Keto ndi Gout: Kodi Zakudya za Keto Zingathandize Zizindikiro za Gout?

Ngati mumadya nyama, nsomba, kapena nyama zamagulu, mwina mumadzifunsa kuti: Kodi zakudya zokomera keto izi zimawonjezera chiopsezo chanu chokhala ndi gout?

Kupatula apo, nzeru zodziwika bwino zimanena kuti kudya zakudya zomanga thupi komanso kudya mafuta ambiri ndizomwe zimayambitsa matenda a gout.

Ngakhale pali zomveka kumbuyo kwa chiphunzitsochi, pali kafukufuku wochepa wochirikiza kugwirizana pakati pa mapuloteni a nyama, kudya kwamafuta ambiri, ndi chiopsezo cha gout.

Komabe, palinso zifukwa zina zomwe zimayambitsa gout, ndipo kudya zakudya zapamwamba ndi njira imodzi yabwino kwambiri yopewera kapena kuthetsa gout.

Kodi gout ndi chiyani?

Gout ndi matenda a nyamakazi omwe amayamba chifukwa cha kuchulukana kowawa kwa uric acid m'malo olumikizirana mafupa, minyewa, ndi malekezero, makamaka m'manja ndi zala zazikulu zakumapazi.

Makristalo a uric acid amapangidwa pamene milingo ya uric acid m'mwazi ifika pamlingo wapamwamba kwambiri. Matendawa amatchedwa hyperuricemia, ndipo ndiye chizindikiro chachikulu cha chiwopsezo cha gout.

Komabe, ndikofunika kuzindikira kuti gout ndi yosowa kwambiri: 5% yokha ya anthu omwe ali ndi uric acid pamwamba pa 9 mg/dL (wotchedwa hyperuricemia) amayamba gout.

Zaka mazana angapo zapitazo, gout ankadziwika kuti "matenda a mafumu" ndi "matenda a munthu wolemera." Zikuoneka kuti anthu olemera anali anthu okhawo omwe angakwanitse kugula shuga, zomwe tsopano zalembedwa bwino za chiopsezo cha gout.

Gout imakhudza pafupifupi 1-4% ya anthu (3-6% ya amuna ndi 1-2% ya akazi). Padziko lonse lapansi, anthu odwala matenda a gout akuchulukirachulukira, mwina chifukwa cha kuipiraipira kwa kadyedwe, kusachita masewera olimbitsa thupi, komanso kukwera kwa kunenepa kwambiri komanso metabolic syndrome. Zikuonekanso kuti pali chibadwa cha chiwopsezo cha gout ( ¹ ).

Pofuna kuchiza gout, madokotala nthawi zambiri amapereka mankhwala omwe amachepetsa kupanga uric acid, kapena amalimbikitsa zakudya zopanda mapuloteni. Koma kafukufuku watsopano akuwunikira zomwe zimayambitsa gout, ndipo zikuwonekeratu kuti pali njira zabwinoko kuposa kudula mapuloteni kuti achotse gout.

Kodi gout imayambitsa chiyani?

Gout imachitika pamene makhiristo a uric acid amapangidwa chifukwa cha kuchuluka kwa uric acid m'magazi, kumangika mu minofu yolumikizana, ndikuyambitsa kupweteka, kutupa, kufiira, ndi kutupa. Kuti muchotse gout, mukufuna kuchepetsa kuchuluka kwa uric acid.

Pali zifukwa zingapo zomwe zimayambitsa kupanga uric acid:

mapuloteni ndi gout

Madokotala nthawi zambiri amalangiza zakudya zopanda mapuloteni, nyama zochepa za gout.

Lingaliro ndiloti magwero ambiri a mapuloteni amakhala ndi mankhwala otchedwa purines omwe amatsogolera ku uric acid.

Ma Purines amapanga ma genetic mu DNA ndi RNA, ndipo mukagaya ma purines, thupi lanu limawaphwanya kukhala uric acid. Ma purines olemera kwambiri ndi nyama, nsomba ndi nyama zamagulu.

Lingaliro ndiloti kuchepetsa kudya kwanu kwa purine kumachepetsa milingo ya uric acid ndipo, kumachepetsa chiopsezo cha gout.

Komabe, sayansi pazakudya zama protein ndi gout imasakanikirana.

