Ukudla Kungasiza Ukuvimbela Ukuhlasela Kwe-Gout
Amapulazi ayingxenye yazo zonke izicubu zomuntu futhi atholakala ekudleni okuningi. Ukwengezwa kokudla okuphezulu kuma-purines kungakhuphula amazinga e- uric acid egazini futhi kuhlasele ukuhlasela kwe-gout kwabanye abantu. Yingakho ukudla okungaphansi kwe-purines kubalulekile kubantu abane-gout.
Ebhekwa njengesinye sezimo ezibuhlungu kunazo zonke izimo zesifo se-rheumatic, i-gout ihlupha abantu abangaba ngu-840 kwabangu-100 000, abalelwa ku-5% kuwo wonke ama-arthritis.
Njengoba ngokuvamile kunconywa ukuthi abantu abanezimpawu zesifo sofuba noma ukuhlaselwa kwe-gout okuphindaphindiwe bancishisa ukudla kwabo okucebile, kubalulekile ukwazi ukuthi yikuphi ukudla okucebile ku-purines. Eqinisweni, ama-purines atholakala kuzo zonke iziqu zokudla. Akunconywa ukuthi wonke ama-purines aqedwe ekudleni kwakho. Kufanele umane uthathe okwesikhashana ukulawula ukuhlasela kwe-gout.
Ukuhlaselwa kwe-Gout kubhekene nobuhlungu obunzima obungazelelwe-ngokuvamile ngokubomvu, ukuvuvukala, nokufutheka kokujoyina. Nakuba ukuhlasela kwe-gout kuhilela ukuhlanganiswa okukodwa, ngezinye izikhathi amalunga ambalwa avuliwe athathwe ngesikhathi esifanayo. Ubuhlungu nokuvuvukala kunamandla kakhulu emahoreni ambalwa okuqala okuhlaselwa, futhi ngokuvamile kuthuthukiswa ngaphezu kwezinsuku kuya kwamasonto. Ukunqanda ukudla okucebile nge-purine kuyindlela eyodwa yokuzama ukulawula ukuvuza nokugwema ukuhlaselwa kwe-gout. Imithi iphinde icelwe ukuba isize abantu ukuphatha i-gout .
Ukudla okuphezulu kuma-Purines
Ngokusho kwe-NIAMS (National Institute of Arthritis and Musculoskeletal and Skin Diseases), ukudla okuqukethe i-purine kufaka:
- Ubhiya, nezinye iziphuzo ezidakayo
- Ama-Anchovies, ama-sardine, izinhlanzi zezinhlanzi, i-herring, i-mackerel, i-scallops
- Imvubelo
- Inyama yomzimba (isibindi, ubuchopho, izinso, ama-sweetbreads)
- Imifino (ubhontshisi omisiwe nama-peas)
- Ukudla kwegeyimu
- Ukukhipha inyama, ukudla, ama-gravies
- Amakhowe, isipinashi, u-asparagusi, ukholifulawa
Ukudla Okuwusizo Kubantu AbanoGout
Nazi ezinye izibonelo zokudla okungase kuzuze abantu abanegout.
- Amajikijolo amnyama angaqukatha amakhemikhali aphansi e-uric acid futhi anciphise ukuvuvukala.
- I-Tofu, eyenziwe ngamasiya, ingaba yisinqumo esingcono kunokudla.
- Ama-acids amafutha atholakala ezinhlanzi ezithile (njenge-saumoni), i-flax, amafutha omnqumo noma amanothi angase abe nezinzuzo ezithile ezilwa nokuvuvukala.
Nakuba ukugwema ukudla okune-purine kuyisici esisodwa sokulawulwa kwe-gout, kubalulekile futhi ukuthatha imithi enqunyiwe njengokuqondiswa, ukulondoloza ukudla okunempilo nokulinganisela, uphuze amanzi amaningi (ikakhulukazi amanzi), ukuvivinya umzimba, futhi ugcine isisindo sakho somzimba esihle. Qaphela ukuthi ukudla okuhloswe ukulahlekelwa kwesisindo esisheshayo noma okukhululekile kungasebenza ngokumelene nawe. Ukudla okusheshayo kwesisindo kukwandisa amazinga e-uric acid egazini.
Ukudla okunomsoco kubantu abane-gout kuhlanganisa ukudla okuphezu kwama-carbohydrate anzima (okusanhlamvu konke, izithelo, imifino), ngaphansi kwamaprotheni (soy, inyama enomzimba, izinkukhu), futhi angaphasi kwamaphesenti angama-30 ama-kilojoule avela kumafutha.
Okubalulekile
Kuleli phuzu, ungase uzibuze ukuthi ubuhlobo bungakanani obuphakathi kokuhlasela kwe-gout okuphindaphindiwe nokudla okune-purine.
Ngokusho kwemiphumela yokucwaninga eyashicilelwe ngo-2012 ku- Annal of the Rheumatic Diseases , "ukutadisha okufundwayo kusikisela ukuthi ukungenisa kahle kwe-purine kwandisa ingozi yokuhlaselwa kwe-gout ephindaphindiwe phakathi kweziguli ezine-gout."
Imithombo:
Schumacher, H. Ralph, MD. Gout. I-American College of Rheumatology. April 2015.
Imibuzo nezimpendulo mayelana ne-Gout, i-NIAMS. April 2016.
Zhang Y. et al. Ukudla okune-Purine-rich rich food and recurrent attack. Ama-Annal of the Rheumatic Diseases. 2012 Sep; 71 (9): 1448-1453.