Gout ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Gout ni ubwoko bw'indwara y'amagufa itera ububabare bukabije mu magufa mu buryo butunguranye, iyo amabuye y'asidi ya urique yiyongereye mu magufa yawe. Tekereza ko ari nk'aho sisitemu y'umubiri wawe ikuvugiraho iyo asidi ya urique yiyongereye cyane mu maraso, ikabera amabuye nk'ayandi mu magufa.

Iyi ndwara ikunda kwibasira igikumwe kinini, ariko ishobora kwibasira ikindi gice cy'umubiri. Inkuru nziza ni uko gout ivurwa neza, kandi ukoresheje uburyo bwiza bwo kuyivura, ushobora kwirinda ko yakubasira ukundi, ukabaho neza.

Ibimenyetso bya gout ni ibihe?

Ibimenyetso bya gout bikunda kuza mu buryo butunguranye, bikakubuza gusinzira nijoro bitewe n'ububabare bukabije. Ubwo bubabare bushobora kugera ku ntsingizo mu masaha 12 cyangwa 24, kandi n'akantu gato kagukoraho gashobora kukubabaza cyane.

Dore ibimenyetso by'ingenzi ushobora kugira mu gihe ufite gout:

• Ububabare bukabije mu magufa - Busanzwe butangirira mu gikumwe kinini ariko bushobora kwibasira ibirenge, amavi, amaboko, iminwa, cyangwa intoki
• Kubyimbagira no kwishima - Igice cy'umubiri kibasirwa kibyimbagira kandi kigakoraho bikubabaza
• Urubura n'ubushyuhe - Uruhu rwo mu gice cy'umubiri kibasirwa rushobora kuba rurukara kandi rukaba rushyuha
• Kudakora neza kw'umubiri - Ushobora kubona bigukomereye kugira imikorere isanzwe y'igice cy'umubiri kibasirwa
• Kubabara mu gihe kirekire - Nyuma y'ububabare bukabije, ububabare buke mu magufa bushobora kumara iminsi cyangwa ibyumweru

Ibimenyetso bishobora kuba bikabije ku buryo n'umurego w'umutaka ku kirenge wawe ushobora kukubabaza cyane. Ariko, hagati y'ububabare, ushobora kumva umeze neza nta kibazo.

Uduce twa gout ni utuhe?

Gout itera imbere mu byiciro bitandukanye, kandi kubyumva bishobora kugufasha kumenya aho uri muri uwo mucyo. Buri cyiciro gifite imico yacyo n'uburyo bwo kuvurwa.

Asymptomatic hyperuricemia ni icyiciro cya mbere aho urwego rw'asidi ya urique ruri hejuru, ariko nta bimenyetso uba ufite. Abantu benshi baguma muri iki cyiciro batagira gout.

Ibitero bya gout bikabije bigaragaza ibyo bibazo by'ububabare abantu benshi bahuza na gout. Ibyo bitero bitunguranye kandi bikabije bishobora kumara iminsi mike kugeza ku byumweru byinshi bidavuwe.

Gout hagati ivuga igihe cy'ubuzima bwiza hagati y'ibitero. Muri icyo gihe, ushobora kumva umeze neza, ariko amabuye y'asidi ya urique ashobora kuba akomeje kwiyongera mu magufa yawe.

Gout ya karande ni icyiciro cya nyuma aho amabuye y'asidi ya urique akora ibice biboneka munsi y'uruhu. Iki cyiciro gisanzwe kiba nyuma y'imyaka myinshi gout idavuwe kandi ishobora gutera iyangirika ry'amagufa rya burundu.

Impamvu za gout ni izihe?

Gout ibaho iyo umubiri wawe utera asidi ya urique cyane cyangwa udakurura neza. Asidi ya urique ni ibintu bisanzwe byangiza umubiri iyo umubiri wawe usenye purines, ibintu biboneka mu mubiri wawe n'ibiribwa bimwe na bimwe.

Ubusanzwe, asidi ya urique ikemuka mu maraso yawe ikanyura mu mpyiko ikajya mu mpisho. Ariko, iyo urwego rwayo ruzamutse cyane, asidi ya urique ishobora gukora amabuye ikayashyira mu magufa, ikatera kubyimbagira no kubabara.

