Mukati
- Zvikonzero zvegout
- Rondedzero yepamusoro gumi isingadhuri uye inoshanda mishonga yegout
- Nzira yekusarudza mishonga ye gout
- Ongororo yevanachiremba nezvemishonga yegout
- Mibvunzo nemhinduro dzakakurumbira
- Gout: kurapwa nemishonga yevanhu
Gout chirwere che systemic. Chikonzero chechirwere ndechekusagadzikana kwemetabolism umo kuwanda kweuric acid muropa kunowedzera, izvo zvinotungamira mukuiswa kweuric acid makristasi (urates) mumajoini uye zvinyoro zvinyoro.1.
Panguva imwecheteyo, kuwedzera kwehuwandu hweuric acid muropa haisi nguva dzose inoratidza gout. Hyperuricemia inoperekedzawo huwandu hwezvirwere, senge chirwere cheitsvo, mapundu, kana zvirwere zveropa. Ichi chiitiko chinogona kucherechedzwa mushure mekunyanyisa kusimba kwemuviri kana nekushungurudzwa kwemafuta ekudya. 10% chete ye hyperuricemia inoti inofambira mberi kusvika kune gout.
Chiratidzo chakanyanya hunhu hwegout ndiko kuunganidzwa kweurates mumatishu uye nhengo uye kuitika kwekurwiswa kwakanyanya kwemarwadzo munzvimbo dzekuunganidza kwavo.
Chii chinogona kukonzera gout? Sezvo nechirwere chipi nechipi mukukura kwegout, pane zvinhu zvinokanganisa:
- insulin kuramba;
- neBP;
- kudya zvakawanda zvenyama tsvuku uye offal;
- kudhakwa nedoro, kunyanya doro;
- kukanganisa kubuda kweuric acid muchirwere chetsvo;
- mamwe marudzi ekurapa kwechirwere chetachiona uye kurapwa kwechirwere chetachiona;
- autoimmune hosha;
- nhaka nhaka.
Gout inowanzobata majoini, iyo inosarudza mufananidzo wekliniki. Sezvo mutemo, marwadzo akasimba zvikuru, anorwadza uye asingagumi. Zviratidzo zvikuru zvegout ndezvi:
- kurwiswa kweArthritis yakaoma;
- kuumbwa kwe tophi - gouty nodes munzvimbo dzekuunganidza kukuru kweurates;
- kukuvara kweitsvo.
Majoini echigunwe chikuru anowanzobatwa. Zvishoma zvinonyanya kubatanidzwa majoini makuru: chiziso, ibvi, gokora, wrist, majoini emaoko.
Kurwiswa kwemarwadzo kunowanzotanga usiku kana mangwanani. Kutsvuka uye kuzvimba kwejoini kunoonekwa, kurwadziwa kunoitika, kunowedzera kusvika pakakwirira mushure memaawa 12-24. Nguva zhinji, mubatanidzwa unobva wapisa kusvika pakubata uye zvinorwadza zvinobata pakubata kwakareruka.
Kazhinji gout iyi inobata varume mushure memakore makumi mana. Vanorwara ka40 kakawanda kupfuura vakadzi2. Chirwere mumadzimai chinonyanya kubatanidzwa nekuchinja kwemetabolism panguva yekuguma uye kunokonzerwa nekuderera kweesrogen mazinga. Ichokwadi ndechokuti estrogens inobata zvakananga kugadzirwa kweuric acid, kuderedza kuwanda kwayo muropa.
Mukuwedzera, kudya kwevarume nevakadzi kwakasiyanawo. Mukudya kwevarume kune nhamba huru yezvinhu zvinotsamwisa: nyama tsvuku uye offal, doro rakasimba uye doro. Kunyanya kuita muviri, kushushikana mamiriro ezvinhu kunotungamirirawo kuhuwandu hwehuwandu hweuric acid.
Nzira yegout muvarume nevakadzi inosiyanawo.2. Zvinokonzera gout muvarume:
- kutanga kwechirwere kunoitika pazera remakore 30-40;
- zvigunwe zvikuru uye majoini etsoka ndizvo zvinowanzobatwa.
Zvinokonzera gout muvakadzi:
- kutanga kwechirwere mukukwegura uye postmenopausal mamiriro;
- majoini emaoko anowanzobatwa;
- kazhinji tophi (gouty nodes) inoumbwa.
