MARKAZIY OSIYO PARHEZINING KOMORBIDLIK FONIDA PODAGRA RIVOJLANISHI VA OLDINI OLISHIGA TA'SIRI
##article.subject##:
parhez, giperurikemiya, podagra, qo'shma kasallik, turmush tarzi, O'rta Osiyo, amaliy qo'llanma##article.abstract##
Podagra bilan og'rigan bemorlarga siydik kislotasi darajasini kamaytirish uchun parhezda purinlarni o'z ichiga olgan oziq-ovqatlarni istisno qiladigan maxsus parhezga rioya qilish tavsiya etiladi. So'nggi bir necha o'n yilliklarda o'tkazilgan tadqiqotlar shuni ko'rsatadiki, qon zardobida siydik kislotasi darajasining oshishi yurak-qon tomir kasalliklari bilan og'rigan bemorlarda oqibatni sezilarli darajada yomonlashtirishi va natriy monourat kristallarining cho'kishi buyrak yetishmovchiligining rivojlanishining bevosita sababi va omili bo'lishi mumkin. Hozirgi vaqtda podagra bilan og'rigan bemorlar uchun optimal ovqatlanishni izlash davom etmoqda. Ushbu adabiyotlar tahlilining maqsadi - Markaziy Osiyo parhezining qo'shma kasalliklar fonida podagra rivojlanishi va oldini olishga ta'sirini o'rganish, shuningdek, tegishli profilaktika choralarini taklif qilish. Biz Markaziy Osiyo parhezining podagra rivojlanishiga ta'siri va podagra xurujlari chastotasini o'rgangan ingliz tilidagi maqolalarni tahlil qildik. O‘rta Osiyo taomlari – lag‘mon, palov, manti kabi taomlar to‘yingan yog‘lar, qizil go‘sht va trans yog‘larga boy. Og'irlik va podagra xurujlarining oldini olish uchun an'anaviy Markaziy Osiyo taomlarini o'rtacha iste'mol qilish tavsiya etiladi. Podagra bilan og'rigan bemorlarga qo'shimcha ravishda past kaloriya va kam yog'li ovqatlar iste'mol qilish, muntazam ravishda meva va sabzavotlarni iste'mol qilish tavsiya etiladi. Podagra bilan og'rigan bemorlarga sog'lom ovqatlanish va turmush tarzi haqida ma'lumot berilishi kerak. Podagraning oldini olish va davolash bo'yicha yaxshiroq tavsiyalar berish uchun ko'proq tadqiqotlar talab etiladi.
Библиографические ссылки
Richette P., Bardin T. Gout. Lancet 2010;375(9711):318–328. DOI: 10.1016/S0140-6736(09)60883-7.
Nuki G., Simkin P.A. A concise history of gout and hyperuricemia and their treatment. Arthritis Res Ther 2006;8(Suppl. 1). DOI: 10.1186/ar1906.
Garrod A.B. On gout and rheumatism. The differential diagnosis, and the nature of the so-called rheumatic gout. Med Chir Trans 1854;37(1):181–220.DOI: 10.1177/095952875403700114.
Ebstein W. On the Regimen to be adopted in Gout. J Ment Sci 1886;32(138):255–256. DOI: 10.1192/bjp.32.138.255.
Ebstein W. The nature and treatment of gout. BMJ 1846; Suppl. 1–10:114.DOI: 10.1136/bmj.s1-10.10.114.
Ragab G, Elshahaly M, Bardin T. Gout: An old disease in new perspective - a review. J Adv Res 2017;8(5): 495–511. DOI: 10.1016/j.jare.2017.04.008
Terkeltaub R. What makes gouty inflammation so variable? BMC Med 2017;15(1):158. DOI:10.1186/s12916-017-0922-5
Nielsen S.M., Zobbe K., Kristensen L.E., Christensen R. Nutritional recommendations for gout: An update from clinical epidemiology. Autoimmun Rev 2018;17(11):1090–1096. DOI: 10.1016/j.autrev.2018.05.008
Gromova M.A., Tsurko V.V., Melekhina А.S. Rational approach to nutrition for patients with gout. Klinitsist = The Clinician 2019;13(3–4):15–21. (In Russ.).
Jamnik J, Rehman S, Blanco Mejia S, de Souza RJ, Khan TA, Leiter LA, et al. Fructose intake and risk of gout and hyperuricemia: a systematic review and meta-analysis of prospective cohort studies. BMJ Open 2016;6(10):e013191. DOI:10.1136/bmjopen-2016-013191
Sivera F., Andres M., Carmona L. et al. Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative. Ann Rheum Dis 2014;73(2):328–335. DOI:10.1136/annrheumdis-2013-203325.
Towiwat P, Li ZG. The association of vitamin C, alcohol, coffee, tea, milk and yogurt with uric acid and gout. Int J Rheum Dis 2015;18(5):495–501. DOI:10.1111/1756-185x.12622
Juraschek SP, Gelber AC, Choi HK, Appel LJ, Miller ER 3rd. Effects of the Dietary Approaches to Stop Hypertension (DASH) Diet and Sodium Intake on Serum Uric Acid. Arthritis Rheumatol. 2016 Dec;68(12):3002-3009. DOI: 10.1002/art.39813.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute Your Guide to Lowering Your Blood Pressure with DASH https://www.nhlbi.nih.gov/files/docs/public/heart/new_dash.pdf
Tang O, Miller ER 3rd, Gelber AC, Choi HK, Appel LJ, Juraschek SP. DASH diet and change in serum uric acid over time. Clin Rheumatol. 2017 Jun;36(6):1413-1417. DOI: 10.1007/s10067-017-3613-x.
Pascart T., Latourte A., Flipo R.M. et al. 2020 recommendations from the French Society of Rheumatology for the management of gout: Urate-lowering therapy. Joint Bone Spine. 2020:S1297-319X(20)30085-3. DOI: 10.1016/j.jbspin.2020.05.002.
FitzGerald J.D., Dalbeth N., Mikuls T. et al. 2020 American College of Rheumatology Guideline for the Management of Gout.Arthritis Care Res (Hoboken), 2020 DOI: 10.1002/acr.24180.
Kt'epi B. Food (cuisine): 1200 to 1900: South, Central, and West Asia. In A. L. StantonE. Ramsamy, & P. J. Seybolt (Eds.), Cultural sociology of the Middle East, Asia, & Africa: An encyclopedia, 2012; (Vol. 1, pp. IV103-IV103). DOI:10.4135/9781452218458.n687
Yapici S. Food and identity in Central Asia. Central Asian Survey 2018;38(3):434-436. DOI:10.1080/02634937.2018.1549398
