Ukuba ubona igazi elincinci kumchamo wakho, okanye ukuba ufumana iintlungu eziqatha xa uchama, kunokuba yinto eyoyikisayo, akunjalo? Ezi zinto zinokubangelwa ngamatye ezintso. Kukho iintlobo ezahlukeneyo zamatye ezintso, enye yazo yi-uric acid stones. Namhlanje, siza kuthetha ngesizathu sokuba zenzeke, zithini iimpawu, kunye nendlela esinokuzikhusela ngayo kule meko.
Ngamafutshane, yintoni amatye e-uric acid?
Amatye e-uric acid yenye yeentlobo ezine zamatye ezintso. Ngamafutshane, ilitye lezintso yingqokelela eqinileyo yeeminerali ezithile emzimbeni wethu ezenza njengelitye. Zingakheka ngaphakathi kwezintso okanye naphi na kwinkqubo yomchamo.
Ngoko ke, yintoni i-uric acid?
I-uric acid yinkunkuma esegazini lethu. Iveliswa xa imizimba yethu iqhekeza iikhemikhali ezibizwa ngokuba zii-purines . Ezi purines zifumaneka ngobuninzi kwinyama, ingakumbi inyama ebomvu, nakwiziselo ezinxilisayo ezifana nebhiya.
Ngokwesiqhelo, uninzi lwe-uric acid oluyilwayo luyanyibilika egazini, ludlule kwizintso, kwaye lukhutshwe emchameni. Nangona kunjalo, amatye e-uric acid akheka kwiimeko ezimbini:
- Ukuba inqanaba le-uric acid kumchamo wakho liphezulu kakhulu .
- Ukuba umchamo wakho uhlala uneasidi eninzi .
Ngamaxesha anje, i-uric acid engenakunyibilika iyaqokelelana ize yenze iikristale ezincinci. Ezi kristale ziyadibana nezinye izinto kwaye kancinci kancinci zibe ngamatye amakhulu.
Zithini iimpawu zala matye?
Iimpawu zamatye ane-uric acid zifana kakhulu nezo zamanye amatye ezintso. Uphawu oluphambili ziintlungu. La matye anokuba buhlungu kakhulu ukuba ahlala ezintsoni okanye ukuba ahamba ngendlela yomchamo.
| Uphawu | Inkcazo |
|---|---|
| Intlungu ebuhlungu | Intlungu ebukhali emqolo ongezantsi, ecaleni, esiswini, okanye emqolo. Le ntlungu isenokuvakala ngathi iyafika ize iphele. |
| Igazi kumchamo (iHematuria) | Ukuba ubona umbala opinki, obomvu, okanye omdaka kumchamo wakho. |
| Ezinye iimpawu zomchamo | Ukutsha xa uchama, ukufunwa rhoqo kokuchama, umchamo onombala omnyama okanye onevumba elibi. |
| Ezinye iimpawu eziqhelekileyo | Isicaphucaphu, ukuhlanza, umkhuhlane, kunye nokubanda. |
Eyona nto ibalulekileyo kukuba ukuba ubona naziphi na kwezi mpawu, ungazihoyi kwaye ubone ugqirha ngokukhawuleza.
Kutheni la matye e-uric acid esenzeka ngokwenene?
Kukho izizathu ezininzi eziphambili zoku.
1. Ukutya kunye neePurines
Ezinye ukutya zineepurines ezininzi. Ukuba sizitya rhoqo nangobuninzi, amanqanaba e-uric acid emzimbeni ayanda.
- Inyama ebomvu (inyama yenkomo, imvana, inyama yehagu)
- Inyama yamalungu omzimba (isibindi, izintso, njl.njl.)
- Ezinye iintlobo zeentlanzi (ezifana neesardine, ihalibut) kunye neentlanzi zaselwandle ezifana ne-shrimp kunye ne-crab
- Ubhiya kunye nezinye iintlobo zotywala
Kodwa khumbula, ukutya kuphela akusoloko kuyimbangela. Ukuba umntu onesifo sofuzo sokukhula kwala matye utya kakhulu oku kutya, umngcipheko uphezulu kakhulu.
2. Izifo zemfuza nezinye izifo
Abanye abantu bazalwa bengakwazi ukulawula ngokufanelekileyo i-uric acid okanye iiproteni emizimbeni yabo. Ngokufanayo, abantu abane- gout banokufumana amanqanaba aphezulu e-uric acid egazini labo baze bavelise amatye.
3. Ezinye izinto ezinobungozi
- Ukutyeba kakhulu: Isalathisi sobunzima bomzimba (BMI) esingaphezulu kwama-25.
- Ukungaseli manzi aneleyo: Le yeyona nto ibangela amatye ezintso. Xa usela amanzi amancinci, umchamo wakho uba mkhulu, nto leyo eyenza kube lula ukuba amatye akheke.
- Uhlobo lwesibini lwesifo seswekile.
- Amanye amayeza (umz. amayeza okukhupha umchamo).
- Ukuba kukho umntu kusapho okhe waba namatye ezintso.
- Utyando lokunciphisa umzimba (utyando lweBariatric).
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho, ahlole umzimba wakho, aze emva koko acele uvavanyo oluninzi ukuqinisekisa ukuba unawo na la matye.
| Uhlobo lovavanyo | Kulindeleke ntoni koku? |
|---|---|
| Uvavanyo lwegazi | Jonga ukuba amanqanaba aphezulu e-uric acid okanye i-calcium egazini. |
| Uhlalutyo lomchamo | Jonga inqanaba le-uric acid kunye ne-asidi yomchamo wakho. Usenokucelwa ukuba uqokelele umchamo oza kuthatha iiyure ezingama-24. |
| Uvavanyo lokuFanekisa | I-CT scan okanye i-ultrasound scan ingayalelwa ukuze kubonwe ukuba amatye aphi kanye kanye nokuba makhulu kangakanani. |
| Uhlalutyo lwelitye | Ukuba ilitye libanjwe laze laphuma emchameni, lingathunyelwa kwilabhoratri ukuze kuchongwe ukuba loluphi uhlobo lwelitye. Oku kunokunceda ekuthinteleni ukwakheka kwamatye kwakhona. |
Zithini iindlela zonyango zoku?
Iindaba ezimnandi zezokuba kukho unyango olusebenzayo lwamatye e-uric acid.
Amanzi lelona yeza lilungileyo!
Inyathelo lokuqala nelibaluleke kakhulu kunyango kukusela amanzi amaninzi . Kungcono ukusela malunga neelitha ezi-3 zamanzi ngosuku kwaye ukhuphe malunga neelitha ezi-2.5 zomchamo. Nantsi into eyenzekayo xa usela amanzi:
- Umchamo uyancitshiswa, nto leyo enciphisa uxinano lweeminerali ezenza amatye.
- Ngenxa yokuchama rhoqo, ezo minerali zikhutshwa emzimbeni ngaphambi kokuba kwenziwe amatye.
Amatye angaphantsi kweemilimitha ezi-7 anokuphuma emchameni kwiiveki ezi-3 xa esela amanzi amaninzi.
Ngaba inganyangwa ngamayeza?
Ewe. Xa kuthelekiswa nezinye iintlobo zamatye ezintso, inzuzo ekhethekileyo yamatye e-uric acid kukuba anokunyibilikiswa ngamayeza.Ugqirha wakho angakunika amayeza afana nala:
- Iipilisi ezifana nePotassium citrate okanye iCalcium carbonate : Ezi zinciphisa iasidi yomchamo kwaye zenze i-alkaline. Oku kuya kunceda amatye ukuba anyibilike.
- I-Allopurinol: Eli yeza linciphisa amanqanaba e-uric acid egazini.
Nokuba usela eli yeza, kubalulekile ukusela amanzi amaninzi.
Kunini apho kufuneka khona utyando?
Ngamanye amaxesha utyando luyimfuneko.
- Ukuba ilitye likhulu kakhulu .
- Ukuba ilitye livala ngokupheleleyo ukuhamba komchamo .
- Ukuba kukho usulelo .
- Ukuba ilitye alikadluli emva kweeveki ezi-4-6.
Ngoku kukho iindlela eziphucuke kakhulu nezingenamsebenzi kangako zoku.
- I-ESWL (i-Extracorporeal shock wave lithotripsy): Indlela yokuqhekeza amatye ngokuthumela amaza esandi anamandla aphezulu aphuma ngaphandle komzimba.
- I-Ureteroscopy: Ityhubhu encinci kakhulu enekhamera idluliselwa kwi-urethra kwaye ilitye liyaqhekeka libe ziingceba ezincinci okanye lisuswe ngqo.
- I-PCNL (i-Percutaneous nephrolithotomy): Kwilitye elikhulu, inkqubo ebandakanya ukwenza umsikelo omncinci kakhulu emqolo uze ungene kwizintso ukuze kususwe ilitye.
Ndingawathintela njani la matye ukuba angaphinde avele?
Xa ilitye lenziwe, kunokwenzeka ukuba liphinde lenziwe kwiminyaka emi-5-7. Ngoko ke, ukuthintela kubaluleke kakhulu.
| Izinto ekufanele zenziwe | Musa ukuwenza / Ukunciphisa |
|---|---|
| Sela amanzi amaninzi. Sela ubuncinane iibhotile zamanzi ezi-3-4 ngosuku. | Nciphisa ukutya rhoqo inyama ebomvu kunye nenyama yezitho zomzimba (isibindi, izintso). |
| Yitya imifuno neziqhamo ezingaphezulu. | Nciphisa ukusela kwakho ibhiya kunye notywala . |
| Gcina ubunzima bakho busempilweni . | Nciphisa iziselo nokutya okuneswekile , ingakumbi ezo zinesiraphu yombona enefructose eninzi. |
| Yitya ukutya okuziinkozo kunye neemveliso zobisi ezingenamafutha aneleyo. | Nciphisa ukutya kwakho rhoqo ukutya kwaselwandle okufana neesardine, i-halibut, kunye ne-shrimp . |
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuba ucinga ukuba unamatshe ezintso kwaye unezi mpawu zilandelayo, bonana nogqirha ngokukhawuleza, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba umkhuhlane wakho ungaphezulu kwama-38.6 Celsius (101.5 Fahrenheit) .
- Ukuba kukho intlungu enganyamezelekiyo .
- Ukuba kukho ukopha okukhulu kumchamo.
- Ukuba isicaphucaphu nokuhlanza kuyaqhubeka.
- Ukuba unenye ingxaki yempilo efana nesifo seswekile.
Umyalezo Wokuya Ekhaya
- Amatye e-uric acid yimeko ebuhlungu, kodwa anokunyangwa ngempumelelo.
- Eyona ndlela ilungileyo nelula yokuthintela ukwakheka kwala matye kukusela amanzi aneleyo yonke imihla.
- Lumka kwindlela otya ngayo. Kubaluleke kakhulu ukunciphisa ukutya inyama ebomvu, ukutya kwaselwandle kunye notywala.
- Ukuba unegazi kumchamo wakho, iintlungu eziqatha, okanye umkhuhlane, ungaze uyityeshele loo nto. Funa ingcebiso kagqirha ngokukhawuleza.
- Le meko ingalawulwa kakuhle ngokusebenzisa amayeza achazwe ngugqirha wakho kanye nokwenza utshintsho kwindlela ophila ngayo.
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