Zakudya za gout ndi matenda ashuga: mungadye chiyani nthawi imodzi?
Gout, monga matenda a shuga, amayamba chifukwa cha kusokonekera kwa metabolic mthupi. Zomwe zimachitika panthawi imodzimodziyo. Zakudya zoyenera zimathandiza kuwongolera matenda komanso kupewa kukula kwa zovuta. Zakudya za gout ndi matenda ashuga zimakhala ndi zakudya zomwe zimakhala ndi glycemic index (GI) yotsika komanso zotsika za purine. Thanzi liyenera kuwongolera shuga wamagazi, kukhalabe ndi metabolism yoyenera komanso mafupa.
Zomwe zimapatsa thanzi kwa odwala matenda ashuga omwe ali ndi gout
Gout imachitika chifukwa cha kuchuluka kwa uric acid mthupi, lomwe limadziunjikira chifukwa cha kusokonekera kwa kagayidwe. Zakudya za wodwalayo ziyenera kuphatikizapo zakudya zomwe zimakhala ndi mafuta ochepa. Izi zimasinthidwa pa metabolism kukhala uric acid ndipo zimatha kudziunjikira mafupa, zimapangitsa kuti gout ikhale yolimba.
Ngati simukuchepetsa kuchuluka kwa purines kulowa m'thupi pakapita nthawi, ndiye kuti mutha kukumana ndi kuphatikizika kwa mafupa ndi kupweteka kwambiri, zomwe ndizovuta kuthetsa. Chakudya chapadera chimathandiza kuthana ndi matendawa. Zakudyazo ziyenera kuganizira mawonekedwe a matenda awiri nthawi imodzi, osachiza imodzi ndikusokoneza yachiwiri.
Malamulo a zakudya zamatumbo ndi matenda ashuga:
- phatikizani zakudya zopanda mkaka zopanda mafuta muzakudya,
- idyani pafupipafupi,
- ndibwino kudya nthawi yomweyo tsiku lililonse,
- pewani kudya kwambiri ndi kufa ndi njala,
- osagwiritsa ntchito zakumwa zoziziritsa kukhosi, zakumwa zoledzeretsa komanso zopatsa mphamvu,
- onjezani kuchuluka kwa zinthu zomwe zimakhala ndi anthocyanins,
- imwani madzi ambiri - pafupifupi malita awiri patsiku,
- kuthetsa kapena kuchepetsa mchere.
Kudya kwa gout ndi matenda ashuga kuyenera kulepheretsa kuchuluka kwa shuga m'magazi ofunika ndipo nthawi yomweyo kuchepetsa kuchuluka kwa uric acid m'thupi. Zakudya zopangidwa kuchokera ku masamba ndizabwino, koma zochepa zoletsa. Anthu omwe amadwala matenda ashuga amaloledwa kudya nthawi zina.
Zomwe mungadye ndi gout ndi shuga
Zakudya za gout ndi matenda ashuga zimatha kuphatikiza nyama zopanda nkhuku: nkhuku, kalulu, nkhuku. Ndikulimbikitsidwa kudya pafupifupi mitundu yonse ya masamba, kuchepetsa kugwiritsa ntchito katsitsumzukwa, sipinachi, kolifulawa, rhubarb, radish, tsabola ndi udzu winawake. Ndikofunika kudya nkhaka ndi juwisi kuchokera kwa iwo, chifukwa amachotsa mafuta oyeretsa m'thupi, potero amathandizira kutuluka kwa gout. Amaloledwa kumwa zosaposa 1 chikho patsiku.
Zakudya za munthu wodwala matenda ashuga okhala ndi matenda otumphukira ziyenera kuphatikizapo zakudya zamkaka zopatsa mphamvu zamafuta ochepa. Ndikulimbikitsidwa kudya tchizi chamafuta ochepa, tchizi, kefir, kirimu wowawasa. Mu mkaka wothandizidwa, chimanga kuchokera ku mbewu zosiyanasiyana zimakonzedwa. Amaloledwa kuphatikiza mazira, squid, shrimp ndi nsomba yophika muzakudya.
Zakudya zina zimathandizira kufulumizitsa kupukusa kwa uric acid kuchokera mthupi. Muli kuchuluka kwamafuta ndi pectin, kamene kamachepetsa thupi la cholesterol yoyipa. Tsiku lililonse tikulimbikitsidwa kudya oatmeal, beets, kaloti, nkhaka ndi zipatso zamalanje.
Ndikulimbikitsidwa kugwiritsa ntchito zakudya zomwe zimakhala ndi anthocyanins. Amalepheretsa uric acid kuti isamalire komanso kulowa m'malumikizowo. Izi zikuphatikiza:
Zakudya za Omega-3 zithandiza kuchepetsa cholesterol ndi uric acid. Izi zikuphatikiza:
- nsomba (nsomba, mackerel),
- mtedza
- Brussels imamera
- kolifulawa
- tofu tchizi.
Ndi gout ndi matenda ashuga, kudya mkate ndikuloledwa. Mafuta ophikira amasankhidwa, makamaka opendekera ndi maolivi. Pakati pa zakumwa, tikulimbikitsidwa kuphatikiza muzakudya:
- tiyi wobiriwira
- m'chiuno,
- tiyi wokhala ndi mandimu, mkaka ndi chokocha,
- kupindika tirigu,
- zamasamba zamasamba
- compotes
- zakumwa za zipatso (makamaka kuchokera ku cranberries ndi lingonberries),
- zamchere zamchere zamchere.
Zomwe zimaletsedwa
Ndi gout ndi matenda ashuga, muyenera kudya, kupatula zakudya zomwe zitha kuvulaza thupi. Wodwala ayenera kukana zakumwa zoledzeretsa. Mowa wotsekemera ndi mowa umakhala pachiwopsezo chotengera gout. Kuphatikiza apo, mowa umayambitsa kuchuluka kwa shuga m'magazi, omwe ndi osavomerezeka mu shuga. Zakumwa zotsekemera za kaboni ndi zipatso zakukhazikika zomwe zili ndi shuga wambiri sizoletsedwa.
Anthu odwala matenda ashuga omwe amadwala gout sayenera kudya nyama yamafuta ndi nsomba. Sizoletsedwa kudya nyama yaing'ono ndi nyama (chiwindi, mapapu, impso). Nyama yamafuta ochepa siyiloledwa kudya mopitilira kawiri pa sabata, ngakhale ndibwino kuti ikhale nthunzi kapena chithupsa.
Zoletsedwa kugwiritsa ntchito:
- mitundu yonse ya nyemba (mphodza, nandolo, soya, nyemba),
- zonunkhira (kuphatikiza tsabola, mpiru, horseradish),
- nsomba zamchere ndi zokazinga,
- mankhwala osuta
- anchov
- nsomba zamzitini ndi nyama,
- caviar
- misuzi
- nyama zamafuta
- tchizi zokometsera kapena zamchere,
- masoseji,
- maswiti (chokoleti, mararmade, makeke, makeke, makeke, maswiti),
- nkhuyu
- rasipiberi
- mphesa
- tiyi wamphamvu ndi khofi.
Zitsanzo zachitsanzo za odwala matenda ashuga omwe ali ndi gout
Zoletsa pazakudya za gout ndi matenda ashuga sizipanga yunifolomu ya chakudya komanso yopanda vuto. Mndandanda wazinthu zololedwa ndi zokulirapo, kotero mutha kusankha osati wathanzi, komanso chakudya chokoma. Zosankha za odwala zitha kuwoneka motere:
- chakudya cham'mawa: phala yophika buwheat, tchizi chamafuta ochepa, tiyi mkaka,
- chakudya cham'mawa chachiwiri: decoction yochokera tirigu,
- nkhomaliro: msuzi wamasamba, saladi wa masamba atsopano kapena owiritsa (1-2 pa sabata mungathe kuphatikiza nyama yamafuta ochepa m'zakudya),
- chakudya chamasana: zipatso kapena ma jellies zipatso,
- chakudya chamadzulo: saladi wamasamba, nsomba yophika (mitundu yamafuta ochepa okha),
- musanagone: kapu ya kefir.
Makina enanso achitsanzo:
- chakudya cham'mawa: saladi wamasamba ndi mafuta amasamba, dzira lowiritsa, kuphika matumba ndi apulo ndi mapira, tiyi wopanda mafuta.
- chakudya cham'mawa chachiwiri: msuzi kuchokera m'chiuno cha rose,
- nkhomaliro: Patties ya mbatata, msuzi Zakudya zamkaka, zakudya,
- chakudya cham'mawa: apulo wobiriwira watsopano,
- chakudya chamadzulo: tchizi zophika, masamba abichi ndi masamba ndi mpunga, tiyi wopanda mphamvu,
- musanagone: chosemedwa cha tirigu.
Zakudya zoyenera zimakhala ndi gawo lofunika kwambiri pothandizira matenda amtundu wa shuga. Matenda onsewa ali ndi mawonekedwe awo omwe ayenera kukumbukiridwa mukamapanga zakudya. Zakudya zomwe zimavomerezedwa kuti zizigwiritsidwa ntchito zimathandizira kukhala ndi shuga wabwinobwino m'magazi komanso zimachepetsa kuchuluka kwa uric acid mthupi. Kutsatira zoyambira za zakudya zoyenera kumatha kuwongolera njira zonse ziwiri za matenda ndikulepheretsa kukula kwa zovuta. Werengani zambiri za gout ndi zakudya kwa odwala omwe ali ndi vidiyo yomwe ili pansipa.
Gout ndi zakudya
Gout ndi matenda a shuga amawonetsedwa kwambiri mwa amuna azaka 40 - 55 zaka. Matendawa amapezeka chifukwa cha kuchuluka kwa uric acid mthupi.
Iyo, imadziunjikira monga kusokonezeka kwa metabolic.
Gawo loyambirira la chitukuko cha gout limakhala ndi zizindikiro, zina zomwe zimatha kusokonezedwa ndi matenda monga pyelonephritis. Usiku, kuvuta kukodza, komwe kumasowa pambuyo powaukira.
Zizindikiro zakuyamba kwa matenda:
- kupweteka pachala kumutu.
- kutupa kwa malo owonda ndi redness,
- kutentha kumawonekera mwachindunji pamalo owawa a thupi.
Ngati simuyamba kulandira chithandizo cha panthawi yake ndikuchepetsa kudya kwa purines m'thupi, izi zimatha kubweretsa zotsatira zoyipa - kuphatikizika kwa kuphatikizika ndi kupweteka kwambiri kosalekeza, zomwe zimakhala zovuta kusiya.
Gout wa matenda a shuga amawongoleredwa ndi zakudya. Njira yodyerayi iyenera kuganizira matenda awiri nthawi imodzi, osachitira imodzi ndikukulitsa inayo.
Malamulo oyambira azida zamagetsi:
- Zakudya za tsiku ndi tsiku zimaphatikizapo mafuta a mkaka ochepa omwe amakhala ndi mafuta ambiri,
- kupatula mowa, zakumwa zoziziritsa kukhosi ndi zakumwa,
- Idyani zakudya zambiri zomwe zimakhala ndi anthocyanins.
Kuphatikiza apo, odwala omwe ali ndi matenda a shuga a 2 amafunikira pang'onopang'ono komanso mwadongosolo kuthana ndi kunenepa kwambiri. Popanda kuwonongeka kwa thanzi pamwezi, muyenera kuchotsa ma kilogalamu awiri. Nthawi yomweyo, chakudyacho sichiyenera kuyambitsa njala.
Makalasi othandizira olimbitsa thupi adzakhala ngongole yabwino kwa odwala matenda ashuga ndi gout. Zochita zolimbitsa thupi ziyenera kuchitidwa tsiku ndi tsiku, makamaka mu mpweya watsopano, osachepera mphindi 35.
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Zomwe zimapanga zokonda
Kuphatikiza apo kuti zakudya za gout ndi mtundu 1 ndi shuga 2 ndizofunikira kuti muchepetse shuga wamagazi ndi kuchuluka kwa uric acid, ndizotheka kufulumizitsa njira ya uric acid excretion pogwiritsa ntchito zinthu zina.
Gululi la zinthu limaphatikizapo zomwe zimakhala ndi kuchuluka kwa fiber ndi pectin. Pectin imathandizanso kuchotsa cholesterol yoyipa m'thupi. Tsiku lililonse muyenera kudya oatmeal, nkhaka zatsopano, beets, kaloti ndi mitundu yonse ya zipatso zamalanje.
Zakudya zomwe zimakhala ndi anthocyanins zimalepheretsa kukhudzika kwa uric acid, chifukwa chomwe sichimayikidwa m'malumikizidwe. Izi ndi monga:
Katundu wofunika ngati omega-3 amachepetsa magazi cholesterol ndi uric acid. Muyenera kudya nsomba zamitundu yamafuta, mwachitsanzo, nsomba zamasamba kapena mackerel.
Omega-3 amapezekanso ku Brussels zikumera ndi kolifulawa, mtedza ndi tchizi tchizi.
Katundu Woletsedwa
Mowa ndiye chinthu choyamba kupatula muzakudya. Kumwa mowa ndi vinyo wotsekemera kumachulukitsa chiopsezo chokhala ndi gout. Nthawi yomweyo, mowa umayambitsa hypoglycemia mu odwala matenda ashuga amtundu uliwonse, ndikuchedwa.
Izi ndizowopsa makamaka kwa odwala omwe amadalira insulin. Komanso zakumwa zoledzeretsa zimapatsanso mphamvu ntchito ya impso, ndipo sizitha kuchotsa uric acid mthupi.
Zakumwa zoziziritsa kukhosi za Carbonated ndi misuzi ya zipatso nazonso zaletsedwa. Lamuloli likugwirira ntchito makamaka pamatenda omwe amayamwa. Zonona zonse zimakhala ndi shuga ochulukirapo ndipo mu nthawi yochepa zimatha kuwonjezera shuga m'magazi ndi 4 - 5 mmol / l.
Zakudya zokhala ndi mafuta ambiri osakanikirana ndi zina siziyenera kuphatikizidwa, komwe uric acid amapangidwa. Zakudya monga izi:
- nyama zotupa - mapapu, chiwindi ndi impso,
- nyemba - mphodza, nyemba, nyemba,
- nyama ndi msuzi wa nsomba,
- mackerel
- anchovy.
Zinthu zonse zamagulu azakudya ziyenera kusankhidwa malinga ndi glycemic index (GI) yawo, yomwe imathandizira kuti magazi azikhala ndi shuga.
Mlozera wa Glycemic
Chizindikirochi chikuwonetsa kuchuluka kwa shuga omwe amalowa m'magazi atatha kudya chinthu china. Kutsika kwake kumakhala kofunika, kumakhala kwabwino komanso kothandiza kwambiri kwa wodwalayo. Ndiye kuti, GI yapamwamba imawonetsa kupezeka kwa chakudya chamafuta muzinthu. Iwonso, samabweretsa zabwino ku thupi, koma amangochulukitsa kuchuluka kwa shuga.
