Igawuthi: amayeza Unyango. kuhlaselwa sifo

Igawuthi kwenzeka uphula purine yokucolwa emzimbeni womntu. Xa oku kubonakele egazini uric acid na olunyuswe, nezihlunu ngokudibeneyo kunye / okanye periarticular, izintso kunye nezinye izigqeba abachatshazelwa iidipozithi urate - iityuwa sodium urate.

Izinto ezibangela sifo

I uric acid agqithisileyo abunjwe phantsi kwempembelelo yokwanda Yindibanisela iqala purine kuncitshiswa kukhuthaza urate okanye iinkqubo zidityaniswe echongiweyo. Azazi iimpawu zesifo eziziprayimari nezizisekondari. Ityala yokugqibela unyanzelekile ukuba ahlawule ingqalelo leziyobisi ezithathwe indoda yahlaselwa sifo. Ubangelwa sifo zifuna ukuqwalaselwa eneenkcukacha.

Igawuthi, uric acid hormone wavusa

Ingalingani iziseko purine kunye nucleosides - esona sizathu siphambili sokuba xi eziphakamileyo uric acid. Ngenxa ukutya mda, ngokugqithiseleyo equlethe substrates ukwakha purines, ngokwendalo kuvela hyperproduction acid.

Iimpawu izinto aphakamileyo hyperproduction Ukucalucalulwa ephakame gqitha iiseli ezenzeka imvelaphi kwezifo ezithile (provocateur, umzekelo, iba hematological ezinezigulo paraproteinemia, hemolysis, butywala, anticancer ichemotherapy). Hyperuricemia rhoqo ukuhambisana ukhwekhwe. Nangona kunjalo, lo kwizifo bezonyango belo sifo senzeka kwezi meko rhoqo.

Igawuthi sibangelwa nokuphungulwa kukhuthaza uric acid

Ngowe-90% labantu osindwa sifo sifo, kukho lifinyele utsalo asidi. Shiya umzimba uncedo uric acid nezintso, amathumbu nolusu. Ngokunciphisa kukhuthaza urate yi nezintso, ukuba eninzi yande umzimba nokuntlalutyisa. ziikristale Tiny ezifakwe amalunga, ekhokelela komtshiso kunye neentlungu. A urate kwezintso ngelixa abulala jade.

ngamanye amaxesha A meko efanayo kunokubangela womchamo, utywala, acetylsalicylic acid, aminophylline, caffeine, diazepam, diphenhydramine, L-dopa, dopamine, iivithamini B ₁₂ no-C, xa iidosi ezincinane. Khokela ikhokelela noqhambuko bhubhane. sifo isizathu Lead ukupeyinta utywala ngokwesivumelwano kunye neminye imithombo eziqulathe enzima.

Symptomatology sifo: iimpawu zesifo

Ukwenzeka kweempawu ezinxulumene Ityuwa wambumba uric acid. Le ziikristale ezifakwe kwi amalungu kunye nezintso. Uhlaselo lokuqala sifo ngokuqhelekileyo awufumaneki phambi kweminyaka engamashumi amathathu. amava izigulane zakhe ezininzi wayeneminyaka 40-60.

Olu hlaselo ihamba ukudumba kwaye bomvu amalungu, nokudodobala kakhulu. Ngaphandle konyango, akunamsebenzi kugqitha iintsuku eziliqela okanye iiveki. Ngokuhlwa nobusuku - ixesha elininzi ingenzeka bahlaselwe idlule.

sifo intabalala yokutya inyama, iziselo ezinxilisayo, kumabakala athile zeentlanzi, ikofu kunye nezinye iimveliso ahlanganiswe neziseko purine nicaphukile. Esi sifo kwiimeko ezininzi kuchaphazela nakubhontsi, kodwa amanye amalungu ukoyiswa ayikho ngaphandle. uphawu lwakhe okuphawuleka samathambo etsolo, olwenzeka xa i ezimbi esibi sezintso.

sifo yayiyazi

Arthritis - uhlobo nokoyika sifo. Oku kuboniswa kule ngequbuliso kuhlasela gouty - umtshiso ibuhlungu namalungu. Xa kuwa gouty ziikristale samathambo urate ngaphandle ancedisana em- joint, ebangela komtshiso oko. ukuhlaselwa Gouty kwenzeka, ngokuqhelekileyo ebusuku.

