Yog vim li cas uric acid nyob rau hauv cov ntshav siab thiab yuav ua li cas txog nws

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Qee zaum kebabs thiab cawv muaj zog tuaj yeem ua rau mob pob qij txha lossis mob raum.

uric acid yog dab tsi thiab nws tuaj qhov twg

Uric acid yog ib yam khoom uas nyob hauv lub cev ntawm txhua tus neeg. Nws yog cov khoom kawg ntawm cov metabolism hauv Hyperuricemia, uas yog, nws tsis tawg rau hauv lwm yam, tab sis raug tso tawm hauv cov zis thiab quav.

Uric acid tshwm sim los ntawm cov tshuaj lom neeg tawg ntawm purines. Qhov no yog lub npe ntawm nitrogenous tebchaw uas muaj nyob rau hauv ntau cov ntaub so ntswg thiab kabmob thiab ib feem tuaj rau peb nrog zaub mov. Yeej - nrog cov khoom ntawm tsiaj keeb kwm.

Yog tias muaj uric acid ntau dhau hauv lub cev (ib yam mob hu ua hyperuricemia), ib tus neeg tuaj yeem tsim pob zeb hauv lub raum lossis ua rau gout, kab mob uas cov ntsev ntawm cov tshuaj no (urates) tso rau hauv cov pob qij txha thiab cov ntaub so ntswg.

Tus nqi ntawm uric acid hauv cov ntshav yog dab tsi

Kev xav txawv nyob ntawm seb muaj hnub nyoog, poj niam txiv neej, kev noj haus thiab kev ua neej. Hauv cov menyuam yaus, tus qauv ntawm Uric Acid ntawm uric acid yog 2.5-5.5 mg / dl (0, 12-0, 32 mmol / l). Tom qab ntawd, hauv cov tub hluas, nrog rau qhov pib ntawm kev puberty, tus nqi ntawm cov khoom nce ntxiv, thiab hauv cov ntxhais nws tseem qis - kom txog thaum lub cev tsis muaj zog.

Hauv cov neeg laus, cov ntsuas hauv qab no suav tias yog ib txwm muaj Uric Acid:

• hauv cov txiv neej - 4-8, 5 mg / dl (0, 24-0, 51 mmol / l);
• Hauv cov poj niam - 2, 7-7, 3 mg / dl (0, 16-0, 43 mmol / l).

Rau cov neeg laus, kev nce me ntsis hauv cov concentration ntawm uric acid raug tso cai. Tus nqi yuav tsum tsis txhob siab dua 12 mg / dL (0.7 mmol / L).

Yuav ua li cas paub yog tias koj qib uric acid siab

Txoj hauv kev tseem ceeb los ua qhov no yog kuaj ntshav biochemical los ntawm cov hlab ntsha, vim tias tsis muaj cov tsos mob tshwm sim ntawm hyperuricemia. Tab sis, yog tias qhov concentration ntawm uric acid nce ntau zaus, ib tus neeg yuav pom qee cov tsos mob ntawm Hyperuricemia Clinical Presentation:

• o, liab thiab mob hauv ib leeg. Feem ntau hauv cov ntiv taw loj, tsis tshua muaj nyob hauv lub hauv caug lossis lwm qhov chaw.
• Cov tsos mob ntawm lub raum pob zeb. Qhov no yog mob hauv plab, sab hauv lossis sab nraub qaum, ntshav hauv cov zis, qee zaum xeev siab thiab ntuav.

Yog tias koj pom cov kev hloov pauv no, teem caij nrog tus kws kho mob, thiab nws yuav teem sijhawm kuaj.

Vim li cas cov qib uric acid nce siab

Hyperuricemia tuaj yeem txhim kho rau ntau yam laj thawj: lub cev tsim cov uric acid ntau dhau, nws lub raum tso tawm tsis zoo, lossis ua ke ntawm ob yam no.

