Uric acid - ntshav

Uric acid yog cov tshuaj tsim thaum lub cev zom cov tshuaj hu ua purines. Purines ib txwm ua hauv lub cev thiab kuj muaj nyob hauv qee yam zaub mov thiab dej qab zib. Cov zaub mov uas muaj cov ntsiab lus ntawm purines ntau dua muaj xws li daim siab, anchovies, mackerel, taum qhuav thiab taum pauv, thiab npias.

Yuav luag cov uric acid feem ntau nyob hauv cov ntshav thiab mus rau lub raum. Txij ntawd los, nws dhau tawm hauv kev tso zis. Yog tias koj lub cev ua cov uric acid ntau dhau los lossis tsis tshem tawm txaus, koj tuaj yeem muaj mob. Theem siab ntawm uric acid nyob rau hauv cov ntshav yog hu ua hyperuricemia.

Qhov tshuaj ntsuam xyuas no kom pom seb koj muaj uric acid ntau npaum li cas hauv koj cov ntshav. Lwm qhov sim tuaj yeem siv los kuaj qib ntawm uric acid hauv koj cov zis.

Xav tau cov ntshav ntxiv. Feem ntau, cov ntshav tau kos tawm los ntawm cov hlab ntsha uas nyob ntawm sab hauv ntawm lub luj tshib lossis sab caj npab.

Koj yuav tsum tsis txhob noj lossis haus dab tsi rau 4 teev ua ntej kev kuaj mob tshwj tsis yog hais tias tsis muaj lwm yam.

Ntau yam tshuaj tuaj yeem cuam tshuam nrog cov kev kuaj ntshav.

• Koj tus kws kho mob yuav qhia koj yog tias koj yuav tsum tsis noj tshuaj ua ntej koj mus kuaj ntshav.
• TSIS TXHOB txiav lossis hloov koj cov tshuaj yam tsis tau tham nrog koj tus kws kho mob ua ntej.

Qhov kev kuaj ntshav no yog ua los xyuas seb koj puas muaj cov uric acid siab hauv koj cov ntshav. Muaj ntau cov uric acid ntau tuaj yeem qee zaum ua rau gout lossis mob raum.

Koj tuaj yeem muaj cov kev kuaj mob no yog tias koj tau muaj lossis tabtom yuav muaj qee yam kev kho mob xws li tshuaj khomob. Kev puas tsuaj sai ntawm cov qog nqaij hlav ntshav lossis poob phaus, uas yuav tshwm sim nrog cov kev kho mob no, tuaj yeem nce uric acid ntau hauv koj cov ntshav.

Cov nuj nqis ib txwm muaj nyob ntawm 3.5 txog 7.2 milligrams ntawm ib deciliter (mg / dL).

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Cov piv txwv saum toj no qhia tau ntau qhov ntsuas sib txawv rau cov txiaj ntsig rau cov kev xeem no. Qee lub chaw soj nstuam siv cov kev ntsuas sib txawv los yog sim cov qauv sib txawv.

Ntau dua-tshaj li ib txwm muaj ntawm uric acid (hyperuricemia) yuav yog vim:

• Acidosis
• Kev quav cawv
• Kws khomob muaj feem cuam tshuam txog qhov tshwm sim
• Lub cev qhuav dej, feem ntau vim yog cov tshuaj diuretic
• Mob ntshav qab zib
• Ib ce muaj zog dhau
• Kev Hypoparathyroidism
• Ua taug txhuas
• Mob ntshav siab
• Mob raum ua paug
• Polycythemia vera
• Purine-nplua nuj kev noj haus
• Tsis hlauv
• Toxemia ntawm cev xeeb tub

Cov qis dua-ib txwm muaj ntawm uric acid yuav yog vim:

• Fanconi syndrome
• Cov kab mob muaj keeb ntawm cov metabolism
• HIV kis
• Mob siab
• Tsawg purine kev noj haus
• Cov tshuaj xws li fenofibrate, losartan, thiab trimethoprim-sulfmethoxazole
• Cov tsos mob ntawm lub cev tsis haum antidiuretic (SIADH) tso pa tawm

Lwm cov laj thawj uas yuav ntsuas no muaj xws li:

• Mob raum
• Gout
• Kev raug mob ntawm lub raum thiab zis
• Lub raum pob zeb (nephrolithiasis)

Gout - uric acid nyob rau hauv cov ntshav; Hyperuricemia - uric acid nyob rau hauv cov ntshav

• Kuaj ntshav
• Uric acid muaju

Hlawv CM, Wortmann RL. Clinical cov yam ntxwv thiab kev kho mob ntawm gout. Hauv: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley thiab Firestein Cov Ntawv Phau Ntawv ntawm RheumatologyCov. 10 tus ed. Philadelphia, PA: Elsevier; 2017: cha 95.

Edwards NL. Crystal deposition kab mob. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 273.

Sharfuddin AA, Weisbord SD, Palevsky PM, Molitoris BA. Mob raum. Hauv: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner thiab Rector's RaumCov. 10 tus ed. Philadelphia, PA: Elsevier; 2016: chap 31.