I-Gout yisifo sesistimu. Isizathu salesi sifo ukuphazamiseka kwe-metabolic lapho ukugcwala kwe-uric acid egazini kukhuphuka, okuholela ekubekweni kwamakristalu e-uric acid (urates) emalungeni nasezicutshini ezithambile.¹.

Ngesikhathi esifanayo, okuqukethwe okwenyuka kwe-uric acid egazini akubonisi ngaso sonke isikhathi i-gout. I-hyperuricemia iphinde ihambisane nenani lezifo, njengesifo sezinso, izimila, noma izifo zegazi. Lesi simo singabonwa ngemva kokuzikhandla ngokweqile ngokomzimba noma ngokuhlukunyezwa kokudla okunamafutha. I-10% kuphela ye-hyperuricemia ithi ithuthukela ku-gout.

Isibonakaliso esibaluleke kakhulu se-gout ukuqoqwa kwama-urates ezicutshini nasezithweni kanye nokuvela kokuhlaselwa okubuhlungu kobuhlungu ezindaweni zokunqwabelana kwazo.

Yini engabangela i-gout? Njenganoma yisiphi isifo ekuthuthukiseni i-gout, kunezici eziyingozi:

• ukumelana ne-insulin;
• umfutho wegazi ophakeme;
• ukudla inani elikhulu lenyama ebomvu ne-offal;
• ukusetshenziswa kabi kotshwala, ikakhulukazi ubhiya;
• ukukhishwa okungalungile kwe-uric acid esifweni sezinso;
• ezinye izinhlobo zokwelapha umdlavuza kanye nokwelashwa kwesifo sofuba;
• izifo ezizimele;
• ukuthambekela kokuzalwa.

I-Gout ngokuvamile ithinta amalunga, okunquma isithombe somtholampilo. Njengomthetho, ubuhlungu bunamandla kakhulu, bubuhlungu futhi bungapheli. Izimpawu eziyinhloko ze-gout yilezi:

• ukuhlaselwa kwe-arthritis acute;
• ukwakheka kwe-tophi - gouty nodes ezindaweni zokuqoqwa okukhulu kwama-urates;
• ukulimala kwezinso.

Amalunga ozwane olukhulu athinteka kakhulu. Okuvame ukuhileleka kancane amalunga amakhulu: iqakala, idolo, indololwane, isihlakala, amalunga esandla.

Ukuhlasela kobuhlungu kuvame ukuqala ebusuku noma ekuseni. Ubomvu nokuvuvukala kwejoyinti kubonakala, ubuhlungu buba khona, obunzima kakhulu ngemva kwamahora angu-12-24. Kaningi, ilunga liyashisa lapho lithintwa futhi lisabela kabuhlungu lapho lithinta kancane.

Ngokuvamile lesi sifo sihlasela amadoda ngemva kweminyaka engama-40. Bagula izikhathi eziyisi-7 kaningi kunabesifazane². Lesi sifo kubantu besifazane ikakhulukazi sihlotshaniswa nezinguquko kumetabolism ngesikhathi sokunqamuka kokuya esikhathini futhi kungenxa yokuncipha kwamazinga e-estrogen. Iqiniso liwukuthi i-estrogens ithinta ngokuqondile ukukhiqizwa kwe-uric acid, inciphisa ukugxila kwayo egazini.

Ngaphezu kwalokho, ukudla kwamadoda nabesifazane nakho kuhlukile. Ekudleni kwamadoda kunenombolo enkulu yezinto ezicasulayo: inyama ebomvu ne-offal, utshwala obunamandla nobhiya. Ukuzivocavoca umzimba ngokweqile, izimo ezicindezelayo nazo ziholela ekwandeni kokuqukethwe kwe-uric acid.

Inkambo ye-gout kwabesilisa nabesifazane nayo ihlukile.². Izimpawu ze-gout emadodeni:

• ukuqala kwalesi sifo kwenzeka eminyakeni engu-30-40;
• izinzwane ezinkulu kanye namalunga onyawo kuvame ukuthinteka.

Izimpawu ze-gout kwabesifazane:

• ukuqala kwesifo ekugugeni kanye nesimo se-postmenopausal;
• amalunga ezandla avame ukuthinteka;
• kaningi ama-tophi (ama-gouty nodes) akhiwa.

