Ke loaʻa nei iā ʻoe nā pōhaku uric acid i loko o kou mau puʻupaʻa? E makaʻala kākou i kēia!

Ke ʻeha nei hoʻi ʻoe a me ka ʻoluʻolu ʻole i kou mimi ʻana? Ua ʻike paha ʻoe i kahi koko liʻiliʻi i loko o kou mimi. He mea maʻamau ka makaʻu iki i ka wā e hana ʻia ai kekahi mea e like me kēia. Akā, ʻaʻohe pono e hilahila i kēia a mālama paha iā ʻoe iho. No ka mea, hiki i kēia mau mea ke lilo i mau hōʻailona o kahi maʻi i kapa ʻia ʻo "nā pōhaku uric acid" e hana ʻia ana i loko o nā puʻupaʻa. No laila, i kēia lā, e kamaʻilio kikoʻī a maʻalahi hoʻi e pili ana i ke ʻano o kēia mau pōhaku uric acid, pehea lākou e hana ai, he aha nā hōʻailona, ​​pehea e mālama ai iā lākou, a pehea e pale aku ai iā lākou.

He aha nā pōhaku uric acid?

I ka ʻōlelo maʻalahi, ʻo nā pōhaku uric acid kekahi o nā ʻano ʻehā o nā pōhaku puʻupaʻa. ʻO ka pōhaku puʻupaʻa he puʻu paʻa o nā minelala a me nā paʻakai i loko o ko kākou kino e hana ʻia i loko o ka mimi. Ua like ia me kahi ʻiliʻili liʻiliʻi. Hiki iā lākou ke hana i loko o kou mau puʻupaʻa a i ʻole ma kahi o kāu ʻōnaehana urinary - ʻo ia ka ʻāpana o kou kino kahi e puka ai ka mimi mai kou kino aku. Hiki i nā pōhaku uric acid ke hōʻeha i ka wā e mimi ai ʻoe a me ke koko i loko o kou mimi (hematuria). Mai hopohopo inā loaʻa iā ʻoe kēia mau hōʻailona. Akā, he mea nui e ʻike koke i ke kauka e ʻike pono i ke ʻano o ia mea a e hōʻoia ʻaʻohe pilikia ʻē aʻe.

He aha ka waikawa uric?

He huahana ʻōpala ka waikawa uric i loko o ko kākou koko. Hoʻokumu ʻia ia i ka wā e wāwahi ai ko kākou kino i nā mea i kapa ʻia ʻo "Purines". Loaʻa pinepine kēia mau purines i ka ʻiʻo, ʻoiai nā ʻiʻo ʻulaʻula e like me ka pipi a me ka puaʻa, a i loko o kekahi mau mea inu ʻona e like me ka pia a me ka waiʻona. ʻO ka maʻamau, hoʻoheheʻe ka hapa nui o kēia waikawa uric i loko o ke koko, hele ma waena o nā puʻupaʻa, a hoʻokuʻu ʻia mai ke kino i loko o ka mimi. Eia naʻe, hoʻomaka nā pōhaku waikawa uric e hana i ka wā:

• Inā kiʻekiʻe loa ka nui o ka waikawa uric i loko o kou mimi .
• Inā ʻakika loa kou mimi i nā manawa a pau .

Hiki i kēia mau kumu ʻelua ke hoʻohuli i ko lākou manaʻo.

Pehea ka maʻamau o nā pōhaku uric acid?

Wahi a nā kānaka noiʻi ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ma kahi o hoʻokahi o ka ʻumi kānaka e loaʻa i kahi pōhaku puʻupaʻa i ko lākou ola. Ma waena o kēia mau mea, he 8% a 10% he mau pōhaku uric acid. He mea maʻamau kēia ma Sri Lanka i kēia manawa.

He aha nā hōʻailona o nā pōhaku uric acid?

