Hippocrates kuj hais txog ib yam kab mob xws li gout - kev qhia thiab kev kho mob rau cov poj niam thiab cov txiv neej nws tau piav nyob rau hauv nws cov hauj lwm, them nyiaj rau cov kev hloov hauv cov pob txha mos ntawm pob qij txha ntawm cov pob khawm loj. Thiab nyob rau hauv lub kawg tshwm sim, nws tau xaus lus tias qhov no yog ib tug mob mob ntev uas ua rau ib tug cuam tshuam ntawm metabolism thiab kev puas tsuaj rau Internal plab hnyuv siab raum.
Ua rau gout rau cov poj niam
Yuav kom teb tau cov lus nug txog qhov gout, cov cim thiab kev kho mob rau cov poj niam, ib tug yuav tsum to taub qhov ua rau lub ntsws. Nyob rau hauv cov neeg nws yog hu ua ib tug kab mob ntawm aristocrats thiab vajntxwv, vim hais tias feem ntau heev nws tshwm sim los ntawm unreasonable noj ntawm teeb meem zaub mov thiab haus. Nyob rau hauv xws li mob, urate salts (uric acid) muab tso rau thiab muab tso rau hauv cov pob qij txha.
Tam sim no, gout yog tsawg. Nws cuam tshuam rau peb cov neeg tawm ntawm 1000 xyoo. Hauv cov poj niam, tus kab mob tshwm sim nws tus kheej tom qab qhov pib ntawm menopause (nyob rau hauv lub kaum rau xyoo). Mus txog rau lub sij hawm no, cov neeg sawv cev ntawm kev sib daj sib deev los ntawm qhov teeb meem no ua rau kom tsis txhob estrogens, uas tshem tawm ntawm uric acid los ntawm lub cev. Urates ua rau muaj kev puas siab puas ntsws thiab pab tsim cov tswv yim zais.
Thaum kuaj tau gout, cov laj thawj yuav ua tau raws li nram no:
- ob lub raum tsis muaj sij hawm los tiv thaiv nrog ib tug lossis loj npaum li ntawm uric acid ;
- ntxig cov kua ntsev yog muab pov tseg hauv cov kev txwv, tab sis lub raum tsis tuaj yeem hnov lawv.
Yog xav kom muaj tus kab mob muaj peev xwm:
- ntshav qab zib mellitus;
- kis mob thiab mob yau;
- hormonal tsis ua hauj lwm .
Ua ntej rau cov poj niam yau, txawm yog thaum muaj hnub nyoog li no:
- kab mob plawv ;
- Overeating;
- heredity.
Cov cim ntawm gout rau cov poj niam
Cov tsos mob ntawm tus kab mob tshwm sim nyob rau hauv ib qho kev mob ntawm gouty mob caj dab , nws yog ib qho kev o ntawm kev sib koom tes. Kev tawm tsam ntawm kev mob siab yog mob los ntawm ib tug poj niam thaum hmo ntuj los yog thaum ntxov thaum sawv ntxov. Qhov chaw tiv thaiv yuav yog:
- swell;
- ci iab;
- ntsej mua nce ntshav;
- xav tias kub.
Thaum nruab hnub, cov tsos mob yuav tsis pom zoo, thiab hmo ntuj yuav nce dua. Thaum cov tsos mob ntawm tus kab mob gout yuav kav ntev li 3 mus rau 7 hnub, qee zaum kuj ntev dua. Thaum tom ntej nres ntawm kev mob siab, lwm cov pob qij txha yuav koom tau, uas ua rau lawv cov kev puas tsuaj ib nrab. Nyob rau hauv cheeb tsam ntawm qhov chaw mob, outgrowths (tofus) raug tsim, uas feem ntau tawg. Hauv qhov no, tus neeg yuav pom whitish crystals ntawm urate.
Thaum kuaj tau gout, cov paib thiab kev kho rau cov poj niam nyob ntawm seb tus kab mob:
- Cov theem pib - qhov no tsis muaj lwm yam kev hloov, tab sis qib ntawm uric acid nyob rau hauv lub cev muaj ntau ntxiv. Tus poj niam hauv qhov xwm txheej no muaj peev xwm hnov mob hauv lub plab thiab pob qij txha, kom mob siab, nws muaj insomnia.
- Qhov thib ob theem yog tsiag ntawv los ntawm kev tawm tsam. Cov neeg mob tsim kev tsis muaj zog, xeev siab thiab ua daus no. Tom qab li ntawm ib lub lim tiam, cov tsos mob yuav ploj mus, thiab qhov mob zoo li qub.
