Ngakhale kuti shuga ndi gout ndimatenda osiyanasiyana, zimachitika limodzi.
Kuphatikiza apo, ali ngati "abale", chifukwa choyambitsa chake ndi njira yolakwika. Ganizirani za gout ndi chiyani, ndipo ndi ziti zomwe zimapangidwira pochiza matenda ashuga.
Kodi kutuwa ndi chiyani?
Gout ndi matenda omwe amayamba chifukwa cha kudzikundikira kwa uric acid ndi mchere wake.. Acid iyi imapezekanso m'thupi lathanzi.
Gout
Koma movutikira ndi chimbudzi, imalira ndipo imayikidwa m'malo olumikizirana mafupa. Izi zimabweretsa kukula kwa matenda.
Zifukwa zachitukuko
Gout ndiofala kwambiri mwa amuna. "Zaka zowopsa" nthawi zambiri zimakhala zaka 30-60. Izi ndichifukwa choti thupi laimuna silimaganizira kwambiri za insulin ndipo limakhala ndi gawo lalikulu la uric acid.
Zifukwa zomwe zingayambitse kukula kwa nthawi yomweyo za gout ndi matenda ashuga zimaphatikizapo:
- kusachita masewera olimbitsa thupi;
- zakudya zopanda thanzi;
- uchidakwa;
- chiopsezo cholowa;
- zaka Pamene tikukalamba, ziwalo ndi machitidwe zimayamba kugwira ntchito moyipa. Kuchepa kwa insulin katemera kapena kusatha kuigwiritsa ntchito kumabweretsa kukula kwa matenda ashuga, ndipo mavuto omwe amapezeka ndi uric acid ndi njira yachindunji ya gout.
Zomwe zalembedwa ndizofunikira, koma osati zokhazo. Chifukwa chake, adotolo ayenera kusamala ma anamnesis kuti apereke njira yokwanira yamankhwala.
Zizindikiro
Gout ndi matenda osachiritsika. Nthawi zambiri, kuwonjezeka kwa kuchuluka kwa uric acid kumayambitsa zala. Komabe, njirayi ikhoza kukhudza mchiuno, mawondo, maondo. Nthawi zachikhululukiro zimatsatiridwa ndi kukokomeza.
Kuchulukana kwa gout kumachitika ndi izi:
- kupweteka kwambiri molumikizana ndi matendawa;
- redness la khungu m'dera la odwala olowa, limodzi ndi kutentha kwawoko;
- kutupa kwa minofu;
- Kuuma mu zilonda zolowa;
- kufooka kwathunthu;
- kukodza kwamkodzo musanafike pokana, komanso, kukodza kwamphamvu pambuyo pake kutha.
Pakakhala chithandizo chokwanira, matendawa amapita patsogolo. Izi zimabweretsa kuphatikizidwa. Matendawa amafalikira, akukhudza mbali zonse zatsopano za thupi.
Chithandizo cha gout ndi shuga
Njira zonse zochizira matenda amtundu wa shuga zimaphatikizapo: zakudya zoyenera, mankhwala osokoneza bongo, hirudotherapy, physiotherapy.
Mankhwala
Mankhwala a gout amachitika mu magawo awiri:
- mankhwala omwe cholinga chake ndi kuchotsa kutupa: kupweteka, kufupika, kutupa. Wodwalayo amatenga ndalamazi mpaka ululu utatha. Pakadali pano, mankhwala ochokera m'gulu la mankhwala omwe si a antiidal. Pakuwopsa, mankhwala a mahomoni omwe amachotsa kutupa amatha;
- mankhwala omwe wodwalayo amatenga kunja kwa chiwopsezo cha gout. Zochita zawo cholinga chake ndikuchepetsa kuchuluka kwa uric acid m'magazi. Kupereka mankhwala moyenera ndikutsatira mankhwala omwe akupangidwira kungapangitse kuti tipewe kuthekera kwatsopano ndi chiwonongeko cha mafupa, komanso kupewa izi zovuta monga kulephera kwa impso. Allomaron, Tiopurinol, Allopurinol ali m'gulu lino la ndalama.
Zakudya
Asanapangidwe chithandizo chamankhwala cha gout, kutsatira zakudya zapadera inali njira yokhayo yochizira. Pakupereka chakudya chamagulu, madokotala amaganizira zinthu monga kupezeka kwa shuga kwa wodwala, kulemera kwa thupi, pafupipafupi komanso kuopsa kwa khunyu.
Mitengo yambiri ya purines imapezeka munyama
Chinsinsi cha zakudya za anthu odwala matenda ashuga ndi gout ndi motere. Kunja kwa kuukira, chakudyacho chikuyenera kuphatikiza mapuloteni ochepa, mafuta, mchere ndi purines. Ngati wodwalayo wanenepa kwambiri, zakudya zake ziyenera kukhala zopusa.
Cholinga cha kadyedwe ndikuchepetsa uric acid ndikusintha matenda a glucose nthawi imodzi:
- kuletsa kwa mankhwala a purine;
- kumwa kwambiri;
- kuwongolera kovomerezeka kwa thupi la wodwala.
Zotsatirazi ndizoletsedwa:
- mchere. Njira yabwino ndiyakuti mukane, koma ngati wodwalayo sangathe kuchita izi, muchepetsetsetsetsetsetsetsedwe yake ya tsiku ndi tsiku mpaka 6-8 g;
- chiwindi;
- broth: nyama ndi nsomba;
- masoseji;
- offal (mapapu, impso);
- nsomba zamafuta;
- zakudya zopatsa mphamvu kwambiri;
- nyemba (kupatula nandolo).
