Loaʻa iā ʻoe nā pae uric acid kiʻekiʻe? E kamaʻilio kākou e pili ana i kēia (Hyperuricemia)!

Loaʻa iā ʻoe i kekahi manawa ka ʻeha o nā hono? A i ʻole ua ʻōlelo mai ke kauka ua kiʻekiʻe iki kou pae uric acid i kahi hoʻāʻo koko hou? He mea maʻamau ke hopohopo iki ke lohe ʻoe i kekahi mea e like me ia. Akā, mai hopohopo, he ʻano kēia i loaʻa i nā poʻe he nui. I kēia lā, e kamaʻilio kākou e pili ana i ka piʻi ʻana o ka uric acid i loko o ke kino, kahi i ʻike ʻia ma ke ʻano lapaʻau ʻo hyperuricemia.

I ka ʻōlelo maʻalahi, he aha ka hyperuricemia?

Maʻalahi loa. ʻO ke ʻano o ka (Hyperuricemia) ʻo ia hoʻi, ʻoi aku ka nui o ke kemika i loko o kou kino, ʻo ia hoʻi kou koko, ma mua o ka nui e pono ai o kahi kemika i kapa ʻia ʻo (Uric Acid). I kēia manawa ke noʻonoʻo nei ʻoe i ke ʻano o kēia (Uric Acid).

Aia kekahi o nā meaʻai a mākou e ʻai ai a inu ai i kahi hui kemika i kapa ʻia ʻo "(Purines)". Ke wāwahi ʻia kēia mau purines i loko o ko mākou kino, hoʻokumu ʻia ka uric acid "(Uric Acid)". He huahana ʻōpala kēia i hoʻokumu ʻia i loko o ko mākou kino. ʻO ka maʻamau, ʻo ka hapa nui o kēia uric acid "(Uric Acid)" i hoʻokumu ʻia e hoʻoheheʻe ʻia i loko o ke koko, hele ma waena o nā puʻupaʻa a hoʻokuʻu ʻia i loko o ka mimi. Eia naʻe, inā no kekahi kumu, e noho ana ka nui o ka uric acid "(Uric Acid)" i loko o ke kino ma kahi o ka hoʻokuʻu ʻia ʻana, ʻo ia ka mea a mākou e kapa nei he "(Hyperuricemia)".

Ke piʻi ka waikawa uric ma kēia ʻano, hoʻomaka ia e hōʻiliʻili ma ke ʻano o nā kristal, e like me nā kākalaioa liʻiliʻi ʻoi. Inā waiho ʻia kēia mau kristal i loko o kou mau hono, ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo "gout". He ʻano ʻeha loa ia o ka arthritis. A i ʻole hiki ke waiho ʻia kēia mau kristal i loko o nā puʻupaʻa a hana i nā pōhaku puʻupaʻa.

Akā ʻo ka nūhou maikaʻi, ʻo kēia kūlana i kapa ʻia ʻo (Hyperuricemia) he mea hiki ke hoʻokele pono ʻia. Pono paha ʻoe e hana i kekahi mau hoʻololi i kou ola o kēlā me kēia lā, no ka laʻana, e akahele nui i kāu mea e ʻai ai a inu ai, a me ka inu ʻana i ka wai hou aku. I kekahi manawa, e kuhikuhi paha ke kauka i ka lāʻau lapaʻau e hoʻohaʻahaʻa i kāu pae uric acid.

Pehea ka maʻamau o kēia ʻano?

ʻOi aku ka maʻamau ma mua o kou manaʻo. Ua manaʻo ʻia he hoʻokahi o kēlā me kēia ʻelima mau kānaka i loaʻa i ka hyperuricemia. Ma ʻAmelika Hui Pū ʻIa, ma kahi o 5% o ka heluna kanaka i loaʻa i ka gout. ʻEhā manawa ka nui o ka loaʻa ʻana o ka gout i nā kāne ma mua o nā wahine. No laila, inā ʻike ʻoe ua loaʻa iā ʻoe kēia maʻi, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.

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Pehea kēia e pili ai i kou kino?