Kuphatikiza apo, sitiyenera kuyiwala za zakudya zopatsa mphamvu. Kupatula apo, zakudya zama calorie ambiri zimathandizira kukulitsa kunenepa kwambiri komanso nthawi yomweyo, zimakhala ndi cholesterol yoyipa. Ndipo monga zatsimikiziridwa kale ndi madotolo, kunenepa kwambiri ndi chimodzi mwazomwe zimayambitsa matenda a shuga.
Pa chithandizo cha kutentha ndikusintha kusinthasintha kwa chinthu, GI yake imawonjezeka pang'ono. Koma pali masamba angapo omwe amalimbikitsidwa mu zosaphika mawonekedwe ndipo amakanizidwa kuwira. Izi zikuphatikizapo kaloti ndi beets.
Mulingo Wogawanitsa:
- 0 - 50 PIECES - mtengo wotsika,
- 50 - 69 PIECES - mtengo wapakatikati,
- Mayunitsi 70 ndi pamwambapa - mtengo wapamwamba.
Ndi gout ndi matenda ashuga, zakudya zimapangidwa kuchokera kokha pazakudya zomwe zimakhala ndi zotsika mtengo, ndipo sizuloledwa kuphatikiza zakudya zomwe zili ndi mtengo wapakati.
High GI pansi pa choletsedwa kwambiri, chifukwa amatha mu nthawi yochepa kuwonjezera kwambiri shuga wamagazi.
Zakudya zopatsa thanzi
Maziko azakudya za tsiku ndi tsiku ndi masamba atsopano, owiritsa komanso owotcha. Ali ndi michere yambiri, mavitamini ndi michere. Kuphatikiza apo, masamba ambiri amakhala ndi index yotsika, yomwe imakupatsani mwayi wophika zakudya zambiri zingapo kuchokera kwa iwo.
Chimodzi mwazakudya zotchuka kwambiri za gout ndi matenda ashuga ndi ndiwo zamasamba zamtundu wa 2 odwala ashuga wophika mu soseji. Zakudya zoterezi zimatha kukonzedwa chaka chonse, kusankha masamba omwe ali ndi nyengo, zimakhala ndi zinthu zofunika kwambiri.
Mukasintha chosakaniza chimodzi chokha mu mphodza, mutha kupeza mbale yatsopano. Ndikofunika kungoganizira nthawi yophika aliyense wamasamba.
Masamba oterowo ndi oyenera kuti akapatse chakudya
- biringanya
- squash
- adyo
- anyezi
- phwetekere
- kabichi yamtundu uliwonse - Brussels, Beijing, broccoli, kolifulawa, ofiira ndi oyera,
- belu tsabola
- mtundu uliwonse wa bowa,
- tsabola wowoneka bwino ndi wofiyira.
Mutha kuwonjezera amadyera m'mbale, zonse zimakhala ndi index yotsika. Mwachitsanzo:
Masamba amakhalanso chakudya chambiri, ngati mumapanga saladi. Chimodzi mwazosankha za saladi wa masamba zimaperekedwa pansipa.
Zotsatira zotsatirazi zidzafunika:
- dzira limodzi lophika
- karoti imodzi yaying'ono yatsopano
- theka anyezi
- 150 magalamu a kabichi ya Beijing,
- mandimu
- yogati yopanda mafuta,
- zipatso ziwiri za parsley ndi katsabola.
Opaka kalotiyo pa grater yamafuta, dzira m'miyala ikuluikulu. Peking kabichi ndi amadyera bwino kuwaza. Dulani anyezi mu mphete theka ndikulowamo kwa mphindi 15 mu viniga ndi madzi, mu gawo limodzi. Finyani anyezi kuchokera marinade ndikusakaniza ndi zosakaniza zina. Finyani chilichonse ndi mandimu, mchere ndi tsabola kuti mulawe. Valani saladi ndi yogati yopanda mafuta.
Ngati ndiwo zamasamba zothandizidwa ndi nyama kapena nsomba, ndiye kuti mutha kuphika mosavuta tchuthi cha tchuthi cha odwala matenda ashuga omwe akudwala gout. Mwachitsanzo, yokutidwa ndi biringanya nyama, pike pa pilo yamasamba ndi casseroles.
Kanemayo munkhaniyi akuwonetsa maphikidwe omwe adzagwire ntchito ndi gout ndi matenda ashuga.
Zakudya za gout ndi matenda ashuga: mungadye chiyani nthawi imodzi?
Gout ndi matenda a shuga amapezeka nthawi zambiri. Kupatula apo, ziwiri mwa izi zimagwirizanitsidwa ndi kusokonezeka kwa metabolic m'thupi. Chifukwa cha zakudya zoyenera, mutha kuthana ndi vuto lanu osawonjezera kukula kwa matenda awiriwa.
Limodzi mwa malamulo a zamankhwala othandizira zakudya ndizosankha zakudya zomwe zimakhala ndi Glycemic index ya GI yotsika kotero kuti shuga ya magazi ndi kuchuluka kwa chakudya sizichulukitsidwa zomwe zili zochepa. Ndizinthu monga purine, pa metabolism, yomwe imasinthidwa kukhala uric acid ndipo imatha kuyikidwa m'malo olumikizirana mafupa, motero imakulitsa matenda opweteka ndi gout.
Kuphatikiza apo, kuchuluka kwa uric acid kumathandizira kuti pakhale kukana kwa insulin. Zakudya za gout ndi matenda a shuga zidzafotokozedwera pansipa, ndipo zidzafotokozedwa mwatsatanetsatane zakudya zomwe zimayenera kusankhidwa komanso zomwe ndizoyenera kupatula kwathunthu kuzakudya.
Chifukwa chiyani ndimafunikira chakudya?
Kukana kudya mu matenda a shuga ndi gout kumayambitsa kuphatikizika kwa mapangidwe komanso kukulitsa kupweteka kosatha.
Zakudya zomwe zasankhidwa bwino m'matumbo ndi matenda a shuga zimaganizira zovuta zomwe zimachitika chifukwa cha matenda onse awiriwo, ndipo cholinga chake ndi kusiya zilembo zoyipa. Komabe, odwala ayenera kudziwa kuti kudya mokwanira kumakwaniritsa mankhwala komanso kuchita masewera olimbitsa thupi, koma osawabweza. Zakudya zopatsa thanzi, kuphatikiza mavitamini, macro-, ma microelements okwanira amapatsa zinthu zotsatirazi:
- kuchepetsa ululu,
- kuchuluka kwa matalikidwe oyanjana,
- kuwonda
- kupewa mavuto.
Mfundo zapakati pazakudya za gout ndi matenda ashuga
Kuti akhazikitse zakudya zam'mimba ndi matenda a shuga, wodwalayo akulimbikitsidwa kutsatira malamulo awa:
- Kudya zosachepera 4 pa tsiku nthawi yomweyo. Ma servings achizolowezi ayenera kuchepetsedwa.
- Njala ndi kudya kwambiri zimaphatikizidwa, chifukwa zimatha kubweretsa vuto ndi kukulira kwa ululu wamankhwala.
- Ngati wodwala amakhala ndi gout komanso matenda a shuga, kukhala onenepa kwambiri ndi oopsa kwambiri. Zakudya zopatsa thanzi kwa kunenepa kwambiri ziyenera kukhala ndi cholinga chofuna kuchepetsa kunenepa.
- Muyenera kudya zakudya zopezeka mu anthocyanins (mabulosi abuluu, rasipiberi, mabulosi abulu, cranberries).
- Zakudya za tsiku ndi tsiku ziyenera kukhala zokhutira ndi mkaka wa mafuta ochepa.
- Osapatula zakumwa zoledzeretsa.
- Kuchuluka kwamadzi komwe kumamwetsedwa kuchokera 2 mpaka 3 malita.
Ndi chololedwa kugwiritsa ntchito chiyani?
Mu shuga mellitus ndi conceritant gouty nyamakazi, zakudya zotsatirazi zikuwonetsedwa pagome:
Zoletsedwa kudya chiyani?
Gout ndi matenda ashuga kwambiri matenda a metabolic omwe amafunika kukana kwamtundu wa mbale zotere:
- msuzi wa nsomba ndi nyama,
- offal (chiwindi, ubongo, mapapo, impso, makutu),
- nyemba (nandolo, nyemba, mphodza),
- nyama yamafuta
- zakumwa zoziziritsa kukhosi komanso zotsekemera,
- bowa
- mazira.
Zakudya ziyenera kukhala zonyamula, kuwotchera, kuwiritsa, ndi kuwaza ndi kusuta zakudya ziyenera kutayidwa. Makamaka ziletso zovuta pochiza matenda amtundu wa 2, kupatula zakudya zilizonse zamafuta ndi zotsekemera. Ziphuphu, ngakhale zongofinya kumene, ziyenera kutayidwa, chifukwa zimakhala ndi shuga wambiri. Chithandizo cha gout ndi matenda ashuga chimathetseratu mowa pachakudya. Madokotala atsimikizira kuti pali mgwirizano pakati pa kumwa mowa ndi kuopsa kwa zovuta.
Maphikidwe othandiza
Zakudya zotsatirazi zitha kuphatikizidwa mumenyu:
- Carrot Pudding. Kaloti zopatsirana zowotchera mkaka pamwamba pa moto wochepa. Kenako batala ndi semolina zimawonjezeredwa. Kenako mapuloteni opukutidwa amalowetsedwa pang'onopang'ono. Kusakaniza kumatsanulira muchikombole ndikuphika kutentha kwa 180 ° C.
- Msuzi wa Zakudya Zamkaka. Mkaka umawiritsa pamoto pang'ono, kenako vermicelli wolimba umawonjezeredwa. Ndikofunikira kuphika kwa mphindi 10-15.
- Masamba kabichi masikono. Masamba a kabichi awala. Mpunga ndi owiritsa, kaloti ndi anyezi wokazinga ndi mafuta ochepa. Kudzazidwa kumayikidwa masamba, omwe amapindidwa mu maenvulopu. Zikhokho za kabichi zimatha mphamvu poto wachitsulo chifukwa cha moto wochepa.
Chifukwa Chiyani Zakudya za Matenda a shuga ndi Gout Yogwirizana
Gout and Type 2abetes nthawi zambiri amakula nthawi imodzi. Izi zimachitika makamaka chifukwa cha zinthu zomwe zimayambitsa ngozi, zomwe kunenepa kwambiri kumachita. Ndipo zakudya zimatha kukhala njira yabwino yothanirana ndi matenda awa.
Tsoka ilo, odwala ambiri samvera kufunika kwa zakudya. Pakalipano, kudya mosamalitsa sikungapangitse shuga ndi uric acid, komanso kuchepetsa kunenepa, kuchepetsa katundu pamafupa, kupewa ngozi ya mtima. Zakudya zamankhwala zimathandizanso ndi anzawo a shuga monga cholesterol yapamwamba komanso kuthamanga kwa magazi.
Odwala ena onenepa kwambiri akuchita masewera olimbitsa thupi mosala kudya komanso zoletsa zina zingapo zovomerezeka. Izi sizingachitike, popeza kusowa kwa michere kumapangitsa kuti mchere wa uric acid usamasuke kwambiri, komanso kusowa kwa zakudya zamafuta kumayambitsa hypoglycemia.
Malonda Ololedwa a Matenda
Gome la mankhwala a gout ndi matenda ashuga liyenera kufanana ndi zamasamba, koma osakhwima. Ndikulimbikitsidwa kuti muphatikize nsomba ndi nkhuku kapena nyama ya kalulu, masamba, zitsamba, zipatso, chimanga, mazira, pasitala muzakudya. Zakumwa zopanda mkaka wopanda mkaka ndizothandiza kwambiri - zimathandizira maphunziro a gouty nyamakazi ndikuthandizira odwala omwe ali ndi matenda ashuga.
Zogulitsa zina zimalimbana kwambiri ndi zovuta za matenda, chifukwa chake muyenera kuwayang'anira.Mwachitsanzo, masamba ndi zipatso zomwe zimakhala ndi anthocyanins zimalepheretsa kukokoloka kwa mafuta a sodium m'malumikizidwe ndikuthandizira kuchepetsa kuchuluka kwa shuga m'magazi.
Mitundu yambiri yazomera imapezeka mu biringanya, blackcurrant, cranberries, lingonberries, plums, yamatcheri ndi yamatcheri. Ndikulimbikitsidwa kuti zina mwazinthu izi zimaphatikizidwa muzakudya za tsiku ndi tsiku.
Muli ndi nkhokwe zambiri zam'mimbamo, malalanje, mandimu, udzu winawake, kaloti, oats ndi chinanazi.
Mafuta a Omega3 acids ndi othandiza kwambiri kwa odwala omwe ali ndi gout ndi matenda a shuga a II. Zimapezeka mu shrimp, sardines, nsomba, kolifulawa ndi Brussels zikumera, walnuts, soya ndi mbewu za fulakesi.
Odwala amaloledwa kudya mkate pang'ono, kuchokera ku maolivi a maolivi kapena flaxseed amaloledwa.
Panthawi yovulaza kwambiri gouty, malamulo okhwima amakhudzidwa, ndikungosiya zakudya zamadzimadzi zokha: zakumwa za lactic, chimanga, msuzi wamasamba, zakudya, zakudya zachilengedwe ndi zipatso zosafunikira.
Zoletsedwa kugwiritsa ntchito
Ndi gout womwe umachitika limodzi ndi matenda ashuga, mitundu itatu yamalonda yomwe ingavulaze thupi komanso kukulitsa mkhalidwe wa wodwalayo iyenera kupewedwa:
- mowa, kuphatikizapo mowa,
- chakudya cholemera mu purines - nyama yofiira ndi zinthu zochokera kwa iyo, ma offal, ma legamu, msuzi wokhazikika, Zakudyazi zapompopompo, masosefa osiyanasiyana ndi zakudya zamzitini.
- zinthu zomwe zimakhala ndi fructose - mapichesi, mapeyala, nthochi, maapulo, mphesa, ma buluu, ma apricots zouma, nkhuyu, mphesa, uchi, shuga woyengedwa,, osamvetseka bwino, ketchup.
Kumwa mchere, confectionery kuchokera kwa ufa woyera ndi yisiti mtanda, wokazinga, wosuta ndi mbale zowuma amachotsa kapena kwambiri. Kuchokera ku zakumwa zoletsedwa zotsekemera zotsekemera, tiyi wamphamvu ndi timadziti tamasitolo.
Kufunika kwa kumwa
Ndi gout yovuta ndi mtundu II shuga mellitus, ndikofunikira kudya mafuta okwanira - osachepera 2-2,5 malita patsiku. Ndibwino ngati madzi amchere ndi acidity wa 7 pH ndi mineralization ya 520 mg / l. Njira yabwino yoyeretsa imaperekedwa ndi kiranberi ndi zakonberry zakumwa kapena kulowetsedwa kwa masamba owuma.
Anthu omwe ali ndi vuto la impso kapena mtima ayenera kuwonjezera kukhathamiritsa kwawo ndipo amatero mwa kuyang'aniridwa ndi achipatala. Kupanda kutero, kutupa ndi thanzi labwino kumatha kuyamba.
Zizindikiro zotere zikawoneka, muyenera kuchepetsa kuchuluka kwa madzi ndi zakumwa monga momwe zimatulutsidwa mkodzo, osayiwala za zinthu zomwe zimakhala ndi madzi.
