Te Kauti me te Hyperuricemia
Ko te raumati wera, te tunu kai moana, ngā inu matao hukapapa, te hauhautanga pupuhi …… ehara i te “paerewa oranga” tōu, engari mō te wā roa, kia tūpato kei teitei rawa te waikawa uric, ka puta ai ngā whakaekenga kauti whakapeka!
I kī a Gu Bingjie, te tākuta matua tuarua o te tari rheumatology me te immunology o te Hōhipera Tuatahi o Nanjing, mō ngā rā kua taha ake nei, tata ki te 20 ngā tūroro e pāngia ana e te hyperuricemia me te kauti e kitea ana i ia rā, 90% o ēnei he tāne, ā, kei te rangatahi haere te pakeke o te tīmatanga.
Nā, me pēhea te puta mai o te kauti, ā, he aha i nui ake ai te kitea i roto i ngā tāne?
He hononga te kauti ki ngā taumata waikawa uric i roto i te toto
Ko te kauti, he mate mumura e puta mai ana i te whakatakotoranga o ngā tioata urate i roto i ngā hononga nā te nui o te waikawa uric, me te hyperuricemia me te kauti he rerekē ngā āhua o te mate kotahi.
I raro i ngā āhuatanga noa, ka mimitihia anō te 90% o te waikawa uric e te tinana, ā, ko te 10% e toe ana ka tukuna atu i te tinana mā te mimi, te werawera, me te paru kia mau tonu ai te taurite o te taumata waikawa uric o te tinana. Heoi, ki te nui rawa ngā purine e kainga ana hei take o te nui rawa o te waikawa uric, ki te kore rānei e taea te tuku i te pākia o te waikawa uric, ka pakaru te taurite, ka mau tonu te waikawa uric i roto i te toto, ā, i te rere o te toto i ngā wāhanga katoa o te tinana, i roto i ngā hononga mā te rere puhoi o te toto, ka heke te pāmahana hei hanga i ngā tioata urate, ka puta he tauhohenga mumura, ka puta he mamae nui.
I raro i ngā āhuatanga noa, ka mimitihia anō te 90% o te waikawa uric e te tinana, ā, ko te 10% e toe ana ka tukuna atu i te tinana mā te mimi, te werawera, me te paru kia mau tonu ai te taurite o te taumata waikawa uric o te tinana. Heoi, ki te nui rawa ngā purine e kainga ana, ka nui rawa te putanga o te waikawa uric, ki te kore rānei e taea te tuku i te pākia o te waikawa uric, ka pakaru te taurite, ka mau tonu te waikawa uric i roto i te toto, ā, i te rere o te toto i ngā wāhanga katoa o te tinana, ka puhoi te rere o te toto i roto i ngā hononga, ka heke te pāmahana, ka waiho hei tioata urate, ka puta he tauhohenga mumura, ka mamae nui.
He aha te take e "pārekareka" ai te mate kauti ki ngā tāne?
Hei tāpiritanga, kua whakaatuhia e ngā rangahau he mahi nui ngā homoni, hei kaiwhakahaere matūkai nui, ki te whakaputa me te tukunga atu o te waikawa uric, tae atu ki ngā homoni ira tangata, te homoni adrenocorticotropic, te homoni tairoi, te insulin, me ētahi atu. Ina kore e pai te whakahaere o te pūnaha endocrine, ka pāngia pea te tukunga, te mahi rānei o ēnei homoni, ka piki ake te taumata o te waikawa uric, ka puta ai te mate kauti.
He rerekētanga ā-tinana anō hoki ngā taumata homoni i waenga i ngā tāne me ngā wāhine, ko ngā androgen te mea nui i roto i ngā tāne, ā, ko ngā estrogen i roto i ngā wāhine. Ka taea e te estrogen te whakatairanga i te tukunga o te waikawa uric, me te aukati hoki i te hanganga o te urate. Ko ngā androgen, i tētahi atu taha, ka aukati i te tukunga o te waikawa uric i roto i ngā whatukuhu, ka whakaiti i te pai o te pākia o te whatukuhu, ka piki ake te taumata o te waikawa uric i roto i te tinana, ā, ka tere ake te hanganga me te whakatakotoranga o ngā tioata waikawa uric. E whakaatu ana ngā raraunga i roto i te taupori whānui, neke atu i te 95% o te kauti ka puta i roto i ngā tāne, ko te auau i roto i ngā wāhine he iti iho i te 5%, ā, ko te ōwehenga o ngā tāne ki ngā wāhine he tata ki te 20:1.
Me pēhea taku whakaiti i te mōrearea o te mate kauti?
Ehara i te mea koinā anake, ko te putanga mai o te kauti, te hyperuricemia rānei, he hononga tata anō hoki ki te kai kino me ngā tikanga noho. Nō reira, hei whakaiti i te mōrearea o te kauti, ka taea e koe te ārai i ia rā mā te mahi i ēnei e whai ake nei:
- Whakahaerehia tō waha: Kaua e kai i ngā kai purine nui, engari me kai i ngā kai kawakore hei whakapai ake i te wairewatanga o te waikawa uric i roto i te mimi, me te whakanui ake i te nui o te waikawa uric e tukuna ana.
- Inumia he wai: I te raumati, he nui te werawera o te tinana o te tangata, ā, ki te kore e waia i te wā tika, ka tere te kukū o te toto, ā, ka piki ake hoki te kukū o te waikawa uric i roto i te toto, ka puta te kauti.
- Te Whakahaere Taumaha: Ehara i te mea he mate pākia noa te momona, engari he take mōrearea motuhake hoki mō te whanaketanga o te hyperuricemia me te kauti nā te mea he nui ake ngā purine e tukuna ana e ngā pūtau ngako, ka piki ake ai ngā taumata waikawa uric.
- Nekehia ō waewae: Kua whakaatuhia e ngā rangahau o tāwāhi ka taea e te whakakori tinana ngoikore o ia rā (pēnei i te hikoi tere, te oma tere, te kaukau, me ētahi atu) mō te 30 ki te 60 meneti, 4 ki te 5 ngā wā i te wiki, te whakaiti i te mate kauti.
E whakaatu ana te Rangahau ka taea e te Rama Whero te whakamamae i ngā tohumate o te kauti
Haunga te pupuri i te oranga hauora, i roto i te tukanga haumanu o te rongoā kauti, ko ngā hononga pupuhi, me te mamae te raruraru matua o te tūroro, he maha ngā tuhinga pūtaiao e tohu ana ka taea e ngā tūroro kauti i roto i te maimoatanga rama whero te whakapai ake i te pākia o te kiko, te tere ake te whakaora i ngā io kua pakaru, me te whakapoto i te wā pupuhi me te mamae hei whakaiti i te mamae tinana me te hinengaro o te tūroro, me te whakatairanga i te tukanga whakaora, ā, i roto i tētahi rangahau haumanu tata nei i whakaatuhia ko te 88% o ngā tūroro kauti i muri i te maimoatanga rama whero kua tino pai ake te mamae, ā, kua tutuki te pānga o te whakamamae katoa i te mamae. I roto i tētahi rangahau haumanu tata nei, i whakaatuhia ko te 88% o ngā tūroro kauti i tino pai ake te mamae i muri i te maimoatanga rama whero, ā, kua tutuki te pānga o te whakamamae katoa i te mamae.
He maha ngā manatoko haumanu i tohu hoki ka taea e te tinana te mimiti i te mārama whero, ā, ka kaha te uru, ka taea te whakaoho i te tipu o ngā axon io taha kua pakaru, kia tere ake ai te hanga o ngā pukupuku myelin io i te whakatikatika me te whakahoutanga o ngā io taha kua pakaru, i te wa ano, ka taea e te hihi mārama whero te whakaiti i te ihirangi pentazocine o te kiko rohe, ā, ka whai wāhi ki te mahi whakangāwari mamae, he mea pai hei whakaora i te mamae.
Ko te Whare Hauora o MERICAN e hangai ana ki te whakaora rama whero e whakakotahi ana i ngā momo roangaru motuhake o te rama hei whakaputa i ngā pānga koiora ki te kiri o te tinana katoa, ka taea te whakapai ake i te pākia o te kiko me te tūnga kai, te whakarei ake i te phagocytosis me te urunga o ngā oko toto, me te aukati i te whakaaturanga o ngā cytokine e pā ana ki te mamae, e whai hua ana ki te mimiti o ngā wai mumura, te whakamamae i te mamae o te hononga o te tūroro, te whakaiti i te taupū o te waikawa uric toto, me te whakatairanga i te whakapai ake i ngā tohu haumanu me te whakaora hononga.
I ēnei rā, kua riro te kauti hei "tuawhā o ngā mate teitei" i muri i te mate huka, te toto toto tiketike me te hyperlipidemia. I runga i te oranga pūtaiao me te oranga hauora, me te tāpiri atu ki te rongoā rama whero, tera pea ka taea e ia te whakamama i ngā tohu mamae, ā, ka whai hua ki te whakatairanga i te tukanga whakaora.