Pūrine me te Waikawa Ūrika: Tāna Tūranga i te Tinana me te Hiranga mō te Hauora

He pūhui matū ngā pūrin e kitea ana i roto i ngā kai maha e kainga nuitia ana i te ao o ia rā. He nui rawa ngā pūrin i roto i ngā kai moana, ngā momo mīti, ētahi huawhenua pērā i te pānati, te tī, te kawhe me ngā inu rewena. Ka puta te pūrin ki te tinana i te wā e pakaru ana ngā pūtau, e wera ana rānei ngā kai, ā, ka huri hei waikawa uriki i te mutunga o te tukanga matū o te tinana.

He aha te Waikawa Uriki, ā, Me Pēhea te Puta ki te Tinana?

Ko te waikawa uriki te tino para ka puta i te wā e pakaru ana ngā pūrin i roto i te tinana. Ka nui te huringa nei e mahia ana e te ate, ā, ko ētahi wāhanga iti ka puta ki ētahi atu whekau. Ko te nuinga o te waikawa uriki i roto i te tinana ka tukuna mā ngā tākihi ki te mimi, ā, ko tētahi wāhanga ka tukuna mā te puku ki te tuutae. Ka rerekē te nui o te whakaputa me te tuku atu o te waikawa uriki i ia tangata; ko te pakeke, te ira tangata me te āhua noho ētahi o ngā take ka awe. I te nuinga o te wā, ko te taumata waikawa uriki i ngā pakeke he 5 mg/dL mō ngā tāne, ā, tata ki te 4.1 mg/dL mō ngā wāhine. Heoi, ka rerekē ēnei uara i runga i te āhua hauora, i ngā whanonga rānei o te tangata.

Mēnā ka nui rawa te kai i ngā kai whai pūrin, ka piki ake te nui o te waikawa uriki me tuku atu. Me noho taurite te whakaputa me te tuku atu o te waikawa uriki. Engari, mēnā ka nui rawa te whakaputa, kāore rānei e ea te tuku atu, ka piki ake (hyperuricemia) ka heke rānei (hypouricemia) te taumata waikawa uriki i roto i te toto.

Te Pikinga o te Waikawa Uriki (Hyperuricemia) me Ōna Take

Ki te piki ake te taumata waikawa uriki i roto i te toto ki runga ake i ngā paerewa, ka kīia ko te hyperuricemia. Ka puta tēnei ahuatanga nā te kore e ea te tuku atu i te waikawa uriki mā te mimi, nā ngā raruraru i te tukanga pūrin, nā te kai nui i ngā pūrin rānei. Ki te nui rawa te waikawa uriki i roto i te toto, ka hangaia ngā kōata i ngā hononga, ka puta te mate gut, ā, ka kohikohi ki ngā tākihi, ka raru pērā i te kōhatu tākihi. Mēnā kāore e rongoāhia ēnei āhuatanga, ka piki te mōrearea o te whara tākihi me te ngoikore tākihi mauroa.

Ko ētahi o ngā take pea o te pikinga waikawa uriki ko te āhua tuku iho, ngā mate tākihi, te mate huka, te momona, te ngoikore manawa, ētahi mate toto pērā i te anemia me te inu waipiro nui. Waihoki, ko te whakamahi rongoā whakatere mimi (diuretics), ētahi rongoā whakaiti i te ārai ārai mate, te ngoikore o te repe thyroid (hypothyroidism), ētahi mate pukupuku me ōna rongoā ka piki ai te taumata waikawa uriki. Ko te ngaronga tere o te taumaha, ngā kai tino iti me te kore kai tika hoki he mōrearea pea.

Ngā Tohu o te Pikinga Waikawa Uriki

I te nuinga o te wā, kāore te pikinga waikawa uriki i roto i te toto e puta ai he tohu mārama. Engari, i ētahi tangata, ka puta ētahi tohu pērā i ngā āhua pērā i te rewharewha, me ēnei āhuatanga e whai ake nei:

• Te mamae me te tairongo i ngā hononga

• Te pupuhi, te whero rānei i ngā hononga, otirā i te ata

• Te hanga kōhatu tākihi me te heke o te mimi

• Te koretake o te manawa, te ngoikore, te ngenge

• Te pupuhi o ngā ringa me ngā waewae

• Te wera i te puku

• Te rangirua hinengaro (ki te kaha rawa te mate)

• Ngā whakaeke mārama, ohorere o te mate gut: Te mamae nui, te whero me te mahana i te matimati waewae nui

Me Pēhea te Kite i te Pikinga Waikawa Uriki?

Ka taea te ine i te taumata waikawa uriki mā te whakamātautau toto māmā. Ka mahia ēnei whakamātautau i te wā e arotakengia ana ngā mahi tākihi, e whakapaetia ana te mate gut, e rangahaua ana rānei te hanga kōhatu. I te nuinga o te wā, ki te neke atu i te 7 mg/dL mō ngā tāne, 6 mg/dL mō ngā wāhine, ka kīia he teitei. Heoi, ka rerekē pea ēnei paerewa i ia taiwhanga.

Me Pēhea te Whakahaere i te Pikinga Waikawa Uriki?

Mēnā ka kitea te pikinga waikawa uriki, ka rangahaua tuatahi te take matua. Ka tūtohuhia kia whakaitihia ngā kai whai pūrin, kia nui te inu wai, ā, mēnā e tika ana, kia whakahaerehia te taumaha. Mēnā ka whakaae te rata, ka taea te whakamahi rongoā whakaiti waikawa uriki, ētahi atu rongoā rānei. He mea nui hoki te whakahaere i ngā mate mauroa pērā i te mate tākihi, te mate huka, te ngoikore manawa me ērā atu.

He aha te Waikawa Uriki Iti (Hypouricemia)? Ka Kitea i Ēhea Āhuatanga?

Ki te heke iho te taumata waikawa uriki i roto i te toto ki raro iho i ngā paerewa, ka kīia ko te hypouricemia. I te nuinga o te wā, kāore te hypouricemia e puta ai he tohu mārama; he wāhanga noa iho o tētahi atu mate, ka kitea rānei i ngā whakamātautau auau. Ko ētahi o ngā take pea kei muri i tēnei āhuatanga ko ētahi mate ate pērā i te mate Wilson, ngā raruraru tākihi pērā i te Fanconi syndrome, ētahi mate roro pērā i te mate Parkinson, te multiple sclerosis, ngā mate pūnaha endocrine, ngā mate toto, te kore kai pūmua, pūrin rānei, ētahi rongoā me te Hapūtanga. I te hypouricemia, ko te rongoā matua ko te aro ki te mate matua kei muri.

He Aha Me Arohia Hei Oranga Hauora?

Hei pupuri i te taumata waikawa uriki ki roto i ngā paerewa hauora, me kai taurite, kanorau hoki, me whai mahi tinana, me nui te inu wai. Otirā, mō te hunga he raruraru tākihi, he mate gut, he pikinga waikawa uriki rānei, me aro ki ngā kai whai pūrin, me noho ki raro i te tirotiro a te rata. Mēnā ka puta he tohu, he whakapae rānei, me rapu tohutohu ki te mātanga.

Ngā Pātai Auau

1. He aha te waikawa uriki?

Ko te waikawa uriki he para ka puta i te wā e pakaru ana ngā matū e kīia nei he pūrin i roto i te tinana, ā, me tukuna atu i waho. I te nuinga o te wā, ka tukuna mā ngā tākihi me te puku.

2. He aha ngā kai ka piki ai te waikawa uriki?

Ko ngā mīti whero whai pūrin, ngā kai moana, ngā kai whē, ngā pūhā, ētahi huawhenua (hei tauira, te pānati), te waipiro, te tī me te kawhe ka taea te piki ake o te taumata waikawa uriki.

3. He aha ngā raruraru hauora ka puta i te waikawa uriki nui?

Ka taea e te waikawa uriki teitei te take i te mate gut, te kōhatu tākihi, te ngoikore o ngā mahi tākihi me ētahi āhuatanga mumura. Mēnā kāore e rongoāhia, ka puta pea ngā raruraru tākihi taumaha ake.

4. He aha te take e tonoa ai te whakamātautau waikawa uriki?

I te nuinga o te wā, ka mahia mō te whakapae mate gut, te hītori kōhatu tākihi, te mamae hononga kāore e mōhiotia te take, te arotake rānei i ngā mahi tākihi.

5. Ka puta tonu he tohu i te waikawa uriki teitei?

Kāo, i te nuinga o te wā, kāore te waikawa uriki teitei e puta ai he tohu mārama. Engari, ki te kaha rawa, ki te wā o ngā whakaeke, ka kitea pea te mamae me te pupuhi i ngā hononga.

6. Me pēhea te whakaiti i te waikawa uriki teitei?

Me karo i ngā kai whai pūrin, me nui te inu wai, me pupuri i te taumaha pai, ā, mēnā e tika ana, me whakamahi i ngā rongoā a te rata.

7. He aha te take ka iti ai te waikawa uriki?

I te nuinga o te wā, ko te waikawa uriki iti he tohu pea mō tētahi atu raruraru hauora. Ko ngā mate ate, tākihi rānei, ngā kai tino iti te pūmua, ētahi rongoā hoki ka taea tēnei.

8. He aha te hononga o te mate gut me te waikawa uriki?

Ko te mate gut he mate mumura e hua ake ana i te kohikohinga o ngā kōata waikawa uriki ki ngā hononga, ā, ka puta te mamae me te pupuhi. Ka kitea te mate nei i ngā whakaeke ohorere.

9. Me pēhea te pānga o te waikawa uriki teitei ki ngā tākihi?

Ka taea e ngā kōata waikawa uriki e kohikohi ana ki ngā tākihi te whakatere i te hanga kōhatu tākihi, ā, i te wā roa, ka ngoikore ngā mahi tākihi.

10. Ka taea te aroturuki i te taumata waikawa uriki i te kāinga?

Kāore e taea te whakamātautau waikawa uriki i te kāinga. Engari, mā ngā whakamātautau toto auau i ngā whare hauora ka taea te aroturuki.

11. Ka taea te whakahaere katoa i te waikawa uriki mā te kai?

He nui te awe o te kai ki te taumata waikawa uriki, engari i ētahi wā ka hiahiatia hoki te rongoā.

12. Me pēhea ngā tohu ka rapu rata ai au?

Mēnā ka puta te mamae hononga nui, te pupuhi ohorere, te kōhatu tākihi, te ngenge mauroa, te rangirua hinengaro, me rapu arotake hauora.

13. He aha te kai here pūrin?

Ko te kai here pūrin he mahere kai e whakaitihia ana ngā kai whai pūrin. Ko te whāinga kia noho taurite te taumata waikawa uriki.

14. Me pēhea te pānga o te waipiro ki te waikawa uriki?

Ka taea e te waipiro, otirā te pia, te piki ake o te pūrin me te waikawa uriki. He mea nui te whakaiti i te waipiro hei whakahaere i ngā taumata.

Ngā Rauemi

Te Rōpū Hauora o te Ao (WHO): Ngā Mate Kore Whakawhitinga - Gut

CDC - Ngā Pokapū mō te Ārai me te Whakahaere Mate: Gut

American Kidney Fund: Te Mārama ki te Kōhatu Tākihi me te Waikawa Uriki

Te Kāreti Amerikana mō te Rheumatology: Ngā Aratohu mō te Kouta

Ngā Whare Rangahau ā Motu (NIH): Ngā Mōhiohio mō te Whakamātautau Waipūhuka Uric