Raws li qhov muaj uric acid ntsev hauv cov zis, qib thiab qhov xwm txheej ntawm cov metabolism ntawm purines, uas tuaj nrog zaub mov thiab los ntawm cov hlwb ntawm tus neeg lub cev, raug soj ntsuam. Yog vim li cas rau qhov tsim ntawm ntsev muaju nyob rau hauv cov sediment yog suav hais tias yog ib qho ntxiv ntawm uric acid nyob rau hauv cov zis. Cov mob no yog ib qho mob hnyav - urolithiasis, gout thiab lwm yam. Tsis tas li ntawd, ib tug siab concentration ntawm acid hloov lub internal acidity ntawm lub cev. Nyeem ntxiv txog qhov no hauv kab lus.
YUric acid yog dab tsi?
Cov khoom muaj tshuaj lom uas tshwm sim los ntawm kev tawg ntawm cov proteins thiab purines, uas yog ib feem ntawm cov qauv ntawm cov cell feem ntau, thiab kuj nkag mus rau hauv lub cev los ntawm sab nraud. Piv txwv li, nrog zaub mov, nws yog hu ua uric acid. Lub plab hnyuv mucosa, nrog rau lub siab, ua ke ib qho enzyme uas zom cov tshuaj no rau hauv uric acid. Nyob rau hauv ib tug neeg noj qab nyob zoo, nws yog tsim los ntawm kaum ob mus rau peb caug grams. Qhov no yogCov txheej txheem tiag tiag thiab yog vim purine metabolism. Muaj yav tas los yaj nyob rau hauv cov ntshav, nws nkag mus rau lub raum, undergoes pom thiab tawm hauv lub cev. Nrog cov zis, kwv yees li xya caum feem pua ntawm nws tawm, qhov seem peb caug feem pua nkag mus rau hauv txoj hnyuv. Ib feem yog excreted thaum lub sij hawm ua defecation, thiab lwm yam yog absorbed los ntawm txoj hnyuv microorganisms. Kev nce hauv qhov concentration ntawm uric acid cuam tshuam rau lub xeev kev noj qab haus huv. Hauv qhov no, nws raug tso tawm los ntawm lub raum hauv daim ntawv ntawm cov muaju, vim nws tsis yaj hauv dej.
Cov ntsev ntawm uric acid, uas yuav tsum tsis txhob muaj nyob rau hauv cov zis thaum lub sij hawm ib txwm ua hauj lwm ntawm tag nrho cov nruab nrog cev thiab lub cev ntawm lub cev. Txawm li cas los xij, lawv qhov kev tshawb pom ib leeg tsis suav tias yog kev sib txawv thiab yog qhov zoo heev. Pab txhawb rau cov ntsev thiab cov kua qaub ntau dhau xws li:
- poob dej- ntsev tshuav;
- hloov pauv hauv cov ntshav;
- acidic zis;
- cov txheej txheem kis kab mob hauv cov zis;
- mob ntshav qab zib mellitus;
- noj ntau dhau ntawm cov khoom noj uas muaj purines thiab cawv;
- AIDS;
- mob qog noj ntshav;
- siv tshuaj;
- siv cov tshuaj diuretics tsis tu ncua.
Vim qhov tshwm sim ntawm ntau dhau ntawm uric acid accumulates hauv lub cev thiab cov kab ke hauv daim ntawv ntawm cov av. Nyob rau hauv cov zis, pob zeb tsim uas provoke mob hnyav, thiab nws deposition nyob rau hauv cov pob qij txha ua rau kev loj hlob ntawm gout thiab mob caj dab. Tsis tas li ntawd, nws yog qhov ua rau xws li pathologicalCov mob xws li arthrosis, rheumatism, osteochondrosis.
Urine study
Uric acid hauv cov zis qhia tias tsis ua haujlwm ntawm purine metabolism, thaum nws dhau los ua xim cib. Biomaterial rau kev tsom xam yog sau rau hauv lub thawv qhuav thiab huv si, thaum nruab hnub. Tom qab ua tiav ntawm kev sau ntawm lub raj mis qhia nws lub ntim. Tsis tas li ntawd, nws yog tov thiab ncuav txog tsib caug milliliters. Lawv yuav tsum raug xa mus rau lub chaw kuaj mob rau kev tshawb fawb.
