He aha te Taumata Waikawa Uric Nui? Ngā Tohu, Ngā Take, me te Whakamaimoa i te Kāinga

Ko te taumata waikawa uric nui, e kiia ana ko te hyperuricemia, ka puta i te wa e nui rawa ana te waikawa uric i roto i te toto o tō tinana. Ko te waikawa uric he hua para tūturu e hangaia ana e tō tinana i te wa e pakaru ana ngā matū e kiia ana ko te purines, e kitea ana i roto i ētahi kai, ā, ka hangaia hoki e ō pūtau.

I te wā e pai ana ngā mea katoa, ka tātarihia e ō tākihi te nuinga o te waikawa uric, ka whakakorea e koe mā te mimi. Engari i ētahi wā ka pōuri tēnei pūnaha, karekau rānei e pai ana te mahi, ka puta he kohikohi ka raru i te wā.

He aha te Taumata Waikawa Uric Nui?

Ko te taumata waikawa uric nui te tikanga he nui ake i te 6.8 milligrams o te waikawa uric mō ia deciliter o te toto. He ahua hangarau pea tēnei ine, engari whakaarohia he pūnaha horoi o tō tinana e pōuri ana.

Ka tirohia e tō tākuta tō waikawa uric mā te whakamātautau toto noa. Ko ngā taumata noa kei waenga i te 3.4 ki te 7.0 mg/dL mō ngā tāne me te 2.4 ki te 6.0 mg/dL mō ngā wāhine, ahakoa ka rerekē ēnei awhe i waenga i ngā taiwhanga.

Ko te āhua tonu karekau e puta ngā tohu i te wā tonu. He maha ngā tāngata ka kitea he nui te waikawa uric i te wā o te mahi toto, he mea pai tēnei nā te mea ka whai wā koe ki te whakatika i mua i te puta o ngā raruraru.

He Pēhea te Ōrite o te Taumata Waikawa Uric Nui?

I te nuinga o te wā, karekau te waikawa uric nui e puta he tohu ka rongo koe. Koinei te take e kī ana ngā tākuta he āhua “puku” tēnei e puta ana mā ngā whakamātautau toto.

Heoi, i te wā e noho tiketike ana ngā taumata waikawa uric mō te wā roa, ka tīmata pea koe ki te wheako i ngā tohu kāore i te tika. Anei te mea ka kitea e koe mēnā ka tīmata te puta o ngā raruraru:

• Te mamae ohorere, kaha i roto i ngā hononga (nui atu i tō matimati nui, rekereke, pūhipuhi rānei)
• Te pūhi me te whero huri noa i ngā hononga e pā ana
• Ngā hononga e mahana ana ki te pā
• Te mārō, inā koa i te ata
• Ngā kōhatu tākihi e pā ana ki te mamae o te tuara, o te taha rānei
• Ngā huringa i ngā tauira mimi

Ko ēnei tohumate te tikanga ka puta mai i te wā e tīmata ana ngā tioata waikawa uric ki te hanga i roto i ō hononga, i ō tākihi rānei. Ko te rongo pai, ko te hopu wawe i te waikawa uric tiketike te tikanga ka taea e koe te ārai i ēnei tohumate e kore e pai ake te whanake.

He aha ngā take o te taumata waikawa uric tiketike?

Ka puta te waikawa uric tiketike i te wā e hanga ana tō tinana i te nui rawa o te waikawa uric, e kore rānei e whakakore i te waikawa uric i te pai. Whakaarohia me he pūhi e tere rawa ana te whakaki, e puhoi rānei te whakaheke.

He maha ngā āhuatanga o ia rā ka whai wāhi ki tēnei kore taurite, ā, mā te māramatanga ki a rātou ka āwhina i a koe ki te mārama ki ō hua:

• Te kai i ngā kai e nui ana te purines (mīti whero, mīti okana, ētahi momo kai moana, pia)
• Te inu waipiro nui rawa, inā koa te pia me ngā wairua
• Te kai i te nui o ngā inu huka me te tirikara kānga fructose tiketike
• Te taumaha nui, te momomo rānei
• Te tango i ētahi rongoā (ngā rongoā whakaheke wai, aspirin, ētahi rongoā toto tiketike)
• Te mate huka, te aukati rānei i te insulin
• Ngā raruraru tākihi e pā ana ki te pai o te tātari o te para
• Te whakawairangi, te kore rānei e inu wai nui

Ko ētahi take kāore i te pūnoa engari he mea nui ko ngā āhuatanga ira e pā ana ki te āhua o te tukatuka o tō tinana i te waikawa uric, ētahi momo āhuatanga hauora pēnei i te psoriasis, me te whakaheke taumaha tere e tuku ana i te purines mai i te pakaru o te kiko.

