Hyperuricemia - chii? Types neMarapirwo

Kuwedzera pamwero wenyika uric asidhi muropa romunhu muchikwata sezvo hyperuricemia. Chii? Ndiro mugumisiro purine muviri zvirwere, kazhinji kunokonzerwa kwezvakatipoteredza zvinhu (chikafu nevamwe), uye masero okutodza. zvokurwara Izvi pfungwa pashure akadzokorora kuongorora, yakaratidza nawo mararamiro zvemwoyo chirwere. Zvinonzi zvakare vaitirei kutungamirira nokukanganisika zviratidzo gout. Hyperuricemia kazhinji asymptomatic, saka kuti haisi nguva dzose dzakaonekwa pakarepo.

Kana zviri hyperuricemia?

Uric acid - metabolic kuguma zvinobva purine zvigadziko. Dzichiumbwa chiropa, zvakanyorwa yabudiswa muna weti. Yakawedzera kwayo wevasungwa munguva plasma inoratidza dzimwe zvirwere pathological. Izvi zvinotungamirira hyperuricemia. Kana kuderedza uric iine acid pamwero hwapedyo hypouricemia. Zvarakanga pamwero - pamwe kunonyanyisa indekisi vakadzi 360 microns / L, varume zviri 400 m / l. The nekumwisa zviratidzo izvi zvinoda kujekeswa kuti causal zvinhu kuti kuguma hyperuricemia. Chii? Izvi zvinoguma ndiye paumbwe zvakawandisa uric asidhi uye renal basa, chikuru chiratidzo gout. Uyewo, izvi zvingave anoratidza pathological ezvinhu akadai rwekenza yelymphoma, neleukemia, kupererwa neropa kunokonzerwa nokushayiwa vhitamini B12, biliary turakiti chirwere, chiropa, itsvo, psoriasis, mabayo, gestosis, tibhii, chirwere cheshuga, chirwere eczema.

Mukutanga zvokukura kusagadzikana purine muviri hwapedyo cheitsvo, mberi kudenha gouty chearthritis uye zvimwe zviratidzo. Chokwadi kuti itsvo dziri yokutanga vaisanganisira mu muripo kwacho ane nekumwisa uric iine acid usage, kuwedzera kunowanzoitika excretion pamusoro urate, uye chinowedzera ngozi crystallization kuti munyu aya neitsvo. Inosimudzira excretion (yavaive) of uric asidhi ane zvikuvadze pamusoro tubules, interstitium kuti itsvo, kukurudzira budiriro zvirwere zvakadai hyperuricemia uye hyperuricosuria. The pathological wakare zvinokonzerwa zvakawedzera Kuwanda uric asidhi iri weti, izvo zviri kukonzerwa kutyorwa purine muviri nokuda kukodzera kudya akapfuma purine zvigadziko, mukuru-mapuroteni zvokudya, doro. Yechipiri inoratidza nokukanganisika Kuongororwa kweropa.

mhando hyperuricemia

Hyperuricemia iri nesekondari. Wokutanga kazhinji kunokonzerwa chikuru gout, mhuri uye masero abnormality kuti purine muviri (konstitutsialny dispurinizm). Maererano causal zvinhu rakakamurwa zvitatu mhando:

• metabolic mhando, nokuda kuwedzera endogenous kwetunhu purines uye kwamakanga kumhanya urikozurii uye wokunatswa zvoutachiona nyama uye muviri zvinwiwa (Clearance) uric asidhi;
• renal mhando, zvirwere zvinokonzerwa renal excretion pamusoro uric asidhi uye inozivikanwa pasi Clearance;
• zvakavhenganiswa mhando, ndicho mubatanidzwa ezvinhu okutanga umo uraturia nevabereki kana kwete kunyanyisa, uye pasi Clearance iri kuzochinja.

zviratidzo

Mumakore achangopfuura, kazhinji iri kosi yezvokurapa kuongororwa panguva ropa nokukanganisika kuongorora chirwere hyperuricemia. "Chii ichi?" - mubvunzo wokutanga akabvunza nevarwere, sezvo pasina zviratidzo chirwere haana cherechedzai. The chirwere zvechokwadi, kazhinji inopfuura inenge asymptomatically.

How hakukuvadzi unexpressed hyperuricemia kwakadaro, vane zviratidzo uye avo kuratidzwa mune kunyanya vasiri yakananga? In vana, pathological ezvinhu ichi inogona varehwa kupatira, abdominal marwadzo, usiku enuresis, logoneurosis, mba, kunyanya vangadikitira. Kazhinji vana vari kuyaruka vanoratidza zviratidzo hyperuricemia sezvo kufutisa, kurwadziwa lumbar nharaunda, kuvaviwa ari urethra, biliary dyskinesia kwakadaro. Pakazosvika kunotoda mufananidzo chinogona kubatanidzwa kudhaka uye asthenia. In vakuru, zvinonzi kuumbwa vachiri padanho chirwere kukura interstitial nephritis. Anokwanisa mutate kupinda pyelonephritis yechipiri mhando kubudikidza zvinoitwa noutachiona, nokusika wakakodzera mamiriro kuti paumbwe itsvo namabwe. Hazvishamisi, uye itsvo mabwe, kana nephrolithiasis. Hwaro paumbwe Urinary matombo vanofanira kucherechedza zvinotevera metabolic nepfungwa: kunatsiridza acidity kuti weti, hypercalciuria, hyperoxaluria, giperfosfaturiya, giperurikuriya uye hyperuricemia. Hyperuricemia kunowanzokonzerwa runowanzotaurwa nezvarwo pathologies siyana pamusoro zvomudumbu turakiti.

zvinokonzera njodzi

Chirwere kusimukira pamusoro pakanyorwa wakakurumidza inotungamirwa uric acid, kazhinji kunokonzerwa zvakadaro:

• kuitawo purine metabolic pezvakaitwa;
• Kuipa renal basa;
• mukuru zviri fructose mune zvokudya.

Zvinokonzera hyperuricemia

The chikuru zvinokonzera ichi vari Kunwa zvokudya, zvine purines, mafuta zvokudya. No zvishoma ngozi nzara uye kuparadzwa munyama, anomera nyanyisa. Kungawedzera kukura hyperuricemia zvirwere nhengo dzinobudisa ezvinhu, ropa.

mabatiro

The kuparara filtration zvivako uye kusagadzikana renal tubular anoitwa chikungiso afunge zvokurwara akadai hyperuricemia. Chii kuti hurumende, chinhu nhaka kana vawana? Vawana ezvinhu zvikuru mune vakwegura pamusana kuoma dzimwe nhengo dzomuviri mumwe renal midziyo. Hyperuricemia zvakare kazhinji kwomwedzi pathologies akadai kupererwa, chisingaperi eczema, acidosis, psoriasis, toxemia nepamuviri.

Installation chirwere "hyperuricemia" kurapwa anopiwa inobva vaigamuchira Data rabhoritari zvidzidzo uye zvimwe mamwe kuongorora. Its hwaro ndiro muviri kurapwa. Kubva murwere zvokudya zvokudya kunze zvokudya ine chinokosha yakawanda purine nomukaka, kana avo unoshandiswa substantially ipfupi. Medical kosi zvinosanganisira urikozodepressornye zvinodhaka, zvinodhaka uricosuric basa. Chinhu chinokosha kurapwa ichaongororwa kuva kubudirira kwakaita alkaline weti. Self-kurapwa nezvisingabvumwi, kunyange Kudya yakatanga pasi zano nomumwe, kuitira kudzivisa mumwe zvikuru matambudziko - gout.