Therapeutic diet with gout. Gout diet, permitted and prohibited products

Gout is inflammation of tissues and joints. It is associated with the accumulation of uric acid in them. In women, gout appears much less often than in the male population. As for the age, then, as a rule, the disease manifests itself after fifty. It differs in that it proceeds in a chronic form with exacerbations and remissions.

Content

Why is gout?

Basically, a predisposing factor is an increase in uric acid level and its compounds in the body. It is the result of processing nitrogenous bases (purines, pyrimidins) coming through food. With increased synthesis, the accumulation of acid occurs faster, or this is the result of poor work of the kidneys.

The compounds are accumulated in the joints and are crystals. In this regard, arthritis develops. When the disease is overcome for a long time, urates (uric acid) also apply to other tissues where they gather in dense tubercles - Tofus, which are also signs of the disease. In the urinary system, stones leading to urolithiasis are formed from crystals.

Gout can appear for several reasons:

Increased level of red blood cells in the blood.
Poor intake of oxygen in the body.
Constant exhausting physical activity.
Constant consumption of products with a high purin content.
Renal failure in chronic form.
A long reception of diuretics.
Dehydration.
Lead poisoning.
Arterial hypertension.

It is worth saying that the accumulation of fluid does not always lead to the occurrence of a disease, which means that there are other prerequisites for its appearance.

What are the symptoms of gout?

As statistics show, in women gout occurs after 60 years or vice versa, in his youth. The reason for the last incident is a hereditary predisposition. In the usual case, at the first fit, the doctor examines the patient in the thumb area. But mainly in women several joints are inflamed at once. This is ankle, wrist bones and joints of the fingers. Often an attack can occur at night, after drinking alcohol, physical exertion, operations or severe cooling.

The affected joint begins to hurt a lot, and when pressure on it, the pain becomes stronger. It can be deformed due to edema, the skin around the sore spot blushes and burns. Often there is a high temperature, within 38-39 degrees. Even in the absence of treatment, a maximum of a week the attack passes and the stage of remission begins.

A repeated attack of many manifests itself within one year, and each next arises more and more often.

After the disease becomes a chronic form with attacks, the pain will no longer be so severe, but the joints will still lose their former mobility. They are greatly deformed as a result of inflammation, and when moving, you can hear a crunch. Next, Tofus under the skin in the area of \u200b\u200bthe fingers and legs, knees and elbows, as well as ear shells, will begin to form. Sometimes, when opening, a mass of white color is released and as a paste in consistency.

As the disease progresses, renal failure will also begin to develop. She manifests itself as swelling throughout the body. A woman can note frequent urge to the toilet, especially at night, and also that the amount of urine secreted. The appearance of renal colic, which is associated with the formation of stones in the urinary tract, can be noted. Basically, pain manifests itself in the back, give it to the stomach, crotch or hips. Here, urgent hospitalization of the patient is required.

How to treat gout?

The disease treats the disease in women, but if the mobility of the joints is greatly impaired, then in this case an orthopedist also joins the treatment. The patient should be hospitalized in order to choose medicines or eliminate a protracted attack.

Drug treatment gout

During the exacerbation period, with an attack, the cold is applied to the defeat of the place and the patient is provided with a calm condition. Treatment with drugs should be started as quickly as possible so that recovery comes quickly.

After acute arthritis subsides, you should immediately proceed to a decrease in uric acid concentration in the body. For this it is used:

Allopurinol;
Sulfinpirazone;
Phenofibrat;
Lozartan.

You will have to take drugs until the end of life, but with improvement you can take a break for several months. In order to prevent the appearance of stones in the kidneys at the very beginning of treatment, in addition to general therapy, blemaren is prescribed a drug that reduces acidity in the urine and increasing the solubility of urates.

When taking medications, a special diet 6 should be observed with gout, which helps to reduce the number of purines coming from food into the body.

What products should be completely excluded with gout?

The diet with gout of legs and other parts of the body makes you abandon smoked food, sausage, salt, as well as legumes. It is strictly forbidden to consume fatty meat, offal, as well as fish.

