Unewo matombo euric acid muitsvo dzako here? Ngatizivei izvi!

Unonzwawo kurwadziwa uye kusagadzikana paunenge uchiita weti here? Ungave wakaona ropa shoma muweti yako. Zvakajairika kuti unzwe kutya zvishoma kana chimwe chinhu chakadai chikaitika. Asi hapana chikonzero chekunyara nazvo kana kuzvichengeta wega. Nekuti izvi zvinogona kuva zviratidzo zvechirwere chinonzi "matombo euric acid" anoumbwa muitsvo. Saka nhasi, ngatitaurei zvakadzama uye zviri nyore nezve kuti aya matombo euric acid chii, kuti anoumbwa sei, zviratidzo zvacho chii, kuti tingaarapa sei, uye kuti tingaadzivirira sei.

Chii chinonzi uric acid matombo?

Zvichitaurwa zviri nyore, matombo euric acid ndeimwe yemhando ina dzematombo eitsvo. Dombo reitsvo idombo rakasimba remaminerari nemunyu mumuviri wedu rinoumbwa muweti. Rinotaridzika sedombo diki. Rinogona kuumbwa muitsvo dzako kana chero kupi zvako muweti yako - chikamu chemuviri wako uko weti inobuda mumuviri wako. Matombo euric acid anogona kukonzera kurwadziwa paunoweta uye ropa muweti yako (hematuria). Usatya kana uine zviratidzo izvi. Asi zvakakosha kuona chiremba nekukurumidza kuti uzive kuti chii chaizvo uye kuve nechokwadi chekuti hapana zvimwe zvinetso.

Chii chinonzi uric acid?

Uric acid chinhu chinorasika muropa redu. Chinoumbwa kana muviri wedu ukapwanya zvinhu zvinonzi "Purines". Mapurines aya anowanzo kuwanikwa munyama, kunyanya nyama tsvuku dzakadai senyama yemombe nenguruve, uye mune zvimwe zvinwiwa zvinodhaka zvakaita sedoro nedoro. Kazhinji, uric acid iyi inonyungudika muropa, inopfuura nemuitsvo, uye inoburitswa mumuviri muweti. Zvisinei, matombo euric acid anotanga kuumbwa kana:

• Kana huwandu hwe uric acid muweti yako hwakakwira zvakanyanya .
• Kana weti yako ichigara iine acid yakawanda .

Zvikonzero izvi zvose zvinogona kuva nepesvedzero.

Matombo euric acid anowanikwa kakawanda sei?

Vaongorori vanoti munyika dzakadai seUnited States, munhu mumwe chete pavanhu gumi achawana dombo reitsvo muhupenyu hwake. Pavanhu ava, 8% kusvika 10% matombo ane uric acid. Dambudziko iri rakajairika muSri Lanka zvakare.

Ndezvipi zviratidzo zvematombo euric acid?

Zviratidzo zvematombo euric acid zvakafanana nezvemamwe marudzi ematombo eitsvo. Chiratidzo chikuru kurwadziwa . Kurwadziwa uku kunokonzerwa nekumanikidzwa kubva kumatombo, kungave mukati meitsvo kana muweti, zvichiita kuti agare kana kukuvara. Unogona kunzwa kurwadziwa:

• Mudumbu repazasi.
• Mapango.
• Mudumbu.
• Munzvimbo iri pakati pezvidya (`Groin`).

Zvimwe zviratidzo zvinogona kuonekwa zvinosanganisira:

• Ropa muweti.
• Kusvotwa kana kurutsa .
• Kupindwa nechando.
• Kunzwa kutonhora (`Chills`).
• Kuva nekunhuhwirira kwakashata muweti.
• Weti ine ruvara rwakasviba.

Matombo aya euric acid anoumbwa sei?

Kana huwandu hweuric acid yako hwakakwira (hunonzi hyperuricemia mune zvekurapa), makristaro euric acid anotanga kuumbwa. Makristaro aya euric acid anosangana nezvimwe zvinhu mumuviri kuti agadzire dombo rakasimba. Ipapo dombo rinokura zvishoma nezvishoma. Rinogona kunge riri muitsvo pachayo, kana kuti rinogona kufamba richidzika munzira yeweti ronamatira muureter. Tinoridaidza kuti dombo reureteral. Kana matombo aya ari madiki kwazvo, anogona kubuda mumuviri neweti, dzimwe nguva pasina kurwadziwa kana kurwadziwa kudiki. Asi kana akasadaro, anogona kunamatira muitsvo, ureter, dundira, kana urethra, zvichivhara kuyerera kweweti. Ndipo panotanga kuoneka kurwadziwa nezvimwe zviratidzo, nekuti matombo aya anokuvadza madziro emachubhu akavharika.

Ndezvipi zvikonzero zvikuru zvematombo euric acid?