Msuzi wangwiro ndi champignons
Palibe chosangalatsa kwambiri ndi msuzi wa French puree. Kuti mukonzekere muyenera:
- anyezi - mutu,
- kaloti wapakatikati - 1 pc.,
- mandimu - 50 ml,
- shuga - supuni ya ½
- kirimu - 50 ml,
- mafuta masamba - 40 ml,
- champirons - 1 paketi.
Zamasamba ndi bowa zimasankhidwa bwino ndikumapatsa pang'ono, kenako nkumuyika mu blender. Osakaniza womalizidwa amathiridwa ndi madzi ndikuwiritsa kwa mphindi 5-6, ndiye mandimu, shuga ndi zokometsera zimawonjezeredwa. Kutumikiridwa ndi zonona.
Njira yachiwiri
Chachiwiri, mutha kupanga ma bango a nyama kuchokera ku nkhuku yokhala ndi mbale yam'mbali. Pakudya nyama yopaka:
- nyama yoyera - 600 g
- anyezi - mutu,
- mpunga wowiritsa - 200 g,
- mkaka - 70 ml
- dzira - 1 pc.,
- buledi kapena mikate yoyera - 150 g.
Zosakaniza zonse zimadutsidwa kudzera chopukusira nyama kapena kudulidwa mu blender, zokometsera zimawonjezeredwa ndipo makina a nyama amapangidwa. Aphikireni banja. Monga mbale yam'mbali, yophika buwheat, mbatata kapena masamba stewed amagwiritsidwa ntchito.
Ndipo mchere - kanyumba kanyumba tchizi casserole. Kuti mupeze chithandizo, mudzafunika mapaketi awiri a tchizi chochepa-mafuta, mazira 3-4, 100 g semolina, kapu ya 15% kirimu wowawasa, zipatso zilizonse zatsopano kapena zouma, mchere, vanila, shuga. Zigawozo zimasakanizidwa bwino ndikutsanulira mu mbale yophika. Kuphika mu uvuni pa kutentha kwa 180 ° mpaka kutumphuka kosangalatsa.
Pomaliza
Wodwalayo ayenera kumvetsetsa kuti zakudya zomwe zili ndi matenda oopsa monga gout ndi 2 mtundu wa shuga sizowonjezera madokotala, koma chofunikira. Kutsatira zakudya zopatsa thanzi, mutha kuwongolera kupita patsogolo kwa matenda onse awiri, kupewa kubwereranso m'mbuyo komanso kupewa zovuta. Kuchepetsa thupi motsutsana kumakhudza bwino mawonekedwe a wodwalayo komanso thanzi lake.
Ndingadye chiyani ndi matenda ashuga?
Ndikuganiza kuti anthu ambiri amadziwa kuti ndi matenda ashuga pamakhala kusowa kwa insulini, chifukwa cha zomwe shuga imakwera. Choyambitsa chachikulu ichi ndi moyo wopanda thanzi, ndiye kuti, zakudya zamafuta + zochepa zolimbitsa thupi.
Kudya kwa odwala matenda ashuga kungafotokozeredwe motere:
- Chakudya chizikhala pafupipafupi (nthawi 5-6 patsiku) koma pazigawo zazing'ono.
- Ndikofunikira kuchepetsa kuchuluka kapena kuchotsa kwa zakudya zomwe zimapangitsa shuga.
- Mutha kudya kokha maola ena.
- Munthu ayenera kudya pafupipafupi zakudya zambiri, koma yesani kudya zomwe zinali zosiyanasiyana.
Matenda awiri menyu umodzi
Chithandizo cha ma gout ndi matenda ashuga chiyenera kukhala chokwanira komanso kuyang'aniridwa ndi madokotala. Munthu amene akudwala nawo ayenera kumvetsetsa kuti kutsatira zakudya zoyenera sikumuchiritsa kwathunthu, koma kumuthandiza kuchira komanso kukonza thanzi lake. Mwa njira, komanso kuwongolera zakudya, zolimbitsa thupi zolimbitsa thupi ndizothandiza.
Ngakhale matenda onsewa ali ndi zomwe zimayambitsa, zakudya zomwe zimathandizira kuthana nazo ndizosiyana. Pachifukwa ichi, ndikofunikira kuwayerekeza ndikupeza algorithm yokhala ndi chakudya choyenera komanso chokwanira kwa wodwala.
- Choyamba, ndikofunikira kupatula pa menyu offal ndi nyama zolemera komanso msuzi wa nsomba. Zogulitsa zotere zimakhala ndi uric acid wambiri, ndipo palibe chomwe chingaphatikizire m'thupi. Maphikidwe omwe amagwiritsa ntchito zinthuzi amatha kusintha ndikulowetsamo, mwachitsanzo, nkhuku.
- Pewani zakumwa zoledzeretsa, kugwiritsa ntchito kwawo kumawonjezera chiopsezo cha matenda a gout mwa anthu athanzi ndipo kumawonjezera momwe thupi la anthu odwala limakhalira. Chakumwa choopsa kwambiri ndi mowa. Ndipo pakati pa khofi wosamwa kwambiri omwe ali ndi mowa ayenera kupewa.
- Popeza kuti ndi matenda a shuga ndi gout, pali kulumikizana ndi kunenepa kwambiri komanso kunenepa kwambiri, ndikofunikira kuyang'anira kulemera kwake ndipo ngati kuli koyenera, muchepetse. Kuti izi zitheke, zakudya siziyenera kupatula zakudya zopatsa mphamvu kwambiri, ndipo wodwalayo ayenera kuchita masewera olimbitsa thupi.
- Chofunikira ndikuwonetsa uric acid ndi minofu ya anthu, minyewa yambiri, yomwe imakulitsa urini. Kuchokera pamenepa zimapezeka kuti ngati munthu ali ndi minofu yayikulu, ndiye kuti iyenso ayenera kuichepetsa.
- Madzi ndi zakumwa zina za shuga ndizowopsa, ndibwino kuzisintha ndi zipatso ndi madzi amchere.
- M'malo mwake, malonda amkaka okhala ndi mafuta ochepa amakhala othandizira polimbana ndi matenda ashuga. Amathandizanso kupewa.
Musaiwale za kumwa okwanira, munthu ayenera kumwa osachepera malita awiri patsiku. Kuchuluka kwa madzimadzi mthupi kumapangitsa kuti kagayidwe kazikhala ndi asidi komanso uremu.
Pazakudya, kutsimikizika kuyenera kuyikidwa pamasamba ndi zipatso; adzabwezeretsanso mavitamini ndi zinthu zina zopindulitsa. Chowonadi ndi chakuti zakudya za gout ndi matenda ashuga siziphatikiza zakudya zina, koma mwanjira imeneyi timaletsa thupi zinthu zomwe amafunazo, chifukwa chake ndikofunikira kuwunika kusiyanasiyana kwa zakudya. Zakudya zochiritsira siziyenera kusokoneza chakudya chamagulu.
Anthu ophikira maphikidwe ndi zakudya zochizira
Chithandizo cha gout ndi matenda ashuga okhala ndi wowerengeka azigwira ntchito bwino, maphikidwe otere, omwe amapezeka mu zakudya, amakwaniritsa bwino thupi.
Decoction wa Lingonberry amathandizira kuthetsa ululu wolumikizana mwadzidzidzi.Pakukonzekera kwake, masamba a chomera amagwiritsidwa ntchito, kuchokera pa phwiti pamtunda wa 20 g wa masamba pa 100 g wamadzi ndikutenga 1 tbsp. l 3-4 pa tsiku.- Pali Chinsinsi china chosangalatsa chochokera ku mandimu ndi adyo, koma ndikuganiza kuti ndi choyenera kwa anthu omwe amalolera citric acid bwino ndipo samadwala acidity yayikulu. Chinsinsi chake: mandimu anayi (chotsani mbewu zisanachitike) ndi mitu itatu ya adyo yopotoza chopukusira nyama. Thirani chifukwa chachikulu ndi magalasi 7 amadzi otentha ndipo mulekerewo tsiku limodzi. Mafuta yosefedwayo kumwa 40 g kamodzi patsiku musanadye.
Ndipo pomaliza, ndikufuna kuwonjezera kuti zochita zanu zonse ndi zakudya za gout ndi matenda ashuga ziyenera kuyanjanitsidwa ndi dokotala, ndipo zakudya ziyenera kutumizidwa ndi iye. Izi ndizofunikira, chifukwa anthu onse ndiosiyana ndipo zikhalidwe zawo zimakhala ndi mawonekedwe awo, zomwe zikutanthauza kuti njirayi iyenera kukhala payokha.
Ndikukhulupirira kuti zolemba zanga zinali zothandiza kwa inu, ndipo mudzazigawana patsamba lochezera anzanu ndikuwuza anzanu za izi. Zikomo chifukwa chondisamalira. Khalani athanzi!
Gout ndi matenda ashuga - zakudya zoyenera komanso zakudya
Matenda a gout ndi matenda ashuga nthawi zambiri amapezeka palimodzi, zifukwa zomwe zimakhala njira yopanda thanzi. Chomwe chimayambitsa matendawa ndi kuperewera kwa zakudya m'thupi, komwe nthawi zambiri kumabweretsa kunenepa kwambiri, motero kumapangitsa kuyambitsa ma uric acid (omwe ali ndi gout) kapena kuthamanga kwa shuga m'magazi (odwala matenda ashuga).
Matendawa amakula makamaka m'malumikizidwe am'munsi, motsutsana ndi maziko a uric acid. Amapangidwa chifukwa chamtundu wapamwamba wa purines - zinthu zomwe zimalowa m'thupi ndi chakudya. Ndipo ngati ntchito ya impso ikulephera, ndiye kuti kuchuluka kwa ma purines (uric acid) kumapangidwa m'makristalo, omwe amawaikidwa m'malo olumikizirana mafupa.
Zotsatira zamatenda a gout zikusonyeza kukula kwa matendawo motsutsana ndi maziko a:
- kudalira chibadwa
- kunenepa kwambiri
- uchidakwa
- kumangokhala.
Gout imakhudzidwa makamaka ndi gulu la abambo kuyambira zaka 40 mpaka 60, ndipo matendawa amatha kupezeka ndi zizindikiro zotsatirazi:
- lakuthwa, mwadzidzidzi chakumwa chala,
- kupezeka kwa edema, khungu rede, komanso kuwonjezeka kwa kutentha kwake pakuwonongeka.
- paroxysmal (nthawi zambiri usiku) kutsekeka kwamikodzo, komwe kumatha pambuyo pa kuukira,
- pambuyo pake pamapeto pake, matendawa amapita patsogolo, amawonetsa kulumikizana kwa mawonekedwe opunduka, pomwe ululu wamankhwala umatchulidwa (ndizosatheka kukhudza phazi m'dera la chitukuko cha gout).
Matenda a shuga
Kusokonezeka kwa metabolic m'thupi ndi matenda monga matenda a shuga kumayamba chifukwa cha kusowa kwa insulin, komwe kumapangidwa chifukwa chakuchita bwino kwa kapamba kapena mphamvu zake zosayenera m'maselo.
Pali mitundu iwiri ya matendawa:
- Mtundu 1 - pomwe zinthu za insulin sizipangidwa mokwanira kuti thupi lizigwira ntchito. Kuchuluka kwa shuga m'magazi kumakhala kokwanira kwambiri ndipo thupi lilibe nthawi yoti liwonongeke. Odwala amtunduwu amavutika ndi kuwonda.
- Mitundu iwiri - pankhaniyi, insulin imapangidwa yochuluka, koma siyichita moyenera pamatipi. Odwala a shuga a Type 2 nthawi zambiri amakhala onenepa kwambiri.
Kutsimikiza kwa matendawa kuli m'lingaliro loti ndizovuta kuzindikira poyambira. Komabe, kuti munthu athe kuyesedwa, zizindikiro zotsatirazi ziyenera:
- kuchepa mphamvu kwa thupi motsutsana ndi kukoka pafupipafupi, koma nthawi yomweyo ndimadzi okwanira, i.e. ludzu losatha,
- ndi kudya kwambiri kumachepa kwambiri,
- wodwala amagwira ntchito molimbika komanso amakhala ndi vuto lofooka mthupi nthawi zonse,
- kuwona kwakachepera, chizungulire,
- kusowa kwamayendedwe ogonana ndi kugona miyendo,
- minofu kukokana ndi kugwedezeka zimawonedwa,
- kuchiritsa kwa mabala, abrasion kumatenga nthawi yayitali komanso kuyipa.
Momwe mungachitire ndi gout wodwala matenda ashuga
Kuchiza matenda kuyenera kuchitika moyang'aniridwa ndi rheumatologist. Njira yokhayo yomwe ingaphatikizidwe ndi yomwe ingathandize kuchepetsa zizindikiro za gout ndi matenda ashuga. Njira zakuchizira zimaphatikizapo:
- mankhwala
- njira zolimbitsa thupi
- zakudya zoyenera, zomwe zimakhazikitsidwa ndi zakudya zapadera.
Zakudya za gout ndi matenda a shuga 1 zimatengera malingaliro.
Zoletsedwa
Kupatula kwathunthu kuchokera kuzakudya za tsiku ndi tsiku zamagulu omwe amakhala ndi mafuta ambiri:
- chiwindi
- nyama
- Mbale - impso, mapapu,
- nyama ndi nsomba zokhala ndi msuzi.
Kuletsedwa kwa mowa, makamaka mowa ndi vinyo, chifukwa zakumwa izi zimawonjezera ngozi ya gout pafupifupi kawiri.
Muyenera kusiya madzi otsekemera a khaloni ndi maswidi ena, komanso zakudya zamafuta apamwamba.
Zakudya za odwala omwe ali ndi matenda ashuga ndi gout nthawi imodzi ziyenera kukhala ndizakudya zambiri zamafuta ndi michere:
- chimanga - mpunga, nsomba, pasitala (mitundu yokhayo),
- mararmade, zipatso zouma (zoumba, zipatso),
- uchi ndi kupanikizana waloledwa,
- zinthu zopanda mkaka zopanda mkaka - tchizi tchizi, kefir, kirimu wowawasa, tchizi,
- masamba, ophika komanso atsopano - mbatata, tomato ndi nkhaka, sipinachi ndi kabichi, dzungu,
- zipatso, makamaka zipatso, mtedza ndi zonunkhira (osati zochepa).
Zakumwa, ndikwabwino kuti musankhe zakumwa zakumwa zosaphatikizika, madzi amchere a mchere, chosakanizira cha m'chiuno cha rose.
Malangizo onse
Kuphatikiza pa zakudya komanso kubwerera pang'onopang'ono ku chakudya chopatsa thanzi, chithandizo cha gout ndi matenda ashuga chimaphatikizanso moyo wokangalika. Chifukwa chake, achire olimbitsa thupi adayikidwa mu zovuta.
Kuchita masewera olimbitsa thupi kumachitidwa moyenera, popanda kupanikizika kwambiri, koma tsiku ndi tsiku.
Kutsatira malingaliro onse a adotolo ndikutsatira mosamalitsa malangizo omwewo kungathandize kubwezeretsanso magwiridwe antchito a thupi ndikupangitsa kuti matenda abwinobwino abwerere kwakanthawi.
