In the case of gout Person a lot of discomfort experiences. Joints pain and swelling, in the case of aggravation of the feet redden to walk it is quite difficult. An experienced physician identifies a Patient the importance of proper nutrition in the case of gout just by changing the diet you can stabilize your long-term health.
Gout what is the disease?
Gout, gouty Arthritis – a serious disease, associated with the violation of the metabolism of proteins. If this disease is diagnosed, the accumulation in the blood purines derivatives of uric acid. Premature treatment – the direct path to your storage in the muscles, ligaments, joints, in the Form of uric acid (salts). These seizures caused excruciating pain at regular intervals, and more – the emergence of the seals at the joints, which feel very painful.
Where in the case of patients with gout have an abnormal quantity of uric acid is taken? The reason for its accumulation of metabolic changes, which are prerequisites for such a state are:
- Auto-immune diseases;
- Long-standing hypertension;
- Kidney disease, etc.
And still the most important risk factor admits to improper diet, which leads to an excessive intake of purines in the diet. A large number of them is in red meat, tea, chocolate, legumes, and other products. Especially a lot of purines in alcohol: for example, beer is very rich in guanosine, xanten, and they are prior to the formation of acids. The standard of the contents of the last – 3,4-7 mg for men and 2.5-5.5 mg in women. If a Person exceeded this number, it is worth considering the adherence to a special diet.
The aim of the dietary food
The treatment of gout is always complex. If pathology is based solely improper diet and other abnormalities in the diagnosis is not recognized, reduce the seizures helps properly organized menu. But, preferably, the correct diet for gout should be supplemented by the intake of pharmacological agents to improve the working of the kidneys, for "Blanking" uric acid in the blood, the pain, the recovery of the joints.
To 100% heal pathology is not, but a diet helps to minimize any aggravation or eliminate at all. The main purpose of the change in the diet is acid, the reduction of the compounds of the urine, thus preventing its displacement in the tissue. To do this:
- Rethink the menu for each day;
- Give up of harmful tendencies;
- To regularly check blood levels to change in a timely manner, the food, when it is necessary to toughen.
Overall, the diet for gout in the feet or other joints, is reminiscent of the basic principles of a healthy diet – elimination of harmful meals, enrichment of food with vitamins, minerals, increasing the amount of plant food, reasonable consumption of animal food.
Therapeutic nutrition in this disease
As with any other medical System, diet, diet for gout as a "therapeutic table No. 6". The power corresponded to this table, you should remove or restrict these products:
- Directly the presence of uric acid – containing substance or its predecessors;
- The secretion of the salts from the joints back into the blood.
A number of products less purines influenced to exchange, so that in the case of Remission, you can be drunk in small quantities. The food, the can be no impact on the concentration of uric acid or able to reduce, without restriction to be consumed.
The composition and calorie content diet №6, see below.
|The amount of salt||Grams||Up to 8-10 per day|
|The volume of water||Liter||Up to 2|
After a diet, it is important that a shift of reaction of urine in the alkaline side – this prevents the accumulation of uric acid in the tissues, where they do not precipitate when the acidic environment in the body. To do this, you have to be an alkalizing food – milk, plant-based foods. If the pathology occurs together with Diabetes mellitus, diet should be in individual cases and only under the supervision of a physician. The specified quantity of water used, if there are no problems with the kidneys and the heart.
It is very important to learn how to cook food. Special requirements to the preparation of the allowed fruits, vegetables, grains no, but the meat needs to be processed in a special way. To bake or to roast, all of the nitrogen remain-containing compounds unchanged. But while cooking up to 50% purines go into the broth. The broth blend after 15 minutes after cooking and replace it with new water that will help to secure even more, the consumption of meat.
