Gout ndi matenda a systemic. Choyambitsa matendawa ndi vuto la kagayidwe kachakudya komwe kuchuluka kwa uric acid m'magazi kumawonjezeka, komwe kumayambitsa kuyika kwa uric acid makhiristo (urates) m'malo olumikizirana mafupa ndi minofu yofewa.¹.

Nthawi yomweyo, kuchuluka kwa uric acid m'magazi sikumawonetsa gout. Hyperuricemia imabweranso ndi matenda angapo, monga matenda a impso, zotupa, kapena matenda a magazi. Mkhalidwewu ukhoza kuwonedwa pambuyo pochita zolimbitsa thupi kwambiri kapena kugwiritsa ntchito molakwika zakudya zamafuta. Ndi 10% yokha ya hyperuricemia yomwe imayambitsa gout.

The kwambiri khalidwe chizindikiro cha gout ndi kudzikundikira urates mu zimakhala ndi ziwalo ndi zimachitika pachimake kuukira ululu m`malo kudzikundikira kwawo.

Nchiyani chingayambitse gout? Mofanana ndi matenda aliwonse pakukula kwa gout, pali zifukwa zingapo zowopsa:

• kukana insulini;
• matenda oopsa;
• kudya kwambiri nyama yofiira ndi offal;
• kumwa mowa mwauchidakwa, makamaka mowa;
• mkhutu excretion wa uric acid mu matenda a impso;
• mitundu ina ya mankhwala oletsa khansa ndi kuchiza chifuwa chachikulu;
• matenda amadzimadzi;
• cholowa chakutengera.

Gout nthawi zambiri imakhudza mafupa, omwe amatsimikizira chithunzi chachipatala. Monga lamulo, ululuwo ndi wamphamvu kwambiri, wopweteka komanso wosasintha. Zizindikiro zazikulu za gout ndi:

• matenda a nyamakazi pachimake;
• mapangidwe a tophi - gouty node m'malo omwe amawunjika kwambiri urates;
• kuwonongeka kwa impso.

Kulumikizana kwa chala chachikulu chakuphazi kumakhudzidwa kwambiri. Zochepa zomwe zimakhudzidwa kwambiri ndi zolumikizira zazikulu: akakolo, bondo, chigongono, dzanja, mfundo zamanja.

Kuukira kwa ululu nthawi zambiri kumayamba usiku kapena m'mawa. Kufiira ndi kutupa kwa olowa kumawonekera, kupweteka kumachitika, komwe kumakulirakulira pambuyo pa maola 12-24. Nthawi zambiri, cholumikizira chimakhala chotentha ndikakhudza ndipo mopweteka chimakhudzidwa ndi kukhudza kopepuka.

Nthawi zambiri gout imeneyi imakhudza amuna pambuyo pa zaka 40. Amadwala nthawi 7 kuposa amayi². The matenda akazi makamaka kugwirizana ndi kusintha kagayidwe pa kusintha kwa thupi ndi chifukwa cha kuchepa misinkhu estrogen. Chowonadi ndi chakuti ma estrogens amakhudza mwachindunji kupanga uric acid, kuchepetsa ndende yake m'magazi.

Komanso, zakudya amuna ndi akazi ndi osiyana. Muzakudya za amuna pali zinthu zambiri zoyambitsa: nyama yofiira ndi offal, mowa wamphamvu ndi mowa. Kuchita masewera olimbitsa thupi kwambiri, kupsinjika maganizo kumapangitsanso kuti uric acid ichuluke.

Njira ya gout mwa amuna ndi akazi imasiyananso.². Makhalidwe a gout mwa amuna:

• kuyambika kwa matendawa kumachitika ali ndi zaka 30-40;
• zala zazikulu ndi mfundo za phazi zimakhudzidwa kwambiri.

Zizindikiro za gout mwa akazi:

• chiyambi cha matenda mu ukalamba ndi postmenopausal udindo;
• mafupa a manja amakhudzidwa nthawi zambiri;
• nthawi zambiri tophi (gouty node) amapangidwa.

