

MGBE:

Cocoa, tii siri ike na kọfị, yist na ihe ọṅụṅụ na-aba n'anya

Oyi ose:

Sauce na anụ na efere azụ, broth ero, ose, mọstad, horseradish

Nri:

Nri nri na-esi ísì ụtọ na nnu, anụ ndị a na-ese anwụrụ, nri mkpọ, sausaji

Abụba:

Nwa atụrụ, anụ ehi, anụ ezi, mmanụ esi nri

EKWERE n'oke oke

Achịcha na ntụ ọka:

Ngwaahịa achịcha dị iche iche nwere oke

Akwa:

Otu akwa kwa ụbọchị nke nkwadebe ọ bụla

Anụ:

Anụ ehi, oke bekee, ọkụkọ, toki - sie 1-2 ugboro n'izu

Azụ:

Ụdị azụ dị obere abụba dị n'ụdị sie 1-2 ugboro n'izu

Cereals na pasta:

onyinye

Mkpụrụ osisi, beri, ỤTỌ:

plọm

MGBE:

ihe ọ juiceụ juiceụ tomato

akwadoro maka nri:

Achịcha na ntụ ọka:

Achịcha ọka na rye.

OFE:

Ofe onye anaghị eri anụ na mgbakwunye nke akwụkwọ nri dị iche iche na ọka, borscht, okroshka, beetroot, ofe mmiri ara ehi.

Oké osimiri:

Shrimp, squid

AKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWASỊ:

Mmiri ara ehi, kefir, mmiri ara ehi curd, cheese ụlọ, cheese na-adịghị ose

Cereals na pasta:

Mkpụrụ ọka dị iche iche nke nkwadebe ọ bụla

AKWỤKWỌ NSỌ:

Nduku, beets, karọt, zukini, ugu, tomato, ose dị ụtọ, eggplants, kabeeji ọcha, cucumbers.

Mkpụrụ osisi, beri, ỤTỌ:

Mkpụrụ ọ bụla, mkpụrụ osisi ọhụrụ na mgbe ọgwụgwọ okpomọkụ gasịrị, mkpụrụ osisi mịrị amị, mmanụ aṅụ, jam

MGBE:

Tii na kọfị na-adịghị ike na mmiri ara ehi, mkpụrụ osisi na ihe ọṅụṅụ akwụkwọ nri, infusion rosehip

Oyi ose:

Sauce na akwukwo nri efere, tomato, utoojoo ude mmiri ara ehi, vanillin, cinnamon

Nri:

Salad akwụkwọ nri, cheese dị nro

Abụba:

Bọta na mmanụ ihe oriri

Kedu ihe ga - eme ma ọ bụrụ na agwọghị ya?

N'ọtụtụ ọnọdụ, mmepe nke gout na-eduga ná nsogbu siri ike nke na-ebute ahụike gị n'ezie, na ọtụtụ mgbe ndụ.

Nsogbu ndị a gụnyere:

• gouty ogbu na nkwonkwo

• ọrịa urolithiasis

• okpomọkụ (okpomọkụ nwere ike ịrị elu +40).

Ọ bụrụ na ịmeghị usoro ngwa ngwa ma ọ bụ jiri ọgwụgwọ na-adịghị arụ ọrụ, mgbe ahụ usoro pathological siri ike ga-amalite n'ime ahụ gị, nke ga-eduga na mgbanwe na-enweghị mgbagha na arụ ọrụ nke sistem musculoskeletal na akụkụ ahụ.

Mgbu mgbe niile, na mgbakwunye na ahụ erughị ala n'ozuzu, ga-eduga na mmepe nke psychosomatic na vegetative-vaskụla ọrịa. Tụkwasị na nke ahụ, na enweghị nlekọta ahụike kwesịrị ekwesị, nrụrụ nkwonkwo nwere ike ịghaghachi.

Ọ bụrụ na ị nwetara ozi bara uru, mgbe ahụ anyị nwere obi ụtọ!

Nwee ahụ ike!

Sources:

1. Gout. Ntuziaka maka ndị ọkachamara n'ozuzu (ndị dọkịta ezinụlọ). Ministry of Health nke Russian Federation. 2015. https://endouroclinic.ru/media/file-galleries/qpbowb/Podagra%20Rukovodstvo%202015.PDF
2. Ntuziaka ụlọ ọgwụ. Nchọpụta na ọgwụgwọ nke gout na ọgwụgwọ ahụike n'ozuzu, 2013. https://rykovodstvo.ru/exspl/56548/index.html
3. Ndebanye aha ọgwụ nke Russia. https://www.rlsnet.ru/drugs/monural-2053