Keto uye Gout: Ko Keto Diet Inogona Kubatsira Gout Zviratidzo?

Kana iwe ukadya nyama, hove, kana nyama yenhengo, iwe unogona kunge uchinetseka: izvi keto-hushamwari chikafu chinowedzera njodzi yako yekuvandudza gout?

Mushure mezvose, huchenjeri hwemazuva ose hunobata kuti kudya kweprotein uye kudya kwemafuta akawanda ndiko kunokonzera gout.

Kunyange zvazvo paine pfungwa dziri shure kweiyi dzidziso, pane tsvakiridzo shoma shoma yekutsigira kubatana pakati peprotein yemhuka, hutano hwakanyanya-mafuta kudya, uye gout njodzi.

Zvisinei, kune zvimwe zvinokonzera gout, uye kudya kudya kwepamusoro ndeimwe yenzira dzakanakisisa dzekudzivirira kana kubvisa gout.

Chii chinonzi gout?

Gout imhando yeArthritis inokonzerwa nekuvakwa kunorwadza kweuric acid makristasi mumajoini, tendon, uye kumucheto, kunyanya majoini emaoko nezvigunwe zvikuru.

Uric acid makristasi anoumba apo mazinga eropa euric acid anosvika pakakwirira zvisingaite. Ichi chirwere chinonzi hyperuricemia, uye ndicho chiratidzo chikuru chegout ngozi.

Zvisinei, zvakakosha kuziva kuti gout haiwanike: 5% chete yevanhu vane uric acid pamusoro pe9 mg/dL (inonzi hyperuricemia) vanoita gout.

Mazana emakore apfuura, gout yaizivikanwa se "chirwere chemadzimambo" uye "chirwere chemupfumi." Zvinoitika kuti vanhu vakapfuma ndivo chete vanhu vaigona kutenga shuga, ikozvino yakanyatso nyorwa ine ngozi yegout.

Gout inobata zvakapoteredza 1-4% yevanhu (3-6% yevarume uye 1-2% yevakadzi). Munyika yose, kupararira kwegout kwave kuchiwedzera, zvichida nekuda kwemaitiro ekudya ari kuramba achiwedzera, kushaikwa kwekurovedza muviri, uye kuwedzera kwehuwandu hwekufutisa uye metabolic syndrome. Ikoko kunoratidzika kunge kune genetic chikamu kune gout ngozi ( ¹ ).

Kurapa gout, vanachiremba vanowanzopa mishonga yemishonga inoderedza kugadzirwa kweuric acid, kana kupa zano rekudya rine mapuroteni mashoma. Asi tsvagiridzo nyowani iri kujekesa zvinokonzeresa gout, uye zviri kuve pachena kuti kune nzira dziri nani pane kucheka mapuroteni kuti abvise gout.

Chii chinokonzera gout?

Gout inoitika apo uric asidhi makristasi anoumba semhedzisiro yeuric acid yakawandisa muropa, inovaka mukubatana, uye kukonzera marwadzo, kuzvimba, kutsvuka, uye kuzvimba. Kuti ubvise gout, unoda kuderedza uric acid yako.

Pane zvishoma zvingangove zvinokonzeresa zvinofambisa kugadzirwa kweuric acid:

protein uye gout

Vanachiremba vanowanzokurudzira kudya kweprotein shoma, nyama shoma yegout.

Iko kufunga ndeyekuti mapuroteni akawanda ane makomisheni anonzi purines ayo ari precursors kune uric acid.

Purines inogadzira genetic zvinhu muDNA neRNA, uye kana iwe uchigaya mapurines, muviri wako unoaputsira pasi kuita uric acid. Nzvimbo dzakapfuma kwazvo dzepurines inyama, hove uye nyama yenhengo.

Dzidziso ndeyokuti kuderedza purine yako yekudya kunoderedza uric acid yako uye, zvakare, kuderedza ngozi yako yegout.

Nekudaro, sainzi yekudya kweprotein uye gout inosanganiswa.