Zvikonzero zvegout
Chirwere chinoitika apo protein metabolism inovhiringidzika mumuviri. Kare, gout yainzi "chirwere cheumambo", sezvo vanhu vakapfuma chete ndivo vaikwanisa kuwana waini yakawanda yechisikigo, nyama - zvigadzirwa zvinobatsira pakukura kwegout. Nhasi, chikafu ichi chinowanikwa kune zvikamu zvakasiyana-siyana zvevanhu. Vanhu vakwegura vanowanzobatwa, asi kune zviitiko zvechirwere kunyange mumakore makumi matatu.
Boka renjodzi rinosanganisira: vanonwa doro, vanodya nyama, vanhu vakafuta.
Gout inowanzoitika muvanhu vanotora diuretics.
Gout inoitika kana paine kusashanda zvakanaka kweitsvo kana chirwere cheitsvo.
Chokwadi maitiro ese ari mumuviri wako anodzorwa nehuropi. Masero europi hwako anogamuchira mashoko kubva kunhengo dzose nehurongwa, anoongorora mashoko aya, obudisa maitirwo anodiwa, uye otumira mirairo yakakodzera kuburikidza nemasero etsinga kunhengo dzakasiyana-siyana dzomuviri wako.
Rondedzero yepamusoro gumi isingadhuri uye inoshanda mishonga yegout
Gout kurapwa kunosanganisira zvose zvemishonga uye kwete-pharmacological therapies.2. Kurapa kusina zvinodhaka kunosanganisira: kuderedza kuwanda kwenyama nehove muzvokudya, kurega doro, doro uye kusvuta, kuora muviri mukufutisa, kudzidza nzira yakarurama yehupenyu.
Kurapa kwezvinodhaka kunosanganisira kubviswa kwekurwiswa kwakanyanya kwegout uye antihyperuricemic therapy, iyo inokutendera kuti udzikise huwandu hweuric acid mumuviri, kudzivirira kuumbwa kweurates uye kunyungudutsa iyo yakatoumbwa.
Munguva yakaoma, non-steroidal anti-inflammatory drugs (NSAIDs) pamwe chete neColchicine inobatsira kubvisa marwadzo. Zvadaro, anti-gout mishonga inorayirwa.
Pamwe chete nenyanzvi yedu - general chiremba Mikhail Lystsov takanyora chiyero chemishonga isingadhuri uye inoshanda yegout.
Non-steroidal anti-inflammatory drugs (NSAIDs)
1. Ketonal
Chinhu chinoshanda cheKetonal iKetoprofen, ine analgesic, anti-inflammatory uye antipyretic madhara. Izvo zvakanyanya zvemushonga muropa zvinoonekwa mukati memaminitsi 15-30 mushure mekutonga. Inosunga mapuroteni eropa ne99% uye inopinda zvakanaka mumvura yakabatana, saka inoshandiswa zvakasimba mukurapa gout.
Contraindications: peptic ulcer yemudumbu uye duodenum, hemophilia uye kubuda ropa kusagadzikana, zvakanyanya renal uye hepatic kutadza, kutadza kwemoyo padanho rekuora, mamiriro mushure mecoronary artery bypass grafting, kubuda ropa kana kufungidzira kwavo, dyspepsia, nhumbu uye lactation, vana vari pasi pe12 makore ezera, hypersensitivity kune ketoprofen uye acetylsalicylic acid.
Tora mushonga 1-2 capsules 2-3 kanomwe pazuva nemvura yakawanda kana mukaka.
2. Nimesulide
Pamwoyo weNimesulide ndiyo inoshandiswa yezita rimwe chete. Mushonga unodzivirira kuumbwa kwe prostaglandins - provocateurs yekuzvimba. Nimesulide inoshanda zvakananga munzvimbo yekuzvimba, ine analgesic, antipyretic mhedzisiro. Iyo yakanyanya mhedzisiro inowanikwa 2-3 maawa mushure mekutora piritsi.
Mukuwedzera pakurwiswa kwegout, Nimesulide inoshanda mune rheumatic uye psoriatic arthritis, spondylitis, osteoarthritis uye osteochondrosis, myalgia yemhando dzakasiyana-siyana, sprains, tendons uye mamwe marwadzo. Tora mushonga 1 piritsi kaviri pazuva mushure mekudya.
