Ðe kpe siwo woyɔna be uric acid hã va nɔa wò ayikuwo mea? Mina míanɔ ŋudzɔ ɖe esia ŋu!

Ðe nèsea veve kple vevesese hã ne èle aɖuɖɔ toma? Ðewohĩ ède dzesi ʋu vi aɖe le wò aɖuɖɔ me. Le nyateƒe me la, esɔ be vɔvɔ̃ naɖo ame vie ne nane si le abe esia ene dzɔ. Gake mehiã be ŋu nakpe wò le esia ta alo adzrae ɖo ɖe ɖokuiwò ŋu o. Elabena esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be “uric acid stones” siwo dzɔna le ayiku me ƒe dzesiwo. Eyata egbea, mina míaƒo nu tsitotsito eye wòanɔ bɔbɔe ŋutɔ tso nusiwo uric acid kpe siawo nye, alesi wowɔna, dzesi siwo le wo ŋu, alesi woada woe, kple alesi woaxe mɔ ɖe wo nu ŋu.

Nukae nye uric acid kpewo?

Kpuie ko la, uric acid kpewo nye ayiku me kpe ƒomevi eneawo dometɔ ɖeka. Ayiku me kpe nye tomenu kple dze siwo le míaƒe ŋutilã me siwo sesẽ si dzɔna le aɖuɖɔ me. Edze abe kpe sue aɖe ene. Woateŋu adzɔ le wò ayiku me alo le wò aɖuɖɔtoe ƒe akpa ɖesiaɖe – wò ŋutilã ƒe akpa si aɖuɖɔ dona le wò ŋutilã me. Uric acid kpewo ate ŋu ana nàse veve ne èle aɖuɖɔ tom eye ʋu le wò aɖuɖɔ me (hematuria). Mègatsi dzodzodzoe ne dzesi siawo le ŋuwò o. Gake ele vevie be nàkpɔ ɖɔkta kaba ale si nàte ŋui be nànya nusi tututu wònye eye nàkpɔ egbɔ be kuxi bubu aɖeke meli o.

Nukae nye uric acid?

Uric acid nye gbeɖuɖɔ si le míaƒe ʋu me. Edzɔna ne míaƒe ŋutilã gblẽ nusiwo woyɔna be ``Purines`` me. Purine siawo bɔ ɖe lã me, vevietɔ lã dzĩwo abe nyilã kple haƒoƒo ene, kple aha sesẽ aɖewo abe biya kple aha sesẽ ene. Zi geɖe la, uric acid sia ƒe akpa gãtɔ ƒuna le ʋua me, toa ayikuwo me, eye wòdona le ŋutilãa me le aɖuɖɔ me. Gake uric acid-kpewo dzea wɔwɔ gɔme ne:

• Ne uric acid ƒe agbɔsɔsɔ si le wò aɖuɖɔ me sɔ gbɔ ŋutɔ la .
• Ne wò aɖuɖɔ nyea acid akpa ɣesiaɣi .

Susu siawo evea siaa ate ŋu akpɔ ŋusẽ ɖe amewo dzi.

Aleke gbegbee uric acid-kpewo bɔe?

Numekulawo gblɔ be le dukɔwo abe United States ene me la, ame ɖeka le ewo ɖesiaɖe me axɔ ayiku me kpe le woƒe agbenɔɣi. Le esiawo dome la, 8% va ɖo 10% nye uric acid kpewo. Nɔnɔme sia bɔ ɖe Sri Lanka hã fifia.

Nukae nye uric acid kpewo ƒe dzesiwo?

Uric acid kpewo ƒe dzesiwo sɔ kple ayiku me kpe ƒomevi bubuwo tɔ. Dzesi vevitɔe nye vevesese . Vevesese sia tsoa kpeawo ƒe nyaƒoɖeamenu gbɔ, le ayiku me alo le aɖuɖɔtoe me, si wɔnɛ be wotsia anyi alo xɔa abi. Àte ŋu ase veve:

• Le ƒodo ƒe akpa si le ete.
• Axawo dzi.
• Le dɔgbo me.
• Le teƒe si le ata dome (`Groin`).

