Ukutya ukunciphisa uric acid: ukutya ntoni?

ukutya ukunciphisa uric acid

Ngokuqinisekileyo uvile nge "gout" eyaziwayo, ebizwa ngokuba nesifo sezityebi. Le yenye yezona pathologies ezaziwayo ngenxa yezitenxo kunye ne-uric acid. Ukuba ufunda eli nqaku kungenxa yokuba unomdla kakhulu okanye ngenxa yokuba ngelishwa uphethwe luhlobo oluthile lwengxaki.

Apha ngezantsi sichaza ukuba yintoni i-uric acid, zeziphi iingxaki enokuthi ibangele emzimbeni kunye nendlela ukutya okumele kube ngayo ukuthoba amanqanaba egazi.

Yintoni uric acid?

I-Uric acid yikhompawundi yemichiza eyenziwa ngumzimba wethu xa ufuna ukunciphisa izinto ezibizwa ngokuba iipurines. IiPurines zinokuveliswa ngaphakathi ngumzimba ngokwawo, okanye zinokugqithiswa ngokutya.
Ke umzimba wethu unokusebenzisa ezi purines kwiinkqubo zokuvuselelwa kweeseli, okanye uzikhuphe ngomchamo ngendlela ye-uric acid.

Ingxaki kukuba ukukhutshwa ngomchamo kumbi kakhulu kwaye kusenokwenzeka ukuba iasidi iqala ukuqokelelana egazini. Isixa esiqhelekileyo emzimbeni wethu kufuneka sibe phakathi kwe-2 kunye ne-4 mg nge-100 ml yegazi. Ukuba idlula i-7 mg, into ebizwa ngokuba yi-hyperuricemia ivela.

Le hyperuricemia inokukhokelela kwiingxaki ezimbini eziqhelekileyo eziqhelekileyo:

  • Indalo i-sodium urates okanye iikristale. Ezi kristale ziyakwazi ukuqokelela kumalungu kwaye zibangele ukuvuvukala ngendlela ye-arthritis. Ukongeza, le ngxaki idla ngokukhatshwa ngamatye ezintso ezidumileyo; leyo ukongeza ukuba buhlungu kakhulu, kwakhona ndlongondlongo kakhulu amalungu.
  • ukuhlaselwa kwegawuthi Sayikhankanya ngaphambili. Ukuqokelela kweekristale kumalungu kunokudala ukuhlaselwa kwegout. Eyona nto ixhaphakileyo kukuba inobukhona obubonakalayo kwinzwane enkulu, kodwa inokuvela kwamanye amalunga omzimba (ikakhulukazi emacaleni kunye namalungu).

ishellfish yokutya uric acid

Indlela yokuphelisa i-hyperuricemia?

Ukuba, ngelishwa, sele siqaphela iimpawu ezithile, into yokuqala okufuneka uyenze ukuya kugqirha ukuze uhlolisise. Kungenzeka ukuba uya kukuthumela unyango oluthile, kodwa kunokwenzeka ukuba, uya kukucebisa ukuba ulandele amanyathelo amabini abalulekileyo: i-hydration kunye nesondlo.

Ukuphelisa ukugqithisa ngomchamo

I-pH yomchamo iya kumisela ngokucacileyo inqanaba le-uric acid yethu. Xa sisitya ngokungafanelekanga, i-pH iba ne-asidi ngakumbi kwaye kuba yingxaki ngakumbi ekupheliseni ii-purines ngomchamo. Ngoko kufuneka sihlale sinemikhwa emihle yokutya ukuze siphephe olu hlobo lwe-pathology kunye nokunciphisa nayiphi na ingxaki yezempilo.
Ukugcina ukutya okulungileyo, siya kufezekisa i-pH engathathi hlangothi kwaye siya kukwazi ukukhupha ngokuqhubekayo amanqanaba e-asidi egazini ngomchamo.

