Yog tias koj tau ntsib kev mob hnyav tam sim ntawd thiab tsis xis nyob, koj yuav raug kev txom nyem los ntawm hom kab mob hu ua gout. Gout tuaj yeem tshwm sim los ntawm cov qib uric acid ntau. Uric acid, cov kua siv ua kua, feem ntau yog lim los ntawm koj ob lub raum thiab tshem tawm ntawm koj lub cev los ntawm koj cov zis. Tab sis, yog tias koj muaj qib uric acid ntau ntau, muaju tuaj yeem ua rau muaj mob xws li mob gout. Qhov no yog vim li cas txo qis koj cov qib ntawm cov uric acid thiab yaj cov muaju no yog qhov tseem ceeb. Koj tuaj yeem ua qhov no los ntawm kev noj tshuaj, hloov koj cov zaub mov noj, thiab tawm dag zog. Ib txwm tham nrog koj tus kws kho mob ua ntej hloov kho koj cov zaub mov lossis pib noj tshuaj.
Cov kauj ruam
Ntu 1 ntawm 2: Noj Tshuaj
Kauj Ruam 1. Kawm paub yam kev pheej hmoo ntawm kev mob gout
Yog tias koj muaj mob gout, ib hom mob caj dab los ntawm cov qib uric acid ntau ntau, muaju tuaj yeem tsim ua kua nyob ib puag ncig koj cov pob qij txha. Txawm hais tias cov txiv neej laus dua tuaj yeem tau txais nws, nws tuaj yeem cuam tshuam rau leej twg. Tsis muaj leej twg paub qhov tseeb ua rau mob gout, tab sis qee yam kev pheej hmoo suav nrog kev noj zaub mov muaj nqaij thiab nqaij nruab deg, rog dhau, mob hnyav xws li ntshav siab, ntshav qab zib, tsev neeg keeb kwm ntawm gout lossis yog tias koj tau noj qee yam tshuaj.
Gout ua rau mob thiab tawm tsam mob sib koom (feem ntau yog thaum tsaus ntuj thiab tau ntsib hauv koj cov ntiv taw lossis ntiv taw loj), nrog rau qhov liab, o, sov, thiab ua kom sib zog. Qhov tsis xis nyob nyob rau ib hnub rau ntau lub lis piam tom qab qhov kev tawm tsam xaus thiab tuaj yeem tsim kho mus rau mob gout ntev, ua rau muaj kev tsis taus txav mus los
Kauj Ruam 2. Mus ntsib koj tus kws kho mob kom kuaj mob
Yog tias koj muaj mob gout ntev, nquag lossis mob gout, tham nrog koj tus kws kho mob txog kev pib noj tshuaj. Koj tus kws kho mob tuaj yeem ua qhov kev ntsuas sib txawv txhawm rau kuaj mob gout, suav nrog kuaj ntshav txhawm rau ntsuas koj cov qib uric acid, kuaj cov kua dej synovial (qhov twg rab koob rub cov kua los ntawm koj qhov sib koom), lossis ultrasound lossis CT scan txhawm rau txhawm rau pom cov kua urate. Nrog cov txiaj ntsig ntawm kev ntsuas, koj tus kws kho mob yuav tuaj yeem txiav txim siab yog tias thiab hom tshuaj twg koj yuav tsum pib.
Koj tus kws kho mob tuaj yeem sau tshuaj noj xws li xanthine oxidase inhibitors, tshuaj uricosuric, thiab lwm yam tshuaj tsis tshua muaj xws li colchicine, uas yog rau mob gout
Kauj Ruam 3. Siv xanthine oxidase inhibitors
Cov tshuaj no txo qis cov uric acid uas koj lub cev ua uas tuaj yeem txo qis koj cov ntshav uric acid. Koj tus kws kho mob feem ntau yuav sau cov tshuaj no ua thawj hom kev kho mob gout ntev. Xanthine oxidase inhibitors suav nrog allopurinol (Aloprim, Zyloprim) thiab febuxostat (Uloric). Thaum cov tshuaj no tuaj yeem ua rau nce ntxiv hauv kev tawm tsam gout, thaum kawg lawv yuav tiv thaiv lawv.
- Cov kev mob tshwm sim ntawm allopurinol suav nrog raws plab, tsaug zog, tawm pob thiab suav ntshav tsawg. Nco ntsoov haus tsawg kawg yim 8-ooj tsom iav dej ib hnub thaum noj tshuaj allopurinol.
- Cov kev mob tshwm sim ntawm febuxostat suav nrog ua pob, xeev siab, mob sib koom thiab txo qis lub siab ua haujlwm.
Kauj Ruam 4. Sim noj tshuaj uricosuric
Cov tshuaj no pab koj lub cev kom tso zis ntau ntxiv uric acid los ntawm koj cov zis. Cov tshuaj Uricosuric tiv thaiv koj lub cev los ntawm reabsorbing urate (uric muaju) rov qab rau hauv koj cov ntshav, uas tuaj yeem txo qis cov kua qaub hauv koj cov ntshav. Tej zaum koj yuav tau sau tshuaj probenecid, tab sis nws tsis pom zoo yog tias koj muaj teeb meem hauv lub raum. Pib los ntawm kev noj 250mg txhua 12 teev rau thawj lub lim tiam. Koj tus kws kho mob yuav nce daim ntawv xaj tshuaj ntau lub sijhawm, tab sis tsis txhob ntau tshaj 2 grams (0.071 oz).
Cov kev mob tshwm sim ntawm probenecid suav nrog ua pob, mob plab, lub raum pob zeb, kiv taub hau, thiab mob taub hau. Txhawm rau tiv thaiv lub raum pob zeb, koj yuav tsum haus tsawg kawg rau rau rau yim khob dej txhua hnub thaum noj cov tshuaj probenecid
Kauj Ruam 5. Zam qee yam tshuaj
Qee cov tshuaj, suav nrog thiazide diuretics (hydrochlorothiazide), thiab lub voj diuretics (xws li furosemide lossis Lasix) yuav tsum raug zam, vim tias lawv tuaj yeem ua rau koj mob hnyav. Koj kuj yuav tsum zam qhov koob tshuaj aspirin qis thiab niacin vim tias lawv tseem tuaj yeem ua rau koj cov qib uric acid ntau ntxiv.
Tsis txhob tsum noj tshuaj yam tsis tham nrog koj tus kws kho mob. Hauv ntau kis, muaj lwm txoj hauv kev
Ntu 2 ntawm 2: Hloov Kho Khoom Noj
Kauj Ruam 1. Noj zaub mov kom zoo, muaj zaub mov zoo
Sim noj kom noj qab haus huv, cov zaub mov muaj fiber ntau thiab cov protein qis. Cov zaub mov uas muaj cov zaub mov muaj fiber ntau tuaj yeem pab ua kom yaj cov kua qaub uric acid. Cov fiber ntau pab nqus cov muaju, tshem tawm lawv ntawm koj cov pob qij txha thiab pab tshem tawm lawv ntawm koj ob lub raum. Koj kuj yuav tsum zam cov rog, xws li cheese, butter thiab margarine. Txo koj cov piam thaj kom tsawg, suav nrog cov piam thaj ntau fructose pob kws thiab dej qab zib, txhua yam uas tuaj yeem txhawb kev tawm tsam gout. Xwb sim suav nrog:
- Oats
- Zaub ntsuab
- Broccoli
- Txiv pos nphuab
- Cov nplej tag nrho
- Mov txhuv
- Dub taum
- Cherries (Cherries tuaj yeem txo qhov mob gout. Ib txoj kev tshawb fawb pom tias noj 10 cherries ib hnub tiv thaiv tib neeg los ntawm cov kab mob gout.)
- Cov rog tsawg lossis tsis muaj rog
Kauj Ruam 2. Zam cov khoom noj uas tuaj yeem ua rau kom muaj cov kua qaub ntau ntxiv
Ib txwm muaj tshwm sim hauv cov zaub mov hu ua purines tau hloov pauv mus rau uric acid los ntawm koj lub cev. Cov kev tshawb fawb tau qhia tias kev noj zaub mov zoo hauv purines tuaj yeem ua rau mob gout hauv ob peb hnub tom qab noj cov zaub mov. Zam cov khoom noj muaj purine siab xws li:
- Nqaij: nqaij liab thiab nqaij nruab nrog cev (daim siab, raum thiab qab zib)
- Nqaij ntses: tuna, cw, cw, qwj nplais, anchovies, herring, sardines, scallops, trout, haddock, mackerel
Kauj Ruam 3. Saib seb koj haus dab tsi thiab ua kom dej huv
Kev haus dej rau rau rau yim 8-ounce tsom iav dej ib hnub tau pom tias txo qis kev mob gout. Cov kua dej feem ntau suav nrog cov lus pom zoo rau dej, tab sis nws zoo tshaj rau lo rau dej. Koj yuav tsum txo qis lossis txiav tawm haus cawv vim nws tuaj yeem ua rau cov metabolism thiab nce qib uric acid. Yog tias koj xav haus lwm yam uas tsis yog dej, nrhiav cov dej qab zib uas tsis muaj suab thaj ntau, muaj suab thaj ntau-fructose pob kws phoov, lossis caffeinated. Qab zib tuaj yeem ua rau koj muaj kev pheej hmoo ntawm gout thiab caffeine tuaj yeem ua rau lub cev qhuav dej.
Koj tseem tuaj yeem haus kas fes hauv qhov nruab nrab (ob rau peb khob ib hnub). Qee qhov kev tshawb fawb qhia tias kas fes tuaj yeem txo qis cov qib uric acid hauv koj cov ntshav, txawm hais tias kev tshawb fawb tsis qhia txog kev txo qis hauv kev mob gout
Kauj Ruam 4. Tau txais cov vitamin C ntau dua
Qee qhov kev tshawb fawb pom tias cov vitamin C tuaj yeem txo qis cov qib uric acid hauv koj cov ntshav, txawm hais tias kev tshawb fawb tsis pom qhov txo qis ntawm kev mob gout. Nws tau qhia tias vitamin C tuaj yeem pab koj ob lub raum tawm ntawm cov kua qaub. Txiav txim siab noj 500 mg txhua hnub ntxiv tom qab sab laj nrog koj tus kws kho mob. Yog tias koj xav tau nce koj cov vitamin C los ntawm koj cov zaub mov noj, sim noj:
- Txiv hmab txiv ntoo: cantaloupe, citrus, txiv hmab txiv ntoo kiwi, txiv nkhaus taw, txiv tsawb, txiv puv luj, txiv pos nphuab, txiv pos nphuab, txiv pos nphuab, blueberries, cranberries, txiv kab ntxwv
- Zaub: zaub paj zaub, zaub zaub zaub zaub, zaub paj zaub, zaub ntsuab thiab kua txob liab, zaub ntsuab, zaub qhwv, zaub ntsuab, qos yaj ywm qab zib, qos yaj ywm, txiv lws suav, lub caij ntuj no
- Cereals muaj zog nrog vitamin C
Kauj Ruam 5. Qoj ib ce
Sim qoj ib ce tsawg kawg 30 feeb hauv ib hnub. Ib txoj kev tshawb fawb pom tias kev tawm dag zog 150 feeb hauv ib lub lis piam txo cov qib uric acid. Nws kuj tseem tuaj yeem txo koj txoj kev pheej hmoo ntawm kab mob plawv thiab pab koj poob phaus. Kev poob phaus tau txuas rau qib ntshav uric acid qis.
Txawm tias kev tawm dag zog lub cev qis dua tau txuas rau qee qhov txo qis hauv qib uric acid. Piv txwv li, yog tias koj tsis tuaj yeem dhia rau 30 feeb, sim nrawm nrawm kom tsawg kawg 15
Yees duab - Los ntawm kev siv qhov kev pabcuam no, qee cov ntaub ntawv yuav raug muab qhia rau YouTube
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- Koj cov qib uric acid yuav tsis cuam tshuam nrog gout. Qee tus neeg tuaj yeem muaj qib siab thiab tsis muaj mob gout, lossis muaj gout thiab qib ib txwm ntawm uric acid.
- Tam sim no tsis muaj pov thawj muaj zog lossis tshawb fawb tshawb fawb qhia tias lwm yam tshuaj zoo nyob hauv tsev lossis khoom siv ntuj tsim (dab ntxwg nyoog claw) muaj kev nyab xeeb thiab muaj txiaj ntsig zoo rau mob gout.
