Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
I-Gout uhlobo lwe-arthritis obangela ubuhlungu obukhulu, obukhulu bezingxenye zomzimba lapho ama-crystal acid uric eqoqa ezicubu zakho. Cabanga ngakho njengesistimu yokuxwayisa yomzimba wakho esebenza lapho i-uric acid eningi iqoqa egazini lakho futhi yakhe ama-crystal aqinile, afana nezimpumputhe ezicubeni zakho.
Leli simo sivame ukubamba ithumbu elikhulu, kodwa lingathinta noma iyiphi ingxenye yomzimba wakho. Izindaba ezinhle ukuthi i-gout iyaphatheka kalula, futhi ngokuphathwa okuhle, ungavimbela ukuhlaselwa kwesikhathi esizayo futhi uphile ukhululekile.
Izimpawu ze-gout zivame ukuqala ngokuzumayo, zikuvuse ngasebusuku ngokubuhlungu okukhulu. Ubuhlungu buvame ukufinyelela ezingeni eliphezulu phakathi kwamahora angu-12 kuya kwangu-24 futhi bungenza ngisho nokubamba okulula kube nzima kakhulu.
Nazi izimpawu eziyinhloko ongazihlangabezana nazo ngesikhathi sokuhlaselwa kwe-gout:
Izimpawu zingaba nzima kangangokuthi ngisho nokubekwa kwesikhumba esibhedeni ethumbwini lakho kungase kuzwakale kubi kakhulu. Noma kunjalo, phakathi kokuhlasela, ungase uzizwe uphilile ngokuphelele ngaphandle kwezimpawu.
I-Gout iqhubeka ngezigaba ezahlukene, futhi ukuqonda lezi zigaba kungakusiza ukubona ukuthi ungase ubephi ekuqhubekeni kwaleli simo. Isigaba ngasinye sinezimpawu zaso nezindlela zokwelapha.
I-hyperuricemia engenaso isimo yisigaba sokuqala lapho amazinga akho e-uric acid aphezulu, kodwa awukawazi lutho.
Ukuhlaselwa yi-gout okukhulu kubonisa izigameko ezibuhlungu ezivamile abantu abaningi abazihlanganisa ne-gout. Lezi zikhathi ezibuhlungu, eziqhuma ngokuzumayo, zingaphela kusukela ezinsukwini ezimbalwa kuya emavikini amaningana uma zingaphathwa.
I-gout phakathi ichaza izikhathi ezingenazo izimpawu phakathi kwemiklamo. Ngalesi sikhathi, ungase uzizwe uphelele, kodwa ama-uric acid crystals angase aqhubeke ekwakhiwa ezinhlangothini zakho.
I-gout enkulu ye-tophaceous yisigaba esiphambili lapho ama-uric acid crystals akha amaqanda abonakalayo abizwa ngokuthi yi-tophi ngaphansi kwesikhumba sakho. Lesi sigaba sivame ukuvela ngemva kweminyaka ye-gout engaphathwe futhi singabangela ukonakala okungapheli kwamalunga.
I-gout kwenzeka uma umzimba wakho ukhulula i-uric acid eningi kakhulu noma awukwazi ukuyisusa ngokwanele. I-uric acid yimikhiqizo yokuqothula evamile eyenziwa uma umzimba wakho uqothula i-purines, okuyizinto ezitholakala ngokwemvelo emzimbeni wakho nakukudleni okuthile.
Ngokuvamile, i-uric acid iyachitheka egazini lakho futhi idlulela ezinso zakho iye emathunjini. Noma kunjalo, uma amazinga ephakamile kakhulu, i-uric acid engaphezulu ingakristalisa futhi ibekele ezinhlangothini zakho, ibangele ukuvuvukala nobuhlungu.
Izinto eziningi zingase zifake isandla ekuphakameni kwamazinga e-uric acid:
Kubalulekile ukuqonda ukuthi ukuba ne-uric acid eningi akuqinisekisi ukuthi uzophuka i-gout. Abanye abantu bagcina amazinga aphezulu impilo yabo yonke ngaphandle kokuzwa ukuhlaselwa.
