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 mankhwala azakudya ndi kusankha kwa zinthu zomwe zimakhala ndi glycemic index ya GI, kuti mulingo wa shuga m'magazi ndi chakudya, usakhale ndi purine yambiri. 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 kumathandizanso kukulitsa insulin. Zakudya za gout ndi matenda a shuga zidzafotokozedwera pansipa, ndipo zidzafotokozedwa mwatsatanetsatane zakudya zomwe zimayenera kusankhidwa komanso zomwe ndizofunika kupatula pachakudya.
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 kwamatenda:
- kupweteka pachimake pamunsi m'munsi;
- kutupa kwa malo owawa ndi kufiira;
- 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. Dongosolo lazakudya izi liziganizira matenda awiri nthawi imodzi, osachitira limodzi ndi kukulitsa linzake.
Malamulo oyambira amagetsi:
- Zakudya zatsiku ndi tsiku zimaphatikizapo mafuta a mkaka otsika;
- amathetseratu mowa, zakumwa zoziziritsa kukhosi ndi kaboni;
- 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, kwa mphindi zosachepera 35.
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Zomwe zimapanga
Kuphatikiza apo kuti zakudya za gout ndi mtundu 1 komanso matenda a shuga a 2 ndizolinga zochepetsera shuga wamagazi ndi uric acid, ndizotheka kuthamangitsa njira ya uric acid excretion pogwiritsa ntchito zinthu zina.
Gululi la malonda 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:
- biringanya;
- squash;
- Blueberries
- phulusa la kumapiri;
- Cranberries
- kusakhazikika;
- Apurikoti
- pichesi;
- maula.
Katundu wofunika ngati omega-3 amachepetsa magazi cholesterol ndi uric acid. Muyenera kudya nsomba zamitundu yamafuta, mwachitsanzo, nsomba zamasamba kapena mackerel.
Omega-3 imapezekanso mu 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 zimaperekanso mphamvu pa ntchito ya impso, ndipo sizitha kuchotsa uric acid mthupi.
Zakumwa zoziziritsa kukhosi za kaboni ndi mandimu a zipatso nawonso aletsedwa. Lamuloli limagwira ntchito makamaka pamatenda omwe amayamba ndi matendawa. 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 offal - mapapo, chiwindi ndi impso;
- nyemba - mphodza, nyemba ndi nyemba;
- nyama ndi msuzi wa nsomba;
- mackerel;
- anchovy.
Zinthu zonse zamagulu azakudya ziyenera kusankhidwa malinga ndi glycemic index (GI) yawo, yomwe imapangitsa 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 glucose.
Kuphatikiza apo, wina sayenera 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 Wogawa Zinthu:
- 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 sizimaloledwa kuphatikiza zakudya zomwe zili ndi mtengo wapakati pachakudya.
High GI pansi pa choletsedwa kwambiri, chifukwa amatha mu nthawi yochepa kwambiri kuchuluka kwa shuga m'magazi.
Zakudya zopatsa thanzi
Maziko a zakudya za tsiku ndi tsiku ndi masamba atsopano, owiritsa komanso owotcha. Ali ndi michere yambiri, mavitamini ndi kufufuza zinthu. 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 wodwala wophika mu poto. 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 akapatsidwe:
- biringanya;
- squash;
- adyo
- anyezi;
- Phwetekere
- kabichi yamtundu uliwonse - Brussels, Beijing, broccoli, kolifulawa, ofiira ndi oyera;
- tsabola wa belu;
- mitundu iliyonse ya bowa;
- tsabola wowoneka bwino ndi wofiyira.
Mutha kuwonjezera amadyera m'mbale, zonse zimakhala ndi index yotsika. Mwachitsanzo:
- parsley;
- katsabola;
- oregano;
- basil;
- thyme.
Zamasamba zimakhalanso chakudya chodabwitsa kwambiri, mukapanga saladi kuchokera kwa iwo. Chimodzi mwazosankha za saladi wa masamba zimaperekedwa pansipa.
Zotsatira zotsatirazi zidzafunika:
- dzira limodzi lophika;
- karoti imodzi yaying'ono yatsopano;
- theka la babu;
- 150 magalamu a kabichi ya Beijing;
- mandimu
- yogati yopanda utoto;
- 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, muyezo umodzi. 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 zakudya za tchuthi kwa 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 shuga.
