In keeping with ACR tips, allopurinol is strongly suggested as a primary-line urate-reducing medication. Genetic testing is recommended (for just a variant identified as HLA B*5801) just before starting allopurinol as the carriers of this gene are at an elevated threat of the critical allergic response.
Anda boleh mendapatkan beberapa NSAID generik untuk merawat gout di farmasi, seperti ibuprofen atau naproxen. Walau bagaimanapun, untuk kes yang lebih teruk, anda mungkin memerlukan NSAID yang lebih kuat, seperti indomethacin atau celecoxib.
Probenecid, which allows the kidneys remove uric acid from the human body. This medication is fewer effective than allopurinol or Uloric, and it isn't really advisable for individuals with a record of kidney stones.
Kortikosteroid, sama ada diambil secara oral (melalui mulut) atau diberikan sebagai suntikan ke dalam sendi terjejas
Jika anda kerap mengalami gout, doktor mungkin mencadangkan ujian darah untuk memantau tahap asid urik.
Ubat oral yang dipanggil colchicine, yang khusus untuk gout dan telah terbukti berkesan dalam mengurangkan kesakitan dan keradangan jika diberikan dalam 24 jam pertama serangan
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.
Selain osteoartritis, ubat NSAID juga biasa digunakan untuk merawat serangan gout, baik menghilangkan rasa sakit dan mengurangkan keradangan pada sendi.
As Dr. Reddick notes in his editorial in this difficulty () “While we could listen to about biologic or genetic differences amongst races, There exists far more variation in just races than There may be in between them.” In counseling our individuals about the recommendations for HLA screening, it iss important to do not forget that categorization by race is definitely an imprecise predictor of chance. Till We've got more exact equipment to differentiate chance, shared conclusion creating is crucial.-Michael J. Arnold, Contributing Editor.
If you take NSAIDs in the initial 24 several hours, it will help shorten the assault. Other tips website on how to relieve discomfort contain ice, relaxation, and elevating the joint. In between gout attacks, you can also have a warm shower and use heat using a very hot h2o bottle or heating pad.
Uric acid is usually a squander product that is certainly shaped when purines - important substances present in protein more info and other foods - are broken down. Underneath usual ailments, uric acid dissolves in the blood, passes throughout the kidneys, which is excreted in the urine. Not so in people with gout.
Ketidakselesaan yang berlarutan. Setelah 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.
Walaupun dianggap lebih berkesan, ubat steroid juga boleh menyebabkan kesan sampingan, seperti perubahan mood dan peningkatan gula darah dan tekanan darah. Ubat steroid yang boleh disuntik boleh menyebabkan kerosakan pada ligamen dan tulang rawan jika terlalu kerap digunakan.
Gout Triggers Gout flares can be brought on by different circumstances that anxiety your body. Some prevalent triggers involve the subsequent: