Ke ala aʻe nei ʻoe i ke kakahiaka a manaʻo i kahi ʻeha wela ma kou hui manamana wāwae nui? A i ʻole ke manaʻo koke nei ʻoe i kahi hui e like me kou kuli a kuʻekuʻe wāwae paha e pehu ana, e ʻulaʻula ana, a ʻeha loa ʻaʻole hiki iā ʻoe ke hoʻopā aku? He mau hōʻailona paha kēia o ka gout, kahi e ʻike ai ka poʻe he nui. He nui ka poʻe e ʻeha nei i kēia ʻeha hiki ʻole ke hoʻomanawanui. Akā ua ʻike anei ʻoe inā koho mākou i ka meaʻai a mākou e ʻai ai i kēlā me kēia lā me ka mālama pono, hiki iā mākou ke kāohi i kēia kūlana i kahi nui? E kamaʻilio kākou e pili ana i kēia lā.
He aha maoli ka Gout?
He mea maʻalahi loa kēia. I ka ʻōlelo maʻalahi, loaʻa ka gout i ka wā e piʻi ai kahi kemika i kapa ʻia ʻo 'uric acid' i loko o ko kākou koko. Ke piʻi aʻe kēia uric acid, lilo ia i mau kristal liʻiliʻi e like me nā nila ʻoi a waiho ʻia i loko o ko kākou mau hono. E noʻonoʻo i ka ʻeha inā waiho ʻia nā nila aniani liʻiliʻi i loko o kahi hono. ʻO kēia mau kristal ke kumu o ka ʻeha nui, ka pehu, a me ka ʻulaʻula.
He aha kēia ʻai 'haʻahaʻa purine'?
ʻAe, pehea lā e hōʻiliʻili ai kēia uric acid i loko o ke kino? Eia ke ʻano. Aia kekahi o nā mea a mākou e ʻai ai a inu ai i kahi hui kemika i kapa ʻia ʻo 'purines.' Ke wāwahi ko mākou kino i kēia mau purines, hana ʻia ka uric acid ma ke ʻano he huahana ʻaoʻao. No laila ua maopopo iā ʻoe ka pilina, ʻeā? Inā ʻoe e ʻai i nā meaʻai kiʻekiʻe i nā purines, piʻi ka uric acid.
ʻO ka 'Low-Purine Diet' e pili ana i ka hōʻemi ʻana i kāu ʻai ʻana i nā meaʻai waiwai purine a me ka kaohi ʻana i kāu mau pae uric acid. Paipai pū mākou iā ʻoe e hoʻokomo i kekahi mau meaʻai i kāu papaʻai e kōkua ai i ka hoʻohaʻahaʻa ʻana i kāu mau pae uric acid.
ʻO wai ka poʻe e pōmaikaʻi mai kēia ʻai?
Hiki i kekahi mea me nā pae uric acid kiʻekiʻe i loko o ke koko (hyperuricemia) ke pōmaikaʻi mai kēia meaʻai.
- No ka poʻe i loaʻa ʻole i ka gout akā ua pilikia: ʻAʻole paha ʻoe i loaʻa i ka gout, akā hōʻike kāu hoʻāʻo koko i nā pae uric acid kiʻekiʻe, ʻo ka kaohi ʻana i kāu ʻai ma kēia ʻano hiki ke lilo i mea kōkua nui i ka pale ʻana i ka gout mai ka ulu ʻana i ka wā e hiki mai ana.
- No ka poʻe i loaʻa mua i ka gout: He mea nui loa kēia no kekahi mea i loaʻa mua i ka gout e hoʻōki i ka maʻi mai ka hoʻāla pinepine ʻana a e hōʻemi i ka ʻeha.
- Kāohi i nā pilikia ʻē aʻe: Kōkua pū kēia meaʻai i ka pale ʻana i nā pilikia ʻē aʻe, e like me nā pōhaku puʻupaʻa, hiki ke ulu ma muli o ka hoʻonui ʻia o ka uric acid.
He aha nā meaʻai a me nā mea inu e hoʻonui ai i ka gout?
Pono kākou e makaʻala loa i kēia. Aia kekahi mau meaʻai e hiki ke hoʻonui koke i ka ʻeha o ka gout. E nānā kākou i ke ʻano o lākou.