Contraindications: zvakafanana nemamwe asingashandisi-steroidal anti-inflammatory drugs, asi makore evana anogumira kumakore gumi nemaviri. Zvakare, Nimesulide haifanirwe kutorwa nedzimwe NSAIDs.
3. Meloxicam-Akrihin
Chinhu chikuru chinoshanda ndeye Meloxicam, iyo zvakare iri yeboka rezvisiri-steroidal anti-inflammatory drugs. Meloxicam inoshandiswa mukurapa osteoarthritis, arthrosis, degenerative joint disease, rheumatoid arthritis, spondylitis, zvirwere zvetsandanyama, sciatica uye mamwe marwadzo. Inoshandiswa kushingaira mukurapa gout, kunyange zvazvo mugadziri asingacherechedzi izvi. Meloxicam inofanira kutorwa piritsi 1 kamwe pazuva.
Contraindications uye mhedzisiro yacho yakafanana neyeimwe NSAIDs.
4. Celecoxib
Mushonga unotumidzwa zita rechinhu chikuru chinoshanda. Chinhu chayo chakanaka chiri mukuti Celecoxib inonyanya kushanda kune vakwegura varwere (kunyanya kuvakadzi), haideredzi kushanda kwetsvo uye haina kutsamwisa mucosa yemudumbu. Celecoxib inonyatsogadzirisa marwadzo emajoini, saka inowanzonyorerwa mukurapa gout. Iwe unofanirwa kutora mushonga 1 capsule kamwe pazuva kana muzvikamu zviviri zvakakamurwa.
Contraindications: hemorrhagic sitiroko, subarachnoid kubuda ropa, makore kusvika kumakore gumi nemasere.
Antigout agents
5. Colchicine
Colchicine ndiyo yekutanga mutsara mushonga wekurwisa gouty. Mushonga unoderedza mwero wemasero machena eropa munzvimbo yekuzvimba uye unoderedza kutorwa kweuric acid munyu. Colchicine inoshanda zvakanyanya mukurwisa kwakanyanya kwegout: yatova mumaawa gumi nemaviri ekutanga mamiriro anovandudza zvakanyanya. Nekushandiswa kwemazuva ese kweColchicine, mukana wekurwiswa kwechipiri unoderedzwa ne12%3.
Nzira yekushandiswa: tora mushonga wekurwisa kwakanyanya kwegout, piritsi 1 maawa 1-2 kusvika marwadzo aderera (pasina mahwendefa masere pazuva). Kuti udzivise kurwisa kunowanzoitika, Colchicine inotorwa hafu yepiritsi kamwe chete pazuva kwenguva yose yekurapa.
Contraindications: hypersensitivity kune zvikamu, acute cardiac, hepatic uye renal kukundikana, pamuviri uye lactation, makore kusvika kumakore gumi nemasere. Mhedzisiro huru yekurapwa kusvotwa, kurutsa, uye kurwadziwa nemudumbu.
6. Colchicum-dispert
Colchicum gadziriro yemakwenzi inogadzirwa kubva kumatsutso colchicum mbeu. Zvinoreva kunoshanda anti-gout agents. Panyaya yezve pharmacological chiito uye contraindications, chirimwa analogue yeColchicine, asi haina zvirambidzo zvezera, uye seti yemhedzisiro ishoma.3.
Nzira yekushandiswa: kana kurwisa kwakanyanya, tora mahwendefa maviri panguva imwe chete, ipapo piritsi imwe yega yega 2-1 maawa kusvikira marwadzo apera.
Contraindications: hypersensitivity kune zvikamu zvezvinodhaka, pamuviri uye lactation, hepatic uye renal kukundikana, kudzvinyirirwa kwehematopoiesis.
7. Allopurinol
Allopurinol inhengo yeRussia-yakagadzirwa anti-gout agent. Chinhu chinoshanda chezita rimwe chete muhutano chinodzivisa enzyme inobatanidzwa mukugadzirwa kweuric acid. Mushonga uyu unoderedza zviri muuric acid muropa uye weti uye, semhedzisiro, inoderedza kuunganidzwa kwayo munhengo uye tishu.3.
Allopurinol inoshanda mukurapa kwenguva refu kwegout isingaperi, asi haigone kushandiswa muchikamu chayo chakaoma, sezvo inowedzera marwadzo uye kuoma kwekurwisa.
Maitiro ekushandisa: mushonga unotorwa piritsi 1 kamwe pazuva. Chiyero chinogona kuwedzerwa zvishoma nezvishoma kusvikira mhedzisiro inodiwa yawanikwa.
Contraindications: renal uye hepatic insufficiency, pamuviri uye kuyamwisa, vana vari pasi pemakore matatu.
8. Febuxostat
Febuxostat mushonga unorwisa gout wakagadzirwa muRussia. Chinhu chikuru chinoshandiswa - febuxostat - inhibits ma enzymes anobatanidzwa mukugadzirwa kweuric acid, nokudaro kuderedza zvinyorwa zvayo muropa. Febuxostat inowanzo kurongerwa kusashivirira kune yekutanga-mutsara mishonga. Mushonga unogona kutorwa pasinei nekudya, unobatsira zvakanaka pazera ripi zvaro. Zvisinei, kurapwa kwenguva refu neFebuxostat kunogona kutungamirira kune dyspeptic disorders, kuputika kweganda uye edema. Dzimwe nguva pane kuderera kuduku mukushanda kwechiropa uye kudzokorora kwegouty attack.
Maitiro ekushandisa: 1 piritsi kamwe pazuva, zvisinei nekudya.
Contraindications: hypersensitivity kune zvikamu zvezvinodhaka, zvakanyanya renal uye hepatic insufficiency, pamuviri uye lactation, makore kusvika kumakore gumi nemasere.
9. Gout
Mumwe mushonga une febuxostat mujinga. Goutagrel inorayirwa kurapwa kwechisingaperi hyperuricemia, gouty arthritis uye tophi. Mushonga unogona kutorwa chete mushure mekubviswa kwechirwere chegout - 1 piritsi pazuva.
Contraindications: hypersensitivity kune febuxostat, makore ari pasi pemakore gumi nemasere, pamuviri uye lactation, kusashivirira kwegalactose uye kushomeka kwelactase. Dzimwe nguva, mushonga wacho unokonzera migumisiro yakaipa nenzira yemusoro, manyoka, kushungurudza, kuputika kweganda.
10. Urisan
Mune yedu runyorwa, Urisan ndiyo yega chikafu chekuwedzera, nepo ichitora nzvimbo yayo yakakodzera mukurapa kwegout. Urisan igadziriro yemishonga ine flavonoids uye curcumin. Inobatsira kuderedza marwadzo, inoderedza kuzvimba uye kuzvimba kwemajoini, inobvisa munyu uye inogadzirisa chiyero cheuric acid. Urisan inofanira kutorwa 2 capsules kaviri pazuva nekudya.
Contraindications: pamuviri uye lactation, kusashivirira kwega kune zvikamu zvemushonga.
Nzira yekusarudza mishonga ye gout
Kusarudzwa kwechirwere chinoshanda chegout zvakananga kunobva padanho rechirwere uye kunoda kubvunzurudzwa kwechiremba. Mamwe madhiragi haaenderani ne diuretics, mamwe anopesana mukurwisa kwakanyanya kwechirwere. Kuzvitonga kwemushonga kunogona kukonzera kurwadziwa kwakanyanya uye kuipa kwemamiriro acho. Usazvirapa, isa sarudzo yemushonga kuna chiremba.
Ongororo yevanachiremba nezvemishonga yegout
Kwete kare kare, chinangwa chikuru chegout chaiva kudya, asi kurapwa kwechirwere kunofanira kunge kwakaoma uye kwakabatanidzwa. Mukurwisa kwakanyanya, colchicine uye kwete-steroidal anti-inflammatory drugs inorayirwa, uye mushure mokunge kurwiswa kwasununguka, maanti-gout anogara kwenguva refu anofanira kutorwa.
Gout kurapwa kazhinji kwenguva refu uye inosanganiswa nekudya kwakasimba. Panguva ino, diuretics inodzimwa kana kutsiviwa nemamwe madhiragi. Parizvino, gout inowanzobatanidzwa nehutachiona hweitsvo uye yemwoyo hurongwa, kufutisa. Inodawo nzira yakabatanidzwa yekurapa gout.
