I-Gout yintlobo yesifo se-arthritis esichazwe ngentlungu, ngokukhawuleza, ubomvu, ukufudumala, ukuvuvukala, nokunyameka kwamalungu. I-Gout idla ngokuchaphazela ukudibanisa okukhulu kwezinzwane ezinkulu, kodwa iimpawu zenzeke ezinyaweni, ezinqeni, emadolweni, ezandleni nasezintwini. Ukuhlaselwa ngokuqhelekileyo kugcina iintsuku ezintlanu ukuya kwezi-10.
I-Gout ibangelwa ukuqoqwa kwamakristali e-uric acid, imveliso engcolileyo eyenziwa ngokuphuka kwe-purines - izinto ezitholakala ngokwemvelo emzimbeni nasekudleni okunjengokutya kwenyama, i-asparagus, i-anchovies, i-herring, kunye nama-mushroom.
IziNyango zeNdalo zeGout
Kuze kube ngoku, inkxaso yenzululwazi yebango lokuba nayiphi na isiluleko esingokwemvelo singayiphatha gout.
Vitamin C
Olunye ubungqina lubonisa ukuba i- vitamin C inokunceda ukunciphisa amazinga e-uric acid. Kwisifundo esenziwe kakuhle, abantu abayi-184 bathabatha i-vitamin C (500 milligrams ngosuku) okanye indawo ye-placebo.
Emva kweenyanga ezimbini, amazinga e-uric acid ayancitshiswa kakhulu kubantu bathatha i-vitamin C kodwa kungekhona kubantu ababa ne-placebo. Nangona esi sifundo sibonisa ukuba i-vitamin C inokukunceda ukukhusela okanye ukuphatha gout, kukho iimfuno ezininzi ezingakumbi ngaphambi kokuba sigqibe oko.
Abantu abanesifo seengtso kufuneka baqhagamshelane nodokotela babo ngaphambi kokuba bathathe i-vitamin C. I-Vitamin C ikwandisa ukutyunjwa kwezinye iintlobo zesinyithi ekudleni, ngoko abantu abane-hemochromatosis akufanele bathathe i-vitamin C. I-Vitamin C kumayeza angaphezu kwama-2 000 i-milligrams ngosuku ingabangela urhudo, igesi, ukugaya ukutya, okanye ukuphazamisa ukungena kwe-vitamin B12.
Izithako ze-Vitamin C zingaphakamisa amanqanaba egazi le-aspirin kunye ne-acetaminophen. Kukho iingxelo ezinqabileyo zevithamini C eziphazamisa ukuphumelela kwe-warfarin yamayeza (i-Coumadin). I-Vitamin C inokunyusa nemiphumo yemiphumo ye-furosemide (ibekwe njenge-loop diuretic) kunye ne-antibiotic tetracycline.
Ukuba kuthathwa ndawonye, i-vitamin C inokunciphisa ukutshatyalaliswa kwepropranolol, unyango lwegazi eliphezulu kunye neemeko zentliziyo. Thetha nogqirha wakho kuqala ngaphambi kokudibanisa nayiphi na le mayeza kunye ne- vitamin C.
Cherries
Iikherries yindlela eyaziwayo yekhaya yokuphefumula. Isixa esivame ukucetyiswa kuyo naphakathi kwekhafu yekomityi kunye neyiliti enye yamarriries ngosuku. Zingadliwa okanye zihlanganiswe kwaye zihlanjululwa ngamanzi ukwenza i juzi. Izicatshulwa ze Cherry zifumaneka nakwezinye izitolo zokutya.
Nangona i-cherries yindlela eyaziwayo ngokuthe tye, akukho phantse ukuba inokukunceda. Esinye isifundo esincinane kakhulu sahlola ukusetyenziswa kwamakhariya kwizinga le-uric acid kunye nokuvuvukala. Abafazi abalishumi basebenzisa ii-servings ezimbini (280 grams) ze-Bing cherries emva kokukhawuleza ubusuku.
Emva kweeyure ezintathu emva kokutya ama-cherries, kwakukho ukwehla okukhulu kwizinga le-uric acid . Kwakhona kuncipha, nangona kungabonakali, kubangelwa.
Ukutya
Nangona uninzi lwe-uric acid emzimbeni lwenziwa kwi-metabolism ye-purine eyenzeka ngokwemvelo, ukutya ukutya okunotye kwi-purines kungabangela ukuba kube negalelo eliphezulu kwi-body acid.
Uvavanyo lwesithathu lwezeMpilo kunye neZondlo zeZondlo , ezisetyenzisiweyo ezivela kubantu abayi-14,809 e-United States, zafumana ukwanda kwamazinga e-uric acid phakathi kwabantu ababenokuphakanyiswa kokutya kwezilwanyana kunye nezilwanyana zasemanzini.
