Gouty tophus: txhais, radiography, kho

Gouty tophus: txhais, radiography, kho

Gouty tophus yog cov tsos mob ntawm tus kab mob gout. Nws yog ib qho mob inflammatory flare-up hauv ib qho kev sib koom ua ke los ntawm kev tsim cov uric acid ntsev.

Dab tsi yog gouty tophus?

Gout yog ib yam kab mob uas tshwm sim los ntawm qhov mob inflammatory flare-ups nyob rau hauv ib qho kev sib koom ua ke. Lawv hu ua gout attacks lossis gout attacks. Gout yog tshwm sim los ntawm uric acid ntau dhau hauv cov ntshav, lossis hyperuricemia. Txawm li cas los xij, tsuas yog 1 ntawm 10 tus neeg uas muaj hyperuricemia tuaj yeem ua rau mob gout. Qhov no yog qhov tsim nyog, tab sis tsis txaus rau qhov pib ntawm tus kab mob. Nws zoo li muaj cov caj ces los ua rau gout.

Cov tsos mob tuaj yeem tshaj tawm qhov kev tawm tsam ntawm gout:

  • tingling;
  • tsis xis nyob;
  • mob;
  • txwv kev txav mus los;
  • nruj ntawm qhov sib koom ua ke.

Cov txiaj ntsig rau tus neeg mob muaj peev xwm cia siab tias muaj kev kub ntxhov kuj tseem tuaj yeem cia siab tias nws cov tshuaj tiv thaiv kab mob. Cov tsos mob ntawm qaug dab peg nws tus kheej yog qhov tseem ceeb tshaj:

  • tshwm sim tam sim ntawd, feem ntau thaum hmo ntuj lossis thaum so;
  • mob hnyav, kub hnyiab hauv ib leeg;
  • inflammatory kev puas tsuaj (feem ntau nyob rau hauv ob txhais ceg thiab tshwj xeeb tshaj yog cov ntiv taw loj);
  • sib koom ua ke liab, o, kub, loj, mob kov;
  • tuaj yeem o thiab liab ntawm daim tawv nqaij nyob ib ncig ntawm lub pob qij txha;
  • ua tau gouty tophus;
  • ua npaws thiab ua daus no.

Yog li ntawd, gouty tophus yog qhov tshwm sim ntawm tus kab mob gout. Qhov no yog ib qho kev kho mob tsis tshua muaj tshwm sim. Nws yog ib tug deposit ntawm uric acid nyob rau hauv daim ntawv ntawm urate (uric acid ntsev) nyob rau hauv daim tawv nqaij, pom nyob ib ncig ntawm cov pob qij txha cuam tshuam thiab / los yog pinna ntawm pob ntseg, lub luj tshib, Achilles tendons los yog lub ntsis ntiv tes. Nws tshwm nyob rau hauv daim ntawv ntawm nodules nyob rau hauv daim tawv nqaij, ntawm ib tug ruaj khov thiab voluminous sib xws. Lub tophus tsis tshua muaj kev pheej hmoo ntawm kev kis kab mob vim tias uric acid tsis zoo rau kev loj hlob ntawm microbes.

Rau kev kuaj mob ntawm gout, tus kws kho mob saib xyuas qhov muaj cov tophus. Qhov no tuaj yeem pom ntawm kev kuaj mob. Tus kws kho mob kuj tseem tuaj yeem kuaj x-ray ntawm cov pob txha thiab cov pob qij txha uas tuaj yeem pom cov pob txha raug mob los yog muaj peev xwm tophi nyob ib ncig ntawm pob qij txha. Tophus kuj tseem tuaj yeem tsis pom ntawm kev kuaj lub cev thiab x-ray thiab kuaj pom los ntawm kev sib koom ua ke ultrasound uas qhia tau hais tias uric acid tso rau ntawm pob txha pob txha.

Dab tsi ua rau?

