Ingabe ngezinye izikhathi uvuka ekuseni uzizwe ushiswa yizinzwane zakho ezinkulu? Noma ingabe uzizwa ngokuzumayo ilunga livuvukala njengedolo noma iqakala lakho, liphenduke libe bomvu, bese uzizwa ubuhlungu kangangokuthi awukwazi ngisho nokulithinta? Lezi kungaba izimpawu ze-gout, abantu abaningi ababhekana nazo. Abantu abaningi bahlushwa yilolu buhlungu obungabekezeleleki. Kodwa bewazi ukuthi uma sikhetha ukudla esikudlayo nsuku zonke ngokunakekela, singalawula lesi simo ngezinga elikhulu? Ake sixoxe ngakho namuhla.
Iyini ngempela i-Gout?
Lokhu kulula kakhulu. Kalula nje, i-gout yenzeka lapho ikhemikhali ebizwa ngokuthi 'i-uric acid' ikhula egazini lethu. Lapho le-uric acid ikhula, iphenduka amakristalu amancane abukeka njengezinaliti ezibukhali bese ehlala emalungeni ethu. Cabanga ukuthi kungaba buhlungu kanjani uma izinaliti ezincane zeglasi zifakwa emalungeni. Lawa makristalu yiwona abangela ubuhlungu obukhulu, ukuvuvukala, kanye nokubomvu.
Kuyini lokhu kudla 'okune-low purine'?
Kulungile, ngakho-ke le uric acid ikhula kanjani emzimbeni? Nansi indlela. Ezinye zezinto esizidlayo nesiziphuzayo ngokwemvelo ziqukethe ikhemikhali ebizwa ngokuthi 'ama-purines.' Lapho umzimba wethu uphula la ma-purines, i-uric acid ikhiqizwa njengomkhiqizo ophumayo. Ngakho-ke uyakuqonda ukuxhumana, akunjalo? Uma udla ukudla okunama-purines amaningi, i-uric acid iyanda.
I-'Low-Purine Diet' imayelana nokunciphisa ukudla kwakho okucebile nge-purine nokulawula amazinga akho e-uric acid. Sikukhuthaza futhi ukuthi ufake ukudla okuthile ekudleni kwakho okusiza ukwehlisa amazinga akho e-uric acid.
Ubani ozuzayo kulokhu kudla?
Noma ubani onamazinga aphezulu e-uric acid egazini (i-hyperuricemia) angazuza kulokhu kudla.
- Kulabo abangakabi ne-gout kodwa abasengozini: Mhlawumbe awukabi ne-gout, kodwa ukuhlolwa kwegazi lakho kubonisa amazinga aphezulu e-uric acid, ukulawula ukudla kwakho ngale ndlela kungaba usizo olukhulu ekuvimbeleni i-gout ukuthi ingakhuli esikhathini esizayo.
- Kulabo asebenayo i-gout: Lokhu kubaluleke kakhulu kumuntu osenayo kakade i-gout ukuze avimbele lesi sifo ukuthi singabi sibi kakhulu futhi anciphise ubuhlungu.
- Vimbela ezinye izinkinga: Lokhu kudla kusiza nasekuvimbeleni ezinye izinkinga, njengezinso , ezingavela ngenxa yokwanda kwe-uric acid.
Yikuphi ukudla neziphuzo okubangela i-gout?
Kudingeka siqaphele kakhulu ngalokhu. Kukhona ukudla okuthile okungandisa ubuhlungu be-gout ngokuzumayo. Ake sibone ukuthi kuyini.
