Ngaba nawe uvelisa amatye e-uric acid kwizintso zakho? Masiqaphele oku!

Ngaba nawe uziva iintlungu kunye nokungakhululeki xa uchama? Usenokuba uqaphele igazi elincinci kumchamo wakho. Kuqhelekile ukuba uzive usoyika kancinci xa kwenzeka into efana nale. Kodwa akukho mfuneko yokuba neentloni ngale nto okanye uyigcine kuwe. Kuba ezi zinokuba ziimpawu zesifo esibizwa ngokuba “ngamatye e-uric acid” aqala kwizintso. Ke namhlanje, masithethe ngokweenkcukacha nangokulula malunga nokuba ziintoni ezi matye e-uric acid, ukuba zakheka njani, zithini iimpawu, indlela yokuzinyanga, kunye nendlela yokuzithintela.

Zithini ii-uric acid stones?

Ngamafutshane, amatye e-uric acid yenye yeentlobo ezine zamatye ezintso. Ilitye lezintso yingqokelela eqinileyo yeeminerali kunye neetyuwa emzimbeni wethu ezenzeka kumchamo. Libonakala njengelitye elincinci. Linokwakheka kwizintso zakho okanye naphi na kwinkqubo yakho yomchamo - inxalenye yomzimba wakho apho umchamo uphuma khona emzimbeni wakho. Amatye e-uric acid anokubangela iintlungu xa uchama kunye negazi kumchamo wakho (hematuria). Musa ukoyika ukuba unezi mpawu. Kodwa kubalulekile ukubona ugqirha ngokukhawuleza ukuze ufumane ukuba yintoni kanye kanye kwaye uqinisekise ukuba akukho ngxaki.

Yintoni i-uric acid?

I-uric acid yinkunkuma esegazini lethu. Yenziwa xa umzimba wethu uqhekeza izinto ezibizwa ngokuba yi-"Purines". Ezi purines zihlala zifumaneka enyameni, ingakumbi inyama ebomvu efana nenyama yenkomo nenyama yehagu, nakwezinye iziselo ezinxilisayo ezifana nebhiya notywala. Ngokwesiqhelo, uninzi lwale uric acid luyanyibilika egazini, ludlule kwizintso, kwaye lukhutshwe emzimbeni ngomchamo. Nangona kunjalo, amatye e-uric acid aqala ukwakheka xa:

• Ukuba inqanaba le-uric acid kumchamo wakho liphezulu kakhulu .
• Ukuba umchamo wakho uhlala uneasidi eninzi .

Zombini ezi zizathu zinokuba nefuthe.

Zixhaphake kangakanani ii-uric acid stones?

Ngokutsho kwabaphandi, kumazwe afana ne-United States, malunga nomntu omnye kwabalishumi uza kuba nelitye lezintso ebomini bakhe. Kula matye, i-8% ukuya kwi-10% yi-uric acid. Le meko ixhaphakile nangoku eSri Lanka.

Zithini iimpawu zamatye e-uric acid?

Iimpawu zamatye e-uric acid ziyafana nezo zezinye iintlobo zamatye ezintso. Uphawu oluphambili ziintlungu . Le ntlungu ibangelwa luxinzelelo oluvela kumatye, nokuba ngaphakathi kwizintso okanye kwindlela yomchamo, nto leyo ebangela ukuba agungqeke okanye alimale. Ungaziva iintlungu:

• Kwisisu esisezantsi.
• Iiflanks.
• Esiswini.
• Kwindawo ephakathi kwamathanga (`I-Groin`).

Ezinye iimpawu ezinokubonwa ziquka:

• Igazi kumchamo.
• Isicaphucaphu okanye ukuhlanza .
• Ifiva.
• Ukuziva ubanda (`Ukugodola`).
• Ukuba nevumba elibi kumchamo.
• Umchamo onombala omnyama.

Zenzeka njani ezi litye ze-uric acid?

Ukuba amanqanaba akho e-uric acid aphezulu (ngokwezonyango abizwa ngokuba yi-hyperuricemia), iikristale ze-uric acid ziqala ukwakheka. Ezi kristale ze-uric acid zidibana nezinye izinto emzimbeni ukuze zenze ilitye eliqinileyo. Emva koko ilitye liya likhula ngakumbi nangakumbi. Lisenokuba sezintsoni ngokwazo, okanye lingahamba lize libhajwe kwi-ureter. Silibiza ngokuba lilitye le-ureteral. Ukuba la matye mancinci kakhulu, anokuphuma emzimbeni ngomchamo, ngamanye amaxesha ngaphandle kwentlungu okanye ngentlungu encinci. Kodwa ukuba awenzi njalo, anokubhajwa kwizintso, kwii-ureter, kwisinyi, okanye kwi-urethra, ethintela ukuhamba komchamo. Kulapho ke intlungu nezinye iimpawu ziqala ukubonakala khona, kuba la matye onakalisa udonga lweetyhubhu ezivalekileyo.

Ziziphi izizathu eziphambili zamatye e-uric acid?

Ezona zizathu ziphambili zokuba umchamo wakho ube ne-asidi eninzi zezi:

Ukungakwazi komzimba ukulawula ngokufanelekileyo i-uric acid okanye iproteni ekutyeni

Xa imizimba yethu ingakwazi ukulawula i-uric acid okanye iproteni ngokufanelekileyo, umchamo uba ne-asidi. Le meko idla ngokuba yinto oyizuz’ ilifa kubazali bakho. Esinye isifo esinxulumene nale meko yi-"Gout". I-Gout ibangela amanqanaba aphezulu e-uric acid egazini kunye neekristale ezibuhlungu ezidibeneyo.

Ukutya ukutya okune purines eninzi

Iiproteni zezilwanyana, njengenyama yenkomo, inkukhu, inyama yehagu, amaqanda, kunye nentlanzi, ziphezulu kwi-purines. Ezi zininzi kakhulu kwizitho zezilwanyana ezifana nesibindi nezintso (amathole, izintso). Ukuba utya kakhulu olu hlobo lweproteni yezilwanyana, i-uric acid inokuqokelelana kumchamo wakho. Oku kunokuqokelelana kwaye kwenze amatye, nokuba kukodwa okanye kudityaniswe ne-calcium. Nangona kunjalo, ukutya kuphela akusoloko kuyimbangela yamatye e-uric acid. Ahlala ebakho kubantu abatya ukutya okune-purines eninzi kwaye abathambekele kwimfuza ekwenzeni amatye.

Ezinye izizathu zamanqanaba aphezulu e-uric acid

Kukho ezinye izizathu ezininzi zokuba amanqanaba e-uric acid anokunyuka:

• Isalathisi sobunzima bomzimba (i-BMI) engaphezulu kwama-25 (oko kuthetha ukutyeba kakhulu okanye ukutyeba kakhulu ).
• Amanye amayeza kunye nezongezo, umzekelo, amayeza okukhupha isisu kunye namayeza okunciphisa umzimba .
• Unyango lwe-chemotherapy lomhlaza.
• Uhlobo lwesibini lwesifo seswekile .
• Ukongeza ityuwa neswekile eninzi ekutyeni.
• Ukuba nembali yosapho lwakho yamatye ezintso.
• Ukungafumani umthambo owaneleyo.
• Emva kotyando lokunciphisa umzimba (`utyando lweBariatric`).

Ukongeza koku konke, ukuba awuseli manzi aneleyo , usemngciphekweni omkhulu wokufumana kungekuphela nje amatye e-uric acid, kodwa nezinye iintlobo zamatye ezintso.

Ngubani onokuthi abe namatye e-uric acid?

Amadoda anamathuba amaninzi okufumana naluphi na uhlobo lwelitye lezintso. Umngcipheko wobomi babo bonke wokufumana ilitye umalunga ne-19%. Kubafazi, umngcipheko umalunga ne-9%. Uninzi lwabantu alufumani amatye ezintso ngaphambi kokuba bafikelele kwiminyaka engama-30. Kodwa banokuwafumana kwangethuba, kwaye ngamanye amaxesha nakubantwana abancinci.

Ziziphi iingxaki ezinokubakho ngenxa yamatye e-uric acid?

Naluphi na uhlobo lwelitye lezintso luyandisa umngcipheko wakho wokuba nesifo sezintso esingapheliyo (CKD). Ukuba unelitye elinye, usengozini enkulu yokuba nelinye kwiminyaka emihlanu ukuya kwesixhenxe ezayo. Ngoko ke kubalulekile ukuqaphela oku.

Ungawachonga njani amatye e-uric acid?

Xa usiya kugqirha, uza kukubuza ngembali yakho yezonyango, akubuze ngeempawu zakho, aze akuhlole ngokwasemzimbeni. Ukuba ukrokrela ukuba une-uric acid stone, uza kuyalela iimvavanyo ezininzi ukuqinisekisa.

Zithini ezi mvavanyo?

Ugqirha angayalela iimvavanyo ezifana nezi:

• Uvavanyo lwegazi:Olu vavanyo lunokufumanisa amanqanaba aphezulu e-uric acid okanye i-calcium egazini, kwaye lunokunceda ekuqinisekiseni ukuba kukho ezinye iimeko ezinokubangela iimpawu zakho.
• Uvavanyo lomchamo: Usenokucelwa ukuba uqokelele isampulu yomchamo yeeyure ezingama-24 ukujonga ubungakanani be-uric acid kunye ne-calcium kumchamo wakho.
• Uvavanyo lwemifanekiso: I-CT scan okanye i-ultrasound scan inokunceda ekufumaneni indawo echanekileyo yamatye kwindlela yomchamo. Ezi scan zinokufumana namatye amancinci kakhulu. Ii-X-ray zesisu azisoloko zisetyenziselwa le njongo, kuba zinokuphosa amatye amancinci.
• Uhlalutyo lwamatye: Usenokunikwa isihluzo esikhethekileyo uze ucelwe ukuba uchame ngaso. Oku kwenziwa ukuze kubanjwe nawaphi na amatye aphumayo nomchamo wakho. La matye emva koko athunyelwa kwilebhu ukuze ahlolwe ukuze kuchongwe ukuba loluphi uhlobo lwamatye. Ngokuhlalutya ilitye ngale ndlela, ugqirha wakho unokufumanisa ukuba yintoni ebangele ukuba ilitye lenziwe kunye nento onokuyenza ukuthintela ukuba lingaphinde lenziwe.

Ungawanyanga njani amatye e-uric acid?

Ukuba ilitye lingaphantsi kweemilimitha ezi-7, oko kuthetha ukuba lincinci kakhulu, lisenokudlula lodwa. Oku kungathatha malunga neeveki ezintathu. Nangona kunjalo, nokuba ilitye elinjalo lidlula lodwa, kubaluleke kakhulu ukuthetha nogqirha ukuze ufumane into onokuyenza ukuthintela ukwakheka kwamatye e-uric acid kwakhona. Nazi ezinye zezinto ezenzekayo xa usela amanzi amaninzi:

• Uxinzelelo lweeminerali kumchamo wakho luyancipha. Ulwelo luyazinyibilikisa iiminerali kwaye lwenze kube lula ukuzikhupha kunye nomchamo wakho.
• Ikhuthaza ukuchama rhoqo, nto leyo ekhupha iikhemikhali ezinokubangela amatye.

Oogqirha bacebisa ukusela ulwelo olwaneleyo ukuvelisa malunga neelitha ezi-2.5 zomchamo ngosuku. Ukuze uvelise umchamo ongaka, kufuneka usele malunga neelitha ezi-3 zolwelo ngosuku. Oku kungenxa yokuba imizimba yethu ilahlekelwa lulwelo ngokubila nokuzilolonga. Nangona kubalulekile ukusela naluphi na uhlobo lolwelo, ukusela amanzi yeyona nto ilungileyo .

Ngaba kukho amayeza anokunyibilikisa amatye e-uric acid?

Kuzo zonke iintlobo zamatye ezintso, amatye e-uric acid kuphela anokunyibilikiswa ngamayeza . Kukho iintlobo ezahlukeneyo zamayeza asetyenziselwa oku:

• Iipilisi zePotassium citrate (umz. iUrocit-K®).
• Iipilisi zeCalcium carbonate (umz. iTums®).
• `I-Allopurinol` (`I-Allopurinol`).

Iipilisi zePotassium citrate okanye icalcium carbonate zisebenza ngokwenza umchamo wakho ube ne-alkaline ngakumbi. I-Allopurinol yehlisa amanqanaba e-uric acid yakho. Ukuba ugqirha wakho unika la mayeza, kubalulekile ukusela amanzi amaninzi kunye nawo. Ukusela amanzi amaninzi kunceda ekunyibilikiseni i-uric acid. Ugqirha wakho angakunika amayeza abizwa ngokuba yi-alpha-blockers, anokunceda izintso zakho zikhuphe amatye ngokukhawuleza.

Ngaba ndiza kufuna utyando?

Ungadinga utyando ukuba ilitye lakho le-uric acid likwenye yezi meko zilandelayo:

• Ukuba ilitye likhulu kakhulu .
• Ukuba ithintela ukuhamba komchamo.
• Ukuba ibangela usulelo .
• Ukuba awuphumi emva kweeveki ezine okanye ezintandathu.

Ezinye iindlela zotyando ziquka iinkqubo ezingafunekiyo okanye ezingangenisi gazi. Eminye imizekelo ibandakanya:

• I-Extracorporeal shock wave lithotripsy (ESWL): Oku kuquka ukusebenzisa amaza esandi anamandla aphezulu ukuqhekeza amatye. Akukho mingxunya okanye nantoni na efakwa emzimbeni.
• Ureteroscopy: Kule nkqubo, ugqirha ufaka isixhobo eside, esincinci (i-endoscope) nge-urethra yakho kwi-ureter echaphazelekayo. Emva koko ugqirha usebenzisa ibhasikithi encinci ukususa ilitye. Ngamanye amaxesha i-laser ingasetyenziselwa ukuqhekeza ilitye nokususa iziqwenga.
• I-Percutaneous nephrolithotomy (PCNL): Le nkqubo isetyenziselwa amatye amakhulu. Ugqirha wenza umsikelo omncinci emqolo wakho aze angene kwizintso. Emva koko ilitye liyasuswa, okanye ilitye liyaqhekeka kuqala lize lisuswe.

Emva kotyando, ugqirha uthumela ilitye okanye iziqwenga zelitye kwilabhoratri ukuze zihlolwe.

Ukusela amanzi kunokunceda njani ukunciphisa umngcipheko wamatye e-uric acid?

Ukusela amanzi acetyiswayo imihla ngemihla yenye yezona zinto zibalaseleyo onokuzenza ukunciphisa umngcipheko wokuba namatye e-uric acid kunye namanye amatye ezintso. Ulwelo lunyibilikisa inkunkuma esemchameni wakho kwaye lukhuphe iikhemikhali, luthintela ukwakheka kwamatye.

Ndingawathintela njani amanye amatye e-uric acid?

Nazi ezinye iindlela onokuzithatha ukuthintela ukwakheka kwamatye e-uric acid:

• Sela ubuncinane ii-ounces ezingama-91 (iilitha ezingama-2.7) ukuya kwi-125 (iilitha ezingama-3.7) zolwelo yonke imihla. Amanzi ngawona alungileyo .
• Gcina ubunzima obusempilweni obukufaneleyo.
• Landela isicwangciso sokutya se-`DASH` (Iindlela zokutya zokuMisa uxinzelelo lwegazi oluphezulu). Oku kunokunciphisa uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) kunye nomngcipheko wamatye ezintso. (Oku kuquka ukutya ityuwa encinci kunye nemifuno emininzi, iziqhamo, kunye neenkozo ezipheleleyo).
• Sebenzisa amayeza achazwe ngugqirha wakho ukuthintela ukwakheka kwamatye e-uric acid ngokufanelekileyo.

