Uma ubona igazi elincane emchameni wakho, noma uma uzwa ubuhlungu obukhulu lapho uchama, kungaba yinto eyesabekayo, akunjalo? Lezi zinto zingabangelwa amatshe ezinso. Kunezinhlobo eziningana zamatshe ezinso, elinye lawo okungamatshe e-uric acid. Namuhla, sizoxoxa ngokuthi kungani akheka, yiziphi izimpawu, nokuthi singazivikela kanjani kulesi simo.
Kalula nje, ayini amatshe e-uric acid?
Amatshe e-uric acid angenye yezinhlobo ezine zamatshe ezinso. Kalula nje, itshe lezinso liyinqwaba eqinile yamaminerali athile emzimbeni wethu akha njengedwala. Angakheka ngaphakathi kwezinso noma kunoma iyiphi indawo ohlelweni lomchamo.
Ngakho-ke, iyini i-uric acid?
I-uric acid ingumkhiqizo ongcolile egazini lethu. Ikhiqizwa lapho imizimba yethu iphula amakhemikhali abizwa ngokuthi ama-purines . Lawa ma-purines atholakala ngobuningi enyameni, ikakhulukazi enyameni ebomvu, naseziphuzweni ezidakayo njengobhiya.
Ngokuvamile, iningi le-uric acid eyakheka iyancibilika egazini, idlule ezinso, bese ikhishwa emchameni. Kodwa-ke, amatshe e-uric acid akheka ezimweni ezimbili:
- Uma izinga le-uric acid emchameni wakho liphezulu kakhulu .
- Uma umchamo wakho uhlala une-asidi kakhulu .
Ngezikhathi ezinjengalezi, i-uric acid engakwazi ukuncibilika iyaqoqana futhi yakhe amakristalu amancane. La makristalu ahlangana nezinye izinto futhi kancane kancane abe amatshe amakhulu.
Ziyini izimpawu zala matshe?
Izimpawu zamatshe e-uric acid zifana kakhulu nezamanye amatshe ezinso. Uphawu oluyinhloko ubuhlungu. La matshe angaba buhlungu kakhulu uma ehlala ezinso noma uma ehamba emgudwini womchamo.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obukhulu emhlane ongezansi, ohlangothini, esiswini, noma embotsheni. Lobuhlungu bungase buzwakale sengathi buyafika buphele. |
| Igazi emchameni (i-Hematuria) | Uma ubona umbala opinki, obomvu, noma onsundu emchameni wakho. |
| Ezinye izimpawu zomchamo | Ukusha lapho uchama, isidingo sokuchama njalo, umchamo onombala omnyama noma onephunga elibi. |
| Ezinye izici ezivamile | Isicanucanu, ukuhlanza, umkhuhlane, kanye nokubanda. |
Into ebaluleke kakhulu ukuthi uma ubona noma yiziphi zalezi zimpawu, ungazinaki futhi ubone udokotela ngokushesha okukhulu.
Kungani la matshe e-uric acid akheka ngempela?
Kunezizathu eziningana eziyinhloko zalokhu.
1. Ukudla kanye nama-Purines
Okunye ukudla kugcwele ama-purines. Uma sidla lokhu njalo nangobuningi, amazinga e-uric acid emzimbeni ayakhuphuka.
- Inyama ebomvu (inyama yenkomo, iwundlu, ingulube)
- Inyama yezitho zomzimba (isibindi, izinso, njll.)
- Ezinye izinhlobo zezinhlanzi (njenge-sardine, i-halibut) kanye nokudla kwasolwandle njenge-shrimp kanye ne-crab
- Ubhiya kanye nezinhlobo ezithile zotshwala
Kodwa khumbula, ukudla kuphela akusona imbangela evamile. Uma umuntu othambekele ekuzaleni la matshe ngokwezakhi zofuzo edla kakhulu lokhu kudla, ingozi inkulu kakhulu.
2. Izimo zofuzo nezinye zezokwelapha
Abanye abantu bazalwa bengakwazi ukulawula kahle i-uric acid noma amaprotheni emizimbeni yabo. Ngokufanayo, abantu abanesifo esibizwa ngokuthi i-gout bangaba namazinga aphezulu e-uric acid egazini labo futhi bakhule amatshe.
3. Ezinye izinto eziyingozi
- Ukukhuluphala: Inkomba yesisindo somzimba (i-BMI) engaphezu kuka-25.
- Ukungaphuzi amanzi anele: Lesi yisona sizathu esiyinhloko samathambo ezinso. Uma uphuza amanzi amancane, umchamo wakho uba mkhulu, okwenza kube lula ukuthi kwakheke amathambo.
- Isifo Sikashukela Sohlobo 2.
- Eminye imithi (isib. imithi yokukhipha isisu).
- Uma othile emndenini eke waba namatshe ezinso.
- Ukuhlinzwa kokunciphisa isisindo (ukuhlinzwa kweBariatric).
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzobuza ngezimpawu zakho, ahlole umzimba wakho, bese eyala ukuhlolwa okuningana ukuqinisekisa ukuthi unawo la matshe.
| Uhlobo lokuhlola | Yini elindelekile kulokhu? |
|---|---|
| Ukuhlolwa Kwegazi | Hlola amazinga aphezulu e-uric acid noma i-calcium egazini. |
| Ukuhlolwa komchamo | Hlola izinga le-uric acid kanye ne-asidi yomchamo wakho. Ungase ucelwe ukuthi uqoqe umchamo oqoqwa amahora angama-24. |
| Ukuhlolwa Kwezithombe | Kungase kudingeke ukuthi kuhlolwe i-CT scan noma i-ultrasound scan ukuze kubonwe kahle ukuthi amatshe akuphi nokuthi makhulu kangakanani. |
| Ukuhlaziywa Kwamatshe | Uma ucezu lwetshe lubanjwa bese luphuma emchameni, lungathunyelwa elabhorethri ukuze kutholakale ukuthi luhlobo luni lwetshe. Lokhu kungasiza ekuvimbeleni ukwakheka kwamatshe futhi. |
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi kunezindlela zokwelapha ezisebenzayo zamatshe e-uric acid.
