Gout adalah sejenis artritis yang berlaku akibat kadar asid urik yang tinggi dalam darah. Di Malaysia, gout sering dirawat menggunakan kombinasi ubat-ubatan dan perubahan gaya hidup.
• Allopurinol is the popular urate-decreasing agent, but HLA tests should be presented to patients of Southeast Asian or African American descent before beginning to recognize individuals at risk for an allergic reaction.
Probenecid, which aids the kidneys remove uric acid from the body. This medication is less successful than allopurinol or Uloric, and it isn't recommended for those with a heritage of kidney stones.
When It is really unachievable to reduce Some triggers, it's important to test to minimize those you'll be able to Handle. Taking in a balanced diet regime, remaining hydrated, and managing strain may help decrease the potential risk of gout flares.
The ACR notes that individuals are most determined for treatment method through an exacerbation. Anti-inflammatory medicines like colchicine or nonsteroidal anti-inflammatory medications (NSAIDs) needs to be ongoing for 3 to six months immediately after starting urate-decreasing therapy.
There's positive evidence of human fetal threat depending on adverse reaction data from investigational or advertising and marketing working experience or reports in humans, but opportunity benefits may perhaps warrant use in pregnant Gals Irrespective of opportunity risks.
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.
Near-up from the pink and inflamed joint at the base of the massive toe inside a fifty four-12 months-previous male affected individual owing to acute gout. Gout is often a sort of arthritis (joint illness) because of large amounts of uric acid within the bloodstream. Crystals of the acid acquire inside the joints causing significant ache.
Sekiranya anda mengalami beberapa kali serangan gout setiap tahun, atau jika serangan gout anda kurang kerap berlaku tetapi sangat menyakitkan, doktor mungkin mengesyorkan anda mengambil ubat untuk mengurangkan risiko komplikasi yang berkaitan dengannya.
Kami menemui bukti berkualiti rendah bahawa colchicine dos rendah mungkin merupakan rawatan yang lebih berkesan untuk gout akut jika dibandingkan dengan plasebo dan bukti berkualiti rendah bahawa faedahnya mungkin serupa dengan NSAID. Kami menurunkan taraf bukti tersebut atas dasar bias dan ketidaktepatan.
Selain itu, febuxostat juga cenderung mencetuskan serangan gout pada kali pertama anda memakannya. Oleh itu, read more doktor secara amnya juga akan memberi anda NSAID atau colchicine yang rendah untuk dimakan selama enam bulan pertama ketika mula mengambil febuxostat.
Gout therapy is often classified into medicines used to treat an acute assault, and medicines employed to avoid gout troubles, for example tophi.
Colcrys (colchicine) is handiest when started at the main signs or symptoms of the gout flare. Colchicine might need to be dosed lessen for people with Persistent kidney sickness (CKD) and those that choose some medicines, which include statins.