Yintoni endinokuyilindela ukuba ndine-uric acid stones?

Ingqikelelo yamatye e-uric acid kunye namanye amatye ezintso idla ngokuba ntle. Uninzi lwexesha, amatye ayaziphelela. Usenokungadingi unyango. Nokuba unyango luyadingeka, unyango olufumanekayo luyasebenza. Ungaphila ngokupheleleyo. Nangona kunjalo, kukho umngcipheko wokuba amatye e-uric acid aya kubuya. Ngoko ke thetha nogqirha wakho malunga nokwenza utshintsho kwinto oyityayo noyiselayo kunye namanye amanyathelo onokuwathatha ukuthintela ukwakheka kwamatye kwakhona.

Ndingazinyamekela njani?

Ukuba ukhe waba namatye e-uric acid ngaphambili, okanye usemngciphekweni omkhulu wokufumana amatye ezintso (alo naluphi na uhlobo), ukulandela la manyathelo kunokukunceda uhlale usempilweni:

• Sela amanzi amaninzi.
• Landela ukutya okunempilo.
• Sebenzisa amayeza okanye izongezo njengoko ugqirha wakho ekuyalele.
• Ukuba ufumana iintlungu eziqatha okanye ezinye iimpawu ezikhathazayo, bona ugqirha ngokukhawuleza.

Zeziphi izinto ekungafanele uzitye ukuba une-uric acid stones?

Kuphephe okanye unciphise ukutya okune purines ezininzi. Xa utya ii purines ezininzi, umzimba wakho uvelisa i uric acid eninzi. Xa amanqanaba e uric acid ephezulu, umchamo wakho uba ne acid eninzi, nto leyo enokubangela ukwakheka kwamatye e uric acid. Imizekelo yokutya okune purines ezininzi ibandakanya:

• Inyama ebomvu (inyama yenkomo, inyama yebhokhwe, inyama yehagu).
• Izitho zangaphakathi zezilwanyana (amathumbu, ipleyini, ubuchopho, izintso).
• Ubhiya nezinye iziselo ezinxilisayo.
• Iisosi ezenziwe ngenyama (`Gravies`).
• Iintlanzi ezincinci ezifana neesardine, ii-sprats, kunye ne-halibut, kunye neentlanzi zaselwandle ezifana nee-oyster, ii-shrimp, kunye ne-crab.

Kukwangumbono olungileyo ukunciphisa ukutya neziselo ezineswekile eninzi, ingakumbi ezo ziqulethe "isiraphu yombona ene-fructose ephezulu." Kungumbono olungileyo ukutya ezinye zezi zinto:

• Iziqhamo nemifuno.
• Amazimba.
• Iimveliso zobisi ezinamafutha aphantsi.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba une-uric acid stone kwaye unale mpawu, bona ugqirha ngokukhawuleza okanye uye kwigumbi likaxakeka:

• Umkhuhlane ongaphezulu kwama-38.6 degrees Celsius (101.5 Fahrenheit).
• Ukutsha okanye iintlungu eziqatha xa uchama.
• Intlungu enganyamezelekiyo.
• Igazi kumchamo.
• Ukucaphuka nokuhlanza okungapheliyo.
• Ukuba unemeko ekubeka emngciphekweni omkhulu weengxaki ezivela kumatye ezintso, njengesifo seswekile, ukuba nentso enye kuphela, okanye ezinye iingxaki zezintso.

Ndingayibuza yiphi imibuzo ugqirha?

• Yeyiphi indlela yonyango engcono kum?
• Ngaba ndiza kufuna utyando?
• Ndingenza ntoni ukuze ndithintele ukwakheka kwamatye e-uric acid kwakhona?
• Ngaba kufuneka ndenze utshintsho kwizinto endizityayo nendiziselayo?
• Ngaba kufuneka ndithathe naziphi na izongezo okanye amayeza?