First, gout patients diet considerations
Gout patients should eat more low-purine foods, eat less purine foods, do not eat high-purine foods, but also pay attention not to drink. Low purine foods: whole grains, eggs, milk, fruits, vegetables; purine foods: meat, beans, seafood; high purine foods: bean sprouts, bean sprouts, asparagus, mushrooms, seaweed, animal organs, fish . Gout is often complicated by obesity, diabetes, high blood pressure, and hyperlipidemia. Patients should observe the following diet principles:
1. To maintain an ideal weight, overweight or obese should lose weight. However, weight loss should be gradual, otherwise it will easily lead to ketosis or gout acute attack.
2. Carbohydrates can promote the excretion of uric acid. Patients can eat carbohydrate-rich rice, steamed bread and pasta.
3. Proteins can be ingested according to the body weight. Proportions of 0.8 grams to 1 gram of protein should be taken for 1 kilogram of body weight, and mainly milk and eggs. If it is lean meat, chicken, duck, etc., it should be boiled and eaten after soup, avoid stew or braised meat.
4. Eat less fat, because fat can reduce the discharge of uric acid. In patients with gout complicated by hyperlipidemia, fat intake should be controlled within 20% to 25% of total calories.
5. Drink plenty of water, should drink water 2000ml to 3000ml daily to promote uric acid exclusion.
6. Eat less salt and limit it to 2g to 5g per day.
7. Prohibition! Alcohol can easily accumulate lactic acid in the body, inhibiting uric acid excretion and easily causing gout.
8. Use less intensely irritating seasonings or spices.
9. Limit purine intake. Purine is a component of the nucleus, as long as the food containing cells contains purines, and the purine content of animal foods is more. Patients fasted viscera, bone marrow, seafood, fermented foods, beans and so on.
10 should not use drugs that inhibit uric acid excretion.
A high purine diet can increase the synthesis of uric acid and increase the concentration of blood uric acid, whereas a low purine diet can reduce the concentration of uric acid. After controlling the diet, normal blood uric acid can be reduced by about 35.7ηηο//L (O.6mg/dl), and gout patients can also be reduced by about 59.5μmol/L (1.0mg/dl). How dietary factors affect blood uric acid levels, there are some reasonable explanations, including:
1. Excessive drinking can cause gout, especially in beer. The possible mechanisms by which ethanol affects blood uric acid levels are:
(1) Drinking alcohol is often accompanied by foods rich in purines;
(2) Ethanol metabolism can increase blood lactate concentration, and lactic acid can inhibit the excretion of uric acid in the kidney;
(3) excessive consumption of alcohol caused by blood ketone disease, inhibition of renal excretion of uric acid;
(4) Ethanol can promote the conversion of adenine nucleotides and increase uric acid;
(5) Some people think that the consumption of whisky lead-containing wine, so that the risk of gout increased by 3 times.
2. Reducing food intake is also associated with gout flares, as levels of plasma acetoacetate and beta-hydroxybutyrate increase during starvation, affecting the excretion of uric acid by the kidneys.
3. There are some misunderstandings about the relationship between soy products and gout. According to tests by Chinese and Japanese scholars, the purine content of most of the beans is not so high, so it is concluded that soy products have less purine content, which can overrule folks or misrepresent gout Product claims. Another indirect evidence is that there are very few gout among the family who eat soy products. So soy products can be eaten in small quantities.
Second, prevent gout diet
1, quit eating high purine food: animal internal organs (liver, intestine, kidney, brain), seafood (abalone, crab, lobster, eel fish, sardines, tuna, eel, eel, eel, eel) , shell food, meat (cattle, sheep, ducks, geese, pigeons), soybeans food, lentils, spinach, broccoli, asparagus, mushrooms, soups, oatmeal.
2, quit eating foods with high cholesterol: animal offal (liver, intestine, kidney, brain), fat, squid, fish, cuttlefish
3, abstain from alcohol: Do not drink, especially beer, Shaoxing wine.
Once the blood alcohol concentration is as high as 200mg/dl, blood lactic acid will increase with the oxidation process of ethanol, so that the uric acid excretion in the kidney is blocked, resulting in an increase of uric acid in the blood.