Zifukwa za gout

Matendawa amapezeka pamene mapuloteni kagayidwe amasokonekera mu thupi. Poyamba, gout inkatchedwa "matenda achifumu", popeza ndi anthu olemera okha omwe anali ndi mwayi wopeza vinyo wambiri wachilengedwe, nyama - mankhwala omwe amathandiza kuti chitukuko cha gout chikhalepo. Masiku ano, chakudya ichi chimapezeka m'magulu osiyanasiyana a anthu. Anthu okalamba nthawi zambiri amakhudzidwa, koma pali milandu ya matendawa ngakhale zaka 30.

• Gulu lowopsa likuphatikizapo: omwa mowa, odya nyama, anthu onenepa.

• Gout nthawi zambiri imayamba mwa anthu omwe amamwa okodzetsa.

• Gout imachitika pamene impso kapena matenda a impso alephera.

Zochita zonse m'thupi lanu zimayendetsedwa ndi ubongo. Maselo a muubongo wanu amalandira chidziŵitso kuchokera ku ziwalo zonse ndi machitidwe, amasanthula chidziŵitsocho, kupanga kachitidwe kofunikira, ndi kupereka malangizo oyenerera kupyolera m’maselo a mitsempha kupita ku ziwalo zosiyanasiyana za thupi lanu.

Mndandanda wa mankhwala 10 otsika mtengo komanso othandiza a gout

Chithandizo cha gout chimaphatikizapo mankhwala ochiritsira komanso osagwiritsa ntchito mankhwala.². Thandizo lopanda mankhwala limaphatikizapo: kuchepetsa kuchuluka kwa nyama ndi nsomba m'zakudya, kusiya mowa, mowa ndi kusuta fodya, kuchepetsa kulemera kwa kunenepa kwambiri, kuphunzira njira yoyenera ya moyo.

Thandizo la mankhwala limaphatikizapo kuchotsa kuukira kwakukulu kwa gout ndi mankhwala a antihyperuricemic, omwe amakupatsani mwayi wochepetsera kuchuluka kwa uric acid m'thupi, kupewa mapangidwe a urates ndikusungunula omwe adapangidwa kale.

Munthawi yovuta, mankhwala osagwiritsa ntchito steroidal anti-inflammatory (NSAIDs) kuphatikiza Colchicine amathandizira kuchepetsa ululu. Kenaka, mankhwala oletsa gout amaperekedwa.

Pamodzi ndi katswiri wathu - General sing'anga Mikhail Lystsov taphatikiza mankhwala otsika mtengo komanso othandiza a gout.

Non-steroidal anti-inflammatory drugs (NSAIDs)

1. Ketonal

The yogwira mankhwala Ketonal ndi Ketoprofen, amene ali analgesic, odana ndi yotupa ndi antipyretic zotsatira. The pazipita zili mankhwala m`magazi anaona mkati 15-30 mphindi makonzedwe. Imamangiriza ku mapuloteni amagazi ndi 99% ndikulowa bwino mumadzimadzi olumikizana, chifukwa chake imagwiritsidwa ntchito mwachangu pochiza gout.

Chizindikiro: chironda chachikulu cha m'mimba ndi duodenum, hemophilia ndi magazi matenda, aakulu aimpso ndi kwa chiwindi kulephera, mtima kulephera mu siteji decompensation, chikhalidwe pambuyo mtsempha wamagazi kulambalala Ankalumikiza, magazi kapena kukayikira iwo, dyspepsia, mimba ndi mkaka wa m`mawere, ana osapitirira zaka 12 zaka, hypersensitivity kwa ketoprofen ndi acetylsalicylic acid.

Imwani mankhwala 1-2 makapisozi 2-3 pa tsiku ndi madzi ambiri kapena mkaka.

