Khuyến nghị đồng thuận của Hội thấp khớp Hồng Kông trong quản lý bệnh Gout

Clinical Rheumatology - Tập 42 - Trang 2013-2027 - 2023
Ronald ML Yip1, Tommy T Cheung2, Ho So3, Julia PS Chan2, Carmen TK Ho4, Helen HL Tsang4, Carrel KL Yu5, Priscilla CH Wong3
1Tung Wah Group of Hospitals Integrated Diagnostic and Medical Centre, Kwong Wah Hospital, Kowloon, Hong Kong
2Rheumatology Centre, Department of Medicine, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong
3Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong
4Division of Rheumatology and Clinical Immunology, Queen Mary Hospital, Pok Fu Lam, Hong Kong
5Hong Kong Autoimmune and Rheumatic Diseases Centre, Central, Hong Kong

Tóm tắt

Bệnh Gout là một trong những bệnh không lây nhiễm phổ biến nhất tại Hồng Kông. Mặc dù đã có nhiều lựa chọn điều trị hiệu quả, nhưng việc quản lý bệnh Gout tại Hồng Kông vẫn chưa đạt được mức tối ưu. Giống như nhiều quốc gia khác, mục tiêu điều trị ở Hồng Kông thường tập trung vào việc giảm triệu chứng của bệnh Gout mà không điều trị nồng độ urat huyết thanh đến mức mục tiêu. Do đó, bệnh nhân mắc bệnh Gout vẫn tiếp tục chịu đựng các triệu chứng viêm khớp đau đớn, cũng như các biến chứng về thận, chuyển hóa và tim mạch liên quan đến bệnh Gout. Hội thấp khớp Hồng Kông đã dẫn dắt việc phát triển những khuyến nghị đồng thuận này thông qua một bài tập Delphi có sự tham gia của các bác sĩ thấp khớp, bác sĩ chăm sóc sức khỏe ban đầu và các chuyên gia khác tại Hồng Kông. Các khuyến nghị về quản lý bệnh Gout cấp tính, phòng ngừa bệnh Gout, điều trị tình trạng tăng acid uric huyết và các lưu ý, đồng sử dụng thuốc không phải Gout với liệu pháp giảm urat, và lời khuyên về lối sống đã được đưa vào. Bài báo này phục vụ như một hướng dẫn tham khảo cho tất cả các nhà cung cấp dịch vụ y tế khi tiếp xúc với những bệnh nhân có nguy cơ và được biết đến là có tình trạng mãn tính nhưng có thể điều trị này.

Từ khóa

#Gout #quản lý bệnh Gout #khuyến nghị đồng thuận #Hội thấp khớp Hồng Kông #điều trị tăng acid uric huyết

Tài liệu tham khảo

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