Gout is a disease associated with metabolism impairment when an excessive amount of uric acid accumulates in the body.Uric acid salt (sodium urate) begins to be deposited in the joints, leading to their inflammation and other organs.
In the risk zone are people who use in large quantities of meat, spicy dishes that abuse alcoholic beverages.Other factors related to the development of the disease may be obesity, a sedentary lifestyle, nervous stress, heredity.
To confirm the diagnosis, a blood test for uric acid content is performed.Protein is diagnosed in the urine.
Most often, gout affects the joints near the thumbs.In most cases, gout attacks appear at night or early in the morning.The acute period of the disease can last up to seven days.The disease is chronic with recurrent recurrences.
Over time, the attacks are increasingly repeated and more often the disease affects new joints and the bones can occur destructively.More than four years of patients, the dense yellowish tubercles have been formed under the joints for more than four years.From time to time these entities can burst, the whitish crumbs stand out from them.
A complication of gout may be the formation of kidney stones, hypertension, kidney colic, damage to the heart muscles and heart valves.
Gout diet
The gout diet involves the refusal to eat purine -saturated foods.In order to reduce the content of uric acid in the body, it is necessary to significantly limit the consumption of animal protein.
Some types of meat and fish, offal, yeast, caviar, mushrooms, legumes, chocolate should be excluded.50% of the purines are released into broth during cooking, so it is also not recommended to use broths.This applies to all broth (meat, fish, sponge).Simple carbohydrates and saturated fats also pose a certain danger.
When treating gout, it is important to eat regularly, do not starve or overeat.Fasting, such as excess nutrition, provokes the release of uric acid.In the presence of excess weight, an extremely sharp weight loss is undesirable.The food should be partial, at least five meals a day.
It is recommended that you organize fasting days in a week, fruits and vegetables.On the other days (2-3 times a week), the use of a small number of slender meat and fish products in cooked or baked form is allowed, and at the worsening stage they are completely excluded.
Gout requires the use of a sufficient amount of liquid, while canned, carbonated drinks should be avoided.Alcohol is strictly prohibited in all doses, including low alcohol drinks.It is recommended to drink alkaline mineral water, natural fruits and fruit juices (especially citrus fruits), composites and fruit drinks (especially cranberry and lingon blueberry), decoction of wound.
Water prevents the formation of kidney stones.Sugar is not added to drinks as sugar increases the level of insulin in the blood and this slows the excretion of uric acid.Cocoa, strong tea, coffee are limited due to their effects on the nervous system.You should drink at least 1 cup of liquid 4-5 times a day per hour before meals, the volume of the consumed fluid should be 2.5-3 liters per day.
This diet should be respected constantly, in case of exacerbation, the diet becomes tougher.
List of prohibited products
- Pork, lard;meat from young animals and parts of the carcass of animals that give adhesive broth (legs, cartilage, head);
- Broths (meat, fish, sponge), meat sauces, cold weather;
- Meat extracts (packet soups);
- Meat smoked meats;
- Offal (liver, heart, kidneys, brains) and offal dishes;
- Oily varieties of fish, salt and fried fish (with exacerbation);caviar;canned fish (sardines, drops, triggers);
- Salt and sharp varieties of cheese;
- Legumes (peas, beans, lentils, beans, soy);
- Cream, fermentation, yogurt;
- Spices and spices (mustard, horseradish, black pepper, ketchup, tomato paste), except for vinegar and bay leaf;
- Chocolate, cakes, cakes;
- Culinary and other fats of animal origin;
- Raspberries, figs, grapes and all grape derivatives (raisins, wine);
- Products made of hot and butter dough;
- Products containing preservatives.
A list of products whose content in the diet should be restricted
- Salt;
- Sausages;
- Boiled meat and fish.Preferences should be given to poultry, salmon, salmon, trout.They contain the unsaturated fatty acids required for fat metabolism);
- Cauliflower, beets, sorrel, spinach, asparagus, rhubarb, celery, parsley, green onions, black pepper, radish, radish, turnips, tomatoes;plums;
- Mushrooms (white, loads, champions);
- Oil;
- Salting and marinades;
- Strong tea, coffee, cocoa.
Outside of exacerbation, lean meat and fish can be included in the menu 2-3 times a week in boiled and steamed form.Chops, meatballs, souffle are made from boiled meat or fish.Meat, fish, vegetables can be cooked or baked.From time to time it is recommended to perform short -term monoditis or days of starvation: vegetables, fruits (1.5 kg of vegetables or fruits per day), cottage cheese (400 g of villa cheese and 500 ml of kefir).The day of unloading rice oil is useful: 75 g. The rice is boiled in 750 ml of milk, also boiled 250 g of apples without sugar (in the form of compote).Rice and apples are eaten during the day in three doses.
During exacerbations, meat and fish are completely excluded, and fasting days are stacked every other day.This alkalizes urine and increases the solidness of uric acid.
Recommended for consumption products
- Chicken, turkey, rabbit;
- Varieties with low fat from fish, seafood: squid, shrimp;
- Acidic products: yogurt: kefir, cottage cheese, low fat sour cream;
- Milk, adding it to cereals and drinks;
- Eggs, chicken and quail (with each culinary treatment, except frying), omelets;
- Bread made of rough flour, wheat and rye;
- Cereals, pasta (moderate);
- Nuts (hazelnuts, cedar, almonds, pistachios), seeds;
- Any dried fruits (except raisins), honey;
- Vegetables: white cabbage, cucumbers, zucchini, carrots, potatoes, eggplant, dill;freshly prepared vegetable caviar (zucchini, eggplant);
- Fruits: green apples, pears, citrus fruits, apricots, peaches, fruits (except raspberries), avocado, pineapples, watermelons;
- Of sweets: rose, marmalade, pastoral, sweet;
- From drinks: lemon tea, green tea, coffee with milk, decoction of police officer, fruit and vegetable juices, fruit drinks, compotes, kvass, mineral water;
- Vegetable oil (olive, linen).
For the former, you can prepare vegetarian soups: borscht, cabbage soup, oral soup, rural soup (with potatoes and cereals), milk soups.
With the exacerbation of the disease in the first days, only fluid is recommended, then the transition to a diet with milk.