Kev ua txhaum ntawm cov txheej txheem metabolic hauv lub cev yog ua rau muaj ntau yam kab mob. Ib qho ntawm cov no yog uric acid diathesis. Tus mob no ua ntej muaj kev cuam tshuam loj hauv kev ua haujlwm ntawm cov zis, lub paj hlwb thiab musculoskeletal. Nws loj hlob txhua lub hnub nyoog, tab sis ib txwm xav tau kev saib xyuas los ntawm kws kho mob.
daim ntawv pov thawj kho mob
Txhua yam ntawm cov kab mob muaj sia muaj purines. Lub ntuj txheej txheem ntawm deformation ntawm cellular lug entails kev puas tsuaj ntawm cov tshuaj. Raws li qhov tshwm sim ntawm kev tawg, uric acid yog tsim. Nyob rau hauv ib txwm concentration, nws ua ntau yam haujlwm. Nws tau tso siab rau kev ua haujlwm ntawm kev ntxuav lub cev ntawm nitrogen ntau dhau, tiv thaiv cov hlab ntsha los ntawm kev puas tsuaj, thiab txhawb lub hlwb ua haujlwm. Uric acid yog excreted lawm. Feem ntau, nws cov ntsiab lus hauv lub cev ntawm tus txiv neej yog 3.4-7.0 mg rau 100 ml ntawm cov ntshav, thiab cov poj niam - 2.4-5.7 units.
Thaum cov txheej txheem metabolic, xws li dej-ntsev tshuav, cuam tshuam, uric acid khaws cia hauv lub cev. Nws qib ncecov ntsev (urates) tam sim no nyob rau hauv muaj pes tsawg leeg crystallize thiab precipitate. Lawv tuaj yeem khaws cia hauv qab ntawm daim tawv nqaij, hauv lub raum, pob qij txha thiab lwm yam kabmob. Nyob rau hauv cov zis, ib tug zoo xws li sediment resembles liab crystals. Lub xub ntiag ntawm cov ntsev hauv cov zis yog cov tsos mob tseem ceeb ntawm uric acid diathesis.
Nyob rau theem pib, cov kab mob pathology tsis tshwm sim nws tus kheej nrog cov lus pom zoo. Nws feem ntau mus tsis pom vim tus neeg mob tsis pom muaj teeb meem kev noj qab haus huv. Thaum tsis kho raws sijhawm, cov teeb meem tuaj yeem tshwm sim. Lawv tshwm sim nyob rau hauv daim ntawv ntawm gout, urolithiasis thiab raum tsis ua hauj lwm. Nyob rau hauv cov ntaub ntawv no, lub digestive system ib txwm raug kev txom nyem. Pathology ua rau muaj kev hloov pauv ntawm kev puas siab puas ntsws, txij li cov kua qaub muaj cov nyhuv stimulating rau hauv nruab nrab paj hlwb.
Kev tshwm sim
Purine metabolism tsis zoo feem ntau cuam tshuam nrog kev hloov pauv hauv kev noj mov. Qhov ua rau ntawm cov kab mob pathology tuaj yeem yog kev siv cov khoom noj uas nplua nuj nyob hauv cov tebchaw no. Peb tab tom tham txog kev noj ntau dhau ntawm cov nqaij dawb, legumes, txiv lws suav, khoom qab zib, kas fes thiab dej qab zib. Tsis tas li ntawd, kev txhim kho ntawm uric acid diathesis yog cuam tshuam los ntawm kev yoo mov ntev. Niaj hnub no, cov kws kho mob tau koom nrog kev cuam tshuam ntawm cov txheej txheem metabolic nrog cov caj ces predisposition.
Ntxiv rau, tag nrho pawg ntawm cov xwm txheej tuaj yeem ua rau muaj kev ua txhaum cai:
- cov txheej txheem mob plab hauv plab;
- irradiation;
- mob ntshav qab zib mellitus;
- kev nyuaj siab;
- kev quav cawv;
- noj tshuaj hepatotoxictshuaj;
- kev tawm dag zog.
Hauv cov poj niam cev xeeb tub, cov kab mob tshwm sim vim kev poob dej tawm tsam keeb kwm ntawm ntuav hauv kev mob toxicosis hnyav. Lwm qhov laj thawj yog suav tias yog kev nce hauv kev ua haujlwm ntawm vasopressin - cov tshuaj hormones lub luag haujlwm tshem tawm cov kua dej hauv lub cev, nce ntshav ntim. Qhov tshwm sim ntawm qhov tsis sib xws yog qhov tshwj xeeb tshaj yog nyob rau thawj lub hlis tom qab xeeb tub. Txawm li cas los xij, nws daws nws tus kheej hauv feem ntau ze rau lub peb hlis ntuj thib ob.