Inā piʻi iki wale nō kou pae uric acid, ʻaʻole paha ʻoe e ʻike i kekahi ʻokoʻa. Akā, i ka wā e hōʻiliʻili ai ka uric acid i loko o kou koko i ka hala ʻana o ka manawa, hiki iā ia ke hōʻeha a me nā hōʻailona ʻē aʻe. ʻAʻole wale ia, hiki iā ia ke hōʻino i nā ʻāpana like ʻole o kou kino.

Inā ʻaʻole i mālama pono ʻia, i ka hala ʻana o ka manawa, hiki i kou mau iwi, nā hono, nā tendon, a me nā ligaments ke hōʻino mau loa ʻia.

ʻAʻole wale ia, ua loaʻa i ka noiʻi kahi pilina ma waena o nā pae uric acid kiʻekiʻe a me kekahi mau pilikia olakino ʻē aʻe. ʻO kekahi o lākou:

• Maʻi puʻupaʻa
• Maʻi puʻuwai
• Ke koko kiʻekiʻe
• ʻO ka maʻi diabetes Mellitus)
• Maʻi ake momona
• ʻO ka maʻi metabolic

No laila, ʻike ʻoe, ʻaʻole kēia he mea liʻiliʻi wale nō, he mea ia e hopohopo ai.

He aha nā hōʻailona o kēia?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka hyperuricemia i kekahi mau hōʻailona. Hoʻomaopopo wale ka hapa nui o ka poʻe i ka wā e ʻeha ai nā hono ma muli o ka gout a i ʻole ka ʻeha ma muli o nā pōhaku puʻupaʻa.

Nā hōʻailona o ka gout ma kahi hui:

• He ʻeha nui loa: ʻeha hiki ʻole ke hoʻomanawanui, e like me ke hou ʻia ʻana me kahi nila a i ʻole ka pahi.
• ʻO ke ʻano o ka ʻili a ʻulaʻula paha: Hiki ke lilo ka hono ʻeha i ʻulaʻula a hiki ke lilo i polū.
• Lilo ke ami i mea ʻoʻoleʻa: lilo ia i mea paʻakikī ke neʻe.
• Pehu: Ua pehu loa ke ami.
• ʻIke nui i ka hoʻopā ʻana: ʻO ka hoʻopā ʻana i ka pepa moe hiki ke hōʻeha i ka ʻeha hiki ʻole ke hoʻomanawanui.
• Mehana: Ua wela ka hui ʻana i ka pā ʻana, me he mea lā "e ahi ana."

Nā hōʻailona i hoʻokumu ʻia e nā pōhaku puʻupaʻa:

• ʻEha ma ke kua i lalo a i ʻole ka ʻaoʻao: He ʻeha koʻikoʻi loa kēia a ʻūlū.
• Ka luaʻi a i ʻole ka luaʻi ʻana ma muli o ka ʻeha: Hiki ke koʻikoʻi ka ʻeha a hiki ke kumu o ka luaʻi.
• Kuni a i ʻole ke anu.
• Koko i loko o kou mimi: Hiki i ka mimi ke ʻulaʻula a ʻalani paha.
• ʻEha i ka wā e mimi ai.
• ʻAʻole hiki ke mimi.
• Ke manaʻo nei i ka pono e mimi pinepine.
• Ka mimi pilau a i ʻole he ʻeleʻele ke kala.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, pono ʻoe e ʻike i ke kauka, ʻeā?

He aha ke kumu o kēia?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ke kumu nui o ka hyperuricemia ʻo ka hōʻiliʻili ʻana o ka nui o ka uric acid i loko o ke koko.

Ke wāwahi ko kākou kino i nā purines, hana lākou i ka uric acid. He mau mea kūlohelohe nā purines a ʻaʻole ia he mea ʻino i nā liʻiliʻi. Eia nō naʻe, inā ʻai mau kākou a inu i nā meaʻai kiʻekiʻe i nā purines, hiki i ko kākou pae uric acid ke piʻi aʻe i ka hala ʻana o ka manawa.

