treatment of joints and spine
?Despite the impressive list of restrictions, there are many tasty and healthy dishes.?
?kefir-curd. In this case, you are allowed to drink half a liter of kefir and half a kilo of cottage cheese (only low-fat) per day.?
The most optimal diet for this disease is a vegetarian diet. These are fermented milk products, milk and vegetable soups, fruit compotes.? ?One day a week (at least) should be a fasting day.? ?Separately, we should talk about nutrition during an exacerbation of gout. In these cases, first of all, one cannot do without drug therapy and bed rest. The diet then completely excludes any meat products, and the diet is composed mainly of liquid food. It is necessary for the patient to drink at least a couple of liters of fluid per day.?
?When gouty nephropathy is observed, the diet is adjusted taking into account how affected the kidneys are and how they function.?
?can only help cope with attacks of illness;?
?If we take into account the normal state, then male blood serum contains from 0.18 to 0.53 mmol per liter of uric acids. If we talk about female blood serum, then the indicators range from 0.15 to 0.45 mmol per liter. In addition, it should be remembered that it is possible for the disease to occur without symptoms of hyperuricemia and vice versa. In a healthy state, the secretion of uric acids and their subsequent synthesis turn out to be very balanced processes.?
?4) You can’t go hungry or overeat. You need to eat food little by little, 4-5 times a day.?
?Whole grain cereals help relieve the condition of people suffering from gout and make up a significant part of their diet. Patients need to know: oatmeal can only be eaten in small quantities.?
?It is imperative to regulate the amount of salt added to food. Gout is always a disorder of salt metabolism in the body. Therefore, the amount of salt that is added to food should be strictly limited.?
?What happens when a diseased joint is destroyed?
?Such nutrition promotes the solubility of uric acid and alkalinization of urine.?
?Only dietary meat is allowed. It could be rabbit, chicken or turkey. You can eat boiled fish, but only low-fat varieties. Shrimp and squid are allowed. Can you eat eggs - chicken and quail?
On a fasting day, you can eat fresh fruits or vegetables. They can be eaten boiled or raw. The main thing is not to add salt.?
A disease such as gout appears due to increased accumulation of uric acid salts in the body. Attacks mostly occur suddenly, most often occurring at night.?
?You need to know: if you have gout, even if the disease develops gradually, you should not eat lard, offal, or the meat of young animals. A small portion of sausage, smoked meat or fish can immediately trigger a gout attack. The list of prohibited foods includes all types of fatty and salty cheeses.?
?Gout is a disease that cannot be completely cured. A person suffering from this disease should know: if he wants to preserve his health and make attacks of gouty arthritis less prolonged and painful, he must take care not only of taking medications correctly, but also of nutrition. There is a list of foods that you should not eat if you have gout.?
?The products that are prohibited for consumption will be listed below.?
?Very healthy dishes include low-fat cottage cheese, as well as low-fat varieties of cheese. You can eat pasta and various cereals. Porridge should be cooked in milk diluted with water. It is better not to overuse whole milk.?
Another rule for a fasting day is to eat only one type of fruit or vegetable. If it's apples, then only apples, and if it's baked potatoes, then only baked potatoes.?
?An attack of the disease is characterized by the following symptoms:?
?Among bread products, you can use wheat and rye, ground bran, but limit the consumption of baked goods. Meat, as already mentioned, is consumed boiled, as well as lean, and then in small quantities. The seafood consumed should not be fish, but you should not try smoked meats with sausages or canned food.? ?Since the diet limits proteins, the energy value of the nutritional diet can be brought to a normal level by increasing the amount of carbohydrates consumed.?
?If large amounts of uric acids are found in human blood, this can be considered as a kind of adaptation of the body to the fact that it lacks vitamin C. It is even believed that more uric acids, which act as antioxidants, contribute to human longevity (compared to with the same representatives of lower mammals).?