Ua like nā hōʻailona o nā pōhaku uric acid me nā ʻano pōhaku puʻupaʻa ʻē aʻe. ʻO ka hōʻailona nui ka ʻeha . Hoʻokumu ʻia kēia ʻeha e ke kaomi mai nā pōhaku, i loko o ka puʻupaʻa a i ʻole i loko o ke ala mimi, e hoʻopaʻa ana a ʻeha paha. Hiki iā ʻoe ke ʻeha:

• Ma ka ʻōpū lalo.
• Nā ʻaoʻao.
• I loko o ka ʻōpū.
• Ma ka ʻāpana ma waena o nā ʻūhā (`Groin`).

ʻO nā hōʻailona ʻē aʻe e ʻike ʻia paha:

• Koko i loko o ka mimi.
• Ka luaʻi a i ʻole ka luaʻi ʻana .
• Kuni.
• Ke anu nei (Chills).
• He ʻala ʻino i loko o ka mimi.
• Mimi ʻeleʻele.

Pehea e hana ʻia ai kēia mau pōhaku uric acid?

Inā kiʻekiʻe kou pae uric acid (i kapa ʻia ʻo hyperuricemia ma ke ʻano lapaʻau), hoʻomaka ke kūkulu ʻia ʻana o nā kristal uric acid. Hoʻohui kēia mau kristal uric acid me nā mea ʻē aʻe i loko o ke kino e hana i pōhaku paʻa. A laila e nui aʻe ka pōhaku. Hiki iā ia ke noho i loko o ka puʻupaʻa ponoʻī, a i ʻole hiki iā ia ke hele i lalo i ke ala mimi a paʻa i loko o ka ureter. Kapa mākou iā ia he pōhaku ureteral. Inā liʻiliʻi loa kēia mau pōhaku, hiki iā lākou ke puka i waho o ke kino me ka mimi, i kekahi manawa me ka ʻeha ʻole a i ʻole me ka ʻeha iki. Akā inā ʻaʻole lākou, hiki iā lākou ke paʻa i loko o nā puʻupaʻa, nā ureters, ka bladder, a i ʻole ka urethra, e ālai ana i ke kahe ʻana o ka mimi. ʻO ia ka manawa e hoʻomaka ai ka ʻeha a me nā hōʻailona ʻē aʻe, no ka mea, hōʻino kēia mau pōhaku i nā paia o nā ʻōmole i paʻa.

He aha nā kumu nui o nā pōhaku uric acid?

ʻO nā kumu nui e lilo ai kou mimi i mea waikawa:

ʻO ka hiki ʻole o ke kino ke hoʻoponopono pono i ka uric acid a i ʻole ka protein i ka meaʻai

Ke hiki ʻole i ko kākou kino ke kāohi pono i ka uric acid a i ʻole ka protein, lilo ka mimi i ʻakika. ʻO kēia maʻi ka mea maʻamau āu e hoʻoilina ai mai kou mau mākua mai. ʻO kekahi maʻi e pili ana i kēia ʻo ia ka "Gout". Hoʻoulu ka Gout i nā pae kiʻekiʻe o ka uric acid i loko o ke koko a me nā kristal ʻeha e hana ʻia i loko o nā hono.

ʻAi ʻana i nā meaʻai kiʻekiʻe i nā purines

Kiʻekiʻe nā purine i loko o nā protein holoholona, ​​e like me ka pipi, ka moa, ka puaʻa, nā hua manu, a me ka iʻa. Nui loa kēia mau mea i loko o nā ʻōpū holoholona e like me ke akepaʻa a me nā puʻupaʻa (nā keiki bipi, nā puʻupaʻa). Inā ʻoe e ʻai nui i kēia ʻano protein holoholona, ​​hiki i ka uric acid ke hōʻiliʻili i loko o kou mimi. Hiki i kēia ke hōʻiliʻili a hana i nā pōhaku, inā hoʻokahi a i ʻole i hui pū ʻia me ka calcium. Eia nō naʻe, ʻaʻole ka ʻai wale nō ke kumu o nā pōhaku uric acid. Hoʻokumu pinepine ʻia lākou i ka poʻe e ʻai ana i nā meaʻai kiʻekiʻe i nā purines a he poʻe i hoʻokumu ʻia i ka genetics i ke kūkulu ʻia ʻana o nā pōhaku.

