Gout yog ib hom kab mob. Qhov ua rau ntawm tus kab mob yog ib qho teeb meem metabolic nyob rau hauv uas cov concentration ntawm uric acid nyob rau hauv cov ntshav nce, uas ua rau lub deposition ntawm uric acid crystals (urates) nyob rau hauv cov pob qij txha thiab cov ntaub so ntswg mos.¹.

Nyob rau tib lub sijhawm, nce cov ntsiab lus ntawm uric acid hauv cov ntshav tsis tas yuav qhia txog kev mob gout. Hyperuricemia kuj nrog rau ntau yam kab mob, xws li kab mob raum, qog, lossis kab mob ntshav. Tus mob no tuaj yeem pom tom qab siv lub cev ntau dhau lossis nrog kev tsim txom ntawm cov khoom noj rog. Tsuas yog 10% ntawm hyperuricemia xeev tau nce mus rau gout.

Cov cim tshwj xeeb tshaj plaws ntawm gout yog tsub zuj zuj ntawm urates hauv cov ntaub so ntswg thiab cov kabmob thiab qhov tshwm sim ntawm qhov mob hnyav ntawm qhov chaw ntawm lawv tsub zuj zuj.

Dab tsi tuaj yeem ua rau gout? Raws li nrog rau txhua yam kab mob hauv kev txhim kho ntawm gout, muaj cov yam ntxwv txaus ntshai:

• insulin tsis kam;
• ntshav siab;
• noj ntau cov nqaij liab thiab offal;
• haus cawv, tshwj xeeb yog npias;
• impaired excretion ntawm uric acid nyob rau hauv lub raum kab mob;
• qee hom kev kho mob qog noj ntshav thiab kho tuberculosis;
• cov kab mob autoimmune;
• hereditary predisposition.

Gout feem ntau cuam tshuam rau cov pob qij txha, uas txiav txim siab cov duab kho mob. Raws li txoj cai, qhov mob muaj zog heev, mob thiab mob ntev. Cov tsos mob tseem ceeb ntawm gout yog:

• kev tawm tsam ntawm mob caj dab;
• tsim ntawm tophi - gouty nodes nyob rau hauv qhov chaw ntawm qhov loj tshaj tsub zuj zuj ntawm urates;
• raum puas.

Cov pob qij txha ntawm cov ntiv taw loj feem ntau cuam tshuam. Tsawg feem ntau yog cov pob qij txha loj: pob taws, hauv caug, lub luj tshib, dab teg, tes pob qij txha.

Kev tawm tsam ntawm qhov mob feem ntau pib thaum hmo ntuj lossis thaum sawv ntxov. Liab thiab o ntawm cov pob qij txha tshwm, qhov mob tshwm sim, uas ua rau kom qhov siab tshaj plaws tom qab 12-24 teev. Feem ntau, qhov sib koom ua kom kub rau qhov kov thiab mob siab rau qhov sib sib zog nqus.

Feem ntau cov kab mob gout no cuam tshuam rau cov txiv neej tom qab 40 xyoo. Lawv mob 7 zaug ntau dua li poj niam². Tus kab mob hauv cov poj niam feem ntau cuam tshuam nrog kev hloov pauv hauv cov metabolism hauv lub sijhawm cev xeeb tub thiab yog vim qhov txo qis hauv cov tshuaj estrogen. Qhov tseeb yog tias estrogens ncaj qha cuam tshuam rau kev tsim cov uric acid, txo nws cov concentration hauv cov ntshav.

Tsis tas li ntawd, kev noj zaub mov ntawm cov txiv neej thiab poj niam kuj txawv. Nyob rau hauv kev noj haus ntawm cov txiv neej muaj ib tug loj tus naj npawb ntawm provoking yam: liab nqaij thiab offal, muaj zog cawv thiab npias. Kev ua kom lub cev ntau dhau, kev ntxhov siab kuj ua rau muaj cov ntsiab lus ntxiv ntawm uric acid.

Cov chav kawm ntawm gout hauv txiv neej thiab poj niam kuj txawv.². Cov yam ntxwv ntawm gout hauv cov txiv neej:

• qhov pib ntawm tus kab mob tshwm sim thaum muaj hnub nyoog 30-40 xyoo;
• cov ntiv taw loj thiab pob qij txha ntawm ko taw feem ntau cuam tshuam.

