Gout has been called the "disease of aristocrats" for many centuries. Mostly the upper classes, who were not used to eating in moderation, were sick of it. It is now well known that this disease is not linked to social status, but metabolism plays an important role here.
Improper metabolism and elevated levels of uric acid in the blood cause the development of recurrent acute arthritis. No drug will help to get rid of this disease to the end, but it is a very real task to significantly alleviate the patient's condition by minimizing exacerbations.
Modern drugs promote the elimination of excess uric acid, lowering its critical level, but still the main condition in the treatment of this complex disease is adherence to a special diet. Through nutrition, the patient can achieve maximum results.
Uric acid, the main enemy of the gout patient, is formed by purines. The latter is found in large quantities in animal feed, especially in fatty fish and pork. Therefore, meat and fish are almost completely banned.
Purines are also found in some plant foods. To minimize the likelihood of recurrence, you should strictly monitor what the patient eats.
Gout implies a strict approach to the choice of products, the patient must clearly know what to eat and what is under the strictest ban. Only ingredients that do not contain purines or contain them in small quantities are allowed in the diet, which is not able to affect the overall level of this substance in the body.
Mostly fruits and vegetables, so following this diet will not be difficult for a potential vegetarian, and for a carnivore it will be much more difficult. But as a result, the patient will feel pain relief, reduced swelling.
It's worth preparing for the fact that this list is not that small. After all, purines themselves, which are undesirable for an organism affected by gout, are found in many foods.
We will have to accept as a fact that white bread will have to be completely abandoned - there is too much yeast in it. The latter actively contribute to the production of uric acid in the body. For the same reason, we remove all baked goods from use.
What should not be eaten from meat products? Complete rejection of sausages, sandwiches, sausages, canned meat - they are literally full of purines. For the same reason we refuse offal, fatty pork is also strictly forbidden.
We also eliminate seafood from the diet of a gout patient. With a particularly strict ban oily fish, canned food, caviar.
You can not eat spicy and salty varieties of cheese, this type of dairy products will bring more harm than the pleasure of eating.
Remove all legumes from cereals - lentils, beans, soybeans, beans. The reason is the same - the high content of purine.
Of the vegetables, only mushrooms and sorrel are strictly forbidden. For a while, tomatoes were also on this list for the simple reason that they contained purines. But their content is so insignificant, and the vitamin complex is so significant that today this vegetable has moved from the banned list to the opposite list.
Fruits and berries also have a less extensive list, including figs, raspberries and grapes.
Lovers of sweet teeth will have to refrain from overly creamy cakes and pastries.
For fat, don't experiment with margarine and bacon.
Drinking plenty of fluids is recommended for gout, but not everyone can drink it. The choice of drinks should be treated with equal care. So, coffee and strong black tea are forbidden.
And it's not even because of the purines they contain - they are low in content. But the diuretic effect of these drinks is an undesirable phenomenon. All alcoholic beverages are strictly forbidden, including beer and wine.
Gout does not like spicy food, so we completely remove pepper, mustard, horseradish and other hot spices from the dishes. Salt should not be abused. It is better to refuse it as much as possible. It is unacceptable to put cubes of broth in a plate. The preservatives and purines they contain are out of the rankings.
Broths based on fish, meat, legumes should also be eliminated from the diet. Remove the mayonnaise.
All products in the list above are completely banned. They cannot be used categorically. For the first time, it is better to keep this list on hand so that you can always check the list of prohibited items.
The above ingredients are completely out of use. This list is not very long, the problem is that it includes quite common dishes that are present in the diet of every healthy person every day. In addition, a list of products authorized for use will be presented. But there is little compromise between these lists. He assimilated what was acceptable to eat, but little by little.
Turnips, cauliflower, radishes, asparagus, celery, rhubarb, spinach, peppers, onions and parsley top the list of vegetables. All this vegetation contains the same malicious purine - a malicious companion of gout. But its content is small. But the vitamin composition they carry is so great that it covers all the potential damage.
