So ɛtɔ mmere bi a wosɔre anɔpa na wote nka sɛ wo nansoaa kɛse no nkwaa rehyew? Anaasɛ mpofirim ara wote nka sɛ nkwaa bi te sɛ wo kotodwe anaa wo nan ase ahonhon, ayɛ kɔkɔɔ, na wote yaw araa ma wuntumi nka ho mpo? Eyinom betumi ayɛ gout ho sɛnkyerɛnne, a nnipa pii nya. Nnipa pii hu amane wɔ ɛyaw a wontumi nnyina ano yi ho. Nanso so wunim sɛ sɛ yɛde ahwɛyiye bi paw aduan a yedi da biara da a, yebetumi adi tebea yi so akodu baabi? Momma yɛnka ho asɛm nnɛ.
Dɛn ankasa ne Gout?
Eyi yɛ mmerɛw yiye. Sɛ yɛbɛka no tiawa a, gout ba bere a nnuru bi a wɔfrɛ no ‘uric acid’ kɔ soro wɔ yɛn mogya mu no. Sɛ uric acid yi kɔ soro a, ɛdan ahwehwɛ nketenkete a ɛte sɛ nnade a ano yɛ nnam na ɛkɔ yɛn nkwaa mu. Susuw sɛnea ɛbɛyɛ yaw sɛ wɔde ahwehwɛ nnade nketenkete gu nkwaa bi mu no ho hwɛ. Saa ahwehwɛ yi na ɛde ɛyaw a emu yɛ den, ahonhon, ne kɔkɔɔ ba.
Dɛn ne saa aduan a ‘purine kakraa bi na ɛwom’ yi?
Okay, enti ɔkwan bɛn so na saa uric acid yi boaboa ano wɔ nipadua no mu? Sɛnea ɛte no ni. Nneɛma a yedi na yɛnom no bi wɔ abɔde mu no, nnuru bi a wɔfrɛ no ‘purines’ wɔ mu. Sɛ yɛn nipadua no bubu purine ahorow yi a, wɔyɛ uric acid sɛ ade a ɛka ho. Enti wote abusuabɔ no ase, ɛnte saa? Sɛ wudi nnuan a purine pii wom a, uric acid kɔ soro.
‘Low-Purine Diet’ no fa nnuan a purine wom a wobɛtew so na woahwɛ wo uric acid dodow so. Yɛhyɛ wo nkuran nso sɛ fa nnuan bi ka w’aduan ho a ɛboa ma wo uric acid dodow so tew.
Henanom na wonya saa aduan yi so mfaso?
Obiara a uric acid dodow a ɛkɔ soro wɔ mogya mu (hyperuricemia) betumi anya saa aduan yi so mfaso.
- Wɔ wɔn a wonnyaa gout nanso wɔwɔ asiane mu no fam no: Ebia wunnya nnyaa gout, nanso wo mogya mu nhwehwɛmu kyerɛ sɛ uric acid dɔɔso no, sɛ wohwɛ w’aduan so wɔ saa kwan yi so a, ebetumi aboa kɛse ma woasiw gout ano daakye.
- Wɔn a wɔanya gout dedaw no: Eyi ho hia yiye ma obi a ɔwɔ gout dedaw na ama yare no agyae mpɛn pii na ɛyaw no so atew.
- Siw nsɛnnennen afoforo ano: Saa aduan yi nso boa ma wosiw nsɛnnennen afoforo te sɛ asaabo mu abo a ebetumi aba esiane uric acid a ɛkɔ soro nti no ano.
Nnuan ne anonne bɛn na ɛma gout yɛ kɛse?
Ɛsɛ sɛ yɛhwɛ yiye titiriw wɔ eyi ho. Nnuan bi wɔ hɔ a ebetumi ama gout yaw no ayɛ kɛse mpofirim. Ma yɛnhwɛ nea wɔyɛ.
