Oya, allopurinol utagivuze kuri dovere ntibiboneka muri Amerika. Allopurinol ni imiti isabwa n'umuganga yo kwirinda igihe kirekire indwara ya goute, igabanya aside ya uric mu mezi, kandi isabwa n'umuganga gusa kuko isaba igipimo gikwiye, kugenzura ibizamini bya laboratoire, kandi ugashyira mu gaciro ingaruka nke cyane zubuganga bwibibazo byuruhu. Kubera ko kwirinda goute bitashoboka utagivuze kuri dovere, gusura ukoresheje internet bifite agaciro ka $39 byakwagenera kandi, igihe bikwiriye, bigatangira allopurinol umunsi ubwo, hamwe no gukurikirana bikenera.

ICYO DUFATANYE MUBURYO BWISHYUHE

  • Allopurinol isabwa n'umuganga muri Amerika; ni igikoresho cyo kwirinda igihe kirekire, ntabwo ari amahitamo utagivuze kuri dovere.

  • Iririnda goute igabanya aside ya uric uko buhora; Ntabwo ivura ibibazo byihutirwa.

  • Kuyitangira byashobora gutera ibibazo mugitangiriro, rero itangizwa neza, akenshi ikazana ibikoresho byo kwirinda ibibazo.

  • Isaba kugenzurwa kwa laboratoire kandi ifite akaga gato kabagari karimo ingaruka zikomeye zubuganga bwuruhu.

  • Gusura ukoresheje internet bifite agaciro ka $39 byatagutangiriza umunsi ubwo hamwe numushinga wawe wo gukurikirana.

Impamvu hataboneka allopurinol utagivuze kuri dovere

Kuba isabwa n'umuganga ntibyagenze kubwumvikane; allopurinol isaba uruhare rwumuganga muburyo bwihariye. Ikora mugabanya aside ya uric umubiri wawe ukora, ikintu cyateje goute, kandi kugera aho neza bisaba guhitamo urugero rutangiriraho, kugukosora kugera kucyo ugamije muri aside ya uric, no gukora kugenzurwa kwa kansoro (imikorere yimpyiko na aside ya uric, rimwe na rimwe umwijima), nkuko bigaragara mu bigize Ishyirahamwe ry'Abaganga ba Rheumatology bo muri Amerika. Yaba ifite kandi akaga gato karimo ingaruka zikomeye z'uruhu, muri bimwe mubihugu bifitanye isano n'ikimenyetso kimwe cyihariye cyashobora gusabwa gupimwa mbere yo gutangira [kwemeza: amabwiriza yo gupima HLA-B*58:01]. Izo ni impamvu zifatika ko umuntu ufite icyangombwa, atari akabati k'ibiyobyabwenge, ari we ugenzura, kandi ni impamvu ahari uburyo bwo gushakisha allopurinol utagivuze kuri dovere bidahinduka muri Amerika, hamwe na website zitagira uruhushya kandi zidasizwe.

Itandukaniro rya mbere ryihariye: kwirinda, ntibibazo

Ni ngombwa cyane ko utamenya iyi ngingo, ni uko. Allopurinol irinda goute; ntabwo ivura ibibazo ufite ubu. Mu by'ukuri, gutangira allopurinol mugihe cy'ibibazo bikomeye, cyangwa gutangira na gato, bishobora gutera ibibazo by'igihe gito nkuko aside ya uric ihinduka, ni yo mpamvu itangizwa neza kandi akenshi hamwe nikintu cyo kwirinda ibibazo mugihe cyamezi ya mbere. Niba uri hagati y'ububabare bwa goute, allopurinol ntabwo ari ubugure bwawe, ni colchicine, NSAID, cyangwa steroid (reba inyigisho yacu kuri [colchicine yo kwirinda ibibazo byihutirwa](internal: colchicine-online)). Itekereze gutya: colchicine yashimangira umuriro, allopurinol irinda inkongi z'umuriro zizaza mugukosora ikintu cyateye ikibazo. Abantu bafite goute isubiramo akenshi baba bakeneye bombi, bakoreshwa kubikorwa byabo bitandukanye, kandi kubahindura ni ikosa ryiza kandi riza.