| Uhlobo lokudla/lokuphuza | Kungani lezi zingezinhle? |
|---|---|
| Iziphuzo ezinoshukela nokudla okumnandi | Ushukela ojwayelekile esiwudlayo uqukethe into ebizwa ngokuthi 'i-fructose'. Le fructose iyaqhekeka ibe yi-uric acid emzimbeni. Ngakho-ke, izinto ezifana neziphuzo ezinoshukela, amakhekhe, namabhisikidi azinampilo neze. |
| Utshwala | Ngisho noma iziphuzo ezidakayo zingenawo ama-purines amaningi, utshwala buyaphazamisa inqubo yokukhipha i-uric acid ezinso zethu. Ngenxa yalokho, i-uric acid iyaqoqana futhi iqongeleleke emzimbeni futhi. |
| Inyama Yezitho | Ama-purine aphezulu kakhulu ezintweni ezifana ne-spleen, izinso, amathumbu kanye nobuchopho. Kuhle ukuwasusa ngokuphelele. |
| Ezinye izinhlobo zenyama (Inyama Ebomvu) | Inyama ebomvu njengenyama yenkomo, ingulube, imbuzi kanye nebhekoni igcwele ama-purine. Ukudla lokhu njalo kungandisa i-gout. |
| Ukudla Kwasolwandle Okuthile | Ezinye izinhlanzi nokudla kwasolwandle, njenge-sardine, i-herring, i-squid, i-shrimp, i-oyster, ne-tuna, ziqukethe ama-purine amaningi. Akukhuthazwa ukuthi zidliwe njalo. |
| igalikuni | Inyama ye-turkey nayo igcwele ama-purines. Gwema i-turkey ecutshunguliwe, ikakhulukazi. |
| Ubhontshisi kanye nemvubelo | Amasosi enyama nokudla okuqukethe imvubelo (isb. ubhiya) nakho kungaqukatha ama-purines. |
Ngakho-ke yikuphi ukudla okungcono kakhulu kumuntu one-gout?
Njengoba nje sikhulume ngezinto ezimbi, kunezinto ezinhle ezingasiza ekulawuleni lesi simo. Ukungeza lokhu ekudleni kwakho kungakunikeza impumuzo enkulu.
| Uhlobo lokudla/lokuphuza | Kungani ilungele i-gout? |
|---|---|
| Amanzi | Lokhu kuyinto ebaluleke kakhulu. Ukuphuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku kusiza izinso ukuthi zikhiphe i-uric acid emzimbeni ngomchamo. Lokhu kunciphisa ingozi yokuthola i-gout. |
| Ama-Cherry | Ama-cherry anezakhiwo zokulwa nokuvuvukala. Lokhu kusho ukuthi asiza ekunciphiseni ukuvuvukala nobuhlungu emalungeni. Ucwaningo luthole nokuthi ama-cherry angasiza ekunciphiseni amazinga e-uric acid. |
| Ubisi Olunamafutha Aphansi | Ezinye izifundo zibonise ukuthi ukuphuza ubisi olunamafutha amancane kusheshisa ukususwa kwe-uric acid emzimbeni futhi kusiza ekunciphiseni ukuvuvukala emalungeni. |
| Ikhofi | Ikhofi iqukethe uhlobo oluhlukile lwe-asidi kune-uric acid. Ukuphuza ikhofi nsuku zonke kunciphisa izinga lokuguqulwa kwama-purine abe yi-uric acid futhi kwandisa izinga lokukhishwa kwe-uric acid emzimbeni. |
| Imifino nezithelo | Iningi lemifino nezithelo liphansi kuma-purine. Nakuba eminye imifino (isib. isipinashi, ikholifulawa) inamazinga aphezulu e-purine, ayikabonakali ukuthi ithinta izimpawu ze-gout. Ngakho-ke yidla imifino nezithelo zakho ngaphandle kokwesaba. |
Yiziphi izinzuzo zalokhu kudla?
Kunezinzuzo eziningana zokulawula ukudla ngale ndlela.
- Ukunciphisa i-uric acid: Lena inzuzo eyinhloko. Ukudla ukudla okunempilo kungasiza ekunciphiseni amazinga e-uric acid futhi kuvimbele ubuhlungu nezinkinga ze-gout.