Mwachitsanzo, kafukufuku wina wowunikira anagwirizanitsa kudya nyama ndi nsomba zam'madzi ku chiopsezo chowonjezeka cha gout ( ² ). Koma mu kafukufuku wolamulidwa kwambiri, ofufuza adapeza kuti miyezi isanu ndi umodzi ya zakudya zokhala ndi mapuloteni ambiri, otsika kwambiri a carb kwenikweni adatsitsa uric acid mu 74 olemera kwambiri kapena olemera kwambiri omwe atenga nawo mbali.

Olembawo adatsimikiza kuti "zakudya za Atkins (zakudya zokhala ndi mapuloteni ambiri popanda zoletsa za caloric) zimatha kuchepetsa milingo ya [serum uric acid] ngakhale kuti purine imadzaza kwambiri."

Zambiri zikuwonetsa kuti nyama zamasamba zimakhala ndi uric acid wambiri kuposa odya nyama, zomwe zikuwonetsa kuti pali zambiri zomwe zili pachiwopsezo osati kungodya zomanga thupi.

Kafukufuku waposachedwapa wapeza kuti mukamadya zakudya zokhala ndi mapuloteni ambiri, impso zanu sizikhala ndi vuto lotulutsa uric acid yomwe imapanga kuchokera ku purine.

M'mawu ena, purines kwambiri, uric acid amatuluka. ³ ). Malingana ngati impso zanu zikugwira ntchito bwino, mapuloteni sakuwoneka kuti akuwonjezera chiopsezo cha gout.

mkaka ndi gout

Chifukwa chakuti mkaka uli ndi mapuloteni ambiri (ndi ma purines), ena amada nkhawa kuti kudya mkaka, tchizi, kapena yogati kungawonjezere chiopsezo cha gout.

Koma mu kafukufuku waukulu womwe unatsatira anthu 47.150 kwa zaka 12, ofufuza anapeza zosiyana: Kumwa mkaka kunali kosagwirizana ndi chiopsezo cha gout. Ngakhale kuti kafukufukuyu sakutsimikizira chifukwa ndi zotsatira zake, zikuwoneka kuti mkaka umakhala womveka bwino pankhani ya gout.

shuga ndi dontho

Shuga ndi amene amathandizira kwambiri ku gout kuposa mapuloteni. Makamaka, fructose, shuga wamba mu zipatso ndi chimanga manyuchi.

Fructose imawonjezera kupanga kwa uric acid, pomwe nthawi yomweyo imalepheretsa chilolezo cha uric acid.

Chiwindi chanu chimagwiritsa ntchito fructose mosiyana ndi shuga wina. Ngati chiwindi chanu chadzaza ndi fructose, imatha kusokoneza kagayidwe ka mapuloteni ndikuchotsa ATP (mphamvu zama cell).

Pamene ATP yanu ikutsika, uric acid yanu imachuluka ( ⁴ ) - ndipo monga mwawerenga kale, kuchuluka kwa uric acid ndizomwe zimayambitsa matenda a gout.

Chifukwa chachiwiri chopewera fructose ndikutulutsa uric acid. Mukadya fructose wambiri pakapita nthawi, mumachepetsa mphamvu ya impso zanu kuchotsa uric acid.

Koma sikuti kumangodya nthawi zonse, ngakhale mlingo umodzi wa fructose umachepetsa uric chilolezo. ⁵ ).

Gwero lodziwika bwino la fructose muzakudya zamakono ndi manyuchi a chimanga a fructose. Mupeza mu chilichonse kuyambira zakumwa zozizilitsa kukhosi mpaka makeke mpaka chimanga. Onetsetsani kuti mupewe madzi a chimanga a fructose; mukumva bwino popanda izo.

insulin ndi gout

Shuga, fructose kapena ayi, amawonjezeranso chiwopsezo cha gout poyendetsa milingo ya insulin.

Mukadya shuga wambiri, shuga wanu wam'magazi amakwera. Zotsatira zake, kapamba wanu amatulutsa insulini yanu shuga wowongolera magazi, kukolopa shuga wochuluka m'magazi ndikupita nawo ku maselo anu, komwe angasinthidwe kukhala mphamvu (kuti agwiritse ntchito nthawi yomweyo) kapena mafuta (osungira mphamvu).

