Kulimbana ndi Gout

Malangizo Othana ndi Chiwopsezo ndi Kuteteza Tsogolo Lathu

Ngakhale kuti gout amatha kuyendetsedwa kwambiri ndi kugwiritsa ntchito mankhwala a uric acid-kuchepetsa mankhwala ndi mankhwala ena oletsa anti-gout, pali zida zambiri zogwiritsira ntchito zomwe mungathe kusintha ngati mukukumana ndi zida zowonongeka kapena zoopsa. Zimaphatikizapo zonse pakuyang'anira zakudya zomwe mumadya mpaka pang'ono, tsiku lililonse "zokonza" zomwe zingakuthandizeni kupewa masoka amtsogolo.

Moyo

Mofanana ndi zomwe zimachitika m'moyo zimapangitsa kuti mukhale ndi chiopsezo chotere, kusintha kwa makhalidwe osayenera kungachepe kwambiri. Kuti izi zitheke, zinthu zitatu zomwe zingasokoneze vuto lanu ndizo zakudya zanu, kulemera kwanu, ndi mowa womwe mumadya.

Zakudya

Zizindikiro za kupweteka zimayamba chifukwa chodya zakudya zopangidwa mu purine. Msupa ndi mankhwala omwe amapezeka mu zakudya zambiri zomwe zimakhala ngati uric acid . Uric acid ndi chifukwa cha gout ndi mdani kwa aliyense amene akudwala.

Kuchepetsa chiopsezo chanu:

• Dziwani zakudya zakudya zapamwamba zomwe muyenera kuzipewa (monga chiwindi, veal, mussels, tuna, ndi nyama yankhumba) ndi zomwe muyenera kuziletsa (monga nyama yofiira ndi nyemba).
• Gwiritsani ntchito njira zochepa za purine monga zipatso zatsopano, masamba atsopano, mbewu zonse, mtedza, mafuta ochepa komanso opanda mkaka monga mkaka ndi mkaka wambiri.
• Imwani magalasi asanu ndi atatu mphambu makumi asanu ndi awiri (16) pa tsiku omwe sungowonjezera kukodza (kuchotsa uric asidi) koma kuchepetsani mchere wa uric m'magazi.

• Idyani zakudya za vitamini C zomwe zimakhulupirira kuti zimachepetsa uric acid.
• Khofi yofiira ikhoza kuthandizanso koma musachepetseko makapu awiri patsiku (chimodzimodzi). Chilichonse chomwe chingakhale nacho chiyanjano chimakhudza, kuwonjezeka kusiyana ndi kuchepetsa ma asidi a uric acid.
• Kuti mutenge zakudya zabwino, idyani yamatcheri atsopano omwe ali ndi uric acid-kuchepetsa zotsatira.

• Pewani zakumwa zilizonse zotsekemera ndi fructose, kuphatikizapo sodas ndi zakumwa zakumwa, chifukwa izi zikhoza kuchepetsa kupitirira kwa uric acid ndi impso.

Kuchepetsa Kulemera

Kulemera kwambiri kapena kunenepa kumawonjezera chiopsezo chanu chogonjetsa matendawa powonjezera kukaniza kwa insulini . Izi zimapangitsa kuti impso zanu zisamayende bwino, zomwe zimapangitsa kuti uric asiye mu magazi. Mavutowa amakula kwambiri ngati muli ndi mafuta ochuluka kwambiri omwe amapezeka m'mimba .

Kuti muchepetse chiopsezo chanu, musamangoganizira za kulemera kokha koma ndondomeko yochita maseŵera olimbitsa thupi yopangidwa kuti pang'onopang'ono kuyaka mafuta Izi zimafuna kuyendetsa pang'onopang'ono koma mosasinthasintha , makamaka ndi katswiri wokhudzana ndi zakudya zomwe zimapezeka mu gout komanso wophunzitsidwa mwakuthupi.

Kupanga ndondomeko yochita masewera olimbitsa thupi nthawi zina kumayambitsa matenda a gout, makamaka ngati mukupanikizika mopitirira muyeso kapena mutayika madzi . Mofananamo, kudzitengera nokha ku chakudya chowonongeka kungayambitse zizindikiro chifukwa cha kuchepa mofulumira kwa thupi ndi kuwonjezeka kwa maubwenzi mu uric acid.

Mowa

Mowa ndi ovuta ngakhale ngakhale kuchuluka kwazing'ono kungachititse kuti uric acid wawoneke. Pomwepo, maere ndi oyipa kwambiri omwe amapangidwa ndi yisiti ya brewer, imodzi mwa mapepala a purine.

Ngati muli ndi vutoli, nthawi zambiri mumasiya kumwa mowa, komanso whiskey ndi mitundu yonse ya mowa wosokoneza bongo.

Koma, kodi izi zikutanthauza kuti mukuyenera kusiya kumwa moyenera? Mwinamwake inde ndipo mwinamwake ayi. Kafukufuku akhala akugawikana ngati vinyo akugwirizanitsidwa ndi matenda a gout, ndipo ena awonetsa kuti amayi sangakhale ovutika kwambiri kusiyana ndi amuna.

