Gout ndi mtundu wa nyamakazi yomwe imadziwika ndi kupweteka mwadzidzidzi, kupweteka, kutentha, kutupa, ndi kukoma mtima m'magulu. Gout kawirikawiri imakhudza chachikulu chophwanyika chala chala chachikulu, koma zizindikiro zikhoza kuchitika pamapazi anu, mabowo, mawondo, manja, ndi mawonekedwe. Mavutowo amatha masiku asanu kapena asanu.
Gout amayamba chifukwa cha kusungunuka kwa uric acid crystals, chinthu chowonongeka chomwe chimapangidwa kuchokera ku kupasuka kwa purines - zinthu zomwe zimapezeka mwachibadwa m'thupi ndi zakudya monga nyama, katsitsumzukwa, anchovies, herring, ndi bowa.
Zothetsera zachilengedwe za Gout
Pakadali pano, chithandizo cha sayansi cha chidziwitso chakuti mankhwala alionse angathe kuchiza gout ndi ochepa.
Vitamini C
Umboni wina umasonyeza kuti vitamini C ingathandize kuchepetsa ma oric acid. Mu phunziro limodzi lokonzedwa bwino, anthu 184 anatenga vitamini C kupatsirana (500 milligrams patsiku) kapena placebo.
Pambuyo pa miyezi iwiri, miyeso ya uric acid inachepetsedwa kwambiri mwa anthu omwe amatenga vitamini C koma osati mwa anthu omwe amatenga placebo. Ngakhale kuti kafukufukuyu akusonyeza kuti vitamini C ikhoza kuthana ndi matendawa, maphunziro ena ambiri amafunika kuti tipeze izi.
Anthu omwe ali ndi matenda a impso ayenera kuonana ndi adokotala asanayambe kumwa vitamini C. Vitamini C imayambitsa kuyamwa kwa mitundu ina ya chitsulo kuchokera ku zakudya, kotero anthu omwe ali ndi hemochromatosis sayenera kumwa vitamini C zowonjezera. Vitamini C mu mlingo wa ma milligrams 2,000 pa tsiku angayambitse kutsekula m'mimba, gasi, kupweteka kwa chakudya, kapena kusokoneza mavitamini B12.
Vitamini C zowonjezerapo zimayambitsa magazi a aspirin ndi acetaminophen. Pakhala pali mavitamini ochepa a vitamini C omwe amatsutsana ndi mphamvu ya warfarin ya mankhwala (Coumadin). Vitamini C ingakhalenso kuonjezera zotsatira za zotsatira za furosemide (zomwe zimatchulidwa ngati loop diuretic) ndi tetracycline ya antibiotic.
Ngati atengedwa pamodzi, vitamini C ikhoza kuchepetsa kuyamwa kwa propranolol, mankhwala a kuthamanga kwa magazi ndi mtima. Kambiranani ndi dokotala wanu musanayambe kumwa mankhwalawa ndi vitamini C.
Yamakiti
Zakudya zamakiti ndizo mankhwala othandizira kwambiri a pakhomo. Ndalama zomwe zimalangizidwa ndipakati pa theka la kapu ndi pounds imodzi yamatcheri tsiku. Zikhoza kudya kapena kusakanikirana ndiyeno zimadzipukutira ndi madzi kuti zimve madzi. Zokometsera za Cherry zimapezekanso ku sitolo yathanzi.
Ngakhale yamatcheri ndi mankhwala odziwika bwino kwambiri a mankhwalawa, palibe umboni uliwonse wosonyeza kuti ungathandize. Phunziro limodzi laling'ono kwambiri linayesa kugwiritsa ntchito yamatcheri m'magulu a uric acid ndi kutupa. Azimayi khumi ankadya mavitamini awiri a 280 a Bing yamatcheri pambuyo pa usiku wonse.
Maola atatu mutatha kudya yamatcheri, panali kuchepa kwakukulu m'magulu a uric acid . Panalinso kuchepa, ngakhale kuti sikunatchulidwe kwenikweni, kotupa.
Zakudya
Ngakhale kuti uric acid ambiri m'thupi amapangidwa kuchokera ku metabolism ya purine mwachibadwa, kudya zakudya zopangidwa mu purines kungathandizenso kuti uric acid ukhale wochuluka m'thupi.