| Aduan/anomde ahorow | Dɛn nti na eyinom nyɛ papa? |
|---|---|
| Nsã a asikre wom ne nnuan a ɛyɛ dɛ | Asikre a yedi daa no wɔ biribi a wɔfrɛ no ‘fructose’. Saa fructose yi mu paapae yɛ uric acid wɔ nipadua no mu. Enti, nneɛma te sɛ anonne a asikre wom, keeki, ne bisket nyɛ papa koraa. |
| Nsaden | Ɛwom mpo sɛ purines nni nsa pii mu de, nanso nsa sɛe ɔkwan a wɔfa so yi uric acid fi yɛn asaabo mu no. Ne saa nti, uric acid boaboa ano na ɛsan boaboa ano wɔ nipadua no mu bio. |
| Organ Nam a Wɔde Yɛ Akwaa | Purines dɔɔso yiye wɔ nneɛma te sɛ akyi berɛmo, asaabo, dwensɔtwaa, ne amemene mu. Ɛyɛ papa sɛ wobɛtwa eyinom mu koraa. |
| Nam ahorow bi (Red Meats) . | Nam kɔkɔɔ te sɛ nantwinam, mprako nam, abirekyi nam, ne bacon wɔ purines pii. Sɛ wotaa di eyinom a, ebetumi ama gout ayɛ kɛse. |
| Po mu Nnuan Bi | Mpataa ne ɛpo mu nnuan bi te sɛ sardines, herring, squid, shrimp, oysters, ne tuna, wɔ purine pii. Wɔnkamfo nkyerɛ sɛ wɔntaa nni eyinom. |
| Kurokuro | Turkey nam nso wɔ purines pii. Kwati deli turkey a wɔayɛ ho adwuma, titiriw. |
| Gravy ne Mmɔkaw | Nam a wɔde ahyɛ mu ne nnuan a mmɔkaw wom (e.g. beer) nso betumi ayɛ nea purines wom. |
Enti aduan bɛn na eye sen biara ma obi a ɔwɔ gout?
Sɛnea yɛkaa nneɛma bɔne ho asɛm no, saa ara na nneɛma pa nso wɔ hɔ a ebetumi aboa ma yɛadi tebea yi so. Sɛ wode eyinom ka w’aduan ho a, ebetumi ama woanya ahotɔ kɛse.
| Aduan/anomde ahorow | Dɛn nti na eye ma gout? |
|---|---|
| Nsuo | Eyi ne ade a ɛho hia sen biara. Anyɛ yiye koraa no, sɛ wɔnom nsu nkuruwa 8-10 da biara a, ɛboa ma asaabo no fa nsu mu yi uric acid fi nipadua no mu. Eyi ma asiane a ɛwɔ hɔ sɛ obi benya gout no so tew. |
| Cherry a wɔde yɛ nneɛma | Cherry wɔ tumi a ɛko tia ɔyare mmoawa. Eyi kyerɛ sɛ wɔboa ma nkwaa no ho ahonhon ne ɛyaw a ɛba no so tew. Nhwehwɛmu nso ada no adi sɛ cherries betumi aboa ma uric acid dodow so atew. |
| Skim Nufusu | Nhwehwɛmu ahorow bi ada no adi sɛ nufusu a wɔnom no ma uric acid fi nipadua no mu ntɛmntɛm na ɛboa nso ma ɔfe a ɛwɔ nkwaa no mu no so tew. |
| Kɔfe | Acid soronko bi na ɛwɔ kɔfe mu sen uric acid. Kɔfe a wɔnom da biara da no ma purines dan uric acid ntɛmntɛm na ɛma uric acid fi nipadua no mu ntɛmntɛm. |
| Nnuadewa ne nnuaba | Purine kakraa bi na ɛwɔ nhabannuru ne nnuaba dodow no ara mu. Ɛwom sɛ nhabannuru bi (e.g. spinach, cauliflower) wɔ purine dodow a ɛkɔ soro kakra de, nanso wɔankyerɛ sɛ ɛka gout sɛnkyerɛnne ahorow. Enti di wo nhabannuru ne wo nnuaba a wunsuro. |
Mfaso bɛn na ɛwɔ saa aduan yi so?
Mfaso pii wɔ aduan a wobedi so wɔ saa kwan yi so no so.
- Uric acid a ɛso tew: Eyi ne mfaso titiriw a ɛwɔ so. Aduan pa a wodi betumi aboa ma uric acid dodow so atew na asiw gout yaw ne nsɛnnennen ano.
