Gout, lossis kab mob gouty, yog kab mob sib kis uas tshwm sim los ntawm qib siab ntawm uric acid hauv cov nqaij, pob qij txha, thiab ntshav. Cov neeg uas muaj tus kab mob gout tuaj yeem tsim cov kua qaub ntau dhau lossis lawv yuav tsis tso cov kua qaub uric kom zoo. Muaj ntau cov kua qaub hauv lub cev yuav ua rau mob, liab, thiab o. Vim tias kev tawm tsam mob gout feem ntau tshwm sim thaum hmo ntuj, nws yog lub tswv yim zoo kom paub yuav ua li cas zam kev mob gout thiab yuav daws qhov mob li cas thaum nws pib.
Cov kauj ruam
Ntu 1 ntawm 5: Kho Mob Mob Kom Pab Koj Tsaug Zog
Kauj Ruam 1. Ua kom thaj chaw khov
Feem ntau, thawj 36-48 teev ntawm tus kab mob gout yog qhov mob tshaj plaws tab sis koj tuaj yeem daws qhov mob thawj zaug thiab xyuas kom tseeb tias koj ua txhua yam koj tuaj yeem ua kom tsis txhob mob gout sai li sai tau. Koj tuaj yeem daws qee qhov mob ntawm gout los ntawm icing qhov sib koom tes. Siv cov dej khov qhwv hauv phuam thiab siv rau thaj tsam cuam tshuam rau 20-30 feeb txhua txhua teev uas koj tsaug zog.
Khaws qhov sib koom tes cuam tshuam kom ntau li ntau tau thaum koj khov nws. Qhov no yuav pab kom tsis txhob muaj cov ntshav nyob hauv thaj chaw uas tau ua kom sov
Kauj Ruam 2. Noj tshuaj tom chaw muag tshuaj
Koj tuaj yeem siv tshuaj kho mob zoo ib yam, xws li ibuprofen (piv txwv li Advil, Motrin IB) thiab naproxen (piv txwv li. Aleve). Siv ib qho OTC NSAIDs rau lub sijhawm luv li sai tau. Kev siv NSAID mus sij hawm ntev tuaj yeem ua rau muaj feem yuav mob plawv lossis mob hlab ntsha tawg thiab tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm mob txhab thiab ntshav. Ua kom ntseeg tau tias koj ua raws cov lus qhia ntawm cov khw.
- Txawm li cas los xij, zam txhua yam tshuaj aspirin lossis tshuaj pleev tshuaj aspirin (piv txwv li Aspercreme lossis ib qho tshuaj pleev nrog salicylates). Cov tshuaj Aspirin tuaj yeem ua rau muaj cov kua qaub ntau ntxiv rau hauv cov pob qij txha.
- Tylenol (acetaminophen) tsis yog tshuaj tua kab mob thiab tsis zoo li yuav pab tau.
- Koj kuj tuaj yeem noj colchicine, tab sis koj yuav xav tau daim ntawv xaj los ntawm kws kho mob rau qhov tshuaj ntawd.
- Txog kev tswj tus kab mob gouty ntev, koj yuav tsum noj tshuaj allopurinol, uas txo qis cov uric acid hauv lub cev.
Kauj Ruam 3. Sim pleev cov tshuaj pleev los yog gel
Tshuaj pleev qhov muag tau pom tias ua tau zoo heev, tshwj xeeb tshaj yog rau cov pob qij txha xws li cov ntiv taw, pob taws, hauv caug, lub luj tshib thiab txhais tes. Piv txwv li, Voltaren gel yog tshuaj pleev tshuaj NSAID uas tuaj yeem txo qhov mob gout. Tham nrog koj tus kws kho mob txog kev siv Voltaren gel Cov tshuaj tom khw muag khoom uas yuav pab tau suav nrog:
- Capsaicin qab zib: Capsaicin yog cov khoom uas tau los ntawm cayenne kua txob uas ua rau cov tshuaj P poob qis - ua rau pom qhov mob. Nco ntsoov koj ntxuav koj txhais tes kom zoo tom qab siv tshuaj capsaicin - nws tuaj yeem ua rau muaj qhov kub hnyiab heev, tshwj xeeb tshaj yog tias nws nyob ze koj lub qhov muag.
