Mlembi: Gregory Harris
Tsiku La Chilengedwe: 7 Epulo 2021
Sinthani Tsiku: 18 Novembala 2024
Anonim
Gout - causes, symptoms, diagnosis, treatment, pathology
Kanema: Gout - causes, symptoms, diagnosis, treatment, pathology

Uric acid ndi mankhwala omwe amapangidwa thupi likawononga zinthu zotchedwa purines. Ma purine amapangidwa mthupi ndipo amapezekanso muzakudya ndi zakumwa zina. Zakudya zokhala ndi ma purine ambiri zimaphatikizapo chiwindi, anchovies, mackerel, nyemba zouma ndi nandolo, ndi mowa.

Ma uric acid ambiri amasungunuka m'magazi ndikupita ku impso. Kuchokera pamenepo, imadutsa mkodzo. Ngati thupi lanu limapanga uric acid wambiri kapena silichotsa zokwanira, mutha kudwala. Mulingo wambiri wa uric acid m'magazi umatchedwa hyperuricemia.

Kuyesaku kumafufuza kuti muwone kuchuluka kwa uric acid m'mwazi wanu. Mayeso ena atha kugwiritsidwa ntchito kuti muwone kuchuluka kwa uric acid mumkodzo wanu.

Muyenera kuyesa magazi. Nthawi zambiri, magazi amatengedwa pamitsempha yomwe ili mkati mwa chigongono kapena kumbuyo kwa dzanja.

Simuyenera kudya kapena kumwa chilichonse kwa maola 4 musanayezetse pokhapokha mutanenedwa mwanjira ina.

Mankhwala ambiri amatha kusokoneza zotsatira zoyesa magazi.

  • Wothandizira zaumoyo wanu angakuuzeni ngati mukufuna kusiya kumwa mankhwala musanayezeke.
  • Osayimitsa kapena kusintha mankhwala anu osalankhula ndi omwe akukuthandizani kaye.

Kuyesaku kumachitika kuti muwone ngati muli ndi uric acid wambiri m'magazi anu. Kuchuluka kwa uric acid nthawi zina kumayambitsa matenda a gout kapena impso.


Mutha kukhala ndi mayeso ngati mudakhalapo kapena muli ndi mitundu ina ya chemotherapy. Kuwonongeka kwadzidzidzi kwa maselo a khansa kapena kuchepa thupi, komwe kumatha kuchitika ndi mankhwalawa, kumatha kuonjezera kuchuluka kwa uric acid m'magazi anu.

Makhalidwe abwinobwino amakhala pakati pa mamiligalamu 3.5 mpaka 7.2 pa desilita imodzi (mg / dL).

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Chitsanzo pamwambapa chikuwonetsa muyeso wamba wazotsatira zamayeso awa. Ma labotale ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana.

Uric acid wopitilira muyeso (hyperuricemia) atha kukhala chifukwa cha:

  • Acidosis
  • Kuledzera
  • Zotsatira zoyipa zokhudzana ndi chemotherapy
  • Kutaya madzi m'thupi, nthawi zambiri chifukwa cha mankhwala okodzetsa
  • Matenda a shuga
  • Kuchita masewera olimbitsa thupi kwambiri
  • Hypoparathyroidism
  • Kupha poizoni
  • Khansa ya m'magazi
  • Matenda a impso a medullary cystic
  • Polycythemia vera
  • Zakudya zopatsa purine
  • Aimpso kulephera
  • Toxemia ya mimba

Uric acid wocheperako kuposa wabwinobwino atha kukhala chifukwa cha:


  • Matenda a Fanconi
  • Matenda obadwa nawo am'magazi
  • Matenda a HIV
  • Matenda a chiwindi
  • Zakudya zochepa za purine
  • Mankhwala monga fenofibrate, losartan, ndi trimethoprim-sulfmethoxazole
  • Matenda osavomerezeka a antidiuretic hormone (SIADH)

Zifukwa zina mayesowa akhoza kuchitidwa ndi awa:

  • Matenda a impso
  • Gout
  • Kuvulala kwa impso ndi ureter
  • Impso miyala (nephrolithiasis)

Gout - asidi a uric m'magazi; Hyperuricemia - uric acid m'magazi

  • Kuyezetsa magazi
  • Uric asidi makhiristo

Kutentha CM, Wortmann RL. Zochitika zamatenda ndi chithandizo cha gout. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelley ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 95.


Edwards NL. Matenda a Crystal. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 273.

Sharfuddin AA, Weisbord SD, Palevsky PM, Molitoris BA. Kuvulala kwakukulu kwa impso. Mu: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, olemba. Brenner ndi Rector a Impso. 10th ed. Philadelphia, PA: Elsevier; 2016: chap 31.

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