- Wo mu duru a ɛso tew: Susuw ho hwɛ, sɛ wotew asikre, nnɔkɔnnɔkɔwade, ne nam kɔkɔɔ a wudi so a, wo nipadua mu duru bɛyɛ nea wotumi de di dwuma fi awosu mu. Sɛ obi mu duru so tew a, so wɔ mfaso abien. Biako ne sɛ, sɛ obi mu duru so tew a, ɛtew asiane a ɛwɔ hɔ sɛ obenya gout no so. Ɔfoforo nso ne sɛ, sɛ yɛtew yɛn mu duru so a, ɛtew nhyɛso a ɛba yɛn nkwaa so no so, titiriw wɔ mmeae te sɛ nkotodwe ne yɛn nan ase. Eyi nso ma ahotɔ kɛse fi ɛyaw mu.
- Nnuru ho hia a ɛso tew: Te eyi ase yiye. Saa aduan yi nkyerɛ sɛ ɛsɛ sɛ wugyae nnuru a wo duruyɛfo akyerɛw ama wo no nom. Nnyae nnuru nom da a wunni aduruyɛ mu afotu. Nanso, sɛ wudi w’aduan so, a nnuru ka ho a, ɛbɛma woanya nkɔso kɛse wɔ yare no ano aduru mu. Ebia sɛ wotoa so saa a, wo duruyɛfo no betumi atew wo nnuru dodow so.
Ɛnyɛ nea enni ne sintɔ ahorow.
Te sɛ biribiara no, saa aduan yi betumi anya sintɔ ahorow bi.
- Anohyeto kakra: Eyi yɛ anohyeto kakra. Ɛsɛ sɛ wugyae nneɛma pii a yɛdɔ te sɛ asikre, nnɔkɔnnɔkɔwade, ne nsa, bere tenten. Ebia ɛno bɛyɛ den ama nnipa binom. Nanso sɛ wususuw w’akwahosan ho a, ɛfata sɛ wode bɔ afɔre.
- Ebia wɔbɛtew Omega-3 a wodi so: Ɛpo mu nnuan ne beae a eye sen biara a wubetumi anya omega-3 srade. Saa omega-3 ahorow yi som bo kɛse wɔ boa a ɛboa ma nkwaa mu yaw ne ɔfe so tew no mu. Enti sɛ woto mpataa ahorow ano hye a, ebia wubetumi anya eyinom kakraa bi. Nanso, wubetumi ne wo duruyɛfo akasa na sɛ ɛho hia a, wobɛnom biribi te sɛ mpataa ngo a wɔde ka ho .
- Eyi nyɛ aduru a edi mũ: Eyi nso ho hia yiye. Saa aduan yi nkutoo ntumi nsa gout koraa.
Ɛnyɛ saa aduan yi nkutoo ne aduru a wɔde sa gout. Ɛnyɛ nea wɔde si nnuru ananmu. Sɛnea ɛbɛyɛ a wobenya nea eye sen biara no, ɛsɛ sɛ wode saa aduan yi ka nnuru a wo duruyɛfo akyerɛw ama wo no ho.
Awiei koraa no, ɛnyɛ nnipa a wɔwɔ gout nko na saa aduan a purine nnim yi ye ma wɔn, na mmom ɛma obiara akwahosan nyinaa. Ɛtew asikre, nsa, ne nam a wɔayɛ no foforo so na ɛde nnuaba ne nhabannuru di kan. Sɛ wowɔ gout, anaasɛ wowɔ asiane mu sɛ wobɛnya gout a, ɛfata sɛ wo ne wo duruyɛfoɔ kasa na wosɔ saa aduane yi hwɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Gout fi uric acid a ɛkɔ soro wɔ mogya no mu. Saa nneɛma a ɛwɔ nkwaa no mu yi ma ɛyaw a emu yɛ den.
- Sɛ wodi nnuan a purines pii wom (nam kɔkɔɔ, ɛpo mu nnuan bi, asikre, nsa) a, ebetumi ama uric acid dodow akɔ soro. Ɛho hia paa sɛ yɛbɛkwati eyinom.
- Nom nsu pii da biara. Sɛ wode nneɛma te sɛ cherries, nufusu a wɔayam, ne kɔfe ka w’aduan ho a, ebetumi aboa.
- Saa aduan yi yɛ ade a wɔde ka aduruyɛ ho, na ɛnyɛ nea wɔde si ananmu. Di wo duruyɛfo akwankyerɛ akyi bere nyinaa.
- Wo ne wo duruyɛfo nkasa ansa na woayɛ nsakrae biara wɔ w’aduan mu, titiriw sɛ wowɔ ayaresa tebea afoforo a.
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