Yog tias koj noj nqaij, ntses, lossis nqaij nruab deg, tej zaum koj yuav xav tsis thoob: cov khoom noj uas muaj keto-phooj ywg no ua rau koj muaj kev pheej hmoo ntawm kev mob gout?
Tom qab tag nrho, cov kev txawj ntse pom tau hais tias kev noj zaub mov muaj protein ntau thiab cov zaub mov muaj roj ntau yog tom qab kev tawm tsam gout.
Txawm hais tias muaj qhov laj thawj tom qab qhov kev xav no, muaj kev tshawb fawb me me los txhawb kev sib txuas ntawm cov tsiaj protein, noj qab nyob zoo cov rog, thiab kev pheej hmoo ntawm gout.
Txawm li cas los xij, muaj lwm yam ua rau mob gout, thiab noj zaub mov zoo yog ib txoj hauv kev zoo tshaj plaws los tiv thaiv lossis txo tus mob gout.
Cov txheej txheem
Gout yog dab tsi?
Gout yog ib hom mob caj dab uas tshwm sim los ntawm qhov mob ntawm cov pob qij txha uric acid nyob rau hauv cov pob qij txha, cov leeg, thiab sab, tshwj xeeb tshaj yog cov pob qij txha ntawm ob txhais tes thiab cov ntiv taw loj.
Uric acid crystals tsim thaum cov ntshav ntawm uric acid mus txog qib siab txawv txav. Tus mob no hu ua hyperuricemia, thiab nws yog tus cim tseem ceeb ntawm kev pheej hmoo ntawm gout.
Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias gout yog qhov tsawg heev: tsuas yog 5% ntawm cov neeg uas muaj uric acid siab dua 9 mg / dL (xws li hyperuricemia) txhim kho gout.
Ntau pua xyoo dhau los, gout tau hu ua "tus kab mob ntawm vaj" thiab "tus txiv neej nplua nuj tus kab mob." Nws hloov tawm tias cov neeg nplua nuj tsuas yog cov tib neeg uas muaj peev xwm them taus cov suab thaj, tam sim no cov ntaub ntawv muaj txiaj ntsig zoo rau gout.
Gout cuam tshuam ib ncig ntawm 1-4% ntawm cov pejxeem (3-6% ntawm cov txiv neej thiab 1-2% ntawm cov poj niam). Thoob plaws ntiaj teb, kev kis tus kab mob gout tau nce zuj zus, yuav yog vim kev noj zaub mov tsis zoo, tsis muaj kev tawm dag zog, thiab nce tus nqi ntawm rog thiab metabolic syndrome. Kuj tseem muaj cov tshuaj genetic tivthaiv rau gout kev pheej hmoo ( 1 ).
Txhawm rau kho tus mob gout, cov kws kho mob feem ntau sau cov tshuaj uas txo cov uric acid ntau lawm, los yog qhia txog kev noj zaub mov tsis muaj protein ntau. Tab sis kev tshawb fawb tshiab tau ua rau pom qhov ua rau mob gout, thiab nws tau pom tseeb tias muaj ntau txoj hauv kev zoo dua li txiav cov protein kom tshem tawm cov kab mob gout.
Dab tsi ua rau Gout?
Gout tshwm sim thaum uric acid crystals tsim los ntawm ntau dhau uric acid nyob rau hauv cov ntshav, tsim nyob rau hauv cov ntaub so ntswg, thiab ua rau mob, o, liab, thiab o. Txhawm rau tshem tawm cov kab mob gout, koj xav txo koj cov tshuaj uric acid.
Muaj ob peb yam ua txhaum cai uas ua rau muaj uric acid:
protein thiab gout
Cov kws kho mob feem ntau hais kom cov zaub mov tsis muaj protein tsawg, cov nqaij tsawg rau cov kab mob gout.
Qhov laj thawj yog tias feem ntau cov khoom siv protein muaj cov khoom sib txuas hu ua purines uas yog precursors rau uric acid.
Purines tsim cov khoom siv caj ces hauv DNA thiab RNA, thiab thaum koj zom cov purines, koj lub cev zom lawv mus rau hauv uric acid. Qhov chaw nplua nuj ntawm purines yog nqaij, ntses thiab nqaij nruab deg.
Txoj kev xav yog tias kev txo koj cov purine kom tsawg yuav txo koj cov qib uric acid thiab, dhau los, txo koj txoj kev pheej hmoo ntawm gout.
Txawm li cas los xij, kev tshawb fawb txog kev noj cov protein thiab gout yog sib xyaw.