Gout: Chithandizo cha zakudya ndi shuga
Gout ndi matenda ashuga nthawi zambiri zimayenderana. Zomwe zimayambitsa matenda onsewa, choyambirira, ndi moyo wopanda thanzi.
Maziko ofunikira awa amapezeka m'zakudya zopanda chakudya (zakudya zapadera sizitsatiridwa). Kuperewera kwa zakudya zopatsa thanzi nthawi zambiri kumabweretsa kunenepa kwambiri komanso kumayambitsa kuchuluka kwa uric acid (ndi gout) kapena kumayambitsa kuchuluka kwa shuga m'magazi (ndimatenda a shuga).
Kodi kutuwa ndi chiyani?
Nthawi zambiri, matendawa amakula chifukwa cha kuchuluka kwa uric acid m'munsi m'munsi.
Chotsatira chotsatirachi chimapangitsa kuchuluka kwa uric acid: mawonekedwe ambiri a purines, omwe amalowa mthupi ndi chakudya.
Pamene ntchito ya impso imalephera, owonjezera a purines (uric acid) amalira ndipo amaikidwanso m'malo olumikizirana mafupa. Zotsatira zamatenda a gout zimatsimikizira kuti matendawa amakula motsutsana ndi maziko a:
- kunenepa kwambiri
- kudalira chibadwa
- kumangokhala
- uchidakwa.
Zizindikiro za Gout
Gout imakhudza makamaka amuna azaka 40 mpaka 60. Kuzindikira koyambirira kumatha kupangidwa ndi zizindikiro zotsatirazi:
- mwadzidzidzi, kupweteka kwambiri phazi m'guduli,
- redness khungu ndi kutupa,
- malungo m'dera lomwe lakhudzidwa,
- paroxysmal kuvuta kukodza (nthawi zambiri usiku), kudutsa kuukira.
Zizindikiro Za Matenda A shuga
Kuopsa kwa matenda ashuga kumachitika chifukwa kumakhala kovuta kwambiri, ndipo nthawi zina kumakhala kovuta kuzindikira kumayambiriro kwa chitukuko.Komabe, ngati munthu ali ndi zomwe zalembedwa pansipa, ayenera kukayezetsa kuchipatala.
- Poyerekeza ndi maziko akukoka pafupipafupi, kusowa kwamadzi. Komanso, wodwalayo amamwa madzi ambiri.
- Ndi kudya kwambiri, kuchepa kwambiri kwa thupi kumawonedwa,
- Wodwalayo amadandaula za kutopa ndi kufooka mthupi lonse.
- Kugona masana komanso kugona usiku.
- Zowonongeka (retinopathy).
- Chizungulire.
- Kuchuluka kwa miyendo.
- Kuperewera pagalimoto yoyeserera.
- Minofu kukokana ndi kulira.
- Mabala ndi abrasions sizichiritsa bwino.
Zakudya za gout ndi shuga
Zakudya za gout ndi shuga ndi monga:
- Kupatulidwa kwathunthu kwa zakudya zamafuta ambiri omwe amakhala mu purines: nyama, chiwindi, nyama ndi msuzi wa nsomba, offal (impso, mapapu).
- Kukana mowa. Kuletsa ndikofunikira makamaka kwa mowa ndi vinyo, ndi mizimu iyi yomwe imakonda kuwopsa kawiri konse ka gout.
- Muyenera kukananso madzi okoma a kaboni.
- Zakudya zopatsa mphamvu kwambiri komanso zopatsa thanzi ndizoletsedwa.
Ndi zakudya ziti zomwe zimalola
Zakudya za odwala omwe nthawi yomweyo amakhala ndi gout ndi matenda ashuga ayenera kukhala ndi zakudya zomwe zimakhala ndi fiber ndi chakudya chambiri:
- Maphala: mpunga wa buckwheat, pasitala yamitundu yambiri.
- Zipatso zouma, marmalade, madeti, zoumba zoumba.
- Kupanikizana ndi uchi.
- Zopangira mkaka wowawasa: kirimu wowawasa, kefir, tchizi chanyumba, tchizi.
- Masamba ophika ndi owiritsa: dzungu, kabichi, sipinachi, nkhaka, phwetekere, mbatata.
- Mtedza ndi zonunkhira.
- Zipatso ndi zipatso.
- Madzi amchere ochepa, zakumwa zosapsa zipatso, msuzi wa rosehip.
Zakudya zoyenera
Chithandizo cha gout mu matenda ashuga chiyenera kutumizidwa ndi adokotala. Chakudyacho chiyenera kukhala choyenera komanso chogwirizana ndi gawo komanso zochita za njirayi. Nayi zitsanzo zamasiku amodzi a gout ndi matenda ashuga:
Chakudya cham'mawa choyamba: tchizi chopanda mafuta pang'ono, phala la buckwheat ndi tiyi wokhala ndi mkaka.
Chakudya cham'mawa chachiwiri: kulowetsedwa kwa tirigu.
Chakudya chamasana: saladi ndi msuzi wamasamba. Kangapo pamlungu amaloledwa kugwiritsa ntchito nyama yophika yamitundu yazakudya (osapitirira 150 g) - nkhuku, nkhuku, kalulu.
Zosakhazikika: zipatso zilizonse kapena zakudya kwa iwo, zipatso.
Chakudya chamadzulo: nsomba zophika panyanja (mitundu yoyera yokha) ndi masamba.
Chakudya chimatengedwa m'magawo ang'onoang'ono, koma nthawi zambiri.
Chithandizo cha Gout - Malangizo Onse
Zofunika! Zakudya si chithandizo chokhacho cha gout ndi matenda ashuga ovuta. Kuchotsa matendawa kumakhudzanso wodwala. Chofunika kwambiri pakuchira ndi achire olimbitsa thupi.
Kuchita masewera olimbitsa thupi sikuyenera kukhala kolemetsa, kuyenera kukhala koyenera, koma tsiku ndi tsiku. Kungowonetsetsa mosamalitsa zomwe dokotala amupatsa ndizomwe kungathandize kubwezeretsa thupi pazinthu zomwe zimagwira komanso kupangitsa kuti matenda atuluke kwakanthawi.
Zakudya ndi menyu a gout ndi matenda ashuga
Onse matenda a shuga ndi gout ndimatenda a metabolic. Nthawi zambiri zimapezeka limodzi chifukwa zimayambitsa komanso zomwe zimayambitsa ngozi. Kugwiritsa ntchito zakudya zoyenera moyenera kutha kupangitsa matenda onse kutha.
- Vinokur Maria - Mkonzi Wachipatala
- kufika_nthawi
Anthu omwe ali ndi vuto la gout ndi matenda ashuga nthawi yomweyo amalangizidwa kuti azipewa zakudya zomwe zingakhudze kuchuluka kwa uric acid ndi insulin. Chifukwa chake, kudya komwe kumalimbana ndikuchepetsa uric acid ndi shuga m'magazi ambiri amalimbikitsidwa pagululi.
Popeza uric acid umapangidwa chifukwa cha purine metabolism m'thupi, ndibwino kupewa zakudya zomwe zimakhala purines.
Ndi milingo yayitali kwambiri ya uric acid, makristali amkati a urate (uric acid salt) amadziunjikira mafupa, ndipo izi zimatha kukulitsa ululu wolumikizana ndi gout.
Kuphatikiza apo, kuchuluka kwa uric acid kumapangitsa kuti thupi likhale losagwirizana ndi insulin, yomwe imapangitsanso kuchuluka kwa matenda ashuga.
Zakudya za purine zapamwamba ndizophatikiza: mackerel, anchovies, nyama offal, nyemba zouma, nandolo, zakudya zamzitini, Zakudyazi pompopompo, vinyo ndi mowa.
Komanso pewani zakudya zokhala ndi fructose. Pamene kagayidwe kawo kamadya kuchuluka kwamamolekyulu a adenosine triphosphate (ATP), komwe kumakhala mphamvu kwa thupi.
Kugwiritsa ntchito kwambiri ATP kumabweretsa kutsika kwa ma molekyulu ndipo kumayambitsa mapangidwe a zinthu monga lactic acid ndi uric acid. Kuphatikiza apo, fructose imadziwika kuti ndi shuga.
Chifukwa chake, kudya zakudya zamafuta a fructose (monga maapulo, nthochi, mapeyala, mavwende, zoumba, nkhuyu, zakumwa zamtundu, ndi zina zambiri.) osavomerezeka kwa odwala matenda ashuga.
Tiyeneranso kupewa mowa.Mowa umasokoneza kutulutsa kwa uric acid m'thupi.
Izi ndichifukwa choti lactic acid (wopangidwira munthawi ya mowa) imapikisana ndi uric acid ikapukutidwa ndi impso.
Mowa umakulitsanso kupanga uric acid powonjezera kuchuluka kwa ATP komwe kumasandulika adenosine monophosphate (AMP) Mafuta a uric acid.
Kuphatikiza apo, mowa ungasokoneze chidwi cha thupi pakupanga insulini.
Idyani Zakudya Zapamwamba CHIKWANGWANI (monga chinanazi, oats, nkhaka, malalanje, barele, kaloti ndi udzu winawake). CHIKWANGWANI chimatenga uric acid m'magazi, omwe amalola kuti atulutsidwe mwachangu kudzera mu impso. Kuphatikiza apo, pectin (womwe ndi mafuta osungunuka pakudya) amatsitsa cholesterol.
Muzidya zakudya zonenepa anthocyanins (i.e. biringanya, mabulosi abuluu, cranberries, plums, wakuda currants, mphesa, makangaza, mapichesi ndi yamatcheri). Anthocyanins amaletsa crystallization wa uric acid komanso kupewa kudzikundikira kwake. Komanso zinthuzi thandizani kuchepetsa magazi.
Idyani zakudya zabwino omega 3 mafuta (sardines, nsomba, soya, nthomba, walnuts, tofu, nthambi za Brussels, kolifulawa, shrimp).
Zithandiza kuchepa insulin kukanapotero kuchepetsa kufala kwa matenda a shuga a 2.
Mwa zina, omega-3 acid acid amachepetsa cholesterol ndi uric acid.
Muyeneranso kudziwa zomwe zingayambitse matenda a gout komanso matenda ashuga. Matendawa nthawi zambiri amapezeka nthawi imodzi mwa munthu m'modzi, chifukwa ali ndi ziwopsezo zofananira.
Gout ndi matenda ashuga - chakudya choyenera
Matenda olumikizana a gout ndi matenda a shuga siachilendo. Chifukwa chake muzochitika zonsezi, chomwe chimayambitsa matendawa ndi zakudya zopanda thanzi, zomwe zimatsagana ndi kunenepa kwambiri. Zotsatira za njirazi ndi kufotokozedwa kwamatumbo (uric acid), komwe kumayambitsa kutuluka kwa magazi ndi kuchuluka kwa shuga m'magazi, komwe kumayambitsa matenda a shuga.
Zinthu za gout
Zomwe purine zomwe zili mthupi zimaposa zomwe zimachitika, ndipo izi zimachitika chifukwa cha kuchuluka kwa chakudya chomwe chili ndi izi, impso sizingagwire ntchito ndi kuphipha kwa uric acid, komwe kumapangitsa kuti pakhale kuphulika kwa purines.
Uric acid, yodziunjikira zochuluka kwambiri ndipo ilibe mphamvu yotuluka, imasinthidwa kukhala makhiristo, omwe amakhala omwe amachititsa kuti mafupawo azitupa. Njira yonse - iyi ndi nthenda ya gout, yomwe imakonda kupezeka komwe kumalumikizana kumapeto.
Gout imachitika motsutsana ndi maziko azifukwa zingapo, zomwe nthawi zambiri zimakhudzana. Choyamba, anthu omwe ali ndi vuto la chibadwa cha matendawa amakhudzidwa ndi gout, ngakhale amakhala moyo wongokhala, kumwa mowa mwauchidakwa, zakudya zamafuta komanso kuchuluka kwa nyama m'zakudya, onenepa kwambiri, zomwe zimapangitsa kuti matendawa akhazikike.
Zizindikiro
Gulu lomwe likuika pachiwopsezo cha matendawa ndi kuchuluka kwa amuna azaka zapakati pa 40-60. Chomwe chimapangitsa izi ndi chakudya chamadzulo cham'mawa kwambiri, chomwe chimatsatiridwa ndi mowa. Gout imatha kuzindikira matenda awa:
- kuyamba kwadzidzidzi kumakhala chizindikiritso cha matendawa, ndikumva kupweteka kwambiri kuphazi,
- Kukhazikika kwa khungu lomwe lakhudzidwa ndi reddens, kumatupa ndikuyamba kutentha mukakhudzana,
- pambuyo pake matendawa amakhala ndi vuto pokodza, makamaka usiku - izi zikuwonetsa kuukira kwa gouty, zomwe zimachitika kawirikawiri zomwe zimadziwika ndi matendawa.
- matenda akayamba kuthamanga, mafupa amitsempha amaso amaso ndipo amachepetsa mphamvu ya dzanja.
Zolemba za maphunziro a shuga
Kuwonetsedwa kwa matenda osokoneza bongo a shuga kumawonedwa chifukwa cha kusokonekera kwa kagayidwe, kamene kamasintha, motsogozedwa ndi zovuta zam'magazi a ma cell a pancreatic. Njira zonsezi zimachitika motsutsana ndi chiyambi cha kuperewera kwa insulin m'thupi.
Matenda a shuga amaphatikizidwa m'mitundu iwiri - yoyamba ndi yachiwiri.
Mtundu woyamba umadziwika ndi kuchuluka kwa glucose m'magazi, komwe thupi lilibe nthawi yosinthira. Pali kusowa kwakukulu kwa kupanga insulini, komwe ndikofunikira pakugwira bwino ntchito kwa thupi. Nthawi zambiri odwala omwe ali ndi mtundu woyamba wa shuga amakhala ndi thupi loonda.
Ngati wodwala wapezeka ndi mtundu wachiwiri wa matenda ashuga, ndiye kuti kupanga insulini ndikwabwinobwino kwa thupi, koma momwe zimakhalira ndi minofu yake zimasokonekera, zomwe zimapangitsa kuti munthu akhale wonenepa komanso kunenepa kwambiri.
Chithandizo cha gout wodwala matenda ashuga
Pozindikira matenda onsewa nthawi imodzi, chithandizo chikuyenera kuchitika moyang'aniridwa ndi madokotala. Mankhwalawa akuphatikiza njira zingapo zovuta, zomwe, kuphatikiza pa kumwa mankhwala ndi njira za thupi, zakudya ndizofunikira.
Zakudya zomwe adalimbikitsa kuti azikhala ndi matenda ashuga komanso gout zimaphatikizapo zoletsa pagulu lina la zinthu ndikuloledwa kudya.
Katundu Woletsedwa
Zakudya zotsatirazi sizimachotsedwa pakudya kwa wodwala yemwe akudwala gout ndi matenda ashuga:
- chakudya chokonzedwa ndi nyama, makamaka chofiyira, ndi nsomba yamafuta (chimagwira ntchito ku maphunziro oyamba ndi maphunziro achiwiri),
- offal - mapapu, chiwindi, impso.