Nā kumu ʻē aʻe o ke kiʻekiʻe o ka uric acid

Aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka nui o ka uric acid:

• ʻOi aku ka helu o ke kino (BMI) ma mua o 25 (ʻo ia hoʻi ke kaumaha a momona paha ).
• ʻO kekahi mau lāʻau lapaʻau a me nā mea hoʻohui, no ka laʻana, nā diuretics a me nā immunosuppressants .
• Lapaʻau chemotherapy no ka maʻi ʻaʻai.
• ʻO ka maʻi diabetes ʻano 2.
• Hoʻohui i ka paʻakai a me ke kō nui loa i ka meaʻai.
• Loaʻa kahi moʻolelo ʻohana o nā pōhaku puʻupaʻa.
• ʻAʻole lawa ka hana kino.
• Ua hana ʻia ke ʻoki kino no ka hōʻemi kaumaha (ʻoki kino Bariatric).

Ma waho aʻe o kēia mau mea a pau, inā ʻaʻole ʻoe e inu i ka wai lawa , ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana ʻaʻole wale i nā pōhaku uric acid, akā, i nā ʻano pōhaku puʻupaʻa ʻē aʻe.

ʻO wai ka mea e loaʻa pinepine ai nā pōhaku uric acid?

ʻOi aku ka nui o ka loaʻa ʻana o nā pōhaku puʻupaʻa i nā kāne. ʻO ko lākou pilikia o ka loaʻa ʻana o kahi pōhaku ma ke ola holoʻokoʻa he 19%. No nā wahine, ʻo ka pilikia ma kahi o 9%. ʻAʻole loaʻa i ka hapa nui o ka poʻe nā pōhaku puʻupaʻa ma mua o 30 mau makahiki. Akā hiki iā lākou ke loaʻa iā lākou ma mua, a i kekahi manawa i nā keiki ʻōpio.

He aha nā pilikia e hiki mai ana mai nā pōhaku uric acid?

ʻO kēlā me kēia ʻano pōhaku puʻupaʻa e hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi puʻupaʻa mau loa (CKD). Inā loaʻa iā ʻoe kekahi pōhaku, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kekahi i loko o nā makahiki ʻelima a ʻehiku e hiki mai ana. No laila he mea nui e makaʻala i kēia.

Pehea e ʻike ai i nā pōhaku uric acid?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia e pili ana i kou mōʻaukala olakino, e nīnau e pili ana i kāu mau hōʻailona, ​​a hana i kahi hoʻokolokolo kino. Inā kānalua ʻo ia he pōhaku uric acid kou, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia.

He aha kēia mau hoʻāʻo?

Hiki i ke kauka ke kauoha i nā hoʻokolohua e like me kēia:

• Nā hoʻāʻo koko:Hiki i kēia mau hoʻokolohua ke ʻike i nā kiʻekiʻe kiʻekiʻe o ka uric acid a i ʻole ka calcium i loko o ke koko, a hiki ke kōkua i ka hoʻoholo ʻana inā he mau kūlana ʻē aʻe paha e hiki ke hoʻoulu i kāu mau hōʻailona.
• Urinalysis: E noi ʻia paha ʻoe e hōʻiliʻili i kahi hāpana mimi 24-hola e nānā i ka nui o ka uric acid a me ka calcium i loko o kāu mimi.
• Nā hoʻāʻo kiʻi: Hiki i kahi scan CT a i ʻole ultrasound scan ke kōkua i ke kuhikuhi ʻana i kahi kikoʻī o nā pōhaku i loko o ke ala mimi. Hiki i kēia mau scan ke loaʻa nā pōhaku liʻiliʻi loa. ʻAʻole hoʻohana pinepine ʻia nā kukuna X-ʻōpū no kēia kumu, no ka mea hiki iā lākou ke nalo i nā pōhaku liʻiliʻi.
• Ka nānā ʻana i ka pōhaku: Hiki ke hāʻawi ʻia iā ʻoe i kahi kānana kūikawā a noi ʻia e mimi ma o ia mea. Hana ʻia kēia e hopu i nā pōhaku e puka mai ana me kāu mimi. A laila hoʻouna ʻia nā pōhaku i kahi keʻena hoʻokolohua no ka nānā ʻana e hoʻoholo i ke ʻano o ka pōhaku. Ma ka nānā ʻana i ka pōhaku ma kēia ʻano, hiki i kāu kauka ke hoʻoholo i ke kumu o ka hoʻokumu ʻia ʻana o ka pōhaku a me nā mea hiki iā ʻoe ke hana e pale aku ai i kona hoʻokumu hou ʻia ʻana.