- Qhov kev kawm thib peb - nyob rau hauv qhov teeb meem, tus poj niam tsis muaj qaug dab peg, nws xav zoo, tab sis qhov no ywm yuav ua teeb meem. Cov theem ntawm cov qaub ncaug ntau zaus tshaj li qhov kev cai thiab tas li nyob hauv lub cev.
- Lub xeem dhau - twb dhau mus rau hauv ib daim ntawv ntev, thiab nodular formations tshwm tsis zoo xwb nyob rau hauv cov pob qij txha, tab sis kuj nyob rau hauv tendons. Yog tias qhov teeb meem tsis pib sai, ces lub txim yuav ua tau teeb meem.
Gout ntawm tes
Hauv ib theem mob, ib tug poj niam muaj peev xwm muaj mob mob siab heev hauv kev outgrowths uas muaj kev pom tseeb. Nyob rau hauv cov ntaub ntawv ntawm gout tus kab mob, cov tsos mob yog tshwm sim nyob rau hauv daim ntawv ntawm ib qho kev ywj pheej txheej txheem, uas tiv thaiv cov neeg sawv cev ntawm lub zog qaug zog los ntawm ua lub neej tag nrho. Thaum lub sijhawm ua rau lub cev kub hnyiab nce siab mus txog 39-40 degrees, thiab cov mob nyhav tsis tuaj yeem nqa khoom.
Gout ntawm ceg
Tus kab mob no feem ntau tshwm sim ntawm ob txhais ceg. Nrog rau txhua tus kab mob ntawm mob nrog gout txo, tab sis lub ob leeg yuav poob mobility. Yog hais tias thaum lub sij hawm lub zog koj hnov ib qho kev nyuab siab, tom qab ntawd paub tias kev ua tsis tau kev hloov ntawm kev hloov ua deformation. Tofus pib sau rau hauv ko taw, hauv caug, pob taws los yog ntawm tus ntiv tes xoo, thiab tom qab ntawd nws yuav loj hlob thoob plaws hauv lub cev, tsoo lub nraub qaum thiab pob ntseg. Cov kab mob inflammatory ua rau lub plab muaj pob, uas tuaj yeem ua rau tuag taus.
Gout - yuav kho li cas?
Ua ntej pib kev kho mob rau cov poj niam, tus kws kho mob pom zoo kom kuaj xyuas txhua yam, xws li:
- kuaj ultrasound;
- kuaj ntshav thiab zis;
- electrocardiogram;
- magnetic resonance imaging.
Cov kev kho mob ntawm tus kab mob no yog rheumatologist. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm mobility ntawm pob yas qej txha, koj muaj peev xwm nrog ib tug orthopedist. Yog xav xaiv cov yeeb tshuaj rau kev ua mob loj, cov neeg mob tau pw hauv tsev kho mob. Hauv tsev kho mob muaj 2 lub ntsiab lus tseem ceeb:
- cuam tshuam kev ua kom qaug zog;
- normalization ntawm metabolism.
Yog nws tau mus kho gout ib si?
Yuav kom teb cov lus nug ntawm cov neeg mob txog seb puas muaj peev xwm kho tau gout kiag li, nws yog ib qhov tsim nyog yuav tsum paub seb lub caij muaj tus kab mob hauv cov poj niam puas tau tshwm sim thaum lub sij hawm ntawd. Nyob hauv cov theem pib, qhov teeb meem no yuav hloov radically, yog tias koj ua raws li kev noj zaub mov kws kho mob, mus dhau ib hom kev kho mob thiab ua rau kev noj qab haus huv txoj kev ua neej. Nyob rau hauv ib qho kev tsis txaus siab, ib tus kws kho mob tshwj xeeb tuaj yeem pab tus neeg mob tus mob thiab txo cov naiskhu.
Nres ntawm gout - ua li cas?
Yog tias koj muaj kev tawm tsam, koj tsis tuaj yeem tshem tawm qhov mob, koj tuaj yeem txo cov nyhuv. Thaum cov neeg mob pib xav tias thawj cov tsos mob ntawm kev sib zog, lawv xav tau:
- Siv dej khov nab kuab (dej txias heev) los sis maj mam roj pleev (Dimexid, Vishnevsky) kom mob nqaij.
- Tso lub tog hauv ncoo nyob rau hauv cov leeg mob.
- Siv tsawg kawg nkaus 2 liters kua (dej ntxhia, kua txiv hmab txiv ntoo los yog mis nyuj).
- Saib xyuas cov zaub mov uas muaj kua cawv thiab kua zaub kua zaub.
- Nrhiav tswv yim pab kho mob.
Npaj rau gout
Koj tuaj yeem siv kho kom zoo rau gout tsuas yog tom qab tham nrog ib tus kws kho mob tshwj xeeb uas yuav muab ib hom tshuaj, xav txog:
- hnub nyoog;
- theem;
- cov yam ntxwv ntawm cov kab mob;
- anamnesis.