- maswiti, zinthu zopangidwa ndi ufa, chokoleti,
- mowa wamtundu uliwonse, msuzi wokoma, tiyi wamphamvu ndi khofi.
Zakudya zilizonse zopatsa thanzi kwambiri pochiza matenda ziyenera kuperekedwa kwa menyu wodwala tsiku lililonse. Ndipo pamapeto pake, zinthu izi sizingakhale “alendo” pathebulo, chifukwa zimayambiranso. Chifukwa chake, Zakudya zamatendawa ndizopewanso zake.
Kodi kudya ndi gout ndi matenda ashuga?
Asanabwere ndi chithandizo cha odwala omwe ali ndi mankhwala, kudya kwa gout pamiyendo inali njira yofunika kwambiri komanso yokhayo yothandizira.
Pakadali pano, posankha zakudya zamatumbo, madokotala amaganizira zizindikiro, kuchuluka kwa kukoka, kulemera kwa thupi, komanso kuopsa kwa njirayi.
Kodi wodwalayo ali ndi matenda ashuga komanso kukweza uric acid m'magazi kumathandizidwanso musanayambe kuyika tebulo.
Zolinga za chakudya
Werengani: Vinyo wofiira wokhala ndi gout ndikotheka kumwa
Kunja kwa kuukira, chakudya chiyenera kukhala chosowa pamafuta, mchere, purines, ndi mapuloteni. Osamamwa zakumwa zoledzeretsa. Ndi misa yochulukirapo, mankhwala azakudya ayenera kukhala a hypocaloric. Zakudya zochizira gout zimakhala ndi cholinga chachikulu - kutsitsa uric acid. Kuti muchite izi, odwala ayenera kutsatira malangizo awa:
- Zakudya zoletsedwa ndi purine.
- Ndi kuchuluka uric acidity - kuphatikiza zakudya osauka purines.
- Imwani madzi ambiri.
- Chithandizo chamankhwala cha gout sichimapita popanda kuwongolera kulemera kwa odwala.
Kodi muyenera kupewa chiyani?
Zakudya zochiritsika za gout yokhala ndi uric acid yokweza zimathetsa kudya zakudya zomwe zimakhala ndi purines yambiri. Simungadye:
Werengani: Mankhwala a gout ofotokoza za Colchicine
- nyama yam'mimba
- nsomba yamafuta
- nyemba.
Pofuna kupewa kuti uric acid isachulukane mwachilendo, zakudya zama antipuric zimachepetsa kudya izi:
Zopangidwa ndi nyama zikaphatikizidwa muzakudya, zimaganiziridwa kuti pali zofunikira kwambiri za purine mu nyama zazing'ono kuposa zakale. Chifukwa chake, odwala omwe ali ndi gout ndi matenda a shuga saloledwa kudya nyama yaying'ono. Kutsatira zakudya zama gout, samalani kwambiri chifukwa kudya zakudya zamapuloteni komanso zamafuta kumathandizira kuziziritsa komanso zizindikiro za matenda. Hyperlipidemia imachulukitsa kuchuluka kwa uric acid.
Werengani: Gout: ngati maphunzirowo amasankhidwa molondola
Amakhulupirira kuti zakudya zothira gout siziyenera kupitilira 200 mg ya purines patsiku mukudya. Mukatsatira malingaliro onse, pafupifupi 500 mg ya uric acid akhoza kuthira mkodzo. Kwa odwala matenda ashuga, odwala ayenera kupewa zakudya zotsatirazi:
- chakudya zamzitini
- ayisikilimu
- masamba ndi zamzitini,
- sorelo, sipinachi,
- zipatso zonse zouma kupatula mitengo yamitengo,
- maswiti
- chokoleti
- zokometsera zokometsera ndi msuzi,
- azitona
- kolifulawa
- rasipiberi, nkhuyu,
- zokometsera.
Zomwe zingaphatikizidwe muzakudya
Zakudya zochiritsika za gout zimaphatikizapo mbale zokhala ndi zochepa za purine kapena popanda iwo konse. Mndandanda wa zomwe zikulimbikitsidwa ndi tebulo 6.
Gome la chisanu ndi chimodzi (tebulo).
Kusankhidwa | Zakudya pa matenda amateteza purine kagayidwe, amachepetsa ndende ya kuchuluka uric acid. |
Gawo 6: Mbali | Chithandizo chathunthu cha anti-purine hyponatrium chothandizira cha matenda a gout okhala ndi mapuloteni amtundu wa nyama. Gome limakhala ndi mulingo wabwinobwino wamafuta ndi chakudya. Kufunika kwa mapuloteni kumalipiridwa ndi chakudya chamkaka. Zakudya zimaphatikizapo zakumwa zamchere, timadziti ta zipatso. |
Mphamvu yamphamvu | Zakudya za matendawa zimapereka chakudya chamtengo. Pakati pa chakudya ndikumwa kumwa. |
Zakudya zamafuta | Kuti muchepetse zizindikiro, imwani madzi okwanira malita 2.5 (ngati palibe matenda oopsa komanso impso). |
Kukonza | Gawo 6 - Mafuta, Chakudya Chowiritsa. Masamba ndi zipatso zimatha kuphika kapena kudyedwa zosaphika. |
Supu | Zakudya za gout zimaphatikizapo zipatso, masamba, ndi supu zamkaka. |
Nyama, nsomba | Mutha kudya nyama yophika yophika. Ngati zizindikiro za matendawa zibwerera, nyamayo yathetsedwa. |
Zamasamba | Chikhululukiro, zakudya za gout zimaphatikizapo masamba aliwonse (tomato, mbatata, ndi zina). Folic acid m'masamba zakudya zimathandizira purine. |
Zakudya zazing'ono | Vinaigrette, saladi ochokera masamba atsopano, masamba caviar amaloledwa. |
Porridge | Mutha kudya phala lililonse la chimanga. |
Mazira | Gometi 6 imalola kumwa dzira limodzi patsiku (pokonza) iliyonse. |
Maswiti | Zakudya za gout sizimaletsa zakudya zonunkhira, maswiti, marmalade, caramel. |
Mkaka | Amapereka zinthu za lactic acid, mkaka ndi tchizi yofatsa. |
Msuzi | Suzi yophika pa msuzi wamasamba. Mutha kugwiritsa ntchito mkaka, kirimu wowawasa, tomato kuphika. |
Zonunkhira | Vanilla, ndimu, sinamoni. |
Zakudya zochiritsika zamatumbo zimakhala pakumwa mankhwala owiritsa kapena nthunzi, popeza theka la purines mukaphika limakhalabe msuzi. Ndikofunika kugwiritsa ntchito chakudya osasankhidwa. Imathandizira kuchotsedwa kwa kuchuluka kwa uric acid mthupi, chakudya cha gout chimakhala chofunikira ku regimen ya kumwa. Ngati odwala ali ndi urolithiasis, amafunsa kuti azitsatira malangizo oyenera:
- 4 g ya koloko amawonjezeredwa pa lita imodzi yamadzi.
- Kuchepetsa mkodzo, chakudya cha m'matumbo chimakhudzanso kuchuluka kwa mapuloteni azomera.
- Zizindikiro zimachepetsa zipatso.
Malangizo kwa Odwala Odwala
Ndi kuchuluka kwambiri, zakudya kuchokera ku gout ziyenera kukhala ndi zopatsa mphamvu zochepa. Pa kilogalamu imodzi ya kulemera, kumwa kwawo sikuyenera kupitirira 30. Zakudya zopatsa mphamvu kwambiri zimatsogolera pakuwonjezeka kwa purines.
Chonde dziwani kuti kuchepa thupi kuyenera kukhala koyenera.Zakudya zopatsa mphamvu zambiri komanso kufa ndi njala kumapangitsa kuti matenda azachulukirachulukira.
Zakudya izi zimatha kubweretsa ketoacidosis (kuchuluka kwa matupi a ketone) mu shuga.
Chifukwa kupatula pa zinthu zophika mkate ndi kuchepa kwa mphamvu. Kuti izi zitheke, pofuna kupewa kufalikira, chakudya chamatenda a m'matumbo chimatsitsa izi:
- kefir curd,
- mkaka
- mkaka wowawasa
- masamba
- chipatso.
Masiku otere amatha kukhala sabata iliyonse. Pansipa pali zakudya zamaphunziro a gout. Zinthu zonse zimaperekedwa ndi tebulo 6.
Zakudya za matenda a gout:
- Chakudya cham'mawa choyamba: masamba ophika, tchizi wopanda mafuta, tiyi wopanda mkaka.
- Chakudya cham'mawa chachiwiri: zipatso zophika.
- Chakudya chamasana: msuzi wamasamba, mbatata yosenda, soufflé wamafuta ochepa, tomato, compote.
- Zosadya: omelet.
- Chakudya chamadzulo: phala iliyonse, zipatso ndi ndiwo zamasamba, zakumwa (makamaka zamchere).
- Asanagone: kefir.
Kwa tsiku lonse, kudya gout kumalola odwala kudya 200 g mkate (rye), 50 g ya jamu, theka la ndimu.
Zotheka ndi kuthamanga kwa magazi ndi matenda ashuga
Ngati odwala akuvutika ndi mtima dongosolo (kuthamanga kwa magazi, ischemia), chakudya cha gout chiyenera kukhala chochepa m'malori okhala ndi chakudya chochepa cha sodium ndi cholesterol. Sabata iliyonse, amalimbikitsidwa kuphatikiza masiku a mkaka, phala ndi masamba. Kuyambira masamba mungathe tomato, kabichi, mbatata.
Chakudya cha gout ichi chimakhala ndi 60% chakudya, 15% mapuloteni, ena onse ndi mafuta. Kuchepa kotereku kukuwonetsedwa kwa matenda ashuga ndi impso. Mlingo wazoletsa zonse zimatengera momwe zizindikiro za matenda ziliri.
Kwa odwala matenda ashuga, chakudya cha matenda a gout chikusonyeza kuti muzimvetsera kwambiri zamafuta a calorie, mafuta ndi cholesterol pazakudya.
Ngati vuto la impso likuwonongeka, amalangizidwa kuti athetse masiku angapo kangapo ndikugwiritsa ntchito masamba komanso kupatula mchere.
Kodi amadya chiyani pakuwonjezereka?
Munthawi yonseyi ya kukokomeza, zimaphatikizapo zakudya zamadzimadzi zokha (zakudya, mkaka, timadziti tam'chitini, ndi zina), soups zamasamba, ndi mbewu zamadzimadzi. Mpaka pomwe zizindikiro za kuchulukirachulukira, chakudya cha matenda a gout chimawonedwa mosamalitsa. Simungadye nyama, monga zakudya za purine zimakulitsa vutolo.
Zakudya zoyenera za matenda a gout ziyenera kukhala ndi mafuta pang'ono ndi kuchuluka kwa purines m'magazi. Kuphatikiza apo, sabata iliyonse, odwala amaphatikiza masiku omwe amakhala ndi mapuloteni ambiri komanso chakudya chamagulu ambiri (chifukwa cha masamba ndi chimanga).
Ngati odwala ali ndi matenda ashuga, sinthani chithandizo chambiri. Mulinso mavitamini ambiri (ma folic ndi ascorbic acids ayenera kukhala), fiber (masamba: tomato, nkhaka, ndi zina).
Ngati nthendayo imawonedwa, chakudya chamafuta chimaletsedwa.
Gout ndi matenda ashuga: momwe mungakhalire, zizolowezi zakudya
Ngakhale matenda am'mimba omwe kale ankadziwika kuti ndi "matenda a mafumu," masiku ano sathananso. Chiwerengero cha anthu omwe adazindikira izi m'mbuyomu chinali chochepa kwambiri poyerekeza ndi masiku ano.
Izi zikufotokozedwa ndikuti tidasiya kugwira ntchito zolimbitsa thupi, pomwe zophatikiza ndi zopatsa mphamvu za munthu wamakono zidakwera kwambiri.
Gout ndi matenda ashuga sizinso zofala limodzi.
Zofanana za gout ndi matenda ashuga
Gout imayamba chifukwa cha kuchuluka ndi kuchuluka kwa mchere wa uric acid mthupi la munthu. Mwambiri, mchere umasonkhana molumikizana. Zakudya zolemera mu purine ndi fructose zimatha kuyambitsa kutulutsa gout, ndipo, mwachidwi, chilakolako chambiri cha zakudya zilizonse zamafuta ndi zopatsa mphamvu kwambiri.
Ngati mukuwona kuti ndi kudya kwambiri komanso kuchita masewera olimbitsa thupi komwe kumayambitsa matenda ashuga, ndiye kuti matenda awiriwa atha kuganiziridwa, onsewa ndi ofanana: moyo wopanda thanzi amaonedwa kuti ndiwowonjezera zomwe zimachitika komanso chitukuko. Matenda awiriwa ndi "abwenzi okhulupirika" wina ndi mnzake mwa odwala ambiri.
Gout, monga matenda ashuga, amaonedwa kuti ndi matenda osachiritsika, omwe amakhala ndi vuto laukali, omwe amatchedwa opepuka komanso, osasangalatsa kwambiri, omwe amabwerera m'mbuyo.
Komabe, pamene zakudya zapadera zimawonedwa kwa odwala, ndiye kuti kugunda kwa gouty kumatha kuchitika, ngati sikungosiyidwa, kucheperachepera komanso kopweteka.
Nthawi yomweyo, chakudya choyenera, chomwe chimaperekedwa kwa odwala omwe ali ndi matenda a shuga, malinga ndi tanthauzo lake, amabweretsa mpumulo.
Ngati mukuganiza zomwe zili zolondola kwambiri: matenda ashuga amakakamizidwa ndi gout, kapena, kutulutsa, kuphatikizidwa ndi matenda ashuga, ndiye kuti sizingathandize! Chifukwa ziganizo zonsezi zili ndi ufulu kukhalapo. Pomaliza, ichi sichinthu chachikulu, chinthu chachikulu ndikuwonetsetsa kuti shuga ali bwino m'magazi ndikuchita zonse zotheka kuti kuchuluka kwa uric acid m'matumbo athu kumakhala kotsika momwe mungathere, ndipo chifukwa cha ichi muyenera "kukakamiza" impso kugwira ntchito mwamphamvu yonse.
Mankhwala a gout ndi matenda a shuga amatha kukhala osiyana, kutengera mtundu wa shuga ndi momwe gout imayambira.
Komabe, mulimonse momwe zingakhalire, mosasamala kanthu za chilichonse, mankhwalawa amayenera kusintha! Zakudyazo ziyenera kukhala ndi cholinga chokhala ndi shuga wamagazi ovomerezeka komanso nthawi yomweyo kupewa kutumphuka kwa uric acid.
Kufunika Kwa Zakudya
Tiyenera kumvetsetsa kuti ngati matenda a shuga adapezeka, ndiye kuti zakudya zapadera ziyenera kuchitika pafupipafupi. "Nthawi zonse" - kumvetsetsa zenizeni, ndiye moyo wonse. Matenda a shuga ndi matenda ogwirizana ndi kagayidwe kachakudya ka thupi mthupi, chifukwa chake ndimaganizo okhazikika omwe angaganiziridwe bwino omwe angabweretse zotsatira zowoneka za zovuta.