2. Nimesulide

Pa mtima wa Nimesulide ndi yogwira pophika dzina lomweli. Mankhwalawa amalepheretsa kaphatikizidwe ka prostaglandins - provocateurs of kutupa. Nimesulide amachita mwachindunji m`dera kutupa, ali analgesic, antipyretic zotsatira. Pazipita zotsatira zimatheka 2-3 maola kumwa mapiritsi.

Kuwonjezera kuukira gout, Nimesulide ndi mogwira nyamakazi ndi psoriatic nyamakazi, spondylitis, osteoarthritis ndi osteochondrosis, myalgia zosiyanasiyana chikhalidwe, sprains, tendons ndi zowawa zina. Imwani mankhwala piritsi 1 2 pa tsiku mukatha kudya.

Chizindikiro: mofanana ndi mankhwala ena omwe si a steroidal odana ndi kutupa, koma zaka za ana zimangokhala zaka 12. Komanso, Nimesulide sayenera kumwedwa ndi NSAID zina.

3. Meloxicam-Akrihin

Chofunikira chachikulu ndi Meloxicam, yomwe imakhalanso m'gulu la mankhwala osagwiritsa ntchito steroidal odana ndi kutupa. Meloxicam amagwiritsidwa ntchito pochiza nyamakazi, arthrosis, osteoarthritis matenda, nyamakazi, spondylitis, matenda a minofu, sciatica ndi zowawa zina. Amagwiritsidwa ntchito mwachangu pochiza gout, ngakhale wopanga sazindikira izi. Meloxicam iyenera kumwedwa piritsi limodzi 1 nthawi patsiku.

Chizindikiro ndipo zotsatira zake zimakhala zofanana ndi za NSAID zina.

4. Celecoxib

The mankhwala dzina lake pambuyo waukulu yogwira pophika. Chodabwitsa chake ndi chakuti Celecoxib ndi yothandiza kwambiri kwa odwala okalamba (makamaka mwa amayi), sichichepetsa ntchito ya impso ndipo sichikwiyitsa kwambiri mucosa ya m'mimba. Celecoxib bwino kuthetsa ululu m`malo olumikizirana mafupa, choncho nthawi zambiri zotchulidwa pa matenda a gout. Muyenera kumwa mankhwala 1 kapisozi kamodzi pa tsiku kapena awiri anagawa Mlingo.

Chizindikiro: sitiroko hemorrhagic, magazi a subarachnoid, zaka mpaka zaka 18.

Antigout agents

5. Colchicine

Colchicine ndiye mankhwala oyamba a gout. Mankhwalawa amachepetsa kuchuluka kwa maselo oyera amwazi m'dera la kutupa ndipo amachepetsa kuyamwa kwa mchere wa uric acid. Colchicine imathandiza kwambiri polimbana ndi gout: kale m'maola 12 oyambirira mkhalidwewo umakhala bwino kwambiri. Pogwiritsa ntchito Colchicine tsiku ndi tsiku, mwayi woukira kachiwiri umachepetsedwa ndi 75%³.

Njira yogwiritsira ntchito: Imwani mankhwalawa pachimake kuukira kwa gout, piritsi limodzi maola 1-1 aliwonse mpaka ululu utachepa (osapitirira mapiritsi 2 patsiku). Pofuna kupewa kuukira kobwerezabwereza, Colchicine amatengedwa theka la piritsi kamodzi patsiku kwa nthawi yonse ya chithandizo.

Contraindications: hypersensitivity kwa zigawo zikuluzikulu, pachimake mtima, kwa chiwindi ndi aimpso kulephera, mimba ndi mkaka wa m`mawere, zaka mpaka zaka 18. Zotsatira zazikulu za chithandizo ndi nseru, kusanza, ndi kupweteka m'mimba.

6. Colchicum-dispert

Colchicum ndi mankhwala azitsamba omwe amapangidwa kuchokera ku mbewu za autumn colchicum. Amatanthauza anti-gout agents. Pankhani ya pharmacological kanthu ndi contraindications, ndi chomera analogue ya Colchicine, koma alibe zoletsa zaka, ndipo zotsatira zake ndi zochepa kwambiri.³.

