1. BNH GT V CCH IU TR na m thc gic v ngn chn ci nng nh la t, sng to v rt au, c bit khi s vo. Rt c th bn ang b cn gt cp tnh.

Bnh gt l g? Bnh gt (ting Anh l gout, gi theo m Hn-Vit l thng phong), hay vim khp do gt, l mt dng vim khp c c trng bi cn au khp d di v t ngt, km theo l sng khp. Gt l mt bnh khp ph bin n ng trung nin, do khp b lng ng cc tinh th mui urate trong khp v cc t chc quanh khp. D gp n ng nhiu hn, nhng ph n sau mn kinh cng c th b bnh ny. Rt may, bnh gt c th khi hn nu c iu tr ng. Hn na, gt l mt bnh c th c d phng Triu chng biu hin Gt hu nh lun biu hin cp tnh, xy ra mt cch t ngt, thng l vo lc na m v khng c du hiu g bo trc. Cc triu chng thng gp l: au khp d di. Thng xy ra khp ngn chn ci nhng cc khp khc cng c th b l khp bn chn, c chn, bn tay v c tay. Nu khng c iu tr, au c th ko di 5 - 10 ngy ri t mt i. Kh chu lui dn trong 1 - 2 tun, khp tr li bnh thng. Vim v khp. Khp b nh hng b sng , au khi s vo. Yu t nguy c Bnh gt dng nh d xy ra nhng ngi c nng acid uric tng. Mt s yu t c th lm tng nng acid uric l: Li sng. n nhiu cht m ng vt (c bit l tm, cua) cng vi ung nhiu bia ru c th lm tng nguy c b bnh gt. Mt s bnh. C th gia tng nguy c b bnh gt khi mc mt s bnh ni khoa nh: tng huyt p khng c iu tr, i tho ng, tng lipid mu v x va ng mch. Mt s thuc. Mt s thuc c th lm tng nguy c b bnh gt l thuc li tiu nhm thiazide (thng c s dng iu tr tng huyt p) v dng aspirin liu thp ko di. Cc thuc khc cng c th lm tng nguy c b gt l: pyrazinamide (dng trong iu tr bnh lao), cyclosporine (c s dng nhng ngi c ghp tng vi mc ch chng thi ghp), mt s thuc iu tr ung th. iu tr bnh gt Vi cn au cp tnh. S dng thuc kt hp vi cc bin php ngh ngi cho khp b au. C 3 nhm thuc thng c s dng trong iu tr gt cp tnh l: cc loi thuc khng vim nh colchicine v cc thuc khng vim khng steroid nh indomethacin, thuc lm gim acid uric mu v cc thuc corticosteroid (ung hoc chch thng vo khp). Vi nhng bnh nhn b tng acid uric trong mu. Bnh nhn cn theo mt ch n c bit. Thm vo , bnh nhn cn s dng mt s thuc lm gim acid uric mu (nh allopurinol, sulphinpyrazone v probenecid) cho n khi nng acid uric mu tr v bnh thng. Trong thi gian ung thuc lm gim acid uric mu, bnh nhn cn ung nhiu nc gip thi acid uric qua ng tiu c d dng hn. Phu thut. Phu thut him khi c s dng trong iu tr gt. Thi thong, dng phu thut ly i tophi b nhim trng hay tophi nh hng vo c ng khp. Mt s trng hp khp b bin dng do gt, phu thut gip cho khp ci thin chc nng v c ng ca khp. Phc iu tr mi nht l kt hp hai loi thuc : -Kinotakara :Xut x t Nht Bn-Ht v o thi acid uric trong mu ngn chn cc bin chng vo thn v khp . c ch Enzim xanthin ydase (y l enzym gy ra s hnh thnh axid uric trong niu o v acid uric trong mu -K-Biogreen :Xut x Malaisya gm 60 dng cht c bit gip phc hi cc t bo ang b thng tn , o thi acid uric qua ng tiu ho . Cn bng v n nh ti a acid uric v mc an ton 430 micromol/l nhn ngn chn s lng ng urat trnh nguy c mc thm bnh thn 2. Bnh gt nn king nhng g?