Semuenzaniso, imwe ongororo yekuongorora yakabatanidza nyama uye kudya kwegungwa kune yakawedzera njodzi yegout ( ² ) Asi mune imwe ongororo yakadzorwa, vatsvakurudzi vakawana kuti mwedzi mitanhatu ye-high-protein, yakaderera-carb kudya yakanyatsodzikisa uric acid mazinga mu74 overweight kana vatori vechikamu.

Vanyori vakagumisa kuti "kudya kweAtkins (yakakwirira-protein kudya pasina caloric restriction) inogona kuderedza [serum uric acid] mazinga pasinei nekutakura purine yakawanda."

Imwe data inoratidza kuti vegans vane yakakwira uric acid mazinga pane vanodya nyama, zvichiratidza kuti zvakawanda zviri panjodzi pane kungodya mapuroteni.

Ongororo ichangoburwa yakawana kuti kana uchidya chikafu chine mapuroteni akawanda, itsvo dzako hadzina dambudziko rekuburitsa uric acid yadzinogadzira kubva kumapurines.

Mune mamwe mazwi, yakawanda purine mukati, yakawanda uric acid kunze ( ³ ) Chero bedzi itsvo dzako dzichishanda zvakanaka, mapuroteni haaratidzi kuwedzera njodzi yako yegout.

mukaka uye gout

Nemhaka yokuti zvinogadzirwa nemukaka zvine mapuroteni akawanda (uye mapurines), vamwe vanonetseka kuti kudya mukaka, chizi, kana yogati kuchawedzera njodzi yegout.

Asi mune chidzidzo chikuru chakatevera vanhu 47.150 kwemakore gumi nemaviri, vaongorori vakawana zvakapesana: Kunwiwa kwemukaka kwakange kwakabatana nengozi yegout. Kunyange chidzidzo ichi chisingaratidze chikonzero nemhedzisiro, zvinoita sekunge zvigadzirwa zvemukaka zviri pachena kana zvasvika kune gout.

shuga uye kudonha

Shuga ndiyo inonyanya kukonzera gout pane protein. Kunyanya, fructose, shuga yakajairika mumuchero uye sirasi yechibage.

Fructose inowedzera uric acid kugadzirwa, nepo panguva imwechete ichidzivirira uric acid clearance.

Chiropa chako chinogadzira fructose zvakasiyana pane zvinoita mamwe mashuga. Kana chiropa chako chakazara nefructose, chinogona kukanganisa mapuroteni metabolism uye kupedza ATP (simba remagetsi).

Kana ATP yako yadonha, kugadzirwa kwako uric acid kunowedzera ( ⁴ ) - uye sezvawakamboverenga, high uric acid ndiyo nhamba yekutanga yengozi yegout.

Chikonzero chechipiri chekudzivisa fructose chinosanganisira kubuda kweuric acid. Paunodya yakawanda fructose kwenguva refu, unoderedza kugona kweitsvo dzako kubvisa uric acid.

Asi haisi kungogara kusingaperi, kunyange dhodhi imwe chete yefructose inoderedza uric clearance. ⁵ ).

Iyo inonyanya kuwanikwa yefructose mukudya kwemazuva ano ndeyepamusoro fructose corn syrup. Iwe uchazviwana mune zvese kubva kune zvinwiwa zvinyoro kusvika kukiki kusvika kuzviyo. Ita pfungwa yekudzivisa high fructose corn syrup; uchanzwa zviri nani kana usina.

insulin uye gout

Shuga, fructose kana neimwe nzira, inowedzerawo gout njodzi nekugadzirisa insulin mazinga.

Paunodya shuga yakawanda, shuga yako yeropa inokwira. Mukupindura, pancreas yako inoburitsa insulin, yako blood Sugar Controller, kuti uchenese shuga yakawandisa muropa uye uende nayo kumasero ako, iyo inogona kuchinjwa kuva simba (kuti ishandiswe pakarepo) kana mafuta (yekuchengetedza simba).

Asi kana ukadya shuga yakawanda nguva nenguva, shuga yako yomuropa inoramba yakakwirira, uye insulin inomira kukurukura nemasero ako zvinobudirira.