Ibintu byinshi bishobora gutera urwego rwinshi rw'asidi ya urique:

• Ibiryo byinshi bya purines - Inyama zitukura, inyama z'impyiko, amafi amwe n'inzoga bishobora kongera asidi ya urique
• Ibibazo by'impyiko - Imikorere mibi y'impyiko bituma umubiri wawe udashobora gukuraho asidi ya urique
• Imiti imwe n'imwe - Imiti yo kunanura, aspirine, n'imiti imwe n'imwe y'umuvuduko w'amaraso ishobora kugira ingaruka ku rwego rw'asidi ya urique
• Indwara zimwe na zimwe - Diabete, metabolic syndrome, n'indwara z'umutima bishobora kongera ibyago byawe
• Kuzimangana - Kudakoresha amazi ahagije bishobora gutuma asidi ya urique iba myinshi mu maraso yawe
• Gutakaza ibiro byihuse - Indyo zikabije cyangwa gusiba ibiryo bishobora gutuma asidi ya urique izamuka by'agateganyo

Ni ngombwa kumenya ko kugira asidi ya urique nyinshi ntibihamya ko uzagira gout. Bamwe bagira urwego rwinshi rw'asidi ya urique mu buzima bwabo bwose batagira gout.

Ni ryari ukwiye kubona muganga kubera gout?

Wagomba kuvugana na muganga wawe niba ufite ububabare bukabije mu magufa, cyane cyane niba buherekejwe no kubyimbagira no kurwara. Kuvurwa hakiri kare bishobora kugabanya igihe n'uburemere bw'ibimenyetso.

Shaka ubufasha bwa muganga vuba niba ufite umuriro hamwe n'ububabare mu magufa no kubyimbagira. Ibi bishobora kugaragaza ubwandu bw'amagufa, busaba kuvurwa vuba kandi bushobora kuba bibi niba bitavuwe.

Tegura gahunda yo kubona muganga niba warigeze kugira ububabare mu magufa bwinshi buza bugaca. Nubwo ububabare bwakemuka ubwabwo, ibimenyetso byisubiramo bigaragaza ko ushobora kuba ukeneye kuvurwa kugira ngo wirinde ibindi bibazo n'ibyangirika by'amagufa.

Ntugatege amatwi kubona muganga niba ibimenyetso byawe bigukomereye gukora ibikorwa byawe bya buri munsi cyangwa gusinzira. Hari uburyo bwiza bwo kuvura bushobora kugufasha kandi bukagabanya ingaruka mbi.

Ibyago byo kurwara gout ni ibihe?

Kumenya ibyago byawe bishobora kugufasha wowe na muganga wawe gushyiraho gahunda yo kwirinda. Hari ibyago bimwe na bimwe ushobora kugenzura, ibindi bikaba ari ibintu by'umurage wawe.

Dore ibintu by'ingenzi byongera ibyago byo kurwara gout:

• Kuba umugabo - Abagabo bafite ibyago byinshi byo kurwara gout kurusha abagore inshuro eshatu cyangwa enye
• Imyaka - Ibyago byiyongera uko umuntu akura, bisanzwe bitangira mu myaka 30 ku bagabo no nyuma y'igihe cyo gucura ku bagore
• Amateka y'umuryango - Kugira abavandimwe barwaye gout byongera ibyago byawe cyane
• Umurire - Kurenga ibiro byongera umuvuduko ku magufa yawe kandi bigira ingaruka ku buryo umubiri wawe ukoresha asidi ya urique
• Umuvuduko w'amaraso - Indwara ubwayo n'imiti yayo bishobora gutera gout
• Indwara z'impyiko - Imikorere mibi y'impyiko bituma bigoye gukuraho asidi ya urique
• Diabete - Abantu barwaye diabete bafite ibyago byinshi byo kurwara gout
• Indwara z'umutima - Indwara z'umutima zikunda kuba hamwe na gout

Ibindi byago bike ariko by'ingenzi birimo:

• Psoriasis - Iyi ndwara y'uruhu yongera asidi ya urique
• Sleep apnea - Gusinzira nabi bishobora kugira ingaruka ku rwego rw'asidi ya urique
• Kuba mu mpande zifite umucanga - Kuba mu kazi cyangwa ahantu hafite umucanga bishobora gutera gout
• Guhindura imyanya y'umubiri - Imiti yo kwirinda kwanga imyanya y'umubiri ishobora kongera asidi ya urique

Wibuke ko kugira ibyago ntibisobanura ko uzagira gout. Abantu benshi bafite ibyago byinshi ntibagira gout, abandi bafite ibyago bike barayirwara.

Ingaruka mbi zishoboka za gout ni izihe?

Nubwo ibitero bya gout biba igihe gito, gout idavuwe ishobora gutera ibibazo bikomeye mu gihe kirekire. Inkuru nziza ni uko ukoresheje uburyo bwiza bwo kuvura, ibyo bibazo byinshi birindwa.

Ingaruka mbi zisanzwe ushobora guhura nazo harimo:

• Ibitero bisubiramo - Utabonye ubuvuzi, ibitero bya gout bikunda kuba byinshi kandi bishobora kumara igihe kirekire
• Iyangirika ry'amagufa - Kubyimbagira kenshi bishobora kwangiza amagufa n'igice cy'amagufa
• Tophi formation - Amabuye manini y'asidi ya urique ashobora gukora ibice munsi y'uruhu
• Amabuye y'impyiko - Urwego rwinshi rw'asidi ya urique rushobora gutera amabuye y'impyiko
• Indwara z'impyiko za karande - Iyangirika ry'impyiko mu gihe kirekire bitewe n'urwego rwinshi rw'asidi ya urique

Ibindi bibazo bike ariko bikomeye birimo:

• Gusenywa kw'amagufa - Ibibazo bikomeye bishobora gutera gutakaza burundu imikorere y'amagufa
• Gusenywa kw'amagufa - Amabuye y'asidi ya urique ashobora kurya amagufa
• Ububabare buhoraho - Ububabare buhoraho hagati y'ibitero
• Ubwandu bwo kubura - Uruhu rwamenetse hejuru ya tophi rushobora kwandura

Inkuru nziza ni uko uburyo bwo kuvura gout bugezweho bufite akamaro cyane mu kwirinda ibyo bibazo. Ukoresheje uburyo bwiza bwo kuyivura, abantu benshi barwaye gout babaho ubuzima busanzwe, bukora nta bibazo by'amagufa mu gihe kirekire.

Gout ishobora kwirindwa gute?

Ushobora kugabanya cyane ibyago byo kurwara gout uhindura imibereho yawe n'ibiryo byawe. Nubwo udashobora guhindura umurage wawe, ufite ububasha bwo kugenzura ibindi byago byinshi.

Guhindura imirire bishobora kugira uruhare runini mu gucunga urwego rw'asidi ya urique:

• Kugabanya ibiryo byinshi bya purines - Gabanya inyama zitukura, inyama z'impyiko, n'amafi amwe nka sardines na anchovies
• Kunywa inzoga mu rugero - Ibirahuri n'inzoga zikomeye ni mbi cyane, naho vino isa nkeya
• Kwima ibinyobwa byinshi by'isukari - Ibinyobwa byinshi by'isukari bishobora kongera asidi ya urique
• Kunywa amata make - Amata ashobora kugabanya asidi ya urique
• Kurya cheries nyinshi - Ubushakashatsi bwerekana ko cheries n'umutobe wayo bishobora kugabanya ibitero bya gout

Guhindura imibereho ni ingenzi mu kwirinda:

• Kugira ibiro bikwiye - Kugabanya ibiro buhoro buhoro bishobora kugabanya asidi ya urique
• Kunywa amazi ahagije - Kunywa amazi ahagije bituma impyiko zawe zikuraho asidi ya urique
• Gukora imyitozo ngororamubiri - Imibereho myiza ifasha mu gucunga ibiro n'ubuzima muri rusange
• Gucunga izindi ndwara - Kumenya neza umuvuduko w'amaraso, diabete, n'indwara z'impyiko

Wibuke ko kwirinda ari byiza kurusha kuvura ibitero bikabije. Guhindura buhoro buhoro imikorere yawe ya buri munsi bishobora kugira uruhare runini mu buzima bwawe bwiza n'ubuzima bw'amagufa yawe.