ʻO kekahi mau meaʻai a me nā mea inu i kiʻekiʻe i nā purines:

• ʻAi ʻulaʻula: e like me ka pipi, ka ʻiʻo kao, a me ka puaʻa.
• Nā ʻiʻo ʻōpū, e like me ke akepaʻa a me nā puʻupaʻa .
• Nā meaʻai kai:ʻOi loa aku ka iʻa sālemona, ʻōpae, ʻōpae, sardine, a me nā iʻa maloʻo.
• ʻO ka syrup kulina fructose kiʻekiʻe: Loaʻa kēia i nā mea inu ʻono he nui.
• ʻOna: ʻOi loa ka pia (me ka pia ʻona ʻole).

Eia kekahi, hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i nā pae uric acid ma ke ʻano he hopena ʻaoʻao. Eia kekahi laʻana:

• ʻO nā diuretics (kapa kekahi poʻe i kēia mau "pills wai")
• Nā lāʻau pale kino

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

Hiki i kekahi ke loaʻa i ka hyperuricemia. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. ʻO lākou kēia:

• Nā kāne.
• Nā kānaka me ka momona.
• ʻO nā kānaka e inu pinepine ana i ka waiʻona.
• ʻO ke kanaka e ʻai pinepine ana i nā meaʻai me nā purines kiʻekiʻe.
• ʻO nā kānaka me ka moʻolelo ʻohana o ka hyperuricemia a i ʻole ka gout.
• ʻO nā kānaka me ka hana thyroid haʻahaʻa (Hypothyroidism) .

Pehea ʻoe e ʻike ai i kēia? (Diagnosis)

E hoʻoholo ke kauka inā he hyperuricemia kou ma ka hana ʻana i kahi hoʻāʻo koko e ana i ka pae o ka uric acid i loko o kou koko.

Inā he pōhaku puʻupaʻa kou, inā paha ua hala a wehe ʻia paha ma ke ʻoki ʻana, hiki iā ʻoe ke hoʻokolokolo ʻia ka pōhaku.

Ke manaʻo nei anei ke kiʻekiʻe o ka uric acid he gout kou?

ʻAʻole. ʻOiai ke kiʻekiʻe o kou pae uric acid, ʻaʻole ia he manaʻo he gout kou. No ka ʻike pono ʻana inā he gout kou, e lawe ke kauka i kahi hāpana wai mai kou hono ke loaʻa iā ʻoe nā hōʻailona o ka gout a nānā i nā kristal uric acid i loko. Hiki iā lākou ke hoʻohana i kēia mau mea e nānā i kou mau hono:

• ʻO ke kiʻi ʻana o ka ultrasound (Ultrasound)
• ʻIke CT (ʻIke CT / ʻIke Computed Tomography)
• Nā kukuna X

He aha nā lāʻau lapaʻau?

Inā kiʻekiʻe kou pae uric acid akā ʻaʻohe ou hōʻailona, ​​ʻaʻole paha ʻoe e pono i kekahi lāʻau kūikawā no ka hyperuricemia. Eia nō naʻe, e haʻi aku kāu kauka iā ʻoe i ka pinepine o kou hoʻāʻo ʻia ʻana o kou koko e nānā i kāu pae uric acid.

Pehea e hiki ai iā ʻoe ke kaohi i kēia me ka meaʻai a me ka mea inu?

ʻO kekahi o nā ala maikaʻi loa e hoʻohaʻahaʻa ai i nā pae uric acid, ʻo ia ke kaupalena ʻana i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i nā purines. E ho'āʻo e hōʻemi i kāu ʻai ʻana i kēia mau meaʻai:

• Nā mea e like me ka ʻiʻo ʻulaʻula a me ke akepaʻa.
• ʻAila.
• Nā mea inu momona fructose kiʻekiʻe (e like me ka soda).
• Iʻa (ʻoi aku ka iʻa paʻi e like me ka ʻōpae a me ka ʻōpae).