?If you have gout, you need to avoid or significantly limit foods containing purine bases in your diet. Below is a table of foods you should avoid:?
?Proper nutrition involves significant limitation of products that contain a large amount of purines. In addition, it is good when such products contain a lot of oxalic acid. Eating the same meat is allowed after boiling, since almost 60% of harmful elements end up in the broth. This is why broths with sauces are strictly prohibited for gout patients.?
It turns out that achieving longevity is surprisingly combined with the threat of developing diseases that are caused by impaired metabolism of elements such as purines and the accumulation of uric acids. Do not forget that the same gout often appears due to a hereditary predisposition in those people who regularly consume meat. However, the accumulation of uric acids in the human body is possible even without meat products.?
Nutrition for gout in the legs is an issue that should be given special attention to avoid frequent hyperuricemia. The reason for the increase in uric acids in the bloodstream may be the excessive administration of the same purines along with food, if the diet is constructed incorrectly or is not followed at all. Other reasons include increased endogenous synthesis of purines and processes of enhanced nucleotide catabolism. Sometimes all these factors can combine and cause hyperuricemia.?
?For people suffering from gouty arthritis, proper nutrition is vital.?
?Meat, fish, and mushroom broths should be excluded from the diet.?
?You should limit your consumption of radishes, peppers, celery, rhubarb, spinach, asparagus and cauliflower. You can eat greens, but parsley and green onions - in small quantities.?
?One of the possible options for a fasting day is to eat apples with rice. You just need to cook the rice correctly:?
Foods for gout also include vegetables with the exception of mushrooms, legumes, sorrel, Brussels sprouts, cauliflower, purslane. There should be certain restrictions with the consumption of pickled vegetables.?
?To remove uric acids from the human body, it is necessary to excrete up to 1.5 liters of urine per day. Therefore, you should drink plenty of fluids (if not contraindicated due to heart and kidney diseases) and you need to drink at least a couple of liters per day.?
?Don't forget about the need for continuous therapy during gout. This means constant adherence not only to drug therapy, but also to the chosen diet. For example, you need to know that a lot of purines are found in meat and fish products. Quite a large number of them are found inside meat by-products (we are talking about brains, kidneys, liver). That is why meals for gout, as a rule, should not be composed of the above products.?
?Gout can be primary or secondary. The first option involves the frequent detection of various enzyme defects that are genetically determined and involved in purine metabolism. Due to obesity (especially abdominal obesity, when fat accumulates in the abdominal area), gout will progress, but such obesity cannot be called its direct cause. In many cases, the disease appears in people who have normal, and sometimes even insufficient body weight.?
?All products are boiled or steamed. Not everyone knows how to cook delicious porridge or pasta, so why not learn? Vegetable soups can be no less tasty than meat ones if you know the secrets of preparing vegetarian dishes.?
It is the diet that can create conditions in the body for the removal of uric acid salts, normalize its balance in the blood and strengthen the immune system. What foods can be included in the diet for gout and what will you have to give up forever for the sake of your health? Let's figure it out together.?
?Even the meat of young animals should be avoided. Animal fats (for example, lard) and smoked meats, as well as offal (these are lungs, kidneys, liver, heart, brain) are prohibited.?
?You can eat bread. Both black and white. Vegetable oil is recommended. Be sure to include flaxseed and olive oil in your diet. Butter is also allowed, but the amount should be small.?
?to do this you need to cook 75 grams of rice in 750 ml of milk;?
?If you compare young meat with older meat, then there is also a higher amount of purines. Such elements are rich and varied extracts from meat, soup cubes, and broth concentrates. You should also not overuse fish and seafood.?
?Often, gout is complicated by gouty nephropathies. Tophi appear in the renal parenchyma, kidney stone disease with uraturia processes may occur, interstitial nephritis may develop, and so on. This is why medical specialists study so seriously:?
