ʻO nāʻokoʻa i loko o ka pakeneka hope loa -ʻo ia ka mea e hoʻohālike ai kēlā me kēia kanaka. I kekahi mau mea, e hiki keʻike i nāʻano o nā mākua a me nā pilikū'ē aʻe e hiki ai ke wānana i ka hopena o ka maʻi. Ua manaʻoʻia heʻoi aʻe a emiʻole paha ka keiki i kona mau mākua,ʻo ia hoʻi, ua like ka lōʻihi me ke kino a me nāʻano likeʻole, a me keʻano o ka lauoho a me ka hiʻohiʻona like. Nui nāʻano e hiki ai i kahi keiki ke hoʻoilina mai kona mau mākua mai, me nā kālena a iʻole nā mea i kū i nā wahi likeʻole a me nāʻano pono. No ke kāne, he 8 manawa ka nui o ke kūlana o ka gout ma mua o nā wāhine ma mua o ka maʻiʻole o kēia maʻi. ʻO ka lōʻihi pinepine o ka hoʻouka muaʻana mai 30 a 60 mau makahiki. Nā mea kumu'ē aʻe:
• Ka hoʻohana nuiʻana i ka waiʻona. Ma muli o ia mea,ʻaʻole ka meaʻona e hoʻopiʻi i ka paila, akā e hoʻonāukiuki i nā maʻi.
• Ka meaʻai nui-protein.
• Ke kaʻina - no ka mea, i ka'ōlelo Hawaiʻi a me ka poʻe Polenekia,ʻo ke kiʻekiʻe o kaʻeleʻele uric i loko o ke koko ka mea iʻoi aku ka kiʻekiʻe ma mua o nā kānaka'ē aʻe, no laila uaʻoi aku ka maikaʻi o ka heleʻana.
• Ka nui.
• Nā maʻi e hoʻonui ai i ka hou hou o ke kelepona, e like me erythremia (hoʻomāhuahuaʻia ka erythrocyte), a me nā lymphomas a me nā mea maʻi'ē aʻe.
• Ka heleʻana o ka hele i loko o ka moʻolelo o kaʻohana.
• Lawe i nā diuretics a iʻole nā liʻiliʻi liʻiliʻi o ka huapalapala'alela salicylic.
• Ka maʻi hōki.
ʻO ka poʻe i loaʻa i ka gout ka piʻi nui o ka hoʻonuiʻana i nā maʻi o ka lipid metabolism a me ka hauʻoli. I loko o 25% o nā maʻi,ʻoiai ma mua o ka hoʻouka muaʻana o ka gout, aia kekahi mau hihia o kahi pūnāwai nui e pili ana i ka laweʻana i nāʻeleʻele'okic acid i nā puʻupaʻa. Me kahi kūʻokoʻa o ka gout no ka hoʻokomoʻokoʻa i loko o ke kikowaena,ʻo nā mea hoʻohanaʻole i nā hōʻailona anti-inflammatory (NSAID) he kūpono loa. Pono lākou e hāʻawiʻia i nā kiʻekiʻe i ka hoʻomaka kokeʻana o kahi hoʻouka kaua; ʻO ka hapa nui loa o nā kalo e mālama iā lākou. No nā mea hikiʻole ke lawe iā NSAID, kahi o nā lāʻau lapaʻau iʻike mua loaʻia - ka nohoʻana o colchicine.
Nā mea pōmaikaʻi
ʻO nā mea nuiʻole o ka colchicine he laha loa loa ia o ka hopena a me ka hopena o nā hopena pili. ʻO ka NSAID e pili ana i nā huahana wai salicylic i nā mea liʻiliʻi, e hoʻonui i ka gout, a ma loko o nāʻapa nui he mau mea kūpono ia i kēia maʻi,ʻoiai, ua paleʻia ka hoʻohanaʻana. ʻO ka mea maʻamau,ʻo ka hoʻohana muaʻana o ka allopurinol, kahi lāʻau i hoʻohanaʻia e pale ai i ka hopuʻana me ka gout, hiki paha ke hoʻoulu aʻe i kahi hoʻouka kaua. ʻIkeʻia ka makeʻana ma keʻano o nā hōʻailona hōʻailona, kaʻikeʻana i ka moʻolelo o ka mea maʻi ma nā mea kūikawā a me ka ho'āʻoʻana i ka blood no ka mea o ka uric acid. Inā kānalua nā kānalua, hiki ke hōʻoiaʻia ka hōʻailona ma o kaʻikeʻiaʻana o nā kakane sodium urate i loko o kahi hōʻailona synovial fluid. I ka hele wāwae, hiki ke hoʻohioloʻia nā hono, a he hōʻike i ka hoʻonaʻauao X-ray e hōʻike i nā loli maʻamau. Hoʻopiliʻia, ua waihoʻia nā urates i loko o nā mea i loko o keʻano o ka nodele maʻalahi e hiki keʻikeʻia a puni nā hono, nā peʻa'ōnike, nā pūpū keʻo, a me nā pūpū pepeiao.