Njira yogwiritsira ntchito: pakakhala kuukira pachimake, imwani mapiritsi awiri nthawi imodzi, kenako piritsi limodzi maola 2-1 aliwonse mpaka mpumulo wa ululu.

Chizindikiro: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, mimba ndi mkaka wa m`mawere, kwa chiwindi ndi aimpso kulephera, kuponderezedwa hematopoiesis.

7. Allopurinol

Allopurinol ndi mankhwala oletsa gout opangidwa ku Russia. Yogwira mankhwala a dzina lomweli mu zikuchokera linalake ndipo tikulephera enzyme nawo synthesis wa uric acid. Mankhwala amachepetsa zomwe zili uric acid m'magazi ndi mkodzo ndipo, chifukwa chake, amachepetsa kudzikundikira kwake mu ziwalo ndi minofu.³.

 Allopurinol ndi othandiza kwa nthawi yaitali mankhwala a gout aakulu, koma sangathe kugwiritsidwa ntchito mu gawo pachimake, chifukwa kumawonjezera ululu ndi kuopsa kwa kuukira.

Momwe mungagwiritsire ntchito: mankhwalawa amatengedwa piritsi limodzi kamodzi patsiku. Mlingo ukhoza kuwonjezeka pang'onopang'ono mpaka zotsatira zomwe mukufuna zitheke.

Chizindikiro: aimpso ndi kwa chiwindi insufficiency, mimba ndi yoyamwitsa, ana osakwana zaka 3 zakubadwa.

8. Febuxostat

Febuxostat ndi mankhwala oletsa gout opangidwa ku Russia. Waukulu yogwira pophika - febuxostat - linalake ndipo tikulephera michere nawo synthesis uric acid, potero kutsitsa zake zili m'magazi. Febuxostat nthawi zambiri amaperekedwa kwa tsankho ku mankhwala oyamba. Mankhwalawa amatha kutengedwa mosasamala kanthu za chakudya, amathandiza bwino pa msinkhu uliwonse. Komabe, chithandizo cha nthawi yayitali ndi Febuxostat chingayambitse matenda a dyspeptic, zotupa pakhungu ndi edema. Nthawi zina pamakhala kuchepa pang'ono kwa chiwindi ndi kubwereza kwa gouty.

Momwe mungagwiritsire ntchito: piritsi 1 kamodzi patsiku, mosasamala kanthu za chakudya.

Chizindikiro: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, aakulu aimpso ndi kwa chiwindi insufficiency, mimba ndi mkaka wa m`mawere, zaka 18.

9. Gout

Mankhwala ena omwe ali ndi febuxostat m'munsi. Goutagrel amaperekedwa kwa matenda aakulu hyperuricemia, gouty nyamakazi ndi tophi. Mankhwalawa amatha kutengedwa pokhapokha atachotsa chiwopsezo chachikulu cha gout - piritsi 1 patsiku.

Chizindikiro: hypersensitivity kwa febuxostat, zaka zosakwana zaka 18, mimba ndi kuyamwitsa, galactose tsankho ndi lactase akusowa. Nthawi zina, mankhwalawa amachititsa zotsatira zoyipa monga mutu, kutsegula m'mimba, nseru, zotupa pakhungu.

10. Urisani

Pamndandanda wathu, Urisan ndiye chakudya chokhacho chowonjezera, pomwe chimatenga malo ake oyenera pochiza gout yofatsa. Urisan ndi mankhwala azitsamba omwe ali ndi flavonoids ndi curcumin. Zimathandiza kuchepetsa ululu, kuchepetsa kutupa ndi kutupa kwa mafupa, kuchotsa mchere ndi normalizes mlingo wa uric acid. Urisan ayenera kumwedwa 2 makapisozi 2 pa tsiku ndi chakudya.

Contraindications: mimba ndi mkaka wa m`mawere, munthu tsankho kwa zigawo zikuluzikulu za mankhwala.

