Iyiphi i-Purine futhi Kungani Kungadingeka Uyigweme
Ukudla okudlayo kungadlala indima enkulu ekuvameni nasekuqinekeni kwezimpawu zakho ze-gout. Isiphetho esiyinhloko yizinto eziphilayo ezibizwa ngokuthi i-purine etholakala ekudleni okuningi lapho, lapho i-oxidized, yenza i-uric acid edala ukuhlasela kwe-gout. Ngenkathi kungewona ukwelashwa, ukudla okunomsoco okunomsoco kunganciphisa ingozi yokuhlaselwa futhi kwanciphise ukuqhuma komonakalo wakho ohlangene.
Ukuqonda i-Purine
Sekungamakhulu eminyaka, igciwane liye lahlotshaniswa nokudla ngokweqile kokudla okucebile okunjengokudla kwezilwandle, inyama nokuphuza utshwala. Ngenxa yalokho, abantu babevame ukweluleka ukugwema zonke lezi zinto kuze kube yilapho izimpawu zixazululwa. Ngokutholakala kwe-purine ngo-1884, lo mkhuba wawuvunyelwe ngokwengeziwe, futhi abantu baxwayiswa njalo ngokudla ukudla okunye okunempilo okunjengezinhlanzi, imifino nezithelo.
Eminyakeni yamuva, ukuqonda kwethu mayelana nokuhlanganiswa kwe- uric acid kuye kwanda kakhulu, futhi okuningi kokudla okuye kwacatshangwa ukuthi kunemikhawulo ekhona namuhla kubonakala sengathi kuphephile ukusetshenziswa. Lezi zihlanganisa imifino ephezulu-purine efana ne-asparagus, isipinashi, i-peas, i-cauliflower nama-mushroom.
Izikhombisi-jikelele Zokudla
Njengomthetho, kungabandakanyi wonke amaqembu okudla okuvela ekudleni kwakho akukaze kube nomqondo omuhle. Uma udala ukudla kwakho kwe-gout, udinga ukuqinisekisa ukuthi ugcina ukudla okulinganiselayo kwamaprotheni, amafutha, kanye nama-carbohydrate umzimba wakho udinga ukusebenza kahle.
Kungakhathaliseki ukuthi une-gout noma cha, kufanele uhlose imigomo elandelayo echazwe yiNhlangano YeNqubomgomo Yezokudla Nokukhuthazwa eWashington, DC:
- Nciphisa ukudla kwakho kwamaprotheni nsuku zonke kusuka inyama enomzimba, izinhlanzi nezinkukhu kuya phakathi kwama-ounces amane kuya kwangu-6.
- Engeza amaprotheni ekudleni kwakho ngemikhiqizo yobisi ephansi ephansi (i-yogurt enjalo kanye nobisi obumhlophe) noma amanye amaprotheni angewona inyama.
- Yidla izithelo, imifino, kanye nezinhlamvu eziningi.
- Nciphise ukudla kwakho kwe-sodium, amafutha agcwele, noshukela owengeziwe.
- Ukuphuza okungenani izibuko zamanzi ayisishiyagalombili (noma cishe amagremu angama-half) ngosuku.
- Nciphisa ukudla kwakho kwe-caloric uma ukhuluphele noma ukhuluphele kakhulu.
Eziningi zalezi zinguquko zodwa zingasiza ukuthuthukisa izimpawu zakho ze- gout . Ukugcina i-hydrated kahle, isibonelo, kunciphisa ukuhlushwa kwe-uric acid egazini lakho. Ngokufanayo, ukunyuka koketshezi olunamafutha aphansi kuhlotshaniswa nokunciphisa amazinga e-uric acid, njengoba ukulahlekelwa isisindo ngokujwayelekile.
Ngokuqinisekisa ukudla okunempilo, okunempilo, usuvele usuhambe kahle ekuthuthukiseni izimpawu zakho ze-gout.
Yini Ongayidla
Iziqondiso zokudla ziye zashintsha ngokuhamba kwesikhathi mayelana nokuphathwa kwe-gout. Ubufakazi bamanje bubonisa ukuthi ukulandela ukudla kungaba yingxenye ebalulekile yokudla kwe-gout:
- Imifino, kuhlanganise nemifino ephezulu-purine
- Imikhiqizo yobisi ephansi kakhulu noma engekho fat
- I-Tofu (njengenye indlela yokudla amaprotheni)
- I-Salmon (enye yezinhlanzi ezinamafutha asuselwe njengenzuzo ekunciphiseni i-uric acid)
- Ukudla okunomsoco wenkomo yenkomo, idada, iwundlu, ingulube kanye nehhafu
- Ukudla okulinganiselwe kwe-crab, i-lobster, i-oysters, nama-shrimp
- Ukudla okulinganiselwe kwezithombo kanye nobhontshisi
- Ukudla okunomsoco we- carbohydrate , njengokwesinkwa sonke okusanhlamvu, irayisi ensundu, kanye ne-oatmeal
- Amajikijolo amnyama, ikakhulukazi ama-cherry
- Ikhofi (ngokulinganisela)
Ukudla nsuku zonke ama-milligram ama- vitamin C angama-500 kungasiza futhi ukunciphisa amazinga akho e-uric acid. Khuluma nodokotela wakho ukuze ubone ukuthi i-vitamin supplementation iyadingeka nokuthi ngabe ifanele yini ekudleni kwakho kanye nemithi yokwelapha.
