6 ntawm cov khoom noj muaj txiaj ntsig tshaj plaws rau gout

Cov txheej txheem:

6 ntawm cov khoom noj muaj txiaj ntsig tshaj plaws rau gout
6 ntawm cov khoom noj muaj txiaj ntsig tshaj plaws rau gout
Anonim

6 ntawm cov khoom noj muaj txiaj ntsig tshaj plaws rau gout

Mochalov Pavel Alexandrovich
Mochalov Pavel Alexandrovich

Mochalov Pavel Aleksandrovich

d. m.n. kws kho mob

1. Vitamin C

Vitamin C
Vitamin C

Cov kws tshawb fawb qhia tias vitamin C tuaj yeem pab txo qis cov ntshav uric acid, yog li tiv thaiv ib tus neeg los ntawm lwm qhov kev tawm tsam ntawm gout. Lawv tau ua raws li 47,000 tus txiv neej uas noj cov tshuaj vitamin C ntau tshaj 20 xyoo. Qhov kev tshawb fawb ntev no tau pom tias lawv muaj 44% qis dua ntawm kev tsim tus kab mob [1]

1,400 tus txiv neej tau koom nrog lwm txoj kev kawm. Ib pab pawg tau noj ntau ntxiv ntawm cov vitamin C, thiab qhov thib ob - hauv cov koob tshuaj me me. Nws tau pom tias qib ntawm uric acid qis dua hauv cov pab pawg uas tau txais ntau ascorbic acid [2].

Ib txoj kev tshawb fawb loj saib cov txiaj ntsig los ntawm 13 txoj kev tshawb fawb pom tias ib hlis cov vitamin C ntxiv tuaj yeem txo qis uric acid. Txawm li cas los xij, txhua qhov kev tshawb fawb tau ua nrog kev koom tes ntawm pawg tswj hwm uas tau txais cov placebo [4]

Txawm li cas los xij, cov kws tshawb fawb los ntawm Mayo Clinic ceeb toom tias kev noj cov vitamin C rau gout yuav tsum tau ua nrog ceev faj, vim tias koob tshuaj ntau tuaj yeem ua rau tus kab mob hnyav dua thiab ua rau nws hnyav dua. Yog li ntawd, ua ntej pib kev kho mob, nws yog ib qho tsim nyog los sab laj tus kws kho mob tshwj xeeb. [5]

Cov ntaub ntawv rau cov ntsiab lus ntawm vitamin C yog sawv hips

2. Txiv qaub kua txiv

Txiv qaub kua txiv
Txiv qaub kua txiv

Nyob rau xyoo 2017, kev tshawb fawb tau ua pov thawj tias cov kua txiv qaub thiab nws cov extract pab txo qis qib ntawm uric acid hauv cov ntshav. Cov neeg koom nrog hauv qhov kev sim txhua hnub rau 6 lub lis piam coj cov kua txiv qaub tshiab tshiab. Nyob rau hauv parallel, cov kev sim nas nas tau muab txiv qaub extract. Ob leeg tib neeg thiab tsiaj txhu tau pom qhov txo qis hauv uric acid thaum kawg ntawm qhov kev sim. [6]

Lwm cov kws tshawb fawb tau tshawb fawb txog 75 tus neeg mob uas haus cov kua txiv qaub tshiab tshiab txhua hnub. Nyob rau tib lub sijhawm, tag nrho cov kev kawm tau muab faib ua 3 pawg:

  • Gout sufferers;
  • Tsis muaj tsos mob ntawm gout (muaj keeb kwm ntawm gout), tab sis nce qib uric acid;
  • Tsis muaj gout tab sis nrog nce qib uric acid.

Tom qab 6 lub lis piam, kuaj ntshav thib ob. Nws tau pom tias nyob rau hauv txhua yam kev kawm, qib ntawm uric acid txo qis heev. Raws li cov ntaub ntawv tau txais, cov kws tshawb fawb tau xaus lus tias cov kua txiv qaub tsis tsuas yog pab tshem tawm cov tsos mob ntawm gout, tab sis kuj tiv thaiv nws txoj kev loj hlob. Yog li, nws tuaj yeem siv rau kev kho mob thiab prophylactic lub hom phiaj. Nws yuav muaj txiaj ntsig zoo rau cov neeg uas muaj qib uric acid ib txwm muaj, vim nws tso cai rau koj kom tswj tau qhov sib npaug ntawm cov ntshav. [7]

kua txiv qaub ua haujlwm li cas? Cov kua txiv qaub pab normalize uric acid los ntawm alkalizing lub cev. Noj nws tsis tu ncua nce pH ntawm cov ntshav thiab lwm yam kua, nrog rau cov zis.

Nyob rau hauv kev tshawb fawb luam tawm los ntawm British Medical Journal, nws tau pom tias haus cov kua txiv qaub txhawb kev tsim cov calcium carbonate. Nws khi rau uric acid, faib nws cov molecule rau hauv dej thiab lwm cov tshuaj. Vim cov nyhuv no, cov ntshav ua alkaline ntau dua.[8]


3. Txiv tsawb

Txiv tsawb
Txiv tsawb

Kev hloov pauv noj zaub mov tau raug pov thawj tias yog qhov zoo tshaj plaws tiv thaiv kev tawm tsam gout. Cov ntawv qhia zaub mov yuav tsum suav nrog cov khoom uas muaj qhov tsawg kawg nkaus ntawm purines. Qhov no txo qis kev tsim cov uric acid, yog li tiv thaiv kev loj hlob ntawm tus kab mob [9].

Txiv tsawb yog qis hauv purines. Yog li ntawd, lawv tuaj yeem thiab yuav tsum tau noj los ntawm cov neeg mob gout. Ib qho txiaj ntsig ntxiv los ntawm qhov tseeb tias txiv tsawb yog nplua nuj nyob rau hauv vitamin C. Cov kws tshawb fawb tau tshawb fawb, cov txiaj ntsig tau luam tawm hauv Archives of Internal Medicine. Lawv pom tias cov tshuaj vitamin C ntau tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim kab mob gout [10] Raws li USDA, ib qho txiv tsawb loj muaj txog 11.8 mg ntawm ascorbic acid.

Cov poj niam yuav tsum tau 75mg ntawm vitamin C txhua hnub, thiab txiv neej 90mg. Noj ib txiv tsawb tuaj yeem muab tau txog 16% ntawm nws lub cev txhua hnub rau cov poj niam thiab txog li 13% rau txiv neej.


4. Coffee

Kas fes
Kas fes

Muaj ntau cov kev tshawb fawb qhia tias kas fes yog ib qho kev tiv thaiv kab mob gout. Qhov no yog vim qhov tseeb tias nws muaj cov zaub mov, polyphenols thiab caffeine [11].

Kas fes zam qhov kev loj hlob ntawm tus kab mob los ntawm kev txo qis uric acid. Nws kev txais tos txhawb nqa nws sai sai tshem tawm ntawm lub cev. Tsis tas li ntawd, qhov kev txiav txim ntawm kas fes zoo ib yam li lub cev tus kheej enzyme lub luag haujlwm rau kev tawg ntawm purines. Yog li, tus nqi tsim ntawm uric acid yog txo.

Ib txoj kev tshawb nrhiav pom tias cov neeg haus kas fes muaj cov tshuaj uric acid tsawg hauv lawv lub cev thiab muaj urate tsawg hauv lawv cov zis [12].

Nyob rau hauv lwm txoj kev tshawb fawb los ntawm cov kws tshawb fawb hauv Nyij Pooj, nws tau pom tias haus tsib khob kas fes ib hnub ua rau muaj qhov txo qis hauv qib ntawm uric acid hauv lub cev. Tib lub sijhawm, tshuaj yej tau kawm zoo ib yam, tab sis tsis pom muaj cov txiaj ntsig zoo li no [13].

Qhov tseeb no tau lees paub los ntawm txoj kev tshawb fawb thib peb uas tau ua nyob rau xyoo 2014. Thaum txoj kev tshawb no, cov neeg koom ntsuas ntsuas qib ntawm uric acid hauv cov ntshav plasma. Ib pab pawg neeg tau txais tshuaj yej, thiab kas fes thib ob. Nws tuaj yeem pom tias qhov txo qis ntawm cov uric acid tau pom nyob rau hauv cov pab pawg uas lawv haus kas fes [14]

kas fes ua haujlwm li cas rau gout?

Kom nkag siab tias kas fes "ua haujlwm" li cas hauv kev kho thiab tiv thaiv kab mob gout, koj yuav tsum paub tias cov tshuaj siv rau lub hom phiaj no ua li cas rau lub cev. Ob cov tshuaj feem ntau yog kws kho mob tau sau tseg yog xanthine oxidase inhibitors thiab cov tshuaj uricosuric.

Xanthine oxidase inhibitors inhibits kev ua haujlwm ntawm enzyme ntawm tib lub npe. Yog hais tias nws yog tsim nyob rau hauv ntau tshaj nyob rau hauv lub cev, ces purines yog absorbed ntawm tus nqi siab. Txij li thaum nws yog purines uas ua raws li qhov chaw ntawm uric acid, kev tawm tsam ntawm cov enzymes sib raug zoo pab txo qis qib ntawm uric acid. Caffeine los ntawm kas fes yog methylxanthine, uas kuj muaj peev xwm los thaiv qhov kev txiav txim ntawm xanthine oxidase.

Ntxiv rau, chlorogenic acid los ntawm kas fes tau pom los txhim kho insulin rhiab heev [15].

Cov kws tshawb fawb tau pom tias cov neeg uas muaj cov tshuaj insulin tsis tshua muaj peev xwm tshem tawm sodium thiab uric acid ntsev ntawm lub cev. Nrog rau qhov txo qis ntawm cov tshuaj insulin, cov txheej txheem no normalizes [16]Yog li, peb tuaj yeem txiav txim siab tias kas fes tuaj yeem siv los ua ib qho kev tiv thaiv thiab kho gout.

5. Cherry kua txiv

Cherry kua txiv
Cherry kua txiv

Nyob rau theem mob hnyav, txhawm rau ua kom koj zoo, koj tuaj yeem noj cov kua txiv cherry. Nws txo qis qib uric acid thiab tiv thaiv kev loj hlob ntawm gout.

A xyoo 2011 txoj kev tshawb fawb pom tias 100% kua txiv cherry txo cov qib uric acid. Txhua tus neeg koom nrog hauv qhov xwm txheej no tau noj 8 servings ntawm kua txiv txhua hnub. Qhov kev sim tau siv sijhawm ib hlis. [17]

Xyoo tom ntej, lwm txoj kev tshawb fawb tau ua los ntsuas qhov ua tau zoo ntawm cov dej haus no rau gout. Cov kws tshawb fawb piv ob lub kua txiv hmab txiv ntoo: pomegranate thiab cherry. Lawv pom tias cherry concentrate ua haujlwm zoo dua pomegranate. Nws tsis tsuas yog txo qis uric acid, tab sis kuj txo qhov zaus ntawm qhov tshwm sim.

Nws kuj tau raug pov thawj tias kev siv cov txiv ntoo muaj txiaj ntsig zoo hauv kev kho mob gout. Lawv suav nrog hauv kev noj haus tuaj yeem txo cov tsos mob ntawm tus kab mob. Tshaj li 43% ntawm cov neeg mob tau soj ntsuam tau hais tias haus cov kua txiv cherry thiab extract ua rau lawv zoo dua thiab txo qhov zaus ntawm exacerbations [18]

Nyob rau xyoo 2012, kev tshawb fawb puv ntoob tau ua los ntawm cov kua txiv hmab txiv ntoo ntawm cov kab mob gout. Cov kws tshawb fawb pom 633 tus neeg koom nrog noj tsawg kawg 10 cherries ib hnub twg. Cov txiv hmab txiv ntoo no pab txo qhov kev pheej hmoo ntawm exacerbation ntawm tus kab mob mus txog 35%. Txawm tias zoo dua yog kev sib xyaw ntawm cherries thiab Allopurinol (ib tshuaj siv los kho gout). Qhov tshwm sim ntawm tus kab mob exacerbation tau txo mus rau 75% [19]

Anthocyanins, cov tshuaj uas muab cov cherry ci xim, pab tiv thaiv kab mob. Nws tau pom tias lawv muaj cov nyhuv anti-inflammatory, yog li ntawd lawv alleviate lub chav kawm ntawm gout. Nyob rau tib lub sijhawm, lwm cov khoom lag luam nrog anthocyanins tsis muaj qhov cuam tshuam zoo sib xws rau lub cev. Tshwj xeeb, peb tab tom tham txog blueberries [20]

6. Celery noob

celery noob
celery noob

Celery yog cov khoom noj muaj txiaj ntsig uas muaj ntau cov txiaj ntsig zoo. Feem ntau ntawm lawv muaj nyob rau hauv cov noob ntawm cov nroj tsuag. Cov no suav nrog:

  • Luteolin;
  • 3-n-butylphthalide (3nB);
  • YBeta-selinene.

Cov kws tshawb fawb tau pib kawm lawv cov kev cuam tshuam ntawm cov kab mob gout, ntawm kev tsim cov uric acid thiab cov lus teb inflammatory. Luteolin tau pom tias inhibit kev tsim cov nitric oxide ntau ntxiv. Nquag, cov khoom no muaj txiaj ntsig zoo rau lub cev, tab sis nrog nws ntau dhau, oxidative kev nyuaj siab thiab kev mob tshwm sim tshwm sim. Nws yog cov txheej txheem no uas tiv thaiv los ntawm luteolin los ntawm celery noob. Nov yog cov ntaub ntawv tseem ceeb heev rau cov neeg mob gout [21]

Ntxiv rau, luteolin nws tus kheej tiv thaiv kev tsim cov uric acid ntau dhau, vim nws muaj cov flavonoids. Nws tau pom tias cov tshuaj no tsis tsim xanthine oxidase, uas ua rau cov purines nyob rau hauv lub cev. Yog li ntawd, kev noj nruab nrab ntawm luteolin tuaj yeem txo qhov zaus ntawm gout exacerbations [22]

Celery noob muaj 3nB. Cov tshuaj no txo cov mob uas ib txwm muaj nyob rau hauv gout. Los ntawm kev cuam tshuam rau qee lub hlwb, 3nB tiv thaiv oxidative kev nyuaj siab thiab mob [23].

Tsis tas li, cov kws tshawb fawb tau soj ntsuam cov khoom kho mob ntawm beta-selinene. Nws tuaj yeem pom tias nws muaj cov haujlwm antioxidant thiab tso cai rau koj kom tsis txhob muaj cov tshuaj tiv thaiv kab mob. Cov khoom no ntawm beta-selenene tuaj yeem siv tau zoo hauv kev kho mob gout [24].

Feem ntau, celery yog ib yam khoom muaj txiaj ntsig uas tuaj yeem siv los tiv thaiv thiab kho gout. Nws txo qhov zaus ntawm exacerbations thiab txo qhov hnyav ntawm cov tsos mob ntawm tus kab mob.

Dr. Breg - yuav ua li cas tshem cov uric acid ntawm lub cev?

Author: Mochalov Pavel Aleksandrovich | MD kws kho mob

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