Lipheko tsa ho phekola le ho thibela gout le litla-morao

Litaba

• 1. Lithethefatsi tse seng khahlanong le ho ruruha
• 2. Colchicine
• 3. Li-corticoids
• 4. Li-block tsa tlhahiso ea acid ea uric
• 5. Litlhare tse eketsang pheliso ea uric acid

Ho phekola gout, ngaka e ka khothaletsa ts'ebeliso ea meriana e thibelang ho ruruha, e kokobetsang bohloko le li-corticosteroids, tse sebelisoang maemong a hlobaetsang. Ntle le moo, tse ling tsa lithethefatsi tsena li ka sebelisoa, ka tekanyetso e tlase ho thibela litlhaselo.

Ho boetse ho na le litlhare tse ling tse thusang ho thibela mathata a bakoang ke lefu lena, a sebetsang ka ho fokotsa tlhahiso ea uric acid kapa ho khothaletsa ho e felisa.

Kahoo, kalafo ea gout e tlameha ho ikhetholla ka bomong ho latela boima, nako ea koluoa, manonyeletso a amehileng, litšitiso le boiphihlelo bo fetileng boo motho a bileng le bona ka kalafo.

1. Lithethefatsi tse seng khahlanong le ho ruruha

Lithethefatsi tse seng li-steroidal tse khahlanong le ho ruruha joalo ka ibuprofen, naproxen, indomethacin kapa celecoxib li sebelisoa haholo ho fokotsa matšoao a litlhaselo tse matla tsa gout, ka litekanyetso tse phahameng, le ho thibela litlhaselo tse tlang nakong e tlase.

Leha ho le joalo, lithethefatsi tsena li ka baka litla-morao maemong a ka mpeng, joalo ka bohloko ba mpeng, ho tsoa mali le liso, haholo ho batho ba noang meriana ena letsatsi le letsatsi. Ho fokotsa litlamorao tsena, se loketseng ke ho noa meriana ena kamora ho ja 'me ngaka e kanna ea fana ka tlhahiso ea ho nka mosireletsi oa mpa, letsatsi le leng le le leng, ka mpeng e se nang letho, ho imolla bohloko.

2. Colchicine

Colchicine ke pheko e sebelisoang haholo ho phekola le ho thibela litlhaselo tsa gout, hobane e fokotsa ho beoa ha likristale tsa urate le karabelo e bakoang ke ho ruruha, ka hona ho fokotsa bohloko. Meriana ena e ka sebelisoa letsatsi le letsatsi ho thibela litlhaselo, 'me lethal dose le ka eketseha nakong ea tlhaselo e matla. Ithute haholoanyane ka moriana ona.

Litla-morao tse tloaelehileng haholo tse ka bang teng ka ts'ebeliso ea colchicine ke mathata a silang lijo, joalo ka lets'ollo, ho nyekeloa le pelo le ho hlatsa.

3. Li-corticoids

Ngaka e ka khothaletsa li-corticosteroids tse kang prednisolone matlapeng kapa liente, ho fokotsa bohloko le ho ruruha, tse sebelisoang haholo maemong ao batho ba sitoang ho nka li-anti-inflammatories tse kang indomethacin kapa celecoxib, ka mohlala, kapa ba ke ke ba sebelisa colchicine.

Litla-morao tse atileng haholo tse ka bakoang ke ho sebelisa prednisolone ke ho fetoha ha maikutlo, ho eketsa tsoekere maling le khatello e phahameng ea mali. Tseba hore litla-morao tse ling li ka bakoa ke corticosteroids.

4. Li-block tsa tlhahiso ea acid ea uric

Moriana o sebelisitsoeng haholo ho thibela tlhahiso ea uric acid ke allopurinol (Zyloric), e thibelang xanthine oxidase, e leng enzyme e fetolang xanthine hore e be asiti ea uric, e fokotsang maemo a eona maling, e leng ho fokotsang menyetla ea ho hlaha ha mathata. Bona tse ling ka meriana ena.

Litla-morao tse tloaelehileng tse ka bakoang ke allopurinol ke makhopho a letlalo.

5. Litlhare tse eketsang pheliso ea uric acid

Moriana o ka sebelisetsoang ho felisa uric acid e ngata morotong ke probenecid, e lebisang ho fokotseheng ha phallo ea mali. Ithute haholoanyane ka moriana ona.

Litla-morao tse tloaelehileng tse ka bang teng ka ts'ebeliso ea meriana ena ke ho phatloha ha letlalo, bohloko ba mpeng le majoe a liphio.

Ntle le moo, lithethefatsi tse ling, tse kang losartan, bahanyetsi ba kanale ea calcium, fenofibrate le li-statin, le tsona li kenya letsoho phokotsong ea uric acid, ka hona, neng le neng ha ho lokafatsoa, ​​li lokela ho tsotelloa, ho nahanoa ka molemo oa tsona ho gout.