Hauv cov menyuam yaus ntawm thawj xyoo ntawm lub neej, cov tsos mob ntawm uric acid diathesis tshwm sim vim kev noj zaub mov tsis raug, qhov tseem ceeb ntawm cov zaub mov nqaij hauv kev noj haus. Lawv excretory system tsis zoo tag nrho, yog li nws tsis tuaj yeem yaj ntau cov ntsev. Lwm qhov ua rau muaj kev puas tsuaj yog kev puas tsuaj rau lub hypothalamus, uas yog lub luag haujlwm rau kev tsim cov vasopressin, raum pathology thiab Down syndrome.
Kab mob tshwm sim
Uric acid diathesis feem ntau tshwm sim los ntawm kev swb ntawm peb lub cev: tso zis, endocrine thiab lub paj hlwb.
Lub tshuab hnyav tshaj plaws feem ntau poob rau lub raum. Nyob rau tib lub sijhawm, urolithiasis tsim, uas yog tus cwj pwm los ntawm kev tsim cov pob zeb hauv cov khoom nruab nrog cev. Cov pob zeb tsim cov ntsev ntawm uric acid. Lawv qhov loj me tuaj yeem sib txawv. Cov pob zeb me tshaj plaws tau tawm hauv cov zis, thiab cov txheej txheem loj yuav tsum tau saib xyuas kev phais. Raws li txoj cai, tus kab mob yog asymptomatic. Nws thawj qhov kev tawm tsam yog nrog rau qhov mob hnyav, xeev siab thiab pom cov ntshav hauv cov zis. Txhawm rau tiv thaiv cov kev tshwm sim no, nws yog qhov tsim nyogkev pab kho mob.
Cov tsos mob ntawm uric acid diathesis hauv cov neeg laus yog qee zaum qhia hauv daim ntawv ntawm gout. Qhov teeb meem no tsis tshwm sim hauv cov menyuam yaus. Nws tshwm sim vim kev hloov pauv ntawm uric acid rau hauv urates, uas ua rau hauv cov ntaub so ntswg. Feem ntau tshwm sim ntawm gout yog cuam tshuam cov pob qij txha. Cov ntiv tes ntawm sab sauv thiab sab qis yog feem ntau cuam tshuam. Tsis tshua muaj, mob caj dab tsim. Nrog gout, muaj qhov o thiab liab ntawm daim tawv nqaij hauv qhov chaw sib koom ua ke, mob thaum nias.
Pathology qee zaum cuam tshuam rau hauv nruab nrab paj hlwb. Tus neeg mob yws yws ntawm kev qaug zog thiab ntxhov siab, pw tsaug zog cuam tshuam, kev hloov pauv sai sai.
daim duab kho mob dav dav
Txawm li cas los xij ntawm qhov tshwm sim ntawm tus kab mob, nws yog ib txwm ua rau ib leeg tawm ntawm cov duab kho mob dav dav ntawm qee theem ntawm nws cov kev kawm. Thaum xub thawj, tus neeg mob tsis muaj teeb meem kev noj qab haus huv. Thawj qhov cim qhia ntawm kev tsis sib haum xeeb yog qhov pom ntawm uric acid crystals hauv cov zis. Nyob rau tib lub sijhawm, nws cov acidity nce. Ib tug neeg yuav hnov mob thaum tso zis. Cov xim kuj hloov, tsis hnov tsw ntawm cov zis ua ntau fetid thiab tsaus.
Nyob rau theem tom ntej, lub siab lub ntsws ntawm tus neeg mob hloov. Muaj zog excitability, aggressiveness, nquag mus ob peb vas swings. Pw tsaug zog cuam tshuam los ntawm CNS irritation. Tus neeg mob raug tsim txom los ntawm npau suav phem. Uric acid diathesis yuav tsum tau xav txog hauv kev ua haujlwm ntawm lub plab zom mov. Cov kab mob pathological yog tus cwj pwm los ntawm kev qab los noj mov tsis zoo, poob phaus / nce, xeev siab. Cov ntuav muajUa kom hnov tsw ntawm acetone.
Qee qhov tshwm sim ntawm tus kab mob yog paroxysmal thiab tsis tu ncua. Piv txwv li, qhov kub yuav nce me ntsis, ntshav siab. Qee tus neeg mob muaj mob hawb pob, mob taub hau, tsis sib xws tachycardia.