Momwe mungasankhire mankhwala a gout

Kusankha mankhwala othandiza kwa gout mwachindunji kumadalira pa siteji ya matendawa ndipo kumafuna kuvomerezedwa ndi dokotala. Mankhwala ena sagwirizana ndi okodzetsa, ena amatsutsana pakuukira kwakukulu kwa matendawa. Kudzilamulira nokha kwa mankhwalawa kungayambitse kupweteka komanso kuwonjezereka kwa chikhalidwecho. Osadzipangira mankhwala, perekani chisankho cha mankhwala kwa dokotala.

Ndemanga za madokotala za mankhwala a gout

Osati kale kwambiri, cholinga chachikulu cha gout chinali zakudya, koma chithandizo cha matendawa chiyenera kukhala chovuta komanso chophatikizana. Pachiwopsezo chachikulu, colchicine ndi non-steroidal anti-inflammatory mankhwala amaperekedwa, ndipo pambuyo pomasulidwa, anti-gout agents ayenera kumwedwa.

Chithandizo cha gout nthawi zambiri chimakhala chanthawi yayitali ndipo chimaphatikizidwa ndi chakudya chokhwima. Panthawiyi, ma diuretics amachotsedwa kapena kusinthidwa ndi mankhwala ena. Panopa gout nthawi zambiri pamodzi ndi matenda a impso ndi mtima dongosolo, kunenepa kwambiri. Pamafunikanso njira Integrated zochizira gout.

Mafunso ndi mayankho otchuka

Mafunso ambiri okhudza chithandizo cha gout amayankhidwa ndi dokotala wamkulu Mikhail Lystsov.

Kodi mwamsanga kuchotsa gout ululu?

- Ngati mukumva kupweteka kwa gout, muyenera kufunsa dokotala nthawi yomweyo. Mutha kumwa mankhwala osagwiritsa ntchito steroidal odana ndi kutupa (mwachitsanzo, Nimesulide kapena Meloxicam) kapena mankhwala omwe adanenedwa kale ndi dokotala. Kudzilamulira nokha kwa mankhwala oletsa gout ndikosavomerezeka.

Ndi zakudya ziti zomwe zili bwino pochotsa uric acid?

Miyezo ya uric acid imatsitsidwa ndi zakudya zopanda mapuloteni ndi purines. Izi ndi monga mkaka, nyama yowonda (makamaka nkhuku), mafuta a masamba, zipatso ndi ndiwo zamasamba. Ndibwino kuti muzimwa madzi ambiri kuti mulimbikitse impso.

Ndi dokotala uti yemwe ndiyenera kukambirana naye za gout?

- Ngati mukukumana ndi zizindikiro za gout kwa nthawi yoyamba, muyenera kufunsa dokotala. Adzachita kuyendera ndi kufufuza kofunikira. Pamene matendawa atsimikiziridwa, rheumatologist idzathana ndi chithandizo.

Gout: mankhwala ndi wowerengeka azitsamba

Kugwiritsa ntchito njira zachikhalidwe zochizira gout kuphatikiza ndi mankhwala kumachepetsa ululu, nthawi komanso kuchuluka kwa kuukira.

The disintegrating zotsatira za mankhwala ambiri zomera mapangidwe mchere m`malo olumikizirana mafupa kugwirizana ndi chikoka cha biologically yogwira zinthu (zofunika mafuta, organic zidulo, microelements) mu pH ya mkodzo, amene amasintha mlingo wa machulukitsidwe ake ndi crystalloids.

Ndi kuwonjezeka kwa pH ya mkodzo kuchokera pa 6.5 mpaka 7, matope a mitundu ina ya phosphates amachulukana, ndipo mkodzo umakhala ndi acidic kwambiri, umasungunuka.