Ngakolunye uhlangothi, i-protein ye-intake ye-intake ayizange ihambelaniswe nokunyuka kwamazinga e-uric acid.
Ukutywala i-milk kwahlanganiswa namazinga asezantsi e-uric acid. Ngokukodwa, abantu abaphuza ubisi enye okanye ngaphezulu kweentsuku, okanye ababenayo i-yogurt ubuncinane kanye kunye neminye imihla, banamazinga aphantsi e-uric acid kunabantu abangadlanga i-yogurt okanye ubisi.
Olunye uphando olubandakanya amadoda angama-47,150 abane-gout afumanisa ukuba ukutyiwa kwenyama kunye neentlanzi zaselwandle kwakudibene nomngcipheko wokungena. Ukutya kweeprotheyini ezipheleleyo kunye nokusetyenziswa kwemifuno e-purine ecebileyo, njenge-asparagus, ayinakunxulumene nobungozi obandayo. Ubisi bekunxulumene nomngcipheko wehla.
Ukusebenzisa iziNyango zeNdalo zeGout
Ngenxa yokungabikho kokuxhasa uphando, kungekudala ukucebisa naluphi na uhlobo lwamayeza olushushu. Izibonelelo azange zivavanywe ukhuseleko kwaye ngenxa yokuba izongezo zokutya zikhululekile kakhulu, umxholo weemveliso ezithile zingahluka kwizinto ezichaziweyo kwilebula yomkhiqizo. Kwakhona ugcine ukhumbule ukuba ukhuseleko lwamayeza athile kwabasetyhini abakhulelweyo, oomama abancinci, abantwana kunye nalabo abanezifo zonyango okanye abo bathabatha imishanguzo ayilwanga. Unokufumana iingcebiso ekusebenziseni izongezo kwi-intanethi , kodwa ukuba ucinga ngokusetyenziswa kwanaluphi na uhlobo lwamayeza athile, ncokola nomboneleli wakho oyintloko. Ukuziphathela imeko kunye nokuphepha okanye ukulibazisa ukunakekelwa okuqhelekileyo kunokuba nemiphumo emibi.
Imithombo
Choi HK. Izifo zengozi yeengxaki zesifo se-rheumatic. Curr Opin Rheumatol. 17.2 (2005): 141-146.
Choi HK, Atkinson K, Karlson EW, uWillett W, Curhan G. Ukutya okunotyebile, ukuloba kunye neeprotheni, kunye nomngcipheko wesifo emantwini. N Engl J Med. 350.11 (2004): 1093-1103.
I-Choi HK, Liu S, Curhan G. Ukutya kwe-purine-rich riches, iprotheni, kunye nemveliso yobisi kunye nobudlelwane kumanqanaba e-serum ye-uric acid: I-Third National Health and Nutrition Examination Survey. Arthritis Rheum. 52.1 (2005): 283-289.
Huang HY, Appel LJ, Choi MJ, Gelber AC, Charleston J, Norkus EP, Miller ER 3rd. Imiphumo ye-vitamin C yokuxhaswa kwi-serum i-acid ye-uric acid: iziphumo zolu vavanyo olulawulwa ngononophelo. Arthritis Rheum. 52.6 (2005): 1843-1847.
UYakobi RA, uSpinozzi GM, uSimon VA, uKelley DS, ngaphambi koRL, uHess-Pierce B, iKader AA. Ukusetyenziswa kwamakhariya okunciphisa i-plasma urate kubasetyhini abasempilweni. J Nutriti. 133.6 (2003): 1826-1829.
Saag KG, Choi H. Epidemiology, izinto ezinobungozi, kunye nendlela yokuphila yokuguqula i-gout. Arthritis Res Ther. I-Suppl 1 (2006): S2.
Schlesinger N. Izinto zokutya kunye ne-hyperuricaemia. Curr Pharm Des. 11.32 (2005): 4133-4138.
Ukuziphendulela: Ulwazi oluqulethwe kule ndawo lujoliswe kwiinjongo zemfundo kuphela kwaye alithathi indawo yeengcebiso, ukuxilongwa okanye unyango ngumgqirha onelayisenisi. Akunakuthetha ukukhusela zonke iindlela zokulondoloza, ukusebenzisana kwezidakamizwa, iimeko kunye nemiphumo emibi. Kufuneka uncede unyango lwangonyango ngokukhawuleza kuyo nayiphi na imiba yempilo uze ubonane nodokotela wakho ngaphambi kokusebenzisa elinye iyeza okanye wenze utshintsho kwi-regimen yakho.