Gout has been called "the disease of aristocrats" for centuries.First and foremost, the people of the upper layers suffered and was not used to moderating the diet.It is now reliably known that this disease has no relationship with social status, but metabolism plays an important role here.
Inadequate metabolism and increased levels of blood acid cause recurrent acute arthritis.No medicine should be rid of this disease, but it is significantly alleviated by the patient by minimizing aggravation.
Modern drugs promote elimination of excess uric acid, reducing its critical level, but the most important condition of this complex disease is to follow a special diet.Nutrition allows the patient to achieve the maximum result.
Nutrition for gout
The uric acid, the main enemy of the gout patient, consists of purines.The latter is found in large quantities in animal foods, especially in fatty fish and pork.Therefore, meat and fish are almost forbidden.
Some plant food contains purine materials.In order to minimize the likelihood of a relapse, what the patient eats should be strictly monitored.
- The main condition is that food should be regular - 3-5 times a day.This ensures the necessary levels of the blood purine substances in the blood, avoiding excessive levels;
- You can't eat too much.The amount consumed is strictly regulated;
- The reverse process - starvation - should not be allowed;
- If the patient is overweight, all efforts should be made to get rid of it.But with a balanced diet you need to gradually lose weight.Too fast loss of kilograms can only exacerbate the patient's condition.Optimum weight loss month 1-2 kg;
- It is very important to drink as many fluids as possible during gout treatment.The norm is 1.5-2 liters a day when the condition is stable and at least 3 liters of water should be drunk when the condition deteriorates.Water can be replaced with any other allowed liquid;
- An essential element of a daily diet is alkaline mineral water.It helps to get rid of the body of your lord, which is important.
Gout requires a strict approach to choosing food;The patient must know clearly what to eat and what is strictly forbidden.Only ingredients that do not contain purines or contain small quantities are allowed into the diet, which does not affect the entire level of this substance in the body.
These are largely fruits and vegetables, so following the diet will not be difficult for the potential vegetarian, but it will be much harder for the meat eater.As a result, however, the patient will feel relief and reduced swelling.
What you can't eat if you have gout
It is worth preparing for the fact that this list is not that small.After all, purins that are undesirable for gout organism can be found in many foods.
We have to accept the fact that we have to leave the white bread completely - it contains too many yeasts.The latter actively promotes uric acid production in the body.For the same reason, we remove the use of all bakery goods.
What meat products shouldn't eat?Complete rejection of sausages, sausages, canned meats - literally full of purines.For the same reason we deny the hurt;Fatty pork is also completely prohibited.
Seafood fruits are also removed from the gout patient's diet.Fatty fish, canned food and caviar are particularly strictly prohibited.
Do not eat spicy and salty varieties;This type of dairy products cause more damage than a pleasure to eat.
All legumes are removed from cereals - lens, beans, soybeans, beans.The reason for this is the same - high purine content.
Of the vegetables, only mushrooms and sorrels are strictly forbidden.For a while, tomatoes were also on this list for simple reason to contain purines.But their contents are so insignificant and the vitamin complex is so significant that this vegetable today has switched from the prohibited list to the opposite list.
Fruits and berries also have such a widely forbidden list;It contains only the diagrams, the raspberries and the grapes.
Sweet lovers should refrain from consuming too creamy cakes and cakes.
As for fats, do not experiment with margarine and fat.
For gout, it is advisable to drink plenty of liquids, but not everything can be drunk.The choice of drinks should be treated just as carefully.So coffee and strong black tea are forbidden.
And that's not because of the purines in it - their content is low.But the effect of these drinks is an undesirable phenomenon.All alcohol, including beer and wine, is strictly forbidden.
Gout does not like spicy foods, so we completely remove pepper, mustard, horseradish and other hot spices from the food.Do not use the salt too much.It is better to avoid it as much as possible.It is unacceptable to place the Bouillon cubes in dishes.The preservatives and purines they contain simply do not appear on the tables.
Fish, meat and legumes -based broths should also be removed from the diet.Remove mayonnaise.
All products from the above list are completely prohibited.Not to be used categorically.At first, it is better to keep this list at hand to always check the list of prohibited items.