Cov tsos mob ntawm uric acid diathesis hauv cov poj niam uas xav tias yuav xeeb tub tsis muaj qhov txawv txav. Txawm li cas los xij, lawv muaj kev poob dej vim ntuav vim toxicosis, hnyav nce, thiab cem quav ntev yog ua tau. Hauv cov poj niam cev xeeb tub, daim duab kho mob tag nrho yog feem ntau ntxiv los ntawm gout. Tus mob no nrog rau qhov mob thiab o ntawm cov pob qij txha ntawm cov ntiv taw loj.
Kev kawm ntawm pathology hauv menyuam yaus
Hauv cov neeg mob hluas, xws li diathesis yog lwm yam hu ua neuro-arthritic. Tus kab mob no tsis yog kab mob, tab sis yog ib txoj kev cai lij choj.
Cov tsos mob hnyav feem ntau tsis hnov los ntawm tus menyuam, tab sis nws tus cwj pwm hloov. Tus me nyuam ua tau yooj yim excitable. Txawm hais tias muaj kev ntxhov siab, cov menyuam yaus no tau ceev cov ntaub ntawv thiab cov khoom siv hauv tsev kawm ntawv. Lawv yog cov tseem ceeb ua ntej ntawm lawv cov phooj ywg hauv kev loj hlob hlwb.
Thaum tsaus ntuj, cov neeg mob me tuaj yeem tso zis tsis muaj zog rau hauv txaj. Lawv nquag ua xua rau zaub mov thiab paj paj ntoo. Yog li ntawd, cov pob khaus thiab khawb tshwm rau ntawm daim tawv nqaij. Muaj tsawg zaus, lawv yws txog qhov mob hauv pob qij txha.
Cais, peb yuav tsum tham txog uric acid diathesis hauv cov menyuam mos. Lub xeev nomanifests nws tus kheej nyob rau hauv cov me nyuam mos tam sim ntawd tom qab yug me nyuam. Nws yog qhia nyob rau hauv cov kab ntawm txiv kab ntxwv muaju rau ntawm daim ntaub thiab cov zis tsaus nti. Qhov nce ntawm tus naj npawb ntawm urates tshwm sim vim qhov hloov ntawm tus menyuam mus rau lub neej extrauterine. Raws li txoj cai, kev ua txhaum cai daws nws tus kheej hauv ob peb hnub.
Txoj kev kuaj mob
Cov tsos mob thiab kev kho mob ntawm uric acid diathesis hauv cov neeg laus yog cuam tshuam los ntawm tus kws kho mob nephrologist, hauv cov menyuam yaus - los ntawm kws kho menyuam yaus. Txhawm rau kom paub meej qhov kev kuaj mob ua ntej, kev sim hauv qab no yog siv:
- ntshav biochemistry;
- general urinalysis;
- kuaj zis thiab ntshav txhawm rau ntsuas pH qib.
Tsis tas li ntawd, ultrasound ntawm lub urinary system tau muab tshuaj los kuaj xyuas cov xuab zeb urate. Yog tias kuaj pom metabolic acidosis, lub ntsws thiab daim siab raug kuaj. Raws li cov txiaj ntsig ntawm kev kuaj mob dav dav, tus kws kho mob tau sau ntawv kho mob.
kev xaiv kho mob
Tsis muaj kev kho tshwj xeeb rau uric acid diathesis hauv cov neeg laus. Cov kev kho mob pom zoo los ntawm tus kws kho mob tshwj xeeb yog cov tsos mob. Nws lub hom phiaj tseem ceeb yog txo cov concentration ntawm urates hauv cov zis thiab txo cov acidity ntawm cov zis. Rau qhov no, cov tshuaj, kev kho noj haus thiab kev pab ntawm cov tshuaj ib txwm siv. Cia wb mus saib seb txhua txoj kev kho mob yog dab tsi.
Kev siv tshuaj thiab kho lub cev
Kev txiav txim ntawm cov tshuaj siv hauv kev kho yog tsom rau:
- alkalinization ntawm cov zis thiab txo cov ntsiab lus ntawm uric acid hauv nws ("Kalinor", "Urocyte");
- stimulation ntawm cov txheej txheem metabolic (ntau yam vitamin-mineral complexes);
- xanthine oxidase inhibition los tiv thaiv uric acid ntau lawm (Allopurinol).
Txhawm rau txo qhov mob, cov neeg mob tau sau ntau yam kev kho lub cev. Ultrasound kho, magnetotherapy, UV irradiation thiab darsonvalization yog tus cwj pwm los ntawm kev ua haujlwm siab.