Piv txwv li, ib qho kev tshawb fawb soj ntsuam txuas cov nqaij thiab nqaij nruab deg noj kom muaj kev pheej hmoo ntawm gout ( 2 ). Tab sis nyob rau hauv ib txoj kev tshawb fawb ntxiv, cov kws tshawb fawb pom tau tias rau lub hlis ntawm kev noj zaub mov muaj protein ntau, cov zaub mov uas tsis muaj carbohydrates tau txo qis uric acid hauv 74 tus neeg rog rog lossis rog rog.
Cov kws sau ntawv tau xaus lus tias "Kev noj zaub mov Atkins (kev noj zaub mov muaj protein ntau yam tsis muaj kev txwv caloric) tuaj yeem txo qis [serum uric acid] qib txawm tias muaj purine loading ntau."
Lwm cov ntaub ntawv qhia tau hais tias vegans muaj ntau dua uric acid ntau dua li cov neeg noj nqaij, qhia tias ntau yog ntawm ceg txheem ntseeg dua li kev noj cov protein.
Kev tshawb fawb tsis ntev los no tau pom tias thaum koj noj cov zaub mov muaj protein ntau, koj lub raum tsis muaj teeb meem tshem tawm cov uric acid uas lawv ua los ntawm purines.
Hauv lwm lo lus, ntau purines hauv, ntau dua uric acid tawm ( 3 ). Tsuav koj ob lub raum ua haujlwm zoo, cov protein tsis zoo li ua rau koj qhov kev pheej hmoo ntawm gout.
mis nyuj thiab gout
Vim tias cov khoom noj siv mis muaj protein ntau (thiab purines), qee qhov txhawj xeeb tias noj mis nyuj, cheese, lossis yogurt yuav ua rau muaj kev pheej hmoo ntawm gout.
Tab sis hauv ib txoj kev tshawb fawb loj uas ua raws li 47.150 tus neeg rau 12 xyoo, cov kws tshawb fawb pom qhov tsis sib xws: kev noj cov mis nyuj tau cuam tshuam nrog kev pheej hmoo ntawm gout. Txawm hais tias txoj kev tshawb no tsis ua pov thawj ua rau thiab muaj txiaj ntsig, nws pom tias cov khoom noj siv mis pom tseeb thaum nws los txog rau gout.
qab zib thiab poob
Qab zib yog qhov muaj feem cuam tshuam rau gout ntau dua li cov protein. Hauv particular, fructose, cov suab thaj ntau hauv txiv hmab txiv ntoo thiab pob kws phoov.
Fructose nce uric acid ntau lawm, thaum tib lub sijhawm tiv thaiv uric acid tshem tawm.
Koj lub siab ua haujlwm fructose txawv dua li nws ua lwm yam suab thaj. Yog tias koj lub siab ntim nrog fructose, nws tuaj yeem cuam tshuam nrog cov protein metabolism thiab deplete ATP (lub zog ntawm tes).
Thaum koj ATP poob qis, koj cov kua qaub uric nce ntxiv ( 4 ) - thiab raws li koj tau nyeem ua ntej, siab uric acid yog tus naj npawb ib qho kev pheej hmoo rau gout.
Qhov laj thawj thib ob kom tsis txhob muaj fructose cuam tshuam nrog kev tso tawm ntawm uric acid. Thaum koj noj ntau ntawm fructose nyob rau lub sijhawm ntev, koj txo koj lub raum lub peev xwm tshem tawm cov uric acid.
Tab sis nws tsis yog siv sijhawm ntev xwb, txawm tias ib koob tshuaj fructose txo qis uric clearance ( 5 ).
Qhov feem ntau ntawm fructose nyob rau hauv cov khoom noj niaj hnub no yog siab fructose pob kws phoov. Koj yuav pom nws hauv txhua yam ntawm cov dej qab zib mus rau ncuav qab zib mus rau cereal. Ua ib qho taw tes kom tsis txhob siab fructose pob kws phoov; koj yuav zoo dua tsis muaj nws.
insulin thiab gout
Qab zib, fructose los yog lwm yam, kuj ua rau muaj kev pheej hmoo ntawm gout los ntawm kev tswj cov qib insulin.
Thaum koj noj cov piam thaj ntau, koj cov ntshav qab zib nce siab. Hauv kev teb, koj lub pancreas tso tawm insulin, koj Ntshav Qab Zib Controller, txhawm rau txhawm rau cov piam thaj ntau dhau hauv cov ntshav thiab coj mus rau koj lub hlwb, qhov twg nws tuaj yeem hloov mus rau hauv lub zog (rau siv tam sim) lossis rog (rau lub zog cia).