Inozivikanwa se insulin resistance (kana metabolic syndrome), chirwere ichi chinoita kuti pancreas ipombe insulin yakawanda kuti iite basa rimwe chete.

Yakakwira yekutenderera insulin inoderedza uric acid clearance ( ⁶ ) Kuti uchengetedze gout, iwe unofanirwa kugara uchifunga nezve insulin. Nzira yakanakisisa yekuita izvi ndeyekubvisa shuga kubva pakudya kwako.

doro uye gout

Doro chinhu chakanyatsogadziriswa chengozi yekukura gout, uye inowedzera njodzi yako yegout attack kana iwe uchinge uine chirwere chacho.

Muchidzidzo chinotarisirwa, vatsvakurudzi vakatevera varume ve47.150 vasina nhoroondo yegout kwemakore gumi nemaviri. Vakaona kuti kunwa doro, uye pamwero mudiki midzimu, kwaibatanidza zvakasimba uye zvakasununguka nengozi yegout. Zvinoshamisa kuti waini yakanga isiri ( ⁷ ).

Rimwe boka revatsvakurudzi rakabvunza mubvunzo wakasiyana: Kune avo vanotova nechirwere chegout, kusvika pamwero wakadini kunwa doro kunowedzera njodzi yekudzokorora gout?

Vakaona kuti marudzi ose edoro, kusanganisira waini, akabatanidzwa nengozi yakawedzerwa yegout flare mukati memaawa 24 ekunwa.

Nzira yekudzivirira gout

Kudzivisa gout kunosvika pakudzikamisa zvikonzero reales yeuric acid yakakwira yakanyorwa muchikamu chapfuura. Nyama, mafuta, uye mapuroteni anoita seasina kupa zvakawanda kugout.

Pane kudaro, cheka fructose uye doro kuchengetedza hutano uric acid mazinga uye kuderedza njodzi yako yegout. Kune fructose mumuchero, asi iyo huru inobva kune fructose ndeyepamusoro fructose corn syrup. Kana iwe uchida kuita chinhu chimwe kuti uderedze njodzi yako yegout, bvisa yakakwira-fructose sirasi yezviyo kubva pakudya kwako.

Imwe njodzi inokonzeresa gout, metabolic syndrome, inobatanidzwawo nekushandisa shuga. Kana uine metabolic syndrome kana Type 2 chirwere cheshuga, shuga yakakwira muropa, insulin yakakwira, kufutisa, uye kukwira kweropa, une njodzi yakanyanya yegout.

Kugadzirisa metabolic syndrome uye insulin kuramba hazviitike nehusiku humwe. Asi kudya kwakaderera-carb (zvakadai se ketogenic diet) zvakaratidzwa kuchengetedza shuga muropa, vanovandudza insulin senitivity uye vanokurudzira kuora muviri.

Iyo ketogenic kudya isarudzo huru yekudzivirira gout.

Iwe zvakare uchada kugara hydrated kudzivirira gout. Iva nechokwadi chokuti wanwa mvura yakakwana. Paunenge wapererwa nemvura, muviri wako unomira kuburitsa uric acid, zvinoreva kuti uric acid makristasi anogona kuumba mumajoini ako.

Pakupedzisira, mishonga shomanana, yakawanda yacho diuretics inogona kukonzera kupera simba, yakabatanidzwa kune ngozi yekuwedzera gout. Uye vaongorori vakawanawo kuti yakaderera-dose aspirin inogona kukanganisa itsvo kushanda uye kukanganisa uric acid clearance.

Zvaunofanira kuita kana uine gout

Chinhu chekutanga chaunofanira kuita kana uine gout kuona chiremba. Anogona kupa mishonga inonzi xanthine oxidase inhibitors kuderedza uric acid yako.

Kupfuura izvozvo, iwe unozofanirwa kufunga nezve shanduko yemararamiro, kunyanya kana zvasvika pakudya uye kurovedza muviri.

