Gout uye Hyperuricemia
Zhizha rinopisa, nyama yekubikira yegungwa, zvinwiwa zvinotonhora zvine ice, mhepo inotonhorera inofefetera … haisiyo "tsika yehupenyu hwako", asi kwenguva refu, chenjerera uric acid yakanyanya, zvichikonzera kurwiswa kwegout!
Gu Bingjie, mutevedzeri wechiremba mukuru wedhipatimendi re rheumatology and immunology reFirst Hospital yeNanjing, akati mumazuva mashoma apfuura, varwere vanosvika makumi maviri vane hyperuricemia negout vanoonekwa zuva nezuva, 90% yavo vari varume, uye zera rekutanga riri kuramba richikura.
Saka gout inoitika sei uye nei ichinyanya kuitika muvarume?
Gout inobatanidzwa nemazinga e uric acid muropa
Gout, chirwere chekuzvimba chinokonzerwa nekuiswa kwemakristaro eurate mumajoini nekuda kwehuwandu hwakawanda hwe uric acid, uye hyperuricemia negout mamiriro akasiyana echirwere chimwe chete.
Mumamiriro ezvinhu akajairwa, 90% ye uric acid inotorwazve nemuviri, uye 10% yasara inoburitswa mumuviri muchimiro cheweti, ziya, uye tsvina kuitira kuti uric acid yemuviri irambe yakagadzikana. Zvisinei, kana purines dzakawanda dzikadyiwa muuric acid yakawandisa, kana kuti uric acid metabolism isingakwanise kuburitswa, chiyero chinotyoka, zvichikonzera kuchengetedza uric acid muropa, uye nekuyerera kweropa muzvikamu zvese zvemuviri, mumajoini kuburikidza nekuyerera kweropa kunonoka, tembiricha yakaderera inoiswa kuti igadzire urate crystals, zvichikonzera kuzvimba, zvichikonzera kurwadziwa kwakanyanya.
Mumamiriro ezvinhu akajairwa, 90% ye uric acid inotorwazve nemuviri, uye 10% yasara inoburitswa mumuviri muchimiro cheweti, ziya, uye tsvina kuitira kuti uric acid yemuviri irambe yakagadzikana. Zvisinei, kana purines dzakawanda dzikadyiwa muuric acid yakawandisa, kana kuti uric acid metabolism isingakwanise kuburitswa, chiyero chinotyoka, zvichikonzera kuchengetedza uric acid muropa, uye nekuyerera kweropa muzvikamu zvese zvemuviri, mumajoini kuburikidza nekuyerera kweropa kunononoka, tembiricha yakaderera, ichaiswa kuti igadzire makristaro eurate, zvichikonzera kuzvimba, zvichikonzera kurwadziwa kwakanyanya.
Sei gout ichinyanya "kufadza" varume?
Pamusoro pezvo, zvidzidzo zvakaratidza kuti mahormone, senzira huru yekutonga metabolic, ane basa guru mukugadzirwa nekuburitswa kwe uric acid, kusanganisira mahormone epabonde, adrenocorticotropic hormone, thyroid hormone, insulin, nezvimwewo. Kana endocrine system ikasashanda zvakanaka, kuburitswa kana kushanda kwemahormone aya kunogona kukanganiswa, zvichikonzera kuwedzera kwemazinga e uric acid, izvo zvinozokonzera kukura kwegout.
Kunewo mutsauko wemuviri wemuviri muhuwandu hwemahormone pakati pevarume nevakadzi, uye androgens dziripo zvakanyanya muvarume uye estrogens muvakadzi. Estrogen inogona kukurudzira kuburitswa kweuric acid uye kudzivirira kuumbwa kweurate. Kune rumwe rutivi, androgens inodzivirira kuburitswa kweuric acid muitsvo uye inoderedza kushanda zvakanaka kwemetabolism yeitsvo, zvichiita kuti huwandu hweuric acid mumuviri huwedzere, nokudaro ichikurumidzisa kuumbwa nekuiswa kweuric acid crystals. Data rinoratidza kuti muvanhu vose, gout inopfuura 95% inowanikwa muvarume, kuwanda kwayo muvakadzi kuri pasi pe5%, uye chiyero chevarume kuvakadzi chiri pedyo ne20:1.
Ndingaderedza sei njodzi yangu yekubatwa negout?