- Cov tshuaj pleev homeopathic: Cov no suav nrog Topricin, uas muaj qhov sib xyaw ntawm cov tshuaj kho mob homeopathic.
- Gout nyem tshuaj pleev: Tanza Botanicals muaj Gout Relief Ointment uas tau ua los ntawm cov tshuaj ntsuab uas txo qhov mob.
Ntu 2 ntawm 5: Npaj Ua Phem Thaum Muaj Hluav Taws Kub
Kauj Ruam 1. Ua kom koj tus kheej xis nyob raws li qhov ua tau
Gout feem ntau ua rau tsaus ntuj, thaum ntawd, qhov hnyav ntawm daim pam ntawm tus ntiv taw gouty, piv txwv li, tuaj yeem ua rau mob hnyav heev. Yog tias koj paub qhov no yog qhov xwm txheej rau koj, thiab koj tau muaj kev kub hnyiab, tom qab ntawd zam qhov tsis xis nyob los ntawm kev ua kom sov hauv koj chav pw thiab khaws cov pam pam tawm ntawm koj thaj chaw.
- Tej zaum koj yuav xis nyob dua, tsawg kawg yog thawj hmo, pw hauv lub rooj zaum lossis lub rooj zaum uas koj tuaj yeem ua kom sib koom tes nce siab.
- Yog tias qhov mob gouty nyob hauv koj cov ntiv taw, pob taws, lossis hauv caug, nws yuav zoo tshaj tsis txhob siv daim pam los yog pw tsev pheeb suab thaj tsam ntawm qhov sib koom yog tias koj tuaj yeem ua tau.
Kauj Ruam 2. Kho tus mob pw tsaug zog
Gout tseem cuam tshuam nrog kev pw tsaug zog, xws li pw tsaug zog apnea. Yog tias koj tau raug tsim txom thaum tsaus ntuj los ntawm gout yav dhau los, nrog koj tus kws kho mob tham txog kev kho mob kom tsaug zog.
- Nco ntsoov tias koj zam qee yam kev txhawb nqa, xws li caffeine lossis luam yeeb, ntxiv rau zam kev noj zaub mov lossis dej haus nplua nuj. Qee cov zaub mov nplua nuj nyob hauv purine yog nqaij liab, anchovies, qwj ntses, ntses rog, zaub qhwv, zaub ntsuab, thiab taum qhuav feem ntau. Zam cov khoom noj no yuav pab koj pw tsaug zog zoo dua.
- Haus dej kom ntau. Thaum qhov no yuav tsis tas yuav pab koj tsaug zog tam sim, tab sis nws yuav pab yaug tawm cov kua qaub uas tau tsim los.
- Kev haus ib khob ntawm chamomile tshuaj yej ua ntej yuav pw tuaj yeem pab koj so thiab npaj pw tsaug zog.
Kauj Ruam 3. Siv tshuaj noj li ib teev ua ntej koj npaj yuav tsaug zog
Qhov no muab tshuaj rau qee lub sijhawm kom ua tau zoo. Piv txwv li, yog tias koj siv tshuaj pleev qhov mob, siv nws li 20-30 feeb ua ntej koj npaj pw.
Yog tias koj tab tom noj NSAIDs, sim coj lawv nrog zaub mov, xws li yogurt lossis txiv laum huab xeeb crackers. Kev noj zaub mov yuav pab tiv thaiv koj lub plab thiab txo qhov ua rau koj muaj mob txhab lossis mob plab zom mov
Kauj Ruam 4. Xyaum ua kom pw tsaug zog zoo
Tsis txhob nrov nrov lossis teeb ci thiab ua suab paj nruag ntsiag to lossis "suab nrov dawb" los pab koj so. Yog koj tuaj yeem ua tau, da dej sov lossis da dej ua ntej mus pw. Qhov no tuaj yeem pab koj so ntau dua.