Gout samanenanso kudzipereka ku moyo wathanzi. Ndizakudya zomwe zimachepetsa kwambiri vuto la matenda, monga kufooka kwa mtima, komanso mavuto amitsempha yamagazi, komanso ambiri operewera aimpso.
Zakudya za gout ndi shuga
Mfundo yophatikiza zakudya za odwala omwe ali ndi gout ndi matenda a shuga ndi chakudya pafupipafupi komanso pang'ono. Ndikulimbikitsidwa kudya panthawi yovomerezeka, ndiye kuti thupi lidzazolowera ndipo "zokha" zimayambitsa kugaya, zomwe zimakhudza kwambiri shuga.
Kugwiritsa ntchito mchere kumachotsedwa kapena kumachepetsa kwambiri! Izi ndizofunikira kwambiri! Mchere umasunga madzi mthupi la munthu, ndipo madzi ochepa, amakhala okwera kwambiri m'matumbo, zomwe zimatanthawuza kuyambiranso kwa gout. Ngati madzimadzi samachotsedwa m'thupi, ndiye kuti kuledzera kumayamba, komwe kumakhala kovulaza kwa thanzi, komanso makamaka kwa wodwalayo.
Ndikofunikanso kwambiri kumwa kwambiri! Ndikofunika kuti musinthe kuchokera ku tiyi wamba wakuda ndi wobiriwira kupita ku infusions azitsamba zamankhwala. Amakhala kuti alibe ma cookfeine, komanso amatha kupititsa patsogolo kayendedwe ka metabolic mthupi.
Zofunika kukumbukira
Ngakhale zakudya ziyenera kutsatiridwa kwa moyo wanu wonse, simuyenera kugwa mphwayi, chifukwa ndi zakudya zomwe zingapangitse kwambiri zomwe zimachitika. Zakudya zoyenera ndizomwe zimakhazikitsidwa pamiyeso yamasamba, komabe osakhala okhwima kwambiri.
Chofunikira chakudyacho ndikusalola kuchuluka kwa shuga m'magazi kukwera m'magawo ovuta, komanso nthawi yomweyo kuchepetsa kuchuluka kwa uric acid m'thupi.
Zamasamba zimathetseratu kugwiritsa ntchito nyama komanso zakudya zomwe zimapangidwira, koma zakudya za anthu omwe ali ndi matenda ashuga omwe ali ndi gout ndizosiyananso kwambiri ndipo nthawi zina amakulolani kudya nyama, koma mitundu kapena mtundu wina.
Tiyeni tikambirane mwatsatanetsatane mndandanda wazinthu zoletsedwa ndi zololedwa.
Zogulitsa zomwe zaletsedwa
Chinthu chachikulu chomwe sichinanenedwe ndikuletsa kwathunthu kumwa zakumwa zoledzeretsa, ziyenera kusiyidwa kwathunthu. Ngakhale mowa wochepa ngati mowa.Madokotala ena amaumirira kuti ngakhale wodwala asamwe mankhwala a zitsamba ngati chithandizo.
Zogulitsa zomwe zizikhala zogwirizana:
- nsomba zamchere
- nsomba zamzitini
- nsomba caviar (osati yamchere, komanso yokazinga),
- masoseji,
- ankasuta nyama
- mbali (chiwindi, mapapu, impso),
- tchizi chamchere
- nyama ya ana,
- nyemba.
Payokha, mawu ochepa onena za nyama. Zakudya sizitanthauza kupatula kwathunthu, chifukwa nyama imapatsa mphamvu, ndipo odwala matenda ashuga nthawi zambiri amadandaula chifukwa chosowa. Koma nthawi yomweyo, nyama ndi mapuloteni okhazikika omwe samalimbikitsidwa kwa odwala omwe ali ndi gout.
Akatswiri azakudya azindikira kuti yankho labwino kwambiri ndi monga kuphatikiza nyama yodwala m'zakudya za wodwalayo, ndipo nyamayo iyenera kukhala yachikulire monga momwe nyama za nyama zazing'ono zimakhala ndi mafuta ambiri. Amaloledwa kudya nyama kawiri pa sabata, mwachidziwikire, mankhwalawa kutentha sayenera kukhala mwaukazinga, ndibwino kuti azikhala nthunzi kapena kuwira.
Zoletsedwa komanso maswiti ambiri ndi zipatso:
- chokoleti
- marmalade
- zonunkhira zonona,
- mphesa
- nkhuyu
- rasipiberi.
Zakudya ziyenera kukhazikitsidwa ndi malamulo a thanzi ndi zakudya.
Poyamba, odwala amawopa kuti angavutike moyo wawo wonse ndi njala, koma machitidwe ake amapezeka kuti pali zakudya ndi mbale zambiri, kuphatikizapo maswiti.
Koma osati zophweka, koma kwa odwala matenda ashuga, okhala ndi shuga. Mwamwayi, masiku ano mashelufu pafupifupi shopu lalikulu lililonse amangodzaza zinthu zambiri zokongola ndi mabokosi.
Zomwe zakudya siziletsa
Chifukwa chakuti zakudya zimachepetsa kuchuluka kwa nyama zomwe zimadyedwa, mutha kuyamwa m'malo mwake ndi mkaka. Mwachitsanzo, pa nkhomaliro simungadye supu ya nkhuku, koma msuzi wa pasiti wamkaka. Tchizi tchizi ndizothandiza mafupa ndi mafupa, zomwe ndizofunikira kwa odwala omwe ali ndi gout. Nayi zinthu zinanso:
- pasitala
- mpunga
- mbatata
- amadyera
- chimanga
- zukini
- beets
- Tomato
- zopangidwa mkaka
- mazira.
Pafupifupi, pafupifupi masamba onse akhoza kuphatikizidwa ndi chakudya. Nkhaka ndizothandiza kwambiri. Zakudya zomwe zimaphatikizapo kudya nkhaka imodzi patsiku zimabweretsa zabwino. Nkhaka imachotsa purines, zomwe zikutanthauza kuti sipakhala kuukira kwa gouty, kapena sizikhala zowawa kwambiri.
Kumbukirani, inu nokha ndi omwe mumayang'anira thanzi lanu! Ngati mukufuna kukhala bwino komanso kukhala mosangalala kuyambira kale, muyenera kudziwa mawu oti "zakudya" komanso lingaliro la "kudya bwino"!
Mankhwala othandizira gout
Gout - matenda otengera kuphwanya kusinthana kwa purine maziko oyanjana ndi cholowa chamabanja (banja) ndikuwonetsedwa ndi kuwonongeka kwamphamvu kapena kulumikizana kwamisempha ndi ziwalo zamkati chifukwa cha kuchuluka kwa mchere wa uric acid.
Gout siimagwirizana ndi hyperuricemia, chifukwa kuwonjezeka kwa plasma uric acid kumatha kudzetsa matenda mu 10-50% yokha mwa milandu.
Nthawi yomweyo, chiwonetsero cha matenda a gout nthawi zina chimatha kuchitika ndi kuchuluka kwa plasma uric acid.
Gout imadziwika kuti ndi nthenda yamagulu angapo, monga momwe zikuwonekera ndi kuwonongeka kwa impso, mantha am'mimba, mtima, komanso kunenepa kwambiri, migraine, ndi ziwengo.
Mlingo wa uric acid m'madzi am'madzi umatengera zaka, kulemera kwa thupi la munthu, komanso kuchuluka kwa zolimbitsa thupi. Zawonetsedwa kuti ndi zaka, komanso kusakwanira kapena kutulutsa kwambiri, thupi la uricemia limakulanso.
Mwa munthu wathanzi, kusinthana kwa uric acid ndi pafupifupi 1000-1200 mg. Mwa kuchuluka kumeneku, 2/3 ya voliyumu imasungidwa kudzera mu impso. Chifukwa chake, thupi limatulutsa 400-800 mg ya uric acid mankhwala patsiku.
Odwala omwe ali ndi gout, "thumba la ndalama" limakulirakulira kwambiri ndipo limafikira ku 2000-4000 mg. Pansi pa kuchuluka kwa plasma uric acid, madontho a mchere wake amatha kupezeka minofu yambiri, makamaka yodziwika bwino.
Ndi kuchepa kwambiri kwa mkodzo pH kapena ndimatumbo ambiri amkodzo mu mkodzo, zinthu zimapangidwa chifukwa cha urolithiasis. Kuyika kwa urate m'matumbo a impso kumabweretsa kukula kwa "gouty impso" ndipo pamapeto pake kulephera kwaimpso, ndipo kuyika mu ziwalo zolumikizana kumabweretsa kukula kwa kugwidwa kwamtundu wa gouty, kuwonongeka kwa mawonekedwe a mafupa ndi kuphatikizika kwa mafupa.
Zomwe zimayambitsa hyperuricemia ndi:
- Kuwonjezeka kwa mapangidwe a uric acid chifukwa chogwiritsidwa ntchito mopitirira muyeso wa zakudya zomwe zimakhala ndi purine mabeseni komanso (kapena) kuchuluka kwawo kwa chibadwa (kuperewera kwachilengedwe kwa enzyme hypoxanthine-guanine-phosphoribosyltransferase).
- Kuphwanya kwamikodzo asidi wa impso.
Mankhwala othandiza asanafike, kudya inali njira yokhayo yochizira gout.
Cholinga cha mankhwala othandizira kudya ndikuchepetsa uric acid mankhwala mthupi.
Zakudya zimagwiritsidwa ntchito pochiza odwala zimasiyanasiyana malinga ndi kuuma kwa njirayo, kuchuluka kwa mavuto, kuchuluka kwa uric acid m'madzi am'magazi, kulemera kwa thupi.
Mfundo za zakudya zochizira gout:
- Kuchepetsa kuchuluka kwa zinthu zomwe zimakhala ndi purine base (nyama, nsomba).
- Kukhazikitsidwa kwa zinthu zosavomerezeka mu purine mabeseni (mkaka, chimanga).
- Kubweretsa madzi okwanira.
- Pamaso pa kunenepa kwambiri kwa thupi, kuchepetsedwa kwake kumafunika.
Mankhwala othandizira kuchulukitsa kwa gout
Wodwala akayamba kuukira, wodwalayo ayenera kuwonetsetsa kuti agone mwamphamvu ndi dzanja lomwe lakhudzidwa. Masiku ano ndikofunikira kwambiri kutsatira zakudya zosasunthika komanso mankhwala okwanira.
Munthawi yonse ya kukokoloka, chakudya No. 6e amafotokozedwa, omwe amaphatikiza zakudya zamadzimadzi: mkaka, zakumwa za lactic, zakudya, zakudya, zipatso, masamba ndi zipatso (zipatso za zipatso), soups zamasamba ndi mbewu zamafuta.
Kwa nthawi yowonjezereka ya gout, nyama iliyonse ndi nsomba zamtundu uliwonse ndizoletsedwa. Ndikofunikira kuonetsetsa kuti wodwalayo samadwala matenda am'mimba ndipo amadya madzi okwanira malita awiri patsiku. Chofunika kwambiri masiku otere ndi kugwiritsa ntchito madzi amchere amchere. Zakudya zoterezi zimaperekedwa kwa milungu iwiri.
Munthawi yakukhathamiritsa kwa kutuluka kwa m'mimba, vuto la m'mimba limadziwika, lomwe nthawi zambiri limalemedwa ndi mankhwala omwe amakhumudwitsa m'mimba, chifukwa chake, kudya kosakhalitsa ndikofunikira.
Panthawi yakuchulukitsa, nyama zochepa zimaloledwa (kamodzi kapena kawiri pa sabata, 100-150 g yophika nyama). M'masiku ena, zinthu monga mkaka, mazira, chimanga, mbatata, masamba ndi zipatso zimavomerezeka.
Chithandizo cha mankhwalawa kwa gout kunja kwa kuwonongeka kovuta
Zochizira gout popanda kuchulukitsa, zakudya No. 6 imagwiritsidwa ntchito.
Chomwe chimaperekedwa pachakudyachi ndikuti zakudya zomwe zili ndi ma nopoproteins, oxalic acid samachotsedwa muzakudya, ndipo zakudya zoperewera mu nucleoproteins zimayambitsidwa.
Ndikofunikira kwambiri mothandizidwa ndi zakudya zamankhwala kuti zithetse mayankho a acid mkodzo ndikusunthira mbali ya zamchere. Izi zidzakulitsa kusungunuka kwa uric acid ndipo potero kuteteza kumayambira kapena kupitirira kwa gouty urolithiasis.
Zakudya No. 6 imadziwika ndi choletsa china cha mapuloteni ndi mafuta (makamaka onyoza). Pamaso pa kunenepa kwakanthawi, michere yamagetsi iyeneranso kukhala yochepa.
Mchere umakhala wochepa pang'ono (mpaka 5-7 g, pamodzi ndi zomwe zimapezeka pazinthu), kuchuluka kwa zakudya zamasamba, zipatso, ndi zinthu mkaka kumachuluka, zomwe zimapangitsa kuti mkodzo usunthire mbali yamchere.
Kuwongolera kuphwanya kwamchere wamchere wamchere, kugwiritsa ntchito madzi ambiri kumalimbikitsidwa (chifukwa chosagwirizana ndi mtima wamtima). Kuchuluka kwa madzimadzi aulere kuyenera kufika malita awiri patsiku.
Odwala onse omwe ali ndi gout ayenera kupatsidwa kuchuluka kwa vitamini C (ascorbic acid), B 1 (riboflavin) ndi niacin.
Zogulitsa zomwe zimakhala ndi ma purines ochulukirapo (opitilira 150 mg pa 100 g ya mankhwala) sizimachotsedwa pazakudwala. Izi ndi monga: ng'ombe zam'mimba (ubongo, impso, chiwindi, nyama yotsekemera: goiter ndi kapamba), zotulutsa za nyama, sardines, anchovies, shrimp zazing'ono, mackerel, nyemba zokazinga.
Chepetsani kumwa kwa zinthu zomwe zimakhala ndi 50-150 mg ya purines mu 100 g - nyama - nyama, mwanawankhosa), nkhuku, nsomba, crustaceans, masamba (nandolo, nyemba, mphodza).
Iyenera kutsimikiziridwa kuti nyama yazinyama zazing'ono ndizochuluka m'mafineti kuposa nyama ya achikulire, chifukwa chake iyenera kupewedwanso. Amakhulupirira kuti kudya kwa hypopurine sikuyenera kukhala ndi zosaposa 200 mg zama purine pamadyerero a tsiku ndi tsiku.
Ndi zakudya zopanda purine, 450 mg ya uric acid amamuyikira mkodzo patsiku.
Odwala onse amalimbikitsidwa kuchepetsa thupi, makamaka ngati kunenepa kwambiri. Popeza kumwa mowa wowonjezera wa calorie kumabweretsa kuchuluka kwa uric acid m'madzi a plasma, ndiye kuti kudya kwake tsiku lililonse sikuyenera kupitirira 30 calories pa kilogalamu imodzi ya thupi, motero.
Pankhaniyi, kuchepa kwa thupi kumayenera kuchitika pang'onopang'ono pafupifupi 1 kg / mwezi, chifukwa chakudya chotchulidwa cha hypocaloric chimapangitsa kuti matupi a ketone awonjezeke, limodzi nawo, ku hyperuricemia.
Pachifukwa ichi, gwiritsani ntchito zakudya zamafuta ochepera pang'ono komanso kusiyanitsa zakudya ndi zotsala za purine:
- Cottage tchizi ndi kefir - 400 g wa tchizi chamafuta ochepa, 500 g wa kefir.
- Mkaka kapena kefir - kwa tsiku, malita 1.2 a mkaka kapena kefir.
- Zamasamba - 1.5 makilogalamu a masamba, chilichonse, chilichonse.
- Zipatso - 1.5 makilogalamu a maapulo kapena malalanje.
Komabe, chithandizo ndi njala ndi kusankhidwa kwa masiku "anjala", m'malo mwake, ndizotsutsana. Kufa ndi njala m'masiku oyamba kumapangitsa kuti uric acid iwonjezeke kwambiri m'magazi chifukwa chotsatira matenda a gout.
Chithandizo cha mankhwalawa kwa gout kunja kwa kuwukira pamsana wa kunenepa kwambiri
Zakudya zolimbikitsidwa nambala 8 pogwiritsa ntchito masiku osala kudya. Kuchepetsa mphamvu yamakudya ndi gout kumachitika chifukwa cha kuletsa kwina kwa zinthu zophika mkate ndi shuga.
Mankhwala othandizira ophatikizidwa ndi gout ndi shuga
Mukaphatikiza gout ndi matenda ashuga, chidwi chambiri chimaperekedwa kwa kuchuluka kwa kalori, kuchuluka kwamafuta ndi mafuta m'thupi omwe amadyedwa m'zakudya.
Mankhwala othandizira gout pamaso pa kuwonongeka kwa impso
Ndikofunikira kuwonjezera kudya zamasamba ndikuchepetsa mchere.
Therapyutic zakudya zophatikizika ndi gout ndi ochepa matenda oopsa kapena ischemic matenda a mtima
Ngati gout ikuphatikizidwa ndi matenda oopsa a mtima kapena matenda a mtima a Coronary mtima (CHD) ndimikhalidwe yam'kati yodziwika ndi kuwonongeka kwa myocardium chifukwa chosakwanira kwathunthu kapena magazi a abale. M'malo mwake, matenda ammtima amayamba chifukwa chakuwonongeka kwa oxygen komwe kumabweretsa ku zosowa za metabolism. , ndiye kudya kochepa kalori wotsika mu cholesterol, mafuta okwanira ndi sodium amasonyezedwa.
- Mulingo wapamwamba ndi 150-1000 mg. Chikuku, nyama yamphongo, chiwindi, impso, msuzi wa nyama, sardine, anchovies, zikopa, kusuta nyama, mafuta a Iwashi (mumafuta).
- Mulingo woyenera ndi 50-150 mg. Nyama, nsomba, ubongo, mafuta a nkhumba, mamina, nkhanu, nyemba, nandolo, soya, kolifulawa, sipinachi, sorelo, bowa.
- Otsika - 0-5 mg. Mkaka, tchizi, mazira, nsomba zam'madzi, chimanga, mtedza, uchi, masamba, zipatso.
Chithandizo cha gout ndi matenda a shuga
Tanthauzo la gout labwera kwa ife kalekale. Amadziwika kuti "matenda a mafumu." Izi zinali choncho makamaka chifukwa choti vuto lidakumana ndi, choyambirira, anthu ochokera m'mabanja achifumu olemera omwe amakhala ndi moyo wongokhala, ankamwa mowa nthawi zonse ndikudya zakudya zamafuta.
Masiku ano, pali zambiri zambiri zomwe zimafotokoza mwatsatanetsatane za zovuta zamatendawa. Pakufotokozera kwa "gout" kumamveka ngati matenda omwe amachitika chifukwa cha kudzikundikira, kenako kuchuluka kwa mchere wa uric acid mthupi.
Izi zimachitika makamaka m'malo.
Kutuluka kwamtunduwu kumathandizira kuti pakhale zakudya zomwe zimakhala mu fructose ndi purine, zomwe zimadziwika kwambiri kwa anthu odwala matenda a shuga.
Kugwiritsanso ntchito zakudya zamafuta kwambiri kapena zina, monga kufa ndi njala, kumatha kuyambitsa matendawa. Kukula kwavutikaku kumaonekeranso mwa anthu omwe amakhala moyo wopanda komanso wokhalitsa.
Masiku ano, pafupifupi anthu 68% amakhala ndi matendawa.
Gout ndi matenda ashuga ndi matenda ena okhudzana, chifukwa zomwe zimachitika zimayenderana ndi moyo wopanda thanzi. Matenda a shuga amakhala ndi shuga wambiri ndipo, monga gout, amayamba chifukwa cha kudya kwambiri komanso kumangokhala. Matenda a shuga ndi gout nthawi zambiri zimayambitsa kunenepa kwambiri.
Kodi ndi chithandizo chiti chothandiza kwambiri ku matenda a gout mu shuga? Maziko a chithandizo ndikuwongolera kwambiri zomwe zili mu uric acid mthupi.
Asidi awa ndi chinthu chophulika cha zinthu chomwe chimayambitsa purines mu zakudya zina.
Matendawa amabwereka okha ku physiotherapeutic, mankhwala komanso zakudya, zomwe zimachitika ndi rheumatologist. Chothandiza kwambiri ndi mankhwala omwe amachokera pakutsuka magazi.
Pankhaniyi, chithandizo ndi leeches imawoneka kuti yothandiza. Njirayi ilibe zotsutsana kwa gout ndi matenda a shuga ndipo amadziwika ndi kusowa kwa ululu.
Matenda a shuga amakhala osokoneza ntchito ya dongosolo lonse la endocrine, pomwe leech imabweretsa thupi zomwe zimapangitsa ntchito yake kukhala yofanana. Izi zimathandizira kagayidwe kachakudya mthupi.
Kupitilira apo, njira zopewera kukula kwa matenda osasangalatsa awa akuperekedwa.
- Chifukwa cha chimenecho. Popewa matenda a gout ndi matenda ashuga, muyenera kuwongolera kulemera kwanu mosamala. Ngati ndi kotheka, ndikofunikira kupatula kugwiritsa ntchito zakudya zopatsa mphamvu kwambiri m'zakudya ndikutsatira zakudya.
- Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kuchepetsa osati kulemera kwanu, komanso kuthamanga kwa magazi, komwe kumathandizira kuchepetsa uric acid komanso kuchepetsa ngozi ya matenda otupa.
- Ndikofunikira kupatula mowa ku zakudya zanu. Kafukufuku wambiri awonetsa kuti pali ubale wolunjika pakati pakumwa mowa ndi gout. Anthu omwe amamwa mowa kanayi pa sabata ali ndi 25% yowonjezereka. Kugwiritsa ntchito vinyo kumakhudzanso thupi la munthu.
- Pewani zakumwa zoopsa. Zakumwa zotsekemera za shuga zimatha kukulitsa vuto, komanso ngakhale msuzi wa lalanje uli pachiwopsezo chowonjezereka.
- Ndikofunikira kutsatira mosamalitsa chakudyacho ndikutsatira malangizo onse a akatswiri kuti zitsimikizire kuti metabolism yachilengedwe ndi yachilengedwe.
- Idyani zamkaka zambiri zamafuta ochepa. Amachepetsa kwambiri mwayi wokhala ndi gout. Amadziwika kuti kutenga zinthu izi kumachepetsa chiopsezo cha matenda a shuga.
Zakudya za kabichi kuti muchepetse thupi m'mimba, ndi shuga, komanso gout
Pakadali pano, vuto la kunenepa kwambiri lasanduka padziko lonse lapansi, ndipo World Health Organisation yalikulitsa mpaka pamlingo wamatenda. Kulemera mopitirira muyeso kuopseza thanzi la munthu, ndipo, monga momwe kafukufuku akusonyezera, lero pafupifupi 5% ya anthu padziko lonse lapansi ndi onenepa kapena onenepa kwambiri.
Kudya kabichi ndi chinthu chofunikira polimbana ndi kunenepa kwambiri.Kugwiritsa ntchito kabichi ngati maziko a zakudya zambiri kumafotokozedwa ndi zomwe zili ndi zopatsa mphamvu zopatsa mphamvu komanso zopatsa thanzi. Kuphatikiza apo, kuphatikiza kabichi kumaphatikizapo tantronic acid, yomwe imalepheretsa kusintha kwa mafuta kukhala mafuta.
Malamulo a kaphikidwe ka chakudya cha kabichi pakuchepetsa thupi ndi awa: - tsiku ndi tsiku mulingo wamchere suyenera kupitirira 5 g ,. 6 pa tsiku kapena kuposerapo, - gwiritsani ntchito zinthu zomwe zimapatsidwa chakudya, zophika ndi kuphika.
Zakudya Zamabati
Sauerkraut saladi ndi maapulo. Muzimutsuka ndi kupera 300 gr. sauerkraut. Peel ndi kuwaza magawo 3-4 kukhala magawo woonda. maapulo okoma ndi wowawasa. Dulani anyezi yaying'ono m'mphete zokhala theka ndikutsamira madzi kwa mphindi 5. kuchotsa mkwiyo.
Ikani masamba anayi letesi pansi pa mbale ndikuyika zakudya zomwe zakonzedwa. Onjezani 3 tbsp. supuni ya masamba mafuta ndi kusakaniza. Zabwino!
Sauerkraut dumplings ndi tchizi. Wiritsani 400 gr. sauerkraut ndikudutsitsa kudzera mu chopukusira nyama (choyamba madziwo ayikidwe mu colander). Mu misa iyi, onjezerani 1 tbsp.
spoonful wa semolina, 2 tbsp. tchizi yophika, 2 ma PC. mazira osenda bwino, ophika mazira, uzipereka mchere kuti ulawe ndi kusakaniza bwino. Wiritsani dumplings kwa mphindi 15. mumadzi otentha owotcha (ayikeni m'madzi ndi supuni). Ikani ma dumplings omaliza pa mbale ndikuwaza ndi mkate wa mkate.
Msuzi wa bowa ndi msuzi kabichi.
Dulani pulasitiki yopyapyala mu 150 gr. bowa ndi mwachangu iwo mafuta masamba. Mwachangu 2 ma PC padera. anyezi wosankhidwa bwino. Sakanizani bowa ndi anyezi, kutsanulira ndi madzi otentha a mchere ndikubweretsanso, ndikuwonjezera 300 gr. Kabichi Yogawidwa. Mutatha kuwira, kuphika msuzi wina kwa mphindi zitatu.
Kutumizira msuzi patebulopo, kuyisintha ndi parsley wosenda ndi katsabola.
Zakudya za kabichi zamasiku 10
Chakudya cham'mawa: chikho cha tiyi ndibwino kuposa zobiriwira, khofi yopanda zotsekemera, madzi oyera.
Chakudya chamadzulo: saladi watsopano wa kabichi ndi mafuta. Ng'ombe yophika, kapena nsomba yotsika mafuta - 150 - 200g.
Chakudya chamadzulo: saladi watsopano kabichi, theka la dzira la nkhuku, apulo wapakatikati.
Maola 2 asanagone: Art. kefir wotsika mafuta.
Zakudya Zamabati a shuga
Zakudya zama kabichi zomwe zimalimbikitsidwa anthu omwe ali ndi matenda ashuga. Pophika, tikulimbikitsidwa kuphika ndikuphika kabichi, nthawi zina mwachangu kapena mphodza.
Musanayambe kudya, ndikulimbikitsidwa kukaonana ndi dokotala ndipo ndi amene ayenera kudziwa kuchuluka kwa shuga tsiku lililonse.
Mulimonsemo, chakudya chimayenera kutengedwa m'magawo ang'onoang'ono mpaka 6 pa tsiku.
Zakudya zomwe zimalimbikitsidwa mukamadya chakudya chamagulu a shuga:
1. Kanyumba tchizi casserole ndi kolifulawa Zosakaniza: Kanyumba tchizi - 150 gr., Dzira - 2 ma PC., Cauliflower - 300 gr., Wowawasa zonona - 2 tbsp. spoons, tchizi grated - 2 tbsp. supuni, batala - 20 ml., mchere kulawa. Muzimutsuka kolifulawa ndikuphika m'madzi amchere. Pambuyo pake, chotsani ndikusintha bwino mu inflorescence. Onjezani tchizi chokonzekera, mazira, tchizi chosenda ndi mchere.
Sakanizani zonse, kuyikika mu poto, kutsanulira kirimu wowawasa ndi kuphika kwa mphindi 15 mu uvuni.
2. White kabichi casserole ndi minced nyama Zosakaniza: Mutu wa kabichi, ng'ombe ya pansi - 300 gr., Anyezi - 1 mutu, oatmeal - 50 gr., Dzira - 2 ma PC., Ground mkate - 100 gr. Mafuta ophika masamba - 2 tbsp. spoons, mafuta free wowawasa zonona - 3 tbsp. supuni mchere kulawa.
Wiritsani kabichi pafupifupi mphindi zitatu. m'madzi amchere. Pambuyo pake, gawani masamba ndikudula mitsempha yambiri. Mu nyama yokonzedwa yokazinga, onjezerani oatmeal, anyezi wosenda bwino, pansi oyambitsa ndi mchere.
Ikani magawo angapo a masamba a kabichi ndi nyama yoboola pa mawonekedwe apadera.Wosanjikiza wapamwamba womaliza uyenera kukhala tsamba la kabichi. Thirani zomwe zakonzedwa ndi chisakanizo cha mazira ndi kirimu wowawasa ndi kuwaza mopepuka ndi matebulo.
Kuphika mpaka kuphika mu uvuni.
Zakudya Zam'madzi Zamabotolo
Amakulolani kuti mugwiritse ntchito kabichi pamtundu uliwonse: yaiwisi, yokazinga, yophika, yophika ndi yophika.
Zakudya za kabichi chakudya cha gout
Kabichi saladi ndi phwetekere ndi tsabola. Kugawidwa ndikukumbukira pang'ono 100 gr. kabichi yoyera, kaloti wachabe ndi phwetekere. Tsabola wokoma, wotsekeredwa kwa njere, kudula pakati mphete zina, kuwonjezera adyo wosweka ndi zitsamba zosankhidwa. Sakanizani zonse ndikuwonjezera mandimu.
Dambala. Thirani 70 ml wa mkaka 300 g. kabichi yoyera yoyera ndikuphika mpaka wachifundo. Dutsani kabichi kozizira mwa chopukusira nyama. Potsatira misa, onjezani yolk, yowonongeka ndi shuga, mapuloteni otenthetsedwa, luso lotentha.
supuni ya batala, matebulo, osankhidwa ndi okazinga mu mpendadzuwa mafuta (supuni 1) anyezi. Onjezani mchere kuti mulawe ndikusakaniza. Kuphika misa mu uvuni wowotchera bwino mu poto mafuta ndi masamba.
