Benh nhan hen suyen khong nin nuoi cho, mSo, chim canh trong nhA truHg, sfla, cac loai diu (cung cap it nha't lg dam/kg the trong/ngay).
Chat hot dfldng trong khau phin cung cd tdc dung giup lam tang thdng khi cua dfldng hd hd'p.
Nen an nhilu rau xanh, cu, qua cd ehfla nhilu vitamin C (cin dflcfc cung cap den 2g vitamin C mdi ngay) nhfl cam quyt, chanh, bfldi, sd ri, li, xoai, thanh long, rau b l ngdt, can tay, dt chudng, rau den dd, rau day, mong tdi, cli xanh, ca chua,.
Nen dung nhilu thUc pham giau beta caroten ed trong gS^c, bi do, ea rd't, du du, khoai lang bi, rau ho ngdt, dt chufing m^u vang, mau cam,... va vitamin E cd nhieu trong dau thfle v^t va cae loai dSu, hat.
Cling cd gidp bao v§ va tang efldng ehflc nang hd hifp.
Ngfldi bfinh hen suyin cung can an them cae loai nhfl hanh tay, tdi, nghfi, dt, tfldng hat eai, bfing cai xanh, cdc loai ngu cic lfle, cac loai rau thcfm, d l tang efldng sflc dl khang, tieu dam, bao v^ va iam thdng loi dfldng hfi hS^p.
Cac thfle pham giau cha't beo omega 3 nhfl ca hoi, ca trich, ca thu, cac loai hat cd diu cd t h i iam giam bdt tinh trang vifim, giam nguy co bi khd thd, thd kho khe. Ngoai ra cdn cd t h i giup phdng ngifa bfinh hen suyin di truyin d tre nhd.
Mdt e h l dd tap luyfin t h i due the thao vfla sflc, luyen khi cdng, yoga, thai cflc quyln, xoa bdp co the hang ngay, cung rat cd ich cho ngfldi bi hen suyen.
Dong thdi, nfin gifl cho minh mfit tam thai nhe nhang, khdng lo au, eang thang qua mfle.
Benh hen suyfin nlu khdng dfloe dieu tri hoac dilu tri khong ddng each cd t h i gay suy giam dai han chtfc nang phoi (suy hd hap man tinh).
-» ThS. BS. CAO TH[ THliV HA theo GINA - Chi4n lUQc todn ciu
v4 suyin
G
out ( h a y d a n g i a n thfldng gpi b$nh gut, thd'ng phong) la mdt benh khdp man tinh do rli loan chuyen hda aeid uric vdi tinh trang tang acid uric trong mau dan de'n fl dong tinh t h i muli urat tai khdp gay viem khdp. Tan sua't hi§n mac tang theo tuoi va mdc tang aeid uric mau. B0nh thfldng gSp d nam tuoi trung nifin vk phu nfl sau man kinh, hiem gap d nam nho hdn 30 tuoi va phu nfl ehfla man kinh. Chi khoang 5 - 20% b$nh nhdn c6 tang aeid uric mau se bi gout. Nhiftig ngfldi cd tinh trang sau day se de cd nguy cd mac bfinh gout hdn: nam gidi, tuli trung nifin hoac nfl sau man kinh, uing nhieu rfldu bia, beo phi, hpi chflng chuyen hda, tang acid uric mau kdo dai, tiln can gia dinh mSc benh gout, hoac sfl dung lau dai cac thuoc lam tang acid uric mau nhfl mfit so' thud'c lpi tilu, aspirin lilu t h i p keo dai.Bilu hifin lim sang dac trflng ciia gout thfldng la suiig tiy, ndng, dd, dau dfl ddi tai mot hay nhieu khdp, thfldng gap n h l t la d khdp ban ngdn chan cai. Da phin benh nhan khi dilu tri dut dfldc ccm dau deu tfl cho la da khdi benh ma khdng biet rang bfinh vin dang am t h i m tien trien ben trong. Nfi'u khdng dfloc dilu tri tilp tuc va trifit de, cac ccfn dau se xult hifin trd lai ngay cang nhieu va nang hcfn. O giai doan mudn hdn, cd t h i xult hifin nhflng u, cue gpi la hat tophi xung quanh khdp, anh hfldng rat ldn den thim my, cd nguy cd gay biln dang khdp va cd the dan
dfi'n tdn phe. Dilu cin luu ^ la cac benh nhan man tinh, sau khi bi mac gout trong mdt thdi gian dai ma khong ehfla khdi, se cd thi kdo theo mdt so b$nh khde nhfl suy than, gan, phu n l gifl nflde. Vilc sd dung thulc de chfla cdc b^iih nay mpt each khfing ed kilm soat se lam cho bfinh gout them nSng hdn. Cdc nguyfin nhan cua b§nh gout nam trong 3 nhdm sau:
- Gout nguyen phdt: chilm da so, ed tinh gia dinh, chifa ro nguyfin nhan.