Mibvunzo nemhinduro dzakakurumbira
Mibvunzo inonyanyozivikanwa pamusoro pekurapa gout inopindurwa nachiremba mukuru Mikhail Lystsov.
Nzira yekukurumidza kubvisa kurwadziwa kwegout?
Ndezvipi zvokudya zvakanaka pakubvisa uric acid?
Ndeupi chiremba wandinofanira kubata gout?
Gout: kurapwa nemishonga yevanhu
Kushandiswa kwechinyakare nzira dzekurapa gout pamwe chete nemishonga kunoderedza marwadzo, nguva uye kuwanda kwekurwiswa.
Kuparara kwezvinomera zvakawanda zvemishonga pakugadzirwa kwemaminerari mumajoini kwakabatana nekufurira kwezvinhu zvine biologically zvinoshanda (akakosha oiri, organic acids, microelements) mupH yeweti, iyo inoshandura dhigirii yekuzara kwayo necrystalloids.
Nekuwedzera kwepH yeweti kubva pa6.5 kusvika ku7, sediment yemamwe marudzi ephosphates inopetwa kaviri, uye neinopinza acidic reaction yeweti, inonyungudika.
Kurudzira kubuda kweurinary munyu mishonga yemakwenzi yakapfuma muorganic acids:
apuro,
ndimu,
dombo rewaini,
dombo shora
salicylic ..., iyo inokanganisa basa re endocrine glands, mamwe mabasa ecerebral cortex, acid-base rivnostan mumuviri, maitiro eweti.
Iyo metabolism mumasero inovandudza nekuda kweiyo normalization ye capillary kubuda kweropa. Maitiro ekubvisa chepfu uye chepfu kubva kumasero uye nhengo dzichawedzera, kusadzivirirwa kunosimbisa.
Mishonga yemiti maererano nekuita kwavo inogona kugoverwa mumapoka:
Munyu-soluble uye diuretic;
Kuvandudza metabolism;
Kukurudzira peristalsis yemhasuru dzakatsetseka dzeurinary turakiti
antispasmodic;
anti-kuzvimba;
Madisinfectants.
Iko kuunganidzwa kunosanganisira mishonga yemishonga, iyo 🍃:
bhiza bhiza
common goldenrod
hanzi cinquefoil
dandelion mudzi
Bhegi remufudzi
nikolaychiki flat
mishonga marigolds
Rowan zvakajairika michero
violet inonhuhwirira
lingonberry
Herbal remedy ye gout
Muchidimbu nezve zvikamu zvekuunganidzwa kwemiti yemishonga 🍃:
Horsetail inoshandiswa se diuretic, anti-inflammatory uye hypotensive agent. Yakave yakaongororwa kuti munda horsetail inokurudzira kubviswa kwemutobvu kubva mumuviri.
Potentilla goose - nekuita ndeye diuretic painkiller uye hemostatic. Nekuda kweiyo anti-spasmodic maitiro, iyo peristalsis yemhasuru dzakatsetseka dzeurinary turakiti inokurudzirwa. Sechikamu chekuunganidza, goose cinquefoil inoita basa rinokosha.
Mufudzi chikwama - inoshandiswa semugadziri wemetabolism mumuviri, diuretic mukugadzirisa maitiro.
Marigolds ndeye yakanaka diuretic uye diaphoretic factor, kunyanya kana paine metabolic kusagadzikana, urolithiasis. Inoshanda sechoochisny mushonga wemunyu diathesis.
Inonhuhwirira violet - ine antimicrobial, anti-inflammatory properties, zvimwe zvinoderedza BP.
Goldenrod ordinary - ine inonzi anti-inflammatory effect mumamiriro ezvinhu apo microbial flora inopesana nemishonga inorwisa mabhakitiriya. Goldenrod inoshanda muurolithiasis yakaoma nepyelonephritis. Chiito chacho chinonzi diuretic choleretic, solegin, antiseptic.
Dandelion mudzi inowedzera zhivchotvorennya, inoratidza diuretic, antispasmodic uye laxative properties, inoshanda mukudzivirira kweatherosclerosis.