Gout imenyekanwa ite?

Kumenya gout bisaba intambwe nyinshi, kandi muganga wawe azakoresha ibipimo byinshi kugira ngo abimenye. Uruhererekane rusanzwe rutangira ibiganiro byinshi ku bimenyetso byawe n'amateka yawe y'ubuzima.

Muganga wawe azabanza gukora isuzuma ry'umubiri, arebe ibimenyetso byo kubyimbagira, kubyimbagira, no kubabara mu magufa. Azita ku buryo amagufa yibasirwa n'uburyo ibimenyetso bitangira.

Ibizamini byinshi bishobora gufasha kumenya gout:

• Isuzuma ry'amazi yo mu magufa - Iki nicyo kizami cyizewe, aho amazi ava mu magufa yibasirwa akarebwa niba afite amabuye y'asidi ya urique
• Isuzuma ry'asidi ya urique mu maraso - Ripima urwego rw'asidi ya urique mu maraso yawe, nubwo urwego rusanzwe rudahita ruhakana gout
• X-rays - Ishobora kwerekana iyangirika ry'amagufa mu gihe kirekire, ariko gout yo mu ntangiriro ishobora kutaboneka kuri X-rays
• Ultrasound - Ishobora kubona amabuye y'asidi ya urique nubwo utari ufite ikibazo
• CT scan - Dual-energy CT ishobora kumenya amabuye y'asidi ya urique mu magufa

Rimwe na rimwe kumenya indwara bishobora kugorana kuko gout ishobora kumera nk'izindi ndwara nk'ubwandu cyangwa izindi ndwara z'amagufa. Muganga wawe ashobora kuba akeneye guhakana ibyo bimenyetso mbere yo kwemeza gout.

Ni ngombwa kumenya ko urwego rw'asidi ya urique rushobora kuba rusanzwe cyangwa rukiyongera mu gihe cy'igitero gikabije, bityo igihe cyo gupima amaraso ni ingenzi. Muganga wawe azi ibyo bintu kandi azasobanura ibisubizo hashingiwe ku bimenyetso byawe.

Uburyo bwo kuvura gout ni buhe?

Uburyo bwo kuvura gout bugamije ibintu bibiri by'ingenzi: kugabanya ububabare mu gihe cy'igitero gikabije no kwirinda ibindi bitero. Uburyo muganga wawe azagutegurira bizaterwa niba ufite igitero cyangwa ugerageza kubyirinda.

Mu gihe cy'igitero cya gout gikabije, kuvura bigamije kugabanya kubyimbagira no kubabara vuba:

• NSAIDs - Imiti nka ibuprofen cyangwa naproxen ishobora kugabanya kubyimbagira no kubabara
• Colchicine - Igamije kubabara kwa gout ariko ikora neza iyo itangiye hakiri kare
• Corticosteroids - Imiti ikomeye yo kurwanya kubyimbagira ku bitero bikomeye cyangwa iyo indi miti idakora
• Kuruhukira no guhagarika - Kugumisha igice cy'umubiri kibasirwa hejuru no kwirinda kugikoraho bishobora gufasha
• Gushyiraho igikombe cy'amazi akonje - Ibikombe by'amazi akonje bishobora kugabanya ububabare kuri bamwe

Kwivura mu gihe kirekire bikubiyemo imiti igabanya asidi ya urique:

• Allopurinol - Igabanya asidi ya urique kandi ni yo miti ikunze gukoreshwa mu kwirinda
• Febuxostat - Indi miti ibuza asidi ya urique, ikoreshwa iyo allopurinol idakora
• Probenecid - Ifasha impyiko zawe gukuraho asidi ya urique
• Pegloticase - Uburyo bwo kuvura gout ikomeye idakira

Muganga wawe azatangira imiti yo kwirinda nyuma y'igitero gikabije kimaze gukira. Gutangira hakiri kare bishobora gutera ikindi gitero, bityo igihe ni ingenzi.