Eating habits and his principles
The development of the diet for gout is based on the products table. The presence of nitrogen-containing compounds/100 G of raw material is reflected. This will help make a menu, and not the wrong selection of components.
|Product group||The approximate number of purines to 100 G||Examples of foods|
|With high purines||Of 0.15-1 G||Nourishing broths, red meat (beef, pork), liver, offal, smoked products, fatty fish canned in oil, brains|
|With a moderate level of purines rates||0.05-0.15 G||White Meat, Fat, Fish, Legumes, Cauliflower, Mushrooms, Sorrel|
|With low purines||Less than 0.05 G||Milk products, milk, almost all vegetables, fruits, cereals, pasta, nuts, eggs|
In the treatment of any degree of severity of the gout must relate to the fear of products, the many dangerous substances. Moderate the content of these compounds – a sign that the products are allowed in small quantities and only in Remission of the disease. In the acute Phase of no meat, fish, legumes, cereals, purified from the menu, and the person has to eat only vegetarian soups, cereals, vegetables, broths, juices, dairy products Exacerbation of the amount of water increases to 3 liters/day.
Other important principles of the composition of the diet:
- In a quiet Phase of the disease to eat the meat, the fish, no more 3 times/week, per day – up to 120-150 grams.
- Eat in small portions, 4-5 times/day.
- In the daily menu of hot and liquid food should be salads made of vegetables or fruit and drinks.
- The feeling of overfilling of the stomach after eating, moderation in portions should appear, is important.
In purines diet, it is important for the complete exclusion of alcohol. If you drink less than 15 G of alcohol daily, the risk of developing gout may have already used 2 times. In the Remission sometimes can you drink red or white wine, but in very moderate amounts. You can not forget about taking vitamins, if you do not have enough in the menu – this is especially important Vitamin C, which lowers the level of uric acid.
The peculiarity of the diet for obesity
Not infrequently, due to the disturbed metabolism of the Patient, except the gout, obesity suffers. Also protein metabolism is crashing frequently in Diabetes. In this case, the person is some Variation of anti-purines diet number 6E. If there is no restriction on the intake of high-calorie foods, which are developed in the body with the wrong metabolism, hyperlipidemia, which causes the defeat of the joints, of the heart. Also in the case of gout in the joints, in addition to salts of uric acid accumulate in the cholesterol. This has the effect of the accession of the symptoms of Arthritis and tendonitis – the defeat tendons.
The treatment of the combination of obesity, gout, and hyperlipidemia with the help of a diet. Their duration may be restrictions for up to a month strict, more information, food nutritional value increases. Characteristics of the diet №6E are as follows:
- Strong restriction of animal fats – not less than 30%. The amount of cholesterol is not more than 30 mg/day.
- Calories – 2000 kcal, carbohydrates – 250 G (fat – 70g protein – 70g).
- An exception of confectionery, Muffin, greasy cakes, pastries, a strong reduction of other simple carbohydrates.
- Meat consumption – 1-2 times/week.
- Power supply up to 6 times/day in small portions.
- A large fluid intake, especially alkaline mineral waters.
The body weight can drastically reduce, so that Hunger are dieting allowed. To lose for the month of weight more than 3 kg, such a dramatic weight loss will not harm the health.
Forbidden foods for gout
To remember, and in the compilation of the menus in the program diet for gout is particularly important, which foods are harmful. You cause the purine metabolism disorders in the body and lead to acid accumulation of uric. From animal foods, the negative health effects:
- Liver, Pork, Beef;
- Kidney of cattle, pork;
- The flesh of young animals;
- Sausage, greasy sausages;
- Smoked meat, deli;
- Fat meat broths;
- Semi-finished products;
- The meat of chickens.
Some plant foods are also included in the list, what not to eat with gout. For example, the patient, and the damage such products can cause:
|The naming of the products||Calories, kcal|
|The common rosefinch||284|
If in legumes, there is a lot of nitrogen-containing compounds, sorrel contains a high concentration of oxalic acid, but also has a negative effect on the metabolism of proteins. Also prohibited products in gout the raspberry, Cranberry, contain a lot of purines and cause the accumulation of uric acid. What not to eat with gout? Other foods that have forgotten or is it only occasionally and in small quantities:
- Salty cheese, feta cheese;
- Refractory Animal Fats;
- Marinades, Pickles;
- Canned Meat, Fish;
- Trans-Fats, Culinary Fat, Margarine;
Of spices can not, in the first garlic gout to damage, but a table, a diversified food be tastier due to limitations of the salt. But other spices to add, you should eliminate them in small amounts and best to use. Seafood fish forget the salty fish, veal, oily fish – mackerel, salmon, and shrimp. The drinks are harmful, malt beer, coffee, strong black tea.
