Tej zaum koj tau hnov txog mob caj dab, tab sis tej zaum yuav tsis paub zoo li gout, mob caj dab. Kuj tseem hu ua gouty mob caj dab, gout yog qhov mob tsis zoo tshwm sim los ntawm qib siab ntawm uric acid hauv cov nqaij, pob qij txha, thiab ntshav. Yog tias koj muaj kab mob gout, koj lub cev tsim cov uric acid ntau dhau lossis nws tsis tso zis uric acid zoo. Koj tus kws kho mob tuaj yeem ua haujlwm nrog koj los kho gout nrog tshuaj. Koj tseem tuaj yeem sim txo koj qhov kev pheej hmoo txhawm rau kho gout thiab tswj kev mob.
Cov kauj ruam
Ntu 1 ntawm 3: Txo Qhov Mob Los Ntawm Kev Siv Tshuaj
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog koj cov tshuaj tam sim no
Ntau yam tshuaj yuav ua rau koj muaj kev pheej hmoo mob gout. Tham nrog koj tus kws kho mob tam sim yog tias koj ua raws li cov hauv qab no:
- Thiazide diuretics (nquag siv los kho edema thiab kub siab)
- Cov tshuaj aspirin tsawg
- Immunosuppressant tshuaj
- Cov tshuaj tiv thaiv kev tsis lees paub (xws li cyclosporine thiab tacrolimus) tom qab hloov pauv lub cev
Kauj Ruam 2. Siv allopurinol lossis febuxostat
Koj tus kws kho mob yuav sau tshuaj noj xws li allopurinol lossis febuxostat. Cov tshuaj no ua haujlwm los thaiv kev tsim cov kua qaub uric, uas tuaj yeem ua rau mob gout. Koj tus kws kho mob tuaj yeem sau ntawv qhia no yog tias koj muaj kev tawm tsam ntau xyoo lossis yog tias kev tawm tsam ua rau mob.
Febuxostat yuav ua rau muaj kev hloov pauv rau koj lub siab enzymes. Allopurinol tuaj yeem ua rau tawv nqaij ua xua, ntshav tsis txaus, thiab qee zaum tuaj yeem ua rau mob sib koom
Kauj Ruam 3. Siv probenecid
Koj tuaj yeem tau txais daim ntawv xaj tshuaj rau probenecid, uas ua rau kom tshem tawm cov kua qaub ntau ntau thiab tuaj yeem txo qhov teeb meem los ntawm gout. Cov tshuaj no pab koj lub raum tshem tawm cov kua qaub, tab sis nws txhais tau tias koj yuav muaj cov kua qaub ntau hauv koj cov zis. Qhov no tuaj yeem ua rau lwm yam teeb meem kev noj qab haus huv zoo li lub raum pob zeb, mob plab, lossis ua pob. Ib txwm ua raws koj tus kws kho mob cov lus pom zoo.
Cov kev mob tshwm sim ntawm probenecid suav nrog mob taub hau, mob sib koom, thiab ua pa sai
Kauj Ruam 4. Siv cov tshuaj nonsteroidal anti-inflammatory drug (NSAIDS)
Txhawm rau daws qhov mob hnyav ntawm tus mob gout, koj tus kws kho mob yuav xav kom koj noj tshuaj NSAIDS zoo li indomethacin lossis celecoxib.
Cov tshuaj NSAIDS tuaj yeem ua rau los ntshav, mob plab, lossis mob plab. Nco ntsoov ua raws koj tus kws kho mob cov lus pom zoo
Kauj Ruam 5. Siv tshuaj tom khw muag tshuaj
Tham nrog koj tus kws kho mob txog kev noj tshuaj tom khw uas tsis yog tshuaj steroidal anti-inflammatory zoo li ibuprofen lossis naproxen sodium. Koj tus kws kho mob yuav xav kom koj noj tshuaj OTC tom qab koj tau noj ntau dua NSAIDS. Qhov sib xyaw ua ke no tuaj yeem nres kev tawm tsam ntawm gout.
Tej zaum koj yuav tau sau ntawv 800 mg ntawm ibuprofen kom noj peb mus rau plaub zaug ib hnub. Cov tshuaj OTC feem ntau tsuas yog siv thaum lub sijhawm tawm tsam, yog li tsum tsis txhob noj lawv tom qab koj cov tsos mob pom tseeb
Ntu 2 ntawm 3: Txhim Kho Koj Cov Khoom Noj
Kauj Ruam 1. Txiav rov qab rau cov khoom noj uas muaj purine
Koj lub cev zom cov purine hauv cov zaub mov los tsim cov kua qaub uas ua rau mob gout. Tog twg los zam cov zaub mov muaj nplua nuj los yog txwv koj cov khoom noj rau ob rau plaub zaug hauv ib lub lis piam. Yog tias koj tau muaj cov pob zeb hauv lub raum uas muaj cov kua qaub uric lossis tam sim no muaj cov kab mob gout, zam kev noj zaub mov muaj nplua nuj. Cov zaub mov nplua nuj nyob hauv purine suav nrog:
- Cawv
- Cov dej qab zib qab zib
- Cov khoom noj rog xws li cov zaub mov kib, butter, margarine thiab cov khoom siv mis nyuj muaj roj
- Nqaij nqaij. Cov khoom noj no muaj qib siab tshaj plaws ntawm purines.
- Nqaij nyuj, nqaij qaib, nqaij npuas, nqaij npuas kib, nqaij nyuj, nqaij nyuj
- Anchovies, sardines, herring, mussels, codfish, scallops, trout, haddock, crab, oyster, cw, cw
Kauj Ruam 2. Noj cov khoom noj uas ua rau koj cov qib cov kua qaub qis
Qee yam zaub mov tuaj yeem tiv thaiv qib uric acid ntau. Sim noj cov zaub mov nplua nuj nyob hauv phytate uas tuaj yeem tiv thaiv lub raum pob zeb tsim, suav nrog lub raum pob zeb nrog uric acid. Txhawm rau kom tau phytate, noj ob rau peb pluas noj ntawm taum, legumes, thiab cov nplej tag nrho txhua hnub. Cov zaub mov hauv qab no kuj tseem muaj txiaj ntsig zoo rau kev kho mob gout thiab lub raum pob zeb:
- Cov khoom noj uas muaj calcium ntau, suav nrog cov khoom siv mis uas muaj roj tsawg
- Tart kua txiv hmab txiv ntoo: Haus peb mus rau plaub 8-ounce tsom iav ntawm cov kua txiv hmab txiv ntoo txhua hnub rau kev daws teeb meem tsis pub dhau 12 txog 24 teev.
Kauj Ruam 3. Noj tshuaj ntxiv
Muaj ntau qhov tshuaj ntxiv uas tau pom zoo los kho tus mob gout. Txiav txim siab noj omega-3 fatty acids (tshwj xeeb yog EPA), bromelain (uas ua raws li cov tshuaj tiv thaiv kab mob), lossis B vitamin folate, quercitin, lossis Devil's Claw (txhua qhov uas txo cov qib uric acid). Noj cov tshuaj ntxiv raws li cov chaw tsim khoom cov lus pom zoo noj tshuaj thiab ib txwm tham nrog koj tus kws kho mob ua ntej ntxiv. Qee cov tshuaj ntxiv tuaj yeem cuam tshuam nrog tshuaj.
- Bromelain yog ib qho enzyme uas los ntawm cov pineapples thiab feem ntau siv los kho cov teeb meem zom zaub mov.
- Txhua tus neeg uas muaj tus kab mob gout yuav tsum zam kev ntxiv Vitamin C lossis niacin. Ob qho ntawm cov vitamins no tuaj yeem nce qib uric acid.
Kauj Ruam 4. Noj zaub ntau dua
Thaum koj yuav txiav ntau cov zaub mov tawm ntawm koj cov zaub mov, tsis txhob hnov qab ntxiv cov zaub mov noj qab haus huv. Noj zaub ntau kom tau txais ntau yam txiaj ntsig kev noj qab haus huv thiab cov as -ham. Thaum qee cov zaub (zoo li asparagus, zaub ntsuab, thiab nceb) muaj purines, kev tshawb fawb pom tias lawv tsis ua rau koj muaj feem yuav mob gout.
Noj zaub mov zoo yog ib feem tseem ceeb ntawm kev tswj kom lub cev hnyav. Poob qhov hnyav lossis tswj qhov hnyav kom noj qab nyob zoo tuaj yeem ua rau koj cov qib uric acid qis
Ntu 3 ntawm 3: Paub Gout
Kauj Ruam 1. Saib xyuas cov tsos mob gout
Tsis txhob poob siab yog tias cov tsos mob tshwm sim sai li sai tau. Lawv feem ntau tshwm sim thaum hmo ntuj. Cov tsos mob feem ntau yog mob tshaj plaws hauv thawj 4 txog 12 teev tom qab pib tawm tsam. Cov tsos mob no suav nrog:
- Mob sib koom hnyav: hauv taw (feem ntau ntawm lub hauv paus ntawm cov ntiv taw loj), pob taws, hauv caug, lossis lub dab teg
- Kev tsis xis nyob tom qab pib tawm tsam
- Kev liab liab thiab lwm yam cim ntawm qhov mob, zoo li sov, o thiab rhiab
- Nyuaj nyuaj txav cov cuam tshuam
Kauj Ruam 2. Xav txog koj qhov kev pheej hmoo mob gout
Muaj qee qhov kev pheej hmoo uas koj tsis tuaj yeem tswj hwm, zoo li tsev neeg keeb kwm ntawm kev mob gout lossis kev kis tus kab mob gout hauv cov txiv neej laus thiab cov poj niam tom qab cev xeeb tub. Tab sis, koj tuaj yeem tswj hwm lwm yam kev pheej hmoo xws li rog dhau (lossis rog), tsis kho ntshav siab, ntshav qab zib, teeb meem metabolic, thiab mob plawv thiab lub raum.
Kev phais lossis kev raug mob tsis ntev los no tseem ua rau koj muaj kev pheej hmoo mob gout
Kauj Ruam 3. Tau kuaj mob gout
Yog tias koj tsis paub tseeb tias koj muaj mob gout, nrog koj tus kws kho mob tham. Koj tus kws kho mob yuav kuaj mob raws koj cov tsos mob thiab keeb kwm kev kho mob. Kev sim ntxiv thiab ua haujlwm lab yuav xav tau.
- Kev kuaj yuav suav nrog kev kuaj cov kua dej sib koom, kuaj ntshav kom pom koj cov qib uric acid, lossis tau txais X-ray, ultrasound, lossis CT scan (txawm hais tias kev sim duab feem ntau tsis siv).
- Cov kua dej sib koom tau tshuaj xyuas rau qhov muaj cov urate muaju uas pom hauv qab lub tsom iav.
Lub tswv yim
- Tham nrog koj tus kws kho mob yog tias koj cov tsos mob tsis zoo dua li ob rau peb hnub ntawm kev noj tshuaj thiab ib txwm qhia rau koj tus kws kho mob txog yam tshuaj ntxiv lossis tshuaj zoo uas koj yuav tau noj.
- Colchicine yog cov tshuaj qub uas tsis tshua tau sau tseg vim tias muaj cov kev mob tshwm sim tseem ceeb, txawm hais tias nws tseem tuaj yeem siv thaum lub sijhawm mob hnyav.
- Ua ntej noj cov tshuaj folate ntxiv, quercetin lossis Devil's claw, tham nrog koj tus kws kho mob yog tias koj noj lwm yam tshuaj, tshwj xeeb tshaj yog tias koj twb tau noj tshuaj tiv thaiv kab mob gout lawm.
