Maareynta Cudurrada Waa Hadafka
Gout waa nooca arthritis ee xanuun badan. Dad badan oo weeraray qariidada waxay ku tilmaameen waayo-aragnimadooda inay yihiin kuwo la yaab leh, run ahaantii, waxay samayn lahaayeen wax walba oo ah inay hubiyaan inaysan weligood haysan. Waxay rabaan inay ogaadaan sida loo daweeyo gout, laakiin dhab ahaantii ma jiraa daawo?Maxay Tahay?
Turjubaanka Merriam-Webster wuxuu qeexayaa daaweynta "dib u soo kabashada cudurka, cirbadeynta calaamadaha ama calaamadaha cudurku gaar ahaan muddada dheer ee daaweynta."
Iyadoo la raacayo qeexitaankaas, daaweynta gout waxay muujineysaa in daaweynta si waxtar leh looga hortago dib u soo noqoshada weerarro qoxooti ah. Si loo daweeyo, bukaanjiifka bukaanku waa inay si fiican uga jawaabaan daaweynta oo ay u hoggaansamaan qorshaha daaweynta muddada-dheer.
Cudurka qanjirada ayaa kicin kara sida uric acid ka badan ee jirka iyo kareemyada uric acid (monosodium urine crystals or MSU) foomka waxaana lagu dhajiyaa qaybaha iyo nudaha jilicsan ee ku wareegsan qaybaha. Soo saarista kristantaalka waxay ku xiran tahay caabuq ba'an iyo dabadheeraad ah.
Dhammaan dadka qaba hyperuricemia waxay horumariyaan gout: waxaa lagu qiyaasay in qiyaas ahaan saddex-meelood laba dadka qaba hyperuricemia aysan waligood lahayn astaamo ama calaamadaha qanjidhada . Hase yeeshe, hadafka daaweynta muddada dheer waa in la ilaaliyo sunta uric acid ka hooseysa 6 mg / dl. Heerkaa, kareemada cusub ma sameysanto, kristantarada hadda jira way baabi'i karaan, weerarrada ba'an ayaa la hortaagayaa, oo hoos u dhinta oo baaba.
Dhab ahaantii, marka uric acid la ilaaliyo ka yar 6 mg / dl, oo dhammaan walxaha kareemka la kala diro, gout waa la daaweeyaa - inkastoo aan la sii wadin daaweyn, dadka intooda badan waxay yeelan doonaan dib-u-dhac.
Weerarrada Gout ee aan la sii wadin
Iyadoo bilawga hore ee gout, xanuunka iyo bararka ayaa aad ugu xoog badan saacadaha ugu horeeya.
Xitaa haddii aan la daaweyn, calaamadaha sida caadiga ah waxay ku fiicnaanayaan maalmo, laga yaabo inay qaataan dhowr toddobaad. Dadka qaar, weerarrada dambe ee weerarka ayaa noqon kara mid aan caadi aheyn, sannado badan oo u dhexeeya weerarrada. Waqtiga sii socdo, inkastoo, weerarrada turxaanku waxay badanaaba kordhaan inta jeer ee ay dhacaan. Dhibaato kasta way sii jiri kartaa waxana laga yaabaa inay ku lug yeelato isugeyn dheeraad ah.
Maareynta Gout iyo Ka Hortagga Dib u Dhiska
Isku-darka daawooyinka iyo isbeddelka cuntada ayaa sida caadiga ah loo adeegsadaa si looga hortago dib u soo noqoshada weerarrada turjubaanka, ama xaaladaha qaarkood, si loo yareeyo inta jeer ee weerarada lagu qaado. Hoos udhaca heerarka uric acid badanaa waa goolka.
Dadka haysta weeraro aan cidhiidhi ahayn ama khafiif ah uma baahna dawooyinka ka hortagga muddada dheer, waxaana laga yaabaa inay helaan daaweynta weerarada degdega ah markay dhacaan. Laakiin dadka ay weerarrada gawaarida ku badan yihiin, muddada dheer iyo naafanimada waxay u baahan karaan dawo si ay u xakameyso soo noqoshada.
NSAID-yada (daawooyinka nonsteroid anti-inflammatory) ayaa loo tixgeliyaa khatarta ugu horeysa ee difaaca ka hortagga weerarka gawaarida, haddii aan dawooyinka laga mamnuucay xasaasiyad ama taariikhda boogaha dhiigbaxa , tusaale ahaan. Caadi ahaan, NSAIDs waxay keeni karaan weerar afka ah oo lagu xakameyn karo 24 saac gudahood.
Glucocorticoids , oo sidoo kale loo yaqaano "corticosteroids", ayaa ah xeelad labaad oo difaac ah oo looga hortago weerarka kiniinka degdega ah.
Badanaa, daawooyinkan waxaa lagu qoray qadar sare oo hore, ka dibna lagu xoojiyay 10 ilaa 14 maalmood. Sababtoo ah waxyeellooyinka soo noqnoqda , corticosteroids waa xal gaaban oo waqti gaaban ah, ma aha waqti dheer.
Colchicine wuxuu ahaa hal mar oo ah daroogo doorasho ah oo lagu daaweeyo weerarada baqdinta ba'an. Sababtoo ah waqtiga ay qaadayso si loo xakameeyo weerarka iyo suurtogalnimada sunta, colchicin ayaan lagu talineynin in lagu daaweeyo weerarrada halista ah, laakiin wali waxaa loo isticmaalaa si looga hortago.
Haddii ay go'aamisay in bukaan-socodka lagu daaweeyo daroogada yar-yar ee daroogada, waxaa jira laba doorasho. Allopurinol waa oksidase xakameyn kiniiniga kaas oo yareynaya wax soo saarka uric acid.
Probenecid waa mid ka mid ah wakiilada uricosuric kaas oo kordhiya qashinka uric acid.
Uloric (febuxostat) waa daawo loo qoray daaweynta hyperuricemia oo joogto ah oo loogu talagalay gout. Uloric waxay hoos u dhigtaa serum uric acid iyadoo xannibaysa oksijase xanthin (enzyme ku lug leh wax soo saarka uric acid).
Krystexxa (pegloticase) waa daroogada bayoolojiga ee ay heli karaan bukaanka aan qaadan karin, ama aan caawinin, daaweynta turjubaanka caadiga ah . Krystexxa waxay u shaqaysaa jabinta acid uric.
Ilaha:
Macluumaadka Bukaanka: Gout (Beyond Basics). UpToDate. Michael A. Becker. Maarso 29, 2012.
http://www.uptodate.com/contents/gout-beyond-the-basics?source=search_result&search=Gout+beyond+the+basics&selectedTitle=1%7E150
U diyaargarowga bartilmaameedka: istaraatijiyad lagu daaweeyo gout. Fernando Perez-Ruiz. Rheumatology. 2009.
http://rheumatology.oxfordjournals.org/content/48/suppl_2/ii9.full
Astaamo ku saabsan Cudurada Rheumatic. Klippel, J. et al. Waxaa daabacay Arthritis Foundation. Saddex iyo tobnaad.