Koma ngati mumadya shuga wambiri nthawi zonse, shuga wanu wam'magazi amakhala wokwera kwambiri, ndipo insulini imasiya kulankhulana bwino ndi maselo anu.

Matendawa amadziwika kuti insulin resistance (kapena metabolic syndrome), matendawa amachititsa kuti kapamba azitulutsa insulin yambiri kuti igwire ntchito yomweyo.

Kuchuluka kwa insulin yozungulira kumachepetsa kuchotsedwa kwa uric acid ( ⁶ ). Kuti muchepetse gout, muyenera kukhala osamala ndi insulin. Njira yabwino yochitira izi ndikuchotsa shuga muzakudya zanu.

mowa ndi gout

Mowa ndi chinthu chodziwikiratu choyambitsa matenda a gout, ndipo umawonjezeranso chiopsezo chokhala ndi gout ngati muli ndi matendawa.

Pa kafukufuku woyembekezeredwa, ofufuza adatsata amuna 47.150 omwe alibe mbiri ya gout kwa zaka 12. Iwo adapeza kuti kumwa mowa, komanso mizimu yocheperako, kumagwirizana kwambiri ndi chiopsezo cha gout. Chodabwitsa, vinyo sanali ( ⁷ ).

Gulu lina la ofufuza linafunsa funso losiyana: Kwa iwo omwe ali kale ndi gout, kodi kumwa mowa kumawonjezera chiopsezo cha matenda a gout mobwerezabwereza?

Iwo anapeza kuti mitundu yonse ya mowa, kuphatikizapo vinyo, imagwirizanitsidwa ndi chiopsezo chowonjezereka cha gout flare mkati mwa maola 24 akumwa.

Momwe mungapewere gout

Kupewa gout kumabwera ndikuchepetsa zomwe zimayambitsa zenizeni kuchuluka kwa uric acid zomwe zatchulidwa m'gawo lapitalo. Nyama, mafuta, ndi mapuloteni sizikuwoneka kuti zimathandizira kwambiri ku gout.

M'malo mwake, chepetsani fructose ndi mowa kuti mukhale ndi thanzi la uric acid ndikuchepetsa chiopsezo cha gout. Muli fructose mu zipatso, koma gwero lalikulu la fructose ndi madzi a chimanga a fructose. Ngati mukufuna kuchita chinthu chimodzi kuti muchepetse chiopsezo cha gout, chotsani madzi a chimanga a fructose pazakudya zanu.

Chiwopsezo china cha gout, metabolic syndrome, chimalumikizidwanso ndi kumwa shuga. Ngati muli ndi matenda a kagayidwe kachakudya kapena matenda a shuga a mtundu wa 2, shuga wambiri m'magazi, insulini yambiri, kunenepa kwambiri, komanso kuthamanga kwa magazi, muli ndi chiopsezo chachikulu cha gout.

Kukonza kagayidwe kachakudya ndi insulin kukana sizichitika mwadzidzidzi. Koma zakudya zochepa zama carb (monga zakudya za ketogenic) zasonyezedwa kuti zisunge shuga m'magazi, amathandizira chidwi cha insulin ndikuchepetsa thupi.

Zakudya za ketogenic ndi njira yabwino yopewera gout.

Mudzafunanso kukhalabe ndi hydrate kuti muteteze gout. Onetsetsani kuti mwamwa madzi okwanira. Mukakhala wopanda madzi m'thupi, thupi lanu limasiya kutulutsa uric acid, zomwe zikutanthauza kuti makristalo a uric acid amatha kupanga mafupa anu.

Potsirizira pake, mankhwala ochepa, ambiri mwa iwo okodzetsa omwe angayambitse kutaya madzi m'thupi, amagwirizanitsidwa ndi chiopsezo chowonjezeka cha gout. Ndipo ofufuza apezanso kuti aspirin yocheperako imatha kusokoneza ntchito ya impso komanso kusokoneza chilolezo cha uric acid.

Zoyenera kuchita ngati muli ndi gout

Chinthu choyamba chimene muyenera kuchita ngati muli ndi gout ndikuwonana ndi dokotala. Akhoza kukupatsani mankhwala otchedwa xanthine oxidase inhibitors kuti muchepetse uric acid yanu.