Nikolaichiki flat kuratidza antispasmodic uye diuretic mhedzisiro, ine kudzikamisa mhedzisiro pane yepakati tsinga system.
Rowan akajairika (majikiji) zvinobatsira pachirwere cheitsvo, munyu diathesis, renal colitis, manyoka, kushomeka kwevhitamini A uye C, chiropa uye gallbladder chirwere. Rowan yakajairika inoratidzirwa semunyu-inonyungudika, diuretic uye multivitamin raw material.
Kazhinji lingonberry - mishonga yemiti yemiti yakafanana neyemashizha ebearberry, iyo inogona kushanda sechinzvimbo chakaenzana. Chinhu chakasiyana ndechekuti mashizha nemabriji ecranberries anoderedza huwandu hweuric acid. Chiito chekuvandudza metabolism uye munyu-soluble, diuretic, antiseptic, astringent.
Mishonga yekunze yegout
Normalization yezvokudya - kudya kwegout
Mukuwedzera pakurapa zvinodhaka, kudya kwakakodzera kunokosha zvikuru - kudya kwegout. Kana murwere akaomerera pakudya, ipapo kurwiswa kwechirwere hakugoni kuitika kwemakore.
Kashoma kuti chero munhu apedze "chirwere cheumambo". Asi zvimwe zvinorambidzwa zvekudya zvinogona kuderedza zvakanyanya kurwiswa kwekuwedzera kwegout. Muvanhu, kudya kwegout kunouya pakudya zvishoma zvigadzirwa zvenyama, zvokudya zvine mafuta uye zvine munyu, uyewo kuramba kunwa kofi, shuga uye zvinwiwa zvinodhaka.
Zvinokurudzirwa kudzikamisa munyu mukudya, sezvo ichichengeta mvura mumatishu uye inodzivirira uric acid makomisheni kubva pakushambidzwa kunze kuburikidza neitsvo.
Zvikafu zvine Purine-zvakapfuma izvo zvinofanirwa kurambidzwa zvinosanganisira:
Legumes – pizi, bhinzi, nyemba, bhinzi.
Hove - sprats, sardines, sprat, cod, zander, pike.
Offal - itsvo, chiropa, mapapu, uropi.
Howa - chena, champignons.
Mimwe miriwo (sorrel, sipinashi, maonde, rhubarb, radishes, asparagus, cauliflower).
Nyama (yenguruve, veal, gwayana, hanzi).
Soseji (kunyanya liverwurst).
Nyama nehove broths, mbiriso, oatmeal, mupunga wakapushwa.
Nyama inonyanya kudyiwa yakabikwa, sezvo inenge 50% yepurines inopinda mumafuta.
Inoratidzwa kuderedza zvigadzirwa zvinofadza hurongwa hwemagetsi: kofi, tii yakasimba, cocoa, zvinonhuwira, zvinonhuwira, nezvimwewo. Kunwa doro kunogona kukonzera gout kurwisa nokuti doro rinokanganisa kubuda kweuric acid neitsvo.
Ndinofanira kutaura kuti haasi munhu wose anokwanisa kusiya pakarepo kudya kwakajairika. Asi apo pakurwisa kwokutanga pane marwadzo, sokunge kuti vari kuchekwa vari vapenyu, vazhinji vachiri kuedza kuchinjira kuzvokudya zvine mwero.
Zvishandiso zvinobatsira zvegout ndeyemukaka uye zvigadzirwa zvemukaka (zvine calcium kusimbisa mapfupa), zviyo, miriwo (mbatatisi, zucchini, magaka nemadomasi, dzungu), michero, marudzi ese enzungu (kunze kwenzungu), nyama yakabikwa nehove yakabikwa.