Cov ntsiab lus ntawm uric acid cuam tshuam tsis yog los ntawm kev noj zaub mov xwb, tab sis kuj los ntawm kev ua haujlwm ntawm lub raum, tshuaj, pauv nucleotide thiab lwm yam. Hauv cov tib neeg noj qab haus huv, nws cov concentration nce ntxiv yog tias cov khoom noj uas tau noj muaj cov ntsiab lus purines siab thiab, qhov sib txawv, txo qis nrog cov khoom noj purine tsawg. Kev tsom xam uric acid raug pom zoo rau:
- lead lom;
- kab mob ntshav;
- xav tias noj zaub mov tsis txaus ntawm folic acid;
- kuaj kab mob endocrine thiab ua tsis tiav ntawm purine metabolism.
Ib qib siab tshaj ntawm qhov ntsuas no tau pom nyob rau hauv cov kab mob xws li kab mob siab, mob vwm, gout, leukemia, croupous pneumonia thiab qee yam kab mob. Concentration hauv qab qhov tso cai qhov tseem ceeb yog sau nrog cov leeg nqaij atrophy, lead lom lom, tsis muaj folic acid, noj quinine, potassium iodide thiab atropine.
Ua rau uraturia
Cov ntsev ntawm uric acid nyob rau hauv cov zis tshwm sim los ntawm ntau yam kev mob ntawm lub cev thiab kev noj zaub mov tsis txaus. Hauv thawj kis, qhov ua rau muaj kev sib cav yog:
- Kab mob -Qee hom kab mob leukemia, gout, inflammatory dab nyob rau hauv lub genitourinary system. Hauv cov xwm txheej no, uraturia yog ib qho kev mob tshwm sim.
- Lub raum tsis ua haujlwm - lawv qhov kev tso tseg, kev ua haujlwm tsis zoo hauv lub raum cov hlab ntsha, ntshav txhaws, atherosclerosis. Muaj nyob rau lub sijhawm ntev ntawm qhov kub thiab txias.
- Kev ua txhaum ntawm cov dej-ntsev metabolism - kev tawm dag zog ntau dhau, ntuav, raws plab, tsis muaj peev xwm ua kom lub cev rov ua kom dej sai sai.
- Tshuaj - tshuaj loog, tshuaj tua kab mob, tshuaj tua kab mob, NSAIDs.
Cov hauv qab no yog cov khoom noj uas nws noj ntau dhau los ua rau tsis ua haujlwm ntawm cov txheej txheem metabolic, qhov tshwm sim ntawm uas yog nag lossis daus ntawm uric acid ntsev hauv cov zis hauv daim ntawv sediment:
- yuav haus dej cawv;
- legumes;
- txiv lws suav;
- smoked nceb;
- khoom noj kaus poom;
- spinach;
- cov khoom noj muaj roj, feem ntau ntawm cov tsiaj keeb kwm;
- nrog cov tais ntsim heev thiab tshuaj yej muaj zog.
Urates
Cov no yog sodium thiab potassium ntsev. Lawv qhov ntau dhau ua rau pom cov crystals uas tshwm sim hauv cov zis nyob rau hauv daim ntawv ntawm precipitate. Ib tug loj npaum li cas ntawm urate nyob rau hauv cov zis ua rau tsim pob zeb nyob rau hauv lub zais zis, ob lub raum, thiab urinary ib ntsuj av. Qhov xwm txheej no tshwm sim nrog kev yoo mov ntev, mob ntshav qab zib, noj cov zaub mov muaj protein ntau, kev tawm dag zog lub cev ntau dhau, thiab kub taub hau. Qhov laj thawj tseem ceeb rau lawv qhov tsos yog qhov tsis txaus ntseeg hauv lub cev, uas tshwm sim rau cov laj thawj hauv qab no:
- kev hloov pauv;
- khoom noj khoom haus;
- kev nyuaj siab;
- keeb kwm ntawm kab mob urinary;
- kev tswj tsis tau ntawm qee pawg tshuaj;
- leukemia;
- thrombosis;
- Ypancreatitis;
- kab mob siab;
- Ypyelonephritis;
- lub raum prolapsed;
- gout.