Tab sis yog tias koj noj ntau cov suab thaj ib ntus, koj cov piam thaj hauv cov ntshav yuav nyob ntev ntev, thiab insulin tsis sib txuas lus nrog koj cov hlwb.
Paub tias yog insulin tsis kam (lossis metabolic syndrome), tus mob no ua rau lub txiav txiav tawm ntau dua thiab ntau dua insulin los ua haujlwm ib yam.
Cov qib siab ntawm cov tshuaj insulin txo qis uric acid clearance ( 6 ). Txhawm rau tiv thaiv kab mob gout, koj yuav tsum nyob twj ywm rhiab rau insulin. Txoj hauv kev zoo tshaj los ua qhov no yog tshem tawm cov suab thaj ntawm koj cov zaub mov.
cawv thiab gout
Cawv yog ib qho kev pheej hmoo tsim nyog rau kev tsim kab mob gout, thiab nws kuj ua rau koj muaj kev pheej hmoo ntawm tus kab mob gout yog tias koj twb muaj tus mob lawm.
Hauv kev tshawb nrhiav yav tom ntej, cov kws tshawb fawb tau ua raws li 47.150 tus txiv neej uas tsis muaj keeb kwm ntawm gout rau 12 xyoo. Lawv pom tias haus npias, thiab tsawg dua cov ntsuj plig, muaj zog thiab nws tus kheej cuam tshuam nrog kev pheej hmoo ntawm gout. Curiously, lub cawv tsis yog ( 7 ).
Lwm pab pawg ntawm cov kws tshawb fawb tau nug cov lus nug sib txawv: Rau cov neeg uas twb raug mob gout, haus dej cawv ua rau muaj kev pheej hmoo ntawm kev mob gout rov qab li cas?
Lawv pom tias txhua hom cawv, suav nrog cawv txiv hmab, tau txuas rau qhov kev pheej hmoo ntawm tus mob gout flare nyob rau hauv 24 teev ntawm haus.
Yuav ua li cas kom tsis txhob gout
Kev zam ntawm gout los ntawm kev txwv qhov ua rau tiag ntawm uric acid siab uas tau teev tseg hauv ntu dhau los. Nqaij, rog, thiab protein tsis zoo li ua rau muaj mob gout.
Hloov chaw, txiav rov qab rau fructose thiab cawv kom tswj tau cov qib uric acid noj qab haus huv thiab txo koj txoj kev pheej hmoo ntawm gout. Muaj fructose nyob rau hauv txiv hmab txiv ntoo, tab sis lub ntsiab qhov chaw ntawm fructose yog siab fructose pob kws phoov. Yog tias koj xav ua ib yam los txo koj txoj kev pheej hmoo ntawm gout, tshem tawm cov kua txiv hmab txiv ntoo uas muaj fructose los ntawm koj cov zaub mov.
Lwm qhov kev pheej hmoo rau gout, metabolic syndrome, kuj tseem txuas nrog kev noj qab zib. Yog tias koj muaj cov kab mob metabolic lossis hom 2 mob ntshav qab zib, ntshav qab zib siab, insulin siab, rog rog, thiab ntshav siab, koj muaj kev pheej hmoo siab ntawm gout.
Kho cov kab mob metabolic thiab insulin tsis kam yuav tsis tshwm sim ib hmos. Tab sis cov zaub mov uas tsis muaj carb (xws li cov khoom noj ketogenic) tau pom tias ua kom cov qab zib hauv cov ntshav, Lawv txhim kho kev nkag siab ntawm insulin thiab txhawb kev poob phaus.
Kev noj haus ketogenic yog ib qho kev xaiv zoo los tiv thaiv gout.
Koj tseem yuav xav nyob twj ywm hydrated los tiv thaiv gout. Xyuas kom koj haus dej txaus. Thaum koj lub cev qhuav dej, koj lub cev tsis tso cov uric acid, uas txhais tau hais tias uric acid crystals muaj feem ntau tsim hauv koj cov pob qij txha.
Thaum kawg, ib tug puv tes ntawm cov tshuaj, feem ntau ntawm lawv cov tshuaj diuretics uas yuav ua rau lub cev qhuav dej, tau txuas mus rau muaj kev pheej hmoo ntawm gout. Thiab cov kws tshawb fawb kuj tau pom tias cov tshuaj aspirin tsawg tuaj yeem ua rau lub raum tsis ua haujlwm thiab cuam tshuam rau kev tshem tawm uric acid.
Yuav ua li cas yog tias koj muaj gout
Thawj qhov koj yuav tsum ua yog tias koj muaj gout yog mus ntsib kws kho mob. Nws tuaj yeem sau cov tshuaj hu ua xanthine oxidase inhibitors kom txo koj cov qib uric acid.