Izinkinga ze-gout

Lesi sifo senzeka lapho i-protein metabolism iphazamiseka emzimbeni. Ngaphambili, i-gout yayibizwa ngokuthi "isifo sasebukhosini", ngoba abantu abacebile kuphela babekwazi ukuthola inani elikhulu lewayini lemvelo, inyama - imikhiqizo efaka isandla ekuthuthukiseni i-gout. Namuhla, lokhu kudla kutholakala ezingxenyeni ezihlukahlukene zabantu. Abantu asebekhulile bavame ukuthinteka, kodwa zikhona izimo zesifo ngisho neminyaka engama-30.

• Iqembu lezingozi lihlanganisa: abaphuza ubhiya, abadla inyama, abantu abakhuluphele.

• I-Gout ivame ukuvela kubantu abathatha i-diuretics.

• I-Gout yenzeka lapho kukhona ukungasebenzi kahle kwezinso noma isifo sezinso.

Impela zonke izinqubo emzimbeni wakho zilawulwa ubuchopho. Amangqamuzana obuchopho bakho athola ukwaziswa kuzo zonke izitho nezinhlelo, ahlaziye lokhu kwaziswa, akhiqize ukusabela okudingekile, futhi adlulisele imiyalo efanele ngamangqamuzana ezinzwa ezithweni ezihlukahlukene zomzimba wakho.

Uhlu lwemithi eyi-10 ephezulu engabizi futhi esebenzayo ye-gout

Ukwelashwa kwe-gout kuhlanganisa kokubili ukwelashwa kwemithi kanye ne-non-pharmacological.². Ukwelapha okungezona izidakamizwa kuhlanganisa: ukunciphisa inani lenyama nezilwane zasolwandle ekudleni, ukuyeka utshwala, ubhiya nokubhema, ukuncipha kwesisindo ngokukhuluphala ngokweqile, ukufunda indlela efanele yokuphila.

Ukwelashwa kwezidakamizwa kuhlanganisa ukususwa kokuhlaselwa okunamandla kwe-gout kanye ne-antihyperuricemic therapy, okuvumela ukuthi unciphise izinga le-uric acid emzimbeni, uvimbele ukwakheka kwama-urates futhi uhlakaze lezo esezivele zakhiwe.

Esikhathini esibucayi, izidakamizwa ezingezona ukuvuvukala (ama-NSAID) zihlangene ne-Colchicine zisiza ukukhulula ubuhlungu. Okulandelayo, izidakamizwa ezilwa ne-gout ziyanqunywa.

Kanye nochwepheshe wethu - udokotela jikelele Mikhail Lystsov sihlanganise isilinganiso semithi engabizi futhi esebenzayo ye-gout.

Izidakamizwa ezingekho-steroidal anti-inflammatory (NSAIDs)

1. I-Ketonal

Isithako esisebenzayo se-Ketonal yi-Ketoprofen, ene-analgesic, anti-inflammatory kanye nemiphumela ye-antipyretic. Okuqukethwe okuphezulu komuthi egazini kubonwa kungakapheli imizuzu eyi-15-30 ngemuva kokuphathwa. Ibopha amaprotheni egazi ngo-99% futhi ingena kahle oketshezini oluhlangene, ngakho-ke isetshenziswa ngenkuthalo ekwelapheni i-gout.

Izimpawu: isilonda se-peptic sesisu kanye ne-duodenum, i-hemophilia kanye nokuphazamiseka kwegazi, ukwehluleka okukhulu kwe-renal kanye ne-hepatic, ukwehluleka kwenhliziyo esigabeni sokudilizwa, isimo ngemuva kokufakwa kwe-coronary artery bypass, ukopha noma ukusola kwabo, i-dyspepsia, ukukhulelwa nokuncelisa, izingane ezingaphansi kweminyaka engu-12 iminyaka yobudala, i-hypersensitivity ku-ketoprofen ne-acetylsalicylic acid.

Thatha izidakamizwa 1-2 amaphilisi izikhathi 2-3 ngosuku ngamanzi amaningi noma ubisi.

2. Nimesulide

Enhliziyweni ye-Nimesulide isithako esisebenzayo segama elifanayo. Umuthi uvimbela ukuhlanganiswa kwe-prostaglandin - i-provocateurs yokuvuvukala. I-Nimesulide isebenza ngokuqondile endaweni yokuvuvukala, ine-analgesic, imiphumela ye-antipyretic. Umphumela omkhulu utholakala emahoreni angama-2-3 ngemuva kokuthatha iphilisi.