Intego yo kuvura mu gihe kirekire ni ugutuma urwego rw'asidi ya urique rutagira hejuru ya 6 mg/dL, ibintu bituma amabuye ashobora gukemuka kandi bikabuza ko ayandi akora.

Uko wakwitwara mu rugo

Kwitwara mu rugo bigira uruhare runini mu kuvura ibitero bikabije no kwirinda ibindi bitero. Uburyo bworoshye bwo kwita ku buzima bwawe bushobora kunoza ubuzima bwawe no kwihuta gukira.

Mu gihe cy'igitero gikabije, ibanda ku buryo bwo kwihanganira ububabare:

• Reka igice cy'umubiri kibasirwa kiruhuke - Irinde gushyira umuvuduko ku gice kibabaza
• Shyira igice cy'umubiri kibasirwa hejuru - Shyira igice kibasirwa hejuru y'umutima
• Shyiraho igikombe cy'amazi akonje - Koresha ibikombe by'amazi akonje iminota 15-20, ubishyize mu gipfunsi
• Kunywa amazi ahagije - Kunywa amazi ahagije bituma asidi ya urique ikurwa mu mubiri
• Irinde inzoga - Inzoga zishobora kongera kubyimbagira no kubabaza

Mu kwivura mu gihe kirekire, guhindura imirire bishobora kugira uruhare runini:

• Andika ibiryo urya - Andika ibiryo urya n'ibimenyetso kugira ngo umenye ibiryo bikubabaza
• Urugero rw'ibiryo - Ibiryo byiza mu rugero bishobora gutera ibibazo byinshi
• Guhindura imirire buhoro buhoro - Hindura imirire yawe buhoro buhoro kugira ngo wirinde igitero
• Tegura ibirori - Tegura uburyo bwo kwirinda ibiryo bikubabaza

Guhangana n'umunaniro no gusinzira neza bigira uruhare mu kwirinda ibitero. Umunaniro mwinshi no gusinzira nabi bishobora gutera ibitero, bityo kugira imibereho myiza bifasha mu gucunga gout.

Uko wakwitegura gusura muganga

Kwitunganya gusura muganga bifasha kumenya neza indwara no kubona uburyo bwiza bwo kuvura. Gutegura neza bishobora kugabanya igihe kandi bigafasha muganga wawe kumva neza ibibazo byawe.

Mbere yo gusura muganga, kora amakuru y'ingenzi ku bimenyetso byawe:

• Igihe ibimenyetso byatangiye - Ibimenyetso byatangiye ryari, byamaze igihe kingana iki, kandi ni iki cyabifashije cyangwa cyabibyutse
• Uburyo ububabare bumera - Pima ububabare bwawe kandi usobanure uko bumera (ububabare bukabije, ububabare buhoraho, ubushyuhe)
• Ibigize amagufa - Ni ayahe magufa yibasirwa n'uburyo
• Ibindi bitero - Ibindi bitero byabaye, nubwo byasaga ntibihuye
• Ibitera - Ibiryo, ibikorwa, cyangwa ibibazo bishobora kuba byaratumye haba igitero

Tegura amakuru y'ubuzima bwawe n'imiti ukoresha:

• Imiti ukoresha - Zana urutonde rw'imiti yose, harimo imiti yo mu maduka n'imiti y'inyongera
• Indwara ufite - Andika izindi ndwara ufite, cyane cyane indwara z'impyiko, umuvuduko w'amaraso, cyangwa diabete
• Amateka y'umuryango - Amakuru ku bavandimwe barwaye gout, indwara z'impyiko, cyangwa indwara z'amagufa
• Ihinduka riheruka - Imiti mishya, guhindura imirire, cyangwa guhindura imibereho

Andika ibibazo ushaka kubabaza muganga wawe, nko kuvura, guhindura imibereho, cyangwa uko bizagenda mu gihe kirekire. Kugira ibibazo byawe biteguye bizatuma utabagirwa ibibazo by'ingenzi mu gihe cy'isura.