Wamqumbisa butywala, kwentlungu, ukucima kombane emzimbeni, utyando, amayeza elandelayo sifo. unyango amayeza Ungasusa ukuhlaselwa kwaye lula imeko. Xa uhlasela edibeneyo nezihlunu ezingqongileyo adumbe, isikhumba kwindawo le blushes eziko, iintlungu ukwanda.

ukuhlaselwa samathambo Acute shwaka kwiintsuku nje ezimbalwa (ngamanye amaxesha iiveki), kwanokuba ke baphathwa. ukuhlasela Ukuphinda wabuyela emva kweenyanga ezintandathu okanye unyaka. Nangona ixesha uzolile kwaye ngamanye amaxesha elinokuthatha ukuya kuma kwiminyaka 10-20. Abantu musa zaxakwa unyango, nezihlandlo ukuhlaselwa liyenyuka, nto leyo ebandakanyekileyo kwamalungu ezininzi. Ubude lokuhlaselwa zanda, baba ucaca ngakumbi.

sifo ezingapheliyo

isifo Chronic lukhatshwa iimpawu uphawu:

• samathambo esinganyangekiyo;
• Ukhuliso ziikristale urate;
• isifo sezintso.

sifo elide sikhatshwa yonke imiqondiso yexesha. samathambo Chronic ngayo abo ababephila ngalo uhlobo yesibini sifo, imisiwe okanye ngokwaneleyo ngayo.

Emva kokoyiswa izintso kukho 3 iintlobo zilungiso:

1. ziikristale urate sezintso yimimango kwithishyu. Bona kokungcola okwanamhlanje wavakalisa indlela arhabaxa.
2. Intrarenal indlela flow ziikristale umchamo urate ugcwale.
3. Womchamo ukhandwa amatye acid uric.

Nokutshintshwa kuhlanganiswa kwiiyantlukwano ezahlukeneyo, nto leyo kwikota lwezonyango "kidney gouty". Amatye zalegshie kwi womchamo, ngaba nazimpawu okanye ukubonisa ezinye iimpawu urolithiasis.

Iindlela zonyango

Ingxaki unyango ukuthintela uhlaselo gouty kunye nokurhoxiswa samathambo ahlekise. Xhasa ukusebenzisa olwaneleyo fluid, ukufakelwa kwayo utyebile, unyango ukutya, ukuncitshiswa kweziyobisi, hyperuricemia ukwanda, sifo kumthwalo ngaphandle utywala. unyango amayeza ungakutshabalalisa nokudumba kunye neentlungu.

Amanzi kunciphisa uyondelelwano lwee- urate, ngokungavumeli ukuba liwele ziikristale mayifakwe kwi ancedisana amalungu. Ukongeza, kubelula leaching kwabo nokususwa emzimbeni. Utywala unako ukusebenza umchamo. Ngeedosi ezinkulu ngayo dehydrates umzimba, ngokuququzelela le crystallization of neetyuwa eziqalisa ukuhlasela gouty. Ngaphezu koko, azikhuli phantsi kukhuthaza urate ivela emzimbeni, ebavumela ukuba mayifakwe kwamalunga.

Ukulahlekelwa ubunzima inceda ukwehlisa lokuhlaselwa sifo nezolo. Yokudla kufuneka ukunciphisa ezityebileyo nokunciphisa calories. Ukutya kudityaniswe umthambo rhoqo aerobic eyenziwa.

unyango ngamachiza

iinkalo eziphambili ngazo elawulwa sifo, - unyango kunye namayeza, kuphele iintlungu, akubikho impendulo kwiintetho ezikralayo, ulawulo ukuphazamisa yokucolwa kubangele hyperuricemia. Ukubulawa lwenziwa nge acetaminophen (Tylenol) okanye ngamanye analgesics ezinamandla ngakumbi.

Kuwo nonsteroidal indomethacin nechiza elichasene-ukudumba kucetyiswa. Nangona kunjalo, akukho ezifanelekileyo kwizigulane abo aspirin xa izigulane polyp ngeempumlo. Kuba ukususwa yokuhlasela gouty na colchicine esifanelekileyo.