Txoj kev kho yuav muaj tsawg kawg 5 yam kev coj ua, thiab yuav tsum tau kawm rau 3-6 lub lim tiam. Txoj kev kho muaj xws li:
- NSAIDs ( non-steroidal anti-inflammatory drugs ) - lawv txo kev hnov mob (Metindol, Ibuprom, Voltaren);
- Urikozuric tshuaj nrog gout - txo qhov nyiaj ntawm uric acid (Anturan, Ketason, Butadion);
- Corticosteroid hormones - inhibit mob thiab tso tawm hauv daim ntawv txhaj tshuaj thiab ntsiav tshuaj (Prednisolone, Triamcinolone, Dexamethasone).
Hirudotherapy rau gout
Txoj kev kho ntxiv rau cov hom phiaj tseem ceeb tuaj yeem yog hirudotherapy. Leeches nrog gout nqus nrog cov ntshav thiab uric acid. Hoob kawm yog pib ntawm 5 mus rau 6 zaug thiab nyob ntawm lub xeev ntawm koj lub cev. Qaub ncaug ntawm annelid worms kho txhim metabolism, tshem tawm slags, faib cov leeg ntawm cov nqaij thiab optimizes ntshav ncig. Ua ntej siv lawv, nrog koj tus kws kho mob tham.
Gout - kev kho mob nrog kev kho neeg pej xeem
Txhawm rau txhawm rau lawv cov mob nrog tus kab mob xws li gout, kev kho mob hauv tsev muaj xws li:
- xav;
- so kom txaus;
- zaws.
Kev kho mob ntawm gout nrog pej xeem txoj kev muaj xws li cov txheej txheem xws li:
- mob nyem nrog iodine, uas yuav tsum tau yaj nrog baking sis dej qab zib hauv dej sov thiab thov kom thaj chaw mob;
- zis txoj kev kho - nyob rau hauv nws yog ib qhov tsim nyog yuav tau soar tsau txhua hnub;
- kev siv ntawm decoction ntawm cowberries;
- Compression ntawm wine vinegar thiab liab av nplaum;
- Kev kho mob ntawm cov pob qij txha los ntawm kev sib tov ntawm Aspirin thiab iodine.
Khoom noj khoom haus rau gout
Cov zaub mov noj zaub mov zoo rau lub plab yog ib hom kev kho mob. Nws yog tsim nyog yuav tau noj me me feem 4-5 zaug hauv ib hnub thiab haus dej kom txog li 3 litres dej txhua hnub. Kev yoo mov nrog tus kabmob no yog txwv tsis pub, vim hais tias nws tuaj yeem ua rau muaj qis nce nyob rau hauv uric acid thiab nws cov ntshav nrog. Kom haus dej cawv tsis zoo, thiab haus cawv txiv hmab liab.
Cov neeg mob yuav tsum tsis suav nrog lawv cov khoom noj:
- ntsev;
- condiments;
- nplooj siab;
- raum;
- sorrel;
- radish;
- taum.
- txiv hmab txiv ntoo tshiab (tshwj xeeb yog citrus) thiab zaub (qej, qos yaj ywm, beets, eggplants thiab thiaj li);
- qe;
- dawb nqaij qaib nqaij;
- nqaij nruab deg;
- ceev thiab noob;
- cov khoom noj khoom haus los ntawm whole grains, rye thiab dawb hmoov;
- fermented mis nyuj khoom;
- neeg tsis noj nqaij soups.
Gout thiab nws cov nyom
Yog tias koj muaj qee qhov mob ntxiv ntawm gout, koj yuav tsum paub tias tus kab mob no muaj teeb meem loj. Qhov feem ntau txaus ntshai ntawm lawv yog:
- Rov ua ntau dua - ib tug poj niam tuaj yeem ntsib kev mob siab ntau zaus hauv ib xyoos. Qhov no yog vim tsis ua raws li kev noj haus thiab kev tiv thaiv.
- Lub yeej ntawm ib tug loj tus naj npawb ntawm cov cheeb tsam ntawm lub cev nrog tofusi , uas yog tsim nyob rau hauv Internal plab hnyuv siab raum. Cov tom kawg yog qhov nyuaj heev los xyuas, yog li ntawd nws tsis tuaj yeem kho.
- Cov tsos ntawm raum pob zeb. Uric acid accumulates nyob rau hauv lawv thiab urate pathologies raug tsim. Nyob rau hauv tshaj plaws mob, lub sab hauv taum-puab plab pib poob thiab qhuav tawm. Cov neeg mob yuav ua kev puas tsuaj.