Gout yog ib hom kab mob hauv mob caj dab uas tshwm sim los ntawm kev sib sau ntawm uric acid hauv cov nqaij sib koom ua ke, thiab feem ntau yog txiv neej ntau dua li poj niam. Txhawm rau kho cov tsos mob uas feem ntau nrog gout xws li mob, o ntawm pob qij txha, thiab tophi, sim nyeem kab ntawv hauv qab no txhawm rau nrhiav txoj hauv kev uas tsim nyog tshaj plaws.
Kauj ruam
Ntu 1 ntawm 4: Txheeb Xyuas Kab Mob Gout thiab Nkag Siab Qhov Teeb Meem
Kauj Ruam 1. Nkag siab cov tsos mob ntawm gout
Ua los ntawm kev sib sau ntawm uric acid, cov tsos mob ntawm gout hauv txhua tus neeg mob yeej txawv heev. Hauv qee tus neeg mob, gout yuav mob hnyav dua li tsis nyob ntev hauv cov ntu ib leeg. Feem ntau, cov tsos mob gout suav nrog:
- Ua kom sov, mob, liab, thiab o hauv pob qij txha ntawm lub cev. Feem ntau, cov tsos mob no tshwm sim hauv cov ntiv taw loj, txawm hais tias nws feem ntau yuav tawg mus rau pob taws mus rau hauv caug.
- Qhov mob uas ua mus tas li thaum tsaus ntuj nrog qhov mob hnyav heev.
- Khaus los yog tev tawv nqaij nyob ib ncig ntawm cov pob qij txha.
Kauj Ruam 2. Nkag siab lub hom phiaj ntawm kev kho gout
Qhov tseeb, gout yog nrog los ntawm ntau hom kev phiv thiab cov tsos mob. Txhawm rau kho tus mob gout tau zoo, koj yuav tsum xub nkag siab yuav ua li cas thiaj daws tau qhov sib txawv ntawm tus kab mob:
- Xaus qhov mob hauv kev tawm tsam hnyav.
- Tiv thaiv kev rov ua phem.
- Tiv thaiv kev tsim ntawm tophi (huab hwm coj ntawm uric acid muaju uas sib sau hauv cov nqaij mos).
- Tiv thaiv kev loj hlob ntawm lub raum pob zeb.
Kauj Ruam 3. Txheeb xyuas ntau yam xwm txheej uas tuaj yeem ua rau thiab ua rau mob gout hnyav dua
Ntseeg kuv, nws zoo dua los muab lub kaus ua ntej lub cev twb ntub los nag. Raws li cov lus hais mus, sim txheeb xyuas ntau yam xwm txheej uas tuaj yeem ua rau thiab/lossis ua rau mob gout kom yav tom ntej, koj tuaj yeem zam nws zoo dua:
- Gout tuaj yeem tshwm sim los ntawm:
- Lub cev qhuav dej
- Noj ntau dhau
- Kev haus cawv ntau dhau
- Tsis ntev los no raug mob los yog raug mob
- Gout tuaj yeem ua rau tsis zoo los ntawm:
- Kev rog thiab hnyav nce
- Kev haus cawv
- Ntshav siab (ntshav siab)
- High fructose pob kws phoov
- Cov tshuaj
Ntu 2 ntawm 4: Kho Gout Attacks
Kauj Ruam 1. Ua kom txias txias rau thaj tsam mob gout rau 15 feeb
Cov txheej txheem no tuaj yeem ua tiav ntau li ntau tau txhua hnub, tsuav yog daim tawv nqaij tseem tau so txhua 15 feeb. Txhawm rau ua qhov no, thawj zaug koj yuav tsum muab ntaub qhwv lub khov nab kuab nrog daim phuam, tom qab ntawd siv nws rau thaj tsam mob. Vim li ntawd, tom qab qhov mob thiab o uas tshwm sim yuav raug txo kom tsawg.
Tsis txhob cia daim tawv nqaij sib chwv ncaj qha nrog cov dej khov kom tsis txhob puas cov nqaij
Kauj Ruam 2. Tsis txhob txav cov pob qij txha cuam tshuam los ntawm gout
Hloov chaw, nqa thaj tsam ntau npaum li koj tuaj yeem ua rau txo qhov mob thiab o.
- Muab sijhawm rau koj lub cev kom so thiab rov zoo.
- Tsis txhob nce lub nra ntawm cov pob qij txha!
Kauj Ruam 3. Noj NSAIDs tom qab sab laj nrog kws kho mob
NSAIDs yog cov ntawv luv ntawm cov tshuaj tsis-steroidal anti-inflammatory lossis nonsteroidal anti-inflammatory drugs, thiab feem ntau yog muag raws li cov tshuaj tom khw lossis cov tshuaj tom khw uas yuav tsum tau yuav nrog kws kho mob daim ntawv tshuaj los ntawm cov npe tshuaj ibuprofen, naproxen, lossis indomethacin. Cov tshuaj uas koom nrog pab pawg no tuaj yeem daws qhov mob thiab mob hauv lub cev.
