{"id":28035,"date":"2023-06-13T11:12:36","date_gmt":"2023-06-13T08:12:36","guid":{"rendered":"https:\/\/bolenzdrav.com\/?p=28035"},"modified":"2023-06-13T11:12:37","modified_gmt":"2023-06-13T08:12:37","slug":"kakvo-sa-purini-v-koi-hrani-gi-ima-i-kakva-e-vrazkata-s-podagra","status":"publish","type":"post","link":"https:\/\/bolenzdrav.com\/pl\/zdrave\/kakvo-sa-purini-v-koi-hrani-gi-ima-i-kakva-e-vrazkata-s-podagra\/","title":{"rendered":"Czym s\u0105 puryny, w jakich pokarmach si\u0119 znajduj\u0105 i jaki jest zwi\u0105zek z dn\u0105 moczanow\u0105?"},"content":{"rendered":"

Puryny to rodzaj zwi\u0105zk\u00f3w chemicznych wyst\u0119puj\u0105cych w r\u00f3\u017cnych produktach spo\u017cywczych, a tak\u017ce naturalnie wytwarzanych przez organizm. Odgrywaj\u0105 wa\u017cn\u0105 rol\u0119 w syntezie DNA, RNA i cz\u0105steczek energii, takich jak ATP. Osoby, kt\u00f3rych organizm utrzymuje wysoki poziom kwasu moczowego, powinny uwa\u017ca\u0107 na spo\u017cywanie takich produkt\u00f3w. Odk\u0142adanie kwasu moczowego w postaci kryszta\u0142\u00f3w wok\u00f3\u0142 ma\u0142ych staw\u00f3w powoduje atak dny moczanowej. Jest to bolesne i niesie ze sob\u0105 ryzyko d\u0142ugotrwa\u0142ych skutk\u00f3w zdrowotnych.<\/p>\n\n\n\n

Puryny s\u0105 rozk\u0142adane w organizmie do kwasu moczowego<\/strong><\/h2>\n\n\n\n

Kiedy puryny s\u0105 rozk\u0142adane w organizmie, wytwarzaj\u0105 produkt odpadowy zwany kwasem moczowym. Zwykle rozpuszcza si\u0119 we krwi i jest wydalany z organizmu z moczem. Jednak u niekt\u00f3rych os\u00f3b organizm wytwarza du\u017ce ilo\u015bci kwasu moczowego. Mog\u0105 wyst\u0105pi\u0107 trudno\u015bci w skutecznym wyeliminowaniu go z moczem. Ka\u017cda przyczyna prowadzi do stanu zwanego hiperurykemi\u0105. <\/p>\n\n\n\n

Ten stan mo\u017ce wyst\u0105pi\u0107 z objawami lub bez nich. U niekt\u00f3rych os\u00f3b wykrywa si\u0119 podwy\u017cszone laboratoryjne warto\u015bci kwasu moczowego, ale nie maj\u0105 \u017cadnych dolegliwo\u015bci, nic nie czuj\u0105. Inni maj\u0105 objawy. Typowy atak dny moczanowej wi\u0105\u017ce si\u0119 z nag\u0142ym b\u00f3lem palucha, kt\u00f3ry cz\u0119sto pojawia si\u0119 w nocy. Rano osoba mo\u017ce pomy\u015ble\u0107, \u017ce w co\u015b uderzy\u0142a, nie pami\u0119taj\u0105c. B\u00f3l jest ostry, k\u0142uj\u0105cy. Objawy mog\u0105 pojawi\u0107 si\u0119 r\u00f3wnie\u017c w innych stawach. <\/p>\n\n\n\n