- Ukwehlisa isisindo: Cabanga ngakho, uma unciphisa ukudla kwakho ushukela, amaswidi, kanye nenyama ebomvu, isisindo somzimba wakho sizolawulwa ngokwemvelo. Ukwehlisa isisindo kunezinzuzo ezimbili. Eyokuqala ukuthi ukwehlisa isisindo kunciphisa ingozi yokuba ne-gout. Eyesibili ukuthi ukwehlisa isisindo kunciphisa ingcindezi emalungeni ethu, ikakhulukazi ezindaweni ezifana namadolo namaqakala. Lokhu futhi kunikeza impumuzo enkulu ebuhlungwini.
- Ukuncipha kwesidingo semithi: Qonda lokhu kahle. Lokhu kudla akusho ukuthi kufanele uyeke ukuthatha imithi oyinikezwe udokotela wakho. Ungalokothi uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela. Kodwa-ke, ukulawula ukudla kwakho, ngaphezu kwemithi, kuzokunika amandla amakhulu ekulawuleni lesi sifo. Mhlawumbe uma uqhubeka ngale ndlela, udokotela wakho uzokwazi ukunciphisa umthamo wemithi yakho.
Akunazo izinkinga zayo.
Njenganoma yini, lokhu kudla kungaba nezinkinga ezithile.
- Umkhawulo omncane: Lokhu kuwumkhawulo omncane. Kufanele ulahle izinto eziningi esizithandayo, njengoshukela, amaswidi, notshwala, isikhathi eside. Lokho kungaba nzima kwabanye abantu. Kodwa uma ucabanga ngempilo yakho, kuwufanele umhlatshelo.
- Ukudla i-Omega-3 kungancishiswa: Ukudla kwasolwandle kuyindawo engcono kakhulu yokuthola ama-omega-3 fatty acid. Lawa ma-omega-3 awusizo kakhulu ekusizeni ukunciphisa ubuhlungu bamalunga nokuvuvukala. Ngakho-ke uma unciphisa izinhlobo zezinhlanzi, ungase ukwazi ukuthola okuncane kwalokhu. Kodwa-ke, ungakhuluma nodokotela wakho bese uthatha okuthile okufana nezithasiselo zamafutha enhlanzi uma kudingeka.
- Lokhu akulona ikhambi eliphelele: Lokhu kubaluleke kakhulu futhi. Lokhu kudla kukodwa akukwazi ukwelapha ngokuphelele i-gout.
Lokhu kudla akulona ukuphela kokwelapha i-gout. Akuyona into ethatha indawo yemithi. Ukuze uthole imiphumela emihle kakhulu, lokhu kudla kufanele kusetshenziswe kanye nomuthi onikezwe udokotela wakho.
Okokugcina, lokhu kudla okune-purine ephansi akukuhle nje kuphela kubantu abane-gout, kodwa nasempilweni yawo wonke umuntu jikelele. Kunciphisa ushukela, utshwala, nenyama ecutshunguliwe futhi kubeka phambili izithelo nemifino. Uma une-gout, noma usengozini yokuthola i-gout, kufanelekile ukukhuluma nodokotela wakho futhi uzame lokhu kudla.
Umlayezo Wokuya Nawe Ekhaya
- I-Gout ibangelwa amazinga aphezulu e-uric acid egazini. Lokhu kufakwa emalungeni kubangela ubuhlungu obukhulu.
- Ukudla ukudla okunama-purines amaningi (inyama ebomvu, ukudla kwasolwandle, ushukela, utshwala) kungandisa amazinga e-uric acid. Kubaluleke kakhulu ukugwema lokhu.
- Phuza amanzi amaningi nsuku zonke. Ukwengeza izinto ezifana nama-cherry, ubisi olunamafutha amancane, kanye nekhofi ekudleni kwakho kungaba usizo.
- Lokhu kudla kuyisithasiselo sokwelashwa kwezokwelapha, hhayi okuzothatha indawo yako. Landela njalo imiyalelo kadokotela wakho.
- Khuluma nodokotela wakho ngaphambi kokwenza noma yiziphi izinguquko ekudleni, ikakhulukazi uma unezinye izimo zezokwelapha.
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