Yog koj pom me ntsis ntshav hauv koj cov zis, lossis yog koj mob heev thaum tso zis, nws yuav ua rau koj ntshai me ntsis, puas yog? Tej yam no tuaj yeem tshwm sim los ntawm pob zeb hauv lub raum. Muaj ntau hom pob zeb hauv lub raum, ib qho yog pob zeb uric acid. Hnub no, peb yuav tham txog vim li cas lawv tshwm sim, cov tsos mob yog dab tsi, thiab peb yuav tiv thaiv peb tus kheej li cas ntawm qhov mob no.
Hais yooj yim xwb, pob zeb uric acid yog dab tsi?
Cov pob zeb uric acid yog ib hom ntawm plaub hom pob zeb hauv lub raum. Hais yooj yim xwb, pob zeb hauv lub raum yog cov pob zeb khov uas muaj cov zaub mov hauv peb lub cev uas zoo li pob zeb. Lawv tuaj yeem tsim nyob rau hauv lub raum lossis nyob qhov twg hauv lub cev tso zis.
Yog li ntawd, uric acid yog dab tsi?
Uric acid yog ib yam khoom pov tseg hauv peb cov ntshav. Nws raug tsim tawm thaum peb lub cev zom cov tshuaj hu ua purines . Cov purines no pom muaj ntau heev hauv cov nqaij, tshwj xeeb tshaj yog cov nqaij liab, thiab cov dej haus cawv xws li npias.
Feem ntau, feem ntau ntawm cov uric acid uas tsim tawm yuav yaj hauv cov ntshav, hla dhau lub raum, thiab raug tso tawm hauv cov zis. Txawm li cas los xij, cov pob zeb uric acid tsim muaj ob qho xwm txheej:
- Yog tias cov uric acid hauv koj cov zis siab heev .
- Yog tias koj cov zis yeej ib txwm muaj kua qaub heev .
Thaum lub sijhawm zoo li no, cov uric acid uas tsis yaj tau yuav sib sau ua ke thiab ua cov pob zeb me me. Cov pob zeb no sib xyaw nrog lwm yam khoom thiab maj mam ua cov pob zeb loj dua.
Cov tsos mob ntawm cov pob zeb no yog dab tsi?
Cov tsos mob ntawm cov pob zeb uric acid zoo ib yam li lwm cov pob zeb hauv lub raum. Qhov tsos mob tseem ceeb yog mob. Cov pob zeb no tuaj yeem mob heev yog tias lawv nyob hauv lub raum lossis yog tias lawv mus rau hauv txoj hlab zis.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob hnyav heev | Mob nraub qaum qis, sab nraub qaum, plab mog, lossis qhov chaw mos. Qhov mob no yuav zoo li nws mob thiab ploj mus. |
| Ntshav hauv cov zis (Hematuria) | Yog koj pom xim liab, liab, lossis xim av hauv koj cov zis. |
| Lwm cov tsos mob ntawm txoj hlab zis | Kub hnyiab thaum tso zis, yuav tsum tau tso zis ntau zaus, zis tsaus lossis tsw ntxhiab tsw phem. |
| Lwm yam ntxwv zoo sib xws | Xeev siab, ntuav, kub taub hau, thiab mob khaub thuas. |
Qhov tseem ceeb tshaj plaws yog tias yog koj pom ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv thiab mus ntsib kws kho mob sai li sai tau.
Vim li cas cov pob zeb uric acid no thiaj li tsim tau?
Muaj ntau yam tseem ceeb rau qhov no.
1. Kev Noj Haus thiab Purines
Muaj tej yam khoom noj uas muaj purines ntau. Yog tias peb noj cov no tsis tu ncua thiab noj ntau ntau, cov uric acid hauv lub cev yuav nce ntxiv.
- Nqaij liab (nyuj, yaj, npua)
- Cov nqaij hauv lub cev (siab, raum, thiab lwm yam)
- Qee hom ntses (xws li ntses sardines, halibut) thiab cov khoom noj hauv dej xws li cws thiab ntses qav
- Npias thiab qee hom cawv
Tiam sis nco ntsoov tias, feem ntau tsis yog zaub mov xwb uas ua rau muaj cov pob zeb no. Yog tias ib tug neeg uas muaj caj ces ua rau muaj cov pob zeb no noj cov zaub mov no ntau dhau, qhov kev pheej hmoo yuav ntau dua.