Kulimbikitsa excretion wa mkodzo salt mankhwala azitsamba wolemera organic zidulo:

• apulosi,

• mandimu,

• mwala wa vinyo,

• Amber

• salicylic ..., zomwe zimakhudza ntchito ya endocrine glands, ntchito zina za cerebral cortex, acid-base rivnostan mu thupi, momwe mkodzo umayendera.

The kagayidwe mu maselo adzakhala bwino chifukwa normalization wa capillary magazi. Njira zochotsera poizoni ndi poizoni m'maselo ndi ziwalo zidzakula, chitetezo chokwanira chidzalimbitsa.

Zomera zamankhwala malinga ndi zochita zawo zitha kugawidwa m'magulu:

1. Mchere wosungunuka ndi diuretic;

2. Kupititsa patsogolo metabolism;

3. Kukondoweza kwa peristalsis ya yosalala minofu ya mkodzo thirakiti

4. antispasmodic;

5. odana ndi yotupa;

6. Mankhwala opha tizilombo.

Zosonkhanitsazo zili ndi zitsamba zamankhwala, zomwe ndi 🍃:

• nsapato za akavalo

• wamba goldrod

• tsekwe cinquefoil

• mizu ya dandelion

• Chikwama cha abusa

• nikolaychiki flat

• marigolds mankhwala

• Rowan wamba zipatso

• onunkhira violet

• malirangwe

Zitsamba zochizira gout

Mwachidule za zigawo zomwe zasonkhanitsidwa zamitengo yamankhwala 🍃:

• Mchira wa Horse amagwiritsidwa ntchito ngati diuretic, anti-inflammatory and hypotensive agent. Zatsimikiziridwa moyesera kuti field horsetail imalimbikitsa kuchotsedwa kwa mtovu m'thupi.

• Goose wa Potentilla - ndi zochita zake ndi diuretic painkiller ndi hemostatic. Chifukwa cha anti-spasmodic katundu, peristalsis ya minofu yosalala ya thirakiti la mkodzo imalimbikitsidwa. Monga gawo la zosonkhanitsira, tsekwe cinquefoil amagwira ntchito yofunikira.

• Chikwama cha M'busa - amagwiritsidwa ntchito ngati chowongolera cha metabolism m'thupi, diuretic mu njira zotupa.

• Marigolds ndi wabwino diuretic ndi diaphoretic factor, makamaka ngati kagayidwe kachakudya matenda, urolithiasis. Yogwira sechoochisny yothetsera mchere diathesis.

• Wonunkhira violet - ali ndi antimicrobial, anti-inflammatory properties, penapake amachepetsa kuthamanga kwa magazi.

• Goldenrod wamba - imakhala ndi anti-inflammatory effect pamene tizilombo toyambitsa matenda timagonjetsedwa ndi maantibayotiki. Goldenrod imagwira ntchito mu urolithiasis wovuta ndi pyelonephritis. Zochita ndi diuretic choleretic, solegin, antiseptic.

• Dandelion mizu kumawonjezera zhivchotvorennya, amasonyeza diuretic, antispasmodic ndi mankhwala ofewetsa tuvi tolimba katundu, ogwira ntchito kupewa ambiri atherosclerosis.

• Nikolaichiki flat Amakhala ndi antispasmodic ndi diuretic zotsatira, amakhala ndi chikhazikitso chapakati pamanjenje.

• Rowan wamba (zipatso) zothandiza pa matenda a impso, mchere diathesis, aimpso colitis, kutsegula m'mimba, vitamini A ndi C akusowa, chiwindi ndi ndulu matenda. Rowan wamba amakhala ngati mchere sungunuka, okodzetsa ndi multivitamin yaiwisi.

• Wamba lingonberry - mankhwala a chomeracho ndi ofanana ndi masamba a bearberry, omwe amatha kukhala m'malo ofanana. Chodziwika bwino ndi chakuti masamba ndi zipatso za cranberries zimachepetsa kuchuluka kwa uric acid. Zochita za kusintha kagayidwe ndi mchere sungunuka, diuretic, antiseptic, astringent.