Ngaphezu kokuhlasela kwe-gout, i-Nimesulide iyasebenza ku-arthritis ye-rheumatic ne-psoriatic, i-spondylitis, i-osteoarthritis ne-osteochondrosis, i-myalgia yemvelo ehlukahlukene, i-sprains, i-tendon nezinye izinhlungu. Thatha umuthi ithebhulethi engu-1 izikhathi ezi-2 ngosuku ngemuva kokudla.

Izimpawu: ngokufanayo nezinye izidakamizwa ezingezona ukuvuvukala, kodwa iminyaka yezingane ikhawulelwe eminyakeni eyi-12. Futhi, i-Nimesulide akufanele ithathwe namanye ama-NSAID.

3. I-Meloxicam-Akrihin

Isithako esiyinhloko esisebenzayo yi-Meloxicam, ebuye ibe seqembu lezidakamizwa ezingezona ukuvuvukala. I-Meloxicam isetshenziselwa ukwelapha i-osteoarthritis, i-arthrosis, izifo ezihlangene eziwohlokayo, i-rheumatoid arthritis, i-spondylitis, izifo zemisipha, i-sciatica nezinye izinhlungu. Isetshenziswa ngenkuthalo ekwelapheni i-gout, nakuba umenzi engakuqapheli lokhu. I-Meloxicam kufanele ithathwe ithebhulethi engu-1 isikhathi esingu-1 ngosuku.

Izimpawu futhi imiphumela emibi iyafana neyamanye ama-NSAID.

4. ICelecoxib

Umuthi uqanjwe ngesithako esisebenzayo esikhulu. Okuhlukile kwayo kuyiqiniso lokuthi i-Celecoxib iphumelela kakhulu ezigulini esezikhulile (ikakhulukazi kwabesifazane), ayikunciphisi ukusebenza kwezinso futhi ayicasuli kancane i-mucosa yesisu. I-Celecoxib ikhulula ngempumelelo ubuhlungu obuhlangene, ngakho-ke kuvame ukubekwa ekwelapheni i-gout. Udinga ukuthatha umuthi i-capsule engu-1 kanye ngosuku noma ngemithamo emibili ehlukanisiwe.

Izimpawu: unhlangothi olopha kakhulu, ukopha kwe-subarachnoid, ubudala obufika eminyakeni eyi-18.

Ama-Antigout agents

5. I-Colchicine

I-Colchicine umuthi wokuqala wokuhlaselwa yi-gouty. Umuthi unciphisa izinga lamangqamuzana amhlophe egazi endaweni yokuvuvukala futhi wehlise ukumuncwa kukasawoti we-uric acid. I-Colchicine iphumelela kakhulu ekuhlaselweni okunamandla kwe-gout: kakade emahoreni angu-12 okuqala isimo sithuthuka kakhulu. Ngokusetshenziswa kwansuku zonke kwe-Colchicine, amathuba okuhlaselwa kwesibili ancishiswa ngo-75%³.

Indlela yokufaka isicelo: thatha umuthi wokuhlasela okukhulu kwe-gout, ithebhulethi engu-1 njalo emahoreni angama-1-2 kuze kube yilapho izinhlungu zehla (akukho ngaphezu kwamaphilisi ayi-8 ngosuku). Ukuvimbela ukuhlaselwa okuphindaphindiwe, i-Colchicine ithathwa isigamu sethebhulethi kanye ngosuku kuso sonke isikhathi sokwelashwa.

Ukungafani: i-hypersensitivity ezingxenyeni, inhliziyo ebukhali, ukwehluleka kwesibindi kanye nezinso, ukukhulelwa nokuncelisa, iminyaka yobudala kuze kufike eminyakeni engu-18. Imiphumela eyinhloko yokwelashwa isicanucanu, ukuhlanza, nobuhlungu besisu.

6. I-Colchicum-dispert

I-Colchicum iyilungiselelo le-herbal elenziwa ngembewu ye-autumn colchicum. Kubhekiselwa kuma-anti-gout agents asebenzayo. Ngokuya ngesenzo semithi kanye nokuphikisana, i-analogue yesitshalo se-Colchicine, kodwa ayinayo imingcele yobudala, futhi isethi yemiphumela emibi incane kakhulu.³.