Impamvu kwirinda bifite akamaro (ntabwo ari uguhumurizwa gusa)

Dore impamvu allopurinol ifite agaciro kuruta kwirinda ugomba kugerageza kuruta gusa gusimburana n'ibibazo. Goute ntabwo ari ibibazo bibabaza gusa; aside ya uric nyinshi inyuma yabyo ivyura insoro mu ngingo uko buhora, kandi goute isubiramo ishobora gutera kwangirika kw'ingingo, hamwe n'ibibazo byo hanze byitwa tophi, kandi bifitanye isano n'impyiko. Kugenzura ibibazo kimwe na kimwe hamwe n'ibiyobyabwenge byihutirwa birekura ko iyi mbaraga ishingiye ku buvuzi ikomeza. Allopurinol, mugabanya aside ya uric kugeza ku rwego rugamijwe no kuyigumana igihe kirekire, irahagarika indwara kwiyongera, ni yo mpamvu inyigisho ziyihuriza hamwe abantu bafite ibibazo byihutirwa, tophi, impyiko, cyangwa kwangirika kw'ingingo. Ni itandukaniro riri hagati yo kuvura ibimenyetso burundu no gukemura ikintu cyateye ikibazo, ni cyo kiganiro ugomba kuganira niba goute ikomeje gusubira inyuma.

Uko wabona allopurinol yanditswe kuri interineti, umunsi ubwo

Kubera ko kwirinda bitashobora kugurwa utagivuze kuri dovere, umushinga w'ibyo umuganga yanditse niwo ugiye kugerwaho. August itanga gusura bifite agaciro ka $39 [→ /telehealth/gout niba uhari, ubundi ibiro byihutirwa kuri interineti], bitangiranye na scan yibimenyetso ya AI yubuntu kugirango wemeze ko ibintu byawe bifitanye isano mbere yo kwishyura. Umuganga wemewe muri Amerika asuzuma amakuru yawe ya goute, uko ukunze kugira ibibazo, amakuru yawe y'impyiko n'ibindi bikoresho, kandi aganira kuri uko allopurinol igomba gukurikiranwa, kandi igihe bikwiriye ashobora gutangira umunsi ubwo hamwe numushinga wibizamini bya laboratoire hamwe n'ibyo kwirinda ibibazo. Gusura ntibihamya ko uzasabwa kwandikira, kandi ubuvuzi bukwiye bwa allopurinol burimo gukurikiranwa kugirango uhindure urugero no kugenzura, rero ni intangiriro yo gucunga burundu aho kuba inshuro imwe. Niba uri hagati y'ibibazo, muganga azabanza gukemura icyo kibazo gikomeye, hanyuma aganireho kwirinda.

Imwe mu ngaruka zikomeye ugomba kumenya

Iyi nshuro yo kwirinda igomba kuba iri hejuru y'uru rupapuro. Allopurinol irihanganirwa neza nabantu benshi, ariko ishobora gukoreshwa rimwe na rimwe ingaruka zikomeye, harimo ingaruka zikomeye z'uruhu nka Stevens-Johnson syndrome cyangwa hypersensitivity syndrome (rimwe na rimwe yitwa DRESS), ishobora kuba ibyago. Icyemezo gikomeye: niba ufite uruhu, cyane cyane uruhu rwiza, rwagaragaye, cyangwa rushishuka, cyangwa uruhu rufite ibitotsi, kwishima mu maso, cyangwa umva uri mubibazo bikomeye, nyuma yo gutangira allopurinol, reka kuyikoresha kandi wirengere ubuzima vuba. Izi ngaruka ntizasubiramo, kandi abantu benshi bakoresha allopurinol imyaka myinshi badafite ikibazo, ariko kumenya ibimenyetso bikomeye, no kubona gusuzumwa no gukurikiranwa bizima, ni cyo kintu cyose gikoreshwa nabaganga aho kuba ahantu hagurirwa.