Hloov hauv kev noj haus
Kev kho mob ntawm uric acid diathesis tsis tuaj yeem xav txog yam tsis muaj kev kho noj haus. Nws yog raws li kev txwv nruj hauv kev noj zaub mov ntawm cov protein thiab ntsev, tab sis kev nce hauv cov ntsiab lus ntawm "slow" carbohydrates. Koj yuav tsum tso tseg cov khoom noj rog thiab kib, nqaij, khoom qab zib thiab cov kaus poom. Cov zaub mov yuav tsum muaj xws li zaub tshiab thiab txiv hmab txiv ntoo, ntau yam cereals, zaub roj thiab txiv ntseej.
Cov khoom noj mis nyuj thiab qe raug tso cai noj tsis pub ntau tshaj ob zaug hauv ib lub lis piam, vim tias lawv tsis zoo rau lub raum ua haujlwm. Tag nrho cov ntsiab lus calorie ntawm cov khoom noj txhua hnub yuav tsum yog 2-3 txhiab kcal. Yog tias muaj qhov yuav tsum tau ua kom lub cev hnyav, qhov ntsuas no tuaj yeem hloov pauv lossis qis.
Kev tawm dag zog ib nrab tau pom zoo kom muaj qhov sib npaug ntawm calories hlawv thiab noj. Piv txwv li, taug kev, khiav lossis caij tsheb kauj vab. Kev tawm dag zog thaum sawv ntxov yog qhov tshwj xeeb tshaj yog. Txawm li cas los xij, ib tug yuav tsum tsis txhob mob siab rau thiab thauj lub cev. Txwv tsis pub, kev ua si ntawm lub cev tuaj yeem muaj qhov cuam tshuam tsis zoo thiab nce cov urate hauv cov zis.
pab tshuaj tshuaj ntsuab
Txhawm rau tshem tawm cov tsos mob ntawm uric acid diathesis, kev kho mob raws li cov zaub mov txawv ntawm cov neeg kho mob muab qhov txiaj ntsig zoo. Freshly squeezed zaub thiab txiv hmab txiv ntoo kua txiv yog pab tau. Lawv pab txhawb rau kev hloov pauv hauv acidity ntawm kev pab thiab nws cov alkalization.
Phyto-collections raws li cov nroj tsuag hauv qab no tsis muaj txiaj ntsig tsawg: roses qus, knotweed, pob kws stigmas, St. John's wort. Txhawm rau npaj lub decoction, koj yuav tsum xaiv ib qho khoom xyaw. Ncuav li 5 tablespoons qhuav nyom nrog ib khob ntawm boiling dej, tawm hauv ib lub thermos rau ob peb teev. Lub resulting decoction yog pom zoo kom noj nyob rau hauv me me sips thoob plaws hauv lub hnub. Lub sijhawm ntawm kev kho mob yuav tsum tsis pub tshaj ob lub lis piam.
Yog tias muaj cov tsos mob ntawm qhov mob, koj tuaj yeem ntxiv chamomile, calendula lossis calamus cag rau decoction. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nkag siab tias kev kho tshuaj ntsuab yuav tsum tau tham nrog kws kho mob ua ntej. Ntau yam tshuaj ntsuab txwv tsis pub muaj teeb meem nrog rau txoj hnyuv.
Kev kho mob me me
Kev kho tshwj xeeb rau cov neeg mob hluas tsis tau tsim. Kev kho mob yuav tsum ua raws li kev noj haus thiab tswj cov kua dej qaug cawv / tshem tawm ntawm lub cev. Hloov cov kev noj haus yog ua raws li cov hauv paus ntsiab lus ib yam li rau cov neeg laus. Tsis tas li ntawd, cov menyuam yaus raug muab tshuaj vitamin complexes. Nrog rau qhov sib txawv tseem ceeb hauv kev txheeb xyuas thiab qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov tsis zoo, cov tshuaj metabolic tau siv rau.
Kev ntsuas kev rov qab los thiab qhov tshwm sim
Urinary diathesis hauv cov poj niam thiab txiv neej teb zoo rau kev kho mob raws li kev noj zaub mov. Yog mobtsis txhob maj mus nrhiav kev pab kho mob lossis tsis quav ntsej cov lus pom zoo ntawm tus kws kho mob, qhov ua rau muaj teeb meem ntau. Feem ntau ntawm lawv yog kev hloov cov ntsev mus rau hauv calculi, lawv hloov mus rau hauv lub ureter, tom qab ntawd los ntawm kev txhaws ntawm cov hlab ntsha. Hauv qhov no, kev kho mob twb tau hais txog kev cuam tshuam kev phais.