Urate nyob rau hauv cov zis ntau ntau ua rau lub pob zeb crystallization, uas cuam tshuam rau kev ua haujlwm ntawm lub cev, vim nws poob dej. Tshuaj lom thiab intoxication provoke raws plab thiab ntuav. Kev ua haujlwm hnyav ntawm lub cev, ua rau lub sijhawm ntev rau cov chav ntub dej thiab txias, nrog rau kev raug tshav kub kub ua kom cov urates. Qee cov khoom kuj tseem txhawb nqa lawv:
- dej qab zib muaj raspberry, viburnum thiab linden;
- khoom noj kaus poom;
- -nqaij thiab ntses breen;
- nqaij npuas;
- veal;
- offal;
- smoked nqaij;
- virtually tag nrho cov legumes;
- spinach;
- cabbage;
- sorrel;
- bow.
Lub sijhawm dhau mus, qhov loj ntawm pob zeb tsuas yog nce ntxiv, thiab lawv txoj kev txav ntawm ob lub raum mus rau lub zais zis ua rau cov txheej txheem inflammatory.
Urate rau cov poj niam cev xeeb tub. Yog vim li cas
Thaum nqa tus menyuam, kev hloov pauv tshwm sim hauv poj niam lub cev. Yog li ntawd, kev tsim cov uric acid ntsev yog ua tau, uas tau kuaj pom nyob rau hauv kev tsom xam cov zis. Nyob rau theem pib, qhov ua rau ntawm qhov tshwm sim yog ntuav thiab lub cev qhuav dej me ntsis, uas yog qhov zoo rau toxicosis. Yog qiburates me ntsis tshaj qhov tso cai txwv, ces tsis muaj kev txhawj xeeb. Nrog kev nce ntxiv, tus kws kho mob yuav xav tias:
- Kev ua txhaum ntawm kev noj zaub mov kom zoo los ntawm leej niam lub siab xav.
- haus dej tsawg ua rau lub cev qhuav dej.
- Kev ua txhaum ntawm cov zis, ua rau muaj qhov mob ntawm cov zis.
Kev mob toxicosis ntev thiab hnyav, uas cov urates muaj nyob rau hauv cov zis tas li, yuav tsum tau saib xyuas thiab kho tus poj niam hauv tsev kho mob
Uraty in a me nyuam. Yog vim li cas
Qhov tsos ntawm uric acid ntsev nyob rau hauv cov me nyuam cov zis tsis txhais hais tias muaj teeb meem kev noj qab haus huv. Feem ntau lawv raug tsim los ntawm kev tsim cov zis tsis tiav. Kev noj ntau ntawm cov ntses thiab cov khoom noj nqaij kuj ua raws li qhov ua rau muaj kev ntxhov siab. Kev npaj tsis raug rau nws kuj cuam tshuam rau cov txiaj ntsig ntawm kev tshuaj ntsuam. Piv txwv li, kev sau cov zis yog ua los ntawm kev siv tshuaj tua kab mob los yog tshuaj tua kab mob, ntuav lossis raws plab, thiab kub taub hau. Tsis tas li ntawd, kev tsis kam noj mov, raug lub hnub ntev, kev noj ntau dhau ntawm txiv lws suav, khoom qab zib, cheese thiab qee yam khoom muaj feem cuam tshuam rau qhov tshwm sim. Yog tias tus kws kho mob pom tias ib qho ntawm cov xwm txheej saum toj no tau tshwm sim, ces nws yuav pom zoo kho cov khoom noj. Thaum tsis muaj txiaj ntsig, ntsuas ntsuas thiab lwm hom kev xeem raug qhia. Cov ntsiab lus ntawm ntau cov urates qhia txog lub raum pob zeb, qhov tsis txaus ntawm microflora, muaj cov kab mob hauv cov hnyuv, thiab lwm yam. Yog hais tias tus me nyuam cov niam txiv raug kuaj pom muaj kab mob gout, ntshav qab zib mellitus, rog rog, kab mob cuam tshuam nrog tus txha nraub qaum, ces nws yuav tsum tau nyob rau hauv kev soj ntsuam tas li ntawm lub chaw kho mob ntawm qhov chaw nyob, raws li nws koom nrog pab pawg muaj kev pheej hmoo.