Mankhwala akunja a gout

Kukhazikika kwa zakudya - zakudya za gout

Kuphatikiza pa chithandizo chamankhwala, zakudya zoyenera ndizofunikira kwambiri - chakudya cha gout. Ngati wodwalayo amatsatira zakudya, ndiye kuti kuukira kwa matendawa sikungachitike kwa zaka zambiri.

Sizichitika kawirikawiri kuti aliyense athetse "matenda achifumu". Koma zoletsa zina pazakudya zimatha kuchepetsa kwambiri kuukira kwa gout. Mwa anthu, zakudya za gout zimatsikira kudya zakudya zochepa za nyama, zakudya zamafuta ndi zamchere, komanso kukana kumwa khofi, shuga ndi zakumwa zoledzeretsa.

Ndikoyenera kuchepetsa mchere muzakudya, chifukwa umasunga madzi m'thupi ndikuletsa uric acid kuti asatsukidwe kudzera mu impso.

Zakudya Zabwino Kwambiri & Zoyipa Kwambiri Kudya Ndi Gout | Kuchepetsa Kuopsa kwa Gout Attacks ndi Hyperuricemia

Zakudya zokhala ndi purine zomwe ziyenera kuletsedwa ndizo:

1. Nyemba - nandolo, nyemba, mphodza, nyemba.

2. Nsomba - sprats, sardines, sprat, cod, zander, pike.

3. Offal - impso, chiwindi, mapapo, ubongo.

4. Bowa - woyera, champignons.

5. Zakudya zina (sorelo, sipinachi, nkhuyu, rhubarb, radishes, katsitsumzukwa, kolifulawa).

6. Nyama (nkhuku, ng'ombe, nkhosa, tsekwe).

7. Soseji (makamaka liverwurst).

8. Msuzi wa nyama ndi nsomba, yisiti, oatmeal, mpunga wopukutidwa.

9. Nyama imadyetsedwa bwino yophika, chifukwa pafupifupi 50% ya purines imalowa m'mafuta.

Zimasonyezedwa kuchepetsa zinthu zomwe zimakondweretsa dongosolo la mitsempha: khofi, tiyi wamphamvu, koko, zokometsera zokometsera, zonunkhira, ndi zina zotero. Kumwa mowa kungayambitse matenda a gout chifukwa mowa umalepheretsa kutuluka kwa uric acid ndi impso.

Ndiyenera kunena kuti si aliyense amene angathe kusiya kudya mwachizolowezi. Koma pamene kuukira koyamba kumakhala kupweteka, ngati kuti akudulidwa amoyo, ambiri amayesabe kusinthana ndi zakudya zolimbitsa thupi.

Zothandiza zopangira gout ndi mkaka ndi mkaka (wokhala ndi calcium kulimbikitsa mafupa), chimanga, masamba (mbatata, zukini, nkhaka ndi tomato, dzungu), zipatso, mitundu yonse ya mtedza (kupatula mtedza), nyama yophika ndi nsomba yophika.

Zakudya za gout:

KUSINTHA PA DIET:

SOUPS:

Msuzi wa nyama ndi bowa, supu ndi sorelo, sipinachi, nyemba

NYAMA:

Ng'ombe, nkhuku, mwanawankhosa, nkhumba, impso, chiwindi, mapapo, ubongo, soseji, nyama yosuta, zakudya zamzitini

NSOMBA:

Mafuta, mchere, kusuta, zamzitini

ZOPHUNZITSA ZA MAKA:

Tchizi zokometsera ndi zamchere, feta cheese

Pasta ndi phala:

nyemba

MASAMBA:

Letesi, rhubarb, sorelo, sipinachi, kolifulawa

Zipatso, zipatso, ZOtsekemera:

Nkhuyu, raspberries, chokoleti

ZAKUMWA:

Koko, tiyi wamphamvu ndi khofi, yisiti ndi zakumwa zoledzeretsa

Zozizira Zozizira:

Msuzi pa nyama ndi nsomba msuzi, bowa msuzi, tsabola, mpiru, horseradish

Zosakaniza:

Zakudya zokometsera ndi zamchere, nyama zosuta, zakudya zamzitini, soseji

Mafuta:

Nkhosa, ng'ombe, nkhumba, mafuta ophikira

ZOLOLEZEKA M'MACHENJEZO Ochepa

Zakudya za mkate ndi ufa:

Zochepa zopangira makeke

MABWINO:

Dzira limodzi patsiku la kukonzekera kulikonse

NYAMA:

Ng'ombe, kalulu, nkhuku, Turkey - yophika 1-2 pa sabata

NSOMBA:

Mitundu yamafuta ochepa a nsomba mu mawonekedwe owiritsa 1-2 pa sabata

Pasta ndi phala:

pasta

Zipatso, zipatso, ZOtsekemera:

maula

ZAKUMWA:

msuzi wa phwetekere

ZOTITHANDIZWA PA CHAKUDYA CHAKUDYA:

Zakudya za mkate ndi ufa:

Tirigu ndi mkate wa rye.

SOUPS:

Msuzi wamasamba ndi kuwonjezera masamba osiyanasiyana ndi chimanga, borscht, okroshka, beetroot, supu zamkaka.

NYANJA:

Nsomba, squid

ZOPHUNZITSA ZA MAKA:

Mkaka, kefir, mkaka wothira, kanyumba tchizi, tchizi wopanda zokometsera

Pasta ndi phala:

Zosiyanasiyana dzinthu za kukonzekera kulikonse

MASAMBA:

Mbatata, beets, kaloti, zukini, dzungu, tomato, tsabola wokoma, biringanya, kabichi woyera, nkhaka

Zipatso, zipatso, ZOtsekemera:

Zipatso zilizonse, zipatso zatsopano komanso mutatha kutentha, zipatso zouma, uchi, kupanikizana

ZAKUMWA:

Ofooka tiyi ndi khofi ndi mkaka, zipatso ndi masamba timadziti, rosehip kulowetsedwa

Zozizira Zozizira:

Msuzi pa masamba msuzi, phwetekere, kirimu wowawasa mkaka, vanillin, sinamoni

Zosakaniza:

Saladi zamasamba, tchizi chofewa

Mafuta:

Butter ndi mafuta a masamba

Kodi chimachitika ndi chiyani ngati salandira chithandizo?

Nthawi zambiri, chitukuko cha gout kumabweretsa zovuta zovuta zomwe zimawopseza thanzi lanu, komanso moyo.

Zovutazi ndi monga:

• gout nyamakazi

• matenda a urolithiasis

• kutentha thupi (kutentha kumatha kukwera mpaka +40)

Ngati simutengapo kanthu mwachangu kapena kugwiritsa ntchito mankhwala osagwira ntchito, ndiye kuti njira zamphamvu zamatenda zimayamba m'thupi lanu, zomwe zingayambitse kusintha kosasinthika mukugwira ntchito kwa minofu ndi mafupa amkati.

Kupweteka kosalekeza, kuwonjezera pa kusapeza bwino, kumayambitsa kusokonezeka kwa psychosomatic ndi vegetative-vascular. Kuphatikiza apo, ngati palibe chithandizo choyenera chamankhwala, kupunduka kwamagulu kumatha kukhala kosasinthika.

Ngati mwalandira zambiri zothandiza, ndiye kuti ndife okondwa!

Khalani wathanzi!

Sources:

1. Gout. Malangizo kwa asing'anga (madokotala apabanja). Ministry of Health ya Russian Federation. 2015. https://endouroclinic.ru/media/file-galleries/qpbowb/Podagra%20Rukovodstvo%202015.PDF
2. Malangizo azachipatala. Kuzindikira ndi kuchiza gout muzochita zachipatala, 2013. https://rykovodstvo.ru/exspl/56548/index.html
3. Register ya mankhwala aku Russia. https://www.rlsnet.ru/drugs/monural-2053