Hazvisi izvozvo chete, kuitika kwegout kana hyperuricemia kwakabatanawo nekudya zvisina kunaka uye mararamiro asina kunaka. Saka, kuti uderedze njodzi yegout, unogona kuzvidzivirira zuva nezuva nekuita zvinotevera:
- Dzora muromo wako: Dzivisa kudya chikafu chine purine yakawanda, unogona kudya chikafu chine alkaline yakawanda kuti uwedzere kunyunguduka kweuric acid muweti uye kuwedzera huwandu hweuric acid inobuda.
- Inwa mvura yakawanda: Muzhizha, muviri wemunhu unodikitira zvakanyanya, uye kana isiri mvura yakakwana panguva yakakodzera, zvinoita kuti ropa riwedzere kuwanda, uye uric acid muropa inokwirawo zvichienderana neizvi, zvichikonzera gout.
- Kudzora Huremu: Kufutisa hakusi chirwere chekugaya chikafu chete, asiwo chimwe chezvinhu zvinokonzera kukura kwe hyperuricemia uye gout nekuti masero emafuta anoburitsa purines dzakawanda, izvo zvinowedzera huwandu hwe uric acid.
- Fambisa makumbo ako: Ongororo dzekunze dzakaratidza kuti kurovedza muviri kwezuva nezuva usinganyanyi kusimba (sekufamba nekukurumidza, kumhanya-mhanya, kushambira, nezvimwewo) kwemaminitsi makumi matatu kusvika makumi matanhatu, ka4 kusvika kashanu pasvondo, kunogona kuderedza kuwanda kwegout.
Chidzidzo Chinoratidza Kuti Mwenje Mutsvuku Ungaderedza Zviratidzo zveGout
Pamusoro pekuchengetedza mararamiro ane hutano, mukurapa gout, majoini akazvimba, uye marwadzo zvinova dambudziko guru remurwere, kune mabhuku mazhinji esainzi anoratidza kuti varwere vegout vari kurapwa nechiedza chitsvuku vanogona kuvandudza mashandiro emuviri, kukurumidzisa kupora kwetsinga dzakakuvara, uye kupfupisa nguva yekuzvimba nekurwadziwa kuderedza marwadzo emuviri nepfungwa emurwere, uye kukurudzira kupora, uye muongororo yekiriniki ichangoburwa yakaratidza kuti 88% yevarwere vane gout mushure mekurapwa nechiedza chitsvuku marwadzo akavandudzika zvakanyanya, uye akatowana mhedzisiro yekuderedza marwadzo zvachose. Muongororo yekiriniki ichangoburwa, zvakaratidzwa kuti 88% yevarwere vegout vakavandudzika zvakanyanya mukurwadziwa mushure mekurapwa nechiedza chitsvuku, uye vakatowana mhedzisiro yekuderedza marwadzo zvachose.
Kuongororwa kwakawanda kwekiriniki kwakaratidzawo kuti chiedza chitsvuku chinogona kutorwa nemuviri uye kupinda kwakasimba, kunogona kukurudzira kukura kwemasero etsinga akakuvara, kuitira kuti kuumbwa kwemasero etsinga dzeropa (myelin sheaths) kukurumidzise kugadziriswa nekuvandudzwa kwetsinga dzeropa dzakakuvara, panguva imwe chete, kupenya kwechiedza chitsvuku kunogona kuita kuti masero emunzvimbo yepentazocine aderedzwe, uye nokudaro zvichiita basa rekuderedza marwadzo, izvo zvinobatsira kuderedza marwadzo.
MERICAN Health Cabin yakavakirwa pakurapa nechiedza chitsvuku inosanganisa mawavelength akasiyana-siyana echiedza kuti ibudise mhedzisiro yehupenyu paganda remuviri wese, izvo zvinogona kuvandudza metabolism yematishu uye mamiriro ekudya, kuwedzera phagocytosis uye vascular permeability, uye zvinobudirira kudzivirira kuratidzwa kwema cytokines ane chekuita nekurwadziwa, izvo zvinobatsira kunyudzwa kwema exudates anoputika, kuderedza marwadzo emajoini emurwere, kuderedza index ye uric acid muropa, uye kukurudzira kuvandudzwa kwezviratidzo zvekiriniki uye kugadziriswa kwemajoini.
Mazuva ano, gout yave "yechina yepamusoro" mushure mechirwere cheshuga, BP uye hyperlipidemia. Zvichibva pamararamiro esainzi uye ane hutano, zvichiwedzerwa nekurapa nechiedza chitsvuku, inogona kukwanisa kuderedza zviratidzo zvisingafadzi uye nekudaro ichikurudzira kupora zvinobudirira.