Dzesi bubu siwo woate ŋu akpɔ dometɔ aɖewoe nye:

• Ʋu le aɖuɖɔ me.
• Aɖuɖɔtoe alo ʋuʋudedi .
• Asrã.
• Vuvɔ ƒe seselelãme (`Chills`).
• Ʋeʋẽ gbegblẽ aɖe ƒe amesinɔnɔ le aɖuɖɔ me.
• Aɖuɖɔ si ƒe amadede nye viviti.

Aleke uric acid kpe siawo dzɔnae?

Ne wò uric acid ƒe agbɔsɔsɔ sɔ gbɔ (si woyɔna le atikewɔwɔ me be hyperuricemia) la, uric acid ƒe kristalo dzea wɔwɔ gɔme. Uric acid ƒe kristalo siawo ƒoa ƒu kple nu bubu siwo le ŋutilãa me wɔa kpe sesẽ aɖe. Emegbe kpea va lolona ɖe edzi. Ate ŋu anɔ ayiku ŋutɔ me, alo ate ŋu azɔ to aɖuɖɔtoea me eye wòatsi tsinyegoea me. Míeyɔa esia be tsinyegoe me kpe. Ne kpe siawo le sue ŋutɔ la, woate ŋu ado le ŋutilãa me kple aɖuɖɔ, ɣeaɖewoɣi vevesese aɖeke manɔmee alo vevesese vi aɖe hã. Gake ne womewɔe o la, woate ŋu atsi ayikuwo, tsinyegoewo, tsinyegoewo, alo tsinyegoewo me, si axe mɔ na aɖuɖɔtoewo ƒe sisi. Ɣemaɣie vevesesea kple dzesi bubuwo dzea egɔme, elabena kpe siawo gblẽa nu le mɔ̃ siwo xe la ƒe gliwo ŋu.

Nukawo koŋue hea uric acid kpewo vɛ?

Susu vevi siwo ta wò aɖuɖɔ va zua acid geɖe wue nye:

Ŋutilã ƒe ŋutete be wòaɖɔ uric acid alo protein si le nuɖuɖu me ɖo nyuie o

Ne míaƒe ŋutilã mete ŋu ɖu uric acid alo protein dzi nyuie o la, aɖuɖɔa va zua acid. Zi geɖe la, nɔnɔme sia nyea nusi ƒe dome nènyi tso dziwòlawo gbɔ. Nɔnɔme bubu si do ƒome kple esia enye ``Gout``. Gout nana uric acid sɔa gbɔ ɖe ʋua me eye kristalo siwo le veve sem la dzɔna le ƒunukpeƒewo.

Nuɖuɖu siwo me purines sɔ gbɔ ɖo ɖuɖu

Purine sɔ gbɔ ɖe lãwo me protein, abe nyilã, koklolã, haƒoƒo, azi, kple tɔmelã ene me. Esiawo bɔ ɖe lãwo ƒe ŋutinuwo abe aklã kple ayiku (nyitsuwo, ayiku) me vevietɔ. Ne èɖu lãwo ƒe protein sia ƒomevi geɖe la, uric acid ate ŋu aƒo ƒu ɖe wò aɖuɖɔ me. Esia ate ŋu aƒo ƒu ahawɔ kpe, eya ɖeka alo ne wotsɔe kpe ɖe calcium ŋu. Gake zi geɖe la, menye nuɖuɖu ɖeɖekoe hea uric acid kpewo vɛ o. Wodzɔna zi geɖe le amesiwo ɖua nuɖuɖu siwo me purine sɔ gbɔ ɖo eye woƒe domenyiŋusẽfianu te ŋu wɔa kpewo ŋu.