| ʻAno meaʻai/mea inu | No ke aha i maikaʻi ʻole ai kēia mau mea? |
|---|---|
| Nā mea inu kō a me nā meaʻai ʻono | Aia i loko o ke kō maʻamau a mākou e ʻai ai kahi mea i kapa ʻia ʻo 'fructose'. Hoʻopau kēia fructose i loko o ke kino i ka uric acid. No laila, ʻo nā mea e like me nā mea inu kō, nā keke, a me nā biscuits he mea maikaʻi ʻole ia no ke olakino. |
| ʻAila | ʻOiai ʻaʻole kiʻekiʻe nā purine i loko o nā mea inu ʻona, hoʻopilikia ka waiʻona i ke kaʻina hana o ka hoʻokuʻu ʻana i ka uric acid mai ko kākou mau puʻupaʻa. ʻO ka hopena, hōʻiliʻili ka uric acid a hōʻiliʻili hou i loko o ke kino. |
| Nā ʻiʻo ʻōkana | Kiʻekiʻe loa nā purines i nā mea e like me ka spleen, nā puʻupaʻa, nā ʻōpū, a me ka lolo. He mea maikaʻi ke hoʻopau loa i kēia mau mea. |
| Kekahi mau ʻano ʻiʻo (ʻiʻo ʻulaʻula) | Kiʻekiʻe nā purine i nā ʻiʻo ʻulaʻula e like me ka pipi, ka puaʻa, ke kao, a me ka puaʻa. ʻO ka ʻai pinepine ʻana i kēia mau mea hiki ke hoʻonui i ka gout. |
| Kekahi Meaʻai Kai | Kiʻekiʻe i nā purine kekahi mau iʻa a me nā meaʻai kai, e like me ka sardines, ka herring, ka heʻe, ka ʻōpae, ka oysters, a me ka tuna. ʻAʻole ʻōlelo ʻia e ʻai pinepine ʻia kēia mau mea. |
| Kuleke | Kiʻekiʻe hoʻi ka ʻiʻo pelehū i nā purine. E pale i ka pelehū deli i hana ʻia, ʻoi aku hoʻi. |
| Ka Wai a me ka Hū | Hiki i nā mea ʻono ʻiʻo a me nā meaʻai i loaʻa ka hū (e like me ka pia) ke loaʻa pū nā purines. |
No laila he aha ka meaʻai maikaʻi loa no kekahi me ka gout?
E like me kā mākou i kamaʻilio ai e pili ana i nā mea maikaʻi ʻole, aia kekahi mau mea maikaʻi e hiki ke kōkua i ka kaohi ʻana i kēia maʻi. ʻO ka hoʻohui ʻana i kēia mau mea i kāu papaʻai hiki ke hāʻawi iā ʻoe i ka hōʻoluʻolu nui.
| ʻAno meaʻai/mea inu | No ke aha he mea maikaʻi no ka gout? |
|---|---|
| Wai | ʻO kēia ka mea nui loa. ʻO ka inu ʻana ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā e kōkua i nā puʻupaʻa e hoʻokuʻu i ka waikawa uric mai ke kino ma o ka mimi. Hoʻemi kēia i ka pilikia o ka loaʻa ʻana o ka gout. |
| Nā Cherries | He mau waiwai anti-inflammatory ko nā cherries. ʻO ia hoʻi, kōkua lākou i ka hōʻemi ʻana i ka pehu a me ka ʻeha ma nā hono. Ua ʻike pū ʻia ka noiʻi hiki i nā cherries ke kōkua i ka hōʻemi ʻana i nā pae uric acid. |
| Waiū ʻAʻohe ʻIli | Ua hōʻike kekahi mau noiʻi e hoʻolalelale ka inu ʻana i ka waiū momona i ka hoʻopau ʻana i ka uric acid mai ke kino a kōkua pū kekahi i ka hoʻēmi ʻana i ka mumū ma nā hono. |
| Kofe | ʻOkoʻa ke ʻano o ka waikawa i loko o ke kofe ma mua o ka waikawa uric. ʻO ka inu ʻana i ke kofe i kēlā me kēia lā e hōʻemi i ka wikiwiki o ka hoʻololi ʻia ʻana o nā purines i ka waikawa uric a hoʻonui i ka wikiwiki o ka hoʻokuʻu ʻia ʻana o ka waikawa uric mai ke kino. |
| Nā mea kanu a me nā huaʻai | ʻO ka hapa nui o nā mea kanu a me nā huaʻai he haʻahaʻa i nā purines. ʻOiai kekahi mau mea kanu (e like me ka spinach, cauliflower) he kiʻekiʻe iki aʻe ka nui o ka purine, ʻaʻole i hōʻoia ʻia e hoʻopilikia i nā hōʻailona gout. No laila e ʻai i kāu mau mea kanu a me nā huaʻai me ka makaʻu ʻole. |
He aha nā pono o kēia ʻai?
Aia kekahi mau pono o ke kāohi ʻana i ka meaʻai ma kēia ʻano.
- Hoʻemi ʻia ka uric acid: ʻO kēia ka pōmaikaʻi nui. Hiki i ka ʻai ʻana i kahi meaʻai olakino ke kōkua i ka hoʻemi ʻana i nā pae uric acid a pale i ka ʻeha a me nā pilikia o ka gout.
