According to ACR suggestions, allopurinol is strongly suggested as a primary-line urate-decreasing medication. Genetic testing is usually recommended (for your variant referred to as HLA B*5801) before commencing allopurinol since the carriers of the gene are at an elevated chance of a intense allergic response.
Sekiranya anda berisiko mengambil NSAID atau colchicine, atau kedua-dua ubat tidak berfungsi dengan berkesan, doktor anda mungkin memberi anda steroid untuk merawat gout anda.
Initially-line gout treatment method focuses on cutting down ache and inflammation. Preferably, treatment method should start off inside 24 several hours of the start on the gout attack. Procedure is stopped once the assault is around, and indicators have long gone away. It incorporates the subsequent:
Soreness Reduction at Home Some uncomplicated approaches for managing delicate to moderate gout discomfort can assist shield the joint from even further destruction.
Walau bagaimanapun, allopurinol boleh menyebabkan kesan sampingan dalam bentuk ruam dan jumlah darah yang rendah. Ubat ini tidak digalakkan untuk mereka yang mempunyai masalah buah pinggang.
Gout is actually a kind of inflammatory arthritis. An assault may possibly arrive following an health issues or injuries. The initial signal is often discomfort in the big toe. It usually affects one particular joint at any given time, but gout can spread to other joints and depart them on the lookout crimson and swollen.
Walau bagaimanapun, anda harus terlebih dahulu berunding dengan doktor anda sebelum mengambil ubat alternatif ini. Sebabnya, beberapa makanan tambahan atau ubat-ubatan herba mungkin berinteraksi dengan rawatan asid urik yang sedang anda lalui atau boleh memburukkan lagi penyakit anda.
Slicing down on sugary drinks and alcohol may assistance stop flares. Having said that, remember that dietary improvements with medicines are practical.
Pegloticase (Krystexxa) is another option to lower creation of uric acid. It is mostly reserved for people who have extreme gout and more info have not experienced achievements with other solutions or are unable to tolerate them. This medication is presented intravenously each and every 2 months as well as weekly oral methotrexate to stop Negative effects and improve success.
Jika anda mendapati bukti ini membantu, sila pertimbangkan untuk menderma kepada Cochrane. Kami adalah badan amal yang menghasilkan bukti yang boleh diakses untuk membantu orang ramai membuat keputusan kesihatan dan penjagaan.
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.
Features a lower potential for abuse relative to those in schedule three. It has a currently recognized healthcare use in treatment method in the United States. Abuse may perhaps lead to confined Actual physical dependence or psychological dependence relative to Individuals in agenda three.
Urate-Decreasing Drugs Urate-decreasing medicine are utilized to assistance manage Persistent gout and prevent flares. They may be advisable for people who have no less than two gout flares per year and those with troubles like tophi.
Walaupun boleh dibeli di kaunter di farmasi, anda harus berjumpa dengan doktor terlebih dahulu sebelum meminumnya. Sebabnya, ubat NSAID boleh berinteraksi dengan ubat lain yang mungkin anda ambil.