Plums can be eaten from fruit. Restrictions on tomato juice were removed from the drinks, but no more than a glass. Honey should be used with great care.
It is very strictly forbidden in violation of purine metabolism, but this does not mean that the patient is in a semi-starved state due to constant delays and refusals. Healing dishes can be delicious, moderately satisfying, but healthy.
Of the bakery products, preference should be given to gray and rye bread, from baked goods you can eat the one that is not made on yeast dough.
Those who are not ready to become vegetarians, even for their own health, can exhale, meat is allowed, but only lean. This includes rabbit, turkey, chicken. But the portions should be very moderate, no more than 170 grams and allowed to eat more often than during the day, the rest will be harmful.Fish and seafood should be included in the diet, but only low-fat species should be selected, such as salmon, pink salmon, trout. From other marine life in the patient's plate is desirable the presence of shrimp, crustaceans, squid. But in no case should they be fried, only boiled. After boiling, the patient should not use the broth.
Milk and eggs are also mandatory in the diet. Preference is given to low-fat milk, kefir, yogurt, fresh cheese, sour cream and cottage cheese. Do not cook with whole milk, do not forget to dilute with water. The use of butter is allowed, but as an addition to hot dishes, not as sandwiches. Eggs are also desirable, but not more than 1 per day.
A lot of vegetables are allowed. Melons, corn, beets, garlic, potatoes, carrots, white cabbage, cucumbers, onions, tomatoes - all these products improve metabolic processes. Garlic has proven to be good, soothes inflammation, relieving the patient's condition. During fasting, vegetables become the main helpers, and the potassium contained in many of them promotes the excretion of uric acid.
In cereals you don't really have to remember anything, in gout all types of cereals are allowed, except legumes. It is a rich set of trace elements that contribute to the regeneration process, and fiber, which allows you to cleanse the body effectively. There is no special regulation for cereals, what and when you can eat. There is only one condition - not to overdo it.
There is no big ban on fruits and berries. All citrus fruits, hard green apples, dates, persimmons, strawberries, apricots, pears, dried fruits - with the exception of raisins, which are made from forbidden grapes. It is quite natural to use it within reasonable limits without overdoing it.
From pastries, breadcrumbs, marmalade, canned food, marshmallows are acceptable, even pastries are allowed, but not chocolate. You can eat ice cream. We must not forget that everything is fine in moderation.
Fats can be added to the diet, but they can only be of vegetable origin, animal fats are completely excluded, they are too heavy.
Green tea, all types of fruit teas are allowed from drinks, but only with the use of permitted fruits and berries, the menu is allowed tea with milk and lemon. Homemade compotes, fruit drinks from fresh fruits and berries, fresh cucumber juice are useful in gout. Remember to make it a habit to drink alkaline mineral water every day.
Of the spices in dishes, only vanillin, cinnamon, bay leaf and citric acid can be used.
You can eat seeds and nuts of all kinds, the only exception being peanuts, they contain too much purine.
The patient's daily menu necessarily includes milk porridge, borscht with vegetable broths, salads of fresh vegetables, various vegetable dishes. Boiled is preferred, frying is almost not allowed.
Adherence to certain dietary rules is at the heart of patients' well-being. You can't do without him. The daily diet has certain building rules that will have to be followed throughout your life, because gout is a chronic disease. To make nutrition as effective as possible, it is better to entrust this matter to a competent doctor, who will take into account all the nuances of the disease and the characteristics of the patient's body - other existing diseases.
The daily diet necessarily includes liquid food, the basis of the diet are vegetable soups, vegetable and fruit salads, compotes, mineral water. Food should be taken at least 5 times a day.
Drink at least two liters of water a day, this will allow you to remove toxins and toxins. There should be a day of fasting when all the meat and fish are completely removed. The maximum number of such days is 3. A larger number is impractical and unreasonable.
The basis of the food is a vegetarian table, a minimum of meat, a maximum of vegetables and fruits. This diet is especially helpful for those overweight patients. They have to spend their hungry days much more often than others.
Don't lose weight too fast. It is optimal to lose no more than 2 kg per month. Too fast weight loss will negatively affect the general condition and can provoke an attack of exacerbation of the disease.
Table number 6 was developed by the doctor, the purpose of this diet is to normalize the metabolism of purines, to reduce the content of uric acid and salts, which are products of purine processing. The energy value of this diet is 2700-2800 kcal. This menu is a table with a balanced protein content.
Strict adherence to an antipurine diet will prevent exacerbation of the disease and will significantly reduce the likelihood of recurrence. This example is for one week, but you can stick to it all the time.
The basic principle of the diet comes down to strict consideration of all proteins, fats, carbohydrates. So the amount of protein per day should not exceed 70-90 g per day. Preference is given to animal proteins derived from milk and dairy products. The fat level corresponds to 80-90 g per day. 1/4 of this volume is of plant origin. The level of carbohydrates is not more than 350-400 g per day. This volume is equal to 80 g of sugar.
The daily requirement of salt for diet № 6 is not higher than 7-10 g. Consumed fluid varies from 1, 5-2 liters, while calories should not exceed 2400-2800. It is equally important to monitor the amount of micronutrients consumed. So potassium is not less than 3, 5 g, calcium - 0, 75 g, thiamine - 1, 5 g, retinol - 0, 5, ascorbic acid - 150 mg.
Food included in the diet of a patient with gout is not as difficult to prepare as it may seem at first. Many of them can be included in the diet of a healthy person.
Saute sliced onions in oil, add diced carrots. Place well. Add pre-cooked potatoes, peas and sour cream to the finished roast. Sol. Simmer 1/4 hour over medium heat.
Cut the cucumber into half rings and mix well with the sour cream in a glass. For a change you can add other permitted vegetables there - cabbage, tomatoes.
Make mashed potatoes, it is best not to overheat it, but to pass it through a fine sieve. Add oven-dried flour sauce and 80 g and potato broth. Don't forget to boil the sauce. Then add the egg and butter to the resulting potato mixture with sauce and boil again.
Mix all the ingredients to make a fairly thick paste. If this does not work, you can still add semolina. Leave for a while so that the croup is scattered and slightly swollen. When the dough swells slightly, you can bake. Form clean pancakes and roll them in flour. Fry on both sides. It can be eaten warm with sugar or cream cheese.
Grate the peeled potatoes on the finest grater, add the flour and egg to the mixture, mix well. Spread the dough on a preheated pan with a spoon, fry on both sides for 5 minutes. Serve with sour cream.
Mix the ingredients well (except sour cream), place the resulting mass in a mold and place it in an oven preheated to 150 degrees. Bake until lightly browned on top. Drizzle with sour cream before serving.
Add a spoonful of salt to boiling water and throw the diced potatoes into it. After boiling for 10 minutes, add the grated cabbage to the pan. At this time, fry the onion in a pan when it is slightly overheated, add in turn grated carrots and then beets.
Spread well and add the pasta. It can be replaced with a glass of tomato juice. When the vegetables are ready, transfer them to the pan. You can add herbs, a little black pepper and garlic. You can put sour cream in the finished dish.
This is a variation of what the weekly diet of a gout patient might look like.
Table 6 is very suitable for a patient in remission, but in an exacerbation situation the diet should be radically different. Only in this case will there really be a qualitative change for the better and the deterioration will subside. The basic rule of nutrition comes down to a complete rejection of meat and fish dishes - only fruits and vegetables.
Before breakfast - half a glass of warm alkaline mineral water, you can replace it with rosehip broth.
An important condition is careful control over the size of the portions, they should be more than modest, about half of the daily portion. Once the period of exacerbation has passed, you can enter dishes with meat and fish, not only to cook food, but also to fry it.