ʻAi haʻahaʻa-purineʻO ka hahai ʻana i kēia mau ʻanuʻu e kōkua i ka hoʻohaʻahaʻa ʻana i kāu pae uric acid. E kamaʻilio me kāu kauka e ʻike pono i nā meaʻai āu e pono ai e hōʻemi. E kōkua pū ʻo ia iā ʻoe e hana i kahi papaʻai olakino a me kahi hoʻolālā hoʻoikaika kino e kūpono iā ʻoe. No ka laʻana, ʻo nā meaʻai i hoʻohui pinepine ʻia i kā mākou papaʻai, e like me nā lentil a me nā pīni ʻōmaʻomaʻo, aia kekahi mau purines, no laila he manaʻo maikaʻi e nīnau aku i kāu kauka e pili ana i kēlā.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no kēia?

ʻO ke ʻano o ka lāʻau lapaʻau āu e pono ai e hilinaʻi ia i ke kiʻekiʻe o kāu mau pae uric acid. Inā he gout a he mau pōhaku puʻupaʻa paha kou, pono paha ʻoe i ka lāʻau lapaʻau kūikawā no kēlā mau kūlana.

Hiki i ke kauka ke kuhikuhi i ka lāʻau lapaʻau e kōkua i kou mau puʻupaʻa e wehe i ka uric acid keu, a i ʻole e kōkua i ka hoʻoheheʻe ʻana i nā kristal uric acid i hana mua ʻia i loko o kou kino.

Lāʻau lapaʻau no ka gout

Hoʻomaʻamaʻa pinepine ʻia ka gout me ka hui pū ʻana o nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (e like me ke kauoha a kāu kauka) a me nā lāʻau lapaʻau e hoʻohaʻahaʻa i nā pae uric acid ke kū mai nā hōʻailona. Pono paha ʻoe i ka colchicine (kahi lāʻau lapaʻau e pale ai i nā hoʻouka ʻana o ka gout ) a i ʻole corticosteroids (nā lāʻau lapaʻau e hōʻemi ai i ka mumū).

Lapaʻau ʻana i ka Pōhaku Puʻupaʻa

Hiki i nā pōhaku puʻupaʻa ke puka i waho i loko o ka mimi i kekahi manawa. He mea nui e inu i ka nui o ka wai. E ho'āʻo e inu ma ka liʻiliʻi he 64 auneke (ma kahi o 2 lita) o ka wai i ka lā.

Hiki i ke kauka ke kuhikuhi i ka lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo i loko o kāu ureter (ka paipu e lawe ana i ka mimi mai kou mau puʻupaʻa a i kou ʻōpū mimi) a kōkua i ka pōhaku e hele.

Inā nui loa ka pōhaku puʻupaʻa ʻaʻole hiki ke hele, ke ālai nei i ke kahe o ka mimi, a i ʻole ke kumu o kahi maʻi, pono paha e wehe ʻia ma ke ʻoki ʻana.

Pehea ʻoe e pale aku ai i kēia? (Kāohi ʻana)

ʻO ke ala maikaʻi loa e pale aku ai i ka hyperuricemia, ʻo ia ka hahai ʻana i kahi papaʻai olakino a me ka hoʻolālā hoʻoikaika kino e kūpono iā ʻoe. ʻO ka kaupalena ʻana i kāu ʻai ʻana i nā meaʻai a me nā mea inu kiʻekiʻe i nā purines ʻaʻole ia e kōkua wale i ka mālama ʻana i kāu mau pae uric acid haʻahaʻa, akā e kōkua pū ia i ka mālama ʻana i kou olakino holoʻokoʻa.

E hoʻomanaʻo, he mea nui e inu mau i ka wai he nui. Eia kekahi, hiki i ka kaohi ʻana i kou kaumaha ke kōkua i ka kaohi ʻana i nā pae uric acid.

E kamaʻilio me ke kauka e pili ana i nā meaʻai āu e pono ai e hōʻemi, a me ka nui o nā meaʻai waiwai i ka purine hiki iā ʻoe ke ʻai palekana.

He aha kāu e manaʻo ai inā ʻoe i kēia kūlana / Pehea ʻoe e mālama ai iā ʻoe iho?

