Cherries. Antioxidants called anthocyanins located in the pigment of cherries may well assistance beat back and address gout by lowering uric acid ranges. Studies show concentrated varieties of cherries, which include juice, extracts, and supplements, exhibit by far the most well being Added benefits.
Dengan mencegah serangan ini, anda dapat mengawal penyakit anda dan mengelakkan komplikasi gout kronik dan gout yang boleh menjejaskan kesihatan anda.
Colchicine adalah sejenis ubat yang selalunya digunakan dalam rawatan gout semasa serangan akut atau untuk mencegah serangan semasa memulakan terapi pengurangan asid urik.
Gout is a typical method of arthritis but Regardless of staying quickly treatable, frequently goes undiagnosed or undertreated. This text explains the will cause and signs of gout plus the therapy system needed to therapeutically ‘treatment’ gout via lifelong medication.
The ACR notes that sufferers are most inspired for cure all through an exacerbation. Anti-inflammatory drugs for example colchicine or nonsteroidal anti-inflammatory medications (NSAIDs) really should be ongoing for three to six months right after beginning urate-reducing therapy.
Various remedies are productive for acute flare-ups. The effectiveness of low-dose colchicine is comparable to that of higher-dose colchicine with less adverse effects. NSAIDs and glucocorticoids are as helpful as colchicine.
Anda tidak boleh membeli ubat penurun asid urik di kaunter farmasi. Sebabnya, pemberian febuxostat mestilah beransur-ansur, dari dos rendah hingga tinggi, terutamanya apabila dos rendah tidak mencukupi untuk mengurangkan kadar asid urik.
Mungkin juga ada sedikit atau tiada langsung manfaat colchicine dos rendah berbanding NSAID dari segi kejayaan rawatan dan pengurangan kesakitan, dengan jumlah peristiwa sampingan buruk yang lebih kurang sama.
As Dr. Reddick notes in his editorial in this challenge () “Although we may possibly listen to about biologic or genetic variations involving races, There's extra variation within races than there is between them.” In counseling our patients with regards to the suggestions for HLA screening, it iss vital that you take into account that categorization by race is definitely an imprecise predictor of chance. Until We've far more correct instruments to differentiate possibility, shared decision making is very important.-Michael J. Arnold, Contributing Editor.
In accordance with the ACR suggestions, the intention of medication therapy here would be to reduced uric acid stages to under 6 mg/dL. There are two sorts of urate-decreasing remedies:
Since this allele influences 7% of folks of Southeast Asian descent and 4% of people of African American descent, HLA screening is suggested for these people before beginning allopurinol. Allopurinol desensitization is often carried out after an allergic reaction. Urate-lowering therapies are summarized in Table 1.
Selain itu, febuxostat juga cenderung mencetuskan serangan gout pada kali pertama anda memakannya. Oleh itu, doktor secara amnya juga akan memberi anda NSAID atau colchicine yang rendah untuk dimakan selama enam bulan pertama ketika mula mengambil febuxostat.
NSAIDs ini bertindak dengan menyekat enzim yang menyebabkan keradangan, seterusnya mengurangkan bengkak dan kesakitan. Namun, bagi pesakit yang mempunyai masalah gastrik atau ulser, COX-2 inhibitors seperti celecoxib atau etoricoxib mungkin lebih sesuai kerana ia kurang merosakkan lapisan perut.
Bersenam secara rutin adalah cara seterusnya yang dapat membantu mengatasi masalah gout anda. Aktiviti ini dapat mengurangkan kemungkinan serangan gout dan menjaga berat badan dan kesihatan keseluruhan.