Kupitirira apo, muyenera kuganizira za kusintha kwa moyo, makamaka pankhani ya zakudya ndi masewera olimbitsa thupi.

Zoyenera kudya ngati muli ndi gout

Zakudya zina ndi zowonjezera zasonyezedwa kuti zimateteza ku gout komanso kuchepetsa zizindikiro za gout. Izi zikuphatikizapo:

• Vitamini C: Amapangitsa impso kutulutsa uric acid wambiri.⁸ ).
• Mafuta a azitona
• Zogulitsa mkaka.
• Ma Cherries - awonetsedwa kuti amachepetsa plasma uric acid mwa amayi ( ⁹ ).
• Madzi amchere: amalepheretsa mapangidwe a uric acid makhiristo.¹⁰ ).
• Khofi: Kumwa khofi pang'ono kumachepetsa kuchuluka kwa uric acid.¹¹ ).

masewera olimbitsa thupi ndi gout

Kuphatikiza pa kusintha kwa zakudya zomwe zili pamwambapa, pulogalamu yolimbitsa thupi nthawi zonse ingathandizenso ndi gout.

Zolimbitsa thupi:

• Imawonjezera chidwi cha insulin ndipo imatha kusintha metabolic syndrome.¹² ).
• Imachotsa glycogen m'chiwindi, yomwe imakhala ndi uric acid-imalimbikitsa fructose.
• Imalepheretsa hyperinsulinemia, yomwe imathandizira kuchotsa uric acid ( ¹³ ).

Nanga bwanji zakudya za ketogenic za gout?

Kodi zakudya za ketogenic zimawonjezera chiopsezo chanu cha gout?

Pamasabata awiri oyambirira a zakudya za ketogenic, mukhoza kuona kuwonjezeka kwafupipafupi kwa chiopsezo cha gout. Izi ndichifukwa choti kuchuluka kwa matupi a ketone kumalepheretsa impso zanu kutsuka bwino uric acid. [ ¹⁴ ).

Koma nkhani yabwino ndi iyi: Pakatha milungu iwiri kapena itatu, mumazolowera keto, ndipo uric acid yanu imabwereranso mwakale. Pamenepo, pazakudya za ketogenic, chiopsezo chanthawi yayitali cha gout (choyesedwa ndi milingo ya uric acid) kwenikweni amachepetsa ( ¹⁵ ).

Chifukwa chimodzi, keto imasunga milingo ya insulin yanu. Mukaletsa ma carbs pazakudya zamafuta ambiri a ketogenic, shuga wamagazi anu amakhala otsika, ndipo shuga wamagazi akatsika, insulini yanu imakhalabe yotsika. Insulin yochepa, ngati mukukumbukira, imathandizira impso zanu kuchotsa uric acid.

Palinso njira zina zomwe zimasewera. Pazakudya za ketogenic, chiwindi chanu chimapanga ketoni, ndi beta-hydroxybutyrate (BHB) kukhala yofunika kwambiri.

Posachedwapa, gulu la ofufuza a Yale linapeza kuti bhB inachepetsa chiopsezo cha gout flares mu makoswe. BHB imachepetsa kutupa mwa kulepheretsa mbali ya chitetezo cha mthupi yotchedwa NLRP3 inflammasome, yomwe ingachepetse chiopsezo cha gout.

Keto ndi gout: mfundo yofunika

Zinthu zambiri zimawonjezera chiopsezo chokhala ndi gout. Kuperewera kwa madzi m'thupi, fructose, insulin kukana, ndi mowa kumawonjezera uric acid, yomwe imapangitsa kupanga makristalo ndipo pamapeto pake gout.

Pofuna kupewa gout, pewani zinthu zowopsazi ndipo yesani kusintha zakudya monga kumwa khofi ndi kumwa vitamini C. Ganiziraninso pulogalamu yolimbitsa thupi nthawi zonse kuti muwonjezere chidwi chanu cha insulin.

Pomaliza, zikafika pachiwopsezo cha gout, musade nkhawa za kudya mafuta ndi mapuloteni. Shuga (makamaka fructose) ndi macro kuti musapewe Zakudya zochepa za carb ketogenic zikuwoneka ngati njira yabwino yanthawi yayitali yochepetsera chiopsezo cha gout. Kuti mudziwe zambiri za keto, onani wathu Basic Keto Guide Zosavuta kutsatira.