Izigulane izimvo ingqalelo ukuba amayeza ngomlomo zineziphumo ebezingalindelekanga ezimandundu ezinxulunyaniswa ne nezihlandlo reception yayo (iyure nganye okanye iiyure ezimbini de ntlungu hayi kakhulu athothe okanye musa kuvela ngayo ezichaseneyo).

Corticosteroid besive-arhente abanamandla anti-ukudumba, aphelise uhlaselo bukhali. Ukuthintela imiphumela emibi icala elide elide lezifundo ezimiselweyo elifutshane. Baya kuthunyelwa izigulane ukuba izifo ezihamba kwesibindi kunye nezintso.

ngamaxesha Imihla iyoluka izigulane uthathe iziyobisi ezinciphisa lwee- uric acid egazini. Eziphuhlisa ngayo zokuchithwa iidiphozithi tofusnyh enzima ukunqanda ukusekwa namatye nophuhliso leengxaki kwi kwizintso. Enkosi kubo, akukho-sifo kwakhona. unyango amayeza yale udidi okanye kwandisa kukhuthaza urate, okanye nciphisa kuyondelelaniswe kwabo purines ukutya.

La machiza sibe sibi ukuhlasela isifo samathambo, ngoko ukwamkelwa kwabo luqala emva kokuba eziphango kwenkqubo arhabaxa. Ukuba ke baphathwa phambi uhlaselo, ikhondo akuyichaphazeli, kwaye zama ukulungisa idosi (ingakumbi emva kokuba ziphele wayo). Ekubeni izigulane ezininzi kunye namaqondo aphezulu ukubunjwa ilitye acid uric akukho kudandalaza izintso akabenzi abantu bazive esi sifo, unyango kunye namayeza ezichaphazela izinga urate sicacisa umlinganiswa ngamnye.

Nge sulfinpirazona probenecid nokomeleza kukhuthaza uric acid. La machiza ayifanelekanga ukuba isetyenziselwe impatho yabantu abane urolithiasis. Maxa wambi bawaphikise ukuyilwa ngamatye. ukusela Heavy, kudityaniswe ukutya kwabo, ekhuthaza kwandiswa sicatshulwa acid inkqubo wokuchama kwaye uthintele ukuyilwa conglomerates.

allopurinol ngenxa ukunqanda uric acid yokuqaphela. Bona zinqanda ukuguquka pathways of neziseko purine kungena acid. emiselweyo yakhe ngobunono kuba umngcipheko yeziphumo ebezingalindelekanga kwabo kakuhle umsebenzi zezintso.

Ukusebenzisa amayeza ekhaya

Unyango Ekhaya ekudambiseni iimpawu sifo, yamanje kabukhali. joint asha iphakamile, ngokubonelela wayemphumzile. Nokudodobala yehliswe ngokusebenzisa ice. Ngaphandle iziyobisi aspirinsoderzhaschih yokwamkela (bona zinqanda kukhuthaza uric acid).

imifuno aphathwe: rosehip nolwandle sihlahla, cranberries kunye amaqunube, kunye iiblueberries rowan, barberry, neSt kaYohane Wort, ezinde ikalika, chicory kunye neminye imifuno. Sebenzisa amayeza ngamayeza.

Unyango yokudla sifo

Itye uqinisekisa nixolelwe izinzile. Ngokusesikweni, ukuze kupheliswe iimveliso natyetyiswa purines. Ukuba Ngaphandle ingundoqo akunakwenzeka ukunyanzelisa ubukhulu kwi ukutya. Ukuzama ukulinganisa ubungakanani ukusela otyebileyo luninzi.

I-excess ifumile purines anchovies, sardines, irhanisi, inyama yenkukhu kunye nayiphi na inyama nenqatha, ndibutyabeke ngomswane, izicatshulwa inyama, imbotyi kunye newayini. Xa lokufunyaniswa iitumato sifo esityiwa moderation.

Itumata uzele organic asidi. Purines kuzo noko, umzekelo, kwi inyama. Ngoko ke, zokudla abo bathuthunjiswe sifo, badle iitumato akakwaleli. Ngokwahlukileyo koko, bakholelwa ukuba imali elifanelekileyo iitumato kunye izitya ezincedayo ezi izigulane.