- Gout thiZ phdt: do tfing san xult trong cd liil hoac giam dao thai acid uric ra khdi cd the m^t each qua mdc.
- Gout hdm sinh: di truyin do bat thfldng ve gen.
Da so cde trfldng hdp bi gout Ik nguyfin phat, nghia la khdng tim thiy nguyfin nhdn, thfl&ng do nhieu ye'u t l thugn ldi k l trfin phli hcfp vdi nhau, n h l t Id nhflhg ngfldi nam tuli trung nifin, an qua nhilu ch^t dam, lam dung rfldu bla kfem theo thiia can va mac eae bfinh rli loan chuyln hda khac nhfl tang huyet ap, dai thdo dfldng, rli loan lipid mau... Vific dilu tri mot benh man tinh nhfl gout khfing phli la dieu dcfn gidn, bfinh nhan phai tufin thii chien Ifldc dieu tri cua thiy thudc, cd t h i sfl dung rifing le hoSc phoi hpp nhieu bifin phap dflng thuSc lan khdng dimg thufi'c nhfl sau:
• T h u o c h o a dtfcfc: hifin nay c6 rat nhilu loai thulc giup dilu tri cac trifiu chflng sflng dau do vifim khdp cua bfinh gout nhfl cae loai g i ^ dau thdng thfldng (pciraeetamol),
Cac loai hai san la thUc pham ma ngudi bi gout nen tranh
THU6C & SIJC KHOE sl508 (15.9.2014)
Tri b e n h giit bang Dong Tay y ket hdp
•»BS.LY MINH DAO khdng vifim NSAIDs (diclofenac,
meloxicam, celecoxib...), k h a n g viem corticoid (dexamethason, prednison,...). Ngoai ra ed t h i phd'i hdp mdt so nhdm thud'c gidp ha acid uric trong mdu nhfl allopurinol, probenecid... d l ngfla cdn gout d p , trdnh tai phdt b | n h va bao v? th|Ui.
cac thuoc nay cd t h i sfl dung ng^n han nlu khdng cd chlng chi dinh va khdng hi di dhg thud'c. Tuy nhifin nen c ^ than vdi mfit s l tac dung phu len tifiu hda va ne'u b?nh cd ehi dinh dimg thuo'c keo ddi thi nfin kiem tra dinh k j chflc nang gan, th^n va thflcfng t h | n .
• Thu£>c t h a o diMc: de dieu tri cae tripu chfl'ng sflng dau va edng khdp do bfinh gout hoanh hdnh, y hpc cl truyin thfldng sfl dung cac vi thule thao dfldc cd tac dung hanh khi, hoat huylt, hda ddm trfl thap; khi hanh thi huylt hdnh, trijf ddm thl^p de khdng lam t^c trd kinh lac, khi huyfi't nhd dd sfi dfldc lflu thdng d i n k h i p eae ed quan trong cd the. Bfin canh dd thud'c edn giup quan binh am dfldng, dilu ehinh nhilng r l i loan dang diln ra trong mfit ed t h i cd sfl mat can bdng do tuoi tdc, dieu chinh cac chflc nang tang phu, bo khi huyet giup cung co' sflc khoe.
Ngodi ra thdo dfldc cdn cd nhiJng vi cd tdc dung ha aeid uric mdu, chlng vifim vk dilu hda mien dich, tdc ddng p h i n ldn vao cd che b$nh theo Tay y, ngdn ngiJa cac ddt tdi phdt bfinh, lai it anh hfldng den chflc nang gan, than.