Kufanele uxhumane nodokotela wakho uma uhlushwa ubuhlungu obukhulu, obukhulu bezingxenye zomzimba, ikakhulukazi uma buhambisana nokuvuvukala nobomvu. Ukwelashwa kwasekuqaleni kunganciphisa kakhulu isikhathi nobukhali bezimpawu zakho.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uthola umkhuhlane kanye nobuhlungu bezingxenye zomzimba nokuvuvukala. Lo mhlanganiso ungabonisa ukutheleleka kwezingxenye zomzimba, okudinga ukwelashwa okusheshayo futhi kungaba sibi uma kushiywa kungelaphi.
Hlela i-aphoyintimenti ejwayelekile nodokotela wakho uma uke waba nezimo eziningi zobuhlungu bezingxenye zomzimba eziya futhi ziye. Ngisho noma ubuhlungu buzixazulula ngokwalo, ukuhlaselwa okuphindaphindayo kusikisela ukuthi ungadinga ukwelashwa okuqhubekayo ukuvimbela ukuhlaselwa kwesikhathi esizayo nokonakala kwezingxenye zomzimba.
Ungalindi ukubona udokotela uma izimpawu zakho zikuphazamisa imisebenzi yakho yansuku zonke noma ubuthongo. Kukhona ukwelashwa okuphumelelayo okukhona okungakunika impumuzo nokuvimbela izinkinga.
Ukuqonda izimbangela ezingase zikubangele leli gciwane kungakusiza wena nodokotela wakho ukuba wenze uhlelo lokuvimbela. Ezinye izimbangela ezingase zikubangele leli gciwane ungazilawula, kanti ezinye ziyinxalenye nje yezakhiwo zakho ze-genetic.
Nawa amanye amaphuzu aphambili andisa amathuba okuthola i-gout:
Ezinye izimbangela ezingavamile kodwa ezibalulekile zingozi zihlanganisa:
Khumbula, ukuba nezimbangela zingozi akusho ukuthi uzoba ne-gout ngokuqinisekile. Abantu abaningi abanizimbangela eziningi zingozi abazange babe nokuhlaselwa, kanti abanye abanazimbangela ezimbalwa zingozi bayithola le meko.
Nakuba ukuhlaselwa kwe-gout kuwukwesikhashana, i-gout engaphathwe ingabangela izinkinga ezinkulu zesikhathi eside. Izindaba ezinhle ukuthi ngokwelashwa okulungile, lezi zinhlanganisela zivimbeka kakhulu.
Izinhlanganisela ezivamile ongazihlangabezana nazo zihlanganisa:
Ezinye izinhlanganisela ezingavamile kodwa ezingathi sína zihlanganisa:
Izindaba ezikhuthazayo ukuthi ukwelashwa kwe-gout kwamanje kuphumelela kakhulu ekunciphiseni lezi zinhlanganisela. Ngokuphathwa okuqhubekayo, abantu abaningi abane-gout baphila impilo evamile, esebenzayo ngaphandle kwezinkinga zamajointy zesikhathi eside.
Unganciphisa kakhulu ingozi yokuhlasela kwe-gout ngokushintsha indlela yokuphila nokuguqula ukudla. Nakuba ungakwazi ukushintsha i-genetics yakho, unokuqondisa okukhulu kwezinye izimbangela zingozi.
Ukushintsha ukudla kungenza umehluko omkhulu ekulawuleni amazinga e-uric acid yakho:
Ukushintsha indlela yokuphila kubalulekile ngokulinganayo ekunciphiseni:
Khumbula, ukuvimbela kuphumelela kakhulu futhi kuhlala kulula kunokwelapha ukuhlaselwa okukhulu. Ukushintsha okuncane, okuqhubekayo emikhwenyeni yakho yansuku zonke kungenza umehluko omkhulu ekududuzeni kwakho kwesikhathi eside nasempilweni yamajointy.
Ukuhlonishwa kwe-gout kuhilela izinyathelo eziningi, futhi udokotela wakho cishe uzosebenzisa uhlanganisela lwezilingo ukuqinisekisa ukuhlonishwa. Inqubo ivame ukuqala ngengxoxo eningiliziwe yemizimba yakho kanye nomlando wakho wezokwelapha.
Udokotela wakho uzoqala ngokwenza ukuhlolwa komzimba, efuna izimpawu zokuvuvukala, ukukhula, nobuhlungu emajoyintini akho. Uzoqaphela kakhulu iphethini yokubandakanyeka kwamajointy nokuqala ngokushesha kwemizimba.
Izilingo eziningi zingasiza ekuqinisekiseni ukuhlonishwa kwe-gout:
Ngezinye izikhathi ukuhlonishwa kungaba inselele ngoba i-gout ingalingana nezinye izimo ezifana nokutheleleka noma izinhlobo ezahlukene ze-arthritis. Udokotela wakho angase adinge ukuphikisa lezi zinye izinketho ngaphambi kokuqinisekisa i-gout.
Kubalulekile ukuqaphela ukuthi amazinga e-uric acid angaba avamile noma aphansi ngesikhathi sokuhlaselwa okukhulu, ngakho isikhathi sezilingo zegazi sibalulekile. Udokotela wakho uyaqonda lezi zinto futhi uzohumusha imiphumela ngokubhekisele emizimbeni yakho.
Ukuphathwa kwe-gout kugxila emigomweni emibili ebalulekile: ukunciphisa ubuhlungu ngesikhathi sokuhlaselwa okukhulu nokuvimbela izigameko zesikhathi esizayo. Indlela udokotela wakho ayincomayo izoxhomekeka ekutheni uhlangabezana nokuhlaselwa okusebenzayo noma uzama ukuvimbela.
Ngesikhathi sokuhlaselwa kwe-gout okukhulu, ukwelashwa kugxila ekuphuculeni ukuvuvukala nobuhlungu ngokushesha:
Ukuvimbela isikhathi eside kuhilela imithi ephansi amazinga e-uric acid:
Udokotela wakho cishe uzoqala imithi yokuvikela ngemuva kokuba ukuhlaselwa kwakho okukhulu kuphelile ngokuphelele. Ukuqala ngokushesha kakhulu kungabangela ukuhlaselwa okunye, ngakho isikhathi sibalulekile.
Umgomo wokwelashwa isikhathi eside ukugcina amazinga e-uric acid akho ngaphansi kwe-6 mg/dL, okuvumela ama kristalu akhona ukuba ahlanzeke futhi kuvimbele amanye ukuba enzeke.
Ukuphathwa ekhaya kudlala indima ebalulekile kokubili ekwelapheni ukuhlaselwa okukhulu nokuvimbela izigameko zesikhathi esizayo. Izinyathelo ezilula zokunakekela ngokwakho zingathuthukisa kakhulu ukududuzeka kwakho nokubuyisela.
Ngesikhathi sokuhlaselwa okukhulu, gxila ezinyathelweni zokududuza ngokushesha:
Ngokuphathwa isikhathi eside, ukushintsha ukudla kungenza umehluko omkhulu:
Ukuphathwa kwengcindezi kanye nokuphumula kokulala futhi kudlala indima ebalulekile ekuvimbeleni ukuhlaselwa. Ingcindezi enkulu nokulala okubi kungabangela ukuqhuma kwabanye abantu, ngakho ukugcina imikhuba yempilo enhle yonke kusiza uhlelo lwakho lokuphatha i-gout.
Ukulungiselela i-appointment yakho kusiza ekuqinisekiseni ukuthi uthola ukuhlonishwa okuchane kakhulu kanye nelenqubo yokwelapha ephumelelayo. Ukulungiselela okuhle kungasindisa isikhathi futhi kusize udokotela wakho ukuqonda isimo sakho kangcono.
Ngaphambi kwe-appointment yakho, buza ulwazi olubalulekile ngemizimba yakho:
Lungiselela umlando wakho wezokwelapha kanye nemithi:
Bhala imibuzo ofuna ukuyibuza udokotela wakho, njengokwelashwa, ukushintsha indlela yokuphila, noma ukubuka kwesikhathi eside. Ukuba nemibuzo yakho kulungile kuqinisekisa ukuthi awukhohlwa izinto ezibalulekile ngesikhathi se-appointment.