What can you not eat with gout in large quantities
There are products that the Patient can eat only outside of the acute Phase of the disease, when Remission is a lengthy, but without abuse. A reasonable select in the menu on the damage to the body. Many patients ask whether there are tomatoes in gout? These vegetables are good for overall health because they contain antioxidants and powerful Anti-cancer components. But in the case of gout tomatoes due to the fashion content of purines in small amounts, installments allowed. You can piece in a menu 1-2 times per week 1-2.
Cauliflower, pasta, fresh bread, radishes, asparagus, celery – eating, dangerous for the body if you use it without restrictions. Occasionally, such products can gradually in a menu, but. In the list of limitations are:
- Eggs (1 per day, not more);
- Lean fish (2 servings per week);
- Cocoa – times per week;
- The green is fresh.
Allowed food for the patients
A list of what to eat in gout, is quite large, the Patient's anxiety is not worth it. This is – most of the existing vegetables, such as potatoes, cucumbers, eggplant, zucchini, carrots, beets, cabbage.
Allowed fruits are given below:
- Citrus fruits;
- Almost all of the berries except for the section labeled "forbidden foods".
The Patient must remember concerning dried fruit and nuts, him you can eat sunflower seeds Of baking white bread from wheat flour 2 were preferred. Class, yesterday, and the VP-cereal and bread with bran loaves. You can diluted all cook porridges on milk, the water, add a small amount of Butter (if you are overweight milk with water).
Meat food for the patient 2-3 times per week, she is preparing:
Soups make only a vegetarian, because purines come in the broth when cooking in large quantities. Needs to the menu for gout cottage cheese, Quark cheese, milk products, cream, hard cheese (which should not need the latter, miss - due to the high content of fat and the abundance of salt). Eggs you can eat, such as cooked fish white varieties, rasp. Vegetable oils in the food must be regular, with (sunflower oil, corn germ oil, olive oil, flax seeds).
The best drinks of the present pathology – green tea, fruit drinks rose hips, cranberries, mineral water without Gas, jelly and compote.
Almost daily for gout
Best to unload on a product or on a combination of 2-3 vegetables and fruits. Example, products can be used:
- Cottage cheese and Kefir;
For example, you can eat in the course of the day, 1 L butter milk, 300 G low-fat cottage cheese, and drink plenty of water. While the fruits-and vegetables-consume daily up to 1-1,5 kg approved herbal products, do not forget about water. Another Option to unload – boil milk 100 G rice, meal, split for 6 servings and supplemented each time, half an Apple or a glass of Apple compote.
Menu for gout
An example menu in the exacerbation of the disease of the day, each line – a separate meal (starting tomorrow):
Menu on all days of the week, see:
The first day:
- Oatmeal, dried fruits, green tea;
- Casserole of Ricotta cheese;
- Soup with rice, pumpkin pancakes, whipped cream, Pudding, bread;
- Herb salad, a pear, bread.
- Chops buckwheat with carrots, sour cream, tea;
- Apple Smoothie;
- Ragout of each of the vegetables, noodles with egg, baked, stewed fruit;
- Apple baked;
- Salad with beetroot, cheese, bread.
The Third Day:
- Porridge rice, plums, Infusion of rose hips;
- Sour cream with cottage cheese;
- Soup with vegetables, a piece of boiled meat, Pudding, cheese cake;
- Jelly from berries;
- Potato Pancakes, Bread.
The fourth day:
- Scrambled eggs with herbs, bread with Butter;
- Carrot-Apple salad with nuts;
- Boiled fish, beet soup, bread;
- Porridge made of millet and pumpkin, tea.
The fifth day:
- Cottage cheese, sour cream, honey, herbal tea;
- Soup with noodles and vegetables, cooked meat, tea;
- Yogurt, Meatballs, Rice.
The sixth day:
- Day of fasting.
The seventh day:
- Buckwheat casserole with cheese, broth hips;
- Apple and yogurt;
- Baked zucchini with cheese, vegetarian soup, bread;
- Biscuits with tea;
- Sauerkraut, boiled egg.