Zvikonzero zvikuru zvinoita kuti weti yako iwedzere kuva neacidic ndeizvi:

Kusakwanisa kwemuviri kudzora uric acid kana mapuroteni zvakanaka mukudya

Kana miviri yedu isingakwanise kudzora uric acid kana mapuroteni zvakanaka, weti inova acid. Chirwere ichi chinowanzova chimwe chinhu chaunogara nhaka kubva kuvabereki vako. Chimwe chirwere chine chekuita neizvi i "Gout". Gout inokonzera huwandu hwakawanda hwe uric acid muropa uye makristaro anorwadza anoumbwa mumajoini.

Kudya chikafu chine purines yakawanda

Mapuroteni emhuka, akadai senyama yemombe, huku, nyama yenguruve, mazai, nehove, ane purines yakawanda. Izvi zvinonyanya kuwanikwa munhengo dzemhuka dzakadai sechiropa neitsvo (mhuru, itsvo). Kana ukadya mhando iyi yemapuroteni emhuka, uric acid inogona kuungana muweti yako. Izvi zvinogona kuungana uye kugadzira matombo, ari ega kana kuti pamwe chete necalcium. Zvisinei, kudya chete hakusi iko kunowanzo kukonzera matombo euric acid. Anowanzo kuumbwa muvanhu vanodya chikafu chine purines yakawanda uye vane hutachiona hwemajini hwekugadzira matombo.

Zvimwe zvinokonzera huwandu hwe uric acid muropa

Kune zvimwe zvikonzero zvakawanda nei uric acid mazinga angawedzera:

• Body mass index (BMI) inodarika 25 (zvinoreva kufuta zvakanyanya kana kuti kufuta zvakanyanya ).
• Mimwe mishonga nezvimwe zvinovaka muviri, semuenzaniso, zvinoderedza mvura mumuviri uye zvinoderedza simba remuviri .
• Kurapa kenza nekemotherapy.
• Chirwere cheshuga cherudzi rwechipiri.
• Kuwedzera munyu neshuga zvakawandisa pakudya.
• Kuva nenhoroondo yemhuri yekuva nematombo muitsvo.
• Kusaita maekisesaizi akakwana.
• Mushure mekuvhiyiwa kwekudzikisa huremu (`Bariatric surgery`).

Pamusoro pezvose izvi, kana ukasanwa mvura yakakwana , uri panjodzi huru yekuva nematombo euric acid chete, asiwo mamwe marudzi ematombo eitsvo.

Ndiani anonyanya kukonzera uric acid stones?

Varume vane mukana mukuru wekuva nematombo eitsvo chero api zvawo. Njodzi yavo yekuva nematombo muhupenyu hwavo hwese inenge 19%. Kune vakadzi, njodzi yacho inenge 9%. Vanhu vazhinji havaiti matombo eitsvo vasati vasvitsa makore makumi matatu. Asi vanogona kuita matombo aya vasati vasvika makore makumi matatu, uye dzimwe nguva kunyange kuvana vadiki.

Ndezvipi zvinetso zvinogona kuitika kana matombo euric acid awanikwa?

Chero rudzi rwedombo reitsvo runowedzera njodzi yako yekubatwa nechirwere cheitsvo chisingaperi (CKD). Kana uine dombo rimwe chete, uri panjodzi huru yekubatwa nerimwe mumakore mashanu kusvika manomwe anotevera. Saka zvakakosha kuziva izvi.

Nzira yekuziva sei matombo euric acid?

Paunoenda kunoona chiremba, iye achakubvunza nezvenhoroondo yako yehutano, achakubvunza nezvezviratidzo zvako, uye achakuongororwa muviri. Kana akafungidzira kuti une uric acid stone, achakuraira bvunzo dzinoverengeka kuti asimbise.

Miedzo iyi chii?

Chiremba anogona kuraira bvunzo dzakadai sedzinotevera:

• Kuongororwa kweropa:Kuongororwa uku kunogona kuona huwandu hwakawanda hwe uric acid kana calcium muropa, uye kunogonawo kubatsira kuona kana paine zvimwe zvirwere zvinogona kukonzera zviratidzo zvako.
• Kuongororwa kweweti: Ungangokumbirwa kuti utore weti yemaawa makumi maviri nemana kuti utarise huwandu hweuric acid necalcium muweti yako.
• Kuongororwa kwemifananidzo: Kuongororwa kweCT kana kuti ultrasound kunogona kubatsira kuona nzvimbo chaiyo yematombo ari muweti. Kuongororwa uku kunogona kuwana kunyange matombo madiki. X-ray yemudumbu haiwanzo shandiswa pachinangwa ichi, sezvo ichigona kupotsa matombo madiki.
• Kuongororwa kwematombo: Unogona kupihwa jira rekushandisa weti rakakosha wobva wakumbirwa kuti ubvise weti naro. Izvi zvinoitirwa kubata matombo anobuda neweti yako. Matombo acho anozotumirwa kurabhoritari kuti aongororwe kuti aonekwe kuti rudzii rwematombo. Nekuongorora dombo nenzira iyi, chiremba wako anogona kuona kuti chii chakakonzera kuti dombo riumbwe uye zvaunogona kuita kuti risaumbwe zvakare.