“Fruit salad, rich in vitamins, seasoned with natural bee honey - what’s not a delicacy?” And the benefits from a natural product are much greater than from cocoa and chocolate, which are prohibited for gout. If you have gout, you can eat only one chicken egg per day. You can not only boil it, but also add it to a steamed vegetable or pasta casserole, or to a vegetable salad.?
?The most useful drinks are cranberry and lingonberry fruit drinks. You can also drink weak tea (green, with milk or lemon). Decoctions of wheat bran and rose hips are very useful. You can drink compotes, kvass and various juices (vegetables, berries and fruits). Cucumber juice, as well as weakly mineralized mineral waters (alkaline), removes excess purines from the body well.?
?divide the resulting porridge into 3 doses and eat throughout the day;?
?Gout usually affects the joints of the big toes. During an attack, redness and swelling are observed.?
?Recipes for gout are not very complicated, as you can see, and simply require the use of approved and recommended products.?
?the secretion of uric acids is inhibited;?
?If we take into account plant products, then legumes contain the most purines. This also includes cabbage, yeast, spirulina algae (they are used as a biological additive). It is also worth highlighting caffeine with related theophylline and theobromine. These substances, by the way, can be found not only in coffee, but also in chocolate products, tea and even cocoa.?
?pathogenesis of the appearance of atherosclerosis of cardiac and cerebral vessels during gout;?
Baked vegetables and fruits are good for gout. In Russia, these dishes are not perceived as a delicacy, but in Europe their preparation is recognized as a kind of culinary art. In addition, vegetables and fruits baked in the oven or grilled are a means of preventing gout, so they must be included in the diet of older people.?
?It is well known: eating a lot of animal products is harmful. Gout most often develops in people whose diet includes such foods most of the time. It is extremely undesirable for gout to abuse fats of animal origin. They can cause not only an attack of illness, but also provoke disturbances in the functioning of the gastrointestinal tract.?
?The consumption of alcoholic beverages is strictly prohibited (including beer). All spices and spices are prohibited, except vinegar and bay leaf.?
?At the same time, the same coffee or tea has a diuretic effect and if you do not abuse the amount of these drinks, they do not tend to increase the amount of uric acids in the bloodstream.?
?development of arterial hypertension.?
?Gout is a metabolic disease characterized by the accumulation of excess uric acid in the body. This can happen both due to hereditary predisposition and due to acquired diseases. But in any case, the triggering factor for this pathology is the intake of specific chemical compounds from food.?
During periods of exacerbation, it is best to exclude fish and meat completely. Fasting days at this time are recommended to be arranged every other day.?
?Completely starving, as well as overeating, is prohibited. These extremes can cause the disease to worsen. It is better to get rid of excess weight. Just don't lose weight too suddenly.?
?It is almost impossible to completely cure the disease. But making the periods between acute phases longer is quite possible. Proper nutrition should contribute to this.?
?Second breakfast can be limited to a glass of juice or a decoction of the same rosehip.?
?Even one large intake of some fatty food along with alcohol may be enough to trigger an attack of gouty crisis.?
?Beans contain microelements that help tissues form, so such products are useful for a healthy person. But if gout begins, eating legumes becomes extremely dangerous. The most ordinary pea or bean soup can provoke an attack of gouty arthritis.?
?It is better to avoid cocoa, coffee and strong tea. Many sweets are also prohibited. These are cream cakes and pastries, chocolate products. You can't eat grapes, figs and raspberries.?
For lunch, milk soup (for example, with vegetables), cutlets made from cabbage, and a glass of compote are suitable. An afternoon snack can be limited to orange or apples.?
Proper nutrition also implies mandatory adherence to fasting days. Regardless of your weight, you should have such a day at least once a week, eating mainly dairy products, fruits and vegetables, and juices. It is worth drinking quite a lot of fluids - at least one and a half liters per day.?