Nā diagnostical dialect
Hiki ke hoʻoukaʻia kekahi hōʻeuʻeu mai kekahi mau hola i kekahi mau pule. ʻO ke kahe nui ka like loa me keʻano o ka pulper arthritis, a no ka hoʻomahaʻana i ka hale maʻi, pono e haʻalele i kēia maʻiʻoi aku. Pēlā nō, hiki ke hoʻomaka i ka maʻiʻana o ka inflammatory me kahi mea likeʻole e like me ke kī. ʻO ka hoʻonuiʻana i ka nui o kaʻaila uric acid ma kahi pono'īʻaʻole ia he kumu no ka lāʻau lāʻau. ʻO ka hapanui o nā poʻe maʻi me ka nui o kaʻaila uric acid kiʻekiʻe i ko lākou olaʻana,ʻaʻole lākou eʻike i nā hōʻailona o ka loo. ʻO kahi wale nō o lākou e pilikia i ka hopu houʻana. Akā, ma kēia mau hihia, e lawe ana i nā heiau kiʻekiʻe o NSAID a laila e ukali i kaʻai a me nā mea mālama'ē aku eʻoi aku ka pono ma mua o ka mālamaʻana i ke ola. He mea pono e pale i kaʻai me kahi kiʻekiʻe o ka purine, ka waihā, ma keʻano wela, a me nā hana maʻamau.
Pono e mālamaʻia nā diuretics a me ka waikawa acetylsalicylic i nā kumu haʻahaʻa me ka mālama. Pono e hāʻawiʻia ka lāʻau palekana i nā maʻi wale nō i ka hopena o ka hoʻolālāʻana i nā hopena lōʻihi o ka gout, pēnei i ka'ākope a iʻole ka paʻakikī paʻakikī o ka maʻi maʻi kīkī mau. ʻO ka hapanui o kēia mau maʻi'ōpiopio me kahi kiʻekiʻe o ka uric acid i loko o ke koko, nā kānaka me ka'ōpū nodular mauʻole a me nā mea hele wāwae pinepine, a me nā kānaka me ka maʻi kīkī. ʻO kekahi o nā lāʻau lapaʻau maʻaʻoleʻo allopurinol. He maikaʻi a palekana no ka hoʻohana lōʻihi. Eia naʻe, ke hoʻopiʻi nei kekahi mau maʻi i kahi wikiwiki, akā, ma hope o ka pauʻana o ka lāʻau lapaʻau, e nalowale. Hoʻopilikia ka lāʻau lapaʻau i ka xanthine oxidase, ka mea e hoʻohuli i ka xanthine i loko o ka waiuma uric. ʻO nā lāʻau lapaʻau'ē aʻe he probenecid a sulfala-pyrazone, kahi e hoʻonui ai i ka excretion o ka waikawa uric ma o nā puʻupaʻa. ʻO ka'ōpala he maʻi likeʻole e pili ana i ka 1% o ka heluna kanaka. Hana ia i kaʻeha eha. I ka wā ma mua, ua waihoʻia he "kuleana" o nāʻoihana kiʻekiʻe o ke kaiaulu, aʻo ka mea i hoʻolālāʻia e hoʻomāhuahua i kaʻai i nā purines a me ka hopena pinepine i nā lāʻau i ka hopena manawa a me ka lukuʻiaʻana o nā hui. I kēia mau lā, hiki ke mālama maikaʻiʻia kaʻeha nui i loaʻa i ka maʻi i nā lāʻau'alopīpīʻole,ʻoiai, hiki ke paleʻia nā loea o ka loea i nā lāʻau lapaʻau e hoʻemi ai i ka nui o ka waikawa uric i loko o ke koko.