Amanzi umuthi ongcono kakhulu!
Isinyathelo sokuqala nesibaluleke kakhulu ekwelashweni ukuphuza amanzi amaningi . Kungcono ukuphuza cishe amalitha amathathu amanzi ngosuku bese ukhipha cishe amalitha angu-2.5 omchamo. Yilokhu okwenzekayo uma uphuza amanzi:
- Umchamo uyancibilika, okunciphisa ukugcwala kwamaminerali akha amatshe.
- Ngenxa yokuchama njalo, lawo maminerali akhishwa emzimbeni ngaphambi kokuba kwakheke amatshe.
Amatshe amancane kunamamilimitha ayi-7 cishe azophuma emchameni zingakapheli amasonto amathathu uma ephuzile amanzi amaningi.
Ingabe ingelapheka ngomuthi?
Yebo. Uma kuqhathaniswa nezinye izinhlobo zamatshe ezinso, inzuzo ekhethekile yamatshe e-uric acid ukuthi angancibilikiswa ngemithi.Udokotela wakho angakunikeza imithi efana nale:
- Amaphilisi afana ne -Potassium citrate noma i-Calcium carbonate : Lawa anciphisa i-asidi yomchamo futhi awenze ube yi-alkaline. Lokhu kuzosiza amatshe ukuba ancibilike.
- I-Allopurinol: Lo muthi wehlisa amazinga e-uric acid egazini.
Ngisho nalapho uthatha lo muthi, kubalulekile ukuphuza amanzi amaningi.
Kunini lapho kudingeka khona ukuhlinzwa?
Ngezinye izikhathi ukuhlinzwa kuyadingeka.
- Uma itshe likhulu kakhulu .
- Uma itshe livimba ngokuphelele ukugeleza komchamo .
- Uma kukhona ukutheleleka .
- Uma itshe lingadlulanga ngemva kwamasonto angu-4-6.
Manje sekunezindlela ezithuthuke kakhulu, ezingangeni kakhulu kulokhu.
- I-ESWL (i-Extracorporeal shock wave lithotripsy): Indlela yokuqhekeza amatshe ngokuthumela amaza omsindo anamandla aphezulu avela ngaphandle komzimba.
- I-Ureteroscopy: Ipayipi elincane kakhulu elinekhamera lidluliselwa e-urethra bese itshe liqhekeka libe yizicucu ezincane noma lisuswe ngqo.
- I-PCNL (i-Percutaneous nephrolithotomy): Kumatshe amakhulu, inqubo ehilela ukwenza ukusika okuncane kakhulu emhlane bese ingena ezinso ukuze kususwe itshe.
Ngingawavimbela kanjani la matshe ukuthi angaphinde akheke?
Uma itshe selivele, cishe lizophinde lakheke phakathi neminyaka emi-5-7. Ngakho-ke, ukuvimbela kubaluleke kakhulu.
| Okufanele ukwenze | Okungafanele kwenziwe / okuncishisiwe |
|---|---|
| Phuza amanzi amaningi. Phuza okungenani amabhodlela amanzi angu-3-4 ngosuku. | Nciphisa ukudla kwakho njalo inyama ebomvu kanye nenyama yezitho zomzimba (isibindi, izinso). |
| Yidla imifino nezithelo eziningi. | Nciphisa ukuphuza kwakho ubhiya notshwala . |
| Gcina isisindo esinempilo . | Nciphisa iziphuzo nokudla okunoshukela , ikakhulukazi lezo eziqukethe isiraphu yommbila ene-fructose ephezulu. |
| Yidla okusanhlamvu okuphelele kanye nemikhiqizo yobisi enamafutha aphansi. | Nciphisa ukudla kwakho njalo ukudla kwasolwandle njenge-sardine, i-halibut, kanye ne-shrimp . |
Kufanele uye nini kudokotela?
Uma ucabanga ukuthi unamatshe ezinso futhi unezimpawu ezilandelayo, bona udokotela ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma unomkhuhlane ongaphezu kuka-38.6 Celsius (101.5 Fahrenheit) .
- Uma kukhona ubuhlungu obungabekezeleleki .
- Uma kukhona ukopha okukhulu ngomchamo.
- Uma isicanucanu nokuhlanza kuqhubeka.
- Uma unesinye isimo sezokwelapha njengesifo sikashukela.
Umlayezo Wokuya Nawe Ekhaya
- Amatshe e-uric acid ayisifo esibuhlungu, kodwa angelashwa ngempumelelo.
- Indlela engcono kakhulu nelula yokuvimbela ukwakheka kwala matshe ukuphuza amanzi anele nsuku zonke.
- Qaphela ukudla kwakho. Kubaluleke kakhulu ukunciphisa ukudla inyama ebomvu, ukudla kwasolwandle kanye notshwala.
- Uma unegazi emchameni wakho, ubuhlungu obukhulu, noma umkhuhlane, ungalokothi ungakunaki. Funa iseluleko sezokwelapha ngokushesha.
- Lesi simo singalawulwa kahle ngokusebenzisa imithi enikezwe udokotela wakho ngqo nokwenza izinguquko endleleni yokuphila.
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