Indlela yokufaka isicelo: uma kwenzeka ukuhlaselwa okunamandla, thatha amaphilisi ama-2 ngesikhathi esisodwa, bese kuthi ithebhulethi eyodwa njalo emahoreni angu-1-2 kuze kube yilapho ubuhlungu buphela.

Izimpawu: i-hypersensitivity ezingxenyeni zomuthi, ukukhulelwa nokuncelisa, ukwehluleka kwesibindi kanye nezinso, ukucindezelwa kwe-hematopoiesis.

7. I-Allopurinol

I-Allopurinol iyi-ejenti ye-anti-gout eyenziwe eRussia. Into esebenzayo yegama elifanayo ekubunjweni ivimbela i-enzyme ehilelekile ekuhlanganiseni kwe-uric acid. Umuthi unciphisa okuqukethwe kwe-uric acid egazini nomchamo futhi, ngenxa yalokho, unciphisa ukuqoqwa kwawo ezithweni nasezicutshini.³.

 I-Allopurinol iyasebenza ekwelapheni isikhathi eside kwe-gout engapheli, kodwa ayikwazi ukusetshenziswa esigabeni sayo esibucayi, njengoba yandisa ubuhlungu nokuqina kokuhlasela.

Isetshenziswa kanjani: umuthi uthathwa ithebhulethi eyi-1 kanye ngosuku. Umthamo unganyuswa kancane kancane kuze kube yilapho umphumela oyifunayo ufinyelelwa.

Izimpawu: ukwehluleka kwezinso kanye ne-hepatic, ukukhulelwa nokuncelisa, izingane ezingaphansi kweminyaka engu-3 ubudala.

8. Febuxostat

I-Febuxostat isidakamizwa se-anti-gout esenziwe eRussia. Isithako esiyinhloko esisebenzayo - i-febuxostat - ivimbela ama-enzyme ahilelekile ekuhlanganiseni kwe-uric acid, ngaleyo ndlela yehlise okuqukethwe kwayo egazini. I-Febuxostat imvamisa inqunyelwe ukungabekezelelani emithini yomugqa wokuqala. Umuthi ungathathwa kungakhathaliseki ukudla, usiza kahle kunoma yimuphi ubudala. Kodwa-ke, ukwelashwa isikhathi eside nge-Febuxostat kungaholela ezinkingeni ze-dyspeptic, ukuqubuka kwesikhumba kanye ne-edema. Ngezinye izikhathi kukhona ukwehla kancane ekusebenzeni kwesibindi kanye nokuphindaphinda kokuhlaselwa kwe-gouty.

Isetshenziswa kanjani: Ithebhulethi eyi-1 kanye ngosuku, kungakhathaliseki ukuthi udla ngani.

Izimpawu: i-hypersensitivity ezingxenyeni zomuthi, ukungasebenzi kahle kwe-renal kanye ne-hepatic, ukukhulelwa nokuncelisa, iminyaka kuze kufike eminyakeni engu-18.

9. Isilonda

Esinye isidakamizwa esine-febuxostat esisekelweni. I-Goutagrel inqunyelwe ukwelashwa kwe-hyperuricemia engapheli, i-gouty arthritis kanye ne-tophi. Umuthi ungathathwa kuphela ngemuva kokususwa kokuhlasela okukhulu kwe-gout - ithebhulethi engu-1 ngosuku.

Izimpawu: i-hypersensitivity ku-febuxostat, iminyaka engaphansi kweminyaka engu-18, ukukhulelwa nokuncelisa, ukungabekezelelani kwe-galactose kanye nokuntuleka kwe-lactase. Ngezinye izikhathi, umuthi ubangela imiphumela emibi ngendlela yekhanda, isifo sohudo, isicanucanu, ukuqubuka kwesikhumba.

10. Urisan

Ohlwini lwethu, i-Urisan ukuphela kwesengezo sokudla, kuyilapho ithatha indawo yayo efanelekile ekwelapheni i-gout ethambile. I-Urisan iyilungiselelo le-herbal eliqukethe i-flavonoids ne-curcumin. Kuyasiza ekunciphiseni ubuhlungu, kunciphisa ukuvuvukala nokuvuvukala kwamalunga, kususa usawoti futhi kujwayele izinga le-uric acid. I-Urisan kufanele ithathwe amaphilisi ama-2 izikhathi ezi-2 ngosuku ngokudla.

Ukungafani: ukukhulelwa nokuncelisa, ukungabekezelelani komuntu ngamunye ezingxenyeni zomuthi.

Indlela yokukhetha izidakamizwa ze-gout

Ukukhethwa kwesidakamizwa esiphumelelayo se-gout ngokuqondile kuncike esigabeni sesifo futhi kudinga ukubonisana okuphoqelekile nodokotela. Ezinye izidakamizwa azihambisani ne-diuretics, ezinye ziphikisana nokuhlasela okukhulu kwalesi sifo. Ukuzilawula ngokwakho kwesidakamizwa kungabangela ubuhlungu obuningi kanye nokuwohloka kwesimo. Musa ukuzelapha ngokwakho, beka kudokotela ukukhetha komuthi.

Ukubuyekezwa kodokotela mayelana nezidakamizwa ze-gout

Esikhathini esingengakanani esidlule, inhloso eyinhloko ye-gout kwakuwukudla, kodwa ukwelashwa kwalesi sifo kufanele kube yinkimbinkimbi futhi kuhlanganiswe. Ekuhlaselweni okunamandla, izidakamizwa ze-colchicine kanye ne-non-steroidal anti-inflammatory zinqunywe, futhi ngemva kokukhululwa kokuhlaselwa, ama-anti-gout esikhathi eside kufanele athathwe.

Ukwelashwa kwegout kuvame ukuthatha isikhathi eside futhi kuhlanganiswe nokudla okuqinile. Ngalesi sikhathi, i-diuretics iyakhanselwa noma ithathelwa indawo ngeminye imithi. Njengamanje, i-gout ivame ukuhlanganiswa ne-pathology yezinso kanye nesistimu yenhliziyo, ukukhuluphala. Kudinga nendlela edidiyelwe yokwelapha i-gout.

Imibuzo nezimpendulo ezidumile

Imibuzo evame kakhulu mayelana nokwelashwa kwe-gout iphendulwa ngudokotela ojwayelekile uMikhail Lystsov.

Indlela yokuqeda ngokushesha ubuhlungu be-gout?

– Uma uzwa ubuhlungu be-gout, kufanele uthintane nodokotela ngokushesha. Ungathatha ngokuzimela isidakamizwa esilwa nokuvuvukala (isibonelo, i-Nimesulide noma i-Meloxicam) noma umuthi owawunqunywe ngaphambilini udokotela. Ukuzilawula kwezidakamizwa ze-antigout akwamukelekile.

Yikuphi ukudla okulungele ukususa i-uric acid?

Amazinga e-uric acid ehliswa ukudla okuphansi kwamaprotheni nama-purines. Lokhu kuhlanganisa imikhiqizo yobisi, inyama engenamafutha (ikakhulukazi inkukhu), amafutha emifino, izithelo nemifino. Kunconywa ukuphuza uketshezi oluthe xaxa ukuze kukhuthazwe izinso.

Imuphi udokotela okufanele ngimthinte nge-gout?

– Uma uba nezimpawu ze-gout okokuqala ngqa, kufanele uthintane nomelaphi. Uzokwenza ucwaningo kanye nocwaningo oludingekayo. Lapho ukuxilongwa kuqinisekisiwe, i-rheumatologist izobhekana nokwelashwa.

I-Gout: ukwelashwa ngamakhambi esintu

Ukusetshenziswa kwezindlela zendabuko zokwelapha i-gout kuhlangene nemithi kunciphisa ubuhlungu, ubude nobuningi bokuhlaselwa.

Umphumela ohlakazekayo wezitshalo eziningi zokwelapha ekwakhekeni kwamaminerali emalungeni uhlotshaniswa nomthelela wezinto eziphilayo (amafutha abalulekile, ama-organic acid, ama-microelements) ku-pH yomchamo, eshintsha izinga lokugcwala kwawo ngama-crystalloids.

Ngokukhuphuka kwe-pH yomchamo kusuka ku-6.5 kuye ku-7, i-sediment yezinye izinhlobo ze-phosphates iphinda kabili, futhi ngokusabela okubukhali komchamo, ziyancibilika.