Nu bubu siwo hea uric acid ƒe agbɔsɔsɔ fũ vɛ

Susu bubu geɖewo li siwo tae uric acid ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi ɖo:

• Body mass index (BMI) si lolo wu 25 (si fia be lolo akpa alo lolo akpa ).
• Atike kple kpeɖeŋutɔ aɖewo, le kpɔɖeŋu me, aɖuɖɔtoemetikewo kple dɔlélenutsiŋutetenutsitikewo .
• Atikewo zazã atsɔ ada kansa.
• Suklidɔ ƒomevi 2 lia .
• Dze kple sukli geɖe tsɔtsɔ de nuɖuɖu me.
• Ayiku me kpewo ƒe ƒome ŋutinya ƒe amesinɔnɔ.
• Kamedede si sɔ ƒe anyimanɔmanɔ.
• Esi wowɔ dɔ nɛ be woaɖe lolo dzi akpɔtɔ (`Bariatric surgery`).

Tsɔ kpe ɖe esiawo katã ŋu la, ne mèno tsi wòsɔ gbɔ o la , menye uric acid kpewo koe le afɔku me na wò o, ke ayiku me kpe ƒomevi bubuwo hã.

Amekae ate ŋu axɔ uric acid kpewo wu?

Ŋutsuwo te ŋu xɔa ayiku me kpe ƒomevi ɖesiaɖe. Afɔku si le woƒe agbenɔɣi be woaxɔ kpe la anɔ abe 19% ene. Le nyɔnuwo gome la, afɔkua anɔ abe 9% ene. Ame akpa gãtɔ mexɔa ayiku me kpewo hafi xɔa ƒe 30. Gake woate ŋu axɔe kaba, eye ɣeaɖewoɣi le ɖevi suewo gɔ̃ hã gome.

Kuxi kawoe ate ŋu ado tso uric acid kpewo me?

Ayiku me kpe ƒomevi ɖesiaɖe nana ayikudɔléle si nɔa anyi didi (CKD) xɔxɔ ƒe afɔkua dzina ɖe edzi. Ne kpe ɖeka le asiwò la, ke èle afɔku gã aɖe me be nàgadze bubu le ƒe atɔ̃ va ɖo adre siwo gbɔna me. Eyata ele vevie be nànya esia.

Aleke woawɔ ade dzesi kpe siwo me uric acid le?

Ne èyi ɖɔkta gbɔ la, abia wò atikewɔwɔ ŋutinya, abia wò dzesiwo, eye wòado wò ŋutilã kpɔ. Ne esusu be uric acid kpe aɖe le ŋuwò la, aɖe gbe be woawɔ dodokpɔ geɖe atsɔ aɖo kpe edzi.

Nukawoe nye dodokpɔ siawo?

Ðɔktaa ate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene:

• Ʋudodokpɔ:Dodokpɔ siawo ate ŋu ade dzesi uric acid alo calcium sɔ gbɔ ɖe ʋua me, eye woate ŋu akpe ɖe ŋuwò hã be nànya ne nɔnɔme bubu aɖewo li siwo ate ŋu ahe wò dzesiawo vɛ.
• Aɖuɖɔtoe me dzodzro: Woate ŋu abia tso asiwò be nàxɔ aɖuɖɔtoe si wozãna gaƒoƒo 24 atsɔ akpɔ uric acid kple calcium agbɔsɔsɔme si le wò aɖuɖɔ me.
• Nɔnɔmetatawo dodokpɔ: CT alo ultrasound scan ate ŋu akpe ɖe ame ŋu wòanya afisi tututu kpewo le le aɖuɖɔtoea me. Scan siawo ate ŋu akpɔ kpe sue ŋutɔwo gɔ̃ hã. Zi geɖe la, womezãa ƒodo ƒe X-ray na esia o, elabena kpe suewo ate ŋu ato wo ŋu.
• Kpewo me dzodzro: Woate ŋu ana aɖuɖɔtoe tɔxɛ aɖe wò eye woabia tso asiwò be nàto eme. Wowɔa esia be woatsɔ alé kpe ɖesiaɖe si adzo kple wò aɖuɖɔ. Emegbe woɖoa kpeawo ɖe dodokpɔxɔ aɖe be woada wo kpɔ be woanya kpe ƒomevi si wonye. Ne wò ɖɔkta lé ŋku ɖe kpea ŋu alea la, ate ŋu anya nusi na kpea do kple nusi nàte ŋu awɔ be wòagadzɔ ake o.