Possible but be careful
The above ingredients are completely excluded from use.This list is not too long, the problem is to include quite common foods that are in every healthy person's diet every day.We will then introduce a list of products allowed for consumption.But there is a little compromise between these lists.He absorbed what was acceptable to eat, but little by little.
Among the vegetables, this list is on the top of the white beet, cauliflower, radish, asparagus, celery, rhubarb, spinach, peppers, onions and parsley.All this vegetation contains the same malignant purin - the malicious companions of gout.But its content is small.But the vitamin content they carry is so large that they cover all possible damage.
Plum can eat as a fruit.As far as drinks are concerned, tomato juice restrictions were raised, but no more than a glass.Honey should be consumed with great caution.
What can you eat if you have gout?
It is very strictly forbidden if the purine metabolism is interrupted, but that does not mean that the patient is in a semi -starving condition due to a constant ban and rejection.Healing foods are tasty and can be filled moderately, but at the same time healthy.
Gray and rye bread should be preferred between bakery goods;Between bakery goods you can eat those that are not made with yeast dough.
Those who, for the sake of their own health, are not willing to become a vegetarian, can exhale, the meat is allowed, but only lean meat.This includes rabbit, turkey and chicken.But the doses should be very moderate, up to 170 grams, and you can eat it more often every other day, the rest will be harmful.
Fish and seafood must be included in the diet, but you only have to choose low -fat species such as salmon, pink salmon and trout.The presence of shrimp, crustaceans and squid among the sea inhabitants is desirable on the patient's plate.But under no circumstances can it be baked, just cooked.After the sick source, the broth should not be consumed.
Milk and eggs are also an essential element of the diet.Preference for low fat milk, kefir, yogurt, unleavened cheese, sour cream and curd.Cannot cook with full milk;You must dilute with water.Let it use butter, but additive to hot foods and not as a sandwich.Eggs are also desirable, but more than 1 daily.
A lot of vegetables are allowed.Melon, corn, beets, garlic, potatoes, carrots, white cabbage, cucumber, onions, tomatoes - these products improve metabolism.Garlic proved to be excellent;It soothes inflammation, alleviating the condition of the patient.On fasting days, vegetables become the main helpers and the potassium in many helps to eliminate uric acid.
There is no need to remember nothing, especially with cereals;For gout, all types of cereals are allowed except the legumes.It is a rich set of micronutrients that promotes the regeneration process and fiber, which allows the body to be efficiently cleaned.There are no specific rules for cereals, how much and when to eat.There is only one condition - don't overdo it.
It is not a big ban on berries and fruits.All citrus fruits, hard green apples, date, date, strawberry, peach, pears, dried fruit - except for raisins, which is made from prohibited grapes.It is very natural to use within reasonable limits without exaggerating.
From sweets, it is allowed to consume marshmallow, jam, jam, marshmallow and more candies, but not chocolate.You can eat ice cream.We must not forget that everything is moderately good.
You can introduce fats into your diet, but can only be of herbal origin;Animal fats are completely excluded, too heavy.
The permissible drinks are green tea, all kinds of fruit teas, but only the allowed fruits and berries are used;Milk and lemon tea are allowed in the menu.Homemade ferries, fruit drinks made of fresh berries and fruits, and fresh cucumbers juice are useful for gout.It is absolutely necessary to drink alkaline mineral water every day.
The only spice you can add to the vessels is vanillin, cinnamon, bay leaf and citric acid.
All kinds of seeds and nuts can be eaten, the only exception is peanuts that contain too much purin.
The patient's daily menu necessarily includes milk, Borscht vegetable soup, fresh vegetable salads and various vegetable foods.Cooking is preferred;Baking is almost not allowed.
Diet for gout
The patient's well -being is based on compliance with certain nutritional rules.There is no way.The daily diet has some building rules that you have to follow throughout your life, as gout is a chronic disease.In order to make nutrition as efficient as possible, it is better to entrust this issue to a competent doctor who takes 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 foods, nutrition foundation - vegetable soups, vegetables and fruits salads, compotes, and mineral water.The food should be taken at least five times a day.