Sawv thiab mus pw tib lub sijhawm txhua hnub. Tsis txhob yuam pw; yog tias koj tsis tuaj yeem tsaug zog, ua lwm yam kom txog thaum koj nkees. Daws teeb meem tsis sib haum ua ntej koj mus pw. Tsis txhob haus cawv lossis haus luam yeeb ua ntej koj mus pw. Sim ua ib ce thaum sawv ntxov, thiab tsis txhob siv zog tsawg dua plaub teev ua ntej koj mus pw
Ntu 3 ntawm 5: Kho Gout Kho Mob
Kauj Ruam 1. Tau txais kev kuaj mob
Nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho mob yog tias koj xav tias koj muaj mob gout. Lawv tuaj yeem pab daws koj cov tsos mob thiab tawm tswv yim rau kev kho mob. Gout feem ntau yog kuaj pom yooj yim los ntawm kev tshuaj xyuas cov tsos mob thiab keeb kwm kev kho mob.
Koj tus kws kho mob kuj tseem tuaj yeem ua piv txwv ntawm cov kua dej sib xyaw txhawm rau nrhiav cov yam ntxwv ntawm cov kua qaub uric acid, ntsuas ntshav los ntsuas qhov ntsuas ntawm uric acid, lossis tau xoo hluav taws xob, ultrasound, lossis CT scan, txawm hais tias kev sim duab tsis tshua siv
Kauj Ruam 2. Noj tshuaj
Kev kho mob ntawm gout siv cov tshuaj uas thaiv kev tsim cov tshuaj uric acid (piv txwv li allopurinol (Aloprim, Lopurin, Zyloprim) thiab febuxostat (Uloric),) lossis nce kev tso zis ntawm cov kua qaub (piv txwv li Probenecid (Probalan)) Raws li koj yuav xav tias, cov tshuaj no tuaj yeem ua rau muaj kev phiv loj:
- Allopurinol tuaj yeem ua rau pob tawv nqaij, ua rau muaj ntshav tsis txaus, thiab qee zaum tuaj yeem ua rau mob sib koom. Cov neeg Asian thiab African cov cuab yeej cuab tam muaj kev pheej hmoo siab dua ntawm daim tawv nqaij ua pob nrog allopurinol.
- Allopurinol yog siv los kho tsuas yog mob gout. Nws tsis kho tus mob gout. Yog tias koj tab tom raug mob gout, koj yuav tsum noj colchicine los txo koj cov tsos mob, vim tias allopurinol yuav tsis ua haujlwm zoo.
- Febuxostat tuaj yeem hloov pauv tau daim siab enzymes. Cov tshuaj no kuj tseem siv rau mob gout ntev.
- Probenecid tuaj yeem ua rau mob taub hau, mob sib koom, thiab ua pa sai.
- Lwm cov tshuaj siv suav nrog tshuaj NSAIDs xws li indomethacin (Indocin) lossis celecoxib (Celebrex). Steroidal anti-inflammatory agents thiab colchicine (Colcrys, Mitigare) kuj tseem tuaj yeem sau tshuaj. Colchicine yog cov tshuaj qub uas tsis tshua siv vim tias muaj kev phiv loj.
Kauj Ruam 3. Ua raws koj tus kws kho mob cov lus pom zoo rau kev hloov pauv kev ua neej
Ntxiv rau kev siv tshuaj, kho gout thiab mob nrog mob gout yuav tsum tau hloov pauv rau koj kev noj zaub mov thiab kev ua neej nyob. Koj tus kws kho mob yuav tsum muaj qee cov lus qhia rau cov kev hloov pauv hauv lub neej no kom koj tuaj yeem txwv qhov mob thiab tsaug zog.