Symptomatics
Nws yog qhov nyuaj heev rau kev kuaj mob uraturia thaum ntxov, uas yog, ib qho mob uas muaj ntau cov uric acid ntsev hauv cov zis, tsis muaj kev sim kuaj, vim nws tsis pom nws tus kheej sab nraud. Cov tsos mob tshwm sim thaum lub pob zeb tau tsim nyob rau hauv lub raum, los yog ib qho kev kis kab mob tau tshwm sim. Qhov tshwm sim ntawm cov xeev no yog ua ntej los ntawm:
- tsis muaj cov vitamins B;
- siv tshuaj loog ntev ntev;
- kev noj haus tsis txaus;
- nce synthesis ntawm uric acid;
- qis qis qis;
- kev ua neej nyob.
Cov hauv qab no yog cov cim qhia tias ib tus neeg muaj teeb meem loj ntawm cov zis:
- kub nce;
- nce siab tsis muaj laj thawj;
- pom cov ntshav tso zis;
- mob hnyav hauv lub plab thiab thaj tsam lumbar, nrog qhov mob ntawm sab ceg thiab puab ceg;
- tsis muaj zog;
- xeev siab thiab ntuav;
- kev xav.
Cov menyuam yaus muaj chaw kho mob me ntsis: kev ua haujlwm siab, pw tsaug zog, kua muag. Lawv xav tau kev saib xyuas tas li thiab kev hlub. Nyob rau tib lub sijhawm, tus menyuam ua ntej ntawm nws cov phooj ywg hauv kev loj hlob. Nyob rau hauv cov ntaub ntawv no, ib tug untimely thov mus rau tus kws kho mob yog fraught nrog loj txim:
- Zoo pom cem quav.
- ntuav thaum sawv ntxov nrog lub siab intracranial.
- Kev tso tawm ntawm uric acid crystals hauv qab dermis, nrog rau hauv cov hnab ntawm cov pob qij txha.
- mob hawb pob ntawm qhov tsis paub etiology.
- Ntshai eczema uas tsis muaj kev sib raug zoo.
Txoj kev kuaj mob
Kev ntsuas ntsuas pib nrog kev sau ntawm anamnesis thiab kuaj tus neeg. Tom ntej no, muab:
- Kev kuaj zis urinalysis yog qhov yooj yim tshaj plaws thiab txhim khu kev qha tshaj plaws rau kev kuaj uric acid hauv cov zis. Lub precipitate ntawm ib tug kaj daj los yog reddish-xim av xim qhia tias muaj cov muaju ntawm poov tshuaj thiab sodium ntsev. Ua tsaug rau qhov kev tshawb fawb no, kev ua haujlwm ntawm lub raum ua haujlwm tsis zoo, kuaj pom muaj ntshav liab.
- Ultrasound thiab X-ray - lawv siv los kuaj pob zeb thiab xuab zeb.
- Urography - qhia cov kev hloov pauv uas tau tshwm sim nrog raum.
- CT - Muab cov duab tiav ntawm cov pob zeb muaj, suav nrog lawv cov duab thiab qhov loj.
Tshem tawm cov ntsev uric acid
Rau qhov no, nws yog ib qho tseem ceeb heev uas yuav tau kho cov zaub mov. Nco ntsoov zam cov khoom noj uas muaj purines siab. suav nrog hauv koj cov zaub mov:
- zaub xws li qos yaj ywm;
- fruits - apricots, plums, txiv apples, pears.
