{"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\/ro\/zdrave\/kakvo-sa-purini-v-koi-hrani-gi-ima-i-kakva-e-vrazkata-s-podagra\/","title":{"rendered":"Ce sunt purinele, \u00een ce alimente sunt \u0219i care este leg\u0103tura cu guta?"},"content":{"rendered":"

Purinele sunt un tip de compus chimic care se g\u0103se\u0219te \u00een diferite alimente \u0219i sunt, de asemenea, produse \u00een mod natural de organism. Ele joac\u0103 un rol important \u00een sinteza ADN-ului, ARN-ului \u0219i moleculelor de energie precum ATP. Persoanele al c\u0103ror organism men\u021bine niveluri ridicate de acid uric ar trebui s\u0103 fie aten\u021bi la consumul de astfel de produse. Depunerea de acid uric sub form\u0103 de cristale \u00een jurul articula\u021biilor mici provoac\u0103 un atac de gut\u0103. Este dureroas\u0103 \u0219i are riscul de efecte pe termen lung asupra s\u0103n\u0103t\u0103\u021bii.<\/p>\n\n\n\n

Purinele sunt descompuse \u00een acid uric \u00een organism<\/strong><\/h2>\n\n\n\n

C\u00e2nd purinele sunt descompuse \u00een organism, ele produc un produs rezidual numit acid uric. De obicei, este dizolvat \u00een s\u00e2nge \u0219i excretat din organism prin urin\u0103. Cu toate acestea, la unii oameni, organismul produce cantit\u0103\u021bi mari de acid uric. Pot exista dificult\u0103\u021bi \u00een eliminarea eficient\u0103 prin urin\u0103. Oricare dintre cauze duce la o afec\u021biune cunoscut\u0103 sub numele de hiperuricemie. <\/p>\n\n\n\n

Aceast\u0103 afec\u021biune poate ap\u0103rea cu sau f\u0103r\u0103 simptome. La unii oameni, sunt detectate valori crescute de laborator ale acidului uric, dar nu au nicio pl\u00e2ngere, nu simt nimic. Al\u021bii au simptome. Un atac de gut\u0103 tipic este asociat cu durere brusc\u0103 la degetul mare de la picior, care apare adesea noaptea. Diminea\u021ba, o persoan\u0103 poate crede c\u0103 a lovit ceva f\u0103r\u0103 s\u0103-\u0219i aminteasc\u0103. Durerea este ascu\u021bit\u0103, \u00eenjunghi\u0103toare. Simptomele pot ap\u0103rea \u0219i \u00een alte articula\u021bii. <\/p>\n\n\n\n

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

Guta este o form\u0103 de artrit\u0103 care este direct legat\u0103 de nivelurile crescute de acid uric din s\u00e2nge. C\u00e2nd nivelurile de acid uric devin prea mari, acesta se cristalizeaz\u0103 \u0219i se depune \u00een articula\u021bii, tendoane \u0219i \u021besuturi din jur. Acest lucru duce la inflama\u021bie \u0219i durere sever\u0103. Degetul mare este de obicei afectat, dar guta poate afecta \u0219i alte articula\u021bii precum gleznele, genunchii, \u00eencheieturile \u0219i degetele.<\/p>\n\n\n\n

Guta se dezvolt\u0103 adesea \u00een contextul sindrom metabolic<\/a><\/strong>. \u00cengr\u0103\u0219area abdominal\u0103, zah\u0103rul din s\u00e2nge \u0219i tensiunea arterial\u0103 sunt crescute. Poate exista, de asemenea, dislipidemie - niveluri ridicate de gr\u0103simi \u00een s\u00e2nge (trigliceride<\/a><\/strong>, colesterol).<\/p>\n\n\n\n

Alimente bogate \u00een purine - de ce este important\u0103 dieta<\/strong><\/h2>\n\n\n\n

Aportul alimentar de alimente bogate \u00een purine poate contribui la cre\u0219terea nivelului de acid uric din organism. Alimentele bogate \u00een purine includ carne de organe (cum ar fi ficatul \u0219i rinichii), fructele de mare (cum ar fi ham\u0219a, sardinele \u0219i scoici), carnea ro\u0219ie, unele legume (cum ar fi spanacul, ciupercile \u0219i conopida) \u0219i anumite b\u0103uturi (cum ar fi berea). \u0219i b\u0103uturi \u00eendulcite). Cu toate acestea, este important de re\u021binut c\u0103 purinele dietetice contribuie doar cu o mic\u0103 parte din nivelurile totale de acid uric, deoarece majoritatea acidului uric este produs intern de organism.<\/p>\n\n\n\n

