Alikho ikhambi uphonsa ayikho okwamanje. Indlela yokwelapha isebenza kumazinga ama-2. Uhlose :

• à ukukhulula izimpawu (ubuhlungu nokuvuvukala) kusukela ekuhlaselweni okunamandla kanye phazamisa isimo esibucayi sibonga ama-anti-inflammatory agents;
• à vimbela ukuphindeka futhi izinkinga, ngokuhamba kwesikhathi, kusetshenziswa imithi eyehlisa izinga le-uric acid egazini.

Imithi yokuqeda ubuhlungu nokulwa nokuvuvukala

Uma kunesimo esibucayi, izidakamizwa ezingezona ukuvuvukala I-Oral (NSAIDs) inqunyiwe, njenge-ibuprofen (Advil®, Motrin®) noma i-naproxen (Naprosyn®, Aleve®, Anaprox®). Bathatha isinyathelo ngokushesha.

Uma izidakamizwa ezingezona ukuvuvukala zingasebenzi, ukwelashwa ngomlomo nge I-Colchicine (Colchimax®), ingasiza. Lesi sidakamizwa sinomphumela oqeda ukuvuvukala nobuhlungu. Kwakungowokuqala ukusetshenziselwa ukukhulula i-gout. Kuthathwa isikhathi eside, futhi kunciphisa imvamisa yokuquleka. Ngakolunye uhlangothi, akuvimbeli ukwakheka kwamakristalu e-uric acid emalungeni. Iningi labasebenzisi liba nesicanucanu, ukuhlanza, isifo sohudo, namajaqamba esiswini. Le miphumela emibi ebalulekile ichaza ukuthi kungani i-colchicine ingaseyona isidakamizwa sokuqala esinikezwa ukukhulula ubuhlungu.

Uma isiguli singakhululwa ngokwelashwa kwangaphambilini, izidakamizwa ze-steroidal anti-inflammatory, noma ama-corticosteroids, ingase inqunywe (isibonelo, i-prednisone). Zithathwa ngomlomo, ngamaphilisi, noma ngomjovo ejoyintini elinesifo.

Izidakamizwa zokuvimbela ukuphinda kanye nezinkinga

Umuthi uhlose uku i-uricemia ephansi ukuvimbela ukuquleka kanye nokunciphisa ingozi yezinkinga zezinso kanye nokulimala kwamalunga unomphela. Isebenza ngezindlela ezi-2 futhi inikeza imiphumela ethokozisayo.

Khulisa ukuphuma kwe-uric acid. Eminye imithi isebenza ezinso ukuze umzimba ukhiphe i-uric acid eyengeziwe. Ngaphezu kokunciphisa izinga le-uric acid egazini, avimbela ukufakwa kwamakristalu emalungeni. Umuthi osebenza kahle kakhulu i-probenecid (i-Bénemide yaseFrance, i-Benuryl yaseCanada). Ungu contraindified kubantu abanenkinga yezinso noma abanesifo sezinso.

Yehlisa ukukhiqizwa kwe-uric acid. I-Allopurinol (i-Zyloric® yase-France, i-Zyloprim® yase-Canada) ikhawulela ngempumelelo ukulimala okuhlangene okungenzeka ngokuhamba kwesikhathi. Ukwehla okukhulu kwezinga le-uric acid kubonakala emahoreni angama-24 ngemuva kokuqala kokwelashwa. Iyaqhubeka futhi ibangele izinga eligculisayo ngemva kwamaviki angu-2 okwelashwa. I-Allopurinol isebenza ngokuvimbela i-enzyme ebamba iqhaza ekuhlanganisweni kwe-uric acid.

Qaphela. Ungaqali ukwelashwa nge-allopurinol kuze kube yilapho ukuhlasela kwe-gout kuphele ngokuphelele. Uma kungenjalo, le nkinga ingase iphinde ivele.

Ukudla ngesikhathi senhlekelele

Nawa amathiphu ambalwa:

• Gwema utshwala noma uzibekele isiphuzo esi-1 ngosuku, futhi ungeqi iziphuzo ezi-3 ngesonto⁶.
• Kuhle ukukhawulela ukusetshenziswa kwezilwane ezifuywayo, ukudla kwasolwandle nenhlanzi, okuwukudla okucebile ngama-purines, ikakhulukazi uma okunye kwalokhu kudla kuye kwaqashelwa ukuthi kubangele ukuquleka.
• Gwema ukudla ukudla okunamafutha amaningi⁶.
• Phuza amalitha angama-2-3 oketshezi ngosuku, okungenani ingxenye yawo kufanele kube amanzi⁶.

Ezinye izinguquko ekudleni, ezihluka kumuntu kuye ngokuthi isimo sempilo, zingase zibe yinzuzo. Kungcono ukuxhumana nesazi sokudla ukuze uthole iseluleko esiqondene nawe.