You should drink at least two liters of water a day to help remove waste and toxins.It must be fasting day when all the meat and fish are completely removed.The maximum permissible number of such days is 3. It is no longer practical and unreasonable.
The nutrition is based on a vegetarian table, minimal meat, at most vegetables and fruits.This diet is particularly useful for patients who are overweight.They need to spend a lot more often the fasting day than others.
You should not allow yourself to lose weight too quickly.It is optimal to lose up to 2 kg per month.Excessive weight loss negatively affects its overall condition and can provoke the attack on the disease.
6 diet for gout
Table 6 was developed by a doctor;The purpose of this diet is to normalize purine metabolism, to reduce the content of uric acid and salt, which are products of purine processing.The energy value of this diet is 2700-2800 kcal.This menu is a table that is balanced in protein content.
Strict adherence to the antipurine diet prevents the disease from worsening and significantly reduces the likelihood of relapse.This example is designed for a week, but you can keep insisting on it.
The basic principle of the diet leads to strict calculation of all protein, fat and carbohydrates.So the amount of daily protein should not exceed 70-90 g daily.It is preferred by animal proteins from milk and products.The fat level corresponds to 80-90 g daily.1/4 of this amount is of vegetable origin.The carbohydrate level is not exceeding 350-400 g daily.This volume is equal to 80 g of sugar.
The daily salt intake of diet 6 is not higher than 7-10 g.Fluid consumption is 1.5-2 liters, while calories should not exceed 2400-2800.It is just as important to monitor the amount of micronutrients used.So potassium is at least 3.5 g, calcium - 0.75 g, thiamine - 1.5 g, retinol - 0.5, ascorbic acid - 150 mg.
Recipes from Menu 6
The food in the gout patient's diet is not as difficult to prepare as at first.Many can be incorporated into a healthy person's diet.
Vegetable stew
- Large potatoes - 3 pieces;
- Medium carrot - 1 pc.;
- Onion - 1 head;
- Fresh green peas - 1 tbsp;
- Butter - 1 tablespoon.L.;
- Sour cream - 100 g;
- Salt to taste.
Fry the chopped onion in oil, add diced carrots.Roasted well.Add pre -cooked potatoes, peas and sour cream for finished baking.Add salt.Boil over medium heat for 1/4 hours.
Cucumber salad
- Fresh cucumbers - 2 pcs;
- Sour cream for dressing;
- Salt to taste.
Cut the cucumber into half rings and mix thoroughly with a cup and sour cream.You can add any other permissible vegetables to diversity - cabbage, tomatoes.
Potato soup
- Potatoes - 3 pcs;
- 1/2 raw egg;
- Butter - 1 teaspoon;
- Flour - 1 tbsp;
- Fresh greens;
- Sour cream - 1 tablespoon.
Make mashed potatoes from potatoes;It is best not to clap them, but to pass them on a delicious sieve.Add sauce from oven dried flour and 80 gr.and potato soup.It definitely boils the sauce.Then add the egg and butter to the resulting potato mixture and boil again.
Syrniki
- Curd - 250 gr.;
- Semolina - 4 tablespoons.L.;
- Egg.
Mix all the ingredients and get a rather thick paste.If this fails, you can add further Semolina.Let the cereals be slightly swollen and swollen.When the dough is slightly swollen, it can bake.Make nice pancakes and roll them into flour.Bake on both sides.It is hot with sugar or creamy cheese.
Potato pancakes
- Large potatoes - 3 pieces;
- Egg - 1 pc.;
- Flour - 20 g;
- Sour cream;
- Vegetable oil - teaspoon.
Grate the peeled potatoes on the finest file, add flour and eggs to the resulting mixture, mix thoroughly.Spoon the dough on the heated pan and bake for 5 minutes on both sides.Serve with sour cream.
Cake
- Milk - 50 ml;
- Cottage cheese - 75 g;
- Egg white - 2 pieces;
- Sour cream;
- Butter;
- Sugar.
Mix the ingredients (except the sour cream) thoroughly, place the resulting mass in a mold and place in the oven, heated to 150 degrees.Bake until the top is brown slightly.Sprinkle with sour cream before serving.