Pofuna kupewa kuchuluka kwa uric acid, zotsatirazi ndizochepa:
- nyama. Imaloledwa pang'ono, yopanda mafuta, yophika. Ngati sizotheka kuthetsa mawonetsedwe a matendawa, zinthu izi zimaphatikizidwa kwathunthu kuzakudya;
- nsomba
- nandolo.
Zinthu zoletsedwa kwa matenda ashuga: mitundu yonse ya zakudya zamzitini, ayisikilimu, zipatso zouma (kupatula prunes), sipinachi, sorelo, chokoleti, confectionery, zipatso ndi zipatso zokhala ndi index yayikulu ya glycemic.
Zazinthu zomwe zaloledwa, zizikhala ndi michere yambiri komanso zopatsa mphamvu:
- pasitala (kuchokera durum tirigu);
- mbewu monga chimanga: tirigu, tirigu, mapira;
- zipatso zouma - prunes;
- masamba abwino ndi ophika: kabichi, dzungu, tomato, nkhaka. Folic acid mumasamba amathandiza purine excretion;
- mtedza (m'miyeso yaying'ono);
- zopatsa mkaka zinthu zopanda malire kuti zithe kulipirira kuchepa kwa mapuloteni. Mutha kumwa mkaka, kudya tchizi tchizi ndi tchizi zofatsa;
- mazira - 1 pc. patsiku, kukonza kulikonse;
- kuchokera ku zakudya zotsekemera - marmalade, jelly, maswiti, mapiki, omwe amapangidwa makamaka kwa odwala matenda ashuga.
Ndikofunikira kuwona boma la kumwa. Madzi okwanira kumwa tsiku lililonse sayenera kukhala osakwana malita awiri. Kusiyana kwake ndi odwala omwe ali ndi mavuto a impso. Kuchokera ku zakumwa, munthu ayenera kuyika chidwi cha rosehip decoction, zakumwa zosapsa za zipatso, ndi madzi am mchere omwe amachitika ndi zamchere.
Zolemba za odwala omwe ali ndi kunenepa kwambiri
Chinthu chachikulu ndikuchepetsa kuchuluka kwa zopatsa mphamvu (zosaposa 30 kcal pa 1 kg ya kulemera kwa thupi).
Zakudya zama calorie apamwamba zimayambitsa kuwonjezeka kwa kuchuluka kwa purines. Tiyenera kukumbukira kuti kuwonda kwambiri kumavulaza. Kuchepetsa thupi kumayenera kukhala kosalala.
Kuletsedwa kosagwirizana ndi chakudya, ndipo, makamaka, kufa ndi njala kumatha kuyambitsa ketoacidosis pamsika wa matenda ashuga (kudzikundikira kwa ma ketones m'mwazi). Kutsika kwa mphamvu yamphamvu kumachitika chifukwa cha kuchepa kwa kuchuluka kwa zinthu zophika mkate.
Ndi kukokomeza, wodwalayo amatumizidwa chakudya chamafuta (chimanga, mkaka, mafuta odzola). Kwa nthawi yowonjezereka, ndikofunikira kupatula nyama kwathunthu, chifukwa zinthu za purine zimabweretsa thanzi labwino.
Hirudotherapy
Ndi gout, kagayidwe kake m'matenda opatsirana amakhala ndi vuto. Chithandizo cha leech ndi njira imodzi yakale kwambiri. Njirayi imagwiritsidwa ntchito pothandizidwa ndi gout komanso mankhwalawa.
Hirudotherapy ndi njira yopweteka yopweteka kwambiri yomwe imathandizira kuti matenda a purine metabolization akhale.
Chithandizo chotsimikiziridwa bwino cha gout ndi leeches.
Chinsinsi cha mankhwalawa ndi motere. Minyewa imayamwa magazi ndi mchere wa uric acid. Kuphatikiza apo, ma pinkiller omwe amapezeka m'misempha ya leeches amathandizira kuti pakhale nthawi yayitali (maola 6 mpaka 24) ya lymph komanso magazi ochepa. Kutuluka kwa Lymphatic kuchokera m'mabala kumapangitsa kuti ma lymph node apange maselo oteteza - lymphocyte.
Zotsatira za hirudotherapy ndi motere:
- onjezerani chitetezo chokwanira;
- kuchuluka kwa magazi ku zimakhala ndi mafupa omwe amakhudzidwa ndi gout;
- kupanga magazi kukonzanso;
- kukonza magwiritsidwe a endocrine dongosolo, kusintha matenda shuga.
Kutalika kokwanira kwa njirazi ndi nthawi 1 pa sabata. Kutengera ndi kuwopsa kwa matendawa, ndikotheka kugwiritsa ntchito 1 mpaka 20 leeches mu gawo limodzi.
Ngati gout imavuta ndi mtundu 1 kapena mtundu wa matenda ashuga 2, chithandizo chonsecho ndi magawo 5 mpaka 6.
Makanema okhudzana nawo
Pazomwe zimayambitsa ndi njira zochizira gout ndi shuga mu kanema:
Gout si sentensi, makamaka popeza zomwe zakwaniritsidwa zamankhwala amakono zimatha kukwaniritsa zotsatira zokhazikika. Koma zambiri zimatengera wodwala iyemwini, kulanga kwake ndi kutsatira zomwe dokotalayo wapereka. Chithandizo choyenera chimatsogolera ku chakuti shuga mumagazi, ndipo gout imatsalira kwa nthawi yayitali.
