When the gout a person experiences a lot of unpleasant feelings. Joints ache and become swollen, when sharpening the legs of blush, walking becomes very difficult. An experienced doctor will instantly indicate to the patient the importance of proper nutrition during the day – just through the change of diet can permanently stabilize your health.
Dna – what is this disease?
Gout, gouty arthritis – a serious disease associated with the violation of protein metabolism. If it is diagnosed with this disease, it means that the accumulation of purines in the blood – derivatives of uric acid. Late treatment – a direct path to their deposition in the muscles, the ligaments, the joints in the form of uric acid (salts). This causes bouts of excruciating pain at regular intervals, and further – the appearance of the seal in the joints, very painful to the touch.
Where patients with gout is used an abnormal amount of uric acid? The cause of her clumps are the changes of metabolism, the preconditions for this state may state:
- Autoimmune disease;
- Long-existing hypertension;
- Kidney disease, etc.
And yet, the most important risk factor is recognized to the bad eating that leads to excessive intake of purine from food. A large amount of their present in red meat, tea, chocolate, legumes and other foods. In particular, a lot of purines in alcohol: for example, beer is very richly guanosine, xanten, which precede the formation of acid. The standard of the content of the last – 3,4-7 mg for men, 2.5 to 5.5 mg in women. If in humans this rate is exceeded, it is worth thinking about compliance with special diets.
Goals diet meals
Gout treatment is always comprehensive. If, on the basis of pathology lies entirely improper nutrition, and other deviations during diagnosis is not found to reduce the seizures will help the truth organized menu. But, above all, proper diet with gout should be receiving pharmacological means for improving the work of the kidney, for the "haircut" of uric acid in the blood, pain medication, for the recovery of the joints.
The 100% cure of the pathology cannot be, but the diet will help to reduce the exacerbations to minimize or completely eliminate their. The main objective of the changes to nutrition is the reduction of uric acid compounds, thereby, prevents its retention in the tissues. For it will have to:
- Revise the menu for each day;
- Give up harmful the taste preferences;
- Regularly monitor the indicators in the blood in time to change the diet, if necessary, to tighten.
Overall, the food at the bottom on the feet or other joints recalls the basic principles of healthy nutrition – the exclusion of junk food, enrichment of diet, vitamins, minerals, increase the amount of plant food, reasonable consumption of animals for food.
A therapeutic diet when this pathology
As well as other healing the food system, diet dna, is called a "massage table number 6". To food consistent with a given area, it is necessary to remove or limit the following foods:
- Directly increasing the presence of uric acid – containing this substance or its predecessors;
- Leads to the excretion of salts from the joints back into the bloodstream.
A number of products less hard impact on the purine exchanges, so when a remission may be used in small quantities. Food, which has no effect on the concentration of uric acid or is unable to reduce it, can be eaten without restriction.
The composition and caloric content of the diet №6 is given below.
|Indicator||The unit of measurement||Standard|
|The amount of salt||Grams||Up to 8-10 a day|
|The volume of water||Liters||To 2|
According to the diet, it is important to ensure a shift reaction of urine in the alkaline side – that will allow to avoid the accumulation of uric acid in the tissues where they are stored in the acidic environment in the body. For this you need is alkalizing products – milk, vegetarian meals. If the pathology continues together with diabetes, to assemble a diet have to individually and only under the supervision of a physician. The stated amount of water is used, if there are no problems with the kidneys and heart.
It is very important learn how to properly cook a meal. Special requirements for cooking of allowed fruits, vegetables, grains no, but the meat should be treated in a special way. If you bake or fry, all of the nitrogen compounds remain unchanged. But while cooking up to 50% of purines passes into the broth. It is necessary to pour the broth into the 15 minutes after cooking, and replace it with new water, that will give you even stronger to secure the consumption of meat.