?Nutrition for gout and arthritis has some features that cannot be ignored. For example, a diet is recommended in which protein is practically not limited (there are restrictions, but they reach a maximum of 15 percent when compared with the usual nutritional norm - up to 0.9 grams of protein per kilogram of weight). This involves eating some fish, meat and even legumes. In this case, the composition of animal proteins (usually dairy) should not be more than 50 percent compared to the total number of proteins.?
?Despite the fact that gout does not belong to the category of nutritional diseases, it is necessary to limit the consumption of purines and build a special diet; this is preventatively important so that the disease does not worsen and is treated faster. Special attention is paid to diet issues during acute attacks of the disease. Recipes for gout are prepared by nutritionists, necessarily taking into account all of the above.?
?1) The diet for gout differs during the period of exacerbation of the disease and during the inter-attack period: during an exacerbation, meat and fish products are completely excluded, when the manifestations have subsided, these dishes are returned in small quantities.?
?fruit and vegetable. In this case, you are allowed to eat up to one and a half kilograms of non-prohibited vegetables or fruits per day;?
?However, taking on too strict diets and fasting during gout is not recommended, since, on the contrary, the amount of uric acids inside the human body will increase, and the disease will only worsen.?
?The consumption of fat is also limited, which should be a maximum of 1 gram per kilogram of weight. Mainly meat and cooking fats are consumed. According to medical experts, due to fats, uric acid is released more slowly by the same kidneys and due to the high content, hyperuricemia can occur.?
The use of spices for gout is strictly prohibited, with the only exception being bay leaves. You cannot add frying to soups, but only a small amount of vegetable oil. People with gout can’t eat mushrooms, so you’ll have to forget about mushroom soup.?
?It will be necessary to stop eating all types of legumes. This includes beans, peas, lentils, etc. ?
kefir or milk. In this case, you are allowed to consume up to 2 liters of kefir or milk per day;?
?Products that provoke an acute attack of the disease?
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With gout, the amount of uric acid salts in the blood increases. It may not have a harmful effect on the body if a person follows a special diet. A special diet significantly reduces the risk of exacerbation of the disease. Since protein promotes the formation of uric acid, in case of gout, its daily intake should be reduced to 1 g per 1 kg of body weight. It is necessary to limit salt intake to 5-6 g per day. If there are no concomitant kidney and heart diseases, you need to drink more than 2.5 liters of water per day.
Eliminate any smoked meats and sausages from your diet, as they contain large amounts of salt.
Meat and fish dishes, lard, mushrooms, beans, peas and beans are a source of purine bases, so they can be eaten in minimal quantities no more than twice a week. At one meal you can eat no more than 1 g of meat or fish per 1 kg of body weight. These foods should be prepared with a minimum amount of spices and salt. Eliminate cauliflower and Brussels sprouts, figs, lingonberries, cranberries, salty cheeses, and yeast from your diet. If you have gout, it is contraindicated to eat canned food; you should not consume rich fish and meat broths, strong non-alcoholic drinks (tea, coffee), alcohol, or chocolate. Also exclude all spices and seasonings, except vinegar and bay leaf.
Limit the consumption of animal fats, foods containing large amounts of carbohydrates (baked goods, jam, syrups, honey, cookies, sweets), salted and pickled vegetables. The menu can include all vegetables, except forbidden ones, fruits, low-fat or low-fat dairy and fermented milk products, unsalted and not too fatty cheeses, eggs, vegetable and butter.
For gout, any porridges, soups with vegetable broth, jelly, compotes, juices, unsweetened pastries in moderate quantities, and any types of nuts are allowed.
If you have gout, you should not overeat; it is better to eat boiled foods. It is better to eat food in small portions, five times a day. It is recommended to have a fasting day one day a week, during which you should eat only raw fruits and vegetables (up to two kilograms per day). During the day you can eat only one type of product (for example, potatoes or baked apples). To maintain a healthy water-salt balance, you need to drink mineral water, which must be selected by a doctor. Incorrectly selected mineral water can worsen the condition.