Ukutya okukhethekileyo

Ukutya okufanelekileyo ukunciphisa amanqanaba e-asidi yegazi kufuneka uzame ukulawula izinto ezintathu ezisisiseko:

I-pH yomchamo. Njengoko besitshilo ngaphambili, kufuneka sitye ukutya okulawula ukusenza sibe nomchamo ongathathi hlangothi pH ukuze kupheliswe i-asidi engaphezulu. Oku kunokufezekiswa ngokulandela ezi zikhokelo zilandelayo:

  • Sela ulwelo olwaneleyo, ingakumbi amanzi kunye nemihluzi yemifuno (ngaphandle kwetyuwa). Ukuphelisa ukusetyenziswa kotywala (i-distilled, ibhiya, iwayini), i-caffeine kunye nasiphi na isiselo esithambileyo.
  • Kuphephe ukutya ukutya okunetyuwa eninzi, kwaye unciphise ityuwa oyisebenzisa ekuphekeni.
  • Ukubheja ekuthathweni kokutya okusisiseko (imifuno, iitapile, iziqhamo, iitapile) kunye nokunciphisa ukusetyenziswa kokutya okune-asidi (isonka, ipasta, irayisi, inyama, intlanzi kunye namaqanda).

Nciphisa ukuthathwa kwe iipurines. Ukutya kwakho kwemihla ngemihla kufuneka kube nenqanaba eliphantsi le-purines. Oko kukuthi, akufanele uhlawule ngokukodwa ukutya okutyayo, kodwa kunye nendlela opheka ngayo. Xa sibilisa ukutya ngee-purines, uninzi lwazo lungena emanzini okupheka. Ke le ndlela yokupheka yenye yeendlela ezilungileyo zokunciphisa umxholo we-purine weplate yakho.
Kakade ke, musa ukuthatha ithuba lokusela loo mhluzi.

Lumka kunye fructose. I-Fructose, ekhoyo kwiziqhamo ezininzi kunye neemveliso ze-ultra-processed, zixutywa ngumzimba kwaye zifakwe kwi-xanthine. Le xanthine yi-purine eguqulwa ibe yi-uric acid. Kwimeko yokuba ne-uric acid engaphezulu, kuyacetyiswa ukuba udle isiqhamo seziqhamo ngosuku, ukhethe lowo unomlinganiselo omncinci we-fructose. Eminye imizekelo yile: iiapilkosi, ikiwi, imango, igrapefruit, ikhokhonathi, ipapaya, ivatala, amaqunube, iorenji, ivatala, ipayitshi, nepesika.
Lumka ngakumbi nge tomato. Nangona uninzi lwethu luyitya njengemifuno, itumata sisiqhamo, kwaye ke inefructose. Yiyo loo nto ezinye iingcali zingakukhuthazi ukusetyenziswa kwayo, kodwa aziyisusi ngokupheleleyo ekutyeni.

Ikuchaphazela njani ukutya?

Ukuba sinegawuthi, ukutya okuthile kunokubangela uhlaselo ngokunyusa amanqanaba euric acid. Ukutya kwe-trigger kuhlala kuphezulu kwi-purines, into efumaneka ngokwemvelo ekutyeni. Xa sisetyisa i-purines, umzimba uvelisa i-uric acid njengemveliso yenkunkuma.

Oku akuyiyo inkxalabo kubantu abaphilileyo, njengoko besusa ngokufanelekileyo uric acid engaphezulu emzimbeni. Nangona kunjalo, abantu abanegawuthi abakwazi ukususa ngokufanelekileyo uric acid engaphezulu. Ngoko ke, a ukutya okutyebileyo kwii-purines inokuvumela i-uric acid ukuba yakhe kwaye ikhokelele kuhlaselo lwegout.

Ngethamsanqa, isayensi ibonisa ukuba ukukhawulela ukutya okuphezulu kwi-purines kunye nokuthatha amayeza afanelekileyo kunokuthintela ukuhlaselwa kwe-gout. Nangona kunjalo, kukho ukungafani kulo mgaqo. Kwakhona kuye kwaboniswa ukuba i imifuno ene-purine Ababangeli ukuhlaselwa kwegawuthi. Kwaye okuthakazelisayo, iziphuzo ezinoshukela kunye ne-fructose zinokunyusa umngcipheko wokuhlaselwa kwe-gout kunye ne-gout, nokuba azikho phezulu kwi-purines.

Kwelinye icala, inzululwazi ibonisa ukuba ubisi olunamafutha aphantsi, iimveliso zesoya, kunye nezongezelelo zevithamin C zinokunceda ekuthinteleni ukuhlaselwa kwegawuthi ngokunciphisa amanqanaba euric acid egazini.

ukutya okungavumelekanga kwi-uric acid

Ukutya okumele kukuphephe

Xa sisazi ukuba ii-purines zezona ziyingozi kakhulu kwabo bantu banengxaki ye-uric acid, siya kukuxelela malunga nokutya okufuneka ukuphephe ukunciphisa i-hyperuricemia. Nangona kuyinyani, olu luhlu kufuneka kwakhona luthathelwe ingqalelo ukuze uphile ubomi obusempilweni ngokupheleleyo, kunye nokuzilolonga.

