Hyperuricemia - ntoni na? Types and Treatment

Ukwandisa izinga of uric acid egazini lomntu kuchazwa ngokuthi hyperuricemia. Yintoni na? Oku sisiphumo ukuphazamiseka purine ukutya, ezibangelwa yimiba yokusingqongileyo (ukutya kunye nabanye), kunye ufuzo. Le ngezifo iye itsale ingqalelo emva yokubahluza ngokuphindaphindiweyo, into leyo eyaye kwifuthe lazo kwikhondo nesifo sentliziyo. Kwakhona ingqalelo ngokukokelayo iimpawu kwemichiza ye sifo. Hyperuricemia udla nazimpawu, ukuze akusoloko ukubonakala ngoko nangoko.

Xa hyperuricemia?

Uric Acid - ekupheleni imveliso pathways of iziseko purine. Ndiyila esibindini, kubhaliwe kwizondlo kwi yokuchama. Ukunyuka ingqondo yayo plasma yegazi ibonisa uphuhliso kweemeko ezithile zophendlo lwezifo. Oku kukhokelela hyperuricemia. Kwimeko ukunciphisa inqanaba acid uric iphuhlise hypouricemia. inqanaba yawo eqhelekileyo - kunye index ubuninzi kwabasetyhini 360 microns / l, Kubantu 400 m / l. Kwakuwo kwezi zalathisi kufuna ukucaciswa imiba imbangela ukuba nesiphumo hyperuricemia. Yintoni na? Le Isiphumo ukuyilwa uric acid abangaphezu kwemfuneko kunye nokusebenza kwezintso, uphawu eyintloko sifo. Kwakhona, oku kubonisa kweemeko zophendlo lwezifo ezifana lymphoma, wegazi, ianemia kubangelwa kukungabikho vitamin B12, isifo iphecana biliary, isibindi, intso, ukhwekhwe, inyumoniya, gestosis, isifo sephepha, isifo seswekile, nangokhwekhwe esinganyangekiyo.

Kumanqanaba okuqala ukuphazamiseka of purine lokugaya iphuhlisa isifo sezintso, phambi ukuhlaselwa samathambo gouty kunye nezinye iimpawu. Isibakala sokuba izintso zifakiwe kuqala kwinkqubo yentlawulo agqithisile uric acid yokuqaphela, ukwandisa zinomgutyulo eqhelekileyo urate, kwaye kunegalelo umngcipheko crystallization ezi neetyuwa kwi nezintso. kukhuthaza Ukwanda (allocation) of uric acid kunempembelelo umonakalo kwi tubules, interstitium of kwizintso, ekukhuthazeni uphuhliso kwezifo ezifana hyperuricemia kunye hyperuricosuria. Imeko yezifo yokuqala yabangela ngokwanda lwee- uric acid kwi umchamo, nto leyo ibangelwa kophulwa umthetho purine yokucolwa ngenxa yokudla ngokungafanelekanga zizityebi iziseko purine, phezulu-protein ukutya, kakubi utywala. Eyesibini ityhila uhlalutyo zengqo- igazi.

iintlobo hyperuricemia

Hyperuricemia lo zamabanga aphakamileyo. Eyokuqala idla okubangelwa sifo ephambili, usapho kunye ukungaqheleki yezofuzo ye purine ukutya (dispurinizm konstitutsialny). Ngokutsho imiba kobude yohlulwe ngokwendidi ezintathu:

• uhlobo metabolic, ngenxa yokunyuka kuyondelelaniswe iqala of purines emasikwini isantya esiphezulu urikozurii kunye intlambululo yokusihlambulula izicwili yebhayoloji kunye neencindi zomzimba (ukucoca) uric acid;
• uhlobo kwezintso, ukuphazamiseka okubangelwa zinomgutyulo sezintso of uric acid lubonakala yokususwa eliphantsi;
• uhlobo engumxube, nto leyo ludibaniso iimeko zokuqala ezimbini apho uraturia zancitshiswa okanye hayi ngokugqithiseleyo, yaye kugqitywe osemhlabeni aliguqukanga.

iimpawu

Kwiminyaka yakutshanje, ngokufuthi ngethuba axilongwe ngexesha kwegazi uhlalutyo zengqo- une hyperuricemia. "Yintoni na?" - umbuzo wokuqala wabuza zizigulane, ekubeni akukho zimpawu sifo abazange uqaphele. Esi sifo, eneneni, ngokufuthi udlula phantse asymptomatically.