He aha te tohu, te tohumate rānei o te taumata waikawa uric tiketike?

Ka taea e te waikawa uric tiketike te tohu i ētahi āhuatanga hauora e pā ana ki te āhua o te tukatuka o tō tinana i te para, i te pupuri rānei i te taurite. Mā te māramatanga ki ēnei hononga ka āwhina i a koe ki te kite i te pikitia nui ake o tō hauora.

Ko ngā āhuatanga e pā ana ki te waikawa uric tiketike ko:

• Te mate rūmātiki (he momo rūmātiki nā te kiripaka waikawa uric)
• Te mate tākihi, te ngoikore rānei o te mahi tākihi
• Te mate pūkoro (he rōpū āhuatanga tae atu ki te pēhanga toto tiketike me te mate huka)
• Te pēhanga toto tiketike (te pēhanga toto tiketike)
• Te mate huka momo 2
• Te mate ngākau
• Te momomo

I ētahi wā onge, ka tohu pea te waikawa uric tiketike i ngā āhuatanga pēnei i ētahi mate pukupuku toto (teukemia, lymphoma), te psoriasis kaha, ngā mate ira rānei e pā ana ki te āhua o te tinana e wawahi ana i ngā purines.

He mea nui kia mahara, ko te whai waikawa uric tiketike, kāore i te kī he āhuatanga ēnei kei a koe. Ka titiro tō tākuta ki tō hauora katoa kia mārama ki te aha e pā ana ki a koe.

Ka ngaro noa te taumata waikawa uric tiketike?

He uaua te ngaro noa o ngā taumata waikawa uric tiketike me te kore e huri i tō oranga, i tō kai rānei. Heoi, ko te rongo pai, he nui te mana e pā ana ki ō taumata waikawa uric mā ngā whiringa e mahia ana e koe ia rā.

Mēnā nā ngā āhuatanga rangitahi pēnei i te kore wai, he kai purine tiketike i ngā wā tata, ētahi rongoā rānei te take o tō waikawa uric tiketike, ka pai ake pea ō taumata i te wā e whakatikaina ana ēnei āhuatanga. Engari ki te kore e whakatikaina ngā take o raro pēnei i ngā tauira kai, te taumaha, ngā āhuatanga rānei o te hauora, ka noho tiketike tonu ngā taumata.

Ko te wāhanga whakahihiri, ahakoa ngā huringa iti ka whai pānga nui. He tokomaha ngā tāngata e kite ana i te pai ake o ō rātou taumata waikawa uric i roto i ngā wiki torutoru ki te marama torutoru i muri i te whakatikatika i te kai, te noho wai pai ake, me te whakahaere i tō rātou taumaha.

Me pēhea te rongoā i te taumata waikawa uric tiketike i te kāinga?

Ka taea e koe te mahi i ētahi mahi whai hua i te kāinga hei āwhina i te whakaheke i ō taumata waikawa uric i te āhua tūturu. Ko ēnei huarahi te pai rawa atu ina he rite tonu koe, he manawanui hoki, nā te mea ka roa pea ngā wiki e kitea ai ngā huringa i roto i ngā whakamātautau toto.

Anei nga rautaki kaainga whai hua e kitea ana e te nuinga o nga tangata he ngawari:

• Inu wai nui puta noa i te ra (kia 8-10 karaihe)
• Whakaiti, karohia ranei te waipiro, ina koa te pia me nga wairua
• Whakaitihia nga kai he nui te purines (mīti whero, mīti okana, hararei, anchovies)
• Whakaitihia nga inu huka me nga kai he nui te tirikara kānga fructose
• Kai atu i nga hua miraka iti-ngako, tera pea ka awhina i te whakaheke i te waikawa uric
• Whakauruhia nga herewi, te wai herewi ranei ki roto i to kai (e kii ana nga rangahau tera pea ka awhina)
• Kia mau ki te taumaha hauora ma te huri haere, te huringa pumau
• Kia kaha tinana ma te korikori tinana i nga wa katoa, ngawari

Kia mahara ko nga huringa haere he nui ake te pumau i nga mea nui. Me timata me te kotahi, e rua ranei nga whakatikatika ka hanga mai i reira i te wa e noho ana hei tikanga.

He aha te rongoa rongoa mo te taumata waikawa uric tiketike?

Ko te rongoa rongoa mo te waikawa uric tiketike te nuinga e aro ana ki nga rongoa e awhina ana i to tinana ki te whakakore i te waikawa uric kia pai ake, ki te whakaiti ranei i te nui o te hanga o to tinana. Ka whiriwhiria e to taakuta te huarahi pai rawa atu i runga i to ahuatanga motuhake me etahi atu mea hauora.