Vegetarian Borscht
- Water - 3 l;
- Potatoes - 2 pcs;
- Vegetable oil - 2 tablespoons;
- Onion - 1 piece;
- Carrot - 100 g;
- Beetroot - 150 g;
- Cabbage - 100 g;
- Paradise - 1 teaspoon.
Add a spoonful of salt to the boiling water and add diced potatoes.After 10 minutes, add a chopped cabbage to the pan.At this time, bake the onion in a pan;When it is slightly steamed, add grated carrots one by one, then the beet.
Let the vegetables cook well and add the dough.It can be replaced with a glass of tomato juice.When the vegetables are ready, move them into the pan.You can add herbs, a little pepper and garlic.You can add sour cream in the finished dish.
Sample menu for diet 6
This is one of the options for gout patients' weekly diet.
First day
- Breakfast - porridge with dried fruits (but not raisins), tea with milk
- Second breakfast - cottage cheese pudding.
- Lunch - soup buckwheat, vegetables (zucchini) pancakes, spiced with sour cream and fruit jelly.
- Afternoon snack - a glass of tomato juice.
- Dinner - Fresh white cabbage salad with apples.
Second day
- Breakfast - vegetable croquet (carrot and rice), sour cream, tea with lemon.
- Second Breakfast - Fresh pear.
- Lunch - Fresh vegetable stew, dough with sour cream and green tea.
- Afternoon snacks - apples baked with honey.
- Dinner - beet salad, toast with salted cheese.
Third day
- Breakfast - Milk porridge cherry, lace hyper compote.
- Second Breakfast - sour cream with cottage cheese.
- Lunch - cabbage soup, cheesecake, tea with milk.
- Afternoon snack - strawberry jelly.
- Dinner - potato pancakes with sour cream.
Fourth day
- Breakfast - omelette with dill, cheese sandwich, fresh fruit compote.
- Second breakfast - carrot salad seasoned with grated apples and sour cream.
- Lunch - Beetroot soup, kefir pancake with sour cream, tea with lemon.
- Afternoon snack - fresh apple.
- Dinner - rice milk porridge with pumpkin and cinnamon.
Fifth day
- Breakfast - seasoned with curd honey, tea with herbs.
- Second breakfast - pear.
- Lunch - vegetable dough soup, cereal slice, compote.
- Afternoon Snack - Apple.
- Dinner - Eggplant with cheese and tomatoes.
Sixth day
- Breakfast - millet with honey, tea with milk.
- Second breakfast - banana.
- Lunch - rice soup, Zrazy cabbage, jelly.
- Afternoon snack - kefir with pillars.
- Dinner - Potatoes baked with vegetables.
Seventh day
- Breakfast or hard cooked eggs, cucumber salad.
- Second Breakfast - with toast cheese.
- Lunch - millet porridge with milk, pancake cheese.
- Afternoon snack - fresh fruit.
- Dinner - steamed cabbage with toasted peanut butter.
How to eat during an aggravation
Table 6 is well suited to patients, but in the case of aggravation, nutrition should be radically different.Only in this case will indeed be a qualitative change to the right and the aggravation will retreat.The basic rule of nutrition leads to the complete rejection of meat and fish boards - only fruits and vegetables.
What does the menu look like during a aggravation period?
Before breakfast - half a glass of warm alkaline mineral water, which can be replaced by lacedoo decoction.
- Breakfast - 120 g of milk oatmeal and a glass of milk.The prerequisite is that the oatmeal must be liquid.
- Second breakfast - a glass of fresh apple juice or a raw apple.
- Lunch - Puree vegetable soup - 120 g, fruit jelly.
- Afternoon snack - a glass of fresh carrot or tomato juice.
- Dinner - 120 g of liquid milk rice porridge, a glass of apple compote.
- Second dinner - a glass of kefir.
- Before going to bed, you can drink tea with milk and honey.
An important condition carefully controlling the amount of portions;They should be more than modest, the daily dose is approx.Half.After the aggravation period, you can introduce meat and fish foods, not only food, but also fry them.