Pehea e hoʻōla ai i nā pōhaku uric acid?

Inā emi ka pōhaku ma mua o 7 millimeters, ʻo ia hoʻi he liʻiliʻi loa ia, hiki iā ia ke hele wale aku. Hiki i kēia ke hala ma kahi o ʻekolu pule. Eia nō naʻe, inā hele wale aku kēlā pōhaku, he mea nui loa e kamaʻilio me ke kauka e ʻike i ka mea hiki iā ʻoe ke hana e pale aku ai i ka hana hou ʻana o nā pōhaku uric acid. Eia kekahi mau mea e hana ʻia ke inu ʻoe i ka nui o ka wai:

• Hoʻemi ʻia ka nui o nā minelala i loko o kou mimi. Hoʻoheheʻe ka wai i nā minelala a hoʻomaʻalahi iā lākou e puka me kāu mimi.
• Paipai ia i ka mimi pinepine, kahi e hoʻokuʻu ai i nā kemika e hiki ai ke hana i nā pōhaku.

Paipai nā kauka i ka inu ʻana i nā wai lawa e hana ai ma kahi o 2.5 lita o ka mimi i kēlā lā. No ka hana ʻana i kēlā nui o ka mimi, pono ʻoe e inu ma kahi o 3 lita o ka wai i kēlā lā. ʻO kēia no ka mea e nalowale ana ko mākou kino i nā wai ma o ka hou ʻana a me ka hoʻoikaika kino. ʻOiai he mea nui ka inu ʻana i kekahi ʻano wai, ʻoi aku ka maikaʻi o ka inu ʻana i ka wai .

Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻoheheʻe i nā pōhaku uric acid?

ʻO nā ʻano pōhaku puʻupaʻa a pau, ʻo nā pōhaku uric acid wale nō ke ʻano hiki ke hoʻoheheʻe ʻia me ka lāʻau lapaʻau . Aia kekahi mau ʻano lāʻau lapaʻau i hoʻohana ʻia no kēia:

• Nā papa potasiuma citrate (e.g. Urocit-K®).
• Nā papa kalipuna kalapona (e.g. Tums®).
• ʻAllopurinol (ʻAllopurinol).

Hana nā papa potassium citrate a i ʻole calcium carbonate ma ka hoʻolilo ʻana i kou mimi i ʻoi aku ka alkaline. Hoʻohaʻahaʻa ʻo Allopurinol i kāu mau pae uric acid. Inā kuhikuhi kāu kauka i kēia mau lāʻau lapaʻau, he mea nui e inu i ka wai nui me lākou. Kōkua ka inu ʻana i ka wai nui i ka hoʻoheheʻe ʻana i ka uric acid. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau i kapa ʻia ʻo alpha-blockers, hiki ke kōkua i kou mau puʻupaʻa e hoʻokuʻu wikiwiki i nā pōhaku.

E pono anei iaʻu ke ʻoki kino?

Pono paha ʻoe i ke ʻoki kino inā aia kāu pōhaku uric acid i kekahi o kēia mau kūlana:

• Inā nui loa ka pōhaku.
• Inā keʻakeʻa ia i ke kahe o ka mimi.
• Inā hoʻoulu ia i kahi maʻi .
• Inā ʻaʻole ʻoe e hele i waho ma hope o ʻehā a ʻeono paha pule.

ʻO nā koho ʻoki kino e komo pū me nā kaʻina hana minimally invasive a i ʻole non-invasive. ʻO kekahi mau laʻana:

• ʻO ka lithotripsy nalu haʻalulu Extracorporeal (ESWL): Pili kēia i ka hoʻohana ʻana i nā nalu kani ikehu kiʻekiʻe e wāwahi i nā pōhaku. ʻAʻohe ʻoki a i ʻole kekahi mea i hoʻokomo ʻia i loko o ke kino.
• ``Ureteroscopy``: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi mea lōʻihi a lahilahi (he ``endoscope``) ma o kou urethra i loko o ka ureter i hoʻopilikia ʻia. A laila hoʻohana ke kauka lapaʻau i kahi ``hīnaʻi`` liʻiliʻi e wehe i ka pōhaku. I kekahi manawa hiki ke hoʻohana ʻia kahi ``laser`` e wāwahi i ka pōhaku a wehe i nā ʻāpana.
• Percutaneous nephrolithotomy (PCNL): Hoʻohana ʻia kēia kaʻina hana no nā pōhaku nui. Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kou kua a komo i loko o ka puʻupaʻa. A laila wehe ʻia ka pōhaku, a i ʻole e wāwahi mua ʻia ka pōhaku a laila wehe ʻia.

Ma hope o ke ʻoki ʻana, hoʻouna ke kauka i ka pōhaku a i ʻole nā ​​​​ʻāpana o ka pōhaku i kahi keʻena hoʻokolohua no ka nānā ʻana.

Pehea e hiki ai i ka inu wai ke kōkua i ka hōʻemi ʻana i ka pilikia o nā pōhaku uric acid?

ʻO ka inu ʻana i ka nui o ka wai i ʻōlelo ʻia i kēlā me kēia lā kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o nā pōhaku uric acid a me nā pōhaku puʻupaʻa ʻē aʻe. Hoʻoheheʻe nā wai i nā huahana ʻōpala i loko o kou mimi a hoʻokuʻu i nā kemika, e pale ana i ka hoʻokumu ʻia ʻana o nā pōhaku.

Pehea e hiki ai iaʻu ke pale aku i nā pōhaku uric acid?

Eia kekahi mau hana ʻē aʻe āu e hiki ai ke hana e pale i ka hoʻokumu ʻia ʻana o nā pōhaku uric acid:

• E inu ma ka liʻiliʻi he 91 auneke (2.7 lita) a i 125 auneke (3.7 lita) o nā wai i kēlā me kēia lā. ʻO ka wai ka mea maikaʻi loa .
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E hahai i ka papa hana ʻai `DASH` (Dietary Approaches to Stop Hypertension). Hiki i kēia ke hōʻemi i ke koko kiʻekiʻe (hypertension) a me ka pilikia o nā pōhaku puʻupaʻa. (Pono kēia i ka ʻai ʻana i ka paʻakai liʻiliʻi a me ka ʻai ʻana i nā mea kanu, nā huaʻai, a me nā palaoa piha).
• E hoʻohana i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka e pale pono i ka hoʻokumu ʻia ʻana o nā pōhaku uric acid.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu nā pōhaku uric acid?

ʻO ka wānana no nā pōhaku uric acid a me nā pōhaku puʻupaʻa ʻē aʻe he maikaʻi. ʻO ka hapa nui o ka manawa, hele wale nā ​​​​pōhaku iā lākou iho. ʻAʻole paha ʻoe e pono i ka lāʻau lapaʻau. ʻOiai inā pono ka lāʻau lapaʻau, ua kūpono nā lāʻau lapaʻau i loaʻa. Hiki iā ʻoe ke ho'ōla piha. Eia nō naʻe, aia kahi pilikia e hoʻi hou mai nā pōhaku uric acid. No laila e kamaʻilio me kāu kauka e pili ana i ka hana ʻana i nā hoʻololi i kāu mea e ʻai ai a inu ai a me nā hana ʻē aʻe āu e hiki ai ke hana e pale aku i ka hana hou ʻana o nā pōhaku.

Pehea wau e mālama ai iaʻu iho?

Inā ua loaʻa iā ʻoe nā pōhaku uric acid ma mua, a i ʻole he kiʻekiʻe ka pilikia o ka loaʻa ʻana o nā pōhaku puʻupaʻa (o kēlā me kēia ʻano), hiki i ka hahai ʻana i kēia mau ʻanuʻu ke kōkua iā ʻoe e noho olakino:

• E inu i ka wai nui.
• E hahai i kahi papaʻai olakino.
• E hoʻohana i nā lāʻau lapaʻau a i ʻole nā ​​​​mea hoʻopihapiha e like me ke kauoha a kāu kauka.
• Inā loaʻa iā ʻoe ka ʻeha nui a i ʻole nā ​​​​hōʻailona hopohopo ʻē aʻe, e ʻike koke i ke kauka.

He aha nā meaʻai e pono ʻole ʻoe e ʻai inā he mau pōhaku uric acid kou?

E pale a kaupalena paha i nā meaʻai kiʻekiʻe i nā purines. Ke ʻai nui ʻoe i nā purines, hoʻopuka kou kino i ka nui o ka uric acid. Ke kiʻekiʻe nā pae uric acid, lilo kou mimi i ʻoi aku ka waikawa, hiki ke alakaʻi i ka hoʻokumu ʻia ʻana o nā pōhaku uric acid. ʻO nā hiʻohiʻona o nā meaʻai kiʻekiʻe i nā purines:

• ʻAi ʻulaʻula (pipi, ʻiʻo kao, puaʻa).
• Nā ʻōpū o loko o nā holoholona (ʻōpū, spleen, lolo, puʻupaʻa).
• Pia a me nā mea inu ʻona ʻē aʻe.
• Nā mea ʻono i hana ʻia mai ka ʻiʻo (`Gravies`).
• ʻO nā iʻa liʻiliʻi e like me ka sardines, sprats, a me ka halibut, a me nā meaʻai kai e like me ka oysters, ʻōpae, a me ka pāpaʻi.

He manaʻo maikaʻi nō hoʻi e kaupalena i nā meaʻai a me nā mea inu kiʻekiʻe i ke kō, ʻoiai nā mea i loaʻa ka "High-fructose corn syrup." He manaʻo maikaʻi e ʻai hou aku i kēia mau mea:

• Nā huaʻai a me nā mea kanu.
• Nā hua palaoa holoʻokoʻa.
• Nā huahana waiū haʻahaʻa momona.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he pōhaku uric acid kou a loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike koke i ke kauka a i ʻole e hele i kahi lumi pilikia:

• He kuni ma luna o 38.6 kekelē Celsius (101.5 Fahrenheit).
• ʻEha nui a wela paha i ka wā e mimi ai.
• ʻEha hiki ʻole ke hoʻomanawanui.
• Koko i loko o ka mimi.
• Ka luaʻi mau ʻana a me ka luaʻi ʻana.
• Inā loaʻa iā ʻoe kahi kūlana e hoʻonui ai i ka pilikia o nā pilikia mai nā pōhaku puʻupaʻa, e like me ka maʻi diabetes, hoʻokahi wale nō puʻupaʻa, a i ʻole nā ​​​​pilikia puʻupaʻa ʻē aʻe.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

• He aha ke ʻano lapaʻau kūpono loa iaʻu?
• E pono anei iaʻu ke ʻoki kino?
• He aha kaʻu e hana ai e pale aku ai i ke kūkulu hou ʻana o nā pōhaku uric acid?
• Pono anei iaʻu e hana i kekahi hoʻololi i kaʻu mea e ʻai ai a e inu ai?
• Pono anei iaʻu e lawe i kekahi mau mea hoʻohui a lāʻau lapaʻau paha?