- Tsis txhob noj tshuaj ua ntej nrog koj tus kws kho mob tham.
- Ua raws txhua cov lus qhia teev tseg hauv pob tshuaj.
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog qhov ua tau noj colchicine
Colchicine yog cov tshuaj uas tau ntim rau hauv cov ntsiav tshuaj, thiab tau npaj los kho qhov mob tshwm sim los ntawm cov kua qaub uric acid. Colchicine kuj tseem tuaj yeem siv tau rau kev kho mob hauv cov neeg mob uas tsis tuaj yeem siv NSAIDs, txawm hais tias ob qho tib si kuj tuaj yeem ua ke. Qee qhov kev tshawb fawb qhia tias noj colchicine tuaj yeem txo qhov kev pheej hmoo ntawm kev mob gout rov tshwm sim yav tom ntej.
- Colchicine yuav ua haujlwm tau zoo tshaj plaws yog siv sijhawm ntau tshaj 36 teev tom qab kev tawm tsam tshwm sim.
- Tsis txhob noj colchicine yog tias koj tau noj cov tshuaj no nyob rau 14 hnub dhau los txhawm rau txo lwm qhov mob hnyav.
Kauj Ruam 5. Siv tshuaj corticosteroids los kho tus mob gout
Corticosteroids tuaj yeem pab txo ntau yam tsos mob cuam tshuam nrog mob gout, xws li mob, liab, thiab o. Tshwj xeeb, corticosteroids yuav tsum tau noj yog tias:
- Gout teeb meem tshwm sim hauv ib leeg
- Muaj kev tawm tsam ntawm gout uas tsis tuaj yeem tso siab los ntawm NSAIDs
- Koj keeb kwm kev kho mob tiv thaiv koj los ntawm kev noj colchicine lossis NSAIDs xws li naproxen
Kauj Ruam 6. Tham nrog ntau yam kev kho mob uas tuaj yeem ua tau los kho tus mob gout rau tus kws kho mob
Yog tias koj pom pom cov tsos mob xws li liab, o, thiab mob vim raug mob gout, tam sim tham nrog kws kho mob. Piv txwv tias, tus kws kho mob tuaj yeem pom zoo cov txheej txheem kev kho mob nrog rau cov tshuaj uas koj tuaj yeem noj kom kov yeej lawv.
Ntu 3 ntawm 4: Tswj Kev Nyuaj Siab Ntev
Kauj Ruam 1. Pib noj tshuaj kom txo qis cov kua qaub hauv cov ntshav
Tam sim ntawd mus ntsib kws kho mob tham nrog hom tshuaj uas raug. Qee qhov uas koj tus kws kho mob tuaj yeem pom zoo yog:
- Uric acid txo tus neeg sawv cev. Qee qhov no yog febuxostat, allopurinol, thiab probenecid. Feem ntau, cov tshuaj no yuav muab los ntawm kws kho mob txhawm rau tswj hwm qhov hnyav ntawm gout.
- Cov neeg sawv cev uricosuric. Yeej, cov neeg sawv cev uricosuric ua haujlwm txhawm rau ua kom cov txheej txheem tshem tawm cov kua qaub ntau dhau los ntawm ob lub raum los ntawm cov zis. Txog tam sim no, cov txiaj ntsig ntawm cov neeg sawv cev uricosuric tau hnov los ntawm kwv yees li 75% ntawm cov neeg mob gout.
- Xanthine oxidase inhibitors. Hom tshuaj no tuaj yeem tiv thaiv kev tsim ntawm xanthine oxidase, tshuaj lom neeg uas ua lub luag haujlwm tseem ceeb hauv cov txheej txheem ntawm uric acid buildup.
Kauj Ruam 2. Tswj koj qhov hnyav thiab tawm dag zog ntau dua
Kev tawm dag zog tas li tuaj yeem pab koj poob phaus thiab tswj hwm qhov mob uas nrog mob caj dab. Qhov tseeb, koj tsuas yog xav teem sijhawm 30 feeb nyob rau ib hnub los tawm dag zog kom hnov cov txiaj ntsig. Tshwj xeeb, sim siv sijhawm taug kev ntau ntxiv, qoj ib ce aerobic, lossis kev qhia ua kom lub zog kho gout mus sij hawm ntev.
Kauj Ruam 3. Tswj koj cov dej haus
Dej cawv, tshwj xeeb yog npias, tuaj yeem thaiv qhov tso cov kua qaub uric rau hauv cov zis. Vim li ntawd, kev tsim cov kua qaub uric yuav ntau hauv koj lub cev. Tshwj xeeb, npias muaj cov qib purines siab heev uas sai dua lossis tom qab, yuav tawg mus rau hauv uric acid los ntawm koj lub cev.
Kauj Ruam 4. Haus tsawg kawg 3 litres kua hauv ib hnub
Nws yog qhov zoo tshaj kom haus dej txaus. Yog li ntawd qhov saj tsis txaus siab, koj tuaj yeem ntxiv cov txiv kab ntxwv, txiv qaub, lossis dib rau hauv dej. Yog tias koj xav tau kev xaiv ntau yam ntxiv, koj tuaj yeem haus dej tshuaj yej lossis kas fes, thiab noj cov zaub mov uas muaj cov dej siab xws li kua zaub, txiv hmab txiv ntoo, thiab zaub.
Kas fes yog qhov ua tau zoo hauv kev txo qis cov qib uric acid yog li nws tsim nyog rau kev noj los tswj kev siv gout
Kauj Ruam 5. Qhia koj tus kws kho mob seb koj tab tom noj tshuaj dab tsi
Qee cov tshuaj tuaj yeem cuam tshuam tsis zoo nrog cov tshuaj npaj kho mob gout. Ib qho ntxiv, kuj tseem muaj cov tshuaj uas tuaj yeem cuam tshuam rau qhov uric acid uas koj lub cev tsim tawm. Yog li ntawd, nco ntsoov qhia rau koj tus kws kho mob txog cov tshuaj uas koj tab tom noj thiab lawv cov kev cuam tshuam nrog.
Kauj Ruam 6. Tiv thaiv koj cov pob qij txha
Tsis txhob raug mob pob qij txha thiab rov ua dua qhov qub uas tuaj yeem ua rau mob sib koom. Piv txwv li, taug kev lossis khiav ntawm qhov softer nto (xws li cov khoom siv dag siv dag zog los yog xuab zeb) tsis txhob siv cov cement.
Ntu 4 ntawm 4: Txhim Kho Koj Cov Khoom Noj
Kauj Ruam 1. Zam cov zaub mov uas muaj feem yuav ua rau mob gout hnyav
Cov zaub mov nrog qib purine siab ua tau muaj kev pheej hmoo siab ntawm kev ua kom hnyav ntxiv ntawm cov kab mob gout uas koj tau ntsib. Tshwj xeeb, purines tuaj yeem nce qib uric acid hauv lub cev thiab ua rau mob o uas ua rau mob pob qij txha. Qee hom zaub mov uas koj yuav tsum zam yog:
- Lub cev hauv cov tsiaj, xws li daim siab, ob lub raum, qog qog, thiab lub hlwb
- Nqaij, tshwj xeeb yog cov nqaij liab xws li nqaij npuas kib, nqaij nyuj, yaj, thiab lwm yam nqaij uas muaj qhov tsw qab
- Anchovies, sardines, scallops, mackerel thiab herring
- Nqaij ntses
- Npias
Kauj Ruam 2. Txwv kev noj cov zaub mov uas muaj cov qib purines nruab nrab
Cov zaub mov uas tuaj yeem noj tau hauv qhov tsim nyog thiab tsis dhau yog:
- Nqaij ntses thiab ntses (tsis yog cov nqaij nruab deg siab purine)
- Oatmeal
Kauj Ruam 3. Txaus siab rau cov zaub mov uas muaj cov purines tsawg
Koj tuaj yeem txaus siab rau cov zaub mov hauv qab no yam tsis muaj kev txhawj xeeb txog lawv qhov kev cuam tshuam ntawm uric acid buildup:
- Ntsuab nplooj zaub
- Txiv hmab txiv ntoo thiab kua txiv ua los ntawm lawv
- Ua cov qhob cij thiab cov nplej (tsis ua los ntawm cov nplej tag nrho)
- Chocolate thiab cocoa
- Butter, buttermilk, qe thiab cheese
- Cov dej haus xws li kas fes, tshuaj yej thiab dej qab zib
- Ceev thiab jam ua los ntawm lawv
Kauj Ruam 4. Sim noj cov zaub mov uas thov kom kho gout
Qhov tseeb, cov khoom noj uas tsis muaj purine tsis muaj feem cuam tshuam rau kev kov yeej gout, txawm hais tias noj lawv yeej tsis ua mob. Cov zaub mov uas muaj txiaj ntsig zoo hauv kev txo cov tsos mob gout yog:
- Cov rog tsawg lossis mis tsis rog
- Tsawg rog rog
Lub tswv yim
- Noj cov zaub mov nplua nuj nyob hauv cov poov tshuaj tuaj yeem txo qhov ua rau pom cov tsos mob thaum mob gout.
- Tsis txhob noj tshuaj aspirin thaum muaj mob gout. Hloov chaw, noj tshuaj qis dua ntawm lub khw muag khoom, xws li ibuprofen lossis naproxen sodium.
- Nkag mus rau https://www.arthritis.org/ nplooj ntawv txhawm rau nrhiav cov ntaub ntawv ua tiav thiab ntxaws ntxaws ntsig txog kab mob gout.
Ceeb toom
- Gout kuj tseem cuam tshuam nrog kev pheej hmoo ntawm cov pob zeb hauv lub raum.
- Cov kab mob gout uas tsis rov tshwm sim tuaj yeem ua rau mob caj dab gouty, uas yog daim ntawv tsis zoo ntawm kev mob caj dab.