I-Gout iyimo eliphatekayo kakhulu elingadingeki lilawule impilo yakho. Nakuba ukuhlaselwa kokuqala kungaba buhlungu kakhulu, ukuqonda ukuthi kukhona ukwelashwa okuphumelelayo kufanele kukunike ithemba nesikhuthazo sokuya kufuna ukunakekelwa okulungile.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-gout iyimo elilawuleka, elingapheli kunokuthile okufanele nje ulikhuthazele. Ngohlanganiswa okulungile kwemithi, ukushintsha indlela yokuphila, kanye nokuqapha kwezokwelapha, abantu abaningi abane-gout bangavimbela ukuhlaselwa kwesikhathi esizayo futhi baphile ngokunethezeka.
Ukuphathwa kokuqala nokuvimbela kuyisihluthulelo sokuqeda izinhlanganisela nokulondoloza ikhwalithi yempilo yakho. Ungavumeli ukwesaba noma ukuhlanya kukuvimbele ekuyiseni usizo - umhlinzeki wakho wezempilo ubone le meko izikhathi eziningi futhi unezinsiza eziphumelelayo zokusiza uzizwe kangcono.
Khumbula ukuthi ukuphathwa kwe-gout kuyilwimi phakathi kwakho neqembu lakho lezokunakekelwa kwezempilo. Ukuzimisela kwakho ekushintsheni indlela yokuphila nokusebenzisa imithi, kanye nokunakekelwa kwezokwelapha okulungile, kukunika ithuba elihle kakhulu lokuphila isikhathi eside nokududuzeka.
Awudingi ukususa inyama ngokuphelele, kodwa ukulinganisela kubalulekile. Gxila ekuthini ukunciphisa inyama ebomvu neyamalungu, ephakeme kakhulu ku-purines. I-Chicken ne-turkey ngokuvamile ziyizikhetho ezingcono kunenyama yenkomo noma yenkunzi. Ubukhulu besikweletu esingu-3-4 ounces ngezikhathi ezithile ngokuvamile kulungile kubantu abaningi, kodwa sebenzisana nodokotela wakho ukuze ubone ukuthi yini efanele isimo sakho esithile.
Yebo, ukuhlala unamanzi kuyindlela elula kakhulu nephumelelayo yokusiza ekuvimbeleni ukuhlaselwa kwe-gout. Amanzi asisiza izinkidini zakho ukuba zisuse i-uric acid ngokuphumelelayo futhi ayivimbi ukuba igxile egazini lakho. Hlose okungenani ama-glasi angu-8 amanzi nsuku zonke, futhi wandise leli nani uma usebenza noma uhlala endaweni efudumele.
Ukuhlaselwa kwe-gout okuningi kufinyelela izinga eliphezulu phakathi kwamahora angu-12-24 bese kuthuthuka kancane kancane phakathi kwezinsuku ezingu-3-10, ngisho nangaphandle kokwelashwa. Noma kunjalo, ngemithi efanele, unganciphisa leli xesha ngokuphawulekile. Abanye abantu bahlangabezana nokuhlupheka okuncane okungapheli amasonto amaningana ngemuva kokuba ubuhlungu obukhulu buqedile, kodwa lokhu kuyahlukahluka umuntu ngamunye.
I-gout inenzuzo yefa - kungenzeka kakhulu ukuthi uyithole uma amalungu omndeni ebe nayo. Noma kunjalo, i-genetics ayisiyiso isikhathi. Abantu abaningi abanemlando womndeni abazange babe ne-gout, kanti abanye abangenayo imlando womndeni bayithola. Izinqumo zakho zokuphila, ukudla, kanye nempilo yonke zidlalela indima ebalulekile ekutheni uzothola yini le meko.
Ingcindezi ngempela ingabangela ukuhlaselwa kwe-gout kwabanye abantu. Ingcindezi yomzimba evela ekuguleni, ekuhlinzweni, noma ekulimaleni ingabangela ukuhlaselwa, njengoba kungenzeka ingcindezi yengqondo. Lokhu kwenzeka ngoba ingcindezi ingathinta i-immune system yakho kanye namazinga e-hormone, angase athinte ukuvuvukala kanye ne-uric acid metabolism. Ukuphathwa kwengcindezi ngezindlela zokupumula, ukulala okwanele, kanye nokuzivocavoca njalo kungaba yingxenye yesu lakho lokuvimbela i-gout.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.