Keto na gout: nri Keto nwere ike inye aka mgbaama gout?

Ọ bụrụ na ị na-eri anụ, azụ, ma ọ bụ anụ akụkụ ahụ, ị ​​nwere ike ịnọ na-eche: nri ndị a na-enwe enyi na enyi na-eme ka ohere ịmepụta gout?

A sị ka e kwuwe, amamihe a na-emekarị na-ekwu na oriri protein dị elu na nri abụba dị elu na-akpata ọgụ gout.

Ọ bụ ezie na e nwere ezi uche n'azụ tiori a, ọ dị ntakịrị nyocha iji kwado njikọ dị n'etiti protein anụmanụ, oriri na-edozi ahụ dị elu, na ihe ize ndụ gout.

Otú ọ dị, e nwere ihe ndị ọzọ na-akpata gout, na iri nri dị elu bụ otu n'ime ụzọ kachasị mma isi gbochie ma ọ bụ belata gout.

Kedu ihe bụ gout?

Gout bụ ụdị ọrịa ogbu na nkwonkwo na-akpata site na mwube na-egbu mgbu nke kristal uric acid na nkwonkwo, akwara, na nsọtụ, karịsịa nkwonkwo aka na nnukwu mkpịsị ụkwụ.

Kristal uric acid na-etolite mgbe ọkwa uric acid dị n'ọbara ruru ọkwa dị elu nke ukwuu. A na-akpọ ọnọdụ a hyperuricemia, ọ bụkwa isi ihe na-egosi ihe ize ndụ gout.

Otú ọ dị, ọ dị mkpa iburu n'obi na gout dị obere: nanị 5% nke ndị nwere uric acid karịa 9 mg / dL (a na-ewere hyperuricemia) na-etolite gout.

Ọtụtụ narị afọ gara aga, a maara gout dị ka "ọrịa ndị eze" na "ọrịa ndị ọgaranya." Ọ tụgharịrị na ndị ọgaranya bụ naanị ndị nwere ike ị nweta shuga, bụ ihe ndekọ ugbu a nke ọma ihe ize ndụ maka gout.

Gout na-emetụta ihe dịka 1-4% nke ndị mmadụ (3-6% nke ụmụ nwoke na 1-2% nke ụmụ nwanyị). Gburugburu ụwa, mgbasa nke gout anọwo na-abawanye, ikekwe n'ihi omume iri nri na-akawanye njọ, enweghị mgbatị ahụ, na mmụba nke oke ibu na ọrịa metabolic. Ọ dịkwa ka enwere akụrụngwa mkpụrụ ndụ ihe nketa maka ihe egwu gout ( 1 ).

Iji gwọọ gout, ndị dọkịta na-enyekarị ọgwụ ọgwụ na-ebelata mmepụta uric acid, ma ọ bụ na-atụ aro nri nwere obere protein. Mana nchọpụta ọhụrụ na-eme ka a mata ihe na-akpata gout, ọ na-apụtakwa ìhè na e nwere ụzọ ka mma karịa igbutu protein iji wepụ gout.

Kedu ihe na-akpata gout?

Gout na-apụta mgbe kristal uric acid na-etolite n'ihi oke uric acid dị n'ọbara, na-ewuli elu n'anụ ahụ, na-ebute mgbu, ọzịza, ọbara ọbara na mbufụt. Iji kpochapụ gout, ịchọrọ iwetulata mmepụta uric acid gị.

Enwere ụfọdụ ndị na-eme mpụ na-akpali mmepụta uric acid:

protein na gout

Ndị dọkịta na-atụkarị aro na nri nwere obere protein, obere anụ maka gout.

Ihe kpatara ya bụ na ọtụtụ ebe protein nwere ogige a na-akpọ purines bụ ndị na-ebute uric acid.

Purine bụ ihe mejupụtara mkpụrụ ndụ ihe nketa na DNA na RNA, mgbe ị na-agbari purines, ahụ gị na-agbaji ha n'ime uric acid. Ebe kacha baa ọgaranya nke purines bụ anụ, azụ na anụ akụkụ ahụ.

Ozizi ahụ bụ na iwetulata oriri purine gị ga-ebelata ọkwa uric acid gị ma, n'aka nke ya, belata ihe ize ndụ nke gout.

Otú ọ dị, sayensị na protein oriri na gout agwakọta.

Dịka ọmụmaatụ, otu nnyocha nyocha jikọtara anụ na nri mmiri na-abawanye ohere nke gout. 2 ). Mana n'ime nyocha a na-achịkwa nke ọma, ndị nchọpụta chọpụtara na ọnwa isii nke protein dị elu, nri nwere obere carbohydrate belatara ọkwa uric acid na ndị sonyere 74 buru ibu ma ọ bụ buru ibu.

Ndị ode akwụkwọ kwubiri na "nri Atkins (nri protein dị elu na-enweghị mmachi caloric) nwere ike ibelata ọkwa [serum uric acid] n'agbanyeghị nnukwu ibu purine."

Ihe data ndị ọzọ na-egosi na ndị na-eri anụ anaghị enwe uric acid dị elu karịa ndị na-eri anụ, na-atụ aro na ihe ndị ọzọ dị n'ihe ize ndụ karịa nri protein.

Nnyocha e mere n'oge na-adịbeghị anya chọpụtara na mgbe ị na-eri nri nwere protein dị elu, akụrụ anaghị enwe nsogbu ịpụpụ uric acid ha na-emepụta site na purines.

N'ikwu ya n'ụzọ ọzọ, ọtụtụ purines na, karịa uric acid pụta ( 3 ). Ọ bụrụhaala na akụrụ gị na-arụ ọrụ nke ọma, protein adịghị ka ọ na-abawanye ohere nke gout.

mmiri ara ehi na gout

N'ihi na ngwaahịa mmiri ara ehi nwere protein (na purines), ụfọdụ na-eche na iri mmiri ara ehi, cheese, ma ọ bụ yogọt ga-eme ka ohere nke gout dịkwuo elu.

Ma n'ime nnukwu ọmụmụ ihe sochiri mmadụ 47.150 maka afọ 12, ndị nchọpụta chọpụtara ihe dị iche: Ejikọtara oriri mmiri ara ehi na ihe ize ndụ gout. Ọ bụ ezie na ọmụmụ ihe a egosighi ihe kpatara ya, ọ dị ka ngwaahịa mmiri ara ehi doro anya ma a bịa na gout.

sugar na dobe

Sugar nwere ike inye aka na gout karịa protein. Karịsịa, fructose, shuga nkịtị na mkpụrụ osisi na ọka sirop.

Fructose na-abawanye mmepụta uric acid, ebe n'otu oge ahụ na-egbochi mkpochapụ uric acid.

Imeju gị na-eme fructose dị iche karịa ka ọ na-eme shuga ndị ọzọ. Ọ bụrụ na imeju gị nwere fructose, ọ nwere ike igbochi protein metabolism ma mebie ATP (ike cellular).

Mgbe ATP gị dara, mmepụta uric acid gị na-abawanye ( 4 ) - na dịka ị gụrụ na mbụ, uric acid dị elu bụ ihe mbụ na-akpata ọrịa gout.

Ihe nke abụọ mere ị ga-eji zere fructose gụnyere mpụ nke uric acid. Mgbe ị na-eri ọtụtụ fructose n'ime ogologo oge, ị na-ebelata ike akụrụ gị iji wepụ uric acid.

Mana ọ bụghị naanị oriri na-adịghị ala ala, ọbụlagodi otu mkpụrụ fructose na-ebelata mkpochapụ uric. 5 ).

Ebe kachasị esi enweta fructose na nri nke oge a bụ nnukwu fructose ọka sirop. Ị ga-ahụ ya n'ihe niile site na mmanya dị nro ruo kuki ruo ọka. Mee ihe iji zere nnukwu fructose ọka sirop; ọ ga-adị gị mma ma ọ bụrụ na ọ bụghị ya.

insulin na gout

Sugar, fructose ma ọ bụ ihe ọzọ, na-abawanye ohere nke gout site n'ịgbanwe ọkwa insulin.

Mgbe ị na-eri oke shuga, ọkwa shuga ọbara gị na-ebili. Na nzaghachi, pancreas na-ewepụta insulin, nke gị Onye na-ahụ maka shuga ọbara, iji kpochapu oke shuga n'ọbara ma buru ya na sel gị, ebe enwere ike gbanwee ya ka ọ bụrụ ume (maka iji ya ozugbo) ma ọ bụ abụba (maka nchekwa ike).

Ma ọ bụrụ na ị na-eri ọtụtụ shuga mgbe niile, shuga ọbara gị na-adịwanye elu nke ukwuu, insulin na-akwụsịkwa iso mkpụrụ ndụ gị na-ekwurịta okwu nke ọma.

A maara dị ka insulin resistance (ma ọ bụ ọrịa metabolic syndrome), ọnọdụ a na-eme ka pancreas na-ewepụtakwu insulin ka ọ rụọ otu ọrụ ahụ.

Nnukwu insulin na-ekesa na-ebelata mkpochapụ uric acid ( 6 ). Iji mee ka gout kwụsịlata, ịkwesịrị ịma insulin. Ụzọ kachasị mma isi mee nke a bụ iwepụ shuga na nri gị.

mmanya na gout

Mmanya na-aba n'anya bụ isi ihe dị ize ndụ maka ịmalite gout, ọ na-emekwa ka ohere ị nweta ọgụ gout ma ọ bụrụ na ị nwere ọnọdụ ahụ.

N'ime nyocha a na-atụ anya ya, ndị nchọpụta gbasoro ndị ikom 47.150 na-enweghị akụkọ ihe mere eme nke gout maka afọ 12. Ha chọpụtara na ị drinkingụ biya, na n'ókè nke mmụọ, nwere njikọ siri ike na nke onwe ya na ihe egwu gout. N'ụzọ dị ịtụnanya, mmanya ahụ abụghị ( 7 ).

Otu ndị nchọpụta ọzọ jụrụ ajụjụ dị iche: Maka ndị na-arịa ọrịa gout, ruo n’ókè hà aṅaa ka ịṅụ mmanya na-aba n’anya na-amụba ohere ịwakpo gout ugboro ugboro?

Ha chọpụtara na ụdị mmanya ọ bụla, gụnyere mmanya, jikọtara ya na ihe ize ndụ dị ukwuu nke mgbawa gout n'ime awa 24 nke ịṅụ mmanya.

Otu esi ezere gout

Ịzere gout na-agbadata igbochi ihe ndị na-akpata ya akwara nke uric acid dị elu edepụtara na ngalaba gara aga. Anụ, abụba, na protein adịghị ka ọ na-enye aka na gout.

Kama, belata fructose na mmanya na-aba n'anya iji nọgide na-enwe ọkwa uric acid dị mma ma belata ihe ize ndụ nke gout. Enwere fructose na mkpụrụ osisi, mana isi iyi nke fructose bụ nnukwu sirop ọka fructose. Ọ bụrụ na ịchọrọ ime otu ihe iji belata ihe ize ndụ nke gout, wepụ sirop ọka fructose dị elu na nri gị.

Ihe ọzọ dị ize ndụ maka gout, ọrịa metabolic, jikọtara ya na oriri shuga. Ọ bụrụ na ị nwere ọrịa metabolic syndrome ma ọ bụ ụdị ọrịa shuga 2, ọbara shuga dị elu, insulin dị elu, oke ibu, na ọbara mgbali elu, ị nwere nnukwu ohere nke gout.

Idozi ọrịa metabolic syndrome na nguzogide insulin agaghị eme otu abalị. Mana nri ndị nwere obere carb (dị ka nri ketogenic) egosila idobe ya sugar n'ime ọbara, ha na-eme ka mmetụta insulin dịkwuo mma ma na-akpali mbelata ibu.

Nri ketogenic bụ nnukwu nhọrọ iji gbochie gout.

Ị ga-achọkwa ịnọrọ mmiri iji gbochie gout. Jide n'aka na ị na-aṅụ mmiri zuru oke. Mgbe mmiri gwụchara gị, ahụ gị na-akwụsị ịpụpụ uric acid, nke pụtara na kristal uric acid na-adịkarị na nkwonkwo gị.

N'ikpeazụ, ọgwụ ole na ole, nke ọtụtụ n'ime ha bụ diuretics nke nwere ike ịkpata akpịrị ịkpọ nkụ, ejikọtawo na ohere dị ukwuu nke gout. Ndị na-eme nchọpụta achọpụtakwala na aspirin dị obere nwere ike imebi ọrụ akụrụ ma metụta mkpochapụ uric acid.

Ihe ị ga-eme ma ọ bụrụ na ị nwere gout

Ihe mbụ ị ga-eme ma ọ bụrụ na ị nwere gout bụ ịhụ dọkịta. Ya ma ọ bụ ya nwere ike ịnye ọgwụ ndị a na-akpọ xanthine oxidase inhibitors iji wedata ọkwa uric acid gị.

E wezụga nke ahụ, ị ​​ga-achọ iche echiche banyere mgbanwe ndụ, karịsịa ma a bịa n'ihe gbasara nri na mgbatị ahụ.

Ihe ị ga-eri ma ọ bụrụ na ị nwere gout

E gosiputara ụfọdụ nri na mgbakwunye iji chebe megide gout ma nwee ike ibelata mgbaàmà gout. Ndị a gụnyere:

  • Vitamin C: Na-eme ka akụrụ na-aputakwu uric acid.8 ).
  • Mmanụ oliv
  • Mmiri ara ehi na ngwaahịa.
  • Cherries - egosila na ọ na-ebelata uric acid plasma n'ime ụmụ nwanyị. 9 ).
  • Mmiri ịnweta: na-egbochi nhazi nke kristal uric acid.10 ).
  • Kọfị: ịṅụ obere kọfị na-ebelata ọkwa uric acid.11 ).

mgbatị ahụ na gout

Na mgbakwunye na mmezi nri n'elu, usoro mmega ahụ mgbe niile nwekwara ike inye aka na gout.

Ihe omume:

  • Na-abawanye mmetụta insulin ma nwee ike melite ọrịa metabolic.12 ).
  • Na-ewepụ glycogen imeju, nke nwere uric acid na-akwalite fructose.
  • Na-egbochi hyperinsulinemia, nke nwere ike inye aka na mkpochapụ uric acid. 13 ).

Kedu maka nri ketogenic maka gout?

Nri ketogenic ọ na-abawanye ohere nke gout gị?

N'ime izu abụọ mbụ nke nri ketogenic, ị nwere ike ịhụ mmụba dị mkpirikpi n'ihe ize ndụ nke gout gị. Nke a bụ n'ihi na ọkwa dị elu nke ketone na-egbochi akụrụ gị ihichapụ uric acid nke ọma. [ 14 ).

Mana nke a bụ ozi ọma ahụ: Mgbe izu abụọ ma ọ bụ atọ gachara, ị na-eme mgbanwe maka keto, ọkwa uric acid gị na-alaghachikwa n'ọnọdụ nkịtị. N'ezie, na nri ketogenic, ihe egwu dị ogologo oge nke gout (nke ọkwa uric acid tụrụ) n'ezie mbelata ( 15 ).

Maka otu ihe, keto na-edobe ọkwa insulin gị. Mgbe ị na-amachibido carbohydrates na nri ketogenic nwere nnukwu abụba, shuga ọbara gị na-adị ala, na mgbe shuga ọbara gị dị ala, insulin gị na-adịkwa ala. Insulin dị ala, ọ bụrụ na ị cheta, na-enyere akụrụ gị aka iwepụ uric acid.

E nwekwara usoro ndị ọzọ na-egwu egwu. Na nri ketogenic, imeju gị na-emepụta ketones, yana beta-hydroxybutyrate (BHB) bụ ihe kacha mkpa.

N'oge na-adịbeghị anya, otu ndị nchọpụta Yale chọpụtara na bhB belatara ohere nke gout flares na oke. BHB na-ebelata mbufụt site na igbochi akụkụ nke usoro ahụ ji alụso ọrịa ọgụ a na-akpọ NLRP3 inflammasome, nke nwere ike ibelata ihe ize ndụ nke ọgụ gout.

Keto na gout: akara ala

Ọtụtụ ihe na-abawanye ohere nke ịmalite gout. akpịrị ịkpọ nkụ, fructose, insulin na-eguzogide, na mmanya na-abawanye uric acid, nke na-akpali imepụta kristal na-emecha gout.

Iji gbochie gout, zere ihe ndị a dị ize ndụ ma gbalịa gbanwee nri dị ka ịṅụ kọfị na ịṅụ vitamin C. Na-atụlekwa usoro mmega ahụ mgbe nile iji mee ka mmetụta insulin dịkwuo elu.

N'ikpeazụ, mgbe a bịara n'ihe ize ndụ gout, echegbula onwe gị maka iri abụba na protein. Sugar (karịsịa fructose) bụ nnukwu ihe iji zere nri ketogenic dị ala na-egosi na ọ bụ ezigbo atụmatụ ogologo oge maka ibelata ihe egwu gout. Iji mụtakwuo maka ịga keto, lelee anyị Ntuziaka Keto Basic Ọ dị mfe ịgbaso.

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