Tophus yog qhov tshwm sim ntawm gout. Tus kab mob no tshwm sim los ntawm kev muaj uric acid ntau dhau hauv cov ntshav. Uric acid ib txwm muaj nyob rau hauv cov ntshav tab sis nyob rau theem qis dua 70 mg / liter. Nws yog qhov tshwm sim ntawm qee yam kev ntxuav ntawm lub cev. Tom qab ntawd nws raug tshem tawm los ntawm lub raum, uas ua raws li cov lim dej.

Muaj ob txoj hauv kev ua rau hyperuricemia:

  • hyperproduction ntawm uric acid (qhov tshwm sim ntawm kev noj zaub mov ntau dhau ntawm cov proteins lossis kev puas tsuaj loj ntawm cov hlwb);
  • txo qis kev tshem tawm los ntawm ob lub raum (feem ntau yog vim li cas).

Cov hauv qab no tuaj yeem ua rau mob gout:

  • Kev haus cawv;
  • kev noj ntau dhau ntawm cov khoom noj uas muaj protein ntau thiab rog;
  • ketoacidosis thaum muaj ntshav qab zib;
  • poob dej los ntawm lub cev vim kev siv lub cev hnyav, lub cev qhuav dej, yoo mov, thiab lwm yam.;
  • qhov xwm txheej ntxhov siab (kev sib tsoo, kev raug mob, kev phais, kev kis mob, thiab lwm yam);
  • noj qee yam tshuaj (diuretics, tshuaj aspirin qis, pib kho hypo-uricemic).

Dab tsi yog qhov tshwm sim ntawm gout thiab tophus?

Tso tus kab mob tsis kho txhais tau tias ua rau koj tus kheej muaj kev pheej hmoo ntau dua ntawm kev tawm tsam gout, uas ua rau mob hnyav heev hauv kev sib koom tes.

Nyob rau hauv tsawg zaus, tsis kho tophus tej zaum yuav ulcerate thiab tso cov tshuaj dawb. Peb tham txog tophaceae gout uas tshwm sim nyob rau hauv ib feem peb ntawm cov neeg mob uas tsis kho nyob rau hauv 5 xyoo ntawm qhov pib ntawm tus kab mob.

Nyob rau lub sijhawm ntev, gout tuaj yeem ua rau mob plawv thiab lub raum.

Kev kho mob dab tsi?

Kev kho mob gout muaj ob lub hom phiaj:

  • kho gout nres thaum nws tshwm sim;
  • kho tus neeg mob lub sij hawm ntev kom txo tau qhov tshwm sim ntawm qaug dab peg.

Kev kho mob ntawm qhov qaug dab peg yog txhawm rau txo qhov mob. Nws pib nrog so thiab txias qhov sib koom ua ke. Tom qab ntawd tus kws kho mob tuaj yeem sau tshuaj sib txawv los pab tswj qhov teebmeem: colchicine, tshuaj tiv thaiv kab mob thiab qee zaum corticosteroids.

Lub hom phiaj ntawm cov kev kho mob yooj yim yog tswj cov uric acidemia txhawm rau tiv thaiv kev qaug dab peg, tsim cov tophi, cov teeb meem sib koom ua ke thiab cov tsos ntawm lub raum pob zeb. Thawj theem ntawm kev kho mob yog tsim los ntawm kev tu cev thiab kev noj haus. Tus kws kho mob tuaj yeem teeb tsa kev kho mob hypo-uricemic.

Muaj cov tshuaj sib txawv:

  • allopurinol;
  • febuxostat;
  • probenecid;
  • benzbromarone tshuaj.

Txhawm rau txheeb xyuas qhov ua tau zoo ntawm cov kev kho mob yooj yim, tus kws kho mob saib xyuas tus neeg mob cov qib uric acid kom paub tseeb tias nws poob qis dua tus nqi ua rau nws muaj peev xwm kom tau txais cov kua ntsev uric acid.

Thaum twg los tham?

Gout yog ib hom kab mob ntev uas yuav tsum tau kho tas mus li thiab kev tswj hwm ntau yam, suav nrog tus kws kho mob, kws kho mob rheumatologist, kws kho plawv, kws kho mob nephrologist, thiab lwm yam.

Sau ntawv cia Ncua