Bnh gt l mt trong nhng bnh thp khp gy au n nht, do ng nhng tinh th uric acid nhn nh kim t chc lin kt, khp hay c hai. S ng ny dn ti vim khp vi cc triu chng sng, nng, , au v cng khp.

Thut ng vim khp bao gm hn 100 bnh phong thp nh hng n khp, c, xng cng nh cc m v cc cu trc khc. Bnh gt ch chim khong 5% trong s mi trng hp vim khp. i khi bnh gt gi cng b coi l bnh gt v c nhng triu chng tng t nh vim, tuy nhin, bnh gt gi cng cn c tn l bnh ng pht pht canxi sn (chondrocalcinosis) ch khng ng uric acid nh trong bnh gt tht. V th, iu tr bnh gt gi c hi khc. Uric acid l sn phm thoi ha ca purine, cht ny c trong cc m trong c th v c nhiu loi thc n. Bnh thng, uric acid ha tan trong mu v i qua thn o thi ra ngoi trong nc tiu. Nu c th tng sn sinh ra uric acid hay thn khng o thi c nhiu uric acid nh cn thit th nng uric acid tch t trong mu (gi l tng uric trong mu); h qu ny cng c th xy ra khi n qu nhiu thc n c hm lng cao purine nh gan, u kh, c trng (thuc h c trch), nc xt. Tng uric acid trong mu khng phi l mt bnh v bn thn n khng nguy him. Tuy nhin, nu qu nhiu uric acid th tt yu s hnh thnh cc tinh th v lm cho bnh gt pht sinh. Qu nhiu tinh th tch t khoang khp s gy vim. S ng uric acid c th dng cc di da quanh khp v c vnh tai. Ngoi ra, tinh th uric acid cn c th tch t thn v gy ra si thn; bnh gt tin pht c khp ngn chn ci, khong 75% s bnh nhn. Gt cng c th pht trin khp bn chn, c chn, gt chn, u gi, c tay, cc ngn tay v khuu tay. Bnh c th din bin qua 4 giai on: Giai on tng uric acid trong mu, ngoi ra khng c triu chng g khc: giai on ny khng cn iu tr. Gt cp tnh hay vim khp do gt cp: tng uric acid to nn cc tinh th cc khoang khp, gy au t ngt v sng khp, c th c cm gic nng v rt au khi s m. Cn au cp thng xy ra v ban m v au do nhng s c gy stress, do ru hay c bnh no . au thng gim i trong vng 3-10 ngy, k c khi khng iu tr v cn au tip theo c th khng xy ra trong nhiu thng hay nhiu nm. Tuy nhin, theo thi gian, nhng cn au c th ko di hn v thng xuyn hn. Gia cc t au khp: c th khng c triu chng g v chc nng khp vn bnh thng. Bnh gt mn tnh: giai on kh chu nht ca bnh gt v thng ko di nhiu nm, c khi ti 10 nm. Thng xuyn au khp b bnh v i khi au c thn. iu tr ng th phn ln bnh nhn khng pht trin bnh ti giai on ny. Nhng nguyn nhn gy ra bnh gt: mt s yu t nguy c lin quan n s pht trin tng uric acid trong mu: Di truyn c th c vai tr gy ra nguy c v c ti 18% bnh nhn gt c tin s gia nh c bnh. - Gii v tui tc c lin quan n nguy c pht sinh bnh, nam d b bnh hn n v thng gp ngi trng thnh hn l tr em.

- Ngi qu cn d b tng uric acid trong mu v d b gt hn v cc m chuyn ha v phn hy nhiu hn dn n s sn sinh qu nhiu uric acid. - Ung qu nhiu ru c th gy tng uric acid trong mu v cn tr s o thi uric acid ra khi c th.
Bnh nhn gt khng nn n nhiu tht b. Sau mt ba tic thnh son vi y ru tht, nu c cn au d di ni ln cc khp, nhiu kh nng l bn b bnh gt (thng phong). Bnh xut hin do hm lng axit uric trong mu tng cao, triu chng in hnh l ni u cc hoc vim cc khp. Tin s Nguyn Th Bay, i hc Y dc TP HCM, cho bit, cc u cc c ng knh t vi mm n nhiu cm, khng au, thng xut hin khp ngn chn, c chn, khuu tay, c tay, sn vnh tai... i khi, ch da bc khi u b lot v chy nc vng. Cn tnh trng vim thng xut hin cc khp bn chn, bn tay, c tay, khuu tay, u gi, din tin chm v gy au nh (tr nhng cn au cp sau ba n c nhiu ru tht). Bnh gt tin trin trong 10-20 nm. n giai on cui, bnh nhn mt kh nng vn ng, c nhiu bin chng thn, suy kit dn, c th dn n t vong. phng trnh v hn ch s pht trin ca bnh gt, cn king ru v cc cht kch thch nh c ph, t. Hn ch dng bia v cc thc n nhiu m nh tht , ph tng ng vt, hi sn. Nn n nhiu hoa qu v rau; ung cc loi nc khong thin nhin cha bicarbonat. Ngoi ra, cn trnh lm vic qu sc v n ung qu mc, khng c th b nhim lnh hoc to bn. Nhng ngi b gt c th lm gim triu chng bnh bng cch hi l sake gi nu nc ung thay tr hng ngy (hoc nhng l ti vo nc si ri em phi kh, nu ly nc ung).

- n qu nhiu thc phm giu purin c th lm nng thm bnh mt s ngi. - Thiu ht endim tham gia vo phn hy purine gy ra bnh gt mt s t ngi, nhiu ngi trong s ny c tin s gia nh b bnh gt. - C ngi dng mt s thuc hay c mt s bnh no c nguy c b tng uric acid trong dch c th, v d nhng loi thuc sau y c th dn n tng uric acid trong mu v gim kh nng o thi uric acid ca c th: thuc li tiu, salicylat hay cc thuc chng vim to ra t salicylate nh aspirin, vitamin niacin cn gi l nicotinic acid, thuc c ch h min dch cyclosporine v kim sot s o thi mnh ghp ca c th, thuc levodopa h tr dn truyn thn kinh dng cho bnh Parkinson. iu tr: nu iu tr ng phng php, hu ht bnh nhn gt c th kim sot c cc triu chng v vn c th lm vic. C th dng liu php duy nht hay phi hp. Mc ch ca iu