Suzi kabichi ndi msuzi wa ng'ombe. Mwachangu mu mafuta masamba (supuni) 400 gr. magawo ang'onoang'ono a ng'ombe yopendekera. Ndipo wiritsani nyamayo mpaka kukoma m'mchere wamchere. Chotsani bwino 200 gr. Kabichi ya Savoy, 2 ma PC. anyezi ndi kaloti ndikuwonjezera chilichonse ndi msuzi.
Wiritsani mpaka 10min. Mitundu ya Parsley ndi katsabola imapatsa msuziyo kununkhira komanso mawonekedwe abwino.
Gout ndi mtundu 2 shuga
Mpaka posachedwa, amakhulupirira kuti gout, yomwe imatchedwa "matenda a amfumu", ndizoyambira za anthu olemera komanso achifumu omwe kulikonse amakonda kusewera ndi kumwa komanso kugwiritsa ntchito zakudya zamafuta.
Koma lero, pafupifupi 68% ya anthu akuluakulu ku US ndi onenepa kwambiri kapena onenepa kwambiri. Zotsatira zake, matenda a gout ndi matenda a 2 asandulika matenda awiri omwe amadziwika chifukwa chokhala moyo wopanda thanzi.
Kuchuluka kwa anthu odwala matendawa komanso matenda ashuga ku America kukuphwanya mbiri yonse m'zaka zaposachedwa.
Khalidwe la anthu olemera, omwe amathandizira gout, likuwonetsedwa ndi wojambulajambula wa ku Britain James Gillray
Gout ndi matenda omwe amayamba chifukwa chophatikizira urate ndi uric acid mthupi. Ndi gout, kupweteka mwadzidzidzi komanso kowopsa, kutupa ndi kufiyira khungu kumachitika. Matenda a gouty nthawi zambiri amakhudza chala, koma amatha kupezekanso pamiyendo, maondo, mawondo, manja ndi mikono.
Gout ndi matenda ashuga nthawi zambiri zimagwirizanitsidwa
Type 2 shuga mellitus - matenda omwe amadziwika ndi shuga wambiri, atha kukhala chifukwa chodya kwambiri komanso kukhala pansi.
Micros Meltzer, MD, pulofesa wothandizira pachipatala cha a Thomas Jefferson ku Philadelphia, anati: "Zambiri zomwe zimayambitsa matenda a shuga a 2 ndizofanana ndi matenda am'mimba." "Pochotsa izi zomwe zingachitike, mutha kuthandizira kupewa kapena kuthana bwinobwino ndi matendawa."
"Gout" - waung'ono wa James Gillray, 1799
Nazi zinthu zina zomwe mungachite kuti muchepetse kukula kwa matenda amtundu wa m'mimba ndi matenda a shuga a 2:
- Kuchepetsa thupi. "Tikukumba manda athu mdziko muno ndi foloko zathu," atero a MD John D. Revale, director of department of rheumatology in Houston Medical School. Popewa matenda amtundu, matenda a shuga a 2, komanso mavuto ena ambiri azaumoyo, amalimbikitsa kuti muzisamalira thupi lanu ngati Mass Mass Index (BMI) ndi gawo lanu. Malinga ndi National Institute of Health, kukula kwa chiuno kumakhala kofunikira kwambiri pomwe kuchuluka kwamankhwala amunthu kumasiyana pakati pa 25 ndi 34.9 point. BMI yoposa 25 imawonedwa ngati yonenepa kwambiri, ndipo BMI yoposa 30 imawonedwa ngati kunenepa kwambiri.
- Yambani kuchita masewera olimbitsa thupi pafupipafupi. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kuchepetsa kunenepa komanso kuchepetsa kuthamanga kwa magazi. Izi zimathandizanso kuchepetsa uric acid mwazifukwa zochepetsera mwayi wokhala ndi gout.
- Lekani kumwa mowa. Asayansi aku Massachusetts General Hospital achita kafukufuku wokhudza ubale pakati pa mowa ndi momwe gout imachitikira. Adapeza kuti anthu omwe amamwa mabotolo awiri kapena anayi amowa sabata iliyonse amakhala pangozi yopeza gout. Ndipo iwo omwe amamwa pafupifupi magalasi awiri a mowa patsiku amawonjezera mwayi wokhala nthendayi ndi 200%.
Michere Melzer anati: "Mowa ndi mizimu imakulitsa uric acid." Ponena za vinyo, palibe yankho limodzi ndi kafukufuku. Kumwa ndi chiopsezo cha gout.
"Kuphatikiza apo, odwala omwe adasiya magalasi awiri am'mawa a tsiku ndi tsiku anayamba kuonda msanga, zomwe zinachepetsa mwayi wokhala ndi matenda a shuga a 2. Chifukwa chake, mudzapeza zabwino kawiri mukakana mowa, ”akutero.
- Pewani zakumwa zomwe zimakhala ndi shuga. Kafukufuku akuwonetsa kuti zakumwa zomwe zimakhala ndi shuga wambiri kapena fructose, monga zipatso zam'madzi kapena colas, zimawonjezera chiopsezo cha gout. Ngakhale kumwa pafupipafupi madzi a lalanje kumatha kuwonjezera ngozi ya matendawa. Kukana zakumwa za shuga ndi njira yabwino yochepetsera zopatsa mphamvu mu zakudya zanu, kutaya mapaundi ochepa ndikuwongolera thanzi lanu.
- Yambani kutsatira zakudya za gout. Chakudya chamatumbo chimayang'aniridwa kuthana ndi kuchuluka kwa uric acid pochepetsa kudya kwambiri m'mapine. Zinthu za Purine zimapanga kuchuluka kwa uric acid mthupi. Mankhwala ambiri a purine amapezeka m'chiwindi ndi nyama zina, komanso ma anchovies. Zakudya zina zofunika kuzipewa ndi gout zimaphatikizapo lobster, shrimp, scallops, hering, mackerel, ng'ombe, nkhumba, ndi mwanawankhosa. Osadandaula kuti kupatula kwathunthu kwa zakudya zokoma izi - ziziwodya zochepa, osapitirira gawo limodzi lokha patsiku.
- Idyani zamkaka zambiri. Kafukufuku wina wawonetsa kuti kudya mkaka wamafuta ochepa, komanso zinthu zina zamafuta otsika mafuta, zimathandiza kuchepetsa ngozi ya gout, Meltzer akuti. Palinso umboni kuti kudya mafuta amkaka ochepa kumachepetsa chiopsezo cha matenda ashuga a 2. Cholinga: kudya magalamu 500 mpaka 700 amkaka tsiku lililonse.
Mfundo Zakudya za Gout
Mfundo yayikulu yosankha chakudya cha matendawa ndi kupezeka kwa mankhwala a purine omwe amapezeka mwa iwo, omwe, pakukonzekera thupi, amasinthidwa kukhala uric acid, zomwe zimapangitsa kuti zina mwazomwe zimayambitsa zovuta.
Chakudya cha antipurin cha gout chimakhudzanso kupatulapo zakudya za zakudya zilizonse zomwe zili ndi zinthu zambiri zotere ndikuchepetsa kudya pang'ono komwe zakudya zomwe purine imakhala zochepa.
Ndikothekanso kudziwa mwatsatanetsatane kuti ndi zakudya ziti zomwe zimagwiritsidwa ntchito pa gout pokhapokha pakuwunikira kwathunthu kuti akhazikitse kukhalapo kwa matenda ophatikizika omwe amakhudzanso mwayi wodya zakudya zosiyanasiyana. Mwachitsanzo, zakudya zomwe zimabwera m'matumbo a shuga komanso matenda a shuga zimangobwereza zomwe zimachitika, koma makamaka sizimagwiritsidwa ntchito maswiti.
Mwambiri, chakudya cha matenda a gout chimapereka kukanidwa kwa zakudya zamafuta, maswiti, mowa ndi fodya. Ndikofunika kugwiritsa ntchito zakudya zamadzimadzi monga kugaya chakudya mosavuta komanso kuchititsa kuti wodwalayo achepetse thupi, chifukwa matendawa nthawi zambiri amakhala ovuta chifukwa cha kunenepa kwambiri.Zokonda zimaperekedwa ku zakudya zamasamba.
Ndikofunika kuti mudye kabichi yambiri momwe mungathere. Chifukwa chokhala ndi zotsika zochepa za purine, masamba awa samachulukitsa kudzikundikira kwa chinthuchi mthupi, koma chifukwa chokondoweza kwambiri kuwonda, amathandizira kuchira msanga.
Komanso, gawo lalikulu la chakudyacho liyenera kukhala zinthu zomwe sizimayambitsa mafuta, chifukwa chakufa kwakukulu, katundu pa impso ukuwonjezeka chifukwa cha kuchuluka kwa madzimadzi omwe amapezeka mthupi, ndipo mwayi wothamangitsa mwachangu uric acid m'thupi umachepetsedwa kwambiri.
Osamamwa zakumwa zomwe zimalimbikitsa. Kuphatikiza pa khofi, mndandandawu umaphatikizaponso tiyi wokhazikika.
Kuphatikiza apo, muyenera kumwa madzi ambiri momwe mungathere. Kuchuluka kwake kuyenera kukhala pafupifupi malita awiri patsiku.
Kudya ndikofunikira malinga ndi dongosolo lomvekera bwino, osasiyanitsa nthawi yovomerezedwa. Ndikofunika kuti muchepetse kudya kwa kalori tsiku ndi tsiku muzakudya zinayi. Njira iyi imakuthandizani kuti muzitha kuyamwa ma calorie oyenera, popanda ma deposits awo mwa mafuta.
Gout Zakudya Menyu
Zakudya za mtundu wa gout ziyenera kuphatikizapo zakudya ndi mbale zotsatirazi:
- zamasamba zamasamba
- nyama yokonda ngati nkhuku kapena kalulu,
- nsomba yamafuta owiritsa,
- zamafuta osiyanasiyana amkaka: zakumwa zoziziritsa mkaka, tchizi chokoleti, kirimu wowawasa, mitundu yambiri ya tchizi,
- mkaka kuwonjezera pa mbale,
- mazira
- mbewu zosiyanasiyana ndi pasitala wa tirigu wa durum,
- kabichi, kaloti, mbatata, nkhaka, zukini, biringanya,
- zipatso zouma (kupatula zoumba), wokondedwa,
- mtedza ndi mbewu
- zakumwa - zosiyanasiyana mankhwala azitsamba (mwachitsanzo, rooibos, lapaccio, tiyi kuchokera ku viburnum), msuzi wa rosehip, timadziti tambiri, kvass, compote. Chofunika kwambiri ndi kugwiritsa ntchito mandimu ndi mphesa,
- maapulo obiriwira, mavwende,
- buledi
- mafuta a masamba
Kutengera ndi momwe wodwalayo alili, komanso machitidwe a matendawa, maphikidwe azakudya amtundu wa gout amatha kusiyanasiyana.
Mwachitsanzo, zakudya zomwe zimachulukitsa gout makamaka zimasankha nyama yamtundu uliwonse. Chakudya chimayenera kukhala ndi mafuta amadzimadzi (supu zamasamba, zamphesa, misuzi yosiyanasiyana, zakudya, zipatso). Mosalephera - chakumwa chochulukirapo, makamaka - mchere wamchere wamchere womwe umasintha chimbudzi cha uric acid mthupi.
M'pofunikanso kuwongolera chakudya chokwanira, chifukwa kuperewera kwa zakudya m'thupi kumakhudzanso wodwala. Zakudya zoterezi zimagwiritsidwa ntchito kwa sabata limodzi.
Zakudya za anthu odwala matenda ashuga ndi gout sizimaphatikizaponso mwayi wodya zakudya zokhala ndi shuga (confectionery zingapo) ndi zakumwa (mwachitsanzo, ma compotes okoma). Kugwiritsira ntchito mkaka wopanda mafuta kumalimbikitsidwanso. M'pofunikanso kuchepetsa kuchuluka kwa zinthu zophika mkate.
Zomwe zimapatsa thanzi pankhani ya matendawa m'gawo limodzi lokhalo silikhala ndi zofunikira zina. Ndiye kuti, zakudya zama gout pamiyendo sizosiyana ndi zakudya za gout m'manja.
Pali njira zachakudya zopatsa thanzi. Chimodzi mwazomwe zili ndi kuchuluka kwa zakudya 6 za gout.
Kutengera chakudya, izi ndizovomerezeka:
- mitundu yonse ya buledi
- msuzi wamasamba ndi mafuta amchere,
- Mitundu yamafuta ochepa ndi nyama ndi nsomba, kugwiritsa ntchito komwe kumaloledwa mpaka kawiri pa sabata.
- masamba ndi zipatso zosiyanasiyana
- phala ndi phala,
- mazira a nkhuku (1 pc patsiku),
- mkaka, ndi mkaka, tchizi tchizi ndi mbale kuchokera kwa iwo,
- mankhwala a zitsamba (mwachitsanzo, decoction wa rosehip), madzi amchere amchere,
- masamba ndi batala.
Zakudya zoletsedwa ndizophatikiza:
- tchizi chokometsera
- nyama yotseka,
- ng'ombe
- nyama yamafuta, nsomba ndi msuzi wa bowa,
- masoseji,
- nsomba zamzitini ndi nyama,
- ankasuta nyama
- nyemba, nkhuyu, rasipiberi, lingonberry, sipinachi, sorelo, letesi, rhubarb, horseradish, mpiru, tsabola wakuda,
- khofi, koko, tiyi wamphamvu.
Zomwe simungadye ndi gout
Zakudya za arthrosis ndi gout makamaka zimapatula makamaka zakudya zomwe zimakhala ndi purine yambiri, monga:
- nyama yamafuta a nyama
- nyama yotseka (mtima, chiwindi, impso)
- nyama zolemera ndi msuzi wa nsomba
- msuzi wokhazikika ndi nyama yotsirizidwa
- wosuta nyama yamitundu yonse
- nyama ndi zam'chitini
- nsomba yamafuta
- mchere wowuma tchizi
- zonunkhira zosiyanasiyana (ketchup, mpiru, tsabola ndi zina)
- nyemba (nyemba, nandolo, soya ndi zina)
- mphesa zamitundu yonse (zipatso zatsopano, mphesa zamphesa, msuzi, vinyo)
- confectionery wokoma
- mitundu yosiyanasiyana yamakumwa a kaboni
- zakumwa zoledzeretsa
- zakumwa zomwe zimalimbikitsa dongosolo lamanjenje (tiyi, khofi)
Pamaso pa matenda, ndikofunikira kuchepetsa kwambiri kugwiritsa ntchito zotsatirazi:
- mchere
- masoseji
- bowa
- batala
- mkaka wabwino (umaloledwa kugwiritsidwa ntchito ngati mbale ina)
- tomato
- amadyera (parsley, anyezi, katsabola)
- zamasamba zamzitini ndi ma pickles
- mafuta
Monga tanena kale, zakudya za gout ndi gawo limodzi lofunika kwambiri pa mankhwalawa, kotero kukonzekera kwake moyenera komanso kutsatira ndendende malangizo awa kumatsimikizira kuyenera konse kwamankhwala. Sizovuta kutsatira zakudya zinazake kwa nthawi yayitali, koma sikuti kuthamanga komwe kumatengera, komanso kuthekera kochira matendawa.