ʻO ka'ōpala he maʻi mau loa, a me nā maʻi i loaʻa ma lalo o Hippocrates. ʻO ka hopena o ka haunaele o ka metabolism purine, hoʻonuiʻia nā paʻakai waikawa uric a waihoʻia ma nāʻokoʻa like a kokoke i lākou. Ma muli o kēia, hoʻomaka ke kahi wela a mālamaʻia ka mālamaʻana i ka gout i ka wā o ka hoʻoweliweli. ʻO ka maʻi ke kumu o kaʻino o nā hono. Akāʻo ka meaʻoluʻolu loa,ʻo ia ka heleʻana o ka hōʻailona me kaʻeha nui loa.
Hoʻomaʻoʻia o ke kī me ka exacerbation ma ka home
I mea e pale aku ai i nā hōʻoia o ka maʻi,ʻaʻole ponoʻoe e hele i ka haukapila. No ka lawelaweʻana i ka lāʻau lapaʻau, ma hope o ke kohoʻiaʻana e ke kauka, hiki a hiki i ka hale. ʻO ka hoʻomaʻamaʻa heʻelua mahele nui:
- mālama i ka hoʻouka kaua i ka wā o ka hoʻoweliweli;
- ka paleʻana i ke kāohi houʻana.
He pilikia nui ke kī o ka maʻi i hikiʻole ke pale aku i kēia manawa, akā, pōʻino. Aʻo ka manaʻo o ka "hopuʻana i ka hoʻouka"ʻaʻole ia he pale manawa pōkole mai kaʻeha, akā, he emiʻana i ka manawa o nāʻehaʻeha. Ināʻaʻoleʻoe e hana i kekahi mea,ʻaʻole hiki ke nalowale ke kaha noʻelua aʻekolu pule. ʻO ka mālamaʻana i ka gout me ka exacerbation ma ka home e ho'ēmiʻia kēia manawa iʻelua aʻekolu mau lā.
Pono mau ka mea hoʻomau e mālama i ka moe hoʻomaha. Ua pilikia pinepine ka poʻe maʻi i ka maʻi. Pono lākou e mālamaʻia i kahi kiʻekiʻe no ka manawa o ka lāʻau. No ka hanaʻana i kēia, hiki iāʻoe ke kau i kahi uluna ma lalo o ka lima a me ka wāwae lima.
ʻAʻole i manaʻoʻia he nui. Pono e hoʻokipa nuiʻia kaʻai o ka mea maʻi. E waiho i loko o ia mea nā poʻi wai a me nā paila māmā. ʻO kahi wai - maikaʻi loa kahi e hoʻopiha ai i ka'alika:ʻo ka oat broth, ka wai koleke a wai wai paha i hoʻomaʻemaʻeʻia me ka wai lemon, ka waiū, jelina kūlohelohe - e pau ka mea i pau.
No ka mālamaʻana i ka exacerbation gout ma luna o ke koʻi nui, lima a iʻole kekahi hui'ē aʻe, hoʻohana mauʻia nā lāʻau lapaʻau anti-inflammatory - Indomethacin, Nimesulide , Diclofenac a me Movalis. ʻO nā mea maʻi maʻamau me kahi maʻi e like me ka gout, ka mea maʻamauʻole e hana pono. E inu NSAIDs a hiki i ka hōʻeaʻole o kahi hoʻouka.
Hiki i nā kaumākia ke kuhikuhi i nā lāʻau lapaʻau e pili nei no ka mālamaʻana i ka gout i ka manawa o exacerbation:
- Colchicine. ʻAʻole eʻae kēia alkaloid i ka maheleʻana o ka granulocyte ma keʻano pūnaewele, e pale i ka neʻeʻana o nā leukocytes, a pale i nā kinakai o kaʻeleʻele uric mai ka hoʻohaʻahaʻaʻana i nā kinipona. Ponoʻoe e inu ia mea i nā hola heʻumikumamālua i hope o ka hopena o ka hoʻoukaʻana - ua hoʻohanaʻia nā lāʻau lapaʻau no ke kōkua kōkua kūikawā.
- Cortisone, prednisolone a me kekahi mau glucocorticoids. ʻO nā lāʻau lapaʻau e hoʻopau koke i ka papa hana inflammatory, akā i ka manawa like, ua paʻiʻia lākou e ka palaʻa.
I mea e pale ai i ka lāʻau me ke kī i ka wā o ka exacerbation
Aia kekahi mau'ōlelo kōkua e kōkua i ke kāohiʻana i ka lāʻau lapaʻau no ka gout i ka manawa o ka exacerbation:
- Pono ka mea hoʻomanawanui e kau i ka palena liʻiliʻi ma nā hui.
- ʻO nā poʻe maʻi me ka goutʻaʻole pono e puhi i ka mea inu, inu waiʻona, ka meaʻai hōʻino a me ka soda.
- Pono pono e hoʻokaʻawale i ka manawa no ka hoʻolālā kino a me ka mālamaʻana i ke kaumaha.
- I ka lā e pono ai e inu iʻelua mau lita o ka wai i hoʻomaʻemaʻeʻia.
- He mea nui e hahai i kekahi meaʻai. ʻAʻole hiki iāʻoe keʻai i nā mea momona a me nā iʻa, nā meaʻala, nā hua waina a me nā meaʻona, nā lekile, momona, pata. A me nā hua maloʻo, nā hua, ka moa, nā iʻa māmā, nā huapalapala, nā huaʻona i loko o kaʻai e pono ke hoʻohuiʻia i ka mea'ē aʻe.
ʻO nāʻano kahiko no ka mālamaʻana i ke kalo me ka exacerbation, kaʻauʻau mahana me ka iodine a me ka soda ka mea maikaʻi. I loko o ia mau mea, e mālamaʻia ke hui no iwakālua mau minuke. A ma hope o ka lubricated me ka lugol a nakinakiʻia no ka pō.