Chii chaunodya kana uine gout

Zvimwe zvekudya uye zvekuwedzera zvakaratidzwa kudzivirira kubva gout uye zvinogona kuderedza zviratidzo zvegout. Izvi zvinosanganisira:

• Vitamin C: Inoita kuti itsvo dzibudise yakawanda uric acid.⁸ ).
• Mafuta omuorivhi
• Zvigadzirwa zvemukaka.
• Cherries - yakaratidzwa kuderedza plasma uric acid muvakadzi ( ⁹ ).
• Mineral water: inodzivisa kuumbwa kweuric acid crystals.¹⁰ ).
• Kofi: kunwa zvine mwero kofi kunoderedza uric acid.¹¹ ).

kurovedza muviri uye gout

Mukuwedzera kune kugadziriswa kwezvokudya pamusoro apa, purogiramu yenguva dzose yekurovedza muviri inogonawo kubatsira negout.

Dzidzira:

• Inowedzera insulin senzwi uye inogona kuvandudza metabolic syndrome.¹² ).
• Inobvisa chiropa glycogen, iyo ine uric acid-inosimudzira fructose.
• Inodzivirira hyperinsulinemia, iyo inogona kubatsira nekubvisa uric acid ( ¹³ ).

Zvakadini nezve ketogenic kudya kwegout?

Ko ketogenic diet inowedzera ngozi yako yegout?

Mumavhiki maviri ekutanga ezvokudya zve ketogenic, unogona kuona kuwedzera kwenguva pfupi mungozi yegout. Izvi zvinodaro nekuti mazinga epamusoro emaketone anodzivirira itsvo dzako kubva pakuchenesa uric acid zvakanaka. [ ¹⁴ ).

Asi heino nhau dzakanaka: Mushure memavhiki maviri kusvika matatu, iwe unojairana neketo, uye mazinga ako euric acid anodzokera kune zvakajairika. Saizvozvo, pakudya kwe ketogenic, njodzi yenguva refu yegout (inoyerwa nemazinga euric acid) chaizvo inoderera ( ¹⁵ ).

Kune chimwe chinhu, keto inochengetedza mazinga e insulin yako. Paunorambidza carbs pa-high-fat ketogenic diet, shuga yako yeropa inoramba yakaderera, uye kana shuga yako yeropa inoramba yakaderera, insulini yako inoramba yakaderera, zvakare. Insulin yakaderera, kana uchirangarira, inobatsira itsvo dzako kubvisa uric acid.

Kunewo mamwe maitiro ari kutamba. Pakudya kwe ketogenic, chiropa chako chinogadzira ketoni, ine beta-hydroxybutyrate (BHB) inonyanya kukosha.

Munguva pfupi yapfuura, boka revatsvagiri veYale rakaona kuti bhB yakaderedza njodzi yegout flares mumakonzo. BHB inoderedza kuzvimba nekuvharisa chikamu che immune system inonzi NLRP3 inflammasome, iyo inogona kuderedza njodzi yekurwisa gout.

Keto uye gout: iyo yakakosha

Zvinhu zvakawanda zvinowedzera mukana wekuita gout. Kupera kwemvura, fructose, insulin kuramba, uye doro zvinowedzera uric acid, iyo inofambisa kuumbwa kwekristaro uye pakupedzisira gout.

Kuti udzivise gout, dzivisa izvi zvinokonzerwa nengozi uye edza kugadzirisa kudya kwakafanana nekunwa kofi uye kutora vitamini C. Uyewo funga nezvepurogiramu yenguva dzose yekurovedza muviri kuti uwedzere insulin yako senitivity.

Pakupedzisira, kana zvasvika panjodzi yegout, usanetseka nezvekudya mafuta uye mapuroteni. Shuga (kunyanya fructose) ndiyo macro kudzivirira A low-carb ketogenic diet inoratidzika seyakanaka kwenguva refu nzira yekuderedza gout ngozi. Kuti udzidze zvakawanda nezvekuenda keto, tarisa yedu Basic Keto Guide Zviri nyore kutevera.