Diet for gout
Gout - a disease that is not familiar to the young.In rare cases, it occurs in people aged 30 years and often develops in those over forty.This disease is caused by the deposition of urate of sodium in various organs and tissues, and especially in the joints and kidneys.Prolonged elevated levels of uric acid in the blood and leads to the fact that once the doctor diagnoses 'Gout'.
One variety of secondary gout - the so-called lead gout caused by lead poisoning.Indeed, in earlier times, people often poisoned by lead because of the use of alcoholic beverages, which were kept in containers containing lead (for example, in the "lead" crystal).Today, large quantities of lead enters the body of water, air, and food.Lead is often used in manufacturing, when companies and "thrown" to the surroundings, it settles on the fields entering the water and soil.Therefore it is recommended for all patients with gout in any case be tested for lead content in the body.If you do not have such an opportunity, eat more foods
Doctors usually distinguish the following risk factors for developing this disease:
• hereditary factors affecting the synthesis of uric acid in the body;
• taking certain medications (especially diuretics);
• overeating, overweight and poor diet (excess of fatty, salty, spicy foods in the diet);
• fatigue and nervous exhaustion;
• some diseases (primarily exchange);
• chronic lead poisoning.
Gout has a number of characteristic symptoms, but the most noticeable and unpleasant - an acute inflammation of the joints.This occurs suddenly and dramatically, and usually affects any one joint.That is why such attacks are sometimes called an attack of gout.They are related to the fact that crystals of uric acid salts occasionally fall out of the joint tissues in its cavity.
This unpleasant fate may befall almost any joint.But more often suffer from leg joints (especially the foot and ankle).First, as a rule, a victim of gout is becoming big toe (he becomes the place of the first attack of gout).Another unpleasant fact: start such attacks, usually at night.Therefore, gout is often accompanied by weakness, sleepiness, bad mood the patient simply not getting enough sleep.
addition to rapidly increasing pain becomes noticeable swelling of the joints, as well as surrounding tissues.The skin over the inflamed areas may be red.Sometimes the temperature rises.
gout patients are well aware that often provoke attacks of this fall ill his careless attitude towards the body.Provoke an attack of gout may be drinking, long-term load on the joint (eg, walking for long distances), use of certain medications (diuretics), as well as surgery, trauma and other stress for the body state.
gout attack lasts usually several days.In mild cases, it goes away without treatment.In more severe required medications and treatment is delayed for weeks.
If you happened gout attack, you should know: attack, unfortunately, can happen again.This usually occurs after an average of one year after the first attack.Although some people interval between exacerbations can reach several years.Over time, the pause between attacks are becoming shorter and shorter.
Another unique feature of gout - the formation of small nodules under the skin.They are called tophi.Tophi usually located in the area of elbow joints, cartilage of ears and Achilles tendons on his feet.In size, they can be more than 2 cm (although usually less), but despite its size, does not cause much trouble to the owners.
In some cases, tophi can become a cause of inflammation in the adjacent periarticular bags or tendons.In this case, the pain is likely to appear due to the development of new disease.Sometimes tophi opened outwards, which releases the contents of the white cheese resembles in consistency.
diagnosis of "gout" was never put on the sole ground that the patient began a painful attack.The doctor must perform a survey.If the content of uric acid in the blood exceeds the norm (416.4 mmol / l in men and 356.9 mmol / l in women), we can talk about this disease.In addition to the study of uric acid in the blood is necessary to determine its daily excretion in the urine, renal investigate because, in addition to destruction of the joints, gout symptom - the appearance of kidney stones.This is characteristic of the disease for 20% of patients.And of course, tip the doctor will be the presence of tophi.
When gout require complex treatment combining medications, physical therapy and follow a diet.
Drug treatment is mainly in the application of anti-inflammatory drugs, and drugs that inhibit the formation of uric acid.Sometimes the doctor recommends corticosteroid hormones, which are able to modify the acidity of urine and reduce the likelihood of kidney stones.Sometimes uric acid deposits in the soft tissues are removed by operation.
considerably facilitate patients and physiotherapy.In recent years, new methods of dealing with this disease.Thus, the procedure has been applied blood purification using special devices (plasmapheresis-hemosorbtion).
If you once had an attack of gout, you need to watch your weight.Weight correction is both one of the most important ways to prevent this disease, and by cupping his attacks.
In addition, gout "loves" those who managed to acquire metabolic diseases, such as atherosclerosis and diabetes.So try to avoid their development.Watch your diet.It should be varied and balanced, does not abound in fat and fried food.Do not lean on the sweet and salty (especially if you were in the old people suffering from gout).
And do not forget that you need to move more.Moderate (but not exhausting!) Exercise in the fresh air can help you feel better and reduce the risk of meeting with diseases of the joints.
also recommended to take high-quality vitamins and minerals (avoid large doses of vitamin C!), Quercetin, omega-3-acid and folic acid.
Alcohol increases the production of uric acid and slows its withdrawal from the body.As a result, greatly increases the content of uric acid in the blood.It is for this reason that the use of alcohol often causes acute attacks of gout.Sometimes all you need to do to lower the levels of uric acid and the prevention of disease, it is only to give up alcohol.
Nizkopurinovaya diet for gout has for many years deservedly extolled dietitians.Foods high in purines should be completely excluded from the diet.This meat, shellfish, foods containing yeast (beer and confectionery), herring, sardines and mackerel.
gout patients usually suffer from excessive weight, are prone to high blood pressure and diabetes, are at risk for cardiovascular disease.Weight reduction helps to normalize the levels of uric acid.Reaching your ideal weight - is perhaps the most important goal of diet therapy in the treatment of gout.
consumption of refined carbohydrates and saturated fats should be kept to a minimum.The first stimulates the production of uric acid, the latter reducing its withdrawal from the body.When consumption of large amounts of protein synthesis of uric acid is accelerated in both healthy individuals and in patients with gout.
Excessive fluid intake "dilutes" the urine and helps to excrete uric acid from the body.Heavy drinking also reduces the risk of kidney stones.
Cherries, grapes, blueberries and other dark berries - a rich source of anthocyanidins and proanthocyanidins.These flavonoid compounds give the berries a deep red and blue.Berries are rich in flavonoids, helping to prevent the destruction of the articular structures.Scientists have shown that the lower the level of uric acid and gout attacks can be prevented, using about 700 g of fresh cherries (or the same amount of other products containing flavonoids) per day.
Usually dieting gout in itself has a healing effect, and special food additives there is no need.Large doses of vitamin C or a niacin can increase uric acid levels.The general recommendation for patients with gout - just take a quality multivitamin and multimineral complexes, providing 100% of the recommended nutritional standards.If you think that this is not enough, you can additionally take quercetin, omega-3-acid and folic acid.
Quercetin Flavonoid Quercetin
inhibits the production of uric acid, about the same as it does allopurinol, moreover, it inhibits the production and release of chemicals that cause inflammation.Quercetin is found in many fruits and vegetables.For best results, should be 200 - 400 mg of quercetin with bromelain between meals 3 times a day.Bromelain is not only conducive to the absorption of quercetin, but also has anti-inflammatory effects.
Omega-3 fatty acids
Omega-3 fatty acids contained in particular in flaxseed and fish oil, to limit the production of the body's joints, causing inflammation and tissue damage in gout.Recommendations for the use of omega-3 fatty acids in the cases of rheumatoid arthritis and gout same.
Folic acid Folic acid inhibits the action of xanthine oxidase - an enzyme responsible for the production of uric acid.Studies have shown that some of the folic acid derivatives are more potent inhibitors of xanthine oxidase than allopurinol.However, these have yet to be clarified.In any case it is necessary to know that the necessary dosage of folic acid is about 10 - 40 mg per day.At this dose folic acid is not toxic and is safer than conventional drugs used in the treatment of gout.However, before you start taking folic acid, you should consult with your doctor.
In fact, natural approach to the treatment of chronic gout is not too different from that of conventional medicine.However, this approach to maintaining normal levels of uric acid are not used drugs, and natural products.
use folk remedies to combat gout does not eliminate the need to follow a diet.They only are in addition to other methods.And of course, before you use a particular tool, you need to consult a doctor.
blueberry leaf 2 parts herb St. John's wort 4 parts, 2 parts flax seeds, dandelion root 3 parts, flowers of tansy 1 part, 3 parts of hop cones.
Two tablespoons collection pour 0.5 ml of boiling water, leave for the night.Take 1/3 - 1/2 cup 3 - 5 times a day.The course of treatment - 2 - 3 months.
Burdock root, goldenrod herb, grass cudweed, rose hips, mountain ash fruits, root cinquefoil.
All ingredients are taken in equal proportions, grind in a coffee grinder and mix thoroughly.Two tablespoons of mixture pour two cups of boiling water and infuse overnight.During exacerbation charges taken in shock doses: 5 - 6 tablespoons.tablespoons per liter of boiling water for 2 - 3 weeks, then move on to the usual method (2 tablespoons to 0.5 liters of boiling water.).Take 1/3 - 1/2 cup 3 - 5 times a day.The course of treatment - 2 - 3 months.
leaf bearberry, knotweed grass, bay leaf, kidney tea, Kuril tea, herb St. John's wort, yarrow, licorice root - equally.
Two tablespoons collection pour 0.5 ml of boiling water, leave for the night.During exacerbation charges taken in shock doses: 5 - 6 tablespoons.tablespoons per liter of boiling water for 2 - 3 weeks, then move on to the usual method (2 tablespoons to 0.5 liters of boiling water.).Take 1/3 - 1/2 cup 3 - 5 times a day.The course of treatment - 2 - 3 months.
Gout disturbed metabolism, primarily - protein.In order to balance the imbalance, it is necessary to follow certain principles in the diet.This will increase the intervals between attacks (attacks) and reduce their severity.
important condition for proper nutrition is to restrict protein foods, especially meat and fish.It plays an important role in reducing dietary animal fat and carbohydrate.It is important to significantly reduce salt intake (as much as possible, it is desirable and does give it up).Sugar should be consumed in moderation, but rather replace it with honey and dried fruits.
Once a week, doctors recommend that people with gout, arrange fasting days.Fully refuse to eat in those days, should not be, but the amount of food should be substantially reduced.
Usually the doctor recommends that during the day to eat two kilograms of raw or cooked vegetables and fruits from the allowed list.At the same time the sugar and salt in the drink and food to add is not necessary.You can combine different products: make stews, salads (without dressing), baked fruit.Or you can "sit" all day on a single product - such as a baked potato in the "uniform" or on apples.
eve fasting day is recommended to warm enema can with chamomile or sage.During discharge of the day it is allowed to drink only water (at least 1.5 L).The next day, after unloading food must be vegetarian, that is, without meat, fish and eggs.
products recommended for gout:
• vegetables: potatoes, carrots, beets, onions, tomatoes, cucumbers, cabbage;
• Fruit: growing up in the middle lane and citrus;
• milk and milk products;
• low-fat varieties of cheese and cottage cheese;
• chicken and quail eggs;
• squid, shrimp;
• vegetable oil and butter;
• flour products (but not baking);
products which should be limited to:
• salt and sugar;
• pickles and marinades;
• boiled meat and fish;
• Some types of vegetables: spinach, sorrel, celery, cauliflower, radish;
products banned in gout:
• meat and fish broth;
• grilled meat and fish;
• offal (liver, lungs, brain, kidneys);
• smoked meats, sausages, canned meat and fish;
• spicy seasonings and spices (except vinegar and bay leaf);
• chocolate, cocoa, coffee, strong black tea;
• alcoholic beverages.
Because gout allowed many fruits and vegetables, you can fantasize with salads.The refueling is permitted to add the lemon juice and vinegar, low-fat yogurt, vegetable oil and yogurt.But should a little salt.Or do not add salt.
SALAD marinated with watercress and walnut
Ingredients: 150 grams of watercress, chopped 2 handfuls of lettuce, 20 g of crushed leaves of chicory, 80 grams of pine nuts, 4 peeled tangerine.For the filling: 1 tangerine juice, juice of 1 lemon, 1/2 orange, 3 tbsp.olive oil.
Mix all ingredients, add the filling, let stand 15 minutes before serving.
cucumber salad and fresh pumpkin
Ingredients: 4 fresh cucumber, 1/3 of a small pumpkin, 2 eggs, 150 ml natural low-fat yogurt (no flavors), a pinch of salt.
fresh pumpkin and cucumber cut into strips, add finely chopped boiled eggs and very little season with salt.Mix the salad and sprinkle it with yogurt.
cucumber salad and eggs with tomato juice
Ingredients: 3 - 4 cucumber, 2 - 3 eggs, 1/2 cup of tomato juice without salt, chopped herbs to taste, a few sprigs of parsley or cilantro for decoration.
cucumbers and boiled eggs cut into cubes, mix and pour the tomato juice.Add chopped greens.On top of salad can be decorated with slices of boiled eggs and sprigs of cilantro or parsley.
cucumber salad and eggs with fragrant refueling
Ingredients: 2 cucumbers, 3 eggs, parsley and dill.For the dressing: 3 tbsp.tablespoons vegetable oil, 2 tbsp.spoons of lemon juice, dill.
Fresh cucumber and hard-boiled eggs cut into slices, stir and pour over the dressing.Remove from heat.