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

\u00cen plus fa\u021b\u0103 de diet\u0103, al\u021bi factori care pot contribui la apari\u021bia gutei includ genetica, obezitatea, anumite medicamente (cum ar fi diureticele), afec\u021biunile medicale subiacente (cum ar fi bolile de rinichi) \u0219i consumul excesiv de alcool.<\/p>\n\n\n\n

Tratamentul pentru gut\u0103 implic\u0103 de obicei o combina\u021bie de modific\u0103ri ale stilului de via\u021b\u0103 \u0219i medicamente. Aceasta poate include reducerea aportului de alimente bogate \u00een purine, men\u021binerea unei greut\u0103\u021bi s\u0103n\u0103toase, consumul de ap\u0103 suficient\u0103 (pentru a elimina c\u00e2t mai mul\u021bi metaboli\u021bi posibil prin urin\u0103), limitarea consumului de alcool. <\/p>\n\n\n\n

\u00cen multe cazuri, trebuie luate medicamente pentru a sc\u0103dea nivelul acidului uric, precum \u0219i pentru durerea \u00een timpul atacurilor de gut\u0103. Exist\u0103 diferite tipuri de medicamente care ajut\u0103 la eliminarea acidului uric prin rinichi. Aceast\u0103 terapie este important\u0103 deoarece nivelurile ridicate de hiperuricemie prezint\u0103 un risc pe termen lung pentru inim\u0103 \u0219i vasele de s\u00e2nge. F\u0103r\u0103 tratament, ateroscleroza progreseaz\u0103 foarte repede.<\/p>\n\n\n\n

Dac\u0103 b\u0103nui\u021bi c\u0103 ave\u021bi gut\u0103 sau ave\u021bi simptome, este indicat s\u0103 consulta\u021bi un medic pentru un diagnostic precis \u0219i un tratament adecvat. Speciali\u0219tii care pot trata aceast\u0103 boal\u0103 sunt endocrinologii, cardiologii sau reumatologii.<\/p>\n\n\n\n

Ce produse, alimente con\u021bin purine?<\/strong><\/h2>\n\n\n\n
\"\u043c\u0435\u0441\u043e<\/a><\/figure>\n\n\n\n

Iat\u0103 c\u00e2teva exemple de alimente care con\u021bin diferite niveluri de purine:<\/p>\n\n\n\n

Alimente cu un con\u021binut ridicat de purine (mai mult de 200 mg la 100 de grame)<\/strong><\/p>\n\n\n\n

    \n
  • Carne organica (ficat, rinichi, turte)<\/li>\n\n\n\n
  • Carne de vanat (cerap, iepure)<\/li>\n\n\n\n
  • hamsii, sardine si alti peste gras<\/li>\n\n\n\n
  • Scoici, scoici \u0219i mai multe scoici<\/li>\n\n\n\n
  • Sos \u0219i bulion de carne<\/li>\n\n\n\n
  • Alimente cu un con\u021binut moderat de purine (\u00eentre 100-200 mg la 100 de grame):<\/li>\n\n\n\n
  • Carne ro\u0219ie (vit\u0103, porc, miel)<\/li>\n\n\n\n
  • P\u0103s\u0103ri de curte (pui, curcan)<\/li>\n\n\n\n
  • Pe\u0219te (exclusiv pe\u0219tele gras men\u021bionat mai sus)<\/li>\n\n\n\n
  • Leguminoase (linte, n\u0103ut, fasole)<\/li>\n\n\n\n
  • Ciuperci, spanac, sparanghel, conopida<\/li>\n\n\n\n
  • Extracte de drojdie (Marmite, Vegemite)<\/li>\n<\/ul>\n\n\n\n

    Alimente cu un con\u021binut sc\u0103zut de purine (mai pu\u021bin de 100 mg la 100 de grame):<\/strong><\/p>\n\n\n\n

      \n
    • Produse lactate (lapte, br\u00e2nz\u0103, iaurt)<\/li>\n\n\n\n
    • ou\u0103<\/li>\n\n\n\n
    • Fructe \u0219i legume (cu excep\u021bia celor men\u021bionate mai sus)<\/li>\n\n\n\n
    • Cereale (orez, p\u00e2ine, paste)<\/li>\n\n\n\n
    • Nuci si seminte<\/li>\n<\/ul>\n\n\n\n

      Este important de men\u021bionat c\u0103 con\u021binutul de purine al anumitor alimente poate varia, iar aceste valori sunt aproximative. \u00cen plus, purinele dietetice contribuie doar cu o mic\u0103 parte din nivelul total de acid uric din organism. Majoritatea acidului uric este produs intern. <\/p>\n\n\n\n

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

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