In particular, the food and its principles
The development of diet dna is based on the table products. There is reflected the presence of crude protein/100 g of raw material. This will help you to make the menu and do not be mistaken in the choice of components.
|Group products||The approximate number of purines per 100 g||Examples of foods|
|With high levels of purines||Of 0.15-1 g||Rich broths, red meat (beef, pork), liver, offal, smoked products, fatty fish – canned in oil, brain|
|With a moderate level of purines||0,05-0,15 g||White meat, bacon, seafood, legumes, cauliflower, mushrooms, sorrel|
|Low-purine||Less than 0.05 g||Dairy products, milk, almost all vegetables, fruits, cereals, pasta, nuts, eggs|
In the treatment of any degree of severity of the disease gout must be with trepidation relate to the foods, which contain many hazardous substances. Moderate quantities of these substances – a sign that the foods are allowed in small quantities and only in the remission of the disease. In the most acute phase of no meat, fish, legumes cereals are cleaned from the menu, but one should eat only vegetarian soups, dishes from cereals, vegetable decoction, juices, dairy products. Focus the amount of water is increased to 3 liters/day.
Other important principles of compilation of the diet:
- In the quiet phase of the disease to eat meat, not fish more than 3 times/week, daily, to 120 to 150 grams.
- Eat small meals 4-5 times/day.
- In the daily menu must be warm and liquid meals, salads of vegetables or fruit and drinks.
- The feeling of overcrowding stomach after eating will appear, there is no need, the important is moderation in portions.
In purine diet is important to the complete exclusion of alcohol. If you only drink 15 g of alcohol each day, the risk of gout already above 2 times. In remission can sometimes drink red or white wine, but in very low quantities. We must not forget about reception of vitamins when they are missing in the menu – especially important is vitamin C, which reduces the level of uric acid.
The specifics of nutrition on obesity
Often due to disturbed metabolism of the sick, in addition to gout, obesity. Also the failure of the metabolism of proteins often occurs in diabetes. In this case, the person should follow certain variation antipurine diet - no 6E. If it is not to limit the use of high-calorie foods, in the body with the wrong metabolism develops hyperlipidemia, which causes the defeat of the joints, the heart. Also, when gout of the joints, with the exception of the salts of uric acid, has been postponed cholesterol. This causes that the connection of symptomatology of arthritis and tendonitis – the defeat tendons.
Treatment is a combination of obesity, gout and hyperlipidemia is done through diet. Its length can be up to months with strict restrictions on the nutritional value of the food increases. Special diet №6E are as follows:
- A serious limitation of animal fats – not less than 30%. The amount of cholesterol higher than 30 mg/day.
- Calorific value – up to 2000 kcal, carbohydrate content – up to 250 g (fats – 70 g protein – 70 g).
- The exception of confectionery products, pastries, fatty pies, cakes, a sharp decline in other simple carbohydrates.
- The consumption of meat – 1-2 times/week.
- Food up to 6 times/day, small portions.
- A large intake of fluids, especially alkaline mineral waters.
Body weight can not be reduced dramatically, so starvation diets tolerated. Per month, there is no need to lose weight more than 3 kg – it is drastic weight loss will not bring harm to health.
Forbidden foods on dna
In drawing up the menu in the program's diet in gout the most important to remember what foods are the most harmful. They cause a violation of purine exchange in the body and lead to the accumulation of uric acid. Meat meal is the most negative influence on health:
- Liver pork, beef;
- Kidney of Cattle, pork;
- The meat of young animals;
- Sausages, fatty sausages;
- Smoked meat, deli;
- Fatty meat broths;
- Semi-finished products;
- The meat chickens.
Is there any vegetarian food is also included in the list of what not to eat during gout. For example, damage to the patient can produce the following products:
|The name of the products||Calorie kcal|
If it is present in legumes is a lot of nitrogenous substances, then sorrel contains high concentration of oxalate, and it also has a negative effect on the exchange of proteins. Also forbidden in gout products are raspberries, cranberries, which contain a lot of purines and cause the accumulation of uric acid. What not to eat with gout? The next dish, that will have to forget, or just eat occasionally in small quantities:
- The salty cheese, the cheese;
- Refractory animal fats;
- Marinades, pickles;
- Canned meat, fish;
- Trans-fats, edible oils, margarine;
Of spices can be, predominantly garlic – dna it will not harm, but diversifies the table, the dish will be more delicious because of the restriction of salt. But other spices to add must be in a minimum amount, and it is better to exclude. Seafood will have to forget about the salt, fish, caviar, fatty fish – mackerel, salmon, and also shrimp. From drinks are harmful beer, coffee, strong black tea.