Cia dej ntxhia alkaline txhua hnub.
Muaj lwm txoj hauv kev uas ua rau txo qis hauv urates. Ntawm lawv yog infusions los ntawm cov khoom siv tshuaj ntsuab. Rau lawvkev npaj noj nees nkaum grams nyom thiab ncuav ob puas milliliters dej kub, insist rau ib nrab ib teev.
Nettle, lingonberry, birch yog dav siv. Cov chav kawm thiab koob tshuaj yog muab los ntawm tus kws kho mob.
Tshuaj kho mob txuas nrog lub ntuj tsim ntau dhau ntawm uric acid, thiab nws cov excretion tsis txaus thaum siv cov hau kev saum toj no. Yog tias xav tias muaj kab mob gout lossis pob zeb tsim, kev kho nyuaj yog xaiv los txo cov concentration ntawm urates.
kev kho mob
Yuav ua li cas dissolves uric acid ntsev? Lwm lo lus nug tseem ceeb. Kev lag luam kws tshuaj muaj ntau yam tshuaj uas pab yaj cov pob zeb thiab tshem tawm cov kua qaub.
Pharmacotherapy thiab kev noj zaub mov kom raug yuav pab tiv nrog urates, feem ntau siv:
- "Potassium magnesium aspartate" - nquag tshem tawm oxalates thiab urates. Nws yog txwv tsis pub noj nyob rau hauv lub xub ntiag ntawm phosphate ntsev.
- "Allopurinol" - inhibits qhov tsim ntawm uric acid. Vim li ntawd, cov urates txo qis.
- "Dezurik" - inhibits qhov nqus ntawm uric acid thiab ua rau nws tawm los ntawm lub raum.
- "Blemaren" - yog cov ntsiav tshuaj effervescent uas cov khoom xyaw nquag yog sodium bicarbonate thiab citric acid. Lawv tsim ib qho chaw alkaline, uas pab txhawb kev sib cais ntawm uric acid ntsev, thiab lawv tau yooj yim tawm ntawm lub cev nrog rau cov zis.
- "Marelin" - pab txhawbKev hla ntawm pob zeb, yog siv rau urolithiasis.
- "Magulit" - yaj thiab tiv thaiv cov pob zeb rov qab. Los ntawm hloov cov acidity ntawm cov zis mus rau sab alkaline.
- "Fitolizin", "Urolesan", "Canephron" - tsis yaj ntsev. Lawv siv los normalize cov zis tawm ntawm cov zis.
Kev puas tsuaj
Yog vim li cas rau qhov tso tawm ntawm uric acid ntsev hauv cov pob qij txha thiab cov ntaub so ntswg nyob ze lawv suav tias yog qhov ua tsis tiav ntawm purine metabolism. Uas ua rau muaj kab mob xws li gout. Qhov no yog vim qhov tsis muaj peev xwm ntawm lub raum kom tshem tawm cov kua qaub uas xav tau los ntawm lub cev ntawm tus neeg. Urates pab txhim kho cov txheej txheem inflammatory, uas yog, gouty mob caj dab. Nws lub tsev kho mob yog tus cwj pwm los ntawm kev txwv kev txav mus los thiab mob hnyav. Cov pob qij txha feem ntau cuam tshuam yog ob txhais taw thiab txhais tes. Tsis tas li ntawd, cov ntsev tau tso rau hauv cov ntaub so ntswg subcutaneous thiab cov nqaij mos, uas tsim cov nodules peculiar, hu ua tophi.
Cov cim qhia ntawm ntsev tso rau hauv cov kab mob no yog o ntawm pob qij txha, liab thiab mob. Nyob rau theem ntawm kev loj hlob ntawm tus kab mob, cov tsos mob tshwm sim tsuas yog tom qab kev siv lub cev ntau dhau, thiab tom qab ntawd so. Thaum thawj hmo nres, qhov mob syndrome cuam tshuam rau metatarsophalangeal sib koom ntawm tus ntiv taw loj.
