Hōʻike mimi ʻumika urika

Ke ana ka mimi uric acid i ke kiʻekiʻe o ka uric acid i ka mimi.

Hiki ke nānā ʻia i ka pae waikawa Uric me ka hoʻāʻo ʻana i ke koko.

Pono pono kahi laʻana mimi he 24 mau hola. Pono ʻoe e hōʻiliʻili i kou mimi ma kahi o 24 mau hola. E haʻi aku kāu mea mālama ola iā ʻoe pehea e hana ai i kēia. E hahai pololei i nā ʻōkuhi.

E noi paha kāu mea lawelawe iā ʻoe e haʻalele no ka lawe manawa ʻana i nā lāʻau e hiki ai ke hoʻololi i nā hopena hōʻike. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai. Pākuʻi ʻia kēia mau mea:

• Aspirin a i ʻole aspirin-i loko o nā lāʻau
• Nā lāʻau Gout
• Nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs, e like me ibuprofen)
• Pila wai (diuretics)

Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

E makaʻala i nā mea inu ʻona, wikamina C, a me ke kala x-ray hiki ke hoʻopili i nā hopena hōʻike.

Hoʻopili wale ka hōʻike i ka urination maʻamau wale nō. ʻAʻohe pilikia.

Hana ʻia kēia hōʻike e kōkua ai e hoʻoholo i ke kumu o ke kiʻekiʻe o ka pae uric acid i loko o ke koko. Hana ʻia paha ia e nānā i ka poʻe me ka gout, a koho i ka lāʻau maikaʻi loa e hoʻohaʻahaʻa i ka pae uric acid i 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. Holo ka hapa nui o ka uric acid i ke koko a hele i nā puʻupaʻa, kahi e hemo ai i ka mimi. Inā hana nui kou kino i ka uric acid a i ʻole lawe ʻole i lawa o ia, maʻi paha ʻoe. ʻO kahi kiʻekiʻe o ka uric acid i ke kino i kapa ʻia ʻo hyperuricemia a hiki ke alakaʻi i ka gout a i ʻole nā ​​hōʻino hakuʻala.

Hiki ke hana ʻia kēia hoʻokolohua e nānā ai inā he pae acid uric kiʻekiʻe i loko o ka mimi ke hana nei i nā pōhaku hakuʻala.

Loaʻa nā kumukūʻai maʻamau mai 250 a 750 mg / 24 mau hola (1.48 a 4.43 mmol / 24 mau hola).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO kahi pae uric acid kiʻekiʻe i ka mimi ma muli paha o:

• ʻAʻole hiki i ke kino ke hana i ka purine (Lesch-Nyhan Syndrome)
• Ua laha kekahi mau maʻi ʻaʻai (metastasized)
• ʻO ka maʻi i hopena i ka haki ʻana o nā olonā nāʻiʻo (rhabdomyolysis)
• Nā maʻi e hoʻopili i ka iwi iwi (myeloproliferative maʻi)
• ʻO ka maʻi o nā puʻupaʻa kīʻaha kahi i lawe mau ʻia ai kekahi mau mea i loko o ke kahe e nā puʻupaʻa e hoʻokuʻu ʻia i ka mimi ma kahi (Fanconi syndrome)
• Goute
• Papaʻai kiʻekiʻe-purine

ʻO kahi pae uric acid haʻahaʻa i ka mimi ma muli o:

• ʻO nā maʻi maʻi kīnā ʻole e hoʻopilikia i ka hiki i nā puʻupaʻa ke kāpae aku i ka waikawa uric, i hiki ke alakaʻi i ka gout a i ʻole nā ​​ʻino puʻupaʻa
• Nā hakuʻala hiki ʻole ke kānana i nā wai a hoʻoneoneo maʻamau (glomerulonephritis mau)
• Lāʻau make kēpau
• Ka hoʻohana wā ʻona lōʻihi (mau)

ʻAʻohe pilikia me kēia hōʻike.

• Hōʻike ʻakika Uric
• 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 kā Kelly a me Firestein puke aʻo o Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 95.

ʻO Riley RS, ʻo McPherson RA. Ninaninau maʻamau o ka mimi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 28.