Icyo ukwiye kumenya kuri gout

Gout ni indwara ivurwa neza idakwiye kugukurikira. Nubwo ibitero bya mbere bishobora kubabaza cyane, kumenya ko hari uburyo bwiza bwo kuvura bikwiye kukugira icyizere no kukugira inama yo gushaka ubufasha.

Ikintu cy'ingenzi cyo kwibuka ni uko gout ari indwara ishobora gucungwa mu gihe kirekire aho kuba ikintu ugomba kwihanganira. Ukoresheje imiti ikwiye, guhindura imibereho, no gukurikiranwa na muganga, abantu benshi barwaye gout bashobora kwirinda ibindi bitero kandi bakabaho neza.

Kuvurwa hakiri kare no kwirinda ni ingenzi mu kwirinda ingaruka mbi no kubungabunga ubuzima bwawe. Nturetse ubwoba cyangwa isoni bikubuze gushaka ubufasha - muganga wawe amaze kubona iyi ndwara inshuro nyinshi kandi afite uburyo bwiza bwo kugufasha kumva umeze neza.

Wibuke ko gucunga gout ni ubufatanye hagati yawe n'itsinda ryawe ry'abaganga. Kwitanga kwawe mu guhindura imibereho yawe no gukurikiza imiti, hamwe no kuvurwa neza, biguha amahirwe meza yo kugira ubuzima bwiza mu gihe kirekire.

Ibibazo byakunda kubazwa kuri gout

Nshobora kurya inyama niba mfite gout?

Ntugomba guhagarika inyama burundu, ariko kubigenzura ni ingenzi. Ibanda ku kugabanya inyama zitukura n'inyama z'impyiko, zifite purines nyinshi. Inkoko n'inkwavu ni byiza kurusha inyama z'inka cyangwa iz'ingurube. Igice kingana na garama 85-115 rimwe na rimwe gisanzwe gikwiye kuri benshi, ariko banza uganire na muganga wawe kugira ngo umenye icyakubereye.

Kunywa amazi menshi bizafasha kwirinda ibitero bya gout koko?

Yego, kugira amazi ahagije ni kimwe mu bintu byoroshye kandi byiza mu kwirinda ibitero bya gout. Amazi afasha impyiko zawe gukuraho asidi ya urique neza kandi ikaba idaheruka mu maraso. Gerageza kunywa amazi agera kuri litiro 2 ku munsi, kandi wongere iyo ukorana cyangwa uba mu hantu hashyushye.

Ibitero bya gout bisanzwe bimamara igihe kingana iki?

Ibitero byinshi bya gout bigera ku ntsingizo mu masaha 12-24 hanyuma bigakira buhoro buhoro mu minsi 3-10, nubwo bitavuwe. Ariko, ukoresheje imiti ikwiye, ushobora kugabanya igihe cyayo cyane. Bamwe bagira ububabare buke mu byumweru byinshi nyuma y'ububabare bukabije, ariko ibi bihinduka uko umuntu agenda.

Gout irakomoka mu muryango?

Gout ifite ibintu by'umuryango - ufite ibyago byinshi byo kuyirwara niba abagize umuryango wawe barayirwaye. Ariko, umuryango si ikintu cyose. Abantu benshi bafite amateka y'umuryango ntibagira gout, abandi badafite amateka y'umuryango barayirwara. Imikorere yawe, imirire, n'ubuzima muri rusange bigira uruhare mu kwirinda iyi ndwara.

Umunaniro ushobora gutera igitero cya gout?

Umunaniro ushobora gutera ibitero bya gout kuri bamwe. Umunaniro wo mu mubiri uterwa n'indwara, kubagwa, cyangwa imvune bishobora gutera igitero, kimwe n'umunaniro wo mu mutwe. Ibi bibaho kuko umunaniro ushobora kugira ingaruka ku mikorere y'umubiri wawe n'imisemburo, bishobora kugira ingaruka ku kubyimbagira no gukoresha asidi ya urique. Guhangana n'umunaniro binyuze mu buryo bwo kuruhuka, gusinzira bihagije, no gukora imyitozo ngororamubiri bishobora kuba igice cyo kwirinda gout.