Heavy food, for example, mushrooms and lard, is completely excluded. You can not add seasonings and sharp spices to food. Unless only bay leaf and vinegar. Moreover, the ban should be applied to alcohol, chocolate, cocoa, strong tea and coffee. Sharp and salty cheeses are also prohibited. Moreover, you have to forget about meat soups and broths.

Food for gout, diet - which products should be limited

Despite all the prohibitions, you can diversify your nutrition by adding some products, but in moderation. This applies to milk and butter. They should not be used in its pure form, but only as an additive, for example, to porridge. Caution should be with boiled bird and fish. You can eat a little trout or salmon, some tomatoes, cauliflower, any greens, juicy radish or turnips. With caution, you need to eat plums.

Diet with gout - a table of products

Eat so that the diet is filled with vegetable soups, seafood (head -legged, crustaceans), low -fat fish, rabbit meat, cereals and pasta, dairy products, black and white bread. Replace animal protein with plant.

Eat eggs, but not more than one per day. Fill the menu with permitted vegetables, as well as fruits and berries. No less useful are dried fruits, honey, nuts and seeds. From sweets, marshmallows, marmalade and jam are allowed. Food can be cooked in any oil, but you will have to refuse pork and lamb fat.

If we talk about drinks, then useful - green tea, tea with milk, lemon, juice, decoctions of plants. Mineral and cucumber juice are no less useful.

Diet with gout - table

Remember the importance of unloading. On such days you can eat vegetables of the same type, for example, potatoes or green apples. If it is difficult for you to have only one thing, then combine several vegetables or fruits and make a salad of them. Moreover, you can spend such days in milk, kefir or cottage cheese.

During unloading days, also observe the rice-apple diet. To do this, boil the rice in milk and eat it in small portions. Between meals, eat apples, but no more than 250 grams per day. If you decide to make compote, then do not add sugar to it.

It is worth saying that at least the unloading is recommended, it is strictly forbidden to starve. In addition, therapeutic starvation is prohibited, since due to a long absence of food in the body, lactic acid will accumulate. This will lead to a new attack.

Diet with gout - approximate menu

Patients are recommended for the following meal. For breakfast - a vegetable salad, carrot pudding and apple, a soft egg and slightly brewed tea. For the second breakfast, make a rosehip broth, but do not add sugar. For lunch, make milk soup with pasta, pancakes and jelly. Swate fresh apples for a afternoon snack. And for dinner, prepare cheesecakes, cabbage rolls without meat and not strong tea. Before going to bed, drink decoctions of wheat.

It is worth saying that the diet menu with gout is distinguished by a special structure. It should have more liquid or semi -liquid, because you need to drink at least two liters of water. When unloading, you can eat up to two kilograms of vegetables.

The dietetics doctor when determining the menu takes into account other diseases. For example, those who have increased cholesterol are not yolk, and with diabetes, flour and sweets are categorically prohibited. Also, during periods of exacerbations, the diet is somewhat different from the usual one. As a rule, the sixth or eighth diet number with gout is assigned.

Diet with gout - recipes

Often gout develops with obesity. Then the patient shows a diet with gout and increased uric acid number eight. When it is observed, unloading days are more often carried out. Those who are sick with gout are recommended to lose weight, since from excess weight attacks occur more often. But you can’t lose weight sharply. You need to do this gradually.

It is worth remembering the complexity of treatment. Therefore, one diet alone is not enough, even if it is perfect for you. Together with her, it is necessary to engage in physiotherapeutic procedures and physical education, which helps to strengthen the body. But first, discuss this issue with your doctor.

Such procedures are prohibited during exacerbation. Put yourself from physical exertion, take warm baths and make compresses, and also remember that a diet should be observed with exacerbation of gout. Walk more often before eating and after it.

Remember! Gout may not be so disturbed if you carefully monitor your health. With timely consultation and treatment, you can not remember your disease for a long time.

Therapeutic diet with gout