Gout yog ib tug kab mob ntev, muaj kab mob hauv lub cev uas tau tshwm sim hauv Hippocrates. Vim tias muaj kev cuam tshuam ntawm purine metabolism, uric acid cov kua ntsev noog thiab tso rau hauv cov leeg ntawm cov leeg thiab nyob ze lawv. Vim li no, qhov pib mob thiab kev kho mob ntawm lub cev yog qhov tsim nyog thaum muaj kev kub ntxhov. Tus kab mob ua rau deformity ntawm pob qij txha. Tab sis qhov tsis kaj siab tshaj plaws yog qhov tshwm sim yog nrog mob hnyav heev.
Kev kho mob ntawm gout nrog exacerbation nyob rau tom tsev
Yuav kom tshem tau tag nrho cov tshwm sim ntawm tus kab mob, koj tsis tas yuav mus rau tsev kho mob. Yuav tsum tau koom nrog kho, tom qab nws yuav raug taw los ntawm tus kws tshaj lij, nws ua tau thiab nyob hauv tsev. Kev kho muaj ob theem ntsiab lus:
- nyem ntawm kev tawm tsam thaum lub sij hawm exacerbation;
- kev tiv thaiv kom tsis txhob rov qab tuaj yeem mob plab.
Gout yog ib txoj kab mob uas nws tsis tuaj yeem tiv nrog nws tam sim ntawd, hmoov tsis. Thiab lub tswv yim ntawm "ntes tau tus kab mob" tsis txhais tau hais tias yog thaum lub sij hawm mob ntawm kev mob, tiam sis txo qis thaum lub sij hawm hnov mob. Yog tias koj tsis ua dab tsi li, cov tsos mob yuav tsis ploj mus li ob mus rau peb asthiv. Kev kho mob ntawm qhov mob loj nrog tsev thaum nyob tom tsev yuav txo qhov no mus rau ob los yog peb hnub.
Tus neeg mob yuav tsum ua raws li kev so txaj. Cov kab mob raug kev txom nyem los ntawm tus kab mob feem ntau. Lawv yuav tsum tau ceev cia rau hauv txoj haujlwm kom zoo rau lub sijhawm kho. Ua li no, koj tuaj yeem tso ib lub hauv ncoo hauv qab ntawm caj npab los yog txhais ceg.
Ntau ntau tsis pom zoo. Tus neeg mob qhov kev noj haus yuav tsum hnyav tsoo. Sau nyob rau hauv nws kua porridges thiab lub teeb broths. Ib qho kua - dua li ib qho uas muaj alkali: oat broth, ntxhia dej los yog cov dej huv uas muaj kua txiv qaub nrog txiv qaub kua txiv, mis nyuj, ntuj jelly - yuav tsum tau noj ntau dua.
Txhawm rau noj gout exacerbation rau ntawm tus ntiv taw, caj npab los yog lwm yam kev sib koom, cov tshuaj uas tsis yog steroidal anti-inflammatory feem ntau siv - Indomethacin, Nimesulide , Diclofenac los yog Movalis. Cov mob mob hnyav uas muaj kab mob xws li gout, feem ntau tsis ua hauj lwm zoo heev. Haus NSAIDs kom txog thaum uas tsis muaj tus kab mob.
Rheumatologists kuj tuaj yeem muab cov tshuaj nram qab no rau cov kev kho mob ntawm lub cev hauv lub sijhawm thaum muaj kev sib ntxiv:
- Colchicine. Qhov alkaloid no tsis pub lub granulocyte faib rau ntawm theem cellular, cuam tshuam nrog migration ntawm leukocytes, thiab tiv thaiv cov ntsev ntawm uric acid ntawm lingering rau ntawm cov leeg cov leeg. Koj yuav tsum haus nws hauv thawj kaum ob teev tom qab qhov pib tua - cov tshuaj siv rau kev pab thaum muaj xwm ceev.
- Cortisone, prednisolone thiab lwm yam glucocorticoids. Xws li cov tshuaj siv ceev nrooj sai npaum li cas, tab sis tib lub sij hawm lawv raug ntaus los ntawm kev tiv thaiv.
Txhawm kom tsis txhob muaj kev kho mob nrog rau lub sijhawm thaum muaj kev phem
Muaj ob peb lub tswv yim uas yuav pab tau kom tsis txhob muaj kev kho mob rau kev mob nkeeg thaum muaj kev phem:
- Tus neeg mob yuav tsum muaj yam tsawg kawg ntawm cov pob txha.
- Cov neeg mob nrog gout yuav tsum tsis txhob haus luam yeeb, haus dej haus cawv, haus caffeine thiab dej qab zib.
- Nws yog qhov yuav tsum tau faib lub sijhawm rau kev siv lub cev thiab tswj kev hnyav.
- On lub hnub yuav tsum nco ntsoov haus dej ob peb liters ntawm dej purified.
- Nws yog ib qho tseem ceeb kom ua raws li kev noj haus. Koj noj tsis tau rog nqaij thiab ntses, txuj lom, txiv hmab txiv ntoo thiab nws cov dej, cov khoom noj, rog, butter. Thiab cov txiv hmab txiv ntoo qhuav, qe, nqaij qaib, lub teeb ntses, ceev, zaub zaub mov yuav tsum muab ntxiv rau qhov tsis sib xws.
Ntawm cov tshuaj no txhais tau tias kev kho gout nrog exacerbation, sov da dej nrog iodine thiab dej qab zib raug suav hais tias yog qhov zoo tshaj plaws. Nyob rau hauv lawv, sib koom tes yuav tsum tau muab khaws cia rau nees nkaum feeb. Thiab tom qab nws yog lubricated nrog lugol thiab qhwv rau yav hmo ntuj.