Ntu 4 ntawm 5: Hloov Kev Noj Haus
Kauj Ruam 1. Zam cov khoom noj uas ua rau koj muaj feem yuav raug mob
Yog tias qhov no yog koj qhov kev tawm tsam thawj zaug lossis yog tias koj tseem tsis tau hloov pauv kev noj zaub mov noj, nws yog lub sijhawm los txo koj kev noj cov zaub mov uas muaj cov tshuaj purine. Purines tau tawg hauv koj lub cev los tsim cov kua qaub. Zam cov khoom noj no tag thaum lub sij hawm raug mob gout thiab tsawg kawg 1 lub hlis tom qab qhov kev tawm tsam. Tom qab koj rov zoo, tsis txhob ntau tshaj li 2-4 zaug ntawm ib qho ntawm cov khoom noj no hauv ib lub lis piam. Lawv 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.
- Cov nqaij hauv lub cev (daim siab, ob lub raum, qab zib (paj hlwb)). 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. Ua kom koj noj cov zaub mov uas pab tshem tawm cov kab mob gout
Ntxiv rau kev zam qee yam khoom noj, koj tseem tuaj yeem nce cov zaub mov uas tuaj yeem tiv thaiv qib uric acid ntau. Cov no suav nrog:
- Phytate cov zaub mov nplua nuj: Phytate yog cov khoom uas zoo li tiv thaiv kev tsim ntau hom pob zeb hauv lub raum, suav nrog cov uas muaj cov kua qaub. Phytate cov zaub mov nplua nuj suav nrog taum, taum pauv, thiab nplej tag nrho. Koj yuav tsum suav nrog 2-3 pluag taum, taum pauv, thiab nplej txhua hnub.
- Ntsuab tshuaj ntsuab: Ntsuab tshuaj ntsuab txo qhov kev pheej hmoo ntawm uric acid-muaj lub raum pob zeb. Haus li 2-3 khob ntawm cov tshuaj yej ntsuab ib hnub.
- Cov zaub mov muaj Calcium: Cov zaub mov muaj calcium uas suav nrog hauv koj cov zaub mov yog cov khoom siv mis nyuj muaj roj tsawg.
- Tart Cherry kua txiv: Tart kua txiv cherry tau siv ntev hauv cov tshuaj naturopathic los kho gout thiab lub raum pob zeb. Yog tias koj muaj mob gout, haus 3-4 8 ooj tsom iav lossis kua txiv hmab txiv ntoo kua txiv cherry txhua hnub. Qhov no yuav tsum tau muab qee qhov kev pab hauv 12-24 teev.
Kauj Ruam 3. Noj cov tshuaj ntxiv uas pom zoo rau cov kab mob gout
Cov tshuaj ntxiv no yuav tsis pab koj tsaug zog tam sim ntawd, tab sis lawv yuav pab lub sijhawm ntev kom txo qis thiab lub sijhawm ntev ntawm kev mob gout. Yog tias koj twb tau noj tshuaj tiv thaiv kab mob gout, tham nrog koj tus kws kho mob ua ntej noj tshuaj ntxiv. Tsis tas li, ua raws cov chaw tsim khoom cov lus pom zoo rau kev txhaj tshuaj rau ib qho tshuaj ntxiv. Cov tshuaj pab tau muaj xws li:
- Omega-3 fatty acids, tshwj xeeb yog EPA.
- Bromelain yog ib qho enzyme muab los ntawm cov txiv puv luj. Nws feem ntau siv los pab kho cov teeb meem zom zaub mov, tab sis hauv gout, nws tau siv los ua cov tshuaj tiv thaiv kab mob.
- Folate, cov vitamins B, tiv thaiv tib lub enzyme (xanthine oxidase) uas cov tshuaj tiv thaiv kab mob allopurinol txwv, yog li txo qib uric acid.
