Uric acid - ke koko
ʻO ka waikawa Uric kahi kemika i hana ʻia i ka wā e wāwahi ai ke kino i nā mea i kapa ʻia purine. Hana ʻia nā purine i ke kino a loaʻa pū kekahi i kekahi mau meaʻai a me nā mea inu. ʻO nā meaʻai me nā kiʻekiʻe o nā purine e komo pū me ke akepaʻa, ka heleuma, mackerel, nā pi maloʻo a me nā pī, a me ka pia.
Lele ka hapa nui o ka uric acid i ke koko a hele i nā puʻupaʻa. Mai laila mai, hala i ka mimi. Inā hana nui kou kino i ka uric acid a i ʻole lawe ʻole i lawa o ia, hiki iā ʻoe ke maʻi. ʻO kahi kiʻekiʻe o ka uric acid i ke koko i kapa ʻia ʻo hyperuricemia.
Nānā kēia hōʻoia e ʻike i ka nui o kāu waikawa uric i kou koko. Hiki ke hoʻohana i kahi hōʻike ʻē aʻe e nānā i ka pae o ka uric acid i kāu mimi.
Pono kahi laʻana koko. ʻO ka hapanui o nā manawa, huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima.
ʻAʻole ʻoe e ʻai a inu paha i kekahi mea no 4 mau hola ma mua o ka hōʻike inā ʻaʻole i haʻi ʻia i kahi ʻē aʻe.
Hiki i nā lāʻau he nui ke hoʻopilikia i nā hopena hōʻike koko.
- E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mua o ka loaʻa ʻana o kēia hōʻike.
- Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.
Hana ʻia kēia hōʻike e ʻike inā loaʻa iā ʻoe kahi kiʻekiʻe o ka uric acid i kou koko. ʻO nā pae kiʻekiʻe o ka uric acid i kekahi manawa ke kumu i ka maʻi gout a i ʻole nā puʻupaʻa.
Loaʻa paha iā ʻoe kēia hōʻike inā loaʻa iā ʻoe a kokoke paha e loaʻa i kekahi ʻano chemotherapy. ʻO ka luku wikiwiki ʻana o nā hunaola maʻi ʻaʻai a i ʻole ka pohō kaumaha, hiki ke hana ʻia me ia mau ʻano lapaʻau, hiki ke hoʻonui i ka nui o ka uric acid i kou koko.
Aia nā helu maʻamau ma waena o 3.5 a 7.2 milligrams ma ka deciliter (mg / dL).
Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
Hōʻike ka laʻana ma luna i ka pae ana maʻamau no nā hopena no kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.
ʻO nā pae ʻoi aku ka nui o ka maʻamau o ka uric acid (hyperuricemia) ma muli o:
- ʻO Acidosis
- ʻAlekohola
- Nā hopena ʻē aʻe e pili ana iā Chemotherapy
- Dehydration, pinepine ma muli o nā lāʻau diuretic
- Diabetes
- Hoʻoikaika nui loa
- Hypoparathyroidism
- Lāʻau make kēpau
- Leukemia
- Maʻi maʻi kōpaʻa cystic medullary
- ʻO Polcythemia vera
- ʻAiʻai waiwai Purine
- Hoka kōpaʻa
- Toxemia o ka hāpai keiki
ʻO nā pae haʻahaʻa ma mua o ka maʻamau o ka uric acid ma muli o:
- Fanconi maʻi maʻi
- Nā maʻi hoʻoilina o ka metabolism
- Maʻi HIV
- Maʻi maʻi ate
- Papaʻai low purine
- ʻO nā lāʻau e like me fenofibrate, losartan, a me trimethoprim-sulfmethoxazole
- Syndrome o ka pono antidiuretic hormone (SIADH) hoʻokaʻaʻike
Nā kumu ʻē aʻe e hana ʻia ai kēia hōʻike me:
- Maʻi maʻi ʻōniʻoniʻo
- Goute
- Ka hōʻeha o ka puʻupaʻa a me ka ureter
- Nā pōhaku hakuʻala (nephrolithiasis)
Gout - uric acid i ke koko; Hyperuricemia - uric acid i ke koko
- Hōʻaʻo koko
- Nā aniani ʻumika uric
Burns CM, Wortmann RL. Nā hiʻohiʻona olakino a me ka mālama ʻana i ka gout. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 95.
ʻO Edwards NL. Nā maʻi waiho Crystal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 273.
Sharfuddin AA, Weisbord SD, Palevsky PM, Molitoris BA. ʻEha puʻuwai koʻikoʻi. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 31.