Cov yam ntxwv ntawm gout hauv cov poj niam:

• qhov pib ntawm tus kab mob nyob rau hauv lub hnub nyoog laus thiab postmenopausal raws li txoj cai;
• cov pob qij txha ntawm tes feem ntau cuam tshuam;
• feem ntau tophi (gouty nodes) raug tsim.

Ua rau gout

Tus kab mob no tshwm sim thaum cov protein metabolism cuam tshuam hauv lub cev. Yav dhau los, gout tau hu ua "tus kab mob huab tais", txij li tsuas yog cov neeg nplua nuj tau nkag mus rau ntau cov kua txiv hmab txiv ntoo, nqaij - cov khoom uas pab txhawb rau kev loj hlob ntawm gout. Niaj hnub no, cov zaub mov no muaj rau ntau ntu ntawm cov pejxeem. Cov neeg laus feem ntau cuam tshuam, tab sis muaj cov kab mob txawm tias hauv 30 xyoo.

• Cov pab pawg muaj kev pheej hmoo suav nrog: cov neeg haus npias, cov neeg noj nqaij, cov neeg rog rog.

• Gout feem ntau tshwm sim hauv cov neeg noj cov tshuaj diuretics.

• Gout tshwm sim thaum muaj kev ua haujlwm tsis zoo ntawm lub raum lossis kab mob raum.

Tag nrho cov txheej txheem hauv koj lub cev yog tswj los ntawm lub hlwb. Koj lub hlwb hlwb tau txais cov ntaub ntawv los ntawm txhua lub cev thiab lub cev, tshuaj xyuas cov ntaub ntawv no, tsim cov tshuaj tiv thaiv tsim nyog, thiab xa cov lus txib tsim nyog los ntawm cov paj hlwb mus rau ntau yam hauv nruab nrog cev ntawm koj lub cev.

Daim ntawv teev npe ntawm 10 pheej yig thiab zoo tshuaj rau gout

Kev kho mob gout suav nrog kev kho tshuaj pharmacological thiab tsis yog tshuaj kho mob.². Kev kho tsis siv tshuaj muaj xws li: txo cov nqaij thiab nqaij nruab deg hauv kev noj zaub mov, tso cawv, npias thiab haus luam yeeb, poob phaus hauv kev rog, kawm txoj hauv kev ntawm lub neej.

Kev kho tshuaj suav nrog kev tshem tawm cov kev tawm tsam ntawm gout thiab antihyperuricemic txoj kev kho, uas tso cai rau koj txo qis qib ntawm uric acid hauv lub cev, tiv thaiv kev tsim cov urates thiab yaj cov uas twb tsim lawm.

Thaum lub sijhawm mob hnyav, cov tshuaj tsis-steroidal anti-inflammatory tshuaj (NSAIDs) ua ke nrog Colchicine pab txo qhov mob. Tom ntej no, cov tshuaj tiv thaiv kab mob gout raug sau tseg.

Ua ke nrog peb cov kws tshaj lij - General kws kho mob Mikhail Lystsov peb tau muab tso ua ke ib qho kev ntsuam xyuas ntawm pheej yig thiab zoo tshuaj rau gout.

Non-steroidal anti-inflammatory tshuaj (NSAIDs)

1. Ketonal

Cov tshuaj nquag ntawm Ketonal yog Ketoprofen, uas muaj cov nyhuv analgesic, anti-inflammatory thiab antipyretic teebmeem. Cov ntsiab lus siab tshaj plaws ntawm cov tshuaj hauv cov ntshav tau pom nyob rau hauv 15-30 feeb tom qab kev tswj hwm. Nws khi rau cov ntshav cov protein los ntawm 99% thiab nkag mus rau hauv cov kua dej sib koom ua ke, yog li nws tau nquag siv hauv kev kho mob gout.

Ontraindications: peptic rwj ntawm lub plab thiab duodenum, hemophilia thiab los ntshav tsis txaus, mob raum thiab lub siab tsis ua haujlwm, lub plawv tsis ua haujlwm nyob rau theem decompensation, mob tom qab coronary artery bypass grafting, los ntshav los yog xav tias lawv, dyspepsia, cev xeeb tub thiab lactation, cov menyuam yaus hnub nyoog qis dua 12 xyoos. Thaum muaj hnub nyoog, hypersensitivity rau ketoprofen thiab acetylsalicylic acid.

Noj cov tshuaj 1-2 ntsiav tshuaj 2-3 zaug hauv ib hnub nrog dej los yog mis nyuj ntau.

2. Nimesulide

Nyob rau hauv lub plawv ntawm Nimesulide yog lub active ingredient ntawm tib lub npe. Cov tshuaj inhibits cov synthesis ntawm prostaglandins - provocateurs ntawm o. Nimesulide ua ncaj qha rau thaj tsam ntawm qhov mob, muaj tshuaj tua kab mob, tshuaj tua kab mob. Qhov siab tshaj plaws yog ua tiav 2-3 teev tom qab noj tshuaj.

Ntxiv nrog rau kev tawm tsam ntawm gout, Nimesulide muaj txiaj ntsig zoo hauv rheumatic thiab psoriatic mob caj dab, spondylitis, osteoarthritis thiab osteochondrosis, myalgia ntawm ntau yam xwm txheej, sprains, tendons thiab lwm yam mob. Noj cov tshuaj 1 ntsiav tshuaj 2 zaug hauv ib hnub tom qab noj mov.

Ontraindications: tib yam li lwm cov tshuaj uas tsis yog-steroidal anti-inflammatory, tab sis cov me nyuam hnub nyoog txwv rau 12 xyoo. Tsis tas li ntawd, Nimesulide yuav tsum tsis txhob noj nrog lwm cov NSAIDs.

3. Meloxicam-Akrihin

Lub ntsiab active ingredient yog Meloxicam, uas kuj belongs rau cov pab pawg neeg ntawm non-steroidal anti-inflammatory tshuaj. Meloxicam yog siv rau hauv kev kho mob osteoarthritis, arthrosis, degenerative joint kab mob, rheumatoid mob caj dab, spondylitis, nqaij kab mob, sciatica thiab lwm yam mob. Nws yog nquag siv nyob rau hauv kev kho mob ntawm gout, txawm hais tias cov chaw tsim tshuaj paus tsis sau tseg qhov no. Meloxicam yuav tsum tau noj 1 ntsiav tshuaj 1 zaug hauv ib hnub.

Ontraindications thiab cov kev mob tshwm sim zoo ib yam li lwm cov NSAIDs.

4. Celecoxib

Cov tshuaj muaj npe tom qab lub ntsiab active ingredient. Nws peculiarity nyob rau hauv qhov tseeb hais tias Celecoxib yog zoo tshaj plaws nyob rau hauv cov neeg laus cov neeg mob (tshwj xeeb tshaj yog nyob rau hauv cov poj niam), tsis txo lub raum ua hauj lwm thiab yog tsis heev irritating rau lub plab hnyuv mucosa. Celecoxib zoo relieves mob pob qij txha, yog li nws yog feem ntau muab tshuaj nyob rau hauv kev kho mob ntawm gout. Koj yuav tsum tau noj cov tshuaj 1 ntsiav tshuaj ib hnub ib zaug lossis ob zaug sib faib.

Ontraindications: hemorrhagic stroke, subarachnoid los ntshav, hnub nyoog txog 18 xyoo.

Antigout cov neeg sawv cev

5. Colchicine

Colchicine yog thawj kab tshuaj rau kev tawm tsam gouty. Cov tshuaj txo cov qib ntawm cov qe ntshav dawb nyob rau hauv qhov chaw ntawm qhov mob thiab txo cov uptake ntawm uric acid ntsev. Colchicine muaj txiaj ntsig zoo hauv kev tawm tsam ntawm gout: twb nyob rau hauv thawj 12 teev tus mob no zoo heev. Nrog rau kev siv txhua hnub ntawm Colchicine, qhov tshwm sim ntawm kev tawm tsam thib ob yog txo los ntawm 75%³.

Txoj kev ntawm daim ntawv thov: noj cov tshuaj rau ib tug mob hnyav ntawm gout, 1 ntsiav tshuaj txhua 1-2 teev kom txog thaum qhov mob txo (tsis ntau tshaj 8 ntsiav tshuaj ib hnub twg). Txhawm rau tiv thaiv kev rov tshwm sim dua, Colchicine tau noj ib nrab ib ntsiav tshuaj ib hnub rau tag nrho lub sijhawm ntawm kev kho mob.

Contraindications: hypersensitivity rau cov khoom, mob plawv, mob siab thiab lub raum tsis ua haujlwm, cev xeeb tub thiab lactation, hnub nyoog txog li 18 xyoo. Cov kev mob tshwm sim tseem ceeb ntawm kev kho mob yog xeev siab, ntuav, thiab mob plab.

6. Colchicum-dispert

Colchicum yog tshuaj ntsuab npaj uas yog tsim los ntawm lub caij nplooj zeeg colchicum noob. Hais txog cov tshuaj tiv thaiv kab mob gout. Nyob rau hauv cov nqe lus ntawm pharmacological kev txiav txim thiab contraindications, nws yog ib tug nroj tsuag analogue ntawm Colchicine, tab sis nws tsis muaj hnub nyoog txwv, thiab cov kev phiv tshwm sim ntau npaum li cas.³.

Txoj kev ntawm daim ntawv thov: nyob rau hauv cov ntaub ntawv ntawm ib tug mob hnyav, noj 2 ntsiav tshuaj ib zaug, ces ib ntsiav tshuaj txhua 1-2 teev kom txog thaum mob nyem.

Ontraindications: hypersensitivity rau lub Cheebtsam ntawm cov tshuaj, cev xeeb tub thiab lactation, hepatic thiab lub raum tsis ua hauj lwm, kev tsim txom ntawm hematopoiesis.

7. Allopurinol

Allopurinol yog ib hom tshuaj tiv thaiv kab mob hauv tebchaws Russia. Lub active tshuaj ntawm tib lub npe nyob rau hauv muaj pes tsawg leeg inhibits lub enzyme koom nyob rau hauv lub synthesis ntawm uric acid. Cov tshuaj txo cov ntsiab lus ntawm uric acid nyob rau hauv cov ntshav thiab cov zis thiab, yog li ntawd, txo nws cov tsub zuj zuj nyob rau hauv lub cev thiab cov ntaub so ntswg.³.

 Allopurinol muaj txiaj ntsig zoo hauv kev kho mob ntev ntev ntawm cov kab mob gout, tab sis tsis tuaj yeem siv rau hauv nws cov theem mob, vim nws ua rau qhov mob thiab qhov hnyav ntawm qhov kev tawm tsam.

Yuav siv li cas: cov tshuaj tau noj 1 ntsiav tshuaj ib hnub ib zaug. Cov koob tshuaj tuaj yeem nce ntxiv kom txog thaum cov nyhuv xav tau tiav.

Ontraindications: lub raum thiab lub siab tsis txaus, cev xeeb tub thiab pub niam mis, menyuam yaus hnub nyoog qis dua 3 xyoos.

8. Febuxostat

Febuxostat yog ib hom tshuaj tiv thaiv kab mob hauv Lavxias. Lub ntsiab active ingredient - febuxostat - inhibits enzymes koom nyob rau hauv lub synthesis ntawm uric acid, yog li txo nws cov ntsiab lus nyob rau hauv cov ntshav. Febuxostat feem ntau yog muab rau kev tsis haum rau cov tshuaj thawj kab. Cov tshuaj tuaj yeem noj tsis hais zaub mov, nws pab tau zoo rau txhua lub hnub nyoog. Txawm li cas los xij, kev kho mob mus sij hawm ntev nrog Febuxostat tuaj yeem ua rau mob dyspeptic, ua pob khaus thiab edema. Qee lub sij hawm muaj qhov txo qis hauv daim siab ua haujlwm thiab rov ua dua ntawm gouty nres.

Yuav siv li cas: 1 ntsiav tshuaj ib hnub ib zaug, tsis hais noj mov.

Ontraindications: hypersensitivity rau lub Cheebtsam ntawm cov tshuaj, mob raum thiab hepatic insufficiency, cev xeeb tub thiab lactation, hnub nyoog txog li 18 xyoo.

9. Gout

Lwm cov tshuaj nrog febuxostat hauv lub hauv paus. Goutagrel yog tshuaj rau kev kho mob ntev hyperuricemia, gouty mob caj dab thiab tophi. Cov tshuaj tuaj yeem noj tsuas yog tom qab tshem tawm qhov mob hnyav ntawm gout - 1 ntsiav tshuaj ib hnub.

Ontraindications: hypersensitivity rau febuxostat, hnub nyoog qis dua 18 xyoo, cev xeeb tub thiab lactation, galactose intolerance thiab lactase tsis txaus. Qee lub sij hawm, cov tshuaj ua rau muaj kev phiv nyob rau hauv daim ntawv ntawm mob taub hau, raws plab, xeev siab, pob khaus ntawm daim tawv nqaij.

10. Urisan

Hauv peb daim ntawv teev npe, Urisan tsuas yog kev noj zaub mov ntxiv, thaum nws siv nws qhov chaw raug cai hauv kev kho mob gout. Urisan yog tshuaj ntsuab npaj uas muaj flavonoids thiab curcumin. Nws pab txo qhov mob, txo qhov mob thiab o ntawm cov pob qij txha, tshem tawm cov ntsev thiab normalizes qib ntawm uric acid. Urisan yuav tsum tau noj 2 ntsiav tshuaj 2 zaug hauv ib hnub nrog zaub mov.

Contraindications: cev xeeb tub thiab lactation, tus neeg intolerance rau cov khoom ntawm cov tshuaj.

Yuav ua li cas xaiv cov tshuaj rau gout

Kev xaiv cov tshuaj zoo rau gout ncaj qha nyob ntawm theem ntawm tus kab mob thiab yuav tsum tau kev sab laj nrog kws kho mob. Qee cov tshuaj tsis sib haum nrog cov tshuaj diuretics, lwm tus yog contraindicated nyob rau hauv ib qho mob hnyav ntawm tus kab mob. Kev tswj hwm tus kheej ntawm cov tshuaj tuaj yeem ua rau mob ntxiv thiab ua rau mob hnyav dua. Tsis txhob kho tus kheej, tso siab rau qhov kev xaiv ntawm cov tshuaj rau tus kws kho mob.

Kev tshuaj xyuas cov kws kho mob txog tshuaj rau gout

Tsis ntev tas los no, lub hom phiaj tseem ceeb ntawm gout yog kev noj haus, tab sis kev kho mob yuav tsum ua kom yooj yim thiab ua ke. Hauv kev tawm tsam mob hnyav, colchicine thiab cov tshuaj tsis-steroidal anti-inflammatory tshuaj raug sau tseg, thiab tom qab qhov kev tawm tsam tau txo qis, cov tshuaj tiv thaiv kab mob mus ntev yuav tsum tau noj.

Kev kho mob gout feem ntau yog siv sijhawm ntev thiab ua ke nrog kev noj zaub mov nruj. Lub sijhawm no, diuretics raug tso tseg lossis hloov nrog lwm cov tshuaj. Tam sim no, gout feem ntau ua ke nrog pathology ntawm ob lub raum thiab cov hlab plawv, rog rog. Nws kuj yuav tsum muaj kev sib koom ua ke rau kev kho mob gout.

Nrov lus nug thiab lus teb

Cov lus nug feem ntau txog kev kho mob gout yog teb los ntawm tus kws kho mob Mikhail Lystsov.

Yuav ua li cas kom tshem tau cov mob gout sai sai?

- Yog tias koj muaj mob gout, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Koj muaj peev xwm ntawm nws tus kheej noj cov tshuaj uas tsis yog-steroidal anti-inflammatory (piv txwv li, Nimesulide los yog Meloxicam) los yog ib yam tshuaj uas kws kho mob tau sau tseg. Kev tswj hwm tus kheej ntawm cov tshuaj antigout yog qhov tsis tsim nyog.

Cov zaub mov twg zoo rau tshem tawm uric acid?

Cov qib uric acid txo qis los ntawm cov khoom noj uas tsis muaj protein ntau thiab purines. Cov no suav nrog cov khoom noj siv mis, nqaij ntshiv (tshwj xeeb yog nqaij qaib), zaub roj, txiv hmab txiv ntoo thiab zaub. Nws raug nquahu kom haus cov kua dej ntau ntxiv los txhawb lub raum.

Kuv yuav tsum hu rau tus kws kho mob twg yog mob gout?

- Yog tias koj tab tom ntsib cov tsos mob gout thawj zaug, koj yuav tsum sab laj nrog kws kho mob. Nws yuav ua ib qho kev soj ntsuam thiab kev tshawb fawb tsim nyog. Thaum kuaj pom tseeb, tus kws kho mob rheumatologist yuav nrog kev kho mob.

Gout: kev kho mob nrog pej xeem tshuaj

Kev siv cov txheej txheem ntawm kev kho mob gout ua ke nrog tshuaj txo qhov mob, ntev thiab zaus ntawm kev tawm tsam.

Lub disintegrating nyhuv ntawm ntau cov nroj tsuag tshuaj nyob rau hauv cov ntxhia formations nyob rau hauv cov pob qij txha yog txuam nrog lub zog ntawm biologically active tshuaj (cov roj tseem ceeb, organic acids, microelements) nyob rau hauv lub pH ntawm cov zis, uas hloov lub degree ntawm nws saturation nrog crystalloids.

Nrog rau kev nce hauv pH ntawm cov zis los ntawm 6.5 mus rau 7, cov sediment ntawm qee hom phosphates ob npaug, thiab nrog cov tshuaj tiv thaiv acidic ntawm cov zis, lawv yaj.

Txhawb nqa tawm ntawm cov zis ntsev ntsev herbal npaj nplua nuj nyob rau hauv cov organic acids:

• txiv apples,

• txiv qaub,

• wine pob zeb,

• Amber

• salicylic ..., uas cuam tshuam rau kev ua haujlwm ntawm cov qog endocrine, qee qhov haujlwm ntawm lub paj hlwb cortex, acid-base rivnostan hauv lub cev, cov tshuaj tiv thaiv ntawm cov zis.

Cov metabolism hauv cov hlwb yuav txhim kho vim normalization ntawm cov ntshav capillary. Cov txheej txheem ntawm kev tshem tawm cov co toxins thiab co toxins los ntawm cov hlwb thiab cov khoom nruab nrog cev yuav hnyav dua, kev tiv thaiv yuav ntxiv dag zog.

Cov nroj tsuag tshuaj raws li lawv qhov kev txiav txim tuaj yeem muab faib ua pawg:

1. ntsev-soluble thiab diuretic;

2. Txhim kho cov metabolism;

3. Stimulation ntawm peristalsis ntawm cov leeg du ntawm cov zis

4. antispasmodic;

5. anti-inflammatory;

6. Cov tshuaj tua kab mob.

Cov khoom muaj xws li tshuaj ntsuab, uas yog 🍃:

• horsetail

• common goldenrod

• goose cinquefoil

• dandelion hauv paus

• Shepherd lub hnab

• nikolaychiki ib

• tshuaj ntsuab marigolds

• Rowan zoo tib yam berries

• tshuaj tsw qab violet

• lingonberry

Herbal tshuaj rau gout

Luv luv txog cov khoom ntawm cov sau ntawm cov nroj tsuag tshuaj 🍃:

• Horsetail Nws yog siv raws li ib tug diuretic, anti-inflammatory thiab hypotensive neeg sawv cev. Nws tau raug sim tsim tias teb horsetail txhawb kev tshem tawm cov hlau lead ntawm lub cev.

• Potentilla goose - los ntawm kev ua nws yog diuretic painkiller thiab hemostatic. Vim nws cov anti-spasmodic zog, lub peristalsis ntawm cov leeg du ntawm lub urinary ib ntsuj av yog stimulated. Raws li ib feem ntawm kev sau, goose cinquefoil plays lub luag haujlwm tseem ceeb.

• Tswv Yug Yaj lub hnab tawv - siv los ua tus tswj cov metabolism hauv lub cev, diuretic hauv cov txheej txheem inflammatory.

• Marigolds yog ib qho zoo diuretic thiab diaphoretic yam, tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv ntawm metabolic ntshawv siab, urolithiasis. Siv tau zoo sechoochisny kho rau ntsev diathesis.

• Fragrant violet - muaj cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob, qee yam txo cov ntshav siab.

• Goldenrod zoo tib yam - muaj cov tshuaj tiv thaiv kab mob hauv cov neeg mob uas cov kab mob microbial tiv taus cov tshuaj tua kab mob. Goldenrod muaj txiaj ntsig zoo hauv urolithiasis nyuaj los ntawm pyelonephritis. Qhov kev txiav txim yog diuretic choleretic, solegin, antiseptic.

• Dandelion hauv paus txhim kho zhivchotvorennya, nthuav tawm cov diuretic, antispasmodic thiab laxative zog, muaj txiaj ntsig zoo hauv kev tiv thaiv kab mob atherosclerosis.

• Nikolaichiki tsev Nws muaj cov nyhuv antispasmodic thiab diuretic, muaj cov nyhuv calming ntawm lub hauv nruab nrab paj hlwb.

• Rowan zoo tib yam (berries) muaj txiaj ntsig zoo rau cov kab mob hauv lub raum, ntsev diathesis, raum colitis, raws plab, vitamin A thiab C tsis txaus, kab mob siab thiab gallbladder. Rowan zoo tib yam yog tus cwj pwm ua ntsev-soluble, diuretic thiab multivitamin raw khoom.

• Hom lingonberry - cov khoom siv tshuaj ntawm cov nroj tsuag zoo ib yam li cov nplooj bearberry, uas tuaj yeem ua haujlwm sib npaug. Ib tug txawv feature yog hais tias nplooj thiab berries ntawm cranberries txo tus nqi ntawm uric acid. Kev ua ntawm kev txhim kho cov metabolism thiab ntsev-soluble, diuretic, antiseptic, astringent.

Kev kho sab nraud rau gout

Normalization ntawm kev noj haus - kev noj haus rau gout

Ntxiv nrog rau kev kho tshuaj, kev noj zaub mov kom zoo yog qhov tseem ceeb heev - kev noj haus rau gout. Yog tias tus neeg mob ua raws li kev noj haus, ces qhov kev tawm tsam ntawm tus kab mob yuav tsis tshwm sim rau xyoo.

Nws tsis tshua muaj leej twg thaum kawg tau tshem ntawm "tus kab mob huab tais". Tab sis qee qhov kev txwv kev noj haus tuaj yeem txo qis kev tawm tsam ntawm gout exacerbation. Hauv cov neeg, kev noj zaub mov gout los ntawm kev noj cov nqaij tsawg, cov khoom noj rog thiab qab ntsev, thiab tseem tsis kam haus kas fes, qab zib thiab dej cawv.

Nws raug nquahu kom txwv ntsev hauv cov zaub mov, vim nws khaws cov kua dej hauv cov ntaub so ntswg thiab tiv thaiv cov uric acid sib txuas los ntawm kev ntxuav tawm ntawm lub raum.

Khoom noj khoom haus zoo tshaj & phem tshaj noj nrog Gout | Txo kev pheej hmoo ntawm Gout Attacks thiab Hyperuricemia

Cov khoom noj uas nplua nuj purine uas yuav tsum tau txwv muaj xws li:

1. Legumes - taum, taum, lentils, taum.

2. Ntses - sprats, sardines, sprats, cod, zander, pike.

3. Offal - raum, siab, ntsws, hlwb.

4. Nceb - dawb, champignons.

5. Qee cov zaub (sorrel, spinach, figs, rhubarb, radishes, asparagus, cauliflower).

6. Nqaij ( nqaij npuas, nqaij nyug, yaj, goose).

7. Sausages (tshwj xeeb tshaj yog liverwurst).

8. Nqaij thiab ntses broths, poov xab, oatmeal, polished mov.

9. Nqaij yog qhov zoo tshaj plaws noj boiled, txij li li 50% ntawm purines mus rau hauv rog.

Nws tau pom tias txwv cov khoom uas ua rau lub paj hlwb: kas fes, tshuaj yej muaj zog, cocoa, ntsim khoom noj txom ncauj, txuj lom, thiab lwm yam. Kev haus dej cawv tuaj yeem ua rau mob gout, vim hais tias cawv impairs lub excretion ntawm uric acid los ntawm ob lub raum.

Kuv yuav tsum hais tias tsis yog txhua tus muaj peev xwm tam sim tso tseg cov zaub mov ib txwm muaj. Tab sis thaum thawj zaug muaj mob, zoo li yog tias lawv raug txiav ciaj sia, ntau tus tseem sim hloov mus rau kev noj zaub mov ntau dua.

Cov khoom muaj txiaj ntsig zoo rau gout yog cov mis nyuj thiab cov khoom siv mis nyuj (muaj cov calcium kom ntxiv dag zog rau cov pob txha), cereals, zaub (qos yaj ywm, zucchini, dib thiab txiv lws suav, taub dag), berries, txhua yam txiv ntoo (tshwj tsis yog txiv laum huab xeeb), cov nqaij boiled thiab boiled ntses.

Khoom noj khoom haus rau gout:

TSIS TXAUS SIAB RAU LUB ROOJ:

SOUPS:

Nqaij thiab nceb broths, kua zaub nrog sorrel, spinach, legumes

Nqaij:

Nqaij nyuj, nqaij qaib, yaj, nqaij npuas, ob lub raum, siab, ntsws, hlwb, hnyuv ntxwm, smoked nqaij, kaus poom zaub mov

NYIAJ:

Fatty, salty, smoked, kaus poom

Cov khoom siv mis nyuj:

Ntxiv ntsev thiab kua txob, feta cheese

Cereals thiab pasta:

legumes

Zaub:

Zaub txhwb qaib, rhubarb, sorrel, spinach, cauliflower

Txiv hmab txiv ntoo, berries, qab zib:

Fig, raspberries, chocolate

BEVERAGES:

Cocoa, muaj zog tshuaj yej thiab kas fes, poov xab thiab dej cawv

Txias SPICES:

Sauces rau nqaij thiab ntses broth, nceb broth, kua txob, mustard, horseradish

Khoom noj txom ncauj:

Cov khoom qab zib thiab qab ntsev, cov nqaij haus luam yeeb, cov kaus poom, cov hnyuv ntxwm

Cov rog:

Lamb, nqaij nyuj, nqaij npuas, roj ua noj

TXAUS SIAB RAU QHOV TSEEB

Khoom noj khoom haus thiab hmoov nplej:

Txwv cov khoom noj pastry

QE:

Ib qe ib hnub twg ntawm kev npaj

Nqaij:

Nqaij nyuj, luav, nqaij qaib, qaib ntxhw - boiled 1-2 zaug ib lub lim tiam

NYIAJ:

Tsawg-rog ntau hom ntses nyob rau hauv boiled daim ntawv 1-2 zaug ib lub lim tiam

Cereals thiab pasta:

muab tshuaj txhuam

Txiv hmab txiv ntoo, berries, qab zib:

plum

BEVERAGES:

kua txiv lws suav

YUAV TSUM TAU TXAIS KEV PAB CUAM:

Khoom noj khoom haus thiab hmoov nplej:

Nplej thiab rye qhob cij.

SOUPS:

Cov neeg tsis noj nqaij cov kua zaub nrog ntxiv ntawm ntau yam zaub thiab cereals, borscht, okroshka, beetroot, mis nyuj kua zaub

SEAFOOD:

Cw, squid

Cov khoom siv mis nyuj:

Mis nyuj, kefir, curdled mis nyuj, tsev cheese, cheese tsis ntsim

Cereals thiab pasta:

Ntau yam cereals ntawm kev npaj

Zaub:

Qos yaj ywm, beets, carrots, zucchini, taub dag, txiv lws suav, Sweet peppers, eggplants, dawb cabbage, cucumbers

Txiv hmab txiv ntoo, berries, qab zib:

Txhua yam txiv hmab txiv ntoo, tshiab berries thiab tom qab tshav kub kho, qhuav txiv hmab txiv ntoo, zib mu, jam

BEVERAGES:

Tsis muaj tshuaj yej thiab kas fes nrog mis nyuj, txiv hmab txiv ntoo thiab zaub kua txiv, rosehip infusion

Txias SPICES:

Sauces on zaub broth, txiv lws suav, qaub cream, vanillin, cinnamon

Khoom noj txom ncauj:

Zaub zaub xam lav, mos cheese

Cov rog:

Butter thiab zaub roj

Yuav ua li cas yog tsis kho?

Feem ntau, kev txhim kho ntawm gout ua rau muaj teeb meem loj uas ua rau muaj kev hem thawj rau koj txoj kev noj qab haus huv, thiab feem ntau lub neej.

Cov teeb meem no suav nrog:

• gouty mob caj dab

• kab mob urolithiasis

• kub taub hau (qhov kub tuaj yeem nce mus txog +40)

Yog tias koj tsis siv cov kev ntsuas sai lossis siv cov kev kho mob tsis zoo, cov txheej txheem pathological muaj zog yuav pib hauv koj lub cev, uas yuav ua rau muaj kev hloov pauv tsis zoo hauv kev ua haujlwm ntawm cov leeg nqaij thiab cov kab mob hauv nruab nrog cev.

Kev mob tsis tu ncua, ntxiv rau qhov tsis xis nyob, yuav ua rau muaj kev loj hlob ntawm psychosomatic thiab vegetative-vascular ntshawv siab. Tsis tas li ntawd, thaum tsis muaj kev kho mob kom zoo, kev sib koom ua ke tuaj yeem hloov tsis tau.

Yog tias koj tau txais cov ntaub ntawv tseem ceeb, ces peb zoo siab!

Noj qab nyob zoo!

Qhov chaw:

1. Gout. Cov lus qhia rau cov kws kho mob dav dav (cov kws kho mob hauv tsev neeg). Ministry of Health ntawm Lavxias teb sab Federation. 2015. https://endouroclinic.ru/media/file-galleries/qpbowb/Podagra%20Rukovodstvo%202015.PDF
2. Cov txheej txheem kho mob. Kev kuaj mob thiab kev kho mob ntawm gout hauv kev kho mob dav dav, 2013. https://rykovodstvo.ru/exspl/56548/index.html
3. Sau npe ntawm cov tshuaj ntawm Russia. https://www.rlsnet.ru/drugs/monural-2053