Ncua hauv lub cev

Hyperuricemia ua rau qhov no:

• Keeb kwm. Muaj ib yam kab mob uas tsis tshua muaj tshwm sim hu ua familial juvenile gouty nephropathy. Nrog rau nws, cov ntaub so ntswg maj mam loj hlob hauv ob lub raum, thiab lawv tsis ua haujlwm ntawm excretory.
• Lub raum tsis ua haujlwm Nrog rau ntau yam pathologies ntawm ob lub raum, lub peev xwm los lim ntshav tsis zoo, thiab hyperuricemia tshwm sim.
• Metabolic Syndrome. Qhov no yog ib tug pathological mob nyob rau hauv uas ib tug neeg muaj ib tug ntau ntawm cov piam thaj, rog dhau, arterial hypertension thiab piv ntawm cov ntshav lipids cuam tshuam.
• Cov tshuaj kho mob. Lawv tuaj yeem cuam tshuam nrog kev tso tawm ntawm uric acid. Cov cuab yeej no tau pom nyob rau hauv cov tshuaj diuretics, koob tshuaj tsawg ntawm salicylic acid, levodopa, cyclosporine, pyrazinamide thiab niacin.
• Ntshav siab.
• Acidosis. Qhov no yog lub npe ntawm kev hloov ntawm acid-base tshuav nyiaj li cas. Piv txwv li, qhov no tshwm sim thaum yoo mov, mob ntshav qab zib ketoacidosis thiab tom qab haus cawv (alcoholic acidosis).
• Preeclampsia thiab eclampsia. Cov no yog cov xwm txheej txaus ntshai uas tshwm sim thaum cev xeeb tub.
• Hypothyroidism Qhov no yog lub npe rau kev txo qis hauv cov thyroid ua haujlwm.
• Sarcoidosis ntawm Sarcoidosis. Nws yog ib qho kev tiv thaiv kab mob tsawg heev.
• Cov kab mob lead lom. Nws ua rau lub raum puas.
• Trisomy ntawm 21st chromosome, lossis Down syndrome.
• Hyperparathyroidism. Qhov no yog qhov nce hauv kev ua haujlwm ntawm cov qog parathyroid.

Qee zaum vim li cas thiaj li khaws cia ntawm uric acid hauv cov ntshav tseem tsis paub.

Txhim kho synthesis

Nws tuaj yeem provoked los ntawm Hyperuricemia:

• Kab mob caj ces. Piv txwv li, glycogenosis Glycogen Storage Diseases Hom I-VII: nrog rau cov kab mob no, glycogen accumulates hauv cov kabmob sib txawv - ib daim ntawv tshwj xeeb ntawm cov piam thaj. Los yog Lesch-Nyhan thiab Kelly-Sigmiller syndromes, uas ib tug neeg tsis muaj cov enzymes tsim nyog rau biochemical cov tshuaj tiv thaiv hauv hlwb.
• Nta ntawm kev noj haus. Yog tias kev noj zaub mov ntau hauv cov nqaij, lwm yam tsiaj cov khoom los yog legumes, ces uric acid ntau dua.
• Txhim kho kev sib pauv ntawm nucleic acids. Qhov no tshwm sim nrog hemolytic anemia, qee hom mob qog noj ntshav.
• lwj (lysis) ntawm tej qog.
• Tshaj tawm cov kuab tshuaj organic xws li tshuaj tua kab.

Ua ke ua ke

Cov no suav nrog Hyperuricemia:

• Cawv cawv.
• Kev noj cov dej qab zib uas muaj fructose ntau zaus.
• Kev tawm dag zog lub cev.
• Kev tsis txaus ntawm cov enzyme aldolase, uas yog vim li cas gout tsim.
• Gierke tus kab mob, los yog tsis muaj enzyme glucose-6-phosphatase.

Yuav ua li cas yog tias qib uric acid siab

Tsuas yog tus kws kho mob tuaj yeem txiav txim siab kuaj ntshav biochemical. Yog tias nws pom qhov sib txawv ntawm tus qauv, nws yuav sau ib qho kev ntsuam xyuas ntxiv. Nws yog tsim nyog los nrhiav qhov ua rau hyperuricemia. Tus neeg ntawd yuav raug qhia txog kev noj zaub mov. Hyperuricemia Kev Kho & Kev Tswj yuav raug txwv:

• nqaij;
• noog;
• Ntses thiab nqaij nruab deg;
• offal;
• cawv;
• legumes.

Koj tuaj yeem noj cheese thiab lwm yam khoom noj siv mis, qe.

Ntxiv nrog rau kev noj zaub mov, qee zaum tus neeg mob yuav tsum tau siv tshuaj los pab tshem tawm uric acid. Nws tshwm sim tias cov tshuaj siv rau kev sib koom ua ke thiab mob.