4, quit eating acidic foods, such as coffee, fried foods, high-fat foods. Unbalanced acid and phlegm will affect the body's function and increase the burden on the liver and kidneys.
Third, Yi Shi food
1, eat more potassium foods, such as bananas, broccoli, celery and so on. Potassium can reduce the precipitation of uric acid and help excrete uric acid. Ingest plenty of alkaline foods such as kelp, cabbage, celery, cucumber, apples, tomatoes, etc.
2, eat Gu Shen food. Chinese medicine believes that Gu Shen's food helps to excrete uric acid, which can be brewed with water in the form of "Liu Wei Di Huang" (Rehmannia, Hawthorn, Chinese Yam, Alisma, Danpi, and Qi) on weekdays to restore the efficacy of nourishing Yin and tonifying kidney.
3, also suitable for eating qi and blood, Shujin active food. For example, you can use mulberry (one person's weight is five dollars) sugar syrup, but do not put eggs, you can add lotus seeds.
4, apple vinegar and honey.
This is a Western traditional method of treatment and has been proven effective through a number of clinical tests. Apple cider vinegar contains pectin, vitamins, minerals (phosphorus and potassium) and enzymes. The acidic composition of apple cider vinegar has a bactericidal effect, which helps eliminate toxins from joints, blood vessels and organs. Regular drinking can regulate blood pressure, blood circulation, cholesterol, and also help treat arthritis and gout. After a meal, add 1 teaspoon of apple cider vinegar and 1 teaspoon of honey into a half cup of warm water and mix thoroughly.
5, gout patients with therapeutic side
Coix seed porridge: Take appropriate amount of Coix seed and white rice, the ratio of the two is about three to one, Coix seed first soaked in water for four or five hours, white rice soak for thirty minutes, then the two mix, add water to boil porridge together.
Winter melon soup: Take 300 grams of melon (not skin), red dates five or six, ginger a little. First use oil to saute the ginger, then add the wax gourd slices and red dates together into the pot, add water and the appropriate amount of seasonings to boil the soup.
6, drink more water every day, more toilets, do not bear urine.
Fourth, a moderate amount of aerobic exercise should be done
The Treasure Book of Chinese Medicine says: "When you are angry, your blood will go and your blood will go out." Therefore, for the treatment of gout, should be to raise gas, blood and kidney-based, smooth blood, then uric acid will not accumulate. For example, swimming, tai chi.
Fives,
1, control the total calories: gout patients to maintain or achieve ideal weight, it is best to make their own weight below ideal body weight 10% to 15%. To do the latter is to control the total calories eaten daily, the total diet is about 10% lower than the normal diet, can not eat too much snacks, can not eat too much, full of meals.
2. Low-protein diet: Gout patients should be given 0.4 to 0.5 grams of protein per body weight, and the total daily protein content should be controlled at about 40 grams, appropriately limiting the intake of fish and legumes. Daily 1 cup of milk plus 2 eggs or 2 lean pigs to meet the body's protein needs, not too much.
3. Limiting fat intake: The total daily fat intake of gout patients should be about 50 grams. Pay attention to vegetable oil and eat less animal fat.
4, mainly to contain high carbohydrate foods: rice, noodles, cereals are the main components of carbohydrates, so gout patients on weekdays diet should be based on these foods to ensure heat supply.
5, alcohol, drink less coffee, tea, cocoa: alcohol can induce gout attacks and aggravate the condition, should absolutely prohibit gout patients drinking; gout patients in drinking coffee, tea, cocoa can not be too strong, drink too much.
6, to maintain adequate vitamin B and C: Vitamin B and C are rich in fruits and vegetables, eat some citrus, apples, and eat more green leafy vegetables in the meal, can make enough body Vitamin B and C.
7. Fast foods containing high purine content: Foods containing high purine content include animal organs, fish, shrimp, quail, beef and mutton, and bowl beans. Gout patients should try to eat as little or as little as possible. Patients with gout should eat more foods with low purine content such as milk, eggs, bread, cucumbers, tomatoes, etc. to reduce exogenous purines into the body and lower blood uric acid levels.
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