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It is not difficult to completely restore JOINTS! The most important thing is to rub this into the sore spot 2-3 times a day.
Gout is a chronic disease caused by a violation of uric acid metabolism, accompanied by hyperuricemia with the deposition of urate in tissues. The source of uric acid formation is purine compounds that enter the body with food, and purines formed in the body from glycol, glutamine and other compounds.
Gout predominantly affects adult men with a peak incidence of 40-50 years. In Europe, this pathology accounts for 0.01 to 0.30% of the incidence, among rheumatic diseases it is 1.5-5%.
The main role in the development of gout is played by hereditary factors (more than 40% of patients have indications of the presence of gout in relatives). The occurrence of the disease (especially at an early age) can be facilitated by genetically determined defects leading to dysfunction of enzymes involved in purine metabolism. The most important enzymes involved in purine metabolism are phosphoribosyl pyrophosphate synthetase (PRPP synthetase), hypoxanthine guanine phosphoribosyltransferase (HGPRT) and xanthine oxidase.
An increase in the activity of PRPP synthetase or a deficiency of HGPRT may be accompanied by a sharp increase in the synthesis of uric acid and the development of gout in childhood. These enzymes are controlled by genes linked to the X chromosome, so the disease mainly affects males. A significant or complete deficiency of HGPRT leads not only to gout, but also to severe psychoneurological disorders: mental retardation, choreoathetosis. This symptom complex is known as Lesch-Nychen syndrome.
Along with genetic defects, environmental conditions can be extremely important as factors contributing to the development of gout.
Hyperuricemia is often combined with obesity. According to M.A. Samsonov et al. (1995), 45% of obese men and 21% of obese women have elevated levels of uric acid in the blood serum. At the same time, there is a direct correlation between the degree of obesity and the level of hyperuricemia: for every 10% excess body weight, the level of uric acid in the blood increases in men by 0.250 mg%, in women - by 0.125 mg%.
There is evidence of the effect of insulin resistance on the level of uricemia, which is quite often observed in patients with obesity, especially in its extreme degrees. When examining obese patients with and without gout, some behavioral features of the patients were noted. Thus, obese patients are practically indifferent to the environment in which they eat, while patients with combined pathology are picky about food, clearly prefer dishes rich in purines, and are very demanding about the aesthetic side of food intake.
Despite the fact that gout is a systemic, polyetiological disease, its connection with nutritional disorders is beyond doubt. Since the times of ancient medicine, the connection between gout and nutrition has been established.
Among the numerous risk factors for the development of gout, an important role is played by irregular, excessive nutrition, consumption of large amounts of meat products, beer, and alcoholic beverages.
There is fairly convincing evidence that a protein-rich diet for gout is one of the causes of hyperuricemia, and high-protein diets cause an increase in urinary excretion of uric acid. A linear relationship has been reported between the administration of various doses of dietary nucleotides, the response of uricemia levels and the magnitude of uricosuria.
It has been shown that foods for gout that can induce ketosis can lead to hyperuricemia due to the development of renal secretion disorders in this situation.
The only carbohydrate that has a direct effect on uric acid metabolism is fructose. Following intravenous administration, uric acid production increases sharply, either as a result of nucleotide degradation or an increase in purine synthesis. The administration of fructose per os can also lead to an increase in the concentration of uric acid, which is especially significant in individuals with a verified diagnosis of gout.
Experiments on animals and clinical observations show that the effect of fructose is also due to a decrease in response to its administration of hepatic ATP, the depletion of which is considered as one of the mechanisms for increasing the production of uric acid.
The hyperuricemic effect of alcohol is well known. Most researchers believe that it is associated with the conversion of alcohol during metabolism into lactic acid, which helps reduce the excretion of uric acid by the renal tubules, significantly reducing the clearance of urates. Alcohol also causes a decrease in ATP in the liver, which determines an increase in uric acid production.
Confirmation of the importance of the nutrition factor in exacerbation of gout are: