ʻO Gouty tophus kahi hōʻailona o ka maʻi gout. He lapalapa hōʻeha ʻeha ia i loko o kahi hui i hoʻokumu ʻia e kahi kūkulu ʻana o nā paʻakai uric acid.

ʻO Gout kahi maʻi i hōʻike ʻia e nā flare-ups ʻehaʻeha kūloko i kahi hui. Kapa ʻia lākou he gout Attacks a he gout serangan paha. ʻO ka gout ka hopena o ka nui o ka uric acid i ke koko, a i ʻole hyperuricemia. Eia naʻe, ʻo 1 wale nō i ka 10 mau kānaka me ka hyperuricaemia e hoʻāla i kahi hoʻouka gout. He kūlana kūpono kēia, akā ʻaʻole lawa no ka hoʻomaka ʻana o ka maʻi. Maliʻa paha aia kekahi mahele genetika e gout.

Hiki i nā ʻōuli ke kūkala i ka hoʻouka ʻana o ka gout:

• ʻalalā;
• hōʻoluʻolu;
• ʻeha;
• ka palena o ka neʻe;
• ʻoʻoleʻa o ka ami.

ʻO ka pōmaikaʻi no ka mea hoʻomanawanui o ka hiki ke kali i ka pilikia ʻo ia ke hiki ke kakali i kāna hana anti-inflammatory. ʻOi aku ka nui o nā ʻōuli o ka hopu ʻana iā ia iho:

• hoʻomaka koke, pinepine i ka pō a i ʻole hoʻomaha;
• ʻeha ʻeha loa, wela wela i loko o kahi hui;
• hōʻino hui pū ʻia (pinepine i nā wāwae a ʻoi aku ka nui o ka manamana nui);
• ami ʻulaʻula, pehu, wela, nui, ʻeha ke hoʻopā;
• hiki ke pehu a me ka ʻula o ka ʻili a puni ka hono i hoʻopili ʻia;
• hiki ke gophus tophus;
• hiki ke kuni a me ka haʻalulu.

No laila ʻo Gouty tophus kahi hōʻailona o ka hoʻouka gout. He hōʻike maʻi maʻi laha ʻole kēia. ʻO ia kahi waiho o ka uric acid i ke ʻano o ka urate (salic acid salts) ma lalo o ka ʻili, ʻike ʻia a puni nā hono i hoʻopili ʻia a me / a i ʻole ka pinna o ka pepeiao, nā kuʻekuʻe, nā tendons Achilles a i ʻole ka manamana lima. ʻIke ʻia i ke ʻano o nā nodule ma lalo o ka ʻili, kahi kūpaʻa paʻa a voluminous. ʻAʻole paʻakikī ka tophus i ka maʻi o ka maʻi no ka mea maikaʻi ʻole ka uric acid i ka ulu ʻana o nā microbes.

No ke kuhi o ka gout, nānā ke kauka no ka loaʻa ʻana o ka tophus. Hiki ke ʻike ʻia kēia ma ka hoʻokolohua hoʻokolohua. Lawe pū paha ke kauka i kahi hihi x o nā iwi i hoʻopilikia ʻia a me nā hono e hōʻike i nā liona iwi a i ʻole tophi kūpono paha a puni ka ami. ʻAʻole paha e ʻike ʻia ʻo Tophus i ka hoʻokolokolo kino a me ka x-ray a ʻike ʻia e ka ultrasound hui e hōʻike ana i nā waihona waikiki uric ma ka cartilage hui.

ʻO Tophus kahi hopena o ka gout. Hoʻokumu ʻia kēia maʻi e ka loaʻa ʻana o ka nui o ka uric acid i ke koko. Aia maoli ʻo Uric acid i ke koko akā ma kahi pae ma lalo o 70 mg / lita. ʻO ia ka hopena o kekahi ʻano hoʻomaʻemaʻe o ka meaola. A laila hoʻopau ʻia e ka hakuʻala, e hana ma ke ʻano he kānana.

ʻElua kumu kūpono o hyperuricemia:

• hyperproduction o uric acid (ka hopena o kahi papaʻai i waiwai nui i nā protein a i ʻole ka luku nui ʻana o nā hunaola);
• hoʻemi i ka hoʻopau ʻia e nā puʻupaʻa (kumu maʻamau).

Hiki i nā kumu aʻe ke kumu i kahi hoʻouka gout:

• ʻAlekohola inu;
• ʻoi aku ka nui o kaʻai o ka meaʻai i ka protein and fat;
• kahi ketoacidosis hoʻouka kaua i ka wā diabetes;
• lilo o ka wai mai ke kino ma muli o ka ikaika o ka hoʻoikaika kino, make wai, hoʻokē ʻai, a pēlā aku.
• kahi kūlana kaumaha (ulia pōpilikia, ʻehaʻeha, ʻoki kino, maʻi maʻi, a pēlā aku);
• ke lawe nei i kekahi mau lāʻau (diuretics, aspirin haʻahaʻa, hoʻomaka i kahi lāʻau hypo-uricemic).

Ke haʻalele nei i ka maʻi ʻaʻole mālama ʻia ʻo ia hoʻi ka hōʻike ʻana iā ʻoe iho i kahi makaʻu nui o nā huakaʻi gout, kahi e hōʻeha ai i ka ʻeha nui loa i ka hui i hoʻopili ʻia.

I nā hihia maʻamau, hiki i ka tophus untreated ke ulcerate a hoʻokuʻu i kahi mea keʻokeʻo. Kamaʻilio mākou e pili ana i ka goutace tophaceae i kū i ka hapakolu o nā mea maʻi i hana ʻole ʻia ma waena o 5 mau makahiki o ka hoʻomaka ʻana o ka maʻi.

I ka wā lōʻihi, hiki i ka gout ke hana i nā pilikia o ka maʻi maʻi a me nā puʻupaʻa.

I ka lapaau ana o ka gout i mau Pahuhopu:

• mālama i ka hoʻouka gout ke hiki mai ia;
• mālama i ka mea maʻi ma ka wā lōʻihi e hōʻemi i ka hanana o ka hopu ʻana.

Hoʻolālā ʻia ka mālama ʻana i ka hopu ʻana i ka ʻeha. Hoʻomaka ia me ka hoʻomaha a hoʻomaha ʻana i ka ami i hoʻopili ʻia. Hiki i ke kauka ke kuhikuhi i nā lāʻau like ʻole e kōkua i ka mālama ʻana i ka pilikia: colchisin, lāʻau anti-inflammatory a i kekahi manawa corticosteroids.

ʻO ka pahuhopu o ka lapaʻau maʻamau ka mālama ʻana i ka uric acidemia i mea e pale aku ai i ka hopu ʻana, ka hoʻokumu ʻana o tophi, nā pilikia hui a me ke ʻano o nā pōhaku hakuʻala. ʻO ka pae mua o ka mālama ʻana me ka hoʻokumu ʻana i nā ana o ka maʻemaʻe a me nā papaʻai. Hiki i ke kauka ke hoʻonohonoho i kahi hana hypo-uricemic.

Aia nā lāʻau ʻokoʻa:

• allopurinol;
• febuxostat;
• probenecid;
• benzbromarone

No ka nānā ʻana i ka maikaʻi o ka mālama maʻamau, nānā ke kauka i ka pae acid uric o ka mea maʻi i mea e hōʻoia ai e hāʻule ia ma lalo o ka waiwai e hiki ai ke loaʻa ka hoʻopau ʻana o nā paʻakai uric acid.

ʻO Gout kahi maʻi maʻi mau e koi ai i ka mālama ola āpau a me ka hoʻokele multidisciplinary, e pili ana i ke kauka hele, kahi rheumatologist, kahi cardiologist, kahi nephrologist, etc.