2. Cov mob caj ces thiab lwm yam mob
Muaj ib txhia neeg yug los tsis muaj peev xwm tswj tau cov uric acid lossis cov protein hauv lawv lub cev kom zoo. Ib yam li ntawd, cov neeg uas muaj mob gout tuaj yeem muaj cov uric acid ntau hauv lawv cov ntshav thiab ua rau muaj pob zeb.
3. Lwm yam kev pheej hmoo
- Kev Rog Phem: Qhov hnyav ntawm lub cev (BMI) ntau dua 25.
- Tsis haus dej txaus: Qhov no yog qhov ua rau muaj pob zeb hauv lub raum. Thaum koj haus dej tsawg dua, koj cov zis yuav ntau dua, ua rau nws yooj yim rau pob zeb los tsim.
- Kab mob ntshav qab zib hom 2.
- Qee cov tshuaj (piv txwv li, diuretics).
- Yog tias ib tug neeg hauv tsev neeg tau muaj pob zeb hauv lub raum.
- Kev phais mob kom poob phaus (Phais mob Bariatric).
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav nug txog koj cov tsos mob, kuaj koj lub cev, thiab tom qab ntawd xaj ntau qhov kev kuaj kom paub tseeb tias koj puas muaj cov pob zeb no.
| Hom kev xeem | Yuav tsum xav li cas los ntawm qhov no? |
|---|---|
| Kev Ntsuas Ntshav | Xyuas seb puas muaj cov uric acid lossis calcium ntau hauv cov ntshav. |
| Kev kuaj zis | Xyuas seb koj cov zis muaj uric acid npaum li cas thiab seb nws puas muaj acidity. Tej zaum yuav kom koj sau cov zis txhua 24 teev. |
| Kev Ntsuas Duab | Yuav kom tau daim CT scan los yog ultrasound scan kom pom tseeb tias cov pob zeb nyob qhov twg thiab lawv loj npaum li cas. |
| Kev Tshawb Fawb Txog Pob Zeb | Yog tias ib daim pob zeb raug ntes thiab tso tawm hauv cov zis, nws tuaj yeem xa mus rau chav kuaj mob kom paub seb nws yog hom pob zeb dab tsi. Qhov no tuaj yeem pab tiv thaiv cov pob zeb kom tsis txhob rov tsim dua. |
Cov kev kho mob rau qhov no yog dab tsi?
Qhov xov xwm zoo yog tias muaj kev kho mob zoo rau cov pob zeb uric acid.
Dej yog tshuaj zoo tshaj plaws!
Kauj ruam thawj zaug thiab tseem ceeb tshaj plaws hauv kev kho mob yog haus dej ntau . Nws yog qhov zoo tshaj plaws kom haus li 3 liv dej ib hnub thiab tso zis li 2.5 liv. Nov yog qhov tshwm sim thaum koj haus dej:
- Cov zis yuav yaj, ua rau cov minerals uas tsim pob zeb tsawg zuj zus.
- Vim yog koj tso zis ntau zaus, cov zaub mov ntawd yuav raug ntxuav tawm ntawm lub cev ua ntej yuav tsim pob zeb.
Cov pob zeb me dua 7 millimeters yuav tawm hauv cov zis li ntawm 3 lub lis piam yog tias haus dej ntau.
Puas kho tau nrog tshuaj?
Yog. Piv rau lwm hom pob zeb hauv lub raum, qhov zoo tshwj xeeb ntawm cov pob zeb uric acid yog tias lawv tuaj yeem yaj nrog cov tshuaj.Koj tus kws kho mob yuav sau ntawv rau koj noj cov tshuaj xws li cov no:
- Cov tshuaj xws li Potassium citrate lossis Calcium carbonate : Cov no txo cov kua qaub ntawm cov zis thiab ua rau nws alkaline. Qhov no yuav pab cov pob zeb yaj.
