Walaupun jarang diperlukan, pembedahan mungkin disyorkan untuk menghilangkan tophi, yang merupakan pertumbuhan putih kecil yang berlaku di bawah kulit di mana asid urik dikristalkan.
Jika anda sudah mempunyai bukti kerosakan akibat gout pada sinar-X sendi, atau anda mempunyai tophi, penyakit buah pinggang kronik atau batu karang, ubat-ubatan sebegini yang dapat membantu menurunkan kadar asid urik badan anda mungkin disyorkan. Pilihan yang ada termasuk:
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.
Kortikosteroid, sama ada diambil secara oral (melalui mulut) atau diberikan sebagai suntikan ke dalam sendi terjejas
Avoiding gout assaults Gout flare-ups can last between quite a few days to every week or for a longer period. Even though self-treatment typically soothes symptoms, you need to see your medical professional to substantiate a prognosis and examine how to forestall future assaults.
Baking soda mempu mengurangkan asid urik dalam badan dan mengurangkan keradangan akibat gout. Caranya:
With a first gout flare-up, shared selection-producing is suitable in clients at superior hazard as a consequence of a serum urate standard of 9 mg for every dL (0.fifty four mmol per L) or bigger, urolithiasis, or phase three or higher Persistent kidney ailment. Urate-decreasing therapy hasn't been proven to get useful for individuals with asymptomatic hyperuricemia.
The next goods are thought of as different therapies or organic remedies for Gout. Their efficacy may not have already been scientifically examined to exactly the same diploma since the drugs listed during the desk earlier mentioned.
Kesan sampingan allopurinol termasuk here ruam dan jumlah darah yang rendah. Kesan sampingan febuxostat pula termasuk ruam, mual, fungsi hati yang berkurangan dan peningkatan risiko kematian yang berkaitan dengan jantung.
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.
These remedies are high-priced, and there's not ample investigation to understand how productive they are for gout. They are not commonly utilized Except common therapies have not worked.
A corticosteroid can even be injected into your joint to help you Handle suffering. Corticosteroids may also be injected intravenously or right into a muscle if the medication can not be taken orally.
Febuxostat berkesan dalam mengurangkan tahap asid urik tetapi memerlukan pemantauan fungsi hati dan buah pinggang kerana kesan sampingan yang mungkin berlaku.
Similar: In which to show for pain reduction - acetaminophen or NSAIDs? Uric acid-lowering drugs The ACR guidelines advocate managing gout with uric acid-decreasing medicines for Individuals who have tophi (nodules that read more sort from the mass of uric acid crystals at joints or in soft tissues), radiographic evidence (X-ray or other imaging) of damage resulting from gout, kidney stones (those with gout have an increased threat of kidney stones as uric acid crystals can kind kidney stones in lots of people) or two or maybe more gout flares per year.