Ieskese

Nayiphi na imveliso eyenziwe nge-ultra-processed iyingozi emzimbeni, kodwa i-pastries ye-industrial ithatha ikhekhe. Iilekese zamashishini sesinye sezizathu eziphambili zokugqithiswa kwe-uric acid egazini, ekwathanda ukubonakala kweekristale kumalungu kunye nezintso.

Iswekile, inkqubo yokuvelisa kunye nezinye izithako zenza imveliso engakhuthazwayo kwizigulane ze-hyperuricemia (kunye nawuphi na umntu ophilileyo).

Iswekile

Akufuneki nje ukuba silumke ngakumbi ngamanqanaba e-fructose, kodwa iswekile ekhoyo kwiziselo ezithambileyo, iilekese okanye iipastries nazo ziyingozi.

Amakhadi

Inyama yenye yokutya okunexabiso eliphezulu lee-purines. Eyona nto ilungileyo kukunciphisa ukutya kwabo, kodwa ngaphandle kokuwacinezela ekutyeni kweveki. Ngokuqinisekileyo, inyama ebomvu iyingozi ngakumbi kulo mbandela kwaye kufuneka siyisuse ekudleni. Kanye njengokuba kufuneka senze ngaphandle kweepâtés, iisoseji, i-offal…

Iintlanzi eziluhlaza kunye neentlanzi

Njengenyama, kufuneka sikhethe ukuthatha iintlanzi ezithile ezinempilo kule meko. Bacebisa ukuba kufakwe i-hake okanye i-sole endaweni ye-tuna okanye i-swordfish.
Ukongeza, i-shellfish inqatshelwe ngokupheleleyo. Ukusetyenziswa kwayo kwandisa ngokuthe ngqo i-uric acid egazini kwaye inokubangela i-colic okanye i-gout. Yiyo loo nto ibizwa ngokuba “sisifo sezityebi”.

ukutya ukunciphisa uric acid

Ukutya okucetyiswayo

Nangona ukutya okune-gout-friendly kuphelisa ukutya okuninzi, kusekho ukutya okuninzi kwe-low-purine esinokuyonwabela. Ukutya kubhekwa njengento ephantsi kwi-purines xa ingaphantsi kwe-100 mg ye-purines nge-100 grams. Nalu ukutya okuphantsi kwe-purine okuhlala kukhuselekile kubantu abanegout:

  • Iziqhamo: zonke iziqhamo zilungile kwigawuthi. Icheri isenokunceda ekuthinteleni uhlaselo ngokuthoba amanqanaba euric acid kunye nokunciphisa ukudumba.
  • Imifuno: Yonke imifuno ilungile, kubandakanywa iitapile, ii-ertyisi, amakhowa, isitshalo seqanda, kunye nemifuno eluhlaza eluhlaza.
  • Iimbotyi: Zonke iimbotyi zivumelekile, kubandakanywa iilentile, iimbotyi, iimbotyi zesoya, kunye netofu.
  • Amandongomane: zonke iintlobo zamandongomane kunye nembewu.
  • Iinkozo ezipheleleyo: Ezi ziquka ioats, irayisi emdaka nerhasi.
  • Iimveliso zobisi: Zonke iimveliso zobisi zikhuselekile, kodwa ubisi olunamafutha aphantsi lubonakala luluncedo kakhulu.
  • Amaqanda
  • Iziselo: ikofu, iti kunye neti eluhlaza
  • Imifuno kunye neziqholo: Zonke izityalo kunye neziqholo.
  • I-oyile esekwe kwizityalo: kuquka i-coconut, i-olive, kunye ne-oyile yeflakisi

ukutya ngokumodareyitha

Ngaphandle kwenyama yamalungu, inyama ebomvu, nentlanzi ethile, inkoliso yenyama inokutyiwa ngobungcathu. Ukusetyenziswa kwayo kufuneka kukhawulelwe kwi-115 ukuya kwi-170 grams ngamaxesha ambalwa ngeveki. Ziqulethe inani elilinganiselweyo le-purines, elithathwa njenge-100 ukuya kwi-200 mg nge-100 grams. Ngoko ke, ukutya kakhulu kubo kunokubangela ukuhlaselwa kwegout.

Okunye koku kutya koku:

  • Inyama: Ezi ziquka inyama yenkukhu, eyenkomo, eyehagu, neyegusha.
  • Ezinye iintlanzi: I-salmon entsha okanye ekhonkxiweyo iqulethe amanqanaba aphantsi e-purines kunezinye iintlanzi ezininzi.

iingcebiso zokunciphisa uric acid

Ezinye iingcebiso

Ukongeza kokutya, kukho utshintsho oluninzi kwindlela yokuphila enokunceda ukunciphisa umngcipheko wokuhlaselwa yi-gout kunye ne-gout.

Ukunciphisa umzimba

Ukuba sinegout, ukutyeba kakhulu kunokunyusa umngcipheko wokuhlaselwa. Oku kungenxa yokuba ukutyeba kakhulu kunokusenza sixhathise ngakumbi i-insulin, nto leyo ekhokelela ekunganyangekiyo kwe-insulin. Kwezi meko, umzimba awukwazi ukusebenzisa i-insulin ngokufanelekileyo ukususa iswekile egazini. Ukumelana ne-insulin kukhuthaza amanqanaba aphezulu e-uric acid.

Uphando lubonisa ukuba ukunciphisa umzimba kunokunceda ukunciphisa ukunganyangeki kwe-insulin kunye namanqanaba e-uric acid ephantsi. Kwakhona, kuyacetyiswa ukuba uthintele ukutya okutyayo ukuzama ukunciphisa umzimba ngokukhawuleza ngokutya kancinci kakhulu.

Yenza umthambo ngakumbi

Ukuzilolonga rhoqo yenye indlela yokuthintela uhlaselo lwegout. Imithambo ayinakusinceda kuphela ukuba sigcine ubunzima obusempilweni, kodwa inokugcina amanqanaba e-uric acid esezantsi.

Olunye uphononongo lufumene ukuba abo babaleka ngaphezulu kweekhilomitha ezi-8 ngosuku babenomngcipheko ophantsi wama-50% wegawuthi. Oku kukwabangelwa kukuthwala ubunzima obuncinci.

ukuba hydrated

Ukuhlala u-hydrated kunokunceda ukunciphisa umngcipheko wokuhlaselwa kwe-gout. Oku kungenxa yokuba ukuthathwa kwamanzi okwaneleyo kunceda umzimba ukuba ukhuphe i-uric acid egqithisileyo egazini, uyikhuphe kumchamo.

Ukuba senza umthambo kakhulu, kubaluleke ngakumbi ukuhlala unamanzi amaninzi, kuba unokuphulukana namanzi amaninzi ngenxa yokubila. Ukuthathela ingqalelo izindululo zokutya ukuthoba i-uric acid, amanzi kunye neti ye-herbal yeyona ndlela ilungileyo yokuhlala umanzi.

Gwema utywala

Utywala yinto eqhelekileyo yokuhlaselwa kwegawuthi. Oku kungenxa yokuba umzimba unokubeka phambili ukususa utywala ngaphezu kokususa i-uric acid, ukuvumela i-uric acid ukuba yakhe kwaye yenze iikristale.

Olunye uphononongo lwafumanisa ukuba ukusela iwayini, ibhiya, okanye utywala kwandisa ingozi yokuhlaselwa yigawuthi. Ukusela phakathi kwesiselo esinye kunye nesibini ngosuku kwandisa umngcipheko ngama-36%, kunye neziselo ezibini ukuya kwezine ngosuku zonyuse ngama-51%.

isongezelelo sevithamini C

Uphando lubonisa ukuba izongezo zevithamin C zinokunceda ukuthintela uhlaselo lwegout ngokwehlisa amanqanaba euric acid. Kubonakala ngathi ivithamin C ikwenza oku ngokunceda izintso zikhuphe i-uric acid eninzi kumchamo.

Nangona kunjalo, uphando oluthile lufumene ukuba izongezelelo ze-vitamin C azizange zibe nefuthe kwi-gout. Inzululwazi ngezongezelelo zevithamin C yegawuthi intsha, ngoko ke izifundo ezininzi ziyafuneka phambi kokuba kuthathwe izigqibo eziqinileyo.


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