Tsis tas li ntawd, koj yuav tsum xav txog kev hloov pauv ntawm kev ua neej, tshwj xeeb tshaj yog thaum nws los txog rau kev noj haus thiab kev tawm dag zog.
Yuav noj dab tsi yog tias koj muaj gout
Qee cov zaub mov thiab tshuaj ntxiv tau pom tias tiv thaiv kab mob gout thiab txo cov tsos mob ntawm gout. Cov no suav nrog:
- Vitamin C: Ua rau lub raum tso zis ntau dua uric acid.8 ).
- Txiv roj roj
- Khoom noj siv mis.
- Cherries - tau pom tias txo cov ntshav uric acid hauv cov poj niam ( 9 ).
- Mineral dej: inhibits qhov tsim ntawm uric acid crystals.10 ).
- Kas fes: haus kas fes nruab nrab txo cov qib uric acid.11 ).
kev tawm dag zog thiab gout
Ntxiv nrog rau kev hloov pauv kev noj haus saum toj no, ib qho kev tawm dag zog ib txwm tuaj yeem pab nrog gout.
Kev tawm dag zog:
- Ua kom cov tshuaj insulin rhiab heev thiab tuaj yeem txhim kho cov kab mob metabolic.12 ).
- Tshem tawm daim siab glycogen, uas muaj uric acid txhawb fructose.
- Tiv thaiv hyperinsulinemia, uas tuaj yeem pab nrog uric acid tshem tawm ( 13 ).
Yuav ua li cas noj ketogenic rau gout?
Puas yog kev noj zaub mov ketogenic nce koj txoj kev pheej hmoo ntawm gout?
Hauv thawj ob lub lis piam ntawm kev noj zaub mov ketogenic, koj tuaj yeem pom lub sijhawm luv luv ntawm koj txoj kev pheej hmoo ntawm gout. Qhov no yog vim tias qib siab ntawm ketones tiv thaiv koj ob lub raum los ntawm kev ntxuav cov uric acid kom zoo. [ 14 ).
Tab sis ntawm no yog cov xov xwm zoo: Tom qab ob mus rau peb lub lis piam, koj hloov mus rau keto, thiab koj cov qib uric acid rov qab mus rau qhov qub. Qhov tseeb, ntawm kev noj zaub mov ketogenic, qhov kev pheej hmoo ntev ntawm gout ( ntsuas los ntawm qib uric acid) ua tau txo qis ( 15 ).
Rau ib yam, keto khaws koj cov qib insulin hauv kev txheeb xyuas. Thaum koj txwv tsis pub carbs ntawm cov khoom noj muaj roj ketogenic, koj cov ntshav qab zib nyob qis, thiab thaum koj cov ntshav qab zib qis, koj cov insulin nyob qis, thiab. Tsawg insulin, yog tias koj nco qab, pab koj ob lub raum tshem tawm cov uric acid.
Kuj tseem muaj lwm cov txheej txheem ntawm kev ua si. Ntawm kev noj zaub mov ketogenic, koj lub siab tsim cov ketones, nrog beta-hydroxybutyrate (BHB) yog qhov tseem ceeb tshaj plaws.
Tsis ntev los no, ib pab pawg neeg tshawb fawb Yale pom tias bhB txo qhov kev pheej hmoo ntawm gout flares hauv nas. BHB txo qhov mob los ntawm inhibiting ib feem ntawm lub cev tiv thaiv kab mob hu ua NLRP3 inflammasome, uas yuav txo tau qhov kev pheej hmoo ntawm kev tawm tsam gout.
Keto thiab gout: kab hauv qab
Ntau yam ua rau muaj kev pheej hmoo ntawm kev tsim mob gout. Lub cev qhuav dej, fructose, insulin tsis kam, thiab cawv ua rau muaj uric acid, uas ua rau lub cev muaj zog thiab thaum kawg gout.
Txhawm rau tiv thaiv kab mob gout, zam cov kev pheej hmoo no thiab sim kho kev noj zaub mov zoo li haus kas fes thiab noj cov vitamin C. Kuj xav txog ib qho kev tawm dag zog ib txwm ua kom koj cov tshuaj insulin rhiab heev.
Thaum kawg, thaum nws los txog kev pheej hmoo ntawm gout, tsis txhob txhawj txog kev noj rog thiab protein. Qab Zib (tshwj xeeb tshaj yog fructose) yog macro kom zam Kev noj zaub mov qis-carb ketogenic zoo li yog lub tswv yim zoo rau kev txo qis kev pheej hmoo ntawm gout. Yog xav paub ntxiv txog mus keto, mus saib peb Basic Keto Guide Yooj yim ua raws.