Kafukufuku Wachitatu wa Zaumoyo wa Zaumoyo ndi Zakudya za Zakudya , zomwe zinagwiritsira ntchito deta kuchokera kwa 14,809 anthu ku United States, zinapeza kuchulukitsa kwa uric asidi pakati pa anthu omwe adya kwambiri nyama ndi chakudya.
Komano, kudya kwapuloteni kwathunthu sikukugwirizana ndi kuchuluka kwa uric asidi.
Kudyetsa mkaka kunagwirizanitsidwa ndi mafupipafupi a uric acid. Makamaka, anthu omwe amamwa mkaka kamodzi kapena kangapo patsiku, kapena amene anali ndi yogati kamodzi tsiku lililonse, anali ndi ma asidi ochepa a asirikiti kuposa anthu omwe sanadye yogiti kapena mkaka.
Phunziro lina lophatikizapo amuna 47,150 omwe ali ndi gout, adapeza kuti kudyetsa nyama ndi zakudya zodyerako kunayanjanitsidwa ndi chiopsezo chowonjezereka cha gout. Mavitamini onse omwe amadya komanso kumwa masamba a purine, monga katsitsumzukwa, sanagwirizane ndi chiopsezo chachikulu. Mayi ankagwirizana ndi kuchepa kwake.
Kugwiritsa Ntchito Zothetsera Zachilengedwe za Gout
Chifukwa cha kusowa thandizo lofufuza, ndiposachedwa kwambiri kuti mulangize njira ina iliyonse yothandizira mankhwala. Zakudya sizinayesedwe kuti zikhale zotetezeka komanso chifukwa chakuti zakudya zowonjezera zakudya zimakhala zosavomerezeka, zomwe zilipo zingakhale zosiyana ndi zomwe zafotokozedwa palemba. Kumbukiraninso kuti chitetezo cha njira zothandizira odwala m'mimba mwa amayi apakati, amayi oyamwitsa, ana, ndi omwe ali ndi matenda kapena omwe akumwa mankhwala sanakhazikitsidwe. Mukhoza kupeza malangizo othandizira kugwiritsa ntchito mankhwala owonjezera pa intaneti , koma ngati mukuganizira kugwiritsa ntchito mtundu wina uliwonse wa mankhwala osakaniza, lankhulani ndi wothandizira wanu woyamba. Kudzisamalira komanso kupewa kapena kuchepetsa kusamalidwa kosatha kungakhale ndi zotsatira zoopsa.
Zotsatira
Choi HK. Zizindikiro za matenda odwala matenda a rheumatic. Curr Opin Rheumatol. 17.2 (2005): 141-146.
Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Chakudya chambiri cha Purine, mkaka ndi mapuloteni, komanso chiopsezo cha menyu. N Engl J Med. 350.11 (2004): 1093-1103.
Choi HK, Liu S, Curhan G. Ubwino wa zakudya za purine, mapuloteni, ndi mkaka ndi ubale ndi seramu ya uric acid: Kafukufuku Wachitatu wa Zaumoyo ndi Zakudya za Nthenda. Arthritis Rheum. 52.1 (2005): 283-289.
Huang HY, Appel LJ, Choi MJ, Gelber AC, Charleston J, Norkus EP, Miller ER 3rd. Zotsatira za vitamini C supplementation pa mchere wa uric acid: zotsatira za mayesero osagwiritsidwa ntchito mosavuta. Arthritis Rheum. 52.6 (2005): 1843-1847.
Jacob RA, Spinozzi GM, Simon VA, Kelley DS, Prior RL, Hess Pierce B, Kader AA. Kugwiritsira ntchito yamatcheri kumachepetsa kukonda kwa magazi m'magazi abwino. J Nutriti. 133.6 (2003): 1826-1829.
Saag KG, Choi H. Epidemiology, zoopsa, komanso moyo kusintha kwa gout. Matenda a Arthritis Ther. 8 Perekani 1 (2006): S2.
Schlesinger N. Chakudya cha zakudya ndi hyperuricaemia. Curr Pharm Des. 11.32 (2005): 4133-4138.
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.