\"\u043f\u043e\u0434\u0430\u0433\u0440\u0430<\/a><\/figure>\n\n\n\n

Dna moczanowa jest form\u0105 zapalenia staw\u00f3w, kt\u00f3ra jest bezpo\u015brednio zwi\u0105zana z podwy\u017cszonym poziomem kwasu moczowego we krwi. Kiedy poziom kwasu moczowego staje si\u0119 zbyt wysoki, krystalizuje i odk\u0142ada si\u0119 w stawach, \u015bci\u0119gnach i otaczaj\u0105cych tkankach. Prowadzi to do stanu zapalnego i silnego b\u00f3lu. Zwykle dotyczy du\u017cego palca u nogi, ale dna mo\u017ce r\u00f3wnie\u017c wp\u0142ywa\u0107 na inne stawy, takie jak kostki, kolana, nadgarstki i palce.<\/p>\n\n\n\n

Dna cz\u0119sto rozwija si\u0119 w kontek\u015bcie syndrom metabliczny<\/a><\/strong>. Zwi\u0119ksza si\u0119 oty\u0142o\u015b\u0107 brzuszna, poziom cukru we krwi i ci\u015bnienie krwi. Mo\u017ce r\u00f3wnie\u017c wyst\u0105pi\u0107 dyslipidemia \u2013 wysoki poziom t\u0142uszcz\u00f3w we krwi (triglicerydy<\/a><\/strong>, cholesterol).<\/p>\n\n\n\n

Pokarmy bogate w puryny \u2013 dlaczego dieta jest wa\u017cna<\/strong><\/h2>\n\n\n\n

Spo\u017cywanie pokarm\u00f3w bogatych w puryn\u0119 mo\u017ce przyczyni\u0107 si\u0119 do zwi\u0119kszenia poziomu kwasu moczowego w organizmie. Pokarmy bogate w puryny obejmuj\u0105 podroby (takie jak w\u0105troba i nerki), owoce morza (takie jak sardele, sardynki i przegrzebki), czerwone mi\u0119so, niekt\u00f3re warzywa (takie jak szpinak, grzyby i kalafior) oraz niekt\u00f3re napoje (takie jak piwo i s\u0142odzone napoje). Nale\u017cy jednak zauwa\u017cy\u0107, \u017ce puryny w diecie stanowi\u0105 tylko niewielk\u0105 cz\u0119\u015b\u0107 ca\u0142kowitego poziomu kwasu moczowego, poniewa\u017c wi\u0119kszo\u015b\u0107 kwasu moczowego jest wytwarzana wewn\u0119trznie przez organizm.<\/p>\n\n\n\n

\"\u043f\u0440\u0435\u0433\u043b\u0435\u0434<\/a><\/figure>\n\n\n\n

Opr\u00f3cz diety, inne czynniki, kt\u00f3re mog\u0105 przyczyni\u0107 si\u0119 do dny moczanowej, obejmuj\u0105 genetyk\u0119, oty\u0142o\u015b\u0107, niekt\u00f3re leki (takie jak leki moczop\u0119dne), podstawowe schorzenia (takie jak choroba nerek) i nadmierne spo\u017cycie alkoholu.<\/p>\n\n\n\n

Leczenie dny zwykle obejmuje po\u0142\u0105czenie zmian w stylu \u017cycia i lek\u00f3w. Mo\u017ce to obejmowa\u0107 zmniejszenie spo\u017cycia pokarm\u00f3w bogatych w puryn\u0119, utrzymanie prawid\u0142owej masy cia\u0142a, picie wystarczaj\u0105cej ilo\u015bci wody (aby wyp\u0142uka\u0107 jak najwi\u0119cej metabolit\u00f3w z moczem), ograniczenie spo\u017cycia alkoholu. <\/p>\n\n\n\n

W wielu przypadkach konieczne jest przyjmowanie lek\u00f3w obni\u017caj\u0105cych poziom kwasu moczowego, a tak\u017ce przeciwb\u00f3lowych podczas napad\u00f3w dny moczanowej. Istniej\u0105 r\u00f3\u017cne rodzaje lek\u00f3w, kt\u00f3re pomagaj\u0105 wyeliminowa\u0107 kwas moczowy przez nerki. Ta terapia jest wa\u017cna, poniewa\u017c wysoki poziom hiperurykemii stanowi d\u0142ugoterminowe zagro\u017cenie dla serca i naczy\u0144 krwiono\u015bnych. Bez leczenia mia\u017cd\u017cyca post\u0119puje bardzo szybko.<\/p>\n\n\n\n