Aleke woawɔ ada uric acid kpewoe?

Ne kpea ƒe didime mede milimeta 7 o, si fia be ele sue ŋutɔ la, ate ŋu ato le eɖokui si. Esia ate ŋu axɔ abe kwasiɖa etɔ̃ ene. Gake ne kpe ma tɔgbe to le eɖokui si hã la, ele vevie ŋutɔ be nàƒo nu kple ɖɔkta be yeanya nusi nàte ŋu awɔ be uric acid kpewo nagadzɔ ake o. Nu siwo dzɔna ne èno tsi geɖe la dometɔ aɖewoe nye esi:

• Tomenu siwo le wò aɖuɖɔ me dzi ɖena kpɔtɔna. Lãmetsia naa tomenuawo ƒua gbe eye wònana wònɔa bɔbɔe be nàtsi dzodzodzoe kple wò aɖuɖɔ.
• Edea aɖuɖɔtoe enuenu ƒe dzi ƒo, si kɔa atike siwo ate ŋu ana kpewo nado goe.

Ðɔktawo kafui be woano tsi si sɔ be wòaɖe aɖuɖɔ si ade lita 2.5 gbesiagbe. Be nàte ŋu awɔ aɖuɖɔ gbogbo ma la, ele be nàno tsi si ade lita 3 gbesiagbe. Esia le alea elabena tsi meganɔa míaƒe ŋutilã me o to fifia kple kamedede me. Togbɔ be ele vevie be woano tsi ƒomevi ɖesiaɖe hã la, tsinono nyo wu .

Ðe atike aɖewo li siwo ate ŋu alɔ uric acid kpewo?

Le ayiku me kpe ƒomeviwo katã dome la, uric acid kpewo koe nye esiwo woate ŋu atsɔ atike alɔ . Atike ƒomevi vovovowo li wozãna na esia:

• Potassium citrate ƒe atikekuiwo (e.g. Urocit-K®).
• Calcium carbonate ƒe atikekuiwo (e.g. Tums®).
• `Allopurinol` (`Allopurinol`) ƒe lãgbalẽ.

Potassium citrate alo calcium carbonate ƒe atikekuiwo wɔa dɔ to wò aɖuɖɔtoe nana wòzua alkaline geɖe wu me. Allopurinol ɖea wò uric acid ƒe agbɔsɔsɔ dzi kpɔtɔna. Ne wò ɖɔkta ŋlɔ atike siawo na wò la, ele vevie be nàno tsi geɖe kpe ɖe wo ŋu. Tsi geɖe nono kpena ɖe ame ŋu wòlɔ̃a uric acid. Wò ɖɔkta ate ŋu aŋlɔ atike siwo woyɔna be alpha-blockers hã na wò, si ate ŋu akpe ɖe wò ayiku ŋu be kpewo nato ŋuwò kabakaba.

Ðe wòahiã be woawɔ dɔ nam?

Ðewohĩ ahiã be woawɔ dɔ na wò ne wò uric acid kpea le nɔnɔme siawo dometɔ ɖeka me:

• Ne kpea lolo ŋutɔ la .
• Ne exe mɔ na aɖuɖɔ ƒe sisi.
• Ne ehe dɔlékui aɖe vɛ la .
• Ne mèdo go le kwasiɖa ene alo ade megbe o.

Amekoko bubu siwo woate ŋu azã ɖe eteƒe dometɔ aɖewoe nye dɔ siwo me womedea ame dzi boo o alo esiwo me womewɔa dɔ le o. Kpɔɖeŋu aɖewoe nye:

• Extracorporeal shock wave lithotripsy (ESWL): Esia bia be woazã gbeɖiɖi ƒe ƒutsotsoe siwo ŋu ŋusẽ geɖe le atsɔ agbã kpewo. Womeɖea nu alo naneke si wotsɔ dea ŋutilãa me o.
• ``Ureteroscopy``: Le dɔwɔwɔ sia me la, ɖɔkta tsɔa dɔwɔnu didi aɖe si le sue (``endoscope``) to wò tsinyegoe me ɖe tsinyegoe si ŋu dɔlélea le la me. Emegbe amekola la zãa ``kusi`` sue aɖe tsɔ ɖea kpea ɖa. Ɣeaɖewoɣi la, woateŋu azã ``laser`` atsɔ agbã kpea eye woaɖe kakɛawo ɖa.
• Percutaneous nephrolithotomy (PCNL): Wozãa mɔnu sia na kpe siwo lolo wu. Amekolaa lãa nu sue aɖe le wò akɔta eye wògena ɖe ayiku me. Emegbe woɖea kpea ɖa, alo wogbãa kpea gbã eye emegbe woɖenɛ ɖa.

Le amekoko vɔ megbe la, ɖɔktaa ɖoa kpea alo kpea ƒe kakɛwo ɖe dodokpɔxɔ aɖe be woada wo kpɔ.

Aleke tsinono ate ŋu akpe ɖe ŋuwò nàɖe uric acid kpewo ƒe afɔkua dzi akpɔtɔ?

Tsi agbɔsɔsɔme si wokafu nono gbesiagbe nye nu nyuitɔ kekeake siwo nàte ŋu awɔ atsɔ aɖe afɔku si le wò uric acid kpewo kple ayiku me kpe bubuwo xɔxɔ me dzi akpɔtɔ la dometɔ ɖeka. Lãmetsiwo nana gbeɖuɖɔ siwo le wò aɖuɖɔ me la tsia eye woɖea atikewo ɖa, si wɔnɛ be kpewo megadzɔna o.

Aleke magawɔ axe mɔ ɖe uric acid kpewo nu?

Afɔɖeɖe bubu aɖewo siwo nàte ŋu awɔ atsɔ axe mɔ ɖe uric acid kpewo ƒe dzɔdzɔ nue nye esi:

• No tsi ounces 91 (lita 2.7) va ɖo ounces 125 (lita 3.7) ya teti gbesiagbe. Tsie nyo wu .
• Lé kpekpeme si sɔ na wò la me ɖe asi.
• Wɔ ɖe `DASH` (Nuɖuɖumɔnu siwo woatsɔ atɔ te ʋusɔgbɔdɔ) nuɖuɖu ƒe ɖoɖoa dzi. Esia ate ŋu aɖe ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) kple ayiku me kpewo ƒe afɔkua siaa dzi akpɔtɔ. (Esia bia be woaɖu dze ʋɛ aɖewo eye woaɖu amagbewo, atikutsetsewo, kple nuku blibowo geɖe wu).
• Zã atike siwo wò ɖɔkta ŋlɔ na wò be nàxe mɔ na uric acid kpewo ƒe dzɔdzɔ nyuie.

Nukae mate ŋu akpɔ mɔ na ne uric acid kpewo le ŋunye?

Zi geɖe la, nusi wogblɔ ɖi na uric acid kpewo kple ayiku me kpe bubuwo nyona. Zi geɖe la, kpeawo toa wo ɖokui si. Ðewohĩ màhiã be woawɔ atike na wò o. Ne ehiã be woawɔ atike nɛ hã la, atikewɔmɔnu siwo li la wɔa dɔ nyuie. Àte ŋu ahaya bliboe. Gake afɔku li be uric acid-kpewo agatrɔ ava. Eyata ƒo nu kple wò ɖɔkta tso tɔtrɔ siwo nàwɔ le nusiwo nèɖuna kple nusiwo nènona ŋu kpakple afɔɖeɖe bubu siwo nàte ŋu aɖe be kpewo nagadzɔ ake o ŋu.

Aleke malé be na ɖokuinye?

Ne uric acid kpewo nɔ ŋuwò tsã, alo le afɔku gã aɖe me be ayiku me kpewo (siwo ƒomevi ɖesiaɖe) nadze dziwò la, afɔɖeɖe siawo wɔwɔ ate ŋu akpe ɖe ŋuwò nànɔ lãmesẽ me:

• No tsi geɖe.
• Wɔ ɖe nuɖuɖu si naa lãmesẽ dzi.
• Zã atikewo alo kpeɖeŋutɔtikewo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ.
• Ne èse veve vevie alo dzesi bubu siwo ɖea fu na wò la, yi ɖɔkta gbɔ enumake.

Nuɖuɖu kawoe mele be nàɖu ne uric acid kpewo le ŋuwò o?

Ƒo asa na nuɖuɖu siwo me purine sɔ gbɔ ɖo alo nàɖo seɖoƒe na wo. Ne èɖu purine geɖe akpa la, wò ŋutilã wɔa uric acid geɖe wu. Ne uric acid sɔ gbɔ la, wò aɖuɖɔ me zua acid geɖe wu, si ate ŋu ana uric acid kpewo nado. Nuɖuɖu siwo me purine sɔ gbɔ ɖo ƒe kpɔɖeŋu aɖewoe nye:

• Lã dzĩ (nyilã, gbɔ̃lã, haƒoƒo).
• Lãwo ƒe ŋutinu ememetɔwo (dɔgbo, dɔgbo, ahɔhɔ̃, ayiku).
• Bia kple aha sesẽ bubuwo.
• Sauces siwo wotsɔ lã (`Gravies`) wɔ.
• Tɔmelã suewo abe sardines, sprats, kple halibut ene, kple ƒumelãwo abe oysters, shrimp, kple crab ene.

Enyo hã be woaɖe nuɖuɖu kple nunono siwo me sukli sɔ gbɔ ɖo dzi akpɔtɔ, vevietɔ esiwo me ``High-fructose corn syrup.'' Enyo be nàɖu nu siawo geɖe wu:

• Atikutsetsewo kple amagbewo.
• Nuku blibowo.
• Notsi si me ami mesɔ gbɔ ɖo o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èsusu be uric acid kpe le ye ŋu eye dzesi siawo le ye ŋu la, yi ɖɔkta gbɔ enumake alo yi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le:

• Asrã si ƒe dzoxɔxɔ wu Celsius 38.6 (Fahrenheit 101.5).
• Dzobibi alo vevesese sesẽ ne wole aɖuɖɔ tom.
• Vevesese si womate ŋu ado dzi atsɔ o.
• Ʋu le aɖuɖɔ me.
• Ʋuʋudedi kple ʋuʋudedi si nɔa anyi ɖaa.
• Ne nɔnɔme aɖe le ŋuwò si na be kuxi siwo tso ayiku me kpewo abe suklidɔ, ayiku ɖeka ko ƒe amesinɔnɔ, alo ayiku me kuxi bubuwo ene gbɔ na wò.

Nya kawoe wòle be mabia ɖɔktaa?

• Atikewɔwɔmɔnu kae nyo nam wu?
• Ðe wòahiã be woawɔ dɔ nam?
• Nukae wòle be mawɔ be uric acid-kpewo nagadzɔ ake o?
• Ðe wòhiã be mawɔ tɔtrɔ aɖewo le nu siwo meɖuna kple nunono ŋua?
• Ðe wòhiã be mano kpeɖeŋutɔ alo atike aɖewoa?