Ko nga momo rongoa matua ka whakaarohia e to taakuta ko:

• Allopurinol, febuxostat ranei (whakaiti i te hanga waikawa uric)
• Probenecid (ka awhina i nga whatukuhu ki te tango waikawa uric kia pai ake)
• Colchicine (ka aukati i nga whakaeke gout i te wa e rongoatia ana)
• Nga rongoa hei whakahaere i nga ahuatanga e pa ana penei i te toto toto tiketike, te mate huka ranei

Ko te tikanga ka timata to taakuta me nga huringa oranga i te tuatahi, ina koa karekau o taumata i te tino tiketike. He mea nui ake nga rongoa mena kua pa ki a koe nga whakaeke gout, he kohatu whatukuhu ranei, mena karekau nga huringa oranga anake e whakaheke ana i o taumata.

He pai te nuinga o nga tangata ki te rongoa, a he maha nga tangata e kite ana ko te whakakotahi i nga rongoa me nga huringa oranga ka pai ake nga hua mo te wa roa.

Āhea au e kite ai i te tākuta mō te taumata waikawa uric tiketike?

Me tino kite koe i te tākuta ki te mea kua kī mai koe he tiketike ō taumata waikawa uric, ahakoa kāore anō koe i te pōro. Mā te aro wawe ka āwhina i te aukati i ngā raruraru nui ake i te heke mai.

He mea nui kia rapu i te manaakitanga hauora ki te pōro koe i ētahi o ēnei tohumate:

• Te mamae tahi ohorere, kaha e puta wawe ana
• Ngā tahi e pupuhi ana, e whero ana, e mahana ana ki te pā
• Te mamae tuarā, taha rānei e kaha ana, e tohu ana pea i ngā kōhatu tākihi
• Ngā huringa i te mimi, te toto rānei i roto i tō mimi
• Ngā wā o te mamae tahi e hoki mai ana
• Ngā tohumate e raru ana i āu mahi o ia rā

Ahakoa kāore he tohumate, he mea nui ngā arowhai auau ki te mea he āhuatanga tūpono ō koe pēnei i te hītori whānau o te kauti, te mate tākihi, ētahi atu āhuatanga e pā ana rānei. Ka āwhina tō tākuta i a koe ki te waihanga i tētahi mahere hei whakahaere i ō taumata waikawa uric i mua i te puta o ngā raruraru.

He aha ngā āhuatanga tūpono mō te whanaketanga o te taumata waikawa uric tiketike?

He maha ngā āhuatanga ka whakanui i ō tūponotanga ki te whanake i ngā taumata waikawa uric tiketike. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe ki te whai i ngā mahi ārai me te mōhio ki te wā hei aro nui atu ki ō taumata.

Ko ētahi āhuatanga tūpono ka taea e koe te whai pānga ko:

• Te kai kai nui i te mīti whero, te mīti okana, me ētahi momo kai moana
• Te inu waipiro auau, inā koa te pia
• Te taumaha rawa, te momomo rānei
• Te inu i te nui o ngā inu huka
• Te noho noho noa
• Te maroke tinana tonu

Ko ētahi atu āhuatanga tūpono he uaua ki te whakahaere ko:

• Te tane (he nui ake te tūponotanga o ngā tāne ki te whai waikawa uric tiketike)
• Te pakeke (ka piki te tūponotanga i te wā e pakeke haere ana koe)
• He hītori whānau mō te mate kōpū, mō ngā raruraru tākihi rānei
• Te whai i ētahi āhuatanga hauora pērā i te mate huka, te mate tākihi rānei
• Te tango rongoā motuhake pērā i te diuretics, te aspirin iti rānei
• Ngā āhuatanga ira e pā ana ki te āhua o tō tinana e tukatuka ana i te waikawa uric

Ko te whai i ēnei āhuatanga tūpono, kāore i te kī me whanake koe i te waikawa uric tiketike, engari e whakaatu ana he mea tika kia aro ki ō taumata, me te whiriwhiri i ngā whiringa hauora i te wā e taea ana.

He aha ngā raruraru ka puta mai i te taumata waikawa uric tiketike?

Inā ka mau tonu ngā taumata waikawa uric tiketike i te wā, ka puta mai ētahi raruraru e pā ana ki tō kounga o te oranga. Ko te rongo pai, ko te nuinga o ēnei raruraru ka taea te ārai mā te whakahaere tika.