Je\u015bli podejrzewasz, \u017ce masz dn\u0119 moczanow\u0105 lub masz objawy, wskazane jest skonsultowanie si\u0119 z lekarzem w celu dok\u0142adnej diagnozy i odpowiedniego leczenia. Specjalistami, kt\u00f3rzy mog\u0105 leczy\u0107 t\u0119 chorob\u0119, s\u0105 endokrynolodzy, kardiolodzy lub reumatolodzy.<\/p>\n\n\n\n

Jakie produkty, pokarmy zawieraj\u0105 puryny?<\/strong><\/h2>\n\n\n\n
\"\u043c\u0435\u0441\u043e<\/a><\/figure>\n\n\n\n

Oto kilka przyk\u0142ad\u00f3w produkt\u00f3w spo\u017cywczych, kt\u00f3re zawieraj\u0105 r\u00f3\u017cne poziomy puryn:<\/p>\n\n\n\n

Pokarmy o wysokiej zawarto\u015bci puryn (ponad 200 mg na 100 gram\u00f3w)<\/strong><\/p>\n\n\n\n

    \n
  • Ekologiczne mi\u0119so (w\u0105tr\u00f3bka, nerki, bakalie)<\/li>\n\n\n\n
  • Dziczyzna (dziczyzna, kr\u00f3lik)<\/li>\n\n\n\n
  • Anchois, sardynki i inne t\u0142uste ryby<\/li>\n\n\n\n
  • Ma\u0142\u017ce, ma\u0142\u017ce i jeszcze raz ma\u0142\u017ce<\/li>\n\n\n\n
  • Sos i bulion mi\u0119sny<\/li>\n\n\n\n
  • Pokarmy o umiarkowanej zawarto\u015bci puryn (mi\u0119dzy 100-200 mg na 100 gram\u00f3w):<\/li>\n\n\n\n
  • Mi\u0119so czerwone (wo\u0142owina, wieprzowina, jagni\u0119cina)<\/li>\n\n\n\n
  • Dr\u00f3b (kurczak, indyk)<\/li>\n\n\n\n
  • Ryby (z wyj\u0105tkiem t\u0142ustych ryb wymienionych powy\u017cej)<\/li>\n\n\n\n
  • Ro\u015bliny str\u0105czkowe (soczewica, ciecierzyca, fasola)<\/li>\n\n\n\n
  • Pieczarki, szpinak, szparagi, kalafior<\/li>\n\n\n\n
  • Ekstrakty dro\u017cd\u017cowe (Marmite, Vegemite)<\/li>\n<\/ul>\n\n\n\n

    Pokarmy o niskiej zawarto\u015bci puryn (mniej ni\u017c 100 mg na 100 gram\u00f3w):<\/strong><\/p>\n\n\n\n

      \n
    • Produkty mleczne (mleko, ser, jogurt)<\/li>\n\n\n\n
    • Jajka<\/li>\n\n\n\n
    • Owoce i warzywa (z wyj\u0105tkiem wymienionych powy\u017cej)<\/li>\n\n\n\n
    • Zbo\u017ca (ry\u017c, chleb, makaron)<\/li>\n\n\n\n
    • Orzechy i nasiona<\/li>\n<\/ul>\n\n\n\n

      Nale\u017cy zauwa\u017cy\u0107, \u017ce zawarto\u015b\u0107 puryn w niekt\u00f3rych produktach spo\u017cywczych mo\u017ce si\u0119 r\u00f3\u017cni\u0107, a warto\u015bci te s\u0105 przybli\u017cone. Dodatkowo, dietetyczne puryny stanowi\u0105 tylko niewielk\u0105 cz\u0119\u015b\u0107 ca\u0142kowitego poziomu kwasu moczowego w organizmie. Wi\u0119kszo\u015b\u0107 kwasu moczowego jest wytwarzana wewn\u0119trznie. <\/p>\n\n\n\n

      Redaktor Ina Dimitrowa<\/em><\/p>","protected":false},"excerpt":{"rendered":"

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