The Single Best Strategy To Use For ubat tahan sakit gout
The Single Best Strategy To Use For ubat tahan sakit gout
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Ubat gout di Malaysia merangkumi ubat anti-radang seperti NSAIDs, kolkisin, serta terapi jangka panjang untuk mengurangkan tahap asid urik. Keadaan ini lazimnya berlaku apabila badan menghasilkan asid urik secara berlebihan atau buah pinggang gagal membuangnya dengan berkesan.
Editor’s Notice: While this guideline recommends significant variations to the common therapy of gout, the advice that certain racial groups obtain HLA-B*5801 testing in advance of receiving allopurinol is problematic. A latest commentary in JAMA details out that race inadequately discriminates threat of allergic response, Because the prevalence with the HLA-B*5801 allele varies radically inside of geographic and ethnic groups.one By way of example, HLA-B*5801 is frequent in Thailand, China, and South Korea, but rare in Japan. Variation across populations in Africa is comparable, ranging from reduced premiums corresponding to Japan to increased prices corresponding to Thailand.
Rawatan akut sering memerlukan disiplin ubat yang ketat bersama dengan pengubahsuaian gaya hidup. Secara spesifik, semasa terapi gout akut, pengamal perubatan menetapkan ubat tertentu dan mengesyorkan pelan pemakanan sihat yang membantu mengurangkan tahap pengeluaran dan pengambilan asid urik.
Steroid seperti prednisolone juga digunakan sebagai rawatan alternatif bagi gout di Malaysia, terutamanya jika NSAIDs atau kolkisin tidak berkesan atau tidak boleh digunakan. Dalam kes-kes di mana kesakitan sangat teruk dan tidak dapat dikawal dengan ubat-ubatan lain, prednisolone pada dos 30 mg setiap hari selama lima hari boleh diberikan.
Ubat yang digunakan untuk merawat serangan gout akut pada masa yang sama mencegah serangan berikutnya. Ia tidak berkesan untuk menyembuhkan gout atau menurunkan kadar asid urik. Ditetapkan untuk mencegah atau melegakan bengkak gout dengan mengurangkan keradangan.
Various medicines are efficient for acute flare-ups. The effectiveness of small-dose colchicine is similar to that of large-dose colchicine with much less adverse results. NSAIDs and glucocorticoids are as effective as colchicine.
With a primary gout flare-up, shared final decision-making is acceptable in people at substantial danger as a result of a serum urate level of 9 mg for each dL (0.54 mmol for each L) or better, urolithiasis, or stage 3 or better Long-term kidney ailment. Urate-decreasing therapy has not been proven being advantageous for sufferers with asymptomatic hyperuricemia.
Probenecid may well not work perfectly in people who have kidney condition. As it may possibly enhance the chance of kidney stones, It isn't proposed for people with a historical past of kidney stones. Possible Unwanted side effects incorporate headache, joint discomfort, loss of appetite, and nausea.
Make sure you operate your medication list by your healthcare provider or pharmacist for being Protected. In distinction to NSAIDs and corticosteroids, colchicine could possibly be continued extended-time period to circumvent recurrent flares.
Medication. Long-expression treatment of gout often calls for medication to circumvent upcoming gout attacks. Medication for extensive-expression treatment reduce amounts of uric acid. It may take a number of months to a couple months for these medications to just take full result.
Berbanding dengan ubat plasebo, colchicine dos rendah untuk pesakit gout akut sedikit sebanyak dapat memperbaik hasil rawatan dengan sedikit atau tanpa peningkatan risiko peristiwa sampingan buruk pada jangka waktu 32 hingga 36 jam.
Probenecid can be employed alone or combined with allopurinol or febuxostat in individuals whose uric acid stages more info Will not slide adequate with just allopurinol or febuxostat.
To circumvent future gout assaults, your doctor may suggest prescription medicines that get more info decreased uric acid in the blood, and Way of living variations like getting rid of pounds, ingesting a lot more water, and preventing selected foods that could set off a gout assault.
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.