Goutte na Hyperuricemia
Impeshyi ishyushye, barbecue yo mu mazi, ibinyobwa bikonje, icyuma gikonjesha gihumeka …… ntabwo ari "uburyo bwo kubaho", ariko mu gihe kirekire, irinde aside urique ikabije, igatera indwara ya goutte ikabije!
Gu Bingjie, umuganga mukuru wungirije w’ishami rishinzwe indwara za rubagimpande n’ubudahangarwa bw’umubiri mu bitaro bya mbere bya Nanjing, yavuze ko mu minsi mike ishize, abarwayi bagera kuri 20 bafite hyperuricemia na goutte babonwa buri munsi, 90% muri bo bakaba ari abagabo, kandi imyaka yo gutangira irushaho kuba mito.
None se goutte ibaho gute kandi kuki ikunze kugaragara ku bagabo?
Goutte ifitanye isano n'urugero rwa aside uric mu maraso
Goutte, indwara yo kubyimba iterwa no kwishyira kw'uturemangingo twa urate mu ngingo bitewe n'urugero rwinshi rwa aside uric, hamwe na hyperuricemia na goutte ni indwara zitandukanye.
Mu bihe bisanzwe, 90% bya aside urike bizongera kwinjiza mu mubiri, naho 10% bisigaye biva mu mubiri mu buryo bw'inkari, ibyuya n'amase kugira ngo urugero rwa aside urike mu mubiri rukomeze kuba rwiza. Ariko, iyo purine nyinshi ziriwe mu musaruro mwinshi wa aside urike, cyangwa se metabolisme ya aside urike idashobora gusohoka, uburinganire buragabanuka, bigatuma aside urike iguma mu maraso, kandi amaraso atembera mu bice byose by'umubiri, mu ngingo binyuze mu gutembera buhoro kw'amaraso, ubushyuhe buzagabanuka kugira ngo habeho urate crystals, bigatera ububabare bukomeye.
Mu bihe bisanzwe, 90% bya aside urike bizongera kwinjiza mu mubiri, naho 10% bisigaye biva mu mubiri mu buryo bw'inkari, ibyuya n'amase kugira ngo urugero rwa aside urike mu mubiri rukomeze kugira uburinganire. Ariko, iyo purine nyinshi ziriwe mu musaruro ukabije wa aside urike, cyangwa metabolisme ya aside urike idashobora gusohoka, uburinganire buragabanuka, bigatuma aside urike iguma mu maraso, kandi amaraso atembera mu bice byose by'umubiri, mu ngingo binyuze mu gutembera buhoro kw'amaraso, ubushyuhe buke, bizashyirwa mu mabuye ya urate, bigatera ububabare bukomeye.
Kuki indwara ya goutte "ikunda" abagabo by'umwihariko?
Byongeye kandi, ubushakashatsi bwagaragaje ko imisemburo, nk'ibintu by'ingenzi bigenzura imikorere y'umubiri, igira uruhare mu ikorwa n'isohoka rya aside urike, harimo imisemburo y'ibitsina, imisemburo ya adrenocorticotropic, imisemburo ya tiroyide, insuline, n'ibindi. Iyo sisitemu y'imisemburo idakora neza, imikorere y'iyi misemburo ishobora kugira ingaruka, bigatuma urugero rwa aside urike rwiyongera, ibyo bigatuma indwara ya goutte itera kwiyongera.
Hariho kandi itandukaniro ry’imiterere y’umubiri mu misemburo hagati y’abagabo n’abagore, aho androgens ziganje mu bagabo na estrogen mu bagore. Estrogen ishobora gutuma aside urike isohoka kandi ikabuza urate kwirema. Androgens zo zigabanya isohoka ry’aside urike mu mpyiko no kugabanya ubushobozi bwo gukora neza mu mpyiko, bigatuma aside urike izamuka mu mubiri, bityo zikihutisha ikorwa n’ishyirwa ry’uturemangingo twa aside urike. Amakuru agaragaza ko muri rusange, abagabo barenga 95% barwara goutte, abagore bakaba bari munsi ya 5% gusa, kandi igipimo cy’abagabo ku bagore kiri hafi ya 20:1.
Nigute nagabanya ibyago byo kurwara goutte?
Si ibyo gusa, kugaragara kwa goutte cyangwa hyperuricemia bifitanye isano rya bugufi n'imirire mibi n'imibereho myiza. Kubwibyo, kugira ngo ugabanye ibyago byo kurwara goutte, ushobora kuyirinda buri munsi ukora ibi bikurikira:
- Genzura umunwa wawe: Irinde kurya ibiryo byinshi bya purine, ushobora kurya ibiryo bya alkaline nyinshi kugira ngo wongere ubushobozi bwa aside urique mu nkari kandi wongere ingano ya aside urique isohoka.
- Nywa amazi menshi: Mu mpeshyi, umubiri w’umuntu ubira ibyuya byinshi, kandi iyo bitabaye ngombwa ko amazi anyura mu mubiri ku gihe, bituma amaraso yiyongera, kandi aside uric mu maraso nayo ikiyongera, bigatera goutte.
- Kugenzura ibiro: Umubyibuho ukabije si indwara y’imikorere y’umubiri gusa, ahubwo ni n’ikintu cyigenga gishobora gutera indwara ya hyperuricemia na goutte kuko uturemangingo tw’ibinure dusohora purine nyinshi, ibyo bigatuma urugero rwa aside urique rurushaho kwiyongera.
- Kwimura amaguru yawe: Ubushakashatsi bwo mu mahanga bwagaragaje ko gukora imyitozo ngororamubiri ya buri munsi ikoresheje imbaraga nke (nk'amaguru, kwiruka, koga, nibindi) mu gihe cy'iminota 30 kugeza kuri 60, inshuro 4 kugeza kuri 5 mu cyumweru, bishobora kugabanya indwara ya goutte.
Ubushakashatsi bwerekana ko urumuri rutukura rushobora kugabanya ibimenyetso bya Goutte
Uretse kugira ubuzima bwiza, mu gihe cyo kuvura indwara ya goutte, ingingo zibyimba, n'ububabare biba ikibazo cy'ingenzi cy'umurwayi, hari inyandiko nyinshi za siyansi zigaragaza ko abarwayi ba goutte mu kuvura urumuri rutukura bashobora kunoza imikorere y'imibiri y'umubiri, kwihutisha gukira kw'imitsi yangiritse, no kugabanya igihe cyo kubyimba n'ububabare kugira ngo bagabanye ububabare bw'umubiri n'ubwo mu mutwe bw'umurwayi, no guteza imbere inzira yo gukira, kandi mu bushakashatsi buherutse gukorwa bwagaragaje ko 88% by'abarwayi ba goutte nyuma yo kuvurwa urumuri rutukura ububabare bwarushijeho kuba bwiza, ndetse banagera ku ngaruka zo kugabanya ububabare burundu. Mu bushakashatsi buherutse gukorwa, byagaragaye ko 88% by'abarwayi ba goutte bagize iterambere rigaragara mu kubabara nyuma yo kuvurwa urumuri rutukura, ndetse banagera ku ngaruka zo kugabanya ububabare burundu.
Isuzuma ryinshi ry’ubuvuzi ryagaragaje kandi ko urumuri rutukura rushobora kwinjiza umubiri no kwinjira cyane, bishobora gutera imbaraga ikura ry’imitsi yangiritse, bityo ikorwa ry’imitsi ya myelin sheaths ryihutisha gusana no kongera kuvugurura imitsi yangiritse, icyarimwe, imirasire y’urumuri rutukura ishobora gutuma igice cya pentazocine kiri mu gace k’umubiri kigabanutse, bityo bigatuma habaho uruhare mu kugabanya ububabare, ibyo bikaba byiza mu kugabanya ububabare.
Inzu y’ubuzima ya MERICAN ishingiye ku buvuzi bw’urumuri rutukura ihuza uburebure butandukanye bw’urumuri kugira ngo igire ingaruka ku ruhu rw’umubiri wose, zishobora kunoza imikorere y’imibiri y’umubiri n’imirire, zikongera ubushobozi bwo kugabanya ububabare no kugabanya imitsi, kandi zikabuza neza igaragara rya cytokines ziterwa n’ububabare, ibyo bikaba byorohereza kwinjiza ibibyimba mu mubiri, bigagabanya ububabare bw’ingingo z’umurwayi, bigagabanya aside uric mu maraso, kandi bigatera imbere ku kunoza ibimenyetso by’uburwayi no kuvugurura ingingo.
Muri iki gihe, goutte yabaye "iya kane mu zindi" nyuma ya diyabete, umuvuduko ukabije w'amaraso na hyperlipidemia. Ishingiye ku buzima bwa siyansi n'ubuzima bwiza, hiyongereyeho uburyo bwo kuvura indwara y'urumuri rutukura, ishobora kugabanya ibimenyetso bibabaza bityo igatuma umuntu akira neza.