Gout – a chronic disease caused by a metabolic disorder. Gout occurs in people with persistent high levels of uric acid in the blood. When gout is the deposition of crystals of uric acid derivative – sodium urate in joints and other organs and systems. Urata sodium in the joints are deposited in the form of small crystals, which causes damage to the joints, so these are called microcrystal arthritis.
The excess uric acid can occur in two ways. When one form of gout, kidney fail to remove uric acid produced in normal quantities. In the second form is in the body of uric acid exceeds the capacity of healthy kidneys remove it. In some patients with a second form of gout revealed congenital metabolic defects – such as the lack of a key enzyme which reduces the body’s uric acid. Also, excess acid may be a consequence of metabolic disorders such as pernicious anemia, starvation, or taking certain medicines. Gout, evolving in such cases are called secondary.
The main manifestations are the complications of gout gouty nodes, gouty arthritis, as well as urolithiasis, in which stones are composed of urate crystals or uric acid itself. Gouty nodes (tophi) – a conglomerate of crystals of sodium urate and may be delayed in almost any body part. When these deposits occur in joints or periarticular tissues. In the end, they cause an immune response (as a foreign body), for which there is an accumulation of leukocytes and acute inflammation develops. This condition is called gouty arthritis.
With excess content in the blood urate they crystallize in the kidney, forming uric acid stones. In other cases, these stones are composed mainly of crystals of uric acid itself, rather than sodium urate.
Attention: Emerging gout kidney stones can cause kidney failure and death.
Diet for gout:
Since the development of gout contributes to excessive consumption of alcoholic beverages (especially beer, cognac drinks, sparkling and dessert wines), meat dishes and generally over-nutrition, diet, as I uzhegovoril above, is one of the main ways to treat it.
Prohibited products:
1. The meat of young animals and all parts of the animal, giving gooey broth (head, feet, etc.);
2. Fat;
3. Broth (meat, chicken, fish, mushroom), meat sauces, jelly;
4. Meat extracts (soup packet);
5. Smoked meats;
6. Offal (heart, kidney, liver, brain, etc.) and food from them;
7. Fatty fish – during exacerbation, salted fish, fried fish, canned fish (anchovies herrings, sardines, sprats, sardines), fish roe;
8. Salty and sharp cheeses;
9. Spices (pepper, horseradish, mustard), except the bay leaf, vinegar and salt;
10. Products, stimulating the nervous system: strong tea, coffee, cocoa;
11. Culinary and other animal fats;
12. Cream pies, cakes, chocolate;
13. Pork and pork products from it;
14. Products containing preservative (canned food, juices, water);
15. Legumes (lentils, peas, beans, kidney beans, soybeans);
16. Raspberries, figs, grapes and all the products of grapes (raisins, wine, brandy, etc.);
17. Alcoholic beverages, which increase uric acid excretion and worsen her kidneys.
Limited to:
1. Salt;
2. Meats;
3. Boiled meat and fish. Preference – poultry, salmon, salmon, haddock, trout, mackerel;
4. Cauliflower, asparagus, spinach, rhubarb, celery, peppers, radishes, turnips (since gout is almost always accompanied by metabolic disorders other salts – oxalates), Tomatoes (maximum of 2-3 pc. Per day);
5. Green onions, parsley;
6. Mushrooms (white mushrooms, mushrooms);
7. Pickles and marinades;
8. Plum;
9. Butter;
10. Milk (which is allowed in cereals, tea).
Allowed:
1. Soups – vegetarian: borscht, cabbage soup, vegetable, potato, with cereal, milk, cold;
2. Chicken, turkey, rabbit;
3. Squid, shrimp;
4. Fish – lean, boiled, 160-170 g up to 3 times per week;
5. Dairy products: milk drinks, cheese, dishes of it, sour cream, cheese (low-fat varieties, as the cheese contains fats vysokonasyschennye violating the metabolism of fat);
6. Milk in small amounts when added to cereal and drinks;
7. Eggs (from three pieces a week and 1 day of any cooked);
8. Cereals, pasta – all in moderation;
9. Cabbage, carrots, potatoes, cucumbers, zucchini, eggplant, vegetables allowed – to improve the quantity, raw or in any cooking, vegetable caviar, Pumpkin, eggplant (freshly prepared);
10. Dried fruits (except raisins) and honey;
11. Nuts (pine nuts, avocados, almonds, pistachios, hazelnuts), seeds;
12. Sweets – neshokoladnye candy, jam, jelly, candy, marshmallows;
13. Beverages – green tea, lemon tea, milk, coffee (substitute) with milk rather weak, teas rose hips, wheat bran, fruit juices, berries, vegetables, fruit drinks, brew compotes. Particularly valuable fruit drinks cranberry and cranberry;
14. Promotes the excretion of excess purine cucumber juice (1 cup a day), alkaline mineral water (low mineralized), and also containing organic matter;
15. Green apples, citrus fruits, gooseberries, grapes (except raspberries), watermelons;
16. White bread, black;
17. Dill;
18. Vegetable oil (Required olive, flaxseed), butter.