Inā loaʻa iā ʻoe ka hyperuricemia, e manaʻo e nānā mau ʻia kāu mau pae uric acid me nā hoʻāʻo koko. Hiki ke hoʻokiʻekiʻe ʻia nā pae uric acid o kekahi poʻe no kekahi manawa wale nō.

Pono paha ʻoe e hana i kekahi mau hoʻololi i kāu meaʻai a me nā hana maʻamau i kēlā me kēia lā e hōʻemi i ka nui o ka uric acid i loko o kou koko.

Inā loaʻa iā ʻoe ka gout, nā pōhaku puʻupaʻa, a i ʻole nā ​​​​hōʻailona ʻē aʻe, e haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai a me ke ʻano o ka lāʻau e pono ai.

Ma ka hahai ʻana i kahi papaʻai olakino a me ka hoʻolālā hoʻoikaika kino, hiki iā ʻoe ke mālama i kahi kaumaha olakino a hoʻemi i kāu mau pae uric acid. ʻOiai inā loaʻa iā ʻoe ka hyperuricemia, ʻo ka hana ʻana i kekahi mau hoʻololi i ka meaʻai, ka inu ʻana i ka wai he nui, a me ka hoʻoikaika kino mau e hiki ke kōkua i ka hoʻēmi ʻana i kou pilikia o nā hoʻouka kaua gout i ka wā e hiki mai ana a me nā hōʻailona ʻē aʻe.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona hou:

• Pehu.
• Ka hoʻololi ʻana o ka ʻili a i ʻole ka ʻulaʻula ʻana.
• Wela a "ahi" paha ke ami.
• Paʻakikī i ka mimi ʻana.
• ʻEha i ka wā e mimi ai.
• ʻEha ma hope o ka mimi ʻana.

Inā loaʻa iā ʻoe kekahi o kēia mau mea, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Pehea ke kiʻekiʻe o koʻu pae uric acid?
• E pono anei iaʻu ka lāʻau lapaʻau?
• He aha ke ʻano o ka papaʻai haʻahaʻa-purine e pono iaʻu e hahai?
• E pono anei iaʻu kekahi mau lāʻau lapaʻau?

ʻAʻole paha ʻoe e ʻike he hyperuricemia kou a hiki i kou ʻeha ʻana mai ka gout a i ʻole ka pōhaku puʻupaʻa. ʻO ka hana ʻana i kekahi mau hoʻololi liʻiliʻi i kāu meaʻai a me nā hana hoʻoikaika kino e hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu mau pae uric acid, pale i nā hōʻailona e hiki mai ana, a hoʻomaikaʻi i kou olakino holoʻokoʻa.

Leka Hoʻihoʻi Hope Loa

No laila, ʻo ka piʻi ʻana o ka nui o ka uric acid, a i ʻole hyperuricemia, he kūlana ia e pono ai ka nānā ʻana.

• Ka mālama ʻana i ka ʻai kūpono: E hōʻemi i nā meaʻai kiʻekiʻe i nā purines, e like me ka ʻiʻo ʻulaʻula, nā meaʻai kai, a me ka waiʻona.
• E inu i ka wai nui: E inu ma ka liʻiliʻi he 2 lita o ka wai i ka lā.
• Ka mālama ʻana i ke kaumaha olakino: ʻO ka momona kahi kumu nui e hoʻopilikia nei i kēia.
• Hoʻoikaika kino mau: He mea nui ka hoʻoikaika kino no ke ola kino olakino.
• E hahai i nā ʻōlelo aʻoaʻo lapaʻau: Inā loaʻa iā ʻoe nā hōʻailona a ʻike paha ua kiʻekiʻe kou pae uric acid, e ʻike i ke kauka no ka mālama kūpono a me ka ʻōlelo aʻoaʻo.

Inā ʻoe e mālama i kēia mau mea, hiki iā ʻoe ke kaohi i kāu pae uric acid, pale iā ʻoe iho mai nā pilikia e like me ka gout a me nā pōhaku puʻupaʻa, a ola i kahi ola olakino.