Okungavumi Ukudla
Ucwaningo olwenziwa ngo-2012 oluvela eBoston University School of Medicine luhlolisise umthelela wokudla okwenziwe nge-purine kubantu abangu-633 abane-gout. Lokho abathola ukuthi ngisho nalapho usebenzisa imishanguzo ye-anti-gout , ukudla kwalokhu kudla kwakuhlotshaniswa nokunyuka okuphindwe kabili engozini yokuhlaselwa kwe-gout ephindaphindiwe.
Kuze kube sekugcineni, kukhona ukudla okunye okuzodingeka ukugweme uma uhlushwa yi-gout, kuhlanganise:
- Ubhiya nokuphuza utshwala
- Izinhlanzi ezinamafutha njenge-tuna, i-anchovies, i-sardine, i-smelt, i-herring, i-haddock, i-mackerel ne-fish roe
- I-Scallops nama-mussels
- Ukudla okunjenge-isibindi, ama-sweetbreads, nezinso
- Izinyoni zegeyimu, kufaka phakathi i-pheasant, i-partridge ne-grouse
- igalikuni
- Inkonyana edliwayo
- I-Bacon
- Venison
- Imvubelo ikhipha ukusakazwa okunjengeMarmite (isinkwa semvubelo sihle)
- Ukukhipha inyama, ukudlala, kanye nama-gravies
Ngenkathi utshwala ngokuvamile lubhekwa njengewu-cha kokudla kwe-gout, lesi sigwebo sisesekhona nokuthi iwayini liphinde yini ohlwini. Ngakho-ke, khuluma nodokotela wakho ukuthola ukuthi iwayini lingase lamukeleke yini ohlelweni lwakho lwezokwelapha.
Okunye okucatshangwayo
Ngaphandle kwe-purines, kuzodingeka ugweme noma unciphise ukudla kwakho okuphuza okuphezulu kwe-fructose nama-sodas okuvimbela ukuphuma kwe-uric acid emzimbeni. Nakuba abanye bathi ukusetshenziswa ngokweqile kwesithelo kungase kube yinkinga (ngoba nabo, banezinhlobo ze-fructose), abazibandakanyi noma kuphi eduze nengozi efanayo njengoba iziphuzo ze-fructose ezigxile kakhulu, ikakhulukazi lezo ezenziwe nge-syrup yesinkwa.
Izidlo ze-Ketogenic (i-carb ejwayelekile yokudla ehlose ukwelashwa kwesifo sofuba kodwa iphakanyiswe ukulahlekelwa isisindo) kufanele futhi igwenywe njengoba ikhubaza izinso 'zokukwazi ukukhipha uric acid. Lokhu kubangelwa ukuthi amathononi kanye nama-uric acids ahanjiswe ngendlela efanayo, kanti umncintiswano phakathi kwalabo ababili "ngokusekela" ukugeleza kwangaphandle kusuka ezinso.
Indlela Yokuhlela Ukudla Kwakho
Ukusebenza okuphi ukudla okuphephile ukuze ube yinkqubo yesilingo nesiphambeko. Ngenkathi abanye abantu, ngokwesibonelo, ngeke babe nenkinga yokudla inani elilinganiselwe lokudla okunomvu, abanye bangase bahlaselwe ukusizwa okuncane kuphela.
Ukuthola ibhalansi yakho elungile, sebenze nodokotela wakho noma isondlo sokudla okunomsoco ohlangene nokuphathwa kwe-gout. Abaningi bazokweluleka ukuba ugcine idayari yokudla ukuze ukwazi ukuqala ukukhomba ukuthi yini okubangelwa ukudla okukubeka engozini enkulu.
Uma uhlela ukunciphisa umzimba, gwema ukudla okuphazamiseka. Ngokulahlekelwa isisindo ngokushesha, usengozini yokukhulisa ukuhlushwa kwe-uric acid egazini lakho futhi kungaqeda ukuhlasela.
Njengazo zonke izinhlelo zokudla, indlela ehamba kancane futhi eqhubekayo ingcono empilweni yakho nento okuzokwazi ukugcina kangcono ngokuhamba kwesikhathi.
> Imithombo:
> Isikhungo Senqubomgomo Yezokudla Nokukhuthazwa. (2015) "Isahluko 1: Incomo Eyisisekelo: Izingxenye Zemihlahlandlela Yokudla Okunempilo." 2015-2020 Iziqondiso Zokudla ZamaMelika (Edition Eyisishiyagalombili). Washington, DC: uMnyango Wezokulima wase-US.
> UFischer, E. "u-Ueber ufa u-Harnsauer. [U-Uric acid]." Berichte der Deutschen Chemischen Gesellschaft . 1884: 17: 328-338. I-DOI: 10.1002 / cber.18980310304.
> Tuhina, N .; Jansen, T .; UDalbeth, uL. et al. "I-Gout Classification Criteria I-American College of Rheumatology / i-European League Yokulwa Ne-Rheumatism Collaborative Initiative." I-Arthritis Rheumatol. 2015; 67 (1): 2557-68. I-DOI: 10.1002 / ubuciko.39254.
> Zhang, Y .; Chen, C .; Choi, H. et al. "Ukudla okune-Purine-rich rich and gout attack" . 2012; 71 (9): 1448-53. I-DOI: 10.1136 / ngonyaka-2011-201215.