tr l gim au trong nhng t cp phng nga cc t sau v trnh s to thnh cc tinh th uric acid v si thn. iu tr c hiu qu th c th gim c cc triu chng v c tn thng lu di khp bnh, tc l gip phng nga s tn tt do gt gy ra. Dng thuc chng vim khng c nhn steroid (NSAID) hay colchicine ung liu nh hng ngy phng nga cc cn au khp sau ny. Cng c th dng allopurinol (zyloprim) hay probenecid (Benemid) iu tr tng uric acid trong mu v gim tn sut cc t au t ngt v s to thnh cc tinh th. Khng c ti liu no ni n vic phi king quan h tnh dc nu b gt; tt nhin nn trnh khi c t cp tnh v cn la chn t th tnh dc thch hp khi b au khp.
3.NGYN NHN C CH CA BNH GOUT NHNG PHT HIN MI V BNH GOUT TI VIN YHOC C TRUYN VIT NAM TI MOSCOW Hin nay trn th gii cn bnh ny ngy cng gia tng s ngi mc phi, Cc phng php iu tr hu ht cc bnh vin u ch trng tp chung iu tr triu chng l chnh,cc thuc hin nay ch yu chng vim ti khp v gim au, l mt sai lm cn bn. Gan l mt tng ln ca c th v chc nng ca n n nay con ngi vn cha khm ph ht-vn cn nhiu b n pha trc. GAN lm nhim v chuyn ha mt trong nhng nhim v chuyn ha protein bi ri lon -n giai on axit amin nhn purine thi b ri lon t bo gan khng sn xut men chuyn ha tip khi axit amin nhn purine d tha th nng axit uric tng cao trong mu gy lng ng nhng ht tinh th to ra cc u-cc tophi . gii quyt vn ny bi ton t ra l phi phc hi chc nng ca t bo gan < t>ht chuyn ha ht phn axit uric tha sang ure v nc tiu.khi y bi ton c gii quyt. chng ti giai c bi ton ny bng y hc c truyn vit nam phng php c t tn l liu php TOSSPALL ngha l lm sch gan ti to v phc hi chc nng vn c ca t bo gan. giai on mt chng ti a ra khi bung gan ca ngi mc bnh gout mt lng si bn ma thnh phn ch yu l mui mt v cn si cholesterol khong t 50g n 120g si nhng m si bn ny nm lu ngy gy tr cho chuyn ha ca gan. sau khi bung gan c lm sch chng ti tin hnh giai on 2 l phc hi chc nng hoat ng ca gan nhng c ch v cn nguyn ca bnh c gii quyt Mt iu may mn l nhng nguyn liu v dc liu u l cu vit nam m chng ti lm thnh cng ti vin y hc c truyn vit nam ti lin bang nga. Chng ti s ln lt ng nhng thng tin v c ch v phng php iu tr cng nh cch phng nga cn bnh ny m vin chng ti lm c trn cc bo co khoa hc trong nc 4.

CHA BNG GOUT KHNG CN DNG THUC

Gout can be cured by drink Black or Blue Cherry Juice

Cch y khng lu, gi hi thm sc khe ca mt ngi bn thn ang c ng ti SJ, ti dc bit bn mnh ang b au kh v bnh GOUT hnh-h ....

Bn ti cho bit rng nhiu ngi khi ln tui thng hay mc bnh ny v t hn na l hin nay DNG NH cha c cch iu tr cho tuyt bnh m ch c cch tip tc ... UNG THUC . Bn cn cho bit thm rng nu ch khp xng no au qu th n phng mch BS c chch vo ch 1 mi thuc kh t tin, v tuy d c Medicare, bn vn phi tr $100 Co-Pay cho mt mi chch m thuc ch c cng hiu gim au trong khong 1 hai tun. Nhng c iu may mn l ti SJ ni bn ti ang c ng c mt MD gc Trung-Hoa khng ly Co-Pay nn v BS ny rt ng thn ch gc Vit. Nghe thy cn bnh ny t kh lu, nhng n nay mi c dp tm hiu thm v xin gi ti cc bn nhng ti liu tham kho di y TY NGHI p-dng theo tr phn xt ca mi c nhn. K hn ny KHNG c dng- no khc ngoi mc ch mun thay li thm hi thn-tnh bng nhng li GP Bn v nhng ngi ang au kh v bnh GOUT c th tn-dng dc-tnh c bit ca BLUE CHERRY JUICE ung thay th cho nc gii kht m li c cng hiu gii tr nhng au n ca bnh GOUT. Trc ht chng ta hy tm hiu nguyn-nhn, ngun bnh, bin chng, phng nga v cch iu tr ang c p-dng t trc ti nay. Cui cng l cch CHA BNH GOUT KHNG CN DNG THUC trong mc s (6) bn di . a. Nguyn nhn ca bnh Gout: - Bnh ny do nng ACID URIC trong mu tng qu cao. - Acid uric l mt sn phm ph to ra do s thoi ging ca purin. - Purin cng c trong tt c cc loi tht, c v gia cm. - Thng thng th acid uric b phn hy trong mu v c thi ra ngoi qua thn ra nc tiu. Nhng i khi c th bn to ra qu nhiu acid uric hoc thi acid ny ra nc tiu qu t. Hu qu l acid uric trong mu tng ln, tch ly dn dn v lng ng thnh nhng tinh th sc nhn hnh kim ti cc khp hoc cc bao quanh khp gy ra triu chng au n, vim sng khp. Mt s tnh trng khc, gi l gi Gout, cng lm lng ng tinh th khp nhng khng phi tinh th acid uric m l tinh th calcium pyrophosphate dihydrate. Bnh gi Gout cng c th gy au khp ngn chn ci tng t Gout nhng thng th cc khp ln hn nh gi, c tay hoc mt c chn. b. Ngun bnh Nhng hon cnh v l do sau y c th lm tng acid uric mu cng nh tng nguy c bnh Gout: - a s l do l v ung nhiu Ru, c bit l ru ... BIA. - Mt s bnh v vi th thuc dng iu tr cc bnh khc cng c th lm bn tng nguy c b Gout, nh tng huyt p, Diabetes, High Chloresterol .... v ngay c t vn ng, cng lm tng acid uric. - Mt vi loi thuc nh thiazide, aspirin liu thp v cyclosporine ... - Mt phn t (25%) s bnh nhn b Gout l do di-tuyn. - Nam gii thng thy mc bnh Gout nhiu hn n gii. c. Bin chng Mt s bnh nhn b Gout tin trin n vim khp mn tnh, thng c s thay i mu do lng ng cc tinh th di da ci l sn urat (tophi). Mt s t c th b si thn. d. iu tr - Thuc khng vim khng c Steroid (NSAIDs) dng lm gim au nh Indomethacin (Indocin) hoc cc thuc bn t do nh thuc nh Ibuprofen (Advil, Motrin,). - Bc s cng c th k toa cho bn cc khng vim c Steroid nh prednisone Tuy nhin hy cn thn vi