Nzira yekurapa matombo euric acid?

Kana dombo iri riri pasi pemamirimita manomwe, zvichireva kuti diki kwazvo, rinogona kungopera roga. Izvi zvinogona kutora mavhiki matatu. Zvisinei, kunyangwe dombo rakadaro rikangopfuura roga, zvakakosha kutaura nachiremba kuti uwane zvaungaita kudzivirira matombo euric acid kuti asaumbwe zvakare. Heano zvimwe zvinhu zvinoitika kana ukanwa mvura yakawanda:

• Kuwanda kwemaminerari muweti yako kunoderera. Mvura iyi inonyungudutsa maminerari uye inoita kuti zvive nyore kubuda neweti yako.
• Zvinokurudzira kuita weti nguva nenguva, izvo zvinobvisa makemikari anogona kukonzera matombo.

Vanachiremba vanokurudzira kunwa mvura yakakwana kuti igadzire marita maviri nehafu eweti pazuva. Kuti ugadzire weti yakawanda kudaro, unofanirwa kunwa marita matatu emvura pazuva. Izvi zvinodaro nekuti miviri yedu inorasikirwa nemvura kuburikidza nekudikitira uye kurovedza muviri. Kunyange zvazvo zvichikosha kunwa chero rudzi rwemvura, kunwa mvura ndiyo yakanakisisa .

Pane mishonga inogona kunyungudutsa matombo euric acid here?

Pamhando dzese dzematombo eitsvo, matombo euric acid ndiwo ega anogona kunyungudutswa nemishonga . Kune mhando dzakasiyana dzemishonga dzinoshandiswa pakuita izvi:

• Mapiritsi ePotassium citrate (semuenzaniso Urocit-K®).
• Mapiritsi eCalcium carbonate (semuenzaniso Tums®).
• `Allopurinol` (`Allopurinol`).

Mapiritsi ePotassium citrate kana calcium carbonate anoshanda nekuita kuti weti yako ive nealkaline yakawanda. Allopurinol inoderedza huwandu hwe uric acid mumuviri wako. Kana chiremba wako akakunyorera mishonga iyi, zvakakosha kunwa mvura yakawanda pamwe chete nayo. Kunwa mvura yakawanda kunobatsira kunyungudutsa uric acid. Chiremba wako anogonawo kunyora mishonga inonzi alpha-blockers, iyo inogona kubatsira itsvo dzako kubvisa matombo nekukurumidza.

Ndichada kuvhiyiwa here?

Ungangoda kuvhiyiwa kana dombo rako re uric acid riri mune chimwe chezvirwere zvinotevera:

• Kana dombo racho rakakura kwazvo .
• Kana zvichitadzisa weti kufamba zvakanaka.
• Kana zvichikonzera hutachiona .
• Kana usingabude kunze mushure memavhiki mana kana matanhatu.

Dzimwe nzira dzekuvhiya dzinosanganisira nzira dzisinganyanyi kupindira kana kuti dzisingapindi. Mimwe mienzaniso inosanganisira:

• Extracorporeal shock wave lithotripsy (ESWL): Izvi zvinosanganisira kushandisa mafungu eruzha ane simba guru kupwanya matombo. Hapana mavanga kana chero chinhu chinoiswa mumuviri.
• ``Ureteroscopy``: Mukuita uku, chiremba anoisa mudziyo murefu, mutete (``endoscope```) kuburikidza neurethra yako muurethra yakakanganiswa. Chiremba anovhiya anoshandisa ``bhasiketi`` diki kubvisa dombo. Dzimwe nguva ``laser`` inogona kushandiswa kupwanya dombo nekubvisa zvidimbu.
• Percutaneous nephrolithotomy (PCNL): Nzira iyi inoshandiswa pamatombo makuru. Chiremba anochera diki kumusana wako opinda muitsvo. Dombo rinozobviswa, kana kuti dombo rinotanga rapwanyika rozobviswa.

Mushure mekuvhiyiwa, chiremba anotumira dombo kana zvidimbu zvedombo kurabhoritari kuti zviongororwe.

Kunwa mvura kunogona sei kubatsira kuderedza njodzi yematombo euric acid?

Kunwa mvura inokurudzirwa zuva nezuva chimwe chezvinhu zvakanakisisa zvaunogona kuita kuderedza njodzi yako yekubatwa nematombo euric acid nemamwe matombo eitsvo. Mvura inonyungudutsa tsvina iri muweti yako uye inoburitsa makemikari, ichidzivirira kuumbwa kwematombo.