FAQ

Allopurinol iboneka mu maduka muri Amerika?
Oya, isabwa n'umuganga mu ntara 50 zose, kuko isabwa kugipimo gikwiye, kugenzura ibizamini bya laboratoire, no kumenya ingaruka zikomeye zitazisubiramo. Urubuga rutagira uruhushya rutangaza ni urudafite uruhushya. Gusura kwa Telehealth byatagutangiriza umunsi ubwo hamwe numushinga wawe wo gukurikirana.

Allopurinol ishobora guhagarika igiteye goute mfite ubu?
Oya, kandi gutangira igihe cy'ibibazo byihutirwa byatuma ikibazo cyiyongera mugihe gito. Allopurinol ni igikoresho cyo kwirinda igihe kirekire kigabanya aside ya uric uko buhoraho. Ibibazo byihutirwa bikoreshwa na colchicine, NSAIDs, cyangwa steroids. Ibi bikorwa bibiri byombi byatandukanye cyane.

Kuki gutangira allopurinol rimwe na rimwe bitera ibibazo?
Kubera ko guhindura aside ya uric bishobora gukoresha insoro zahoze, bigatuma ibibazo byihutirwa bikora kare mukuvura. Ibyo biriteganijwe, ntabwo ari ikimenyetso cyo kunanirwa, kandi ni yo mpamvu allopurinol itangizwa neza, akenshi hamwe nikintu cyo kwirinda ibibazo igihe cyamezi ya mbere kugeza ku rwego ruhindutse.

Allopurinol isaba ibizamini by'amaraso?
Yego, kugenzurwa, imikorere y'impyiko hamwe n'urwego rwa aside ya uric, birafasha mugupima kugera ku rwego rugamijwe, kandi rimwe na rimwe ibizamini by'umwijima birareba. Iki kugenzurwa ni igice cyimpamvu isabwa n'umuganga kandi igenzurwa na muganga, yemeza ko urugero rufite akamaro kandi rukaba rukwiye kuri wowe.

Ni ikihe kaga gakomeye ngomba kwitondera?
Rimwe na rimwe, allopurinol ishobora gutera uruhu ruhomeye cyangwa hypersensitivity. Niba ufite uruhu ruhinduka, rugiye kwishishwa, cyangwa rushishuka, cyangwa uruhu rufite ibitotsi cyangwa kwishima mu maso, reka kwishyira hamwe kandi wirengere vuba. Abantu benshi barayikoresha neza imyaka myinshi, ariko ibi bimenyetso bikomeye bifite akamaro.

Allopurinol itandukanye na colchicine?
Allopurinol irinda goute igihe kirekire mugabanya aside ya uric; colchicine ivura ibibazo bikomeye kandi ntibwirinda ibizaza. Abantu benshi bafite goute isubiramo bakoresha bombi, kubikorwa byabo bitandukanye. Kubahindura, gutegereza allopurinol guhagarika ibibazo, ni ikosa ryiza.

Mba ngomba gukoresha allopurinol burundu?
Akenshi ni imiti igihe kirekire, kuko igenzura ikibazo cy'aside ya uric gikomeje, kandi guhagarika akenshi bibaho ko aside ya uric na goute biisubiramo. Umuganga wawe ni we ugenzura igihe gikwiye n'urugero. Inzego z'imibereho zifasha hamwe nabyo ariko ntizisimbura igihe cyingenzi cyane kubigize goute.

Igihe gisaba?
Gusura kwa August bifite agaciro ka $39, nta insurance, kandi allopurinol ya jeneriki ni imwe mu miti itwara amafaranga make cyane [kwemeza: urugero rwa buri munsi]. Ibizamini bya laboratoire biyongeraho amafaranga ariko bikaba byiza nk'ibizamini by'amaraso. Ni imiti y'igihe kirekire ifite igiciro cyiza.