cc thuc ny v tham vn kin bc s ca bn v cch dng v thi gian dng (thng ch nn dng t 3-10 ngy), v nu iu tr ko di chng c th gy cc bin chng nh vim lot v xut huyt d dt t trng. - Trng hp bn b cn Gout nng, bc s c th cho bn dng Colchicin hoc chch Cortisone thng vo khp (nh gii thiu v mt MD gc TH ti SJ trong phn m u). e. Phng nga Hin cha c cch no chc chn ngn nga s khi pht v ti pht ca cc cn Gout. Nu bn b Gout, bc s ca bn s cho bn dng mt s thuc gip ngn nga hoc lm gim thiu nng ca cc cn ti pht sau ny. Cc thuc ny gm c Allopurinol (Zyloprim, Aloprim) v Probenecid (Benemid) dng hng ngy gip gim nng v tc sn xut acid uric. Vic duy tr nng acid uric n nh gii hn bnh thng l cch ngn nga bnh Gout lu di v hiu qu nht. f. CHA BNH GOUT KHNG CN DNG THUC: C kh nhiu ti liu chng minh v DC tnh ca Black Cherry c kh nng lm gim thiu s au n v cc bnh au khp xng v c bit l bnh GOUT . Xin gii thiu mt ti liu tiu-biu, r rng v d hiu hon c: Mi Click ===> http://coachlevi.com/health/relieve-joint-pain-with-black-cherry-juice/ Nhiu ngi cho bit rng KH c th tm mua Black Cherry Juice. Nhng chnh ti i tm v thy nhng chai nh 8 oz Concentrate Black Cherry , c by bn trong nhng Grocery Stores (nh Fred Meyers, Safeway) vi gi $3.99/ea. Bn c th mua mt vi chai em v pha nc ri ung th nu thy hiu-nghim th c th tip tc mua Online vi gi r hn vi gi $5.53 mt chai 16 oz . (Nu mua trn $65 th khng phi tr tin Shipping cost.) Click vo y mua Online 16oz Bottle ===> http://www.iherb.com/Search.aspx?kw=black%20cherry CCH UNG: - Pha 1 phn Black Cherry Concentrate vi 5 phn nc. - Hy ung nh mt loi nc gii kht thng thng (Coke, Soda ...) Thn chc qu bn khi au v GOUT bng mt cch cha tr t tn km.