Nutrition ye gout:
KUSINDWA KUBVA KUDYA:
SOUPS:
Nyama uye mushroom broths, soups ne sorrel, sipinashi, legumes
NYAMA:
Hwayana, huku, gwayana, nguruve, itsvo, chiropa, mapapu, uropi, masoseji, nyama inoputa, chikafu chemumagaba
HOVE:
Mafuta, munyu, anosvuta, akaiswa mumagaba
DAIRY PRODUCTS:
Spicy uye munyu cheese, feta cheese
Zviyo uye pasta:
legumes
MRIWO:
Lettuce, rhubarb, sorrel, sipinashi, cauliflower
Zvibereko, michero, ZVINOVIVITSA:
Maonde, raspberries, chokoreti
Zvinwiwa:
Kocoa, tii yakasimba uye kofi, mbiriso uye zvinwiwa zvinodhaka
Cold SPICES:
Sauces pamusoro penyama nehove muto, mushroom muto, pepper, mustard, horseradish
Zvikafu zvishoma:
Zvokudya zvinonhuhwirira uye zvine munyu, nyama inoputa, chikafu chemumagaba, masoseji
Mafuta:
Gwayana, nyama yemombe, nguruve, mafuta ekubikisa
ZVINOTENDERWA MUZVINHU ZVINODZIDZWA
Zvigadzirwa zvechingwa nehupfu:
Zvigadzirwa zvepastry zvishoma
MAI:
Zai rimwe pazuva rekugadzirira chero kupi
NYAMA:
Nyama yemombe, tsuro, huku, turkey - yakabikwa 1-2 nguva pavhiki
HOVE:
Mhando dzakaderera-mafuta ehove mufomu yakabikwa 1-2 nguva pavhiki
Zviyo uye pasta:
pasta
Zvibereko, michero, ZVINOVIVITSA:
plum
Zvinwiwa:
muto wedomasi
INORUDZIRWA KUDYA:
Zvigadzirwa zvechingwa nehupfu:
Gorosi uye rye chingwa.
SOUPS:
Vegetarian soups pamwe nekuwedzera kwemiriwo yakasiyana-siyana uye zviyo, borscht, okroshka, beetroot, mukaka soups.
GUNGWA:
Shrimp, squid
DAIRY PRODUCTS:
Mukaka, kefir, mukaka wakakora, cottage cheese, kwete-spicy cheese
Zviyo uye pasta:
Zviyo zvakasiyana-siyana zvekugadzirira chero kupi zvako
MRIWO:
Mbatata, beet, karoti, zucchini, manhanga, matomatisi, mhiripiri, eggplants, white cabbage, magaka.
Zvibereko, michero, ZVINOVIVITSA:
Chero michero, michero mitsva uye mushure mekupisa kurapwa, michero yakaomeswa, uchi, jam
Zvinwiwa:
Tei isina simba uye kofi nemukaka, michero nemichero yemiriwo, rosehip infusion
Cold SPICES:
Sauces pamuriwo muto, tomato, sour cream mukaka, vanillin, sinamoni
Zvikafu zvishoma:
Vegetable salads, soft cheese
Mafuta:
Butter nemafuta emiriwo
Chii chinoitika kana ikasarapwa?
Muzviitiko zvakawanda, kukura kwegout kunotungamirira kumatambudziko akaoma anokonzera ngozi chaiyo kuhutano hwako, uye kazhinji hupenyu.
Aya matambudziko anosanganisira:
gouty arthritis
urolithiasis chirwere
fivha (kupisa kunogona kukwira kusvika +40)
Kana iwe ukasatora matanho ekukurumidzira kana kushandisa kurapa kusingabatsiri, ipapo maitiro ane simba epathological anotanga mumuviri wako, izvo zvinozotungamira kune isingachinjiki shanduko mukushanda kwe musculoskeletal system uye nhengo dzemukati.
Kurwadziwa nguva dzose, kuwedzera kune kusagadzikana kwese, kuchaita kuti kuve nekugadziriswa kwepsychosomatic uye vegetative-vascular disorders. Mukuwedzera, mukushayikwa kwehutano hwakakodzera, kukanganisa kwemajoini kunogona kusagadziriswa.
Kana iwe wakagamuchira ruzivo runobatsira, saka tinofara!
Iva noutano!
Sources:
- Gout. Nhungamiro yevarapi vese (vanachiremba vemhuri). Ministry of Health yeRussian Federation. 2015. https://endouroclinic.ru/media/file-galleries/qpbowb/Podagra%20Rukovodstvo%202015.PDF
- Mirayiridzo yekiriniki. Kuongororwa uye kurapwa kwegout mune zvekurapa maitiro, 2013. https://rykovodstvo.ru/exspl/56548/index.html
- Register yemishonga yeRussia. https://www.rlsnet.ru/drugs/monural-2053
molt complert.
una bona ajuda per els afectats.
coherent.