- Ka hōʻemi kaumaha: E noʻonoʻo e pili ana i ia mea, ke hōʻemi ʻoe i kāu ʻai ʻana i ke kō, nā mea ʻono, a me ka ʻiʻo ʻulaʻula, e kāohi maoli ʻia ke kaumaha o kou kino. ʻElua mau pono o ka hōʻemi kaumaha. ʻO kekahi, ʻo ka hōʻemi kaumaha e hōʻemi i ka pilikia o ka loaʻa ʻana o ka gout. ʻO kekahi, ʻo ka hōʻemi kaumaha e hōʻemi i ke kaomi ma luna o ko mākou mau hono, ʻoi aku hoʻi ma nā wahi e like me nā kuli a me nā kuʻekuʻe wāwae. Hāʻawi pū kēia i ka hōʻoluʻolu nui mai ka ʻeha.
- Hoʻemi ʻia ka pono no ka lāʻau lapaʻau: E hoʻomaopopo pono i kēia. ʻAʻole kēia ʻano meaʻai e manaʻo ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. Eia nō naʻe, ʻo ka kaohi ʻana i kāu ʻai, me ka lāʻau lapaʻau, e hāʻawi iā ʻoe i kahi hoʻoikaika nui i ka kaohi ʻana i ka maʻi. Malia paha inā ʻoe e hoʻomau i kēia ʻano, hiki i kāu kauka ke hoʻemi i ka nui o kāu lāʻau lapaʻau.
ʻAʻole me ka ʻole o kona mau hemahema.
E like me nā mea āpau, hiki i kēia meaʻai ke loaʻa kekahi mau drawbacks.
- He ʻano hoʻopaʻa iki: He ʻano hoʻopaʻa iki kēia. Pono ʻoe e haʻalele i nā mea he nui a mākou e aloha ai, e like me ke kō, nā mea ʻono, a me ka waiʻona, no ka manawa lōʻihi. He mea paʻakikī paha kēlā no kekahi poʻe. Akā i ka wā e noʻonoʻo ai ʻoe i kou olakino, pono ke kaumaha.
- Hiki ke hoʻēmi ʻia ka ʻai ʻana i ka Omega-3: ʻO ka meaʻai kai kahi maikaʻi loa e loaʻa ai nā waikawa momona omega-3. He waiwai nui kēia mau omega-3 i ke kōkua ʻana i ka hōʻemi ʻana i ka ʻeha a me ka mumū o nā hono. No laila, ke kaupalena ʻoe i nā ʻano iʻa, hiki paha iā ʻoe ke loaʻa i ka emi ʻana o kēia mau mea. Eia nō naʻe, hiki iā ʻoe ke kamaʻilio me kāu kauka a lawe i kahi mea e like me nā mea hoʻohui aila iʻa inā pono.
- ʻAʻole kēia he lāʻau lapaʻau piha: He mea nui loa nō hoʻi kēia. ʻAʻole hiki i kēia ʻai wale nō ke hoʻōla piha i ka gout.
ʻAʻole kēia ʻai wale nō ka lāʻau lapaʻau no ka gout. ʻAʻole ia he pani no ka lāʻau lapaʻau. No nā hopena maikaʻi loa, pono e hoʻohana ʻia kēia ʻai me ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka.
ʻO ka mea hope loa, ʻaʻole wale kēia ʻai haʻahaʻa-purine he mea maikaʻi no ka poʻe me ka gout, akā no ke olakino o kēlā me kēia kanaka ma ke ʻano laulā. Hoʻemi ia i ke kō, ka waiʻona, a me nā ʻiʻo i hana ʻia a hoʻoikaika i nā huaʻai a me nā mea kanu. Inā loaʻa iā ʻoe ka gout, a i ʻole he pilikia paha ka loaʻa ʻana o ka gout, he mea kūpono ke kamaʻilio me kāu kauka a hoʻāʻo i kēia ʻai.
Leka Lawe-Home
- Hoʻokumu ʻia ka gout e nā pae kiʻekiʻe o ka uric acid i loko o ke koko. ʻO kēia mau waihona i loko o nā hono ke kumu o ka ʻeha nui.
- ʻO ka ʻai ʻana i nā meaʻai kiʻekiʻe i nā purines (ʻiʻo ʻulaʻula, kekahi mau meaʻai kai, ke kō, ka waiʻona) hiki ke hoʻonui i nā pae uric acid. He mea nui loa ia e pale aku i kēia mau mea.
- E inu nui i ka wai i kēlā me kēia lā. Hiki ke kōkua ka hoʻohui ʻana i nā mea e like me nā cherries, ka waiū momona, a me ke kofe i kāu papaʻai.
- He mea hoʻohui kēia ʻai i ka lāʻau lapaʻau, ʻaʻole ia he pani no ia. E hahai mau i nā ʻōlelo a kāu kauka.
- E kamaʻilio me kāu kauka ma mua o ka hana ʻana i kekahi mau hoʻololi i ka meaʻai, ʻoiai inā he mau pilikia olakino ʻē aʻe kou.
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