• C h a m cihi: chu ye'u sfl dung ede huyet tai cho quanh vung khdp dau d l flc e h l cdn dau tam thdi trong khi chd cdc loai thule phdt huy tae dung. Cd the tang tdc dung gidm dau b&ng edeh pho'i hdp vdi difin cham hodc quang cham giup tang cfldng tuan hoan nuoi dfldng
vung khdp dd, ddng thdi giam thilu nong dp cde chat gdy vifim tai chl nhd sfl v§n chuyln eua ddng mdu de giam dau. Ngoai ra cd t h i phfi'i hop cac hinh thfle cham cflu khdc nhfl nhi eham, thuy cham, edy chi cung ed nhflng tdc dung dang kl. Lflu y cac vung da, khdp cd hat tophi dang nung mu hode da vd thi khdng eham.
• Xoa bop, bain huy^t: cQng khdng nam ngodi muc dieh gian cd, lflu thdng khi huyet tai vimg dflpe xoa bdp, cd t h i tap lam eae ddng tde nhfl: tfl xoa bdp va ve cdc k h ^ dau giup gian gan cd, lflu thdng tuan hoan de giam dau. Mli ngfldi diu cd t h i dflde hfldng dan de tfl xoa bdp, h ^ huyet cho minh hang ngdy, day la phflcfng phdp tipn ldi, dl thfle hifin, dem lai hifiu qud khd eao.
• T^p luy^n: la mpt bien phap td't d l dat dfldc nhilu ldi ich cho sflc khde, khdng nhflng phong va chfla cdc trifiu chflng cua gout ma ea cdc bfinh ly man tinh nhfl thodi hda khdp, suy nhfldc ed the, tdng cfldng sflc khde vd sfl deo dai. T^p cdc ddng tdc keo dan cd va tang bifin dfi van d^ng cac khdp nhfl vai, khuyu tay, e l tay co chan, hdn ngdn tay chdn, gd'i, hang giup chd'ng cflng khdp, ngdn ngfla sfl tan phe'. Mpi dpng tdc, tfl the' tap luyfin cung nhfl thdi gian, cfldng dfi tap deu phdi tuy vao sflc khde vd mdc dp dau cija moi ngfldi.
• T h a y d o i loi s o n g : ngodi viec duy tri tap luyfin hdng ngdy cdn phai an ud'ng dilu dfi, cd c h l dp ldm vific va nghi ngefi hop ly, khfing hut t h u l c la, khdng lam dung bia rfldu... Cd t h i ndi nguyfin nhdn trfle tiep gdy bfinh gout la acid uric. Do dd, ngfldi cd acid uric mdu cao nfin kifing hoac han che' cdc thifc pham chfla nhilu nhdn purin nhfl phu tang dpng vat (gan.
THUOC & SLfC KHOE so'508 (15.9.2014)
TrUng vd si7a gi^u dgm nhUng it nhin purin
than, nao, tuy...), cdc loai thit ldn, de, bd, ctfu, gd, vit, ngem, ngdng, thit hun khdi, chim cut, ea chep, ea chach, cd thdn befn, ea hdi, Iflefn, nghfiu, sd, eua, rau chan vit, rau cdu, dau Ha Lan, nd^m, mang...
Khdng dung ede dd an thfle ufi'ng cd tinh kich thieh nhfl trd dae, ea phfi, rfldu tr&ig, hat tifiu, hdi, qui, dt...
Mfit trong nhflng bifin phap phdng chd'ng aeid uric trong mdu tang eao la dung cae thfle pham khdng hoae it ed nhan purin va cd efing dung tdng cfldng dao thai acid uric qua dfldng tifi't nifiu nhd cd nhieu vitamin C tinh acid giup hda tan cdc tinh t h i urat ling dpng.
Cd t h i d i n ra mdt s l thfle pham thdng dung cd nhflng tdc dung ndi tren nhfl sau:
>- Rau cu qua: dfla chupt, sup lfl, rau can, cai xanh, cd ehua, bdng cai, cu cai, bi xanh, bi dd, khoai tay.
>-Trdi cay: dfla hlu, nho, tao, lfi, dfla.
>-Thflc pham giau dam nhflng it nhan purin: sfla bd, d|u tfldng, dgu do,...
Tat ca deu nham mdt muc dich la giam acid uric mdu - nguyen nhdn ehinh eua benh ly ndi tren.
Cdc bi^n phdp ndi trfin khong chi phli hdp nhau de dieu tri md cdn cd tdc dung phdng ngfla bfinh gout va nhilu bfinh khdp man tinh khdc. ^
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