Popeza sikuti aliyense amavutika ndi vuto lomweli, mumayenera kutenga njira zomveka zomwa mowa. Zina mwa njira zomwe mungaganizire:

• Ngati muli okonda mowa, dulani othandizana ndi apAs ndipo musamalowe ndi mowa wosakhala mowa. Koma, samalani ndi mtundu womwe mumasankha. Ngakhale ambiri omwe amamwa mowa amachokera ku jekeseni wa carbon dioxide, ena amawonjezera yisiti kuti awapatse chisangalalo chosautsa.

• Ngati muli kunja ndi abwenzi anu, ma bars ndi lounges lero amapereka zosakondera. Koma, onaninso zowonongeka ndikupewa zakumwa zobiriwira zomwe nthawi zambiri zimapangidwa ndi madzi a fructose-okoma.
• Ngati mwasankha kumwa mowa, khalani ndi madzi ndi kumwa madzi kuti musamamwe mowa kwambiri madzulo. Muyeneranso kumamwetsa kapena kudya kuti muzitha kumwa mowa mopitirira muyeso.
• Komanso, khalani ndi galasi kapena madzi awiri mutatha kumwa. Izi sizidzangowonjezera mowa m'dongosolo lanu, zingakupangitseni kuti mukumva bwino komanso osakakamiza kumwa zakumwa zina. Idzalimbikitsanso kukodza komanso kusunga impso zanu.

Koma, ngati mumakumana ndi zowawa zambiri kapena zovuta kuti muzimwa mowa, lankhulani ndi dokotala ndikufunseni za njira zomwe mungasankhe.

Zothandiza

Ngati mutakumana ndi vuto la kugwidwa koopsa, pali masitepe omwe mungatenge kuti mutha kuchiza matenda anu. Pamene zizindikiro zikuwonjezeka kumayambiriro kwa chiwonongeko, kuchitapo kanthu mwamsanga kungakupulumutseni kuvutika konse ndi kuzunzika.

Zina mwa mfundo zopita:

• Yambani mwa kutenga mankhwala osagwiritsa ntchito mankhwala opatsirana ( infosmatory anti-inflammatory drug (NSAID) monga Aleve (naproxen) kapena Advil (ibuprofen).
• Ngati phazi lanu likuphatikizidwa, kukweza phazi pamwamba pa phazi lanu kumachepetsa kupwetekedwa ndi kupweteka.
• Gwiritsani ntchito phukusi pazowonongeka, koma onetsetsani kuti mukuphimba paketi ndi chopukutira chochepa ndikusunga pakhungu osapitilira mphindi 15 mpaka 20 panthawi kuti muteteze chisanu.
• Yesani kumasuka monga momwe mungathere, kaya mwawonera kanema, kuyankhula ndi bwenzi, kuwerenga buku, kapena kumvetsera nyimbo zosangalatsa.
• Ngati chovala chanu chachikulu chikukhudzidwa (ndipo mwina chidzakhala), tengani masokosi akale ndikudula dzenje lalikulu kuti munyolowe. Kukonzekera kwakung'ono kungachititse kuti phazi lanu likhale lofewa pamene mukusunga chingwe.
• Pangani bedi lanu kuti phazi lanu likhale pansi pamabedi. Panthawi yovuta kwambiri, ngakhale kulemera kwa pepala kungawononge ululu waukulu.
• Ngati mukufuna kuyenda, gwiritsani ntchito ndodo kapena kupeza zidutswa ziwiri kuchokera kwa dokotala wanu kapena sitolo yothandizira zaumoyo.
• Pewani kuyendetsa galimoto pamene mutha kupweteka phazi lanu kapena ngakhale kuyambitsa ngozi. M'malo mwake, gwiritsani ntchito Uber kapena funsani mnzanu kuti akuyendetseni.
• Ngati muli ndi mankhwala ochepetsetsa uric acid monga Zyloprim kapena Uloric , musayime. Zina mwa mankhwalawa zingayambitse zilonda m'mayendedwe oyambirira. Ngakhale atatero, muyenera kupitiliza.
• Khalani otsimikiza. Ngati chili chonse, dzikumbutseni kuti kuukira sikuli kwanthawizonse, ndipo pali zinthu zomwe mungachite kuti muteteze mtsogolo.

Ndikunenedwa kuti, ngati zizindikiro zanu sizikuyenda pambuyo pa maola makumi awiri kapena asanu ndi awiri kapena kutha kwa nthawi yoposa sabata, funsani dokotala wanu ndikukonzekera nthawi.

Ngati mukuchiritsidwa, mungafunikire kusintha kusintha kwa mankhwala anu kapena kufufuza njira zina zamakhalidwe. Ngati simukutero, pangakhale nthawi yofufuza njira zamankhwala .

> Zotsatira:

> Richette, P. ndi Barden, T. "Gout." Lancet. 2010; 375 (9711): 318-28. DOI: 10.1016 / S0140-6736 (09) 60883-7.

> Neogi, T .; Chen, C .; Niu, J. et al. "Mowa wochulukirapo ndipo amawoneka kuti ali pangozi ya zida zosavuta kugwiritsira ntchito: Gwiritsani ntchito intaneti-crossover." Am J Med. 2014; 127 (4): 311-318. DOI: 10.1016 / j.amjmed.2013.12.019.

> Zhang, Y .; Chen, C .; Choi, H. et al. "Zakudya zolemera m'magazi zimayambitsa kudya komanso kugwiritsira ntchito mankhwala opatsirana." Ann Rheum Dis. 2012; 71 (9): 1448-53. DOI: 10.1136 / annrheumdis-2011-201215.