Ndingadzivirira sei mamwe matombo euric acid?

Heano mamwe matanho aunogona kutora kudzivirira kuumbwa kwematombo euric acid:

• Inwa mvura inosvika 91 ounces (2.7 litres) kusvika 125 ounces (3.7 litres) pazuva. Mvura ndiyo yakanakisisa .
• Ramba uine huremu hwakanaka hunokunakira.
• Tevedzera chirongwa chekudya chinonzi `DASH` (Dietary Approaches to Stop Hypertension). Izvi zvinogona kuderedza BP yakakwira (BP) uye njodzi yekuva nematombo muitsvo. (Izvi zvinosanganisira kudya munyu mushoma uye miriwo yakawanda, michero, nezviyo zvese).
• Shandisa mishonga yawakanyorerwa nachiremba wako kudzivirira kuumbwa kwematombo euric acid nemazvo.

Chii chandingatarisira kana ndiine matombo ane uric acid?

Kufungidzira kuti matombo euric acid nemamwe matombo eitsvo anogona kunge akanaka. Kazhinji, matombo aya anongopera ega. Ungasada kurapwa. Kunyangwe kana kurapwa kuchidikanwa, marapirwo aripo anoshanda. Unogona kupora zvizere. Zvisinei, pane njodzi yekuti matombo euric acid achadzoka. Saka taura nachiremba wako nezvekuchinja zvaunodya nekunwa pamwe nemamwe matanho aunogona kutora kudzivirira matombo kuti asaumbwe zvakare.

Ndinozvitarisira sei?

Kana wakambova nematombo euric acid, kana kuti uri panjodzi huru yekuva nematombo eitsvo (erudzi rupi zvarwo), kutevera matanho aya kunogona kukubatsira kuti urambe uine hutano hwakanaka:

• Inwa mvura yakawanda.
• Tevedzera kudya zvine hutano.
• Shandisa mishonga kana zvimwe zvinovaka muviri sezvakarairwa nachiremba wako.
• Kana uchinzwa kurwadziwa kwakanyanya kana zvimwe zviratidzo zvinonetsa, enda kuna chiremba nekukasika.

Ndezvipi zvekudya zvausingafaniri kudya kana uine uric acid stones?

Dzivisa kana kuderedza chikafu chine purines yakawanda. Kana ukadya purines yakawandisa, muviri wako unogadzira uric acid yakawanda. Kana huwandu hwe uric acid hwakwira, weti yako inova acid yakawanda, izvo zvinogona kukonzera kuumbwa kwematombo e uric acid. Mienzaniso yezvekudya zvine purines yakawanda inosanganisira:

• Nyama tsvuku (nyama yemombe, nyama yembudzi, nyama yenguruve).
• Nhengo dzemukati dzemhuka (ura, chirwatata, uropi, itsvo).
• Doro nezvimwe zvinwiwa zvinodhaka.
• Masosi akagadzirwa nenyama (`Gravies`).
• Hove diki dzakadai semasadhini, sprats, uye halibut, uye hove dzegungwa dzakadai seoyster, shrimp, uye crab.

Zvakanakawo kuderedza zvekudya nezvinwiwa zvine shuga yakawanda, kunyanya izvo zvine "High-fructose corn syrup." Zvakanakawo kudya zvimwe zvezvinhu izvi:

• Michero nemiriwo.
• Zviyo zvese.
• Zvigadzirwa zvemukaka zvisina mafuta akawanda.

Ndinofanira kuona chiremba rini?

Kana uchifunga kuti une uric acid stone uye uine zviratidzo izvi, enda kuna chiremba nekukasika kana kuenda kuchipatara che emergency:

• Fivha inodarika 38.6 degrees Celsius (101.5 Fahrenheit).
• Kupisa kana kurwadziwa kwakanyanya paunenge uchiita weti.
• Kurwadziwa kusingatsungiririki.
• Ropa muweti.
• Kuramba uchingonzwa kuda kurutsa uye kurutsa.
• Kana uine chirwere chinokuisa panjodzi huru yekusangana nematambudziko anokonzerwa nematombo eitsvo, akadai sechirwere cheshuga, kuva neitsvo imwe chete, kana mamwe matambudziko eitsvo.

Mibvunzo ipi yandinofanira kubvunza chiremba?

• Ndeipi nzira yekurapa yakanakira ini?
• Ndichada kuvhiyiwa here?
• Ndingaitei kuti ndidzivise matombo e uric acid kuti asagadzirezve?
• Ndinofanira kuchinja chero chinhu pane zvandinodya uye zvandinonwa here?
• Ndinofanira kutora mishonga kana mishonga here?