- Quercetin yog bioflavonoid uas tseem txwv xanthine oxidase.
- Dab ntxwg nyoog claw (Harpagophytum procumbens) tau ib txwm siv los kho tus kab mob gout los ntawm kev txo qib uric acid.
- 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.
Ntu 5 ntawm 5: Txheeb Xyuas Gout
Kauj Ruam 1. Saib cov tsos mob ntawm tus kab mob gout
Cov tsos mob ntawm gout feem ntau tshwm sim sai sai thiab feem ntau tshwm sim thaum tsaus ntuj. Cov tsos mob ntawm gout muaj xws li:
- Mob hnyav ntawm pob qij txha. Feem ntau ntawm lub hauv paus ntawm cov ntiv taw loj. Qhov sib koom tes tuaj yeem yog taw, pob taws, hauv caug thiab dab teg.
- Gout feem ntau tsuas yog cuam tshuam ib qho kev sib koom ua ke, tab sis tuaj yeem cuam tshuam rau ntau pob qij txha, tshwj xeeb tshaj yog yog qhov ua rau mob gout tsis tau hais txog.
- Kev tsis xis nyob tom qab pib tawm tsam.
- Kev liab liab thiab lwm yam cim ntawm qhov mob, piv txwv li sov, o thiab rhiab.
- Tsawg peev xwm txav ntawm qhov cuam tshuam.
Kauj Ruam 2. Txheeb xyuas seb koj cov zaub mov puas tuaj yeem txhawb nqa gout
Kev noj zaub mov zoo hauv cov zaub mov muaj nplua nuj nyob hauv purine thiab dej haus nrog qib fructose ntau (dej qab zib thiab dej qab zib) tuaj yeem ua rau koj muaj kev pheej hmoo mob gout. Cov zaub mov uas nquag ua raws li ua rau mob gout suav nrog:
- Npias thiab cawv
- Cov dej qab zib qab zib
- Cov khoom noj rog (zaub mov kib, butter, margarine, cov khoom siv mis nyuj muaj roj ntau)
- Cov nqaij hauv lub cev (daim siab, ob lub raum, qab zib (paj hlwb))
- Nqaij nyuj, nqaij qaib, nqaij npuas, nqaij npuas kib, nqaij nyuj, nqaij nyuj (Cov nqaij liab muaj cov purines siab. Cov nqaij dawb xws li nqaij qaib thiab nqaij npuas muaj tsawg thiab nyob hauv qhov nruab nrab muaj kev nyab xeeb. Ncaj qha los ntawm cov ntawv gout los ntawm cov khoom noj)
- Asparagus tseem muaj purines siab.
- Anchovies, sardines, herring, mussels, codfish, scallops, trout, haddock, crab, oyster, cw, cw
Kauj Ruam 3. Txheeb xyuas koj qhov kev pheej hmoo ntawm kev mob gout
Gout tuaj yeem tshwm sim nyob rau txhua lub hnub nyoog, tab sis feem ntau yog cov txiv neej laus thiab cov poj niam tom qab cev xeeb tub. Txawm li cas los xij, muaj lwm yam uas tsis yog kev noj zaub mov tuaj yeem muaj kev cuam tshuam loj rau seb koj puas mob gout lossis tsis yog. Cov no suav nrog:
- Kev rog lossis rog dhau
- Tsis kho ntshav siab, ntshav qab zib, kab mob metabolic syndrome, mob plawv thiab mob raum
- Cov tshuaj, suav nrog thiazide diuretics (ntsiav tshuaj dej), qis tshuaj aspirin, tshuaj tiv thaiv kab mob
- Tsev neeg keeb kwm ntawm gout
- Kev phais lossis kev raug mob tsis ntev los no: Yog tias koj tswj tus nqi purines hauv koj cov zaub mov noj, tab sis poob qhov hnyav ntawm koj cov ntiv taw, qhov no tseem tuaj yeem ua rau mob hnyav.