That can not eat dna in a large quantity?
There are foods that the patient can eat only outside of the acute phase of the disease, where the remission is longer, but without abuse. When a reasonable inclusion in the menu of the damage to the body will not. Many patients are wondering whether it is possible to eat tomatoes with gout? These vegetables are beneficial for overall health because they contain antioxidants and a powerful anti-cancer components. But when gout tomatoes because of a slight content of purines are permitted in small volumes. It is possible to include them in the menu 1-2 times a week to 1-2 pieces.
Cauliflower, pasta, fresh bread, radishes, asparagus, celery – food, dangerous for the body if eaten without restriction. Sometimes such products can be included in the menu, but after a little bit. In the list of restrictions such as:
- Eggs (for 1 day, no more);
- Lean fish (2 servings per week);
- Cocoa – once a week;
- Herbs fresh.
The permitted food for the sick
A list of what you can eat with gout, it is a pretty big fear, the sufferer is not worth it. It is – most of the existing vegetables, such as potatoes, cucumbers, eggplant, zucchini, carrots, beets, cabbage.
Allowed fruits are listed below:
- Citrus fruits;
- Virtually all fruits, in addition to identified in the section "forbidden foods".
The patient must remember to dried fruit and nuts, also he can eat sunflower seeds. The bread is preferable to white bread made of flour, 2-th degree, yesterday, but also whole-grain-grain and bread with bran loaves. You can prepare any porridge in milk, water, adding a small amount of butter (for obesity milk diluted with water).
Meat food for the sick is allowed 2-3 times a week, she is prepared from:
The soup they only do vegetarian, because purines fall into the broth when cooking in large quantities. It is necessary to supplement the menu with gout cottage cheese, cheese, cheese, dairy products, sour cream, hard cheeses (the latest exploit, no need to - due to the high grease and the amount of salt). Eggs you can eat, as and boiled fish – white varieties, rock. Vegetable oils in the diet has to be regularly, and also (sunflower, corn, olive, flaxseed).
The best drinks in this pathology – green tea, fruit drinks with rosehip, cranberries, mineral water without gas, jellies and compotes.
Fasting days with gout
Best to land on one of the product, or on a combination of 2-3 vegetables and fruits. Examples of products can serve:
- Cottage cheese and kefir;
For example, it is possible during the day to eat 1 liter of yogurt, 300 g low-fat cottage cheese, and drink sufficient amount of water. During the fruity-vegetable days are taking up to 1-1,5 kg of all authorised plant products, without forgetting about the water. Another possibility of unloading – boil milk 100 g rice, to eat it, divide into 6 portions and adding each time half an apple or a glass of apple compote.
Menu with gout
An example of a menu in a worsening of the disease on the day following (each line – a separate food intake starting hrs.):
Menu for all days of the week are shown below:
The first day:
- Oatmeal, dried fruit, green tea;
- Casserole of cottage cheese;
- Soup with rice, squash pancakes, sour cream, jelly, bread;
- Cabbage salad, one pear, bread.
The second day:
- Meatballs buckwheat with carrots, sour cream, tea;
- Apple smoothies;
- Stew of whatever vegetables, pasta with egg, baked, compote;
- Apple baked;
- Salad with beetroot, cheese, bread.
The third day:
- Porridge rice, dried plums, infusion of rose hips;
- Sour cream with cottage cheese;
- Soup with vegetables, a piece of boiled meat, jelly, cheesecakes;
- Jelly from the berries;
- Potato patties, bread.
The fourth day:
- Scrambled eggs with herbs, a sandwich with butter;
- Carrot-apple salad with nuts;
- Cooked fish, beet soup, bread;
- Porridge from millet and pumpkin, tea.
The fifth day:
- Cottage cheese, sour cream, honey, herbal tea;
- Soup with noodles and vegetables, cooked meat, tea;
- Yogurt, rice patties.
The sixth day:
- Unloading day.
The seventh day:
- Buckwheat casserole with cheese, broth hips;
- Apple and yogurt;
- Baked zucchini with cheese, soup vegetarian, bread;
- Biscuits with tea;
- Steamed cabbage, boiled egg.