Ko ngā raruraru tino noa ko:

• Ngā whakaekenga kōpū me te mamae tahi nui, me te pūhihi
• Ngā kōhatu tākihi ka puta te mamae nui
• Te mate tākihi mau tonu mai i te kino i te wā roa
• Te kino tahi me te kōpiko mai i ngā whakaekenga kōpū e mau ana
• Tophi (ngā putunga o ngā tioata waikawa uric i raro i te kiri)

Ko ngā raruraru kāore i te noa, engari he nui ake te kino ko:

• Te korenga o te mahi tākihi e hiahia ana ki te dialysis
• Ngā raruraru ngākau e pā ana ki te mumura mau tonu
• Te kino tahi tūturu e whakawhāiti ana i te nekeneke
• Te mamae mau tonu e pā ana ki ngā mahi o ia rā

Ko ēnei raruraru ka whanake i roto i ngā marama ki ngā tau, kāore i te pō. E hoatu ana tēnei i te wā ki a koe ki te mahi tahi me tō rōpū hauora ki te ārai i a rātou mā te rongoā tika me te whakahaere i te oranga.

He aha te mea ka taea te pōhēhē ki te taumata waikawa uric tiketike?

Ko ngā taumata waikawa uric tiketike ake nei ka tātaritia mā ngā whakamātautau toto, nō reira kāore he pōhēhē mō ngā tau. Heoi, ko ngā tohu ka puta mai i te waikawa uric tiketike ka pōhēhētia mō ētahi atu āhuatanga.

Ko ngā whakaeke o te mate kōpiko, e puta mai ana i te waikawa uric nui, i ētahi wā ka pōhēhēhia ki:

• Ētahi atu momo o te rūmātiki pēnei i te rūmātiki rūmātiki
• Ngā mate tahi ā-pūtaiao
• Te mumura tahi e pā ana ki te wharanga
• Bursitis, tendonitis rānei
• Cellulitis (mate kiri) ka whero, ka pōhēhē te tahi

Ko ngā kōhatu tākihi mai i te waikawa uric nui ka pōhēhēhia ki:

• Te tōrino uaua, te wharanga rānei o te tuara
• Ngā mate tākihi
• Appendicitis (mehemea kei te taha matau te mamae)
• Ētahi atu momo kōhatu tākihi

Koinei te take he mea nui kia kite i tētahi kaiwhakarato hauora mō te tātaritanga tika, kaua e ngana ki te tātaritanga whaiaro i runga i ngā tohumate anake. Ka taea e ngā whakamātautau toto te whakamārama tere mēnā kei te whai wāhi te waikawa uric nui.

Ngā Pātai Auau mō te Taumata Waikawa Uric Nui

Q.1: Ka taea tonu e au te kai i te mīti mēnā he waikawa uric nui taku?

Āe, ka taea tonu e koe te kai i te mīti, engari me whiriwhiri koe i ngā momo me ngā rahinga. Arā, me arotahi ki ngā wāhanga hiroki o te heihei me te ika, kaua ki te mīti whero, me te whakaaro ki ngā wāhanga iti. Ko ngā mīti okana pēnei i te ate me ngā tākihi he pai kia karohia nā te mea he nui rawa ngā purine.

Q.2: Kia pehea te tere ka taea e au te whakaheke i ōku taumata waikawa uric?

Mā te huri i te oranga i ngā wā katoa, ka tīmata pea koe ki te kite i ngā whakapainga i roto i te 2-6 wiki, ahakoa ka roa pea te 2-3 marama kia kite i ngā huringa nui. Mēnā kei te tango rongoā koe, ka puta ngā whakapainga i te tere ake, i ētahi wā i roto i ngā wiki ruarua.

Q.3: He mōrearea tonu te waikawa uric nui?

Kāore te waikawa uric nui i te mōrearea tonu, engari ka taea te arahi ki ngā raruraru mēnā ka waiho kia kore e rongoatia i roto i te wā. He maha ngā tāngata e noho ana me ngā taumata paku teitei me te kore he raruraru nui, ina koa ka whakahaerehia e rātou mā ngā huringa oranga me te aroturuki i ngā wā katoa.

Q.4: Ka taea e te ahotea te pā ki ngā taumata waikawa uric nui?

Kāore te pēhanga e whakatōpū tika ana i te waikawa uric tiketike, engari ka whai wāhi mai i te ara. Ka ārahi pea te pēhanga ki ngā whiringa kai kino, te kore wai, ētahi atu āhuatanga oranga rānei e pā ana ki ngā taumata waikawa uric. He pai tonu te whakahaere i te pēhanga mā ngā rautaki whakatika hauora mō te hauora whānui.

Q.5: Me karo au i te waipiro katoa me te waikawa uric tiketike?

Kāore koe e tika ana kia karo i te waipiro katoa, engari he mea nui te āhua. Ko te pia me ngā wairua e piki ake ana i ngā taumata waikawa uric atu i te wāina. Ki te whiriwhiri koe ki te inu, whakawhāitihia koe ki ngā wāhanga iti i ia wā, me te whakarite kia pai te wai o tō tinana.