Khuthaza ukukhishwa kosawoti womchamo amalungiselelo e-herbal anothe ngama-asidi ephilayo:

• i-apula,

• ilamuna,

• itshe lewayini,

• I-amber

• i-salicylic …, ethinta ukusebenza kwezindlala ze-endocrine, eminye imisebenzi ye-cerebral cortex, i-acid-base rivnostan emzimbeni, ukusabela komchamo.

I-metabolism kumaseli izothuthuka ngenxa yokujwayelekile kokugeleza kwegazi kwe-capillary. Izinqubo zokususa ubuthi kanye nobuthi kumaseli nezitho zizoqina, ukuzivikela kuzoqina.

Izitshalo zokwelapha ngokwesenzo sazo zingahlukaniswa ngokwemibandela ngamaqembu:

1. Usawoti oncibilikayo kanye ne-diuretic;

2. Ukuthuthukisa imetabolism;

3. Ukukhuthazwa kwe-peristalsis yemisipha ebushelelezi ye-urinary tract

4. i-antispasmodic;

5. elwa nokuvuvukala;

6. Izibulala-magciwane.

Iqoqo lihlanganisa amakhambi okwelapha, okungukuthi 🍃:

• isicathulo sehhashi

• i-goldenrod evamile

• ihansi cinquefoil

• impande ye-dandelion

• Isikhwama sikaMelusi

• nikolaychiki flat

• marigolds okwelapha

• Rowan amajikijolo ajwayelekile

• i-violet enamakha

• i-lingonberry

Ikhambi le-herbal le-gout

Kafushane mayelana nezingxenye zeqoqo lezitshalo zokwelapha 🍃:

• horsetail Isetshenziswa njenge-diuretic, anti-inflammatory and hypotensive agent. Kuye kwahlolwa ukuthi i-horsetail yasensimini ikhuthaza ukukhishwa komthofu emzimbeni.

• I-Potentilla goose - ngesenzo iyi-diuretic painkiller kanye ne-hemostatic. Ngenxa yezakhiwo zayo zokulwa ne-spasmodic, i-peristalsis yemisipha ebushelelezi ye-urinary tract iyakhuthazwa. Njengengxenye yeqoqo, ihansi cinquefoil idlala indima ebalulekile.

• Isikhwama sikaMelusi - esetshenziswa njengomlawuli we-metabolism emzimbeni, i-diuretic ezinqubweni zokuvuvukala.

• UMarigolds iyisici esihle se-diuretic ne-diaphoretic, ikakhulukazi uma kwenzeka ukuphazamiseka kwe-metabolic, urolithiasis. Ikhambi le-sechoochisny elisebenzayo le-diathesis kasawoti.

• I-violet enephunga elimnandi - ine-antimicrobial, anti-inflammatory properties, inciphisa kancane umfutho wegazi.

• I-Goldenrod evamile - inomphumela ophawulekayo wokulwa nokuvuvukala ezimweni lapho i-microbial flora imelana nama-antibiotics. I-Goldenrod iyasebenza ku-urolithiasis eyinkimbinkimbi yi-pyelonephritis. Isenzo yi-diuretic choleretic, i-solegin, i-antiseptic.

• Izimpande zeDandelion ithuthukisa i-zhivchotvorennya, ikhombisa izakhiwo ze-diuretic, antispasmodic kanye ne-laxative, isenzo esisebenzayo ekuvimbeleni isifo sokuqina kwemithambo yegazi jikelele.

• Ifulethi likaNikolaichiki bonisa imiphumela ye-antispasmodic ne-diuretic, ibe nomthelela wokuzola ohlelweni lwezinzwa oluphakathi.

• I-Rowan evamile (amajikijolo) ziwusizo ezifweni zezinso, i-diathesis kasawoti, i-renal colitis, isifo sohudo, ukuntula uvithamini A no-C, isifo sesibindi nenyongo. I-Rowan evamile ibonakala njengento eluhlaza encibilikayo kasawoti, i-diuretic kanye ne-multivitamin.

• I-lingonberry evamile - izici zokwelapha zesitshalo zifana namaqabunga e-bearberry, angasebenza njengengxenye elinganayo. Isici esihlukile ukuthi amaqabunga namajikijolo ama-cranberries anciphisa inani le-uric acid. Isenzo sokuthuthukisa i-metabolism kanye ne-salt-soluble, i-diuretic, i-antiseptic, i-astringent.

Amakhambi angaphandle e-gout

Ukudla okujwayelekile - ukudla kwe-gout

Ngaphandle kokwelashwa kwezidakamizwa, ukudla okunomsoco kubaluleke kakhulu - ukudla kwe-gout. Uma isiguli sinamathela ekudleni, khona-ke ukuhlaselwa kwesifo kungase kungenzeki iminyaka.

Akuvamile ukuthi noma ubani ekugcineni aqede “isifo sasebukhosini”. Kodwa imikhawulo ethile yokudla inganciphisa kakhulu ukuhlaselwa kwe-gout exacerbation. Kubantu, ukudla kwe-gout kwehla ekudleni imikhiqizo yenyama encane, ukudla okunamafutha nosawoti, futhi nokwenqaba ukuphuza ikhofi, ushukela neziphuzo ezidakayo.

Kunconywa ukunciphisa usawoti ekudleni, njengoba ugcina uketshezi ezicutshini futhi uvimbele i-uric acid compounds ukuthi ingagezwa ngezinso.

Ukudla Okuphambili Nokubi Kakhulu Ongakudla Nge-Gout | Yehlisa Ingozi Yokuhlaselwa Kwe-Gout kanye ne-Hyperuricemia

Ukudla okucebile nge-Purine okufanele kukhawulelwe kufaka phakathi:

1. Imifino - uphizi, ubhontshisi, udali, ubhontshisi.

2. Izinhlanzi - ama-sprats, sardines, sprat, cod, zander, pike.

3. Offal - izinso, isibindi, amaphaphu, ubuchopho.

4. Amakhowe - amhlophe, ama-champignon.

5. Ezinye imifino (sorrel, isipinashi, amakhiwane, rhubarb, radishes, asparagus, cauliflower).

6. Inyama (ingulube, i-veal, iwundlu, ihansi).

7. Amasoseji (ikakhulukazi i-liverwurst).

8. Imihluzi yenyama nenhlanzi, imvubelo, i-oatmeal, irayisi eliphucuziwe.

9. Inyama idliwa kangcono ibilisiwe, ngoba cishe ama-50% ama-purines aya emafutheni.

Kuboniswa ukunciphisa imikhiqizo ejabulisa isimiso sezinzwa: ikhofi, itiye elinamandla, ukhokho, ukudla okulula okubabayo, izinongo, njll. Ukuphuza utshwala kungabangela ukuhlaselwa yi-gout ngoba utshwala bukhubaza ukukhishwa kwe-uric acid yizinso.

Mangisho ukuthi akuwona wonke umuntu okwazi ukushiya ngokushesha ukudla okuvamile. Kodwa lapho ukuhlasela kokuqala kuba nobuhlungu, njengokungathi banqunywa bephila, abaningi basazama ukushintshela ekudleni okusesilinganisweni.

Imikhiqizo ewusizo ye-gout ubisi nemikhiqizo yobisi (equkethe i-calcium ukuqinisa amathambo), okusanhlamvu, imifino (amazambane, i-zucchini, ukhukhamba notamatisi, ithanga), amajikijolo, zonke izinhlobo zamantongomane (ngaphandle kwamantongomane), inyama ebilisiwe nenhlanzi ebilisiwe.

Ukudla okunomsoco we-gout:

AKUKHISHIWE EKUDLENI:

AMASObho:

Imihluzi yenyama namakhowe, isobho nge-sorrel, isipinashi, i-legumes

INYAMA:

Inyama yenkonyane, inkukhu, iwundlu, ingulube, izinso, isibindi, amaphaphu, ubuchopho, amasoseji, inyama ebhenywayo, ukudla okusemathinini

INHLANZI:

Okunamafutha, okusawoti, okubhenyiwe, okusemathinini

IMIKHIQIZO YOSUKU:

Ushizi obabayo nosawoti, ushizi we-feta

Okusanhlamvu kanye ne-pasta:

imidumba

IMIFINO:

I-lettuce, i-rhubarb, i-sorrel, isipinashi, i-cauliflower

Izithelo, amajikijolo, AMAMANDI:

Amakhiwane, ama-raspberries, ushokoledi

IZIPHUMO:

Ukhokho, itiye elinamandla nekhofi, imvubelo neziphuzo ezidakayo

I-Spices Ebandayo:

Amasoso on inyama nenhlanzi umhluzi, amakhowe umhluzi, pepper, lwesinaphi, horseradish

Ukudla okulula:

Ukudla okulula okubabayo nosawoti, inyama ebhenywayo, ukudla okusemathinini, amasoseji

Amafutha:

Iwundlu, inyama yenkomo, ingulube, amafutha okupheka

KUVUMELEKILE NGEZINANI EZINGQIWE

Imikhiqizo yesinkwa nofulawa:

Imikhiqizo yamakhekhe anomkhawulo

AMAQANDA:

Iqanda elilodwa ngosuku lanoma yikuphi ukulungiswa

INYAMA:

Inyama yenkomo, unogwaja, inkukhu, i-turkey - ibilisiwe izikhathi ezingu-1-2 ngesonto

INHLANZI:

Izinhlobo zezinhlanzi ezinamafutha aphansi efomini elibilisiwe izikhathi ezi-1-2 ngesonto

Okusanhlamvu kanye ne-pasta:

i-pasta

Izithelo, amajikijolo, AMAMANDI:

ipulamu

IZIPHUMO:

ujusi wetamatisi

KUnconyiwe NGOKUDLA:

Imikhiqizo yesinkwa nofulawa:

Ukolweni nesinkwa se-rye.

AMASObho:

Isobho semifino kanye nokwengezwa kwemifino ehlukahlukene kanye nokusanhlamvu, i-borscht, i-okroshka, i-beetroot, isobho sobisi

UKUDLA KWASOLWANDLE:

I-squid, ama-shrimp

IMIKHIQIZO YOSUKU:

Ubisi, i-kefir, ubisi olubilisiwe, i-cottage shizi, ushizi ongenasiphuzo

Okusanhlamvu kanye ne-pasta:

Okusanhlamvu okuhlukahlukene kwanoma yikuphi ukulungiswa

IMIFINO:

Amazambane, ama-beet, izaqathe, i-zucchini, ithanga, utamatisi, upelepele, ama-eggplant, iklabishi elimhlophe, ukhukhamba

Izithelo, amajikijolo, AMAMANDI:

Noma yiziphi izithelo, amajikijolo amasha nangemva kokwelashwa okushisa, izithelo ezomisiwe, uju, ujamu

IZIPHUMO:

Itiye elibuthakathaka nekhofi elinobisi, izithelo nemifino yemifino, ukumnika kwe-rosehip

I-Spices Ebandayo:

Amasoso emhluzweni wemifino, utamatisi, ubisi omuncu omuncu, i-vanillin, isinamoni

Ukudla okulula:

Amasaladi emifino, ushizi othambile

Amafutha:

Ibhotela namafutha yemifino

Kwenzekani uma ungelashwa?

Ezimweni eziningi, ukuthuthukiswa kwe-gout kuholela ezinkingeni ezinzima ezibeka usongo lwangempela empilweni yakho, futhi ngokuvamile ukuphila.

Lezi zinkinga zifaka:

• isifo samathambo

• isifo se-urolithiasis

• imfiva (izinga lokushisa lingakhuphukela ku +40)

Uma ungathathi izinyathelo eziphuthumayo noma usebenzise ukwelashwa okungasebenzi, khona-ke izinqubo ze-pathological ezinamandla zizoqala emzimbeni wakho, okuzoholela ezinguqukweni ezingenakuhlehliswa ekusebenzeni kwesistimu ye-musculoskeletal nezitho zangaphakathi.

Ubuhlungu obuqhubekayo, ngaphezu kokungakhululeki okuvamile, kuzoholela ekuthuthukiseni ukuphazamiseka kwengqondo kanye ne-vegetative-vascular. Ngaphezu kwalokho, uma kungekho ukwelashwa okufanele, ukukhubazeka kwamalunga kungase kungenakuhlehliswa.

Uma uthole ulwazi oluwusizo, khona-ke siyajabula!

Yiba nempilo!

Imithombo:

1. I-Gout. Imihlahlandlela yodokotela abajwayelekile (odokotela bomndeni). UMnyango Wezempilo waseRussian Federation. 2015. https://endouroclinic.ru/media/file-galleries/qpbowb/Podagra%20Rukovodstvo%202015.PDF
2. Iziqondiso zomtholampilo. Ukuxilongwa nokwelashwa kwe-gout emisebenzini yezokwelapha evamile, ngo-2013. https://rykovodstvo.ru/exspl/56548/index.html
3. Irejista yemithi yaseRussia. https://www.rlsnet.ru/drugs/monural-2053