Ingenangozi hyperuricemia engavezwanga ezinjalo, ogama iimpawu kunye obubonakala zabo ubukhulu becala ezingezo-ngqo? Xa abantwana, le meko zophendlo lwezifo lungabonakaliswa yi ukuqhina, iintlungu esiswini, enuresis ebusuku, logoneurosis, impu-, ukubila ngokugqithiseleyo. Intsha ivame ukubonisa iimpawu ezinjalo hyperuricemia kokutyeba, iintlungu kummandla empontshwa, ukurhawuzelela urethra, zeDyskinesia biliary. Yi umfanekiso lwezonyango kufuneka iqhotyoshelwe ukunxila kunye asthenia. Xa abadala, oko kwenziwa kwibakala lokuqala lophuhliso sifo nephritis Embi. Uyakwazi ukuba iziguqule ibe pyelonephritis uhlobo lesibini ngenxa yesenzo igciwane, ukudala iimeko azivumi ukuba ukuyilwa ngamatye zezintso. Asinto ingaqhelekanga, kunye amatye kwizintso, okanye nephrolithiasis. Isiseko ukuyilwa ngamatye wokuchama kufuneka uqaphele ezi ukuphazamiseka pathways ilandelayo: ukulungisa asidi umchamo, hypercalciuria, hyperoxaluria, giperfosfaturiya, giperurikuriya kunye hyperuricemia. Hyperuricemia ivame unxulunyaniswa ezimbi ezahlukahlukeneyo lokugaya.

ubungozi

Isifo-nkqubo imvelaphi ukuyilwa olukhawulezisiweyo ka uric acid, ngokuqhelekileyo kubangelwa zizinto ezifana:

• ukuthatha inxaxheba kwiinkqubo purine metabolic;
• ukonakala umsebenzi sezintso;
• Umxholo eliphezulu fructose apha ekutyeni.

Izinto ezibangela hyperuricemia

Iimbangi ezingundoqo kule meko kakubi ukutya, purines ifumile, ukutya okunamafutha. yindlala Akukho yingozi kangako nokonakaliswa izicwili, ngamathumba amabi. Ngamana negalelo kuphuhliso kwezifo hyperuricemia kwenkqubo emithanjeni, igazi.

unyango

Ukuvuthuluka iipropati ukuhluza kunye ukuphazamiseka kwemisebenzi sezintso tubular yi 'umnyele ingqondo ngezifo ezifana hyperuricemia. Yintoni na ukuba urhulumente, oko ufuzo okanye bathenga? imeko Acquired ixhaphake kakhulu kubantu abadala ngenxa sclerosis nobeempahla sezintso. Hyperuricemia kwakhona ezimbi rhoqo satellite ezifana kwegazi, nangokhwekhwe esinganyangekiyo, asidi, ukhwekhwe, toxemia ngexesha lokukhulelwa.

isifo Ufakelo unyango "hyperuricemia" unikwa isekelwe phezu izifundo laboratory idatha eyafunyanwa kunye nezinye nokuhlolwa olongezelelweyo. Isisekelo sayo unyango yesondlo. Ukususela yomguli ukutya ukutya ngaphandle okune isixa esikhulu avela purine, okanye ukusetyenziswa kwazo lincipha kakhulu. Ikhosi Medical luquka amachiza urikozodepressornye, iziyobisi kunye umsebenzi uricosuric. Into ebalulekileyo unyango kucingelwa ukuba impumelelo umchamo obrak. Self-unyango alwamkelekanga, nokuba ukudla yaphuhliswa phantsi isicwangciso ngamnye, ukwenzela ukuthintela enye iingxaki ezinkulu - sifo.