What Does ubat gout klinik Mean?
What Does ubat gout klinik Mean?
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Editor’s Be aware: Although this guideline suggests crucial adjustments to the normal cure of gout, the recommendation that sure racial groups get HLA-B*5801 testing prior to receiving allopurinol is problematic. A new commentary in JAMA points out that race inadequately discriminates danger of allergic reaction, since the prevalence in the HLA-B*5801 allele differs significantly within geographic and ethnic teams.1 One example is, HLA-B*5801 is frequent in Thailand, China, and South Korea, but rare in Japan. Variation throughout populations in Africa is comparable, starting from small rates comparable to Japan to larger rates akin to Thailand.
Colchicine dos tinggi dapat memperbaik gejala berbanding dengan plasebo, tetapi berkait dengan lebih banyak peristiwa sampingan buruk. Dos tinggi berkemungkinan mempunyai sedikit atau tiada langsung manfaat berbanding colchicine dos rendah, bagaimanapun berkait dengan lebih banyak peristiwa sampingan buruk.
Walau bagaimanapun, nama kedua-dua ubat ini hanya boleh didapati dari preskripsi doktor dan sering diberikan untuk merawat serangan gout akut.
Preventing gout assaults Gout flare-ups can final anywhere from various times to a week or for a longer period. Whilst self-care often soothes symptoms, you need to see your medical professional to confirm a prognosis and explore how to prevent upcoming assaults.
Numerous drugs are effective for acute flare-ups. The performance of lower-dose colchicine is similar to that of high-dose colchicine with much less adverse effects. NSAIDs and glucocorticoids are as helpful as colchicine.
Sapuan. Jika bahagian yang sakit tidak boleh direndam, anda juga boleh menyapu bahagian sakit tersebut dengan air arang.
Probenecid is minimally efficient, so take into account switching to febuxostat instead of introducing probenecid for poor Management on the best tolerated dose of allopurinol.
Allopurinol, which blocks the production of uric acid. This is the popular medication for Long-term gout.
Pesakit gout mesti makan makanan sihat yang termasuk makanan kaya yang rendah purin dan pengambilan cecair yang mencukupi. Rawatan gout akut berjaya jika terdapat pematuhan lengkap dengan pelan rawatan yang anda cadangkan.
Makan kurang daging, terutama bahagian hati dan ‘sweetbread’ serta makanan laut. Dapatkan protein anda daripada makanan seperti produk tenusu rendah lemak iaitu produk seperti yogurt, keju dan susu.
Ketidakselesaan yang berlarutan. Setelah gout sakit kaki kesakitan yang paling teruk hilang, beberapa ketidakselesaan sendi mungkin berlangsung dari beberapa hari hingga beberapa minggu. Serangan kemudian mungkin akan bertahan lebih lama dan mempengaruhi lebih banyak sendi.
Urate-Lowering Medicines Urate-reducing medication are utilized to aid manage Continual gout and forestall flares. They can be advised for people who have no less than two gout flares each year and people with complications like tophi.
RELATED: Exactly where to turn for discomfort relief - acetaminophen or NSAIDs? Uric acid-lowering medications The ACR suggestions advocate dealing with gout with uric acid-decreasing remedies for Individuals who have tophi (nodules that variety from the mass of uric acid crystals at joints or in smooth tissues), radiographic proof (X-ray or other imaging) of damage on account of gout, kidney stones (people with gout have an elevated hazard of kidney stones as uric acid crystals can form kidney stones in a lot of people) or two or maybe more gout flares per annum.