- Allopurinol: Cov tshuaj no txo cov uric acid hauv cov ntshav.
Txawm tias thaum noj cov tshuaj no los xij, nws tseem ceeb heev rau haus dej ntau.
Thaum twg yuav tsum tau phais?
Qee zaum yuav tsum tau phais.
- Yog tias lub pob zeb loj heev .
- Yog tias lub pob zeb thaiv tag nrho cov zis ntws .
- Yog tias muaj kev kis kab mob .
- Yog tias lub pob zeb tsis tau dhau tom qab 4-6 lub lis piam.
Tam sim no muaj cov txheej txheem siab heev, minimally invasive rau qhov no.
- ESWL (Extracorporeal shock wave lithotripsy): Ib txoj kev siv los rhuav cov pob zeb los ntawm kev xa cov suab nrov muaj zog heev los ntawm sab nraud lub cev.
- Kev kuaj mob ureteroscopy: Muab ib lub raj nyias nyias uas muaj lub koob yees duab tso rau hauv txoj hlab zis thiab lub pob zeb raug rhuav ua tej daim me me lossis raug tshem tawm ncaj qha.
- PCNL (Percutaneous nephrolithotomy): Rau cov pob zeb loj dua, yog ib qho kev phais uas yuav tsum ua ib qho me me rau sab nraub qaum thiab mus rau hauv lub raum kom tshem tawm cov pob zeb.
Kuv yuav ua li cas thiaj tiv thaiv tau cov pob zeb no kom tsis txhob rov tsim dua?
Thaum ib lub pob zeb tsim tau lawm, nws yuav tsim dua dua hauv 5-7 xyoo. Yog li ntawd, kev tiv thaiv yog ib qho tseem ceeb heev.
| Ua li cas | Tsis txhob ua / Txo |
|---|---|
| Haus dej ntau. Haus tsawg kawg yog 3-4 lub raj mis dej ib hnub. | Txo koj txoj kev noj nqaij liab thiab cov nqaij hauv lub cev (siab, raum). |
| Noj zaub thiab txiv hmab txiv ntoo ntau dua. | Txwv koj cov kev haus npias thiab cawv . |
| Tswj kom koj lub cev hnyav zoo . | Txo cov dej haus thiab cov khoom noj qab zib , tshwj xeeb tshaj yog cov uas muaj cov kua txiv pob kws fructose ntau. |
| Noj cov nplej tag nrho thiab cov khoom noj mis nyuj uas muaj roj tsawg. | Txo koj cov kev noj cov khoom noj hiav txwv xws li cov ntses sardines, halibut, thiab cw . |
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog koj xav tias koj muaj pob zeb hauv lub raum thiab muaj cov tsos mob hauv qab no, mus ntsib kws kho mob tam sim ntawd, lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
- Yog tias koj kub taub hau tshaj 38.6 Celsius (101.5 Fahrenheit) .
- Yog muaj qhov mob uas tsis tuaj yeem zam tau .
- Yog tias muaj ntshav ntau nrog cov zis.
- Yog tias xeev siab thiab ntuav txuas ntxiv mus.
- Yog koj muaj lwm yam mob xws li ntshav qab zib.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov pob zeb uric acid yog ib qho mob uas mob heev, tab sis lawv tuaj yeem kho tau zoo.
- Txoj kev zoo tshaj plaws thiab yooj yim tshaj plaws los tiv thaiv kev tsim cov pob zeb no yog haus dej txaus txhua hnub.
- Ua tib zoo noj koj cov zaub mov. Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob noj nqaij liab, qee yam khoom noj hauv dej hiav txwv, thiab cawv.
- Yog koj muaj ntshav nyob hauv koj cov zis, mob heev, lossis kub taub hau, tsis txhob tso tseg. Nrhiav kev pab kho mob tam sim ntawd.
- Tus mob no tuaj yeem tswj tau zoo los ntawm kev siv cov tshuaj uas koj tus kws kho mob tau sau tseg thiab hloov pauv koj txoj kev ua neej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus