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Tophi is a disease of purine metabolism disorder, the attack of gout is related to diet, food contains purines, after purines enter the body, it will lead to purine metabolism disorders in the body and decreased renal excretion function, which will damage joint tissues and cause gout. Wondering what kind of food contains the most purines? What foods can be eaten and which foods can't be eaten, I'll talk about it below.
Food. Foods containing trace amounts of purines (you can choose to eat preferentially), milk, cheese, eggs, vegetables, rice, millet, flour, potatoes, honey, tea, cocoa, coffee, pears, grapes, oranges.
Foods containing moderate purines (consumed in small amounts) are seaweed, kidney beans, mushrooms, spinach, peas, bamboo shoots, white fungus, cereals, peanut kernels, cashew nuts, sesame seeds, chicken, lamb, eel, salmon, white fish, grass carp, tuna, crab, lobster.
Foods high in purines (try not to eat) beef, beef tongue, pork, lamb, turkey, duck, goose, chicken broth, lentils, shiitake mushrooms, seaweed, wine (especially beer).
Very high purine (strictly forbidden to eat) offal, caviar, hot pot soup, thick gravy, shellfish, shrimp, crab roe, soy products.
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The dietary contraindications of gout patients should follow the following principle of "three more and three taboos":
First, there are more than three gout diets.
1 Drink plenty of water. Patients with gout must drink more water, which can increase the dissolution of uric acid and facilitate the excretion of uric acid. Ordinary people drinking more than 2000ml of water a day can effectively prevent gout, and people with kidney stones should drink more than 3000ml of water every day.
2 Eat plenty of fresh vegetables and fruits. Eating more vegetarian alkaline vegetables and fruits can keep the pH value of urine at about right, and almost all urate is dissolved at this time, which is conducive to excretion. In summer, you can eat more watermelon, winter melon, etc., which not only dissipates heat and relieves heat, but also has a diuretic effect, which is effective for gout.
3 Exercise more. Do more physical activities such as jogging, brisk walking, cycling, going up and down stairs, etc., to burn excess body fat and control weight gain.
Second, the three taboos of gout diet.
1 Don't drink alcohol. Drinking alcohol is one of the most important triggers of a gout attack. Because ethanol, the main component of alcohol, can increase lactic acid in the body, and lactic acid can inhibit the excretion of uric acid in the renal tubules, at the same time, ethanol can also promote the decomposition of purines, directly increase blood uric acid, and the wine itself can provide purine raw materials, such as beer is fermented from malt, and the purine content is very high.
Therefore, heavy alcohol consumption can cause gout attacks, and long-term alcohol consumption can cause hyperuricemia. It is best to stop drinking alcohol to prevent gout attacks, and if you can't quit for a while, you should also pay attention to avoiding heavy drinking, and even more avoid alcoholism.
2. Avoid taking drugs that reduce uric acid excretion. However, you can drink gout Qingsheng tea to professionally regulate gout.
3. Avoid obesity. Obesity is both a risk factor for the onset of gout and a contributing factor for the development of gout. The blood uric acid level of obese people is usually higher than that of normal people, and if gout is accompanied by obesity, it can also affect the effect of drugs and reduce drug sensitivity.
Obese people should**, control total calories, limit fat intake, and participate in physical activity.
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Patients with gout should be careful not to eat foods high in purines: animal offal (liver, intestines, kidneys, brain), seafood (abalone, crab, lobster, salmon, sardines, tuna, carp, sea bass, trout, cod), shell food, meat (beef, sheep, duck, goose, pigeon), soybean food, lentils, spinach, cauliflower, asparagus, mushrooms, soup, fermented food, asparagus, shiitake mushrooms...Eat less hot pot - The raw materials of hot pot are mainly lobster, beef and mutton, animal offal, seafood, shellfish, mushrooms and other purine-rich foods
According to tests, a hot pot is l0 times higher than the purine ingested in an ordinary meal, or even dozens of timesEat more foods low in purines: whole grains, eggs, milk, fruits, vegetables.
Avoid acidic foods such as coffee, fried foods, and fatty foodsThe acid-alkaline imbalance will affect the body's functions and increase the burden on the liver and kidneys.
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Foods with high or medium purines should not be eaten during the attack.
When there is no seizure, high-purine diets should be avoided as much as possible, such as animal offal, scaleless fish, shellfish, broth, white wine, rice wine, beer, etc. Some medium-purine foods, such as various meats, such as beef, sheep, pork, crabs, and shrimps, should control the intake of such foods, and add up to less than 3 taels in 1 day, which is relatively safe.
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Seafood, barbecue, high-purine foods should not be eaten.
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Gout is a common and complex type of arthritis that can occur at all ages, with men being more common than women.
What gout patients can not eat: purine control is the key, patients should keep their mouths shut in their daily life, while lowering acid, and cannot eat seafood, fish and shrimp, alcohol (beer is not OK), soy products, acidic food, animal offal, fungi and greasy things, strong tea barbecue meat, etc.
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People with gout should avoid high-purine foods and limit their intake of fructose and alcohol.
1.High-purine foods can metabolize things that produce large amounts of uric acid, aggravating the patient's condition. Such foods include animal liver, pork, beef and mutton, shellfish, anchovies, salmon, tuna, etc.
2.High-fructose foods can inhibit the excretion of uric acid, so the consumption should be limited, this category includes particularly sweet drinks, apples, bananas, watermelon, etc.
3.Substances that inhibit the excretion of uric acid can also be produced during alcohol metabolism, so gout patients should consume a small amount of alcohol and drink less alcohol.
Patients with gout can eat more low-purine foods such as fruits and vegetables, potatoes, rice, goat's milk, etc., and drink more water. You should also have a regular routine and exercise, maintain your weight, and don't smoke.
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Try not to eat high-purine foods, such as alcohol (including beer and liquor), seafood, organ meats (such as liver, kidneys, etc.), broth, etc., and do not drink cola and other drinks (such as soda, fruit juice) or food that are high in fructose cereal syrup. Beef, mutton, pork and other meats should be eaten less, desserts and condiments should be eaten less, eggs, milk and vegetables, fruits are recommended to eat, drink more water, at least 2000 ml a day, exercise more, and lose weight.
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